ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 96WC 45520 ADAMCZYK, BONITA M AMERICAN AIRLINES 02/23/96 FRANCIS M DISCIPIO LAW OFF GAROFALO SCHREIBER STORM 2 01WC 13421 HENDRICKS, LYNN LAIDLAW TRANSIT INC 11/01/00 VASILATOS & COTTER LLC BRADY CONNOLLY & MASUDA PC 02WC014146 -C Q S M MC DONALD'S 07WC022467 -C 3 01WC 52593 JOHNSON, BETTY L ST OF IL ELIZABETH LUDERM @ 01/02/00 CHRISTIAN & MANNO IL ATTORNEY GENERAL'S OFFICE 4 02WC 23681 RAMOS, LILLIAN P BELTONE ELECTRONICS 01/03/01 THOMAS R LICHTEN SCOPELITIS GARVIN LIGHT ETAL 02WC023682 -C 5 03WC 60787 VALENTINE, DONNA CITY OF CHICAGO 11/03/03 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 6 05WC 18103 RYS, MATHEW CHICAGO TRANSIT AUTHORITY 04/18/05 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 7 05WC 40481 THOME, JOSEPH CITY OF CHICAGO 08/29/05 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 8 06WC 45131 MARTINEZ, MAYRA FERRARA PAN CANDY CO 12/16/02 LUIS A ACEVES & ASSOC LAW OFFICES JOSEPH MARCINIAK 9 07WC 02272 19B RUSWISK, ALAN TRUCK O MATT 12/04/06 DWORKIN AND MACIARIELLO CECIL E PORTER III 10 07WC 03272 LIGGETT-HINTON, DONNA WILDMAN HARROLD 07/22/06 DAVID W MARTAY HENNESSY & ROACH PC 11 07WC 19832 BEDOYA, LUIS CARLOS TEMPEL STEEL COMPANY 09/20/06 CRONIN & PETERS RODDY LAW LTD 12 07WC 20569 19B MILLER, BRUCE A-1 AIRPORT LIMOUSINE SER W 04/22/07 DWORKIN AND MACIARIELLO THOMAS & ASSOCIATES 07WC020979 -C CHICAGO CHARTERS 13 07WC 31304 MC NEAL, GEORGIA M CITY OF CHICAGO 12/07/06 BAUM RUFFOLO & MARZAL LTD CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 07WC 34913 GRAHAM, DAVID A VILLAGE OF DOLTON 03/16/07 FABRIZIO, HANSON & PEYLA HENNESSY & ROACH PC 15WC014863 -C 15 07WC 35398 GRAHAM, DAVID A. VILLAGE OF DOLTON 03/13/06 FABRIZIO, HANSON & PEYLA HENNESSY & ROACH PC 07WC035781 -C 09WC035422 -C 15WC014786 -C 16 08WC 01358 JIMENEZ, ANNA THOMAS ENGINEERING 09/14/05 WILLIAM L STEARNS LAW OFFICES JOSEPH MARCINIAK 17 08WC 15908 GOBLE, PATRICIA FEDEX 06/06/07 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 09WC012145 -C FEDERAL EXPRESS 10WC018539 -C 11WC015945 -C 15WC036842 -C FEDERAL EXPRESS CORP 18 08WC 18972 SYRE, JORI SAFEWAY STORES, INC/DOMIN 01/02/06 PAUL W GRAUER & ASSOC 09WC012503 -C 19 08WC 34991 JEFFERSON, CHRIS HMD TRUCKING 07/18/08 EMPLOYEE LEGAL SERVICES LT CHEPOV & SCOTT LLC 08WC054330 -C 20 08WC 52051 SAWYER, USHER COOK COUNTY HIGHWAY DEPT 10/21/08 CULLEN, HASKINS, NICHOLSON STATES ATTORNEY OF COOK COUN 10WC032304 -C 21 08WC 54302 PIOTROWSKI, ED VILLAGE OF ARLINGTON HEIG 07/11/08 LEO ALT GAROFALO SCHREIBER STORM 22 09WC 20805 MARTINEZ, ALBERTO S.A. LANDSCAPING W 06/15/07 JAMES ELLIS GUMBINER & ASS 23 09WC 23253 POKORNY, ELIZABETH A VILLAGE OF WESTCHESTER 01/26/09 FIGLIOLI, DAVID RUSIN MACIOROWSKI & FRIEDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 24 09WC 27064 MALONE, MARILYN CHICAGO BOARD OF EUCATION 01/17/08 GAINES & GAINES LAW DEPARTMENT 09WC027065 -C 10WC009929 -C 25 09WC 29460 TORNINCASA, LEE CHICAGO TRANSIT AUTHORITY 09/26/04 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 12WC003957 -C 12WC003958 -C 12WC003959 -C 12WC003960 -C 12WC003961 -C 12WC003962 -C 12WC003963 -C 12WC003964 -C 12WC003965 -C 12WC003966 -C 26 09WC 30094 ZEUGNER, SCOTT J COMCAST SPORTSNET CHICAGO 09/25/07 CULLEN, HASKINS, NICHOLSON LAW OFFICES JOSEPH MARCINIAK 27 09WC 30777 WHITE, JESSICA PALOS HILLS EXTENDED CARE 06/23/09 BURNES & LIBMAN 28 09WC 38288 KASKIE, KEVIN T SEARS 08/23/09 NEWMAN, BOYER & STATHAM GAROFALO SCHREIBER STORM 29 09WC 38369 EDOSIO, SILVER ASPEN HOMES INC @ W 12/11/07 LAW OFFICES OF JORDAN B. R 30 09WC 45140 ZDERAD, RON SOUTHWEST AIRLINES 11/07/06 MILLON & PESKIN LTD HENNESSY & ROACH PC 09WC045141 -C 09WC045142 -C 09WC045143 -C 09WC045144 -C 09WC045145 -C 13WC021333 -C 31 09WC 48498 HOLDER, MARCUS JOEY'S MOVERS & TRUCKING W 09/29/09 VASILATOS & COTTER LLC 32 09WC 50330 CIESLA, FRED CITY OF CHICAGO 04/20/07 HEALY LAW FIRM LEAHY EISENBERG & FRAENKEL 33 09WC 51734 REDMOND, TAWONDA F/K/A CTA 12/08/08 KATZ FRIEDMAN EAGLE ET AL CHICAGO TRANSIT AUTHORITY 11WC029159 -C 34 10WC 02706 HERNANDEZ, LORRAINE L CITY OF CHICAGO 12/16/09 WOODRUFF & JOHNSON CITY OF CHICAGO 12WC038055 -C 35 10WC 08727 RODEA, NANCY CHIPOTLE MEXICAN GRILL 02/08/10 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 36 10WC 09113 JAROG, MARIA CLUB KOROLINKA/URSZULA CI W 01/22/10 NICHOLIS J STEIN 37 10WC 12464 DOMINQUEZ, ARACELI P DOUBLE CORPORATION D/B/ 03/26/10 COHN LAMBERT RYAN & SCHNEI 38 10WC 12692 FLORES, SALVADOR MILLARD GROUP 01/22/10 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 10WC026345 -C THE MILLARD GROUP INC 39 10WC 23001 WINDLE, JOHN P SIMPLEX-GRINNELL 08/07/08 HEALY LAW FIRM POWER & CRONIN LTD 40 10WC 23946 JAMES, DWIGHT BRINKS HOME SECURITY 07/08/09 MICHAEL P MCCREADY & ASSOC MEACHUM & STARCK 41 10WC 25899 MARTINEZ, ROSARIO UPS 05/12/10 LAW OFFICE OF OSVALDO RODR MEACHUM & STARCK 42 10WC 32682 LOPRESTI, PHILIP F CITY OF CHICAGO 08/30/07 HEALY LAW FIRM HENNESSY & ROACH PC 43 10WC 33317 NEVAREZ, ALEJANDRO RAMIRO RODRIGUEZ @ 07/28/10 LUIS A ACEVES & ASSOC 44 10WC 36210 MC FERREN, FREDDIE L CITY OF CHICAGO 08/30/10 DRANIAS HARRINGTON & WILSO CITY OF CHICAGO 45 10WC 36840 O'LEARY, THOMAS AMERICAN AIRLINES 08/16/10 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 11WC027810 -C 12WC004934 -C 46 10WC 38622 RIVERA, CARLOS MILTON INDUSTRIES INC 09/14/10 SALK, STEVEN B & ASSOC LTD BRAUN LORENZ & BERGIN PC 10WC044838 -C 15WC014842 -C 47 10WC 38748 PHILLIPS, SHARNIA ILLINOIS DEPARTMENT 08/02/10 LEE VASILATOS ASSISTANT ATTORNEY GENERAL 48 10WC 44136 PEREZ, FLORA HERNANDEZ EL MILAGRO INC. 08/25/10 LAW OFFICE OF SCOTT B SHAP 49 10WC 44149 MC NICHOLS, BRIDGET M CITY OF CHICAGO 10/25/10 ROSS TYRRELL CITY OF CHICAGO 10WC044150 -C 50 10WC 44626 HARRIS, JOHN A STATE OF ILLINOIS DEPT OF @ 09/17/10 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 13WC011138 -C ST OF IL DEPT OF HS 13WC023419 -C 13WC026885 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 51 10WC 45487 HOFFMAN, LIA DELTA AIRLINES 10/30/10 SOSTRIN AND SOSTRIN PC ROBERT L. SMITH 52 11WC 01869 ADDO, NELZIE ARAMARK 08/25/10 SEIDMAN MARGULIS & FAIRMAN STONE & JOHNSON CHARTERED 53 11WC 01905 BARAJAS, LEONARD AVIS BUDGET RENTAL CAR CO 12/13/10 SCHACTER, JEROME & ASSOC L BRADY CONNOLLY & MASUDA PC 54 11WC 04862 HELCHEN, RUSSELL HENNEGHAN WRECKING 01/05/11 STEVEN J SEIDMAN LAW OFFIC GRANT & FANNING 55 11WC 08318 OSIPAVICIUS, PAUL CHICAGO TRANSIT AUTHORITY 02/21/11 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 56 11WC 11194 SAADEH, THAER POWER PLAY DISTRIBUTORS I 10/22/10 EPSTEIN, JACK R LAW OFFICE ROCK FUSCO & CONNELLY LLC 57 11WC 11800 VILLALOBOS, FELIPA BERG WARNER CORP 01/17/11 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 11WC011803 -C 58 11WC 13982 19B SANCHEZ, VERONICA MI COSTANITA 12/15/09 MC HARGUE, JAMES P LAW OFF LAW OFFICES JOSEPH MARCINIAK 11WC013983 -C 11WC014476 -C 12WC023822 -C 59 11WC 18059 MALCIC, DANIEL SERV CORP INTERN'L 08/04/10 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 11WC041734 -C SERVICE CORP INT'L 11WC048493 -C 12WC004086 -C SERVICE CORP. INTERNATIONA 60 11WC 20307 HERNANDEZ, EUSEBIA HILTON WORLDWIDE, INC 05/15/11 ACEVES & PEREZ PC NOBLE & ASSOCIATES PC 61 11WC 23642 WOPPEL, VANESSA METROPOLITAN WATER RECLAM 01/26/11 WIEDNER & MCAULIFFE LTD NOBLE & ASSOCIATES PC 12WC008339 -C 62 11WC 24377 BANDA, ELVIRA CHICAGO PUBLIC SCHOOL 05/24/10 BERG & BERG 63 11WC 24412 BERMUDEZ, FRANCISCO CVS PHARMACY 06/22/11 PETER G. LEKAS 64 11WC 25601 KALLEN, JENNIFER S CRETE MONEE SCHOOL 01/18/11 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 65 11WC 26390 LOCOCO, ANTHONY CITY OF CHICAGO 06/02/11 PARENTE & NOREM PC CITY OF CHICAGO 66 11WC 28199 MINGO, TAMEKA CHICAGO TRANSIT AUTHORITY 07/19/11 KATZ FRIEDMAN EAGLE ET AL CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 11WC 28755 RUIZ, FERNANDO METRO STAFF INC 07/11/11 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 68 11WC 30029 RAINES, JONIKKA Q CHICAGO TRANSIT AUTHORITY 07/22/11 JAMES ELLIS GUMBINER & ASS CHICAGO TRANSIT AUTHORITY 12WC019883 -C CHIAGO TRANSIT AUTHORITY 69 11WC 30122 RUFFIN, THELMA SECRETARY OF STATE @ 06/04/11 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 11WC043467 -C 13WC042619 -C STATE OF ILLINOIS OFFICE O 70 11WC 30363 THOMAS, LUWANDA VICTORY CENTRE OF ROSELAN 02/07/11 LAW OFFICES PETER LEKAS THOMAS & PORTELA 71 11WC 33391 GORDILLO, ROSALBA MOBILE DOCTORS 08/18/11 MICHAEL P MCCREADY & ASSOC 72 11WC 34286 PRAVINCHANDRA, DAVID AT&T MIDWEST 06/15/11 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 73 11WC 34825 BRYANT, ADAM L HARTFORD & SONS LLC 08/02/11 FITZ & TALLON LTD NYHAN BAMBRICK KINZIE & LOWR 74 11WC 35950 BAMPOE, VERA JACKSON PARK HOSPITAL 08/12/11 GOLDSTEIN BENDER & ROMANOF ODELSON & STERK 75 11WC 36523 RAMIREZ, ALEJANDRO RUPARI FOODS SERVICES 09/09/11 76 11WC 38514 MAXWELL, REGIMOND CHICAGO TRANSIT AUTHORITY 04/13/11 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 77 11WC 43514 SARILLO, ELIZABETH ARAMARK UNIFORM SERVICES 02/25/11 BELCHER LAW OFFICE STONE & JOHNSON CHARTERED 11WC043516 -C 78 11WC 43886 ZEPEDA, JOSE MOORE LANDSCAPING INC 05/31/11 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 79 11WC 44445 RAFALZIK, WLADIMIR CITY OF CHICAGO 11/04/11 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 80 11WC 44583 RODRIGUEZ, ROCIO LOLITA'S RESTAURANT W 10/03/11 LUIS A ACEVES & ASSOC 81 11WC 45192 VEACH, HERBERT YRC WORLDWIDE 11/03/11 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 82 11WC 45213 MARIA, VILLANUEVA PRAIRIE PACKAGING 12/14/08 RUBIN & MACHADO 83 11WC 47290 CONLEY, HARRISON NAVISTAR 11/10/11 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 84 12WC 05264 VILLARTE, RODOLFO SR TEC FOOD INC 01/19/12 FRIEND LEVINSON & BERGAL MEACHUM & STARCK 85 12WC 09555 TOLEDO, JOSE ECONOMY FOLDING BOX CORP 08/11/11 CULLEN HASKINS NICHOLSON RUSIN MACIOROWSKI & FRIEDMAN 86 12WC 09567 WALLACE, ANTHONY PARK PLACE TOWER 12/12/11 COHN LAMBERT RYAN & SCHNEI HOLECEK & ASSOCIATES 87 12WC 09684 REDMOND, MARLO S PREFERRED MEAL SYSTEMS IN 03/12/12 CHASE & WERNER LTD POWER & CRONIN LTD 88 12WC 13544 WITT, LEONARD J JR WINDY CITY SKYLIGHTS 03/15/12 WILLIAM MARTAY EDWARD JANUSZKIEWICZ 12WC044388 -C 15WC001823 -C 89 12WC 14574 PLIEGO, JAVIER UNION PACIFIC RAILROAD 09/04/09 90 12WC 16856 19B WOLFSON, DONALD SOLAR WIND USA LLC-SOLAR 04/10/12 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 91 12WC 17620 KAREN, ABEDELKARIM H&M INTERNATIONAL TRANS I 02/15/12 FOTOPOULOS, JOHN S 92 12WC 17683 SZPUNAR, EDWARD ADVOCATE HEALTH CARE 01/22/11 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 93 12WC 18021 KAVROULAKIS, NICK G COUNTY OF COOK COUNTY SHE 05/10/12 FOTOPOULOS, JOHN S STATES ATTORNEY OF COOK COUN 94 12WC 18935 HUERTA, JOSE