IKQMEMSQRWireless Car Charger

Scosche Industries Inc 2.911 (d)(7)USA Agent v1.5 Section 2.911(d)(7) USA Agent for Service of Process Company name: Scosche Industries Inc Address: 1550 Pacific Ave Oxnard California 93033 United States Product Name: Wireless Car Charger FCC ID: IKQMEMSQR Model(s): MEMSQR 2.911(d)(7) USA Designated Agent for Service of Process We, [ Scosche Industries Inc ] (“the applicant”) designate [Scosche Industries Inc] NOTE1 for the purpose of accepting service of process on behalf of the applicant. Applicant consent: We acknowledge our consent to accept service of process in the United States for matters related to the applicable equipment, and at the physical U.S. address and email address of the designated agent and acknowledge our acceptance of our obligation to maintain an agent for service of process in the United States for no less than one year after either we the grantee have permanently terminated all marketing and importation of the applicable equipment within the U.S., or at the conclusion of any Commission-related administrative or judicial proceeding involving the equipment, whichever is later. Agent obligation: We acknowledge our obligation to accept service of process in the United States for matters related to the applicable equipment at our physical U.S. address and email address for no less than one year after either the grantee has permanently terminated all marketing and importation of the applicable equipment within the U.S., or at the conclusion of any Commission- related administrative or judicial proceeding involving the equipment, whichever is later. USA Agent Company name: Scosche Industries Inc USA Address: 1550 Pacific Ave Oxnard California 93033 United States FRN Number: 0012561791 Contact Name: Mark Larson Telephone No: 805-486-4450 Email: [email protected] Applicant Company name: Scosche Industries Inc Address: 1550 Pacific Ave Oxnard California 93033 United States Grantee FRN Number: 0012561791 FCC Grantee Code: IKQ Contact Name: Mark Larson Telephone No: 805-486-4450 Email: [email protected] Signature: Title: SR Product Manager Signature: Title: SR Product Manager Scosche Industries Inc 2.911 (d)(7)USA Agent v1.5 Date:2024.1.16 Date:2024.1.16 NOTE 1: An applicant located in the United States may designate itself as the agent for service of process. Reference; Federal Register document 2022-28263 published on 02/06/23 https://www.federalregister.gov/documents/2023/02/06/2022-28263/protecting-against-nation al-security-threats-to-the-communications-supply-chain-through-the

Scosche Industries Inc 2.911 (d)(5)(i) Equipment Type Attestation v1.2 Section 2.911(d)(5)(i) Certification – Equipment Type Compan y name: Scosche Industries Inc Address: 1550 Pacific Ave Oxnard California 93033 United States Product Name: Wireless Car Charger FCC ID: IKQMEMSQR Model(s): MEMSQR 2.911(d)(5)(i) Equipment Type We, [ Scosche Industries Inc ] (“the applicant”) certify that the equipment for which authorization is sought through certification is not: Prohibited from receiving an equipment authorization pursuant to § 2.903; of the FCC rules. Identified as an equipment type in the “Covered List” NOTE 1 Y ours sincerely, Name:Mark Larson D ate:2024.1.16 Title and Company name: Scosche Industries Inc NOTE 1 “Covered List ”; is the List of Equipment and Services Covered By Section 2 of The Secure Networks Act, available at https://www.fcc.gov/supplychain/coveredlist Refere nces; 1) 986 446 D01 Covered Equi pment v01 https://apps.fcc.gov/oetcf/kdb/forms/FT SSearchResultPage.cfm?switch=P&id=325672 2) F ederal Register document 2022-28263 published on 02/06/23 https://www.federalregister.gov/documents/2023/02/06/2022-28263/protecting-against-national-security-threats-to-the-com munications-supply-chain-through-the

Scosche Industries Inc 2.911 (d)(5)(ii) Applicant Attestation v1.3 Section 2.911(d)(5)(ii) Certification – Applicant (Covered List ) Compan y name: Scosche Industries Inc Address: 1550 Pacific Ave Oxnard California 93033 United States Product Name: Wireless Car Charger FCC ID: IKQMEMSQR Model(s): MEMSQR 2.911(d)(5)(ii) Applicant filing We, [ Scosche Industries Inc ] (“the applicant”) certify that, as of the date of the filing of the application, the applicant is not identified NOTE 1 on the “Covered List” NOTE 2 , established pursuant to § 1.50002 of this chapter, as an entity producing covered commu nications equipment. Y ours sincerely, Name:Mark Larson D ate: 2024.1.16 Title and Company name: Scosche Industries Inc NOTE 1 Delete option not applicable to this application. NOTE 2 “Covere d List ”; is the List of Equipment and Services Covered By Section 2 of The Secure Networks Act, available at https://www.fcc.gov/supplychain/coveredlist Refere nces; 1) 986 446 D01 Covered Equi pment v01 https://apps.fcc.gov/oetcf/kdb/forms/FT SSearchResultPage.cfm?switch=P&id=325672 2) F ederal Register document 2022-28263 published on 02/06/23 https://www.federalregister.gov/documents/2023/02/06/2022-28263/protecting-against-national-security-threats-to-the-com munications-supply-chain-through-the

