0001127602-22-012342.txt : 20220421
0001127602-22-012342.hdr.sgml : 20220421
20220421171308
ACCESSION NUMBER: 0001127602-22-012342
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220419
FILED AS OF DATE: 20220421
DATE AS OF CHANGE: 20220421
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HETZEL ANDREW F JR
CENTRAL INDEX KEY: 0001243718
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 22842329
MAIL ADDRESS:
STREET 1: C/O NICOLET NATIONAL BANK
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
2022-04-19
0001174850
NICOLET BANKSHARES INC
NCBS
0001243718
HETZEL ANDREW F JR
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
Common Stock
2022-04-19
4
A
0
17
90.69
A
1011
I
By Nicolet National Bank Deferred Compensation Plan For Non-employee Directors
Mr. Hetzel acquired 17 shares in the Nicolet National Bank Deferred Compensation Plan for Non-employee Directors by deferring his first quarter 2022 earned board fees.
/s/ H. Phillip Moore, Jr., as attorney-in-fact for Andrew F. Hetzel Jr
2022-04-21