UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the fiscal year ended
Or
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
Commission File Number
(Exact name of the registrant as specified in its charter)
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(State or other jurisdiction of incorporation or organization) |
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(I.R.S. Employer Identification No.) |
(Address of principal executive offices, including zip code)
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(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
Title of Each Class |
Trading Symbol(s) |
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Name of Exchange on Which Registered |
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The |
Securities registered pursuant to Section 12(g) of the Act:
None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☐
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act. Yes ☐
Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer |
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Accelerated filer |
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Smaller reporting company |
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Emerging growth company |
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If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report.
If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the correction of an error to previously issued financial statements. ☐
Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act.). Yes
As of June 30, 2022, the aggregate market value of the registrant’s Common Stock held by non-affiliates of the registrant was $
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the Registrant’s Definitive Proxy Statement for its 2023 Annual Meeting of Stockholders (“Proxy Statement”), to be filed within 120 days of the Registrant’s fiscal year ended December 31, 2022, is incorporated by reference into Part III of this Annual Report on Form 10-K.
Auditor Name:
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EXPLANATORY NOTE
Except as described above, no changes have been made to the Original Filing and this Amendment No. 1 does not modify, amend or update in any way any of the financial or other information contained in the Original Filing. This Amendment No. 1 does not reflect events that may have occurred subsequent to the Original Filing Date.
Pursuant to Rule 12b-15 under the Securities Exchange Act of 1934, as amended, this Amendment No. 1 also contains a new certification pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, which is attached hereto. Because no financial statements have been included in this Amendment No. 1 and this Amendment No. 1 does not contain or amend any disclosure with respect to Items 307 and 308 of Regulation S-K, paragraphs 3, 4, and 5 of the certifications have been omitted.
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Achieve Life Sciences, Inc.
Table of Contents
ITEM 15. |
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5 |
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14 |
4
ITEM 15.
EXHIBITS AND FINANCIAL STATEMENT SCHEDULES
(1) Exhibits Exhibit Exhibits
Exhibit |
Description |
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Incorporated by Reference |
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Filed/ |
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Form |
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File No. |
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Exhibit |
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Filing Date |
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3.1 |
Second Amended and Restated Certificate of Incorporation filed on May 24, 2013 |
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8-K |
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033-80623 |
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3.1 |
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May 29, 2013 |
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3.2 |
Certificate of Amendment to Amended and Restated Certificate of Incorporation filed on May 21, 2015 |
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8-K |
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033-80623 |
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3.1 |
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May 22, 2015 |
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3.3 |
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8-K |
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033-80623 |
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3.1 |
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August 2, 2017 |
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3.4 |
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8-K |
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033-80623 |
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3.2 |
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August 2, 2017 |
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3.5 |
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8-K |
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033-80623 |
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3.1 |
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November 1, 2017 |
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3.6 |
Certificate of Amendment (Reverse Stock Split) to the Second Amended and |
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8-K |
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033-80623 |
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3.1 |
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May 23, 2018 |
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3.7 |
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8-K |
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033-80623 |
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3.2 |
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May 23, 2018 |
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3.8 |
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8-K |
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033-80623 |
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3.1 |
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December 20, 2019 |
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3.9 |
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8-K |
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033-80623 |
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3.1 |
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January 5, 2017 |
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3.10 |
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10-Q |
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033-80623 |
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3.1 |
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November 7, 2018 |
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4.1 |
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10-Q |
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000-21243 |
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4.1 |
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November 10, 2008 |
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4.2 |
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8-K |
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033-80623 |
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4.1 |
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September 14, 2017 |
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4.3 |
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8-K |
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033-80623 |
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4.1 |
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June 20, 2018 |
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4.4 |
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8-K |
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033-80623 |
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4.2 |
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June 20, 2018 |
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4.5 |
Form of Common Stock Purchase Warrant (October 2018 Private Placement) |
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8-K |
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033-80623 |
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4.1 |
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October 1, 2018 |
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4.6 |
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8-K |
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033-80623 |
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4.1 |
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June 3, 2019 |
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4.7 |
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8-K |
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033-80623 |
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4.1 |
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December 20, 2019 |
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4.8 |
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8-K |
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033-80623 |
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4.1 |
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April 30, 2020 |
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4.9 |
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8-K |
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033-80623 |
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4.1 |
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August 4, 2020 |
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4.10 |
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S-1 |
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333-250074 |
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4.11 |
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November 30, 2020 |
