1 Januari 2014 January 1, 2014 (31 Desember 2013) (December 31, 2013) disajikan kembali/ restated (tidak diaudit/ unaudited )

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Harjanti Wibowo
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1 Laporan Posisi Keuangan Statements of Financial Position Per 31 Desember 2015 dan 2014, As of December 31, 2015 and 2014, serta per 1 Januari 2014 (31 Desember 2013) and as of January 1, 2014 (December 31, 2013) 1 Januari 2014 January 1, 2014 (31 Desember 2013) (December 31, 2013) ASET ASSETS Aset Lancar Current Assets Kas dan Bank 2o, 2p, Cash and Banks Aset Keuangan Diukur pada Nilai Financial Assets Measured at Wajar Melalui Laporan laba Rugi 2e,2o, Fair Value Through Profit or Loss Piutang Hasil Investasi 2o, 2p, 2q, 2t, Investment Income Receivables Biaya Dibayar di Muka Prepaid Expenses Pajak Dibayar di Muka 2m, 25a Prepaid Taxes Persediaan Inventories Piutang Liabilitas Manfaat Masa Lalu 2s, Past Service Liability Receivables Aset Lancar Lainnya 2u, 2v, 2w, Other Current Assets Jumlah Aset Lancar Total Current Assets Aset Tidak Lancar Non-Current Assets Aset Keuangan Tersedia Untuk Dijual 2e, 2o, 2p, Financial Assets Available for Sale Aset Keuangan Dimiliki Hingga Jatuh Tempo 2e, 2o, Financial Assets Held to Maturity Properti Investasi 2h, Investment Property 2015: Rp ; 2015: Rp ; 2014: Rp ; 2014: Rp ; 2013: Rp ) 2013: Rp ) Aset Tetap 2i, Fixed Assets 2015: Rp ; 2015: Rp ; 2014: Rp ; 2014: Rp ; 2013: Rp ) 2013: Rp ) Piutang Bantuan Uang Muka Receivables of Advance Aid Kredit Pemilikan Rumah of Housing Loan Piutang Yayasan Kesejahteraan Receivables of Welfare, Education and Pendidikan dan Perumahan Housing Foundation Aset Tak berwujud Intangible Assets 2015: Rp ; 2015: Rp ; 2014: Rp ; 2014: Rp ; 2013: Rp ) 2013: Rp ) Aset Pajak Tangguhan 25d Deferred Tax Aset Tidak Lancar Lainnya Other Non Current Assets Jumlah Aset Tidak Lancar Total Non-Current Assets JUMLAH ASET TOTAL ASSETS 1

2 Laporan Posisi Keuangan Statements of Financial Position Per 31 Desember 2015 dan 2014, As of December 31, 2015 and 2014, serta per 1 Januari 2014 (31 Desember 2013) and as of January 1, 2014 (December 31, 2013) 1 Januari 2014 January 1, 2014 (31 Desember 2013) (December 31, 2013) LIABILITAS LIABILITIES Liabilitas Jangka Pendek Current Liabilities Pinjaman Bank Jangka Pendek 2o, Short Term Bank Loan Liabilitas Klaim 2l, Claims Liabilities Estimasi Liabilitas Klaim 2k, Estimated Claims Liabilities Biaya yang Masih Harus Dibayar Accrued Expenses Utang Bantuan Uang Muka Payables of Advance Aid Kredit Pemilikan Rumah of Housing Loan Utang Pajak 2m, 25b Taxes Payables Utang Investasi Investment Payables Utang Barang dan Jasa Goods and Services Payables Pendapatan Diterima di Muka 2o, Unearned Revenues Liabilitas Jangka Pendek Lainnya Other Short Term Liabilities Jumlah Liabilitas Jangka Pendek Total Current Liabilities Liabilitas Jangka Panjang Non-Current Liabilities Liabilitas Imbalan Pascakerja 2n, Employment Benefits Liabilities Liabilitas Manfaat Polis Masa Depan 2j, Liability for Future Insurance Benefits Liabilitas Akumulasi Iuran Dana Accumulation of Pension Fund Pensiun Contribution Liabilities Jumlah Liabilitas Jangka Panjang Total Non-Current Liabilities Jumlah Liabilitas Total Liabilities EKUITAS Ekuitas Yang Dapat Diatribusikan Kepada Pemilik Modal Saham Modal Dasar saham ditempatkan dan disetor penuh saham dengan nominal Rp per saham Saldo Laba: EQUITIY Attributable to Shareholders Share Capital Authorised Capital 500,000 shares issued and fully paid capital 200,000 shares with par value of Rp1,000, per share Retained Earnings: - Telah ditentukan Penggunaannya Appropriated - - Belum ditentukan Penggunaannya Unappropriated - Komponen Ekuitas Lainnya 30c ( ) ( ) ( ) Other Components of Equity Jumlah Ekuitas Total Equity JUMLAH LIABILITAS DAN EKUITAS TOTAL LIABILITIES AND EQUITY 2

