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20250107_CAMP_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31843414.pdf

Shareholder register Parsed CAMP

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 Nomor Surat                          001/CS-CAMP/I/2025

 Nama Perusahaan                      PT Campina Ice Cream Industry Tbk.

 Kode Emiten                          CAMP

 Papan Pencatatan                     Pengembangan

 Lampiran                             0

 Perihal                              Laporan Bulanan Registrasi Pemegang Efek


Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Desember 2024
Sebagai Berikut :

Biro Administrasi Efek: PT. Adimitra Jasa Korpora




                                                                        Persen
                                                                                   Jumlah      Persen
                                                           Jumlah Saham Saham
                     Nama         Alamat        Jabatan                          Saham Bulan Saham Bulan Pengendali   Afiliasi
                                                            Sebelumnya Sebelumny
                                                                                     Ini         Ini
                                                                           a
             Adji Andjono     Jl. Rungkut       Direksi          50.000       0%        50.000       0%
                Purwo      Industri II/ 15-17
                              Surabaya,
                           RT.002 RW.006
                             Kel. Tenggilis
                             Mejoyo Kec.
                               Tenggilis
                                Mejoyo,
  Pemegang                     Surabaya
               Sabana         Jl. Rungkut                  2.586.010.100   43,94% 4.940.010.10    83,94%
 Saham > 5% Prawirawidjaja Industri II/ 15-17                                                                X
                                                                                             0
                           Surabaya,RT.00
                            2 RW.006 Kel.
                               Tenggilis
                              MejoyoKec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
Page 2
                                                                      Persen
                                                                                 Jumlah      Persen
                                                         Jumlah Saham Saham
                  Nama           Alamat        Jabatan                         Saham Bulan Saham Bulan Pengendali   Afiliasi
                                                          Sebelumnya Sebelumny
                                                                                   Ini         Ini
                                                                         a
              Justiani       Jl. Rungkut                  297.974.000    5,06% 297.974.000       5,06%
            Hadipranoto Industri II/ 15-17
                          Surabaya,RT.00
                           2 RW.006 Kel.
                              Tenggilis
                             MejoyoKec.
                              Tenggilis
                               Mejoyo,
                              Surabaya
              Hendro         Jl. Rungkut       Direksi     89.430.900    1,52%   89.430.900      1,52%
            Hadipranoto Industri II/ 15-17
                             Surabaya,
                          RT.002 RW.006
                            Kel. Tenggilis
                            Mejoyo Kec.
                              Tenggilis
                               Mejoyo,
                              Surabaya
             Samudera        Jl. Rungkut       Direksi   2.354.000.000     40%           0         0%
 Pemegang
           Prawirawidjaja Industri II/ 15-17
Saham > 5%                   Surabaya,
                          RT.002 RW.006
                            Kel. Tenggilis
                            Mejoyo Kec.
                              Tenggilis
                               Mejoyo,
                              Surabaya
            Adji Andjono     Jl. Rungkut       Direksi         50.000       0%       50.000        0%
               Purwo      Industri II/ 15-17
                             Surabaya,
                          RT.002 RW.006
                            Kel. Tenggilis
                            Mejoyo Kec.
                              Tenggilis
                               Mejoyo,
                              Surabaya
Page 3
                                                                          Persen
                                                                                     Jumlah      Persen
                                                             Jumlah Saham Saham
                  Nama           Alamat         Jabatan                            Saham Bulan Saham Bulan Pengendali   Afiliasi
                                                              Sebelumnya Sebelumny
                                                                                       Ini         Ini
                                                                             a
              Sabana         Jl. Rungkut                     2.586.010.100     43,94% 4.940.010.10   83,94%
           Prawirawidjaja Industri II/ 15-17                                                     0             X
                          Surabaya,RT.00
                           2 RW.006 Kel.
                              Tenggilis
                             MejoyoKec.
                              Tenggilis
                               Mejoyo,
                              Surabaya
              Justiani       Jl. Rungkut                      297.974.000       5,06% 297.974.000    5,06%
            Hadipranoto Industri II/ 15-17
                          Surabaya,RT.00
                           2 RW.006 Kel.
                              Tenggilis
                             MejoyoKec.
 Pemegang                     Tenggilis
Saham > 5%                     Mejoyo,
                              Surabaya
              Hendro         Jl. Rungkut        Direksi        89.430.900       1,52%   89.430.900   1,52%
            Hadipranoto Industri II/ 15-17
                             Surabaya,
                          RT.002 RW.006
                            Kel. Tenggilis
                            Mejoyo Kec.
                              Tenggilis
                               Mejoyo,
                              Surabaya
             Samudera        Jl. Rungkut        Direksi      2.354.000.000        40%           0       0%
           Prawirawidjaja Industri II/ 15-17
                             Surabaya,
                          RT.002 RW.006
                            Kel. Tenggilis
                            Mejoyo Kec.
                              Tenggilis
                               Mejoyo,
                              Surabaya
                                                   10.000        0%          10.000        0%
      Masyarakat - Warkat - Scrip

