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PT BRINGIN SEJAHTERA MAKMUR

Dalam dokumen Kata Pengantar - OJK (Halaman 90-96)

D/H PT. ASURANSI MITRA MAPARYA TBK)

36. PT BRINGIN SEJAHTERA MAKMUR

Susunan Pemegang Saham / Shareholders Composition

1. Erick Mulyadi Haryanto Rp420.000.000 35,00%

2. Erly Fajarini Rp240.000.000 20,00%

3. Wina Silvana Rp240.000.000 20,00%

4. Yanti Rp240.000.000 20,00%

5. M Dede Kurniadi Rp60.000.000 5,00%

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone

Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director 2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris Utama /

President Commissioner 2. Komisaris Utama / President Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Dana Pensiun PT BTN Rp5.600.000.000 80,00%

(Persero)

2. PT Wisma Ramayana Rp1.400.000.000 20,00%

: KEP-514/KMK.017/1994 : 10 Oktober 1994

: Bungur Grand Centre Blok B2-B3 Jl Ciputat Raya 4-6, Kebayoran Lama Jakarta Selatan 12240

: 021-7204370, 021-7257457, 021-7257458

: 021-7204369 : www.binasentra.co.id : [email protected]

Ardin MH. Simanjuntak Yosef Maruli Silitonga

Soeryanto

Yoharsyah Sukri Adam

33. PT BINASENTRA PURNA

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile

: KEP-127/D.05/2014 : 6 Nopember 2014

: Gedung Gondangdia Lama Lt.4 Jl. RP Soeroso No. 25 Menteng Jakarta Pusat 10330 : 021-3147055 : 021-3916854

Industri Keuangan Non Bank Non Bank Financial Industry Direktori Dana Pensiun / Pension Fund Directory 03

Direktori Lembaga Keuangan Khusus / Specialized Financial Institutions Directory

04 Direktori Lembaga Keuangan Mikro /

Micro Finance Institution Directory

05 Asosiasi dan Lembaga /

Association and Institution 06

Direktori Perasuransian / Insurance Directory

01 Direktori Lembaga Pembiayaan /

Finance Institutions Directory 02

Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director 2. Direktur / Director 3. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris Utama /

President Commissioner 2. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Dana Pensiun BRI Rp5.400.000.000 90,00%

2. PT Ragam Venturindo Rp600.000.000 10,00%

: Wisma Staco Lt 10 Jl Casablanca Kav 18 Jakarta

: 021-8317101 : 021-8317085 : www.bsminsbroker.com : [email protected]

Agoestjik Bustami

Ircham Sjafindra Rambe

Susilo

I Komang Sudiarsa Donsuwan Simatupang

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris Utama /

President Commissioner 2. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. PT Ultramar Adora Rp3.240.000.000 90,00%

2. Rio Historiawan Rp360.000.000 10,00%

: KEP-044/KM.6/2003 : 4 Februari 2003

: Epiwalk Office Suites 3rd Floor Wing B307 Jl HR Rasuna Said, Kuningan Jakarta 12940 : 021-83707310

: 021-83707322 : -

: -

Rinawita

Sutiana

Thema Rosa

37. PT BROCADE INSURANCE BROKER

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Adhita Susilardjo Rp560.000.000 70,00%

2. Marina Suksmono Rp240.000.000 30,00%

: KEP-7417/MD/1986 : 18 Nopember 1986

: Gedung Permata Kuningan Lt 20 R 2007 Jl Kuningan Mulia Kav 9C, Setiabudi Jakarta 12980

: 021-28546050 : 021-28546055 : -

: [email protected]

Marina Suksmono

Natsir Natanagara

38. PT BUANA JASA PRATAMA

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. L I Sampulawa Rp3.000.000.000 96,00%

2. Fuad Hasan Sampulawa Rp120.000.000 4,00%

: KEP-139/KM.6/2002 : 1 Juli 2002

: Permata Kuningan Lt 20 Unit 01 Jl Kuningan Mulia Kav 9C, Setiabudi Jakarta Selatan 12980

: 021-83780596, 021-83780593 : 021-83780597

: www.bib-insbrokers.com : [email protected]

Fuad Hasan Sampulawa

Jasmen Pahotan Sitorus

39. PT BUMI INSURANCE BROKERS

89

Izin Usaha / Lisences Tanggal Keputusan / Decision Date

Alamat / Address Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director 2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris Utama /

President Commissioner 2. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Yayasan Kesejahteraan Rp2.215.000.000 73,83%

Pensiunan Bank Exim

2. PT Mulia Sasmita Bhakti Rp785.000.000 26,17%

: KEP-153/MK.17/2000 : 1 Mei 2000

: Jl Warung Jati Barat No. 15 Jakarta 12550 : 021-7817495

: 021-7822771 : -

: [email protected]

Miko S. Poetro, MM Handoyo Karyo Utomo, MM

Rafjon Yahya, MM Kosasih Prawiranata, SE

40. PT CARAKA MULIA

Izin Usaha / Lisences Tanggal Keputusan / Decision Date

Alamat / Address Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director 2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris Utama /

President Commissioner 2. Komisaris / Commissioner 3. Komisaris / Commissioner

: KEP-815/MD/1987 : 16 Februari 1987

: Jl Tiang Bendera II/90 Jakarta Barat 11230 : 021-6928264, 021-6907959

: 021-6908285 : -

: [email protected]

Haryantho Rudy Lukman

Anthony Salim

Tommy Nelson Barus Teddy Hailamsyah

41. PT CENTRAL ANTAR JASA

Susunan Pemegang Saham / Shareholders Composition

1. PT Lintas Sejahtera Langgeng Rp555.000.000 55,50%

2. Anthony Salim Rp445.000.000 44,50%

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director 2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. PT Mecede Famaset Rp1.089.000.000 99,00%

2. Melinda Chairyah Diah Rp11.000.000 1,00%

: KEP-448/MK.10/2009 : 17 November 2009

: Setiabudi Atrium Building, 3rd Floor Unit B 309 A-310 Jl. HR Rasuna Said Kavling 62, Kuningan Jakarta 12920

: 021-52905878 : 021-66670730 : www.integra.co.id

: [email protected]

Nefertiti Marzuki Nanny Murniaty Nursalim

Farah Xenya Diah

42. PT CIPTA INTEGRA DUTA

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director 2. Direktur / Director

: KEP-310/KM.13/1990 : 12 Juni 1990

: Puri Imperium The Office Plaza Unit G-16 Jl Kuningan Madya Kav 5-6 Jakarta 12980 : 021-83796055

: 021-83796057 : -

: [email protected]

Irwan Harunsyah

Edward Marialiennetto Reynold

43. PT CIPTA UNI JASA

Industri Keuangan Non Bank Non Bank Financial Industry Direktori Dana Pensiun / Pension Fund Directory 03

Direktori Lembaga Keuangan Khusus / Specialized Financial Institutions Directory

04 Direktori Lembaga Keuangan Mikro /

Micro Finance Institution Directory

05 Asosiasi dan Lembaga /

Association and Institution 06

Direktori Perasuransian / Insurance Directory

01 Direktori Lembaga Pembiayaan /

Finance Institutions Directory 02

Dewan Komisaris / Board of Commissioners 1. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Irwan Harunsyah Rp970.000.000 97,00%

2. Eddie Basuki Rp30.000.000 3,00%

M. Hasyim Harunsyah

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director 2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Dolly Tobing Rp550.000.000 50,00%

2. Donny Munir Rp550.000.000 50,00%

: KEP-241/KM.6/2003 : 30 Juni 2003

: Gedung Arthaloka Lt 7 Jl Jend Sudirman Kav-2 Jakarta Pusat 10220

: 021-57933301, 021-57933302 : 021-57933300

: www.AlliedIndonesia.com : -

Dolly Tobing Donny Munir

Suharyanti

44. PT DHARMA HONORIS RAKSA PRATAMA

Izin Usaha / Lisences Tanggal Keputusan / Decision Date

Alamat / Address Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris / Commissioner

: KEP-630/KM.10/2012 : 12 Nopember 2012

: Graha SA Lt.6 / R.610 Gubeng Surabaya : 031-5052807

: 031-5052809 : -

: [email protected]

