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20260304_OMED_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_32040764.pdf
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Extracted text 10
Page 1
Go To English Page Nomor Surat 0009/JMI-Tbk/DIR/III/26 Nama Perusahaan PT Jayamas Medica Industri Tbk Kode Emiten OMED Papan Pencatatan Utama Lampiran 1 Perihal Laporan Bulanan Registrasi Pemegang Efek Bersama ini PT Jayamas Medica Industri Tbk menyatakan: 1. Bertanggung jawab atas penyusunan dan penyajian Laporan Bulanan Registrasi Pemegang Efek (LBRE). 2. Semua informasi dalam LBRE telah dimuat secara lengkap dan benar, tidak mengandung informasi atau fakta material yang tidak benar, dan tidak menghilangkan informasi atau fakta material. 3. Perhitungan Free Float telah disajikan sesuai dengan Peraturan Bursa Nomor I-A tentang Pencatatan Saham dan Efek Bersifat Ekuitas Selain Saham yang Diterbitkan oleh Perusahaan Tercatat, termasuk telah mengeluarkan kepemilikan saham oleh pihak Pengendali dan Afiliasi dari Pengendali, dan Afiliasi dari Pemilik Manfaat; dimiliki oleh anggota Dewan Komisaris atau anggota Direksi; dan saham yang telah dibeli kembali oleh perusahaan. Direksi atas nama PT Jayamas Medica Industri Tbk bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini. Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 28 Februari 2026 Sebagai Berikut : Biro Administrasi Efek: PT. Datindo Entrycom
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham Afiliasi Afiliasi Pemilik
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali
Sebelumnya Sebelumny Pengendali Manfaat
Ini Ini
a
Yacobus Komplek Darmo Komisaris 254.315.200 0,941% 255.216.600 0,944%
Jemmy Park II Blok IV
X
no. 14-15,
Surabaya
Siane Komplek Darmo Komisaris 242.708.000 0,897% 242.708.000 0,897%
Pemegang Soetanto Park II Blok IV
Saham X
no. 14-15,
Direksi dan Surabaya
Komisaris Leonard Sebelah Direksi 134.200 0% 134.200 0%
Hariadi Selatan Jalan
By Pass RT 05 /
RW 01
Kelurahan
Sidomojo,
Kecamatan
Krian, Sidoarjo
61262, Jawa
Timur
Persen
Jumlah Persen
Jumlah Saham Saham Afiliasi Afiliasi Pemilik
Nama Alamat Saham Bulan Saham Bulan Pengendali
Pemegang Sebelumnya Sebelumny Pengendali Manfaat
Ini Ini
saham 5% a
(lima persen) PT Intisumber Komplek Darmo 22.540.000.00 83,3% 22.540.000.0 83,3%
atau lebih Hasilsempurn Park II Blok IV 0 00
X
no. 14-15,
Surabaya
Pemegang Saham < 5%
0 0% 0 0%
Publik - Warkat
3.970.962.50 14,675% 3.970.061. 14,672%
Publik - Non Warkat 0 100
50.730.100 0,187% 50.730.100 0.187%
Saham Treasuri
Page 3
27.058.850.0 100% 27.058.850.0 100%
Total 00 00
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham non-warkat dimiliki oleh seluruh pemegang
4.058.850.000 4.058.850.000
saham kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Direksi dan Dewan
134.200 134.200
Komisaris kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Pengendali kurang dari 5% 37.023.200 37.924.600
Jumlah saham non-warkat dimiliki oleh Afiliasi dari Pengendali 0 0
kurang dari 5%
Jumlah saham tresuri non-warkat kurang dari 5% 50.730.100 50.730.100
Jumlah saham portfolio investasi dengan penerima manfaat
0 0
investor publik yang telah disetujui Bursa untuk diperhitungkan
sebagai Free Float
Jumlah saham Free Float 3.970.962.500 3.970.061.100
Jumlah saham tercatat di Bursa per akhir bulan 27.058.850.000 27.058.850.000
% Saham Free Float 14,68 14,67
Persentase Bulan
Keterangan Bulan Sebelumnya Bulan Ini Persentase Bulan Ini
Sebelumnya
Jumlah saham tidak tercatat 0 0% 0 0%
Page 4
Jumlah Pemegang Saham Nasabah Pemilik SID
Bulan Sebelumnya Bulan Sekarang Perubahan
4.711 4.769 58
Pemilik Manfaat dari PT Jayamas Medica Industri Tbk
Pemegang Saham
Nomor Nama Langsung
Perseroan
1 Yacobus Jemmy Hartanto Ya
2 Siane Soetanto Ya
Pemilik Manfaat dari Pemegang Saham lebih dari 10%
Demikian untuk diketahui.
