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20231206_ASBI_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31546057.pdf
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Page 1
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Nomor Surat 293/SK/DIR-JCM/XII/2023
Nama Perusahaan Asuransi Bintang Tbk
Kode Emiten ASBI
Papan Pencatatan Pengembangan
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 30 November 2023
Sebagai Berikut :
Biro Administrasi Efek: PT. Bima Registra
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
PT. Srihana Ged. Samudera 123.522.776 35,46% 123.522.776 35,46%
Utama Indonesia Lt. 3 X
Jl. Letjen S.
Parman Kav. 35
Palmerah,
Jakarta 11480
PT. Ngrumat Ged. Samudera 87.302.164 25,06% 87.302.164 25,06%
Bondo Utomo Indonesia Lt. 7 X
Jl. Letjen S.
Pemegang
Parman Kav. 35
Saham > 5% Palmerah,
Jakarta 11480
PT. Warisan Ged. Bank 75.438.688 21,65% 75.438.688 21,65%
Kasih Bunda Mandiri Lantai
2/206 Jl.
Tanjung Karang
No. 3-4 A
Kebon Melati,
Tanah Abang
Zafar Dinesh Jl. RS Direksi 1.050.000 0,3% 1.050.000 0,3%
Idham Fatmawati No.
32 Jakarta
Selatan
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
Hastanto Sri Jl. RS Direksi 1.163.000 0,33% 1.163.000 0,33%
Pemegang Margi Widodo Fatmawati No.
Saham > 5% 32 Jakarta
Selatan
Reniwati Jl. RS Direksi 658.000 0,19% 658.000 0,19%
Darmakusuma Fatmawati No.
32 Jakarta
Selatan
12.006.736 3,45% 12.006.736 3,45%
Masyarakat - Warkat - Scrip
47.245.108 13,56% 47.245.108 13,56%
Masyarakat - Non Warkat - Scripless
0 0% 0 0%
Saham Treasury
348.386.472 100% 348.386.472 100%
Total
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
210,824,940 60.52% 210,824,940 60.52%
Total Pengendali
137,561,532 39.48% 137,561,532 39.48%
Total Non Pengendali
Page 3
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
50.116.108 50.116.108
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
2.871.000 2.871.000
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 47.245.108 47.245.108
Jumlah saham tercatat di Bursa per akhir bulan 348.386.472 348.386.472
% Saham Free Float 47.245.108 13,56
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
614 613 1
Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
Nomor Nama
1 Bapak Zafar Dinesh Idham
2 Ibu Fatima Shanta Tamara Idham Jusuf
3 Ibu Shanti Lasminingsih P
4 Ibu Dr.Ratna Djuwita
5 Ibu Chandraleika MM
6 Bapak Petronius Saragih
Demikian untuk diketahui.
Hormat Kami,
Asuransi Bintang Tbk
Jenry Cardo Manurung
Asuransi Bintang Tbk
Jl. RS Fatmawati No. 32 Jakarta Selatan
Telepon : 7590 2777, Fax : 7590 2555, www.asuransibintang.com
Nama Pengirim Jenry Cardo Manurung
Jabatan
Tanggal dan Waktu 08-12-2023 08:24
Page 5
Lampiran 1. PDF BEI E-Reporting ASBI November 2023.pdf
Dokumen ini merupakan dokumen resmi Asuransi Bintang Tbk yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. Asuransi Bintang Tbk bertanggung jawab penuh atas
informasi yang tertera didalam dokumen ini.
Page 6
Go To Indonesian Page
Letter / Announcement No. 293/SK/DIR-JCM/XII/2023
Issuer Name Asuransi Bintang Tbk
Issuer Code ASBI
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 30 November
2023 as follows:
Security Administration Bureau: PT. Bima 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
PT. Srihana Ged. Samudera 123,522,776 35.46% 123,522,776 35.46%
Utama Indonesia Lt. 3 X
Jl. Letjen S.
Parman Kav. 35
Palmerah,
Jakarta 11480
PT. Ngrumat Ged. Samudera 87,302,164 25.06% 87,302,164 25.06%
Bondo Utomo Indonesia Lt. 7 X
Jl. Letjen S.
Share Parman Kav. 35
Ownership > Palmerah,
5% Jakarta 11480
PT. Warisan Ged. Bank 75,438,688 21.65% 75,438,688 21.65%
Kasih Bunda Mandiri Lantai
2/206 Jl.
Tanjung Karang
No. 3-4 A
Kebon Melati,
Tanah Abang
Zafar Dinesh Jl. RS Direksi 1,050,000 0.3% 1,050,000 0.3%
Idham Fatmawati No.
32 Jakarta
Selatan
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
Share Hastanto Sri Jl. RS Direksi 1,163,000 0.33% 1,163,000 0.33%
Ownership > Margi Widodo Fatmawati No.
