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20240401_SAME_Laporan Kepemilikan atau Setiap Perubahan Kepemilikan Saham Perusahaan Terbuka_31622233_lamp1.pdf

Ownership change Needs review SAME

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Page 1 OCR 0.918 
PT SARANA MEDITAMA METROPOLITAN Tbk.

JL.Pulomas Barat VI No.20 Jakarta Timur 13210, Indonesia

P :150789
W : www.eme.id

No. : 113/SMM-CORSEC/IV/2024
Kepada Yth. / To:

OTORITAS JASA KEUANGAN
Gedung Sumitro Djojohadikusumo
Jl. Lapangan Banteng Timur No. 2-4
Jakarta - 10710

Jakarta, 1 April 2024

U.P. / Attn. Bapak Inarno Djajadi
Kepala Eksekutif Pengawas Pasar Modal,
Keuangan Derivatif, dan Bursa Karbon
Chief Executive of Capital Markets,
Financial Derivatives, and Carbon Exchange Supervision
Hal: Laporan Kepemilikan Anggota Direksi PT Re: Ownership Report of Members of the Board
Sarana  Meditama Metropolitan Tbk of Directors of PT Sarana Meditama
(“Perseroan”) atas Saham Perseroan Metropolitan Tbk (the “Company”) of the
Company's Shares
Dengan hormat, Dear Sir,

Sesuai dengan ketentuan Pasal 2 ayat (1) jo. Pasal 4
Peraturan Otoritas Jasa Keuangan No.
11/POJK.04/2017 tentang Laporan Kepemilikan atau
Setiap Perubahan Kepemilikan Saham Perusahaan
Terbuka tanggal 14 Maret 2017 (“POJK No.
11/2017”), Perseroan dengan ini menyampaikan
Laporan Kepemilikan Saham oleh Anggota Direksi
Perseroan yang diperoleh dari Program MESOP,
sebagai berikut:

In accordance with the provisions of Article 2 paragraph
(1) jo. Article 4 of Financial Services Authority
Regulation No. 11/POJK.04/2017 concerning Reports of
Ownership or Any Changes in Ownership of Public
Company Shares dated 14 March 2017 (“POJK No.
11/2017”), the Company hereby submit a Shares
Ownership Report by members of the Company's Board of
Directors which obtained from the MESOP Program, as
Jollows:

I | Nama/ Name

Jusup Halimi

Jabatan/ Position

Presiden Direktur/ President Director

Alamat/ Address

Jl. Pulomas Barat VI No. 20, Kayu putih, Pulo Gadung,
Jakarta Timur, 13210.

Nomor telepon / Telephone Number

150 789

Kewarganegaraan/ Citizenship

Indonesia/ Indonesian

Nama saham/
Name of the shares

PT Sarana Meditama Metropolitan Tbk (SAME)

Jumlah saham dan persentase sebelum dan
setelah transaksi/

Number and percentage of shares before and
after the transaction

830.000 saham/ shares
(0,004856)

Sebelum transaksi/
Before the transaction

1.740.000 saham/ shares
(0,016)

Setelah transaksi/
After the transaction

Jumlah saham yang diterima/
Number of'shares received

910.000 saham/ shares

Harga pelaksanaan/
Exercise price

Rp277,- per saham/ shares

Tanggal transaksi/
Date oftransaction

28 Maret/ March 2024

Pp

Page1of 4
Page 2 OCR 0.913 
PT SARANA MEDITAMA METROPOLITAN Tbk.

JL.Pulomas Barat VI No.20 Jakarta Timur 13210, Indonesia

P :150789
W : www.emc.id

| Tujuan transaksi/
The purpose of the transaction

Program MESOP -Tahap Pemberian II/
The MESOP Program of Grant Phase II

Status kepemilikan saham/
Share ownership status

Langsung/ Direct

II | Nama/ Name

Juniwati Gunawan

Jabatan/ Position

Wakil Presiden Direktur/ Vice President Director

Alamat/ Address

Jl. Pulomas Barat VI No. 20, Kayu putih, Pulo Gadung,
Jakarta Timur, 13210.

