SEC Form 4 · accession 0001140361-16-076922
LAKE SHORE BANCORP, INC. · LSBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel P Reininga
Officer — President and CEO · Director
Period of report
Aug 15, 2016
Accepted (ET)
Aug 16, 2016 · 5:25 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 | Aug 15, 2016 | S | 1,319 | $13.3868 | D | 33,195 | D | |
| Common Stock | holding | — | — | — | 17,000 | I | By Trust | |
| Common Stock | holding | — | — | — | 6,000 | I | By GH Graf Realty Corp. | |
| Common Stock | holding | — | — | — | 2,600 | I | By Children | |
| Common Stock | holding | — | — | — | 900 | I | By Spouse | |
| Common StockF2 | holding | — | — | — | 2,528 | I | ESOP |
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 | $7.88 | holding | — | — | — | — | Jan 26, 2020 | Common Stock | 17,773 | 17,773 | D |
Explanation of responses
- F1Includes 10,710 shares of restricted stock which will vest in three equal annual installments. The first installment will vest on August 12, 2017.
- F2These shares were acquired pursuant to an Employee Stock Ownership Plan allocation.
- F3Options are fully vested.