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