2AAL7-FM0167WWireless Speaker/White Noise Machine

FORM ELECTRONICS CO.,Ltd 4F Bldg E, Junfeng Science&Technology Park, Lezhujiao, Xixiang, Bao'an Dist, Shenzhen, China Federal Communications Commission Authorization and Evaluation Division Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MD 21046 2024-6-19 To whom it may concern: We, FORM ELECTRONICS CO.,Ltd, hereby certify that the equipment for which authorization is sought (FCC ID: 2AAL7-FM0167W) is not “covered” equipment prohibited from receiving an equipment authorization pursuant to § 2.903 of the FCC rules. We also certify that, as of the date of the filing of the application, we are not identified on the Covered List (https://www.fcc.gov/supplychain/coveredlist) as an entity producing “covered” equipment. By signing this form, we confirm the above and that we are aware of the application requirements listed under § 2.911(b) and (d)(5) and (6). The information provided in this letter is based on the referenced rule parts of Title 47 of the CFR as well as KDB 986446 D01. Sincerely, Signature Martin Wang N/A FORM ELECTRONICS CO.,Ltd 62_[model] CoveredEqu_2.911(d)(5)(i) and (ii) - U, V03

FORM ELECTRONICS CO.,Ltd 4F Bldg E, Junfeng Science&Technology Park, Lezhujiao, Xixiang, Bao'an Dist, Shenzhen, China Federal Communications Commission Authorization and Evaluation Division Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MD 21046 2024-6-19 U.S. Agent Designation FORM ELECTRONICS CO.,Ltd acknowledges their consent for the following contact located in the United States to act as their agent for service of process for the equipment for which authorization is sought (FCC ID: 2AAL7- FM0167W): Name and company of U.S. agent: ACT Lab LLC Physical U.S. address of agent: 3280 East 59th Street Long Beach, CA 90805 United States FRN of U.S. agent: 0033465568 Email address of U.S. agent: [email protected] ACT Lab LLC acknowledges their obligation to accept service of process on behalf of FORM ELECTRONICS CO.,Ltd. FORM ELECTRONICS CO.,Ltd with the FRN [0022829261] accepts its obligation to maintain an agent for service of process in the United States for no less than one year after either the grantee has permanently terminated all marketing and importation of the applicable equipment within the U.S., or the conclusion of any Commission-related administrative or judicial proceeding involving the equipment, whichever is later. By signing this form, we confirm the above and that we are aware of the application requirements listed under § 2.911(d)(7). The information provided in this letter is based on the referenced rule parts of Title 47 of the CFR as well as KDB 986446 D01. An expiration date for this letter does not exist. In case the U.S. agent changes, the grantee is obligated to notify the FCC within 30 days via the granting TCB. Sincerely, Signature Martin Wang N/A FORM ELECTRONICS CO.,Ltd Signature Scott Huber Senior Technical Director ACT Lab LLC 48_[mo del] US_Agent_2.911(d)(7) - U, V0 5

CONFIDENTIALITY REQUEST for Certification Service in USA Federal Communication Commission Equipment Authorization Division, Application Processing Branch 7435 Oakland Mills Road Columbia, MD 21046 Date:<2024-6-19> Pursuant to Paragraphs §0.457 and 0.459 of the Commission’s Rules (47 C.F.R.) and Section §552(b)(4) of the Freedom of Information Act, we requests confidentiality for the following products: FCC ID Model name 2AAL7-FM0167W FM0167W For the product stated above, we request that the following information be held confidential; Exhibits Long-Term Confidentiality Short-Term Confidentiality Short-Term Confidentiality Days External Photos Internal Photos Block Diagram Schematics Test Setup Photos User’s Manual Parts List Tune Up Operational Descriptions The long-term confidentiality exhibits contain our trade secrets and proprietary information that could be of benefit to our competitors. The short-term confidentiality on the basis of ensuring that business sensitive information remains confidential until the actual marketing of our new device. If you have any questions, please feel free to contact me at the address shown below. Sincerely, Name/Title： Martin Wang/N/A Company: FORM ELECTRONICS CO.,Ltd Address: 4F Bldg E, Junfeng Science&Technology Park, Lezhujiao, Xixiang, Bao'an Dist, Shenzhen, China Phone: 86-755-84196007 Fax: 86-755-84193911 E-Mail: [email protected]

