0001567619-21-005151.txt : 20210301 0001567619-21-005151.hdr.sgml : 20210301 20210301135541 ACCESSION NUMBER: 0001567619-21-005151 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210224 FILED AS OF DATE: 20210301 DATE AS OF CHANGE: 20210301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sanvidge Kevin M. CENTRAL INDEX KEY: 0001538815 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51821 FILM NUMBER: 21696731 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 2021-02-24 0 0001341318 LAKE SHORE BANCORP, INC. LSBK 0001538815 Sanvidge Kevin M. C/O 31 EAST FOURTH STREET DUNKIRK NY 14048 1 0 0 0 Common Stock 2021-02-24 4 A 0 865 0.00 A 10963 D Common Stock 255 I As Custodian for Grandchildren Employee Stock Option (Right to Buy) 14.38 2026-10-21 Common Stock 10749 10749 D Shares of restricted stock vest on December 10, 2021. Stock options vest at a rate of 20% per year commencing on October 21, 2017. /s/ Rachel A. Foley, pursuant to power of attorney 2021-03-01