0000950170-24-015299 5 1 20230718 20240214 20240214 Sanvidge Kevin M. 0001538815 5 34 000-51821 24639531 128 EAST FOURTH STREET DUNKIRK NY 14048 LAKE SHORE BANCORP, INC. 0001341318 6035 02 Finance 204729288 X1 1231 31 EAST FOURTH STREET DUNKIRK NY 14048 716-366-4070 31 EAST FOURTH STREET DUNKIRK NY 14048 Lake Shore Bancorp, Inc. 20051012 5 1 ownership.xml 5 FORM 5 OMB APPROVAL ? Check this box OMB Number: if no longer 3235-0362 subject to Estimated Section 16. Form average burden 4 or Form 5 hours per obligations may response... 1.0 continue. See Instruction 1(b). ? Check this box UNITED STATES SECURITIES AND EXCHANGE COMMISSION to indicate that Washington, D.C. 20549 a transaction ANNUAL STATEMENT OF CHANGES IN BENEFICIAL was made OWNERSHIP OF SECURITIES pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. ? Form 3 Holdings Filed pursuant to Section 16(a) of the Reported Securities Exchange Act of 1934 or Section 30(h) ? Form 4 of the Investment Company Act of 1940 Transactions Reported 1. Name and Address of Reporting 2. Issuer Name and Ticker 5. Relationship of Person * or Trading Symbol Reporting Person(s) to Sanvidge Kevin M. LAKE SHORE BANCORP, INC. Issuer (Check all [LSBK] applicable) __X__ Director _____ 10% Owner _____ Officer (give title (Last) (First) (Middle) 3. Statement for Issuer's below) __X__ Other 31 EAST FOURTH STREET Fiscal Year Ended (specify below) (MM/DD/YYYY) Chairman of the Board 7/18/2023 (Street) 4. If Amendment, Date 6. Individual or DUNKIRK, NY 14048 Original Filed(MM/DD/YYYY) Joint/Group Filing(Check Applicable Line) _X_ Form Filed by One Reporting Person ___ Form Filed by More (City) (State) (Zip) than One Reporting Person Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1.Title of Security 2. Trans. Date 2A. 3. 4. Securities 5. Amount of 6. Ownership 7. Nature of (Instr. 3) Deemed Trans. Acquired (A) or Securities Form: Direct (D) Indirect Execution Code Disposed of (D) Beneficially Owned or Indirect (I) Beneficial Date, if (Instr. (Instr. 3, 4 and Following Reported (Instr. 4) Ownership any 8) 5) Transaction(s) (Instr. 4) (A) (Instr. 3 and 4) or Amount (D) Price Common Stock 7/18/2023 P 200 A $10.77 905 I As Custodian for Grandchildren Common Stock 14,346 (1) (2) D Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of 2. 3. 3A. 4. Trans. Code 5. Number of 6. Date Exercisable and 7. Title and Amount 8. Price 9. Number of 10. 11. Nature Derivate Conversion Trans. Deemed (Instr. 8) Derivative Expiration Date of Securities of Derivative Ownership of Security or Date Execution Securities (MM/DD/YYYY) Underlying Derivative Derivative Securities Form of Indirect (Instr. 3) Exercise Date, if Acquired (A) or Security Security Beneficially Derivative Beneficial Price of any Disposed of (D) (Instr. 3 and 4) (Instr. 5) Owned at End Security: Ownership Derivative (Instr. 3, 4 and of Issuer's Direct (D) (Instr. 4) Security 5) Fiscal Year or (Instr. 4) Indirect Date Expiration Amount or (I) Exercisable Date Title Number of (Instr. 4) (A) (D) Shares Stock Option $14.38 (3) 10/21/2026 Common 10,749 10,749 D (Right to Buy) Stock Explanation of Responses: (1) 387 Shares of restricted stock vest on January 17, 2024. (2) 1,046 Shares of restricted stock vest on January 18, 2024. (3) Stock options vest at a rate of 20% per year commencing on October 21, 2017 Reporting Owners Reporting Owner Name / Address Relationships Director 10% Owner Officer Other Sanvidge Kevin M. 31 EAST FOURTH STREET X Chairman of the Board DUNKIRK, NY 14048 Signatures /s/ Taylor M. Gilden, Pursuant to Power of Attorney 2/14/2024 ** Signature of Reporting Person Date Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 4(b)(v). ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.