Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
BaR - A member ofthe ABB Group To: Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 USA Attestation Section 2.911 (dxsxi) and Section 2.911(dX5Xii) (KDB 986446 D01 Govered Equipment) Section 2.911(dXsXi) B&R lndustrial Automation GmbH ("the applicant") certifies that the equipment for which authorization is sought is not "covered" equipment prohibited from receiving an equipment authorization pursuant to section 2303 of the FCC rules. Section 2.91'l (dXSXii) B&R lndustrial Automation GmbH ("the applicant") certifies that, as of the date of the filing of the application, the applicant rs nof identified on the Covered List (as a specifically named entity or any of its subsidiaries or affiliates) as an entity producing "covered" equipment. Type of Equipment subject to FCC Certification: FCC lD: 2ADFV-5E904029 lf you have any questions, please feel free to contact me Contact Person: Roland Sevcik Position in the Company: Product Certification and Documentation Date of Signature: 17.12.2025 Sign (s to re of the applicant)
PHOENIX TESTLAB GmbH Prod uct Certification Department Koenigswinkel 10 32825 Blomberg Germany Date: 2026-05-07 Attestation FGC Justification Statement about Antenna Gain lnformation We hereby attest that the device referenced below incorporates a permanently attached, integrated PCB trace antenna. The antenna is an integral part of the RF design and cannot be replaced, removed, or modified by the end user. No external antenna connectors are provided. The device complies with the FCC limits forfundamental and spurious emissions solely by radiated measurements as documented in the Test Report No.: 80268456-04 Rev_O, issued by CSA Group Bayern GmbH, dated 12. November 2025. Therefore, no separate evaluation of antenna manufacturers data sheets, antenna reference design specification or Antenna Under Test (AUT) reports necessary, as required for the FCC certification under CFR 47 Part 15. FCC lD: 2ADFV-5E9O4O29 FCC Rule Paft Section: FCC 15.225 lf you have any questions, please feel free to contact me Contact Person: Roland Sevcik Position in the Company: Product Compliance and Documentation Date of Signature 2026-05-07 sig ry (si ure of the applicant)
BaR A member oftheABB Group To: Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 USA Attestation Gertification designating a U.S. Agent for Service of Process Section 2.911(dX7) (KDB 986446 D01 Covered Equipment) B&R lndustrial Automation GmbH ("the applicant") as required by section 2.911(dX7), designate below contact located in the United States for purposes of acting as the ^^^!i^^^1,^ ^^^^1 t^- a++,:^^ ^t TL_ ___t:--_. _t_ - clPPllt clllLr crgvllL lul sElvluu ul PluUE55. i ne appilüant aiSO aCCgpIS IO mainlain an agent for no less than one year after the grantee has terminated all marketing and importation or the conclusion of any Commission-related proceeding involving the equipment. The US Agent confirms by the signature, that he has accepted the responsibility to act as the Designated U.S. Agent for Service of Process as required by section 47 CFR 2.911(dX7) on behalf of the Applicant as noted below. Type of Equipment subject to FCC Certification -l r a r t i; p rL i t cl e r- R e a c.! e r fi4 i f a re 2 ?i't r it LJ S B FCC lD: 2ADFV-5E904029 Sincerely yours, Applicant/Grantee B&R lndustrial Automation GmbH FRN: 0024023939 ! \arrrilt P ro cl t r r:i C t: ti t ;: I i a n ce a i t cl ü o c t.t n't e t t'ta t i o it E f), R I r t ri t t s l i'i ct !,4 u i a n t i; i i rt n G nt !'t i-! t?.?F l-il;asse i. Eqgelsiterg. !5i,:!.). Alsiiiti -t.1'3 ! f .iE a;.5;;i;r) US Agent for Service of Process tr FRN: X no FRN - no other business with FCC except US Agent for service of process 414 ',r* /uJr e,f4- !\4 t lth evl \A./i | | t a r; C ti rpo rr f e r D i rectc; t' rf Eit gi i t e e i'i i t il ts8,R Itidt-rsii"ral Ar rionration 'i1415 Olti F,os',areil Rcl. Sulte 100 Ali',ht' oiin ()ann;i:t ?nnn? '''f''"" "':t' i tt a ii . c t; r S: c-: t t | :t r (Q t r -c. e i> b. c o t'tt ,, i 774-i307-3750 4
