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20260406_FMII_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_32067706.pdf

Shareholder register Parsed FMII

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 Nomor Surat                          07/FMI-CS/III/2026

 Nama Perusahaan                      Fortune Mate Indonesia Tbk

 Kode Emiten                          FMII

 Papan Pencatatan                     Pengembangan

 Lampiran                             1

 Perihal                              Laporan Bulanan Registrasi Pemegang Efek


Bersama ini Fortune Mate Indonesia Tbk menyatakan:


1. Bertanggung jawab atas penyusunan dan penyajian Laporan Bulanan Registrasi Pemegang Efek (LBRE).
2. Semua informasi dalam LBRE telah dimuat secara lengkap dan benar, tidak mengandung informasi atau fakta
material yang tidak benar, dan tidak menghilangkan informasi atau fakta material.
3. Perhitungan Free Float telah disajikan sesuai dengan Peraturan Bursa Nomor I-A tentang Pencatatan Saham dan
Efek Bersifat Ekuitas Selain Saham yang Diterbitkan oleh Perusahaan Tercatat, termasuk telah mengeluarkan
kepemilikan saham oleh pihak Pengendali dan Afiliasi dari Pengendali, dan Afiliasi dari Pemilik Manfaat; dimiliki oleh
anggota Dewan Komisaris atau anggota Direksi; dan saham yang telah dibeli kembali oleh perusahaan.

Direksi atas nama Fortune Mate Indonesia Tbk bertanggung jawab penuh atas informasi yang tertera didalam dokumen
ini.



Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Maret 2026
Sebagai Berikut :

Biro Administrasi Efek: PT. Sinartama Gunita
Page 2
                                                                                  Persen
                                                                                             Jumlah      Persen
                                                                     Jumlah Saham Saham                                         Afiliasi           Afiliasi Pemilik
                    Nama             Alamat           Jabatan                              Saham Bulan Saham Bulan Pengendali
                                                                      Sebelumnya Sebelumny                                    Pengendali               Manfaat
                                                                                               Ini         Ini
                                                                                     a
                   Tjandra       Gedung Gozco          Direksi       1.318.342.187     20,6% 1.318.342.18       20,6%
 Pemegang         Mindharta       Lt. 3 Jl. Raya                                                        7
   Saham                         Darmo No. 54-
                                                                                                                            X          X
 Direksi dan                     56, Surabaya
                                  60265 Jawa
 Komisaris
                                      Timur
                   Teddy          Romokalisari       Komisaris       1.318.342.187     20,6% 1.318.342.18       20,6%
                  Gunawan          RT 1/RW1,                                                            7
                                 Romokalisari,                                                                              X          X
                                    Benowo,
                                    Surabaya


                                                                Persen
                                                                           Jumlah      Persen
                                                   Jumlah Saham Saham                                               Afiliasi    Afiliasi Pemilik
                    Nama             Alamat                              Saham Bulan Saham Bulan Pengendali
   Pemegang                                         Sebelumnya Sebelumny                                          Pengendali        Manfaat
                                                                             Ini         Ini
                                                                   a
   saham 5%
                  PT Surya       Jl. Tambak    2.987.129.145          46,67% 2.987.129.14      46,67%
 (lima persen)
                   Mega         Sawah No:6                                              5
    atau lebih
                              Blok A19, Lantai                                                              X           X
                               1 Kec. Waru.
                                   Sidoarjo


Pemegang Saham < 5%


                                                                 0       0%            0          0%
               Publik - Warkat

                                                     776.186.481      12,13%   776.186.48     12,13%
            Publik - Non Warkat                                                         1

                                                                 0       0%             0         0%
               Saham Treasuri

                                                    6.400.000.00       100% 6.400.000.00        100%
                    Total                                      0                       0
Page 3
Informasi Saham Free Float


                             Keterangan                              Bulan Sebelumnya         Bulan Ini

Jumlah saham non-warkat dimiliki oleh seluruh pemegang
                                                                             776.186.481           776.186.481
saham kurang dari 5%
 Jumlah saham non-warkat dimiliki oleh Direksi dan Dewan
                                                                                          0                   0
 Komisaris kurang dari 5%

 Jumlah saham non-warkat dimiliki oleh Pengendali kurang dari 5%                        0                     0

Jumlah saham non-warkat dimiliki oleh Afiliasi dari Pengendali                          0                     0
kurang dari 5%

Jumlah saham tresuri non-warkat kurang dari 5%                                          0                     0

Jumlah saham non-warkat yang harus dibatasi pengalihan
kepemilikannya (lock up) baik berdasarkan Peraturan maupun                              0                     0
bagian tindakan korporasi Perusahaan Tercatat kurang dari 5%

Jumlah saham non-warkat dimiliki oleh Perusahaan Modal                                                        0
                                                                                        0
Ventura dan Private Equity kurang dari 5%
Jumlah saham non-warkat yang berada dalam status sita atau
blokir oleh Aparat Penegak Hukum atau Otoritas yang                                     0                     0
berwenang kurang dari 5%