FORM ELECTRONICS CO.,Ltd 4F Bldg E, Junfeng Science&Technology Park, Lezhujiao, Xixiang, Bao'an Dist, Shenzhen, China Federal Communications Commission Authorization and Evaluation Division Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MD 21046 2024-6-19 To whom it may concern: We, the undersigned, hereby authorize Eurofins Product Service GmbH to act on our behalf in all matters relating to applications for equipment authorization FCC ID: 2AAL7-FM0167W including the signing of all documents related to these matters. Any and all acts carried out by Eurofins Product Service GmbH on our behalf shall have the same effect as acts of our own. By signing this application form, we agree to Eurofins’ current valid General Terms and Conditions (AGB),Testing and Certification Regulations (PZO) which can be viewed on following website www.eurofins.de/ee or retrieved on request. We also hereby certify that no party to this application is subject to a denial of benefits, including FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 862. Sincerely, Name/Title： Martin Wang/N/A Company: FORM ELECTRONICS CO.,Ltd Address: 4F Bldg E, Junfeng Science&Technology Park, Lezhujiao, Xixiang, Bao'an Dist, Shenzhen, China Phone: 86-755-84196007 Fax: 86-755-84193911 E-Mail: [email protected]

FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Appendix III EUT External Photographs Photo 1 Appearance of EUT Photo 2 Appearance of EUT FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Photo 3 Appearance of EUT Photo 4 Appearance of EUT FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Photo 5 Appearance of EUT

FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Appendix IID Label Appendix II ID Label Location FCC ID: 2AAL7-FM0167W Model: FM0167W

FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Appendix IV EUT Internal Photographs Photo 6 Internal of EUT Photo 7 Internal of Battery FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Photo 8 Appearance of PCB Photo 9 Appearance of PCB Antenna

Shenzhen Toby Technology Co., Ltd. Report No.: TBR-C-202404-0162-2 Page: 1 of 3 TB-RF-074-1.0 1 A/F., Building.6, Rundongsheng Industrial Zone, Longzhu, Xixiang, Bao’an, Shenzhen, Guangdong, China Tel: +86 75526509301 Fax: +86 75526509195 RF Exposure Evaluation FCC ID: 2AAL7-FM0167W 1. Client Information Applicant : FORM ELECTRONICS CO., Ltd Address : 4F Bldg E, Junfeng Science&Technology Park, Lezhujiao, Xixiang, Bao'an Dist, Shenzhen, China Manufacturer : FORM ELECTRONICS CO., Ltd Address : 4F Bldg E, Junfeng Science&Technology Park, Lezhujiao, Xixiang, Bao'an Dist, Shenzhen, China 2. General Description of EUT EUT Name : Wireless Speaker/White Noise Machine Model(s) No. : FM0167W Model Difference : ---- Product Description : Operation Frequency: Bluetooth(BR+EDR) V5.2: 2402MHz~2480MHz Number of Channel: 79 channels Antenna Gain: 1.7dBi PCB Antenna Modulation Type: GFSK(1Mbps) π/4-DQPSK(2Mbps) 8-DPSK(3Mbps) Power Supply : USB Input: 5V/1A DC 3.7V 500mAh 1.85Wh Rechargeable Li-ion battery Software Version : DC45-A4198657 Hardware Version : FM0167W Remark: The antenna gain provided by the applicant, the adapter and verified for the RF conduction test and adapter provided by TOBY test lab. Note: More test information about the EUT please refer the RF Test Report. Report No.: TBR-C-202404-0162-2 Page: 2 of 3 TB-RF-074-1.0 SAR Test Exclusion Calculations 1. FCC: According to KDB 447498 D01 Mobile and Portable Devices RF Exposure Procedures and Equipment Authorization Policies v06. (1) Clause 4.3: General SAR test reduction and exclusion guidance Sub clause 4.31: Standalone SAR test exclusion considerations 1) The 1-g and 10-g SAR test exclusion thresholds for 100 MHz to 6GHz at test separation distance≤5 mm are determined by: [(max. power of channel, including tune-up tolerance, mW)/(min. test separation, mm)]*[√f (GHz) ] ≤3.0 for 1-g SAR [(max. power of channel, including tune-up tolerance, mW)/(min. test separation, mm)]*[√f (GHz) ] ≤7.5.0 for 10-g SAR Report No.: TBR-C-202404-0162-2 Page: 3 of 3 TB-RF-074-1.0 2. Calculation: Test separation: 5mm Bluetooth Mode (GFSK) Frequency (GHz) Conducted Power (dBm) Turn-up Power Tolerance (dB) Max power of tune up tolerance (dBm) Max power of tune up tolerance (mw) Calculation Value Threshold Value 2.402 1.08 1±1 2 1.585 0.491 3.0 2.441 1.185 1±1 2 1.585 0.495 3.0 2.480 0.779 0±1 1 1.259 0.397 3.0 Bluetooth Mode (Pi/4-DQPSK) Frequency (GHz) Conducted Power (dBm) Turn-up Power Tolerance (dB) Max power of tune up tolerance (dBm) Max power of tune up tolerance (mw) Calculation Value Threshold Value 2.402 2.17 2±1 3 1.995 0.618 3.0 2.441 2.124 2±1 3 1.995 0.623 3.0 2.480 1.655 1±1 2 1.585 0.499 3.0 Bluetooth Mode (8-DPSK) Frequency (GHz) Conducted Power (dBm) Turn-up Power Tolerance (dB) Max power of tune up tolerance (dBm) Max power of tune up tolerance (mw) Calculation Value Threshold Value 2.402 2.666 2±1 3 1.995 0.618 3.0 2.441 2.662 2±1 3 1.995 0.623 3.0 2.480 2.234 2±1 3 1.995 0.628 3.0 The measurement results comply with the FCC Limit per 47 CFR 2.1093 for the uncontrolled RF Exposure and SAR Exclusion Threshold per KDB 447498 v06. -----END OF THE REPORT-----

