2AI7B-Q11AFSLED table lamp

CONGRATULATIONS! You’ve purchased the finest in natural lighting technology with your new OttLite ® product. PRODUCT REGISTRATION FORM Please complete the enclosed Product Registration Form and return it today by mail, or register online by going to: OttLite.com/warranty WARNING: To prevent electric shock, make sure the lamp is not plugged in until all steps are complete. NOTE: THIS UNIT IS FULLY ASSEMBLED 1. Remove lamp from packing, placing lamp body base (A) flat on a steady surface. 2. Connect power adapter input (B) into connector (C) in the rear-bottom of the lamp. 3. Plug the power adapter (D) into a standard household 120V AC outlet. Note: Only use with the supplied power adapter to avoid damage or fire. 4. Turn the lamp ON/OFF using touch switch (H) located on top of shade (E). 5. This lamp provides three brightness settings. To adjust the brightness of the lamp, touch switch (H) on top of shade (E). 6. This lamp provides three color modes. To adjust light color mode, press and hold switch (H) to change light color temperature. 7. Wireless charger (F) is located in the center of base (A). See Wireless Charging Instructions section for details. 8. To reposition the light, hold base (A) steady and grasp shade (E) to adjust position. DO NOT FORCE the shade or lamp body outside allowable adjustable range as excessive adjustment may cause damage. WIRELESS CHARGING INSTRUCTIONS: To wirelessly charge a device, perform the following: • Place the device, which supports wireless charging, face up on the middle of the wireless charging icon (F). • When the device is centered on the wireless charging icon (F), a solid RED light will indicate the device is charging properly. If a solid RED light is NOT visible, this indicates the device is not charging and needs to be properly centered. • Check the charge level on your device periodically to determine when device is fully charged. NOTE: Lamp DOES NOT provide any indication of when device is fully charged. CAUTION! DEVICE MAY BECOME WARM DURING CHARGING. THIS IS NORMAL AND PART OF THE PROCESS. CHARGING TIMES VARY BY DEVICE. SAFETY WARNING: TO REDUCE THE RISK OF FIRE, ELECTRIC SHOCK, OR INJURY TO PERSONS 1. Turn lamp off and WAIT UNTIL LAMP HEAD (E) IS COOL before handling. 2. The LED panel might get hot after several hours of continuous use DO NOT place your hands directly on LED light panel. 3. Never use with an extension cord unless the plug can be fully inserted into the receptacles in the extension cord. 4. Do not alter the plug. 5. The lamp head included with this unit cannot be replaced by the consumer. 6. INDOOR USE ONLY. NOTE: The important safety instructions appearing in this instruction sheet are not meant to cover all possible conditions and situations that may occur. It must be understood that common sense, caution, and care must be used with any electrical product. CAUTION! IF THE EXTERNAL FLEXIBLE CABLE OR CORD OF THIS LUMINAIRE IS DAMAGED, IT SHALL BE EXCLUSIVELY REPLACED BY THE MANUFACTURER OR ITS SERVICE AGENT OR A SIMILAR QUALIFIED PERSON IN ORDER TO AVOID A HAZARD. INDOOR USE ONLY. CAUTION! THE LIGHT SOURCE OF THIS LUMINAIRE IS NOT REPLACEABLE; WHEN THE LIGHT SOURCE REACHES ITS END OF LIFE THE WHOLE LUMINAIRE SHALL BE REPLACED. CAUTION: Any change or modification to product not expressly recognized by OttLite Technologies voids OttLite’s responsibility for proper function of product. FCC PART 15 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 the 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. Changes or modifications not expressly approved by the party responsible for compliance could void the user’s authority to operate the equipment. 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. FCC RF RADIATION EXPOSURE STATEMENT CAUTION: To maintain compliance with the FCC’s RF exposure guidelines, place the product at least 20cm from nearby persons. POWER ADAPTER SPECIFICATION: Input: AC 100-240V, 50/60 Hz, 0.8A Output: 12V DC, 2.0A with a Male DC Plug WIRELESS CHARGER SPECIFICATION: Output: 5V, 1A or 5 watts THIS PRODUCT CONTAINS a 5V, 2.1A USB output port (J) located on the bottom rear of product. USB port can charge items such as tablets, cellular phones, etc. ENGLISH ClearSun LED Desk Lamp with Wireless Charging A C ClearSun LED Desk Lamp with Wireless Charging CS9WCG5C-SHPR Q11AFS INS230752 REV032423 G D B H F E J

