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20240530_SILO_Keterbukaan Informasi terkait Aksi Korporasi_31644620_lamp1.pdf
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JADWAL DAN TATA CARA PEMBAYARAN DIVIDEN TUNAI
PT SILOAM INTERNATIONAL HOSPITALS TBK
Direksi PT Siloam International Hospitals Tbk (“Perseroan”) dengan ini mengumumkan kepada para Pemegang
Saham Perseroan bahwa berdasarkan keputusan Rapat Umum Pemegang Saham Tahunan yang telah
diselenggarakan pada Hari Kamis tanggal 30 Mei 2024, Perseroan akan membagikan dividen tunai sebesar Rp 20
(dua puluh Rupiah) per saham (“Dividen”), yang akan dibayarkan kepada Pemegang Saham Perseroan yang berhak
dengan jadwal dan tata cara pembayaran dividen tunai sebagai berikut:
A. JADWAL PEMBAYARAN DIVIDEN TUNAI
No. Keterangan Tanggal
1. Cum Dividen di Pasar Regular dan Pasar Negosiasi 7 Juni 2024
2. Ex Dividen di Pasar Reguler dan Pasar Negosiasi 10 Juni 2024
3. Cum Dividen di Pasar Tunai 11 Juni 2024
4. Ex Dividen di Pasar Tunai 12 Juni 2024
5. Tanggal Daftar Pemegang Saham yang berhak atas Dividen 11 Juni 2024
6. Tanggal Pembayaran Dividen 28 Juni 2024
B. TATA CARA PEMBAGIAN DIVIDEN TUNAI
1. Pembayaran Dividen Tunai akan dibagikan kepada para pemegang saham Perseroan yang namanya tercatat dalam
Daftar Pemegang Saham Perseroan (recording date) pada tanggal 11 Juni 2024 sampai dengan pukul 16:00 WIB.
(“Pemegang Saham Yang Berhak”).
2. Pembayaran Dividen Tunai:
a. Bagi Pemegang Saham Yang Berhak yang sahamnya masih dalam bentuk warkat (script) dapat meminta secara
tertulis pemindahbukuan (bank transfer) pembayaran dividen dengan terlebih dahulu mengajukan permohonan
pembayaran disertai dengan nama bank beserta nomor rekening, bukti identitas individu atau badan hukum yang
masih berlaku yaitu (KTP/SIM/Passport), Fotokopi kartu salinan Nomor Induk Wajib Pajak (“NPWP”) bagi Wajib
Pajak Dalam Negeri (“WPDN”) atau asli Surat Keterangan Domisili berupa DGT Form (“SKT”) bagi Wajib Pajak Luar
Negeri (“WPLN”) paling lambat tanggal 11 Juni 2024 pukul 16:00 WIB kepada:
Biro Administrasi Efek (BAE)
PT Sharestar Indonesia
SOPO DEL Office Tower & Lifestyle Tower B Lantai 18
Jl. Mega Kuningan Barat III, Lot 10.1-6 Kawasan Mega Kuningan
Jakarta Selatan 12950
b. Bagi Pemegang Saham Yang Berhak yang sahamnya telah tercatat dalam penitipan kolektif PT Kustodian Sentral
Efek Indonesia (“KSEI”), pembayaran Dividen Tunai akan dilaksanakan melalui KSEI dan akan didistribusikan ke
dalam rekening Perusahaan Efek dan/atau Bank Kustodian dimana Pemegang Saham Yang Berhak membuka
rekening efek.
3. Pajak atas Dividen Tunai diperhitungkan sesuai dengan ketentuan perpajakan yang berlaku di Indonesia.
4. Bagi para Pemegang Saham Yang Berhak yang merupakan WPDN baik Orang Pribadi maupun Badan Hukum berlaku
ketentuan sesuai dengan Undang-Undang Nomor 11 Tahun 2020 tentang Cipta Kerja dan peraturan pelaksanaannya.
5. Bagi Pemegang Saham yang merupakan WPLN yang negaranya memiliki Persetujuan Penghindaran Pajak Berganda
(‘P3B’) dengan Indonesia, wajib memenuhi persyaratan sesuai ketentuan Pajak yang berlaku dan menyerahkan asli
Surat Keterangan Domisili yang diterbitkan oleh Competent Authority atau wakilnya yang sah di negara treaty partner
(‘SKT’) untuk mendapatkan pembebasan atau pengurangan tarif PPh pasal 26 selambat-lambatnya tanggal 11 Juni 2023
pukul 16.00 WIB kepada PT Sharestar Indonesia, bagi para pemegang saham dalam bentuk Warkat atau kepada KSEI
bagi para pemegang saham dalam Penitipan Kolektif KSEI. Tanpa Surat Keterangan Domisili, Dividen Tunai yang
dibayarkan kepada WPLN tersebut akan dikenakan PPh Pasal 26 sebesar 20% (dua puluh persen).
