FCC ID A3LSMR500

A3L-SMR500, A3L SMR500, A3LSMR500, A3LSMR5OO, A3L5MR500, A3LSMRS00

Samsung Electronics Co Ltd DTS b/g/n Wrist device and BT/BLE SMR500

An FCC ID is the product ID assigned by the FCC to identify wireless products in the market. The FCC chooses 3 or 5 character "Grantee" codes to identify the business that created the product. For example, the grantee code for FCC ID: A3LSMR500 is A3L. The remaining characters of the FCC ID, SMR500, are often associated with the product model, but they can be random. These letters are chosen by the applicant. In addition to the application, the FCC also publishes internal images, external images, user manuals, and test results for wireless devices. They can be under the "exhibits" tab below.

Purchase on Amazon: DTS b/g/n Wrist device and BT/BLE

App # Purpose Date Unique ID
1 Original Equipment 2019-01-23 zSwqCfGoGNBhzaBUSHBQ9g==
2 Original Equipment 2019-01-23 G0MSonVXE+p1asvc6yH3QA==
3 Original Equipment 2019-01-23 7Ej9i+Y6WUCCPAzbGeJi3Q==

Operating Frequencies

Frequency RangePower OutputRule PartsGrant Notes App #
15BCC 3.1
2.402-2.48 GHz Bluetooth40 mW15CCC 1.1
2.402-2.48 GHz Bluetooth6.5 mW15CCC 2.1
2.412-2.472 GHz 2.4 GHz WiFi58 mW15CCC 2.2

Exhibits

Available Exhibits

App #Document Type Submitted
Available
3 Test reportTest Report
Adobe Acrobat PDF (357 kB)
2019-01-23
2019-01-23
2 SAR test report 6 of 6RF Exposure Info
Adobe Acrobat PDF (1590 kB)
2019-01-23
2019-01-23
2 SAR test report 5 of 6RF Exposure Info
Adobe Acrobat PDF (2974 kB)
2019-01-23
2019-01-23
2 SAR test report 4 of 6RF Exposure Info
Adobe Acrobat PDF (296 kB)
2019-01-23
2019-01-23
2 SAR test report 3 of 6RF Exposure Info
Adobe Acrobat PDF (257 kB)
2019-01-23
2019-01-23
2 SAR test report 2 of 6RF Exposure Info
Adobe Acrobat PDF (287 kB)
2019-01-23
2019-01-23
2 SAR test report 1 of 6RF Exposure Info
Adobe Acrobat PDF (909 kB)
2019-01-23
2019-01-23
2 BLE test reportTest Report
Adobe Acrobat PDF (2953 kB)
2019-01-23
2019-01-23
2 WLAN test report 2 of 2Test Report
Adobe Acrobat PDF (1162 kB)
2019-01-23
2019-01-23
2 WLAN test report 1 of 2Test Report
Adobe Acrobat PDF (5083 kB)
2019-01-23
2019-01-23
1 Test report 2 o f2Test Report
Adobe Acrobat PDF (1563 kB)
2019-01-23
2019-01-23
1 Test report 1 of 2Test Report
Adobe Acrobat PDF (5029 kB)
2019-01-23
2019-01-23
1 SAR test report 6 of 6RF Exposure Info
Adobe Acrobat PDF (1590 kB)
2019-01-23
2019-01-23
1 SAR test report 5 of 6RF Exposure Info
Adobe Acrobat PDF (2974 kB)
2019-01-23
2019-01-23
1 SAR test report 4 of 6RF Exposure Info
Adobe Acrobat PDF (296 kB)
2019-01-23
2019-01-23
1 SAR test report 3 of 6RF Exposure Info
Adobe Acrobat PDF (257 kB)
2019-01-23
2019-01-23
1 SAR test report 2 of 6RF Exposure Info
Adobe Acrobat PDF (287 kB)
2019-01-23
2019-01-23
1 SAR test report 1 of 6RF Exposure Info
Adobe Acrobat PDF (909 kB)
2019-01-23
2019-01-23
3 Label format and locationID Label/Location Info
Adobe Acrobat PDF (99 kB)
2019-01-22
2019-01-23
3 Request for confidentialityCover Letter(s)
Adobe Acrobat PDF (250 kB)
2019-01-22
2019-01-23
3 Agent authorizationCover Letter(s)
Adobe Acrobat PDF (259 kB)
2019-01-22
2019-01-23
2 Label format and locationID Label/Location Info
Adobe Acrobat PDF (99 kB)
2019-01-22
2019-01-23
2 Request for confidentialityCover Letter(s)
Adobe Acrobat PDF (250 kB)
2019-01-22
2019-01-23
2 Agent authorizationCover Letter(s)
Adobe Acrobat PDF (259 kB)
2019-01-22
2019-01-23
1 Label format and locationID Label/Location Info
Adobe Acrobat PDF (99 kB)
2019-01-22
2019-01-23
1 Request for confidentialityCover Letter(s)
Adobe Acrobat PDF (250 kB)
2019-01-22
2019-01-23
1 Agent authorizationCover Letter(s)
Adobe Acrobat PDF (259 kB)
2019-01-22
2019-01-23

APP # 3 (2019-01-23)

App # Document Type Submitted
Available
3 Test report Test Report
Adobe Acrobat PDF (357 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 SAR test report 6 of 6 RF Exposure Info
Adobe Acrobat PDF (1590 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
2 SAR test report 5 of 6 RF Exposure Info
Adobe Acrobat PDF (2974 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
2 SAR test report 4 of 6 RF Exposure Info
Adobe Acrobat PDF (296 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
2 SAR test report 3 of 6 RF Exposure Info
Adobe Acrobat PDF (257 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
2 SAR test report 2 of 6 RF Exposure Info
Adobe Acrobat PDF (287 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
2 SAR test report 1 of 6 RF Exposure Info
Adobe Acrobat PDF (909 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
2 BLE test report Test Report
Adobe Acrobat PDF (2953 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
2 WLAN test report 2 of 2 Test Report
Adobe Acrobat PDF (1162 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
2 WLAN test report 1 of 2 Test Report
Adobe Acrobat PDF (5083 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 Test report 2 o f2 Test Report
Adobe Acrobat PDF (1563 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
1 Test report 1 of 2 Test Report
Adobe Acrobat PDF (5029 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
1 SAR test report 6 of 6 RF Exposure Info
Adobe Acrobat PDF (1590 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
1 SAR test report 5 of 6 RF Exposure Info
Adobe Acrobat PDF (2974 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
1 SAR test report 4 of 6 RF Exposure Info
Adobe Acrobat PDF (296 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
1 SAR test report 3 of 6 RF Exposure Info
Adobe Acrobat PDF (257 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
1 SAR test report 2 of 6 RF Exposure Info
Adobe Acrobat PDF (287 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00
1 SAR test report 1 of 6 RF Exposure Info
Adobe Acrobat PDF (909 kB)
2019-01-23 00:00:00
2019-01-23 00:00:00

APP # 3 (2019-01-23)

App # Document Type Submitted
Available
3 Label format and location ID Label/Location Info
Adobe Acrobat PDF (99 kB)
2019-01-22 00:00:00
2019-01-23 00:00:00
3 Request for confidentiality Cover Letter(s)
Adobe Acrobat PDF (250 kB)
2019-01-22 00:00:00
2019-01-23 00:00:00
3 Agent authorization Cover Letter(s)
Adobe Acrobat PDF (259 kB)
2019-01-22 00:00:00
2019-01-23 00:00:00

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 Label format and location ID Label/Location Info
Adobe Acrobat PDF (99 kB)
2019-01-22 00:00:00
2019-01-23 00:00:00
2 Request for confidentiality Cover Letter(s)
Adobe Acrobat PDF (250 kB)
2019-01-22 00:00:00
2019-01-23 00:00:00
2 Agent authorization Cover Letter(s)
Adobe Acrobat PDF (259 kB)
2019-01-22 00:00:00
2019-01-23 00:00:00

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 Label format and location ID Label/Location Info
Adobe Acrobat PDF (99 kB)
2019-01-22 00:00:00
2019-01-23 00:00:00
1 Request for confidentiality Cover Letter(s)
Adobe Acrobat PDF (250 kB)
2019-01-22 00:00:00
2019-01-23 00:00:00
1 Agent authorization Cover Letter(s)
Adobe Acrobat PDF (259 kB)
2019-01-22 00:00:00
2019-01-23 00:00:00

APP # 3 (2019-01-23)

App # Document Type Submitted
Available
3 Test setup photos Test Setup Photos
Adobe Acrobat PDF (710 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 Internal photos 2 of 2 Internal Photos
Adobe Acrobat PDF (2375 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 External photos 2 of 3 External Photos
Adobe Acrobat PDF (3974 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 3 (2019-01-23)

