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