ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 50145 19B MUNOZ, MANUEL JR. CITY OF CHICAGO 09/19/03 ROMANEK & ROMANEK CITY OF CHICAGO 10WC035027 -C 2 04WC 06585 MITCHELL-HURLEY, MELISSA CITY OF CHICAGO BOARD OF 11/06/03 KATZ FRIEDMAN EAGLE LAW DEPARTMENT 3 06WC 03468 BURTIN, NORMAN INTERNATIONAL TRUCK & 06/21/05 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 06WC041116 -C 06WC041117 -C 06WC046844 -C 09WC002374 -C 09WC024160 -C 4 06WC 07192 BERRY, PAUL GUY F ATKINSON CONSTRUCTI 01/30/06 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 06WC027374 -C 07WC053681 -C 5 07WC 29638 CORDOVA, AARON H&M INTERNATIONAL 12/14/06 NIERMANN, KURT A SPIEGEL & CAHILL, PC 12WC010589 -C H & M INTERNATIONAL 12WC010675 -C 6 07WC 51983 TORRES, LORETTA FORD MOTOR COMPANY 11/29/04 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 7 07WC 52175 BLAKE, ANGELA CHICAGO TRANSIT AUTHORITY 11/10/07 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 8 08WC 04764 19B EKBERG, ARTHUR C JR TOWN & COUNTRY DISTRIBUTI 06/05/07 NEWLAND NEWLAND & NEWLAND NYHAN BAMBRICK KINZIE & LOWR 10WC025277 -C 9 08WC 12126 VALDEZ, ELEUTERIO ADVANCED MOVING & STORAGE W 01/25/08 DEPAOLO ZADEIKIS GORE ANGELINI & ANGELINI 10 08WC 20068 RUSH, CHERRYCE ST JAMES HOSPITAL 11/30/07 STEVEN J SEIDMAN LAW OFFIC NYHAN BAMBRICK KINZIE & LOWR 11 08WC 30625 HAYES, CHARLES CHICAGO HILTON 06/29/08 MINKOW DOMIN NOBLE & ASSOCIATES PC 12 08WC 33107 ESPINOZA, JOSE PATRICKS CONSTRUCTION @ W 07/11/08 LEO ALT 08WC033261 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 08WC 33761 BOBAK, CASMIER GON & GEN: LABORER'S DST 10/17/07 MARVIN A BRUSTIN LTD LAW OFFICES JOSEPH MARCINIAK 08WC034134 -C CON & GEN. LABORER'S DIST 14 08WC 34360 CORONA, SERGIO TOTAL HOME MAINTENANCE 10/24/06 LAW OFFICE OF SCOTT B SHAP LAW OFFICES OF MEACHUM & 15 08WC 38875 LEE, JAE S KEELER CAB CO 08/23/08 MICHAEL P MCCREADY & ASSOC STONE & JOHNSON CHARTERED 16 08WC 40948 QUINTANA, ALFONSO PRITCHARD INDUSTRIAL/INDE W 03/19/07 REIBMAN HOFFMAN & BAUM 17 08WC 46483 FRANCO, ARTURO HOME FOR YOU W 02/19/08 CULLEN, HASKINS, NICHOLSON CHARLES LEVY & ASSOC LTD 18 08WC 49249 19B CULLEN, JAMES CITY OF CHICAGO 08/04/08 JOSEPH J SPINGOLA, LTD HENNESSY & ROACH PC 19 09WC 02411 CARDINALE, SUSAN F/K/A UNITED AIRLINES INC. 01/10/09 STROM & ASSOCIATES WIEDNER & MCAULIFFE LTD 20 09WC 12892 19B REED, PAMELA CITY OF CHICAGO 03/18/09 JOHN J CASTANEDA 21 09WC 17325 BURTON, GLENN CHICAGO TRANSIT AUTHORITY 04/03/09 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 22 09WC 43091 HILL, GREGORY SERTONA CENTER INC 09/25/09 SALK, STEVEN B & ASSOC LTD SCOPELITIS GARVIN LIGHT 23 09WC 46263 BOGAR, CARL WALSH CONSTRUCTION 03/21/07 GALLIANNI DOELL & COZZI LT HINSHAW & CULBERTSON 24 09WC 46738 MONTES, MINERVA CHICAGO TRANSIT AUTHORITY 06/24/09 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 25 09WC 48078 ROBINSON, JAMES MCCLURE-EAMEC INC AND 06/03/09 GORDON & CENTRACCHIO LLC 26 09WC 50534 19B HALL, JACQUETTA CITY OF CHICAGO-CEDA 10/29/09 ANKIN LAW OFFICE HENNESSY & ROACH PC 12WC003299 -C 12WC004098 -C 27 09WC 51958 CABA, KEVIN A C & D HEATING & COOLING I 11/18/09 JOHN E LUSAK ACCIDENT FUND HOLDINGS, INC 09WC051959 -C 28 09WC 52833 BROWN, KENNETHE LOYOLA UNIVERSITY 10/28/09 BRAUN STROBEL LORENZ ETAL 10WC005133 -C 29 10WC 04387 MALKOWSKI, DAVE COUNTY OF COOK 01/17/10 FOOT MIELKE CHAVEZ O'NEIL STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 10WC 05688 19B MCCOY, TROY ELITE STAFFING 04/29/09 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 31 10WC 09227 DILLMAN, PAMELA FORD MOTOR CO 01/23/10 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 14WC000225 -C 32 10WC 09897 HALL, KRYSTLE K SEARS 03/05/10 ANKIN LAW OFFICE ADELSON TESTAN & BRUNDO 33 10WC 10468 RHYMES, GARY G UNIVERSITY OF CHICAGO HOS 12/18/09 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 34 10WC 14676 CASTANEDA, ANNABELLE CTA 08/10/09 COLLISON & O'CONNOR LTD CHICAGO TRANSIT AUTHORITY 35 10WC 19310 BUTLER, LEE CITY OF CHICAGO DEPT 01/15/10 LAW OFFICES PETER LEKAS CITY OF CHICAGO 36 10WC 25025 COLEMAN, JULIE JOHN H STROGER JR 02/09/10 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 11WC041075 -C STROGER HOSP OF COOK COUNT 37 10WC 25219 BLONDIN, PATRICK ONCOLOGY SPECIALISTS 05/17/10 PETER C KOPOULOS HOLECEK & ASSOCIATES 38 10WC 26821 PEREZ, YESENIA STUDIO DENTAL 05/05/10 EPSTEIN, JACK R LAW OFFICE GRANT & FANNING 39 10WC 29048 WANDA, MICHELLE PALOS COMM HOSP 06/14/10 BAUM RUFFOLO & MARZAL LTD BRAUN LORENZ & BERGIN PC 40 10WC 29587 MARTINEZ, GUILLERMO SHERIDAN SAND & GRAVEL IN 07/20/10 BERG & BERG LEAHY EISENBERG & FRAENKEL 41 10WC 30533 SCHRIMSHER, RAYMOND CARMAX, INC 10/06/06 ANESI OZMON RODIN NOVAK KO GILDEA & COGHLAN 42 10WC 31012 ORTIZ, DAVID SR CHICAGO BOARD OF ED 05/28/08 LEONARD LAW GROUP LLC LAW DEPARTMENT 12WC036079 -C 43 10WC 31014 WEAVER, CARRIE J CHICAGO TRANSIT AUTHORITY 06/07/10 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 44 10WC 32229 PORYS, MARK CHICAGO TRANSIT AUTHORITY 02/03/10 JAMES M RIDGE LAW OFFICE CHICAGO TRANSIT AUTHORITY 45 10WC 35318 MARTIN, DALE W E O'NEILL 09/07/10 RONALD SKLARE LAW OFFICES PAUL A COGHLAN & ASSOC 46 10WC 36740 FINLEY, RENNEA MY BEAUTY SUPPLY STORE 08/27/10 SHELDON I MINKOW & ASSOCIA GORDON & CENTRACCHIO LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 47 10WC 40964 SIMPKINS, CHRISTINE A VICTOR C NEUMANN ASSOC 05/20/10 POLANSKY & CICHON CHTD 48 10WC 45093 RADLOFF, LINDA SOUTHFORK RESTAURANT 11/03/10 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 49 10WC 47849 HOUSTON, ROBERT J CITY OF CHICAGO 11/02/10 THE BARRY LAW GROUP PC CITY OF CHICAGO 50 11WC 01178 HANKS, ROSE MARIE WHITE CASTLE 12/29/10 VRDOLYAK LAW GROUP LLC SPIEGEL & CAHILL, PC 51 11WC 04597 TORRES, ALBERTO THE CLEAN BERETS W 01/26/11 EVINS & SKLARE LTD OLMSTEAD, GREGORY J LAW OFFI 52 11WC 06138 ESPINO, KRISTIAN MI TIERRA RESTAURANT 02/07/11 KAUFFMAN, NEIL & ASSOC 53 11WC 06755 GOMEZ, LUIS LEE LUMBER COMPANY 11/17/10 FRIEDMAN & SOLMOR LTD 54 11WC 09271 HEWITT, SHIREE CITY OF CHICAGO 02/22/11 COVEN LAW GROUP 55 11WC 11681 COLLAZO, JOEY C GRANITE EMPORIUM W 12/20/10 GOLDBERG WEISMAN & CAIRO L 56 11WC 13993 IATROPOULOS, LAURA ADVOCATE MEDICAL GROUP 02/28/11 MICHAEL R GRAF PC GAROFALO SCHREIBER STORM 57 11WC 17229 KLEMUNDT, EDWARD AT&T 04/15/09 RICHARD O. GREENFIELD HENNESSY & ROACH PC 11WC017230 -C 11WC017231 -C 58 11WC 17876 HAMPTON, ALEX JEWISH COMMUNITY CTR 03/23/11 GOLDBERG WEISMAN & CAIRO L STELLATO & SCHWARTZ 59 11WC 18361 MAHER, VINCENT JR UNITED AIRLINES 04/27/11 BAUM RUFFOLO & MARZAL LTD 60 11WC 19221 MINISTR, MAREK A&T EXTERIOR CORP 01/31/11 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 61 11WC 19435 DEL CARMEN-MORENO, MARIA CITYFRONT HOTEL ASSOC. LT 09/17/10 LEWIS & DAVIDSON, LTD GILDEA & COGHLAN 11WC024824 -C 62 11WC 20401 BEGLEY, ANITA STAR SECURITY 05/09/11 MARC J SHUMAN & ASSOCIATES HENNESSY & ROACH PC 63 11WC 22505 LOZADA, MARIA RON'S STAFFING SERVICES, 05/06/11 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 64 11WC 24434 SANCHEZ, BLANCA KELLOGG'S CO 05/22/11 BELCHER LAW OFFICE HINSHAW & CULBERTSON 65 11WC 25873 DAVIS, NEFERTITI THORNTON TOWNSHIP HS DIST 08/03/10 STEVEN J SEIDMAN LAW OFFIC WIEDNER & MCAULIFFE LTD 11WC026107 -C THORTON TOWNSHIP 66 11WC 27851 DAVIS, PATRICIA CTA 05/09/11 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 11WC027852 -C 67 11WC 29105 DABROWSKI, JOSEF CITY OF BERWYN 05/19/10 LEONARD LAW GROUP LLC CUDA LAW OFFICES 11WC029106 -C 68 11WC 29146 SCOTT-THOMPSON, GAIL IL DEPT OF HUMAN SRVS @ 01/28/11 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 69 11WC 33331 OWUNWANDU, IKE YELLOW CAB 08/16/11 FOHRMAN, DONALD W & ASSOCS LEAHY EISENBERG & FRAENKEL 70 11WC 36610 BECKWITH, WILLIAM VILLAGE OF HICKORY HILLS 11/06/10 GRAZIAN & VOLPE PC RUSIN MACIOROWSKI & FRIEDMAN 12WC006762 -C 71 11WC 38030 CONNELL, PATRICK S BAR PROCESSING 06/08/11 ANKIN LAW OFFICE LAW OFFICE OF PAUL O WATKISS 72 11WC 40519 CASARRUBIAS, ALFONSO LEE LUMBER & 09/14/11 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 73 11WC 42110 BLACK, SHAOWDELL CTA 10/09/11 LAW OFFICE OF BOGUSZ & BOG CHICAGO TRANSIT AUTHORITY 74 11WC 42520 19B BRITTEN, TOBY FAMILY DOLLAR STROES INC 07/12/11 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 13WC018550 -C 75 11WC 43005 RICHARDSON, ROSALINE STATE OF ILLINOIS 10/18/11 GOLDFEIN LAW OFFICE PC COLIN KICKLIGHTER 76 11WC 43882 POOLE, EUGENE JR CITY OF CHICAGO 11/01/11 HEALY LAW FIRM 77 11WC 45398 KING, BRIAN FLASH, INC 10/13/11 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 78 11WC 46096 O'REILLY, THOMAS CITY OF CHICAGO 11/07/11 KARCHMAR & STONE CITY OF CHICAGO 79 11WC 46916 SMITH, AMANDA DUXLER TIRE CO. 11/18/11 EPSTEIN, JACK R LAW OFFICE LAW OFFICE OF CAPUANI & SHIE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 12WC 01325 BALFOUR, SHEILA JACKSON PARK HOSPITAL 01/03/12 POMPER & GOODMAN ODELSON & STERK 81 12WC 01616 EVANS, DENNIS SOUTHWEST AIRLINES 08/15/11 LAW OFFICES PETER LEKAS HENNESSY & ROACH PC 13WC026807 -C 13WC026808 -C 14WC039937 -C 82 12WC 04343 AMBROSE, NINA CTA 12/12/11 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 83 12WC 05060 COOPER, CLYDE JR CHICAGO TRANSIT AUTHORITY 07/28/08 COLLISON & O'CONNOR LTD CHICAGO TRANSIT AUTHORITY 84 12WC 05236 CARRAO, SANDY L CHICAGO PUBLIC SCHOOLS 01/13/12 BRILL & FISHEL LAW DEPARTMENT 12WC005237 -C 85 12WC 05704 PAOLI, GLADYS E MARY LYON SCHOOL-CPS DIST 01/29/11 CULLEN HASKINS NICHOLSON LAW DEPARTMENT 86 12WC 06058 CANALES, ANGEL FILLIPPO'S RISTORANTE 01/09/12 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 12WC007976 -C FILIPPO'S RISTORANTE 87 12WC 06211 FOGARTY, ELISA DAVIDS BRIDAL 11/08/11 MCCREADY GARCIA & LEET PC HENNESSY & ROACH PC 88 12WC 06551 POZUELOS, OSBERTO M MENARD, INC 02/18/12 THE ROMAKER LAW FIRM CHILTON YAMBERT PORTER LLP 89 12WC 07561 JUAREZ, MARIA PACTIV 03/03/11 JOHN S. ELIASIK SPIEGEL & CAHILL, PC 12WC007563 -C 90 12WC 07591 HARDIN, LISA D CITY OF CHICAGO 12/16/11 WILLIAM MARTAY CITY OF CHICAGO 15WC017012 -C 91 12WC 07676 WOODS, CHRISTOPHER COOK COUNTY DEPT OF CORRE 02/01/12 JOHN E LUSAK STATES ATTORNEY OF COOK COUN 92 12WC 07683 CASTILLO, SAUL HAUSNER HARD-CHROME, INC 03/09/11 SALK, STEVEN B & ASSOC LTD COZZI & GOGGIN-WARD 12WC007684 -C 93 12WC 08168 PEELO, JILL SHERWIN MANOR NURSING CEN 09/07/11 PAUL W GRAUER & ASSOC BRADY CONNOLLY & MASUDA PC 94 12WC 09672 NUCAMENDI, EDGAR LUMEA STAFFING 10/21/11 DEPAOLO ZADEIKIS GORE 95 12WC 12643 SPAGNOLA, CURTIS INNOPHOS 10/07/11 ANESI OZMON RODIN NOVAK KO RUSIN MACIOROWSKI & FRIEDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 96 12WC 15543 URIBE, GELACIO GPA CONTRACTING SRVS 10/11/11 PETER D CORTI LAW GROUP CASSANO & ASSOCIATES 97 12WC 15907 GONZALEZ, FRANCISCO RAVENSWOOD DISPOSAL