ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 92WC 39807 19B-1 VELASQUEZ, GUADALUPE NATIONAL WRECKING CO 07/14/92 CULLEN, HASKINS, NICHOLSON SCOPELITIS GARVIN LIGHT 2 94WC 23877 MAKSIMOVIC, GEORGE A FINKL & SONS 01/18/94 BOWMAN & CORDAY GAROFALO SCHREIBER STORM 3 01WC 51650 GOLDEN, TYRONE CHICAGO BOARD OF EDUCATIO 11/01/99 DWORKIN AND MACIARIELLO LAW DEPARTMENT 4 02WC 01370 19B KONDILIS, JAMES SHERIFF OF COOK COUNTY 02/16/01 LEO ALT STATES ATTORNEY OF COOK CO 04WC036161 -C COOK COUNTY SHERIFF'S OFFI 5 02WC 45033 SWIFT, KARAN NORTHWESTERN MEMORIAL HOS 08/05/02 HORWITZ HORWITZ & ASSOC BRAUN LORENZ & BERGIN PC 6 03WC 50712 MACEDO, MARIA DE JESUS DEROSA & SON SVC CLEANERS 07/29/03 BARRY E BLUMENFELD EZRA, SIDNEY LAW OFFICES 7 04WC 10681 PALACIOS, MICHAEL CHICAGO TRANSIT AUTHORITY 02/18/04 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 07WC051653 -C 08WC009693 -C 8 04WC 10988 DEVENNY, FLORENCE NORTHERN ILL SURGERY CTR/ 04/09/03 ROSS TYRRELL HOLECEK & ASSOCIATES 9 04WC 38447 SPONGBERG, MELODY ALSIP PARK DISTRICT 05/12/04 CAMERON CLARK NYHAN BAMBRICK KINZIE & LOWR 10 05WC 07492 ABURTO, ELIVORIO ALPHA BAKING COMPANY 01/22/05 JOHN E LUSAK MACIOROWSKI SACKMANN & ULRIC 11 05WC 08884 REYES, NOE CITY OF CHICAGO 12/09/04 KROL BONGIORNO & GIVEN LTD 06WC017348 -C 12 05WC 36453 CAIRO, JO-ANNE CHICAGO BOARD OF EDUCATIO 02/18/05 CULLEN, HASKINS, NICHOLSON 06WC010881 -C 06WC055303 -C 09WC026827 -C 09WC026828 -C 09WC026829 -C 10WC004684 -C 10WC004685 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 05WC 55398 SALAS, JOSEPH JR CITY OF CHGO DOT CONSTRUC 12/07/05 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 14 06WC 32454 SHARP, HARVEY R FORD CO STAMPING PLANT 11/20/05 STEVEN J SEIDMAN LAW OFFIC WIEDNER & MCAULIFFE LTD 06WC053158 -C 15 06WC 34802 KRUTUL, WILLIAM DBM/COTTON JV 07/11/06 LAW OFFICE OF MARGARET A L RUSIN MACIOROWSKI & FRIEDMAN 06WC034803 -C 16 06WC 43391 CAZARES, MARIA GRAPHIC PACKAGING CORP 04/18/05 CULLEN HASKINS NICHOLSON 17 07WC 03614 SAMSON, GLEN H COREY STEEL COMPANY 07/13/06 SMOLER LAW OFFICE, PC MEACHUM & STARCK LAW OFFICES 18 07WC 35214 BARNES, CLARENCE PROGRESSIVE MEDICAL EQUIP W 07/26/07 OTUBUSIN & ASSOC PC 19 07WC 44753 CASEY, MARY A CHICAGO BOARD OF EDUCATIO 03/21/06 GORDON & CENTRACCHIO LLC LAW DEPARTMENT 08WC019807 -C 20 08WC 12578 OERTEL, KURTIS DEJAMES BUILDERS, INC 04/27/05 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 21 08WC 14475 DEROUIN, TOM UNITED AIRLINES INC. 03/19/08 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 11WC039446 -C 11WC039447 -C 22 08WC 22328 SMITH, LEON SCHOOL DISTRICT #88 08/14/07 BRUSTIN & LUNDBLAD LTD BRADY CONNOLLY & MASUDA PC 08WC022329 -C 08WC024389 -C 08WC024390 -C 10WC044063 -C 11WC015003 -C 23 08WC 42889 UMAR, KAUTHAR INNER-CITY MUSLIM 06/24/07 LUIS A ACEVES & ASSOC SUGAR FELSENTHAL GRAIS HAMME 24 08WC 46877 19B SAWYER, DAN FEDERAL EXPRESS FREIGHT 08/18/08 ASHER, RAYMOND L LTD SCOPELITIS GARVIN LIGHT 08WC026659 -C 25 08WC 51802 WALKER, IZELL A & M CARTAGE 08/29/07 LAW OFFICE OF SCOTT B SHAP 26 09WC 13363 TADAVICH, GAVIN A CITY OF CHICAGO 09/05/08 RUBIN LAW GROUP 27 09WC 13450 PATEL, MANIBEN FASHION EXPRESS INC 12/15/08 OSVALDO RODRIGUEZ PC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 09WC 16495 FIO RITO, BERNARD CITY OF CHICAGO 08/22/09 HEALY LAW FIRM CITY OF CHICAGO 29 09WC 19836 WAGNER, DAVID ILLINOIS STATE TOLL @ 05/17/07 JOHN M BORCIA LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 10WC009950 -C 10WC009951 -C 12WC027220 -C 30 09WC 23512 DEAR, ELLA DENTSPLY PROFESSIONALS 03/18/09 JOEL BELL GILDEA & COGHLAN 11WC033996 -C 31 09WC 24568 ZUNIGA, CARMEN TEAM STAFF GS 04/24/09 EPSTEIN, JACK R LAW OFFICE WOLFE & JACOBSON, LTD 32 09WC 35820 BIJOWSKI, MARIA RESURRECTION HEALTH CARE 08/20/09 TARADASH LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 33 09WC 36290 19B GIL, GEORGE CITY OF CHICAGO 03/24/09 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 34 09WC 40582 BROWN, DANIEL NAVISTAR 08/24/08 BART DURHAM NYHAN BAMBRICK KINZIE & LOWR 09WC040583 -C 35 09WC 41129 JOHNSON, VICKI OAK FOREST HOSPITAL OF 07/01/09 CULLEN, HASKINS, NICHOLSON STATES ATTORNEY OF COOK COUN 36 09WC 41160 MONTES, OLIVIA DCFS @ 08/03/09 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 37 09WC 46788 WILLIAMS, SHIRLEY CITY OF CHICAGO 10/22/09 CHARLES LEVY & ASSOC LTD CITY OF CHICAGO 38 09WC 48005 TERASSOW, MIKE UNITED AIRLINES INC. 11/20/08 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 09WC048006 -C 13WC034704 -C 14WC036476 -C 39 09WC 48423 MYERS, AARON QUAD CITY SPORTS SERVICES 10/26/09 DOUGLAS RALLO P.C. MEACHUM & STARCK 40 09WC 49823 KWIATKOWSKI, ROSE AMERICAN LEGION POST #854 03/10/09 SHELDON I MINKOW & ASSOCIA LITCHFIELD CAVO 10WC017387 -C 41 09WC 50859 TAGLIERE, JEAN PANCAKES EGGCETERA 02/19/09 PEKAY, MARC M GANAN & SHAPIRO 42 10WC 01854 TATRO, HAROLD II ELECTRO-MOTIVE DIESEL, IN 01/05/10 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 43 10WC 09381 THOMAS, BRENDA RESURRECTION HEALTH CARE 11/04/09 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 44 10WC 17814 PENA, JOEL II FEDEX FREIGHT 04/17/10 CHEPOV & SCOTT LLC SCOPELITIS GARVIN LIGHT 10WC039631 -C 45 10WC 19968 LOHENS, DIANE COMMUNITY CONSOLIDATED SD 10/30/09 NILSON STOOKAL GLEASON CAP ANCEL GLINK DIAMOND BUSH & E 14WC004491 -C 46 10WC 26343 19B STEELE, LATASHA BINNY'S BEVERAGE DEPOT 06/28/10 MARVIN A BRUSTIN LTD HOLECEK & ASSOCIATES 47 10WC 27019 MORA, HIPOLITO ROAD RUNNER TAXI INC 06/28/10 JAMES ELLIS GUMBINER & ASS STONE & JOHNSON CHARTERED 48 10WC 30779 THOMPSON, MARY Q'S WIRELESS 08/01/10 FRANK A SANTILLI & ASSOC 49 10WC 33425 JANOWSKI, JAMES ARMACELL LLC 10/20/08 GOLDBERG WEISMAN & CAIRO L THOMAS & ASSOCIATES 50 10WC 37071 WEATHERSPOON, JUANITA CITY OF CHICAGO 03/04/10 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 51 10WC 38752 RANKINS, MELVENIA FIRST STUDENT INC. 05/13/10 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 52 10WC 39576 PARKER, DONNA CTA 09/30/10 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 53 10WC 46396 WILLIAMS, RGINALD B CHICAGO BOARD OF EDUCATIO 05/12/10 ROSS TYRRELL LAW DEPARTMENT 54 11WC 01774 FIGUEROA, JOSE CITY OF CHICAGO 07/26/10 DEPAOLO ZADEIKIS GORE CITY OF CHICAGO 55 11WC 01837 SANGOBOWALE, OLUJIMI HSBC 05/24/09 RIFFNER BARBER ROWDEN & SC NOBLE & ASSOCIATES PC 56 11WC 02470 GREEN, WILLIE ALPHA BAKING CO INC 08/01/10 RICHARD O. GREENFIELD MACIOROWSKI SACKMANN & ULRIC 57 11WC 02637 GONZALEZ, RICHARDO SR SHARPRINT SILKSCREEN 05/13/10 LAW OFFICES PETER LEKAS 58 11WC 04053 MOORE, LESILE ADVENTIST LAGRANGE MEMORI 07/19/10 ANESI OZMON RODIN NOVAK KO STONE & JOHNSON CHARTERED 59 11WC 05078 19B DAVIS, LOUIS RESIDE LIVING 11/11/10 STEVEN J SEIDMAN LAW OFFIC RUSIN MACIOROWSKI & FRIEDMAN 60 11WC 05381 19B FISCHER, DAVID J VILLAGE OF MC COOK POLICE 02/07/11 RICHARD E ALEKSY NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 61 11WC 07921 ZAVALETA, VICTOR M HOOTERS ON HIGGINS INC 02/10/11 SALK, STEVEN B & ASSOC LTD BRYCE DOWNEY & LENKOV LLC 62 11WC 08058 BROKOP, SAM CITY OF CHICAGO WATER DEP 01/19/11 FIGLIOLI, DAVID CITY OF CHICAGO 63 11WC 12887 KEEN, JANICE CEPHALON INC 11/19/10 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 14WC014823 -C TEVA PHARMACEUTICALS USA 64 11WC 13053 SWEENEY, DAVID METROPOLITAN STEEL OF LAN 03/17/09 CORTINA & MUELLER THOMAS & PORTELA 65 11WC 13054 SWEENEY, DAVID METROPOLITIAN STEEL OF LA 10/08/10 CORTINA & MUELLER THOMAS & PORTELA 66 11WC 13216 PINTADO, MARCELO FAMILY HOME HEALTH SERVIC 09/29/08 STEINBERG BURTKER & GROSSM 67 11WC 14121 LUCKETT, DOROTHY CITY OF CHICAGO 03/25/11 RICHARD P BOGUSZ, LTD CITY OF CHICAGO 68 11WC 22243 WATKINS, DONNA CHICAGO TRANSIT AUTHORITY 06/01/11 BURNES & LIBMAN CHICAGO TRANSIT AUTHORITY 69 11WC 22385 SMITH, LONELL CITY OF CHICAGO 05/29/11 ROSS TYRRELL CITY OF CHICAGO 11WC023222 -C 11WC023223 -C 11WC048842 -C 14WC014849 -C 14WC033202 -C CHGO STREETS & SAN DEPT 14WC043205 -C 15WC012590 -C 15WC037994 -C 70 11WC 22630 ANDERSON, MORTICIA CITY OF CHICAGO 10/25/10 THOMAS R LICHTEN HENNESSY & ROACH PC 71 11WC 23209 GLENN, ANGELA FORD MOTOR COMPANY ASSEMB 12/15/10 LANNON LANNON & BARR LTD POWER & CRONIN LTD 11WC023210 -C 12WC013814 -C 12WC024493 -C 15WC004795 -C 72 11WC 23233 REZA, EMMA COSTCO WHOLESALE CORPORAT 06/04/11 STEVEN J SEIDMAN LAW OFFIC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 73 11WC 28169 19B JAMES, RONALD ADMUR PRODUCTIONS 06/30/11 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 74 11WC 30282 COOPER, DWAYNE CITY OF CHICAGO 08/05/11 COVEN LAW GROUP CITY OF CHICAGO 12WC023801 -C 14WC007604 -C 75 11WC 30299 BAZAN, DOMINGO SEANS CONSTRUCTION CO W 07/21/11 JAMES ELLIS GUMBINER & ASS DAVID W DAUDELL 76 11WC 31397 KHAN, IBRAHIM SURNJ EXPRESS INC 08/14/10 C DEAN MATSAS & ASSOCIATES 77 11WC 34754 SANDERS, ANTHONY CITY OF CHICAGO 07/19/11 CUDA LAW OFFICES 78 11WC 34831 19B GRIFFIN, PHILLIP SCHATZ BUILDING LLC 03/01/11 RADOGNO CARMELI & HOAG GANAN & SHAPIRO 79 11WC 38403 MARTINEZ, RUBEN CITY OF CHGO FLEET MANAGE 09/06/11 WILLIAM MARTAY CITY OF CHICAGO 80 11WC 38733 ACEVES, EFREN CLARENCE DAVIDS & CO 09/23/11 SALK, STEVEN B & ASSOC LTD CASSANO & ASSOCIATES 81 11WC 39177 DIAZ, LUCIA BEST WESTERN 04/13/11 PETER D CORTI LAW GROUP MACIOROWSKI SACKMANN & ULRIC 82 11WC 39562 KOSTECKA, PHILLIP CHICAGO HEIGHTS POLICE 05/05/10 COVEN LAW GROUP 83 11WC 44415 TRAMBLES, SCOTT CHICAGO TRANSIT AUTHORITY 11/15/11 HUGHES SOCOL PIERS RESNICK CHICAGO TRANSIT AUTHORITY 84 11WC 45023 FIERRO, DELFINO HOOTERS OF MELROSE PARK I 09/02/11 COSTA IVONE LLC BRYCE DOWNEY & LENKOV LLC 85 11WC 45425 JOHNSON-ESTERS, KIMBERLY CTA 02/10/10 SMOLER LAW OFFICE, PC 11WC045426 -C 14WC015662 -C 86 11WC 45651 SLIWA, LIZAN BETHANY TERRACE 04/30/11 STEVEN J SEIDMAN LAW OFFIC SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 87 11WC 45768 MONTES, MINERVA CHICAGO TRANSIT AUTHORITY 02/15/11 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 88 11WC 46496 CONTRERAS, PETER SOUTHWEST AIRLINE 09/09/11 JOHN E LUSAK HENNESSY & ROACH PC 12WC040204 -C 89 11WC 46836 MCKNIGHT, MICHAEL OAKWOOD APARTMENTS/ARCHST 09/06/11 WILLIAM A. JAEGER PC HENNESSY & ROACH PC 12WC028438 -C 12WC028439 -C 90 11WC 47062 SUSNER, JANICE MIDWEST PALLIATIVE AND 04/25/11 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 91 11WC 47321 BLACKBURN, SUSAN W ZURICH 11/30/11 KENNETH B GORE, LTD 92 11WC 47355 RODRIGUEZ, JUAN MANUEL ACCURATE ENVIRONMENTAL 11/07/11 ACEVES & PEREZ PC GANAN & SHAPIRO 93 11WC 48864 POMORSKI, WITOLD Z FORCE TRANSPORTATION IN 05/09/11 JAMES M RIDGE LAW OFFICE STONE & JOHNSON CHARTERED 94 12WC 06044 KHAN, NAHID RUSH UNIVERSITY MEDICAL C 02/07/11 LAW OFFICES MICHAEL HELLMA KEEFE CAMPBELL & ASSOC LLC 12WC006045 -C 95 12WC 07546 TOLES, TERREL STATE OF ILLINOIS @ 11/09/11 CORNFIELD & FELDMAN JILL OTTE 13WC036790 -C ST OF IL, E LUDEMAN 96 12WC 08897 PARKER, KATRINA CITY OF CHICAGO 02/21/12 ANESI OZMON RODIN NOVAK KO CITY OF CHICAGO 97 12WC 09649 MAZUR, PAUL CITY OF CHICAGO 03/12/12 HEALY LAW FIRM CITY OF CHICAGO 98 12WC 11521 KHATIB, MANAL (WIDOW) ROCCO'S TRUCKING # 03/30/11 MINKOW DOMIN KEEFE CAMPBELL & ASSOC LLC 99 12WC 12338 PEDIGO, AUSTIN TOWN & COUNTRY CONSERVATO 01/05/12 BLEAKNEY & TROIANI INMAN & FITZGIBBONS 100 12WC 13992 FEENEY, DANIEL METROPOLITIAN WATER 10/17/07 HEALY LAW FIRM NOBLE & ASSOCIATES PC 12WC028718 -C 101 12WC 15652 19B CANINO-PARRA, ANTHONY VISTA MOTORS LLC D/B/A 11/10/11 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 102 12WC 17161 DUIGNAN, TIMOTHY COOK COUNTY SHERIFF'S 02/10/12 ROSS TYRRELL STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 