| Type of Incident: | Sportsmanship — May be used if a team, player, coach, or spectator is involved. |
| Date of Incident: | 2015-09-20 |
| Time of Incident: | 12:15:00 |
| Location of Incident: | Place to Play Field 3 |
| Home Team: | Santa Rosa Empire SC 00 Arsenal |
| Visiting Team: | Black Oaks YSC/Black Oaks |
| Age Group and Gender: | U16B |
| Team Affiliation of Individual Committing Incident: | Black Oaks YSC/Black Oaks |
| Incident Summary: | Referee abuse issue. |
| Comments: | This is a referee abuse issue that has been referred to USClub Soccer. This matter is referred to the Norcal Premier League Board of Directors for further action. |