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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 09WC 00148 WILLIS, ALVIN ALPHA BAKING 06/24/08 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 16 09WC 16296 RODRIGUEZ, EVELYN WEBER-STEPHEN PRODUCTS CO 01/27/09 SMOLER LAW OFFICE, PC LAW OFFICES JOSEPH MARCINIAK 10WC015965 -C 17 09WC 17041 FINWALL, ANTHONY CHICAGO TRANSIT AUTHORITY 12/03/08 O'CONNOR & NAKOS CHICAGO TRANSIT AUTHORITY 18 09WC 20168 19B DAFFIN-SIBLESS, PAMELA CALUMET CITY SCHOOL DIST 02/11/09 NEWMAN, BOYER & STATHAM BRADY CONNOLLY & MASUDA PC 19 09WC 20327 CHAVARRIA, MIRIAM STAFF MANAGEMENT 01/11/08 GOLDSTEIN FISHMAN BENDER E RODDY LAW LTD 20 09WC 21938 RINCK, CORINNE CHICAGO BOARD OF EDUCATIO 02/24/09 STROM, NEAL B LEAHY EISENBERG & FRAENKEL 21 09WC 21951 SALAZAR, EDDIE AMERICAN STEEL WORK INC 05/06/09 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 22 09WC 23496 PYTER, CHESTER PENSKE TRUCK LEASING 07/17/08 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 09WC024298 -C 11WC004191 -C 23 09WC 29656 DEZORT, ROGER KING CUT CONCRETE CUTTERS 06/26/09 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 24 09WC 32266 ORTEGA, SANDRA LANDIS BERRY PLASTICS 02/24/09 CULLEN, HASKINS, NICHOLSON 10WC018549 -C 25 09WC 36992 GRAHAM, CHRISTOPHER A AT & T WIRELESS 12/10/08 HENNESSY & ROACH PC 07WC040397 -C AT&T WIRELESS 09WC036993 -C 09WC036994 -C 13WC026865 -C CINGULAR WIRELESS 15WC019090 -C AT&T 26 09WC 42364 BRICKNER, JON KIEWIT 04/17/09 FOHRMAN, DONALD W & ASSOCS 27 09WC 43782 GARCIA, NEREIDA HOLIDAY INN CHICAGO MART 09/05/09 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 28 09WC 47021 HENCE, ROBERT FEDERAL-MOGUL CORPORATION 05/21/09 EMPLOYEE LEGAL SERVICES LT HOLECEK & ASSOCIATES 29 09WC 48168 POSEY, TASHONNE KENATTA JOHNSON, TERRY # 12/16/06 MARVIN A BRUSTIN LTD VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 09WC 50689 SIMONS, HELEN CHICAGO BOARD OF EDUCATIO 11/21/08 POMPER & GOODMAN 31 09WC 52304 HARRIS, PATRICIA R STATE OF IL, DEPT OF HS @ 12/16/09 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 10WC026427 -C 10WC026428 -C 10WC026429 -C 32 10WC 04828 SMITH, KEITH CHICAGO TRANSIT AUTHORITY 10/15/09 LAW OFFICES PETER LEKAS CHICAGO TRANSIT AUTHORITY 10WC014661 -C 33 10WC 10576 FRENCH, ROBERT M ALTER DESIGN BUILDERS LLC 04/13/07 GHANTOUS LAW OFFICES, LTD RODDY LAW LTD 34 10WC 15617 BRAMBILA, MARIA INTEGRATED INDUSTRIES COR 11/18/09 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 35 10WC 22138 KOZIOL, WALTER TEMPEL STEEL 06/05/10 LANNON LANNON & BARR LTD NYHAN BAMBRICK KINZIE & LOWR 16WC001043 -C 36 10WC 22660 PENNINGTON, CHERIE EDWIN G FOREMAN HIGH SCHO 05/06/10 WOLFE LAW PC LEAHY EISENBERG & FRAENKEL 37 10WC 23086 PSENICKA, CHRISTOPHER P CHICAGO ZOOLOGICAL SOCIET 02/23/10 HANNIGAN & BOTHA, LTD LAW OFFICES OF EDWARD J. KOZ 15WC000073 -C 38 10WC 24794 MARTINEZ, JESUS PROGRESSIVE LOGISTICS 06/08/10 SALK, STEVEN B & ASSOC LTD THOMAS & ASSOCIATES 39 10WC 30279 MUNLTZ, MEGAN NORTHWESTERN MEMORIAL HOS 06/02/10 CULLEN HASKINS NICHOLSON LORENZ & BERGIN PC 40 10WC 31052 PASKE, KERRI LETTUCE ENTERTAIN YOU D/B 05/30/10 KELLEY, KELLEY & KELLEY NOBLE & ASSOCIATES PC 41 10WC 32629 JALOVECKAS, ROBERT PARKWAY ELEVATORS 07/23/10 BOGUSZ & BOGUSZ LTD STONE & JOHNSON CHARTERED 42 10WC 33934 PEREZ, LUIS A GONZALEZ FIRE HOUSE STEAK & LEMONA W 07/07/10 JAMES ELLIS GUMBINER & ASS ABDAILAH LAW P.C. 43 10WC 37791 19B KRCHMERY, KEN CONTINENTAL AIRPORT EXPRE 08/16/10 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA 44 10WC 38703 CATALANO, VINCENZO ST. ADALBERT CEMETERY 08/30/10 LAW OFFICE TIMOTHY LAMPINE MC ANDREWS & NORGLE LLC 45 10WC 39277 NAIMOLI, ANTHONY J ST OF IL DEPT OF TRANSP @ 09/16/10 GOLDBERG WEISMAN & CAIRO L MATTHEW LICAVOLI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 10WC 40940 DUENAS, ANA R GRAPHIC PACKAGING 12/07/07 PETER F FERRACUTI & ASSOCI DOHERTY & PROGAR LLC 47 10WC 41022 WHITTIER, LOUIS AUSTIN EXXON MOBIL 01/03/10 WITTENBERG DOUGHERTY MAGLI NYHAN BAMBRICK KINZIE & LOWR 14WC017904 -C 48 10WC 44549 LOZADA, ALEXIS ILLINOIS TOLLWAY @ 11/02/10 THE FITZ LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 49 11WC 09178 19B-1 MCCAREY, PATRICK STATE OF ILLINOIS CENTRAL @ 12/12/10 HEALY LAW FIRM ASSISTANT ATTORNEY GENERAL 50 11WC 12119 RODRIGUEZ, VERONICA NOVA PRO RISK SOLUTIONS 03/15/11 WOODRUFF & JOHNSON 51 11WC 14521 BENITEZ, CARMEN MENARDS 02/14/11 CRONIN & PETERS RODDY LAW LTD 52 11WC 14765 KAMP, RICHARD MODULAR TRANSPORTATION 03/08/11 LEO ALT STONE & JOHNSON CHARTERED 11WC014766 -C 53 11WC 15931 JOHNSON, MICHAEL CHICAGO REED METAL HEALTH 03/14/11 POLANSKY & CICHON CHTD ASSISTANT ATTORNEY GENERAL 54 11WC 17194 GONZALEZ, JESUS GONZALEZ AUTO PARTS 07/01/10 GRAVLIN, MICHAEL J LLC 55 11WC 17399 HURTADO-VELAZQUEZ, AUDIEL ROSEMONT LANDSCAPING 04/13/11 RUBENS AND KRESS HUGHES SOCOL PIERS RESNICK & 56 11WC 21157 WEINERT, CONSTANCE CHICAGOLAND COMMISSARY LL 04/27/11 DAVID W MARTAY MEACHUM & STARCK 57 11WC 25703 SORIA, MARIA FASHION BUG 05/02/11 CAPRON & AVGERINOS PC BRADY CONNOLLY & MASUDA PC 58 11WC 31908 KNIGHT, IDA CAESAR'S PIZZA @ W 07/27/11 ACEVES & PEREZ PC 59 11WC 32167 REGALADO CAROL BUDDIG & CO 07/20/11 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 60 11WC 32456 BREAULT, BONNIE L SOUTHWEST AIRLINES 04/15/09 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 61 11WC 32706 COLLINS, WILLIAM CHICAGO TRANSIT AUTHORITY 04/16/11 JAMES A. THOMAS CHICAGO TRANSIT AUTHORITY 62 11WC 36065 PILLASO, XAVIER CHICAGO MEDALLION MANAGEM 11/01/10 BAUM RUFFOLO & MARZAL LTD HINSHAW & CULBERTSON 11WC036066 -C 11WC036067 -C 63 11WC 40272 GOODRICH, SCOT COOK DUPAGE TRANSPORTATIO 09/27/11 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 64 11WC 40834 KEBURIS, MICHAEL 2020 EXHIBITS INC W 09/19/11 DWORKIN AND MACIARIELLO CHRISTOPHER RYAN 65 11WC 40977 JORDAN, ANTIONETTE UNIVERISTY OF CHICAGO HOS 03/24/11 SHELDON I MINKOW & ASSOCIA MACIOROWSKI SACKMANN & ULRIC 66 11WC 41349 YEEND, DAVID SOI DEPT OF HUMAN SRVS @ 10/20/11 CUDA LAW OFFICES MATTHEW LICAVOLI 13WC026015 -C ST OF IL DEPT OF HUMAN SER 13WC027905 -C STATE OF ILLINOIS/DEPT OF 67 11WC 41606 PEREZ, ANA M PROVIDIAN STAFFING CORP 09/13/11 SALK, STEVEN B & ASSOC LTD SEGAL MCCAMBRIDGE SINGER MAH 11WC041607 -C 68 11WC 41946 OLVERA, REYNA HINES/DBA APPETIZER INC/ 04/01/10 ACEVES & PEREZ PC 69 11WC 45371 JOVANOVIC, BOZIDAR WELDING APPARATUS CO @ W 10/27/11 JEROME FOREMAN & ASSOCIATE ASSISTANT ATTORNEY GENERAL 70 11WC 47286 CONNER, LASHONDA D AVON PRODUCTS INC 06/22/11 TIMOTHY J LAMPINEN LAW OFF HOLECEK & ASSOCIATES 71 12WC 09630 LYNN, MARK ST OF ILL DEPT OF 01/03/12 GOLDBERG WEISMAN & CAIRO L ASST ATTY GENERAL 72 12WC 09744 19B MECHERLE, BRIAN WIDE OPEN WEST LLC 03/07/12 JOHN F GREGORIO & ASSOC HOLECEK & ASSOCIATES 12WC027277 -C 73 12WC 12127 MALDONADO, HECTOR CONWAY FREIGHT CENTRAL 09/06/10 SHELDON I MINKOW & ASSOCIA 74 12WC 12272 JACNIACKA, KRYSTYNA NSSEO 04/10/10 NEMEROFF LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 75 12WC 12507 SANCHEZ, MARIA AT&T 02/01/11 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 76 12WC 13576 GUERRERO, MARIA PRESBYTERIAN HOMES 03/21/12 STEVEN J SEIDMAN LAW OFFIC NYHAN BAMBRICK KINZIE & LOWR 12WC044104 -C MORRINGS OF ARLINGTON HTS 77 12WC 13703 19B SANTILLAN, ROGELIO SEAN BOGUNIC DBA MIDWAY W 04/04/12 RAYMOND M SIMARD, PC 78 12WC 14263 BROWN-HENDERSON, MICHELE COOK COUNTY 04/01/12 ERIC M GLASSON & ASSOCIATE STATES ATTORNEY OF COOK COUN 79 12WC 22587 LE SANCHE, RONALD B & M CONCRETE CONSTRUCTI 10/01/11 BIZZIERI LAW OFFICES BRADY CONNOLLY & MASUDA PC 80 12WC 22790 JAMISON, RAYMOND LOWERY LOGISTICS 01/25/12 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 81 12WC 22869 RAMIREZ, ANTONIA TOOTSIE ROLL 06/14/12 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 82 12WC 22894 JOHNSON, INDIA BOARD OF EDUCATION 06/08/12 LAW OFFICE OF JAMES H MILL 83 12WC 23392 HERBAS, FREDDY CHARLES IFERGAN 01/06/12 MILLON & PESKIN LTD MEACHUM & STARCK 84 12WC 24047 MORENO, LEOPOLDO ACCELLENT 09/28/11 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 85 12WC 24359 WHITEHEAD, MICHAEL UNIVERSITY OF CHICAGO 12/06/10 JAMES A. THOMAS NYHAN BAMBRICK KINZIE & LOWR 86 12WC 25287 GOMEZ, MARIBEL ALDEN TOWN MANOR 12/31/11 STEVEN J SEIDMAN LAW OFFIC KEEFE CAMPBELL & ASSOC LLC 87 12WC 25386 LABAHN, MARIANNE ADVOCATE MERCY HOSPITAL 12/29/11 LAW OFFICE ILONKA ULRICH NYHAN BAMBRICK KINZIE & LOWR 88 12WC 25981 LOW, LAUREN M AMERICAN EAGLE 02/24/12 THOMAS R LICHTEN GAROFALO SCHREIBER STORM 89 12WC 26136 KOLLMAN, EDWIN JNS TRUCKING COMPANY 06/25/12 SUTTER & ORI LLC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 90 12WC 37337 MACK, ELIOENAI CTA 10/18/12 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 91 12WC 39166 VILLALVAZO, MARIA RUPARI FOOD SERVICES INC 09/24/12 RUBIN MACHADO ROSENBLUM MACIOROWSKI SACKMANN & ULRIC 13WC040894 -C ALTERNATIVE STAFFING 92 12WC 44246 WILLIAMS, LU ELLEN MORRISON COMPASS MANAGEME 11/27/12 STELZMAN, RUTH BRADY CONNOLLY & MASUDA PC 93 13WC 00021 HART, ROSIE CHICAGO COMMONS INC. 08/21/12 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 94 13WC 02881 WOODS, BEATRICE ILLINOIS DEPT OF HUMAN SE @ 10/09/12 BRILL & FISHEL MATTHEW LICAVOLI 95 13WC 04372 ORTIZ, ANTHONY MERCURIO CARPET & TILE 05/12/12 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 96 13WC 06714 HAMILTON, MICHAEL A NATION PIZZA PRODUCTS 09/17/12 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 97 13WC 07345 BLANGIARDO, FRANK BLANGIARDO BROS LANDSCAPI 06/03/11 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 98 13WC 09242 WATTS, MICHAEL ILLINOIS CENTRAL 03/18/13 POLANSKY & CICHON CHTD MACIOROWSKI SACKMANN & ULRIC 99 13WC 10417 JACOBS, KIMBERLY A UNIVERSITY OF CHICAGO 06/05/12 VITELL & SPITZ LTD NYHAN BAMBRICK KINZIE & LOWR 100 13WC 10456 TRIPOLI, PATRICK ALLAN J COLEMAN & COMPANY 02/22/13 KARCHMAR & STONE EDWARD JANUSZKIEWICZ 101 13WC 10968 BATIO, PAUL NORSHORE CAB CO A/K/A W 12/23/12 JONATHAN SCHLACK LAW OFFICES OF EDWARD J. KOZ 102 13WC 11187 MARTINEZ, ORLANDO KOCH FOODS 03/05/13 CUDA LAW OFFICES 103 13WC 11242 CREAL, JAYNE PACE SUBURBAN BUSS 03/04/13 MARSZALEK AND MARSZALEK SLAVIN & SLAVIN 104 13WC 12204 PAPPOUS, PANAGIOTIS RICHARDS & WYER CONSTRUCT 05/22/12 LOUIS G ATSAVES, LTD THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 105 13WC 12289 WATSON, KATHERINE CHICAGO BOARD OF EDUCATIO 02/04/13 MARSZALEK AND MARSZALEK 106 13WC 12350 OLIVA, AURA SUNSTAR AMERICAS INC 05/14/12 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 13WC018887 -C 107 13WC 12535 SOKOLOWSKI, PHILIP IL DEPT OF TRANSPORTATION @ 01/29/13 ANGELINI & ORI LLC MATTHEW LICAVOLI 108 13WC 13983 MILLER, JOHN SERVICE MASTER DCS 04/22/13 CURTIS S BURKE LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 109 13WC 14563 LINDBERG, RONALD IDOT DISTRICT ONE 03/28/13 LEONARD LAW GROUP LLC C. FLETCHER 110 13WC 19051 MURPHY, MICHELE C CHICAGO TRANSIT AUTHORITY 02/01/13 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 111 13WC 20448 RIVERA, RICARDO KOCH FOODS 02/04/13 SALK, STEVEN B & ASSOC LTD INMAN & FITZGIBBONS 13WC024162 -C JCG INDUSTRIES INC 112 13WC 21172 MARIA, ELIZABETH LOYOLA UNIVERSITY MEDICAL 04/25/12 MILLON & PESKIN LTD LORENZ & BERGIN PC 13WC021173 -C 13WC021174 -C 113 13WC 21421 MURDOCK, KATHY ADDUS HEALTHCARE 12/13/12 DAVID W MARTAY HENNESSY & ROACH PC 14WC036019 -C 114 13WC 21533 DZOGA, DEBORAH INTERIM HEALTHCARE 05/19/13 DAVID W MARTAY STONE & JOHNSON CHARTERED 115 13WC 21542 WALKER, JERMAINE CTA 06/26/13 DONALD W FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 116 13WC 22006 JONES, JANICE HOMEWATCH CAREGIVERS 06/07/13 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 117 13WC 22030 HILL, SAMUEL L STATE OF ILLINOIS @ 06/24/13 VITELL & SPITZ LTD MATTHEW LICAVOLI 118 13WC 22097 SMITH, REGINALD CTA 06/25/13 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 119 13WC 22198 SUAREZ, HECTOR JERNBERG INDUSTRIES 04/07/13 CUDA LAW OFFICES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 120 13WC 22765 SPEDAVECCHIA, MICHAEL FEDERAL EXPRESS 11/21/11 LANCASTER, DEBORAH 121 13WC 23167 SANCHEZ, AGUSTIN SENIRO FLEXONICS 07/20/11 BRADY CONNOLLY & MASUDA PC 13WC023168 -C SENIOR FLEXONICS 13WC023169 -C 122 13WC 23183 SPEARS, JONATHAN STEAK N SHAKE 06/06/13 GOLDSTEIN BENDER & ROMANOF KEEFE CAMPBELL & ASSOC LLC 123 13WC 23453 PEREZ, IRMA CPO HOSPITALITY LLC D/B/A 03/02/13 CHRISTIAN & MANNO MEACHUM & STARCK 124 13WC 24167 ARANDA,MARIA DE LOS ANGEL SHORE CLEANERS W 06/17/13 JAMES ELLIS GUMBINER & ASS 125 13WC 28374 MURPHY, TERRENCE D HICKORY HILLS POLICE DEPT 07/12/13 DAVID W MARTAY COSENTINO, RICHARD J 14WC022479 -C 126 13WC 32923 VAN BEVEREN, BARB J & L COMMERCIAL 02/06/13 HORWITZ HORWITZ & ASSOC 127 13WC 33496 JARVIS, JAYNE A CHICAGO PUBLIC SCHOOLS 07/18/13 ANESI OZMON RODIN NOVAK KO LAW DEPARTMENT 128 13WC 33736 JOHNSON, BRIDGETT ST COLETTA'S OF ILLINOIS 07/31/13 GOLDFEIN LAW OFFICE PC 129 13WC 34213 LUTHMAN, DAVID J THR BROKERAGE IL DBA 09/12/13 PATRICOSKI, MARK G GRANT & FANNING 130 13WC 34984 FIQUEROA, JEOVANNY ALTERNATIVE STAFFING, INC 09/13/13 SALK, STEVEN B & ASSOC LTD MACIOROWSKI SACKMANN & ULRIC 131 13WC 35096 SCOTT, GLORIA RENAISSANCE PARK SOUTH 10/22/13 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 132 13WC 35181 CLAYTON, KATHERINE LOYOLA UNIVERSITY HOSPITA 10/20/11 SKLARE LAW GROUP LORENZ & BERGIN PC 133 13WC 35308 VAN ETTEN, RACHEL HANDYTECH 07/29/13 STEFFEN KELLY & STEFFEN 134 13WC 35416 GARCIA, CHARLES J NAVY PIER INC 09/11/13 SOSTRIN AND SOSTRIN PC KNELL & O'CONNOR 135 13WC 36780 BYRNE, TERENCE SOUTHWEST AIRLINES 09/13/13 SALVATO & O'TOOLE HENNESSY & ROACH PC 136 13WC 39202 CARPIO, FRANCISCO ARLINGTON PLATING 11/04/13 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 137 13WC 42161 JAMES, ANNIE JEWEL FOOD STORES 10/31/12 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 138 13WC 42532 HARRIS, DELCHELLE CHICAGO TRANSIT AUTHORITY 11/25/13 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 139 14WC 00086 GONZALEZ, MARCOS CHICAGO PAINTERS 12/10/13 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 140 14WC 00310 EHIMWENMAN, PATIENCE FRESENIUS MEDICAL CARE 12/13/13 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 141 14WC 00347 LOPEZ DIAZ, IOVANNY OMAR TONY'S FINER FOODS 11/12/13 SALK, STEVEN B & ASSOC LTD BRYCE DOWNEY & LENKOV LLC 142 14WC 00685 DRAPER, RAYTHEON LOWES 07/10/13 NILSON STOOKAL GLEASON CAP 143 14WC 00711 MARIANO, JOHN NTB AUTO CENTER 12/05/13 DAVID W MARTAY INMAN & FITZGIBBONS 144 14WC 00891 ASQUE, SHUROD FORD MOTOR CO 02/27/13 LEO ALT WIEDNER & MCAULIFFE LTD 145 14WC 00935 MORGAN, CHARWANA M CLERK OF THE CIRCUIT CT C 06/29/11 WILLIAMS, ROBERT B LAW OFF STATES ATTORNEY OF COOK COUN 14WC025866 -C 15WC019219 -C 146 14WC 01026 CAMERON, TROY WALGREENS COMPANY # 01/20/12 DEUTSCHMAN, JEFFREY S GILDEA & COGHLAN 147 14WC 01121 PRINCE, JACQUELINE COOK COUNTY PUBLIC DEFEND 11/19/13 FRIEND LEVINSON & BERGAL STATES ATTORNEY OF COOK COUN 148 14WC 01247 MC COY, CHERYL KEMCO TRUCKING INC 09/23/13 KEVIN P. JUSTEN PC WIEDNER & MCAULIFFE LTD 14WC032506 -C 149 14WC 01618 GARCIA, FRANCES OLIVE GARDEN 11/05/13 MICHAEL P MCCREADY & ASSOC MEACHUM & STARCK 150 14WC 01648 BOUNDS, KIMBERLY CHICAGO TRANSIT ATHORITY 01/07/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 151 14WC 02095 AVILA, LARENZO SODEXO INC 01/14/14 STEPHEN G PINTO LTD 152 14WC 02538 THOMAS, MARY ST OF IL DEPT OF @ 01/14/14 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 153 14WC 03606 SILVA, JUAN PERSONNEL STAFFING GROUP 11/19/13 KENNETH B GORE, LTD GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 14WC 07774 DILLARD, TROY R ALEXIAN BROTHERS 01/03/14 LAW OFFICE PHILIP BLOMBERG POWER & CRONIN LTD 155 14WC 09942 FERNANDO, TERESA SPECIALTY PRINT COMMUNICA 11/04/13 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 156 14WC 10278 HERNANDEZ, JUVENAL ADVANCE PRECISION MFG INC 02/27/14 DEPAOLO ZADEIKIS GORE 157 14WC 10702 ZAREMBA, CRAIG FORD MOTOR CO C/O 10/26/12 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 15WC013250 -C 158 14WC 10754 MILCAREK, KAREN A NEW ALBERTSONS INC 01/02/12 STROM, NEAL B 159 14WC 10756 GONZALEZ, ELY C R ENGLAND INC 01/02/14 THOMAS & PORTELA 160 14WC 11553 WALLACE, WANDA GENEX 03/07/14 DWORKIN AND MACIARIELLO MEACHUM & STARCK 161 14WC 12140 WHITEHEAD, VONEITA CHICAGO SCHOOL PERFORMANC 02/27/14 KARNO, MARK L & ASSOC MACIOROWSKI SACKMANN & ULRIC 162 14WC 12161 OLIVA, MELSA SWEDISH COVENANT HOSPITAL 11/23/13 CHARLES LEVY & ASSOC LTD MACIOROWSKI SACKMANN & ULRIC 163 14WC 12222 AKSOY, ESIN ADVOCATE CHRIST HOSPITAL 10/09/13 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM 164 14WC 12304 CARPENTER, WILLIE MEYER STEEL & DRUM 03/13/14 SALVATO & O'TOOLE 165 14WC 12340 PERSKY, STEVE FRESENIUS KABI 01/28/14 ANKIN LAW OFFICE MEACHUM & STARCK 166 14WC 12406 MORRIS, ROCHELLE COOK COUNTY SHERIFF 03/18/14 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 15WC001821 -C 167 14WC 12410 SCHWARZ, LISA FOREST PRESERVE DIST OF C 02/04/13 RUBIN LAW GROUP FOREST PRESERVE DIST COOK CO 14WC021088 -C 168 14WC 12457 MARTINEZ, MARIANNA BIG LOTS STORES INC 03/28/14 KARCHMAR & STONE LITCHFIELD CAVO 169 14WC 12508 OLIVAN, MARTHA MARR CHICAGO PIZZA 02/17/14 BOUDREAU NISIVACO LLC ROSARIO CIBELLA 170 14WC 12564 PEREZ, CRISTINA UNITED BUILDING MAINTENAN 02/18/14 KENNETH B GORE, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 14WC 12849 HELDEGGER, TERRENCE, SR FE MORAN, INC 03/22/12 LEONARD LAW GROUP LLC MEACHUM & STARCK 172 14WC 12919 MEROW JARA, MARLENE HEARTLAND AUTOMOTIVE D/B/ 07/19/12 JOHN E LUSAK KEEFE CAMPBELL & ASSOC LLC 14WC012920 -C 173 14WC 13183 JORDAN, TACCARA DOMINO'S 04/12/14 VASILATOS & COTTER LLC 174 14WC 13223 OCAMPO, MARINA HYATT REGENCY HOTEL 09/11/13 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 175 14WC 13805 GARCIA, MAUEL ACCURATE DISPERTIONS 02/11/14 STYKA & STYKA ROBERT L. SMITH 176 14WC 13895 GAS, ROSELYN UNIVERSITY OF CHICAGO MED 02/26/14 DANIEL SZCZECIN & ASSOC WIEDNER & MCAULIFFE LTD 177 14WC 13959 YOUNG, LUBIA BERRY PLASTICS 10/08/13 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 178 14WC 14006 QUINN, LAUREL A TRINITY CHRISTIAN COLLEGE 07/11/12 PAUL O'TOOLE GANAN & SHAPIRO 179 14WC 15431 PARRA, JOHN CHICAGO TRANSIT AUTHORITY 04/09/14 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 180 14WC 16266 19B TAYLOR, JACQUELINE CTA 05/05/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 181 14WC 17315 RIOS, PEDRO A MC NICHOLS CO 08/02/13 GALLIANI DOELL & COZZI LTD LAW OFFICES FRANCESCA LARSEN 182 14WC 18401 TESTA, YENNY LABOR TEMPS II 08/24/13 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 183 14WC 19044 KODI, JOHN COOK COUNTY SCHOOL BUS CO 03/20/14 LANGENDORF, ROBERT A 184 14WC 19677 POWROZNIK, MARIAN BRAD FOOTE GEAR WORKS 03/10/14 STROM, NEAL B MEACHUM & STARCK 16WC017475 -C 185 14WC 20368 MARTINEZ, ROGELIO J.V. DIAMOND CLEANING SER 05/26/14 JAMES ELLIS GUMBINER & ASS 186 14WC 20373 REID, MICHAEL A VILLAGE OF NILES 05/02/14 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 14WC025337 -C 15WC039043 -C 187 14WC 20790 BROWN-SIMPSON, ORA ILLINOIS CENTER FOR REHAB @ 06/06/13 BOTTO GILBERT ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 14WC 21506 NEFF, MONICA SPEEDWAY 12/31/13 FRIEND LEVINSON & BERGAL ALLEN KOPET & ASSOCIATES 189 14WC 21564 ORTIZ, PATRICIA STATE OF IL @ 01/14/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 190 14WC 21598 VARALLO, RONALD M TRANSPORTECH LLC 03/21/14 RICHARD E ALEKSY HOLECEK & ASSOCIATES 15WC023861 -C 191 14WC 21620 HINZ, MARK TRINITY ROOFING 04/15/14 HORWITZ HORWITZ & ASSOC LAW OFFICES OF EDWARD J. KOZ 192 14WC 21708 DUFF, KEYA JCFS 01/20/14 CAPRON & AVGERINOS PC LAW OFFICES JOSEPH MARCINIAK 193 14WC 21992 O'CONNOR, JOHN ILLINOIS SECRETARY OF STA @ 03/14/14 WOODRUFF & JOHNSON JILL OTTE 194 14WC 22304 MONTIEL, DONALD UNITED AIRLINES 06/23/14 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 195 14WC 22645 GIGGLEMAN, AMY L SCHOOL DISTRICT #148 03/11/13 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 196 14WC 22745 SMITH, JOHN M ED MINIAT INC 05/12/14 CRONIN & PETERS POWER & CRONIN LTD 197 14WC 22750 SALGADO, MINERVA ARYZTA 03/15/14 SALVATO & O'TOOLE LAW OFFICES JOSEPH MARCINIAK 198 14WC 23180 SKIVER, LAURENCE COOK COUNTY SHERIFF'S DEP 10/08/13 ROSS TYRRELL STATES ATTORNEY OF COOK COUN 199 14WC 23236 GARTLEY, FALLON ST COLLETTA'S OF ILLINOIS 03/13/14 BAUM RUFFOLO & MARZAL LTD 200 14WC 23371 TOLLIVER, DAN PROFESSIONAL TRANSPORTATI 05/10/14 SEIDMAN MARGULIS & FAIRMAN GRANT & FANNING 201 14WC 23372 JONES, DEBRA COOK COUNTY DEPT OF CORRE 03/13/13 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 202 14WC 23541 LAMELA, CHRISTOPHER AT&T 09/20/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 203 14WC 23654 SULLIVAN, KEITH PACE SUBURBAN BUS SERVICE 06/27/14 ANGELINI & ORI LLC SLAVIN & SLAVIN 16WC007927 -C 204 14WC 23704 FOREMAN, KENNETH CTA-CHICAGO TRANSIT AUTHO 07/04/14 VITELL & SPITZ LTD 205 14WC 23913 BOZOVIC, ZLATA SMITH MAINTENANCE CO 12/04/13 FRIEDMAN & SOLMOR LTD RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 206 14WC 23939 RUIZ, GILBERTO LABRIOLA BAKING CO 03/20/14 MC HARGUE, JAMES P LAW OFF LAW OFFICES JOSEPH MARCINIAK 207 14WC 24048 CONTRERAS, REYNALDA (ADMI RPI EXTRUSION CO # 05/29/13 PARENTE & NOREM PC RIPES NELSON BAGGOT KALOBRAT 208 14WC 24103 ANAYA, CECILIA UNITED MAINTENANCE CO., I 06/25/14 BOTTO GILBERT LEAHY EISENBERG & FRAENKEL 209 14WC 24318 BYDLON, TOM GARDA CL GREAT LAKES INC 05/08/14 WOLF & TENNANT KEEFE CAMPBELL & ASSOC LLC 210 14WC 24452 THEOFILOPOULOS, OURANIA AMERICAN EAGLE AIRLINES 03/13/13 FIGLIOLI, DAVID 211 14WC 24565 ZANKL, MICHAEL ACCELETRONICS 03/10/14 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 212 14WC 24568 GALLEGOS, FLORINDA WEIL FOOT & ANKLE INSTITU 02/19/14 DISPARTI LAW GROUP PA LAW OFFICES OF EDWARD J. KOZ 213 14WC 27107 QUEEN-THOMAS, BEVERLY CHICAGO PUBLIC SCHOOLS 12/19/11 214 14WC 28678 TRAMBLE, RASHIDA CHICAGO TRANSIT AUTHORITY 08/04/14 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 215 14WC 30566 MOYA, VENANCIO SGA LANDSCAPING INC 08/09/14 216 14WC 32400 BROWN, KEVIN LABOR SOURCE LLC 09/10/14 STEPHEN G PINTO LTD GRANT & FANNING 217 14WC 32402 GRIFFIN, LARRY VESUVIUS USA 09/27/13 MARC J SHUMAN & ASSOCIATES RUSIN & MACIOROWSKI LTD 15WC014084 -C 218 14WC 32514 RODRIGUEZ, PATRICIA COMPASS GROUP 05/15/14 MILLON & PESKIN LTD 219 14WC 32523 BLACKBURN, SUSAN UNIVERSITY OF 08/15/14 LAW OFFICE OF SCOTT B SHAP POWER & CRONIN LTD 220 14WC 32979 DELAROSA, LOUIS AUTOMOTION INC 01/01/14 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 221 14WC 32989 GODINEZ, PETRA RON'S STAFFING SERVICE IN 06/17/14 OSVALDO RODRIGUEZ PC HENNESSY & ROACH PC 222 14WC 32997 BROWN, EUGENE HU-FRIEDY MFG CO LLC 09/05/14 ANKIN LAW OFFICE 223 14WC 33224 HERNANDEZ, LUCIA XSPORT FITNESS INC 09/06/14 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 224 14WC 33357 DIAZ, HECTOR UNITED DISPOSAL SERV LLC 08/14/14 KNELL & O'CONNOR 225 14WC 33838 RODRIGUEZ, VIRGINIA C.E. NIEHOFF & CO 09/18/14 SALK, STEVEN B & ASSOC LTD WOLFE & JACOBSON, LTD 226 14WC 33846 GONZALEZ, MARIA ALTERNATIVE STAFFING INC 08/30/14 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 227 14WC 33878 GARCIA-PEREZ, JOSE LUIS RON'S STAFFING SERVICES I 09/16/14 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 228 14WC 33928 VALDEZ, PATRICIA PERSONNEL STAFFING GROUP 09/15/14 MC HARGUE, JAMES P LAW OFF KOREY RICHARDSON LLC 229 14WC 33932 LITTLE, JERMON FORD MOTOR CO 08/05/14 KREITER, BYCK & ASSOC LLP WIEDNER & MCAULIFFE LTD 230 14WC 34076 PETERSON, ANTHONY CHICAGO TRANSIT AUTHORITY 09/22/14 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 16WC001040 -C 231 14WC 34851 ARROYO, ALBERTO ILLINOIS DEPT OF TRANSPOR @ 09/11/14 ARGIONIS & ASSOCIATES LLC C. FLETCHER 232 14WC 34874 GUNTHER, PETER J PCI FLORTECH INC 07/31/14 NILSON STOOKAL GLEASON CAP RUSIN & MACIOROWSKI LTD 233 14WC 35085 SALIHOVSKI, SADET ADVOCATE CHRIST MEDICAL C 12/04/13 FOTOPOULOS, JOHN S NYHAN BAMBRICK KINZIE & LOWR 234 14WC 35151 PEREZ, OLGA MARIANO'S 08/20/14 GOLDSTEIN BENDER & ROMANOF CLAYBORNE SABO & WAGNER 235 14WC 35629 EAKLE, CHARLES MCLANE MIDWEST CO 08/08/13 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 236 14WC 35651 ROBINSON, BRENDA FORD MOTOR COMPANY 07/01/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 237 14WC 35962 MC MAHON, BRANDON GREEN IRON DEMOLITION @ W 08/18/14 WOLFE LAW PC 238 14WC 35984 RICHARD, NICOLE CTA 10/15/14 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 239 14WC 36034 ORTIZ, MINERVA DART CONTAINER OF MICHIGA 09/17/14 WEISS & WEISS LAW OFFICES GAROFALO SCHREIBER STORM 240 14WC 39066 WALKER, CYNTHIA COOK COUNTY 08/01/13 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 241 14WC 39082 GARCIA, RODOLFO CAT BUILDERS USA INC 10/02/14 BOTTO GILBERT GEHRIS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 242 14WC 40559 GARIBAY, DANIEL FORD MOTOR COMPANY 10/27/14 SAUNDERS CONDON & KENNY 243 14WC 40865 STAUFFER, ANN NORTHWEST COMMUNITY 07/08/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 244 14WC 41218 LOPEZ, GERGORIO ELITE STAFFING 11/25/14 SKLARE LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 245 14WC 42664 LOPEZ, LETICIA UNIVERSITY OF ILLINOIS 11/25/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 246 14WC 42895 ANDRICH, JOLANTA PRESENCE ST MARY & ELIZAB 02/24/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 247 14WC 43078 DUNNE, JENNIFER JEWEL-OSCO AKA 07/09/13 BARRY E BLUMENFELD WIEDNER & MCAULIFFE LTD 248 14WC 43188 MORTENSEN, MICHELLE J AUTOMATIC DATA 06/10/13 SIDLEY AUSTIN LLP WIEDNER & MCAULIFFE LTD 249 14WC 45871 REA, JULIO SIERRA MADRE RENOVATION, 12/23/13 O'CONNOR & NAKOS 250 15WC 00228 APONTE, AMANDA FONTANINI 05/22/14 HOLECEK & ASSOCIATES 251 15WC 00296 MC GOVERN, JAMES SBX MGMT D/B/A 05/12/12 KARCHMAR & STONE 252 15WC 00378 DRANUTA, MARIYA ADA'S EUROPEAN MARKET & D 12/24/14 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 253 15WC 00412 RODRIGUEZ, IRINA MILLARD GROUP 12/22/14 MINKOW DOMIN RODDY LAW LTD 254 15WC 00524 AYALA, RUBEN TROY DESIGN & MANUFACTURI 05/30/14 VASILATOS & COTTER LLC 255 15WC 00639 ALVAREZ, JORGE AIR CHECK INC 10/29/14 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 256 15WC 00675 BUCZKOWSKI, RONALD PRECISION PLUMBING 01/02/15 DAVID W MARTAY 257 15WC 00802 KROES, REBECCA M SELECT REHABILITATION, IN 09/19/12 COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 258 15WC 01056 JONES, EUGENE NEUMANN FAMILY SERVICES 01/06/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 259 15WC 01158 MARTINEZ, GUDALUPE THE CALMACK GROUP 12/11/14 BRADY CONNOLLY & MASUDA PC 15WC001303 -C 15WC019241 -C STRATEGIC OUTSOURCING INC 15WC019242 -C PEOPLE INC 15WC019243 -C 260 15WC 01301 TORREZ, RUBEN NAYLOR PIPE CO 10/21/14 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 15WC019747 -C 261 15WC 01433 TORALES, MARIO NATY'S PIZZA 12/07/14 SALVATO & O'TOOLE CLARK CASTREJO LAW FIRM 262 15WC 01619 LAWRENCE, ROBERT P PER MAR SECURITY & RESEAR 11/12/13 MEACHUM & STARCK 263 15WC 01622 DANIEL, DENISE TWIN CLEANING 05/25/12 SHELDON I MINKOW & ASSOCIA ROSARIO CIBELLA 264 15WC 01738 ABARCA, LAURA MOST VALUABLE PERSONNEL I 06/17/14 CHEPOV & SCOTT LLC KOREY RICHARDSON LLC 265 15WC 01842 SAMANIEGO, ANTHONY P PACIFIC RAIL SERVICES 05/10/13 GAROFALO SCHREIBER STORM 15WC015119 -C 266 15WC 05594 JONES, EVANNA BEST CARE SERVICES 02/03/15 FRANCIS J DISCIPIO LAW OFF GALLIANI DOELL & COZZI LTD 267 15WC 07479 MORALES, ANDREW STONE PARK POLICE DEPT 01/06/14 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 16WC007923 -C 268 15WC 08879 MUENCH, RYAN UIC MEDICAL CTR PATHOLOGY 05/17/13 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 269 15WC 09222 STOCKOVER, MICHAEL HEIGHTS CREMATORY 06/12/14 DAVID W MARTAY COZZI & GOGGIN-WARD 270 15WC 09379 RUEB, MEGAN YMCA OF METROPOLITAN 07/15/14 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES FRANCESCA LARSEN 271 15WC 09513 WALUSZKO, ALOJZY TRANSPOL ONE INC @ W 01/15/15 CHEPOV & SCOTT LLC 272 15WC 09517 RIOS, LETICIA SELECT STAFFING 07/21/14 CHEPOV & SCOTT LLC NYHAN BAMBRICK KINZIE & LOWR 273 15WC 09894 FREEMAN, ERIC FORD MOTOR COMPANY 03/08/15 LEE, MARK N LAW OFFICE POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 274 15WC 09927 GREENE, SHEIRY R JOHN STROGER HOSPITAL 02/05/15 GOLDSTEIN BENDER & ROMANOF STATES ATTORNEY OF COOK COUN 275 15WC 10354 LIGUE, DONALD J JERNBERG INDUSTRIES, INC 02/09/15 RUBIN LAW GROUP 276 15WC 10403 HALLMAN, CHERIE L STATE OF ILLINOIS - IMRP @ 02/26/15 WARREN W MARK ASSISTANT ATTORNEY GENERAL 277 15WC 10445 EDLER, FELICIA ILL DEPT OF HUMAN SERVICE 11/12/14 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 278 15WC 10511 MURRAY, PAMELA SUNRISE SOUTHWEST 01/27/15 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 279 15WC 10560 MITCHELL, GREG MEADE ELECTRIC COMPANY 03/18/15 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 16WC008881 -C 280 15WC 10771 LAROSA, JONATHAN CHICAGOLAND COMMISSARY LL 06/08/14 CULLEN HASKINS NICHOLSON 281 15WC 11120 ENGLISH, JASMINE DIVERSEY DRIVING RANGE 03/20/15 MINKOW DOMIN 282 15WC 11124 KOUZIOS, BRIAN J COMCAST 07/28/14 LANZILLOTTI GRIBBEN & MARC SPIEGEL & CAHILL, PC 283 15WC 11157 GONZALEZ, TITO H. TIERRA ENVIRONMENTAL & 02/19/15 JONATHAN SCHLACK RODDY LAW LTD 16WC021487 -C 284 15WC 11273 GATLIN, MARIA VILLAGE OF SUMMIT 06/16/12 285 15WC 11428 SIPPLE, MARY LOU COLLABORATIVE SOLUTIONS, 02/11/15 BRIAN J MC MANUS & ASSOC, LAW OFFICES JOSEPH MARCINIAK 286 15WC 11462 WASHINGTON, ARCKEY ELITE STAFFING INC 04/01/15 ANKIN LAW OFFICE GOLDBERG SEGALLA LLC 287 15WC 11463 MARCUS, THEODORE TITAN SECURITY SERVICES I 02/05/15 ANKIN LAW OFFICE 288 15WC 11689 MCINTIRE, DERRICK THE SEGERDAHL CORPORATION 04/09/14 GOLDBERG WEISMAN & CAIRO L 289 15WC 11847 SMITH, JAMES CHGO DEPT OF STREETS & SA 03/04/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 290 15WC 12076 HARRIS, DAVID WALMART 03/24/15 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 291 15WC 12090 SOSA, CRISTOBAL S TM DOYLE TEAMING INC, SUB 01/16/15 FERRIS THOMPSON & ZWEIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 292 15WC 12182 HOLCOMB, DAVONNA FORD MOTOR COMPANY 04/11/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 293 15WC 12197 WILSON, ANTHONY J. SPEE-DEE COURIER, INC. 11/17/14 GREG TUITE & ASSOC LAW OFFICES OF EDWARD J. KOZ 294 15WC 12347 CORTES, BLANCA E MCDONALD'S 03/20/13 RONALDSON & KUCHLER 295 15WC 12518 CAMACHO, SILVIA PHOENIX BLDG MANAGEMENT/ W 01/12/15 GRAVLIN, MICHAEL J LLC STEPHANIE KEVIL 296 15WC 12701 NOLAN, WILLIAM MERCURY PLASTICS INC 04/17/13 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 297 15WC 12934 BABILONIA, HECTOR LUIS DURO STANDARD PRODUCT 02/16/15 ANKIN LAW OFFICE INMAN & FITZGIBBONS 298 15WC 13036 CHANEY,PHYLLIS ADDUS HOME HEALTH CARE 03/23/15 STEVEN M SELAN 299 15WC 13956 SCHIRMER, SARAH LIBERTY MUTUAL INSURANCE 11/24/14 FRANKS, GERKIN & MCKENNA P WIEDNER & MCAULIFFE LTD 300 15WC 14556 SOLANO, DAVID DUDEK & BOCK 04/02/15 WHITESIDE & GOLDBERG LTD 301 15WC 15129 ALADDIN, EABTSAM BYLINE BANK FKA NORTH 01/07/13 THE FITZ LAW GROUP HENNESSY & ROACH PC 302 15WC 16599 GHEZZI, MAX HILL MECHANICAL 05/21/15 COVEN LAW GROUP BRADY CONNOLLY & MASUDA PC 303 15WC 19005 GONZALEZ, RICHARD COOK COUNTY SHERIFF DEPT 05/24/15 THE FITZ LAW GROUP STATES ATTORNEY OF COOK COUN 304 15WC 20235 DZIEDZIC, DANIEL LEVY COMPANY 01/20/15 GOLDBERG WEISMAN & CAIRO L KLAUKE LAW GROUP LLC 305 15WC 20386 MAHL, GERALD UNITED AIRLINES 12/11/14 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 306 15WC 20605 BURGESS, CRAIG M VILLAGE OF OAK PARK 05/07/15 THOMAS W DUDA NYHAN BAMBRICK KINZIE & LOWR 16WC016402 -C 307 15WC 20655 RIVERA, MARGARITO KAR TRAN LLC 08/02/14 BRILL & FISHEL NYHAN BAMBRICK KINZIE & LOWR 308 15WC 20728 CHANKINS, WENDY TCP STAFFING 07/03/14 FINE, MARK S LAW OFFICES RUSIN & MACIOROWSKI LTD 309 15WC 20791 POWERS, JONATHAN FIRST CLASS VALET 05/26/15 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 310 15WC 21004 LYNCH, THOMAS AMERICAN AIRLINES INC 04/28/15 CULLEN HASKINS NICHOLSON 311 15WC 21032 ROEBUCK, NELLISA FORD MOTOR COMPANY 10/25/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 15WC030713 -C 312 15WC 21086 TAFALA, SARIA W CHICAGO LAKESHORE 12/30/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 313 15WC 21188 SALAYMEH, HUSSAM YELLOW CAB DBA TRUMP TAXI 06/17/15 JONATHAN SCHLACK 314 15WC 21299 CAMILIERE, JACK NICOR GAS 06/16/11 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 15WC021300 -C 15WC021301 -C 315 15WC 21312 SANCHEZ, EMMANUEL COMCAST 06/15/15 ANKIN LAW OFFICE SPIEGEL & CAHILL, PC 316 15WC 21502 FROSSARD, JULIA HEALTH CARE SERVICE CORPO 07/17/12 ROBBINS SALOMON & PATT HENNESSY & ROACH PC 317 15WC 21774 FLORES, ELIAS C A FINKL & SONS CO 05/04/15 JOHN S. ELIASIK GAROFALO SCHREIBER STORM 318 15WC 21918 KELLER, DEBRA UNITED AIRLINES 12/08/14 SAUNDERS CONDON & KENNY 319 15WC 22095 KISSEL, VIRGINIA PRESENCE RESURRECTION 01/08/15 LEO ALT KEEFE CAMPBELL & ASSOC LLC 320 15WC 22172 DIAZ, ISRRAEL JCG INDUSTRIES, INC. 01/08/15 COSTA IVONE LLC INMAN & FITZGIBBONS 15WC025372 -C KOCH FOODS INC/ 321 15WC 22188 TAYLOR, ANTHONY STERIS CORPORATION 04/28/15 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 16WC016992 -C INTEGRATED MEDICAL SYSTEMS 322 15WC 22251 SQUEO, ANTHONY J COOK COUNTY SHERIFFS OFFI @ 06/14/15 RICHARD E ALEKSY STATES ATTORNEY OF COOK COUN 323 15WC 22284 GOMEZ, RODOLFO MARISCOS EL VENENO #1 04/02/13 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 324 15WC 22417 CAMPOS, SERGIO PRINCIPAL MANUFACTURING 11/16/12 PETER D CORTI LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 325 15WC 22486 WILLIAMS, DOROTHY MARYVILLE ACADEMY 10/21/14 BOUDREAU NISIVACO LLC SMITH AMUNDSEN LLC 326 15WC 22928 CASCALLARES, CLEVE TRANSLOGIC CORPORATION 04/21/15 LUIS A ACEVES & ASSOC MEACHUM & STARCK 16WC029842 -C 327 15WC 23007 HUOX, MARIA ELITE AIRLINE LINEN 02/14/13 RUBIN MACHADO ROSENBLUM LITCHFIELD CAVO 328 15WC 23603 BROWN, VALERIE CTA 07/29/15 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 329 15WC 24449 WINFIELD, ANTHONY AMERICAN STAFFING ENTERPR 08/10/15 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 330 15WC 24577 KOLESSAR, PAUL ILLINOIS STATE POLICE @ 10/21/14 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 331 15WC 25004 URBAN, MICHELLE EISENHOWER COOPERATIVE 06/15/15 KP LAW LLC 332 15WC 25045 LAGUNAS, MONIQUE CITIZENS FINANCIAL GROUP 03/03/14 WHITESIDE & GOLDBERG LTD MEACHUM & STARCK 333 15WC 25104 WILSON-PUGH, SHEQUILA CTA 03/20/15 HETHERINGTON KARPEL BOBBER CHICAGO TRANSIT AUTHORITY 334 15WC 25310 MARTINEZ, ISABEL WORKFORCE 06/19/15 ACEVES & PEREZ PC KOREY RICHARDSON LLC 335 15WC 26016 MACK, TIFFANY FORD MOTOR CO 06/16/15 LAW OFFICE EDWARD LICHTENS WIEDNER & MCAULIFFE LTD 336 15WC 27114 AVIDISPAHIC, SADID PROSPECT AIRPORT SERVICES 08/10/15 COVEN LAW GROUP THOMAS & PORTELA 337 15WC 28574 ROBINSON, TASHA CHICAGO PUBLIC SCHOOLS 03/02/15 COHN LAMBERT RYAN & SCHNEI 338 15WC 29756 FIERRO, MICHELLE HOFFMAN ESTATES PARK DIST 06/28/15 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 339 15WC 29789 CASEY, JON VILLAGE OF SCHAUMBURG 08/20/15 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 340 15WC 29827 PEREZ, CARLOS PACTIV 08/28/15 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 341 15WC 29848 TROCHE, SYLVIA AZTECA FOODS 06/11/13 WEISS ORTIZ PC 342 15WC 30059 OJEI, MARTIN I AMERICAN AIRLINES, INC. 04/04/15 PETER D CORTI LAW GROUP GAROFALO SCHREIBER STORM 15WC030060 -C 343 15WC 30065 GORDON-LAYNE, MAXINE JOSEPH REHABILATION CENTE 08/31/15 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 344 15WC 30511 MOORE, MIKESIA RENEE HILTON WORLDWIDE INC 06/20/15 KARCHMAR & STONE 345 15WC 30535 KEENEY, KENNETH SHEEHY MAIL CONTRACTORS 11/17/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 346 15WC 30756 MOODY, DENNIS FORD MOTOR CO 08/23/15 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 347 15WC 30875 PEREZ, JUAN JR LEGENDARY BAKING 09/22/15 JOHN C SERKLAND HENNESSY & ROACH PC 348 15WC 30925 BROWN, LYNDA ALTA COLLEGES INC 08/19/15 THE ROMAKER LAW FIRM LAW OFFICES JOSEPH MARCINIAK 349 15WC 30957 BRUSHABER, JOSHUA FAIRPLAY FINER FOODS 09/14/15 DWYER AND COOGAN RODDY LAW LTD 15WC041206 -C 350 15WC 31145 FLANAGAN, KERRY NORTHSHORE UNIVERSITY 08/25/15 NICHOLAS ROBERT RECCHIA 351 15WC 31212 SALGADO, SUSANA NATIONS PIZZA 06/03/15 LAW OFFICE OF SCOTT B SHAP MEACHUM & STARCK 352 15WC 31244 PRICE, DARRELL SOUTHWEST AIRLINES 04/08/15 RONALDSON & KUCHLER HENNESSY & ROACH PC 353 15WC 31279 VELEZ, FELIX VICTOR TABLESCAPES 07/16/15 ROBERT H HANAFORD 354 15WC 31328 BOGDAN, KEVIN ULTRA FOODS 08/30/14 BAUM RUFFOLO & MARZAL LTD KOPKA, PINKUS DOLIN, PC 355 15WC 31705 COLON, DALIA HISPANIC HOUSING 01/30/15 STROM, NEAL B LAW OFFICES JOSEPH MARCINIAK 356 15WC 31746 MARTINEZ, JOSE LUIS M & M PAINTING SERVICES 09/28/15 OSVALDO RODRIGUEZ PC HENNESSY & ROACH PC 357 15WC 31806 AJAJ, TAWFIQ SAID UNLIMITED WIRELESS IL LLC 09/11/15 SANDMAN LEVY & PETRICH HOLECEK & ASSOCIATES 358 15WC 31934 ROBERSON, MICHAEL FORD MOTOR CO. 07/17/15 DWORKIN AND MACIARIELLO POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 359 15WC 32158 BRUMFIELD, ERNEST FELDCO FACTORY DIRECT LLC 06/07/14 STEPHEN G PINTO LTD GANAN & SHAPIRO 360 15WC 32294 MERCADO, HERIBERTO VPS PARKING MANAGEMENT LL 09/14/15 COSTA IVONE LLC 361 15WC 32357 RICHARDSON, REJEANA G HELP AT HOME, INC 09/24/15 KARNO, MARK L & ASSOC INMAN & FITZGIBBONS 362 15WC 32385 RUCKER, AILEEN ADVOCATE CHRIST HOSPITAL 09/30/15 COVEN LAW GROUP GAROFALO SCHREIBER STORM 363 15WC 32460 ANDREWS, ALAK MORTON SALT COMPANY 10/02/15 HUGHES SOCOL PIERS RESNICK GAROFALO SCHREIBER STORM 364 15WC 32470 NAVA, ROSALVA COFI 08/29/15 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 365 15WC 32631 BROWN, IESHA N BRIA HEALTH 08/05/15 PARENTE & NOREM PC BRADY CONNOLLY & MASUDA PC 366 15WC 32648 CASAMAYOR, GEORGE UNITED AIRLINES INC. 09/27/15 BRIAN J MC MANUS & ASSOC, 367 15WC 32720 ZARAGOZA, RICARDO CHICAGO PUBLIC SCHOOLS 04/11/15 CHRISTIAN & MANNO 368 15WC 32733 JOINER, KENNETH FED EX BUFFALO GROVE 05/19/15 DAVID M SPADA 369 15WC 32818 ARMSTRONG, LYNN M SAM'S CLUB 05/26/15 LEONARD LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 370 15WC 32844 DODD, MICELE ROTI RESTAURANTS LLC 07/15/15 BARRY STEWART SILVER HOLECEK & ASSOCIATES 371 15WC 32886 CADIZ, EDWIN UNITED PARCEL SERVICES 09/03/15 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 372 15WC 32918 GOMEZ, JOSE JR PACTIV CORPORATION 09/18/15 VRDOLYAK LAW GROUP LLC SPIEGEL & CAHILL, PC 373 15WC 32993 DELGADO, ALECMAR CHICAGO TRANSIT AUTHORITY 10/10/15 STEPHEN G PINTO LTD CHICAGO TRANSIT AUTHORITY 374 15WC 33088 MEDINA, ALEJANDRO WHITE LODGING SERVICES CO 09/18/15 TOPPER & WEISS LTD WILSON ELSER 375 15WC 33251 LUND, ANDREW VILLAGE OF GLENVIEW 06/13/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 376 15WC 33324 RUGER, ERIN UNITED AIRLINES, INC 02/25/15 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 377 15WC 33345 MENDOZA, CHRISTOPHER SIR GROUT DBA 10/08/15 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 378 15WC 33359 CASTILLA, ANIBAL CHICAGO PUBLIC SCHOOLS 12/01/14 ANKIN LAW OFFICE 379 15WC 33886 SULLIVAN, CHRISTOPHER J. CITY OF CALUMET FIRE DEPT 08/29/15 STROM, NEAL B RANDOLPH GREUNE LAW OFFICE 380 15WC 36674 HUSSAIN, AMREEN LINO'S RESTAURANT, 10/03/15 DEPAOLO ZADEIKIS GORE WOLF LAW LTD 381 15WC 39126 COGLIANSES, JOSEPH TOW AUTOMOTIVE INC 11/24/15 PETER D CORTI LAW GROUP KEEFE CAMPBELL & ASSOC LLC 382 15WC 39610 RUIZ-GUZMAN, LEONEL CENTRAL STEEL & WIRE COMP 09/16/15 COSTA IVONE LLC GAROFALO SCHREIBER STORM 383 15WC 41251 GAITER, MICHAEL COMBINED WAREHOUSE, LLC 10/29/15 HUGHES SOCOL PIERS RESNICK GRANT & FANNING 384 15WC 41281 NELSON, PATRICK COOK COUNTY JUVENILE PROB @ 11/24/15 MANDELL, GREGG STATES ATTORNEY OF COOK COUN 385 15WC 41292 TATE, JAVON DOLLAR TREE 12/01/15 DWORKIN AND MACIARIELLO 386 16WC 00176 VANTREASE, GLENN AMERICAN AIRLINES 07/16/15 RUBENS AND KRESS 387 16WC 00195 COLANTUONO, DANIEL VILLAGE OF FRANKLIN PARK 11/26/15 GOLDBERG WEISMAN & CAIRO L 388 16WC 00295 BRAYTON, JOHN NORTH SHORE UNIV HEALTH S 10/06/14 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL & ASSOC LLC 389 16WC 00357 IPPOLITO, ADAM R R ACCOMPLISHED MECHANICAL 08/12/15 VITELL & SPITZ LTD RUSIN & MACIOROWSKI LTD 390 16WC 00497 HALL, SCOTT A COOK COUNTY SHERIFF 12/05/15 BUDIN LAW OFFICES STATES ATTORNEY OF COOK COUN 391 16WC 00593 MCMANAMON, KEVIN PARKWAY ELEVATOR, INC 10/27/15 LAW OFFICE OF KEVIN O'BRIE 392 16WC 00657 GALVIN, MICHAEL AT&T DBA ILLINOIS BELL 08/13/15 FIGLIOLI, DAVID INMAN & FITZGIBBONS 393 16WC 00691 CIARAN, HURL FOUNTAIN TECHNOLOGIES LTD 01/06/16 HEALY SCANLON LAW FIRM LAW OFFICES JOSEPH MARCINIAK 394 16WC 00718 MCFALL, ALTON IW&G INC. 07/01/15 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 395 16WC 00801 KJURDZIEL, TADEUSZ TEDS MSONRY CORP 11/25/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 396 16WC 00873 MAYFIELD, DURRENDA ADVOCATE ILLINOIS MASONIC 12/16/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 397 16WC 00893 BRYSON, JESSICA A. CHICAGO TRANSIT AUTHORITY 12/01/15 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 398 16WC 00917 AYALA, MARTIN GE ZENITH CONTROLS AND 04/02/14 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 399 16WC 01009 KOWALEWSKI, JASON CITY OF EVANSTON 09/16/15 O'CONNOR & NAKOS 400 16WC 01032 GALLAGHER, MARGURET VISTING PHYSICIANS ASSOCI 12/10/15 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 401 16WC 01049 BENNETT, FLORA PEREDA MERIDIAN HEALTH PLAN 12/14/15 MARKS & ASSOCIATES 402 16WC 01346 CHAVEZ, FEBE SENIOR FLEXONICS 11/22/14 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 403 16WC 01468 BLAZE-BECKER, AMY CHICAGO RIDGE SCHOOL DIST 02/19/14 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 404 16WC 01517 LIDDELL, TONYA C. CTA 01/10/16 SALVATO & O'TOOLE CHICAGO TRANSIT AUTHORITY 405 16WC 01518 MULLARKEY, VINCE CITY OF CHICAGO DEPT OF 10/16/15 VLANTIS LAW LLC CITY OF CHICAGO 406 16WC 01606 JOHN-MILLER, ANTHONIA GATE GOURMET 12/13/15 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 407 16WC 01651 CLANCY, ROBERT AT&T 08/20/15 ROMANEK & ROMANEK 408 16WC 01652 PHAM, OANH PENNOYER SCHOOL 06/29/15 BRADY CONNOLLY & MASUDA PC 409 16WC 01718 TOUSANT, SHARRON FRIENDSHIP VILLAGE 11/28/15 VRDOLYAK LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 410 16WC 01760 HAZELTON, MICHAEL GOLD STANDARD ENTERPRISES 11/23/15 SHELDON I MINKOW & ASSOCIA COZZI & GOGGIN-WARD 411 16WC 01851 DAWSON, STANLEY BURLINGTON COAT FACTORY O 04/04/14 ANKIN LAW OFFICE 412 16WC 01897 O'CONNOR, VALENTINA L JAMES BOWEN HIGH SCHOOL 10/01/15 KP LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 413 16WC 02032 QUEALY,CAROL ST. JAMES HOSPITAL 08/10/15 VASILATOS & COTTER LLC 414 16WC 02142 NORIEGA, JENY DANA HOTEL & SPA 06/01/14 JONATHAN SCHLACK 415 16WC 02166 AGUILAR, GAMALIEL B&B MAINTENANCE INC 12/28/15 MC HARGUE, JAMES P LAW OFF 416 16WC 02169 NUCCIO, LAURA COSTCO 12/04/15 RATHBUN CSEVENYAK & KOZOL GANAN & SHAPIRO 417 16WC 02398 FELESENA, JUSTIN RESTORATION WORKS 09/01/15 DWORKIN AND MACIARIELLO RODDY LAW LTD 418 16WC 02416 GASKEW, ALICE CHICAGO COMMONS 02/21/14 LAW OFFICES OF KIRK MOYER 419 16WC 02508 028 SKIBBIE, DANIEL COCA COLA BOTTLERS 09/03/15 PAUL F PETERS BRADY CONNOLLY & MASUDA PC 028 16WC002507 -C 420 16WC 02519 KEEKY, MELVIN PARK PACKING 01/21/15 PARENTE & NOREM PC 421 16WC 02551 ANDERSON, RANDALL USF HOLLAND 11/24/15 THOMAS A MORRISSEY HENNESSY & ROACH PC 422 16WC 02685 NORIEGA, HILDA MULTIELECTRICMANUFACTURIN 10/30/15 SPENCER LAW OFFICES HENNESSY & ROACH PC 423 16WC 02713 BUSCEMI, DEBRA ST COLETTA'S OF IL 12/16/15 KROL BONGIORNO & GIVEN LTD ACCIDENT FUND HOLDINGS 424 16WC 02721 MCGOWEN, MARGUERITE AMERICAN AIRLINES 10/31/15 FRANCIS J DISCIPIO LAW OFF 425 16WC 02737 LAWRENCE, VICTORIA CHIPOTLE MEXICAN GRILL 04/20/15 DWORKIN AND MACIARIELLO 426 16WC 02748 PLAMBECK, KENNETH HIGHWAY DEPT OF COOK COUN 03/18/13 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 427 16WC 02852 KREMNITZER, LUCAS XYLEM, INC 10/27/15 ROMANUCCI & BLANDIN KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 428 16WC 02878 PEREZ, MARTHA LEXINGTON HEALTH CARE CEN 09/07/15 THE ROMAKER LAW FIRM LAW OFFICES FRANCESCA LARSEN 16WC027954 -C 429 16WC 02900 RIGDEN, JOHN NBC UNIVERSAL 01/31/14 CRONIN & PETERS SPIEGEL & CAHILL, PC 16WC002901 -C 16WC028838 -C 430 16WC 02937 GALLARDO, LUCIA SPECIALIZED STAFFING SOLU 01/26/16 LAW OFFICES LEONARDO MORAL HOLECEK & ASSOCIATES 431 16WC 03021 HILL, SCOTT R CRAWFORD GRAIN INTL INC 10/11/15 BAUM RUFFOLO & MARZAL LTD CAPUANI & SCHNEIDER 16WC003079 -C 432 16WC 03069 KANZLER, CHRISTOPHER ALCA CARPENTRY 06/10/15 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 433 16WC 03116 MCCOY, JOEY D MIDCO INTERNATIONAL 10/21/15 GALLIANI DOELL & COZZI LTD BRYCE DOWNEY & LENKOV LLC 434 16WC 03306 GORDON, FRANCIS WEST CARE FOUNDATION 12/08/15 SHELDON I MINKOW & ASSOCIA 435 16WC 03340 MENDALA, MARGARET WOLFS BAKERY 01/28/16 SKLARE LAW GROUP LAW OFFICES JOSEPH MARCINIAK 436 16WC 03513 ROMAN, DAVID CARMAX 12/01/15 ANKIN LAW OFFICE ASA LAW GROUP 16WC025539 -C 437 16WC 03598 DELAROSA, ESMERALDA MIDWAY BLDG SERVICES 01/24/16 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 438 16WC 04472 RHEINSTROM, AMY CAREER EDUCATION CORPORAT 01/04/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 439 16WC 04490 BUONO, PAMELA AMBASSADOR NURSING & REHA 02/01/16 MC HARGUE, JAMES P LAW OFF BRYCE DOWNEY & LENKOV LLC 440 16WC 04802 ADAN, MACARIA N COOK COUNTY DEPT OF 07/20/15 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 441 16WC 04848 BENAVIDES, RODRIGO M WILD SYMPHONY, LLC 10/15/15 CHEPOV & SCOTT LLC PETER K LEE & ASSOCIATES 442 16WC 10083 PASDERETZ, LOUIE BRANDENBURG INDUSTRIAL 03/31/14 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 443 16WC 10436 MARQUARDT, MICHAEL R. COOK COUNTY-DEPT. OF 02/18/16 DAVID