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20240404_VINS_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31624331.pdf
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Extracted text 10
Page 1
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Nomor Surat 0016/VINS-XT/CORSEC/IV/2024
Nama Perusahaan PT Victoria Insurance Tbk.
Kode Emiten VINS
Papan Pencatatan Pengembangan
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. Adimitra Jasa Korpora
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
PT Victoria Graha BIP, Jl 1.065.546.895 72,95% 1.065.546.89 72,95%
Investama Tbk Gatot Subroto 5 X
kav.23
Masyarakat Jakarta 384.281.816 26,31% 384.281.816 26,31%
Aldo Jusuf Jakarta 10.744.905 0,74% 10.744.905 0,74%
Tjahaja
Pemegang Sulistijowati Jakarta Komisaris 0 0% 0 0%
Saham > 5%
Vivekanand Jakarta Komisaris 0 0% 0 0%
Atmaram
Jimmy Paulus Bogor Komisaris 0 0% 0 0%
Watulingas
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
Suwandi GRAHA BIP Lt. Direksi 0 0% 0 0%
Suharto 3A, Jl. Gatot
Subroto Kav.23,
Kel. Karet
Semanggi, Kec.
Setiabudi, Jak-
Sel 12930
Pemegang Fatchurhuda, GRAHA BIP Lt. Direksi 0 0% 0 0%
Drs 3A, Jl. Gatot
Saham > 5%
Subroto Kav.23,
Kel. Karet
Semanggi, Kec.
Setiabudi, Jak-
Sel 12930
Rosalina GRAHA BIP Lt. Direksi 0 0% 0 0%
Gunawan 3A, Jl. Gatot
Subroto Kav.23,
Kel. Karet
Semanggi, Kec.
Setiabudi, Jak-
Sel 12930
0 0% 0 0%
Masyarakat - Warkat - Scrip
0 0% 0 0%
Masyarakat - Non Warkat - Scripless
0 0% 0 0%
Saham Treasury
1.460.573.61 100% 1.460.573.61 100%
Total 6 6
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
1,065,546,895 72.95% 1,065,546,895 72.95%
Total Pengendali
395,026,721 27.05% 395,026,721 27.05%
Total Non Pengendali
Page 3
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
395.026.721 395.026.721
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 158.969.805 198.166.105
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 236.056.916 196.860.616
Jumlah saham tercatat di Bursa per akhir bulan 1.460.573.616 1.460.573.616
% Saham Free Float 16,16 13,48
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
932 980 48
Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
Nomor Nama
1 Suzanna Tanojo
Pengendali dari Pemegang Saham Pengendali dalam bentuk perseroan Terbatas
Nomor Nama Alamat Jumlah Saham
1 PT Victoria Investama, Tbk Graha BIP Lantai 3A, Jl. Jend. 1.065.546.895
Gatot Subroto Kav. 23 Jakarta
Demikian untuk diketahui.
Hormat Kami,
PT Victoria Insurance Tbk.
Suryadi
Direktur
PT Victoria Insurance Tbk.
GRAHA BIP Lt. 3A, Jl. Gatot Subroto Kav.23, Kel. Karet Semanggi, Kec. Setiabudi,
Telepon : 021-5099 2940, Fax : 021-5099 2941, www.victoriainsurance.
Nama Pengirim Suryadi
Jabatan Direktur
Tanggal dan Waktu 04-04-2024 18:30
Page 5
Lampiran 1. VINS - LAPORAN BULAN MARET 2024.pdf
Dokumen ini merupakan dokumen resmi PT Victoria Insurance Tbk. yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Victoria Insurance Tbk. bertanggung jawab penuh
atas informasi yang tertera didalam dokumen ini.
Page 6
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Letter / Announcement No. 0016/VINS-XT/CORSEC/IV/2024
Issuer Name PT Victoria Insurance Tbk.
Issuer Code VINS
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 31 March 2024
as follows:
Security Administration Bureau: PT. Adimitra Jasa Korpora
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 Victoria Graha BIP, Jl 1,065,546,895 72.95% 1,065,546,89 72.95%
Investama Tbk Gatot Subroto 5 X
kav.23
Masyarakat Jakarta 384,281,816 26.31% 384,281,816 26.31%
Aldo Jusuf Jakarta 10,744,905 0.74% 10,744,905 0.74%
Tjahaja
Sulistijowati Jakarta Komisaris 0 0% 0 0%
Share
Ownership >
5% Vivekanand Jakarta Komisaris 0 0% 0 0%
Atmaram
Jimmy Paulus Bogor Komisaris 0 0% 0 0%
Watulingas
Suwandi GRAHA BIP Lt. Direksi 0 0% 0 0%
Suharto 3A, Jl. Gatot
Subroto Kav.23,
Kel. Karet
Semanggi, Kec.
Setiabudi, Jak-
Sel 12930
Page 7
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
Fatchurhuda, GRAHA BIP Lt. Direksi 0 0% 0 0%
Drs 3A, Jl. Gatot
Subroto Kav.23,
Share Kel. Karet
Ownership > Semanggi, Kec.
5% Setiabudi, Jak-
Sel 12930
Rosalina GRAHA BIP Lt. Direksi 0 0% 0 0%
Gunawan 3A, Jl. Gatot
Subroto Kav.23,
Kel. Karet
Semanggi, Kec.
