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Conflict Minerals Reporting Template (CMRT) - Philips

Conflict Minerals Reporting Template (CMRT). Select Language Preference Here: : : : Click here to check required fields English S lectionner la langue pr f r e ici: completion Selecione Prefer ncia de idioma Aqui: W hlen sie hier die Sprache: Seleccione el lenguaje de preferencia aqui: Revision Selezionare la lingua di preferenza qui: November 16, 2015. The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and gold used in products Link to Terms & Conditions A. Mandatory fields are noted with an asterisk (*). The information collected in this Template should be updated annually. Any changes within the annual cycle should be provided to your customers Company Information Company Name (*): Philips Lighting Declaration Scope or Class (*): A. Company Description of Scope: Company Unique ID: Company Unique ID Authority: Address: Contact Name (*): Carla Neefs Email Contact (*): Phone Contact (*): 31646260872.

Conflict Minerals Reporting Template (CMRT) The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and gold used in products Click here to check required fields

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Transcription of Conflict Minerals Reporting Template (CMRT) - Philips

1 Conflict Minerals Reporting Template (CMRT). Select Language Preference Here: : : : Click here to check required fields English S lectionner la langue pr f r e ici: completion Selecione Prefer ncia de idioma Aqui: W hlen sie hier die Sprache: Seleccione el lenguaje de preferencia aqui: Revision Selezionare la lingua di preferenza qui: November 16, 2015. The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and gold used in products Link to Terms & Conditions A. Mandatory fields are noted with an asterisk (*). The information collected in this Template should be updated annually. Any changes within the annual cycle should be provided to your customers Company Information Company Name (*): Philips Lighting Declaration Scope or Class (*): A. Company Description of Scope: Company Unique ID: Company Unique ID Authority: Address: Contact Name (*): Carla Neefs Email Contact (*): Phone Contact (*): 31646260872.

2 Authorizer (*): Carla Neefs Title - Authorizer: Director Supplier Sustainability Email - Authorizer (*): Phone - Authorizer (*): 31646260872. Effective Date (*): 27-Apr-2016. Answer the following questions 1 - 7 based on the declaration scope indicated above 1) Is the 3TG intentionally added to your product? (*) Answer Comments Tantalum (*) Yes Tin (*) Yes Gold (*) Yes Tungsten (*) Yes 2) Is the 3TG necessary to the production of your company's products and contained in the finished product that your company manufactures or contracts to manufacture? (*) Answer Comments Tantalum (*) Yes Tin (*) Yes Gold (*) Yes Tungsten (*) Yes 3) Do any of the smelters in your supply chain source the 3TG from the covered countries? (*) Answer Comments The following smelters are known to us as sourcing from the covered countries. They are verified as compliant with the Conflict -Free Smelter Program (CFSP) assessment protocol. - Yichun Jin Yang Rare Metal Co.

3 , Ltd - Duoluoshan - Mitsui Mining & Smelting - Conghua Tantalum and Niobium Smeltry - Exotech Inc. - F&X Electro-Materials Ltd. - FIR Metals & Resource Ltd. - Global Advanced Metals Aizu - Global Advanced Metals Boyertown - Guangdong Zhiyuan New Material Co., Ltd. - Starck Co., Ltd. - Starck GmbH Goslar - Starck GmbH Laufenburg - Starck Inc. Tantalum (*) Yes - Starck Ltd. - Starck Smelting GmbH & - Hi-Temp Specialty Metals, Inc. - JiuJiang JinXin Nonferrous Metals Co., Ltd. - Jiujiang Tanbre Co., Ltd. - Jiujiang Zhongao Tantalum & Niobium Co., Ltd. - KEMET Blue Metals - Kemet Blue Powder - Ningxia Orient Tantalum Industry Co., Ltd. - Plansee SE Liezen - Taki Chemicals - Telex Metals - Ulba Metallurgical Plant JSC. - XinXing HaoRong Electronic Material Co., Ltd. - Zhuzhou Cemented Carbide The following smelters are known to us as sourcing from the covered countries. They are verified as compliant with the Conflict -Free Smelter Program (CFSP) assessment protocol.