BaR A member of th€ ABB Group Request for Confidentialitv Date: December 17,2025 Subject: Confidentiality Request for FCC ID: 2ADFV-58904029 and IC: 12444A-58904029 IHVIN: 58904029 Pursuant to FCC 47 CRF 0.457(d) and 0.459 and IC RSP-100, Section 12.4,the applicant requests that a part of the subject FCC application be held confidential. Type of Confidentiality Requested f] Short term I Permanent n Short Term Short Term Short Term Short Term Short Term Short Term Short Term Short Term ! Permanent*3 B&R Industrial Automation GmbH has spent substantial effort in developing this product and it is one of the first of its kind in industry. Having the subject information easily available to "competition" would negate the advantage they have achieved by developing this product. Not protecting the details of the design will result in financial hardship. Perm anent Confidentia lity: The applicant requests the exhibits listed above as pennanently confidential be permanently withheld from public review due to materials that contain trade secrets and proprietary information not customarily released to the public. Short-Term Confidentiality: The applicant requests the exhibits selected above as short term confidential be withheld from public view for a period of 180 days from the date of the Grant of Equipment Authorization and prior to marketing. This is to avoid premature release of sensitive information prior to marketing or release of the product to the public. Applicant is also aware that they are responsible to notifu Phoenix Testlab GmbH in the event information regarding the product or the product is made available to the public. Phoenix Testlab GmbH will then release the documents listed above for public disclosure pursuant to FCC Public Notice DA 04-1705. NOTE for Industry Canada Applications: IC currently only distinguishes Permanent Confidentiality exhibits as shown above. Short Term confidentiality is not considered applicable to IC applications. / !-:) 7 rG.Do6 Roland Sevcik (Print name) (Signature/Title2) I - The asterisked items (*) require further information to be provided to the TCB before permanent confidentiality will be extended to these exhibits. Please refer to FCC KDB 726920 and the specific Document link for D0l found at: https://apps.fcc.eov/oetcf/kdb/forms/FTSSearchResultPage.cfm?switch:P&id:41731 and review section II, 3) regarding specific information that must accompany these requests. 2 -MustbesignedbyapplicantcontactgivenforapplicantontheFCCsite,orbytheauthorizedagentifanappropriate authorized agent letter has been provided. Letters should be placed on appropriate letterhead. tr X X ! X X n tr n tr X X Permanent*l Permanent Permanent Permanent Permanent Exhibit Block Diagrams External Photos Internal Photos Operation Description/Theory of Operation Parts List & PlacemenVBOM Tune-Up Procedure Schematics Test Setup Photos User's Manual Sincerely, By:
BaR A member of the ABB Group Authoritv to Act as Agent Date: December 17,2025 Phoenix Test Lab GmbH CSA Group Ba]'ern GmbH. Mr. Patrick Lehner / Ms. Marie-Luise Schuster. is authorized to act on our behalf, until otherwise notified, for applications to Phoenix Test Lab GmbH. We certify that we are not subject to denial of federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988,21U.S.C. 862. Further, no party, as defined in 47 CFR 1.2002 (b), to the application is subject to denial of federal benefits, that includes FCC benefits. We also declare that the information provided to the FCC is true and correct to the best of our knowledge (47 CFR 2.911(d)) and we have been informed of the grantee responsibilities (47 CFR 2.909) with regard to certified equipment. This authorization is valid until further written notice from B&R Industrial Automation GmbH -') By . --_///-1 Roland Sevcik ,Jt ignature) TitleProduct Compliance and Documentation On behalf of: B&R Industrial Automation GmbH Address: B&R Strasse 1, Eggelsberg, 5142, Austria Telephone: +43774865860 Email: [email protected]
Lable Location Info
