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20241004_PALM_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31732598.pdf
Shareholder register Parsed PALMSource file signed link, expires in 15 minutes
Extracted text 12
Page 1
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Nomor Surat 120-L/PTPIB/DIR/X/2024
Nama Perusahaan PT Provident Investasi Bersama Tbk
Kode Emiten PALM
Papan Pencatatan Pengembangan
Lampiran 3
Perihal Laporan Bulanan Registrasi Pemegang Efek
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 30 September 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 Provident Gedung Wisma 8.781.290.702 55,67% 8.781.290.70 55,67%
Capital GKBI Lantai 17 2 X
Suite 1716
Garibaldi Gudang Peluru 2.422.922.324 15,36% 2.422.922.32 15,36%
Thohir Blok E/139 4
PT Saratoga Gedung Menara 1.415.023.929 8,971% 1.415.023.92 8,971%
Sentra Karya Lantai 15 9
Unit A-H
Pemegang Winato Jl. Subang No. 972.366.958 6,164% 972.366.958 6,164%
Saham > 5% Kartono 3A
Hardi Wijaya Jl. Duta Niaga Komisaris 729.275.220 4,623% 729.275.220 4,623%
Liong Raya TM. 17
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
Tri Boewono Gedung The Direksi 66.551.500 0,422% 66.551.500 0,422%
Convergence
Indonesia
Lantai 21,
Kawasan
Rasuna
Epicentrum, Jl.
H. R. Rasuna
Said, Kelurahan
Karet Kuningan,
Kecamatan
Setiabudi,
Jakarta Selatan,
Provinsi DKI
Jakarta 12940
PT Provident Gedung Wisma 8.781.290.702 55,67% 8.781.290.70 55,67%
Capital GKBI Lantai 17 2 X
Suite 1716
Garibaldi Gudang Peluru 2.422.922.324 15,36% 2.422.922.32 15,36%
Pemegang
Thohir Blok E/139 4
Saham > 5%
PT Saratoga Gedung Menara 1.415.023.929 8,971% 1.415.023.92 8,971%
Sentra Karya Lantai 15 9
Unit A-H
Winato Jl. Subang No. 972.366.958 6,164% 972.366.958 6,164%
Kartono 3A
Hardi Wijaya Jl. Duta Niaga Komisaris 729.275.220 4,623% 729.275.220 4,623%
Liong Raya TM. 17
Page 3
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
Tri Boewono Gedung The Direksi 66.551.500 0,422% 66.551.500 0,422%
Convergence
Indonesia
Lantai 21,
Pemegang Kawasan
Saham > 5% Rasuna
Epicentrum, Jl.
H. R. Rasuna
Said, Kelurahan
Karet Kuningan,
Kecamatan
Setiabudi,
Jakarta Selatan,
Provinsi DKI
Jakarta 12940
0 0% 0 0%
Masyarakat - Warkat - Scrip
1.345.443.82 8,53% 1.345.443. 8,53%
Masyarakat - Non Warkat - Scripless 5 825
40.922.700 0,26% 40.922.700 0.26%
Saham Treasury
15.773.797.1 100% 15.773.797.1 100%
Total 58 58
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
8,781,290,702 55.67% 8,781,290,702 55.67%
Total Pengendali
6,992,506,456 44.33% 6,992,506,456 44.33%
Total Non Pengendali
Page 4
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
2.182.193.245 2.182.193.245
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
795.826.720 795.826.720
Komisaris kurang dari 5%
Jumlah saham scripless dimiliki oleh Pengendali kurang dari 5% 0 0
Jumlah saham scripless dimiliki oleh Afiliasi dari Pengendali 500.000 500.000
kurang dari 5%
Jumlah treasury stock scripless kurang dari 5% 40.922.700 40.922.700
Jumlah saham portofolio investasi dengan penerima manfaat
0 0
investor publik yang telah disetujui Bursa untuk diperhitungkan
sebagai Free Float
Jumlah saham Free Float 1.344.943.825 1.344.943.825
Jumlah saham tercatat di Bursa per akhir bulan 15.773.797.158 15.773.797.158
% Saham Free Float 8,53 8,53
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
3.783 3.704 79
Penerima Manfaat Akhir dari Kepemilikan Saham
Page 5
Nomor Nama
1 Winato Kartono
2 Winato Kartono
Demikian untuk diketahui.
