0001127602-23-016095.txt : 20230518
0001127602-23-016095.hdr.sgml : 20230518
20230518150157
ACCESSION NUMBER: 0001127602-23-016095
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230516
FILED AS OF DATE: 20230518
DATE AS OF CHANGE: 20230518
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JOHNSON BRENDA L
CENTRAL INDEX KEY: 0001942061
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 23935659
MAIL ADDRESS:
STREET 1: C/O NICOLET BANKSHARES, INC.
STREET 2: 111 N. 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
X0407
4
2023-05-16
0001174850
NICOLET BANKSHARES INC
NIC
0001942061
JOHNSON BRENDA L
C/O NICOLET NATIONAL BANK
111 N. WASHINGTON STREET
GREEN BAY
WI
54301
1
0
Common Stock
2023-05-16
4
A
0
898
55.65
A
670863
D
Common Stock
120
I
by Nicolet National Bank Deferred Compensation Plan for Non-employee Directors
The Company paid Ms. Johnson the Board annual retainer, granted as a restricted stock award with an immediate full vest of 898 shares, as of May 16, 2023.
/s/ H. Phillip Moore, Jr., as attorney-in-fact for Brenda L. Johnson
2023-05-18