
Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
GN Audio USA Inc. Date: 10/20/2022 TO: Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding: FCC ID: BCE-5190004 To whom it may concern: We, the undersigned, hereby authorize Compliance Certification Services (Kunshan) Inc t o act on our behalf in all manners relating to application for equipment authorization with respect to the FCC ID above, including signing of all documents relating to these matters. Any and all acts carried out by the agent on our behalf shall have the same effect as acts of our own. We, 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). Where our agent signs the application for certification on our behalf, I acknowledge that all responsibility for complying with the terms and conditions for Certification, as specified by SGS North America, Inc., still resides with GN Audio USA Inc. This authorization is valid until further written notice from the applicant. Print Name: Kiwi Dun Title: Product Certifications Signature: On behalf of Company: GN Audio USA Inc. Telephone: +45 4575 8888 E-mail: [email protected]
GN Audio USA Inc. To: SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia United States Regarding: Confidentiality Request regarding application for FCC ID: BCE-5190004 LONG TERM CONFIDENTIALITY Pursuant to 47 CFR Section 0.459 and 0.457 of the commission’s rules, the applicant hereby request confidential treatment of the documents listed below, associated with the certification application referenced above. Schematic(s) Block Diagrams Operational Descriptions The documents above contain proprietary information not released to the public. Public disclosure of this information may prove harmful to the business of the applicant. SHORT TERM CONFIDENTIALITY Additionally, the applicant requests the following documents be held confidential until the device is marketed or 180 days from the grant date, whichever is less. If the device is marketed within aforementioned days of the Grant Date, the applicant will notify the TCB per FCC KDB 726920 D01 Confidentiality Request Procedures. External Photos Internal Photos Test Setup Photos User manual(s) Sincerely, Print Name: Kiwi Dun Title: Product Certifications Signature: On behalf of Company: GN Audio USA Inc. Telephone: +45 4575 8888 E-mail: [email protected]
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 GN Audio USA Inc. Address 900 Chelmsfort St, Tower 2, Floor 8, Lowell, Massachusetts, 01851, United States Grantee Code BCE FCC ID BCE-5190004 Authorized Contact Name Kiwi Dun Contact Email [email protected] Contact Phone +45 4575 8888 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 t hat they are the responsible party and agree to abide by t heir 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 t hat 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 r ead, 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: 10/20/2022 Print Name: Kiwi Dun Title: Product Certifications *NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database
Cover Letter-Wireless Charger Approval Date: 10/20/2022 Gentlemen: There’s a Wireless Charging Pad that would like to have your authorization as an Inductive wireless power transfer applications approval. The specific product as below, Wireless Charging Pad, with its designed features and specified description, meets special requirements for KDB 680106 D01 section 5.2 requirements. Company: GN Audio USA Inc. Product Name: Wireless Charging Pad Model Number: 5190004 FCC ID: BCE-5190004 KDB 680106 D01 Section 5.2 Requirements Product Technical Specification Result a)Power transfer frequency is less that 1 MHzComplied b)Output power from each primary coil is less than or equal to 15 watts. 5W Complied c)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 Complied d)Client device is placed directly in contact with the transmitter. Complied e)Mobile exposure conditions only.Complied f)The aggregate H-field strengths at 15 cm surrounding the device and 20 cm above the top surface from all simultaneous transmitting coils are demonstrated to be less than 50% of the MPE limit. Please refer to RF exposure report Complied Pr int Name: Kiwi Dun Title: Product Certifications Signature: On behalf of Company: GN Audio USA Inc. Te lephone: +45 4575 8888 E-mail: [email protected] 110.8-147.8kHz
GN Audio USA Inc | 900 Chelmsford St, Tower 2, Floor 8 | Lowell, MA 01851 | +1 603 598 1100 Att.: Federal Communications Commission RE.: Letter of authorization Hereby GN Audio USA Inc authorize Alex Zhou, Bill Lin, Kiwi Dun, Lily Zhuang, and Torben Pedersen GN Audio A/S Lautrupbjerg 7, DK-2750 Ballerup, Denmark Telephone: +45 45 75 88 88 to act on our behalf in all matters relating to application for equipment authorization of all our products with brand names: Jabra and BlueParrott using the BCE grantee code in USA. Signed Ballerup, January 20, 2022, on behalf of GN Audio USA Inc. by: Name: Steen Kaiser, Regulatory Compliance
Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A02 Rev.A/0 Page: 1 of 5 Appendix External Photos for FYCR2210000402AT FCC ID: BCE-5190004 Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A02 Rev.A/0 Page: 2 of 5 EUT Constructional Details (EUT Photos) Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A02 Rev.A/0 Page: 3 of 5 Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A02 Rev.A/0 Page: 4 of 5 Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A02 Rev.A/0 Page: 5 of 5
无 线 充 电 器 / 無 線 充 電 器 M o d e l N o . / 型 号 / 型 號 : � � � � � � � CCAH22XXXXXXXX FCCID:BCE-������� IC:����C-������ Color : Pantone Cool Gray �C Finishing : Matte Label: Due to the size, appearance, shape, cost and shell material of the product, the warning words related to the requirements of FCC Part 15.19 cannot be placed on the product mainbody, thus the content of the warning words will be described in the user manual. Label location: the back of the EUT.
Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A03 Rev.A/0 Page: 1 of 3 Appendix Internal Photos for FYCR2210000402AT FCC ID: BCE-5190004 Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A03 Rev.A/0 Page: 2 of 3 EUT Constructional Details (EUT Photos) Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A03 Rev.A/0 Page: 3 of 3 - End of the Appendix -
Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-01 Rev. A/0 Aug01,2022 Report No.: FYCR221000040202 Page: 1 of 8 Winkey Wang EMC Technical Manager 1 COVER PAGE Human Exposure Report Application No.: FYCR2210000402AT Applicant: GN Audio USA Inc. Address of Applicant: 900 Chelmsfort St, Tower 2, Floor 8, Lowell, Massachusetts, 01851, United States Manufacturer: GN Audio A/S Address of Manufacturer: Lautrupbjerg 7, 2750 Ballerup, Denmark Equipment Under Test (EUT): EUT Name: Wireless Charging Pad Model No.: 5190004 Trade Mark: Jabra FCC ID: BCE-5190004 Standards: 47 CFR PART 1, Subpart I, Section 1.1310 47 CFR PART 2, Subpart J, Section 2.1091 Date of Receipt: 2022-10-14 Date of Test: 2022-10-24 to 2022-10-26 Date of Issue: 2022-11-12 Test Result : Pass* * In the configuration tested, the EUT complied with the standards specified above Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-01 Rev. A/0 Aug01,2022 Report No.: FYCR221000040202 Page: 2 of 8 Revision Record Version Chapter Date Modifier Remark 01 2022-11-12 Original Authorized for issue by: Tree Zhan/Project Engineer Winkey Wang/Reviewer Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-01 Rev. A/0 Aug01,2022 Report No.: FYCR221000040202 Page: 3 of 8 2 Contents 1 COVER PAGE ................................................................................................................................. 1 2 CONTENTS..................................................................................................................................... 3 3 GENERAL INFORMATION .............................................................................................................. 4 3.1 DETA ILS OF E.U.T. ......................................................................................................................... 4 3.2 DESCRIP TION OF SUPPORT UNITS..................................................................................................... 4 3.3 TEST LOCA TION ............................................................................................................................. 5 3.4 TEST FACILITY ............................................................................................................................... 5 3.5 DEVIA TION FROM STA NDARDS .......................................................................................................... 5 3.6 ABNORMALITIES FROM STA NDARD COND ITIONS................................................................................... 5 4 EQUIPMENTS USED DURING TEST ............................................................................................... 6 5 TEST RESULTS .............................................................................................................................. 7 5.1 RF EXPOSURE TES T ....................................................................................................................... 7 5.1.1 E.U.T. Operation .................................................................................................................. 8 Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-01 Rev. A/0 Aug01,2022 Report No.: FYCR221000040202 Page: 4 of 8 3 General Information 3.1 Details of E.U.T. EUT Name: Wireless Charging Pad Model No.: 5190004 Power supply: Input: DC5V/2A Output: DC5V/1A 5W Antenna Type: Load modulation Modulation Type: Loop Antenna Operation frequency: 110.8kHz to 147.8kHz 3.2 Description of Support Units Description Manufacturer Model No. Serial No. Adapter HUAWEI HW-050200E01 N/A E-Loading BAECIAR RX 15W N/A Mobile Phone SAMSUNG SM-G9810 N/A Earphone Apple A2566 N/A Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-01 Rev. A/0 Aug01,2022 Report No.: FYCR221000040202 Page: 5 of 8 3.3 Test Location All tests were performed at: SGS-CSTC Standards Technical Services Co., Ltd., Shenzhen Branch E&E Lab, No. 1 Workshop, M-10, Middle section, Science & Technology Park, Shenzhen, Guangdong,China 518057. Tel: +86 755 2601 2053 Fax: +86 755 2671 0594 No tests were sub-contracted. 