0001577213-17-000003.txt : 20171205 0001577213-17-000003.hdr.sgml : 20171205 20171205151641 ACCESSION NUMBER: 0001577213-17-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171205 DATE AS OF CHANGE: 20171205 EFFECTIVENESS DATE: 20171205 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: 021-300093 FILM NUMBER: 171239510 BUSINESS ADDRESS: STREET 1: 16100 SW 72ND AVENUE CITY: PORTLAND STATE: OR ZIP: 97224 BUSINESS PHONE: 888-491-3772 MAIL ADDRESS: STREET 1: 16100 SW 72ND AVENUE CITY: PORTLAND STATE: OR ZIP: 97224 FORMER COMPANY: FORMER CONFORMED NAME: Jelloshotmaker, LLC DATE OF NAME CHANGE: 20130517 D 1 primary_doc.xml X0708 D LIVE 0001577213 FOOD & BEVERAGE INNOVATIONS, LLC 16100 SW 72ND AVENUE PORTLAND OR OREGON 97224 888-491-3772 OREGON Jelloshotmaker, LLC Limited Liability Company true JEFFREY R. JETTON 16100 SW 72ND AVENUE PORTLAND OR OREGON 97224 Executive Officer Director MANAGER AND PRESIDENT JAMES PATRICELLI 16100 SW 72ND AVENUE PORTLAND OR OREGON 97224 Executive Officer VICE PRESIDENT TYLER L. WILLIAMS 16100 SW 72ND AVENUE PORTLAND OR OREGON 97224 Executive Officer VICE PRESIDENT - BUSINESS DEVELOPMENT STAN A. LEVITSKY 16100 SW 72ND AVENUE PORTLAND OR OREGON 97224 Executive Officer VICE PRESIDENT - OPERATIONS AND PRODUCT DEVELOPMENT ANDREW S. CRAIG 16100 SW 72ND AVENUE PORTLAND OR OREGON 97224 Executive Officer VICE PRESIDENT AND GENERAL COUNSEL Manufacturing Decline to Disclose 06b false true false true true false 0 5000000 0 5000000 false 0 0 0 0 true 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 2017-12-04