0001567619-20-018127.txt : 20201023 0001567619-20-018127.hdr.sgml : 20201023 20201023131126 ACCESSION NUMBER: 0001567619-20-018127 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201022 FILED AS OF DATE: 20201023 DATE AS OF CHANGE: 20201023 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: 201257029 MAIL ADDRESS: STREET 1: 128 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 2020-10-22 0 0001341318 LAKE SHORE BANCORP, INC. LSBK 0001538814 Ballard Susan C. C/O 31 EAST FOURTH STREET DUNKIRK NY 14048 0 1 0 0 EVP Retail, Sales & Marketing Common Stock 2020-10-22 4 A 0 588 0.00 A 8670 D Stock Options (Right to Buy) 14.38 2026-10-21 Common Stock 8220 8220 D Shares of restricted stock vest on December 11, 2020. Stock options vest at a rate of 20% per year commencing on October 21, 2017. /s/ Rachel A. Foley, pursuant to power of attorney 2020-10-23