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20231110_ASMI_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31508445.pdf
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Page 1
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Nomor Surat Maximus/523/CRP/52/11/2023(1)
Nama Perusahaan PT Asuransi Maximus Graha Persada Tbk.
Kode Emiten ASMI
Papan Pencatatan Utama
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek (KOREKSI)
Mengoreksi surat kami nomor : Maximus/523/CRP/52/11/2023 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. Adimitra Jasa Korpora
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
PT GEDUNG 2.684.208.800 29,96% 2.684.208.80 29,96%
ASURANSI KRESNA 0
TOWER LT. 6.
18 PARC
Pemegang PLACE SCBD
Saham > 5% JL.JEND.SURI
MAN KAV.52-
53 SENAYAN
JAKARTA
SELATAN
INDOMITRA 18 PARC 90.215.000 1,01% 90.215.000 1,01%
PRIMA PLACE TOWER X
B LT 2 SCBD
5.884.986.26 65,69% 0 0%
Masyarakat - Warkat - Scrip 0
Page 2
0 0% 298.970.40 3,34%
Masyarakat - Non Warkat - Scripless 0
298.970.400 3,34% 5.884.986.26 65.69%
Saham Treasury 0
8.958.380.46 100% 8.958.380.46 100%
Total 0 0
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
5,884,986,260 65.69% 90,215,000 1.01%
Total Pengendali
8,868,165,460 98.99% 8,868,165,460 98.99%
Total Non Pengendali
Page 3
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
897.135.000 897.135.000
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 5.975.201.260 5.975.201.260
kurang dari 5%
Jumlah treasury stock scripless kurang dari 5% 0 0
Jumlah saham portofolio investasi dengan penerima manfaat
90.215.000 90.215.000
investor publik yang telah disetujui Bursa untuk diperhitungkan
sebagai Free Float
Jumlah saham Free Float 4.987.850.960 (4.987.851.260)
Jumlah saham tercatat di Bursa per akhir bulan 897.135.000 897.135.000
% Saham Free Float 55,68 (555,98)
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
0 0 0
Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
Nomor Nama
1 MICHAEL STEVEN
Demikian untuk diketahui.
Hormat Kami,
PT Asuransi Maximus Graha Persada Tbk.
Norvin Osel
Corporate Secretary
PT Asuransi Maximus Graha Persada Tbk.
Graha Kirana, Lantai 6 Jl. Yos Sudarso No.88, Sunter Jakarta 14350
Telepon : (62-21) 65311150, Fax : (62-21) 65311160, www.
Nama Pengirim Norvin Osel
Jabatan Corporate Secretary
Tanggal dan Waktu 10-11-2023 17:04
Lampiran 1. ASMI - LAPORAN BULAN OKTOBER 2023.pdf
Dokumen ini merupakan dokumen resmi PT Asuransi Maximus Graha Persada Tbk. yang tidak memerlukan tanda
tangan karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Asuransi Maximus Graha Persada
Tbk. bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 5
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Letter / Announcement No. Maximus/523/CRP/52/11/2023(1)
Issuer Name PT Asuransi Maximus Graha Persada Tbk.
Issuer Code ASMI
Listing Board Main
Attachment 1
Subject Monthly Report of Securities Holders Registration (CORRECTION)
Correction to our previous announcement number : Maximus/523/CRP/52/11/2023 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. 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 GEDUNG 2,684,208,800 29.96% 2,684,208,80 29.96%
ASURANSI KRESNA 0
TOWER LT. 6.
Share 18 PARC
Ownership > PLACE SCBD
5% JL.JEND.SURI
MAN KAV.52-
53 SENAYAN
JAKARTA
SELATAN
INDOMITRA 18 PARC 90,215,000 1.01% 90,215,000 1.01%
PRIMA PLACE TOWER X
B LT 2 SCBD
5.884.986.26 65,69% 0 0%
Masyarakat - Warkat - Scrip 0
0 0% 298.970.40 3,34%
Masyarakat - Non Warkat - Scripless 0
Page 6
298.970.400 3,34% 5.884.986.26 65.69%
Saham Treasury 0
8.958.380.46 100% 8.958.380.46 100%
Total 0 0
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
5,884,986,260 65.69% 90,215,000 1.01%
Total Controller
8,868,165,460 98.99% 8,868,165,460 98.99%
Total Non-Controllers
Page 7
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
897.135.000 897.135.000
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 5.975.201.260 5.975.201.260
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
90.215.000 90.215.000
beneficiaries that have been approved by the Exchange to be
counted as Free Float
The amount of Free Float Share 4.987.850.960 (4.987.851.260)
The number of shares listed on the Exchange at the end of the
897.135.000 897.135.000
month
% Free Float Share 55,68 (555,98)
Number of Shareholders
Previous Month This Month Change
0 0 0
Final Beneficiaries of Share Ownership
Page 8
Number Name
1 MICHAEL STEVEN
Thus to be informed accordingly.
Respectfully,
PT Asuransi Maximus Graha Persada Tbk.
Norvin Osel
Corporate Secretary
PT Asuransi Maximus Graha Persada Tbk.
Graha Kirana, Lantai 6 Jl. Yos Sudarso No.88, Sunter Jakarta 14350
Phone : (62-21) 65311150, Fax : (62-21) 65311160, www.asuransimaximus.com
Sender Name Norvin Osel
Function Corporate Secretary
Date and Time 10-11-2023 17:04
Attachment 1. ASMI - LAPORAN BULAN OKTOBER 2023.pdf
This is an official document of PT Asuransi Maximus Graha Persada Tbk. that does not require a signature as it
was generated electronically by the electronic reporting system. PT Asuransi Maximus Graha Persada 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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Extraction attempts how the parser did, and what it refused
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OK
confidence 0.900
367 ms
12 Sep 2026 21:56
Raw output
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'treasury': {'pct': '65.69', 'shares': '5884986260'},
'under5_non_warkat': {'pct': '3.34', 'shares': '298970400'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2023-10-31',
'checksum_ok': True,
'checksum_parts': '8958380460',
'holders': [{'address': 'GEDUNG KRESNA TOWER LT. 6. 18 PARC PLACE SCBD '
'JL.JEND.SURI',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'PT ASURANSI',
'page_no': 1,
'pct': '29.96',
'pct_prev': '29.96',
'position': '',
'seq': 0,
'shares': '2684208800',
'shares_prev': '2684208800'},
{'address': 'MAN KAV.52- 53 SENAYAN JAKARTA SELATAN 18 PARC PLACE '
'TOWER',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'INDOMITRA PRIMA',
'page_no': 1,
'pct': '1.01',
'pct_prev': '1.01',
'position': '',
'seq': 1,
'shares': '90215000',
'shares_prev': '90215000'}],
'issuer_name': 'PT Asuransi Maximus Graha Persada Tbk.',
'issuer_ticker': 'ASMI',
'layout': 'EREP_COVER',
'letter_number': 'Maximus/523/CRP/52/11/2023(1)',
'listing_board': 'Utama',
'period_label': 'Oktober 2023',
'registrar': 'PT. Adimitra Jasa Korpora',
'total_shares': '8958380460'}