-----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, Vq3CXyo5/3o5OcieEv/lWG20lP6ZU4Fh+FDhJeD6dySfBuGIKe8LzNjvtllK+6Lu Beh/Vg+BvYXqjeth0tscsA== 0001209191-04-056759.txt : 20041209 0001209191-04-056759.hdr.sgml : 20041209 20041209150023 ACCESSION NUMBER: 0001209191-04-056759 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041129 FILED AS OF DATE: 20041209 DATE AS OF CHANGE: 20041209 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: SCOTT RICHARD L CENTRAL INDEX KEY: 0000915477 STATE OF INCORPORATION: KY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24583 FILM NUMBER: 041193064 BUSINESS ADDRESS: STREET 1: 201 WEST MAIN ST CITY: LOUISVILLE STATE: KY ZIP: 40202 BUSINESS PHONE: 5025722104 3 1 form3_rs.xml MAIN DOCUMENT DESCRIPTION X0202 3 2004-11-29 0 0001059763 ADAMS GOLF INC ADGO 0000915477 SCOTT RICHARD L 700 11TH STREET S. NAPLES FL 34102 0 0 1 0 Common Stock 2393060 D Richard L. Scott 2004-12-06 -----END PRIVACY-ENHANCED MESSAGE-----