0001127602-19-033379.txt : 20191120 0001127602-19-033379.hdr.sgml : 20191120 20191120162809 ACCESSION NUMBER: 0001127602-19-033379 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191118 FILED AS OF DATE: 20191120 DATE AS OF CHANGE: 20191120 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: 191234557 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 2019-11-18 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 2019-11-18 4 M 0 13500 23.80 A 84353 D Common Stock 2019-11-18 4 F 0 8761 70.50 D 75592 D Common Stock 2019-11-18 4 M 0 40500 25.90 A 116092 D Common Stock 2019-11-18 4 F 0 26921 70.50 D 89171 D Common Stock 2019-11-18 4 S 0 10818 70.50 D 78353 D Common Stock 2019-11-18 4 A 0 2712 70.50 A 81065 D Common Stock 2019-11-18 4 F 0 425 70.50 D 80640 D Common Stock 2019-11-19 5 G 0 E 7500 0 D 73140 D Common Stock 6252 I By 401(k) Plan Common Stock 9803 I By Spouse Stock Option (Right to Buy) 23.80 2019-11-18 4 M 0 13500 0 D 2024-10-28 Common Stock 13500 0 D Stock Option (Right to Buy) 25.90 2019-11-18 4 M 0 40500 0 D 2025-01-20 Common Stock 40500 13500 D Stock Option (Right to Buy) 70.50 2019-11-18 4 A 0 54000 70.50 A 2029-11-18 Common Stock 54000 54000 D Shares gifted to a Donor Advised Trust. Includes 186 shares acquired under the Employee Stock Purchase Plan to date. The nonqualified stock option is fully exercised. The options vested in five annual installments of 13,500 shares annually on October 28 of each year, beginning on October 28, 2015 and fully vested on October 28, 2019. The remaining 13,500 nonqualified options are not currently exercisable. 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 vest on January 20, 2020. The nonqualified options vest in five annual installments of 10,800 shares on November 18 of each year, beginning on November 18, 2020 and will fully vest on November 18, 2024. /s/ Ann K. Lawson, as attorney-in-fact for Michael E. Daniels 2019-11-20