6. Pengumuman ini merupakan pemberitahuan resmi dari Perseroan berdasarkan ketentuan yang berlaku dan Perseroan
tidak melakukan pengumuman dan/atau pemberitahuan secara khusus kepada masing-masing Pemegang Saham atas
pelaksanaan pembagian Dividen Perseroan.
Tangerang, 30 Mei 2024
Direksi
Page 2
SCHEDULE AND PROCEDURES OF CASH DIVIDEND PAYMENT
PT SILOAM INTERNATIONAL HOSPITALS TBK
The Board of Directors of PT Siloam International Hospitals Tbk (the “Company”) hereby announce to the
Shareholders of the Company that in accordance with the decision of the Annual General Meeting of Shareholders
which was held on Thursday, 30 May 2024; The Company will distribute cash dividends in the amount of Rp20
(twenty Rupiah) per share (“Dividend”), which will be distributed to eligible shareholders with the following
schedule and payment method for cash dividend:
A. CASH DIVIDENDS PAYMENT SCHEDULE
No. Remarks Date
1. Cum Dividend in Regular and Negotiation Market 7 June 2024
2. Ex Dividend in Regular and Negotiation Market 10 June 2024
3. Cum Dividend in Cash Market 11 June 2024
4. Ex Dividend in Cash Market 12 June 2024
5. Recording Date 11 June 2024
6. Payment Date for Cash Dividend 28 June 2024
B. CASH DIVIDENDS PAYMENT PROCEDURES
1. The Dividend Payment will be distributed to the shareholders of the Company whose names are registered in the
Shareholders Register of the Company (recording date) on 11 June 2024 at 4.00 PM Western Indonesian Time.
(Hereinafter referred to as the “Eligible Shareholders”)
2. Terms of Dividend Payment:
a. For the Eligible Shareholders who own shares in script form, may request a written bank transfer payment of cash
dividend by firstly applying for payment accompanied with the bank account number, proof of identity of the
individual or legal entity that is still valid, namely (ID card/Driving License/Passport), Copy of Taxpayer ID Number
(“NPWP”) for Domestic Taxpayers (“WPDN”) or original Certificate of Domicile in the form of DGT Form (“CoD”) for
Non-Resident Taxpayers (“WPLN”) to the Company’s Share at the latest on 11 June 2024 at 4.00 PM Western
Indonesian Time to:
Share Registrar
PT Sharestar Indonesia
SOPO DEL Office Tower & Lifestyle Tower B 18 Floor
Jl. Mega Kuningan Barat III, Lot 10.1-6 Kawasan Mega Kuningan
South Jakarta 12950
b. For the Eligible Shareholders whose shares are deposited in the collective custody PT Kustodian Sentral Efek
Indonesia (“KSEI”), the cash dividend shall be distributed through KSEI through the Securities Companies and/or
Custodian Banks where the Eligible Shareholders open their securities accounts.
3. The Cash Dividend is subject to taxes in accordance with the applicable taxation laws in Indonesia.
4. For the Eligible Shareholders classified as Domestic Taxpayers (“WPDN”) both individuals and legal entities the tax
imposition shall be conducted in accordance with the applicable taxation laws in Indonesia and is required to submit its
Taxpayer’s ID Number (“NPWP”) to KSEI or PT Sharestar Indonesia at the latest on 11 June 2024 at 4.00 PM Western
Indonesian Time.
5. For the Eligible Shareholders who are considered as Non-Resident Taxpayers (“WPLN”) whose country has Tax Treaty
under the Agreement on the Prevention of the Imposition of Dual Taxes (‘DTAA’) with Indonesia, the Eligible Shareholders
shall comply with the prevailing taxation law and submit the original Certificate of Domicile in the form of DGT Form
(“CoD”) published by Competent Authority or its authorized representative in country treaty partner for exemption of
income tax rates Article 26 (PPh 26) no later 11 June 2024 at 4.00 PM to PT Sharestar Indonesia, for its shareholders in
the form of script or for its shareholders in collective custody KSEI, without the Certificate of Domicile, the cash dividend
paid to offshore shareholders will be subject to Article 26 of withholding income tax at the rate of 20% (twenty percent).
6. This announcement is an official notification from the Company based on applicable regulations, and the Company does
not make specific announcements and/or notifications to each Shareholder regarding the implementation of the
Company's Dividend distribution.
Tangerang, 30 May 2024
Board of Directors
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PT Sharestar Indonesia SOPO DEL Office Tower
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