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20230808_ASMI_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31359257.pdf
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Page 1
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Nomor Surat Maximus/372/CRP/45/08/2023
Nama Perusahaan PT Asuransi Maximus Graha Persada Tbk.
Kode Emiten ASMI
Papan Pencatatan Utama
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Juli 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 MEGA KRESNA 11.618.500 0,13% 0 0%
INTI SUPRA TOWER LT.5
JL.JENDRAL
SUDIRMAN
KAV 52-53
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
Masyarakat Indonesia 0 0% 0 0%
ML Denny Jakarta Komisaris 0 0% 0 0%
Tewu
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
Hendra Jakarta Komisaris 0 0% 0 0%
Sudjaka
Muhamad Jakarta Komisaris 0 0% 0 0%
Idrus
Jemmy Graha Direksi 0 0% 0 0%
Atmadja Kirana, Lantai 6
Jl. Yos Sudarso
Pemegang No.88, Sunter
Saham > 5% Jakarta 14350
Norvin Osel Graha Direksi 0 0% 0 0%
Kirana, Lantai 6
Jl. Yos Sudarso
No.88, Sunter
Jakarta 14350
Lianny Graha Direksi 0 0% 0 0%
Kirana, Lantai 6
Jl. Yos Sudarso
No.88, Sunter
Jakarta 14350
INDOMITRA 18 PARC 0 0% 90.215.000 1,01%
PRIMA PLACE TOWER X
B LT 2 SCBD
298.970.400 3,34% 298.970.40 3,34%
Masyarakat - Warkat - Scrip 0
5.963.582.76 66,57% 5.884.986. 65,69%
Masyarakat - Non Warkat - Scripless 0 260
0 0% 0 0%
Saham Treasury
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)
11,618,500 0.13% 90,215,000 1.01%
Total Pengendali
Page 3
8,946,761,960 99.87% 8,868,165,460 98.99%
Total Non Pengendali
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
5.975.201.260 5.975.201.260
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% 11.618.500 90.215.000
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 5.963.582.760 5.884.986.260
Jumlah saham tercatat di Bursa per akhir bulan 8.958.380.460 8.958.380.460
% Saham Free Float 66,57 65,69
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
2.339 2.367 28
Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
Nomor Nama
1 Bp. 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 10-08-2023 21:13
Lampiran 1. ASMI - LAPORAN BULAN JULI 2023(rev).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/372/CRP/45/08/2023
Issuer Name PT Asuransi Maximus Graha Persada Tbk.
Issuer Code ASMI
Listing Board Main
Attachment 1
Subject Monthly Report of Securities Holders Registration
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 July 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 MEGA KRESNA 11,618,500 0.13% 0 0%
INTI SUPRA TOWER LT.5
JL.JENDRAL
SUDIRMAN
KAV 52-53
PT GEDUNG 2,684,208,800 29.96% 2,684,208,80 29.96%
ASURANSI KRESNA 0
TOWER LT. 6.
