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20230808_PALM_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31359201.pdf

Shareholder register Parsed PALM

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Page 1
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 Nomor Surat                               078-L/PTPIB/DIR/VIII/2023

 Nama Perusahaan                           PT Provident Investasi Bersama Tbk

 Kode Emiten                               PALM

 Papan Pencatatan                          Pengembangan

 Lampiran                                  3

 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. Datindo Entrycom




                                                                             Persen
                                                                                        Jumlah      Persen
                                                                Jumlah Saham Saham
                        Nama          Alamat         Jabatan                          Saham Bulan Saham Bulan Pengendali   Afiliasi
                                                                 Sebelumnya Sebelumny
                                                                                          Ini         Ini
                                                                                a
                     PT Saratoga Jl. Ir. H. Juanda              1.415.023.929   19,875% 1.415.023.92   19,875%
                       Sentra          III No.8                                                    9
                      Garibaldi  GD Peluru Blok                   889.942.545     12,5% 889.942.545     12,5%
                       Thohir     E/139, Kebon
                                   Baru Tebet,
                                 Jakarta Selatan
                        Winato   Jl. Subang No.                   355.977.018       5% 355.977.018         5%
                        Kartono   3A Kelurahan
  Pemegang                           Menteng
 Saham > 5%                        Kecamatan
                                     Menteng
                     Tri Boewono Generali Tower,     Direksi       65.851.500    0,925%   65.851.500   0,925%
                                   Gran Rubina
                                  Business Park
                                     Lt.17 D,
                                     Kawasan
                                      Rasuna
                                   Epicentrum,
                                  Jl.HR Rasuna
                                       Said,
Page 2
                                                                           Persen
                                                                                      Jumlah      Persen
                                                              Jumlah Saham Saham
                 Nama          Alamat           Jabatan                             Saham Bulan Saham Bulan Pengendali             Afiliasi
                                                               Sebelumnya Sebelumny
                                                                                        Ini         Ini
                                                                              a
              Hardi Wijaya     Sekolah         Komisaris       266.982.764      3,75% 266.982.764         3,75%
                 Liong      Kencana I/23,
 Pemegang                  RT/RW.005/015
Saham > 5%                     , Grogol
                               Selatan,
                              Kebayoran
                            lama, Jakarta
                               Selatan
              PT Provident    Gd. Wisma                       3.242.152.791   45,539% 3.242.152.79     45,539%
                Capital    GKBI lt.17 suite                                                      1                      X
                                 1716
                                                          0       0%             0             0%
     Masyarakat - Warkat - Scrip

                                               842.687.109    11,836%   842.687.10      11,836%
  Masyarakat - Non Warkat - Scripless                                            9

                                               40.922.700      0,575%    40.922.700       0.575%
          Saham Treasury

                                              7.119.540.35      100% 7.119.540.35           100%
                Total                                    6                      6




                                                                           Persentase          Jumlah Saham (Bulan          Persentase(Bulan
             Nama                    Jumlah Saham (Sebelumnya)
                                                                          (Sebelumnya)                 Ini)                       Ini)
                                                        3,242,152,791             45.539%               3,242,152,791                45.539%
       Total Pengendali

                                                        3,877,387,565                54.461%            3,877,387,565                54.461%
    Total Non Pengendali
Page 3
Informasi Saham Free Float


                             Keterangan                               Bulan Sebelumnya           Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                             1.216.444.073          1.216.444.073
dari 5%
 Jumlah saham scripless dimiliki oleh Direksi dan Dewan
                                                                              332.834.264             332.834.264
 Komisaris kurang dari 5%

 Jumlah saham scripless dimiliki oleh Pengendali kurang dari 5%                          0                         0

Jumlah saham scripless dimiliki oleh Afiliasi dari Pengendali                     500.000                    500.000
kurang dari 5%

Jumlah treasury stock scripless kurang dari 5%                                 40.922.700               40.922.700

Jumlah saham portofolio investasi dengan penerima manfaat
                                                                                         0                        0
investor publik yang telah disetujui Bursa untuk diperhitungkan
sebagai Free Float

 Jumlah saham Free Float                                                      842.187.109             842.187.109


Jumlah saham tercatat di Bursa per akhir bulan                              7.119.540.356           7.119.540.356


% Saham Free Float                                                                 11,83                      11,83



Jumlah Pemegang Saham


         Bulan Sebelumnya                         Bulan Sekarang                     Perubahan

                                 4.102                             4.022                                     80



Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
      Nomor                                                    Nama

          1                                                 Winato Kartono




Demikian untuk diketahui.


