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20231206_IKPM_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31546635.pdf

Shareholder register Parsed IKPM

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Page 1
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 Nomor Surat                         LB-O1/IKPM/122023

 Nama Perusahaan                     PT Ikapharmindo Putramas Tbk.

 Kode Emiten                         IKPM

 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. Adimitra Jasa Korpora




                                                                       Persen
                                                                                  Jumlah      Persen
                                                          Jumlah Saham Saham
                     Nama       Alamat         Jabatan                          Saham Bulan Saham Bulan Pengendali   Afiliasi
                                                           Sebelumnya Sebelumny
                                                                                    Ini         Ini
                                                                          a
            PT Ikapharma Jl. Pulogadung                   1.315.950.000   78,12% 1.315.950.00    78,12%
               Inti Mas     Raya No. 29,                                                    0               X
                           KIP, Jatinegara,
                           Cakung, Jakarta
                                 13930,
                               Indonesia
             Dra. Maudy Jl. Merdeka No.       Komisaris     14.840.000     0,88%   14.840.000     0,88%
            Ratna Winata      44, Karang                                                                                X
                                Babakan
  Pemegang
                            Ciamis, Sumur
 Saham > 5%                    Bandung,
                               Bandung,
                               Indonesia
             Drs. Titianus Jl. Merdeka No.    Komisaris     10.460.000     0,62%   10.460.000     0,62%
                Winata        44, Karang                                                                                X
                                Babakan
                            Ciamis, Sumur
                               Bandung,
                               Bandung,
                               Indonesia
Page 2
                                                                           Persen
                                                                                      Jumlah      Persen
                                                              Jumlah Saham Saham
                Nama           Alamat          Jabatan                              Saham Bulan Saham Bulan Pengendali           Afiliasi
                                                               Sebelumnya Sebelumny
                                                                                        Ini         Ini
                                                                              a
               Augustina   Jl. Merdeka No.                        3.240.000      0,19%      3.240.000       0,19%
                Winata        44, Karang                                                                                            X
                                Babakan
                           Ciamis, Sumur
 Pemegang                      Bandung,
Saham > 5%                     Bandung,
                               Indonesia
              Eliza Arlena Jl. Merdeka No.      Direksi           3.240.000      0,19%      3.240.000       0,19%
                 Winata       44, Karang                                                                                            X
                                Babakan
                           Ciamis, Sumur
                               Bandung,
                               Bandung,
                               Indonesia
                                                          0        0%             0              0%
     Masyarakat - Warkat - Scrip

                                              336.932.500         20%     336.932.50            20%
  Masyarakat - Non Warkat - Scripless                                              0

                                                          0         0%             0             0%
          Saham Treasury

                                             1.684.662.50        100% 1.684.662.50              100%
                Total                                   0                        0




                                                                            Persentase           Jumlah Saham (Bulan      Persentase(Bulan
             Nama                   Jumlah Saham (Sebelumnya)
                                                                           (Sebelumnya)                  Ini)                   Ini)
                                                          1,315,950,000                78.12%             1,315,950,000              78.12%
       Total Pengendali

                                                           368,712,500                 21.88%               368,712,500              21.88%
    Total Non Pengendali
Page 3
Informasi Saham Free Float


                             Keterangan                               Bulan Sebelumnya           Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                              368.712.500             368.712.500
dari 5%
 Jumlah saham scripless dimiliki oleh Direksi dan Dewan
                                                                               28.540.000               28.540.000
 Komisaris kurang dari 5%

 Jumlah saham scripless dimiliki oleh Pengendali kurang dari 5%                          0                        0

Jumlah saham scripless dimiliki oleh Afiliasi dari Pengendali                   3.240.000                3.240.000
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                                                                              336.932.500


Jumlah saham tercatat di Bursa per akhir bulan                              1.684.662.500           1.684.662.500


% Saham Free Float                                                                                               20



Jumlah Pemegang Saham


         Bulan Sebelumnya                         Bulan Sekarang                     Perubahan

                                 6.586                             6.586                                     0



Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
         Nomor                                                  Nama

           1                                             PT Ikapharma Inti Mas




Pengendali dari Pemegang Saham Pengendali dalam bentuk perseroan Terbatas



  Nomor                     Nama                              Alamat               Jumlah Saham

     1            Dra. Maudy Ratna Winata            Jl. Merdeka No. 44, Karang       91.754
                                                  Babakan Ciamis, Sumur Bandung,
     2               Drs. Titianus Winata            Jl. Merdeka No. 44, Karang       67.868
                                                  Babakan Ciamis, Sumur Bandung,


Demikian untuk diketahui.


