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20240805_FORU_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31691156.pdf
Shareholder register Parsed FORUSource file signed link, expires in 15 minutes
Extracted text 8
Page 1
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Nomor Surat 043/FORU-CS/VIII/2024
Nama Perusahaan Fortune Indonesia Tbk
Kode Emiten FORU
Papan Pencatatan Pemantauan Khusus
Lampiran 0
Perihal Laporan Bulanan Registrasi Pemegang Efek
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Juli 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
KARYA MENARA 53.722.000 11,55% 53.722.000 11,55%
CITRA PRIMA RAJAWALI LT
27 JL DR IDE
ANAK AGUNG
Pemegang GDE AGUNG
Saham > 5% LOT #5.1
MEGA
KUNINGAN
JAKARTA
SELATAN
IMR ASIA 1 Kaki-Bukit 361.875.500 77,79% 361.875.500 77,79%
HOLDING Road 1 #02-44, X
Enterprise One,
Singapore
0 0% 0 0%
Masyarakat - Warkat - Scrip
49.626.500 10,66% 49.626.500 10,66%
Masyarakat - Non Warkat - Scripless
0 0% 0 0%
Saham Treasury
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465.224.000 100% 465.224.000 100%
Total
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
361,875,500 77.79% 361,875,500 77.79%
Total Pengendali
103,348,500 22.21% 103,348,500 22.21%
Total Non Pengendali
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
49.626.500 49.626.500
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% 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 49.626.500 49.626.500
Jumlah saham tercatat di Bursa per akhir bulan 465.224.000 465.224.000
% Saham Free Float 10,67 10,67
Page 3
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
955 976 21
Penerima Manfaat Akhir dari Kepemilikan Saham
Nomor Nama
1 Anirudh Misra
Demikian untuk diketahui.
Hormat Kami,
Fortune Indonesia Tbk
Sari Dewi
Sekretaris Perusahaan
Fortune Indonesia Tbk
Menara BCA, Lantai 36, Suite 3603, Jl. MH Thamrin No 1, Menteng Jakarta Pusat
Telepon : +62 21 23587333, Fax : +62 21 23587333, www.foru.co.id
Nama Pengirim Sari Dewi
Jabatan Sekretaris Perusahaan
Tanggal dan Waktu 08-08-2024 15:30
Page 4
Dokumen ini merupakan dokumen resmi Fortune Indonesia Tbk yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. Fortune Indonesia Tbk bertanggung jawab penuh atas
informasi yang tertera didalam dokumen ini.
Page 5
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Letter / Announcement No. 043/FORU-CS/VIII/2024
Issuer Name Fortune Indonesia Tbk
Issuer Code FORU
Listing Board Watchlist
Attachment 0
Subject Monthly Report of Securities Holders Registration
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 July 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
KARYA MENARA 53,722,000 11.55% 53,722,000 11.55%
CITRA PRIMA RAJAWALI LT
27 JL DR IDE
Share ANAK AGUNG
Ownership > GDE AGUNG
5% LOT #5.1
MEGA
KUNINGAN
JAKARTA
SELATAN
IMR ASIA 1 Kaki-Bukit 361,875,500 77.79% 361,875,500 77.79%
HOLDING Road 1 #02-44, X
Enterprise One,
Singapore
0 0% 0 0%
Masyarakat - Warkat - Scrip
49.626.500 10,66% 49.626.500 10,66%
Masyarakat - Non Warkat - Scripless
0 0% 0 0%
Saham Treasury
465.224.000 100% 465.224.000 100%
Total
Page 6
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
361,875,500 77.79% 361,875,500 77.79%
Total Controller
103,348,500 22.21% 103,348,500 22.21%
Total Non-Controllers
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
49.626.500 49.626.500
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
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 49.626.500 49.626.500
The number of shares listed on the Exchange at the end of the
465.224.000 465.224.000
month
% Free Float Share 10,67 10,67
Page 7
Number of Shareholders
Previous Month This Month Change
955 976 21
Final Beneficiaries of Share Ownership
Number Name
1 Anirudh Misra
Thus to be informed accordingly.
Respectfully,
Fortune Indonesia Tbk
Sari Dewi
Sekretaris Perusahaan
Fortune Indonesia Tbk
Menara BCA, Lantai 36, Suite 3603, Jl. MH Thamrin No 1, Menteng Jakarta Pusat
Phone : +62 21 23587333, Fax : +62 21 23587333, www.foru.co.id
Sender Name Sari Dewi
Function Sekretaris Perusahaan
Date and Time 08-08-2024 15:30
Page 8
This is an official document of Fortune Indonesia Tbk that does not require a signature as it was generated
electronically by the electronic reporting system. Fortune Indonesia Tbk is fully responsible for the information
contained within this document.
Names mentioned 5 people and organisations named in the text · linked when the evidence is strong
unresolved
org
IMR ASIA
· 361.875.500
p.1
Extraction attempts how the parser did, and what it refused
Nothing structured was extracted from this document — the attempts below say why.
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confidence 0.900
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12 Sep 2026 22:59
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '465224000'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '10.66', 'shares': '49626500'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2024-07-31',
'checksum_ok': True,
'checksum_parts': '465224000',
'holders': [{'address': 'MENARA RAJAWALI LT 27 JL DR IDE ANAK AGUNG GDE AGUNG '
'LOT #5.1',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'KARYA CITRA PRIMA',
'page_no': 1,
'pct': '11.55',
'pct_prev': '11.55',
'position': '',
'seq': 0,
'shares': '53722000',
'shares_prev': '53722000'},
{'address': 'MEGA KUNINGAN JAKARTA SELATAN 1 Kaki-Bukit Road 1 '
'#02-44,',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'IMR ASIA HOLDING',
'page_no': 1,
'pct': '77.79',
'pct_prev': '77.79',
'position': '',
'seq': 1,
'shares': '361875500',
'shares_prev': '361875500'}],
'issuer_name': 'Fortune Indonesia Tbk',
'issuer_ticker': 'FORU',
'layout': 'EREP_COVER',
'letter_number': '043/FORU-CS/VIII/2024',
'listing_board': 'Pemantauan Khusus',
'period_label': 'Juli 2024',
'registrar': 'PT. Sinartama Gunita',
'total_shares': '465224000'}