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20230810_MMIX_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31360219.pdf
Shareholder register Parsed MMIXSource file signed link, expires in 15 minutes
Extracted text 12
Page 1
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Nomor Surat 004/MMI-CORP/VIII/2023
Nama Perusahaan PT Multi Medika Internasional Tbk
Kode Emiten MMIX
Papan Pencatatan Pengembangan
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek (KOREKSI)
Mengoreksi surat kami nomor : 003/MMI-CORP/VIII/2023 tanggal 08 Agustus 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 Juli 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
Kapuk
Cengkareng,
Jakarta Barat
11720
Pemegang Mengky Jl. Peternakan Direksi 144.000.000 6% 144.000.000 6%
Saham > 5% Mangarek III No.55B,
Kapuk
Cengkareng,
Jakarta Barat
11720
Eveline Jl. Peternakan Direksi 144.000.000 6% 144.000.000 6%
Natalia III No.55B,
Kapuk
Cengkareng,
Jakarta Barat
11720
Page 2
72.000.000 3% 72.000.000 3%
Masyarakat - Warkat - Scrip
600.072.375 25% 600.079.74 25%
Masyarakat - Non Warkat - Scripless 4
0 0% 0 0%
Saham Treasury
2.400.072.37 100% 2.400.079.74 100%
Total 5 4
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
960,000,000 40% 960,079,744 40%
Total Non Pengendali
Page 3
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
600.072.375 600.079.744
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 600.072.375 600.079.744
Jumlah saham tercatat di Bursa per akhir bulan 2.400.072.375 2.400.079.744
% Saham Free Float 25 25
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
3.078 3.052 26
Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
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, Kapuk 1.440.000.000
Cengkareng, Jakarta Barat 11720
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 CITY JAI 2 DANJI 43.092.100 14,3675% 43.092.100 14,3679% 0
WI APT 1802 HO
DONG ILSAN
FERDINAND JL. KARET 29.912.500 9,9732% 0 0% 29.912.500
MANORSA,S PASAR BARU
T MMSI TIMUR NO.33 RT
008 RW 012
KARET TENGSIN
TANAH ABANG
GUNAWAN JL. GELONG 0 0% 26.104.800 8,7039% 26.104.800
AGUSTIN BARU TIMUR VI-
B/12 RT 006 RW
002, KEL.
TOMANG KEC.
GROGOL
PETAMBURAN
Page 5
Jumlah Waran Persen Waran Jumlah
Jumlah Waran Persen Waran
Nama Alamat Bulan Bulan Perubahan
Bulan Ini Bulan Ini
Sebelumnya Sebelumnya Waran
WIRYANTO DIPENEGORO 25.001.550 8,3359% 22.133.150 7,3797% 2.868.400
197 KELURAHAN
DARMO
KECAMATAN
WONOKROMO
FENNY BUMI PERMATA 20.000.000 6,6683% 20.000.000 6,6684% 0
DJOKO INDAH A 1 08
SUSANTO RT/RW 001/012
KARANG MULYA
KOKARJADI JLN. SURYA 18.800.100 6,2682% 18.800.100 6,2684% 0
CHANDRA WIJAYA 8/4-E /10
RT 007 / 011
KEDOYA UTARA,
KOTA JAKARTA
Demikian untuk diketahui.
Hormat Kami,
PT Multi Medika Internasional Tbk
Eveline N.Susanto
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
Page 6
Tanggal dan Waktu 10-08-2023 15:25
Lampiran 1. Juli.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 7
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Letter / Announcement No. 004/MMI-CORP/VIII/2023
Issuer Name PT Multi Medika Internasional Tbk
Issuer Code MMIX
Listing Board Development
Attachment 1
Subject Monthly Report of Securities Holders Registration (CORRECTION)
Correction to our previous announcement number : 004/MMI-CORP/VIII/2023 dated 10 August 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 July 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
Kapuk
Cengkareng,
Jakarta Barat
Share 11720
Ownership > Mengky Jl. Peternakan Direksi 144,000,000 6% 144,000,000 6%
5% Mangarek III No.55B,
Kapuk
Cengkareng,
Jakarta Barat
11720
Eveline Jl. Peternakan Direksi 144,000,000 6% 144,000,000 6%
Natalia III No.55B,
Kapuk
Cengkareng,
Jakarta Barat
11720
72.000.000 3% 72.000.000 3%
Masyarakat - Warkat - Scrip
Page 8
600.072.375 25% 600.079.74 25%
Masyarakat - Non Warkat - Scripless 4
0 0% 0 0%
Saham Treasury
2.400.072.37 100% 2.400.079.74 100%
Total 5 4
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
960,000,000 40% 960,079,744 40%
Total Non-Controllers
Page 9
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
600.072.375 600.079.744
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 600.072.375 600.079.744
The number of shares listed on the Exchange at the end of the
2.400.072.375 2.400.079.744
month
% Free Float Share 25 25
Number of Shareholders
Previous Month This Month Change
3.078 3.052 26
Final Beneficiaries of Share Ownership
Page 10
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, Kapuk 1,440,000,000
Cengkareng, Jakarta Barat 11720
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 43,092,100 14.3675% 43,092,100 14.3679% 0
DANJI APT
1802 HO DONG
ILSAN
FERDINAND JL. KARET 29,912,500 9.9732% 0 0% 29,912,500
MANORSA,S T PASAR BARU
MMSI TIMUR NO.33
RT 008 RW 012
KARET
TENGSIN
TANAH ABANG
Page 11
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 0 0% 26,104,800 8.7039% 26,104,800
AGUSTIN BARU TIMUR
VI-B/12 RT 006
RW 002, KEL.
TOMANG KEC.
GROGOL
PETAMBURAN
WIRYANTO DIPENEGORO 25,001,550 8.3359% 22,133,150 7.3797% 2,868,400
197
KELURAHAN
DARMO
KECAMATAN
WONOKROMO
FENNY DJOKO BUMI 20,000,000 6.6683% 20,000,000 6.6684% 0
SUSANTO PERMATA
INDAH A 1 08
RT/RW 001/012
KARANG
MULYA
KOKARJADI JLN. SURYA 18,800,100 6.2682% 18,800,100 6.2684% 0
CHANDRA WIJAYA 8/4-E
/10 RT 007 / 011
KEDOYA
UTARA, KOTA
JAKARTA
Thus to be informed accordingly.
Respectfully,
PT Multi Medika Internasional Tbk
Eveline N.Susanto
Page 12
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 10-08-2023 15:25
Attachment 1. Juli.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
200 ms
12 Sep 2026 22:05
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '2400079744'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '25', 'shares': '600079744'},
'under5_warkat': {'pct': '3', 'shares': '72000000'}},
'as_of_date': '2023-07-31',
'checksum_ok': True,
'checksum_parts': '2400079744',
'holders': [{'address': 'Jl. Peternakan III No.55B, Kapuk Cengkareng,',
'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': 'Jakarta Barat 11720 Jl. Peternakan III No.55B, Kapuk '
'Cengkareng,',
'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': 'Jakarta Barat 11720 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': '004/MMI-CORP/VIII/2023',
'listing_board': 'Pengembangan',
'period_label': 'Juli 2023',
'registrar': 'PT. Sinartama Gunita',
'total_shares': '2400079744'}