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20230906_CAMP_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31406971.pdf

Shareholder register Parsed CAMP

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Page 1
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 Nomor Surat                                056/CS-CAMP/IX/2023

 Nama Perusahaan                            PT Campina Ice Cream Industry Tbk.

 Kode Emiten                                CAMP

 Papan Pencatatan                           Utama

 Lampiran                                   0

 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. Adimitra Jasa Korpora




                                                                             Persen
                                                                                        Jumlah      Persen
                                                                Jumlah Saham Saham
                        Nama           Alamat         Jabatan                         Saham Bulan Saham Bulan Pengendali   Afiliasi
                                                                 Sebelumnya Sebelumny
                                                                                          Ini         Ini
                                                                                a
                    Sabana      JL. Kyai Gede                    4.940.010.100   83,94% 4.940.010.10   83,94%
                 Prawirawidjaja Utama No. 7                                                        0              X

                       Justiani    M. Sungkono                    297.974.000     5,06% 297.974.000     5,06%
                     Hadipranoto   Komp. Seruni
                                    E-2 RT 3/2
                       Hendro       Jl. Rungkut       Direksi      88.725.000     1,51%   89.430.900    1,52%
                     Hadipranoto Industri II/ 15-17
                                 Surabaya,RT.00
  Pemegang                        2 RW.006 Kel.
 Saham > 5%                          Tenggilis
                                    MejoyoKec.
                                     Tenggilis
                                      Mejoyo,
                                     Surabaya
Page 2
                                                                              Persen
                                                                                         Jumlah      Persen
                                                                 Jumlah Saham Saham
                 Nama            Alamat           Jabatan                              Saham Bulan Saham Bulan Pengendali           Afiliasi
                                                                  Sebelumnya Sebelumny
                                                                                           Ini         Ini
                                                                                 a
              Adji Andjono    Jl. Rungkut          Direksi              50.000            0%        50.000       0%
 Pemegang        Purwo     Industri II/ 15-17
Saham > 5%                 Surabaya,RT.00
                            2 RW.006 Kel.
                               Tenggilis
                             MejoyoKec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
                                                     10.000           0%         10.000             0%
     Masyarakat - Warkat - Scrip

                                                 558.230.900        9,49%    557.525.00        9,48%
  Masyarakat - Non Warkat - Scripless                                                 0

                                                             0         0%             0             0%
          Saham Treasury

                                                5.885.000.00        100% 5.885.000.00              100%
                Total                                      0                        0




                                                                               Persentase           Jumlah Saham (Bulan      Persentase(Bulan
             Nama                      Jumlah Saham (Sebelumnya)
                                                                              (Sebelumnya)                  Ini)                   Ini)
                                                             4,940,010,100                83.94%             4,940,010,100              83.94%
       Total Pengendali

                                                                    83.94                 16.06%               944,989,900              16.06%
    Total Non Pengendali
Page 3
Informasi Saham Free Float


                             Keterangan                               Bulan Sebelumnya           Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                              647.015.900             647.015.900
dari 5%
 Jumlah saham scripless dimiliki oleh Direksi dan Dewan
                                                                               88.775.000               89.480.900
 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                                                      558.240.900             557.535.000


Jumlah saham tercatat di Bursa per akhir bulan                              5.885.000.000           5.885.000.000


% Saham Free Float                                                                  9,49                       9,47



Jumlah Pemegang Saham


         Bulan Sebelumnya                         Bulan Sekarang                     Perubahan

                                 7.356                             7.149                                 207



Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
Demikian untuk diketahui.


Hormat Kami,
PT Campina Ice Cream Industry Tbk.




Sagita Melati

Corporate Secretary




PT Campina Ice Cream Industry Tbk.
Jl. Rungkut Industri II/ 15-17 Surabaya,
Telepon : (031) 843-2247, Fax : (031) 843-9232, www.campina.co.id



Nama Pengirim                        Sagita Melati

Jabatan                              Corporate Secretary
Tanggal dan Waktu                    06-09-2023 13:57




Dokumen ini merupakan dokumen resmi PT Campina Ice Cream Industry Tbk. yang tidak memerlukan tanda tangan
    karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Campina Ice Cream Industry Tbk.
                   bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 5
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 Letter / Announcement No.                056/CS-CAMP/IX/2023

 Issuer Name                              PT Campina Ice Cream Industry Tbk.

