0001577213-13-000005.txt : 20131216 0001577213-13-000005.hdr.sgml : 20131216 20131216151605 ACCESSION NUMBER: 0001577213-13-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131216 DATE AS OF CHANGE: 20131216 EFFECTIVENESS DATE: 20131216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FOOD & BEVERAGE INNOVATIONS, LLC CENTRAL INDEX KEY: 0001577213 IRS NUMBER: 462260592 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-208050 FILM NUMBER: 131278818 BUSINESS ADDRESS: STREET 1: 4815 SW MACADAM AVENUE CITY: PORTLAND STATE: OR ZIP: 97239 BUSINESS PHONE: 503.209.5403 MAIL ADDRESS: STREET 1: 4815 SW MACADAM AVENUE CITY: PORTLAND STATE: OR ZIP: 97239 FORMER COMPANY: FORMER CONFORMED NAME: Jelloshotmaker, LLC DATE OF NAME CHANGE: 20130517 D 1 primary_doc.xml X0707 D LIVE 0001577213 FOOD & BEVERAGE INNOVATIONS, LLC 4815 SW MACADAM AVENUE PORTLAND OR OREGON 97239 503.209.5403 OREGON Jelloshotmaker, LLC Limited Liability Company true 2012 Jeff Rock Jetton 4815 SW Macadam Avenue Portland OR OREGON 97239 Executive Officer Director Promoter Manager of Issuer Manufacturing Decline to Disclose 06b false 2013-11-20 false true true false 50000 200000 200000 0 false 3 0 0 0 true false FOOD & BEVERAGE INNOVATIONS, LLC /s/ Jeff Rock Jetton Jeff Rock Jetton Manager 2013-12-09