The test report merely corresponds to the test sample. It is not permitted to copy extracts of these test results without the written permissi on of the test laboratory . CSA Group Bayern GmbHFile No.80268456-05 Rev_2, page1 of8 Straubinger Straße 100 94447 Plattling GERMANY Tel.:+49(0)9931-98360Rev. No. 7.0, 2026-03-10 R F − T E S T R E P O R T - Human Exposure - Type / Model Name:HVIN 5E904029 Product Description:Transponder Reader MIFARE USB RFID13.56 MHz Applicant:B&R Industrial Automation GmbH Address: B&R Straße 1 A- 5142 Eggelsberg Manufacturer:B&R Industrial Automation GmbH Address:B&R Straße 1 A-5142 Eggelsberg Test Resultaccording to the standards listed in clause 1 test standards: POSITIVE Test Report No. :80268456-05 Rev_2 07. August 2026 ______________________________________________________________________________________________ Date of issue The test report merely corresponds to the test sample. It is not permitted to copy extracts of these test results without the written permissi on of the test laboratory . FCC ID: 2AC3W-AX500SMGNGIC: 12296A-AX500SMGNG CSA Group Bayern GmbHFile No.80268456-05 Rev_2, page2 of8 Straubinger Straße 100 94447 Plattling GERMANY Tel.:+49(0)9931-98360Rev. No. 7.0, 2026-03-10 Contents 1TEST STANDARDS3 2EQUIPMENT UNDER TEST4 2.1Information provided by the Client4 2.2Sampling4 2.3Photo documentation of the EUT4 2.4Equipment type4 2.5Short description of the equipment under test (EUT)4 2.6Operation frequency and channel plan4 2.7Transmit operating modes4 2.8EUT configuration5 2.9Power supply system utilised5 3TEST RESULT SUMMARY6 3.1Revision history of test report6 3.2Final assessment6 4TEST ENVIRONMENT7 4.1Address of the test laboratory7 4.2Environmental conditions7 4.3Statement of the measurement uncertainty7 5HUMAN EXPOSURE8 5.1RF Exposure Test Exemptions for Single Source8 The test report merely corresponds to the test sample. It is not permitted to copy extracts of these test results without the written permissi on of the test laboratory . FCC ID: 2AC3W-AX500SMGNGIC: 12296A-AX500SMGNG CSA Group Bayern GmbHFile No.80268456-05 Rev_2, page3 of8 Straubinger Straße 100 94447 Plattling GERMANY Tel.:+49(0)9931-98360Rev. No. 7.0, 2026-03-10 1 TEST STANDARDS The tests were performed according to following standards: KDB 447498 D04 v01RF Exposure procedures and equipment authorisation policies for mobile and portable devices, November 29, 2021. ANSI C95.1: 2005IEEE Standard for Safety Levels with respect to Human Exposure to Radio Frequency Electromagnetic Fields, 3 kHz to 300 GHz ETSI TR 100 028 V1.3.1: 2001-03,Electromagnetic Compatibility and Radio Spectrum Matters (ERM); Uncertainties in the Measurement of Mobile Radio Equipment Characteristics—Part 1 and Part 2 The test report merely corresponds to the test sample. It is not permitted to copy extracts of these test results without the written permissi on of the test laboratory . FCC ID: 2AC3W-AX500SMGNGIC: 12296A-AX500SMGNG CSA Group Bayern GmbHFile No.80268456-05 Rev_2, page4 of8 Straubinger Straße 100 94447 Plattling GERMANY Tel.:+49(0)9931-98360Rev. No. 7.0, 2026-03-10 2 EQUIPMENT UNDER TEST 2.1 Information provided by the Client Please note, we do not take any responsibility for information provided by the client or his representative which may have an influence on the validity of the test results. 2.2 Sampling The customer is responsible for the choice of sample. Sample configuration, start-up and operation is carried out by the customer or according his/her instructions. 2.3 Photo documentation of the EUT Detailed photos see ATTACHMENT A and ATTACHMENT B ATTACHMENT A: External views ATTACHMENT B: Internal views 2.4 Equipment type RFID device, fixed equipment (fixed installed device) 2.5 Short description of the equipment under test (EUT) The EUT is a transponder reader which will be powered over USB - Port. RFID technology 13.56 MHz The EUT is tested together with a TAG. Number of tested samples:1 Serial number:367A0168429 2.6 Operation frequency and channel plan The operating frequency of the RFID is 13.553 MHz to 13.567 MHz on 1 channel. 