Reza Harjanto

Agus Antariksa Sidharta

45. PT DINAMIKA PRIMA SERVITAMA

Susunan Pemegang Saham / Shareholders Composition

1. PT Multikem Suplindo Rp900.000.000 60,00%

2. PT Inti Sukses Danamas Rp300.000.000 20,00%

3. PT Praba Cipta Sarana Rp300.000.000 20,00%

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director 2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris Utama /

President Commissioner 2. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. PT Dwidaya Intra Sarana Rp1.499.000.000 99,93%

2. Judy Suryawan Kartadikaria Rp1.000.000 0,07%

: KEP-207/KM.6/2004 : 31 Mei 2004

: Graha ARRTU 6th Floor

Jl RS Mata Aini Kav. BC-1, Setiabudi Jakarta 12920

: 021-5202436 : 021-5264567 : -

: [email protected]

Judy S Kartadikaria Lucy A Mamuaya

Tovino Afiar Felly Imransyah

46. PT DINDA PRADANA INSURANCE BROKER

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director

: KEP-203/KM.6/2004 : 28 Mei 2004

: Komplek Pertokoan Pulo Mas Blok XI No. 2 Jl Perintis Kemerdekaan Jakarta Timur : 021-4701272, 021-47864063 : 021-4701262

: -

: [email protected] [email protected]

Henry Wono Wong

47. PT DRITAMA BROKERINDO

91

2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris Utama /

President Commissioner 2. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Henry Wono Wong Rp600.000.000 60,00%

2. Etty Adiwijaya Rp300.000.000 30,00%

3. Wong Kartika Wijaya Rp100.000.000 10,00%

DK Radiman

Etty Adiwijaya Wong Kartika W

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director 2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris Utama /

President Commissioner 2. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Haryanto Adikoesoemo Rp187.500.000 37,50%

2. PT Gunung Sewu Investama Rp187.500.000 37,50%

3. Kumalawati Setio Rp112.500.000 22,50%

4. Wahidin Teddy Rp12.500.000 2,50%

: KEP-303/KMK.017/1994 : 27 Juni 1994

: Chase Plaza Podium Lt 2 Jl Jend Sudirman Kav 21 Jakarta Pusat

: 021-5706419, 021-5208217 : 021-5208218

: -

: [email protected]

Wahidin Teddy

Hany

Wong Steffania Cynthia Theresia Buniardi

48. PT DUTA SEMESTA RAYA

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

: KEP-119/NB.1/2015 : 30 Januari 2015

: Sarinah Building 14th Floor 14-01 JL. MH Thamrin No.11 Jakarta Pusat 10350

49. PT DUTA INTI VARIA

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director 2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris Utama /

President Commissioner 2. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Deni Edhitayasa Rp720.000.000 60,00%

2. Harry Buhar Sugandi Rp480.000.000 40,00%

: 021-3928252 : 021-31920229 : -

: [email protected]

Evy Purnama Nina Virciliana

Deni Edhitayasa Tri Windarti

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director 2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris Utama /

President Commissioner 2. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Yayasan Kesejahteraan Rp2.970.000.000 99,00%

Bank Bumi Daya

2. Dana Pensiun Bank Mandiri Rp30.000.000 1,00%

Satu

: KEP-310/KMK.017/1994 : 27 Juni 1994

: Graha Mandiri Lt 9 Jl Imam Bonjol No. 61 Jakarta 10310

: 021-2305583 : 021-2305587 : www.estika.co.id

: [email protected], [email protected]

M. Noerzain Nurdin Muhammad Ichsan

Sutekat, SE Sitta Leila Y Harahap

50. PT ESTIKA JASATAMA

Industri Keuangan Non Bank Non Bank Financial Industry Direktori Dana Pensiun / Pension Fund Directory 03

Direktori Lembaga Keuangan Khusus / Specialized Financial Institutions Directory

04 Direktori Lembaga Keuangan Mikro /

Micro Finance Institution Directory

05 Asosiasi dan Lembaga /

Association and Institution 06

Direktori Perasuransian / Insurance Directory

01 Direktori Lembaga Pembiayaan /

Finance Institutions Directory 02

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur / Director

2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris / Commissioner

2. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Drs. Said Umar Rp1.225.000.000 90,74%

