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DOCUMENT TITLE Conflict Minerals Reporting TemplateSHEET1 of 8 REVISION HISTORY A change in the first digit of the revision number (e.g., 1.0 to 2.0) signifies a set of major improvements have occurred

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How to fill out conflict minerals report

01

Identify the conflict minerals used in your products.

02

Determine the country of origin of the conflict minerals.

03

Conduct due diligence to determine if the conflict minerals are sourced from conflict-affected or high-risk areas.

04

Prepare a Conflict Minerals Report that includes a description of your due diligence efforts and conclusions.

05

Submit the Conflict Minerals Report to the relevant authorities.

Who needs conflict minerals report?

01

Companies that are subject to the reporting requirements of the Dodd-Frank Wall Street Reform and Consumer Protection Act.

02

Companies that manufacture products containing conflict minerals such as tin, tantalum, tungsten, and gold.

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What is conflict minerals report?

The conflict minerals report is a disclosure that companies are required to file with the Securities and Exchange Commission (SEC) detailing whether their products contain minerals sourced from conflict-affected regions.

Who is required to file conflict minerals report?

Companies that are publicly traded in the United States and use conflict minerals in their products are required to file a conflict minerals report.

How to fill out conflict minerals report?

Companies must conduct due diligence to determine the source of the conflict minerals in their products, provide a description of their due diligence efforts, and disclose whether the minerals originated from conflict-affected regions.

What is the purpose of conflict minerals report?

The purpose of the conflict minerals report is to help prevent the financing of armed groups in conflict-affected regions by increasing transparency and accountability in supply chains.

What information must be reported on conflict minerals report?

Companies must report on the source and chain of custody of conflict minerals, their due diligence process, any smelters or refiners used, and the results of their due diligence efforts.

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