FCC ID X3ZBTMOD4

X3Z-BTMOD4, X3Z BTMOD4, X3ZBTM0D4, X3ZBTMOD4

Amp'ed RF Technology Bluetooth Module BTMOD4

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: X3ZBTMOD4 is X3Z. The remaining characters of the FCC ID, BTMOD4, 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: Bluetooth Module

Application: Bluetooth Module
Equipment Class: DSS - Part 15 Spread Spectrum Transmitter
Short Link: fcc.id/X3ZBTMOD4
Sources: FCC.gov | FCC.report
Registered By: Amp'ed RF Technology - X3Z (United States)

App #	Purpose	Date	Unique ID
1	Original Equipment	2012-04-25	YIE5n4anVk0S2r9AeTGnfw==
2	Class II Permissive Change	2024-07-01	A4M8znKPJoC/KWj6fIgiMA==

Operating Frequencies

Frequency Range	Power Output	Rule Parts	App #
2.402-2.48 GHz	2.97 mW	15C	1.1
2.402-2.48 GHz	2.02 mW	15C	2.1

Exhibits

Available Exhibits

App #	Document	Type	Submitted Available
2	Test Report Appendix Part 2	Test Report Adobe Acrobat PDF (4311 kB)	2024-06-17 2024-07-01
2	Test Report Appendix Part 1	Test Report Adobe Acrobat PDF (5397 kB)	2024-06-17 2024-07-01
2	Agent Authorization Letter	Cover Letter(s) Adobe Acrobat PDF (154 kB)	2024-06-17 2024-07-01
2	Confidentiality Letter	Cover Letter(s) Adobe Acrobat PDF (144 kB)	2024-06-17 2024-07-01
2	C2PC Request Letter	Cover Letter(s) Adobe Acrobat PDF (77 kB)	2024-06-17 2024-07-01
2	Modular Approval Request Letter	Cover Letter(s) Adobe Acrobat PDF (39 kB)	2024-06-17 2024-07-01
2	RF Exposure Report	RF Exposure Info Adobe Acrobat PDF (153 kB)	2024-06-17 2024-07-01
2	Test Report	Test Report Adobe Acrobat PDF (894 kB)	2024-06-17 2024-07-01
2	User Manual	Users Manual Adobe Acrobat PDF (541 kB)	2024-06-17 2024-12-28
2	Test Setup Photos	Test Setup Photos Adobe Acrobat PDF (428 kB)	2024-06-17 2024-12-28
2	US Agent Letter for Service of Process	Attestation Statements Adobe Acrobat PDF (160 kB)	2024-06-17 2024-07-01
2	Covered Equipment Attestation	Attestation Statements Adobe Acrobat PDF (121 kB)	2024-06-17 2024-07-01
2	External Photos	External Photos Adobe Acrobat PDF (508 kB)	2024-06-17 2024-12-28
2	Label	ID Label/Location Info Adobe Acrobat PDF (359 kB)	2024-06-17 2024-07-01
1	Manual	Users Manual Adobe Acrobat PDF (164 kB)	2012-04-23 2012-04-25
1	Setup Photos	Test Setup Photos Adobe Acrobat PDF (588 kB)	2012-04-23 2012-04-25
1	Test Report	Test Report Adobe Acrobat PDF (1518 kB)	2012-04-23 2012-04-25
1	Letter PoA	Cover Letter(s) Adobe Acrobat PDF (112 kB)	2012-04-13 2012-04-25
1	ID label host example	ID Label/Location Info Adobe Acrobat PDF (4 kB)	2012-04-13 2012-04-25
1	Int Photos	Internal Photos Adobe Acrobat PDF (419 kB)	2012-04-13 2012-04-25
1	ID label location	ID Label/Location Info Adobe Acrobat PDF (69 kB)	2012-04-13 2012-04-25
1	ID label	ID Label/Location Info Adobe Acrobat PDF (4 kB)	2012-04-13 2012-04-25
1	Ext Photos	External Photos Adobe Acrobat PDF (638 kB)	2012-04-13 2012-04-25
1	Mod Req Letter	Cover Letter(s) Adobe Acrobat PDF (33 kB)	2012-04-13 2012-04-25
1	ConfidReq	Cover Letter(s) Adobe Acrobat PDF (111 kB)	2012-04-13 2012-04-25

APP # 2 (2024-07-01)

App #	Document	Type	Submitted Available
2	Test Report Appendix Part 2	Test Report Adobe Acrobat PDF (4311 kB)	2024-06-17 00:00:00 2024-07-01 00:00:00
2	Test Report Appendix Part 1	Test Report Adobe Acrobat PDF (5397 kB)	2024-06-17 00:00:00 2024-07-01 00:00:00
2	Agent Authorization Letter	Cover Letter(s) Adobe Acrobat PDF (154 kB)	2024-06-17 00:00:00 2024-07-01 00:00:00
2	Confidentiality Letter	Cover Letter(s) Adobe Acrobat PDF (144 kB)	2024-06-17 00:00:00 2024-07-01 00:00:00
2	C2PC Request Letter	Cover Letter(s) Adobe Acrobat PDF (77 kB)	2024-06-17 00:00:00 2024-07-01 00:00:00
2	Modular Approval Request Letter	Cover Letter(s) Adobe Acrobat PDF (39 kB)	2024-06-17 00:00:00 2024-07-01 00:00:00
2	RF Exposure Report	RF Exposure Info Adobe Acrobat PDF (153 kB)	2024-06-17 00:00:00 2024-07-01 00:00:00
2	Test Report	Test Report Adobe Acrobat PDF (894 kB)	2024-06-17 00:00:00 2024-07-01 00:00:00
2	User Manual	Users Manual Adobe Acrobat PDF (541 kB)	2024-06-17 00:00:00 2024-12-28 00:00:00
2	Test Setup Photos	Test Setup Photos Adobe Acrobat PDF (428 kB)	2024-06-17 00:00:00 2024-12-28 00:00:00
2	US Agent Letter for Service of Process	Attestation Statements Adobe Acrobat PDF (160 kB)	2024-06-17 00:00:00 2024-07-01 00:00:00
2	Covered Equipment Attestation	Attestation Statements Adobe Acrobat PDF (121 kB)	2024-06-17 00:00:00 2024-07-01 00:00:00
2	External Photos	External Photos Adobe Acrobat PDF (508 kB)	2024-06-17 00:00:00 2024-12-28 00:00:00
2	Label	ID Label/Location Info Adobe Acrobat PDF (359 kB)	2024-06-17 00:00:00 2024-07-01 00:00:00

APP # 1 (2012-04-25)

App #	Document	Type	Submitted Available
1	Manual	Users Manual Adobe Acrobat PDF (164 kB)	2012-04-23 00:00:00 2012-04-25 00:00:00
1	Setup Photos	Test Setup Photos Adobe Acrobat PDF (588 kB)	2012-04-23 00:00:00 2012-04-25 00:00:00
1	Test Report	Test Report Adobe Acrobat PDF (1518 kB)	2012-04-23 00:00:00 2012-04-25 00:00:00
1	Letter PoA	Cover Letter(s) Adobe Acrobat PDF (112 kB)	2012-04-13 00:00:00 2012-04-25 00:00:00
1	ID label host example	ID Label/Location Info Adobe Acrobat PDF (4 kB)	2012-04-13 00:00:00 2012-04-25 00:00:00
1	Int Photos	Internal Photos Adobe Acrobat PDF (419 kB)	2012-04-13 00:00:00 2012-04-25 00:00:00
1	ID label location	ID Label/Location Info Adobe Acrobat PDF (69 kB)	2012-04-13 00:00:00 2012-04-25 00:00:00
1	ID label	ID Label/Location Info Adobe Acrobat PDF (4 kB)	2012-04-13 00:00:00 2012-04-25 00:00:00
1	Ext Photos	External Photos Adobe Acrobat PDF (638 kB)	2012-04-13 00:00:00 2012-04-25 00:00:00
1	Mod Req Letter	Cover Letter(s) Adobe Acrobat PDF (33 kB)	2012-04-13 00:00:00 2012-04-25 00:00:00
1	ConfidReq	Cover Letter(s) Adobe Acrobat PDF (111 kB)	2012-04-13 00:00:00 2012-04-25 00:00:00
1	Block Diag	Block Diagram Adobe Acrobat PDF (10 kB)	2012-04-13 00:00:00 N/A
1	OpDesc	Operational Description Adobe Acrobat PDF (4 kB)	2012-04-13 00:00:00 N/A
1	Schematic	Schematics Adobe Acrobat PDF (32 kB)	2012-04-13 00:00:00 N/A

