0001127602-22-001135.txt : 20220107
0001127602-22-001135.hdr.sgml : 20220107
20220107134543
ACCESSION NUMBER: 0001127602-22-001135
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220105
FILED AS OF DATE: 20220107
DATE AS OF CHANGE: 20220107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hutjens Brad Vincent
CENTRAL INDEX KEY: 0001664629
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 22517597
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
2022-01-05
0001174850
NICOLET BANKSHARES INC
NCBS
0001664629
Hutjens Brad Vincent
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
EVP - CCO - Nicolet Natl Bank
Common Stock
2022-01-05
4
M
0
2000
16.50
A
23793
D
Common Stock
1818
I
By 401(k) Plan
Stock Option (Right to Buy)
16.50
2022-01-05
4
M
0
2000
0
D
2022-04-10
Common Stock
2000
0
D
Includes Mr. Hutjens 278 shares owned in the Employee Stock Purchase Plan. Mr. Hutjens has not acquired additional shares under the Employee Stock Purchase Plan since his previous Form 4 filing, November 24, 2021.
Mr. Hutjens exercised the remaining 2,000 fully vested and exercisable shares under this stock option award. This option award is now fully exercised. The original option award was as follows: 5,000 options granted April 10, 2012 and would vest in ten annual installments of 500 shares annually on April 10 of each year, beginning April 10, 2012 and fully vest April 10, 2021.
/s/ H. Phillip Moore, Jr., as attorney-in-fact for Brad V. Hutjens
2022-01-07