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