PT MAJU ANUGERAH PROTEKSI - D/H PT. ASURANSI MITRA MAPARYA TBK)

D/H PT. ASURANSI MITRA MAPARYA TBK)

92. PT MAJU ANUGERAH PROTEKSI

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

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 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

92. PT MAJU ANUGERAH PROTEKSI

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

: KEP-269/KM.17/2000 : 12 Juni 2000

: L’AVENUE Office Lantai 21 E Jalan Raya Pasar Minggu Kav. 16, Pancoran Jakarta Selatan 12780

: 021-80667012, 021-80667013 : 021-80667011

: www.manggalabroker.com : [email protected]

Sarimaya

Irma Susanny

Joeslin Nasution

93. PT MANGGALA ARTHA SEJAHTERA

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

Susunan Pemegang Saham / Shareholders Composition

1. Sarimaya Rp1.650.000.000 82,50%

2. Arie S Hariyanto Rp150.000.000 7,50%

3. Raditya Dika Angkasa Rp100.000.000 5,00%

4. Djamal Aziz Rp100.000.000 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 3. Direktur Pemasaran / Marketing Director

Dewan Komisaris / Board of Commissioners 1. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Farouk Budi Rp392.500.000 39,25%

2. Agoes Caesar Bisrie R Rp286.000.000 28,60%

3. Ita Gayatri Rp250.500.000 25,05%

4. Yully Handayani Rp71.000.000 7,10%

: KEP-384/M/1987 : 8 Desember 1987

: Graha Binakarsa Lt.IV Jl .HR.Rasuna Said Kav. C-18 Jakarta Selatan 12940

: 021-5202951, 021-5202952 : 021-5202949

: -

: Email:[email protected]

Farouk Budi, SE

Ismet Uprani, AAAIK, CIIB Gatot Kardioko, AAAIK, CIIB

Drs. Agoes Caesar Bisrie Rahardja

94. PT MANUNGGAL BHAKTI SUCI

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

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

: KEP-156/KM.13/1991 : 8 Juli 1991

: Sentral Senayan II, Lt.15 Jl.Asia Afrika No.8 Gelora-Tanah Abang Jakarta 10270 : 021-57900110

: 021-57900120 : www.marsh.co.id : [email protected]

95. PT MARSH INDONESIA

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 3. Komisaris / Commissioner 4. Komisaris / Commissioner 5. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Marsh BV Rp2.250.000.000 75,00%

2. PT Quantum Computing Rp750.000.000 25,00%

Servuces

Peter J.Phillips

Mira Sih'hati Meilani Setiawan

Alan Cheah

Haji Muhammad Ismail Ross Wilson Bovil Susan Claveria Marero Muthu Arumugam

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 Tunas Koralindo Rp6.100.000.000 97,00%

2. The Taty Rp200.000.000 3,00%

: KEP-6465/M/1988 : 29 Agustus 1988

: Wisma Argo Manunggal Lt.12A Jl. Gatot Subroto Kav. 22 Jakarta Selatan 12930 : 021-2523318 : 021-2523434 : -

: [email protected]

Noldy R. Moningkey Dwipo Susanto

The Nicholas Darman Susanto

96. PT MEGAH PUTRA MANUNGGAL

105

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. Indrajaja Hadi Rp400.000.000 33,33%

2. Endro Wasono Rp300.000.000 25,00%

3. A.Bisrun Rp250.000.000 20,83%

4. Duhita Anindita Paramastuti Rp250.000.000 20,83%

: KEP-156/D.05/2013 : 27 Desember 2013

: Plaza PP (Pembangunan Perumahan) Lantai 3 Jl. TB. Simatupang Nomor 57, Pasar Rebo Jakarta 13760

: 021-87785478, 021-87785479 : 021-87785475

: -

: [email protected]

Indradjaja Hadi Endro Wasono

A.Bisrun

Eddy Harsono

97. PT MITRA CIPTA PROTEKSINDO

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-005/KM.17/2001 : 3 Januari 2001

: Wisma GKBI Lt. 6 R. 601 Jl. Jend. Sudirman Kav. 28 Jakarta Pusat 10210

: 021-5733448 : 021-5707242 : www.mda-broker.com : [email protected]

