2AW3A-1NAC21ACUCMREV Charger

14600 Myford Rd Irvine CA, 92606 FCC Laboratory 7435 Oakland Mills Rd. Columbia, MD 21046 To whom it may concern: This device with FCC ID: 2AW3A-1NAC21ACUCMR integrates a WiFi/BT module: Brand Name FCC ID Grant Date BT module u-blox AG XPYANNAB1 10/01/2018 WiFi module XPYLILYW1 07/13/2016 No hardware design changes are made on the modules, and the software has not been changed to increase the RF output power of the modules. Pursuant to KDB 996369 D02v01, the original modular report are submitted to represent the compliance of Part 15C conducted RF testing items of this device. Test Report number: XPYANNAB1 Test Report number: F181323E2 XPYLILYW1 Test Report number: F160785E3 The radiated RF testing items are tested on this host device, and the test report is submitted additionally. Your early review will be greatly appreciated. Should you have any comments or questions, please feel free to contact me at [email protected]. Sep Zaker Sr. Manager - Range, Wireless, and Material Compliance Legal, Homologation and Certification Rivian Automotive LLC

14600 Myford Rd Irvine CA, 92606 FCC Laboratory 7435 Oakland Mills Rd Columbia MD 21046 Subject: Request for Confidentiality FCC ID: 2AW3A-1NAC21ACUCMR To Whom It May Concern, Pursuant to the provisions of Sections 0.457 and 0.459 of Commission’s rules (47CFR§§0.457, 0.459), we are requesting the Commission to withhold the following documents from public disclosure indefinitely. • Schematic Diagram • Block Diagram • Part List • Operational Description • Tune-up Procedure Above mentioned documents which contain 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. In additional to above mentioned documents, pursuant to Public Notice DA 04-1705 of the Commission’ s policy, in order to comply with the marketing regulations in 47 CFR §2.803 and the importation rules in 47 CFR §2.1204, while ensuring that business sensitive information remains confidential until the actual marketing of newly authorized devices, we are requesting the Commission to withhold the following documents for 180 days after the grant of equipment authorization is issued: • External Photos • Internal Photos • Test Setup Photos • User Manual It is our understanding that all measurement test reports, FCC ID label format cannot be granted as confidential documents and those information will be available for public review once the grant of equipment authorization is issued. Your early review will be greatly appreciated. Should you have any comments or questions, please feel free to contact me at [email protected]. Sep Zaker Sr. Manager - Range, Wireless, and Material Compliance Legal, Homologation and Certification Rivian Automotive LLC

14600 Myford Rd Irvine CA, 92606 FCC Laboratory 7435 Oakland Mills Rd Columbia MD 21046 FCC Agent Authorization To whom it may concern, Rivian Automotive, LLC hereby authorize Sporton International Inc. to act on our behalf in all matters relating to applications for FCC equipment authorization, including the signing of all documents relating to these matters. Any and all acts carried out by Sporton International Inc. on our behalf shall have the same effect as acts of our own. We also hereby certify that 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. This authorization is limited to the product of as following: FCC ID: 2AW3A-1NAC21ACUCMR This authorization is valid until further written notice from the Rivian Automotive, LLC Your early review will be greatly appreciated. Should you have any comments or questions, please feel free to contact me at [email protected]. Sep Zaker Sr. Manager - Range, Wireless, and Material Compliance Legal, Homologation and Certification Rivian Automotive LLC

PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 1 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 1. External Photograph of EUT Brand Name: RIVIAN / Model Name: PT00057325 / Marketing Name: RIVIAN WALL CHARGER HVIN: PT00057325 / PMN: RIVIAN WALL CHARGER PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 2 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 3 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 4 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 720510

PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 32 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 33 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 34 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 35 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 36 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 37 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 38 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 39 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 40 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 41 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 42 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 43 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 44 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 45 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 46 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 47 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 48 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 49 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 50 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 WLAN Antenna PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 51 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 ─────THE END──── 720510 Bluetooth Antenna

PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 5 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 2. Internal Photograph of EUT Brand Name: RIVIAN / Model Name: PT00057325 / Marketing Name: RIVIAN WALL CHARGER HVIN: PT00057325 / PMN: RIVIAN WALL CHARGER PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 6 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 7 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 8 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 9 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 10 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 11 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 12 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 13 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 14 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 15 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 16 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 17 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 18 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 19 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 20 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 21 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 22 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 23 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 24 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 25 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 26 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 27 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 28 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 29 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 30 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP230117 TEL : 886-3-327-3456 Page Number : 31 of 51 FAX : 886-3-328-4978 Issued Date : Sep. 14, 2022 Report Version : 01

TEL : 886-3-327-3456 Page : 1 of 7 FAX : 886-3-328-4978 Issued Date : Sep. 28, 2022 Form version: 200414 RF EXPOSURE EVALUATION REPORT Report No. : FA230117 RF EXPOSURE EVALUATION REPORT FCC ID : 2AW3A-1NAC21ACUCMR Equipment : EV Charger Brand Name : RIVIAN Model Name : PT00057325 Marketing Name : RIVIAN WALL CHARGER Applicant : Rivian Automotive LLC. 607 Hansen Way, Palo Alto, CA 94304 Manufacturer : Lite-On Technology Corporation 15F , No.555, Siyuan Rd., Xinzhuang Dist., New Taipei City, Taiwan (R.O.C.) Standard : 47 CFR Part 2.1091 We, SPORTON INTERNATIONAL INC has been evaluated this product in accordance with 47 CFR Part2.1091 and it complies with applicable limit. Sporton Lab is accredited to ISO 17025 by Taiwan Accreditation Foundation (TAF code: 1190) and the FCC designation No. TW1190 under the FCC 2.948(e) by Mutual Recognition Agreement (MRA) in FCC evaluation. The results in this report apply exclusively to the tested model / sample. Without written approval of SPORTON INTERNATIONAL INC. Laboratory, the test report shall not be reproduced except in full SPORTON INTERNATIONAL INC. EMC & Wireless Communications Laboratory No. 52, Huaya 1st Rd., Guishan Dist., Taoyuan City, Taiwan (R.O.C.) Approved by: Cona Huang / Deputy Manager TEL : 886-3-327-3456 Page : 2 of 7 FAX : 886-3-328-4978 Issued Date : Sep. 28, 2022 Form version: 200414 RF EXPOSURE EVALUATION REPORT Report No. : FA230117 Table of Contents 1. DESCRIPTION OF EQUIPMENT UNDER TEST (EUT) ............................................................................. 4 2. MAXIMUM RF AVERAGE OUTPUT POWER AMONG PRODUCTION UNITS ........................................ 5 3. RF EXPOSURE EXEMPTION THRESHOLDS ........................................................................................... 6 4. RADIO FREQUENCY RADIATION EXPOSURE EVALUATION ............................................................... 7 4.1. RF Exposure evaluation .................................................................................................................... 7 4.2. Sim-Tx analysis ................................................................................................................................. 7 TEL : 886-3-327-3456 Page : 3 of 7 FAX : 886-3-328-4978 Issued Date : Sep. 28, 2022 Form version: 200414 RF EXPOSURE EVALUATION REPORT Report No. : FA230117 History of this test report Report No. Version Description Issued Date FA230117 Rev. 01 Initial issue of report Sep. 14, 2022 FA230117 Rev. 02 Update section 4 Sep. 28, 2022 TEL : 886-3-327-3456 Page : 4 of 7 FAX : 886-3-328-4978 Issued Date : Sep. 28, 2022 Form version: 200414 RF EXPOSURE EVALUATION REPORT Report No. : FA230117 1. Description of Equipment Under Test (EUT) Product Feature & Specification EUT Type EV Charger Brand Name RIVIAN Model Name PT00057325 Marketing Name RIVIAN WALL CHARGER FCC ID 2AW3A-1NAC21ACUCMR Wireless Technology and Frequency Range WLAN 2.4GHz Band: 2400 MHz ~ 2483.5 MHz Bluetooth: 2400 MHz ~ 2483.5 MHz Mode WLAN: 802.11b/g/n HT20 Bluetooth LE HW Version 1 EUT Stage Production Unit Reviewed by: Jason Wang Report Producer: Carlie Tsai TEL : 886-3-327-3456 Page : 5 of 7 FAX : 886-3-328-4978 Issued Date : Sep. 28, 2022 Form version: 200414 RF EXPOSURE EVALUATION REPORT Report No. : FA230117 2. Maximum RF average output power among production units <WLAN> Mode Tune-up Limit 2.4GHz WLAN 802.11b 17.50 802.11g 20.50 802.11n-HT20 21.00 <Bluetooth> Mode Tune-up Limit LE 1Mbps 2Mbps Bluetooth -3.9 -10.0 TEL : 886-3-327-3456 Page : 6 of 7 FAX : 886-3-328-4978 Issued Date : Sep. 28, 2022 Form version: 200414 RF EXPOSURE EVALUATION REPORT Report No. : FA230117 3. RF Exposure Exemption Thresholds According to Part1.1307b, Or the available maximum time-averaged power or effective radiated power (ERP), whichever is greater, is less than or equal to the threshold Pth (mW) described in the following formula. This method shall only be used at separation distances (cm) from 0.5 centimeters to 40 centimeters and at frequencies from 0.3 GHz to 6 GHz (inclusive). Pth is given by: TEL : 886-3-327-3456 Page : 7 of 7 FAX : 886-3-328-4978 Issued Date : Sep. 28, 2022 Form version: 200414 RF EXPOSURE EVALUATION REPORT Report No. : FA230117 4. Radio Frequency Radiation Exposure Evaluation 4.1. RF Exposure evaluation Band Antenna Gain (dBi) Maximum Conducted Power (dBm) Maximum EIRP (dBm) Maximum ERP (dBm) Maximum EIRP (mW) Maximum ERP (mW) Pth Pth (mW) Maximum Output RF Power Limit (mW) option(b) Threshold (mW) option(b) P/Pth WLAN2.4GHz Band 2.2 21.0 23.2 21.05 208.93 127.35 21.05 127.35 3981 3060.000 0.0416 Bluetooth 0.5 -3.9 -3.4 -5.55 0.46 0.28 -3.90 0.41 3981 3060.000 0.0001 4.2. Sim-Tx analysis WLAN 2.4GHz P/Pth Ratio Bluetooth P/Pth Ratio Σ (P/Pth Ratio) of WLAN 2.4GHz + Bluetooth 0.0416 0.0001 0.0417 Note: 1. According part1.1307b, the P/Pth Ratio is using for Sim-Tx analysis, above table was showing WLAN transmitting with Bluetooth and the summation ratio is smaller than 1 Conclusion: According to 47 CFR §1.1307, the RF exposure analysis concludes that the RF Exposure is FCC compliant.

