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20240116_BOLA_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31569195.pdf
Shareholder register Parsed BOLASource file signed link, expires in 15 minutes
Extracted text 10
Page 1
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Nomor Surat BBS/001R-CS/XII/IDX/2023
Nama Perusahaan PT Bali Bintang Sejahtera Tbk.
Kode Emiten BOLA
Papan Pencatatan Utama
Lampiran 7
Perihal Laporan Bulanan Registrasi Pemegang Efek (KOREKSI)
Mengoreksi surat kami nomor : BBS/001-CS/XII/IDX/2023 tanggal 11 Januari 2024 perihal Laporan Bulanan Registrasi
Pemegang Efek, dengan ini perseroan menyampaikan hal sebagai berikut:
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 29 Desember 2023
Sebagai Berikut :
Biro Administrasi Efek: PT. Raya Saham Registra
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
Pieter Tanuri Jl. Surya 2.458.680.720 40,98% 2.458.680.72 40,98%
Mandala 35 0 X
No.1, RT/RW
007/002,
Kedoya
Selatan, Kebon
Pemegang Jeruk
Saham > 5% Ayu Patricia Jl. Besuki No. 304.627.000 5,08% 304.627.000 5,08%
Rachmat 18, Kel.
Menteng, Kec.
Menteng
PT Asuransi Komp.Duta 533.000.000 8,88% 533.000.000 8,88%
Central Asia Merlin A6-7, Jl.
Gajah Mada No.
3-5, Petojo
Utara, Gambir
Masyarakat N/A 2.516.238.280 41,94% 2.516.238.28 41,94%
0
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
Putri Paramita Jl Pararaton No. Direksi 32.550.000 0,54% 32.550.000 0,54%
Sudali 2, Legian, Kec.
Kuta, Kab.
Badung, Bali
80361
Katharine Jl Pararaton No. Direksi 2.500.000 0,04% 2.500.000 0,04%
Wianna 2, Legian, Kec.
Kuta, Kab.
Badung, Bali
Pemegang 80361
Yabes Tanuri Jl Pararaton No. Direksi 150.000.000 2,5% 150.000.000 2,5%
Saham > 5% X
2, Legian, Kec.
Kuta, Kab.
Badung, Bali
80361
Yohanes Ade Jl Pararaton No. Direksi 2.000.000 0,03% 2.000.000 0,03%
Bunian M 2, Legian, Kec.
Kuta, Kab.
Badung, Bali
80361
Jemi Wiyono Jl Pararaton No. Komisaris 404.000 0,01% 404.000 0,01%
Prihadi 2, Legian, Kec.
Kuta, Kab.
Badung, Bali
80361
0 0% 0 0%
Masyarakat - Warkat - Scrip
0 0% 0 0%
Masyarakat - Non Warkat - Scripless
0 0% 0 0%
Saham Treasury
6.000.000.00 100% 6.000.000.00 100%
Total 0 0
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
Page 3
2,458,680,720 40.98% 2,458,680,720 40.98%
Total Pengendali
3,541,319,280 59.02% 3,541,319,280 59.02%
Total Non Pengendali
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
2.703.692.280 2.703.692.280
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
187.454.000 187.454.000
Komisaris kurang dari 5%
Jumlah saham scripless dimiliki oleh Pengendali kurang dari 5% 0 0
Jumlah saham scripless dimiliki oleh Afiliasi dari Pengendali 200.290.000 200.290.000
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 2.315.948.280 2.315.948.280
Jumlah saham tercatat di Bursa per akhir bulan 6.000.000.000 6.000.000.000
% Saham Free Float 38,6 38,6
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
5.552 5.457 95
Page 4
Penerima Manfaat Akhir dari Kepemilikan Saham Informasi Lain Dalam tabel saham free float di atas, terdapat saham scripless yang dimiliki oleh afiliasi dari Pengendali dengan kepemilikan lebih kecil dari 5% sebesar 150.000.000 saham. Namun demikian, karena pihak tersebut juga merupakan direksi Perseroan, maka tidak disertakan dalam tabel di atas agar tidak terjadi double counting dalam perhitungan saham Free Float Perseroan Demikian untuk diketahui. Hormat Kami, PT Bali Bintang Sejahtera Tbk. Yohanes Ade Bunian Moniaga Corporate Secretary PT Bali Bintang Sejahtera Tbk. Jl Pararaton No. 2, Legian, Kec. Kuta, Kab. Badung, Bali 80361 Telepon : 0361-3700019, Fax : 0, www.baliutd.com Nama Pengirim Yohanes Ade Bunian Moniaga Jabatan Corporate Secretary
Page 5
Tanggal dan Waktu 16-01-2024 14:08
Lampiran 1. BOLA-IBAP1-31 Des 2023.pdf
2. BOLA-IBAP2A-31 Des 2023.pdf
3. BOLA-DPS 5 Persen-Harian-31 Des 2023.pdf
4. BOLA-IBAP2B-31 Des 2023.pdf
5. BOLA-IBAP3-31 Des 2023.pdf
6. BOLA-PSBLNTH5-31 Des 2023.pdf
7. BOLA-IBAP3A-31 Des 2023.pdf
Dokumen ini merupakan dokumen resmi PT Bali Bintang Sejahtera Tbk. yang tidak memerlukan tanda tangan
karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Bali Bintang Sejahtera Tbk. bertanggung
jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 6
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Letter / Announcement No. BBS/001R-CS/XII/IDX/2023
Issuer Name PT Bali Bintang Sejahtera Tbk.