DBA 04/23/12 PETER D CORTI LAW GROUP LEAHY EISENBERG & FRAENKEL 98 12WC 16031 DOOT, BARBARA SAUK VILLAGE SCHOOL 03/21/12 ELFENBAUM EVERS & AMARILIO RUSIN MACIOROWSKI & FRIEDMAN 12WC041748 -C 12WC041749 -C 13WC039898 -C 14WC016481 -C COMMUNITY CONSOL 99 12WC 17905 CONNOLLY, THOMAS VILLAGE OF SCHAUMBURG 12/01/11 CULLEN HASKINS NICHOLSON MACIOROWSKI, SACKMANN & ULRI 100 12WC 18083 GALAN, JORGE DAVALOS SIGNATURE INC 04/06/12 HANNIGAN & BOTHA, LTD LAW OFFICES JOSEPH MARCINIAK 101 12WC 18783 HAWTHORNE, DAVE CHICAGO PUBLIC SCHOOLS 11/23/11 LAW OFFICES OF LAW DEPARTMENT 102 12WC 19195 BENAVIDES, MARBESKA PLUM SERVICES 05/09/12 GOLDSTEIN BENDER & ROMANOF 103 12WC 19341 CAMPBELL, SHARRIE CITY OF CHICAGO 04/04/12 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 104 12WC 19603 SIPICH-POWELL, TRINA INGALLS HOSPICE 09/14/11 BOUDREAU NISIVACO LLC NYHAN BAMBRICK KINZIE & LOWR 105 12WC 24247 GUTIERREZ, HUMBERTO CITY OF CHICAGO 06/18/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 106 12WC 26159 HEREDIA, GUILLERMINA DEPARTMENT OF HUMAN SERVI 06/28/12 BERG & BERG C. FLETCHER 107 12WC 26503 RICHARDSON, ANTHONY ELECTROMOTIVE 11/17/10 STEVEN J SEIDMAN LAW OFFIC NYHAN BAMBRICK KINZIE & LOWR 108 12WC 27348 POWELL, MARTENIEZ, L CHICAGO TRANSIT AUTHORITY 07/20/12 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 109 12WC 27484 CARLSON, KEVIN ABT APPLIANCES 06/04/12 LANNON LANNON & BARR LTD NYHAN BAMBRICK KINZIE & LOWR 011 12WC027482 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 110 12WC 28002 BURNETTE, LINDA PIVOT POINT INTERNATIONAL 05/08/12 BAUM RUFFOLO & MARZAL LTD LAW OFFICES JOSEPH MARCINIAK 111 12WC 28041 DANAHER, NEIL J CITY OF CHICAGO 08/06/12 BERG & BERG BERG & BERG 14WC008791 -C 15WC014903 -C CHICAGO EMERGENCY MGMT 112 12WC 28699 PEREZ, YOLANDA PACTIV 07/02/12 JAMES M GERAGHTY SPIEGEL & CAHILL, PC 13WC005489 -C 113 12WC 28955 MICHALAK, ANGELA FEDEX 07/13/12 CHEPOV & SCOTT LLC HANSON LAW OFFICE 13WC035557 -C 114 12WC 29667 SCHIAVONE, JOANNE CHICAGO PUBLIC SCHOOLS 05/03/12 DWORKIN AND MACIARIELLO LAW DEPARTMENT 115 12WC 31079 RAMIREZ. LEONOR ROCK BOTTOM 04/24/12 CULLEN HASKINS NICHOLSON 116 12WC 33333 GAMINO, LETICIA CITY SCRAP METAL 08/06/12 ANKIN LAW OFFICE 117 12WC 33382 CORTES, MELVY MORGAN SERVICES 05/02/12 STEVEN J TENZER, LTD HOLECEK & ASSOCIATES 118 12WC 36143 BOCOCK, LOGAN ALLIED TUBIN 07/20/12 SAUNDERS CONDON & KENNY KNELL & O'CONNOR 119 12WC 38104 COUNCIL, GARDELL LAMONT J & E ROOFING CORP 09/22/12 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 120 12WC 39821 DE JESUS, LUIS ADVANCE AUTO PARTS 03/09/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 121 12WC 40893 CAUSBY, YOLANDA CITY OF CHICAGO 04/11/12 JOEL BELL CITY OF CHICAGO 14WC034781 -C 122 12WC 41096 DEUTCH, MYRON ST OF IL SECRETARY OF STA @ 11/13/12 CULLEN HASKINS NICHOLSON JORDAN FRANK 123 12WC 41529 GERSCH, DANIEL IDEL BOX COMPANY 02/14/11 VRDOLYAK LAW GROUP LLC 124 12WC 41681 MANCINI, MARANATHA WHITE CASTLE 08/29/12 BARRY STEWART SILVER RUSIN MACIOROWSKI & FRIEDMAN 125 12WC 41697 ALVARADO, VERONICA CHICAGO CHILDREN CTR 11/04/12 SOSTRIN AND SOSTRIN PC MC ANDREWS & NORGLE LLC 126 12WC 43807 NOVAK, PAUL HC SCHAU & SONS 02/01/12 ANGELINI & ORI LLC EDWARD JANUSZKIEWICZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 127 12WC 43860 VALDEZ, ANGELICA MC DONALDS RESTAURANT 05/05/12 MINKOW DOMIN GANAN & SHAPIRO 128 13WC 03429 KRZYMINSKI, MARY LOYOLA UIVERISTY HEALTH S 05/08/12 JOHN J CASTANEDA BRAUN LORENZ & BERGIN PC 13WC025020 -C 129 13WC 04186 THOMAS, SHIRLEY CHICAGO TRANSIT AUTHORITY 01/06/12 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 130 13WC 04449 DOUGLAS, JOYCE CLERK OF CIRCUIT COURT 02/15/10 CAPRON & AVGERINOS PC STATES ATTORNEY OF COOK COUN 131 13WC 04530 SMITH, LEON GOVERNORS STATE UNIVERSIT 09/28/12 LAW OFFICE OF SCOTT B SHAP 132 13WC 04581 HAHAB, MOHAMED SUN TAXI 01/06/13 HUNER LAW OFFICES LLC 133 13WC 04609 THOMAS, EMANUEL CHICAGO TRANSIT AUTHORITY 12/13/12 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 134 13WC 04883 JARMUSZ, KEVIN UNIVERSITY OF CHICAGO 02/01/13 THOMAS A MORRISSEY NYHAN BAMBRICK KINZIE & LOWR 135 13WC 05243 HAUSER, FRANK J CLUB ASSIST ROAD SERVICES 12/11/12 RICHARD E ALEKSY WIEDNER & MCAULIFFE LTD 136 13WC 05251 GOMEZ, JUAN FORWARD AIR INC 02/02/13 SALK, STEVEN B & ASSOC LTD HINSHAW & CULBERTSON 137 13WC 05472 AVELAR, JESUS E THE REGENT GROUP INC 01/29/13 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 138 13WC 05558 FREITAS, CAROL PALATINE CCSD #15 02/13/12 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 15WC021186 -C 139 13WC 05932 CHAVEZ, CAROLINA CROTHALL LAUNDRY SERVICES 12/10/12 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 140 13WC 06129 MCLEMORE, JASON SHERRY K CORPORATION 03/05/12 KUMLIN & FROMM 141 13WC 06171 INENDINO, DANIEL CITY OF CHICAGO 10/10/12 COVEN LAW GROUP CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 142 13WC 06534 SHAW, DEBORAH R MONDOLIZE INTERNATIONAL 09/06/12 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 143 13WC 06556 BERRY, CRYSTAL CHICAGO TRANSIT AUTHORITY 12/04/10 STEVEN M SELAN CHICAGO TRANSIT AUTHORITY 13WC006557 -C 144 13WC 06711 CABRERA, LINDA M MACNEAL HOSPITAL 11/23/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 145 13WC 07100 ESTRADA, MARIA VERONICA SOUTHSTAR SERVICES 08/13/12 146 13WC 07301 BRITT, CLAUDELL CITY OF CHICAGO 02/15/13 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 147 13WC 07504 SEYBOLD, THOMAS GENERAL FIRE SPRINKLERS 02/19/13 JOHNSON, MICHAEL D & ASSOC NYHAN BAMBRICK KINZIE & LOWR 148 13WC 08785 HARRIS, DONALD CHICAGO-READ MENTAL HEALT @ 11/27/12 KP LAW LLC ASSISTANT ATTORNEY GENERAL 149 13WC 14247 DELL, VERNON CITY OF OAK FOREST 11/19/12 BARRETT & SRAMEK RUSIN MACIOROWSKI & FRIEDMAN 13WC014248 -C 150 13WC 15385 MULCRONE, VICTORIA CHICAGO PUBLIC SCHOOLS 02/19/13 SOSTRIN AND SOSTRIN PC LAW DEPARTMENT 151 13WC 15602 JONES, FLORRETTA I STATE OF ILLINOIS @ 01/28/11 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 152 13WC 16418 MERCADO, BEATRIZ CATHOLIC CHARITIES OF THE 04/24/13 SALVATO & O'TOOLE NYHAN BAMBRICK KINZIE & LOWR 13WC027190 -C THE CATHOLIC CHARITIES 153 13WC 16540 KLIMEX, JOHN VILLAGE OF OAK LAWN 02/14/13 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC 154 13WC 16652 RAMOS, RUTILIO ALL AMERICAN SPORTS CORP 04/16/12 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 155 13WC 17216 DOTSON, ELLEN HEALTHCARE CONSORTIUM 02/28/11 THOMAS & PORTELA 156 13WC 17389 DUFFY, JULIE COOK COUNTY SHERIFF'S POL 05/16/13 BAUM RUFFOLO & MARZAL LTD STATES ATTORNEY OF COOK COUN 157 13WC 17449 PEREZ, EDITH P FAMILY DOLLAR, INC. 04/25/13 SALK, STEVEN B & ASSOC LTD MCANANY VANCLEVE & PHILLIPS 158 13WC 17542 PEREDA, RAMON CHICAGO TRIBUNE 05/01/13 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 159 13WC 17979 DANIELSON, NANCY L CHICAGO PUBLIC SCHOOLS 05/08/13 BRILL & FISHEL LAW DEPARTMENT 160 13WC 18092 PACE, RASHAD L FORD MOTOR COMPANY 12/16/12 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 13WC018093 -C 161 13WC 18098 MARTINEZ, JESSICA NEWLY WEDS FOODS 08/24/12 SMOLER LAW OFFICE, PC WOLFE & JACOBSON, LTD 162 13WC 18305 CASTILLO, MILAGROS CITY OF CHICAGO DEPT OF 02/26/13 CUDA LAW OFFICES CITY OF CHICAGO 13WC018510 -C 163 13WC 18453 ROBERTS, KENNETH, DEP SON CITY OF CHICAGO 02/11/13 SOSTRIN AND SOSTRIN PC CITY OF CHICAGO 13WC018454 -C 13WC018455 -C 164 13WC 18475 BETTON, JASON GARDA CASH & LOGISTICS 05/29/13 SKLARE LAW GROUP KEEFE CAMPBELL & ASSOC LLC 14WC011776 -C 14WC031150 -C 165 13WC 18826 PALACIOS, MARCO UNLIMITED SOUND & SECURIT @ W 10/25/12 ACEVES & PEREZ PC ASSISTANT ATTORNEY GENERAL 166 13WC 18997 BENAVIDES, JOSE L FABRICATED METALS CO 05/09/13 LEWIS & DAVIDSON, LTD GAROFALO SCHREIBER STORM 167 13WC 25360 GUZMAN-SALADANA, MIGUEL UNITED ELECTRONICS CORP 06/24/13 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 168 13WC 25553 SEGURA, SILVANA JCG INDUSTRIES, INC 07/17/13 LEWIS & DAVIDSON, LTD INMAN & FITZGIBBONS 169 13WC 26130 GALLARDO, ROGELIO PETER KOT 07/16/12 SALK, STEVEN B & ASSOC LTD 170 13WC 26509 DURHAM, RALPH W STARLIGHT EXPRESS COACHES 07/26/13 KENNETH B GORE, LTD GANAN & SHAPIRO 13WC026510 -C 171 13WC 27108 STRYSZAK, LEONARD TOWER CAR WASH 06/27/13 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 172 13WC 27187 GUYTON, CARL CITY OF CHICAGO 08/14/13 CUDA LAW OFFICES CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 173 13WC 27275 LUCIC, LJUBO GREMP STEEL 08/01/13 COVEN LAW GROUP HENNESSY & ROACH PC 174 13WC 27527 CAIN, BRIAN K ABF FREIGHT SYSTEMS 11/14/12 RITTENBERG & BUFFEN KEEFE CAMPBELL & ASSOC LLC 14WC042940 -C 14WC042941 -C 175 13WC 27796 VELEZ, ANGEL DALTILE 08/10/12 LAW OFFICE OF SCOTT B SHAP MEACHUM & STARCK 176 13WC 27815 HUFFINE, BRADLEY FORD MOTOR COMPANY 08/16/13 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 177 13WC 28182 MIZIMAKOSKI, SIMON B FUNK LINKO 08/23/12 CULLEN HASKINS NICHOLSON 178 13WC 28367 BAILEY, ROGER CTA 07/07/13 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 179 13WC 28841 CRAIG, TRICIA MONDELEZ INTERNATIONAL 08/20/13 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 180 13WC 29461 SYLVESTER, BRIAN P PRISTIGE 06/05/13 181 13WC 29927 ABRAHAM, ANNAMMA KINDRED HOSPITAL CHICAGO 07/12/12 DWORKIN AND MACIARIELLO ARNETT LAW GROUP 182 13WC 33776 OLMENDO, MARIA GCA SERVICES GROUP 06/01/13 MARTOCCIO & MARTOCCIO POWER & CRONIN LTD 183 13WC 35058 HORTIN, ELLIOT L SOUTHWEST AIRLINES 10/02/13 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 184 13WC 35469 GONZALES, JOHN THE UNIVERSITY OF CHICAGO @ 07/05/13 COYNE REINKE LAW SCOPELITIS GARVIN LIGHT 185 13WC 36320 SCHITTINO, MARIO ALPHA BAKING COMPANY 08/09/13 O'CONNOR & NAKOS MACIOROWSKI SACKMANN & ULRIC 186 13WC 36334 LANIER, JEREMY COOK COUNTY SHERIFF'S 10/07/13 STROM, NEAL B STATES ATTORNEY OF COOK COUN 187 13WC 37272 BOWMAN, ZACKERY CHICAGO BEARS 08/13/11 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 13WC 37594 VASQUEZ, JOSE R ALLIANCE AIR SERVICE 11/10/13 COVEN LAW GROUP HENNESSY & ROACH PC 189 13WC 37709 VEGA, ROSA MONDELEZ INTERNATIONAL 11/05/13 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 13WC037710 -C 190 13WC 38221 MARIN, LORENA SOLUTION MAINTENANCE W 05/07/13 ENCINAS & ORNELAS MALLORY ZIMET 191 13WC 38308 WOJTECKI, HENRYK SOLUTION SERVICE SYSTEMS 10/04/13 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 192 13WC 38332 MONTOYA, GLORIA X-CEL TECHNOLOGIES, INC 09/18/13 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 193 13WC 38695 DOTSON, SCH-NEA LAVON TRI-STATE NURSING HOME 09/03/13 CULLEN HASKINS NICHOLSON 194 13WC 38730 MCBRIDE, TOMMY ILLINOIS CENTRAL SCHOOL B 09/24/13 VRDOLYAK LAW GROUP LLC 195 13WC 39398 SOK, BOPHA ELITE NAILS & SPA, INC. W 01/07/12 THOMAS J STIBERTH LAW OFFI HELT