FCC ID: 2AOW7-MOD01 Bluetooth Module

by: Polaris Industries Inc. latest update: 2021-03-17 model: MOD01

Four grants have been issued under this FCC ID from 02/23/2021 to 03/17/2021 (this is one of four releases in 2021 for this grantee). Public details available include frequency information, internal & external photos, and manuals. some products also feature user submitted or linked troubleshooting guides, warrantee terms, drivers, password defaults, & instructions.

permalink for this FCC identifier

search for: Repair details

from iFixIt

Trade-in? Recycling locations

eg for Slack usage

all	frequencies			exhibits	applications
		photo	label

all exhibits 10
1 ~ 2021-03-17 7
2 ~ 2021-03-17 7
3 ~ 2021-02-23 6
4 ~ 2021-02-23 6

app s				submitted / available
1 2 3 4	External Photos	External Photos	pdf	702.90 KiB	March 17 2021
1 2 3 4	Label Info	ID Label/Location Info	pdf	290.97 KiB	February 22 2021 / February 23 2021
1 2 3 4	Agent Authorization - Laird	Cover Letter(s)	pdf	300.74 KiB	March 17 2021
1 2 3 4	Agent Authorization - Polaris	Cover Letter(s)	pdf	144.11 KiB	March 17 2021
1 2 3 4	Class II PC Cover Letter	Cover Letter(s)	pdf	310.33 KiB	March 17 2021
1 2 3 4	MPE Report	RF Exposure Info	pdf	1.88 MiB	March 17 2021
1 2 3 4	Test Report	Test Report	pdf	4.22 MiB	March 17 2021
1 2 3 4	Test Setup Photos	Test Setup Photos	pdf	839.45 KiB	March 17 2021
1 2 3 4	Grantee Change in ID Letter	Cover Letter(s)	pdf	249.43 KiB	February 22 2021 / February 23 2021
1 2 3 4	TI Change in ID Letter	Cover Letter(s)	pdf	553.93 KiB	February 22 2021 / February 23 2021

exhibit
download
text

1 2 3 4

External Photos

External Photos

pdf

702.90 KiB

March 17 2021

exhibit
download
text

1 2 3 4

Label Info

ID Label/Location Info

pdf

290.97 KiB

February 22 2021 / February 23 2021

exhibit
download
text

1 2 3 4

Agent Authorization - Laird

Cover Letter(s)

pdf

300.74 KiB

March 17 2021

exhibit
download
text

1 2 3 4

Agent Authorization - Polaris

Cover Letter(s)

pdf

144.11 KiB

March 17 2021

exhibit
download
text

1 2 3 4

Class II PC Cover Letter

Cover Letter(s)

pdf

310.33 KiB

March 17 2021

exhibit
download
text

1 2 3 4

MPE Report

RF Exposure Info

pdf

1.88 MiB

March 17 2021

exhibit
download
text

1 2 3 4

Test Report

Test Report

pdf

4.22 MiB

March 17 2021

exhibit
download
text

1 2 3 4

Test Setup Photos

Test Setup Photos

pdf

839.45 KiB

March 17 2021

exhibit
download
text

1 2 3 4

Grantee Change in ID Letter

Cover Letter(s)

pdf

249.43 KiB

February 22 2021 / February 23 2021

exhibit
download
text

1 2 3 4

TI Change in ID Letter

Cover Letter(s)

pdf

553.93 KiB

February 22 2021 / February 23 2021

Change in ID (FCC) / Change in Multiple Listing (ISED) Texas Instruments Incorporated 12500 TI Boulevard, Dallas Texas 75243 United States of America Dec. 18, 2020 Re: Change in ID / Change in Multiple Listing To Whom It May Concern:

Polaris Inc. (Company) has contacted Texas Instruments Incorporated (TI) regarding Company s intention to file applications for a change in identification in the United States pursuant to Section 2.933 of the Federal Communication Commissions (FCC) rules, and/or a multiple listing in Canada pursuant to Section 8.4 of Innovation, Science and Economic Development Canada (ISED) Certification of Radio Apparatus (RSP-100 Issue 12), with respect to the following:

Model Name / TI Model Number _/ Certification Original _ Grant PMN (SED) HVIN SED Number Date CC2564MODN CC2564MODN Z64-2564N 04/01/2014 CC2564MODN CC2564MODN 4511-2564N 11/12/2018 Company has requested TIs permission to reference, in Companys applications, certain documentation relating to the equipment identified in the table above. This letter is provided to permit Angela Forrest, Polaris Inc.,2100 Highway 55, Medina, Minnesota, USA, 55340;

email: angela.forrest@polaris.com, phone: (651) 408-6686, to use the publically available test data and application exhibits submitted to the FCC and to ISED on behalf of TI with respect to the equipment identified above pertaining to the grants of equipment certification covered by this letter. Company has represented to TI that its equipment submitted to ISED is identical in design and construction to the equipment approved by ISED as identified in the table above. Based on Companys representation to TI, TI understands that Company will market the above equipment under the following certification number:

Model / PMN HVIN Certification Number CC2564MODN Pod 2A W7-MODOI ISED | CC2564MODN 259-0005-01 $966A-MOD01 Based on Companys representations to TI, Company may list the existing certified product under Companys new certification number, subject to FCC and ISED rules. This permission to act using data and applications previously filed with the FCC and ISED on behalf of T1 is limited to the matters set forth herein. This letter does not, and shall not be construed to, grant rights or Change in ID (FCC) / Change in Multiple Listing (ISED) permissions beyond those expressly granted to the party named herein. This permission expires automatically one year from the date of this letter. If you have any questions concerning this letter, please contact me by email at m-

lange@ti.com or by phone at +1 214 567 5409. Respectfully, Texas Instruments Incorporated By:

Name:

Title: General Manager, Connectivity

		frequency	equipment class	purpose
1	2021-03-17	2402 ~ 2480	DTS - Digital Transmission System	Class II Permissive Change
2		2402 ~ 2480	DSS - Part 15 Spread Spectrum Transmitter
3	2021-02-23	2402 ~ 2480	DSS - Part 15 Spread Spectrum Transmitter	Change in Identification
4		2402 ~ 2480	DTS - Digital Transmission System

Application Forms

app s	Applicant Information
1 2 3 4	Effective	2021-03-17
1 2 3 4	Effective	2021-02-23
1 2 3 4	Applicant's complete, legal business name	Polaris Industries Inc.
1 2 3 4	FCC Registration Number (FRN)	0027172253
1 2 3 4	Physical Address	1600 SE 18th Ave
1 2 3 4		Battle Ground, WA
1 2 3 4		United States

app s	TCB Information
1 2 3 4	TCB Application Email Address	h******@acbcert.com
1 2 3 4	TCB Scope	A4: UNII devices & low power transmitters using spread spectrum techniques

app s	FCC ID
1 2 3 4	Grantee Code	2AOW7
1 2 3 4	Equipment Product Code	MOD01

app s	Person at the applicant's address to receive grant or for contact
1 2 3 4	Name	A**** F**
1 2 3 4	Title	Director, Engineering
1 2 3 4	Telephone Number	360-6********
1 2 3 4	Fax Number	360-6********
1 2 3 4	E-mail	a******@polaris.com

app s	Technical Contact
1 2 3 4	Firm Name	Polaris Inc
1 2 3 4	Name	R** P**
1 2 3 4	Physical Address	1600 SE 18th Ave
1 2 3 4		Battle Ground, 98604
1 2 3 4		United States
1 2 3 4	Telephone Number	260.7********
1 2 3 4	Telephone Number	26072********
1 2 3 4	E-mail	b******@polaris.com

app s	Non Technical Contact
1 2 3 4	Firm Name	Polaris Inc
1 2 3 4	Name	A**** F****
1 2 3 4	Physical Address	1600 SE 18th Ave
1 2 3 4		Battle Ground, 98604
1 2 3 4		United States
1 2 3 4	Telephone Number	360.6********
1 2 3 4	Telephone Number	36068********
1 2 3 4	E-mail	a******@polaris.com

app s	Confidentiality (long or short term)
1 2 3 4	Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:	No
1 2 3 4	Long-Term Confidentiality Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:	No
	if no date is supplied, the release date will be set to 45 calendar days past the date of grant.