Form: RFT-AMER-TCB-OP-19o Revision: 1 Page 1 of 1 Date: 1/25/2023 OttLite Technologies Inc. Attention: Application Examiner Re: Certification designating a U.S. agent for service of process pursuant to 47 CFR part §2.911(d)(7) of the FCC rules To whom it may concern, This letter is to certify that [OttLite Technologies Inc./Joseph Custode] (“Applicant”) accepts responsibilities to act as its own agent pursuant to 47 CFR part §2.911(d)(7) of the FCC rules for service of process. I consent to the obligation to accept service of process on behalf of the Applicant for all certification applications to the FCC. I HEREBY CERTIFY THAT I am authorized to make the representations above on behalf of the Applicant. I further acknowledge the requirement to maintain an agent extends for no less than one year after the termination of all marketing and importation or the conclusion of and commission-related proceeding involving the equipment and agree to immediately notify the FCC and Intertek if there is any change in the status identified above. Signature Applicant Company Name Contact Name Address Telephone No Email Applicant FRN : OttLite Technologies Inc. : Joseph Custode : 1715 N. Westshore Boulevard Suite 950 Tampa, Florida 33607 : (813) 621-0058 : [email protected] : 0025699091 : Date: 2023-03-14

Form: RFT-AMER-TCB-OP-19n Revision: 1 Page 1 of 1 Date: 1/25/2023 OttLite Technologies Inc. Attention: Application Examiner Re: Covered List, located at https://www.fcc.gov/supplychain/coveredlist and 47 CFR parts §2.903 and §2.911(d)(5)(ii) of the FCC rules Applicant: OttLite Technologies Inc. FCC ID: 2AI7B-Q11AFS To whom it may concern, [OttLite Technologies Inc./Joseph Custode] (“Applicant”) certifies that the equipment for which authorization is sought is not “covered” equipment prohibited from receiving an equipment authorization pursuant to 47 CFR part §2.903 of the FCC rules and does not originate directly or indirectly from any company named on the covered list located in the link above or any subsidiary or affiliate thereof. Applicant further certifies that, as of the date of the filing of the application, the Applicant [is not] identified on the Covered List as an entity producing “covered” equipment and is not a subsidiary or affiliate of any such entity pursuant to 47 CFR part §1.50002 and required by 47 CFR part §2.911(d)(5)(ii) of the FCC rules. I HEREBY CERTIFY THAT I am authorized to make the representations above on behalf of the Applicant and agree to immediately notify Intertek if there is any change in the status identified above. ______________________________ [Signature of authorized Proprietor, Partner or Authorized Officer] [Printed Name: Joseph Custod e] [Title: Senior Quality Control Engineer] [OttLite Technologies Inc.] [Date: 2023-03-14]

Federal Communications Commission 445 12 th Street SW March 14, 2023 Washington, DC 20554 Subject: Limited Agency Agreement OttLite Technologies Inc. FCC ID: 2AI7B-Q11AFS Joseph Custode Senior Quality Control Eng To Whom It May Concern: We, OttLite Technologies Inc., hereby authorized Intertek Testing Services to act as our Agent for the purpose of preparing application for FCC ID number 2AI7B-Q11AFSunder all applicable parts of the FCC rules and regulations. The effective date of this limited agencyagreement is March 14, 2023.The Limited Agency Agreement expires on March 14, 2024, unless sooner terminated or extended by written notice to Intertek Testing Services and the Federal Communications Commission. This is to advise that we are in full compliance with the Anti-Drug Abuse Act. The applicant is not subject to a denial of federal benefits pursuant to Section 5301 of the Anti-Drug Act of 1988, 21 U.S.C. 862, and no party to the application is subject to a denial of federal benefits pursuant to that section. If you have any questions or comments, please do not hesitate to contact me. Sincerely, ineer OttLite Technologies Inc.