2. Farhan Hasan Rp62.500.000 4,63%

3. Ghalib Rp62.500.000 4,63%

: KEP-480/KM.10/2009 : 28 Desember 2009

: Jl. Raya Jatimakmur Kav. Nomor 5, RT 001 RW 012, Kel. Jatimakmur, Kec. Pondok gede Bekasi

: - : - : -

: [email protected]

Galib

Farhan Hasan

Widjaja Danu Buniardi

51. PT EXPERTA JAMIN LINDUNG KENCANA

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Dra. Siti Fadhilah, CIIB Rp700.000.000 70,00%

2. Czarina Farah Rp300.000.000 30,00%

: KEP-5011/MD/1986 : 5 Agustus 1986

: Wisma Bhakti Mulya Lt 8 Jl. Kramat Raya No. 160 Jakarta

: 021-3918480, 021-3918481 : 021-3916776

: -

: [email protected]

Dra. Siti Fadhilah, CIIB

Ir. Mustafa Kamal

52. PT FELIMA ORIENT PACIFIC

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director 2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Vera Nurani, SE.As Rp339.000.000 35,05%

2. Masfar Gazali, Dip.Ec.MBA Rp338.000.000 34,95%

3. Deddy Supriadi Rp290.000.000 30,00%

: KEP-473/KM.5/2004 : 29 Nopember 2004

: Gedung Menara Sentraya Lantai 17 Suite No. B.4 Jl. Iskandarsyah Raya No. 1A, Kel. Melawai, Kec. Kebayoran Baru Jakarta Selatan 12160

: 021-27513191, 021-27513192, 021-27513193 : 021-27513194

: -

: [email protected]

Vera Nurani Dedy Supriadi

Masfar Gazali

53. PT FISTLIGHT INDONESIA INSURANCE BROKER

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur / Director

2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris / Commissioner

: KEP-391/KM.17/2000 : 19 Oktober 2000

: Komp Fatmawati Mas Blok B-5 Kav. 212-213 Jl. RS Fatmawati No.20 Cilandak Barat Jakarta Selatan 12430

: 021-75901906 : 021-7654950 : -

: [email protected]

Marius Sabini Marcelina Sabini

Damayani Sabini

54. PT FRED MARIUS SABINI INSURANCE BROKER

93

Susunan Pemegang Saham / Shareholders Composition

1. Fred Marius Sabini Rp1.400.000.000 70,00%

2. Damayani Sabini Rp300.000.000 15,00%

3. Marcelina Sabini Rp300.000.000 15,00%

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

Dewan Direksi / Board of Directors 1. Direktur Utama /

President Director

Dewan Komisaris / Board of Commissioners 1. Komisaris Utama /

President Commissioner 2. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Boyke Lukman, B.Comm, CIMB Rp300.000.000 30,00%

2. Mandy Satria Budiman Rp250.000.000 25,00%

3. Hardi Singgih Ongko Rp200.000.000 20,00%

4. Hendrik Prijatna Rp200.000.000 20,00%

5. Yudi Budiman Rp50.000.000 5,00%

: KEP-264/KM.17/2000 : 29 Mei 2000

: Menara Jamsostek, North Tower 16th floor Jl. Jend. Gatot Subroto Kav. 38 Jakarta 12710 : 021-2524809

: 021-2524811, 021-2524812 : -

: [email protected]

Boyke Lukman, B.Comm, CIMB

Yudi Budiman Hardi Singgih Ongko

55. PT FRESNEL PERDANA MANDIRI

Izin Usaha / Lisences Tanggal Keputusan / Decision Date Alamat / Address

Telepon / Telephone Faksimili / Facsimile Situs / Website Surel / Email

: KEP-493/NB.1/2015 : 16 Maret 2015

: GD.WORLD TRADE CENTRE 5 LT.3A, Jl. Jend Sudirman Kav.29-31 No. RT.RW Kel.

Karet Kec Setiabudi Jakarta Selatan, DKI Jakarta12920

: 021-25985086 : 021-25985001 : -

: -

Dalam dokumen Kata Pengantar - OJK (Halaman 90-96)