0001179110-13-010511.txt : 20130618 0001179110-13-010511.hdr.sgml : 20130618 20130618121140 ACCESSION NUMBER: 0001179110-13-010511 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130614 FILED AS OF DATE: 20130618 DATE AS OF CHANGE: 20130618 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CVSL INC. CENTRAL INDEX KEY: 0001403085 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-NONSTORE RETAILERS [5960] IRS NUMBER: 980534701 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2400 DALLAS PARKWAY STREET 2: SUITE 230 CITY: PLANO STATE: TX ZIP: 75093 BUSINESS PHONE: 972-398-7120 MAIL ADDRESS: STREET 1: 2400 DALLAS PARKWAY STREET 2: SUITE 230 CITY: PLANO STATE: TX ZIP: 75093 FORMER COMPANY: FORMER CONFORMED NAME: Computer Vision Systems Laboratories Corp. DATE OF NAME CHANGE: 20110714 FORMER COMPANY: FORMER CONFORMED NAME: CARDIO VASCULAR MEDICAL DEVICE CORP DATE OF NAME CHANGE: 20070613 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LONGABERGER TAMALA LYNNE CENTRAL INDEX KEY: 0001564213 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52818 FILM NUMBER: 13918730 MAIL ADDRESS: STREET 1: 2400 DALLAS PARKWAY STREET 2: SUITE 230 CITY: PLANO STATE: TX ZIP: 75093 4 1 edgar.xml FORM 4 - X0306 4 2013-06-14 0 0001403085 CVSL INC. CVSL 0001564213 LONGABERGER TAMALA LYNNE 2400 NORTH DALLAS PARKWAY, SUITE 230 PLANO TX 75093 1 0 0 0 Common Stock 2013-06-14 4 C 0 32500000 .2 A 32500000 I See footnote Convertible Subordinated Unsecured Promissory Note 0 2013-06-14 4 A 0 6564822 0 A 2013-06-14 2023-03-15 Common Stock 32500000 6564822 I See footnote Convertible Subordinated Unsecured Promissory Note 0 2013-06-14 4 C 0 6564822 0 D 2013-06-14 2013-03-15 Common Stock 32500000 0 I See footnote On June 14, 2013, CVSL Inc. (the "Company") converted that certain Convertible Subordinated Promissory Note, dated March 15, 2013, issued by the Company to The Tamala L. Longaberger Revocable Trust (the "Trust"), in the original principal amount of $6,500,000 (the "Note"), into 32,500,000 shares (the "Shares") of common stock of the Company (the "Conversion"). The Company issued the Note to the Trust in connection with the Trust's transfer to the Company of certain shares of capital stock of The Longaberger Company ("TLC"), pursuant to that certain Purchase Agreement, dated March 15, 2013, by and among the Company, TLC, Tamala L. Longaberger, individually and as trustee under the Trust, and certain other parties. The Note (i.e., all unpaid principal, and all accrued and unpaid interest, under the Note) converts into the Shares mandatorily upon the fulfillment of certain conditions to be effected by the Company (see footnote (4) below). Tamala L. Longaberger, as the sole trustee and beneficiary of the Trust, may be deemed the beneficial owner of the Shares. The Conversion is conditioned on the Company, upon action by its board of directors and shareholders, authorizing for issuance the number of shares of its common stock that are sufficient to effect the Conversion in full and the Company effecting the Conversion. By amendment to its Articles of Incorporation effective May 30, 2013, the number of authorized shares of common stock was increased to a number sufficient to effect the Conversion in full, and, on June 14, 2013, the Company effected the full conversion of the Note by notice to the Trust. The unpaid and unconverted principal, and all accrued and unpaid interest, under the Note is due and payable on March 15, 2023. /s/ Tamala L. Longaberger 2013-06-18