FCC ID Z64-2564N

Z642564N, Z64 2564N, Z64-2564N, Z64-2S64N

Texas Instruments Incorporated CC2564 Bluetooth HCI Module 2564N

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: Z64-2564N is Z64. The remaining characters of the FCC ID, -2564N, 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: CC2564 Bluetooth HCI Module

App # Purpose Date Unique ID
1 Original Equipment 2014-04-01 p1NGfD6AVlG68Upq2st9zA==
2 Original Equipment 2014-04-01 vCKXQxL8nVzQARODfKh4MQ==
3 Class II Permissive Change 2015-08-17 yKvrDRGrWiwJU8OccddYdA==
4 Class II Permissive Change 2015-08-17 aL6XR6jZDCbyeo29HDTgSg==

Operating Frequencies

Frequency RangePower OutputRule PartsGrant Notes App #
2.402-2.48 GHz Bluetooth19 mW15CCC 4.1
2.402-2.48 GHz Bluetooth19 mW15CCC 1.1
2.402-2.48 GHz Bluetooth14 mW15CCC 2.1
2.402-2.48 GHz Bluetooth14 mW15CCC 3.1

Exhibits

Available Exhibits

App #Document Type Submitted
Available
3 Class II Permissive ChangerCover Letter(s)
Adobe Acrobat PDF (24 kB)		 2015-08-17
2015-08-17
3 Letter POACover Letter(s)
Adobe Acrobat PDF (33 kB)		 2015-08-17
2015-08-17
3 Test report_15.247 (BT LE)Test Report
Adobe Acrobat PDF (572 kB)		 2015-08-17
2015-08-17
3 Test setup photoTest Setup Photos
Adobe Acrobat PDF (738 kB)		 2015-08-17
2015-08-17
3 Internal photoInternal Photos
Adobe Acrobat PDF (118 kB)		 2015-08-17
2015-08-17
3 External photoExternal Photos
Adobe Acrobat PDF (209 kB)		 2015-08-17
2015-08-17
4 Class II Permissive ChangerCover Letter(s)
Adobe Acrobat PDF (24 kB)		 2015-08-17
2015-08-17
4 Letter POACover Letter(s)
Adobe Acrobat PDF (33 kB)		 2015-08-17
2015-08-17
4 Test report_15.247 (BT EDR)Test Report
Adobe Acrobat PDF (677 kB)		 2015-08-17
2015-08-17
4 Test setup photoTest Setup Photos
Adobe Acrobat PDF (738 kB)		 2015-08-17
2015-08-17
4 Internal photoInternal Photos
Adobe Acrobat PDF (118 kB)		 2015-08-17
2015-08-17
4 External photoExternal Photos
Adobe Acrobat PDF (209 kB)		 2015-08-17
2015-08-17
2 Modular approval requestCover Letter(s)
Adobe Acrobat PDF (105 kB)		 2014-03-31
2014-04-01
2 confidentialityCover Letter(s)
Adobe Acrobat PDF (19 kB)		 2014-03-31
2014-04-01
2 Letter POACover Letter(s)
Adobe Acrobat PDF (657 kB)		 2014-03-31
2014-04-01
2 RF Exposure Info MPERF Exposure Info
Adobe Acrobat PDF (212 kB)		 2014-03-31
2014-04-01
2 Test report_BT LETest Report
Adobe Acrobat PDF (1523 kB)		 2014-03-31
2014-04-01
2 Test setup photoTest Setup Photos
Adobe Acrobat PDF (526 kB)		 2014-03-31
2014-04-01
2 User manualUsers Manual
Adobe Acrobat PDF (124 kB)		 2014-03-31
2014-04-01
2 Internal photoInternal Photos
Adobe Acrobat PDF (412 kB)		 2014-03-31
2014-04-01
2 External photoExternal Photos
Adobe Acrobat PDF (218 kB)		 2014-03-31
2014-04-01
2 ID label/Location infoID Label/Location Info
Adobe Acrobat PDF (160 kB)		 2014-03-31
2014-04-01
1 Modular approval requestCover Letter(s)
Adobe Acrobat PDF (105 kB)		 2014-03-31
2014-04-01
1 confidentialityCover Letter(s)
Adobe Acrobat PDF (19 kB)		 2014-03-31
2014-04-01
1 Letter POACover Letter(s)
Adobe Acrobat PDF (657 kB)		 2014-03-31
2014-04-01
1 RF Exposure Info MPERF Exposure Info
Adobe Acrobat PDF (212 kB)		 2014-03-31
2014-04-01
1 Test report_BT EDRTest Report
Adobe Acrobat PDF (2585 kB)		 2014-03-31
2014-04-01
1 Test setup photoTest Setup Photos
Adobe Acrobat PDF (526 kB)		 2014-03-31
2014-04-01
1 User manualUsers Manual
Adobe Acrobat PDF (124 kB)		 2014-03-31
2014-04-01
1 Internal photoInternal Photos
Adobe Acrobat PDF (412 kB)		 2014-03-31
2014-04-01
1 External photoExternal Photos
Adobe Acrobat PDF (218 kB)		 2014-03-31
2014-04-01
1 ID label/Location infoID Label/Location Info
Adobe Acrobat PDF (160 kB)		 2014-03-31
2014-04-01

