0001169232-05-000420.txt : 20120705 0001169232-05-000420.hdr.sgml : 20120704 20050203101721 ACCESSION NUMBER: 0001169232-05-000420 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050203 DATE AS OF CHANGE: 20050203 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CTI INDUSTRIES CORP CENTRAL INDEX KEY: 0001042187 STANDARD INDUSTRIAL CLASSIFICATION: FABRICATED RUBBER PRODUCTS, NEC [3060] IRS NUMBER: 362848943 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-53657 FILM NUMBER: 05571692 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 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: BUSINESS PHONE: 8473821000 MAIL ADDRESS: STREET 1: 22160 N PEPPER ROAD CITY: BARRINGTON STATE: IL ZIP: 60010 SC 13G/A 1 d62041_13g-a.txt AMENDMENT TO SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 8)* CTI Industries Corporation (Name of Issuer) Common Stock, No Par Value (Title of Class of Securities) 125961 30 0 (CUSIP Number) Check the follow box if a fee is being paid with this statement. |_| (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (see Rule 13d-7) *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 7 Pages -------------------------------------------------------------------------------- NAME OF REPORTING PERSON 1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Frances Ann Rohlen -------------------------------------------------------------------------------- CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* 2 (a) [_] (b) [_] -------------------------------------------------------------------------------- SEC USE ONLY 3 -------------------------------------------------------------------------------- CITIZENSHIP OR PLACE OF ORGANIZATION 4 United States -------------------------------------------------------------------------------- SOLE VOTING POWER 5 NUMBER OF SHARES ------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6 OWNED BY -------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7 REPORTING PERSON --------------------------------------------------- SHARED DISPOSITIVE POWER WITH 8 -------------------------------------------------------------------------------- CUSIP NO. 125961 30 0 13G Page 3 of 7 Pages AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 -------------------------------------------------------------------------------- CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 10 -------------------------------------------------------------------------------- PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 11 * LESS THAN 5% -------------------------------------------------------------------------------- TYPE OF REPORTING PERSON* 12 IN -------------------------------------------------------------------------------- CUSIP NO. 125961 30 0 13G Page 4 of 7 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, No Par Value (e) CUSIP Number 125961 30 0 ITEM 3 N/A ITEM 4 OWNERSHIP (a) Amount Beneficially Owned (b) Percent of Class * LESS THAN 5% CUSIP NO. 125961 30 0 13G Page 5 of 7 Pages (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote (ii) shared power to vote or to direct the vote (iii) sole power to dispose or to direct the disposition of (iv) shared power to dispose or to direct the disposition of ITEM 5 OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following |X|. 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 CUSIP NO. 125961 30 0 13G Page 6 of 7 Pages ITEM 10 CERTIFICATION. N/A CUSIP NO. 125961 30 0 13G Page 7 of 7 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. February 2, 2005 ----------------------------- Date /s/ Frances Ann Rohlen ----------------------------- Frances Ann Rohlen