0001127602-18-035802.txt : 20181211
0001127602-18-035802.hdr.sgml : 20181211
20181211152332
ACCESSION NUMBER: 0001127602-18-035802
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181210
FILED AS OF DATE: 20181211
DATE AS OF CHANGE: 20181211
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: 181228654
MAIL ADDRESS:
STREET 1: C/O NICOLET BANKSHARES, INC.
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
2018-12-10
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
2018-12-10
4
M
0
2000
37.18
A
22375
D
Common Stock
2018-12-10
4
F
0
1615
51.49
D
20760
D
Common Stock
2018-12-10
4
M
0
2000
16.80
A
22760
D
Common Stock
2018-12-10
4
F
0
653
51.49
D
22107
D
Common Stock
800
I
By 401(k) Plan
Stock Option (Right to Buy)
37.18
2018-12-10
4
M
0
2000
0
D
2026-09-20
Common Stock
2000
8000
D
Stock Option (Right to Buy)
16.80
2018-12-10
4
M
0
2000
0
D
2019-12-15
Common Stock
2000
6500
D
The nonqualified options vest in five annual installments of 2,000 shares annually on September 20 of each year, beginning on September 20, 2017 and fully vest on September 20, 2021.
The stock option is currently exercisable for all 6,500 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
2018-12-11