2AB8ZND12BLE MODULE

FCC requires the user to be notified that any changes or modifications made to this device that are not expressly approved by manufacture, may void the user’s authority to use the device

Intel Corporation 2200 Mission College Blvd Santa Clara, CA 95054 Federal Communications Commission 7435 Oakland Mills Road Columbia MD 21046 Subject: Request for Confidentiality FCC ID: 2AB8ZND12 To Whom It May Concern: Pursuant to the provisions of Sections 0.457 and 0.459 of the Commission’s rules (47 CFR §§ 0.457, 0.459), we are requesting the Commission to withhold the following attachments as confidential document from public disclosure indefinitely. Schematic Diagram Block Diagram Theory of Operation Above mentioned document contains detailed system and equipment description are considered as proprietary information in operation of the equipment. The public disclosure of above documents might be harmful to our company and would give competitor an unfair advantage in the market. In additional to above mentioned documents, pursuant to Public Notice DA 04-1705 of the Commission’s policy, in order to comply with the marketing regulations in 47 CFR §2.803 and the importation rules in 47 CFR §2.1204, while ensuring that business sensitive information remains confidential until the actual marketing of newly authorized devices. We are requesting the commission to grant short-term confidentiality request on the following attachments until 180 days. External Photos Internal Photos Test Setup Photos User Manual It is our understanding that all measurement test reports, FCC ID label format and correspondent during certification review process cannot be granted as confidential documents and those information will be available for public review once the grant of equipment authorization is issued. Best Regards , 9/30/2015 Masood Abrishamcar Compliance Manager Intel Corporation

Intel Corporation 2200 Mission College Blvd Santa Clara, CA 95054 Federal Communications Commission Equipment Authorization branch 7435 Oakland Mills Road Columbia, MD 21046 To whom it may concern: I, the undersigned, hereby authorize UL Verification Services Inc. to act on our behalf in all manners relating to application for equipment authorization, including signing of all documents relating to these matters. Any and all acts carried out by UL Verification Services Inc. on our behalf shall have the same effect as acts of our own. I, the undersigned, hereby certify that we are not subject to a denial of federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 853(a). In authorizing UL Verification Services Inc. as our representative, we still recognize that we are responsible to: a) comply with the relevant provisions of the certification program; b) make all necessary arrangements for the conduct of the evaluation, including provision for examining documentation and access to all areas, records (including internal audit reports) and personnel for the purposes of evaluation (e.g. testing, inspection, assessment, surveillance, reassessment) and resolution of complaints; c) make claims regarding certification only in respect of the scope for which certification has been granted; d) do not use our product certification in such a manner as to bring the Certification Division into disrepute and not make any statement regarding our product certification which the Certification Division may consider misleading or unauthorized; e) upon suspension or cancellation of certification, discontinue use of all advertising matter that contains any reference thereto and return any certification documents as required by the Certification Division; f) use certification only to indicate the products are certified as being in conformity with specified standards; Intel Corporation 2200 Mission College Blvd Santa Clara, CA 95054 g) endeavor to ensure that no certificate or report nor any part thereof is used in a misleading manner; h) ensure that any reference to our product certification in communication media such as documents, brochures or advertising, complies with the requirements of the Certification Division; i) keep a record of all complaints made known to the us relating to the product’s compliance with requirements of the relevant standard and to make these records available to the when requested; j) take appropriate action with respect to such complaints and any deficiencies found in products or services that affect compliance with the requirements for certification; k) document the actions taken. This authorization is valid until further written notice from the applicant. Sincerely Yours, , 6/19/2015 Masood Abrishamcar Compliance Manager Intel Corporation