LAW GROUP 196 13WC 39560 EVANS, LETHIA ROBBINS SUPPORTIVE LIVING 11/17/13 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 197 13WC 39708 FOREST, YOLANDA ELITE STAFFING, INC 11/07/13 MARC J SHUMAN & ASSOCIATES MARC CAIRO 198 13WC 39717 RIGGIO, ANTHONY COOK COUNTY 10/31/13 SALVATO & O'TOOLE STATES ATTORNEY OF COOK COUN 199 13WC 41555 MC GEE, TIMOTHY NBC UNIVERSAL INC 08/15/13 KARCHMAR & STONE ASHER, RAYMOND L LTD 200 14WC 01446 BALBINO, ANDRES STAFFING NETWORK, LLC 12/04/13 KARNO, MARK L & ASSOC SLAVIN & SLAVIN 201 14WC 01978 PADILLA, JOSE ASPEN FOODS 12/27/13 JAMES ELLIS GUMBINER & ASS 202 14WC 02129 DALTON, ROBERT DAVIS STAFFING 12/18/13 LEE VASILATOS 203 14WC 02718 BANKS, ERI R BROOKS RANGE CONTRACT 12/04/12 STROM, NEAL B HOLECEK & ASSOCIATES 204 14WC 02751 WYNNE, ARVEL CHICAGO TRANSIT AUTHORITY 07/25/13 STEVEN A CRIFASE, LTD CHICAGO TRANSIT AUTHORITY 205 14WC 02909 FRANCISCO, OFELIA OUR LADY OF THE RESURRECT 05/20/13 POMPER & GOODMAN KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 206 14WC 03050 JOHNSON, KASANDRA MOUNT SINAI HOSPITAL 01/04/14 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 207 14WC 03250 CRUZ, JAY URG UTILITY 12/12/13 CAPRON & AVGERINOS PC MACIOROWSKI SACKMANN & ULRIC 208 14WC 03265 GAMINO, JOSE L M & R PRECISION MACHINING 12/16/13 THE ROMAKER LAW FIRM GANAN & SHAPIRO 209 14WC 03307 SMITH, THEODORE TECHNOTRIX, INC 08/08/13 RICHARD O. GREENFIELD SPIEGEL & CAHILL, PC 210 14WC 03539 GUZMAN, JORGE KW CONSTRUCTION GROUP, IN 12/20/13 SALK, STEVEN B & ASSOC LTD QUINTAIROS PRIETO WOOD & BOY 211 14WC 03880 SMITH, GARY POWELINK ELECTRIC 07/02/13 MEYERS & FLOWERS GILDEA & COGHLAN 212 14WC 03952 BEHAROVIC, BECIR FORTH GROUP REAL ESTATE S 02/03/12 THE ROMAKER LAW FIRM GILDEA & COGHLAN 14WC003954 -C 14WC003955 -C 213 14WC 03956 HOPE, EVERLYN T CHICAGO TRANSIT AUTHORITY 01/24/14 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 214 14WC 04037 KISIELEWSKI, BOZENA WIFE MARKO EXPRESS INC 12/18/13 CUDA LAW OFFICES 14WC004038 -C ADS LOGISTIC CO. LLC 215 14WC 04173 RICHARDS-WILKINS, YOULOND COOK COUNTY DEPT OF 08/26/13 FITZ & TALLON LTD STATES ATTORNEY OF COOK COUN 216 14WC 04326 ROMERO, RAMON CHALET NURSERY 07/13/12 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 14WC033877 -C 15WC038819 -C 217 14WC 04376 MILLER, WILLIAM IDOT @ 12/05/12 MUELHAUSEN & STEFANI ASSISTANT ATTORNEY GENERAL 218 14WC 04387 ROSS, TINA MERCY HOSPITAL 06/28/13 OLMSTEAD, GREGORY J LAW OF 219 14WC 04727 JOHNSON, ALVIN SELECT REMEDY 01/13/14 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 220 14WC 04971 PULLIAM, DARRELL O WIRTZ REALTY CORPORATION 03/02/12 MICHAEL A. PEDICONE LTD NYHAN BAMBRICK KINZIE & LOWR 221 14WC 05060 ALLEN, DONALD ALLSTATE INSURANCE COMPAN 09/30/13 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 222 14WC 05143 GARCIA, MANUEL UNITED TEMPS INC 11/27/13 KENNETH B GORE, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 223 14WC 05161 O'BRIEN, CATHERINE CHICAGO EDUCATION PROJECT 09/11/13 BLEAKNEY & TROIANI STELLATO & SCHWARTZ 224 14WC 05170 BAUTISTA-GONZALEZ, GERADO DIRECT AUTOTION GALLERIAS 01/22/14 KENNETH B GORE, LTD RUSIN & MACIOROWSKI LTD 14WC042879 -C 225 14WC 05235 MCKIE, RONALD CHICAGO TRANSIT AUTHORITY 03/28/13 PAUL D POWELL CHICAGO TRANSIT AUTHORITY 226 14WC 05469 JAMES, JE'NICE R NORTHWESTERN MEDICAL 06/12/09 KP LAW LLC 227 14WC 05528 WAKTKINS, ANTHONY CHICAGO TRANSIT AUTHORITY 02/09/14 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 228 14WC 05556 JOYCE A DERABASSE (WIDOW) ETEL INC # 05/31/13 PETER D CORTI LAW GROUP THOMAS & PORTELA 229 14WC 05964 BROWN, HELEN MERCY HOSPITAL 04/04/13 CULLEN HASKINS NICHOLSON 230 14WC 06095 ROBLES, MANUEL OWENS & MINOR 05/28/13 ELFENBAUM EVERS & AMARILIO LITCHFIELD CAVO 231 14WC 06153 VAZQUEZ, NICOLE ELECTRO-MOTIVE DIESEL INC 09/11/13 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 232 14WC 06492 MARTINEZ, MANUEL PIZANO EL MILAGRO 02/13/14 CULLEN HASKINS NICHOLSON LAW OFFICES FRANCESCA LARSEN 233 14WC 06933 STRZALKA, PAWEL CSM FASTENER PRODUCT CO 02/13/14 DAVID W MARTAY LAW OFFICES JOSEPH MARCINIAK 234 14WC 07234 SCHIMMEL, JOHN PARENTI & RAFFAELLI, LTD 08/08/13 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 235 14WC 10530 NUDO, ANDREW DEEN LLC 04/29/13 R MARK MARITOTE PC WOLFE & JACOBSON, LTD 236 14WC 13200 WILLIAMS, IRVING TRANSPORT SERVICE CO 05/01/13 CHILTON YAMBERT PORTER LLP 237 14WC 13350 LUEVANAS, PEDRO CITY OF CHICAGO 10/25/13 BRUSTIN & LUNDLBAD LTD HENNESSY & ROACH PC 15WC012063 -C 238 14WC 13662 NIEMIEC, MARIA T KIMCO FACILITIES SVCS COR 01/26/14 LAW OFFICES LEONARDO MORAL GANAN & SHAPIRO 239 14WC 13705 GRAY, TANYA O STATE OF ILLINOIS @ 02/16/14 PETER D CORTI LAW GROUP ASSISTANT ATTORNEY GENERAL 240 14WC 14318 CLAVIN, KATHLEEN ENTERNMANN'S BAKERY 03/21/14 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 241 14WC 14429 ZATZ, STEPHEN NATIONAL SYSTEMS 219, LLC 04/15/14 VRDOLYAK LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 242 14WC 14858 WHITE, SAMUEL RIDGE TOWNSHIP SD #227 04/15/14 LANNON LANNON & BARR LTD 243 14WC 15127 HERNANDEZ, MARIA OLIVIA KIMPTON HOTEL 09/17/13 KATZ FRIEDMAN EAGLE ET AL 244 14WC 15137 TRIPLETT, MELODIE ELECTRO MOTIVE DIESEL 03/21/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 245 14WC 15193 BRUNO, MARIA ARAMARK FACILITY SERVICES 01/14/14 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 246 14WC 15380 DEER, HAZEL FORMAN MILL WAREHOUSE 04/07/14 BERG & BERG WOLFE & JACOBSON, LTD 247 14WC 15460 HANEY, MICHAEL DIVERSIFIED 01/06/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 248 14WC 15547 GARCIA, ANTONIO MEYER DRUM 03/28/13 STEVEN A CRIFASE, LTD 249 14WC 15599 PHOENIX-KYSER, MARIA A UNITED AIRLINES INC. 02/11/14 VITELL & SPITZ LTD WIEDNER & MCAULIFFE LTD 250 14WC 15727 DORAN, PHILLIP CITY OF CHICAGO 04/29/14 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 251 14WC 15918 FAGHEMI, OLUSHOLA DISPATCH TAXI 04/08/14 LAW OFFICE RYAN ROSENTHAL LAW OFFICES OF DEBORAH SCHAE 252 14WC 16057 LOFTON-BROWN, CAROLYN METROPOLITAN WATER RECLAM 06/29/12 PETER D CORTI LAW GROUP NOBLE & ASSOCIATES PC 253 14WC 16644 RODRIGUEZ, LUZ CHICAGO PUBLIC SCHOOLS 01/17/14 THE ROMAKER LAW FIRM LAW DEPARTMENT 254 14WC 16672 ST CLOUD, MICHAEL UNIVERSITY OF CHICAGO 04/02/14 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 255 14WC 16686 ALLURI, HOWARD UNITED AIRLINES INC. 04/25/14 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 256 14WC 16738 PIEHL, DANIEL CUBA TOWNSHIP 09/13/13 JOHN E LUSAK JAMES M KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 257 14WC 16873 CHRIST, JONATHON W PACE SUBURBAN 04/18/14 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 258 14WC 16890 CALVILLO, TIFFANY SEARCH INC 05/02/14 SANDMAN LEVY & PETRICH STELLATO & SCHWARTZ 14WC016891 -C 14WC016892 -C 259 14WC 17025 CAREY, KIMBERLY GOTTLIEB MEMORIAL 12/31/13 ATSAVES, LOUIS G LTD NYHAN BAMBRICK KINZIE & LOWR 260 14WC 17068 CARDENAS, MARIA MC DONALD'S RESTAURANT 06/21/13 RUEDA, IVAN A 261 14WC 17416 EDGAR, JACK ALDI INC 06/01/11 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 262 14WC 17427 RIVERA, ANASTACIO RAYS TOWING & RECOVERY SE 01/25/14 BRISKMAN BRISKMAN GREENBER 263 14WC 17451 MONTIEL, ORALIA SEALED AIR CORP 04/19/14 LAW OFFICES LEONARDO MORAL 264 14WC 17867 CARDENAS, JAIME QUANTUM CROSSINGS LLC 01/10/14 LAW OFFICE OF TRENT & BUTC 265 14WC 17957 FLORES, BERTHA L FEDERAL MOGUL 03/25/14 STEPHEN G PINTO LTD HOLECEK & ASSOCIATES 266 14WC 18027 ELLIS, KIM CHILDSERV 05/08/14 KARP & ELLIS 267 14WC 24028 SMITH, CARL ACADEMY FOR LEARNING 03/19/14 ROBIN LAW OFFICE 268 14WC 24247 JONES, MELISSA MANORCARE 03/16/14 COLLISON & O'CONNOR 269 14WC 24315 GITTENS, MICHELLE CHICAGO TRANSIT AUTHORITY 08/31/12 DEAN J CARAS & ASSOCIATES CHICAGO TRANSIT AUTHORITY 270 14WC 24341 LEWIS, STEPHEN J POWERLINK ELECTRIC 12/01/11 TURNER & SACKETT LLC WIEDNER & MCAULIFFE LTD 271 14WC 24587 SANDERS, TREMAIL CENTRAL BEVERAGE COMPANY 03/16/14 GOLDBERG WEISMAN & CAIRO L 272 14WC 24714 BOYLE, GRACE TOWNSHIP HIGH SCHOOL 11/18/13 KARNO, MARK L & ASSOC WIEDNER & MCAULIFFE LTD 273 14WC 24782 HUDDLESTON, DENNIS FORD MOTOR CO 07/09/14 KREITER, BYCK & ASSOC LLP RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 274 14WC 24917 MURPHY, MARY M CINTAS 08/14/13 BAUM RUFFOLO & MARZAL LTD POWER & CRONIN LTD 275 14WC 25274 PISTORIUS, PAM ZURICH NORTH AMERICA 05/27/14 HEALY SCANLON LAW FIRM INMAN & FITZGIBBONS 14WC025275 -C 276 14WC 25366 ORTEGA, STEVE ELITE STAFFING 06/16/14 DWORKIN AND MACIARIELLO MARC CAIRO 277 14WC 25381 DEROSA, DARLENE PRAIRIE MANOR 06/11/14 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 278 14WC 25519 HEILMANN, SHEILA M UNITED AIRLINES INC. 06/21/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 279 14WC 25968 KLAZEK, JOHN M EMPLOYEE SOLUTIONS, LLC 09/25/13 CULLEN HASKINS NICHOLSON 280 14WC 26144 PATEL, NATHABHAI PARAMOUNT STAFFING 01/10/14 GOLDBERG WEISMAN & CAIRO L 281 14WC 26243 CAMPBELL, GUNNAR C THE SALVATION ARMY 06/16/14 CRONIN & PETERS NYHAN BAMBRICK KINZIE & LOWR 282 14WC 26441 LOSAVIO, JOSEPH M FREEMAN DECORATING SVCS I 05/01/14 ANESI OZMON RODIN NOVAK KO MC ANDREWS & NORGLE LLC 283 14WC 26450 CARR, ERNEST R JR ARTISAN FREIGHT 04/17/14 KURASCH & KLEIN, LTD KEEFE CAMPBELL & ASSOC LLC 284 14WC 26597 SCHAFFRATH, MICHAEL CITY OF CHICAGO 11/07/12 RUBIN LAW GROUP CITY OF CHICAGO 285 14WC 26604 CASTRO, GARCIELA CHICAGO PUBLIC SCHOOLS 03/10/14 LAW OFFICE OF JAMES H MILL 286 14WC 26817 HOFFMAN, MICHAEL R ECOLAB INC 07/03/13 BUDIN LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 287 14WC 26848 ONOH, GABRIEL YELLOW CAB CO 06/11/14 LAW OFFICE RYAN ROSENTHAL 288 14WC 26994 DIAZ, MARGARITA DART CONTAINER CORP 07/07/14 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 15WC006287 -C SOLO CUP CO 289 14WC 27040 MCCLURE, VEESTER CHICAGO TRANSIT AUTHORITY 06/25/14 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 290 14WC 27111 CASTREJON, CARLOS ALTERNATIVE STAFFINE INC 07/24/14 COVEN LAW GROUP 291 14WC 27245 HOLLIMAN, CRYSTAL FORD MOTOR CO 07/28/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 14WC027246 -C 292 14WC 27330 DAVIS, ANNETTE FILTRAN 04/01/14 SEIDMAN MARGULIS & FAIRMAN 293 14WC 27336 MILES-ST CLAIR, SHERRY UNITED AIRLINES INC. 04/24/14 BRIAN J MC MANUS & ASSOC, 294 14WC 27635 BAHENA, RAUL ADVOCATE HEALTH CARE 08/13/10 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 295 14WC 27782 VAUGHN, DANNY UNITED AIRLINES INC. 07/24/14 SAUNDERS CONDON & KENNY 296 14WC 28411 BOBLEWSKI, NICHOLAS A CITY OF CHICAGO 06/11/14 RUBIN LAW GROUP CITY OF CHICAGO 297 14WC 28522 SKWIERCZYNSKI, RANDY CITY OF CHICAGO 06/04/14 GOLDBERG WEISMAN & CAIRO L CHICAGO PARK DIST LAW DEPT 298 14WC 28848 MC KNIGHT, COLETTE ST OF IL DEPT OF ELISABET 02/24/14 GOLDSTEIN BENDER & ROMANOF JILL OTTE 299 14WC 28941 POLENCIA, SEAN WINWARD ROOFING & CONSTRU 02/13/14 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 300 14WC 29031 BOSS, JAMES AMERICAN RECYCLING& DISPO 10/16/13 BOUDREAU NISIVACO LLC RUSIN MACIOROWSKI & FRIEDMAN 301 14WC 29086 EL, MALIK EMIR SOUTHWEST AIRLINES 08/02/14 FITZ & TALLON HENNESSY & ROACH PC 302 14WC 29151 LEWANDOWKI, MICHAEL CITY BEVERAGE COMPANY 02/10/14 CARONE LAW OFFICES ASHER, RAYMOND L LTD 303 14WC 29573 MOLINA, MARCO TULIO MANGO CONSTRUCTION INC 08/04/14 FERRIS THOMPSON & ZWEIG 304 14WC 29676 RUIZ, RAMON STAFFING NETWORK QPA 01/14/13