FRESH FARMS INTERNATIONAL 05/18/12 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 95 12WC 19138 LOVE, LAWRENCE TOWER AUTOMOTIVE 05/24/12 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 96 12WC 19405 HERNANDEZ, JAVIER GARY MENCL D/B/A 08/12/10 GOLDSTEIN BENDER & ROMANOF KEEFE CAMPBELL & ASSOC LLC 97 12WC 20328 KALENGA, JANE TRUMP INTERNATIONAL HOTEL 12/26/11 NOBLE & ASSOCIATES PC QUINN JOHNSTON HENDERSON ETA 98 12WC 20680 ROHRER, MARY ECHO 04/14/11 LAW OFFICE OF KEVIN O'BRIE BRADY CONNOLLY & MASUDA PC 99 12WC 20752 HALE, ZYPORAH J SOUTH SHORE HOSPITAL 03/31/12 KARP & ELLIS NYHAN BAMBRICK KINZIE & LOWR 100 12WC 21299 OYOQUE, RAMON CHICAGO TRANSIT AUTHORITY 06/06/12 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 101 12WC 29020 MC SHERRY, THOMAS CITY OF CALUMET CITY 03/02/12 COVEN LAW GROUP RANDOLPH GREUNE LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 102 12WC 29065 BAVARO, MATT S TIRE SERVICES COMPANY 07/26/12 PATRICOSKI, MARK G BRADY CONNOLLY & MASUDA PC 103 12WC 29092 JOHNSON, NATHANIAL FULTON MARKET COLD STORAG 07/20/12 STEWART C ORZOFF RUSIN MACIOROWSKI & FRIEDMAN 104 12WC 29577 FRANKS, ROBERT PERFECTION BAKERY 05/10/12 BAUM RUFFOLO & MARZAL LTD GRANT & FANNING 105 12WC 29840 RALLINGS-ROBINSON, ROCHEL GOTTLIEB MEMORIAL HOSPITA 05/31/11 COHN LAMBERT RYAN & SCHNEI NYHAN BAMBRICK KINZIE & LOWR 106 12WC 30037 BIVENS, SHERRILYN CHICAGO BOARD OF EDUCATIO 09/29/11 HETHERINGTON KARPEL BOBBER LAW DEPARTMENT 107 12WC 30073 VARELA, CARLOS LARSEN ENVELOPE COMPANY 04/03/12 COLLISON & O'CONNOR LTD WIEDNER & MCAULIFFE LTD 13WC008239 -C 108 12WC 30103 GARCIA, RAMON ATLAS EMPLOYMENT SERV INC 07/25/12 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 109 12WC 30467 HUGHES, LEROY PROVISO TOWNSHIP DISTRICT 07/26/12 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 15WC004685 -C 15WC004686 -C 110 12WC 30640 REDUS, ROBIN AT&T 08/22/12 LAW OFFICE EDWARD LICHTENS HENNESSY & ROACH PC 111 12WC 31128 AGUIRRE, DAVID J JR CHICAGO PUBLIC SCHOOLS 11/02/10 STUART H GALESBURG LAW DEPARTMENT 112 12WC 31182 GONZALEZ, RICARDO PRONTO STAFFING SERVICE 05/07/12 EPSTEIN, JACK R LAW OFFICE SPIEGEL & CAHILL, PC 113 12WC 31359 SOLOJ, MAYRA SWEDISH COVENANT HOSPITAL 02/22/12 ACEVES & PEREZ PC MACIOROWSKI SACKMANN & ULRIC 114 12WC 31455 PRUSINSKI, STEVEN CENTRAL TRANSPORT 04/03/12 LEONARD LAW GROUP LLC HINSHAW & CULBERTSON 115 12WC 31572 MAGNIFICO, FRANK SWISSPORT USA 08/12/12 JONATHAN SCHLACK KNELL & O'CONNOR 12WC031573 -C 12WC031574 -C 116 12WC 31672 ZALDIVAR, VIRGINIA DLHM-GVS LLC D/B/A 07/30/12 SALK, STEVEN B & ASSOC LTD RUSIN MACIOROWSKI & FRIEDMAN 13WC002636 -C 117 12WC 31894 THOMAS, TARINA CHICAGO TRANSIT AUTHORITY 08/12/12 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 12WC 32357 ALIJA, GASPAR QUALITY CARTAGE 09/20/09 EPSTEIN, JACK R LAW OFFICE JAMES M KELLY 119 12WC 36616 LEON, JOSUE CTA 02/06/12 DECARLO LAW GROUP CHICAGO TRANSIT AUTHORITY 120 12WC 40241 MARTINEZ-BRITO, JUAN MC ADAMS LANDSCAPING INC 10/18/12 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 121 12WC 40289 MUNOZ, RAFAEL ALARCON WE CLEAN INC 05/16/12 ANKIN LAW OFFICE THOMAS & PORTELA 122 12WC 40349 TODD, DRAMETTA OMEGA DEMOLITION 10/08/12 COHN & COHN BRYCE DOWNEY & LENKOV LLC 123 12WC 40604 MACIEL, ANDRES BILLY CASPER COOK COUNTY 06/30/12 LAW OFFICE OF SCOTT B SHAP 124 12WC 40910 SANDERS, LINDA UNIVERSITY OF ILLINOIS HO 10/29/12 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 125 12WC 40921 MONTANO, JOSE CITY OF CHICAGO 09/04/12 KARCHMAR & STONE CITY OF CHICAGO 126 12WC 41060 SANCHEZ, JOSE WELSCH READY MIX 10/16/12 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 127 12WC 41087 STEPHANITES, JOHN AMERICAN STEEL WORKS 07/02/12 COVEN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 12WC041088 -C 128 12WC 41287 DOMASHEVSKY, KATHERINE CITY OF CHICAGO, STEPHANI 12/08/11 FIORENTINO LAW OFFICES CITY OF CHICAGO 129 12WC 41809 WALKER, TERRY ED'S LIQUIDATION CONSTRUC 09/01/12 JOEL BELL 130 12WC 42206 RODRIGUEZ, PATRICA CIRCUIT COURT OF COOK CTY 11/13/12 STEVEN J SEIDMAN LAW OFFIC STATES ATTORNEY OF COOK COUN 131 12WC 42644 JEFFERY, ALSHON C/O CHICAGO BEARS FOOTBALL CL 10/07/12 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 12WC044257 -C 132 12WC 42677 GUZMAN, ACENSION MOST VALUABLE PERSONNEL 10/07/12 GOLDSTEIN BENDER & ROMANOF GRANT & FANNING 133 12WC 42943 HEREDIA, ANGELA ELITE STAFFING 11/02/12 SALK, STEVEN B & ASSOC LTD CASSIDAY SCHADE LLP 134 12WC 43100 FLEMING, ROBERT UGN 06/04/11 BRAD J. BALKE, PC 135 12WC 43906 MEDINA, ARMANDO BILL'S PAINTING 04/23/12 ANKIN LAW OFFICE MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 136 13WC 03897 PALMER, ROSEMARY ALDI INC 08/26/12 GORDON & CENTRACCHIO LLC MACIOROWSKI SACKMANN & ULRIC 137 13WC 06381 HERNANDEZ, MARIA B HOLY CROSS 01/04/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 138 13WC 06512 BOXLEY, ERICKA CHICAGO TRANSIT AUTHORITY 02/26/13 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 139 13WC 06716 JAMISON, SHARON METROSOUTH MEDICAL CENTE 10/08/10 JAMES A. THOMAS WIEDNER & MCAULIFFE LTD 140 13WC 06778 CANELA, RICARDO M HOLLANDER HOME FASHIONS 07/02/11 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 141 13WC 07163 QUALLS, THEO CTA 02/22/13 POLANSKY & CICHON CHTD 142 13WC 07222 MORALES, PETRA D&K INTERNATIONAL INC 04/18/12 LUIS A ACEVES & ASSOC RUSIN & MACIOROWSKI LTD 14WC033977 -C D & K GROUP INC 15WC030076 -C D&K GROUP INC 15WC030077 -C 143 13WC 07408 WIORSKI, ANTHONY CITY OF CHICAGO 02/22/13 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 144 13WC 07936 THOMPSON, ANGELA CITY OF CHICAGO 02/26/13 BARRY STEWART SILVER CITY OF CHICAGO 14WC008585 -C 145 13WC 07968 URENDA, NOE SUPERB ENVIROMENTAL CONTR 12/06/11 KATZ FRIEDMAN EAGLE ET AL 146 13WC 08204 MILLER, GERALD WESTSIDE HEALTH AUTHORITY 02/28/13 DEUTSCHMAN, JEFFREY S 147 13WC 08233 HARMAN, LYNN UNITED AIRLINES INC. 03/23/12 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 15WC036813 -C 148 13WC 08251 STEWART, CHERYL CITY OF CHICAGO 02/29/12 GORDON & CENTRACCHIO LLC CITY OF CHICAGO 149 13WC 08258 SARLO, ROBERT F IDOT @ 02/26/13 PARENTE & NOREM PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 150 13WC 08281 SANCHEZ, GABRIEL MALNATI ORGANIZATION INC 11/10/10 SIMS, ZACHARY K PC 151 13WC 13187 SHELBY, LEIMOMI MEGA BUS COACH USA 02/22/13 CIFELLI SCREMENTI & DORE POULOS & DIBENEDETTO LAW 14WC023690 -C 152 13WC 15384 MULCRONE, VICTORIA A CHICAGO PUBLIC SCHOOLS 08/10/12 SOSTRIN AND SOSTRIN PC 153 13WC 15490 LAUGHLIN, PATRICK CITY OF CHICAGO 04/03/13 O'CONNOR & NAKOS CITY OF CHICAGO 154 13WC 16256 MONROY, SILVIA PACTIV 02/04/13 EPSTEIN, JACK R LAW OFFICE 155 13WC 16513 TSIAPERAS, JOHN A FEDEX OFFICE & 09/20/12 RICHARD O. GREENFIELD BRADY CONNOLLY & MASUDA PC 13WC016514 -C 14WC024859 -C WALGREEN CO 14WC024860 -C 156 13WC 16632 CRUZ, SONIA CHICAGO PUBLIC SCHOOLS 04/03/13 VRDOLYAK LAW GROUP LLC LAW DEPARTMENT 157 13WC 16928 BURLESON, TIMOTHY KEHE FOOD DISTRIBUTORS IN 11/22/12 PETER D CORTI LAW GROUP POULOS & DIBENEDETTO LAW 158 13WC 16953 STANCIEL, ROSEMARY CTA 05/03/13 GRAVLIN, MICHAEL J LLC CHICAGO TRANSIT AUTHORITY 159 13WC 17426 WILLIAMS, WILBERT CITY OF CHICAGO 05/02/13 CIARDELLI CUMMINGS CAMPAGN 160 13WC 17440 DEVROY, JEFFREY CITY OF EVANSTON 08/02/11 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 161 13WC 17460 MILLS, DARRYL L FORD MOTOR CO 05/06/13 BOWMAN & CORDAY POWER & CRONIN LTD 162 13WC 17473 GREENE, JEANETTE WALMART 08/08/12 STEVEN A CRIFASE, LTD WIEDNER & MCAULIFFE LTD 163 13WC 17568 ABEJA-LOPEZ, ALFONSO RECYCLING DEPOT 05/14/13 GORDON & CENTRACCHIO LLC KOREY COTTER HEATHER RICHARD 164 13WC 17748 NEIL, THOMAS FEDERAL EXPRESS 01/07/13 DAPRATO, DENNIS SCOPELITIS GARVIN LIGHT 165 13WC 17789 OLDEN, CLAUDIS TRANSIT FUEL HOLDINGS 09/11/12 DWORKIN & MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 166 13WC 18360 RIVERA, RICHARD CITY OF CHICAGO 05/23/13 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 167 13WC 18663 ROBERTS, SABRINA CITY OF CHICAGO 07/10/11 DEPAOLO ZADEIKIS GORE ODELSON & STERK 13WC018664 -C 168 13WC 18678 VELAZQUEZ, LUZ ALLEN BROTHERS 01/01/13 GOLDSTEIN BENDER & ROMANOF 169 13WC 18730 FEAGINS, BEVERLY CITY OF CHICAGO 05/03/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 170 13WC 18813 MEDRANO, VICTOR TOTAL STAFFING 05/27/13 ACEVES & PEREZ PC 171 13WC 19133 NIEVES ITZEL G AKA HELP AT HOME, INC 05/21/13 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 172 13WC 19135 GUZMAN, ERASMO GIANT WHOLESALE W 05/18/13 CULLEN HASKINS NICHOLSON 173 13WC 19747 REISENER, LINDA J THERAPY MASTERS INC 04/09/13 DAVENPORT & WHITE KEEFE CAMPBELL & ASSOC LLC 174 13WC 27210 BLOXTON, WILLIAM TOTAL STAFFING SERVICE 06/27/13 JAMES ELLIS GUMBINER & ASS KNELL & O'CONNOR 175 13WC 27231 DELAO, ROSARIO CARSON PIRIE SCOTT 04/21/13 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 176 13WC 27810 LOPEZ, MELISSA DURABLE PACKING 07/11/13 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 13WC034303 -C 177 13WC 27858 LAY, MARK W CROWN CORK & SEAL 03/05/13 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 178 13WC 28208 MATTHEWS, RAYMOND DOUMAK, INC. 07/17/13 RAPAPORT, STEVEN I HOLECEK & ASSOCIATES 179 13WC 28405 GOODMAN, TERRY RISS BORG 07/20/12 STROM, NEAL B WOLFE & JACOBSON, LTD 180 13WC 28420 MILLER, ROXIE MICHELLE SOUTHWEST AIRLINES 09/25/11 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 181 13WC 28565 CABAN, ESTELA CASTRO CARL BUDDIG & COMPANY 03/13/13 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 182 13WC 28704 ORIEDO, KENBELLAH TNT EXPRESS 05/31/13 STROM, NEAL B MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 183 13WC 28718 AGUILAR, ROLANDO FREEDMAN SEATING CO 08/26/13 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 184 13WC 28877 MORALES, CARLOS SENIOR FLEXONICS INC 05/22/13 LEAHY, JAMES P BRADY CONNOLLY & MASUDA PC 16WC008985 -C 185 13WC 28989 CITTI, RACHEL SCOOTER BAY SALES CO 12/18/12 PORRO NIERMANN & PETERSEN LAW OFFICES JOSEPH MARCINIAK 186 13WC 29061 VELAZQUEZ, NEFTALI WILFREDO RODRIGUEZ 07/23/13 ANKIN LAW OFFICE 187 13WC 29676 SINGLETON-ALLEN, NANETTA COUNTY OF COOK 05/01/13 LAW OFFICES OF PHILLIP FAR STATES ATTORNEY OF COOK COUN 188 13WC 29865 SIMON, ABIGAIL JOFFREY BALLET 12/19/12 RUBIN LAW GROUP THOMAS & PORTELA 13WC029866 -C 189 13WC 29942 SHAMPINE, EDWARD MICHAEL VILLAGE OF CICERO 08/06/12 JOHNSON, MICHAEL D & ASSOC DEL GALDO LAW GROUP LLP 190 13WC 30032 EVANS, JOAN FORD MOTOR COMPANY 07/12/13 DONALD W FOHRMAN & ASSOC POWER & CRONIN LTD 191 13WC 30154 JORDAN, EDDIE D KINDRED HEALTHCARE 08/17/13 BOWMAN & CORDAY ARNETT LAW GROUP 14WC024498 -C 192 13WC 32273 GILMORE, ERIC CITY OF CHICAGO 08/19/13 ARGIONIS & ASSOCIATES LLC HENNESSY & ROACH PC 193 13WC 38363 WILKINS, KRISTY FORD MOTOR COMPANY 10/26/13 KROL BONGIORNO & GIVEN LTD 194 