0001127602-24-001915.txt : 20240123
0001127602-24-001915.hdr.sgml : 20240123
20240123163544
ACCESSION NUMBER: 0001127602-24-001915
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240122
FILED AS OF DATE: 20240123
DATE AS OF CHANGE: 20240123
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Witczak Eric James
CENTRAL INDEX KEY: 0001667436
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 24553081
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
2024-01-22
0001174850
NICOLET BANKSHARES INC
NIC
0001667436
Witczak Eric James
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
EVP & Secretary
0
Common Stock
6783
I
By 401(k) Plan
Common Stock
2024-01-22
4
M
0
2053
37.18
A
43480
D
Common Stock
2024-01-22
4
S
0
2053
82.45
D
41427
D
Stock Option (Right to Buy)
37.18
2024-01-22
4
M
0
2053
0
D
2026-09-20
Common Stock
2053
0
D
The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $82.05 to $82.76, inclusive. The reporting person undertakes to provide to Nicolet Bankshares, Inc., any security holder of Nicolet Bankshares, Inc., or the staff of the Securities and Exchange Commission upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (1) to this Form 4.
Includes 34 additional shares acquired under the Employee Stock Purchase Plan since Mr. Witczak's last Form 4 filing on December 18, 2023. Mr. Witczak owns a total of 868 shares in the Employee Stock Purchase Plan as of the date of this report.
The non-qualified stock option was fully vested as of September 20, 2021. The non-qualified stock option is now fully exercised as of the date of this report.
/s/ H. Phillip Moore, Jr., as attorney-in-fact for Eric J. Witczak
2024-01-23