Conflict Minerals Reporting Template (CMRT)

Transcription

1 Conflict Minerals Reporting Template (CMRT) B Select Language Preference Here: 请选择你的语言 : 사용할언어를선택하시오 : 表示言語をここから選択してください : Sélectionner la langue préférée ici: Selecione Preferência de idioma Aqui: Wählen sie hier die Sprache: Seleccione el lenguaje de preferencia aqui: Selezionare la lingua di preferenza qui: Burada Dil Tercihini Belirleyin: Company Name (*): Declaration Scope or Class (*): English The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and gold used in products Mandatory fields are noted with an asterisk (*). Consult the instructions tab for guidance on how to answer each question. Company Information Dean Techology, Inc. B. Product (or List of Products) Link to Terms & Conditions Revision 5.0 May 12, 2017 Go to Product List tab to enter products this declaration applies to Company Unique ID: Company Unique ID Authority: Address: Contact Name (*): Contact (*): Phone Contact (*): Authorizer (*): Title - Authorizer: - Authorizer (*): Phone - Authorizer (*): Effective Date (*): Click here to enter the products this declaration applies to 4117 Billy Mitchell Drive Addison Texas United States of America Matt Abel mabel@hvca.com Matt Abel Quality, Safety and Compliance Manager mabel@hvca.com Jun-2017 the following questions 1-7 based on the declaration scope indicated above 1) Is any 3TG intentionally added or used in the product(s) or in the production process? (*) Tin (*) 2) Does any 3TG remain in the product(s)? (*) Tin (*)

2 Conflict Minerals Reporting Template (CMRT) B Select Language Preference Here: 请选择你的语言 : 사용할언어를선택하시오 : 表示言語をここから選択してください : Sélectionner la langue préférée ici: Selecione Preferência de idioma Aqui: Wählen sie hier die Sprache: Seleccione el lenguaje de preferencia aqui: Selezionare la lingua di preferenza qui: Burada Dil Tercihini Belirleyin: English The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and gold used in products Mandatory fields are noted with an asterisk (*). Consult the instructions tab for guidance on how to answer each question. Link to Terms & Conditions Revision 5.0 May 12, ) Do any of the smelters in your supply chain source the 3TG from the covered countries? (SEC term, see definitions tab) (*) Tin (*) 4) Does 100 percent of the 3TG (necessary to the functionality or production of your products) originate from recycled or scrap sources? (*) Tin (*) 5) What percentage of relevant suppliers have provided a response to your supply chain survey? (*) Tin (*) 100% 6) Have you identified all of the smelters supplying the 3TG to your supply chain? (*) Tin (*)

3 Conflict Minerals Reporting Template (CMRT) B Select Language Preference Here: 请选择你的语言 : 사용할언어를선택하시오 : 表示言語をここから選択してください : Sélectionner la langue préférée ici: Selecione Preferência de idioma Aqui: Wählen sie hier die Sprache: Seleccione el lenguaje de preferencia aqui: Selezionare la lingua di preferenza qui: Burada Dil Tercihini Belirleyin: English The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and gold used in products Mandatory fields are noted with an asterisk (*). Consult the instructions tab for guidance on how to answer each question. Link to Terms & Conditions Revision 5.0 May 12, ) Has all applicable smelter information received by your company been reported in this declaration? (*) Tin (*) Question A. Have you established a conflict minerals sourcing policy? (*) the Following Questions at a Company Level B. Is your conflict minerals sourcing policy publicly available on your website? (te If yes, the user shall specify the URL in the comment field.) (*) C. Do you require your direct suppliers to be DRC conflict-free? (*) D. Do you require your direct suppliers to source the 3TG from smelters whose due diligence practices have been validated by an independent third party audit program? (*) E. Have you implemented due diligence measures for conflict-free sourcing? (*) F. Does your company conduct Conflict Minerals survey(s) of your relevant supplier(s)? (*), in conformance with IPC1755 (e.g., CMRT) G. Do you review due diligence information received from your suppliers against your company s expectations? (*) H. Does your review process include corrective action management? (*)

4 Conflict Minerals Reporting Template (CMRT) B Select Language Preference Here: 请选择你的语言 : 사용할언어를선택하시오 : 表示言語をここから選択してください : Sélectionner la langue préférée ici: Selecione Preferência de idioma Aqui: Wählen sie hier die Sprache: Seleccione el lenguaje de preferencia aqui: Selezionare la lingua di preferenza qui: Burada Dil Tercihini Belirleyin: English The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and gold used in products Mandatory fields are noted with an asterisk (*). Consult the instructions tab for guidance on how to answer each question. Link to Terms & Conditions Revision 5.0 May 12, 2017 I. Is your company required to file an annual conflict minerals disclosure with the SEC? (*) 2017 Conflict-Free Sourcing Initiative. All rights reserved.

