-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, C0Wz5E+ppEeXw2bpF4M3bQt4bJA9MBJbLveHCjTBH1F8gYoEVKOD6lcwNjYyzLef 6YXPeGKumo9msuT5Bpf9nA== 0000909143-98-000129.txt : 19980812 0000909143-98-000129.hdr.sgml : 19980812 ACCESSION NUMBER: 0000909143-98-000129 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980731 FILED AS OF DATE: 19980810 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ADAMS GOLF INC CENTRAL INDEX KEY: 0001059763 STANDARD INDUSTRIAL CLASSIFICATION: [3949] IRS NUMBER: 752320087 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-24583 FILM NUMBER: 98681566 BUSINESS ADDRESS: STREET 1: 2801 EAST PLANO PARKWAY CITY: PLANO STATE: TX ZIP: 75074 BUSINESS PHONE: 9726739000 MAIL ADDRESS: STREET 1: 2801 EAST PLANO PARKWAY CITY: PLANO STATE: TX ZIP: 75074 COMPANY DATA: COMPANY CONFORMED NAME: MURTLAND RICHARD H CENTRAL INDEX KEY: 0001065634 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 2801 E PLANO PKWY CITY: PLANO STATE: TX ZIP: 75074 BUSINESS PHONE: 9726739000 MAIL ADDRESS: STREET 1: 2801 E PLANO PKWY CITY: PLANO STATE: TX ZIP: 75074 4 1 ----------------------------- OMB APPROVAL ----------------------------- OMB Number 3235-0287 Expires: September 30, 1998 Estimated average burden hours per response ....... 0.5 ------------------------------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 [ ] CHECK THIS BOX IF NO LONGER SUBJECT OF SECTION 16. FORM 4 OR FORM 5 OBLIGATIONS MAY CONTINUE. SEE INSTRUCTION 1(B). ====================================================================== 1. Name and Address of Reporting Person Murtland Richard H. - ---------------------------------------------------------------------- (Last) (First) (Middle) 2801 East Plano Parkway - ---------------------------------------------------------------------- (Street) Plano Texas 75074 - ---------------------------------------------------------------------- (City) (State) (Zip) ====================================================================== 2. Issuer Name and Ticker or Trading Symbol Adams Golf, Inc. (ADGO) ====================================================================== 3. IRS or Social Security Number of Reporting Person (Voluntary) ====================================================================== 4. Statement for Month/Year July/1998 ====================================================================== 5. If Amendment, Date of Original (Month/Year) ====================================================================== 6. Relationship of Reporting Person to Issuer (Check all applicable) [ X ] Director [ ] 10% Owner [ X ] Officer (give title below) [ ] Other (specify below) Vice President-Research and Marketing, Secretary and Treasurer ---------------------------------------------------------------- ====================================================================== 7. 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 Acquired, Disposed of, or Beneficially Owned ================================================================================================================================= 6. 4. 5. Owner- Securities Acquired (A) or Amount of ship 3. Disposed of (D) Securities Form: 7. Nature Transaction (Instr. 3, 4 and 5) Beneficially Direct of Indirect 2. Code ------------------------------- Owned at End (D) or Beneficial 1. Transaction (Instr. 8) (A) of Month Indirect Ownership Title of Security Date ------------ Amount or Price (Instr. 3 (I) (Instr. (Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) 4) - ----------------------------------------------------------------------------------------------------------------------------------- Common stock, par value $.001 01/14/1998 M 222,214(1) A $ 0.375(1) - ----------------------------------------------------------------------------------------------------------------------------------- Common stock, par value $.001 07/15/1998 J(2) 66,750 D $16.00(3) - ----------------------------------------------------------------------------------------------------------------------------------- Common stock, par value $.001 07/20/1998 J(4) 16,738 D $16.00(3) 250,464 D - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- =================================================================================================================================== Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly
FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) =================================================================================================================================== 9. 10. Number Owner- of ship 2. Deriv- of Conver- 5. 7. ative Deriv- 11. sion Number of Title and Amount Secur- ative Nature of Derivative 6. of Underlying 8. ities Secur- of Exer- 4. Securities Date Securities Price Bene- ity: In- cise 3. Trans- Acquired (A) Exercisable and Instr. 3 and 4) of ficially Direct direct Price Trans- action or Disposed Expiration Date ----------------- Deriv- Owned (D) or Bene- 1. of action Code of (D) (Month/Day/Year) Amount ative at End In- ficial Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner- Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship Security Secur- Day/ ------- ---------------- Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - ----------------------------------------------------------------------------------------------------------------------------------- Employee $0.375(1) 01/14/ M 55,554(1) 04/10/ Common Stock 55,554(1) $0.375(1) stock 1998 2006 par value options $.001 (right to purchase) - ----------------------------------------------------------------------------------------------------------------------------------- Employee $0.375(1) 01/14/ M 55,554(1) 04/10/ Common stock 111,106(1) $0.375(1) stock 1998 2006 par value options $.001 (right to purchase) - ----------------------------------------------------------------------------------------------------------------------------------- Employee $0.375(1) 01/14/ M 111,106(1) 04/10/ Common stock 166,660(1) $0.375(1) -0- stock 1998 2006 par value options $.001 (right to purchase) - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- ===================================================================================================================================
Explanation of Responses: (1) Adjusted to reflect May 1, 1998 stock split. (2) Represents securities sold by the Reporting Person in the Issuer's IPO. (3) Does not reflect Underwriter's discount. (4) Represents securities sold by the Reporting Person pursuant to the exercise of Underwriter's over-allotment option relating to the Issuer's IPO. (3) Does not reflect Underwriter's discount. By: /s/ RICHARD H. MURTLAND 08/05/1998 -------------------------------------------- ------------- **Signature of Reporting Person Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedures. -----END PRIVACY-ENHANCED MESSAGE-----