H Mashudi

Muhammad Ghufron

98. PT MITRA DHANA ATMHARAKSHA

Susunan Pemegang Saham / Shareholders Composition

1. H. Nurhadi M. Musawir Rp450.000.000 45,00%

2. Riesna Maulida Rp350.000.000 35,00%

3. H. Mashudi Rp200.000.000 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 Sentra Modal Harmoni Rp1.950.000.000 97,50%

2. Tuan Louis Hariman Rp50.000.000 2,50%

: KEP-121/KM.10/2007 : 2 Juli 2007

: Gedung Menara Hijau Lt. 5 Jl. MT Haryono Kav. 33 Jakarta 12770 : 021-7986062, 021-7986063 : 021-7986064

: www.mhibroker.com : [email protected]

Iwan Zulkarnain Brata Arifin Bakri

Nur Alamsyah FX Soenarko Effendy

99. PT MITRA HARMONI 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-18/NB.1/2016 : 28 Maret 2016

: Wisma Slipi Lantai 7

Jalan Letjend S. Parman Kav. 12, Slipi Jakarta Barat 11480

: 021-5325451 : 021-5325452 : -

: -

Aditya Budi

100. PT MITRA IBISNIS TERAPAN

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 / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Fred Iswara SH Rp450.000.000 45,00%

2. Djoko Gazali, Ir Rp275.000.000 27,50%

3. Irwan Iswara, SE, MBA Rp275.000.000 27,50%

: KEP-8019/MD/1986 : 8 Desember 1986

: Wisma Slipi Lantai 9

Jalan Letjend S. Parman Kav. 12, Slipi Jakarta Barat 11480

: 021-5305888 : 021-5305875 : www.mirbrokers.com : [email protected]

Djoko Gazali, Ir Irwan Iswara, SE, MBA

Yustinus Saleh

101. PT MITRA ISWARA & RORIMPANDEY

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

: KEP-7767/MD/1986 : 29 November 1986

: Menara Selatan Jamsostek Lantai 18 TB 18.05 Jalan Gatot Subroto Nomor 38 Jakarta 12710

102. PT MITRA JASA PRATAMA

2. Direktur / Director

Dewan Komisaris / Board of Commissioners 1. Komisaris Utama /

President Commissioner 2. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. PT Mitra Iswara & Rorimpandey Rp1.980.000.000 99,00%

2. Irwan Karim Iswara Rp10.000.000 0,50%

3. Ir. Djoko Gazali Rp10.000.000 0,50%

Dedy Kurniadi

Tedjo Muljono Kosim Best Donald Syahril SSI

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. PT ARL International Limited Rp2.760.000.000 80,00%

2. PT Arlindo Karya Bersatu Rp657.000.000 19,04%

3. Ian Ramelan Rp33.000.000 0,96%

: 021-52971571021-5305888 : 021-52971572

: -

: [email protected]

Ian Ramelan

Mardhianto

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 Jaya Kapital Indonesia Rp1.200.000.000 60,00%

2. Ananda Emira Moeis Rp200.000.000 10,00%

3. Arief Wahyudi Rp200.000.000 10,00%

4. Sry Karni Noviyanti Rp200.000.000 10,00%

5. M Ridwan Rizqi R Nasution Rp200.000.000 10,00%

: KEP-416/KM.6/2004 : 7 Oktober 2004

: Gedung Plaza Asia Lt.15

Jl. Jend. Sudirman Kav. 59 Jakarta 12190 : 021-51401389

: 021-51401393 : www.mitrasentosa.com : [email protected]

Yunita Rebeca Marbun Oki Januardo

M Ridwan Rizqi R Nasution Sry Karni Noviyanti

103. PT MITRA SENTOSA PARAMAABADI

107

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. Fitra Adiatma Adnan Bintang Rp1.283.000.000 95,00%

2. Joni Muis Rp67.000.000 5,00%

: Gedung Graha Kulawi Lantai 2

Jl. Casablanca Raya No. 1 Jakarta Selatan 12870 : 021-83781840

: 021-83781841

: www.mitrasinergiproteksindo.com : [email protected]

Joni Muis Tengku Damhuri

Irwan Syahrir Izin Usaha / Lisences

Tanggal Keputusan / Decision Date

: KEP-2611/MD/1987 : 21 April 1987

104. PT MITRA SINERGI PROTEKSINDO

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. Muhammad Ismak, SH, MH Rp840.000.000 60,00%