Annex B External Photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 1 of 13 181323_EUTU1.JPG: EVB-ANNA-B112U top view with NFC antenna Annex B External Photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 2 of 13 181323_EUTU2.JPG:EVB-ANNA-B112U top view withANNA-B112 module (EUT), U.FL port reference design and without NFC antenna Annex B External Photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 3 of 13 181323_DetU1.JPG:Detail view ofANNA-B112 module (EUT) andU.FL port reference design Annex B External Photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 4 of 13 181323_EUTU3.JPG: EVB-ANNA-B112U bottom view Annex B External Photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 5 of 13 181323_EUTC1.JPG: EVB-ANNA-B112C top view with NFC antenna Annex B External Photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 6 of 13 181323_EUTC2.JPG:EVB-ANNA-B112C top view withANNA-B112 module (EUT), antenna reference design for module being mounted in the cornerand without NFC antenna Annex B External Photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 7 of 13 181323_DetC1.JPG:Detail view ofANNA-B112 module (EUT) andantenna reference design for module being mounted in the corner Annex B External Photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 8 of 13 181323_EUTC3.JPG: EVB-ANNA-B112C bottom view Annex B External Photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 9 of 13 181323_EUTE1.JPG:EVB-ANNA-B112E top view withANNA-B112 module (EUT) and antenna reference design for module being mounted on the edge Annex B External Photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 10 of 13 181323_DetE1.JPG:Detail view ofANNA-B112 module (EUT) andantenna reference design for module being mounted on the edge Annex B External Photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 11 of 13 181323_EUTE2.JPG: EVB-ANNA-B112E bottom view Annex B External Photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 12 of 13 181323_NFCANT1.JPG: NFC antenna top view Annex B External Photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 13 of 13 181323_NFCANT2.JPG: NFC antenna bottom view

Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 1 of 21 181323_SetConU1.JPG: Test setup for conducted measurements; EVB-ANNA- B112U#117 Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 2 of 21 181323_SetRadU1.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112U#117 Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 3 of 21 181323_SetRadU7.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112U#117, 9 kHz – 30 MHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 4 of 21 181323_SetRadU8.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112U#117, 30 MHz – 1 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 5 of 21 181323_SetRadU9.JPG: Test setup open area test site; EVB-ANNA-B112U#117, 30 MHz – 1 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 6 of 21 181323_SetRadU10.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112U#117, 1 – 12 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 7 of 21 181323_SetRadU11.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112U#117, 12 – 18 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 8 of 21 181323_SetRadU12.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112U#117, 18 – 26.5 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 9 of 21 181323_SetRadC1.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112C#143 Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 10 of 21 181323_SetRadC7.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112C#143, 30 MHz – 1 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 11 of 21 181323_SetRadC8.JPG: Test setup open area test site; EVB-ANNA-B112C#143, 30 MHz – 1 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 12 of 21 181323_SetRadC9.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112C#143, 1 – 12 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 13 of 21 181323_SetRadC10.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112C#143, 12 – 18 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 14 of 21 181323_SetRadC11.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112C#143, 18 – 26.5 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 15 of 21 181323_SetRadE1.JPG: Test setup fully anechoic chamber; REF-ANNA-B112E#6 Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 16 of 21 181323_SetRadE7.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112E#6, 30 MHz – 1 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 17 of 21 181323_SetRadE8.JPG: Test setup open area test site; EVB-ANNA-B112E#6, 30 MHz – 1 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 18 of 21 181323_SetRadE9.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112E#6, 1 – 12 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 19 of 21 181323_SetRadE10.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112E#6, 12 – 18 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 20 of 21 181323_SetRadE11.JPG: Test setup fully anechoic chamber; EVB-ANNA-B112E#143, 18 – 26.5 GHz Annex A Test setup photos Examiner:Ruben BRAUNReport Number: F181323E2 Date of issue: 28.09.2018Order Number: 18-111323page 21 of 21 181323_SetMainsU1.JPG: Test setup mains conducted emissions; EVB-ANNA- B112U#117

ANNEX A: TEST SET-UP PHOTOGRAPHS Examiner: Paul NEUFELD Test Report No.: F160785E3 Date of issue: 27.06.2016 Order No.: 16-110785 page 1 of 8 160785_20.JPG: Test setup - conducted tests ANNEX A: TEST SET-UP PHOTOGRAPHS Examiner: Paul NEUFELD Test Report No.: F160785E3 Date of issue: 27.06.2016 Order No.: 16-110785 page 2 of 8 160785_12: Test setup - Radiated emission anechoic chamber, Lily-W132 ANNEX A: TEST SET-UP PHOTOGRAPHS Examiner: Paul NEUFELD Test Report No.: F160785E3 Date of issue: 27.06.2016 Order No.: 16-110785 page 3 of 8 160785_13: Test setup - Radiated emission anechoic chamber, Lily-W131 ANNEX A: TEST SET-UP PHOTOGRAPHS Examiner: Paul NEUFELD Test Report No.: F160785E3 Date of issue: 27.06.2016 Order No.: 16-110785 page 4 of 8 160785_21: Test setup - Radiated emission anechoic chamber ANNEX A: TEST SET-UP PHOTOGRAPHS Examiner: Paul NEUFELD Test Report No.: F160785E3 Date of issue: 27.06.2016 Order No.: 16-110785 page 5 of 8 160785_22: Test setup - Radiated emission anechoic chamber ANNEX A: TEST SET-UP PHOTOGRAPHS Examiner: Paul NEUFELD Test Report No.: F160785E3 Date of issue: 27.06.2016 Order No.: 16-110785 page 6 of 8 160785_23: Test setup - Radiated emission anechoic chamber ANNEX A: TEST SET-UP PHOTOGRAPHS Examiner: Paul NEUFELD Test Report No.: F160785E3 Date of issue: 27.06.2016 Order No.: 16-110785 page 7 of 8 160785_24: Test setup - Radiated emission anechoic chamber ANNEX A: TEST SET-UP PHOTOGRAPHS Examiner: Paul NEUFELD Test Report No.: F160785E3 Date of issue: 27.06.2016 Order No.: 16-110785 page 8 of 8 160307_25: Test setup – conducted emissions on power supply lines

