0001127602-24-016966.txt : 20240530 0001127602-24-016966.hdr.sgml : 20240530 20240530161554 ACCESSION NUMBER: 0001127602-24-016966 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230615 FILED AS OF DATE: 20240530 DATE AS OF CHANGE: 20240530 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAVIS LYNN DALE CENTRAL INDEX KEY: 0001630336 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 241005632 MAIL ADDRESS: STREET 1: 860 NORTH RAPIDS ROAD CITY: MANITOWOC STATE: WI ZIP: 54221 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 2023-06-15 0001174850 NICOLET BANKSHARES INC NIC 0001630336 DAVIS LYNN DALE C/O NICOLET NATIONAL BANK 111 NORTH WASHINGTON STREET GREEN BAY WI 54301 1 0 Common Stock 2023-06-15 4 P 0 7.423 75.306 A 11243.423 D Common Stock 2023-09-15 4 P 0 10.795 71.75 A 11254.218 D Common Stock 2023-12-15 4 P 0 10.092 79.66 A 11264.31 D Common Stock 2024-03-15 5 L 0 E 9.566 81.93 A 11273.876 D Common Stock 2024-05-28 4 A 0 626 79.83 A 11899.876 D Acquired through dividend reinvestment. Acquired through dividend reinvestment. The Company paid Mr. Davis the Board annual retainer, granted as a restricted stock award with an immediate full vest of 626 shares, as of May 28, 2024. /s/ H. Phillip Moore, Jr., as attorney-in-fact for Lynn D. Davis 2024-05-30