SEC Form 4 · accession 0001140361-16-083364
LAKE SHORE BANCORP, INC. · LSBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Susan C. Ballard
Director
Period of report
Oct 21, 2016
Accepted (ET)
Oct 24, 2016 · 3:32 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 | holding | — | — | — | 6,279 | D |
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 | $14.38 | Oct 21, 2016 | A | 8,220 | A | — | Oct 21, 2016 | Common Stock | 8,220 | 8,220 | D |
Explanation of responses
- F1Includes 2,321 shares of restricted stock which will vest in three equal annual installments. The first installment will vest on August 12, 2017. Includes 640 shares of restricted stock which vest on December 16, 2016.
- F2Stock options vest at a rate of 20% per year commencing on October 21, 2017.