Conflict Minerals Reporting Template (CMRT)

Transcription

1 Conflict Minerals Reporting Template (CMRT) A 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: English 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: 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 Company Name (*): Declaration Scope or Class (*): Company Information ERNI Production GmbH & Co. KG A. Company Description of Scope: Company Unique ID: Company Unique ID Authority: Address: Contact Name (*): Contact (*): Phone Contact (*): Authorizer (*): Title - Authorizer: - Authorizer (*): Phone - Authorizer (*): Effective Date (*): DE Seestraße 9, Adelberg, GERMANY Susanne Leinweber susanne.leinweber@erni.de Frank Drössler Head of Purchasing frank.droessler@erni.de 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? (*) Plating contacts Plating contacts 2) Does any 3TG remain in the product(s)? 3) Do any of the smelters in your supply chain source the 3TG from the covered countries? (SEC term, see definitions tab) 4) Does 100 percent of the 3TG (necessary to the functionality or production of your products) originate from recycled or scrap sources? 5) What percentage of relevant suppliers have provided a response to your supply chain survey?, 100% 2016, 100% ) Have you identified all of the smelters supplying the 3TG to your supply chain?

2 Conflict Minerals Reporting Template (CMRT) A 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: English 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: 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 7) Has all applicable smelter information received by your company been reported in this declaration? Question A. Have you established a conflict minerals sourcing policy? the Following Questions at a Company Level Pls. refer to ERNI conflict minerals 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.) 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)?, using other format (describe) or IPC Standard G. Do you review due diligence information received from your suppliers against your company s expectations? is yearly requested at suppliers with updating the conflict materials template H. Does your review process include corrective action management? I. Is your company required to file an annual conflict minerals disclosure with the SEC? 2017 Conflict-Free Sourcing Initiative. All rights reserved.

3 1 ページ TO BEGIN: Option A: If you know the Number, input the number in Column A (columns B, C, E, F, G, I and J will auto-populate); D will grey out. Option B: If you have a Metal and 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 Name combination, complete the following steps: Step 1. Select Metal in column B Step 2: Select " t Listed" in the 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 Look-up = " not listed" NOTE: A combination of Options A, B and C may be used to complete the List. Do not alter autopopulated cells. All errors in the Look-up should be reported to CFSI by contacting info@conflictfreesmelter.org Conflict-Free Sourcing Initiative. All rights reserved. Number Input Column Metal (*) Look-up (*) Name (1) Country (*) Source of Number Street City Facility Location: State / Province CID Gold Argor-Heraeus SA Argor-Heraeus SA SWITZERLAND CID CFSI Mendrisio Ticino CID Gold Aurubis AG GERMANY CID CFSI Hamburg Hamburg CID Gold Heimerle + Meule GmbH GERMANY CID CFSI Pforzheim Baden-Württemberg CID Gold Heraeus Precious Metals GmbH & Co. KG GERMANY CID CFSI Hanau Hessen CID Tin Minsur PERU CID CFSI Paracas Ika CID Tin Operaciones Metalurgical S.A. BOLIVIA (PLURINATIONAL STATE OF) CID CFSI Oruro Oruro CID Tin PT Bukit Timah INDONESIA CID CFSI Pangkal Pinang Bangka Belitung CID Tin PT Mitra Stania Prima INDONESIA CID CFSI Sungailiat Bangka Belitung CID Tin PT Refined Bangka Tin INDONESIA CID CFSI Sungailiat Bangka Belitung CID Tin PT Sariwiguna Binasentosa INDONESIA CID CFSI Pangkal Pinang Bangka Belitung CID Tin PT Stanindo Inti Perkasa INDONESIA CID CFSI Pangkal Pinang Bangka Belitung CID Tin PT Timah (Persero) Tbk Kundur INDONESIA CID CFSI Kundur Riau CID Tin PT Timah (Persero) Tbk Mentok INDONESIA CID CFSI Mentok Bangka Belitung CID Tin PT Tinindo Inter Nusa INDONESIA CID CFSI Pangkal Pinang Bangka Belitung CID Tin Rui Da Hung TAIWAN, PROVINCE OF CHINA CID CFSI Longtan Shiang Taoyuang Taiwan CID Tin Thaisarco THAILAND CID CFSI Amphur Muang Phuket CID Gold Umicore S.A. Business Unit Precious Metals Refining BELGIUM CID CFSI Hoboken Antwerpen CID Tin Yunnan Chengfeng n-ferrous Metals Co., Ltd. CHINA CID CFSI Gejiu Yunnan CID Tin Yunnan Tin Company Limited CHINA CID CFSI Gejiu Yunnan CID Tin Metallo-Chimique N.V. BELGIUM CID CFSI Beerse Antwerpen CID Gold SAXONIA Edelmetalle GmbH GERMANY CID CFSI Halsbrücke Sachsen CID Gold WIELAND Edelmetalle GmbH GERMANY CID CFSI Pforzheim Baden-Württemberg

4 2 ページ Link to "CFSP Compliant List" Contact Name Contact Proposed next steps Name of Mine(s) or if recycled or scrap sourced, enter "recycled" or "scrap" Location (Country) of Mine(s) or if recycled or scrap sourced, enter "recycled" or "scrap" Does 100% of the smelter s feedstock originate from recycled or scrap sources? Mr. Jürgen Schäfer juergen.schaefer@heimerle-meule.com recycled, scrap recycled, scrap Mrs. Kerstin Dannenhoefer Kerstin.dannenhoefer@ampere.com Minsur Peru OMSA Bolivia Virdo Wijaya Indonesia Mr. Van Loon recycled recycled Herr Helmling Herr Hadlich helmling@wieland-edelmetalle.de hadlich@saxonia.de

5 Required fields remaining to To ensure all required fields have been populated before submitting to your customers review form for any line items highlighted in red be completed Click here to return to Declaration tab 0 Required Fields provided tes Hyperlink to source Company Name (*): ERNI Production GmbH & Co. KG Declaration Scope or Class (*): A. Company Description of Scope: Contact Name (*): Susanne Leinweber Contact (*): susanne.leinweber@erni.de Phone Contact (*): Authorizer (*): Frank Drössler - Authorizer (*): frank.droessler@erni.de Phone - Authorizer (*): Effective Date (*): 23-Jun ) Is any 3TG intentionally added or used in the product(s) or in the production process? (*) 2) Does any 3TG remain in the product(s)? 3) Do any of the smelters in your supply chain source the 3TG from the covered countries? (SEC term, see definitions tab) 4) Does 100 percent of the 3TG (necessary to the functionality or production of your products) originate from recycled or scrap sources? 5) What percentage of relevant suppliers have provided a response to your supply chain survey?, 100%, 100% 6) Have you identified all of the smelters supplying the 3TG to your supply chain? 7) Has all applicable smelter information received by your company been reported in this declaration? 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?, using other format (describe) I. Is your company required to file an annual conflict minerals disclosure with the SEC? Product List products or item numbers listed List - Provide list of tantalum smelters contributing material to supply chain on List tab List - Tin List - Gold List - All rows with " not listed" selected, have a name and country listed Provide list of tungsten smelters contributing material to supply chain on List tab N/A