2AJ9O-HG07456AQi wireless charger

Applicant Declaration Applicant Declaration Rev:0.0 SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia 30024 United States Applicant Legal Business Name LIDL US LLC Address 3500 S Clark Street, ARLINGTON VA 22202, USA Grantee Code 2AJ9O FCC ID 2AJ9O-HG07456A Authorized Contact Name Mr. Maxwell Hand Contact Email [email protected] Contact Phone +1 (703) 819 3936 I, the undersigned, certify that I am an authorized signatory for the Applicant and therefore declare; a) in accordance with 47CFR2.911(d), all of the statements herein and the exhibits attached hereto are true and correct to the best of my knowledge and belief. b) in accepting a Grant of Equipment Authorization issued by a TCB, under the authority of the FCC, as a result of the representations made in this application, the Applicant is responsible for: (1) labeling the equipment with the exact FCC ID as specified in this application, (2) compliance statement labeling pursuant to the applicable rules, (3) compliance of the equipment with the applicable technical rules, c) if the Applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCC’s technical requirements. d) in accordance with 47 CFR 2.909 and KDB394321, the Applicant has read, understood and agrees to accept that they are the responsible party and agree to abide by their responsibilities as specified under 47 CFR 2.909 and KDB394321. e) in accordance with ISO17065, FCC KDB641163, FCC KDB610077, KDB394321 and RSP-100, the Applicant has read, understood, accepts and agrees to abide by the post market surveillance requirements. (1) the Applicant understands, accepts and agrees that a sample may be requested for surveillance testing. (2) the Applicant shall make provisions to always have a production sample available upon request by SGS, FCC and/or ISED. (3) the Applicant shall, upon request by SGS, at the Applicant’s expense, provide a production sample of the requested product to SGS, FCC and/or ISED as instructed. The sample shall include all support devices, cables, software, accessories or other hardware or software required for evaluation, review, certification and audit surveillance of products certified by SGS. f) neither the Applicant nor any party to the application is subject to a denial of Federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. §862 because of a conviction for possession or distribution of a controlled substance. See 47CFR 1.2002(b) for the definition of a “party” for these purposes. g) the Applicant has read, understood, accepts and agrees to abide by the SGS North America, Inc.(TCB) terms and conditions. Link to CFRs: https://www.fcc.gov/wireless/bureau-divisions/technologies-systems-and-innovation-division/rules-regulations-title-47 Link to KDBs: https://apps.fcc.gov/oetcf/kdb/index.cfm Link to RSP-100: https://www.ic.gc.ca/eic/site/smt-gst.nsf/eng/sf01130.html Applicant Signature: Date: Print Name: Title: *NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database

LIDL US LLC TO: Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding: Confidentiality Request regarding application for FCC ID: 2AJ9O-HG07456A LONG TERM CONFIDENTIALITY Pursuant to 47 CFR Section 0.459 and 0.457 of the commission’s rules, the applicant hereby request confidential treatment of the documents listed below, associated with the certification application referenced above. Schematic(s) Block Diagrams Operational Descriptions The documents above contain proprietary information not released to the public. Public disclosure of this information may prove harmful to the business of the applicant. SHORT TERM CONFIDENTIALITY Additionally, the applicant requests the following documents be held confidential until the device is marketed or 180 days from the grant date, whichever is less. If the device is marketed within 180 days of the Grant Date, the applicant will notify the TCB per FCC KDB 726920 D01 Confidentiality Request Procedures. External Photos Internal Photos Test Setup Photos User manual(s) Sincerely, Print Name: Maxwell Hand Title: Senior Quality Assurance Manager Signature: On behalf of Company: LIDL US LLC Telephone: +1 (703) 819 3936 E-mail: [email protected] Elizabeth Sullivan QA Manager 11/10/2020

