0001860741-22-000005.txt : 20220506 0001860741-22-000005.hdr.sgml : 20220506 20220506164559 ACCESSION NUMBER: 0001860741-22-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220506 DATE AS OF CHANGE: 20220506 EFFECTIVENESS DATE: 20220506 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Nusantara Holdings, Inc. CENTRAL INDEX KEY: 0001860741 IRS NUMBER: 823982280 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-444858 FILM NUMBER: 22901968 BUSINESS ADDRESS: STREET 1: BUILDING T8, JALAN SUTERA, NO. 3 STREET 2: PERUMAHAN ALAM SUTERA CITY: TANGERANG SELATAN STATE: K8 ZIP: 15334 BUSINESS PHONE: 628170986999 MAIL ADDRESS: STREET 1: BUILDING T8, JALAN SUTERA, NO. 3 STREET 2: PERUMAHAN ALAM SUTERA CITY: TANGERANG SELATAN STATE: K8 ZIP: 15334 D 1 primary_doc.xml X0708 D LIVE 0001860741 Nusantara Holdings, Inc. BUILDING T8, JALAN SUTERA, NO. 3 PERUMAHAN ALAM SUTERA TANGERANG SELATAN K8 INDONESIA 15334 628170986999 DELAWARE None None Corporation true 2018 Steven Wongsoredjo c/o Nusantara Holdings, Inc. Building T8, Jalan Sutera, No. 3 Tangerang Selatan K8 INDONESIA 15334 Executive Officer Director Rendy Haryadi Tanuwidjaja c/o Nusantara Holdings, Inc. Building T8, Jalan Sutera, No. 3 Tangerang Selatan K8 INDONESIA 15334 Executive Officer Director Willy Haryanto c/o Nusantara Holdings, Inc. Building T8, Jalan Sutera, No. 3 Tangerang Selatan K8 INDONESIA 15334 Executive Officer Director Matthew Adrian Tirtamarta c/o Nusantara Holdings, Inc. Building T8, Jalan Sutera, No. 3 Tangerang Selatan K8 INDONESIA 15334 Director Debeasinta Budiman c/o Nusantara Holdings, Inc. Building T8, Jalan Sutera, No. 3 Tangerang Selatan K8 INDONESIA 15334 Director Tan Yinglan c/o Nusantara Holdings, Inc. Building T8, Jalan Sutera, No. 3 Tangerang Selatan K8 INDONESIA 15334 Executive Officer Director John Kim c/o Nusantara Holdings, Inc. Building T8, Jalan Sutera, No. 3 Tangerang Selatan K8 INDONESIA 15334 Executive Officer Director Yun Jung Jin c/o Nusantara Holdings, Inc. Building T8, Jalan Sutera, No. 3 Tangerang Selatan K8 INDONESIA 15334 Executive Officer Director Andrew Schoen c/o Nusantara Holdings, Inc. Building T8, Jalan Sutera, No. 3 Tangerang Selatan K8 INDONESIA 15334 Director Other Technology Decline to Disclose 06b false 2022-04-22 false true false 0 69999968 69999968 0 false 15 0 0 0 false Nusantara Holdings, Inc. /s/ Steven Wongsoredjo Steven Wongsoredjo Chief Executive Officer 2022-05-06