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Fiscal Year 2020

CERTIFICATE OF FDA REGISTRATION

This certifies that: ZhongShan Excellent Artisan Clothing Technology Co.,Ltd


NO.367 JiuZhou Road,XiaoLan Town, ZhongShan, Guangdong, 528415, CHINA

has completed the FDA Establishment Registration and Device Listing with the US Food
&Drug Administration, through from a 3rd party registrant.

Owner/Operator Number: 10063010


Registration Number:Waiting

Device Listing#:
Listing No. Code: Proprietary Name: Activities:
D375083 LYU Disposable mask Manufacturer

will confirm that such registration remains effective upon request and presentation ofthis certificate until the end of the
calendar year stated above, unless said registration is terminated afterissuance of this certificate. 3rd party registrant makes
no other representations or warranties, nor does thiscertificate make any representations or warranties to any person or entity
other than the named certificate holder, for whose sole benefit it is issued. This certificate does not denote endorsement or
approval of thecertificate-holder's device or establishment by the U.S. Food and Drug Administration. 3rd party registrant
assumes no liabilty to any person or entity in connection with the foregoing.
Pursuant to21 CFR 807.39,“Registration of a device establishment or assignment of a registration number doesnot in any
way denote approval of the establishment or its products. Any representation that creates animpression of ffcial approval
because of registration or possession of a registration number is misleading and constitutes misbranding.”
The U.S.Food and Drug Administration does not issue a certificate of registration, nor does the U.S Food andDrug
Administration recognize a certificate of registration, U3rd party registrant is not afiliated with the U.S. Food and Drug
Administration.

U.S. Agent
Contact Name: Ziyu Lu
Address: 8934 Gettysburg St Bellerose, NY 11426 U.S.A
Phone: 1-646-2230128
E-mail: Lu.FDAmanage@gmail.com

Issued Date: March 24, 2020


Expiration Date: December 31, 2020

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