FCC ID: A94469T 2.4GHz Wireless Module

WARNING:pdfminer.pdfpage:The PDF <_io.BufferedReader name='/Volumes/Scratch/Incoming/eg-scratch/6149083.pdf'> contains a metadata field indicating that it should not allow text extraction. Ignoring this field and proceeding. Use the check_extractable if you want to raise an error in this case Product Name 2.4GHz Wireless Module Model Name 469T Brand Name BOSE Features 2.4GHz ISM Band GFSK modulation Low BOM cost Support Standard Digital I2S audio interface TX module with fixed Antenna, RX module with diversity Antenna Audio format 24bit , 48KHz sampling rate Robust Packet error correction Support I2C control interface Low power consumption < 100mA No RF induced audio noise Low Audio latency time, 6ms Application Wireless Microphone Interface Pin Name I/O Pin Function Define 1 GPIO 24 2 GPIO 25 3 GPIO 14 4 5 6 Flash_CS Flash_SCK Flash_SO 7 GPIO 17 8 Flash_SI 9 DGND 10 PORN 11 GPIO 26 12 GPIO 27 13 I2C_DATA 14 I2C_CLK 15 GPIO 16 16 GPIO 35 17 GPIO 2 18 GPIO 21 19 GPIO 0 I/O GPIO I/O GPIO I/O GPIO I I Flash Chip Select Flash Clock O Flash Data Output I/O GPIO I P Flash Data Input Digital GND I/O Internal power on reset (1) I/O GPIO I/O GPIO I/O I2C Master/Slave data signal I/O I2C Master/Slave clock signal I/O GPIO I/O GPIO I/O GPIO I/O GPIO I/O GPIO 20 DGND P Digital GND 21 SPB_I2S_BCK I/O SPB I2S audio BCK 22 SPB_I2S_LRCK I/O SPB I2S audio LRCK 23 SPA_I2S_DATA I/O SPA I2S audio Data 24 NC 25 NC 26 GPIO 1 27 GPIO 15 I/O NC I/O NC I/O GPIO I/O GPIO 28 SPB_I2S_MCLK I/O SPB I2S audio MCLK 29 DGND 30 VCC 31 DGND 32 RF_ANT 33 DGND P P P A P Digital GND DC 3.3V IN Digital GND RF Port Digital GND Frequency range: Lowest Frequency.: 2.403 GHz Highest Frequency: 2.481 GHz Maximum output power: 10dBm Hereby, [Name of manufacturer BOSE] declares that the radio equipment type [Model No. 469T] is in compliance with Directive 2014/53/EU. The full text of the EU declaration of conformity is available at the following internet address: https://www.bose.com/en_us/index.html FCC regulatory compliance statement 15.19 Statement 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. 15.21 Information to user Warning: changes or modifications not expressly approved by the party responsible for compliance could void the users authority to operate the equipment. List of applicable FCC rules:

47 CFR Part 15, Subpart C 15.203 47 CFR Part 15, Subpart C 15.205 47 CFR Part 15, Subpart C 15.207 47 CFR Part 15, Subpart C 15.209 47 CFR Part 15, Subpart C 15.247 47 CFR Part 2.1093 Summarize the specific operational use conditions This module can be used in IOT devices, the input voltage to the module is nominally 3.3V. Limited module procedures This module is not a limited module. Trace antenna designs The antenna is not a trace antenna. RF exposure considerations This Module complies with FCC radiation exposure limits set forth for an uncontrolled environment. This transmitter must not be co-located or operating in conjunction with any other antenna or transmitter. Antennas If you desire to increase antenna gain and either change antenna type or use same antenna type certified, a Class II permissive change application is required to be filed by us, or you (host manufacturer) can take responsibility through the change in FCC ID (new application) procedure followed by a Class II permissive change application. Label and compliance information Please notice that if the FCC identification number 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. This exterior label can use wording such as the following: Contains FCC ID: A94-469T any similar wording that expresses the same meaning may be used. 15.19 Labelling requirements shall be complied on end user device. Labelling rules for special device, please refer to 2.925, 15.19 (a)(5) and relevant KDB publications. For E-

