A3LWSNFM400A00NFC Module

Version 1.0 Samsung Electronics page 1 of 4 Manual for WSNFM400A00 NFC module 1. Introduction WSNFM400A00 is applied to 13.56MHz contactless communication, including NFC functions. The core chipsets are from TI, part number TRF7970A and MSP430F5529. 1. 1 Product Information - Model name : WSNFM400A00 - Operation Temperature : -20°C ~ +70°C - Power : +5V ±10% (+4.5V ~ +5.5V) 2. Installation This NFC module must be installed in a device and not allow the user to replace nor modify it. 5 Pin Connector Version 1.0 Samsung Electronics page 2 of 4 A HUB and dongle connected to USB TO MINI USB cable A HUB and dongle connected to 5pin cable Version 1.0 Samsung Electronics page 3 of 4 FCC approval This device complies with Part 15 of the FCC`s Rules. Operation is subject to the following two Conditions: 1. This device may not cause harmful interference, and 2. This device must accept any interference received, including interference that may cause undesirable operation. To satisfy FCC exterior labeling requirements, the following text must be placed on the exterior of the end product. To satisfy FCC exterior labeling requirements, the following text must be placed on the exterior of the end product. Contains Transmitter module FCC ID: A3LWSNFM400A00 This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: - Reorient or relocate the receiving antenna. - Increase the separation between the equipment and receiver. - Connect the equipment into an outlet on a circuit different from that to which the receiver is connected. - Consult the dealer or an experienced radio/ TV technician for help. IC approval This device complies with Industry Canada license-exempt RSS standard(s). Operation is subject to the following two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, including interference that may cause undesired operation of the device. Cet appareil est conforme avec Industrie Canada exempts de licence standard RSS (s). L'opération est soumise aux deux conditions suivantes: (1) cet appareil ne peut causer d'interférences, et (2) cet appareil doit accepter toute interférence, y compris les interférences qui peuvent causer un mauvais fonctionnement de l'appareil. The host device must be labeled to display the Industry Canada certification number of the module. Contains transmitter module IC: 649E- WSNFM400A00 Le dispositif d'accueil doivent être étiquetés pour afficher le numéro de certification d'Industrie Canada du module. Contient module émetteur IC : 649E- WSNFM400A00 Version 1.0 Samsung Electronics page 4 of 4 User information Caution: Any changed or modifications not expressly approved by the party responsible for compliance could void the user`s authority to operate this equipment. Attention: Toute changé ou modifications non expressément approuvés par la partie responsable de la conformité pourraient annuler l'utilisateur `autorité de faire fonctionner cet équipement. IMPORTANT NOTE This device complies with FCC & IC radiation exposure limits set forth for an uncontrolled environment. This device should be installed and must not be co-located or operating in conjunction with any other antenna or transmitter. This device is intended only for OEM integrators under the following conditions: 1) The antenna must be installed such that 20 cm is maintained between the antenna and users, 2) The transmitter module may not be co-located with any other transmitter or antenna. As long as 2 conditions above are met, further transmitter test will not be required. However, the OEM integrator is still responsible for testing their end-product for any additional compliance requirements with this module installed. In the event that these conditions cannot be met, then the FCC & IC authorizations are no longer considered valid and the FCC ID cannot be used on the final product. In these circumstances, the OEM integrator will be responsible for re-evaluating the end product including this module and obtaining separate FCC & IC authorizations. NOTE IMPORTANTE Cet appareil est conforme aux limites de la FCC et IC exposition aux radiations dans un environnement non contrôlé. Cet appareil doit être installé et ne doit pas être co-localisées ou opérant en conjonction avec une autre antenne ou un autre émetteur. Cet appareil est conçu uniquement pour les intégrateurs OEM dans les conditions suivantes : 1) Ce module ne peut pas être co-localisés avec les autres émetteurs ou les antennes. 2) Ce module ne peut pas être co-localisé avec d'autres émetteurs ou des antennes . Aussi longtemps que deux conditions précitées sont remplies, le test du transmetteur supplémentaires ne seront pas tenus. Toutefois, l'intégrateur OEM est toujours responsable de tester leurs produits finis pour toutes les exigences de conformité supplémentaires avec ce module installé. Dans le cas où ces conditions ne peuvent pas être remplies, alors la FCC et IC autorisations ne sont plus considérés comme valides et l'ID de la FCC ne peut pas être utilisé sur le produit final. Dans ces circonstances, l'intégrateur OEM sera responsable de réévaluer le produit final, y compris l'obtention de ce module et séparée de la FCC et IC autorisations