12WC 17518 CINTRON, JANETTE MARYVILLE ACADEMY 11/23/10 WOLFE LAW PC SMITH AMUNDSEN LLC 104 12WC 17538 GARCIA, MOISES DATA CLEAN CORPORATION 03/28/12 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 105 12WC 18459 RICHARDSON, SABRINA UNITED AIRLINES INC. 09/05/10 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 16WC003208 -C 106 12WC 18628 GARIBA, DORSAH YELLOW CAB 03/23/12 RUSIN MACIOROWSKI & FRIEDMAN 12WC019179 -C 107 12WC 18827 WIRTH, LINDA NORTHWESTERN MEMORIAL HOS 03/27/12 COHN LAMBERT RYAN & SCHNEI 108 12WC 18975 GOODPASTER, DAVID CITY OF CHICAGO 08/10/11 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 109 12WC 18982 PINON, MARTIN ASG STAFFING LOANING 05/07/12 O'CONNOR & NAKOS 110 12WC 19320 BLAND, JENNESE CONTINENTAL MIDLAND LLC 05/01/12 BERG & BERG HOLECEK & ASSOCIATES 111 12WC 19596 RAMIREZ, PAULA CHIPOTLE MEXICAN GRILL 04/20/11 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 14WC025848 -C 14WC026588 -C 112 12WC 20261 RAK, BOGDAN W ALPHA BAKING COMPANY INC 10/13/11 URSULA BABICZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 13WC006413 -C 113 12WC 24264 HEWITT, SHIREE CITY OF CHICAGO 07/13/12 COVEN LAW GROUP CITY OF CHICAGO 114 12WC 28890 BROWN, JOE ALLSTATE INSURANCE 06/19/12 BOUDREAU & NISIVACO LLC HENNESSY & ROACH PC 115 12WC 28922 HASELTINE, ALAN CITY OF CHICAGO 06/27/12 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 116 12WC 29100 MCKIRCHY, SHARON CTA 08/03/12 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 117 12WC 29293 VOLODARSKY, BORIS AMERICAN TAXI DISPATCH IN 07/05/12 DAVID M SPADA LEEDS, PAUL L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 12WC 29314 HAMROS, DAVID CAR X 08/17/12 EPSTEIN, JACK R LAW OFFICE 119 12WC 29832 MILLER, DARNELL FEDERAL EXPRESS 01/19/12 CULLEN HASKINS NICHOLSON HANSON LAW OFFICE 12WC029833 -C 120 12WC 29857 OYOQUE, RAUL PINTO CONSTRUCTION 06/30/12 FINE, MARK S LAW OFFICES GILDEA & COGHLAN 121 12WC 29882 MORENO, ABRAHAM JLO METAL PRODUCTS, INC 09/12/11 SHEA LAW GROUP CASSANO & ASSOCIATES 122 12WC 30466 NAFUS, PHILLIP J ATKORE INTERNATIONAL 07/02/12 ANESI OZMON RODIN NOVAK KO KNELL & O'CONNOR 123 12WC 30643 DEHAAN, CHRISTINE CHICAGO TRANSIT AUTHORITY 05/28/12 RUBIN LAW GROUP CHICAGO TRANSIT AUTHORITY 124 12WC 31080 MARTINEZ, MARIO KELLOGG CO 06/13/12 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 125 12WC 31297 AL FAHDI, SALEH TYSON FOODS 06/23/12 SANDMAN LEVY & PETRICH GANAN & SHAPIRO 126 12WC 31693 AIELLO, CARY GLENBROOK SECURITY SERVIC 08/26/11 FINE, MARK S LAW OFFICES 127 12WC 31840 WILLIAMS, CASSANDRA H CHICAGO COMMONS ASSOCIATI 06/19/12 LAWRENCE A SCORDINO STELLATO & SCHWARTZ 128 12WC 31972 BARAJAS, PEDRO FERRARA PAN CANDY CO 07/27/12 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 129 12WC 32015 EVANS, BARBARA THE MARMON GRAND BALLROOM 07/12/12 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 130 12WC 32096 LOPEZ, ANGELICA EXECUTIVE MAILING SERVICE 08/23/12 SALK, STEVEN B & ASSOC LTD HEYL ROYSTER VOELKER & ALLEN 131 12WC 32212 HAWKINS, LISA R CHICAGO PUBLIC SCHOOLS 08/28/12 JOEL BELL LAW DEPARTMENT 132 12WC 32586 NUGENT, THOMAS OAK FOREST HOSPITAL OF 06/12/12 COLLISON & O'CONNOR LTD STATES ATTORNEY OF COOK COUN 133 12WC 37134 DAVIS, DONALD CHICAGO TRANSIT AUTHORITY 10/02/12 WARREN W MARK CHICAGO TRANSIT AUTHORITY 134 12WC 37700 BECERRIL, BLANCA MVP TEMPS-CICERO 04/18/12 EPSTEIN, JACK R LAW OFFICE KOREY COTTER HEATHER RICHARD 135 12WC 38086 MC NEAL, ALVIN CTA 10/23/12 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 136 12WC 40383 WATSON-ECHOLS, SANDRA CITY OF CHICAGO WATER DEP 11/07/12 GOLDSTEIN BENDER & ROMANOF 137 12WC 40384 HOFF, MICHAEL CRST INTERNATIONAL 11/03/12 GOLDSTEIN BENDER & ROMANOF 138 12WC 40508 VELASQUEZ, LIONEL EXTRA VALUE LIQUOR W 11/05/12 JAMES ELLIS GUMBINER & ASS 139 12WC 40576 VEGA, RUBEN WORKFORCE 10/15/12 JOHN S. ELIASIK KOREY COTTER HEATHER RICHARD 140 12WC 40874 SANCHEZ, ROBERTO EL BUEN TACO 10/22/12 CULLEN HASKINS NICHOLSON 141 12WC 41085 FLEISCHMAN, STEVE WAUKEGAN ROOFING 01/04/10 LEO ALT POWER & CRONIN LTD 12WC041086 -C 14WC006361 -C OLSSON ROOFING COMPANY INC 142 12WC 41392 ZURAWSKI, TINA COOK COUNTY DEPT OF FACIL 06/25/12 HETHERINGTON KARPEL BOBBER STATES ATTORNEY OF COOK COUN 143 12WC 41428 GONZALEZ, FELISA A & R JANITORIAL 09/17/12 GOLDSTEIN AIOSSA & GOOD RODDY LAW LTD 144 12WC 41557 HERNANDEZ, ARCELY THE DRAKE HOTEL 05/01/12 CULLEN HASKINS NICHOLSON NOBLE & ASSOCIATES PC 145 12WC 41609 BUSTAMANTE, BEATRICE MC DONALD'S 11/07/12 DEUTSCHMAN, JEFFREY S 146 12WC 41730 KOZAK, KAROLINA ADVOCATE HEALTH CARE 11/16/12 MINKOW DOMIN GAROFALO SCHREIBER STORM 147 12WC 41971 BAHARY, MADJID FLASH CAB 10/13/12 HUNER LAW OFFICES LLC 148 12WC 42184 SALGADO, JAVIER RIVERDALE PLATING 11/24/12 DONALD W FOHRMAN & ASSOC 149 12WC 42916 NAVA, MARCO A MOST VALUABLE PERSONNEL 11/16/12 ACEVES & PEREZ PC KOREY COTTER HEATHER RICHARD 150 12WC 43153 ANDERSON, DONNA SUNRISE OF CHURCH 08/22/12 ROSS TYRRELL ADELSON TESTAN & BRUNDO 151 12WC 44372 WOOTEN, JERRY CITY OF CHICAGO DEPT OF 12/10/12 STROM, NEAL B CITY OF CHICAGO 152 13WC 05480 MCARTHUR, KEVIS COOK COUNTY 05/15/12 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 153 13WC 06296 FABER, JULIE AMERICAN CANCER SOCIETY 04/04/11 GALLIANNI DOELL & COZZI LT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 13WC 06884 ANDERSON, TORIS VILLAGE OF OLYMPIA FIELDS 01/18/13 MUELHAUSEN & STEFANI BRYCE DOWNEY & LENKOV LLC 155 13WC 07157 MUHAMMAD, CLESTINE LURTHERAN SOCIAL SERVICE 08/01/12 COVEN LAW GROUP GAROFALO SCHREIBER STORM 156 13WC 07275 FARON, DAWN FORD MOTOR COMPANY 11/30/12 DONALD W FOHRMAN & ASSOC POWER & CRONIN LTD 13WC027016 -C 13WC027017 -C 157 13WC 07288 HASIRCI, AYBERK MIKE NAT HACKING CHICAGO 01/05/13 HUNER LAW OFFICES LLC 158 13WC 07606 WHITE, MARCUS COOK COUNTY SHERIFF DEPT 02/23/13 STELZMAN, RUTH STATES ATTORNEY OF COOK COUN 159 13WC 07953 VASQUEZ-POE, CHRISTINE RUSH UNIVERSITY MEDICAL C 02/07/13 RITTENBERG & BUFFEN KEEFE CAMPBELL & ASSOC LLC 160 13WC 07957 OJEDA, CRISTINO AMERICAN STEELWORKS INC 01/26/13 LEWIS & DAVIDSON, LTD GANAN & SHAPIRO 161 13WC 07973 CERDA, FAUSTINA UNIVERSITY OF ILLINOIS 07/31/12 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 162 13WC 08020 19B PACHECO, JASON M BURKE BEVERAGE, INC 06/25/12 KOSIN LAW OFFICE LTD HEYL ROYSTER VOELKER & ALLEN 13WC008021 -C 13WC008022 -C 163 13WC 08368 SMITH, FRANCES BEHR PAINT 03/04/13 KREITER, BYCK & ASSOC LLP 13WC008369 -C 13WC031331 -C 164 13WC 08586 JACKSON, GAIL UNIVERSITY OF 02/26/13 STEPHEN G PINTO LTD 165 13WC 08750 LOPEZ, MARIA DEBBIE'S CUSTOMIZED STAFF 03/05/13 LUIS A ACEVES & ASSOC GAROFALO SCHREIBER STORM 166 13WC 08817 LUEVANO, JUAN PETE'S FRESH MARKET 02/10/13 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 167 13WC 09389 RODRIGUEZ-RODRIGUEZ, SARA UNITED AIRLINES INC. 04/15/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 13WC009390 -C 13WC009391 -C 168 13WC 09925 RIVAS, LUZ INDIVIDUAL & R BENNY'S PRIME CHOP HOUSE # 04/12/10 STEINBERG BURTKER & GROSSM LAW OFFICES JOSEPH MARCINIAK 169 13WC 16564 PALMER, ARNETTE DAKOTA INTEGRATED SYSTEMS 04/11/13

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 170 13WC 16591 THURMAN, BROCK PRO-MET STEEL 04/19/13 LAW OFFICE OF JAMES H MILL 171 13WC 16640 STELL, MARGARET M AMERICAN EAGLE AIRLINES 02/08/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 172 13WC 16678 ELVIR, NANCY WATER SAVER FAUCET CO 04/22/13 JONATHAN SCHLACK MACIOROWSKI SACKMANN & ULRIC 13WC016679 -C 13WC016680 -C 13WC016681 -C 173 13WC 16725 WADE, HAROLD UNIVERSITY OF ILLINOIS HO 04/30/13 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 15WC023500 -C UNIV OF ILLINOIS HOSPITAL 174 13WC 16815 KEEN, JOYCE MERCK CO 04/12/13 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 175 13WC 16930 HERNANDEZ, JOSE J CVS PHARMACY 01/25/13 GOLDSTEIN BENDER & ROMANOF HINSHAW & CULBERTSON 176 13WC 17024 PEREZ, REYNALDO ALLIANCE GROUND INTERNATI 11/20/12 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 177 13WC 17025 PEREZ, REYNALDO ALLIANCE GROUND INTERNATI 05/08/13 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 178 13WC 17077 ZAMORA, MARTIN CITY OF CHICAGO 03/01/13 CUDA LAW OFFICES CITY OF CHICAGO 179 13WC 17254 SKINNER, KENNETH E UNITED PARCEL SERVICES-FR 12/18/12 DAVID F SZCZECIN & ASSOC L ASA LAW GROUP 180 13WC 17381 FIGUEROA, JAMES FRANKLIN PARK POLICE DEPT 12/17/12 MICHAEL NICHOLSON INMAN & FITZGIBBONS 13WC017382 -C 15WC014985 -C 181 13WC 17546 ABDI, ABDIRISAK BEEP BEEP CAB CO/YELLOW C 01/17/13 HUNER LAW OFFICES LLC 182 13WC 17585 LA PASH, TINA CITY OF CHICAGO 05/20/13 HEALY SCANLON LAW FIRM LEAHY EISENBERG & FRAENKEL 183 13WC 18053 GARIBAY, YOLANDA PACE NORTHWEST DIVISION 02/10/11 JOHN E LUSAK SLAVIN & SLAVIN 184 13WC 18166 MAGANA, MARIA L TEAM STAFFING 01/24/12 JAMES M GERAGHTY GAROFALO SCHREIBER STORM 13WC034634 -C DLH SOLUTIONS, INC 185 13WC 18289 ESQUILIN, BRENDA WALMART STORES INC 04/19/13 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 13WC 19164 LATHAM, JOSEPH KICKERT BUS LINES, INC. 01/23/13 VITELL & SPITZ LTD GALLIANNI DOELL & COZZI LTD 187 13WC 19339 OCHOA, MARTIN HOY LANDSCAPING, INC 03/05/13 FRIEDMAN & SOLMOR LTD RUSIN MACIOROWSKI & FRIEDMAN 188 13WC 19355 STEFANSKI, THOMAS R CITY OF CHICAGO DEPT OF 05/22/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 189 13WC 19482 DELEON, ELVIA 224 MILLENNIUM 07/16/10 ROBERT M WARSASKI HINSHAW & CULBERTSON 190 13WC 19605 19B STAINE, MICHAEL BRIUS TELECOM SOLUTIONS 05/29/13 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 191 13WC 22582 ROJAS, ISAIAS PEREZ BIONDILLOS BAKERY LLC 01/01/13 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 192 13WC 23043 ZIMMER, CHARLES JR FORD MOTOR COMPANY 04/07/13 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 193 13WC 23531 COPELAND, NEDRA L CHICAGO TRANSIT AUTHORITY 06/20/13 WARREN W MARK CHICAGO TRANSIT AUTHORITY 194 13WC 27214 GARCIA, STACY DUNKIN DONUTS/BASKIN ROBB 07/27/13 COZZI & GOGGIN-WARD 195 13WC 27491 CASTANEDA, OSCA CROWN CHEMICAL 07/24/13 THE ROMAKER LAW FIRM COZZI & GOGGIN-WARD 196 13WC 27825 DOYLE, JOHN CITY OF CHICAGO 05/08/13 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 197 13WC 27851 CAVAZOF, SILVIA FOREVER 21 08/20/13 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 198 13WC 27987 EASTERLING, BERNARD NESTLE USA 07/09/13 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL & ASSOC LLC 199 13WC 28440 KINCADE, MARILYN FITNESS FORMULA HEALTH CL 07/23/13 VASILATOS & COTTER LLC LAW OFFICES JOSEPH MARCINIAK 200 13WC 28533 MEJIA, JUAN WE CLEAN SERVICES INC 08/25/13 EPSTEIN, JACK R LAW OFFICE MC ANDREWS & NORGLE LLC 201 13WC 28575 SALGADO, OFELIA SOLO CUP COMPANY 08/08/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 202 13WC 29169 DEPKE, MARY WALGREENS 05/04/13 RITTENBERG & BUFFEN GILDEA & COGHLAN 203 13WC 29262 WRIGHT, SHARON JEWEL OSCO 08/12/13 THE KARMEL LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 13WC 29276 ROY, GEORIGANN WEINFIELD DENTAL GROUP 08/03/13 CUDA LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 205 13WC 29398 HICKS, DORINDA PROVISO AREA FOR 08/21/13 JOHN E LUSAK BRADY CONNOLLY & MASUDA PC 206 13WC 29453 MARTIN, ALONZO L SWEDISH COVENANT HOSPITAL 05/03/12 MACIOROWSKI SACKMANN & ULRIC 207 13WC 29516 MASON, CHERYL CTA 08/08/13 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 208 13WC 30162 HARRIS, EUGENE S KATES 08/28/13 ANKIN LAW OFFICE ROBERT L. SMITH 209 13WC 30174 JOHNSON, BRIAN E SIMPLOY 08/28/13 ANKIN LAW OFFICE 210 13WC 30591 PLATA, ALBERTICO TRANSCORR 06/24/13 EPSTEIN, JACK R LAW OFFICE SCOPELITIS GARVIN LIGHT 211 