2A62Z-C1Wireless charger

0 5 25 75 95 100 0 5 25 75 95 100 0 5 25 75 95 100 0 5 25 75 95 100 This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. Any Changes or modifications not expressly approved by the party responsible for compliance could void the user's authority to operate the equipment. Note: This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: -Reorient or relocate the receiving antenna. -Increase the separation between the equipment and receiver. -Connect the equipment into an outlet on a circuit different from that to which the receiver is connected. -Consult the dealer or an experienced radio/TV technician for help. This equipment complies with FCC radiation exposure limits set forth for an uncontrolled environment. This equipment should be installed and operated with minimum distance 20cm between the radiator & your body.

Shenzhen Polmxs Electronics Co.,ltd Model Difference Product Name: Wireless charger Model Number: C1, C1Y, C2Y, C1P, C1Pro, C3kF, C6, C7, C9, C12, C13, C15, C16, C30, XP01, P01, CA01, X02A, S3, C3, X13 FCC Identifier: 2A62Z-C1 Hereby state that all the models are the same circuit and module, except the model name, shape and color. Regards Sincerely Client’s signature Client’s name / title : Liuzhengfei / Manager Contact information / address: Room 304, Building 2, No. 32, Yuzhan 2nd Road, Dashuitian Community, Guanlan Street, Longhua District, 518110 Shenzhen

Shenzhen Polmxs Electronics Co.,ltd 1/1 Letter of Authorization Company: Shenzhen Polmxs Electronics Co.,ltd Address: Room 304, Building 2, No. 32, Yuzhan 2nd Road, Dashuitian Community, Guanlan Street, Longhua District, 518110 Shenzhen Product Name: Wireless charger Model Number: C1, C1Y, C2Y, C1P, C1Pro, C3kF, C6, C7, C9, C12, C13, C15, C16, C30, XP01, P01, CA01, X02A, S3, C3, X13 FCC Identifier: 2A62Z-C1 We authorize LGAI Technological Center S.A., Ronda de la Font del Carme, s/n, 08193 Bellaterra, Spain, to act on our behalf on all matters concerning the above named equipment. Any individual within LGAI Technological Center S.A. is authorized to act on our behalf and take action on the application. We declare that authorize LGAI Technological Center S.A., Ronda de la Font del Carme, s/n, 08193 Bellaterra, Spain, is allowed to forward all information related to the approval project to the Federal Communication Commission and to discuss any issues concerning the approval application. Any and all acts carried out by LGAI Technological Center S.A. on our behalf shall have the same effect as acts of our own. Name: Liuzhengfei Date: 2022-05-31 Title: Manager Signature of applicant:

Shenzhen Polmxs Electronics Co.,ltd 1/1 Office of Engineering Technology Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 Date: 2022-05-31 Subject: Request for Confidentiality FCC ID: 2A62Z-C1 To Whom It May Concern, Pursuant to the provisions of Sections 0.457 and 0.459 of Commission's rules (47CFR0.457, 0.459), we are requesting the Commission to withhold the following attachment(s) as confidential document from public disclosure. Exhibits Long-Term Confidentiality Short-Term Confidentiality NOTE 2 ID Label/Location No No Attestation Statement No No External Photos No ☐ Block Diagram ☒ ☐ Schematics ☒ ☐ Test Report No No Test Setup Photos No ☐ User’s Manual No ☐ Internal Photos No ☐ Parts List / Tune Up ☐ ☐ RF Exposure Info No No Operational Description ☒ ☐ Cover Letter(s) No No SDR Software / Security Info ☐ No NOTE 1: Long-Term Confidentiality may be permitted under special conditions (See II. LONG-TERM CONFIDENTIALITY, Section 3 of KDB 726920, use last in force) NOTE 2: Short-Term Confidentiality can be requested for a maximum of 180 days from the date of the grant. Above mentioned document contains detailed system and equipment description are considered as proprietary information in operation of the equipment. The public disclosure of above documents might be harmful to our company and would give competitor an unfair advantage in the market. It is our understanding that all measurement test reports, FCC ID label format and correspondent during certification review process cannot be granted as confidential documents and those information will be available for public review once the grant of equipment authorization is issued. Sincerely, Signature: Name: Liuzhengfei Title: Manager

