illinois workers' compensation commission ......9 07wc 00935 avila, manuel jaroslaw kurzac w...

49
ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 12327 MUELLER, MARTIN ANDERSON CONSULTING LLP 01/19/99 KATZ FRIEDMAN EAGLE ET AL GALLIANNI DOELL & COZZI LTD 2 02WC 29786 HARRISON, JOHN CITY OF CHICAGO 05/30/02 COHN LAMBERT RYAN & SCHNEI MICHAEL A. PEDICONE LTD 3 03WC 26968 CAVALIERS, PATRICK FBN ENTERPRISES INC 06/15/01 LUSAK AND COBB WOLFE & JACOBSON, LTD 4 03WC 61629 SPILOTRO, MARY ANN UNITED AIRLINES 08/17/03 HEALY LAW FIRM WIEDNER & MCAULIFFE LTD 5 05WC 23242 ROBINSON, VIRDEN SQUARE D COMPANY 08/05/04 LEWIS DAVIDSON & HETHERING MARTIN, PATRICK W 09WC010560 -C SCHNEIDER ELECTRIC/SQUARE 6 05WC 38627 19B ABATE, MICHAEL ST OF IL-DEPT TRANSPORTAT @ 12/08/04 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 7 05WC 43636 KURPIEL, KENNETH NORTHWESTERN UNIVERSITY 02/01/05 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 8 05WC 55015 19B KAMINSKI, DANIEL EMPLOYCO (LOANING EMPLOYE @ 08/22/05 SOSTRIN AND SOSTRIN PC CUDA LAW OFFICES 9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BENDER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM 11/28/06 PETER G. LEKAS MEACHUM & STARCK LAW OFFICES 11 07WC 24020 ADAMS, LULA CHICAGO PUBLIC SCHOOLS 12/05/06 LAW OFFICE OF SCOTT B SHAP LAW DEPARTMENT 12 07WC 24977 SARUBBI, DON J NORTH MAINE FIRE 04/13/07 CULLEN, HASKINS, NICHOLSON RUSIN & MACIOROWSKI LTD 13WC000339 -C CENTURYLINK, INC 13 08WC 02313 WHITE, MICHAEL S CHICAGO HEIGHTS STEEL CO 12/07/07 STUART H GALESBURG WIEDNER & MCAULIFFE LTD 14 08WC 03319 RUIZ, JOSE MIRACLE PRESS 01/16/08 HEALY LAW FIRM MEACHUM & STARCK

Upload: others

Post on 30-May-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 12327 MUELLER, MARTIN ANDERSON CONSULTING LLP 01/19/99 KATZ FRIEDMAN EAGLE ET AL GALLIANNI DOELL & COZZI LTD 2 02WC 29786 HARRISON, JOHN CITY OF CHICAGO 05/30/02 COHN LAMBERT RYAN & SCHNEI MICHAEL A. PEDICONE LTD 3 03WC 26968 CAVALIERS, PATRICK FBN ENTERPRISES INC 06/15/01 LUSAK AND COBB WOLFE & JACOBSON, LTD 4 03WC 61629 SPILOTRO, MARY ANN UNITED AIRLINES 08/17/03 HEALY LAW FIRM WIEDNER & MCAULIFFE LTD 5 05WC 23242 ROBINSON, VIRDEN SQUARE D COMPANY 08/05/04 LEWIS DAVIDSON & HETHERING MARTIN, PATRICK W 09WC010560 -C SCHNEIDER ELECTRIC/SQUARE 6 05WC 38627 19B ABATE, MICHAEL ST OF IL-DEPT TRANSPORTAT @ 12/08/04 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 7 05WC 43636 KURPIEL, KENNETH NORTHWESTERN UNIVERSITY 02/01/05 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 8 05WC 55015 19B KAMINSKI, DANIEL EMPLOYCO (LOANING EMPLOYE @ 08/22/05 SOSTRIN AND SOSTRIN PC CUDA LAW OFFICES 9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BENDER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM 11/28/06 PETER G. LEKAS MEACHUM & STARCK LAW OFFICES 11 07WC 24020 ADAMS, LULA CHICAGO PUBLIC SCHOOLS 12/05/06 LAW OFFICE OF SCOTT B SHAP LAW DEPARTMENT 12 07WC 24977 SARUBBI, DON J NORTH MAINE FIRE 04/13/07 CULLEN, HASKINS, NICHOLSON RUSIN & MACIOROWSKI LTD 13WC000339 -C CENTURYLINK, INC 13 08WC 02313 WHITE, MICHAEL S CHICAGO HEIGHTS STEEL CO 12/07/07 STUART H GALESBURG WIEDNER & MCAULIFFE LTD 14 08WC 03319 RUIZ, JOSE MIRACLE PRESS 01/16/08 HEALY LAW FIRM MEACHUM & STARCK

Page 2: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 08WC 06875 19B SPEARS, GWENDOLYN HAYAT MEDICAL EQUIPMENT 02/04/08 COVEN LAW GROUP JOSEPH MARCINIAK 16 08WC 09900 LANIER, JAN SECRETARY OF STATE @ 12/31/07 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 09WC043142 -C STATE OF ILLINOIS 09WC043143 -C 15WC033252 -C ST OF IL DEPT OF 17WC004354 -C SECETARY OF STATE 17WC004355 -C 17 08WC 24136 CARTER, DENNIS CHICAGO BOARD OF EDUCATIO 09/07/07 ANKIN LAW OFFICE LAW DEPARTMENT 11WC002025 -C 18 08WC 39777 HERNANDEZ, FLORA EL MILAGRO, INC 02/06/08 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 19 09WC 23010 LAWRIE, MICHAEL J.B. HUNT 03/14/09 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 20 09WC 31451 WESTON, PATRICIA CTA 05/16/09 SALK, STEVEN B & ASSOC LTD CHICAGO TRANSIT AUTHORITY 21 09WC 47021 HENCE, ROBERT FEDERAL-MOGUL CORPORATION 05/21/09 EMPLOYEE LEGAL SERVICES LT HOLECEK & ASSOCIATES 22 10WC 00567 CASKEN, LEONARD CITY OF CHICAGO 08/14/09 LAW OFFICES PETER LEKAS CITY OF CHICAGO 23 10WC 03626 MURO, LUIS CITY OF CHICAGO 09/29/09 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 13WC028451 -C 24 10WC 05904 19B SNEAD, DAVID ST OF IL DEPT OF TRANSPOR @ 12/01/09 CIFELLI SCREMENTI & DORE SHUAIB A. AHMED 25 11WC 00126 GOODALE, DONALD T.H. RYAN CARTAGE COMPANY 11/02/10 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 26 11WC 02633 FERGUSON, KEVIN LINN MATHES INC 09/02/09 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 27 11WC 05690 RIPPE, SHILO L (MOM & NEX JAMIE EXPRESS INC 12/02/10 SAUNDERS CONDON & KENNY SCOPELITIS GARVIN LIGHT 28 11WC 06367 19B JAKSICH, VIOLET CITY OF CHICAGO DEPT OF 02/07/11 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO

Page 3: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 29 11WC 14691 GARIBAY, YOLANDA PACE 02/10/11 LUSAK AND COBB POWER & CRONIN LTD 30 11WC 19053 SMITH, PEGGY UNITED AIRLINES INC. 04/08/10 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 16WC012070 -C 31 12WC 04268 LICHTENFELD, NATHAN S CITY OF BLUE ISLAND 11/28/10 MICHAEL J DUDEK DEL GALDO LAW GROUP LLP 32 12WC 04484 DELASSANTOS, ANDREW CITY OF CHICAGO DEPT OF 10/13/11 SALVATO & O'TOOLE CITY OF CHICAGO 33 12WC 05447 SANSONE, FRANK T CITY OF CHICAGO 01/30/12 PARENTE & NOREM PC HENNESSY & ROACH PC 34 12WC 06215 STONE, ELLEN CITY OF CHICAGO 03/16/09 JAMES E MURRAY LTD LEAHY EISENBERG & FRAENKEL 35 12WC 06250 PALEOLOGOS, GEORGE CITY OF CHICAGO 09/19/11 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 17WC029049 -C 17WC034590 -C 18WC024257 -C 36 12WC 08166 HEADE, PHILLIP HOLLAND MFG 01/17/12 LEE VASILATOS QUINTAIROS PRIETO WOOD & BOY 37 12WC 26324 TATUM, QUINTIN CHICAGO TRANSIT AUTHORITY 07/13/12 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 38 12WC 42409 GALVAN, PABLO J CHICAGO MESSENGER SERVICE 11/06/12 LULAY LAW OFFICES BRADY CONNOLLY & MASUDA PC 17WC007825 -C FORTE PACKAGING & SUPPLIES 18WC010007 -C TOTAL STAFFING SOLUTIONS 19WC002844 -C FORTE PACKAGING & SUPPLIES 39 13WC 03607 19B PIKOR, JOHN ROSEMONT EXHIBITION SRVIC 11/09/12 GAINES & GAINES GANAN & SHAPIRO 40 13WC 04786 STINSON, ZACKERY SHIFT TRANSPORTATION 01/31/13 SEIDMAN MARGULIS & FAIRMAN 41 13WC 04835 MCINTYRE, EDDIE L CHICAGO TRANSIT AUTHORITY 09/09/11 CAMERON CLARK CHICAGO TRANSIT AUTHORITY 42 13WC 06383 O'GILVIE, KARLEEN B UNITED AIRLINES INC. 02/02/13 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 14WC023956 -C

Page 4: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 43 13WC 11214 CASTILLO, ROBERTO CITY OF CHICAGO 02/27/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 44 13WC 12726 WINTON, MICHAEL IL DEPT OF TRANSPORTATION @ 03/06/13 TOSCAS, JOHN Z LAW OFFICE ASSISTANT ATTORNEY GENERAL 16WC033008 -C IDOT 45 13WC 14339 RODRIGUEZ, RICHARD CITY OF CHICAGO 05/12/11 O'CONNOR LAW GROUP LLC 46 13WC 15572 FOSTER, DAWN CTA 05/07/13 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 47 13WC 15603 HALL, EVELYN E ST OF IL, DEPT OF HS @ 05/01/13 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 13WC034588 -C 48 13WC 18822 MARTINEZ, RODOLFO BURBANK CONSTRUCTION 05/14/13 CULLEN HASKINS NICHOLSON VENIT, STEVEN L 49 13WC 24544 RODRIGUEZ, KARLA L MEXCALTITAN INC D/B/A 05/19/13 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 50 13WC 37182 CERVANTES, MARIA ELITE STAFFING 10/10/13 SALVATO & O'TOOLE 51 13WC 37572 GARCIA, ADELA HELP AT HOME 09/23/13 RUBIN LAW GROUP MEACHUM & STARCK 52 13WC 37740 YUEN, STEVEN CHICAGO TRANSIT AUTHORITY 10/30/13 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 53 13WC 38536 LAURENCE, DANIEL LOWES HOME IMPROVEMENT 05/17/12 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 13WC038537 -C 54 13WC 39086 YOUSIF, SAMIRA CERES FOOD GROUP 07/29/13 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 55 13WC 42448 TRASHANI, FLAMUR COUNTY OF COOK DEPT 09/03/13 FIGLIOLI, DAVID INMAN & FITZGIBBONS 14WC011044 -C 56 14WC 00401 GUTIERREZ, THOMAS R CITY OF CHICAGO 12/13/13 PARENTE & NOREM PC CITY OF CHICAGO 57 14WC 00565 MATHEWS, HOWARD CITY OF CHICAGO 12/31/13 RITTENBERG & BUFFEN CITY OF CHICAGO 58 14WC 01838 PAWLOWICZ, JANUSZ PREMIUM TRANSPORTATION 01/02/14 CHEPOV & SCOTT LLC STONE & JOHNSON CHARTERED 59 14WC 02874 REINKING, RICK ARROW IL CO 12/04/13 WOLFE LAW PC

Page 5: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 60 14WC 05589 COATS, AISHA DELELA (HEIR CITY OF CHICAGO 11/13/13 WHITESIDE & GOLDBERG LTD CITY OF CHICAGO 61 14WC 06627 ADAM, MAHDI CHICAGO ELITE CAB COMPANY 09/11/13 HUNER LAW OFFICES LLC 62 14WC 12308 SIMS, RITHA CITY OF CHICAGO 04/02/14 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 63 14WC 13223 OCAMPO, MARINA HYATT REGENCY HOTEL 09/11/13 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 14WC013222 -C 64 14WC 15304 KIM, SO DUK NEON TEK SIGN INC DBA W 11/04/13 MICHAEL HELLMAN JEANNINE SIMS 65 14WC 15597 OUSLEY, TEQUILA O HOME DEPOT 04/27/14 VITELL & SPITZ LTD MC ANDREWS & NORGLE LLC 66 14WC 15962 WOLKE, GLEN CITY OF HARVEY'FIRE DEPT 03/18/14 ELFENBAUM EVERS & AMARILIO ANCEL GLINK PC 17WC034463 -C 67 14WC 16112 ARZATE, RUBEN Z GEORGE MANAGEMENT CORP 03/27/14 ILLINOIS INJURY LAWYERS GEORGE PONTIKES & ASSOC 68 14WC 18283 BADER, MAHD YELLOW CAB COMPANY 05/06/14 STEPHEN G PINTO LTD 69 14WC 25815 OLGUIN, DANIEL COOK COUNTY 04/29/14 KARCHMAR & STONE STATES ATTORNEY OF COOK COUN 70 14WC 29115 RUIZ, SELVIN GROUND PROS, INC 11/20/13 JOHN S. ELIASIK RIPES NELSON BAGGOT KALOBRAT 71 14WC 35919 HOLLADAY, J SCOTT TRITON PLUMBING 08/22/14 DWORKIN AND MACIARIELLO STONE & JOHNSON CHARTERED 72 14WC 36013 BRIGHT, DARRYL CHICAGO PUBLIC SCHOOLS 05/09/14 DWORKIN AND MACIARIELLO 73 14WC 36766 REED, CHRISTINA HAYMARKET CENTER 03/12/13 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 14WC036767 -C 14WC036768 -C 74 14WC 37836 AHMED, HASSAN DISPATCH TAXI 08/30/14 HUNER LAW OFFICES LLC LAW OFFICES OF DEBORAH SCHAE

Page 6: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 75 14WC 38101 CHENGARY, CORRINE COOK COUNTY 10/18/14 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 76 14WC 38142 NASH, JAMES LITTLE CEASARS PIZZA 07/19/14 HORWITZ HORWITZ & ASSOC BUSSE, BUSSE & GRASSE 18WC025570 -C 77 14WC 38791 VAZQUEZ, LISANDRA TOWER AUTOMOTIVE 09/24/14 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 18WC013906 -C 78 14WC 39133 BURTON, JAMES MEYER STEEL DRUM CO 02/01/14 79 14WC 43660 BONAMICI, JEFF CITY OF CHICAGO 06/09/14 LAW OFFICE OF SCOTT B SHAP CITY OF CHICAGO 80 15WC 01110 SNYDER, JOHN FOUR SEASONS 10/07/14 GOLDBERG WEISMAN & CAIRO L CAPUANI, FRANK S 81 15WC 01856 VELAZQUEZ, GLADYS CHICAGO BOARD OF EDUCATIO 01/13/15 EPSTEIN, JACK R LAW OFFICE CHGO BOARD OF EDUCATION 82 15WC 02087 JORDAN, ANTHONY ILLINOIS DEPT OF TRANSPOR @ 01/07/15 LEONARD LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 83 15WC 02539 HOPKINS, DARYL CITY OF CHICAGO 01/12/15 CULLEN HASKINS NICHOLSON 84 15WC 02764 POLANCO, DOEL CHGO STREETS & SAN DEPT 01/16/15 BERG & BERG CITY OF CHICAGO 85 15WC 05521 HOWELL, ANNIE, WIDOW OF CITY OF CHICAGO # 01/15/15 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 86 15WC 10586 GASH, LARRY L UNITED PARCEL SERVICE 01/17/15 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 87 15WC 13313 HESTER, DANIEL M UNITED IRON 03/30/15 LANZILLOTTI GRIBBEN & MARC LITCHFIELD CAVO 16WC006040 -C 88 15WC 13447 SALAZAR, ASENCIO GLAD REX LLC 02/16/15 JOHN S. ELIASIK LAW OFFICES JOSEPH MARCINIAK 89 15WC 13462 MC ALLISTER, MILLAR CTA 04/09/15 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 90 15WC 13544 BELL, MARLON CTA 04/02/15 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 91 15WC 13854 GARCIA, JORGE AYALA NLD SERVICES LLC 11/25/14 MICHELOTTI & ASSOC LTD

