ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 03097 RAMIREZ, ELIZABETH HEALTHCARE ALTERNATIVE SY 09/20/01 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS, LTD. 2 05WC 52698 BRUMAGIM, TERESA UNITED AIRLINES INC 08/26/05 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 3 07WC 15696 CHRACA, ANDRZEJ UNITED WOODWORKING, INC 04/19/04 JOHN C WUNSCH, PC BRADY CONNOLLY & MASUDA PC 4 07WC 27239 NOTARIANO, FRANK ST OF IL-CMS @ 02/01/07 ORZOFF LAW OFFICES ASSISTANT ATTORNEY GENERAL 5 07WC 42954 ADAMS, JAMES H ST OF IL-ILLINOIS DEPT. O @ 07/10/07 BURNES & LIBMAN ASSISTANT ATTORNEY GENERAL 6 07WC 51435 SKRZECZYNA, RYSZARD Z ART HEATING CORP 11/07/07 KENNETH B GORE, LTD HOLECEK & ASSOCIATES 7 08WC 11724 RESIC, BEKIR BOWE BELL AND HOWELL 12/14/07 RITTENBERG & BUFFEN GALLIANI DOELL & COZZI LTD 8 08WC 37906 KARKOSZ, KAJETAN NORMAN MECHANICAL 06/30/08 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 9 08WC 50098 BURTON, RENE V STATE OF ILLINOIS @ 07/05/06 LOCASCIO, MARK A LTD ASSISTANT ATTORNEY GENERAL 10 08WC 55082 MORENO, FLORIBERTO LAURENCE VENZERA D/B/A W 12/02/08 CULLEN, HASKINS, NICHOLSON MC ANDREWS & NORGLE LLC 11 09WC 00596 MENDEZ, DOLORES CHICAGO BOARD OF EDUCATIO 12/16/08 MINKOW DOMIN LAW DEPARTMENT 12 09WC 03692 BARBER, SERRA JOHN J MADDEN MENTAL HEAL @ 06/20/08 CULLEN, HASKINS, NICHOLSON ASSISTANT ATTORNEY GENERAL 09WC040970 -C 09WC046171 -C 13 09WC 30084 CASSELL, JOHN NELSON WESTERBURG COMPANY 07/15/09 SANDMAN LEVY & PETRICH JAMES M KELLY 14 09WC 46364 MANTILLA, ELIZA SALON ALLURE W 01/01/08 JAMES ELLIS GUMBINER & ASS MATTHEW J KELLER 15 10WC 31579 STEVENS, FLETCHER K GREAT LAKES ICE CREAM LLC W 08/09/10 STEWART C ORZOFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 10WC 31719 PITCHFORD, DARWINTA CITY OF CHICAGO 07/24/10 CULLEN HASKINS NICHOLSON 17 10WC 36070 WROBEL, MARK ARKANSAS BEST FREIGHT 11/14/08 LEONARD LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 17WC029481 -C ABF FREIGHT 18 10WC 40045 19B BARHOUMEH, KEN CITY OF CHICAGO 10/10/10 HEALY SCANLON LAW FIRM HENNESSY & ROACH PC 12WC005993 -C 13WC001783 -C 16WC034125 -C 19 11WC 01836 DAVIDSON, CHARLES CITY OF CHICAGO DEPT OF 05/11/10 LAW OFFICE OF SCOTT B SHAP CITY OF CHICAGO 20 11WC 09058 TASKER, ELRAY C CHICAGO PUBLIC SCHOOLS 02/17/11 SOSTRIN AND SOSTRIN PC LEAHY EISENBERG & FRAENKEL 21 11WC 21833 CASTILLO, GLORIA PACTIV CORPORATION 01/11/11 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 22 11WC 29799 O'NEILL, DANIEL CASE FOUNDATION COMPANY 09/02/08 CULLEN HASKINS NICHOLSON THOMAS & PORTELA 23 11WC 29842 CHANEY, BILLY F, SR STATE OF IL 07/19/11 MARSZALEK AND MARSZALEK COLIN KICKLIGHTER 11WC029843 -C 24 11WC 36335 ARNOLD, LARON LORETTO HOSPITAL 08/15/11 NEMEROFF LAW OFFICES GAROFALO SCHREIBER STORM 25 11WC 40508 GARCIA, REBECCA COOK COUNTY SHERRIFF'S DE 10/09/11 RICHARD E ALEKSY INMAN & FITZGIBBONS 26 11WC 41716 CRUZ, MARCELA WEBER GRILL RESTAURANT LL 10/08/11 ANKIN LAW OFFICE GRANT & FANNING 27 12WC 04999 OREND, MICHAEL IL BELL TELEPHONE CO/AT & 11/14/11 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 28 12WC 05675 RODDY, ROBERT D MEADE ELECTRIC COMPANY 09/07/11 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 15WC009532 -C 29 12WC 07044 CLAY, LISA ARCHDIOCESE OF CHICAGO 05/26/11 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 12WC 11205 WILLIAMS, THAIS CHICAGO TRANSIT AUTHORITY 03/11/12 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 31 12WC 13569 LAZARO, MAGDALENA ROSCOE COMPANY 04/09/12 TOPPER & WEISS LTD POWER & CRONIN LTD 14WC039169 -C 32 12WC 15673 ARCE, ADRIAN T CITY OF CHICAGO 05/25/10 KENNETH B GORE, LTD CITY OF CHICAGO 12WC015674 -C 14WC018914 -C 33 12WC 15815 GOMEZ, HERMILO WALMART STORES INC D/B/A 11/21/11 LAW OFFICE PHILIP BLOMBERG GANAN & SHAPIRO 14WC007775 -C WAL-MART STORES, INC 34 12WC 16812 CHAMBERLIN, DEBORAH A COMMUNITY CONSOLIDATED 02/13/12 FOTOPOULOS, JOHN S RUSIN & MACIOROWSKI LTD 13WC018487 -C 35 12WC 18721 HAYES, CALVIN SOUTHWEST AIRLINES 10/17/08 NEWLAND & NEWLAND HENNESSY & ROACH PC 36 12WC 22150 BRAVO, SANDRA NORDSTROM 12/08/11 JONATHAN SCHLACK ROBERT L. SMITH 12WC031952 -C 37 12WC 27570 DIVIRGILIO, BETH ILLINOIS STATE POLICE @ 07/15/12 JAMES M RIDGE LAW OFFICE 38 12WC 28597 SANDOVAL, EDIBERTA SAN JOSE IMPORTS INC 07/27/12 GOLDSTEIN BENDER & ROMANOF LAW OFFICES KRISTEN M KOZLOW 39 12WC 28857 MALARET, CARMEN AMERICAN EAGLE AIRLINES 07/17/12 ASHER, RAYMOND L LTD GAROFALO SCHREIBER STORM 40 12WC 29310 MONTENEGRO, SOCORRO TAAP CORPORATION 10/27/11 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 41 12WC 31782 PEREZ, JUAN C ALTERNATIVE STAFFING 08/21/12 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 12WC041331 -C LABOR TEMPS SOUTH INC 42 12WC 32774 LIPSKI, JACK MIDLAND METAL PRODUCTS 03/29/12 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 43 12WC 33997 ROMERO, ELIZABETH CTA 05/08/12 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 44 12WC 39702 SHILWA, GRACIELA LUTHERAN GEN HOSPITAL 09/18/12 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 15WC031057 -C 45 12WC 41323 ROY, KATHERINE CHICAGO BOARD OF EDUCATIO 09/26/12 DAVID W MARTAY LAW DEPARTMENT 46 12WC 42330 DOUGLAS, JEFFREY CITY OF CHICAGO 12/06/12 FRIEDMAN & SOLMOR LTD CITY OF CHICAGO 47 13WC 04446 BONILLA, ORLANDO CROTHALL LAUNDRY SERVICES 08/08/12 HETHERINGTON KARPEL BOBBER GANAN & SHAPIRO 48 13WC 04521 GUEST, PHILIP LOYOLA UNIVERSITY CHICAGO 10/18/10 VASILATOS & COTTER LLC LORENZ & BERGIN PC 49 13WC 05054 CENTENO, RAY VALLI PRODUCE 02/02/11 ROMANEK & ROMANEK GANAN & SHAPIRO 13WC005055 -C 50 13WC 14865 CHIOVINO, GINA HYATT REGENCY O'HARE 01/24/13 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 51 13WC 16800 VILCEANU, MARIOARA SEARCH DEVELOPMENT CENTER 03/01/13 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 52 13WC 17627 WILSON, ERIC FRESENIUS MEDICAL CARE 02/04/13 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 53 13WC 18820 MENDEZ, MAYRA ELI'S CHEESECAKE COMPANY 01/07/12 LUIS A ACEVES & ASSOC HOLECEK & ASSOCIATES 54 13WC 19183 JOHNSON, JAMES VILLAGE OF HOFFMAN ESTATE 05/31/13 RIFFNER BARBER ROWDEN & SC RODDY LAW LTD 55 13WC 19754 BANKS, CAROLYN E IL DEPT OF HEALTHCARE & @ 02/14/13 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 13WC036789 -C ST OF IL, IL DEPT OF 56 13WC 23509 HICKS, GRY A CITY OF EVANSTON 03/16/13 THOMAS W DUDA WIEDNER & MCAULIFFE LTD 57 13WC 26059 BAEZ, EVANGELISTA JR EDGEWATER BEACH APARTMENT 06/05/13 BAUM RUFFOLO & MARZAL LTD LAW OFFICES OF EDWARD J. KOZ 13WC026060 -C 58 13WC 30052 SWON, STEPHEN A BURKE BEVERAGE INC 02/04/13 LANZILLOTTI GRIBBEN & MARC HEYL ROYSTER VOELKER & ALLEN 59 13WC 38491 KOLENDOWICZ, ELKE AMERICAN AIRLINES 09/26/13 SAUNDERS CONDON & KENNY 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 STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 60 13WC 39453 DUNBAR, LARRY D WE CLEAN MAINTENANCE & 08/16/13 VITELL & SPITZ LTD GANAN & SHAPIRO 61 13WC 42502 HASELTINE, STANLEY CITY OF CHICAGO 12/06/13 JOHN F GREGORIO & ASSOC HENNESSY & ROACH PC 62 14WC 00932 WASHINGTON, FLORA CHICAGO TRANSIT AUTHORITY 01/02/14 MC HARGUE & JONES CHICAGO TRANSIT AUTHORITY 63 14WC 02524 PRESNY, KEVIN PETRA STONE & TILE 11/18/13 CUDA LAW OFFICES GANAN & SHAPIRO 14WC002525 -C 14WC002526 -C 14WC002527 -C 14WC002528 -C 64 14WC 03149 HUNTER, DOROTHY CHICAGO PUBLIC SCHOOLS 01/21/14 STEPHEN G PINTO LTD LAW DEPARTMENT 65 14WC 04291 HERNANDEZ, CHERRY CHICAGO PUBLIC SCHOOLS 01/08/14 WITTENBERG DOUGHERTY MAGLI LAW DEPARTMENT 15WC025136 -C 15WC025137 -C 66 14WC 04719 ANDERSON, DWAYNE D RICHOH BUSINESS SOLUTIONS 07/20/12 DWAYNE ANDERSON MEACHUM & STARCK 67 14WC 04903 LOPEZ, HARRY KONE, INC 01/21/14 GREGORIO & MARCO GAROFALO SCHREIBER STORM 68 14WC 04967 BRONOWICZ, KRZYSZTOF RESTORE RESTORATION INC 02/18/11 MINKOW DOMIN LAW OFFICES JOSEPH MARCINIAK 69 14WC 08427 MEDINA, ADRIAN CENTRAL TRANSPORT 01/27/14 NEMEROFF LAW OFFICES HINSHAW & CULBERTSON 70 14WC 10506 GARCIA, AGUSTINA UNITED MAINTENANCE 02/02/14 CULLEN HASKINS NICHOLSON LEAHY EISENBERG & FRAENKEL 71 14WC 14282 ERWIN, KATHLEEN HICKORY WEST MOTEL 03/30/14 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 72 14WC 15128 HUFFINE, MARK FORD MOTOR COMPANY 10/28/13 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 73 14WC 16024 MARCINIAK, KRZYSZTOF STATE OF ILLINOIS DEPT OF @ 03/17/14 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 74 14WC 17241 MARTINEZ, ALEXIS GL SUPER SERVICE INC C/O 02/24/14 HETHERINGTON KARPEL BOBBER GRANT & FANNING 75 14WC 24151 TROCHIN, JOANNE T COOK COUNTY DEPT OF 03/13/14 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 76 14WC 24234 MADRY, MICHAEL SODEXO INC 05/19/14 STELZMAN, RUTH INMAN & FITZGIBBONS 77 14WC 25266 BOYAJIAN, MATT J JW DAVIDSON HEATING W 06/02/14 SEIDMAN MARGULIS & FAIRMAN 78 14WC 26082 CARTER, AQUANITA CITY OF CHICAGO DEPT OF 07/18/14 SHELDON I MINKOW & ASSOCIA CITY OF CHICAGO 14WC027877 -C 14WC034170 -C 79 14WC 26248 HOIUM, SHARLET NEIMAN MARCUS 04/04/13 THOMAS R LICHTEN MEACHUM & STARCK 80 14WC 26265 SCHELL, RICK LEHIGH HANSON 06/02/14 DWORKIN AND MACIARIELLO RODDY LAW LTD 81 14WC 26469 HILL, JOYCE CTA 07/10/14 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 82 14WC 28370 SCHENFELD, PAUL J CITY OF CHICAGO-OEMC 07/02/14 ANESI OZMON RODIN NOVAK KO CITY OF CHICAGO 18WC017562 -C 83 14WC 28393 DEL BOSQUE, HECTOR JOE LAWRENCE ENTERPRISES 07/28/14 SEIDMAN MARGULIS & FAIRMAN 84 14WC 33945 HUFF, ANDRE CTA 06/11/14 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 85 14WC 34274 PHARR, CATHERINE JACKSON PARK HOSPITAL 09/01/14 SEIDMAN MARGULIS & FAIRMAN ODELSON & STERK 86 14WC 36343 TELO, ASHMOAEL ARAMARK 02/05/14 SEIDMAN MARGULIS & FAIRMAN STONE & JOHNSON CHARTERED 87 14WC 36559 MORGAN, REBECCA GREATER HOLY TEMPLE OF 10/16/14 ANKIN LAW OFFICE 88 14WC 37354 TERRY, ROSS A-1 COUNTRY FIREWOOD 09/20/14 VRDOLYAK LAW GROUP LLC MARK G BERGAL LAW OFFICE 89 14WC 37652 HATLEY, ANTONIO DESIGN PACKAGE COMPANY 10/24/14 SHELDON I MINKOW & ASSOCIA 90 14WC 38961 MORRIS, JEFF CPC LOGISTICS INC 10/06/14 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 91 14WC 39067 WALKER, CYNTHIA COOK COUNTY 10/03/14 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 92 14WC 39574 MCLAURIN, ZARAK CITY OF CHICAGO 08/21/14 DWORKIN AND MACIARIELLO CITY OF CHICAGO 16WC011548 -C 93 14WC 40795 UPHAM, ERIC J IQ INVESTMENTS