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20241101_SILO_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31751963.pdf

Shareholder register Parsed SILO

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 Nomor Surat                          101/Corsec-SIH/IV/2024

 Nama Perusahaan                      PT Siloam International Hospitals Tbk.

 Kode Emiten                          SILO

 Papan Pencatatan                     Utama

 Lampiran                             1

 Perihal                              Perubahan Struktur Pemegang Saham


Perseroan menyampaikan Perubahan Struktur Pemegang Saham yang berakhir pada 09 Oktober 2024 Sebagai
Berikut :

Biro Administrasi Efek: PT. Sharestar Indonesia




                                                                          Persen
                                                                                     Jumlah      Persen
                                                             Jumlah Saham Saham
                     Nama       Alamat            Jabatan                          Saham Bulan Saham Bulan Pengendali   Afiliasi
                                                              Sebelumnya Sebelumny
                                                                                       Ini         Ini
                                                                             a
                 MEGAPRATA 2121                              2.679.256.980     20,6% 2.679.256.98    20,6%
                  MA KARYA
                        BULEVARD                                                                0
                      GAJAH MADA
                      #01-01, LIPPO
                        KARAWACI
               PRIME  C/O MOURANT                            1.045.607.832     8,04% 1.045.607.83    8,04%
  Pemegang    HEALTH    OZANNES                                                                 2                          X
 Saham > 5%            CORPORATE
                        SERVICES
               SIGHT    38 BEACH                             7.205.383.500     55,4% 7.205.383.50    55,4%
            INVESTMENT ROAD 29-                                                                 0              X
                         11SOUTH
                          BEACH
                          TOWER
                       SINGAPORE
                          189767
                       SINGAPORE
                       SINGAPORE
                                              1.104.834.12     8,49%    1.000.785.      7,69%
        Masyarakat - Warkat - Scrip                      0                    120
Page 2
                                       947.162.368     7,28%    1.051.211.       8,08%
Masyarakat - Non Warkat - Scripless                                   368

                                        23.880.200     0,19%    23.880.200       0.19%
        Saham Treasury

                                      13.006.125.0     100% 13.006.125.0             100%
              Total                            00                    00




                                                                 Persentase           Jumlah Saham (Bulan      Persentase(Bulan
          Nama                   Jumlah Saham (Sebelumnya)
                                                                (Sebelumnya)                  Ini)                   Ini)
                                                7,205,383,500                55.4%             7,205,383,500              55.4%
     Total Pengendali

                                                5,800,741,500                44.6%             5,800,741,500              44.6%
  Total Non Pengendali
Page 3
Informasi Saham Free Float


                             Keterangan                               Bulan Sebelumnya           Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                              971.042.568           1.075.091.568
dari 5%
 Jumlah saham scripless dimiliki oleh Direksi dan Dewan
                                                                               14.439.100               14.439.100
 Komisaris kurang dari 5%

 Jumlah saham scripless dimiliki oleh Pengendali kurang dari 5%                          0                        0

Jumlah saham scripless dimiliki oleh Afiliasi dari Pengendali                   7.613.600                7.613.600
kurang dari 5%

Jumlah treasury stock scripless kurang dari 5%                                 23.880.200               23.880.200

Jumlah saham portofolio investasi dengan penerima manfaat
                                                                                         0                        0
investor publik yang telah disetujui Bursa untuk diperhitungkan
sebagai Free Float

 Jumlah saham Free Float                                                      925.109.668           1.029.158.668


Jumlah saham tercatat di Bursa per akhir bulan                             13.006.125.000          13.006.125.000


% Saham Free Float                                                                  7,11                       7,91



Jumlah Pemegang Saham


         Bulan Sebelumnya                         Bulan Sekarang                     Perubahan

                                 6.979                             7.190                                 211



Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
Informasi Lain

Kami sedang mengajukan proses perubahan Pemilik Manfaat Akhir sejak tanggal 16 Oktober 2024 dan hingga hari
ini belum mendapatkan konfirmasi penggantian dikarenakan kendala pengembangan sistem dari Sistem
Administrasi Badan Hukum.




Demikian untuk diketahui.


Hormat Kami,
PT Siloam International Hospitals Tbk.




Ratih Hadiwinoto

Corporate Secretary Sr. GM




PT Siloam International Hospitals Tbk.
Gdg Fak. Kedokteran UPH Lt. 32, Jl. Boulevard Jend. Sudirman No. 15, Lippo
Telepon : 021-25668000, Fax : 021-5460075, www.siloamhospitals.com



 Nama Pengirim                      Ratih Hadiwinoto

 Jabatan                            Corporate Secretary Sr. GM
 Tanggal dan Waktu                  01-11-2024 18:04
Page 5
Lampiran                          1. silo_idx.pdf


   Dokumen ini merupakan dokumen resmi PT Siloam International Hospitals Tbk. yang tidak memerlukan tanda
tangan karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Siloam International Hospitals Tbk.
                   bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 6
Go To Indonesian Page

 Letter / Announcement No.            101/Corsec-SIH/IV/2024

 Issuer Name                          PT Siloam International Hospitals Tbk.