RX ICSP RESET USB 1.5A SHORT TX 23456 AA1A2A3A4A5 789 1111213 AREF RESETIOREFATN3.3V5V ARDUINO.CC GND 1 L ANALOG INPOWER DIGITAL  PWM~ 11 MASTER RESET ON SDASCL FAULT TX/RX Vin GND DESIGNED IN USA ASSEMBLED IN USA OPEN-SOURCE ELECTRONICS PLATFORM 11 FCC ID:2AB8ZND12 IC:1000X-ND12 ARDUINO.CC 15x13mm 38x13mm 28x10mm 150922 Rev. 07 SILK ARDUINO 11 H92347-1 RX ICSP RESET USB 1.5A SHORT TX 23456 AA1A2A3A4A5 789 1111213 AREF RESETIOREFATN3.3V5V GENUINO.CC GND 1 L ANALOG INPOWER DIGITAL  PWM~ 11 MASTER RESET ON SDASCL FAULT TX/RX Vin GND Genuino FROM THE ARDUINO FOUNDERS (M. BANZI, D. CUARTIELLES, T. IGOE, D. MELLIS), TEAM AND COMMUNITY OPEN-SOURCE ELECTRONICS PLATFORM Genuino 11 FCC ID:2AB8ZND12 IC:1000X-ND12 GENUINO.CC DESIGNED IN USA ASSEMBLED IN USA 15x13mm 38x13mm 28x10mm SILK GENUINO 11 H93973-1 / H93974-1 / H93975-1 150922 Rev. 07

FCC Part 1 Subpart I FCC Part 2 Subpart J INDUSTRY CANADA RSS-102 ISSUE 5 RF EXPOSURE REPORT FOR BLE DEVICE MODEL NUMBER: 101 FCC ID: 2AB8ZND12 IC: 1000X-ND12 REPORT NUMBER: 15U21795-S1V2 ISSUE DATE: October 9, 2015 Prepared for INTEL CORPORATION 2200 MISSION COLLEGE BOULEVARD, SANTA CLARA, CA 95052, U.S.A Prepared by UL VERIFICATION SERVICES INC. 47173 BENICIA STREET FREMONT, CA 94538, U.S.A. TEL: (510) 771-1000 REPORT NO: 15U21795-S1V2 DATE: OCTOBER 9, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 2 of 7 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc. . Revision History Rev. Issue Date Revisions Revised By -- 10/5/2015 Original issue V2 10/9/2015 Corrected power level and model number D Weaver REPORT NO: 15U21795-S1V2 DATE: OCTOBER 9, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 3 of 7 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc. . TABLE OF CONTENTS 1. ATTESTATION OF TEST RESULTS ................................................................................. 4 2. TEST METHODOLOGY ..................................................................................................... 5 3. REFERENCES ................................................................................................................... 5 4. FACILITIES AND ACCREDITATION ................................................................................. 5 5. Device under test .............................................................................................................. 5 6. STANDALONE SAR TEST EXCLUSION CONSIDERATIONS .......................................... 6 6.1. FCC ............................................................................................................................. 6 6.2. INDUSTRY CANADA ................................................................................................... 7 REPORT NO: 15U21795-S1V2 DATE: OCTOBER 9, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 4 of 7 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc. . 1. ATTESTATION OF TEST RESULTS COMPANY NAME: INTEL CORPORATION 2200 MISSION COLLEGE BOULEVARD SANTA CLARA, CA 95052, U.S.A. EUT DESCRIPTION: BLE DEVICE MODEL: 101 SERIAL NUMBER: AEDVT1SQ5360091 DATE TESTED: SEPTEMBER 15 -18, 2015 APPLICABLE STANDARDS STANDARD TEST RESULTS FCC PART 1 SUBPART I & PART 2 SUBPART J Pass INDUSTRY CANADA RSS-102 ISSUE 5 Pass UL Verification Services Inc. calculated the RF Exposure of the above equipment in accordance with the requirements set forth in the above standards, using test results reported in the test report documents referenced below and/or documentation furnished by the applicant. All indications of Pass/Fail in this report are opinions expressed by UL Verification Services Inc. based on interpretations of these calculations. The results show that the equipment is capable of demonstrating compliance with the requirements as documented in this report. Note: The results documented in this report apply only to the tested sample, under the conditions and modes of operation as described herein. This document may not be altered or revised in any way unless done so by UL Verification Services Inc. and all revisions are duly noted in the revisions section. Any alteration of this document not carried out by UL Verification Services Inc. will constitute fraud and shall nullify the document. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, any agency of the Federal Government, or any agency of any government. Approved & Released For UL Verification Services Inc. By: Dave Weaver Program Manager UL Verification Services Inc. REPORT NO: 15U21795-S1V2 DATE: OCTOBER 9, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 5 of 7 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc. . 2. TEST METHODOLOGY All calculations were made in accordance with FCC KDB 447498 and IC RSS-102 issue 5. 3. REFERENCES Output power, Duty cycle and Antenna gain data is excerpted from the applicable test reports or client declarations. 4. FACILITIES AND ACCREDITATION The test sites and measurement facilities used to collect data are located at 47173 and 47266 Benicia Street, Fremont, California, USA UL Verification Services Inc. is accredited by NVLAP, Laboratory Code 200065-0. 5. Device under test The EUT is a BLE module. As the user to antenna separation distance is unspecified the distance was assumed to be 0mm. REPORT NO: 15U21795-S1V2 DATE: OCTOBER 9, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 6 of 7 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc. . 6. STANDALONE SAR TEST EXCLUSION CONSIDERATIONS 6.1. FCC SAR test exclusion in accordance with KDB 447498. The 1-g and 10-g SAR test exclusion thresholds for 100 MHz to 6 GHz at test separation distances ≤ 50 mm are determined by: [(max. power of channel, including tune-up tolerance, mW) / (min. test separation distance, mm)]·[√f(GHz)] ≤ 3.0, for 1-g SAR and ≤ 7.5 for 10-g extremity SAR, where  f (GHz) is the RF channel transmit frequency in GHz  Power and distance are rounded to the nearest mW and mm before calculation  The result is rounded to one decimal place for comparison This test exclusion is applicable only when the minimum test separation distance is ≤ 50 mm and for transmission frequencies between 100 MHz and 6 GHz. When the minimum test separation distance is < 5 mm, a distance of 5 mm is applied to determine SAR test exclusion. SAR Exclusion Calculation Table for Portable Devices (separation distance < 50mm) dBmmW BLE24805.00350.9 Calculated Threshold Tx Frequency (MHz)…

