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20231129_ASDM_Laporan Informasi dan Fakta Material_31543744_lamp2.pdf
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Page 1 OCR 0.898
Jakarta, 29 November 2023
No. Ref.: B.116/CS/XI/2023
Kepada Yth. / 70
Otoritas Jasa Keuangan (OJK)
Gedung Sumitro Djojohadikusumo
Jl. Lapangan Banteng Timur No. 2-4
Jakarta 10710
Up. Kepala Eksekutif Pengawas Pasar
Modal, Keuangan Derivatif, dan
Bursa Karbon
Perihal: Keterbukaan Informasi atau
Fakta Material
Dengan hormat,
Dengan ini kami untuk dan atas nama PT
Asuransi Dayin Mitra Tbk (“Perseroan”),
menyampaikan Keterbukaan Informasi atau
Fakta Material sebagai berikut:
Attn. Chief Executive functioning as
Capital Markets, Financial
Derivatives, and Carbon Exchange
Supervisor
Re. : Disclosure of Material Information
or Fact
Wiith due respect,
For and on behalf of PT Asuransi Dayin Mitra
Tbk ("the Company"), we hereby convey the
following Disclosure of Material Information or
Fact as follows:
Nama Emiten / Name ofIssuer — : PT Asuransi Dayin Mitra Tbk (ASDM)
Bidang Usaha / Scope of Business : Asuransi Umum Konvensional / General Insurance
Telepon / Telephone : 021-80868888
Alamat surat elektronik / e-mai/ — : csecretary@dayinmitra.com
1. | Tanggal 28 November 2023 L | Date of Event | November 28, 2023
Kejadian
2. | Jenis Keterbukaan Informasi 2 | Typeof Information
Informasi atau | terkait Perubahan Material disclosure regarding
Fakta Material | Anggaran Dasar Information Changes to the
Perseroan. or Fact companyS Article of
1
PT ASURANSI DAYIN MITRA Tbk
WISMA HAYAM WURUK, 78! Noor « Jl. Hayam Wuruk No. 8 » Jakarta 10120 - Indonesia
T. (62-21) 8086 3888 (Hunting) - Website : www.asuransidayinmitra.com
General
lnsurance
Anggota AAUI No. 073.01041999.2.01
Page 2 OCR 0.917
3. | Uraian Informasi atau Fakta Material hasil Rapat Pemegang Saham Luar Biasa (Rapat), yang dilaksanakan pada hari Selasa, 21 November 2023, pada mata acara pertama terkait Persetujuan perubahan Anggaran Perseroan sehubungan dengan pemecahan nilai nominal saham (Stock Split), Pasal 4 ayat 1 dan 2 menjadi Berdasarkan keputusan Umum sebagai berikut: Ayat (1) Modal dasar Perseroan ini '” berjumlah Rp 190.000.000.000 (seratus sembilan puluh miliar Rupiah), terbagi atas 1.520.000.000 “ miliar lima ratus dua puluh juta) saham, masing — msing saham bernilai nominal Rp125 (seratus dua puluh lima Rupiah). Ayat (2) Dari modal dasar tersebut telah ditempatkan dan disetor penuh dengan uang tunai sebanyak 384.000.000 (tiga ratus delapan puluh empat juta) saham dengan nilai nominal seluruhnya — sebesar Description of Material Information or Fact Based on the results of the decision of the Extraordinary General Meeting of Shareholders (Meeting), which was held on Tuesday, November 21, 2023, on the first agenda item related ” to Approval of changes to the Company's Articles in connection with the split of the nominal value of shares (Stock Split), Article 4 paragraphs 1 and 2 are as follows: Paragraphs (1) The authorized capital Of this Company is IDR 190,000,000,000 (one hundred and ninety billion Rupiah), divided into 1,520,000,000 (eh bilion five hundred and twenty million) shares, each share has a nominal value of IDR 125 (one hundred and twenty five Rupiah). Paragraphs (2) Of the authorized capital, 384,000,000 (three hundred eighty four million) shares with a total nominal value of IDR 48,000,000,000 (forty eight billion Rupiah) have been placed and .|paid up in cash by the t PT ASURANSI DAYIN MITRA Tbk General Insurance
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Rp48.000.000.000 Shareholders whose (empat puluh delapan names are recorded miliar Rupiah) oleh in List of Company para Pemegang Shareholders. Saham yang namanya tercatat dalam Daftar Pemegang Saham Perseroan. 4. | Dampak Tidak ada 4 | Impact of the| None kejadian, event or informasi atau material fakta material information or tersebut fact on the terhadap Operations, kegiatan legal matters, operasional, financial hukum, condition — or kondisi business keuangan, continuity of atau the Issuer or kelangsungan Public usaha Emiten Company atau Perusahaan Publik 5. | Keterangan Tidak ada 5. | Other None lain-lain information Demikian pemberitahuan ini kami sampaikan, atas perhatiannya kami ucapkan terima kasih. for your kind attention. Hormat kami, / Best Regards, PT Asuransi Dayin Mitra Tbk Se Purnama Hadiwidjaja Corporate Secretary Thus we convey this information. Thank you PT ASURANSI DAYIN MITRA Tbk General Insurance
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