2AWJX-DA1121FOUORING BOLLO

CategoriesSpecificationRemark ProductNameFOURING BOLLO WirelessChargerDA1121 CertifiedBy WPC 1.2 FOD (Foreign Object Damage)feature Operating Frequency 110 ~ 123kHzWPC Operating Area Input DC9V / 1.67A RXPower:9W (Max) Operating Temperature -20°C ~ +60°C- ManufacturerWLT Co., Ltd.Made in China Address #205, 175, LS-ro, Gunpo-si, Gyeonggi-do, Korea - A/S+82-70-7720-5900- FOURING BOLLO WirelessCharger -DA1121 -

Applicant Declaration Applicant Declaration Rev:0.0 SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia 30024 United States Applicant Legal Business Name WLT Co., Ltd. Address #307, 175, LS-ro, Gunpo-si, Gyeonggi-do, South Korea, 15808 Grantee Code 2AWJX FCC ID 2AWJX-DA1121 Authorized Contact Name Bong Ju Song Contact Email [email protected] Contact Phone +82-10-7164-7700 I, the undersigned, certify that I am an authorized signatory for the Applicant and therefore declare; a) in accordance with 47CFR2.911(d), all of the statements herein and the exhibits attached hereto are true and correct to the best of my knowledge and belief. b) in accepting a Grant of Equipment Authorization issued by a TCB, under the authority of the FCC, as a result of the representations made in this application, the Applicant is responsible for: (1) labeling the equipment with the exact FCC ID as specified in this application, (2) compliance statement labeling pursuant to the applicable rules, (3) compliance of the equipment with the applicable technical rules, c) 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. d) in accordance with 47 CFR 2.909 and KDB394321, the Applicant has read, understood and agrees to accept that they are the responsible party and agree to abide by their responsibilities as specified under 47 CFR 2.909 and KDB394321. e) in accordance with ISO17065, FCC KDB641163, FCC KDB610077, KDB394321 and RSP-100, the Applicant has read, understood, accepts and agrees to abide by the post market surveillance requirements. (1) the Applicant understands, accepts and agrees that a sample may be requested for surveillance testing. (2) the Applicant shall make provisions to always have a production sample available upon request by SGS, FCC and/or ISED. (3) the Applicant shall, upon request by SGS, at the Applicant’s expense, provide a production sample of the requested product to SGS, FCC and/or ISED as instructed. The sample shall include all support devices, cables, software, accessories or other hardware or software required for evaluation, review, certification and audit surveillance of products certified by SGS. f) neither the Applicant nor any party to the application is 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. §862 because of a conviction for possession or distribution of a controlled substance. See 47CFR 1.2002(b) for the definition of a “party” for these purposes. g) the Applicant has read, understood, accepts and agrees to abide by the SGS North America, Inc.(TCB) terms and conditions. Link to CFRs: https://www.fcc.gov/wireless/bureau-divisions/technologies-systems-and-innovation-division/rules-regulations-title-47 Link to KDBs: https://apps.fcc.gov/oetcf/kdb/index.cfm Link to RSP-100: https://www.ic.gc.ca/eic/site/smt-gst.nsf/eng/sf01130.html Applicant Signature: Date: October 06, 2020 Print Name: Bong Ju, Son Title: Manager *NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database

WLT Co., Ltd. #307, 175, LS-ro, Gunpo-si, Gyeonggi-do, South Korea, 15808 06 October 2020 Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road, Columbia, MD 21046 REQUEST FOR CONFIDENTIALITY FCC ID: 2AWJX-DA1121 To Whom It May Concern: Pursuant to Sections 0.457 and 0.459 of the Commission’s Rules (CFR 47), and Section 552 (b) (4) of the Freedom of Information Act, WLT Co., Ltd. hereby requests confidentiality and treatment of certain information accompanying this application. The materials contain trade secrets and proprietary information not customarily released to the public. The public disclosure of these matters might be harmful to the Applicant and provide unjustified benefits to its competitors. We are also hereby request Short‐Term Confidentiality for 180 days after the grant as outlined in Public Notice DA 04‐1705. This provision will give WLT Co., Ltd. temporary confidentiality of commercially sensitive information prior to product release. The requested Permanent and Temporary Confidential exhibits are listed as follows: CONFIDENTIAL LIST Permanent 1 Block Diagram 2 Operational Descriptions 3 Schematics Short‐Term 4 External Photos 5 Internal Photos 6 Test‐Setup Photos 7 User Manual The Applicant understands that pursuant to Rule 0.457, disclosure of this application and all accompanying documentations, where applicable, will not be made public before the date of the Grant for this application. Sincerely Yours Bong Ju Son/ Manager JM smart Inc TEL: +82-10-7164-7700 E-mail: [email protected]

