BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY GOVERNOR GAVIN NEWSOM CALIFORNIA STATE ATHLETIC COMMISSION 2005 Evergreen Street Suite 2010 l Sacramento, California 95815 Website: www.dca.ca.gov/csac l Email: [email protected] l Phone: 916.263.2195 Commissioner John Carvelli, Chair l Executive Officer, Andy Foster SUPERVISOR REPORT DATE NAME OF EVENT LOCATION 03/29/19 Bellator MMA Pechanga Casino-45000 Pechanga Pkwy, Temecula, CA 92592

BOUT RND ATHLETE WT LIC FED ID# EXP DATE DOB REC PURSE CHIEF SECOND WINNER RESULTS/REMARKS SUSPENSION

Dalton Rosta 204.8 APP (MMA)151940 03/09/22 11/09/95 0-0 $ 4,000 Issac Greeley WINNER 7 day mand- TKO - Injury - R1 - 106 1 3 7 day mand-45/30 No exception (TKO)-180/180 Cody Vidal 195.4 APP (MMA)106323 09/29/20 09/27/88 1-1 $ 1,500 Beua King or clear by physician for injury to R knee- Antonio McKee Joey Davis 169.4 APP (MMA)149-640 08/24/21 12/29/93 4-0 $ 25,000 WINNER 7 day mand- Sr KO - R1 - 421 2 3 Marcus 7 day mand-45/30 No exception (KO)-180/180 169.4 APP (MMA)159850 03/28/23 10/31/89 1-0 $ 4,000 Wade Ship Anthony or clear by physician for injury to Nose-

Joe Schilling 186.0 APP (MMA)106-838 11/03/19 01/13/84 3-5 $ 45,000 Mark Kumura WINNER 7 day mand- 3 3 Unanimous Decision 7 day mand-45/30 No exception (hard bout)- Keith Berry 186.0 OK 122-919 01/12/22 10/25/87 15-14-1-1 $ 10,000 Tom Galiccio 60/60 or clear by physician for laceration to R cheek- Andrey Alexander 170.6 OK 129-496 06/26/23 08/23/90 21-3 $ 45,000 WINNER 7 day mand- Koreshkov Shilimenko Unanimous Decision 4 3 7 day mand-CSAC recomends move to 175+ lbs Mike Jasper 171.0 APP (MMA)122-081 12/14/21 08/04/83 13-4 $ 10,000 KC Greene for next bout Daniel Straus 155.6 APP (MMA)100-799 10/04/22 07/27/84 24-8-0-1 $ 50,000 Dewy Cooper WINNER 7 day mand- 5 3 Tap - RNC - R1 - 353 Shane Kruchten 155.8 APP (MMA)122-764 01/08/23 06/07/85 12-4 $ 10,000 Eddie Cha 7 day mand- Georgie Saad Awad 156.0 APP (MMA)105414 06/23/19 06/04/83 23-10 $ 49,000 7 day mand- Karatanyan 6 3 Unanimous Decision Brandon Girtz 155.6 APP (MMA)118900 11/15/21 03/06/85 15-8 $ 55,000 Jake Ramos WINNER 7 day mand-

Shawn Bunch 135.2 APP (MMA)131-053 11/28/23 03/19/83 8-3 $ 10,000 Bob Cook WINNER 7 day mand- Unanimous Decision 7 3 Dominic 136.0 APP (MMA)117-904 11/25/20 06/17/87 14-2 $ 16,000 Issac Greeley 7 day mand- Mazzotta 7 day mand-60/60 or clear by physician for David Rickles 170.8 APP (MMA)100612 03/08/23 01/05/89 20-5-0-2 $ 33,000 Joe Wilk WINNER TKO - Doctor Stoppage -Eye laceration to L eye- 8 3 Injury - R3 - 324 7 day mand-45/30 No exception (TKO)-45/30 or AJ Matthews 170.0 APP (MMA)121-597 06/16/21 01/23/88 9-8 $ 15,000 Niel Manalson clear for injury to L eye Janay Harding 144.6 OK 153421 08/03/22 09/28/94 4-3 $ 13,000 Aydin Mrouki WINNER 7 day mand- Unanimous Decision 9 3 Marina Mikhail 144.4 APP (MMA)159741 03/19/24 05/12/88 4-1 $ 5,000 7 day mand- Mokhnatkina Mokhuatkin Joshua Jones 160.0 OK 135506 11/15/23 04/04/90 8-3 $ 2,000 Tracy Hess 7 day mand-45/30 No exception (KO)- 10 3 KO - R1 - 034 Darren Smith Jr 159.0 APP (MMA)121626 07/05/23 04/05/87 15-10 $ 2,000 Don Torres WINNER 7 day mand- Physician: Kelly Tucker Physician: Jeff Roberts Inspector Signature: Date: Physician: Steven Brown Sean Wells 03/29/19 Physician: BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY GOVERNOR GAVIN NEWSOM CALIFORNIA STATE ATHLETIC COMMISSION 2005 Evergreen Street Suite 2010 l Sacramento, California 95815 Website: www.dca.ca.gov/csac l Email: [email protected] l Phone: 916.263.2195 Commissioner John Carvelli, Chair l Executive Officer, Andy Foster SUPERVISOR REPORT DATE NAME OF EVENT LOCATION 03/29/19 Bellator MMA Pechanga Casino-45000 Pechanga Pkwy, Temecula, CA 92592

BOUT RND ATHLETE WT LIC FED ID# EXP DATE DOB REC PURSE CHIEF SECOND WINNER RESULTS/REMARKS SUSPENSION Johnny 173.8 OK 122372 08/16/21 02/05/80 12-6 $ 2,000 Anthony Alves 7 day mand- Cisneros 11 3 7 day mand-180/180 or clear by physician for John Mercurio 174.2 OK 122758 01/03/22 06/15/86 8-8 $ 2,000 Beniel Daruish WINNER injury to L knee- Ricky Furar 135.4 OK 122155 06/27/23 07/30/90 3-1 $ 1,200 Sam Alvey WINNER 7 day mand- TKO - Doctor Stoppage - Cut to 12 3 Eye - R2 - 500 7 day mand-45/30 No exception (TKO)-60/60 or Roman Puga 135.6 APP (MMA)141668 11/25/19 09/17/96 1-0 $ 1,200 Batiss Mansauri clear by physician for laceration to L eyelid-

Indefinite Administrative Suspension - Must David Pacheco 156.4 APP (MMA)158932 01/10/24 06/08/91 1-0 $ 1,200 Joey Pagliuso CANCELED Appear before CSAC Commission-Unsafe Fight Canceled due to unsafe weight cutting practices 13 3 gain Kelvin Herman 156.0 APP (MMA)155080 12/15/22 07/10/89 0-0 $ 1,200 CANCELED NONE Gentapanan Terrado Sunni Imhotep 155.2 OK 157582 09/04/23 03/11/91 0-0 $ 1,200 Jason Park WINNER 7 day mand- KO - R1 - 044 14 3 Antonio McKee Eugene Correa 155.4 APP (MMA)145042 08/17/20 04/22/93 0-1 $ 1,200 7 day mand-45/30 No exception (KO)- Sr Physician: Kelly Tucker Physician: Jeff Roberts Inspector Signature: Date: Physician: Steven Brown Sean Wells 03/29/19 Physician: