FCC ID 2BGAI-8930-8935

WF-M920T-USX1

by Pure Forms LLC

Grantee Code: 2BGAI   Product Code: 89308935
Latest application date: 2024-08-09

FCC ID Device Details

FCC ID2BGAI-8930-8935
Mirrorsfcc.id | gov | fccid.ai
Grantee Code2BGAI
Product Code89308935
Applicant BusinessPure Forms LLC 🇺🇸
Related Domains pureforms.com
Equipment ClassWF-M920T-USX1
Test FirmIntertek Testing Services (Shanghai FTZ) Co., Ltd.

Operating Frequencies

Frequency RangeApplication PurposeFinal Action Date
0.111-0.205 MHzOriginal Equipment2024-08-09
24058 MHzOriginal Equipment2024-08-09

Exhibits

DocumentTypeAvailableFile
User manualUsers Manual2024-08-09PDF 4.3 MB
Internal photoInternal Photos2024-08-09PDF 4.7 MB
External PhotosExternal Photos2024-08-09PDF 248.2 KB
Label and locationID Label/Location Info2024-08-09PDF 197.9 KB
Test Setup Photos for 24GTest Setup Photos2024-08-09PDF 731 KB
Test Setup Photos for wireless charger rev1Test Setup Photos2024-08-09PDF 995.6 KB
Antenna Declaration LetterTest Report2024-08-09PDF 34.1 KB
Report_15.249 rev2Test Report2024-08-09PDF 812.8 KB
Report_FCC Part 15CTest Report2024-08-09PDF 589.1 KB
ACB-FORM-FCC-Application-Letters-Covered-List-AttestationAttestation Statements2024-08-09PDF 230.7 KB
ACB-FORM-FCC-Application-Letters-U.S.-Agent-Letter-for-Service-of-ProcessAttestation Statements2024-08-09PDF 215.5 KB
ACB-FORM-FCC-Application-Letters-Confidentiality-LetterCover Letter(s)2024-08-09PDF 378.3 KB
ACB-Form-FCC-Application-Letters AgentCover Letter(s)2024-08-09PDF 283.6 KB
Cover Letter for Wireless ChargerCover Letter(s)2024-08-09PDF 457.3 KB
Report_FCC Part 15C_MPE rev1RF Exposure Info2024-08-09PDF 351.8 KB
Report_FCC_MPERF Exposure Info2024-08-09PDF 347.4 KB
Confidential_24G Block diagram Metadata onlySchematicsPDF 132.8 KB
Confidential_Block diagram Metadata onlyBlock DiagramPDF 111.9 KB
Confidential_Schematics Metadata onlySchematicsPDF 555.3 KB
Confidential_Operation description rev2 Metadata onlyOperational DescriptionPDF 1.3 MB

Application Information

Application IDFNqGXQM7bSinqBX9tOca9w==
Final Action Date2024-08-09
Application PurposeOriginal Equipment
Applicant FRN0035360775
Model8930-8935
Frequency Range0.111-0.205 MHz
Equipment ClassDCD - Part 15 Low Power Transmitter Below 1705 kHz
Device DescriptionWF-M920T-USX1
Responsible PartyBen Lang Mathews, Owner, BEN@PUREFORMS.COM , 210 219 9070
AgentDylan Dylan Dylan, Intertek Testing Services Limited Shanghai, Dylan.tang@intertek.com , 02161278265
Technical ContactDylan Tang, Intertek Testing Services Limited Shanghai, Dylan.tang@intertek.com , 02161278265
Test FirmLeah Xu, Intertek Testing Services (Shanghai FTZ) Co., Ltd., leah.xu@intertek.com , +86 21 61278200
TCB Emailhotline@acbcert.com
TCB ScopeA1: Low Power Transmitters below 1 GHz (except Spread Spectrum), Unintentional Radiators, EAS (Part 11) & Consumer ISM devices
Short-Term ConfidentialityNo
Long-Term ConfidentialityYes
Grant DeferralNo
Modular EquipmentDoes not apply
Composite DeviceYes
Composite PartNo
Cognitive RadioNo
Authorization WaiverNo
Authorization Waiver ApprovedNo
Section 5301 CertificationYes
Related OET Knowledge DataBase InquiryNo

Applications

Application IDDatePurpose
FNqGXQM7bSinqBX9tOca9w==2024-08-09Original Equipment
0N2DdF8aXWCfl4a+uCEUjQ==2024-08-09Original Equipment

Equipment Authorization

FrequencyRulesGrant Notes
0.111-0.205 MHz15CCC
24058 MHz15CCC

Grants

TCB Grant - Application FNqGXQM7bSinqBX9tOca9w==

TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  ACB, Inc.
313 Park Avenue Suite 300
Falls Church, VA 22046
Date of Grant: 08/09/2024

Application Dated: 08/08/2024
Pure Forms LLC
4744 Center Park
San Antonio, TX 78218
 
Attention: Ben Mathews , Owner

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:  2BGAI-8930-8935
Name of Grantee:  Pure Forms LLC
Equipment Class: Part 15 Low Power Transmitter Below 1705 kHz
Notes: WF-M920T-USX1
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 0.111  -  0.205  


CC: This device is certified pursuant to two different Part 15 rules sections.

EAS Grant - Application FNqGXQM7bSinqBX9tOca9w==

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

Pure Forms LLC
4744 Center Park
San Antonio, TX 78218
United States
  Date of Grant: 08/09/2024

Application Dated: 08/08/2024
 
Attention: Ben Mathews , Owner

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:  2BGAI-8930-8935
Name of Grantee:  Pure Forms LLC
Equipment Class: Part 15 Low Power Transmitter Below 1705 kHz
Notes: WF-M920T-USX1
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 0.111  -  0.205  


CC: This device is certified pursuant to two different Part 15 rules sections.

TCB Grant - Application 0N2DdF8aXWCfl4a+uCEUjQ==

Mail To:
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  ACB, Inc.
313 Park Avenue Suite 300
Falls Church, VA 22046
Date of Grant: 08/09/2024

Application Dated: 08/08/2024
Pure Forms LLC
4744 Center Park
San Antonio, TX 78218
 
Attention: Ben Mathews , Owner

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:  2BGAI-8930-8935
Name of Grantee:  Pure Forms LLC
Equipment Class: Part 15 Low Power Communication Device Transmitter
Notes: WF-M920T-USX1
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 24058.0  -  24058.0  


CC: This device is certified pursuant to two different Part 15 rules sections.

EAS Grant - Application 0N2DdF8aXWCfl4a+uCEUjQ==

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

Pure Forms LLC
4744 Center Park
San Antonio, TX 78218
United States
  Date of Grant: 08/09/2024

Application Dated: 08/08/2024
 
Attention: Ben Mathews , Owner

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:  2BGAI-8930-8935
Name of Grantee:  Pure Forms LLC
Equipment Class: Part 15 Low Power Communication Device Transmitter
Notes: WF-M920T-USX1
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 24058.0  -  24058.0  


CC: This device is certified pursuant to two different Part 15 rules sections.

Mail To: