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20241104_OMED_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31752784.pdf

Shareholder register Parsed OMED

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 Nomor Surat                          0102/PR-DIR-JMI/XI/24

 Nama Perusahaan                      PT Jayamas Medica Industri Tbk

 Kode Emiten                          OMED

 Papan Pencatatan                     Utama

 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. Datindo Entrycom




                                                                            Persen
                                                                                       Jumlah      Persen
                                                               Jumlah Saham Saham
                     Nama       Alamat           Jabatan                             Saham Bulan Saham Bulan Pengendali   Afiliasi
                                                                Sebelumnya Sebelumny
                                                                                         Ini         Ini
                                                                               a
            PT Intisumber Komplek Darmo                        22.540.000.00     83,3% 22.540.000.0    83,3%
            Hasilsempurn Park II Blok IV                                   0                    00               X
                            no. 14-15,
  Pemegang                   Surabaya
 Saham > 5%   Yacobus Komplek Darmo             Komisaris       241.655.600     0,893% 242.090.800    0,895%
               Jemmy       Park II Blok IV                                                                       X
                            no. 14-15,
                             Surabaya
                Siane     Komplek Darmo         Komisaris       240.645.000     0,889% 240.930.000     0,89%
              Soetanto     Park II Blok IV                                                                       X
                            no. 14-15,
                             Surabaya
                                                           0       0%             0         0%
        Masyarakat - Warkat - Scrip

                                               4.036.549.40    14,918%    4.035.829.   14,915%
    Masyarakat - Non Warkat - Scripless                   0                     200

                                                           0        0%             0         0%
              Saham Treasury

                                               27.058.850.0      100% 27.058.850.0         100%
                     Total                              00                     00
Page 2
                                                                        Persentase       Jumlah Saham (Bulan         Persentase(Bulan
             Nama                     Jumlah Saham (Sebelumnya)
                                                                       (Sebelumnya)              Ini)                      Ini)
                                                      23,022,300,600          85.082%               23,023,020,800            85.085%
        Total Pengendali

                                                       4,036,549,400          14.918%                4,035,829,200            14.915%
     Total Non Pengendali




Informasi Saham Free Float


                             Keterangan                                 Bulan Sebelumnya                Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                               4.058.850.000                4.058.850.000
dari 5%
 Jumlah saham scripless dimiliki oleh Direksi dan Dewan
                                                                                                0                        0
 Komisaris kurang dari 5%

 Jumlah saham scripless dimiliki oleh Pengendali kurang dari 5%                   22.300.600                    23.020.800

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                                                       4.036.549.400                4.035.829.200


Jumlah saham tercatat di Bursa per akhir bulan                               27.058.850.000                27.058.850.000


% Saham Free Float                                                                      14,92                        14,92
Page 3
Jumlah Pemegang Saham


          Bulan Sebelumnya                      Bulan Sekarang                         Perubahan


                               5.175                              5.358                            183



Penerima Manfaat Akhir dari Kepemilikan Saham


      Nomor                                                      Nama

          1                                             Yacobus Jemmy Hartanto


          2                                                 Siane Soetanto




Demikian untuk diketahui.


Hormat Kami,
PT Jayamas Medica Industri Tbk




Daniel Kurniawan

Head of Corporate Secretary and Investor Relation




PT Jayamas Medica Industri Tbk
Sebelah Selatan Jalan By Pass RT 05 / RW 01 Kelurahan Sidomojo, Kecamatan
Telepon : +62 31 8982349, Fax : , www.onemed.co.id



Nama Pengirim                      Daniel Kurniawan

Jabatan                            Head of Corporate Secretary and Investor Relation
Page 4
Tanggal dan Waktu                 06-11-2024 13:13

Lampiran                         1. OMED 31 OKTOBER 2024.pdf


  Dokumen ini merupakan dokumen resmi PT Jayamas Medica Industri Tbk yang tidak memerlukan tanda tangan
karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Jayamas Medica Industri Tbk bertanggung
                          jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 5
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 Letter / Announcement No.             0102/PR-DIR-JMI/XI/24

 Issuer Name                           PT Jayamas Medica Industri Tbk

 Issuer Code                           OMED

 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 31 October
 2024 as follows:

 Security Administration Bureau: PT. Datindo Entrycom


                                                               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 Intisumber Komplek Darmo                        22,540,000,00    83.3% 22,540,000,0        83.3%
            Hasilsempurn Park II Blok IV                                   0                   00                     X
  Share                     no. 14-15,
Ownership >                  Surabaya
   5%         Yacobus     Komplek   Darmo      Komisaris        241,655,600    0.893% 242,090,800        0.895%
               Jemmy       Park II Blok IV                                                                            X
                            no. 14-15,
                             Surabaya
                Siane     Komplek Darmo        Komisaris        240,645,000    0.889% 240,930,000         0.89%
              Soetanto     Park II Blok IV                                                                            X
                            no. 14-15,
                             Surabaya
                                                           0        0%            0         0%
         Masyarakat - Warkat - Scrip