APP # 3 (2015-08-17)

App # Document Type Submitted
Available
3 Class II Permissive Changer Cover Letter(s)
Adobe Acrobat PDF (24 kB)		 2015-08-17 00:00:00
2015-08-17 00:00:00
3 Letter POA Cover Letter(s)
Adobe Acrobat PDF (33 kB)		 2015-08-17 00:00:00
2015-08-17 00:00:00
3 Test report_15.247 (BT LE) Test Report
Adobe Acrobat PDF (572 kB)		 2015-08-17 00:00:00
2015-08-17 00:00:00
3 Test setup photo Test Setup Photos
Adobe Acrobat PDF (738 kB)		 2015-08-17 00:00:00
2015-08-17 00:00:00
3 Internal photo Internal Photos
Adobe Acrobat PDF (118 kB)		 2015-08-17 00:00:00
2015-08-17 00:00:00
3 External photo External Photos
Adobe Acrobat PDF (209 kB)		 2015-08-17 00:00:00
2015-08-17 00:00:00

APP # 4 (2015-08-17)

App # Document Type Submitted
Available
4 Class II Permissive Changer Cover Letter(s)
Adobe Acrobat PDF (24 kB)		 2015-08-17 00:00:00
2015-08-17 00:00:00
4 Letter POA Cover Letter(s)
Adobe Acrobat PDF (33 kB)		 2015-08-17 00:00:00
2015-08-17 00:00:00
4 Test report_15.247 (BT EDR) Test Report
Adobe Acrobat PDF (677 kB)		 2015-08-17 00:00:00
2015-08-17 00:00:00
4 Test setup photo Test Setup Photos
Adobe Acrobat PDF (738 kB)		 2015-08-17 00:00:00
2015-08-17 00:00:00
4 Internal photo Internal Photos
Adobe Acrobat PDF (118 kB)		 2015-08-17 00:00:00
2015-08-17 00:00:00
4 External photo External Photos
Adobe Acrobat PDF (209 kB)		 2015-08-17 00:00:00
2015-08-17 00:00:00

APP # 2 (2014-04-01)

App # Document Type Submitted
Available
2 Modular approval request Cover Letter(s)
Adobe Acrobat PDF (105 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
2 confidentiality Cover Letter(s)
Adobe Acrobat PDF (19 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
2 Letter POA Cover Letter(s)
Adobe Acrobat PDF (657 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
2 RF Exposure Info MPE RF Exposure Info
Adobe Acrobat PDF (212 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
2 Test report_BT LE Test Report
Adobe Acrobat PDF (1523 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
2 Test setup photo Test Setup Photos
Adobe Acrobat PDF (526 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
2 User manual Users Manual
Adobe Acrobat PDF (124 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
2 Internal photo Internal Photos
Adobe Acrobat PDF (412 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
2 External photo External Photos
Adobe Acrobat PDF (218 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
2 ID label/Location info ID Label/Location Info
Adobe Acrobat PDF (160 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00

APP # 1 (2014-04-01)

