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20240206_VINS_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31575262.pdf

Shareholder register Parsed VINS

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Page 1
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 Nomor Surat                             0004/VINS-XT/CORSEC/II/2024

 Nama Perusahaan                         PT Victoria Insurance Tbk.

 Kode Emiten                             VINS

 Papan Pencatatan                        Pengembangan

 Lampiran                                1

 Perihal                                 Laporan Bulanan Registrasi Pemegang Efek


Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Januari 2024
Sebagai Berikut :

Biro Administrasi Efek: PT. Adimitra Jasa Korpora




                                                                            Persen
                                                                                       Jumlah      Persen
                                                               Jumlah Saham Saham
                        Nama         Alamat        Jabatan                           Saham Bulan Saham Bulan Pengendali   Afiliasi
                                                                Sebelumnya Sebelumny
                                                                                         Ini         Ini
                                                                               a
                   PT Victoria Graha BIP, Jl                   1.065.546.895   72,95% 1.065.546.89    72,95%
                 Investama Tbk Gatot Subroto                                                     5               X
                                  kav.23
                   Masyarakat     Jakarta                        384.281.816   26,31% 384.281.816     26,31%


                     Aldo Jusuf      Jakarta                      10.744.905    0,74%   10.744.905     0,74%
                      Tjahaja

  Pemegang           Sulistijowati   Jakarta      Komisaris               0       0%            0        0%
 Saham > 5%
                     Vivekanand      Jakarta      Komisaris               0       0%            0        0%
                      Atmaram

                 Jimmy Paulus        Bogor        Komisaris               0       0%            0        0%
                   Watulingas
Page 2
                                                                           Persen
                                                                                      Jumlah      Persen
                                                              Jumlah Saham Saham
                Nama          Alamat          Jabatan                               Saham Bulan Saham Bulan Pengendali         Afiliasi
                                                               Sebelumnya Sebelumny
                                                                                        Ini         Ini
                                                                              a
               Suwandi    GRAHA BIP Lt.        Direksi                   0          0%              0       0%
               Suharto     3A, Jl. Gatot
                          Subroto Kav.23,
                            Kel. Karet
                          Semanggi, Kec.
                          Setiabudi, Jak-
                            Sel 12930
 Pemegang    Fatchurhuda, GRAHA BIP Lt.        Direksi                   0          0%              0       0%
                 Drs       3A, Jl. Gatot
Saham > 5%
                          Subroto Kav.23,
                            Kel. Karet
                          Semanggi, Kec.
                          Setiabudi, Jak-
                            Sel 12930
               Rosalina   GRAHA BIP Lt.        Direksi                   0          0%              0       0%
              Gunawan      3A, Jl. Gatot
                          Subroto Kav.23,
                            Kel. Karet
                          Semanggi, Kec.
                          Setiabudi, Jak-
                            Sel 12930
                                                         0        0%            0             0%
     Masyarakat - Warkat - Scrip

                                                          0       0%            0             0%
  Masyarakat - Non Warkat - Scripless

                                                         0         0%           0             0%
          Saham Treasury

                                            1.460.573.61        100% 1.460.573.61            100%
                Total                                  6                        6




                                                                          Persentase          Jumlah Saham (Bulan       Persentase(Bulan
             Nama                  Jumlah Saham (Sebelumnya)
                                                                         (Sebelumnya)                 Ini)                    Ini)
                                                         1,065,546,895              72.95%              1,065,546,895              72.95%
       Total Pengendali

                                                          395,026,721               27.05%                395,026,721              27.05%
    Total Non Pengendali
Page 3
Informasi Saham Free Float


                             Keterangan                             Bulan Sebelumnya           Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                            395.026.721             395.026.721
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               206.711.605             206.692.905
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                                                    188.315.116             188.333.816


Jumlah saham tercatat di Bursa per akhir bulan                            1.460.573.616           1.460.573.616


% Saham Free Float                                                               12,89                      12,89



Jumlah Pemegang Saham


         Bulan Sebelumnya                         Bulan Sekarang                   Perubahan

                                   966                             938                                     28



Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
         Nomor                                                     Nama

            1                                                  Suzanna Tanojo




Pengendali dari Pemegang Saham Pengendali dalam bentuk perseroan Terbatas



  Nomor                      Nama                                 Alamat                 Jumlah Saham

     1            PT Victoria Investama Tbk          Graha BIP Lantai 3A Jalan Jendral   1.065.546.895
                                                     Gatot Subroto Kavling 23 Jakarta



Demikian untuk diketahui.


Hormat Kami,
PT Victoria Insurance Tbk.




Suryadi

Direktur




PT Victoria Insurance Tbk.
GRAHA BIP Lt. 3A, Jl. Gatot Subroto Kav.23, Kel. Karet Semanggi, Kec. Setiabudi,
Telepon :        021-5099 2940, Fax :          021-5099 2941, www.victoriainsurance.



