0001127602-22-025818.txt : 20221116 0001127602-22-025818.hdr.sgml : 20221116 20221116172656 ACCESSION NUMBER: 0001127602-22-025818 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221114 FILED AS OF DATE: 20221116 DATE AS OF CHANGE: 20221116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOORE HUBERT PHILLIP JR CENTRAL INDEX KEY: 0001866582 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37700 FILM NUMBER: 221396192 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 form4.xml PRIMARY DOCUMENT X0306 4 2022-11-14 0001174850 NICOLET BANKSHARES INC NIC 0001866582 MOORE HUBERT PHILLIP JR C/O NICOLET NATIONAL BANK 111 NORTH WASHINGTON STREET GREEN BAY WI 54301 1 CFO Common Stock 2022-11-14 4 A 0 1281 80.95 A 27777 D Restricted shares awarded November 14, 2022. Awarded shares will vest as follows: 1/3 immediate, 1/3 on November 14, 2023, and 1/3 on November 14, 2024. Includes 42 shares acquired under the Employee Stock Purchase Plan, since my previous Form 4 filing dated May 26, 2022. I own a total of 42 shares in the Employee Stock Purchase Plan as of the date of this report. /s/ H. Phillip Moore, Jr. 2022-11-16