Nomor telepon / Telephone Number

150 789

Kewarganegaraan/ Citizenship

Indonesia/ Indonesian

Nama saham/
Name of the shares

PT Sarana Meditama Metropolitan Tbk (SAME)

Jumlah saham dan persentase sebelum dan
setelah transaksi/

Number and percentage of'shares before and
after the transaction

Sebelum transaksi/ 400.000 saham/ shares

Before the transaction (0,0023Y4)
Setelah transaksi/ 800.000 saham/ shares
After the transaction (0,005Y6)

Jumlah saham yang diterima/
Number of shares received

400.000 saham/ shares

Harga pelaksanaan/
Exercise price

Rp277,- per saham/ share

Tanggal transaksi/
Date of transaction

28 Maret/ March 2024

Tujuan transaksi/
The purpose of the transaction

Program MESOP -Tahap Pemberian II/
The MESOP Program of Grant Phase II

Status kepemilikan saham/
Share ownership status

Langsung/ Direct

III | Nama/ Name

Armen Antonius Djan

Jabatan/ Position

Direktur/ Director

Alamat/ Address

Jl. Pulomas Barat VI No. 20, Kayu putih, Pulo Gadung,
Jakarta Timur, 13210.

Nomor telepon / Telephone Number

150 789

Kewarganegaraan/ Citizenship

Indonesia/ Indonesian

Nama saham/
Name of the shares

PT Sarana Meditama Metropolitan Tbk (SAME)

Jumlah saham dan persentase sebelum dan
setelah transaksi/

Number and percentage of shares before and
after the transaction

| Before the transaction

400.000 saham/ shares
(0,002346)

Sebelum transaksi/

800.000 saham/ shares
(0,00546)

Setelah transaksi/
After the transaction

Jumlah saham yang diterima/
Number of shares received

400.000 saham/ shares

Harga pelaksanaan/
Exercise price

Rp277,- per saham/ share

Page 204
Page 3 OCR 0.921 
PT SARANA MEDITAMA METROPOLITAN Tbk.

JL.Pulomas Barat VI No.20 Jakarta Timur 13210, Indonesia

P :150789
W : www.emc.id

Tanggal transaksi/
Date oftransaction

28 Maret/ March 2024

Tujuan transaksi/
The purpose of the transaction

Program MESOP -Tahap Pemberian II/
The MESOP Program of Grant Phase II

Status kepemilikan saham/
| | Share ownership status

Langsung/ Direct

IV | Nama/ Name

Meta Dewi Thedja

Jabatan/ Position

Direktur/ Director

Alamat/ Address

Jl. Pulomas Barat VI No. 20, Kayu putih, Pulo Gadung,
Jakarta Timur, 13210.

Nomor telepon / Telephone Number

150 789

Kewarganegaraan/ Citizenship

Indonesia/ Indonesian

Nama saham/
Name of the shares

PT Sarana Meditama Metropolitan Tbk (SAME)

Jumlah saham dan persentase sebelum dan
setelah transaksi/

Number and percentage ofshares before and
after the transaction

350.000 saham/ shares
(0,00275)

Sebelum transaksi/
Before the transaction

700.000 saham/ shares
(0,00474)

Setelah transaksi/
After the transaction

Jumlah saham yang diterima/
Number of shares received

350.000 saham/ shares

Harga pelaksanaan/
Exercise price

Rp277,- per saham/ share

Tanggal transaksi/
Date oftransaction

28 Maret/ March 2024

Tujuan transaksi/
The purpose of the transaction

Program MESOP -Tahap Pemberian II/
The MESOP Program of Grant Phase II

Status kepemilikan saham/ Langsung/ Direct
Share ownership status
V | Nama/ Name Kusmiati

Jabatan/ Position

Direktur/ Director

Alamat/ Address

Jl. Pulomas Barat VI No. 20, Kayu putih, Pulo Gadung,
Jakarta Timur, 13210.

Nomor telepon / Telephone Number

150 789

Kewarganegaraan/ Citizenship

Indonesia/ Indonesian

Nama saham/
Name of the shares

PT Sarana Meditama Metropolitan Tbk (SAME)

Jumlah saham dan persentase sebelum dan
setelah transaksi/

Number and percentage of shares before and
after the transaction

350.000 saham/ shares
(0,00296)

Sebelum transaksi/
Before the transaction

700.000 saham/ shares
(0,004Y6)

Setelah transaksi/
After the transaction

Jumlah saham yang diterima/
Number of shares received

350.000 saham/ shares

lk

Page 3of 4
Page 4 OCR 0.903 
PT SARANA MEDITAMA METROPOLITAN Tbk.