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 305 14WC 29914 JENKINS, DANE FUTURE MARK PAPER COMPANY 08/11/14 GOLDFEIN LAW OFFICE PC 306 14WC 29941 HARRIS, DAVID ALLIED BARTON SECURITY SE 07/10/14 GAROFALO SCHREIBER STORM 15WC011417 -C 307 14WC 30273 WILLIAMS, CAROLINE CIRCUIT COURT OF COOK COU 04/08/14 MICHAEL A. HIGGINS STATES ATTORNEY OF COOK COUN 308 14WC 33513 HAYES, RONALD STATE OF ILLINOIS @ 09/26/14 HARRIETT LAKERNICK ASSISTANT ATTORNEY GENERAL 309 14WC 34624 BURTON, KIOWA FORD MOTOR CO 09/23/14 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 310 14WC 34844 LIVA, SUSAN M AUTUMN CONSTRUCTION SERVI 08/11/14 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 311 14WC 35268 KOTOWSKI, JAMES VILLAGE OF SKOKIE 10/01/14 KATZ FRIEDMAN EAGLE ET AL VILLAGE OF SKOKIE 312 14WC 35639 WARDLAW, AVA COOK DUPAGE TRANSPORT CO 10/13/14 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 313 14WC 35871 COLLINS-LEE, WINIFRED CHICAGO PUBLIC SCHOOLS 09/17/14 DEPAOLO ZADEIKIS GORE LAW DEPARTMENT 314 14WC 35922 KALANTZIS, MARTHA DESIGN CONSTRUCTION CONCE 08/21/14 MARKS & ASSOCIATES WIEDNER & MCAULIFFE LTD 315 14WC 36042 PORTER, PERRIN US AIRWAYS GROUP INC 03/25/14 STEWART C ORZOFF GAROFALO SCHREIBER STORM 316 14WC 36300 LARA, ADOLPH GREYHOUND BUS LINES 01/10/14 STEVEN H MEVORAH & ASSOCIA BRADY CONNOLLY & MASUDA PC 317 14WC 36370 WERKMEISTER, STEVE EDWARD ITS TECHNOLOGIES & 10/21/14 COVEN LAW GROUP BRYCE DOWNEY & LENKOV LLC 318 14WC 36504 CALDERON, ANITA TEC AIR, INC. 04/14/14 KARCHMAR & STONE ZENITH INSURANCE CO. 319 14WC 36548 PEREZ, MONICA ITW DELTAR BODY & INTERIO 09/19/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 320 14WC 36719 YOUNG, CINDY CHICAGO COMMONS 05/29/14 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 321 14WC 36931 SANTIAGO, IDA N GOURMET GORILLA 10/09/14 ANESI OZMON RODIN NOVAK KO 322 14WC 37084 HERRERA, MARIO ANSCO CONSTRUCTION LLC 12/16/13 RUEDA, IVAN A BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 323 14WC 37179 TRIPLETT, DIRK TOOTSIE ROLL INDUSTRIES 05/26/14 BRUGGEMAN HURST & ASSOC NYHAN BAMBRICK KINZIE & LOWR 324 14WC 37227 MANZANO, MICHELLE ARGOSY UNIVERSITY - EDMC 10/07/14 KARCHMAR & STONE HOLECEK & ASSOCIATES 325 14WC 37250 HERNANDEZ, ALVANO LOU MALATI'S/THE 04/04/14 ANKIN LAW OFFICE MEACHUM & STARCK 326 14WC 37376 ALVARADO, JUANITA UNO CHARTER SCHOOLS 08/29/14 LARRY FLEISCHER & ASSOCIAT COZZI & GOGGIN-WARD 327 14WC 37525 NALECK, LEONARD SUBURBAN ELEVATOR CO 10/14/14 GOLDBERG WEISMAN & CAIRO L 328 14WC 37620 AYYASH, DOROTHY KISWANI NATIONAL @#W 06/25/13 STROM, NEAL B 329 14WC 37645 TROTTER, REBECCA FOREST EDGE HEALTHCARE 10/02/14 330 14WC 37796 HILL, DEBBIE PARTY CITY 09/11/14 STEVEN H MEVORAH & ASSOCIA HOLECEK & ASSOCIATES 331 14WC 37835 OMOLE, WILLIAM CHICAGO CARRIAGE CAB 08/10/14 HUNER LAW OFFICES LLC 332 14WC 37868 ROBLEDO, MARIA APL LOGISTICS 09/04/14 HUGHES SOCOL PIERS RESNICK HOLECEK & ASSOCIATES 333 14WC 38008 HARDERS, WILLIAM PLANET TOYOTA 03/31/14 RIDGE & DOWNES RODDY LAW LTD 334 14WC 38077 TORRES, VICTOR RICHELIEU FOODS INC 08/21/14 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 335 14WC 38082 MEDRANO, CANDIA ASSOCIATED LABOR CORP 07/12/14 GAINES & GAINES BRADY CONNOLLY & MASUDA PC 336 14WC 38214 TURNER, YVONNE D VITAS HEALTHCARE 06/26/14 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 337 14WC 38278 LAMONICA, JOHN T CITY OF CHICAGO 05/01/13 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 338 14WC 38300 JAMEEL, KHAWAJA CAPRICORN CAB 11/02/14 ELFENBAUM EVERS & AMARILIO 339 14WC 38588 KORENIC, JOHN DE PAUL UNIVERSITY 10/30/14 TAMVAKIS, GEORGE L HOLECEK & ASSOCIATES 340 14WC 38590 ROBERTS, SHIRLEY CTA 07/07/14 JOEL STEPHEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 341 14WC 38654 COFFEE, KENNETH CHICAGO TRANSIT AUTHORITY 08/19/14 VRDOLYAK LAW GROUP LLC 342 14WC 38806 SULLIVAN, DONNA M SOUTHWEST AIRLINES 05/24/13 KARCHMAR & STONE HENNESSY & ROACH PC 343 14WC 38845 MONTGOMERY, JUANITA STAFF MANAGEMENT/ 10/27/14 POLANSKY & CICHON CHTD RODDY LAW LTD 344 14WC 38998 HARRISON, LAMON H KRAMER & COMPANY 09/06/14 SEIDMAN MARGULIS & FAIRMAN SCOPELITIS GARVIN LIGHT 345 14WC 39170 ERICKSON, MORIA WILLIAM-SONOMA 05/01/12 DWORKIN AND MACIARIELLO 346 14WC 39194 RIOS, ANTONIO LAKE POINT TOWER 09/21/14 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 347 14WC 39636 BARRERA, ALEJANDRO MIDWAY BUILDING GROUP INC 10/20/14 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 348 14WC 39888 LOPEZ, OSCAR SYED HUSSAINI 08/13/14 EPSTEIN, JACK R LAW OFFICE 349 14WC 40580 CASTREJON, SIXTO MARR CHICAGO PIZZA INC 11/23/14 DEPAOLO ZADEIKIS GORE 350 14WC 40879 WHITFIELD, ANTONIO FORD MOTOR CO 09/01/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 351 14WC 40933 HAWKINS, RUDOLPH A KNOCK AT MIDNIGHT 11/24/14 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 352 14WC 40991 JONES, GWENDOLYN MERCY HOSPITAL 07/22/14 PATRICIA HARDIMAN LAW OFFI NYHAN BAMBRICK KINZIE & LOWR 353 15WC 00341 SPEAR, RICHARD CITY OF CHICAGO WATER DEP 05/16/14 LEO ALT CITY OF CHICAGO 354 15WC 01052 KONTAXIS, HAROLD TYCO SIMPLEX GRINNELL 09/13/12 ANKIN LAW OFFICE POWER & CRONIN LTD 355 15WC 01330 SHIN, DIANA RAINFOREST CAFE 01/02/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 356 15WC 01475 RICE, CESSERLY NEW ALBERTSON'S INC 06/02/14 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 357 15WC 01659 NUNEZ, RODOLFO RUDY'S BAR & GRILLE 02/12/14 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 358 15WC 01956 ARMENTA, MARIA MENS WAREHOUSE 04/03/14 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 359 15WC 02002 MEDINA, RUBY SUPERIOR NUT & 11/19/14 JONATHAN SCHLACK GANAN & SHAPIRO 15WC016593 -C 360 15WC 02003 BLACKBURN, DANIEL A & A AMERICAN ENTERPRISE 01/05/15 VRDOLYAK LAW GROUP LLC CUTLER & HULL 361 15WC 02106 PETTIS, DERRICK AT&T 11/23/14 STEPHEN G PINTO LTD INMAN & FITZGIBBONS 362 15WC 02146 FIERSTEIN, ROBERT S ILLINOIS STATE POLICE @ 01/14/15 FIGLIOLI, DAVID 363 15WC 02474 REYES, RICARDO LAKESIDE METALS 01/12/15 HOWARD S. KAVENOW LLC 364 15WC 02497 MCFARLANE, NIGEL LAKE SHORE CONTRACTORS 01/05/15 GOLDBERG WEISMAN & CAIRO L 365 15WC 02514 HOOPER, STARYA BERKLEY HEALTH CARE CENTE 11/24/14 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 15WC002515 -C 366 15WC 02759 VALERIO, NICOLE COOK CO DEPT OF CORRECTIO 10/24/14 ANESI OZMON RODIN NOVAK KO STATES ATTORNEY OF COOK COUN 367 15WC 02904 PEREZ, TEODULO CREATIVE LABEL INC 01/13/15 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 368 15WC 03132 VERDONE, JOHN SR MOREY INDUSTRIES INC 06/10/13 WILLIAM S. WOJCIK LTD THOMAS & PORTELA 369 15WC 03194 FLORES, ALVINA L METCO TREATING AND 01/24/15 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 370 15WC 03200 CRAIN, SHELIA FISERV INC 12/31/14 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 15WC004441 -C 371 15WC 03216 SMITH, RICHARD CITY OF CHICAGO 01/26/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 372 15WC 03349 HERNANDEZ, JORGE CORTINA WENDY'S OFHNY,INC. 10/23/14 FERRIS THOMPSON & ZWEIG HENNESSY & ROACH PC 373 15WC 03690 HARLIN-JACKSON, WANDA ILLINOIS CENTRAL SCHOOL 12/10/14 SANDMAN LEVY & PETRICH MACIOROWSKI SACKMANN & ULRIC 374 15WC 03788 SILVA, LUIS ILLINOIS DEPT OF TRANS 01/16/15 SHELDON I MINKOW & ASSOCIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 375 15WC 03903 BRONER, GENA SAKS FIFTH AVE 10/14/14 MC HARGUE, JAMES P LAW OFF ROBERT L. SMITH 376 15WC 04060 DELRE, LINDA L ADVOCATE CHRIST HOSPITAL 04/27/14 KROCKEY CERNUGEL COWGILL E GAROFALO SCHREIBER STORM 15WC005696 -C 377 15WC 04084 COLON, LESLIE SOUTHWEST AIRLINES CO 06/01/14 LAW OFFICE TIMOTHY DEFFET HENNESSY & ROACH PC 378 15WC 04130 RICHARD, WILLIE CTA 01/24/15 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 379 15WC 04428 SPENCER, DEBORAH UNIVERSITY OF ILLINOIS 01/12/15 SAUNDERS CONDON & KENNY HEYL ROYSTER VOELKER & ALLEN 380 15WC 04524 RODRIGUEZ, ERICKA PHOENIX RISING 09/02/14 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK 381 15WC 04528 PIERIK, PEARL M PALOS COMMUNITY HOSPITAL 07/30/14 PARENTE & NOREM PC BRAUN LORENZ & BERGIN PC 382 15WC 04534 MILLER, TYREE MENARDS 01/06/15 GOLDBERG WEISMAN & CAIRO L CHILTON YAMBERT PORTER LLP 383 15WC 04874 PIGNATO, KIMBERLY ADVOCATE SO SUBURBAN HOSP 06/04/14 NILSON STOOKAL GLEASON CAP GAROFALO SCHREIBER STORM 384 15WC 04915 WILLIAMS, MARY JEWEL FOODS 11/24/14 GOLDBERG WEISMAN & CAIRO L 385 15WC 04960 HERZOG, CYNTHIA BARRINGTON SADDLERY 08/26/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 386 15WC 04981 KEHR, STEVE ELLIOT CONSTRUCTION CORP 02/04/14 EDWARD L OSOWSKI ACCIDENT FUND HOLDINGS, INC 387 15WC 05205 FIELD, STEVEN RJT SOLUTION BEACON 01/12/15 FRANCIS J DISCIPIO LAW OFF LAW OFFICES JOSEPH MARCINIAK 388 15WC 05317 GALLO, ANTHONY MARIANO'S FRESH MARKET 12/29/14 MARSZALEK AND MARSZALEK BRYCE DOWNEY & LENKOV LLC 389 15WC 05426 SANCHEZ, FRANCISCO CTA 01/28/14 CHEPOV & SCOTT LLC CHICAGO TRANSIT AUTHORITY 390 15WC 05434 BLACKMAN, KARANI CINTAS 09/22/14 LAW OFFICES OF KIRK MOYER POWER & CRONIN LTD 391 15WC 05461 SERY, SILVINA FAIRMONT HOTEL 11/26/14 COYNE LAW OFFICES HENNESSY & ROACH PC 392 15WC 05509 ZUREK, HENRY CITY OF CHICAGO 10/15/14 HEALY SCANLON LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 393 15WC 05984 VILLARREAL, RAMON PACKERS SANITATION SERVIC 02/26/14 MACKEY & KRAMER PC 394 15WC 06074 MICKOW, LESLIE PETE'S FRESH MARKET 09/29/14 PORRO NIERMANN & PETERSEN KEEFE CAMPBELL & ASSOC LLC 395 15WC 06725 ABATE, MATHEW D. CHICAGO PARK DISTRICT 07/08/14 MARSZALEK AND MARSZALEK CHICAGO PARK DIST LAW DEPT 396 15WC 06728 RIVERA, MIGUEL WASTE MANAGEMENT 02/10/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 397 15WC 07603 CRANMER, DOUGLAS REDS GARDEN CENTER 09/09/14 DECARLO LAW GROUP 398 15WC 11559 KIRKWOOD, THEODUS CHICAGO TRANSIT AUTHORITY 02/18/15 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 399 15WC 12168 BONDS, MARVETTE WHITE LODGING/FAIRFIELD 01/18/15 STROM, NEAL B WILSON ELSER MOSKOWITZ 400 15WC 12191 OLVERA, REYNA LABOR NETWORK - 10/03/14 ACEVES & PEREZ PC ROBERT L. SMITH 401 15WC 13057 ESCALANTE, OFELIA SHERATON SUITES CHICAGO 10/05/14 STEFFEN KELLY & STEFFEN HENNESSY & ROACH