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20231120_MMIX_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31530574.pdf
Shareholder register Parsed MMIXSource file signed link, expires in 15 minutes
Extracted text 12
Page 1
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Nomor Surat 009/MMI-CORP/XI/2023
Nama Perusahaan PT Multi Medika Internasional Tbk
Kode Emiten MMIX
Papan Pencatatan Pengembangan
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek (KOREKSI)
Mengoreksi surat kami nomor : 006/MMI-CORP/XI/2023 tanggal 08 November 2023 perihal Laporan Bulanan Registrasi
Pemegang Efek, dengan ini perseroan menyampaikan hal sebagai berikut:
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Oktober 2023
Sebagai Berikut :
Biro Administrasi Efek: PT. Sinartama Gunita
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
PT Multi Inti Jl. Peternakan Direksi 1.440.000.000 60% 1.440.000.00 60%
Usaha III No.55B, 0 X X
KapukCengkare
ng, Jakarta
Barat11720
Mengky Jl. Peternakan Direksi 144.000.000 6% 144.000.000 6%
Pemegang Mangarek III No.55B,
Saham > 5% KapukCengkare
ng, Jakarta
Barat11720
Eveline Jl. Peternakan Direksi 144.000.000 6% 144.000.000 6%
Natalia III No.55B,
KapukCengkare
ng, Jakarta
Barat11720
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
Hillary Jl. Peternakan Komisaris 36.000.000 1,5% 36.000.000 1,5%
Josephine III No.55B,
Pemegang KapukCengkare
Saham > 5% ng, Jakarta
Barat11720
Allen Feliciano Jl. Peternakan Komisaris 36.000.000 1,5% 36.000.000 1,5%
III No.55B,
KapukCengkare
ng, Jakarta
Barat11720
0 0% 0 0%
Masyarakat - Warkat - Scrip
600.085.440 25% 600.087.21 25%
Masyarakat - Non Warkat - Scripless 0
0 0% 0 0%
Saham Treasury
2.400.085.44 100% 2.400.087.21 100%
Total 0 0
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
1,440,000,000 60% 1,440,000,000 60%
Total Pengendali
960,085,440 40% 960,087,210 40%
Total Non Pengendali
Page 3
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
600.085.440 600.087.210
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
0 74.393.600
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 600.085.440 525.693.610
Jumlah saham tercatat di Bursa per akhir bulan 2.400.085.440 2.400.087.210
% Saham Free Float 25 21,9
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
3.073 2.898 175
Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
Nomor Nama
1 Mengky Mangarek
2 Eveline Natalia Susanto
Pengendali dari Pemegang Saham Pengendali dalam bentuk perseroan Terbatas
Nomor Nama Alamat Jumlah Saham
1 PT Multi Inti Usaha Jl. Peternakan III No.55B, 1.440.000.000
KapukCengkareng, Jakarta
Waran
Jumlah Waran Persen Waran Jumlah
Jumlah Waran Persen Waran
Nama Alamat Bulan Bulan Perubahan
Bulan Ini Bulan Ini
Sebelumnya Sebelumnya Waran
JE UNG YUN WI CITYJAI 2 44.142.900 14,7185% 44.142.900 14,7186% 0
DANJI APT 1802
HO DONG ILSAN
GUNAWAN JL. GELONG 35.253.700 11,7545% 35.765.600 11,9253% 0
AGUSTIN BARU TIMUR
VIB/12 RT 006
RW 002, KEL.
TOMANG KEC
GROGOL
PETAMBURAN
Page 5
Jumlah Waran Persen Waran Jumlah
Jumlah Waran Persen Waran
Nama Alamat Bulan Bulan Perubahan
Bulan Ini Bulan Ini
Sebelumnya Sebelumnya Waran
GUSTINA JL. GELONG 21.039.900 7,0153% 21.067.600 7,0246% 27.700
BARU TIMUR
VIB/12 RT 006
RW 002, KEL.
TOMANG KEC
GROGOL
PETAMBURAN
FENNY BUMI PERMATA 20.000.000 6,6686% 20.000.000 6,6686% 0
DJOKO INDAH A 1 08
SUSANTO RT/RW 001/012
KARANG MULYA
KOKARJADI JL. SURYA 18.800.100 6,2685% 18.800.100 6,2685% 0
CHANDRA WIJAYA 8/4-E/10
RT 007/011
KEDOYA UTARA,
KOTA JAKARTA
Demikian untuk diketahui.
Hormat Kami,
PT Multi Medika Internasional Tbk
Eveline N.Susanto
Direktur Keuangan
PT Multi Medika Internasional Tbk
Jl. Peternakan III No.55B, Kapuk
Telepon : +62 21 2967-6078, Fax : +62 21 565 9458, www.multimed.co.id
Nama Pengirim Eveline N.Susanto
Page 6
Jabatan Direktur Keuangan
Tanggal dan Waktu 20-11-2023 15:49
Lampiran 1. Okt.pdf
Dokumen ini merupakan dokumen resmi PT Multi Medika Internasional Tbk yang tidak memerlukan tanda tangan
karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Multi Medika Internasional Tbk
bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 7
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Letter / Announcement No. 009/MMI-CORP/XI/2023
Issuer Name PT Multi Medika Internasional Tbk
Issuer Code MMIX
Listing Board Development
Attachment 1
Subject Monthly Report of Securities Holders Registration (CORRECTION)
Correction to our previous announcement number : 009/MMI-CORP/XI/2023 dated 20 November 2023 with the subject
of Monthly Report of Securities Holders Registration, the company hereby submit the following information :
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 October
2023 as follows:
Security Administration Bureau: PT. Sinartama Gunita
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 Multi Inti Jl. Peternakan Direksi 1,440,000,000 60% 1,440,000,00 60%
Usaha III No.55B, 0 X X
KapukCengkare
ng, Jakarta
Barat11720
Mengky Jl. Peternakan Direksi 144,000,000 6% 144,000,000 6%
Mangarek III No.55B,
Share KapukCengkare
Ownership > ng, Jakarta
5% Barat11720
Eveline Jl. Peternakan Direksi 144,000,000 6% 144,000,000 6%
Natalia III No.55B,
KapukCengkare
ng, Jakarta
Barat11720
Hillary Jl. Peternakan Komisaris 36,000,000 1.5% 36,000,000 1.5%
Josephine III No.55B,
KapukCengkare
ng, Jakarta
Barat11720
Page 8
Number of Percent of Number of Percent of
Name Address Position Shares in Shares in Shares in Shares in Controller Affiliation
Share Previous Previous Current Current
Ownership > Allen Feliciano Jl. Peternakan Komisaris 36,000,000 1.5% 36,000,000 1.5%
5% III No.55B,
KapukCengkare
ng, Jakarta
Barat11720
0 0% 0 0%
Masyarakat - Warkat - Scrip
600.085.440 25% 600.087.21 25%
Masyarakat - Non Warkat - Scripless 0
0 0% 0 0%
Saham Treasury
2.400.085.44 100% 2.400.087.21 100%
Total 0 0
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
1,440,000,000 60% 1,440,000,000 60%
Total Controller
960,085,440 40% 960,087,210 40%
Total Non-Controllers
Page 9
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
600.085.440 600.087.210
than 5%
The number of scripless shares owned by the Board of Directors
0 74.393.600
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 600.085.440 525.693.610
The number of shares listed on the Exchange at the end of the
2.400.085.440 2.400.087.210
month
% Free Float Share 25 21,9
Number of Shareholders
Previous Month This Month Change
3.073 2.898 175
Final Beneficiaries of Share Ownership
Page 10
Number Name
1 Mengky Mangarek
2 Eveline Natalia Susanto
Controlling from the Controlling Shareholder in the form of a Limited Liability Company
Number Name Address Total Stock
1 PT Multi Inti Usaha Jl. Peternakan III No.55B, 1,440,000,000
KapukCengkareng, Jakarta
Warrants
Number of Percent of Number of Percent of Change in
Name Addresss Warrants Previous Warrants Warrants This Warrants This Number of
Month Previous Month Month Month Warrants
JE UNG YUN WI CITYJAI 2 44,142,900 14.7185% 44,142,900 14.7186% 0
DANJI APT
1802 HO DONG
ILSAN
GUNAWAN JL. GELONG 35,253,700 11.7545% 35,765,600 11.9253% 0
AGUSTIN BARU TIMUR
VIB/12 RT 006
RW 002, KEL.
