-----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, TDAW2LyW0DuaGeby38Sg7wXkGl26F+n5JNJCfaGoPMcns1cw4uEKcWNfzoiSjtBC x5HQUaf+bkL2rurO9XJbTw== 0000909143-01-000016.txt : 20010223 0000909143-01-000016.hdr.sgml : 20010223 ACCESSION NUMBER: 0000909143-01-000016 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010214 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: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-55769 FILM NUMBER: 1542791 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ADAMS B H CENTRAL INDEX KEY: 0001065610 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 2801 EAST PLANO PKWY CITY: PLANO STATE: TX ZIP: 75074 BUSINESS PHONE: 9726739601 MAIL ADDRESS: STREET 1: 2801 EAST PLANO PKWY CITY: PLANO STATE: TX ZIP: 75074 SC 13G/A 1 0001.txt SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G/A Under the Securities Exchange Act of 1934 (Amendment No. 2)* ADAMS GOLF, INC. (Name of Issuer) Common Stock, par value $0.001 per share (Title of Class of Securities) 006228 10 0 (CUSIP Number) December 31, 2000 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [ ] Rule 13d-1(c) [X] Rule 13d-1(d) * The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP NO. 006228 10 0 13G/A (1) Name of Reporting Person B. H. Adams I.R.S. Identification No. of Above Person (entities only) - ----------------------------------------------------------------- (2) Check the Appropriate Box if a (a) [ ] Member of a Group* (b) [ ] - ----------------------------------------------------------------- (3) SEC Use Only - ----------------------------------------------------------------- (4) Citizenship United States - ----------------------------------------------------------------- Number of Shares Beneficially Owned by Each Reporting Person With: (5) Sole Voting Power 3,198,197 - ----------------------------------------------------------------- (6) Shared Voting Power 0 - ----------------------------------------------------------------- (7) Sole Dispositive Power 3,198,197 - ----------------------------------------------------------------- (8) Shared Dispositive Power 0 - ----------------------------------------------------------------- (9) Aggregate Amount Beneficially Owned by Each Reporting Person 3,198,197 - ----------------------------------------------------------------- (10) Check if the Aggregate Amount in [ ] Row (9) Excludes Certain Shares* - ----------------------------------------------------------------- (11) Percent of Class Represented by 14.2% Amount in Row (9) - ----------------------------------------------------------------- (12) Type of Reporting Person* IN - ----------------------------------------------------------------- * SEE INSTRUCTIONS CUSIP NO. 006228 10 0 13G/A Item 1(a). Name of issuer: Adams Golf, Inc. (the "Issuer") Item 1(b). Address of Issuer's principal executive offices: 300 Delaware Avenue, Suite 572, Wilmington, Delaware 19801 Item 2(a). Name of person filing: B. H. Adams Item 2(b). Address of principal business office or, if none, residence: The principal business office of B. H. Adams is: 2801 East Plano Parkway, Plano, Texas 75074 Item 2(c). Citizenship: United States Item 2(d). Title of class of securities: Common Stock, $0.001 par value per share, of the Issuer. Item 2(e). CUSIP No.: 006228 10 0 Item 3. If this statement is filed pursuant to Sections 13d- 1(b), or 13d-2(b) or (c), check whether the person filing is a: (a) [ ] Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o); (b) [ ] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c); (c) [ ] Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c); CUSIP NO. 006228 10 0 13G/A (d) [ ] Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8); (e) [ ] An investment adviser in accordance with 240.13d-1(b)(1)(ii)(E); (f) [ ] An employee benefit plan or endowment fund in accordance with 240.13d-1(b)(1)(ii)(F); (g) [ ] A parent holding company or control person in accordance with 240.13d-1(b)(ii)(G); (h) [ ] A savings association as defined in section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); (i) [ ] A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); (j) [ ] Group, in accordance with 240.13d-1(b)(1)(ii)(J) Not applicable. Item 4. Ownership: (a) Amount beneficially owned: 3,198,197 (b) Percent of class: 14.2% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 3,198,197 (ii) shared power to vote or to direct the vote: 0 (iii) sole power to dispose or to direct the disposition of: 3,198,197 (iv) shared power to dispose or to direct the disposition of: 0 CUSIP NO. 006228 10 0 13G/A Item 5. Ownership of five percent or less of a class: Not Applicable. Item 6. Ownership of more than five percent on behalf of another person: Not Applicable. Item 7. Identification and classification of the subsidiary which acquired the security being reported on by the parent holding company or control person: Not Applicable. Item 8. Identification and classification of members of the group: Not Applicable. Item 9. Notice of dissolution of group: Not Applicable. Item 10. Certifications: Not Applicable. [Signature page follows] CUSIP NO. 006228 10 0 13G/A SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Dated: February 13, 2001 /s/ B. H. ADAMS ------------------------------- B. H. Adams ATTENTION: Intentional misstatements or omissions of fact constitute Federal criminal violations (See 18 U.S.C. 1001) -----END PRIVACY-ENHANCED MESSAGE-----