ANNEX C: INTERNAL PHOTOGRAPHS Examiner: Paul NEUFELD Test Report No.: F160785E3 Date of issue: 27.06.2016 Order No.: 16-110785 page 1 of 3 160785_m.jpg: Lily-W131 module without shielding – top view ANNEX C: INTERNAL PHOTOGRAPHS Examiner: Paul NEUFELD Test Report No.: F160785E3 Date of issue: 27.06.2016 Order No.: 16-110785 page 2 of 3 160785_n.jpg: Lily-W132 module without shielding – top view ANNEX C: INTERNAL PHOTOGRAPHS Examiner: Paul NEUFELD Test Report No.: F160785E3 Date of issue: 27.06.2016 Order No.: 16-110785 page 3 of 3 160785_k.jpg: Lily-W131/132 module – bottom view

Königswinkel 10 32825 Blomberg, Germany Phone +49 (0) 52 35 95 00-0 Fax +49 (0) 52 35 95 00-10 [email protected] www.phoenix-testlab.de Test Report Report Number: F160785E3 Equipment under Test (EUT): Lily-W1 Applicant: u-blox AG Manufacturer: u-blox AG Examiner: Paul NEUFELD Report Number: E160785E3 Date of issue: 27.06.2016 Order Number: 16-110785 page 2 of 44 References [1] ANSI C63.10-2013, American National Standard of Procedures for Compliance Testing of Unlicensed Wireless Devices [2] FCC CFR 47 Part 15 (June 2016), Radio Frequency Devices [3] RSS-247 (May 2015), Digital Transmission Systems (DTSs), Frequency Hopping Systems (FHSs) and Licence-Exempt Local Area Network (LE-LAN) Devices [4] RSS-Gen Issue 4 (November 2014), General Requirements for Compliance of Radio Apparatus Test Result The requirements of the tests performed as shown in the overview (clause 4) were fulfilled by the equipment under test. The complete test results are presented in the following. This test report is only valid in its original form. Any reproduction of its contents in extracts without written permission of the accredited test laboratory PHOENIX TESTLAB GmbH is prohibited. The test results herein refer only to the tested sample. PHOENIX TESTLAB GmbH is not responsible for any generalisations or conclusions drawn from these test results concerning further samples. Any modification of the tested samples is prohibited and leads to the invalidity of this test report. Each page necessarily contains the PHOENIX TESTLAB Logo and the TEST REPORT NUMBER. This test report is valid in hardcopy form as well as in electronic form. Test engineer: Paul NEUFELD 12.07.2016 Name Signature Date Authorized reviewer: Bernd STEINER 12.07.2016 Name Signature Date Examiner: Paul NEUFELD Report Number: E160785E3 Date of issue: 27.06.2016 Order Number: 16-110785 page 3 of 44 Contents Page 1 Identification ........................................................................................................................... 4 1.1 Applicant ......................................................................................................................................4 1.2 Manufacturer ................................................................................................................................4 1.3 Test Laboratory ............................................................................................................................4 1.4 EUT (Equipment Under Test) .......................................................................................................5 1.5 Technical Data of Equipment ........................................................................................................6 1.6 Dates ...........................................................................................................................................8 2 Operational States.................................................................................................................. 8 3 Additional Information ...........................................................…

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