label, please refer to 2.935. Information on test modes and additional testing requirements The OEM integrator is responsible for ensuring that the end-user has no manual instruction to remove or install module. The module is limited to installation in mobile application, a separate approval is required for all other operating configurations, including portable configurations with respect to 2.1093 and difference antenna configurations. Test software access to different test modes: EVB Tool (V1) Testing item, Frequencies, Transmit Power, Modulation Type can be selected on the test script instructions. FCC other Parts, Part 15B Compliance Requirements for Host product manufacturer This modular transmitter is only FCC authorized for the specific rule parts listed on our grant, host product manufacturer is responsible for compliance to any other FCC rules that apply to the host not covered by the modular transmitter grant of certification. Host manufacturer in any case shall ensure host product which is installed and operating with the module is in compliant with Part 15B requirements. Please note that For a Class B or Class A digital device or peripheral, the instructions furnished the user manual of the end-user product shall include statement set out in 15.105 Information to the user or such similar statement and place it in a prominent location in the text of host product manual. Original texts as following:

For Class B 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 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. For Class A Note: This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment. This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with the instruction manual, may cause harmful interference to radio communications. Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at his own expense. ISED compliance statement This device contains licence-exempt transmitter(s)/receiver(s) that comply with Innovation, Science and Economic Development Canadas licence-exempt RSS(s). Operation is subject to the following two conditions:

(1) This device may not cause interference.

(2) This device must accept any interference, including interference that may cause undesired operation of the device. Lmetteur/rcepteur exempt de licence contenu dans le prsent appareil est conforme aux CNR dInnovation, Sciences et Dveloppement conomique Canada applicables aux appareils radio exempts de licence. Lexploitation est autorise aux deux conditions suivantes :

(1) Lappareil ne doit pas produire de brouillage;

(2) Lappareil doit accepter tout brouillage radiolectrique subi, mme si le brouillage est susceptible den compromettre le fonctionnement. ISED Radiation Exposure statement This equipment complies with IC RSS-102 radiation exposure limits set forth for an uncontrolled environment. Cet quipement est conforme aux limites d'exposition aux radiations IC CNR-102 tablies pour un environnement non contrl. Cet metteur ne doit pas tre colocalis ou fonctionner en conjonction avec une autre antenne ou un autre metteur. Please notice that if the IC identification number 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. This exterior label can use wording such as the following: Contains IC: 3232A-

469T any similar wording that expresses the same meaning may be used. Ltiquette dhomologation dun module dInnovation, Sciences et Dveloppement conomique Canada devra tre pose sur le produit hte un endroit bien en vue, en tout temps. En labsence dtiquette, le produit hte doit porter une tiquette sur laquelle figure le numro dhomologation du module dInnovation, Sciences et Dveloppement conomique Canada, prcd du mot contient , ou dune formulation similaire allant dans le mme sens et qui va comme suit :

Contient IC : 3232A-469T est le numro dhomologation du module This radio transmitter [IC: 3232A-469T] has been approved by Innovation, Science and Economic Development Canada to operate with the antenna types listed below, with the maximum permissible gain indicated. Antenna types not included in this list that have a gain greater than the maximum gain indicated for any type listed are strictly prohibited for use with this device. Cet metteur radio [IC : 3232A-469T] a t approuv par Innovation, Sciences et Dveloppement conomique Canada pour fonctionner avec les types dantennes numrs ci-dessous, avec le gain maximal admissible indiqu. Les types dantennes non inclus dans cette liste qui ont un gain suprieur au gain maximal indiqu pour nimporte quel type rpertori sont strictement interdits pour lutilisation avec ce priphrique. RF Exposure Compliance The portable device is designed to meet the requirements for exposure to radio waves established by the FCC/ISED. These requirements set a SAR limit of 1.6 W/kg averaged over one gram of tissue. The highest SAR value reported under this standard during product certification for use when properly worn on the body. Le dispositif portatif est conu pour rpondre aux exigences dexposition aux ondes radio tablie par le dveloppement nergtique DURABLE. Ces exigences un SAR limite de 1,6 W/kg en moyenne pour un gramme de tissu. La valeur SAR la plus leve signale en vertu de cette norme lors de la certification de produit utiliser lorsquil est correctement port sur le corps. a list of all antenna types:

Chip Antenna CH2G4-6022-000D1-01 IFA Antenna WA-F-LA-03-287 2.3 dBi, 50 3.1 dBi, 50

IA9SP4 Microphone Module TX Label Format

: 1A2I0-I9SP-12T1BS IA9SP4 Microphone Module_SMS TX Issue date: 2023/3/17

Labe Paper Spec.: High Temp Label 300C 80sec B478224-1

TX Label Size &

(LabelSize 10.5mm x 16.0mm)

Label location 10.5 mm L X X X X X X L X X X X X X S S S S S S m m 0

. 6 1 TX 0 0 0 0 0 1 Model No.: 469T Brand: BOSE FCC ID: A94469T IC : 3232A-469T HVIN: 469TA 018-220213 CCAK22Y10100T6 7 7+6, Barcode(DataMatrix) 6 000001 ~ 000060

() TX Model No.: 469T Brand: BOSE FCC ID: A94469T IC : 3232A-469T HVIN: 469TA 018220213 CCAK22Y10100T6 Page 1 of 2 IA9SP4 Microphone Module TX Label Format

: 1A2I0-I9SP-11T1BS Issue date: 2023/3/17 IA9SP4 Microphone Module_Chip Ant_SCS TX

Labe Paper Spec.: High Temp Label 300C 80sec B478224-1

TX Label Size &

(LabelSize 10.5mm x 16.0mm)

Label location 10.5 mm L X X X X X X L X X X X X X S S S S S S TX 0 0 0 0 0 1 Model No.: 469T Brand: BOSE FCC ID: A94469T IC : 3232A-469T HVIN: 469T 018-220213 CCAK22Y10100T6 m m 0

. 6 1 7 7+6, Barcode(DataMatrix) 6 000001 ~ 000060

() TX Model No.: 469T Brand: BOSE FCC ID: A94469T IC : 3232A-469T HVIN: 469T 018220213 CCAK22Y10100T6 Page 1 of 2

SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia 30024 United States Applicant Legal Business Name Bose Corporation Applicant Declaration Address Grantee Code FCC ID Authorized Contact Name Contact Email Contact Phone 100 The Mountain Rd, Framingham, Massachusetts 01701, United States A94 A94469T John Yee John_Yee@bose.com

(508)766-1507 I, the undersigned, certify that I am an authorized signatory for the Applicant and therefore declare;

a) b) 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. 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:

labeling the equipment with the exact FCC ID as specified in this application,

(1)

(2) compliance statement labeling pursuant to the applicable rules,

(3) compliance of the equipment with the applicable technical rules, c) d) e) 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 FCCs technical requirements. in accordance with 47 CFR 2.909 and KDB394321, the Applicant has read, understood and agrees to accept that they are the responsible party and agree to abide by their responsibilities as specified under 47 CFR 2.909 and KDB394321. in accordance with ISO 17065, 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)

(2)

(3) the Applicant understands, accepts and agrees that a sample may be requested for surveillance testing. the Applicant shall make provisions to always have a production sample available upon request by SGS, FCC and/or ISED. the Applicant shall, upon request by SGS, at the Applicants 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) g) 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. the Applicant has read, 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 Link to the Covered List: Covered List

[Bose Corporation] (the applicant) certifies that the equipment for which authorization is sought is not covered equipment prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules.

