BEJLGSBWAX12RF Module

LG Electronics USA, Inc.

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Application Details

Equipment Class: NII - Unlicensed National Information Infrastructure TX
Date of Grant: Sep 20, 2020
Application Purpose: Original Equipment
Date of Application: Sep 20, 2020
Equipment Note: RF Module
Frequency Range: 5745.00000000 - 5825.00000000
Company: LG Electronics USA, Inc.
Country: United States

Documents & Files

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Document Text

Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.

Users Manual

User Manual PRODUCT NAME : RF Module MODEL NAME : LGSBWAX12 (00)-0073 The information contained herein is the exclusive property of LG Innotek and shall not be distributed, reproduced or disclosed in whole or no in part without prior written permission of LG Innotek. User Manual PAGE : DOCUMENT No : REG. DATE : 2020.07.09 MODEL NAME:ETWCHMBC01(LGIT) LGSBWAX12(LGE) REV. DATE : 2020.07.09 REV.NO : V1.0 - Copyrightⓒ. 2020. All Rights Reserved. Index NoDescriptionPage 1Features2 2Picture of Product2 3Installation Manual3 4Block Diagram4 5Absolute Maximum Ratings4 6Operating Conditions5 7Standard Test Conditions5 8Pin Description6 9Out Drawing7 10Packing Information8 User Manual PAGE : DOCUMENT No : REG. DATE : 2020.07.09 MODEL NAME:ETWCHMBC01(LGIT) LGSBWAX12(LGE) REV. DATE : 2020.07.09 REV.NO : V1.0 - Copyrightⓒ. 2020. All Rights Reserved. 2. Picture of Product 1. Features LGSBWAX12 is the small size and low power module for IEEE 802.11a/b/g/n/ac/ax wireless LAN & BT5.2 + HS. ETWCHMBC01 is based on Mediatek MT7921AUN solution. IEEE 802.11 a/b/g/n/ac/axDual BandDual Concurrent (DBDC) Bluetooth 5.2+ HS, BLE Size : 68 x 30 x 7.7mm Use on-chip OTP (One-Time Programmable) Host Interface : USB2.0 (WLAN & BT) -This model is using the common USB2.0 to control WLAN and BT Security: WAPI, WEP, WPA, WPA2, WMM, AES, TKIP, CKP Application: DTV, DVR, HD DVDPlayer, Blue-ray Disk Player, STB User Manual PAGE : DOCUMENT No : REG. DATE : 2020.07.09 MODEL NAME:ETWCHMBC01(LGIT) LGSBWAX12(LGE) REV. DATE : 2020.07.09 REV.NO : V1.0 - Copyrightⓒ. 2020. All Rights Reserved. 3. Installation Manual Install the module like below in the back of the TV LGSBWAX12 installed position User Manual PAGE : DOCUMENT No : REG. DATE : 2020.07.09 MODEL NAME:ETWCHMBC01(LGIT) LGSBWAX12(LGE) REV. DATE : 2020.07.09 REV.NO : V1.0 - Copyrightⓒ. 2020. All Rights Reserved. 4. Block Diagram 5. Absolute Maximum Ratings ParameterMinMaxUnit Storage Temperature-20+80°C Storage Humidity (40°C)-90% Caution: The specifications in Table 1 define levels at which permanent damage to the device can occur. Function operation is not guaranteed under these conditions. Operating at absolute maximum conditions for extend periods can adversely affect the long-term reliability of the device. . Other conditions 1) Do not use or store modules in the corrosive atmosphere, especially where chloride gas, sulfide gas, acid, alkali, salt or the like are contained. Also, avoid exposure to moisture. 2) Store the modules where the temperature and relative humidity do not exceed 5 to 40°Cand 20 to 60%. 