Hormat Kami,
PT Jayamas Medica Industri Tbk
Daniel Kurniawan
Head of Corporate Secretary and Investor Relation
Page 5
PT Jayamas Medica Industri Tbk
Sebelah Selatan Jalan By Pass RT 05 / RW 01 Kelurahan Sidomojo, Kecamatan
Telepon : +62 31 8982349, Fax : , www.onemed.co.id
Nama Pengirim Daniel Kurniawan
Jabatan Head of Corporate Secretary and Investor Relation
Tanggal dan Waktu 04-03-2026 15:34
Lampiran 1. OMED 28 FEBRUARI 2026.pdf
Dokumen ini merupakan dokumen resmi PT Jayamas Medica Industri Tbk yang tidak memerlukan tanda tangan
karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Jayamas Medica Industri Tbk bertanggung
jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 6
Go To Indonesian Page Letter / Announcement No. 0009/JMI-Tbk/DIR/III/26 Issuer Name PT Jayamas Medica Industri Tbk Issuer Code OMED Listing Board Main Attachment 1 Subject Monthly Report of Securities Holders Registration Hereby, the Company declares that: 1. It is responsible for the preparation and presentation of the Monthly Securities Holder Registration Report. 2. All information contained in the LBRE has been fully and accurately disclosed, does not contain any incorrect material information or facts, and does not omit any material information or facts. 3. The Free Float calculation has been presented in accordance with Exchange Regulation Number I-A concerning the Listing of Shares and Equity Securities Other Than Shares Issued by Listed Companies, including the exclusion of share ownership by the Controlling Shareholder and its Affiliates; affiliates of beneficial owner; members of the Board of Commissioners or the Board of Directors; and treasury shares repurchased by the Company. The Board of Directors of PT Jayamas Medica Industri Tbk, on behalf of the Company, bears full responsibility for the information contained in this document. The Company hereby announce Monthly Report of Securities Holders Registration which ends in 28 February 2026 as follows: Security Administration Bureau: PT. Datindo Entrycom
Page 7
Number of Percent of Number of Percent of Affiliate of
Affiliate of the
Name Address Position Shares in Shares in Shares in Shares in Controller the
Beneficial Owner
Previous Previous Current Current Controller
Yacobus Komplek Darmo Komisaris 254,315,200 0.941% 255,216,600 0.944%
Jemmy Park II Blok IV
X
no. 14-15,
Surabaya
Board of Siane Komplek Darmo Komisaris 242,708,000 0.897% 242,708,000 0.897%
Directors and Soetanto Park II Blok IV
X
Board of no. 14-15,
Commission Surabaya
Leonard Sebelah Direksi 134,200 0% 134,200 0%
ers
Hariadi Selatan Jalan
By Pass RT 05 /
RW 01
Kelurahan
Sidomojo,
Kecamatan
Krian, Sidoarjo
61262, Jawa
Timur
Number of Percent of Number of Percent of Affiliate of
Affiliate of the
Shareholders Name Address Shares in Shares in Shares in Shares in Controller the
Beneficial Owner
of 5% (five Previous Previous Current Current Controller
percent) or PT Intisumber Komplek 22,540,000,00 83.3% 22,540,000,0 83.3%
more Hasilsempurn Darmo Park II 0 00
X
Blok IV no. 14-
15, Surabaya
0 0% 0 0%
Public - Scrip
3.970.962.50 14,675% 3.970.061. 14,672%
Public - Scripless 0 100
50.730.100 0,187% 50.730.100 0.187%
Treasury Stock
27.058.850.0 100% 27.058.850.0 100%
Total 00 00
Page 8
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
4.058.850.000 4.058.850.000
than 5%
The number of scripless shares owned by the Board of Directors
134.200 134.200
and Board of Commissioners is less than 5%
The number of scripless shares owned by the Controller is less
37.023.200 37.924.600
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% 50.730.100 50.730.100
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 3.970.962.500 3.970.061.100
The number of shares listed on the Exchange at the end of the
27.058.850.000 27.058.850.000
month
% Free Float Share 14,68 14,67
Remarks Previous Month Previous Month Percentage Current Month Current Month Percentage
Number of Unlisted Shares 0 0% 0 0%
Page 9
Number of Shareholders Holding SID Accounts
Previous Month Current Month Change
4.711 4.769 58
Beneficial Owner from PT Jayamas Medica Industri Tbk
Company’s Direct
Number Name
Shareholders
1 Yacobus Jemmy Hartanto Ya
2 Siane Soetanto Ya
Beneficial Owner of Shareholders more than 10%
Thus to be informed accordingly.