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4.11 |
Description of Securities Registered Under Section 12 of the Securities Exchange Act of 1934 |
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10-K |
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033-80623 |
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4.12 |
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March 13, 2020 |
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4.12 |
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8-K |
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033-80623 |
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10.1 |
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December 22, 2021 |
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4.13 |
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8-K |
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033-80623 |
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4.1 |
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November 18, 2022 |
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4.14 |
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8-K |
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033-80623 |
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10.2 |
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November 18, 2022 |
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10.1 |
Form of OncoGenex Pharmaceuticals, Inc. 2010 Stock Option Agreement |
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8-K |
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033-80623 |
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10.1 |
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June 14, 2010 |
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10.2 |
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10-Q |
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033-80623 |
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10.2 |
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November 3, 2011 |
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10.3 |
OncoGenex Pharmaceuticals, Inc. 2010 Performance Incentive Plan, as amended and restated |
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DEF 14A |
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033-80623 |
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Appendix A |
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April 16, 2015 |
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10.4 |
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DEF 14A |
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033-80623 |
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Appendix A |
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September 21, 2017 |
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10.5 |
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10-Q |
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033-80623 |
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10.7b |
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March 1, 2018 |
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10.6 |
Form of Achieve Life Sciences Restricted Stock Unit Agreement |
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10-Q |
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033-80623 |
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10.7c |
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March 1, 2018 |
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10.7 |
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DEF 14A |
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033-80623 |
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Appendix B |
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September 21, 2017 |
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10.8 |
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10-K |
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033-80623 |
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10.8 |
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March 16, 2023 |
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10.9 |
Form of Indemnification Agreement for Officers and Directors of the Company (p) |
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S-1 |
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33-96112 |
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10.19 |
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September 25, 1995 |
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10.10 |
Form of Indemnification Agreement between OncoGenex Technologies Inc. and Cindy Jacobs |
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F-1 |
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333-139293 |
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10.7 |
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December 13, 2006 |
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10.11 |
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10-Q |
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033-80623 |
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10.27 |
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November 5, 2009 |
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8
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10.12 |
Employment Agreement between OncoGenex Pharmaceuticals, Inc. and John Bencich |
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10-Q |
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033-80623 |
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10.1 |
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November 10, 2016 |
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10.13 |
Employment Agreement between the Company and Richard Stewart, executed May 22, 2018 |
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8-K |
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033-80623 |
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10.1 |
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May 23, 2018 |
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10.14 |
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S-4/A |
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333-216961 |
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10.21 |
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May 3, 2017 |
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10.15 |
Variation of Contract, by and between Sopharma AD and Extab Corporation, dated May 14, 2015* |
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S-4/A |
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333-216961 |
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10.22 |
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May 3, 2017 |
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10.16 |
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S-4/A |
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333-216961 |
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10.23 |
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May 3, 2017 |
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10.17 |
Variation of Contract, by and between Sopharma AD and Extab Corporation, dated May 14, 2015* |
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S-4/A |
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333-216961 |
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10.24 |
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May 3, 2017 |
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10.18 |
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S-4/A |
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333-216961 |
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10.25 |
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May 3, 2017 |
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10.19 |
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S-4/A |
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333-216961 |
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10.27 |
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May 3, 2017 |
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10.20 |
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10-Q/A |
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033-80623 |
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10.1 |
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May 23, 2018 |
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10.21 |
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10-K |
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033-80623 |
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10.25 |
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March, 14, 2019 |
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10.22 |
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10-K |
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033-80623 |
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10.22 |
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March 16, 2023 |
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10.23 |
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10-Q |
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033-80623 |
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10.1 |
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November 9, 2017 |
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10.24 |
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10-Q |
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033-80623 |
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10.1 |
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November 12, 2020 |
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10.25 |
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10-Q |
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033-80623 |
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10.3 |
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November 12, 2020 |
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10
