FCC ID A3LSMG5109
Mobile Phone
by Samsung Electronics Co Ltd
Grantee Code: A3L Product Code: SMG5109
Latest application date: 2014-10-28
FCC ID Device Details
| FCC ID | A3LSMG5109 |
|---|---|
| Mirrors | fcc.id | gov | fccid.ai |
| Grantee Code | A3L |
| Product Code | SMG5109 |
| Applicant Business | Samsung Electronics Co Ltd 🇺🇸 |
| Related Domains |  samsung.com  sporton.com.tw |
| Equipment Class | Mobile Phone |
| Test Firm | SPORTON INTERNATIONAL (Shenzhen) INC. |
Operating Frequencies
| Frequency Range | Application Purpose | Final Action Date |
|---|---|---|
| 826.4-846.6 MHz | Original Equipment | 2014-10-28 |
| 2402-2480 MHz | Original Equipment | 2014-10-28 |
| 2402-2480 MHz | Original Equipment | 2014-10-28 |
Exhibits
| Document | Type | Available | File |
|---|---|---|---|
| User Manual | Users Manual | 2015-04-22 | PDF 324.1 KB |
| Photos Internal | Internal Photos | 2015-04-22 | PDF 1.9 MB |
| Photos External | External Photos | 2015-04-22 | PDF 518.6 KB |
| Label | ID Label/Location Info | 2014-10-28 | PDF 30.1 KB |
| Label Letter | ID Label/Location Info | 2014-10-28 | PDF 38 KB |
| Label Location | ID Label/Location Info | 2014-10-28 | PDF 42.1 KB |
| Photos SAR | Test Setup Photos | 2015-04-22 | PDF 582.4 KB |
| Photos Test Setup | Test Setup Photos | 2015-04-22 | PDF 601.7 KB |
| Photos Test Setup | Test Setup Photos | 2015-04-22 | PDF 651.1 KB |
| Photos Test Setup 22H 24E | Test Setup Photos | 2015-04-22 | PDF 483.8 KB |
| Photos Test Setup 27 | Test Setup Photos | 2015-04-22 | PDF 578.2 KB |
| Photos Test Setup BT LE | Test Setup Photos | 2015-04-22 | PDF 628.3 KB |
| Photos Test Setup WLAN | Test Setup Photos | 2015-04-22 | PDF 628.3 KB |
| Test Report | Test Report | 2014-10-28 | PDF 436.3 KB |
| Test Report | Test Report | 2014-10-28 | PDF 1.1 MB |
| Test Report 22H 24E | Test Report | 2014-10-28 | PDF 2 MB |
| Test Report 27 | Test Report | 2014-10-28 | PDF 2.5 MB |
| Test Report BT LE | Test Report | 2014-10-28 | PDF 718.3 KB |
| Test Report WLAN | Test Report | 2014-10-28 | PDF 918.5 KB |
| Agent Letter | Cover Letter(s) | 2014-10-28 | PDF 44.3 KB |
| Confidentiality LT | Cover Letter(s) | 2014-10-28 | PDF 38.5 KB |
| Confidentiality Letter LT | Cover Letter(s) | 2014-10-28 | PDF 38.5 KB |
| Confidentiality Letter ST | Cover Letter(s) | 2014-10-28 | PDF 42.6 KB |
| Confidentiality ST | Cover Letter(s) | 2014-10-28 | PDF 42.6 KB |
| SAR Calibration | RF Exposure Info | 2014-10-28 | PDF 5 MB |
| SAR Calibration Acceptability Conditions | RF Exposure Info | 2014-10-28 | PDF 35.2 KB |
| SAR Plots | RF Exposure Info | 2014-10-28 | PDF 5 MB |
| SAR Plots | RF Exposure Info | 2014-10-28 | PDF 854.5 KB |
| SAR Plots System Check | RF Exposure Info | 2014-10-28 | PDF 461 KB |
| SAR Report | RF Exposure Info | 2014-10-28 | PDF 2.4 MB |
| SAR Validation | RF Exposure Info | 2014-10-28 | PDF 57.9 KB |
| Block Diagram Metadata only | Block Diagram | PDF 142.1 KB | |
| Schematic Metadata only | Schematics | PDF 403.8 KB | |
| Schematics Metadata only | Schematics | PDF 403.8 KB | |
| Antenna Spec Metadata only | Operational Description | PDF 1.8 MB | |
| Antenna Spec Metadata only | Operational Description | PDF 4.7 MB | |
| Operation Description Metadata only | Operational Description | PDF 806.3 KB | |
| Operational Description Metadata only | Operational Description | PDF 806.3 KB | |
| Parts List Metadata only | Parts List/Tune Up Info | PDF 17.8 KB | |
