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- -------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION
FORM 3 WASHINGTON, D.C. 20549
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INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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
(Print or Type Responses) Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person 2. Date of Event Re- 4. Issuer Name and Ticker or Trading Symbol
quiring Statement
Edgewater Private Equity Fund, L.P. (Month/Day/Year)
(See Attachment)(1) Image Guided Technologies, Inc./IGTI
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(Last) (First) (Middle) 5. Relationship of Reporting Person(s) 6. If Amendment, Date
----------------------- to Issuer (Check all applicable) of Original
3. IRS or Social Se- Director X 10% Owner (Month/Day/Year)
curity Number of ---- ----
667 Grand Avenue, Suite 200 Reporting Person Officer (give Other (specify ---------------------
- ------------------------------------------------- (Voluntary) title below) below) 7. Individual or
(Street) ---- ---- Joint/Group Filing
(Check Applicable
Line)
--------------------------- Form filed by One
Reporting Person
---
Form filed by
More than One
X Reporting Person
Des Moines IA 50209 ---
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(City) (State) (Zip) TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial
(Instr. 4) Beneficially Owned Form: Direct Ownership (Instr. 5)
(Instr. 4) (D) or Indirect
(I) (Instr. 5)
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Common Stock, no par value 255,852 D
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. Page 1 of 3
(Print or Type Responses) SEC 1473 (7-96)
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FORM 3 (CONTINUED) TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE
SECURITIES)
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1. Title of Derivative Security 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of Indirect
(Instr. 4) cisable and Underlying Derivative Security sion or ship Beneficial
Expiration (Instr. 4) Exercise Form of Ownership
Date Price of Deriv- (Instr. 5)
(Month/Day/ Deri- ative
Year) vative Security:
-------------------------------------------------- Security Direct
Amount (D) or
Date Expir- of Indirect
Exer- ation Title Number (I)
cisable Date of
Shares (Instr. 5)
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Series A Preferred Stock (2) (2) Common Stock, 157,993 N/A D
no par value
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Explanation of Responses:
(1) The Reporting Person, a limited partnership, is serving as designated filer for its general partner, Gordon Management, Inc.
Please see attachment
(2) Will be converted, without payment of any conversion price, into 157,993 shares of the Company's no par value Common Stock
on the Closing Date of the Initial Public Offering.
EDGEWATER PRIVATE EQUITY FUND, L.P.
By: Gordon Management, Inc., its General Partner
/s/ JAMES A. GORDON
By: -------------------------------- October 9, 1996
**Intentional misstatements or omissions of facts constitute Federal James A. Gordon, President
Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
GORDON MANAGEMENT, INC.
By:
/s/ JAMES A. GORDON
------------------------------------- October 9, 1996
James A. Gordon, President
Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient,
see Instruction 6 for procedure.
Page 2 of 3
SEC 1473 (7-96)
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ATTACHMENT TO INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES OF
EDGEWATER PRIVATE EQUITY FUND, L.P.
Edgewater Private Equity Fund, L.P. has elected to serve as designated filer
for its General Partner, Gordon Management, Inc. Gordon Management, Inc. is
indirect beneficial owner of the 255,852 shares of no par value Common Stock,
and the 157,993 shares of no par value Common Stock underlying the Series A
Preferred Stock, of Image Guided Technologies, Inc. listed in the attached
Form 3. Gordon Management, Inc. disclaims beneficial ownership in those
shares exceeding its pecuniary interest. The address of Gordon Management,
Inc. is 667 Grand Avenue, Suite 200, Des Moines, IA 50209.
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