W MARTAY STATES ATTORNEY OF COOK COUN 444 16WC 10455 HOPKINS, LARRY FORD HEIGHTS SCHOOL DISTR 01/11/16 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 445 16WC 10473 SISK, ALAN CITY OF HARVEY 09/04/13 THE ROMAKER LAW FIRM SMITH AMUNDSEN LLC 446 16WC 10528 MONCADA, CLAUDIA CENTRAL STEEL & WIRE 03/15/16 DWORKIN AND MACIARIELLO 447 16WC 10558 JUNG, LORETTA QUEST FOOD MANAGEMENT SER 09/22/14 VASILATOS & COTTER LLC COZZI & GOGGIN-WARD 448 16WC 10668 FIGUEROA, MANUEL CHICAGO BREAD, LLC 09/23/15 O'CONNOR & NAKOS MEACHUM & STARCK 449 16WC 10698 CRUZ, ANEL ALDI 12/29/15 COVEN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 450 16WC 10805 ORR, LISA ENVOY AIR INC/AMERICAN EA 04/02/16 SHELDON I MINKOW & ASSOCIA 451 16WC 10894 JIMENEZ, LILIANA DART CONTAINER 02/23/16 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM 452 16WC 10924 JIMENEZ, OMAR GIBSON STEAKHOUSE 09/29/15 SPENCER LAW OFFICES 453 16WC 11021 BELLING, LEROY OSS SERVICES LLC 07/08/14 E. GARRIS LAW FIRM HOLECEK & ASSOCIATES 454 16WC 11113 HARRISON, KAREN WHITE LODGING SERVICES CO 01/26/16 JASINSKI, GEORGE J WILSON ELSER 455 16WC 11191 DEJESUS, LISA FAIRPLAY FOODS 03/24/16 MANDELL, GREGG GANAN & SHAPIRO 456 16WC 11240 WINSLOW, ANGELA DART CONTAINER CORPORATIO 07/12/15 GRAZIAN & VOLPE PC GAROFALO SCHREIBER STORM 457 16WC 11251 TATUM, WILLIAM CHICAGO TRANSIT AUTHORITY 03/18/16 RIDGE & DOWNES CHICAGO TRANSIT AUTHORITY 458 16WC 11292 KAPAROV, KYIALBEK FLASH CAB COMPANY 02/19/16 VRDOLYAK LAW GROUP LLC 459 16WC 11315 LOTT, CURTIS MARINA CARTAGE INC 02/24/16 ANKIN LAW OFFICE 460 16WC 11325 VARGAS, PAULA LEVY RESTAURANT 03/26/16 JAMES ELLIS GUMBINER & ASS 461 16WC 11530 RYAN, RENEE CHICAGO PUBLIC SCHOOLS 03/24/16 ANKIN LAW OFFICE 462 16WC 11602 HAUPT, BRYAN VILLAGE OF PALATINE 11/24/15 WAGGONER LAW FIRM PC POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 463 16WC 11674 VARLAND, MARK US SILICA COMPANY 07/05/13 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 464 16WC 11707 HERNANDEZ, ESTHER PORTILLO'S HOT DOGS 09/04/15 PETER A SINK GRANT & FANNING 465 16WC 11945 ROBERT, BRUNO CHICAGO PUBLIC SCHOOLS 03/23/16 WOODRUFF & JOHNSON 466 16WC 11991 ORLANDO, JOHN PHILLIP LMAK INC 09/07/14 COHN LAMBERT RYAN & SCHNEI GANAN & SHAPIRO 467 16WC 12080 GARCIA, JUNA ALPHA BAKING CO. INC. 11/06/15 GOLDSTEIN BENDER & ROMANOF 468 16WC 12154 JORDAN, ASHLEY A STATE OF IL/ CHICAGO-REED @ 04/10/16 ANKIN LAW OFFICE STEPHANIE KEVIL 469 16WC 12180 PLUNKETT, JASON D DHL SOLUTIONS 07/20/15 LAW OFFICES TIMOTHY LAMPIN 470 16WC 12253 GARCIA-PASTRANA, CIRA MCDONALD'S 03/05/16 HART & DAVID LLP 471 16WC 12283 ROBERTS, MARILYN CLUB DEMONSTRATION SVCES 04/03/16 FIGLIOLI, DAVID ALLEN & NEWMAN 472 16WC 12328 RIAN, RICHARD FEDERAL EXPRESS 04/22/13 BOUDREAU NISIVACO LLC HANSON LAW OFFICE 473 16WC 12369 FRAZIER, RASHEEM ENVOY AIR 03/16/16 GOLDSTEIN AIOSSA & GOOD GAROFALO SCHREIBER STORM 474 16WC 12379 THEOFANOPOULOS COOK COUNTY SHERIFF 04/12/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 475 16WC 12403 BROWN, LYLA FORD MOTOR CO 05/22/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 476 16WC 12441 FERNANDEZ, MARIO PEPSI CO 04/06/16 CUDA LAW OFFICES ROBERT L. SMITH 16WC012442 -C 17WC010404 -C 477 16WC 12567 OLARU, STEFAN DRAPER AND KRAMER 09/16/15 ARGIONIS & ASSOCIATES LLC POWER & CRONIN LTD 478 16WC 12609 HODZIC, ABDULAH CHICAGO PUBLIC SCHOOLS 03/30/16 ANKIN LAW OFFICE 479 16WC 12668 OTIS, MAXWELL COOK COUNTY JUVENILE 02/25/16 THOMAS J STIBERTH LAW OFFI STATES ATTORNEY OF COOK COUN 480 16WC 12740 BALEGH, HAMDY LMB FOODMART, INC. 12/07/14 KP LAW LLC CRONIN & PETERS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 481 16WC 12795 SORIANO, TERESA ALSCO 02/01/16 EPSTEIN, JACK R LAW OFFICE ADELSON TESTAN & BRUNDO 482 16WC 12864 MEDINA, JOSE GREYHOUND LINES 03/15/16 SOSTRIN AND SOSTRIN PC 483 16WC 12967 SIMMONS, HERMAN M METRO STAFFING, INC. 01/27/16 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 484 16WC 13092 MURPHY, KEVIN FED EX FREIGHT CORP 12/30/15 O'CONNOR & NAKOS QUINTAIROS PRIETO WOOD & BOY 485 16WC 13098 HENDERSON-WHITE, ANNETTE CHICAGO BOARD OF EDUCATIO 01/26/16 JAMES W GREEN, JR 486 16WC 13118 GAMBLIN, AARON FIRST CLASS MILL SERVICE 03/03/16 DAVID W MARTAY HEYL ROYSTER VOELKER & ALLEN 487 16WC 13135 OLIVER, TALEISHA TPG STAFFING LLC 04/19/16 DWORKIN AND MACIARIELLO 488 16WC 13155 SNEAD, DAVID IDOT @ 12/01/09 CIFELLI SCREMENTI & DORE 489 16WC 13164 PALOMARES, ALEX EVANSTON FIRE DEPT 10/29/14 FOHRMAN, DONALD W & ASSOCS 490 16WC 13262 ZANGE, CHRISTOPHER SPENCER R HULBERT HOMES L 12/15/15 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 491 16WC 13418 TEMPLE, TONDA SEARS HOLDINGS 11/24/15 KP LAW LLC 492 16WC 13453 MIMS, MICHAEL STATE OF IL, IL WORKERS @ 02/26/16 KARCHMAR & STONE ASSISTANT ATTORNEY GENERAL 493 16WC 13475 MOORE, CAROL CHICAGO TRANSIT AUTHORITY 04/20/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 494 16WC 13521 WILLIAMS, TOMMIE JR CTA 07/22/14 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 495 16WC 13595 SANCHEZ, AUGUSTINE ASPLUNDH TREE EXPERT CO. 04/11/16 GOLDBERG WEISMAN & CAIRO L KNELL & O'CONNOR 496 16WC 13617 JOSE, MARTINEZ FLEXIBLE STAFFING 06/12/13 ROSS J HELFAND 497 16WC 13641 ZAMUDIO, EFRAIN TOOTSIE ROLL INDUSTRIES 11/09/15 MICHAEL P MCCREADY & ASSOC 498 16WC 13815 LAMPKIN, MARIAN CHICAGO TRANSIT AUTHORITY 04/20/16 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 499 16WC 13853 COBB, JESSE DRAPER AND KRAMER INC 04/13/16 COYNE REINKE LAW HOLECEK & ASSOCIATES 500 16WC 13860 ALMARAZ, TARSICIO SEVILLA'S AUTO SERVICE 03/18/16 ACEVES & PEREZ PC ROSARIO CIBELLA 501 16WC 13883 WILLIAMS, CRYSTAL NAMASTE LABORATORIES 11/10/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 502 16WC 13955 BOYAJIAN, MARK BERWYN POLICE DEPARTMENT 04/23/16 DWORKIN AND MACIARIELLO CUDA LAW OFFICES 503 16WC 15674 EDWARDS, DANIEL E NFI 02/29/16 CULLEN HASKINS NICHOLSON 504 16WC 15814 OTERO, JUDY ALL PRODUCTS AUTOMOBILE I 10/21/15 MANDELL, GREGG LAW OFFICE OF PAUL O WATKISS 505 16WC 17322 WEBB, JAMERSON JEWEL FOODS 05/06/16 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 506 16WC 18175 MCCAULEY, DARRYL L JR SIGNODE INDUSTRIAL GROUP 04/15/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 507 16WC 20718 ESKRIDGE, LORI CHICAGO PUBLIC SCHOOLS 06/06/16 PETER D CORTI LAW GROUP 508 16WC 20887 BLAKE, JUSTIN CONCRETE STRUCTURES OF 04/11/16 DREYER FOOTE STREIT ET AL LITCHFIELD CAVO 509 16WC 20985 SAMP, PAUL CONTINENTAL AIR TRANSPORT 06/24/16 GOLDBERG WEISMAN & CAIRO L GALLIANI DOELL & COZZI LTD 510 16WC 21053 ZIELINSKI, DAVE QUICK SILVER MECHANICAL I 01/05/16 GREGORIO & MARCO BRADY CONNOLLY & MASUDA PC 511 16WC 21069 HALEMBA, PAWEL AT&T 05/30/16 COVEN LAW GROUP 512 16WC 21184 BERTRAND, MARIE BALLARD NURSING HOME 06/29/16 ROSENBERG EISENBERG ASSOC LAW OFFICES FRANCESCA LARSEN 513 16WC 21240 SANDOVAL, ROBERTO CURRAN CONTRACTING COMPAN 09/14/15 CHEPOV & SCOTT LLC GOLDBERG SEGALLA LLC 16WC021241 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 16WC 21251 BRITT, JANICE DOLLAR GENERAL 05/31/16 DWORKIN AND MACIARIELLO 515 16WC 21379 WENTLAND, CHARLES F ASCHER BROTHERS 06/20/12 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 16WC021380 -C 516 16WC 21408 BURNETT, ALEXUS FORD MOTOR COMPANY 05/11/16 FOHRMAN, DONALD W & ASSOCS 517 16WC 21433 GROLLER, WAYNE UPS 03/26/16 MARKS INJURY LAW NYHAN BAMBRICK KINZIE & LOWR 518 16WC 21484 HANSEN, WANDA SOUTHWEST AIRLINES 06/24/16 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 519 16WC 21522 LONERO, JOHN SHERWIN WILLIAMS 01/04/16 BOGUSZ & BOGUSZ LTD GAROFALO SCHREIBER STORM 520 16WC 21534 COLOSIMO, TINA OLIVE GARDEN 06/26/16 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 521 16WC 21570 ANDERSON, MARK CHICAGO TRANSIT AUTHORITY 02/27/16 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 522 16WC 21575 OSMOLSKI, JENNIFER THE CHICAGO CLUB 06/08/15 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 523 16WC 21589 WALLENBERG, RILEY RUSH UNIVERSITY 04/11/16 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 524 16WC 21619 NYSTROM, BRENDA ALL HOLDINGS INC. DBA 02/25/16 BELLAS & WACHOWSKI HOLECEK & ASSOCIATES 525 16WC 21665 DOUGHTY, SCOTT WIRTZ BEVERAGE IL LLC 09/22/15 THE FITZ LAW GROUP GORDON LAW OFFICES LTD 526 16WC 21692 SWIEDALS, AUDREY SOUTHWEST AIRLINES 07/25/15 THOMAS M. PARIS 527 16WC 21753 CHOJNACKI, ANDRZEJ HOMECO INC. 06/24/16 THERMAN LAW OFFICES COZZI & GOGGIN-WARD 528 16WC 21863 SMITH, MAURICE J.B. HUNT 06/25/16 DAVID W MARTAY 529 16WC 21929 TANKSON, MARVIN L COOK COUNTY DEPT OF CORRE 05/18/16 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 530 16WC 22000 MAGALSKI, BRANDON OLIVE GARDEN 06/01/16 THE FITZ LAW GROUP WIEDNER & MCAULIFFE LTD 531 16WC 22053 FLEMING, LILLIAN ELITE CARE MANAGEMENT INC 07/08/16 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 532 16WC 22084 RUSSELL, ANTWON VILLAGE OF BURHAM 07/01/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 533 16WC 22202 OUSLEY, CHARLES CTA 07/08/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 534 16WC 22238 HILL, JOYCE ALPHA SCHOOL BUS COMPANY 07/11/16 BURNES & LIBMAN 535 16WC 22255 GREENWOOD, TIFFANEY CHICAGO TRANSIT AUTHORITY 07/12/16 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 536 16WC 22371 FORD SR, CHARLES GES INC 05/24/16 KARCHMAR & STONE GILDEA & COGHLAN 537 16WC 22426 GRANTHAM, RUSSELL E REMEDIAL ENVIRONMENTAL 05/24/16 ANKIN LAW OFFICE 538 16WC 22521 STROHM, MICHAEL HIRE-NELSON COMPANY, INC. 04/14/16 KINNALLY FLAHERTY KRENTZ & WIEDNER & MCAULIFFE LTD 16WC036305 -C 539 16WC 22602 JONE JR., DRAKE PERSPECTIVE CHARTER SCHOO 03/07/16 BRUSTIN & LUNDBLAD LTD 540 16WC 22656 MALDONADO, VICTOR SUPREME LOBSTER & SEAFOOD 05/23/16 SALK, STEVEN B & ASSOC LTD 541 16WC 22678 GNUTEK, CATHERINE COOK COUNTY CIRCUIT COURT 06/10/16 KARCHMAR & STONE STATES ATTORNEY OF COOK COUN 542 16WC 22852 CHANG, NATHAN LONG HORN STEAK HOUSE 01/14/16 CUDA LAW OFFICES WIEDNER & MCAULIFFE LTD 543 16WC 22995 SWANN, BRIAN MIDWEST FOODS 05/27/16 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 544 16WC 23077 VARGAS, MARIA ADDUS HEALTH CARE 04/18/16 FINE, MARK S LAW OFFICES WIEDNER & MCAULIFFE LTD 545 16WC 23078 HEARD, JAMES ATKORE INTERNATIONAL 04/14/16 FINE, MARK S LAW OFFICES 546 16WC 23126 ESTRADA, DANIEL MARIANO'S 05/30/16 DWORKIN AND MACIARIELLO CLAYBORNE SABO & WAGNER 547 16WC 23162 ATKINS, MARK D AT&T 05/26/16 GOLDBERG WEISMAN & CAIRO L 548 16WC 23173 GOMEZ, FELIPE APEX AKA PLG PUGSLEY & 04/16/16 HART & DAVID LLP 549 16WC 23218 FETCHO, GEORGE DART CONTAINER COMPANY 05/06/16 LANNON LANNON & BARR LTD GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 550 16WC 23316 MORENO, JOSE COMPENHAVER CONSTRUCTION 07/06/16 LAW OFFICES PETER LEKAS LAW OFFICES OF EDWARD J. KOZ 551 16WC 23483 ALFARO-ZAVALA, GRISELDA MAINTENANCE PLUS 12/21/13 LAW OFFICE EDWARD RUEDA 552 16WC 23523 WILSON, LOIS A CHICAGO PUBLIC SCHOOLS 05/06/16 CHEPOV & SCOTT LLC LAW DEPARTMENT 553 16WC 23571 FIGUEROA, JOSELYN N FINANCIAL MANAGEMENT SYST 07/22/16 LAW OFFICE OF SCOTT B SHAP 554 16WC 23644 RIVAS, EDGARDO GALILEO US XPRESS INC 06/15/15 MCANANY VANCLEVE & PHILLIPS 555 16WC 23654 METZEN, WILLIAM JOSEPH CIRCLE GEAR 01/18/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 556 16WC 23695 KLEIN, ANGELA FEDEX TRADE NETWORK 06/02/16 GOLDSTEIN BENDER & ROMANOF RUSIN & MACIOROWSKI LTD 557 16WC 23734 ALEXANDER, NADINE FREESNIUS KABI USA, LLC 06/28/16 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES 558 16WC 23959 JACKSON, TIARRA N CHICAGO