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Page 1
                                                                                                    PT ADI,ITITPA
                                                                                                     Rehalrle A -4a"a/ ?aa,croez
Jakarta, 05 Apr*l 2S24

No. : LB-011MIH41CI42024

KepadaYth.
PT MITRA KTLUARGA KARYASEHAT, TbK
RS &1itra Ketuarga Bekasi Timur
Jl" Pengasinan, tav,ra Se;xut, irtargatrayu
Bekasi M13

                       lI}u Jtrrre r. jl4fiq&Iil+l
                       ll-,-   t---,,,    l,   aa--^l,i-
u.p.                                                       -i


                       Corpcrate Secetary

Periha[                L*pr*n Sr:tana* tentang Kanrpcsisi Pernegang Saham Ferseroan

Dengan horrnat,

Bersama ini kan-ri kinmkan [ap*ran untuk bulan futaret 2024 yang berupa :

.      Kompcsisi Kepemitikan Saham.

'      Laporan Kepemitikan Saham Pengendati, Direksi & Komisaris.

.      Laporan Hepen:iLikan Efek yang r]rencapai 5i. atau tebih.

.      Formutir Nomor: X.l-i.tr-2 Laporan Butanan Kepemilik*n Saham Enriten atau Ferusahaan
       Pubiik dan Rekapitu'ta:i y*ng telah Dilaparkan

.      Laporan Penggunaan Blangka S*ham.

.      Daftar Femegang Satram"


At*s perhatian dan kerjas*manya k*mi ucapkan terima kasih.


Hormat kami,                                                                     ldengetahui




Evanthe Rachetia                         Sar*h Phehryanti                        Andry
Account Officer                          Acc**nt *fficer                         Direktur




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                          pT,ADL${IEQA .ff ASm E<,Crfsora BF!-o Ars FrrE               E.afr   ssx rx g$ s $q:Eq
                                 KIRANA BOUTIQUE OFFICE, .ii 1., illua Avcnuc lll Blok F3 No.          -<

                  Kelapa Gading - Jakarta Utara 14250 Telp : 02 I -297 45222 (Hunting) Fax : 021-21)21\9()61
                                               Email : opr@adimitra-jk.co.id
Page 2
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Page 3
                                              PEMTGA$IG SAHAFI PEI'}GET{NA{-I
                                                      Bulan : l,taret 7824
                                          Emiten ; PT Mitra Keluarga Karyasehat Tbk

                                                                                                 lur*lah             Fersentese
No                             Nama & Alarnat Pemegang Saharr
                                                                                                  Saham                Saham
{    FT **y*i:tse*':i Cakas*daya                                                                 8,S64,,SS,+.?S*         62.230/r:
     Jl. Le$en Suprapte Kav.4
     Cempaka Putih Timur - Cempaka Putih
     lak*r* P*;kt
     Na*':a F.B/3K: FT fiank HSBC lfidsrlcsia
     Nama AB/BK : PT Kiwocm Sekuritas Indcnesia
     ld*ii:* A*,J#K : S1JT #eutsche Bank AG


                                                LAPSRAN KTPE}IILIKAN SAHAM
                                                qJLtH UlKLK5I UAI\I KUII'Ii}AKI5
                                                       Bulan : Maret 2S2{
                                          Erniten : FT Mitra Keluarga Karyasehat, fbk

                                                                                                 lumlah              Persentase
No                          Na*ra                                  Jabatan
                                                                                                  Saham                Saham
I    lozef Darmawan ArrEkasa, MBA. P4Sc               K*misaris Ufarn*                                978,C**             0.s10,6
2    Shinta Deviyanti Setiawan                        Kamisaris                                                           0.00%
3    Isje Ayusari                                     Kornisaris                                              0           0.00o/o
A
a    ,1*h*ri;-:es S*t$ono                             Kamlsaris independen                                                0.0*0./o
5    Dr. L Gusti Gede Subawa                          Kamisaris Independen                                    0           0.00olo
     Ir. Rustiyan Oen, MBA                            Direktur Utama                              181.661,7*C             1.28o/o
1    Joyce Vi<iyayanti i-tandajani, MBA               Direlctur                                               0           0.00ali]
8    Dr. Nulr*antina Fandina                          Direktur                                             900            0.000,.1:
                                                                                                                                            E\



                                                                                           Jaka*a, 31 l"laret 2S2{

                                                                                        flf Hormat kami,
                                                                                                       AD
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Page 4
FORI{UL"IR NOMOR   :   X.H.l-1                                                                                            LAMPIRAN              1

                                                                                                                          Perafura* Flem*r      X.H.1



                                            LAPORAIi KEPEts''JLIKAN EFEK YANG TIENCAPAI 5 s/s ATAU LEBIH
                                               AARI SAHAM YANG DITEMPATKAN DAN DISETOR PENUH


                                            Emiten           l- i iuii I KA (trLUAK\rA l\At(Y A>EnA I , i DK
                                             BAE             PT ADIMITRA ]ASA KORPORA
                                            Tanggal          31 Maret 2024

                                                                                                                Statu5          iumiah         Persentase
 No          Nama Pemegang Saham                             Alamat Pemegang Saham
                                                                                                                  A/i           Saham           Saham

  1   PT Griyainsani Cakrasadaya             Jl. Letjen Suprapto Kav. 4
                                                                                                                   T
                                                                                                                               8"864"884,200        62.234/a
                                             Cempaka Putih llmur - Cernpaka Putih
                                             lakarta Pusat
                                             Nama AB/BK : PT Bank HSBC Indonesia
                                             Nama ABIBK ; PT Kiwoom Sekuritas lndonesia
                                             Nama ABIBK : BUT De.,ts{he Bank AG

                                                                                            lumlah>>                           8,864,884,200        6?.230/o

Catatan : Gabr..:ngan DPS dlrn bentuk WARKAT & C-8est {Scripless)                                                                                              tt
                                                                                                               Jakari?. 31 l"tarei 202.+
                                                                                                        qft PT ADI-MITRA ]ASA KORPORA




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File

File Open PDF
Source IDX
Size2.25 MB
Published5 Apr 2024
Pages5
Characters59,660
Text sourceEmbedded text layer
OCR confidence—

Names mentioned 16 people and organisations named in the text · linked when the evidence is strong

linked org Mitra Keluarga Karyasehat Tbk p.3 ×3
linked person Shinta Deviyanti Setiawan p.3
linked person Isje Ayusari p.3
linked org Bank HSBC Indonesia p.4
possible org PT ADI p.1
possible person Dr. L Gusti Gede Subawa p.3 ×2
possible person Ir. Rustiyan Oen p.3 ×2
unresolved org PT MITRA KTLUARGA KARYASEHAT p.1
unresolved org PT ADIATIEA Releadle p.2
unresolved org PT Kiwocm Sekuritas Indcnesia p.3
unresolved org Bank AG LAPSRAN KTPE p.3
unresolved person Darmawan ArrEkasa p.3
unresolved person Dr. Nulr p.3
unresolved org PT Bank HSBC Indonesia Nama ABIBK p.4
unresolved org PT Kiwoom Sekuritas p.4

Extraction attempts how the parser did, and what it refused

Nothing structured was extracted from this document — the attempts below say why.

Rule parser Needs review confidence 0.000 272 ms 12 Sep 2026 23:05

unrecognised registrar template; first line: PT ADI,ITITPA

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