SEC Form 4 · accession 0001127602-18-029602
NICOLET BANKSHARES INC · NIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Eric James Witczak
Officer — EVP - Nicolet National Bank
Period of report
Oct 4, 2018
Accepted (ET)
Oct 5, 2018 · 1:03 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 | Oct 4, 2018 | M | 1,000 | $16.80 | A | 16,143 | D | |
| Common Stock | holding | — | — | — | 6,783 | 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 | $16.80 | Oct 4, 2018 | M | 1,000 | D | — | Dec 15, 2019 | Common Stock | 1,000 | 9,000 | D |
Explanation of responses
- F1The stock option is currently exercisable as to all 9,000 shares. The options vested in five annual installments of 2,000 shares annually on December 15 of each year, beginning on December 15, 2010 and fully vesting on December 15, 2014.