SEC Form 4 · accession 0001140361-16-079888
LAKE SHORE BANCORP, INC. · LSBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sharon E Brautigam
Director
Period of report
Sep 15, 2016
Accepted (ET)
Sep 15, 2016 · 2:11 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 | Sep 15, 2016 | M | 822 | $11.50 | A | 10,146 | D | |
| Common Stock | holding | — | — | — | 350 | 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 | Sep 15, 2016 | M | 822 | D | — | Nov 15, 2016 | Common Stock | 822 | 822 | D |
| Stock Options (Right to Buy)F2 | $8.01 | holding | — | — | — | — | Jan 12, 2019 | Common Stock | 505 | 505 | D |
Explanation of responses
- F1Includes 714 shares of restricted stock which will vest in three equal annual installments. The first installment will vest on August 12, 2017. Includes 714 shares of restricted stock which vest on December 16, 2016.
- F2Options are fully vested.