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20240710_ZBRA_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31682230.pdf

Shareholder register Parsed ZBRA

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 Nomor Surat                           32/DNRI/Let/CorSec/VII/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 : 32/DNRI/Let/CorSec/VII/2024 tanggal 10 Juli 2024 perihal Laporan Bulanan Registrasi
Pemegang Efek, dengan ini perseroan menyampaikan hal sebagai berikut:



Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 30 Juni 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
  Pemegang           PT TrinityDos Ni Roha                       1.585.032.192   63,13% 1.777.620.35     70,8%
                     Healthcare Lt.3 Jl. Budi                                                      2               X
 Saham > 5%
                                 Raya No.9
                                Kebon Jeruk
                  B. Rudijanto  Jl Prof Moh        Direksi        107.088.000     4,27% 299.341.200     11,92%
                 Tanoesoedibjo Yamin SH 21
                               Hakarta Pusat
                                                             0       0%            0         0%
        Masyarakat - Warkat - Scrip

                                                 540.424.071      21,53%   433.744.71    17,28%
    Masyarakat - Non Warkat - Scripless                                             1

                                                             0        0%            0         0%
              Saham Treasury

                                                2.510.706.26       100% 2.510.706.26        100%
                      Total                                3                       3
Page 2
                                                                        Persentase       Jumlah Saham (Bulan      Persentase(Bulan
             Nama                     Jumlah Saham (Sebelumnya)
                                                                       (Sebelumnya)              Ini)                   Ini)
                                                       1,585,032,192           63.13%             1,777,620,352              70.8%
        Total Pengendali

                                                         925,674,071           36.86%               733,085,911              29.2%
     Total Non Pengendali




Informasi Saham Free Float


                             Keterangan                                 Bulan Sebelumnya             Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                                 540.424.071               433.744.671
dari 5%
 Jumlah saham scripless dimiliki oleh Direksi dan Dewan
                                                                                 114.626.100                   7.538.100
 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                                                        425.797.971                426.206.571


Jumlah saham tercatat di Bursa per akhir bulan                                 2.510.706.263             2.510.706.263


% Saham Free Float                                                                      16,96                     16,98
Page 3
Jumlah Pemegang Saham


         Bulan Sebelumnya                      Bulan Sekarang                         Perubahan


                               1.822                              1.801                                       21



Penerima Manfaat Akhir dari Kepemilikan Saham


       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
Page 4
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                   11-07-2024 11:07

Lampiran                           1. ZBRA LAPBUL JUNI 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 5
 Go To Indonesian Page

 Letter / Announcement No.             32/DNRI/Let/CorSec/VII/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 : 32/DNRI/Let/CorSec/VII/2024. dated 11 July 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 30 June 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
  Share          PT Trinity  Dos Ni Roha                      1,585,032,192   63.13% 1,777,620,35        70.8%
Ownership >      Healthcare   Lt.3 Jl. Budi                                                     2                    X
   5%                          Raya No.9
                              Kebon Jeruk
                B. Rudijanto  Jl Prof Moh       Direksi        107,088,000     4.27% 299,341,200        11.92%
               Tanoesoedibjo Yamin SH 21
                             Hakarta Pusat
                                                          0        0%            0         0%
         Masyarakat - Warkat - Scrip

                                               540.424.071     21,53%    433.744.71    17,28%
     Masyarakat - Non Warkat - Scripless                                          1

                                                          0        0%             0         0%
               Saham Treasury

                                              2.510.706.26       100% 2.510.706.26       100%
                     Total                               3                       3
Page 6
                                                                          Percentage      Number of Shares (This    Percentage (This
              Name                   Number of Shares (Previously)
                                                                          (Previous)             Month)                 Month)
                                                          1,585,032,192          63.13%             1,777,620,352              70.8%
         Total Controller

                                                           925,674,071           36.86%               733,085,911              29.2%
      Total Non-Controllers




Free Float Share Information


                              Information                                  Previous Month              This Month

 The number of scripless shares owned by shareholders is less
                                                                                   540.424.071               433.744.671
 than 5%
 The number of scripless shares owned by the Board of Directors
                                                                                   114.626.100                  7.538.100
 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                                    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                                                    425.797.971               426.206.571

 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                                                                       16,96                     16,98
Page 7
Number of Shareholders


          Previous Month                            This Month                               Change


                               1.822                                  1.801                                      21


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 8
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                       11-07-2024 11:07

Attachment                         1. ZBRA LAPBUL JUNI 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.

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Size0.02 MB
Published11 Jul 2024
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Characters12,676
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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.3 ×5
possible — B. Rudijanto Tanoesoedibjo · 107.088.000 p.3 ×7
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 TrinityDos Ni Roha p.1
unresolved org PT BSR Indonesia p.5
unresolved org PT Trinity Dos Ni Roha 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 0.900 252 ms 12 Sep 2026 23:00
Raw output
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                'treasury': {'pct': '0', 'shares': '0'},
                'under5_non_warkat': {'pct': '17.28', 'shares': '433744711'},
                'under5_warkat': {'pct': '0', 'shares': '0'}},
 'as_of_date': '2024-06-30',
 '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': '70.8',
              'pct_prev': '63.13',
              'position': '',
              'seq': 0,
              'shares': '1777620352',
              'shares_prev': '1585032192'},
             {'address': 'Kebon Jeruk Jl Prof Moh Yamin SH 21',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Rudijanto Tanoesoedibjo',
              'page_no': 1,
              'pct': '11.92',
              'pct_prev': '4.27',
              'position': 'Direksi',
              'seq': 1,
              'shares': '299341200',
              'shares_prev': '107088000'}],
 'issuer_name': 'PT Dosni Roha Indonesia Tbk',
 'issuer_ticker': 'ZBRA',
 'layout': 'EREP_COVER',
 'letter_number': '32/DNRI/Let/CorSec/VII/2024.',
 'listing_board': 'Pengembangan',
 'period_label': 'Juni 2024',
 'registrar': 'PT BSR Indonesia',
 'total_shares': '2510706263'}
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