JL.Pulomas Barat VI No.20 Jakarta Timur 13210, Indonesia

P :150789
W : www.emc.id

| Harga pelaksanaan/ Rp277,- per saham/ share

Exercise price

Tanggal transaksi/ 28 Maret/ March 2024

Date oftransaction

Tujuan transaksi/ Program MESOP -Tahap Pemberian II/

The purpose of the transaction The MESOP Program of Grant Phase II

Status kepemilikan saham/ Langsung/ Direct

| Share ownership status
VI | Nama/ Name drg. Nailufar, MARS.

Jabatan/ Position Direktur/ Director

Alamat/ Address Jl. Pulomas Barat VI No. 20, Kayu putih, Pulo Gadung,
Jakarta Timur, 13210.

Nomor telepon / Telephone Number 150 789

Kewarganegaraan/ Citizenship Indonesia/ Indonesian

Nama saham/ PT Sarana Meditama Metropolitan Tbk (SAME)

Name of the shares

Jumlah saham dan persentase sebelum dan | Sebelum transaksi/ 350.000 saham/ shares

setelah transaksi/ Before the transaction (0,002Y60)

Number and percentage of shares before and

after the transaction Setelah transaksi/ 700.000 saham/ shares
After the transaction (0,004Y6)

Jumlah saham yang diterima/ 350.000 saham/ shares

Number of shares received

Harga pelaksanaan/ Rp277,- per saham/ share

Exercise price

Tanggal transaksi/ 28 Maret/ March 2024

Date of transaction

Tujuan transaksi/ Program MESOP -Tahap Pemberian II/

The purpose of the transaction The MESOP Program of Grant Phase II

Status kepemilikan saham/ Langsung/ Direct

Share ownership status

Demikian kami sampaikan. Atas perhatian dan Please be informed accordingly. Thank you for your

kerjasamanya, kami ucapkan terima kasih.

Hormat Kami/Sincerely yours,
PT Sarana Meditama Metropolitan Tbk

Fa

BA PAKAN METROPOLITAN Tbk
ya

Er

P

Eh

Rahmiyati Yahya

Corporate Secretary

attention and cooperation.

Page 40f 4

File

File Open PDF
Source IDX
Size1.32 MB
Published1 Apr 2024
Pages4
Characters8,402
Text sourceOCR
OCR confidence0.914

Names mentioned 14 people and organisations named in the text · linked when the evidence is strong

linked org SARANA MEDITAMA METROPOLITAN Tbk. p.1 ×33
linked org PT Sarana Meditama p.1
linked person Jusup Halimi p.1
linked person Juniwati Gunawan p.2
linked person Armen Antonius Djan p.2
linked person Meta Dewi Thedja p.3
possible org OTORITAS JASA KEUANGAN p.1 ×2
possible person drg. Nailufar p.4
unresolved person Inarno Djajadi Kepala Eksekutif Pengawas p.1
unresolved org PT Re p.1
unresolved org Board Sarana Meditama Metropolitan Tbk p.1
unresolved org Saham Perseroan Metropolitan Tbk p.1
unresolved org Financial Services Authority p.1
unresolved org Fa BA PAKAN METROPOLITAN Tbk 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 0.059 282 ms 13 Sep 2026 16:44
Raw output 
{'is_controller': None,
 'issuer_name': '',
 'issuer_raw': '',
 'issuer_ticker': '',
 'lines': [],
 'pct_after': None,
 'pct_before': None,
 'report_date': None,
 'report_number': 'telepon',
 'reporter_is_board_member': None,
 'reporter_name': '',
 'reporter_nationality': '',
 'reporter_position': '',
 'retains_control': None,
 'shares_after': None,
 'shares_before': None}

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20240401_SAME_Laporan Kepemilikan atau Setiap Perubahan Kepemilikan Saham Perusahaan Terbuka_31622233.pdf done
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