SEC Form 4 · accession 0001140361-16-055601
LAKE SHORE BANCORP, INC. · LSBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Rachel A Foley
Officer — Chief Financial Officer
Period of report
Feb 29, 2016
Accepted (ET)
Feb 29, 2016 · 5:50 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 | Feb 29, 2016 | M | 500 | $11.50 | A | 14,010 | D | |
| Common StockF3 | holding | — | — | — | 3,724 | I | By ESOP | |
| 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)F2 | $11.50 | Feb 29, 2016 | M | 500 | D | — | Nov 15, 2016 | Common Stock | 500 | 16,573 | D |
Explanation of responses
- F1Includes 800 shares of restricted stock which vest 20% per year, with final vesting on December 19, 2019.
- F2Option are fully vested
- F3These shares were acquired pursuant to an Employee Stock Ownership Plan allocation.