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FCC 47 CFR PART 15 SUBPART C INDUSTRY CANADA RSS-247 ISSUE 1 BLUETOOTH LOW ENERGY CERTIFICATION TEST REPORT FOR BLE MODULE MODEL NUMBER: 101 FCC ID: 2AB8ZND12 IC: 1000X-ND12 REPORT NUMBER: 15U21795-E1V4 ISSUE DATE: OCTOBER 09, 2015 Prepared for INTEL CORPORATION 2200 MISSION COLLEGE BOULEVARD, SANTA CLARA, CA 95052, U.S.A Prepared by UL VERIFICATION SERVICES INC. 47173 BENICIA STREET FREMONT, CA 94538, U.S.A. TEL: (510) 771-1000 FAX: (510) 661-0888 REPORT NO: 15U21795-E1V4 DATE: OCTOBER 09, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 2 of 63 UL VERIFICATION SERVICES INC. FORM NO: CCSUP4701I 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc. Revision History Rev. Issue Date Revisions Revised By V1 09/29/2015 Initial Issue C. PANG V2 10/05/2015 Updated Equipment list date C. PANG V3 10/07/2015 Address TCB’s question C. PANG V4 10/09/2015 Update to RSS-247 C. Pang REPORT NO: 15U21795-E1V4 DATE: OCTOBER 09, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 3 of 63 UL VERIFICATION SERVICES INC. FORM NO: CCSUP4701I 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc. TABLE OF CONTENTS 1. ATTESTATION OF TEST RESULTS ................................................................................. 5 2. TEST METHODOLOGY ..................................................................................................... 6 3. FACILITIES AND ACCREDITATION ................................................................................. 6 4. CALIBRATION AND UNCERTAINTY ................................................................................ 7 4.1. MEASURING INSTRUMENT CALIBRATION .............................................................. 7 4.2. SAMPLE CALCULATION ............................................................................................ 7 4.3. MEASUREMENT UNCERTAINTY ............................................................................... 7 5. EQUIPMENT UNDER TEST ............................................................................................... 8 5.1. DESCRIPTION OF EUT .............................................................................................. 8 5.2. MAXIMUM OUTPUT POWER...................................................................................... 8 5.3. DESCRIPTION OF AVAILABLE ANTENNAS .............................................................. 8 5.4. SOFTWARE AND FIRMWARE .................................................................................... 8 5.5. WORST-CASE CONFIGURATION AND MODE .......................................................... 8 5.6. DESCRIPTION OF TEST SETUP ................................................................................ 9 6. TEST AND MEASUREMENT EQUIPMENT ......................................................................14 7. ANTENNA PORT TEST RESULTS ...................................................................................15 7.1. MEASUREMENT METHODS .....................................................................................15 7.2. ON TIME, DUTY CYCLE ............................................................................................16 7.3. 6 dB BANDWIDTH ......................................................................................................17 7.4. 99% BANDWIDTH ......................................................................................................20 7.5. OUTPUT POWER.......................................................................................................23 7.6. AVERAGE POWER ....................................................................................................26 7.7. POWER SPECTRAL DENSITY ..................................................................................27 7.8. CONDUCTED SPURIOUS EMISSIONS .....................................................................30 8. RADIATED TEST RESULTS .............................................................................................34 8.1. LIMITS AND PROCEDURE ........................................................................................34 8.2. TRANSMITTER ABOVE 1 GHz ..................................................................................35 8.3. WORST-CASE BELOW 1 GHz ...................................................................................45 8.3.1. EUT WITH AC ADAPTER ....................................................................................45 8.3.2. EUT WITH USB LAPTOP ....................................................................................47 8.4. WORST-CASE 18 to 26 GHz ......................................................................................49 9. AC POWER LINE CONDUCTED EMISSIONS ..................................................................51 REPORT NO: 15U21795-E1V4 DATE: OCTOBER 09, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 4 of 63 UL VERIFICATION SERVICES INC. FORM NO: CCSUP4701I 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc. 9.1. EUT WITH AC ADAPTER ...........................................................................................52 9.2. EUT WITH USB LAPTOP ...........................................................................................54 10. SETUP PHOTOS ...........................................................................................................56 REPORT NO: 15U21795-E1V4 DATE: OCTOBER 09, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 5 of 63 UL VERIFICATION SERVICES INC. FORM NO: CCSUP4701I 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This…