LIDL US LLC Cover Letter-Wireless Charger Approval Date: 2020-11-03 Gentlemen: There’s a Qi charging adapter that would like to have your authorization as an Inductive wireless power transfer applications approval. The specific product as below, Qi charging adapter, with its designed features and specified description, meets special requirements for KDB 680106 D01 section 5.2 requirements. Company: LIDL US LLC Product Name: Qi wireless charger Model Number: HG07456A-US FCC ID: 2AJ9O-HG07456A KDB 680106 D01 Section 5.2 Requirements Product Technical Specification Result a) Power transfer frequency is less that 1 MHz 110.58KHz-144.07KHz Complied b) Output power from each primary coil is less than or equal to 15 watts. 5W; 7.5W; 10W Complied c) The transfer system includes only single primary and secondary coils. This includes charging systems that may have multiple primary coils and clients that are able to detect and allow coupling only between individual pairs of coils Complied d) Client device is placed directly in contact with the transmitter. Complied e) Mobile exposure conditions only For inductive applications where the primary does not physically attach to the client, and it is intended for desktop use, the desktop guidance in KDB 680106 D01 may be applied Complied f) The aggregate H-field strengths at 15 cm surrounding the device and 20 cm above the top surface from all simultaneous transmitting coils are demonstrated to be less than 50% of the MPE limit. Please refer to RF exposure report Complied Sincerely, Print Name: Maxwell Hand Title: Senior Quality Assurance Manager Signature: On behalf of Company: LIDL US LLC Telephone: +1 (703) 819 3936 Elizabeth Sullivan, QA Manager, 11/10/2020 E-mail: [email protected]

SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 1 of 5 External Photos for SZEM2010010556CR FCC ID: 2AJ9O-HG07456A SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 2 of 5 1 EUT Constructional Details SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 3 of 5 SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 4 of 5 SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 5 of 5

The product label will be screen printed on the bottom of the product .

SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 1 of 4 Internal Photos for SZEM2010010556CR FCC ID: 2AJ9O-HG07456A SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 2 of 4 1 EUT Constructional Details SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 3 of 4 SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 4 of 4

SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Report No.: SZEM201001055602 Page: 1 of 8 Keny Xu EMC Laboratory Manager 1 COVER PAGE Human Exposure Report Application No.: SZEM2010010556CR Applicant: LIDL US LLC Address of Applicant: 3500 S Clark Street, ARLINGTON VA 22202, USA Manufacturer: LIDL US LLC Address of Manufacturer: 3500 S Clark Street, ARLINGTON VA 22202, USA Factory: FUJIAN YOUTONG INDUSTRIES CO., LTD. Address of Factory: North part of 1st, 2nd-3rd floor, Building 1#, M9511 industries Park, No.18, Majiang Road, Mawei District, Fuzhou City, Fujian, China Equipment Under Test (EUT): EUT Name: Qi wireless charger Model No.: HG07456A-US Trade mark: Silvercrest FCC ID: 2AJ9O-HG07456A Standards: 47 CFR PART 1, Subpart I, Section 1.1310 47 CFR PART 2, Subpart J, Section 2.1091 Date of Receipt: 2020-10-22 Date of Test: 2020-10-23 to 2020-11-10 Date of Issue: 2020-11-10 Test Result : Pass* * In the configuration tested, the EUT complied with the standards specified above SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Report No.: SZEM201001055602 Page: 2 of 8 Revision Record Version Chapter Date Modifier Remark 01 2020-11-10 Original Authorized for issue by: Leo Li/Project Engineer Eric Fu/Reviewer SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Report No.: SZEM201001055602 Page: 3 of 8 2 Contents 1 COVER PAGE ..................................................................................................................................... 1 2 CONTENTS ......................................................................................................................................... 3 3 GENERAL INFORMATION .................................................................................................................. 4 3.1 DETAILS OF E.U.T. ............................................................................................................................. 4 3.2 DESCRIPTION OF SUPPORT UNITS ........................................................................................................ 4 3.3 DESCRIPTION OF SUPPORT UNITS ........................................................................................................ 4 3.4 TEST LOCATION ................................................................................................................................. 5 3.5 TEST FACILITY ................................................................................................................................... 5 3.6 DEVIATION FROM STANDARDS .............................................................................................................. 5 3.7 ABNORMALITIES FROM STANDARD CONDITIONS ..................................................................................... 5 4 EQUIPMENTS USED DURING TEST .................................................................................................. 6 5 TEST RESULTS .................................................................................................................................. 7 5.1 RF EXPOSURE TEST ........................................................................................................................... 7 5.1.1 E.U.T. Operation ...................................................................................................................... 7 5.1.2 Measurement Data................................................................................................................... 8 SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Report No.: SZEM201001055602 Page: 4 of 8 3 General Information 3.1 Details of E.U.T. Power supply: Input: DC 9V/2A, DC 12V/1.5A Output: 5W/7.5W/10W Total power: 10W max. Antenna type: Loop Antenna Modulation type: Load modulation Operation frequency: 110.58KHz-144.07KHz Remark: Tests were conducted in all load modes and the worst case 10W is reported only. 3.2 Description of Support Units Cable Length Shielding Core Type-C cable 100cm Unshielded Non-Core 3.3 Description of Support Units Description Manufacturer Model No. Serial No. iPhone 8 Apple A1863 REF. No.SEA7600 Mobile Phone SAMSUNG SM-G9500 REF. No.SEA7900 Adapter(client supply) ROMOSS AC30A N/A Dummy load E-Charging N/A REF. No.SEA7100 SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Report No.: SZEM201001055602 Page: 5 of 8 3.4 Test Location All tests were performed at: SGS-CSTC Standards Technical Services Co., Ltd., Shenzhen Branch E&E Lab, No. 1 Workshop, M-10, Middle section, Science & Technology Park, Shenzhen, Guangdong,China 518057. Tel: +86 755 2601 2053 Fax: +86 755 2671 0594 No tests were sub-contracted. 3.5 Test Facility The test facility is recognized, certified, or accredited by the following organizations: • A2LA (Certificate No. 3816.01) SGS-CSTC Standards Technical Services Co., Ltd., Shenzhen EMC Laboratory is accredited by the American Association for Laboratory Accreditation(A2LA). Certificate No. 3816.01. • VCCI The 3m Fully-anechoic chamber for above 1GHz, 10m Semi-anechoic chamber for below 1GHz, Shielded Room for Mains Port Conducted Interference Measurement and Telecommunication Port Conducted Interference Measurement of SGS-CSTC Standards Technical Services Co., Ltd. have been registered in accordance with the Regulations for Voluntary Control Measures with Registration No.: G-20026, R-14188, C-12383 and T-11153 respectively. • FCC –Designation Number: CN1178 SGS-CSTC Standards Technical Services Co., Ltd., Shenzhen EMC Laboratory has been recognized as an accredited testing laboratory. Designation Number: CN1178. Test Firm Registration Number: 406779. • Innovation, Science and Economic Development Canada SGS-CSTC Standards Technical Services Co., Ltd., Shenzhen EMC Laboratory has been recognized by ISED as an accredited testing laboratory. CAB identifier: CN0006. IC#: 4620C. 3.6 Deviation from Standards None. 3.7 Abnormalities from Standard Conditions None. SGS-CSTC …

