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20240108_BOBA_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31565798.pdf

Shareholder register Parsed BOBA

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Page 1
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 Nomor Surat                         001/FIF/CORSEC/I/2024

 Nama Perusahaan                     PT Formosa Ingredient Factory Tbk

 Kode Emiten                         BOBA

 Papan Pencatatan                    Pengembangan

 Lampiran                            1

 Perihal                             Laporan Bulanan Registrasi Pemegang Efek


Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Desember 2023
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       Pergudangan                     274.000.000    23,71% 274.000.000     23,71%
             Kurniamitra T8 No. 16, Alam                                                                                X
                               Sutera,
                            Tangerang
                               Selatan
            Texture Maker 28F, No. 27-8,                   172.784.000    14,95% 172.784.000     14,95%
              Enterprise   Sec 2, Zhong
                          Zheng Rd, New
                            Taipei City,
  Pemegang
                               Taiwan
 Saham > 5% Chen Kuan 5F No. 856 Sec
                                                             83.216.000     7,2%   83.216.000      7,2%
                 Ting      7 New Taipei
                         Blvd, Xinzhuang
                             Dist, New
                          Taipei, Taiwan
               Hengky      Jl. Boelevard      Komisaris    288.174.700    24,93% 288.174.700     24,93%
               Wijaya    Palem Raya No.                                                                     X
                            1825, Lippo
                             Karawaci,
                            Tangerang
Page 2
                                                                               Persen
                                                                                          Jumlah      Persen
                                                                  Jumlah Saham Saham
                Nama             Alamat          Jabatan                                Saham Bulan Saham Bulan Pengendali          Afiliasi
                                                                   Sebelumnya Sebelumny
                                                                                            Ini         Ini
 Pemegang                                                                         a
Saham > 5%    Dewi Irianty    Jl. Kencana         Direksi            64.000.000      5,54%     64.000.000      5,54%
                Wijaya          Molek III                                                                                              X
                             M12/29. Jakarta
                                  Barat
                                                            0          0%             0              0%
     Masyarakat - Warkat - Scrip

                                                273.575.300         23,67%    273.575.30       23,67%
  Masyarakat - Non Warkat - Scripless                                                  0

                                                            0           0%             0             0%
          Saham Treasury

                                               1.155.750.00          100% 1.155.750.00              100%
                Total                                     0                          0




                                                                                Persentase           Jumlah Saham (Bulan     Persentase(Bulan
             Nama                     Jumlah Saham (Sebelumnya)
                                                                               (Sebelumnya)                  Ini)                  Ini)
                                                                288,174,700                24.93%              288,174,700              24.93%
       Total Pengendali

                                                            867,575,300                    75.07%              867,575,300              75.07%
    Total Non Pengendali
Page 3
Informasi Saham Free Float


                             Keterangan                               Bulan Sebelumnya           Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                              273.575.300             273.575.300
dari 5%
 Jumlah saham scripless dimiliki oleh Direksi dan Dewan
                                                                               82.775.000               82.775.000
 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                                                      190.800.300             190.800.300


Jumlah saham tercatat di Bursa per akhir bulan                              1.155.750.000           1.155.750.000


% Saham Free Float                                                                 16,51                      16,51



Jumlah Pemegang Saham


         Bulan Sebelumnya                         Bulan Sekarang                     Perubahan

                                 2.458                             2.378                                     80



Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
      Nomor                                                      Nama

          1                                                 Bp. Hengky Wijaya




Demikian untuk diketahui.


Hormat Kami,
PT Formosa Ingredient Factory Tbk




Dewi Irianty Wijaya

Wakil Direktur Utama




PT Formosa Ingredient Factory Tbk
Berlian 88 Biz Estate Blok C No.1
Telepon : (021) 2222 8975, Fax : (021) 2904 7378, www.bobaking.co.id



Nama Pengirim                       Dewi Irianty Wijaya

Jabatan                             Wakil Direktur Utama
Tanggal dan Waktu                   09-01-2024 17:53

Lampiran                            1. 12 BOBA 311223.pdf


 Dokumen ini merupakan dokumen resmi PT Formosa Ingredient Factory Tbk yang tidak memerlukan tanda tangan
     karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Formosa Ingredient Factory Tbk
                    bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 5
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 Letter / Announcement No.           001/FIF/CORSEC/I/2024

 Issuer Name                         PT Formosa Ingredient Factory Tbk

 Issuer Code                         BOBA

 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 December
 2023 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       Pergudangan                       274,000,000    23.71% 274,000,000            23.71%
             Kurniamitra T8 No. 16, Alam                                                                                            X
                                Sutera,
                             Tangerang
                                Selatan
            Texture Maker 28F, No. 27-8,                     172,784,000    14.95% 172,784,000            14.95%
              Enterprise   Sec 2, Zhong
                          Zheng Rd, New
  Share                      Taipei City,
Ownership >                     Taiwan
   5%        Chen   Kuan  5F  No.  856 Sec                    83,216,000       7.2%      83,216,000         7.2%
                 Ting       7 New Taipei
                          Blvd, Xinzhuang
                              Dist, New
                           Taipei, Taiwan
               Hengky       Jl. Boelevard    Komisaris       288,174,700    24.93% 288,174,700            24.93%
               Wijaya     Palem Raya No.                                                                               X
                             1825, Lippo
                              Karawaci,
                             Tangerang
             Dewi Irianty    Jl. Kencana      Direksi         64,000,000      5.54%      64,000,000        5.54%
               Wijaya          Molek III                                                                                            X
                          M12/29. Jakarta
                                 Barat
Page 6
                                                  0          0%             0              0%
   Masyarakat - Warkat - Scrip