1(2) OttLite Technologies Inc. Attention: Certification reviewer RE: Request for Confidentiality FCC ID: 2AI7B-Q11AFS To Whom It May Concern: Permanent Confidentiality [Complete this section if permanent confidentiality is requested] Request to withhold permanently from public review certain portions of the application for equipment certification for the referenced FCC identifiers. This request for confidentiality is made pursuant to 47 CFR 0.457(d) and 0.459 of the FCC Rules. In particular, the following sections of the application are to be kept permanently confidential: [Select one or more of items below, as appropriate] Schematics Block Diagrams Operational Description Tune-up Procedure Parts List Internal Photos (see note) Users Manual (see note) Note 1: Internal Photos may be held confidential 1) if the circuit board or internal components are not accessible to users. For example, it is acceptable if the circuit board is enclosed in epoxy. 2) Also, it is acceptable if the device is not accessible to the public, for example, a device mounted on the top of a large tower (or in a fenced enclosure) such that it is only serviceable by professional designated technicians under a Non-Disclosure Agreement (NDA). All sales for these devices must be under a NDA restricting the disclosure of the propriety information, including internal photos. Users Manual may be held confidential only when the manual contains proprietary technical information intended for professional technicians obligated under a NDA. All sales and distribution of the user’s manual must be under a NDA that restricts the disclosure of the information. In the application cover letter requesting permanent confidentiality the following additional description and the NDA exhibit is required: 1. Describe in detail how internal photos and/or users manual information are controlled to prevent them from becoming public or disclosed to unauthorized persons. 2. Describe how public access is restricted for products serviceable by professional designated technicians. 3. A statement that all sales of the non-consumer device will be under a NDA to include third party sales and that the final user of the device is subject to the NDA. 4. Provide an example of the NDA between the grantee and a purchaser. The request for confidentiality must Note 2: For scanning receiver, the schematics, block diagrams, operational description, tune-up procedure, parts list and internal photos are always held permanently confidential. Short-term Confidentiality [Complete this section if short-term confidentiality is requested] Request to withhold from public review for a period of [please enter 1 to 180] days from the date of the Grant of Equipment Authorization and prior to marketing, certain portions of the application for equipment certification for the referenced FCC identifiers. This request for confidentiality is made pursuant to 47 CFR 0.457(d) and 0.459 of the FCC Rules. In particular, the following sections of the application are to be kept short-term confidential for a period above from the date of the grant [Select one or more of items below that are not selected in the list above, as appropriate] Schematics Block diagrams Operational Description Tune-up Procedure 2(2) Parts List Test Setup Photos External Photos Internal Photos Users Manual Rationale for request for confidentiality: We have invested considerable time and materials in research and development to produce the referenced product. Permanent confidentiality: Disclosure of the permanently confidential portions of this application to competitors would not only give them significant competitive advantages in developing similar products, but would also disclose successful implementation of unpublished, leading edge technology developed by us. Short-term confidentiality: Disclosure of the short-term confidential portions of this application during the period of importation and/or distribution would reveal key aspects of proprietary technology to competitors and diminish the value of our investment in research and development. If you have questions or need further information, please contact the undersigned. Sincerely, _________________ [Joseph Custode] [Senior Quality Control Engineer] [2023-03-14]

TEST REPORT TEST REPORT TEST REPORT TEST REPORT TEST REPORT

Label & Label Location Size:60*30mm

TEST REPORT TEST REPORT TEST REPORT TEST REPORT TEST REPORT TEST REPORT TEST REPORT

Ottlite Technologies Inc. TEST REPORT SCOPE OF WORK SAR Assessment– Q11AFS REPORT NUMBER 230227012SZN-002 ISSUE DATE [REVISED DATE] 29 March 2023 [--------------------] PAGES 8 DOCUMENT CONTROL NUMBER RF Exposure © 2017 INTERTEK TEST REPORT Intertek No.: 230227012SZN-002 This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this report. Only the Client is authorized to permit copying or distribution of this report and then only in its entirety. Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The observations and test results in this report are relevant only to the sample tested. This report by itself does not imply that the material, product, or service is or has ever been under an Intertek certification program. Intertek Testing Services Shenzhen Ltd. Longhua Branch 101, 201, Building B, No. 308 Wuhe Avenue, Zhangkengjing Community, GuanHu Subdistrict, LongHua District, ShenZhen. Tel: (86 755) 8601 6288 Fax: (86 755) 8601 6751 Version: 01-November-2017 Page 1 of 8 RF Exposure 101, 201, Building B, No. 308 Wuhe Avenue, Zhangkengjing Community, GuanHu Subdistrict, LongHua District, ShenZhen. Tel: (86 755) 8601 6288 Fax: (86 755) 8601 6751 www.intertek.com Test Report Applicant : Ottlite Technologies Inc. 1715 N Westshore Blvd STE 950 Tampa, FL 33607 United States Sample Description : LED table lamp Product Model No. : Q11AFS Brand Name Electrical Rating : Input: 12V/2.0A Wireless Output: 5.0W Output USB-A:5V/2.1A Date Received : 27 February 2023 Date Test Conducted : 27 February 2023 to 10 March 2023 Test Requested : Test for compliance with CFR 47 part 1 Test Method : Environmental evaluation and exposure limit according to FCC CFR 47 part 1, 1.1307(c) and (d), 1.1310 KDB 680106 D01 RF Exposure Wireless Charging App v03r01 Test Result : Pass Conclusion : When determining of test conclusion, measurement uncertainty of tests have been considered. ******************************** End of Page ******************************* Prepared and Checked By: Approved By: Vito Pan Ryan RQ Chen Project Engineer Project Engineer Date: 29 March 2023 TEST REPORT Intertek No.: 230227012SZN-002 Version: 01-November-2017 Page 2 of 8 RF Exposure Test Report Test Setup Configuration Note - The RF exposure test is performed in the shield room. - The test distance is between the edge of the charger and the geometric centre of probe. Test Equipment List Equipment No. Equipment Manufacturer Model No. Serial No. Cal. Date Due Date SZ186-04 Electric and Magnetic Field Analyzer Narda EHP-50F 510WY90119 2022-08-01 2023-08-01 TEST REPORT Intertek No.: 230227012SZN-002 Version: 01-November-2017 Page 3 of 8 RF Exposure This product was tested in the following configuration: Description Manufacturer Detail Mobile phone Samsung (Provided by Intertek) Model: S7 Adapter Provided by applicant Model: BZ22-120200-AU Input: 100-240Vac 50/60Hz 0.8A Output: DC 12.0V/2.0A Cement resistor Provided by Intertek 2.5Ω USB cable Provided by Intertek Unshielded, Length 20cm Justification Pertest mode Description Mode 1 Standby mode Mode 2 Mobile phone is charging at 1% battery power Mode 3 Mobile phone is charging at 50% battery power Mode 4 Mobile phone is charging at 99% battery power The EUT was powered by an adapter with 120V/60Hz input during the test. The test system was pre-scanning tested based on the consideration of following EUT operation mode. and only the worst-case data was shown in this report. TEST REPORT Intertek No.: 230227012SZN-002 Version: 01-November-2017 Page 4 of 8 RF Exposure Reference Limit: Environmental evaluation and exposure limit according to FCC CFR 47 part 1, 1.1307(c) and (d), 1.1310 According to FCC 1.1310: The criteria listed in the following table shall be used to evaluate the environment impact of human exposure to radio frequency (RF) radiation. LIMITS FOR MAXIMUM PERMISSIBLE EXPOSURE (MPE) Frequency Range ( MHz ) Electric Field strength (V/m) Magnetic Field Strength (A/m) Power Density (mW/cm 2 ) Average Time (minutes) (A) Limits for Occupational/Controlled Exposure 0.3 – 3.0 614 1.63 (100) * 6 (B) Limits for General Population/Uncontrolled Exposure 0.3 – 1.34 614 1.63 (100) * 30 Note: * = Plane wave equivalent power density Test Result: During test, the mobile handset is being charged. Worst Case Operating Mode: Mode 2 Test Result for wireless power transmit part: H-Field Strength at 15 cm surrounding the EUT and 20cm above the top surface of the EUT Frequency Range (MHz) EUT Operation mode Probe Position Front (A/m) Probe Position Rear (A/m) Probe Position Left (A/m) Probe Position Right (A/m) Probe Position Top (A/m) Limits (A/m) 0.112- 0.205 1% Battery Level 0.4688 0.3516 0.7064 0.3102 0.5609 1.63 0.112- 0.205 50% Battery Level 0.4681 0.3511 0.7059 0.3101 0.5601 1.63 0.112- 0.205 99% Battery Level 0.4679 0.3507 0.7051 0.3099 0.5594 1.63 0.112- 0.205 Stand-by 0.4677 0.3501 0.7045 0.3081 0.5587 1.63 TEST REPORT Intertek No.: 230227012SZN-002 Version: 01-November-2017 Page 5 of 8 RF Exposure E-Field Strength at 15 cm surrounding the EUT and 20cm above the top surface of the EUT Frequency Range (MHz) EUT Operation mode Probe Position Front (V/m) Probe Position Rear (V/m) Probe Position Left (V/m) Probe Position Right (V/m) Probe Position Top (V/m) Limits (V/m) 0.112- 0.205 1% Battery Level 0.0583 0.0278 0.0607 0.1627 0.0126 614 0.112- 0.205 50% Battery Level 0.0581 0.0271 0.0601 0.1624 0.0124 614 0.112- 0.205 99% Battery Level 0.0574 0.0272 0.0603 0.1621 0.0122 614 0.112- 0.205 Stand-by 0.0570 0.0267 0.0599 0.1619 0.0120 614 TEST REPORT Intertek No.: …

Text truncated - open the document above for the full version.

Ottlite Technologies Inc. TEST REPORT SCOPE OF WORK FCC TESTING–Q11AFS REPORT NUMBER 230227012SZN-001 ISSUE DATE [REVISED DATE] 29 March 2023 [---------------------] PAGES 20 DOCUMENT CONTROL NUMBER FCC ID 209_b © 2017 INTERTEK Intertek Report No.: 230227012SZN-001 This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this report. Only the Client is authorized to permit copying or distribution of this report and then only in its entirety. Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The observations and test results in this report are relevant only to the sample tested. This report by itself does not imply that the material, product, or service is or has ever been under an Intertek certification program. Intertek Testing Services Shenzhen Ltd. Longhua Branch 101, 201, Building B, No. 308 Wuhe Avenue, Zhangkengjing Community, GuanHu Subdistrict, LongHua District, ShenZhen. Tel: (86 755) 8601 6288 Fax: (86 755) 8601 6751 Version: 01-November-2017 Page: 1 of 20 FCC ID 209_b TEST REPORT 101, 201, Building B, No. 308 Wuhe Avenue, Zhangkengjing Community, GuanHu Subdistrict, LongHua District, ShenZhen. Tel: (86 755) 8601 6288 Fax: (86 755) 8601 6751 www.intertek.com Ottlite Technologies Inc. Application For Certification FCC ID: 2AI7B-Q11AFS LED table lamp Model: Q11AFS Brand name: Transmitter Report No.: 230227012SZN-001 We hereby certify that the sample of the above item is considered to comply with the requirements of FCC Part 15, Subpart C for Intentional Radiator, mention 47 CFR [10-1-21] Prepared and Checked by: Approved by: ___________________________ Vito Pan Ryan RQ Chen Project Engineer Project Engineer Date: 29 March 2023 Intertek Report No.: 230227012SZN-001 Version: 01-November-2017 Page: 2 of 20 FCC ID 209_b TEST REPORT MEASUREMENT/TECHNICAL REPORT This report concerns (check one) Original Grant X Class II Change Equipment Type: DCD - Part 15 Low Power Transmitter Below 1705 kHz Deferred grant requested per 47 CFR 0.457(d)(1)(ii)? Yes No X If yes, defer until : date Company Name agrees to notify the Commission by: date of the intended date of announcement of the product so that the grant can be issued on that date. Transition Rules Request per 15.37? Yes No X If no, assumed Part 15, Subpart C for intentional radiator - the new 47 CFR [10-01- 21] Edition] provision. Report prepared by: Vito Pan Intertek Testing Services Shenzhen Ltd. Longhua Branch 101, 201, Building B, No. 308 Wuhe Avenue, Zhangkengjing Community, GuanHu Subdistrict, LongHua District, ShenZhen. Tel: (86 755) 8614 0743 Fax: (86 755) 8601 6751 Intertek Report No.: 230227012SZN-001 Version: 01-November-2017 Page: 3 of 20 FCC ID 209_b TEST REPORT Table of Contents 1.0 Summary of Test Results ........................................................................................... 4 2.0 General Description .................................................................................................. 5 2.1 Product Description ................................................................................................ 5 2.2 Related Submittal(s) Grants ..................................................................................... 5 2.3 Test Methodology .................................................................................................. 5 2.4 Test Facility ........................................................................................................... 5 3.0 System Test Configuration ......................................................................................... 6 3.1 Justification ........................................................................................................... 6 3.2 EUT Exercising Software .......................................................................................... 6 3.3 Special Accessories ................................................................................................. 6 3.4 Equipment Modification ......................................................................................... 6 3.5 Measurement Uncertainty ...................................................................................... 7 3.6 Support Equipment List and Description .................................................................. 7 4.0 Measurement Results ............................................................................................... 8 4.1 Field Strength Calculation ........................................................................................ 8 4.2 Radiated Emission Configuration Photograph ............................................................ 9 4.3 Radiated Spurious Emission ..................................................................................... 9 4.4 Conducted Emission Configuration Photograph ........................................................ 13 4.5 Conducted Emission ............................................................................................. 13 5.0 Equipment Photographs .......................................................................................... 16 6.0 Product Labelling .................................................................................................... 16 7.0 Technical Specifications ........................................................................................... 16 8.0 Instruction Manual ................................................................................................. 16 9.0 Miscellaneous Information ................................................…

Text truncated - open the document above for the full version.

Page 1 of 1 TEST REPORT CONDUCTED EMISSION TEST SET-UP Front View Slide View

Page 1 of 1 TEST REPORT RADIATED EMISSION TEST SET-UP Front View (up to 1GHz) Back View (up to 1GHz) The EUT is placed at the center of turntable