2.7 Transmit operating modes RFID: Continuous reading mode (13.56 MHz) The EUT is tested together with a TAG. The test report merely corresponds to the test sample. It is not permitted to copy extracts of these test results without the written permissi on of the test laboratory . FCC ID: 2AC3W-AX500SMGNGIC: 12296A-AX500SMGNG CSA Group Bayern GmbHFile No.80268456-05 Rev_2, page5 of8 Straubinger Straße 100 94447 Plattling GERMANY Tel.:+49(0)9931-98360Rev. No. 7.0, 2026-03-10 2.8 EUT configuration The following peripheral devices and interface cables were connected during the measurements: -HP LaptopModel:CSA-ID.: 02-01/01-15-009 Power adapter LaptopHP Part No.: 677774-003 -Model: -TAGModel:B&R Industrial Automation GmbH 2.9 Power supply system utilised Power supply voltage, V nom : 5 V DC ±20% (powered over USB) All tests were carried out with a supply voltage of 5 V DC unless otherwise stated. Exceptions are described in the detailed test conditions. The test report merely corresponds to the test sample. It is not permitted to copy extracts of these test results without the written permissi on of the test laboratory . FCC ID: 2AC3W-AX500SMGNGIC: 12296A-AX500SMGNG CSA Group Bayern GmbHFile No.80268456-05 Rev_2, page6 of8 Straubinger Straße 100 94447 Plattling GERMANY Tel.:+49(0)9931-98360Rev. No. 7.0, 2026-03-10 3 TEST RESULT SUMMARY FCC Rule PartDescriptionResult KDB 447498, 2.1.21-mW Test Exemptionpassed 3.1 Revision history of test report Test report NoRev.Issue DateChanges 80268456-05 020 November 2025 Initial test report 80268456-05 105 May 2026 Application “Blanket 1 mW Blanket Exemption” 80268456-05 207 August 2026 Change Type/Model Name: HVIN 5E904029 Change Calculation from EIRP to ERP (page (8/8) The test report with the highest revision number replaces the previous test reports. 3.2 Final assessment The equipment under test fulfills the…
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The test report merely corresponds to the test sample. It is not permitted to copy extracts of these test results without the written permissi on of the test laboratory . CSA Group Bayern GmbHFile No.80268456-04 Rev_2, page1 of24 Straubinger Straße 100 94447 Plattling GERMANY Tel.:+49(0)9931-98360 Rev. No. 6.6, 2024-07-01 EMI − T E S T R E P O R T -FCC Part 15.225,RSS 210- Type / Model Name:HVIN 5E904029 Product Description:Transponder Reader MIFARE USB RFID 13.56 MHz Applicant:B&R Industrial Automation GmbH Address: B&R Straße 1 A- 5142 Eggelsberg Manufacturer:B&R Industrial Automation GmbH Address:B&R Straße 1 A-5142 Eggelsberg Test Resultaccording to the standards listed in clause 1 test standards: POSITIVE Test Report No. : 80268456-04 Rev_2 07. August 2026 ______________________________________________________________________________________________ Date of issue The test report merely corresponds to the test sample. It is not permitted to copy extracts of these test results without the written permissi on of the test laboratory . FCC ID: 2ADFV-5E904029IC ID: 12444A-5E904029 CSA Group Bayern GmbHFile No.80268456-04 Rev_2, page2 of24 Straubinger Straße 100 94447 Plattling GERMANY Tel.:+49(0)9931-98360 Rev. No. 6.6, 2024-07-01 Contents 1TEST STANDARDS3 2EQUIPMENT UNDER TEST4 2.1Information provided by the Client4 2.2Sampling4 2.3Photo documentation of the EUT4 2.4Short description of the equipment under test (EUT)4 2.5Power supply system utilised4 3TEST RESULT SUMMARY5 3.1Revision history of test report5 3.2FINAL ASSESSMENT5 4TEST ENVIRONMENT6 4.1Address of the test laboratory6 4.2Environmental conditions6 4.3Statement of the measurement uncertainty6 4.4Conformity Decision Rule7 4.5Measurement protocol for FCC and ISED7 5TEST CONDITIONS AND RESULTS10 5.1Conducted emissions10 5.2Field strength of the fundamental wave13 5.3Spurious emissions14 5.4Frequency tolerance17 5.5Bandwidth19 5.6Transmitter spectrum mask21 6USED TEST EQUIPMENT AND ACCESSORIES23 The test report merely corresponds to the test sample. It is not permitted to copy extracts of these test results without the written permissi on of the test laboratory . FCC ID: 2ADFV-5E904029IC ID: 12444A-5E904029 CSA Group Bayern GmbHFile No.80268456-04 Rev_2, page3 of24 