0000950138-16-000908.txt : 20160224 0000950138-16-000908.hdr.sgml : 20160224 20160224161755 ACCESSION NUMBER: 0000950138-16-000908 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20160224 FILED AS OF DATE: 20160224 DATE AS OF CHANGE: 20160224 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NICOLET BANKSHARES INC CENTRAL INDEX KEY: 0001174850 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 000000000 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 111 N WASHINGTON ST CITY: GREEN BAY STATE: WI ZIP: 54301 BUSINESS PHONE: 920 430 1400 MAIL ADDRESS: STREET 1: 111 N WASHINGTON ST CITY: GREEN BAY STATE: WI ZIP: 54301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lawson Ann Kuchera CENTRAL INDEX KEY: 0001664666 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 161452192 MAIL ADDRESS: STREET 1: C/O NICOLET BANKSHARES, INC. STREET 2: 111 NORTH WASHINGTON STREET CITY: GREEN BAY STATE: WI ZIP: 54301 3 1 edgar.xml PRIMARY DOCUMENT X0206 3 2016-02-24 0 0001174850 NICOLET BANKSHARES INC NCBS 0001664666 Lawson Ann Kuchera C/O NICOLET NATIONAL BANK 111 NORTH WASHINGTON STREET GREEN BAY WI 54301 0 1 0 0 Chief Financial Officer Common Stock 14537 D Common Stock 800 I By 401(k) Plan Stock Option (Right to Buy) 16.00 2019-02-02 Common Stock 8300 D Stock Option (Right to Buy) 16.80 2019-12-15 Common Stock 10000 D Stock Option (Right to Buy) 16.50 2022-04-10 Common Stock 5000 D The remaining 8,300 unexercised stock options are currently exercisable. The 20,000 options granted vested in five annual installments of 4,000 shares annually on February 2 of each year, beginning on February 2, 2009 and fully vesting on February 2, 2014. The stock option is currently exercisable as to all 10,000 shares. The options vested in five annual installments of 2,000 shares annually on December 15 of each year, beginning on December 15, 2010 and fully vesting on December 15, 2014. The stock option is currently exercisable as to 2,000 shares. The options vest in ten annual installments of 500 shares annually on April 10 of each year, beginning on April 10, 2012 and fully vesting on April 10, 2021. EXHIBIT LIST - Exhibit 24 - Power of Attorney for Ann K. Lawson /s/ Ann K. Lawson 2016-02-24 EX-24 2 poalawson_01192016.htm EXHIBIT LIST - EXHIBIT 24 - POWER OF ATTORNEY FOR ANN K. LAWSON
Exhibit 24
 

LIMITED POWER OF ATTORNEY



KNOW ALL MEN BY THESE PRESENTS, that the undersigned has constituted, made and appointed, and by these presents does make, constitute and appoint, Ann K. Lawson, Marc T. Lambrecht and Robert B. Atwell, or any of them, or any replacement or designee thereof, the undersigned's true and lawful Attorneys-in-Fact, who may do for the undersigned and on the undersigned's behalf all of the following:

1.

To execute and deliver any filings made with respect to the undersigned under Sections 13 and 16 of the Securities Exchange Act of 1934, as amended, as filed relating to the securities of Nicolet Bankshares, Inc., a Wisconsin corporation.

2.

To do, execute and perform any other act, matter or thing whatsoever that in the opinion of any of the Attorneys-in-Fact ought to be done, executed or performed in the performance of the foregoing powers set forth in paragraph 1 hereof.

3.

All parties dealing with any of the undersigned's Attorneys-in-Fact in connection with said powers under paragraph 1 may rely fully upon their power and authority herein, to act for the undersigned and on his or her behalf and in his or her name, and such parties shall be fully protected in so acting, prior to their receipt of notice of any termination hereof by operation of law or otherwise and to such effect the undersigned is hereby bound.

The undersigned has ratified and confirmed, and by these presents does hereby ratify and confirm all that the Attorneys-in-Fact appointed hereby may lawfully do by virtue hereof.

IN WITNESS WHEREOF, the undersigned has granted this Limited Power of Attorney.


Signature:
  /s/ Ann K. Lawson  
Name:
  Ann K. Lawson  
Date:
  1/19/2016