| Type of Incident: | Referee |
| Date of Incident: | 2017-06-03 |
| Time of Incident: | 09:00:00 |
| Location of Incident: | Sea Cloud Park S-3, Foster City |
| Home Team: | AYSO UNITED FOSTER CITY UNITED 04B |
| Visiting Team: | SMC Earthquakes 04B Academy |
| Age Group and Gender: | U13B |
| Team Affiliation of Individual Committing Incident: | AYSO UNITED FOSTER CITY UNITED 04B |
| Incident Summary: | Complaint about the officiating. |
| Comments: | This is not a PAD issue. Please contact the Event Coordinator for a ruling on this matter. |