W 08/01/14 GUMMERSON & RAUSCH LLC RIFFNER BARBER ROWDEN & SCOT 94 15WC 01626 MAZUREK, MICHAEL G ROLLINS INC 10/07/14 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC 95 15WC 02591 FUKSA, ARNOST WAUKESHA TOOL & STAMPING 10/25/14 WHITESIDE & GOLDBERG LTD HOLECEK & ASSOCIATES 96 15WC 03245 BENDA, CLAUDIA PALOS COMMUNITY HOSPITAL 02/29/12 MAGNUSON, LAWRENCE K, PC POWER & CRONIN LTD 97 15WC 03399 BARKER, WILLIAM J ATLAS VAN LINES, INC. 06/13/14 MARKER & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 98 15WC 03584 BOND, THOMAS W FH PASCHEN 11/18/14 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 99 15WC 03696 PIZARRO, JOSE ENTERPRISE 11/22/14 DAVID W MARTAY KNELL & O'CONNOR 17WC009765 -C 100 15WC 03856 BENAVIDES, JOSE L CITY OF CHICAGO 12/31/14 PARENTE & NOREM PC 101 15WC 03880 BARRY, THOMAS J MISERICORDIA HOME 10/12/14 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 102 15WC 03974 POSADA, ENRIQUE CLEAR STAFF INC 01/08/15 PORRO NIERMANN LAW GROUP ACCIDENT FUND HOLDINGS 103 15WC 04431 JACKSON, DINA LUDEMAN DEVELOPMENTAL @ 11/02/14 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 104 15WC 05187 EDWARDS, BARBARA RICH TOWNSHIP HIGH SCHOOL 01/20/15 RAYMOND P GARZA LAW OFFICE INMAN & FITZGIBBONS 16WC013008 -C 105 15WC 05427 CRUZ, MARISOL CTA 09/22/14 CHEPOV & SCOTT LLC 106 15WC 11331 HULL, KATHE UNITED AIRLINES 06/25/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 107 15WC 13656 COSTNER, ELI SCREW MACHINE ENGINEERING 05/17/13 ANGELINI & ORI LLC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 108 15WC 14307 TREJO, ENEDINO SIGNODE INDUSTRIAL GROUP 08/22/14 SALVATO & O'TOOLE HENNESSY & ROACH PC 109 15WC 14428 LITTLE,ERIC MOST VALUABLE PERSONNEL 04/22/15 MARC J SHUMAN & ASSOCIATES KRAKER FANNING & OLSEN 110 15WC 14439 ROMZA, ROBERT KOPPERS 04/20/15 ANGELINI & ORI LLC 111 15WC 15094 MONRREAL, PABLO ESMARK STEEL GROUP 04/21/15 ASHER, RAYMOND L LTD MEACHUM & STARCK 112 15WC 15190 RIVERA, LORETO ELITE STAFFING 10/10/14 CULLEN HASKINS NICHOLSON 113 15WC 15474 PENA-RIOS, GUADALUPE ALLIED TOOL AND CONDUIT C 02/11/15 COLLISON LAW OFFICES KNELL & O'CONNOR 114 15WC 15864 THOMSON, KIRK C U S A HOIST 04/22/15 TURCYCHUTE LLC LITCHFIELD CAVO 115 15WC 15917 SIERROS, STEVEN TOTAL AIRPORT SERVICES 05/04/15 DWORKIN AND MACIARIELLO THOMAS & PORTELA 116 15WC 15997 ROTTO, DOMINIC CHICAGO TRANSIT AUTHORITY 01/20/15 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 117 15WC 16448 BLACK, JANICE PRAIRIE STATE COLLEGE 02/23/15 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 15WC016449 -C 15WC016450 -C 118 15WC 16505 HURD, CASSANDRA Y CTA 04/27/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 119 15WC 16770 MARBENA, ANTWAN TREVINO CARPET AND TILE C 01/14/15 MARK G BERGAL LAW OFFICE MEACHUM & STARCK 120 15WC 16811 STEELE, KIM E IL DEPT OF TRANSPORTATION 04/15/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 16WC032095 -C IDOT HWY DIV 121 15WC 16832 VEGA, FABIAN A ADVOCATE ILLINOIS MASONIC 12/21/14 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 122 15WC 18142 GRAY, CHAUNDELL CITY OF CHICAGO - SANITAT 06/30/14 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 15WC018143 -C 123 15WC 18968 OJEDA, IGNACIO VOVANTIN LABOR NETWORK 05/11/15 ANKIN LAW OFFICE ROBERT L. SMITH 124 15WC 20879 GALBRAITH, DANIEL CHICAGO DEPT OF FLEET2FM 06/18/15 SALVATO & O'TOOLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 125 15WC 22684 MCNAMERA, DAVID W. CITY OF CHICAGO 05/16/15 DISPARTI LAW GROUP PA CITY OF CHICAGO 126 15WC 23039 FIGUEROA, RUTH CITY OF CHICAGO/COMMITTEE 05/06/14 DEPAOLO & ZADEIKIS CITY OF CHICAGO 127 15WC 23259 SHAHNAWAZ, ELAHI UNITED AIRLINES INC. 06/15/15 COPLAN & CRANE, LTD 128 15WC 23270 UNZUETA, FLORENTINA ARAMARK MGMT SYSTEMS 06/28/15 MC HARGUE & JONES STONE & JOHNSON CHARTERED 129 15WC 23320 HARRISON, MICHELLE COACH USA MEGABUS 07/23/15 RUBIN LAW GROUP POULOS & DIBENEDETTO LAW 16WC012584 -C 130 15WC 23482 NUNEZ, JOSE G PAGE LANDSCAPING INC 07/08/15 RIDGE & DOWNES CAPUANI, FRANK S 131 15WC 23563 CORIA, ADRIANA E GABBY'S BAGEL 03/19/15 EFTEKHARI LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 132 15WC 23705 MCFADDEN, CINDY M CHICAGO BOARD OF ED 04/28/14 WILLIAM MARTAY CHGO BOARD OF EDUCATION 133 15WC 24127 FLUCAS, DOROTHY KATES DETECTIVE & SECURIT @ W 09/14/13 CHASE & WERNER LTD 15WC024128 -C 16WC036505 -C 134 15WC 24343 GOWDER, LARRY O&K AMERICAN CORP 08/08/15 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 135 15WC 24397 PIETRAROSSO, JOHN C. SR. MAIN TOWNSHIP HIGH SCHOOL 05/05/14 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 136 15WC 25270 MAZZUCA, WADE DENTON LOGISTICS 07/06/15 DIXON LAW FIRM JAMES M KELLY 137 15WC 25571 STEVENSON, ANGELA VANGUARD HEALTH SERVICES 05/27/15 MARC J SHUMAN & ASSOCIATES HENNESSY & ROACH PC 138 15WC 26636 SMITH, BENNY WALMART, INC. 06/26/15 DAVID W MARTAY QUINTAIROS PRIETO WOOD & BOY 139 15WC 26749 GRILL, MARTIN RIVER FOREST POLICE DEPAR 06/04/14 MEYERS & FLOWERS POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 140 15WC 27073 JOHNSON, CANDICE A CHGO DEPT OF TRANSPORTATI 02/04/15 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 141 15WC 27291 GORDON, ALFRED AXLE TECH INTERNATIONAL 04/01/15 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 142 15WC 27838 LARA, FRANK F.E. MORAN FIRE PROTECTIO 04/05/14 BOUDREAU NISIVACO LLC WIEDNER & MCAULIFFE LTD 143 15WC 27998 RAMIREZ, DANNY KERRY, INC 08/26/15 RITTENBERG & BUFFEN STONE & JOHNSON CHARTERED 16WC008091 -C 144 15WC 28401 MALIK, KHALID YELLOW CAB AFFILIATION, I 05/01/15 CHASE & WERNER LTD 145 15WC 30897 ESTEBAN, MICHAEL CITY OF CHICAGO 06/23/15 COVEN LAW GROUP 146 15WC 31113 ALLEN, SHATIA ELITE STAFFING 09/11/15 SKLARE LAW GROUP 147 15WC 33933 ORTIZ, THANIA CALIFORNIA GARDENS NURSIN 07/01/15 BUDIN LAW OFFICES MCCABE KIRSHNER PC 148 15WC 36630 CSECH, PAUL ARAMARK 01/15/14 GOLDBERG WEISMAN & CAIRO L STONE & JOHNSON CHARTERED 149 15WC 37009 TORRES, MARIA DELTRA PETROLEUM 12/13/14 LAW OFFICE HUGO ORTIZ 150 15WC 37308 SIKANICH, STEVEN CITY OF CHICAGO 11/16/15 PETER D CORTI LAW GROUP CITY OF CHICAGO 151 15WC 37869 RUDISEL, KENNETH ENVOY AIRLINES 07/21/15 NILSON STOOKAL GLEASON CAP GAROFALO SCHREIBER STORM 152 15WC 38136 HARRIS, MARQUITA AMERICAN AIRLINES INC 11/10/15 BRIAN J MC MANUS & ASSOC, GAROFALO SCHREIBER STORM 153 15WC 38847 ORTEGA, ALONZO PACE SUBURBAN BUS CO 11/16/15 DEUTSCHMAN, JEFFREY S SLAVIN & SLAVIN 154 15WC 38968 DOTSON, CHANEL CITY OF CHICAGO 11/23/15 STEPHEN G PINTO LTD CITY OF CHICAGO 155 15WC 39091 ROBINSON, BRITTNEY UNIV OF CHGO HOSPITAL 10/31/15 WITTENBERG DOUGHERTY MAGLI WIEDNER & MCAULIFFE LTD 156 15WC 39395 CURTIS, JOHN SWISSPORT USA INC 10/11/15 HEALY SCANLON LAW FIRM KNELL & O'CONNOR 157 15WC 39576 LIEU, KATHERINE WINBERIE'S 06/07/15 MEYERS & FLOWERS MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 158 15WC 39808 YOUNG, RONALD JERNBERG INDUSTRIES INC 09/08/15 CHRISTINE F DAVID MEACHUM & STARCK 159 15WC 39906 HUERTA, JESSICA ELI'S CHEESECAKE CO 12/02/15 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 160 15WC 39946 SCHMITZ, WILLIAM R CONCRETE STRATEGIES LLC 08/26/15 PETER D CORTI LAW GROUP 161 15WC 39986 CALVERT, PAULINE PACE BUS 11/05/15 VRDOLYAK LAW GROUP LLC SLAVIN & SLAVIN 162 15WC 41081 MORRIS, KENNETH FIRST TRANSIT 11/10/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 163 15WC 41349 BAEZ, PAULA CITY FOODS INC 11/30/15 POLANSKY & CICHON CHTD GAROFALO SCHREIBER STORM 16WC031535 -C 164 15WC 41402 SPRUELL, GWENDOLYN CTA 12/10/15 O'TOOLE LAW FIRM LLC CHICAGO TRANSIT AUTHORITY 165 15WC 41440 MARIA, VALENCIA IHOP 11/01/13 EFTEKHARI LAW OFFICES 166 15WC 41795 CARBAJAL, ROLANDO THE DAWSON 09/25/15 167 16WC 04370 HALE, LUTHER D COOK COUNTY SHERIFFS DEPT 11/07/15 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 168 16WC 05161 NAUGHTON, HUGH CITY OF CHICAGO 06/20/13 HEALY SCANLON LAW FIRM 16WC017611 -C 169 16WC 05401 HENDERSON, BARBARA MAXIMUS, INC 01/19/16 COVEN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 170 16WC 05770 ABETE, PHILLIP M BANNER WHOLESALE GROCERS 09/22/15 RUBIN LAW GROUP GANAN & SHAPIRO 171 16WC 05922 GUERRA, VICTOR LAMINATION ESPECIALTIES 10/15/14 ANGELINI & ORI LLC ROSARIO CIBELLA 172 16WC 06014 DISMUKE, SHEFFEL CTA 02/11/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 173 16WC 06135 DONEGAN, MICHAEL CITY OF CHICAGO DEPT OF W 01/29/16 DAN COLLINS LAW FIRM CITY OF CHICAGO 174 16WC 06439 BLANCAS, MARIO GENE & JUDES DBA DUCK'S @ 11/29/15 LAW OFFICE OF JAMES H MILL ASSISTANT ATTORNEY GENERAL 175 16WC 06639 JOHNSON, TASHANA CTA 02/04/16 COHN LAMBERT RYAN & SCHNEI CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 16WC 06703 COPE, JANET GULLIVERS PIZZA & PUB @ W 02/01/16 ARGIONIS & ASSOCIATES LLC 177 16WC 06825 PHILLIPS, RONALD JEWEL FOODS 04/08/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 178 16WC 06971 KEVANISHVILI, GURAMI MASONRY, INC. POLBRO 02/01/16 HETHERINGTON KARPEL BOBBER GANAN & SHAPIRO 179 16WC 07188 TAYLOR, OMETTA HOLIDAY INN 09/21/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 16WC030938 -C 180 16WC 07504 DAVIS, FERN R RIVERSIDE TRANSPORT, INC 06/17/15 COZZI & GOGGIN-WARD 181 16WC 07563 COBERLY, LUPE CHICAGO TRANSIT AUTHORITY 02/16/16 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 182 16WC 07658 GORDON, KELLY UNITED AIRLINES INC. 10/13/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 183 16WC 07770 ADAMS, ANNE-MARIE GOJET AIRLINES 01/03/16 HEALY SCANLON LAW FIRM 184 16WC 09888 HARRISON, DEMOND COMCAST 09/07/15 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 185 16WC 10200 RAMIREZ, RODOLFO CITY OF CHICAGO 06/05/15 COYNE REINKE LAW CITY OF CHICAGO 186 16WC 15652 MURRAY, MATTHEW VILLAGE OF LAGRANGE 03/08/16 HEALY SCANLON LAW FIRM 16WC015653 -C 187 16WC 15713 MADKINS, GENE E. CHICAGO REED MENTAL HEALT @ 05/01/16 FRIEDMAN & SOLMOR LTD ASSISTANT ATTORNEY GENERAL 188 16WC 15751 LACEY, SHELITA D. CHICAGO TRANSIT AUTHORITY 03/01/16 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 189 16WC 15757 DEDORE, LINDA CITY OF CHICAGO, 06/16/15 ROSS TYRRELL CITY OF CHICAGO 190 16WC 15863 BRITTON, TYRONE CITY OF HARVEY-WATER DEPT 05/05/16 ANESI OZMON RODIN NOVAK KO 191 16WC 16036 BAKALOV, ELENA SPIS AIR SECURITY CORPORA 05/13/16 DWORKIN AND MACIARIELLO MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 192 