TRANSIT AUTHORITY 07/22/16 ANKIN LAW OFFICE 559 16WC 23987 SAX, JEFFREY M KLASS ELECTRIC 12/29/15 R. MARK MARITOTE PC 560 16WC 24165 FIORE, CIRO LIVE NATION 07/21/16 RUBENS AND KRESS RODDY LAW LTD 561 16WC 24246 HOLMES, CAROLLON KING'S KIDDIE KINGDOM 06/23/16 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 562 16WC 25067 GARCIA, RAUL COOK COUNTY 08/02/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 563 16WC 27331 NASH, GREGORY CTA 07/22/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 564 16WC 30756 SMITH, NORELLE COOK DUPAGE TRANSPORTATIO 09/03/16 LAW OFFICES OF KIRK MOYER HENNESSY & ROACH PC 565 16WC 30829 O'SHEA, JANET L COUNTY OF COOK FACILITIES 10/12/15 NILSON STOOKAL GLEASON CAP STATES ATTORNEY OF COOK COUN 566 16WC 30949 BAKER, DAVID UPS INCC/O ILLINOIS CORP 09/13/16 HETHERINGTON KARPEL BOBBER ASA LAW GROUP 567 16WC 30968 WOLFE, DAMIEN SCHNEIDER TRANSPORTATION 09/19/16 FRIEDMAN & SOLMOR LTD POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 568 16WC 31010 GINSBURG, NANCY A HANSON FASO SALES & MARKE 09/11/16 SLAVIN & SLAVIN LAW OFFICES JOSEPH MARCINIAK 569 16WC 31024 MEYERS, WILLIAM B WILLIAM B MEYERS & ASSOC, 10/09/13 WILLIAM B MEYERS, LTD 570 16WC 31028 TAYLOR, VICTORIA CTA 10/03/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 571 16WC 31087 MATURLAK, JERZY LUDWIK FOODS, INC 10/28/14 GROSZEK LAW FIRM LAW OFFICES JOSEPH MARCINIAK 572 16WC 31147 ROBINSON, LAMONT A LABOR READY 09/08/16 SOSTRIN AND SOSTRIN PC 573 16WC 31173 SEPHUS, VALENCIA CENTRAL STEEL & WIRE CO 07/27/16 LAW OFFICES TIMOTHY HENDER 574 16WC 31198 GARCIA, FELIPE AMERICAN AIRLINES 04/02/16 VRDOLYAK LAW GROUP LLC 575 16WC 31217 COLON, MIGUEL A TOTAL STAFFING SOLUTION I 06/30/16 RUEDA, IVAN A 576 16WC 31231 BELL, LAMONT NEXUS EMPLOYMENT SOLUTION 10/10/16 HUGHES SOCOL PIERS RESNICK RIPES NELSON BAGGOT KALOBRAT 577 16WC 31236 JONES, JOHNNY CHICAGO TRIBUNE 04/06/16 NEWMAN, BOYER & STATHAM NYHAN BAMBRICK KINZIE & LOWR 578 16WC 31254 CLICK, GEORGE TRADESMEN INTL 04/23/15 DWORKIN AND MACIARIELLO RODDY LAW LTD 579 16WC 31343 AGUAYO, MARTHA G&K SERVICES 03/24/16 LAW OFFICE OF JAMES URTIS 580 16WC 31370 BANKS, ANGELA D SOUTH LOOP SKILLED NURSIN 09/15/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 581 16WC 31389 IBANEZ, ROSA MOLON MOTOR AND COIL CORP 06/06/16 THOMAS LAW 582 16WC 31409 RODRIGUEZ, HILDA RESTAURANT PERSONNEL INC. 09/04/16 HERRERA LAW CENTER NOBLE & ASSOCIATES PC 583 16WC 31431 GOROSPE, RICARDO Z ARYZTA 06/29/16 OTUBUSIN & ASSOC PC 584 16WC 31478 KING, KANDI IL DEPT OF HUMAN SERVICES 02/27/16 NATHANIEL D. LAWRENCE STEPHANIE KEVIL 585 16WC 31501 OCTARIVERA, LEONIDES ALBANY STEEL BRASS CORP 09/23/16 MARC J SHUMAN & ASSOCIATES WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 586 16WC 31533 PAREKH, MESSINA NORRIDGE GARDENS 08/19/16 ANGELA NARDI-QUIGLEY BRADY CONNOLLY & MASUDA PC 587 16WC 31558 BONILLA, LUIS S PINSTRIPES 09/15/16 AIOSSA LAW FIRM 588 16WC 31645 HOSSAIN, RAKIB SHILLA TRANSPORTATION 09/10/16 FISHER & LAMONICA 589 16WC 31666 RODRIGUEZ, GRISELDA QUALITY ASSURANCE 09/21/16 SALVATO & O'TOOLE SLAVIN & SLAVIN 590 16WC 31765 RAMIREZ, FIDEL AUTOZONE 09/23/14 GOLDBERG WEISMAN & CAIRO L 591 16WC 31779 URQUHART, ALEXANDRA UNITED AIRLINES INC. 07/25/16 MARTIN V KUGIA 592 16WC 31823 WILLIAMS, HELENE ELITE STAFFING 10/07/16 POMPER & GOODMAN 16WC038434 -C 593 16WC 31909 HUFF, THADDEUS LAKESHORE PLUMBING 09/29/16 KROL BONGIORNO & GIVEN LTD CAPUANI & SCHNEIDER 594 16WC 31986 SANDERS, KELLI LYNN NORTHWEST SCHOOL DISTRICT 08/31/16 MARC PEKAY WIEDNER & MCAULIFFE LTD 595 16WC 32015 BROWN, DAVID QUALITY SAW AND SEAL 09/27/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 596 16WC 32072 TAYLOR, PRECIOUS J ATI PHYSICAL THERAPY 09/23/16 BRILL & FISHEL MEACHUM & STARCK 597 16WC 32145 DAVIS, LONYEA S CHICAGO TRANSIT AUTHORITY 10/02/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 598 16WC 32177 HERNANDEZ, ELIZABETH FOUR BOYS LABORER SERVICE 09/23/16 COSTA IVONE LLC MEACHUM & STARCK 599 16WC 32198 JAIME, ERIC OLD ISLAND CONSTRUCTION I 08/04/16 LEAHY, JAMES P 600 16WC 32216 RAMIREZ, MARGARITA METRO STAFF, INC 09/29/15 GOLDSTEIN BENDER & ROMANOF FRANCIS J DISCIPIO LAW OFFIC 16WC032217 -C 601 16WC 32268 LOVE, FELICIA WALGREEN CO 07/02/16 COVEN LAW GROUP GILDEA & COGHLAN 602 16WC 32304 HILLIARD, ALICIA UNITED AIRLINES 03/01/16 STEVEN J MALMAN & ASSOCIAT 603 16WC 32326 BIANCOFIORI JR., MICHAEL NEW ALBERTSON'S, INC/ 08/30/16 HETHERINGTON KARPEL BOBBER QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 604 16WC 32349 SCHNIBBEN, MARIA NORDSTROM, INC 09/11/15 SMITH LAW LTD ROBERT L. SMITH 605 16WC 32385 JORDAN, THERESA HCSG, LLC 06/02/16 MINKOW DOMIN NYHAN BAMBRICK KINZIE & LOWR 606 16WC 32431 MARTINEZ, ELVIA KIK CUSTOM PRODUCTS 09/15/16 RICHARD E ALEKSY POWER & CRONIN LTD 607 16WC 32535 NOWAK, ROBERT ALPA CONSTRUCTION, INC 08/10/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 608 16WC 32560 RODRIGUEZ, MARICEL NANDO'S PERI PERI 08/11/16 LANNON LANNON & BARR LTD 609 16WC 32643 HEARON, CAMILLA ARAMARK 10/03/16 COSTA IVONE LLC INMAN & FITZGIBBONS 610 16WC 32686 ENGLERTH, ERIN M SWIC 12/14/15 611 16WC 32717 ROBINSON, CHIQUITA DA LOBSTA 09/29/16 LEONARD LAW GROUP LLC 612 16WC 32738 ANDERSON, DONALD ILLINOIS BELL TELEPHONE C 06/05/15 BOGUSZ & BOGUSZ LTD 613 16WC 32786 ROBLES, KRISTOPHER HILTON SUITES CHICAGO 07/01/16 HEALY SCANLON LAW FIRM HENNESSY & ROACH PC 614 16WC 32788 AGRON, MARGARITA TRELLEBORG SEALING 04/25/16 LAW OFFICES MICHAEL C BRAN HOLECEK & ASSOCIATES 615 16WC 32806 NAVARRETE, JAMILETTE LABOR SOLUTIONS 04/04/16 FRANCIS J DISCIPIO LAW OFF 616 16WC 32851 BONET, ANGEL MAINES PAPER & FOOD SERVI 10/26/13 MICHAEL SHIN 617 16WC 32978 SPELZ, MICHAEL PEOPLES GAS 05/04/16 STEWART C ORZOFF GAROFALO SCHREIBER STORM 618 16WC 32990 HOLLOWAY, CHARLES KERRY INGREDIENTS & FLAVO 09/27/16 CHRISTIAN & MANNO 619 16WC 33021 GOLDSTONE, BETH EMPIRE TODAY 06/21/16 BLEAKNEY & TROIANI BRADY CONNOLLY & MASUDA PC 620 16WC 33040 CARR, RYAN ALSIP MINIMILL, LLC 09/26/16 ELFENBAUM EVERS & AMARILIO MEACHUM & STARCK 621 16WC 33151 SANCHEZ, LAUREANO ELITE STAFFING 05/19/16 VASILATOS & COTTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 622 16WC 33176 MEYER, MICHAEL VILLAGE OF NORTHBROOK 06/22/16 RIDGE & DOWNES 623 16WC 33249 IBARRIENTOS, RENE C VILLAGE OF BELLWOOD 10/06/16 FIGLIOLI, DAVID 624 16WC 33279 DIAZ, JOSE L B.L. DOWNEY CO LLC 10/04/16 JOHN J CASTANEDA 16WC033280 -C 625 16WC 33328 FARRELL, KEVIN GLOBAL EXPERIENCE SPECIAL 08/03/16 BOWMAN & CORDAY 626 16WC 33374 TILLMAN, THURELL CHICAGO TRANSIT AUTHORITY 10/16/16 STEVEN M SELAN CHICAGO TRANSIT AUTHORITY 627 16WC 33424 LOOMIS, WALTER ICS COLLECTION SVCS INC 09/02/16 DWYER AND COOGAN LAW OFFICES JOSEPH MARCINIAK 628 16WC 33438 AGRAMONTE, AARON JEWEL FOOD STORES 10/02/16 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 629 16WC 33452 HERNANDEZ, ADALBERTO RAMIREZ & SONS, INC 09/19/16 HART & DAVID LLP 630 16WC 33480 PARROW, RHONDA SIGNATURE FLIGHT SUPPORT 10/10/16 MC HARGUE, JAMES P LAW OFF WIEDNER & MCAULIFFE LTD 631 16WC 33523 PONTARELLI, DANIELLE THE ABERDEEN TAP 06/24/16 DAVID SZCZECIN & ASSOC 632 16WC 33554 BROWN, QUIDON M FORD MOTOR COMPANY 07/19/16 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 633 16WC 33617 KLICH, EWELINA NEW ALBERTSON'S INC D/B/A 08/05/16 LEWIS & DAVIDSON, LTD 634 16WC 33645 MARTINEZ, DAMIAN STRATEGIC CONTRACT SOLUTI 09/15/16 THOMAS J STIBERTH LAW OFFI GAROFALO SCHREIBER STORM 635 16WC 33664 ISAD ISSE, ADAM FLASH CAB CO 10/13/16 LAW OFFICES YEVGENIY VAYSM 636 16WC 33707 LINDHOLM, PAUL CHICAGO TRANSIT AUTHORITY 06/10/15 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 637 16WC 33719 ARANDA NEGRETE, JOSE J ROBLE FAMILY INC DBA 10/20/16 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM 638 16WC 33794 RING, JONATHAN GLENVIEW POLICE DEPARTMEN 02/13/15 SANDMAN LEVY & PETRICH NYHAN BAMBRICK KINZIE & LOWR 639 16WC 33910 ALVAREZ, ANDRES VILLAGE OF OAK PARK 10/29/16 THOMAS A MORRISSEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 640 16WC 34016 RILEY, CHRISTOPHER D SOUTHWEST AIRLINES CO 10/08/16 ANKIN LAW OFFICE 641 16WC 34114 TRUCHAN, JAN PREMIER DELIVERY, INC 02/10/16 CULLEN HASKINS NICHOLSON 642 16WC 37754 CONDICT, PAIRAT GREENWOOD HEALTH CARE 12/04/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 643 16WC 38844 GUZMAN, CHRISTOPHER (MINO SEQUIN OF GREATER CHICAGO # 11/12/15 COLLISON LAW OFFICES GALLIANI DOELL & COZZI LTD 644 17WC 00238 MILLER, DONNA M NORTH BERWYN SD #98 11/30/16 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 645 17WC 00320 BROWLEY, CURTIS REYES GREAT LAKES COCA CO 01/10/11 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 646 17WC 00332 MITCHELL, SHELLEY HEARTLAND BLOOD CENTER 12/21/16 GRAZIAN & VOLPE PC MEACHUM & STARCK 647 17WC 00424 PEREZ-GONZALEZ, RICARDO BLACKWOOD GROUP, LLC 05/22/16 SALK, STEVEN B & ASSOC LTD 648 17WC 00444 NEAL, GODWIN J SOUTHWEST AIRLINES CO 12/18/16 ANKIN LAW OFFICE 649 17WC 00475 CUMMINS, DENNIS SR TUTHILL PUMP COPR 05/18/16 PARENTE & NOREM PC GAROFALO SCHREIBER STORM 650 17WC 00558 MCINTOSH, ROLAND G DOORDASH INC 11/03/16 651 17WC 00601 PACHECO, RICHARD CITY OF CHICAGOWATER DEPT 10/20/16 WILLIAM MARTAY CITY OF CHICAGO 652 17WC 00641 BRACEY, VERONICA ANN & ROBERT H LURIE 08/01/16 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 653 17WC 00679 CRAVEN, E'LAINA FAITH A EPSTEIN & SONS 03/03/16 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ 654 17WC 00734 FLORES, CELIA GDI SERVICES, INC 10/08/16 CHEPOV & SCOTT LLC MEACHUM & STARCK 655 17WC 00761 FALEWICZ, ANDRZEJ LAPHAM HICKEY STEEL 07/20/16 MACIEJ J ORDON 656 17WC 00779 DYE, CALEB FORD MOTOR COMPANY 07/01/15 FOHRMAN, DONALD W & ASSOCS 657 17WC 00811 HAWKINS, PIERRE FORD MOTOR COMPANY 05/11/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 658 17WC 00832 GARCIA, CELSO TUBENSEE STEEL & WIRE CO 11/17/16 LEONARD LAW GROUP LLC LAW OFFICES OF EDWARD J. KOZ 659 17WC 00857 KABELIS, JOE JUDLAU 09/15/16 KURASCH & KLEIN, LTD THOMAS & PORTELA 660 17WC 00927 TIJERINA, JESUS SHRED-IT USA LLC 09/28/16 ANKIN LAW OFFICE KNELL & O'CONNOR 661 17WC 00946 AGUIRRE, JUAN P REPUBLIC SERVICES INC 12/08/16 BUDIN LAW OFFICES 662 17WC 00987 LEON, ERNESTO LKQ CORPORATION 06/23/14 LAW OFFICES LEONARDO MORAL 663 17WC 01030 VAFAKHAH, JAMAL AEROTEK 12/14/16 DWORKIN AND MACIARIELLO 664 17WC 01086 CEDENO, JOSE CHICAGO TRANSIT AUTHORITY 01/05/17 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 665 17WC 01110 PYKE, DANIEL NAPLETON'S LINCOLN 12/28/16 DWORKIN AND MACIARIELLO 666 17WC 01131 PUERTA, ERNESTO RON STAFFING 01/27/16 EFTEKHARI LAW OFFICES GAROFALO SCHREIBER STORM 667 17WC 01185 SULLIVAN, CLAUDE E JEWEL FOODS 05/27/16 ANESI OZMON RODIN NOVAK KO 668 17WC 01188 SHELTON, MARTHA CARLSON REZIDOR HOTEL GRO 06/28/16 CHASE & WERNER LTD WIEDNER & MCAULIFFE LTD 669 17WC 01247 OCAMPO, ROBERT MECH-TRONICS CORPORATION 12/29/16 CHEPOV & SCOTT LLC KEEFE CAMPBELL & ASSOC LLC 670 17WC 01289 THOMAS, BEVERLY QUEEN CHICAGO BOARD OF EDUCATIO 02/12/15 671 17WC 01303 GALLEGOS, RAUL C.M.L. 03/17/16 SALVATO & O'TOOLE 672 17WC 01312 KENDRICK, ZARIEF SPEED SEJA S.D. #802 01/20/16 VASILATOS & COTTER LLC 673 17WC 01343 GAMBERALE, FRANK CITY OF CHICAGO, STREETS 05/27/15 CUDA LAW OFFICES CITY OF CHICAGO 674 17WC 01360 ARHDA, AMAL URBAN OUTFITTERS/ANTHROPO 11/08/16 HERRERA LAW CENTER 675 17WC 01390 PIETA, ROBERT WK CUSTOM DESIGN CABINETR 11/08/16 BELLAS & WACHOWSKI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 676 17WC 01427 OLSON, EDWARD HOME