0001567619-19-019944.txt : 20191023
0001567619-19-019944.hdr.sgml : 20191023
20191023175855
ACCESSION NUMBER: 0001567619-19-019944
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191021
FILED AS OF DATE: 20191023
DATE AS OF CHANGE: 20191023
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Werdein Jeffrey M.
CENTRAL INDEX KEY: 0001616460
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-51821
FILM NUMBER: 191164535
MAIL ADDRESS:
STREET 1: 31 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
2019-10-21
0
0001341318
LAKE SHORE BANCORP, INC.
LSBK
0001616460
Werdein Jeffrey M.
C/O 31 EAST FOURTH STREET
DUNKIRK
NY
14048
0
1
0
0
EVP-Commercial Division
Common Stock
2019-10-21
4
F
0
465
14.91
D
12467
D
Common Stock
1871
I
By ESOP
Stock Options (Right to Buy)
14.38
2026-10-21
Common Stock
17073
17073
D
Includes 2,760 shares of restricted stock which will vest in two equal installments, with first installment on October 21, 2020.
These shares were acquired pursuant to an Employee Stock Ownership Plan allocation.
Stock options vest at a rate of 20% per year commencing on October 21, 2017.
/s/ Rachel A. Foley, pursuant to power of attorney
2019-10-23