Samsung Electronics Co., Ltd. 19 Chapin Rd., Building D, Pine Brook, New Jersey, United States Date: April 25, 2014 Letter of Authorization We, the undersigned, hereby authorize Digital EMC Co., Ltd. to act on our behalf in all manners relating to application for equipment authorization for FCCID: A3LWSNFM400A00 including signing of all documents relating to these matters. Any and all acts carried out by Digital EMC Co., Ltd. on our behalf shall have the same affect as acts of our own. This authorization is valid until further written notice from Samsung Electronics Co., Ltd. . “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).” Sincerely, Sang Kyung (Peter), Ra General Manager

Digital EMC Co., Ltd. 42, Yurim-ro, 154beon-gil, Cheoin-gu, Yongin-si, Gyeonggi-do, Korea 449-935 Date: April 25, 2014 UL Verification Services Inc. 47173 Benicia Street Fremont, CA 94538, USA To whom it may concern: I, the undersigned, hereby authorize Ms. Claire Hoque/Application Examiner of Compliance Engineering Services, Inc., d.b.a. Compliance Certification Services and hereafter referred to as CCS, 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 Ms. Claire Hoque of CCS 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 CCS 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;

Samsung Electronics Co., Ltd. 19 Chapin Rd., Building D, Pine Brook, New Jersey, United States Date: April 25, 2014 UL Verification Services Inc. 47173 Benicia Street Fremont, CA 94538, USA RE: Request of Confidentiality for FCCID: A3LWSNFM400A00 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 & SHORT-TERM CONFIDENTIAL LIST Exhibit Description PERMANENT 1 Block Diagram 2 Schematics 3 Part Lists 4 Operation Description SHORT-TERM 5 Internal Photos 6 External Photos 7 Test-Setup Photos 8 User Manual The Applicant understands that pursuant to Rule 0.457, disclosure of this application and all accompanying documentations, where applicable, will not be public before the date of the Grant for this application. Sincerely, Sang Kyung (Peter), Ra General Manager

19 Chapin Rd., Building D, Pine Brook, New Jersey, United States UL Verification Services Inc. 47173 Benicia Street Fremont, CA 94538, USA April 22, 2014 Modular Approval Attestation for Remote Control Module. Applicant: Samsung Electronics Co Ltd FCC ID: A3LWSNFM400A00 No. FCC requirements EUT 1 Have its own RF shielding RF Block shielded by Metal Case 2 Have buffered modulation/data inputs (if such inputs are provided), Yes, the module has buffered data input. 3 The modular transmitter must have its own power supply regulation. We used self own power supply regulation. 4 Meet the antenna requirements of section 15.203 This module uses Internal Loop antenna This module meets the antenna requirements of section 15.203 5 Be tested in a stand-alone configuration, i.e., the antenna, AC or DC power and data input/output lines must be connected to the module but, the module must not be inside another case during testing Yes, the EUT (module) was tested a stand alone configuration. 6 Be labeled with its own FCC ID number, and if the FCC ID is not visible when the module is installed inside another device, then the outside of the device into which the module is installed must also display a label referring to the enclosed module. The proposed FCC ID label format is to be placed on the module. If FCC ID label is not visible when module is install into the system, “Contains FCC ID: A3LWSNFM400A00” shall be placed on the outside of final product. 7 The modular transmitter is manufactured so that the user can not influence the operation of the transmitter that will operate outside of the scope of the regulations. It complies with specific rules or operating requirements. And instruction is included User manual. 8 Address compliance with the Commission`s RF exposure limits in Sections 1.1310 and 2.1093. In addition, spread spectrum transmitters operation under Section 15.247 are required to address RF exposure compliance in accordance with Section 15.247(b)(4) This device is categorically from RF exposure evaluation. Sincerely, Name : Sang Kyung (Peter), Ra Title : General Manager Company : Samsung Electronics Co., Ltd.