WLT Co., Ltd. #307, 175, LS-ro, Gunpo-si, Gyeonggi-do, South Korea, 15808 Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road, Columbia, MD 21046 LETTER FOR AUTHORIZATION FCC ID: 2AWJX-DA1121 To whom it may concern: I, the undersigned, hereby authorize Lab Manager Hyunchae, You and of SGS Korea Co., Ltd. and hereafter referred to as SGS Korea, 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 Lab Manager Hyunchae, You of SGS Korea Co., Ltd. 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 SGS Korea as our agent, 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; 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; 06 October 2020 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 Certification Division 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 WLT Co., Ltd. #307, 175, LS-ro, Gunpo-si, Gyeonggi-do, South Korea, 15808 Bong Ju Son/ Manager JM smart Inc TEL: +82-10-7164-7700 E-mail: [email protected]

External photos of EUT Top view of EUT Bottom view of EUT Side view of EUT

Fouring BOLLO WirelessCharger Model : DA11 21 Input :9V/1.67A Registrati onNo. : R-R-FR1-DA1121 Manufacturer : WLTCo., Ltd. FCCID : 2AWJX-DA1121 Madein CHINA ※ There is not enough space to insert FCC warning statement since it is too small and we will put it on the packing box.

Internal photos of EUT Internal view of EUT Top view of Main PCB Bottom view of Main PCB View of Antenna Loop coil antenna Loop coil antenna

SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number: F690501-RF-RTL000848-1 Page: 2 of 8 RTT7081-02(2020.10.05)(0) A4(210 mmx297 mm) INDEX Table of Contents 1. General Information -------------------------------------------------------------------------------------- 3 2. Te s t Result ------------------------------------------------------------------------------------------------- 5 SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number: F690501-RF-RTL000848-1 Page: 3 of 8 RTT7081-02(2020.10.05)(0) A4(210 mmx297 mm) 1. General Information 1.1. Testing Laboratory SGS Korea Co., Ltd. (Gunpo Laboratory) - 10-2, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 - 4, LS-ro 182beon-gil , Gunpo-si, Gyeonggi-do, Korea, 15807 - Designation number: KR0150 All SGS services are rendered in accordance with the applicable SGS conditions of service available on request and accessible at http://www.sgs.com/en/Terms-and-Conditions.aspx. Phone No. : +82 31 688 0901 Fax No. : +82 31 688 0921 1.2. Details of Applicant Applicant : WLT Co., Ltd. Address : #307, 175, LS-ro, Gunpo-si, Gyeonggi-do, South Korea, 15808 Contact Person : Son, Bon-ju Phone No. : +82 10 7164 7700 1.3. Details of Manufacturer Company : Same as applicant Address : Same as applicant 1.4. Description of EUT Kind of Product FOURING BOLLO Model Name DA11 21 Power Supply DC 9.0 V Operation Mode 9 W Frequency Range 110.20 ㎑ ~ 180 ㎑ Antenna Type Loop Coil Antenna SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number: F690501-RF-RTL000848-1 Page: 4 of 8 RTT7081-02(2020.10.05)(0) A4(210 mmx297 mm) 1.5. Test Equipment List Equipment Manufacturer Model S/N Cal. Date Cal. Interval Cal. Due E-Field Probe D.A.R.E!! Instruments RadiSense 4 13I00444SNO04 Jul. 03, 2020 Annual Jul. 03, 2021 Magnetic Field Sensor HIOKI 3471 0850-B1 Aug 05, 2020 Annual Aug. 05, 2021 Magnetic Field Hitester HIOKI FT3470-50 140430999 Aug 05, 2020 Annual Aug. 05, 2021 Anechoic Chamber SY Corporation L × W × H (9.6 