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20260805_EMMI_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_32117851.pdf
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Extracted text 18
Page 1
Go To English Page Nomor Surat 136/ESA/VIII/2026 Nama Perusahaan PT Esa Medika Mandiri Tbk Kode Emiten EMMI Papan Pencatatan Pengembangan Lampiran 1 Perihal Laporan Bulanan Registrasi Pemegang Efek Bersama ini PT Esa Medika Mandiri 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 Pencatatan Bursa Nomor I-A dan/atau I-V 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 Esa Medika Mandiri Tbk bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini. Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada akhir bulan Juli - 2026 Sebagai Berikut : Biro Administrasi Efek: PT. Datindo Entrycom
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham Afiliasi
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali
Sebelumnya Sebelumny Pengendali
Ini Ini
a
Surya GARDEN Komisaris 367.246.000 21,1% 367.246.000 21,1%
Gunawan UTAMA NO. 28
X
JAKARTA
BARAT
Eddy Lie KOTA WISATA Direksi 176.944.000 10,2% 176.944.000 10,2%
MONACO
BLOK W.7/1
Pemegang KAB BOGOR
Saham Andrew GARDEN Komisaris 285.410.000 16,4% 285.410.000 16,4%
Ignatius UTAMA NO. 26,
Direksi dan
JAKARTA
Komisaris
BARAT
Florian Chris JL GARDEN Direksi 195.200.000 11,2% 195.200.000 11,2%
Widjaja RAYA NO 17
JAKARTA
BARAT
Andrian APT THE Direksi 195.200.000 11,2% 195.200.000 11,2%
Matthew WINDSOR
SIGNATURE
TOWER UNIT
256 7. BLOK S,
JAKARTA
BARAT
Persen
Jumlah Persen
Jumlah Saham Saham Afiliasi
Nama Alamat Saham Bulan Saham Bulan Pengendali
Sebelumnya Sebelumny Pengendali
Ini Ini
a
PT YULIE PLAZA 0 0% 162.148.100 9,3%
Pemegang SEKURITAS MUTIARA
saham 5% LANTAI 7
(lima persen) SUITE 701 JL.
atau lebih DR IDE ANAK
AGUNG GDE
AGUNG KAV E
1.2 NO 1
JAKARTA
SELATAN
Page 3
Pemegang Saham < 5%
0 0% 0 0%
Pemegang Saham < 5% - Warkat
0 0% 360.708.90 20,6%
Pemegang Saham < 5% - Non Warkat 0
0 0% 0 0%
Saham Treasuri
1.220.000.00 70,1% 1.742.857.00 100%
Total 0 0
Page 4
Jumlah Saham Scrip dan Scripless berdasarkan Tipe dan Klasifikasi Investor
Tipe dan Klasifikasi Investor Jumlah Saham
Afiliasi dari pengendali 0
Direksi dan Dewan Komisaris 1.220.000.000
Karyawan (hanya saham yang dibatasi pengalihan
5.238.500
kepemilikannya)
Pengendali 0
Saham Tresuri 0
Jumlah Saham Scripless berdasarkan Tipe dan Klasifikasi Investor dari KSEI
Tipe dan Klasifikasi Investor Jumlah Saham
Bank 5.182.900
Government -
Private Equity -
Trustee Bank -
Venture Capital -
Private Bank -
Exchange Traded Funds -
Investment Manager 511.500
Investment Advisors 340.700
Brokerage Firms -
Page 5
Hedge Fund - Sovereign Wealth Fund - Capital Market Supporting Institutions and Professions - Commanditaire Vennootschap (CV) or Limited partnership - Firm - Invesment Fund Selling Agent - Peer to peer lending 20.413.600 Permanent establishment - Sole proprietorship - Corporate 59.644.100 Association/social organization - State-owned enterprises - Central Bank - State Owned Company - Diocese - Conference - Congregation - Cooperatives - International organization - Political parties -
Page 6
Partnership - Educational Institution - Mutual Funds (MF) 1.023.000 Securities Company (SC) 162.220.200 Pension Funds (PF) - Financial Institutional (IB) - Insurance (IS) 20.465.600 Foundation (FD) - Individual (ID) 1.473.055.400 *Data klasifikasi investor yang disajikan dalam laporan ini bersumber dari informasi yang disampaikan oleh Pemegang Rekening KSEI berdasarkan hasil verifikasi yang dilakukan melalui proses Know Your Customer (KYC) atas data investor yang dikelolanya. Penetapanan klasifikasi investor dilakukan oleh masing-masing Pemegang Rekening KSEI dengan mengacu pada definisi dan panduan klasifikasi investor yang telah disediakan oleh KSEI. Keakuratan maupun kesesuaian pada penentuan klasifikasi investor yang tersaji dalam laporan ini menjadi tanggung jawab masing-masing Pemegang Rekening KSEI yang melakukan proses klasifikasi tersebut.
Page 7
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham non-warkat dimiliki oleh seluruh pemegang
0 360.708.900
saham kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Direksi dan Dewan
0 0
Komisaris kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Pengendali kurang dari 5% 0 0
Jumlah saham non-warkat dimiliki oleh Afiliasi dari Pengendali 0 0
kurang dari 5%
Jumlah saham tresuri non-warkat kurang dari 5% 0 0
Jumlah saham yang harus dibatasi pengalihan kepemilikannya
0 5.238.500
(lock up) baik berdasarkan Peraturan maupun bagian tindakan
korporasi Perusahaan Tercatat kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Perusahaan Modal 0 0
Ventura dan Private Equity kurang dari 5%
Jumlah saham non-warkat yang berada dalam status sita atau 0 0
blokir oleh Aparat Penegak Hukum atau Otoritas yang
berwenang kurang dari 5%
Jumlah saham dengan penerima manfaat investor publik yang 0 0
telah disetujui Bursa untuk diperhitungkan sebagai Free Float
(Ketentuan V.2 Peraturan I-A dan Ketentuan V.2 Peraturan I-V)
Jumlah saham Free Float 355.470.400
Jumlah saham tercatat di Bursa per akhir bulan 0 1.742.857.000
% Saham Free Float 20,4
Page 8
Persentase Bulan
Keterangan Bulan Sebelumnya Bulan Ini Persentase Bulan Ini
Sebelumnya
Jumlah saham tidak tercatat 1.220.000.000 100% 0 0%
Jumlah Pemegang Saham Nasabah Pemilik SID
Bulan Sebelumnya Bulan Sekarang Perubahan
0 59.978 59.978
Pemilik manfaat (pengendali tingkat individu) yang terdiri dari satu pihak atau kelompok yang terorganisasi dari PT Esa Medika Mandiri
Tbk
* Persentase Kepemilikan, jika pemegang kolom pemegang saham langsung diisi:
- Ya : maka merupakan % kepemilikan pemilik manfaat langsung ke Perseroan
- Tidak : maka merupakan % kepemilikan pemengang saham langsung ke Perseroan
Demikian untuk diketahui.
Hormat Kami,
PT Esa Medika Mandiri Tbk
Florian Chris Widjaja
Page 9
Direktur Utama
PT Esa Medika Mandiri Tbk
Esa 8 Building, Lantai 10
Telepon : +62 21 3970 2800, Fax : , www.esamedikamandiri.com
Nama Pengirim Florian Chris Widjaja
Jabatan Direktur Utama
Tanggal dan Waktu 06-08-2026 10:33
Lampiran 1. Laporan EMMI Datindo.pdf
Dokumen ini merupakan dokumen resmi PT Esa Medika Mandiri Tbk yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Esa Medika Mandiri Tbk bertanggung jawab penuh
atas informasi yang tertera didalam dokumen ini.