3) Assemble the modules within 6 months. Check the soldering ability in case of 6 months over. ANT1 MT7921AUN 2.4GHz 5GHz 2.4GHz 5GHz WF0 RF 32bit RISC MCU WiFi MAC WiFi MAC PMU USB2.0 Interface USB I/F 12PIN CONNECTOR 3.3V Main Clock 40MHz Diplexer Diplexer ANT2 2.4GHz BT RF BT MAC BT ANT1 PTA Packet DMA WiFi Baseband OTP 2.4GHz WF1 RF BT Baseband User Manual PAGE : DOCUMENT No : REG. DATE : 2020.07.09 MODEL NAME:ETWCHMBC01(LGIT) LGSBWAX12(LGE) REV. DATE : 2020.07.09 REV.NO : V1.0 - Copyrightⓒ. 2020. All Rights Reserved. 6. Operating Conditions ParameterMinTypMaxUnit Ambient Temperature0-60°C Ambient Humidity (40°C)--85% Supply Voltage3.1353.33.6Vdc 7. Standard Test Conditions The Test for electrical specification shall be performed under the following condition Otherwise this following conditions, not guaranteed this performance. Temparature 25 ±5°C Humidity 65 ±5% Input VoltageSupply Voltage VDD_3.3V3.135 ~ 3.6V 7-1. Ambient condition 7-2. Power supply voltages User Manual PAGE : DOCUMENT No : REG. DATE : 2020.07.09 MODEL NAME:ETWCHMBC01(LGIT) LGSBWAX12(LGE) REV. DATE : 2020.07.09 REV.NO : V1.0 - Copyrightⓒ. 2020. All Rights Reserved. 8. Pin Description Pin No.Pin NameI/OPin Description 1VCCIVDD 3.3V 2D-I/OUSB Communication signal USB_DN 3D+I/OUSB Communication signal USB_DP 4GND-GND 5WOWLOWake On WLAN 6VCCIVDD 3.3V 7RESUMEISUSPEND_RESUME 8GND-GND 9RESETI Bluetooth device wake up (option) 10WOBLEO Host wake up. (Signal from Wi-Fi module to the host) 11GND-GND 12VCC-VDD 3.3V User Manual PAGE : DOCUMENT No : REG. DATE : 2020.07.09 MODEL NAME:ETWCHMBC01(LGIT) LGSBWAX12(LGE) REV. DATE : 2020.07.09 REV.NO : V1.0 - Copyrightⓒ. 2020. All Rights Reserved. 9. Outline Drawing 3D View '20. 04. 23 '20. 04. 23 K.S Lee '20. 04. 23 T.Y Jang S.D Chol User Manual PAGE : DOCUMENT No : REG. DATE : 2020.07.09 MODEL NAME:ETWCHMBC01(LGIT) LGSBWAX12(LGE) REV. DATE : 2020.07.09 REV.NO : V1.0 - Copyrightⓒ. 2020. All Rights Reserved. 10. Packing Information User Manual PAGE : DOCUMENT No : REG. DATE : 2020.07.09 MODEL NAME:ETWCHMBC01(LGIT) LGSBWAX12(LGE) REV. DATE : 2020.07.09 REV.NO : V1.0 - Copyrightⓒ. 2020. All Rights Reserved. User Manual PAGE : DOCUMENT No : REG. DATE : 2020.07.09 MODEL NAME:ETWCHMBC01(LGIT) LGSBWAX12(LGE) REV. DATE : 2020.07.09 REV.NO : V1.0 - Copyrightⓒ. 2020. All Rights Reserved. Regulation Notice 1. FCC Statement FCC Part 15.19 Statements: ThisdevicecomplieswithPart15oftheFCCRules.Operationissubjecttothefollowing twoconditions:(1)thisdevicemaynotcauseharmfulinterference,and(2)thisdevice mustacceptanyinterferencereceived,includinginterferencethatmaycauseundesired operation. FCC Part 15.21 statement Anychangesormodificationsnotexpresslyapprovedbythepartyresponsiblefor compliancecouldvoidtheuser'sauthoritytooperatethisequipment. Responsible Party Information Supplier's Declaration of Conformity 47 CFR §2.1077 Compliance InformationResponsible Party –U.S. Contact Information LG Electronics USA1000 Sylvan Avenue Englewood Cliffs New Jersey, United States, 07632 Telephone number or internet contact information User Manual PAGE : DOCUMENT No : REG. DATE : 2020.07.09 MODEL NAME:ETWCHMBC01(LGIT) LGSBWAX12(LGE) REV. DATE : 2020.07.09 REV.NO : V1.0 - Copyrightⓒ. 2020. All Rights Reserved. Regulation Notice 2. Regulatory notice to host manufacturer according to KDB 996369 D03 OEM Manual v01 List of applicable FCC rules ThismodulehasbeengrantedmodularapprovalasbelowlistedFC…