PC 402 15WC 13311 LATIF, AISHA NEW ALBERTONS'S, INC., 12/13/14 KUMLIN & FROMM 403 15WC 13418 JONES, PATRICIA CPS 09/29/14 LAW OFFICES TIMOTHY HENDER 404 15WC 13549 OSORNIO, JOSE ANTONIO Q.A. HUMAN RESOURCE 07/20/13 ROSS J HELFAND HENNESSY & ROACH PC 405 15WC 13846 SAUCEDO, JESUS UNITED PARCEL SERVICE INC 03/26/15 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 406 15WC 13909 RAHMING, MARILYN DEVAUX JUST ENERGY 12/02/14 MC HARGUE, JAMES P LAW OFF 407 15WC 14094 CASTRO, ORLANDO MINUTE MEN 03/05/15 FREDRICK B BARDER, LTD 408 15WC 14159 SILVA, ADRIAN 1 HEAVY EQUIP LOADING INC 03/22/15 LEONARD LAW GROUP LLC 409 15WC 14463 DEAR, TINA CTA 04/17/15 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 410 15WC 14472 WILLIAMS, MARGARET A 800 N MICHIGAN CONDOMINIU 01/12/15 ANKIN LAW OFFICE INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 411 15WC 14569 LAMASSE, KEIT E QUALITY ELECTRIC W 08/05/14 MADSEN SUGDEN & GOTTEMOLLE COHN & COHN 412 15WC 14691 LOPEZ, ANTHONY FEDEX GROUND PACKAGE SYST 09/22/14 GRAZIAN & VOLPE PC SCOPELITIS GARVIN LIGHT 413 15WC 14806 GUZLAS, GEORGE M. K & E PAINTING & DECORATI 02/13/15 PARENTE & NOREM PC RODDY LAW LTD 414 15WC 14914 VAZQUEZ, MARILU HMSHOST CORP 01/10/15 SALK, STEVEN B & ASSOC LTD 415 15WC 14975 JOHNSON, BENITA A.S.G. STAFFING INC 04/26/15 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 416 15WC 15119 SAMANIEGO, ANTHONY PACIFIC RAIL SERVICES 07/14/14 DAVID W MARTAY GAROFALO SCHREIBER STORM 417 15WC 15234 TOMASELLO, DOMINICK CHICAGO DOT 05/06/15 ARGIONIS & ASSOCIATES LLC 418 15WC 15257 WALLACE, DEBORAH PACTIV LLC 03/11/15 ARGIONIS & ASSOCIATES LLC SPIEGEL & CAHILL, PC 419 15WC 15268 MENDEZ, JOSEFINA MIDWEST MOLDING INC 02/06/14 LULAY LAW OFFICES 420 15WC 15400 PEREZ, JESUS JR MEDSTAR LABORATORY 03/11/15 BRISKMAN BRISKMAN GREENBER 421 15WC 15409 PARAF, AGNES PEPSICO 03/05/15 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 422 15WC 15470 STOKES, ERIC E BARRINGTON HILLS POLICE D 04/07/14 BARRY A KETTER 423 15WC 15523 VERNON, LINDA UNIVERSITY OF ILLINOIS 01/13/15 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 424 15WC 15549 CALVILLO, FABIOLA SODEXO 11/24/14 SEIDMAN MARGULIS & FAIRMAN CHILTON YAMBERT PORTER LLP 425 15WC 15808 VELENCIA, ALICIA COMPASS GRP/LEVY RESTAURA 02/25/15 GOLDSTEIN BENDER & ROMANOF GANAN & SHAPIRO 426 15WC 15884 TOLBERT, LASHEKA FORD MOTOR CO 06/16/13 MEYERS & FLOWERS POWER & CRONIN LTD 427 15WC 15896 ARREAGA, ROBIN COMPASS GROUP USA 04/08/15 ANKIN LAW OFFICE GANAN & SHAPIRO 428 15WC 16011 MC NEAL, DAVID LABOR TEMPS 05/11/15 BIZZIERI LAW OFFICES ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 429 15WC 16243 VESELI, SANIJE ALEXIAN MEDICAL GROUP 04/13/15 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 430 15WC 16334 THOMPSON, RONDAE CITY OF CHICAGO 01/14/15 KUMLIN & FROMM 431 15WC 16387 CAMACHO, MARIA FEDERAL MOGUL CORP 02/14/15 COYNE REINKE LAW HOLECEK & ASSOCIATES 432 15WC 16462 TRZACIAK, CRISTY L FORD MOTOR CO 05/06/14 LEWIS & DAVIDSON, LTD POWER & CRONIN LTD 433 15WC 16468 SOLORZANO, PEDRO METRO STAFFING 04/16/15 MC HARGUE, JAMES P LAW OFF 434 15WC 16469 APONTE, HERMINIA HOME DEPOT 04/15/15 SEIDMAN MARGULIS & FAIRMAN ADELSON TESTAN & BRUNDO 435 15WC 16520 PRIETO, SALVADOR ARCELOR MITTAL RIVERDALE, 05/11/15 VRDOLYAK LAW GROUP LLC 436 15WC 16688 VELAZQUEZ, JOSE ASFI STAFFING, INC. 03/02/15 PARENTE & NOREM PC FRANCIS J DISCIPIO LAW OFFIC 437 15WC 16759 BOZEK, ENEDINA ED MINIAT LLC/ED MINIAT I 12/06/13 POWER & CRONIN LTD 15WC017013 -C 15WC017014 -C 438 15WC 16806 GROSSI, ANTHONY CTA 04/14/15 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 439 15WC 17015 VINSON, BARBARA THOMAS KELLY HIGH SCHOOL 05/05/15 VASILATOS & COTTER LLC 440 15WC 17292 MABINS, LESLIE METROPLEX, INC. 05/01/15 JOHN C SERKLAND INMAN & FITZGIBBONS 441 15WC 17312 GORDON, SALAMA K MT SINAI HOSPITAL MEDICAL 05/13/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 442 15WC 17350 JOHNSON, DAVID L. FORD MOTOR COMPANY 04/24/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 443 15WC 17513 DICARLO, ANTONIO FINAL TOUCH PAINTING W 02/16/15 MILLON & PESKIN LTD 444 15WC 17579 KLEIN, EDWARD UNITED CONVEYOR SUPPLY CO 10/21/14 SALK, STEVEN B & ASSOC LTD HEYL ROYSTER VOELKER & ALLEN 445 15WC 18135 LEWIS, JACQUELINE ACCRETIVE HEALTH 05/22/15 RUBENS AND KRESS LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 446 15WC 18503 MANNING, VANESSA CHICAGO PUBLIC SCHOOLS 09/15/14 LAW OFFICE OF JAMES H MILL 447 15WC 23214 020 THOMAS, JOSEPH W RND EXHIBITS INTERNATIONA 06/01/13 TAMVAKIS, GEORGE L 020 15WC023213 -C 448 15WC 23287 SANCHEZ, GISELA ASSEMBLERS, INC 06/22/15 DEPAOLO ZADEIKIS GORE MACIOROWSKI SACKMANN & ULRIC 449 15WC 23497 ASAMOAH, DORIS UNIV OF CHGO MEDICAL CTR 11/21/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 15WC029722 -C UNIVERSITY OF CHICAGO 450 15WC 23502 STOCKWELL, AVERY SOLAR TRANSPORT 02/01/15 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 451 15WC 23541 WESTLUND, DAN BIMBO BAKERIES USA 06/11/15 MARTIN V KUGIA KRALOVEC & MARQUARD 452 15WC 23606 FINNEGAN, NORINE WORLD WIDE TRANSPORTATION # 09/17/14 JOHN F GREGORIO & ASSOC BUSH MOTTO CREEN KOURY 453 15WC 23608 SHELLY, DAVID W MONDELEZ, INTERNATIONAL I 07/16/15 FITZPATRICK & FITZPATRICK 454 15WC 23788 HERNANDEZ, JORGE ANNIE'S PANCAKE HOUSE 05/01/15 GOLDBERG WEISMAN & CAIRO L 455 15WC 23901 SUGAI, MARK FEDERAL MOGUL 03/06/15 MICHAEL J. GRAVLIN HOLECEK & ASSOCIATES 456 15WC 24033 DEJESUS, DAVID CHARLES AUSTIN LTD. 06/24/15 GOLDBERG WEISMAN & CAIRO L 457 15WC 24047 BYRNE, GEORGE CHICAGO PARK DISTRICT 08/01/13 TRAPP & GELLER CHICAGO PARK DIST LAW DEPT 458 15WC 24148 WILLIAMS, NIESHA OBERWEIS 07/26/15 STEVEN A CRIFASE, LTD 459 15WC 24204 HAMPTON, KAREN ILLINOIS DEPT OF REVENUE @ 11/27/13 BRISKMAN BRISKMAN GREENBER ASSISTANT ATTORNEY GENERAL 460 15WC 24222 BUSTAMANTE, JUAN GOLAN'S MOVING & STORAGE 07/31/15 LEONARD LAW GROUP LLC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 15WC 24294 DOYLE, EVELYN COOK COUNTY SHERIFF 05/15/15 THOMAS A MORRISSEY STATES ATTORNEY OF COOK COUN 462 15WC 24355 FERNANDEZ, MARIA PACTIV CORP 04/12/15 SPIEGEL & CAHILL, PC 15WC030923 -C 463 15WC 24368 ELZY, CURTIS OZINGA READY MIX CONCRETE 06/01/15 GAROFALO SCHREIBER STORM 464 15WC 24409 BENNETT, MARC 1ST ASSIST HOME HEALTHCAR 12/06/12 WITTENBERG DOUGHERTY MAGLI STONE & JOHNSON CHARTERED 465 15WC 24436 GIERMALA, MATTHEW ORLAND FIRE PROTECTION DI 07/21/15 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 466 15WC 24448 RICHTER, DWAYNE J GOTTLIEB MEMORIAL HOSPITA 08/04/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 467 15WC 24648 SANCHEZ, FEDERICO GRANITEPOL & HDC 07/02/15 EFTEKHARI LAW OFFICES HENNESSY & ROACH PC 468 15WC 24924 MUHAMMAD, ARTHUR CTA 04/10/15 STEVEN J MALMAN & ASSOCIAT CHICAGO TRANSIT AUTHORITY 469 15WC 24969 PHAM, KHOA BREDEMANN TOYOTA 09/20/14 VRDOLYAK LAW GROUP LLC 470 15WC 25258 MONTGOMERY, AKIRA FORD MOTOR COMPANY 06/05/15 SNECKENBERG, WILLIAM J ASS POWER & CRONIN LTD 471 15WC 25361 MORGAN, LASHA UNITED AIRLINES INC. 06/24/15 ANGELINI & ORI LLC 472 15WC 25590 MEHTA, ANILKUMARH IKEA HOLDINGUS INC 08/07/13 ANKIN LAW OFFICE MEACHUM & STARCK 473 15WC 25909 MATTHIAS, CARLY OLYMPIA FIELDS COUNTRY CL 06/08/15 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 474 15WC 26075 JANUS, JEFFERY CHICAGO TRANSIT AUTHORITY 06/29/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 475 15WC 26132 SANTOS, ANDERSON SR FEDEX 10/07/14 LAW OFFICE EDWARD RUEDA HANSON LAW OFFICE 476 15WC 26197 ADELUSI, ADEMOLA CHICAGO ELITE CAB CORP 06/20/15 LEADERS LAW CENTER LLC 477 15WC 26198 DZIALO, EDWARD CITY OF CHICAGO 05/08/15 BRILL & FISHEL CITY OF CHICAGO 478 15WC 26238 DUNCAN, JARROTT CHICAGO ELITE CAB CORP 07/27/15 THE MACK LAW GROUP PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 479 15WC 26284 KELLY, AUBREY MARATHON CAR WASH W 07/05/15 BRISKMAN BRISKMAN GREENBER LAW OFFICE DARYL BERRY 480 15WC 26296 HINICH, MILAN JX ENTERPRISES 07/07/15 DEUTSCHMAN, JEFFREY S ACCIDENT FUND HOLDINGS, INC 481 15WC 26605 HERNANDEZ, REMEDIOS LINCOLN PROVISIONS INC 07/06/15 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 482 15WC 26625 GARRETT, JEROME COOK DUPAGE TRANSPORTATIO 05/06/15 ANKIN LAW OFFICE 483 15WC 26690 PEREZ, MAUEL DNR CONSTRUCTION INC 07/27/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 484 15WC 26720 VAZQUEZ, ROCIO LABOR TEMPS 07/04/15 PARENTE & NOREM PC 485 15WC 26733 HERNANDEZ, TOMMIE COMMUNITY CARE SYSTEMS, I 05/18/15 KARCHMAR & STONE LIVINGSTONE MUELLER ET AL 486 15WC 26752 PENCE, MICHAEL W. BND INTERIORS 04/20/15 MEYERS & FLOWERS 487 15WC 26764 RUIZ, SARA CHICAGO POWERED METAL 05/20/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 488 15WC 26860 HENRY, LECIA CHICAGO BOARD OF EDUCATIO 05/13/15 CAPRON & AVGERINOS PC 489 15WC 26881 MAYORGA, LETICIA FAMILY THRIFT STORE 05/13/14 PARENTE & NOREM PC RUSIN & MACIOROWSKI LTD 15WC026882 -C 490 15WC 27077 BREWER, MARGARET R LUCKY #5409 DBA IHOP 08/17/15 THOMAS W DUDA 491 15WC 27089 MAX, ALANA CHICAGO PUBLIC SCHOOLS 12/03/14 ANKIN LAW OFFICE 492 15WC 27157 BUSTAMANTE, MIGUEL WALSH CONSTRUCTION COMPAN 07/16/15 GOLDBERG WEISMAN & CAIRO L 493 15WC 27174 GREGUS, JOHN COOK COUNTY FACILITY 07/09/15 PETER A SINK STATES ATTORNEY OF COOK COUN 494 15WC 27290 PORTER-ARMSTRONG, PORTIA SLC 08/04/15 SEIDMAN MARGULIS & FAIRMAN 495 15WC 27329 GARCIA, FIDEL BASURTO FREEDMAN SEATING CO 05/08/15 THERMAN LAW OFFICES BRADY CONNOLLY & MASUDA PC 496 15WC 27797 PEEL, CONRAD KELSO BURNETT 08/06/15 GRAZIAN & VOLPE PC CACCHILLO LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 497 15WC 27857 ALVAREZ, ANGEL WORTH STEEL & MACHINE 08/06/15 LANNON LANNON & BARR LTD WIEDNER & MCAULIFFE LTD 498 15WC 27917 GARCIA, JAMES G KINGDOM CHEVROLET 08/31/15 BUDIN LAW OFFICES ANCEL GLINK DIAMOND BUSH & E 499 15WC 28002 CRAIG VASSAR, VICTORIA OAKRIDGE HEALTHCARE CENTE 08/17/15 STEPHEN G PINTO LTD BRADY CONNOLLY & MASUDA PC 500 15WC 28414 ORR, MARY WE CLEAN 09/05/14 PARENTE & NOREM PC KLAUKE LAW GROUP LLC 501 15WC 28415 HURTADO, ANA KARINA PLUM CREEK SUPPORTIVE LIV 05/29/15 PARENTE & NOREM PC 502 15WC 28458 FLORES, DOROTEO ELITE STAFFING INC 08/06/15 CHEPOV & SCOTT LLC 503 15WC 29307 GORGAU, EMILIO L THE SALVATION ARMY 08/17/15 ANKIN LAW OFFICE RODDY LAW LTD 504 15WC 34957 CRAWFORD, CHRISTIAN PHILIPS ELECTRONICS N A C 06/18/15 ANKIN LAW OFFICE POULOS & DIBENEDETTO LAW 505 15WC 36316 CESARONE, DIANE UIC COLLEGE OF NURSING 10/08/15 RUBIN LAW GROUP POWER & CRONIN LTD 506 15WC 36534 ROBINSON, DERAL AMERICAN AIRLINE/AMR 09/10/15 KROL BONGIORNO & GIVEN LTD GAROFALO SCHREIBER STORM 507 15WC 36991 GAUD, SALVATOR WALMART 09/08/15 ANKIN LAW OFFICE 508 15WC 37010 MIJARES, MIGUEL BARKAAT FOODS 03/19/15 LAW OFFICE HUGO ORTIZ ROBERT L. SMITH 509 15WC 37038 