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20240403_LIFE_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31623304.pdf
Shareholder register Parsed LIFESource file signed link, expires in 15 minutes
Extracted text 8
Page 1
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Nomor Surat 05/MSL-CSES/IV/2024
Nama Perusahaan PT MSIG Life Insurance Indonesia Tbk.
Kode Emiten LIFE
Papan Pencatatan Pemantauan Khusus
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Maret 2024
Sebagai Berikut :
Biro Administrasi Efek: PT. Sinartama Gunita
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
UBS AG Menara Tekno 262.500.000 12,5% 262.500.000 12,5%
Singapore S/A Lt. 7, Jl. H.
Pemegang Fachruddin No.
Saham > 5% 19, Tanah
Abang
Mitsui 9 Kanda 1.680.000.000 80% 1.680.000.00 80%
Sumitomo Surugadai, 3- 0 X
Chome
Chiyoda-Ku,
Tokyo 101-8011
0 0% 0 0%
Masyarakat - Warkat - Scrip
157.500.000 7,5% 157.500.00 7,5%
Masyarakat - Non Warkat - Scripless 0
0 0% 0 0%
Saham Treasury
2.100.000.00 100% 2.100.000.00 100%
Total 0 0
Page 2
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
1,680,000,000 80% 1,680,000,000 80%
Total Pengendali
420,000,000 20% 420,000,000 20%
Total Non Pengendali
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
157.500.000 157.500.000
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
0 0
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 157.500.000 157.500.000
Jumlah saham tercatat di Bursa per akhir bulan 2.100.000.000 2.100.000.000
% Saham Free Float 7,5 7,5
Page 3
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
642 640 2
Penerima Manfaat Akhir dari Kepemilikan Saham
Nomor Nama
1 Hideaki Nomura
Demikian untuk diketahui.
Hormat Kami,
PT MSIG Life Insurance Indonesia Tbk.
Leony Samosir
Corporate Secretary
PT MSIG Life Insurance Indonesia Tbk.
Sinarmas MSIG Tower Lt. 6, Jalan Jend. Sudirman Kav.21, Jakarta Selatan 12920
Telepon : 021-50597777, Fax : 021-50608899, www.sinarmasmsiglife.co.id
Nama Pengirim Leony Samosir
Jabatan Corporate Secretary
Tanggal dan Waktu 05-04-2024 11:25
Page 4
Lampiran 1. Laporan Registrasi Pemegang Saham 31032024.pdf
Dokumen ini merupakan dokumen resmi PT MSIG Life Insurance Indonesia Tbk. yang tidak memerlukan tanda
tangan karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT MSIG Life Insurance Indonesia Tbk.
bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 5
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Letter / Announcement No. 05/MSL-CSES/IV/2024
Issuer Name PT MSIG Life Insurance Indonesia Tbk.
Issuer Code LIFE
Listing Board Watchlist
Attachment 1
Subject Monthly Report of Securities Holders Registration
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 March 2024
as follows:
Security Administration Bureau: PT. Sinartama Gunita
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
UBS AG Menara Tekno 262,500,000 12.5% 262,500,000 12.5%
Share Singapore S/A Lt. 7, Jl. H.
Ownership > Fachruddin No.
5% 19, Tanah
Abang
Mitsui 9 Kanda 1,680,000,000 80% 1,680,000,00 80%
Sumitomo Surugadai, 3- 0 X
Chome
Chiyoda-Ku,
Tokyo 101-8011
0 0% 0 0%
Masyarakat - Warkat - Scrip
157.500.000 7,5% 157.500.00 7,5%
Masyarakat - Non Warkat - Scripless 0
0 0% 0 0%
Saham Treasury
2.100.000.00 100% 2.100.000.00 100%
Total 0 0
Page 6
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
1,680,000,000 80% 1,680,000,000 80%
Total Controller
420,000,000 20% 420,000,000 20%
Total Non-Controllers
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
157.500.000 157.500.000
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
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 157.500.000 157.500.000
The number of shares listed on the Exchange at the end of the
2.100.000.000 2.100.000.000
month
% Free Float Share 7,5 7,5
Page 7
Number of Shareholders
Previous Month This Month Change
642 640 2
Final Beneficiaries of Share Ownership
Number Name
1 Hideaki Nomura
Thus to be informed accordingly.
Respectfully,
PT MSIG Life Insurance Indonesia Tbk.
Leony Samosir
Corporate Secretary
PT MSIG Life Insurance Indonesia Tbk.
Sinarmas MSIG Tower Lt. 6, Jalan Jend. Sudirman Kav.21, Jakarta Selatan 12920
Phone : 021-50597777, Fax : 021-50608899, www.sinarmasmsiglife.co.id
Sender Name Leony Samosir
Function Corporate Secretary
Date and Time 05-04-2024 11:25
Page 8
Attachment 1. Laporan Registrasi Pemegang Saham 31032024.pdf
This is an official document of PT MSIG Life Insurance Indonesia Tbk. that does not require a signature as it was
generated electronically by the electronic reporting system. PT MSIG Life Insurance Indonesia Tbk. is fully
responsible for the information contained within this document.
Names mentioned 6 people and organisations named in the text · linked when the evidence is strong
unresolved
org
Life Insurance Indonesia Tbk.
p.1 ×10
unresolved
person
Leony Samosir
· Corporate Secretary
p.3 ×3
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
291 ms
12 Sep 2026 23:05
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '2100000000'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '7.5', 'shares': '157500000'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2024-03-31',
'checksum_ok': True,
'checksum_parts': '2100000000',
'holders': [{'address': 'Menara Tekno Lt. 7, Jl. H. Fachruddin No.',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'UBS AG Singapore S/A',
'page_no': 1,
'pct': '12.5',
'pct_prev': '12.5',
'position': '',
'seq': 0,
'shares': '262500000',
'shares_prev': '262500000'},
{'address': '19, Tanah Abang 9 Kanda Surugadai, 3-',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Mitsui Sumitomo',
'page_no': 1,
'pct': '80',
'pct_prev': '80',
'position': '',
'seq': 1,
'shares': '1680000000',
'shares_prev': '1680000000'}],
'issuer_name': 'PT MSIG Life Insurance Indonesia Tbk.',
'issuer_ticker': 'LIFE',
'layout': 'EREP_COVER',
'letter_number': '05/MSL-CSES/IV/2024',
'listing_board': 'Pemantauan Khusus',
'period_label': 'Maret 2024',
'registrar': 'PT. Sinartama Gunita',
'total_shares': '2100000000'}