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REPORT NO: 15U21795-E1V4 DATE: OCTOBER 09, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 56 of 63 UL VERIFICATION SERVICES INC. FORM NO: CCSUP4701I 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc. 10. SETUP PHOTOS ANTENNA PORT CONDUCTED RF MEASUREMENT SETUP RADIATED RF MEASUREMENT SETUP (BELOW 1 GHz) ANTENNA PORT CONDUCTED PHOTO RADIATED FRONT PHOTO (BELOW 1 GHz) REPORT NO: 15U21795-E1V4 DATE: OCTOBER 09, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 57 of 63 UL VERIFICATION SERVICES INC. FORM NO: CCSUP4701I 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc. RADIATED RF MEASUREMENT SETUP (ABOVE 1 GHz) RADIATED BACK PHOTO (BELOW 1 GHz) RADIATED FRONT PHOTO (ABOVE 1 GHz) REPORT NO: 15U21795-E1V4 DATE: OCTOBER 09, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 58 of 63 UL VERIFICATION SERVICES INC. FORM NO: CCSUP4701I 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc. RADIATED RF MEASUREMENT SETUP FOR PORTABLE CONFIGURATION RADIATED BACK PHOTO (ABOVE 1 GHz) X-AXIS FRONT PHOTO REPORT NO: 15U21795-E1V4 DATE: OCTOBER 09, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 59 of 63 UL VERIFICATION SERVICES INC. FORM NO: CCSUP4701I 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc. X-AXIS BACK PHOTO Y-AXIS FRONT PHOTO REPORT NO: 15U21795-E1V4 DATE: OCTOBER 09, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 60 of 63 UL VERIFICATION SERVICES INC. FORM NO: CCSUP4701I 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc. Y-AXIS BACK PHOTO Z-AXIS FRONT PHOTO REPORT NO: 15U21795-E1V4 DATE: OCTOBER 09, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 61 of 63 UL VERIFICATION SERVICES INC. FORM NO: CCSUP4701I 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc. POWERLINE CONDUCTED EMISSIONS MEASUREMENT SETUP WITH AC ADAPTER Z-AXIS BACK PHOTO LINE CONDUCTED FRONT PHOTO REPORT NO: 15U21795-E1V4 DATE: OCTOBER 09, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 62 of 63 UL VERIFICATION SERVICES INC. FORM NO: CCSUP4701I 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc. POWERLINE CONDUCTED EMISSIONS MEASUREMENT SETUP WITH USB AND LAPTOP LINE CONDUCTED BACK PHOTO LINE CONDUCTED FRONT PHOTO REPORT NO: 15U21795-E1V4 DATE: OCTOBER 09, 2015 FCC ID: 2AB8ZND12 IC: 1000X-ND12 Page 63 of 63 UL VERIFICATION SERVICES INC. FORM NO: CCSUP4701I 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc. END OF REPORT LINE CONDUCTED BACK PHOTO