13WC 38481 LINGATONG, ROBIN UIC UNIVERSITY OF ILLINOI 10/07/13 VITELL & SPITZ LTD 195 13WC 38546 GULO, DAVID TRANSAMERICA INC 08/27/12 MARTIN L GLINK LAW OFFICE GAROFALO SCHREIBER STORM 196 13WC 38690 PONICKI, THOMAS E CBRE, INC. 05/15/13 O'CONNOR & NAKOS 197 13WC 39786 RUSSELL, LAVITTA UNIVERSITY OF CHICAGO HOS 09/14/13 BRISKMAN BRISKMAN GREENBER MACIOROWSKI SACKMANN & ULRIC 198 13WC 39998 REYNAGA, JOVITA FERRARA CANDY CO 04/04/12 HERRERA LAW CENTER HOLECEK & ASSOCIATES 199 13WC 40086 METOYER, CHARLES A JEWEL FOOD STORES 06/24/13 CULLEN HASKINS NICHOLSON QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 200 13WC 41038 ROSINSKI, ANDRZEJ PROJECT DESIGN GROUP INC 11/13/13 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 201 14WC 01688 VILLALOBOS, JOSE DRILL ROD & TOOL STEELS I 09/06/13 KENNETH B GORE, LTD RUSIN MACIOROWSKI & FRIEDMAN 202 14WC 01890 RUST, DAVID T AMRICAN AIRLINES 04/14/13 RIDGE & DOWNES GAROFALO SCHREIBER STORM 203 14WC 03508 MEDINA, ALLISON CARPIO PROSPECT AIRPORT SRVC. IN 10/05/13 LEWIS & DAVIDSON, LTD THOMAS & PORTELA 204 14WC 03608 LOPEZ, WANIKA S MERCY HOSPITAL 11/12/13 KENNETH B GORE, LTD NYHAN BAMBRICK KINZIE & LOWR 205 14WC 03766 CZAPLA, JOHN CHICAGO & ILLINOIS 01/11/14 VRDOLYAK LAW GROUP LLC EDWARD JANUSZKIEWICZ 206 14WC 03877 TAYLOR, MILENA GIORGIO ARMANI 10/14/13 MEYERS & FLOWERS INMAN & FITZGIBBONS 14WC003878 -C 207 14WC 03963 ACEVES, GICELA PITA PAN 02/06/13 ILLINOIS INJURY LAWYERS 208 14WC 04126 GELB, IBOYA CLEARBROOK 12/20/13 LEONARD S. BECKER GANAN & SHAPIRO 209 14WC 04262 MUNTANER, THOMAS CITY OF CHICAGO-DEPARTMEN 10/11/13 ANESI OZMON RODIN NOVAK KO CITY OF CHICAGO 210 14WC 04417 PRAKASH, GODISALA CITY OF CHICAGO DEPT OF T 12/09/13 DAVID W MARTAY CITY OF CHICAGO 211 14WC 04534 LESURE, THOMAS YELLOW CAB 01/29/14 ANKIN LAW OFFICE 212 14WC 04573 SADIG, RUMMANAN MOTOROLA INC 12/20/13 PORRO NIERMANN AND PETERSO BRADY CONNOLLY & MASUDA PC 213 14WC 04638 CARLSON, KIMBERLY A VANGUARD WESTLAKE HOSPITA 10/13/13 PETER D CORTI LAW GROUP HENNESSY & ROACH PC 214 14WC 04646 GUILLEN, CESAR WHEATLAND TUBE 02/07/14 DAVID W MARTAY GAROFALO SCHREIBER STORM 215 14WC 04712 GATTI, JORDAN PERFORMANCE TRUCK REPAIR, 01/28/14 MANDELL, GREGG 216 14WC 04749 GARCIA, LUIS SUPERIOR STAFFING 12/09/13 ACEVES & PEREZ PC GRANT & FANNING 217 14WC 04904 MALDONADO, WILLIAM CITY OF CHICAGO 07/31/13 O'CONNOR & NAKOS CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 218 14WC 04952 SYED, AZMATULLAH AMERICAN TAXI DISPATCH IN 12/10/13 LAW OFFICE OF EDYTA SALATA BAUM RUFFOLO & MARZAL LTD 219 14WC 05112 LOPEZ, EDGAR SHARK TRANSPORT 12/02/13 CHRISTIAN & MANNO RODDY LAW LTD 220 14WC 05148 INES, ELOISA RON'S STAFFING INC 12/20/13 KENNETH B GORE, LTD KOREY RICHARDSON LLC 221 14WC 05225 O'CONNOR, TANYA EASTER SEAL 12/10/13 GOLDFEIN LAW OFFICE PC 222 14WC 05375 DOMINGUEZ, MARIA UNIVERSITY OF ILLINOIS 03/22/12 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR 223 14WC 05515 MC QUILLAN, MICHELLE DUNBAR ARMORED INC 07/28/13 MARSZALEK AND MARSZALEK MEACHUM & STARCK 224 14WC 05545 JOHNSON, VICKIE CHICAGO TRANSIT AUTHORITY 02/11/14 DECARLO LAW GROUP CHICAGO TRANSIT AUTHORITY 225 14WC 05580 BEKIELEWSKI, MARYLEE A RAINBOW HOSPICE AND PALLI 08/05/13 GALLAGHER, DONALD V 226 14WC 05606 CWIKLINSKI, TRACEY FORD MOTOR CO 05/15/13 CUTLER & SILVERGLADE POWER & CRONIN LTD 227 14WC 06067 CAVALLERY, IRIS CHICAGO PUBLIC SCHOOLS 05/11/11 KENNETH B GORE, LTD 228 14WC 06175 BEARD, ISIAH CITY OF CHICAGO DEPT OF 12/17/13 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 229 14WC 06211 OBASI, LONGINUS ACROSS THE TOWN CAB CORP/ 02/17/14 LAW OFFICE OF SCOTT B SHAP 230 14WC 06249 KOPIEC, CHRIS CITY OF CHICAGO 12/23/13 THE KARMEL LAW FIRM 231 14WC 06277 HALEY, BRITTANY AMERI DREAM, INC. @ W 01/25/14 SKLARE LAW GROUP 232 14WC 06281 OEI, JULIANO GE HEALTHCARE 08/30/13 MULLIGAN LAW LLC MACIOROWSKI SACKMANN & ULRIC 233 14WC 06313 OLIVA, HUMBERTO THE ART OF PIZZA 02/09/14 ARGIONIS & ASSOCIATES LLC ROMANUCCI & BLANDIN 234 14WC 06330 BURTON, KIOWA FORD MOTOR COMPANY 11/19/13 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 235 14WC 07041 QUERCIOLI, DANA THE SECOND CITY INC 10/23/12 BUSSE, BUSSE & GRASSE 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 KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 14WC 07129 WOODRIDGE, ROBERT CITY OF CHICAGO 01/21/14 KARCHMAR & STONE CITY OF CHICAGO 237 14WC 07203 PARILLE, ANTHONY UNITED MAINTENANCE CO INC 02/14/14 ANGELINI & ORI LLC STONE & JOHNSON CHARTERED 238 14WC 07301 MARTLINK, MARIANNE PALOS HEIGHTS SCHOOL DIST 12/18/13 O'CONNOR LAW GROUP LLC ANCEL GLINK DIAMOND BUSH & E 239 14WC 07532 MC DONALD, JAMES CITY OF CHICAGO 01/06/14 SALVATO & O'TOOLE CITY OF CHICAGO 240 14WC 07582 BALES, MICHAEL TEMPERATURE EQUIPMENT COR 10/31/13 LEO ALT RUSIN MACIOROWSKI & FRIEDMAN 241 14WC 07600 HORNE, AJ MY FIT FOOD 01/23/14 CANDIANO LAW OFFICE MEACHUM & STARCK 242 14WC 07762 GLASSMAN, MICHELLE NEW CONNECTIONS ACADEMY 10/03/13 RIFFNER BARBER ROWDEN & SC STONE & JOHNSON CHARTERED 243 14WC 07777 GALLEGOS, RODRIGO MC GRATH HYUNDAI 10/02/13 HUGHES SOCOL PIERS RESNICK RODDY LAW LTD 244 14WC 11439 RAYMOND, MONIQUE NATIONAL QUICK CASH 02/19/14 SANDMAN LEVY & PETRICH MEACHUM & STARCK 14WC029638 -C 245 14WC 14810 ZAYAS, AGUSTIN COCA COLA REFRESHMENTS US 12/16/13 CIARDELLI CUMMINGS CAMPAGN BRADY CONNOLLY & MASUDA PC 14WC017188 -C COCA-COLA REFRESHMENTS 246 14WC 15442 THOMAS, SHIRLEY FIRST GROUP AMERICA 01/18/14 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC 247 14WC 15448 JONES, HENRY BULL MOOSE 12/07/12 LEE, MARK N LAW OFFICE HENNESSY & ROACH PC 248 14WC 15622 HALLER, JENNIFER SOUTHWEST AIRLINES 01/28/14 WILLIAM S. WOJCIK LTD HENNESSY & ROACH PC 249 14WC 15757 KIMBROUGH, DENNIS SOUTHWEST AIRLINES 01/31/14 DAVID W MARTAY 250 14WC 15789 ROJAS, GABRIELLA SUPERIOR STAFFING INC 01/30/14 HORWITZ HORWITZ & ASSOC GRANT & FANNING 251 14WC 15862 ADREANI, MICHAEL AT & T INC 03/16/13 GOLDBERG WEISMAN & CAIRO L 252 14WC 15903 SANTOR, SHARON PALOS COMMUNITY HOSPITAL 02/08/14 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 253 14WC 16187 RIVERA NATACHA FEDEX CORPORATION 04/22/14 ABELS & ANNES, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 254 14WC 16245 GARCIA, JOSE ANDREWS STAFF FORCE 04/28/14 JOHN S. ELIASIK BRADY CONNOLLY & MASUDA PC 255 14WC 16447 MCQUILLAN, PADRAIG REVCON CONSTRUCTION 09/03/13 O'CONNOR & NAKOS 256 14WC 16475 KERMER, KIMBERLEY C FAIRPLAY FOODS 04/25/14 CULLEN HASKINS NICHOLSON 257 14WC 16504 DEALVA, JOSUE TEMPUS AUTO SPA 04/02/14 FOHRMAN, DONALD W & ASSOCS 258 14WC 16546 CARDINAL, FRANK DICKSON CONTRACTORS INC 10/30/13 MILLON & PESKIN LTD KNELL & O'CONNOR 259 14WC 16606 JACKSON, JAMEL TJX COMPANIES, INC 02/26/14 KARNO, MARK L & ASSOC 260 14WC 16716 JACKSON, SHERRIE MARK RYAN & ASSOCIATES 11/01/13 LAW OFFICE WILLIAM STEARNS HOLECEK & ASSOCIATES 261 14WC 16816 COVARRUBIAS, MANUEL MAGID GLOVE & SAFETY 11/04/13 POMPER & GOODMAN 262 14WC 16879 OLSEN, SARAH DLT STAFFING, LLC 05/02/14 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK 263 14WC 16902 RAMIREZ, OMAR CHICAGO BOARD OF EDUCATIO 04/02/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 264 14WC 17066 RUIZ, LEONEL MULTI-TEMPS STAFFING SERV 05/09/14 RUEDA, IVAN A 265 14WC 17187 MAGALLON, AZUCENA LAWSON PRODUCTS, INC. 03/03/14 SCHIFF GORMAN LLC HENNESSY & ROACH PC 266 14WC 17236 SAAVEDRA, IRMA Y MIDWEST GAMING & ENTERTAI 04/29/14 COVEN LAW GROUP GRANT & FANNING 267 14WC 17380 KOCIAN, KENNETH METROPOLITAN WATER 01/24/14 KURASCH & KLEIN, LTD 268 14WC 17608 CUTRI, DANTE CUTRI CARPENTRY INC 04/24/13 VRDOLYAK LAW GROUP LLC RUSIN MACIOROWSKI & FRIEDMAN 269 14WC 17649 STALLWORTH, WILLIE COOK COUNTY HOSPITAL 05/24/12 TRUGLIO, FRED A & ASSOC STATES ATTORNEY OF COOK COUN 270 14WC 17671 GREEN, RANDY M CITY OF OAK FOREST 01/13/14 STROM, NEAL B INMAN & FITZGIBBONS 271 14WC 17689 HERRERA, SILVIA PETES FRESH MARKET 12/12/13 ARGIONIS & ASSOCIATES LLC LAW OFFICES FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 272 14WC 17924 NIETO, MARIO FARMINGTON FOODS 04/16/14 CULLEN HASKINS NICHOLSON EDWARD JANUSZKIEWICZ 273 14WC 18002 MORENO, CASSANDRA ADVOCATE CHRIST MEDICAL C 02/08/14 LAW OFFICE KEITH SHORT NYHAN BAMBRICK KINZIE & LOWR 274 14WC 18041 AUGUSTIN, ODVELT FIRST TRANSIT 05/16/14 FRIEDMAN & SOLMOR LTD BRADY CONNOLLY & MASUDA PC 275 14WC 18066 GREENE, ROSANNA PALOS COMMUNITY HOSPITAL 04/16/14 KARCHMAR & STONE POWER & CRONIN LTD 276 14WC 18074 THOMAS, SYBIL C CIRCUIT COURT OF COOK COU 03/06/13 CAMERON CLARK STATES ATTORNEY OF COOK COUN 277 14WC 18111 HERRERA, LAZARO PJ'S EXCAVATING SEWER & W 05/21/14 SMOLER LAW OFFICE, PC ACCIDENT FUND HOLDINGS, INC 278 14WC 18208 IQBAL, SHAKIL ANIL SAINI 05/12/13 HUNER LAW OFFICES LLC 279 14WC 18276 KOLOPELNIK, DMITRI EDEN LOGISTIC INC & 07/04/13 LEE A CAMPBELL LAW OFFICE MCANANY VANCLEVE & PHILLIPS 280 14WC 18317 SNARSKI, JEFF VILLAGE OF SCHILLER PARK 10/11/11 NEWLAND & NEWLAND KEEFE CAMPBELL & ASSOC LLC 281 14WC 18647 REILLEY, DALE A CON-WAY FREIGHT 04/15/14 RUSIN MACIOROWSKI & FRIEDMAN 282 14WC 18712 FLORES, JUAN COOK COUNTY SHERIFF 05/14/14 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 283 14WC 18754 SHEHAIBER, SUHEIL RED SNAPPER 09/24/13 284 14WC 18756 SKEEN, DOUGLAS C JR GRIFFITH LABORATORIES 04/07/14 VITELL & SPITZ LTD KEEFE CAMPBELL & ASSOC LLC 285 14WC 18784 LEWIS, JOHN SPEED SEJA SCHOOL DIST # 10/19/13 SEIDMAN MARGULIS & FAIRMAN 286 14WC 22232 ROMANO, KENNETH J JR LAGUNAS INC 01/30/14 FIORENTINO LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 14WC022233 -C 14WC038697 -C 287 14WC 23498 MOLONY, DANIEL FEDERAL EXPRESS GROUND 12/04/13 DAVID W MARTAY SCOPELITIS GARVIN LIGHT 288 14WC 23807 BRADSHAW, ALPHONSO A UNIVERSAL PROTECTION SERV 05/15/14 LAW OFFICES PATRICK MCCLUR 289 14WC 24204 19B VELA VALLEJO, ALEJANDRO SUPERIOR STAFFING 04/22/14 CULLEN HASKINS NICHOLSON GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 290 14WC 24284 WEDDEL, DAVID WASTE MANAGEMENT 04/11/14 MEYERS & FLOWERS GAROFALO SCHREIBER STORM 291 14WC 24717 WILLIAMS, ANTHONY DUROBAG MFG 09/21/13 CAPRON & AVGERINOS PC 292 14WC 25514 FREY, SHAWN M COOK COUNTY 07/13/14 BOTTO GILBERT STATES ATTORNEY OF COOK COUN 293 14WC 25888 WILSON, JULES CTA 07/27/14 FOHRMAN, DONALD W & ASSOCS 294 14WC 26707 ALVARADO, FABIAN AMERICAN NATIONAL SKYLINE 07/14/14 LAW OFFICE OF JAMES URTIS COZZI & GOGGIN-WARD 295 14WC 26900 OCEGUERA, GABRIEL CREATIVE INDUSTRIES TERRA 07/16/14 HUGHES SOCOL PIERS RESNICK 296 14WC 26984 SCHULTER, FRANK BARTLETT PARK DISTRICT 04/03/14 MEYERS & FLOWERS HENNESSY & ROACH PC 297 14WC 27032 DIXON, LEVITICUS FORD MOTOR COMPANY 03/31/14 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 298 14WC 27072 BOOSE, ANTHONY CTA 06/23/14 LAW OFFICES LAWRENCE M MAC CHICAGO TRANSIT AUTHORITY 299 14WC 27417 LAIN, JERAMIAH MR BULTS