0001127602-20-027470.txt : 20201023
0001127602-20-027470.hdr.sgml : 20201023
20201023190640
ACCESSION NUMBER: 0001127602-20-027470
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201023
FILED AS OF DATE: 20201023
DATE AS OF CHANGE: 20201023
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Witczak Eric James
CENTRAL INDEX KEY: 0001667436
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 201258737
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/A
1
form4a.xml
PRIMARY DOCUMENT
X0306
4/A
2020-10-23
2020-10-23
0001174850
NICOLET BANKSHARES INC
NCBS
0001667436
Witczak Eric James
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
EVP - Nicolet National Bank
Common Stock
2020-10-23
4
S
0
2177
64.03
D
22802
D
Common Stock
6783
I
By 401(k) Plan
This report on Form 4/A amends the Form 4 filed by the reporting person on October 23, 2020. This report on Form 4/A is being filed solely to reduce the number of shares beneficially owned to eliminate the shares purportedly acquired on May 13, 2020.
Includes 360 shares acquired under the Employee Stock Purchase Plan to date.
/s/ Ann K. Lawson, as attorney-in-fact for Eric J. Witczak
2020-10-23