FCC ID: 2A482-CM029 Baseus LightChaser Series Triple-Coil Wireless Charging Electric Car Mount

25.75 mm 33.6 mm 6.2 mm Back 9.74 mm 1. Text messages Craft: Radium carving 2. Picture information Craft: Radium carving

Shenzhen Baseus Technology Co., Ltd. Section 2.911(d)(5)(i) Certification Equipment Type Company name: Shenzhen Baseus Technology Co., Ltd. Address: 2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Longgang District, Shenzhen, China Product Name: Baseus LightChaser Series Triple-Coil Wireless Charging Electric Car Mount FCC ID: 2A482-CM029 Model(s): BS-CM029 2.911(d)(5)(i) Equipment Type We, [Shenzhen Baseus Technology Co., Ltd.] (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 Yours sincerely, Name: Tiffany Luo Date: 2024/1/16 Title and Company name: Certified Engineer / Shenzhen Baseus Technology Co., Ltd. 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 References;

1) 986446 D01 Covered Equipment v01 https://apps.fcc.gov/oetcf/kdb/forms/FTSSearchResultPage.cfm?switch=P&id=325672 2) Federal 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 2.911 (d)(5)(i) Equipment Type Attestation v1.2

Shenzhen Baseus Technology Co., Ltd. Section 2.911(d)(5)(ii) Certification Applicant (Covered List ) Company name: Shenzhen Baseus Technology Co., Ltd. Address: 2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Longgang District, Shenzhen, China Product Name: Baseus LightChaser Series Triple-Coil Wireless Charging Electric Car Mount FCC ID: 2A482-CM029 Model(s): BS-CM029 2.911(d)(5)(ii) Applicant filing We, [Shenzhen Baseus Technology Co., Ltd.] (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 communications equipment. Yours sincerely, Name: Tiffany Luo Date: 2024/1/16 Title and Company name: Certified Engineer / Shenzhen Baseus Technology Co., Ltd. NOTE 1 Delete option not applicable to this application. NOTE 2 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 References;

1) 986446 D01 Covered Equipment v01 https://apps.fcc.gov/oetcf/kdb/forms/FTSSearchResultPage.cfm?switch=P&id=325672 2) Federal 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 2.911 (d)(5)(ii) Applicant Attestation v1.2

Attestation Statements

(2024/3/25) TO: Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046, USA RE: Attestation Statements Part 2.911(d)(7) request for (FCC ID: 2A482-CM029)

(Shenzhen Baseus Technology Co., Ltd.), the undersigned, hereby authorize Oasis Compliance, Inc. to act as our designated U.S. agent for service of process, (Shenzhen Baseus Technology Co., Ltd.) accepts to maintain an agent for no less than one year after the grantee has terminated all marketing and importation or the conclusion of any Commission-related proceeding involving the equipment. Oasis Compliance, Inc. accepts the responsibility to act as designated U.S. agent for service of process. Applicant Information Company Name: Shenzhen Baseus Technology Co., Ltd. Address: 2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Longgang District, Shenzhen, China Contact Name: Tiffany Luo FRN: 0032035966 Telephone No: +86-13480668369 Email: compliance@baseus.com Signature

[Tiffany Luo]

U.S. Agent Information:

Company Name: Oasis Compliance, Inc. Address: 3313 Verdi Dr, San Jose, CA 95111, United States FRN: 0033464157 Contact Name: James He Telephone No: (202) 602-8330 Email: oasis.fcc.agent@gmail.com Signature

[James He]

Shenzhen Baseus Technology Co., Ltd. Agent Authorization Company: Shenzhen Baseus Technology Co., Ltd. Address: 2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Longgang District, Shenzhen, China Product Name: Baseus LightChaser Series Triple-Coil Wireless Charging Electric Car Mount Model Number(s): BS-CM029 We authorize MiCOM Labs Inc., 575 Boulder Court, Pleasanton, California 94566, USA, to act on our behalf on all matters concerning the certification of above named equipment. We declare that MiCOM Labs Inc. is allowed to forward all information related to the approval and certification of equipment to the regulatory agencies as required and to discuss any issues concerning the approval application. Any and all acts carried out by MiCOM Labs on our behalf shall have the same effect as acts of our own. Name: Tiffany Luo Title: Certified Engineer Signature of applicant:

Date: 2024/1/16

Shenzhen Baseus Technology Co., Ltd. Office of Engineering Technology Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 USA Date: 2024/1/16 Subject; Request for Confidentiality FCC ID: 2A482-CM029 To Whom It May Concern, Pursuant to the provisions of the Commissions 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 Operational Description 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: Tiffany Luo Title: Certified Engineer