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Cover Letter(s)

Date : Nov. 9, 2017 Rev : 2.3 HACS-F004 FCC Agent Authorization Letter HCT America LLC ([email protected]) 1726 Ringwood Avenue San Jose, CA 95131 TEL: +1.510.933.8848, Fax: +1.510.933.8849 Page 1 of 2 This document is electronically controlled. Hard copy documents are uncontrolled. Please check all hard copies against the controlled electronic copy to ensure validity. This document is the confidential property of HCT America LLC. It may not be forwarded or reproduced in whole or in part without written permissions from HCT America LLC FCC Agent Authorization Letter Date : Nov. 9, 2017 Rev : 2.3 HACS-F004 FCC Agent Authorization Letter HCT America LLC ([email protected]) 1726 Ringwood Avenue San Jose, CA 95131 TEL: +1.510.933.8848, Fax: +1.510.933.8849 Page 2 of 2 This document is electronically controlled. Hard copy documents are uncontrolled. Please check all hard copies against the controlled electronic copy to ensure validity. This document is the confidential property of HCT America LLC. It may not be forwarded or reproduced in whole or in part without written permissions from HCT America LLC REVISION TABLE Rev Description of Change Date Approved 1.0 Original Release(Obsolete) 06/14/2012 QM 2.0 Updated template(Obsolete) 10/01/2012 QM 2.1 Updated address(Obsolete) 01/10/2014 QM 2.2 Updated address 11/18/2016 QM 2.3 Fixed Typo “Agent” 11/09/2017 QM LG Electronics USA HACS-F004 FCC Agent Authorization Letter Rev : 2.3 DATE : Sep 11, 2020 To: Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD To whom it may concern: Subject : FCC Agent Authorization Letter for FCC ID : BEJLGSBWAX12 We, the undersigned, hereby authorize HCT CO., LTD. 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 HCT CO., LTD. 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). We recognize that we are still responsible for the terms and conditions outlined in the HCT America Client Services Agreement. This authorization is valid until further written notice from the applicant. Sincerely, Si gned by: (N ame / Title) Kyung-Su Han / Director, NA Regulatory and Environmental Affairs (Email Address) [email protected] (Phone number) 1-201-266-2215 (Address) LG Electronics USA, 1000 Sylvan Avenue, Englewood Cliffs, NJ 07632

Cover Letter(s)

Date : Nov. 09, 2017 Rev : 3.0 HACS-F003 FCC Confidentiality Request Letter HCT America LLC ([email protected]) 1726 Ringwood Avenue San Jose, CA 95131 TEL: +1.510.933.8848, Fax: +1.510.933.8849 Page 1 of 2 This document is electronically controlled. Hard copy documents are uncontrolled. Please check all hard copies against the controlled electronic copy to ensure validity. This document is the confidential property of HCT America LLC. It may not be forwarded or reproduced in whole or in part without written permissions from HCT America LLC FCC Confidentiality Request Letter Date : Nov. 09, 2017 Rev : 3.0 HACS-F003 FCC Confidentiality Request Letter HCT America LLC ([email protected]) 1726 Ringwood Avenue San Jose, CA 95131 TEL: +1.510.933.8848, Fax: +1.510.933.8849 Page 2 of 2 This document is electronically controlled. Hard copy documents are uncontrolled. Please check all hard copies against the controlled electronic copy to ensure validity. This document is the confidential property of HCT America LLC. It may not be forwarded or reproduced in whole or in part without written permissions from HCT America LLC REVISION TABLE Rev Description of Change Date Approved 1.0 Original Release(Obsolete) 06/14/2012 QM 2.0 Updated template(Obsolete) 10/01/2012 QM 2.1 Updated address(Obsolete) 01/10/2014 QM 2.2 Updated address 11/18/2016 QM 3.0 Updated LTC and STC Confidentiality table 11/09/2017 QM LG Electronics USA HACS-F003 FCC Confidentiality Request Letter Rev : 3.0 DATE : Sep 11, 2020 To : Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD SUBJECT: Request for Confidentiality for FCC ID: BEJLGSBWAX12 We hereby request confidential treatment of the information accompanying this application as outlined below: LONG-TERM AND SHORT-TERM CONFIDENTIAL LIST LONG-TERM CONFIDENTIAL Exhibit Description 1 Block Diagram 2 Operational Description 3 Parts List 4 Schematics SHORT-TERM CONFIDENTIAL (180 DAYS) 5 External Photos 6 Internal Photos 7 Test-Setup Photos 8 User’s Manual The above materials contain trade secrets and proprietary information not customarily released to the public. The public disclosure of these materials may be harmful to the applicant and provide unjustified benefits to its competitors. The applicant understands that pursuant to Section 0.457 & 0.459 of the Rules, disclosure of this application and all accompanying documentation will not be made before the date of the Grant for this application. Si ncerely, Signed by: (Name / Title) Kyung-Su Han / Director, NA Regulatory and Environmental Affairs (Email Address) [email protected] (Phone number) 1-201-266-2215 (Address) LG Electronics USA, 1000 Sylvan Avenue, Englewood Cliffs, NJ 07632

