0001127602-23-028118.txt : 20231121 0001127602-23-028118.hdr.sgml : 20231121 20231121143833 ACCESSION NUMBER: 0001127602-23-028118 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231120 FILED AS OF DATE: 20231121 DATE AS OF CHANGE: 20231121 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: 231426824 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 2023-11-20 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 0 Common Stock 375 I By Spouse's IRA Common Stock 2023-11-20 4 A 0 708 77.64 A 30151 D Restricted shares awarded November 20, 2023. Awarded shares will vest as follows: 1/3 immediate, 1/3 on November 20, 2024, and 1/3 on November 20, 2025. Includes 82 shares acquired under the Employee Stock Purchase Plan, since my previous Form 4 filing dated April 24, 2023. I own a total of 208 shares in the Employee Stock Purchase Plan as of the date of this report. /s/ H. Phillip Moore, Jr. 2023-11-21