Page 7: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 92 15WC 13919 MEDINA, MARIA ASPEN FOODS INC 01/26/15 JONATHAN SCHLACK INMAN & FITZGIBBONS 93 15WC 13932 ARROYO, MARIA DE HU-FRIEDY 11/21/14 HART AND DAVID LLP 94 15WC 14351 FLYNN, VICTORIAR CHICAGO PUBLIC SCHOOLS 02/04/15 GOLDBERG WEISMAN & CAIRO L 95 15WC 15142 WHIRITY, WILLIAM, J CHICAGO PUBLIC SCHOOLS 08/15/14 GOLDBERG WEISMAN & CAIRO L CHGO BOARD OF EDUCATION 15WC015143 -C 96 15WC 16140 HERNANDEZ, LUIS CHARLES AUSTIN LIMITED 10/24/13 LAW OFFICE OF SCOTT B SHAP 97 15WC 22113 GOMEZ, CARLOS METALS USA INC 10/08/14 GOLDBERG WEISMAN & CAIRO L POULOS & DIBENEDETTO LAW 98 15WC 23242 MATLOCK, SHARON COOK COUNTY HEALTH 06/23/15 THOMAS R LICHTEN STATES ATTORNEY OF COOK COUN 99 15WC 23635 ABDI, DUALE KOAM TAXI 06/15/15 LAW OFFICE RYAN ROSENTHAL 100 15WC 24510 RODRIGUEZ, JOSE ACCURATE PERSONNEL, LLC 07/03/14 CULLEN HASKINS NICHOLSON MC ANDREWS & NORGLE LLC 101 15WC 24744 MOORE, SUZETTE HOME HEALTH CARE (IL) @ 05/22/15 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 102 15WC 24860 VALLOS, SAM MERCEDES BENZ OF ORLAND P 05/15/15 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 103 15WC 25146 PEDROZA, ONDINA A BARON HR DBA 07/08/15 ANKIN LAW OFFICE JOSEPH MARCINIAK 104 15WC 25480 CZERWONKA, DANIEL PROPERTY RECYCLING SERVIC 06/25/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 105 15WC 25609 MILLER, PAUL CITY OF CHICAGO 10/15/14 STROM, NEAL B 106 15WC 26054 ROSOGA, LUCIA EUROPEAN AMERICAN ASSOCIA 06/01/15 ELFENBAUM EVERS & AMARILIO GALLIANI DOELL & COZZI LTD 107 15WC 26449 LEON, REFUGIO J. GRAPHIC PACKAGING 05/16/15 ACEVES & PEREZ PC DOHERTY & PROGAR LLC 108 15WC 29254 BOBO, LINDA CHICAGO TRANSIT AUTHORITY 08/16/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 109 15WC 32722 REED, ARDELLA, SPOUSE OF COOK COUNTY MEDICAL EXAMI 09/24/15 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN

Page 8: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 110 15WC 33037 DELGADO, GAVIN LOYOLA UNIVERSITY 03/02/15 HUGHES SOCOL PIERS RESNICK LORENZ & BERGIN PC 111 15WC 33065 STRZECHOWSKI, JAMES SOUTHWEST AIRLINES 04/28/15 CULLEN HASKINS NICHOLSON 112 15WC 33116 LYKE, SCHATAAN FORD MOTOR CO 04/08/15 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 113 15WC 33302 CONTRERAS, LARRY J. LARRY J. CONTRERAS 10/14/15 WHITESIDE & GOLDBERG LTD 114 15WC 33541 POLLARD, DANIEL W COOK COUNTY SHERIFF'S POL 05/24/15 O'CONNOR & NAKOS STATES ATTORNEY OF COOK COUN 115 15WC 33955 KUMARI, NAKKA LORETTO HOSPITAL 09/03/13 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM GRA 116 15WC 34406 HUGHES, OCTAVIA CTA 04/20/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 117 15WC 34636 BERG, BRUCE ST OF IL DEPT OF @ 09/22/15 KURASCH & KLEIN, LTD ASSISTANT ATTORNEY GENERAL 118 15WC 34664 HARVEY, DERRICK CITY OF CHICAGO 10/07/15 HEALY SCANLON LAW FIRM 119 15WC 34678 KNIGHT, GARLAND CLERK OF CIRCUIT CT OF 09/24/15 VASILATOS & COTTER LLC STATES ATTORNEY OF COOK COUN 120 15WC 34793 RAHEEM, YISA BLUE RIBBON 10/04/15 DAVID M SPADA 121 15WC 35304 SWIEDALS, KEVIN M&K TRUCK CENTERS 05/29/13 THOMAS M. PARIS HOLECEK & ASSOCIATES 122 15WC 35324 REYES, BARUCH INNOVA AUTO SUPPLY 10/09/15 GOLDSTEIN BENDER & ROMANOF JOSEPH MARCINIAK 123 15WC 35621 BANKS, LARRY CITY OF CHICAGO 10/22/15 COSTA IVONE LLC 124 15WC 36205 MELENDEZ, MARTIZA FAIRFIELD INN SUITES 08/01/15 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 125 15WC 36522 HUDSON, RASHANDA MCCORMICK PLACE 07/03/15 TURCYCHUTE LLC RUSIN & MACIOROWSKI LTD 126 15WC 36963 GISSY, SHARON SULZER LIBRARY CITY OF CH 10/15/15 RUBIN MACHADO ROSENBLUM 127 15WC 36976 WYSZYNSKI, DARIUSZ PIOTR PROSPECTIVE PLUMBING CORP 11/11/15 CULLEN HASKINS NICHOLSON GILDEA, COGHLAN & REGAN LTD.

Page 9: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 128 15WC 37039 JOYCE, PATRICK E CITY OF CHICAGO 09/14/15 CRONIN & PETERS CITY OF CHICAGO 129 15WC 38043 DAVIS, ALDINE JUKE JOYNT 06/19/15 CHARLES LEVY & ASSOC LTD 130 15WC 38166 NORWOOD, JOSEPH JR CTA 12/31/12 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 131 15WC 39636 CARON, RONALD LETTUCE ENTERTAIN YOU ENT 12/14/14 RATHBUN CSEVENYAK & KOZOL NOBLE & ASSOCIATES PC 16WC016227 -C 132 16WC 02615 BRADSHAW, DARLENE FORD MOTOR COMPANY 12/17/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 133 16WC 03139 CHODOROWSKI, RAYMOND ATLAS VAN LINES & JOSEPH 10/07/09 GORDON & CENTRACCHIO LLC 134 16WC 03635 HERMOSA, MARIANO TERRACE HOLDING COMPANY 03/18/15 JAMES ELLIS GUMBINER & ASS HOLECEK & ASSOCIATES 135 16WC 04776 WALLS, NICHEA FORD MOTOR COMPANY 01/26/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 136 16WC 04805 RODRIGUEZ, JAVIER MARCO'S PAINTING/ W 01/28/16 SALVATO & O'TOOLE 137 16WC 04852 CAMPOS, MARK ROUND LAKE AREA PARK DIST 08/04/15 JAMES M GERAGHTY HENNESSY & ROACH PC 138 16WC 05089 JOHNSON, ANNIE CHICAGO BOARD OF EDUCATIO 11/20/15 JAMES J BURKE LAW OFFICE CHGO BOARD OF EDUCATION 139 16WC 05510 STEPHENS, CLIFFORD CITY OF CHICAGO CDOT 03/15/13 O'CONNOR & NAKOS 140 16WC 05923 MACK, GRACE LEE MERCY HOSP AND MEDICAL CE 02/27/13 HANNA VANDER PLOEG LLC GARDI & HAUGHT 141 16WC 06236 COLLARO, VINCENT CITY OF CHICAGO DEPARTMEN 01/15/16 ARGIONIS & ASSOCIATES LLC 142 16WC 06749 JACKSON, LARHONDA FORD MOTOR COMPANY 02/24/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 143 16WC 06790 BANKS, YOLANDA PARKVIEW REHAB CENTER 01/03/16 MARKS INJURY LAW KEEFE CAMPBELL & ASSOC LLC 144 16WC 13345 MC CLENDON, EARNEST WE CLEAN THAT 2 04/05/16 LIPKIN & HIGGINS LAW OFFIC 145 16WC 13659 ROGERS, BRANDI PAD MANUFACTURING 02/26/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES

Page 10: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 146 16WC 13773 DHALIWAL, SUKHJIT EXECUTIVE MAILING SERVICE 04/23/13 FRANK A CELANI 147 16WC 13907 GARCIA, ISMAEL CITY CONSTRCTION CO, INC 10/29/15 BRUSTIN & LUNDBLAD LTD HENNESSY & ROACH PC 148 16WC 13985 SYED, SHAMUDDIN CHICAGO MEDALLION MANAGEM 02/24/16 C DEAN MATSAS 149 16WC 14549 MARTINEZ, MIRYAM SNELLING 09/12/15 COSTA IVONE LLC GOLDBERG SEGALLA LLC 150 16WC 14655 LAVEN, PAULA C. THORNTON TOWNSHIP 02/23/16 CRONIN & PETERS INMAN & FITZGIBBONS 151 16WC 15208 PEREZ, JUAN MOORE LANDSCAPING INC 03/22/16 DWORKIN AND MACIARIELLO EDWARD J. KOZEL 152 16WC 15335 BURZYCH, GARY FEDERAL EXPRESS 04/20/16 CAPRON & AVGERINOS PC HANSON LAW OFFICE 153 16WC 15461 NUNEZ, DONALD TOWER INTERNATIONAL DBA T 04/05/16 LUSAK AND COBB KEEFE CAMPBELL & ASSOC LLC 154 16WC 15897 SCHUMACKER, BRIAN ERIE VEHICLE CO 05/16/16 155 16WC 16207 SMITH, PATRICK ALSIP MINIMILL LLC 05/04/16 MEACHUM & STARCK COZZI & GOGGIN-WARD 156 16WC 16608 SODERBERG, DANIEL NATIONAL REPROGRAPHICS 10/15/15 LAW OFFICE OF SCOTT B SHAP 157 16WC 17120 MERCED, LUIS EDLER COMPANY, INC. 05/11/16 MARC S. MAYER & ASSOCIATES HENNESSY & ROACH PC 158 16WC 18936 SOTO, MARISELA ROYAL ENVELOPE CORP 06/01/16 BART DURHAM RUSIN & MACIOROWSKI LTD 159 16WC 18963 HARWOOD, DEREK CITY OF PEORIA 06/09/16 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 160 16WC 23318 HENGEL, VERONICA BEEF AND BRANDY 07/20/16 GOLDBERG WEISMAN & CAIRO L 161 16WC 23417 HIPPS-GLENN, DENISE CHICAGO FIRE DEPARTMENT 08/31/15 MICHAEL HELLMAN CITY OF CHICAGO 162 16WC 23437 WILLIAMS, CHARLOTTE CTA 07/28/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY

Page 11: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 163 16WC 23627 DEL TORO, MARILU SAVERS 05/09/16 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 164 16WC 24080 MORGAN, RAYMOND CITY OF CHICAGO 06/30/16 THE FITZ LAW GROUP CITY OF CHICAGO 17WC032313 -C 165 16WC 24131 NARVAEZ, MICHAEL J WERNER PRINTING & ENGRAVI 01/22/16 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 166 16WC 24275 BARAJAS, JAVIER PRESCISION STAMPING PRODU 11/25/15 THE ROMAKER LAW FIRM LAW OFFICES JOSEPH MARCINIAK 167 16WC 24289 VILLA, AURELIO CHICAGO PUBLIC SCHOOLS 05/13/15 JONATHAN SCHLACK CHGO BOARD OF EDUCATION 168 16WC 24335 CONDE, NELIA TOP OF TOPS CLEANERS INC. 07/07/16 ANKIN LAW OFFICE 169 16WC 24478 MOORE, GREGG D. CITY OF CHICAGO FINANCE C 10/07/15 WILLIAM MARTAY CITY OF CHICAGO 16WC025587 -C 17WC026871 -C 170 16WC 24669 RALSTON, DYHEMA HCR MANOR CARE 06/18/16 ROMANEK & ROMANEK BRYCE DOWNEY & LENKOV LLC 171 16WC 24845 SPISAK, STEVEN KMH SYSTEMS, INC 04/01/16 SAUNDERS CONDON & KENNY 172 16WC 25029 SHORTINO, CATHY CITY OF CHICAGO, DEPT. OF 07/22/16 CUDA LAW OFFICES CITY OF CHICAGO 173 16WC 25058 TORRES, ALFREDO AQUILINO COOK COUNTY DEPARTMENT 08/04/16 RICHARD E ALEKSY STATES ATTORNEY OF COOK COUN 17WC029240 -C 174 16WC 25177 ZAMORA, JORGE HIGHLAND BAKING COMPANY 08/28/13 ERIC M GLASSON & ASSOCIATE 175 16WC 25912 ARROYO, VICENTA WEBER STEPHEN PRODUCTS 07/18/16 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 176 16WC 25960 NOA, SARAH COOK DUPAGE TRANSPORTATIO 07/26/16 LAW OFFICE OF SCOTT B SHAP 177 16WC 26121 YOUNG, SAMMIE L JR HARVEY CITY POLICE DEPT 05/26/16 VITELL & SPITZ LTD ANCEL GLINK PC 178 16WC 26710 MALVAIZ, LUIS A NEWLY WEDS FOODS INC 08/16/16 COSTA IVONE LLC WOLFE & JACOBSON, LTD 179 16WC 31674 MALOOF, KATHLEEN CHICAGO BOARD OF EDUCATIO 04/14/16 LEO ALT

Page 12: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 180 16WC 32721 BURTON, ANNIE CTA 10/22/16 CHICAGO TRANSIT AUTHORITY 181 16WC 33599 HASTY, JUSTIN GONELLA BAKERY 10/26/16 GORDON & CENTRACCHIO LLC RUSIN & MACIOROWSKI LTD 182 16WC 33774 BUCKLEY, BRANT MIDTOWN ATHLETIC CLUB CHI 10/31/16 MARTIN V KUGIA 183 16WC 34185 BLACKMAN, JAMES CITY OF CHICAGO 11/03/16 RUBENS KRESS MULHOLLAND 184 16WC 34316 CORLEY, KIMBERLY CHICAGO TRANSIT AUTHORITY 09/15/16 CORNFIELD & FELDMAN CHICAGO TRANSIT AUTHORITY 185 16WC 34657 TAYLOR, LA'TWANISE SODEXO 11/11/16 COSTA IVONE LLC INMAN & FITZGIBBONS 186 16WC 34894 CHOWDHURY, SHAMIN ALT KHAN CORP 10/11/16 LAW OFFICE RYAN ROSENTHAL 187 16WC 35163 GUNDLACH, WILLIAM EMPLOYCO 11/11/16 DANIEL PERIASWAMY KEEFE CAMPBELL & ASSOC LLC 188 16WC 35237 FIELDS, DOROTHEA COOK COUNTY HEALTH SYSTEM 03/25/16 STELZMAN, RUTH 189 16WC 35500 DOLLY, KELLY CITY OF CHICAGO @ 07/21/16 PARENTE & NOREM PC CITY OF CHICAGO 190 16WC 35547 CLANTON-THOMAS, SHIRLEY ADA S MCKINLEY 09/23/16 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 191 16WC 35716 JONES, MICHAEL CHRISTY WEBBER LANDSCAPES 03/26/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 192 16WC 35755 JOHNSON, CHRISTOPHER M CHICAGO TRANSIT AUTHORITY 11/11/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 193 16WC 35914 OMIDIJI, SAHEED ELSTON FOURTEEN LLC 11/05/16 HUNER LAW OFFICES LLC 194 16WC 36372 MC ELROY, DAVID NORTHWESTERN UNIVERSITY 02/18/14 GOLDBERG WEISMAN & CAIRO L 195 16WC 36414 GABINO, VICTOR A-1 ROOFING CO 09/09/16 JONATHAN SCHLACK ALLEN & NEWMAN 196 16WC 36668 ZUKOWSKI, MARY ADVOCATE HOME HEALTH SERV 08/24/16 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 19WC012136 -C 19WC012137 -C 197 16WC 36802 BANSKE, RICHARD K CITY OF CALUMET CITY FIRE 10/03/15 FIGLIOLI, DAVID RANDOLPH GREUNE LAW OFFICE

