SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 10-C
REPORT BY ISSUER OF SECURITIES QUOTED ON NASDAQ
INTERDEALER QUOTATION SYSTEM
FILED PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 AND RULE 13a-17
OR 15d-17 THEREUNDER
CLUB CAR, INC.
(Exact name of issuer as specified in charter)
4152 Washington Road
Augusta, Georgia 30907
(Address of principal executive offices)
Issuer's telephone number, including area code: (706) 863-3000
I. CHANGE IN NUMBER OF SHARES OUTSTANDING
Indicate any change (increase or decrease) of five percent or more in the
number of shares outstanding:
1. Title of security: Common Stock, par value $.01 per share
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2. Number of shares outstanding before the change: 9,090,006
3. Number of shares outstanding after the change: 0
4. Effective date of change: March 17, 1995
5. Method of change: Specify method (such as merger, acquisition,
exchange, distribution, stock split, reverse split,
acquisition of stock for treasury, etc.): Merger
Give brief description of transaction: Pursuant to a stock tender offer
completed on March 8, 1995 by Clark Equipment Company ("Clark") and its
wholly-owned subsidiary, Clark Acquisition Sub, Inc., ("Purchaser"), Clark and
Purchaser acquired approximately 99.3% of the outstanding common stock of Club
Car, Inc. (the "Issuer"). Subsequently, Clark merged Purchaser into Issuer in
accordance with Section 253 of the General Corporation Law of the State of
Delaware (the "Delaware Law"). The shareholders of the Issuer who did not
tender their shares are entitled either to receive $25.00 per share (the same
consideration paid in the offer) or to exercise their appraisal rights in
accordance with Section 262 of the Delaware Law.
II. CHANGE IN NAME OF ISSUER
1. Name prior to change: N/A
2. Name after change: N/A
3. Effective date of charter amendment changing name: N/A
4. Date of shareholder approval of change, if required: N/A
Date: March 24, 1995
/s/ Eric A. Tyra
Vice President - Finance, Treasurer
and Chief Financial Officer
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