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
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1. Name and Address of Reporting Person*
RICHMONT CAPITAL PARTNERS V LP

(Last) (First) (Middle)
2400 NORTH DALLAS PARKWAY, SUITE 230

(Street)
PLANO TX 75093

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/12/2012
3. Issuer Name and Ticker or Trading Symbol
Computer Vision Systems Laboratories Corp. [ CVSL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 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)
Form filed by One Reporting Person
X 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
Convertible Subordinated Unsecured Promissory Note (1)(2) (1)(2) Common Stock (3) $0.33 D
1. Name and Address of Reporting Person*
RICHMONT CAPITAL PARTNERS V LP

(Last) (First) (Middle)
2400 NORTH DALLAS PARKWAY, SUITE 230

(Street)
PLANO TX 75093

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
RICHMONT STREET LLC

(Last) (First) (Middle)
2400 NORTH DALLAS PARKWAY, SUITE 230

(Street)
PLANO TX 75093

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. 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.
2. 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.
3. 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.
Remarks:
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 12/14/2012
/s/ John Rochon Jr., President of Richmont Street LLC 12/14/2012
** 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).
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