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20241206_MIKA_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31806739.pdf
Shareholder register Parsed MIKASource file signed link, expires in 15 minutes
Extracted text 8
Page 1
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Nomor Surat 02/MIKA-XII/2024
Nama Perusahaan PT Mitra Keluarga Karyasehat Tbk.
Kode Emiten MIKA
Papan Pencatatan Utama
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 30 November 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
PT Griyainsani Jl. Letjen. 8.879.430.200 63,847% 8.879.430.20 63,847%
Cakrasadaya Suprapto Kav 0 X
4Jakarta Pusat
Pemegang 10510
Saham > 5% Ir. Rustiyan Jl. Raya Gading Direksi 181.661.600 1,306% 181.661.600 1,306%
Oen, MBA Kirana Kav.2 X
Jakarta Utara
14240
Jozef Jl. Letjen. Komisaris 978.000 0,007% 978.000 0,007%
Darmawan Suprapto Kav X
4Jakarta Pusat
10510
0 0% 0 0%
Masyarakat - Warkat - Scrip
4.845.411.70 34,84% 4.845.411. 34,84%
Masyarakat - Non Warkat - Scripless 0 700
0 0% 0 0%
Saham Treasury
13.907.481.5 100% 13.907.481.5 100%
Total 00 00
Page 2
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
8,879,430,200 63.847% 8,879,430,200 63.847%
Total Pengendali
5,028,051,300 36.153% 5,028,051,300 36.153%
Total Non Pengendali
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
5.028.051.300 5.028.051.300
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
182.639.600 182.639.600
Komisaris kurang dari 5%
Jumlah saham scripless dimiliki oleh Pengendali kurang dari 5% 0 0
Jumlah saham scripless dimiliki oleh Afiliasi dari Pengendali 2.417.137.800 2.417.137.800
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 2.428.273.900 2.428.273.900
Jumlah saham tercatat di Bursa per akhir bulan 13.907.481.500 13.907.481.500
% Saham Free Float 17,46 17,46
Page 3
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
5.197 5.554 357
Penerima Manfaat Akhir dari Kepemilikan Saham
Nomor Nama
1 Poppy Hadiman Setiawan
2 Khouw Lip Swan
3 Gerda Veronica
4 Franciscus Bing Aryanto
5 Theresia Harsini
6 Maria Karmila
Demikian untuk diketahui.
Hormat Kami,
PT Mitra Keluarga Karyasehat Tbk.
Joyce V. Handajani
Corporate Secretary
Page 4
PT Mitra Keluarga Karyasehat Tbk.
Jl. Raya Gading Kirana Kav.2 Jakarta Utara 14240
Telepon : (021) 4585 2700, Fax : (021) 4585 2727, http://www.mitrakeluarga.com/
Nama Pengirim Joyce V. Handajani
Jabatan Corporate Secretary
Tanggal dan Waktu 06-12-2024 16:24
Lampiran 1. 11. MIKA - LAPORAN BULAN NOVEMBER 2024.pdf
Dokumen ini merupakan dokumen resmi PT Mitra Keluarga Karyasehat Tbk. yang tidak memerlukan tanda tangan
karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Mitra Keluarga Karyasehat Tbk.
bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 5
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Letter / Announcement No. 02/MIKA-XII/2024
Issuer Name PT Mitra Keluarga Karyasehat Tbk.
Issuer Code MIKA
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 30 November
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
PT Griyainsani Jl. Letjen. 8,879,430,200 63.847% 8,879,430,20 63.847%
Cakrasadaya Suprapto Kav 0 X
Share 4Jakarta Pusat
Ownership > 10510
5% Ir. Rustiyan Jl. Raya Gading Direksi 181,661,600 1.306% 181,661,600 1.306%
Oen, MBA Kirana Kav.2 X
Jakarta Utara
14240
Jozef Jl. Letjen. Komisaris 978,000 0.007% 978,000 0.007%
Darmawan Suprapto Kav X
4Jakarta Pusat
10510
0 0% 0 0%
Masyarakat - Warkat - Scrip
4.845.411.70 34,84% 4.845.411. 34,84%
Masyarakat - Non Warkat - Scripless 0 700
0 0% 0 0%
Saham Treasury
13.907.481.5 100% 13.907.481.5 100%
Total 00 00
Page 6
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
8,879,430,200 63.847% 8,879,430,200 63.847%
Total Controller
5,028,051,300 36.153% 5,028,051,300 36.153%
Total Non-Controllers
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
5.028.051.300 5.028.051.300
than 5%
The number of scripless shares owned by the Board of Directors
182.639.600 182.639.600
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 2.417.137.800 2.417.137.800
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 2.428.273.900 2.428.273.900
The number of shares listed on the Exchange at the end of the
13.907.481.500 13.907.481.500
month
% Free Float Share 17,46 17,46
Page 7
Number of Shareholders
Previous Month This Month Change
5.197 5.554 357
Final Beneficiaries of Share Ownership
Number Name
1 Poppy Hadiman Setiawan
2 Khouw Lip Swan
3 Gerda Veronica
4 Franciscus Bing Aryanto
5 Theresia Harsini
6 Maria Karmila
Thus to be informed accordingly.
Respectfully,
PT Mitra Keluarga Karyasehat Tbk.
Joyce V. Handajani
Corporate Secretary
Page 8
PT Mitra Keluarga Karyasehat Tbk.
Jl. Raya Gading Kirana Kav.2 Jakarta Utara 14240
Phone : (021) 4585 2700, Fax : (021) 4585 2727, http://www.mitrakeluarga.com/
Sender Name Joyce V. Handajani
Function Corporate Secretary
Date and Time 06-12-2024 16:24
Attachment 1. 11. MIKA - LAPORAN BULAN NOVEMBER 2024.pdf
This is an official document of PT Mitra Keluarga Karyasehat Tbk. that does not require a signature as it was
generated electronically by the electronic reporting system. PT Mitra Keluarga Karyasehat Tbk. is fully responsible
for the information contained within this document.
Names mentioned 15 people and organisations named in the text · linked when the evidence is strong
unresolved
org
PT. Adimitra Jasa Korpora
· Biro Administrasi Efek
p.1
unresolved
org
PT. Adimitra Jasa Korpora Persen
p.1
unresolved
org
PT Griyainsani
· 8.879.430.200
p.1 ×2
unresolved
—
> 5% Ir. Rustiyan
· 181.661.600
p.1
unresolved
person
Ir. Rustiyan
p.1 ×2
unresolved
person
Oen
p.1 ×2
unresolved
—
Poppy Hadiman Setiawan
p.3 ×2
unresolved
—
Khouw Lip Swan
p.3 ×2
unresolved
—
Gerda Veronica
p.3 ×2
unresolved
—
Franciscus Bing Aryanto
p.3 ×2
unresolved
—
Theresia Harsini
p.3 ×2
unresolved
—
Maria Karmila
p.3 ×2
unresolved
person
Joyce V. Handajani
· Corporate Secretary
p.3 ×2
unresolved
—
Jozef
· Komisaris
p.5
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
319 ms
12 Sep 2026 22:55
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '13907481500'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '34.84', 'shares': '4845411700'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2024-11-30',
'checksum_ok': True,
'checksum_parts': '13907481500',
'holders': [{'address': 'Jl. Letjen. Suprapto Kav 4Jakarta Pusat',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Griyainsani Cakrasadaya',
'page_no': 1,
'pct': '63.847',
'pct_prev': '63.847',
'position': '',
'seq': 0,
'shares': '8879430200',
'shares_prev': '8879430200'},
{'address': '10510 Jl. Raya Gading Kirana Kav.2 Jakarta Utara',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': True,
'name': 'Rustiyan Oen, MBA',
'page_no': 1,
'pct': '1.306',
'pct_prev': '1.306',
'position': 'Direksi',
'seq': 1,
'shares': '181661600',
'shares_prev': '181661600'},
{'address': '14240 Jl. Letjen. Suprapto Kav',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': True,
'name': 'Jozef Darmawan',
'page_no': 1,
'pct': '0.007',
'pct_prev': '0.007',
'position': 'Komisaris',
'seq': 2,
'shares': '978000',
'shares_prev': '978000'}],
'issuer_name': 'PT Mitra Keluarga Karyasehat Tbk.',
'issuer_ticker': 'MIKA',
'layout': 'EREP_COVER',
'letter_number': '02/MIKA-XII/2024',
'listing_board': 'Utama',
'period_label': 'November 2024',
'registrar': 'PT. Adimitra Jasa Korpora',
'total_shares': '13907481500'}