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20260508_FORE_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_32079325.pdf
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Extracted text 16
Page 1
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Nomor Surat 97/SG-CA/LB-FORE/V/2026
Nama Perusahaan PT Fore Kopi Indonesia Tbk
Kode Emiten FORE
Papan Pencatatan Pengembangan
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek
Bersama ini PT Fore Kopi Indonesia Tbk menyatakan:
1. Bertanggung jawab atas penyusunan dan penyajian Laporan Bulanan Registrasi Pemegang Efek (LBRE).
2. Semua informasi dalam LBRE telah dimuat secara lengkap dan benar, tidak mengandung informasi atau fakta
material yang tidak benar, dan tidak menghilangkan informasi atau fakta material.
3. Perhitungan Free Float telah disajikan sesuai dengan Peraturan Pencatatan Bursa Nomor I-A dan/atau I-V tentang
Pencatatan Saham dan Efek Bersifat Ekuitas Selain Saham yang Diterbitkan oleh Perusahaan Tercatat, termasuk telah
mengeluarkan kepemilikan saham oleh pihak Pengendali dan Afiliasi dari Pengendali, dan Afiliasi dari Pemilik Manfaat;
dimiliki oleh anggota Dewan Komisaris atau anggota Direksi; dan saham yang telah dibeli kembali oleh perusahaan.
Direksi atas nama PT Fore Kopi Indonesia Tbk bertanggung jawab penuh atas informasi yang tertera didalam dokumen
ini.
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada akhir bulan April -
2026 Sebagai Berikut :
Biro Administrasi Efek: PT. Sinartama Gunita
Pemegang
Saham
Direksi dan
Komisaris
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham Afiliasi
Nama Alamat Saham Bulan Saham Bulan Pengendali
Sebelumnya Sebelumny Pengendali
Pemegang Ini Ini
a
saham 5% Fore Holdings 12 Marina 7.038.145.548 78,918% 7.038.145.54 78,918%
(lima persen) Pte. Ltd. Boulevard #31- 8
atau lebih 01A, Marina
X
Bay Financial
Centre,
Singapore
Pemegang Saham < 5%
213.722 0,002% 213.722 0,002%
Publik - Warkat
1.880.000.00 21,08% 1.880.000. 21,08%
Publik - Non Warkat 0 000
0 0% 0 0%
Saham Treasuri
8.918.359.27 100% 8.918.359.27 100%
Total 0 0
Page 3
Jumlah Saham Non Warkat berdasarkan Tipe Investor
Tipe dan Klasifikasi Investor Jumlah Saham
Afiliasi dari pengendali dan pemilik manfaat 0
Direksi dan Dewan Komisaris 0
Karyawan (hanya saham yang dibatasi pengalihan
0
kepemilikannya)
Pengendali 7.038.145.548
Saham Tresuri 0
Jumlah Saham Scripless berdasarkan Tipe dan Klasifikasi Investor dari KSEI
Tipe dan Klasifikasi Investor Jumlah Saham
Bank 13.479.500
Government -
Private Equity 21.276.000
Trustee Bank -
Venture Capital -
Private Bank 265.957.000
Exchange Traded Funds -
Investment Manager 103.681.300
Investment Advisors 21.378.900
Brokerage Firms -
Page 4
Hedge Fund - Sovereign Wealth Fund - Capital Market Supporting Institutions and Professions - Commanditaire Vennootschap (CV) or Limited partnership 435.000 Firm - Invesment Fund Selling Agent - Peer to peer lending - Permanent establishment - Sole proprietorship - Corporate 409.743.900 Association/social organization - State-owned enterprises - Central Bank - State Owned Company - Diocese - Conference - Congregation - Cooperatives - International organization - Political parties -
Page 5
Partnership - Educational Institution - Mutual Funds (MF) 221.024.100 Securities Company (SC) 269.226.000 Pension Funds (PF) - Financial Institutional (IB) - Insurance (IS) - Foundation (FD) - Individual (ID) 553.798.300 *Data klasifikasi investor yang disajikan dalam laporan ini bersumber dari informasi yang disampaikan oleh Pemegang Rekening KSEI berdasarkan hasil verifikasi yang dilakukan melalui proses Know Your Customer (KYC) atas data investor yang dikelolanya. Penetapanan klasifikasi investor dilakukan oleh masing-masing Pemegang Rekening KSEI dengan mengacu pada definisi dan panduan klasifikasi investor yang telah disediakan oleh KSEI. Keakuratan maupun kesesuaian pada penentuan klasifikasi investor yang tersaji dalam laporan ini menjadi tanggung jawab masing-masing Pemegang Rekening KSEI yang melakukan proses klasifikasi tersebut.
