0001577213-14-000001.txt : 20140611 0001577213-14-000001.hdr.sgml : 20140611 20140610181800 ACCESSION NUMBER: 0001577213-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140611 DATE AS OF CHANGE: 20140610 EFFECTIVENESS DATE: 20140611 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: 021-218915 FILM NUMBER: 14903161 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 LAURIE MOULTON 4815 SW MACADAM AVENUE PORTLAND OR OREGON 97239 Executive Officer Manufacturing Decline to Disclose 06b false 2014-06-09 false true false 0 5000000 928668 4071332 false 4 0 0 0 false FOOD & BEVERAGE INNOVATIONS, LLC /s/ Jeff Rock Jetton Jeff Rock Jetton Manager 2014-06-10