SEC Form 4 · accession 0001140361-16-049449
LAKE SHORE BANCORP, INC. · LSBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nancy L Yocum
Director
Period of report
Jan 28, 2016
Accepted (ET)
Feb 1, 2016 · 2:15 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001341318
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jan 28, 2016 | A | 500 | $0.00 | A | 12,324 | D | |
| Common Stock | holding | — | — | — | 500 | I | By Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options (Right to Buy)F3 | $11.50 | holding | — | — | — | — | Nov 14, 2016 | Common Stock | 10,749 | 10,749 | D |
Explanation of responses
- F1Shares of restricted stock vest on December 16, 2016.
- F2Includes 715 shares of restricted stock which will vest in four equal annual installments. The first installment will vest on August 12, 2016.
- F3Options are fully vested.