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Page : Date : Time : 02/05/2016 15:09:50 1 AS AT PT MANDOM INDONESIA TBK REGISTER OF SHAREHOLDERS Date : 02/05/2016 KANTOR PUSAT DAN FACTORY 1 DAFTAR PEMEGANG SAHAM Time : 15:09:50 SORT BY : NAME Page : 1 KAWASAN INDUSTRI MM 2100 JL. IRIAN BLOK PP AS AT : 30/04/2016 Total Share Issued : 201,066,667 Seq. Ledger Shareholder Name & GroupTotal Share Participant Name Persentase No. No. Shareholder Address Status Total SKS Citizenship 1 00000792-4 ABADI CHARLES GUNAWANL1 3,869 0.0019 JL. PULAU KARAM BLOK C NO.2 RT.04/02 IND 9 KALI KECIL, PADANG BARAT - PADANG INA 2 00001732-3 ADI KUSUMA NEGARAJ1 3,000 0.0015 JL.SWASEMBADA BARAT XI NO.107 IND 1 RT.09/013, KEL.KEBON BAWANG INA TANJUNG PRIOK - JAKARTA UTARA 3 00001772-5 AGUS SOESANTOJ2 53 0.0000 PARADISE 10 BLOK R/10 RT.012/012 IND 2 SUNTER AGUNG, TANJUNG PRIOK INA JAKARTA UTARA 4 80000121-2 AGUSTINUS JUSUF SUTANTOJ9 37 IP 0.0000 JL. GRIYA ELOK BLOK N2/32 IND 0 PT ASJAYA INDOSURYA SECURITIES RT.006/020 SUNTER AGUNG TANJUNG INA PRIOK 5 80000270-1 ALAM SURJA PUTRAJ9 21,500 RG 0.0107 JL.PLATINA BLOK D1 / NO.4 IND 0 PT PROFINDO INTERNATIONAL SECURITIES PERMATA HIJAU INA 6 00000779-5 ALBERT LIKADINATAL1 49,622 0.0247 JL. TIMOR NO.113 RT.1/06 IND 35 PATTUNUANG, WAJO - UJUNG PANDANG INA 7 80000163-6 ALBERTO RENALDOJ9 5 LG 0.0000 JL. BATU AMPAR VII NO. 59 RT.015/005 IND 0 PT TRIMEGAH SECURITIES TBK KEL. BATU AMPAR, KEC. KRAMAT JATI INA JAKARTA TIMUR 8 80000193-5 ALBERTUS ANUGERAH PEKERTIJ9 100 NI 0.0000 MENANGGAL INDAH 8/25 IND 0 PT BNI SECURITIES 002/007 DUKUH MENANGGAL GAYUNGAN INA 9 80000056-1 ALBERTUS YUSUF SUTANTOJ9 100 CP 0.0000 JL.KACA PIRING III NO.10 RT.022 IND 0 PT VALBURY ASIA SECURITIES KEL.KERTAK BARU ILIR INA KEC.BANJARMASIN TENGAH 10 00001470-8 ALFIN ALIANTOL1 3,000 0.0015 DHARMAHUSADA IND BRT 3/81 RT.08/04 IND 6 GUBENG - SURABAYA INA 11 00001578-1 ALFISYAH LIKADINATAL1 39,666 0.0197 JL. TIMOR NO.113 RW.04 IND 37 PATTUNUANG, WAJO INA UJUNG PANDANG ListSh/ListShR Bersambung PT MANDOM INDONESIA TBK REGISTER OF SHAREHOLDERS Date : 02/05/2016 KANTOR PUSAT DAN FACTORY 1 DAFTAR PEMEGANG SAHAM Time : 15:09:50 SORT BY : NAME Page : 2 KAWASAN INDUSTRI MM 2100 JL. IRIAN BLOK PP AS AT : 30/04/2016 Total Share Issued : 201,066,667 Seq. Ledger Shareholder Name & GroupTotal Share Participant Name Persentase No. No. Shareholder Address Status Total SKS Citizenship 12 80000178-4 ALFON DOLIN PANDAPOTANJ9 2,000 NI 0.0010 JL.SWADAYA VI NO.53 IND 0 PT BNI SECURITIES RT.04/05 CILANGKAP CIPAYUNG INA 13 80000223-9 ALFONS FAJAR JUWONOJ9 500 PD 0.0002 JL. BUANA BIRU BESAR II/22 IND 0 PT INDO PREMIER SECURITIES RT/RW:005/009 KEL.KEMBANGAN UTARA INA KEC.KEMBANGAN 14 00001440-9 ALI SADIKUNJ1 78,247 0.0389 JL. KEPA DURI P.I/356 RT.001/003 IND 65 DURI KEPA, KEBON JERUK INA JAKARTA BARAT 15 00001693-7 ALI WARDANAL1 5,833 0.0029 JL. TIMOR NO.113 RT.002/004 IND 8 ENDE, WAJO INA UJUNG PANDANG 16 00001644-3 DRS AMAN LOGIMANJ1 