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20241206_CAMP_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31806758.pdf

Shareholder register Parsed CAMP

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 Nomor Surat                          061/CS-CAMP/XI/2024

 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 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
             Adji Andjono     Jl. Rungkut       Direksi          50.000       0%        50.000      0%
                Purwo      Industri II/ 15-17
                           Surabaya,RT.00
                            2 RW.006 Kel.
                               Tenggilis
                             MejoyoKec.
                               Tenggilis
                                Mejoyo,
  Pemegang                     Surabaya
               Sabana         Jl. Rungkut                  2.586.010.100   43,94% 2.586.010.10   43,94%
 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%
 Pemegang   Hadipranoto Industri II/ 15-17
Saham > 5%                Surabaya,RT.00
                           2 RW.006 Kel.
                              Tenggilis
                            MejoyoKec.
                              Tenggilis
                               Mejoyo,
                              Surabaya
             Samudera        Jl. Rungkut          Direksi       2.354.000.000        40% 2.354.000.00      40%
           Prawirawidjaja Industri II/ 15-17                                                        0
                          Surabaya,RT.00
                           2 RW.006 Kel.
                              Tenggilis
                            MejoyoKec.
                              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

                                               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)
Page 3
                                                       2,586,010,100            43.94%            2,586,010,100            43.94%
        Total Pengendali

                                                       3,298,989,900            56.06%            3,298,989,900            56.06%
     Total Non Pengendali




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


                                 8.763                                 8.893                                  130
Page 4
Penerima Manfaat Akhir dari Kepemilikan Saham


      Nomor                                                       Nama

          1                                                Sabana Prawirawidjaja


          2                                                     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,
Telepon : (031) 843-2247, Fax : (031) 843-9232, www.campina.co.id



Nama Pengirim                        Sagita Melati

Jabatan                              Corporate Secretary
Tanggal dan Waktu                    06-12-2024 16:21




 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 5
 Go To Indonesian Page

 Letter / Announcement No.              061/CS-CAMP/XI/2024

 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 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
             Adji Andjono     Jl. Rungkut        Direksi             50,000        0%       50,000           0%
                Purwo      Industri II/ 15-17
                           Surabaya,RT.00
                            2 RW.006 Kel.
                               Tenggilis
                             MejoyoKec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
  Share        Sabana         Jl. Rungkut                     2,586,010,100    43.94% 2,586,010,10       43.94%
Ownership > Prawirawidjaja Industri II/ 15-17                                                    0                    X
   5%                      Surabaya,RT.00
                            2 RW.006 Kel.
                               Tenggilis
                             MejoyoKec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
Page 6
                                                                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%
  Share      Hadipranoto Industri II/ 15-17
Ownership >                Surabaya,RT.00
   5%                       2 RW.006 Kel.
                               Tenggilis
                             MejoyoKec.
                               Tenggilis
                                Mejoyo,
                               Surabaya
              Samudera        Jl. Rungkut        Direksi        2,354,000,000        40% 2,354,000,00            40%
            Prawirawidjaja Industri II/ 15-17                                                       0
                           Surabaya,RT.00
                            2 RW.006 Kel.
                               Tenggilis
                             MejoyoKec.
                               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

                                                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)
Page 7
                                                          2,586,010,100        43.94%          2,586,010,100          43.94%
         Total Controller

                                                       3,298,989,900           56.06%          3,298,989,900          56.06%
      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 8
Number of Shareholders


           Previous Month                            This Month                    Change


                                8.763                                  8.893                130


Final Beneficiaries of Share Ownership


      Number                                                        Name

           1                                               Sabana Prawirawidjaja


           2                                                      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,
Phone : (031) 843-2247, Fax : (031) 843-9232, www.campina.co.id



Sender Name                          Sagita Melati

Function                             Corporate Secretary
Page 9
Date and Time                      06-12-2024 16:21




  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
Size0.03 MB
Published6 Dec 2024
Pages9
Characters16,251
Text sourceEmbedded text layer
OCR confidence—

Names mentioned 9 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.4 ×3
possible — Hendro · Direksi p.6
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
unresolved — Justiani · 297.974.000 p.2
unresolved person Sagita Melati · Corporate Secretary p.4 ×3
unresolved — Adji Andjono · Direksi 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 0.900 132 ms 12 Sep 2026 22:55
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': '2024-11-30',
 'checksum_ok': True,
 'checksum_parts': '5885000000',
 'holders': [{'address': 'Jl. Rungkut Industri II/ 15-17 Surabaya,RT.00 2 '
                         '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': 'MejoyoKec. 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': '43.94',
              'pct_prev': '43.94',
              'position': '',
              'seq': 1,
              'shares': '2586010100',
              '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.00 2 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': 'MejoyoKec. Tenggilis Mejoyo, Surabaya Jl. Rungkut '
                         'Industri II/ 15-17',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Samudera Prawirawidjaja',
              'page_no': 2,
              'pct': '40',
              'pct_prev': '40',
              'position': 'Direksi',
              'seq': 4,
              'shares': '2354000000',
              'shares_prev': '2354000000'}],
 'issuer_name': 'PT Campina Ice Cream Industry Tbk.',
 'issuer_ticker': 'CAMP',
 'layout': 'EREP_COVER',
 'letter_number': '061/CS-CAMP/XI/2024',
 'listing_board': 'Pengembangan',
 'period_label': 'November 2024',
 'registrar': 'PT. Adimitra Jasa Korpora',
 'total_shares': '5885000000'}
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