SEC FORM 3

SEC FORM 3
SEC Form 3
UNITED STATES SECURITIES AND EXCHANGE
COMMISSION
FORM 3
OMB APPROVAL
OMB Number:
Washington, D.C. 20549
3235-0104
Estimated average burden
hours per response:
0.5
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
1. Name and Address of Reporting Person*
JOHNSON WILLIAM S
(Last)
(First)
2. Date of Event
Requiring Statement
(Month/Day/Year)
3. Issuer Name and Ticker or Trading Symbol
02/11/2015
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
CTS CORP
[ CTS ]
(Middle)
X
1142 WEST BEARDSLEY AVE.
Director
10% Owner
Officer (give
title below)
Other (specify
below)
5. If Amendment, Date of Original Filed
(Month/Day/Year)
6. Individual or Joint/Group Filing (Check
Applicable Line)
Form filed by One Reporting
X Person
Form filed by More than One
Reporting Person
(Street)
ELKHART IN
46514
(City)
(Zip)
(State)
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)
2. Amount of Securities
Beneficially Owned (Instr. 4)
3. Ownership
Form: Direct
(D) or Indirect
(I) (Instr. 5)
0
D
Common Shares
4. Nature of Indirect Beneficial
Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)
2. Date Exercisable and
Expiration Date
(Month/Day/Year)
3. Title and Amount of Securities
Underlying Derivative Security
(Instr. 4)
4.
5.
6. Nature of Indirect
Conversion Ownership Beneficial
or
Form:
Ownership (Instr.
Exercise
Direct (D) 5)
Amount Price of
or Indirect
or
Derivative
(I) (Instr.
Number Security
5)
of
Shares
Date
Expiration
Exercisable Date
Title
Explanation of Responses:
Remarks:
Exhibit 24 - Power of Attorney
/s/ Robert J. Patton, as
Attorney-in-Fact
02/20/2015
** 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 5
(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.
http://www.sec.gov/Archives/edgar/data/26058/000110465915012439/xslF345X02/a3.xml[1/18/2016 10:22:35 AM]
EX-24
2
ex-24.htm
EX-24
Exhibit 24
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and appoints Robert J. Patton and Ashish Agrawal, 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 l44 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/ William S. Johnson
Name: William S. Johnson
Date:
February 11, 2015
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