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