3.4 Test Facility The test facility is recognized, certified, or accredited by the following organizations: • A2LA (Certificate No. 6606.01) Compliance Certification Services(Kunshan)Inc. Shenzhen branch is accredited by the American Association for Laboratory Accreditation(A2LA). Certificate No. 6606.01. • FCC –Designation Number: CN1322 Compliance Certification Services(Kunshan)Inc. Shenzhen branch has been recognized as an accredited testing laboratory. Designation Number: CN1322. Test Firm Registration Number: 718073 • Innovation, Science and Economic Development Canada Compliance Certification Services(Kunshan)Inc. Shenzhen branch has been recognized by ISED as an accredited testing laboratory. CAB identifier: CN0129. IC#: 28189. 3.5 Deviation from Standards None. 3.6 Abnormalities from Standard Conditions None. Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-01 Rev. A/0 Aug01,2022 Report No.: FYCR221000040202 Page: 6 of 8 4 Equipments Used during Test Item Test Equipment Manufacturer Model No. Inventory No. Cal. Due date 1 3m Fully-Anechoic Chamber AUDIX N/A SEM001-02 2024-12-23 2 Electric and Magnetic Field Analyzer Narda EHP-50F EMC092 2022-11-25 Test Mode Description Pre-scan / Final test Mode Code Description Final test 00 Charge mode_Keep the EUT charging to E- loading(5W) Final test 01 Charge mode_Keep the EUT charging to mobile phone(5W) Pre-scan 02 Charge mode_Keep the EUT charging to earphone box(5W) Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-01 Rev. A/0 Aug01,2022 Report No.: FYCR221000040202 Page: 7 of 8 5 Test Results 5.1 RF Exposure test Test Requirement: 47 CFR PART 1, Subpart I, Section 1.1310 47 CFR PART 2, Subpart J, Section 2.1091 Measurement Distance: 15cm Limit: Frequency range (MHz) Electric field strength (V/m) Magnetic …
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Antenna Information Manufacturer: Huzhou Careful Magnetism Co.,Ltd Address No.:901-905,Liyang Mansion, Huzhou City, Zhejiang,China Model No.: A11 Length: 50.0mm Type: Loop Antenna Circuit Diagram: ITEM SPEC ITEM SPEC A 50.0 +/-0.5mm E 1.15 ±0.15mm B 43.0 +/-1.0mm F 3.0 +/-2.0mm C 3.0 +/-0.5mm D 30.0 +/-2.0mm Outside Diagram:
Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-01 Rev. A/0 Aug01,2022 Report No.: FYCR221000040201 Page: 1 of 27 Winkey Wang EMC Technical Manager TEST REPORT Application No.: FYCR2210000402AT Applicant: GN Audio USA Inc. Address of Applicant: 900 Chelmsfort St, Tower 2, Floor 8, Lowell, Massachusetts, 01851, United States Manufacturer: GN Audio A/S Address of Manufacturer: Lautrupbjerg 7, 2750 Ballerup, Denmark Equipment Under Test (EUT): EUT Name: Wireless Charging Pad Model No.: 5190004 Trade Mark: Jabra FCC ID: BCE-5190004 Standard(s) : 47 CFR Part 15, Subpart C Date of Receipt: 2022-10-14 Date of Test: 2022-10-24 to 2022-10-26 Date of Issue: 2022-11-11 Test Result: Pass* * In the configuration tested, the EUT complied with the standards specified above. Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-01 Rev. A/0 Aug01,2022 Report No.: FYCR221000040201 Page: 2 of 27 Revision Record Version Chapter Date Modifier Remark 01 2022-11-11 Original Authorized for issue by: Tree Zhan/Project Engineer Winkey Wang/Reviewer Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-01 Rev. A/0 Aug01,2022 Report No.: FYCR221000040201 Page: 3 of 27 2 Test Summary Radio Spectrum Technical Requirement Item Standard Method Requirement Result Antenna Requirement 47 CFR Part 15, Subpart C N/A 47 CFR Part 15, Subpart C 15.203 Pass Radio Spectrum Matter Part Item Standard Method Requirement Result Conducted Emissions at AC Mains Power Port (150kHz-30MHz) 47 CFR Part 15, Subpart C ANSI C63.10 (2013) Section 6.2 47 CFR Part 15, Subpart C 15.207 Pass Radiated Emissions (30MHz-1GHz) ANSI C63.10 (2013) Section 6.5 47 CFR Part 15, Subpart C 15.205 & 15.209 Pass Radiated Emissions (9kHz-30MHz) ANSI C63.10 (2013) Section 6.4 47 CFR Part 15, Subpart C 15.205 & 15.209 Pass 20dB Bandwidth ANSI C63.10 (2013) Section 6.9.2 47 CFR Part 15, Subpart C 15.215 Pass Restricted Bands ANSI C63.10 (2013) Section 6.10.5 47 CFR Part 15, Subpart C 15.205 Pass Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-01 Rev. A/0 Aug01,2022 Report No.: FYCR221000040201 Page: 4 of 27 3 Contents Page 1 COVER PAGE ..................................................................................................................................... 1 2 TEST SUMMARY ................................................................................................................................. 3 3 CONTENTS ......................................................................................................................................... 4 4 GENERAL INFORMATION .................................................................................................................. 6 4.1 DETAILS OF E.U.T. ......................................................................................................................... 