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20230905_LIFE_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31406733.pdf
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Page 1
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Nomor Surat 31/AJSMSIG-CSES/IX/2023
Nama Perusahaan PT MSIG Life Insurance Indonesia Tbk.
Kode Emiten LIFE
Papan Pencatatan Pemantauan Khusus
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Agustus 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
UBS AG Menara Tekno 262.500.000 12,5% 262.500.000 12,5%
Singapore S/A Lt. 7, Jl. H.
Fachruddin No.
19, Tanah
Abang
Mitsui 9 Kanda 1.680.000.000 80% 1.680.000.00 80%
Sumitomo Surugadai, 3- 0 X
Chome
Chiyoda-Ku,
Pemegang
Tokyo 101-8011
Saham > 5% Indra Widjaja Sinarmas MSIG
Komisaris 0 0% 0 0%
Tower Jakarta
Toshinari Sinarmas MSIG Komisaris 0 0% 0 0%
Tokoi Tower Jakarta
Hideaki Sinarmas MSIG Komisaris 0 0% 0 0%
Nomura Tower Jakarta
Ardhayadi Sinarmas MSIG Komisaris 0 0% 0 0%
Mitroatmodjo Tower Jakarta
Sidharta Sinarmas MSIG Komisaris 0 0% 0 0%
Akmam Tower Jakarta
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
Nazly Sinarmas MSIG Komisaris 0 0% 0 0%
Parlindungan Tower Jakarta
Wianto Sinarmas MSIG Direksi 0 0% 0 0%
Tower Lt. 6,
Jalan Jend.
Sudirman
Kav.21, Jakarta
Selatan 12920
Satoshi Sinarmas MSIG Direksi 0 0% 0 0%
Shiratani Tower Lt. 6,
Jalan Jend.
Sudirman
Kav.21, Jakarta
Selatan 12920
Herman Sinarmas MSIG Direksi 0 0% 0 0%
Sulistyo Tower Lt. 6,
Pemegang
Jalan Jend.
Saham > 5%
Sudirman
Kav.21, Jakarta
Selatan 12920
Tomoyuki Sinarmas MSIG Direksi 0 0% 0 0%
Moden Tower Lt. 6,
Jalan Jend.
Sudirman
Kav.21, Jakarta
Selatan 12920
Andrew Bain Sinarmas MSIG Direksi 0 0% 0 0%
Tower Lt. 6,
Jalan Jend.
Sudirman
Kav.21, Jakarta
Selatan 12920
Ken Terada Sinarmas MSIG Direksi 0 0% 0 0%
Tower Lt. 6,
Jalan Jend.
Sudirman
Kav.21, Jakarta
Selatan 12920
0 0% 0 0%
Masyarakat - Warkat - Scrip
Page 3
157.500.000 7,5% 157.500.00 7,5%
Masyarakat - Non Warkat - Scripless 0
0 0% 0 0%
Saham Treasury
2.100.000.00 100% 2.100.000.00 100%
Total 0 0
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
1,680,000,000 80% 1,680,000,000 80%
Total Pengendali
420,000,000 20% 420,000,000 20%
Total Non Pengendali
Page 4
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
157.500.000 157.500.000
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 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 157.500.000 157.500.000
Jumlah saham tercatat di Bursa per akhir bulan 2.100.000.000 2.100.000.000
% Saham Free Float 7,5 7,5
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
581 632 51
Penerima Manfaat Akhir dari Kepemilikan Saham
Page 5
Nomor Nama
1 Bapak Hideaki Nomura
Demikian untuk diketahui.
Hormat Kami,
PT MSIG Life Insurance Indonesia Tbk.
Leony Samosir
Corporate Secretary
PT MSIG Life Insurance Indonesia Tbk.
Sinarmas MSIG Tower Lt. 6, Jalan Jend. Sudirman Kav.21, Jakarta Selatan 12920
Telepon : 021-50597777, Fax : 021-50608899, www.sinarmasmsiglife.co.id
Nama Pengirim Leony Samosir
Jabatan Corporate Secretary
Tanggal dan Waktu 07-09-2023 10:58
Lampiran 1. Laporan Registrasi Pemegang Saham 31082023.pdf
Dokumen ini merupakan dokumen resmi PT MSIG Life Insurance Indonesia Tbk. yang tidak memerlukan tanda
tangan karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT MSIG Life Insurance Indonesia Tbk.
bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 6
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Letter / Announcement No. 31/AJSMSIG-CSES/IX/2023
Issuer Name PT MSIG Life Insurance Indonesia Tbk.