16WC 16320 KAMINSKI, MARK CITY OF CHICAGO- DEPARTME 07/02/15 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK 193 16WC 16369 CAREY, KA'DEEM CHICAGO BEARS 11/22/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 17WC029970 -C 17WC029971 -C 17WC029972 -C 194 16WC 16384 HARVEY-SINCLAIR, DIANA ALLIED BARTON SECURITY 04/06/16 DEPAOLO ZADEIKIS GORE GAROFALO SCHREIBER STORM 195 16WC 16423 JUAREZ, NOE LARCKER RECYCLING SERVICE 04/04/16 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 17WC001951 -C 196 16WC 16526 RICKMAN, MARGARET DOOR TO DOOR ORGANICS 05/11/16 LAW OFFICES DANIEL E MURPH HOLECEK & ASSOCIATES 197 16WC 16614 JIMENEZ, EDUARDO METRO STAFF 05/05/16 LAW OFFICES LEONARDO MORAL 198 16WC 16680 SPENCER, GEORGE COOK COUNTY JUVENILE 05/05/16 KUMLIN & FROMM STATES ATTORNEY OF COOK COUN 199 16WC 16719 ANDERSON, JAMES CHICAGO PUBLIC SCHOOLS/JU 03/09/16 PETER D CORTI LAW GROUP CHGO BOARD OF EDUCATION 200 16WC 16952 SEPE, ANTHONY UNITED AIRLINES INC. 05/16/16 FRIEND LEVINSON & BERGAL WIEDNER & MCAULIFFE LTD 201 16WC 16979 NAZARETH REYES, ALI ATHENA GREEK RESTAURANT 03/01/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO 202 16WC 17154 HERNANDEZ, HUMBERTO MCCORMICK & SCHMICK'S SEA 06/28/13 BERG & BERG RUSIN & MACIOROWSKI LTD 203 16WC 17313 BAKER, EDWARD M CITY OF CHICAGO 04/04/16 FREDRICK B BARDER, LTD CITY OF CHICAGO 204 16WC 17377 DOHERTY, WILLIAM CITY OF CHICAGO 05/19/16 GRAVLIN, MICHAEL J LLC LEAHY EISENBERG & FRAENKEL 205 16WC 17440 STAMPLEY, SHENIKA SUPERIOR AMBULANCE 05/19/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 206 16WC 17465 EVRAN, GARO UNITED AIRLINES INC. 07/06/15 SMOLER LAW OFFICE, PC 207 16WC 17497 WHITFIELD, JUDY CITY OF CHICAGO 05/18/16 DWORKIN AND MACIARIELLO 208 16WC 17773 MARTINEZ, SAHARA THAI IMPORTS 05/31/16 JOHN S. ELIASIK LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 209 16WC 17872 GOMEZ, MARIA T. ELITE STAFFING 06/30/15 THE ROMAKER LAW FIRM 210 16WC 17943 COLLAZO, WILLIAM C. R. ENGLAND 05/27/15 BOTTO GILBERT GOLDBERG SEGALLA LLC 16WC017945 -C C.R. ENGLAND 211 16WC 18033 WAGNER, LINDA K. SAM'S CLUB-MATTESON 07/15/15 STROM, NEAL B QUINTAIROS PRIETO WOOD & BOY 212 16WC 18157 PROTSMAN, ROBERT J LANSING POLICE DEPARTMENT 04/18/16 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 213 16WC 18453 LAWRENCE, PHILLIP U.S. GLU-LAM INC 02/17/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 214 16WC 21821 NEWMAN, ANTHONY JEWEL FOODS 02/11/16 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 215 16WC 23169 TOMINELLO, JOHN CITY OF CHICAGO DEPARTMEN 05/23/14 RUBIN LAW GROUP CITY OF CHICAGO 216 16WC 24334 19B STIGER, TANYA CHICAGO PARK DISTRICT 07/09/16 ANKIN LAW OFFICE CHICAGO PARK DIST LAW DEPT 217 16WC 24783 CIBRIAN, DANIEL COOK COUNTY SHERIFF'S OFF 07/02/16 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 218 16WC 25898 BOYD, CHRISTOPHER CHICAGO TRANSIT AUTHORITY 07/11/16 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 219 16WC 26066 SHAW, ALFREDA CATHOLIC CHARITIES 06/01/16 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 220 16WC 26202 LETTEN, JAMES C. CHICAGO TRANSIT AUTHORITY 11/11/15 LAW OFFICE PHILIP BLOMBERG CHICAGO TRANSIT AUTHORITY 221 16WC 26287 ALVAREZ MARTINEZ, SANTIAG ELITE STAFFING, INC 04/14/16 THE ROMAKER LAW FIRM 222 16WC 26479 POTEMPA, LINDA (WIFE) CITY OF CHICAGO 12/14/15 WILLIAM MARTAY CITY OF CHICAGO 223 16WC 27097 CONNER, JERMAINE JIMMY JOHN'S 08/23/16 224 16WC 27124 BOYKIN, MARK STATE OF ILLINOIS DEPT OF @ 08/25/16 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENL 225 16WC 27287 CURTI, FRANCESCO MERIT CONCRETE 08/25/16 CUDA LAW OFFICES RUSIN & MACIOROWSKI LTD 226 16WC 27315 DIAZ, JUAN CARLOS SALVATION ARMY FAMILY STO 08/09/16 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 227 16WC 28105 ARNOLD, TONIA MARSHALLS 05/02/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 228 16WC 28187 DARAYYAD, BASSAM YELLOW CAB CO 08/30/16 LEO ALT 229 16WC 28231 GALINDO, ANA HUMAN SERVICES DEPARTMENT @ 07/21/16 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 230 16WC 28326 HERGENREDER, MATTHEW P DAVIS DANCORP 08/10/16 FIGLIOLI, DAVID 231 16WC 28359 JOHNSON, LATRIA APEX SECURITY 08/19/16 DWORKIN AND MACIARIELLO 232 16WC 28452 CLARK, MARCUS TITAN PERSONNEL INC 08/25/16 ANKIN LAW OFFICE 233 16WC 28512 GRACZYK, KENNETH CHICAGO PARK DISTRICT 11/28/14 O'CONNOR & NAKOS CHICAGO PARK DIST LAW DEPT 234 16WC 32325 KOPYTKO, ADAM SAFEWAY SOLUTIONS, INC 09/24/16 HETHERINGTON KARPEL BOBBER GRANT & FANNING 235 16WC 34215 MORALES, ALBERTO ST GERARD MAJELLA RECTORY 08/04/16 LAW OFFICE OF SCOTT B SHAP MC ANDREWS & NORGLE LLC 236 16WC 35212 GARCIA, VICTOR ORTEGA PLUMB TUCKPOINTING AND MA 11/08/16 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD 18WC002900 -C 18WC002901 -C PLUM MASONRY 237 16WC 35302 ADAMS, JESSIE J.B.A. GENERAL CONTRACTOR 09/12/16 DISPARTI LAW GROUP PA 238 16WC 35413 GIBSON, RENELDA FORD MOTOR 05/13/14 WOLFE LAW PC WIEDNER & MCAULIFFE LTD 16WC035414 -C 239 16WC 35602 RODRIGUEZ, ALICIA STAFFING NETWORK 01/13/14 SLAVIN & SLAVIN 240 16WC 35714 PISANI, ROSA GE TRANSPORTATION SYSTEMS 06/15/15 DAPRATO, DENNIS MACIOROWSKI SACKMANN & ULRIC 241 16WC 35738 ANNAMANTHODO, O'NEIL COMCAST 10/28/16 SEIDMAN MARGULIS & FAIRMAN SPIEGEL & CAHILL, PC 17WC003189 -C 242 16WC 35961 CARTER, YOLANDA CITY OF CHICAGO 10/24/16 LAW OFFICES ROBERT WARSASK CITY OF CHICAGO 243 16WC 36000 MOORE, TARA ANIMAL CARE CENTER 06/05/16 CULLEN HASKINS NICHOLSON GILDEA, COGHLAN & REGAN LTD.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 244 16WC 36019 SALDIVAR, MARTHA ALPHA BAKING CO. 08/04/16 TAMVAKIS, GEORGE L MACIOROWSKI SACKMANN & ULRIC 245 16WC 36075 MISIEWICZ, JOHN COCA-COLA REFRESHMENTS 03/18/16 GAINES & GAINES 246 16WC 36092 CUEVAS, ANTONIO VAZQUEZ BRICK & CEMENT, 11/09/16 247 16WC 36129 LLOYD, JIMMIE IL DEPT OF CORRECTIONS @ 11/16/16 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 248 16WC 36167 JONES, LARRY CHICAGO TRANSIT AUTHORITY 11/10/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 249 16WC 36349 RINGENBERG, THOMAS ADVANCED ORTHOTICS & 06/01/16 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 250 16WC 36412 THOMAS, ERIC COOK COUNTY SHERIFF'S 07/31/16 RICHARD E ALEKSY INMAN & FITZGIBBONS 251 16WC 36518 MERRIWEATHER, LINDA SOI DEPT OF JUVENILE JUST @ 03/27/15 CORNFIELD & FELDMAN MATTHEW J KELLER 252 16WC 36555 CORDERO, FABIOLA PARAMOUNT STAFFING 10/28/16 HART & DAVID LLP SCOPELITIS GARVIN LIGHT 253 16WC 36754 LOPEZ, MARK WORLD CARRIER 01/27/16 BOUDREAU NISIVACO LLC SPIEGEL & CAHILL, PC 254 16WC 36797 EDWARDS, DENNIS MRL MACHINERY MOVERS 11/18/16 HORWITZ HORWITZ & ASSOC MEACHUM & STARCK 255 16WC 36871 HAYWARD, MICHAEL ULTRA FOODS 09/26/16 LAW OFFICE JOSHUA KARMEL 256 16WC 37260 MILLER, EUGENE R JR FBM GYPSUM SUPPLY 10/21/16 LAW OFFICE OF JAMES URTIS DANIEL P COSTELLO & ASSOC 257 16WC 37353 SARMIENTO, ALBA HARTGROVE HOSPITAL 11/27/16 LEONARD LAW GROUP LLC MC ANDREWS & NORGLE LLC 258 16WC 37401 SOSA, ANASTACIO AT&T 11/25/16 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 259 16WC 37554 BROGSDALE, GENIEN SOUTHWEST AIRLINES 06/16/16 SKLARE LAW GROUP HENNESSY & ROACH PC 18WC009132 -C 260 16WC 37578 THOMPSON, ROBERT AL'S AUTO BODY EXPERTS 06/20/16 LAW OFFICES MICHAEL HELLMA HENNESSY & ROACH PC 261 16WC 37698 ANDERSON, SHEILA SMITH CROSSING/SMITH SENI 12/17/14 BRIAN T MORROW, LAW OFFICE LAW OFFICES FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 262 16WC 37766 DERAVANESIAN, ANISEH MARIANO'S/ROUNDY'S SUPERM 11/19/16 DRAKE & COLLOPY PC BRYCE DOWNEY & LENKOV LLC 263 16WC 37875 FLORES, CELIA VITA FOOD 10/08/16 AIOSSA LAW FIRM 264 16WC 37953 ZDANOWICZ, KAROL WHY NOT CONSTRUCTION CO 03/28/16 VITELL & SPITZ LTD HOLECEK & ASSOCIATES 265 16WC 38038 LUBSHINA, STEPHANIE ALEXIAN BROTHERS MEDICAL 01/27/16 NEWLAND & NEWLAND POWER & CRONIN LTD 266 16WC 38122 LOCHIRCO, NICOLE ASHLEY KEITH HOOGLAND 12/02/16 267 16WC 38213 GONZALES, DAN IHC CONSTRUCTION 09/13/16 VRDOLYAK LAW GROUP LLC JOSEPH MARCINIAK 268 16WC 38347 MCGOWAN, ROBERT VILLAGE OF HOFFMAN ESTATE 09/09/16 SCOTT BARBER RODDY LAW LTD 269 16WC 38391 BERRY, TAMMIE CHICAGO TRANSITY AUTHORIT 12/17/16 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 270 16WC 38392 MOREIRA, JORGE ALTERNATIVE STAFFING 11/17/16 HUGHES SOCOL PIERS RESNICK SLAVIN & SLAVIN 271 16WC 38640 GREEN, AURTHER L TOOTSIE ROLL INDUSTRIES, 08/31/16 BRUGGEMAN HURST & ASSOC 272 16WC 38791 DOMINGUEZ, DESSIRE COOK COUNTY HEALTH AND 07/08/15 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 273 16WC 38808 MARTINEZ, JOSHUA LOYOLA UNIVERSITY 12/06/16 COVEN LAW GROUP 274 16WC 39024 WASHINGTON, TAMIKA WST SECURITY * 12/12/16 KUMLIN & FROMM BRYCE DOWNEY & LENKOV LLC 275 17WC 03226 GRAZA, MANFREDO CITY OF CHICAGO 10/26/16 FOHRMAN, DONALD W & ASSOCS 276 17WC 03889 VILLANUEVA, CARMELO B-WAY CORP 02/02/17 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 277 17WC 04514 FLORES, CELINA SMITH MAINTENANCE 11/10/14 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 278 17WC 05137 HEJNAL, LEE PEPSI AMERICAS 07/11/16 SAUNDERS CONDON & KENNY 279 17WC 05236 VARGAS, MELODY NORTHWESTERN MOMORIAL HOS 07/14/16 LAW OFFICE OF KEVIN O'BRIE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 280 17WC 05304 TESTA, SUSANA ATLAS EMPLOYMENT SERVICES 12/19/16 GOLDSTEIN BENDER & ROMANOF ROBERT L. SMITH 281 17WC 05317 ACOSTA, NORBERTO AEROTEK 02/02/17 COSTA IVONE LLC HEYL ROYSTER VOELKER & ALLEN 282 17WC 05354 VASQUEZ, MARIA NORTHWESTERN MEMORIAL HOS 09/19/16 LEWIS & DAVIDSON, LTD HENNESSY & ROACH PC 283 17WC 05399 BOONE, MARK LEE LUMBER & BUILDING MAT 11/19/16 ANKIN LAW OFFICE GANAN & SHAPIRO 284 17WC 05540 JOHNSON, TYRONE JERNBERG INDUSTRIES INC 12/16/16 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 285 17WC 05546 ESCOBEDO, NORBERTO EBRO FOODS, INC. 02/01/17 COSTA IVONE LLC 286 17WC 05562 FROST, JACK FIRELINE SPRINKLER CORP 01/17/17 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 18WC010232 -C 18WC010233 -C 287 17WC 05647 ANNORENO, CONSTANCE VODAFONE US INC 07/21/15 JOHN E LUSAK THOMAS & PORTELA 288 17WC 05650 POREMBA, JAMIE K TRIVIEW PROPERTY 12/28/16 COHN LAMBERT RYAN & SCHNEI HOLECEK & ASSOCIATES 289 17WC 05737 OTUKOYA, OLALEYE UNIVERSAL TAXI DISPATCH A @ W 02/03/17 COHN & COHN 290 17WC 05796 JACKSON, MARK CITY OF CHICAGO 01/31/17 RICHARD O. GREENFIELD CITY