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