0001577213-15-000002.txt : 20151007 0001577213-15-000002.hdr.sgml : 20151007 20151007134228 ACCESSION NUMBER: 0001577213-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151007 DATE AS OF CHANGE: 20151007 EFFECTIVENESS DATE: 20151007 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: 021-248890 FILM NUMBER: 151148525 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 696 McVEY AVENUE, SUITE 202 LAKE OSWEGO OR OREGON 97034 (503) 209-5403 OREGON Jelloshotmaker, LLC Limited Liability Company true 2012 JEFF R. JETTON 696 McVEY AVENUE, SUITE 202 LAKE OSWEGO OR OREGON 97034 Executive Officer Director Promoter Manufacturing Decline to Disclose 06b false 2015-07-29 false true false 0 7500000 3000000 4500000 false 2 0 0 0 false FOOD & BEVERAGE INNOVATIONS, LLC /s/ JEFF R. JETTON JEFF R. JETTON MANAGER 2015-10-07