DEPOT 01/29/15 BAUM RUFFOLO & MARZAL LTD 677 17WC 01447 SKODA, SATCHEL MIDWAY STAFFING 11/04/16 TAMVAKIS, GEORGE L 678 17WC 01473 GODINEZ, CRISTOBAL ATLAS EMPLOYMENT SVCS, IN 12/12/16 GOLDSTEIN BENDER & ROMANOF ROBERT L. SMITH 679 17WC 01494 PEREZ-MARTINEZ, ANTONIO BUSY BURGER EMPIRE 05/30/16 STEVEN J MALMAN & ASSOCIAT 680 17WC 01505 LUCKETT, ARLICIA ED MINIAT LLC INC 10/25/16 VASILATOS & COTTER LLC POWER & CRONIN LTD 681 17WC 01527 JORDAN, LUTHER ADVOCATE HOME CARE PRODUC 09/21/16 VRDOLYAK LAW GROUP LLC 682 17WC 01627 THIELEN, STEVEN AT&T 12/11/16 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 683 17WC 01711 MONTANEZ, MATTHEW CURRIE MOTORS CHEVORLET 12/05/16 DWORKIN AND MACIARIELLO 684 17WC 01727 VARGAS, RODOLFO JR. CHICAGO TRANSIT AUTHORITY 10/24/16 SALVATO & O'TOOLE SALVATO & O'TOOLE 685 17WC 01767 BOULTOUAK, REDA PERRY TAXI, LLC 12/23/16 FISHER & LAMONICA 686 17WC 01793 PACHECO, LYDIA FEDERAL EXPRESS 10/01/14 BRAD J. BALKE, PC 687 17WC 01861 GOLLIDAY, SYDNEY CHICAGO PUBLIC SCHOOL 01/12/17 RUBIN MACHADO ROSENBLUM 688 17WC 01863 PEREZ, FERNANDO NICOR GAS 09/14/16 WILLIAM MARTAY MACIOROWSKI SACKMANN & ULRIC 689 17WC 01885 METCALF, KRISTY C FIRST GROUP AMERICA INC 12/16/16 ANKIN LAW OFFICE 690 17WC 01955 KEILMAN, KEVIN HAYES BEER DISTRIBUTING C 04/13/16 LEONARD LAW GROUP LLC 691 17WC 02022 SINCLAIR, MARGAREG ARAMARK 10/24/16 DWORKIN AND MACIARIELLO 692 17WC 02051 HALL, ORETIAS CTA 12/15/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 693 17WC 02140 SCHULTZ, JOHN L AT&T 08/25/15 HANNIGAN & BOTHA, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 694 17WC 02159 SARACCO, JAMES A COOK COUNTY PUBLIC DEFEND 11/29/16 BRENNAN, THOMAS E LTD STATES ATTORNEY OF COOK COUN 695 17WC 02202 TURNER, CANDICE M BWAY CORPORATION 10/14/15 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 696 17WC 02235 ZIBELL, WAYNE COOK COUNTY GOVERNMENT 01/04/17 LEONARD LAW GROUP LLC STATES ATTORNEY OF COOK COUN 697 17WC 02321 CRITES, SHARAE LUDEMAN DEVELOPMENTAL CEN @ 01/11/17 MC HARGUE, JAMES P LAW OFF ASSISTANT ATTORNEY GENERAL 698 17WC 02337 CARR III, ROBERT DPI DEDICATED LOGISTICS, 01/16/17 GOLDSTEIN AIOSSA & GOOD 699 17WC 02397 ALDRETE, ELLEN BANK OF NEW YORK MELLON 06/06/16 JOHN E LUSAK HENNESSY & ROACH PC 700 17WC 02431 AMBROSE, TREMELL, WIDOW O TSL TRUCKING, INC # 10/28/16 THOMAS J STIBERTH LAW OFFI 701 17WC 02451 HARGROVE, MERONICA SOUTHWEST AIRLINES 01/17/17 KARCHMAR & STONE 702 17WC 02472 TAYLOR, KIM COMMUNITY CARE CENTER INC 01/12/17 BOWMAN & CORDAY 703 17WC 02494 GREEN, MICHAEL CITY OF CHICAGO DEPT OF 01/06/17 SHELDON I MINKOW & ASSOCIA 704 17WC 02509 MEDINA, ANA JUST IN TIME STAFFING LLC 09/28/16 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 17WC002813 -C 705 17WC 02555 ANDERSON, DEJUAN SYSCO FOOD SERVICES OF CH 11/07/15 GOLDBERG WEISMAN & CAIRO L 706 17WC 02593 MOL, GRZEGORZ ZIBBY'S STEEL WORKS CO 11/30/16 TAMVAKIS, GEORGE L 707 17WC 02650 BONKOWSKI, BRADLEY JEWEL OSCO 10/28/16 THE KARMEL LAW FIRM 708 17WC 02673 AMENT, STEVEN THE HOME DEPOT 07/12/16 JOHN E LUSAK 709 17WC 02708 VERA, ROQUE FREEDMAN SEATING CO 10/20/16 RUEDA, IVAN A 710 17WC 02728 WARLICK, DELRIDGE NAPUCK SALVAGEOF 12/15/16 GAINSBERG LAW GRANT & FANNING 711 17WC 02764 KEITH, NICK ALLIED WATERPROOFING INC. 01/17/17 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 712 17WC 02841 HALL, NATASHA CTA 12/16/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 713 17WC 02867 CARTER, YVETTE STATE OF ILLINOIS @ 11/25/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 714 17WC 02898 SIDOR, THOMAS P HOME DEPOT 01/05/15 TAMVAKIS, GEORGE L MC ANDREWS & NORGLE LLC 715 17WC 02923 DUHR, JAMES E ABRA AUTO BODY & GLASS, L 01/12/17 ANKIN LAW OFFICE MEACHUM & STARCK 716 17WC 02959 VALENTINO, FRANK L BRADY ENTERPRISES, INC 11/04/16 FREDRICK B BARDER, LTD HOLTKAMP LIESE ET AL 717 17WC 02990 SCAIFE, CYNTHIA CCDOC, CERMAK HOSPITAL 01/05/17 THE MACK LAW GROUP PC 718 17WC 03012 POLIT, LAURA SAVOR AT MCCORMICK PLACE 01/14/17 BURNES, EDWARD M 719 17WC 03044 GARZA, JAIME COOK COUNTY SHERIFF 01/25/16 HODES GREENSTEIN & LITWIN STATES ATTORNEY OF COOK COUN 720 17WC 03132 GRANVILLE, ANTONIO BEST PRACTICES STAFFING 01/20/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 721 17WC 03171 ORTIZ RAMIREZ, JORGE COSTCO 01/07/17 PARENTE & NOREM PC GANAN & SHAPIRO 722 17WC 03187 PRATER, TABITHA CHICAGO TRANSITY AUTHORIT 12/17/16 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 723 17WC 03213 THOMAS, KENNETH UPS 10/14/16 SALVATO & O'TOOLE ASA LAW GROUP 724 17WC 03247 FLOWERS, LAQWAN CHICAGO PUBLIC SCHOOLS 10/06/16 DWORKIN AND MACIARIELLO LAW DEPARTMENT 725 17WC 03298 WHITE, VALERIE AMERICAN AIRLINES 04/22/16 ASHER, RAYMOND L LTD GAROFALO SCHREIBER STORM 726 17WC 03323 FANNON, MARSHA UNITED AIRLINES, INC C/O 10/10/16 BRIAN J MC MANUS & ASSOC, 727 17WC 03365 HARRIS, ZSAKIEYA FORD MOTOR COMPANY 10/02/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 728 17WC 03422 LLOYD, PRISCILLA COOK COUNTY 12/04/16 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 729 17WC 07179 PERTEET, SULONA N SOUTH SHORE HOSPITAL 02/26/17 VITELL & SPITZ LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 730 17WC 07232 ODGEN, TINA TSL TRUCKING INC # 10/28/16 JOHN J CASTANEDA 731 17WC 07250 OCHOA, CANDI PANGEA REAL ESTATE 02/10/17 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 732 17WC 07269 YANEZ, ROSAURA UNISTAFF 02/02/17 HERRERA LAW CENTER MC ANDREWS & NORGLE LLC 733 17WC 07391 MOORE, SHALONA JETHROE FORD MOTOR COMPANY 08/09/16 RATHBUN CSEVENYAK & KOZOL 734 17WC 07912 HAGGLUND, DANIEL C IL DEPT OF TRANSPORTATION @ 03/29/16 TOSCAS, JOHN Z LAW OFFICE ASSISTANT ATTORNEY GENERAL 735 17WC 08161 MCGEE, PATRICK PALTINE POLICE DEPARTMENT 05/07/14 RONALDSON & KUCHLER POWER & CRONIN LTD 736 17WC 09997 VENTURA, ADRIANA STAFF RIGHT, LLC 03/07/17 COVEN LAW GROUP MC ANDREWS & NORGLE LLC 737 17WC 10016 PIZARRO, LYDIA M HOME GOODS INC 02/06/17 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 738 17WC 10044 NIELSEN, TIMOTHY CZARNOWSKI DISPLAY 02/05/17 RUSSO & RUSSO LTD NYHAN BAMBRICK KINZIE & LOWR 739 17WC 10118 AGUIRRE, CAROL ANN NORTHWESTERN MEMORIAL HOS 02/11/17 CAPRON & AVGERINOS PC 740 17WC 10135 RAMIREZ, CARLOS JCDECAUX 03/27/17 CHEPOV & SCOTT LLC 741 17WC 10156 ARCHER, TABITHA BON APPETIT 11/29/16 DWORKIN AND MACIARIELLO 742 17WC 10211 GARCIA, JOSE G BESPOKE DESIGN 02/18/17 AIOSSA LAW FIRM 743 17WC 10375 KAREEM, JAMILLAH PROLOGUE INC 06/23/16 MEYERS & FLOWERS 744 17WC 10393 HANKS, CODY FORD MOTOR COMPANY 04/05/17 DWORKIN AND MACIARIELLO 745 17WC 10455 DENNARD, ANTONIO ARENA FOOTBALL ONE, LLC 04/04/15 JOHN E LUSAK HOLECEK & ASSOCIATES 746 17WC 10491 POSTROZNY, KRZYSZTOF UNITED PARCEL SVC 12/20/16 HORWITZ HORWITZ & ASSOC ASA LAW GROUP 747 17WC 10528 ANTONOWICZ, SCOTT STANDARD FORWARDING LLC 12/20/16 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 748 17WC 10545 MORENO, TIMOTHY SET ENTERPRISES INC 03/29/17 ANKIN LAW OFFICE 749 17WC 10565 LAY, CHRISTOPHER UPS 01/30/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 750 17WC 10609 RIVERA, ADRIAN KERASOTES SHOWPLACE 01/28/17 NICHOLAS ROBERT RECCHIA 751 17WC 10648 SCOTT, CORDRIA RGIS, LLC 03/16/17 SEIDMAN MARGULIS & FAIRMAN ARNETT LAW GROUP 752 17WC 10681 PERKINS, CYNTHIA C CHICAGO PUBLIC SCHOOLS 02/06/17 ANKIN LAW OFFICE LAW DEPARTMENT 753 17WC 10698 GARCIA, DANIEL CARMAX 01/09/17 COSTA IVONE LLC 754 17WC 10777 ATABBE, MOHAMMED AL PETE'S MARKET 10/01/16 FINE, MARK S LAW OFFICES 755 17WC 10871 PARAMORE, EBONY CHICAGO TRANSIT AUTHORITY 07/26/16 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 756 17WC 10889 SAUKO, PAVEL ASPEN FLOORING COMPANY 03/22/17 SANDMAN LEVY & PETRICH 757 17WC 10909 HALL, IDA SCR MEDICAL TRANSPORATION 04/06/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 758 17WC 10927 DELAVEGA, RICHARD R COOK COUNTY SHERIFF'S POL 03/06/17 ARGIONIS & ASSOCIATES LLC STATES ATTORNEY OF COOK COUN 759 17WC 10984 MOOSMANN, MICHAEL COOK IL CORP- IL SCHOOL B 04/04/17 COLLISON LAW OFFICES GALLIANI DOELL & COZZI LTD 760 17WC 11011 MORENGO, OFELIA SPECIALTY PRINT COMMUNICA 09/10/16 GOLDSTEIN BENDER & ROMANOF 761 17WC 11034 GONZALEZ, MARIA DEL ROSAR UNIVERSITY OF ILLINOIS AT 02/05/17 DEPAOLO ZADEIKIS GORE NYHAN BAMBRICK KINZIE & LOWR 762 17WC 11050 STANTON, ANGENETTE LSG SKY CHEFS USA INC 02/21/17 ANKIN LAW OFFICE INMAN & FITZGIBBONS 763 17WC 11097 KULINSKI, GERALD CHICAGO DEPT OF TRANSPORT 12/02/16 SALVATO & O'TOOLE 764 17WC 11121 MILLER, STACEY PROGRESSIVE HOUSING, INC 03/09/17 DWORKIN AND MACIARIELLO 765 17WC 11195 JABLONSKI, MARIAN OVERTON CHICAGO GEAR 12/12/16 ALEKSY BELCHER NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 766 17WC 11221 DEVRIES, JAMES REPUBLIC SERVICES 11/16/15 GERALD W KOREY GILDEA & COGHLAN 767 17WC 11261 FREESE, LEE FOX RIVER FOODS, INC 11/16/16 PETER F FERRACUTI & ASSOCI INMAN & FITZGIBBONS 768 17WC 11276 HAYNES, VERNISHA D CHICAGO TRANSIT AUTHORITY 04/04/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 769 17WC 11291 WILLIAMS, ROBERT PACE SUBURBAN BUS 06/01/16 ANKIN LAW OFFICE 770 17WC 11301 DEAN, TERRA SCR TRANSPORTATION 02/02/15 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 771 17WC 11369 ROJAS, FLAVIO D&W FINE PACK LLC 02/16/17 OSVALDO RODRIGUEZ PC 772 17WC 11374 GATLIN, MICHELLE PARAMOUNT REHAB & NURSING 04/09/17 DWORKIN AND MACIARIELLO 773 17WC 11458 JUSTICE, EDREICK B ARCELOR MITTAL STEEL 03/13/17 DAVID W MARTAY SPIEGEL & CAHILL, PC 774 17WC 11509 POSEY, DAMEON GDI INTEGRATED FACILITY 03/27/17 SOSTRIN AND SOSTRIN PC MEACHUM & STARCK 775 17WC 11550 CHAVEZ, MARCELINO NICKELSON INDUSTRIAL SVCE 12/06/16 NILSON STOOKAL GLEASON CAP 776 17WC 11600 PAULY, TIMOTHY OLDCASTLE 02/08/17 PAUL MARZANO MEACHUM & STARCK 777 17WC 11648 BOYNTON, ANDREW J COOK COUNTY SHERIFF 01/05/17 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 778 17WC 11701 LOVE, LYNAYA FORD MOTOR COMPANY 03/30/17 FOHRMAN, DONALD W & ASSOCS 779 17WC 11718 GRANT, EDWARD RR DONNELLY 04/27/16 COVEN LAW GROUP BRADY CONNOLLY & MASUDA PC 780 17WC 11774 BOLSONI, CHRISTOPHER J CITY OF DES PLAINES 02/11/17 THOMAS W DUDA POWER & CRONIN LTD 781 17WC 11799 ANTHONY, ERIC CAST & CREW PRODUCTIONS 03/07/17 BERG & BERG GRANT & FANNING 782 17WC 11803 LIZARRAGA, JESUS ADECCO STAFFING 08/22/16 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 783 17WC 11869 FITZGERALD, JOSEPH CITY OF BERWYN 04/09/17 THOMAS A MORRISSEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 784 17WC 11915 DESZCZ, PAULINA SPORTS CLIPS 04/14/17 DWORKIN AND MACIARIELLO 785 17WC 11936 KONDILIS, JAMES COOK COUNTY SHERIFF'S OFF 01/11/17 LEO ALT STATES ATTORNEY OF COOK COUN 786 17WC 11961 SMITH, GERALD UNITED PARCEL SVC 03/23/17 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 787 17WC 11973 CERVANTES, DELFINO FREEDMAN SEATING CO 11/19/16 SALK, STEVEN B & ASSOC LTD 788 17WC 12011 CENITI, STEPHANO R RED ROBIN INTERNATIONAL I 04/12/17 ANKIN LAW OFFICE 789 17WC 12030 ESKRIDGE, WALTER PEOPLE'S GAS 03/23/17 SHELDON I MINKOW & ASSOCIA 790 17WC 12050 PIERSON, TIFFANY UNITED AIRLINES, INC 03/01/17 GREGORIO & MARCO BRYCE DOWNEY & LENKOV LLC 791 17WC 12069 TREJO, MARIA DE LOURDES ISLAND HOSPITALITY 04/25/16 THE ROMAKER LAW FIRM 792 17WC 12098 ADAMS, ERIC CHICAGO BEVERAGE SYSTEMS 04/11/16 DWORKIN AND MACIARIELLO 793 17WC 12118 CULLISON, JAMES WHEELING TRANSPORATION 04/11/17 LEONARD LAW GROUP LLC 794 17WC 12159 GOMEZ RINCON, JEHOVA SKOKIE COUNTRY CLUB 04/12/17 HERRERA LAW CENTER 795 17WC 12183 RESENDEZ, INOCENSIA SOCIETY OF DIVINE WORLD 01/13/17 