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20241107_MMIX_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31755077.pdf
Shareholder register Parsed MMIXSource file signed link, expires in 15 minutes
Extracted text 12
Page 1
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Nomor Surat 056/MMI-CORP/XI/2024
Nama Perusahaan PT Multi Medika Internasional Tbk
Kode Emiten MMIX
Papan Pencatatan Pengembangan
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Oktober 2024
Sebagai Berikut :
Biro Administrasi Efek: PT. Sinartama Gunita
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
Hillary
Jl. Peternakan Komisaris 36.000.000 1,5% 36.000.000 1,5%
JosephineIII No.55B,
KapukCengkare
ng, Jakarta
Barat11720
Allen Feliciano Jl. Peternakan Komisaris 36.000.000 1,5% 36.000.000 1,5%
III No.55B,
KapukCengkare
ng, Jakarta
Pemegang
Barat11720
Saham > 5% Unggi Lee Jl. Peternakan Direksi 2.393.600 0% 2.393.600 0%
(Christopher III No.55B,
Kapuk
Cengkareng,
Jakarta Barat
11720
PT Multi Inti Jl. Peternakan Direksi 1.440.000.000 60% 1.440.000.00 60%
Usaha III No.55B, 0 X X
Kapuk
Cengkareng,
Jakarta Barat
11720
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
Mengky Jl. Peternakan Direksi 144.000.000 6% 144.000.000 6%
Mangarek III No.55B,
Kapuk
Pemegang Cengkareng,
Saham > 5% Jakarta Barat
11720
Eveline Jl. Peternakan Direksi 144.000.000 6% 144.000.000 6%
Natalia III No.55B,
Kapuk
Cengkareng,
Jakarta Barat
11720
0 0% 0 0%
Masyarakat - Warkat - Scrip
597.811.354 25% 597.811.83 25%
Masyarakat - Non Warkat - Scripless 9
0 0% 0 0%
Saham Treasury
2.400.204.95 100% 2.400.205.43 100%
Total 4 9
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
1,440,000,000 60% 1,440,000,000 60%
Total Pengendali
960,204,954 40% 960,205,439 40%
Total Non Pengendali
Page 3
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
600.204.954 600.205.439
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
74.393.600 74.393.600
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 525.811.354 525.811.839
Jumlah saham tercatat di Bursa per akhir bulan 2.400.204.954 2.400.205.439
% Saham Free Float 21,91 21,91
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
3.431 2.994 437
Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
Nomor Nama
1 Mengky Mangarek
2 Eveline Natalia Susanto
Pengendali dari Pemegang Saham Pengendali dalam bentuk perseroan Terbatas
Nomor Nama Alamat Jumlah Saham
1 PT Multi Inti Usaha Jl. Peternakan III No.55B, Kapuk 1.440.000.000
Cengkareng, Jakarta Barat 11720
Waran
Jumlah Waran Persen Waran Jumlah
Jumlah Waran Persen Waran
Nama Alamat Bulan Bulan Perubahan
Bulan Ini Bulan Ini
Sebelumnya Sebelumnya Waran
JE UNG YUN WI CITY JAI 2 44.479.200 14,8365% 44.479.200 14,8365% 0
DANJI APT 1802
HO 102 DON
GILSAN
GUNAWAN JL. GELONG 25.615.600 8,5444% 25.615.600 8,5444% 0
AGUSTIN BARU TIMUR VIB
/ 12 RT 006 RW
002. KEL
TOMANG KEC.
GROGOL
PETAMBURAN
Page 5
Jumlah Waran Persen Waran Jumlah
Jumlah Waran Persen Waran
Nama Alamat Bulan Bulan Perubahan
Bulan Ini Bulan Ini
Sebelumnya Sebelumnya Waran
USMAN JL. MITRA 24.996.000 8,3377% 24.996.000 8,3377% 0
PERDANA No. 8
003/010 PARIT
TOKAYA
PONTIANAK
SELATAN
FENNY BUMI PERMATA 20.000.000 6,6712% 20.000.000 6,6712% 0
DJOKO A 1 08 RT / RW
SUSANTO 001/012 KARANG
MULYA
Demikian untuk diketahui.
