0001127602-24-020681.txt : 20240718 0001127602-24-020681.hdr.sgml : 20240718 20240718164938 ACCESSION NUMBER: 0001127602-24-020681 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: HETZEL ANDREW F JR CENTRAL INDEX KEY: 0001243718 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 241125255 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 2024-06-28 0001174850 NICOLET BANKSHARES INC NIC 0001243718 HETZEL ANDREW F JR C/O NICOLET NATIONAL BANK 111 NORTH WASHINGTON STREET GREEN BAY WI 54301 1 0 Common Stock 2024-06-28 4 A 0 5.286 83.04 A 1458.286 I By Nicolet National Bank Deferred Compensation Plan For Non-employee Directors Common Stock 2024-07-16 4 A 0 53.62 93.22 A 1511.906 I By Nicolet National Bank Deferred Compensation Plan For Non-employee Directors Common Stock 8218 D 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. Hetzel acquired 53.620 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 Andrew F. Hetzel Jr 2024-07-18