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20260507_FMII_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_32078479.pdf
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Page 1
Go To English Page Nomor Surat 11/FMI-CS/V/2026 Nama Perusahaan Fortune Mate Indonesia Tbk Kode Emiten FMII Papan Pencatatan Pengembangan Lampiran 1 Perihal Laporan Bulanan Registrasi Pemegang Efek Bersama ini Fortune Mate 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 Fortune Mate 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
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham Afiliasi
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali
Sebelumnya Sebelumny Pengendali
Ini Ini
a
Tjandra Gedung Gozco Direksi 1.318.342.187 20,6% 1.318.342.18 20,6%
Pemegang Mindharta Lt. 3 Jl. Raya 7
Saham Darmo No. 54-
X
Direksi dan 56, Surabaya
60265 Jawa
Komisaris
Timur
Teddy Romokalisari Komisaris 1.318.342.187 20,6% 1.318.342.18 20,6%
Gunawan RT 1/RW1, 7
Romokalisari, X
Benowo,
Surabaya
Persen
Jumlah Persen
Jumlah Saham Saham Afiliasi
Nama Alamat Saham Bulan Saham Bulan Pengendali
Pemegang Sebelumnya Sebelumny Pengendali
Ini Ini
a
saham 5%
PT Surya Jl. Tambak 2.987.129.145 46,67% 2.987.129.14 46,67%
(lima persen)
Mega Sawah No:6 5
atau lebih
Blok A19, Lantai X
1 Kec. Waru.
Sidoarjo
Pemegang Saham < 5%
0 0% 0 0%
Publik - Warkat
776.186.481 12,13% 776.186.48 12,13%
Publik - Non Warkat 1
0 0% 0 0%
Saham Treasuri
6.400.000.00 100% 6.400.000.00 100%
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 2.636.684.374
Karyawan (hanya saham yang dibatasi pengalihan
0
kepemilikannya)
Pengendali 2.987.129.145
Saham Tresuri 0
Jumlah Saham Scripless berdasarkan Tipe dan Klasifikasi Investor dari KSEI
Tipe dan Klasifikasi Investor Jumlah Saham
Bank 1.050
Government -
Private Equity -
Trustee Bank -
Venture Capital -
Private Bank 234
Exchange Traded Funds -
Investment Manager -
Investment Advisors 51.600
Brokerage Firms -
Page 4
Hedge Fund - Sovereign Wealth Fund - Capital Market Supporting Institutions and Professions - Commanditaire Vennootschap (CV) or Limited partnership - Firm - Invesment Fund Selling Agent - Peer to peer lending - Permanent establishment - Sole proprietorship - Corporate 3.038.224.367 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) - Securities Company (SC) 138.756.649 Pension Funds (PF) - Financial Institutional (IB) - Insurance (IS) - Foundation (FD) 72 Individual (ID) 3.222.966.028 *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
776.186.481 776.186.481
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 0
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 776.186.481 776.186.481
Jumlah saham tercatat di Bursa per akhir bulan 6.400.000.000 6.400.000.000
% Saham Free Float 12,13 12,13
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
1.824 1.717 107
Pemilik manfaat (pengendali tingkat individu) yang terdiri dari satu pihak atau kelompok yang terorganisasi dari Fortune Mate Indonesia
Tbk
Pemegang Saham
Nama Pemegang % Kepemilikan
Nomor Nama Pemilik Manfaat Alamat Langsung
Saham Langsung Saham*
Perseroan
1 0 0 Ya 0%
2 0 0 Ya 0%
* 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,
Fortune Mate Indonesia Tbk
Agustinus Agus Sunarto
Page 8
Corporate Secretary
Fortune Mate Indonesia Tbk
Gedung Gozco Lt. 3 Jl. Raya Darmo No. 54-56, Surabaya 60265 Jawa Timur
Telepon : (031) 561-28-18 (hunting) , Fax : (031) 562-09-68 , www.fmiindo.com
Nama Pengirim Agustinus Agus Sunarto
Jabatan Corporate Secretary
Tanggal dan Waktu 07-05-2026 14:34
Lampiran 1. DPS FMII APRIL 2026 final.pdf
Dokumen ini merupakan dokumen resmi Fortune Mate Indonesia Tbk yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. Fortune Mate Indonesia Tbk bertanggung jawab
penuh atas informasi yang tertera didalam dokumen ini.
Page 9
Go To Indonesian Page Letter / Announcement No. 11/FMI-CS/V/2026 Issuer Name Fortune Mate Indonesia Tbk Issuer Code FMII 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 Fortune Mate 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
Page 10
Number of Percent of Number of Percent of Affiliate of
Name Address Position Shares in Shares in Shares in Shares in Controller the
Previous Previous Current Current Controller
Tjandra Gedung Gozco Direksi 1,318,342,187 20.6% 1,318,342,18 20.6%
Board of
Mindharta Lt. 3 Jl. Raya 7
Directors and Darmo No. 54-
Board of X
56, Surabaya
Commission 60265 Jawa
ers Timur
Teddy Romokalisari Komisaris 1,318,342,187 20.6% 1,318,342,18 20.6%
Gunawan RT 1/RW1, 7
Romokalisari, X
Benowo,
Surabaya
Number of Percent of Number of Percent of Affiliate of
Name Address Shares in Shares in Shares in Shares in Controller the
Shareholders Previous Previous Current Current Controller
of 5% (five PT Surya Jl. Tambak 2,987,129,145 46.67% 2,987,129,14 46.67%
percent) or Mega Sawah No:6 5
more Blok A19,
X
Lantai 1 Kec.