                                               4.036.549.40    14,918%    4.035.829.   14,915%
     Masyarakat - Non Warkat - Scripless                  0                     200

                                                           0        0%             0        0%
               Saham Treasury

                                               27.058.850.0       100% 27.058.850.0        100%
                     Total                              00                      00
Page 6
                                                                       Percentage       Number of Shares (This        Percentage (This
              Name                   Number of Shares (Previously)
                                                                       (Previous)              Month)                     Month)
                                                      23,022,300,600         85.082%                23,023,020,800             85.085%
         Total Controller

                                                       4,036,549,400         14.918%                  4,035,829,200            14.915%
      Total Non-Controllers




Free Float Share Information


                              Information                               Previous Month                  This Month

 The number of scripless shares owned by shareholders is less
                                                                              4.058.850.000                  4.058.850.000
 than 5%
 The number of scripless shares owned by the Board of Directors
                                                                                                0                         0
 and Board of Commissioners is less than 5%
 The number of scripless shares owned by the Controller is less
                                                                                    22.300.600                  23.020.800
 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                                               4.036.549.400                 4.035.829.200

 The number of shares listed on the Exchange at the end of the
                                                                            27.058.850.000                 27.058.850.000
 month

 % Free Float Share                                                                     14,92                         14,92
Page 7
Number of Shareholders


           Previous Month                           This Month                         Change


                               5.175                                5.358                       183


Final Beneficiaries of Share Ownership


      Number                                                     Name

           1                                             Yacobus Jemmy Hartanto


           2                                                 Siane Soetanto




Thus to be informed accordingly.


Respectfully,
PT Jayamas Medica Industri Tbk




Daniel Kurniawan

Head of Corporate Secretary and Investor Relation




PT Jayamas Medica Industri Tbk
Sebelah Selatan Jalan By Pass RT 05 / RW 01 Kelurahan Sidomojo, Kecamatan
Phone : +62 31 8982349, Fax : , www.onemed.co.id



Sender Name                        Daniel Kurniawan

Function                           Head of Corporate Secretary and Investor Relation
Page 8
Date and Time                       06-11-2024 13:13

Attachment                         1. OMED 31 OKTOBER 2024.pdf


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

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Published6 Nov 2024
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Names mentioned 10 people and organisations named in the text · linked when the evidence is strong

linked org Jayamas Medica Industri Tbk · Nama Perusahaan p.1 ×30
linked person Yacobus Jemmy Hartanto p.3 ×3
linked person Siane Soetanto p.3 ×3
unresolved org PT. Datindo Entrycom · Biro Administrasi Efek p.1
unresolved org PT. Datindo Entrycom Persen p.1
unresolved org PT Intisumber p.1 ×2
unresolved person Yacobus · Komisaris p.1
unresolved person Komplek Darmo · Komisaris p.1 ×2
unresolved person Daniel Kurniawan · Head of Corporate Secretary and Investor Relation p.3 ×3
unresolved person Darmo · 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 0.900 153 ms 12 Sep 2026 22:56
Raw output
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                'treasury': {'pct': '0', 'shares': '0'},
                'under5_non_warkat': {'pct': '14.915', 'shares': '4035829200'},
                'under5_warkat': {'pct': '0', 'shares': '0'}},
 'as_of_date': '2024-10-31',
 'checksum_ok': True,
 'checksum_parts': '27058850000',
 'holders': [{'address': 'Komplek Darmo Park II Blok IV no. 14-15,',
              'category': 'FIVE_PCT',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'Intisumber Hasilsempurn',
              'page_no': 1,
              'pct': '83.3',
              'pct_prev': '83.3',
              'position': '',
              'seq': 0,
              'shares': '22540000000',
              'shares_prev': '22540000000'},
             {'address': 'Surabaya Komplek Darmo Park II Blok IV no. 14-15,',
              'category': 'BOARD',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'Yacobus Jemmy',
              'page_no': 1,
              'pct': '0.895',
              'pct_prev': '0.893',
              'position': 'Komisaris',
              'seq': 1,
              'shares': '242090800',
              'shares_prev': '241655600'},
             {'address': 'Surabaya Komplek Darmo Park II Blok IV',
              'category': 'BOARD',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'Siane Soetanto',
              'page_no': 1,
              'pct': '0.89',
              'pct_prev': '0.889',
              'position': 'Komisaris',
              'seq': 2,
              'shares': '240930000',
              'shares_prev': '240645000'}],
 'issuer_name': 'PT Jayamas Medica Industri Tbk',
 'issuer_ticker': 'OMED',
 'layout': 'EREP_COVER',
 'letter_number': '0102/PR-DIR-JMI/XI/24',
 'listing_board': 'Utama',
 'period_label': 'Oktober 2024',
 'registrar': 'PT. Datindo Entrycom',
 'total_shares': '27058850000'}
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