Michael J Gilson Form 3 NICOLET BANKSHARES / MICHAEL J GILSON ownership change

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

GILSON MICHAEL J

(Last) (First) (Middle)

C/O NICOLET NATIONAL BANK

111 NORTH WASHINGTON STREET

(Street)

GREEN BAY WI 54301

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
05/09/2017

3. Issuer Name and Ticker or Trading Symbol
NICOLET BANKSHARES INC [ NCBS ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
	Officer (give title below)	Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	24,739	D
Common Stock	1,072	I	Shares owned by an adult child of Mr. Gilson for whom he serves as agent under a power of attorney(1)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Stock Option (Right to Buy)	(2)	04/28/2018	Common Stock	1,886	9.19	D
Stock Option (Right to Buy)	(3)	04/28/2018	Common Stock	1,886	13.73	D
Stock Option (Right to Buy)	(4)	04/28/2018	Common Stock	1,546	21.04	D
Stock Option (Right to Buy)	(5)	04/28/2018	Common Stock	1,662	30.78	D

Explanation of Responses:

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 stock option is currently exercisable as to all 1,886 shares. The options vested immediately upon consummation of the merger with Baylake Corp. on April 29, 2016.

3. The stock option is currently exercisable as to all 1,886 shares. The options vested immediately upon consummation of the merger with Baylake Corp. on April 29, 2016.

4. The stock option is currently exercisable as to all 1,546 shares. The options vested immediately upon consummation of the merger with Baylake Corp. on April 29, 2016.

5. The stock option is currently exercisable as to all 1,662 shares. The options vested immediately upon consummation of the merger with Baylake Corp. on April 29, 2016.

	/s/ Ann K. Lawson, as attorney-in-fact for Michael J. Gilson	05/18/2017
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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