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