6 4.2 DESCRIPTION OF SUPPORT UNITS .................................................................................................... 6 4.3 MEASUREMENT UNCERTAINTY ......................................................................................................... 6 4.4 TEST LOCATION ............................................................................................................................. 7 4.5 TEST FACILITY ............................................................................................................................... 7 4.6 DEVIATION FROM STANDARDS ......................................................................................................... 7 4.7 ABNORMALITIES FROM STANDARD CONDITIONS ................................................................................. 7 5 EQUIPMENT LIST ............................................................................................................................... 8 6 RADIO SPECTRUM TECHNICAL REQUIREMENT ............................................................................10 6.1 ANTENNA REQUIREMENT ................................................................................................................10 6.1.1 Test Requirement: ..................................................................................................................10 6.1.2 Conclusion ..............................................................................................................................10 7 RADIO SPECTRUM MATTER TEST RESULTS .................................................................................11 7.1 CONDUCTED EMISSIONS AT AC MAINS POWER PORT (150KHZ-30MHZ) ............................................11 7.1.1 E.U.T. Operation .....................................................................................................................11 7.1.2 Test Mode Description ............................................................................................................11 7.1.3 Test Setup Diagram ................................................................................................................12 7.1.4 Measurement Procedure and Data .........................................................................................12 7.2 RADIATED EMISSIONS (30MHZ-1GHZ) ............................................................................................15 7.2.1 E.U.T. Operation .....................................................................................................................15 7.2.2 Test Mode Description ............................................................................................................15 7.2.3 Test Setup Diagram ................................................................................................................16 7.2.4 Measurement Procedure and Data .........................................................................................16 7.3 RADIATED EMISSIONS (9KHZ-30MHZ) ....................................................................…
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Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A04 Rev.A/0 Page: 1 of 3 Appendix Test Setup Photos for FYCR2210000402AT FCC ID: BCE-5190004 Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A04 Rev.A/0 Page: 2 of 3 Test Setup Photo Conducted Emissions at AC Mains Power Port (150kHz-30MHz) Radiated Emissions (30MHz-1GHz) Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A04 Rev.A/0 Page: 3 of 3 Radiated Emissions (9kHz-30MHz) - End of the Appendix -
Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A04 Rev.A/0 Page: 1 of 6 RF Exposure Setup Photos for FYCR2210000402AT FCC ID: BCE-5190004 Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A04 Rev.A/0 Page: 2 of 6 Photographs Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A04 Rev.A/0 Page: 3 of 6 Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A04 Rev.A/0 Page: 4 of 6 Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A04 Rev.A/0 Page: 5 of 6 Compliance Certification Services (Kunshan) Inc. Shenzhen Branch SZCCS-TRF-A04 Rev.A/0 Page: 6 of 6
Fuyong Lab Xinlong Techno Park Fengtang Road · Shenzhen · China
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15C | 0.1108 MHz - 0.1478 MHz | - |
Bluetooth Headset
Equipment Class
DSS - Part 15 Spread Spectrum TransmitterBluetooth Headset
Equipment Class
DSS - Part 15 Spread Spectrum TransmitterBluetooth Headset
Equipment Class
DTS - Digital Transmission SystemOTE985 Bluetooth Headset
Equipment Class
DTS - Digital Transmission SystemOTE985 Bluetooth Headset
Equipment Class
DSS - Part 15 Spread Spectrum Transmitter