FORM 4
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. SEE Instruction 1(b).
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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
OMB APPROVAL
OMB NUMBER: 3235-0287
EXPIRES: September 30, 1998
ESTIMATED AVERAGE BURDEN
HOURS PER RESPONSE: 0.5
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1. Name and Address of Reporting Person
NICKLAUS, JACK W.
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(Last) (First) (Middle)
11780 U.S. HIGHWAY ONE
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(Street)
NORTH PALM BEACH FL 33408
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
GOLDEN BEAR GOLF, INC. - (JACK)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year 02/99
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
[X] Director [X] 10% Owner
[X] Officer (give title below) [ ] Other (specify below)
CHAIRMAN OF THE BOARD
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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
<TABLE>
<CAPTION>
TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
<S> <C> <C> <C> <C> <C> <C>
6. Ownership 7. Nature of
5. Amount of Securities Form: Indirect
1. Title of 2. Transaction 3. Transaction 4. Securities Acquired (A) Beneficially Owned Direct (D) or Beneficial
security Date Code or Disposed of (D) at End of Month Indirect (I) Ownership
(Instr. 3) (Month/Day/Year) (Instr. 8) (Instr. 3, 4, and 5) (Instr. 3 and 4) (Instr. 4) (Instr. 4)
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Code V Amount (A) or Price
(D)
CLASS A 10/30/98 J(1) 40,000 A $2.50 40,000 D
COMMON STOCK,
PAR VALUE
$.01 PER SHARE
CLASS A 12/31/98 J(1) 40,000 A $2.50 40,000 D
COMMON STOCK,
PAR VALUE
$.01 PER SHARE
CLASS A 12/31/98 J(1) 40,000 A $2.50 40,000 D
COMMON STOCK,
PAR VALUE
$.01 PER SHARE
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
*If the formis filed by more than one reporting person, SEE Instruction 4(b)(v).
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<TABLE>
<CAPTION>
TABLE II-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C>
5. Number of Derivative
Securities Acquired
1. Title of Derivative 2. Conversion or Exercise 3. Transaction Date 4. Transaction (A) or Disposed of (D)
Security (Instr. 3) Price of Derivative Security (Month/ Day/ Year) Code (Instr. 8) (Instr. 3, 4, and 5)
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Code V (A) (D)
</TABLE>
<TABLE>
<CAPTION>
TABLE II-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALY OWNED--(CONTINUED)
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C>
10. Ownership
Form of
7. Title and Derivative 11. Nature of
Amount of 8. Price of 9. Number of Security: Indirect
6. Date Exercisable Underlying Derivative Derivative Securities Direct (D) or Beneficial
and Expiration Date Securities Security Beneficially Owned at Indirect (I) Ownership
(Month/Day/Year) (Instr. 3 and 4) (Instr. 5) End of Month (Instr. 4) (Instr. 4) (Instr. 4)
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Amount
Date Expiration or Number
Exercisable Date Title of Shares
</TABLE>
Explanation of Responses:
(1) Jack W. Nicklaus acquired 40,000 shares of Class A Common Stock, par value
$.01 per share, from each of Thomas P. Hilsop, Jack P. Bates and Mark Hessemann
(an aggregate of 120,000 shares) in exchange for the extinguishment of three
separate $100,000 debts owed to Mr. Nicklaus by each of Messrs. Hilsop, Bates
and Hessemann. Accordingly, the price per share has been calculated at $2.50.
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/
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** Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, SEE Instruction 6 for procedure.
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
FORM 4
(Continuation Sheet)
Item 1. Name:
Item 2. Issuer:
Item 3. Social Security Number:
Item 4. Statement of Month of:
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Explanation of Responses:
Table 1:
Table 2:
THE FILING OF THIS STATEMENT SHALL NOT BE CONSTRUED AS AN ADMISSION THAT THE
REPORTING PERSON IS, FOR THE PURPOSES OF SECTION 16 OF THE SECURITIES EXCHANGE
ACT OF 1934, AS AMENDED, THE BENEFICIAL OWNER OF ANY EQUITY SECURITIES COVERED
BY THIS STATEMENT.
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