OF CHICAGO 291 17WC 05817 HERNANDEZ, PEDRO AMERICAN AIRLINES INC 01/29/17 CULLEN HASKINS NICHOLSON 292 17WC 05842 VANGEL, NED D FRANCHISE MANAGEMENT, INC 11/19/16 EFTEKHARI LAW OFFICES MEACHUM & STARCK 293 17WC 05986 RAMIREZ, JORGE PAUL'S HEATING & COOLING 02/11/17 TOPPER & WEISS LTD ANCEL GLINK DIAMOND BUSH & E 294 17WC 06128 WILLIS, DEJON O AT&T 05/03/15 CORNFIELD & FELDMAN HENNESSY & ROACH PC 295 17WC 06181 SIMPSON, WILLIAM PACIFIC RAIL SERVICES 11/01/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 296 17WC 06206 ERVES, ALVIN D C.R. ENGLAND TRANSPORTATI 08/13/16 DINIZULU LAW GROUP GOLDBERG SEGALLA LLC 297 17WC 06221 HALL, CHRIS CONCRETE STRUCTURES 01/24/17 BRISKMAN BRISKMAN GREENBER KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 298 17WC 06290 JOHNSON, KIMBERLY V&V SUPREMO 02/21/17 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES 299 17WC 06323 TOLEDO, JOHN ECO BRIGHT LINEN 01/27/17 LEONARD LAW GROUP LLC JOSEPH MARCINIAK 300 17WC 06471 AUFIERO, JOHN US FOODS INC 02/06/17 CZAPLA LAW BRADY CONNOLLY & MASUDA PC 301 17WC 06728 ROSS, CHRISTIAN PEPSICO 12/20/16 KUMLIN & FROMM ROBERT L. SMITH 302 17WC 06800 MCCONNELL, ZINA CHICAGO TRANSIT AUTHORITY 03/02/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 303 17WC 06821 JACKSON, CHRISTOPHER FLEXAN CORPORATION 03/02/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 304 17WC 06929 GROSS, GREGORY FORD MOTOR COMPANY 02/17/17 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 17WC015900 -C 305 17WC 07036 THOMAS, DONITA CHICAGO TRANSIT AUTHORITY 02/21/17 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY 306 17WC 07195 WOLFE, ANNA DENTAL WORKS/ ONE & DCP 09/27/16 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES OF EDWARD J. KOZ 307 17WC 07226 MORENO, SERGIO G&K TRUCKING OF CHICAGO I W 02/16/17 MENDOZA LAW PC 308 17WC 07244 TANON, JOSE STANDARD PROVISION CO 02/17/17 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 309 17WC 07292 MILLER, KINA CTA 03/08/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 310 17WC 07313 BEHAROVIC, SHABAN HARVARD MAINTENANCE INC 02/17/17 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 311 17WC 07474 REYNOLDS-FORD, RHONDA BWAY CORPORATION 05/03/16 KURASCH & KLEIN, LTD HOLECEK & ASSOCIATES 312 17WC 07535 MACIEJEWSKI, BEN C NORMAN MECHANICAL INC. 02/24/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 313 17WC 07573 IRBY, AVERY SYSCO CORPORATION 02/16/17 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 17WC034807 -C 18WC020447 -C 18WC020448 -C 314 17WC 07628 SCOTT, RICHARD MARIANOS-HARWOOD HEIGHTS 11/07/16 MARKER & ASSOCIATES BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 315 17WC 08041 HUNTER, CIARA WALDORFF ASTORIA 12/06/16 STEVEN J MALMAN & ASSOCIAT 316 17WC 08072 ESPITIA-PEREZ, CLAUDIA LABOR NETWORK PERSONNEL S 02/23/17 SALK, STEVEN B & ASSOC LTD ROBERT L. SMITH 317 17WC 08308 VALDEZ, ANGELA COOK DUPAGE TRANSPORTATIO 05/19/15 GOLDBERG WEISMAN & CAIRO L 318 17WC 08378 SANTIAGO, RENE LABOR TEMPS 01/20/17 ROBERT L. SMITH 319 17WC 08571 CHAVEZ, JOSE RITZ-CARLTON 10/27/16 LAW OFFICE HOWARD ABRAMS 320 17WC 08603 RIVERS, ERICA ALLTOWN BUS CO 12/02/16 MARC J SHUMAN & ASSOCIATES 321 17WC 08679 BONILLA, WILFREDO CHICAGO PUBLIC SCHOOLS 05/22/14 LAW OFFICES PETER LEKAS 322 17WC 08772 KOBELA, ANTHONY COOK COUNTY SHERIFF 02/11/17 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 323 17WC 10376 RUIZ, MARIA ED MINIATE LLC 12/16/15 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 324 17WC 11625 HAMMOND, RYAN CHICAGO HIGHLANDS CLUB, L 07/26/16 LARSON & GREENBERG INMAN & FITZGIBBONS 325 17WC 13636 WALLACE, JAMES BURLINGTON COAT FACTORY 03/17/17 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 326 17WC 13969 STALLONE, ANDREA COOK COUNTY 02/03/17 DENNIS HESSER STATES ATTORNEY OF COOK COUN 327 17WC 13986 HESTER, DEBRA CITY OF CHICAGO 04/20/16 KATZ FRIEDMAN EAGLE ET AL 328 17WC 15323 GREENE, VINCENT NICOR 05/09/17 KREITER, BYCK & ASSOC LLP MACIOROWSKI SACKMANN & ULRIC 329 17WC 15346 JACKSON, MARLENE HELP AT HOME 03/24/17 HENNESSY & ROACH PC 330 17WC 15371 PIGOUNAKIS, NIKOLAS ABRA AUTO BODY & GLASS 04/06/17 GORDON & CENTRACCHIO LLC 331 17WC 15579 LE KHANH VO, PHUONG MAXIM NAILS LTD 04/29/17 SOSTRIN AND SOSTRIN PC 332 17WC 15658 AKINUSUYI, BOLATITO JACKSON PARK HOSPITAL 09/17/16 ELFENBAUM EVERS & AMARILIO ODELSON & STERK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 333 17WC 15723 WINTERS, BARUCH A ROBERT HALF 05/17/17 ACEVES & PEREZ PC HENNESSY & ROACH PC 334 17WC 15823 ALBERTO, SAMUEL A COOK COUNTY DEPT OFCORREC 05/16/17 MATTHIAS D. GILL STATES ATTORNEY OF COOK COUN 335 17WC 15923 MACKAY, STEPHEN HUEN ELECTRIC CO. 10/31/15 NEWLAND & NEWLAND 336 17WC 15958 SANDERS, INGRID EASTERSEALS METROPOLITAN 01/17/17 DAVID W MARTAY 337 17WC 16011 CAMPOS, LORENZO THUNDER TOOL 04/10/17 HART & DAVID LLP 338 17WC 16069 HOWEN, PAUL MERIT CONTRACTORS, LLC 04/21/16 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 339 17WC 16086 SOLANO, NOEMI PERALTA DO & CO CHICAGO CATERINC, 04/28/17 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 340 17WC 16101 BELTRAN, JOEL LAKE BOOK MANUFACTURING I 05/16/17 SALVATO & O'TOOLE SUGAR FELSENTHAL GRAIS HAMME 341 17WC 16167 GREEN, TERRY CITY OF CHICAGO 04/18/17 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 342 17WC 16170 JONES, CRYSTAL CTA 11/10/16 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 343 17WC 16387 JOHNSON, NICHOLAS UNITED CONVEYOR CORP 11/30/15 PORRO NIERMANN LAW GROUP HEYL ROYSTER VOELKER & ALLEN 344 17WC 16439 PETERSON, JAMES CHICAGO PUBLIC SCHOOLS 05/25/17 THE ROMAKER LAW FIRM LAW DEPARTMENT 345 17WC 16504 OGG, DAVID HOLLAND 05/04/17 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 346 17WC 16589 LEWIS, TIFFANY S UNIV OF ILLINOIS HOSPITAL 05/24/17 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 347 17WC 16604 HANSAWALA, PANKAJ N BETHANY METHODIST COMMUNI 09/09/16 GARDI & HAUGHT SCOPELITIS GARVIN LIGHT 348 17WC 16647 LEE, STEVEN L COOK COUNTY 04/03/15 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 17WC016648 -C 349 17WC 16686 PEREZ, RAFAEL KINSALE CONTRACTING GROUP 08/26/16 O'CONNOR & NAKOS 350 17WC 16854 HERNANDEZ, JOSE ELITE STAFFING INC, 05/06/17 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 351 17WC 16973 BRASSELL, SCHEWEDIA B CHICAGO PUBLIC SCHOOLS 05/01/17 ANKIN LAW OFFICE LAW DEPARTMENT 352 17WC 17066 HERNANDEZ, JUAN BARRY ROOFING 08/22/16 HART & DAVID LLP 353 17WC 17125 CHOI, JINA LOYOLA HOSPITAL 03/11/17 HUGHES SOCOL PIERS RESNICK 354 17WC 17146 WILLIAMS, ANGELA JJ MADDEN MENTAL HEALTH C 10/28/16 EDWIN REYES LEGAL GROUP ASSISTANT ATTORNEY GENERAL 355 17WC 17193 HARRIS, LESLIE CITY OF CHICAGO 04/04/17 HORWITZ HORWITZ & ASSOC 356 17WC 17232 CUNNINGHAM, JOSEPH VILLAGE OF RIVER GROVE 05/01/17 COSTA IVONE LLC 357 17WC 17336 HARRALL, ANNA JEWEL FOOD STORES 05/23/17 GOLDBERG WEISMAN & CAIRO L 358 17WC 17349 GIPSON, RICHARD DPI DEDICATED LOGISTICS, 02/08/15 HETHERINGTON KARPEL BOBBER GILDEA & COGHLAN 17WC017350 -C 17WC017351 -C 359 17WC 17393 CALVILLO, JAYSON FORD MOTOR CO. 06/09/15 CULLEN HASKINS NICHOLSON 360 17WC 17439 CHOY, ROBERT CITY OF CHICAGO 05/11/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 361 17WC 17526 MORA, ROBERT FAIRMONT CARE CENTER 04/07/17 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES FRANCESCA LARSEN 362 17WC 17639 HOYER, AL, WIDOWER OF UNITED ROAD TOWING 02/19/17 RUSIN & MACIOROWSKI LTD 17WC017729 -C 363 17WC 17784 BROOKS, ROBERT CASSENS TRANSPORT CO. 11/15/16 CULLEN HASKINS NICHOLSON KNAPP, OHL & GREEN 364 17WC 17838 YI, SANG COOK COUNTY RISK MANAGEME 05/27/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 365 17WC 17872 WEBSTER, ANEESHA BOOK COUNTY TEMPORARY JUV 11/02/16 RICH RICH COOKSEY PC STATES ATTORNEY OF COOK COUN 366 17WC 17903 DAVIS, JONATHEN CITY OF CHICAGO STREETS & 05/18/17 WILLIAM B MEYERS, LTD 367 17WC 18047 CELEPIA, FATLUM GROUP FOX MGMT 04/24/17 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 368 17WC 18065 WILLIS, CORNELL D FORD MOTOR COMPANY 05/12/17 FRIEDMAN & SOLMOR LTD RUSIN & MACIOROWSKI LTD 369 17WC 20941 MACIEL, JOSE CARL BUDDIG & CO 06/01/17 KNELL O'CONNOR DANIELWICZ 370 17WC 23573 LAWS, ROBERT CITY OF CHICAGO 07/19/17 HEALY SCANLON LAW FIRM 371 17WC 24888 HOWARD, TOMMY DENTAL WORKS 08/22/17 LEONARD LAW GROUP LLC LAW OFFICES OF EDWARD J. KOZ 372 17WC 24905 FLAHERTY, PATRICK COOK COUNTY GOVERNMENT 01/03/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 373 17WC 24944 WALKER, MISTY CTA 08/19/17 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 374 17WC 25004 COTTON, DENISE CITY OF CHICAGO 08/16/17 KATZ FRIEDMAN EAGLE ET AL CITY OF CHICAGO 18WC002765 -C 375 17WC 25030 SELLERS, RICHARD AMERICAN DREAM HOME 08/22/17 COVEN LAW GROUP BRYCE DOWNEY & LENKOV LLC 376 17WC 25219 DIXON, MARSHAWN WASTE MANAGEMENT INC. 08/23/17 LEONARD LAW GROUP LLC 377 17WC 25243 GARCIA, HERMEREGILDA SEALCRAFT INTERNATIONAL 07/11/17 SALVATO O'TOOLE FROYLAN HOLECEK & ASSOCIATES 378 17WC 25308 ACOSTA, LILIAN RON'S STAFFING SVC 04/06/17 SALVATO & O'TOOLE GAROFALO SCHREIBER STORM 379 17WC 25372 GARZA, JOSEPH CITY OF CHICAGO-DEPT OF W 06/27/17 ARGIONIS & ASSOCIATES LLC 380 17WC 25463 PRICE, FLOYD UBER 08/23/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 381 17WC 25594 RODRIGUEZ, HECTOR TROY TROY CORPORATION 08/11/17 382 17WC 25622 ROBINSON, PAMELA D COVENANT VILLAGE OF NORTH 12/23/16 SIGMOND, STEVEN ASHER, RAYMOND L LTD 383 17WC 25709 MARQUEZ, JOSE LUIS PANERA BREAD 07/12/17 CULLEN HASKINS NICHOLSON GILDEA & COGHLAN 384 17WC 25748 CROSSLEY, DWAYNE ROADRUNNERS AUTOTRANSPORT 08/19/17 DAVID W MARTAY 385 17WC 25811 HERNANDEZ, MERCEDES ELITE STAFFING 07/10/17 PARENTE & NOREM PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 386 17WC 25887 GUTIERREZ, ENRIQUE NATIONAL CONTAINER GROUP 02/04/17 VANO LAW GROUP 387 17WC 25931 BOOKER, JADE HUDSON NEW GROUP 04/05/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 388 17WC 25969 TEUBEL, BRIAN D UNITED AIRLINES 06/08/17 NILSON STOOKAL GLEASON CAP 389 17WC 26010 LOPEZ, GILBERTO PERMA-SEAL BASEMENT SYSTE 06/12/17 JAY S. SHETH LLC GANAN & SHAPIRO 390 17WC 26077 LESTER, KEVIN IHC CONSTRUCTION, LLC 08/14/17 MEYERS & FLOWERS 391 17WC 26100 SHORT, TALVIN CARSON PIRIE SCOTT 05/05/17 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 392 17WC 26147 