Cover Letter(s)

Date : Jul. 16, 2018 Rev : 3.2 HACS-F007 Modular Approval Declaration Letter HCT America LLC ([email protected]) 1726 Ringwood Ave., San Jose, CA 95131 TEL: +1.510.933.8848, Fax: +1.510.933.8849 Page 1 of 2 This document is electronically controlled. Hard copy documents are uncontrolled. Please check all hard copies against the controlled electronic copy to ensure validity. This document is the confidential property of HCT America LLC. It may not be forwarded or reproduced in whole or in part without written permissions from HCT America LLC Modular Approval Declaration Letter Date : Jul. 16, 2018 Rev : 3.2 HACS-F007 Modular Approval Declaration Letter HCT America LLC ([email protected]) 1726 Ringwood Ave., San Jose, CA 95131 TEL: +1.510.933.8848, Fax: +1.510.933.8849 Page 2 of 2 This document is electronically controlled. Hard copy documents are uncontrolled. Please check all hard copies against the controlled electronic copy to ensure validity. This document is the confidential property of HCT America LLC. It may not be forwarded or reproduced in whole or in part without written permissions from HCT America LLC REVISION TABLE Rev Description of Change Date Approved 1.0 Original Release(Obsolete) 06/14/2012 QM 2.0 Updated Template(Obsolete) 10/01/2012 QM 2.1 Updated address (Obsolete) 01/10/2014 QM 3.0 Updated Template(Obsolete) 03/30/2015 QM 3.1 Updated Address 06/21/2018 QM 3.2 Changed File Name and Split Files FCC/IC 7/16/2018 QM LG Electronics USA HACS-F007-1 FCC Modular Approval Declaration Letter Rev : 3.2 Date : Sep 11, 2020 FCC Modular Approval Attestation FCC ID: BEJLGSBWAX12 is seeking FCC equipment authorization as Single Modular Transmitter Single Limited Modular Transmitter Product Information Product Description: RF Module FRN: 0023476120 Model Name(s): LGSBWAX12 FCC Product ID: - FCC Module ID: BEJLGSBWAX12 Modular Checklist/Information For Modular Approval, the module shall meet all the requirements listed below. Please check () if the module complies with the stated requirement. The modular transmitter must have its own shielding. The modular transmitter must have buffered modulation/data inputs. The modular transmitter must have its own power supply regulation. The modular transmitter must comply with the antenna requirements of section 15.203 and 15.204(c). The modular transmitter must tested in a stand-alone configuration. The modular transmitter must be labeled with its own FCC ID number. The modular transmitter must comply with any specific rule or operating requirements applicable to the transmitter and the manufacturer must provide adequate instruction along with the module to explain any such requirements. The modular transmitter must comply with any applicable RF exposure requirements. If a module(s) does NOT meet one or more of the above listed requirements, the applicant may request Limited Modular Approval (LMA). For LMA, please state details about why the above requirement(s) could not be met; and state how control of the end product, into which the module will be installed, will be maintained by the applicant / manufacturer, such that full compliance of the end product is always ensured: ___________________________________ (Name / Title) Kyung-Su Han / Director, NA Regulatory and Environmental Affairs (Email Address) [email protected] (Phone number) 1-201-266-2215 (Address) LG Electronics USA, 1000 Sylvan Avenue, Englewood Cliffs, NJ 07632

