0001127602-16-064992.txt : 20161019
0001127602-16-064992.hdr.sgml : 20161019
20161019134651
ACCESSION NUMBER: 0001127602-16-064992
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161018
FILED AS OF DATE: 20161019
DATE AS OF CHANGE: 20161019
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MURPHY WILLIAM D
CENTRAL INDEX KEY: 0001633365
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 161942317
MAIL ADDRESS:
STREET 1: 217 N 4TH AVE
CITY: STURGEON BAY
STATE: WI
ZIP: 54235
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2016-10-18
0001174850
NICOLET BANKSHARES INC
NCBS
0001633365
MURPHY WILLIAM D
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
Common Stock
2016-10-18
4
A
0
47
38.77
A
83
I
By Nicolet National Bank Deferred Compensation Plan For Non-employee Directors
Common Stock
1090
D
/s/ Ann K. Lawson, as attorney-in-fact for William D. Murphy
2016-10-19