A.

CORPORATE ADMINISTRAION

CORPORATE NAME AND ADDRESS

Name CV. ADI WIJAYA
Director Ir. Kusbiono
Jln. Banowati No.15
Head Office Purwokerto

BUSINESS
OPERATIONS limited corporation

COMPANY REGISTERED NUMBER

Established Ny. Gati Sudardjo, SH
Number 21 tgl 25 February 1999
established change Notary Arif Dhian
1 Prasetyo, SH
number 04 tgl 14 June 2008

BUSINESS LICENSE OF NATIONAL

CONSTRUCTION SERVICES (IUJK)
Number 1-009411-3302-2-00055
Date 13 September 2014
Validity Period 14 November 2016

COMPANY BUSINESS LICENSE ( SIUP )

Number 00424/11.07/Pk.4/X/2008
Date 04 Oktober 2013
Validity Period 04 Oktober 2018

CERTIFICATE OF COMPANY REGISTRATION

Number 11.07.3.52.00819
Date 23 March 2013
validity period 09 March 2018

BUSINESS ENTITY CERTIFICATE ( SBU )

CONSTRUCTION
SERVICE
Field of business CIVIL BUILDING
Type of business small
Number 0190835
Registration number 2-3302-07-023-1-
11009411
Date 02 December 2014
Validity period 01 June 2017

BUSINESS ENTITY CERTIFICATE /

CONSTRUCTION SERVICES
Field of business Building
Type of business small
Number 190834
Registration
number 0-3302-06-023-1-11-009411
Date 02 December 2014
Date of validity 01 June 2017

TAX ID NUMBER
(NPWP)
Number 01.848.521.9-521.000
Registered at 04 March 1999

LETTER OF CONCESSION CONFIRMATION

TAXABLE ( PKP )
Number 01.848.521.9-521.000

BANK
REFERENCE
Account number 1.003.02972-2
BANK JATENG
BANK PURWOOKERTO BRANCH
Account number 1.848.521.954
BANK BANK NEGARA INDONESIA
B. LIST OF
STAKEHOLDERS

N NAME ID NUMBER ADDRESS

PRECENT
O
AGE
1 Ir. Kusbiono 33022625058 Jl. Banowati No 15
90001 Purwokerto
50%
2 Bambang Adi 33022207097 Jl. Raya Beji Purwosari
Prayitno 20003 Baturaden
25%
3 Mubdi Cahyono 33022603068 Jl. Banowati No 15
Adi 40005 Purwokerto
25%
C. LIST OF OFFICERS

N
Name ID NO JOB POSITION
o
3302262505890
1 Ir. Kusbiono 001 Director

3302220709720
2 Bambang Adi Prayitno 003 vice director

3302260306840
3 Mubdi Cahyono Adi 005 limited partnership