5 TO BEGIN: 1 ページ Smelter Identification Number Input Column Option A: If you know the Smelter Identification Number, input the number in Column A (columns B, C, E, F, G, H, J and K will auto-populate); D will grey out. Option B: If you have a Metal and Smelter Look-up name combination, complete the following steps: Step 1. Select Metal in column B Step 2. Select from dropdown in column C (wrong combination will trigger RED color) Option C: If you have a Metal and Smelter Name combination, complete the following steps: Step 1. Select Metal in column B Step 2: Select "Smelter t Listed" in the Smelter Look-up drop down and complete columns D & E Step 3. Enter all available smelter information in columns H through Q (*) Mandatory fields are noted with an asterisk. (1) Entry required when Smelter Look-up = "Smelter t Listed" Metal (*) Smelter Look-up (*) Smelter Name (1) Smelter Country (*) Smelter Identification 2 Source of Smelter Identification Number Tin MSC Malaysia Smelting Corporation (MSC) MALAYSIA CID CFSI Tin EM Vinto EM Vinto BOLIVIA (PLURINATIONAL STATE OF) CID CFSI Tin Malaysia Smelting Corporation (MSC) Malaysia Smelting Corporation (MSC) MALAYSIA CID CFSI Tin Mineração Taboca S.A. Mineração Taboca S.A. BRAZIL CID CFSI Tin Minsur Minsur PERU CID CFSI Tin OMSA Operaciones Metalurgical S.A. BOLIVIA (PLURINATIONAL STATE OF) CID Tin PT Bukit Timah PT Bukit Timah INDONESIA CID CFSI Tin PT Stanindo Inti Perkasa PT Stanindo Inti Perkasa INDONESIA CID CFSI Tin PT Timah (Persero) Tbk Kundur PT Timah (Persero) Tbk Kundur INDONESIA CID CFSI Tin PT Timah (Persero) Tbk Mentok PT Timah (Persero) Tbk Mentok INDONESIA CID CFSI Tin Thailand Smelting & Refining Co Ltd Thaisarco THAILAND CID CFSI Tin CV United Smelting CV United Smelting INDONESIA CID CFSI CFSI

6 To ensure all required fields have been populated before submitting to your customers review form for any line items highlighted in red Required fields remaining to be completed Click here to return to Declaration tab Click here to return to Smelter List Click here to return to Product List 0 Required Fields provided tes Hyperlink to source Company Name (*): Dean Techology, Inc. Declaration Scope or Class (*): B. Product (or List of Products) Go to Product List tab to enter products this declaration Contact Name (*): Matt Abel Contact (*): mabel@hvca.com Phone Contact (*): Authorizer (*): Matt Abel - Authorizer (*): mabel@hvca.com Phone - Authorizer (*): Effective Date (*): 8-Jun ) Is any 3TG intentionally added or used in the product(s) or in the production process? (*) Tin (*) 2) Does any 3TG remain in the product(s)? (*) Tin (*) 3) Do any of the smelters in your supply chain source the 3TG from the covered countries? (SEC term, see definitions tab) (*)

7 Tin (*) 4) Does 100 percent of the 3TG (necessary to the functionality or production of your products) originate from recycled or scrap sources? (*) Tin (*) 5) What percentage of relevant suppliers have provided a response to your supply chain survey? (*) Tin (*) 1 6) Have you identified all of the smelters supplying the 3TG to your supply chain? (*) Tin (*) 7) Has all applicable smelter information received by your company been reported in this declaration? (*) Tin (*)

