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