Page 13: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 198 17WC 02846 GARCIA, MARIO BRACKENBOX, INC. 08/15/16 HART & DAVID LLP 199 17WC 03190 WALTON, JERRY COOK COUNTY SHERIFF'S DEP 09/01/16 O'CONNOR & NAKOS STATES ATTORNEY OF COOK COUN 200 17WC 03233 MADRIGAL, LUZ MARIA SIGMATRON INTERNATIONAL I 08/16/16 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 201 17WC 03738 FRATANTION, ANTHONY JOSEPH'S CONSTRUCTION CO 01/31/17 CUDA LAW OFFICES WIEDNER & MCAULIFFE LTD 202 17WC 03903 YACOVACCI, ANTHONY VILLAGE OF BROOKFIELD 01/13/17 COSTA IVONE LLC 203 17WC 04025 MELISSORATOS, GERASSIMOS PACE SUBURBAN BUS CO 12/29/16 GORDON & CENTRACCHIO LLC 204 17WC 04216 CROCKETT, KEVIN AT&T/AMERITECH 01/27/17 MARK SCHAFFNER HENNESSY & ROACH PC 205 17WC 04256 MORALES, JOSE R CHICAGO TRANSIT AUTHORITY 02/03/17 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 206 17WC 04308 D'ACQUISTO, ADRIANA ST ALEXIUS MEDICAL 11/24/16 LAW OFFICE OF SCOTT B SHAP 207 17WC 04347 DAHER, AHMAD AYYOD FATTOUSH RESTUARANT 02/01/17 SANDMAN LEVY & PETRICH 208 17WC 04376 RAMIREZ, MIGUEL A CHEF'S WAREHOUSE 10/26/16 COSTA IVONE LLC HENNESSY & ROACH PC 209 17WC 04385 RUTLAND, EDWARD CATALYST CHARTER SCHOOL 02/08/17 DWORKIN AND MACIARIELLO NOBLE & ASSOC 210 17WC 04398 CLARK, STEVEN CELADON GROUP, INC. 02/01/17 ANKIN LAW OFFICE 211 17WC 04492 BILLUPS-DRYER, ANDREA WINDSOR ESTATES NURSING & 10/06/16 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 212 17WC 04739 NORWOOD, VASEAN INSOMNIA COOKIES 12/08/16 SEIDMAN MARGULIS & FAIRMAN COZZI & GOGGIN-WARD 213 17WC 04778 SANDERS, ANTWAUN T CHICAGO TRANSIT AUTHORITY 02/08/17 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 214 17WC 04808 QUEEN-THOMAS, BEVERLY BOARD OF ED CHICAGO 03/01/16 BEVERLY QUEEN-THOMAS 215 17WC 05161 WOULFE, MARTIN JONES LANG LASALLE INC 06/11/16 PARENTE & NOREM PC JOSEPH MARCINIAK

Page 14: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 216 17WC 05219 CHIQUITO, BIBIAN NATIONAL KWIKMETAL SERVIC 03/28/16 BUDIN LAW OFFICES HOLECEK & ASSOCIATES 217 17WC 05237 HUGGINS, LISA CTA 02/01/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 218 17WC 05355 PLUNKETT, REDELL SCR MEDICAL TRANSPORTATIO 06/20/16 MARC J SHUMAN & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 18WC003208 -C 219 17WC 05523 CALDERON, ROBERTO C TITANIC FURNITURE/AMERICA 08/01/14 GALLAGHER, DONALD V 220 17WC 05542 VAZQUEZ, JUAN EAST BELT BAKERIES 02/07/17 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 221 17WC 05651 OLADEHINDE, SULE SNOWSTORM II HACKING CORP 12/02/16 COHN LAMBERT RYAN & SCHNEI 222 17WC 05797 WEBSTER, BRIAN NORTHBROOK FIRE DEPARTMEN 01/26/17 SLAVIN & SLAVIN 223 17WC 05818 HERNANDEZ, ENRIQUE CHS AQUISITION CORP 12/17/16 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 224 17WC 06182 GAMBRELL, EDWARD UBER 10/12/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 225 17WC 06207 PEREZ, ALBERTO CITY OF CHICAGO DEPT OF 02/15/17 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 226 17WC 06414 EGNATZ, JOHN P PEPPER CONSTRUCTION COMPA 01/06/17 DEPAOLO & ZADEIKIS KEEFE CAMPBELL & ASSOC LLC 227 17WC 13080 TORRES, EDUARDO C CHICAGO TRANSIT AUTHORITY 04/12/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 228 17WC 13150 AROCHO, CHRISTOPHER M COOK COUNTY SHERIFF DEPAR 04/26/17 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 229 17WC 13730 TERRY, STACEY UNIVERSITY OF CHICAGO 03/14/17 COSTA IVONE LLC MACIOROWSKI SACKMANN & ULRIC 230 17WC 13851 GOTT JR, ROBERT MI-JACK PRODUCTS 04/05/17 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM GRA 17WC018676 -C 231 17WC 14018 WHITLEY, GENAE CHICAGO PUBLIC SCHOOLS 04/26/17 ANKIN LAW OFFICE LAW DEPARTMENT 232 17WC 14057 DAVEY, MARCELINO ROMA'S ITALIAN BEEF & SAU 04/19/17 MANDELL, GREGG 233 17WC 14228 JOHNSON, MARGARET UNIVERSAL PROTECTION SERV 05/01/17 EDWARD L OSOWSKI GAROFALO SCHREIBER STORM GRA

Page 15: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 234 17WC 14304 ASHFORD, EVELYAN SOUTH SUBURBAN REHABILITA 12/17/16 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 235 17WC 14429 BHANDARI, NEHA JOHN H STROGER HOSPITAL O 03/24/17 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 236 17WC 14547 CARRADINE, SHEILA APERION CARE INC 08/01/16 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 237 17WC 14579 SANTIAGO, MIRIAM DE QUALITY SNACK FOODS INC 01/12/17 GOLDSTEIN BENDER & ROMANOF CAPUANI, FRANK S 238 17WC 14802 PEDROZA, PABLO FREESNIUS KABI USA LLC 02/07/17 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 239 17WC 15153 HASSAN, MOHAMED AFLAL ABU US DIAGNOSTICS 04/25/17 CHARLES LEVY & ASSOC LTD 240 17WC 15332 JORDAN, RODNEY APOGEE LOUNGE 05/12/17 ANGELINI & ORI LLC 241 17WC 15378 MARTINEZ-LOZANO, CESAR AR GENERAL CONSTRUCTION 02/11/17 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 242 17WC 15505 SALGADO, OSCAR JM IRRIGATION 04/11/16 POSTERLI, OSCAR 243 17WC 15543 DEVRIES, DAVID CITY OF OAK FOREST POLICE 01/13/17 KROL BONGIORNO & GIVEN LTD 244 17WC 15561 OYINLOYE, JAMES CTA 05/03/17 SALVATO & O'TOOLE CHICAGO TRANSIT AUTHORITY 245 17WC 15765 LEWIS, EDNA PACE 05/22/17 ANGELINI & ORI LLC 246 17WC 15898 FRANKLIN, TASHA CTA 05/29/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 247 17WC 15930 RODRIGUEZ, JACQUELINE RENAISSANCE SCHAUMBURG HO 10/26/13 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 248 17WC 16020 WALKER, RHONDA V STATE OF ILLINOIS @ 04/04/17 DEPAOLO & ZADEIKIS C. FLETCHER 249 17WC 16102 HERNANDEZ, ANAYELI CONTRE LABOR PERSONNEL 05/16/17 SALVATO & O'TOOLE 250 17WC 16129 WILLIAMS, TYRONE LOYOLA MEDICAL CENTER 04/12/17 DWORKIN AND MACIARIELLO LORENZ & BERGIN PC 251 17WC 16242 RODRIGUEZ, ELENA APL LOGISTICS 09/29/16 BART DURHAM KEEFE CAMPBELL & ASSOC LLC

Page 16: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 252 17WC 16280 HELO, TYLER SPENCERS JOLLY POSH 01/10/15 ERIC M GLASSON & ASSOCIATE 253 17WC 16303 FLORES, INGACIO CLEAR LAM PACKAGING 07/17/16 LAW OFFICE OF SCOTT B SHAP 17WC016304 -C 17WC022252 -C 254 17WC 22600 DORAN, DANIEL CITY OF CHICAGO 03/31/17 HORWITZ HORWITZ & ASSOC 255 17WC 22640 SMITH, DOMINIQUE CENTRAL PLAZA 06/10/17 CHASE & WERNER LTD BRADY CONNOLLY & MASUDA PC 256 17WC 22826 PAGAN, REYNALDO CITY OF CHICAGO-FLEET MGM 01/10/17 ARGIONIS & ASSOCIATES LLC 257 17WC 23027 PARKER, CORNELL LACI TRANSPORT 07/01/17 DWORKIN AND MACIARIELLO MEACHUM & STARCK 258 17WC 23071 VISVADRA, SAMUEL J THE VILLAGE OF SCHAUMBURG 04/22/17 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 259 17WC 23126 MC CULLOUGH, GEORGE JR ALLIED UNIVERSAL 05/30/17 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM GRA 260 17WC 23199 ANDERSON, FELIX JR LGL GR GAREDA HOME CARE SERVICES 03/01/17 GOLDSTEIN BENDER & ROMANOF GALLIANI DOELL & COZZI LTD 261 17WC 23285 WILLIAMS, CASSANDRA HYATT REGENCY MCCORMICK 06/20/17 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 17WC028578 -C 262 17WC 23300 SANTIAGO, JUAN ELECTRO-MOTIVE 07/27/17 HORWITZ HORWITZ & ASSOC GOLDBERG SEGALLA LLC 263 17WC 23357 NUNEZ, SARAH WEBER-STEPHEN PRODUCTS LL 02/01/17 ROSS TYRRELL JOSEPH MARCINIAK 264 17WC 23406 AGUILERA, JAVIER DUFFY FINE CARPENTRY 03/22/17 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 265 17WC 23449 TULEY, CRAIG VILLAGE OF CALUMET PARK 06/15/17 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 266 17WC 23472 HICKMAN, ANDREA UNITED AIRLINES 06/25/17 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 267 17WC 23684 SIMS, RIKKHYIA DAVIS STAFFING INC 06/23/17 COSTA IVONE LLC KEEFE CAMPBELL & ASSOC LLC 268 17WC 23736 PARTEN, JAMES CENTRAL STEEL AND WIRE 12/20/16 ASHER, RAYMOND L LTD GAROFALO SCHREIBER STORM GRA

Page 17: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 269 17WC 23771 CATALANO, BRYAN JP MORGAN CHASE BANK 09/01/15 ERIC M GLASSON & ASSOCIATE 270 17WC 24169 BARRERA, ROSALIA KIMPTON HOTEL ALLEGRO 01/04/16 JONATHAN SCHLACK HENNESSY & ROACH PC 271 17WC 24239 PATEL, BHARGAVI UNIVERSITY OF IL HOSPITAL 03/09/17 ANGELINI & ORI LLC HEYL ROYSTER VOELKER & ALLEN 272 17WC 24477 CHESSER, EDWARD METRO WATER RECLAMATION D 10/23/15 TURCYCHUTE LLC NOBLE & ASSOC 17WC024478 -C 273 17WC 24549 TRINKA, STEVEN DR PEPPER SNAPPLE GROUP 07/27/17 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 274 17WC 24677 LABRA, AMALIA VERNON HILLS ENTERPRISES 07/09/17 THE ROMAKER LAW FIRM MEACHUM & STARCK 275 17WC 24796 REYES, MARIA LANDAUER 01/14/17 DOUGLAS RALLO PC WIEDNER & MCAULIFFE LTD 276 17WC 24820 RAY, LATRICE CTA 08/22/17 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 277 17WC 24889 NEILAN, CAROLINE M COSTCO 02/22/17 LEONARD LAW GROUP LLC GANAN & SHAPIRO 278 17WC 25008 TAPIA, JOSE CITY OF CHICAGO DEPT OF 07/25/17 KATZ FRIEDMAN EAGLE ET AL 279 17WC 25061 WILLIAMS, DEBRA CTA 08/23/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 280 17WC 25089 RUSSELL, JOSHLYN PANERA 08/01/17 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 281 17WC 25443 BELCHER, ANGELA FIFTH THIRD BANK 07/28/17 CELSO FUENTES JR HOLECEK & ASSOCIATES 282 17WC 31931 BALANOFF, JAMES SEIU, LOCAL 73 09/29/17 BARRY A KETTER JOSEPH MARCINIAK 283 17WC 32739 MCCUNE, LETICIA ILLINOIS DEPT OF HUMAN SV @ 10/18/17 HETHERINGTON KARPEL BOBBER ASSISTANT ATTORNEY GENERAL

Page 18: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 17WC 32855 BACKOVIC, AZEMINA HYATT CENTRIC THE LOOP CH 10/06/17 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 285 17WC 32870 TRUJILLO, ROBERTO FGAC CONSTRUCTION LLC W 10/25/17 MC HARGUE & JONES ACCIDENT FUND HOLDINGS 18WC010963 -C RCE GENERAL CONTRACTORS IN 18WC036643 -C P&E DRYWALL, INC. 286 17WC 32931 SUTTON, MICHELLE CTA 10/30/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 287 17WC 32952 OLSON, ROBERT J CRESTWOOD POLICE DEPARTME 03/04/17 DAVID W MARTAY POWER & CRONIN LTD 288 17WC 33045 RUEB, MEGAN YMCA OF METROPOLITAN 10/20/17 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES FRANCESCA LARSEN 289 17WC 33058 MASON, DARREN BODY SOLID 11/20/14 JAY H JANSSEN 290 17WC 33138 SHAMO, ASHOOR PACE BUS @ 10/05/17 EFTEKHARI LAW OFFICES 291 17WC 33258 GATSON, BRENT FORD MOTOR COMPANY 09/28/17 CANDIANO LAW OFFICE 292 17WC 33358 LAPPE, JEROME COOK COUNTY SHERIFFS DEPT 11/15/16 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 293 17WC 33440 RUBIO, FLORENCIO FERRARA CANDY 10/12/17 COSTA IVONE LLC HOLECEK & ASSOCIATES 294 17WC 33461 REBELES, DORA PETE'S FRESH MARKET 09/25/16 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 295 17WC 33524 MAGANA, JAIME CTA 10/18/17 GALLIANI DOELL & COZZI LTD CHICAGO TRANSIT AUTHORITY 296 17WC 33547 COX, JUDITH AMERICAN AIRLINES 06/09/16 SAUNDERS CONDON & KENNY ROSARIO CIBELLA 297 17WC 33572 WOLSKI, MARK G CITY OF CHGO DEPT OF TRAN 08/28/17 RUBIN LAW GROUP CITY OF CHICAGO 298 17WC 33705 HOUSER, ANTOINETTE CHICAGO TRANSIT AUTHORITY 10/20/17 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 299 17WC 33889 WILLIAMS, CLARA HABILITATIVE SYSTEMS INC 10/09/17 JOHN S. ELIASIK RUSIN & MACIOROWSKI LTD 300 17WC 33922 GERMAN, MARGARITA RENAISSANCE CHICAGO DOWNT 08/25/17 HART & DAVID LLP GANAN & SHAPIRO 301 17WC 34054 STANIEC, DENISE Y LE BORDEAUX NORTH INC 11/17/14 TAMVAKIS, GEORGE L RUSIN & MACIOROWSKI LTD