2. Ahmad Zarkasyi Rp560.000.000 40,00%

: Kep-272/KM.6/2003 : 28 Juli 2003

: Menara MTH Lt. 17 Suite 17-05 Jl. MT. Haryono Kav. 23 Jakarta 12820 : 021-83782539

: 021-83782538 : -

: [email protected]

Marwadi Amin Dipl. Ins Gatot Wahyono SE, AAAI-K

Muhammad Ismak, SH, MH

105. PT MITRAMANDIRI PIALANG ASURANSI

Izin Usaha / Lisences Tanggal Keputusan / Decision Date

: Kep-66/KM.5/2006 : 22 Februari 2006

106. PT MULTI ARTHA INSURANCE BROKERS

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. Anjar Rachman Soewarno Rp1.473.200.000 57,00%

2. Wawang Saleh Soemadijaya Rp390.000.000 15,00%

3. Dewi Nurhasanah Rp368.400.000 9,00%

4. Solehudin bin Padli Rp245.600.000 9,00%

5. Mia Rochimayati Rp122.800.000 5,00%

: MT Haryono Square Lantai 1 Nomor 0128-0129 Jalan MT Haryono Kav 10 Jakarta Timur 13330

: 021-29067333 : 021-29067272 : -

: [email protected]

Anjar Rachman Soewarno Teten Suherman

Wawang Saleh Soemadijaya Akhrial Jamaries

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-312/KMK.017/1994 : 27 Juni 1994

: Gedung Aneka Tambang Lantai 3

Jalan TB Simatupang Nomor 1 Tanjung Barat Jakarta 12530

: 021-7803432 : 021-7803772 : -

: -

Adi Nurtjipto Afif Prawirasudarga

107. PT MULTI ASIH PRATAMA

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 Utama /

President Commissioner 2. Komisaris / Commissioner

Susunan Pemegang Saham / Shareholders Composition

1. Dana Pensiun Aneka Tambang Rp800.000.000 80,00%

2. Dana Pensiun PT Asuransi Rp200.000.000 20,00%

Jasa Indonesia

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 Fortuna Manajemen Rp820.000.000 41,00%

Investama

2. Albertus Budi Dharmatama Rp445.000.000 22,25%

3. Ruvina Tresia Rp445.000.000 22,25%

4. Almaida Rp200.000.000 10,00%

5. Franciscus Pramono Rp90.000.000 4,50%

: KEP-047/KM.6/2004 : 3 Februari 2004

: Komplek Golden Plaza Blok G-10, Koridor Lt.2 Jalan RS. Fatmawati No.15

Jakarta Selatan 12420 : 021-78839870 : 021-78839860 : -

: [email protected], [email protected]

Albertus Budi Dharmatama Pius Kia Tapoona

Yosef Tala Tufan

108. PT MULTINIAGA INTERMEDIA PROTEKSI

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

: KEP-192/KM.10/2007 : 1 Oktober 2007

: Jl. Gunung Sahari Raya No. 60-63 Blok E-10, Gunung Sahari Raya, Kemayoran Jakarta Pusat

109. PT MUNICH LLOYD INTERNATIONAL BROKERS

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. Kavita Atmaram Tolani Rp875.000.000 35,00%

2. Tolani Atmaram Harumal Rp875.000.000 35,00%

3. Vivekanand Atmaram Tolani Rp750.000.000 30,00%

Alias Vikas

: 021-4244525 : 021-4244216 : www.munichlloyd.com : [email protected]

Vivekanand Atmaram Tolani Alias Vikas

Atmaram H. Tolani

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

Susunan Pemegang Saham / Shareholders Composition

1. Edi Kusnadi Rp950.000.000 95,00%

2. Hilmy Lukito Rp50.000.000 5,00%

: KEP-214/KM.5/2005 : 25 Juli 2005

: Jalan Salamun No. 26 Pondok Ranggon Cilangkap Jakarta Timur 13860 : 021-84597560

: 021-84597560 : -

: [email protected]

Edi Kusnadi

Ratu Kenanga

110. PT NADI JASA PRATAMA

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

: KEP-094/KM.6/2004 : 9 Maret 2004

: Jalan Tebet Timur Dalam VI Nomor 7, Tebet Timur Jakarta 12820

111. PT NATIONAL INSURANCE BROKERS

Dalam dokumen Kata Pengantar - OJK (Halaman 106-111)