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Conflict Minerals Reporting Template - Switchcraft

Select Language Preference Here: : : :S lectionner la langue pr f r e ici:Selecione Prefer ncia de idioma Aqui:W hlen sie hier die Sprache:Seleccione el lenguaje de preferencia aqui:English#VALUE!Revision 2 August 29th 2012 Company Name (*):Declaration Scope (*):Company Unique Identifier:Address:Authorized Company Representative Name (*):Representative Title:Representative Email (*):Representative Phone:Date of Completion (*):1) Are any of the following metals necessary to the functionality or production of your company's products that it manufactures or contracts to manufacture?

The information collected in this template should be updated annually. Any changes within the annual cycle should be provided to your customers Click here to check required

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Transcription of Conflict Minerals Reporting Template - Switchcraft

1 Select Language Preference Here: : : :S lectionner la langue pr f r e ici:Selecione Prefer ncia de idioma Aqui:W hlen sie hier die Sprache:Seleccione el lenguaje de preferencia aqui:English#VALUE!Revision 2 August 29th 2012 Company Name (*):Declaration Scope (*):Company Unique Identifier:Address:Authorized Company Representative Name (*):Representative Title:Representative Email (*):Representative Phone:Date of Completion (*):1) Are any of the following metals necessary to the functionality or production of your company's products that it manufactures or contracts to manufacture?

2 If no for all metals, you are done with this survey. (*)AnswerCommentsTantalum (Ta) (*)Tin (Sn) (*)Gold (Au) (*)Tungsten (W) (*)2) Do the following metals (necessary to the functionality or production of your company's products) originate from the DRC or an adjoining country? (*)AnswerCommentsTantalum (Ta) (*)Tin (Sn) (*)Gold (Au) (*)Tungsten (W) (*)3) Do the following metals (necessary to the functionality or production of your products) come from a recycler or scrap supplier? (*)AnswerCommentsTantalum (Ta) (*)Tin (Sn) (*)Gold (Au) (*)Tungsten (W) (*)4) Have you received completed Conflict Minerals Reporting Templates from all of your suppliers?

3 (*)AnswerCommentsTantalum (Ta) (*)Tin (Sn) (*)Gold (Au) (*)Tungsten (W) (*)5) For each of the following metals, have you identified all of the smelters your company and its suppliers use to supply the products included within the declaration scope indicated above? (*)AnswerCommentsTantalum (Ta) (*)Tin (Sn) (*)Gold (Au) (*)Tungsten (W) (*)6) Have all of the smelters used by your company and its suppliers been validated as compliant in accordance with the Conflict -Free Smelter (CFS) Program and listed on the Compliant Smelter List for the following metals?

4 (*)AnswerCommentsTantalum (Ta) (*)1 Tin (Sn) (*)Gold (Au) (*)Tungsten (W) (*)1 QuestionAnswerA. Do you have a policy in place that includes DRC Conflict -free sourcing? (*)B. Is this policy publicly available on your website? (*)C. Do you require your direct suppliers to be DRC Conflict -free? (*)D. Do you require your direct suppliers to source from smelters validated as compliant to a CFS protocol using the CFS Compliant Smelter List? (*)E. Have you implemented due diligence measures for Conflict -free sourcing?

5 (*)F. Do you request your suppliers to fill out this Conflict Minerals Reporting Template ? (*)G. Do you request smelter names from your suppliers? (*)H. Do you verify due diligence information received from your suppliers? (*)I. Does your verification process include corrective action management? (*)J. Are you subject to the SEC Conflict Minerals disclosure requirement rule? (*)Comments and AttachmentsYesNoYesYes (documentation review only)YesNoYesNoUnwrittenNoRequested of suppliersRequested of suppliersNoLink to Terms & ConditionsA.

6 Company DeOrioPurchasing ManagerTo the best of our knowledgeTo the best of our knowledgeTo the best of our knowledgeTo the best of our knowledgeNoTo the best of our knowledgeConflict Minerals Reporting TemplateSwitchcraft, Inc. /Conxall5555 N. Elston Avenue, Chicago, Illinois 60630 USAM andatory 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 customersClick here to check required fields completionCompany InformationDescription of Scope.

7 The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and gold used in products20-Jun-2013 Answer the following questions 1 - 6 based on the declaration scope indicated aboveNoYesNoYesYesLink to "CFS Compliant Smelter List"Click here to enter smelter namesNoAnswer the Following Questions at a Company LevelRequested forms are collected and reviewedTo the best of our knowledgeYes all smelters have been providednote: SWC does not use smeltersnote: SWC does not use smeltersYesYes all smelters have been providedNoNoNo but > 75%No but > 75%EnglishRevision 2 Aug.

8 29th 2012 Metal (*)Smelter Reference List (*)Standard Smelter Names (*)Smelter Facility Location: Country (*)Smelter Facility Location: Street addressSmelter Facility Location: CitySmelter Facility Location: State / ProvinceSmelter Facility Contact NameSmelter Facility Contact EmailProposed next steps, if applicableName of Mine(s) or if recycled or scrap sourced, state recycled or scrapLocation (Country) of Mine(s) or if recycled or scrap sourced, state recycled or scrapComments2 PETinMinsurMinsurPERU1 CHGoldCodelcoCodelcoCHILE1 CAN050 GoldRoyal Canadian MintRoyal Canadian MintCANADA1 USA025 GoldJohnson Matthey IncJohnson Matthey IncUNITED STATES2 MYS016 TinMalaysia Smelting Corporation BerhadMalaysia Smelting CorpMALAYSIA2 THA046 TinThailand Smelting and Refining Co.

9 Tin Company LimitedYunnan Tin Company LimitedCHINA2 IDN027 TinPT Bangka Kudai Tin PT Bangka Kudai Tin INDONESIA2 CHN048 TinYunnan Tin Company LimitedYunnan Tin Company LimitedCHINA2 IDN042 TinPT TimahPT TimahINDONESIA2 BRA018 TinMinera o Taboca o Taboca Chengfeng Non-Ferrous Metals Co LtdYunnan ChengfengCHINA2 CHN011 TinGejiu Zili Metallurgy Zi-LiCHINA2 IDN030 TinPT Belitung Industri Sejahtera PT Belitung Industri Sejahtera INDONESIAS elect Language Preference Here: : : :S lectionner la langue pr f r e ici:Selecione Prefer ncia de idioma Aqui:W hlen sie hier die Sprache:Link to "CFS Compliant Smelter List"To begin:Step 1.

10 Select Metal in column BStep 2. Select from dropdown in column CStep 3. If dropdown selection is "Smelter Not Listed" complete columns D & EStep 4. Enter all available smelter information in columns F thru N


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