13WC 30710 COLLINS, MICHAEL VILLAGE OF HOFFMAN ESTATE 04/07/13 RATHBUN CSEVENYAK & KOZOL RODDY LAW LTD 212 13WC 30889 PEDROZA, MARIA C CHALLENGER, GRAY & CHRIST 02/08/13 KATZ FRIEDMAN EAGLE ET AL 213 13WC 31883 ROG, MARTA NORDSTROM 06/27/13 LAW OFFICE STEVEN J SEIDMA ROBERT L. SMITH 214 13WC 34102 MORITZ, BRIAN TROIS K & D 08/16/13 CRONIN PETERS & COOK, PC NYHAN BAMBRICK KINZIE & LOWR 215 13WC 34901 KHALED, NADER CONTINENTAL AIRLINES 06/28/11 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 216 13WC 38717 REYES, MIGUEL FIESTA MARKET INC C/O 11/01/13 LEWIS & DAVIDSON, LTD 13WC038718 -C 14WC006906 -C 217 13WC 38761 JACKSON, CHARLES COSMOS BEAUTY SUPPLY 11/13/13 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 218 13WC 38856 ARNOLD, SHERROD FEDEX GROUP PACKING SERVI 11/13/13 SANTILLI LAW GROUP SCOPELITIS GARVIN LIGHT 219 13WC 39205 MARTINEZ, MARIA WORKFORCE LLC 10/29/13 AIOSSA LAW FIRM KOREY RICHARDSON LLC 220 13WC 39317 BUSHAW, MIKE DOLLAR GENERAL LLC 09/16/13 SCHWEICKERT & GANASSIN 221 13WC 39433 RIVERA, LUIS EXECUTIVE MAILING 06/22/13 CANDIANO LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 222 13WC 39487 BARAJAS, DAVID AMERICAN AIRLINES 05/25/13 SEDGWICK CMS 223 13WC 40000 REYNAGA, JOVITA FERRARA CANDY CO 04/04/13 HERRERA LAW CENTER 224 13WC 40087 GARCIA, RAFAEL DLH SOLUTIONS INC 07/23/13 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 225 14WC 00803 VILLA, ROCIO KERRY INGREDENTS & FLAVOU 07/10/13 EPSTEIN, JACK R LAW OFFICE STONE & JOHNSON CHARTERED 226 14WC 01962 VAZQUEZ, DAVID THE LEVY CO 12/23/13 ALAN A BLUM, PC GAROFALO SCHREIBER STORM 227 14WC 02926 POLISHAK, JOHN CITY OF CHICAGO 04/23/11 ROSS TYRRELL 228 14WC 03221 SARKIS, SAMIRA SODEXO INC 10/21/13 C. DEAN MATSAS, ESG 229 14WC 03609 RODRUIGUEZ-RUIZ, ROMAN CARLOS PEREZ 10/07/13 KENNETH B GORE, LTD 230 14WC 03631 NESBIT, RUSSELL MIDWEST EXPRESS CARRIER W 01/29/14 BRISKMAN BRISKMAN GREENBER 231 14WC 03701 CAMISA, MICHAEL EAST BALT, INC 09/12/13 RAYMOND P GARZA LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 232 14WC 03879 KOSTIZAK, STANLEY ACH FOOD COMPANY 01/19/14 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 233 14WC 03973 JUAREZ, ROCIO METRO STAFF 11/08/13 JONATHAN SCHLACK HENNESSY & ROACH PC 234 14WC 04112 GAYTAN, ROSALBA ALDI FOODS CORPORATION 06/20/13 JOHN J CASTANEDA BRADY CONNOLLY & MASUDA PC 235 14WC 04679 RAMOS, LUIS TRANSFER INTERNATIONAL, I 08/08/13 LEO ALT LAW OFFICES JOSEPH MARCINIAK 236 14WC 04717 JOHNSON, ALTHEA GAREDA SERVICES 12/06/13 237 14WC 04842 BIALAS, STEVEN J AT&T INC 10/24/13 GOLDBERG WEISMAN & CAIRO L 238 14WC 04860 KILLINS, ARTHUR CHICAGO TRANSIT AUTHORITY 10/17/13 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 239 14WC 04925 ROMEO, LAUREN DOMINICAL UNIVERSITY 01/22/12 DECARLO LAW GROUP MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 240 14WC 04942 STOVER, PRESTON METROPLITAN WATER RECLAMA 11/27/12 LAW OFFICE OF SCOTT B SHAP HEYL ROYSTER VOELKER & ALLEN 241 14WC 05321 FELDMANN, BEVERLY NILES ELEMENTARY SCHL 06/06/13 OLMSTEAD, GREGORY J LAW OF 242 14WC 05555 CONNELLY, DAVID JEWEL FOODS STORES 11/16/13 BOUDREAU & NISIVACO LLC RODDY LAW LTD 243 14WC 05613 MARTINEZ, JESSE THE AUTOBARN NISSAN 10/17/13 ALEXANDER DUKOR & ASSOC HENNESSY & ROACH PC 244 14WC 05865 AGUILAR, GUSTAVO AMITY PACKING 02/07/14 LAW OFFICE OF OSVALDO RODR MEACHUM & STARCK 245 14WC 05910 BAVARO, ANTHONY A TIMS SNOWPLOWING INC 01/26/14 MARK G PATRICOSKI P C RIPES NELSON BAGGOT KALOBRAT 246 14WC 06195 GRAHAM, ALLEN HESCO INC 08/06/13 COVEN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 247 14WC 06265 DAWKINS, SHARON L CTA 02/18/14 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 14WC034779 -C 248 14WC 06333 LARSON, ELLIE KIEL UNITED AIRLINES INC. 06/23/13 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 249 14WC 06419 JONES, JERRY CHICAGO TRANSIT AUTHORITY 02/21/14 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 250 14WC 06622 BERG, JUSTIN C/O CHICAGO CLUB BASEBALL CLU 05/26/11 GORDON LAW OFFICES LTD GANAN & SHAPIRO 251 14WC 11178 SIMIONI, ANTOINETTE B2B STAFFING SERVICES INC 12/06/13 SMOLER LAW OFFICE, PC BRADY CONNOLLY & MASUDA PC 252 14WC 13859 VERMA, VIJAY CHICAGO CARRIAGE CAB CO 03/01/14 MORTELL, RICHARD W JR 253 14WC 14713 DIAZ, SULEMA ALDI 02/12/14 STEWART C ORZOFF MACIOROWSKI SACKMANN & ULRIC 254 14WC 15201 AVALOS, JULIA UNISTAFF 03/12/14 ILLINOIS INJURY LAWYERS WIEDNER & MCAULIFFE LTD 255 14WC 15217 BARNETT-POWELL, MARY WEST WAY/RICH LEE 11/05/13 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 15WC021866 -C COOK IL CORP 256 14WC 15240 TAWALBEH, RADWAN YELLOW CAB CO 03/24/14 DWORKIN AND MACIARIELLO LAW OFFICES OF DEBORAH SCHAE 257 14WC 15954 JARCZYK, ZBIGNIEW WEST WIND EXPRESS W 04/30/14 CHEPOV & SCOTT LLC MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 258 14WC 15966 VALDOINOS, GERARDO MINUTE MEN STAFFING OF IL 04/08/14 CARONE LAW OFFICES 259 14WC 16080 ANDELIC, NOVICA I LOAD INC 01/16/14 RODDY LAW LTD 260 14WC 16137 TAYLOR, LAWANDA CALHOUN CHICAGO PUBLIC SCHOOLS 03/14/14 DWORKIN AND MACIARIELLO LAW DEPARTMENT 261 14WC 16221 SERAVO, TONY C & C DELIVERIES INC 04/30/14 KURASCH & KLEIN, LTD 262 14WC 16261 EHLERS, MARK ABF FREIGHT SYSTEM INC 05/05/10 FRANCIS J DISCIPIO LAW OFF KEEFE CAMPBELL & ASSOC LLC 263 14WC 16512 VILLALOBOS, EVERARDO BECKER SPECIALTY CORP 04/03/14 NILSON STOOKAL GLEASON CAP LAW OFFICES JOSEPH MARCINIAK 14WC032390 -C 264 14WC 16653 MUKEZIMANA, SYLVIE RADISSON BLU AQUA HOTEL 02/28/14 SALVATO & O'TOOLE WIEDNER & MCAULIFFE LTD 265 14WC 16665 WILLIAMS, STEVEN UNITED PARCEL SERVICE INC 03/18/14 CULLEN HASKINS NICHOLSON 266 14WC 16687 BRANDON, JOE CHICAGO TRANSIT AUTHORITY 03/28/14 BOWMAN & CORDAY 267 14WC 16811 CRESPO, JOSE E ILLINOIS DEPARTMENT OF @ 04/28/14 SALK, STEVEN B & ASSOC LTD JILL OTTE 268 14WC 16938 JERDING-KORAN, KAREN M FRANKFORT TERRANCE 02/18/14 ANKIN LAW OFFICE 269 14WC 17192 SAKHI, SALMAN ARA EXPRESS, INC. 05/17/14 FRIEDMAN & SOLMOR LTD LAW OFFICES DEBORAH SCHAEFER 270 14WC 17313 CORDERO, MARTHA E VANEE FOODS CO 05/12/13 GALLIANI DOELL & COZZI LTD QUINTAIROS PRIETO WOOD & BOY 14WC017314 -C 271 14WC 17322 LINDSAY, CARROL LOYOLA UNIVERSITY CHICAGO 09/12/13 DWORKIN AND MACIARIELLO BRAUN LORENZ & BERGIN PC 14WC017323 -C 14WC018449 -C 272 14WC 17407 ROMERO, ORALIA UNIVERSAL HOLDINGS LLC 04/07/14 PETER D CORTI LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 273 14WC 17611 ROCHON, FARRYL FORD MOTOR COMPANY 09/23/13 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 274 14WC 17718 DOOLIN, KATHERINE CHICAGO BOARD OF EDUCATIO 02/03/14 ROSS TYRRELL LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 275 14WC 18038 MANGIO, EDGARDO EAST BALT COMMISSARY INC 09/27/13 FRANK A CELANI NYHAN BAMBRICK KINZIE & LOWR 276 14WC 18118 WRZOSEK, LILIANNA FAMILY DENTAL CENTER 02/14/14 BARRY STEWART SILVER LAW OFFICES JOSEPH MARCINIAK 14WC018119 -C 277 14WC 18184 CALDERON, SOCORRO HYDE PARK DAY SCHOOL 03/10/14 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 278 14WC 18233 GRILLO, DANN V METROPOLITAN WATER RECLAM 12/01/10 ROMANUCCI & BLANDIN NOBLE & ASSOCIATES PC 14WC018234 -C 14WC018235 -C 14WC018236 -C 16WC019210 -C 279 14WC 18265 CAHILL, SHANNON J TOMPKINS PRINTING EQUIPME 11/11/13 RUBIN LAW GROUP GANAN & SHAPIRO 280 14WC 18391 COOKS, GREG AMERICAN AIRLINES INC 01/13/14 PETER D CORTI LAW GROUP GAROFALO SCHREIBER STORM 281 14WC 18437 GARAY, MARIA WORLD MARKETING INC 04/08/14 ILLINOIS INJURY LAWYERS MEACHUM & STARCK 282 14WC 18635 MONTEZ, NATALIA CAR CREDIT CENTER 05/13/14 283 14WC 23429 SPRATT, DARRYL LEVY RESTAURANTS AT WRIGL 06/24/14 LAW OFFICES TIMOTHY LAMPIN 284 14WC 23664 TAFOYA, MARIA M (WIDOW) D CONSTRUCTION # 06/21/14 MEACHUM & STARCK 285 14WC 23745 19B BRESNAHAN, SCOTT METROPOLITAN WATER RECLAM 11/18/13 ELFENBAUM EVERS & AMARILIO NOBLE & ASSOCIATES PC 286 14WC 25986 PATRICIO, ABRAHAM PRESENCE HEALTH 04/16/14 DEPAOLO ZADEIKIS GORE KEEFE CAMPBELL & ASSOC LLC 287 14WC 26176 GORDON, ANTHONY LILYDALE OUTREACH 12/18/13 DAVID W MARTAY LAW OFFICES JOSEPH MARCINIAK 288 14WC 26298 DECLUE, DONALD TOP NOTCH ROOFING 06/06/14 BROWN & CROUPPEN ARCHER LASSA & MCHUGH 289 14WC 26301 ALIASI-GALIONE, MARIA PROVISO TOWNSHIP EAST SCH 06/04/14 LAW OFFICE OF JAMES F. HER ANCEL GLINK DIAMOND BUSH & E 290 14WC 26399 O'BANNER, ANTONIO JACKSON PARK HOSPITAL 06/20/14 RAYMOND M SIMARD, PC ODELSON & STERK 291 14WC 26529 ORTIZ, LILLIAN J & A MAINTENANCE & DECOR 07/23/14 ANESI OZMON RODIN NOVAK KO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 292 14WC 27021 MARTIN-HALL, DELORES CHICAGO TRANSIT AUTHORITY 05/16/14 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY 293 14WC 27034 RAESS, ROBERT ADL INC 07/28/14 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 294 14WC 27108 QUEEN-THOMAS, BEVERLY CHICAGO PUBLIC SCHOOLS 02/16/12 295 14WC 27109 QUEEN-THOMAS, BEVERLY CHICAGO PUBLIC SCHOOLS 01/19/11 296 14WC 27267 MENDOZA, ELIDA CERMAK FRESH MARKET 07/19/14 EPSTEIN, JACK R LAW OFFICE KOPKA, PINKUS & DOLIN, PC 15WC039799 -C 297 14WC 27349 RODRIGUEZ, JESUS GRECIAN DELIGHT FOODS INC 07/10/14 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 14WC027350 -C 298 14WC 27645 BANUELOS, DANIEL STATE LINE CORPORATION 07/01/14 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 299 14WC 27787 MCQUEEN, ASHLY UNITED AIRLINES INC. 04/13/14 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 300 14WC 27970 RUIZ, FRANCISCO UNIVERSITY OF ILLINOIS HO 07/24/14 LAW OFFICES LEONARDO MORAL POWER & CRONIN LTD 301 14WC 27971 WILDER, RYAN GENERAL ELECTRIC 07/12/12 HERRERA LAW CENTER 302 14WC 27972 EVANS, HARRY CHICAGO TRANSIT AUTHORITY 08/12/14 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 303 14WC 28006 KROULAIDIS, JOSEPH E CITY OF CHICAGO DEPT OF 05/12/14 O'CONNOR & NAKOS CITY OF CHICAGO 304 14WC 28269 DE PIRRO, JESSE J TELE PLUS 08/07/14 SOSTRIN AND SOSTRIN PC WIEDNER & MCAULIFFE LTD 305 14WC 28367 BROWN, ANDREA LIFESCAN LABORATORIES, IN 11/11/13 LAW OFFICE OF JAMES H MILL 306 14WC 28416 ALVARADO, CELIA UGN, INC. 04/09/14 BRISKMAN BRISKMAN GREENBER 307 14WC 28505 MC CULLOR-DAVIS, LETRICIA MAJESTIC PROTECTIVE SERVI 07/14/14 MEACHUM & STARCK 308 14WC 28524 HUBAL, DONALD R MICHELS PIPELINE CONSTRUC 08/18/14 BOWMAN & CORDAY GAROFALO SCHREIBER STORM 309 14WC 28622 DAWSON, KATHLEEN CTA 01/30/14 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 310 14WC 28641 FUENTES, MARTIN EAGLE EXPRESS LINES 06/01/13 PORRO NIERMANN & PETERSEN 311 14WC 28782 CARTER, DOROTHEO DENISE COOK COUNTY JUVENILE TEMP 06/27/14 STEPHEN G PINTO LTD STATES ATTORNEY OF COOK COUN 312 14WC 28901 TILLISON, FRANCHOT PACE 07/09/14 ANKIN LAW OFFICE SLAVIN & SLAVIN 313 14WC 29041 WICKSTROM, SCOTT AEROTEK 08/06/14 NEWLAND & NEWLAND HENNESSY & ROACH PC 314 14WC 29287 NELSON, CHESTER GATEWAY INDUSTRIAL POWER 04/21/13 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 14WC029288 -C 315 14WC 29320 DIAZ, JOSEFINA RESIDENCE INN 05/24/14 LEONARD LAW GROUP LLC WILSON ELSER 316 14WC 29347 JONES, ARTHUR WHEATLAND TUBE CO 08/14/14 RIDGE & DOWNES GAROFALO SCHREIBER STORM 317 14WC 29550 DEFRANCISCO, DAWN UNITED AIRLINES INC. 07/27/14 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 318 14WC 29910 PETWAY, CHERYL L UNITED AIRLINES INC. 02/24/14 VITELL & SPITZ LTD WIEDNER & MCAULIFFE LTD 319 14WC 29944 KOONS, MARVIN JEWEL FOOD STORES 11/19/13 LEWIS & DAVIDSON, LTD 320 14WC 29980 HOLMON, LASHAWN CTA 07/14/14 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 321 14WC 30045 HART, SANDRA UNITED AIRLINES INC. 10/18/13 KATZ FRIEDMAN EAGLE ET AL 322 14WC 30292 BUCHANAN, CHRISTOPHER CITY OF CHICAGO 08/31/14 FRIEDMAN & SOLMOR LTD CITY OF CHICAGO 323 14WC 33453 GONZALEZ, MIGUEL UNITED PARCEL SERVICE 07/23/14 BOWMAN & CORDAY NYHAN BAMBRICK KINZIE & LOWR 324 14WC 33856 MANZANO, TIFFANY TASTY PIZZA DBA MARCO'S P 09/14/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 325 14WC 34154 LAMAR-FRANCOIS, CYNTHIA CHG HEALTHCARE SERVICES I 09/19/14 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 326 14WC 34728 SALAS, CHRISTOPHER M EXPRESS EMPLOYMENT 02/24/14 VITELL & SPITZ LTD GILDEA & COGHLAN 327 14WC 35476 STOCCHIA, TERESA UPS FREIGHT 09/25/14 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 328 14WC 35883 GREEN, SHARON CTA 09/15/14 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 329 14WC 36639 MALDONADO, MARIA LEONA'S 08/10/13 DWORKIN AND MACIARIELLO 330 14WC 36758 SMITH, ROSE FORD MOTOR COMPANY 10/24/14 LEE, MARK N LAW OFFICE WIEDNER & MCAULIFFE LTD 14WC036759 -C 331 14WC 36774 JAMA, NOROW YELLOW CAB 09/27/14 LAW OFFICE RYAN ROSENTHAL 332 14WC 37215 VILLAPANDO, JOSE F&F AUTOMOTIVE 06/13/14 HOWARD S. KAVENOW LLC 333 14WC 37378 HEREDIA, JUAN RED LINE PAINTING INC 10/23/14 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 334 14WC 37439 ALMEIDA, MARIA SOFITEL LUXURY HOTEL 09/05/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 335 14WC 37597 FERNANDEZ, MANUEL CHICAGO PUBLIC SCHOOLS/AR 10/09/14 O'CONNOR & NAKOS LAW DEPARTMENT 336 14WC 37644 SANCHEZ, PHILLIP FOX SERVICES GROUP 10/02/14 DAVID W MARTAY THOMAS & ASSOCIATES 337 14WC 37825 OHIKHUARE, GEORGE CHICAGO CARRIAGE CAB CO 04/21/13 LEADERS LAW CENTER LLC 338 14WC 37891 BARRIENTOS, GERARDO KOI RESTAURANT 07/02/12 JOEL BELL 339 14WC 37906 MC DUFFIE, PHILLIP COOK DUPAGE TRANSPORTATIO 07/07/14 LAW OFFICE OF SCOTT B SHAP 340 14WC 38050 ROBINSON, MELISSA WAL MART 07/12/13 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 341 14WC 38059 EWING, RYDELL S DAVIS STAFFING 05/09/14 VASILATOS & COTTER LLC 342 14WC 38061 ACUNA, JOSE C DEZURIK INC D/B/A DEZURIK 05/12/14 JOHN J CASTANEDA HOLECEK & ASSOCIATES 343 14WC 38226 REYES, SHEREE ANN UNIVERSITY OF ILLINOIS 12/22/13 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 14WC038227 -C 344 14WC 38280 SNYDER, DARIN CITY OF CHICAGO 09/17/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 345 14WC 38433 FRANCIS, JOSEPH METROPOLITAN WATER REC DI 11/12/14 COVEN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 346 14WC 38471 JIMENEZ, JAHIRO HOMESTAR RESIDENTIAL SERV 09/18/14 LAW OFFICE EDWARD RUEDA 347 14WC 38604 BRODY, JENNIFER CHICAGO PUBLIC SCHOOL/ 11/03/14 STREET, JAMES R LAW DEPARTMENT 348 14WC 38634 ORTEGA, RIGOBERTO CLOVERHILL BAKERY 09/20/14 STROM, NEAL B ROBERT L. SMITH 349 14WC 38664 MONOY, RITA RESURRECTION MEDICAL CENT 04/04/14 ROBIN LAW OFFICE 350 14WC 38858 TERRY, DEBRA A SCHOOL DISTRICT 133 09/04/13 BUDIN LAW OFFICES HENNESSY & ROACH PC 351 14WC 39532 COLEMAN, TERRENCE AT & T 10/24/14 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 352 14WC 39579 RIOS, MARILU ALTERNATIVE STAFFING INC 11/01/14 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 353 14WC 39617 RIVERA, HENRY CITCOM 11/06/14 SHELDON I MINKOW & ASSOCIA 354 14WC 39643 DANIEL, EDGAR CHICAGO TRANSIT AUTHORITY 11/17/14 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 355 14WC 39659 GAYTON, JOSEPH CHICAGO TRANSIT AUTHORITY 10/15/14 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 356 14WC 39679 MURPHY, MARY RUTH'S CHRIS STEAK HOUSE 09/12/13 HANNIGAN & BOTHA, LTD LEAHY EISENBERG & FRAENKEL 357 14WC 39892 JOZWIAK, DENISE TARGET 10/08/14 VITELL & SPITZ LTD 358 14WC 39944 SKALA, RAY AT&T 07/10/13 DEPAOLO ZADEIKIS GORE 14WC039945 -C 359 14WC 40111 DYKSTRA, DAVID DARLING INTERNATIONAL 11/11/14 RATHBUN CSEVENYAK & KOZOL MATHIS MARIFIAN RICHTER ET A 360 14WC 40247 PERRY, MATTHEW R STONE MOUNTAIN ACCESS 03/11/14 361 14WC 40422 CASILLAS, BENJAMIN EAST LAKE MANAGEMENT 01/06/14 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 362 14WC 40591 KASZUBA, BEATA KOLATEK'S BAKERY 10/06/14 363 14WC 40935 GRABOWSKI, JOHN HMS HOST D/B/A 10/02/14 ROSS TYRRELL ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 364 14WC 42132 HARDWICK, MELODY KURTZ AMBULANCE 10/07/14 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 365 15WC 02870 STAPLES, MICHAEL COMMONWEALTH EDISON 07/15/14 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 366 15WC 02947 BAILEY, AKEEM L IUNIVERSAL TAXI DISPATCH 01/18/15 WARREN W MARK 367 15WC 03010 WERNER, ROBERT L A & A SPRINKLER CO 12/10/13 ALBERT R. PINO LAW OFFICE 368 15WC 03131 HANNAH, KIMBERLY AIM SPECIALITY HEALTH 02/04/13 WILLIAM S. WOJCIK LTD MARTIN, PATRICK W 369 15WC 03385 BILLICH, ESTHER METROPOLITAN WATER RECLAM 01/05/15 PETER D CORTI LAW GROUP 370 15WC 03402 LONGTIN, TRACI FORD MOTOR CO 11/03/14 LAW OFFICE EDWARD LICHTENS WIEDNER & MCAULIFFE LTD 371 15WC 03492 MOCTEZUMA, EDWIN ELITE STAFFING INC 12/08/14 DEPAOLO ZADEIKIS GORE MARC CAIRO 372 15WC 03558 SIMMONS, LAURIE WALTER E SMITHE 08/07/14 NILSON STOOKAL GLEASON CAP HENNESSY & ROACH PC 373 15WC 03757 KRUSZYNSKI, ZYGMUNT MWTS LLC 01/07/15 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 374 15WC 03795 VANCE, HAROLD PATTERSON TOWING/ 03/02/14 LAW OFFICES OF KIRK MOYER 375 15WC 03936 DOTISON, NASHON CTA 01/29/15 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 376 15WC 03993 MARTINEZ, VICTOR PACIFIC RAILS SERVICES 09/17/14 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 15WC029421 -C 16WC007962 -C 377 15WC 04110 DIAZ-LOPEZ, JOSE HUGO'S FROG BAR & FISH HO 05/14/14 RUEDA, IVAN A RUSIN & MACIOROWSKI LTD 378 15WC 04172 KATSAMAGAS, LUCY MARIANO'S FRESH MARKET 05/02/14 CULLEN HASKINS NICHOLSON 379 15WC 04371 CHAPPELL, GLENDA STATE OF ILLINOIS-IDHS @ 08/25/14 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 380 15WC 04622 VERA, NORMA HERMITAGE CONDOMINIUM ASS 10/18/14 GRAVLIN, MICHAEL J LLC POWER & CRONIN LTD 381 15WC 04625 SALGADO, JOSEPHINA CHICAGO BOARD OF EDUCATIO 11/18/14 SEIDMAN MARGULIS & FAIRMAN 15WC004626 -C 382 15WC 04934 DURAN, EDUARDO BUONA BEEF 08/09/14 GOLDSTEIN BENDER & ROMANOF 383 15WC 04956 DICKERSON, AQUIA CHICAGO PUBLIC SCHOOLS 01/05/15 SALVATO & O'TOOLE 384 15WC 05102 JACKSON, ROGER WATER RECLAMATION DISTRIC 02/03/15 MICHAEL P MCCREADY & ASSOC HEYL ROYSTER VOELKER & ALLEN 385 15WC 05122 ENCISO, JAVIER QUALITY FOOD PRODUCTS 10/13/14 JAUREGUI & ASSOCIATES 386 15WC 05176 SMITH, SHARON SERVICEMASTER COMMERCIAL 01/22/15 ANKIN LAW OFFICE EDWARD JANUSZKIEWICZ 387 15WC 05388 KOCH, SHERRY GLENBROOK HS DISTRICT 225 10/07/13 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 388 15WC 05402 LOCKETT, TORA APPLEONE EMPLOYMENT AGENC 09/27/14 DWORKIN AND MACIARIELLO 389 15WC 05558 STELMASZEK, JOSEPH F CHICAGO STREETS & SAN DEP 01/14/15 SOSTRIN AND SOSTRIN PC CITY OF CHICAGO 390 15WC 05590 JACKSON, JESSE GRANITE SERVICES INTERN 07/25/14 HANNIGAN & BOTHA, LTD MACIOROWSKI SACKMANN & ULRIC 15WC005591 -C 391 15WC 05634 RIDGELL, JASON A SELECT STAFFING 01/30/15 CRONIN & PETERS 392 15WC 05780 ESPARZA, JOSE A POSEN-ROBBINS SCHOOL DIS 02/02/15 LAW OFFICE PHILIP BLOMBERG BRADY CONNOLLY & MASUDA PC 393 15WC 05878 MALDONADO, JULIAN CITY OF CHICAGO 12/24/14 SALVATO & O'TOOLE CITY OF CHICAGO 394 15WC 06101 BARASA, ROBERT A IL DCFS 07/21/14 CUSHING LAW OFFICES JEANNINE SIMS 395 15WC 06289 BANKS, CORA LBP MANUFACTURING 01/21/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 396 15WC 06313 REED, STEPHEN ELITE STAFFING INC 02/15/15 BRISKMAN BRISKMAN GREENBER MARC CAIRO 397 15WC 06516 GOSHA, DERRICK AEROTEK 02/18/15 ANKIN LAW OFFICE LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 398 15WC 06864 CORREA, ANA MARIA SODEXO 02/12/14 LAW OFFICE ILONKA ULRICH INMAN & FITZGIBBONS 399 15WC 07537 BARRIENTOS, JOSE F CHICAGO MEAT AUTHORITY IN 02/28/15 KATZ FRIEDMAN EAGLE ET AL LITCHFIELD CAVO 400 15WC 11710 MILLER, SHERRI JEWEL FOODS STORE 02/11/15 THOMAS J STIBERTH LAW OFFI BRADY CONNOLLY & MASUDA PC 401 15WC 14268 WASHINGTON, VANESSA CITY OF CHICAGO 02/07/15 WOODRUFF & JOHNSON CITY OF CHICAGO 402 15WC 14343 BURNS, LAWRENCE J BARGE TERMINAL TRUCKING 01/24/14 COHN & COHN RODDY LAW LTD 403 15WC 14624 DELGADO, AGAPITA JR PLAZA HOTEL II 03/08/15 MC HARGUE, JAMES P LAW OFF GAROFALO SCHREIBER STORM 404 15WC 14700 MENDEZ, CESAR A COOK CTY CORRECTIONS DEPT 04/30/15 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 405 15WC 14706 GARCIA, KARINA HOME PRODUCTS INTERNATION 11/17/14 COSTA IVONE LLC MEACHUM & STARCK 406 15WC 14728 SANCHA, MARIA DURABLE PACKAGING INTERNA 10/01/14 SALVATO & O'TOOLE WIEDNER & MCAULIFFE LTD 407 15WC 14770 PIKOWITZ, DANIEL D VILLAGE OF OAK LAWN 01/31/15 BAUM RUFFOLO & MARZAL LTD GAROFALO SCHREIBER STORM 408 15WC 14792 RECENDEZ, ALFONSO LAWRENCE FOODS, INC. 06/12/14 JOHN E LUSAK COZZI & GOGGIN-WARD 409 15WC 14814 BOYD, CHIQUETTA MARIANOS 10/13/14 POMPER & GOODMAN INMAN & FITZGIBBONS 410 15WC 14878 HAWKINS, RICKEYTA SCR MEDICAL TRANSPORTATIO 09/25/14 SHELDON I MINKOW & ASSOCIA NYHAN BAMBRICK KINZIE & LOWR 411 15WC 15041 WALLS, DAVID SMARTE CARTE 03/28/15 BRISKMAN BRISKMAN GREENBER THOMAS & ASSOCIATES 412 15WC 15222 SWANIGAN, DARNELL FORD MOTOR CO 02/26/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 413 15WC 15335 PERSICO, JOSEPH MSM SOLUTIONS 07/13/13 STROM, NEAL B THOMAS & ASSOCIATES 414 15WC 15424 DELGADO, JESUS SEMMLER DEVELOPMENT AND 03/16/15 EPSTEIN, JACK R LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 415 15WC 15594 SERNA, ISIDRO CONGLOBAL INDUSTRIES INC 05/16/14 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 416 15WC 15712 RICHARD, ALLAN REYES HOLDINGS LLC 05/08/15 STELZMAN, RUTH HENNESSY & ROACH PC 417 15WC 15851 CLARK, TYRONE CITY OF CHICAGO 03/31/15 KREITER, BYCK & ASSOC LLP 418 15WC 16077 TORRES, OBDULIA RED HEN BREAD, LLC 01/15/15 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 419 15WC 16234 GARCIA, ALEXIS ST MARY'S HOSPITAL 01/26/15 COSTA IVONE LLC KEEFE CAMPBELL & ASSOC LLC 420 15WC 16250 FEIJO, DOLORES CHICAGO TRANSIT AUTHORITY 05/05/15 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 421 15WC 16309 GALLARDO, DANIEL JF CARPENTRY 07/23/14 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 422 15WC 16315 SABBATH, CARRLEE CHICAGO PUBLIC SCHOOLS 03/31/15 KATZ FRIEDMAN EAGLE ET AL 423 15WC 16544 PERALTA, CHRIS NORMAN MECHANICAL 03/28/14 VASILATOS & COTTER LLC 424 15WC 16572 HARDIN, RENEE CTA 11/14/14 STEVEN A CRIFASE, LTD CHICAGO TRANSIT AUTHORITY 425 15WC 16602 JURCIK, MICHAEK A AMERICAN MODERN 12/03/13 O'CONNOR & NAKOS 426 15WC 16675 KAFISANWO, ESTHER SAMLAND HOME CARE SERVICE 11/14/14 C DEAN MATSAS C DEAN MATSAS 427 15WC 16711 WRIGHT, DANIELLE CTA 05/13/15 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 428 15WC 16756 VALDERAS, ELENA UNITED MAINTENANCE CO 01/15/14 JAMES M GERAGHTY 429 15WC 16843 BRITO, RADAMES SCHNEIDER NATIONAL CARRIE 05/13/15 ANKIN LAW OFFICE POWER & CRONIN LTD 430 15WC 16857 RUTKAUSKAS, LAURYNAS RUTIKA CORP 05/05/15 431 15WC 17018 HUICOCHEA, NANCE MIDWEST ORTHOPAEDICS AT R 04/13/15 CULLEN HASKINS NICHOLSON 432 15WC 17070 BETANCOURT, JUAN BREEN'S UNIFORM RENTAL & 11/20/13 GOLDSTEIN BENDER & ROMANOF THOMAS & PORTELA 433 15WC 17323 SANCHEZ, LUIS COLFAX CORP 01/19/15 LAW OFFICES ROBERT WARSASK THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 434 15WC 17401 JACKSON, WAYNE FH PASCHEN CORPORATE 11/01/14 COVEN LAW GROUP BRADY CONNOLLY & MASUDA PC 435 15WC 17905 MOORE, ERICA COOK COUNTY DEPT OF CORRE 03/17/15 BUDIN LAW OFFICES STATES ATTORNEY OF COOK COUN 436 15WC 18015 SERRANO, NATHAN GUARDIAN EQUIPMENT INC 03/18/15 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 437 15WC 18027 SHAKIR, ZOHAIR WALGREENS 02/26/15 ANKIN LAW