U4A-MODBLE9051Bluetooth Smart Low Energy Radio Module

5015 B.U. Bowman Drive Buford, GA 30518 USA Voice: 770-831-8048 Fax: 770-831-8598 Certification Exhibit FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 FCC Rule Part: 15.247 IC Radio Standards Specification: RSS-247 ACS Project Number: 15-0143 Manufacturer: Assa Abloy Inc. Model: BLE9051 Manual Assa Abloy: Sargent Manufacturing and Corbin Russwin Factory Installation Instructions Factory Installation Instructions for IN120 reader assemblies Models BIP, BIP-M, BIPS, BIPS-M, BCP and BCP-M, with Bluetooth Smart Model: BLE9051 Assembly: 52-9051 RF Module. FCC Specific Statement: “NOTE: 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 pro - tection 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 inter - ference 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.” General Statements (For all devices): Warning: Changes or modifications to this device not expressly approved by Assa Abloy could void the user’s authority to operate the equipment. Industry Canada Specific Statements: Under Industry Canada regulations, this radio transmitter may only operate using an antenna of a type and maximum (or lesser) gain approved for the transmitter by Industry Canada. To reduce po - tential radio interference to other users, the antenna type and its gain should be so chosen that the equivalent isotropically radiated power (e.i.r.p.) is not more than that necessary for successful com - munication. Conformément à la réglementation d’Industrie Canada, le présent émetteur radio peut fonctionner avec une antenne d’un type et d’un gain maximal (ou inférieur) approuvé pour l’émetteur par Indus - trie Canada. Dans le but de réduire les risques de brouillage radioélectrique à l’intention des autres utilisateurs, il faut choisir le type d’antenne et son gain de sorte que la puissance isotrope rayonnée équivalente (p.i.r.e.) ne dépasse pas l’intensité nécessaire à l’établissement d’une communication satisfaisante. This device complies with Industry Canada licence-exempt RSS standard(s). Operation is subject to the following two conditions: (1) this device may not cause interference, and (2) this device must ac - cept any interference, including interference that may cause undesired operation of the device. Le présent appareil est conforme aux CNR d’Industrie Canada applicables aux appareils radio ex - empts de licence. L’exploitation est autorisée aux deux conditions suivantes : (1) l’appareil ne doit pas produire de brouillage, et (2) l’utilisateur de l’appareil doit accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible d’en compromettre le fonctionnement. Copyright © 2015, ASSA ABLOY Inc. All rights reserved. Reproduction in whole or in part without the express written permission of ASSA ABLOY Inc. is prohibited. BTMN1A • PAGE 1 09/15 Users in the USA and Canada English: Operation is subject to the following two conditions: This device complies with Part 15 of the FCC 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 undesired operation. RF Exposure For Mobile Devices include the following: “This equipment complies with FCC radiation exposure limits set forth for an uncontrolled envi - ronment. This equipment should be installed and operated with minimum distance 20cm be- tween the radiator and your body. This transmitter must not be co-located or operating in con- junction with any other antenna or transmitter.” Pour les usagers résidant au Canada (French): L’exploitation est autorisée aux deux conditions suivantes: (1) l’appareil ne doit pas produire de brouillage, et (2) l’utilisateur de l’appareil doit accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible d’en compromettre le fonctionnement. Énoncé d’exposition à la radiation Pour les appareils mobiles sont les suivants: “Cet équipement est conforme aux limites d’exposition à la radiation RF FCC prévues pour un environnement non contrôlé. Cet équipement doit être installé et doit fonctionner avec une distance minimum de 20 centimètres des utilisateurs et des personnes Environnantes. Cet émetteur ne doit pas être co- localisées ou opérant en conjointement avec une autre antenne ou émetteur Assembly Drawings and Instructions: 53-5378TAB 52-5376RTAB 52-4890 Factory Configuration Instructions: The assembly 52-9051-0000-000 IN120 BT shall be programmed at the manufacturing facility with firmware. The firmware version to be programmed into the unit shall be V5.09, which applies an advertising rate of 20ms and a RSSI tap sensitivity of -55dB. Field Configuration Instructions: At the customer site, encryption keys are loaded by a “Mobile Keys” certified technician using an HID configuration card. This installation can be performed on mobile enabled readers only. Once the “Mo - bile Keys” have been loaded interface with mobile devices can be achieved. The HID BLE Configuration application is currently available on Android OS and provides additional configuration that can be…

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Americas Division 110 Sargent Drive New Haven, CT 06511 USA Phone: +1 203 821-5714 Fax: +1 203 603-5981 Email: [email protected] Steven Pfalzgraf EM Product Engineer June 15, 2015 Federal Communications Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MD 21046 Dear Sir or Madam: I hereby appoint Sam Wismer at Advanced Compliance Solutions, Inc. to act as our agent in the preparation of an application for equipment authorization of FCC ID: U4A-MODBLE9051 to the FCC Rules and Regulations. I certify that all exhibits contained within this filing properly describe the device or system for which authorization is sought. I further certify that appropriate arrangements have been made to assure that production units of this equipment bearing the name and Model: BLE9051 listed in this application will continue to comply with the Commission's requirements. I further certify by signature below that no party (per 47 CFR 1.2002(b)) to the application is subject to a denial of Federal benefits, including FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 853(a). This appointment also includes the authority to complete FCC Form 731 on our behalf and sign the application as an authorized agent. Sincerely, Steven Pfalzgraf Product Development Engineer

Americas Division 110 Sargent Drive New Haven, CT 06511 USA Phone: +1 203 821-5714 Fax: +1 203 603-5981 Email: [email protected] Steven Pfalzgraf EM Product Engineer June 15, 2015 Federal Communications Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MD 21046 RE: CONFIDENTIALITY REQUEST Gentlemen: ASSA ABLOY Inc. respectfully requests confidentiality of certain materials provided with the submission of the module Model: BLE9051 under FCCID: U4A-MODBLE9051 in accordance with47 CFR 0.457(d) and 47 CFR 0.459.The confidentiality request applies to any and all schematics, engineering drawings and operational instructions contained in this filing and included in the following files. ASSA ABLOY Documents: 15-0143 – Schematics.pdf 15-0143 – System Block Diagram.pdf 15-0143 – Theory of Operation.pdf The 52-9051 has been developed at considerable effort and expense by ASSA ABLOY Inc. / Sargent Manufacturing. These items are considered as Trade Secrets and therefore public access to the proprietary material could possibly result in duplication of equipment that could severely damage the company's business advantage. Sincerely, Steven Pfalzgraf Product Development Engineer

5015 B. U. Bowman Dr. Buford, GA 30518 June 30, 2015 ACS TCB 5015 B.U. Bowman Drive Buford, GA 30518 Re: FCC ID: U4A-MODBLE9051 To Whom It May Concern: The following application is submitted on behalf of our client, Assa Abloy Inc., for evaluation of their model BLE9051 for limited modular approval certification under FCC Part 15.247. The BLE9051 is a Bluetooth Smart Low Energy radio module operating in the frequency range 2405 – 2480 MHz. The BLE9051 uses a client (Central) server (Peripheral) communications, where a mobile device is the client and the reader is the server. The module can be used in a variety of host locks, which are detailed in the test report included in this filing. The BLE9051 can be co-located within the host locks with a 125kHz and 13.56MHz proximity reader module (FCC ID: JQ6-SE3200, model SE3200) and a 2.4GHz 802.11b/g radio module (FCC ID: YOPGS1500M, model GS1500M). The locks are linked to a network controlled authorization system that grants or limits access to any type of door. Access may be granted by using 125 KHz, 13.56 MHz card reader or a Bluetooth Smart 2.4GHz radio. Radiated inter-modulation testing was evaluated for all combinations of simultaneous transmission and found to be in compliance. The BLE9051 was tested in full to the requirements of the aforementioned rules and was found to be in compliance. Sincerely, Sam Wismer Vice President, Technology Advanced Compliance Solutions, Inc.

