YVT-LPIC0001Induction Coil Charger

If you need assistance or have questions, contact your local Leggett & Platt Inc. Sales Representative or visit www.leggettecoupled.com Page 1 of 8 the power to connect wirelessly™ INSTALLATION INFORMATION FOR ORIGINAL EQUIPMENT MANUFACTURERS Model Number: LPIC‐L0001 Model Number: LPIC‐P0001 Model Number: LPIC‐S0001 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 US ERS”). 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 DEVI CES 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 SUB STITUTE 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‐ter ms‐ conditions.htm If you need assistance or have questions, contact your local Leggett & Platt Inc. Sales Representative or visit www.leggettecoupled.com 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 APPROPRIATE. DANGER: To reduce the risk of electrical Shock: • Always unplug the appliance from the electrical outlet before removing • Do not reach for an appliance that has fallen into water, unplug it immediately • Do not disassemble or modify any part of this appliance • Do not install this product in any electrically conductive surface WARNING: To reduce the risk of burns, fire, electrical shock or injury to persons: • This product should not be used by children or persons with disabilities that may hinder their ability to understand all product information and use the product safely. Close supervision is necessary when this product is used near children or disabled persons • Use this product only for its intended use as descri bed in this manual • Never operate this product if it has a damaged housing, cord, plug, or cable or is wet. • Keep cord away from heated surfaces and liquid • Do not operate where aerosol products are being used or oxygen is being administered • This product is designe d for indoor use only. Do not install/use this product outdoors • Do not use this appliance with an extension cord or overloaded electrical outlet • Do not place or leave metallic objects between the charging surface and device being charged • It is recommended that the Helios™ charger be install ed to provide 10cm of separation from persons. IMPORTANT SAFETY INSTRUCTIONS 1. SAVE THESE INSTRUCTIONS – This manual contains important safety and operating instructions for inductive chargers Models; LPIC‐L0001, LPIC‐P0001, LPIC‐S0001 2. Before using the inductive charger, read all instructions and cautionary markings on the inductive charger, power supply, and product using the inductive charger 3. CAUTION – To reduce risk of injury, charge only Qi ce rtified products. Other types of inductive charging devices may cause personal injury and damage FCC & INDUSTRY CANADA COMPLIANCE The OEM shall inform End Users of the following to the extent applicable: This device complies with Part 15 of the FCC Rules and with Industry Canada license‐exempt RSS Standard(s) . Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device mus t accept any interference received, including interference that may cause undesired operation. “Le présent appareil est conforme aux CNR d'Industrie Canada applicables aux appareils radio exempts de licence. L'exploitation est autorisée aux deux conditions suivantes : (1) l'appareil ne doit pas produire de brouillage, et (2) l'utilisateur de l'appareil doit acce pter tout brouillage radioélectrique subi, même si le brouillage est susceptible d'en compromettre le fonctionnement.” Changes or modifications not expressly approved by Leggett & Platt, Incorporated could void the user's authority to operate the equipment. If you need assistance or have questions, contact your local Leggett & Platt Inc. Sales Representative or visit www.leggettecoupled.com Page 3 of 8 This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installe d and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If …

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FCC ID: YVT-LPIC0001 D.L.S. ELECTRONIC SYSTEMS, INC. 166 South Carter Street Genoa City, WI 53128 March 18, 2011 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 Gentlemen: We are submitting for Leggett & Platt, Inc. the Helios Puck, Helios Standard, Helios Low Profile; Model Numbers: LPIC-P0001, LPIC-S0001, & LPIC-L0001 with an FCC ID: YVT-LPIC0001 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. 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 March 18, 2011 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 RE: Certification Application FCC ID: YVT-LPIC0001 Pursuant to 47 CFR Section 0.459 Leggett & Platt, Inc. 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, Inc. 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.

