SFO-5408200Helois Wireless Transmitter per WPC Specification

If you need assistance or have questions, contact your local Leggett & Platt Inc. sales representative or visit Page 1 of 8 © 2011 Leggett & Platt, Incorporated | 10486_200_3-11 INSTALLATION INFORMATION FOR ORIGINAL EQUIPMENT MANUFACTURERS Model Number: CB IMPORTANT – PURPOSE OF DOCUMENT THIS DOCUMENT IS FOR USE ONLY BY ORIGINAL EQUIPMENT MANUFACTURERS (OEMs) WHO PURCHASE THE REFERENCED HELIOS ™ COMPONENTS FROM LEGGETT & PLATT ® , INCORPORATED OR ITS AFFILIATES (L&P). NEITHER THIS DOCUMENT NOR THE INFORMATION IN THIS DOCUMENT IS INTENDED FOR DISTRIBUTION TO, OR USE BY, END USERS OF OEM PRODUCTS WHICH INCORPORATE HELIOS ™ COMPONENTS (END USERS). BY PURCHASING HELIOS ™ COMPONENTS FROM L&P, EACH OEM ASSUMES, AND SHALL HAVE SOLE AND FULL RESPONSIBILITY FOR, PROVIDING APPROPRIATE INSTRUCTIONS FOR USE OF SUCH OEM PRODUCTS. L&P ASSUMES THAT ALL OEMs WHO PURCHASE FROM L&P AND WHO USE THIS DOCUMENT HAVE EXPERTISE IN THE USE OF ELECTRICAL DEVICES AND COMPONENTS, INCLUDING THE EXPERTISE NECESSARY TO (i) DETERMINE WHETHER OR NOT HELIOS ™ COMPONENTS ARE SUITABLE FOR USE WITH THE OEM’s PRODUCT, AND (ii) PROPERLY AND SAFELY CONFIGURE AND INSTALL HELIOS ™ COMPONENTS. ACCORDINGLY, THIS DOCUMENT IS INTENDED ONLY AS A HELPFUL SUPPLEMENT FOR USE BY THE OEM AND NOT AS A SUBSTITUTE FOR THE OEM’s EXPERTISE OR THE OEM’s RESPONSIBILITY FOR PROPER AND SAFE DESIGN OF ITS PRODUCT AND INSTALLATION AND USE OF HELIOS ™ COMPONENTS. IF ANY OEM USING THIS DOCUMENT LACKS SUCH EXPERTISE OR DOES NOT AGREE TO THE FOREGOING LIMITED PURPOSE STATED FOR THIS DOCUMENT, SUCH OEM SHOULD IMMEDIATELY NOTIFY L&P IN WRITING TO THAT EFFECT AND SHOULD NOT USE THIS DOCUMENT. PRICES AND OTHER TERMS AND CONDITIONS FOR SALE OF HELIOS ™ COMPONENTS TO ANY OEM ARE GOVERNED BY SEPARATE DOCUMENTS ISSUED OR MADE AVAILABLE TO THE OEM BY L&P, INCLUDING THE INVOICE ISSUED BY L&P AND THE STANDARD TERMS AND CONDITIONS OF SALE LOCATED AT http://www.Leggett.com/po-terms-conditions.htm. If you need assistance or have questions, contact your local Leggett & Platt Inc. sales representative or visit Page 2 of 8 SAFETY INFORMATION L&P EXPECTS THAT THE OEM WILL INCLUDE APPROPRIATE SAFETY WARNINGS AND INFORMATION FOR END USERS OF ALL OEM PRODUCTS WHICH INCORPORATE HELIOS ™ COMPONENTS. SUCH WARNINGS AND INFORMATION MUST INCLUDE THOSE SET FORTH BELOW AND OTHER WARNINGS AND INFORMATION AS THE OEM DETERMINES NECESSARY AND APPROPRIA TE. DANGER To reduce the risk of electrical shock: • Always disconnect the wireless power transmitter from its power supply before removing • Do not reach for a wireless power transmitter that has fallen into water, if applicable – disconnect it from its power supply immediately • Do not disassemble or modify any part of this wireless power transmitter • Do not leave any metal objects, especially electrical coils close to the wireless power transmitter WARNING To reduce the risk of burns, fire, electrical shock, or injury to persons: • This wireless power transmitter is designed to provide wireless power to a device or battery of that device that is Qi- certified, and is for in-vehicle use only. Use this wireless power transmitter only for its intended application. Do not install or use this product elsewhere • Keep cord away from heated surfaces and liquids, either for OEM, or for aftermarket installation • Proper fuse shall be considered in the power supply. Supply voltage shall match what the transmitter is designed for. • Do not install this wireless power transmitter in any electrically conductive surface. Keep any metal away from this transmitter • It is recommended that the Helios ™ wireless power transmitter be installed to provide at least 10 cm of separation from occupants • This wireless power transmitter should not be used by children or people with disabilities that may hinder their ability to understand all product information and use the wireless power transmitter safely. Close supervision is necessary when childr en or people with disabilities can get in touch with to this wireless power transmitter. • Do not place metal object(s) between the mobile phone and wireless power transmitter. Metal object(s) such as coins, rings or keys will become HOT. If metal object(s) become lodged between the mobile phone and wireless charging pad, carefully remove the mobile phone and allow the metal object(s) to cool before removing. Failure to wait until the object(s) cool could result in personal injury, including burns • Never operate this wireless power transmitter if it has a damaged housing, cord, or if wet • Do not operate when aerosol products are being used or oxygen is being administered To reduce the interference with the other electrical device in the vehicle: • Do not install this wireless power transmitter close to any other antennas used in vehicle. Keep it away from them as much as possible • Do not leave your wireless entry & start fob close to the wireless power transmitter, the feature may not work properly while a mobile phone is being charged. • If two or more units of wireless power transmitter need to be installed in the same vehicle, a minimum gap of 50 mm shall be considered between them to avoid their mutual interference IMPORTANT SAFETY INSTRUCTIONS 1. SAVE THESE INSTRUCTIONS – This manual contains important safety and operating instructions for wireless power transmitter Model: CB 2. Before using the wireless power transmitter, read all instructions c a r e f u l l y 3. CAUTION – To reduce risk of injury, charge device equipped with Qi-certified wireless power receiver only. Other types of wireless power receiver may cause personal injury and damage If you need assistance or have questions, contact your local Leggett & Platt Inc. sales representative or visit Page 3 of 8 FCC & INDUSTRY CANADA COMPLIANCE The OEM shall inform end users of the following to the extent applicable: This wireless power transmitter complies with Part 15 of the FCC Rules and with Industry Canada license-exempt RSS Standard(s). Operatio…