Page 19: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 302 17WC 34139 RADIC, DUSAN MENARDS 09/20/17 LEONARD LAW GROUP LLC CHILTON YAMBERT PORTER LLP 303 17WC 34154 KRAWCZYK, KATHY ALDI 09/05/17 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 304 17WC 34301 BERRY, EILEEN UPS 11/16/17 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 305 17WC 34428 ECHOLS, DEONDRE CTA 11/01/17 CRONIN & PETERS CHICAGO TRANSIT AUTHORITY 306 17WC 34567 ORIZABA, LOURDES ALDEN DES PLAINES & HEALT 09/18/17 RUEDA, IVAN A 307 17WC 34659 MICHAELS, DEBRA JACKSON PARK HOSPITAL 08/28/17 DWORKIN AND MACIARIELLO ODELSON & STERK 308 17WC 34719 KRUPPA, LINDA UPS 01/26/17 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 309 17WC 34788 WILLIAMS, MARY T CHICAGO PUBLIC SCHOOLS 10/06/17 ANKIN LAW OFFICE LAW DEPARTMENT 310 17WC 34894 CULP, SAMMIE L CHICAGO TRANSIT AUTHORITY 10/27/17 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 18WC000786 -C 311 17WC 34984 WILSON, WILLIE JR UNIVERSITY OF CHICAGO MED 11/07/17 MINKOW DOMIN 312 17WC 35012 ARMFIELD, CHIQUITA CITY OF CHICAGO 11/03/17 KREITER, BYCK & ASSOC LLP 313 17WC 35075 TOPPEL, ROBERT STANDARD FORWARDING 10/02/17 EDWIN REYES LEGAL GROUP HENNESSY & ROACH PC 314 17WC 35183 RENEAU, LUTRELL CITY OF CHICAGO - OEMC 10/24/17 SAUNDERS CONDON & KENNY 315 17WC 35241 SAHNOUN, DJEDJIGA THE ELI'S CHEESECAKE CO. 10/07/17 LAW OFFICES ROBERT WARSASK LAWRENCE COZZI - LAW OFFICES 316 17WC 35261 MORGAN, KAREN HEARTLAND BLOOD CENTERS 10/11/17 GRAZIAN & VOLPE PC MEACHUM & STARCK 317 18WC 03066 EMMANOUILIDIS, SPYRIDON CITE RESTAURANT 07/10/17 CORNFIELD & FELDMAN JOSEPH MARCINIAK 318 18WC 03151 VAN THOLEN, NATHAN WASTE MANAGEMENT 01/03/18 GOLDBERG WEISMAN & CAIRO L 319 18WC 03189 TURICH JR., ALAN ALLTHERM SVCS 02/06/16 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS

Page 20: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 18WC 03213 MAPP, STANLEY JACKSON PARK HOSPITAL 12/14/17 FRIEDMAN & SOLMOR LTD ODELSON & STERK 321 18WC 03232 RANGEL, JOSE C PRECISION PLATING COMPANY 11/28/16 COHN LAMBERT RYAN & SCHNEI WOLFE & JACOBSON, LTD 322 18WC 03357 CONTRERAS, TONI PARK FOREST-CHICAGO HEIGH 01/16/18 RIDGE & DOWNES ANCEL GLINK DIAMOND BUSH & E 323 18WC 03404 HATELY, KRISTINE BELLA TERRA MORTON GROVE 08/03/17 COHN LAMBERT RYAN & SCHNEI BRADY CONNOLLY & MASUDA PC 324 18WC 03486 URIBE, HUGO Z COCA-COLA BOTTLING 01/05/18 MORTELL, RICHARD W JR NYHAN BAMBRICK KINZIE & LOWR 325 18WC 03550 CARRASCO, SAMUEL GOMORAS GENERAL CONSTRUCT 09/29/17 SAUNDERS CONDON & KENNY 326 18WC 03641 MUNIZ, JOSE GUADALUPE D & G PALLET SERVICE INC 01/02/18 AIOSSA LAW FIRM 327 18WC 03732 MANSANAREZ, JUAN NU-WAY TRANSPORTATION 10/25/17 VRDOLYAK LAW GROUP LLC LITCHFIELD CAVO 328 18WC 03758 URIOSTEGUI, ELIZABETH CINTAS 01/25/18 COSTA IVONE LLC POWER & CRONIN LTD 329 18WC 03788 NEVERS, ERIC LUTHERAN GENERAL HOSPITAL 11/30/16 BURNES & LIBMAN NYHAN BAMBRICK KINZIE & LOWR 330 18WC 03835 RICHARDSON, KENDRA ANN AND ROBERT H LURIE 01/09/18 ASHER, RAYMOND L LTD KEEFE CAMPBELL & ASSOC LLC 19WC007547 -C ANN & ROBERT H LURIE 331 18WC 03872 REA, MARCOS ANDRADE HORIZON REALTY GROUP 11/30/17 COLLISON LAW OFFICES ROSARIO CIBELLA 332 18WC 03935 CRUZ, NOEL COA MIDWEST CORPORATION 01/15/18 HART & DAVID LLP 333 18WC 03977 MCGEE, JERMAINE ILLINOIS STATE POLICE @ 01/06/18 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 334 18WC 04067 SIMS, TERRIE STEWART BUSINESS CENTER 02/23/17 JOSEPH YOUNES MEACHUM & STARCK 335 18WC 04180 SANCHEZ, MARTIN ROSATI'S RESTAURANT & LOU 12/29/17 TAXMAN POLLOCK HENNESSY & ROACH PC 336 18WC 04217 ANDERSON, MARVIN FREEMAN ELECTRIC 01/21/18 KROL BONGIORNO & GIVEN LTD MC ANDREWS & NORGLE LLC

Page 21: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 337 18WC 04479 FARJARDO, ADOLFO I SODEXO 02/01/18 SHELDON I MINKOW & ASSOCIA 338 18WC 04575 MAYO, DENISE WALMART 10/05/15 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 18WC004576 -C 339 18WC 04617 SULZMANN, ROBERT ROSEMONT EXPOSITION SERVI 01/23/18 HEALY SCANLON LAW FIRM 340 18WC 04623 BAILEY, MARTELL UNIVERSITY OF IL AT CHICA 01/24/18 LEONARD LAW GROUP LLC POWER & CRONIN LTD 341 18WC 04716 STENCEL, MATTHEW ELK GROVE VILLAGE 01/05/16 GORDON & CENTRACCHIO LLC NOBLE & ASSOC 18WC004717 -C 342 18WC 04770 SIBLE, MICHAEL T GONELLA BAKING COMPANY 06/10/15 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 343 18WC 04878 MARTIN, ROBERT ANGELICA'S TEXTILES 02/10/18 CELSO FUENTES JR 344 18WC 04936 OJIEMWEN, JACQUELINE KALEIDSCOPE 08/21/17 MARC J SHUMAN & ASSOCIATES 345 18WC 04976 THORNTON, PERRY CTA 01/22/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 346 18WC 04989 FITZMAURICE, JOHN COOK COUNTY FACILITIES MA 01/29/18 TOPPER & WEISS LTD STATES ATTORNEY OF COOK COUN 347 18WC 05007 UNDERWOOD, JACQUELINE REPUBLIC AIRWAYS 01/04/16 SCOTT B SHAPIRO 348 18WC 05053 GORDILLO, ALEJANDRO CDS TRANSPORT 06/19/17 JAUREGUI & ASSOCIATES 349 18WC 05126 STANTON, LAMONT ARYZTA BAKERY 12/21/17 ANGELINI & ORI LLC 350 18WC 05149 WALKER, VICTOR R. COMMERCIAL ROOFING 06/06/16 GALLAGHER, DONALD V EDWARD J. KOZEL 351 18WC 05169 FLORES, JOSE M SC CABINETS INC. 01/04/18 CULLEN HASKINS NICHOLSON 352 18WC 05188 CORTES, MARIBEL ADVOCATE MEDICAL GROUP 01/16/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 353 18WC 05297 KENNEDY, JEFFERY NATIONAL EXPRESS 01/13/18 KARCHMAR & STONE

Page 22: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 18WC 05472 WASHINGTON, MIA LOUISE SOUTHWEST AIRLINES, INC 12/10/17 KARCHMAR & STONE HENNESSY & ROACH PC 355 18WC 05518 VILCHIS, BEATRIZ OLD NAVY LLC 10/05/17 HERRERA LAW CENTER ROBERT L. SMITH 18WC012427 -C 356 18WC 05646 BARRINGTON, SAM GREEN BAY PACKERS FOOTBAL 09/13/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 357 18WC 05677 BLACKSHERE, THOMAS MCWILLIAMS ELECTRIC 07/03/17 SALVATO & O'TOOLE BRADY CONNOLLY & MASUDA PC 358 18WC 05759 JEFFERSON, JOYCE SCHOOL DISTRICT 170 01/24/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 359 18WC 05814 FISHER, BERNARD JAKACKI BAG & BARRELL 02/12/18 KREITER, BYCK & ASSOC LLP QUINTAIROS PRIETO WOOD & BOY 360 18WC 05860 GARBUTT, PAUL TRIBUNE COMPANY 11/21/77 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 361 18WC 05964 VASQUEZ, JAIME BRIDGFORD FOODS CORP 10/13/17 BOWMAN & CORDAY GAROFALO SCHREIBER STORM GRA 362 18WC 06067 AMLING, ROBERT US FOODS INC 02/09/18 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 363 18WC 06097 MELENDEZ MEJIA, RIGOBERTO CARNICERIA MARIBEL, INC 12/23/17 KARCHMAR & STONE 364 18WC 06118 SILAS, CLIFTON SEGERDAHL 360 02/01/18 DWORKIN AND MACIARIELLO 365 18WC 06181 FRAZIER-HILL, HELEN CTA 04/13/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 366 18WC 06202 SCARPACE, DIANNE RML SPECIALTY HOSPITAL 12/11/16 CORBOY & DEMETRIO PC KEEFE CAMPBELL & ASSOC LLC 367 18WC 06703 JUTH, CHRISTOPHER UNITED AIRLINES, INC 12/12/17 GREGORIO & MARCO NYHAN BAMBRICK KINZIE & LOWR 368 18WC 12881 WOODSON, SCOTT COOK COUNTY SHERIFF'S 02/21/18 ELFENBAUM EVERS & AMARILIO STATES ATTORNEY OF COOK COUN 369 18WC 13710 JOHNSON, CARL CPS JOHN HOPE COMMUNITY A 12/07/17 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 370 18WC 13787 EBERLE, KEITH CONTRACT GLAZIERS INC 02/11/18 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 371 18WC 13931 CLARK, ORLANDUS UCAN - UHLICH OF CHILDREN 04/23/18 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD

Page 23: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 18WC 14007 REYES, OTTO MOHAWK SPRING CORP 03/05/18 PETER LEKAS BORGELT POWELL 373 18WC 14070 LEONARD, DUANE CITY OF CHICAGO 03/13/18 BURNETT & CARON, LTD 374 18WC 14171 CAMARILLO, EDMUNDO BERSKIRE REFRIGERATED 04/17/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 375 18WC 14295 EICKMANN, LINDA ARCHIOCESE OF CHICAGO 12/22/17 SCHREINER MALLOY & ETZLER 376 18WC 14387 JONES, BLAKE FORD MOTOR CORP 09/15/16 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 18WC014388 -C 377 18WC 14539 READY, JOSHUA J WILLIAMS STEEL RECTORS IN 04/30/18 DWYER & COOGAN 378 18WC 14554 LOPEZ, ALBERTO KRAFT HEINZ FOODS CO 08/08/17 HETHERINGTON KARPEL BOBBER GAROFALO SCHREIBER STORM GRA 379 18WC 14574 BLAIR, RASHADD FORD MOTOR COMPANY @ 01/28/18 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 18WC014575 -C 380 18WC 14772 BURNETT, NICKI GLENWOOD HEALTH CARE & RE 02/22/18 HERRERA LAW CENTER 381 18WC 14867 WELSH, JOAN CITY OF CHICAGO DEPARTMEN @ 05/09/18 RIDGE & DOWNES CITY OF CHICAGO 382 18WC 14928 EDWARDS, MARK IDOT @ 03/14/18 MARK N LEE ASSISTANT ATTORNEY GENERAL 383 18WC 14933 BARRIENTOS, FERNANDO STA-KLEEN 04/02/18 SCOTT BARBER LAWRENCE COZZI - LAW OFFICE 384 18WC 14955 AGUILAR, HUGO MARTINEZ NATIONAL CONTAINER GROUP 04/17/18 COSTA IVONE LLC HOLECEK & ASSOCIATES 385 18WC 15030 HANSEN, JOHN SOUTHWEST AIRLINES, INC 01/08/18 KARCHMAR & STONE HENNESSY & ROACH PC 386 18WC 15119 BEDOLLA, GABRIEL STATE OF ILLINOIS C/O ILL @ 05/26/15 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 387 18WC 15160 PRADO, VERONICA A WINSTON BRANDS 04/11/18 RICHARD E ALEKSY EVANS & DIXON 388 18WC 15183 FAVORS, HERBERT C COOK COUNTY CLERK OF THE 06/05/17 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 389 18WC 15291 GARRETT, LERON CTA 05/15/18 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY

Page 24: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 390 18WC 15355 CLAY-WINSTON, NICOLE PACE SUBURBAN BUS 05/17/18 MC HARGUE & JONES 391 18WC 15607 LIST, CHRISTINE WEISS MEMORIAL HOSPITAL 08/02/16 RAYMOND M SIMARD, PC HENNESSY & ROACH PC 392 18WC 15643 GALLEGOS-SIEGEL, CHRISTIN UNITED CONTINENTAL HOLDIN 01/13/18 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 393 18WC 15751 DAMARJIAN, GARABED CHICAGO DEPARTMENT 05/19/18 GRAZIAN & VOLPE PC CITY OF CHICAGO 394 18WC 15785 GONZALEZ, JOSE G DAYTON SUPERIOR CORP 03/02/18 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 395 18WC 15864 MARTINEZ, J LUZ STOROPACK 03/27/18 HOWARD S. KAVENOW LLC 396 18WC 15998 MORMON, GREGORY THE CATHOLIC BISHOP OF CH 02/16/18 VANO LAW GROUP 397 18WC 16021 ELLIOTT, JAMES W MUNDO ELECTRIC COMPANY 07/31/17 DEPAOLO & ZADEIKIS MACIOROWSKI SACKMANN & ULRIC 398 18WC 16067 ORTIZ, DOUGLAS CITY OF CHICAGO DEPT OF W 05/07/18 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 18WC022558 -C 399 18WC 16119 GUILLEN, CARLOS MECH-TRONICS CORPORATION 05/17/18 OSVALDO RODRIGUEZ PC KEEFE CAMPBELL BIERY & ASSOC 18WC016120 -C 400 18WC 16349 MARQUEZ, FREDDY ESTES EXPRESS LINES 05/21/18 HUGHES SOCOL PIERS RESNICK 401 18WC 19284 MCMANUS, STEPHEN P CITY OF CHICAGO 09/06/16 402 18WC 23194 JACKSON, SABRINA MENARDS 07/04/18 TAMVAKIS, GEORGE L 403 18WC 23289 NEWMAN, JACQUELINE CHICAGO TRANSIT AUTHORITY 07/04/18 STEVEN M SELAN CHICAGO TRANSIT AUTHORITY 404 18WC 23320 MOORE, TRACEY JOHN H STROGER HOSPITAL 07/31/18 LEONARD LAW GROUP LLC STATES ATTORNEY OF COOK COUN 405 18WC 23370 GRIESNAUER, JAMES VILLAGE OF NILES 05/24/18 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 406 18WC 23412 PARADA, ALEJANDRO AMERICAN GRINDING & 02/13/18 ROSS TYRRELL RIPES NELSON BAGGOT KALOBRAT 407 18WC 23464 CANINO, AMANDA SOUTHWEST AIRLINES 07/21/18 KREITER, BYCK & ASSOC LLP HENNESSY & ROACH PC

