0001127602-24-013068.txt : 20240417 0001127602-24-013068.hdr.sgml : 20240417 20240417153241 ACCESSION NUMBER: 0001127602-24-013068 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240416 FILED AS OF DATE: 20240417 DATE AS OF CHANGE: 20240417 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LONG DONALD J JR CENTRAL INDEX KEY: 0001243725 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 24850671 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] 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 2024-04-16 0001174850 NICOLET BANKSHARES INC NIC 0001243725 LONG DONALD J JR C/O NICOLET NATIONAL BANK 111 NORTH WASHINGTON STREET GREEN BAY WI 54301 1 0 Common Stock 2024-04-16 4 A 0 81 77.66 A 4920 I By Nicolet National Bank Deferred Compensation Plan For Non-employee Directors Common Stock 79654 D Mr. Long acquired 81 shares in the Nicolet National Bank Deferred Compensation Plan for Non-employee Directors. /s/ H. Phillip Moore, Jr., as attorney-in-fact for Donald Long, Jr. 2024-04-17