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20240304_OMED_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31592530.pdf
Shareholder register Parsed OMEDSource file signed link, expires in 15 minutes
Extracted text 8
Page 1
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Nomor Surat 0007/PR-DIR-JMI/III/24
Nama Perusahaan PT Jayamas Medica Industri Tbk
Kode Emiten OMED
Papan Pencatatan Utama
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 29 Februari 2024
Sebagai Berikut :
Biro Administrasi Efek: PT. Datindo Entrycom
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
PT Intisumber Komplek Darmo 22.540.000.00 83,3% 22.540.000.0 83,3%
Hasilsempurn Park II Blok IV 0 00 X
no. 14-15,
Pemegang Surabaya
Saham > 5% Yacobus Komplek Darmo Komisaris 230.000.000 0,85% 230.000.000 0,85%
Jemmy Park II Blok IV X
no. 14-15,
Surabaya
Siane Komplek Darmo Komisaris 230.000.000 0,85% 230.000.000 0,85%
Soetanto Park II Blok IV X
no. 14-15,
Surabaya
0 0% 0 0%
Masyarakat - Warkat - Scrip
4.058.850.00 15% 4.058.850. 15%
Masyarakat - Non Warkat - Scripless 0 000
0 0% 0 0%
Saham Treasury
27.058.850.0 100% 27.058.850.0 100%
Total 00 00
Page 2
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
23,000,000,000 85% 23,000,000,000 85%
Total Pengendali
4,058,850,000 15% 4,058,850,000 15%
Total Non Pengendali
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
4.058.850.000 4.058.850.000
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
0 0
Komisaris kurang dari 5%
Jumlah saham scripless dimiliki oleh Pengendali kurang dari 5% 0 0
Jumlah saham scripless dimiliki oleh Afiliasi dari Pengendali 0 0
kurang dari 5%
Jumlah treasury stock scripless kurang dari 5% 0 0
Jumlah saham portofolio investasi dengan penerima manfaat
0 0
investor publik yang telah disetujui Bursa untuk diperhitungkan
sebagai Free Float
Jumlah saham Free Float 4.058.850.000 4.058.850.000
Jumlah saham tercatat di Bursa per akhir bulan 27.058.850.000 27.058.850.000
% Saham Free Float 15 15
Page 3
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
5.487 5.258 229
Penerima Manfaat Akhir dari Kepemilikan Saham
Nomor Nama
1 Yacobus Jemmy Hartanto
2 Siane Soetanto
Demikian untuk diketahui.
Hormat Kami,
PT Jayamas Medica Industri Tbk
Daniel Kurniawan
Head of Corporate Secretary and Investor Relation
PT Jayamas Medica Industri Tbk
Sebelah Selatan Jalan By Pass RT 05 / RW 01 Kelurahan Sidomojo, Kecamatan
Telepon : +62 31 8982349, Fax : , www.onemed.co.id
Nama Pengirim Daniel Kurniawan
Jabatan Head of Corporate Secretary and Investor Relation
Page 4
Tanggal dan Waktu 05-03-2024 10:11
Lampiran 1. OMED 29 FEBRUARI 2024.pdf
Dokumen ini merupakan dokumen resmi PT Jayamas Medica Industri Tbk yang tidak memerlukan tanda tangan
karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Jayamas Medica Industri Tbk bertanggung
jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 5
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Letter / Announcement No. 0007/PR-DIR-JMI/III/24
Issuer Name PT Jayamas Medica Industri Tbk
Issuer Code OMED
Listing Board Main
Attachment 1
Subject Monthly Report of Securities Holders Registration
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 29 February
2024 as follows:
Security Administration Bureau: PT. Datindo Entrycom
Number of Percent of Number of Percent of
Name Address Position Shares in Shares in Shares in Shares in Controller Affiliation
Previous Previous Current Current
PT Intisumber Komplek Darmo 22,540,000,00 83.3% 22,540,000,0 83.3%
Hasilsempurn Park II Blok IV 0 00 X
Share no. 14-15,
Ownership > Surabaya
5% Yacobus Komplek Darmo Komisaris 230,000,000 0.85% 230,000,000 0.85%
Jemmy Park II Blok IV X
no. 14-15,
Surabaya
Siane Komplek Darmo Komisaris 230,000,000 0.85% 230,000,000 0.85%
Soetanto Park II Blok IV X
no. 14-15,
Surabaya
0 0% 0 0%
Masyarakat - Warkat - Scrip
4.058.850.00 15% 4.058.850. 15%
Masyarakat - Non Warkat - Scripless 0 000
