0001127602-20-030982.txt : 20201209 0001127602-20-030982.hdr.sgml : 20201209 20201209153753 ACCESSION NUMBER: 0001127602-20-030982 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201207 FILED AS OF DATE: 20201209 DATE AS OF CHANGE: 20201209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Witczak Eric James CENTRAL INDEX KEY: 0001667436 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 201377793 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 2020-12-07 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 2020-12-07 4 F 0 86 70.24 D 23511 D Common Stock 6783 I By 401(k) Plan Includes shares acquired under the Employee Stock Purchase Plan. The reporting person has not acquired additional shares under the Employee Stock Purchase Plan since the reporting persons last Form 4 filing on November 19, 2020. The reporting person owns 360 shares total in the Employee Stock Purchase Plan as of the date of this report. /s/ Ann K. Lawson, as attorney-in-fact for Eric J. Witczak 2020-12-09