UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
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Information Statement Pursuant To Rules 13d-1 and 13d-2
Under the Securities Exchange Act of 1934
GOLF-TECHNOLOGY HOLDING, INC.
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(Name of Issuer)
COMMON STOCK
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(Title of Class of Securities)
381680107
(CUSIP Number)
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Check the following box if a fee is being paid with this statement. \ X \
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(A fee is not required only if the filing person: (1) has a previous statement
on file reporting beneficial ownership of more than five percent of the class of
securities described herein; and (2) has filed no amendment subsequent thereto
reporting beneficial ownership of five percent or less of such class.) (See Rule
13d-7.)
Page 1 of 5 pages
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SCHEDULE 13G
CUSIP NO. 381680107
1. NAME OF REPORTING PERSON S.S. OR IRS
IDENTIFICATION NO. OF ABOVE PERSON
Ernest R. Vadersen
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2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) \ \
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(b) \ \
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3. SEC USE ONLY
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4. CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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NUMBER OF 5. SOLE VOTING POWER 1,344,500
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SHARES
BENEFICIALLY 5. SHARED VOTING POWER -0-
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OWNED BY
EACH 7. SOLE DISPOSITIVE POWER 1,344,500
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REPORTING
PERSON WITH 8. SHARED DISPOSITIVE POWER -0-
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9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,344,500
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10. CHECK BOX IF THE AGGREGATE AMOUNT IN
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ROW 9 EXCLUDES CERTAIN SHARES* \ \
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11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
See Item 4
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12. TYPE OF REPORTING PERSON*
IN
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* SEE INSTRUCTIONS BEFORE FILLING OUT!
Page 2 of 5 pages
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Item 1(a). Name of Issuer:
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Golf-Technology Holding, Inc.
Item 1(b). Address of Issuer's Principal Executive Offices:
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13000 Sawgrass Village Circle, Suite 30, Ponte Vedra Beach,
Florida 32082
Item 2(a). Name of Person Filing:
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Ernest R. Vadersen
Item 2(b). Address of Principal Business Office:
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13000 Sawgrass Village Circle, Suite 30, Ponte Vedra Beach,
Florida 32082
Item 2(c). Citizenship:
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United States
Item 2(d). Title of Class of Securities:
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Common Stock
Item 2(e). CUSIP Number:
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381680107
Item 3. Type of Reporting Person:
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This statement is filed pursuant to Rule 13d-1(c).
Item 4. Ownership as of December 31, 1995:
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(a) Amount beneficially owned:
1,344,500
(b) Percent of class:
45.3%
(c) Number of shares to which such person has:
(i) sole power to vote or direct vote:
1,344,500
(ii) shared power to vote or direct vote:
0
Page 3 of 5 pages
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(iii) sole power to dispose or to direct the disposition of:
1,344,500
(iv) shared power to dispose or direct the disposition of:
0
Item 5. Ownership of Five Percent or Less of a Class.
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Not applicable.
Item 6. Ownership of More than Five Percent on Behalf of Another Person.
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Not applicable.
Item 7. Identification and Classification of the Subsidiary Which Acquired the
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Security Being Reported on by the Parent Holding Company.
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Not applicable.
Item 8. Identification and Classification of Members of the Group.
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Not applicable.
Item 9. Notice of Dissolution of Group.
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Not applicable.
Item 10. Certification.
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Not applicable.
Page 4 of 5 pages
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SIGNATURES
After reasonable inquiry and to the best of his knowledge and belief, the
undersigned certifies that the information set forth in this Statement is true,
complete and correct.
Date: June 17, 1996
GOLF-TECHNOLOGY HOLDING, INC.
By: /s/ Ernest R. Vadersen
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President and Chief Executive
Officer
Page 5 of 5 pages