166 South Carter Street, Genoa City, WI 53128 Letter of Agency Date: March 18, 2011 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 To Whom It May Concern: Please be advised that Leggett & Platt, Inc. authorizes D.L.S. Electronic Systems, Inc. to act on their behalf, until otherwise notified, for applications submitted to American Certification Body, Inc. (ACB). We certify that we are not subject to denial of federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse ACT of 1988, U.S.C. 862. Further, no party, as defined in 47 CFR 1.2002(b), to the application is subject to denial of federal benefits, that includes FCC benefits. Thank you for your attention to this matter. Signatory, William M. Stumpf OATS Manager D.L.S. Electronic Systems, Inc. 166 South Carter Street, Genoa City, WI 53128 FCC Labeling Requirements and Information Date: March 18, 2011 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 RE: FCC Labeling Requirements FCC ID: YVT-LPIC0001 The following label information is required by the FCC Rules and Regulations for certified devices. Also attached, please find marketing information required by the FCC Rules and Regulations. Thank you for your attention to these matters. Sincerely, William M. Stumpf OATS Manager D.L.S. Electronic Systems, Inc. 166 South Carter Street, Genoa City, WI 53128 Modification Letter Date: March 18, 2011 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 RE: Certification Application FCC ID: YVT-LPIC0001 Please be advised that the following information is a list of modifications that will be included in the production process for the above-referenced equipment. Change 1: There were no modifications made during testing. Change 2: Change 3: Change 4: Change 5: Change 6: Change 7: Change 8: Change 9 Change 10: Thank you for your attention to this matter. Signatory William M. Stumpf OATS Manager D.L.S. Electronic Systems, Inc. 166 South Carter Street, Genoa City, WI 53128 Manufacturer’s Letter Date: March 18, 2011 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 RE: Certification Application FCC ID: YVT-LPIC0001 To Whom It May Concern: Please be advised that the manufacturer will ensure that the above-referenced model will be manufactured in accordance with the FCC Rules and Regulations. Thank you for your attention to this matter. Signatory William M. Stumpf OATS Manager D.L.S. Electronic Systems, Inc.

Response to ACB questions Reference: ATCB010328 | YVT-LPIC0001 | 9304A - LPIC0001 | | YVT- LPIC0001_ATCB010328 1. For the IC application I will need the gain of the antenna used, types of modulation, emission designator, transmitter spurious and receiver spurious if there is a receiver. This is all located at the bottom of the 2nd page. All transmitters need this for Industry Canada no exceptions. Please revise IC application to include this data. Response: The form has been corrected with the information needed. The emission designator has been added to page 6 of the test report. Note that this device (wireless charger) does not really “transmit” but was deemed subject to Part 15 Subpart C regulations by FCC inquiry (provided). Based on this we treated the device similarly for Industry Canada. See the operation description for more information on the device operation. There were no spurious emissions to measure from the transmitter. There is no receiver. 2. The form 731 states frequency range of 112-205 kHz and the operational description states 110-205 kHz. Please confirm which is correct. Response: The form is corrected to indicate 112-205 kHz. The device when operating in “presence check” operates as low as 112kHz. This is the mode that the FCC deems subject to Part 15 Subpart C requirements. When there is a secondary device detected on the charging pad, the device switches to charging mode and operates from 110kHz to 205kHz based on the load present. This is the device operation subject to FCC Part 18 (and IC equivalent) regulations as an ISM device. 3. The IC application has field strength of 38.55 dBuV @ 10 meters. In the test report I cannot find any data to support this. There are no readings of 38.55 dBuV and no 10 meter testing. Please explain. Response: Measurement could not be taken at the specified test distance and so were done at the furthest possible distance from the EUT where accurate measurement could be made (14 meters). Since the form does not allow for selecting 14 meters, the measurement was extrapolated to 10 meters for the purpose of the ACB form using the FCC allowed 40db/decade extrapolation for measurements below 30MHz. The value recorded on the form was in error (transducers were inadvertently not taken into account) and has been corrected to 52.52dBuV/m @ 10m.

