OUCGFM-H001WIRELESS CHARGER

RF Exposure Notice : This wireless charger complies with FCC RF exposure guidelines at the distance of 10 cm (3.94 in.). Keep a distance of at least 10 cm (3.94 in.) between all occupants and the wireless charger when charging. Don’t remove the wireless charger yourself; contact your dealer for assistance. P2

19/30 8. Photographs Figure 8.1 Appearance 20/30 Figure 8.2 Appearance (projection view)

27/30 Figure 8.13 Label printing items [12] Figure 8.14 Label printing contents [12] 28/30 Figure 8.15 Label layout

22/30 Figure 8.4 Cover Assembly [1] ~ [4] (top view) Figure 8.5 Cover Assembly [1] ~ [4] (bottom view) 23/30 Figure 8.6 Wireless Charger Module [6] (top view) Figure 8.7 Wireless Charger Module [6] (bottom view) 24/30 Figure 8.8 Wireless Charger Module with Shield [6] [9](bottom view) 25/30 Figure 8.9 Control Module [8] (top view) Figure 8.10 Control Module [8] (bottom view) 26/30 Figure 8.11 Case Assembly [10] [11] (top view) Figure 8.12 Case Assembly [10] [11] (bottom view)

Test report No. : 10759120Y-B-1 Page : 2 of 13 FCC ID : OUCGFM-H001 Issued date : July 9, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken , 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 REVISION HISTORY Original Test Report No.: 10759120Y-B-1 Revision Test report No. Date Page revised Contents - (Original) 10759120Y-B-1 July 9, 2015 - - Test report No. : 10759120Y-B-1 Page : 3 of 13 FCC ID : OUCGFM-H001 Issued date : July 9, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken , 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 CONTENTS PAGE Section 1 : Customer information 4 Section 2 : Equipment under test (E.U.T.) 4 Section 3 : Test specification, procedures and results 5 Section 4 : Operation of E.U.T. during testing 6 Section 5 : FCC rule §1.1310 7 Appendix 1: Photographs of test setup 8 Appendix 2: Test data 9 Appendix 3: Test Instruements 13 Test report No. : 10759120Y-B-1 Page : 4 of 13 FCC ID : OUCGFM-H001 Issued date : July 9, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken , 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 Section 1 : Customer information Company Name : OMRON Automotive Electronics Co. Ltd. Brand Name : OMRON Address : 3-19-15 Motoimaizumi Utsunomiya, Tochigi-ken, 321-0954 Japan Telephone Numbe r : +81 28 634 6802 Facsimile Numbe r : +81 28 634 6804 Contact Person : Takayuki Kamijima Section 2 : Equipment under test (E.U.T.) 2 . 1 Identification of E.U.T. Type of equipmen t : WIRELESS CHARGER Trade name : OMRON Model No. : GFM-H001 Serial No. : 2 Rating : DC 12 V Country of Mass- production : Japan Condition of EUT : Production prototype (Not for Sale: This sample is equivalent to mass-produced items.) Size : 133 x 176 x 32 (Width x Length x Height (mm)) Receipt Date of Sample : April 21, 2015 2 . 2 Product description Model: GFM-H001 (referred to as the EUT in this report) is a wireless charger in vehicle. The clock frequencies used in the EUT: 8 MHz, 20 MHz The power transfer frequency range used in the EUT is 111 kHz and 114.5 kHz. Rated output power: 20 W This product can charge with various mobile devices in the WPC compliant products. This product does not have an aftermarket accessoryies. This product is installed during the manufacturing a car. Test report No. : 10759120Y-B-1 Page : 5 of 13 FCC ID : OUCGFM-H001 Issued date : July 9, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken , 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 Section 3 : Test specification, procedures and results 3 . 1 Test specification Title : FCC rule §1.1310 Radiofrequency radiation exposure limits 3 . 2 Uncertainty The following uncertainties have been calculated to provide a confidence level of 95 % using a coverage factor k=2. Electromagnetic fields The uncertainty of the applied Electromagnetic field is within the tolerance specified by the standard. The error of test level for this test system is less than ± 0.95% for the level of standard. 3 . 3 Test Location UL Japan, Inc. Ise EMC Lab. *NVLAP Lab. code: 200572-0 4383-326 Asama-cho, Ise-shi, Mie-ken 516-0021 JAPAN Telephone : +81 596 24 8999 Facsimile : +81 596 24 8124 IC Registration Number Width x Depth x Height (m) Size of reference ground plane (m) / horizontal conducting plane Other rooms No.1 semi-anechoic chamber 2973C-1 19.2 x 11.2 x 7.7 7.0 x 6.0 No.1 Power source room No.2 semi-anechoic chamber 2973C-2 7.5 x 5.8 x 5.2 4.0 x 4.0 - No.3 semi-anechoic chamber 2973C-3 12.0 x 8.5 x 5.9 6.8 x 5.75 No.3 Preparation room No.3 shielded room - 4.0 x 6.0 x 2.7 N/A - No.4 semi-anechoic chamber 2973C-4 12.0 x 8.5 x 5.9 6.8 x 5.75 No.4 Preparation room No.4 shielded room - 4.0 x 6.0 x 2.7 N/A - No.5 semi-anechoic chamber - 6.0 x 6.0 x 3.9 6.0 x 6.0 - No.6 shielded room - 4.0 x 4.5 x 2.7 4.0 x 4.5 - No.6 measurement room - 4.75 x 5.4 x 3.0 4.75 x 4.15 - No.7 shielded room - 4.7 x 7.5 x 2.7 4.7 x 7.5 - No.8 measurement room - 3.1 x 5.0 x 2.7 N/A - No.9 measurement room - 8.8 x 4.6 x 2.8 2.4 x 2.4 - No.11 measurement room - 6.2 x 4.7 x 3.0 4.8 x 4.6 - * Size of vertical conducting plane (for Conducted Emission test) : 2.0 m x 2.0 m for No.1, No.2, No.3, and No.4 semi-anechoic chambers and No.3 and No.4 shielded rooms. 3 . 4 Test setup & Test instruments Refer to Appendix. Test report No. : 10759120Y-B-1 Page : 6 of 13 FCC ID : OUCGFM-H001 Issued date : July 9, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken , 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 Section 4 : Operation of E.U.T. during testing 4 . 1 Operating modes The EUT exercise program used during testing was designed to exercise the various system components in a manner similar to typical use. Test sequence is used: Charging (Operating Frequency: 111 kHz, 114.5 kHz) * Operating condition: Three coils do not transmit RF at the same time. One of three coils transmits RF after detecting the position signal. Therefore, the radiation from one coil was measured in max load condition of normal use by a dummy load. 4 . 2 Configuration and peripherals AC 100 V/60 Hz 1 2 3 A B C D *Cabling and setup were taken into consideration and test data was taken under worse case conditions. Description of EUT and support equipment No. Item Model numberSerial number Manufacturer Remark A WIRELESS CHARGER GFM-H001 2 OMRON Automotive Electronics Co. Ltd. EUT B Dummy Load - - - - C DC Power Supply PAD55-20L 10041675 Kikusui - D Wireless Receiver HPA764 REV Cbp51013BEVM -764 Texas Instruments - List of cables used No. Name Length (m) Cable Shield Connector ShieldRemark 1 DC Cable 1.3 Unshielded Unshielded - 2 DC Cable 0.12 Unshielded Unshielded - 3 AC Cable 3.0 Unshielded Unshielded 3 wire Test report No. : 10759120Y-B-1 Page : 7 of 13 FCC ID : OUCGFM-H001 Issued date : July 9, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken , 516-1106 JAPAN Telephone: +81 596 24 8750 F…