[Bose Corporation] (the applicant) certifies that, as of the date of the filing of the application, the applicant [ is not] identified on the Covered list, established pursuant to 1.50002, as an entity producing covered equipment. Applicant Signature:

Date:

Print Name:

Title:

*NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database John Yee Manager, DCE-EMC QSF27-14-04 Rev 1.0 Rev. Feb 6, 2023 Page 1 of 1 Original Issue: Jan. 4, 2021 March 16, 2023

Bose Corporation TO:

Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding: FCC ID: A94-469T To whom it may concern:

Date: 2022-07-19 We, the undersigned, hereby authorize SGS-CSTC Standards Technical Services Co., Ltd. (SGS) and Kobe Jian in SGS-

CSTC Standards Technical Services Co., Ltd. (SGS) to 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 Bose Corporation. This authorization is valid until further written notice from the applicant. Print Name: John Yee Title: Manager, DCE-EMC Signature:

On behalf of Company: Bose Corporation Telephone: (508)766-1507 E-mail: John_Yee@bose.com July 19, 2022

Bose Corporation TO:

Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding:

Confidentiality Request regarding application for FCC ID: A94-469T LONG TERM CONFIDENTIALITY Pursuant to 47 CFR Section 0.459 and 0.457 of the commissions 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 Tune up procedure 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 180 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: John Yee Title: Manager, DCE-EMC Signature:

On behalf of Company: Bose Corporation Telephone: (508)766-1507 E-mail: John_Yee@bose.com July 19, 2022

TO:

Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Date: 2023-03-8 Regarding Change in Identification of equipment application, FCC ID: A94-469T, A94-469R To whom it may concern:

We, the undersigned, hereby is applying for Change in Identification according to eCFR :: 47 CFR 2.933 -

- Change in identification of equipment. The original FCC IDs are: A94-469T, A94-469R. The grant date is 9/30/2022 for both of them. The new FCC IDs are A94469T, A94469R. The equipment bearing the modified identification is the same as original equipment, without any change in design, circuitry or construction. The original test results continue to be representative of and applicable to the equipment bearing the changed identification. Print Name: John Yee Title: Manager, DCE-EMC Signature:

On behalf of Company: Bose Corporation Telephone: (508)766-1507 E-mail: John_Yee@bose.com

Bose Corporation Cover Letter-Modular Approval Date: 2022-07-19 FCC ID: A94-469T Gentlemen:

Theres an 2.4GHz Wireless module that would like to have your authorization as a modular approval. The specific product as below, 2.4GHz Wireless module with its designed features and specified description, meets special requirements for Full modular approval on FCC KDB996369 by cross-reference list below. Company Model Name Model Number FCC ID Bose Corporation 2.4GHz Wireless module 469T A94-469T Requirement of FCC KDB996369 ComplyY/N 1. The modular transmitter must have its own RF Y shielding. The EUT provides the RF shielding. See EUT photo. 2. The modular transmitter must have buffered Y modulation/data inputs (if such inputs are provided) to The EUT has its buffered modulation. Please see the ensure that the module will comply with Part 15 Schematic Diagram. requirements under conditions of excessive data rates or over-modulation. 3. The modular transmitter must have its own Y power supply regulation. The EUT has its own power supply regulation, please see the Schematic Diagram. 4. The modular transmitter must comply with the antenna Y and transmission system requirements of Sections The EUT meets the FCC antenna requirements; unique 15.203, 15.204(b) and 15.204(c). The antenna must antenna connector and photo of antenna are shown in either be permanently attached or employ a unique the test report. antenna coupler (at all connections between the module and the antenna, including the cable). The professional installation provision of Section 15.203 is not applicable to modules but can apply to limited modular approvals under paragraph (b) of this section. 5. The modular transmitter must be tested in a Y stand-alone configuration, i.e., the module must not be The EUT was tested with a test board, Please see test inside another device during testing. report and setup photo 6. The modular transmitter must be labeled with its own Y FCC ID number, and, if the FCC ID is not visible when the Please see exhibition label sample for the FCC ID of module is installed inside another device, then the this module. And also in the exhibition Users manual, outside of the device into which the module is installed there are instructions give to the OEM on how to label must also display a label referring to the enclosed the end product. module. This exterior label can use wording such as the Bose Corporation following: Contains Transmitter Module FCC ID:

A94-469T or Contains FCC ID: A94-469T Any similar wording that expresses the same meaning may be used. The Grantee may either provide such a label, an example of which must be included in the application for equipment authorization, or, must provide adequate instructions along with the module which explain this requirement. In the latter case, a copy of these instructions must be included in the application for equipment authorization. 7. The modular transmitter must comply with any Y specific rule or operating requirements The EUT is compliant with all applicable FCC rules. applicable to the transmitter and Details instructions for maintaining compliance are the manufacturer must provide adequate instructions give in the User Manual. along with the module to explain any such requirements. A copy of these instructions must be included in the application for equipment authorization. 8. The modular transmitter must comply with any Y applicable RF exposure requirements. For example, FCC The EUT complies with RF exposure requirement. Rules in Sections 2.1091, 2.1093 and specific Sections of Part 15, including 15.319(i), 15.407(f), 15.253(f) and 15.255(g), require that Unlicensed PCS, UNII and millimeter wave devices perform routine environmental evaluation for RF Exposure to demonstrate compliance. In addition, spread spectrum transmitters operating under Section 15.247 are required to address RF Exposure compliance in accordance with Section 15.247(b)(4). Thank you. Sincerely, Print Name: John Yee Title: Manager, DCE-EMC Signature:

On behalf of Company: Bose Corporation Telephone: (508)766-1507 E-mail: John_Yee@bose.com July 19, 2022

TO:

Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding: FCC ID: A94469T To whom it may concern:

Date: 2023-03-16 We, the undersigned, hereby authorize SGS-CSTC Standards Technical Services Co., Ltd. (SGS) and Ricky Liu in SGS-

CSTC Standards Technical Services Co., Ltd. (SGS) to 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 Bose Corporation. This authorization is valid until further written notice from the applicant. Print Name: John Yee Title: Manager, DCE-EMC Signature:

On behalf of Company: Bose Corporation Telephone: (508)766-1507 E-mail: John_Yee@bose.com

UNITED STATES DESIGNATED AGENT LETTER Date: 2023-03-16 TO:

Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Applicant Company Name:

Grantee Code:

Contact Name:

Address:

Telephone:

Fax:

Email:

Bose Corporation A94 John Yee 100 The Mountain Rd, Framingham, Massachusetts, United States

(508)766-1507

(508766-1145 John_Yee@bose.com ATTN: Director of Certification:

U.S. designated agent Company Name:

FRN:

Contact Name:

Address:

Telephone:

Fax:

Email:

Bose Corporation 0006179345 John Yee 100 The Mountain Rd, Framingham, Massachusetts, United States

(508)766-1507

(508766-1145 John_Yee@bose.com We, Bose Corporation understand and acknowledge the applicants consent and the designated agents obligation to accept service of process in the United States for matters related to the applicable equipment, and at the physical U.S. address and e-mail of the designated agent listed above. We, Bose Corporation acknowledge the applicants acceptance of its obligation to maintain an agent for service of process in the United States for no less than one year after either the grantee has permanently terminated all marketing and importation of the applicable equipment within the U.S., or the conclusion of any Commission-related administrative or judicial proceeding involving the equipment, whichever is later. Print Name: John Yee Title: Manager, DCE-EMC Signature:

On behalf of Company: Bose Corporation Telephone: (508)766-1507 E-mail: John_Yee@bose.com