0001127602-23-027613.txt : 20231116
0001127602-23-027613.hdr.sgml : 20231116
20231116163223
ACCESSION NUMBER: 0001127602-23-027613
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231114
FILED AS OF DATE: 20231116
DATE AS OF CHANGE: 20231116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Madson Patrick Joseph
CENTRAL INDEX KEY: 0001666799
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 231415086
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
X0508
4
2023-11-14
0001174850
NICOLET BANKSHARES INC
NIC
0001666799
Madson Patrick Joseph
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
SVP-Wealth Mgmt-NicoletNatBank
0
Common Stock
20
I
Daughter's UGMA/UTMA Account
Common Stock
20
I
Son's UGMA/UTMA Account
Common Stock
2023-11-14
4
F
0
58
78.12
D
5790
D
Common Stock
20
I
Daughter's UGMA/UTMA Account
Common Stock
20
I
Son's UGMA/UTMA Account
Shares withheld to satisfy tax obligation of vested restricted stock.
Includes 488 shares owned in the Employee Stock Purchase Plan. Mr. Madson has not acquired additional shares under the Employee Stock Purchase Plan since his last Form 4 filing dated August 24, 2023.
/s/ H. Phillip Moore, Jr., attorney-in-fact for Patrick Madson
2023-11-16