4 - Thaisarco Tin (*) Yes - Alpha - Malaysia Smelting Corporation (MSC). - Manufacturing (Thailand) Co., Ltd. Gold (*) No The following smelters are known to us as sourcing from the covered countries. They are verified as compliant with the Conflict -Free Smelter Program (CFSP) assessment protocol. - TUNGSTEN Corp. Tungsten (*) Yes - Asia Tungsten Products Vietnam Ltd. - Wolfram Bergbau und H tten AG. - Xiamen Tungsten Co., Ltd. 4) Does 100 percent of the 3TG (necessary to the functionality or production of your products). originate from recycled or scrap sources? (*) Answer Comments Tantalum (*) No Tin (*) No Gold (*) No Tungsten (*) No 5) Have you received data/information for each 3TG from all relevant suppliers? (*). Answer Comments Conflict Minerals Reporting Template (CMRT). Select Language Preference Here: : : : Click here to check required fields English S lectionner la langue pr f r e ici: completion Selecione Prefer ncia de idioma Aqui: W hlen sie hier die Sprache: Seleccione el lenguaje de preferencia aqui: Revision Selezionare la lingua di preferenza qui: November 16, 2015.

5 The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and gold used in products Link to Terms & Conditions A. Mandatory fields are noted with an asterisk (*). The information collected in this Template should be updated annually. Any changes within the annual cycle should be provided to your customers Philips Lighting selected priority suppliers that jointly cover the top 80% of the relevant purchasing spend. We have requested these suppliers to investigate their supply chain and report Tantalum (*) No, but greater than 75% back to us using the CFSI Conflict Minerals Reporting Template (CMRT). Each year we conduct this investigation. The data in this Philips CMRT is based on accepted supplier CMRTs received during the period January 2015 - April 2016. Tin (*) No, but greater than 75% Please see comment above Gold (*) No, but greater than 75% Please see comment above Tungsten (*) No, but greater than 75% Please see comment above 6) Have you identified all of the smelters supplying the 3TG to your supply chain?

6 (*). Answer Comments Tantalum (*) No Tin (*) No Gold (*) No Tungsten (*) No Conflict Minerals Reporting Template (CMRT). Select Language Preference Here: : : : Click here to check required fields English S lectionner la langue pr f r e ici: completion Selecione Prefer ncia de idioma Aqui: W hlen sie hier die Sprache: Seleccione el lenguaje de preferencia aqui: Revision Selezionare la lingua di preferenza qui: November 16, 2015. The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and gold used in products Link to Terms & Conditions A. Mandatory fields are noted with an asterisk (*). The information collected in this Template should be updated annually. Any changes within the annual cycle should be provided to your customers 7) Has all applicable smelter information received by your company been reported in this declaration? (*) Answer Comments Please note that the names of entities which are not included on the CFSI list of Standard Smelter Names are not included in the Philips smelter list, see line 302-329 of the worksheet Smelter List.

7 Tantalum (*) Yes We distinguish the smelters that have suspended or ceased operations and the smelters that are not identified or known. Tin (*) Yes Please see comment above. Gold (*) Yes Please see comment above. Tungsten (*) Yes Please see comment above. Answer the Following Questions at a Company Level Question Answer Comments A. Do you have a policy in place that addresses Conflict Minerals sourcing? (*) Yes B. Is your Conflict Minerals sourcing policy publicly available on your website? (Note If yes, the user Yes shall specify the URL in the comment field.) (*) C. Do you require your direct suppliers to be DRC Conflict -free? (*) Yes D. Do you require your direct suppliers to source the 3TG from smelters whose due diligence Yes We communicated our expectation to steer their supply chain towards CFS compliant smelters practices have been validated by an independent third party audit program? (*) only. Philips Lighting due diligence design and measures are based on the OECD Due Diligence Guidance E.

