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20240310_ICON_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31595824.pdf

Shareholder register Parsed ICON

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Extracted text 9

Page 1
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 Nomor Surat                         01-10/03/ICON/2024

 Nama Perusahaan                     Island Concepts Indonesia Tbk

 Kode Emiten                         ICON

 Papan Pencatatan                    Pengembangan

 Lampiran                            1

 Perihal                             Laporan Bulanan Registrasi Pemegang Efek


Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 29 Februari 2024
Sebagai Berikut :

Biro Administrasi Efek: PT. Sharestar Indonesia




                                                                         Persen
                                                                                    Jumlah      Persen
                                                            Jumlah Saham Saham
                      Nama      Alamat            Jabatan                         Saham Bulan Saham Bulan Pengendali   Afiliasi
                                                             Sebelumnya Sebelumny
                                                                                      Ini         Ini
                                                                            a
                      Island   Jl. Raya                       62.187.000    5,71%   62.187.000      5,71%
                     Regency
                          Petitenget no.
                         469 Kerobokan,
                             Kuta, Bali
            PT Anugerah Puri Imperium                         85.895.000    7,88%   85.895.000      7,88%
            Griya Persada Office Plaza
                          Unit LG-12, Jl.
                             Kuningan
                         Madya Kav 5-6,
  Pemegang
                           Kel. Guntur,
 Saham > 5%
                         Jakarta Selatan
             PT ASABRI       Jl. Majyen                       54.669.376    5,02%   54.669.376      5,02%
              (Persero)  Sutoyo No. 11,
                         Cililitan, Jakarta
                                Timur
               PT Trust     Jl. Tentara                      143.437.624   13,16% 143.437.624      13,16%
                Penata   Pelajar, Rukan
                              Permata
                          Senayan B20-
                                   21
Page 2
                                                                        Persen
                                                                                   Jumlah      Persen
                                                           Jumlah Saham Saham
                Nama          Alamat        Jabatan                              Saham Bulan Saham Bulan Pengendali           Afiliasi
                                                            Sebelumnya Sebelumny
                                                                                     Ini         Ini
                                                                           a
              Prof. Dr. Ir. Jl. Hayam                       328.924.694      30,18% 328.924.694       30,18%
              Anastasia     Wuruk 155                                                                              X
                            Denpasar
                             BR/Link
                             Tanjung
                          Bungkak Kaja
                         RT.- RW.- Kel.
                         Sumerta Kelod,
                         Kec. Denpasar
                               Timur
 Pemegang      PT Trust   JL.TENTARA                         88.233.000        8,1%      88.233.000     8,1%
Saham > 5%    Securities    PELAJAR
                          X,PERMATA
                            SENAYAN
                         BLOK B/10-11
                            GROGOL
                             UTARA
              Masyarakat   INDONESIA                                    0           0%            0       0%


             OCTAVIANUS Jimbaran Hub,        Direksi                 4.765          0%        4.765       0%
              KUNTJORO Jl. Karangmas
                          Kecamatan
                        Kuta Selatan,
                          Kabupaten
                         Badung, Bali-
                            80361
                                           18.188.000        1,67%     18.188.000         1,67%
     Masyarakat - Warkat - Scrip

                                           308.210.541      28,28%     308.210.54        28,28%
  Masyarakat - Non Warkat - Scripless                                           1

                                                       0       0%               0            0%
          Saham Treasury

                                          1.089.750.00       100% 1.089.750.00             100%
                Total                                0                       0




                                                                          Persentase         Jumlah Saham (Bulan       Persentase(Bulan
             Nama                  Jumlah Saham (Sebelumnya)
                                                                         (Sebelumnya)                Ini)                    Ini)
Page 3
                                                          328,924,694            30.18%               328,924,694               30.18%
        Total Pengendali

                                                         760,825,306             69.82%               760,825,306               69.82%
     Total Non Pengendali




Informasi Saham Free Float


                             Keterangan                                    Bulan Sebelumnya             Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                                   308.215.306               308.215.306
dari 5%
 Jumlah saham scripless dimiliki oleh Direksi dan Dewan
                                                                                          4.765                         4.765
 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                                                           308.210.541               308.210.541


Jumlah saham tercatat di Bursa per akhir bulan                                                0                            0


% Saham Free Float                                                                308.210.541                308.210.541



Jumlah Pemegang Saham


         Bulan Sebelumnya                         Bulan Sekarang                          Perubahan


                                 3.012                                  3.017                                       5
Page 4
Penerima Manfaat Akhir dari Kepemilikan Saham


      Nomor                                                      Nama

          1                              PROF. DR. IR. ANASTASIA SULISTYAWATI M.S.,M.M.,D.TH




Demikian untuk diketahui.