Hormat Kami,
PT Multi Medika Internasional Tbk
Eveline N.Susanto
Direktur Keuangan
PT Multi Medika Internasional Tbk
Jl. Peternakan III No.55B, Kapuk Cengkareng, Jakarta Barat 11720
Telepon : +62 21 2967-6078, Fax : +62 21 565 9458, www.multimed.co.id
Nama Pengirim Eveline N.Susanto
Jabatan Direktur Keuangan
Tanggal dan Waktu 07-11-2024 19:17
Lampiran 1. MMIX31102024.pdf
Page 6
Dokumen ini merupakan dokumen resmi PT Multi Medika Internasional Tbk yang tidak memerlukan tanda tangan
karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Multi Medika Internasional Tbk
bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 7
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Letter / Announcement No. 056/MMI-CORP/XI/2024
Issuer Name PT Multi Medika Internasional Tbk
Issuer Code MMIX
Listing Board Development
Attachment 1
Subject Monthly Report of Securities Holders Registration
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 October
2024 as follows:
Security Administration Bureau: PT. Sinartama Gunita
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
Hillary Jl. Peternakan Komisaris 36,000,000 1.5% 36,000,000 1.5%
Josephine III No.55B,
KapukCengkare
ng, Jakarta
Barat11720
Allen Feliciano Jl. Peternakan Komisaris 36,000,000 1.5% 36,000,000 1.5%
III No.55B,
KapukCengkare
ng, Jakarta
Share Barat11720
Ownership > Unggi Lee Jl. Peternakan Direksi 2,393,600 0% 2,393,600 0%
5% (Christopher III No.55B,
Kapuk
Cengkareng,
Jakarta Barat
11720
PT Multi Inti Jl. Peternakan Direksi 1,440,000,000 60% 1,440,000,00 60%
Usaha III No.55B, 0 X X
Kapuk
Cengkareng,
Jakarta Barat
11720
Page 8
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
Mengky Jl. Peternakan Direksi 144,000,000 6% 144,000,000 6%
Mangarek III No.55B,
Share Kapuk
Ownership > Cengkareng,
5% Jakarta Barat
11720
Eveline Jl. Peternakan Direksi 144,000,000 6% 144,000,000 6%
Natalia III No.55B,
Kapuk
Cengkareng,
Jakarta Barat
11720
0 0% 0 0%
Masyarakat - Warkat - Scrip
597.811.354 25% 597.811.83 25%
Masyarakat - Non Warkat - Scripless 9
0 0% 0 0%
Saham Treasury
2.400.204.95 100% 2.400.205.43 100%
Total 4 9
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
1,440,000,000 60% 1,440,000,000 60%
Total Controller
960,204,954 40% 960,205,439 40%
Total Non-Controllers
Page 9
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
600.204.954 600.205.439
than 5%
The number of scripless shares owned by the Board of Directors
74.393.600 74.393.600
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 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 525.811.354 525.811.839
The number of shares listed on the Exchange at the end of the
2.400.204.954 2.400.205.439
month
% Free Float Share 21,91 21,91
Number of Shareholders
Previous Month This Month Change
3.431 2.994 437
Final Beneficiaries of Share Ownership
Page 10
Number Name
1 Mengky Mangarek
2 Eveline Natalia Susanto
Controlling from the Controlling Shareholder in the form of a Limited Liability Company
Number Name Address Total Stock
1 PT Multi Inti Usaha Jl. Peternakan III No.55B, Kapuk 1,440,000,000
Cengkareng, Jakarta Barat 11720
Warrants
Number of Percent of Number of Percent of Change in
Name Addresss Warrants Previous Warrants Warrants This Warrants This Number of
Month Previous Month Month Month Warrants
JE UNG YUN WI CITY JAI 2 44,479,200 14.8365% 44,479,200 14.8365% 0
DANJI APT
1802 HO 102
DON GILSAN
GUNAWAN JL. GELONG 25,615,600 8.5444% 25,615,600 8.5444% 0
AGUSTIN BARU TIMUR
VIB / 12 RT 006
RW 002. KEL
TOMANG KEC.
