| Players Levico Terme | |
|---|---|
 | Campestrini Marco |
 | Ceccon Patrick |
| | Passamani Simone  44'2.Half |
| | Zandonai Gabriele |
 | Pretti Alessandro 25'2.Half  35'1.Half |
| | Massella Davide  13'2.Half |
| | Myftary Leonard 32'2.Half |
| | Pedrotti Luca |
| | Mosca Roberto |
 | Vesco Simone |
| | Girardi Federico 43'2.Half |
| Substitutes | |
| | Menegoni Thomas  44'2.Half |
| | La Rocca Fabio 25'2.Half |
| | Passamani Fabrizio 32'2.Half |
| Coach | |
 | Muollo Catello |