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20260805_OMED_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_32117842.pdf
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Extracted text 18
Page 1
Go To English Page Nomor Surat 0066/JMI-Tbk/DIR/VIII/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 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 Jayamas Medica Industri 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
Leonard Sebelah Direksi 170.200 0,001% 6.830.200 0,025%
Hariadi Selatan Jalan
By Pass RT 05 /
RW 01
Kelurahan
Sidomojo,
Kecamatan
Krian, Sidoarjo
61262, Jawa
Timur
Yacobus Komplek Darmo Komisaris 259.426.600 0,959% 260.126.600 0,961%
Jemmy Park II Blok IV
X
no. 14-15,
Surabaya
Pemegang Siane Komplek Darmo Komisaris 242.708.000 0,897% 242.808.000 0,897%
Saham Soetanto Park II Blok IV
Direksi dan X
no. 14-15,
Komisaris Surabaya
Dra Herlien Sri Sebelah Direksi 0 0% 1.000.000 0,004%
Ariani, Apt Selatan Jalan
By Pass RT 05 /
RW 01
Kelurahan
Sidomojo,
Kecamatan
Krian, Sidoarjo
61262, Jawa
Timur
Louis Krisnadi Komplek Darmo Direksi 0 0% 6.650.000 0,024%
Hartanto Park II Blok IV
no. 14-15,
Surabaya
Eka Komplek Darmo Direksi 0 0% 1.000.000 0,004%
Suwignyoo Park II Blok IV
no. 14-15,
Surabaya
Page 3
Persen
Jumlah Persen
Jumlah Saham Saham Afiliasi
Nama Alamat Saham Bulan Saham Bulan Pengendali
Pemegang Sebelumnya Sebelumny Pengendali
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%
Pemegang Saham < 5% - Warkat
3.965.815.10 14,656% 3.966.705. 14,66%
Pemegang Saham < 5% - Non Warkat 0 100
50.730.100 0,187% 33.730.100 0.125%
Saham Treasuri
27.058.850.0 100% 27.058.850.0 100%
Total 00 00
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 518.414.800
Karyawan (hanya saham yang dibatasi pengalihan
17.000.000
kepemilikannya)
Pengendali 22.540.000.000
Saham Tresuri 33.730.100
Jumlah Saham Scripless berdasarkan Tipe dan Klasifikasi Investor dari KSEI
Tipe dan Klasifikasi Investor Jumlah Saham
Bank 42.072.100
Government -
Private Equity -
Trustee Bank -
Venture Capital -
Private Bank 1.350.000.100
Exchange Traded Funds -
Investment Manager -
Investment Advisors 864.213.600
Brokerage Firms 23
Page 5
Hedge Fund - Sovereign Wealth Fund - Capital Market Supporting Institutions and Professions 3.500.000 Commanditaire Vennootschap (CV) or Limited partnership - Firm - Invesment Fund Selling Agent - Peer to peer lending - Permanent establishment - Sole proprietorship - Corporate 399.308.300 Association/social organization - State-owned enterprises - Central Bank - State Owned Company - Diocese - Conference - Congregation - Cooperatives - International organization 928.258.000 Political parties -
Page 6
Partnership - Educational Institution - Mutual Funds (MF) 12.121.200 Securities Company (SC) 4.059.664 Pension Funds (PF) 6.661.113 Financial Institutional (IB) - Insurance (IS) - Foundation (FD) - Individual (ID) 448.655.900 *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
4.058.850.000 4.058.850.000
saham kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Direksi dan Dewan
170.200 15.480.200
Komisaris kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Pengendali kurang dari 5% 42.134.600 42.934.600
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 33.730.100
Jumlah saham yang harus dibatasi pengalihan kepemilikannya
0 0
(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 3.965.815.100 3.966.705.100
Jumlah saham tercatat di Bursa per akhir bulan 27.058.850.000 27.058.850.000
% Saham Free Float 14,66 14,66
Page 8
Persentase Bulan
Keterangan Bulan Sebelumnya Bulan Ini Persentase Bulan Ini
Sebelumnya
Jumlah saham tidak tercatat 0 0% 0 0%
Jumlah Pemegang Saham Nasabah Pemilik SID
Bulan Sebelumnya Bulan Sekarang Perubahan
4.799 4.843 44
Pemilik manfaat (pengendali tingkat individu) yang terdiri dari satu pihak atau kelompok yang terorganisasi dari PT Jayamas Medica
Industri Tbk
Pemegang Saham
Nama Pemegang % Kepemilikan
Nomor Nama Pemilik Manfaat Alamat Langsung
Saham Langsung Saham*
Perseroan
1 Yacobus Jemmy Hartanto Komplek Darmo Ya 0,961 %
Park II Blok IV no.