Respectfully,
PT Jayamas Medica Industri Tbk
Daniel Kurniawan
Head of Corporate Secretary and Investor Relation
Page 10
PT Jayamas Medica Industri Tbk
Sebelah Selatan Jalan By Pass RT 05 / RW 01 Kelurahan Sidomojo, Kecamatan
Phone : +62 31 8982349, Fax : , www.onemed.co.id
Sender Name Daniel Kurniawan
Function Head of Corporate Secretary and Investor Relation
Date and Time 04-03-2026 15:34
Attachment 1. OMED 28 FEBRUARI 2026.pdf
This is an official document of PT Jayamas Medica Industri Tbk that does not require a signature as it was
generated electronically by the electronic reporting system. PT Jayamas Medica Industri Tbk is fully responsible for
the information contained within this document.
Names mentioned 10 people and organisations named in the text · linked when the evidence is strong
unresolved
org
PT. Datindo Entrycom
· Biro Administrasi Efek
p.1 ×2
unresolved
person
Komplek Darmo
· Komisaris
p.2 ×4
unresolved
—
(lima persen) PT Intisumber
p.2
unresolved
org
PT Intisumber
p.2 ×2
unresolved
—
lebih Hasilsempurn Park II
p.2
unresolved
person
Daniel Kurniawan
· Head of Corporate Secretary and Investor Relation
p.4 ×2
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
239 ms
12 Sep 2026 22:30
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '27058850000'},
'treasury': {'pct': '187', 'shares': '50730100'},
'under5_non_warkat': {'pct': '14.672', 'shares': '3970061100'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2026-02-28',
'checksum_ok': True,
'checksum_parts': '27058850000',
'holders': [{'address': 'Komplek Darmo Park II Blok IV',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Yacobus Jemmy',
'page_no': 2,
'pct': '0.944',
'pct_prev': '0.941',
'position': 'Komisaris',
'seq': 0,
'shares': '255216600',
'shares_prev': '254315200'},
{'address': 'no. 14-15, Surabaya Komplek Darmo Park II Blok IV',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Siane Soetanto',
'page_no': 2,
'pct': '0.897',
'pct_prev': '0.897',
'position': 'Komisaris',
'seq': 1,
'shares': '242708000',
'shares_prev': '242708000'},
{'address': 'no. 14-15, Surabaya Sebelah Selatan Jalan',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Leonard Hariadi',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 2,
'shares': '134200',
'shares_prev': '134200'},
{'address': 'Komplek Darmo Park II Blok no. 14-15, Surabaya',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Intisumber Hasilsempurn',
'page_no': 2,
'pct': '83.3',
'pct_prev': '83.3',
'position': '',
'seq': 3,
'shares': '22540000000',
'shares_prev': '22540000'}],
'issuer_name': 'PT Jayamas Medica Industri Tbk',
'issuer_ticker': 'OMED',
'layout': 'EREP_COVER',
'letter_number': '0009/JMI-Tbk/DIR/III/26',
'listing_board': 'Utama',
'period_label': 'Februari 2026',
'registrar': 'PT. Datindo Entrycom',
'total_shares': '27058850000'}