App # Document Type Submitted
Available
3 External photos 3 of 3 External Photos
Adobe Acrobat PDF (4122 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 Schematics Schematics
Adobe Acrobat PDF (603 kB)
2019-01-22 00:00:00
N/A

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 External photos 2 of 3 External Photos
Adobe Acrobat PDF (3974 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 Block diagram Block Diagram
Adobe Acrobat PDF (447 kB)
2019-01-22 00:00:00
N/A

APP # 3 (2019-01-23)

App # Document Type Submitted
Available
3 Block diagram Block Diagram
Adobe Acrobat PDF (447 kB)
2019-01-22 00:00:00
N/A

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 Schematics Schematics
Adobe Acrobat PDF (603 kB)
2019-01-22 00:00:00
N/A

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 Main operational description Operational Description
Adobe Acrobat PDF (660 kB)
2019-01-22 00:00:00
N/A

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 WEA_Pulse_011619_R2_1_20190122 Users Manual
Adobe Acrobat PDF (434 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00
1 Main operational description Operational Description
Adobe Acrobat PDF (660 kB)
2019-01-22 00:00:00
N/A

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 Internal photos 1 of 2 Internal Photos
Adobe Acrobat PDF (4679 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 3 (2019-01-23)

App # Document Type Submitted
Available
3 Internal photos 2 of 2 Internal Photos
Adobe Acrobat PDF (2375 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 Test setup photos Test Setup Photos
Adobe Acrobat PDF (867 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 Tune up procedure Parts List/Tune Up Info
Adobe Acrobat PDF (368 kB)
2019-01-22 00:00:00
N/A

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 Block diagram Block Diagram
Adobe Acrobat PDF (447 kB)
2019-01-22 00:00:00
N/A

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 Antenna specification Operational Description
Adobe Acrobat PDF (1550 kB)
2019-01-22 00:00:00
N/A
2 WLAN test setup photos Test Setup Photos
Adobe Acrobat PDF (833 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 Internal photos 1 of 2 Internal Photos
Adobe Acrobat PDF (4679 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 External photos 1 of 3 External Photos
Adobe Acrobat PDF (4967 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 3 (2019-01-23)

App # Document Type Submitted
Available
3 External photos 2 of 3 External Photos
Adobe Acrobat PDF (3974 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 SM-R500_QSG_CA_ENG_Draft_R3_1 Users Manual
Adobe Acrobat PDF (630 kB)
2019-01-23 00:00:00
2019-07-22 00:00:00

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 SAR test setup photos Test Setup Photos
Adobe Acrobat PDF (548 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00
2 PRODUCT EQUALITY DECLARATION_SM-R500X Operational Description
Adobe Acrobat PDF (107 kB)
2019-01-22 00:00:00
N/A
2 BLE test setup photos Test Setup Photos
Adobe Acrobat PDF (831 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 SAR test setup photos Test Setup Photos
Adobe Acrobat PDF (548 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00
1 PRODUCT EQUALITY DECLARATION_SM-R500X Operational Description
Adobe Acrobat PDF (107 kB)
2019-01-22 00:00:00
N/A

APP # 3 (2019-01-23)

App # Document Type Submitted
Available
3 PRODUCT EQUALITY DECLARATION_SM-R500X Operational Description
Adobe Acrobat PDF (107 kB)
2019-01-22 00:00:00
N/A

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 User manual_WEA_Pulse_011619_R2_2 Users Manual
Adobe Acrobat PDF (631 kB)
2019-01-23 00:00:00
2019-07-22 00:00:00

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 WLAN operational desciption Operational Description
Adobe Acrobat PDF (1476 kB)
2019-01-22 00:00:00
N/A

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 External photos 1 of 3 External Photos
Adobe Acrobat PDF (4967 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 3 (2019-01-23)

App # Document Type Submitted
Available
3 User manual WEA_Pulse_011619_R2_2 Users Manual
Adobe Acrobat PDF (631 kB)
2019-01-23 00:00:00
2019-07-22 00:00:00

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 External photos 3 of 3 External Photos
Adobe Acrobat PDF (4122 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 3 (2019-01-23)

App # Document Type Submitted
Available
3 Internal photos 1 of 2 Internal Photos
Adobe Acrobat PDF (4679 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 SM-R500_QSG_CA_ENG_Draft_R3_1 Users Manual
Adobe Acrobat PDF (630 kB)
2019-01-23 00:00:00
2019-07-22 00:00:00