Nama Pengirim                       Suryadi

Jabatan                             Direktur
Tanggal dan Waktu                   06-02-2024 16:03
Page 5
Lampiran                         1. VINS - LAPORAN BULAN JANUARI 2024.pdf


 Dokumen ini merupakan dokumen resmi PT Victoria Insurance Tbk. yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Victoria Insurance Tbk. bertanggung jawab penuh
                                  atas informasi yang tertera didalam dokumen ini.
Page 6
 Go To Indonesian Page

 Letter / Announcement No.                   0004/VINS-XT/CORSEC/II/2024

 Issuer Name                                 PT Victoria Insurance Tbk.

 Issuer Code                                 VINS

 Listing Board                               Development

 Attachment                                  1

 Subject                                     Monthly Report of Securities Holders Registration

 The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 January
 2024 as follows:

 Security Administration Bureau: PT. Adimitra Jasa Korpora


                                                                    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 Victoria Graha BIP, Jl                         1,065,546,895    72.95% 1,065,546,89           72.95%
               Investama Tbk Gatot Subroto                                                            5                        X
                                kav.23
                 Masyarakat     Jakarta                              384,281,816    26.31% 384,281,816            26.31%


                 Aldo Jusuf          Jakarta                          10,744,905      0.74%      10,744,905        0.74%
                  Tjahaja

                 Sulistijowati       Jakarta         Komisaris                 0        0%               0            0%
  Share
Ownership >
   5%            Vivekanand          Jakarta         Komisaris                 0        0%               0            0%
                  Atmaram

               Jimmy Paulus          Bogor           Komisaris                 0        0%               0            0%
                 Watulingas

                  Suwandi        GRAHA BIP Lt.        Direksi                  0        0%               0            0%
                  Suharto         3A, Jl. Gatot
                                 Subroto Kav.23,
                                   Kel. Karet
                                 Semanggi, Kec.
                                 Setiabudi, Jak-
                                   Sel 12930
Page 7
                                                              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
              Fatchurhuda, GRAHA BIP Lt.      Direksi                    0         0%                 0           0%
                  Drs       3A, Jl. Gatot
                           Subroto Kav.23,
  Share                      Kel. Karet
Ownership >                Semanggi, Kec.
   5%                      Setiabudi, Jak-
                             Sel 12930
                Rosalina   GRAHA BIP Lt.      Direksi                    0         0%                 0           0%
               Gunawan      3A, Jl. Gatot
                           Subroto Kav.23,
                             Kel. Karet
                           Semanggi, Kec.
                           Setiabudi, Jak-
                             Sel 12930
                                                         0        0%              0             0%
       Masyarakat - Warkat - Scrip

                                                          0       0%              0             0%
    Masyarakat - Non Warkat - Scripless

                                                         0         0%             0             0%
              Saham Treasury

                                             1.460.573.61       100% 1.460.573.61              100%
                   Total                                6                       6




                                                                             Percentage         Number of Shares (This        Percentage (This
               Name                   Number of Shares (Previously)
                                                                             (Previous)                Month)                     Month)
                                                         1,065,546,895                72.95%                 1,065,546,895                 72.95%
         Total Controller

                                                          395,026,721                 27.05%                    395,026,721               27.05%
      Total Non-Controllers
Page 8
Free Float Share Information


                              Information                           Previous Month            This Month

 The number of scripless shares owned by shareholders is less
                                                                           395.026.721              395.026.721
 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                 206.711.605              206.692.905
 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                                            188.315.116             188.333.816

 The number of shares listed on the Exchange at the end of the
                                                                         1.460.573.616            1.460.573.616
 month

 % Free Float Share                                                             12,89                      12,89



Number of Shareholders


          Previous Month                             This Month                      Change


                                  966                             938                                      28


Final Beneficiaries of Share Ownership
Page 9
      Number                                                     Name

           1                                                 Suzanna Tanojo




Controlling from the Controlling Shareholder in the form of a Limited Liability Company



  Number                     Name                              Address                     Total Stock

     1              PT Victoria Investama Tbk     Graha BIP Lantai 3A Jalan Jendral       1,065,546,895
                                                  Gatot Subroto Kavling 23 Jakarta



Thus to be informed accordingly.


Respectfully,
PT Victoria Insurance Tbk.




Suryadi

Direktur




PT Victoria Insurance Tbk.
GRAHA BIP Lt. 3A, Jl. Gatot Subroto Kav.23, Kel. Karet Semanggi, Kec. Setiabudi,
Phone : 021-5099 2940, Fax :        021-5099 2941, www.victoriainsurance.co.id



Sender Name                         Suryadi

Function                            Direktur

Date and Time                       06-02-2024 16:03
Page 10
Attachment                          1. VINS - LAPORAN BULAN JANUARI 2024.pdf


  This is an official document of PT Victoria Insurance Tbk. that does not require a signature as it was generated
 electronically by the electronic reporting system. PT Victoria Insurance Tbk. is fully responsible for the information
                                            contained within this document.

File

File Open PDF
Source IDX
Size0.03 MB
Published6 Feb 2024
Pages10
Characters16,305
Text sourceEmbedded text layer
OCR confidence—

Names mentioned 15 people and organisations named in the text · linked when the evidence is strong

linked org Victoria Insurance Tbk. · Nama Perusahaan p.1 ×30
linked org Victoria Investama Tbk p.4 ×6
possible person Gatot Subroto p.1 ×4
possible — Suzanna Tanojo p.4 ×3
possible person Suryadi · Direktur p.4 ×2
possible — Sulistijowati · Komisaris p.6
possible — Suwandi · Direksi p.6
unresolved org PT. Adimitra Jasa Korpora · Biro Administrasi Efek p.1
unresolved org PT. Adimitra Jasa Korpora Persen p.1
unresolved org PT Victoria Graha BIP p.1 ×2
unresolved org Investama Tbk p.1 ×2
unresolved person Bogor · Komisaris p.1 ×2
unresolved — Jimmy Paulus · Komisaris p.6
unresolved — Rosalina · Direksi p.7
unresolved person Function · Direktur p.9

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 0.900 186 ms 12 Sep 2026 21:35
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '1460573616'},
                'treasury': {'pct': '0', 'shares': '0'},
                'under5_non_warkat': {'pct': '0', 'shares': '0'},
                'under5_warkat': {'pct': '0', 'shares': '0'}},
 'as_of_date': '2024-01-31',
 'checksum_ok': True,
 'checksum_parts': '1460573616',
 'holders': [{'address': 'Graha BIP, Jl Gatot Subroto',
              'category': 'FIVE_PCT',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'PT Victoria Investama Tbk',
              'page_no': 1,
              'pct': '72.95',
              'pct_prev': '72.95',
              'position': '',
              'seq': 0,
              'shares': '1065546895',
              'shares_prev': '1065546895'},
             {'address': 'kav.23 Jakarta',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Masyarakat',
              'page_no': 1,
              'pct': '26.31',
              'pct_prev': '26.31',
              'position': '',
              'seq': 1,
              'shares': '384281816',
              'shares_prev': '384281816'},
             {'address': 'Jakarta',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Aldo Jusuf Tjahaja',
              'page_no': 1,
              'pct': '0.74',
              'pct_prev': '0.74',
              'position': '',
              'seq': 2,
              'shares': '10744905',
              'shares_prev': '10744905'},
             {'address': 'Jakarta',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Sulistijowati',
              'page_no': 1,
              'pct': '0',
              'pct_prev': '0',
              'position': 'Komisaris',
              'seq': 3,
              'shares': '0',
              'shares_prev': '0'},
             {'address': 'Jakarta',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Vivekanand Atmaram',
              'page_no': 1,
              'pct': '0',
              'pct_prev': '0',
              'position': 'Komisaris',
              'seq': 4,
              'shares': '0',
              'shares_prev': '0'},
             {'address': 'Bogor',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Jimmy Paulus Watulingas',
              'page_no': 1,
              'pct': '0',
              'pct_prev': '0',
              'position': 'Komisaris',
              'seq': 5,
              'shares': '0',
              'shares_prev': '0'},
             {'address': 'GRAHA BIP Lt. 3A, Jl. Gatot Subroto Kav.23, Kel. '
                         'Karet',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Suwandi Suharto',
              'page_no': 2,
              'pct': '0',
              'pct_prev': '0',
              'position': 'Direksi',
              'seq': 6,
              'shares': '0',
              'shares_prev': '0'},
             {'address': 'Semanggi, Kec. Setiabudi, Jak- Sel 12930 GRAHA BIP '
                         'Lt. 3A, Jl. Gatot Subroto Kav.23, Kel. Karet',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Fatchurhuda, Drs',
              'page_no': 2,
              'pct': '0',
              'pct_prev': '0',
              'position': 'Direksi',
              'seq': 7,
              'shares': '0',
              'shares_prev': '0'},
             {'address': 'Semanggi, Kec. Setiabudi, Jak- Sel 12930 GRAHA BIP '
                         'Lt. 3A, Jl. Gatot',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Rosalina Gunawan',
              'page_no': 2,
              'pct': '0',
              'pct_prev': '0',
              'position': 'Direksi',
              'seq': 8,
              'shares': '0',
              'shares_prev': '0'}],
 'issuer_name': 'PT Victoria Insurance Tbk.',
 'issuer_ticker': 'VINS',
 'layout': 'EREP_COVER',
 'letter_number': '0004/VINS-XT/CORSEC/II/2024',
 'listing_board': 'Pengembangan',
 'period_label': 'Januari 2024',
 'registrar': 'PT. Adimitra Jasa Korpora',
 'total_shares': '1460573616'}
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