SEIDMAN MARGULIS & FAIRMAN 796 17WC 12209 CHUBB, TRACIE SOUTHWEST AIRLINES 12/17/16 STEVEN J MALMAN & ASSOCIAT 797 17WC 12241 HAUS, DAVID AMERICAN BOXBOARD LLC 04/26/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 798 17WC 12260 BACHAS, ANASTASIA K CHICAGO PUBLIC SCHOOLS 01/19/17 RUBIN LAW GROUP 799 17WC 12285 WILLIAMS, CALVIN FEDEX 04/04/14 LEONARD LAW GROUP LLC HANSON LAW OFFICE 800 17WC 12364 BRAVO, IVAN ELGIN SWEEPING SERVICES, 08/17/16 ANESI OZMON RODIN NOVAK KO ACCIDENT FUND HOLDINGS 801 17WC 12410 SANDERS, JEROME FEDEX 04/17/17 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 802 17WC 12458 PIRTLE, JERRY GORDON FOOD SERVICE 03/23/17 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 803 17WC 12503 AYODELE, GBENGA CHECKER CAB ASSOCIATION 04/10/17 WEISS & WEISS LAW OFFICES 804 17WC 12605 LUCAS, RENEE UNIVERSITY OF ILLINOIS HO 07/16/16 DAVID W MARTAY 805 17WC 12622 CUTHBERTSON, JACOB INDUSTRIAL MATERIAL SUPPL 03/13/17 GREGORIO & MARCO 806 17WC 12637 RUIZ, BERENICE MVP WORKFORCE LLC 04/19/17 ANKIN LAW OFFICE KOREY RICHARDSON LLC 807 17WC 12653 RODGERS, HOLLIS WALGREENS 04/25/17 DWORKIN AND MACIARIELLO 808 17WC 12675 HARRIS, KEVIN UPS 11/28/16 CHASE & WERNER LTD NYHAN BAMBRICK KINZIE & LOWR 17WC012677 -C 809 17WC 12696 KELLY, DEBORAH JEWEL - OAK PARK 04/25/17 STROM, NEAL B 810 17WC 12713 VAZQUEZ, ROSA EDSAL MANUFACTURING 12/17/16 MENDOZA LAW PC SLAVIN & SLAVIN 811 17WC 12734 STEWART, HORACE HMS HOST 04/10/17 ELFENBAUM EVERS & AMARILIO 812 17WC 12762 BLANCAS, LATICIA QUEST FOOD MANAGEMENT SER 01/20/17 RUEDA, IVAN A 813 17WC 12870 HAWKINS, LAMAR JEWEL FOODS 04/27/17 SEIDMAN MARGULIS & FAIRMAN 814 17WC 12886 HUNTER, MILES ARYZLA 04/23/17 COSTA IVONE LLC HENNESSY & ROACH PC 815 17WC 12914 ANDERSON, KRISTIN AMERICAN AIRLINES 03/10/17 JOHN C SERKLAND 816 17WC 12927 MAREK, STANISLAW A CHICAGO TRANSITY AUTHORIT 12/17/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 817 17WC 12951 COLEMAN, LAJAI GREEN OAKS APARTMENT 04/01/17 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 818 17WC 12971 CLINE, ONNIE JR GATE GOURMET, INC 10/28/16 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 819 17WC 13033 WHEELER, STEVEN SOUTHWEST AIRLINES 12/01/16 KUMLIN & FROMM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 820 17WC 13055 HAWKINS, DARIUS ORKIN, LLC 03/29/17 ARGIONIS & ASSOCIATES LLC 821 17WC 13096 ASBERRY, LAURICE ELITE STAFFING 04/07/17 BRISKMAN BRISKMAN GREENBER 822 17WC 13145 WALKER, KEYAH COOK COUNTY 01/12/17 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 823 17WC 13170 SALAS, ELEAZAR SCOPE INDUSTRIES/RECONSER 02/09/16 HOWARD S. KAVENOW LLC 824 17WC 13232 DENT, DEBBIE AMERICAN AIRLINES 04/17/17 SAUNDERS CONDON & KENNY 825 17WC 13258 CORONADO-CONTRERAS, ANAST JIDD MOTORS 03/08/17 BOTTO GILBERT WOLFE & JACOBSON, LTD 826 17WC 13289 WALLACE, STACY FORD MOTOR COMPANY 03/20/17 FOHRMAN, DONALD W & ASSOCS 827 17WC 13305 VARGAS, RUBEN AEROTECH 01/17/17 MENDOZA LAW PC SPIEGEL & CAHILL, PC 828 17WC 13342 OROYE, GBENGA DISPATCH TAXI 05/01/17 WEISS & WEISS LAW OFFICES 829 17WC 13371 REYNOLDS, DERRICK CHICAGO BOARD OF EDUCATIO 04/20/14 VRDOLYAK LAW GROUP LLC 830 17WC 13398 MCCLARY, KYLE W ELITE CABLE COMMUNICATION 06/18/16 ANKIN LAW OFFICE 831 17WC 13474 DUBLINO, CARMINE POWER CONSTRUCTION 05/25/16 TRAPP & GELLER WIEDNER & MCAULIFFE LTD 832 17WC 16549 JACKSON, DEXTER ARENA FOOTBALL ONE, LLC 07/26/14 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 833 17WC 18179 LITTLETON, LORI (MOTHER & TSL TRUCKING INC # * 10/28/16 HASSAKIS & HASSAKIS PC 834 17WC 19401 BUTLER, RONALD D CTA * 06/09/17 MARC PEKAY CHICAGO TRANSIT AUTHORITY 835 17WC 19536 MAREK, FERDINAND OSCO OIL * 11/04/16 HORWITZ HORWITZ & ASSOC 836 17WC 19692 KINK, JOHN CONTRACT FLOORING SERVICE * 06/06/17 GREGORIO & MARCO GAROFALO SCHREIBER STORM 837 17WC 19718 VEAL, CHARLES ANIXTER * 06/18/17 JAMES ELLIS GUMBINER & ASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 838 17WC 19736 CAREY, MICHAEL PEOPLES GAS * 03/06/17 ELFENBAUM EVERS & AMARILIO 839 17WC 19782 CORREA REYES, MIGUEL ANGE CHICAGO AMERICAN * 02/04/17 SALK, STEVEN B & ASSOC LTD 840 17WC 19855 ARTAJO, EDDIE THE WIT CHICAGO -A DOUBLE * 02/07/17 HANNIGAN & BOTHA, LTD 841 17WC 19896 MCNEAL, BROOKIE SCR MEDICAL TRANSPORTATIO * 06/19/17 NYHAN BAMBRICK KINZIE & LOWR 842 17WC 19921 DILCE, CYLENCIA COMMUNITY SUPPORT SVCS * 06/28/17 ANGELINI & ORI LLC 843 17WC 19977 HURD, KIMBERLY J CHICAGO TRANSIT AUTHORITY * 06/23/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 844 17WC 19996 SONG, JONGCHAN CITY SPORTS * 11/19/16 NEWLAND & NEWLAND 845 17WC 20025 MENDEZ, MARGARET JOYCE JEWEL OSCO * 11/25/16 LAW OFFICE JOSHUA KARMEL 846 17WC 20037 JONES, JANICE UNIVERSITY OF CHICAGO * 06/23/17 GOLDBERG WEISMAN & CAIRO L 847 17WC 20080 PETTIES, ANTHONY A FEDEX EXPRESS * 06/01/17 GOLDSTEIN BENDER & ROMANOF 848 17WC 20102 SANTOYO, MOISES GROOT INDUSTRIES * 08/17/16 COSTA IVONE LLC 849 17WC 20123 SIMS, RITHA CITY OF CHICAGO- STREETS * 06/21/16 NILSON STOOKAL GLEASON CAP 850 17WC 20253 STOVE, DON EASTERSEALS * 06/21/17 JONATHAN SCHLACK 851 17WC 20271 JADRON, ALEXANDRIA FEDEX * 06/05/17 COVEN LAW GROUP 852 17WC 20299 INSKO, DUSTIN MIDLAND GENERAL CONTRACTO * 06/14/17 COVEN LAW GROUP LAW OFFICES OF EDWARD J. KOZ 853 17WC 20323 ANGONE, ANGELO S COOK COUNTY SHERIFF'S OFF * 09/20/16 LAWRENCE A SCORDINO 854 17WC 20364 VILLALOBOS, SAMUEL ED MINIAT, LLC * 04/10/17 CULLEN HASKINS NICHOLSON 855 17WC 20382 RICHARDS, MARC SCR TRANSPORTATION * 06/29/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 856 17WC 20438 MINER, JOSHUA MID AMERICA UNDERGROUND, * 12/22/16 GANAN & SHAPIRO 857 17WC 20467 SANCHEZ, CECILIO J MEN'S WAREHOUSE * 05/22/17 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 858 17WC 20493 MORIMOTO, SEN PONTIAC PRODUCE CO, INC * 05/21/16 ANCEL GLINK DIAMOND BUSH & E 859 17WC 20527 THOMAS, EDWARD FORD MOTOR COMPANY * 05/14/17 FOHRMAN, DONALD W & ASSOCS 860 17WC 20553 SCHMIDT, LINDA K VON MAUR * 01/18/17 JOSEPH G HAFFNER LAW OFFIC 861 17WC 20601 MOTA, MIGUEL PAAPE BROTHERS CARPENTRY * 06/19/17 THERMAN LAW OFFICES 862 17WC 20602 COOPER, JALEESA FORD MOTOR CO * 10/17/14 DANIEL PERIASWAMY 863 17WC 20625 WISE, LAKEISHA CHICAGO TRANSIT AUTHORITY * 07/09/17 STROM, NEAL B 864 17WC 20637 JONES, GARY CTA * 06/30/17 FOHRMAN, DONALD W & ASSOCS 865 17WC 20673 CATIZONE, JOHN UPS * 11/15/16 NYHAN BAMBRICK KINZIE & LOWR 866 17WC 20708 ROBLES, JOSE QUAY CORPORATION * 07/11/17 COSTA IVONE LLC 867 17WC 20766 BACOYANIS, THEODORE E CHICAGO HOUSING AUTHORITY * 08/07/14 WILLIAMS, ROBERT B LAW OFF 868 17WC 20861 BAUTISTA, MASSIEL SWITCHCRAFT, INC * 03/06/17 DEPAOLO ZADEIKIS GORE 869 17WC 20881 VALENCIANO, SANJUANA OMKAR, LLC D/B/A * 06/03/16 NILSON STOOKAL GLEASON CAP 870 17WC 20903 VARGAS, GUILLERMINA JUNO LIGHTING GROUP * 06/22/17 HERRERA LAW CENTER 871 17WC 20962 BERMUDEZ-LOPEZ, RAUL SCHOOL DISTRICT 59 * 06/14/17 ATSAVES, LOUIS G LTD 872 17WC 20989 DIAZ, ADDI SPECIALTY PRINT COMMUNICA * 03/15/17 COSTA IVONE LLC 873 17WC 21026 INIGUEZ, ANDREA I MATHER LIFEWAYS, LLC * 05/17/17 OSVALDO RODRIGUEZ PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 874 17WC 21054 HOWARD, RENEE RAINEY UNITED AIRLINES * 06/22/17 CULLEN HASKINS NICHOLSON 875 17WC 21072 BOSSMAN, DANIEL BELLA & IZA INC * 06/09/17 LAW OFFICE RYAN ROSENTHAL 876 17WC 21107 ROJAS, SILVIA STAFFMARK * 05/15/17 DUDLEY & LAKE LLC 877 17WC 21114 HART, COREY UPS * 12/15/16 ASA LAW GROUP 878 17WC 21141 HURLOW, JOSEPH ANDERSON TRUCKING SERVICE * 12/16/16 LEONARD LAW GROUP LLC 879 17WC 21172 STOKES, JOHN CHICAGO HEIGHTS POLICE DE * 04/26/17 BOWMAN & CORDAY 880 17WC 21194 BOYNE, HEYAN PECO PALLET * 07/11/17 DWORKIN AND MACIARIELLO 881 17WC 21239 SNEED, ANDRE COOK COUNTY DEPT OF HIGHW * 06/30/17 WILLIAM B MEYERS, LTD 882 17WC 21260 MALHAM, SABAH NILES GRAND, LLC * 04/13/17 ZENITH INSURANCE CO. 883 17WC 21291 PACIORA, RENATA PRESENCE RESURRECTION MED * 06/26/17 HETHERINGTON KARPEL BOBBER 884 17WC 21325 GILBERT, ANITA SCHOOL DISTRICT 227 * 07/19/17 ANGELINI & ORI LLC 885 17WC 21343 BOWIE, KENNETH CTA * 07/19/17 EDWIN REYES LEGAL GROUP 886 17WC 21362 JACKSON, JAMES STATE OF IL DEPT OF TRANS @ * 01/10/17 KROL BONGIORNO & GIVEN LTD 887 17WC 21382 MIRABELLA, CHRYSTINAM INGALLS MEMORIAL HOSPITAL * 06/22/17 O'CONNOR & NAKOS 888 17WC 21400 CASTRO, FREDDY PARAMOUNT STAFFING * 07/20/17 COSTA IVONE LLC 889 17WC 21439 BOASIAKO, KOFI A YELLOW CAB * 05/19/17 CORNFIELD & FELDMAN 890 17WC 21452 CLARK, CASSANDRA CTA * 07/20/17 FOHRMAN, DONALD W & ASSOCS 891 17WC 21463 KILLEEN, SEAN COOK COUNTY * 04/16/17 BOWMAN & CORDAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 892 17WC 21483 WASHINGTON, WANDA ZF LEMFORDER * 06/21/17 LAW OFFICE OF SCOTT B SHAP 893 17WC 21526 MURPHY, WILLIE DR PEPPER/SEVEN UP INC * 04/05/17 THE ROMAKER LAW FIRM 894 17WC 21546 INAYATULLAH, SYED AMERICAN TAXI DISPATCH IN * 06/12/17 JAMES ELLIS GUMBINER & ASS BAUM RUFFOLO & MARZAL LTD 895 17WC 21604 WILLIAMS, PAMELA WALMART * 07/08/17 BARRY STEWART SILVER 896 17WC 21619 KOON, KATHY WHITE CASTLE * 10/12/16 LAW OFFICE OF JASON C. BEL 897 17WC 21640 CATRON, ROBERT CHICAGOFLAMEPROOF * 02/16/17 PORRO NIERMANN LAW GROUP 898 17WC 21694 TORRES, JUAN RYDER TRUCK * 10/31/16 MARSZALEK AND MARSZALEK 899 17WC 21707 KARTAVICH, JOHN W METHODE ELECTRONICS, INC * 01/29/16 ANESI OZMON RODIN NOVAK KO 900 17WC 21747 BARNES, MALCOLM SUN STEEL * 09/17/16 DWORKIN AND MACIARIELLO 901 17WC 21783 RODRIGUEZ, DOUGLAS G II COOK COUNTY SHERIFF * 09/27/16 GARDI & HAUGHT 902 17WC 21810 WILLIS, JACQUELINE GOULD + RATTNER, LLP * 06/14/17 ROSENFELD HAFRON SHAPIRO F 903 17WC 21847 STERLING, ROBYN BRIA HEALTH SVCS OF CHICA * 11/27/16 BRISKMAN BRISKMAN GREENBER 904 17WC 21876 DANIEL, MONIQUE CVS * 05/29/17 DWORKIN AND MACIARIELLO 905 17WC 21909 URZUA, MATILDE CTA * 07/22/17 COSTA IVONE LLC 906 17WC 21934 TAGLIA, DANIEL ROCK RIVER VALLEY FLOORIN * 05/26/17 O'CONNOR & NAKOS 907 17WC 21977 IVANOV, VICTOR M. SKYWAY CONCESSIONS * 01/13/17 TAMVAKIS, GEORGE L 908 17WC 22004 RAMIREZ, CASANDRA GLENCREST HEALTHCARE * 07/14/17 JAMES ELLIS GUMBINER & ASS 909 17WC 22020 JOVEL, WILLIAM MUNCH SUPPLY CO * 10/10/16 R. MARK MARITOTE PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 09/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 910 17WC 22047 SKIPPER, THOMAS EMCOR SERVICES TEAM MECHA * 01/09/17 HEALY SCANLON LAW FIRM 911 17WC 22070 HENDERSON, JAMES STNDARD FORWARDING * 06/07/16 DWORKIN AND MACIARIELLO 912 17WC 22088 BUTLER, DONISSA C NORTHWESTERN MEMORIAL HOS * 07/18/17 VITELL & SPITZ LTD 913 17WC 22114 JEAN, HENRY GOLDEN STATE FOODS * 03/16/17 WOODRUFF & JOHNSON 914 17WC 22135 CHAFFEE, ISHMAEL E FEDERAL EXPRESS CORPORATI * 07/12/17 ANKIN LAW OFFICE 915 17WC 22174 MORGAN, GREGORY SCOOBEEZ * 07/22/17 COSTA IVONE LLC 916 17WC 22196 SAPP, LYNETTE STERIS * 06/22/17 DWORKIN AND MACIARIELLO 917 17WC 22227 KURZYNSKI, CHRISTOPHER MAGELLAN DEVELOPMENT GROU * 10/25/14 MINKOW DOMIN 918 17WC 22254 ROBINSON, MAURICE L MEIJER * 07/13/16 MCGOVERN, JOSEPH M LAW OFF 919 17WC 22278 ROMERO, CRISTIAN SANGAM * 07/28/17 SALVATO & O'TOOLE 920 17WC 22290 GREEN, EDWARD LAMONT UNITED PARCEL SERVICE * 07/19/17 STEIN & CHERNY LTD 921 17WC 22351 DOMINGUEZ, ELIDA JF LABS, INC * 03/17/17 HERRERA LAW CENTER 922 17WC 22401 GARCIA, HUGO ALFONSO ALL IN INSULATION LLC D/B * 07/25/17 SOSTRIN AND SOSTRIN PC 923 17WC 22435 BEASLEY, JOHN CENTRAL STATES AUTOMATIC * 02/02/17 HEALY SCANLON LAW FIRM 924 17WC 22459 AGUILAR, HUMBERTO SHAMROCK ELECTRIC * 08/05/16 RUBIN LAW GROUP