Issuer Code LIFE
Listing Board Watchlist
Attachment 1
Subject Monthly Report of Securities Holders Registration
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 August
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
UBS AG Menara Tekno 262,500,000 12.5% 262,500,000 12.5%
Singapore S/A Lt. 7, Jl. H.
Fachruddin No.
19, Tanah
Abang
Mitsui 9 Kanda 1,680,000,000 80% 1,680,000,00 80%
Sumitomo Surugadai, 3- 0 X
Chome
Chiyoda-Ku,
Share Tokyo 101-8011
Ownership > Indra Widjaja Sinarmas MSIG Komisaris 0 0% 0 0%
5% Tower Jakarta
Toshinari Sinarmas MSIG Komisaris 0 0% 0 0%
Tokoi Tower Jakarta
Hideaki Sinarmas MSIG Komisaris 0 0% 0 0%
Nomura Tower Jakarta
Ardhayadi Sinarmas MSIG Komisaris 0 0% 0 0%
Mitroatmodjo Tower Jakarta
Sidharta Sinarmas MSIG Komisaris 0 0% 0 0%
Akmam Tower Jakarta
Page 7
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
Nazly Sinarmas MSIG Komisaris 0 0% 0 0%
Parlindungan Tower Jakarta
Wianto Sinarmas MSIG Direksi 0 0% 0 0%
Tower Lt. 6,
Jalan Jend.
Sudirman
Kav.21, Jakarta
Selatan 12920
Satoshi Sinarmas MSIG Direksi 0 0% 0 0%
Shiratani Tower Lt. 6,
Jalan Jend.
Sudirman
Kav.21, Jakarta
Selatan 12920
Herman Sinarmas MSIG Direksi 0 0% 0 0%
Share Sulistyo Tower Lt. 6,
Ownership > Jalan Jend.
5% Sudirman
Kav.21, Jakarta
Selatan 12920
Tomoyuki Sinarmas MSIG Direksi 0 0% 0 0%
Moden Tower Lt. 6,
Jalan Jend.
Sudirman
Kav.21, Jakarta
Selatan 12920
Andrew Bain Sinarmas MSIG Direksi 0 0% 0 0%
Tower Lt. 6,
Jalan Jend.
Sudirman
Kav.21, Jakarta
Selatan 12920
Ken Terada Sinarmas MSIG Direksi 0 0% 0 0%
Tower Lt. 6,
Jalan Jend.
Sudirman
Kav.21, Jakarta
Selatan 12920
0 0% 0 0%
Masyarakat - Warkat - Scrip
157.500.000 7,5% 157.500.00 7,5%
Masyarakat - Non Warkat - Scripless 0
Page 8
0 0% 0 0%
Saham Treasury
2.100.000.00 100% 2.100.000.00 100%
Total 0 0
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
1,680,000,000 80% 1,680,000,000 80%
Total Controller
420,000,000 20% 420,000,000 20%
Total Non-Controllers
Page 9
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
157.500.000 157.500.000
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 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 157.500.000 157.500.000
The number of shares listed on the Exchange at the end of the
2.100.000.000 2.100.000.000
month
% Free Float Share 7,5 7,5
Number of Shareholders
Previous Month This Month Change
581 632 51
Final Beneficiaries of Share Ownership
Page 10
Number Name
1 Bapak Hideaki Nomura
Thus to be informed accordingly.
Respectfully,
PT MSIG Life Insurance Indonesia Tbk.
Leony Samosir
Corporate Secretary
PT MSIG Life Insurance Indonesia Tbk.