Page 25: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 408 18WC 23492 BARRERA, ELIZABETH PETE'S FRESH MARKET (CERM 07/07/18 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 409 18WC 23512 ROMAN, ROMARIO NATIONAL CONTAINER GROUP 07/27/18 COSTA IVONE LLC 410 18WC 23527 THOMPSON, RITA UPS 06/22/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 411 18WC 23618 MEYER, JOE P HEARTHSIDE FOODS 06/12/18 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 412 18WC 23718 VULFSON, DORA LIFE SCAN LABRATORY LLC 07/23/18 CULLEN HASKINS NICHOLSON GAIDO & FINTZEN 413 18WC 23751 SANCHEZ, NEURI SENIOR FLEXONICS 04/25/18 LEAHY, JAMES P BRADY CONNOLLY & MASUDA PC 414 18WC 23813 MATYASOVICH, DOUGLAS CTA-CHICAGO TRANSIT AUTHO 09/30/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 415 18WC 23847 MIGUEL, ROGELIO FLEXIBLE STAFFING 07/31/18 RUEDA, IVAN A BRADY CONNOLLY & MASUDA PC 416 18WC 23886 BUENO, ADRIAN S CH ROBINSON 12/26/17 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 417 18WC 23939 IJAOBA, LAWAL PROGRESS RAIL/ 06/15/16 KATZ FRIEDMAN EAGLE ET AL 418 18WC 23994 GONZALEZ, JAMIE CIT OF CHICAGO 07/31/18 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 419 18WC 24029 GAMBOA, ANA CULTURE STUDIOS 08/07/18 STEPHANIE WEISSMAN 420 18WC 24069 ROJAS, JOSE BRIGHTVIEW LANDSCAPING 06/01/18 JONATHAN SCHLACK 421 18WC 24094 JONES, THURSA P CITY OF CHICAGO DEPARTMEN 06/08/18 COHN LAMBERT RYAN & SCHNEI ODELSON & STERK 422 18WC 24111 WALZ, JON WEST SUPPLY 08/04/17 MC HARGUE & JONES KNELL LAW LLC 423 18WC 24181 FOX-THOMPSON, JANICE L MENARD'S 07/31/18 DEPAOLO & ZADEIKIS EVANS & DIXON 424 18WC 24193 SUAREZ, SALVADOR MAC PROPERTY MANAGEMENT 01/08/18 COSTA IVONE LLC QUINTAIROS PRIETO WOOD & BOY

Page 26: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 18WC 24213 RABLA, HAMZA DUNKIN DONUTS 08/07/18 FISHER & LAMONICA 426 18WC 24291 MILLER, ZACH CHICAGO BEARS FOOTBALL CL 10/02/16 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 19WC008956 -C 19WC008957 -C 19WC008958 -C 427 18WC 24292 MILLER, ZACH CHICAGO BEARS FOOTBALL CL 10/29/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 18WC024293 -C 18WC024294 -C 18WC024295 -C 428 18WC 24356 ADEBAYO, JERMAINE UNIVERSITY OF CHICAGO HOS 06/03/18 STEVEN A CRIFASE, LTD 429 18WC 24620 AGUILAR, MARIA G SAINT ANTHONY HOSPITAL 07/19/18 COSTA IVONE LLC KLAUKE LAW GROUP LLC 430 18WC 24631 CERRITOS, JUAN UNISTAFF INC 07/03/18 CULLEN HASKINS NICHOLSON 431 18WC 24704 HARRIS, JOYCE HEALTHCARE PLUS 07/09/18 JOHN S. ELIASIK HENNESSY & ROACH PC 432 18WC 24745 ORTEGA, REFUGIO UNICORD COMPANIES 10/07/17 COSTA IVONE LLC 433 18WC 24759 ORTEGA, GUILLERMO RIVER NORTH CAR WASH 08/13/18 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 18WC030089 -C 434 18WC 24835 PARKS, KATHERINE HOME DEPOT 07/17/18 ANGELINI & ORI LLC ADELSON TESTAN BRUNDO 435 18WC 24861 WHISBY, DEON ALLIED GLOBAL SERVICES LL 07/28/18 ANKIN LAW OFFICE 436 18WC 24882 GANTMAN, MAXWELL AT HOME 08/06/18 NEWLAND & NEWLAND 437 18WC 24906 LINK, PATRICK COOK COUNTY JUVENILE @ 06/08/18 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 438 18WC 25013 DYER, TERRIE L METRO STAFF, INC 04/15/18 GALLAGHER, DONALD V 439 18WC 25057 ALI, ALI B OCTAVIA CAB CORP. 01/14/18 HUNER LAW OFFICES LLC 440 18WC 25133 VAUGHN, DEDRIC CITY OF CHICAGO 05/25/18 SALVATO O'TOOLE FROYLAN

Page 27: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 441 18WC 25158 GARCIA, RUBEN STAMPEDE MEAT 05/22/18 SEIDMAN MARGULIS & FAIRMAN 442 18WC 25201 QUEEN-THOMAS, BEVERLY BOARD OF ED CITY OF CHICA 01/13/17 STEVEN PRINCE 443 18WC 25300 DIAZ, CHRIS WHOLE FOODS 06/22/18 DANIEL PERIASWAMY 19WC001637 -C 444 18WC 25320 NORTON, RICKY WASTE MANAGEMENT 06/09/17 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM GRA 445 18WC 25373 SZYMUSIAK, DIANE CITY OF CHICAGO 08/16/18 MINKOW DOMIN CITY OF CHICAGO 446 18WC 25450 LEPORE, JAMES ILLINOIS TOLL 08/15/18 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO 447 18WC 25517 AVALOS, DAVID J.P. PHILLIPS, INC. 08/06/18 FREDRICK B BARDER, LTD KEEFE CAMPBELL BIERY & ASSOC 448 18WC 25701 ARAUJO, SAUL A EQUINIX, INC 06/27/18 GERALD BAUER JR HOLECEK & ASSOCIATES 449 18WC 25757 LEON, VICTOR QUALITY ASSURANCE 03/01/16 JONATHAN SCHLACK SLAVIN & SLAVIN 450 18WC 25931 GARCIA, RICHARD THE SLIDING DOOR CO 08/15/18 MICHAEL HELLMAN JOSEPH MARCINIAK 451 18WC 25965 SANCHEZ, CLAUDIA ADVOCATE HEALTH AND HOSPI 04/21/18 STEVEN B SALK & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 452 18WC 26041 MITCHELL, ASIELSEL THE HABITAT COMPANY 07/12/18 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 453 18WC 33128 TATE, KELVIN KATE'S DETECTIVE AGENCY 10/19/18 LEONARD LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 454 18WC 33144 TRAVIS, CLARENCE CITY OF CHICAGO WATER DEP 08/21/18 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 455 18WC 33164 HERRERA, LAURA HARVEST FOOD GROUP 09/28/18 STANCZAK LAW OFFICES 456 18WC 33211 DAVIS, CATRICE ABG INVESTIGATIVE SERVICE 10/30/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 457 18WC 33250 HEYOB, SCOTT METAL ERECTOR INC 10/19/18 GOLDBERG WEISMAN & CAIRO L EVANS & DIXON 458 18WC 33367 ALAYO, VILMA LABOR PERSONNEL, LLC 10/17/18 COSTA IVONE LLC POWER & CRONIN LTD

Page 28: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 459 18WC 33470 WRZALINSKI, BRIAN C PRECISION MILLWORK & 07/13/17 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 460 18WC 33506 KOSKOSKY, MARY GRAND PRAIRIE TRANSIT 09/21/17 GALLIANI DOELL & COZZI LTD 461 18WC 33538 KHAN, HASSAN K REYNOLDS CONSUMER PRODUCT 10/17/18 ELFENBAUM EVERS & AMARILIO 462 18WC 33561 WEEKLEY, PHILLIP WASTE MANAGEMENT 10/29/18 DWORKIN AND MACIARIELLO 463 18WC 33586 AGEE, KIMBERLY ADA S MCKINLEY COMMUNITY 10/09/18 ROGER D RUDICH LTD ACCIDENT FUND HOLDINGS 464 18WC 33646 FRANCIA, RODOLFO ACCURATE PERFORATING 05/02/18 EPSTEIN, JACK R LAW OFFICE LITCHFIELD CAVO 465 18WC 33709 MILES, BRANDON ATLAS EMPLOYMENT SERVICES 11/02/18 DWORKIN AND MACIARIELLO 466 18WC 33773 ALVARADO, ROGELIO PARKWAY FORMING, INC 01/24/18 ANESI OZMON RODIN NOVAK KO 467 18WC 33812 MIRANDA, PEDRO JR. COOK COUNTY SHERIFF'S OFF 11/03/18 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 468 18WC 33839 RYALS, NEONYA CTA 10/24/18 THOMAS LAW CHICAGO TRANSIT AUTHORITY 469 18WC 33853 MONGE, ILEANA PRESENCE HEALTH 10/24/18 DAMISCH & DAMISCH LTD 470 18WC 33962 SUTTON-LEWIS, MICHELLE CTA 11/07/18 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 471 18WC 33986 VAZQUEZ, ABDON TAYLOR FARMS 07/26/18 HUGO ORTIZ EVANS & DIXON 472 18WC 34001 SCHOEDEL, ANTHONY JUNK MASTER INC DBA 1800 09/15/18 PATRICOSKI, MARK G THOMAS & ASSOCIATES 473 18WC 34068 ZUNIGA, ANGELA RON'S STAFFING SRVS 09/19/18 ANKIN LAW OFFICE KOREY RICHARDSON LLC 474 18WC 34094 HERNANDEZ, MERCEDES ELITE STAFFING 11/03/18 JONATHAN SCHLACK 475 18WC 34112 GALMAN, LARRY UPS 09/18/18 LEONARD LAW GROUP LLC ASA LAW GROUP 476 18WC 34135 LAKIE, GARY R AMERICAN AIRLINES 07/17/18 ELFENBAUM EVERS & AMARILIO

Page 29: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 477 18WC 34157 KLOCEK, MICHAEL ITS TECHNOLOGIES & LOGIST 10/24/18 DWORKIN AND MACIARIELLO 478 18WC 34264 JONES, DON JB HUNT 11/13/18 DWORKIN AND MACIARIELLO MICHAEL JASPER 479 18WC 34305 PACE, CHERYL D AT&T 05/15/18 FRIEND LEVINSON & BERGAL INMAN & FITZGIBBONS 480 18WC 34355 LEMMA, MULAT CLARK MANOR 10/02/18 DWORKIN AND MACIARIELLO 481 18WC 34412 WARD, KENYA SYMPHONY MIDWAY LLC 11/08/18 ANKIN LAW OFFICE MCCABE KIRSHNER PC 482 18WC 34429 OLSON, MARK HOME DEPOT (GLENVIEW) 10/17/18 ELFENBAUM EVERS & AMARILIO ADELSON TESTAN BRUNDO 483 18WC 34478 GARCIA, FRANCO MIDWEST CANVAS 11/14/18 LEONARDO MORALES 484 18WC 34516 GUZMAN, GERARDO MEYER STEEL & DRUM, INC 11/05/18 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 485 18WC 34538 BOJORQUEZ, MARTHA TRIAD CONSULTANTS 04/07/17 LUSAK AND COBB 486 18WC 34572 BAKER, JOSEPH CALUMET CITY 08/12/18 JAMES ELLIS GUMBINER & ASS 487 18WC 34623 JOHNSON, CAROLYN UNITED AIRLINES, INC 09/21/18 ANKIN LAW OFFICE 488 18WC 34738 BISHOP, ANTHONY PAPA JOHN'S PIZZA 11/10/18 KATZ FRIEDMAN EAGLE ET AL 489 18WC 34770 CRUZ, RAUL SOSTRE CHICAGO DRYER COMPANY 08/30/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 490 18WC 34834 LAFUENTA, FABIAN OLYMPIC STEEL 06/14/18 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 491 18WC 34888 BURKE, MATTHEW J ORLAND FIRE PROTECTION DI 11/16/18 CULLEN HASKINS NICHOLSON 492 18WC 34966 BELL, KENDRA BBQ SUPPLY CO 11/07/18 DWORKIN AND MACIARIELLO 493 18WC 34984 RAZON, ESTHER ANGSTROM USA/TEC AIR LLC 10/05/18 BAUM RUFFOLO & MARZAL LTD JOSEPH MARCINIAK 494 18WC 35019 COTTRELL, ERIC COMMERCIAL FORGED PRODUCT 05/01/17 MARC J SHUMAN & ASSOCIATES KRAKER FANNING & OLSEN

Page 30: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 495 18WC 35038 WHITE, DANIELLE CHICAGO TRANSIT AUTHORITY 11/10/18 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 496 18WC 35108 PICKENS, KEANA SOUTHWEST AIRLINES 06/22/18 DWORKIN AND MACIARIELLO 497 18WC 35129 BUFORD, AVERY AMERICAN AIRLINES 08/06/17 RIDGE & DOWNES ROSARIO CIBELLA 498 18WC 35148 DAVIS, SHAVON HOSPITALITY SERVICE CORP 06/07/18 JOHN S. ELIASIK JOSEPH MARCINIAK 499 18WC 35169 YOUNG, JAMES AT&T 09/18/18 KARCHMAR & STONE 500 18WC 35217 DOWNEY, JOHN COOK COUNTY SHERIFF DEPT 09/09/18 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 501 18WC 35240 GONZALES, THEODORE JOURNEYCARE, INC 03/25/18 ACEVES & PEREZ PC WOLFE & JACOBSON, LTD 502 18WC 35272 PRINGLE, ALEXIS COWORX STAFFING 09/06/18 ANGELINI & ORI LLC BRADY CONNOLLY & MASUDA PC 503 18WC 35355 MEYER, MICHAEL VILLAGE OF NORTHBROOK 11/27/18 HANNIGAN & BOTHA, LTD POWER & CRONIN LTD 504 18WC 35389 LAZZARO, JOSEPH CITY OF CHICAGO 11/27/18 O'CONNOR & NAKOS 505 18WC 35405 SNUGGERUD, LUC ROCKFORD ICE HOGS 04/06/18 GORDON LAW OFFICES LTD 506 19WC 02421 BARRAZA, NORA MARIANO'S/KROGER'S, INC 09/24/18 OSVALDO RODRIGUEZ PC 507 19WC 02442 CORONA, PEDRO ROUND GROUND METAL, INC 09/28/18 LEONARD LAW GROUP LLC KRAKER FANNING & OLSEN 508 19WC 02888 FABBRI, TRAVIS GOLF MILL FORD 04/22/16 FOOTE MIELKE CHAVEZ O'NEIL 509 19WC 02908 COFFEY, TANNA REYNOLDS 12/29/18 DWORKIN AND MACIARIELLO KLAUKE LAW GROUP LLC 510 19WC 02958 SANTIAGO, MICHAEL J FRIENDLY FARMS, LTD 07/07/18 CRONAUER, CHARLES E HOLECEK & ASSOCIATES 511 19WC 03002 DAVIS, TINA COOK DUPAGE TRANSPORTATIO 01/18/19 VITELL & SPITZ LTD 512 19WC 03024 WHITE, LANDREY SCR TRANSPORT 01/28/19 EDWIN REYES LAW FIRM LEAHY EISENBERG & FRAENKEL