ROBERTS, LAWRENCE COOK DUPAGE TRANSPORTATIO 11/11/15 SKLARE LAW GROUP HENNESSY & ROACH PC 510 15WC 37128 JONES, DEBORAH HELP AT HOME, INC. 04/15/15 DWORKIN AND MACIARIELLO MEACHUM & STARCK 511 15WC 37154 GORDON, SHERMAN L SUDLER AND COMPANY ETAL 06/10/15 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 512 15WC 37190 ALVAREZ, ALEJANDRO DR. PEPPER/SNAPPLE 07/11/14 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 15WC037191 -C 513 15WC 37211 GERAGHTY, KARLA AMERICAN AIRLINES INC 08/22/12 PETER D CORTI LAW GROUP 514 15WC 37219 REYNA, MARIVEL UNITED MAINTENANCE CO 10/23/15 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 515 15WC 37245 HATTER, JEFFERY D JR CONTRACTORS ACCESS EQUIPM 11/10/15 VASILATOS & COTTER LLC 516 15WC 37266 RUFFIN, LAWRENCE LBP MANUFACTURING 10/22/15 BRISKMAN BRISKMAN GREENBER HOLECEK & ASSOCIATES 517 15WC 37309 TERRELL, MERRILL WESTROCK COMPANY 11/11/15 BIZZIERI LAW OFFICES GAROFALO SCHREIBER STORM 518 15WC 37341 WELCH, DAVID PETER BAKER & SON CO 07/28/15 CAPRON & AVGERINOS PC KLAUKE LAW GROUP LLC 519 15WC 37383 COTTON, DONALD FOOD 4 LESS 10/28/15 LAW OFFICES ROBERT WARSASK STONE & JOHNSON CHARTERED 520 15WC 37440 KIEFER, GERALD F SOUTHWEST AIRLINES 08/11/15 ROMANUCCI & BLANDIN 521 15WC 37468 TORRES, EDUARDO CTA 09/04/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 522 15WC 37518 19B LEON, MARIA UPS 11/02/15 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 523 15WC 37519 CARRENO, JUAN AT & T 11/04/15 COVEN LAW GROUP 524 15WC 37551 HEREDIA, ARTHUR COOK COUNTY RISK MANAGEME 10/30/15 RUBENS AND KRESS STATES ATTORNEY OF COOK COUN 525 15WC 37583 PALMER, PHILIP SCOTT ROSEMONT EXPOSITION SERVI 11/13/15 DAVID SZCZECIN & ASSOC 526 15WC 37661 LEON, BETHZABE LABOR NETWORK 10/17/15 GOLDSTEIN BENDER & ROMANOF 527 15WC 37693 MCKANNA, EDWARD T GIBSON ELECTRIC 10/01/15 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 528 15WC 37837 BOURDEAU, MARK ACCURATE PERFORATING CO. 11/12/15 ANKIN LAW OFFICE LITCHFIELD CAVO 529 15WC 37940 KLUNKIN, NAPASAPON FEDEX 10/01/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 530 15WC 37991 MALDONADO, MARC AT & T 05/29/15 KARCHMAR & STONE 531 15WC 38042 JORDAN, PAUL BINNY'S BEVERAGE DEPOT 07/14/15 STROM, NEAL B COZZI & GOGGIN-WARD 532 15WC 38114 RICHARDSON, JIMMY PAT SALMON & SONS, INC./M 10/28/15 CULLEY FEIST KUPPART & TAY INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 533 15WC 38137 HARRIS, ELEANOR PEOPLE'S GAS 01/09/15 ARGIONIS & ASSOCIATES LLC GAROFALO SCHREIBER STORM 534 15WC 38165 PETERBURS, JOSEPH T NAVISTAR INC 11/09/15 PAUL W GRAUER & ASSOC 535 15WC 38182 SNYDER, RASHON CTA 11/25/15 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 536 15WC 38244 REID, GAIL CHICAGO PUBLIC SCHOOLS 10/06/15 ASHER, RAYMOND L LTD 537 15WC 38440 MOORE, MICHAEL O CTA 11/12/15 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 538 15WC 38528 ASPEN, ROBERT VILLAGE OF MATTESON 07/15/15 DUDLEY & LAKE LLC INMAN & FITZGIBBONS 539 15WC 38581 HARPER, KIRSTEN AMERICAN AIRLINES 09/19/15 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 540 15WC 38716 RODRIGUEZ, JUAN A HUBBARD INN 08/28/15 DEPAOLO ZADEIKIS GORE RODDY LAW LTD 541 15WC 38741 GONZALEZ, RICARDO JCV TRANSPORTATION INC 11/21/15 ANKIN LAW OFFICE 542 15WC 38849 LINDSTROM, CECILIA CITY OF EVANSTON 02/28/15 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD 543 15WC 38880 JONES, SHARON SCR MEDICAL TRANSPORTATIO 07/22/15 LAW OFFICES OF ANSELMO DUR 544 15WC 38923 GONZALEZ, MARTA CAPITAL BLDG SERVICE CORP 11/19/15 LANNON LANNON & BARR LTD 545 15WC 38969 MONGOY, GABRIELA MIDWAY BUILDING SERVICES 09/09/15 STEPHEN G PINTO LTD KEEFE CAMPBELL & ASSOC LLC 546 15WC 39025 FLETCHER, SANDRA VITAS HEALTHCARE 12/16/13 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 547 15WC 39077 THOMPSON, BERNARD CITY OF CHICAGO/FLEET FAC 11/19/15 WHITESIDE & GOLDBERG LTD 548 15WC 39174 PURVIN, ANDY NAPLETON CHRYSLER DODGE 11/23/15 HANNIGAN & BOTHA, LTD 549 15WC 39225 MACANDOG, CLETA JOHN H STROGER JR HOSPITA 10/05/15 BRISKMAN BRISKMAN GREENBER STATES ATTORNEY OF COOK COUN 550 15WC 39248 BIRCH, KELVIN LABOR READY 11/03/15 CHARLES LEVY & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 551 15WC 39373 RUACHO, GILBERTO SENIOR OPERATIONS INC 11/22/14 HECTOR ESPITIA BRADY CONNOLLY & MASUDA PC 552 15WC 39411 BENITEZ, ALBERTANO PEPSICO 12/04/15 BAUM RUFFOLO & MARZAL LTD 553 15WC 39434 MOSCOSO, JOHANA ART INSTITUTE OF CHICAGO 08/07/15 SALVATO & O'TOOLE 554 15WC 39578 ADKINS, ERICK AT&T 08/28/15 LEO ALT 555 15WC 39727 HERNANDEZ, GABRIELA ROTADYNE DBAROTATION DYNA 12/07/15 HETHERINGTON KARPEL BOBBER 556 15WC 39746 SANCHEZ, EDUARDO FELXIBLE STAFFING 06/12/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 557 15WC 39775 MUNSON, JON LORIG CONTRUCTION COMPANY 11/17/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 558 15WC 39867 SMITH-EDMONDS, PATRICIA NORTHWEST COMMUNITY HOSPI 01/22/15 DESTEFANO, ROBERT A & ASSO HEYL ROYSTER VOELKER & ALLEN 559 16WC 03136 SUERTH, STEPHEN CITY OF CHICAGO- DEPARTME 12/21/15 ARGIONIS & ASSOCIATES LLC 560 16WC 04511 MASTRO, DIANA THE CONTAINER STORE 03/20/15 WILLIAM B MEYERS, LTD 561 16WC 04566 WALKER, LON AMERICAN AIRLINES 07/15/15 BRAD J. BALKE, PC 562 16WC 04589 CADENA, EVA EXRESS CLEANING SERVICES 01/15/16 THOMAS A MORRISSEY WIEDNER & MCAULIFFE LTD 563 16WC 04621 MAURINO, JUDY R. FERRERO U.S.A. INC. 01/08/16 FIGLIOLI, DAVID 564 16WC 04661 CONEAL, ANTHONY TYSON BRUSS CO. 12/24/15 ROSENFELD HAFRON SHAPIRO F GANAN & SHAPIRO 565 16WC 04712 DIAZ, YOLANDA LUCKY GAMES INC 02/27/15 SANDMAN LEVY & PETRICH LAW OFFICES OF EDWARD J. KOZ 566 16WC 04736 MEJDRICH, JEFFREY J CHICAGO LAND CONCRETE II 10/16/15 BUDIN LAW OFFICES 567 16WC 04754 SORIANO, MARGARITA PAMCO 06/16/15 HART & DAVID LLP 568 16WC 04782 FRANCO, CHRIS CITY OF CHICAGO 2FM FLEET 01/26/16 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 569 16WC 04830 HUMPHERY, PATRICE CTA 02/11/15 DWORKIN AND MACIARIELLO 570 16WC 04846 SKRZYNIK, ZYGMUNT MBT TRANSPORT INC. 02/03/16 CHEPOV & SCOTT LLC KOPKA, PINKUS & DOLIN, PC 571 16WC 04899 O'RYAN, SHANE GENESIS ELECTRIC AND TECH 01/29/16 KUMLIN & FROMM GILDEA & COGHLAN 572 16WC 04920 BAHENA, JUAN SALGADO EL POPOCATEPETL INDUSTRIE 12/11/15 EPSTEIN, JACK R LAW OFFICE 573 16WC 04962 BERTEN, ERIK HARDWOOD LINE MANUFACTURI 08/21/15 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 574 16WC 05015 COOPER, DERRICK ARYZTA LLC 06/01/15 EFTEKHARI LAW OFFICES 575 16WC 05044 HOLLIS, SAMUEL CTA 02/09/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 576 16WC 05062 CONROY, CHARLES LANE VALENTE IND. 11/17/15 DWORKIN AND MACIARIELLO 577 16WC 05105 JORDAN, KENNETH MOHAWK SPRING CORP 10/16/15 HORWITZ HORWITZ & ASSOC CHILTON YAMBERT PORTER LLP 578 16WC 05127 JOHNSON, ROSHANA COMPREHENSIVE MEDICAL STA 01/11/16 COHN LAMBERT RYAN & SCHNEI HOLECEK & ASSOCIATES 579 16WC 05168 WELLS, KIMBERLY CITY OF CHICAGO DEPT OF W 01/17/16 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 580 16WC 05180 ZAKRZEWSKI, MACIEJ UNITED PARCEL SERVICE 02/11/16 SANDMAN LEVY & PETRICH 581 16WC 05210 FASONE, JOSEPHINE KOHLS DEPARTMENT STORES I 02/05/16 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 582 16WC 05261 HERNANDEZ, KARLA CLOVERHILL BAKERY 12/17/14 MC HARGUE, JAMES P LAW OFF 583 16WC 05304 GRZESKI, ZDZISLAW S & S CONTRACTORS INC 07/16/15 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 584 16WC 05344 THOMAS, JESSIE TREASURE ISLAND FOODS INC 01/10/16 JOHN S. ELIASIK GANAN & SHAPIRO 585 16WC 05428 CAMPBELL, KATIE NORTHWESTERN MEMORIAL HOS 07/25/14 SHELDON I MINKOW & ASSOCIA 586 16WC 05517 NICHOLAS, WILLIAM VILLAGE OF SKOKIE 09/14/15 CRONIN & PETERS VILLAGE OF SKOKIE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 587 16WC 05530 GALVAN, JOSE L COREY STEEL CO 02/08/16 MC HARGUE, JAMES P LAW OFF MEACHUM & STARCK 588 16WC 05591 SULLIVAN, MADELINE STUART G FERST SCHOOL 10/03/14 WOODRUFF & JOHNSON MC ANDREWS & NORGLE LLC 16WC005592 -C 16WC005593 -C 589 16WC 05608 MEMIC, KASIM WOODLAND TRANSPORT LLC W 01/28/16 BRISKMAN BRISKMAN GREENBER 590 16WC 05630 GUSTAFSON, PHILLIP CARRIER AIR CONDITIONING 09/09/15 RUBENS AND KRESS RUSIN & MACIOROWSKI LTD 591 16WC 06196 PADULA, ANTHONY J CITY OF PARK RIDGE 12/30/15 FOOTE MIELKE CHAVEZ & O'NE MACIOROWSKI SACKMANN & ULRIC 592 16WC 06261 KELLY, DEBRA UNITED AIRLINES 01/07/16 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 593 16WC 06293 REED, LASHAWN DAKKOTA INTEGRATED SYSTEM 11/06/15 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 594 16WC 06321 CONNOR, MATTHEW UPS 02/18/16 O'CONNOR & NAKOS COZZI & GOGGIN-WARD 595 16WC 06334 TRULL, KEVIN CD RICHARD ELLIS 09/16/15 HEALY SCANLON LAW FIRM 596 16WC 06339 SUBARIC, RAJKA UNITED AIRLINES 02/12/16 STEIN & CHERNEY LTD 597 16WC 06357 SERMANIO, RICARDO HUMBERT RON'S STAFFING SERVICES I 03/17/15 MEYERS & FLOWERS GAROFALO SCHREIBER STORM 598 16WC 06381 SMITH, THERESA LOYOLA GOTTLIEB MEMORIAL 02/20/16 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 599 16WC 06414 MARATTO, DOMINIC M UNITED AIRLIES 02/19/16 ALAN A BLUM, PC 600 16WC 06447 BEEDIE, BRUCE YRC, INC. CT CORPORATION 12/29/15 HETHERINGTON KARPEL BOBBER 601 16WC 06460 KOUEVI, KANGNI LINCOLNSHIRE SVC CORP 02/05/16 CORNFIELD & FELDMAN 602 16WC 06482 SOLIS, SARA THE TRUMP ORGIZATION 10/20/15 ANKIN LAW OFFICE INMAN & FITZGIBBONS 603 16WC 06523 COSTILLA, SHANDA ALDI INC 12/27/14 BURNES & LIBMAN BRADY CONNOLLY & MASUDA PC 604 16WC 06648 MARTINEZ, MARIA OSI INDUSTRIES LLC 02/04/16 HERRERA LAW CENTER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 605 16WC 06677 ISLEY, MELISSA STATE OF IL STATE POLICE @ 12/02/15 STRONG LAW OFFICE C. FLETCHER 606 16WC 06735 O'CONNOR, JAMES BREAKTHRU BEVERAGE 02/11/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 607 16WC 06756 CLAY, RICKY CHICAGO RPM, LLC. 01/03/16 KOFOED, RUSSEL M FINE, MARK S LAW OFFICES 608 16WC 06835 GAVINS, DAPHNE UNIVERSITY OF IL AT CHGO. 11/24/14 THE ROMAKER LAW FIRM POWER & CRONIN LTD 609 16WC 06908 SALGADO, JOSE GREYHOUND 11/03/15 FOHRMAN, DONALD W & ASSOCS BRADY CONNOLLY & MASUDA PC 610 16WC 06978 GRIFFITH, JOSEPH RUAN TRANSPORTATION 02/16/16 POLANSKY & CICHON CHTD JAMES M KELLY 611 16WC 07012 SWIECICKI, JAROSLAW ARCHER ELECTRIC OF CHICAG 04/11/15 VRDOLYAK LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 612 16WC 07013 GARZA, ERNESTO THRESHOLDS INC 02/03/16 DAVID W MARTAY 613 16WC 07089 ESPARZA, SALOMON ASHLAUR CONSTRUCTION 02/29/16 SKLARE LAW GROUP 614 16WC 07110 BARCENAS, LUIS PERFORMANCE FOOD GROUP 02/16/16 WOODRUFF & JOHNSON BRYCE DOWNEY & LENKOV LLC 615 16WC 07276 COSTANTINI, DEBRA STARVIEW ENTERPRISES INC 02/24/16 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 616 16WC 07298 SARABIA, JOSE RELISH LABS LLC D/B/A 01/15/16 BRUCE RAFALSON LTD ACCIDENT FUND HOLDINGS 