FCC ID 2ASL3-FSG100
Swimming goggles with heads-up display w/ Bluetooth Low Energy capability.
by Form Athletica
Grantee Code: 2ASL3 Product Code: FSG100
Latest application date: 2019-05-08
FCC ID Device Details
| FCC ID | 2ASL3-FSG100 |
|---|---|
| Mirrors | fcc.id | gov | fccid.ai |
| Grantee Code | 2ASL3 |
| Product Code | FSG100 |
| Applicant Business | Form Athletica 🇨🇦 |
| Related Domains |  formathletica.com |
| Equipment Class | Swimming goggles with heads-up display w/ Bluetooth Low Energy capability. |
| Test Firm | QAI LABORATORIES LTD. |
Operating Frequencies
| Frequency Range | Application Purpose | Final Action Date |
|---|---|---|
| 2402-2480 MHz | Original Equipment | 2019-05-08 |
Exhibits
| Document | Type | Available | File |
|---|---|---|---|
| User Manual Blocked | Users Manual | 2019-11-04 | PDF 507.5 KB |
| Internal Photos Blocked | Internal Photos | 2019-11-04 | PDF 1.1 MB |
| External Photos Blocked | External Photos | 2019-11-04 | PDF 744.8 KB |
| Justification for Label Location | Cover Letter(s) | 2019-05-08 | PDF 36.2 KB |
| Label Location | ID Label/Location Info | 2019-05-08 | PDF 217.3 KB |
| Label Sample | ID Label/Location Info | 2019-05-08 | PDF 970.6 KB |
| Test Setup Photos | Test Setup Photos | 2019-11-04 | PDF 374.6 KB |
| Test Report | Test Report | 2019-05-08 | PDF 2.3 MB |
| Confidentiality Request Letter | Cover Letter(s) | 2019-05-08 | PDF 88.5 KB |
| Confidentiality Request Letter Short Term | Cover Letter(s) | 2019-05-08 | PDF 143.7 KB |
| POA | Cover Letter(s) | 2019-05-08 | PDF 756.9 KB |
| Block Diagram Metadata only | Block Diagram | PDF 44.9 KB | |
| Schematics Metadata only | Schematics | PDF 2.6 MB | |
| Operational Description Metadata only | Operational Description | PDF 310.2 KB | |
| Operational Description Antenna Info Metadata only | Operational Description | PDF 293.9 KB | |
| BOM Metadata only | Parts List/Tune Up Info | PDF 35.5 KB |
Application Information
| Application ID | K2Jqm35mHzpS8Pukd0A2QA== |
|---|---|
| Final Action Date | 2019-05-08 |
| Application Purpose | Original Equipment |
| Applicant FRN | 0028285013 |
| Model | FSG100 |
| Frequency Range | 2402-2480 MHz |
| Equipment Class | DTS - Digital Transmission System |
| Device Description | Swimming goggles with heads-up display w/ Bluetooth Low Energy capability. |
| Responsible Party | David Degraaf, david@formathletica.com , 6048172762 |
| Test Firm | Parminder Singh, QAI LABORATORIES LTD., psingh@qai.org  , 604-527-8378 |
| TCB Email | tei@timcoengr.com  |
| TCB Scope | A4: UNII devices & low power transmitters using spread spectrum techniques |
| Short-Term Confidentiality | Yes |
| Short-Term Confidentiality Date | 11/04/2019 |
| Long-Term Confidentiality | Yes |
| Grant Deferral | No |
| Modular Equipment | Does not apply |
| Composite Device | No |
| Composite Part | No |
| Cognitive Radio | No |
| Authorization Waiver | No |
| Authorization Waiver Approved | No |
| Section 5301 Certification | Yes |
| Related OET Knowledge DataBase Inquiry | No |
| Grant Comments | Power listed is conducted. |
Applications
| Application ID | Date | Purpose |
|---|---|---|
| K2Jqm35mHzpS8Pukd0A2QA== | 2019-05-08 | Original Equipment |
Equipment Authorization
| Frequency | Output | Rules |
|---|---|---|
| 2402-2480 MHz | 0.0032800 | 15C |
Grants
TCB Grant - Application K2Jqm35mHzpS8Pukd0A2QA==
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
Timco Engineering, Inc. 849 NW State Road 45 Newberry, FL 32669 |
Date of Grant: 05/08/2019 Application Dated: 05/08/2019 |
| Form Athletica |
| 1090 Homer Street Suite 200 |
| Vancouver, Canada |
| Attention: David Degraaf |
| NOT TRANSFERABLE |
| EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below. |
| FCC IDENTIFIER: | 2ASL3-FSG100 |
| Name of Grantee: | Form Athletica |
| Equipment Class: | Digital Transmission System |
| Notes: | Swimming goggles with heads-up display w/ Bluetooth Low Energy capability. |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.00328 |
| Power listed is conducted. |
EAS Grant - Application K2Jqm35mHzpS8Pukd0A2QA==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Form Athletica 1090 Homer Street Suite 200 Vancouver, Canada |
Date of Grant: 05/08/2019 Application Dated: 05/08/2019 |
| Attention: David Degraaf |
| NOT TRANSFERABLE |
| EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below. |
| FCC IDENTIFIER: | 2ASL3-FSG100 |
| Name of Grantee: | Form Athletica |
| Equipment Class: | Digital Transmission System |
| Notes: | Swimming goggles with heads-up display w/ Bluetooth Low Energy capability. |
| Modular Type: | Does not apply |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.00328 |
| Power listed is conducted. |
| Mail To: |