App # Document Type Submitted
Available
1 Modular approval request Cover Letter(s)
Adobe Acrobat PDF (105 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
1 confidentiality Cover Letter(s)
Adobe Acrobat PDF (19 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
1 Letter POA Cover Letter(s)
Adobe Acrobat PDF (657 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
1 RF Exposure Info MPE RF Exposure Info
Adobe Acrobat PDF (212 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
1 Test report_BT EDR Test Report
Adobe Acrobat PDF (2585 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
1 Test setup photo Test Setup Photos
Adobe Acrobat PDF (526 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
1 User manual Users Manual
Adobe Acrobat PDF (124 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
1 Internal photo Internal Photos
Adobe Acrobat PDF (412 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
1 External photo External Photos
Adobe Acrobat PDF (218 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00
1 ID label/Location info ID Label/Location Info
Adobe Acrobat PDF (160 kB)		 2014-03-31 00:00:00
2014-04-01 00:00:00

APP # 2 (2014-04-01)

App # Document Type Submitted
Available
2 Operational description Operational Description
Adobe Acrobat PDF (183 kB)		 2014-03-31 00:00:00
N/A

APP # 1 (2014-04-01)

App # Document Type Submitted
Available
1 Operational description Operational Description
Adobe Acrobat PDF (183 kB)		 2014-03-31 00:00:00
N/A

APP # 2 (2014-04-01)

App # Document Type Submitted
Available
2 Block diagram Block Diagram
Adobe Acrobat PDF (30 kB)		 2014-03-31 00:00:00
N/A
2 Schematics Schematics
Adobe Acrobat PDF (223 kB)		 2014-03-31 00:00:00
N/A

APP # 1 (2014-04-01)

App # Document Type Submitted
Available
1 Block diagram Block Diagram
Adobe Acrobat PDF (30 kB)		 2014-03-31 00:00:00
N/A
1 Schematics Schematics
Adobe Acrobat PDF (223 kB)		 2014-03-31 00:00:00
N/A

Application Forms

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Texas Instruments Incorporated
FCC Registration Number (FRN): 0019621945
Alphanumeric FCC ID: Z642564N
Unique Application Identifier: p1NGfD6AVlG68Upq2st9zA==
Line one: 12500 TI Boulevard
Line two: M/S 8669
City: Dallas
State: Texas
Country: United States
Zip Code: 75243

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

FCC ID
Grantee Code: Z64
Product Code: -2564N

Person at the applicant's address to receive grant or for contact
Name: Kelley J Foltz
Title: Evaluation Tools Operations Director
Telephone Number: 214-882-9119 Extension:
Fax Number: 214-480-4400
Email: foltz@ti.com
Mail Stop: 8669

Technical Contact
Firm Name:
International Certification Corp.
First Name: Gary
Last Name: Chang
Line 1:
No.3-1, Lane 6, Wen San 3rd St. Kwei Shan
Line 2:
Hsiang,Tao Yuan Hsein, Taiwan (R.O.C.)
Country:
Taiwan
Telephone Number:
886-3-271-8628
Extension:
Fax Number: 886-3-318-0155
E-Mail:

Non Technical Contact
Firm Name: International Certification Corp.
First Name: Wendy
Last Name: Liao
Line 1: No.3-1, Lane 6, Wen San 3rd St. Kwei Shan
Line 2: Hsiang,Tao Yuan Hsein, Taiwan (R.O.C.)
Country: Taiwan
Telephone Number: 886-3-271-8629 Extension:
Fax Number: 886-3-318-0155
E-Mail: wendyLiao@icertifi.com.tw

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): CC2564 Bluetooth HCI Module

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

Modular Equipment
Modular Type:  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?   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:   International Certification Corp.
First Name:   Fu-Cheng
Last Name:   Chuang
Telephone Number: 886-3-271-8666 Extension: 8620
Fax Number:  886-3-318-0155
E-mail:  Jeff@icertifi.com.tw

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 grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. End-users may not be provided with the module installation instructions. OEM integrators and end-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:  Gary Chang
Title of authorized signature:  Manager

Complete items below if agent signs the application:

Firm Name:  International Certification Corp.
Name:  Gary Gary Gary
Line 1:  Gary
Line 2:  Gary
P.O. Box:  Gary
City:  Gary
State:  Gary
Country:  Gary
Zip Code:  Gary
Telephone Number:  886-3-271-8628
Fax Number:  886-3-318-0155
E-mail:  GaryChang@icertifi.com.tw

