0001577213-17-000001.txt : 20170502 0001577213-17-000001.hdr.sgml : 20170502 20170502112942 ACCESSION NUMBER: 0001577213-17-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170502 DATE AS OF CHANGE: 20170502 EFFECTIVENESS DATE: 20170502 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: 17803589 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 503.209.5403 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 0001577213-16-000004 2015-07-29 true true false 0 9500000 7398610 2101390 false 12 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 2017-05-01