A3LSMT116BUCellular/PCS GSM/WCMDA Portable Tablet with WLAN and Bluetooth

Samsung Electronics America, Inc 19 Chapin Rd, Building D. Pine Brook, NJ 07058 Date: Jan. 24, 2015 To whom it may concern: We, the undersigned, hereby authorize PCTEST Engineering Laboratory Inc., to act on our behalf in all matters relating to applications for equipment authorization, including the signing of all documents relating to these matters. Any and all acts carried out by PCTEST Engineering Laboratory, Inc. on our behalf shall have the same effect as acts of our own. We also hereby certify that no pa rty to any 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. FCC ID: A3LSMT116BU Sincerely, CHANHO, YOUN General Manager American QA Lab SAMSUNG Electronics America INC.

SAMSUNG ELECTRONICS CO., LTD 129, Samsung-ro,Yeongtong-gu Suwon-si,Gyeonggi-do, 443-742 Korea Jan. 24, 2015 Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 SUBJECT : Label Statement FCC ID : A3LSMT116BU Gentlemen: The device is compliant in accordance to the FCC rules about identification of equipment, stated in 47 CFR Part 2.925(d). The label statement is as follows: The FCC ID label is located on the rear bottom of the device. At this time the FCC ID is readily visible to the user. The label is permanently engraved by laser and not easily removed from the device. This st atement could not be included in the label. So we inform you of it through this letter. Should yo u hav e any questions or comments conc erning the above, please contact the undersigned. Sincerely Yours, Seoung Ho Park Senior Manager SAMSUNG ELECTRONICS CO.,LTD Telecommunication Network Business Mobile Communication Division Regulatory Compliance Group.

SAMSUNG ELECTRONICS AMERICA, INC. American QA Lab 19 Chapin Rd, Building D. Pine Brook, NJ 07058 Date: Jan. 24, 2015 Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road, Columbia, MD 21046 RE: Request of Confidentiality for FCC ID: A3LSMT116BU 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, SAMSUNG ELECTRONICS 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 SAMSUNG ELECTRONICS CO.,LTD. temporary confidentiality of commercially sensitive information prior to product release. The requested Permanent and Short-Term Confidential exhibits are listed as follows: PERMANENT AND SHORT-TERM CONFIDENTIAL LIST ExhibitDescription 1 Block Diagram 2 Operational Description PERMANENT 3 External Photos 4 Internal Photos 5 Test-Setup Photos SHORT-TERM 6 Users 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, CHANHO, YOUN General Manager American QA Lab SAMSUNG Electronics America INC.

Samsung Electronics Co., Ltd. FCC ID: A3LSMT116BU Model: SM-T116BU External Photos EUT Type: Portable Tablet Page 1 of 4 © 2015 PCTEST Engineering Laboratory, Inc. V 1.31 11/19/2014 EXTERNAL PHOTOGRAPHS Samsung Electronics Co., Ltd. FCC ID: A3LSMT116BU Model: SM-T116BU External Photos EUT Type: Portable Tablet Page 2 of 4 © 2015 PCTEST Engineering Laboratory, Inc. V 1.31 11/19/2014 Samsung Electronics Co., Ltd. FCC ID: A3LSMT116BU Model: SM-T116BU External Photos EUT Type: Portable Tablet Page 3 of 4 © 2015 PCTEST Engineering Laboratory, Inc. V 1.31 11/19/2014 Samsung Electronics Co., Ltd. FCC ID: A3LSMT116BU Model: SM-T116BU External Photos EUT Type: Portable Tablet Page 4 of 4 © 2015 PCTEST Engineering Laboratory, Inc. V 1.31 11/19/2014

Label and Location Model: SM-T116BU FCC ID: A3LSMT116BU Label: Loca tion: Top Back of device Bottom Tablet : FCC ID is engraved on rear bottom of the device Label