INC 03/21/14 STROM, NEAL B 300 14WC 27421 MACIAS, HERIBERTO LAKOTA 04, INC 07/31/14 STROM, NEAL B 301 14WC 27518 WHITFIELD, MARK CHICAGO TRANSIT AUTHORITY 08/01/14 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 302 14WC 27612 HOWELL, DAWN CERMAK HEALTH SERVICES 08/02/14 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 303 14WC 27894 ALEXANDER-FORD, KORIE CATHOLIC CHARITIES 02/22/14 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 304 14WC 27926 PARKER, ALFRED SR JANI KING 04/30/14 305 14WC 27959 LONG, PAUL AAA RENTAL SYSTEMS 07/18/14 KURASCH & KLEIN, LTD 14WC027960 -C 15WC021161 -C 306 14WC 28015 STRUM, RONALD CITY OF CHICAGO 11/14/13 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 307 14WC 28223 BROWN, CRAIG CITY OF CHICAGO 05/24/14 CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 308 14WC 28250 DOWNEY, JOHNIE M VILLAGE OF PALATINE 04/03/14 THOMAS W DUDA POWER & CRONIN LTD 309 14WC 28265 VAUGHN, RICKEY CHICAGO TRANSIT AUTHORITY 08/20/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 310 14WC 28577 SNARSKI, MARIAN TEMPEL STEEL COMPANY 07/07/14 COVEN LAW GROUP RODDY LAW LTD 311 14WC 28780 RANKIN, CHARLES JR UNIVERSITY OF CHICAGO (PS 08/13/14 ELFENBAUM EVERS & AMARILIO NYHAN BAMBRICK KINZIE & LOWR 312 14WC 28937 BOKSA, KEVIN AT&T 02/07/14 BAUM RUFFOLO & MARZAL LTD 313 14WC 28974 RAMIREZ, CARLOS MASON DIXON/UNIVERSAL 04/25/14 SOSTRIN AND SOSTRIN PC HINSHAW & CULBERTSON 314 14WC 29133 JOHNSON, KELLY VILLAGE OF LYNWOOD 05/30/14 SILVERMAN, CLIFFORD A SCOPELITIS GARVIN LIGHT 315 14WC 29280 TYLER, KEVIN AUNT MARTHA'S YOUTH SERVI 07/08/14 STEVEN J MALMAN & ASSOCIAT 316 14WC 29428 SCARBOROUGH, GREGORY CITY OF CHGO STREETS & SA 07/29/14 WILLIAM MARTAY CITY OF CHICAGO 317 14WC 29444 BELL, CLIFTON SOUTHWEST MANAGEMENT SYST 06/13/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 318 14WC 29481 WRIGHT, NATHAN FORD MOTOR CO 05/30/13 RATHBUN CSEVENYAK & KOZOL 319 14WC 29517 GREENLEAF, RAYMOND H & M INTERNATIONAL TRANS 06/16/14 BRUCE RAFALSON LTD INMAN & FITZGIBBONS 320 14WC 30272 PHIPPS, BENJAMIN CTA 08/20/14 MICHAEL A. HIGGINS CHICAGO TRANSIT AUTHORITY 321 14WC 36177 TORRES, SERAFIN L KERRY AMERICAS 08/16/14 ACEVES & PEREZ PC STONE & JOHNSON CHARTERED 322 14WC 36754 MILLSAP, ALLEN HHI GROUP HOLDINGS 04/06/14 FOHRMAN, DONALD W & ASSOCS 323 14WC 36883 ESPARZA-NIETO, ISABEL CHICAGO PARK DISTRICT 07/15/14 CHICAGO PARK DIST LAW DEPT 324 14WC 37247 CABANAS, JAIME CITYWIDE PRODUCE 10/07/14 ANKIN LAW OFFICE LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 325 14WC 37261 BONILLA, MIGUEL MR ROOTER PLUMBING 09/03/14 MARSZALEK AND MARSZALEK LAW OFFICES JOSEPH MARCINIAK 326 14WC 37284 WALSH, PHILLIP UPS 11/03/11 ANGELA NARDI-QUIGLEY NYHAN BAMBRICK KINZIE & LOWR 14WC039329 -C 327 14WC 37423 CHOATE, THOMAS VESUVIES USA 10/13/14 LEO ALT RUSIN & MACIOROWSKI LTD 328 14WC 37557 RAMIREZ, ULISES PANDA EXPRESS 02/06/14 KATZ FRIEDMAN EAGLE ET AL LEWIS BRISBOIS BISGAARD 329 14WC 37571 JEFFRIES, TORIANO STATE OF ILLINOIS @ 05/20/14 MINKOW DOMIN JILL OTTE 330 14WC 37595 IZZI, WILLIAM MECHANICAL & INDUSTRIAL 10/29/14 O'CONNOR & NAKOS KNELL & O'CONNOR 331 14WC 37719 AHRENS, WALTER JERNBERG INDUSTRIES 05/19/14 RUBIN LAW GROUP HOLECEK & ASSOCIATES 332 14WC 37857 L'ABBE, ANNE UNITED AIRLINES INC. 08/11/14 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 333 14WC 37889 BROWN, LOFIET METAL MATIC INC 07/06/14 JOEL BELL 334 14WC 37904 MC DUFFIE, PHILLIP COOK DUPAGE TRANSPORTATIO 11/02/14 LAW OFFICE OF SCOTT B SHAP 335 14WC 38034 BALOG, ISTVAN TELEFLEX MEDICAL 10/31/14 POLANSKY & CICHON CHTD HOLECEK & ASSOCIATES 336 14WC 38218 REBRONJA, ALMASA PLANET FITNESS 10/26/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 337 14WC 38253 YOUNG, TIRESIAS POWER STOP 10/30/14 MARC J SHUMAN & ASSOCIATES 338 14WC 38265 RADDATZ, JAMES CHICAGO BOARD OF EDUCATIO 08/22/14 SLAVIN & SLAVIN LAW DEPARTMENT 339 14WC 38307 MICHEL, CHANTALE SEASON HOSPICE 06/17/14 JAMES J BURKE LAW OFFICE WIEDNER & MCAULIFFE LTD 14WC038308 -C 340 14WC 38329 GILL, CHARLES PROVIDENCE HIGH SCHOOL 10/19/14 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 341 14WC 38346 GRIFFITH, JACQUELINE CITY OF CHICAGO 09/27/13 GOLDSTEIN BENDER & ROMANOF CITY OF CHICAGO 342 14WC 38350 SHEPHERD, SHANNON BIJAN'S BISTRO 06/10/14 BRAD J. BALKE, PC WOLF LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 343 14WC 38469 BURDINE, LC HOWARD ROOFING COMPANY 10/10/14 SANTILLI LAW GROUP 344 14WC 38678 MOSES, JAMIL MOST VALUABLE PERSONNEL 10/28/14 345 14WC 38679 STEELE, KELLY LUTHERN HOME 08/24/14 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 346 14WC 38837 KOWALSKI, BRIAN J SCURTO CEMENT 06/16/12 VITELL & SPITZ LTD EDWARD JANUSZKIEWICZ 347 14WC 38896 GLOSSINGER, CLAYTON WEB PRODUCTIONS & FABRICA 11/11/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 348 14WC 39193 SNOW JOY VHS WESTLAKE HOSPITAL INC 01/15/14 STELZMAN, RUTH HENNESSY & ROACH PC 349 14WC 39273 MAGDALENO, JORGE CDE BODY SHOP D/B/A COLLI 10/29/14 JONATHAN SCHLACK GANAN & SHAPIRO 350 14WC 39479 FABBRI, TRAVIS GOLF MILL FORD 06/23/12 FOOTE MIELKE CHAVEZ & O'NE ROBERT L. SMITH 351 14WC 39538 FIELDS, BARBARA HOME STAFF INC 09/22/14 DE SALVO, SCOTT D LAW OFFI GANAN & SHAPIRO 352 14WC 39556 HECKINGER, CHARLES GRAPHIC PACKAGING 09/11/14 RIFFNER BARBER ROWDEN & SC DOHERTY & PROGAR LLC 353 14WC 39577 CAGE, ANTHONY CITY OF CHICAGO 09/09/14 ANKIN LAW OFFICE CITY OF CHICAGO 354 14WC 39597 PEREZ, VICTOR A&R JANITORIAL SERVICE IN 10/20/14 PATRICOSKI, MARK G RUSIN & MACIOROWSKI LTD 355 14WC 39673 PIERCE, DAVID L KEYSTONE LKQ CORPORATION 06/02/14 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 356 14WC 40439 HORMES, RAMZY WOODWARD INC 08/28/14 SANDMAN LEVY & PETRICH HINSHAW & CULBERTSON 357 14WC 40461 HUDSON, LANG FORD MOTOR CO 11/17/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 358 14WC 40560 GARIBAY, DANIEL FORD MOTOR COMPANY 11/16/14 SAUNDERS CONDON & KENNY 359 14WC 40688 WELLS, REGINA UNITED AIRLINES INC. 04/20/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 360 14WC 40712 KURIEN, MARIAMMA CENTRAL NURSING & REHAB 07/01/14 DWORKIN AND MACIARIELLO GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 361 14WC 40733 SHIELDS-HALL, DONNA MANORCARE HEALTH SERVICES 04/16/14 HANNIGAN & BOTHA, LTD BRYCE DOWNEY & LENKOV LLC 362 14WC 40948 WOLFE, PATRICIA CTA 11/25/14 LAW OFFICES PETER LEKAS CHICAGO TRANSIT AUTHORITY 363 14WC 41232 PEARSON, JOAN CHICAGO PUBLIC SCHOOL 12/03/12 WOODRUFF & JOHNSON 364 15WC 01021 HUIRAS, RICHARD J CHICAGO TRANSIT AUTHORITY 10/27/14 WILLIAMS, ROBERT B LAW OFF CHICAGO TRANSIT AUTHORITY 365 15WC 01057 WALKER, TYRONE CTA 01/06/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 366 15WC 03090 GALLO, STEVEN ABLE ENGINEERING 10/10/06 SALVATO & O'TOOLE 367 15WC 03223 TAYLOR, MICHAEL CHICAGO BOARD OF EDUCATIO 11/18/13 CHARLES J. GALE PC 368 15WC 03383 ANDRADE, ANGELICA FOOD 4 LESS 09/03/14 JAMES ELLIS GUMBINER & ASS STONE & JOHNSON CHARTERED 369 15WC 03511 FARSHORI, UMAR CHICAGO BOARD OPTIONS EXC 10/23/14 LOUIS A PLZAK & ASSOCIATES 370 15WC 03772 GREEN, SIRELL FORD MOTOR CO 05/14/13 FOHRMAN, DONALD W & ASSOCS 371 15WC 03841 GRANDA, JEFFREY FEDEX CORPORATE OFFICES 10/28/14 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 372 15WC 03870 KOVALIK, TERESA FORD HEIGHTS SCHOOL DIST 01/26/15 BRUGGEMAN HURST & ASSOC ANCEL GLINK DIAMOND BUSH & E 373 15WC 03967 HEINZEL, DAVID L CHICAGO COPPER & IRON 11/06/12 CRONIN & PETERS 15WC003968 -C 374 15WC 04044 LESPIER, LILY JC PENNY 10/24/14 RUBIN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 375 15WC 04147 NESBITT, MARIA B ARAMARK AT INGALLS 07/31/14 VITELL & SPITZ LTD 376 15WC 04169 HERNANDEZ, DANIELA IHOP #3132 12/02/12 AIOSSA LAW FIRM 377 15WC 04369 BYRON, PATRICIA BETHESDA HOME & RETIREMEN 01/12/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 378 15WC 04462 WASHINGTON, DAVID MONDELEZ INTERNATIONAL 12/16/14 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 379 15WC 04499 PANIKOWSKI, URSZULA PACE SUBURBAN BUS SERVICE 05/10/13 LEO ALT 380 15WC 04554 CARDOZO, ALMA LORREN FLEXIBLE BENEFIT 11/23/13 RICHARD O. GREENFIELD LAW OFFICES JOSEPH MARCINIAK 15WC016263 -C 15WC016264 -C 381 15WC 04611 BARON, ARTHUR CITY OF CHICAGO 05/07/13 LEE, MARK N LAW OFFICE 382 15WC 04680 DORSEY, SUZETTE MAYFIELD HEALTH CARE 01/08/15 CHARLES LEVY & ASSOC LTD 383 15WC 04773 JOHNSON, HERMAN E UNITED AIRLINES 08/05/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 384 15WC 04789 DOTLICH, DANIEL VILLAGE OF HOFFMAN ESTATE 12/08/14 HANNIGAN & BOTHA, LTD RODDY LAW LTD 385 15WC 04893 WILLIAMS, STEVEN SECRETARY OF STATE 12/09/14 SMOLER LAW OFFICE, PC MALLORY ZIMET 15WC004894 -C 386 15WC 04931 PRATT, CLARA HALFWAY HOUSE COMMITTEE I 10/15/14 GOLDSTEIN BENDER & ROMANOF 387 15WC 04970 SUERTH, JOSEPH CITY OF CHICAGO 02/06/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 388 15WC 05006 HANNAH, TANASHA PRINCIPAL MANUFACTURING 06/26/13 MEYERS & FLOWERS LAW OFFICES JOSEPH MARCINIAK 389 15WC 05028 WRIGHT-JONES, BARBARA WALMART 07/16/14 DWORKIN AND MACIARIELLO 390 15WC 05107 SAMBELL, PETER KLEEN AIR SERVICE CORP 04/11/13 CIARDELLI CUMMINGS CAMPAGN NYHAN BAMBRICK KINZIE & LOWR 391 15WC 05159 ABRUSCI, TRACY UNIVERSITY OF ILLINOIS HO @ 02/23/12 STEVEN S. SHONDER POWER & CRONIN LTD 392 15WC 05273 MISZCZSZYN, WALTER TRIANGLE PACKAGE MACHINER 01/07/14 RAYMOND M SIMARD, PC HOLECEK & ASSOCIATES 393 15WC 05453 GAMBLE, LETREONA COOK JUVENILE DETENTION C 04/28/14 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 15WC005636 -C 15WC005637 -C 394 15WC 05478 SOTO, MARIA COOK COUNTY COURT HOUSE 07/22/14 KARCHMAR & STONE 395 15WC 05505 KEICHER, KARL RIVER TRAILS TRANSIT LINE 12/18/14 CAPRON & AVGERINOS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 396 15WC 05554 BRAUN, EDWARD BUSINESS OFFICE SYSTEMS 03/21/14 ROBBINS & ROBBINS LTD GANAN & SHAPIRO 397 15WC 05632 VILLAGOMEZ, MARTIN JFC INTERNATIONAL INC 12/18/14 KP LAW LLC 398 15WC 05732 SLAUGHTER, CELESTE ANN KICKERT BUS SERVICES 01/26/15 COLLISON & O'CONNOR GALLIANI DOELL & COZZI LTD 399 15WC 05742 BINYON, JOHN S. STANLEY'S KITCHEN & TAP 09/01/13 DEPAOLO ZADEIKIS GORE WOLFE & JACOBSON, LTD 15WC005743 -C 400 15WC 06002 BUDZINSKA, IRINA SMAKOWSKI SAUSAGE AND DEL 10/24/14 JOHN P GOGGIN HOLECEK & ASSOCIATES 401 15WC 06110 COGLIANESE, THERESA TRINITY HEALTH/ 07/31/14 DWYER AND COOGAN 402 15WC 06286 CHIMAN, JOSE VIDAL FRANK'S AUTO GLASS 01/02/15 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 403 15WC 06311 KIRKSEY, BILLIE ST OF IL DEPT OF HUMAN SE 02/19/15 DWORKIN AND MACIARIELLO MALLORY ZIMET 404 15WC 06331 FELTHOUSE, STEVEN THREE WAY TRANSPORTATION 02/18/15 JOHN E LUSAK NYHAN BAMBRICK KINZIE & LOWR 405 15WC 06503 ROMAN, JOSE CTA 02/12/15 BAUM RUFFOLO & MARZAL LTD CHICAGO TRANSIT AUTHORITY 406 15WC 06601 