Hormat Kami,
PT Ikapharmindo Putramas Tbk.




Ayi Saepudin

Direktur




PT Ikapharmindo Putramas Tbk.
Jl. Pulogadung Raya No. 29 Kawasan Industri Pulogadung, Jakarta Timur 13930
Telepon : 0214600086, Fax : 0214608865, www.ikapharmindo.com



Nama Pengirim                      Ayi Saepudin

Jabatan                            Direktur
Page 5
Tanggal dan Waktu                 07-12-2023 14:35

Lampiran                         1. IKPM LB NOV-2023.pdf


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

 Letter / Announcement No.            LB-O1/IKPM/122023

 Issuer Name                          PT Ikapharmindo Putramas Tbk.

 Issuer Code                          IKPM

 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. 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 Ikapharma Jl. Pulogadung                      1,315,950,000   78.12% 1,315,950,00           78.12%
               Inti Mas     Raya No. 29,                                                       0                        X
                           KIP, Jatinegara,
                           Cakung, Jakarta
                                 13930,
                               Indonesia
             Dra. Maudy Jl. Merdeka No.       Komisaris        14,840,000      0.88%      14,840,000        0.88%
            Ratna Winata      44, Karang                                                                                             X
                                Babakan
  Share                     Ciamis, Sumur
Ownership >                    Bandung,
   5%                          Bandung,
                               Indonesia
             Drs. Titianus Jl. Merdeka No.    Komisaris        10,460,000      0.62%      10,460,000        0.62%
                Winata        44, Karang                                                                                             X
                                Babakan
                            Ciamis, Sumur
                               Bandung,
                               Bandung,
                               Indonesia
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
               Augustina    Jl. Merdeka No.                       3,240,000      0.19%     3,240,000        0.19%
                Winata         44, Karang                                                                                            X
                                 Babakan
  Share                     Ciamis, Sumur
Ownership >                     Bandung,
   5%                           Bandung,
                                Indonesia
               Eliza Arlena Jl. Merdeka No.    Direksi            3,240,000      0.19%     3,240,000        0.19%
                  Winata       44, Karang                                                                                            X
                                 Babakan
                            Ciamis, Sumur
                                Bandung,
                                Bandung,
                                Indonesia
                                                          0        0%              0             0%
       Masyarakat - Warkat - Scrip

                                               336.932.500        20%     336.932.50            20%
    Masyarakat - Non Warkat - Scripless                                            0

                                                          0         0%             0             0%
              Saham Treasury

                                              1.684.662.50       100% 1.684.662.50              100%
                   Total                                 0                       0




                                                                              Percentage         Number of Shares (This    Percentage (This
               Name                    Number of Shares (Previously)
                                                                              (Previous)                Month)                 Month)
                                                          1,315,950,000                78.12%              1,315,950,000                 78.12%
         Total Controller

                                                           368,712,500                 21.88%                368,712,500                 21.88%
      Total Non-Controllers
Page 8
Free Float Share Information


                              Information                            Previous Month            This Month

 The number of scripless shares owned by shareholders is less
                                                                            368.712.500              368.712.500
 than 5%
 The number of scripless shares owned by the Board of Directors
                                                                             28.540.000               28.540.000
 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                    3.240.000                3.240.000
 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                                                                     336.932.500

 The number of shares listed on the Exchange at the end of the
                                                                          1.684.662.500            1.684.662.500
 month

 % Free Float Share                                                                                             20



