Form: S-3

Registration statement under Securities Act of 1933

January 23, 2026

Documents

N/A0000949858N/AEX-FILING FEES000094985832026-01-232026-01-23000094985822026-01-232026-01-2300009498582026-01-232026-01-23000094985862026-01-232026-01-23000094985872026-01-232026-01-23000094985812026-01-232026-01-23000094985842026-01-232026-01-23000094985852026-01-232026-01-23xbrli:pureiso4217:USD

 

 

EXHIBIT 107

 

Calculation of Filing Fee Tables

S-3

Achieve Life Sciences, Inc.

 

Table 1: Newly Registered and Carry Forward Securities

☐Not Applicable

 

 

 

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

Carry Forward Form Type

Carry Forward File Number

Carry Forward Initial Effective Date

Filing Fee Previously Paid in Connection with Unsold Securities to be Carried Forward

Newly Registered Securities

 

 

Equity

Common Stock, par value $0.001 per share

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)

 

 

 

 

 

 

 

 

 

Fees to be Paid

1

Unallocated (Universal) Shelf

 

457(o)

 

 

$ 300,000,000.00

0.0001381

$ 41,430.00

 

 

 

 

Fees Previously Paid

 

 

 

 

 

 

 

 

 

 

 

 

 

Carry Forward Securities

Carry Forward Securities

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Offering Amounts:

 

$ 300,000,000.00

 

$ 41,430.00

 

 

 

 

 

 

 

Total Fees Previously Paid:

 

 

 

$ 0.00

 

 

 

 

 

 

 

Total Fee Offsets:

 

 

 

$ 0.00

 

 

 

 

 

 

 

Net Fee Due:

 

 

 

$ 41,430.00

 

 

 

 

 

Offering Note

 

 

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 $300,000,000. 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.

 

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.

 

 

 

 

Table 2: Fee Offset Claims and Sources

☑Not Applicable

 

 

 

 

 

Registrant or Filer Name

Form or Filing Type

File Number

Initial Filing Date

Filing Date

Fee Offset Claimed

Security Type Associated with Fee Offset Claimed

Security Title Associated with Fee Offset Claimed

Unsold Securities Associated with Fee Offset Claimed

Unsold Aggregate Offering Amount Associated with Fee Offset Claimed

Fee Paid with Fee Offset Source

Rules 457(b) and 0-11(a)(2)

Fee Offset Claims

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Fee Offset Sources

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Rule 457(p)

Fee Offset Claims

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Fee Offset Sources

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

 

Table 3: Combined Prospectuses

☑Not Applicable

 

 

Security Type

Security Class Title

Amount of Securities Previously Registered

Maximum Aggregate Offering Price of Securities Previously Registered

Form Type

File Number

Initial Effective Date

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A