0001127602-19-019039.txt : 20190517
0001127602-19-019039.hdr.sgml : 20190517
20190517173227
ACCESSION NUMBER: 0001127602-19-019039
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190517
FILED AS OF DATE: 20190517
DATE AS OF CHANGE: 20190517
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: 19836967
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
2019-05-17
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
2019-05-17
4
M
0
54000
23.80
A
129786
D
Common Stock
2019-05-17
4
F
0
34942
61.00
D
94844
D
Common Stock
2019-05-17
4
M
0
13500
25.90
A
108344
D
Common Stock
2019-05-17
4
F
0
9383
61.00
D
98961
D
Common Stock
6252
I
By 401(k) Plan
Common Stock
9803
I
By Spouse
Stock Option (Right to Buy)
23.80
2019-05-17
4
M
0
54000
0
D
2024-10-28
Common Stock
54000
13500
D
Stock Option (Right to Buy)
25.90
2019-05-17
4
M
0
13500
0
D
2025-01-20
Common Stock
13500
54000
D
Includes 119 shares acquired under the Employee Stock Purchase Plan.
The stock option is currently exercisable as to 54,000 shares. The options vest in five annual installments of 13,500 shares annually on October 28 of each year, beginning on October 28, 2015 and fully vesting on October 28, 2019.
The stock option is currently exercisable as to 54,000 shares. The options vest in five annual installments of 13,500 shares annually on January 20 of each year, beginning on January 20, 2016 and fully vesting on January 20, 2020.
/s/ Ann K. Lawson, as attorney-in-fact for Michael E. Daniels
2019-05-17