Company: Leggett & Platt Model: LPIC-P0001 Photo Description: Exterior – TOP Photo Description: Exterior – BOTTOM with connectors Company: Leggett & Platt Model: LPIC-S0001 Photo Description: Exterior – TOP Photo Description: Exterior – BOTTOM Company: Leggett & Platt Model: LPIC-S0001 Photo Description: Exterior - SIDE with connectors Company: Leggett & Platt Model: LPIC-L0001 Photo Description: Exterior – TOP Company: Leggett & Platt Model: LPIC-L0001 Photo Description: Exterior – BOTTOM Photo Description: Exterior – SIDE with connectors

Innovation Redefined ® TM 1.260 32 .394 10 FONT : 3 of 9SIZE : 10 POINT (5.25 mm) MANUFACTURING SERIAL *MMDDYYXXXXXX* NUMBER STICKER (ITEM 2) FONT : ARIAL UNICODE MSSIZE : 10 POINT (2.5 mm) MMDDYYXXXXXX SHEET 1 OF 2 SURFACE ROUGHNESS D C B A 8 7 6 5 4 3 2 SIZE: DATE: DRAWN BY: SCALE: COMPONENT:MACHINE: HEAT TREAT: MATERIAL: SURFACE TREATMENT: DATE NEEDED: PRINT DATE: JOB NUMBER: BREAK ALL SHARP EDGES UNLESS SPECIFIED ECOUPLED LABEL, COMP CERT, LOW PROFILE 2:1 J.I.M. 3-12-2010 N/A 40mm x 40mm N/AN/A PROJECT ENGINEER: CALEB BROWNING DRAWING #: REVISION: -- ALT. PART NO: IDEA CENTER *S15-015-0028* ENGINNERING TOLERANCES MEDIUM COARSE 0.1 0.2 0.2 0.3 0.5 0.8 1.2 2.0 XXXXXX = SEQUENTIAL NUMBER NOTE: DRAWING #: S15-015-0028 CHANGE DATE ECN LABEL, COMP CERT, LOW PROFILE COMPONENT: S15-015-0028 DRAWING #: NUMBER REQUIRED: PROPRIETARY INFORMATION YY= 2 DIGIT MANUFACTURING YEAR DD= 2 DIGIT MANUFACTURING DAY MM= 2 DIGIT MANUFACTURING MONTH FORMAT: MMDDYYXXXXXX NUMBER BEGINNING WITH 000001 ON EACH DATE OF MANUFACTURE IN THE FOLLOWING7. SERIAL NUMBER IS 6 DIGIT MANUFACTURING DATE FOLLOWED BY A 6 DIGIT SEQUENTIAL CONSENT OF LEGGETT & PLATT, INCORPORATED. S15-015-0028 1 HOLD WITHIN 4/M FLATNESS STANDARD ANGULAR DIMENSION LENGTH DIMENSION FEATURES OR INFORMATION DERIVED FROM THIS DRAWING WITHOUT THE EXPRESS RANGE Ra 6.3 DIMENSION OverUnder 10' 5' 400 15' 10' 120400 30' 20' 50120 1° 30' 5010 010 1°30' 1° 40002000 20001000 1000400 400120 12030 306 60.5 X 4.0 3.0 2.0 1.2 0.8 0.5 1. PARTS TO BE COMPLIANT TO EUROPEAN UNION DIRECTIVE 2002/95/EC - RESTRICTION OF HAZARDOUS SUBSTANCES (ROHS).MAIN LABEL (ITEM 1)2. ONLY APPROVED PRINT QUALITY ARTWORK SUPPLIED BY LEGGETT & PLATT IS TO BE USED WHEN CREATING THIS LABEL. USE TEMPLATE “HELIOS