FCC ID: 2A482-W543 Wireless Charger

Wireless Charger

/Input:5V1A /Output:2.5W Max

/Model No.:BSW-543

Manufacturer:Shenzhen Baseus Technology Co.,Ltd. FCC ID:2A482-W543 Made in China SN:BLQ240901 9.71 mm 6.93 mm 9.15 mm

2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Shenzhen Baseus Technology Co., Ltd. Longgang District, Shenzhen, China Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046 USA Date: Oct. 16, 2024 Ref: Attestation Statements Part 2.911(d)(5)(i) Filing FCC ID: 2A482-W543 FRN: 0032035966

[Shenzhen Baseus Technology Co., Ltd.] (the applicant) certifies that the equipment for which authorization is sought is not covered equipment prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules. Sincerely,

(Applicant signature)

(Tiffany Luo)

2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Shenzhen Baseus Technology Co., Ltd. Longgang District, Shenzhen, China Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046 USA Date: Oct. 16, 2024 Ref: Attestation Statements Part 2.911(d)(5)(ii) Filing FCC ID: 2A482-W543 FRN: 0032035966

[Shenzhen Baseus Technology Co., Ltd.] (the applicant) certifies that, as of the date of the filing of the application, the applicant is not identified on the Covered List as an entity producing covered equipment. Sincerely,

(Applicant signature)

(Tiffany Luo)

Section 2.911(d)(7) USA Agent for Service of Process 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 FCC ID: 2A482-W543 2.911(d)(7) USA Designated Agent for Service of Process We, [Shenzhen Baseus Technology Co., Ltd.] (the applicant) designate [Oasis Compliance, Inc.] NOTE1 for the purpose of accepting service of process on behalf of the applicant. Applicant consent: We acknowledge our consent to accept service of process in the United States for matters related to the applicable equipment, and at the physical U.S. address and email address of the designated agent and acknowledge our acceptance of our obligation to maintain an agent for service of process in the United States for no less than one year after either we the grantee have permanently terminated all marketing and importation of the applicable equipment within the U.S., or at the conclusion of any Commission-related administrative or judicial proceeding involving the equipment, whichever is later. Agent obligation: We acknowledge our obligation to accept service of process in the United States for matters related to the applicable equipment at our physical U.S. address and email address for no less than one year after either the grantee has permanently terminated all marketing and importation of the applicable equipment within the U.S., or at the conclusion of any Commission-related administrative or judicial proceeding involving the equipment, whichever is later. USA Agent 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: [email protected] Signature:

Title:Manger Date: Oct. 16, 2024 Applicant 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 Grantee FRN Number: 0032035966 Contact Name: Tiffany Luo Telephone No: +86-13480668369 Email: [email protected] Signature:

Title: Certified Engineer Date: Oct. 16, 2024 2.911 (d)(7)USA Agent v1.5 NOTE 1: An applicant located in the United States may designate itself as the agent for service of process. Reference; Federal Register document 2022-28263 published on 02/06/23 https://www.federalregister.gov/documents/2023/02/06/2022-28263/protecting-against-nation al-security-threats-to-the-communications-supply-chain-through-the 2.911 (d)(7)USA Agent v1.5

2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Shenzhen Baseus Technology Co., Ltd. Longgang District, Shenzhen, China 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: Wireless Charger Model Number(s): BSW-543 Product Description: Wireless Charger 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. Signature:

Date: Oct. 16, 2024 Tiffany Luo Name:

Company: Shenzhen Baseus Technology Co., Ltd.

2nd Floor, Building B, Baseus Intelligence Park, No.2008, Xuegang Rd, Gangtou Community, Bantian Street, Shenzhen Baseus Technology Co., Ltd. Longgang District, Shenzhen, China Office of Engineering Technology Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 USA Subject; Request for Confidentiality FCC ID: 2A482-W543 Date: Oct. 16, 2024 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 In additional to above mentioned documents, in order to comply with the marketing regulations in Title 47 CFR 2.803 and the importation rules in Title 47 CFR 2.1204, while ensuring that business sensitive information remains confidential until the actual marketing of newly authorized devices, we request Short Term Confidentiality of the following attachment(s);

External Photos Test Setup Photos Internal Photos User Manual For 45 days, pursuant to Public Notice DA 04-1705. OR For 180 days pursuant to KDB 726920 D01. 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 Contact person: Tiffany Luo