BUILDWIN 1 BUILDWIN 2 Horizontal:2400MHz2450MHz2500MHz Power(dBm) Max:0Min:-40Scale:5/div Frequency (MHz) Gain(dB) MaxMinAvg 2400-1.73178-30.0815-8.48713 2450-0.845801-38.5605-7.88012 2500-0.685586-24.0318-6.79139 Vertical:2400MHz2450MHz2500MHzPower(dBm) Max:0Min:-30Scale:5/div Frequency (MHz) Gain(dB) MaxMinAvg 2400-6.1530-24.1420-13.0295 2450-3.7054-26.5836-10.6700 2500-2.32122-30.4301-9.70536 ANTTestLabs：AttestationofGlobalComplianceCo.,Ltd BUILDWIN3

Shenzhen Toby Technology Co., Ltd. Http://www.tobylab.cn Add：1/F.,Building 6, Rundongsheng Industrial Zone, Longzhu, Xixiang, Bao'an District, Shenzhen, Guangdong, China. Report No.: TBR-C-202404-0162-1 Page: 1 of 69 FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 RF Test Data for Bluetooth(BR+EDR) (Conducted Measurements) General Description of EUT Product Name: Wireless Speaker/White Noise Machine Test Model: FM0167W Sample ID: HC-C-202404-0162-01-02-2# Environmental Conditions Temperature: 23.8°C Relative Humidity: 48% Test Voltage: DC 3.7V Test Engineer: Jolin Lee Note: For a more detailed features description, please refer to the report TBR-C-202404-0162-1 The report only show the worst case data. Shenzhen Toby Technology Co., Ltd. Http://www.tobylab.cn Add：1/F.,Building 6, Rundongsheng Industrial Zone, Longzhu, Xixiang, Bao'an District, Shenzhen, Guangdong, China. Report No.: TBR-C-202404-0162-1 Page: 2 of 69 FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Contents 1. Duty Cycle ..................................................................................................................................................................................... 3 2. Maximum Conducted Output Power ............................................................................................................................................ 9 3. -20dB Bandwidth ......................................................................................................................................................................... 15 4. Occupied Channel Bandwidth .................................................................................................................................................... 21 5. Band Edge ................................................................................................................................................................................... 27 6. Band Edge(Hopping) ................................................................................................................................................................... 34 7. Conducted RF Spurious Emission ............................................................................................................................................. 41 8. Restrict Band ............................................................................................................................................................................... 51 9. Carrier Frequencies Separation ................................................................................................................................................. 58 10. Number of Hopping Channel ....................................................................................................................................................... 