PACKAGE LABELS 10485_3-11".3. MAIN LABEL COLOR: SILVER MATT.4. MAIN LABEL SPEC: 40MM TALL X 40MM WIDE +0,-2MM ADHESIVE BACK. ADHESIVE SUITABLE FOR ADHERING TO NYLON POLYCARBONATE OR ABS PLASTICS. SEE SHEET 2 OF 2.SERIAL LABEL (ITEM 2)5. SERIAL LABEL COLOR: WHITE.6. SERIAL LABEL SPEC: 10MM TALL X 32MM WIDE ±1MM ADHESIVE BACK. ADHESIVE SUITABLE FOR ADHERING TO ITEM 1. THIS DRAWING IS THE PROPERTY OF LEGGETT & PLATT, INCORPORATED. IT CONTAINSPROPRIETARY INFORMATION AND IS DISCLOSED IN CONFIDENCE WITH THE UNDERSTANDING THAT IT IS NOT TO BE REPRODUCED OR COPIED, DISPOSED OF, DIRECTLY OR INDIRECTLY, AND IS NOT TO BE USED IN WHOLE OR IN PART TO ASSIST INMAKING OF DRAWINGS, PRINTS, OR APPARATUS, OR PARTS THERE OF, EMBODYING METRIC PLACE MANUFACTURINGSERIAL NUMBER STICKERHERE. SEE ENG STD 4FOR APPLICATION. MAIN LABEL (ITEM 1) 1.575 40 1.575 40 Innovation Redefined ® TM 1.260 32 .394 10 *MMDDYYXXXXXX* MANUFACTURING SERIAL MMDDYYXXXXXX (ITEM 2) NUMBER STICKER FONT : ARIAL UNICODE MSSIZE : 10 POINT (2.5 mm) (ITEM 1) FONT : 3 of 9SIZE : 10 POINT (5.25 mm) MAIN LABEL SHEET 1 OF 2 SURFACE ROUGHNESS D C B A 8 7 6 5 4 3 2 SIZE: DATE: DRAWN BY: SCALE: COMPONENT:MACHINE: HEAT TREAT: MATERIAL: SURFACE TREATMENT: DATE NEEDED: PRINT DATE: JOB NUMBER: BREAK ALL SHARP EDGES UNLESS SPECIFIED ECOUPLED LABEL, COMP CERT, PUCK 2:1 J.I.M. 3-12-2010 N/A 40mm x 40mm N/AN/A PROJECT ENGINEER: CALEB BROWNING DRAWING #: REVISION: -- ALT. PART NO: IDEA CENTER *S15-015-0029* ENGINNERING TOLERANCES MEDIUM COARSE 0.1 0.2 0.2 0.3 0.5 0.8 1.2 2.0 XXXXXX = SEQUENTIAL NUMBER NOTE: DRAWING #: S15-015-0029 CHANGE DATE ECN LABEL, COMP CERT, PUCK COMPONENT: S15-015-0029 DRAWING #: NUMBER REQUIRED: PROPRIETARY INFORMATION YY= 2 DIGIT MANUFACTURING YEAR DD= 2 DIGIT MANUFACTURING DAY MM= 2 DIGIT MANUFACTURING MONTH FORMAT: MMDDYYXXXXXX NUMBER BEGINNING WITH 000001 ON EACH DATE OF MANUFACTURE IN THE FOLLOWING7. SERIAL NUMBER IS 6 DIGIT MANUFACTURING DATE FOLLOWED BY A 6 DIGIT SEQUENTIAL CONSENT OF LEGGETT & PLATT, INCORPORATED. S15-015-0029 1 HOLD WITHIN 4/M FLATNESS STANDARD ANGULAR DIMENSION LENGTH DIMENSION FEATURES OR INFORMATION DERIVED FROM THIS DRAWING WITHOUT THE EXPRESS RANGE Ra 6.3 DIMENSION OverUnder 10' 5' 400 15' 10' 120400 30' 20' 50120 1° 30' 5010 010 1°30' 1° 40002000 20001000 1000400 400120 