Sinarmas MSIG Tower Lt. 6, Jalan Jend. Sudirman Kav.21, Jakarta Selatan 12920
Phone : 021-50597777, Fax : 021-50608899, www.sinarmasmsiglife.co.id
Sender Name Leony Samosir
Function Corporate Secretary
Date and Time 07-09-2023 10:58
Attachment 1. Laporan Registrasi Pemegang Saham 31082023.pdf
This is an official document of PT MSIG Life Insurance Indonesia Tbk. that does not require a signature as it was
generated electronically by the electronic reporting system. PT MSIG Life Insurance Indonesia 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
380 ms
12 Sep 2026 22:04
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '2100000000'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '7.5', 'shares': '157500000'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2023-08-31',
'checksum_ok': True,
'checksum_parts': '2100000000',
'holders': [{'address': 'Menara Tekno Lt. 7, Jl. H. Fachruddin No.',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'UBS AG Singapore S/A',
'page_no': 1,
'pct': '12.5',
'pct_prev': '12.5',
'position': '',
'seq': 0,
'shares': '262500000',
'shares_prev': '262500000'},
{'address': '19, Tanah Abang 9 Kanda Surugadai, 3- Chome',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Mitsui Sumitomo',
'page_no': 1,
'pct': '80',
'pct_prev': '80',
'position': '',
'seq': 1,
'shares': '1680000000',
'shares_prev': '1680000000'},
{'address': 'Chiyoda-Ku, Tokyo 101-8011 Sinarmas MSIG Tower '
'Jakarta',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Indra Widjaja',
'page_no': 1,
'pct': '0',
'pct_prev': '0',
'position': 'Komisaris',
'seq': 2,
'shares': '0',
'shares_prev': '0'},
{'address': 'Sinarmas MSIG Tower Jakarta',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Toshinari Tokoi',
'page_no': 1,
'pct': '0',
'pct_prev': '0',
'position': 'Komisaris',
'seq': 3,
'shares': '0',
'shares_prev': '0'},
{'address': 'Sinarmas MSIG Tower Jakarta',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Hideaki Nomura',
'page_no': 1,
'pct': '0',
'pct_prev': '0',
'position': 'Komisaris',
'seq': 4,
'shares': '0',
'shares_prev': '0'},
{'address': 'Sinarmas MSIG Tower Jakarta',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Ardhayadi Mitroatmodjo',
'page_no': 1,
'pct': '0',
'pct_prev': '0',
'position': 'Komisaris',
'seq': 5,
'shares': '0',
'shares_prev': '0'},
{'address': 'Sinarmas MSIG Tower Jakarta',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Sidharta Akmam',
'page_no': 1,
'pct': '0',
'pct_prev': '0',
'position': 'Komisaris',
'seq': 6,
'shares': '0',
'shares_prev': '0'},
{'address': 'Sinarmas MSIG Tower Jakarta',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Nazly Parlindungan',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Komisaris',
'seq': 7,
'shares': '0',
'shares_prev': '0'},
{'address': 'Sinarmas MSIG Tower Lt. 6, Jalan Jend. Sudirman',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Wianto',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 8,
'shares': '0',
'shares_prev': '0'},
{'address': 'Kav.21, Jakarta Selatan 12920 Sinarmas MSIG Tower '
'Lt. 6, Jalan Jend. Sudirman',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Satoshi Shiratani',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 9,
'shares': '0',
'shares_prev': '0'},
{'address': 'Kav.21, Jakarta Selatan 12920 Sinarmas MSIG Tower '
'Lt. 6, Jalan Jend. Sudirman',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Herman Sulistyo',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 10,
'shares': '0',
'shares_prev': '0'},
{'address': 'Kav.21, Jakarta Selatan 12920 Sinarmas MSIG Tower '
'Lt. 6, Jalan Jend. Sudirman',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Tomoyuki Moden',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 11,
'shares': '0',
'shares_prev': '0'},
{'address': 'Kav.21, Jakarta Selatan 12920 Sinarmas MSIG Tower '
'Lt. 6, Jalan Jend. Sudirman',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Andrew Bain',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 12,
'shares': '0',
'shares_prev': '0'},
{'address': 'Kav.21, Jakarta Selatan 12920 Sinarmas MSIG Tower '
'Lt. 6,',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Ken Terada',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 13,
'shares': '0',
'shares_prev': '0'}],
'issuer_name': 'PT MSIG Life Insurance Indonesia Tbk.',
'issuer_ticker': 'LIFE',
'layout': 'EREP_COVER',
'letter_number': '31/AJSMSIG-CSES/IX/2023',
'listing_board': 'Pemantauan Khusus',
'period_label': 'Agustus 2023',
'registrar': 'PT. Sinartama Gunita',
'total_shares': '2100000000'}