| Type of Incident: | Other — Do not use if a team, player, coach, or spectator is involved. Use only if the incident cannot be classified as any other Type of Incident above. |
| Date of Incident: | 2015-12-06 |
| Time of Incident: | 05:15:00 |
| Location of Incident: | Field #1; Alden Oliver Sports Park; 2580 Eden Park Place, Ha |
| Home Team: | FCA 02/03B |
| Visiting Team: | None |
| Age Group and Gender: | U13B |
| Team Affiliation of Individual Committing Incident: | None |
| Incident Summary: | Allegation of misbehavior by a NorCal Site Administrator. |
| Comments: | No action is taken by PAD as PAD does not oversee NorCal employees. The matter has been referred by PAD to the appropriate NorCal Event Coordinator. |