0001140361-17-044363.txt : 20171130 0001140361-17-044363.hdr.sgml : 20171130 20171130130524 ACCESSION NUMBER: 0001140361-17-044363 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171129 FILED AS OF DATE: 20171130 DATE AS OF CHANGE: 20171130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brautigam Sharon E CENTRAL INDEX KEY: 0001357412 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51821 FILM NUMBER: 171230666 MAIL ADDRESS: STREET 1: 125 EAST FOURTH STREET CITY: DUNKIRK STATE: NY ZIP: 14048 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: 1231 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 4 1 doc1.xml FORM 4 X0306 4 2017-11-29 0 0001341318 LAKE SHORE BANCORP, INC. LSBK 0001357412 Brautigam Sharon E C/O 31 EAST FOURTH STREET DUNKIRK NY 14048 1 0 0 0 Common Stock 2017-11-29 4 M 0 505 8.01 A 11307 D Common Stock 350 I By Spouse Stock Options (Right to Buy) 8.01 2017-11-29 4 M 0 505 0.00 D 2019-01-12 Common Stock 505 0 D Includes 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. Options are fully vested. /s/ Rachel A. Foley, pursuant to power of attorney 2017-11-30