Issuer Code BOLA
Listing Board Main
Attachment 7
Subject Monthly Report of Securities Holders Registration (CORRECTION)
Correction to our previous announcement number : BBS/001-CS/XII/IDX/2023 dated 11 January 2024 with the subject of
Monthly Report of Securities Holders Registration, the company hereby submit the following information :
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 29 December
2023 as follows:
Security Administration Bureau: PT. Raya Saham Registra
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
Pieter Tanuri Jl. Surya 2,458,680,720 40.98% 2,458,680,72 40.98%
Mandala 35 0 X
No.1, RT/RW
007/002,
Kedoya
Selatan, Kebon
Jeruk
Share Ayu Patricia Jl. Besuki No. 304,627,000 5.08% 304,627,000 5.08%
Ownership > Rachmat 18, Kel.
5% Menteng, Kec.
Menteng
PT Asuransi Komp.Duta 533,000,000 8.88% 533,000,000 8.88%
Central Asia Merlin A6-7, Jl.
Gajah Mada No.
3-5, Petojo
Utara, Gambir
Masyarakat N/A 2,516,238,280 41.94% 2,516,238,28 41.94%
0
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
Putri Paramita Jl Pararaton No. Direksi 32,550,000 0.54% 32,550,000 0.54%
Sudali 2, Legian, Kec.
Kuta, Kab.
Badung, Bali
80361
Katharine Jl Pararaton No. Direksi 2,500,000 0.04% 2,500,000 0.04%
Wianna 2, Legian, Kec.
Kuta, Kab.
Badung, Bali
Share
80361
Ownership > Yabes Tanuri Jl Pararaton No. Direksi 150,000,000 2.5% 150,000,000 2.5%
5% 2, Legian, Kec. X
Kuta, Kab.
Badung, Bali
80361
Yohanes Ade Jl Pararaton No. Direksi 2,000,000 0.03% 2,000,000 0.03%
Bunian M 2, Legian, Kec.
Kuta, Kab.
Badung, Bali
80361
Jemi Wiyono Jl Pararaton No. Komisaris 404,000 0.01% 404,000 0.01%
Prihadi 2, Legian, Kec.
Kuta, Kab.
Badung, Bali
80361
0 0% 0 0%
Masyarakat - Warkat - Scrip
0 0% 0 0%
Masyarakat - Non Warkat - Scripless
0 0% 0 0%
Saham Treasury
6.000.000.00 100% 6.000.000.00 100%
Total 0 0
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
2,458,680,720 40.98% 2,458,680,720 40.98%
Total Controller
Page 8
3,541,319,280 59.02% 3,541,319,280 59.02%
Total Non-Controllers
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
2.703.692.280 2.703.692.280
than 5%
The number of scripless shares owned by the Board of Directors
187.454.000 187.454.000
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 200.290.000 200.290.000
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 2.315.948.280 2.315.948.280
The number of shares listed on the Exchange at the end of the
6.000.000.000 6.000.000.000
month
% Free Float Share 38,6 38,6
Number of Shareholders
Previous Month This Month Change
5.552 5.457 95
Page 9
Final Beneficiaries of Share Ownership Other Information In the table of free float shares above, there are scripless shares owned by affiliates of the Controller with an ownership interest of less than 5% in the amount of 150,000,000 shares. However, because this party are also the director of the Company, it is not included in the table above to avoid double counting in the calculation of the Company's Free Float shares. Thus to be informed accordingly. Respectfully, PT Bali Bintang Sejahtera Tbk. Yohanes Ade Bunian Moniaga Corporate Secretary PT Bali Bintang Sejahtera Tbk. Jl Pararaton No. 2, Legian, Kec. Kuta, Kab. Badung, Bali 80361 Phone : 0361-3700019, Fax : 0, www.baliutd.com Sender Name Yohanes Ade Bunian Moniaga Function Corporate Secretary
Page 10
Date and Time 16-01-2024 14:08
Attachment 1. BOLA-IBAP1-31 Des 2023.pdf
2. BOLA-IBAP2A-31 Des 2023.pdf
3. BOLA-DPS 5 Persen-Harian-31 Des 2023.pdf
4. BOLA-IBAP2B-31 Des 2023.pdf
5. BOLA-IBAP3-31 Des 2023.pdf
6. BOLA-PSBLNTH5-31 Des 2023.pdf
7. BOLA-IBAP3A-31 Des 2023.pdf
This is an official document of PT Bali Bintang Sejahtera Tbk. that does not require a signature as it was generated
electronically by the electronic reporting system. PT Bali Bintang Sejahtera Tbk. is fully responsible for the
information contained within this document.
