0001127602-23-029554.txt : 20231213
0001127602-23-029554.hdr.sgml : 20231213
20231213152624
ACCESSION NUMBER: 0001127602-23-029554
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231212
FILED AS OF DATE: 20231213
DATE AS OF CHANGE: 20231213
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: 231483834
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
2023-12-12
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
2023-12-12
4
G
0
6500
0
D
72297
D
Common Stock
6252
I
By 401(k) Plan
Common Stock
9803
I
By Spouse
Shares gifted to a Donor Advised Trust.
Includes shares acquired under the Employee Stock Purchase Plan. Mr. Daniels has not acquired additional shares under the Employee Stock Purchase Plan since his last Form 4 filing on December 11, 2023. Mr. Daniels owns a total of 808 shares in the Employee Stock Purchase Plan as of the date of this report.
/s/ H. Phillip Moore, Jr., as attorney-in-fact for Michael E. Daniels
2023-12-13