- Statement of Changes in Beneficial Ownership (4)
April 04 2011 - 5:31PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public
Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Rosar Curtis Allan
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2. Issuer Name
and
Ticker or Trading Symbol
Cardinal Ethanol LLC
[
NA
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
3587 WERNLE ROAD
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3. Date of Earliest Transaction
(MM/DD/YYYY)
4/1/2011
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(Street)
RICHMOND, IN 47374
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Limited Liablity Company Membership Units
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4/1/2011
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P
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4
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A
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$3625
(1)
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36
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D
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Limited Liablity Company Membership Units
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4/1/2011
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P
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6
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A
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$3710
(1)
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36
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D
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Limited Liablity Company Membership Units
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4/1/2011
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P
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10
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A
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$3500
(1)
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36
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D
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Limited Liablity Company Membership Units
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4/1/2011
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P
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10
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A
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$3500
(1)
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30
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I
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Units owned by Quad Investments of which Mr. Rosar is a principal.
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Limited Liablity Company Membership Units
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40
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I
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Held by Marian Rosar Irrevocable Trust
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Limited Liablity Company Membership Units
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40
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I
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Units held by Rosar Family, LP of which Mr. Rosar is a principal.
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Limited Liablity Company Membership Units
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100
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I
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Units held by Devco Realty of which Mr. Rosar is a principal.
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Limited Liablity Company Membership Units
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150
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I
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Units held by C. Allan Rosar IRA
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Limited Liablity Company Membership Units
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10
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I
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Units owned by Naomi C. Keeuper Revocable Living Trust
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Limited Liablity Company Membership Units
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10
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I
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Units owned by Carrie Seller Roth IRA
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Limited Liablity Company Membership Units
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10
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I
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Units held by Saron Rexing IRA
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Limited Liablity Company Membership Units
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20
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I
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Units held by Sarah Burnham Roth IRA
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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per unit
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Rosar Curtis Allan
3587 WERNLE ROAD
RICHMOND, IN 47374
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X
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Signatures
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/s/ Curtis A. Rosar
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4/1/2011
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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