Americas Division 110 Sargent Drive New Haven, CT 06511 USA Phone: +1 203 821-5714 Fax: +1 203 603-5981 Email: [email protected] Steven Pfalzgraf EM Product Engineer June 15, 2015 ACS TCB 5015 B.U. Bowman Drive Buford, GA 30518 FCC ID: U4A-MODBLE9051 To Whom It May Concern: Assa Abloy, is seeking limited module approval status. Modular Approval RequirementYesNo a)The radio elements must have the radio frequency circuitry shielded. Physical components and tuning capacitor(s) may be located external to the shield, but must be on the module assembly. No b)The module must have buffered modulation/data inputs to ensure that the device will comply with Part 15 requirements with any type of input signal. No c)The module must contain power supply regulation on the module.No d)The module must contain a permanently attached antenna, or contain a unique antenna connector, and be marketed and operated only with specific antenna(s), per Sections 15.203, 15.204(b), 15.204(c), 15.212(a), 2.929(b). Yes e)The module must demonstrate compliance in a stand-alone configuration.No f)The module must be labeled with its permanently affixed FCC ID label, or use an electronic display (See KDB Publication 784748 about labeling requirements). Yes g)The module must comply with all specific rules applicable to the transmitter including all the conditions provided in the integration instructions by the grantee. Yes h)The module must comply with RF exposure requirements.Yes As a result of not being in full compliance it is requested that “Limited Modular Approval” be granted for the Model: BLE9051 module for use within the host IN120. Sincerely, Steven Pfalzgraf Product Development Engineer

5015 B.U. Bowman Drive Buford, GA 30518 USA Voice: 770-831-8048 Fax: 770-831-8598 Certification Exhibit FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 FCC Rule Part: 15-0247 IC Radio Standards Specification: RSS-247 ACS Project Number: 15-0143 Manufacturer: Assa Abloy Inc. Model: BLE9051 External / Internal Photos Model: BLE9051 FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 ACS Project: 15-0143 Advanced Compliance Solutions Page 2 Figure 1: Module Figure 2: Module Model: BLE9051 FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 ACS Project: 15-0143 Advanced Compliance Solutions Page 3 Figure 3: Module Antenna Figure 4: External Photo – Host – Sargent IN120 BIPS/C-Mx 7900/8200 Series Battery Model: BLE9051 FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 ACS Project: 15-0143 Advanced Compliance Solutions Page 4 Figure 5: External Photo – Host – Sargent IN120 BIPS/C-Mx 7900/8200 Series Battery Figure 6: External Photo – Host – Sargent IN120 BIPS/C-Mx 10 Line Battery Model: BLE9051 FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 ACS Project: 15-0143 Advanced Compliance Solutions Page 5 Figure 7: External Photo – Host – Sargent IN120 BIPS/C-Mx 10 Line Battery Figure 8: External Photo – Host – Sargent IN120 BIPS/C-x 7900/8200 Series Hardwire Model: BLE9051 FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 ACS Project: 15-0143 Advanced Compliance Solutions Page 6 Figure 9: External Photo – Host – Sargent IN120 BIPS/C-x 7900/8200 Series Hardwire Figure 10: Module Internal to Host *Note: All Corbin Russwin host models are identical to the Sargent host models shown in this exhibit.

5015 B.U. Bowman Drive Buford, GA 30518 USA Voice: 770-831-8048 Fax: 770-831-8598 Certification Exhibit FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 FCC Rule Part: 15.247 IC Radio Standards Specification: RSS-247 ACS Project Number: 15-0143 Manufacturer: Assa Abloy Inc. Model: BLE9051 Americas Division 110 Sargent Drive New Haven, CT 06511 USA Phone: +1 203 821-5714 Fax: +1 203 603-5981 Email: [email protected] Steven Pfalzgraf EM Product Engineer June 15, 2015 Sample Label: There are 2 labels required for the model IN120. The host requires a label that states the modules used within the device. The BLE module requires its FCC ID located on it. The IN120 HOST label with text as seen below Applied to mounting housing of the HOST as seen below The Model: BLE9051 Assembly: 52-9051 label with text as seen below Applied to the Model: BLE9051 assembly 52-9051 via silkscreen as below Sincerely, Steven Pfalzgraf Product Development Engineer