Text truncated - open the document above for the full version.

FCC ID: SFO-5408200 D.L.S. ELECTRONIC SYSTEMS, INC. 166 South Carter Street Genoa City, WI 53128 March 19, 2013 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 Gentlemen: We are submitting for Leggett & Platt Canada Co., a Helios Wireless transmitter per WPC specification, Model Number: CB, with an FCC ID: SFO-5408200 for Certification. This unit has been tested and complies to Part 15, Subpart C. If there are any questions in regard to this application, please call D.L.S. Electronic Systems, Inc. at (262) 279-0210. Enclosed you will find a copy of our test report with the information and results of tests that is required under Part 15, Section 15.209(a). Thank you for your assistance in this matter. Sincerely, William M. Stumpf DLS/js

166 South Carter Street, Genoa City, WI 53128 Request for Confidentiality Date: March 19, 2013 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 RE: Certification Application FCC ID: SFO-5408200 Pursuant to 47 CFR Section 0.459 Leggett & Platt Canada Co. understands that requests for non disclosure and confidential treatment is being made for the following information as stated under the Code of Federal Regulations Chapter 47, Part 0.459: • Block Diagram • Schematics • Description of Operation The above materials contain trade secrets, proprietary and technical information that would customarily be guarded from competitors under 47 CFR section 0.457(d)(2). Disclosure or publication of any portion of this company confidential material to other parties could cause substantial competitive harm and provide unjustified benefits for competitors. Leggett & Platt Canada Co. understands that pursuant to 47 CFR section 0.457(d)(1)(ii) disclosure of the applicant and all accompanying documentation will not be made before the date of the grant. Thank you for your attention to this matter. Signatory William M. Stumpf OATS Manager D.L.S. Electronic Systems, Inc.

