CTIX is OTCQB. You are correct that CTIX is OTC, but, so are most ADR stocks. Some ADR's are on the higher exchanges, but, the vast majority are on OTC and do just fine. Nestlé's is one of them. In Reply to 'flourpower' CTIX isn't an ADR. It's one and only listing in the world is OTC. That's why it has 0% institutional ownership.