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