External Photos

FCC ID: BEJLGSBWAX12, IC: 2703H-LGSBWAX12 HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383, Rep. of KOREA TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page １ of 13 EXTERNAL PHOTOGRAPHS FCC ID: BEJLGSBWAX12, IC: 2703H-LGSBWAX12 HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383, Rep. of KOREA TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page ２ of 13 ■ EXTERNAL PHOTO(Basic Cable) FCC ID: BEJLGSBWAX12, IC: 2703H-LGSBWAX12 HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383, Rep. of KOREA TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page ３ of 13 ■ EXTERNAL PHOTO(Basic Cable) FCC ID: BEJLGSBWAX12, IC: 2703H-LGSBWAX12 HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383, Rep. of KOREA TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page ４ of 13 ■ EXTERNAL PHOTO(Basic Cable) FCC ID: BEJLGSBWAX12, IC: 2703H-LGSBWAX12 HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383, Rep. of KOREA TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page ５ of 13 ■ EXTERNAL PHOTO(Basic Cable) FCC ID: BEJLGSBWAX12, IC: 2703H-LGSBWAX12 HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383, Rep. of KOREA TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page ６ of 13 ■ EXTERNAL PHOTO(Basic Cable) FCC ID: BEJLGSBWAX12, IC: 2703H-LGSBWAX12 HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383, Rep. of KOREA TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page ７ of 13 ■ EXTERNAL PHOTO(Basic Cable) FCC ID: BEJLGSBWAX12, IC: 2703H-LGSBWAX12 HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383, Rep. of KOREA TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page ８ of 13 ■ EXTERNAL PHOTO(FFC Cable) FCC ID: BEJLGSBWAX12, IC: 2703H-LGSBWAX12 HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383, Rep. of KOREA TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page ９ of 13 ■ EXTERNAL PHOTO(FFC Cable) FCC ID: BEJLGSBWAX12, IC: 2703H-LGSBWAX12 HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383, Rep. of KOREA TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page １０ of 13 ■ EXTERNAL PHOTO(FFC Cable) FCC ID: BEJLGSBWAX12, IC: 2703H-LGSBWAX12 HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383, Rep. of KOREA TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page １１ of 13 ■ EXTERNAL PHOTO(FFC Cable) FCC ID: BEJLGSBWAX12, IC: 2703H-LGSBWAX12 HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383, Rep. of KOREA TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page １２ of 13 ■ EXTERNAL PHOTO(FFC Cable) FCC ID: BEJLGSBWAX12, IC: 2703H-LGSBWAX12 HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383, Rep. of KOREA TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page １３ of 13 ■ EXTERNAL PHOTO(FFC Cable)

