0001174850-21-000089.txt : 20211124
0001174850-21-000089.hdr.sgml : 20211124
20211124133126
ACCESSION NUMBER: 0001174850-21-000089
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: Radzak Eric Peter
CENTRAL INDEX KEY: 0001664661
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 211444605
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]
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
0001664661
Radzak Eric Peter
C/O NICOLET BANKSHARES, INC.
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
0
1
0
0
Corp Dev Off-Nicolet Natl Bank
Common Stock
2021-11-22
4
A
0
447
73.21
A
1711
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.
Includes 80 additional shares acquired by Mr. Radzak under the Employee Stock Purchase Plan, since Mr. Radzak's previous Form 4 filing, June 10, 2021. Mr. Radzak owns a total of 603 shares in the Employee Stock Purchase Plan as of the date of this report.
/s/ H. Phillip Moore, Jr., as attorney-in-fact for Eric P. Radzak
2021-11-24