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20250410_OMED_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31874337.pdf

Shareholder register Parsed OMED

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Page 1
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 Nomor Surat                        0034/PR/DIR-JMI/IV/25

 Nama Perusahaan                    PT Jayamas Medica Industri Tbk

 Kode Emiten                        OMED

 Papan Pencatatan                   Utama

 Lampiran                           1

 Perihal                            Laporan Bulanan Registrasi Pemegang Efek


Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Maret 2025
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
                     Yacobus
                          Komplek Darmo        Komisaris    243.557.700      0,9% 245.819.700     0,909%
                      JemmyPark II Blok IV                                                                   X
                            no. 14-15,
                             Surabaya
                Siane     Komplek Darmo        Komisaris    241.852.100    0,894% 242.687.900     0,897%
              Soetanto     Park II Blok IV                                                                   X
                            no. 14-15,
                             Surabaya
            PT Intisumber Komplek Darmo                    22.540.000.00    83,3% 22.540.000.0     83,3%
  Pemegang                                                                                                   X
            Hasilsempurn Park II Blok IV                               0                   00
 Saham > 5%
                            no. 14-15,
                             Surabaya
              Leonard     Komplek Darmo         Direksi               0       0%      134.200        0%
               Hariadi     Park II Blok IV
                            no. 14-15,
                             Surabaya
              Yacobus Komplek Darmo            Komisaris    243.557.700      0,9% 245.819.700     0,909%
               Jemmy       Park II Blok IV                                                                   X
                            no. 14-15,
                             Surabaya
Page 2
                                                                          Persen
                                                                                     Jumlah      Persen
                                                             Jumlah Saham Saham
                 Nama         Alamat          Jabatan                              Saham Bulan Saham Bulan Pengendali                 Afiliasi
                                                              Sebelumnya Sebelumny
                                                                                       Ini         Ini
                                                                             a
                 Siane   Komplek Darmo       Komisaris         241.852.100     0,894% 242.687.900           0,897%
                Soetanto  Park II Blok IV                                                                                  X
                           no. 14-15,
 Pemegang                   Surabaya
Saham > 5% PT Intisumber Komplek Darmo                        22.540.000.00     83,3% 22.540.000.0           83,3%
           Hasilsempurn Park II Blok IV                                   0                    00                          X
                           no. 14-15,
                            Surabaya
             Leonard     Komplek Darmo         Direksi                   0            0%        134.200        0%
              Hariadi     Park II Blok IV
                           no. 14-15,
                            Surabaya
                                                         0         0%            0              0%
      Masyarakat - Warkat - Scrip

                                            4.033.440.20     14,906%     4.030.208.        14,894%
  Masyarakat - Non Warkat - Scripless                  0                       200

                                                         0         0%             0              0%
           Saham Treasury

                                            27.058.850.0        100% 27.058.850.0             100%
                 Total                               00                       00




                                                                           Persentase            Jumlah Saham (Bulan           Persentase(Bulan
             Nama                   Jumlah Saham (Sebelumnya)
                                                                          (Sebelumnya)                   Ini)                        Ini)
                                                     23,025,409,800               85.094%                 23,028,507,600                85.106%
       Total Pengendali

                                                         4,033,440,200                14.906%              4,030,342,400                14.894%
     Total Non Pengendali
Page 3
Informasi Saham Free Float


                             Keterangan                               Bulan Sebelumnya           Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                             4.058.850.000          4.058.850.000
dari 5%
 Jumlah saham scripless dimiliki oleh Direksi dan Dewan
                                                                                           0                 134.200
 Komisaris kurang dari 5%

 Jumlah saham scripless dimiliki oleh Pengendali kurang dari 5%                25.409.800               28.507.600

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                                                    4.033.440.200           4.030.208.200


Jumlah saham tercatat di Bursa per akhir bulan                             27.058.850.000          27.058.850.000


% Saham Free Float                                                                 14,91                      14,89



Jumlah Pemegang Saham


         Bulan Sebelumnya                         Bulan Sekarang                     Perubahan

                                 4.548                             4.467                                     81



Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
      Nomor                                                     Nama

          1                                             Yacobus Jemmy Hartanto


          2                                                 Siane Soetanto


          3                                             Yacobus Jemmy Hartanto


          4                                                 Siane Soetanto




Demikian untuk diketahui.


Hormat Kami,
PT Jayamas Medica Industri Tbk




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
Telepon : +62 31 8982349, Fax : , www.onemed.co.id



Nama Pengirim                      Daniel Kurniawan
Jabatan                            Head of Corporate Secretary and Investor Relation
Tanggal dan Waktu                  10-04-2025 14:32

Lampiran                          1. OMED 31 MARET 2025.pdf
Page 5
  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.           0034/PR/DIR-JMI/IV/25

 Issuer Name                         PT Jayamas Medica Industri Tbk

 Issuer Code                         OMED

 Listing Board                       Main

 Attachment                          1

 Subject                             Monthly Report of Securities Holders Registration

