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20240503_ZBRA_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31634173.pdf
Shareholder register Parsed ZBRASource file signed link, expires in 15 minutes
Extracted text 8
Page 1
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Nomor Surat 21/DNRI/Let/CorSec/V/2024
Nama Perusahaan PT Dosni Roha Indonesia Tbk
Kode Emiten ZBRA
Papan Pencatatan Pengembangan
Lampiran 1
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 BSR Indonesia
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
PT Trinity Dos Ni Roha 1.585.032.192 63,13% 1.585.032.19 63,13%
Healthcare Lt.3 Jl. Budi 2 X
Pemegang Raya No.9
Kebon Jeruk
Saham > 5%
PT Maybank Sentral 385.250.000 15,34% 385.250.000 15,34%
Sekuritas Senayan III
Building, LT. 15,
20, 22 Jl. Asia
Afrika No. 8
Gelora Tanah
Abang
0 0% 0 0%
Masyarakat - Warkat - Scrip
540.424.071 21,52% 540.424.07 21,52%
Masyarakat - Non Warkat - Scripless 1
0 0% 0 0%
Saham Treasury
2.510.706.26 99,99% 2.510.706.26 99,99%
Total 3 3
Page 2
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
1,585,032,192 63.13% 1,585,032,192 63.13%
Total Pengendali
925,674,071 36.86% 925,674,071 36.86%
Total Non Pengendali
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
540.424.071 540.424.071
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
114.626.100 114.626.100
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 425.797.971 425.797.971
Jumlah saham tercatat di Bursa per akhir bulan 2.510.706.263 2.510.706.263
% Saham Free Float 16,96 16,96
Page 3
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
1.879 1.853 26
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 03-05-2024 17:02
Lampiran 1. ZBRA APRIL 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
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Letter / Announcement No. 21/DNRI/Let/CorSec/V/2024
Issuer Name PT Dosni Roha Indonesia Tbk
Issuer Code ZBRA
Listing Board Development
Attachment 1
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 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
PT Trinity Dos Ni Roha 1,585,032,192 63.13% 1,585,032,19 63.13%
Healthcare Lt.3 Jl. Budi 2 X
Share Raya No.9
Ownership > Kebon Jeruk
5% PT Maybank Sentral 385,250,000 15.34% 385,250,000 15.34%
Sekuritas Senayan III
Building, LT. 15,
20, 22 Jl. Asia
Afrika No. 8
Gelora Tanah
Abang
0 0% 0 0%
Masyarakat - Warkat - Scrip
540.424.071 21,52% 540.424.07 21,52%
Masyarakat - Non Warkat - Scripless 1
0 0% 0 0%
Saham Treasury
2.510.706.26 99,99% 2.510.706.26 99,99%
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% 1,585,032,192 63.13%
Total Controller
925,674,071 36.86% 925,674,071 36.86%
Total Non-Controllers
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
540.424.071 540.424.071
than 5%
The number of scripless shares owned by the Board of Directors
114.626.100 114.626.100
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 425.797.971 425.797.971
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 16,96
Page 7
Number of Shareholders
Previous Month This Month Change
1.879 1.853 26
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 03-05-2024 17:02
Attachment 1. ZBRA APRIL 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.
Names mentioned 8 people and organisations named in the text · linked when the evidence is strong
unresolved
org
PT BSR
· Biro Administrasi Efek
p.1
unresolved
org
PT BSR Indonesia Persen
p.1
unresolved
org
PT Trinity
· 1.585.032.192
p.1 ×2
unresolved
org
PT BSR Indonesia
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
1103 ms
12 Sep 2026 23:04
Raw output
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'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '21.52', 'shares': '540424071'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2024-04-30',
'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': '63.13',
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'position': '',
'seq': 0,
'shares': '1585032192',
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{'address': 'Kebon Jeruk Sentral Senayan III',
'category': 'FIVE_PCT',
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'name': 'PT Maybank Sekuritas',
'page_no': 1,
'pct': '15.34',
'pct_prev': '15.34',
'position': '',
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'issuer_name': 'PT Dosni Roha Indonesia Tbk',
'issuer_ticker': 'ZBRA',
'layout': 'EREP_COVER',
'letter_number': '21/DNRI/Let/CorSec/V/2024',
'listing_board': 'Pengembangan',
'period_label': 'April 2024',
'registrar': 'PT BSR Indonesia',
'total_shares': '2510706263'}