N74-CP8563Active RF Security Tag

Identifywithinnovation February18,2015 FederalCommunicationsCommission 7435OaklandMillsRoad Columbia,MD21046 Re: FCCID: N74-CP8563 To WhomIt MayConcern: Omni-ID,certifiesthat neitherthe applicantnor any partyto this application,as definedin 47 CFRCh. 1.2002(b),is subjectto a denialto Federalbenefits,that includeFCCbenefits,pursuant to section5301of the Anti-DrugAbuseAct of 1998,21U.S.C.835(a). Thisauthorizationis validuntilfurtherwrittennoticefromOmni-ID Ed Nabrotzky Omni-Id 1200RidgewayAve Suite106 Rochester,NY14615 Omni-IDCorporateHeadquarters:1200RidgewayAvenueRochester,NY 14615585-713-1000www.Omni-lD.com

CC430 SOIC RF Matching Circuit Display Processor Display Dc to DC Converter 26 MHz 32 KHz 3 VDC N74-CP8563 Block Diagram 2 MHz

Identifywithinnovation Date:February18,2015 Subject:ConfidentialityRequestfor FCCID: N74-CP8563 Pursuantto FCC47 CRF0.457(d)and 0.459and IC RSP-I00,Section10, the applicantrequeststhat a part of the subjectFCC/ICapplicationbe heldconfidential. Typeof ConfidentialityRequested Exhibit I:8J ShortTermDPermanent BlockDiagrams I:8J ShortTermDPermanent InternalPhotos DShortTermI:8J Permanent OperationDescriptioniTheoryof Operation D ShortTermDPermanentTune-UpProcedure D ShortTermI:8J Permanent Schematics D ShortTenn DPermanent User'sManual Omm-ID,Inc. has spentsubstantialeffortin developingthis productand it is one of the firstof its kindin industry.Havingthe subjectinformationeasilyavailableto "competition"wouldnegatethe advantage theyhaveachievedby developingthis product.Not protectingthe detailsof the designwillresultin financialhardship. PermanentConfidentiality: The applicantrequeststhe exhibitslistedaboveas permanentlyconfidentialbe permanentlywithheld frompublicreviewdue to materialsthat containtradesecretsand proprietaryinformationnot customarily releasedto the public. Sincerely) By: Ed Nabrotzky- VicePresidentProductDevelopment (Signature/Title)(Printname) Omni-IDCorporateHeadquarters:1200RidgewayAvenueRochester,NY14615585-713-1000www.Omni-ID.com

Visit www.omni-id.com to learn more about the complete line of Omni-ID RFID products. Building Intelligent Supply Chains Omni-ID’s View Tags are the perfect choice for applications such as: � Manufacturing: Replenishment, work instructions and container management � Logistics: Container Management • Sortation/Postal • Warehousing/Yard Management • Food supply chain � Health Care: Equipment tracking and directional labeling � IT: Asset tracking and status Physical Specifications Electrophoretic e-paper display, Full graphic (black & white), 120° viewing angle (in sunlight) Specifications View 3View 4 Size (mm) Screen Area (mm) Screen Diagonal dimension (mm) 146.5 × 50 × 14.1 66.4 x 28.5 73.66 148.5 × 102.5 × 13.9 85.2 x 64.0 106.68 Size (in) Screen Area (in) Screen Diagonal dimension (in) 5.85 × 2.36 × 0.76 2.61 x1.12 2.9 5.85 × 4.04 × .55 3.35 x 2.52 4.2 Weight (g)99197 Optional: Size with bracket (mm)* Size with bracket (in)* 174.6 × 56.0 × 14.6 5.85 × 2.36 × 0.76 174.6 × 108.5 × 14.59 5.85 × 2.36 × 0.76 Omni-ID® View 3 & View 4 Omni-ID’s View 3 and View 4 tags offer electrophoretic displays used to replace paper labels. Visual tagging adds an electronically re-writable surface to advanced RF tracking technologies. Identified with ruggedness and excellent cost, the Omni-ID View 3 and 4 e-paper tags are ideal choices for durable, repetitive labeling in harsh environments. PAGE 1 OF 2 DS0071-J | 022015 Dimensions View 3 View 4 *Brackets can be purchased as an option. Visit www.omni-id.com to learn more about the complete line of Omni-ID RFID products. Related Products Product NamesDescription View 10Electrophoretic e-paper display device with a 10.2” diagonal screen that enables electronic work instructions, build manuals and documentation. On-board IR and RFID allows efficient tracking and triggering through the process while Wi-Fi leverages open wireless infrastructure. ProVIEW SoftwareThe infrastructure that supports the rewrite on the View tags and the ability to locate assets, provide real-time work in process, inventory and reporting to meet all supply chain needs. Link GatewayNetwork Device that drives the flow of information to provide a complete tracking and dynamic communication solution. Link USB AdapterUSB peripheral device providing a radio link to manage the View 3 and View 4 tags. © 2015 Omni-ID. All rights reserved.. Omni-ID office locations: US | UK | China | India | Southeast Asia For product or technology inquiries email: [email protected] Building Intelligent Supply Chains Tag changes images through passive or active reads or writes in process Deliver ABC Co. Valid Parts On time: 4 pm Rack 45F 00001DC000001234 LABELTRACKINSTRUCT Ordering Information Order CodesDescription OMNI-V3 Electrophoretic black & white display device with 2.9” diagonal screen, Button and LED. OMNI-V4 Electrophoretic black & white display device with 4.2” diagonal screen, Button and LED PAGE 2 OF 2 DS0071-J | 022015 Environmental Specifications Operating Temperature 1 0 to +50°C Shock and VibrationWithstands 4' drop to concrete User Memory16 image pages Certifications EN 300 220-1, EN 301 489-1, RoHS, CE FCC Class A digital device according to FCC Part 15 and ICES-003 Attachment OptionsAdhesive, Bracket, or Zip tie Warranty1 year 1Typical installation and power settings shown. Optimal environments can significantly enhance performance. RF Specifications PowerTechnician Replaceable battery Battery Life View 3 = 3 years of life View 4 = 5 years of life FrequencyActive: 433.92 Passive: 902–928 Write, Read Range (typical) Active: 100m Passive: 3.5m User Memory16 image pages Button Push of the button causes an announcement on the active radio system to indicate an action. LED Green light to indicate button press or blinking modes for alerts.