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SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Report No.: SZEM201001055601 Page: 1 of 30 Keny Xu EMC Laboratory Manager TEST REPORT Application No.: SZEM2010010556CR Applicant: LIDL US LLC Address of Applicant: 3500 S Clark Street, ARLINGTON VA 22202, USA Manufacturer: LIDL US LLC Address of Manufacturer: 3500 S Clark Street, ARLINGTON VA 22202, USA Factory: FUJIAN YOUTONG INDUSTRIES CO., LTD. Address of Factory: North part of 1st, 2nd-3rd floor, Building 1#, M9511 industries Park, No.18, Majiang Road, Mawei District, Fuzhou City, Fujian, China Equipment Under Test (EUT): EUT Name: Qi wireless charger Model No.: HG07456A-US Trade mark: Silvercrest FCC ID: 2AJ9O-HG07456A Standard(s) : 47 CFR Part 15, Subpart C Date of Receipt: 2020-10-22 Date of Test: 2020-10-23 to 2020-11-10 Date of Issue: 2020-11-10 Test Result: Pass* * In the configuration tested, the EUT complied with the standards specified above. SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Report No.: SZEM201001055601 Page: 2 of 30 Revision Record Version Chapter Date Modifier Remark 01 2020-11-10 Original Authorized for issue by: Leo Li /Project Engineer Eric Fu /Reviewer SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Report No.: SZEM201001055601 Page: 3 of 30 2 Test Summary Radio Spectrum Technical Requirement Item Standard Method Requirement Result Antenna Requirement 47 CFR Part 15, Subpart C N/A 47 CFR Part 15, Subpart C 15.203 Pass Radio Spectrum Matter Part Item Standard Method Requirement Result Conducted Emissions at AC Mains Power Port (150kHz-30MHz) 47 CFR Part 15, Subpart C ANSI C63.10 (2013) Section 6.2 47 CFR Part 15, Subpart C 15.207 Pass 20dB Bandwidth 47 CFR Part 15, Subpart C ANSI C63.10 (2013) Section 6.9.2 47 CFR Part 15, Subpart C 15.215 Pass Radiated Emissions (9kHz-30MHz) 47 CFR Part 15, Subpart C ANSI C63.10 (2013) Section 6.4 47 CFR Part 15, Subpart C 15.205 & 15.209 Pass Radiated emission (30MHz-1GHz) 47 CFR Part 15, Subpart C 47 CFR Part 15, Subpart C 15.205 & 15.209 ANSI C63.10 (2013) Section 6.5 Pass Restricted Bands 47 CFR Part 15, Subpart C ANSI C63.10 (2013) Section 6.10.5 47 CFR Part 15, Subpart C 15.205 Pass SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Report No.: SZEM201001055601 Page: 4 of 30 3 Contents Page 1 COVER PAGE ..................................................................................................................................... 1 2 TEST SUMMARY ................................................................................................................................. 3 3 CONTENTS ......................................................................................................................................... 4 4 GENERAL INFORMATION .................................................................................................................. 6 4.1 DETAILS OF E.U.T. ......................................................................................................................... 6 4.2 CABLE ........................................................................................................................................... 6 4.3 DESCRIPTION OF SUPPORT UNITS .................................................................................................... 6 4.4 TEST MODE DESCRIPTION ............................................................................................................... 6 4.5 MEASUREMENT UNCERTAINTY ......................................................................................................... 6 4.6 TEST LOCATION ............................................................................................................................. 8 4.7 TEST FACILITY ............................................................................................................................... 8 4.8 DEVIATION FROM STANDARDS ......................................................................................................... 8 4.9 ABNORMALITIES FROM STANDARD CONDITIONS ................................................................................. 8 5 EQUIPMENT LIST ............................................................................................................................... 9 6 RADIO SPECTRUM TECHNICAL REQUIREMENT ............................................................................11 6.1 ANTENNA REQUIREMENT ................................................................................................................11 6.1.1 Test Requirement: ..................................................................................................................11 6.1.2 Conclusion ..............................................................................................................................11 7 RADIO SPECTRUM MATTER TEST RESULTS .................................................................................12 7.1 CONDUCTED EMISSIONS AT AC MAINS POWER PORT (150KHZ-30MHZ) ............................................12 7.1.1 E.U.T. Operation .....................................................................................................................12 7.1.2 Test Mode Description ............................................................................................................12 7.1.3 Test Setup Diagram ................................................................................................................13 7.1.4 Measurement Procedure and Data .........................................................................................13 7.2 20DB BANDWIDTH .........................................................................................................................16 7.2.1 E.U.T. Operation .....................................................................................................................16 7.2.2 Test Mode Description ................................................…

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SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 1 of 4 RF Exposure Setup Photos for SZEM2010010556CR FCC ID: 2AJ9O-HG07456A SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 2 of 4 1 Photographs SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 3 of 4 SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 4 of 4

SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 1 of 3 Setup Photos for SZEM2010010556CR FCC ID: 2AJ9O-HG07456A SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 2 of 3 1 Photographs Conducted Emissions at AC Mains Power Port (150kHz-30MHz) SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch Page: 3 of 3 Radiated emission (9KHz-30MHz) Radiated emission(30MHz-1GHz)