OBANA JR, ANIANO BRYN MAWR CARE 07/12/17 WARREN W MARK 393 17WC 26185 HODSON, KAROL CLOUD5 COMMUNICATIONS 06/02/17 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 394 17WC 26245 TRAVIS, JAMEL BP STAFFING 08/09/17 ALEKSY BELCHER RUSIN & MACIOROWSKI LTD 395 17WC 26309 NIX, BARBARA FIRST STUDENT, INC 08/25/17 MARC J SHUMAN & ASSOCIATES 396 17WC 26326 ROBLES, AGUSTIN ARYSTA, LLC 11/28/16 LEONARDO MORALES HENNESSY & ROACH PC 397 17WC 26550 WILLIAMS, SARAH CTA 09/07/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 398 17WC 26566 VALENCIA, PUGA SONIA LABOR NATION, LLC 08/13/17 THE ROMAKER LAW FIRM RIPES NELSON BAGGOT KALOBRAT 399 17WC 26683 PRETO, JOHN COOK COUNTY SHERIFF'S DEP 12/22/16 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 400 17WC 26731 CROSS, OCTAVIA FIRST TRANSIT 09/07/17 FRIEDMAN & SOLMOR LTD 18WC006123 -C 401 17WC 26752 BARKER, JEANNE E KOHLS STORE #180 08/01/17 DWYER AND COOGAN HENNESSY & ROACH PC 402 17WC 26793 SANCHEZ, CUAUHTEMOC CATHOLIC CEMETERIES 03/24/17 ACEVES & PEREZ PC 403 17WC 26863 VOSBURG, SHARON LEXINGTON HEALTH CARE CTR 03/29/16 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 404 17WC 26884 CASTELLANOS, LUCIA B-B MAINTENANCE INC 06/15/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 405 17WC 26920 GONZALEZ, ANGELICA LEADPOINT 04/27/17 RAYMOND M SIMARD, PC GRANT & FANNING 406 17WC 26937 VALENCIA, GERONCIO V3 COMPANIES, LTD 08/01/17 GRAZIAN & VOLPE PC LAW OFFICES OF EDWARD J. KOZ 407 17WC 27086 ARITA, EDMUND BERRY GLOBAL, INC 07/12/17 CANDIANO LAW OFFICE 408 17WC 27132 REYES, DANIEL MORRISON HEALTHCARE 06/12/17 LEONARD LAW GROUP LLC GOLDBERG SEGALLA LLC 409 17WC 27259 TURNER, LEE IW&G 08/01/17 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 410 17WC 27294 LINDBOHM, PETTERI CHICAGO WOLVES 02/22/17 GORDON LAW OFFICES LTD 411 17WC 27353 DACANAY, KATHERINE M NALCO CO. & ECOLAB USA 03/06/15 LANZILLOTTI GRIBBEN & MARC KEEFE CAMPBELL & ASSOC LLC 412 17WC 27422 LIDE, PATRICK LOYOLA UNIVERSITY MEDICAL 08/07/17 ASHER, RAYMOND L LTD 413 17WC 27426 SMALLWOOD, TAMI HOUSE OF BLUES 01/13/17 MARC J SHUMAN & ASSOCIATES 414 17WC 27528 RAHN, CONNIE SCHAUMBURG HIGH SCHOOL 10/13/15 MARTIN J DEELY WIEDNER & MCAULIFFE LTD 415 17WC 27571 SCOTT, BRANDY CHICAGO TRANSIT AUTHORITY 09/13/17 PETER D CORTI LAW GROUP CHICAGO TRANSIT AUTHORITY 416 17WC 27601 POOLE, SCOTT SOUTHWEST AIRLINES 08/02/17 ELFENBAUM EVERS & AMARILIO 417 17WC 27748 MONROE, KATIE A ATHLETICO 03/01/17 RUBIN LAW GROUP LAW OFFICES OF EDWARD J. KOZ 418 17WC 28083 WORTHINGTON, JULIA CTA 09/18/17 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 419 17WC 28116 FULTON, ANTHONY DAVIS STAFFING 08/04/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 420 17WC 31483 BAUT, CZESLAW UG2 LLC 08/01/17 HOLECEK & ASSOCIATES 421 17WC 33331 SMITH-BEATTY, LATRICE CHICAGO TRANSIT AUTHORITY 11/02/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 422 17WC 33538 PEREZ-ROSALES, MARCELA ALTERNATIVE STAFFING, INC 11/02/17 KATZ FRIEDMAN EAGLE ET AL 423 17WC 34034 MACIAS, CAROLYN METRO SOUTH MEDICAL CENTE 09/26/17 SPIROS LAW PC 424 17WC 34171 JOHNSON, PIERRE ZELDA'S KOSHER GOURMET 11/03/17 MC HARGUE & JONES 425 17WC 34208 GARCIA, LUPE MARIANO'S 02/28/17 VASILATOS & COTTER LLC 426 17WC 34245 BELTZ, MARIA DOLLAR TREE 08/20/17 LAW OFFICES TIMOTHY HENDER BRYCE DOWNEY & LENKOV LLC 427 17WC 34289 BURNSIDE, LOLITA THE CLEANING AUTHORITY 10/10/17 DAVID W MARTAY GILDEA & COGHLAN 428 17WC 34300 GOMEZ, RAMIRO PLATINUM POOLCARE AQUATEC 08/09/17 SOSTRIN AND SOSTRIN PC EDWARD J. KOZEL 429 17WC 34320 NUNEZ, MARIA E NAS RESTAURANT GROUP LLC 11/19/16 HERRERA LAW CENTER 430 17WC 34405 MARIA, ZAMORA POCO LOCO CHILDCARE CENTE 09/06/17 LULAY LAW OFFICES CASSANO & ASSOCIATES 431 17WC 34416 GOLDBLATT, JACQUELINE COOK COUNTY SHERIFF'S OFF 11/14/17 RIDGE & DOWNES 432 17WC 34448 ANDERSON, GREGORY JR WATCO 10/16/17 STEVEN J MALMAN & ASSOCIAT 433 17WC 34471 CIESLA, CHRISTOPHER R CARGO TRANSIT CORP 11/09/17 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 434 17WC 34493 VASQUEZ, ERNESTO INDUSTRIAL STEEL AND WIRE 07/10/17 KAUFFMAN, NEIL & ASSOC HOLECEK & ASSOCIATES 435 17WC 34566 LOPEZ, ALONSO TRIUNE LOGISTICS AKA 11/13/17 JONATHAN SCHLACK LITCHFIELD CAVO 18WC008154 -C 436 17WC 34585 JONES, CASSANDRA UNITED AIRLINES, INC 02/19/17 CORBOY & DEMETRIO PC 437 17WC 34754 MCCLAIN, CARLOS LABOR SOLUTIONS LLC (LOAN 10/25/17 PETER D CORTI LAW GROUP MC ANDREWS & NORGLE LLC 438 17WC 34784 SANDOVAL-BARRIO, JOSE L FARMINGTON FOODS INC 09/05/17 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 439 17WC 34805 GRIER, DANTE AMER QUEST STAFFING SOLUT 06/28/17 COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 440 17WC 34819 BAUTISTA, JOSEFINA SOUTH SUBURBAN REHAB CENT 05/10/17 HERRERA LAW CENTER BRADY CONNOLLY & MASUDA PC 441 17WC 34875 MARSHAL, MARQUITA BANFIELD PET HOSPITAL 10/26/17 RIDGE & DOWNES 442 17WC 34914 CHARLES-HOOVER, BERNICE PACE SOUTH DIVISION 11/14/17 BRILL & FISHEL 443 17WC 34936 PAMON, WADE H IL STATE POLICE @ 08/28/17 GERALD CONNOR ASSISTANT ATTORNEY GENERAL 444 17WC 34982 CHAVERS, TOBIAS L SOUTH CHICAGO PACKING LLC 10/19/17 LEO ALT POWER & CRONIN LTD 445 17WC 35009 HERNANDEZ, ROBERT F.H. PASCHEN 09/12/17 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 446 17WC 35052 WEBER, PAUL CITY OF CHICAGO 03/21/16 HEALY SCANLON LAW FIRM 447 17WC 35074 LUNA, ISBEL SHULZE BIRCH AND BISCUIT 11/16/17 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 448 17WC 35156 HERMOSILLO, JOHN ABF FREIGHT SYSTEMS 12/21/16 O'CONNOR & NAKOS 449 17WC 35201 REYES, EDITH STATE OF IL/ @ 11/09/17 RUBIN LAW GROUP ASSISTANT ATTORNEY GENERAL 450 17WC 35259 DIAZ, FRANK BERGLUND CONSTRUCTION 11/06/17 CIFELLI SCREMENTI & DORE 451 17WC 35327 FLORES, FRANCISCO DICICCO CONCRETE PRODUCTS 08/15/15 HORWITZ HORWITZ & ASSOC 452 17WC 35368 HEADLEY-WARREN, KAYLA D DARDEN RESTAURANTS 04/11/17 RUBIN LAW GROUP 453 17WC 35386 LOGAN, ANTOINETTE D CIVIC STAFFING L3C 07/05/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 454 17WC 35404 SHELBY, SALWA PETE'S MARKET 11/19/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 455 17WC 35425 MONTOYA, ALEJANDRA CULVER'S 11/24/17 SOSTRIN AND SOSTRIN PC RUSIN & MACIOROWSKI LTD 456 17WC 35567 LIGGINS, ROCHELLE FORD MOTOR COMPANY 11/17/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 457 17WC 35591 SLACK, LORENZ OZINGA 11/17/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 458 17WC 35618 SARTI, SCOTT JUST TIRES 07/22/15 BAUM RUFFOLO & MARZAL LTD MEACHUM & STARCK 459 17WC 35658 PADILLA, LUCY C ARAMARK SERVICES INC 09/15/17 ANKIN LAW OFFICE 460 17WC 35681 STONE, LASHAWN UBER 11/27/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 461 17WC 35701 CARCHI, JUANA UNION LEAGUE CLUB OF CHIC 09/26/17 SALK, STEVEN B & ASSOC LTD 462 17WC 35870 GILL, TIMOTHY CTA 10/25/17 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 463 17WC 35966 SHEPPARD, ROBBIE SODEXO 10/07/17 LANNON LANNON & BARR LTD INMAN & FITZGIBBONS 464 17WC 36011 ZIVKOVIC, JOVICA WOLIN-LEVIN, INC ET AL 02/15/12 SEIDMAN MARGULIS & FAIRMAN JOSEPH MARCINIAK 465 17WC 36055 PEREZ, PRIMITIVO MARTINEZ LOYOLA PAPER CO. 04/27/17 CHEPOV & SCOTT LLC LEWIS BRISBOIS BISGAARD 466 17WC 36176 BROWN, SHUNIKA MAXIN HEALTHCARE 10/22/17 LAW OFFICE JEFFREY FRIEDMA RUSIN & MACIOROWSKI LTD 467 17WC 36297 DIAZ, ROGELIO ABM JANITORIAL-MIDWEST 02/13/17 FIGLIOLI, DAVID GOLDBERG SEGALLA LLC 468 17WC 36317 NYKAZA, SHARON AVEDA SVCS 01/05/17 JOHN E LUSAK GRANT & FANNING 469 17WC 36407 HAWKINS, JERRI WINDY CITY CARRIERS 12/04/17 GRAVLIN, MICHAEL J LLC 470 17WC 36502 LATOCHA, WLODZIMIERZ S AMERICAN VINTAGE HOME 10/25/17 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 471 17WC 36544 TOLEDO, JACKLYN MEADE ELECTRIC 11/27/17 TAXMAN POLLOCK RUSIN & MACIOROWSKI LTD 472 17WC 36600 KELLEY, ROSALYN CHICAGO PUBLIC SCHOOLS 10/17/17 SMOLER LAW OFFICE, PC LAW DEPARTMENT 473 17WC 36665 CHILDS, TERRENCE APPLE ZEBRA CFS LLC 11/01/17 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 474 17WC 36685 WELCH, TERRI FEDEX 12/01/17 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 475 17WC 36786 BROWN, REBECCA CAROLE ROBERTSON CTR 10/27/16 MARK SCHAFFNER KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 476 17WC 36787 BROWN, REBECCA HOWARD AREA COMMUNITY CTR 06/20/17 MARK SCHAFFNER KEEFE CAMPBELL & ASSOC LLC 477 17WC 36807 WILKINS, LENORA HEALTH FORCE 08/15/17 HETHERINGTON KARPEL BOBBER ROBERT L. SMITH 478 17WC 36817 ELLIOTT, ROGER NORTH PALOS FIRE PROTECTI 09/17/17 RIDGE & DOWNES 479 17WC 36857 DAVIS, CLINIQUE UNIV OF CHICAGO MEDICAL C 12/08/17 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 480 17WC 36875 CANTU, REBECCA UBER 12/09/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 481 17WC 37010 KUJAWA, JOSEPH FREEMAN DECORATING 12/05/17 VASILATOS & COTTER LLC MC ANDREWS & NORGLE LLC 482 17WC 37030 DELVALLE, RAMONITA BOARD OF EDUCATION CITY O 10/16/17 POLTROCK & POLTROCK 483 17WC 37078 COLON, JENNY WOOD BRIDGE NURSING PAVIL 11/23/17 HOWARD S. KAVENOW LLC 484 17WC 37093 COLLINS, BRANDON ARENA FOOTBALL ONE, LLC 08/13/17 GORDON & CENTRACCHIO LLC HOLECEK & ASSOCIATES 485 17WC 37296 HARRIS, VOINCEE M COURIER DISTRIBUTION SVCS 10/27/17 STEVEN J MALMAN & ASSOCIAT HENNESSY & ROACH PC 486 18WC 00337 005 OLIVA, LILIA GATE GOURMET 08/26/17 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 005 15WC004924 -C 487 18WC 04603 ROMAN, ARMANDO C&S STORE FIXTURES INC 01/22/18 JOHN S. ELIASIK QUINTAIROS PRIETO WOOD & BOY 488 18WC 04739 MILLER, PAMELA A CMTY CONSOL SCHOOL DIST # 09/11/15 BRILL & FISHEL WIEDNER & MCAULIFFE LTD 489 18WC 04870 MURPHY, WILLAM RANDALL ITALIAN WINE BAR LLC/QUAR 12/15/17 SOSTRIN AND SOSTRIN PC 490 18WC 04913 SHARMA, SANTOSH K PACTIV CORPORATION 02/09/18 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 491 18WC 04960 SWEENEY, MICHAEL UNITED AIRLINES @ 05/27/17 FOHRMAN, DONALD W & ASSOCS 492 18WC 04975 ALVAREZ, CELSO OLD FASHIONED MEAT CO INC 01/22/18 COSTA IVONE LLC LAWRENCE COZZI - LAW OFFICES 493 18WC 05006 UNDERWOOD, JACQUELINE REPUBLIC AIRWAYS 05/12/15 SCOTT B SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 494 18WC 05022 ROBINSON, KELLY ESTES EXPRESS LINES 08/08/17 PORRO NIERMANN LAW GROUP 495 18WC 05045 GENAME, JEFFREY M MIDWAY INDUSTRIES, INC 01/03/18 DAVID W CLARK KEEFE CAMPBELL & ASSOC LLC 496 18WC 05067 URDIALES, FRED