Hormat Kami,
Island Concepts Indonesia Tbk




Nengsih Wahyuni

Corporate Secretary




Island Concepts Indonesia Tbk
Jimbaran Hub, Jl. Karangmas Kecamatan Kuta Selatan, Kabupaten Badung, Bali-
Telepon : (0361) 620 2424 , Fax : 0, www.islandconcepts.id



Nama Pengirim                      Nengsih Wahyuni

Jabatan                            Corporate Secretary
Tanggal dan Waktu                  10-03-2024 05:30

Lampiran                          1. ICON 29022024.pdf


    Dokumen ini merupakan dokumen resmi Island Concepts Indonesia Tbk yang tidak memerlukan tanda tangan
  karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. Island Concepts Indonesia Tbk bertanggung
                           jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 5
 Go To Indonesian Page

 Letter / Announcement No.            01-10/03/ICON/2024

 Issuer Name                          Island Concepts Indonesia Tbk

 Issuer Code                          ICON

 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 29 February
 2024 as follows:

 Security Administration Bureau: PT. Sharestar Indonesia


                                                             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
                   Island      Jl. Raya                        62,187,000      5.71%      62,187,000        5.71%
                  Regency Petitenget no.
                         469 Kerobokan,
                             Kuta, Bali
            PT Anugerah Puri Imperium                          85,895,000      7.88%      85,895,000        7.88%
            Griya Persada Office Plaza
                          Unit LG-12, Jl.
                             Kuningan
                         Madya Kav 5-6,
  Share                    Kel. Guntur,
Ownership >              Jakarta Selatan
   5%        PT ASABRI       Jl. Majyen                        54,669,376      5.02%      54,669,376        5.02%
              (Persero)  Sutoyo No. 11,
                         Cililitan, Jakarta
                                Timur
               PT Trust     Jl. Tentara                       143,437,624    13.16% 143,437,624            13.16%
                Penata   Pelajar, Rukan
                              Permata
                          Senayan B20-
                                   21
Page 6
                                                           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
               Prof. Dr. Ir. Jl. Hayam                     328,924,694     30.18% 328,924,694          30.18%
               Anastasia     Wuruk 155                                                                              X
                             Denpasar
                              BR/Link
                              Tanjung
                           Bungkak Kaja
                          RT.- RW.- Kel.
                          Sumerta Kelod,
                          Kec. Denpasar
                                Timur
  Share
                PT Trust   JL.TENTARA                       88,233,000       8.1%     88,233,000         8.1%
Ownership >
               Securities    PELAJAR
   5%                      X,PERMATA
                             SENAYAN
                          BLOK B/10-11
                             GROGOL
                              UTARA
               Masyarakat   INDONESIA                                0         0%              0           0%


              OCTAVIANUS Jimbaran Hub,       Direksi             4,765         0%          4,765           0%
               KUNTJORO Jl. Karangmas
                           Kecamatan
                         Kuta Selatan,
                           Kabupaten
                          Badung, Bali-
                             80361
                                             18.188.000     1,67%    18.188.000        1,67%
       Masyarakat - Warkat - Scrip

                                             308.210.541   28,28%    308.210.54       28,28%
    Masyarakat - Non Warkat - Scripless                                       1

                                                       0       0%             0           0%
              Saham Treasury

                                           1.089.750.00     100% 1.089.750.00           100%
                    Total                             0                     0




                                                                         Percentage       Number of Shares (This        Percentage (This
               Name                  Number of Shares (Previously)
                                                                         (Previous)              Month)                     Month)
Page 7
                                                          328,924,694        30.18%           328,924,694           30.18%
         Total Controller

                                                          760,825,306        69.82%           760,825,306           69.82%
      Total Non-Controllers




Free Float Share Information


                              Information                               Previous Month         This Month

 The number of scripless shares owned by shareholders is less
                                                                               308.215.306            308.215.306
 than 5%
 The number of scripless shares owned by the Board of Directors
                                                                                      4.765                 4.765
 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                                                308.210.541           308.210.541

 The number of shares listed on the Exchange at the end of the
                                                                                         0                     0
 month

 % Free Float Share                                                           308.210.541            308.210.541
Page 8
Number of Shareholders


           Previous Month                          This Month                            Change


                                3.012                              3.017                          5


Final Beneficiaries of Share Ownership


      Number                                                    Name

           1                             PROF. DR. IR. ANASTASIA SULISTYAWATI M.S.,M.M.,D.TH




Thus to be informed accordingly.


Respectfully,
Island Concepts Indonesia Tbk




Nengsih Wahyuni

Corporate Secretary




Island Concepts Indonesia Tbk
Jimbaran Hub, Jl. Karangmas Kecamatan Kuta Selatan, Kabupaten Badung, Bali-
Phone : (0361) 620 2424 , Fax : 0, www.islandconcepts.id



Sender Name                         Nengsih Wahyuni

Function                            Corporate Secretary

Date and Time                       10-03-2024 05:30
Page 9
Attachment                        1. ICON 29022024.pdf


This is an official document of Island Concepts Indonesia Tbk that does not require a signature as it was generated
    electronically by the electronic reporting system. Island Concepts Indonesia Tbk is fully responsible for the
                                      information contained within this document.

