0001127602-16-064981.txt : 20161019 0001127602-16-064981.hdr.sgml : 20161019 20161019133358 ACCESSION NUMBER: 0001127602-16-064981 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161018 FILED AS OF DATE: 20161019 DATE AS OF CHANGE: 20161019 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 161942295 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-10-18 0001174850 NICOLET BANKSHARES INC NCBS 0001254923 AGNEW ROBERT W C/O NICOLET NATIONAL BANK 111 NORTH WASHINGTON STREET GREEN BAY WI 54301 1 Common Stock 2016-10-18 4 A 0 145 38.77 A 282 I By Nicolet National Bank Deferred Compensation Plan For Non-employee Directors Common Stock 40637 D /s/ Ann K. Lawson, as attorney-in-fact for Robert W. Agnew 2016-10-19