Jumlah saham dengan penerima manfaat investor publik yang telah
disetujui Bursa untuk diperhitungkan sebagai Free Float (Ketentuan                      0                     0
V.2 Peraturan I-A dan Ketentuan V.2 Peraturan I-V)


 Jumlah saham Free Float                                                     776.186.481           776.186.481


Jumlah saham tercatat di Bursa per akhir bulan                             6.400.000.000         6.400.000.000


% Saham Free Float                                                                12,13                   12,13
Page 4
                                                                Persentase Bulan
         Keterangan                Bulan Sebelumnya                                              Bulan Ini             Persentase Bulan Ini
                                                                  Sebelumnya

  Jumlah saham tidak tercatat             0                             0%                          0                          0%




Jumlah Pemegang Saham Nasabah Pemilik SID


          Bulan Sebelumnya                    Bulan Sekarang                         Perubahan


                                1.762                             1.824                                      62


Pemilik manfaat yang terdiri dari satu pihak atau kelompok yang terorganisasi dari Fortune Mate Indonesia
Tbk

                                                                                                        Pemegang Saham
       Nomor                                              Nama                                             Langsung
                                                                                                           Perseroan
          1                                           Teddy Gunawan                                           Ya

          2                                       Tjandra Mindharta Gozali                                        Ya




Pemilik Manfaat dari Pemegang Saham lebih dari 10%




 Demikian untuk diketahui.


 Hormat Kami,
Page 5
Fortune Mate Indonesia Tbk




Agustinus Agus Sunarto

Corporate Secretary




Fortune Mate Indonesia Tbk
Gedung Gozco Lt. 3 Jl. Raya Darmo No. 54-56, Surabaya 60265 Jawa Timur
Telepon : (031) 561-28-18 (hunting) , Fax : (031) 562-09-68 , www.fmiindo.com



Nama Pengirim                      Agustinus Agus Sunarto

Jabatan                            Corporate Secretary
Tanggal dan Waktu                  06-04-2026 12:03

Lampiran                          1. DPS FMII MARET 2026.pdf


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

 Letter / Announcement No.            07/FMI-CS/III/2026

 Issuer Name                          Fortune Mate Indonesia Tbk

 Issuer Code                          FMII

 Listing Board                        Development

 Attachment                           1

 Subject                              Monthly Report of Securities Holders Registration


Hereby, the Company declares that:


1. It is responsible for the preparation and presentation of the Monthly Securities Holder Registration Report.
2. All information contained in the LBRE has been fully and accurately disclosed, does not contain any incorrect material
information or facts, and does not omit any material information or facts.
3. The Free Float calculation has been presented in accordance with Exchange Regulation Number I-A concerning the
Listing of Shares and Equity Securities Other Than Shares Issued by Listed Companies, including the exclusion of share
ownership by the Controlling Shareholder and its Affiliates; affiliates of beneficial owner; members of the Board of
Commissioners or the Board of Directors; and treasury shares repurchased by the Company.

The Board of Directors of Fortune Mate Indonesia Tbk, on behalf of the Company, bears full responsibility for the
information contained in this document.


The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 March 2026
as follows:

Security Administration Bureau: PT. Sinartama Gunita
Page 7
                                                                 Number of Percent of Number of          Percent of                    Affiliate of
                                                                                                                                                       Affiliate of the
                   Name           Address         Position       Shares in Shares in Shares in           Shares in        Controller       the
                                                                                                                                                      Beneficial Owner
                                                                  Previous  Previous   Current            Current                      Controller
                  Tjandra     Gedung Gozco         Direksi       1,318,342,187     20.6% 1,318,342,18             20.6%
  Board of
                 Mindharta     Lt. 3 Jl. Raya                                                       7
Directors and                 Darmo No. 54-
  Board of                                                                                                                    X             X
                              56, Surabaya
Commission                     60265 Jawa
     ers                           Timur
                   Teddy       Romokalisari      Komisaris       1,318,342,187     20.6% 1,318,342,18             20.6%
                  Gunawan       RT 1/RW1,                                                           7
                              Romokalisari,                                                                                   X             X
                                 Benowo,
                                 Surabaya

                                                Number of Percent of Number of         Percent of                  Affiliate of
                                                                                                                                   Affiliate of the
                   Name           Address       Shares in Shares in Shares in          Shares in     Controller        the
                                                                                                                                  Beneficial Owner
Shareholders                                     Previous  Previous   Current           Current                    Controller
 of 5% (five      PT Surya     Jl. Tambak 2,987,129,145          46.67% 2,987,129,14       46.67%
 percent) or       Mega       Sawah No:6                                           5
    more                        Blok A19,
                                                                                                         X                X
                              Lantai 1 Kec.
                                  Waru.
                                Sidoarjo
                                                             0        0%               0            0%
                 Public - Scrip

                                                  776.186.481     12,13%    776.186.48       12,13%
                Public - Scripless                                                   1

                                                             0        0%               0            0%
                Treasury Stock

                                                 6.400.000.00       100% 6.400.000.00          100%
                     Total                                  0                       0
Page 8
Free Float Share Information


                              Information                          Previous Month          This Month

 The number of scripless shares owned by shareholders is less
                                                                          776.186.481            776.186.481
 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

 The number of scripless shares owned less than 5% and subject
 to a lock-up restriction, either based on regulations or the                       0                       0
 corporate actions of the listed company.
The number of scripless shares owned less than 5% by venture
                                                                                    0                       0
capital and private equity companies
The number of scripless shares owned less than 5% and subject
to confiscation or blocking by law enforcement officials or                         0                       0
authorized authorities.

