Materials Declaration Form

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1 Materials Declaration Form IPC 1752 Version 2 Form Type * Distribute Sectionals * Material Info Subsectionals * A-D Manufacturing Info * : Required Field Supplier Information Company Name * STMicroelectronics Date * Company Unique ID NL B01 Request Document ID Contact Name * Contact Phone * Contact * Authorized Representative * Giovanni Giacopello Representative Title Representative Phone * Representative * Supplier Comment Online Technical Support - STMicroelectronics : NA ADG MD CHAMPION Uncertainty Statement While STMicroelectronics has endeavored to provide information which is accurate and up to date, this document and its contents are provided on a strict 'as is' and 'as available' basis. STMicroelectronics disclaims all warranties, express or implied related to this document and its contents, including but not limited to implied warranties of completeness, truth, accuracy, merchantability, fitness for a particular purpose and non-infringement. ST shall have no responsibility and assumes no liability for any cost, loss or damage of any kind which could arise, directly or indirectly, from the use or inability to use this document and/or its contents. Legal Statement Supplier Acceptance * true Legal Declaration * Standard Legal Statement Supplier certifies that it gathered the provided information and such information is true and correct to the best of its knowledge and belief, as of the date that Supplier completes this form. Supplier acknowledges that Company will rely on this certification in determining the compliance of its products. Company acknowledges that Supplier may have relied on information provided by others in completing this form, and that Supplier may not have independently verified such information. However, in situations where Supplier has not independently verified information provided by others, Supplier agrees that, at a minimum, its suppliers have provided certifications regarding their contributions to the part(s), and those certifications are at least as omprehensive as the certification in this paragraph. If the Company and the Supplier enter into a written agreement with respect to the identified part(s), the terms and conditions of that agreement, including any warranty rights and/or remedies provided as part of that agreement, will be the sole and exclusive source of the Supplier s liability and the Company s remedies for issues that arise regarding information the Supplier provides in this form.

2 Product Mfr Item Number Mfr Item Name Version Mfr Site Date TESEO-LIV3F A09C*VB18BFV A 996G Amount UoM Unit type ST ECOPACK Grade mg Each ECOPACK 2 Comment ECOPACK 2 is STMicroelectronics trade name for ROHS compliant device without Brominated and Chlorinated compound (900ppm) and without Antimony oxide flame retardant ( in each organic material) Manufacturing information J-STD-020 MSL Rating Classification Temp Nbr of Reflow Cycles Not Applicable Not Applicable Not Applicable Bulk Solder Termination Terminal Plating Terminal Base Alloy Comment Not Applicable Not Applicable Not Applicable Package Designator Size Nbr of instances Shape Mounted BOARD Not Applicable flat Comment

3 List : RoHS Directive 2011/65/EU-July 2011 Annex II amended by Directive 2015/863-March Product(s) meets EU RoHS requirement without any exemptions 2 - Product(s) meets EU RoHS requirements except lead in solder and this usage may qualify under the lead in solder '7b' exemption (other selected exemptions may apply) 3 - Product(s) meets EU RoHS requirements by application of the selected exemption(s) 4 - Product(s) does not meet EU RoHS requirements and is not under exemptions Exemption Id. Description List : ELV directive : 2000/53/EC amended 2017/2096 _November Product(s) meets EU ELV requirements without any exemptions 2 - Product(s) meets EU RoHS requirements by application of the selected exemption(s) Exemption Id. Description List : California Prop65 list, dated 25th May The product does not contain identified substance from California Prop 65 List, no exposure to consumers is foreseen 2 - The product is containing below substance(s) from California Prop 65 List, no exposure to consumers is foreseen Substance amount in product (mg) Application ppm in product Nickel Total content in all homogeneous materials List : REACH-15th January Product(s) does not contain REACH Substances Of Very High Concern above the limits per the definition within REACH CategoryLevel_Name CategoryLevel_Threshold amount in product (mg) Application ppm in product 2 - Product(s) does not contain REACH Substances Of Very High Concern in any Embedded article nor Homogeneous Material above the limits per the definition within REACH CategoryLevel_Name CategoryLevel_Threshold Amount in Embedded Article / Homogeneous Material (mg) Application - Article / Homogeneous Material ppm in Article /Homogeneous Material

4 Material Composition Declaration : note : Substance present with less 0.001mg will not be declared in this document Mfr Item Name A09C*VB18BFV Homogeneous Material Material Group Mass UoM Level Substance Category Substance CAS Exempt Mass UoM Concentration in homogeneous material (ppm) Concentration in product (ppm) PCB M-011 Other inorganic materials mg supplier alloy Copper (Cu) mg supplier substrate Epoxy resin mg supplier substrate Fiber glass mg supplier substrate Baruim sulfate mg supplier substrate Acrylated epoxy resin proprietary mg supplier metallization Nickel (Ni) mg supplier metallization Gold (Au) mg Crystal 1 M-011 Other inorganic materials mg supplier alloy Nickel (Ni) mg supplier alloy Cobalt (Co) mg supplier alloy Iron (Fe) mg supplier alloy Manganese mg supplier ceramic Aluminum oxide mg supplier ceramic Manganese oxide mg supplier ceramic Silicon dioxide mg supplier ceramic Molybdenum oxide mg supplier metallization Molybdenum mg supplier metallization Nickel (Ni) mg supplier plating Gold (Au) mg supplier solder alloy Silver (Ag) mg supplier solder alloy Copper (Cu) mg supplier adhesive Silver (Ag) mg supplier adhesive Silicon dioxide mg MX25R1635FBDIH0 M-011 Other inorganic materials mg supplier Die Silicon (Si) mg supplier polymer Y-Butyrolactone mg supplier polymer 1-Methoxy-2-propyl acetate mg supplier RDL metallization Titanium (Ti) mg supplier RDL metallization Tungsten (W) mg supplier RDL metallization Copper (Cu) mg supplier solder Tin (Sn) mg supplier solder Silver (Ag) mg supplier solder Copper (Cu) mg Crystal 2 M-011 Other inorganic materials mg supplier alloy Nickel (Ni) mg supplier alloy Cobalt (Co) mg supplier alloy Iron (Fe) mg supplier alloy Manganese mg supplier ceramic Aluminum oxide mg supplier ceramic Manganese oxide mg supplier ceramic Silicon dioxide mg supplier ceramic Molybdenum oxide mg supplier metallization Molybdenum mg supplier metallization Nickel (Ni) mg supplier plating Gold (Au) mg supplier solder alloy Silver (Ag) mg supplier solder alloy Copper (Cu) mg supplier Die Silicon (Si) mg supplier metallization Aluminum (Al) mg supplier metallization Copper (Cu) mg supplier resin Epoxy resin mg supplier resin 4,4'-Methylene-bis(2-ethylaniline) mg supplier resin Silicon dioxide mg supplier quartz Silicon dioxide mg STA8090WG M-011 Other inorganic materials mg supplier die Silicon (Si) mg supplier metallisation Aluminium (Al) mg supplier metallisation Copper (Cu) mg supplier metallisation Nickel (Ni) mg 51 2 supplier metallisation Tantalum (Ta) mg supplier metallisation Titanium (Ti) mg supplier metallisation Tungsten (W) mg 50 2 supplier Passivation Silicon Nitride (SiN) mg

5 supplier passivation Silicon Oxide mg supplier die polymer coating PIX1 Gamma-butyrolactone mg supplier UBM Copper (Cu) mg supplier UBM Titanium (Ti) mg 50 2 supplier RDL Copper (Cu) mg supplier resin silica vitreous mg supplier resin Epoxy resin Proprietary mg supplier resin Acrylic polymer Proprietary mg supplier resin Bis-phenol A diglycidyl ether mg supplier resin carbon black mg supplier resin Iron compound mg supplier resin Zinc compound mg supplier solder alloy Tin (Sn) mg supplier solder alloy Silver (Ag) mg supplier solder alloy Copper (Cu) mg JIG - R solder alloy Lead (Pb) mg 50 2 Resistor M-011 Other inorganic materials mg supplier Ceramics Aluminium oxide supplier Ceramics Silicon dioxide supplier Ceramics Magnesium oxide supplier Ceramics Silver (Ag) supplier Paste Silver (Ag) supplier Resistive Element Ruthenium dioxide supplier Nickel Plating Nickel (Ni) supplier Tin Plating Tin (Sn) JIG-R & California 65 Overcoat Glass frit supplier Overcoat Texanol supplier Overcoat Epoxy resin Inductor 1 M-011 Other inorganic materials mg supplier ceramic element Iron oxide mg supplier ceramic element Zinc oxide mg supplier ceramic element Nickel oxide mg supplier ceramic element Copper oxide mg supplier ceramic element Tin dioxide mg supplier ceramic element Manganese oxide mg supplier electrode Silver (Ag) mg supplier electrode passivation Silicon Oxide mg supplier electrode metallisation Nickel (Ni) mg supplier electrode metallisation Tin mg Inductor 2 M-011 Other inorganic materials mg supplier ceramic element Aluminum oxide mg supplier ceramic element Silicon Oxide mg supplier ceramic element Calcium oxide mg supplier electrode Copper (Cu) mg supplier electrode metallisation Silver (Ag) mg NSR05F30NXT5G M-011 Other inorganic materials mg supplier die Silicon (Si) mg supplier metallisation Nickel (Ni) mg supplier metallisation Gold (Au) mg BAT30F4 M-011 Other inorganic materials mg supplier die Silicon (Si) mg supplier metallisation Aluminium (Al) mg supplier metallisation Nickel (Ni) mg supplier passivation Silicon Oxide mg supplier die polymer coating Durimide proprietary mg supplier UBM Copper (Cu) mg supplier UBM Nickel (Ni) mg Capacitors 1 M-011 Other inorganic materials mg supplier Ceramics Barium oxide, obtain mg supplier Ceramics Titanium dioxide mg supplier Copper alloys Copper mg SVHC Glass diboron trioxide; bor mg supplier Glass Silicon dioxide mg supplier metallization Nickel mg supplier plating Nickel mg supplier Tin plating Tin mg Capacitors 2 M-011 Other inorganic materials mg supplier Ceramics Zirconium oxide mg

6 supplier Ceramics Calcium oxide mg supplier Nickel /Other Nickel alloy Nickel mg supplier Copper alloys Copper mg SVHC Glass diboron trioxide; bor mg supplier Glass Silicon dioxide mg supplier Electrolytic Nickel Plating Nickel mg supplier Electrolytic Tin plating Tin mg Capacitors 3 M-011 Other inorganic materials mg supplier Copper alloys Copper mg SVHC Glass diboron trioxide; bor mg supplier Glass Silicon dioxide mg supplier Nickel plating Nickel mg supplier Nickel and Nickel alloys Nickel mg supplier Tin plating Tin mg supplier Ceramics Calcium oxide mg supplier Ceramics Zirconium oxide mg Shield M-011 Other inorganic materials mg supplier alloy Copper (Cu) mg supplier alloy Zinc (Zn) mg supplier alloy Nickel (Ni) mg supplier alloy Iron (Fe) mg