TOMANG KEC
GROGOL
PETAMBURAN
Page 11
Number of Percent of Number of Percent of Change in
Name Addresss Warrants Previous Warrants Warrants This Warrants This Number of
Month Previous Month Month Month Warrants
GUSTINA JL. GELONG 21,039,900 7.0153% 21,067,600 7.0246% 27,700
BARU TIMUR
VIB/12 RT 006
RW 002, KEL.
TOMANG KEC
GROGOL
PETAMBURAN
FENNY DJOKO BUMI 20,000,000 6.6686% 20,000,000 6.6686% 0
SUSANTO PERMATA
INDAH A 1 08
RT/RW 001/012
KARANG
MULYA
KOKARJADI JL. SURYA 18,800,100 6.2685% 18,800,100 6.2685% 0
CHANDRA WIJAYA 8/4-
E/10 RT 007/011
KEDOYA
UTARA, KOTA
JAKARTA
Thus to be informed accordingly.
Respectfully,
PT Multi Medika Internasional Tbk
Eveline N.Susanto
Direktur Keuangan
PT Multi Medika Internasional Tbk
Jl. Peternakan III No.55B, Kapuk
Page 12
Phone : +62 21 2967-6078, Fax : +62 21 565 9458, www.multimed.co.id
Sender Name Eveline N.Susanto
Function Direktur Keuangan
Date and Time 20-11-2023 15:49
Attachment 1. Okt.pdf
This is an official document of PT Multi Medika Internasional Tbk that does not require a signature as it was
generated electronically by the electronic reporting system. PT Multi Medika Internasional 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
245 ms
12 Sep 2026 21:54
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '2400087210'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '25', 'shares': '600087210'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2023-10-31',
'checksum_ok': True,
'checksum_parts': '2400087210',
'holders': [{'address': 'Jl. Peternakan III No.55B, KapukCengkare',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': True,
'name': 'PT Multi Inti Usaha',
'page_no': 1,
'pct': '60',
'pct_prev': '60',
'position': 'Direksi',
'seq': 0,
'shares': '1440000000',
'shares_prev': '1440000000'},
{'address': 'ng, Jakarta Barat11720 Jl. Peternakan III No.55B, '
'KapukCengkare',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Mengky Mangarek',
'page_no': 1,
'pct': '6',
'pct_prev': '6',
'position': 'Direksi',
'seq': 1,
'shares': '144000000',
'shares_prev': '144000000'},
{'address': 'ng, Jakarta Barat11720 Jl. Peternakan III No.55B,',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Eveline Natalia',
'page_no': 1,
'pct': '6',
'pct_prev': '6',
'position': 'Direksi',
'seq': 2,
'shares': '144000000',
'shares_prev': '144000000'},
{'address': 'Jl. Peternakan III No.55B, KapukCengkare',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Hillary Josephine',
'page_no': 2,
'pct': '1.5',
'pct_prev': '1.5',
'position': 'Komisaris',
'seq': 3,
'shares': '36000000',
'shares_prev': '36000000'},
{'address': 'ng, Jakarta Barat11720 Jl. Peternakan III No.55B,',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Allen Feliciano',
'page_no': 2,
'pct': '1.5',
'pct_prev': '1.5',
'position': 'Komisaris',
'seq': 4,
'shares': '36000000',
'shares_prev': '36000000'}],
'issuer_name': 'PT Multi Medika Internasional Tbk',
'issuer_ticker': 'MMIX',
'layout': 'EREP_COVER',
'letter_number': '009/MMI-CORP/XI/2023',
'listing_board': 'Pengembangan',
'period_label': 'Oktober 2023',
'registrar': 'PT. Sinartama Gunita',
'total_shares': '2400087210'}