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