5015 B.U. Bowman Drive Buford, GA 30518 USA Voice: 770-831-8048 Fax: 770-831-8598 Certification Exhibit FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 FCC Rule Part: 15-0247 IC Radio Standards Specification: RSS-247 ACS Project Number: 15-0143 Manufacturer: Assa Abloy Inc. Model: BLE9051 External / Internal Photos Model: BLE9051 FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 ACS Project: 15-0143 Advanced Compliance Solutions Page 2 Figure 1: Module Figure 2: Module Model: BLE9051 FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 ACS Project: 15-0143 Advanced Compliance Solutions Page 3 Figure 3: Module Antenna Figure 4: External Photo – Host – Sargent IN120 BIPS/C-Mx 7900/8200 Series Battery Model: BLE9051 FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 ACS Project: 15-0143 Advanced Compliance Solutions Page 4 Figure 5: External Photo – Host – Sargent IN120 BIPS/C-Mx 7900/8200 Series Battery Figure 6: External Photo – Host – Sargent IN120 BIPS/C-Mx 10 Line Battery Model: BLE9051 FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 ACS Project: 15-0143 Advanced Compliance Solutions Page 5 Figure 7: External Photo – Host – Sargent IN120 BIPS/C-Mx 10 Line Battery Figure 8: External Photo – Host – Sargent IN120 BIPS/C-x 7900/8200 Series Hardwire Model: BLE9051 FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 ACS Project: 15-0143 Advanced Compliance Solutions Page 6 Figure 9: External Photo – Host – Sargent IN120 BIPS/C-x 7900/8200 Series Hardwire Figure 10: Module Internal to Host *Note: All Corbin Russwin host models are identical to the Sargent host models shown in this exhibit.

5015 B.U. Bowman Drive Buford, GA 30518 USA Voice: 770-831-8048 Fax: 770-831-8598 Certification Exhibit FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 FCC Rule Part: 15.247 IC Radio Standards Specification: RSS-247 ACS Project Number: 15-0143 Manufacturer: Assa Abloy Inc. Model: BLE9051 Model: BLE9051FCC ID: U4A-MODBLE9051IC: 6982A-MODBLE9051 ACS Project: 15-0143Advanced Compliance SolutionsPage 2 General Information: Applicant:Assa Abloy Inc. Device Category:Mobile Environment:General Population/Uncontrolled Exposure Technical Information: Antenna Type: Monopole Antenna Antenna Gain: 4.11dBi Maximum Transmitter Conducted Power: -3.47 dBm, 0.45 mW Maximum System EIRP: 0.64 dBm, 1.16 mW Exposure Conditions: Greater than 20 centimeters Per IC RSS-102 Issue section 2.5.2, this device is exempt from routine RF exposure evaluation. The source-based, time-averaged maximum EIRP of the device is equal to or less than 1.31 x 10 -2 ƒ 0.6834 W (adjusted for tune-up tolerance), whereƒis 2405 MHz; 1.31 x 10 -2 2475 0.6834 W = 2.7 W EIRP MPE Calculation (FCC) The Power Density (mW/cm 2 ) is calculated as follows: S = 2 4R PG  Where: S = power density (in appropriate units, e.g. mW/cm2) P = power input to the antenna (in appropriate units, e.g., mW) G = power gain of the antenna in the direction of interest relative to an isotropic radiator R = distance to the center of radiation of the antenna (appropriate units, e.g., cm) MPE Calculator for Mobile Equipment Limits for General Population/Uncontrolled Exposure* 2405-3.471.000.454.112.576 200.0002 Power Density (mW/cm^2) Distance (cm) Transmit Frequency (MHz) Radio Power (dBm) Power Density Limit (mW/Cm2) Radio Power (mW) Antenna Gain (dBi) Antenna Gain (mW eq.)