Scosche Industries Inc Off i ce of Engineering Technology Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 USA Date: 2024.1.16 Subject; Request for Confidentiality FCC ID: IKQMEMSQR To Whom It May Concern, Pursuant to the provisions of the Commission’s rules Title 47 Sections §0.457 and §0.459, we are requesting the Commission to withhold the following attachment(s) as confidential documents from public disclosure indefinitely. These documents contain detailed system and equipment descriptions and are considered as proprietary information in operation of the equipment. The public disclosure of these documents might be harmful to our company and would give competitors an unfair advantage in the market. Schematic Diagram Block Diagram Parts List Operational Description Tune-up Procedure In additional to above mentioned documents, in order to comply with the marketing regulations in Title 47 CFR §2.803 and the importation rules in Title 47 CFR §2.1204, while ensuring that business sensitive information remains confidential until the actual marketing of newly authorized devices, we request Short Term Confidentiality of the following attachment(s); External Photos Test Setup Photos Internal Photos User Manual For 45 days, pursuant to Public Notice DA 04-1705. OR For 180 days pursuant to KDB 726920 D01. It is our understanding that all measurement test reports, FCC ID label format and correspondence during the certification review process cannot be granted as confidential documents and this information will be available for public review once the grant of equipment authorization is issued. Sincerely, Signature: Name: Mark Larson Title: SR Product Manager

Scosche Industries Inc Cover Letter-Wireless Charger Approval Gentlemen: There’s a Wireless Car Charger that would like to have your authorization as an Inductive wireless power transfer applications approval. The specific product as below, Wireless Car Charger with its designed features and specified description, meets special requirements for KDB 680106 D01 section 5.2 requirements. Company: Scosche Industries Inc Product Name: Wireless Car Charger Model Number: MEMSQR FCC ID: IKQMEMSQR KDB 680106 D01 Section 5.2 Requirements Product Technical Specification Result 1) Power transfer frequency is less that 1 MHz 112 kHz-147.4 kHz Complied 2) The output power from each transmitting element (e.g., coil) is less than or equal to 15 watts. 5W,7.5W,10W,15W Complied 3) A client device providing the maximum permitted load is placed in physical contact with the transmitter (i.e., the surfaces of the transmitter and client device enclosures need to be in physical contact) Complied 4) Only § 2.1091-Mobile exposure conditions apply 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 5) The E-field and H-field strengths, at and beyond 20 cm surrounding the device surface, are demonstrated to be less than 50% of the applicable MPE limit, per KDB 447498, Table 1. These measurements shall be taken along the principal axes of the device, with one axis oriented along the direction of the estimated maximum field strength, and for three points per axis or until a 1/d (inverse distance from the emitter structure) field strength decay is observed. Symmetry considerations may be used for test reduction purposes. The device shall be operated in documented worst-case compliance scenarios (i.e., the ones that lead to the maximum field components), and while all the radiating structures (e.g., coils or antennas) that by design can simultaneously transmit are energized at their nominal maximum power. Please refer to RF exposure report Complied 6) For systems with more than one radiating structure, the conditions specified in (5) must be met when the system is fully loaded (i.e., clients absorbing maximum power available), and with all the radiating Please refer to RF exposure report Complied Scosche Industries Inc structures operating at maximum power at the same time, as per design conditions. If the design allows one or more radiating structures to be powered at a higher level while other radiating structures are not powered, then those cases must be tested as well. For instance, a device may use three RF coils powered at 5 W, or one coil powered at 15 W: in this case, both scenarios shall be tested. Sincerely, Print Name: Mark Larson Title:SR Product Manager Signature: On behalf of Company: Scosche Industries Inc Telephone: 805-486-4450 E-mail: [email protected]

