| Region | Club | Type | Distance | Date | Finishers | DNF |
|---|---|---|---|---|---|---|
| VA: Northern | Northern Virginia Randonneurs / 946020 | RUSAB | 200 | 2021/12/04 | 4 | 0 |
| Cert# | RUSA# | Name | Club / ACP Code | Time | Medal |
|---|---|---|---|---|---|
| RUSA-B16501 | 4500 | AKBARIAN, Hamid | Northern Virginia Randonneurs / 946020 | 10:30 | |
| RUSA-B16502 | 14537 | VLAIKOV, Michael A | Northern Virginia Randonneurs / 946020 | 09:58 | |
| RUSA-B16503 | 3319 | WINKERT, George | Northern Virginia Randonneurs / 946020 | 09:58 | |
| RUSA-B16504 | 3444 | SMITH, Kelly | DC Randonneurs / 946012 | 09:58 |