FCC ID: A3LSMR400NL Bluetooth Headset

19 Chapin Rd., Building D Pine Brook, New Jersey, 07058, United States 16 August 2023 FederalCommunicationsCommission AuthorizationandEvaluationDivision 7435OaklandMillsRoad, Columbia,MD21046 LETTERFORAUTHORIZATION FCC ID: A3LSMR400NL Towhomitmayconcern:

I,theundersigned,herebyauthorizeSGSKoreaCo.,Ltd.and hereafterreferredtoasSGSKorea, toactonourbehalfinallmannersrelatingtoapplicationfor equipment authorization, includingsigningofalldocumentsrelating tothesematters.Anyandallactscarriedoutby 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). InauthorizingSGS Korea Co., Ltd.asouragent,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: +1-973-808-6375 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. Address Grantee Code FCC ID Authorized Contact Name Contact Email Contact Phone 19 Chapin Rd., Building D, Pine Brook, New Jersey, 07058 A3L A3LSMR400NL 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;

a) b) c) d) e) 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 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 Samsung Electronics Co., Ltd. (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. Samsung Electronics Co., Ltd. (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: 16 August 2023 Print Name:

Jenni Chun Title:

General Manager

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

19 Chapin Rd., Building D Pine Brook, New Jersey, 07058, United States 16 August 2023 FederalCommunicationsCommission AuthorizationandEvaluationDivision 7435OaklandMillsRoad, Columbia,MD21046 REQUEST FORCONFIDENTIALITY FCC ID: A3LSMR400NL 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. Thematerials contain trade secrets and proprietary information not customarily released to thepublic. The public disclosure of these matters might be harmful to the Applicant and provide unjustified benefits to its competitors. 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: +1-973-808-6375 E-mail: j1.chun@samsung.com

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

Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Applicant Company Name: Samsung Electronics Co., Ltd. A3L Jenni Chun 19 Chapin Rd., Building D Grantee Code:

Contact Name:

Address:

City/Province/Zip: Pine Brook/New U.S. designated agent Company Name: Samsung Electronics Co., FRN:

Contact Name:

Address:

City/Province/Zip: Pine Brook/New Ltd. 0027908797 Jenni Chun 19 Chapin Rd., Building D Telephone:

Fax:

Email:

Jersey/07058 973-808-6375 973-808-6361 j1.chun@samsung.com Telephone:

Fax:

Email:

Jersey/07058 973-808-6375 973-808-6361 j1.chun@samsung.com Applicable Equipment: FCC ID: A3LSMR400NL ATTN: Director of Certification:

We, Samsung Electronics Co., Ltd., 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, Samsung Electronics Co., Ltd., 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. Applicant Name (Printed):

Jenni Chun U.S. designated agent Name (Printed):

Jenni Chun Title: General Manager Signature:

Title: General Manager Signature: