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20240206_FORU_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31575274.pdf

Shareholder register Parsed FORU

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Page 1
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 Nomor Surat                          007/FORU-CS/II/2024

 Nama Perusahaan                      Fortune Indonesia Tbk

 Kode Emiten                          FORU

 Papan Pencatatan                     Pengembangan

 Lampiran                             0

 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. Sinartama Gunita




                                                                            Persen
                                                                                       Jumlah      Persen
                                                               Jumlah Saham Saham
                     Nama       Alamat           Jabatan                             Saham Bulan Saham Bulan Pengendali   Afiliasi
                                                                Sebelumnya Sebelumny
                                                                                         Ini         Ini
                                                                               a
               KARYA      MENARA                                415.222.000     89,25% 415.222.000    89,25%
            CITRA PRIMA RAJAWALI LT                                                                              X
  Pemegang              27 JL DR IDE
 Saham > 5%             ANAK AGUNG
                        GDE AGUNG
                          LOT #5.1
                           MEGA
                         KUNINGAN
                          JAKARTA
                          SELATAN
                                                           0       0%             0         0%
        Masyarakat - Warkat - Scrip

                                                50.002.000      10,75%   50.002.000     10,75%
    Masyarakat - Non Warkat - Scripless

                                                           0       0%             0         0%
              Saham Treasury

                                               465.224.000       100%    465.224.000      100%
                     Total
Page 2
                                                                         Persentase       Jumlah Saham (Bulan      Persentase(Bulan
             Nama                     Jumlah Saham (Sebelumnya)
                                                                        (Sebelumnya)              Ini)                   Ini)
                                                          415,222,000           89.25%               415,222,000             89.25%
        Total Pengendali

                                                          50,002,000            10.75%                50,002,000             10.75%
     Total Non Pengendali




Informasi Saham Free Float


                             Keterangan                                  Bulan Sebelumnya              Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                                   50.002.000                 50.002.000
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                                                          50.002.000                 50.002.000


Jumlah saham tercatat di Bursa per akhir bulan                                   465.224.000                465.224.000


% Saham Free Float                                                                       10,75                     10,75
Page 3
Jumlah Pemegang Saham


            Bulan Sebelumnya                   Bulan Sekarang             Perubahan


                               1.673                             1.648                25



Penerima Manfaat Akhir dari Kepemilikan Saham


      Nomor                                                     Nama

          1                                               Peter Sondakh




Demikian untuk diketahui.


Hormat Kami,
Fortune Indonesia Tbk




Sari Dewi

Sekretaris Perusahaan




Fortune Indonesia Tbk
Gedung Galaktika
Telepon : 782-7989, Fax : 7884-7524, www.foru.co.id



Nama Pengirim                     Sari Dewi

Jabatan                           Sekretaris Perusahaan
Tanggal dan Waktu                 06-02-2024 14:21
Page 4
   Dokumen ini merupakan dokumen resmi Fortune Indonesia Tbk yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. Fortune Indonesia Tbk bertanggung jawab penuh atas
                                     informasi yang tertera didalam dokumen ini.
Page 5
 Go To Indonesian Page

 Letter / Announcement No.             007/FORU-CS/II/2024

 Issuer Name                           Fortune Indonesia Tbk

 Issuer Code                           FORU

 Listing Board                         Development

 Attachment                            0

 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. Sinartama Gunita


                                                               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
                   KARYA      MENARA                           415,222,000    89.25% 415,222,000        89.25%
  Share     CITRA PRIMA RAJAWALI LT                                                                                  X
Ownership >             27 JL DR IDE
   5%                   ANAK  AGUNG
                             GDE AGUNG
                               LOT #5.1
                                MEGA
                              KUNINGAN
                               JAKARTA
                               SELATAN
                                                           0      0%             0            0%
         Masyarakat - Warkat - Scrip

                                                 50.002.000    10,75%    50.002.000        10,75%
     Masyarakat - Non Warkat - Scripless

                                                           0       0%             0            0%
               Saham Treasury

                                               465.224.000      100%    465.224.000          100%
                     Total
Page 6
                                                                        Percentage       Number of Shares (This    Percentage (This
              Name                   Number of Shares (Previously)
                                                                        (Previous)              Month)                 Month)
                                                          415,222,000          89.25%                415,222,000             89.25%
         Total Controller

                                                          50,002,000           10.75%                 50,002,000             10.75%
      Total Non-Controllers




Free Float Share Information


                              Information                                Previous Month               This Month

 The number of scripless shares owned by shareholders is less
                                                                                     50.002.000               50.002.000
 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                                                      50.002.000               50.002.000

 The number of shares listed on the Exchange at the end of the
                                                                                465.224.000                 465.224.000
 month

 % Free Float Share                                                                      10,75                     10,75
Page 7
Number of Shareholders


            Previous Month                          This Month               Change


                               1.673                                1.648             25


Final Beneficiaries of Share Ownership


      Number                                                     Name

           1                                                 Peter Sondakh




Thus to be informed accordingly.


Respectfully,
Fortune Indonesia Tbk




Sari Dewi

Sekretaris Perusahaan




Fortune Indonesia Tbk
Gedung Galaktika
Phone : 782-7989, Fax : 7884-7524, www.foru.co.id



Sender Name                        Sari Dewi

Function                           Sekretaris Perusahaan

Date and Time                      06-02-2024 14:21
Page 8
 This is an official document of Fortune Indonesia Tbk that does not require a signature as it was generated
electronically by the electronic reporting system. Fortune Indonesia Tbk is fully responsible for the information
                                         contained within this document.

File

File Open PDF
Source IDX
Size0.02 MB
Published6 Feb 2024
Pages8
Characters10,862
Text sourceEmbedded text layer
OCR confidence—

Names mentioned 4 people and organisations named in the text · linked when the evidence is strong

linked org Fortune Indonesia Tbk · Nama Perusahaan p.1 ×18
possible org Sari Dewi · Sekretaris Perusahaan p.3 ×7
unresolved org KARYA · 415.222.000 p.1
unresolved — Peter Sondakh p.3 ×2

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 0.900 202 ms 12 Sep 2026 21:35
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '465224000'},
                'treasury': {'pct': '0', 'shares': '0'},
                'under5_non_warkat': {'pct': '10.75', 'shares': '50002000'},
                'under5_warkat': {'pct': '0', 'shares': '0'}},
 'as_of_date': '2024-01-31',
 'checksum_ok': True,
 'checksum_parts': '465224000',
 'holders': [{'address': 'MENARA RAJAWALI LT',
              'category': 'FIVE_PCT',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'KARYA CITRA PRIMA',
              'page_no': 1,
              'pct': '89.25',
              'pct_prev': '89.25',
              'position': '',
              'seq': 0,
              'shares': '415222000',
              'shares_prev': '415222000'}],
 'issuer_name': 'Fortune Indonesia Tbk',
 'issuer_ticker': 'FORU',
 'layout': 'EREP_COVER',
 'letter_number': '007/FORU-CS/II/2024',
 'listing_board': 'Pengembangan',
 'period_label': 'Januari 2024',
 'registrar': 'PT. Sinartama Gunita',
 'total_shares': '465224000'}
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