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OMB APPROVAL
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OMB Number 3235-0287
Expires: January 31, 2001
Estimated average burden
hours per response ..... 0.5
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of
1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(f) of the Investment Company Act of 1940
[ ] CHECK THIS BOX IF NO LONGER
SUBJECT OF SECTION 16. FORM 4
OR FORM 5 OBLIGATIONS MAY
CONTINUE. SEE INSTRUCTION 1(B).
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1. Name and Address of Reporting Person
Fleischer Russell L.
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(Last) (First) (Middle)
2801 East Plano Parkway
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(Street)
Plano Texas 75070
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Adams Golf, Inc. (ADGO)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
June/2002
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[ ] Director [ ] 10% Owner
[ X ] Officer (give title below) [ ] Other (specify below)
Chief Financial Officer, Secretary and Treasurer
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7. Individual or Joint/Group Filing (Check Applicable Line)
[ X ] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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6.
4. 5. Owner-
Securities Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7. Nature
Transaction (Instr. 3, 4 and 5) Beneficially Direct of Indirect
2. Code ------------------------------- Owned at End (D) or Beneficial
1. Transaction (Instr. 8) (A) of Month Indirect Ownership
Title of Security Date ------------ Amount or Price (Instr. 3 (I) (Instr.
(Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) 4)
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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly
FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- 4. Securities Date Securities Price Bene- ity: In-
cise 3. Trans- Acquired (A) Exercisable and Instr. 3 and 4) of ficially Direct direct
Price Trans- action or Disposed Expiration Date ----------------- Deriv- Owned (D) or Bene-
1. of action Code of (D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ ------- ---------------- Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Employee
Stock Option
(right to 04/17/ 11/01/ 11/01/ Common
purchase) $1.063 2002 J(1) V 100,000 2001 2005 Stock 100,000 -0-
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Employee
Stock Option
(right to 04/17/ 01/12/ 01/12/ Common
purchase) $0.75 2002 J(1) V 10,000 2002 2006 Stock 10,000 -0-
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Explanation of Responses: (1) Pursuant to an agreement between the Reporting
Person and the Issuer, the options were rescinded.
/s/ RUSSELL L. FLEISCHER 07/09/2002
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Russell L. Fleischer Date
**Signature of Reporting Person
** Intentional misstatements or omissions of facts constitute Federal
Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually
signed. If space provided is insufficient, see Instruction 6
for procedures.