75mm 10mm Wireless Car Charger Model: MEMSQR Input: 5V 3A /9V 2.22A/12V 1.67A Output: 15W Max FCC ID: IKQMEMSQR IC: 6955A-MEMSQR Made in Vietnam 2350 CANRSS-216 / CNR-216 CAN ICES-003(B) / NMB-003(B) 58.5mm 58.5mm CAR CHARGER Model: CPDC2012 Input : 12V-24V 3.5A Output: 5V 3A/9V 2.22A/12V 1.67A CAN ICES-003(B)/NMB-003(B) Made in Vietnam 2350 24.65 mm 10.5 mm 5 mm 5.22 mm 7.49 mm 5mm 4.75mm 4.75mm File No (文件编号) Edition (版本) Page (页码) Changing Description Design (设计) Check (审核) Date (日期) (变更说明) Edition (版本) PROVIDER (制作商) UNIT (单位) DESIGNER (制作) CHECKED 确认)( CHECKED 审核)( APPROVAL (批准) COSTOMER (客户) DATE 日期() TITLE (图纸名称) PART NO. (物料编号) M ATL (材质) DATE (日期) DATE (日期) DATE (日期) 底壳镭雕 注:黑色边框线为辅助设计线 注： 23 50 年份 周期 注：产品上的镭雕周期要与彩盒上的日期标贴及外箱上的日期保持一致 1:1 3:1(内容放大） 备注: 1.镭雕颜色为灰色. 2.按图纸内容镭雕. 3.镭雕内容匀称清晰,不可歪斜. 4.效果参考客户回签样品. 5.用纯棉布罐满95%纯度医用酒精，包在500g专 用法码上,以40-60次/分钟的速度,20mm左右的 行程，在被测物表面来回擦试200个循环; 6.以 图形不掉色为合格; 镭雕 镭雕 注：产品上的镭雕周期要与彩盒上的 日期标贴及外箱上的日期保持一致 ASCC1500092A0102 A/0 A/0首次发行 1500 3.1.1.7.3.0312 LED灯位置 LOGO丝印面 镭雕面 CAR CHARGER Model: CPDC2012 Input : 12V-24V 3.5A Output: 5V 3A/9V 2.22A/12V 1.67A CAN ICES-003(B)/NMB-003(B) Made in Vietnam 2350 一、镭雕周期： 1.周期以实际生产周期为准,随每批订单变动,具体周期 镭雕前与生产主管确认。 二、镭雕尺寸误差范围： 1.镭雕的位置尺寸:正公差≤0.3mm，负公差≤0.3mm 2.镭雕的内容尺寸：正公差≤0.01mm，负公差 0mm 3.安规标志尺寸：未标注尺寸的认证图标，代表是无安规 尺寸要求，请按图纸1：1尺寸镭雕。 4.字体大小及图标大小请按图纸1：1的尺寸镭雕，不可随意调整尺寸。 Model: CPDC2012

SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR231200417303 Page: 1 of 11 Keny Xu EMC Laboratory Manager 1 COVER PAGE Human Exposure Report Application No.: SZCR2312004173AT Applicant: Scosche Industries Inc Address of Applicant: 1550 Pacific Ave Oxnard California 93033 United States Manufacturer: Scosche Industries Inc Address of Manufacturer: 1550 Pacific Ave Oxnard California 93033 United States Factory: Scosche Industries Inc Address of Factory: 1550 Pacific Ave Oxnard California 93033 United States Equipment Under Test (EUT): EUT Name: Wireless Car Charger Model No.: MEMSQR Trade Mark: SCOSCHE FCC ID: IKQMEMSQR Standards: 47 CFR PART 1, Subpart I, Section 1.1310 47 CFR PART 2, Subpart J, Section 2.1091 Date of Receipt: 2023-12-18 Date of Test: 2023-12-27 to 2024-01-17 Date of Issue: 2024-01-23 Test Result : Pass* * In the configuration tested, the EUT complied with the standards specified above SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR231200417303 Page: 2 of 11 Revision Record Version Chapter Date Modifier Remark 01 2024-01-23 Original Authorized for issue by: Leo Li/Project Engineer Eric Fu/Reviewer SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR231200417303 Page: 3 of 11 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 TEST LOCATION ............................................................................................................................................... 5 3.4 TEST FACILITY ................................................................................................................................................ 5 3.5 DEVIATION FROM STANDARDS ......................................................................................................................... 6 3.6 ABNORMALITIES FROM STANDARD CONDITIONS ............................................................................................... 6 4 EQUIPMENTS USED DURING TEST ............................................................................................................ 6 5 DESCRIPTION OF TEST MODEL .................................................................................................................. 6 6 TEST RESULTS ............................................................................................................................................... 7 6.1 RF EXPOSURE TEST.......................................................................................................................................... 7 6.1.1 E.U.T. Operation.................................................................................................................................. 8 6.1.2 Test Mode Description ........................................................................................................................ 8 7 TEST SETUP PHOTOS ................................................................................................................................. 11 SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR231200417303 Page: 4 of 11 3 General Information 3.1 Details of E.U.T. Power supply: Input: 5V/3A, 9V/2.22A, 12V/1.67A from car charger Output: 15W Max Test Voltage: AC 120V/60Hz Operation frequency: 112.0kHz to 147.4kHz Modulation type: Load modulation Antenna type: Loop Antenna Remark: The information in this section is provided by the applicant or manufacturer, SGS is not liable to the accuracy, suitability, reliability or/and integrity of the information. 3.2 Description of Support Units Description Manufacturer Model No. Serial No. DC power supply ZHAOXIN PS-3005D REF. No.SEA27B01 E-loading N/A N/A REF. No.SEA42A00 iPhone 8 Apple A1863 REF. No.SEA16M00 Mobile Phone Nexus MRA58K REF. No.SEA16P00 Mobile Phone SAMSUNG SM-G9810 REF. No.SEA16K00 Mobile Phone SAMSUNG SM-G9500 REF. No.SEA16J00 SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR231200417303 Page: 5 of 11 3.3 Test Location All tests were performed at: SGS-CSTC Standards Technical Services Co., Ltd., Shenzhen Branch No. 1 Workshop, M-10, Middle Section, Science & Technology Park, Nanshan District, Shenzhen, Guangdong, China. 518057. Tel: +86 755 2601 2053 Fax: +86 755 2671 0594 No tests were sub-contracted. 3.4 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 (Member No. 1937) 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. Shenzhen EMC laboratory 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. • FC…