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 Antenna specification Operational Description
Adobe Acrobat PDF (1550 kB)
2019-01-22 00:00:00
N/A
1 External photos 3 of 3 External Photos
Adobe Acrobat PDF (4122 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 BT operational description Operational Description
Adobe Acrobat PDF (1888 kB)
2019-01-22 00:00:00
N/A

APP # 3 (2019-01-23)

App # Document Type Submitted
Available
3 External photos 1 of 3 External Photos
Adobe Acrobat PDF (4967 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 SM-R500_QSG_CA_ENG_D1_1 Users Manual
Adobe Acrobat PDF (248 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 Parts list Parts List/Tune Up Info
Adobe Acrobat PDF (228 kB)
2019-01-22 00:00:00
N/A

APP # 3 (2019-01-23)

App # Document Type Submitted
Available
3 SM-R500_QSG_CA_ENG_Draft_R3_1 Users Manual
Adobe Acrobat PDF (630 kB)
2019-01-23 00:00:00
2019-07-22 00:00:00

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 Parts list Parts List/Tune Up Info
Adobe Acrobat PDF (228 kB)
2019-01-22 00:00:00
N/A

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 Internal photos 2 of 2 Internal Photos
Adobe Acrobat PDF (2375 kB)
2019-01-22 00:00:00
2019-07-22 00:00:00

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 Tune up procedure Parts List/Tune Up Info
Adobe Acrobat PDF (368 kB)
2019-01-22 00:00:00
N/A

APP # 2 (2019-01-23)

App # Document Type Submitted
Available
2 User manual WEA_Pulse_011619_R2_2 Users Manual
Adobe Acrobat PDF (631 kB)
2019-01-23 00:00:00
2019-07-22 00:00:00

APP # 1 (2019-01-23)

App # Document Type Submitted
Available
1 BT operational description Operational Description
Adobe Acrobat PDF (1888 kB)
2019-01-22 00:00:00
N/A

Application Forms

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Samsung Electronics Co Ltd
FCC Registration Number (FRN): 0014577886
Alphanumeric FCC ID: A3LSMR500
Unique Application Identifier: zSwqCfGoGNBhzaBUSHBQ9g==
Line one: 19 Chapin Rd., Building D
City: Pine Brook
State: New Jersey
Country: United States
Zip Code: 07058

TCB Information
TCB Application Email Address: LST.FRE.CertNotice@ul.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: A3L
Product Code: SMR500

Person at the applicant's address to receive grant or for contact
Name: Jenni Chun
Title: General Manager
Telephone Number: 973-808-6375 Extension:
Fax Number: 973-808-6361
Email: j1.chun@samsung.com
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   07/21/2019
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DSS - Part 15 Spread Spectrum Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): DTS b/g/n Wrist device and BT/BLE

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Does not apply

Application Purpose
Application is for:   Original Equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   UL Korea, Ltd.
First Name:   chae
Last Name:   kyoung-Jin
Telephone Number: 82313379902 Extension:
Fax Number:  +82-31-213-5433
E-mail:  kyoungjin.chae@ul.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Power output listed is conducted. This device supports 20 MHz WLAN operations in the 2.4 GHz band. The highest reported SAR for product specific (next-to-mouth) and extremity (wrist) exposure conditions is 0.22 W/kg and 0.41 W/kg (10g) respectively.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:
The applicant must certify that neither the applicant nor any party to the application is subject to a denial of Federal benefits, that include FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862 because of a conviction for possession or distribution of a controlled substance. See 47 CFR 1.2002(b) for the definition of a "party" for these purposes.

Does the applicant or authorized agent so certify?  Yes

Applicant/Agent Certification:

I certify that I am authorized to sign this application. All of the statements herein and the exhibits attached hereto, are true and correct to the best of my knowledge and belief. In accepting a Grant of Equipment Authorization as a result of the representations made in this application, the applicant is responsible for (1) labeling the equipment with the exact FCC ID specified in this application, (2) compliance statement labeling pursuant to the applicable rules, and (3) compliance of the equipment with the applicable technical rules. If the applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCC's technical requirements.

Authorizing an agent to sign this application, is done solely at the applicant's discretion; however, the applicant remains responsible for all statements in this application.

