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20251205_FORE_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_32000530.pdf
Shareholder register Parsed FORESource file signed link, expires in 15 minutes
Extracted text 8
Page 1
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Nomor Surat 147/SG-CA/LB-FORE/XII/2025
Nama Perusahaan PT Fore Kopi Indonesia Tbk
Kode Emiten FORE
Papan Pencatatan Pengembangan
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 30 November 2025
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
Fore Holdings 12 Marina 7.038.145.548 78,918% 7.038.145.54 78,918%
Pte. Ltd. Boulevard #31- X
Pemegang 8
Saham > 5% 01A, Marina
Bay Financial
Centre,
Singapore
PT Otten Jl Kruing No 3 213.722 0,002% 213.722 0,002%
Coffee EF, Sekip X
Medan
0 0% 0 0%
Masyarakat - Warkat - Scrip
1.880.000.00 21,08% 1.880.000. 21,08%
Masyarakat - Non Warkat - Scripless 0 000
0 0% 0 0%
Saham Treasury
8.918.359.27 100% 8.918.359.27 100%
Total 0 0
Page 2
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
7,038,145,548 78.918% 7,038,145,548 78.918%
Total Pengendali
1,880,213,722 21.082% 1,880,213,722 21.082%
Total Non Pengendali
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
1.880.000.000 1.880.000.000
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 1.880.000.000 1.880.000.000
Jumlah saham tercatat di Bursa per akhir bulan 8.918.359.270 8.918.359.270
% Saham Free Float 21,08 21,08
Page 3
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
25.070 25.012 58
Penerima Manfaat Akhir dari Kepemilikan Saham
Nomor Nama
1 Willson Cuaca
Demikian untuk diketahui.
Hormat Kami,
PT Fore Kopi Indonesia Tbk
Denny Ngadimin
Corporate Secretary
PT Fore Kopi Indonesia Tbk
Gedung Graha Ganesha, Lantai 1 Suite 120 & 130 Jl. Hayam Wuruk Nomor 28,
Telepon : (021) 3506373, Fax : , www.fore.coffee
Nama Pengirim Denny Ngadimin
Jabatan Corporate Secretary
Tanggal dan Waktu 05-12-2025 17:03
Page 4
Lampiran 1. FORE30112025.pdf
Dokumen ini merupakan dokumen resmi PT Fore Kopi Indonesia Tbk yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Fore Kopi Indonesia Tbk bertanggung jawab
penuh atas informasi yang tertera didalam dokumen ini.
Page 5
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Letter / Announcement No. 147/SG-CA/LB-FORE/XII/2025
Issuer Name PT Fore Kopi Indonesia Tbk
Issuer Code FORE
Listing Board Development
Attachment 1
Subject Monthly Report of Securities Holders Registration
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 30 November
2025 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
Fore Holdings 12 Marina 7,038,145,548 78.918% 7,038,145,54 78.918%
Share X
Pte. Ltd. Boulevard #31- 8
Ownership > 01A, Marina
5% Bay Financial
Centre,
Singapore
PT Otten Jl Kruing No 3 213,722 0.002% 213,722 0.002%
Coffee EF, Sekip X
Medan
0 0% 0 0%
Masyarakat - Warkat - Scrip
1.880.000.00 21,08% 1.880.000. 21,08%
Masyarakat - Non Warkat - Scripless 0 000
0 0% 0 0%
Saham Treasury
8.918.359.27 100% 8.918.359.27 100%
Total 0 0
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
Page 6
7,038,145,548 78.918% 7,038,145,548 78.918%
Total Controller
1,880,213,722 21.082% 1,880,213,722 21.082%
Total Non-Controllers
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
1.880.000.000 1.880.000.000
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 1.880.000.000 1.880.000.000
The number of shares listed on the Exchange at the end of the
8.918.359.270 8.918.359.270
month
% Free Float Share 21,08 21,08
Page 7
Number of Shareholders
Previous Month This Month Change
25.070 25.012 58
Final Beneficiaries of Share Ownership
Number Name
1 Willson Cuaca
Thus to be informed accordingly.
Respectfully,
PT Fore Kopi Indonesia Tbk
Denny Ngadimin
Corporate Secretary
PT Fore Kopi Indonesia Tbk
Gedung Graha Ganesha, Lantai 1 Suite 120 & 130 Jl. Hayam Wuruk Nomor 28,
Phone : (021) 3506373, Fax : , www.fore.coffee
Sender Name Denny Ngadimin
Function Corporate Secretary
Date and Time 05-12-2025 17:03
Page 8
Attachment 1. FORE30112025.pdf
This is an official document of PT Fore Kopi Indonesia Tbk that does not require a signature as it was generated
electronically by the electronic reporting system. PT Fore Kopi Indonesia Tbk is fully responsible for the information
contained within this document.
Names mentioned 6 people and organisations named in the text · linked when the evidence is strong
unresolved
org
Fore Kopi Indonesia Tbk
· Nama Perusahaan
p.1 ×21
unresolved
org
Pte. Ltd.
p.1
unresolved
org
PT Otten
p.1 ×2
unresolved
person
Denny Ngadimin
· Corporate Secretary
p.3 ×3
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
402 ms
12 Sep 2026 22:33
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '8918359270'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '21.08', 'shares': '1880000000'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2025-11-30',
'checksum_ok': True,
'checksum_parts': '8918359270',
'holders': [{'address': '12 Marina Boulevard #31- 01A, Marina Bay Financial',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Fore Holdings Pte. Ltd.',
'page_no': 1,
'pct': '78.918',
'pct_prev': '78.918',
'position': '',
'seq': 0,
'shares': '7038145548',
'shares_prev': '7038145548'},
{'address': 'Centre, Singapore Jl Kruing No 3 EF, Sekip',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': True,
'name': 'PT Otten Coffee',
'page_no': 1,
'pct': '0.002',
'pct_prev': '0.002',
'position': '',
'seq': 1,
'shares': '213722',
'shares_prev': '213722'}],
'issuer_name': 'PT Fore Kopi Indonesia Tbk',
'issuer_ticker': 'FORE',
'layout': 'EREP_COVER',
'letter_number': '147/SG-CA/LB-FORE/XII/2025',
'listing_board': 'Pengembangan',
'period_label': 'November 2025',
'registrar': 'PT. Sinartama Gunita',
'total_shares': '8918359270'}