                                               557.525.000     9,48%   557.525.00       9,48%
  Masyarakat - Non Warkat - Scripless                                           0
Page 4
                                      0         0%          0              0%
      Saham Treasury

                            5.885.000.00     100% 5.885.000.00            100%
           Total                       0                     0




                                                       Persentase          Jumlah Saham (Bulan      Persentase(Bulan
       Nama            Jumlah Saham (Sebelumnya)
                                                      (Sebelumnya)                 Ini)                   Ini)
                                      2,586,010,100              43.94%             4,940,010,100             83.94%
  Total Pengendali

                                      3,298,989,900              56.06%               944,989,900             16.06%
Total Non Pengendali
Page 5
Informasi Saham Free Float


                             Keterangan                               Bulan Sebelumnya           Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                              647.005.900             647.005.900
dari 5%
 Jumlah saham scripless dimiliki oleh Direksi dan Dewan
                                                                               89.480.900               89.480.900
 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                                                      557.525.000             557.525.000


Jumlah saham tercatat di Bursa per akhir bulan                              5.885.000.000           5.885.000.000


% Saham Free Float                                                                  9,47                       9,47



Jumlah Pemegang Saham


         Bulan Sebelumnya                         Bulan Sekarang                     Perubahan

                                 8.893                             8.670                                 223



Penerima Manfaat Akhir dari Kepemilikan Saham
Page 6
      Nomor                                                      Nama

          1                                               Sabana Prawirawidjaja


          2                                                    Masyarakat


          3                                               Sabana Prawirawidjaja


          4                                                    Masyarakat




Demikian untuk diketahui.


Hormat Kami,
PT Campina Ice Cream Industry Tbk.




Sagita Melati

Corporate Secretary




PT Campina Ice Cream Industry Tbk.
Jl. Rungkut Industri II/ 15-17 Surabaya, RT.002 RW.006 Kel. Tenggilis Mejoyo Kec.
Telepon : (031) 843-2247, Fax : (031) 843-9232, www.campina.co.id



Nama Pengirim                      Sagita Melati
Jabatan                            Corporate Secretary
Tanggal dan Waktu                  09-01-2025 11:31
Page 7
Dokumen ini merupakan dokumen resmi PT Campina Ice Cream Industry Tbk. yang tidak memerlukan tanda tangan
    karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Campina Ice Cream Industry Tbk.
                   bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 8
 Go To Indonesian Page

 Letter / Announcement No.              001/CS-CAMP/I/2025

 Issuer Name                            PT Campina Ice Cream Industry Tbk.

 Issuer Code                            CAMP

 Listing Board                          Development

 Attachment                             0

 Subject                                Monthly Report of Securities Holders Registration

 The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 December
 2024 as follows:

