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20240812_ZBRA_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31704579.pdf

Shareholder register Parsed ZBRA

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 Nomor Surat                              43/DNRI/Let/CorSec/VIII/2024.

 Nama Perusahaan                          PT Dosni Roha Indonesia Tbk

 Kode Emiten                              ZBRA

 Papan Pencatatan                         Pengembangan

 Lampiran                                 1

 Perihal                                  Laporan Bulanan Registrasi Pemegang Efek (KOREKSI)


Mengoreksi surat kami nomor : 43/DNRI/Let/CorSec/VIII/2024 tanggal 09 Agustus 2024 perihal Laporan Bulanan
Registrasi Pemegang Efek, dengan ini perseroan menyampaikan hal sebagai berikut:



Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Juli 2024 Sebagai
Berikut :

Biro Administrasi Efek: PT BSR Indonesia




                                                                                Persen
                                                                                           Jumlah      Persen
                                                                   Jumlah Saham Saham
                        Nama          Alamat         Jabatan                             Saham Bulan Saham Bulan Pengendali   Afiliasi
                                                                    Sebelumnya Sebelumny
                                                                                             Ini         Ini
                                                                                   a
                     PT Trinity   Dos Ni Roha                      1.777.620.352    70,8% 1.556.871.19     62,01%
                     Healthcare   Lt.3 Jl. Budi                                                      2               X
  Pemegang                         Raya No.9
                                  Kebon Jeruk
 Saham > 5%
                     MKES-Client     Sentral                                  0           0% 462.540.000   18,42%
                       Repo        Senayan III
                                   Building, Lt.
                                  15,20, 22 Jl.
                                 Asia Afrika No.8
                                  Gelora Tanah
                                      Abang
                                                               0       0%            0            0%
        Masyarakat - Warkat - Scrip

                                                    433.744.711     17,28%   491.295.07       19,57%
    Masyarakat - Non Warkat - Scripless                                               1
Page 2
                                      0         0%          0             0%
      Saham Treasury

                            2.211.365.06   88,08% 2.510.706.26           100%
           Total                       3                     3




                                                       Persentase         Jumlah Saham (Bulan      Persentase(Bulan
       Nama            Jumlah Saham (Sebelumnya)
                                                      (Sebelumnya)                Ini)                   Ini)
                                      1,777,620,352              70.8%             1,556,871,192             62.01%
  Total Pengendali

                                       733,085,911               29.2%               953,835,071             37.99%
Total Non Pengendali
Page 3
Informasi Saham Free Float


                             Keterangan                               Bulan Sebelumnya           Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                              433.744.671             491.295.071
dari 5%
 Jumlah saham scripless dimiliki oleh Direksi dan Dewan
                                                                                7.538.100               64.522.300
 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                                                      426.206.571             426.772.771


Jumlah saham tercatat di Bursa per akhir bulan                              2.510.706.263           2.510.706.263


% Saham Free Float                                                                 16,98                          17



Jumlah Pemegang Saham


         Bulan Sebelumnya                         Bulan Sekarang                     Perubahan

                                 1.801                             1.788                                     13



Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
       Nomor                                                       Nama

           1                                              B. Rudijanto Tanoesoedibjo




Informasi Lain

Bersama hal ini Perseroan menyampaikan bahwa B. Rudijanto Tanoesoedibjo adalah penerima manfaat akhir,
sebagai pelaksanaan dari Peraturan Presiden Nomor 13 Tahun 2018 tentang Penerapan Prinsip Mengenali Pemilik
Manfaat dari Korporasi Dalam Rangka Pencegahan dan Pemberantasan Tindak Pidana Pencucian Uang dan
Tindak Pidana Pendanaan Terorisme.




Demikian untuk diketahui.


Hormat Kami,
PT Dosni Roha Indonesia Tbk




Ida Widayani

Corporate Secretary




PT Dosni Roha Indonesia Tbk
Satrio Tower Lantai 23, Jalan Prof. Dr. Satrio, Kav. C4, No. 5, Kuningan Timur,
Telepon : 021 2788 3900, Fax : 021 2788 3914, www.dnr.id



 Nama Pengirim                      Ida Widayani

 Jabatan                            Corporate Secretary
 Tanggal dan Waktu                  14-08-2024 11:20
Page 5
Lampiran                         1. Laporan Bulanan DPS_ZEBRA-JULI 2024.pdf


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

 Letter / Announcement No.              43/DNRI/Let/CorSec/VIII/2024.

