EXHIBIT 107
Calculation of Filing Fee Tables
Form S-3
(Form Type)
Achieve Life Sciences, Inc.
(Exact Name of Registrant as Specified in its Charter)
Table 1: Newly Registered Securities
|
Security Type |
Security Class Title |
Fee Calculation or Carry Forward Rule |
Amount Registered |
Proposed Maximum Offering Price Per Unit |
Maximum Aggregate Offering Price |
Fee Rate |
Amount of Registration Fee |
Fees to Be Paid |
Equity |
Common stock, par value per share $0.001 |
457(o) |
$— |
$— |
$— |
— |
$— |
Equity |
Preferred stock, par value $0.001 per share |
457(o) |
— |
— |
— |
— |
— |
|
Debt |
Debt securities |
457(o) |
— |
— |
— |
— |
— |
|
Other |
Warrants |
457(o) |
— |
— |
— |
— |
— |
|
Other |
Subscription rights |
457(o) |
— |
— |
— |
— |
— |
|
Other |
Units |
457(o) |
— |
— |
— |
— |
— |
|
Unallocated (Universal) Shelf |
— |
457(o) |
$200,000,000(1) |
N/A(2) |
$200,000,000 |
|
|
|
|
Total Offering Amounts |
|
$200,000,000 |
$0.0001476 |
$29,520.00 |
|||
|
Total Fees Previously Paid |
|
|
|
— |
|||
|
Total Fee Offsets |
|
|
|
— |
|||
|
Net Fee Due |
|
|
|
$29,520.00 |
(1) |
There is being registered hereunder an indeterminate number of shares of (a) common stock, (b) preferred stock, (c) debt securities, (d) warrants to purchase common stock, preferred stock or debt securities of the Registrant, (e) subscription rights to purchase common stock, preferred stock or debt securities of the Registrant, and (f) units, consisting of some or all of these securities in any combination, as may be sold from time to time by the Registrant. Any securities registered hereunder may be sold separately or as units with other securities registered hereunder. There is also being registered hereunder an indeterminate number of shares of common stock, preferred stock and debt securities as shall be issuable upon conversion, exchange or exercise of any securities that provide for such issuance. In no event will the aggregate offering price of all types of securities issued by the Registrant pursuant to this registration statement exceed $200,000,000. Pursuant to Rule 416(a) under the Securities Act of 1933, as amended, or the Securities Act, this registration statement also covers any additional securities that may be offered or issued in connection with any stock split, stock dividend or similar transaction. |
(2) |
The proposed maximum offering price per security will be determined from time to time by the Registrant in connection with the issuance by the Registrant of the securities registered hereunder and is not specified as to each class of security pursuant to General Instruction II.D. of Form S-3 under the Securities Act. |