617 16WC 07401 HANSEN, MICHELLE ST ALEXIUS MEDICAL GROUP 02/01/16 ANGELINI & ORI LLC POWER & CRONIN LTD 618 16WC 07641 SIFRAR, HELEN DELTA AIRLINES 12/01/13 DAVID W MARTAY ROBERT L. SMITH 619 16WC 07690 CISNEROS, ALFREDO WALGREENS 11/15/15 BRISKMAN BRISKMAN GREENBER GILDEA & COGHLAN 620 16WC 07708 PARENTE, TINA BILLY CASPER GOLF, INC D/ 09/13/15 CUDA LAW OFFICES HENNESSY & ROACH PC 621 16WC 12258 GIRONDI, PHILLIP UNIVERSITY OF CHICAGO POL 04/01/16 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 622 16WC 14534 PAEZ, ANTONIA HEKTOEN INSTITUTE FOR MED 03/23/16 JAUREGUI & ASSOCIATES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 623 16WC 14555 CRUZ, KELVIN UBER 05/07/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 624 16WC 14754 PAZ, FERNANDO MT FOOD SERVICE, INC. 02/09/16 LAW OFFICES ROBERT WARSASK 625 16WC 14884 MARCHIORI, MICHAEL CITY OF CHICAGO 04/25/16 HEALY SCANLON LAW FIRM 626 16WC 15055 ECKLES, LISA DAKKOTA INTEGRATED SYSTEM 09/21/15 KATZ FRIEDMAN EAGLE ET AL 627 16WC 15168 JOHNSON, IVORY CHICAGO COMMONS 04/25/16 ROBIN LAW OFFICE 628 16WC 15195 MCROY, WILLIE JR RIVIERA CARE CENTER LLC 12/14/13 ANKIN LAW OFFICE 629 16WC 15219 VELASQUEZ, ELISSA LIGHTOLOGY 04/04/16 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 630 16WC 15240 GONZALEZ, LILLIAM HIGHLAND BAKING COMPANY 01/22/16 CHEPOV & SCOTT LLC 631 16WC 15294 CERVANTES, JOSE CHICAGO DRYER COMPANY 01/07/16 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 632 16WC 15345 FRANCO, ISABEL AUTHENTIC BRANDS OF 05/04/16 ROSENFELD HAFRON SHAPIRO F BRADY CONNOLLY & MASUDA PC 633 16WC 15351 GOMEZ, CARMELLA UNIVERSITY OF ILLINOIS 05/16/14 RUEDA, IVAN A HEYL ROYSTER VOELKER & ALLEN 634 16WC 15414 YOUNG, CONNOR CERTIFIED AUTO * 11/27/15 LUCAS & APOSTOLOPOULOS CAPUANI & SCHNEIDER 635 16WC 15469 VORTES, ROBERTA METRO STAFF INC 04/30/16 POLANSKY & CICHON CHTD FRANCIS J DISCIPIO LAW OFFIC 636 16WC 15487 CRUZ, YANCEY KATE'S DETECTIVE & SECURI 04/05/16 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 637 16WC 15496 PRIETO, JAIME PEPSI AMERICA'S 04/22/16 STROM, NEAL B BRYCE DOWNEY & LENKOV LLC 638 16WC 15560 WATTS, REGINALD TELECOM CONSTRUCTION DEVE 05/07/16 HORWITZ LAW GROUP 639 16WC 15660 JENTSCH, KURT W. WALSH CONSTRUCTION 10/26/15 O'CONNOR & NAKOS HINSHAW & CULBERTSON 640 16WC 15681 SCIALABBA, BRAD LSG SKYS CHEF'S 02/17/16 HANNIGAN & BOTHA, LTD BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 641 16WC 15702 WHITEHEAD, TRACEY D MONDELEZ 03/14/16 BRISKMAN BRISKMAN GREENBER 642 16WC 15736 NEAL, JANICE HOME INSTEAD SENIOR CARE 01/26/16 HORWITZ HORWITZ & ASSOC 643 16WC 15764 LABISSONIERE, SHERI UNITED AIRLINES 05/31/15 CULLEN HASKINS NICHOLSON 644 16WC 15791 DICKSON, DAVID ILLINOIS STATE POLICE @ 04/12/16 ROMANUCCI & BLANDIN 645 16WC 15807 MARCHAN, EUFEMIA EMBASSY SUITE O'HARE 06/18/15 CHEPOV & SCOTT LLC GRANT & FANNING 646 16WC 15826 EDWARDS, ROSETTA UNITED AIRLINES INC. 06/30/15 WUNSCH, JOHN C PC 647 16WC 15874 STENNIS, KELVIN BWAY BROCKWAY STANDARD CO 03/17/16 FRIEDMAN & SOLMOR LTD 648 16WC 15921 FERAK, GERALD DIMENSION CRAFT 02/26/15 JERALD A LAVIN, LTD 649 16WC 15972 KAMAL, MUSTAFA ALLIED BARTON SECURITY SV 02/21/14 MILLON & PESKIN LTD 650 16WC 15997 BRONGIEL, DAVID STATE OF IL TREASURER'S O 04/13/16 SAUNDERS CONDON & KENNY C. FLETCHER 651 16WC 16047 SZUTENBACH, JIM UNITED PARCEL SERVICE 05/13/16 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 652 16WC 16131 PEREZ-VELOZ, MARIO PEPE'S MEXICAN RESTAURANT 04/28/16 GOLDSTEIN AIOSSA & GOOD HENNESSY & ROACH PC 653 16WC 16196 HOSKINS, KENNETH CTA 04/07/16 JOEL STEPHEN CHICAGO TRANSIT AUTHORITY 654 16WC 16212 ROWE, RANDY DOMA MOVING & STORAGE INC 04/19/16 VRDOLYAK LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 655 16WC 16246 PERRY, TONJA FEDEX 02/03/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 656 16WC 16275 JOHNSON, ELLIS III AT&T 05/04/16 STROM, NEAL B 657 16WC 16301 WESTON, TERESA A UNITED AIRLINES 01/15/15 ROMANUCCI & BLANDIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 658 16WC 16326 MARIN, VICTOR LAKEWOOD CARPENTRY SERVIC 04/19/16 FICHERA & MILLER KNELL & O'CONNOR 659 16WC 16375 FIAMMETTA, TONY CHICAGO BEARS FOOTBALL CL 08/22/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 16WC016376 -C 660 16WC 16413 JONES, ENZA D ROADRUNNER AUTO TRANSPORT 05/19/16 ANKIN LAW OFFICE WOLFE & JACOBSON, LTD 661 16WC 16517 CARNEY, WANDA CHICAGO TRANSIT AUTHORITY 04/10/16 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 662 16WC 16548 ROMERO, ZAHIRA FEDERAL RESERVE 01/29/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 663 16WC 16574 MILLER, JAMES 233 CONDOMINIUM, ASSOCIAT 05/05/16 HUGHES SOCOL PIERS RESNICK 664 16WC 16615 CARLOS, MARIO TIO LUIS TACOS 04/21/16 LAW OFFICES LEONARDO MORAL 665 16WC 16667 DOROSZ, BOB JIMMY'S RESTAURANT 10/16/15 DAVID W MARTAY HOLECEK & ASSOCIATES 666 16WC 16689 GALLO, CAROLYN J. MEIJER 11/25/15 COHN LAMBERT RYAN & SCHNEI KNELL & O'CONNOR 667 16WC 16730 COLLIER, KRISTIN MARR CHICAGO PIZZA INC 04/01/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 668 16WC 16744 CHRAPEK, LINDA DR RIFE & ASSOC 06/25/13 LANNON LANNON & BARR LTD 669 16WC 16766 COLON, ESTEBAN LEE'S FOOD SERVICE PARTS 03/24/16 SOSTRIN AND SOSTRIN PC WIEDNER & MCAULIFFE LTD 670 16WC 16822 PULLIAM, TIGER CHICAGO PARK DISTRICT 05/19/16 KROL BONGIORNO & GIVEN LTD CHICAGO PARK DIST LAW DEPT 671 16WC 16861 BURKE, AUSTIN FORD MOTOR COMPANY 05/10/16 FOHRMAN, DONALD W & ASSOCS 672 16WC 16961 GUILLEN, IRENE T FEDERAL EXPRESS CORP 07/14/15 ANKIN LAW OFFICE 673 16WC 16963 JOHNSON, GRETA J CITY OF CHICAGO DEPT OF P 02/17/16 ANKIN LAW OFFICE 674 16WC 16986 MASSINGILL, DANNY DHL 04/27/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 675 16WC 17035 GUTIERREZ, JAIME AMERICAN AIRLINES 02/01/16 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 676 16WC 17045 CRUZ, ROBERTO ARACELY'S BAKERY 03/10/16 DISPARTI LAW GROUP PA 677 16WC 17077 THOMAS, JENNIFER THE CATHOLIC CHARITIES 04/27/16 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 678 16WC 17107 ORTIZ, HECTOR SLOAN VALVE COMPANY 05/16/16 OSVALDO RODRIGUEZ PC NYHAN BAMBRICK KINZIE & LOWR 679 16WC 17170 BIZZARO, NORMA ESPERANZA COMMUNITY SERVI 02/25/16 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 680 16WC 17259 MAGDALENO, RAUL CHALET LANDSCAPING CO 06/01/13 MANUAL CARDENAS & ASSOC HENNESSY & ROACH PC 16WC017264 -C 681 16WC 17328 WALTERS, VERNON CTA 05/26/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 682 16WC 17363 JUNG, DAYNA UNITED AIRLINES INC. 02/21/16 CULLEN HASKINS NICHOLSON 683 16WC 17412 ORDETX, ROSA FIARMONT PROPERTY MGMT 03/21/16 FRANCIS J DISCIPIO LAW OFF 684 16WC 17454 ABUDAYYEH, ZIAD CHICAGO TRANSIT AUTHORITY 02/22/16 CAPRON & AVGERINOS PC CHICAGO TRANSIT AUTHORITY 685 16WC 17476 MOLINA, JORGE J B HUNT TRANSPORT INC 04/10/16 RICHARD J ZABORSKY MCANANY VANCLEVE & PHILLIPS 686 16WC 17509 GARCIA, MARIA G LA TOURAINE LLC 10/11/15 MICHAEL CONRAD WIEDNER & MCAULIFFE LTD 687 16WC 17568 BORON, DARIUSZ LOGISTICS SOLUTIONS OF FL 05/13/16 NEWLAND & NEWLAND 688 16WC 17588 ZAVALA, MARIA MVP WORKFORCE/PURE'S FOOD 06/01/16 GOLDSTEIN BENDER & ROMANOF 689 16WC 17701 MASON, MICHAEL HOUSING AUTHORITY COOK CO 04/07/15 MEYERS & FLOWERS 690 16WC 17737 GRAY, DANIEL EQUINIX, INC 08/21/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 691 16WC 17764 RAMIREZ, JOSE MILLWOOD INC 04/20/16 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 692 16WC 17783 RAPCIAK, IRENA BWAY CORPORATION INC 05/23/16 ROSS TYRRELL HOLECEK & ASSOCIATES 693 16WC 18278 GLOVER, EVELYN SCHWAB REHABILITATION 04/22/16 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 694 16WC 18641 VOELKER, ROBERT W W SMITH CARTAGE # 05/16/16 R. MARK MARITOTE PC ROSARIO CIBELLA 695 16WC 21931 VILLAREAL, LUCILA ARAMARK 06/14/16 GORDON & CENTRACCHIO LLC RUSIN & MACIOROWSKI LTD 696 16WC 22157 BRANDON, DWAYNE CITY OF CHICAGO 12/08/15 KUMLIN & FROMM CITY OF CHICAGO 697 16WC 25345 TOUSANT, SHARRON FRIENDSHIP VILLAGE 05/05/16 VRDOLYAK LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 698 16WC 25373 PHILLIPS, GARY ANIXTERCENTER 05/26/16 GOLDSTEIN AIOSSA & GOOD 699 16WC 25405 HARRIS, MAURICE PEOPLE'S GAS 09/23/15 GALLAGHER, DONALD V GAROFALO SCHREIBER STORM 700 16WC 25457 HODGES, MELVINA WOODBRIDGE NURSING 07/11/16 DWORKIN AND MACIARIELLO 701 16WC 25482 CRUZ, ANTHONY CTA & SEDWICK 02/18/14 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 702 16WC 25496 DORMOY, JEAN PRONTO STAFFING SERVICES, 08/10/16 SALK, STEVEN B & ASSOC LTD SLAVIN & SLAVIN 703 16WC 25527 PULGARIN, ANA LBP MANUFACTURING 04/08/15 MC HARGUE, JAMES P LAW OFF 704 16WC 25546 MAURICIO, ALFREDO AUTO TRUCK GROUP 07/08/16 LAW OFFICES LEONARDO MORAL BRADY CONNOLLY & MASUDA PC 705 16WC 25587 MOORE, GREGG D CITY OF CHICAGO 08/12/16 WILLIAM MARTAY CITY OF CHICAGO 706 16WC 25614 PARTIDA, VICENTE ALLTOWN BUS COMPANY 08/10/16 BRILL & FISHEL RODDY LAW LTD 707 16WC 25636 ANDREWS, ALONZO L. DRAPER AND KRAMER INC. 08/05/16 COSTA IVONE LLC 708 16WC 25706 PENA, ALBERTO ED MINIAT LLC 07/08/16 FRANK A CELANI POWER & CRONIN LTD 709 16WC 25744 LAKTZIAN, RACHEL BONTON D/B/A CARSONS 07/27/16 SKLARE LAW GROUP BRADY CONNOLLY & MASUDA PC 710 16WC 25817 BIHUN, NICK III SKYWEST AIRLINES, INC 07/27/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 711 16WC 25870 SCOTT-BROWDER, NAKIA CTA 07/26/16 URSULA BABICZ & ASSOC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 712 16WC 25920 SIGUENCIA, MARIA HELP AT HOME 04/09/15 WILLIAMS, ROBERT B LAW OFF MEACHUM & STARCK 713 16WC 26023 SEDA, JOSE THILLENS INC 08/13/16 RUBENS AND KRESS 714 16WC 26046 IRWIN, MICHAEL FARMERS INSURANCE 08/16/16 MEYERS & FLOWERS HENNESSY & ROACH PC 715 16WC 26075 BARRIENTOS, FARIT VIDEOJET TECHNOLOGIES, IN 07/26/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 716 16WC 26098 THOMAS, KIRK CITY OF CHICAGO 03/09/16 LEO M. BLEIMAN & ASSOC CITY OF CHICAGO 717 16WC 26123 KEMPER, JOSHUA FORD MOTOR CO 07/12/16 KREITER, BYCK & ASSOC LLP RUSIN & MACIOROWSKI LTD 718 16WC 26146 CERVANTES, MANUEL ARZTA 07/20/16 KATZ FRIEDMAN EAGLE ET AL 719 16WC 26162 JOHNSON, JOE LTI SERVICES 07/26/16 DEPAOLO ZADEIKIS GORE ROBERT L. SMITH 720 16WC 26187 MINARCIK, ANTHONY L VILLAGE OF MT PROSPECT 01/04/16 DWORKIN AND MACIARIELLO RODDY LAW LTD 721 16WC 26271 WARDINGTON, AARON L AT & T 07/19/16 SMOLER LAW OFFICE, PC HENNESSY & ROACH PC 722 16WC 26297 CUAZITL, OCTAVIO WENDY'S RESTAURANT 08/22/16 ROGER D RUDICH LTD HENNESSY & ROACH PC 723 16WC 26324 BRUDER, ROBERT TRANSPORT LEASING CONTRAC 05/15/15 CULLEN HASKINS NICHOLSON ROBERT L. SMITH 724 16WC 26376 MARTINEZ, MARITZA PRESENCE HEALTH 10/30/15 SEIDMAN MARGULIS & FAIRMAN 725 16WC 26444 SANCHEZ, JOSE A & A MIDWEST @ 12/18/15 KALOGERAKOS & ASSOC 726 16WC 26474 KAZAKOS, CHRISTOS TOWNSHIP HIGH