0001127602-22-012552.txt : 20220426 0001127602-22-012552.hdr.sgml : 20220426 20220426190123 ACCESSION NUMBER: 0001127602-22-012552 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211227 FILED AS OF DATE: 20220426 DATE AS OF CHANGE: 20220426 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ATWELL ROBERT BRUCE CENTRAL INDEX KEY: 0001253903 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 22855852 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 2021-12-27 0001174850 NICOLET BANKSHARES INC NCBS 0001253903 ATWELL ROBERT BRUCE C/O NICOLET NATIONAL BANK 111 NORTH WASHINGTON STREET GREEN BAY WI 54301 1 1 Executive Chairman Common Stock 2021-12-27 5 G 0 E 3330 0 D 53822 D Common Stock 2022-04-22 5 G 0 E 200 0 D 53654 D Common Stock 2022-04-22 5 G 0 E 200 0 A 200 I Son's UTMA Account Common Stock 2022-04-22 5 G 0 E 2000 0 D 51654 D Common Stock 2022-04-26 4 P 0 100 83.79 A 300 I Son's UTMA Account Includes 32 shares acquired under the Employee Stock Purchase Plan since Mr. Atwell's previous Form 4 filing on November 24, 2021. Mr. Atwell owns a total of 333 shares in the Employee Stock Purchase Plan as of the date of this report. /s/ H. Phillip Moore, Jr., as attorney-in-fact for Robert B. Atwell 2022-04-26