If an agent has signed this application on behalf of the applicant, a written letter of authorization which includes information to enable the agent to respond to the above section 5301 (Anti-Drug Abuse) Certification statement has been provided by the applicant. It is understood that the letter of authorization must be submitted to the FCC upon request, and that the FCC reserves the right to contact the applicant directly at any time.

Signature of Authorized Person Filing:  Jenni Chun
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Samsung Electronics Co Ltd
FCC Registration Number (FRN): 0014577886
Alphanumeric FCC ID: A3LSMR500
Unique Application Identifier: G0MSonVXE+p1asvc6yH3QA==
Line one: 19 Chapin Rd., Building D
City: Pine Brook
State: New Jersey
Country: United States
Zip Code: 07058

TCB Information
TCB Application Email Address: LST.FRE.CertNotice@ul.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: A3L
Product Code: SMR500

Person at the applicant's address to receive grant or for contact
Name: Jenni Chun
Title: General Manager
Telephone Number: 973-808-6375 Extension:
Fax Number: 973-808-6361
Email: j1.chun@samsung.com
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   07/22/2019
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): DTS b/g/n Wrist device and BT/BLE

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Does not apply

Application Purpose
Application is for:   Original Equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   UL Korea, Ltd.
First Name:   chae
Last Name:   kyoung-Jin
Telephone Number: 82313379902 Extension:
Fax Number:  +82-31-213-5433
E-mail:  kyoungjin.chae@ul.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Power output listed is conducted. This device supports 20 MHz WLAN operations in the 2.4 GHz band. The highest reported SAR for product specific (next-to-mouth) and extremity (wrist) exposure conditions is 0.41W/kg and 0.73 W/kg (10g) respectively.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:
The applicant must certify that neither the applicant nor any party to the application is subject to a denial of Federal benefits, that include FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862 because of a conviction for possession or distribution of a controlled substance. See 47 CFR 1.2002(b) for the definition of a "party" for these purposes.

Does the applicant or authorized agent so certify?  Yes

Applicant/Agent Certification:

I certify that I am authorized to sign this application. All of the statements herein and the exhibits attached hereto, are true and correct to the best of my knowledge and belief. In accepting a Grant of Equipment Authorization as a result of the representations made in this application, the applicant is responsible for (1) labeling the equipment with the exact FCC ID specified in this application, (2) compliance statement labeling pursuant to the applicable rules, and (3) compliance of the equipment with the applicable technical rules. If the applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCC's technical requirements.

Authorizing an agent to sign this application, is done solely at the applicant's discretion; however, the applicant remains responsible for all statements in this application.

If an agent has signed this application on behalf of the applicant, a written letter of authorization which includes information to enable the agent to respond to the above section 5301 (Anti-Drug Abuse) Certification statement has been provided by the applicant. It is understood that the letter of authorization must be submitted to the FCC upon request, and that the FCC reserves the right to contact the applicant directly at any time.

Signature of Authorized Person Filing:  Jenni Chun
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Samsung Electronics Co Ltd
FCC Registration Number (FRN): 0014577886
Alphanumeric FCC ID: A3LSMR500
Unique Application Identifier: 7Ej9i+Y6WUCCPAzbGeJi3Q==
Line one: 19 Chapin Rd., Building D
City: Pine Brook
State: New Jersey
Country: United States
Zip Code: 07058

TCB Information
TCB Application Email Address: LST.FRE.CertNotice@ul.com
TCB Scope: A1: Low Power Transmitters below 1 GHz (except Spread Spectrum), Unintentional Radiators, EAS (Part 11) & Consumer ISM devices

FCC ID
Grantee Code: A3L
Product Code: SMR500

Person at the applicant's address to receive grant or for contact
Name: Jenni Chun
Title: General Manager
Telephone Number: 973-808-6375 Extension:
Fax Number: 973-808-6361
Email: j1.chun@samsung.com
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   07/22/2019
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   JAB - Part 15 Class B Digital Device
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): DTS b/g/n Wrist device and BT/BLE

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Does not apply

Application Purpose
Application is for:   Original Equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   UL Korea, Ltd.
First Name:   chae
Last Name:   kyoung-Jin
Telephone Number: 82313379902 Extension:
Fax Number:  +82-31-213-5433
E-mail:  kyoungjin.chae@ul.com

Grant Comments
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:
The applicant must certify that neither the applicant nor any party to the application is subject to a denial of Federal benefits, that include FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862 because of a conviction for possession or distribution of a controlled substance. See 47 CFR 1.2002(b) for the definition of a "party" for these purposes.