6,000 0.0030 JL. BIRU LAUT VIII/5 RT. 008/011 IND 2 CIP. CEMPEDAK, JATINEGARA INA JAKARTA TIMUR 17 80000304-9 AMIRUL YUSUF IRJ9 77 TX 0.0000 RIVER PARK GE II NO. 8 IND 0 PT DHANAWIBAWA ARTHA CEMERLANG BINTARO SEKTOR 7 INA 18 00001184-0 ANDRE SANTOSO SUDJONOL1 1,000 0.0005 JL. SUROPATI NO.33/35 RT.11/07 IND 1 LEBAKGEDE, COBLONG - BANDUNG INA 19 80000055-0 ANDRI SUTIKNOJ9 2,000 CP 0.0010 JL. TAMAN HIDUP BARU NO.1 L RT.012 IND 0 PT VALBURY ASIA SECURITIES RW.014 KEL.PADEMANGAN BARAT INA KEC.PADEMANGAN 20 80000161-4 ANDY WIJONOJ9 5,863 LG 0.0029 RAYA KERTAJAYA INDAH 46 IND 0 PT TRIMEGAH SECURITIES TBK KEL.MANYAR SABRANGAN KEC.MULYOREJO INA 21 80000305-0 ANDY WIJONOJ9 25,738 YJ 0.0128 JL.RAYA KERTAJAYA INDAH 46 IND 0 PT LAUTANDHANA SECURINDO RT001/009 KEL.MANYAR SABRANGAN INA KEC.MULYOREJO 22 80000079-0 ANG NGO NGOJ9 100 DH 0.0000 JL PENGUKIRAN III/38 RT/RW:005/003 IND 0 PT SINARMAS SEKURITAS KEL.PEKOJAN KEC KEC. TAMBORA INA ListSh/ListShR Bersambung PT MANDOM INDONESIA TBK REGISTER OF SHAREHOLDERS Date : 02/05/2016 KANTOR PUSAT DAN FACTORY 1 DAFTAR PEMEGANG SAHAM Time : 15:09:50 SORT BY : NAME Page : 3 KAWASAN INDUSTRI MM 2100 JL. IRIAN BLOK PP AS AT : 30/04/2016 Total Share Issued : 201,066,667 Seq. Ledger Shareholder Name & GroupTotal Share Participant Name Persentase No. No. Shareholder Address Status Total SKS Citizenship 23 80000093-0 ANG WUNLY JULIOJ9 2 DX 0.0000 JL.SENI BUDAYA V NO.66-C RT.009/004 IND 0 PT BAHANA SECURITIES KEL.JELAMBAR BARU KEC.GROGOL INA PETAMBURAN 24 80000323-4 ANG WUNLY JULIOJ9 43 YP 0.0000 APARTEMEN TELUK INTAN LT 11 NN , IND 0 PT DAEWOO SECURITIES INDONESIA TELUK GONG ,JAKAR INA 25 80000318-6 ANGGA KURNIAJ9 100 YP 0.0000 JL.TERI I NO.24 TL GONG IND 0 PT DAEWOO SECURITIES INDONESIA RT016/012,PEJAGALAN-PENJAR INA 26 80000205-5 ANITA DAMAYANTIJ9 500 OD 0.0002 JL.CEMARA II NO.7 LIPPO CIKARANG RT IND 0 PT DANAREKSA SEKURITAS 001 RW 001 KEL.CIBATU-CIKARANG INA SELATAN 27 80000102-7 ANWAR R.P. LUBISJ9 95 GR 0.0000 JL. GOTONG ROYONG NO. 20 A IND 0 PT PANIN SEKURITAS TBK RT 007/006 KEL. GANDARIA UTARA KEC. INA KEBAYORAN BARU 28 80000038-7 ARI SUSILO NUGROHOJ9 400 CC 0.0002 JL RENGAS NO 29 RT/RW 005/006 IND 0 PT MANDIRI SEKURITAS KEL/DESA PONDOK LABU CILANDAK INA 29 80000192-4 ARIF KURNIA RACHMANJ9 200 NI 0.0001 PERUM UNGARAN BARU B160 IND 0 PT BNI SECURITIES 002/005 LEYANGAN UNGARAN TIMUR INA 30 00001485-6 ARIF SANTOSOL1 3,000 0.0015 JL. NIAS IV/9 RT.05/04 IND 6 KARANGTEMPUL - SEMARANG INA 31 80000213-6 ARIFIN J9 1,000 PD 0.0005 JL BOJONGLOA NO 29 RT. 005/006 IND 0 PT INDO PREMIER SECURITIES KEL. PANJUNAN KEC. ASTANA ANYAR INA 32 80000361-4 ARWANI PRANAJAYAJ9 500 ZP 0.0002 APT OASIS M SARANA T/B 1904, RT IND 0 MAYBANK KIM ENG SECURITIES,PT 001/002 SENEN SENEN INA 33 80000090-7 ARY PUTRANTOJ9 4,000 DX 0.0020 CIPINANG INDAH BLOK G-13, IND 0 PT BAHANA SECURITIES RT/RW.07/16 KEL. CIPINANG MUARA KEC. INA JATINEGARA ListSh/ListShR Bersambung PT MANDOM INDONESIA TBK REGISTER