-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, KDSXrzIZipwgsxUBXXDKy/E2z9o+v8MQAmNQN6UkJBqVJzJBGIPGzFMfRFb94hZP EnIYTYOd1VRjypE8E8L4JQ== 0000891554-01-501399.txt : 20010316 0000891554-01-501399.hdr.sgml : 20010316 ACCESSION NUMBER: 0000891554-01-501399 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010315 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CTI INDUSTRIES CORP CENTRAL INDEX KEY: 0001042187 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS MANUFACTURING INDUSTRIES [3990] IRS NUMBER: 362848943 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-53657 FILM NUMBER: 1568647 BUSINESS ADDRESS: STREET 1: 22160 N PEPPER RD CITY: BARRINGTON STATE: IL ZIP: 60010 MAIL ADDRESS: STREET 1: 22160 N PEPPER RD CITY: BARRINGTON STATE: IL ZIP: 60010 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ROHLEN FRANCES ANN CENTRAL INDEX KEY: 0001056658 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 22160 N PEPPER ROAD CITY: BARRINGTON STATE: IL ZIP: 60010 BUSINESS PHONE: 8473821000 MAIL ADDRESS: STREET 1: 22160 N PEPPER ROAD CITY: BARRINGTON STATE: IL ZIP: 60010 SC 13G/A 1 d25089_13g-a.txt AMENDMENT NO. 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 4 )* CTI Industries Corporation (Name of Issuer) Common Stock, $.195 Par Value (Title of Class of Securities) 125961 30 0 (CUSIP Number) March 5, 2001 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: |_| Rule 13d-1(b) |X| Rule 13d-1(c) |_| Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP NO. 125961 30 0 13G Page 2 of 5 Pages - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Frances Ann Rohlen - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] (b) [_] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 51,170 SHARES ------------------------------------------------------ 6 SHARED VOTING POWER BENEFICIALLY 91,575 OWNED BY ------------------------------------------------------ EACH 7 SOLE DISPOSITIVE POWER REPORTING 51,170 PERSON ------------------------------------------------------ 8 SHARED DISPOSITIVE POWER WITH 91,575 - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 142,745** - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 15.3%** - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- ** 51,170 registered, publicly traded shares of the issuer's common stock owned by the reporting person (approximately 6% of all such publicly traded shares). CUSIP NO. 125961 30 0 13G Page 3 of 5 Pages ITEM 1. (a) Name of Issuer CTI Industries Corporation (b) Address of Issuer's Principal Executive Offices 22160 North Pepper Road Barrington, Illinois 60010 ITEM 2 (a) Name of Person Filing Frances Ann Rohlen (b) Address of principal Business Office or, if none, Residence 22160 North Pepper Road Barrington, Illinois 60010 (c) Citizenship United States (d) Title of Class of Securities Common Stock, $.195 Par Value (e) CUSIP Number 125961 30 0 ITEM 3 N/A ITEM 4 OWNERSHIP (a) Amount Beneficially Owned 142,745** (b) Percent of Class 15.3%** ** 51,170 registered, publicly trades shares of the issuer's common stock owned by the reporting person (approximately 6% of all such publicly traded shares). CUSIP NO. 125961 30 0 13G Page 4 of 5 Pages (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote 51,170 (ii) shared power to vote or to direct the vote 91,575 (iii) sole power to dispose or to direct the disposition of 51,170 (iv) shared power to dispose or to direct the disposition of 91,575 ITEM 5 OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. N/A ITEM 6 OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. N/A ITEM 7 IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. N/A ITEM 8 IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. N/A ITEM 9 NOTICE OF DISSOLUTION OF GROUP. N/A ITEM 10 CERTIFICATION. N/A CUSIP NO. 125961 30 0 13G Page 5 of 5 Pages SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. The filing of this statement shall not be construed as an admission that the undersigned is for the purpose of Section 13(d) or 13(g) of the Act, the beneficial owner of any securities covered by this statement. March 14, 2001 -------------------------- Date /s/ Frances Ann Rohlen ------------------------------------ Frances Ann Rohlen -----END PRIVACY-ENHANCED MESSAGE-----