0 0% 0 0%
Saham Treasury
27.058.850.0 100% 27.058.850.0 100%
Total 00 00
Page 6
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
23,000,000,000 85% 23,000,000,000 85%
Total Controller
4,058,850,000 15% 4,058,850,000 15%
Total Non-Controllers
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
4.058.850.000 4.058.850.000
than 5%
The number of scripless shares owned by the Board of Directors
0 0
and Board of Commissioners is less than 5%
The number of scripless shares owned by the Controller is less
0 0
than 5%
The number of scripless shares owned by Affiliates of the 0 0
Controller is less than 5%
The amount of scripless treasury stock is less than 5% 0 0
Number of investment portfolio shares with public investor
0 0
beneficiaries that have been approved by the Exchange to be
counted as Free Float
The amount of Free Float Share 4.058.850.000 4.058.850.000
The number of shares listed on the Exchange at the end of the
27.058.850.000 27.058.850.000
month
% Free Float Share 15 15
Page 7
Number of Shareholders
Previous Month This Month Change
5.487 5.258 229
Final Beneficiaries of Share Ownership
Number Name
1 Yacobus Jemmy Hartanto
2 Siane Soetanto
Thus to be informed accordingly.
Respectfully,
PT Jayamas Medica Industri Tbk
Daniel Kurniawan
Head of Corporate Secretary and Investor Relation
PT Jayamas Medica Industri Tbk
Sebelah Selatan Jalan By Pass RT 05 / RW 01 Kelurahan Sidomojo, Kecamatan
Phone : +62 31 8982349, Fax : , www.onemed.co.id
Sender Name Daniel Kurniawan
Function Head of Corporate Secretary and Investor Relation
Page 8
Date and Time 05-03-2024 10:11
Attachment 1. OMED 29 FEBRUARI 2024.pdf
This is an official document of PT Jayamas Medica Industri Tbk that does not require a signature as it was
generated electronically by the electronic reporting system. PT Jayamas Medica Industri Tbk is fully responsible for
the information contained within this document.
Names mentioned 10 people and organisations named in the text · linked when the evidence is strong
unresolved
org
PT. Datindo Entrycom
· Biro Administrasi Efek
p.1
unresolved
org
PT. Datindo Entrycom Persen
p.1
unresolved
org
PT Intisumber
p.1 ×2
unresolved
person
Yacobus
· Komisaris
p.1
unresolved
person
Komplek Darmo
· Komisaris
p.1 ×2
unresolved
person
Daniel Kurniawan
· Head of Corporate Secretary and Investor Relation
p.3 ×3
unresolved
person
Darmo
· Komisaris
p.5
Extraction attempts how the parser did, and what it refused
Nothing structured was extracted from this document — the attempts below say why.
Rule parser
OK
confidence 0.900
227 ms
12 Sep 2026 23:06
Raw output
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'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '15', 'shares': '4058850000'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2024-02-29',
'checksum_ok': True,
'checksum_parts': '27058850000',
'holders': [{'address': 'Komplek Darmo Park II Blok IV no. 14-15,',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Intisumber Hasilsempurn',
'page_no': 1,
'pct': '83.3',
'pct_prev': '83.3',
'position': '',
'seq': 0,
'shares': '22540000000',
'shares_prev': '22540000000'},
{'address': 'Surabaya Komplek Darmo Park II Blok IV no. 14-15,',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Yacobus Jemmy',
'page_no': 1,
'pct': '0.85',
'pct_prev': '0.85',
'position': 'Komisaris',
'seq': 1,
'shares': '230000000',
'shares_prev': '230000000'},
{'address': 'Surabaya Komplek Darmo Park II Blok IV',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Siane Soetanto',
'page_no': 1,
'pct': '0.85',
'pct_prev': '0.85',
'position': 'Komisaris',
'seq': 2,
'shares': '230000000',
'shares_prev': '230000000'}],
'issuer_name': 'PT Jayamas Medica Industri Tbk',
'issuer_ticker': 'OMED',
'layout': 'EREP_COVER',
'letter_number': '0007/PR-DIR-JMI/III/24',
'listing_board': 'Utama',
'period_label': 'Februari 2024',
'registrar': 'PT. Datindo Entrycom',
'total_shares': '27058850000'}