Filing Details

Accession Number:
0001127602-17-033347
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-11-28 14:22:31
Reporting Period:
2017-11-27
Accepted Time:
2017-11-28 14:22:31
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1174850 Nicolet Bankshares Inc NCBS National Commercial Banks (6021) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1256093 J Michael Gilson C/O Nicolet National Bank
111 North Washington Street
Green Bay WI 54301
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2017-11-27 1,886 $9.19 26,625 No 4 M Direct
Common Stock Acquisiton 2017-11-27 400 $13.73 27,025 No 4 M Direct
Common Stock Disposition 2017-11-27 200 $58.00 26,825 No 4 S Direct
Common Stock Disposition 2017-11-27 100 $58.10 26,725 No 4 S Direct
Common Stock Disposition 2017-11-28 1,986 $58.00 24,739 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 M Direct
No 4 S Direct
No 4 S Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Option (Right to Buy) Disposition 2017-11-27 1,886 $0.00 1,886 $9.19
Common Stock Stock Option (Right to Buy) Disposition 2017-11-27 400 $0.00 400 $13.73
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2018-04-28 No 4 M Direct
1,486 2018-04-28 No 4 M Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 1,072 Indirect Shares owned by an adult child of Mr. Gilson for whom he serves as agent under a power of attorney
Footnotes
  1. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
  2. The 1,886 nonqualified options exercised were immediately vested options upon the consummation of the merger with Baylake Corp. on April 29, 2016.
  3. The stock option is currently exercisable as to 1,486 shares. The options vested immediately upon consummation of the merger with Baylake Corp. on April 29, 2016.