X0306 4 2020-06-01 0 0001744659 Akero Therapeutics, Inc. AKRO 0001777517 Graham G. Walmsley C/O AKERO THERAPEUTICS, INC., 170 HARBOR WAY, 3RD FLOOR SOUTH SAN FRANCISCO CA 94080 1 0 0 0 Stock Option (Right to Buy) 25.20 2020-06-01 4 A 0 13000 0 A 2030-05-31 Common Stock 13000 13000 D This option shall vest in full upon the earlier of the first anniversary of the date of grant or the date of the next annual meeting, all vesting shall cease if the director resigns from the Board or otherwise ceases to service as a director. /s/ Jonathan Young, attorney-in-fact 2020-06-02