Page 31: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 513 19WC 03043 BUCHANAN, KOREY CHICAGO TRANSIT AUTHORITY 01/21/19 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 514 19WC 03079 STAATS, LISA UNITED AIRLINES 01/06/19 ELFENBAUM EVERS & AMARILIO 515 19WC 03217 WOODVILLE, CYNTHIA S UNIVERSAL SERCURITY 01/22/19 VITELL & SPITZ LTD HENNESSY & ROACH PC 516 19WC 03245 TORRES, JOAQUIN RENZO & SONS DAIRY INC. 01/18/19 COVEN LAW GROUP 517 19WC 03315 PICKENS, TORI CHICAGO PUBLIC SCHOOLS 01/22/19 COSTA IVONE LLC CHGO BOARD OF EDUCATION 518 19WC 03340 LEWIS, THERESA SIGNATURE TRANS GROUP, LL 01/26/19 ANKIN LAW OFFICE 519 19WC 03400 LOBACZ, NICK FOUR SEASONS HEATING AND 12/31/18 CUDA LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 520 19WC 03481 NIXON, DEWANDIS AMERICAN LOUVER COMPANY 01/23/19 DWORKIN AND MACIARIELLO EDWARD J. KOZEL 521 19WC 03529 VARGAS, JUAN FCL GRAPHICS 11/20/17 JONATHAN SCHLACK BORGELT POWELL 522 19WC 03592 ELEBY, JOY CONTINENTAL NURSING 12/28/16 COHN LAMBERT RYAN & SCHNEI 523 19WC 03615 ZAVALA, JAVIER CHARLES AUSTIN 01/07/19 GANAN & SHAPIRO 524 19WC 03639 LINEN, JOSEPH COMCAST CABLE 01/15/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 525 19WC 03662 LONTKA, DENNIS CITY OF CHICAGO 01/24/19 CULLEN HASKINS NICHOLSON 526 19WC 03679 GILBERT, FREDDIE L JR. COMCAST 09/27/18 STEVEN J MALMAN & ASSOCIAT POWER & CRONIN LTD 527 19WC 03716 PATRICIO-PLATA, EDUIN NAF NAF GRILL 01/16/19 JONATHAN SCHLACK HOLECEK & ASSOCIATES 528 19WC 03748 LLANGARI, LUIS IMPACT STAFFING 09/26/18 MC HARGUE & JONES RIPES NELSON BAGGOT KALOBRAT 529 19WC 03766 HERNANDEZ-CRUZ, ALEJANDRO MARTINEZ TRUCKING COMPANY 11/01/18 CHEPOV & SCOTT LLC 530 19WC 03820 ALVAREZ, VENTURA CONSTRUCTION REX LLC 05/06/17 RAYMOND P GARZA LAW OFFICE

Page 32: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 531 19WC 03849 ORTEGA, SALOMON ESPINOSA LYFT 01/27/19 TIMOTHY HENDERSON ANCEL GLINK PC 532 19WC 03870 WILLIS, MICHAEL DPI SPECIALTY FOODS 01/28/19 DEPAOLO & ZADEIKIS 533 19WC 03898 TRZINSKI, JAMES MONDELEZ INTERNATIONAL, I 01/23/19 BOWMAN & CORDAY 534 19WC 03919 RIVERA, NOEL BALLANTYNE STRONG INC 01/03/19 GOLDSTEIN BENDER & ROMANOF 535 19WC 03971 ALBAN, GERALD TOTAL AIRPORT SERVICES 01/19/17 PARENTE & NOREM PC THOMAS & ASSOCIATES 536 19WC 03993 D'AVELLA, MARY COOK COUNTY SHERIFF'S DEP 02/04/19 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 537 19WC 04046 LOPEZ, ANTONIO ADJUSTABLE FORMS 09/27/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 538 19WC 04138 SHORES, RYAN BEST BUY 08/02/18 LANNON LANNON & BARR LTD HENNESSY & ROACH PC 539 19WC 04197 CULP, JUNE GLENSHIRE NURSING HOME 11/20/18 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 540 19WC 04215 LOERA, DAVID TESTA PRODUCE, INC 01/25/19 ANKIN LAW OFFICE CAPUANI, FRANK S 19WC004216 -C 541 19WC 04239 RODRIGUEZ AMADOR, ROCIO TROY DESIGN & MANUFACTURI 08/01/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 542 19WC 04253 PARDO, NERY L.J. THALMANN CMPANY DBA 10/13/17 COVEN LAW GROUP HENNESSY & ROACH PC 543 19WC 04304 LORENZ, MELANIE R LANZA TECH INC 07/24/17 JOHN HEDRICH JOSEPH MARCINIAK 544 19WC 04344 HOLDER, CRAIG CHICAGO CONSUMABLES 11/30/18 STEVEN J MALMAN & ASSOCIAT 545 19WC 04363 AMIN, RAKIN NAPLETON RIVER OAKS HONDA 01/16/19 ROMANUCCI & BLANDIN FRANCESCA LARSEN 546 19WC 04377 ORTIZ, CARLOS C-LINE PRODUCTS, INC. 01/22/19 MARKER & CRANNELL HENNESSY & ROACH PC 547 19WC 04434 KLEIN, JODY AMERICAN AIRLINES, INC 01/30/19 SAUNDERS CONDON & KENNY ROSARIO CIBELLA 548 19WC 04481 VALDEZ, RAYMUNDO CONTINENTAL COURIER 05/21/18 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK

Page 33: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 549 19WC 04506 RICHARDSON, KENNETH NESTLE WATERS 10/11/17 ALVAREZ LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 550 19WC 04555 TRUJILLO, REYNALDO J&A SHEET METAL SHOP 01/28/19 ESR LAW GROUP ACCIDENT FUND HOLDINGS 551 19WC 04565 KHOKHAR, PETER HONDURAS CAB CORPORATION 12/13/18 FRIEDMAN & SOLMOR LTD 552 19WC 04619 WARE, WILLIE NORTHWESTERN HOSPITAL 08/28/18 DWORKIN AND MACIARIELLO 553 19WC 04641 WILSON JR, DERRICL J CTA-CHICAGO TRANSIT AUTHO 02/10/19 VITELL & SPITZ LTD 554 19WC 04734 GONZALEZ, ANTONIO VANEE FOODS 08/09/18 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 555 19WC 04766 SHARKEY, NICOLE HARTGROVE BEHAVIORAL HLTH 01/19/19 ANGELINI & ORI LLC MC ANDREWS & NORGLE LLC 556 19WC 04789 GILLESPIE, CASSIE HELP AT HOME 10/21/18 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 557 19WC 04812 HUGHES, RANDALL VILLAGE OF ROBBINS 02/11/19 DWORKIN AND MACIARIELLO 558 19WC 04861 WALKER, KAREN AMERICAN AIRLINES 12/29/18 KATZ FRIEDMAN EAGLE ET AL 559 19WC 04883 ROY, JAQUAYA STW TRANSPORTATION 01/22/19 SEIDMAN MARGULIS & FAIRMAN 560 19WC 04919 JEFFERSON, DARRON FED EX 02/02/19 KROL BONGIORNO & GIVEN LTD 561 19WC 04969 FRANK, BOBBIE FRANK KICKERT SCHOOL BUS LINE C 02/14/19 SKLARE LAW GROUP 562 19WC 04995 COLEMAN, LINDA ADDUS HOMECARE INC. 10/05/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 19WC004996 -C 563 19WC 05013 CANDIA, WILLIAM THE LASALLE PRIVATE RESID 06/22/18 KARCHMAR & STONE 564 19WC 05061 KIM, DANIEL H CORE ORTHOPEDICS & SPORTS 12/18/18 PHILIP BLOMBERG RUSIN & MACIOROWSKI LTD 565 19WC 05153 BRUNKE, IDA ANGELA OLD TOWN DENTAL CARE 12/04/18 SALVATO O'TOOLE FROYLAN 566 19WC 05156 MADDEN, ELISE NORTWOOD LIFE SOCIETY 10/06/18 RUSIN & MACIOROWSKI LTD

Page 34: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 19WC 05197 HANSEN, PAUL HOFFMAN ESTATES POLICE DE 02/12/19 MARTIN L GLINK LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 568 19WC 05227 MERCED, LUIS J ILLINOIS DEPARTMENT @ 02/13/19 TOSCAS, JOHN Z LAW OFFICE ASSISTANT ATTORNEY GENERAL 569 19WC 05297 STANTON, TONYA WALMART INC 09/19/17 QUINTAIROS PRIETO WOOD & BOY 570 19WC 05328 PLUMMER EL, TERAH FORD MOTOR COMPANY 01/04/19 ROGER D RUDICH LTD NYHAN BAMBRICK KINZIE & LOWR 19WC005329 -C 571 19WC 05382 ABDELMASIH, MARINA HMS HOST CORPORATION 12/05/18 SALVATO O'TOOLE FROYLAN GAIDO & FINTZEN 572 19WC 05402 MELENDEZ, KRISTEN COOK COUNTY SHERIFF DEPT 12/25/18 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 573 19WC 05422 AVILA, MARTIN PRIMARY STAFFING, ICN 01/23/19 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 574 19WC 05475 PETRE, MARIANA NORTHSHORE UNIVERSITY 06/21/18 JOSEPH J LOSS PC 575 19WC 05518 GARCIA, VIRGINIA CHICAGO PUBLIC SCHOOLS 10/13/17 BRIAN J MC MANUS & ASSOC, CHGO BOARD OF EDUCATION 19WC005519 -C 19WC021919 -C 576 19WC 05586 DAVIS, DONALD JEWEL 02/09/19 CULLEN HASKINS NICHOLSON 577 19WC 05632 TOKARZ, JOSEPH SUMMITT TANK & 03/29/18 DAVID SZCZECIN & ASSOC LAWRENCE COZZI - LAW OFFICE 578 19WC 05739 WILLIAMS, KENNETH HILTON WORLDWIDE INC. 12/14/18 ANKIN LAW OFFICE NOBLE & ASSOC 579 19WC 05779 WILLIS, LEANDRES AUTO WAREHOUSING COMPANY 02/05/19 STEVEN J MALMAN & ASSOCIAT KEEFE CAMPBELL BIERY & ASSOC 580 19WC 05824 RATH, SANSUKPAUL CONTOUR SAWS 01/07/19 HOLECEK & ASSOCIATES 581 19WC 05841 JAFFER, MARY JEWEL OSCO 08/22/18 JOSHUA KARMEL 582 19WC 05873 CASTILLO, MARIO METRO STAFFING 02/21/19 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 583 19WC 05901 ROBINSON, ALLENA CHICAGO PUBLIC SCHOOLS 01/25/19 SKLARE LAW GROUP CHGO BOARD OF EDUCATION

Page 35: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 584 19WC 05935 KHAN, ZAHED DEK INDUSTRIAL SERVICES, 10/11/18 MICHAEL HELLMAN POULOS & DIBENEDETTO LAW 585 19WC 05950 CANDELARIA, CHRISTOPHER PURELY MEAT COMPANY 02/25/19 SANDMAN LEVY & PETRICH 586 19WC 06071 LOPEZ, FERNANDO FROZEN ASSETS COLD STORAG 01/24/19 STANCZAK LAW OFFICES 587 19WC 06146 BURKHEAD, ANTOINETTE CITY OF CHICAGO 02/19/19 SEIDMAN MARGULIS & FAIRMAN 588 19WC 12982 MENDOZA, ABIGAIL NEXUS EMPLOYMENT SOLUTION 04/25/18 STEVEN B SALK & ASSOC LTD LEAHY EISENBERG & FRAENKEL 589 19WC 13002 ZIKO, DANIEL BENEVOLENT & PROTECTIVE O 03/20/19 BUDIN LAW OFFICES INMAN & FITZGIBBONS 590 19WC 13037 FLESKE, TINA JEWEL OSCO 04/18/19 JAMES ELLIS GUMBINER & ASS 591 19WC 13190 WILSON, DAVID STAFF MANAGEMENT 03/20/19 TARADASH LAW OFFICE 592 19WC 13231 HERNANDEZ, CYNTHIA BOBAK SAUSAGE CO. 08/22/18 SKLARE LAW GROUP CAPUANI, FRANK S 19WC013232 -C 19WC027042 -C 593 19WC 13253 KORDOPITOULAS, NICK YUSEN LOGISTICS (AMERICAS 04/16/19 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 594 19WC 13274 HARGONS, CYNTHIA COOK COUNTY 11/08/18 ANGELINI & ORI LLC STATES ATTORNEY OF COOK COUN 595 19WC 13297 DEDORE, LINDA CITY OF CHICAGO DEP OF RE 05/19/16 ROSS TYRRELL CITY OF CHICAGO 596 19WC 13320 MADONIA, THERESA ADVANTAGE SALES&MARKETING 03/31/19 ASHER, RAYMOND L LTD KELLEY KRONENBERG 597 19WC 13344 RODZAK, JUDITH FLEXIBLE STAFFING SERVICE 02/05/19 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 598 19WC 13400 ALFRED, NAPOLEON A CHICAGO ELITE CAB COMPANY 05/01/19 WEISS & WEISS LAW OFFICES 599 19WC 13461 PARENTE, TINA MARIE OOZI CORNER LLC 03/16/19 TIMOTHY HENDERSON MEACHUM & STARCK 600 19WC 13503 BROWN, KEVIN WEISS MEMORIAL HOSPITAL 02/04/19 ALEKSY BELCHER MEACHUM & STARCK 601 19WC 13532 BANKS, LEANDREW ALLIED UNIVERSAL SECURITY 04/19/19 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM GRA

Page 36: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 602 19WC 13554 WOFFORD, MARILYN PROGRESSIVE HOUSING 05/01/19 VASILATOS & COTTER LLC 603 19WC 13574 TEMPLETON, JOHN MCCASTER & ASSOCIATES 04/29/19 ANKIN LAW OFFICE ANCEL GLINK PC 604 19WC 13599 SUGGS, KE'ANNA CITY OF CHICAGO 05/07/19 COVEN LAW GROUP 605 19WC 13620 CAREY, JHERI HOWAD BROWN HEALTH CENTER 05/01/19 DWORKIN AND MACIARIELLO 606 19WC 13669 RODRIGUEZ, JUANA HEALTH RESOURCE SOLUTIONS 01/21/19 CUSHING LAW OFFICES 607 19WC 13684 HERNANDEZ, NAGELY LEXINGTON HEALTH CARE CEN 05/02/19 STEVEN B SALK & ASSOC LTD 608 19WC 13710 HERNANDO, NANCY WOODWARD MPC 11/16/18 COSTA IVONE LLC HINSHAW & CULBERTSON 609 19WC 13734 AMES, PAM UNITED CONTINENTAL HOLDIN 11/10/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 610 19WC 13779 MAIDA, STEFANO CHICAGO PARK DISTRICT 04/22/19 KROL BONGIORNO & GIVEN LTD CHICAGO PARK DIST LAW DEPT 611 19WC 13803 IRIZARRY, MARIA ESTELA BEST WESTERN GRANT PARK H 03/16/19 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 612 19WC 13830 MEZA, DAVID SURE STAFF 01/21/19 BAUM RUFFOLO & MARZAL LTD LOUIS MUNDY 613 19WC 13867 FUENTES, JOSE UNITED AIRLINES, INC. 05/02/19 GREGORIO & MARCO 614 19WC 13896 SMITH, DANIELLE SOUTHWEST AIRLINES 09/27/18 ELFENBAUM EVERS AMARILIO Z 615 19WC 13909 BROWN, CHRIS METRO STAFF INC 04/20/19 JAMES ELLIS GUMBINER & ASS 616 19WC 13956 MEIGAN, ROBERT ROYAL TRANSPORT INC 04/12/17 MCANANY VANCLEVE & PHILLIPS 617 19WC 14006 RODRIGUEZ, JOE REBUILDERS ENTERPRISES 03/26/19 STEVEN J MALMAN & ASSOCIAT SPYRATOS DAVIS LLC 618 19WC 14026 CHAPMAN, MATTHEW ALLIED WASTE SERVICES OF 02/13/19 DEPAOLO & ZADEIKIS 619 19WC 14039 ALBUSTANI, BAHAULDDIN CONTRACT EXPRESS, INC 04/25/19 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC

Page 37: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 620 19WC 14085 RUCKER, ARTHUR AT&T 03/05/18 MARC J SHUMAN & ASSOCIATES 621 19WC 14124 NATHAN, TERRELL MARUICHI LEAVITT 04/22/19 SKLARE LAW GROUP BORGELT POWELL 622 19WC 14154 WRIGHT, SHAUNTINA M SKY TECH 08/30/18 SALVATO O'TOOLE FROYLAN GAROFALO SCHREIBER STORM GRA 623 19WC 14224 CROW, MARK MARTEN TRANSPORT, LTD. 04/25/19 BART DURHAM BRADY CONNOLLY & MASUDA PC 624 19WC 14245 MUIR, JEANINE E CPS/NATHAN HALE ELEM SCHO 04/11/19 DEPAOLO & ZADEIKIS CHGO BOARD OF EDUCATION 625 19WC 14261 LALAMA, CRAIG R UNITED AIRLINES 08/18/16 NILSON STOOKAL GLEASON CAP 626 19WC 14311 BURRISQUETA, OMAR MULTI-TEMPS SRVS, INC 05/09/19 JONATHAN SCHLACK GAIDO & FINTZEN 627 19WC 14457 OUCHNID, RACHID FLASH TAXI 04/22/19 ACEVES & PEREZ PC 628 19WC 14477 ROJAS, GABRIELLA PERSONNEL STAFFING GROUP 05/03/19 HORWITZ HORWITZ & ASSOC KOREY RICHARDSON LLC 629 19WC 14515 BRITO, OMAR SUBWAY 05/09/19 ANKIN LAW OFFICE 630 19WC 14535 LAVEN, STEPHEN COOK COUNTY 07/20/16 ARGIONIS & ASSOCIATES LLC STATES ATTORNEY OF COOK COUN 631 19WC 14551 KINES, DARCHELE MOLLY MAID 05/15/19 CUDA LAW OFFICES BRADY CONNOLLY & MASUDA PC 632 19WC 14604 LANDEROS, OLIVERIO CHARLES AURIN HOLDINGS 11/24/18 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO 633 19WC 14627 ZUMAYA-VALDEZ, JESUS ELITE WOOD FLOOR RENEWAL 03/18/19 JONATHAN SCHLACK 634 19WC 14687 SPERA, DANIEL USF HOLLAND/YRC 11/15/18 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 635 19WC 14709 NOURI, RACHEL N SOI-LUDEMAN DEVELOPMENTAL @ 09/08/18 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 636 19WC 14729 KLINE, LASHONDRA CBOE 03/29/19 LEO ALT CHGO BOARD OF EDUCATION 637 19WC 14780 JOHNSON, PAULA SAINT ANTHONY HOSPITAL 05/13/19 DWORKIN AND MACIARIELLO KLAUKE LAW GROUP LLC

Page 38: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 638 19WC 14807 TITRE, NADINE BAR LOUIE 04/19/19 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 639 19WC 14872 GARCIA, CARMEN BEACON CARE CENTER 04/03/19 LEONARD LAW GROUP LLC 640 19WC 14889 SNAL, GARY DOUMAK, INC 05/02/19 ARGIONIS & ASSOCIATES LLC 641 19WC 14907 TRUDEAU, GEOFFREY A LAMP CONCRETE 04/19/19 BRIAN M LAUGHLIN PC GILDEA, COGHLAN & REGAN LTD. 642 19WC 14994 WASHINGTON, ASHAKA EASTERSEALS 05/13/19 DWORKIN AND MACIARIELLO 643 19WC 15017 SANTOYO, JUAN ED MINIAT 02/15/19 ANGELINI & ORI LLC 644 19WC 15032 LARAMORE, EASTER FEDEX 04/24/19 STROM & ASSOC 645 19WC 15049 LAW, ALLEN AMMONS TRANSPORTATION SER 01/21/19 COHN LAMBERT RYAN & SCHNEI BRYCE DOWNEY & LENKOV LLC 646 19WC 15059 GILLES, MICHAEL VILLAGE OF ARLINGTON HTS 02/28/19 ROSENBERG EISENBERG ASSOC 647 19WC 15086 GALARZA, CARMEN OMNI HOTELS MANAGEMENT CO 10/16/18 STEVEN B SALK & ASSOC LTD HENNESSY & ROACH PC 19WC015087 -C 648 19WC 15107 YOUNG, JERRY ALLSTAR FASTENERS 05/10/19 HANNIGAN & BOTHA, LTD 649 19WC 15170 SOSA, NOEMI NEIGHBORHOOD RESTORATION 05/24/17 MORICI FIGLIOLI & ASSOC CHICAGO TRANSIT AUTHORITY 650 19WC 15211 ZIELINSKI, PATRICIA ACADEMIC MASTERY ACADEMY 03/11/19 KEDZIE LAW OFFICE PC LAWRENCE COZZI - LAW OFFICE 651 19WC 15242 WEGNER, DAVID UJAMAA CONSTRUCTION 10/09/17 MARSZALEK AND MARSZALEK 652 19WC 15244 NELSON, JUAN CHICAGO TRANSIT AUTHORITY 05/20/19 LANGENDORF, ROBERT A CHICAGO TRANSIT AUTHORITY

Page 39: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 653 19WC 15338 SOBKOWICZ, MIROSLAWA WOODWARD MPC 02/25/19 WILLIAM S. WOJCIK LTD 654 19WC 15423 028 REYES, RICARDO SCHEPFER INC 05/16/19 DEPAOLO & ZADEIKIS EDWARD J. KOZEL 028 19WC015422 -C SCHUEPFER INC 655 19WC 15441 MERCED, MARITZA WOCKHARDT USA/ 02/06/19 ROSS TYRRELL KRAKER FANNING & OLSEN 656 19WC 15461 QUINN, JEAN AMERICAN AIRLINES, INC. 09/12/18 CORBOY & DEMETRIO PC 657 19WC 15542 EMBRY, SHAKLEE SECRETARY OF STATE @ 04/08/19 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 658 19WC 15567 028 CARDENAS, GABRIELA ABM INDUSTRY GROUPS, LLC 05/20/19 SOSTRIN AND SOSTRIN PC GOLDBERG SEGALLA LLC 028 19WC015566 -C 659 19WC 15586 SCOTT, YOLANDA KREATIVE KIDZ ACADEMY IV, 05/16/19 STROM & ASSOC RUSIN & MACIOROWSKI LTD 660 19WC 15625 GONZALEZ, MARCIAL SEE ALL INDUSTRY 05/14/19 COSTA IVONE LLC 661 19WC 15680 BLANCO, MICHAEL VILLAGE OF SKOKIE 02/21/19 ROBERT J. IRSUTO VILLAGE OF SKOKIE 662 19WC 15711 JOHNSON, ROBERT LURIE CHILDREN'S HOSPITAL 05/26/19 SKLARE LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 663 19WC 15730 011 BYRON, RALPH WASTE MANAGEMENT 04/12/17 LUSAK AND COBB GAROFALO SCHREIBER STORM GRA 011 18WC016015 -C 664 19WC 19607 BISCHOFF, DANIEL CITY OF CHICAGO 07/02/19 BARRY STEWART SILVER 665 19WC 22706 ROEDIGER, CURT J UNITED AIRLINES INC. 08/15/18 DWORKIN AND MACIARIELLO 666 19WC 22736 MENDOZA, LUTONYA COVENANT LIVING 07/27/19 KREITER, BYCK & ASSOC LLP 667 19WC 22775 HOOKER, CLIFF CHICAGO PARK DISTRICT 12/12/18 DAVID W MARTAY CHICAGO PARK DIST LAW DEPT 668 19WC 22792 BEM, ROBERT S KA LOGISTICS 07/26/19 LEONARD LAW GROUP LLC RIPES NELSON BAGGOT KALOBRAT 669 19WC 22809 MARTINEZ, FERNANDO ROMAN HOLY TRINITY HIGH SCHOOL 07/08/19 HERRERA LAW CENTER POWER & CRONIN LTD

Page 40: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 670 19WC 22859 LUNA, SILVIA EL MILAGRO, INC 07/08/19 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 671 19WC 22883 MONACHINO, JENNIFER AMERICAN AIRLINES 03/23/19 SAUNDERS CONDON & KENNY 672 19WC 22906 BERMUDEZ, ROGELIO ROJAS CHEESE MERCHANTS OF AMERI 06/11/19 JONATHAN SCHLACK 673 19WC 22931 FRAZIER, RASHEEDA CHICAGO TRANSIT AUTHORITY 07/24/19 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 674 19WC 22936 MC KINLEY, NICHELLE NEW STAR, INC 07/25/19 ANKIN LAW OFFICE GANAN & SHAPIRO 675 19WC 22955 AVILA, MIRNA ABLE SERVICES 06/29/19 BERG & BERG 676 19WC 23031 OSDIECK, SAMANTHA ADVOCATE SOUTH 11/08/16 SCHWEICKERT GANASSIN NYHAN BAMBRICK KINZIE & LOWR 677 19WC 23063 GIANAKOPOULOS, RONALD TOWN OF CICERO 06/26/19 ELFENBAUM EVERS AMARILIO Z DEL GALDO LAW GROUP LLP 678 19WC 23084 SPEARS, JOSHUA AEROTEK 07/15/19 DWORKIN AND MACIARIELLO 679 19WC 23105 SANTELLANO, SEBASTIAN PRO FENCE II, INC. 05/07/19 EAMES LAW GROUP LTD 680 19WC 23121 WILSON, PAMELA DLH SOLUTION 07/19/19 LEONARD LAW GROUP LLC 681 19WC 23142 POINTER, ERIC REM INC 07/25/19 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 682 19WC 23160 JONES, JOE MERX GLOBAL, INC 08/02/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 683 19WC 23192 KNOX, MONICA E CTA 08/03/19 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 684 19WC 23206 MONCADA, ROSA HYATT REGENCY CHICAGO 11/14/18 RUEDA, IVAN A 685 19WC 23225 ADEROGBA, ADEYBOYEGA CHEESE MERCHANTS OF AMERI 06/05/19 TAMVAKIS, GEORGE L

Page 41: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 686 19WC 23245 HARRALL, ANNA JEWEL FOOD STORES 05/30/19 GWC INJURY LAWYERS LLC 687 19WC 23266 CARTER, VINCENT AMAZON 03/19/19 KREITER, BYCK & ASSOC LLP WIEDNER & MCAULIFFE LTD 19WC023267 -C 688 19WC 23290 BROOKS, KORTNEY CITY OF CHICAGO 10/11/18 ROBERT WARSASKI CITY OF CHICAGO 689 19WC 23339 CONSTANTINO, MICHAEL GET FRESH PRODUCE 08/01/19 BAUM RUFFOLO & MARZAL LTD 690 19WC 23393 ALLEN, AMANDA FAMILY HOME HEALTH SERVIC 04/04/16 691 19WC 23413 KELLEY, WENONA FAMILY DOLLAR 08/05/19 LAW OFFICES OF ADRIAN CHER 692 19WC 23429 ZVIBAS, JUSTIN AC BRETT EQUIP. CORP. 06/05/19 WHITESIDE & GOLDBERG LTD 693 19WC 23475 WHITE, MARTIN COOK COUNTY JUVENILE DETE 07/03/19 RUBENS KRESS MULHOLLAND STATES ATTORNEY OF COOK COUN 694 19WC 23494 ANDERSON, JEROME LEADEE INDUSTRIAL SERVICE 07/28/19 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 695 19WC 23504 ROBBINS, CHANDLER FRONTIER AIRLINES 07/22/19 CULLEN HASKINS NICHOLSON 696 19WC 23524 MIRELES, ALEXANDRA SU NUEVA LAVANDERIA 05/01/19 HERRERA LAW CENTER 697 19WC 23544 UZOCHUKWU, BENNETT TINA TWO HACKING 07/28/19 RYAN ROSENTHAL 698 19WC 23570 FORT, RESONDRA UNIVERSITY OF IL HOSPITAL 04/04/19 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 699 19WC 23613 LAUSCH, ROBERT IL STATE TROOPER @ 07/18/19 COLLISON LAW OFFICES 700 19WC 23654 DIXON, MICHAEL PIVOTAL STAFFING SERVICES 07/17/19 ANKIN LAW OFFICE 701 19WC 23674 ALCANTAR, ANTONIO KENAN ADVANTAGE GROUP, IN 07/18/19 LEONARD LAW GROUP LLC 702 19WC 23691 FINI, FRANK TRUSTWAVE 06/08/18 SALVATO O'TOOLE FROYLAN 703 19WC 23760 GIESEY, JAMES ALDRIDGE ELECTRIC INC 01/23/18 COMPTON LAW GROUP WIEDNER & MCAULIFFE LTD

Page 42: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 704 19WC 23786 ROBERTS, TIFFANY EASTERSEALS ACADEMY 11/01/16 THOMAS M SEYMOUR 705 19WC 23808 BARTON, JAMES TIP TOP BUILDERS INC 01/31/18 STROM & ASSOC 706 19WC 23857 CANNATELLO, TONI COOK COUNTY FOREST PRESER 08/05/19 WILLIAM H MARTAY FOREST PRESERVE DIST COOK CO 707 19WC 23875 HACKLEN, ROBERT INTERNATIONAL LOGISTICS G W 06/28/19 MC HARGUE & JONES 708 19WC 23982 CAMELI, PHILIP CITY OF CHICAGO HEIGHTS 07/18/12 ROMANUCCI & BLANDIN DEL GALDO LAW GROUP LLP 709 19WC 24000 SALAS, SILVIA PURE EDGE LIGHTING, LLC 01/02/19 KARCHMAR & STONE 710 19WC 24022 CORTEZ, PEDRO SOURCE ONE STAFFING INC 06/07/18 COSTA IVONE LLC KNELL O'CONNOR DANIELWICZ 18WC030079 -C 711 19WC 24038 DE OCA, EMILIO MONTES NATIONAL CONTAINER GROUP 07/26/19 EPSTEIN, JACK R LAW OFFICE 712 19WC 24094 JOHNSON, TODD COCA COLA REFRESHMENTS 07/18/19 DWORKIN AND MACIARIELLO 713 19WC 24119 ADEMOUSKA, RAJME TRANSX LIMITED 07/30/19 ACEVES & PEREZ PC MEACHUM BOYLE TRAUFMAN 714 19WC 24159 MCCOY, SHAMIKA CITY OF CHICAGO- WATER DE 06/04/19 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 715 19WC 24197 INGRAM, SUSAN UNITED AIRLINES 08/15/19 EDWIN REYES LAW FIRM 716 19WC 24210 MC KAY, ERIC COMCAST 08/14/19 FRIEDMAN & SOLMOR LTD HENNESSY & ROACH PC 717 19WC 24245 HURD, MARY ADVOCATE LUTHERAN GENERAL 03/09/17 RONALDSON & KUCHLER NYHAN BAMBRICK KINZIE & LOWR 718 19WC 24274 WILLIS, JAMES CHICAGO TRANSIT AUTHORITY 05/02/19 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 719 19WC 24296 GAY, GERALD UNIVERSITY OF ILLINOIS 07/15/19 FRIEDMAN & SOLMOR LTD POWER & CRONIN LTD 720 19WC 24313 OMITADE, OLALEKAN YELLOW CAB CO 08/04/19 STEWART C ORZOFF 721 19WC 24334 DEVOSE, SHARON DAVITA 07/26/19 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD

Page 43: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 722 19WC 24376 MORALES, MARIBEL DAKOTA INTEGRATED SYSTEMS 09/26/18 TIMOTHY E. TAKASH 723 19WC 24397 MINASOLA, MATTHEW JEWEL FOOD STORES 07/15/19 GWC INJURY LAWYERS LLC 724 19WC 24430 DEWBERRY, MARK GORDON FOOD MANGEMENT 10/10/18 GOLDSTEIN AIOSSA & GOOD GANAN & SHAPIRO 725 19WC 24475 RODRIGUEZ, EDUARDO AIRCHECK AKA SCRUB INC 08/20/19 GERALD CONNOR 726 19WC 24498 LEE, LINDA F MUSEUM OF SCIENCE & INDUS 08/09/19 COHN LAMBERT RYAN & SCHNEI 727 19WC 24501 WALTON-TAYLOR, LARRAINE GO AIRPORT EXPRESS 08/03/19 CUDA LAW OFFICES 728 19WC 24529 LUNA, OMAR RUSS'S DRYWALL INC 01/25/19 MONDRY & MONDRY 729 19WC 24556 HOWARD, SDAHRIE COOK COUNTY SHERIFF'S DEP 05/13/19 HETHERINGTON KARPEL & BOBB STATES ATTORNEY OF COOK COUN 730 19WC 24582 MATUSIEWICZ, JAMES CHICAGO BAKING COMPANY 08/03/19 COVEN LAW GROUP POWER & CRONIN LTD 731 19WC 24606 SIKORA, EMILIA AIMBRIDGE HOSPITALITY SER 10/17/18 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 732 19WC 24624 KOEHLER, ROBERT CTA 08/09/19 HERRERA LAW CENTER CHICAGO TRANSIT AUTHORITY 733 19WC 24642 BROOKS, TERRIANNE BATH FITTER 07/15/19 WHITESIDE & GOLDBERG LTD MEACHUM BOYLE TRAUFMAN 734 19WC 24718 HARRIS, STARLA CTA 08/15/19 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 735 19WC 24750 HALL, MAURICE PEPSICO, INC. 08/12/19 ANKIN LAW OFFICE GAIDO & FINTZEN 736 19WC 24784 SCOTT, MARQUETTA OAKTON COMMUNITY COLLEGE 12/14/18 EAMES LAW GROUP LTD POWER & CRONIN LTD 737 19WC 24845 WASHINGTON, TEXIE PEOPLES GAS 02/06/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 738 19WC 24865 CHAVEZ, MARIA BFC FORMS SERVICE, INC 05/23/19 ENCINAS & ORNELAS 739 19WC 24927 RUFF, JOYLENE AUTO WAREHOUSING COMPANY 08/17/19 KARNO, MARK L & ASSOC KEEFE CAMPBELL BIERY & ASSOC