CITY OF CHICAGO - 09/01/17 ARGIONIS & ASSOCIATES LLC 497 18WC 05092 ALVARENGA, CECILIA C JEWEL FOOD STORES INC 05/01/17 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 18WC005093 -C 498 18WC 05125 MCUMBER, JOANNE MCDONALDS 01/18/18 ANGELINI & ORI LLC 499 18WC 05186 AGO, ROBERT CITY SERVICE TAXI 02/04/18 DWORKIN AND MACIARIELLO 500 18WC 05207 SALGADO, IVAN DELTROL FLUID PRODUCTS 05/08/17 COPLAN & CRANE, LTD 501 18WC 05253 CHIYENI, ANN MARIE CHICAGO PUBLIC SCHOOL 10/22/15 TRUGLIO, FRED A & ASSOC LEAHY EISENBERG & FRAENKEL 502 18WC 05273 HALE, VINCENT WASTE MANAGEMENT 01/11/17 KATZ FRIEDMAN EAGLE ET AL 503 18WC 05276 LAWRENCE, TONYA BURLINGTON 11/12/17 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 504 18WC 05296 KENNEDY, JEFFERY COOK DUPAGE TRANSPORT 03/05/17 KARCHMAR & STONE 505 18WC 05329 ROGER, CURTIS IL DEPT OF TRANSPORTATION @ 02/09/18 STEVEN J MALMAN & ASSOCIAT ASSISTANT ATTORNEY GENERAL 506 18WC 05363 GOMEZ, JAMES CITY OF CHICAGO 01/22/18 KROL BONGIORNO & GIVEN LTD 507 18WC 05379 CASSELL, JAMEL FEDEX GROUNDS 02/07/18 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 508 18WC 05470 MOLINA, EUSEVIO WINDWARD ROOFING & 01/25/18 ANESI OZMON RODIN NOVAK KO ACCIDENT FUND HOLDINGS 509 18WC 05516 SANTOS, MAURICIO GDI SERVICES 02/01/18 HERRERA LAW CENTER MEACHUM & STARCK 510 18WC 05556 WRIGHT, CHRISTOPHER AARON'S FURNITURE 12/27/17 511 18WC 05631 MORGAN, NATOSHA HOSPITALITY SERVICES GROU 09/29/17 DAMISCH & DAMISCH LTD JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 512 18WC 05636 DESCHAMP, JONATHAN DR PEPPER SNAPPLE GROUP I 08/17/17 WHITING LAW GROUP GAROFALO SCHREIBER STORM 513 18WC 05676 DELANEY, RAYSHAUN WENDY'S INTL 02/17/18 PETER D CORTI LAW GROUP HENNESSY & ROACH PC 514 18WC 05719 GARCIA, FREDDY MAX MAINTENANCE SOLUTIONS 02/14/18 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 515 18WC 05758 DELGADO, LUIS EL CAMPO CHILI AND SPICE 01/15/18 DWORKIN AND MACIARIELLO EPSTEIN, JACK R LAW OFFICES 516 18WC 05858 HILLOCK, JAMES CITY OF CHICAGO 06/16/17 SALVATO & O'TOOLE 517 18WC 05923 CARRILLO, MICHELLE AMERICAN AIRLINES GROUP, 01/14/18 GRAVLIN, MICHAEL J LLC ROSARIO CIBELLA 518 18WC 05941 GUERRERO, FELIPE CORNELL FORGE CO 10/07/17 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 519 18WC 05963 POWELL, JOE E IL DEPT OF TRANSPORTATION @ 01/06/18 BOWMAN & CORDAY ASSISTANT ATTORNEY GENERAL 520 18WC 06066 RAMSEY, ALEX GREYHOUND BUS COMPANY 12/09/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 521 18WC 06088 MARKS, LATOYA CITY OF CHICAGO 02/14/18 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 522 18WC 06116 THOMAS, ANTHONY UBER 09/01/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 523 18WC 06160 LAREAU, TIMOTHY VILLAGE OF SOUTH HOLLAND 01/12/18 NILSON STOOKAL GLEASON CAP INMAN & FITZGIBBONS 524 18WC 06179 PETERSEN, WILLIAM S III STATE MECHANICAL SYSTEMS 01/19/18 DEPAOLO & ZADEIKIS ACCIDENT FUND HOLDINGS 525 18WC 06201 DELANEY, TERRY HEALTHCARE SERVICES GROUP 02/06/18 ROGER D RUDICH LTD 526 18WC 06209 SAUCEDO, FRANCISCO DARIO'S PALLETS 02/14/18 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD 527 18WC 06253 CABE, ALEJANDRO FANUC AMERICA CORP 10/18/17 SCOTT BARBER 528 18WC 06335 HANNON, MARK GOTTLIEB MEMORIAL HOSPITA 02/02/18 ROMANUCCI & BLANDIN LORENZ & BERGIN PC 529 18WC 06413 UPTON, GABRIELLE SUPERIOR AMBULANCE 11/17/17 ARGIONIS & ASSOCIATES LLC POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 530 18WC 06511 AFANTE, EDGARDO LIFESCAN LABORATORY, INC 02/02/18 KARCHMAR & STONE ROBERT L. SMITH 531 18WC 06633 COFFEY, NICOLE ONE HOPE UNITED 12/07/17 HORWITZ HORWITZ & ASSOC WOLF LAW LTD 532 18WC 06710 HENRY, JACQUELINE LUTHERAN SOCIAL SERVICES 01/17/18 ANGELINI & ORI LLC 533 18WC 06727 MARTIN, ISIDORO TITANIUM INSULATION 02/14/18 COSTA IVONE LLC 534 18WC 06744 ZITLE, MARCO WORK FORCE 09/21/17 HERRERA LAW CENTER 535 18WC 06822 MORALES, GIOVANNI GDS GARAGE DOOR SUPPLIES 12/01/17 JACKOWIAK LAW OFFICES LAWRENCE COZZI - LAW OFFICES 536 18WC 06858 HERNANDEZ, MARTHA ABLE ELECTROPOLISHING CO, 01/04/18 MARGUERITE IORIO 537 18WC 06884 DELGADO, GERARDO WHOLE FOOD MARKET GROUP I 11/04/17 RUEDA, IVAN A 538 18WC 06961 ANDRICOPULOS, PETER MIDWEST TRAILER REPAIR IN 01/29/18 ANKIN LAW OFFICE 539 18WC 07008 ROSAS, LUPE KELLOGG/CHICAGO BAKERY 02/20/18 ROBERT H HANAFORD 540 18WC 07026 BRYANT, ALLEN CHICAGO BOARD OF EDUCATIO 02/13/18 SCOTT B SHAPIRO CHGO BOARD OF EDUCATION 541 18WC 07091 MOORE, PATRICIA L MARS WRIGLEY CONFECTIONER 02/06/18 DAVID W CLARK GAROFALO SCHREIBER STORM 542 18WC 07101 GOODMAN, DARRYL F ETA CREATIVE ARTS FOUNDAT 01/23/18 ANKIN LAW OFFICE 543 18WC 07117 THORNTON, KEVIN FORD MOTOR COMPANY 02/07/17 FOHRMAN, DONALD W & ASSOCS 544 18WC 07140 SALAMEH, MOTAZ FIFTH THIRD BANK 02/10/18 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIAT0ES 545 18WC 07188 MATOS, MARGARITA NORWEGIAN AMERICAN HOSPIT 02/10/18 GRAZIAN & VOLPE PC 546 18WC 07235 RAND, RYAN PEOPLE GAS LIGHT & COKE 02/16/18 LEONARD LAW GROUP LLC MC CABE & HOGAN 547 18WC 07247 ANDERSON, ALEX CITY OF CHICAGO DEPT OF 02/15/18 WILLIAM MARTAY LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 548 18WC 07266 PENA, JAVIER MORGAN LI 02/10/16 HERRERA LAW CENTER 549 18WC 07322 POUTRE, ADAM GOEBEL FORMING, LLC 12/04/17 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 550 18WC 07378 VANNA, KELLY MCCORMICK PLACE SMG 01/01/18 KREITER, BYCK & ASSOC LLP 551 18WC 07394 LOPEZ, ANGEL UNIVERSITY OF IL 02/16/18 TIMOTHY DEFFET HEYL ROYSTER VOELKER & ALLEN 552 18WC 07416 PERALTA, HECTOR EL MILAGRO INC 01/19/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 553 18WC 07418 TAYLOR, REGINALD THE HERTZ CORPORATION 01/25/18 LEO ALT 554 18WC 07496 PAYNE, DEBRA D ALLSTATE INSURANCE COMPAN 07/11/17 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 555 18WC 07534 TOBIN-GRECO, MICHELE IL SECRETARY OF STATE @ 01/08/18 KROL BONGIORNO & GIVEN LTD ASSISTANT ATTORNEY GENERAL 556 18WC 07539 VEGAS, JESSICA PROFESSIONAL PRACTICE 03/10/18 EDWIN REYES LEGAL GROUP KEEFE CAMPBELL BIERY & ASSOC 557 18WC 07605 BRUHA, JOHNATHAN VERIZON WIRELESS 01/16/17 SCOTT B SHAPIRO 558 18WC 07670 VERZAL, PHILIP J SAPORITO FINISHING CO 11/07/17 MARKER & CRANNELL BRADY CONNOLLY & MASUDA PC 559 18WC 07706 PALMER, CARLOS VILLAGE OF WINNETKA 03/02/18 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 560 18WC 07783 PETERSON, CHARDONNAY RUSH UNIVERSITY MEDICAL C 01/28/18 LEONARD LAW GROUP LLC 561 18WC 07847 BERNGARD, JOYCE AMERICAN AIRLINES 01/12/18 SAUNDERS CONDON & KENNY 562 18WC 07874 KENDALL, CHRIS THE HOSPITAL CO LLC 08/14/17 ANKIN LAW OFFICE JOSEPH MARCINIAK 563 18WC 07901 PUTNAM, ZACH CHICAGO WHITE SOX BASEBAL 06/20/16 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 18WC007902 -C 564 18WC 07933 HERNANDEZ, ANTHONY J DART CONTAINER CORPORATIO 12/01/17 BERENZ LAW NETWORK GAROFALO SCHREIBER STORM 565 18WC 08020 VICTORIA, MARIA T CAPITAL BUILDING SVCS 01/06/18 JOHN S. ELIASIK POULOS & DIBENEDETTO LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 566 18WC 08050 WILLIAMS, JOCELYN CALIFORNIA GARDENS NURSIN 02/02/18 JOHN C SERKLAND MCCABE KIRSHNER PC 567 18WC 08145 JAVIER, MARTHA S FEDEX EXPRESS 05/22/17 RUEDA, IVAN A 568 18WC 12458 GARZA, CARLOS MEDVET 03/31/18 LEONARD LAW GROUP LLC EDWARD J. KOZEL 569 18WC 13496 JOHNSON, MARCELLA LBP MFG LLC 09/26/17 ANKIN LAW OFFICE 570 18WC 13558 BELL, LATANYA CHICAGO TRANSIT AUTHORITY 02/16/18 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 571 18WC 13717 MENDOZA, ANA L STAFFING NETWORK LLC 04/02/18 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 572 18WC 14280 HARDY, TODD TRANSERVICE LOGISTICS 03/24/18 STEWART C ORZOFF 573 18WC 14638 PINKAWA, NORB ERICKSON ELECTRICAL 05/23/17 TARADASH LAW OFFICE LAWRENCE COZZI - LAW OFFICE 574 18WC 15068 SCHARRINGHAUSEN, TONYA HOME GOODS 02/26/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 575 18WC 15158 RAMIREZ, PETRICIA CPS-CHOPIN ELEMENTARY SCH 05/14/18 TRAPP & GELLER 576 18WC 15182 FAVORS, HERBERT C COOK COUNTY CLERK OF THE 09/01/15 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 577 18WC 15208 SIRIANO, RONALD LINDBLAD CONSTRUCTION COM 07/15/15 MICHAEL HELLMAN 578 18WC 15224 HALL, ASHLEY TAYLOR FARMS 03/31/18 BRISKMAN BRISKMAN GREENBER 579 18WC 15313 ROTH, RANDI DAVID'S BRIDAL 04/17/18 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 580 18WC 15336 TAYLOR, HENRYKA MICHAEL'S CARTAGE 07/25/16 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 581 18WC 15354 FITZGERALD, TODD UNIVERSAL CABLE COMPANY 04/04/18 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 582 18WC 15374 MCNEIL, KIMBERLY SOUTHWEST AIRLINES 04/30/16 LUSAK AND COBB 583 18WC 15401 AGUILERA, FRANCISCO FIVE STAR HEATING & COLLI 04/18/18 ENCINAS & ORNELAS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 584 18WC 15462 HERNANDEZ, ANGELES AMERICAN STAFFING SOLUTIO 05/15/18 LEWUN & KAIS LTD 585 18WC 15502 CHESACK, JOSEPHINE ROSEMONT EXPOSITION SERVI 04/07/18 TAMVAKIS, GEORGE L ACCIDENT FUND HOLDINGS 586 18WC 15527 BRANDON, IVAN JMJ TALENT SOLUTIONS AND 05/09/18 DWORKIN AND MACIARIELLO 587 18WC 15547 VIDAL, NORMA DUALL AUTOMATION & FEEDER 08/01/15 JONATHAN SCHLACK JOSEPH MARCINIAK 588 18WC 15598 SANDERS, KIM CITY OF CHICAGO 05/11/18 DAVID W MARTAY ODELSON & STERK 589 18WC 15642 ZAYAS, FELIX CHICAGO PARK DISTRICT 04/06/18 GREGORIO & MARCO CHICAGO PARK DIST LAW DEPT 590 18WC 15696 JONES, OLIVIA ELITE STAFFING 05/21/18 DWORKIN AND MACIARIELLO 591 18WC 15747 MAGGIO, JOSEPH BROCK INDUSTRIAL SERVICES 03/23/18 HORWITZ HORWITZ & ASSOC 592 18WC 15781 VANYAI, JOSEPH CRAFTSMAN CUSTOM METALS, 03/12/18 PETER D CORTI LAW GROUP 593 18WC 15804 GRANADOS, ANA ARLINGTON PLATING COMPANY 03/12/18 CULLEN HASKINS NICHOLSON KNELL O'CONNOR DANIELWICZ 594 18WC 15863 GARCIA, MIRIAM EL POPOCATEPTL TORTILLERI 05/17/18 DEPAOLO & ZADEIKIS 595 18WC 15914 GORSKI, WILLIAM PACE SUBURBAN BUS 04/05/18 MARK N LEE SLAVIN & SLAVIN 596 18WC 15946 REYES, AMALIA CHICAGO PUBLIC SCHOOLS 05/08/18 ANKIN LAW OFFICE CHGO BOARD OF EDUCATION 18WC015947 -C 597 18WC 15972 GONZALEZ, FRANCISCO HOIST LIFTRUCK MANUFACTUR 12/28/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 598 18WC 15996 WALLACE, THERESIA CTA 01/11/18 MICHAEL A. HIGGINS 599 18WC 16019 FLORES, MANUEL CENTRAL STEEL & WIRE CO 05/14/18 LANNON LANNON & BARR LTD 600 18WC 16044 WILLIAMS, YASMINE BAXTER