Filing Details

Accession Number:
0001127602-20-028914
Form Type:
4/A
Zero Holdings:
No
Publication Time:
2020-11-13 13:01:28
Reporting Period:
2020-11-10
Accepted Time:
2020-11-13 13:01:28
Original Submission Date:
2020-11-12
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
1664666 Kuchera Ann Lawson C/O Nicolet National Bank
111 North Washington Street
Green Bay WI 54301
Chief Financial Officer No Yes 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 2020-11-10 1,000 $37.18 29,983 No 4 M Direct
Common Stock Disposition 2020-11-10 693 $67.95 29,290 No 4 F Direct
Common Stock Acquisiton 2020-11-10 1,200 $37.18 30,490 No 4 M Direct
Common Stock Disposition 2020-11-10 1,200 $67.68 29,290 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 F Direct
No 4 M 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 2020-11-10 1,000 $0.00 1,000 $37.18
Common Stock Stock Option (Right to Buy) Disposition 2020-11-10 1,200 $0.00 1,200 $37.18
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
6,000 2026-09-20 No 4 M Direct
4,800 2026-09-20 No 4 M Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 800 Indirect By 401(k) Plan
Footnotes
  1. This report on Form 4/A amends the Form 4 filed by the reporting person on November 12, 2020. This report on Form 4/A is being filed to correct the amount of shares forfeited at time of exercise of 1,000 nonqualified stock options on November 10, 2020.
  2. The reporting person has not acquired additional shares under the Employee Stock Purchase Plan since the reporting person's last Form 4 filing on November 12, 2020. The reporting person owns 111 shares total in the Employee Stock Purchase Plan which is included in the reporting persons direct beneficial ownership total.
  3. The nonqualified options are currently exercisable to 2,800 shares. The nonqualified options vest in five annual installments of 2,000 shares annually on September 20 of each year, beginning on September 20, 2017 and fully vest on September 20, 2021.