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20240507_PALM_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31635752.pdf

Shareholder register Parsed PALM

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Page 1
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 Nomor Surat                               061-L/PTPIB/DIR/V/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 April 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 Saratoga Jl. Ir. H. Juanda              1.415.023.929    9,425% 1.415.023.92   8,971%
                       Sentra          III No.8                                                    9
                      Garibaldi   GD Peluru Blok                2.422.922.324   16,139% 2.422.922.32   15,36%
                       Thohir      E/139, Kebon                                                    4
                                    Baru Tebet,
                                  Jakarta Selatan
                       Winato     Jl. Subang No.                  675.088.407    4,497% 972.366.958    6,164%
                       Kartono     3A Kelurahan
  Pemegang                            Menteng
 Saham > 5%                         Kecamatan
                                      Menteng
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     0,443%    66.551.500   0,422%
                            Convergence
                              Indonesia
                              Lantai 21,
                               Kawasan
                               Rasuna
                            Epicentrum, Jl.
                            H. R. Rasuna
                           Said, Kelurahan
                           Karet Kuningan,
 Pemegang                    Kecamatan
Saham > 5%                    Setiabudi,
                           Jakarta Selatan,
                             Provinsi DKI
                            Jakarta 12940
              Hardi Wijaya     Sekolah         Komisaris        506.316.307     3,373% 729.275.220     4,623%
                 Liong      Kencana I/23,
                           RT/RW.005/015
                               , Grogol
                               Selatan,
                              Kebayoran
                            lama, Jakarta
                                Selatan
              PT Provident    Gd. Wisma                        8.781.290.702   58,491% 8.781.290.70    55,67%
                Capital    GKBI lt.17 suite                                                       2                 X
                                 1716
                                                           0       0%             0          0%
     Masyarakat - Warkat - Scrip

                                              1.104.898.64      7,359%    1.345.443.      8,53%
  Masyarakat - Non Warkat - Scripless                    9                      825

                                               40.922.700       0,273%    40.922.700       0.26%
          Saham Treasury

                                              15.013.014.5       100% 15.773.797.1          100%
                Total                                  18                      58




                                                                            Persentase        Jumlah Saham (Bulan       Persentase(Bulan
             Nama                    Jumlah Saham (Sebelumnya)
                                                                           (Sebelumnya)               Ini)                    Ini)
Page 3
                                                       8,781,290,702           58.491%             8,781,290,702             55.67%
        Total Pengendali

                                                       6,231,723,816           41.509%             6,992,506,456             44.33%
     Total Non Pengendali




Informasi Saham Free Float


                             Keterangan                                   Bulan Sebelumnya             Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                                 2.393.777.563            2.182.193.245
dari 5%
 Jumlah saham scripless dimiliki oleh Direksi dan Dewan
                                                                                  572.867.807               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                                                        1.779.487.056             1.344.943.825


Jumlah saham tercatat di Bursa per akhir bulan                                 15.013.014.518            15.773.797.158


% Saham Free Float                                                                       11,85                       8,53



Jumlah Pemegang Saham


         Bulan Sebelumnya                         Bulan Sekarang                           Perubahan


                                 3.714                                 3.995                                   281
Page 4
Penerima Manfaat Akhir dari Kepemilikan Saham


      Nomor                                                     Nama

          1                                                 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                 08-05-2024 17:05

Lampiran                          1. PALM-2.pdf


                                  2. PALM-1.pdf


                                  3. PALM-3.pdf
Page 5
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 6
 Go To Indonesian Page

 Letter / Announcement No.               061-L/PTPIB/DIR/V/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 April 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 Saratoga Jl. Ir. H. Juanda                 1,415,023,929    9.425% 1,415,023,92       8.971%
                   Sentra          III No.8                                                       9
                  Garibaldi   GD Peluru Blok                   2,422,922,324   16.139% 2,422,922,32       15.36%
                   Thohir      E/139, Kebon                                                       4
                                Baru Tebet,
                              Jakarta Selatan
                   Winato     Jl. Subang No.                     675,088,407    4.497% 972,366,958        6.164%
                   Kartono     3A Kelurahan
  Share                           Menteng
Ownership >                     Kecamatan
   5%                             Menteng
Page 7
                                                              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      0.443%     66,551,500       0.422%
                            Convergence
                              Indonesia
                              Lantai 21,
                               Kawasan
                               Rasuna
                            Epicentrum, Jl.
                            H. R. Rasuna
                           Said, Kelurahan
  Share                    Karet Kuningan,
Ownership >                  Kecamatan
   5%                         Setiabudi,
                           Jakarta Selatan,
                             Provinsi DKI
                            Jakarta 12940
              Hardi Wijaya     Sekolah        Komisaris        506,316,307      3.373% 729,275,220          4.623%
                 Liong      Kencana I/23,
                           RT/RW.005/015
                               , Grogol
                               Selatan,
                              Kebayoran
                            lama, Jakarta
                                Selatan
              PT Provident    Gd. Wisma                       8,781,290,702    58.491% 8,781,290,70         55.67%
                Capital    GKBI lt.17 suite                                                       2                      X
                                 1716
                                                          0        0%              0           0%
       Masyarakat - Warkat - Scrip

