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20231207_ASDM_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31546686.pdf
Shareholder register Parsed ASDMSource file signed link, expires in 15 minutes
Extracted text 9
Page 1
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Nomor Surat B.111/Dir-Keu/XII/2023
Nama Perusahaan Asuransi Dayin Mitra Tbk
Kode Emiten ASDM
Papan Pencatatan Utama
Lampiran 3
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. Datindo Entrycom
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
PT EQUITY WISMA HAYAM 140.796.900 73,3% 140.796.900 73,3%
DEVELOPOM WURUK LT.3, X
JL. HAYAM
WURUK NO. 8,
JAKARTA
Pemegang PT PRIMA WISMA HAYAM 10.185.600 5,3% 10.185.600 5,3%
Saham > 5% TUNAS WURUK LT.9,
JL. HAYAM
WURUK,
JAKARTA
PSAT
PT KOMPLEK 11.538.000 6% 11.538.000 6%
ARTHAVEST RUKO ATAP
MERAH BLOK
B1
JL.PECENONG
3.640.440 1,9% 3.640.440 1,9%
Masyarakat - Warkat - Scrip
25.839.060 13,5% 25.839.060 13,5%
Masyarakat - Non Warkat - Scripless
Page 2
0 0% 0 0%
Saham Treasury
192.000.000 100% 192.000.000 100%
Total
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
140,796,900 73.3% 140,796,900 73.3%
Total Pengendali
51,203,100 26.7% 51,203,100 26.7%
Total Non Pengendali
Page 3
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
25.839.060 25.839.060
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
0 0
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 25.839.060 25.839.060
Jumlah saham tercatat di Bursa per akhir bulan 192.000.000 192.000.000
% Saham Free Float 13,46 13,46
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
877 854 23
Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
Nomor Nama
1 Pinnacle Asia Diversified Fund
Demikian untuk diketahui.
Hormat Kami,
Asuransi Dayin Mitra Tbk
Efran Sinaga
Manager
Asuransi Dayin Mitra Tbk
Wisma Hayam Wuruk Lt. 7 Jl. Hayam Wuruk No. 8 Jakarta 10120
Telepon : 021-80868888, Fax : 021-3453457, www.asuransidayinmitra.com
Nama Pengirim Efran Sinaga
Jabatan Manager
Tanggal dan Waktu 07-12-2023 09:07
Lampiran 1. ASDM-1.pdf
2. ASDM-2.pdf
3. ASDM-3.pdf
Page 5
Dokumen ini merupakan dokumen resmi Asuransi Dayin Mitra Tbk yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. Asuransi Dayin Mitra Tbk bertanggung jawab penuh
atas informasi yang tertera didalam dokumen ini.
Page 6
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Letter / Announcement No. B.111/Dir-Keu/XII/2023
Issuer Name Asuransi Dayin Mitra Tbk
Issuer Code ASDM
Listing Board Main
Attachment 3
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. Datindo Entrycom
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 EQUITY WISMA HAYAM 140,796,900 73.3% 140,796,900 73.3%
DEVELOPOM WURUK LT.3, X
JL. HAYAM
WURUK NO. 8,
Share JAKARTA
Ownership > PT PRIMA WISMA HAYAM 10,185,600 5.3% 10,185,600 5.3%
5% TUNAS WURUK LT.9,
JL. HAYAM
WURUK,
JAKARTA
PSAT
PT KOMPLEK 11,538,000 6% 11,538,000 6%
ARTHAVEST RUKO ATAP
MERAH BLOK
B1
JL.PECENONG
3.640.440 1,9% 3.640.440 1,9%
Masyarakat - Warkat - Scrip
25.839.060 13,5% 25.839.060 13,5%
Masyarakat - Non Warkat - Scripless
0 0% 0 0%
Saham Treasury
Page 7
192.000.000 100% 192.000.000 100%
Total
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
140,796,900 73.3% 140,796,900 73.3%
Total Controller
51,203,100 26.7% 51,203,100 26.7%
Total Non-Controllers
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
25.839.060 25.839.060
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
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 25.839.060 25.839.060
The number of shares listed on the Exchange at the end of the
192.000.000 192.000.000
month
% Free Float Share 13,46 13,46
Page 8
Number of Shareholders
Previous Month This Month Change
877 854 23
Final Beneficiaries of Share Ownership
Number Name
1 Pinnacle Asia Diversified Fund
Thus to be informed accordingly.
Respectfully,
Asuransi Dayin Mitra Tbk
Efran Sinaga
Manager
Asuransi Dayin Mitra Tbk
Wisma Hayam Wuruk Lt. 7 Jl. Hayam Wuruk No. 8 Jakarta 10120
Phone : 021-80868888, Fax : 021-3453457, www.asuransidayinmitra.com
Sender Name Efran Sinaga
Function Manager
Date and Time 07-12-2023 09:07
Page 9
Attachment 1. ASDM-1.pdf
2. ASDM-2.pdf
3. ASDM-3.pdf
This is an official document of Asuransi Dayin Mitra Tbk that does not require a signature as it was generated
electronically by the electronic reporting system. Asuransi Dayin Mitra 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
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confidence 0.900
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12 Sep 2026 21:49
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '192000000'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '13.5', 'shares': '25839060'},
'under5_warkat': {'pct': '1.9', 'shares': '3640440'}},
'as_of_date': '2023-11-30',
'checksum_ok': True,
'checksum_parts': '192000000',
'holders': [{'address': 'WISMA HAYAM WURUK LT.3, JL. HAYAM',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'PT EQUITY DEVELOPOM',
'page_no': 1,
'pct': '73.3',
'pct_prev': '73.3',
'position': '',
'seq': 0,
'shares': '140796900',
'shares_prev': '140796900'},
{'address': 'WURUK NO. 8, JAKARTA WISMA HAYAM WURUK LT.9, JL. '
'HAYAM WURUK,',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'PT PRIMA TUNAS',
'page_no': 1,
'pct': '5.3',
'pct_prev': '5.3',
'position': '',
'seq': 1,
'shares': '10185600',
'shares_prev': '10185600'},
{'address': 'JAKARTA PSAT KOMPLEK RUKO ATAP',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'PT ARTHAVEST',
'page_no': 1,
'pct': '6',
'pct_prev': '6',
'position': '',
'seq': 2,
'shares': '11538000',
'shares_prev': '11538000'}],
'issuer_name': 'Asuransi Dayin Mitra Tbk',
'issuer_ticker': 'ASDM',
'layout': 'EREP_COVER',
'letter_number': 'B.111/Dir-Keu/XII/2023',
'listing_board': 'Utama',
'period_label': 'November 2023',
'registrar': 'PT. Datindo Entrycom',
'total_shares': '192000000'}