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Test report No. : 10759120Y-B-R5 Page : 2 of 24 FCC ID : OUCGFM-H001 Issued date : May 18, 2015 Revised date : July 6, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken , 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 REVISION HISTORY Original Test Report No.: 10759120Y-B Revision Test report No. Date Page revised Contents - (Original) 10759120Y-B May 18, 2015 - - 1 10759120Y-B-R1 June 16, 2015 All pages Addition of FCC ID. 1 10759120Y-B-R1 June 16, 2015 P. 6 Correction of reference test report No. 2 10759120Y-B-R2 June 29, 2015 P. 6 Correction of sentence of Clause 3.3 2 10759120Y-B-R2 June 29, 2015 P. 6 Correction of Uncertainty. 2 10759120Y-B-R2 June 29, 2015 P. 6 Change of Reference. 2 10759120Y-B-R2 June 29, 2015 P. 8-12 Change of test method. 2 10759120Y-B-R2 June 29, 2015 P. 13-16 Addition of Appendix. 3 10759120Y-B-R3 July 1, 2015 P. 4 Addition of Rated output power. 3 10759120Y-B-R3 July 1, 2015 P. 6 Addition of sentence about RF exposure evaluation. 3 10759120Y-B-R3 July 1, 2015 P. 9 Deletion of *1) 4 10759120Y-B-R4 July 3, 2015 P. 5 Addition of sentence to Clause 3.2. 4 10759120Y-B-R4 July 3, 2015 P. 6 Correction of sentence about RF exposure evaluation. 4 10759120Y-B-R4 July 3, 2015 P. 7 Correction of Uncertainty. 4 10759120Y-B-R4 July 3, 2015 P. 9-11 Change of test method. 4 10759120Y-B-R4 July 3, 2015 P. 12, 15 Correction of Appendix 1 and 3. 4 10759120Y-B-R4 July 3, 2015 P. 13, 14 Addition of test data. 5 10759120Y-B-R5 July 6, 2015 P. 4 Addition of clock frequency. 5 10759120Y-B-R5 July 6, 2015 P. 3, 6, 7, 12- 18, 20, 24 Addition of items about test for [KDB 680106 Section 3.3) (FCC §1.1310)] 5 10759120Y-B-R5 July 6, 2015 P.3, 9 Correction of title of Section 5 5 10759120Y-B-R5 July 6, 2015 P. 19 Correction of title of test item Test report No. : 10759120Y-B-R5 Page : 3 of 24 FCC ID : OUCGFM-H001 Issued date : May 18, 2015 Revised date : July 6, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken , 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 CONTENTS PAGE Section 1 : Customer information 4 Section 2 : Equipment under test (E.U.T.) 4 Section 3 : Test specification, procedures and results 5 Section 4 : Operation of E.U.T. during testing 8 Section 5 : MPE Limit [KDB 680106 D01 Section 5.2 f)] 9 Section 6 : MPE Limit[KDB 680106 Section 3.3) (FCC §1.1310)] 12 Appendix 1: Photographs of test setup 19 Appendix 2: Data of Radiated Emission 21 Appendix 3: Test Instruements 23 Test report No. : 10759120Y-B-R5 Page : 4 of 24 FCC ID : OUCGFM-H001 Issued date : May 18, 2015 Revised date : July 6, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken , 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 Section 1 : Customer information Company Name : OMRON Automotive Electronics Co. Ltd. Brand Name : OMRON Address : 3-19-15 Motoimaizumi Utsunomiya, Tochigi-ken, 321-0954 Japan Telephone Numbe r : +81 28 634 6802 Facsimile Numbe r : +81 28 634 6804 Contact Person : Takayuki Kamijima Section 2 : Equipment under test (E.U.T.) 2 . 1 Identification of E.U.T. Type of equipmen t : WIRELESS CHARGER Trade name : OMRON Model No. : GFM-H001 Serial No. : 2 Rating : DC 12 V Country of Mass- production : Japan Condition of EUT : Production prototype (Not for Sale: This sample is equivalent to mass-produced items.) Size : 133 x 176 x 32 (Width x Length x Height (mm)) Receipt Date of Sample : April 21, 2015 2 . 2 Product description Model: GFM-H001 (referred to as the EUT in this report) is a wireless charger in vehicle. The clock frequencies used in the EUT: 8 MHz, 20 MHz The power transfer frequency range used in the EUT is 111 kHz and 114.5 kHz. Rated output power: 20 W This product can charge with various mobile devices in the WPC compliant products. Test report No. : 10759120Y-B-R5 Page : 5 of 24 FCC ID : OUCGFM-H001 Issued date : May 18, 2015 Revised date : July 6, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken , 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 Section 3 : Test specification, procedures and results 3 . 1 Test specification Title : KDB 680106 D01 RF Exposure Wireless Charging Apps Purpose of test : FCC rule §1.1310 Radiofrequency radiation exposure limits. 3 . 2 Procedures & results Item Test Procedure Limits DeviationWorst Margin Result MPE Limit - Table 1(B) N/A Refer to section.5 Complied *These tests were performed without any deviations from test procedure. Table 1—Limits for Maximum Permissible Exposure (MPE) Frequency range (MHz) Electric field strength (V/m) Magnetic field strength (A/m) Power density (mW/cm 2 ) Averaging time (minutes) (A) Limits for Occupational/Controlled Exposures 0.3 - 3.0 614 1.63 *(100) 6 3.0 - 30 1842/f 4.89/f *(900/f 2 ) 6 30 - 300 61.4 0.163 1.0 6 300 - 1500 f/300 6 1500 - 100,000 5 6 (B) Limits for General Population/Uncontrolled Exposure 0.3 - 1.34 614 1.63 *(100) 30 1.34 - 30 824/f 2.19/f *(180/f 2 ) 30 30 - 300 27.5 0.073 0.2 30 300 - 1500 f/1500 30 1500 - 100,000 1.0 30 f = frequency in MHz * = Plane-wave equivalent power density Note 1 to Table 1: Occupational/controlled limits apply in situations in which persons are exposed as a consequence of their employment provided those persons are fully aware of the potential for exposure and can exercise control over their exposure. Limits for occupational/controlled exposure also apply in situations when an individual is transient through a location where occupational/controlled limits apply provided he or she is made aware of the potential for exposure. Note 2 to Table 1: General population/uncontrolled exposures apply in situations in which the general public may be exposed, or in which persons that are exposed as a consequence of their employment may not be fully aware of the potential for exposure or can not exercise control over their exposure. Test limit was applied to the test limit of 100 kHz - 300 kHz based on FCC rule Section 1.1310,…

