0001127602-24-020664.txt : 20240718
0001127602-24-020664.hdr.sgml : 20240718
20240718160801
ACCESSION NUMBER: 0001127602-24-020664
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240628
FILED AS OF DATE: 20240718
DATE AS OF CHANGE: 20240718
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dykema John Nicholas
CENTRAL INDEX KEY: 0001664500
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 241124847
MAIL ADDRESS:
STREET 1: C/O NICOLET BANKSHARES, INC.
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
2024-06-28
0001174850
NICOLET BANKSHARES INC
NIC
0001664500
Dykema John Nicholas
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
0
Common Stock
2024-06-28
4
A
0
30.554
83.04
A
8747.554
I
By Nicolet National Bank Deferred Compensation Plan For Non-employee Directors
Common Stock
2024-07-16
4
A
0
171.584
93.22
A
8919.138
I
By Nicolet National Bank Deferred Compensation Plan For Non-employee Directors
Common Stock
43477
D
Common Stock
9793
I
By the John Dykema 2020 Trust
Minimal shares acquired in the Nicolet National Bank Deferred Compensation Plan For Non-employee Directors (the "Plan"), due to the conversion of the Plan's administrator change-over.
Mr. Dykema acquired 171.5840 shares in the Nicolet National Bank Deferred Compensation Plan for Non-employee Directors by deferring his second quarter 2024 earned board fees.
/s/ H. Phillip Moore, Jr., as attorney-in-fact for John N. Dykema
2024-07-18