18 PARC
Share PLACE SCBD
Ownership > JL.JEND.SURI
5% MAN KAV.52-
53 SENAYAN
JAKARTA
SELATAN
Masyarakat Indonesia 0 0% 0 0%
ML Denny Jakarta Komisaris 0 0% 0 0%
Tewu
Hendra Jakarta Komisaris 0 0% 0 0%
Sudjaka
Page 6
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
Muhamad Jakarta Komisaris 0 0% 0 0%
Idrus
Jemmy Graha Direksi 0 0% 0 0%
Atmadja Kirana, Lantai 6
Jl. Yos Sudarso
No.88, Sunter
Share Jakarta 14350
Ownership > Norvin Osel Graha Direksi 0 0% 0 0%
5% Kirana, Lantai 6
Jl. Yos Sudarso
No.88, Sunter
Jakarta 14350
Lianny Graha Direksi 0 0% 0 0%
Kirana, Lantai 6
Jl. Yos Sudarso
No.88, Sunter
Jakarta 14350
INDOMITRA 18 PARC 0 0% 90,215,000 1.01%
PRIMA PLACE TOWER X
B LT 2 SCBD
298.970.400 3,34% 298.970.40 3,34%
Masyarakat - Warkat - Scrip 0
5.963.582.76 66,57% 5.884.986. 65,69%
Masyarakat - Non Warkat - Scripless 0 260
0 0% 0 0%
Saham Treasury
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)
11,618,500 0.13% 90,215,000 1.01%
Total Controller
8,946,761,960 99.87% 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
5.975.201.260 5.975.201.260
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
11.618.500 90.215.000
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 5.963.582.760 5.884.986.260
The number of shares listed on the Exchange at the end of the
8.958.380.460 8.958.380.460
month
% Free Float Share 66,57 65,69
Number of Shareholders
Previous Month This Month Change
2.339 2.367 28
Final Beneficiaries of Share Ownership
Page 8
Number Name
1 Bp. 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 10-08-2023 21:13
Attachment 1. ASMI - LAPORAN BULAN JULI 2023(rev).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
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
288 ms
12 Sep 2026 22:05
Raw output
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'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '65.69', 'shares': '5884986260'},
'under5_warkat': {'pct': '3.34', 'shares': '298970400'}},
'as_of_date': '2023-07-31',
'checksum_ok': True,
'checksum_parts': '8958380460',
'holders': [{'address': 'KRESNA TOWER LT.5 JL.JENDRAL',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'PT MEGA INTI SUPRA',
'page_no': 1,
'pct': '0',
'pct_prev': '0.13',
'position': '',
'seq': 0,
'shares': '0',
'shares_prev': '11618500'},
{'address': 'SUDIRMAN KAV 52-53 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': 1,
'shares': '2684208800',
'shares_prev': '2684208800'},
{'address': 'MAN KAV.52- 53 SENAYAN JAKARTA SELATAN Indonesia',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Masyarakat',
'page_no': 1,
'pct': '0',
'pct_prev': '0',
'position': '',
'seq': 2,
'shares': '0',
'shares_prev': '0'},
{'address': 'Jakarta',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'ML Denny Tewu',
'page_no': 1,
'pct': '0',
'pct_prev': '0',
'position': 'Komisaris',
'seq': 3,
'shares': '0',
'shares_prev': '0'},
{'address': 'Jakarta',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Hendra Sudjaka',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Komisaris',
'seq': 4,
'shares': '0',
'shares_prev': '0'},
{'address': 'Jakarta',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Muhamad Idrus',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Komisaris',
'seq': 5,
'shares': '0',
'shares_prev': '0'},
{'address': 'Graha Kirana, Lantai 6 Jl. Yos Sudarso',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Jemmy Atmadja',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 6,
'shares': '0',
'shares_prev': '0'},
{'address': 'No.88, Sunter Jakarta 14350 Graha Kirana, Lantai 6 '
'Jl. Yos Sudarso',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Norvin Osel',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 7,
'shares': '0',
'shares_prev': '0'},
{'address': 'No.88, Sunter Jakarta 14350 Graha Kirana, Lantai 6 '
'Jl. Yos Sudarso',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Lianny',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 8,
'shares': '0',
'shares_prev': '0'},
{'address': 'No.88, Sunter Jakarta 14350 18 PARC PLACE TOWER',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'INDOMITRA PRIMA',
'page_no': 2,
'pct': '1.01',
'pct_prev': '0',
'position': '',
'seq': 9,
'shares': '90215000',
'shares_prev': '0'}],
'issuer_name': 'PT Asuransi Maximus Graha Persada Tbk.',
'issuer_ticker': 'ASMI',
'layout': 'EREP_COVER',
'letter_number': 'Maximus/372/CRP/45/08/2023',
'listing_board': 'Utama',
'period_label': 'Juli 2023',
'registrar': 'PT. Adimitra Jasa Korpora',
'total_shares': '8958380460'}