2A482-CM029Baseus LightChaser Series Triple-Coil Wireless Charging Electric Car Mount

Shenzhen Baseus Technology Co., Ltd. 2.911 (d)(5)(i) Equipment Type Attestation v1.2 Section 2.911(d)(5)(i) Certification – Equipment Type Company name: Shenzhen Baseus Technology Co., Ltd. Address: 2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Longgang District, Shenzhen, China Product Name: Baseus LightChaser Series Triple-Coil Wireless Charging Electric Car Mount FCC ID: 2A482-CM029 Model(s): BS-CM029 2.911(d)(5)(i) Equipment Type We, [Shenzhen Baseus Technology Co., Ltd.] (“the applicant”) certify that the equipment for which authorization is sought through certification is not:  Prohibited from receiving an equipment authorization pursuant to § 2.903; of the FCC rules.  Identified as an equipment type in the “Covered List” NOTE 1 Yours sincerely, Name: Tiffany Luo Date: 2024/1/16 Title and Company name: Certified Engineer / Shenzhen Baseus Technology Co., Ltd. NOTE 1 “Covered List”; is the List of Equipment and Services Covered By Section 2 of The Secure Networks Act, available at https://www.fcc.gov/supplychain/coveredlist References; 1) 986446 D01 Covered Equipment v01 https://apps.fcc.gov/oetcf/kdb/forms/FTSSearchResultPage.cfm?switch=P&id=325672 2) Federal Register document 2022-28263 published on 02/06/23 https://www.federalregister.gov/documents/2023/02/06/2022-28263/protecting-against-national-security-threats-to-the-com munications-supply-chain-through-the

Shenzhen Baseus Technology Co., Ltd. 2.911 (d)(5)(ii) Applicant Attestation v1.2 Section 2.911(d)(5)(ii) Certification – Applicant (Covered List ) Company name: Shenzhen Baseus Technology Co., Ltd. Address: 2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Longgang District, Shenzhen, China Product Name: Baseus LightChaser Series Triple-Coil Wireless Charging Electric Car Mount FCC ID: 2A482-CM029 Model(s): BS-CM029 2.911(d)(5)(ii) Applicant filing We, [Shenzhen Baseus Technology Co., Ltd.] (“the applicant”) certify that, as of the date of the filing of the application, the applicant is not identified NOTE 1 on the “Covered List” NOTE 2 , established pursuant to § 1.50002 of this chapter, as an entity producing covered communications equipment. Yours sincerely, Name: Tiffany Luo Date: 2024/1/16 Title and Company name: Certified Engineer / Shenzhen Baseus Technology Co., Ltd. NOTE 1 Delete option not applicable to this application. NOTE 2 “Covered List”; is the List of Equipment and Services Covered By Section 2 of The Secure Networks Act, available at https://www.fcc.gov/supplychain/coveredlist References; 1) 986446 D01 Covered Equipment v01 https://apps.fcc.gov/oetcf/kdb/forms/FTSSearchResultPage.cfm?switch=P&id=325672 2) Federal Register document 2022-28263 published on 02/06/23 https://www.federalregister.gov/documents/2023/02/06/2022-28263/protecting-against-national-security-threats-to-the-com munications-supply-chain-through-the

Attestation Statements (2024/3/25) TO: Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046, USA RE: Attestation Statements Part 2.911(d)(7) request for (FCC ID: 2A482-CM029) (Shenzhen Baseus Technology Co., Ltd.), the undersigned, hereby authorize Oasis Compliance, Inc. to act as our designated U.S. agent for service of process, (Shenzhen Baseus Technology Co., Ltd.) accepts to maintain an agent for no less than one year after the grantee has terminated all marketing and importation or the conclusion of any Commission-related proceeding involving the equipment. Oasis Compliance, Inc. accepts the responsibility to act as designated U.S. agent for service of process. Applicant Information： Company Name: Shenzhen Baseus Technology Co., Ltd. Address: 2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Longgang District, Shenzhen, China Contact Name: Tiffany Luo FRN: 0032035966 Telephone No: +86-13480668369 Email: [email protected] Signature [Tiffany Luo] U.S. Agent Information: Company Name: Oasis Compliance, Inc. Address: 3313 Verdi Dr, San Jose, CA 95111, United States FRN: 0033464157 Contact Name: James He Telephone No: (202) 602-8330 Email: [email protected] Signature [James He]

Shenzhen Baseus Technology Co., Ltd. Agent Authorization Company: Shenzhen Baseus Technology Co., Ltd. Address: 2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Longgang District, Shenzhen, China Product Name: Baseus LightChaser Series Triple-Coil Wireless Charging Electric Car Mount Model Number(s): BS-CM029 We authorize MiCOM Labs Inc., 575 Boulder Court, Pleasanton, California 94566, USA, to act on our behalf on all matters concerning the certification of above named equipment. We declare that MiCOM Labs Inc. is allowed to forward all information related to the approval and certification of equipment to the regulatory agencies as required and to discuss any issues concerning the approval application. Any and all acts carried out by MiCOM Labs on our behalf shall have the same effect as acts of our own. Name: Tiffany Luo Date: 2024/1/16 Title: Certified Engineer Signature of applicant:

Shenzhen Baseus Technology Co., Ltd. Office of Engineering Technology Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 USA Date: 2024/1/16 Subject; Request for Confidentiality FCC ID: 2A482-CM029 To Whom It May Concern, Pursuant to the provisions of the Commission’s rules Title 47 Sections §0.457 and §0.459, we are requesting the Commission to withhold the following attachment(s) as confidential documents from public disclosure indefinitely. These documents contain detailed system and equipment descriptions and are considered as proprietary information in operation of the equipment. The public disclosure of these documents might be harmful to our company and would give competitors an unfair advantage in the market. Schematic Diagram Block Diagram Operational Description It is our understanding that all measurement test reports, FCC ID label format and correspondence during the certification review process cannot be granted as confidential documents and this information will be available for public review once the grant of equipment authorization is issued. Sincerely, Signature: Name: Tiffany Luo Title: Certified Engineer