8 Have you implemented due diligence measures for Conflict -free sourcing? (*) Yes for Responsible Supply Chains of Minerals from Conflict -Affected and High-Risk Areas, and have been reviewed by KPMG as part of their Independent Private Sector Audit. F. Do you collect Conflict Minerals due diligence information from your suppliers which is in conformance with the IPC-1755 Conflict Minerals Data Exchange standard [ , the CFSI Conflict Yes Minerals Reporting Template ]? (*). G. Do you request smelter names from your suppliers? (*) Yes H. Do you review due diligence information received from your suppliers against your company's Yes expectations? (*). I. Does your review process include corrective action management? (*) Yes J. Are you subject to the SEC Conflict Minerals rule? (*) Yes 2015 Conflict -Free Sourcing Initiative. All rights reserved. 4 . To begin: Step 1. Select Metal in column B. Step 2. Select from dropdown in column C (wrong combination will trigger RED color).

9 Step 3. If dropdown selection is "Smelter Not Listed" complete columns D & E. Step 4. Enter all available smelter information in columns H thru P. Mandatory fields are noted with an asterisk (*). 2015 Conflict -Free Sourcing Initiative. All rights reserved. Source of Smelter Facility Smelter Smelter Metal (*) Smelter Reference List (*) Smelter Name (*) Smelter Country (*) Smelter Street Smelter City Location: State /. Identification Identification Province Number Gold Argor-Heraeus SA Argor-Heraeus SA SWITZERLAND CID000077 CFSI Mendrisio Ticino Gold Heraeus Precious Metals GmbH & Co. KG Heraeus Precious Metals GmbH & Co. KG GERMANY CID000711 CFSI Hanau Hesse Gold Ishifuku Metal Industry Co., Ltd. Ishifuku Metal Industry Co., Ltd. JAPAN CID000807 CFSI Soka Saitama Gold Istanbul Gold Refinery Istanbul Gold Refinery TURKEY CID000814 CFSI Kuyumcukent Istanbul Gold Asahi Refining Canada Limited Asahi Refining Canada Limited CANADA CID000924 CFSI Brampton Ontario Gold Asahi Refining USA Inc.

10 Johnson Matthey Inc UNITED STATES CID000920 CFSI Salt Lake City Utah Gold Materion Materion UNITED STATES CID001113 CFSI Buffalo New York Gold Mitsui Mining and Smelting Co., Ltd. Mitsui Mining and Smelting Co., Ltd. JAPAN CID001193 CFSI Takehara Hiroshima Gold PAMP SA PAMP SA SWITZERLAND CID001352 CFSI Castel San Pietro Ticino Gold Western Australian Mint trading as The Perth Mint Western Australian Mint trading as The Perth Mint AUSTRALIA CID002030 CFSI Newburn Western Australia Gold Rand Refinery (Pty) Ltd. Rand Refinery (Pty) Ltd SOUTH AFRICA CID001512 CFSI Germiston Gauteng Gold Solar Applied Materials Technology Corp. Solar Applied Materials Technology Corp. TAIWAN CID001761 CFSI Tainan City Taiwan Gold Sumitomo Metal Mining Co., Ltd. Sumitomo Metal Mining Co., Ltd. JAPAN CID001798 CFSI Saijo Ehime Gold Umicore SA Business Unit Precious Metals RefiningUmicore SA Business Unit Precious Metals RefiningBELGIUM CID001980 CFSI Hoboken Antwerp Gold Valcambi SA Valcambi SA SWITZERLAND CID002003 CFSI Balerna Ticino Tin Minera o Taboca Minera o Taboca BRAZIL CID001173 CFSI Bairro Guarapiranga S o Paulo Tin Minsur Minsur PERU CID001182 CFSI Paracas Ica Tin OMSA OMSA BOLIVIA CID001337 CFSI Oruro Cercado Tin PT Bukit Timah PT Bukit Timah INDONESIA CID001428 CFSI Pangkal Pinang Bangka Tin Thaisarco Thaisarco THAILAND CID001898 CFSI Amphur Muang Phuket Gold Heraeus Ltd.


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