SEC Form 4 · accession 0001140361-17-005335
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
Feb 8, 2017
Accepted (ET)
Feb 9, 2017 · 1:33 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,F2 | Feb 8, 2017 | A | 588 | $0.00 | A | 6,867 | 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)F3 | $14.38 | holding | — | — | — | — | Oct 21, 2026 | Common Stock | 8,220 | 8,220 | D |
Explanation of responses
- F1Shares of restricted stock vest on December 15, 2017.
- F2Includes 2,321 shares of restricted stock which will vest in three equal annual installments. The first installment will vest on August 12, 2017.
- F3Stock options vest at a rate of 20% per year commencing on October 21, 2017.