Page 10
Go To Indonesian Page Letter / Announcement No. 136/ESA/VIII/2026 Issuer Name PT Esa Medika Mandiri Tbk Issuer Code EMMI Listing Board Development 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 Listing Exchange Regulation Number I-A and/or I-V 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 Esa Medika Mandiri 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 Juli - 2026 Security Administration Bureau: PT. Datindo Entrycom
Page 11
Number of Percent of Number of Percent of Affiliate of
Name Address Position Shares in Shares in Shares in Shares in Controller the
Previous Previous Current Current Controller
Surya GARDEN Komisaris 367,246,000 21.1% 367,246,000 21.1%
Gunawan UTAMA NO. 28
X
JAKARTA
BARAT
Eddy Lie KOTA WISATA Direksi 176,944,000 10.2% 176,944,000 10.2%
MONACO
BLOK W.7/1
Board of
KAB BOGOR
Directors and Andrew GARDEN 285,410,000 16.4% 285,410,000 16.4%
Komisaris
Board of Ignatius UTAMA NO. 26,
Commission JAKARTA
ers BARAT
Florian Chris JL GARDEN Direksi 195,200,000 11.2% 195,200,000 11.2%
Widjaja RAYA NO 17
JAKARTA
BARAT
Andrian APT THE Direksi 195,200,000 11.2% 195,200,000 11.2%
Matthew WINDSOR
SIGNATURE
TOWER UNIT
256 7. BLOK S,
JAKARTA
BARAT
Number of Percent of Number of Percent of Affiliate of
Name Address Shares in Shares in Shares in Shares in Controller the
Previous Previous Current Current Controller
PT YULIE PLAZA 0 0% 162,148,100 9.3%
Shareholders SEKURITAS MUTIARA
of 5% (five LANTAI 7
percent) or SUITE 701 JL.
more DR IDE ANAK
AGUNG GDE
AGUNG KAV
E 1.2 NO 1
JAKARTA
SELATAN
Share Ownership of <5%
Page 12
0 0% 0 0%
Share Ownership of <5% - Scrip
0 0% 360.708.90 20,6%
Share Ownership of <5% - Scripless 0
0 0% 0 0%
Treasury Stock
1.220.000.00 70,1% 1.742.857.00 100%
Total 0 0
Page 13
Number of Scrip and Scripless Shares based on Investor Type and Classification Investor Type & Classification Number of Shares Affiliation from Controller 0 BOD / BOC 1.220.000.000 Employee (lock up shares only) 5.238.500 Controller 0 Treasury 0 Number of Scripless Shares based on Investor Type and Classification from KSEI Investor Type & Classification Number of Shares Bank 5.182.900 Government - Private Equity - Trustee Bank - Venture Capital - Private Bank - Exchange Traded Funds - Investment Manager 511.500 Investment Advisors 340.700 Brokerage Firms -
Page 14
Hedge Fund - Sovereign Wealth Fund - Capital Market Supporting Institutions and Professions - Commanditaire Vennootschap (CV) or Limited partnership - Firm - Investment Fund Selling Agent - Peer to peer lending 20.413.600 Permanent establishment - Sole proprietorship - Corporate 59.644.100 Association/social organizations - State Owned Enterprises - Central Bank - State Owned Company - Diocese - Conference - Congregation - Cooperatives - International organization - Political parties -
Page 15
Partnership - Educational Institution - Mutual Funds (MF) 1.023.000 Securities Company (SC) 162.220.200 Pension Funds (PF) - Financial Institutional (IB) - Insurance (IS) 20.465.600 Foundation (FD) - Individual (ID) 1.473.055.400 *The investor classification data presented in this report is derived from information provided by KSEI Account Holders based on verification conducted through the Know Your Customer (KYC) process on the investor data under their management. The determination of investor classification is carried out by each KSEI Account Holder with reference to the definitions and investor classification guidelines provided by KSEI. The accuracy and appropriateness of the investor classification presented in this report remain the responsibility of each KSEI Account Holder that performs the classification process.
Page 16
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
0 360.708.900
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
The number of shares owned less than 5% and subject to a lock-
up restriction, either based on regulations or the corporate 0 5.238.500
actions of the listed company.
The number of non-script shares owned less than 5% by venture 0 0
capital and private equity companies
The number of non-script shares owned less than 5% and 0 0
subject to confiscation or blocking by law enforcement officials or
authorized authorities.