SCHOOL 06/01/15 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 727 16WC 26487 JONES, PATRICK WILL COUNTY SHERIFF 08/13/16 COVEN LAW GROUP 728 16WC 26506 BANKS, BYRON HAZEL CREST SCHOOL DIST 1 08/04/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 729 16WC 26530 CAHUE, MARIA DEL CARMEN GOLD STANDARD BAKING 11/25/15 ENCINAS & ORNELAS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 730 16WC 26569 MONDRAGON, LLUVICELA CAREMARK GROUP, LLC 10/08/15 OSVALDO RODRIGUEZ PC 731 16WC 26601 HARTONO, LEEZA UNITED AIRLINES INC. 11/01/15 KATZ FRIEDMAN EAGLE ET AL 732 16WC 26699 WEBSTER, CAROLYN VARGAS GROUP 08/03/16 SALVATO & O'TOOLE INMAN & FITZGIBBONS 733 16WC 26718 MIX, THOMAS BLOMMER CHOCOLATE COMPANY 08/28/15 ANKIN LAW OFFICE 734 16WC 26839 MOTA, LUIS PERFORMANCE CONTRACTING I 07/20/16 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 735 16WC 26855 MICKLES, CHANTAI T CHICAGO TRANSIT AUTHORITY 08/22/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 736 16WC 26892 THOMAS, RETHA CITY OF CHICAGO 09/15/15 STROM, NEAL B 737 16WC 26909 WILLIS, MICHAEL DPI FOODS 08/15/16 STEVEN H MEVORAH & ASSOCIA 738 16WC 27024 PALMER, EURDICE ARAMARK 08/17/16 DAVID W MARTAY 739 16WC 27073 NAMBO, JULIO ALOIS BOX CO 08/08/16 FOHRMAN, DONALD W & ASSOCS 740 16WC 27104 ESTRELLA, RAFAEL KG 08/16/16 THE ROMAKER LAW FIRM SLAVIN & SLAVIN 741 16WC 27125 SCRUGGS, MARILYN J MACY'S CORPORATE SERVICES 06/30/14 ANKIN LAW OFFICE ROBERT L. SMITH 16WC027126 -C 742 16WC 27139 AVALOS, JUAN MANUEL RODRI LABOR SOLUTIONS, LLC. 05/18/16 743 16WC 27194 OLARRA, GABINO MIGUELS' LANDSCAPING 07/26/16 CUSHING LAW OFFICES MANUAL CARDENAS & ASSOC 744 16WC 27302 NICHOLS, OTIS COOK COUNTY DEPT CORRECTI 09/03/16 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 745 16WC 27353 VANKO, KEVIN AMERICAN BACK HOE SERVICE 08/19/16 746 16WC 27436 ANDRADE, TERESA OSS SERVICES, LLC/ 06/25/16 STEIN & CHERNEY LTD MEACHUM & STARCK 747 16WC 27513 RILEY, ERICA D CHICAGO TRANSIT AUTHORITY 08/26/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 748 16WC 27560 RAMIREZ, SERGIO EL MILAGRO INC 10/22/15 NIEMANN & PARKER 749 16WC 27612 SOMERVILLE-GRINSTEAD, CYN PRESENCE BEHAVIORAL HEALT 06/27/16 ROGER D RUDICH LTD 750 16WC 27693 HURLEY, JOSEPH CHICAGO TRANSIT AUTHORITY 06/29/16 ALEKSY BELCHER CHICAGO TRANSIT AUTHORITY 751 16WC 27715 BRYANT, MARVIN C CITY OF CHICAGO 08/15/16 DEPAOLO ZADEIKIS GORE 752 16WC 27728 BREHMER, BRANDON SUPERIOR AMBULANCE 07/29/16 STANCZAK LAW OFFICES POWER & CRONIN LTD 753 16WC 27766 HAYES, NANCY UNIVERSITY OF CHICAGO HOS 12/23/15 STROM, NEAL B HENNESSY & ROACH PC 754 16WC 27804 FERNANDEZ, PEDRO SORIA SEBERT LANDSCAPING 06/25/14 SEIDMAN MARGULIS & FAIRMAN 755 16WC 27825 CASTILLO, MARIA SHIFTGIG BULLPEN 07/26/16 TAMVAKIS, GEORGE L RUSIN & MACIOROWSKI LTD 756 16WC 27850 POOLE, APRIL STAFF RIGHT 08/31/16 LAW OFFICES TIMOTHY HENDER 757 16WC 27908 ORTIZ, GABRIEL ELITE STAFFING INC 09/03/16 SALK, STEVEN B & ASSOC LTD 758 16WC 28114 WHITTAKER, MIKE JENNINGS CHEVROLET 03/21/16 STROM, NEAL B 759 16WC 33043 GRANDE, MARIBEL HYATT REGENCY 10/07/15 ELFENBAUM EVERS & AMARILIO NYHAN BAMBRICK KINZIE & LOWR 760 16WC 34114 TRUCHAN, JAN PREMIER DELIVERY, INC * 02/10/16 CULLEN HASKINS NICHOLSON 761 16WC 34133 COTTON, CHERAL CITY OF CHICAGO, DEPARTME * 10/26/16 DWORKIN AND MACIARIELLO 762 16WC 34307 RUSSELL, MELISSA D VILLAGE OF SKOKIE * 07/06/16 FIGLIOLI, DAVID VILLAGE OF SKOKIE 763 16WC 34323 KRAFT, ROBERT JEWEL OSCO * 09/24/16 STEVEN J MALMAN & ASSOCIAT 764 16WC 34343 ALVAREZ, JOSEFINA RONS STAFFING SERVICES IN * 11/01/16 HECTOR ESPITIA GAROFALO SCHREIBER STORM 765 16WC 34364 TUMPANE, THOMAS CITY OF CHICAGO * 04/18/16 TIMOTHY E. TAKASH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 766 16WC 34394 MARTINEZ, TERESA PHOENIX BINDING CORP * 06/19/14 COSTA IVONE LLC 767 16WC 34413 CORTEZ, FRANCISCO LB METAL, LLC * 10/27/16 KREITER, BYCK & ASSOC LLP 768 16WC 34510 SIMMONS, PATRICK A FEDERAL EXPRESS * 08/23/16 GALLIANI DOELL & COZZI LTD 769 16WC 34541 GARCIA, RAMON LUXURY MOTORS CREDIT INC * 10/01/16 RUEDA, IVAN A 770 16WC 34563 DURR, PHILLIP JEWEL-OSCO * 03/23/16 MEYERS & FLOWERS 771 16WC 34627 HELLER, WILLIAM DOUMAK, INC * 06/10/15 HOLECEK & ASSOCIATES 772 16WC 34640 BAEZ, REBECCA STAFFWORKS, LLC * 02/25/16 DAVID W MARTAY INMAN & FITZGIBBONS 773 16WC 34674 PEEPLES, KIMBERLY CHICAGO TRANSIT AUTHORITY * 11/11/16 SALK, STEVEN B & ASSOC LTD CHICAGO TRANSIT AUTHORITY 774 16WC 34696 JOHNSON, ROBERT HMD TRUCKING * 02/08/15 MARSZALEK AND MARSZALEK 775 16WC 34734 DIAZ, JOSE M PEERLESS IMPORTED RUGS IN * 10/14/16 LAW OFFICES PAPPAS & BELL 776 16WC 34776 TORRES, ELVIRA MARIANO'S * 09/07/16 COSTA IVONE LLC 777 16WC 34793 WALSH, MICHAEL VILLAGE OF SOUTH BARRINGT * 07/21/15 SCOTT BARBER 778 16WC 34826 GARCIA, LUCIO STAFFING NETWORK INC * 10/12/16 BERNAT & BERNAT PC 779 16WC 34858 BRODRICK, JAMIE LEHIGH HANSON INC * 03/09/16 RODDY LAW LTD 780 16WC 34906 O'HEHIR, SEAN CITY OF CHICAGO * 11/17/14 HEALY SCANLON LAW FIRM 781 16WC 34948 ROBINSON, ROBIN AW ZENGELER CLEANERS * 07/25/16 DAVID M SPADA 782 16WC 34985 HOWARD, WINSOME LUTHERAN HOME * 07/28/16 BRISKMAN BRISKMAN GREENBER 783 16WC 35017 SALINAS, WILLIAM MENASHA * 04/08/15 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 784 16WC 35076 PEURALA, JAMI WHOLE FOODS MKT GROUP, IN * 06/16/16 BRIAN J MC MANUS & ASSOC, 785 16WC 35120 DIAZ, JOSE PLASTICS COLOR CORP * 05/18/16 ROBERT H HANAFORD GAROFALO SCHREIBER STORM 786 16WC 35149 RIVERA, FELIX GE TRANSPORTATION SYSTEMS * 05/18/16 DWORKIN AND MACIARIELLO 787 16WC 35180 GODIN, GINA ELIZABETH LUDEMAN CENTER @ * 04/28/16 SPIROS LAW PC ASSISTANT ATTY GENERAL 788 16WC 35219 ROGERS, DYLAN T WE MASSAGE * 06/19/16 LEONARD LAW GROUP LLC 789 16WC 35239 NAREZ, JUANA RESIDENCE INN BY MARRIOT * 10/12/16 CHRISTIAN & MANNO 790 16WC 35261 UPCHURCH, LEE KAS SERVICES * 11/08/16 DWORKIN AND MACIARIELLO 791 16WC 35310 JIMENEZ-SOTELO, ROBERTO LITGEN CONCRETE CUTTING & * 04/07/16 GOLDBERG WEISMAN & CAIRO L 792 16WC 35328 DAWKINS, INELL SMG HOLDINGS, INC * 07/27/16 DEPAOLO ZADEIKIS GORE 793 16WC 35347 AGUILAR, LIDIA CHICAGO BOARD OF EDUCATIO * 03/21/16 BERG & BERG 794 16WC 35462 BOOTH, SHERITA CHICAGO TRANSIT AUTHORITY * 10/27/16 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 795 16WC 35511 DESIDERIO, JORGE E RV DUNIGAN CONSTRUCTION, * 09/27/16 STEVEN J MALMAN & ASSOCIAT 796 16WC 35533 DIVIZIO, DIANE M SUPERSONIC PETROLEUM, INC * 10/21/16 ANKIN LAW OFFICE 797 16WC 35590 MCLENDON, KEITH COOK COUNTY * 11/13/16 BURNES & LIBMAN 798 16WC 35645 VALLE, OSCAR JR RAINBOW INTERNATIONAL OF * 11/14/16 STEPHEN G PINTO LTD 799 16WC 35654 NAVAREZ, JESUS JJ2 LLC * 10/23/16 LAW OFFICE HOWARD ABRAMS 800 16WC 35693 WEATHERS, LATEISHA FALLAS RETAIL * 09/30/16 HERRERA LAW CENTER 801 16WC 35724 MULDOON, RON AEA SERVICES INC * 01/25/16 HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 802 16WC 35746 ROGERS, ZACHERY TIM STEFL INC * 04/06/16 NYHAN BAMBRICK KINZIE & LOWR 803 16WC 35820 SOUTHERN, JUANITA RICH TOWNSHIP DIST 227 * 11/02/16 ELFENBAUM EVERS & AMARILIO 804 16WC 35886 WINDSOR, RODRICK ARENA FOOTBALL ONE, LLC * 08/08/16 GORDON LAW OFFICES LTD 805 16WC 35893 ALLEN, EMERSON MANAGEMENT & TRAINING COR * 10/28/16 LEONARD LAW GROUP LLC 806 16WC 35947 GALINDO, MARIA MIDWAY AIRPORT HOTEL PART * 10/09/16 ACEVES & PEREZ PC 807 16WC 36008 LOY, GEORGE INDEPENDENCE TUBE CORPORA * 11/21/16 BRUCE RAFALSON LTD 808 16WC 36030 EIRIZ, ISABELLE UNITED AIRLINES INC. * 01/30/16 BRIAN J MC MANUS & ASSOC, 809 16WC 36047 DANGERFIELD, TIM ESTES TRUCKING * 11/22/16 MICHAEL P MCCREADY & ASSOC 810 16WC 36114 WEEDEN, ANTHONY COOK COUNTY CUSTODIAL DEP * 07/13/15 BAUM RUFFOLO & MARZAL LTD 811 16WC 36138 DUNKIN, RUBEN TPG STAFFING, LLC * 11/09/16 ROGER D RUDICH LTD 812 16WC 36158 NICHOLSON, RONNIE TITAN ELECTRIC LLC * 05/02/16 HORWITZ HORWITZ & ASSOC 813 16WC 36176 KEPURAITAS, EDWARD INTERN, INC * 07/29/15 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 814 16WC 36229 TESTA, FRANK CARQUEVILLE PRINTING * 10/09/14 JAMES W GREEN, JR 815 16WC 36274 BYRO, DANIEL MIDWEST SALT, LLC * 07/01/15 DECARLO LAW GROUP 816 16WC 36288 MASLANKA, PAUL GENERAL CEILING OF ILLINO * 09/02/15 ASHER, RAYMOND L LTD 817 16WC 36337 HARDING, KHADIJAH PARK VILLA NURSING HOME * 11/20/16 VASILATOS & COTTER LLC 818 16WC 36357 ZOLLNER, BRIAN CITY OF CHICAGO FIRE DEPT * 02/26/16 WILLIAM S. WOJCIK LTD 819 16WC 36383 OWEN, NATALIE AMERICAN AIRLINES * 11/07/16 SAUNDERS CONDON & KENNY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 820 16WC 36425 MULLIN, CHISTOPHER SKOKIE COUNTRY CLUB * 07/27/16 CULLEN HASKINS NICHOLSON 821 16WC 36445 HALL, DEMETRIUS AL WARREN OIL CO * 11/15/16 DWORKIN AND MACIARIELLO 822 16WC 36506 KOMPERDA, STANLEY CENTRAL STEEL & WIRE CO * 09/02/16 GRAZIAN & VOLPE PC 823 16WC 36544 THOMPSON, SIDNEY L ATLAS EMPLOYMENT SVCS INC * 11/15/16 ANKIN LAW OFFICE ROBERT L. SMITH 824 16WC 36573 BURGOS, SANDRA HOMETOWN BAGEL INC * 08/12/16 CUSHING LAW OFFICES 825 16WC 36598 BARRERA, MICHAEL COOK COUNTY SHERIFF DEPT * 10/29/16 KARCHMAR & STONE 826 16WC 36630 OBERDIECK, SANDRA ENTERTAINMENT PARTNERS * 06/08/16 RICHARD O. GREENFIELD 827 16WC 36678 MCKISSICK, ARIEL C DUNKIN DONUTS * 11/27/16 STROM, NEAL B 828 16WC 36709 PIAZZA, SAM LAGRANGE CRANE SERVICE IN * 11/10/16 GOLDBERG WEISMAN & CAIRO L 829 16WC 36736 PETERSON, JERRELL L EYM PIZZA OF ILLINOIS LLC * 10/29/16 ANKIN LAW OFFICE 830 16WC 36780 LEBRON, REBECCA EXPRESS EMPLOYMENT * 10/10/16 BERG & BERG 831 16WC 36827 VARELA, ESTHER PETE'S FRESH MARKET * 04/26/15 SALK, STEVEN B & ASSOC LTD 832 16WC 36861 VINAS LIZARDI, ARACELI MINUTE MEN/ALTON INDUSTRI * 01/23/16 RUEDA, IVAN A 833 16WC 36892 LONG, KARLA AMERICAN AIRLINES * 10/25/16 RUBENS AND KRESS 834 16WC 36987 DAMIAN-HERNANDEZ, MARTIN TARGET * 11/30/16 ASHER, RAYMOND L LTD 835 16WC 37007 GREENE, ASHLEY ARAMARK CORP. * 11/28/16 DWORKIN AND MACIARIELLO 836 16WC 37054 GIBBONS, DENISE M SUMMERDALE EARLY * 11/28/16 KATZ FRIEDMAN EAGLE ET AL 837 16WC 37090 HAZELWOOD, POPPI LAKEFRONT NURSING & REHAB * 11/09/16 MC HARGUE, JAMES P LAW OFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 01/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 838 16WC 37116 BUSH, MITCHELL CITY OF CHICAGO * 10/24/16 DANIEL PERIASWAMY 839 16WC 37144 BUENO, ROSARIO RESTORATION HARDWARE * 09/17/16 CHEPOV & SCOTT LLC 840 16WC 37192 CARMER, JENNIFER R.S. OWENS & COMPANY * 03/02/15 BRISKMAN BRISKMAN GREENBER 841 16WC 37201 MORALES, ROSA AMERICAN COLLEGE OF HEALT * 10/31/16 LAW OFFICE OF SCOTT B SHAP 842 16WC 37223 FORTSON, MACHARIA ILLINOIS STATE POLICE @ * 11/07/16 SEIDMAN MARGULIS & FAIRMAN 843 16WC 37287 ESPARZA, GERALDO RAHCO RUBBER INC * 11/14/16 HART & DAVID LLP 844 16WC 37324 DEUTER, DOUGLAS PREMIER LANDSCAPE CONTRAC * 12/09/13 BOUDREAU NISIVACO LLC