61 11. Dwell Time .................................................................................................................................................................................... 64 Shenzhen Toby Technology Co., Ltd. Http://www.tobylab.cn Add：1/F.,Building 6, Rundongsheng Industrial Zone, Longzhu, Xixiang, Bao'an District, Shenzhen, Guangdong, China. Report No.: TBR-C-202404-0162-1 Page: 3 of 69 FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 1. Duty Cycle Condition Mode Frequency (MHz) Antenna Duty Cycle (%) Correction Factor (dB) 1/T (kHz) NVNT 1-DH1 2402 Ant1 30.4 5.17 2.63 NVNT 1-DH1 2441 Ant1 30.4 5.17 2.63 NVNT 1-DH1 2480 Ant1 29.6 5.29 2.7 NVNT 2-DH1 2402 Ant1 31.2 5.06 2.56 NVNT 2-DH1 2441 Ant1 31.2 5.06 2.56 NVNT 2-DH1 2480 Ant1 30.4 5.17 2.63 NVNT 3-DH1 2402 Ant1 31.2 5.06 2.56 NVNT 3-DH1 2441 Ant1 31.2 5.06 2.56 NVNT 3-DH1 2480 Ant1 31.2 5.06 2.56 Shenzhen Toby Technology Co., Ltd. Http://www.tobylab.cn Add：1/F.,Building 6, Rundongsheng Industrial Zone, Longzhu, Xixiang, Bao'an District, Shenzhen, Guangdong, China. Report No.: TBR-C-202404-0162-1 Page: 4 of 69 FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Test Graphs Duty Cycle NVNT 1-DH1 2402MHz Ant1 Duty Cycle NVNT 1-DH1 2441MHz Ant1 Shenzhen Toby Technology Co., Ltd. Http://www.tobylab.cn Add：1/F.,Building 6, Rundongsheng Industrial Zone, Longzhu, Xixiang, Bao'an District, Shenzhen, Guangdong, China. Report No.: TBR-C-202404-0162-1 Page: 5 of 69 FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Duty Cycle NVNT 1-DH1 2480MHz Ant1 Duty Cycle NVNT 2-DH1 2402MHz Ant1 Shenzhen Toby Technology Co., Ltd. Http://www.tobylab.cn Add：1/F.,Building 6, Rundongsheng Industrial Zone, Longzhu, Xixiang, Bao'an District, Shenzhen, Guangdong, China. Report No.: TBR-C-202404-0162-1 Page: 6 of 69 FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Duty Cycle NVNT 2-DH1 2441MHz Ant1 Duty Cycle NVNT 2-DH1 2480MHz Ant1 Shenzhen Toby Technology Co., Ltd. Http://www.tobylab.cn Add：1/F.,Building 6, Rundongsheng Industrial Zone, Longzhu, Xixiang, Bao'an District, Shenzhen, Guangdong, China. Report No.: TBR-C-202404-0162-1 Page: 7 of 69 FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Duty Cycle NVNT 3-DH1 2402MHz Ant1 Duty Cycle NVNT 3-DH1 2441MHz Ant1 Shenzhen Toby Technology Co., Ltd. Http://www.tobylab.cn Add：1/F.,Building 6, Rundongsheng Industrial Zone, Longzhu, Xixiang, Bao'an District, Shenzhen, Guangdong, China. Report No.: TBR-C-202404-0162-1 Page: 8 of 69 FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Duty Cycle NVNT 3-DH1 2480MHz Ant1 Shenzhen Toby Technology Co., Ltd. Http://www.tobylab.cn Add：1/F.,Building 6, Rundongsheng Industrial Zone, Longzhu, Xixiang, Bao'an District, Shenzhen, Guangdong, China. Report No.: TBR-C-202404-0162-1 Page: 9 of 69 FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 2. Maximum Conducted Output Power Condition Mode Frequency (MHz) Antenna Conducted Power (dBm) Limit (dBm) Verdict NVNT 1-DH1 2402 Ant1 1.08 21 Pass NVNT 1-DH1 2441 Ant1 1.185 21 Pass NVNT 1-DH1 2480 Ant1 0.779 21 Pass NVNT 2-DH1 2402 Ant1 2.17 21 Pass NVNT 2-DH1 2441 Ant1 2.124 21 Pass NVNT 2-DH1 2480 Ant1 1.655 21 Pass NVNT 3-DH1 2402 Ant1 2.666 21 Pass NVNT 3-DH1 2441 Ant1 2.662 21 Pass NVNT 3-DH1 2480 Ant1 2.234 21 Pass Shenzhen Tob…