TUV Rheinland 710 Resende Road, Webster, NY 14580 FCC ID: N74-CP8563 Tel: (585) 426-0125 IC ID: 10336A-CP8563 Page 1 of 2 External Photos EUT Name: Active RFID Tag EUT Model: CP8563 FCC ID: N74-CP8563 , IC ID: 10336A-CP8563 FCC Title 47, Part 15, SubpartC, RSS-210 Issue 8 Prepared for: Ed Nabrotzky OMNI-ID USA Inc. 1200 Ridgeway Avenue Rochester, NY 14615 Tel: 585-713-1021 Fax: fax Prepared by: TUV Rheinland of North America 710 Resende Road Webster, NY 14580 Tel: (585) 645-0125 http://www.tuv.com/ Report/Issue Date: 7 April 2015 Report Number: 31550218.002 CP8563 TUV Rheinland 710 Resende Road, Webster, NY 14580 FCC ID: N74-CP8563 Tel: (585) 426-0125 IC ID: 10336A-CP8563 Page 2 of 2 External Photos: Figure 1: External View - Front Figure 2: External View - Back

OMNI-ID Model CP8563 Label and Location

TUV Rheinland 710 Resende Road, Webster, NY 14580 FCC ID: N74-CP8563 Tel: (585) 645-0125 IC ID: 10336A-CP8563 Page 1 of 2 Internal Photos EUT Name: Active RFID Tag EUT Model: CP8563 FCC ID: N74-CP8563 , IC ID: 10336A-CP8563 FCC Title 47, Part 15, SubpartC, RSS-210 Issue 8 Prepared for: Ed Nabrotzky OMNI-ID USA Inc. 1200 Ridgeway Avenue Rochester, NY 14615 Tel: 585-713-1021 Fax: fax Prepared by: TUV Rheinland of North America 710 Resende Road Webster, NY 14580 Tel: (585) 645-0125 http://www.tuv.com/ Report/Issue Date: 7 April 2015 Report Number: 30550218.002 CP8563 TUV Rheinland 710 Resende Road, Webster, NY 14580 FCC ID: N74-CP8563 Tel: (585) 645-0125 IC ID: 10336A-CP8563 Page 2 of 2 Internal Photos: Figure 1: Internal View Antenna Note: The antenna shown mounted on the top of the EUT Figure 2: Internal View – Display Side