2 Siane Soetanto Komplek Darmo Ya 0,897 %
Park II Blok IV no.
* 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 Jayamas Medica Industri Tbk
Daniel Kurniawan
Page 9
Head of Corporate Secretary and Investor Relation
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 05-08-2026 16:26
Lampiran 1. OMED 31 JULI 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 10
Go To Indonesian Page Letter / Announcement No. 0066/JMI-Tbk/DIR/VIII/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 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 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 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
Leonard Sebelah Direksi 170,200 0.001% 6,830,200 0.025%
Hariadi Selatan Jalan
By Pass RT 05 /
RW 01
Kelurahan
Sidomojo,
Kecamatan
Krian, Sidoarjo
61262, Jawa
Timur
Yacobus Komplek Darmo Komisaris 259,426,600 0.959% 260,126,600 0.961%
Jemmy Park II Blok IV
X
no. 14-15,
Board of Surabaya
Directors and Siane Komplek Darmo Komisaris 242,708,000 0.897% 242,808,000 0.897%
Board of Soetanto Park II Blok IV
X
Commission no. 14-15,
Surabaya
ers
Dra Herlien Sri Sebelah Direksi 0 0% 1,000,000 0.004%
Ariani, Apt Selatan Jalan
By Pass RT 05 /
RW 01
Kelurahan
Sidomojo,
Kecamatan
Krian, Sidoarjo
61262, Jawa
Timur
Louis Krisnadi Komplek Darmo Direksi 0 0% 6,650,000 0.024%
Hartanto Park II Blok IV
no. 14-15,
Surabaya
Eka Komplek Darmo Direksi 0 0% 1,000,000 0.004%
Suwignyoo Park II Blok IV
no. 14-15,
Surabaya
Number of Percent of Number of Percent of Affiliate of
Shareholders Name Address Shares in Shares in Shares in Shares in Controller the
of 5% (five Previous Previous Current Current Controller
percent) or
more
Page 12
Number of Percent of Number of Percent of Affiliate of
Shareholders Name Address Shares in Shares in Shares in Shares in Controller the
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
Share Ownership of <5%
0 0% 0 0%
Share Ownership of <5% - Scrip
3.965.815.10 14,656% 3.966.705. 14,66%
Share Ownership of <5% - Scripless 0 100
50.730.100 0,187% 33.730.100 0.125%
Treasury Stock
27.058.850.0 100% 27.058.850.0 100%
Total 00 00
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 518.414.800 Employee (lock up shares only) 17.000.000 Controller 22.540.000.000 Treasury 33.730.100 Number of Scripless Shares based on Investor Type and Classification from KSEI Investor Type & Classification Number of Shares Bank 42.072.100 Government - Private Equity - Trustee Bank - Venture Capital - Private Bank 1.350.000.100 Exchange Traded Funds - Investment Manager - Investment Advisors 864.213.600 Brokerage Firms 23
Page 14
Hedge Fund - Sovereign Wealth Fund - Capital Market Supporting Institutions and Professions 3.500.000 Commanditaire Vennootschap (CV) or Limited partnership - Firm - Investment Fund Selling Agent - Peer to peer lending - Permanent establishment - Sole proprietorship - Corporate 399.308.300 Association/social organizations - State Owned Enterprises - Central Bank - State Owned Company - Diocese - Conference - Congregation - Cooperatives - International organization 928.258.000 Political parties -
Page 15
Partnership - Educational Institution - Mutual Funds (MF) 12.121.200 Securities Company (SC) 4.059.664 Pension Funds (PF) 6.661.113 Financial Institutional (IB) - Insurance (IS) - Foundation (FD) - Individual (ID) 448.655.900 *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
4.058.850.000 4.058.850.000
than 5%
The number of scripless shares owned by the Board of Directors
170.200 15.480.200
and Board of Commissioners is less than 5%
The number of scripless shares owned by the Controller is less
42.134.600 42.934.600
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 33.730.100
The number of shares owned less than 5% and subject to a lock-
up restriction, either based on regulations or the corporate 0 0
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 3.965.815.100 3.966.705.100
