0001127602-16-065638.txt : 20161101
0001127602-16-065638.hdr.sgml : 20161101
20161101153935
ACCESSION NUMBER: 0001127602-16-065638
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161028
FILED AS OF DATE: 20161101
DATE AS OF CHANGE: 20161101
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: DANIELS MICHAEL E
CENTRAL INDEX KEY: 0001243706
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 161964632
MAIL ADDRESS:
STREET 1: C/O NICOLET NATIONAL BANK
STREET 2: 111 NORTH WASHINGTON STREET
CITY: GREEN BAY
STATE: WI
ZIP: 54301
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2016-10-28
0001174850
NICOLET BANKSHARES INC
NCBS
0001243706
DANIELS MICHAEL E
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
1
EVP and Secretary
Common Stock
2016-10-28
4
F
0
980
38.76
D
95216
D
Common Stock
6252
I
By 401(k) Plan
Common Stock
9803
I
By Spouse
/s/ Ann K. Lawson, as attorney-in-fact for Michael E. Daniels
2016-11-01