Samsung Electronics Co., Ltd. FCC ID: A3LSMT116BU Model: SM-T116BU Internal Photos EUT Type: Portable Tablet Page 1 of 9 © 2015 PCTEST Engineering Laboratory, Inc. V 1.31 11/19/2014 INTERNAL PHOTOGRAPHS Samsung Electronics Co., Ltd. FCC ID: A3LSMT116BU Model: SM-T116BU Internal Photos EUT Type: Portable Tablet Page 2 of 9 © 2015 PCTEST Engineering Laboratory, Inc. V 1.31 11/19/2014 Samsung Electronics Co., Ltd. FCC ID: A3LSMT116BU Model: SM-T116BU Internal Photos EUT Type: Portable Tablet Page 3 of 9 © 2015 PCTEST Engineering Laboratory, Inc. V 1.31 11/19/2014 Samsung Electronics Co., Ltd. FCC ID: A3LSMT116BU Model: SM-T116BU Internal Photos EUT Type: Portable Tablet Page 4 of 9 © 2015 PCTEST Engineering Laboratory, Inc. V 1.31 11/19/2014 Samsung Electronics Co., Ltd. FCC ID: A3LSMT116BU Model: SM-T116BU Internal Photos EUT Type: Portable Tablet Page 5 of 9 © 2015 PCTEST Engineering Laboratory, Inc. V 1.31 11/19/2014 Samsung Electronics Co., Ltd. FCC ID: A3LSMT116BU Model: SM-T116BU Internal Photos EUT Type: Portable Tablet Page 6 of 9 © 2015 PCTEST Engineering Laboratory, Inc. V 1.31 11/19/2014 Samsung Electronics Co., Ltd. FCC ID: A3LSMT116BU Model: SM-T116BU Internal Photos EUT Type: Portable Tablet Page 7 of 9 © 2015 PCTEST Engineering Laboratory, Inc. V 1.31 11/19/2014 Samsung Electronics Co., Ltd. FCC ID: A3LSMT116BU Model: SM-T116BU Internal Photos EUT Type: Portable Tablet Page 8 of 9 © 2015 PCTEST Engineering Laboratory, Inc. V 1.31 11/19/2014 Samsung Electronics Co., Ltd. FCC ID: A3LSMT116BU Model: SM-T116BU Internal Photos EUT Type: Portable Tablet Page 9 of 9 © 2015 PCTEST Engineering Laboratory, Inc. V 1.31 11/19/2014