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September 28, 2020, by and between Achieve Life Sciences, Inc. and John Bencich |
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10.26 |
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10-K |
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003-80623 |
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10.26 |
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March 16, 2023 |
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10.27 |
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S-3 |
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333-261811 |
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1.2 |
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December 21, 2021 |
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10.28 |
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8-K |
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033-80623 |
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10.1 |
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December 22, 2021 |
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10.29 |
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8-K |
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033-80623 |
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10.2 |
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April 27, 2022 |
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10.30 |
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8-K |
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033-80623 |
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10.1 |
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April 27, 2022 |
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21.1 |
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10-K |
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033-80623 |
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21.1 |
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March 16, 2023 |
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23.1 |
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X |
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24.1 |
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10-K |
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033-80623 |
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24.1 |
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March 16, 2023 |
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31.1 |
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X |
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32.1 |
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10-K |
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033-80623 |
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32.1 |
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March 16, 2023 |
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101.INS |
Inline XBRL Instance Document |
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10-K |
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033-80623 |
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101.INS |
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March 16, 2023 |
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101.SCH |
Inline XBRL Taxonomy Extension Schema Document |
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10-K |
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033-80623 |
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101.SCH |
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March 16, 2023 |
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101.CAL |
Inline XBRL Taxonomy Extension Calculation Linkbase Document |
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10-K |
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033-80623 |
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101.CAL |
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March 16, 2023 |
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101.DEF |
Inline XBRL Taxonomy Extension Definition Linkbase Document |
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10-K |
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033-80623 |
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101.DEF |
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March 16, 2023 |
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101.LAB |
Inline XBRL Taxonomy Extension Label Linkbase Document |
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10-K |
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033-80623 |
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101.LAB |
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March 16, 2023 |
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101.PRE |
Inline XBRL Taxonomy Extension Presentation Linkbase Document |
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10-K |
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033-80623 |
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101.PRE |
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March 16, 2023 |
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104 |
Cover Page Interactive Data File (embedded |
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10-K |
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033-80623 |
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104 |
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March 16, 2023 |
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12
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within the Inline XBRL document) |
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Schedules and similar attachments to the Merger Agreement have been omitted pursuant to Item 601(b)(2) of Regulation S-K. The Company will furnish supplementally a copy of any omitted schedule or similar attachment to the SEC upon request. |
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Indicates management contract or compensatory plan or arrangement. |
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The Company has omitted portions of the exhibit as permitted under Item 601(b)(10) of Regulation S-K. |
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** |
The certifications attached as Exhibits 32.1 and 32.2 accompany to this Annual Report on Form 10-K pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, and shall not be deemed filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended. |
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13
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized.
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ACHIEVE LIFE SCIENCES, INC. |
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(Registrant) |
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Date: May 16, 2023 |
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By: |
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/s/ JOHN BENCICH |
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John Bencich |
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Chief Executive Officer |
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Pursuant to the requirements of the Securities Exchange Act of 1934, this Report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.
By: /s/ JOHN BENCICH |
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Chief Executive Officer and Director (Principal Executive Officer and Financial Officer) |
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Date: May 16, 2023 |
John Bencich |
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By: /s/ JERRY WAN |
Senior Director of Accounting Operations (Principal Accounting Officer) |
Date: May 16, 2023 |
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Jerry Wan |
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By: * |
Executive Chairman and Director |
Date: May 16, 2023 |
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Richard Stewart |
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By: * |
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President, Chief Medical Officer and Director |
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Date: May 16, 2023 |
Cindy Jacobs |
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By: |
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Director |
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Date: May 16, 2023 |
Stuart Duty |
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By: * |
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Director |
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Date: May 16, 2023 |
Donald Joseph |
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By: |
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Director |
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Date: May 16, 2023 |
Thomas King |
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By: * |
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Director |
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Date: May 16, 2023 |
Martin Mattingly |
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By: * |
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Director |
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Date: May 16, 2023 |
Bridget Martell |
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By: * |
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Director |
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Date: May 16, 2023 |
Jay Moyes |
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By: * |
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Director |
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Date: May 16, 2023 |
Vaughn Himes |
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By: |
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Director |
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Date: May 16, 2023 |
Thomas Sellig |
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*By: /S/ JOHN BENCICH |
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John Bencich |
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Attorney-in-Fact |
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15