0001127602-24-013049.txt : 20240417 0001127602-24-013049.hdr.sgml : 20240417 20240417110820 ACCESSION NUMBER: 0001127602-24-013049 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240415 FILED AS OF DATE: 20240417 DATE AS OF CHANGE: 20240417 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOHN WILLIAM M CENTRAL INDEX KEY: 0001192634 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 24849662 MAIL ADDRESS: STREET 1: 2101 SHADY LANE CITY: GREEN BAY STATE: WI ZIP: 54313 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NICOLET BANKSHARES INC CENTRAL INDEX KEY: 0001174850 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] ORGANIZATION NAME: 02 Finance 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 2024-04-15 0001174850 NICOLET BANKSHARES INC NIC 0001192634 BOHN WILLIAM M C/O NICOLET NATIONAL BANK GREEN BAY WI 54301 1 EVP Wealth Mgmt - Nicolet Bank 0 Common Stock 2024-04-15 4 A 0 10000 77.66 A 10000 D Stock Option (Right to Buy) 77.66 2024-04-15 4 A 0 50000 77.66 A 2034-04-15 Common Stock 50000 50000 D The restricted stock award of 10,000 shares will vest in five annual installments of 2,000 shares annually on April 15 of each year, beginning April 15, 2025, and will fully vest on April 15, 2029. The nonqualified option grant of 50,000 shares will vest in five annual installments of 10,000 shares annually on April 15 of each year, beginning on April 15, 2025, and will fully vest on April 15, 2029. /s/ H. Phillip Moore, Jr., as attorney-in-fact for William M. Bohn 2024-04-17