| Tune Up Metadata only | Parts List/Tune Up Info | PDF 171.7 KB | |
| Tune Up Metadata only | Parts List/Tune Up Info | PDF 139.7 KB |
Application Information
| Application ID | kuk6uCdy/EwnS3wAsMuN9Q== |
|---|---|
| Final Action Date | 2014-10-28 |
| Application Purpose | Original Equipment |
| Applicant FRN | 0005810205 |
| Model | SMG5109 |
| Frequency Range | 826.4-846.6 MHz |
| Equipment Class | PCE - PCS Licensed Transmitter held to ear |
| Device Description | Mobile Phone |
| Responsible Party | Jenni Chun, General Manager, j1.chun@samsung.com , 973-808-6375 |
| Technical Contact | Jones Tsai, Sporton International Inc., Evanchen@sporton.com.tw , Irenechung@sporton.com.tw , 886-3-327-3456 |
| Non-Technical Contact | Jones Tsai, Sporton International Inc., Evanchen@sporton.com.tw , Irenechung@sporton.com.tw , 886-3-327-3456 |
| Test Firm | Michael Lin, SPORTON INTERNATIONAL (Shenzhen) INC., michael@sporton.com.tw , 86-755-86379589 |
| TCB Email | LST.FRE.CertNotice@ul.com  |
| TCB Scope | B1: Commercial mobile radio services equipment in the following 47 CFR Parts 20, 22 (cellular), 24,25 (below 3 GHz) & 27 |
| Short-Term Confidentiality | Yes |
| Short-Term Confidentiality Date | 04/22/2015 |
| Long-Term Confidentiality | Yes |
| Grant Deferral | No |
| Modular Equipment | Does not apply |
| Composite Device | Yes |
| 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 | Output power listed is ERP for operation below 1GHz and EIRP for operation above 1 GHz. Values listed for LTE operation are for highest power and widest bandwidth for each band and modulation. This device supports 5, 10, 15 and 20 MHz bandwidths for Band 41 (2496-2690 MHz Part 27). SAR compliance for body-worn accessory operation is based on a separation distance of 1.0 cm between the unit and the body of the user. Belt clips, holsters and other body-worn accessories may not contain metallic components. End-users must be informed of the body worn operating requirements for satisfying RF exposure compliance. The highest reported SAR values for head, body-worn, hot-spot and simultaneous transmission exposure conditions are 1.07 W/Kg, 1.03 W/Kg, 1.03 W/Kg and 1.27 W/Kg respectively. This device also contains functions that are not operational in U.S. Territories. This filing is only applicable for US operations. |
Applications
| Application ID | Date | Purpose |
|---|---|---|
| kuk6uCdy/EwnS3wAsMuN9Q== | 2014-10-28 | Original Equipment |
| i7GGsNHDapQ6Lv6qbwLOdQ== | 2014-10-28 | Original Equipment |
| b/yofvPZoBVFJxQK2LVK7A== | 2014-10-28 | Original Equipment |
| D1sMpgPTz+8k4uD+v7AI4A== | 2014-10-28 | Original Equipment |
Equipment Authorization
| Frequency | Output | Tolerance | Emission | Rules | Grant Notes |
|---|---|---|---|---|---|
| 826.4-846.6 MHz | 0.0619 | 2.5ppm | 4M15F9W | 22H | |
| 1850.2-1909.8 MHz | 1.1066 | 2.5ppm | 250KGXW | 24E | |
| 1850.2-1909.8 MHz | 0.5483 | 2.5ppm | 247KG7W | 24E | |
| 1852.4-1907.6 MHz | 0.2523 | 2.5ppm | 4M17F9W | 24E | |
| 2402-2480 MHz | 0.0123000 | 15C | CC | ||
| 2402-2480 MHz | 0.0017 | 15C | CC | ||
| 2412-2462 MHz | 0.1279 | 15C | CC | ||
| 2498.5-2687.5 MHz | 0.0603 | 2.5ppm | 4M50W7D | 27 | |
| 2503.5-2682.5 MHz | 0.0762 | 2.5ppm | 13M5G7D | 27 | |
| 2506-2680 MHz | 0.0682 | 2.5ppm | 18M4G7D | 27 | |
| 2506-2680 MHz | 0.0565 | 2.5ppm | 18M4W7D | 27 |
Grants
TCB Grant - Application kuk6uCdy/EwnS3wAsMuN9Q==