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 14,66 14,66
Page 17
Remarks Previous Month Previous Month Percentage Current Month Current Month Percentage
Number of Unlisted Shares 0 0% 0 0%
Number of Shareholders Holding SID Accounts
Previous Month Current Month Change
4.799 4.843 44
Beneficial owner (ultimate individual controller) consisting of one party or an organized group from PT Jayamas
Medica Industri Tbk
Company’s Direct Direct Shareholder % Share
Number Beneficial Owner Name Address
Shareholders Name Ownership*
1 Yacobus Jemmy Hartanto Komplek Darmo Park II Blok IV no. Yes 0,961 %
14-15, Surabaya
2 Siane Soetanto Komplek Darmo Park II Blok IV no. Yes 0,897 %
14-15, Surabaya
*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 Jayamas Medica Industri Tbk
Page 18
Daniel Kurniawan
Head of Corporate Secretary and Investor Relation
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 05-08-2026 16:26
Attachment 1. OMED 31 JULI 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 14 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
Yacobus
· Komisaris
p.2 ×2
unresolved
person
Komplek Darmo
· Komisaris
p.2 ×2
unresolved
person
Surabaya
· Komisaris
p.2
unresolved
person
Dra Herlien Sri
· Direksi
p.2 ×2
unresolved
—
(lima persen) PT Intisumber
p.3
unresolved
org
PT Intisumber
p.3 ×2
unresolved
—
lebih Hasilsempurn Park II
p.3
unresolved
—
Daniel Kurniawan
· Head of Corporate Secretary and Investor Relation
p.9 ×2
unresolved
—
Eka
· Direksi
p.11
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
446 ms
12 Sep 2026 21:45
Raw output
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'treasury': {'pct': '125', 'shares': '33730100'},
'under5_non_warkat': {'pct': '14.66', 'shares': '3966705100'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2026-07-31',
'checksum_ok': True,
'checksum_parts': '27058850000',
'holders': [{'address': 'Sebelah Selatan Jalan By Pass RT 05 / RW 01 '
'Kelurahan',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Leonard Hariadi',
'page_no': 2,
'pct': '0.025',
'pct_prev': '0.001',
'position': 'Direksi',
'seq': 0,
'shares': '6830200',
'shares_prev': '170200'},
{'address': 'Sidomojo, Kecamatan Krian, Sidoarjo 61262, Jawa '
'Timur Komplek Darmo Park II Blok IV',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Yacobus Jemmy',
'page_no': 2,
'pct': '0.961',
'pct_prev': '0.959',
'position': 'Komisaris',
'seq': 1,
'shares': '260126600',
'shares_prev': '259426600'},
{'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': 2,
'shares': '242808000',
'shares_prev': '242708000'},
{'address': 'no. 14-15, Surabaya Sebelah Selatan Jalan By Pass RT '
'05 / RW 01 Kelurahan',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Herlien Sri Ariani, Apt',
'page_no': 2,
'pct': '0.004',
'pct_prev': '0',
'position': 'Direksi',
'seq': 3,
'shares': '1000000',
'shares_prev': '0'},
{'address': 'Sidomojo, Kecamatan Krian, Sidoarjo 61262, Jawa '
'Timur Komplek Darmo Park II Blok IV',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Louis Krisnadi Hartanto',
'page_no': 2,
'pct': '0.024',
'pct_prev': '0',
'position': 'Direksi',
'seq': 4,
'shares': '6650000',
'shares_prev': '0'},
{'address': 'no. 14-15, Surabaya Komplek Darmo Park II Blok IV',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Eka Suwignyoo',
'page_no': 2,
'pct': '0.004',
'pct_prev': '0',
'position': 'Direksi',
'seq': 5,
'shares': '1000000',
'shares_prev': '0'},
{'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': 3,
'pct': '83.3',
'pct_prev': '83.3',
'position': '',
'seq': 6,
'shares': '22540000000',
'shares_prev': '22540000'}],
'issuer_name': 'PT Jayamas Medica Industri Tbk',
'issuer_ticker': 'OMED',
'layout': 'EREP_COVER',
'letter_number': '0066/JMI-Tbk/DIR/VIII/26',
'listing_board': 'Utama',
'period_label': 'Juli 2026',
'registrar': 'PT. Datindo Entrycom',
'total_shares': '27058850000'}