Berita Acara Perubahan Nama

Perseroan

MINUTES OF AN EXTRAORDINARY GENERAL MEETING OF

SHAREHOLDERS OF
PT. [----]
(the “Company”)

Day/Date :
Time :
Place :
Attendance :
1. MR. [----], acting as the proxy under the Power of Attorney dated
[---] from and on behalf of [---] holder of [---] shares representing
[---]% of the total issued shares of the Company. -----------------------
2. Mrs [----], acting as the proxy from and representing members of
the Board of Directors of the Company under the Power of
Attorney dated [----]. ----------------------------------------------------------
Mrs. [----], acting as the proxy conveyed the apology from members of
the Board of Directors of the Company for being unable to attend the
meeting. As no members of the Board of Directors and Commissioner
present to the meeting, in accordance with Article [---] of the Company’s
Articles of Association the meeting is chaired by the person appointed
by and among the attendances. Mrs. [----] has been appointed by all the
attendances to act as the chairman. Mrs. [---] accepted such
appointment and acted as the Chairman lead the meeting. ------------------
The Chairman welcomed the attendees, opened the Meeting at [---] a.m
West Indonesia Time and presided over the Extraordinary General
Meeting of Shareholders of the Company (the “Meeting”). -------------------
The Chairman announced to the Meeting as follows:
A. Invitation had been made to notify and invite all Company’s
shareholders to attend the Meeting through publication in an
Indonesian newspaper Sinar Harapan dated [---]. -------------------
B. This Meeting were present/represented by shareholders of the
Company holding 800 (eight hundred) shares which are 80% of
the total issued shares in the Company.
Name of the shareholders/attendees and number of the
represented shares are listed on the Attendance List attached to
these minutes. Pursuant to Article 10 (1) of the Company’s
Articles of Association and Article 86(1) of the Company Law the
meeting is legally held if attended by the shareholders or their
representative representing more than 1/2 (50%) of the total
issued shares; to amend the articles of association Article 88 (1)
of the Company Law requires the meeting to be attended by the
shareholders or their representative representing of at least 2/3

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 (66-2/3%) of the total issued shares. Since the meeting is
attended by the representative of shareholder holding 800
shares which are representing 80% of the total 1000 Company’s
issued shares thus the meeting has met the required quorum
and been able to take the resolution to change members of the
Board of Directors and to change the Company’s articles of
association which is to change the Company’s name. ----------------
C. The agenda of the Meeting had already been noticed in the
invitation of Meeting as published in the newspaper mentioned
above namely to change members of the Board of Directors and
to change the Company’s name. ------------------------------------------
Agenda: -----------------------------------------------------------------------
1. Change of the Company’s name; ----------------------------------
2. Change of members of the Company’s Board of Directors; --
3. Appointment of one of the shareholders to co-sign minutes
of meeting and appointment of a proxy to notarize the
resolution hereunder into a notary deed. -----------------------
The Chairman proceeded to discuss the agenda and proposed the
Meeting to adopt resolution as follows: ------------------------------------------
Discussion and Resolution:
-------------------------------------------------------
1. The Chairman explained to the Meeting the proposal of changing
the Company’s name from PT. [----] to become PT [----]. --------------
-After some discussion, the shareholder present to the Meeting
which represented 80% of the total issued shares resolved and
voted to approve to change the Company’s name to become PT
[---];-------------------------------------------------------------------------------
-As the votes represented 100% of all votes cast in the Meeting,
the votes of 2/3 of total votes cast in the meeting as required
under Article 88(1) of the Company Law had been met and
accordingly the adopted resolution above was valid and binding. --
2. The Chairman explained to the Meeting that Mr [----], President
Director submitted his resignation with effect on and from [---]
and Mr. [---], Director submitted his resignation effective on [----]
the Chairman explained the proposal of appointment Mr [---] as
the Director for [---] years as stipulated under the Company’s
articles of association, effective as of the closing of this meeting
and reappoint other members of the Board of Directors and
Commissioners. ----------------------------------------------------------------
-After some discussion, the shareholder present to the Meeting
which represented 80% of the total issued shares resolved and
voted to approve the resignation of Mr [----], President Director
with effect on and from [---] and the resignation of Mr. [----],
Director effective on [---] and to approve to appoint Mr Paul
Herbert Turney as the President Director for [---] years as
stipulated under the Company’s articles of association, effective as
of the closing of this meeting and to reappoint other members of
the Board of Directors and Commissioners for [---] years effective
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 as of the closing of this meeting and therefore as of the closing of
this meeting until [---] members of the Board of Directors and
Commissioners are as follows: ----------------------------------------------
Board of Directors :
------------------------------------------------------------
President Director :
Director :
Board of Commissioners : ----------------------------------------------------
Commissioner :
Commissioner :
As the votes represented 100% of all votes cast in the Meeting, the
votes of more than 1/2 of total votes cast in the meeting as
required under Article 87(1) of the Company Law had been met
and accordingly, the adopted resolution above was valid and
binding. --------------------------------------------------------------------------
3. The Chairman proposed to the shareholders to notarize the
resolution of change of the Company’s name as resolved in this
Meeting. --------------------------------------------------------------------------
-After having discussion the shareholders present to the Meeting
which represented 80% of the total issued shares resolved and
voted to approve, to appoint [---] to co sign minutes of this
Meeting and to appoint any member of the Company’s Board of
Directors and/or Mrs. [---], jointly or severally, as the proxy with
the right of substitution to memorialize any or all of the
resolutions adopted in this Meeting in a notary deed (s), and for
such purpose to sign and submit any applications and other legal
documents required, and to appear before a Notary, to give any
information deemed necessary, to sign (a) Deed(s) of Statement of
Minutes of Meeting in Indonesian language, and to submit the
Deed(s) to the Ministry of Law and Human Rights, and if required
to publish it in the State Gazette and register it in the Company
Register at the Department of Trade, to sign and submit any
applications and other legal documents, and to perform any other
acts which may be required. -------------------------------------------------
Since no other matters were raised for discussion by the shareholders,
the Chairman closed the Meeting at [---] am. West Indonesia Time.

Chairman of the Meeting

Rp6000
Stamp duty
_____________________
Name : Mrs.
Title : Proxy of the Board of Directors/chairman appointed by the Meeting

Shareholder
By ________________
Name :
Title : Proxy
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