File

File Open PDF
Source IDX
Size0.03 MB
Published10 Mar 2024
Pages9
Characters16,242
Text sourceEmbedded text layer
OCR confidence—

Names mentioned 9 people and organisations named in the text · linked when the evidence is strong

linked org Island Concepts Indonesia Tbk · Nama Perusahaan p.1 ×18
possible org PT ASABRI p.1 ×2
unresolved org PT. Sharestar · Biro Administrasi Efek p.1
unresolved org PT. Sharestar Indonesia Persen p.1
unresolved org PT Anugerah Puri Imperium · 7,88% p.1 ×2
unresolved person PROF. DR. IR. ANASTASIA SULISTYAWATI M.S.,M.M.,D.TH p.4 ×6
unresolved org Nengsih Wahyuni · Corporate Secretary p.4 ×4
unresolved — 1. ICON 29022024.pdf p.4
unresolved org PT. Sharestar Indonesia p.5

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 0.900 224 ms 12 Sep 2026 23:06
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '1089750000'},
                'treasury': {'pct': '0', 'shares': '0'},
                'under5_non_warkat': {'pct': '28.28', 'shares': '308210541'},
                'under5_warkat': {'pct': '1.67', 'shares': '18188000'}},
 'as_of_date': '2024-02-29',
 'checksum_ok': True,
 'checksum_parts': '1089750000',
 'holders': [{'address': 'Jl. Raya Petitenget no. 469 Kerobokan,',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Island Regency',
              'page_no': 1,
              'pct': '5.71',
              'pct_prev': '5.71',
              'position': '',
              'seq': 0,
              'shares': '62187000',
              'shares_prev': '62187000'},
             {'address': 'Kuta, Bali Puri Imperium Office Plaza Unit LG-12, '
                         'Jl. Kuningan',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Anugerah Griya Persada',
              'page_no': 1,
              'pct': '7.88',
              'pct_prev': '7.88',
              'position': '',
              'seq': 1,
              'shares': '85895000',
              'shares_prev': '85895000'},
             {'address': 'Madya Kav 5-6, Kel. Guntur, Jakarta Selatan Jl. '
                         'Majyen Sutoyo No. 11, Cililitan, Jakarta',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'PT ASABRI (Persero)',
              'page_no': 1,
              'pct': '5.02',
              'pct_prev': '5.02',
              'position': '',
              'seq': 2,
              'shares': '54669376',
              'shares_prev': '54669376'},
             {'address': 'Timur Jl. Tentara Pelajar, Rukan',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'PT Trust Penata',
              'page_no': 1,
              'pct': '13.16',
              'pct_prev': '13.16',
              'position': '',
              'seq': 3,
              'shares': '143437624',
              'shares_prev': '143437624'},
             {'address': 'Jl. Hayam Wuruk 155 Denpasar BR/Link Tanjung Bungkak '
                         'Kaja',
              'category': 'FIVE_PCT',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'Prof. Dr. Ir. Anastasia',
              'page_no': 2,
              'pct': '30.18',
              'pct_prev': '30.18',
              'position': '',
              'seq': 4,
              'shares': '328924694',
              'shares_prev': '328924694'},
             {'address': 'RT.- RW.- Kel. Sumerta Kelod, Kec. Denpasar Timur '
                         'JL.TENTARA PELAJAR X,PERMATA SENAYAN',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'PT Trust Securities',
              'page_no': 2,
              'pct': '8.1',
              'pct_prev': '8.1',
              'position': '',
              'seq': 5,
              'shares': '88233000',
              'shares_prev': '88233000'},
             {'address': 'BLOK B/10-11 GROGOL UTARA INDONESIA',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'Masyarakat',
              'page_no': 2,
              'pct': '0',
              'pct_prev': '0',
              'position': '',
              'seq': 6,
              'shares': '0',
              'shares_prev': '0'},
             {'address': 'Jimbaran Hub, Jl. Karangmas',
              'category': 'BOARD',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'OCTAVIANUS KUNTJORO',
              'page_no': 2,
              'pct': '0',
              'pct_prev': '0',
              'position': 'Direksi',
              'seq': 7,
              'shares': '4765',
              'shares_prev': '4765'}],
 'issuer_name': 'Island Concepts Indonesia Tbk',
 'issuer_ticker': 'ICON',
 'layout': 'EREP_COVER',
 'letter_number': '01-10/03/ICON/2024',
 'listing_board': 'Pengembangan',
 'period_label': 'Februari 2024',
 'registrar': 'PT. Sharestar Indonesia',
 'total_shares': '1089750000'}
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