| Type of Incident: | Game Protest/Forfeit |
| Date of Incident: | 2015-11-14 |
| Time of Incident: | 10:00:00 |
| Location of Incident: | Petaluma Community sports fields PSCF#2 |
| Home Team: | Coach/BRICENO LIGHTNING ELITE 04 BOYS |
| Visiting Team: | coach tecos Isreal Rodriguez |
| Age Group and Gender: | U12B |
| Team Affiliation of Individual Committing Incident: | Coach/BRICENO LIGHTNING ELITE 04 BOYS |
| Incident Summary: | Allegation that referees may have been unlicensed and that Briceno may have used over-age players. |
| Comments: | Briceno is to provide the names of the referees assigned to this match to amittler@norcalpremier.com no later than noon on December 7, 2015. This match is declared a 3-0 forfeit in favor of Tecos for Briceno assigning unlicensed referees. |