802.11agn WLAN + Bluetooth PCIE Minicard

Broadcom Corporation - Class II Permissive Change

270 Innovation Drive


broadcom.com

Listed Certified Devices

Brand Device Name Model Type Certification Date
Broadcom Corporation 802.11agn WLAN + Bluetooth PCIE Minicard BRCM1055 FCC ID 2016-02-19
FCC Application Details
Equipment802.11agn WLAN + Bluetooth PCIE Minicard
FRN0007091952
Grantee CodeQDS
Product Code-BRCM1055
Applicant BusinessBroadcom Corporation
Business Address270 Innovation Drive , San Jose, California United States 95134
TCB ScopeA4: UNII devices & low power transmitters using spread spectrum techniques
TCB Email[email protected]
ApplicantAnne Liang – Manager, Compliance Engineering
Applicant Phone
Applicant Fax408-543-3377
Applicant Email[email protected]
Applicant MailStop
Test FirmUL Verification Services Inc. (formerly UL CCS)
Test Firm ContactJay Kogoma
Test Firm Phone
Test Firm Fax000-000-0000
Test Firm Email[email protected]
Certified ByDaniel Lawless –

Further Details May Be Available From: fcc.id/QDSBRCM1055 or fcc.report/FCC-ID/QDSBRCM1055


DescriptionExhibit TypeFile TypeDisplay TypeFile SizeSubmission DateDate Available

Document 2906606
Mirror: FCCID.io - 2906606
Test setup photos
Test Setup PhotosAdobe Acrobat PDFpdf496.59 K2016-02-192016-02-19

Document 2906605
Mirror: FCCID.io - 2906605
Test report
Test ReportAdobe Acrobat PDFpdf3.45 M2016-02-192016-02-19

Document 2906604
Mirror: FCCID.io - 2906604
Agent authorization
Cover Letter(s)Adobe Acrobat PDFpdf537.37 K2016-02-192016-02-19

Document 2906603
Mirror: FCCID.io - 2906603
BCM94331PCIEBT4 Host Attestation
Attestation StatementsAdobe Acrobat PDFpdf246.66 K2016-02-192016-02-19

Document 2906602
Mirror: FCCID.io - 2906602
Request for confidential
Cover Letter(s)Adobe Acrobat PDFpdf258.95 K2016-02-192016-02-19

Document 2906601
Mirror: FCCID.io - 2906601
C2PC Letter
Cover Letter(s)Adobe Acrobat PDFpdf200.29 K2016-02-192016-02-19

KDB 594280 D02 v01r03 U-NII Device SW Security Statement (BRCM)
Operational DescriptionAdobe Acrobat PDF76.33 K2016-02-19

Operational description
Operational DescriptionAdobe Acrobat PDF119.12 K2016-02-19

Related FCC IDs: