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20231006_MMIX_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31436154.pdf
Shareholder register Parsed MMIXSource file signed link, expires in 15 minutes
Extracted text 10
Page 1
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Nomor Surat 003/MMI-CORP/X/2023
Nama Perusahaan PT Multi Medika Internasional Tbk
Kode Emiten MMIX
Papan Pencatatan Pengembangan
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 30 September 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
Pemegang Barat11720
Mengky Jl. Peternakan Direksi 144.000.000 6% 144.000.000 6%
Saham > 5%
Mangarek III No.55B,
KapukCengkare
ng, Jakarta
Barat11720
Eveline Jl. Peternakan Direksi 144.000.000 6% 144.000.000 6%
Natalia III No.55B,
KapukCengkare
ng, Jakarta
Barat11720
72.000.000 3% 72.000.000 3%
Masyarakat - Warkat - Scrip
600.084.107 25% 600.085.44 25%
Masyarakat - Non Warkat - Scripless 0
0 0% 0 0%
Saham Treasury
Page 2
2.400.084.10 100% 2.400.085.44 100%
Total 7 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
960,084,107 40% 960,085,440 40%
Total Non Pengendali
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
600.084.107 600.085.440
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 600.084.107 600.085.440
Jumlah saham tercatat di Bursa per akhir bulan 2.400.084.107 2.400.085.440
% Saham Free Float 25 25
Page 3
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
3.425 3.073 352
Penerima Manfaat Akhir dari Kepemilikan Saham
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 CITY JAI 2 44.142.900 14,7184% 44.142.900 14,7185% 0
DANJI APT 1802
HO DONG ILSAN
Page 4
Jumlah Waran Persen Waran Jumlah
Jumlah Waran Persen Waran
Nama Alamat Bulan Bulan Perubahan
Bulan Ini Bulan Ini
Sebelumnya Sebelumnya Waran
GUNAWAN JL. GELONG 35.253.700 11,7545% 35.253.700 11,7546% 0
AGUSTIN BARU TIMUR
VIB/12 RT 006
RW 002, KEL.
TOMANG KEC.
GROGOL
PETAMBURAN
GUSTINA JL. GELONG 21.039.900 7,0153% 21.039.900 7,0153% 0
BARU TIMUR
VIB/12 RT 006
RW 002, KEL.
TOMANG KEC.
GROGOL
PETAMBURAN
FENNY BUMI PERMATA 20.000.000 6,6685% 20.000.000 6,6686% 0
DJOKO INDAH A 1 08
SUSANTO RT/RW 001/012
KARANG MULYA
KOKARJADI JLN. 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
WIRYANTO DIPENEGORO 21.086.650 7,0309% 0 0% 21.086.650
197 KELURAHAN
DARMO
KECAMATAN
WONOKROMO
Demikian untuk diketahui.
Hormat Kami,
PT Multi Medika Internasional Tbk
Eveline N.Susanto
Page 5
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
Jabatan Direktur Keuangan
Tanggal dan Waktu 06-10-2023 17:09
Lampiran 1. Sep.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 6
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Letter / Announcement No. 003/MMI-CORP/X/2023
Issuer Name PT Multi Medika Internasional Tbk
Issuer Code MMIX
Listing Board Development
Attachment 1
Subject Monthly Report of Securities Holders Registration
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 30 September
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
Share
Barat11720
Ownership > Mengky Jl. Peternakan Direksi 144,000,000 6% 144,000,000 6%
5% Mangarek III No.55B,
KapukCengkare
ng, Jakarta
Barat11720
Eveline Jl. Peternakan Direksi 144,000,000 6% 144,000,000 6%
Natalia III No.55B,
KapukCengkare
ng, Jakarta
Barat11720
72.000.000 3% 72.000.000 3%
Masyarakat - Warkat - Scrip
600.084.107 25% 600.085.44 25%
Masyarakat - Non Warkat - Scripless 0
0 0% 0 0%
Saham Treasury
Page 7
2.400.084.10 100% 2.400.085.44 100%
Total 7 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
960,084,107 40% 960,085,440 40%
Total Non-Controllers
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
600.084.107 600.085.440
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 600.084.107 600.085.440
The number of shares listed on the Exchange at the end of the
2.400.084.107 2.400.085.440
month
% Free Float Share 25 25
Page 8
Number of Shareholders
Previous Month This Month Change
3.425 3.073 352
Final Beneficiaries of Share Ownership
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 CITY JAI 2 44,142,900 14.7184% 44,142,900 14.7185% 0
DANJI APT
1802 HO DONG
ILSAN
Page 9
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
GUNAWAN JL. GELONG 35,253,700 11.7545% 35,253,700 11.7546% 0
AGUSTIN BARU TIMUR
VIB/12 RT 006
RW 002, KEL.
TOMANG KEC.
GROGOL
PETAMBURAN
GUSTINA JL. GELONG 21,039,900 7.0153% 21,039,900 7.0153% 0
BARU TIMUR
VIB/12 RT 006
RW 002, KEL.
TOMANG KEC.
GROGOL
PETAMBURAN
FENNY DJOKO BUMI 20,000,000 6.6685% 20,000,000 6.6686% 0
SUSANTO PERMATA
INDAH A 1 08
RT/RW 001/012
KARANG
MULYA
KOKARJADI JLN. 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
WIRYANTO DIPENEGORO 21,086,650 7.0309% 0 0% 21,086,650
197
KELURAHAN
DARMO
KECAMATAN
WONOKROMO
Thus to be informed accordingly.
Page 10
Respectfully,
PT Multi Medika Internasional Tbk
Eveline N.Susanto
Direktur Keuangan
PT Multi Medika Internasional Tbk
Jl. Peternakan III No.55B, Kapuk
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 06-10-2023 17:09
Attachment 1. Sep.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
328 ms
12 Sep 2026 22:02
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '2400085440'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '25', 'shares': '600085440'},
'under5_warkat': {'pct': '3', 'shares': '72000000'}},
'as_of_date': '2023-09-30',
'checksum_ok': True,
'checksum_parts': '2400085440',
'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'}],
'issuer_name': 'PT Multi Medika Internasional Tbk',
'issuer_ticker': 'MMIX',
'layout': 'EREP_COVER',
'letter_number': '003/MMI-CORP/X/2023',
'listing_board': 'Pengembangan',
'period_label': 'September 2023',
'registrar': 'PT. Sinartama Gunita',
'total_shares': '2400085440'}