SEC Form 4 · accession 0001140361-17-044363
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
Nov 29, 2017
Accepted (ET)
Nov 30, 2017 · 1:05 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 | Nov 29, 2017 | M | 505 | $8.01 | A | 11,307 | 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 | $8.01 | Nov 29, 2017 | M | 505 | D | — | Jan 12, 2019 | Common Stock | 505 | 0 | D |
Explanation of responses
- F1Includes 656 shares of restricted stock that will vest on December 15, 2017. Also includes 476 shares that will vest in two equal annual installments, with the first installment on August 12, 2018.
- F2Options are fully vested.