OF SHAREHOLDERS Date : 02/05/2016 KANTOR PUSAT DAN FACTORY 1 DAFTAR PEMEGANG SAHAM Time : 15:09:50 SORT BY : NAME Page : 4 KAWASAN INDUSTRI MM 2100 JL. IRIAN BLOK PP AS AT : 30/04/2016 Total Share Issued : 201,066,667 Seq. Ledger Shareholder Name & GroupTotal Share Participant Name Persentase No. No. Shareholder Address Status Total SKS Citizenship 34 80000045-7 ARY SANJAYA PURBAJ9 100 CD 0.0000 JL. MADRASAH NO 1A, RT 008/003, IND 0 PT MEGA CAPITAL INDONESIA GANDARIA SELATAN CILANDAK INA 35 80000134-8 ASNA HASJIMJ9 100 KK 0.0000 JL.PARADISE 13 BLOK R NO:10, IND 0 PT PHILLIP SECURITIES INDONESIA RT/RW:001/019 KEL:SUNTER AGUNG, INA KEC:TANJUNG PRIOK 36 80000275-6 Aditia Arta KustiwanJ9 1 RO 0.0000 JL. KEMBANG MOLEK 1 BLOK J3/9 IND 0 PT NISP SEKURITAS INA 37 80000241-3 Adnani Vashdev LachmandasJ9 181,377 RB 0.0902 TAWHID MOHD TAHER ABDULLA IND 0 PT NIKKO SECURITIES INDONESIA ALMOHTADI VILLA 343/21A AL SAFA DM IND 30 PO BOX 11507 38 80000171-7 Agus SoesantoJ9 50 MG 0.0000 JL. PARADISE 13 BLOK R NO.10, RT/RW IND 0 PT SEMESTA INDOVEST : 001/019 SUNTER AGUNG, TANJUNG INA PRIOK 39 80000277-8 Alexander Sugiman TjioeJ9 83 SA 0.0000 TAMAN PALEM LESTARI BLOK B.17 NO.91 IND 0 PT BOSOWA SEKURITAS RT 002/RW.013 CENGKARENG INA 40 80000218-1 Andry AnsjoriJ9 100 PD 0.0000 JL. KH HASYIM ASHARI NO.152 RT/RW : IND 0 PT INDO PREMIER SECURITIES 004/006 KEL. DURI PULO KEC. GAMBIR INA 41 80000229-5 Ani MartiniJ9 7 PI 0.0000 LORONG Z TIMUR NO. 20 RT 002 RW 001 IND 0 PT E-CAPITAL SECURITIES KOJA INA 42 80000230-9 Anita SilviaJ9 7 PI 0.0000 JL. YOS SUDARSO LORONG W NO. 21 IND 0 PT E-CAPITAL SECURITIES RT.014/01 TG. PRIO INA 43 80000250-5 Arai Garasu Company LimitedJ9 600,000 RB 0.2984 3-4-40 NAMBA NAKA NANIWA-WARD, OSAKA PT 0 PT NIKKO SECURITIES INDONESIA OSAKA PREFECTURE, JAPAN 5560011 JEP 44 80000245-7 Atsushi KidaJ9 5,800 RB 0.0029 JL. YOS SUDARSO BAY PASS RT 008/011 IND 0 PT NIKKO SECURITIES INDONESIA SUNTER JAYA TANJUNG PRIOK - JAKARTA INA UTARA 14350 ListSh/ListShR Bersambung PT MANDOM INDONESIA TBK REGISTER OF SHAREHOLDERS Date : 02/05/2016 KANTOR PUSAT DAN FACTORY 1 DAFTAR PEMEGANG SAHAM Time : 15:09:50 SORT BY : NAME Page : 5 KAWASAN INDUSTRI MM 2100 JL. IRIAN BLOK PP AS AT : 30/04/2016 Total Share Issued : 201,066,667 Seq. Ledger Shareholder Name & GroupTotal Share Participant Name Persentase No. No. Shareholder Address Status Total SKS Citizenship 45 80000246-8 Ayako ImagawaJ9 38,666 RB 0.0192 4-19,3-CHOME, YAMAMOTO-CHO, IND 0 PT NIKKO SECURITIES INDONESIA YAO-CITY, OSAK JAPAN JEP 46 80000071-2 BANK OF SINGAPORE LIMITED-2048834001J9 34,100 DB 0.0170 65 CHULIA STREET #06-00 PT 0 DEUTSCHE BANK AG JAKARTA OCBC CENTRE,SINGAPORE 049513 SIN 47 80000278-9 BBH (LUX) SCA FOR TOYO SECURITIES A/C CLJ9 25,500 SC 0.0127 LIENTS PT 0 STANDARD CHARTERED BANK 101-1KA, EULJIRO, CHUNG-KU, SEOUL KOR 100-779 48 80000111-9 BEATRICE EKA PUTRI P SIMAMORAJ9 600 HP 0.0003 JL.
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