Page 6
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham non-warkat dimiliki oleh seluruh pemegang
1.880.000.000 1.880.000.000
saham kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Direksi dan Dewan
0 0
Komisaris kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Pengendali kurang dari 5% 0 0
Jumlah saham non-warkat dimiliki oleh Afiliasi dari Pengendali 0 0
kurang dari 5%
Jumlah saham tresuri non-warkat kurang dari 5% 0 0
Jumlah saham yang harus dibatasi pengalihan kepemilikannya
0 0
(lock up) baik berdasarkan Peraturan maupun bagian tindakan
korporasi Perusahaan Tercatat kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Perusahaan Modal 0 21.276.000
Ventura dan Private Equity kurang dari 5%
Jumlah saham non-warkat yang berada dalam status sita atau 0 0
blokir oleh Aparat Penegak Hukum atau Otoritas yang
berwenang kurang dari 5%
Jumlah saham dengan penerima manfaat investor publik yang 0 0
telah disetujui Bursa untuk diperhitungkan sebagai Free Float
(Ketentuan V.2 Peraturan I-A dan Ketentuan V.2 Peraturan I-V)
Jumlah saham Free Float 1.880.000.000 1.858.724.000
Jumlah saham tercatat di Bursa per akhir bulan 8.918.359.270 8.918.359.270
% Saham Free Float 21,08 20,84
Page 7
Persentase Bulan
Keterangan Bulan Sebelumnya Bulan Ini Persentase Bulan Ini
Sebelumnya
Jumlah saham tidak tercatat 0 0% 0 0%
Jumlah Pemegang Saham Nasabah Pemilik SID
Bulan Sebelumnya Bulan Sekarang Perubahan
20.739 22.999 2.260
Pemilik manfaat (pengendali tingkat individu) yang terdiri dari satu pihak atau kelompok yang terorganisasi dari PT Fore Kopi Indonesia
Tbk
Pemegang Saham
Nama Pemegang % Kepemilikan
Nomor Nama Pemilik Manfaat Alamat Langsung
Saham Langsung Saham*
Perseroan
1 Willson Cuaca 12 Marina Tidak Fore Holdings Pte. 78,918 %
Boulevard, #31- Ltd.
* Persentase Kepemilikan, jika pemegang kolom pemegang saham langsung diisi:
- Ya : maka merupakan % kepemilikan pemilik manfaat langsung ke Perseroan
- Tidak : maka merupakan % kepemilikan pemengang saham langsung ke Perseroan
Demikian untuk diketahui.
Hormat Kami,
PT Fore Kopi Indonesia Tbk
Denny Ngadimin
Page 8
Corporate Secretary
PT Fore Kopi Indonesia Tbk
Gedung Graha Ganesha, Lantai 1 Suite 120 & 130 Jl. Hayam Wuruk Nomor 28,
Telepon : (021) 3506373, Fax : , www.fore.coffee
Nama Pengirim Denny Ngadimin
Jabatan Corporate Secretary
Tanggal dan Waktu 08-05-2026 18:45
Lampiran 1. FORE - Laporan Bulanan - Apr 2026.pdf
Dokumen ini merupakan dokumen resmi PT Fore Kopi Indonesia Tbk yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Fore Kopi Indonesia Tbk bertanggung jawab
penuh atas informasi yang tertera didalam dokumen ini.
Page 9
Go To Indonesian Page
Letter / Announcement No. 97/SG-CA/LB-FORE/V/2026
Issuer Name PT Fore Kopi Indonesia Tbk
Issuer Code FORE
Listing Board Development
Attachment 1
Subject Monthly Report of Securities Holders Registration
Hereby, the Company declares that:
1. It is responsible for the preparation and presentation of the Monthly Securities Holder Registration Report.
2. All information contained in the LBRE has been fully and accurately disclosed, does not contain any incorrect material
information or facts, and does not omit any material information or facts.
3. The Free Float calculation has been presented in accordance with Listing Exchange Regulation Number I-A and/or I-V
concerning the Listing of Shares and Equity Securities Other Than Shares Issued by Listed Companies, including the
exclusion of share ownership by the Controlling Shareholder and its Affiliates; affiliates of beneficial owner; members of
the Board of Commissioners or the Board of Directors; and treasury shares repurchased by the Company.
The Board of Directors of PT Fore Kopi Indonesia Tbk, on behalf of the Company, bears full responsibility for the
information contained in this document.
