FCC ID: GT3RD001 Dual mode Bluetooth Module

User Manual Bluetooth module with a built-in 2.4GHz band antenna Model Name: Dual mode Bluetooth Module Model number: BT801 GENERAL BT801 is a Bluetooth communication module complying with Bluetooth Version 5.0. It works with both Bluetooth Classic and Low Energy. It operates in the two modes, Command Mode and Automatic Mode, and makes automatic connection in Automatic Mode. It supports master and slave operations. It becomes an adapter which transfers various data wirelessly between master and slave devices. Therefore, wireless data communication can be realized by only replacing the cable between apparatuses with BT801, without changing a host system. Features 1) Surface mounting module with a built-in antenna. 2) Unique automatic connection method and command connection mode can be selected as control methods. 3) Support various profiles and protocols at user's requests. Integration to the end product The SMK Transceiver Module, model BT801 has to be installed and used in accordance with the technical description/installation instructions provided by the manufacturer. The system may only be implemented in the configuration that was authorized. Note that any changes or modifications to this equipment not expressly approved by the manufacturer could void the users authority to operate this equipment. Specification 1) Bluetooth Specifications Ver.5.0-compliant

(Bluetooth Classic + Bluetooth Low Energy) 2) Frequency Range: 2402-2480 MHz 3) Modulation System: GFSK, /4DQPSK, 8-DPSK 4) Max. Data rate: 3Mbps 5) Antenna: PCB printed antenna 5-5 Togoshi 6 Chome, Shinagawa-Ku, Tokyo 142-8511 Japan User Manual Regulatory Information USA-Federal Communications Commission (FCC) This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of 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. If not installed and used in accordance with the instructions, it 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 tuning the equipment off and on, the user is encouraged to try and

-Connect the equipment to outlet on a circuit different from that to which the receiver is correct the interference by one or more of the following measures:

-Reorient or relocate the receiving antenna.

-Increase the distance between the equipment and the receiver. connected.

-Consult the dealer or an experienced radio/TV technician for help. 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. Any changes or modifications not expressly approved by the party responsible for compliance could void the users authority to operate the equipment. Labelling SMK Transceiver module BT801 labelled as below. FCC ID:GT3RD001 5-5 Togoshi 6 Chome, Shinagawa-Ku, Tokyo 142-8511 Japan User Manual The proposed FCC IC label format is to be placed on the module. If it is not visible when the module is installed into the system, Contains FCC ID:GT3RD001, Contains IC:

3683A-RD001 shall be placed on the outside of final host system. Caution: Exposure to Radio Frequency Radiation.

(1) When use in mobile devices This equipment complies with FCC radiation exposure limits set forth for an uncontrolled environment and meets the FCC radio frequency (RF) Exposure Guidelines. This equipment has very low levels of RF energy that is deemed to comply without maximum permissive exposure evaluation (MPE).

(2) When use in portable devices This equipment complies with FCC radiation exposure limits set forth for an uncontrolled environment and meets the FCC radio frequency (RF) Exposure Guidelines. This equipment has very low levels of RF energy that is deemed to comply without testing of specific absorption rate (SAR). Canada-Industry Canada (IC) This device complies with Industry Canadas applicable licence-exempt RSSs. 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 this device. Le prsent appareil est conforme aux CNR dIndustrie Canada applicables aux appareils radio exempts de licence. Lexploitation est autorise aux deux conditions suivantes :

(1) lappareil ne doit pas produire de brouillage;

(2) lutilisateur de lappareil doit accepter tout brouillage radiolectrique subi, mme si le brouillage est susceptible den compromettre le fonctionnement. To reduce potential radio interference to other users, the antenna type and its gain should be so chosen that the equivalent isotropically radiated power (EIRP) is not more than that required for successful communication. 5-5 Togoshi 6 Chome, Shinagawa-Ku, Tokyo 142-8511 Japan User Manual Caution: Exposure to Radio Frequency Radiation.

(1) When use in mobile devices This equipment complies with IC radiation exposure limits set forth for an uncontrolled environment and meets RSS-102 of the IC radio frequency (RF) Exposure rules. This equipment has very low levels of RF energy that is deemed to comply without maximum permissive exposure evaluation (MPE).

(2) When use in portable devices This equipment complies with IC radiation exposure limits set forth for an uncontrolled environment and meets RSS-102 of the IC radio frequency (RF) Exposure rules. The module antenna must be installed to meet the RF exposure compliance separation distance of 10 mm and any additional testing and authorization process as required. L'antenne du module doit tre install pour rpondre la conformit en matire d'exposition RF distance de sparation de 10 "mm" et tout d'autres tests et processus d'autorisation au besoin. Instructions to OEM Integrators A User manual provided to the end user must indicate the operating requirements and conditions that must be observed to ensure compliance with the above-mentioned FCC /IC RF Exposure guideline. If an antenna with higher gain or new antenna type is used with this module, integrators must contact SMK for additional testing and submission to the FCC/IC. If other radio devices are to be integrated with this module, an additional evaluation and FCC/IC submission may be required. Integrators are responsible for such additional evaluation and FCC/IC submission. 5-5 Togoshi 6 Chome, Shinagawa-Ku, Tokyo 142-8511 Japan

-851 SMK Authority to Act as Agent Date: 2020-11-25 TUV Rheinland Group 762 Park Avenue Youngsville, NC 27596 To Whom It May Concern I appoint TUV Taiwan to act as our agent in the preparation of this application for equipment certification. I certify that submitted documents properly describe the device or system for which equipment certification is sought. I also certify that each unit manufactured, imported or marketed, as defined in the FCC or Industry Canadas regulations will have affixed to it a label identical to that submitted for approval with this application. For instances where our authorized 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 TUV Rheinland Group, still resides with SMK Corporation /

