0001209191-23-035791.txt : 20230609
0001209191-23-035791.hdr.sgml : 20230609
20230609161544
ACCESSION NUMBER: 0001209191-23-035791
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230607
FILED AS OF DATE: 20230609
DATE AS OF CHANGE: 20230609
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HIMES VAUGHN B
CENTRAL INDEX KEY: 0001361966
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 033-80623
FILM NUMBER: 231005481
MAIL ADDRESS:
STREET 1: C/O SEATTLE GENETICS, INC.
STREET 2: 21823 30TH DRIVE SE
CITY: BOTHELL
STATE: WA
ZIP: 98021
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ACHIEVE LIFE SCIENCES, INC.
CENTRAL INDEX KEY: 0000949858
STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835]
IRS NUMBER: 954343413
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 22722 29TH DR. SE
STREET 2: SUITE 100
CITY: SEATTLE
STATE: WA
ZIP: 98021
BUSINESS PHONE: 425-686-1500
MAIL ADDRESS:
STREET 1: 22722 29TH DR. SE
STREET 2: SUITE 100
CITY: SEATTLE
STATE: WA
ZIP: 98021
FORMER COMPANY:
FORMER CONFORMED NAME: ONCOGENEX PHARMACEUTICALS, INC.
DATE OF NAME CHANGE: 20080821
FORMER COMPANY:
FORMER CONFORMED NAME: SONUS PHARMACEUTICALS INC
DATE OF NAME CHANGE: 19950825
4
1
doc4.xml
FORM 4 SUBMISSION
X0407
4
2023-06-07
0
0000949858
ACHIEVE LIFE SCIENCES, INC.
ACHV
0001361966
HIMES VAUGHN B
22722 29TH DR. SE, SUITE 100
BOTHELL
WA
98021
1
0
0
0
0
Stock Option (right to buy)
6.00
2023-06-07
4
A
0
31500
0.00
A
2033-06-07
Common Stock
31500
31500
D
The options vest 100% on the earlier of June 7, 2024 or the date immediately prior to the Issuer's next annual meeting of stockholders.
Sandra Thomson as attorney-in-fact for Vaughn Himes
2023-06-09