 The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 March 2025
 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
                  Yacobus Komplek Darmo      Komisaris       243,557,700       0.9% 245,819,700        0.909%
                   Jemmy   Park II Blok IV                                                                          X
                            no. 14-15,
                             Surabaya
                Siane     Komplek Darmo      Komisaris       241,852,100    0.894% 242,687,900         0.897%
              Soetanto     Park II Blok IV                                                                          X
                            no. 14-15,
                             Surabaya
            PT Intisumber Komplek Darmo                    22,540,000,00      83.3% 22,540,000,0        83.3%
  Share     Hasilsempurn Park II Blok IV                               0                     00                     X
Ownership >                 no. 14-15,
   5%                        Surabaya
              Leonard     Komplek Darmo       Direksi                  0        0%       134,200           0%
               Hariadi     Park II Blok IV
                            no. 14-15,
                             Surabaya
              Yacobus Komplek Darmo          Komisaris       243,557,700       0.9% 245,819,700        0.909%
               Jemmy       Park II Blok IV                                                                          X
                            no. 14-15,
                             Surabaya
                Siane     Komplek Darmo      Komisaris       241,852,100    0.894% 242,687,900         0.897%
              Soetanto     Park II Blok IV                                                                          X
                            no. 14-15,
                             Surabaya
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
  Share     PT Intisumber Komplek Darmo                          22,540,000,00      83.3% 22,540,000,0             83.3%
Ownership > Hasilsempurn Park II Blok IV                                     0                     00                            X
   5%                       no. 14-15,
                                Surabaya
                Leonard      Komplek Darmo       Direksi                     0         0%           134,200           0%
                Hariadi       Park II Blok IV
                               no. 14-15,
                                Surabaya
                                                             0        0%              0              0%
        Masyarakat - Warkat - Scrip

                                                4.033.440.20     14,906%     4.030.208.       14,894%
    Masyarakat - Non Warkat - Scripless                    0                       200

                                                             0         0%             0               0%
             Saham Treasury

                                                27.058.850.0        100% 27.058.850.0            100%
                   Total                                 00                       00




                                                                                 Percentage          Number of Shares (This          Percentage (This
              Name                       Number of Shares (Previously)
                                                                                 (Previous)                 Month)                       Month)
                                                            23,025,409,800             85.094%                  23,028,507,600                85.106%
          Total Controller

                                                            4,033,440,200                 14.906%                 4,030,342,400               14.894%
       Total Non-Controllers
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
                                                                                          0              134.200
 and Board of Commissioners is less than 5%
 The number of scripless shares owned by the Controller is less
                                                                              25.409.800               28.507.600
 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%                                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                                            4.033.440.200            4.030.208.200

 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                                                               14,91                      14,89



Number of Shareholders


          Previous Month                             This Month                        Change


                                4.548                             4.467                                      81


Final Beneficiaries of Share Ownership
Page 9
      Number                                                    Name

           1                                            Yacobus Jemmy Hartanto


           2                                                 Siane Soetanto


           3                                            Yacobus Jemmy Hartanto


           4                                                 Siane Soetanto




Thus to be informed accordingly.


Respectfully,
PT Jayamas Medica Industri Tbk




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                      10-04-2025 14:32

Attachment                         1. OMED 31 MARET 2025.pdf
Page 10
    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.

File

File Open PDF
Source IDX
Size0.03 MB
Published10 Apr 2025
Pages10
Characters16,792
Text sourceEmbedded text layer
OCR confidence—

Names mentioned 11 people and organisations named in the text · linked when the evidence is strong

linked org Jayamas Medica Industri Tbk · Nama Perusahaan p.1 ×30
linked person Yacobus Jemmy Hartanto p.4 ×7
linked person Siane Soetanto p.4 ×7
possible — Leonard · Direksi p.6 ×2
unresolved org PT. Datindo Entrycom · Biro Administrasi Efek p.1
unresolved org PT. Datindo Entrycom Persen p.1
unresolved person Komplek Darmo · Komisaris p.1 ×5
unresolved org PT Intisumber p.1 ×4
unresolved person Yacobus · Komisaris p.1 ×3
unresolved person Daniel Kurniawan · Head of Corporate Secretary and Investor Relation p.4 ×3
unresolved — 1. OMED 31 MARET 2025.pdf 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 0.900 234 ms 12 Sep 2026 22:52
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '27058850000'},
                'treasury': {'pct': '0', 'shares': '0'},
                'under5_non_warkat': {'pct': '14.894', 'shares': '4030208200'},
                'under5_warkat': {'pct': '0', 'shares': '0'}},
 'as_of_date': '2025-03-31',
 'checksum_ok': True,
 'checksum_parts': '27058850000',
 'holders': [{'address': 'Komplek Darmo Park II Blok IV no. 14-15,',
              'category': 'BOARD',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'Yacobus Jemmy',
              'page_no': 1,
              'pct': '0.909',
              'pct_prev': '0.9',
              'position': 'Komisaris',
              'seq': 0,
              'shares': '245819700',
              'shares_prev': '243557700'},
             {'address': 'Surabaya Komplek Darmo Park II Blok IV no. 14-15,',
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              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'Siane Soetanto',
              'page_no': 1,
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              'shares': '242687900',
              'shares_prev': '241852100'},
             {'address': 'Surabaya Komplek Darmo Park II Blok IV no. 14-15,',
              'category': 'FIVE_PCT',
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              'page_no': 1,
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              'position': '',
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              'shares_prev': '22540000000'},
             {'address': 'Surabaya Komplek Darmo Park II Blok IV no. 14-15,',
              'category': 'BOARD',
              'is_controller': False,
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              'page_no': 1,
              'pct': '0',
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 'issuer_name': 'PT Jayamas Medica Industri Tbk',
 'issuer_ticker': 'OMED',
 'layout': 'EREP_COVER',
 'letter_number': '0034/PR/DIR-JMI/IV/25',
 'listing_board': 'Utama',
 'period_label': 'Maret 2025',
 'registrar': 'PT. Datindo Entrycom',
 'total_shares': '27058850000'}
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