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■ The contents which are given to end users by owner’s manual ・ This wireless charger complies with FCC RF exposure guidelines at the distance of 10 cm (3.94 in.). ・ Keep a distance of at least 10 cm (3.94 in.) between all occupants and the wireless charger when charging. ・ Don’t remove the wireless charger yourself; contact your dealer for assistance. ・ The area which satisfy RF exposure compliance of FCC requirement based on RF exposure measurement is shown in Interface specification of owner’s manual. ■ The contents which are given to OEM integrators by installation manual ・ This owner specific information is required to satisfy FCC RF exposure compliance for any vehicle installed this wireless charger. ・ This wireless charger must be installed in the designed location in order to satisfy FCC RF exposure compliance. RF Exposure information P1

Test report No. : 10759120Y-A-R5 Page : 2 of 17 FCC ID : OUCGFM-H001 Issued date : May 18, 2015 Revised date : July 7, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken, 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 REVISION HISTORY Original Test Report No.: 10759120Y-A Revision Test report No. Date Page revised Contents - (Original) 10759120Y-A May 18, 2015 - - 1 10759120Y-A-R1 June 16, 2015 All pages Addition of FCC ID. 2 10759120Y-A-R2 June 30, 2015 P. 4 Addition of Rated Output Power. 2 10759120Y-A-R2 June 30, 2015 P.11, 12 Correction of formula for calculation and recalculation by corrected formula. 2 10759120Y-A-R2 June 30, 2015 P.11, 12 Correction of sentence for 30m Reading 2 10759120Y-A-R2 June 30, 2015 P.12 Correction of Extrapolation factor. 3 10759120Y-A-R3 July 2, 2015 P. 13, 15 Correction of formula of CALCULATION (Result) and Extrapolation Factor. And, correction of Extrapolation Factor. 3 10759120Y-A-R3 July 2, 2015 P.1, 8, 9, 12, 14, 16, 17 Addition of items about radiated emission (frequency range from 30 MHz to 400 MHz). 4 10759120Y-A-R4 July 6, 2015 P. 4 Addition of clock frequency. 4 10759120Y-A-R4 July 6, 2015 P. 5 Addition of note for Radiated emission. 5 10759120Y-A-R5 July 7, 2015 P. 9 Addition of sentence for KDB 937606. Test report No. : 10759120Y-A-R5 Page : 3 of 17 FCC ID : OUCGFM-H001 Issued date : May 18, 2015 Revised date : July 7, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken, 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 CONTENTS PAGE Section 1: Customer information 4 Section 2: Equipment under test (E.U.T.) 4 Section 3: Test specification, procedures and results 5 Section 4: Operation of E.U.T. during testing 7 Section 5: Radiated emission 8 Appendix 1: Photographs of test setup 11 Appendix 2: Data of EMI test 13 Radiated emission Appendix 3: Test Instruments 17 Test report No. : 10759120Y-A-R5 Page : 4 of 17 FCC ID : OUCGFM-H001 Issued date : May 18, 2015 Revised date : July 7, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken, 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 Section 1: Customer information Company Name : OMRON Automotive Electronics Co. Ltd. Brand Name : OMRON Address : 3-19-15 Motoimaizumi Utsunomiya, Tochigi-ken, 321-0954 Japan Telephone Numbe r : +81 28 634 6802 Facsimile Numbe r : +81 28 634 6804 Contact Person : Takayuki Kamijima Section 2: Equipment under test (E.U.T.) 2. 