FORM
3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF
SECURITIES
Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act
of 1940
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OMB APPROVAL |
OMB Number: |
3235-0104 |
Expires: |
December 31, 2014 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person
*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/27/2021
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3. Issuer Name
and
Ticker or Trading Symbol
CTS CORP
[
CTS
]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
X |
Officer (give title below) |
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Other (specify below) |
Controller and PAO |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check
Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting
Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Common Stock
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3,156
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D
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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 Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of Responses: |
Remarks: |
EXHIBIT 24.1 POWER OF ATTORNEY |
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/s/ Scott D'Angelo, as Attorney-in-Fact |
04/29/2021 |
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** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person,
see
Instruction
4
(b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
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 Number. |
EXHIBIT 24.1 POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that the undersigned hereby
constitutes and appoints Ashish Agrawal and Scott D'Angelo
as the true and lawful attorney or attorneys-in-fact, with full
power of substitution and revocation, for the undersigned and in
the name, place and stead of the undersigned, in any and all
capacities, to execute, on behalf of the undersigned,
(1) any and all notices pursuant to Rule 144 under the Securities
Act of 1933 with respect to sales of common shares or other
securities of CTS Corporation, including, without limitation, all
notices of proposed sale on Form 144, and
(2) any and all statements or reports under Section 16 of the
Securities Exchange Act of 1934 with respect to the beneficial
ownership of common shares or other securities of CTS
Corporation, including, without limitation, all initial
statements of beneficial ownership on Form 3, all statements of
changes in beneficial ownership on Form 4, all annual statements
of beneficial ownership on Form 5 and all successor or similar
forms, to be filed with the Securities and Exchange Commission,
to execute any and all amendments or supplements to any such
notices, statements or reports, and to file the same, with all
exhibits thereto, and other documents in connection therewith,
with the Securities and Exchange Commission, granting to said
attorney or attorneys-in-fact, and each of them, full power and
authority to do so and perform each and every act and thing
requisite and necessary to be done in and about the premises
(including, without limitation, completing, executing, delivering
and filing a Form ID to apply for electronic filing codes), as
fully and to all intents and purposes as the undersigned might or
could do in person, and hereby ratifying and confirming all that
said attorney or attorneys-in-fact, or any of them, or their
substitute or substitutes, may lawfully do or cause to be done by
virtue hereof.
The undersigned acknowledges that the foregoing attorneys-in-
fact, and each of them, in serving in such capacity at the
request of the undersigned, are not assuming any of the
responsibilities of the undersigned to comply with Section 16 of
the Securities Exchange Act of 1934 or any other legal
requirement. This Power of Attorney shall remain in effect until
revoked in writing by the undersigned.
/s/Thomas Michael White ___________________
Name: Thomas Michael White
Date: 4/27/2021