SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Johnson Eric

(Last) (First) (Middle)
408-229 YONGE STREET

(Street)
TORONTO A6 M5B 1N9

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/17/2009
3. Issuer Name and Ticker or Trading Symbol
PRIVATE MEDIA GROUP INC [ PRVT ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Non-voting Class A Preference Shares of Entruphema(1) 10/29/2009 10/29/2014 Common Stock 110,000 $0 D
Non-voting Class A Preference Shares of Entruphema(1) 10/29/2010 10/29/2014 Common Stock 10,000 $0 D
Non-voting Class A Preference Shares of Entruphema(1) 10/29/2011 10/29/2014 Common Stock 10,000 $0 D
Earnout Right(2) 12/31/2009 12/31/2012 Common Stock 5,834 $0 D
Earnout Right(2) 12/31/2010 12/31/2012 Common Stock 23,333 $0 D
Earnout Right(2) 12/31/2011 12/31/2012 Common Stock 23,333 $0 D
Earnout Right(2) 09/30/2012 12/31/2012 Common Stock 17,500 $0 D
Explanation of Responses:
1. Convertible into shares of the Issuer.
2. The Reporting Person has the right to acquire the Common Stock for no additional consideration, upon meeting certain EBITDA targets for Private Media Group, Inc.'s internet operations for the fourth quarter of 2009, the years ended December 31, 2010 and 2011 and the first three quarters of 2011. These rights have been granted to the Reporting Person pursuant to an Acquisition Agreement among Private Media Group, Inc., the Reporting Person and others, dated October 29, 2009.
Eric Johnson 05/11/2010
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** 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 is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.