 Number of shares with public investor beneficiaries that have
 been approved by IDX as Free Float (Provision V.2 of Regulation                    0                       0
 I-A and Provision V.2 )


 The amount of Free Float Share                                           776.186.481           776.186.481

 The number of shares listed on the Exchange at the end of the
                                                                        6.400.000.000          6.400.000.000
 month

 % Free Float Share                                                            12,13                    12,13
Page 9
           Remarks                      Previous Month          Previous Month Percentage       Current Month         Current Month Percentage

  Number of Unlisted Shares                   0                              0%                      0                          0%




Number of Shareholders Holding SID Accounts


           Previous Month                          Current Month                            Change


                                1.762                                     1.824                                  62



Beneficial owner consisting of one party or an organized group from Fortune Mate Indonesia Tbk

                                                                                              Company’s Direct
       Number                                            Name
                                                                                               Shareholders
          1                                        Teddy Gunawan                                     Ya

          2                                    Tjandra Mindharta Gozali                              Ya




Beneficial Owner of Shareholders more than 10%




 Thus to be informed accordingly.


 Respectfully,
Page 10
Fortune Mate Indonesia Tbk




Agustinus Agus Sunarto

Corporate Secretary




Fortune Mate Indonesia Tbk
Gedung Gozco Lt. 3 Jl. Raya Darmo No. 54-56, Surabaya 60265 Jawa Timur
Phone : (031) 561-28-18 (hunting) , Fax : (031) 562-09-68 , www.fmiindo.com



Sender Name                         Agustinus Agus Sunarto

Function                            Corporate Secretary

Date and Time                       06-04-2026 12:03

Attachment                         1. DPS FMII MARET 2026.pdf


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

File

File Open PDF
Source IDX
Size0.03 MB
Published6 Apr 2026
Pages10
Characters18,777
Text sourceEmbedded text layer
OCR confidence—

Names mentioned 9 people and organisations named in the text · linked when the evidence is strong

linked org Fortune Mate Indonesia Tbk · Nama Perusahaan p.1 ×28
linked person Teddy Gunawan p.4 ×2
linked person Tjandra Mindharta Gozali p.4 ×2
unresolved person Romokalisari · Komisaris p.2 ×2
unresolved org PT Surya p.2 ×2
unresolved — Mega p.2
unresolved — Blok A19, p.2
unresolved org Agus Sunarto p.5 ×2
unresolved — Agustinus Agus Sunarto · Corporate Secretary p.5 ×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 0.900 438 ms 12 Sep 2026 22:29
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '6400000000'},
                'treasury': {'pct': '0', 'shares': '0'},
                'under5_non_warkat': {'pct': '12.13', 'shares': '776186481'},
                'under5_warkat': {'pct': '0', 'shares': '0'}},
 'as_of_date': '2026-03-31',
 'checksum_ok': True,
 'checksum_parts': '6400000000',
 'holders': [{'address': 'Gedung Gozco Lt. 3 Jl. Raya Darmo No. 54-',
              'category': 'BOARD',
              'is_controller': True,
              'is_controller_affiliate': True,
              'name': 'Tjandra Mindharta',
              'page_no': 2,
              'pct': '20.6',
              'pct_prev': '20.6',
              'position': 'Direksi',
              'seq': 0,
              'shares': '1318342187',
              'shares_prev': '1318342187'},
             {'address': '56, Surabaya 60265 Jawa Timur Romokalisari RT 1/RW1,',
              'category': 'BOARD',
              'is_controller': True,
              'is_controller_affiliate': True,
              'name': 'Teddy Gunawan',
              'page_no': 2,
              'pct': '20.6',
              'pct_prev': '20.6',
              'position': 'Komisaris',
              'seq': 1,
              'shares': '1318342187',
              'shares_prev': '1318342187'},
             {'address': 'Jl. Tambak Sawah No:6 Blok A19, Lantai 1 Kec. Waru. '
                         'Sidoarjo',
              'category': 'FIVE_PCT',
              'is_controller': True,
              'is_controller_affiliate': True,
              'name': 'PT Surya Mega',
              'page_no': 2,
              'pct': '46.67',
              'pct_prev': '46.67',
              'position': '',
              'seq': 2,
              'shares': '2987129145',
              'shares_prev': '2987129145'}],
 'issuer_name': 'Fortune Mate Indonesia Tbk',
 'issuer_ticker': 'FMII',
 'layout': 'EREP_COVER',
 'letter_number': '07/FMI-CS/III/2026',
 'listing_board': 'Pengembangan',
 'period_label': 'Maret 2026',
 'registrar': 'PT. Sinartama Gunita',
 'total_shares': '6400000000'}
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