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	Amp'ed RF Technology
FCC Registration Number (FRN):	0017848458
Alphanumeric FCC ID:	X3ZBTMOD4
Unique Application Identifier:	YIE5n4anVk0S2r9AeTGnfw==
Line one:	1879 Lundy Ave #138
City:	San Jose
State:	California
Country:	United States
Zip Code:	95131

TCB Information

TCB Application Email Address:	rc@twn.tuv.com
TCB Scope:	A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID

Grantee Code:	X3Z
Product Code:	BTMOD4

Person at the applicant's address to receive grant or for contact

Name:	Annie Cai
Title:	Operations Manager

Telephone Number:

408-213-9530

Extension:

105

Fax Number:	408-213-9533
Email:	info@ampedrftech.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?: No

If so, specify the short-term confidentiality release date (MM/DD/YYYY format):
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):	Spread Spectrum Transmitter

Related OET KnowledgeDataBase Inquiry

Is there a KDB inquiry associated with this application? No

Modular Equipment

Modular Type: Limited Single Modular Approval

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? No

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: TUV Rheinland (Shanghai) Co., Ltd.

First Name: Xinhua

Last Name: LU

Telephone Number:

(86-21)33034599

Extension:

243

Fax Number: (86-21)63542366

E-mail: xinhua.lu@shg.chn.tuv.com

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power listed is conducted. The antenna of this transmitter must not be co-located or operating in conjunction with other antennas or transmitters within a host device, except in accordance with FCC multitransmitter product procedures. Users must be provided with transmitter operating conditions for satisfying RF exposure compliance.

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: Kong Xiangming

Title of authorized signature:

Complete items below if agent signs the application:

Firm Name: TUV Rheinland (Shanghai) Co., Ltd.

Name: Xiangming Xiangming Xiangming

Line 1: Xiangming

Line 2: Xiangming

P.O. Box: Xiangming

City: Xiangming

State: Xiangming

Country: Xiangming

Zip Code: Xiangming

E-mail: xiangming.kong@shg.chn.tuv.com

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	Amp'ed RF Technology
FCC Registration Number (FRN):	0033434507
Alphanumeric FCC ID:	X3ZBTMOD4
Unique Application Identifier:	A4M8znKPJoC/KWj6fIgiMA==
Line one:	1879 Lundy Ave #138
City:	San Jose
State:	California
Country:	United States
Zip Code:	95131

TCB Information

TCB Application Email Address:	tcb@nemko.com
TCB Scope:	A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID

Grantee Code:	X3Z
Product Code:	BTMOD4

Person at the applicant's address to receive grant or for contact

Name:	Annie Cai
Title:	Operations Manager

Telephone Number:

408-213-9530

Extension:

105

Fax Number:	408-213-9533
Email:	info@ampedrftech.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): 12/28/2024
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):	Bluetooth Module

Related OET KnowledgeDataBase Inquiry

Is there a KDB inquiry associated with this application? Yes

Modular Equipment

Modular Type: Limited Single Modular Approval

Application Purpose

Application is for: Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment

Is the equipment in this application a composite device subject to an additional equipment authorization? No

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: ONETECH Corp.