5015 B.U. Bowman Drive Buford, GA 30518 USA Voice: 7708318048 Fax: 7708318598 Certification Test Report FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 FCC Rule Part: 15.247 IC Radio Standards Specification: RSS-247 ACS Report Number: 15-0143.W06.2A Manufacturer: Assa Abloy Inc. Model: BLE9051 Test Begin Date: April 14, 2015 Test End Date: May 1, 2015 Report Issue Date: July 15, 2015 FOR THE SCOPE OF ACCREDITATION UNDER LAB Code 2006120 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government. Reviewed by: Kirby Munroe Director, Wireless Certifications ACS, Inc. This test report shall not be reproduced except in full. This report may be reproduced in part with prior written consent of ACS, Inc. The results contained in this report are representative of the sample(s) submitted for evaluation. This report contains 21 pages 5015 B.U. Bowman Drive Buford, GA 30518 USA Voice: 7708318048 Fax: 7708318598 TABLE OF CONTENTS 1 GENERAL ............................................................................................................................................ 3 1.1 PURPOSE .......................................................................................................................................... 3 1.2 PRODUCT DESCRIPTION ................................................................................................................... 3 1.3 TEST METHODOLOGY AND CONSIDERATIONS ................................................................................. 4 2 TEST FACILITIES .............................................................................................................................. 5 2.1 LOCATION ....................................................................................................................................... 5 2.2 LABORATORY ACCREDITATIONS/RECOGNITIONS/CERTIFICATIONS ................................................ 5 2.3 RADIATED EMISSIONS TEST SITE DESCRIPTION .............................................................................. 6 2.3.1 Semi-Anechoic Chamber Test Site .......................................................................................... 6 2.3.2 Open Area Tests Site (OATS) ................................................................................................. 7 2.4 CONDUCTED EMISSIONS TEST SITE DESCRIPTION ........................................................................... 8 3 APPLICABLE STANDARD REFERENCES .................................................................................... 8 4 LIST OF TEST EQUIPMENT ............................................................................................................ 9 5 SUPPORT EQUIPMENT ...................................................................................................................10 6 EQUIPMENT UNDER TEST SETUP BLOCK DIAGRAM ..........................................................10 7 SUMMARY OF TESTS ......................................................................................................................11 7.1 ANTENNA REQUIREMENT – FCC 15.203 ........................................................................................11 7.2 POWER LINE CONDUCTED EMISSIONS – FCC 15.207, IC: RSS-GEN 8.8 ........................................11 7.2.1 Measurement Procedure ........................................................................................................11 7.2.2 Measurement Results .............................................................................................................11 7.3 6DB / 99% BANDWIDTH – FCC 15.247(A)(2), IC: RSS-247 5.2(1) ................................................13 7.3.1 Measurement Procedure ........................................................................................................13 7.3.2 Measurement Results .............................................................................................................13 7.4 FUNDAMENTAL EMISSION OUTPUT POWER – FCC 15.247(B)(3), IC: RSS-247 5.4(4) ...................15 7.4.1 Measurement Procedure ........................................................................................................15 7.4.2 Measurement Results .............................................................................................................15 7.5 EMISSION LEVELS – FCC 15.247(D), 15.205, 15.209; IC RSS-247 5.5, RSS-GEN 8.9....................16 7.5.1 Emissions into Non-restricted Frequency Bands ...................................................................16 7.5.1.1 Measurement Procedure ................................................................................................................... 16 7.5.1.2 Measurement Results ....................................................................................................................... 16 7.5.2 Emissions into Restricted Frequency Bands ..........................................................................18 7.5.2.1 Measurement Procedure ................................................................................................................... 18 7.5.2.2 Duty Cycle Correction ..................................................................................................................... 18 7.5.2.3 Measurement Results ....................................................................................................................... 18 7.5.2.4 Sample Calculation: ......................................................................................................................... 19 7.6 MAXIMUM POWER SPECTRAL DENSITY IN THE FUNDAMENTAL EMISSION – FCC 15.247(E) IC: RSS-247 5.2(2) ..........................................................................................................................................20 7.6.1 Measurement Procedure ..............................................…

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5015 B.U. Bowman Drive Buford, GA 30518 USA Voice: 770-831-8048 Fax: 770-831-8598 Certification Exhibit FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 FCC Rule Part: 15-0247 IC Radio Standards Specification: RSS-247 ACS Project Number: 15-0143 Manufacturer: Assa Abloy Inc. Model: BLE9051 Test Setup Photos Model: BLE9051 FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 ACS Project: 15-0143 Advanced Compliance Solutions Page 2 Figure 1: Radiated Emissions Figure 2: Radiated Emissions Model: BLE9051 FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 ACS Project: 15-0143 Advanced Compliance Solutions Page 3 Figure 3: Radiated Emissions Figure 4: Conducted Emissions Model: BLE9051 FCC ID: U4A-MODBLE9051 IC: 6982A-MODBLE9051 ACS Project: 15-0143 Advanced Compliance Solutions Page 4 Figure 5: Conducted Emissions