| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| Thomas Mees |
| 1 | 2 | 3 | Final | |
|---|---|---|---|---|
| Lake Tahoe Grizzlies | 1 | 2 | 0 | 3 |
| San Mateo Black Stars 12B | 0 | 0 | 1 | 1 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| Lake Tahoe Grizzlies | 1 | 2 | 0 | 3 |
| San Mateo Black Stars 12B | 0 | 0 | 1 | 1 |
| P | Time | Team | Goal | Assist 1 | Assist 2 |
|---|---|---|---|---|---|
| 1 | 3:23 | Lake Tahoe Grizzlies | Andrew S Gunderson | ||
| 2 | 8:19 | Lake Tahoe Grizzlies | Andrew S Gunderson | Jacob T Pratt | |
| 2 | 6:19 | Lake Tahoe Grizzlies | Andrew S Gunderson | ||
| 3 | 11:25 | San Mateo Black Stars 12B | Ryan C Fujii |
| P | Time | Team | Player | Infraction | Min |
|---|---|---|---|---|---|
| 1 | 11:04 | San Mateo Black Stars 12B | Josef Frikert | Tripping | 2 |
| 2 | 12:38 | San Mateo Black Stars 12B | Melchior Christen | Interference | 2 |
| 3 | 12:57 | Lake Tahoe Grizzlies | Thomas Yarbrough | Elbowing | 2 |
| 3 | 09.8 | San Mateo Black Stars 12B | Christopher Holteen | Slashing | 2 |
| 74 | Joseph W Murphy |
| 66 | Ryan C Fujii |
| HC | Gabriel C Brown |
| 12 | Arthur F Perry |
| 25 | Jason Ricos |
| 26 | Brevin L Master |
| 20 | Melchior Christen |
| 94 | Kyle M Mentzer |
| 54 | Brian Kellogg |
| 87 | Christopher R Galli |
| AC | Dmitry Kuznetsov |
| 92 | Svante Aretun |
| 34 | Owen S Pence |
| 39 | Jackson L Basch |
| 97 | Christopher A Holteen |
| 71 | Daniil Pelevin |
| 4 | Owen R Tienken |
| 40 | Mark C Sharland |
| 32 | James G Lucier |
| 27 | Josef W Frikert |
| 1 | Noah Csaky-schwede (G) |
Game Number: 9439