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