• Tidak ada hasil yang ditemukan

PT JUPITER INSURANCE BROKER AND CONSULTANT

Dalam dokumen Kata Pengantar - OJK (Halaman 103-106)

D/H PT. ASURANSI MITRA MAPARYA TBK)

81. PT JUPITER INSURANCE BROKER AND CONSULTANT

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. Kapler A Marpaung Rp975.000.000 97,50%

2. Sudrawih H.M Rp25.000.000 2,50%

: -

: [email protected]

Sudrawih HM

Kapler A Marpaung

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 3. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris Utama /

President Commissioner 2. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. PT Sinar Mas Tunggal Rp1.787.000.000 50,00%

2. PT Sinarindo Gerbang Mas Rp1.787.000.000 50,00%

: KEP-511/KMK.017/1994 : 10 Oktober 1994

: Ruko Mega Grosir Cempaka Mas Blok E No. 1-3 Jl Letjend Suprapto Jakarta Pusat 10640 : 021-42883707, 021-42883709

: 021-42883708 : -

: [email protected]

Martinus Chandra

Eka Priadi Wongso

Natanail

Indra Widjaja Gandi Sulistianto S

82. PT KALI BESAR RAYA UTAMA

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

: KEP-100/D.05/2014 : 27 Agustus 2014

: Palma One, Lt.7 Suite 707

Jl.H.R. Rasuna Said Kav.X-2 Nomor 4 12950

83. PT KANTATA MITRA JAMINDO

101

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 Holmes Rp960.000.000 80,00%

2. Hendra Hermawan Rp120.000.000 10,00%

3. Verdi Hermansjah Rp120.000.000 10,00%

: KEP-092/KM.10/2008 : 29 Mei 2008

: Gedung Wisma Nugra Santana Lt 16 Jl Jend Sudirman Kav 7-8 Jakarta 10220 : 021-5711730

: 021-5711734

: www.laren-insurance.com : [email protected]

Ryan Afriandy

Hendra Hermawan Verdi Hermansjah

85. PT LAREN 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. M Amin Anggianto Rp570.000.000 58,00%

2. NN Farah Octavia Rp185.000.000 18,50%

3. NN Savira Anggraini Rp185.000.000 18,50%

4. TN. Amrozi Rp60.000.000 6,00%

: KEP-304/KMK.017/1994 : 27 Juni 1994

: Apartemen Sahid Sudirman Recidence Office Lt. 1 Jl. Jend. Sudirman Kav.86, Jakarta Pusat 10220 : 021-29022797

: 021-29022737 : -

: -

Syafwanul Khoiri

M Amin Anggianto

86. PT LEAD INSURANCE BROKER

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. Harry Wardhana Rp600.000.000 60,00%

2. Nicholetta N.A. Anggijono Rp350.000.000 35,00%

3. Siannita, SH Rp50.000.000 5,00%

: 021-2525570 : 021-2525571 : -

: -

Musthopa Kamal Michael Tanong

Ahmad Dailami Hardi Siswan

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. Dana Pensiun Bank Rp499.500.000 99,90%

Mandiri Empat

2. Yayasan Kesejahteraan Purna Rp500.000 0,10%

Karyawan Bapindo (YKPKB)

: KEP-507/KMK.017/1994 : 10 Oktober 1994

: Jl Kramat Raya No 51 Jakarta 10450 : 021-3909481 : 021-3103056 : -

: [email protected]

Kurniawan Dwiatmojo Djoko S Djanumartono

Agam P. Napitupulu M. Zain Fanany

84. PT KRIDA UPAYA TUNGGAL

Otoritas Jasa Keuangan Indonesia Indonesia Financial Services Authority

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 Holmes Rp960.000.000 80,00%

2. Hendra Hermawan Rp120.000.000 10,00%

3. Verdi Hermansjah Rp120.000.000 10,00%

: KEP-092/KM.10/2008 : 29 Mei 2008

: Gedung Wisma Nugra Santana Lt 16 Jl Jend Sudirman Kav 7-8 Jakarta 10220 : 021-5711730

: 021-5711734

: www.laren-insurance.com : [email protected]

Ryan Afriandy

Hendra Hermawan Verdi Hermansjah

85. PT LAREN 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. M Amin Anggianto Rp570.000.000 58,00%

2. NN Farah Octavia Rp185.000.000 18,50%

3. NN Savira Anggraini Rp185.000.000 18,50%

4. TN. Amrozi Rp60.000.000 6,00%

: KEP-304/KMK.017/1994 : 27 Juni 1994

: Apartemen Sahid Sudirman Recidence Office Lt. 1 Jl. Jend. Sudirman Kav.86, Jakarta Pusat 10220 : 021-29022797

: 021-29022737 : -

: -

Syafwanul Khoiri

M Amin Anggianto

86. PT LEAD INSURANCE BROKER

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. Harry Wardhana Rp600.000.000 60,00%

2. Nicholetta N.A. Anggijono Rp350.000.000 35,00%

3. Siannita, SH Rp50.000.000 5,00%

: 021-2525570 : 021-2525571 : -

: -

Musthopa Kamal Michael Tanong

Ahmad Dailami Hardi Siswan

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. Dana Pensiun Bank Rp499.500.000 99,90%

Mandiri Empat

2. Yayasan Kesejahteraan Purna Rp500.000 0,10%

Karyawan Bapindo (YKPKB)

: KEP-507/KMK.017/1994 : 10 Oktober 1994

: Jl Kramat Raya No 51 Jakarta 10450 : 021-3909481 : 021-3103056 : -

: [email protected]

Kurniawan Dwiatmojo Djoko S Djanumartono

Agam P. Napitupulu M. Zain Fanany

84. PT KRIDA UPAYA TUNGGAL

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 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. Tri Marmi Rp1.200.000.000 80,00%

2. Ellen Mulyana Rp150.000.000 10,00%

3. T. Said Idris Rp75.000.000 5,00%

4. Herry Setianto Rp75.000.000 5,00%

: KEP-486/NB.1/2015 : 12 Maret 2015

: Gedung Menara Hijau Lantai 9 Jl. MT Haryono Kav. 33 Kel. Cikoko Kec.

Pancoran Jakarta Selatan 12770 : 021-7992509

: 021-7992488 : -

: [email protected]

Rudi Wahyu Subagyo Sumariyadi

Pujo Sumekto Haris Abdul Bari

87. PT LEGOWO

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. Brata Antakusuma Rp400.000.000 40,00%

2. Billy Indiarto Rp200.000.000 20,00%

3. Alif Panji Purna Rp200.000.000 20,00%

4. Dewi Ehrawati Rp100.000.000 10,00%

5. Rustrianti Nugraheni Rp100.000.000 10,00%

: KEP-631/KM.10/2012 : 13 Nopember 2012

: Menara Bidakara 1 Lt.1 Jl. Jend. Gatot Subroto Kav.71-73, Jakarta Selatan 12870 : 021-71040909, 021-82563934, 021-57939156

: 021-83793179 : -

: [email protected]

Dewi Ehrawati

Brata Antakusuma

89. PT LIDEAN PIALANG ASURANSI

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

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

: KEP-5281/M/1988 : 6 Juli 1988

: Komp.Mangga Dua Plaza blok N-2 Jl. Mangga Dua Raya Jakarta 10730 : 021-6124363, 021-6124364 : -

: -

: [email protected]

90. PT LUMBUNG SARI

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

: KEP-667/KM.10/2012 : 10 Desember 2012

: Bintaro Point Blok A2 Jl. Tegal Rotan RT 007/ 001 Tangerang Selatan : 021-222123456

: 021-22212590 : -

: [email protected]

Mhd Taufik Arifin

Irvan Rahardjo

88. PT LIBERTY & GENERAL RISK SERVICE

Susunan Pemegang Saham / Shareholders Composition

1. Mhd Taufik Arifin Rp600.000.000 52,17%

2. Walimatul Hidayati Rp275.000.000 23,91%

3. Herman Setiadi Rp75.000.000 6,52%

4. Irvan Rahardjo Rp75.000.000 6,52%

5. Yetti Juniati Wazir Rp75.000.000 6,52%

6. Oktoyarmeli Rp30.000.000 2,61%

7. Fadli Nanda Rp20.000.000 1,75%

103

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. Soedarto Jono Rp350.000.000 35,00%

2. PT Multi Kreasi Utama Rp200.000.000 20,00%

3. Lily Florencia Aswita Rp150.000.000 15,00%

4. PT Trans Armada Indonesia Rp150.000.000 15,00%

5. Salim Kartono Rp150.000.000 15,00%

: KEP-119/KM.12/2006 : 12 Oktober 2006

: Komplek Aries Niaga Blok A1/3G Jalan Taman Aries Jakarta Barat 11620 : 021-58909825

: 021-58906970 : -

: [email protected]

Soedarto Jono Lily Florencia Aswita

Leo Zahar Chandra Putra

91. PT MAGNUS MITRA SEJAHTERA

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 Equity Development Rp6.003.000.000 75,04%

Invest.Tbk.

2. PT Equity Finance Indo. Rp1.997.000.000 24,96%

Khares Satria Mursalim Ernie Widjaja

M. Zulkifli As Bustomi Usman

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. Yamin Abdurrahman Rp1.738.500.000 95,00%

2. Rizkana Surayya P. Rp90.000.000 4,92%

3. Madia Rp1.500.000 0,08%

: KEP-432/KM.17/2000 : 20 Desember 2000

: Graha Sahardjo Jl. Dr. Saharjo No.242 B, Tebet Jakarta Selatan 12870

: 021-83792921, 021-837990637 : 021-83792988

: -

: [email protected]

Yamin Abdurrahman Haryadi APAI

Rizkana Surayya P.

Madia

Dalam dokumen Kata Pengantar - OJK (Halaman 103-106)