OFFICE GILDEA & COGHLAN 438 15WC 18083 BAYLISS, TINA WALGREEN CO. 05/06/15 PETER D CORTI LAW GROUP GILDEA & COGHLAN 439 15WC 18229 WEBSTER, DELILAH FORD MOTOR COMPANY 04/10/15 FOHRMAN, DONALD W & ASSOCS 440 15WC 18252 DIPAOLO, EMO STATE OF ILLINOIS @ 03/11/15 CULLEN HASKINS NICHOLSON JEANNINE SIMS 441 15WC 21165 PHILLIPS, TODD FORD MOTOR COMPANY 04/17/15 COVEN LAW GROUP 442 15WC 21752 MARTINEZ, ESTHELA STAFF RIGHT, INC. 07/07/15 KARNO, MARK L & ASSOC KLAUKE LAW GROUP LLC 443 15WC 23386 RANCHER, TAMIKA UNITED AIRLINES INC. 07/09/15 RUBENS AND KRESS 444 15WC 23422 JOHNSON, CARL H CTA 07/07/15 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 445 15WC 23513 BYRD, DONALD E JR CHICAGOPUBLIC SCHOOLS 07/09/14 SEIDMAN MARGULIS & FAIRMAN 446 15WC 23549 WILLIAMS, WOODROW III CASCADE ORTHOPAEDIC SUPPL 11/10/14 SILVERMAN, CLIFFORD A BRADY CONNOLLY & MASUDA PC 447 15WC 23621 GOCHYEV, GOCHY YELLOW CAB AFFILIATION 04/24/15 HUNER LAW OFFICES LLC 448 15WC 23655 DEBARROS, TOR UNITED AIRLINES INC. 07/29/15 RIDGE & DOWNES 449 15WC 23669 MOSER, JUSTIN NATIONS ROOF NORTH 08/13/14 GOLDBERG WEISMAN & CAIRO L 450 15WC 23733 LEON, GERMAN CERMAK PRODUCE 03/15/15 RUEDA, IVAN A NYHAN BAMBRICK KINZIE & LOWR 451 15WC 23807 VALDIVIA, CARLOS NORTH SHORE PAVING 07/27/15 ABELS & ANNES, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 452 15WC 23891 EKSTROM, DALE A. KITAGAWA-NORTHTECH 08/08/15 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 453 15WC 23929 LATRONICA, LARRY CENTRAL BLACKTOP INC 06/25/15 PATRICIA HARDIMAN LAW OFFI LAW OFFICES OF EDWARD J. KOZ 454 15WC 24051 POCHIE, RANDALL A COOK COUNTY SHERIFF'S POL 08/11/15 O'CONNOR & NAKOS STATES ATTORNEY OF COOK COUN 455 15WC 24083 RIVELLI, JOHN AT&T 07/10/15 THE MACK LAW GROUP PC HENNESSY & ROACH PC 456 15WC 24101 JOHNSON, RANDY CTA 08/08/15 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 457 15WC 24133 GATEWOOD, BARBARA CHICAGO TRANSIT AUTHORITY 08/10/15 WHITESIDE & GOLDBERG LTD 458 15WC 24147 GARCIA, JOAQUIN GERRESHEIMER GLASS INC. 05/30/15 STEVEN A CRIFASE, LTD RUSIN & MACIOROWSKI LTD 459 15WC 24198 MACIAS, MICHAELANGELO FED EX GROUND 07/02/15 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 15WC028692 -C FEDEX GROUND 460 15WC 24217 CASTRO, JUAN OMAR INTERSECTIONS INC 01/23/15 PAUL W GRAUER & ASSOC HENNESSY & ROACH PC 461 15WC 24312 OSRAEL, DAVID CITY OF CHICAGO 07/14/15 THE ROMAKER LAW FIRM CITY OF CHICAGO 462 15WC 24371 MORALES, DONACIANO MARIANO'S FRESH MARKET 08/02/15 JAMES J BURKE LAW OFFICE 463 15WC 24387 MONTEJANO, DOLORES TIGER FINANCIAL / SPEEDY 07/10/14 MACKEY & KRAMER PC LAW OFFICES JOSEPH MARCINIAK 464 15WC 24406 NJONKOU SANY, SOULE JOJO GATE GOURMET 08/09/15 SKLARE LAW GROUP RUSIN & MACIOROWSKI LTD 465 15WC 24477 NEVEL, ANGELA A. COOPER'S HAWK WHEELING, L 01/24/15 LEO M. BLEIMAN & ASSOC GRANT & FANNING 466 15WC 26010 RZEPKA, ADAM PRO TECH BLDG SOLUTIONS 08/01/12 NEMEROFF LAW OFFICES 467 15WC 26027 SWETS, DAVID YRC FREIGHT 07/02/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 468 15WC 26046 WATSON, BUDDY GLENWOOD TOOL & MOLD 05/02/15 CAPRON & AVGERINOS PC 469 15WC 26064 EAGLE, MONA BRIDGEVIEW HEALTH CARE 06/05/15 ANKIN LAW OFFICE SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 470 15WC 26096 SHUMARD, DAWN R. WARD TRUCKING, INC. 07/17/15 LEITER LAW OFFICES 471 15WC 26136 NEVAREZ, MARY WALMART 06/22/15 COVEN LAW GROUP 472 15WC 26154 POPE, BRENDA HEALTHPORT 07/22/15 ANKIN LAW OFFICE THOMAS & PORTELA 15WC026155 -C 473 15WC 26262 LARSEN, JERRY PEOPLES GAS/ INTEGRYS ENE 12/16/13 ELFENBAUM EVERS & AMARILIO MC CABE & HOGAN 474 15WC 26278 KASUDIA, ILABEN RUSH UNIVERSITY MEDICAL C 07/10/13 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 475 15WC 26369 EDWARDS, DARLENE CITY OF CHICAGO 06/30/15 DWORKIN AND MACIARIELLO CITY OF CHICAGO 476 15WC 26432 GARCIA, REYMUNDO VERTEX FASTENERS 06/17/15 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 477 15WC 26457 WILLIAMS, PATTY HEALTHCARE SERVICES GROUP 05/18/15 STROM, NEAL B 478 15WC 26611 EVANS, HUBERT PS PALUCH 03/05/15 MICHAEL P MCCREADY & ASSOC MEACHUM & STARCK 479 15WC 26712 TREJO, SALVADOR LANOR SOLUTIONS 07/10/15 CHEPOV & SCOTT LLC KLAUKE LAW GROUP LLC 480 15WC 26729 WILSON, MICHAEL UNITED AIRLINES, INC. 05/25/15 JOHN F GREGORIO & ASSOC 481 15WC 26852 CATAS, DARYL LABRIOLA BAKING CO 07/22/15 BRISKMAN BRISKMAN GREENBER CAPUANI & SCHNEIDER 482 15WC 26870 HOOD, ANGELA MARSHALLS 06/03/15 DEPAOLO ZADEIKIS GORE 483 15WC 26887 PALMA, OMAR GREENWISE ORGANIC 07/10/15 JOHN S. ELIASIK MEACHUM & STARCK 484 15WC 26902 GARCIA, ELEVIT PETE'S FRESH MARKET 08/01/15 ANGELA NARDI-QUIGLEY KEEFE CAMPBELL & ASSOC LLC 485 15WC 27028 HARGETT, PRESTON CITY OF CHICAGO STREET AN 07/06/15 FITZ & TALLON LTD CITY OF CHICAGO 486 15WC 27041 SANCHEZ, CARMEN I. LOWES HOME IMPROVEMENT 06/05/15 NILSON STOOKAL GLEASON CAP KEEFE CAMPBELL & ASSOC LLC 487 15WC 27145 GRYDZHAN, IRYNA (WIDOW; M CALISEUM II INC. # 12/30/14 EFTEKHARI LAW OFFICES MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 488 15WC 27163 KUPSER, KEVIN UNITED AIRLINES 12/16/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 489 15WC 27332 DENIGRIS, DOMINICK PCS POWER & COMMUNICATION 02/19/15 BOWMAN & CORDAY GANAN & SHAPIRO 490 15WC 27374 NAVA, HECTOR U.S. FOODS 07/02/15 BOGUSZ & BOGUSZ LTD BRADY CONNOLLY & MASUDA PC 491 15WC 27398 RUCKER, ROTONDA WHITE LODGING SERVICES 08/12/15 MICHAEL P MCCREADY & ASSOC WILSON ELSER 492 15WC 27453 CROSSLEY, LATRICIA T OLD DOMINION FREIGHT 07/08/15 PARENTE & NOREM PC RODDY LAW LTD 15WC028028 -C 493 15WC 27486 DIAZ, LUISA AMERICAN LINEN 10/03/14 STEINBERG BURTKER & GROSSM ADELSON TESTAN & BRUNDO 494 15WC 27660 FOSTER, SCOTT SIMPLEX GRINNELL 07/31/15 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 495 15WC 27804 GRIGSBY, SCOTT SUN CHEMICAL CORPORATION 08/05/15 GESMER LAW OFFICES, PC NICHOLAS M. BIGONESS 496 15WC 28006 JORDAN, ROBERT HILTON CHICAGO 07/24/15 ELFENBAUM EVERS & AMARILIO NOBLE & ASSOCIATES PC 497 15WC 28025 BORREGO, DAVID MELROSE PARK POLICE 04/18/15 LAW OFFICES MICHAEL C BRAN DEL GALDO LAW GROUP LLP 498 15WC 28066 GRADY, PATRICIA ARAMARK 06/08/15 LAW OFFICE OF SCOTT B SHAP 499 15WC 28106 SCHAFFER, ROBERT TOWNSHIP HIGH SCHOOL DIST 11/19/13 THE MACK LAW GROUP PC WIEDNER & MCAULIFFE LTD 15WC037339 -C 500 15WC 28122 FOWLER, LINDA COOK COUNTY HOSPITAL 04/11/15 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 501 15WC 28165 GUZMAN, ENRIQUE ANTHONY ROOFING AND 07/09/15 EPSTEIN, JACK R LAW OFFICE 502 15WC 28229 VALOIS-TRUJILLO, CIRINO TWOMAYTOZ, INC. 06/03/15 MINKOW DOMIN BRADY CONNOLLY & MASUDA PC 503 15WC 28358 MARTINEZ, MARIA CLOVERHILL BAKERIES 10/10/14 LAW OFFICE HUGO ORTIZ 504 15WC 28404 VILLASENOR, SANDRA LOLITA'S MEXICAN FOOD W 06/28/15 JOHN S. ELIASIK 505 15WC 29215 HUGHES, TERENCE W VILLAGE OF DOLTON 09/02/15 THOMAS W DUDA RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 506 15WC 32671 CONTRERAS, MARIA PREFERRED MEAL 10/18/13 JONATHAN SCHLACK POWER & CRONIN LTD 507 15WC 33209 NEAL, REGINALD CHICAGO TRANSIT AUTHORTY 10/10/15 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 508 15WC 34250 STEVENS-MEIDEL, PAMELA WESTREC MARINA MGMT, INC 08/31/15 FIGLIOLI, DAVID 509 15WC 34269 VENEGAS, RICARDO STAR THERMOPLASTIC ALLOYS 06/02/15 RUEDA, IVAN A NYHAN BAMBRICK KINZIE & LOWR 510 15WC 34672 COLLIER, ARTRENER STATE OF ILLINOIS DEPT OF 09/23/14 MICHAEL P MCCREADY & ASSOC 511 15WC 34688 GALLAS, DAWN ADVOCATE CHRIST HOSPITAL 06/17/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 15WC036363 -C 15WC036364 -C 15WC036365 -C 512 15WC 35154 FADAHUNSI, OLADIPUPO CHICAGO CARRIAGE COMPANY 10/17/15 VRDOLYAK LAW GROUP LLC 513 15WC 35187 GAYDEN, GEORGE FORD MOTOR COMPANY 07/01/15 FOHRMAN, DONALD W & ASSOCS 514 15WC 35267 DELAO-MARR, DESIREE UNITED AIRLINES 06/10/15 KATZ FRIEDMAN EAGLE ET AL 515 15WC 35282 DURAN, JESSICA 401 NORTH WABASH 05/24/14 ANKIN LAW OFFICE INMAN & FITZGIBBONS 516 15WC 35293 PALNEIOS, OLEA M POLYAIR CORP 08/27/15 ANKIN LAW OFFICE 517 15WC 35331 BOYD, ELYCIA S ILLINOIS STATE TOLL HWY @ 09/14/15 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 518 15WC 35378 CONTRERAS, SILVESTRE POLY AIR 10/23/15 O'CONNOR & NAKOS 519 15WC 35383 BRISCOE, JENNIFER NEIMAN MARCUS 10/26/15 BRISKMAN BRISKMAN GREENBER MEACHUM & STARCK 520 15WC 35407 MUJDAMOVIC, MIRSAD LAWRENCE FOODS 01/26/15 PARENTE & NOREM PC BRADY CONNOLLY & MASUDA PC 521 15WC 35444 ROBINSON, VERONICA UNITED PARCEL SERVICE 10/20/15 KATZ FRIEDMAN EAGLE ET AL ASA LAW GROUP 522 15WC 35510 ELLIOT, ARVELL CARL BUDDING & CO. 10/23/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 523 15WC 35612 BRINSON, SAMUEL PARALLEL EMPLOYMENT GROUP 10/27/15 ANKIN LAW OFFICE GRANT & FANNING 524 15WC 35632 WELLS, JAMIKA SCRUB, INC. 10/24/15 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 525 15WC 35654 O'HARA, JOSEPH CITY OF CHICAGO 10/23/15 HOLLAND, MARTIN CITY OF CHICAGO 526 15WC 35671 AUSTIN, LUKE SOUTHWEST AIRLINES 10/07/15 KARCHMAR & STONE HENNESSY & ROACH PC 527 15WC 35689 ALVARADO, RENE RESTAURANT PERSONNEL INC. 03/12/15 GOLDSTEIN AIOSSA & GOOD NOBLE & ASSOCIATES PC 528 15WC 35816 BLAKEMORE, DEMOYNE ARYZTA BAKERY 07/10/15 JOHN S. ELIASIK HENNESSY & ROACH PC 529 15WC 35917 MARTINEZ, ALFREDO LABOR SOLUTION 09/19/15 CHEPOV & SCOTT LLC KLAUKE LAW GROUP LLC 530 15WC 35968 BAETZEL, ROBERT SOUTHWEST AIRLINES 07/10/15 KARCHMAR & STONE HENNESSY & ROACH PC 531 15WC 35979 GONZALEZ, JAVIER CASTWELL PRODUCTS 05/06/15 MC HARGUE, JAMES P LAW OFF 532 15WC 36004 HEALY, JAMES GIBSON ELECTRIC 06/10/15 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 533 15WC 36030 LEE, JOSEPH FORD MOTOR COMPANY 09/12/14 LAW OFFICES KRISTEN M KOZL WIEDNER & MCAULIFFE LTD 534 15WC 36080 BANKS, DWIGHT PEOPLES GAS 10/12/15 LAW OFFICES MICHAEL HELLMA MC CABE & HOGAN 535 15WC 36098 BELL, LATANYA CHICAGO TRANSIT AUTHORITY 02/02/15 FREDRICK B BARDER, LTD CHICAGO TRANSIT AUTHORITY 536 15WC 36113 LAZERUS, THOMAS UNITED AIRLINES INC. 02/13/15 KATZ FRIEDMAN EAGLE ET AL 537 15WC 36183 CABAHUG, SHAUN NORTHWEST COMMUNITY HOSPI 10/13/15 DOUGLAS RALLO PC HEYL ROYSTER VOELKER & ALLEN 538 15WC 36199 DEHEER, KATARZYNA LUTHERAN GENERAL 12/31/14 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 539 15WC 36235 GAJDA, MICHAEL DISCOUNT ROOFING MATERIAL 10/03/15 MEYER & BLUMENSHINE LAW OF ADELSON TESTAN & BRUNDO 540 15WC 36246 SZWECZYK, MARY ELLEN CHICAGO POLICE DEPARTMENT 04/01/15 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 541 15WC 36389 KIRKMAN, TAMERA WATERFRONT TERRACE INC 06/28/15 LAW OFFICE OF ROBERT J. IR 542 15WC 36542 CABRAL, DANIEL DIRECT TRUCKING 11/10/15 LEONARD LAW GROUP LLC JAMES M KELLY 543 15WC 36606 BIELLA, WAYNE BROWN PACKING COMPANY 10/05/15 FOHRMAN, DONALD W & ASSOCS LITCHFIELD CAVO 544 15WC 36618 HEARN, EMILYN FORD MOTOR COMPANY 08/13/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 545 15WC 36631 WHITE, DERRICK CHICAGO PUBLIC SCHOOLS 08/31/15 GOLDBERG WEISMAN & CAIRO L 546 15WC 36660 BEASLEY, AIDA ENTERTAINMENT PARTNERS 09/16/15 GOLDSTEIN AIOSSA & GOOD RUSIN & MACIOROWSKI LTD 547 15WC 36673 DOMINGUEZ, REYMUNDO VELVE TACO 09/27/15 DEPAOLO ZADEIKIS GORE 548 15WC 36691 HALL, EUGENE A COIN WRAP INC. 10/15/15 VITELL & SPITZ LTD 549 15WC 36774 STEPEK, SUZANNE CHICAGO BOARD 09/17/14 DICKMAN, BRUCE LAW OFFICES 550 15WC 36799 MADISON, BARBARA UNITED AIRLINES INC. 09/01/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 551 15WC 36825 MITCHELL, KESHA M FORD MOTOR CO 09/24/15 SEIDMAN MARGULIS & FAIRMAN 552 15WC 36855 CAMACHO, ANTHONY ROUNDY'S ILLINOIS LLC 10/22/15 ANKIN LAW OFFICE 553 15WC 36868 REINEKING, BRIAN MARATHON CUTTING DIE 07/30/15 MEYERS & FLOWERS 554 15WC 36885 LYMBERIS, JOHN VILLAGE OF HARWOOD HEIGHT 02/21/15 O'CONNOR LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 555 15WC 36908 COSME, MIGUEL FCCI CUSTOM, INC. 09/19/15 TAMVAKIS, GEORGE L 556 15WC 36936 BROWN, BRITTANY ULTRA FOODS 11/08/15 THE KARMEL LAW FIRM 557 15WC 36952 WALKER, ISHEIKA ELITE CARE MANAGEMENT 07/26/15 MARC J SHUMAN & ASSOCIATES 558 15WC 36981 RENTERIA, SOLEDAD EVANSTON NURSING & REHAB 09/08/15 SALK, STEVEN B & ASSOC LTD LAW OFFICES FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 559 15WC 36996 CYRETES, PETER SUN TAXI ASSOCIATION 09/04/11 ANKIN LAW OFFICE 560 15WC 37015 CARTER, LATOYA ALDI INC. 10/10/15 STEVEN J. MORTON & ASSOC 561 15WC 37046 POLLACK, STEVEN T IL DPET OF TRANSPORTATION 10/29/15 WILLIAMS, ROBERT B LAW OFF JEANNINE SIMS 562 15WC 37069 MURILLO, VICTOR REPUBLIC SERVICE 11/10/15 SEIDMAN MARGULIS & FAIRMAN 563 15WC 37095 DROZD, FRANK II CONCRETE STRATEGIES 10/15/15 COVEN LAW GROUP 564 15WC 37119 PUKALEC, PETER ABLE ENGINEERING SERVICES 11/03/15 HART & DAVID LLP GRANT & FANNING 565 15WC 37136 GARCIA, JOSHUA WEISS PROPERTIES 10/30/15 MC HARGUE, JAMES P LAW OFF BRADY CONNOLLY & MASUDA PC 566 15WC 37159 BRADLEY, STEPHEN COMPLETE TEMPERATURE 10/07/15 DWYER AND COOGAN ANCEL GLINK DIAMOND BUSH & E 567 15WC 37230 LLOYD, ARNOLD CITY OF CHICAGO 07/29/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 568 15WC 37255 ANDRADE, JOSE RECON CONSTRUCTION, LLC 06/25/15 BERG & BERG HENNESSY & ROACH PC 15WC037256 -C 569 15WC 37321 PEEPLES, VERONICA MORGAN PARK HIGH SCHOOL/ 10/15/15 FAJARDO LAW GROUP 570 15WC 37349 CHAMBERS, JAIME S ADVOCATE TRINITY HOSPITAL 09/27/15 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 571 15WC 37367 RICHARDS, JAMES ALTERNATIVE STAFFING COMP 10/14/15 FRIEDMAN & SOLMOR LTD MACIOROWSKI SACKMANN & ULRIC 572 15WC 37424 MENDEZ ITURBE, MA DOLORES J&M STAFFING SOLUTION 09/29/15 ENCINAS & ORNELAS COZZI & GOGGIN-WARD 573 15WC 37475 PATINO, MARIA EUROPEAN AMERICAN ASSOCIA 01/16/15 LIPKIN & HIGGINS LAW OFFIC GALLIANI DOELL & COZZI LTD 574 15WC 37483 HELINEN, RIITTA LIISA UNITED AIRLINES 10/17/15 MARC J SHUMAN & ASSOCIATES 575 15WC 37535 KLING, HAROLD BOYER-ROSENE MOVING AND 09/01/15 LEONARD LAW GROUP LLC 576 15WC 37600 GRAY, VANESSA JERNBERG INDUSTRIES 07/14/15 MC HARGUE, JAMES P LAW OFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 577 15WC 37612 LERTARCHA, WANIDA SWISSPORT USA INC 03/21/15 BELLAS & WACHOWSKI GAROFALO SCHREIBER STORM 578 15WC 37636 BLAKELY, BRIAN ELITE RENOVATION SYSTEMS 11/04/15 LAW OFFICES OF ANSELMO DUR 579 15WC 37726 ORTEGA, GUSTAVO GARCIA K.S.H. INC. DBA DEERFIELD 06/11/14 BELCHER LAW OFFICE CASSANO & ASSOCIATES 580 15WC 37857 JIMENEZ, HECTOR R&M FREIGHT INC. 11/04/15 581 15WC 37893 CAULFIELD, TERESA MARS/WM WRIGLEY JR CO 02/19/14 O'CONNOR LAW GROUP LLC GAROFALO SCHREIBER STORM 582 15WC 37907 NEELY, ALEXANDER SAM'S BEAUTY DISCOUNT SUP 10/21/15 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 583 15WC 37966 RISLEY, BONNIE CINTAS 10/06/15 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 584 15WC 38009 DELISA, MICHAEL STATE OF ILLINOIS 05/12/15 WHITING LAW GROUP 585 15WC 38092 SOTO, CARMEN REYNOLDS CONSUMER PRODUCT 08/24/15 LAW OFFICES YEVGENIY VAYSM 586 15WC 38147 GARCIA, JORGE FORTUNE PAINTING CO 10/08/15 COSTA IVONE LLC ACCIDENT FUND HOLDINGS 587 15WC 38171 CARRERA, MARIA REINA ARYZTA 01/19/15 LAW OFFICES LEONARDO MORAL HENNESSY & ROACH PC 588 15WC 38255 ESCOBEDO, JOSE N. CUMMIS-ALLISON CORP. 12/23/13 MC HARGUE, JAMES P LAW OFF RUSIN & MACIOROWSKI LTD 589 15WC 38324 FISHMAN, ERIC ROLLING FRITO-LAY SALES L 03/16/15 BARMAN KRAMER & BOHLEN GILDEA & COGHLAN 590 15WC 38448 MOORE, ROSEMARY TOWN OF CICERO 11/06/15 DAVID SZCZECIN & ASSOC DEL GALDO LAW GROUP LLP 591 15WC 38586 PREWITT, JAMES JR ELECTRO-MOTIVE DIESEL 11/18/15 KATZ FRIEDMAN EAGLE ET AL 592 15WC 38662 CAMPOS, JUAN SUPREME LOBSTER 11/19/15 LEO ALT RIPES NELSON BAGGOT KALOBRAT 593 15WC 38732 MUNOZ, MARY L GADS HILL CENTER 10/28/14 ROSS TYRRELL 594 15WC 38746 FIGUEROA, SALVADOR MAGGIANO'S INC 10/11/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 595 15WC 38788 ROBINSON, RICHARD FORD MOTOR CO 10/26/15 GOLDFEIN LAW OFFICE PC 596 15WC 38859 YOUNG, JUNE ALDI FOOD STORE 08/05/15 STROM, NEAL B MACIOROWSKI SACKMANN & ULRIC 597 15WC 39002 URQUHART, ALEXANDRA J UNITED AIRLINES 11/22/15 MARTIN V KUGIA 598 15WC 39017 EVITT, DEREK TOWN OF CICERO POLICE DEP 11/11/15 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 599 15WC 39032 MOCZYNSKI, ROBERT CITY OF CHICAGO DEPT OF 04/30/15 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 600 15WC 39054 PHILLIPS, GARIE FORD MOTOR COMPANY 11/23/15 SKLARE LAW GROUP 601 15WC 39103 MARTINEZ, CHRISTINA EUROPEAN AMERICAN ASSN 11/10/15 HORWITZ HORWITZ & ASSOC GALLIANI DOELL & COZZI LTD 16WC008866 -C 602 15WC 39153 HAMILTON, AISHA VALLI PRODUCE 07/22/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 603 15WC 39185 LAWSON, MICHAEL S TRAINSTAR 06/24/15 WILLIAMS, ROBERT B LAW OFF 604 15WC 39214 THOMAS, JANIKA PACE BUS COMPANY 11/16/15 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 605 15WC 39286 EDWARDS, EMANUELWEL ILLINOIS STATE POLICE @ 10/08/15 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 606 15WC 39341 TOSTADO, HORACIO CONTRERA C&D RAIL SVCS INC 11/03/15 FAJARDO LAW GROUP RIVERA & ASSOCIATES 607 15WC 39422 DUENAS, OLIVERIO DOWN RIVER ILLINOIS TOOL 01/30/15 GORDON & CENTRACCHIO LLC 608 15WC 39446 COOPER, DAVID TOWN OF CICERO 10/02/15 HEALY SCANLON LAW FIRM DEL GALDO LAW GROUP LLP 609 15WC 39706 HAYNES, OMAR SOUTHWEST AIRLINES 10/14/15 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 610 15WC 39734 WICKS, JOHN COOK CTY JUVENILE DETENTI 11/20/15 RITTENBERG & BUFFEN 611 15WC 39758 ESTRADA, OSWALDO RUPARI FOOD SERVICES 10/29/15 DAVID W MARTAY CHILTON YAMBERT PORTER LLP 612 15WC 39783 KLATT, BRIAN LIFELINE AMBULANCE, LLC 04/15/15 NILSON STOOKAL GLEASON CAP RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 613 15WC 40996 PROCTOR, BEATRICE TOWER AUTOMOTIVE 09/16/15 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 614 15WC 41755 RAHIM, TAREQ PETE'S FRESH MARKET 08/08/15 SANDMAN LEVY & PETRICH 615 16WC 03387 VARGAS, MIGUEL A CITY OF CHICAGO DEPARTMEN 09/26/13 ACEVES & PEREZ PC 616 16WC 03738 HACKER, EVAN ELECTRICAL WIRING SERVICE 11/21/13 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 617 16WC 04567 BYKER, PETER SUBURBAN ELEVATOR 02/13/15 BRAD J. BALKE, PC THOMAS & PORTELA 618 16WC 04622 FITZGERALD, TINA TREETOP GENERATIONS, INC. 12/23/15 LOUIS A PLZAK & ASSOCIATES GAROFALO SCHREIBER STORM 619 16WC 04662 GRIGANAVICIUS, MOLLY PETCO, INC. 12/15/15 KARCHMAR & STONE ADELSON TESTAN & BRUNDO 620 16WC 04714 KUMIEGA, PAUL AMERICAN CABLE & TEL CO 07/29/15 FRIEDMAN & SOLMOR LTD 621 16WC 04737 BARRERA, GUILLERMO I PRO METAL RECYCLING INC 01/13/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 622 16WC 04756 ORDEZ, ALEJANDRO KARTRAN LLC 02/12/16 ENCINAS & ORNELAS 623 16WC 04783 KNIGHT, LATORSHA CITY OF CHICAGO DEPARTMEN 01/25/16 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 624 16WC 04880 DURCO, PAUL FREEMAN AUDIO VISUAL INC 11/19/15 GOLDSTEIN BENDER & ROMANOF MC ANDREWS & NORGLE LLC 625 16WC 04902 KRAJECKI, MARK ADVOCATE HEALTH CARE 10/28/15 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 626 16WC 04921 OCHOA DE MARTINEZ, MARIA ASPEN FOODS INC 02/23/15 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS 627 16WC 04963 ZELENC, WILLIAM K JOE RIZZA ENTERPRISES INC 10/17/14 LAW OFFICE PHILIP BLOMBERG GANAN & SHAPIRO 628 16WC 05016 FUENTES-MARTINEZ, JOSE CIVIC STAFFING A S H 07/01/15 EFTEKHARI LAW OFFICES 629 16WC 05045 SMITH, ANTHONY D FORD MOTOR COMPANY 08/02/14 NILSON STOOKAL GLEASON CAP 630 16WC 05065 HOWELL, RANDY DECISION ONE 06/05/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 631 16WC 05106 HARDING, SCOTT APPLE 01/09/15 HORWITZ HORWITZ & ASSOC LEAHY WRIGHT & ASSOC 632 16WC 05181 CARR, JAMES CITY OF CHICAGO 07/01/14 WILLIAM MARTAY CITY OF CHICAGO 633 16WC 05215 SMITH, TONDRA ALDI 10/12/15 COVEN LAW GROUP 634 16WC 05262 HERNANDEZ, KARLA RONS STAFFING 01/28/16 MC HARGUE, JAMES P LAW OFF KOREY RICHARDSON LLC 635 16WC 05305 SEATON, RICK LIFE CORP @ MGMT 02/01/16 GOLDBERG WEISMAN & CAIRO L 636 16WC 05410 PARKER, SANDRA COOK COUNTY DEPARTMENT 12/30/15 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 637 16WC 05429 ALEXANDER, RENARD THRESHOLDS 01/19/16 SHELDON I MINKOW & ASSOCIA 638 16WC 05518 PANOZZO, ANDREW YRC, INC. 12/28/15 RIDGE & DOWNES HENNESSY & ROACH PC 639 16WC 05531 JOHNSON, EARL ACCURATE PERSONNEL SERVIC 11/01/15 MC HARGUE, JAMES P LAW OFF 640 16WC 05632 GONZALEZ, MARIA WORKFORCE 01/12/16 COSTA IVONE LLC KOREY RICHARDSON LLC 641 16WC 05929 BENNETT, JOSEPH JB HUNT TRANSPORT INC 08/10/15 HORWITZ HORWITZ & ASSOC 642 16WC 06114 VAZQUEZ, IRENE PRIMARY STAFFING, INC. 12/20/15 ENCINAS & ORNELAS QUINTAIROS PRIETO WOOD & BOY 643 16WC 06197 PADULA, ANTHONY J CITY OF PARK RIDGE 01/27/16 FOOTE MIELKE CHAVEZ & O'NE MACIOROWSKI SACKMANN & ULRIC 644 16WC 06221 MCTEER, KORTEZ CAPSTONE LOGISTICS LLC 06/16/15 GRAVLIN, MICHAEL J LLC 645 16WC 06242 GARCIA, BENIGNO JR CITY OF CHICAGO 12/14/15 WILLIAM MARTAY CITY OF CHICAGO 646 16WC 06262 SEABORG, MICHELLE UPS 07/01/15 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 647 16WC 06304 PASIECZNIK, ZENON JOHN CRANE/SMITH GROUP 06/15/14 DAPRATO, DENNIS GAROFALO SCHREIBER STORM 16WC006305 -C 648 16WC 06335 FELKER, PATRICE FORD MOTOR COMPANY 02/23/16 WITTENBERG DOUGHERTY MAGLI POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 649 16WC 06340 RHODES, KELLI FEDERAL RESERVE BANK CHIC 01/16/16 SANDMAN LEVY & PETRICH RUSIN & MACIOROWSKI LTD 650 16WC 06382 MARYNOWSKI, NATHAN QUALITY BUILDING SUPPLY 12/09/15 ELFENBAUM EVERS & AMARILIO BRADY CONNOLLY & MASUDA PC 651 16WC 06415 HILGER, JASON CHICAGO TRANSIT AUTHORITY 07/27/15 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY 652 16WC 06500 GRACE, EDDIE FORD MOTOR COMPANY 01/24/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 653 16WC 06527 YBARRA, MARY HOLIDAY INN 05/01/15 JAMES M GERAGHTY 654 16WC 06630 CALDERON, HELIO SCRUB, INC. 02/11/16 GRAZIAN & VOLPE PC RUSIN & MACIOROWSKI LTD 655 16WC 06692 GASKILL, DAVID J. NORTH PALOS FIRE PROTECTI 08/03/15 COLLISON & O'CONNOR LTD 656 16WC 06736 HEARN, MICHAEL FORD MOTOR COMPANY 09/10/15 LEONARD LAW GROUP LLC POWER & CRONIN LTD 657 16WC 06766 KONTOGOURIS, NED ATLAS VAN LINES, INC. 02/16/16 NILSON STOOKAL GLEASON CAP 658 16WC 06836 ROSADO, MAYRA HEARTHSIDE FOOD SOLUTIONS 12/28/14 BRISKMAN BRISKMAN GREENBER 659 16WC 06880 ESTIMABLE, JUNIOR RIVEREDGE HOSPITAL 10/26/15 MARKER & ASSOCIATES MC ANDREWS & NORGLE LLC 660 16WC 06909 STANTON, NICHOLAS ASPLUNDH TREE EXPERT CO 11/02/12 WINSTEIN KAVENSKY & WALLAC MEACHUM & STARCK 661 16WC 06937 JEFFERSON, JOHNNY HOUSING OPPORTUNITY MAINT 02/03/16 KREITER, BYCK & ASSOC LLP RUSIN & MACIOROWSKI LTD 662 16WC 06979 MACK, TONEISHA RENAISSANCE PARK SOUTH 11/12/15 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 663 16WC 07022 VENEGAS, RICARDO GUZMAN CC DEVELOPMENT GROUP INC. 02/20/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 664 16WC 07143 URIBE, LORENZO MIDWEST GAMING & ENTERTAI 01/19/16 DWYER AND COOGAN HENNESSY & ROACH PC 665 16WC 07174 WHITE, THEODORE JR. HOOTERS 02/14/16 JOHN E LUSAK MEACHUM & STARCK 666 16WC 07647 BARNES, JERRIE A HOLY CROSS HOSPITAL 02/25/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 667 16WC 07672 SORENSON, RONALD A ALLSTATE 11/07/15 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 668 16WC 13663 ABNER, THOMAS FORD MOTOR CO 04/26/16 