HEALTH CARE 05/07/18 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 601 18WC 16049 MILLER, DECHANCEY CITY OF CHICAGO 05/16/18 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 602 18WC 16066 GIRON, CARLOS E NORTH AMERICAN CORPORATIO 02/01/18 SOSTRIN AND SOSTRIN PC RIPES NELSON BAGGOT KALOBRAT 603 18WC 16118 FALZONE, VINCENT J USF-HOLLAND-CHICAGO 10/27/17 OSVALDO RODRIGUEZ PC 604 18WC 16164 FRANCO, REBECA A&A MAINTENANCE 05/16/18 KATZ FRIEDMAN EAGLE ET AL MEACHUM & STARCK 605 18WC 16299 MILLER, STEPHANIE SUPERIOR AMBULANCE 12/29/17 STROM & ASSOC POWER & CRONIN LTD 606 18WC 16348 ZYCHAL, STEVE CAMBRIA USA 04/18/18 CORBOY & DEMETRIO PC 607 18WC 16373 SHARP, LORI ROUNDY'S MARIANO'S 05/15/18 FOHRMAN, DONALD W & ASSOCS 608 18WC 16393 KRUPA, BEATA TARGET CORPORATION 01/18/18 JOSHUA KARMEL 609 18WC 16412 FIGUEROA, JESUS SYNERGY 05/16/18 SCOTT B SHAPIRO KNELL O'CONNOR DANIELWICZ 610 18WC 16415 HOWER, SHERYL B REPUBLIC AIRLINES 05/05/18 SCOTT B SHAPIRO 611 18WC 16432 KELLUM, ERICA CTA 05/30/18 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY 612 18WC 16515 SUTHERLAND, INDIRA COOK ILLINOIS CORP 01/13/17 DEPAOLO & ZADEIKIS STONE & JOHNSON CHARTERED 613 18WC 16517 CRUZ, JACOB CHICAGO BOARD OF EDUCATIO 09/29/17 KREITER, BYCK & ASSOC LLP CHGO BOARD OF EDUCATION 614 18WC 16554 FINN, JEFFREY M CITY OF PARK RIDGE 05/08/18 THOMAS W DUDA MACIOROWSKI SACKMANN & ULRIC 615 18WC 16614 PATTERSON, LAZAREN B FORD MOTOR COMPANY 02/14/18 VITELL & SPITZ LTD 616 18WC 16633 SCANLAN, DONALD P AT&T 04/21/18 PETER D CORTI LAW GROUP HENNESSY & ROACH PC 617 18WC 16653 RUFF, AINSLEY R CHICAGO TRANSIT AUTHORITY 04/01/18 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 618 18WC 16682 RANGEL, VICTORIA ADVOCATE GOOD SHEPARD HOS 01/09/18 JOHN J CASTANEDA 619 18WC 16752 GUNGER, PATTY EVANSTON TOWNSHIP HIGH SC 05/26/18 BERNAT & BERNAT PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 620 18WC 16767 SALLEY, CATALINA MIKVA CHALLENGE 12/15/17 BOGUSZ & BOGUSZ LTD 621 18WC 16801 GRANDA, NELSON UNITED AIRLINES 05/06/18 STEVEN J MALMAN & ASSOCIAT WIEDNER & MCAULIFFE LTD 622 18WC 16833 SPRADLEY, DERRICK PARAMOUNT STAFFING 03/21/18 DAVID W MARTAY KNELL O'CONNOR DANIELWICZ 623 18WC 16870 MATEJA, KRZYSZTOF CONSTRUCTION REX LLC 04/09/18 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 624 18WC 16913 DE LA CRUZ, MODESTO ENVOY AIR, INC 05/09/18 COSTA IVONE LLC 625 18WC 16929 CASTILLO, LETICIA EMPLOYCO USA, VARGAS GROU 04/14/17 PATRICIA HARDIMAN LAW OFFI 626 18WC 16952 MAXWELL, MICHAEL CHICAGO TRANSIT AUTHORITY 05/11/18 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 627 18WC 16979 DELGADO, JOSE MEATHEADS 05/07/18 KATZ FRIEDMAN EAGLE ET AL ROSARIO CIBELLA 628 18WC 16994 ELLOIAN, PAUL F VILLAGE OF GLENCOE 04/30/18 LINN, CAMPE & RIZZO LTD 629 18WC 17048 SANTOYO, EUGENIO STANDARD HEAT TREATING LL 08/28/17 TOPPER & WEISS LTD GANAN & SHAPIRO 630 18WC 17118 ONEAFOLU, NONSO A AMERICAN TAXI DISPATCH, I 03/24/18 COHN LAMBERT RYAN & SCHNEI BAUM RUFFOLO & MARZAL LTD 631 18WC 17171 PINEDA, NICACIO RODITYS 11/17/17 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 632 18WC 17193 JUAREZ, ALVARO ASSEMBLERS INC. 03/08/18 CHEPOV & SCOTT LLC CAPUANI, FRANK S 633 18WC 17212 HERNANDEZ, MARIA L SOUTH COMMONS PHASE 1 02/27/18 JAMES M GERAGHTY WIEDNER & MCAULIFFE LTD 634 18WC 17232 NIEVES, JORGE GROOT INDUSTRIES, INC 05/22/18 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 635 18WC 17254 HORNE, TRACY UNITED CONTINENTAL HOLDIN 05/24/18 KATZ FRIEDMAN EAGLE ET AL 636 18WC 17299 MAYNARD, CYNTHIA LUIGI'S PIZZA 12/23/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 637 18WC 17359 PITTMAN-TAYLOR, ALJEAN MAYER BROWN LLP 03/13/17 ROSS TYRRELL HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 638 18WC 17411 FRAZIER, TANIJA PORTILLO'S 05/24/18 JOHN S. ELIASIK 639 18WC 17435 RENSBERGER, TIM AMERICAN AIRLINES 05/24/18 ELFENBAUM EVERS & AMARILIO 640 18WC 17477 MCDOWELL, GREGORY PEOPLE READY 05/17/18 SHELDON I MINKOW & ASSOCIA BRADY CONNOLLY & MASUDA PC 641 18WC 17555 FRAZIER, LA'TESHA OCTAPHARMA PLASMA 06/05/18 KREITER, BYCK & ASSOC LLP 642 18WC 17559 LOPEZ, KEVIN ALTERNATIVE STAFFING, INC 05/16/18 COHN LAMBERT RYAN & SCHNEI SLAVIN & SLAVIN 643 18WC 17565 JACKSON JR., MORRIS G CHICAGO TRANSIT AUTHORITY 07/07/17 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 644 18WC 17605 GOMEZ, JOSE PANAMERICAN AUTO PARTS 03/08/16 MC HARGUE & JONES RODDY LAW LTD 645 18WC 17627 JIMENEZ, LEDIMO EDLONG DAIRY TECHNOLOGIES 11/06/17 HERRERA LAW CENTER BORGELT POWELL 646 18WC 17673 DEAL, ROBERT AT&T 04/06/18 COVEN LAW GROUP HENNESSY & ROACH PC 647 18WC 17708 MUNOZ, MARCOS EMJ JORGENSON 06/06/18 KALOGERAKOS & ASSOC 648 18WC 17727 GROVES, RONALD L FORE TRANSPORTATION, INC 01/10/18 COLLISON LAW OFFICES LEAHY EISENBERG & FRAENKEL 649 18WC 17776 HERNANDEZ, OLEGORIO CASTWELL PRODUCTS 05/31/18 AIOSSA LAW FIRM 650 18WC 17813 GOMEZ, ERICK LANDA DUPAGE PAPER STOCK, INC. 12/29/17 LUCAS & APOSTOLOPOULOS RODDY LAW LTD 651 18WC 17838 MANDILE, VINCENT ILLINOIS STATE POLICE 05/17/18 DEPAOLO & ZADEIKIS ASSISTANT ATTORNEY GENERAL 652 18WC 17891 ROLLAND, TRACY HOME CHEF 05/06/18 SALVATO O'TOOLE FROYLAN 653 18WC 17934 PAINO-CAMPBELL, ERMA INGALLS MEMORIAL HOSPITAL 01/12/17 VASILATOS & COTTER LLC 654 18WC 18005 NAMBO, ARTURO JOHN'S PRO-TREE SERVICE 04/24/17 TAXMAN POLLOCK 655 18WC 18023 ALMAZAN, NORMA P EATALY CHICAGO, LLC 05/16/18 RUEDA, IVAN A MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 656 18WC 18079 KINGSLEY, SEAN METROPOLITAN WATER RECLM 05/16/18 DAVID W MARTAY 657 18WC 18103 HARRIS, LAMOYNE DIAMOND WASTE & RECYCLING 06/11/18 DWORKIN AND MACIARIELLO 658 18WC 18128 ALVAREZ, SANDRA ZF LEMFORDER CHICAGO, LLC 05/18/18 KATZ FRIEDMAN EAGLE ET AL 659 18WC 24477 KELLAR, RICK TOWER AUTOMOTIVE 08/01/18 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL BIERY & ASSOC 660 18WC 25494 THOMPSON, AMANDA TOTAL AIRPORT SERVICES 06/11/18 LEONARD LAW GROUP LLC 661 18WC 25513 CARDONA, JUAN KOPPERS, INC. 02/22/18 CZAPLA LAW RUSIN & MACIOROWSKI LTD 18WC027510 -C 662 18WC 25563 CONNELLY, ANITA SIX CONINTENTS HOTELS, IN 03/27/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 663 18WC 25604 COLETTA, BRIAN KEHE FOOD DISTRIBUTORS 05/21/18 LUSAK AND COBB DENNIS J NOBLE & ASSOC 664 18WC 25624 VASQUEZ, JERARDO RONS STAFFING 08/10/18 JAMES ELLIS GUMBINER & ASS KOREY RICHARDSON LLC 665 18WC 25642 HERRERA, RICARDO R.C. INDUSTRIES 07/02/18 LEONARD LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 666 18WC 25666 MICHAELS, DENNIS ART VAN FURNITURE 02/01/18 DWORKIN AND MACIARIELLO 667 18WC 25686 GEORGE, WALLACE DALE ALEXIAN BROTHERS HOSPITAL 10/28/15 E JAMES RAYMOND 668 18WC 25755 GRACZYK, MATTHEW LEWEL-OSCO 08/17/18 JAMES ELLIS GUMBINER & ASS 669 18WC 25768 MORAZAN, DELMY AMADA SENIOR CARE 08/13/18 DAVID W MARTAY HOLECEK & ASSOCIATES 670 18WC 25801 REGO, BRIAN N CHICAGO HEIGHTS STEEL 07/21/18 STEWART C ORZOFF 671 18WC 25848 ROLLAND, EDWARD HARD PARTS WAREHOUSE, INC 06/22/18 ANGELINI & ORI LLC 672 18WC 25870 INGRAM, MARSHA WALMART 08/13/18 RUBENS KRESS MULHOLLAND QUINTAIROS PRIETO WOOD & BOY 673 18WC 25900 JEVTIC, SASA YRC FREIGHT 08/27/18 PARENTE & NOREM PC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 674 18WC 25910 JORDAN, JIMMY MERCEDES BENZ OF CHICAGO 03/07/18 WILLIAM H MARTAY 675 18WC 25929 ABELS, RAYMOND J CONSTRUCTION CONCEPTS OF 06/30/17 MARK T HICKEY & ASSOCIATES 676 18WC 25962 CASTILLO, GRACIELA THE MAIDS 07/23/18 AIOSSA LAW FIRM 677 18WC 26040 GARCIA, ADRIAN SPRINT 08/25/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 678 18WC 26058 THOMAS, TYRONE L CHICAGO TRANSIT AUTHORITY 08/20/18 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 679 18WC 26078 PERRY, ROBERT W RPK CONSTRUCTION, INC D/B 08/14/18 ANESI OZMON RODIN NOVAK KO 680 18WC 26102 MONTGOMERY, MELVIN HZ OPS HOLDING INC 08/05/18 POMPER & GOODMAN 681 18WC 26151 KEYES, SHERRI AXLE TECH 04/17/18 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 682 18WC 26167 TREVINO, RAFAEL FEDEX GROUND PACKAGE SYST 02/12/18 ANKIN LAW OFFICE 683 18WC 26203 AULL, GREGORY L SHAWNEE SERVICE CENTER 07/19/18 THOMAS R LICHTEN BRYCE DOWNEY & LENKOV LLC 684 18WC 26223 BROWN, STEPHANIE IT TAKES A VILLAGE 08/10/18 COLLISON LAW OFFICES JOSEPH MARCINIAK 685 18WC 26273 BURNS, SHERRY VARGAS GROUP 07/18/18 BRISKMAN BRISKMAN GREENBER LITCHFIELD CAVO 686 18WC 26296 COLMAN. ARIEL PREMIER VETERINARY GROUP 07/23/18 ANSELMO DURAN 687 18WC 26315 DEANE, OLIMPIA VON MAUR 06/15/18 KATZ FRIEDMAN EAGLE ET AL 688 18WC 26344 HUNTER, JOYCE HOSTESS BRANDS, LLC 05/17/18 ELFENBAUM EVERS & AMARILIO INMAN & FITZGIBBONS 689 18WC 26387 WILLIAMS, VERNETTE SOUTH SUBURBAN REHAB 08/26/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 690 18WC 26422 MACIAS, JUAN P STANDARD HEAT TREATING LL 05/07/18 ANKIN LAW OFFICE 691 18WC 26437 BATES, RICHARD GIBRALTAR CHEMICAL WORKS 09/21/17 THE FITZ LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 692 18WC 26458 HAWKINS, ANDRE CHICAGO TRANSIT AUTHORITY 08/24/18 STONE & MAYA PC CHICAGO TRANSIT AUTHORITY 693 18WC 26481 JOHNSON, SHARI THRONTON HEIGHTS TERRACE 08/28/18 STROM & ASSOC 694 18WC 26504 DICKEY, RACHEL M ANTHEM MEMORY CARE 08/09/18 SANDMAN LEVY & PETRICH 695 18WC 26575 LEWIS, SHARON ILLINOIS DPARTMENT OF @ 07/19/18 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 696 18WC 26598 OLUSESI, BEATRICE CLARK MANOR CONVALESCENT 07/13/18 STEVEN J MALMAN & ASSOCIAT 697 18WC 26617 JEFFERY, ALSHON CHICAGO BEARS FOOTBALL CL 12/20/15 GORDON LAW OFFICES LTD 698 18WC 26633 NEAL, MELVIN ARMACELL LLC 06/25/18 LUSAK AND COBB 699 18WC 26659 REYNOSA, SANTIAGO INTERNATIONAL VILLAGE AKA 08/15/18 KEVIN ROGERS 700 18WC 26691 ALBRIGHT, MARC RPM GARAGE DOOR 07/26/18 SHELDON I MINKOW & ASSOCIA 701 18WC 26709 ABUCEWICZ, PIOTR PERFECT EDGE CONSTRUCTION 07/26/18 MC HARGUE & JONES STEVEN L. VENIT 702 18WC 26788 KOZLOV, GEORGIY THE GARLANDS OF BARRINGTO 04/19/16 SEIDMAN MARGULIS & FAIRMAN 703 18WC 26813 BRICENO-BIERWIRTH, ADRIAN ON SITE HEALTH CARE 04/05/18 SALVATO O'TOOLE FROYLAN 704 18WC 26840 HELMER, SCOTT FIRESTONE COMPLETE AUTO C 03/10/17 MEYERS & FLOWERS SLAVIN & SLAVIN 705 18WC 26862 PATINO, CARMEN WEBER-STEPHEN PRODUCTS 04/25/17 LEONARD LAW GROUP LLC 706 18WC 26879 GONZALEZ, IRMA LAKE SHORE CAFE 08/15/18 LEONARDO MORALES 707 18WC 26940 THOMPSON, MARSHALL MIDWAY STAFFING 