First Name: Ki Hong

Last Name: Nam

Telephone Number:

82-31-799-9580

Extension:

Fax Number: 82-31-799-9599

E-mail: kihong.nam@onetech.co.kr

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
C2PC as described in this filing. Output power listed is conducted. This Module is limited, requiring the host integrator to file a Class II permissive change for each specific host per the test plan defined in the module integration instructions. Co-location of this module with other transmitters that operate simultaneously are required to be evaluated using the FCC multi-transmitter procedures. The installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. The host integrator must follow the integration instructions provided by the module manufacturer and ensure that the composite-system end product complies with the FCC requirements by a technical assessment or evaluation to the FCC rules and to KDB Publication 996369.

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

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:

Does the applicant or authorized agent so certify? Yes

Applicant/Agent Certification:

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.

Signature of Authorized Person Filing: Annie Cai

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:

Nemko North America, Inc.
303 River Road
Ottawa, Ontario, K1V 1H2
Canada

Date of Grant: 07/01/2024

Application Dated: 06/17/2024

Amp'ed RF Technology

1879 Lundy Ave #138

San Jose, CA 95131

Attention: Annie Cai , Operations 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:	X3ZBTMOD4

Name of Grantee:	Amp'ed RF Technology

Equipment Class:	Part 15 Spread Spectrum Transmitter
Notes:	Bluetooth Module
Modular Type:	Limited Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2480.0	0.00202

C2PC as described in this filing. Output power listed is conducted. This Module is limited, requiring the host integrator to file a Class II permissive change for each specific host per the test plan defined in the module integration instructions. Co-location of this module with other transmitters that operate simultaneously are required to be evaluated using the FCC multi-transmitter procedures. The installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. The host integrator must follow the integration instructions provided by the module manufacturer and ensure that the composite-system end product complies with the FCC requirements by a technical assessment or evaluation to the FCC rules and to KDB Publication 996369.

COPY	FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION	COPY
Certification

Amp'ed RF Technology
1879 Lundy Ave #138 P.O. Box ,
San Jose, CA 95131
United States

Date of Grant: 07/01/2024

Application Dated: 06/17/2024

Attention: Annie Cai , Operations 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:	X3ZBTMOD4

Name of Grantee:	Amp'ed RF Technology

Equipment Class:	Part 15 Spread Spectrum Transmitter
Notes:	Bluetooth Module
Modular Type:	Limited Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2480.0	0.00202

Mail To:

EA224060

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

TUV Rheinland of North America, Inc.
1279 Quarry Lane Suite A
Pleasanton, CA 94566

Date of Grant: 04/25/2012

Application Dated: 04/13/2012

Amp'ed RF Technology

1879 Lundy Ave #138

San Jose, CA 95131

Attention: Annie Cai , Operations 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:	X3ZBTMOD4

Name of Grantee:	Amp'ed RF Technology

Equipment Class:	Part 15 Spread Spectrum Transmitter
Notes:	Spread Spectrum Transmitter
Modular Type:	Limited Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2480.0	0.00297

Output power listed is conducted. The antenna of this transmitter must not be co-located or operating in conjunction with other antennas or transmitters within a host device, except in accordance with FCC multitransmitter product procedures. Users must be provided with transmitter operating conditions for satisfying RF exposure compliance.

COPY	FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION	COPY
Certification

Amp'ed RF Technology
1879 Lundy Ave #138 P.O. Box ,
San Jose, CA 95131
United States

Date of Grant: 04/25/2012

Application Dated: 04/13/2012

Attention: Annie Cai , Operations 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:	X3ZBTMOD4

Name of Grantee:	Amp'ed RF Technology

Equipment Class:	Part 15 Spread Spectrum Transmitter
Notes:	Spread Spectrum Transmitter
Modular Type:	Limited Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2480.0	0.00297

Mail To:

EA801192

FCC ID X3ZBTMOD4

X3Z-BTMOD4, X3Z BTMOD4, X3ZBTM0D4, X3ZBTMOD4

Amp'ed RF Technology Bluetooth Module BTMOD4

Purchase on Amazon: Bluetooth Module

Operating Frequencies

Exhibits

Available Exhibits

APP # 2 (2024-07-01)

APP # 1 (2012-04-25)

Application Forms

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

Grants

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