3 Laporan Laba/(Rugi) dan Penghasilan Komprehensif Lain Statement of Income and Other Comprehensive Income 2015 PENDAPATAN REVENUES Pendapatan Premi 2g, Premiums Income Hasil Investasi 2g, Investments Income Pendapatan Lain-lain 2g, Other Income Jumlah Pendapatan Total Revenues 2014 Return on Investment Income of Hasil Investasi Dana Program Pensiun Pension Fund Program BEBAN EXPENSES Klaim dan Manfaat 2g, 2j, Claims and Benefits Kenaikan Liabilitas Manfaat Increase in Liabilties Polis Masa Depan 2g, 2j, Future Insurance Benefits Beban Umum dan Administrasi 2g, General and Administration Expenses Jumlah Beban Total Expenses LABA SEBELUM PAJAK PROFIT BEFORE TAX Beban Pajak Kini 2l, 25c ( ) ( ) Current Tax Expenses Manfaat Pajak Tangguhan 2l, 25d Deferred Tax Benefit LABA TAHUN BERJALAN INCOME FOR THE YEAR Penghasilan Komprehensif Lain Other Comprehensive Income Pos-pos yang tidak akan Posts that will not be classified diklasifikasikan ke laba rugi to profit and loss Pengukuran Kembali atas Remeasurement for Defined Program Imbalan Pasti 2m, 28, 30a ( ) Benefits Program Surplus Revaluasi Aset Tetap 2i, 15, 30b Revaluation Surplus of Fixed Assets Pos-pos yang akan diklasifikasikan Posts that will be classified ke laba rugi to profit and loss Aset Keuangan Tersedia Untuk Dijual 2e, 6, 30c ( ) Financial Assets Available For Sale JUMLAH PENGHASILAN KOMPREHENSIF TOTAL COMPREHENSIVE INCOME TAHUN BERJALAN FOR THE YEAR LABA YANG DAPAT DIATRIBUSIKAN PROFIT ATTRIBUTABLE KEPADA PEMILIK TO THE OWNERS JUMLAH PENGHASILAN KOMPREHENSIF TOTAL COMPREHENSIVE INCOME YANG DAPAT DIATRIBUSIKAN ATTRIBUTABLE KEPADA PEMILIK TO THE OWNERS 3

4 Laporan Perubahan Ekuitas STATEMENTS OF CHANGES IN EQUITY Modal Ditempatkan dan Disetor Penuh/Issued and Fully Paid Capital Yang Belum Ditentukan Penggunaannya/ Unappropriated Saldo Laba/ Retained Earnings Yang Telah ditentukan Penggunaannya /Appropriated Sub Jumlah/Sub Total Pendapatan Komprehensif Lain/ Other Comprehensive Income Jumlah/ Total Saldo per 31 Desember Balance of Retained Earnings - as of December 31, 2012 Cadangan Umum - Pembagian Laba ( ) General Reserves - Profit Sharing 2012 Cadangan Tujuan - Pembagian Laba ( ) Specific Reserves - Profit Sharing 2012 Aset keuangan Tersedia Dijual ( ) ( ) Financial Assets Available For Sale Keuntungan (Kerugian) Aktuarial - ( ) - ( ) ( ) Gain (loss) On Actuarial Laba Tahun Berjalan Income for the Year Saldo per 31 Desember ( ) Balance as of December 31, 2013 Penyesuaian Pajak Tangguhan Adjustment on Deffered Tax Penyesuaian Imbalan Pascakerja ( ) ( ) ( ) Adjustment on Post Employment Benefits Saldo Per 31 Desember 2013 Disajikan Kembali ( ) Balance as of December 31, 2013, Restated Penggunaan Saldo Laba Selama Tahun 2014 Use of Retained Earnings For Year 2014 Cadangan Umum - Pembagian Laba ( ) General Reserves - Profit Sharing 2013 Cadangan Tujuan - Pembagian Laba ( ) Specific Reserves - Profit Sharing 2013 Dividen - ( ) - ( ) - ( ) Dividend Fair Value Difference of Financial Assets Selisih Nilai Wajar Aset keuangan Tersedia Dijual Available For Sale Pengukuran Kembali atas Program Imbalan Pasti Remeasurement for Defined Benefits Program Laba Tahun Berjalan Income for the Year Saldo per 31 Desember ( ) Balance as of December 31, 2014 Cadangan Umum - Pembagian Laba ( ) General Reserves - Profit Sharing 2014 Dividen - ( ) - ( ) - ( ) Dividend PKBL - ( ) - ( ) - ( ) PKBL Fair Value Difference of Financial Assets Selisih Nilai Wajar Aset keuangan Tersedia Dijual ( ) ( ) Available For Sale Selisih Revaluasi Aset Tetap Fixed Asset Revaluation Difference Pengukuran Kembali atas Program Imbalan Pasti - ( ) - ( ) - ( ) Remeasurement for Defined Benefits Program Laba Tahun Berjalan Income for the Year Saldo per 31 Desember ( ) Balance as of December 31,

