0001127602-23-029880.txt : 20231218
0001127602-23-029880.hdr.sgml : 20231218
20231218180855
ACCESSION NUMBER: 0001127602-23-029880
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231214
FILED AS OF DATE: 20231218
DATE AS OF CHANGE: 20231218
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Witczak Eric James
CENTRAL INDEX KEY: 0001667436
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 231495037
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]
ORGANIZATION NAME: 02 Finance
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
2023-12-14
0001174850
NICOLET BANKSHARES INC
NIC
0001667436
Witczak Eric James
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
EVP & Secretary
0
Common Stock
6783
I
By 401(k) Plan
Common Stock
2023-12-14
4
M
0
3560
37.18
A
44953
D
Common Stock
2023-12-14
4
S
0
3560
82.88
D
41393
D
Common Stock
2023-12-15
4
M
0
9387
37.18
A
50780
D
Common Stock
2023-12-15
4
S
0
9387
81.00
D
41393
D
Stock Option (Right to Buy)
37.18
2023-12-14
4
M
0
3560
0
D
2026-09-20
Common Stock
3560
11440
D
Stock Option (Right to Buy)
37.18
2023-12-15
4
M
0
9387
0
D
2026-09-20
Common Stock
9387
2053
D
The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $82.70 to $83.07, inclusive. The reporting person undertakes to provide to Nicolet Bankshares, Inc., any security holder of Nicolet Bankshares, Inc., or the staff of the Securities and Exchange Commission upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (1) to this Form 4.
The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $81.00 to $81.13, inclusive. The reporting person undertakes to provide to Nicolet Bankshares, Inc., any security holder of Nicolet Bankshares, Inc., or the staff of the Securities and Exchange Commission upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (2) to this Form 4.
Includes shares acquired under the Employee Stock Purchase Plan. Mr. Witczak has not acquired additional shares under the Employee Stock Purchase Plan since his last Form 4 filing on November 22, 2023. Mr. Witczak owns a total of 834 shares in the Employee Stock Purchase Plan as of the date of this report.
The non-qualified stock option was fully vested as of September 20, 2021. The non-qualified stock option is currently exercisable as to all 2,053 vested options.
/s/ H. Phillip Moore, Jr., as attorney-in-fact for Eric J. Witczak
2023-12-18