UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 5 )*
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
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NAME OF REPORTING PERSON
1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Frances Ann Rohlen
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
2 (a) [_]
(b) [_]
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SEC USE ONLY
3
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CITIZENSHIP OR PLACE OF ORGANIZATION
4
United States
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SOLE VOTING POWER
5
NUMBER OF 51,170
SHARES -------------------------------------------------
SHARED VOTING POWER
BENEFICIALLY 6
OWNED BY 91,575
--------------------------------------------------
EACH SOLE DISPOSITIVE POWER
7
REPORTING 51,170
PERSON ---------------------------------------------------
SHARED DISPOSITIVE POWER
WITH 8
91,575
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CUSIP NO. 125961 30 0 13G Page 3 of 7 Pages
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9
142,745**
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
10
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
11
15.3%**
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TYPE OF REPORTING PERSON*
12
IN
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** 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). Also represents 11.8% of total issued and outstanding voting stock
of the issuer.
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
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). Also represents 11.8% of total issued and outstanding voting stock
of the issuer.
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
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
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 1, 2002
-----------------------------
Date
/s/ Frances Ann Rohlen
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Frances Ann Rohlen