0001140361-16-083364.txt : 20161024
0001140361-16-083364.hdr.sgml : 20161024
20161024153226
ACCESSION NUMBER: 0001140361-16-083364
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161021
FILED AS OF DATE: 20161024
DATE AS OF CHANGE: 20161024
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LAKE SHORE BANCORP, INC.
CENTRAL INDEX KEY: 0001341318
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035]
IRS NUMBER: 204729288
FISCAL YEAR END: 1216
BUSINESS ADDRESS:
STREET 1: 31 EAST FOURTH STREET
CITY: DUNKIRK
STATE: NY
ZIP: 14048
BUSINESS PHONE: 716-366-4070
MAIL ADDRESS:
STREET 1: 31 EAST FOURTH STREET
CITY: DUNKIRK
STATE: NY
ZIP: 14048
FORMER COMPANY:
FORMER CONFORMED NAME: Lake Shore Bancorp, Inc.
DATE OF NAME CHANGE: 20051012
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ballard Susan C.
CENTRAL INDEX KEY: 0001538814
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-51821
FILM NUMBER: 161948095
MAIL ADDRESS:
STREET 1: 128 EAST FOURTH STREET
CITY: DUNKIRK
STATE: NY
ZIP: 14048
4
1
doc1.xml
FORM 4
X0306
4
2016-10-21
0
0001341318
LAKE SHORE BANCORP, INC.
LSBK
0001538814
Ballard Susan C.
C/O 31 EAST FOURTH STREET
DUNKIRK
NY
14048
1
0
0
0
Common Stock
6279
D
Stock Options (Right to Buy)
14.38
2016-10-21
4
A
0
8220
0.00
A
2016-10-21
Common Stock
8220
8220
D
Includes 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.
Stock options vest at a rate of 20% per year commencing on October 21, 2017.
/s/ Rachel A. Foley, pursuant to power of attorney
2016-10-24