app s	Cognitive Radio & Software Defined Radio, Class, etc
1 2 3 4	Is this application for software defined/cognitive radio authorization?	No
1 2 3 4	Equipment Class	DTS - Digital Transmission System
1 2 3 4	Equipment Class	DSS - Part 15 Spread Spectrum Transmitter
1 2 3 4	Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant)	Bluetooth Module
1 2 3 4	Related OET KnowledgeDataBase Inquiry: Is there a KDB inquiry associated with this application?	No
1 2 3 4	Modular Equipment Type	Single Modular Approval
1 2 3 4	Purpose / Application is for	Class II Permissive Change
1 2 3 4	Purpose / Application is for	Change in Identification
1 2 3 4	Composite Equipment: Is the equipment in this application a composite device subject to an additional equipment authorization?	Yes
1 2 3 4	Related Equipment: Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?	No
1 2 3 4	Grant Comments	CIIPC to reduce output power. Output power listed is conducted. This grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons. Co-location of this module with other transmitters that operate simultaneously are required to be evaluated using the FCC multi-transmitter procedures. The module grantee is responsible for providing the documentation to the system integrator on restrictions of use, for continuing compliance of the module. The host integrator must follow the integration instructions provided by the module manufacturer and ensure that the end product complies with the FCC requirements by a technical assessment or evaluation to the FCC rules and to KDB Publication 996369.
1 2 3 4		CIIPC to reduce output power. Output power listed is conducted. This grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons. Co-location of this module with other transmitters that operate simultaneously are required to be evaluated using the FCC multi-transmitter procedures. The module grantee is responsible for providing the documentation to the system integrator on restrictions of use, for continuing compliance of the module. The host integrator must follow the integration instructions provided by the module manufacturer and ensure that the end product complies with the FCC requirements by a technical assessment or evaluation to the FCC rules and to KDB Publication 996369.
1 2 3 4		Power output listed is conducted. This grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. End-users may not be provided with the module installation instructions. OEM integrators and end-users must be provided with transmitter operating conditions for satisfying RF exposure compliance.
1 2 3 4		Power output listed is conducted. This grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. End-users may not be provided with the module installation instructions. OEM integrators and end-users must be provided with transmitter operating conditions for satisfying RF exposure compliance.
1 2 3 4	Is there an equipment authorization waiver associated with this application?	No
1 2 3 4	If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?	No

app s	Test Firm Name and Contact Information
1 2 3 4	Firm Name	Laird Connectivity, Inc
1 2 3 4	Firm Name	International Certification Corp.
1 2 3 4	Name	A**** A******
1 2 3 4	Name	F****** C**
1 2 3 4	Telephone Number	262 3********
1 2 3 4	Telephone Number	886-3******** Extension:
1 2 3 4	Fax Number	262 3********
1 2 3 4	Fax Number	886-3********
1 2 3 4	E-mail	a******@lairdconnect.com
1 2 3 4	E-mail	J******@icertifi.com.tw

Equipment Specifications
	Line	Rule Parts	Grant Notes	Lower Frequency	Upper Frequency	Power Output	Tolerance	Emission Designator	Microprocessor Number
1	1	15C	CC	2402.00000000	2480.00000000	0.0010000
	Line	Rule Parts	Grant Notes	Lower Frequency	Upper Frequency	Power Output	Tolerance	Emission Designator	Microprocessor Number
2	1	15C	CC	2402.00000000	2480.00000000	0.0010000
	Line	Rule Parts	Grant Notes	Lower Frequency	Upper Frequency	Power Output	Tolerance	Emission Designator	Microprocessor Number
3	1	15C	CC	2402.00000000	2480.00000000	0.0190000
	Line	Rule Parts	Grant Notes	Lower Frequency	Upper Frequency	Power Output	Tolerance	Emission Designator	Microprocessor Number
4	1	15C	CC	2402.00000000	2480.00000000	0.0140000

some individual PII (Personally Identifiable Information) available on the public forms may be redacted, original source may include additional details

recent releases: 2BHJR-M97 Shenzhen xiaoxiang supply chain technology co., ltd 2AXMX-C1PLUS4G Shenzhen Kuxuntong Technology Co., Ltd. 2BGG6PP11 PetroPower, LLC 2AWD4-STCROSS22 Echelon Fitness Multimedia LLC 2AUYFRMX3943 Realme Chongqing Mobile Telecommunications Corp., Ltd.