0001127602-19-025238.txt : 20190726
0001127602-19-025238.hdr.sgml : 20190726
20190726095137
ACCESSION NUMBER: 0001127602-19-025238
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190724
FILED AS OF DATE: 20190726
DATE AS OF CHANGE: 20190726
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: 19976192
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
2019-07-24
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
2019-07-24
4
M
0
1930
16.80
A
27529
D
Common Stock
2019-07-24
4
M
0
1000
37.18
A
28529
D
Common Stock
2019-07-24
4
F
0
709
65.09
D
27820
D
Common Stock
800
I
By 401(k) Plan
Stock Option (Right to Buy)
16.80
2019-07-24
4
M
0
1930
0
D
2019-12-15
Common Stock
1930
0
D
Stock Option (Right to Buy)
37.18
2019-07-24
4
M
0
1000
0
D
2026-09-20
Common Stock
1000
7000
D
Includes 52 shares acquired under the Employee Stock Purchase Plan.
The stock option is fully exercised as of July 24, 2019. 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 vested on December 15, 2014.
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.
/s/ Ann K. Lawson
2019-07-26