Size:12*6mm MODEL: C1 FCC ID: 2A62Z-C1 Label location

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FCC ID: 2A62Z-C1 Product Name: Wireless charger Product Model No.: C1, C1Y, C2Y, C1P, C1Pro, C3kF, C6, C7, C9, C12, C13, C15, C16, C30, XP01, P01, CA01, X02A, S3, C3, X13 Transmitting mode Keep the EUT in continuously wireless charging mode Power supply: Input: DC 5V/3A, 9V/2A Wireless Output: 5W, 7.5W, 10W, 15W(MAX) Test Modes: Mode 1 Phone Charge Mode Note: We have evaluated 1%, 50% and 99% battery charging mode, and the worst mode (99%) is showed in this report. RF Exposure Evaluation 1 Measuring Standard KDB 680106 RF Exposure Wireless Charging Apps v03r01 2 Requirements According to the item 5 of KDB 680106 v03r01: Inductive wireless power transfer applications that meet all of the following requirements are excluded from submitting an RF exposure evaluation. (1) Power transfer frequency is less than 1MHz. Yes; the device operate in the frequency range from 115 KHz to 205 KHz (2) Output power from each primary coil is less than or equal to 15 watts. Yes; the maximum output power of the primary coil is 15W. (3) The system may consist of more than one source primary coils, charging one or more clients. If more than one primary coil is present, the coil pairs may be powered on at the same time. Yes; the transfer system includes only single primary coils. (4) Client device is placed directly in contact with the transmitter. Yes; Client device is placed directly in contact with the transmitter. (5) Mobile exposure conditions only (portable exposure conditions are not covered by this exclusion). Yes, mobile exposure conditions only. (6) The aggregate H-field strengths anywhere at or beyond 15 cm surrounding the device, and 20 cm away Yes, see test result in item 6. from the surface from all coils that by design can simultaneously transmit, and while those coils are simultaneously energized, are demonstrated to be less than 50% of the applicable MPE limit. Remark: Meet all the above requirements. Limits The criteria listed in the following table shall be used to evaluate the environment impact of human exposure to radio frequency (RF) radiation as specified in 1.1307(b) Limits for Maximum Permissible Exposure (MPE) 3 Test Setup 4 Test Procedure 1) The RF exposure test was performed in anechoic chamber. 2) The measurement probe was placed at test distance (15 cm from all sides and 20 cm from the top) which is between the edge of the charger and the geometric center of probe. 3) The highest emission level was recorded and compared with limit as soon as measurement of each points (A, B, C, D, E) were completed. 4) The EUT was measured according to the dictates of KDB 680106 v03r01. Remark：The EUT’s test position A, B, C, D and E is valid for the E and H field measurements. 5 Description of Support Units Mobile phone (Provide by test lab): Manufacturer: SAMSUNG Model: Galaxy S21 5G 6 Test Instruments list Test Equipment Manufacturer Model No. SN. Cal.Date (mm-dd-yy) Cal.Due date (mm-dd-yy) Exposure Level Tester Narda ELT-400 N-0231 June. 26 2021 June. 25 2022 Magnetic field probe 100cm 2 Narda ELT probe 100cm 2 M0675 June. 26 2021 June. 25 2022 Field Probe ETS HI-6105 / June. 24 2021 June. 23 2022 Laser Data Interface ETS HI-6113 / June. 24 2021 June. 23 2022 7 Test Result E-Filed Strength at 15 cm from the edges surrounding the EUT (V/m) Frequency Range (MHz) Test Position A Test Position B Test Position C Test Position D Limits (V/m) 0.115-0.205 0.13 0.12 0.14 0.12 614 E-Filed Strength at 20 cm from the top of the EUT (V/m) Frequency Range (MHz) Test Position E Limits (V/m) 0.115-0.205 0.11 614 H-Filed Strength at 15 cm from the edges surrounding the EUT (A/m) Frequency Range (MHz) Test Position A Test Position B Test Position C Test Position D Limits (A/m) 0.115-0.205 0.03 0.15 0.02 0.13 1.63 H-Filed Strength at 20 cm from the top of the EUT (A/m) Frequency Range (MHz) Test Position E Limits (A/m) 0.115-0.205 0.14 1.63 8 Test Set-up Photo Please see annex test setup photos.