5 LAPORAN ARUS KAS STATEMENTS OF CASH FLOWS Arus Kas dari Aktivitas Operasi Cash Flows from Operating Activities PePenerimaan Premi Asuransi Received from Premiums Penerimaan Iuran Pensiun Received from Retirement Contribution PePembayaran Klaim ( ) ( ) Payment for Claims Payment For General and Administrative PePembayaran Beban Umum dan Administrasi ( ) ( ) Expenses Pembayaran Operasional Penyelenggaraan Pensiun ( ) ( ) Payment for Pension Operating Activities PePembayaran Pajak ( ) ( ) Payment for Taxes Penerimaan Bantuan Uang Muka Kredit Pe Pemilikan Rumah Received from Receivable of BUM KPR PePembayaran Nilai Tunai Iuran Dana Pensiun ( ) ( ) Payment of IDP Cash Value Penerimaan Kembali Nilai Tunai IDP Refund received of Contribution Pension Pe dari YKPP fund from YKPP PePenerimaan PSL dari Pemerintah PSL Received from Government PePencairan Belanja Pensiun dari Pemerintah Pension Fund Received from Government Pembayaran Dana Pensiun ke Penerima PePensiun ( ) ( ) Pension Fund Payment to Pensioners PePenerimaan Potongan Pensiun Withholding Pension Received PePenyetoran Potongan Pensiun ( ) ( ) Withholding Pension Payment PePenyetoran Pengembalian Kepada Pemerintah ( ) ( ) Deposit Refund to Government PePenerimaan Tagihan Kepada Pensiun Received refund pension allowance PePenyetoran Kewajiban Pensiun Kepada - (7.555) Deposit refund pension allowance to Pemerintah Government PePenerimaan Jasa Giro Bank Interest PePenyetoran Jasa Giro ke Kas Negara ( ) ( ) Payment Bank Interest to the State Treasury Jumlah Arus Kas Diperoleh Total Cash Flows Provided from dari Aktivitas Operasi Operating Activities Arus Kas dari Aktivitas Investasi Cash Flows from Investing Activities PePenerimaan Hasil Investasi Proceeds from Investments PePencairan (Penempatan) Investasi ( ) ( ) Redemption (Placement) of Investments PePerolehan Aset Tetap ( ) ( ) Acquisition of Fixed Assets Jumlah Arus Kas Digunakan untuk Total Cash Flows Used for ( ) ( ) Aktivitas Investasi Investing Activities Arus Kas dari Cash Flows from Aktivitas Pendanaan Financing Activities PePenerimaan Pinjaman Bank Received from Bank Loan PePembayaran Pinjaman Bank ( ) ( ) Payment for Bank Loan PePembayaran Dividen ( ) ( ) Payment of Dividend Jumlah Arus Kas Diperoleh dari Total Cash Flows Provided from ( ) (Digunakan untuk) Aktivitas Pendanaan (Used for) Financing Activities Kenaikan (Penurunan) Bersih Kas dan Bank ( ) Net Decrease in Cash and Banks Kas dan Bank Awal Tahun Cash and Banks at Beginning of Year Kas dan Bank Akhir Tahun Cash and Banks at Ending of Year 5

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