m × 6.4 m × 6.6 m) N/A N.C.R. N/A N.C.R. ▶ Support Equipment Description Manufacturer Model FCC ID Samsung Mobile Phone Samsung Electronics Co., Ltd. SM- N920S A3LSMN920S 1.6. Test Report Revision Revision Report Number Date of Issue Description 0 F690501-RF-RTL000848 2020.06.29 Initial 1 F690501-RF-RTL000848-1 2020.11.18 Retested the E and H field strength 1.7. Worst Case of Test Configurations In order to check all kinds of possible configurations, EUT was evaluated with appropriate client and under each charging condition as below table. Charging mode with client device Mode Description Model: SM-N920S FCC ID: A3LSMN920S 110.20 ㎑ ~ 180 ㎑ 1 % of battery 50 % of battery 99 % of battery Note; - EUT was investigated with client device under normal charging condition as above then worst value was only reported. SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number: F690501-RF-RTL000848-1 Page: 5 of 8 RTT7081-02(2020.10.05)(0) A4(210 mmx297 mm) 2. Test Result 2.1. Test Setup 2.2. Measurement procedure a) The RF exposure test was performed in anechoic chamber. b) The minimum separation distance to user is 6 ㎝. Thus, the measurement probe was placed at test distance (6, 8, 10, 13, 15 ㎝) which is between the edge of the charger and the geometric center of probe. c) The highest emission level was recorded and compared with limit as soon as measurement of each points (A, B, C, D, E) were completed. d) The EUT was measured according to the dictates of KDB 680106 D01 RF Exposure Wireless Charging Apps v03. SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number: F690501-RF-RTL000848-1 Page: 6 of 8 RTT7081-02(2020.10.05)(0) A4(210 mmx297 mm) 2.3. Equipment Approval Considerations item 5 b) of KDB 680106 D01 v03. (1) Power transfer frequency is less that 1 ㎒. - The device operates at a frequency 110.20 ㎑ and 180 ㎑. (2) Output power from each primary coil is less than or equal to 15 watts. - Output power from primary coil: 9 watts. (3) The transfer system includes only single primary and secondary coils. This includes charging systems that may have multiple primary coils and clients that are able to detect and allow coupling only between individual pairs of coils. - The transfer system including a charging system with single coil. (4) Client device is placed directly in contact with the transmitter. - Client device is placed directly in contact with the transmitter. (5) Mobile exposure conditions only (portable exposure conditions are not covered by this exclusion). - Mobile exposure conditions only. (6) The aggregate H-field strengths at 15 ㎝ surrounding the device and 20 ㎝above the top surface from all simultaneous transmitting coils are demonstrated to be less than 50 % of the MPE limit. - Refer to following test results. The EUT H-Field Strength levels at 15 ㎝ < 50 % of the MPE H-Field Strength limit 1.63 A/m 0.124 A/m (Max. at 15 ㎝) < 0.815 A/m SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number: F690501-RF-RTL000848-1 Page: 7 of 8 RTT7081-02(2020.10.05)(0) A4(210 mmx297 mm) 2.4. Environmental evaluation and exposure limit according to FCC CFR 47 part 1, 1.1307(b), 1.1310. §1.1310: The criteria listed in the following table shall be used to evaluate the environment impact of human exposure to radio frequency (RF) radiation as specified in §1.1307(b), except in the case of portable devices which shall be evaluated according to the provisions of FCC pa…

