<PAGE>
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
Shoe Pavilion, Inc.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
824894109
(CUSIP Number)
(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 person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required in the remainder of this cover 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 under the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).
Page 1 of 4 Pages
<PAGE>
13G
CUSIP NO. 824894109 Page 2 of 4 Pages
- --------------------------------------------------------------------------------
1 NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Jack Roth
- --------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [ ]
(b) [ ]
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION United States
- --------------------------------------------------------------------------------
NUMBER OF 5 SOLE VOTING POWER 318,360 shares
SHARES ----------------------------------------------------------------
BENEFICIALLY 6 SHARED VOTING POWER -0- shares
OWNED BY ----------------------------------------------------------------
EACH 7 SOLE DISPOSITIVE POWER 276,400 shares
REPORTING ----------------------------------------------------------------
PERSON WITH 8 SHARED DISPOSITIVE POWER 114,030 shares
- --------------------------------------------------------------------------------
9 AGGREGATE AMOUNTS BENEFICIALLY OWNED BY EACH REPORTING PERSON
390,430 shares
- --------------------------------------------------------------------------------
10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ]
- --------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNTS IN ROW (9) 5.7%
- --------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
IN
- --------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
Page 2 of 4 Pages
<PAGE>
ITEM 1.
(a) Name of Issuer: Shoe Pavilion, Inc.
(b) Address of Issuer's Principal Executive Offices:
3200 Regatta Boulevard
Richmond, California 94804
ITEM 2.
(a) Name of Person Filing: Jack Roth
(b) Address of Principal Business Offices or, if none, Residence:
1801 Century Park East
Los Angeles, California 90067
(c) Citizenship: United States
(d) Title of Class of Securities: Common Stock
(e) CUSIP Number: 824894109
ITEM 3. If this statement is filed pursuant to (S)(S) 240.13d-1(b) or
240.13d-2(b) or (c), check whether the person filing is a:
Not applicable
ITEM 4. OWNERSHIP
(a) Amount beneficially owned: 390,430 shares
(b) Percentage of Class: 5.7%
(c) Number of shares as to which the person has
(i) Sole power to vote or direct the vote: 318,630 shares
(ii) Shared power to vote or to direct the vote: -0- shares
(iii) Sole power to dispose or to direct the disposition of:
276,400 shares
(iv) Shared power to dispose or to direct the disposition of:
114,030 shares
Page 3 of 4 Pages
<PAGE>
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF CLASS
Not applicable
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON
Other persons have the right to receive or the power to direct the receipt
of dividends from, or the proceeds from the sale of, 114,030 shares of the
securities referred to herein.
ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE
SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY
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 I certify that, to the best of my 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.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify
that the information set forth in this statement is true, complete and correct.
Date: May 11, 2000
/s/ Jack Roth
-------------
JACK ROTH
Page 4 of 4 Pages