RAMIREZ, FRANCISCO NIEVES COOPER'S HAWK 04/16/14 JONATHAN SCHLACK 407 15WC 06755 QUINLAN, JAIME STATE OF ILLINOIS @ 07/17/14 TAMVAKIS, GEORGE L ASSISTANT ATTORNEY GENERAL 408 15WC 06890 GONZALEZ, RAUL JFC INTERNAIONAL INC 03/27/14 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 409 15WC 07012 CASAREZ, JUAN FOUR SEASONS HOME SERVICE 07/22/14 CAPRON & AVGERINOS PC GANAN & SHAPIRO 410 15WC 07289 GILLIAM, ROLAND AIR SERV CORP 01/24/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 411 15WC 09073 SALINAS, PAUL FORD MOTOR COMPANY 09/25/14 ANKIN LAW OFFICE 412 15WC 14922 GRUESBACK, GAIL BUTERA FINER FOODS INC 06/04/12 CORNFIELD & FELDMAN RODDY LAW LTD 413 15WC 15144 WILSON, SHAWN ANTHONY GOWDER DESIGNS 03/10/15 GOLDBERG WEISMAN & CAIRO L LAW OFFICES OF EDWARD J. KOZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 414 15WC 15199 SPILOTRO, DIANA GROUPON INC 08/15/14 KATZ FRIEDMAN EAGLE ET AL 415 15WC 15280 STIMAGE, SHAWN ADDUS HEALTH CARE 06/19/13 ARGIONIS & ASSOCIATES LLC 416 15WC 15477 RUFFIN, EDDIE L AT&T 05/01/15 GOLDSTEIN AIOSSA & GOOD 417 15WC 15592 WASHINGTON, DINETTA CTA 04/28/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 418 15WC 15726 KOSIEK, JOSEPH UNIV CHGO MEDICAL CENTER 05/31/13 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 15WC015727 -C 419 15WC 15751 BOLLERO, MEGHAN MARATHONFOTO 06/02/14 MILLON & PESKIN LTD GRANT & FANNING 420 15WC 15762 MANNINA, MICHAEL VIPER TRADESHOW SERVICES 06/03/13 RIFFNER BARBER ROWDEN & SC 421 15WC 15919 BROWN, BRENDA CHICAGO TRANSIT AUTHORITY 04/07/15 COHN LAMBERT RYAN & SCHNEI CHICAGO TRANSIT AUTHORITY 422 15WC 15989 CASSASOLA, RICHARD PEPSICO 08/25/14 MARC J SHUMAN & ASSOCIATES 423 15WC 16036 PINEDA, DAVE SKG ENTERPRISES, LLC 04/20/15 GRAZIAN & VOLPE PC 424 15WC 16093 LEVITT, JAMES L FORD MOTOR COMPANY 01/11/13 MARSZALEK AND MARSZALEK POWER & CRONIN LTD 425 15WC 16104 CALISTRO, MARK COOK COUNTY FACILITY MGMT 06/17/13 LARRY FLEISCHER & ASSOCIAT STATES ATTORNEY OF COOK COUN 426 15WC 16142 UGBAJA, SYLVANUS E CHICAGO ELITE CAB CORP 02/05/15 LAW OFFICE RASHIDA MAHAMA 427 15WC 16516 19B RUFIN, LOUIS GET FRESH PRODUCE, INC. 04/03/15 JOHN F GREGORIO & ASSOC WIEDNER & MCAULIFFE LTD 428 15WC 16541 CRNICH, MICHAEL U OF I - CHICAGO 05/13/13 RICHARD O. GREENFIELD HEYL ROYSTER VOELKER & ALLEN 429 15WC 16587 KHOSHABA, JOHN J.B. HUNT TRANSPORT 03/26/15 SEIDMAN MARGULIS & FAIRMAN GRANT & FANNING 430 15WC 16599 GHEZZI, MAX HILL MECHANICAL 05/21/15 COVEN LAW GROUP BRADY CONNOLLY & MASUDA PC 431 15WC 16634 KAUTZ, EDWARD K WALMART INC STORE #1497 11/23/14 STUART H GALESBURG WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 432 15WC 16686 MAROUSOPOULOS, MARINA NORTHWEST COMMUNITY HEALT 03/03/15 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 433 15WC 16708 HUTCHINSON, KIMBERLY HELP AT HOME 03/27/15 BRISKMAN BRISKMAN GREENBER MEACHUM & STARCK 434 15WC 16822 ADELFIO, ROSEMARIE ELI'S CHEESCAKE FACTORY 06/23/13 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 435 15WC 16840 NEAL, BRIAN DPI SPECIALTY FOODS INC 04/09/15 ANKIN LAW OFFICE 436 15WC 16924 VILLALVA, EBERARDO CURTO-LINGONIER FOUNDRIES 12/12/14 LEWIS & DAVIDSON, LTD KNELL & O'CONNOR 15WC016925 -C 15WC016926 -C 15WC016927 -C 15WC041601 -C 437 15WC 17056 TABORN, LA QUINTAE TLX TRANSOLGIX 09/30/14 RIDGE & DOWNES MEACHUM & STARCK 15WC032379 -C 438 15WC 17058 ADELFIO, ROSEMARIE ELI'S CHEESECAKE FACTORY 01/14/15 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 439 15WC 17136 SENKINS, INDIA ANTI CRUELTY SOCIETY 02/21/14 440 15WC 17303 HENNING, KRISTEN CVS 04/20/15 KROL BONGIORNO & GIVEN LTD HINSHAW & CULBERTSON 441 15WC 17321 HARRIS, DYLAN ROBERT BAIR PLUMBING 03/20/15 LAW OFFICES ROBERT WARSASK 442 15WC 17476 DRABIK, DAVID AMERICAN AIRLINES INC 02/06/15 PETER D CORTI LAW GROUP POWER & CRONIN LTD 443 15WC 17844 ANDERSON, KAREN D LORETTO HOSPITAL 04/30/15 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 444 15WC 18065 HERNANDEZ, VICTOR ESCOGID CHAMP CONSTRUCTION, INC. 05/05/15 HOWARD S. KAVENOW LLC RUSIN & MACIOROWSKI LTD 445 15WC 23511 ALBA, JOSEPH A SR IL DEPT OF JUVENILE JUSTI @ 06/29/15 SEIDMAN MARGULIS & FAIRMAN MALLORY ZIMET 446 15WC 23546 SANCHEZ, DIANA CHICAGO PUBLIC SCHOOLS 05/19/15 ACEVES & PEREZ PC 447 15WC 23571 SPILOTRO, PATRICIA L CITY OF CHICAGO DEPT OF S 10/15/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 448 15WC 23611 BELEN, MARTHA UNITED AIRLINES INC. 06/28/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 449 15WC 23637 BRITO, MARIO LVI ENVIRONMENTAL SVCS 08/27/14 CHEPOV & SCOTT LLC 450 15WC 23667 KASINER, NEVEL ALL DAY MONTESSORI 09/09/14 GOLDBERG WEISMAN & CAIRO L 451 15WC 23731 PAGE, TERRENCE FLEXICORPS INC 06/27/15 DEPAOLO ZADEIKIS GORE 452 15WC 23904 CORONADO, MARTHA ASPEN FOODS 04/17/15 ELFENBAUM EVERS & AMARILIO INMAN & FITZGIBBONS 453 15WC 23924 TENA, DARIO MIDAS AUTO SERVICE/AAMCO 12/02/14 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD 454 15WC 23951 GUDINO, GERARDO VIP CUTZ 08/01/15 VRDOLYAK LAW GROUP LLC 455 15WC 24032 MORA, ANDRES REPUBLIC SERVICES 07/28/15 GOLDBERG WEISMAN & CAIRO L 456 15WC 24073 PULIDO, RALPH ELK GROVE VLGE FIRE DEPT 08/24/14 ANESI OZMON RODIN NOVAK KO NOBLE & ASSOCIATES PC 457 15WC 24110 MCFARLANE, VELDA NEWLAND & NEWLAND LLP 06/30/15 LAW OFFICE OF SCOTT B SHAP RIPES NELSON BAGGOT KALOBRAT 458 15WC 24131 FAJARDO-GUTIERREZ, GUSTAV ELECTRONIC PLATING COMPAN 09/25/14 GOLDSTEIN BENDER & ROMANOF 459 15WC 24258 GREEN, GREGORY SWISSPORT USA 07/10/15 ROSS TYRRELL KNELL & O'CONNOR 16WC015755 -C 460 15WC 24369 JEREZ, SEGUNDO ECUATAX INC 08/13/15 JAMES ELLIS GUMBINER & ASS 461 15WC 24385 ALCANTARA, JOSE MONROY TOTAL STAFFING SOLUTIONS 07/23/15 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 462 15WC 24404 FRED, JIMMY SAFE AIR OF ILLINOIS 07/29/15 BAUM RUFFOLO & MARZAL LTD ALLEN KOPET & ASSOCIATES 463 15WC 24423 HANNIGAN, JAMES COOK COUNTY SHERIFF 03/06/15 DAPRATO, DENNIS STATES ATTORNEY OF COOK COUN 464 15WC 24440 GUEVARA-LOAIZA, FREDY CHICAGO DRYER CO 05/27/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 465 15WC 26366 ROBINSON, DOUGLAS GT PLUMBING 07/09/15 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 466 15WC 26427 JUAREZ, VIRGINIA PEREZ HOSPITALITY STAFFING SOLU 07/06/15 JAMES M GERAGHTY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 467 15WC 26455 COX, TINA NATION PIZZA PRODUCTS 06/02/14 RUBENS AND KRESS MEACHUM & STARCK 468 15WC 26509 ROSER, WILLIAM OAK LAWN FIRE DEPARTMENT 11/25/14 PETER D CORTI LAW GROUP KEEFE CAMPBELL & ASSOC LLC 469 15WC 26537 LOPEZ, TINA PEOPLE 4 U, INC. 07/17/15 DWORKIN AND MACIARIELLO 470 15WC 26621 CURRY, JERRY CHICAGO PUBLIC SCHOOLS 07/16/15 ANKIN LAW OFFICE 471 15WC 26780 MORGAN, DEAN VILLAGE OF MT PROSPECT 03/17/15 GAINES & GAINES 472 15WC 26812 REYNOSO, ALEJANDRA WORK FORCE 07/20/15 AIOSSA LAW FIRM KOREY RICHARDSON LLC 473 15WC 26978 SHUETT, THOMAS VILLAGE OF BARRINGTON 06/13/14 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 474 15WC 27018 HOBSON, CHRISTOPHER CHICAGO PUBLIC SCHOOLS 06/16/15 GOLDBERG WEISMAN & CAIRO L 475 15WC 27026 HEISLER, LINDA UNITED AIRLINES, INC. C/O 04/25/13 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 16WC012335 -C 476 15WC 27055 LOPEZ, ESTEBAN OLYMPIA FIELDS POLICE FOR 08/04/15 O'CONNOR & NAKOS 477 15WC 27160 EASTER, JASMINE FORD MOTOR CO. 08/18/15 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 478 15WC 27330 AMARO, ALEXANDER SOUTHWEST AIRLINES 08/10/15 BERG & BERG 479 15WC 27396 PALMER, ROY REPUBLIC SERVICES 05/06/13 MICHAEL P MCCREADY & ASSOC GILDEA & COGHLAN 480 15WC 27590 KURMYLO, DIANA KULAS MAIDS, INC. 07/22/15 DAVID M SPADA 481 15WC 27654 FUNSTON, STEPHANIE UNITED AIRLINES INC. 06/30/15 KATZ FRIEDMAN EAGLE ET AL 482 15WC 27787 ERWIN, STEPHEN WLS-TV/WALT DISNEY CORP 10/16/14 MILLON & PESKIN LTD WIEDNER & MCAULIFFE LTD 483 15WC 27876 WRIGHT, BRENDA HCR MANORCARE HEALTH SRVC 08/04/15 ABELS & ANNES, PC BRYCE DOWNEY & LENKOV LLC 484 15WC 27908 MCCARTER, ROBERT FORD MOTOR COMPANY 06/29/15 VASILATOS & COTTER LLC POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 485 15WC 28003 BODNAR, SHARON BARNES & NOBLE 12/20/14 VASILATOS & COTTER LLC 486 15WC 28227 URIOSTEQUI, VICENTE OLD DOMINION FREIGHT LINE 08/14/15 HERRERA LAW CENTER RODDY LAW LTD 487 15WC 28356 GUNDERSON ROXANNE JEWISH COUNCIL FOR YOUTH 10/27/14 ALBERT R. PINO LAW OFFICE BRADY CONNOLLY & MASUDA PC 488 15WC 28435 FREEMAN, ANN JOHN J MADDEN HEALTH CENT @ 07/22/15 ANKIN LAW OFFICE MALLORY ZIMET 489 15WC 28465 HERNANDEZ, MARIO ARCOS MINUTE MEN OF ILLINOIS 08/05/15 STEPHEN G PINTO LTD 490 15WC 28604 VELEZ, LIZET C. ACCURATE PERSONNEL LLC 06/30/15 OSVALDO RODRIGUEZ PC MC ANDREWS & NORGLE LLC 15WC028605 -C 491 15WC 28666 GARBACZ, ANA ABM JANITORIAL SERVICES 02/20/15 COVEN LAW GROUP 492 15WC 28679 ROMAN, CARLOS ABRA AUTO BODY & GLASS 03/12/15 FOHRMAN, DONALD W & ASSOCS 493 15WC 34246 GINGER, ALAN K-FIVE CONSTRUCTION CORP 09/14/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 494 15WC 34248 CODY, MICHAEL BRENNAN ELECTRIC INC 10/16/15 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 495 15WC 34679 ROPER, JAMES NEWSWEB CORPORATION 09/25/14 DWORKIN AND MACIARIELLO 496 15WC 35199 TART, DEATRA CITY OF CHICAGO 03/06/15 SCHAFFNER RABINOWITZ FEINA CITY OF CHICAGO 497 15WC 35291 MACK, ONITA CITY OF CHICAGO - OEMC 09/20/15 ANKIN LAW OFFICE CITY OF CHICAGO 498 15WC 35380 JOSEPH, MICHELLINE FORD MOTOR CO 10/02/14 JOEL BELL POWER & CRONIN LTD 499 15WC 35489 KROLL, KENNETH UPS CARTAGE SERVICES 09/25/13 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 500 15WC 35552 GORTA, CYNTHIA UNITED AIRLINES 06/22/15 HUGHES SOCOL PIERS RESNICK 501 15WC 35626 ADAMS, JAMES UGN INC. 10/02/15 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 502 15WC 35669 WILEY, CRAIG BRIDGFORD FOODS CORPORATI 07/08/15 KEDZIE LAW OFFICE PC KOREY RICHARDSON LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 503 15WC 35687 PIZANO, ELIZABETH UNILEVER ILLINOIS MFG., L 10/29/15 GOLDSTEIN AIOSSA & GOOD WIEDNER & MCAULIFFE LTD 504 15WC 35701 HARRIS, PETER BEKINS VAN LINES, INC 07/06/15 DAN COLLINS LAW FIRM 505 15WC 35736 LUNA, LLOYD DUNKIN DONUTS 10/19/15 VASILATOS & COTTER LLC 506 15WC 35752 RAMIREZ, ANGELICA BOYZO MIDWEST MOLDING 08/10/15 LULAY LAW OFFICES 507 15WC 35838 JARAMILLO, WILLIAM TOWN OF CICERO 09/20/15 VRDOLYAK LAW GROUP LLC DEL GALDO LAW GROUP LLP 508 15WC 35883 HAYES, BEVERLY SCR MEDICAL TRANSPORATION 06/17/15 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 509 15WC 35915 SOTO, JESU MARVEL GROUP INC 08/19/15 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 510 15WC 35965 QUINN, JUANITA MULTI SERVE CO 10/21/15 POMPER & GOODMAN 511 15WC 35977 NORTMAN, TIMOTHY ALLEN BROTHERS 12/04/14 MC HARGUE, JAMES P LAW OFF WIEDNER & MCAULIFFE LTD 15WC035978 -C 512 15WC 36017 IZQUIERDO, GUSTAVO CPS 10/16/15 DWORKIN AND MACIARIELLO 513 15WC 36052 MARTINO, DIANA UNITED AIRLINES 04/13/15 LAW OFFICE OF JAMES URTIS 514 15WC 36077 LAWSON, RANDALL CRST INTERNATIONAL 09/08/14 LEONARD LAW GROUP LLC 515 15WC 36111 PAPADOPOULOS, ALEXANDRA PREFECTIONIST HAIR SALON 12/20/14 ASHER, RAYMOND L LTD 516 15WC 36136 JAMES, THOMAS COOK COUNTY FACILITY MANA 10/22/14 VRDOLYAK LAW GROUP LLC 517 15WC 36154 PATTERSON, LILA M CHURCHVIEW SUPPORTIVE LIV 09/28/15 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 518 15WC 36179 HOLT, SHAUN CITY OF CHICAGO-DEPT OF W 07/24/15 NILSON STOOKAL GLEASON CAP CITY OF CHICAGO 519 15WC 36195 JONES, ANGELIQUE CTA 10/03/15 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 520 15WC 36207 GIANNELLI, MICHAEL DOUMAK INC 09/02/15 RAPAPORT, STEVEN I

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 521 15WC 36243 RAMOS, ESTHER ILLINOIS VEHICLE INSURANC 05/19/15 GOLDBERG WEISMAN & CAIRO L LAW OFFICES OF EDWARD J. KOZ 522 15WC 36381 LOWERY, DOUGLAS BINNY'S 07/31/15 PARENTE & NOREM PC MEACHUM & STARCK 523 15WC 36424 TURNER, ALFREDA SOUTH AFRICA TOURISM USA 04/29/15 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 524 15WC 36502 MAGURNO, JOHN REPUBLIC SERVICES 09/22/15 CHRISTINE F DAVID GILDEA & COGHLAN 525 15WC 36525 LOGAN, SHEILA KMART 4235 01/10/15 DAVID W MARTAY 526 15WC 36616 SHACK, WILLIAM CHICAGO TRANSIT AUTHORITY 10/31/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 527 15WC 36671 CANSECO-LOPEZ, ADOLFO CLUB LUCKY, INC. 10/12/15 DEPAOLO ZADEIKIS GORE 528 15WC 36730 TORRES-LOPEZ, JESUS PAN AMERICAN BANK 01/06/15 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 15WC036731 -C 529 15WC 36823 FAIR, JANET LOWE'S HOME IMPROVEMENT 08/08/15 SLAVIN & SLAVIN KEEFE CAMPBELL & ASSOC LLC 530 15WC 36843 JOHNSON, KERRY CITY OF CHICAGO 07/30/13 VRDOLYAK LAW GROUP LLC 531 15WC 36864 BOYLAND, ADRYENNE MARIANO'S FRESH MARKSET 10/03/15 MEYERS & FLOWERS INMAN & FITZGIBBONS 532 15WC 36930 DUNCAN, FLORIA CHICAGO TRANSIT AUTHORITY 11/02/15 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 533 15WC 36948 MCLAUGHLIN, STEVEN HARVEST FOODS 01/01/13 SEIDMAN MARGULIS & FAIRMAN 534 15WC 36978 MARTINEZ, JOSE M BONTERRA, INC. 07/03/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 535 15WC 37013 MENDEZ, JUAN DON FRESCO MEXICAN EATERY 10/08/15 EPSTEIN, JACK R LAW OFFICE 536 15WC 37091 REYES, MALLANE SOPRAFFINA MARKET 10/21/15 ENCINAS & ORNELAS ROSARIO CIBELLA 537 15WC 37117 PHILLIP, NANCY IL CENTRAL SCHOOL BUS CO 11/05/15 WOODRUFF & JOHNSON MACIOROWSKI SACKMANN & ULRIC 538 15WC 37157 MURPH, LINDA UNIVERSITY OF ILLINOIS 10/05/15 LEO ALT HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 539 15WC 37193 RODGERS, TYRONE REYES HOLDINGS 04/07/15 SAUNDERS CONDON & KENNY 540 15WC 37214 DE LA PAZ, JOSE THE MALNATI ORGANIZATION, 09/04/15 RUEDA, IVAN A GRANT & FANNING 541 15WC 37249 MEYER, MICHELLE A INDIAN SPRINGS SCHOOL DIS 02/26/14 CULLEN HASKINS NICHOLSON 542 15WC 37270 RICHARD, CHARMAN ADVOCATE CHRIST HOSPITAL 02/05/14 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 543 15WC 37287 CAIN, JAMES JOHN H STROGER JR HOSPITA 04/30/14 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 544 15WC 37318 ADAMO, RICHARD E CITY OF BURBANK 10/30/15 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 545 15WC 37346 JOHNSON, NICHOLAS LINCARE INC 10/27/15 SLAVIN & SLAVIN HOLECEK & ASSOCIATES 546 15WC 37365 GRADY, KENDRIC FORD MOTOR COMPANY 11/08/15 FOHRMAN, DONALD W & ASSOCS 547 15WC 37418 TERNSTROM, MIKE IVERSON AND COMPANY 10/07/15 DANIEL PERIASWAMY COZZI & GOGGIN-WARD 548 15WC 37472 BARNETT, ROBBIE FORD MOTOR COMPANY 07/01/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 549 15WC 37479 ROBINSON, JENNIFER FORD MOTOR CO. 05/03/15 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 550 15WC 37507 CHEGOUR, ABDELKADER DISPATCH AFFILIATION LLC 11/08/15 ANKIN LAW OFFICE 551 15WC 37557 VEGA, MARGARITA HILTON WORLDWIDE INC 11/19/15 FRIEDMAN, MICHAEL T & ASSO NOBLE & ASSOCIATES PC 552 15WC 37588 LEON, ARMANDO C THOMAS COMPANY, INC 08/22/15 KARCHMAR & STONE 553 15WC 37607 SOTO, JOSEPH CHICAGOWATER MGMT DEPT 10/29/14 LUIS A ACEVES & ASSOC CITY OF CHICAGO 554 15WC 37633 HEPLER, GARY FORD MOTOR CO 10/10/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 555 15WC 37665 MILEWSKI, EDMUND JK MANUFACTURING CO 11/19/15 BELCHER LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 556 15WC 37946 ANTONELLI, THOMAS SIEMENS 05/01/15 CASSANO & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 557 15WC 37962 RUFF, PATRICK J KORNERSTONE CONSTRUCTION 04/01/15 GOLDBERG WEISMAN & CAIRO L 558 15WC 38001 YANCOUR, JUAN CHICAGO TRANSIT AUTHORITY 10/20/15 GORDON & CENTRACCHIO LLC CHICAGO TRANSIT AUTHORITY 559 15WC 38168 CIOCH, CHRISTOPHER CITY OF CHGO - SANITATION 06/26/15 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 560 15WC 38190 PHILLIPS, HAROLD CONTINENTAL MIDLAND 12/28/14 POLANSKY & CICHON CHTD GRANT & FANNING 561 15WC 38249 GUTIERREZ, ROSA MARIA CHURCH CREEK SENIOR LIVIN 02/11/15 HERRERA LAW CENTER HENNESSY & ROACH PC 562 15WC 38424 MCFADDEN, MICHAEL CITY OF CHICAGO 11/04/15 GOLDSTEIN AIOSSA & GOOD CITY OF CHICAGO 563 15WC 38546 ALMANZA, ALFREDO BLACK HORSE CARRIERS INC 11/06/15 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 564 15WC 38720 LENNON, JOSEPH W CRANE & MACHINERY INC 11/16/15 PETER D CORTI LAW GROUP WIEDNER & MCAULIFFE LTD 565 15WC 38744 RATLIFF, NELSON CHGO DEPT OF AVIATION 11/22/15 ANKIN LAW OFFICE MEACHUM & STARCK 566 15WC 38857 HAYES, VERONICA L WALGREENS 11/12/15 SPINAK & BABCOCK 567 15WC 38941 BURKES, STEPHANIE STATE OF ILLINOIS @ 09/09/15 WHITING LAW GROUP MALLORY ZIMET 568 15WC 38976 XAVIER, FRANCIS UNITED AIRLINES 06/09/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 569 15WC 39049 FEDYSHYN, ANNA UNITED NEIGHBORHOOD ORG 04/10/15 LARRY FLEISCHER & ASSOCIAT LAW OFFICES JOSEPH MARCINIAK 570 15WC 39151 ZIZUMBO, GLORIA ALOFT HOTEL 10/26/15 COSTA IVONE LLC GRANT & FANNING 571 15WC 39169 TAYLOR, MARJORIE O'RELLY AUTO ENTERPRISES 11/23/15 ANKIN LAW OFFICE HENNESSY & ROACH PC 572 15WC 39229 COBLE, ARTHUR AAS CABLE INSTALLERS 10/07/15 BRISKMAN BRISKMAN GREENBER LAW OFFICES JOSEPH MARCINIAK 573 15WC 39378 GARCIA, ULISES SOUTHWEST AIRLINES CO 03/10/15 LAW OFFICE TIMOTHY DEFFET 574 15WC 39418 RICO, VERONICA FAMILY DOLLAR 09/17/15 RUEDA, IVAN A

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 575 15WC 39472 PAGAN, HECTOR UNITED AIRLINES INC 03/21/15 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 576 15WC 39490 CARRILLO, PEDRO A ALDI 01/10/14 JOHN J CASTANEDA BRADY CONNOLLY & MASUDA PC 577 15WC 39732 PYRZ, PETER HAYES MECHANICAL LLC 11/24/15 RITTENBERG & BUFFEN GAROFALO SCHREIBER STORM 578 15WC 39751 NELLESSEN, CHERRY NORTHWEST COMMUNITY 06/30/15 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 579 15WC 39800 CARRENO, JORGE 630 N STATE PARKWAY 10/16/15 STEVEN J TENZER, LTD HENNESSY & ROACH PC 580 15WC 39863 GUERRA, RODRIGO UNITED AIRLINES 10/07/15 RUBIN MACHADO ROSENBLUM 581 15WC 39909 COVARRUBIAS, JUAN C CHICAGO WATER DEPT 10/27/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 582 15WC 39993 ROLDAN, ANGEL TOWN OF CICERO 11/29/15 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 583 15WC 41027 REYES, ESTEBAN UNITED AIRLINES 10/23/15 BOWMAN & CORDAY 584 15WC 41059 HOFMANN, WILLIAM BUSINESS OFFICE SYTEMS 10/03/15 ROBBINS & ROBBINS LTD GAROFALO SCHREIBER STORM 585 15WC 41143 SMITH, DIANE FORD MOTOR CO 08/04/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 586 15WC 41167 JIMINEZ, MARIA CRUZ SCRUB INC 03/09/15 COSTA IVONE LLC INMAN & FITZGIBBONS 587 15WC 41190 LOPEZ, MARIA HYATT REGENCY O'HARE 10/19/15 CHRISTIAN & MANNO HENNESSY & ROACH PC 588 15WC 41301 MULLENS, MYESHA I ATLANTIC AVIATION 11/19/15 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 589 15WC 41407 GRAY, ROBERT NATIONAL BEVERAGE COMPANY 09/25/15 SEIDMAN MARGULIS & FAIRMAN 590 15WC 41423 SEVILLA, PEDRO BRENNAN MASONRY COMPANY 10/22/15 CULLEN HASKINS NICHOLSON QUINTAIROS PRIETO WOOD & BOY 591 15WC 41458 JONES, TAWANA FIRST STUDENT 12/12/13 WOLFE LAW PC HEYL ROYSTER VOELKER & ALLEN 592 16WC 03120 RATTANI, MOHAMMED SUN TAXI 12/12/15 LAW OFFICE RYAN ROSENTHAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 593 16WC 04613 JULIANO, LAWRENCE AQUA PLUMBING SERVICES, I 01/06/16 GOLDBERG WEISMAN & CAIRO L WOLFE & JACOBSON, LTD 594 16WC 04636 CHAVEZ, ARNUIFO MILROSE BREWING COMPANY 11/21/15 RUEDA, IVAN A 595 16WC 04702 BROWN, GEORGE MACY'S 12/13/15 SEIDMAN MARGULIS & FAIRMAN ROBERT L. SMITH 596 16WC 04730 GUTIERREZ, MARIA AMERICAN AIRLINES 10/11/15 TURCYCHUTE LLC POWER & CRONIN LTD 597 16WC 04750 TURNER, MAKABRA UNIVERSITYOFCHICAGOPOLICE 11/21/15 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 598 16WC 04799 JAKUBOVSKAJA, MARINA INTERSTATE BLOOD BANK INC 01/30/16 NILSON STOOKAL GLEASON CAP 599 16WC 04839 RICE, RHYIDAND PARSEC 01/24/15 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 600 16WC 04892 KANNOUR, HICHAM CARLOS J SANCHEZ 01/08/16 FISHER & LAMONICA LAW OFFICES DEBORAH SCHAEFER 601 16WC 04935 BRICENO, GUSTAVO KENNY CONSTRUCTION 04/23/15 BURNETT & CARON, LTD LAW OFFICES OF EDWARD J. KOZ 602 16WC 04958 CALDERA, JUAN BLACK SWAN MANUFACTURING 09/22/15 JONATHAN SCHLACK HENNESSY & ROACH PC 603 16WC 04980 PELAYO, ALBERTO THE TOWN OF CICERO 11/01/15 DAVID SZCZECIN & ASSOC DEL GALDO LAW GROUP LLP 604 16WC 05011 FELKER, PATRICE FORD MOTOR CO 01/21/16 WITTENBERG DOUGHERTY MAGLI POWER & CRONIN LTD 605 16WC 05039 ORTEGA, PORFIRIO HIGH EFFICIENCY PROFESSIO 01/25/16 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 606 16WC 05092 MANNELLA, ANTONIO JEWEL OSCO 10/10/15 THE KARMEL LAW FIRM RODDY LAW LTD 607 16WC 05124 TAPIA, RODOLFO JR ROEVOLUTION 226 LLC 06/01/15 COHN LAMBERT RYAN & SCHNEI LAW OFFICES JOSEPH MARCINIAK 608 16WC 05164 CAMPOS, FRANCISCO BRAUN MANUFACTURING 01/20/16 O'CONNOR & NAKOS MC ANDREWS & NORGLE LLC 609 16WC 05177 JOZSA, RICHARD SINAI HEALTH SYSTEMS 11/14/15 MICHAEL P MCCREADY & ASSOC NYHAN BAMBRICK KINZIE & LOWR 610 16WC 05323 LAYNE, LOIS UNITED AIRLINES INC CT 06/23/15 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 611 16WC 05386 GARY, BARBARA MEADE ELECTRIC 02/01/16 LAW OFFICES MICHAEL HELLMA RUSIN & MACIOROWSKI LTD 612 16WC 05405 MCCANN, MARGARET COOK COUNTY STATES ATTORN 03/31/15 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 613 16WC 05425 PRADO, ADOLFO ANEMONE-CAFFE 12/11/15 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 614 16WC 05502 TIJERNIA, MARK UNITED PARCEL SERVICE 02/14/16 BERNAT & BERNAT PC NYHAN BAMBRICK KINZIE & LOWR 615 16WC 05512 CONTRERAS, MARIA WEBER STEPHEN PRODUCTS 07/01/15 GOLDBERG WEISMAN & CAIRO L 616 16WC 05549 LITZKOW, JULIANNE L PRENATAL FIT 08/26/15 LAW OFFICES OF EDWARD J. KOZ 617 16WC 05602 FRANKLIN-MABRY, TYLENE BLUE CAP FOUNDATION