SEC Form 4 · accession 0001127602-16-067461
NICOLET BANKSHARES INC · NIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ann Kuchera Lawson
Officer — Chief Financial Officer
Period of report
Nov 14, 2016
Accepted (ET)
Nov 16, 2016 · 5:16 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001174850
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 14, 2016 | M | 1,065 | $16.50 | A | 14,965 | D | |
| Common Stock | Nov 14, 2016 | F | 406 | $43.25 | D | 14,559 | D | |
| Common Stock | holding | — | — | — | 800 | I | By 401(k) Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F1 | $16.50 | Nov 14, 2016 | M | 1,065 | D | — | Apr 10, 2022 | Common Stock | 1,065 | 3,935 | D |
Explanation of responses
- F1The stock option is currently exercisable as to 1,435 shares. The options vest in ten annual installments of 500 shares annually on April 10 of each year, beginning on April 10, 2012 and fully vesting on April 10, 2021.