Hormat Kami,
PT Provident Investasi Bersama Tbk
LIm Na Lie
Corporate Secretary
PT Provident Investasi Bersama Tbk
Gedung The Convergence Indonesia Lantai 21, Kawasan Rasuna Epicentrum, Jl. H.
Telepon : (021) 2157 2008, Fax : (021) 2157 2009, www.provident-investasi.com
Nama Pengirim LIm Na Lie
Jabatan Corporate Secretary
Tanggal dan Waktu 10-10-2024 08:50
Lampiran 1. PALM-1.pdf
2. PALM-2.pdf
3. PALM-3.pdf
Page 6
Dokumen ini merupakan dokumen resmi PT Provident Investasi Bersama Tbk yang tidak memerlukan tanda tangan
karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Provident Investasi Bersama Tbk
bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 7
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Letter / Announcement No. 120-L/PTPIB/DIR/X/2024
Issuer Name PT Provident Investasi Bersama Tbk
Issuer Code PALM
Listing Board Development
Attachment 3
Subject Monthly Report of Securities Holders Registration
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 30 September
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 Provident Gedung Wisma 8,781,290,702 55.67% 8,781,290,70 55.67%
Capital GKBI Lantai 17 2 X
Suite 1716
Garibaldi Gudang Peluru 2,422,922,324 15.36% 2,422,922,32 15.36%
Thohir Blok E/139 4
PT Saratoga Gedung Menara 1,415,023,929 8.971% 1,415,023,92 8.971%
Sentra Karya Lantai 15 9
Unit A-H
Share Winato Jl. Subang No. 972,366,958 6.164% 972,366,958 6.164%
Ownership > Kartono 3A
5% Hardi Wijaya Jl. Duta Niaga Komisaris 729,275,220 4.623% 729,275,220 4.623%
Liong Raya TM. 17
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
Tri Boewono Gedung The Direksi 66,551,500 0.422% 66,551,500 0.422%
Convergence
Indonesia
Lantai 21,
Kawasan
Rasuna
Epicentrum, Jl.
H. R. Rasuna
Said, Kelurahan
Karet Kuningan,
Kecamatan
Setiabudi,
Jakarta Selatan,
Provinsi DKI
Jakarta 12940
PT Provident Gedung Wisma 8,781,290,702 55.67% 8,781,290,70 55.67%
Capital GKBI Lantai 17 2 X
Suite 1716
Share Garibaldi Gudang Peluru 2,422,922,324 15.36% 2,422,922,32 15.36%
Ownership > Thohir Blok E/139 4
5% PT Saratoga Gedung Menara 1,415,023,929 8.971% 1,415,023,92 8.971%
Sentra Karya Lantai 15 9
Unit A-H
Winato Jl. Subang No. 972,366,958 6.164% 972,366,958 6.164%
Kartono 3A
Hardi Wijaya Jl. Duta Niaga Komisaris 729,275,220 4.623% 729,275,220 4.623%
Liong Raya TM. 17
Tri Boewono Gedung The Direksi 66,551,500 0.422% 66,551,500 0.422%
Convergence
Indonesia
Lantai 21,
Kawasan
Rasuna
Epicentrum, Jl.
H. R. Rasuna
Said, Kelurahan
Karet Kuningan,
Kecamatan
Setiabudi,
Jakarta Selatan,
Provinsi DKI
Jakarta 12940
Page 9
0 0% 0 0%
Masyarakat - Warkat - Scrip
1.345.443.82 8,53% 1.345.443. 8,53%
Masyarakat - Non Warkat - Scripless 5 825
40.922.700 0,26% 40.922.700 0.26%
Saham Treasury
15.773.797.1 100% 15.773.797.1 100%
Total 58 58
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
8,781,290,702 55.67% 8,781,290,702 55.67%
Total Controller
6,992,506,456 44.33% 6,992,506,456 44.33%
Total Non-Controllers
Page 10
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
2.182.193.245 2.182.193.245
than 5%
The number of scripless shares owned by the Board of Directors
795.826.720 795.826.720
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 500.000 500.000
Controller is less than 5%
The amount of scripless treasury stock is less than 5% 40.922.700 40.922.700
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 1.344.943.825 1.344.943.825
The number of shares listed on the Exchange at the end of the
15.773.797.158 15.773.797.158
month
% Free Float Share 8,53 8,53
Number of Shareholders
Previous Month This Month Change
3.783 3.704 79
Final Beneficiaries of Share Ownership
Page 11
Number Name
1 Winato Kartono
2 Winato Kartono
Thus to be informed accordingly.
