-----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, Pv5ztWJMTgsvhuZWBMh3vTyo35UO6D/br/Njx1msDiz37E1JqXdGCM2MEliVIJpZ ovkbfu2Jljs0tfVNEGbHJQ== 0001209191-10-057396.txt : 20101130 0001209191-10-057396.hdr.sgml : 20101130 20101130185036 ACCESSION NUMBER: 0001209191-10-057396 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101129 FILED AS OF DATE: 20101130 DATE AS OF CHANGE: 20101130 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: 101223064 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 c09133_4x0.xml MAIN DOCUMENT DESCRIPTION X0303 4 2010-11-29 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 2010-11-29 4 M 0 101875 0.04 A 676719 D Common Stock 2010-11-29 4 M 0 40000 0.04 A 716719 D Common Stock 2010-11-29 4 S 0 55000 4.1992 D 661719 D Employee Stock Option (right to buy) 0.04 2010-11-29 4 M 0 101875 0 D 2002-07-16 2012-01-16 Common Stock 101875 0 D Employee Stock Option (right to buy) 0.04 2010-11-29 4 M 0 40000 0 D 2003-08-14 2013-02-14 Common Stock 40000 57474 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 Securities Exchange Act of 1934, as amended, 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 his pecuniary interest therein. Represents securities acquired upon the exercise of an option pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 26, 2010 (the "Rule 10b5-1 Plan"). Represents securities sold to pay tax liability incident to the exercise of an option under an award agreement. Represents securities sold pursuant to the Rule 10b5-1 Plan. /s/ O.G. Brewer III 2010-11-30 -----END PRIVACY-ENHANCED MESSAGE-----