Shenzhen DL Testing Technology Co., Ltd. Report No.: DL-20220524040E Test Report Tel: 400-688-3552 Web:www.dl-cert.com Email: [email protected] Page 1 of 16 TEST REPORT FCC ID: 2A62Z-C1 Applicant: Shenzhen Polmxs Electronics Co.,ltd Address: Room 304, Building 2, No. 32, Yuzhan 2nd Road, Dashuitian Community, Guanlan Street, Longhua District, 518110 Shenzhen Manufacturer: Shenzhen Polmxs Electronics Co.,ltd Address: Room 304, Building 2, No. 32, Yuzhan 2nd Road, Dashuitian Community, Guanlan Street, Longhua District, 518110 Shenzhen EUT: Wireless charger Trade Mark: N/A Model Number: C1, C1Y, C2Y, C1P, C1Pro, C3kF, C6, C7, C9, C12, C13, C15, C16, C30, XP01, P01, CA01, X02A, S3, C3, X13 Date of Receipt: May. 18, 2022 Test Date: May. 18, 2022 - May. 25, 2022 Date of Report: May. 25, 2022 Prepared By: Shenzhen DL Testing Technology Co., Ltd. Address: 101-201, Building C, Shuanghuan, No.8, Baoqing Road, Baolong Industrial Zone, Baolong Street, Longgang District, Shenzhen, Guangdong, China Applicable Standards: FCC PART 15 Subpart C ANSI C63.10:2013 Test Result: Pass Report Number: DL-20220524040E Prepared (Engineer): Lily Fu Reviewer (Supervisor): Jack Bu Approved (Manager): Jade Yang This test report is based on a single evaluation of one sample of above mentioned products. It is not permitted to be duplicated in extracts without written approval of Shenzhen DL Testing Technology Co., Ltd. Shenzhen DL Testing Technology Co., Ltd. Report No.: DL-20220524040E Test Report Tel: 400-688-3552 Web:www.dl-cert.com Email: [email protected] Page 2 of 16 TABLE OF CONTENT Test Report Declaration Page 1. VERSION ................................................................................................................................................. 3 2. TEST SUMMARY ..................................................................................................................................... 3 3. GENERAL INFORMATION ..................................................................................................................... 4 4. TEST INSTRUMENT USED ..................................................................................................................... 5 5. CONDUCTED EMISSION TEST .............................................................................................................. 6 6. RADIATION EMISSION TEST ............................................................................................................... 10 7. BANDWIDTH TEST ............................................................................................................................... 15 8. SETUP PHOTOGRAPHS ...................................................................................................................... 16 9. EUT PHOTOGRAPHS ........................................................................................................................... 16 Shenzhen DL Testing Technology Co., Ltd. Report No.: DL-20220524040E Test Report Tel: 400-688-3552 Web:www.dl-cert.com Email: [email protected] Page 3 of 16 1. VERSION Version No. Date Description 00 May. 25, 2022 Original 2. TEST SUMMARY EMC Emission Test Item Section in CFR 47 Result Remark AC Power Line Conducted Emission 15.207 PASS Spurious Emission 15.209(a)(f) PASS 20dB Bandwidth 15.215 PASS Antenna requirement 15.203 PASS NOTE: (1)” N/A” denotes test is not applicable in this Test Report (2) Test Facility: Shenzhen DL Testing Technology Co., Ltd. Address: 101-201, Building C, Shuanghuan, No.8, Baoqing Road, Baolong Industrial Zone, Baolong Street, Longgang District, Shenzhen, Guangdong, China Shenzhen DL Testing Technology Co., Ltd. Report No.: DL-20220524040E Test ReportTel: 400-688-3552Web:www.dl-cert.comEmail: [email protected] Page 4 of 16 3.GENERAL INFORMATION 3.1 Description of Device (EUT) Product Name: Wireless charger Model No.: C1, C1Y, C2Y, C1P, C1Pro, C3kF, C6, C7, C9, C12, C13, C15, C16, C30, XP01, P01, CA01, X02A, S3, C3, X13 Model Difference: The product's Circuit and module identical, The product's different for Product Model and shell shape and color. so we prepare "C1" for test only. Serial No.: N/A Hardware version: H1.0 Software version: S1.0 Operation Frequency: 115kHz ~ 205KHz Modulation type: MSK Antenna Type: Inductive loop coil Antenna Antenna gain: 0dBi Power supply: Input: DC 5V/3A, 9V/2A Wireless Output: 5W, 7.5W, 10W, 15W(MAX) 3.2 Tested System Details None. 3.3 Block Diagram of Test Set-up 3.4 Test Mode Description Mode1. Phone Charge Mode Note: We have evaluated 1%, 50% and 99% battery charging mode, and the worst mode (99%) is showed in this report. 3.5 Test Auxiliary Equipment Mobile phone (Provide by test lab): Manufacturer: SAMSUNG Model: Galaxy S21 5G 3.6 Test Uncertainty Conducted Emission Uncertainty (150KHz-30MHz) : ±2.56dB Radiated Emission Uncertainty (9KHz-1GHz) : ±3.24dB AC Mains EUT Adapter Phone Shenzhen DL Testing Technology Co., Ltd. Report No.: DL-20220524040E Test Report Tel: 400-688-3552 Web:www.dl-cert.com Email: [email protected] Page 5 of 16 4. TEST INSTRUMENT USED For Conducted Emission Test (843 Shielded Room) Equipment Manufacturer Model Serial Last Cal. Next Cal. 843 Shielded Room ChengYu 843 Room 843 Nov. 25, 2019 Nov. 24, 2022 EMI Receiver R&S ESR 101421 Dec. 07, 2021 Dec. 06, 2022 LISN R&S ENV216 102417 Dec. 07, 2021 Dec. 06, 2022 Clamp COM-POWER CLA-050 431071 Dec. 05, 2021 Dec. 04, 2022 3-Loop Antenna DAZE ZN30401 13021 Dec. 07, 2021 Dec. 06, 2022 ISN T8 Schwarzbeck NTFM 8158 101135 Dec. 07, 2021 Dec. 06, 2022 ISN T5 Schwarzbeck NTFM 8158 101136 Dec. 07, 2021 Dec. 06, 2022 843 Cable 1# ChengYu CE Cable 001 Dec. 07, 2021 Dec. 06, 2022 843 Cable 1# ChengYu CE Cable 002 Dec. 07, 2021 Dec. 06, 2022 For Radiated Emission Test (966 chamber) Equipment Manufacturer Model Serial Last Cal. Next Cal. 966 Chamber ChengYu 966 Room 966 Nov. 25, 2019 Nov. 24, 2022 Spectrum Analyzer Agilent E4408B MY50140780 Dec. 07, 2021 Dec. 06, 2022 EMI Receiver R&…

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EUT TEST PHOTO