 Issuer Name                            PT Dosni Roha Indonesia Tbk

 Issuer Code                            ZBRA

 Listing Board                          Development

 Attachment                             1

 Subject                                Monthly Report of Securities Holders Registration (CORRECTION)

 Correction to our previous announcement number : 43/DNRI/Let/CorSec/VIII/2024. dated 14 August 2024 with the
 subject of Monthly Report of Securities Holders Registration, the company hereby submit the following information :


 The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 July 2024
 as follows:

 Security Administration Bureau: PT BSR 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
                 PT Trinity   Dos Ni Roha                      1,777,620,352    70.8% 1,556,871,19       62.01%
                 Healthcare   Lt.3 Jl. Budi                                                      2                     X
  Share                        Raya No.9
Ownership >                   Kebon Jeruk
   5%            MKES-Client     Sentral                                  0        0% 462,540,000        18.42%
                   Repo        Senayan III
                               Building, Lt.
                              15,20, 22 Jl.
                             Asia Afrika No.8
                              Gelora Tanah
                                  Abang
                                                           0        0%            0         0%
         Masyarakat - Warkat - Scrip

                                                433.744.711     17,28%    491.295.07    19,57%
     Masyarakat - Non Warkat - Scripless                                           1

                                                           0        0%             0        0%
               Saham Treasury
Page 7
                                            2.211.365.06       88,08% 2.510.706.26            100%
                  Total                                3                         3




                                                                          Percentage           Number of Shares (This    Percentage (This
              Name                   Number of Shares (Previously)
                                                                          (Previous)                  Month)                 Month)
                                                          1,777,620,352               70.8%              1,556,871,192             62.01%
         Total Controller

                                                           733,085,911                29.2%                953,835,071             37.99%
      Total Non-Controllers




Free Float Share Information


                              Information                                   Previous Month                  This Month

 The number of scripless shares owned by shareholders is less
                                                                                       433.744.671                491.295.071
 than 5%
 The number of scripless shares owned by the Board of Directors
                                                                                         7.538.100                 64.522.300
 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                                                        426.206.571                426.772.771

 The number of shares listed on the Exchange at the end of the
                                                                                     2.510.706.263              2.510.706.263
 month

 % Free Float Share                                                                           16,98                        17
Page 8
Number of Shareholders


          Previous Month                            This Month                               Change


                               1.801                                  1.788                                      13


Final Beneficiaries of Share Ownership


      Number                                                      Name

          1                                              B. Rudijanto Tanoesoedibjo




Other Information

The Company hereby states that B. Rudijanto Tanoesoedibjo is the ultimate beneficial owner, as the enforcement
of Presidential Regulation Number 13 of 2018 concerning Enactment of Beneficial Ownership Identification
Principle of Corporation in the event of Prevention and Eradication of Criminal Acts of Money Laundering and
Terrorism Funding




Thus to be informed accordingly.


Respectfully,
PT Dosni Roha Indonesia Tbk




Ida Widayani

Corporate Secretary
Page 9
PT Dosni Roha Indonesia Tbk
Satrio Tower Lantai 23, Jalan Prof. Dr. Satrio, Kav. C4, No. 5, Kuningan Timur,
Phone : 021 2788 3900, Fax : 021 2788 3914, www.dnr.id



Sender Name                         Ida Widayani

Function                            Corporate Secretary

Date and Time                       14-08-2024 11:20

Attachment                         1. Laporan Bulanan DPS_ZEBRA-JULI 2024.pdf


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

File

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Size0.02 MB
Published14 Aug 2024
Pages9
Characters13,042
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OCR confidence—

Names mentioned 9 people and organisations named in the text · linked when the evidence is strong

linked org Dosni Roha Indonesia Tbk · Nama Perusahaan p.1 ×30
linked person Ida Widayani · Corporate Secretary p.4 ×5
possible — B. Rudijanto Tanoesoedibjo p.4 ×6
possible person Prof. Dr. Satrio p.4 ×2
unresolved org PT BSR · Biro Administrasi Efek p.1
unresolved org PT BSR Indonesia Persen p.1
unresolved org PT Trinity · 1.777.620.352 p.1 ×2
unresolved — MKES-Client · 0 p.1
unresolved org PT BSR 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 0.900 385 ms 12 Sep 2026 22:59
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '2510706263'},
                'treasury': {'pct': '0', 'shares': '0'},
                'under5_non_warkat': {'pct': '19.57', 'shares': '491295071'},
                'under5_warkat': {'pct': '0', 'shares': '0'}},
 'as_of_date': '2024-07-31',
 'checksum_ok': True,
 'checksum_parts': '2510706263',
 'holders': [{'address': 'Dos Ni Roha Lt.3 Jl. Budi Raya No.9',
              'category': 'FIVE_PCT',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'PT Trinity Healthcare',
              'page_no': 1,
              'pct': '62.01',
              'pct_prev': '70.8',
              'position': '',
              'seq': 0,
              'shares': '1556871192',
              'shares_prev': '1777620352'},
             {'address': 'Kebon Jeruk Sentral Senayan III',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'MKES-Client Repo',
              'page_no': 1,
              'pct': '18.42',
              'pct_prev': '0',
              'position': '',
              'seq': 1,
              'shares': '462540000',
              'shares_prev': '0'}],
 'issuer_name': 'PT Dosni Roha Indonesia Tbk',
 'issuer_ticker': 'ZBRA',
 'layout': 'EREP_COVER',
 'letter_number': '43/DNRI/Let/CorSec/VIII/2024.',
 'listing_board': 'Pengembangan',
 'period_label': 'Juli 2024',
 'registrar': 'PT BSR Indonesia',
 'total_shares': '2510706263'}
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