Respectfully,
PT Provident Investasi Bersama Tbk
LIm Na Lie
Corporate Secretary
PT Provident Investasi Bersama Tbk
Gedung The Convergence Indonesia Lantai 21, Kawasan Rasuna Epicentrum, Jl. H.
Phone : (021) 2157 2008, Fax : (021) 2157 2009, www.provident-investasi.com
Sender Name LIm Na Lie
Function Corporate Secretary
Date and Time 10-10-2024 08:50
Attachment 1. PALM-1.pdf
2. PALM-2.pdf
3. PALM-3.pdf
Page 12
This is an official document of PT Provident Investasi Bersama Tbk that does not require a signature as it was
generated electronically by the electronic reporting system. PT Provident Investasi Bersama Tbk is fully responsible
for the information contained within this document.
Names mentioned 14 people and organisations named in the text · linked when the evidence is strong
unresolved
org
PT. Datindo Entrycom
· Biro Administrasi Efek
p.1
unresolved
org
PT. Datindo Entrycom Persen
p.1
unresolved
org
PT Provident
p.1 ×4
unresolved
—
Garibaldi
· 2.422.922.324
p.1 ×2
unresolved
person
Duta Niaga
· Komisaris
p.1 ×4
unresolved
person
H. R. Rasuna Said
p.2 ×4
unresolved
—
Winato
· 972.366.958
p.2
unresolved
person
LIm Na Lie
· Corporate Secretary
p.5 ×3
unresolved
—
1. PALM-1.pdf
p.5 ×2
unresolved
—
Tri Boewono
· Direksi
p.8 ×2
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
327 ms
12 Sep 2026 22:57
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '15773797158'},
'treasury': {'pct': '0.26', 'shares': '40922700'},
'under5_non_warkat': {'pct': '8.53', 'shares': '1345443825'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2024-09-30',
'checksum_ok': True,
'checksum_parts': '15773797158',
'holders': [{'address': 'Gedung Wisma GKBI Lantai 17',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Provident Capital',
'page_no': 1,
'pct': '55.67',
'pct_prev': '55.67',
'position': '',
'seq': 0,
'shares': '8781290702',
'shares_prev': '8781290702'},
{'address': 'Suite 1716 Gudang Peluru Blok E/139',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Garibaldi Thohir',
'page_no': 1,
'pct': '15.36',
'pct_prev': '15.36',
'position': '',
'seq': 1,
'shares': '2422922324',
'shares_prev': '2422922324'},
{'address': 'Gedung Menara Karya Lantai 15',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'PT Saratoga Sentra',
'page_no': 1,
'pct': '8.971',
'pct_prev': '8.971',
'position': '',
'seq': 2,
'shares': '1415023929',
'shares_prev': '1415023929'},
{'address': 'Unit A-H Jl. Subang No. 3A',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Winato Kartono',
'page_no': 1,
'pct': '6.164',
'pct_prev': '6.164',
'position': '',
'seq': 3,
'shares': '972366958',
'shares_prev': '972366958'},
{'address': 'Jl. Duta Niaga Raya TM. 17',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Hardi Wijaya Liong',
'page_no': 1,
'pct': '4.623',
'pct_prev': '4.623',
'position': 'Komisaris',
'seq': 4,
'shares': '729275220',
'shares_prev': '729275220'},
{'address': 'Gedung The Convergence Indonesia Lantai 21, Kawasan '
'Rasuna Epicentrum, Jl. H. R. Rasuna',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Boewono',
'page_no': 2,
'pct': '0.422',
'pct_prev': '0.422',
'position': 'Direksi',
'seq': 5,
'shares': '66551500',
'shares_prev': '66551500'}],
'issuer_name': 'PT Provident Investasi Bersama Tbk',
'issuer_ticker': 'PALM',
'layout': 'EREP_COVER',
'letter_number': '120-L/PTPIB/DIR/X/2024',
'listing_board': 'Pengembangan',
'period_label': 'September 2024',
'registrar': 'PT. Datindo Entrycom',
'total_shares': '15773797158'}