Number of shares with public investor beneficiaries that have 0 0
been approved by IDX as Free Float (Provision V.2 of Regulation
I-A and Provision V.2 of Regulation I-V).
The amount of Free Float Share 355.470.400
The number of shares listed on the Exchange at the end of the
0 1.742.857.000
month
% Free Float Share 20,4
Page 17
Remarks Previous Month Previous Month Percentage Current Month Current Month Percentage
Number of Unlisted Shares 1.220.000.000 100% 0 0%
Number of Shareholders Holding SID Accounts
Previous Month Current Month Change
0 59.978 59.978
Beneficial owner (ultimate individual controller) consisting of one party or an organized group from PT Esa
Medika Mandiri Tbk
*Ownership Percentage, if the “Direct Shareholder” column is filled:
- Yes: represents the % ownership of the beneficial owner directly in the Company
- No: represents the % ownership of the direct shareholder in the Company
Thus to be informed accordingly.
Respectfully,
PT Esa Medika Mandiri Tbk
Page 18
Florian Chris Widjaja
Direktur Utama
PT Esa Medika Mandiri Tbk
Esa 8 Building, Lantai 10
Phone : +62 21 3970 2800, Fax : , www.esamedikamandiri.com
Sender Name Florian Chris Widjaja
Function Direktur Utama
Date and Time 06-08-2026 10:33
Attachment 1. Laporan EMMI Datindo.pdf
This is an official document of PT Esa Medika Mandiri Tbk that does not require a signature as it was generated
electronically by the electronic reporting system. PT Esa Medika Mandiri Tbk is fully responsible for the information
contained within this document.
Names mentioned 7 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
GARDEN
· Komisaris
p.2 ×3
unresolved
org
PT YULIE
p.2 ×2
unresolved
person
Function
· Direktur Utama
p.18
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
185 ms
12 Sep 2026 21:45
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '1742857000'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '20.6', 'shares': '360708900'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2026-07-31',
'checksum_ok': True,
'checksum_parts': '1742857000',
'holders': [{'address': 'GARDEN UTAMA NO. 28',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Surya Gunawan',
'page_no': 2,
'pct': '21.1',
'pct_prev': '21.1',
'position': 'Komisaris',
'seq': 0,
'shares': '367246000',
'shares_prev': '367246000'},
{'address': 'JAKARTA BARAT KOTA WISATA MONACO',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Eddy Lie',
'page_no': 2,
'pct': '10.2',
'pct_prev': '10.2',
'position': 'Direksi',
'seq': 1,
'shares': '176944000',
'shares_prev': '176944000'},
{'address': 'BLOK W.7/1 KAB BOGOR GARDEN UTAMA NO. 26,',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Andrew Ignatius',
'page_no': 2,
'pct': '16.4',
'pct_prev': '16.4',
'position': 'Komisaris',
'seq': 2,
'shares': '285410000',
'shares_prev': '285410000'},
{'address': 'JAKARTA BARAT JL GARDEN RAYA NO 17',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Florian Chris Widjaja',
'page_no': 2,
'pct': '11.2',
'pct_prev': '11.2',
'position': 'Direksi',
'seq': 3,
'shares': '195200000',
'shares_prev': '195200000'},
{'address': 'JAKARTA BARAT APT THE WINDSOR',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Andrian Matthew',
'page_no': 2,
'pct': '11.2',
'pct_prev': '11.2',
'position': 'Direksi',
'seq': 4,
'shares': '195200000',
'shares_prev': '195200000'},
{'address': 'PLAZA MUTIARA',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'PT YULIE SEKURITAS',
'page_no': 2,
'pct': '9.3',
'pct_prev': '0',
'position': '',
'seq': 5,
'shares': '162148100',
'shares_prev': '0'}],
'issuer_name': 'PT Esa Medika Mandiri Tbk',
'issuer_ticker': 'EMMI',
'layout': 'EREP_COVER',
'letter_number': '136/ESA/VIII/2026',
'listing_board': 'Pengembangan',
'period_label': 'Juli 2026',
'registrar': 'PT. Datindo Entrycom',
'total_shares': '1742857000'}