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