0001127602-16-050511.txt : 20160502
0001127602-16-050511.hdr.sgml : 20160502
20160502171518
ACCESSION NUMBER: 0001127602-16-050511
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20160429
FILED AS OF DATE: 20160502
DATE AS OF CHANGE: 20160502
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: AGNEW ROBERT W
CENTRAL INDEX KEY: 0001254923
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 161612637
3
1
form3.xml
PRIMARY DOCUMENT
X0206
3
2016-04-29
1
0001174850
NICOLET BANKSHARES INC
NCBS
0001254923
AGNEW ROBERT W
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
/s/ Ann K. Lawson, as attorney-in-fact for Robert W. Agnew
2016-05-02
EX-24
2
doc1.txt
POWER OF ATTORNEY (PUBLIC): AGNEW POA
LIMTED 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/ Robert W. Agnew
Name: Robert W. Agnew
Date: 4/12/2016