5% 32 Jakarta
Selatan
Reniwati Jl. RS Direksi 658,000 0.19% 658,000 0.19%
Darmakusuma Fatmawati No.
32 Jakarta
Selatan
12.006.736 3,45% 12.006.736 3,45%
Masyarakat - Warkat - Scrip
47.245.108 13,56% 47.245.108 13,56%
Masyarakat - Non Warkat - Scripless
0 0% 0 0%
Saham Treasury
348.386.472 100% 348.386.472 100%
Total
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
210,824,940 60.52% 210,824,940 60.52%
Total Controller
137,561,532 39.48% 137,561,532 39.48%
Total Non-Controllers
Page 8
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
50.116.108 50.116.108
than 5%
The number of scripless shares owned by the Board of Directors
2.871.000 2.871.000
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 47.245.108 47.245.108
The number of shares listed on the Exchange at the end of the
348.386.472 348.386.472
month
% Free Float Share 47.245.108 13,56
Number of Shareholders
Previous Month This Month Change
614 613 1
Final Beneficiaries of Share Ownership
Page 9
Number Name
1 Bapak Zafar Dinesh Idham
2 Ibu Fatima Shanta Tamara Idham Jusuf
3 Ibu Shanti Lasminingsih P
4 Ibu Dr.Ratna Djuwita
5 Ibu Chandraleika MM
6 Bapak Petronius Saragih
Thus to be informed accordingly.
Respectfully,
Asuransi Bintang Tbk
Jenry Cardo Manurung
Asuransi Bintang Tbk
Jl. RS Fatmawati No. 32 Jakarta Selatan
Phone : 7590 2777, Fax : 7590 2555, www.asuransibintang.com
Sender Name Jenry Cardo Manurung
Function
Date and Time 08-12-2023 08:24
Page 10
Attachment 1. PDF BEI E-Reporting ASBI November 2023.pdf
This is an official document of Asuransi Bintang Tbk that does not require a signature as it was generated
electronically by the electronic reporting system. Asuransi Bintang Tbk is fully responsible for the information
contained within this document.
Names mentioned 0 people and organisations named in the text · linked when the evidence is strong
The name pass has not read this document yet.
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
237 ms
12 Sep 2026 21:49
Raw output
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'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '13.56', 'shares': '47245108'},
'under5_warkat': {'pct': '3.45', 'shares': '12006736'}},
'as_of_date': '2023-11-30',
'checksum_ok': True,
'checksum_parts': '348386472',
'holders': [{'address': 'Ged. Samudera Indonesia Lt. 3 Jl. Letjen S. Parman '
'Kav. 35',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'PT. Srihana Utama',
'page_no': 1,
'pct': '35.46',
'pct_prev': '35.46',
'position': '',
'seq': 0,
'shares': '123522776',
'shares_prev': '123522776'},
{'address': 'Palmerah, Jakarta 11480 Ged. Samudera Indonesia Lt. '
'7 Jl. Letjen S. Parman Kav. 35',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'PT. Ngrumat Bondo Utomo',
'page_no': 1,
'pct': '25.06',
'pct_prev': '25.06',
'position': '',
'seq': 1,
'shares': '87302164',
'shares_prev': '87302164'},
{'address': 'Palmerah, Jakarta 11480 Ged. Bank Mandiri Lantai '
'2/206 Jl. Tanjung Karang',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'PT. Warisan Kasih Bunda',
'page_no': 1,
'pct': '21.65',
'pct_prev': '21.65',
'position': '',
'seq': 2,
'shares': '75438688',
'shares_prev': '75438688'},
{'address': 'No. 3-4 A Kebon Melati, Tanah Abang Jl. RS Fatmawati '
'No.',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Zafar Dinesh Idham',
'page_no': 1,
'pct': '0.3',
'pct_prev': '0.3',
'position': 'Direksi',
'seq': 3,
'shares': '1050000',
'shares_prev': '1050000'},
{'address': 'Jl. RS Fatmawati No. 32 Jakarta',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Hastanto Sri Margi Widodo',
'page_no': 2,
'pct': '0.33',
'pct_prev': '0.33',
'position': 'Direksi',
'seq': 4,
'shares': '1163000',
'shares_prev': '1163000'},
{'address': 'Selatan Jl. RS Fatmawati No.',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Reniwati Darmakusuma',
'page_no': 2,
'pct': '0.19',
'pct_prev': '0.19',
'position': 'Direksi',
'seq': 5,
'shares': '658000',
'shares_prev': '658000'}],
'issuer_name': 'Asuransi Bintang Tbk',
'issuer_ticker': 'ASBI',
'layout': 'EREP_COVER',
'letter_number': '293/SK/DIR-JCM/XII/2023',
'listing_board': 'Pengembangan',
'period_label': 'November 2023',
'registrar': 'PT. Bima Registra',
'total_shares': '348386472'}