3 1 wolf.htm FORM 3 FORM 3

FORM 3

U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility
Holding Company Act of 1935 of Section 30(f) of the Investment Company Act of 1940

1.  Name and address of Reporting Person*

Wolf, Frederick                 A.

2.  Date of Event
     Requiring Statement
     (Month/Date/Year)

4/30/03

4.  Issuer Name and Ticker or Trading Symbol

Great Lakes Bancorp, Inc.  None

 

(Last)                     (First)                (Middle)

2421 Main Street

3.  I.R.S. Identification
     Number of Reporting
     Person, if an Entity
     (Voluntary)
5.  Relationship of Reporting Person to Issuer
     (Check all applicable)

[X] Director              [  ] 10% Owner
   [X] Officer (give         [  ] Other (specify
            title below)                 below)
Assistant Secretary           

6.  If Amendment, Date of
     Original
     (Month/Date/Year)
7.  Individual or
     Joint/Group Filing
     (Check applicable box)

[X ]  Form filed by One
      Reporting Person
[  ]  Form filed by more
       than one Reporting
       person

(Street)

Buffalo, New York  14214

(City)                   (State)                  (Zip)

 

Table 1 - Non-Derivative Securities Beneficially Owned

1.  Title of Security
     (Instr. 4)
2.  Amount of Securities
     Beneficially Owned
     (Instr. 4)
3.  Ownership Form:
     Direct (D) or Indirect (I)
     (Instr. 5)
4.  Nature of Indirect Beneficial Ownership
     (Instr. 5)
common stock 25,000 D  
       
       
       
       

(over)

Reminder:  Report on a separate line for each class of securities beneficially owned directly or indirectly.
                                                                           (Print or Type Responses)
*If the Form is filed by more than one Reporting Person, see Instruction 5(b)(v).

Form 3 (continued)            Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

1.  Title of Derivative Security
     (Instr. 4)
2.  Date Exercisable and
     Expiration Date
     (Month/Date/Year)
3.  Title and Amount of Securities Underlying
     Derivative Security
     (Instr. 4)

 

4.  Conversion or
     Exercise Price
     of Derivative
     Security
5.  Ownership
     Form of
     Derivative
     Security:
     Direct (D)
     or Indirect (I)
     (Instr. 5)
6.  Nature of Indirect
     Beneficial Ownership
     (Inst. 5)
Date
Exercisable
Expiration
Date

Title

Amount or
Number of
Shares
stock option

immediately

6/27/10 common stock 7,000 $10 D  
(right to buy)              
               
stock option

immediately

6/27/10 common stock 1,000 $10 D  
(right to buy)              
               
stock option

immediately

1/2/11 common stock 1,000 $10 D  
(right to buy)              
               
stock option

immediately

12/1/12 common stock 1,200 $10 D  
(right to buy)              

Explanation of Responses:

**  Intentional misstatements or omissions of facts constitute Federal Criminal Violations
     See 18 U.S.C. 1001 and 15 U.S.C/ 78ff(a).

/s/  Frederick A. Wolf                     

**Signature of Reporting Person

April 29, 2003
Date

     
Note:  File three copies of this Form, one of which must be manually signed.  If space provided is insufficient,
See Instruction 6 for procedure.