0001209191-21-068074.txt : 20211206
0001209191-21-068074.hdr.sgml : 20211206
20211206133802
ACCESSION NUMBER: 0001209191-21-068074
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: MUELLER WAYNE D.
CENTRAL INDEX KEY: 0001630160
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36808
FILM NUMBER: 211472731
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
0
0001470205
County Bancorp, Inc.
ICBK
0001630160
MUELLER WAYNE D.
2400 S. 44TH STREET
MANITOWOC
WI
54220
1
0
0
0
COMMON STOCK
2021-12-03
4
D
0
66854
D
0
D
COMMON STOCK
2021-12-03
4
D
0
4380
D
0
I
BY SPOUSE
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.
/s/ Timothy J. Schneider, POA
2021-12-06