ID Label/Location Info

Internal Photos

RF Exposure Info

TEST REPORT FCC MPE Test for LGSBWAX12 Certification APPLICANT LG Electronics Inc. REPORT NO. HCT-RF-2009-FI008-R1 DATE OF ISSUE 14 September 2020 Tested by Jin Gwan Lee Technical Manager Jong Seok Lee Accredited by KOLAS, Republic of KOREA HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383 KOREA Tel. +82 31 634 6300 F ax. +82 31 645 6401 F-TP22-03 (Rev. 03) Page 2 of 10 HCT Co., Ltd. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383 KOREA Tel. +82 31 634 6300 Fax. +82 31 645 6401 TEST REPORT FCC MPE Test for LGSBWAX12 REPORT NO. HCT-RF-2009-FI008-R1 DATE OF ISSUE September 14, 2020 Additional Model - A pplicantLG Electronics Inc. 222, LG-ro, Jinwi-myeon, Pyeongtaek-si, Gyeonggi-do, 451-713, Korea Eut Type Model Name RF Module LGSBWAX12 FCC IDBEJLGSBWAX12 Date of ReceiptJuly 02, 2020 Frequency range2 402 MHz ᄧ 2 480 MHz (Bluetooth) 2 412 MHz ~ 2 472 MHz (WLAN) 5 180 MHz ~ 5 825 MHz (UNII) The result shown in this test report refer only to the sample(s) tested unless otherwise stated. This test results were applied only to the test methods required by the standard. Report No. HCT-RF-2009-FI008-R1 F-TP22-03 (Rev. 03) Page 3 of 10 REVISION HISTORY The revision history for this test report is shown in table. Revision No. Date of Issue Description 0 September 10, 2020 Initial Release 1 September 14, 2020 Typo correction & Add DBS mode (Page 9, 10) Engineering Statement: The measurements shown in this report were made in accordance with the procedures indicated, and the emissions from this equipment were found to be within the limits applicable. I assume full responsibility for the accuracy and completeness of these measurements, and for the qualifications of all persons taking them. It is further stated that upon the basis of the measurements made, the equipment tested is capable of operation in accordance with the requirements of the FCC Rules under normal use and maintenance This laboratory is not accredited for the test results marked *. The above Test Report is the accredited test result by (KS Q) ISO/IEC 17025 AND KOLAS(Korea Laboratory Accreditation Scheme), which signed the ILAC-MRA.(HCT Accreditation No.: KT197) * The report shall not be reproduced except in full(only partly) without approval of the laboratory. Report No. HCT-RF-2009-FI008-R1 F-TP22-03 (Rev. 03) Page 4 of 10 RF Exposure Statement 1. Limit According to §1.1310, §2.1091 RF exposure is calculated. (B) Limits for General Population/Uncontrolled Exposures Frequency range (MHz) Electric field Strength (V/m) Magnetic field Strength (A/m) Power density (mW/cm²) Averaging time (minutes) 0.3 - 1.34 1.34 - 30 30 - 300 300 - 1500 1500 - 100.000 614 824/f 27.5 ... ... 