SEC Form 4 · accession 0001127602-17-031007
NICOLET BANKSHARES INC · NIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael E Daniels
Officer — EVP and Secretary · Director
Period of report
Nov 1, 2017
Accepted (ET)
Nov 2, 2017 · 4:50 pm EDT
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 1, 2017 | M | 64,500 | $16.50 | A | 134,944 | D | |
| Common Stock | Nov 1, 2017 | F | 40,261 | $56.43 | D | 94,683 | D | |
| Common Stock | Nov 1, 2017 | S | 24,239 | $56.43 | D | 70,444 | D | |
| Common Stock | holding | — | — | — | 6,252 | I | By 401(k) Plan | |
| Common Stock | holding | — | — | — | 9,803 | I | By Spouse |
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 1, 2017 | M | 64,500 | D | — | Apr 10, 2022 | Common Stock | 64,500 | 0 | D |
| Stock Option (Right to Buy)F2 | $56.43 | Nov 1, 2017 | A | 67,500 | A | — | Nov 1, 2027 | Common Stock | 67,500 | 67,500 | D |
Explanation of responses
- F1The 64,500 nonqualified options exercised were a grant of 64,500 nonqualified options that vested in five annual installments of 12,900 shares on April 10 of each year, beginning on April 10, 2013 and fully vested on April 10, 2017.
- F2The nonqualified options vest in five annual installments of 13,500 shares on November 1 of each year, beginning on November 1, 2018 and fully vest on November 1, 2022.