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Shenzhen Toby Technology Co., Ltd. Report No.: TBR-C-202404-0162-1 Page: 1 of 48 TB-RF-074-1.0 1/F.,Building 6, Rundongsheng Industrial Zone, Longzhu, Xixiang, Bao'an District, Shenzhen, Guangdong, China Tel: +86 75526509301 Fax: +86 75526509195 RF Test Report FCC ID: 2AAL7-FM0167W Report No. : TBR-C-202404-0162-1 Applicant : FORM ELECTRONICS CO., Ltd Equipment Under Test (EUT) EUT Name : Wireless Speaker/White Noise Machine Model No. : FM0167W Series Model No. : ---- Brand Name : ---- Sample ID : HC-C-202404-0162-01-02-1#& HC-C-202404-0162-01-02-2# Receipt Date : 2024-06-12 Test Date : 2024-06-12 to 2024-06-19 Issue Date : 2024-06-19 Standards : FCC Part 15 Subpart C 15.247 Test Method : ANSI C63.10:2013 KDB 558074 D01 15.247 Meas Guidance v05r02 Conclusions : PASS In the configuration tested, the EUT complied with the standards specified above. Tested By : Jolin Lee Reviewed By : Wade. Lv Approved By : Ivan Su This report details the results of the testing carried out on one sample. The results contained in this test report do not relate to other samples of the same product. The manufacturer should ensure that all products in series production are in conformity with the product sample detailed in the report. Report No.: TBR-C-202404-0162-1 Page: 2 of 48 TB-RF-074-1.0 Contents CONTENTS ............................................................................................................................................. 2 1. GENERAL INFORMATION ABOUT EUT.............................................................................. 6 1.1 Client Information ................................................................................................................. 6 1.2 General Description of EUT (Equipment Under Test) ................................................... 6 1.3 Block Diagram Showing the Configuration of System Tested ...................................... 8 1.4 Description of Support Units .............................................................................................. 8 1.5 Description of Test Mode .................................................................................................... 9 1.6 Description of Test Software Setting .............................................................................. 10 1.7 Measurement Uncertainty ................................................................................................ 10 1.8 Test Facility ......................................................................................................................... 11 2. TEST SUMMARY ..................................................................................................................... 12 3. TEST SOFTWARE ................................................................................................................... 12 4. TEST EQUIPMENT AND TEST SITE ................................................................................... 13 5. CONDUCTED EMISSION ....................................................................................................... 15 5.1 Test Standard and Limit .................................................................................................... 15 5.2 Test Setup ........................................................................................................................... 15 5.3 Test Procedure ................................................................................................................... 15 5.4 Deviation From Test Standard ......................................................................................... 16 5.5 EUT Operating Mode ........................................................................................................ 16 5.6 Test Data ............................................................................................................................. 16 6. RADIATED AND CONDUCTED UNWANTED EMISSIONS ............................................ 17 6.1 Test Standard and Limit .................................................................................................... 17 6.2 Test Setup ........................................................................................................................... 19 6.3 Test Procedure ................................................................................................................... 20 6.4 Deviation From Test Standard ......................................................................................... 21 6.5 EUT Operating Mode ........................................................................................................ 21 6.6 Test Data ............................................................................................................................. 21 7. EMISSIONS IN RESTRICTED BANDS ............................................................................... 22 7.1 Test Standard and Limit .................................................................................................... 22 7.2 Test Setup ........................................................................................................................... 22 7.3 Test Procedure ................................................................................................................... 23 7.4 Deviation From Test Standard ......................................................................................... 24 Report No.: TBR-C-202404-0162-1 Page: 3 of 48 TB-RF-074-1.0 7.5 EUT Operating Mode ........................................................................................................ 24 7.6 Test Data ............................................................................................................................. 24 8. 99% OCCUPIED AND 20DB BANDWIDTH ........................................................................ 25 8.1 Test Standard and Limit .................................................................…

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FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Appendix V EUT Test Photographs Photo of Setup for Radiated Emission (Below 1 GHz) Photo of Setup for Radiated Emission (Above 1 GHz) FCC ID: 2AAL7-FM0167W TB-RF-074-1.0 Photo of Setup for Radiated Emission (Above 1 GHz) Photo of Setup for Conducted Emission -----END OF THE REPORT-----