PV eORN Lente A RC rn

(Print Name) Manager gC ret 81-3-3785-5058 OE anE SMK Corporation

(Company Name) QF094234 Page 1 of 1 Revision 0 For TCB applications, We certify that we are not subject to 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. Further, no party, as defined in 47 CFR 1.2002 (b) to the application is subject to denial of federal benefits, that includes FCC benefits. Agency Agreement Expiration Date:

Permanent MK Corporation 5-5 Togoshi 6 Chome, Shinagawa-Ku, Tokyo 142-8511, Japan CREATIVE CONNECTIVITY Phone: +81-3-3785-1111

SMIK ECC Public Notice DA 04-

Wabanisha Mower Confidentiality Letter Date: 2020-11-25 Subject: Confidentiality Request for FCC ID: GT3RD001 and IC: 3683A-RD001 ;

Pursuant to FCC 47 CRF 0.457(d) and 0.459 and IC RSP-100, Section 10, the applicant requests that a part of the subject FCC/IC application be held confidential. Type of Confidentiality Requested Dale

[_] Short Term

[_] Short Term MRS oca toe

[_] Short Term

[X] Permanent MB esentrtcns AB oerttont Block Diagrams External Photos Internal Photos Operation Description/Theory of Operation DAB agettitcnt

[x] Permanent Part List/Tune-Up Procedure Yate Cer) Test Setup Photos Users Manual

[_] Short Term MRS oc oer MRS ua ioe

[_] Short Term MB ovation SMK Corporation has spent substantial effort in developing this product and it is one of the first of its kind in industry. Having the subject information easily available to "competition" would negate the advantage they have achieved by developing this product. Not protecting the details of the design will result in financial hardship. Permanent Confidentiality:

The applicant requests the exhibits listed above as permanently confidential be permanently withheld from public review due to materials that contain trade secrets and proprietary information not customarily released to the public. Niles take Akio Nakanishi

(Print name) erm Confidentiality:

The applicant requests the exhibits selected above as short term confidential be withheld from public Om ere loueke a days from the date of the Grant of Equipment Authorization and prior to marketing. This is to avoid premature release of sensitive information prior to marketing or release of the product to the public. Applicant is also aware that they are responsible to notify TUV Rheinland in the event information regarding the product or the product is made available to the public. TUV Rheinland will then release the documents listed above for public disclosure pursuant to Signature/Title SMK Corporation 5-5 Togoshi 6 Chome, Shinagawa-Ku, Tokyo 142-8511, Japan CREATIVE CONNECTIVITY Phone: +81-3-3785-1111

Applicant/Grantee FCC ID:

SMK Corporation awe). UODI Section 15.212 Modular Transmitters /

4 Request for Modular Approval Smt MY ee aU eee) Requirements Device Conditions Single Modular Approval Requirements Comply (Y/N) The radio elements must have the radio frequency circuitry must be shielded. Physical/discrete and tuning capacitors may be located external to the shield, but must be on the module assembly. The module shall have buffered modulation/data input(s) (if such inputs are provided) to ensure that the module will comply with the requirements set out in the applicable RSS standard under conditions of excessive data rates or over-modulation. The module shall have its own power supply regulation on the module. This is to ensure that the module will comply with the requirements set out in the applicable standard regardless of the design of the emt ee RU ITM UeQUULNM MTOM etcm elects device which houses the module. Requirements set out in the applicable standard regardless of the design of the power supplying circuitry in the host device which houses the module. The module shall comply with the provisions for external power amplifiers and antennas detailed in this standard. The Equipment certification submission shall contain a detailed description of the configuration of all antennas that will be used with the module. The module shall be tested for compliance with the applicable standard in a stand-

alone configuration, i.e. the module must not be inside another device during testing. The module shall comply with the Category I equipment labelling iubiac]eCeel ise The module has its own RF shielding. Shield Can is employed on the board structure, please see exhibition External Photo, the emission measurement was conducted without further shielding added. All modulation and data input(s) are buffered. The EUT has buffered data inputs, it is integrated on the RF chip Output power is controlled by the RF Chip and de-coupled from supply voltage variations. Frequencies are determined by Crystal The antenna is part of the module The modular transmitter was tested in a stand-alone configuration via a VART Interface. In the exhibition OEM manual, there are Instructions given to the OEM on how to label the end product. The modular transmitter complies with all Instructions in User Manual specific rules or operating requirements that ordinarily apply to a complete transmitter and the manufacturer will provide adequate instructions along with the module to explain any such requirements. A copy of these instructions is included in this application for equipment authorization:

PU eoccmeeleicicom ua sem tits Please refer the Maximum Permissible Commission's RF exposure limits in Exposure Information. Sections 1.1310 and 2.1093. 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). A limited modular approval may be granted for single or split modular transmitters that do not comply with all of the above requirements, e.g., shielding, minimum signaling amplitude, buffered modulation/data inputs, or power supply regulation, if the manufacturer can demonstrate by alternative means in the application for equipment authorization that the modular transmitter meets all the applicable Part 15 requirements under the operating conditions in which the transmitter will be used. Limited modular approval also may be granted in those instances where compliance with RF exposure rules is demonstrated only for particular product configurations. The applicant for certification must state how control of the end product into which the module will be installed will be maintained such that full compliance of the end product is always ensured. Signature yan ee shi Name/Title: Akio Nakanishi / Manager Company Name: SMK Corporation Date: 11/25/2020