Does the applicant or authorized agent so certify?  Yes

Applicant/Agent Certification:

I certify that I am authorized to sign this application. All of the statements herein and the exhibits attached hereto, are true and correct to the best of my knowledge and belief. In accepting a Grant of Equipment Authorization as a result of the representations made in this application, the applicant is responsible for (1) labeling the equipment with the exact FCC ID specified in this application, (2) compliance statement labeling pursuant to the applicable rules, and (3) compliance of the equipment with the applicable technical rules. If the applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCC's technical requirements.

Authorizing an agent to sign this application, is done solely at the applicant's discretion; however, the applicant remains responsible for all statements in this application.

If an agent has signed this application on behalf of the applicant, a written letter of authorization which includes information to enable the agent to respond to the above section 5301 (Anti-Drug Abuse) Certification statement has been provided by the applicant. It is understood that the letter of authorization must be submitted to the FCC upon request, and that the FCC reserves the right to contact the applicant directly at any time.

Signature of Authorized Person Filing:  Jenni Chun
Title of authorized signature: 

Applications are submitted for FCC ID and Grant requests. Click an above application to view details

Grants

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: 01/23/2019

Application Dated: 01/22/2019
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:  A3LSMR500
Name of Grantee:  Samsung Electronics Co Ltd
Equipment Class: Part 15 Class B Digital Device
Notes: DTS b/g/n Wrist device and BT/BLE
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15B  -       


CC: This device is certified pursuant to two different Part 15 rules sections.
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: 01/23/2019

Application Dated: 01/22/2019
 
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:  A3LSMR500
Name of Grantee:  Samsung Electronics Co Ltd
Equipment Class: Part 15 Class B Digital Device
Notes: DTS b/g/n Wrist device and BT/BLE
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15B  -       


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

Mail To:


EA531384
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: 01/23/2019

Application Dated: 01/22/2019
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:  A3LSMR500
Name of Grantee:  Samsung Electronics Co Ltd
Equipment Class: Digital Transmission System
Notes: DTS b/g/n Wrist device and BT/BLE
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2402.0  -  2480.0 0.0065  
CC 15C 2412.0  -  2472.0 0.058  

Power output listed is conducted. This device supports 20 MHz WLAN operations in the 2.4 GHz band. The highest reported SAR for product specific (next-to-mouth) and extremity (wrist) exposure conditions is 0.41W/kg and 0.73 W/kg (10g) respectively.

CC: This device is certified pursuant to two different Part 15 rules sections.
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: 01/23/2019

Application Dated: 01/22/2019
 
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:  A3LSMR500
Name of Grantee:  Samsung Electronics Co Ltd
Equipment Class: Digital Transmission System
Notes: DTS b/g/n Wrist device and BT/BLE
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 0.0065  
CC 15C 2412.0  -  2472.0 0.058  

Power output listed is conducted. This device supports 20 MHz WLAN operations in the 2.4 GHz band. The highest reported SAR for product specific (next-to-mouth) and extremity (wrist) exposure conditions is 0.41W/kg and 0.73 W/kg (10g) respectively.


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

Mail To:


EA434776
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: 01/23/2019

Application Dated: 01/22/2019
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:  A3LSMR500
Name of Grantee:  Samsung Electronics Co Ltd
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: DTS b/g/n Wrist device and BT/BLE
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2402.0  -  2480.0 0.04  

Power output listed is conducted. This device supports 20 MHz WLAN operations in the 2.4 GHz band. The highest reported SAR for product specific (next-to-mouth) and extremity (wrist) exposure conditions is 0.22 W/kg and 0.41 W/kg (10g) respectively.

CC: This device is certified pursuant to two different Part 15 rules sections.
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: 01/23/2019

Application Dated: 01/22/2019
 
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:  A3LSMR500
Name of Grantee:  Samsung Electronics Co Ltd
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: DTS b/g/n Wrist device and BT/BLE
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 0.04  

Power output listed is conducted. This device supports 20 MHz WLAN operations in the 2.4 GHz band. The highest reported SAR for product specific (next-to-mouth) and extremity (wrist) exposure conditions is 0.22 W/kg and 0.41 W/kg (10g) respectively.


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

Mail To:


EA806037

Grants authorize equipment for operation at approved frequencies and sale within the USA. Click an above grant to view details