 Issuer Code                          SILO

 Listing Board                        Main

 Attachment                           1

 Subject                              Change of Shareholders Structure

The Company hereby announce Change of Shareholders Structure which ends in 09 October 2024 as follows:



Security Administration Bureau: PT. Sharestar Indonesia


                                                             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
               MEGAPRATA   2121                              2,679,256,980     20.6% 2,679,256,98        20.6%
                MA KARYABULEVARD                                                                0
                      GAJAH MADA
                      #01-01, LIPPO
                        KARAWACI
  Share        PRIME  C/O MOURANT                            1,045,607,832     8.04% 1,045,607,83        8.04%
Ownership >   HEALTH    OZANNES                                                                 2                                 X
   5%                  CORPORATE
                        SERVICES
               SIGHT    38 BEACH                             7,205,383,500     55.4% 7,205,383,50        55.4%
            INVESTMENT ROAD 29-                                                                 0                    X
                         11SOUTH
                          BEACH
                          TOWER
                       SINGAPORE
                          189767
                       SINGAPORE
                       SINGAPORE
                                              1.104.834.12     8,49%     1.000.785.     7,69%
        Masyarakat - Warkat - Scrip                      0                     120

                                               947.162.368     7,28%     1.051.211.     8,08%
    Masyarakat - Non Warkat - Scripless                                        368
Page 7
                                23.880.200     0,19%    23.880.200       0.19%
      Saham Treasury

                              13.006.125.0     100% 13.006.125.0             100%
            Total                      00                    00




                                                          Percentage          Number of Shares (This    Percentage (This
       Name             Number of Shares (Previously)
                                                          (Previous)                 Month)                 Month)
                                        7,205,383,500                55.4%              7,205,383,500              55.4%
   Total Controller

                                        5,800,741,500                44.6%              5,800,741,500              44.6%
Total Non-Controllers
Page 8
Free Float Share Information


                              Information                            Previous Month             This Month

 The number of scripless shares owned by shareholders is less
                                                                             971.042.568            1.075.091.568
 than 5%
 The number of scripless shares owned by the Board of Directors
                                                                              14.439.100               14.439.100
 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                     7.613.600                7.613.600
 Controller is less than 5%

 The amount of scripless treasury stock is less than 5%                       23.880.200               23.880.200

 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                                              925.109.668            1.029.158.668

 The number of shares listed on the Exchange at the end of the
                                                                          13.006.125.000           13.006.125.000
 month

 % Free Float Share                                                                7,11                      7,91



Number of Shareholders


          Previous Month                             This Month                        Change


                                6.979                             7.190                                  211


Final Beneficiaries of Share Ownership
Page 9
Other Information

We have been in the process of applying for a change of Ultimate Beneficial Owner since 16 October 2024, and as
of today, we have not received confirmation of the change due to system development issues within the Legal
Entity Administration System.




Thus to be informed accordingly.


Respectfully,
PT Siloam International Hospitals Tbk.




Ratih Hadiwinoto

Corporate Secretary Sr. GM




PT Siloam International Hospitals Tbk.
Gdg Fak. Kedokteran UPH Lt. 32, Jl. Boulevard Jend. Sudirman No. 15, Lippo
Phone : 021-25668000, Fax : 021-5460075, www.siloamhospitals.com



Sender Name                         Ratih Hadiwinoto

Function                            Corporate Secretary Sr. GM

Date and Time                       01-11-2024 18:04
Page 10
Attachment                        1. silo_idx.pdf


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

File

File Open PDF
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Size0.02 MB
Published1 Nov 2024
Pages10
Characters12,604
Text sourceEmbedded text layer
OCR confidence—

Names mentioned 7 people and organisations named in the text · linked when the evidence is strong

linked org Siloam International Hospitals Tbk. · Nama Perusahaan p.1 ×30
linked org LIPPO KARAWACI p.1 ×2
unresolved org PT. Sharestar · Biro Administrasi Efek p.1
unresolved org PT. Sharestar Indonesia Persen p.1
unresolved — SIGHT · 7.205.383.500 p.1
unresolved person Ratih Hadiwinoto · Corporate Secretary Sr. GM p.4 ×2
unresolved org PT. Sharestar Indonesia p.6

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 0.900 239 ms 12 Sep 2026 22:56
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '13006125000'},
                'treasury': {'pct': '0.19', 'shares': '23880200'},
                'under5_non_warkat': {'pct': '8.08', 'shares': '1051211368'},
                'under5_warkat': {'pct': '7.69', 'shares': '1000785120'}},
 'as_of_date': '2024-10-31',
 'checksum_ok': True,
 'checksum_parts': '13006125000',
 'holders': [{'address': '2121 BULEVARD GAJAH MADA',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'MEGAPRATA MA KARYA',
              'page_no': 1,
              'pct': '20.6',
              'pct_prev': '20.6',
              'position': '',
              'seq': 0,
              'shares': '2679256980',
              'shares_prev': '2679256980'},
             {'address': '#01-01, LIPPO KARAWACI C/O MOURANT OZANNES CORPORATE',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': True,
              'name': 'PRIME HEALTH',
              'page_no': 1,
              'pct': '8.04',
              'pct_prev': '8.04',
              'position': '',
              'seq': 1,
              'shares': '1045607832',
              'shares_prev': '1045607832'},
             {'address': 'SERVICES 38 BEACH ROAD 29-',
              'category': 'FIVE_PCT',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'SIGHT INVESTMENT',
              'page_no': 1,
              'pct': '55.4',
              'pct_prev': '55.4',
              'position': '',
              'seq': 2,
              'shares': '7205383500',
              'shares_prev': '7205383500'}],
 'issuer_name': 'PT Siloam International Hospitals Tbk.',
 'issuer_ticker': 'SILO',
 'layout': 'EREP_COVER',
 'letter_number': '101/Corsec-SIH/IV/2024',
 'listing_board': 'Utama',
 'period_label': 'Oktober 2024',
 'registrar': 'PT. Sharestar Indonesia',
 'total_shares': '13006125000'}
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