12030 306 60.5 X 4.0 3.0 2.0 1.2 0.8 0.5 1. PARTS TO BE COMPLIANT TO EUROPEAN UNION DIRECTIVE 2002/95/EC - RESTRICTION OF HAZARDOUS SUBSTANCES (ROHS).MAIN LABEL (ITEM 1)2. ONLY APPROVED PRINT QUALITY ARTWORK SUPPLIED BY LEGGETT & PLATT IS TO BE USED WHEN CREATING THIS LABEL. USE TEMPLATE “HELIOS PACKAGE LABELS 10485_3-11".3. MAIN LABEL COLOR: SILVER MATT.4. MAIN LABEL SPEC: 40MM TALL X 40MM WIDE +0,-2MM ADHESIVE BACK. ADHESIVE SUITABLE FOR ADHERING TO NYLON POLYCARBONATE OR ABS PLASTICS. SEE SHEET 2 OF 2.SERIAL LABEL (ITEM 2)5. SERIAL LABEL COLOR: WHITE.6. SERIAL LABEL SPEC: 10MM TALL X 32MM WIDE ±1MM ADHESIVE BACK. ADHESIVE SUITABLE FOR ADHERING TO ITEM 1. THIS DRAWING IS THE PROPERTY OF LEGGETT & PLATT, INCORPORATED. IT CONTAINSPROPRIETARY INFORMATION AND IS DISCLOSED IN CONFIDENCE WITH THE UNDERSTANDING THAT IT IS NOT TO BE REPRODUCED OR COPIED, DISPOSED OF, DIRECTLY OR INDIRECTLY, AND IS NOT TO BE USED IN WHOLE OR IN PART TO ASSIST INMAKING OF DRAWINGS, PRINTS, OR APPARATUS, OR PARTS THERE OF, EMBODYING METRIC PLACE MANUFACTURINGSERIAL NUMBER STICKERHERE. SEE ENG STD 4FOR APPLICATION. 1.575 40 1.575 40 Innovation Redefined ® TM 1.260 32 .394 10 PLACE MANUFACTURINGSERIAL NUMBER STICKERHERE. SEE ENG STD 4FOR APPLICATION. 1.575 40 40 1.575 (ITEM 2) NUMBER STICKER *MMDDYYXXXXXX* MANUFACTURING SERIAL (ITEM 1) FONT : 3 of 9 MMDDYYXXXXXX MAIN LABEL SIZE : 10 POINT (5.25 mm)FONT : ARIAL UNICODE MSSIZE : 10 POINT (2.5 mm) SHEET 1 OF 2 N/A D C B A 8 7 6 5 4 3 2 SIZE: DATE: DRAWN BY: SCALE: COMPONENT:MACHINE: HEAT TREAT: MATERIAL: SURFACE TREATMENT: DATE NEEDED: PRINT DATE: JOB NUMBER: TOLERANCES BREAK ALL SHARP EDGES UNLESS SPECIFIED ECOUPLED 2:1 J.I.M. LABEL, COMP CERT, STANDARD 3-12-2010 N/A 40mm x 40mm N/A SURFACE ROUGHNESS CALEB BROWNING DRAWING #: PROJECT ENGINEER: -- ENGINNERING REVISION: IDEA CENTER ALT. PART NO: CONSENT OF LEGGETT & PLATT, INCORPORATED. MEDIUM COARSE 0.1 0.2 0.2 0.3 0.5 0.8 1.2 2.0 *S15-015-0030* NOTE: XXXXXX …

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Company: Leggett & Platt Model: LPIC-P0001 Label Location – on the bottom of the unit. (NOT actual label.) Model: LPIC-S0001 Label Location – on the bottom of the unit. (NOT actual label.) Model: LPIC-L0001 Label Location – on the bottom of the unit. (NOT actual label.)

