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20231114_SILO_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31519022.pdf
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Page 1
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Nomor Surat 073/Corsec-SIH/X/2023.
Nama Perusahaan PT Siloam International Hospitals Tbk.
Kode Emiten SILO
Papan Pencatatan Utama
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek (KOREKSI)
Mengoreksi surat kami nomor : 073/Corsec-SIH/X/2023 tanggal 10 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. Sharestar Indonesia
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
MEGAPRATA 2121 6.447.348.480 49,57% 6.447.348.48 49,57%
MA KARYA BULEVARD 0 X X
Pemegang
Saham > 5% GAJAH MADA
#01-01, LIPPO
KARAWACI
PRIME C/O MOURANT 3.405.587.432 26,18% 3.405.587.43 26,18%
HEALTH OZANNES 2
CORPORATE
SERVICES
1.104.834.12 8,49% 1.104.834. 8,49%
Masyarakat - Warkat - Scrip 0 120
2.010.901.66 15,47% 2.029.715. 15,62%
Masyarakat - Non Warkat - Scripless 8 068
37.453.300 0,29% 18.639.900 0.14%
Saham Treasury
Page 2
13.006.125.0 100% 13.006.125.0 100%
Total 00 00
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
6,447,348,480 49.57% 6,447,348,480 49.57%
Total Pengendali
6,558,776,520 50.43% 6,558,776,520 50.43%
Total Non Pengendali
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
2.048.354.968 2.048.354.968
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
11.564.320 13.187.320
Komisaris kurang dari 5%
Jumlah saham scripless dimiliki oleh Pengendali kurang dari 5% 0 0
Jumlah saham scripless dimiliki oleh Afiliasi dari Pengendali 86.829.600 86.829.600
kurang dari 5%
Jumlah treasury stock scripless kurang dari 5% 37.453.300 18.639.900
Jumlah saham portofolio investasi dengan penerima manfaat
0 0
investor publik yang telah disetujui Bursa untuk diperhitungkan
sebagai Free Float
Jumlah saham Free Float 1.912.507.748 1.929.698.148
Jumlah saham tercatat di Bursa per akhir bulan 13.006.125.000 13.006.125.000
% Saham Free Float 14,7 14,84
Page 3
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
5.475 4.909 566
Penerima Manfaat Akhir dari Kepemilikan Saham
Nomor Nama
1 James T. Riady
Demikian untuk diketahui.
Hormat Kami,
PT Siloam International Hospitals Tbk.
Ratih Hadiwinoto
Corporate Secretary Sr. GM
PT Siloam International Hospitals Tbk.
Gdg Fak. Kedokteran UPH Lt. 32, Jl. Boulevard Jend. Sudirman No. 15, Lippo
Telepon : 021-25668000, Fax : 021-5460075, www.siloamhospitals.com
Nama Pengirim Ratih Hadiwinoto
Jabatan Corporate Secretary Sr. GM
Tanggal dan Waktu 14-11-2023 09:14
Page 4
Lampiran 1. 073 - Corsec - Monthly Report .pdf
Dokumen ini merupakan dokumen resmi PT Siloam International Hospitals Tbk. yang tidak memerlukan tanda
tangan karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Siloam International Hospitals Tbk.
bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 5
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Letter / Announcement No. 073/Corsec-SIH/X/2023.
Issuer Name PT Siloam International Hospitals Tbk.
Issuer Code SILO
Listing Board Main
Attachment 1
Subject Monthly Report of Securities Holders Registration (CORRECTION)
Correction to our previous announcement number : 073/Corsec-SIH/X/2023 dated 10 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. Sharestar Indonesia
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
MEGAPRATA 2121 6,447,348,480 49.57% 6,447,348,48 49.57%
Share MA KARYA BULEVARD X X
0
Ownership > GAJAH MADA
5% #01-01, LIPPO
KARAWACI
PRIME C/O MOURANT 3,405,587,432 26.18% 3,405,587,43 26.18%
HEALTH OZANNES 2
CORPORATE
SERVICES
1.104.834.12 8,49% 1.104.834. 8,49%
Masyarakat - Warkat - Scrip 0 120
2.010.901.66 15,47% 2.029.715. 15,62%
Masyarakat - Non Warkat - Scripless 8 068
37.453.300 0,29% 18.639.900 0.14%
Saham Treasury
13.006.125.0 100% 13.006.125.0 100%
Total 00 00
Page 6
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
6,447,348,480 49.57% 6,447,348,480 49.57%
Total Controller
6,558,776,520 50.43% 6,558,776,520 50.43%
Total Non-Controllers
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
2.048.354.968 2.048.354.968
than 5%
The number of scripless shares owned by the Board of Directors
11.564.320 13.187.320
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 86.829.600 86.829.600
Controller is less than 5%
The amount of scripless treasury stock is less than 5% 37.453.300 18.639.900
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 1.912.507.748 1.929.698.148
The number of shares listed on the Exchange at the end of the
13.006.125.000 13.006.125.000
month
% Free Float Share 14,7 14,84
Page 7
Number of Shareholders
Previous Month This Month Change
5.475 4.909 566
Final Beneficiaries of Share Ownership
Number Name
1 James T. Riady
Thus to be informed accordingly.
Respectfully,
PT Siloam International Hospitals Tbk.
Ratih Hadiwinoto
Corporate Secretary Sr. GM
PT Siloam International Hospitals Tbk.
Gdg Fak. Kedokteran UPH Lt. 32, Jl. Boulevard Jend. Sudirman No. 15, Lippo
Phone : 021-25668000, Fax : 021-5460075, www.siloamhospitals.com
Sender Name Ratih Hadiwinoto
Function Corporate Secretary Sr. GM
Date and Time 14-11-2023 09:14
Page 8
Attachment 1. 073 - Corsec - Monthly Report .pdf
This is an official document of PT Siloam International Hospitals Tbk. that does not require a signature as it was
generated electronically by the electronic reporting system. PT Siloam International Hospitals 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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OK
confidence 0.900
304 ms
12 Sep 2026 21:55
Raw output
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'treasury': {'pct': '0.14', 'shares': '18639900'},
'under5_non_warkat': {'pct': '15.62', 'shares': '2029715068'},
'under5_warkat': {'pct': '8.49', 'shares': '1104834120'}},
'as_of_date': '2023-10-31',
'checksum_ok': True,
'checksum_parts': '13006125000',
'holders': [{'address': '2121 BULEVARD GAJAH MADA',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': True,
'name': 'MEGAPRATA MA KARYA',
'page_no': 1,
'pct': '49.57',
'pct_prev': '49.57',
'position': '',
'seq': 0,
'shares': '6447348480',
'shares_prev': '6447348480'},
{'address': '#01-01, LIPPO KARAWACI C/O MOURANT OZANNES',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'PRIME HEALTH',
'page_no': 1,
'pct': '26.18',
'pct_prev': '26.18',
'position': '',
'seq': 1,
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'issuer_name': 'PT Siloam International Hospitals Tbk.',
'issuer_ticker': 'SILO',
'layout': 'EREP_COVER',
'letter_number': '073/Corsec-SIH/X/2023.',
'listing_board': 'Utama',
'period_label': 'Oktober 2023',
'registrar': 'PT. Sharestar Indonesia',
'total_shares': '13006125000'}