-----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, RrfgR01lLTYro2q1XiXmkE4Xn9lB5TLcuDebHtvWWzUD7UvT/qXc0jX6xzbgxYVg SPUKA8XZdqH7afme3ndYkQ== 0001209191-09-051725.txt : 20091109 0001209191-09-051725.hdr.sgml : 20091109 20091109175835 ACCESSION NUMBER: 0001209191-09-051725 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091109 FILED AS OF DATE: 20091109 DATE AS OF CHANGE: 20091109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BREWER OLIVER G III CENTRAL INDEX KEY: 0001072918 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33978 FILM NUMBER: 091169765 MAIL ADDRESS: STREET 1: 2801 EAST PLANO PARKWAY 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 c92332_4x0.xml MAIN DOCUMENT DESCRIPTION X0303 4 2009-11-09 0001059763 ADAMS GOLF INC ADGF 0001072918 BREWER OLIVER G III 2801 EAST PLANO PARKWAY PLANO TX 75074 1 1 1 0 President and CEO Common Stock 2009-11-09 4 A 0 175000 0.00 D 511219 D The reporting person states that neither the filing of this statement nor anything herein shall be deemed an admission that such person is, for purposes of Section 16 of the Act or otherwise, the beneficial owner of any securities covered by this statement. The reporting person disclaims beneficial ownership of the securities covered by this statement, except to the extent of the pecuniary interest of such person in such securities. On November 9, 2009, the reporting person was granted 175,000 shares of restricted common stock. 12,500 of the shares vest on each of the last trading day of June 2010 and the second to last trading day of December 2010. 37,500 of the shares vest on each of the last trading day of June 2011 and June 2012 and the second to last trading day of December 2011 and December 2012. /s/ O.G. Brewer III 2009-11-09 -----END PRIVACY-ENHANCED MESSAGE-----