1 Identification of E.U.T. Type of equipmen t : WIRELESS CHARGER Trade name : OMRON Model No. : GFM-H001 Serial No. : 2 Rating : DC 12 V Country of Mass- production : Japan Condition of EUT : Production prototype (Not for Sale: This sample is equivalent to mass- produced items.) Size : 133 x 176 x 32 (Width x Length x Height (mm)) Modification of EUT : No modification by the test lab. Receipt Date of Sample : April 21, 2015 2. 2 Product description Model: GFM-H001 (referred to as the EUT in this report) is a wireless charger in vehicle. The clock frequencies used in the EUT: 8 MHz, 20 MHz Operating Frequency : 111 kHz, 114.5 kHz Rated Output Power : 20 W Test report No. : 10759120Y-A-R5 Page : 5 of 17 FCC ID : OUCGFM-H001 Issued date : May 18, 2015 Revised date : July 7, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken, 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 Section 3: Test specification, procedures and results 3. 1 Test Specification Test Specification : FCC Part 18 2002 Title : FCC 47CFR Part18 Industrial, scientific, and medical equipment 3. 2 Procedures & results Item Test Procedure & Limits Deviation Worst margin Result Radiated emission Section 18.305 FCC/OST MP-5 N/A *1) 5.6 dB (1.66304 MHz, 45 deg.) Complied Conducted emission Section 18.307 FCC/OST MP-5 N/A *2) N/A N/A *Note: UL Japan, Inc.’s EMI Work Procedure 13-EM-W0420 and 13-EM-W0424. *1) Measurements were limited up to 400 MHz since the highest frequency of internal source of the EUT is 20 MHz. *2) The test is not applicable since the EUT is not the device that is designed to be connected to the public utility (AC) power line. 3. 3 Addition to standard No addition, exclusion nor deviation has been made from the standard. 3. 4 Confirmation UL Japan, Inc. hereby confirms that E.U.T., in the configuration tested, complies with the specifications FCC Part 18:2002. Test report No. : 10759120Y-A-R5 Page : 6 of 17 FCC ID : OUCGFM-H001 Issued date : May 18, 2015 Revised date : July 7, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken, 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 3. 5 Uncertainty The following uncertainties have been calculated to provide a confidence level of 95% using a coverage factor k = 2. (Test date: April 22, 2015) Open area test site Shielded room No.1 No.2 No.3 No.1 No.2 No.3 No.7 (±) (±) (±) (±) (±) (±) (±) Radiated disturbance 3 m 9 kHz - 30 MHz 3.4 dB4.4 dB3.7 dB- - - - (Test date: July 1, 2015) Open area test site Shielded room No.1 No.2 No.3 No.1 No.2 No.3 No.7 (±) (±) (±) (±) (±) (±) (±) Radiated disturbance 3 m 30 MHz - 300 MHz 4.9 dB5.1 dB5.0 dB- - - - 300 MHz - 1000 MHz 5.1 dB5.2 dB5.2 dB- - - - 1 GHz - 18 GHz 5.1 dB5.4 dB5.8 dB- - - - 10 m 9 kHz - 30 MHz 3.2 dB4.0 dB3.3 dB- - - - 30 MHz - 300 MHz 4.9 dB5.1 dB5.0 dB- - - - 300 MHz - 1000 MHz 5.1 dB5.1 dB5.2 dB- - - - 1 GHz - 18 GHz 5.0 dB5.3 dB5.7 dB- - - - Radiated emission test The data listed in this test report has enough margin, more than the site margin. 3. 6 Test Location UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken, 516-1106 JAPAN Telephone : +81 596 24 8750 Facsimile : +81 596 39 0232 IC Registration Number Width x Depth x Height (m) Size of reference ground plane (m) / horizontal conducting plane Other rooms No.1 open area test site 2973A-1 - 40 x 20 - No.2 open area test site 2973A-2 - 20 x 18 - No.3 open area test site 2973A-3 - 20 x 18 - No.1 shielded room - 5.5 x 6.4 x 2.7…