Response to questions from the FCC FCC response on 04/15/2013 Please address the following issues in the filing. 2. Please describe in the operational description the network interface shown on the block diagram. Response: please see the accompanying document "Operational Description - Revised". 3. Please describe in the operational description the communication demodulator shown on the block diagram. Describe the modulating signal and the carrier during the ping and power transfer phases. Response: please see the accompanying document "Operational Description - Revised". 4. In the MPE report, what is the operation mode of the client handset XT875 during test? Note that even in standby, the handset is still transmitting on the control channel. Response: The handset was tested both powered on and turned off for worst-case, with a fully discharged battery. This condition provides the highest power to the primary coil and therefore the highest E & H-field measurements. 5. MPE test data show off-center test positions with no definition. Those test cases are shown to result in up to 22 dB higher E/H measurements than centered test positions. Please add details. Response: At the start of the testing process, it was seen that the radiated E and H fields from the EUT were increased as the load (client device) was moved off-center from the primary coil. Therefore, in order to show compliance during worst-case conditions, testing was performed with the load (client device) positions off- center as well as in its normal centered position. This off-center location was determined by observing the field strength levels while moving the load further away from the center position. Worst-case was determined to be at the location of the boundary where the charging signal from the EUT is lost. Off-center measurements were taken as close as possible to this boundary without losing the charging signal. For additional description of this operating state, please see the accompanying document "Operational Description - Revised". 6. Please justify the omission of 15.207 compliance testing. Response: This device is used exclusively as an Automobile Manufacturer OEM installed device. It cannot be used in any other application and will not be connected to an AC mains supply at any time. 7. With a center frequency of 110.9 kHz, it is not clear whether compliance with 15.205 is achieved. Please elaborate or present test data. Response: We've provided additional test data to show that the device, under all conditions (ping & minimum to maximum load), operates at a fixed frequency that is outside the restricted band. The band edge data also shows that the frequency of operation is not in the restricted band of 15.205. Test data is provided on the accompanying document "Exhibit Item 7".

FCC Question: When the client is turn off, does the charging session continue? If so, which provide the worst condition? The applicant also did not address the concern that the probe may be picking up emission from the handset (when powered on) or the base emulator (if applicable). Response: The charging session takes place whether the client is turned on or turned off. As explained in the previous response, the measurements were checked both with the client turned on and turned off. There was no difference in the measured E & H fields between the two test conditions. The emissions measured were strictly from the EUT / charging device. Bill Stumpf D.L.S. Electronic Systems, Inc

External Photos Company: Leggett & Platt Canada Co. Model: CB Top of EUT Company: Leggett & Platt Canada Co. Model: CB Bottom of EUT Company: Leggett & Platt Canada Co. Model: CB Side of EUT

Approximate size 2" x 1-7/8"

Internal Photos Company: Leggett & Platt Canada Co. Model: CB Inside - Top Cover Company: Leggett & Platt Canada Co. Model: CB Inside Bottom Cover & PC Board Bottom Company: Leggett & Platt Canada Co. Model: CB PC Board - Top Company: Leggett & Platt Canada Co. Model: CB PC Board - Bottom Company: Leggett & Platt Canada Co. Model: CB Charging Coil (Antenna)

