0001127602-20-029096.txt : 20201116
0001127602-20-029096.hdr.sgml : 20201116
20201116152533
ACCESSION NUMBER: 0001127602-20-029096
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201112
FILED AS OF DATE: 20201116
DATE AS OF CHANGE: 20201116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ATWELL ROBERT BRUCE
CENTRAL INDEX KEY: 0001253903
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 201316199
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/A
1
form4a.xml
PRIMARY DOCUMENT
X0306
4/A
2020-11-12
2020-11-16
0001174850
NICOLET BANKSHARES INC
NCBS
0001253903
ATWELL ROBERT BRUCE
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
1
Chairman, President & CEO
Common Stock
2020-11-12
4
A
0
2646
65.70
A
58275
D
Common Stock
2020-11-12
4
F
0
374
65.70
D
57901
D
This report on Form 4/A amends the Form 4 filing by the reporting person on November 16, 2020. This report on Form 4/A is being filed to correct the amount of shares awarded on November 12, 2020 within column 4, and the total beneficial ownership amount in column 5.
Includes 23 shares acquired under the Employee Stock Purchase Plan since the reporting person's previous Form 4 filing on August 25, 2020. The reporting person owns 223 shares total in the Employee Stock Purchase Plan.
/s/ Ann K. Lawson, as attorney-in-fact for Robert B. Atwell
2020-11-16