0001577213-16-000004.txt : 20161230 0001577213-16-000004.hdr.sgml : 20161230 20161229194616 ACCESSION NUMBER: 0001577213-16-000004 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161230 DATE AS OF CHANGE: 20161229 EFFECTIVENESS DATE: 20161230 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-248890 FILM NUMBER: 162076162 BUSINESS ADDRESS: STREET 1: 16170 SW UPPER BOONES FERRY RD CITY: PORTLAND STATE: OR ZIP: 97224 BUSINESS PHONE: 503.209.5403 MAIL ADDRESS: STREET 1: 16170 SW UPPER BOONES FERRY RD CITY: PORTLAND STATE: OR ZIP: 97224 FORMER COMPANY: FORMER CONFORMED NAME: Jelloshotmaker, LLC DATE OF NAME CHANGE: 20130517 D/A 1 primary_doc.xml X0707 D/A LIVE 0001577213 FOOD & BEVERAGE INNOVATIONS, LLC 16170 SW UPPER BOONES FERRY RD PORTLAND OR OREGON 97224 888-491-3772 OREGON Jelloshotmaker, LLC Limited Liability Company true 2012 JEFF R. JETTON 16170 SW UPPER BOONES FERRY RD PORTLAND OR OREGON 97224 Executive Officer Director Promoter Manager TYLER L WILLIAMS 16170 SW UPPER BOONES FERRY RD PORTLAND OR OREGON 97224 Executive Officer Promoter Vice President-Business Development Manufacturing Decline to Disclose 06b true 0001577213-15-000002 2015-07-29 true true false 0 7500000 5062190 2437810 false 4 0 0 0 Excluding salaries paid to executive officers in the ordinary course of business. false FOOD & BEVERAGE INNOVATIONS, LLC Andrew S. Craig Andrew S. Craig VP/General Counsel 2016-12-28