                                              1.104.898.64     7,359%    1.345.443.         8,53%
    Masyarakat - Non Warkat - Scripless                  9                     825

                                               40.922.700      0,273%    40.922.700          0.26%
              Saham Treasury

                                              15.013.014.5       100% 15.773.797.1           100%
                   Total                               18                      58




                                                                              Percentage       Number of Shares (This        Percentage (This
               Name                    Number of Shares (Previously)
                                                                              (Previous)              Month)                     Month)
Page 8
                                                          8,781,290,702       58.491%           8,781,290,702             55.67%
         Total Controller

                                                       6,231,723,816          41.509%           6,992,506,456             44.33%
      Total Non-Controllers




Free Float Share Information


                              Information                                 Previous Month           This Month

 The number of scripless shares owned by shareholders is less
                                                                               2.393.777.563            2.182.193.245
 than 5%
 The number of scripless shares owned by the Board of Directors
                                                                                 572.867.807             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                                                1.779.487.056           1.344.943.825

 The number of shares listed on the Exchange at the end of the
                                                                              15.013.014.518          15.773.797.158
 month

 % Free Float Share                                                                     11,85                     8,53
Page 9
Number of Shareholders


           Previous Month                         This Month                    Change


                               3.714                               3.995                 281


Final Beneficiaries of Share Ownership


      Number                                                   Name

           1                                                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                      08-05-2024 17:05
Page 10
Attachment                         1. PALM-2.pdf


                                   2. PALM-1.pdf


                                   3. PALM-3.pdf


  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.

File

File Open PDF
Source IDX
Size0.03 MB
Published8 May 2024
Pages10
Characters16,101
Text sourceEmbedded text layer
OCR confidence—

Names mentioned 14 people and organisations named in the text · linked when the evidence is strong

linked org Provident Investasi Bersama Tbk · Nama Perusahaan p.1 ×30
linked person Winato Kartono p.4 ×3
possible org PT Saratoga p.1 ×2
possible person Hardi Wijaya p.2 ×2
unresolved org PT. Datindo Entrycom · Biro Administrasi Efek p.1
unresolved org PT. Datindo Entrycom Persen p.1
unresolved person Ir. H. Juanda p.1 ×2
unresolved — Garibaldi · 2.422.922.324 p.1
unresolved — Winato · 675.088.407 p.1
unresolved person H. R. Rasuna Said p.2 ×2
unresolved org PT Provident · 8.781.290.702 p.2 ×2
unresolved person LIm Na Lie · Corporate Secretary p.4 ×3
unresolved — 1. PALM-2.pdf p.4
unresolved — Tri Boewono · Direksi p.7

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 0.900 396 ms 12 Sep 2026 23:04
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': '2024-04-30',
 'checksum_ok': True,
 'checksum_parts': '15773797158',
 'holders': [{'address': 'Jl. Ir. H. Juanda III No.8',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'PT Saratoga Sentra',
              'page_no': 1,
              'pct': '8.971',
              'pct_prev': '9.425',
              'position': '',
              'seq': 0,
              'shares': '1415023929',
              'shares_prev': '1415023929'},
             {'address': 'GD Peluru Blok E/139, Kebon Baru Tebet,',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Garibaldi Thohir',
              'page_no': 1,
              'pct': '15.36',
              'pct_prev': '16.139',
              'position': '',
              'seq': 1,
              'shares': '2422922324',
              'shares_prev': '2422922324'},
             {'address': 'Jakarta Selatan Jl. Subang No. 3A Kelurahan',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Winato Kartono',
              'page_no': 1,
              'pct': '6.164',
              'pct_prev': '4.497',
              'position': '',
              'seq': 2,
              'shares': '972366958',
              'shares_prev': '675088407'},
             {'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': '0.443',
              'position': 'Direksi',
              'seq': 3,
              'shares': '66551500',
              'shares_prev': '66551500'},
             {'address': 'Said, Kelurahan Karet Kuningan, Kecamatan Setiabudi, '
                         'Jakarta Selatan, Provinsi DKI Jakarta 12940 Sekolah '
                         'Kencana I/23, RT/RW.005/015 , Grogol Selatan,',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Hardi Wijaya Liong',
              'page_no': 2,
              'pct': '4.623',
              'pct_prev': '3.373',
              'position': 'Komisaris',
              'seq': 4,
              'shares': '729275220',
              'shares_prev': '506316307'},
             {'address': 'Kebayoran lama, Jakarta Selatan Gd. Wisma GKBI lt.17 '
                         'suite',
              'category': 'FIVE_PCT',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'Provident Capital',
              'page_no': 2,
              'pct': '55.67',
              'pct_prev': '58.491',
              'position': '',
              'seq': 5,
              'shares': '8781290702',
              'shares_prev': '8781290702'}],
 'issuer_name': 'PT Provident Investasi Bersama Tbk',
 'issuer_ticker': 'PALM',
 'layout': 'EREP_COVER',
 'letter_number': '061-L/PTPIB/DIR/V/2024',
 'listing_board': 'Pengembangan',
 'period_label': 'April 2024',
 'registrar': 'PT. Datindo Entrycom',
 'total_shares': '15773797158'}
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