09/05/18 DWORKIN AND MACIARIELLO 708 18WC 26962 MIRALDI, MICHELLE FEDEX GROUND PACKAGE SYST 07/11/18 SYREGELAS, NICHOLAS C KOPKA, PINKUS DOLIN, PC 709 18WC 26984 SAMS, ROCHELLE M CTA 08/25/18 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 710 18WC 26990 MCPHAIL, JUSTIN DOREENS GOURMET FROZEN PI 07/17/18 VRDOLYAK LAW GROUP LLC 711 18WC 27007 SCOTT, GERALD FORD MOTOR COMPANY 09/01/18 DONALD FOHRMAN & ASSOC 712 18WC 27022 GANT, KAWANA SMITH VILLAGE 08/30/18 MC HARGUE & JONES BRYCE DOWNEY & LENKOV LLC 713 18WC 27059 PATSCH, MICHAEL COOK CNTY SHERIFF'S DEPAR 02/11/18 MILLON & PESKIN LTD STATES ATTORNEY OF COOK COUN 714 18WC 27105 SANCHEZ, CYNTHIA COSTCO 04/28/18 CRONIN & PETERS 715 18WC 27145 VILLAGOMEZ-CORONA, LEOVAR SEBERT LANDSCAPING INC 10/03/17 WOLFE & JACOBSON, LTD 716 18WC 27188 BENNETT, CHRISTINA CHICAGO PUBLIC SCHOOLS 09/06/18 ANKIN LAW OFFICE CHGO BOARD OF EDUCATION 717 18WC 27218 ELGAMMAL, SALAH UBER 12/30/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 718 18WC 27230 MOORE, TIMOTHY METROPOLITAN WATER RECLAI 08/03/18 SANDMAN LEVY & PETRICH 719 18WC 27250 CANO, VICTOR MICHAEL LEWIS CO 08/24/18 NILSON STOOKAL GLEASON CAP 720 18WC 27271 GREEN, JOHN CITY OF CHICAGO 03/01/18 TRUGLIO, FRED A & ASSOC 721 18WC 27288 SALGADO, MARCO VANEE FOODS INC 05/30/18 DEPAOLO & ZADEIKIS SLAVIN & SLAVIN 722 18WC 27301 PERMENTER, JIMMY BULL MOOSE TUBE COMPANY 03/06/18 HORWITZ HORWITZ & ASSOC 723 18WC 27345 SEMENIC, STEVEN TITAN ELECTRIC, LLC 01/31/18 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 724 18WC 27379 DELGADO, SERGIO GEORGIA NUT COMPANY 10/26/17 EPSTEIN, JACK R LAW OFFICE 725 18WC 27400 PEREZ, EULALIA MOO & OINK, BEST CHICAGO 03/27/18 EPSTEIN, JACK R LAW OFFICE 726 18WC 27420 TAPIA, GLORIA JR DESSERT BAKERY 08/30/18 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 727 18WC 27435 BUSCH, VERONICA GDI SERVICES, INC 09/04/18 ANKIN LAW OFFICE MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 728 18WC 27457 PILAT, LESZEK LEASING MANAGEMENT, INC 05/19/18 VASILATOS & COTTER LLC 729 18WC 27474 HALLET, THOMAS LAKESHORE BEVERAGE 04/13/17 HEALY SCANLON LAW FIRM 730 18WC 27485 SANDERS, LARRY A. FINKL & SONS CO. 09/05/18 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 731 18WC 27502 ADEBISI, ABIODUN NECT 7 INC 09/01/18 WEISS & WEISS LAW OFFICES 732 18WC 27517 UGHAMADU, ROBINSON MONETA TAXI INC 08/03/18 RYAN ROSENTHAL 733 18WC 27531 OCRAN, VICENTIA UHLICH CHILDREN'S ADVANTA 10/31/17 TAMVAKIS, GEORGE L 734 18WC 27551 NORRIS-COLLINS, ELUDA JOLIET JOB CORPS 07/22/18 SKLARE LAW GROUP 735 18WC 27569 SANTUCCI, SABRINA M NBC UNIVERSAL 01/16/18 ANESI OZMON RODIN NOVAK KO SPIEGEL & CAHILL, PC 736 18WC 27589 MOTEN, CHARLTON TOTAL STAFFING 07/18/18 ANGELINI & ORI LLC KNELL O'CONNOR DANIELWICZ 737 18WC 33293 LEON, GUADALUPE JEWEL 10/17/18 RUBENS KRESS MULHOLLAND 738 18WC 33792 SURNEY, SERGIO ALDI * 09/06/18 ANGELINI & ORI LLC 739 18WC 33843 SCOTT, VALADA WYNDHAM GRAND RIVERFRONT 08/13/18 ELFENBAUM EVERS & AMARILIO 740 18WC 33890 ARGENTINE, VINCENT CHICAGO PARK DISTRICT * 09/17/18 TRAPP & GELLER CHICAGO PARK DIST LAW DEPT 741 18WC 34223 VEREST, PENNY OUTBACK STEAKHOUSE 05/08/17 NEWLAND & NEWLAND RODDY LAW LTD 742 18WC 34411 AMIN, RAHIMA A TYSON FOODS, INC * 10/19/17 ANKIN LAW OFFICE 743 18WC 34452 EMERSON, DARIUS DEBECCA NATURAL FOODS * 01/30/18 HARRIS LAW FIRM 744 18WC 34477 CONTRERAS, JUAN WHEATLAND TUBE COMPANY * 10/29/18 GRAVLIN, MICHAEL J LLC 745 18WC 34515 MICELI, ANTHONY MMM PROPERTY HOSTING, LLC * 10/30/18 GOLDSTEIN BENDER & ROMANOF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 746 18WC 34527 CASTRO, MICHELLE TRUE FOOD KITCHEN 11/13/18 KATZ FRIEDMAN EAGLE ET AL 747 18WC 34537 KING, ALICIA ROSEWOOD HEALTH CARE * 11/22/15 LUSAK AND COBB 748 18WC 34555 PATINO, MARICELA BIG STAR II D/B/A * 08/27/18 STROM & ASSOC 749 18WC 34571 WOODFORK, MATTHEW WEST ROCK/RTS * 06/11/18 EDWIN REYES LAW FIRM 750 18WC 34593 CABAI, KRISTOPHER ARTHUR JAMES MCHUGH CONSTRUCTION * 07/06/17 WHITESIDE & GOLDBERG LTD 751 18WC 34622 HAYWOOD, SADE A EAM VENTRUS, INC, D/B/A * 09/20/18 ANKIN LAW OFFICE 752 18WC 34649 VEGA, NANCY I U & F SONS INC * 08/29/18 RUEDA, IVAN A 753 18WC 34678 PALMER, ERICA N FEDERAL EXPRESS * 11/14/18 STEVEN L. VENIT 754 18WC 34705 MOSQUEDA, JUAN CARLOS HIGHWAY STEEL INC * 08/27/18 RAYMOND P GARZA LAW OFFICE 755 18WC 34736 DERBIGNY, JASMINE DAKKOTA INTEGRATGED SYSTE * 11/25/18 KATZ FRIEDMAN EAGLE ET AL 756 18WC 34769 NIETO, MATILDE ELITE STAFFING INC. * 10/01/18 COSTA IVONE LLC 757 18WC 34786 BROOKS, GARY DHL * 07/16/18 LEONARD LAW GROUP LLC 758 18WC 34833 BANKS, TRYNAIL MV TRANSPORATION * 11/23/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 759 18WC 34853 BAREU, VALERIA UNITED CONTINENTAL HOLDIN * 08/06/18 BRIAN J MC MANUS & ASSOC, 760 18WC 34883 CHANTREY, KEITH MAINES PAPER AND FOOD SER * 06/23/18 VASILATOS & COTTER LLC 761 18WC 34887 ORTIZ, IVETTE DELUXE CORPORATION * 04/16/18 CULLEN HASKINS NICHOLSON 762 18WC 34933 BANKS, GREGORY MAZDA ORLAND PARK * 11/08/18 NANCY HIRSCH LLC 763 18WC 34964 AL-JAMI, FREDERICK JEWEL * 11/21/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 764 18WC 34983 JEFFERSON, MINNIE CHICAGO TRANSIT AUTHORITY * 11/14/18 GERALD CONNOR CHICAGO TRANSIT AUTHORITY 765 18WC 35017 JAMSHIDI, MASOUMEH MACY'S INC. * 09/30/18 RICHARD O. GREENFIELD 766 18WC 35037 BRILLANTES, SONNY 1ST CHOICE SENIOR HOMECAR * 11/12/18 COVEN LAW GROUP 767 18WC 35066 SOKOLOWSKI, DENNIS US FOODS * 11/14/18 LEONARD LAW GROUP LLC 768 18WC 35097 GAYTAN, JOHN IMG TECHNOLOGIES * 02/27/18 HELEN BLOCH 769 18WC 35147 BUTT, MICHELLE ABF FREIGHT * 02/02/18 JASINSKI, GEORGE J 770 18WC 35167 WIERSEMA, LYNETTE AMERICAN AIRLINES * 09/03/18 SAUNDERS CONDON & KENNY 771 18WC 35176 VOSS, MELINDA AMAZON.COM.DEDC LLC * 11/26/18 ANKIN LAW OFFICE 772 18WC 35209 MARTINEZ, JAIME SOUTHWEST AIRLINES * 01/03/18 ROMANUCCI & BLANDIN 773 18WC 35218 SHORTER, SHAMARI CITY OF CHICAGO 05/22/18 KROL BONGIORNO & GIVEN LTD 774 18WC 35239 CORONA, MAXIMINA CURTISS-WRIGHT CORP/ * 10/19/18 ACEVES & PEREZ PC 775 18WC 35242 HOLLEY, GREGORY S CTA 11/14/18 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 776 18WC 35271 PAPPAS, SONIA UNITED AIRLINES INC. * 08/06/18 ANGELINI & ORI LLC 777 18WC 35317 LOMBARDO, RICHARD UNITED CONTINENTAL HOLDIN * 11/06/18 KROL BONGIORNO & GIVEN LTD 778 18WC 35341 JASKOWIAK, WILLIAM DO & CO. CHICAGO CATERING * 09/11/16 PARAD LAW OFFICES PC 779 18WC 35388 PERSON, LAVELL KINDER MORGAN * 07/24/18 O'CONNOR & NAKOS 780 18WC 35404 SNUGGERUD, LUC ROCKFORD ICE HOGS * 12/08/17 GORDON LAW OFFICES LTD 781 18WC 35427 ACEVEDO, TRISTIAN REGAL CINEMA * 10/24/18 ANGELINI & ORI LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 782 18WC 35439 WILLIAMS, CALVIN ABT ELECTRONICS * 08/02/16 LEONARD LAW GROUP LLC 783 18WC 35456 RINGER, MARQUITA SANDRIA SWIFT TRANSPORTATION * 10/16/18 HERRERA LAW CENTER KOPKA, PINKUS DOLIN, PC 784 18WC 35480 CURRAN, ALLISON D.C. HENNING INC * 10/21/17 RICHARD O. GREENFIELD 785 18WC 35507 HACKSUNDA, PEGGY UNITED CONTINENTAL HLDNGS * 06/26/18 KATZ FRIEDMAN EAGLE ET AL 786 18WC 35528 DEMETER, JAMES PERILLO BMW, INC * 12/04/15 SYREGELAS, NICHOLAS C WIEDNER & MCAULIFFE LTD 787 18WC 35629 FLORES, ADRIAN AMERICAN AIRLINES * 10/12/18 PHILIP BLOMBERG 788 18WC 35720 CRUZ CAMPOS, JOSE QUALITY LANE SERVICE * 11/13/18 WOODRUFF JOHNSON 789 18WC 35738 PORTER, QUBIA JR. HUB CAP CITY * 09/22/18 DAVID W MARTAY 790 18WC 35758 SNIDER, CONNIE BERRY GLOBAL * 11/29/18 BRISKMAN BRISKMAN GREENBER 791 18WC 35780 TONEY, MELANIE HOUSING CHOICE PARTNERS * 11/17/18 DWORKIN AND MACIARIELLO 792 18WC 35796 MONTESINO, JHOSSEILY PROSPECT AIR SERVICE * 10/16/18 CHEPOV & SCOTT LLC 793 18WC 35817 GONZALEZ, DAVID ADVANCED AUTO CLINIC, INC * 12/13/16 WIEDNER & MCAULIFFE LTD 794 18WC 35848 BURRELL, JACQUELYN ELEMENTARY S.D. #159 * 09/13/18 SEIDMAN MARGULIS & FAIRMAN 795 18WC 35877 HEMPHILL, JEFF BIMBO BAKERIES USA INC * 10/29/18 ANKIN LAW OFFICE 796 18WC 35898 OCAMPO, CLAUDIA GUADARRAM ENGLANDER BEDDING CO. * 07/18/18 CULLEN HASKINS NICHOLSON 797 18WC 35918 RATTUNDE, MICHAEL NESTLE * 07/29/17 VRDOLYAK LAW GROUP LLC 798 18WC 35946 QUINN, MARIA PRINCI/STARBUCKS CORP * 09/22/18 BALKE & WILLIAMS 799 18WC 35966 LOPEZ, MIGUEL LS CONTRACTING GROUP, INC * 08/31/18 HETHERINGTON KARPEL BOBBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 800 18WC 35994 PARKER, AVIS D XEROX COMPANY * 09/19/18 PETER D CORTI LAW GROUP 801 18WC 36018 MCDONALD, JUSTIN A CNC LOGISTICS, INC * 06/30/18 LINN, CAMPE & RIZZO LTD 802 18WC 36090 WILLIAMS, TIMOTHY CHICAGO TRANSIT AUTHORITY * 11/30/18 TIMOTHY E. TAKASH 803 18WC 36122 DEMEO, KENNETH TITON STEEL INC * 11/06/18 GOLDBERG WEISMAN & CAIRO L 804 18WC 36156 TAYLOR, RONDA JEWEL FOODS * 07/17/17 ANGELINI & ORI LLC 805 18WC 36175 HUGHES, LORETTA HOUSE OF BLUES * 10/02/18 JONATHAN SCHLACK 806 18WC 36194 HAYES, RAY CITY OF CHICAGO * 10/04/16 KROL BONGIORNO & GIVEN LTD 807 18WC 36218 MCGHEE, ARETHA ASG STAFFING * 11/13/18 JAMES ELLIS GUMBINER & ASS 808 18WC 36244 SALIM, MOHAMMAD AL-QAMAR ENTERPRISES, INC * 11/08/18 FISHER & LAMONICA 809 18WC 36298 PENA, EDGAR ESTRUCTURAS, INC * 09/05/18 STANCZAK LAW OFFICES 810 18WC 36349 MCGAHEE, KENNETH CTA * 11/12/18 DEPAOLO & ZADEIKIS 811 18WC 36370 ABLES, MATTHEW JAMES MCHUGH CONSTRUCTION * 12/27/17 CULLEN HASKINS NICHOLSON 812 18WC 36394 RODRIGUEZ, NOE JEWEL OSCO * 11/29/18 SCOTT B SHAPIRO 813 18WC 36464 SCHABOLD, WILLIAM CENTRAL LIFT MAINTENANCE * 11/25/18 MARC STOOKAL 814 18WC 36511 GORECKI, SHELLEY LITTLE COMPANY OF * 11/28/17 LIPKIN & HIGGINS LAW OFFIC 815 18WC 36534 TALLON, SHAUN THE HABITAT COMPANY * 12/29/17 WHITESIDE & GOLDBERG LTD 816 18WC 36557 RODRIGEZ, JACQUELINE CHICAGO TRANSIT AUTHORITY * 07/24/18 GALLAGHER LAW PC 817 18WC 36622 BITOY, DARIO FORD MOTOR COMPANY * 11/08/18 JAMES ELLIS GUMBINER & ASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 01/17/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 818 18WC 36643 TRUJILLO, ROBERTO P&E DRYWALL, INC. W* 10/25/17 MC HARGUE & JONES 819 18WC 36677 WITT, JENNIFER BASH EVENTS * 11/18/18 RUBIN MACHADO ROSENBLUM 820 18WC 36726 ORTEGA, ARMANDO JOSE PANGEA VENTURES, LLC * 11/27/18 ANKIN LAW OFFICE 821 18WC 36743 BAILEY, MICHAEL CHICAGO TRIBUNE COMPANY * 08/25/18 SAUNDERS CONDON & KENNY 822 18WC 36786 MARDIS, LATONIA GAREDA, LLC * 09/13/18 HUGHES SOCOL PIERS RESNICK