0001538364-11-000001.txt : 20111230
0001538364-11-000001.hdr.sgml : 20111230
20111230105315
ACCESSION NUMBER: 0001538364-11-000001
CONFORMED SUBMISSION TYPE: SC 13G
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20111230
DATE AS OF CHANGE: 20111230
FILED BY:
COMPANY DATA:
COMPANY CONFORMED NAME: CROCKETT JOHN N
CENTRAL INDEX KEY: 0001538364
FILING VALUES:
FORM TYPE: SC 13G
MAIL ADDRESS:
STREET 1: 288 SEIK ROAD
CITY: WASHINGTON
STATE: WV
ZIP: 15301
SUBJECT COMPANY:
COMPANY DATA:
COMPANY CONFORMED NAME: Convenience TV Inc.
CENTRAL INDEX KEY: 0001454719
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE AGENTS & MANAGERS (FOR OTHERS) [6531]
IRS NUMBER: 300518293
STATE OF INCORPORATION: NV
FISCAL YEAR END: 0331
FILING VALUES:
FORM TYPE: SC 13G
SEC ACT: 1934 Act
SEC FILE NUMBER: 005-86532
FILM NUMBER: 111288214
BUSINESS ADDRESS:
STREET 1: 248 MAIN STREET
CITY: VENICE
STATE: CA
ZIP: 90291
BUSINESS PHONE: 877-943-3210
MAIL ADDRESS:
STREET 1: 248 MAIN STREET
CITY: VENICE
STATE: CA
ZIP: 90291
FORMER COMPANY:
FORMER CONFORMED NAME: Costa Rica Paradise Inc.
DATE OF NAME CHANGE: 20090123
SC 13G
1
Crockett_13g.txt
SCHEDULE 13G FOR JOHN N. CROCKETT
SC 13G 1 v244047
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON D.C. 20549
SCHEDULE 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO SECTION
240.13d-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO
SECTION 240.13d-2
(Amendment No. ___)*
CONVENIENCE TV INC.
(Name of Issuer)
Common Stock, par value $.00001
(Title of Class of Securities)
212464101
(CUSIP Number)
December 22, 2011
(Date of Event which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
[ ] Rule 13d-1(b)
[X] Rule 13d-1(c)
[ ] Rule 13d-1(d)
*The remainder of this cover page shall be filled out for a reporting persons
initial filing on this form with respect to the subject class of securities,
and for any subsequent amendment containing information which would alter
disclosures provided in a prior cover page.
The information required on the remainder of this cover page shall not be
deemed to be filed for the purpose of Section 18 of the Securities Exchange
Act of 1934 (Act) or otherwise subject to the liabilities of that section
of the Act but shall be subject to all other provisions of the Act (however,
see the Notes).
1. NAMES OF REPORTING PERSONS
John N. Crockett
2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) [ ]
(b) [ ]
3. SEC USE ONLY
4. CITIZENSHIP OR PLACE OF ORGANIZATION
Pennsylvania
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:
5. SOLE VOTING POWER
4,212,499
6. SHARED VOTING POWER
7. SOLE DISPOSITIVE POWER
4,212,499
8. SHARED DISPOSITIVE POWER
9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
4,212,499
10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
[ ]
11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
5.1%
12. TYPE OF REPORTING PERSON
IN
This report reflects the shares of Common Stock (as defined below) beneficially
owned by the Reporting Person (as defined below) as of December 30, 2011.
ITEM 1(a). Name of Issuer:
Convenience TV Inc.
Item 1(b). Address of Issuer Principal Executive Offices:
248 Main Street, Venice, California
Item 2(a). Name of Person Filing:
John N. Crockett
Item 2(b). Address of Principal Business Office or, if None, Residence:
288 Seik Road, Washington, Pennsylvania 15301.
Item 2(c). Citizenship:
Pennsylvania
Item 2(d). Title of Class of Securities
Common Stock, $.00001 par value
Item 2(e). CUSIP Number: 212464101
Item 3. If This Statement is Filed Pursuant to Rule 13d-1(b), or
13d-2(b) or (c), Check Whether the Person Filing is a:
(a) [ ] Broker or dealer registered under Section 15 of the Exchange Act.
(b) [ ] Bank as defined in Section 3(a)(6) of the Exchange Act.
(c) [ ] Insurance company defined in Section 3(a)(19) of the Exchange Act.
(d) [ ] Investment company registered under Section 8 of the Investment
Company Act.
(e) [ ] An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E).
(f) [ ] An employee benefit plan or endowment fund in accordance with
Rule 13d-1(b)(1)(ii)(F).
(g) [ ] A parent holding company or control person in accordance with
Rule 13d-1(b)(1)(ii)(G).
(h) [ ] A savings association as defined in Section 3(b) of the Federal
Deposit Insurance Act.
(i) [ ] A church plan that is excluded from the definition of an investment
company under Section 3(c)(14) of the Investment Company Act;
(j) [ ] A non-U.S. institution in accordance with Rule 13d-1(b)(1)(ii)(J);
(k) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(K).
If filing as a non-U.S. institution in accordance with Rule 13d-1(b)(1)(ii)(J),
please specify the type of institution:________________________
Item 4. Ownership.
Provide the following information regarding the aggregate number and
percentage of the class of securities of the issuer identified in Item 1.
(a) Amount beneficially owned:
The Reporting Person beneficially owns 4,212,499 shares of Common Stock.
(b) Percent of class:
The Reporting Person has beneficial ownership of 5.1% of
the outstanding shares of Common Stock.
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote
4,212,499
(ii) Shared power to vote or to direct the vote
Not applicable.
(iii) Sole power to dispose or to direct the disposition of
4,212,499
(iv) Shared power to dispose or to direct the disposition of
Not applicable.
Item 5. Ownership of Five Percent or Less of a Class.
If this statement is being filed to report the fact that as of the date hereof
the Reporting Person has ceased to be the beneficial owner of more than five
percent of the class of securities, check the following [ ].
Item 6. Ownership of More than Five Percent on Behalf of Another Person.
The shares identified in Item 4 include shares beneficially owned
by THE WIFE OF Mr. Crockett (while Mr. Crockett disclaims beneficial ownership
of shares held by his wife, her powers to vote or dispose of securities
are treated as if they belonged to Mr. Crockett for purposes of this statement).
Item 7. Identification and Classification of the Subsidiary Which Acquired
the Security Being Reported on by the Parent Holding Company or Control Person.
Not applicable.
Item 8. Identification and Classification of Members of the Group.
Not applicable.
Item 9. Notice of Dissolution of Group.
Not applicable.
Item 10. Certification.
By signing below the undersigned certifies that, to the best of its knowledge
and belief, the securities referred to above were not acquired and are not held
for the purpose of or with the effect of changing or influencing the control of
the issuer of the securities and were not acquired and are not held in
connection with or as a participant in any transaction having that purpose or
effect, other than activities solely in connection with a nomination under
Section 240.14a-11.
SIGNATURES
After reasonable inquiry and to the best of its knowledge and belief, I certify
that the information set forth in this statement is true, complete, and correct.
Dated: December 29, 2011
By: /s/ John N. Crockett
John N. Crockett