Straubinger Straße 100 94447 Plattling GERMANY Tel.:+49(0)9931-98360 Rev. No. 6.6, 2024-07-01 1 TEST STANDARDS The tests were performed according to following standards: FCC Rules and Regulations Part 15, Subpart A - General (September 2025) Part 15, Subpart A, Section 15.31Measurement standards Part 15, Subpart A, Section 15.33Frequency range of radiated measurements Part 15, Subpart A, Section 15.35Measurement detector functions and bandwidths FCC Rules and Regulations Part 15, Subpart C - Intentional Radiators (September 2025) Part 15, Subpart C, Section 15.207Conducted limits Part 15, Subpart C, Section 15.209Radiated emission limits, general requirements Part 15, Subpart C, Section 15.225Operation within the band 13.110 - 14.010 MHz RSS Rules and Regulations RSS-Gen Issue 5, March 2018General Requirements and Information for the Certification of Amendment 1 (March 2019)Radiocommunication Equipment Amendment 2 (February 2021) RSS-210 Issue 11, June 2024Low Power Licence – Exempt Radiocommunication Devices (All Frequency Bands): Category I Equipment ANSI C63.10-2020+Cor. 1-2023Testing Unlicensed Wireless Devices +C63.10a-2024 + Errata to C63.10a-2024 The test report merely corresponds to the test sample. It is not permitted to copy extracts of these test results without the written permissi on of the test laboratory . FCC ID: 2ADFV-5E904029IC ID: 12444A-5E904029 CSA Group Bayern GmbHFile No.80268456-04 Rev_2, page4 of24 Straubinger Straße 100 94447 Plattling GERMANY Tel.:+49(0)9931-98360 Rev. No. 6.6, 2024-07-01 2 EQUIPMENT UNDER TEST 2.1 Information provided by the Client Please note, we do not take any responsibility for information provided by the client or his representative which may have an influence on the validity of the test results. 2.2 Sampling The customer is responsible for the choice of sample. Sample configuration, start-up and operation is carried out by the customer or according his/her instructions. 2.3 Photo documentation of the EUT Detailed photos see ATTACHMENT A and ATTACHMENT B ATTACHMENT A: External views ATTACHMENT B: Internal views 2.4 Short description of the equipment under test (EUT) The EUT is a transponder reader which will be powered over USB - Port. RFID technology 13.56 MHz The EUT is tested together with a TAG. Number of tested samples:1 Serial number:367A0168429 EUT operation mode: The equipment under test was operated during the measurement under the following conditions: - Continuous reading mode (13.56 MHz) with TAG EUT configuration: The following peripheral devices and interface cables were connected during the measurements: -HP LaptopModel:CSA-ID.: 02-01/01-15-009 Power adapter LaptopHP Part No.: 677774-003 -Model: -TAGModel:B&R Industrial Automation GmbH 2.5 Power supply system utilised Power supply voltage: 5 V DC ±20% (powered over USB) All tests were carried out with a supply voltage of 5 V DC unless otherwise stated. Exceptions are described in the detailed test conditions. The test report merely corresponds to the test sample. It is not permitted to copy extracts of these test results without the written permissi on of the test laboratory . FCC ID: 2ADFV-5E904029IC ID: 12444A-5E904029 CSA Group Bayern GmbHFile No.80268456-04 Rev_2, page5 of24 Straubinger Straße 100 94447 Plattling GERMANY Tel.:+49(0)9931-98360 Rev. No. 6.6, 2024-07-01 3 TEST RESULT SUMMARY FCC Rule PartRSS Rule PartDescriptionResult 15.207RSS Gen, 8.8AC power line conducted emissionspassed 15.225RSS-210, B.6Field strength of fundamentalpassed 15.209RSS Gen, 8.9Spurious emissionspassed 15.225RSS-210, B.6Frequency tolerancepassed 15.215RSS-Gen, 6.7Occupied bandwidthpassed 15.225RSS-210, B.6Transmitter spectrum maskpassed 3.1 Revision history of …
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11415 Old Roswell RD. Suite 100 · Alpharetta, Georgia, 30009 · United States
| # | Rule Parts | Frequency Range | Power Output | Tolerance |
|---|---|---|---|---|
| 1 | 15C | 13.56 MHz - 13.56 MHz | - | 0.0100000000% |

Transponder Reader Kit Mifare USB
Equipment Class
DXX - Part 15 Low Power Communication Device Transmitter