0001209191-21-068064.txt : 20211206 0001209191-21-068064.hdr.sgml : 20211206 20211206124500 ACCESSION NUMBER: 0001209191-21-068064 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211203 FILED AS OF DATE: 20211206 DATE AS OF CHANGE: 20211206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHNEIDER TIMOTHY J. CENTRAL INDEX KEY: 0001630369 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36808 FILM NUMBER: 211472605 MAIL ADDRESS: STREET 1: 860 NORTH RAPIDS ROAD CITY: MANITOWOC STATE: WI ZIP: 54221 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: County Bancorp, Inc. CENTRAL INDEX KEY: 0001470205 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 391850431 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 860 NORTH RAPIDS ROAD STREET 2: P.O. BOX 700 CITY: MANITOWOC STATE: WI ZIP: 54221-0700 BUSINESS PHONE: (920) 688-5608 MAIL ADDRESS: STREET 1: 860 NORTH RAPIDS ROAD STREET 2: P.O. BOX 700 CITY: MANITOWOC STATE: WI ZIP: 54221-0700 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-03 1 0001470205 County Bancorp, Inc. ICBK 0001630369 SCHNEIDER TIMOTHY J. 2400 S. 44TH STREET MANITOWOC WI 54220 1 1 0 0 President COMMON STOCK 2021-12-03 4 D 0 107330 D 0 D EMPLOYEE STOCK OPTION (right to buy) 19.71 2021-12-03 4 D 0 16110 15.73 D 2018-03-17 2025-03-17 COMMON STOCK 16110 0 D EMPLOYEE STOCK OPTION (right to buy) 18.30 2021-12-03 4 D 0 1822 17.14 D 2022-03-13 2030-03-13 COMMON STOCK 1822 0 D Each share of the issuer's common stock was disposed of pursuant to the Agreement and Plan of Merger between the issuer and Nicolet Bankshares, Inc. ("Nicolet") in exchange for either 0.48 shares of Nicolet common stock or $37.18 in cash. Each share of Nicolet common stock had a closing market value of $74.19 per share on the effective date of the merger. This option was canceled in the merger in exchange for a cash payment of $15.73, representing the difference between the exercise price of the option and the product of the volume weighted average closing price of Nicolet common stock over the 20 trading day period immediately preceding the second trading day prior to December 3rd (equal to $73.84 per share) multiplied by the exchange ratio of 0.48. This option was canceled in the merger in exchange for a cash payment of $17.14, representing the difference between the exercise price of the option and the product of the volume weighted average closing price of Nicolet common stock over the 20 trading day period immediately preceding the second trading day prior to December 3rd (equal to $73.84 per share) multiplied by the exchange ratio of 0.48. /s/ Timothy J. Schneider 2021-12-06