-1/13- E E E M M M C C C T T T E E E S S S T T T R R R E E E P P P O O O R R R T T T Project No. LBE20150046 Issue No. 0 Applicant Name of organization Samsung Electronics Co., Ltd. Address (Maetan-dong) 129, Samsung-ro, Yeongtong-gu, Suwon-si, Gyeonggi-do, 443-742, Republic of Korea Date of application January 5, 2015 EUT Type of device Class B personal computers and peripherals All other devices Equipment authorization Declaration of Conformity Certification Verification FCC ID A3LSMT116BU Kind of product Portable Device Model No. SM-T116BU Variant Model No. Refer to clause 4.6 Manufacturer SAMSUNG ELECTRONICS VIETNAM Thai Nguyen CO., LTD KCN Yen Binh I, Pho Yen, Thai Nguyen, Vietnam Applied Standards FCC Part 15, Subpart B, Class B / ANSI C63.4-2009 Test Period January 6, 2015 ~ January 8, 2015 Issue date January 12, 2015 Test result : Complied The equipment under test has found to be compliant with the applied standards. (Refer to thtlfe attached test result for more detail.) Tested by : Ho-Jin Choi Reviewed by : Jong-Sup Jeong The test results in this report only apply to the tested sample. This report must not be reproduced, except in full, without written permission from CS & Environment center. CS & Environment Center of Samsung Electronics Co., Ltd. (Maetan-dong) 129, Samsung-ro, Yeongtong-gu, Suwon-si, Gyeonggi-so, 443-742, Republic of Korea Project No. : LBE20150046 Portable Device: SM-T116BU -2/13- This report must not be reproduced, except in full, without written permission from CS & Environment center. Form No.: SRA-TRF-46/2 Table of contents 1. Report Information 1.1 Revision history ------------------------------------------------------------------------------------------------------------------ 3 2. Summary of test results 2.1 Emission ------------------------------------------------------------------------------------------------------------------------------- 3 3. General Information 3.1 Test facility ---------------------------------------------------------------------------------------------------------------------------- 3 4. Test Configuration 4.1 Test Peripherals ----------------------------------------------------------------------------------------------------------------- 4 4.2 EUT operating mode -------------------------------------------------------------------------------------------------------- 4 4.3 Details of Sampling ----------------------------------------------------------------------------------------------------------- 4 4.4 Used cable description ---------------------------------------------------------------------------------------------------- 5 4.5 Test arrangement -------------------------------------------------------------------------------------------------------------- 5 4.6 EUT Description ----------------------------------------------------------------------------------------------------------------- 6 4.7 Clock Frequencies ------------------------------------------------------------------------------------------------------------ 6 4.8 Test configuration and condition ---------------------------------------------------------------------------------- 6 4.9 Measurement uncertainty ---------------------------------------------------------------------------------------------- 7 5. Result of individual tests 5.1 Conducted disturbance --------------------------------------------------------------------------------------------------- 8 5.2 Radiated disturbance ------------------------------------------------------------------------------------------------------- 10 Project No. : LBE20150046 Portable Device: SM-T116BU -3/13- This report must not be reproduced, except in full, without written permission from CS & Environment center. Form No.: SRA-TRF-46/2 1. Report Information 1.1 Revision history No. Revised detailed information Issue 0 - LBE20150046 (SAMSUNG) 2. Summary of test results 1.1 Emission The EUT has been tested according to the following specifications: Applied Test type Applied standard Result Conducted Disturbance (Mains port) FCC Part 15 Subpart B / ANSI C63.4-2009 (Class B) Complied Radiated Disturbance Complied 3. General Information 3.1 Test facility The CS & Environment center is located on Samsung Electronics Co., Ltd. at (Maetan-dong) 129, Samsung-ro, Yeongtong-gu, Suwon-si, Gyeonggi-do, Republic of Korea. All testing are performed in Semi-anechoic chambers conforming to the site attenuation characteristics defined by ANSI C63.4, CISPR 22, 16-1 and 16-2. and Shielded rooms. The CS & Environment center is operated as testing laboratory in accordance with the requirements of ISO/IEC 17025:2005. Project No. : LBE20150046 Portable Device: SM-T116BU -4/13- This report must not be reproduced, except in full, without written permission from CS & Environment center. Form No.: SRA-TRF-46/2 4. Test Setup configuration 4.1 Test Peripherals The cables used for these peripherals are either permanently attached by the peripheral manufacturer or coupled with an assigned cable as defined below. The following is a listing of the EUT and peripherals utilized during the performance of EMC test: Mark Description Model No. Serial No. Manufacturer / Trademark FCC ID / DoC A Portable Device SM-T116BU - SAMSUNG A3LSMT116BU B Battery EB-BT116ABE - SAMSUNG - C Headset EHS61ASFWE - SAMSUNG - D Data Cable ECB-DU68WE - SAMSUNG - E micro SD Card 16GB - SANDISK - F Desk-Top Computer DM300S3A - SAMSUNG DoC EBDEDC6FFD SAMSUNG DoC G LCD TV Monitor CF19MS CF19H1LS700048Y SAMSUNG DoC EF23TS EM23H1LS300070L SAMSUNG DoC H Mouse SML-210PB TAKD125024 V SAMSUNG DoC TAKD124911 M SAMSUNG DoC I Keyboard SDM8500P 8M001183 SAMSUNG DoC 8M001033 SAMSUNG DoC J Gigabit Switch 8 J9794A CN33FQ703Q HP DoC CN33FQ71XK HP DoC K Power Supply EADP-15DC A DIKD1245096741 Delta DoC DIKD1245096576 Delta DoC 4.2 EUT operating mode To achieve compliance applied standard specification, the following mode(s) were made during compliance testing: Operating Mode 1 USB Mode (Data Communicatio…

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

Project No. : LBE20150046 Portable Device : SM-T116BU -1/4- This report must not be reproduced, except in full, without written permission from CS & Environment center. Form No.: SRA-TRF-46/2 APPENDIX – Test Setup and EUT photography – Project No. : LBE20150046 Portable Device : SM-T116BU -2/4- This report must not be reproduced, except in full, without written permission from CS & Environment center. Form No.: SRA-TRF-46/2 1. Photograph of Test Setup [ Conducted Disturbance – Front ] [ Conducted Disturbance – Rear ] Project No. : LBE20150046 Portable Device : SM-T116BU -3/4- This report must not be reproduced, except in full, without written permission from CS & Environment center. Form No.: SRA-TRF-46/2 [ Radiated Disturbance for Below 1 GHz – Front ] [ Radiated Disturbance for Below 1 GHz – Rear ] Project No. : LBE20150046 Portable Device : SM-T116BU -4/4- This report must not be reproduced, except in full, without written permission from CS & Environment center. Form No.: SRA-TRF-46/2 [ Radiated Disturbance for Above 1 GHz – Front ] [ Radiated Disturbance for Above 1 GHz – Rear ]