| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| George Kiessling |
| 1 | 2 | 3 | Final | |
|---|---|---|---|---|
| San Mateo Black Stars 12B | 1 | 1 | 2 | 4 |
| Lake Tahoe Grizzlies 12B | 0 | 0 | 1 | 1 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| San Mateo Black Stars 12B | 11 | 14 | 17 | 42 |
| Lake Tahoe Grizzlies 12B | 3 | 2 | 5 | 10 |
| P | Time | Team | Goal | Assist 1 | Assist 2 |
|---|---|---|---|---|---|
| 1 | 7:06 | San Mateo Black Stars 12B | Andrew N Regan | Emmett T Coombs | |
| 2 | 13:30 | San Mateo Black Stars 12B | Alexander J Tasic | Robert F Provost | |
| 3 | 8:32 | San Mateo Black Stars 12B | Eric W Woods | Noah R Levesque | Akusti J Maula |
| 3 | 1:22 | San Mateo Black Stars 12B | Yeray M Amezcua | Mikala C Gould | |
| 3 | 08.8 | Lake Tahoe Grizzlies 12B | Caleb D Anson | Lincoln R Alford |
| P | Time | Team | Player | Infraction | Min |
|---|---|---|---|---|---|
| 1 | 4:12 | San Mateo Black Stars 12B | Keoki Firenze | Elbowing | 2 |
| 1 | 1:26 | San Mateo Black Stars 12B | Alexander Tasic | Tripping | 2 |
| 3 | 9:07 | Lake Tahoe Grizzlies 12B | Max Bassett | Roughing | 2 |
| 3 | 9:07 | San Mateo Black Stars 12B | Robert Provost | Slashing | 2 |
| 3 | 8:09 | San Mateo Black Stars 12B | Eric Woods | Roughing | 2 |
| 3 | 3:32 | San Mateo Black Stars 12B | Noah Levesque | Roughing | 2 |
| 3 | 54.8 | San Mateo Black Stars 12B | Yeray Amezcua | Tripping | 2 |
| 3 | 54.8 | San Mateo Black Stars 12B | Yeray Amezcua | Unsportsmanlike | 2 |
| 3 | 39.5 | San Mateo Black Stars 12B | Keoki Firenze | Roughing | 2 |
| 25 | Logan R Robertson |
| 18 | Lincoln R Alford |
| 13 | Oliver G Owens (G) |
| 14 | Max I Bassett |
| AC | Todd C Bassett |
| AC | Chad D Anson |
| 92 | Caleb D Anson |
| 27 | Samson Snow |
| 30 | Bryce B Tieslau |
| 48 | Joseph T Zarnecki |
| HC | Christopher W Remsburg |
| 8 | Mary J Plastino |
| 24 | Logan R Devos |
| 45 | Ronald J Scheuring |
Game Number: 17052