Company: Leggett & Platt Model: LPIC-P0001 Photo Description: Bottom – cover removed Photo Description: Inside covers Company: Leggett & Platt Model: LPIC-P0001 Photo Description: Circuit Board – Side 1 Photo Description: Circuit Board – Side 2 Company: Leggett & Platt Model: LPIC-S0001 Photo Description: Bottom – cover removed Photo Description: Inside covers Company: Leggett & Platt Model: LPIC-S0001 & LPIC-L0001 Photo Description: Circuit Board – Side 1 Photo Description: Circuit Board – Side 2 Company: Leggett & Platt Model: LPIC-L0001 Photo Description: Top cover removed Photo Description: Inside cover

166 South Carter, Genoa City, WI 53128 Page 1 of 33 Company: Leggett & Platt Model Tested: LPIC-S0001 Report Number: 16808 Project Number: 4239 i. Cover Page Code of Federal Regulations 47 Part 15 – Radio Frequency Devices Subpart C –Intentional Radiators Section 15.209 / 15.207 Radiated Emissions / AC Conducted Emissions THE FOLLOWING MEETS THE ABOVE TEST SPECIFICATION Formal Name: Helios Kind of Equipment: Wireless Charging Device Frequency Range: 112 – 205 kHz Test Configuration: Table-top Model Number(s): LPIC-L0001, LPIC-P0001, LPIC-S0001 Model(s) Tested: LPIC-S0001 Serial Number(s): ENG-102 Date of Tests: August 23-24, 2010 and March 9, 2011 Test Conducted For: Leggett & Platt 1914 S. Baker Carthage, MO 64836, USA 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 - 2011 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 33 Company: Leggett & Platt Model Tested: LPIC-S0001 Report Number: 16808 Project Number: 4239 ii. Signature Page SIGNAT URE PAGE Report By: Adam Alger EMC Engineer Reviewed By: William Stumpf OATS Manager Approved By: Brian Mattson General Manager 166 South Carter, Genoa City, WI 53128 Page 3 of 33 Company: Leggett & Platt Model Tested: LPIC-S0001 Report Number: 16808 Project Number: 4239 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 ...........................................................................................................................8 7.0 Test Conditions ................................................................................................................................8 8.0 Modifications Made To EUT For Compliance ................................................................................8 9.0 Additional Descriptions ...................................................................................................................9 10.0 Results ..............................................................................................................................................9 11.0 Conclusion .......................................................................................................................................9 Appendix A – Test Photos .........................................................................................................................10 Appendix B – Measurement Data ..............................................................................................................14 1.0 Presence Detection – Digital Ping ............................................................................................ 14 2.0 Presence Detection – Analog Ping ............................................................................................ 21 3.0 AC Line Conducted Emissions ................................................................................................. 25 4.0 Emission Bandwidth – 20dB .................................................................................................... 30 166 South Carter, Genoa City, WI 53128 Page 4 of 33 Company: Leggett & Platt Model Tested: LPIC-S0001 Report Number: 16808 Project Number: 4239 iv. NVLAP Certificate of Accreditation 166 South Carter, Genoa City, WI 53128 Page 5 of 33 Company: Leggett & Platt Model Tested: LPIC-S0001 Report Number: 16808 Project Number: 4239 1.0 Summary of Test Report It was determ ined that the Leggett & Platt Helios, Model LPIC-S0001, complies with CFR 47 Part 15 Subpart C Section 15.209(a) and 15.207(a). Subpart C Applicable Technical Requirements Tested: Section Description Procedure Note Compliant? 15.209(a) Radiated Emissions Limits, General Requirements ANSI C63.4 - 2003 1,3 Yes 15.207(a) AC Conducted Emissions ANSI C63.4 - 2003 3 Yes 15.215 Emission Bandwidth – 20dB ANSI C63.4 - 2003 1,3 Yes Note 1: Radiated emission measurement (Two modes of operation and two test distances) Note 3: Supply voltage; 120VAC 60Hz 2.0 Introduction In August, 2010 and March 2011 the Helios, Model LPIC-S0001, as provided from Leggett & Platt was tested to the requirem ents of CFR 47 Part 15 Subpart C Section 15.209(a) and 15.207(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 System s, Inc. is a full servi…

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Company: Leggett & Platt Model: LPIC-S0001 Photo Description: Radiated – Back Company: Leggett & Platt Model: LPIC-S0001 Photo Description: Radiated Emissions – Presence Detection Company: Leggett & Platt Model: LPIC-S0001 Photo Description: Radiated Emissions – Presence Detection (2) Company: Leggett & Platt Model: LPIC-S0001 Photo Description: AC Line Conducted