Names mentioned 7 people and organisations named in the text · linked when the evidence is strong
unresolved
org
PT. Raya Saham Registra
· Biro Administrasi Efek
p.1
unresolved
org
PT. Raya Saham Registra Persen
p.1
unresolved
person
Jemi Wiyono
· Komisaris
p.2 ×2
unresolved
person
Yohanes Ade Bunian Moniaga
· Corporate Secretary
p.4 ×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
293 ms
12 Sep 2026 21:39
Raw output
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'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '0', 'shares': '0'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2023-12-31',
'checksum_ok': True,
'checksum_parts': '6000000000',
'holders': [{'address': 'Jl. Surya Mandala 35 No.1, RT/RW 007/002,',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Pieter Tanuri',
'page_no': 1,
'pct': '40.98',
'pct_prev': '40.98',
'position': '',
'seq': 0,
'shares': '2458680720',
'shares_prev': '2458680720'},
{'address': 'Kedoya Selatan, Kebon Jeruk Jl. Besuki No. 18, Kel. '
'Menteng, Kec.',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Ayu Patricia Rachmat',
'page_no': 1,
'pct': '5.08',
'pct_prev': '5.08',
'position': '',
'seq': 1,
'shares': '304627000',
'shares_prev': '304627000'},
{'address': 'Menteng Komp.Duta Merlin A6-7, Jl. Gajah Mada No.',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'PT Asuransi Central Asia',
'page_no': 1,
'pct': '8.88',
'pct_prev': '8.88',
'position': '',
'seq': 2,
'shares': '533000000',
'shares_prev': '533000000'},
{'address': '3-5, Petojo Utara, Gambir N/A',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Masyarakat',
'page_no': 1,
'pct': '41.94',
'pct_prev': '41.94',
'position': '',
'seq': 3,
'shares': '2516238280',
'shares_prev': '2516238280'},
{'address': 'Jl Pararaton No. 2, Legian, Kec. Kuta, Kab.',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Putri Paramita Sudali',
'page_no': 2,
'pct': '0.54',
'pct_prev': '0.54',
'position': 'Direksi',
'seq': 4,
'shares': '32550000',
'shares_prev': '32550000'},
{'address': 'Badung, Bali 80361 Jl Pararaton No. 2, Legian, Kec. '
'Kuta, Kab.',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Katharine Wianna',
'page_no': 2,
'pct': '0.04',
'pct_prev': '0.04',
'position': 'Direksi',
'seq': 5,
'shares': '2500000',
'shares_prev': '2500000'},
{'address': 'Badung, Bali 80361 Jl Pararaton No. 2, Legian, Kec. '
'Kuta, Kab.',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': True,
'name': 'Yabes Tanuri',
'page_no': 2,
'pct': '2.5',
'pct_prev': '2.5',
'position': 'Direksi',
'seq': 6,
'shares': '150000000',
'shares_prev': '150000000'},
{'address': 'Badung, Bali 80361 Jl Pararaton No. 2, Legian, Kec. '
'Kuta, Kab.',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Yohanes Ade Bunian M',
'page_no': 2,
'pct': '0.03',
'pct_prev': '0.03',
'position': 'Direksi',
'seq': 7,
'shares': '2000000',
'shares_prev': '2000000'},
{'address': 'Badung, Bali 80361 Jl Pararaton No. 2, Legian, Kec.',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Jemi Wiyono Prihadi',
'page_no': 2,
'pct': '0.01',
'pct_prev': '0.01',
'position': 'Komisaris',
'seq': 8,
'shares': '404000',
'shares_prev': '404000'}],
'issuer_name': 'PT Bali Bintang Sejahtera Tbk.',
'issuer_ticker': 'BOLA',
'layout': 'EREP_COVER',
'letter_number': 'BBS/001R-CS/XII/IDX/2023',
'listing_board': 'Utama',
'period_label': 'Desember 2023',
'registrar': 'PT. Raya Saham Registra',
'total_shares': '6000000000'}