FCC ID: N74-CP8563 IC: 10336A-CP8563 Report No.: 31550218.003 CP8563.doc Page 1 of 31 The test results contained in this report refer exclusively to the product(s) presented for testing. No liability may be assumed for models or products not referred to herein. This test report may not be published or duplicated in part without permission of the testing body. This test report by itself does not constitute authorization for the use of any TUV Rheinland test mark. The report must not be used by the client to claim product certification, approval, or endorsement by A2LA or any agency of the Federal Government. TUV Rheinland of North America, Inc., 710 Resende Road, Webster NY 14580. Tel: 585-645-0125 MS-0005239 Version 3.0 Electromagnetic Compatibility Test Report Prepared in accordance with FCC Part 15C, RSS-210 Issue 8 and ANSI C63.10 C63.10:2009 and C63.10:2013 Versions were both used On Active RFID Tag CP8563 OMNI-ID 1200 Ridgeway Avenue Rochester, NY 14615 Prepared by: TUV Rheinland of North America, Inc. TUV Rheinland of North America Inc., North American Headquarters, 12 Commerce Road, Newtown, CT 06470 Tel: (203) 426-0888, Fax: (203) 426-4009 QF094235 Page 1 of 1 Revision 0 Manufacturer’s statement - attestation The manufacturer; OMNI-ID, as the responsible party for the equipment tested, hereby affirms: a) That they have reviewed and concurs that the test shown in this report are reflective of the operational characteristics of the device for which certification is sought; b) That the device in this test report will be representative of production units; c) That all changes (in hardware and software/firmware) to the subject device will be reviewed. d) That any changes impacting the attributes, functionality or operational characteristics documented in this report will be communicated to the body responsible for approving (certifying) the subject equipment. Ed Nabrotzky Printed name of official Signature of official 1200 Ridgeway Avenue Rochester, NY 14615 3/27/2015 Address Date 585-713-1000 [email protected] Telephone number Email address of official FCC ID: N74-CP8563 IC: 10336A-CP8563 Report No.: 31550218.003 CP8563.doc Page 3 of 31 The test results contained in this report refer exclusively to the product(s) presented for testing. No liability may be assumed for models or products not referred to herein. This test report may not be published or duplicated in part without permission of the testing body. This test report by itself does not constitute authorization for the use of any TUV Rheinland test mark. The report must not be used by the client to claim product certification, approval, or endorsement by A2LA or any agency of the Federal Government. TUV Rheinland of North America, Inc., 710 Resende Road, Webster NY 14580. Tel: 585-645-0125 MS-0005239 Version 3.0 Client: OMNI-ID 1200 Ridgeway Avenue Rochester, NY 14615 Contact: Tel: Fax: e-mail Len Desmond 585-713-1021 [email protected] Identification: Active RFID Tag Serial No.: TS-1 Test item: Model CP8563 Date Test Completed: 3/23/2015 Testing location: TUV Rheinland of North America 710 Resende Road Webster, NY 14580 U.S.A. Tel: (585) 645-0125 Test specification: Emissions: FCC Part 15.231Radiated Emissions Std FCC Part 15.209 and RSS - 210 Issue 8, FCC Part 15.231 and RSS - 210 Issue 8, FCC Part 15.231 and RSS - 210 Issue 8 Test Result: The above product was found to be Compliant to the above test standard(s) tested by: Randall Masline reviewed by: Cecil Gittens 20 May 2015 Date Name Signature 20 May 2015 Date Name Signature Other Aspects: None Abbreviations: OK, Pass, Compliant, Complies = passed Fail, Not Compliant, Does Not Comply = failed N/A = not applicable Industry Canada VCCI BSMI US5253 Testing Cert.# 3331.08 482B-1 A-0203 SL2-IN-E- 050R FCC ID: N74-CP8563 IC: 10336A-CP8563 Report No.: 31550218.003 CP8563.doc Page 4 of 31 The test results contained in this report refer exclusively to the product(s) presented for testing. No liability may be assumed for models or products not referred to herein. This test report may not be published or duplicated in part without permission of the testing body. This test report by itself does not constitute authorization for the use of any TUV Rheinland test mark. The report must not be used by the client to claim product certification, approval, or endorsement by A2LA or any agency of the Federal Government. TUV Rheinland of North America, Inc., 710 Resende Road, Webster NY 14580. Tel: 585-645-0125 MS-0005239 Version 3.0 TABLE OF CONTENTS 1 GENERAL INFORMATION ......................................................................................................................... 5 1.1 SCOPE ......................................................................................................................................................... 5 1.2 PURPOSE ..................................................................................................................................................... 5 1.3 SUMMARY OF TEST RESULTS ..................................................................................................................... 6 2 LABORATORY INFORMATION ................................................................................................................ 7 2.1 ACCREDITATIONS & ENDORSEMENTS ........................................................................................................ 7 2.2 MEASUREMENT UNCERTAINTY EMISSIONS ............................................................................................... 8 2.3 CALIBRATION TRACEABILITY .................................................................................................................... 8 2.4 MEASUREMENT EQUIPMENT USED ............................................................................................................ 9 3 PRODUCT INFORMATION ..........................................................................................................…

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