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Texas Instruments Incorporated
FCC Registration Number (FRN): 0019621945
Alphanumeric FCC ID: Z642564N
Unique Application Identifier: vCKXQxL8nVzQARODfKh4MQ==
Line one: 12500 TI Boulevard
Line two: M/S 8669
City: Dallas
State: Texas
Country: United States
Zip Code: 75243

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

FCC ID
Grantee Code: Z64
Product Code: -2564N

Person at the applicant's address to receive grant or for contact
Name: Kelley J Foltz
Title: Evaluation Tools Operations Director
Telephone Number: 214-882-9119 Extension:
Fax Number: 214-480-4400
Email: foltz@ti.com
Mail Stop: 8669

Technical Contact
Firm Name:
International Certification Corp.
First Name: Gary
Last Name: Chang
Line 1:
No.3-1, Lane 6, Wen San 3rd St. Kwei Shan
Line 2:
Hsiang,Tao Yuan Hsein, Taiwan (R.O.C.)
Country:
Taiwan
Telephone Number:
886-3-271-8628
Extension:
Fax Number: 886-3-318-0155
E-Mail:

Non Technical Contact
Firm Name: International Certification Corp.
First Name: Wendy
Last Name: Liao
Line 1: No.3-1, Lane 6, Wen San 3rd St. Kwei Shan
Line 2: Hsiang,Tao Yuan Hsein, Taiwan (R.O.C.)
Country: Taiwan
Telephone Number: 886-3-271-8629 Extension:
Fax Number: 886-3-318-0155
E-Mail: wendyLiao@icertifi.com.tw

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:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): CC2564 Bluetooth HCI Module

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

Modular Equipment
Modular Type:  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?   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:   International Certification Corp.
First Name:   Fu-Cheng
Last Name:   Chuang
Telephone Number: 886-3-271-8666 Extension: 8620
Fax Number:  886-3-318-0155
E-mail:  Jeff@icertifi.com.tw

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 grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. End-users may not be provided with the module installation instructions. OEM integrators and end-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:  Gary Chang
Title of authorized signature:  Manager

Complete items below if agent signs the application:

Firm Name:  International Certification Corp.
Name:  Gary Gary Gary
Line 1:  Gary
Line 2:  Gary
P.O. Box:  Gary
City:  Gary
State:  Gary
Country:  Gary
Zip Code:  Gary
Telephone Number:  886-3-271-8628
Fax Number:  886-3-318-0155
E-mail:  GaryChang@icertifi.com.tw

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Texas Instruments Incorporated
FCC Registration Number (FRN): 0006834485
Alphanumeric FCC ID: Z642564N
Unique Application Identifier: yKvrDRGrWiwJU8OccddYdA==
Line one: 12500 TI Boulevard
Line two: M/S 8669
City: Dallas
State: Texas
Country: United States
Zip Code: 75243

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

FCC ID
Grantee Code: Z64
Product Code: -2564N

Person at the applicant's address to receive grant or for contact
Name: Kelley J Foltz
Title: Evaluation Tools Operations Director
Telephone Number: 214-882-9119 Extension:
Fax Number: 214-480-4400
Email: foltz@ti.com
Mail Stop: 8669

Technical Contact
Firm Name:
International Certification Corp.
First Name: Gary
Last Name: Chang
Line 1:
No.3-1, Lane 6, Wen San 3rd St. Kwei Shan Hsiang,
Line 2:
Tao Yuan Hsein, Taiwan (R.O.C.)
Country:
Taiwan
Telephone Number:
886-3-271-8628
Extension:
Fax Number: 886-3-318-0155
E-Mail:

Non Technical Contact
Firm Name: International Certification Corp.
First Name: Wendy
Last Name: Liao
Line 1: No.3-1, Lane 6, Wen San 3rd St. Kwei Shan Hsiang,
Line 2: Tao Yuan Hsein, Taiwan (R.O.C.)
Country: Taiwan
Telephone Number: 886-3-271-8629 Extension:
Fax Number: 886-3-318-0155
E-Mail: wendyLiao@icertifi.com.tw