VASILATOS & COTTER LLC POWER & CRONIN LTD 669 16WC 13908 WATKINS, MARQUIS CHICAGO TRANSIT AUTHORITY 04/10/16 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 670 16WC 14559 JACKSON, DEENIA REHABILITATION INSTITUTE 10/17/15 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 671 16WC 14755 PANICKER, ELIZABETH BALLARD REHAB 09/18/15 NEWLAND & NEWLAND 672 16WC 14859 GUZMAN, TIMOTHY LEE INT. HOUSE OF PANCAKES 02/03/16 LARRY FLEISCHER & ASSOCIAT INMAN & FITZGIBBONS 673 16WC 14885 BENTLEY, CATHERINE LOCAL 150 MIDWEST OPERATI 01/11/16 CAPRON & AVGERINOS PC 674 16WC 14928 RODRIGUEZ, VICTOR PAMCO PRINTED TAPE 03/02/16 ANKIN LAW OFFICE 675 16WC 15056 ECKLES, LISA DAKKOTA INTEGRATED SYSTEM 08/03/15 KATZ FRIEDMAN EAGLE ET AL 676 16WC 15080 JAMA, SAID SITARA INC 04/07/16 FISHER & LAMONICA 677 16WC 15169 MATTHEWS, SHANA CHICAGO TRANSIT AUTHORITY 04/12/16 SANDMAN LEVY & PETRICH CHICAGO TRANSIT AUTHORITY 678 16WC 15221 HARRIS, HASSAN HOMEWOOD MEMORIAL GARDENS 04/11/16 WOODRUFF & JOHNSON LAW OFFICES JOSEPH MARCINIAK 679 16WC 15241 GONZALEZ, LILLIAM HIGHLAND BAKING COMPANY 04/01/16 CHEPOV & SCOTT LLC 680 16WC 15295 VANDERVELDE, PAUL WASTE MANAGEMENT 04/07/16 GOLDBERG WEISMAN & CAIRO L 681 16WC 15324 TAPIA, JOHNNY CHICAGO FOOD CORPORATION 04/01/16 GOLDSTEIN BENDER & ROMANOF 682 16WC 15341 MARTINEZ, RICARDO H & R TOWING 04/22/16 STEVEN J MALMAN & ASSOCIAT 683 16WC 15353 DUNCAN, ROELEAN COOK COUNTY HEALTH & HOSP 05/04/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 684 16WC 15452 RENTERIA, JOSE LEON FIELDS INFINITI 05/07/16 LAW OFFICE HOWARD ABRAMS ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 685 16WC 15470 TAYLOR, JAMES CITY OF CHICAGO 03/17/16 LAW OFFICE EDWARD RUEDA 686 16WC 15489 VEGA, CONRAD INTEGRYS ENERGY GROUP/PEO 04/13/15 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 16WC015490 -C 16WC015491 -C 687 16WC 15497 BARRAGAN, JUAN Z FORCE TRANSPORTATION 04/19/15 STROM, NEAL B KEEFE CAMPBELL & ASSOC LLC 688 16WC 15572 CORREA, NELSON JR PACE BUS 04/21/16 ABELS & ANNES, PC 689 16WC 15640 DEL REAL, RAMON SILVER LINE BUILDING PROD 04/22/16 MC HARGUE, JAMES P LAW OFF LEAHY EISENBERG & FRAENKEL 690 16WC 15665 SIDDONS, MARK THERMOFISHER SCIENTIFIC L 09/10/14 FRANK A CELANI HOLECEK & ASSOCIATES 691 16WC 15682 IBARRA, EMILIA JABIL CIRCUIT INC 03/07/16 THERMAN LAW OFFICES HOLECEK & ASSOCIATES 692 16WC 15740 HERNANDEZ, VINCENT IL, DEPT OF TRANSPORTATIO @ 05/12/16 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 693 16WC 15767 ARREGUIN, MARIA CONCEPCIO ANDREWS STAFFING 05/02/16 JAMES ELLIS GUMBINER & ASS SLAVIN & SLAVIN 694 16WC 15793 BENJAMIN, SAMIR BENJAMIN FREEMAN SEATING COMPANY 04/29/16 SYREGELAS, NICHOLAS C BRADY CONNOLLY & MASUDA PC 695 16WC 15808 ESQUIVEL, ELIZABETH SCHAUMBURG SCHOOL DISTRIC 02/18/16 STEVEN J TENZER, LTD ACCIDENT FUND HOLDINGS 696 16WC 15827 RICHARD, MARY CTA 02/11/14 WILLIAM B MEYERS, LTD 697 16WC 15843 HERRERA, HECTOR FIRST STUDENT 01/20/16 ARGIONIS & ASSOCIATES LLC 698 16WC 15876 MILCAREK, CARL MEYER GLASS & MIRROR CO I 02/19/15 SILVERMAN, CLIFFORD A BRYCE DOWNEY & LENKOV LLC 699 16WC 15899 TONEY, MARLENE UNIVERSITY OF CHICAGO 05/02/16 KENNETH L. SCHWARTZ HENNESSY & ROACH PC 700 16WC 15998 LAUTH, CHESTER POLICE DEPT VILLAGE OF 04/06/16 RIDGE & DOWNES BRYCE DOWNEY & LENKOV LLC 701 16WC 16076 BROOKS, GABBIEAL COOK CTY JUVENILE DETENTI 05/09/16 STEVEN J TENZER, LTD STATES ATTORNEY OF COOK COUN 702 16WC 16140 BALL, TIMOTHY SEIU 04/14/16 LEE, MARK N LAW OFFICE LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 703 16WC 16213 NIWINSKA, JANINA HARLEM IRVING COMPANIES 12/05/15 SANDMAN LEVY & PETRICH GRANT & FANNING 704 16WC 16247 WEATHERSBY, STEPHANIE ZF LEMFORDER 05/22/16 BRISKMAN BRISKMAN GREENBER KEEFE CAMPBELL & ASSOC LLC 16WC024650 -C 705 16WC 16276 REED, HOWARD E COOK COUNTY DEPT OF CORRE 04/05/16 FRIEDMAN & SOLMOR LTD STATES ATTORNEY OF COOK COUN 706 16WC 16302 PENA, JOSSY WOCKHARDT PHARMACEUTICALS 07/24/15 FISHER & LAMONICA 707 16WC 16414 KELLEY, JACQUELINE CHICAGO PUBLIC SCHOOLS 05/10/16 ANKIN LAW OFFICE 708 16WC 16518 NAUJOKAS, GEORGE AVIS BUDGET GROUP 01/20/15 JACOBSON & SCHIEFELBEIN BRADY CONNOLLY & MASUDA PC 709 16WC 16549 PAUL, LAURETTA L. CHICAGO TRANSIT AUTHORITY 05/09/16 PARAG P. BHOSALE CHICAGO TRANSIT AUTHORITY 710 16WC 16575 NEUPONE, SURAJ DUNKIN DONUTS/BASKIN ROBB 04/23/16 SEIDMAN MARGULIS & FAIRMAN COZZI & GOGGIN-WARD 711 16WC 16669 MITCHEM, SHAMIA ST BERNARD HOSPITAL 05/02/16 DAVID W MARTAY GALLIANI DOELL & COZZI LTD 712 16WC 16690 JONES, CHRISTINA CANTATA ADULT LIFE SERVIC 04/09/16 COHN LAMBERT RYAN & SCHNEI 713 16WC 16704 JONES, EVERAGE TRANSFORCE INC. 11/03/15 SKLARE LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 714 16WC 16731 ARNOLD, BARBARA UCP SEGUI OF 05/14/16 ANKIN LAW OFFICE 715 16WC 16745 BEDRI, MONCEF YELLOW CAB CO 07/19/13 JOEL BELL GAROFALO SCHREIBER STORM 716 16WC 16769 GAWLE, GRAZYNA FRESH EXPRESS INC 09/02/15 CUSHING LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 717 16WC 16836 VAZQUEZ, ALEJANDRO NARVAE B & F FOUNDATION REPAIR L 04/25/16 VRDOLYAK LAW GROUP LLC THOMAS & PORTELA 718 16WC 16863 THOMAS, EDWARD FORD MOTOR COMPANY 05/16/16 FOHRMAN, DONALD W & ASSOCS 719 16WC 16962 GONZALEZ, ANGEL ANDREWS STAFFING, INC 04/22/16 ANKIN LAW OFFICE 720 16WC 16964 WISE, JAYME THE PRIVATE BANK 04/15/16 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 721 16WC 16987 JACKSON, BENJAMIN UPS 04/13/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 722 16WC 17036 GLASSBERG, SUSAN LITTLE CITY FOUNDATION 01/09/15 KATZ FRIEDMAN EAGLE ET AL 723 16WC 17046 YOUNG, KENNETH FEDERAL EXPRESS CORPORATI 01/13/16 HORWITZ HORWITZ & ASSOC 724 16WC 17080 MILLAN, KIMBERLY CURCIO LAW OFFICES 02/19/14 BRILL & FISHEL 725 16WC 17140 MINGO, TYANNA SOUTHWEST COMMUNITY 03/24/16 ANKIN LAW OFFICE 726 16WC 17143 MYLES-FLENNOY, JERI FORD MOTOR COMPANY 01/09/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 16WC017144 -C 727 16WC 17168 TRICE, REGINALD TENET CONCEPTS LLC 05/24/16 DWORKIN AND MACIARIELLO 728 16WC 17260 GUTIERREZ, RICARDO DEVON MARKET 05/21/16 MANUAL CARDENAS & ASSOC 729 16WC 17286 DANIEL, ALEXANDER RENAISSANCE HOTEL 10/07/14 ASHER, RAYMOND L LTD NYHAN BAMBRICK KINZIE & LOWR 730 16WC 17329 SANGSTER, JOHNETTE CTA 05/30/16 COHN LAMBERT RYAN & SCHNEI CHICAGO TRANSIT AUTHORITY 731 16WC 17413 WIELGUS, JAMES W CITY OF CHICAGO 05/19/16 WILLIAMS, ROBERT B LAW OFF CITY OF CHICAGO 732 16WC 17429 ALGAVRY, MURTADA LORD & TAYLOR 05/01/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 733 16WC 17455 POWERS, TOM GROOT INDUSTRIES 11/12/15 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 734 16WC 17522 HORN, DENNIS R ACOSTA SALES AND MARKETIN 01/26/16 LAW OFFICE PHILIP BLOMBERG GAROFALO SCHREIBER STORM 735 16WC 17570 RODRIGUEZ, IMELDA TARGET 03/12/15 NEWLAND & NEWLAND NYHAN BAMBRICK KINZIE & LOWR 736 16WC 17589 SALINAS, ANDRES PORTILLOS HOT DOGS, LLC 05/25/16 RUEDA, IVAN A 737 16WC 17619 MEI, YINQIU CHINA TOWN EXPRESS 10/24/15 POWELL & PISMAN RUSIN & MACIOROWSKI LTD 738 16WC 17706 BEASLEY, CHARLES LTI SERVICES LLC 03/01/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 739 16WC 19656 LAWSON, TAMEKIA ROEHL TRANSPORT, INC # 06/16/16 ROSENFELD HAFRON SHAPIRO F CACCHILLO LAW GROUP LLC 740 16WC 21909 WURTH, CHAD THOMSON REUTERS 02/04/16 ALEKSY BELCHER BRADY CONNOLLY & MASUDA PC 741 16WC 23031 LEWIS, JOHN CITY OF CHICAGO DEPT. OF 07/14/16 RUBENS AND KRESS 742 16WC 24308 GONZALEZ, CHRISTINA ADVOCATE SOUTH SUBURBAN H 03/17/16 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 743 16WC 24349 HERRERA, EDITH DABECCA NATURAL FOODS, IN 08/01/16 ARGIONIS & ASSOCIATES LLC QUINTAIROS PRIETO WOOD & BOY 744 16WC 24383 SULJIC, SALIH R&M TRUCKING 08/02/16 THE KARMEL LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 745 16WC 24613 SOFFIETTI, APHRODITE UNITED AIRLINES, INC. 08/05/16 BONALDI CLINTON & DAVIS LT 746 16WC 24634 YOUNG, LARRY Z FORCE TRANSPORTATION 06/23/16 STROM, NEAL B KEEFE CAMPBELL & ASSOC LLC 747 16WC 24682 JONES, REBECCA EVERGREEN LIVING & REHAB 04/22/16 STEVEN J MALMAN & ASSOCIAT 748 16WC 24707 POPP, JASON BULL MOOSE TUBE CO. 07/14/16 KOREY LAW LLC 749 16WC 24739 ROBINSON, ANTHONY CHICAGO BOARD OF EDUCATIO 03/01/16 FOHRMAN, DONALD W & ASSOCS 750 16WC 24759 TADROS, HANI 79TH STREET BURBANK, LLC 01/18/16 KROL BONGIORNO & GIVEN LTD 751 16WC 24786 SANCHEZ, SALUB MCDONALDS 06/28/16 MARC J SHUMAN & ASSOCIATES 752 16WC 24832 SKIBA, CHRISTOPHER RICHARDS & WEYER CONSTRUC 04/04/16 RIDGE & DOWNES 753 16WC 24892 RICKS, SHANNON WALMART 05/01/16 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 754 16WC 24940 BURTON, LORETTA M SVT, LLC/ ULTRA FOODS 08/08/16 ANKIN LAW OFFICE 755 16WC 24984 SMITH, MERCENT K MARYVILLE ACADEMY 12/03/15 FRANKS & RECKENBERG SMITH AMUNDSEN LLC 756 16WC 25068 JIMENEZ, ADELA SWEET CAROLINES CRAB-N-QU 12/31/15 WHITESIDE & GOLDBERG LTD EDWARD L. WEISS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 757 16WC 25098 GRANT, RHONDA ALDI 03/30/16 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 758 16WC 25138 JANES, KHALILA M SPEEDWAY LLC 06/01/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 759 16WC 25212 HANSEN, MIKE GATEWAY 08/03/16 RUBIN MACHADO ROSENBLUM WIEDNER & MCAULIFFE LTD 760 16WC 25248 HOST, GUY VILLAGE OF OAK LAWN 06/11/14 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 761 16WC 25324 CAVANAUGH, KATHERINE UNILEVER 03/03/15 CAPRON & AVGERINOS PC 762 16WC 25347 FRANKLIN, DOMINIQUE WEISS MEMORIAL HOSPITAL 07/24/16 DAVID W MARTAY HENNESSY & ROACH PC 763 16WC 25374 ORDAZ, SHERRIE MARIO TRICOCI HAIR SALONS 06/08/16 KARCHMAR & STONE 764 16WC 25406 CIGANOVIC, VERA WALDORF ASTORIA, A SUBSID 09/13/14 GALLIANI DOELL & COZZI LTD 765 16WC 25458 VITACCA, RICHARD EAST POINT CONDOMINIUM AS 08/07/16 DWORKIN AND MACIARIELLO 766 16WC 25483 CRUZ, ANTHONY CTA & SEDWICK 07/21/16 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 767 16WC 25497 CRUZ, MARTIN GONZALEZ LABOR SOLUTIONS, LLC 07/25/16 SALK, STEVEN B & ASSOC LTD 768 16WC 25505 SKOKLEV, RUMEN TLG LOGISTICS INC 07/26/16 HORWITZ HORWITZ & ASSOC 769 16WC 25528 PULGARIN, ANA LBP MANUFATURING 04/08/16 MC HARGUE, JAMES P LAW OFF 770 16WC 25548 BLAZEK, MARVIN AMERICAN AIRLINES 04/21/16 LAW OFFICES MICHAEL HELLMA 771 16WC 25588 TROCHE, WILSON INTEGRITY PAINTING &DECOR 02/09/16 DWORKIN AND MACIARIELLO 772 16WC 25616 KEATING, MICHAEL USF HOLLAND 05/18/16 CAPRON & AVGERINOS PC 773 16WC 25642 DOSS, KARLOTTA COMCAST 12/22/15 BRISKMAN BRISKMAN GREENBER SPIEGEL & CAHILL, PC 774 16WC 25707 LASLIE, PETER CHICAGO TRANSIT AUTHORITY 02/21/14 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 775 16WC 25777 HENRIKSON, MICHAEL DR PEPPER SNAPPLE GROUP I 05/24/16 CARONE LAW OFFICES 776 16WC 25818 MULVIHILL, THOMAS W CITY OF CHICAGO 11/23/15 ANKIN LAW OFFICE CITY OF CHICAGO 777 16WC 25871 COLE, BUENTA CTA 07/21/16 URSULA BABICZ & ASSOC CHICAGO TRANSIT AUTHORITY 778 16WC 25881 WESLEY, PATRICIA ILLINOIS DEPARTMENT OF @ 06/30/16 HELEN LOZANO 779 16WC 25911 CARR, LARRY MEDEX AMBULANCE SERVICE 05/12/16 ABELS & ANNES, PC 780 16WC 25922 AVILA, ENRIQUE TOWN OF CICERO @ 04/29/16 TURCYCHUTE LLC DEL GALDO LAW GROUP LLP 781 16WC 25994 NUNEZ, FLORENTINO PACTIV 02/01/16 ROMANUCCI & BLANDIN 782 16WC 26024 ANSARI, SAMEENA NORWEGIAN AMERICAN HOSPIT 07/08/16 COLLISON & O'CONNOR 783 16WC 26050 GUTIERREZ, ELIGIO AUTUMN LEAVES NURSING HOM 12/01/15 MEYERS & FLOWERS 784 16WC 26076 WESLEY, WALTER COCA-COLA DISTRIBUTION CE 08/01/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 785 16WC 26099 MERIDA, WALTER E AMERICAN AIRLINES 08/07/16 NILSON STOOKAL GLEASON CAP 786 16WC 26125 MATHEWS, MARK BEST PRACTICES STAFFING C 08/11/16 GOLDBERG WEISMAN & CAIRO L 787 16WC 26147 SNYDER, DARIN CITY OF CHICAGO 06/25/16 HEALY SCANLON LAW FIRM CITY OF CHICAGO 788 16WC 26164 HOLBROOK, JANECA THRESHOLDS 08/12/16 VRDOLYAK LAW GROUP LLC MC ANDREWS & NORGLE LLC 789 16WC 26188 LUZADDER, KRISTEN JEWEL-OSCO 03/13/15 DWORKIN AND MACIARIELLO 790 16WC 26191 VALLET-GORDON, KIMBERLY SOUTHWEST 08/10/16 FOHRMAN, DONALD W & ASSOCS 791 16WC 26298 AGUILAR, LOIDA LONDON HOUSE HOTEL 07/31/16 ROGER D RUDICH LTD 792 16WC 26325 DELAROSA, SAUL FACTORY BEDDING & FURNITU 05/25/16 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 793 16WC 26384 SLEZAK, GRAZYNA(GRACE) ABM ONSITE SERVICES 06/13/16 STEVEN J TENZER, LTD 794 16WC 26449 HALE, ROSEMARY NORTHERN TRUST 07/22/16 DISPARTI LAW GROUP PA 795 16WC 26475 MIDDLETON, NANCY FAMILY RESCUE, INC 07/01/16 CAPRON & AVGERINOS PC HOLECEK & ASSOCIATES 796 16WC 26488 LOPEZ, RAMON MULLINS FOOD PRODUCTS 07/25/16 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 797 16WC 26507 HAHN, PETER RIDGEMOOR COUNTRY CLUB 06/01/15 NEWLAND & NEWLAND 798 16WC 26531 MARTINEZ, ISMAEL CLEAR STAFF, INC. 08/22/16 ENCINAS & ORNELAS 799 16WC 26570 LAGUNAS, NATALIA UNIFIRST CORPORATION 03/22/16 OSVALDO RODRIGUEZ PC 800 16WC 26603 WILLIAMS, JEFFREY UNITED AIRLINES INC. 08/16/16 ANGELINI & ORI LLC 801 16WC 26841 DIAZ, KEVIN SOUTHWEST AIRLINES CO 04/18/16 LAW OFFICE TIMOTHY DEFFET 802 16WC 26856 LOFTON, TEKEALA CENTRAL PLAZA RESIDENTIAL 07/14/16 VITELL & SPITZ LTD 803 16WC 26893 MUHAMMED, SHAWHADAH WARREN BARR SOUTH LOOP 07/18/16 DANIEL PERIASWAMY 804 16WC 26910 WILLIS, MICHAEL DPI FOODS 12/05/15 STEVEN H MEVORAH & ASSOCIA 805 16WC 26935 NIERMAN, MARK CITY OF CHICAGO 02/25/16 CAPRON & AVGERINOS PC CITY OF CHICAGO 806 16WC 27026 MCGHEE, FRANK GIBSON'S STEAKHOUSE 08/30/16 DAVID W MARTAY 807 16WC 27074 NAMBO, JULIO ALOIS BOX CO 06/14/16 FOHRMAN, DONALD W & ASSOCS 808 16WC 27105 BRITO, MARINO NYLOK 10/13/15 RUEDA, IVAN A RUSIN & MACIOROWSKI LTD 809 16WC 27140 HERRERA-MARTINEZ, FLAVIO CASTLE MASONRY INC. 08/25/16 SALK, STEVEN B & ASSOC LTD BRYCE DOWNEY & LENKOV LLC 810 16WC 27195 ALVARES, MA OLIVA CLEARSTAFF INC 05/09/16 CUSHING LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 811 16WC 27304 COTTON, ROBERT GREAT NORTHERN LUMBER 07/29/16 DWORKIN AND MACIARIELLO 812 16WC 27355 ADAMS, BARRY CHICAGO TRANSIT AUTHORITY 08/29/16 GOLDSTEIN AIOSSA & GOOD CHICAGO TRANSIT AUTHORITY 813 16WC 27437 ANDRADE, TERESA OSS SERVICES, LLC 08/11/16 STEIN & CHERNEY LTD MEACHUM & STARCK 814 16WC 27514 ALMARALES, JOSE WEBER STEPHEN PRODUCTS, L 07/21/16 SALK, STEVEN B & ASSOC LTD 815 16WC 27567 HASHEMIAN, MOHSEN AMERICAN AIRLINES O'HARE 08/18/16 MEYERS & FLOWERS 816 16WC 27613 CORRAL, MARGARITA JEWEL OSCO 10/20/14 KREITER, BYCK & ASSOC LLP 817 16WC 27694 WITTMAN, FREDERICK (SPOUS UNITED AUTO WORKERS LOCAL # 08/18/16 ALEKSY BELCHER 818 16WC 27731 SALDIVAR, MARCO SURE STAFF 08/10/16 HERRERA LAW CENTER 819 16WC 27767 ANDRUSKAITE, MONIKA MAHOGANY BUILDERS 07/25/16 HART & DAVID LLP HENNESSY & ROACH PC 820 16WC 27807 SHARPE, SHARRON UPS 06/01/16 LEONARD LAW GROUP LLC ASA LAW GROUP 821 16WC 27909 MURRAY-ALLEN, SONJI D SYMPHONY OF EVANSTON 06/30/16 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 822 16WC 27943 WOODS, CHRISTOPHER D GREAT LAKES COCA COLA 01/13/16 JASINSKI, GEORGE J NYHAN BAMBRICK KINZIE & LOWR 823 16WC 32358 REYES, ARTURO TM TIRE CO, INC * 10/11/16 JAUREGUI & ASSOCIATES 824 16WC 34115 SANDOVAL, LOURDES ARAMARK UNIFORM SERVICES * 10/07/16 CULLEN HASKINS NICHOLSON 825 16WC 34141 NEVAREZ, JOEL THE KROGER CO D/B/A * 07/31/16 EPSTEIN, JACK R LAW OFFICE 826 16WC 34308 DIAZ, RICARDO SATISLOH NORTH AMERICAN I * 01/15/16 FIGLIOLI, DAVID 827 16WC 34324 PORTER, TENASHA NORTHWESTERN MEDICINE * 08/03/16 ACEVES & PEREZ PC 828 16WC 34344 GARCIA, JUAN GCA EDUCATION SERVICES * 10/13/16 FICHERA & MILLER POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 829 16WC 34366 HARDEE, EDWARD LEE MR DAVID'S FLOORING * 07/14/16 HEALY SCANLON LAW FIRM 830 16WC 34395 CASTELLANOS BENITEZ, JOSE WINSTON BRANDS, INC * 09/30/16 COSTA IVONE LLC LAW OFFICES JOSEPH MARCINIAK 831 16WC 34423 CLARK, ALEJANDRO SAMBOR STONE * 06/21/16 HERRERA LAW CENTER 832 16WC 34489 HURT, GLORIA COOK COUNTY * 07/04/16 BRISKMAN BRISKMAN GREENBER 833 16WC 34511 WHITMAN, CHESSICA GATE GOURMET * 10/31/16 JOEL BELL 834 16WC 34542 ABEJA, CECILIO DIVERSE FACILITY SOLUTION * 09/28/16 RUEDA, IVAN A 835 16WC 34566 WOODS, MILLICENT AMERICAN RED CROSS * 11/08/15 MEYERS & FLOWERS 836 16WC 34604 WELDON, MICHAEL P UNITED AIRLINES, INC * 10/25/16 RIDGE & DOWNES 837 16WC 34628 KOZLOWSKA, MARTA RADISSON-BLU AQUA HOTEL * 04/10/16 LAW OFFICE NANCY HIRSCH LL 838 16WC 34645 GUNN, JOHNNY NORTHWESTERN IL UNIVERSIT @ * 12/23/15 ANKIN LAW OFFICE HELEN LOZANO 839 16WC 34677 VEGA, DEBRA L ST NICHOLAS OF * 10/24/16 BRUCE RAFALSON LTD 840 16WC 34697 PETTIFORD, JOHN UPS * 09/29/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 841 16WC 34735 UGEL, KENNETH APOGEE TRUCKING INC * 09/04/14 LAW OFFICES PAPPAS & BELL 842 16WC 34755 GONZALEZ, LUIS MENDOZA J & M STAFFING AGENCY * 11/07/16 LAW OFFICES OF ANSELMO DUR 843 16WC 34777 ROQUE-APARICIO, ALBERTO WORK FORCE, LLC * 10/20/16 SALK, STEVEN B & ASSOC LTD KOREY RICHARDSON LLC 844 16WC 34794 PEDROZA, ANTHONY COOK COUNTY JUVENILE * 07/04/16 NILSON STOOKAL GLEASON CAP 845 16WC 34836 RIEFENBERG, LAURA L ASHLAND ADDISON FLORAL * 11/11/15 LAW OFFICES MICHAEL HELLMA 846 16WC 34859 MARTINEZ, JAIME LBP TERRACE MANUFACTURING * 10/25/16 KOSIN LAW OFFICE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 847 16WC 34886 COSTABILE, JOSEPH PRIDE ALTERNATIVE SCHOOL * 10/26/16 HUGHES SOCOL PIERS RESNICK 848 16WC 34907 MORA, BEATRIZ RESIDENCE INN CHICAGO * 06/20/16 MARC J SHUMAN & ASSOCIATES POWER & CRONIN LTD 849 16WC 34921 BRANNAN, CRAIG J CITY OF EVANSTON * 10/28/14 THOMAS W DUDA 850 16WC 34950 ESCALANTE, ROBERTO DURABLE PACKING INTERNATI * 10/25/16 AIOSSA LAW FIRM 851 16WC 34986 DRAKE, RUDOLPH ILLINI STATE TRUCKING * 09/24/16 BRISKMAN BRISKMAN GREENBER 852 16WC 35018 RODRIGUEZ, ALICIA STAFFING NETWORK, LLC * 01/13/14 EPSTEIN, JACK R LAW OFFICE 853 16WC 35078 CARR, PATRICK VILLAGE OF DOLTON * 10/09/16 WITTENBERG DOUGHERTY MAGLI 854 16WC 35133 MIMS, JANET ALDEN VILLAGE NORTH * 09/07/16 VASILATOS & COTTER LLC 855 16WC 35151 ATVIE, CONSTANCE GENERATIONS AT ELMWOOD PA * 07/28/16 DWORKIN AND MACIARIELLO 856 16WC 35186 ORTIZ, JUAN A UNITED AIRLINES INC. * 06/05/15 FIGLIOLI, DAVID 857 16WC 35220 HARRINGTON, KEITH METRO STAFF INC. * 10/27/16 ANKIN LAW OFFICE 858 16WC 35242 RODRIGUEZ, HUMBERTO EHC INDUSTRIES * 08/08/16 LULAY LAW OFFICES 859 16WC 35266 SZMIGIEL, SYLVIA COSTCO WHOLESALE * 10/08/16 NILSON STOOKAL GLEASON CAP GANAN & SHAPIRO 860 16WC 35311 LINK, PATRICK COOK COUNTY JUVENILE * 07/20/16 GOLDBERG WEISMAN & CAIRO L 861 16WC 35330 BARR, JENNIFER M ALDI FOOD STORES * 07/13/16 STROM, NEAL B 862 16WC 35348 ISACCS, JOHN KENAN ADVANTAGE GROUP * 09/11/15 CIFELLI SCREMENTI & DORE 863 16WC 35512 VILLANUEVA, DANIEL GOLDEN STATE FOODS * 11/16/16 MICHAEL P MCCREADY & ASSOC 864 16WC 35535 GONZALEZ, MAGDALENA HIGHLAND PARK CVS LLC * 10/04/16 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 865 16WC 35627 GARCIA, LUIS BEST VALUE AUTO PARTS * 01/23/16 OSVALDO RODRIGUEZ PC 866 16WC 35646 CREGAN, MICHELLE CHICAGO TRANSIT AUTHORITY * 08/31/16 STEPHEN G PINTO LTD CHICAGO TRANSIT AUTHORITY 867 16WC 35655 NAVAREZ, JESUS JJ2 LLC * 11/03/16 LAW OFFICE HOWARD ABRAMS 868 16WC 35694 FLORES, JOSE MICHEKE BOYCE RACING STAB * 07/26/16 HERRERA LAW CENTER 869 16WC 35725 LARSEN, SCOTT JR INVENERGY SERVICES LLC * 08/21/15 HENNESSY & ROACH PC 870 16WC 35801 WILLIAMS, DARRIAN AMERICAN AIRLINES, INC. * 08/16/16 CULLEN HASKINS NICHOLSON 871 16WC 35821 MCGEE, LISA CHICAGO TRANSIT AUTHORITY * 07/23/16 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 872 16WC 35888 LYNN, MATTHEW AMERICAN AIRLINES * 10/07/16 O'CONNOR & NAKOS 873 16WC 35894 GULAM, YAZDANI COMMUNITY FIRST HOSPITAL * 03/07/16 LEONARD LAW GROUP LLC 874 16WC 35948 GALINDO, MARIA MIDWAY AIRPORT HOTEL PART * 11/20/16 ACEVES & PEREZ PC 875 16WC 35984 MACK, LEON LAWRENCE HALL YOUTH SERVI * 10/24/16 PETER D CORTI LAW GROUP 876 16WC 36009 IDROVO, LETICIA HOLIDAY INN * 08/13/16 WILLIAMS, ROBERT B LAW OFF 877 16WC 36031 JONES, JOHN VALSPAR CORPORATION * 10/04/16 SEIDMAN MARGULIS & FAIRMAN 878 16WC 36048 PEREZ, EDMANUEL CTA * 11/05/16 MICHAEL P MCCREADY & ASSOC 879 16WC 36115 ALCARAZ, MIGUEL EMPIRE HARD CHROME * 04/01/15 GONZALEZ LAW GROUP 880 16WC 36139 DELBOCCIO, JOSH DUBOIS CHEMICALS * 12/09/15 ROGER D RUDICH LTD 881 16WC 36159 SCHARDT, ERIC BURBERRY * 10/30/16 HORWITZ HORWITZ & ASSOC 882 16WC 36177 MEHTA, CHHAYA K LIFESOURCE/ITXM DIAGNOSTI * 08/24/16 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 883 16WC 36230 TESTA, FRANK CARQUEVILLE PRINTING * 11/01/16 JAMES W GREEN, JR 884 16WC 36275 HENAO, ADOLFO GONNELLA FROZEN PRODUCTS * 06/26/16 DECARLO LAW GROUP 885 16WC 36301 NEWBY, BARBARA UNIVERSITY OF CHICAGO MED * 04/23/15 WIEDNER & MCAULIFFE LTD 886 16WC 36339 BULTHUIS, ANDREW REPUBLIC SERVICES * 01/11/15 GILDEA & COGHLAN 887 16WC 36358 DIPINTO, WILLIAM L CITY OF CHICAGO FIRE DEPT * 07/31/16 WILLIAM S. WOJCIK LTD 888 16WC 36385 LARSEN, MICHAEL J AT&T SERVICES INC * 08/11/15 DWYER AND COOGAN 889 16WC 36428 GRENDA, DONALD VILLAGE OF ALSIP * 09/12/16 CULLEN HASKINS NICHOLSON 890 16WC 36448 WELLINGTON, HOPETON UPS FREIGHT * 11/18/16 DWORKIN AND MACIARIELLO 891 16WC 36507 KWIATKOWSKI, PRZEMYSLAW TED & SON'S BUILDERS, INC * 11/19/16 ALEKSY BELCHER 892 16WC 36545 JORDAN, DELOIS ST COLETTA'S OF ILLINOIS * 11/08/16 ANKIN LAW OFFICE 893 16WC 36578 TAGLIOLI, MICHAEL PEOPLES GAS LIGHT & COKE * 01/29/16 GAROFALO SCHREIBER STORM 894 16WC 36599 VEGA, HILDA C KIMCO FACILITY SVCS, LLC * 09/05/16 BUDIN LAW OFFICES 895 16WC 36631 TOMACEK, JOHN J SB ENTERPRISES * 05/13/15 FITZGERALD LAW FIRM 896 16WC 36679 VITTORI, DAVID E SR. TRINITY SERVICE * 11/15/16 COVEN LAW GROUP 897 16WC 36710 FLORES, LYDIA WAL-MART STORES INC * 04/10/16 QUINTAIROS PRIETO WOOD & BOY 898 16WC 36738 AWAD, SALAH COOK COUNTY SHERIFF OFFIC * 08/06/16 LAW OFFICES ROBERT WARSASK 899 16WC 36782 TALLEZ, MYRNA SURESTAFF INC * 09/29/16 GOLDBERG WEISMAN & CAIRO L 900 16WC 36809 MANDIC, ZORAN MCGRATH-COLOSIMO, LTD * 08/18/16 COVEN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M THOMPSON-SMITH, LYNE 003 ARBITRATION CALL FOR CHICAGO 99003 ON 01/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 901 16WC 36828 CYGAN, EDWARD CENTURYLINK * 09/21/16 LANNON LANNON & BARR LTD 902 16WC 36862 VAZQUEZ, ADAN MILE NORTH HOTEL * 10/01/16 RUEDA, IVAN A 903 16WC 36893 JACKSON, VERONICA FORD MOTOR CO * 12/07/13 FOHRMAN, DONALD W & ASSOCS 904 16WC 36991 RAMOS, ALEXIS ASHLAND PROPANE, INC * 03/16/16 RODDY LAW LTD 905 16WC 37009 LAUGHERY, RICK UBER * 01/01/16 DWORKIN AND MACIARIELLO 906 16WC 37057 LEVIN, JOSEPH VILLAGE OF SCHAUMBURG * 11/16/14 MACIOROWSKI SACKMANN & ULRIC 907 16WC 37091 MANUEL, NICOLE UPS * 05/11/16 NYHAN BAMBRICK KINZIE & LOWR 908 16WC 37118 SKUBISZ, MICHAEL ARMCELL, LLC * 05/12/14 THOMAS & PORTELA 909 16WC 37157 REYES, EDIE MISERICORDIA * 10/23/14 TRAPP & GELLER 910 16WC 37193 WALKER, JUANITA RESIDENCE INN MARRIOTT * 11/15/16 BRISKMAN BRISKMAN GREENBER 911 16WC 37202 DORAN, PATRICK SOUTHERN WINE & SPIRITS * 12/16/14 COVEN LAW GROUP 912 16WC 37225 ROBINSON, MELISA CTA * 09/11/12 LEE, MARK N LAW OFFICE 913 16WC 37289 GOMEZ, JESUS NATION PIZZA PRODUCT * 11/04/16 DWORKIN AND MACIARIELLO 914 16WC 37325 MOYETT, NARACHI LABORATORY CORPORATION * 11/13/16 ARGIONIS & ASSOCIATES LLC