FCCID: A3LWSNFM400A00 Copyright Ⓒ 2014, Digital EMC Co., Ltd. View 1 FCCID: A3LWSNFM400A00 Copyright Ⓒ 2014, Digital EMC Co., Ltd. View 2 FCCID: A3LWSNFM400A00 Copyright Ⓒ 2014, Digital EMC Co., Ltd. View 3

FCC ID: A3LWSNFM400A00 Copyright Ⓒ 2014, Digital EMC Co., Ltd. FCC ID SAMPLE LABEL & LOCATION LABELLING REQUIREMENTS PER §2.925 The Label shown shall be permanently affixed at a conspicuous location on the device and be readily visible to the user at the time of purchase Label locate Top side - The FCC label shown is representative of the label that will appear on the radio when in production. Other information may also be included on this label. - The device is so small that it is not practicable to place the statement specified under 15.19 statement request, the information required by this paragraph shall be placed in a prominent location in the user's manual.

FCCID: A3LWSNFM400A00 Copyright Ⓒ 2014, Digital EMC Co., Ltd. Page 1 / 6 View 1 FCCID: A3LWSNFM400A00 Copyright Ⓒ 2014, Digital EMC Co., Ltd. Page 2 / 6 View 2 FCCID: A3LWSNFM400A00 Copyright Ⓒ 2014, Digital EMC Co., Ltd. Page 3 / 6 View 3 FCCID: A3LWSNFM400A00 Copyright Ⓒ 2014, Digital EMC Co., Ltd. Page 4 / 6 View 4 FCCID: A3LWSNFM400A00 Copyright Ⓒ 2014, Digital EMC Co., Ltd. Page 5 / 6 View 5 FCCID: A3LWSNFM400A00 Copyright Ⓒ 2014, Digital EMC Co., Ltd. Page 6 / 6 View 6

