0001127602-24-016979.txt : 20240530 0001127602-24-016979.hdr.sgml : 20240530 20240530163156 ACCESSION NUMBER: 0001127602-24-016979 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240528 FILED AS OF DATE: 20240530 DATE AS OF CHANGE: 20240530 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: 241005956 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 2024-05-28 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 2024-05-28 4 A 0 626 79.83 A 80280 D Common Stock 4920 I By Nicolet National Bank Deferred Compensation Plan For Non-employee Directors The Company paid Mr. Long 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 Donald Long, Jr. 2024-05-30