0001127602-23-028222.txt : 20231122
0001127602-23-028222.hdr.sgml : 20231122
20231122173217
ACCESSION NUMBER: 0001127602-23-028222
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231120
FILED AS OF DATE: 20231122
DATE AS OF CHANGE: 20231122
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Madson Patrick Joseph
CENTRAL INDEX KEY: 0001666799
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 231434585
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
X0508
4
2023-11-20
0001174850
NICOLET BANKSHARES INC
NIC
0001666799
Madson Patrick Joseph
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
SVP-Wealth Mgmt-NicoletNatBank
0
Common Stock
20
I
Daughter's UGMA/UTMA Account
Common Stock
20
I
Son's UGMA/UTMA Account
Common Stock
20
I
Daughter's UGMA/UTMA Account
Common Stock
20
I
Son's UGMA/UTMA Account
Common Stock
2023-11-20
4
A
0
288
77.64
A
6078
D
Common Stock
2023-11-20
4
F
0
31
77.64
D
6047
D
Common Stock
2023-11-22
4
F
0
73
75.49
D
5974
D
Restricted shares awarded November 20, 2023. Awarded shares will vest as follows: 1/3 immediate, 1/3 on November 20, 2024, and 1/3 on November 20, 2025.
Shares withheld to satisfy tax obligation of 1/3 immediate vest of restricted stock granted November 20, 2023.
Shares withheld to satisfy tax obligation of vested restricted stock.
Includes 488 shares owned in the Employee Stock Purchase Plan. Mr. Madson has not acquired additional shares under the Employee Stock Purchase Plan since his last Form 4 filing dated November 16, 2023.
/s/ H. Phillip Moore, Jr., attorney-in-fact for Patrick Madson
2023-11-22