-----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, TYKjLjFs97y2j4dXrGPODAsdfgJUQpAG0wxP+2PLrcM6s/3evrWo5a5DC2E3ncj0 +r8KKgkv9mI/jGHtP84vWQ== 0000909143-05-000075.txt : 20051116 0000909143-05-000075.hdr.sgml : 20051116 20051116165936 ACCESSION NUMBER: 0000909143-05-000075 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051110 FILED AS OF DATE: 20051116 DATE AS OF CHANGE: 20051116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ADAMS B H CENTRAL INDEX KEY: 0001065610 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24583 FILM NUMBER: 051210410 BUSINESS ADDRESS: BUSINESS PHONE: 9726739897 MAIL ADDRESS: STREET 1: 2801 EAST PLANO PKWY CITY: PLANO STATE: TX ZIP: 75074 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-11-10 0 0001059763 ADAMS GOLF INC ADGO 0001065610 ADAMS B H 2801 EAST PLANO PKWY PLANO TX 75074 1 1 1 0 Chairman of the Board Common Stock 2005-11-10 2005-11-11 4 S 0 1500 1.2 D 5000 I See Footnote Common Stock 2694222 D Shares held directly in Reporting Person's spouse's Individual Retirement Account ("IRA"). The Reporting Person disclaims beneficial ownership of the shares held directly by his spouse or her IRA. /s/ B.H. ADAMS 2005-11-16 -----END PRIVACY-ENHANCED MESSAGE-----