Hormat Kami,
PT Provident Investasi Bersama Tbk




LIm Na Lie

Corporate Secretary




PT Provident Investasi Bersama Tbk
Generali Tower, Gran Rubina Business Park Lt.17 D, Kawasan Rasuna Epicentrum,
Telepon : (021) 2157 2008, Fax : (021) 2157 2009 , www.provident-agro.com



Nama Pengirim                     LIm Na Lie

Jabatan                           Corporate Secretary
Tanggal dan Waktu                 09-08-2023 09:42

Lampiran                         1. PALM-2.pdf

                                 2. PALM-3.pdf


                                 3. PALM-1.pdf
Page 5
Dokumen ini merupakan dokumen resmi PT Provident Investasi Bersama Tbk yang tidak memerlukan tanda tangan
    karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Provident Investasi Bersama Tbk
                   bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 6
 Go To Indonesian Page

 Letter / Announcement No.               078-L/PTPIB/DIR/VIII/2023

 Issuer Name                             PT Provident Investasi Bersama Tbk

 Issuer Code                             PALM

 Listing Board                           Development

 Attachment                              3

 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. Datindo Entrycom


                                                                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 Saratoga Jl. Ir. H. Juanda                 1,415,023,929   19.875% 1,415,023,92          19.875%
                   Sentra          III No.8                                                       9
                  Garibaldi  GD Peluru Blok                      889,942,545      12.5% 889,942,545            12.5%
                   Thohir     E/139, Kebon
                               Baru Tebet,
                             Jakarta Selatan
                    Winato   Jl. Subang No.                      355,977,018        5% 355,977,018                5%
                    Kartono   3A Kelurahan
  Share                          Menteng
Ownership >                    Kecamatan
   5%                            Menteng
                 Tri Boewono Generali Tower,      Direksi         65,851,500    0.925%       65,851,500       0.925%
                               Gran Rubina
                              Business Park
                                 Lt.17 D,
                                 Kawasan
                                  Rasuna
                               Epicentrum,
                              Jl.HR Rasuna
                                   Said,
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
              Hardi Wijaya     Sekolah        Komisaris         266,982,764      3.75% 266,982,764          3.75%
                 Liong      Kencana I/23,
  Share                    RT/RW.005/015
Ownership >                    , Grogol
   5%                          Selatan,
                              Kebayoran
                            lama, Jakarta
                               Selatan
              PT Provident    Gd. Wisma                       3,242,152,791    45.539% 3,242,152,79       45.539%
                Capital    GKBI lt.17 suite                                                       1                        X
                                 1716
                                                          0        0%              0             0%
       Masyarakat - Warkat - Scrip

                                               842.687.109    11,836%     842.687.10       11,836%
    Masyarakat - Non Warkat - Scripless                                            9

                                               40.922.700       0,575%    40.922.700        0.575%
              Saham Treasury

                                              7.119.540.35       100% 7.119.540.35            100%
                   Total                                 6                       6




                                                                              Percentage         Number of Shares (This        Percentage (This
               Name                    Number of Shares (Previously)
                                                                              (Previous)                Month)                     Month)
                                                          3,242,152,791             45.539%                3,242,152,791                45.539%
         Total Controller

                                                          3,877,387,565                54.461%             3,877,387,565                54.461%
      Total Non-Controllers
Page 8
Free Float Share Information


                              Information                            Previous Month            This Month

 The number of scripless shares owned by shareholders is less
                                                                          1.216.444.073            1.216.444.073
 than 5%
 The number of scripless shares owned by the Board of Directors
                                                                            332.834.264             332.834.264
 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                      500.000                     500.000
 Controller is less than 5%

 The amount of scripless treasury stock is less than 5%                      40.922.700               40.922.700

 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                                             842.187.109             842.187.109

 The number of shares listed on the Exchange at the end of the
                                                                          7.119.540.356            7.119.540.356
 month

 % Free Float Share                                                              11,83                       11,83



Number of Shareholders


          Previous Month                             This Month                       Change


                                4.102                             4.022                                     80


Final Beneficiaries of Share Ownership
Page 9
      Number                                                   Name

           1                                               Winato Kartono




Thus to be informed accordingly.