External Photos

1. Text messages Craft: Radium carving 2. Picture information Craft: Radium carving Back 33.6 mm 9.74 mm 25.75 mm 6.2 mm

Internal Photos Coil 3 Coil 2 Coil 1

Page1 of 8 DongguanFANYAElectronicsCo.,LTD 东莞市泛亚电子有限公司TEL：0769-22490287FAX：0769-22499451FY-GZ001 承認書 SPECIFICATIONFORAPPROVAL 客戶： CUSTOMER: N023 客戶料號： CUSTP/N: BSSXQ023.0010 泛亞料號： FINEP/N: FYN023001 産品型號： DESC: FYN02332023101401L 日期： DATE: 2023/10/14 版本： Version: A.0 擬制 PREPAREDBY 審核 CHECKEDBY 批准 APPROVEDBY 客戶承認 CUSTOMERAPPROVE 黄筱袁蔡纪雨丁保元 东莞市泛亚电子有限公司 DongguanFANYAElectronicsCo.,LTD 地址：东莞市石碣镇刘屋科技东路194号 TEL：0769-22490287/22452492 FAX：0769-22499451 E-mail：[email protected] Page2 of 8 DongguanFANYAElectronicsCo.,LTD 东莞市泛亚电子有限公司TEL：0769-22490287FAX：0769-22499451FY-GZ001 版本變更履歷 VersionChangeHistory 版本 Rev. 變更前 Before Change 變更後 AfterChange 更改日期 ChangeDate 批准 Approved By A.0 新发行 ----2023/10/14丁保元 Page3 of 8 DongguanFANYAElectronicsCo.,LTD 东莞市泛亚电子有限公司TEL：0769-22490287FAX：0769-22499451FY-GZ001 SPECIFICATION 産品型號： DESC FYN02332023101401L 版本Rev：A.0 客戶CUST: N023 泛亚料号FineP/N: FYN023001 客户料号CUSTP/N: BSSXQ023.0010 一、尺寸DIMENSION:(mm) 二、原理图SCHEMATICDIAGRAM: A 76.5±1.5 B 38±1.0 C 1.5ref D 0.5ref E1/E2/E3 2-4 F1 25+1/-0 F2 40+1/-0 F3 80+1/-0 G 3.5Max （不含背胶厚度） H 123±0.5 I 46.5±0.5 注： 1.线圈贴合用峙鸿SH8536结构胶固定； 2.线圈贴硬磁片，尺寸F123*46.5*0.75mm 倒角；两片F61.35±0.4*46*0.75mm硬磁片 背胶拼接而成,磁片一面覆黑膜，一面贴背胶 尺寸F120.7*44*0.08带手撕位普通双面背 胶； 3.线圈贴黑膜面； 4.线圈出线位置贴8mm宽高温胶纸1.5TS 三、绕线参数WindingSpecification: 序号 NO. 端子 TERMINAL 线径 WIRE 圈数 Turns 绕线方向 WindingDirection L1.2.3SFLitz0.08*105P10TsCCW 四、电气特性ELECTRICALCHARACTERISTICS: 温度TEMPERATURE:25±10°C,湿度RELATIVEHUMIDITY:65±20% 序号 NO. 项目 ITEM 端子 TERMINAL 标准 SPECIFICATION 测试条件 TESTFREQUENCY 测试仪器 TESTEQUIPMENTS L1/L2IND.S-F6.8uH±10%加磁片100KHz/1.0VTH2829LX L3IND.S-F7.0uH±10%加磁片100KHz/1.0VTH2829LX L1/L2/L3DCR.S-F47mΩMax25°CTH2829LX 擬制/日期 PREPAREDBY/DATE 審核/日期 CHECKEDBY/DATE 批准/日期 APPROVEDBY/DATE 黄筱袁2023/11/03蔡纪雨2023/10/14丁保元2023/10/14 Page4 of 8 DongguanFANYAElectronicsCo.,LTD 东莞市泛亚电子有限公司TEL：0769-22490287FAX：0769-22499451FY-GZ001 SPECIFICATION 産品型號： DESC FYN02332023101401L-L1 版本 Rev： A.0 客戶CUST: N023 泛亚料号FineP/N: FYN023001 客户料号CUSTP/N: BSSXQ023.0010 一、尺寸DIMENSION:(mm) 二、原理图SCHEMATICDIAGRAM: A2 43.2±1.0 B2 20.5±0.5 C2 1.2±0.2 D2 30ref E2 2-4 注： 1.线圈交叉出线； 2.线圈出线位置贴8mm高 温胶纸。 三、绕线参数WindingSpecification: 序号 NO. 端子 TERMINAL 线径 WIRE 圈数 Turns 绕线方向 WindingDirection 1SFLitz0.08*105P10TsCCW 四、电气特性ELECTRICALCHARACTERISTICS: 温度TEMPERATURE:25±10°C,湿度RELATIVEHUMIDITY:65±20% 序号 NO. 项目 ITEM 端子 TERMINAL 标准 SPECIFICATION 测试条件 TESTFREQUENCY 测试仪器 TESTEQUIPMENTS 1IND.S-F3.8uH±10%单线圈100KHz/1.0VTH2829LX 2DCRS-F45mΩMax25°CTH2829LX 擬制/日期 PREPAREDBY/DATE 審核/日期 CHECKEDBY/DATE 批准/日期 APPROVEDBY/DATE 黄筱袁2023/10/14蔡纪雨2023/10/14丁保元2023/10/14 Page5 of 8 DongguanFANYAElectronicsCo.,LTD 东莞市泛亚电子有限公司TEL：0769-22490287FAX：0769-22499451FY-GZ001 SPECIFICATION 産品型號： DESC FYN02332023101401L-L2 版本 Rev： A.0 客戶CUST: N023 泛亚料号FineP/N: FYN023001 客户料号CUSTP/N: BSSXQ023.0010 一、尺寸DIMENSION:(mm) 二、原理图SCHEMATICDIAGRAM: A2 43.2±1.0 B2 20.5±0.5 C2 1.2±0.2 D2 45ref E2 2-4 注： 3.