FCC ID: PD9BE201NG Intel BE201NGW

Certification Application Attestation Statements Date: July 24, 2023 American Certification Body, Inc. 313 Park Avenue Suite 300 Falls Church, VA 22046 To Whom It May Concern:

Statement for 47 CFR section 2.911(d)(5)(i) Intel Corporation certifies that as of the date of the application the equipment for which authorization is sought is not covered equipment1 prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules. If the equipment for which the applicant seeks authorization is produced by any of the entities identified on the current Covered List, including affiliates or subsidiaries of the named companies, the applicant must include an explanation on why the equipment is not covered equipment. Additional Explanation: <N/A>

Statement for 47 CFR section 2.911(d)(5)(ii) Intel Corporation (the applicant) certifies that, as of the date of the filing of this application, the applicant - is / - is not identified on the Covered List as an entity producing covered equipment. Thank you, By:

(Signature2) Title:

Company:

Regulatory Engineer Intel Corporation Benjamin Lavenant

(Print name) Telephone: 0493001400 1 - The Commissions Covered List is published by the Public Safety and Homeland Security Bureau and posted on the Commissions website. This Covered List, which is periodically updated, identifies particular equipment, produced by particular entities, that constitutes covered equipment. https://www.fcc.gov/supplychain/coveredlist . 2 - Letters should be placed on appropriate letterhead. 021423-17 rev 4

U.S. Agent Designation for Service of Process

(Applicant and U.S. Agent are Separate Parties) TO:

Federal Communications Commission 7435 Oakland Mills Road Columbia MD 21046 ATTENTION: FCC Certification Section 2.911(d)(7) Information Designated U.S. Agent Company Name: Intel Corporation Contact Name: Robert W Paxman Street Address: 2111 NE 25th Avenue City/Province/Zip: Hillsboro, OR 97124 Telephone No: (503) 712- 8077 Email: Robert.Paxman@Intel.com FRN #: 0023093867 This letter is to confirm that we (the Designated U.S. Agent) have accepted the responsibility to act as the Designated U.S. Agent for Service of Process as required by section 47 CFR 2.911(d)(7) on behalf of the Applicant noted below. U.S. Agent Signature:

Date: 10/26/2023 Signed by: Robert W Paxman / Wireless Product Regulations Engineer The Applicant acknowledges that they must maintain an agent for no less than one year after terminating all marketing and importation OR the conclusion of any Commission-

related proceeding involving the equipment. The applicant further acknowledges their responsibility to inform the FCC whenever the Designated U.S. Agent information above changes. Applicant Company name: Intel Corporation Grantee Code: PD9 Contact Name: Benjamin Lavenant Street Address: 425 rue de Goa City/Province/Zip: 06600 Telephone No: 0493001400 Email: benjamin.lavenant@intel.com FRN #: 0033159344 Applicant Signature:

Date:10/26/2023 Signed by: Benjamin Lavenant / Wireless Regulatory Engineer 1 - Letters must be placed on appropriate letterhead. 022423-17 Rev 6