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?:   No

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:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): CC2564 Bluetooth HCI Module

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

Modular Equipment
Modular Type:  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?   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:   International Certification Corp.
First Name:   Fu-Cheng
Last Name:   Chuang
Telephone Number: 886-3-271-8666 Extension: 8620
Fax Number:  886-3-318-0155
E-mail:  Jeff@icertifi.com.tw

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 grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. End-users may not be provided with the module installation instructions. OEM integrators and end-users must be provided with transmitter operating conditions for satisfying RF exposure compliance. Class II Change: Changed antenna trace design.
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:  Gary Chang
Title of authorized signature:  Manager

Complete items below if agent signs the application:

Firm Name:  International Certification Corp.
Name:  Gary Gary Gary
Line 1:  Gary
Line 2:  Gary
P.O. Box:  Gary
City:  Gary
State:  Gary
Country:  Gary
Zip Code:  Gary
Telephone Number:  886-3-271-8628
Fax Number:  886-3-318-0155
E-mail:  GaryChang@icertifi.com.tw

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Texas Instruments Incorporated
FCC Registration Number (FRN): 0006834485
Alphanumeric FCC ID: Z642564N
Unique Application Identifier: aL6XR6jZDCbyeo29HDTgSg==
Line one: 12500 TI Boulevard
Line two: M/S 8669
City: Dallas
State: Texas
Country: United States
Zip Code: 75243

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

FCC ID
Grantee Code: Z64
Product Code: -2564N

Person at the applicant's address to receive grant or for contact
Name: Kelley J Foltz
Title: Evaluation Tools Operations Director
Telephone Number: 214-882-9119 Extension:
Fax Number: 214-480-4400
Email: foltz@ti.com
Mail Stop: 8669

Technical Contact
Firm Name:
International Certification Corp.
First Name: Gary
Last Name: Chang
Line 1:
No.3-1, Lane 6, Wen San 3rd St. Kwei Shan Hsiang,
Line 2:
Tao Yuan Hsein, Taiwan (R.O.C.)
Country:
Taiwan
Telephone Number:
886-3-271-8628
Extension:
Fax Number: 886-3-318-0155
E-Mail:

Non Technical Contact
Firm Name: International Certification Corp.
First Name: Wendy
Last Name: Liao
Line 1: No.3-1, Lane 6, Wen San 3rd St. Kwei Shan Hsiang,
Line 2: Tao Yuan Hsein, Taiwan (R.O.C.)
Country: Taiwan
Telephone Number: 886-3-271-8629 Extension:
Fax Number: 886-3-318-0155
E-Mail: wendyLiao@icertifi.com.tw

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?:   No

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): CC2564 Bluetooth HCI Module

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

Modular Equipment
Modular Type:  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?   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:   International Certification Corp.
First Name:   Fu-Cheng
Last Name:   Chuang
Telephone Number: 886-3-271-8666 Extension: 8620
Fax Number:  886-3-318-0155
E-mail:  Jeff@icertifi.com.tw

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 grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. End-users may not be provided with the module installation instructions. OEM integrators and end-users must be provided with transmitter operating conditions for satisfying RF exposure compliance. Class II Change: Changed antenna trace design.
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:  Gary Chang
Title of authorized signature:  Manager

Complete items below if agent signs the application:

Firm Name:  International Certification Corp.
Name:  Gary Gary Gary
Line 1:  Gary
Line 2:  Gary
P.O. Box:  Gary
City:  Gary
State:  Gary
Country:  Gary
Zip Code:  Gary
Telephone Number:  886-3-271-8628
Fax Number:  886-3-318-0155
E-mail:  GaryChang@icertifi.com.tw

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:

  Telefication B.V.
Edisonstraat 12a
Zevenaar, NL-6902 PK
Netherlands 		Date of Grant: 08/17/2015

Application Dated: 08/17/2015
Texas Instruments Incorporated
12500 TI Boulevard
M/S 8669
Dallas, TX 75243
 
Attention: Kelley Foltz , Evaluation Tools Operations Director

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:  Z64-2564N
Name of Grantee:  Texas Instruments Incorporated
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: CC2564 Bluetooth HCI Module
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 2402.0  -  2480.0 0.019  

Power output listed is conducted. This grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. End-users may not be provided with the module installation instructions. OEM integrators and end-users must be provided with transmitter operating conditions for satisfying RF exposure compliance.

