0001127602-22-024333.txt : 20221025 0001127602-22-024333.hdr.sgml : 20221025 20221025160057 ACCESSION NUMBER: 0001127602-22-024333 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221025 FILED AS OF DATE: 20221025 DATE AS OF CHANGE: 20221025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dykema John Nicholas CENTRAL INDEX KEY: 0001664500 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 221329501 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 2022-10-25 0001174850 NICOLET BANKSHARES INC NIC 0001664500 Dykema John Nicholas C/O NICOLET NATIONAL BANK 111 NORTH WASHINGTON STREET GREEN BAY WI 54301 1 Common Stock 2022-10-25 4 A 0 56 75.86 A 8164 I By Nicolet National Bank Deferred Compensation Plan For Non-employee Directors Mr. Dykema acquired 56 shares in the Nicolet National Bank Deferred Compensation Plan for Non-employee Directors by deferring his third quarter 2022 earned board fees. /s/ H. Phillip Moore, Jr., as attorney-in-fact for John N. Dykema 2022-10-25