Waru.
Sidoarjo
0 0% 0 0%
Public - Scrip
776.186.481 12,13% 776.186.48 12,13%
Public - Scripless 1
0 0% 0 0%
Treasury Stock
6.400.000.00 100% 6.400.000.00 100%
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 2.636.684.374 Employee (lock up shares only) 0 Controller 2.987.129.145 Treasury 0 Number of Scripless Shares based on Investor Type and Classification from KSEI Investor Type & Classification Number of Shares Bank 1.050 Government - Private Equity - Trustee Bank - Venture Capital - Private Bank 234 Exchange Traded Funds - Investment Manager - Investment Advisors 51.600 Brokerage Firms -
Page 12
Hedge Fund - Sovereign Wealth Fund - Capital Market Supporting Institutions and Professions - Commanditaire Vennootschap (CV) or Limited partnership - Firm - Investment Fund Selling Agent - Peer to peer lending - Permanent establishment - Sole proprietorship - Corporate 3.038.224.367 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) - Securities Company (SC) 138.756.649 Pension Funds (PF) - Financial Institutional (IB) - Insurance (IS) - Foundation (FD) 72 Individual (ID) 3.222.966.028 *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
776.186.481 776.186.481
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 0
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 776.186.481 776.186.481
The number of shares listed on the Exchange at the end of the
6.400.000.000 6.400.000.000
month
% Free Float Share 12,13 12,13
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
1.824 1.717 107
Beneficial owner (ultimate individual controller) consisting of one party or an organized group from Fortune Mate
Indonesia Tbk
Company’s Direct Direct Shareholder % Share
Number Beneficial Owner Name Address
Shareholders Name Ownership*
1 0 0 Yes 0%
2 0 0 Yes 0%
*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,
Fortune Mate Indonesia Tbk
Page 16
Agustinus Agus Sunarto
Corporate Secretary
Fortune Mate Indonesia Tbk
Gedung Gozco Lt. 3 Jl. Raya Darmo No. 54-56, Surabaya 60265 Jawa Timur
Phone : (031) 561-28-18 (hunting) , Fax : (031) 562-09-68 , www.fmiindo.com
Sender Name Agustinus Agus Sunarto
Function Corporate Secretary
Date and Time 07-05-2026 14:34
Attachment 1. DPS FMII APRIL 2026 final.pdf
This is an official document of Fortune Mate Indonesia Tbk that does not require a signature as it was generated
electronically by the electronic reporting system. Fortune Mate Indonesia Tbk is fully responsible for the information
contained within this document.
Names mentioned 7 people and organisations named in the text · linked when the evidence is strong
unresolved
person
Romokalisari
· Komisaris
p.2 ×2
unresolved
org
PT Surya
p.2 ×2
unresolved
—
Mega
p.2
unresolved
org
Corporate Secretary Fortune Mate Indonesia Tbk
p.8
unresolved
—
Agustinus Agus Sunarto
· Corporate Secretary
p.8 ×2
unresolved
org
Agus Sunarto
p.16
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
351 ms
12 Sep 2026 22:28
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '6400000000'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '12.13', 'shares': '776186481'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2026-04-30',
'checksum_ok': True,
'checksum_parts': '6400000000',
'holders': [{'address': 'Gedung Gozco Lt. 3 Jl. Raya Darmo No. 54-',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Tjandra Mindharta',
'page_no': 2,
'pct': '20.6',
'pct_prev': '20.6',
'position': 'Direksi',
'seq': 0,
'shares': '1318342187',
'shares_prev': '1318342187'},
{'address': '56, Surabaya 60265 Jawa Timur Romokalisari RT 1/RW1,',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Teddy Gunawan',
'page_no': 2,
'pct': '20.6',
'pct_prev': '20.6',
'position': 'Komisaris',
'seq': 1,
'shares': '1318342187',
'shares_prev': '1318342187'},
{'address': 'Jl. Tambak Sawah No:6 Blok A19, Lantai 1 Kec. Waru. '
'Sidoarjo',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'PT Surya Mega',
'page_no': 2,
'pct': '46.67',
'pct_prev': '46.67',
'position': '',
'seq': 2,
'shares': '2987129145',
'shares_prev': '2987129145'}],
'issuer_name': 'Fortune Mate Indonesia Tbk',
'issuer_ticker': 'FMII',
'layout': 'EREP_COVER',
'letter_number': '11/FMI-CS/V/2026',
'listing_board': 'Pengembangan',
'period_label': 'April 2026',
'registrar': 'PT. Sinartama Gunita',
'total_shares': '6400000000'}