FORM 3
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchanges 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
- --------------------------------------------------------------------------------
1. Name and Address of Reporting Person
BELLINGER, RICHARD P.
11780 U.S. Highway One
North Palm Beach, FL 33408
- --------------------------------------------------------------------------------
2. Date of Event Requiring Statement
08/01/96
- -------------------------------------------------------------------------------
3. IRS or Social Security Number of Reporting Person
- --------------------------------------------------------------------------------
4. Issuer Name and Ticker or Trading Symbol
Golden Bear Golf, Inc. (JACK)
- --------------------------------------------------------------------------------
5. Relationship of Reporting Person to Issuer
/X/ Director
/X/ Officer--President and Chief Executive Officer
/ / Other
- --------------------------------------------------------------------------------
6. If Amendment, Date of Original
- --------------------------------------------------------------------------------
<TABLE>
<CAPTION>
- ---------------------------------------------------------------------------------------------------
TABLE I - NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
3. Ownership Form:
2. Amount of Securities Direct (D) or 4. Nature of Indirect
1. Title of Security Beneficially Owned Indirect (I) Beneficial Ownership
- -------------------- ----------------------- ------------------ -----------------------
<S> <C> <C> <C>
Class A Common Stock 120,000 D
- ---------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
- ------------------------------------------------------------------------------------------------------------------------------------
TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
3. Title and Amount of Securities
2. Date Exercisable and Underlying Derivative Security
Expiration Date --------------------------------- 6. Nature of
1. Title of ------------------------ Amount or 4. Conversion Indirect
Derivative Date Expiration Number of or Exercise 5. Ownership Beneficial
Security Exercisable Date Title Shares Price of Form of Ownership
- -------------------- ----------- ---------- -------------------- --------- -------------- ------------ -------------
<S> <C> <C> <C> <C> <C> <C> <C>
Employee Stock Option
(right to buy) * 7/29/2006 Class A Common Stock 96,000 $16.00 D
- ------------------------------------------------------------------------------------------------------------------------------------
</TABLE>
Explanation of Responses:
* The Option becomes exercisable in 30% increments on July 29, 1997, July 29,
1998 and July 29, 1999 and in 5% increments on July 29, 2000 and July 29,
2001.
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/S/ RICHARD P. BELLINGER AUGUST 6, 1996
-------------------------------------- ------------------
**Signature of Reporting Person Date