线圈交叉出线； 4.线圈出线位置贴8mm高 温胶纸。 三、绕线参数WindingSpecification: 序号 NO. 端子 TERMINAL 线径 WIRE 圈数 Turns 绕线方向 WindingDirection 1SFLitz0.08*105P10TsCCW 四、电气特性ELECTRICALCHARACTERISTICS: 温度TEMPERATURE:25±10°C,湿度RELATIVEHUMIDITY:65±20% 序号 NO. 项目 ITEM 端子 TERMINAL 标准 SPECIFICATION 测试条件 TESTFREQUENCY 测试仪器 TESTEQUIPMENTS 1IND.S-F3.8uH±10%单线圈100KHz/1.0VTH2829LX 2DCRS-F45mΩMax25°CTH2829LX 擬制/日期 PREPAREDBY/DATE 審核/日期 CHECKEDBY/DATE 批准/日期 APPROVEDBY/DATE 黄筱袁2023/10/14蔡纪雨2023/10/14丁保元2023/10/14 Page6 of 8 DongguanFANYAElectronicsCo.,LTD 东莞市泛亚电子有限公司TEL：0769-22490287FAX：0769-22499451FY-GZ001 SPECIFICATION 産品型號： DESC FYN02332023101401L-L3 版本 Rev：A.0 客戶CUST: N023 泛亚料号FineP/N: FYN023001 客户料号CUSTP/N: BSSXQ023.0010 一、尺寸DIMENSION:(mm) 二、原理图SCHEMATICDIAGRAM: A3 43.2±1.0 B3 20.5±0.5 C3 1.2±0.2 D3 85ref E3 2-4 注： 1.线圈交叉出线； 2.线圈出线位置贴8mm宽 高温胶纸。 三、绕线参数WindingSpecification: 序号 NO. 端子 TERMINAL 线径 WIRE 圈数 Turns 绕线方向 WindingDirection 1SFLitz0.08*105P10TsCCW 四、电气特性ELECTRICALCHARACTERISTICS: 温度TEMPERATURE:25±10°C,湿度RELATIVEHUMIDITY:65±20% 序号 NO. 项目 ITEM 端子 TERMINAL 标准 SPECIFICATION 测试条件 TESTFREQUENCY 测试仪器 TESTEQUIPMENTS 1IND.S-F3.8uH±10%单线圈100KHz/1.0VTH2829LX 2DCRS-F45mΩMax25°CTH2829LX 擬制/日期 PREPAREDBY/DATE 審核/日期 CHECKEDBY/DATE 批准/日期 APPROVEDBY/DATE 黄筱袁 2023/10/14 蔡纪雨 2023/10/14 丁保元 2023/10/14 Page7 of 8 DongguanFANYAElectronicsCo.,LTD 东莞市泛亚电子有限公司TEL：0769-22490287FAX：0769-22499451FY-GZ001 SPECIFICATION 産品型號： DESC FYN02332023101401L 版本 Rev：A.0 客戶CUST: N023 泛亚料号FineP/N: FYN023001 客户料号CUSTP/N: BSSXQ023.0010 六、材料清单MaterialList: 序号 NO. 材料名称Material name 品名描述 Description 制造商 Martnumber 材质 Material 1Litz0.08*105P0.08*105P 2无铅锡条高温 3丙酮水粘性溶液 4 结构胶峙鸿SH8536结构胶 5磁片 尺寸F123*46.5*0.75mm倒角；两片 F61.35±0.4*46*0.75mm硬磁片背胶 拼接而成,磁片一面覆黑膜 铁氧体,锰锌 6背胶 尺寸F120.7*44*0.08带手撕位普通 双面背胶 7高温胶纸宽8mm高温胶纸 8 9 10 11 12 13 14 擬制 / 日期 PREPAREDBY/DATE 審核 / 日期 CHECKED BY/DATE 批准 / 日期 APPROVEDBY/DATE 黄筱袁 2023/11/03 蔡纪雨 2023/11/03 丁保元 2023/11/03 Page8 of 8 DongguanFANYAElectronicsCo.,LTD 东莞市泛亚电子有限公司TEL：0769-22490287FAX：0769-22499451FY-GZ001 SPECIFICATION 産品型號： DESC FYN02332023101401L 版本 Rev：A.0 客戶CUST: N023 泛亚料号FineP/N: FYN023001 客户料号CUSTP/N: BSSXQ023.0010 包装PACKING: 5.1包装图片Packingpictures: 5.2包装数量及规PackingQuantity: 5.3包装以现有包装盘为参照标准，以实际出货包装为准,如有特需要求可以定制。 Thepackagingshallbebasedontheexistingpackingplateandtheactualdeliverypackageshallprevail.Ifthereis anyrequirement,wecancustomizeit. 项目Item数量Quantity材料规格Material 盒Box24Pcs380*270*70mm 箱BigCarton192Pcs400*280*310mm 擬制 / 日期 PREPAREDBY/DATE 審核 / 日期 CHECKED BY/DATE 批准 / 日期 APPROVEDBY/DATE 黄筱袁2023/10/14蔡纪雨2023/10/14丁保元2023/10/14