166 South Carter, Genoa City, WI 53128 Page 1 of 16 Company: Leggett & Platt Canada Co. Model Tested: CB Report Number: 18862 Project Number: 5823 i. Cover Page Code of Federal Regulations 47 Part 1 - Practice and Procedure KDB Tracking Number 576763 Subpart I - Procedures Implementing the National Environmental Policy Act of 1969 Section 1.1310 Radiofrequency radiation exposure limits THE FOLLOWING MEETS THE ABOVE TEST SPECIFICATION Formal Name: Helios wireless transmitter per WPC specification Kind of Equipment: Wireless Charging Device Frequency Range: 111 kHz Test Configuration: Table-top Model Number(s): CB Model(s) Tested: CB Serial Number(s): 5408200 Date of Tests: March 15, 2013 Test Conducted For: Leggett & Platt Canada Co. 3606 Silver Creek Industrial Drive Lakeshore, Ontario N8N 4Y3 Canada NOTICE: “This test report relates only to the items tested and must not be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government”. Please see the "Description of Test Sample" page listed inside of this report. © Copyright 1983 - 2013 D.L.S. Electronic Systems, Inc. COPYRIGHT NOTICE This report must not be reproduced (except in full), without the approval of D.L.S. Electronic Systems, Inc. 166 South Carter, Genoa City, WI 53128 Page 2 of 16 Company: Leggett & Platt Canada Co. Model Tested: CB Report Number: 18862 Project Number: 5823 ii. Signature Page SIGNATURE PAGE Tested By: Craig Brandt Test Engineer Reviewed By: William Stumpf OATS Manager Approved By: Brian Mattson General Manager 166 South Carter, Genoa City, WI 53128 Page 3 of 16 Company: Leggett & Platt Canada Co. Model Tested: CB Report Number: 18862 Project Number: 5823 iii. Table of Contents Table of Contents i. Cover Page .......................................................................................................................................1 ii. Signature Page .................................................................................................................................2 iii. Table of Contents .............................................................................................................................3 iv. NVLAP Certificate of Accreditation ...............................................................................................4 1.0 Summary of Test Report ..................................................................................................................5 2.0 Introduction ......................................................................................................................................5 3.0 Test Facilities ...................................................................................................................................5 4.0 Description of Test Sample ..............................................................................................................5 5.0 Test Equipment ................................................................................................................................6 6.0 Test Arrangements ...........................................................................................................................7 7.0 Test Conditions ................................................................................................................................7 8.0 Additional Descriptions ...................................................................................................................7 9.0 Results ..............................................................................................................................................7 Appendix A – Test Photos ...........................................................................................................................8 Appendix B – Test Data .............................................................................................................................14 166 South Carter, Genoa City, WI 53128 Page 4 of 16 Company: Leggett & Platt Canada Co. Model Tested: CB Report Number: 18862 Project Number: 5823 iv. NVLAP Certificate of Accreditation 166 South Carter, Genoa City, WI 53128 Page 5 of 16 Company: Leggett & Platt Canada Co. Model Tested: CB Report Number: 18862 Project Number: 5823 1.0 Summary of Test Report It was determined that the Leggett & Platt Canada Co. Helios, Model CB, complies with FCC RX Exposure regulations as applied to CFR 47 Part 1 Subpart I Section 1.1310. 2.0 Introduction On March 27, 2013 the Helios, Model CB, as provided from Leggett & Platt Canada Co., was tested for electric and magnetic field strength emissions at a 10 centimeter distance per the FCC's request (reference FCC Inquiry tracking number 576763). The procedures contained within this report were performed by personnel of D.L.S Electronic Systems, Inc. 3.0 Test Facilities D.L.S. Electronic Systems, Inc. is a full service EMC/Safety Testing Laboratory accredited to ISO 17025. NVLAP Certificate and Scope can be viewed at http://www.dlsemc.com/certificate. Our facilities are registered with the FCC, Industry Canada, and VCCI. Wisconsin Test Facility: Wheeling Test Facility: D.L.S. Electronic Systems, Inc. D.L.S. Electronic Systems, Inc. 166 S. Carter Street 1250 Peterson Drive Genoa City, Wisconsin 53128 Wheeling, IL 60090 4.0 Description of Test Sample Description: Helios wireless charging device/transmitter per WPC specification. Device will be installed in a vehicle - as described in the supporting documentation of Inquiry 576763. For a detailed description of the charging system please see the submitted document titled "18835 L&P Model CB, fcc15.209 Description of Oper (2)". The description of the test modes is contained therein, as well, to answer the FCC's concerns outlined in KDB 576763. Type of Equipment / Frequency Range: Wireless Charging Device / 111 kHz (fixed) 166 South Carter, Genoa City, WI 53128 Page 6 of 16 Company: Leggett & Platt Canada Co. Model Tested: CB…

Text truncated - open the document above for the full version.

