SEC Form 4 · accession 0001140361-16-068564
LAKE SHORE BANCORP, INC. · LSBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Reginald S Corsi
Director
Period of report
May 26, 2016
Accepted (ET)
Jun 3, 2016 · 4:58 pm EDT
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 | May 26, 2016 | M | 1,000 | $11.50 | A | 7,810 | D | |
| Common StockF1 | May 26, 2016 | S | 1,000 | $13.50 | D | 6,810 | D | |
| Common StockF1 | May 27, 2016 | M | 880 | $11.50 | A | 7,690 | D | |
| Common StockF1 | May 27, 2016 | S | 880 | $13.50 | D | 6,810 | D | |
| Common StockF1 | May 27, 2016 | M | 100 | $8.01 | A | 6,910 | D | |
| Common StockF1 | May 27, 2016 | S | 100 | $13.50 | D | 6,810 | D | |
| Common Stock | holding | — | — | — | 6,002 | I | By IRA |
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 | May 26, 2016 | M | 1,000 | D | — | Nov 15, 2016 | Common Stock | 1,000 | 880 | D |
| Stock Options (Right to Buy)F2 | $11.50 | May 27, 2016 | M | 880 | D | — | Nov 15, 2016 | Common Stock | 880 | 0 | D |
| Stock Options (Right to Buy)F2 | $8.01 | May 27, 2016 | M | 100 | D | — | Jan 12, 2019 | Common Stock | 100 | 8,120 | D |
Explanation of responses
- F1Includes 1,477 shares of restricted stock which will vest in four equal annual installments. The first installment will vest on August 12, 2016. Includes 656 shares of restricted stock which vest on December 16, 2016
- F2Options are fully vested.