                                         273.575.300      23,67%    273.575.30       23,67%
Masyarakat - Non Warkat - Scripless                                          0

                                                  0           0%             0             0%
        Saham Treasury

                                       1.155.750.00        100% 1.155.750.00              100%
              Total                               0                        0




                                                                      Percentage           Number of Shares (This    Percentage (This
          Name                   Number of Shares (Previously)
                                                                      (Previous)                  Month)                 Month)
                                                      288,174,700                24.93%               288,174,700              24.93%
     Total Controller

                                                   867,575,300                   75.07%                867,575,300             75.07%
  Total Non-Controllers
Page 7
Free Float Share Information


                              Information                            Previous Month            This Month

 The number of scripless shares owned by shareholders is less
                                                                            273.575.300              273.575.300
 than 5%
 The number of scripless shares owned by the Board of Directors
                                                                             82.775.000               82.775.000
 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                            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                                             190.800.300             190.800.300

 The number of shares listed on the Exchange at the end of the
                                                                          1.155.750.000            1.155.750.000
 month

 % Free Float Share                                                              16,51                      16,51



Number of Shareholders


          Previous Month                             This Month                       Change


                                2.458                             2.378                                     80


Final Beneficiaries of Share Ownership
Page 8
      Number                                                       Name

           1                                                  Bp. Hengky Wijaya




Thus to be informed accordingly.


Respectfully,
PT Formosa Ingredient Factory Tbk




Dewi Irianty Wijaya

Wakil Direktur Utama




PT Formosa Ingredient Factory Tbk
Berlian 88 Biz Estate Blok C No.1
Phone : (021) 2222 8975, Fax : (021) 2904 7378, www.bobaking.co.id



Sender Name                         Dewi Irianty Wijaya

Function                            Wakil Direktur Utama

Date and Time                       09-01-2024 17:53

Attachment                          1. 12 BOBA 311223.pdf


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

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Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '1155750000'},
                'treasury': {'pct': '0', 'shares': '0'},
                'under5_non_warkat': {'pct': '23.67', 'shares': '273575300'},
                'under5_warkat': {'pct': '0', 'shares': '0'}},
 'as_of_date': '2023-12-31',
 'checksum_ok': True,
 'checksum_parts': '1155750000',
 'holders': [{'address': 'Pergudangan T8 No. 16, Alam Sutera,',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': True,
              'name': 'PT Kurniamitra',
              'page_no': 1,
              'pct': '23.71',
              'pct_prev': '23.71',
              'position': '',
              'seq': 0,
              'shares': '274000000',
              'shares_prev': '274000000'},
             {'address': 'Tangerang Selatan 28F, No. 27-8, Sec 2, Zhong Zheng '
                         'Rd, New',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Texture Maker Enterprise',
              'page_no': 1,
              'pct': '14.95',
              'pct_prev': '14.95',
              'position': '',
              'seq': 1,
              'shares': '172784000',
              'shares_prev': '172784000'},
             {'address': 'Taipei City, Taiwan 5F No. 856 Sec 7 New Taipei '
                         'Blvd, Xinzhuang',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Chen Kuan Ting',
              'page_no': 1,
              'pct': '7.2',
              'pct_prev': '7.2',
              'position': '',
              'seq': 2,
              'shares': '83216000',
              'shares_prev': '83216000'},
             {'address': 'Dist, New Taipei, Taiwan Jl. Boelevard Palem Raya '
                         'No.',
              'category': 'BOARD',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'Hengky Wijaya',
              'page_no': 1,
              'pct': '24.93',
              'pct_prev': '24.93',
              'position': 'Komisaris',
              'seq': 3,
              'shares': '288174700',
              'shares_prev': '288174700'},
             {'address': 'Jl. Kencana Molek III',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': True,
              'name': 'Dewi Irianty Wijaya',
              'page_no': 2,
              'pct': '5.54',
              'pct_prev': '5.54',
              'position': 'Direksi',
              'seq': 4,
              'shares': '64000000',
              'shares_prev': '64000000'}],
 'issuer_name': 'PT Formosa Ingredient Factory Tbk',
 'issuer_ticker': 'BOBA',
 'layout': 'EREP_COVER',
 'letter_number': '001/FIF/CORSEC/I/2024',
 'listing_board': 'Pengembangan',
 'period_label': 'Desember 2023',
 'registrar': 'PT. Adimitra Jasa Korpora',
 'total_shares': '1155750000'}
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