Text truncated - open the document above for the full version.

SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number:F690501-RF-RTL000847 Page:2of17 RTT5041-19(2020.03.02)(2) A4(210 mmx297 mm) INDEX Table of Contents 1. General Information --------------------------------------------------------------------------------------3 2. Field Strength of Fundamental and Spurious Emission -----------------------------------------7 3. 20㏈Bandwidth -----------------------------------------------------------------------------------------16 SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number:F690501-RF-RTL000847 Page:3of17 RTT5041-19(2020.03.02)(2) A4(210 mmx297 mm) 1. General Information 1.1. Testing Laboratory SGS Korea Co., Ltd. (Gunpo Laboratory) - 10-2, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 - 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 - Designation number: KR0150 All SGS services are rendered in accordance with the applicable SGS conditions of service available on request and accessible athttp://www.sgs.com/en/Terms-and-Conditions.aspx. Phone No.: +82 31 688 0901 Fax No.: +82 31 688 0921 1.2. Details of Applicant Applicant:WLT Co., Ltd. Address:#307, 175, LS-ro, Gunpo-si, Gyeonggi-do, South Korea, 15808 Contact Person:Son, Bon-ju Phone No.:+82 10 7164 7700 1.3. Details of Manufacturer Company:Same as applicant Address:Same as applicant 1.4. Description of EUT Kind of Product FOURING BOLLO Model Name DA1121 Power Supply DC 9.0 V Operation Mode 9 W Frequency Range 110.20㎑~ 180㎑ Antenna Type Loop Coil Antenna SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number:F690501-RF-RTL000847 Page:4of17 RTT5041-19(2020.03.02)(2) A4(210 mmx297 mm) 1.5. Test Equipment List EquipmentManufacturerModelS/NCal. Date Cal. Interval Cal. Due Spectrum Analyzer R&SFSV30103453Nov. 06, 2019AnnualNov. 06, 2020 Signal GeneratorAgilent8648D3847M00534Mar. 03, 2020AnnualMar. 03, 2021 AmplifierH.P.8447F2944A03909Aug. 07, 2019AnnualAug. 07, 2020 Loop Antenna Schwarzbeck Mess-Elektronik FMZB 15191519-039Aug. 22, 2019BiennialAug. 22, 2021 Bilog Antenna Schwarzbeck Mess-Elektronik VULB9163396 Mar. 21, 2019 Biennial Mar. 21, 2021 Turn Table Innco systems GmbH DS 1200 SN/AN.C.R.N/AN.C.R. Controller Innco systems GmbH CONTROLLER CO3000-4P CO3000/963/38 330516/L N.C.R.N/AN.C.R. Anechoic Chamber SY Corporation L × W × H (9.6 m × 6.4 m × 6.6 m) N/AN.C.R.N/AN.C.R. Coaxial CableRFONE PL520-NMNM-4M (4 m)20200324001May 06, 2020 Semi- annual Nov. 06, 2020 Coaxial CableRFONE PL520-NMNM-10M (10 m)20200324001May 06, 2020 Semi- annual Nov. 06, 2020 ▶Support Equipment DescriptionManufacturerModelFCC ID Samsung Mobile PhoneSamsung Electronics Co., Ltd.SM-N920SA3LSMN920S 1.6.Sample Calculation Where relevant, the following sample calculation is provided: Field strength level (㏈㎶/m) = Measured level (㏈㎶) + Antenna factor (㏈) + Cable loss (㏈) + (AMP (㏈)) SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number:F690501-RF-RTL000847 Page:5of17 RTT5041-19(2020.03.02)(2) A4(210 mmx297 mm) 1.7. Worst Case of Test Configurations Charging mode with client device ModeDescription Model: SM-N920S FCC ID: A3LSMN920S 110.20㎑~ 180㎑ 1 % of battery 50 % of battery 99 % of battery Note; EUT was investigated with client device under normal charging condition as above then worst value was only reported. SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number:F690501-RF-RTL000847 Page:6of17 RTT5041-19(2020.03.02)(2) A4(210 mmx297 mm) 1.8. Summary of Test Results The EUT has been tested according to the following specifications: APPLIED STANDARD: FCC Part 15 Subpart C SectionTest Item(s)Result 15.209 Radiated Emission, Spurious Emission and Field Strength of Fundamental Complied 2.1049 20㏈Bandwidth Complied 15.207AC Power Line Conducted EmissionN/A 1) Note; 1) The AC power line test was not performed because the EUT use battery power for operation and which do not operate from the AC power lines. Due to the frequency range of the device is less than 1㎒, so we perform middle frequency according to 15.31 requirement. 1.9. Measurement Uncertainty Where relevant, the following measurement uncertainty levels have been estimated for tests performed on the apparatus: ParameterUncertainty 20㏈Bandwidth ±9.66㎑ Radiated Disturbance, 9㎑to 30㎒ ±3.59㏈ Radiated Disturbance, below 1㎓ ±5.88㏈ Uncertainty figures are valid to a confidence level of 95 %. 1.10. Test Report Revision RevisionReport NumberDate of IssueDescription 0F690501-RF-RTL0008472020.06.29Initial SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number:F690501-RF-RTL000847 Page:7of17 RTT5041-19(2020.03.02)(2) A4(210 mmx297 mm) 2. Field Strength of Fundamental and Spurious Emission 2.1. Test Setup The diagram below shows the test setup that is utilized to make the measurements for emission from 9㎑ to 30㎒. The diagram below shows the test setup that is utilized to make the measurements for emission from 30㎒ to 1㎓. SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number:F690501-RF-RTL000847 Page:8of17 RTT5041-19(2020.03.02)(2) A4(210 mmx297 mm) 2.2. Limit 2.2.1. Radiated emission limits, general requirements According to §15.209(a),except as provided elsewhere in this subpart, the emissions from an intentional radiator shall not exceed the field strength levels specified in the following table: Frequency (㎒) Field Strength (microvolts/meter) M…

Text truncated - open the document above for the full version.

Test setup photo of EUT 1. Photos of Operating Mode 2. Photo of Radiated Spurious Emission Test (9 ㎑ ~ 30 ㎒) 3. Photo of Radiated Spurious Emission Test (30 ㎒ ~ 1 000 ㎒) 4. Photos of MPE Test Photo of MPE Test Set up at 15 ㎝ distance - E-field - H-field Photo of MPE Test Set up at 13 ㎝ distance - E-field - H-field Photo of MPE Test Set up at 10 ㎝ distance - E-field - H-field Photo of MPE Test Set up at 8 ㎝ distance - E-field - H-field Photo of MPE Test Set up at 6 ㎝ distance - E-field - H-field Photo of MPE Test Set up at 4 ㎝ distance - E-field Photo of MPE Test Set up at 3 ㎝ distance - E-field