 Issuer Code                              CAMP

 Listing Board                            Main

 Attachment                               0

 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. 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
                  Sabana      JL. Kyai Gede                     4,940,010,100    83.94% 4,940,010,10           83.94%
               Prawirawidjaja Utama No. 7                                                          0                        X

                   Justiani     M. Sungkono                       297,974,000      5.06% 297,974,000            5.06%
                 Hadipranoto    Komp. Seruni
                                 E-2 RT 3/2
                   Hendro        Jl. Rungkut       Direksi         88,725,000      1.51%      89,430,900        1.52%
                 Hadipranoto Industri II/ 15-17
  Share                       Surabaya,RT.00
Ownership >                    2 RW.006 Kel.
                                  Tenggilis
   5%
                                 MejoyoKec.
                                  Tenggilis
                                   Mejoyo,
                                  Surabaya
                 Adji Andjono    Jl. Rungkut       Direksi             50,000        0%          50,000            0%
                    Purwo     Industri II/ 15-17
                              Surabaya,RT.00
                               2 RW.006 Kel.
                                  Tenggilis
                                 MejoyoKec.
                                  Tenggilis
                                   Mejoyo,
                                  Surabaya
Page 6
                                             10.000       0%        10.000              0%
   Masyarakat - Warkat - Scrip

                                         558.230.900    9,49%    557.525.00        9,48%
Masyarakat - Non Warkat - Scripless                                       0

                                                  0        0%             0             0%
        Saham Treasury

                                       5.885.000.00     100% 5.885.000.00              100%
              Total                               0                     0




                                                                   Percentage           Number of Shares (This    Percentage (This
          Name                   Number of Shares (Previously)
                                                                   (Previous)                  Month)                 Month)
                                                 4,940,010,100                83.94%              4,940,010,100             83.94%
     Total Controller

                                                        83.94                 16.06%                944,989,900             16.06%
  Total Non-Controllers
Page 7
Free Float Share Information


                              Information                            Previous Month            This Month

 The number of scripless shares owned by shareholders is less
                                                                            647.015.900              647.015.900
 than 5%
 The number of scripless shares owned by the Board of Directors
                                                                             88.775.000               89.480.900
 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                                             558.240.900             557.535.000

 The number of shares listed on the Exchange at the end of the
                                                                          5.885.000.000            5.885.000.000
 month

 % Free Float Share                                                               9,49                      9,47



Number of Shareholders


          Previous Month                             This Month                       Change


                                7.356                             7.149                                 207


Final Beneficiaries of Share Ownership
Page 8
Thus to be informed accordingly.


Respectfully,
PT Campina Ice Cream Industry Tbk.




Sagita Melati

Corporate Secretary




PT Campina Ice Cream Industry Tbk.
Jl. Rungkut Industri II/ 15-17 Surabaya,
Phone : (031) 843-2247, Fax : (031) 843-9232, www.campina.co.id



Sender Name                          Sagita Melati

Function                             Corporate Secretary

Date and Time                        06-09-2023 13:57




   This is an official document of PT Campina Ice Cream Industry Tbk. that does not require a signature as it was
      generated electronically by the electronic reporting system. PT Campina Ice Cream Industry Tbk. is fully
                            responsible for the information contained within this document.

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Raw output
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                'treasury': {'pct': '0', 'shares': '0'},
                'under5_non_warkat': {'pct': '9.48', 'shares': '557525000'},
                'under5_warkat': {'pct': '0', 'shares': '10000'}},
 'as_of_date': '2023-08-31',
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 'holders': [{'address': 'JL. Kyai Gede Utama No. 7',
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              'name': 'Sabana Prawirawidjaja',
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             {'address': 'M. Sungkono Komp. Seruni',
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              'page_no': 1,
              'pct': '5.06',
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              'seq': 1,
              'shares': '297974000',
              'shares_prev': '297974000'},
             {'address': 'E-2 RT 3/2 Jl. Rungkut Industri II/ 15-17',
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              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Hendro Hadipranoto',
              'page_no': 1,
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             {'address': 'Jl. Rungkut Industri II/ 15-17',
              'category': 'BOARD',
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 'issuer_name': 'PT Campina Ice Cream Industry Tbk.',
 'issuer_ticker': 'CAMP',
 'layout': 'EREP_COVER',
 'letter_number': '056/CS-CAMP/IX/2023',
 'listing_board': 'Utama',
 'period_label': 'Agustus 2023',
 'registrar': 'PT. Adimitra Jasa Korpora',
 'total_shares': '5885000000'}
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