Conflict Minerals Reporting Template											
	"Select Language Preference Here:
请选择你的语言:
사용할 언어를 선택하시오 :
表示言語をここから選択してください:
Sélectionner la langue préférée ici:
Selecione Preferência de idioma Aqui:
Wählen sie hier die Sprache:
Seleccione el lenguaje de preferencia aqui:
Selezionare la lingua di preferenza qui:"		English		Click here to check required fields completion				"Revision 2.03a
July 25th, 2013"					
	The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and gold used in products							Link to Terms & Conditions						
														
	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 (*):		Key Tronic Corporation											
	Declaration Scope (*):		A. Company Level											
	Description of Scope:													
														
	Company Unique Identifier:													
	Address:		"Key Tronic Corporation 
Research & Administration
4424 N. Sullivan Rd.
Spokane Valley, WA 99216"											
	Authorized Company Representative Name (*):		Lawrence Bostwick											
	Representative Title:		Vice President of Quality and Regulatory Affairs											
	Representative Email (*):		lbostwick@keytronicems.com											
	Representative Phone:		509-927-5388											
	Date of Completion (*):		21-Sep-2013											
														
	Answer the following questions 1 - 6 based on the declaration scope indicated above													
	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? (*)		Answer			Comments					"

"			
	Tantalum  (*)		Yes											
	Tin  (*)		Yes											
	Gold  (*)		Yes											
	Tungsten  (*)		Yes											
														
	2) Do the following metals (necessary to the functionality or production of your company's products) originate from the DRC or an adjoining country? (*)		Answer			Comments					"
"			
	Tantalum  (*)		Uncertain or Unknown											
	Tin  (*)		Uncertain or Unknown											
	Gold  (*)		Uncertain or Unknown											
	Tungsten  (*)		Uncertain or Unknown											
														
	3) Do the following metals (necessary to the functionality or production of your products) come from a recycler or scrap supplier? (*)		Answer			Comments					"
"			
	Tantalum  (*)		Uncertain or Unknown											
	Tin  (*)		Uncertain or Unknown											
	Gold  (*)		Uncertain or Unknown											
	Tungsten  (*)		Uncertain or Unknown											
														
	4) Have you received completed Conflict Minerals Reporting Templates from all of your suppliers? (*)		Answer			Comments	Click here to enter smelter names				"
"			
	Tantalum  (*)		No but > 50%											
	Tin  (*)		No but > 50%											
	Gold  (*)		No but > 50%											
	Tungsten  (*)		No but > 50%											
														
	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? (*)		Answer			Comments	Click here to enter smelter names				"

"			
	Tantalum  (*)		No			Only the smelters listed from supplier information to date								
	Tin  (*)		No			Only the smelters listed from supplier information to date								
	Gold  (*)		No			Only the smelters listed from supplier information to date								
	Tungsten  (*)		No			Only the smelters listed from supplier information to date								
														
	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? (*)		Answer			Comments	Link to "CFS Compliant Smelter List"				"

"			
	Tantalum  (*)		Unknown			To date we have not confirmed every smelter from every supplier yet								
	Tin  (*)		Unknown			To date we have not confirmed every smelter from every supplier yet								
	Gold  (*)		Unknown			To date we have not confirmed every smelter from every supplier yet								
	Tungsten  (*)		Unknown			To date we have not confirmed every smelter from every supplier yet								
														
	Answer the Following Questions at a Company Level													
	Question		Answer			Comments	#VALUE!	#VALUE!						
	A. Do you have a policy in place that includes DRC conflict-free sourcing? (*)		Yes								"
"			
														
	B. Is this policy publicly available on your website? (*)		Yes								"
"			
														
	C. Do you require your direct suppliers to be DRC conflict-free? (*)		Yes			Contract language to be updated.					"
"			
														
	D. Do you require your direct suppliers to source from smelters validated as compliant to a CFS protocol using the CFS Compliant Smelter List? (*)		Planned once lists become available								"

"			
														
	E. Have you implemented due diligence measures for conflict-free sourcing? (*)		Yes								"
"			
														
	F. Do you request your suppliers to fill out this Conflict Minerals Reporting Template? (*)		Yes								"
"			
														
	G. Do you request smelter names from your suppliers? (*)		Yes								"
"			
														
	H. Do you verify due diligence information received from your suppliers? (*)		No			Not at this time.					"

"			
														
	I. Does your verification process include corrective action management? (*)		No			Not at this time.					"
"			
														
	J. Are you subject to the SEC Conflict Minerals disclosure requirement rule? (*)		Yes								"
"			
	Click here to check required fields completion													
© 2011 Electronic Industry Citizenship Coalition, Incorporated and Global e-Sustainability Initiative. All rights reserved.														
														
														

 davido.extraxim@gmail.com