DEMC1403-01167 FCCID: A3LWSNFM400A00 DEMC1403-01168 IC: 649E-WSNFM400A00 Report No.: DRTFCC1404-0534 TRF-RF-203(03)140422 Page 2 / 18 Copyright ○ C 2014, Digital EMC Co., Ltd. Test Report Version Test Report No. Date Description DRTFCC1404-0534 Arp. 23. 2014 Initial issue DEMC1403-01167 FCCID: A3LWSNFM400A00 DEMC1403-01168 IC: 649E-WSNFM400A00 Report No.: DRTFCC1404-0534 TRF-RF-203(03)140422 Page 3 / 18 Copyright ○ C 2014, Digital EMC Co., Ltd. CONTENTS 1. Equipment information .............................................................. 4 1.1 Equipment description ............................................................. 4 1.2 Ancillary equipment ................................................................. 4 2. Information about test items ..................................................... 5 2.1 Test mode ................................................................................ 5 2.2 Auxiliary equipment ................................................................. 5 2.3 Tested frequency ..................................................................... 5 2.4 Tested environment ................................................................. 5 2.5 EMI Suppression Device(s)/Modifications ............................... 5 3. Test report .................................................................................. 6 3.1 Summary of tests .................................................................... 6 3.2 Transmitter requirements ........................................................ 7 3.2.1 Occupied bandwidth ........................................................... 7 3.2.2 In-band emissions ............................................................... 8 3.2.3 Out-of-band emissions ........................................................ 9 3.2.4 Frequency Stability ........................................................... 11 3.2.5 AC Line Conducted Emissions .......................................... 12 APPENDIX..................................................................................... 17 DEMC1403-01167 FCCID: A3LWSNFM400A00 DEMC1403-01168 IC: 649E-WSNFM400A00 Report No.: DRTFCC1404-0534 TRF-RF-203(03)140422 Page 4 / 18 Copyright ○ C 2014, Digital EMC Co., Ltd. 1. Equipment information 1.1 Equipment description FCC Equipment Class Low Power Communications Device Transmitter(DXX) Equipment type NFC Module Equipment model name WSNFM400A00 Equipment add model name N/A Equipment serial no. Identical prototype Frequency band 13.56MHz Modulation type ASK Channel 1 Power DC 5.0V Antenna type Loop Antenna 1.2 Ancillary equipment Equipment Model No. Serial No. Manufacturer Note - - - - - - - - - - DEMC1403-01167 FCCID: A3LWSNFM400A00 DEMC1403-01168 IC: 649E-WSNFM400A00 Report No.: DRTFCC1404-0534 TRF-RF-203(03)140422 Page 5 / 18 Copyright ○ C 2014, Digital EMC Co., Ltd. 2. Information about test items 2.1 Test mode Test mode1 Continuous transmitting mode with ASK 100% Test mode2 Continuous transmitting mode with ASK 10% Note: For this test mode, a test program was supported by manufacturer. 2.2 Auxiliary equipment Equipment Model No. Serial No. Manufacturer Note Laptop P26F HJXY0Z1 DELL FCC DoC - - - - - 2.3 Tested frequency TXFrequency(MHz) RX Frequency(MHz) Lowest Channel 13.56 13.56 Middle Channel - - Highest Channel - - 2.4 Tested environment Temperature : 20 ~ 22 o C Relative humidity content : 38 ~ 41 % R.H. Details of power supply :DC 5.0V(From USB of laptop) 2.5 EMI Suppression Device(s)/Modifications EMI suppression device(s) added and/or modifications made during testing → None DEMC1403-01167 FCCID: A3LWSNFM400A00 DEMC1403-01168 IC: 649E-WSNFM400A00 Report No.: DRTFCC1404-0534 TRF-RF-203(03)140422 Page 6 / 18 Copyright ○ C 2014, Digital EMC Co., Ltd. 3. Test report 3.1 Summary of tests FCC part section(s) IC section(s) Parameter Limit Test condition Status Note 1 2.1049 RSS-Gen [ 4.6.1 ] Occupied bandwidth N/A Radiated C 15.225 (a) RSS-210 [ A2.6 (a) ] In-band emissions 15,848㎶/m @ 30m 15.553 – 13.567 MHz C 15.225 (b) RSS-210 [ A2.6 (b) ] In-band emissions 334㎶/m @ 30m 13.410 – 13.553 MHz 13.567 – 13.710 MHz C 15.225 (c) RSS-210 [ A2.6 (c) ] In-band emissions 106㎶/m @ 30m 13.110 – 13.410 MHz 13.710 – 14.010 MHz C 15.225 (d) 15.205 15.209 RSS-210 [ A2.6 (d) ] RSS-Gen [ 7.2.2 & 5 ] Out-of band emissions Emissions outside of the specified band (13.110-14.010 MHz) must meet the radiated limits detailed in 15.209 C 15.225 (e) RSS-210 [ A2.6 ] Frequency stability ±0.01% of operating frequency Conducted C 15.207 RSS-Gen [ 7.2.4 ] AC conducted emissions FCC Part 15.207 AC Line Conducted C 15.203 - Antenna requirements FCC Part 15.203 - C Note 1: C=Comply NC=Not Comply NT=Not Tested NA=Not Applicable Note 2: The worst case data is reported in the test modes.(Worst case mode: Test mode 1) The sample was tested according to the following specification: ANSI C-63.10-2009 & RSS-Gen Issue 3 DEMC DEMC TRF-R 3. 2 3.2 - Proc The the E - Mea - Min i 1403-01167 1403-01168 RF-203(03)1 2 Transmit 2.1 Occupi cedure: 20dB Band w EUT is opera surement D imum Stand 40422 tter requir ed bandwi width is meas ating in transm Data: Comply dard: N/A Co rements dth sured with a mission mod y opyright ○ C 2 spectrum an de. 2014, Digital nalyzer conn l EMC Co., L nected via a r FCCID: IC: Report No.: Ltd. receive ante A3LWSNF 649E-WS N DRTFCC14 nna placed n M400A00 NFM400A00 404-0534 Page near the EUT e 7 / 18 T while DEMC1403-01167 FCCID: A3LWSNFM400A00 DEMC1403-01168 IC: 649E-WSNFM400A00 Report No.: DRTFCC1404-0534 TRF-RF-203(03)140422 Page 8 / 18 Copyright ○ C 2014, Digital EMC Co., Ltd. 3.2.2 In-band emissions - Procedure: The EUT was placed on a 0.8m high wooden table inside a 10m semi anechoic chamber. An antenna was placed at 3 m distance from the EUT Measurements were performed with the EUT oriented in 3 orthogonal axis and rotated 360 degrees to determine worst-case orientation for maximum emissions. A loop antenna was used for this test item. And this tes…

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

FCC ID: A3LWSNFM400A00 Copyright Ⓒ 2014, Digital EMC Co., Ltd. Test Setup photographs