0001127602-21-022401.txt : 20210722 0001127602-21-022401.hdr.sgml : 20210722 20210722195311 ACCESSION NUMBER: 0001127602-21-022401 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210720 FILED AS OF DATE: 20210722 DATE AS OF CHANGE: 20210722 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEYERS ROBERT J CENTRAL INDEX KEY: 0001243734 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 211108753 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 form4.xml PRIMARY DOCUMENT X0306 4 2021-07-20 0001174850 NICOLET BANKSHARES INC NCBS 0001243734 WEYERS ROBERT J C/O NICOLET NATIONAL BANK 111 NORTH WASHINGTON STREET GREEN BAY WI 54301 1 Common Stock 2021-07-20 4 A 0 36 68.79 A 8102 I By Nicolet National Bank Deferred Compensation Plan For Non-employee Directors Common Stock 84558 D Common Stock 25250 I By Weyers Family Limited Partnership Common Stock 20000 I By Wb Regency Limited Partnership Mr. Weyers acquired 36 shares in the Nicolet National Bank Deferred Compensation Plan for Non-employee Directors by deferring his second quarter 2021 earned board fees. Represents the holdings of Weyers Family Limited Partnership, of which the reporting person is a general partner. The reporting person disclaims beneficial ownership of registrant common stock held by Weyers Family Limited Partnership except to the extent of his pecuniary interest. Represents the holdings of WB Regency Limited Partnership, of which the reporting person is a general partner. The reporting person disclaims beneficial ownership of registrant common stock held by WB Regency Limited Partnership except to the extent of his pecuniary interest. /s/ H. Phillip Moore, Jr., as attorney-in-fact for Robert J. Weyers 2021-07-22