UKS Tarczyn 3-5 Ursus II Warszawa in the Puchar Polski MZPN - Warszawa, Qualification Round 3.

UKS Tarczyn won 3, drew 0 and lost 2 of their previous 5 matches (W–W–W–L–L), scoring 16 and conceding 16.

The two sides have met 2 times: UKS Tarczyn 1 win, Ursus II Warszawa 1, 0 draws.