INTRO Document Version: 02 / Date: 11-08-2016 PPAP Submission Workbook Document Version: 02 / Date: 11-08-2016 PART PART NAME 21.5 Touch Panel with LCD PART NUMBER AAA29501AG1 REVISION NUMBER none ENGINEERING CHANGE NOTICE none ECN EFFECTIVE DATE none PPAP REQUEST DATE 2017-03-01 PPAP IDENTIFICATION NUMBER PPAP LEVEL REQUESTED PART NUMBER(S) FOR REQUESTED FAI SAMPLES ADDITIONAL COMMENTS and/or REQUIREMENTS SUPPLIER INFORMATION SUPPLIER NAME Wells-Gardner SUPPLIER VENDOR CODE none STREET ADDRESS 16W281 S Frontage Road CITY Burr Ridge STATE IL ZIP 60527 COUNTRY USA PRIMARY CONTACT PHONE NUMBER 630-819-8206 BACK-UP CONTACT PHONE NUMBER SUPPLIER PPAP CONTACT NAME Jeff Gardner SUPPLIER CONTACT E-MAIL ADDRESS jgardner@wellsgardner OTIS INFORMATION OTIS SQE OTIS SQE E-MAIL ADDRESS SQE PHONE OTIS CM OTIS CM E-MAIL ADDRESS CM PHONE OTIS BUYER OTIS BUYER E-MAIL ADDRESS