1.63 2.19/f 0.073 ... ... *(100) *(180/ f²) 0.2 f/1500 1.0 30 30 30 30 30 F = frequency in MHz * = Plane-wave equivalent power density 2. Maximum Permissible Exposure Prediction Prediction of MPE limit at a given distance ଶ S = Power density P = Power input to antenna G = Power gain to the antenna in the direction of interest relative to an isotropic radiator R = Distance to the center of radiation of the antenna Report No. HCT-RF-2009-FI008-R1 F-TP22-03 (Rev. 03) Page 5 of 10 3. RESULTS 3-1. Bluetooth Average output Power at antenna input terminal 8.00 dBm Average output Power at antenna input terminal 6.31 mW Prediction distance 20.00 cm Prediction frequency 2402 ᄧ 2480 MHz Antenna Gain(typical) 1.190 dBi Antenna Gain(numeric) 1.315 - Power density at prediction frequency( S) 0.0017 mW/cm 2 MPE limit for uncontrolled exposure at prediction frequency 1.000 mW/cm 2 2.1091 EIRP 9.19 (dBm) ERP 7.04 (dBm) ERP 0.005 (W) ERP Limit 3.00 (W) MARGIN 27.73 (dB) Report No. HCT-RF-2009-FI008-R1 F-TP22-03 (Rev. 03) Page 6 of 10 3-1. BT LE Average output Power at antenna input terminal 9.00 dBm Average output Power at antenna input terminal 7.94 mW Prediction distance 20.00 cm Prediction frequency 2402 ᄧ 2480 MHz Antenna Gain(typical) 1.190 dBi Antenna Gain(numeric) 1.315 - Power density at prediction frequency( S) 0.0021 mW/cm 2 MPE limit for uncontrolled exposure at prediction frequency 1.000 mW/cm 2 2.1091 EIRP 10.19 (dBm) ERP 8.04 (dBm) ERP 0.006 (W) ERP Limit 3.00 (W) MARGIN 26.73 (dB) Report No. HCT-RF-2009-FI008-R1 F-TP22-03 (Rev. 03) Page 7 of 10 3-1. DTS_MIMO Average output Power at antenna input terminal 18.50 dBm Average output Power at antenna input terminal 70.79 mW Prediction distance 20.00 cm Prediction frequency 2412 ᄧ 2472 MHz Antenna Gain(typical) 3.380 dBi Antenna Gain(numeric) 2.178 - Power density at prediction frequency( S) 0.0307 mW/cm 2 MPE limit for uncontrolled exposure at prediction frequency 1.000 mW/cm 2 2.1091 EIRP 21.88 (dBm) ERP 19.73 (dBm) ERP 0.094 (W) ERP Limit 3.00 (W) MARGIN 15.04 (dB) Report No. HCT-RF-2009-FI008-R1 F-TP22-03 (Rev. 03) Page 8 of 10 3-1. UNII_MIMO Average output Power at antenna input terminal 17.00 dBm Average output Power at antenna input terminal 50.12 mW Prediction distance 20.00 cm Prediction frequency 5180 ᄧ 5825 MHz Antenna Gain(typical) 4.440 dBi Antenna Gain(numeric) 2.780 - Power density at prediction frequency( S) 0.0277 mW/cm 2 MPE limit for uncontrolled exposure at prediction frequency 1.000 mW/cm 2 2.1091 EIRP 21.44 (dBm) ERP 19.29 (dBm) ERP 0.085 (W) ERP Limit 3.00 (W) MARGIN 15.48 (dB) Report No. HCT-RF-2009-FI008-R1 F-TP22-03 (Rev. 03) Page 9 of 10 3-1. DTS_Ant.2 Average output Power at antenna input terminal 18.50 dBm Average output Power at antenna input terminal 70.79 mW Prediction distance 20.00 cm Prediction frequency 2412 ᄧ 2472 MHz Antenna Gain(typical) 1.500 dBi Antenna Gain(numeric) 1.423 - Power density at prediction frequency( S) 0.0199 mW/cm 2 MPE limit for uncontrolled exposure at prediction frequency 1.000 mW/cm 2 2.1091 EIRP 20.00 (dBm) ERP 17.85 (dBm) ERP 0.061 (W) ERP Limit 3.00 (W) MARGIN 16.92 (dB) Report No. HCT-RF-2009-FI008-R1 F-TP22-03 (Rev. 03) Page …