No.：BCTC/RF-EMC-005 Page 1 of 36 Edition：B.1 TEST REPORT Shenzhen BCTC Testing Co., Ltd. Report No.: BCTC2401260677-1E Applicant: Shenzhen Baseus Technology Co., Ltd. Product Name: Baseus LightChaser Series Triple-Coil Wireless Charging Electric Car Mount Test Model: BS-CM029 Tested Date: 2024-01-09 to 2024-03-20 Issued Date: 2024-03-20 Report No.: BCTC2401260677-1E No.：BCTC/RF-EMC-005 Page 2 of 36 Edition：B.1 FCC ID: 2A482-CM029 The test report is effective only with both signature and specialized stamp.This result(s) shown in this report refer only to the sample(s) tested. Without written approval of Shenzhen BCTC Testing Co., Ltd, this report can’t be reproduced except in full.The tested sample(s) and the sample information are provided by the client. Product Name: Baseus LightChaser Series Triple-Coil Wireless Charging Electric Car Mount Trademark: baseus Model/Type reference: BS-CM029 Prepared For: Shenzhen Baseus Technology Co., Ltd. Address: 2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Longgang District, Shenzhen, China Manufacturer: Shenzhen Baseus Technology Co., Ltd. Address: 2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Longgang District, Shenzhen, China Prepared By: Shenzhen BCTC Testing Co., Ltd. Address: 1-2/F., Building B, Pengzhou Industrial Park, No.158, Fuyuan 1st Road, Zhancheng, Fuhai Subdistrict, Bao'an District, Shenzhen, Guangdong, China Sample Received Date: 2024-01-09 Sample tested Date: 2024-01-09 to 2024-03-20 Issue Date: 2024-03-20 Report No.: BCTC2401260677-1E Test Standards: FCC Part15.209 ANSI C63.10-2013 Test Results: PASS Tested by: Approved by: Shanshan. Zhang / Project Handler Zero Zhou/Reviewer Report No.: BCTC2401260677-1E No.：BCTC/RF-EMC-005 Page 3 of 36 Edition：B.1 Table Of Content Test Report Declaration Page 1. Version .................................................................................................................. 4 2. Test Summary ....................................................................................................... 5 3. Measurement Uncertainty ..................................................................................... 6 4. Product Information And Test Setup ..................................................................... 7 4.1 Product Information ............................................................................................... 7 4.2 Support Equipment ............................................................................................... 7 4.3 Test Setup Configuration ...................................................................................... 8 4.4 Test Mode ............................................................................................................. 8 5. Test Facility And Test Instrument Used ................................................................. 9 5.1 Test Facility ........................................................................................................... 9 5.2 Test Instrument Used ............................................................................................ 9 6. Conducted Emissions .......................................................................................... 11 6.1 Block Diagram Of Test Setup .............................................................................. 11 6.2 Limit .................................................................................................................... 11 6.3 Test Procedure ................................................................................................... 11 6.4 EUT Operating Conditions .................................................................................. 11 6.5 Test Result .......................................................................................................... 12 7. Radiated Emissions ............................................................................................. 18 7.1 Block Diagram Of Test Setup .............................................................................. 18 7.2 Limit .................................................................................................................... 19 7.3 Test Procedure ................................................................................................... 19 7.4 Test Result .......................................................................................................... 21 8. Bandwidth Test .................................................................................................... 30 8.1 Test Procedure ................................................................................................... 30 8.2 TEST SETUP ...................................................................................................... 30 8.3 Test Result .......................................................................................................... 30 9. Antenna Requirements ........................................................................................ 32 10. EUT Photographs ................................................................................................ 33 11. EUT Test Setup Photographs.............................................................................. 34 (Note: N/A Means Not Applicable) Report No.: BCTC2401260677-1E No.：BCTC/RF-EMC-005 Page 4 of 36 Edition：B.1 1.Version Report No. Issue Date Description Approved BCTC2401260677-1E 2024-03-20 Original Valid Report No.: BCTC2401260677-1E No.：BCTC/RF-EMC-005 Page 5 of 36 Edition：B.1 2. Test Summary The Product has been tested according to the following specifications: No. Test Parameter Clause No Results 1 Conducted Emission 15.207 PASS 2 Radiated Emission 15.209 PASS 3 20dB Bandwidth 15.215 PASS 4 Antenna Requirement 15.203 PASS Report No.: BCTC2401260677-1E No.：BCTC/RF-EMC-005 Page 6 of 36 Edition：B.1 3.…

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Conducted Emissions Photo Radiated Measurement Photos