Class II Change: Changed antenna trace design.


CC: This device is certified pursuant to two different Part 15 rules sections.
>
TCB GRANT OF EQUIPMENT
AUTHORIZATION		 TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  Telefication B.V.
Edisonstraat 12a
Zevenaar, NL-6902 PK
Netherlands 		Date of Grant: 04/01/2014

Application Dated: 03/31/2014
Texas Instruments Incorporated
12500 TI Boulevard
M/S 8669
Dallas, TX 75243
 
Attention: Kelley Foltz , Evaluation Tools Operations Director

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:  Z64-2564N
Name of Grantee:  Texas Instruments Incorporated
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: CC2564 Bluetooth HCI Module
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 2402.0  -  2480.0 0.019  

Power output listed is conducted. This grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. End-users may not be provided with the module installation instructions. OEM integrators and end-users must be provided with transmitter operating conditions for satisfying RF exposure compliance.

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

Texas Instruments Incorporated
12500 TI Boulevard M/S 8669
Dallas, TX 75243
United States 		  Date of Grant: 04/01/2014

Application Dated: 03/31/2014
 
Attention: Kelley Foltz , Evaluation Tools Operations Director

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:  Z64-2564N
Name of Grantee:  Texas Instruments Incorporated
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: CC2564 Bluetooth HCI Module
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 2402.0  -  2480.0 0.019  

Power output listed is conducted. This grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. End-users may not be provided with the module installation instructions. OEM integrators and end-users must be provided with transmitter operating conditions for satisfying RF exposure compliance.


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

Mail To:


EA896371
TCB GRANT OF EQUIPMENT
AUTHORIZATION		 TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  Telefication B.V.
Edisonstraat 12a
Zevenaar, NL-6902 PK
Netherlands 		Date of Grant: 04/01/2014

Application Dated: 03/31/2014
Texas Instruments Incorporated
12500 TI Boulevard
M/S 8669
Dallas, TX 75243
 
Attention: Kelley Foltz , Evaluation Tools Operations Director

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:  Z64-2564N
Name of Grantee:  Texas Instruments Incorporated
Equipment Class: Digital Transmission System
Notes: CC2564 Bluetooth HCI Module
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 2402.0  -  2480.0 0.014  

Power output listed is conducted. This grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. End-users may not be provided with the module installation instructions. OEM integrators and end-users must be provided with transmitter operating conditions for satisfying RF exposure compliance.

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

Texas Instruments Incorporated
12500 TI Boulevard M/S 8669
Dallas, TX 75243
United States 		  Date of Grant: 04/01/2014

Application Dated: 03/31/2014
 
Attention: Kelley Foltz , Evaluation Tools Operations Director

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:  Z64-2564N
Name of Grantee:  Texas Instruments Incorporated
Equipment Class: Digital Transmission System
Notes: CC2564 Bluetooth HCI Module
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 2402.0  -  2480.0 0.014  

Power output listed is conducted. This grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. End-users may not be provided with the module installation instructions. OEM integrators and end-users must be provided with transmitter operating conditions for satisfying RF exposure compliance.


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

Mail To:


EA125663
TCB GRANT OF EQUIPMENT
AUTHORIZATION 		TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  Telefication B.V.
Edisonstraat 12a
Zevenaar, NL-6902 PK
Netherlands 		Date of Grant: 08/17/2015

Application Dated: 08/17/2015
Texas Instruments Incorporated
12500 TI Boulevard
M/S 8669
Dallas, TX 75243
 
Attention: Kelley Foltz , Evaluation Tools Operations Director

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:  Z64-2564N
Name of Grantee:  Texas Instruments Incorporated
Equipment Class: Digital Transmission System
Notes: CC2564 Bluetooth HCI Module
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 2402.0  -  2480.0 0.014  

Power output listed is conducted. This grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. End-users may not be provided with the module installation instructions. OEM integrators and end-users must be provided with transmitter operating conditions for satisfying RF exposure compliance.

Class II Change: Changed antenna trace design.


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

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