-----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, Uquf9FjuzCoe45sopGtTAfm/CCDDuErJ1bXR2z7j6lfqeQelKApT9UMmHLjTB4DF BB5jDoa1lnuVuoaP4p2jHw== 0001065610-05-000001.txt : 20051004 0001065610-05-000001.hdr.sgml : 20051004 20051004172057 ACCESSION NUMBER: 0001065610-05-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010430 FILED AS OF DATE: 20051004 DATE AS OF CHANGE: 20051004 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: ADAMS B H CENTRAL INDEX KEY: 0001065610 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24583 FILM NUMBER: 051122689 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 2001-04-30 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 2001-04-30 4 P 0 9900 1.2 A 9900 I See Footnote Common Stock 2001-04-30 4 P 0 5100 1.17 A 15000 I See Footnote Common Stock 2001-04-30 4 P 0 10000 1.2 A 2824222 D Common Stock 2001-04-30 4 P 0 3000 1.17 A 2827222 D Shares held directly by Reporting Person's spouse's Individual Retirement Account ("IRA"). The Reporting Person inadvertently neglected to report the acquisition of such shares of common stock upon their purchase in April 2001. The Reporting Person disclaims beneficial ownership of the shares held directly by his spouse or her IRA. Shares acquired by the Reporting Person's IRA. The Reporting Person inadvertently neglected to report the acquisition of such shares of common stock upon their purchase in April 2001. /s/ B.H. ADAMS 2005-10-04 -----END PRIVACY-ENHANCED MESSAGE-----