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Test report No. : 10759120Y-B-R5 Page : 19 of 24 FCC ID : OUCGFM-H001 Issued date : May 18, 2015 Revised date : July 6, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken , 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 Appendix 1: Photographs of test setup Rdiated emission [KDB 680106 D01 Section 5.2 f)] Test report No. : 10759120Y-B-R5 Page : 20 of 24 FCC ID : OUCGFM-H001 Issued date : May 18, 2015 Revised date : July 6, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken , 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 Electromagnetic field [KDB 680106 Section 3.3) (FCC §1.1310)] Top Front Right Left Rear

Test report No. : 10759120Y-A-R5 Page : 11 of 17 FCC ID : OUCGFM-H001 Issued date : May 18, 2015 Revised date : July 7, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken, 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 Appendix 1: Photographs of test setup Radiated emission Below 30MHz Test report No. : 10759120Y-A-R5 Page : 12 of 17 FCC ID : OUCGFM-H001 Issued date : May 18, 2015 Revised date : July 7, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken, 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 Radiated emission Above 30MHz

Test report No. : 10759120Y-B-1 Page : 8 of 13 FCC ID : OUCGFM-H001 Issued date : July 9, 2015 UL Japan, Inc. Yokowa EMC Lab. 108 Yokowa-cho, Ise-shi, Mie-ken , 516-1106 JAPAN Telephone: +81 596 24 8750 Facsimile: +81 596 39 0232 Appendix 1: Photographs of test setup Electromagnetic field [FCC §1.1310] Top Front Right Left Rear