FCC ID: A3LSMR190R Bluetooth Headset

Terms and Conditions Read this document before operating the mobile device, accessories, or software (defined collectively and individually as the Product) and keep it for future reference. This document contains important Terms and Conditions. Electronic acceptance, opening the packaging, use, or retention of the Product constitutes acceptance of these Terms and Conditions. Important legal information Arbitration Agreement - This Product is subject to a binding arbitration agreement between you and SAMSUNG ELECTRONICS AMERICA, INC. (Samsung). You can opt out of the agreement within 30 calendar days of the first consumer purchase by emailing optout@sea.samsung.com or calling 1-800-SAMSUNG (726-7864) and providing the applicable information. The full Arbitration Agreement, Standard One-year Limited Warranty, End User License Agreement (EULA), and Health & Safety Information for your device are available online at https://www.samsung.com/us/Legal/Gear-HSGuide/

FCC ID and model number This device has FCC ID: A3LSMR190L (Left ear) and A3LSMR190R (Right ear) and Model number: SM-R190. Revised 06/2019 Samsung Electronics America, Inc. 85 Challenger Road Ridgefield Park, NJ 07660 Phone: 1-800-SAMSUNG (726-7864) Internet: www.samsung.com Printed in Korea GH68-XXXXXXX Health and Safety WARNING! To avoid electric shock and damage to your device, do not charge device while it is wet or in an area where it could get wet. Do not handle device, charger or cords with wet hands while charging. Caution! If you feel discomfort while using the device, stop using it and remove it. If your device becomes hot to the touch, please remove it until it cools. Maintaining dust and water resistance Note: This device is rated IPX2. Your device is protected from dripping water when the device is rotated 15 degrees any direction from vertical for at least 10 minutes. Follow these tips carefully to prevent damage to the device. Do not submerge;

Dry after exposure to moisture. Health monitoring When the device is synced with a compatible Samsung Health app, you can use additional features. Note: The information gathered from this device, Samsung Health, or related software is not intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment or prevention of disease. Samsung mobile products and recycling WARNING! Never dispose of batteries in a fire because they may explode. Do not disassemble, crush, puncture, heat, burn or reuse. For battery and cell phone recycling, go to call2recycle.org or call 1-800-822-8837. For more recycling information, go to our website: www.samsung.com/recycling or call 1-800-SAMSUNG. FCC Part 15 Information and Notices This device complies with part 15 of the FCC Rules. Operation is subject to 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. Device temperature Caution! Some applications or prolonged usage may increase device temperature. If the device feels hot to the touch, discontinue use and close all applications or turn off the device until it cools. Always ensure that the device has adequate ventilation and air flow. Covering the device can trap any dissipating heat and redirect it back to the device while it is active. 2021 Samsung Electronics America, Inc. Samsung is a registered trademark of Samsung Electronics Co., Ltd. FCC Warning Statement FCC Part 15.19 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. FCC Part 15.21 Any changes or modifications (including the antennas) to this device that are not expressly approved by the manufacturer may void the users authority to operate the equipment. IC Warning Statement 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 accept any interference, including interference that may cause undesired operation of the device. Le prsent appareil est conforme aux CNR d'Industrie Canada applicables aux appareils radio exempts de licence. L'exploitation est autorise aux deux conditions suivantes : (1) L'appareil ne doit pas produire de brouillage, et (2) L'utilisateur de l'appareil doit accepter tout brouillage radiolectrique subi, mme si le brouillage est susceptible d'en compromettre le fonctionnement. FCC and IC RF Radiation Exposure Statement:

This equipment complies with FCC and ISED radiation exposure limits set forth for an uncontrolled environment. End user must follow the specific operationg instructions for satisfying RF exposrue compliance. This transmitter must not be co-located or operating in conjunction with any other antenna or transmitter. The portable device is designed to meet the requirements for exposure to radio waves established by the Federal Communications commions (USA) and ISED. These requirements set a SAR limit of 1.6W/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 head. This equipment should be installed and operated with minimum distance 0cm between the radiator and your head. Cet quipement est conforme aux limites d'exposition aux radiations de la FCC et d'ISDE tablies pour un environnement non contrl. L'utilisateur final doit suivre les instructions de fonctionnement spcifiques pour satisfaire la conformit d'exposition RF. Cet metteur ne doit pas tre colocalis ou fonctionner en conjonction avec une autre antenne ou un autre metteur. L'appareil portable est conu pour rpondre aux exigences d'exposition aux ondes radio tablies par les commissions fdrales des communications (tats-Unis) et ISDE. Ces exigences fixent une limite DAS de 1,6 W / kg en moyenne sur un gramme de tissu. Valeur DAS la plus leve rapporte selon cette norme lors de la certification du produit pour une utilisation lorsqu'il est correctement port sur la tte Cet quipement doit tre install et utilis avec une distance minimale de 0 cm entre le radiateur et votre tte.

19 Chapin Rd., Building D Pine Brook, New Jersey, 07058, United States 20 November 2020 FederalCommunicationsCommission AuthorizationandEvaluationDivision 7435OaklandMillsRoad, Columbia,MD21046 LETTERFORAUTHORIZATION FCC ID: A3LSMR190R Towhomitmayconcern:

I,theundersigned,herebyauthorizeLabManagerHyunchae, You andofSGSKoreaCo.,Ltd.and hereafterreferredtoasSGSKorea,toactonourbehalfinallmannersrelatingtoapplicationfor equipmentauthorization,includingsigningofalldocumentsrelating tothesematters.AnyandallactscarriedoutbyLabManagerHyunchae, Youof SGSKoreaCo., Ltd.onourbehalfshallhavethesameeffectasactsofourown. I, the undersigned, hereby certify that we are not subject to a denial of federal benefits, that includesFCCbenefits,pursuanttoSection5301oftheAntiDrugAbuseActof1988,21U.S.C. 853(a). InauthorizingSGSKoreaasouragent,westillrecognizethatweareresponsibleto:

a) complywiththerelevantprovisionsofthecertificationprogram;

b) makeallnecessaryarrangementsfortheconductoftheevaluation,includingprovision forexaminingdocumentationandaccesstoallareas,records(includinginternalaudit reports) and personnel for the purposes of evaluation (e.g. testing, inspection, assessment,surveillance,reassessment)andresolutionofcomplaints;

c) makeclaimsregardingcertificationonlyinrespectofthescopeforwhichcertification hasbeengranted;

d) do not use our product certification in such a manner as to bring the Certification Divisionintodisreputeandnotmakeanystatementregardingourproductcertification whichtheCertificationDivisionmayconsidermisleadingorunauthorized;

e) upon suspension or cancellation of certification, discontinue use of all advertising matter that contains any referencethereto and returnanycertification documents as requiredbytheCertificationDivision;

f) usecertificationonlytoindicatetheproductsarecertifiedasbeinginconformitywith specifiedstandards;

g) endeavor to ensure that no certificate or report nor any part thereof is used in a misleadingmanner;

h) ensurethatanyreferencetoourproductcertificationincommunicationmediasuchas documents, brochures or advertising, complies with the requirements of the CertificationDivision;

19 Chapin Rd., Building D Pine Brook, New Jersey, 07058, United States i) j) keep a record of all complaints made known to the us relating to the products compliance with requirements of the relevant standard and to make these records availabletotheCertificationDivisionwhenrequested;

takeappropriateactionwithrespecttosuchcomplaintsandanydeficienciesfoundin productsorservicesthataffectcompliancewiththerequirementsforcertification;

k) documenttheactionstaken. Thisauthorizationisvaliduntilfurtherwrittennoticefromtheapplicant. SincerelyYours Jenni Chun /GeneralManager Samsung ElectronicsNorth America INC. TEL: +1-973-808-6362 E-mail: j1.chun@samsung.com

SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia 30024 United States Applicant Declaration Applicant Legal Business Name Samsung Electronics Co., Ltd. 19 Chapin Rd., Building D, Pine Brook, New Jersey, 07058 Address Grantee Code FCC ID Contact Email Contact Phone Authorized Contact Name A3L A3LSMR190R Jenni Chun j1.chun@samsung.com 973-808-6375 I, the undersigned, certify that I am an authorized signatory for the Applicant and therefore declare;

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, 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 ISO17065, 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. 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 Applicant Signature:

Date: November 20, 2020 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 Jenni Chun General Manager a) b) c) d) e) f) g) Applicant Declaration Rev:0.0

19 Chapin Rd., Building D Pine Brook, New Jersey, 07058, United States 20 November 2020 FederalCommunicationsCommission AuthorizationandEvaluationDivision 7435OaklandMillsRoad, Columbia,MD21046 REQUEST FORCONFIDENTIALITY FCC ID: A3LSMR190R ToWhomItMayConcern:

PursuanttoSections0.457and0.459oftheCommissionsRules(CFR47),andSection552(b)(4) of the Freedom of Information Act, Samsung Electronics Co., Ltd. hereby requests confidentiality and treatment of certain information accompanying this application. The materials contain trade secrets and proprietary information not customarily released to the public.ThepublicdisclosureofthesemattersmightbeharmfultotheApplicantand provideunjustifiedbenefitstoitscompetitors. WearealsoherebyrequestShortTermConfidentialityfor180daysafterthegrantasoutlined in Public Notice DA 041705. This provision will give Samsung Electronics Co., Ltd temporary confidentiality of commercially sensitive information prior to product release. The requested PermanentandTemporaryConfidentialexhibitsarelistedasfollows:

CONFIDENTIALLIST 1 BlockDiagram Permanent 2 OperationalDescriptions ShortTerm 3 4 5 6 Schematics ExternalPhotos InternalPhotos TestSetupPhotos 7 UserManual TheApplicantunderstandsthatpursuanttoRule0.457,disclosureofthisapplicationandall accompanyingdocumentations,whereapplicable,willnotbemadepublicbeforethedateof theGrantforthisapplication. SincerelyYours, Jenni Chun /GeneralManager Samsung ElectronicsNorth America INC. TEL: +1-973-808-6362 E-mail: j1.chun@samsung.com