Setiabudi, Jak-
Sel 12930
0 0% 0 0%
Masyarakat - Warkat - Scrip
0 0% 0 0%
Masyarakat - Non Warkat - Scripless
0 0% 0 0%
Saham Treasury
1.460.573.61 100% 1.460.573.61 100%
Total 6 6
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
1,065,546,895 72.95% 1,065,546,895 72.95%
Total Controller
395,026,721 27.05% 395,026,721 27.05%
Total Non-Controllers
Page 8
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
395.026.721 395.026.721
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 158.969.805 198.166.105
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 236.056.916 196.860.616
The number of shares listed on the Exchange at the end of the
1.460.573.616 1.460.573.616
month
% Free Float Share 16,16 13,48
Number of Shareholders
Previous Month This Month Change
932 980 48
Final Beneficiaries of Share Ownership
Page 9
Number Name
1 Suzanna Tanojo
Controlling from the Controlling Shareholder in the form of a Limited Liability Company
Number Name Address Total Stock
1 PT Victoria Investama, Tbk Graha BIP Lantai 3A, Jl. Jend. 1,065,546,895
Gatot Subroto Kav. 23 Jakarta
Thus to be informed accordingly.
Respectfully,
PT Victoria Insurance Tbk.
Suryadi
Direktur
PT Victoria Insurance Tbk.
GRAHA BIP Lt. 3A, Jl. Gatot Subroto Kav.23, Kel. Karet Semanggi, Kec. Setiabudi,
Phone : 021-5099 2940, Fax : 021-5099 2941, www.victoriainsurance.co.id
Sender Name Suryadi
Function Direktur
Date and Time 04-04-2024 18:30
Page 10
Attachment 1. VINS - LAPORAN BULAN MARET 2024.pdf
This is an official document of PT Victoria Insurance Tbk. that does not require a signature as it was generated
electronically by the electronic reporting system. PT Victoria Insurance Tbk. is fully responsible for the information
contained within this document.
Names mentioned 15 people and organisations named in the text · linked when the evidence is strong
unresolved
org
PT. Adimitra Jasa Korpora
· Biro Administrasi Efek
p.1
unresolved
org
PT. Adimitra Jasa Korpora Persen
p.1
unresolved
org
PT Victoria Graha BIP
p.1 ×2
unresolved
org
Investama Tbk
p.1 ×2
unresolved
person
Bogor
· Komisaris
p.1 ×2
unresolved
—
Jimmy Paulus
· Komisaris
p.6
unresolved
—
Rosalina
· Direksi
p.7
unresolved
person
Function
· Direktur
p.9
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
226 ms
12 Sep 2026 23:05
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '1460573616'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '0', 'shares': '0'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2024-03-31',
'checksum_ok': True,
'checksum_parts': '1460573616',
'holders': [{'address': 'Graha BIP, Jl Gatot Subroto',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'PT Victoria Investama Tbk',
'page_no': 1,
'pct': '72.95',
'pct_prev': '72.95',
'position': '',
'seq': 0,
'shares': '1065546895',
'shares_prev': '1065546895'},
{'address': 'kav.23 Jakarta',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Masyarakat',
'page_no': 1,
'pct': '26.31',
'pct_prev': '26.31',
'position': '',
'seq': 1,
'shares': '384281816',
'shares_prev': '384281816'},
{'address': 'Jakarta',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Aldo Jusuf Tjahaja',
'page_no': 1,
'pct': '0.74',
'pct_prev': '0.74',
'position': '',
'seq': 2,
'shares': '10744905',
'shares_prev': '10744905'},
{'address': 'Jakarta',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Sulistijowati',
'page_no': 1,
'pct': '0',
'pct_prev': '0',
'position': 'Komisaris',
'seq': 3,
'shares': '0',
'shares_prev': '0'},
{'address': 'Jakarta',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Vivekanand Atmaram',
'page_no': 1,
'pct': '0',
'pct_prev': '0',
'position': 'Komisaris',
'seq': 4,
'shares': '0',
'shares_prev': '0'},
{'address': 'Bogor',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Jimmy Paulus Watulingas',
'page_no': 1,
'pct': '0',
'pct_prev': '0',
'position': 'Komisaris',
'seq': 5,
'shares': '0',
'shares_prev': '0'},
{'address': 'GRAHA BIP Lt. 3A, Jl. Gatot Subroto Kav.23, Kel. '
'Karet',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Suwandi Suharto',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 6,
'shares': '0',
'shares_prev': '0'},
{'address': 'Semanggi, Kec. Setiabudi, Jak- Sel 12930 GRAHA BIP '
'Lt. 3A, Jl. Gatot Subroto Kav.23, Kel. Karet',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Fatchurhuda, Drs',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 7,
'shares': '0',
'shares_prev': '0'},
{'address': 'Semanggi, Kec. Setiabudi, Jak- Sel 12930 GRAHA BIP '
'Lt. 3A, Jl. Gatot',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Rosalina Gunawan',
'page_no': 2,
'pct': '0',
'pct_prev': '0',
'position': 'Direksi',
'seq': 8,
'shares': '0',
'shares_prev': '0'}],
'issuer_name': 'PT Victoria Insurance Tbk.',
'issuer_ticker': 'VINS',
'layout': 'EREP_COVER',
'letter_number': '0016/VINS-XT/CORSEC/IV/2024',
'listing_board': 'Pengembangan',
'period_label': 'Maret 2024',
'registrar': 'PT. Adimitra Jasa Korpora',
'total_shares': '1460573616'}