0001127602-23-027598.txt : 20231116
0001127602-23-027598.hdr.sgml : 20231116
20231116162634
ACCESSION NUMBER: 0001127602-23-027598
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231114
FILED AS OF DATE: 20231116
DATE AS OF CHANGE: 20231116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DANIELS MICHAEL E
CENTRAL INDEX KEY: 0001243706
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 231414935
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
X0508
4
2023-11-14
0001174850
NICOLET BANKSHARES INC
NIC
0001243706
DANIELS MICHAEL E
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
1
President & CEO
0
Common Stock
6252
I
By 401(k) Plan
Common Stock
9803
I
By Spouse
Common Stock
2023-11-14
4
F
0
423
78.12
D
82390
D
Common Stock
2023-11-14
4
M
0
77205
48.85
A
159595
D
Common Stock
2023-11-14
4
S
0
77205
74.05
D
82390
D
Stock Option (Right to Buy)
48.85
2023-11-14
4
M
0
77205
0
D
2027-05-16
Common Stock
77205
125000
D
Shares withheld to satisfy tax obligation of vested restricted stock.
The price reported in column 4 is a weighted average price. These shares sold in multiple transactions at prices ranging from $74.05 to $74.18, inclusive. Mr. Daniels undertakes to provide to Nicolet Bankshares, Inc., any security holder of Nicolet Bankshares, Inc., or the staff of the Securities and Exchange Commission upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (2) to this Form 4.
Includes a total of 808 shares owned by Mr. Daniels in the Employee Stock Purchase Plan. Mr. Daniels has not acquired additional shares under the Employee Stock Purchase Plan since Mr. Daniels last Form 4 filing dated November 8, 2023.
The non-qualified stock option fully vested as of May 16, 2022, and is currently exercisable as to all remaining 125,000 shares.
On Mr. Daniels Form 4 filed November 8, 2023, it was noted that Mr. Daniels was effectuating certain actions as part of his estate planning process and may elect to exercise 100,000 fully vested non-qualified stock options through broker-assisted cashless exercises for these estate planning purposes. As of the date of this report, November 16, 2023, Mr. Daniels has completed his exercise of 100,000 fully vested non-qualified stock options for his estate planning purposes and has 125,000 remaining fully vested non-qualified stock options available from his original grant of 225,000 shares dated May 16, 2017.
/s/ H. Phillip Moore, Jr., as attorney-in-fact for Michael E. Daniels
2023-11-16