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Justification statement for Antenna To: Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding: FCC ID: IKQMEMSQR Dear Sir/Madam, Only radiated measurements are used for EUT with FCC ID: IKQMEMSQR to show compliance with FCC limits for fundamental and spurious emissions. All measurements were performed radiated and therefore additional antenna gain documentation is not required. The detailed information for antenna as below shows: Design Specifications Typical Antenna Type Loop Antenna Working Frequency 112.0kHz to 147.4kHz Overall Dimensions 41.5mm*18.5mm Manufacturer: SHENZHEN JINHAODE TECHNOLOGY CO.,LTD Address: 305, Building 2, Zone A, Baoan Internet Industrial Base Xixiang Street, Baoan District, Shenzhen No.: TX4405

SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR231200417302 Page: 1 of 25 Keny Xu EMC Laboratory Manager TEST REPORT Application No.: SZCR2312004173AT Applicant: Scosche Industries Inc Address of Applicant: 1550 Pacific Ave Oxnard California 93033 United States Manufacturer: Scosche Industries Inc Address of Manufacturer: 1550 Pacific Ave Oxnard California 93033 United States Factory: Scosche Industries Inc Address of Factory: 1550 Pacific Ave Oxnard California 93033 United States Equipment Under Test (EUT): EUT Name: Wireless Car Charger Model No.: MEMSQR Trade Mark: SCOSCHE FCC ID: IKQMEMSQR Standard(s) : 47 CFR Part 15, Subpart C Date of Receipt: 2023-12-18 Date of Test: 2023-12-27 to 2024-01-17 Date of Issue: 2024-01-23 Test Result: Pass* * In the configuration tested, the EUT complied with the standards specified above. SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR231200417302 Page: 2 of 25 Revision Record Version Chapter Date Modifier Remark 01 2024-01-23 Original Authorized for issue by: Leo Li/Project Engineer Eric Fu/Reviewer SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR231200417302 Page: 3 of 25 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 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 Restricted Bands ANSI C63.10 (2013) Section 6.10.5 47 CFR Part 15, Subpart C 15.205 Pass Radiated Emissions (9kHz-30MHz) ANSI C63.10 (2013) Section 6.4 47 CFR Part 15, Subpart C 15.205 & 15.209 Pass Radiated Emissions (30MHz-1GHz) ANSI C63.10 (2013) Section 6.5 47 CFR Part 15, Subpart C 15.205 & 15.209 Pass SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR231200417302 Page: 4 of 25 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 Description of Support Units ......................................................................................................... 6 4.3 Description of test model .............................................................................................................. 6 4.4 Measurement Uncertainty ............................................................................................................ 7 4.5 Test Location ............................................................................................................................... 8 4.6 Test Facility .................................................................................................................................. 8 4.7 Deviation from Standards ............................................................................................................. 8 4.8 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 20dB Bandwidth ..........................................................................................................................12 7.1.1 E.U.T. Operation .....................................................................................................................12 7.1.2 Test Mode Description ............................................................................................................12 7.1.3 Test Setup Diagram ................................................................................................................12 7.1.4 Measurement Procedure and Data .........................................................................................13 7.2 Restricted Bands .........................................................................................................................14 7.2.1 E.U.T. Operation .....................................................................................................................14 7.2.2 Test Mode Description ............................................................................................................14 7.2.3 Test Setup Diagram ................................................................................................................14 7.2.4 Measurement Procedure and Data…

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