The Company hereby announce Monthly Report of Securities Holders Registration which ends in April - 2026
Security Administration Bureau: PT. Sinartama Gunita
Board of
Directors and
Board of
Commission
ers
Page 10
Number of Percent of Number of Percent of Affiliate of
Name Address Shares in Shares in Shares in Shares in Controller the
Previous Previous Current Current Controller
Shareholders
of 5% (five Fore Holdings 12 Marina 7,038,145,548 78.918% 7,038,145,54 78.918%
Pte. Ltd. Boulevard 8
percent) or
more #31-01A,
Marina Bay X
Financial
Centre,
Singapore
213.722 0,002% 213.722 0,002%
Public - Scrip
1.880.000.00 21,08% 1.880.000. 21,08%
Public - Scripless 0 000
0 0% 0 0%
Treasury Stock
8.918.359.27 100% 8.918.359.27 100%
Total 0 0
Page 11
Number of Scrip and Scripless Shares based on Investor Type and Classification Investor Type & Classification Number of Shares Affiliation from Controller & Beneficial Owner 0 BOD / BOC 0 Employee (lock up shares only) 0 Controller 7.038.145.548 Treasury 0 Number of Scripless Shares based on Investor Type and Classification from KSEI Investor Type & Classification Number of Shares Bank 13.479.500 Government - Private Equity 21.276.000 Trustee Bank - Venture Capital - Private Bank 265.957.000 Exchange Traded Funds - Investment Manager 103.681.300 Investment Advisors 21.378.900 Brokerage Firms -
Page 12
Hedge Fund - Sovereign Wealth Fund - Capital Market Supporting Institutions and Professions - Commanditaire Vennootschap (CV) or Limited partnership 435.000 Firm - Investment Fund Selling Agent - Peer to peer lending - Permanent establishment - Sole proprietorship - Corporate 409.743.900 Association/social organizations - State Owned Enterprises - Central Bank - State Owned Company - Diocese - Conference - Congregation - Cooperatives - International organization - Political parties -
Page 13
Partnership - Educational Institution - Mutual Funds (MF) 221.024.100 Securities Company (SC) 269.226.000 Pension Funds (PF) - Financial Institutional (IB) - Insurance (IS) - Foundation (FD) - Individual (ID) 553.798.300 *The investor classification data presented in this report is derived from information provided by KSEI Account Holders based on verification conducted through the Know Your Customer (KYC) process on the investor data under their management. The determination of investor classification is carried out by each KSEI Account Holder with reference to the definitions and investor classification guidelines provided by KSEI. The accuracy and appropriateness of the investor classification presented in this report remain the responsibility of each KSEI Account Holder that performs the classification process.
Page 14
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
1.880.000.000 1.880.000.000
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
The number of shares owned less than 5% and subject to a lock-
up restriction, either based on regulations or the corporate 0 0
actions of the listed company.
The number of non-script shares owned less than 5% by venture 0 21.276.000
capital and private equity companies
The number of non-script shares owned less than 5% and 0 0
subject to confiscation or blocking by law enforcement officials or
authorized authorities.
Number of shares with public investor beneficiaries that have 0 0
been approved by IDX as Free Float (Provision V.2 of Regulation
I-A and Provision V.2 of Regulation I-V).
The amount of Free Float Share 1.880.000.000 1.858.724.000
The number of shares listed on the Exchange at the end of the
8.918.359.270 8.918.359.270
month
% Free Float Share 21,08 20,84
Page 15
Remarks Previous Month Previous Month Percentage Current Month Current Month Percentage
Number of Unlisted Shares 0 0% 0 0%
Number of Shareholders Holding SID Accounts
Previous Month Current Month Change
20.739 22.999 2.260
Beneficial owner (ultimate individual controller) consisting of one party or an organized group from PT Fore Kopi
Indonesia Tbk
Company’s Direct Direct Shareholder % Share
Number Beneficial Owner Name Address
Shareholders Name Ownership*
1 Willson Cuaca 12 Marina Boulevard, #31-01A, No Fore Holdings Pte. 78,918 %
Marina Bay Financial Centre, Ltd.
*Ownership Percentage, if the “Direct Shareholder” column is filled:
- Yes: represents the % ownership of the beneficial owner directly in the Company
- No: represents the % ownership of the direct shareholder in the Company
Thus to be informed accordingly.
Respectfully,
PT Fore Kopi Indonesia Tbk
Page 16
Denny Ngadimin
Corporate Secretary
PT Fore Kopi Indonesia Tbk
Gedung Graha Ganesha, Lantai 1 Suite 120 & 130 Jl. Hayam Wuruk Nomor 28,
Phone : (021) 3506373, Fax : , www.fore.coffee
Sender Name Denny Ngadimin
Function Corporate Secretary
Date and Time 08-05-2026 18:45
Attachment 1. FORE - Laporan Bulanan - Apr 2026.pdf
This is an official document of PT Fore Kopi Indonesia Tbk that does not require a signature as it was generated
electronically by the electronic reporting system. PT Fore Kopi 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
Fore Kopi Indonesia Tbk
· Nama Perusahaan
p.1 ×31
unresolved
org
Pte. Ltd.
p.2 ×2
unresolved
—
Denny Ngadimin
· Corporate Secretary
p.8 ×2
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 22:26
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '8918359270'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '21.08', 'shares': '1880000000'},
'under5_warkat': {'pct': '0.002', 'shares': '213722'}},
'as_of_date': '2026-04-30',
'checksum_ok': True,
'checksum_parts': '8918359270',
'holders': [{'address': '12 Marina Boulevard #31- 01A, Marina Bay Financial '
'Centre, Singapore',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Fore Holdings Pte. Ltd.',
'page_no': 2,
'pct': '78.918',
'pct_prev': '78.918',
'position': '',
'seq': 0,
'shares': '7038145548',
'shares_prev': '7038145548'}],
'issuer_name': 'PT Fore Kopi Indonesia Tbk',
'issuer_ticker': 'FORE',
'layout': 'EREP_COVER',
'letter_number': '97/SG-CA/LB-FORE/V/2026',
'listing_board': 'Pengembangan',
'period_label': 'April 2026',
'registrar': 'PT. Sinartama Gunita',
'total_shares': '8918359270'}