Respectfully,
PT Provident Investasi Bersama Tbk




LIm Na Lie

Corporate Secretary




PT Provident Investasi Bersama Tbk
Generali Tower, Gran Rubina Business Park Lt.17 D, Kawasan Rasuna Epicentrum,
Phone : (021) 2157 2008, Fax : (021) 2157 2009 , www.provident-agro.com



Sender Name                        LIm Na Lie

Function                           Corporate Secretary

Date and Time                      09-08-2023 09:42

Attachment                         1. PALM-2.pdf

                                   2. PALM-3.pdf


                                   3. PALM-1.pdf
Page 10
  This is an official document of PT Provident Investasi Bersama Tbk that does not require a signature as it was
generated electronically by the electronic reporting system. PT Provident Investasi Bersama Tbk is fully responsible
                                 for the information contained within this document.

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Published9 Aug 2023
Pages10
Characters15,519
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Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '7119540356'},
                'treasury': {'pct': '575', 'shares': '40922700'},
                'under5_non_warkat': {'pct': '11.836', 'shares': '842687109'},
                'under5_warkat': {'pct': '0', 'shares': '0'}},
 'as_of_date': '2023-07-31',
 'checksum_ok': True,
 'checksum_parts': '7119540356',
 'holders': [{'address': 'Jl. Ir. H. Juanda III No.8',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'PT Saratoga Sentra',
              'page_no': 1,
              'pct': '19.875',
              'pct_prev': '19.875',
              'position': '',
              'seq': 0,
              'shares': '1415023929',
              'shares_prev': '1415023929'},
             {'address': 'GD Peluru Blok E/139, Kebon Baru Tebet,',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Garibaldi Thohir',
              'page_no': 1,
              'pct': '12.5',
              'pct_prev': '12.5',
              'position': '',
              'seq': 1,
              'shares': '889942545',
              'shares_prev': '889942545'},
             {'address': 'Jakarta Selatan Jl. Subang No. 3A Kelurahan Menteng',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Winato Kartono',
              'page_no': 1,
              'pct': '5',
              'pct_prev': '5',
              'position': '',
              'seq': 2,
              'shares': '355977018',
              'shares_prev': '355977018'},
             {'address': 'Kecamatan Menteng Generali Tower, Gran Rubina',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Boewono',
              'page_no': 1,
              'pct': '0.925',
              'pct_prev': '0.925',
              'position': 'Direksi',
              'seq': 3,
              'shares': '65851500',
              'shares_prev': '65851500'},
             {'address': 'Sekolah Kencana I/23, RT/RW.005/015 , Grogol '
                         'Selatan,',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Hardi Wijaya Liong',
              'page_no': 2,
              'pct': '3.75',
              'pct_prev': '3.75',
              'position': 'Komisaris',
              'seq': 4,
              'shares': '266982764',
              'shares_prev': '266982764'},
             {'address': 'Kebayoran lama, Jakarta Selatan Gd. Wisma GKBI lt.17 '
                         'suite',
              'category': 'FIVE_PCT',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'Provident Capital',
              'page_no': 2,
              'pct': '45.539',
              'pct_prev': '45.539',
              'position': '',
              'seq': 5,
              'shares': '3242152791',
              'shares_prev': '3242152791'}],
 'issuer_name': 'PT Provident Investasi Bersama Tbk',
 'issuer_ticker': 'PALM',
 'layout': 'EREP_COVER',
 'letter_number': '078-L/PTPIB/DIR/VIII/2023',
 'listing_board': 'Pengembangan',
 'period_label': 'Juli 2023',
 'registrar': 'PT. Datindo Entrycom',
 'total_shares': '7119540356'}
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