166 South Carter, Genoa City, WI 53128 Page 1 of 20 Company: Leggett & Platt Canada Co. Model Tested: CB Report Number: 18835 Project Number: 5823 i. Cover Page Code of Federal Regulations 47 Part 15 - Radio Frequency Devices Subpart C – Intentional Radiators Section 15.209(a) Radiated Emissions THE FOLLOWING MEETS THE ABOVE TEST SPECIFICATION Formal Name: Helios wireless transmitter per WPC specification Kind of Equipment: Wireless Charging Device Frequency Range: 111 kHz Test Configuration: Table-top Model Number(s): CB Model(s) Tested: CB Serial Number(s): 5408200 Date of Tests: March 15, 2013 Test Conducted For: Leggett & Platt Canada Co. 3606 Silver Creek Industrial Drive Lakeshore, Ontario N8N 4Y3 Canada NOTICE: “This test report relates only to the items tested and must not be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government”. Please see the "Description of Test Sample" page listed inside of this report. © Copyright 1983 - 2013 D.L.S. Electronic Systems, Inc. COPYRIGHT NOTICE This report must not be reproduced (except in full), without the approval of D.L.S. Electronic Systems, Inc. 166 South Carter, Genoa City, WI 53128 Page 2 of 20 Company: Leggett & Platt Canada Co. Model Tested: CB Report Number: 18835 Project Number: 5823 ii. Signature Page SIGNATURE PAGE Tested By: James Ochoa EMC Engineer Reviewed By: William Stumpf OATS Manager Approved By: Brian Mattson General Manager 166 South Carter, Genoa City, WI 53128 Page 3 of 20 Company: Leggett & Platt Canada Co. Model Tested: CB Report Number: 18835 Project Number: 5823 iii. Table of Contents Table of Contents i. Cover Page .......................................................................................................................................1 ii. Signature Page .................................................................................................................................2 iii. Table of Contents .............................................................................................................................3 iv. NVLAP Certificate of Accreditation ...............................................................................................4 1.0 Summary of Test Report ..................................................................................................................5 2.0 Introduction ......................................................................................................................................5 3.0 Test Facilities ...................................................................................................................................5 4.0 Description of Test Sample ..............................................................................................................6 5.0 Test Equipment ................................................................................................................................7 6.0 Test Arrangements ...........................................................................................................................7 7.0 Test Conditions ................................................................................................................................8 8.0 Modifications Made To EUT For Compliance ................................................................................8 9.0 Additional Descriptions ...................................................................................................................8 10.0 Results ..............................................................................................................................................8 11.0 Conclusion .......................................................................................................................................8 Appendix A – Test Photos ...........................................................................................................................9 Appendix B – Measurement Data ..............................................................................................................11 1.0 Presence Detection (Transmit Mode) ....................................................................................... 11 2.0 Emission Bandwidth - 20dB ..................................................................................................... 18 166 South Carter, Genoa City, WI 53128 Page 4 of 20 Company: Leggett & Platt Canada Co. Model Tested: CB Report Number: 18835 Project Number: 5823 iv. NVLAP Certificate of Accreditation 166 South Carter, Genoa City, WI 53128 Page 5 of 20 Company: Leggett & Platt Canada Co. Model Tested: CB Report Number: 18835 Project Number: 5823 1.0 Summary of Test Report It was determined that the Leggett & Platt Canada Co. Helios, Model CB, complies with CFR 47 Part 15 Subpart C Section 15.209(a). Subpart C Applicable Technical Requirements Tested: Section Description Procedure Note Compliant? 15.209(a) Radiated Emissions, General requirements ANSI C63.4 – 2009 1 Yes 15.215 Emission Bandwidth - 20dB ANSI C63.4 – 2009 1 Yes Note 1: Radiated emission measurement. 2.0 Introduction In March, 2013 the Helios, Model CB, as provided from Leggett & Platt Canada Co. was tested to the requirements of CFR 47 Part 15 Subpart C Section 15.209(a). To meet these requirements, the procedures contained within this report were performed by personnel of D.L.S Electronic Systems, Inc. 3.0 Test Facilities D.L.S. Electronic Systems, Inc. is a full service EMC/Safety Testing Laboratory accredited to ISO 17025. NVLAP Certificate and Scope can be viewed at http://www.dlsemc.com/certificate. Our facilities are registered with the FCC, Industry Canada, and VCCI. Wisconsin Test Facility: Wheeling Test Facility: D.L.S. Electronic Systems, Inc. D.L.S. Electronic Systems, Inc. 166 S. Carter Street 1250 Peterson Drive Genoa City, Wisconsin 53128 Wheeling, IL 60090 166 South Carter, Genoa City, WI 53128 Page 6 of…

