-----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, P15RnuGR34INhurvLjPhD7ultgMtoaPdB8tP5xqa3CclaJNOtki83rJIrCKEq6hc dDxwkNipBNj74DbM8AFkJA== 0000909143-05-000063.txt : 20050829 0000909143-05-000063.hdr.sgml : 20050829 20050829160802 ACCESSION NUMBER: 0000909143-05-000063 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050825 FILED AS OF DATE: 20050829 DATE AS OF CHANGE: 20050829 ISSUER: 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 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PATCHIN STEPHEN R CENTRAL INDEX KEY: 0001065614 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24583 FILM NUMBER: 051055610 BUSINESS ADDRESS: BUSINESS PHONE: 9726739601 MAIL ADDRESS: STREET 1: 2801 EAST PLANO PKWY CITY: PLANO STATE: TX ZIP: 75074 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-08-25 0 0001059763 ADAMS GOLF INC ADGO 0001065614 PATCHIN STEPHEN R 2801 EAST PLANO PKWY PLANO TX 75074 1 0 1 0 Common Stock 2005-08-25 4 M 0 20000 0.63 A 20000 D Common Stock 2005-08-25 4 S 0 833 1.38 D 19167 D Common Stock 2005-08-25 4 S 0 500 1.36 D 18667 D Common Stock 2005-08-25 4 S 0 18667 1.35 D 0 D Common Stock 6374511 I See Footnote Stock Options (right to purchase) 0.63 2005-08-25 4 M 0 20000 A 2005-01-11 2006-01-11 Common Stock 20000 0 D Owned directly by Royal Holding Company, Inc. The Reporting Person disclaims beneficial ownership of such securities and nothing herein shall be deemed an admission of beneficial ownership of such securities. Issued to the Reporting Person under the Issuer's 1999 Non-Employee Director Plan. /s/ STEPHEN R. PATCHIN 2005-08-26 -----END PRIVACY-ENHANCED MESSAGE-----