Number of Shareholders


          Previous Month                             This Month                       Change


                                6.586                             6.586                                     0


Final Beneficiaries of Share Ownership
Page 9
      Number                                                     Name

           1                                              PT Ikapharma Inti Mas




Controlling from the Controlling Shareholder in the form of a Limited Liability Company



  Number                    Name                               Address                    Total Stock

     1              Dra. Maudy Ratna Winata           Jl. Merdeka No. 44, Karang            91,754
                                                   Babakan Ciamis, Sumur Bandung,
     2                Drs. Titianus Winata            Jl. Merdeka No. 44, Karang            67,868
                                                   Babakan Ciamis, Sumur Bandung,


Thus to be informed accordingly.


Respectfully,
PT Ikapharmindo Putramas Tbk.




Ayi Saepudin

Direktur




PT Ikapharmindo Putramas Tbk.
Jl. Pulogadung Raya No. 29 Kawasan Industri Pulogadung, Jakarta Timur 13930
Phone : 0214600086, Fax : 0214608865, www.ikapharmindo.com



Sender Name                         Ayi Saepudin

Function                            Direktur
Page 10
Date and Time                      07-12-2023 14:35

Attachment                        1. IKPM LB NOV-2023.pdf


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

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Published7 Dec 2023
Pages10
Characters16,817
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Rule parser OK confidence 0.900 235 ms 12 Sep 2026 21:49
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '1684662500'},
                'treasury': {'pct': '0', 'shares': '0'},
                'under5_non_warkat': {'pct': '20', 'shares': '336932500'},
                'under5_warkat': {'pct': '0', 'shares': '0'}},
 'as_of_date': '2023-11-30',
 'checksum_ok': True,
 'checksum_parts': '1684662500',
 'holders': [{'address': 'Jl. Pulogadung Raya No. 29, KIP, Jatinegara, Cakung, '
                         'Jakarta',
              'category': 'FIVE_PCT',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'Ikapharma Inti Mas',
              'page_no': 1,
              'pct': '78.12',
              'pct_prev': '78.12',
              'position': '',
              'seq': 0,
              'shares': '1315950000',
              'shares_prev': '1315950000'},
             {'address': '13930, Indonesia Jl. Merdeka No. 44, Karang Babakan '
                         'Ciamis, Sumur',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': True,
              'name': 'Dra. Maudy Ratna Winata',
              'page_no': 1,
              'pct': '0.88',
              'pct_prev': '0.88',
              'position': 'Komisaris',
              'seq': 1,
              'shares': '14840000',
              'shares_prev': '14840000'},
             {'address': 'Bandung, Bandung, Indonesia Jl. Merdeka No. 44, '
                         'Karang',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': True,
              'name': 'Drs. Titianus Winata',
              'page_no': 1,
              'pct': '0.62',
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              'position': 'Komisaris',
              'seq': 2,
              'shares': '10460000',
              'shares_prev': '10460000'},
             {'address': 'Jl. Merdeka No. 44, Karang Babakan Ciamis, Sumur',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': True,
              'name': 'Augustina Winata',
              'page_no': 2,
              'pct': '0.19',
              'pct_prev': '0.19',
              'position': '',
              'seq': 3,
              'shares': '3240000',
              'shares_prev': '3240000'},
             {'address': 'Bandung, Bandung, Indonesia Jl. Merdeka No. 44, '
                         'Karang',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': True,
              'name': 'Eliza Arlena Winata',
              'page_no': 2,
              'pct': '0.19',
              'pct_prev': '0.19',
              'position': 'Direksi',
              'seq': 4,
              'shares': '3240000',
              'shares_prev': '3240000'}],
 'issuer_name': 'PT Ikapharmindo Putramas Tbk.',
 'issuer_ticker': 'IKPM',
 'layout': 'EREP_COVER',
 'letter_number': 'LB-O1/IKPM/122023',
 'listing_board': 'Pengembangan',
 'period_label': 'November 2023',
 'registrar': 'PT. Adimitra Jasa Korpora',
 'total_shares': '1684662500'}
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