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
UL Verification Services Inc. (formerly UL CCS) 47173 Benicia Street Fremont, CA 94538 |
Date of Grant: 10/28/2014 Application Dated: 10/28/2014 |
| Samsung Electronics Co Ltd |
| 19 Chapin Rd., Building D |
| Pine Brook, NJ 07058 |
| Attention: Jenni Chun , General Manager |
| 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: | A3LSMG5109 |
| Name of Grantee: | Samsung Electronics Co Ltd |
| Equipment Class: | PCS Licensed Transmitter held to ear |
| Notes: | Mobile Phone |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 22H | 826.4 - 846.6 | 0.0619 | 2.5 PM | 4M15F9W | |
| 24E | 1850.2 - 1909.8 | 1.1066 | 2.5 PM | 250KGXW | |
| 24E | 1850.2 - 1909.8 | 0.5483 | 2.5 PM | 247KG7W | |
| 24E | 1852.4 - 1907.6 | 0.2523 | 2.5 PM | 4M17F9W | |
| 27 | 2506.0 - 2680.0 | 0.0682 | 2.5 PM | 18M4G7D | |
| 27 | 2506.0 - 2680.0 | 0.0565 | 2.5 PM | 18M4W7D | |
| 27 | 2503.5 - 2682.5 | 0.0762 | 2.5 PM | 13M5G7D | |
| 27 | 2498.5 - 2687.5 | 0.0603 | 2.5 PM | 4M50W7D |
| Output power listed is ERP for operation below 1GHz and EIRP for operation above 1 GHz. Values listed for LTE operation are for highest power and widest bandwidth for each band and modulation. This device supports 5, 10, 15 and 20 MHz bandwidths for Band 41 (2496-2690 MHz Part 27). SAR compliance for body-worn accessory operation is based on a separation distance of 1.0 cm between the unit and the body of the user. Belt clips, holsters and other body-worn accessories may not contain metallic components. End-users must be informed of the body worn operating requirements for satisfying RF exposure compliance. The highest reported SAR values for head, body-worn, hot-spot and simultaneous transmission exposure conditions are 1.07 W/Kg, 1.03 W/Kg, 1.03 W/Kg and 1.27 W/Kg respectively. This device also contains functions that are not operational in U.S. Territories. This filing is only applicable for US operations. |
EAS Grant - Application kuk6uCdy/EwnS3wAsMuN9Q==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Samsung Electronics Co Ltd 19 Chapin Rd., Building D Pine Brook, NJ 07058 United States |
Date of Grant: 10/28/2014 Application Dated: 10/28/2014 |
| Attention: Jenni Chun , General Manager |
| 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: | A3LSMG5109 |
| Name of Grantee: | Samsung Electronics Co Ltd |
| Equipment Class: | PCS Licensed Transmitter held to ear |
| Notes: | Mobile Phone |
| Modular Type: | Does not apply |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 22H | 826.4 - 846.6 | 0.0619 | 2.5 PM | 4M15F9W | |
| 24E | 1850.2 - 1909.8 | 1.1066 | 2.5 PM | 250KGXW | |
| 24E | 1850.2 - 1909.8 | 0.5483 | 2.5 PM | 247KG7W | |
| 24E | 1852.4 - 1907.6 | 0.2523 | 2.5 PM | 4M17F9W | |
| 27 | 2506.0 - 2680.0 | 0.0682 | 2.5 PM | 18M4G7D | |
| 27 | 2506.0 - 2680.0 | 0.0565 | 2.5 PM | 18M4W7D | |
| 27 | 2503.5 - 2682.5 | 0.0762 | 2.5 PM | 13M5G7D | |
| 27 | 2498.5 - 2687.5 | 0.0603 | 2.5 PM | 4M50W7D |
