0001174850-21-000085.txt : 20211124 0001174850-21-000085.hdr.sgml : 20211124 20211124123240 ACCESSION NUMBER: 0001174850-21-000085 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211122 FILED AS OF DATE: 20211124 DATE AS OF CHANGE: 20211124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DANIELS MICHAEL E CENTRAL INDEX KEY: 0001243706 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 211443849 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] 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 primary_doc.xml PRIMARY DOCUMENT X0306 4 2021-11-22 0 0001174850 NICOLET BANKSHARES INC NCBS 0001243706 DANIELS MICHAEL E C/O NICOLET NATIONAL BANK 111 NORTH WASHINGTON STREET GREEN BAY WI 54301 1 1 0 0 President & CEO Common Stock 2021-11-22 4 A 0 2877 73.21 A 75981 D Common Stock 2021-11-22 4 F 0 307 73.21 D 75674 D Restricted shares awarded November 22, 2021. Awarded shares will vest as follows: 1/3 immediate, 1/3 on November 22, 2022, and 1/3 on November 22, 2023. Shares withheld to satisfy the tax obligation of restricted stock vesting. Includes Mr. Daniels 491 shares owned in the Employee Stock Purchase Plan. Mr. Daniels has not acquired additional shares under the Employee Stock Purchase Plan since his previous Form 4 filing, November 22, 2021. /s/ H. Phillip Moore Jr., as attorney-in-fact for Michael E. Daniels 2021-11-24