Text truncated - open the document above for the full version.

Test Run: Compliance with FCC Part 15.205 in response to FCC inquiry dated 04-15-2013, item 7. [Response to Inquiry to FCC (Tracking Number 787344) (TCB)] Test Procedure: Measure the level of the fundamental emission at the band edge relative to the peak in-band emission level. Description: The EUT was set to charging mode. The load was varied in position from center to off- center at the point just before the charging signal is lost. The load was also varied from full load to minimum load. Limit: The fundamental emission is under the 15.209 restricted band limit. Therefore, the purpose of this test is to show that the fundamental does not drift into (does not operate in) the 90 kHz to 110 kHz restricted band under a variety of load conditions. Results: Passed. The fundamental is shown not to drift off it's set frequency. The level of the emission at the restricted band edge remains greater than 20 db below the peak level of the emission regardless of the load conditions. Test Date: 04-16-2013 Company: Leggett & Platt Canada Co. EUT: Helios Test: Relative measurement at Restricted Band Edge Operator: Craig B Off center full load: 31.69 dB down at 110 kHz restricted band edge Test Date: 04-16-2013 Company: Leggett & Platt Canada Co. EUT: Helios Test: Relative measurement at Restricted Band Edge Operator: Craig B Off center half load: 29.28 dB down at 110 kHz restricted band edge Test Date: 04-16-2013 Company: Leggett & Platt Canada Co. EUT: Helios Test: Relative measurement at Restricted Band Edge Operator: Craig B Off center min load: 36.75 dB down at 110 kHz restricted band edge Test Date: 04-16-2013 Company: Leggett & Platt Canada Co. EUT: Helios Test: Relative measurement at Restricted Band Edge Operator: Craig B Centered full load: 34.82 dB down at 110 kHz restricted band edge Test Date: 04-16-2013 Company: Leggett & Platt Canada Co. EUT: Helios Test: Relative measurement at Restricted Band Edge Operator: Craig B Centered half load: 29.95 dB down at 110 kHz restricted band edge Test Date: 04-16-2013 Company: Leggett & Platt Canada Co. EUT: Helios Test: Relative measurement at Restricted Band Edge Operator: Craig B Center min load: 37.09 dB down at 110 kHz restricted band edge Test Date: 04-16-2013 Company: Leggett & Platt Canada Co. EUT: Helios Test: Relative measurement at Restricted Band Edge Operator: Craig B Pinging mode: 25.09 dB down at 110 kHz restricted band edge

Setup Photos Company: Leggett & Platt Canada Co. Model: CB Item 0: Helios, Model CB Item 1: Simulated Charging Load Radiated Emissions - Front Company: Leggett & Platt Canada Co. Model: CB Radiated Emissions - Back