INC 01/28/16 ANKIN LAW OFFICE 618 16WC 05623 ALEJANDRO, ROBERTO HERNAN CHRISTIAN BLANCAS CARPENT 01/04/16 SALK, STEVEN B & ASSOC LTD 619 16WC 05774 DULMAGE, DAVID JCFS THERAPEUTIC DAY SCHO 09/17/15 ERIC H CHECK, LAW OFFICES 620 16WC 05825 CABRAL, RAUL INDUSTRIAL BUSINESS SERVI 06/09/15 LEE A CAMPBELL LAW OFFICE 621 16WC 05926 SOUARI, ADAM SUN TAXI ASSOCIATES 02/21/16 KARNO, MARK L & ASSOC 622 16WC 06038 GALVAN RIVERA, MARINA FRIENDSHIP MOTEL, LLC 11/16/15 CHEPOV & SCOTT LLC ROSARIO CIBELLA 623 16WC 06074 OCHWAT, MICHAEL CTA 10/26/15 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 624 16WC 06075 MORALES, ANGEL UNITED WI INS CO 11/28/15 DEPAOLO ZADEIKIS GORE 625 16WC 06117 BONILLA, PEGGY EL VALOR CORPORATION 01/05/16 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 626 16WC 06217 HANCOCK, SIGLINDE PET SUPPLIES PLUS 02/11/16 COVEN LAW GROUP LAW OFFICES OF EDWARD J. KOZ 627 16WC 06238 BONILHA, CLAUDIO ROUNDYS SUPERMARKETS INC 11/21/15 THE MACK LAW GROUP PC 628 16WC 06258 RIVERA, OSCAR GET FRESH PRODUCE, INC. 02/08/16 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 629 16WC 06280 SANCHEZ, ARMANDO ALTERNATIVE STAFFING 02/16/16 NILSON STOOKAL GLEASON CAP MACIOROWSKI SACKMANN & ULRIC 630 16WC 06297 FERNANDO, TERESA SPECIALTY PRINT COMMUNICA 03/31/15 HORWITZ HORWITZ & ASSOC 631 16WC 06317 HANTON, EDWARD HILL MECHANICAL CORP 11/02/15 ANESI OZMON RODIN NOVAK KO 632 16WC 06331 MONRROY, JUAN ELITE STAFFING/PACTIV 02/16/16 RUEDA, IVAN A 633 16WC 06354 MCGOARTY, TOM UNITED PARCEL SERVICE 02/25/16 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 634 16WC 06401 PATIBANDA, SHERMA V O'HARE AIRPORT TRANSIT SY 10/05/15 HANNIGAN & BOTHA, LTD 635 16WC 06444 BEDNOWICZ, NORMAN THE TOWN OF CICERO 02/17/16 DAVID SZCZECIN & ASSOC DEL GALDO LAW GROUP LLP 636 16WC 06493 TARIHI, JANNET AT&T 06/24/15 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 637 16WC 06621 BURNETT, PHILIP LEGAL & GENERAL INVESTMEN 10/08/15 LAW OFFICE MATHYS& SCHNEID LAW OFFICES OF EDWARD J. KOZ 638 16WC 06643 BAKER, JULIE O'REILLY AUTO PARTS 11/13/15 MICHAEL A. HIGGINS HENNESSY & ROACH PC 639 16WC 06659 CATANIA, BERNARD F. MAINES PAPER & FOOD SERVI 05/06/14 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 640 16WC 06753 ELLIS, BRITTANY RED LOBSTER 01/31/16 STROM, NEAL B 641 16WC 06805 KARIUKI, VERONICA THE IMPERIAL OF LINCOLN P 10/16/15 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 642 16WC 06854 PANGANIBAN, KRISTY FIFTH THIRD BANCORP 11/06/15 MORGENSEN & ASSOCIATES HOLECEK & ASSOCIATES 643 16WC 06863 MARSHALL, RICARDO IDEAL FACILITIES SERVICES 12/30/15 MARK G BERGAL LAW OFFICE 644 16WC 06927 MESSINA, PAUL CHICAGO FLEET MGMT DEPT 08/31/15 CUDA LAW OFFICES CITY OF CHICAGO 645 16WC 06975 OROPEZA,MARIO ROMA PACKING 02/10/16 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 646 16WC 07005 AGUILAR, CRISSEL AKA LA CONCHITA SUPERMARKET 07/09/14 JONATHAN SCHLACK

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 665 16WC 15618 SWIECH, MARIA FMI, LLC C/O CT CORPORATI 03/29/16 HETHERINGTON KARPEL BOBBER HOLECEK & ASSOCIATES 666 16WC 15656 BROOKS, JOHN COOK COUNTY SECURITY DEPA 04/15/16 ANESI OZMON RODIN NOVAK KO STATES ATTORNEY OF COOK COUN 667 16WC 15676 CALLIS, ROBERT W TEKSYSTEMS 04/15/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 668 16WC 15694 MCGAHA, RENESHA SCR MEDICAL TRANSPORTATIO 04/13/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 669 16WC 15733 SHLAIMON, FARIS CHICAGO PUBLIC SCHOOLS 04/21/14 ASHER, RAYMOND L LTD 670 16WC 15787 STRAUGHTER, MARILYN STATE OF ILLINOIS-DHS @ 05/07/16 ANKIN LAW OFFICE MALLORY ZIMET 671 16WC 15820 PEREZ, LUZ M SENIOR OPERATION INC 04/10/15 LEAHY, JAMES P 672 16WC 15871 MCCRAY, AARON CTA 05/17/16 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 673 16WC 15890 ERICKSON, CONNIE COUNTRY CLUB HILLS SCHOOL 03/18/16 BOWMAN & CORDAY COZZI & GOGGIN-WARD 674 16WC 15904 PACHECO, SARAH D MENARDS 05/04/16 THERMAN LAW OFFICES 675 16WC 15967 SAVAGE, LEKIA CHICAGO PUBLIC SCHOOLS 09/30/13 GOLDBERG WEISMAN & CAIRO L 676 16WC 16015 WHITFIELD, KEVIN SB ENTERPRISES 08/11/15 MICHAEL J DUDEK HENNESSY & ROACH PC 677 16WC 16044 REDMOND, DEMETRIUS NEWLY WEDS FOODS INC 02/23/16 DWORKIN AND MACIARIELLO 678 16WC 16063 FIGUEROA, ARMANDO L MARIANOS 04/01/16 MONDRY & MONDRY 679 16WC 16159 SANKS, LASHAWN CPS 04/05/16 LANGENDORF, ROBERT A 680 16WC 16191 HARRELL, SHANICE CTA 04/21/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 681 16WC 16242 CORDERO, LAURA STANDARD PARKING 05/13/16 CULLEN HASKINS NICHOLSON 682 16WC 16270 HERBST, MATTHEW PRIME SCAFFOLD, INC 10/20/15 VLANTIS LAW LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 719 16WC 17989 ZURITA, RICARDO BURAK HANDLING 04/26/16 DAVID W MARTAY COZZI & GOGGIN-WARD 720 16WC 18040 IBARRA, GLORIA CHILDREN INTERNATIONAL AC 06/06/16 MICHAEL P MCCREADY & ASSOC LAW OFFICES JOSEPH MARCINIAK 16WC018041 -C 16WC018042 -C 721 16WC 18134 BELLHAMM, TIERRA CAPITAL ONE 06/05/16 JOHN E LUSAK 722 16WC 18161 BOGASKI, JOHN J HERTZ EQUIPMENT RENTAL 04/04/16 O'CONNOR & NAKOS 723 16WC 18180 VAZQUEZ, TAMARA ENVOY AIR INC 04/14/15 COVEN LAW GROUP 724 16WC 18188 POZNIAK, AMANDA PACTIV # 06/13/13 PORRO NIERMANN & PETERSEN 725 16WC 18256 RICHARDS, JANIE ARAMARK GLOBETROTTERS, LL 07/10/15 DEUTSCHMAN, JEFFREY S 726 16WC 18456 KNIGHT, GREGORY A CITY OF CHGO DEPT OF AVIA 11/21/15 ANKIN LAW OFFICE MEACHUM & STARCK 727 16WC 18472 DIAZ, VICTORIA SEARS HOLDING CO 10/13/14 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 16WC018473 -C 16WC018475 -C 728 16WC 18491 RIVERA, MARISOL P FRESENIUS KABI USA, LLC 06/13/14 THERMAN LAW OFFICES COZZI & GOGGIN-WARD 729 16WC 20498 BRITO, RADAMES SCHNEIDER NAT'L CARRIERS 05/29/16 ANKIN LAW OFFICE POWER & CRONIN LTD 730 16WC 25293 BABINSKI, KRZYSZTOF PRO TEMP OF ILLINOIS, INC 08/09/16 ALEKSY BELCHER LAW OFFICES JOSEPH MARCINIAK 731 16WC 25316 LAMA, BARRY ILLINOIS DEPARTMENT @ 01/25/15 FIGLIOLI, DAVID ILLINOIS ATTORNEY GENERAL 732 16WC 25477 GILLOTTE, JOSEPH A. UNITED PARCEL SERVICE 06/11/16 WITTENBERG DOUGHERTY MAGLI ASA LAW GROUP 733 16WC 25490 HERNANDEZ, CONRADO ELITE STAFFING 07/14/16 HART & DAVID LLP 734 16WC 25542 FLORES, JOSHUA CHICAGO PUBLIC SCHOOLS 07/11/16 ANKIN LAW OFFICE 735 16WC 25563 RICE, AUSTIN M. JACKSON PARK HOSPITAL 01/17/15 VITELL & SPITZ LTD ODELSON & STERK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 736 16WC 25582 STACY, CYNTHIA THE UNIVERSITY OF CHICAGO 08/01/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 737 16WC 25611 CASTILLO, ASUNCION ELITE STAFFIN INC. 05/04/16 THE ROMAKER LAW FIRM 738 16WC 25630 ROJAS, MARIO ALLIANCE STAFFING FIRM 07/19/16 COSTA IVONE LLC KNAPP, OHL & GREEN 739 16WC 25703 COLEMAN, NICOLE ADVOCATE CHRIST MEDICAL C 08/23/15 VASILATOS & COTTER LLC GAROFALO SCHREIBER STORM 740 16WC 25736 ALCALA, LUCINDA CHICAGO TRANSIT AUTHORITY @ 08/08/16 LAW OFFICE HOWARD ABRAMS CHICAGO TRANSIT AUTHORITY 741 16WC 25863 O'CONNOR, MAURICE NORTHEASTERN ILLINOIS UNI 08/15/15 HEALY SCANLON LAW FIRM MALLORY ZIMET 742 16WC 25888 TROCHEZ-EUCEDA, OSMAN O. GREENBRIER RAIL SERVICES 05/15/15 RAYMOND M SIMARD, PC 743 16WC 25970 GIRA, PATRICIA A VILLAGE OF ORLAND PARK 08/26/14 LAW OFFICE PHILIP BLOMBERG WIEDNER & MCAULIFFE LTD 744 16WC 26071 NAVA, ROLANDO MATRIX MAINTENANCE, LLC 03/10/16 ENCINAS & ORNELAS INMAN & FITZGIBBONS 745 16WC 26138 MEZA, ROBERTO METRO STAFF, INC 08/05/16 STROM, NEAL B 746 16WC 26182 WALKER, TEKESHA SCR MEDICAL TRANSPORTATIO 08/18/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 747 16WC 26236 DELGADO, ALEJANDRO ACE ANODIZING & IMPREGNAT 06/14/16 RUBIN MACHADO ROSENBLUM RODDY LAW LTD 748 16WC 26267 LEGORRETA, BRANDON ALTERNATIVE STAFFING, INC 07/02/16 BRIAN J MC MANUS & ASSOC, SLAVIN & SLAVIN 749 16WC 26292 KRANKLIN, KEVIN CITY OF CHICAGO-DEPT OF W 08/01/16 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 750 16WC 26315 BORKO, GALINA Y LOYOLA MEDICINE HOME CARE 02/22/16 RUBIN LAW GROUP 751 16WC 26319 CLEMENTS, ALAN YRC FREIGHT 08/01/16 VRDOLYAK LAW GROUP LLC 752 16WC 26340 HOGUE, HOWARD SEIU LOCAL 73 08/03/16 LEE, MARK N LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 753 16WC 26369 SCHOLTENS, RANDY PRIME ELECTRIC CO., INC. 04/15/15 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 754 16WC 26400 FAJARDO, ORBELIN MUDWEST CONSTRUCTION 08/16/16 DWORKIN AND MACIARIELLO 755 16WC 26421 CURTIS, DARREN CITY OF CHICAGO 08/15/16 LEO M. BLEIMAN & ASSOC CITY OF CHICAGO 756 16WC 26468 MORTALI, ANDREA UNITED AIRLINES INC. 02/12/16 BRIAN J MC MANUS & ASSOC, 757 16WC 26484 WRIGHT, SYSONYA PEPSI CO. 07/22/16 LEONARD LAW GROUP LLC ROBERT L. SMITH 758 16WC 26527 ALFARO, EUGENIA SUNRISE SR LIVING 04/05/16 FOHRMAN, DONALD W & ASSOCS 759 16WC 26543 SHAIKH, NOOR NEW ALBERTSON'S INC 07/09/16 RUBENS AND KRESS 760 16WC 26595 PERRITANO, ANTHONY SMITH CROSSING SENIOR LIV 07/16/16 HORWITZ HORWITZ & ASSOC 761 16WC 26648 BROWN, TYRONE BROWN, TYRONE 02/19/16 MARKER & ASSOCIATES 762 16WC 26713 REED, MICHAEL STATE OF IL DEPT OF @ 12/09/15 ANKIN LAW OFFICE MALLORY ZIMET 763 16WC 26767 HARSLEY, STEVE M. COOK COUNTY SHERIFF'S DEP 11/10/15 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 764 16WC 26826 HUDSON, ELIZABETH JEWEL FOOD STORES, INC. 04/01/16 FRANK A CELANI RODDY LAW LTD 765 16WC 26852 ISMAEL, MOHAMED NATZAC CORP #1 08/22/16 FISHER & LAMONICA 766 16WC 26883 MALEK, DONNA JEWEL OSCO 07/23/16 THE KARMEL LAW FIRM WIEDNER & MCAULIFFE LTD 767 16WC 26902 LEWANDOWSKI, JOYCE M JEWEL FOODS 04/01/16 TOSCAS, JOHN Z LAW OFFICE 768 16WC 27016 ROSKOPF, ANGELA BAR-TINI LOUNGE 03/27/15 DWORKIN AND MACIARIELLO WOLF LAW LTD 769 16WC 27100 MURAWSKI, RENEE AMERICAN SALE 06/11/15 MARC S. MAYER & ASSOCIATES 770 16WC 27136 VAZQUEZ, ANICETA ARYZTA LLC 10/10/15 SALK, STEVEN B & ASSOC LTD 16WC027137 -C 16WC027138 -C 771 16WC 27187 WASHINGTON, TOMMY PROLOGISTIX STAFFING 08/26/16 SOSTRIN AND SOSTRIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 772 16WC 27213 DUDZIAK, DOROTA PRESENCE RESSURECTION MED 01/28/16 ALEKSY BELCHER KEEFE CAMPBELL & ASSOC LLC 773 16WC 27342 AGUIRRE, RAQUEL SALGADO GIORDANO'S 08/26/16 STEPHEN G PINTO LTD COZZI & GOGGIN-WARD 774 16WC 27432 GONZALEZ, DAVID AKERS PACKAGING SERVICE G 08/15/16 VRDOLYAK LAW GROUP LLC 775 16WC 27509 ADAMS, FRANK A BASSWOOD CONSTRUCTION, IN 07/25/16 ANKIN LAW OFFICE 776 16WC 27536 YOUNGER, HALEMA CHICAGO PUBLIC SCHOOLS 01/26/16 EVAN A HUGHES LAW OFFICE 777 16WC 27600 MOON, TRAVIS COOK COUNTY JUVELINE DETE 08/26/16 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 778 16WC 27689 FIGARELLI, IRENE NORTHWEST COMMUNITY HOSPI 01/20/16 BOUDREAU NISIVACO LLC NYHAN BAMBRICK KINZIE & LOWR 779 16WC 27709 MCCAFFREY, BRIAN VICTORY SPUD SERVICE, INC 06/02/16 CORBOY & DEMETRIO PC 780 16WC 27721 HARDING, BRANDON FORD MOTOR COMPANY 07/20/16 FOHRMAN, DONALD W & ASSOCS 781 16WC 27751 