0001127602-17-031007.txt : 20171102 0001127602-17-031007.hdr.sgml : 20171102 20171102165002 ACCESSION NUMBER: 0001127602-17-031007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171101 FILED AS OF DATE: 20171102 DATE AS OF CHANGE: 20171102 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: 171173187 MAIL ADDRESS: STREET 1: C/O NICOLET NATIONAL BANK STREET 2: 111 NORTH WASHINGTON STREET CITY: GREEN BAY STATE: WI ZIP: 54301 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 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-11-01 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 2017-11-01 4 M 0 64500 16.50 A 134944 D Common Stock 2017-11-01 4 F 0 40261 56.43 D 94683 D Common Stock 2017-11-01 4 S 0 24239 56.43 D 70444 D Common Stock 6252 I By 401(k) Plan Common Stock 9803 I By Spouse Stock Option (Right to Buy) 16.50 2017-11-01 4 M 0 64500 0 D 2022-04-10 Common Stock 64500 0 D Stock Option (Right to Buy) 56.43 2017-11-01 4 A 0 67500 0 A 2027-11-01 Common Stock 67500 67500 D The 64,500 nonqualified options exercised were a grant of 64,500 nonqualified options that vested in five annual installments of 12,900 shares on April 10 of each year, beginning on April 10, 2013 and fully vested on April 10, 2017. The nonqualified options vest in five annual installments of 13,500 shares on November 1 of each year, beginning on November 1, 2018 and fully vest on November 1, 2022. /s/ Ann K. Lawson, as attorney-in-fact for Michael E. Daniels 2017-11-02