| Output power listed is ERP for operation below 1GHz and EIRP for operation above 1 GHz. Values listed for LTE operation are for highest power and widest bandwidth for each band and modulation. This device supports 5, 10, 15 and 20 MHz bandwidths for Band 41 (2496-2690 MHz Part 27). SAR compliance for body-worn accessory operation is based on a separation distance of 1.0 cm between the unit and the body of the user. Belt clips, holsters and other body-worn accessories may not contain metallic components. End-users must be informed of the body worn operating requirements for satisfying RF exposure compliance. The highest reported SAR values for head, body-worn, hot-spot and simultaneous transmission exposure conditions are 1.07 W/Kg, 1.03 W/Kg, 1.03 W/Kg and 1.27 W/Kg respectively. This device also contains functions that are not operational in U.S. Territories. This filing is only applicable for US operations. |
| Mail To: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
UL Verification Services Inc. (formerly UL CCS) 47173 Benicia Street Fremont, CA 94538 |
Date of Grant: 10/28/2014 Application Dated: 10/28/2014 |
| Samsung Electronics Co Ltd |
| 19 Chapin Rd., Building D |
| Pine Brook, NJ 07058 |
| Attention: Jenni Chun , General Manager |
| 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: | A3LSMG5109 |
| Name of Grantee: | Samsung Electronics Co Ltd |
| Equipment Class: | Part 15 Spread Spectrum Transmitter |
| Notes: | Mobile Phone |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC | 15C | 2402.0 - 2480.0 | 0.0123 |
| Power output listed is conducted. SAR compliance for body-worn accessory operation is based on a separation distance of 1.0 cm between the unit and the body of the user. Belt clips, holsters and other body-worn accessories may not contain metallic components. End-users must be informed of the body worn operating requirements for satisfying RF exposure compliance. The highest reported SAR values for head, body-worn, hot-spot and simultaneous transmission exposure conditions are <0.1 W/Kg, <0.1 W/Kg, <0.1 W/Kg and 1.08 W/Kg respectively. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
EAS Grant - Application i7GGsNHDapQ6Lv6qbwLOdQ==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Samsung Electronics Co Ltd 19 Chapin Rd., Building D Pine Brook, NJ 07058 United States |
Date of Grant: 10/28/2014 Application Dated: 10/28/2014 |
| Attention: Jenni Chun , General Manager |
| 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: | A3LSMG5109 |
| Name of Grantee: | Samsung Electronics Co Ltd |
| Equipment Class: | Part 15 Spread Spectrum Transmitter |
| Notes: | Mobile Phone |
| Modular Type: | Does not apply |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC | 15C | 2402.0 - 2480.0 | 0.0123 |
| Power output listed is conducted. SAR compliance for body-worn accessory operation is based on a separation distance of 1.0 cm between the unit and the body of the user. Belt clips, holsters and other body-worn accessories may not contain metallic components. End-users must be informed of the body worn operating requirements for satisfying RF exposure compliance. The highest reported SAR values for head, body-worn, hot-spot and simultaneous transmission exposure conditions are <0.1 W/Kg, <0.1 W/Kg, <0.1 W/Kg and 1.08 W/Kg respectively. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
| Mail To: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
UL Verification Services Inc. (formerly UL CCS) 47173 Benicia Street Fremont, CA 94538 |
Date of Grant: 10/28/2014 Application Dated: 10/28/2014 |
| Samsung Electronics Co Ltd |
| 19 Chapin Rd., Building D |
| Pine Brook, NJ 07058 |
| Attention: Jenni Chun , General Manager |
| 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: | A3LSMG5109 |
| Name of Grantee: | Samsung Electronics Co Ltd |
| Equipment Class: | Digital Transmission System |
| Notes: | Mobile Phone |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC | 15C | 2412.0 - 2462.0 | 0.1279 | ||
| CC | 15C | 2402.0 - 2480.0 | 0.0017 |
| Power output listed is conducted. This device supports bandwidths of 20MHz for 802.11n mode. SAR compliance for body-worn accessory operation is based on a separation distance of 1.0 cm between the unit and the body of the user. Belt clips, holsters and other body-worn accessories may not contain metallic components. End-users must be informed of the body worn operating requirements for satisfying RF exposure compliance. The highest reported SAR values for head, body-worn, hot-spot and simultaneous transmission exposure conditions are 0.32 W/Kg, 0.23 W/Kg, 0.23 W/Kg and 1.27 W/Kg respectively. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
EAS Grant - Application D1sMpgPTz+8k4uD+v7AI4A==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Samsung Electronics Co Ltd 19 Chapin Rd., Building D Pine Brook, NJ 07058 United States |
Date of Grant: 10/28/2014 Application Dated: 10/28/2014 |
| Attention: Jenni Chun , General Manager |
| 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: | A3LSMG5109 |
| Name of Grantee: | Samsung Electronics Co Ltd |
| Equipment Class: | Digital Transmission System |
| Notes: | Mobile Phone |
| Modular Type: | Does not apply |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC | 15C | 2412.0 - 2462.0 | 0.1279 | ||
| CC | 15C | 2402.0 - 2480.0 | 0.0017 |
| Power output listed is conducted. This device supports bandwidths of 20MHz for 802.11n mode. SAR compliance for body-worn accessory operation is based on a separation distance of 1.0 cm between the unit and the body of the user. Belt clips, holsters and other body-worn accessories may not contain metallic components. End-users must be informed of the body worn operating requirements for satisfying RF exposure compliance. The highest reported SAR values for head, body-worn, hot-spot and simultaneous transmission exposure conditions are 0.32 W/Kg, 0.23 W/Kg, 0.23 W/Kg and 1.27 W/Kg respectively. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
| Mail To: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
UL Verification Services Inc. (formerly UL CCS) 47173 Benicia Street Fremont, CA 94538 |
Date of Grant: 10/28/2014 Application Dated: 10/28/2014 |
| Samsung Electronics Co Ltd |
| 19 Chapin Rd., Building D |
| Pine Brook, NJ 07058 |
| Attention: Jenni Chun , General Manager |
| 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: | A3LSMG5109 |
| Name of Grantee: | Samsung Electronics Co Ltd |
| Equipment Class: | Part 15 Class B Computing Device Peripheral |
| Notes: | Mobile Phone |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15B | - |
EAS Grant - Application b/yofvPZoBVFJxQK2LVK7A==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Samsung Electronics Co Ltd 19 Chapin Rd., Building D Pine Brook, NJ 07058 United States |
Date of Grant: 10/28/2014 Application Dated: 10/28/2014 |
| Attention: Jenni Chun , General Manager |
| 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: | A3LSMG5109 |
| Name of Grantee: | Samsung Electronics Co Ltd |
| Equipment Class: | Part 15 Class B Computing Device Peripheral |
| Notes: | Mobile Phone |
| Modular Type: | Does not apply |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15B | - |
| Mail To: |