HOLTON, CONSTANCE AUNTMARTHA'S HEALTH & WEL 02/16/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 782 16WC 27784 CARAJOHN, JEFFREY GW BERKHEIMER 02/18/16 COVEN LAW GROUP 783 16WC 27796 GONZALEZ, MARIA ELENA VIENNA BEEF 09/07/16 PETER D CORTI LAW GROUP MEACHUM & STARCK 784 16WC 27822 GALEANA CASTRO, DONACIANO FLEXIBLE STAFFING SERVICE 08/19/16 EPSTEIN, JACK R LAW OFFICE 785 16WC 27835 HARTY, ROBERT ABLE ENGINEERING SERVICES 11/27/14 HEALY SCANLON LAW FIRM 786 16WC 27903 SHANAHAN, MICHAEL CHICAGO TRANSIT AUTHORITY 12/06/14 MEYERS & FLOWERS CHICAGO TRANSIT AUTHORITY 787 16WC 27936 MUNOZ, LUCIA STERLING SLEEP PRODUCTS, 08/26/16 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 788 16WC 27966 MCNEAL, SABRINA PRAIRIE MANOR NURSING 08/06/16 RUBIN LAW GROUP 789 16WC 28072 ALCOZER, JOSE DEPARTMENT OF HUMAN SERVI @ 08/08/16 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 790 16WC 28109 LUNA, BLADIMIR CHICAGO MATTRESS CO 08/30/16 DWORKIN AND MACIARIELLO 791 16WC 28241 HARRIS, MARLOW JEWEL FOODS 09/03/16 SEIDMAN MARGULIS & FAIRMAN 792 16WC 28269 KENNEDY, ZERLINKA LETTS INVESTMENT REALTY I 05/12/16 DEUTSCHMAN, JEFFREY S 793 16WC 28299 CAMPBELL, RUSSELL COOK-DUPAGE TRANSPORTATIO 10/27/13 794 16WC 28329 DELEON, LUIS G FE MORAN INC 08/19/16 FIGLIOLI, DAVID 795 16WC 31429 JAKUBOSKY III, JAMES M BRACING SYSTEMS, INC * 07/20/16 SOSTRIN AND SOSTRIN PC 796 16WC 33588 WILSON, NATHAN CITY OF CHICAGO * 06/08/15 TRUGLIO, FRED A & ASSOC 797 16WC 34660 SLUSARCZYK, MICHAL P NEW PETER PAINGING INC * 10/18/16 ANKIN LAW OFFICE 798 16WC 34693 FOUNTAIN, MELINDA UNITED AIRLINES * 12/19/15 DWORKIN AND MACIARIELLO 799 16WC 34751 TOMBLESON, JOSEPH FANNIE MAY CANDIES * 01/20/16 SCHREINER MALLOY & ETZLER MEACHUM & STARCK 800 16WC 34771 BROWN, LOUIS UNITED AIRLINES INC. * 10/28/16 COVEN LAW GROUP 801 16WC 34789 TAYLOR, ROGIE JOHN STROGER JR HOSPITAL * 06/08/16 TOPPER & WEISS LTD 802 16WC 34823 ASH, PATRICIA FRIENDSHIP VILLAGE * 11/03/14 WARREN W MARK 803 16WC 34853 WOODS, CHRISTOPHER A COOK COUNTY DEPTOF CORREC * 11/07/16 VITELL & SPITZ LTD 804 16WC 34873 MORALES, ROSALINDA BEAUTY EXPRESS SALONS & S * 07/08/16 BRIAN J MC MANUS & ASSOC, COZZI & GOGGIN-WARD 805 16WC 34896 ROSS, CRYSTAL COOK COUNTRY JUVENILE * 11/04/16 RITTENBERG & BUFFEN 806 16WC 34937 QUAM, JOHN O CLEVELAND INTEGRITY SERVI * 09/28/16 TUITE LAW 807 16WC 34981 JACKSON, CAROLYN R AMERICA'S KIDS LLC * 11/04/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 808 16WC 35011 LOVELACE, JOSEPH CHIQUITA FRESH EXPRESS * 11/22/14 NILSON STOOKAL GLEASON CAP NYHAN BAMBRICK KINZIE & LOWR 809 16WC 35097 MCLAUGHLIN, THOMAS MIDWAY INDUSTRIAL EQUIP * 01/29/16 GREGORIO & MARCO LITCHFIELD CAVO 810 16WC 35144 PIZANO, RAMON ARYZTA * 11/02/16 HART & DAVID LLP HENNESSY & ROACH PC 811 16WC 35165 VILLEGAS, ARTURO COZZINI BROS, INC * 03/10/16 CHEPOV & SCOTT LLC 812 16WC 35215 TURNER, CASSANDRA UNITED AIRLINES INC CO * 02/28/16 BRIAN J MC MANUS & ASSOC, 813 16WC 35235 MCSHERRY, THOMAS CITY OF CALUMET CITY * 11/14/16 COVEN LAW GROUP 814 16WC 35256 YOUNG, JOSEPH RON'S STAFFING * 09/18/16 BRISKMAN BRISKMAN GREENBER 815 16WC 35306 STOCKDALE, TITUS DEPARTMENT OF WATER MANAG * 11/02/16 RIDGE & DOWNES 816 16WC 35322 SHERIDAN, JOHN AT&T * 11/10/15 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 817 16WC 35344 LANDA-HERNANDEZ, AGUSTINA ALAVA & SON * 03/04/11 JAMES ELLIS GUMBINER & ASS 818 16WC 35424 WILSON, ROBERT ABRA AUTO BODY & GLASS * 11/04/16 BURNES, EDWARD M 819 16WC 35506 FOX, MARTIN T KNICKERBOCKER ROOFING & * 08/24/15 O'CONNOR & NAKOS 820 16WC 35530 PICKENS, ANTHONY CROWN SVCS, INC * 09/23/16 ANKIN LAW OFFICE 821 16WC 35552 ACOSTA, ENRIQUETA CHICAGO BOARD OF EDUCATIO * 11/07/16 LEO ALT 822 16WC 35611 MCINTYRE, MARTIN T PEOPLES ENERGY/PEOPLES GA * 04/22/15 O'CONNOR LAW GROUP LLC 823 16WC 35623 AHMED, NASIR JEWEL FOODS STORES * 11/05/16 MICHAEL P MCCREADY & ASSOC BRADY CONNOLLY & MASUDA PC 824 16WC 35641 DAVIS, NICHOLAS ZF LEMFORDER * 10/08/16 LAW OFFICE OF SCOTT B SHAP 825 16WC 35674 MARTINEZ, PAOLA AMERICAN GASKET & RUBBER * 07/01/16 JONATHAN SCHLACK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 826 16WC 35686 DOOBAY, LUCIENE ESQUIRE HOSPITALITY STAFF * 01/16/16 VASILATOS & COTTER LLC 827 16WC 35721 GILLIES, RICK AMERICAN AIRLINES * 09/09/16 KATZ FRIEDMAN EAGLE ET AL 828 16WC 35742 JACKSON, THOMAS UNITED PARCEL SERVICE * 10/05/16 KARCHMAR & STONE 829 16WC 35757 NAVA-GRANADOS, GABRIEL FARMINGTON FOODS INC * 07/25/16 CULLEN HASKINS NICHOLSON CAPUANI & SCHNEIDER 830 16WC 35799 PERSON-BROWN, CYNTHIA ALLIANCE FOR COMMUNITY PE * 11/04/16 KANURU LAW GROUP PC 831 16WC 35816 NUNN-PAGE, NATASHA CITY OF CHICAGO * 08/15/16 DANIEL PERIASWAMY 832 16WC 35882 ROSENTHAL, DOROTHY PRET A MANGER USA, LTD * 09/09/15 HOLECEK & ASSOCIATES 833 16WC 35932 LENDWAY, BRETT CHRIS CAREY & CO, INC * 11/23/15 GANAN & SHAPIRO 834 16WC 35997 EDWARDS, AMANDA COOK COUNTY JUVENILE * 09/21/16 DAVID W MARTAY 835 16WC 36003 DAVIS-BUCKNER STATE OF IL MENTAL HEALTH @ * 11/13/16 STEPHEN G PINTO LTD MALLORY ZIMET 836 16WC 36023 MILLER, MARVIN FED EX * 11/08/16 STEVEN J TENZER, LTD 837 16WC 36078 CRUZ, MARTIN KDK DECORATORS LLC * 10/07/16 BERG & BERG 838 16WC 36101 KWIECINSKI, BEVERLY BILL KAY FORD * 09/16/14 CAPRON & AVGERINOS PC 839 16WC 36111 LIPSCOMB, TED UNITED AIRLINES INC. * 11/11/16 KROL BONGIORNO & GIVEN LTD 840 16WC 36132 ZIRKELBACH, MICHAEL L SUPERIOR FLOOR COVERING, * 09/22/16 GOLDBERG WEISMAN & CAIRO L 841 16WC 36172 AGUILOS, FRANCHESCA D MAA ST PAULS HOUSE & HEALTHCA * 07/08/16 ANKIN LAW OFFICE 842 16WC 36194 RODRIGUEZ, DOMINIC CITY OF EVANSTON * 06/24/16 THOMAS W DUDA 843 16WC 36207 LEE, LONDON INDEPENDENCE PLUS INC * 04/23/16 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 844 16WC 36271 CARAVANTES, VERONICA CVS * 11/23/16 SEIDMAN MARGULIS & FAIRMAN 845 16WC 36334 OUTLAW, LONNIE ARENA FOOTBALL ONE LLC * 07/11/15 GORDON LAW OFFICES LTD 846 16WC 36354 FERRARIS, ANTHONY CITY OF CHICAGO FIRE DEPA * 09/12/16 WILLIAM S. WOJCIK LTD 847 16WC 36378 STENSLIK, CATHERINE D LOEWS CHICAGO HOTEL * 10/09/16 RICHARD E ALEKSY 848 16WC 36420 POLUHA, JOELLA BORG WARNER * 07/19/16 PONNE LAW GROUP 849 16WC 36421 WELLINGTON, LAWRENCE FIRST CHOICE TRANSPORATIO * 07/01/16 DE SALVO, SCOTT D LAW OFFI 850 16WC 36441 LAUGHERY, RICK UBER * 10/12/16 DWORKIN AND MACIARIELLO 851 16WC 36485 SANCHEZ, WILLIAM A VILLAGE OF ORLAND PARK * 08/13/16 LAW OFFICE PHILIP BLOMBERG 852 16WC 36541 MIREA, SORIN YELLOW CAB CO * 11/21/16 ROBIN LAW OFFICE 853 16WC 36562 FAVORS, LENISE RAINBOW BEACH CARE CTR * 11/29/16 DWORKIN AND MACIARIELLO 854 16WC 36593 ELLIS, DARRIUS MINUTE MAN STAFFING * 10/28/16 BRILL & FISHEL 855 16WC 36612 HERMAN, RICHARD UPS * 03/30/16 STEWART C ORZOFF 856 16WC 36672 VELA, ADAM A PRONTO STAFFING SERVICES * 11/15/16 ANKIN LAW OFFICE 857 16WC 36706 HARTIGAN, JOHN UNIVERSITY OF ILLINOIS AT * 09/09/15 GOLDBERG WEISMAN & CAIRO L 858 16WC 36733 LEWIS, CHANCELLOR BRITE LOGISTICS INC * 06/02/16 ANKIN LAW OFFICE 859 16WC 36774 BOYLE, SAMUEL J TARGET * 03/11/14 BARRY A KETTER 860 16WC 36805 FATIGATI, PATRICK A BUCKSBAUM RETAIL PROPERIE * 04/27/16 DEPAOLO ZADEIKIS GORE 861 16WC 36823 KLAHN, LESLIE K EVERGREEN SHERIDAN LABORA * 08/24/15 COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 862 16WC 36847 NAVARRO, OSCAR NORTHWEST CLEANING SOLUTI * 09/09/16 CARONE LAW OFFICES 863 16WC 36857 AGUILAR, EDITH THE GROVE OF NORTHBROOK * 10/10/14 JONATHAN SCHLACK 864 16WC 36878 MORRISSETTE, KAREN COOK COUNTY C/O RISK MGMT * 07/21/16 ROBERT A. WILSON 865 16WC 36979 LARAMORE, BERNARD PARAGON SYSTEMS, INC * 10/28/16 GOLDBERG WEISMAN & CAIRO L 866 16WC 37002 SOLIS, MARTIN HIGHLINE BAR & GRILL * 10/25/16 ACEVES & PEREZ PC 867 16WC 37048 NELSON, ANTWON CITY OF CHICAGO * 11/16/16 BOGUSZ & BOGUSZ LTD 868 16WC 37086 PERKINS, ANTHONY AMERICA'S KIDS * 11/30/16 MC HARGUE, JAMES P LAW OFF 869 16WC 37112 ALEXANDER, JASMIN DHL GLOBAL FORWARDING * 12/02/16 DWORKIN AND MACIARIELLO 870 16WC 37141 BAUTISTA, PERFECTA ECOCO, INC. * 09/29/16 CHEPOV & SCOTT LLC 871 16WC 37187 MARION-JOHNSON, SAMANTHA WINDMILL NURSING HOME * 09/28/16 STROM, NEAL B 872 16WC 37197 BIENIEK, STEVEN COOK COUNTY SHERIFF * 07/25/16 LAW OFFICE OF SCOTT B SHAP 873 16WC 37219 KOSSLER, ANTHONY FORMULA FITNESS CLUB * 09/20/15 LAW OFFICE OF KEVIN O'BRIE 874 16WC 37279 WHALEN, KAREN THE BRADFORD GROUP * 09/14/16 SANDMAN LEVY & PETRICH 875 16WC 37302 SALGADO, JOSE XPO LOGISTICS * 10/14/16 THERMAN LAW OFFICES 876 16WC 37304 MCNEELA, CATHERINE ADVOCATE LUTHERAN GENERAL * 06/03/14 NYHAN BAMBRICK KINZIE & LOWR 877 16WC 37340 EVANS, SHARON LABOR SOLUTIONS LLC * 12/05/16 ANKIN LAW OFFICE 878 16WC 37356 TRADER, BARBARA SUMNER SCHOOL * 11/14/16 LEONARD LAW GROUP LLC 879 16WC 37407 MC CAIN, CURTIS T H RYAN CARTAGE COMPANY * 10/03/16 SANDMAN LEVY & PETRICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 880 16WC 37425 BOYD, CHARLES DOUGLAS PRESS * 08/24/16 DWORKIN AND MACIARIELLO 881 16WC 37451 SALDANA, CARLOS A SALEM MISSION HOME * 11/04/16 HERRERA LAW CENTER 882 16WC 37473 WALLENBERG, JOAN COUNTRYSIDE SALOON * 07/23/16 BRILL & FISHEL 883 16WC 37490 QUEEN-THOMAS, BEVERLY BOARD OF EDUCATION * 01/06/15 884 16WC 37519 KIRKSEY, ALEXANDER AMERICAN AIRLINES * 09/26/16 MEYERS & FLOWERS 885 16WC 37538 PALACIOS, MAURICIO ESTRUCTURAS, INC * 09/13/16 EPSTEIN, JACK R LAW OFFICE 886 16WC 37584 ROJAS, OSCAR EDWARD DON & CO * 10/02/16 OSVALDO RODRIGUEZ PC 887 16WC 37631 BEVILACQUA, JOHN UNITED AIRLINES INC * 11/17/16 STYKA & STYKA 888 16WC 37663 DEMARTRA, DIANE DEADERICK CHICAGO CHILD CARE SOCIET * 06/28/16 ANKIN LAW OFFICE 889 16WC 37682 LEZCANO, AMIDO JB HUNT TRANSPORT, INC * 10/09/16 DWORKIN AND MACIARIELLO 890 16WC 37721 MADRITSCH, THOMAS BP STAFFING RESOURCES INC * 11/12/16 DUDLEY & LAKE LLC 891 16WC 37747 BONNER, CIRIE ENVOY AIR * 11/28/16 DWORKIN AND MACIARIELLO 892 16WC 37800 WARSAME, MOHAMUD NIKIANA CORP * 11/16/16 HUNER LAW OFFICES LLC 893 16WC 37843 HERNANDEZ, ANDRES ILLINOIS STATE TOLL HIGHW * 10/15/15 STROM, NEAL B 894 16WC 37879 ELDRIDGE, COREY SHERIFFS OFFICE OF COOK C * 11/15/16 LAW OFFICES PETER LEKAS 895 16WC 37914 ROLDAN, ANTHONY HORWEEN LEATHER CO * 08/27/15 RUSIN & MACIOROWSKI LTD 896 16WC 37959 COURTNEY, SHAWN VILLAGE OF SCHAUMBURG * 01/10/14 RICHARD E ALEKSY 897 16WC 37983 HARDY, KENNETH C FORD MOTOR COMPANY * 10/20/16 COHN & COHN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 898 16WC 38001 NIELEEN, HEATHER BLUE PEARL VETERINARY * 09/15/16 KROL BONGIORNO & GIVEN LTD 899 16WC 38018 MONTIJO, ABRAHAM DPI DEDICATED LOGISTICS * 12/01/16 COSTA IVONE LLC 900 16WC 38041 RODRIGUEZ, NANCY CUMMINS ALLISON CORP. * 12/01/16 LAW OFFICES LEONARDO MORAL 901 16WC 38172 KOETZLE, CYNTHIA ACH FOOD COMPANIES * 09/07/16 WILLIAMS, ROBERT B LAW OFF 902 16WC 38209 MOORE, LEON A UPS * 11/21/16 WHITESIDE & GOLDBERG LTD