2BGAI-8930-8935WF-M920T-USX1

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Label and location

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Pure Forms LLC MPE ASSESSMENT REPORT Report Type: FCC MPE assessment report Model: DL2197 REPORT NUMBER: 230900893SHA-002 ISSUE DATE: July 2, 2024 DOCUMENT CONTROL NUMBER: TTRFFCCMPE-02_V1 © 2018 Intertek Intertek Testing Services Shanghai Building No.86, 1198 Qinzhou Road (North) Caohejing Development Zone Shanghai 200233, China Telephone: 86 21 6127 8200 www.intertek.com TEST REPORT 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. TTRFFCCMPE-02_V1© 2018 Intertek Page 2 of 10 Report no.: 230900893SHA-002 Applicant: Pure Forms LLC 4744 Center Park, San Antonio, Texas, 78218 USA Manufacturer: Zhongshan Luxgend Electronics Co.,Ltd 7th, Jiahua Rd., Qianlong, Sanxiang Town, Zhongshan City, Guangdong Province, China 528463 Manufacturer Site: Zhongshan Luxgend Electronics Co.,Ltd 7th, Jiahua Rd., Qianlong, Sanxiang Town, Zhongshan City, Guangdong Province, China 528463 Product Name: Desklamp Type/Model: DL2197 FCC ID: 2BGAI-8930-8935 SUMMARY: The equipment complies with the requirements according to the following standard(s) or Specification: FCC PART 1 SECTION 1.1310 KDB447498 D01 General RF Exposure Guidance v06 KDB 680106 D01 Wireless Power Transfer v04 PREPARED BY: REVIEWED BY: Project Engineer Dylan Tang Reviewer Wakeyou Wang Report No.: 230900893SHA-002 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 3 of 10 Revision History Report No. Version Description Issued Date 230900893SHA-002 Rev. 01 Initial issue of report July 2, 2024 Report No.: 230900893SHA-002 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 4 of 10 Measurement result summary TEST ITEM FCC REFERANCE TEST RESULT NOTE RF Exposure 1.1310 Pass - Notes: 1: NA =Not Applicable 2: Determination of the test conclusion is based on IEC Guide 115 in consideration of measurement uncertainty. 3: Additions, Deviations and Exclusions from Standards: None. Report No.: 230900893SHA-002 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 5 of 10 1 GENERAL INFORMATION 1.1 Description of Equipment Under Test (EUT) Product name: Desklamp Type/Model: DL2197 Description of EUT: The EUT is a Desklamp, it has only one model. Rating: DC24V INPUT, 150W Max Adapter: Manufacturer: SHENZHEN PENGSHENGYE ELECTRONIC CO.,LTD Model: PSY2407500MM Input: 100-240Vac, 50/60Hz, Max 3A Output: 24.0V 7.5A 180.0W Category of EUT: Class B EUT type: Table top Floor standing Software Version: 8930-SW-V0 Hardware Version: 8930-HW-V0 Sample received date: October 15, 2023 Date of test: October 15, 2023 ~ April 8, 2024 1.2 Technical Specification Frequency Range: 111kHz – 205kHz Modulation: FSK Antenna: Coil antenna Report No.: 230900893SHA-002 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 6 of 10 1.3 Description of Test Facility Name: Intertek Testing Services Shanghai Address: Building 86, No. 1198 Qinzhou Road(North), Shanghai 200233, P.R. China Telephone: 86 21 61278200 Telefax: 86 21 54262353 The test facility is recognized, certified, or accredited by these organizations: CNAS Accreditation Lab Registration No. CNAS L0139 FCC Accredited Lab Designation Number: CN0175 IC Registration Lab CAB identifier.: CN0014 VCCI Registration Lab Registration No.: R-14243, G-10845, C-14723, T-12252 A2LA Accreditation Lab Certificate Number: 3309.02 Report No.: 230900893SHA-002 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 7 of 10 2 TEST SPECIFICATIONS 2.1 Standards or specification FCC PART 1 SECTION 1.1310 KDB 680106 D01 Wireless Power Transfer v04 KDB447498 D01 General RF Exposure Guidance v06 2.2 Mode of operation during the test Within this test report, EUT was tested under all modes and tested under its rating voltage and frequency. Other voltage and frequency are specified if used. The worst data was listed in the report. 2.3 Test peripherals list Item No. Name Band and Model Description 1 Wireless load iphone x 100% power level 2 Wireless load iphone x 50% power level 3 Wireless load iphone x 0% power level 2.4 Record of climatic conditions Test Item Temperature (°C) Relative Humidity (%) Pressure (kPa) RF Exposure 24 53 101 Report No.: 230900893SHA-002 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 8 of 10 2.5 Instrument list Used Equipment Manufacturer Type Internal no. Due date Exposure Level Tester Narda NBM-550 EC 6113 2025-04-06 E-Field sensor(100kHz- 3GHz) Narda EF 0391 EC 6113-1 2025-04-06 H-Field sensor(300kHz- 30MHz) Narda HF 3061 EC 6113-2 2025-04-06 Exposure Level Tester(1Hz- 400kHz) Narda ELT-400 EC 2928 2025-04-06 2.6 Measurement uncertainty Test Items Expanded Uncertainty (k=2) H-field 0.9 dB E-field 1.1 dB Report No.: 230900893SHA-002 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 9 of 10 3 RF Exposure Assessment Test result: Pass 3.1 Assessment Limit 3.2 Assessment Configuration Report No.: 230900893SHA-002 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 10 of 10 3.3 Assessment Results Test result of Magnetic Field Strength: Test Position Test distance (cm) Test result (A/m) Limit (A/m) Result (Pass/Fail) A: Right 15 0.061 1.63 *0.5 Pass B: Left 15 0.0290 1.63 *0.5 Pass C: Front 15 0.127 1.63 *0.5 Pass D: Back 15 0.070 1.63 *0.5 Pass E: Top 20 0.155 1.63 *0.5 Pass Test result of Electric Field Strength: Tes…