Page 44: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 740 19WC 24949 GALDES, WILLIAM J VILLAGE OF ORLAND HILLS- 05/18/19 MORICI FIGLIOLI & ASSOC INMAN & FITZGIBBONS 741 19WC 24994 CLIPPARD, REGINA CARA 08/17/19 ANGELINI & ORI LLC 742 19WC 25016 BENITEZ, DANNY MULTI TEMPS 08/06/19 OSVALDO RODRIGUEZ PC GAIDO & FINTZEN 743 19WC 25038 SINGH, GURDEV SIGNIFICANT TRANS INC 07/26/19 FISHER & LAMONICA 744 19WC 25068 DUFFEK, FRANK TOWN OF CICERO 08/22/19 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 745 19WC 25112 DRISCOLL, RYAN L&A SOLUTIONS, LLC 06/05/19 CHRISTIAN & MANNO 746 19WC 25164 MINOR, KANDACE LASALLE STAFFING INC 07/18/19 STEVEN J MALMAN & ASSOCIAT INMAN & FITZGIBBONS 747 19WC 25187 LOPEZ, VELVETH MEDITERRANEAN EXPRESS 06/01/19 JOHN S. ELIASIK 748 19WC 25204 FINLEY, BRIAN INTEGRA HEALTHCARE EQUIPM 12/17/18 LEONARD LAW GROUP LLC 749 19WC 25224 VILLEGAS, LEOBARDO EL MILAGRO 07/06/19 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 750 19WC 25254 RILEY, NEFATORI AMAZON.COM, INC 08/03/19 ARGIONIS & ASSOCIATES LLC 751 19WC 25296 BILLINGS, THOMAS JR. ABRA AUTO BODY 04/16/19 STEVEN J MALMAN & ASSOCIAT 752 19WC 25327 ALVARADO, DANIEL COOK COUNTY SHERIFF 08/25/19 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 753 19WC 25351 BRYK, GERALD M GATEWAY CONSTRUCTION CO, 02/18/19 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 754 19WC 25377 BERMUDEZ, ROGELIO ROJAS CHEESE MERCHANTS PREMIUM 06/11/19 JONATHAN SCHLACK 755 19WC 29353 JACKSON, DEMETRIUS HYATT REGENCY CHICAGO 09/06/19 ELFENBAUM EVERS AMARILIO Z NYHAN BAMBRICK KINZIE & LOWR 756 19WC 30328 AMATO, PATRICK MATAN'S PAINTING & DECORA 06/25/19 GWC INJURY LAWYERS LLC NYHAN BAMBRICK KINZIE & LOWR 757 19WC 31936 GOODNOUGH, DAVID P IKEA * 10/29/18 RICHARD BINGHAM MEACHUM BOYLE TRAUFMAN

Page 45: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 758 19WC 31972 SMOLIK, JOSEPH RYERSON HOLDING CORPORTAT * 03/05/19 HOLECEK & ASSOCIATES 759 19WC 32004 DENNIS, THERESA SOUTHWEST AIRLINES * 04/05/19 SANDMAN LEVY & PETRICH 760 19WC 32038 AGUILERA, GUSTAVO U.S. FOODS * 10/22/19 CHEPOV & SCOTT LLC 761 19WC 32062 EVANS, JOHN COOK COUNTY LUMBER CO * 09/18/19 ANKIN LAW OFFICE 762 19WC 32084 BERG, ELIZABETH AA CONTE & SON, INC. * 10/24/19 MARC J SHUMAN & ASSOCIATES 763 19WC 32108 CASTELLANOS, JOSHUA ENVOY AIR * 03/05/19 DAVID W MARTAY 764 19WC 32125 MONZONZO, RAUL CAGF TRUCKING * 07/30/18 LEONARD LAW GROUP LLC 765 19WC 32146 TRASKA, KENNETH VILLAGE OF SCHILLER PARK * 01/06/18 ROBERT J. IRSUTO 766 19WC 32164 PAUL, CLIFTON JR. WENTWORTH TIRE SERVICE OF * 10/28/19 DWORKIN AND MACIARIELLO 767 19WC 32183 DOYLE, REBECCA M AMERICAN AIRLINES * 01/03/19 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 768 19WC 32201 JAMES, JOY CHICAGO TRANSIT AUTHORITY * 10/10/18 MICHAEL A. HIGGINS 769 19WC 32224 SOTO, PATRICIA THE ALINEA GROUP/ROISTER * 06/11/19 LIPKIN & APTER 770 19WC 32255 MONTES DE OCA, GABRIELA SHIPBOB * 07/30/19 CULLEN HASKINS NICHOLSON 771 19WC 32274 NAVARRO, ALEJANDRO THORNWOOD HOMES * 08/08/19 VASILATOS & COTTER LLC 772 19WC 32296 JAIME, DEBRA REPUBLIC AIRWAYS * 04/18/19 NILSON STOOKAL GLEASON CAP GANAN & SHAPIRO 773 19WC 32318 CHAVEZ, MARTIN ROLLEX CORPORATION * 08/06/19 GWC INJURY LAWYERS LLC 774 19WC 32337 WYATT, GEORGIA SCR MEDICAL TRANSPORTATIO * 08/22/19 STEVEN J MALMAN & ASSOCIAT LEAHY EISENBERG & FRAENKEL 775 19WC 32358 DAMPIER, MARK CENTURION CONTAINER, LLC * 07/10/19 MC HARGUE & JONES

Page 46: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 776 19WC 32385 JONES, DANIEL ASSOCIA * 09/12/19 MEYERS & FLOWERS 777 19WC 32410 WILLIAMS, CLINTON US AUTOFORCE * 05/11/19 BRISKMAN BRISKMAN GREENBER 778 19WC 32438 SANDOVAL, JAVIER MARQUEE EVENT RENTALS * 11/01/19 RUBENS KRESS MULHOLLAND 779 19WC 32457 KOSEVICH, MARK A VILLAGE OF BELLWOOD POLIC * 12/15/16 MORICI FIGLIOLI & ASSOC 780 19WC 32498 GARCIA, BRUNO CITY OF CHICAGO * 09/18/19 SALVATO O'TOOLE FROYLAN 781 19WC 32517 GALLEGOS, MARGARITA PRIET ABM INDUSTRIES INC * 08/30/19 HERRERA LAW CENTER 782 19WC 32536 GALBRAITH, DANIEL CITY OF CHICAGO DEPT OF F * 09/12/19 SALVATO O'TOOLE FROYLAN 783 19WC 32552 GRISWOLD, TODD NAPERVILLE CHICAGO IL PA * 12/22/17 HORWITZ HORWITZ & ASSOC 784 19WC 32570 BURKE, HUGH J BURKE BEVERAGE, INC. * 08/07/19 MORICI FIGLIOLI & ASSOC HEYL ROYSTER VOELKER & ALLEN 785 19WC 32606 VALLINES, ABDON DRAKE HOTEL * 10/04/19 EDWIN REYES LAW FIRM 786 19WC 32621 LEON-HERRERA, BASILIA LAKE CITY CLEANERS * 10/17/19 COSTA IVONE LLC 787 19WC 32642 MEZA, JAVIER TOTAL STAFFING SOLUTIONS * 10/24/19 DWORKIN AND MACIARIELLO 788 19WC 32670 FUENTES, ZORAIDA MCDONALDS * 11/08/19 GERALD CONNOR 789 19WC 32688 HENDERSON, DEBBIE CVS * 02/18/19 MICHAEL A. HIGGINS 790 19WC 32709 ALVARADO, CATALINA PROSTAR STAFFING/JOHNS BY * 10/16/19 RUEDA, IVAN A 791 19WC 32732 WILLIAMS, PATRICIA AMERICAN AIRLINES * 09/09/19 KATZ FRIEDMAN EISENSTEIN 792 19WC 32756 BROWN, TORRION AEROTEK * 08/07/19 LAW OFFICES OF ADRIAN CHER 793 19WC 32771 JAROCKI, LUKASZ ILLINOIS STATE POLICE * 07/10/19 COLLISON LAW OFFICES

Page 47: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 794 19WC 32790 URGILES, CARLOS REINOSO BROTHERS, INC * 09/14/19 SOSTRIN AND SOSTRIN PC 795 19WC 32814 ALFRED, NAPOLEON A CHICAGO ELITE CAB CORPORA * 10/28/19 WEISS & WEISS LAW OFFICES 796 19WC 32832 BENDICIO, FRANCIA AMITA HOLY FAMILY * 06/05/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 797 19WC 32856 GARCIA, CRISTOFER COMPASS GROUP * 08/08/19 TIMOTHY HENDERSON 798 19WC 32879 CHAPMAN, ELIZABETH UNITED PARCEL SERVICE * 05/24/19 STEVEN J MALMAN & ASSOCIAT 799 19WC 32906 AVILA, SILVIA FEDERAL-MOGUL CORPORATION * 05/03/19 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 800 19WC 32909 GUZMAN, GERARDO FLEXIBLE STAFFING SERVICE * 07/03/19 DEPAOLO & ZADEIKIS 801 19WC 32933 STEVENS, CONNIE AMERICAN AIRLINES * 01/27/19 NEWMAN, BOYER & STATHAM 802 19WC 32958 REYNOLDS, HUNTER K SOUTHERN TRANSPORT LLC * 07/24/19 HASSAKIS & HASSAKIS PC 803 19WC 33028 WILLIAMS, ANTHONY CHICAGO PUBLIC SCHOOLS * 10/30/19 SKLARE LAW GROUP 804 19WC 33049 GADSON, JUSTIN RESERVE NETWORK * 11/11/19 DWORKIN AND MACIARIELLO 805 19WC 33078 PACHECO, RICHARD STATE OF ILLINOIS @ * 10/10/19 MICHAEL C. GOODE 806 19WC 33121 MILES, BYRON VILLAGE OF ROBBINS * 10/31/19 SHELDON I MINKOW & ASSOCIA 807 19WC 33195 AYALA, NORMA BURGER KING * 11/07/19 DWORKIN AND MACIARIELLO 808 19WC 33217 STAWECKI, LAURA J CHICAGO PUBLIC SCHOOLS * 11/04/19 MORICI FIGLIOLI & ASSOC 809 19WC 33241 MARCELLE, THADDEUS UPS * 03/28/19 STROM & ASSOC 810 19WC 33266 SULDAN, MOHAMED ARUBA & HUMAYUN INC C/O Y * 03/30/19 HETHERINGTON KARPEL & BOBB 811 19WC 33277 LAMBERT, WILLIAM JACOBS BOILERS & MECHANIC * 10/08/19 SANDMAN LEVY & PETRICH

Page 48: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 812 19WC 33305 BROWN, KIMBERLY TARGET CORPORATION * 10/26/19 ROGER D RUDICH LTD NYHAN BAMBRICK KINZIE & LOWR 813 19WC 33339 RAMOS, CHRISTINE ADVOCATE HEALTH CARE * 10/10/19 BAUM RUFFOLO & MARZAL LTD 814 19WC 33368 MYLES, LORRIE CITY OF CHICAGO * 10/16/19 STEVEN J MALMAN & ASSOCIAT 815 19WC 33384 BERRY, BRENDA D PACE BUS * 07/10/19 DAVID W MARTAY 816 19WC 33431 PATTON, CHUCK ABF SYSTEMS * 05/17/19 SPIROS LAW PC 817 19WC 33488 ZMUDA, MARY ANN MANHEIM REMARKETING, INC/ * 11/06/19 ANKIN LAW OFFICE 818 19WC 33519 MUNDAY, BRIAN UPS * 12/23/18 NYHAN BAMBRICK KINZIE & LOWR 819 19WC 33620 TRIPP, MICHAEL J WALGREEN DRUG * 10/02/19 LEO M. BLEIMAN & ASSOC 820 19WC 33641 BAUER, ELLE UNITED AIRLINES INC. * 10/20/19 COVEN LAW GROUP 821 19WC 33662 BRIKHA, ADILA LOMBARD CAB CO * 10/19/19 RYAN ROSENTHAL 822 19WC 33682 HUH, NAM Y THE ASSOCIATED PRESS * 08/07/19 LULAY LAW OFFICES 823 19WC 33718 SZYMANSKI, KAZIMIERZ UNDER CONSTRUCTION & REMO * 07/02/19 KATZ FRIEDMAN EISENSTEIN 824 19WC 33739 BELTRAN, TEODORO S&S TRUCK PARTS, INC. * 10/30/19 ANESI OZMON RODIN NOVAK KO 825 19WC 33758 CLAVEL, LAWRENCE DOHERTY CONSTRUCTION * 01/19/19 WHITESIDE & GOLDBERG LTD 826 19WC 33820 SANCHEZ, MARIA SURESTAFF INC * 10/23/19 CHEPOV & SCOTT LLC 827 19WC 33835 CONTRERAS, JUANITA REYNOLDS CONSUMER PRODUCT * 10/01/19 JAMES ELLIS GUMBINER & ASS 828 19WC 33858 MENDOZA, ROBERT LAKSHORE BEVERAGE * 09/04/19 DWORKIN AND MACIARIELLO 829 19WC 33877 SANTIAGO, JANETH SOTO BURLINGTON COAT FACTORY * 11/06/19 COSTA IVONE LLC

Page 49: ILLINOIS WORKERS' COMPENSATION COMMISSION ......9 07WC 00935 AVILA, MANUEL JAROSLAW KURZAC W 10/25/06 GOLDSTEIN FISHMAN BEN DER E 10 07WC 01514 PEREZ, DIANA R KA BLOOM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M WATTS, CHARLIE 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 830 19WC 33912 KOHS, DANIEL C.L. DOUCETTE, INC. * 08/05/19 HEALY SCANLON LAW FIRM 831 19WC 33929 VASQUEZ, FAVIOLA ZAGUILAN ONCE UPON A DELI-NRTHBROO * 10/26/19 STEVEN B SALK & ASSOC LTD 832 19WC 33971 GAVIN, KATHLEEN THE CATHOLIC BISHOP OF CH * 06/12/19 RAYMOND M SIMARD, PC 833 19WC 34005 ENG, LUANNE MACY'S * 06/25/19 GAIDO & FINTZEN 834 19WC 34116 GREEN, BEVERLY MATTESON SCHOOL DISTRICT * 10/22/19 ANSELMO DURAN 835 19WC 34137 GUARDADO, ADRIAN G.I.A. MANAGEMENT INC * 01/09/19 EPSTEIN, JACK R LAW OFFICE 836 19WC 34185 MILLER, CIARA UNIVERSITY OF IL HOSPITAL * 11/20/19 DWORKIN AND MACIARIELLO 837 19WC 34240 BRUCE, TERENCE BLUE PLATE CATERING, LTD * 01/22/17 HOLECEK & ASSOCIATES 838 19WC 34293 METZ, DAN HICKORY HILLS COUNTRY CLU * 11/08/19 ROMANEK & ROMANEK 839 19WC 34327 STACHES, SHAWN PEOPLES GAS/ WEC ENERGY G * 06/25/18 ELFENBAUM EVERS AMARILIO Z 840 19WC 34350 JOHNSON, MICHAEL WARREN BARR GOLD COAST * 11/13/19 DWORKIN AND MACIARIELLO 841 19WC 34369 ADAMUSIK, BOGUSLAW WILLOW ELECTRICAL SUPPLY * 11/22/17 MINKOW DOMIN 842 19WC 34399 MAHONEY, THERESA UNITED CONTINENTAL HOLDIN * 12/23/15 KATZ FRIEDMAN EISENSTEIN