0001104659-12-084406.txt : 20121214 0001104659-12-084406.hdr.sgml : 20121214 20121214201442 ACCESSION NUMBER: 0001104659-12-084406 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121212 FILED AS OF DATE: 20121214 DATE AS OF CHANGE: 20121214 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Computer Vision Systems Laboratories Corp. CENTRAL INDEX KEY: 0001403085 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 980534701 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2400 NORTH DALLAS PARKWAY STREET 2: SUITE 230 CITY: PLANO STATE: TX ZIP: 75093 BUSINESS PHONE: 972-398-7100 MAIL ADDRESS: STREET 1: 2400 NORTH DALLAS PARKWAY STREET 2: SUITE 230 CITY: PLANO STATE: TX ZIP: 75093 FORMER COMPANY: FORMER CONFORMED NAME: CARDIO VASCULAR MEDICAL DEVICE CORP DATE OF NAME CHANGE: 20070613 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RICHMONT CAPITAL PARTNERS V LP CENTRAL INDEX KEY: 0001564544 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52818 FILM NUMBER: 121267113 BUSINESS ADDRESS: STREET 1: 2400 DALLAS PARKWAY STREET 2: SUITE 230 CITY: PLANO STATE: TX ZIP: 75093 BUSINESS PHONE: 972-398-7133 MAIL ADDRESS: STREET 1: 2400 DALLAS PARKWAY STREET 2: SUITE 230 CITY: PLANO STATE: TX ZIP: 75093 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RICHMONT STREET LLC CENTRAL INDEX KEY: 0001564738 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52818 FILM NUMBER: 121267112 BUSINESS ADDRESS: STREET 1: 2400 DALLAS PARKWAY STREET 2: SUITE 230 CITY: PLANO STATE: TX ZIP: 75093 BUSINESS PHONE: 972-398-7133 MAIL ADDRESS: STREET 1: 2400 DALLAS PARKWAY STREET 2: SUITE 230 CITY: PLANO STATE: TX ZIP: 75093 3 1 a3.xml 3 X0206 3 2012-12-12 0 0001403085 Computer Vision Systems Laboratories Corp. CVSL 0001564544 RICHMONT CAPITAL PARTNERS V LP 2400 NORTH DALLAS PARKWAY, SUITE 230 PLANO TX 75093 0 0 1 0 0001564738 RICHMONT STREET LLC 2400 NORTH DALLAS PARKWAY, SUITE 230 PLANO TX 75093 0 0 1 0 Convertible Subordinated Unsecured Promissory Note 0.33 Common Stock D The Convertible Subordinated Unsecured Promissory Note in the original principal amount of $20,000,000, bearing interest at the annual rate of 4% (the "Note"), was purchased by Richmont Capital Partners V LP (the "Partnership") from the issuer for $20,000,000. The outstanding principal amount of, and all accrued and unpaid interest on, the Note is mandatorily convertible into shares of the issuer's common stock within 15 days of the date that the shares of the issuer's common stock become available to the issuer for issuance. As of the date hereof, the issuer does not have sufficient authorized shares of common stock to issue to the Partnership upon such conversion of the Note. Rochon Capital Partners, Ltd., the holder of approximately 90% of the issuer's outstanding common stock, has agreed to surrender to the issuer the requisite number of shares of the issuer's common stock held by it to permit the full conversion of the Note. Those shares have not yet been surrendered, and no date for such surrender has been set. The full amount of the Note (including any and all accrued interest thereon, whether previously converted to principal as payment-in-kind interest or otherwise) will be converted into shares of the issuer's common stock at a price of $0.33 per share, except that the Note may not be converted into more than 64,000,000 shares of the issuer's common stock. This report is filed jointly by Rochon Capital Partners V LP and its sole general partner, Richmont Street LLC. Richmont Street LLC disclaims beneficial ownership in the reported securities except to the extent of its pecuniary interest therein. /s/ John Rochon Jr., President of Richmont Street LLC, as the General Partner of Richmont Capital Partners V LP 2012-12-14 /s/ John Rochon Jr., President of Richmont Street LLC 2012-12-14