0001127602-17-018623.txt : 20170518 0001127602-17-018623.hdr.sgml : 20170518 20170518153223 ACCESSION NUMBER: 0001127602-17-018623 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170301 FILED AS OF DATE: 20170518 DATE AS OF CHANGE: 20170518 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 17854739 MAIL ADDRESS: STREET 1: C/O NICOLET BANKSHARES, INC. STREET 2: 111 NORTH WASHINGTON STREET CITY: GREEN BAY STATE: WI ZIP: 54301 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-03-01 0001174850 NICOLET BANKSHARES INC NCBS 0001664666 Lawson Ann Kuchera C/O NICOLET NATIONAL BANK 111 NORTH WASHINGTON STREET GREEN BAY WI 54301 1 Chief Financial Officer Common Stock 2017-03-01 4 M 0 6875 16.00 A 19437 D Common Stock 2017-05-16 4 M 0 1025 16.00 A 19804 D Common Stock 2017-05-16 4 M 0 500 16.80 A 20304 D Common Stock 800 I By 401(k) Plan Stock Option (Right to Buy) 16.00 2017-03-01 4 M 0 6875 0 D 2019-02-02 Common Stock 6875 1025 D Stock Option (Right to Buy) 16.00 2017-05-16 4 M 0 1025 0 D 2019-02-02 Common Stock 1025 0 D Stock Option (Right to Buy) 16.80 2017-05-16 4 M 0 500 0 D 2019-12-15 Common Stock 500 9500 D As of May 16, 2017 all stock options awarded on 02/02/09 have been fully exercised. The stock option is currently exercisable for all 9,500 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. /s/ Ann K. Lawson 2017-05-18