Kepemilikan saham selain Pemegang Saham Pengendali dan Pemegang saham utama
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1 Kepemilikan saham selain Pemegang Saham Pengendali dan Pemegang saham utama
2
3 LAMPIRAN : 1 KEPEMILIKAN EFEK YANG MENCAPAI 5% ATAU LEBIH DARI SAHAM YANG DITEMPATKAN DAN DISETOR PENUH EMITEN : PT FIRST MEDIA TBK B A E : PT SHARESTAR INDONESIA MODAL DISETOR : 1,742,167,907 SAHAM PER TANGGAL 30 SEPTEMBER NO D A T A KEBANGSAAN J U M L A H S A H A M % KEPEMILIKAN PEMEGANG SAHAM BULAN LALU BULAN INI BULAN LALU BULAN INI ACROSSASIA LIMITED LEMBAGA 959,976, ,976, PO BOX 309, UGLAND HOUSE, SOUTH CHURCH ASING STREET GEORGE TOWN, GRAND CAYMAN CAYMAN ISLANDS, BRITISH WEST INDIES 2 REKSA PUSPITA KARYA,PT LEMBAGA 550,167, ,167, BERITASATU PLAZA LT.7 JL. GATOT SUBROTO INDONESIA KAV 35-36, SETIABUDI REKSA PUSPITA KARYA, PT LEMBAGA 38,000,000 38,000, JL. WOLTER MONGINSIDI 24 A, INDONESIA PETOGOGAN KEBAYORAN BARU JAKARTA SELATAN JAKARTA, 03 OKTOBER 2016 PT SHARESTAR INDONESIA
4 PT FIRST MEDIA Tbk KEPEMILIKAN SAHAM OLEH DIREKSI/KOMISARIS PER 30/09/2016 HALAMAN: NOMOR NAMA PEMEGANG SAHAM JUMLAH SAHAM % JUMLAH SAHAM % JUMLAH SAHAM % SEBELUMNYA BULAN INI PERUBAHAN T O T A L :
5
6 English Translation Letter No. SB-046/CSL/BEI/X/2016 Company s Name First Media Tbk Stock Code KBLV Attachment 3 Subject ly Report of Registration of Shareholders The Company submit ly Report of Registration of Shareholders of First Media Tbk ended September 30, 2016 as follows: Bureau of Securities Administration: PT Sharestar Indonesia Shareholders who own 5% or more Name AcrossAsia Ltd (in bankcruptcy) PT Reksa Puspita Karya Address P.O. Box 309, Ugland House, South Church Street, George Town, Grand Cayman, Cayman Islands, British West Indies Gedung Citra Graha LT.3 Jl. Jend. Gatot Subroto Kav.35-36, Jakarta Selatan DKI Jakarta Number of Shares on the Previous Percentage of Shares on the Previous s Number of Shares of this Percentage of Shares of this 959,976, ,976, ,167, ,167, Controlling Share Ownership below 5% Public 194,023, ,023, Treasury Shares Total 1,742,167, ,742,167, Report of Share Ownership by Directors and Commissioners Name Address Number of Shares on the Previous Percentage of Shares on the Previous s Number of Shares of this Percentage of Shares of this Share Ownership besides the Controlling Shareholder and Majority Shareholders Percentage of Shares Number of Shares on Number of Shares of Percentage of Shares on the Previous the Previous this of this 194,023, ,023, Number of Changes Percentage of Changes Number of Shareholders Previous This Changes Warrants Name Address Number of Warrants on the Previous Percentage of Warrants on the Previous Number of Warrants of this Percentage of Warrants of this Number of Changes Sender Harianda Noerlan Position Corporate Secretary Date and Time October 10, :02:26 KBLV_XH11.pdf Attachment KBLV_BCD.pdf KBLV-X.H pdf
7 English Translation This document is an official document of First Media Tbk which does not require any signature do to electronically generated by the electronic reporting system. First Media Tbk takes full responsibility for the information contained in this document.
