| Type of Incident: | Other — Do not use if a team, player, coach, or spectator is involved. Use only if the incident cannot be classified as any other Type of Incident above. |
| Date of Incident: | 2019-09-14 |
| Time of Incident: | 11:00:00 |
| Location of Incident: | Sequioa Middle School |
| Home Team: | Revolution JQ U16 Boys |
| Visiting Team: | Ceres Earthquake FC Bayern |
| Age Group and Gender: | U17B |
| Team Affiliation of Individual Committing Incident: | Revolution JQ U16 Boys |
| Incident Summary: | Allegation that one of the match officials was related to one or more of the Revolution coaches. |
| Comments: | No action is taken, the PAD Committee finds no evidence that any of the match officials was related to any Revolution coach or player. |
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