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20241129_LPGI_Laporan Informasi dan Fakta Material_31792777.pdf
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Nomor Surat 273/LGI-Dir/XI/2024
Nama Perusahaan Lippo General Insurance Tbk
Kode Emiten LPGI
Lampiran 1
Pemberitahuan Pengunduran Diri Komisaris Independen PT Lippo General
Perihal
Insurance Tbk
Dengan ini kami untuk dan atas nama perusahaan menyampaikan Laporan Informasi atau Fakta Material sebagai
berikut:
Nama Emiten atau Perusahaan Publik Lippo General Insurance Tbk
Bidang Usaha Asuransi Kerugian
Telepon 525-6161
Faksimili -
Alamat Surat Elektronik (email) corporate.secretary@lgi.co.id
Tanggal Kejadian 28 November 2024
Jenis Informasi atau Fakta Material Pemberitahuan Pengunduran Diri Komisaris Independen PT
Lippo General Insurance Tbk
Uraian Informasi atau Fakta Material Berdasarkan Pasal 9 huruf a juncto Pasal 27 Peraturan
Otoritas Jasa Keuangan Nomor 33/POJK.04/2014 tentang
Direksi dan Dewan Komisaris Emiten Atau Perusahaan Publik,
dengan ini kami sampaikan bahwa Ibu Jamilah Mawira
Sungkar efektif per tanggal 30 November 2024 telah
mengundurkan diri dari jabatannya sebagai Komisaris
Independen Perseroan sebagaimana suratnya yang kami
terima pada tanggal 28 November 2024.
Dampak kejadian, informasi atau fakta Nil
material tersebut terhadap kegiatan
operasional, hukum, kondisi keuangan,
atau kelangsungan usaha Emiten atau
Perusahaan Publik
Demikian untuk diketahui.
Hormat Kami,
Lippo General Insurance Tbk
Satini Kartika Sari
Corporate Secretary
Lippo General Insurance Tbk
Gedung Lippo Kuningan Unit A & F, Jl. H. R Rasuna Said Kav.B-12, Jakarta Selatan
Telepon : 525-6161, Fax : -, www.lgi.co.id
Page 2
Nama Pengirim Satini Kartika Sari
Jabatan Corporate Secretary
Tanggal dan Waktu 02-12-2024 14:46
Lampiran 1. 273.LGI-Dir.XI.2024 Pemberitahuan JMS.pdf
Dokumen ini merupakan dokumen resmi Lippo General Insurance Tbk yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. Lippo General Insurance Tbk bertanggung jawab
penuh atas informasi yang tertera didalam dokumen ini.
Page 3
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Letter / Announcement No. 273/LGI-Dir/XI/2024
Issuer Name Lippo General Insurance Tbk
Issuer Code LPGI
Attachment 1
Subject Notification of Resignation of Independent Commissioner of PT Lippo General
Insurance Tbk
The company hereby announce the Material Information or Facts Report as follows
Name of Issuer or Public Company Lippo General Insurance Tbk
Business Activities Asuransi Kerugian
Telephone 525-6161
Faximile -
Email Address corporate.secretary@lgi.co.id
Date of Event 28 November 2024
Notification of Resignation of Independent Commissioner of
Type of Material Information or Facts PT Lippo General Insurance Tbk
Description of Material Information or Based on Article 9 letter a in conjunction with Article 27 of the
Facts Financial Services Authority Regulation Number
33/POJK.04/2014 concerning the Board of Directors and
Board of Commissioners of Issuers or Public Companies, we
hereby inform you that Mrs. Jamilah Mawira Sungkar has
officially resigned from her position as the Independent
Commissioner of the Company effective as of November 30,
2024, as stated in her resignation letter received by the
Company on November 28, 2024.
Impact of event, material information or Nil
facts towards Issuers or Public
Company’s operational activities, legal,
financial condition, or going concern
Thus to be informed accordingly.
Respectfully,
Lippo General Insurance Tbk
Satini Kartika Sari
Corporate Secretary
Lippo General Insurance Tbk
Gedung Lippo Kuningan Unit A & F, Jl. H. R Rasuna Said Kav.B-12, Jakarta Selatan
Phone : 525-6161, Fax : -, www.lgi.co.id
Page 4
Sender Name Satini Kartika Sari
Function Corporate Secretary
Date and Time 02-12-2024 14:46
Attachment 1. 273.LGI-Dir.XI.2024 Pemberitahuan JMS.pdf
This is an official document of Lippo General Insurance Tbk that does not require a signature as it was generated
electronically by the electronic reporting system. Lippo General Insurance Tbk is fully responsible for the
information contained within this document.
Names mentioned 8 people and organisations named in the text · linked when the evidence is strong
unresolved
org
Lippo General Perihal Insurance Tbk
p.1 ×2
unresolved
person
Jamilah Mawira Sungkar
p.1 ×4
unresolved
person
Satini Kartika Sari
· Corporate Secretary
p.1 ×2
unresolved
org
Kartika Sari
p.1 ×2
unresolved
person
H. R Rasuna Said
p.1 ×2
unresolved
org
Financial Services Authority
p.3
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Raw output
{'announced_date': '2024-12-02',
'changes': [],
'event_date': '2024-11-28',
'issuer_name': 'Lippo General Insurance Tbk',
'issuer_ticker': 'LPGI',
'jenis': 'Pemberitahuan Pengunduran Diri Komisaris Independen PT Lippo '
'General Insurance Tbk',
'letter_number': '273/LGI-Dir/XI/2024',
'positions': [],
'source_shape': 'ROSTER',
'subject': 'Pemberitahuan Pengunduran Diri Komisaris Independen PT Lippo '
'General',
'uraian': 'Berdasarkan Pasal 9 huruf a juncto Pasal 27 Peraturan Otoritas '
'Jasa Keuangan Nomor 33/POJK.04/2014 tentang Direksi dan Dewan '
'Komisaris Emiten Atau Perusahaan Publik, dengan ini kami sampaikan '
'bahwa Ibu Jamilah Mawira Sungkar efektif per tanggal 30 November '
'2024 telah mengundurkan diri dari jabatannya sebagai Komisaris '
'Independen Perseroan sebagaimana suratnya yang kami terima pada '
'tanggal 28 November 2024.'}