8 English Translation ATTACHMENT : 1 ISSUERS BAE (Securities Administration Bureau) PAID-UP CAPITAL THE SECURITIES OWNERSHIP THAT REACHES 5% OR MORE OF THE ISSUED AND FULLY PAID SHARES : PT FIRST MEDIA TBK : PT SHARESTAR INDONESIA : 1,742,167,907 SHARES AS OF SEPTEMBER 30 TH, 2016 NO. SHAREHOLDERS DATA NATIONALITY NUMBER OF SHARES PREVIOUS THIS % SHAREHOLDING PREVIOUS THIS 1 ACROSSASIA LIMITED P.O. BOX 309, UGLAND HOUSE, SOUTH CHURCH STREET, GEORGE TOWN, GRAND CAYMAN, CAYMAN ISLANDS, BRITISH WEST INDIES, CAYMAN ISLANDS 2 PT REKSA PUSPITA KARYA BERITASATU PLAZA LT.7 JL. GATOT SUBROTO KAV 35-36, SETIABUDI REKSA PUSPITA KARYA, PT JL. WOLTER MONGINSIDI 24 A, PETOGOGAN KEBAYORAN BARU JAKARTA SELATAN FOREIGN INSTITUTION INDONESIA INSTITUTION INDONESIA INSTITUTION 959,976, ,976, ,167, ,167, ,000,000 38,000, JAKARTA, OCTOBER 03 TH, 2016 PT SHARESTAR INDONESIA
9 English Translation PT FIRST MEDIA Tbk THE SECURITIES OWNERSHIP BY DIRECTORS/COMMISSIONERS PER 30/09/2016 PAGE: 1 NUMBER NAME OF SHAREHOLDERS NUMBER OF SHARES PREVIOUS % NUMBER OF SHARES THIS % NUMBER OF SHARE CHANGES % TOTAL:
10 English Translation FORM NUMBER: X.H.1-2 ATTACHMENT : 2 Regulation number : X.H.1 Basic (Number of Shares) LY REPORT SHARE OWNERSHIP OF ISSUER OR PUBLIC COMPANIES AND RECAPITULATION OF REPORTS Name of Issuer or Public Company : PT FIRST MEDIA TBK Tax No.: Name of Stock Administration Bureau : PT SHARESTAR INDONESIA Year : 2016 Position End of CAPITAL Share Ownership 5% Share Ownership < 5% Paid-up Number of Number of % Number of Number of (Number of Shareholders Shares Shareholding Shareholders Shares Shares) % Shareholding Number of Results Elligible **) This Total up to this January 3,300,000,000 1,742,167, ,548,143, ,023,927 11, February 3,300,000,000 1,742,167, ,548,143, ,023,927 11, March 3,300,000,000 1,742,167, ,548,143, ,023,927 11, April 3,300,000,000 1,742,167, ,548,143, ,023,927 11, May 3,300,000,000 1,742,167, ,548,143, ,023,927 11, June 3,300,000,000 1,742,167, ,548,143, ,023,927 11, July 3,300,000,000 1,742,167, ,548,143, ,023,927 11, August 3,300,000,000 1,742,167, ,548,143, ,023,927 11, September 3,300,000,000 1,742,167, ,548,143, ,023,927 11, October November December JAKARTA, 03 OCTOBER 2016 PT SHARESTAR INDONESIA S O E R O T O Director Notes: *) filled the reported month **) Indonesian Government Regulation No.56 Year 2015 dated August 3 rd, 2015 a. At least 40% (forty percent) of the total paid-up shares is recorded for trading on the stock exchanges in Indonesia; b. Shares refered to in paragraph a must be owned by at least 300 (three hundred) party; c. Each Party refered to in paragraph b may only have a share of less than 5% (five percent) of the total shares issued and fully paid; and d. The provisions refered to in paragraph a, b, and c must be met in a short time at least 183 (one hundred eighty three) calendar days within a period of 1 (one) Fiscal Year.
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