FCC ID: GKM-XT1040S6 Wireless Door Sensor

Label Material: LABEL MATERIAL: 3M THERMAL TRANSFER POLYESTER LABEL MATERIAL 7816 Label Information Label location

Letter of Authorization and Anti- Drug Statement Applicant Name: Xirgo Technologies, LLC Address: 1461 Lawrence Drive, Suite 1, Thousand Oaks, CA 91320 Product Name: XT1040S6 Model Number: XT1040S6 FCC ID: GKM-XT1040S6 We authorize:

CETECOM Inc., to act on our behalf on all matters concerning the above named equipment. We declare that CETECOM Inc. is allowed to forward all information related to the approval project to the Federal Communications Commission and discuss any issues concerning the approval application. The applicant must certify that neither the applicant nor any party to the application is subject to a denial of Federal benefits, that include 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 47 CFR 1.2002(b) for the definition of a "party" for these purposes. Does the applicant or authorized agent so certify? Yes I certify that I am authorized to sign this application. 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 as a result of the representations made in this application, the applicant is responsible for (1) labeling the equipment with the exact FCC ID specified in this application, (2) compliance statement labeling pursuant to the applicable rules, and (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 FCC's technical requirements. Authorizing an agent to sign this application, is done solely at the applicant's discretion;

however, the applicant remains responsible for all statements in this application. If an agent has signed this application on behalf of the applicant, a written letter of authorization which includes information to enable the agent to respond to the above section 5301 (Anti-Drug Abuse) Certification statement has been provided by the applicant. It is understood that the letter of authorization must be submitted to the FCC upon request, and that the FCC reserves the right to contact the applicant directly at any time. Signature of Authorized Person Filing:

Edward Gabrelian Title: Manager, Hardware Engineering Date: 09/06/2023

Xirgo Technologies, LLC 1461 Lawrence Drive, Suite 1 Thousand Oaks, CA 91307 Federal Communication Commission 7435 Oakland Mills Road Columbia, MD 21046 September 6, 2023 Attestation Statement according to 2.911(d)(5)(i) and 2.911(d)(5)(ii) FCC ID: GKM-XT1040S6 TO WHOM IT MAY CONCERN:

Hereby we certify 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. Further we certify that, as of the date of the filing of the application, Xirgo Technologies, LLC is not identified on the Covered List as an entity producing covered equipment. Sincerely, _______________ Xirgo Technologies, LLC 1461 Lawrence Drive, Suite 1 Thousand Oaks, CA 91307 Edward Gabrelian, Engineering Manager Phone: 805-568-8466 Email: egabrelian@xirgo.com For information on Covered equipment, refer:

986446 D01 Covered Equipment v01 FCC 22-84 List of Equipment and Services Covered By Section 2 of The Secure Networks Act | Federal Communications Commission (fcc.gov)

Xirgo Technologies, LLC 1461 Lawrence Drive, Suite 1 Thousand Oaks, CA 91307 Federal Communication Commission 7435 Oakland Mills Road Columbia, MD 21046 September 6, 2023 Attestation Statement according to 2.911(d)(7) FCC ID: GKM-XT1040S6 TO WHOM IT MAY CONCERN:

Xirgo Technologies, LLC with FCC Registration Number (FRN) 0021512173 Certifies that, as of the date of this filing of the application with the TCB, Xirgo Technologies, LLC is our designated US agent for service of process for the above referenced FCC ID. Xirgo Technologies, LLC accepts to maintain an agent for no less than one year after the grantee has terminated all marketing and importation or the conclusion of any commission related proceeding involving equipment. Xirgo Technologies, LLC with FCC Registration Number (FRN) 0021512173 Accepts, as of the date of the filing of the application, the obligation of the designated US agent for service of process for the above referenced FCC ID. Sincerely _______________ _______________ Xirgo Technologies, LLC 1461 Lawrence Drive, Suite 1 Thousand Oaks, CA 91307 Edward Gabrelian, Engineering Manager Phone: 805-568-8466 Email: egabrelian@xirgo.com Xirgo Technologies, LLC 1461 Lawrence Drive, Suite 1 Thousand Oaks, CA 91307 Edward Gabrelian, Engineering Manager Phone: 805-568-8466 Email: egabrelian@xirgo.com

Federal Communications Commission Equipment Authorization Division 7435 Oakland Mills Road Columbia, MD 21048 Date: 09/06/2023 Subject:

Request for Short Term Confidentiality FCC-ID: GKM-XT1040S6 To Whom It May Concern:

In accordance with 0.457(d) and 0.459 of CFR 47, Xirgo Technologies, LLC hereby requests short term confidentiality for documents filed under the following exhibit types:

1. Internal Photographs 2. Test Setup Photos 3. User Manual until the product will be publicly announced. Short term confidentiality release date / period: 180 Days These items contain detailed system and equipment description and related information about the product which Xirgo Technologies, LLC considers to be proprietary, confidential and a custom design which otherwise would not be released to the general public. Since this design is a basis from which future technological products will evolve, Xirgo Technologies, LLC also feels that this information would be of benefit to its competitors, and that the disclosure of the information in these exhibits would give our competitors an unfair advantage in the market. We are informed and aware of our obligation that we have to inform the involved TCB in written and in due time if we intend to market the product prior to the above specified confidentiality release date so that the short term confidentiality classification can be reset prior to product launch. We are aware that exhibit types cover letters, attestations, label document, test reports, RF exposure information (SAR and MPE reports), cannot be requested to be classified confidential and are thus subject to publication, as will be documents of all other exhibits types for which we have not requested a confidentiality classification. Best Regards, ____________________________________ Signature Name: Edward Gabrelian Title: Manager, Hardware Engineering Company Name: Xirgo Technologies, LLC Address: 1461 Lawrence Drive, Suite 1, Thousand Oaks, CA 91320

Federal Communications Commission Equipment Authorization Division 7435 Oakland Mills Road Columbia, MD 21048 Date: 09/06/2023 Subject:

Request for Permanent Confidentiality FCC ID: GKM-XT1040S6 To Whom It May Concern:

In accordance with 0.457(d) and 0.459 of CFR 47, and KDB 726920, Xirgo Technologies, LLC hereby requests permanent confidentiality for documents filed under the following exhibit types:

1. Block Diagram 2. Schematic Diagram 3. Part List 4. Operational description These items contain detailed system and equipment description and related information about the product which Xirgo Technologies, LLC considers to be proprietary, confidential and a custom design which otherwise would not be released to the general public. Since this design is a basis from which future technological products will evolve, Xirgo Technologies, LCL also feels that this information would be of benefit to its competitors, and that the disclosure of the information in these exhibits would give our competitors an unfair advantage in the market. We are aware that exhibit types cover letters, attestations, label document, test reports, RF exposure information (SAR and MPE reports), cannot be requested to be classified confidential and are thus subject to publication, as will be documents of all other exhibits types for which we have not requested a confidentiality classification. Best Regards, _______________________________ Signature Name: Edward Gabrelian Title: Manager, Hardware Engineering Company Name: Xirgo Technologies, LLC Address: 1461 Lawrence Drive, Suite 1, Thousand Oaks, CA 91320