 Security Administration Bureau: PT. Adimitra Jasa Korpora


                                                               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
             Adji Andjono     Jl. Rungkut        Direksi             50,000        0%       50,000           0%
                Purwo      Industri II/ 15-17
                              Surabaya,
                           RT.002 RW.006
                             Kel. Tenggilis
                             Mejoyo Kec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
  Share        Sabana         Jl. Rungkut                     2,586,010,100    43.94% 4,940,010,10       83.94%
Ownership > Prawirawidjaja Industri II/ 15-17                                                    0                    X
   5%                      Surabaya,RT.00
                            2 RW.006 Kel.
                               Tenggilis
                              MejoyoKec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
Page 9
                                                           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
               Justiani       Jl. Rungkut                   297,974,000    5.06% 297,974,000         5.06%
             Hadipranoto Industri II/ 15-17
                           Surabaya,RT.00
                            2 RW.006 Kel.
                               Tenggilis
                              MejoyoKec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
               Hendro         Jl. Rungkut       Direksi      89,430,900    1.52%   89,430,900        1.52%
             Hadipranoto Industri II/ 15-17
                              Surabaya,
                           RT.002 RW.006
                             Kel. Tenggilis
                             Mejoyo Kec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
  Share       Samudera        Jl. Rungkut       Direksi    2,354,000,000    40%            0            0%
Ownership > Prawirawidjaja Industri II/ 15-17
                              Surabaya,
   5%
                           RT.002 RW.006
                             Kel. Tenggilis
                             Mejoyo Kec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
             Adji Andjono     Jl. Rungkut       Direksi          50,000      0%       50,000            0%
                Purwo      Industri II/ 15-17
                              Surabaya,
                           RT.002 RW.006
                             Kel. Tenggilis
                             Mejoyo Kec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
Page 10
                                                               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
               Sabana         Jl. Rungkut                      2,586,010,100    43.94% 4,940,010,10        83.94%
            Prawirawidjaja Industri II/ 15-17                                                     0                     X
                           Surabaya,RT.00
                            2 RW.006 Kel.
                               Tenggilis
                              MejoyoKec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
               Justiani       Jl. Rungkut                       297,974,000       5.06% 297,974,000         5.06%
             Hadipranoto Industri II/ 15-17
                           Surabaya,RT.00
                            2 RW.006 Kel.
                               Tenggilis
  Share                       MejoyoKec.
Ownership >                    Tenggilis
   5%                           Mejoyo,
                               Surabaya
               Hendro         Jl. Rungkut       Direksi          89,430,900       1.52%   89,430,900        1.52%
             Hadipranoto Industri II/ 15-17
                              Surabaya,
                           RT.002 RW.006
                             Kel. Tenggilis
                             Mejoyo Kec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
              Samudera        Jl. Rungkut       Direksi        2,354,000,000       40%             0           0%
            Prawirawidjaja Industri II/ 15-17
                              Surabaya,
                           RT.002 RW.006
                             Kel. Tenggilis
                             Mejoyo Kec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
                                                    10.000          0%         10.000         0%
         Masyarakat - Warkat - Scrip

                                                557.525.000      9,48%    557.525.00       9,48%
     Masyarakat - Non Warkat - Scripless                                           0

                                                           0        0%              0         0%
               Saham Treasury
Page 11
                                            5.885.000.00         100% 5.885.000.00            100%
                  Total                                0                         0




                                                                          Percentage           Number of Shares (This    Percentage (This
              Name                   Number of Shares (Previously)
                                                                          (Previous)                  Month)                 Month)
                                                          2,586,010,100              43.94%              4,940,010,100             83.94%
         Total Controller

                                                       3,298,989,900                 56.06%                944,989,900             16.06%
      Total Non-Controllers




Free Float Share Information


                              Information                                   Previous Month                  This Month

 The number of scripless shares owned by shareholders is less
                                                                                       647.005.900                647.005.900
 than 5%
 The number of scripless shares owned by the Board of Directors
                                                                                        89.480.900                 89.480.900
 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                                                        557.525.000                557.525.000

 The number of shares listed on the Exchange at the end of the
                                                                                     5.885.000.000              5.885.000.000
 month

 % Free Float Share                                                                            9,47                      9,47
Page 12
Number of Shareholders


          Previous Month                           This Month                       Change


                               8.893                                 8.670                   223


Final Beneficiaries of Share Ownership


      Number                                                      Name

         1                                                Sabana Prawirawidjaja


         2                                                      Masyarakat


         3                                                Sabana Prawirawidjaja


         4                                                      Masyarakat




Thus to be informed accordingly.


Respectfully,
PT Campina Ice Cream Industry Tbk.




Sagita Melati

Corporate Secretary




PT Campina Ice Cream Industry Tbk.
Jl. Rungkut Industri II/ 15-17 Surabaya, RT.002 RW.006 Kel. Tenggilis Mejoyo Kec.
Phone : (031) 843-2247, Fax : (031) 843-9232, www.campina.co.id
Page 13
Sender Name                        Sagita Melati

Function                           Corporate Secretary

Date and Time                      09-01-2025 11:31




  This is an official document of PT Campina Ice Cream Industry Tbk. that does not require a signature as it was
     generated electronically by the electronic reporting system. PT Campina Ice Cream Industry Tbk. is fully
                           responsible for the information contained within this document.

File

File Open PDF
Source IDX
Size0.04 MB
Published9 Jan 2025
Pages13
Characters21,838
Text sourceEmbedded text layer
OCR confidence—

Names mentioned 10 people and organisations named in the text · linked when the evidence is strong

linked org Campina Ice Cream Industry Tbk. · Nama Perusahaan p.1 ×30
linked — Sabana Prawirawidjaja p.6 ×7
possible — Hendro · Direksi p.9 ×2
unresolved org PT. Adimitra Jasa Korpora · Biro Administrasi Efek p.1
unresolved org PT. Adimitra Jasa Korpora Persen p.1
unresolved — Sabana · 2.586.010.100 p.1 ×2
unresolved — Justiani · 297.974.000 p.2 ×2
unresolved person Sagita Melati · Corporate Secretary p.6 ×2
unresolved — Adji Andjono · Direksi p.8 ×2
unresolved — Samudera · Direksi p.10

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 0.900 203 ms 12 Sep 2026 22:54
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '5885000000'},
                'treasury': {'pct': '0', 'shares': '0'},
                'under5_non_warkat': {'pct': '9.48', 'shares': '557525000'},
                'under5_warkat': {'pct': '0', 'shares': '10000'}},
 'as_of_date': '2024-12-31',
 'checksum_ok': True,
 'checksum_parts': '5885000000',
 'holders': [{'address': 'Jl. Rungkut Industri II/ 15-17 Surabaya, RT.002 '
                         'RW.006 Kel. Tenggilis',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Adji Andjono Purwo',
              'page_no': 1,
              'pct': '0',
              'pct_prev': '0',
              'position': 'Direksi',
              'seq': 0,
              'shares': '50000',
              'shares_prev': '50000'},
             {'address': 'Mejoyo Kec. Tenggilis Mejoyo, Surabaya Jl. Rungkut '
                         'Industri II/ 15-17',
              'category': 'FIVE_PCT',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'Sabana Prawirawidjaja',
              'page_no': 1,
              'pct': '83.94',
              'pct_prev': '43.94',
              'position': '',
              'seq': 1,
              'shares': '4940010100',
              'shares_prev': '2586010100'},
             {'address': 'Jl. Rungkut Industri II/ 15-17 Surabaya,RT.00 2 '
                         'RW.006 Kel. Tenggilis',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Justiani Hadipranoto',
              'page_no': 2,
              'pct': '5.06',
              'pct_prev': '5.06',
              'position': '',
              'seq': 2,
              'shares': '297974000',
              'shares_prev': '297974000'},
             {'address': 'MejoyoKec. Tenggilis Mejoyo, Surabaya Jl. Rungkut '
                         'Industri II/ 15-17 Surabaya, RT.002 RW.006 Kel. '
                         'Tenggilis',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Hendro Hadipranoto',
              'page_no': 2,
              'pct': '1.52',
              'pct_prev': '1.52',
              'position': 'Direksi',
              'seq': 3,
              'shares': '89430900',
              'shares_prev': '89430900'},
             {'address': 'Mejoyo Kec. Tenggilis Mejoyo, Surabaya Jl. Rungkut '
                         'Industri II/ 15-17 Surabaya, RT.002 RW.006 Kel. '
                         'Tenggilis',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Samudera Prawirawidjaja',
              'page_no': 2,
              'pct': '0',
              'pct_prev': '40',
              'position': 'Direksi',
              'seq': 4,
              'shares': '0',
              'shares_prev': '2354000000'}],
 'issuer_name': 'PT Campina Ice Cream Industry Tbk.',
 'issuer_ticker': 'CAMP',
 'layout': 'EREP_COVER',
 'letter_number': '001/CS-CAMP/I/2025',
 'listing_board': 'Pengembangan',
 'period_label': 'Desember 2024',
 'registrar': 'PT. Adimitra Jasa Korpora',
 'total_shares': '5885000000'}
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