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OMB APPROVAL
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OMB Number 3235-0287
Expires: December 31, 2005
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
Ford Dale Keith
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(Last) (First) (Middle)
2801 East Plano Parkway
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(Street)
Plano TX 75074
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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 Identification Number of Reporting Person, if an entity (Voluntary)
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4. Statement for Month/Day/Year
02/14/2003
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5. If Amendment, Date of Original (Month/Day/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
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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.
2A. 4. 5. Owner-
2. Deemed Securities Acquired (A) or Amount of ship
Trans- Execution 3. Disposed of (D) Securities Form: 7. Nature
action Date, if Transaction (Instr. 3, 4 and 5) Beneficially Direct of Indirect
Date any Code --------------------------- Owned at End (D) or Beneficial
1. (Month/ (Month/ (Instr. 8) (A) of Month Indirect Ownership
Title of Security Day/ Day/ ------------ Amount or Price (Instr. 3 (I) (Instr.
(Instr. 3) Year Year) 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- 3A. 4. Securities Date Securities Price Bene- ity: In-
cise 3. Deemed Trans- Acquired (A) Exercisable and Instr. 3 and 4) of ficially Direct direct
Price Trans- Execution action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Date, if Code of (D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date any (Instr. (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ Day/ ------- ---------------- Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Year Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Employee
Stock Options
(right to 02/14/ 02/14 Common
purchase) $0.01 2003 A 100,000 (1) 2013 Stock 100,000 100,000 D
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Explanation of Responses:
(1) The Options vest as follows: 25,000 options vest on January 2, 2004,
25,000 options vest on January 2, 2005, 25,000 options vest on January
2, 2006, and the remaining 25,000 options vest on January 2, 2007.
/s/ KEITH FORD 02/17/2003
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**Signature of Reporting Person Date
** 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.