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Test Report

TEST REPORT FCC/IC UNII ax Test for LGSBWAX12 Certification APPLICANT LG Electronics Inc. REPORT NO. HCT-RF-2009-FI001-R1 DATE OF ISSUE 14 September 2020 Tested by Jin Gwan Lee Technical Manager Jong Seok Lee Accredited by KOLAS, Republic of KOREA HCT CO., LTD. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383 KOREA Tel. +82 31 634 6300 F ax. +82 31 645 6401 F-TP22-03 (Rev. 03) Page 2 of 184 HCT Co., Ltd. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, 17383 KOREA Tel. +82 31 634 6300 Fax. +82 31 645 6401 TEST REPORT FCC/IC UNII Test for LGSBWAX12 REPORT NO. HCT-RF-2009-FI001-R1 DATE OF ISSUE September 14, 2020 Additional Model - A pplicantLG Electronics Inc. 222, LG-ro, Jinwi-myeon, Pyeongtaek-si, Gyeonggi-do, 451-713, Korea Eut Type Model Name RF Module LGSBWAX12 FCC ID IC BEJLGSBWAX12 2703H-LGSBWAX12 Modulation typeGFSK FCC ClassificationUnlicensed National Information Infrastructure(NII) FCC Rule Part(s) Part 15.407 IC Rule Part(s)RSS-247 Issue 2 (February 2017) RSS-Gen Issue 5_Amendment 1 (March 2019) The result shown in this test report refer only to the sample(s) tested unless otherwise stated. This test results were applied only to the test methods required by the standard. Report No. HCT-RF-2009-FI001-R1 F-TP22-03 (Rev. 03) Page 3 of 184 REVISION HISTORY The revision history for this test report is shown in table. Revision No. Date of Issue Description 0 September 10, 2020 Initial Release 1 September 14, 2020 Typo correction (Page 36) Engineering Statement: The measurements shown in this report were made in accordance with the procedures indicated, and the emissions from this equipment were found to be within the limits applicable. I assume full responsibility for the accuracy and completeness of these measurements, and for the qualifications of all persons taking them. It is further stated that upon the basis of the measurements made, the equipment tested is capable of operation in accordance with the requirements of the FCC / IC Rules under normal use and maintenance. This laboratory is not accredited for the test results marked *. The above Test Report is the accredited test result by (KS Q) ISO/IEC 17025 and KOLAS(Korea Laboratory Accreditation Scheme), which signed the ILAC-MRA. * The report shall not be reproduced except in full(only partly) without approval of the laboratory. Report No. HCT-RF-2009-FI001-R1 F-TP22-03 (Rev. 03) Page 4 of 184 CONTENTS 1. GENERAL INFORMATION 6 EUT DESCRIPTION 6 ANTENNA CONFIGURATIONS 7 2. MAXIMUM OUTPUT POWER 8 3. TEST METHODOLOGY 9 EUT CONFIGURATION 9 EUT EXERCISE 9 GENERAL TEST PROCEDURES 9 DESCRIPTION OF TEST MODES 10 4. INSTRUMENT CALIBRATION 10 5. FACILITIES AND ACCREDITATIONS 10 5.2 EQUIPMENT 10 5.1 FACILITIES 11 6. ANTENNA REQUIREMENTS 11 7. MEASUREMENT UNCERTAINTY 11 8. DESCRIPTION OF TESTS 12 9. SUMMARY OF TEST RESULTS 38 10. TEST RESULT 40 10.1 DUTY CYCLE 40 10.2 26DB BANDWIDTH 49 10.2.1 Ant1 49 10.2.2 Ant2 53 10.3 6DB BANDWIDTH 57 10.3.1 Ant1 57 10.3.2 Ant2 59 10.4 OUTPUT POWER MEASUREMENT 60 Power Level Setting 60 10.4.1 Ant1 62 10.4.2 Ant2 66 10.4.3 Ant1+Ant2 70 10.5 POWER SPECTRAL DENSITY 74 10.5.1 Ant1 74 10.5.2 Ant2 78 10.5.3 Ant1+Ant2 82 10.5.4 Ant1(IC) 86 10.5.5 Ant2(IC) 88 10.5.6 Ant1+Ant2(IC) 90 Report No. HCT-RF-2009-FI001-R1 F-TP22-03 (Rev. 03) Page 5 of 184 10.6 STRADDLE CHANNEL. 92 10.6.1 26dB Bandwidth 92 10.6.1.1 Ant1 92 10.6.1.2 Ant2 95 10.6.2 6dB Bandwidth 98 10.6.2.1 Ant1 98 10.6.2.2 Ant2 101 10.6.3 Output Power 104 10.6.3.1 Ant1 104 10.6.3.2 Ant2 107 10.6.4 Power Spectral Density 110 10.6.4.1 Ant1 110 10.6.4.2 Ant2 113 10.7 RADIATED SPURIOUS EMISSIONS 116 10.7.1 Basic Cable 116 10.7.2 FFC Cable 117 10.8 RADIATED SPURIOUS EMISSIONS (Above 1 GHz) 118 10.8.1 Basic Cable 118 10.8.2 FFC Cable 133 10.8.3 DBS Mode 139 10.9 RADIATED RESTRICTED BAND EDGE 141 10.9.1 Basic Cable 141 10.9.1.1 802.11ax(HE20) 141 10.9.1.2 802.11ax(HE40) 149 10.9.1.3 802.11ax(HE80) 159 10.9.2 FFC Cable 177 10.10 RECEIVER SPURIOUS EMISSIONS 180 10.10.1 Basic Cable 180 10.10.2 FFC Cable 181 11. LIST OF TEST EQUIPMENT 182 12. ANNEX A_ TEST SETUP PHOTO 184 Report No. HCT-RF-2009-FI001-R1 F-TP22…

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Contact Information

Applicant

David Kim(Team leader, LGEUS NA Policy & Regulatory Affairs)

[email protected]201-470-2696Fax: 201-816-2003

Test Firm

HCT Co., Ltd.Lee Yoon-Jung

[email protected]82-31-645-6432Fax: 82-31-645-6401

Technical Specifications

#	Rule Parts	Frequency Range	Power Output
4	15E	5.75 GHz - 5.83 GHz	40.00 mW

Modular Type

Single Modular Approval

Confidentiality

Long Term

Grant Notes

Power listed is the peak conducted output power. This module may be installed only by the OEM or an OEM integrator. This approval is valid when the antenna(s) used for this device is installed with a minimum antenna to user separation distance of at least 20cm. Installation in portable host configurations requires additional evaluation and certification. Grantee must provide instructions and coordinate with OEM integrators to determine applicable host configurations to ensure compliance including RF exposure and simultaneous transmission. This device operates with 20MHz, 40MHz and 80MHz channel bandwidth capabilities and a 2x2 MIMO configuration as described in this filing.