8 Question A. Have you established a conflict minerals sourcing policy? (*) B. Is your conflict minerals sourcing policy publicly available on your website? (te If yes, the user shall specify the URL in the comment field.) (*) The URL in the comment field C. Do you require your direct suppliers to be DRC conflict-free? (*) D. Do you require your direct suppliers to source the 3TG from smelters whose due diligence practices have been validated by an independent third party audit program? (*) E. Have you implemented due diligence measures for conflict-free sourcing? (*) F. Does your company conduct Conflict Minerals survey(s) of your relevant supplier(s)? (*) G. Do you review due diligence information received from your suppliers against your company s expectations? (*) H. Does your review process include corrective action management? (*), in conformance with IPC1755 (e.g., CMRT) I. Is your company required to file an annual conflict minerals disclosure with the SEC? (*) Product List One or more product / item numbers have been provided Smelter List - Smelter List - Tin Smelter List - Please answer Question 1 / Question 2 on Declaration tab Smelter List - All rows with "Smelter not listed" selected, have a name and country listed Please answer Question 1 / Question 2 on Declaration tab N/A

9 Completion required only if reporting level "Product (or List of Products)" selected on the 'Declaration' worksheet. Click here to return to Declaration tab Manufacturer s Product Number (*) Manufacturer s Product Name 1N4001(L) thru 1N4007(L) 1.0 AMP. Silicon Rectifiers HVCA 1N5400 thru 1N AMP. Silicon Rectifiers HVCA 1N5817 thru 1N AMP. Schottky Barrier Rectifiers HVCA 1N5820 thru 1N AMP. Schottky Barrier Rectifiers HVCA 300U120 DIODE 300A 1200V COMPRESSION BOND CKE 6A05 thru 6A AMPS Silicon Rectifiers HVCA 6A4 DIODE 6A, 400V HVCA 6A6 DIODE 6A 600V HVCA DF005M BRIDGE RECTIFIER, 1A, 50V HVCA DF01M BRIDGE RECTIFIER, 1A, 100V HVCA DF02M BRIDGE RECTIFIER, 1A, 200V HVCA DF04M BRIDGE RECTIFIER, 1A, 400V HVCA DF06M BRIDGE RECTIFIER, 1A, 50V HVCA FR101(L) thru FR107(L) 1.0 AMP. Fast Recovery Rectifiers HVCA FR101(L)G thru FR307(L)G 3.0 AMP Fast Recovery Rectifier HVCA FR601 thru FR AMP Fast Recovery Rectifier HVCA HER101(L) thru HER108(L) 1.0 AMPs High Efficiency Rectifier HVCA HER301 thru HER AMPs High Efficiency Rectifiers HVCA KBL400 thur KBL AMPs Schottky Barrier Rectifiers HVCA KBL406 SILICON BRIDGE RECTIFIERS CKE KBP01G BRIDGE RECTIFIERS HVCA KBP04G BRIDGE RECTIFIERS HVCA KBPC1000 thru KBPC1010 Single Phase 10 AMPs Silicon Bridge Rectifiers HVCA KBPC1002P BRIDGE RECTIFIERS HVCA KBPC1004P BRIDGE RECTIFIERS HVCA KBPC1008P OBSOLETE-SEE KBPC1008 HVCA KBPC15, 25, 35, 50 Series High Current 15, 25, 35, 50 AMPs Single Phase HVCA Bridge Rectifiers KBPC6005 BRIDGE RECTIFIER HVCA DBPC600 thru KBPC610 Single Phase 6.0 AMPs Silicon Bridge Rectifiers HVCA KBU1000 thru KBU1010 Single Phase 10 AMPs Silicon Bridge Rectifiers HVCA KBU402 BRIDGE RECTIFIER 4A, 200V IN LINE P HVCA KBU404 4A 400 VOLT IN LINE BRIDGE HVCA KBU600 thru KBU610 Single Phase 6.0 AMPs Silicon Bridge Rectifiers HVCA KBU8005 BRIDGE RECTIFIER 8A, 50V IN LINE PA HVCA KBU800 thru KBU810 Single Phase 8.0 AMPs Silicon Bridge Rectifiers HVCA MP15, 258, 35, 50 Series High Current 15, 25, 35, 50 AMPs Single Phase HVCA Bridge Rectifiers Page 1 of 23

10 Manufacturer s Product Number (*) Manufacturer s Product Name MP AMP 400 VOLT SINGLE PH. BRIDGE CKE MP AMP 1000 VOLT SINGE PH. BRIDGE CKE PX6A02 GEN PURPOSE DIODE HVCA PX6A03 GEN PURPOSE DIODE HVCA PX6A04 GEN PURPOSE DIODE HVCA PX6A05 GENERAL PURPOSE DIODE HVCA PX6A07 GEN PURPOSE DIODE HVCA SF31 thru SF AMPs Super Fast Rectifiers HVCA SFR601 thru SFR AMPs Soft Fast Recovery Rectifiers HVCA SR102 thru SR AMPs Schottky Barrier Rectifiers HVCA TX2Y5P470M10KV CAPACITOR HVCA UF4001 thru UF AMPs Ultra Fast Rectifiers HVCA UF5400 thru UF AMPs Ultra Fast Rectifiers HVCA W005G BRIDGE RECTIFIER HVCA W01G BRIDGE RECTIFIER HVCA W02G BRIDGE RECTIFIER HVCA W04G BRIDGE RECTIFIER HVCA W04M BRIDGE RECTIFIER HVCA W06G BRIDGE RECTIFIER HVCA W08M BRIDGE RECTIFIER HVCA W10G BRIDGE RECTIFIER HVCA Z10Lxxx Series Low Voltage Series-Radial lead MOVs CKE Z130LAxx(A)AH Series Line voltage Series-Radial Lead MOVs CKE Z130PAxx(A)C Series High Energy Metal Oxide Vasistor-MOVs CKE Z150LAxx(A)(AH)(BH)(H)C Series Line voltage Series-Radial Lead MOVs CKE Z15Lxxx(H)(HCL)(TR)(TRCL) Series Low Voltage Series - Radial Lead MOVs CKE Z175LA20(A)H Series Low Voltage Series - Radial Lead MOVs CKE Z21Lxx(H) Series Low Voltage Series - Radial Lead MOVs CKE ZxxxLAxx(A)H Series Line voltage Series-Radial Lead MOVs CKE Z250PAxx(A)C Series High Energy Metal Oxide Varistors - MOVs CKE Z25LAxxx Series Radial Lead Metal Oxide Varistor - MOVs CKE Z275LAxx(A) Series Line Voltage Series - Radial Lead MOVs CKE Z275LAxxAH Series High Energy Series - Radial Lead MOVs CKE Z275PA(A)C Series High Energy Metal Oxide Varistors - MOVs CKE Z300LAxxA Series Line voltage Series-Radial Lead MOVs CKE Z300PAxx(A)C Series High Energy Metal Oxide Varistors - MOVs CKE Z320LAxxA Series Line voltage Series-Radial Lead MOVs CKE Z320PAxx(A)C Series High Energy Metal Oxide Varistors - MOVs CKE Z33Mxxx Series 32mm HIGH ENERGY MOVs CKE Z350LAxx(A) Series Line Voltage Series - Radial Lead MOVs CKE Z40Mxxx Series 40MM MOV HIGH ENERGY CKE Z420LAxx(A) Series Line Voltage Series - Radial Lead MOVs CKE Z420PAxx(A)C Series High Energy Metal Oxide Varistors - MOVs CKE Z460LAxx(A) Series Line voltage Series-Radial Lead MOVs CKE Page 2 of 23

11 Manufacturer s Product Number (*) Manufacturer s Product Name Z480LAxx(A) Series Line voltage Series-Radial Lead MOVs CKE Z480PAxx(C) Series High Energy Metal Oxide Varistors - MOVs CKE Z510LAxxA(AH) Series Line voltage Series-Radial Lead MOVs CKE Z510PAxxC Series High Energy Metal Oxide Varistors - MOVs CKE Z550LAxxA Series Line Voltage Series - Radial Lead MOVs CKE Z550PAxxC Series High Energy Metal Oxide Varistors - MOVs CKE Z575LAxxA Series Line Voltage Series - Radial Lead MOVs CKE Z575PAxxC Series High Energy Metal Oxide Varistors - MOVs CKE Z5Lxxx Series Line Voltage Series - Radial Lead MOVs CKE Z600LAxxxA Series Line Voltage Series - Radial Lead MOVs CKE Z600PA1xxC Series High Energy Metal Oxide Varistors - MOVs CKE Z60Mxxx Series 60MM MOVs CKE Z660LAxxxA Series Radial Lead Metal Oxide Varistor - MOVs CKE Z660PAxxx(A)C Series High Energy Metal Oxide Varistors - MOVs CKE Z7Lxxx Series Low Voltage Series-Radial lead MOVs CKE Page 3 of 23