0001127602-22-002078.txt : 20220125 0001127602-22-002078.hdr.sgml : 20220125 20220125172826 ACCESSION NUMBER: 0001127602-22-002078 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220121 FILED AS OF DATE: 20220125 DATE AS OF CHANGE: 20220125 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Radzak Eric Peter CENTRAL INDEX KEY: 0001664661 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 22554867 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 2022-01-21 0001174850 NICOLET BANKSHARES INC NCBS 0001664661 Radzak Eric Peter C/O NICOLET NATIONAL BANK 111 NORTH WASHINGTON STREET GREEN BAY WI 54301 1 Corp Dev Off Nicolet Nat Bank Common Stock 2022-01-21 4 M 0 5000 30.80 A 6746 D Common Stock 2022-01-21 4 S 0 5000 91.53 D 1746 D Stock Option (Right to Buy) 30.80 2022-01-21 4 M 0 5000 0 D 2025-06-17 Common Stock 5000 20000 D The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $91.50 to $91.72, inclusive. Mr. Radzak undertakes to provide to Nicolet Bankshares, Inc., any security holder of Nicolet Bankshares, Inc., or the staff of the Securities and Exchange Commission upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (1) to this Form 4. Includes an additional 35 shares acquired by Mr. Radzak under the Employee Stock Purchase Plan, since Mr. Radzak's previous Form 4 filing, November 24, 2021. Mr. Radzak owns a total of 638 shares in the Employee Stock Purchase Plan as of the date of this report. The remaining 20,000 non-qualified options are fully vested and exercisable The options vested in five annual installments of 5,000 shares annually on June 17 of each year, beginning on June 17, 2016 and fully vested on June 17, 2020. /s/ H. Phillip Moore, Jr., as attorney-in-fact for Eric P. Radzak 2022-01-25