0001567619-21-005155.txt : 20210301 0001567619-21-005155.hdr.sgml : 20210301 20210301140004 ACCESSION NUMBER: 0001567619-21-005155 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: Passafaro Ronald J CENTRAL INDEX KEY: 0001784301 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51821 FILM NUMBER: 21696753 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 2021-02-24 0 0001341318 LAKE SHORE BANCORP, INC. LSBK 0001784301 Passafaro Ronald J C/O 31 EAST FOURTH STREET DUNKIRK NY 14048 1 0 0 0 Common Stock 2021-02-24 4 A 0 515 0.00 A 1733 D Shares of restricted stock which vest on December 10, 2021. /s/ Rachel A. Foley, pursuant to power of attorney 2021-03-01