0001127602-21-030444.txt : 20211207
0001127602-21-030444.hdr.sgml : 20211207
20211207143532
ACCESSION NUMBER: 0001127602-21-030444
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20211203
FILED AS OF DATE: 20211207
DATE AS OF CHANGE: 20211207
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DAVIS LYNN DALE
CENTRAL INDEX KEY: 0001630336
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 211475640
MAIL ADDRESS:
STREET 1: 860 NORTH RAPIDS ROAD
CITY: MANITOWOC
STATE: WI
ZIP: 54221
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
3
1
form3.xml
PRIMARY DOCUMENT
X0206
3
2021-12-03
1
0001174850
NICOLET BANKSHARES INC
NCBS
0001630336
DAVIS LYNN DALE
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
/s/ H. Phillip Moore, Jr., as attorney-in-fact for Lynn D. Davis
2021-12-07
EX-24
2
doc1.txt
POWER OF ATTORNEY (PUBLIC): DAVIS POA
LIMTED POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that the undersigned
has constituted, made and appointed, and by these presents does make,
constitute and appoint, H. Phillip Moore, Jr., Marc T. Lambrecht and Michael E.
Daniels or any of them, or any replacement or designee thereof, the
undersigned's true and lawful Attorneys-in-Fact, who may do for the
undersigned and on the undersigned's behalf all of the following:
1.
To execute and deliver any filings made with respect to the
undersigned under Sections 13 and 16 of the Securities Exchange Act of
1934, as amended, as filed relating to the securities of Nicolet Bankshares,
Inc., a Wisconsin corporation.
2.
To do, execute and perform any other act, matter or thing
whatsoever that in the opinion of any of the Attorneys-in-Fact ought to be
done, executed or performed in the performance of the foregoing powers
set forth in paragraph 1 hereof.
3.
All parties dealing with any of the undersigned's Attorneys-in-Fact
in connection with said powers under paragraph 1 may rely fully upon their
power and authority herein, to act for the undersigned and on his or her behalf
and in his or her name, and such parties shall be fully protected in so acting,
prior to their receipt of notice of any termination hereof by operation of law
or otherwise and to such effect the undersigned is hereby bound.
The undersigned has ratified and confirmed, and by these presents
does hereby ratify and confirm all that the Attorneys-in-Fact appointed hereby
may lawfully do by virtue hereof.
IN WITNESS WHEREOF, the undersigned has granted this
Limited Power of Attorney.
Signature: /s/ Lynn D. Davis
Name: Lynn D. Davis
Date: 12/06/2021