GROGOL
PETAMBURAN
Page 11
Number of Percent of Number of Percent of Change in
Name Addresss Warrants Previous Warrants Warrants This Warrants This Number of
Month Previous Month Month Month Warrants
USMAN JL. MITRA 24,996,000 8.3377% 24,996,000 8.3377% 0
PERDANA No. 8
003/010 PARIT
TOKAYA
PONTIANAK
SELATAN
FENNY DJOKO BUMI 20,000,000 6.6712% 20,000,000 6.6712% 0
SUSANTO PERMATA A 1
08 RT / RW
001/012
KARANG
MULYA
Thus to be informed accordingly.
Respectfully,
PT Multi Medika Internasional Tbk
Eveline N.Susanto
Direktur Keuangan
PT Multi Medika Internasional Tbk
Jl. Peternakan III No.55B, Kapuk Cengkareng, Jakarta Barat 11720
Phone : +62 21 2967-6078, Fax : +62 21 565 9458, www.multimed.co.id
Sender Name Eveline N.Susanto
Function Direktur Keuangan
Page 12
Date and Time 07-11-2024 19:17
Attachment 1. MMIX31102024.pdf
This is an official document of PT Multi Medika Internasional Tbk that does not require a signature as it was
generated electronically by the electronic reporting system. PT Multi Medika Internasional 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
person
Peternakan
· Komisaris
p.1
unresolved
org
PT Multi Inti
· 1.440.000.000
p.1 ×6
unresolved
—
Eveline Natalia Susanto
p.4 ×4
unresolved
person
Eveline N.Susanto
· Direktur Keuangan
p.5 ×2
unresolved
person
Hillary
· Komisaris
p.7
unresolved
—
JE UNG YUN
p.10
unresolved
—
USMAN
p.11
unresolved
—
FENNY DJOKO
p.11
unresolved
person
Function
· Direktur
p.11
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
137 ms
12 Sep 2026 22:56
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '2400205439'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '25', 'shares': '597811839'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2024-10-31',
'checksum_ok': True,
'checksum_parts': '2400205439',
'holders': [{'address': 'Jl. Peternakan III No.55B, KapukCengkare',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Hillary Josephine',
'page_no': 1,
'pct': '1.5',
'pct_prev': '1.5',
'position': 'Komisaris',
'seq': 0,
'shares': '36000000',
'shares_prev': '36000000'},
{'address': 'ng, Jakarta Barat11720 Jl. Peternakan III No.55B, '
'KapukCengkare',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Allen Feliciano',
'page_no': 1,
'pct': '1.5',
'pct_prev': '1.5',
'position': 'Komisaris',
'seq': 1,
'shares': '36000000',
'shares_prev': '36000000'},
{'address': 'ng, Jakarta Barat11720 Jl. Peternakan III No.55B, '
'Kapuk Cengkareng,',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Unggi Lee (Christopher',
'page_no': 1,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 2,
'shares': '2393600',
'shares_prev': '2393600'},
{'address': 'Jakarta Barat 11720 Jl. Peternakan III No.55B,',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': True,
'name': 'PT Multi Inti Usaha',
'page_no': 1,
'pct': '60',
'pct_prev': '60',
'position': 'Direksi',
'seq': 3,
'shares': '1440000000',
'shares_prev': '1440000000'},
{'address': 'Jl. Peternakan III No.55B, Kapuk Cengkareng,',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Mengky Mangarek',
'page_no': 2,
'pct': '6',
'pct_prev': '6',
'position': 'Direksi',
'seq': 4,
'shares': '144000000',
'shares_prev': '144000000'},
{'address': 'Jakarta Barat 11720 Jl. Peternakan III No.55B,',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Eveline Natalia',
'page_no': 2,
'pct': '6',
'pct_prev': '6',
'position': 'Direksi',
'seq': 5,
'shares': '144000000',
'shares_prev': '144000000'}],
'issuer_name': 'PT Multi Medika Internasional Tbk',
'issuer_ticker': 'MMIX',
'layout': 'EREP_COVER',
'letter_number': '056/MMI-CORP/XI/2024',
'listing_board': 'Pengembangan',
'period_label': 'Oktober 2024',
'registrar': 'PT. Sinartama Gunita',
'total_shares': '2400205439'}