U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
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
Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Clearwater Fund IV Ltd.
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(Last) (First) (Middle)
CITCO Building, Wickhams Cay, P.O. Box 662
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(Street)
Road Town, Tortola, British Virgin Islands
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
12/17/97
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Monterey Pasta Company - PSTA
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
[ ] Director [X] 10% Owner *
[ ] Officer (give title below) [ ] Other (specify below)
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* Clearwater Fund IV, Ltd. ("Clearwater Ltd.") and Clearwater Fund IV, LLC
("Clearwater LLC") constitute a "group" owning more than 10% of the
outstanding shares of Common Stock of the Issuer for purposes of Schedule
13(d) of the Securities Exchange Act of 1934, as amended, by virtue of the
fact that Clearwater Ltd. is wholly owned by Clearwater LLC.
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6. If Amendment, Date of Original (Month/Day/Year)
N/A
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Table I -- Non-Derivative Securities Beneficially Owned
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<TABLE>
<CAPTION>
3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr.5)
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<S> <C> <C> <C>
Common Stock, $0.001 par value per share 1,746,979 shares (D) N/A
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
Page 1 of 2
<PAGE>
Form 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
<CAPTION>
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5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4) Derivative
and Expiration Date --------------------------------- 4. Conver- Security:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
1. Title of Derivative Exer- tion of Derivative (I) Ownership
Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr. 5)
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<S> <C> <C> <C> <C> <C> <C> <C>
N/A
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</TABLE>
Explanation of Responses:
CLEARWATER FUND IV LTD.
/s/ A.P. de Groot March 17, 1998
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Name: A.P. de Groot Date
Title: President
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, See Instruction 6 for procedure.
