| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| Bill Whitmore | Raymond Hansell | Shamil Patel |
| 1 | 2 | 3 | Final | |
|---|---|---|---|---|
| Black | 1 | 1 | 3 | 5 |
| White | 1 | 2 | 1 | 4 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| Black | 1 | 1 | 3 | 5 |
| White | 1 | 2 | 1 | 4 |
| P | Time | Team | Goal | Assist 1 | Assist 2 |
|---|---|---|---|---|---|
| 1 | 8:38 | Black | Joseph Jellen | ||
| 1 | 5:26 | White | David Voorheees | Roman Yalkitman | |
| 2 | 17:16 | Black | Doi J Hayashi | Jeffrey J Romeo | |
| 2 | 13:40 | White | Douglas Grahame | Francis Vo | David Voorheees |
| 2 | 11:07 | White | Robert Mattson | Yenpang Lin | Eric A Blaha |
| 3 | 18:08 | White | David Voorheees | Douglas Grahame | |
| 3 | 11:44 | Black | Ralph A Schachter | Jeffrey J Romeo | |
| 3 | 9:48 | Black | Greg B Smith | ||
| 3 | 5:24 | Black | Joseph Jellen | Steve Goettelmann | Neta Ravid |
| P | Time | Team | Player | Infraction | Min |
|---|---|---|---|---|---|
| 3 | 19:02 | White | Francis Vo | Hooking | 3 |
| 3 | 9:48 | White | David Voorheees | Hooking | C |
| 3 | 6:27 | White | Robert Mattson | Slashing | 3 |
| 39 | Tom Holden |
| 50 | Randal H Chen |
| 48 | Greg B Smith |
| 43 | Doi J Hayashi |
| 38 | Jeffrey J Romeo |
| 55 | David Nyberg |
| 18 | Tiffany Nyberg |
| 49 | Michael L Kaufman |
| 00 | Neta Ravid (G) |
| 42 | Steve Goettelmann |
| 83 | Justin Bult |
| 41 | Joseph Jellen |
| 44 | Peter Fediay |
| 37 | Ralph A Schachter |
| 36 | Francis Vo |
| 35 | Jennifer L Glass (G) |
| 11 | Douglas Grahame |
| 48 | Eric A Blaha |
| 46 | John L Wynne |
| 44 | Stuart A Slamowitz |
| 41 | David Voorheees |
| 47 | Robert Mattson |
| 2 | Bryan Merk |
| 37 | Roman Yalkitman |
| 40 | Yenpang Lin |
Game Number: 421790