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Declaration Letter Related FCC ID: 2BGAI-8930-8935 Justification statement stating that all 24G and Wireless charger measurements were performed radiated and Therefore, additional 24G and Wireless charger antenna gain documentation is not required. See Internal photos for details of the 24G and Wireless charger antenna. By: __________________________ ____ ___Dylan Tang_______ (Signature) (Print name) Title: _____Certification Engineer_ Company: Intertek Testing Services Shanghai

Pure Forms LLC RF TEST REPORT Report Type: FCC Part 15C RF report Model: DL2197 REPORT NUMBER: 230900893SHA-001 ISSUE DATE: July 2, 2024 DOCUMENT CONTROL NUMBER: TTRFFCCPART15C_V1 © 2018 Intertek Intertek Testing Services Shanghai Building No.86, 1198 Qinzhou Road (North) Caohejing Development Zone Shanghai 200233, China Telephone: 86 21 6127 8200 www.intertek.com TEST REPORT 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. TTRFFCCPART15C_V1 © 2018 Intertek Page 2 of 20 Report no.: 230900893SHA-001 Applicant: Pure Forms LLC 4744 Center Park, San Antonio, Texas, 78218 USA Manufacturer: Zhongshan Luxgend Electronics Co.,Ltd 7th, Jiahua Rd., Qianlong, Sanxiang Town, Zhongshan City, Guangdong Province, China 528463 Manufacturer Site: Zhongshan Luxgend Electronics Co.,Ltd 7th, Jiahua Rd., Qianlong, Sanxiang Town, Zhongshan City, Guangdong Province, China 528463 Product Name: Desklamp Type/Model: DL2197 FCC ID: 2BGAI-8930-8935 SUMMARY: The equipment complies with the requirements according to the following standard(s) or Specification: 47CFR Part 15 (2023): Radio Frequency Devices (Subpart C) ANSI C63.10 (2020): American National Standard of Procedures for Compliance Testing of Unlicensed Wireless Devices PREPARED BY: REVIEWED BY: Project Engineer Dylan Tang Reviewer Wakeyou Wang Report No.: 230900893SHA-001 TEST REPORT TTRFFCCPART15C_V1 © 2018 Intertek Page 3 of 20 Content REVISION HISTORY................................................................................................................................................ 4 MEASUREMENT RESULT SUMMARY ..................................................................................................................... 5 1 GENERAL INFORMATION ............................................................................................................................. 6 1.1 DESCRIPTION OF EQUIPMENT UNDER TEST (EUT) ................................................................................................ 6 1.2 TECHNICAL SPECIFICATION ................................................................................................................................ 6 1.3 DESCRIPTION OF TEST FACILITY ......................................................................................................................... 7 2 TEST SPECIFICATIONS ................................................................................................................................... 8 2.1 STANDARDS OR SPECIFICATION .......................................................................................................................... 8 2.2 MODE OF OPERATION DURING THE TEST .............................................................................................................. 8 2.3 TEST SOFTWARE LIST ....................................................................................................................................... 8 2.4 TEST PERIPHERALS LIST..................................................................................................................................... 8 2.5 TEST ENVIRONMENT CONDITION: ....................................................................................................................... 8 2.6 INSTRUMENT LIST ........................................................................................................................................... 9 2.7 MEASUREMENT UNCERTAINTY ......................................................................................................................... 10 3 RADIATED EMISSIONS ............................................................................................................................... 11 3.1 LIMIT ......................................................................................................................................................... 11 3.2 MEASUREMENT PROCEDURE .......................................................................................................................... 11 3.3 TEST CONFIGURATION ................................................................................................................................... 12 3.4 TEST RESULTS OF RADIATED EMISSIONS ............................................................................................................ 14 4 CONDUCTED EMISSIONS ........................................................................................................................... 17 4.1 LIMIT ......................................................................................................................................................... 17 4.2 TEST CONFIGURATION ................................................................................................................................... 17 4.3 MEASUREMENT PROCEDURE .......................................................................................................................... 18 4.4 TEST RESULTS OF CONDUCTED EMISSIONS ......................................................................................................... 19 Report No.: 2309008…

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Page 1 of 5 Test Setup Page 2 of 5 1. Radiated Emission Below 30MHz Below 1GHz Page 3 of 5 2. Conducted Emission Page 4 of 5 RF Exposure Page 5 of 5