ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 07703 19B GRUJICI, MIRJANA CITY OF CHICAGO 01/23/02 KARCHMAR & STONE HENNESSY & ROACH PC 08WC013557 -C 11WC002050 -C 2 03WC 09093 19B DEMATTEO, ANTHONY EDY'S GRAND ICE CREAM 08/30/02 THOMAS R LICHTEN MEACHUM & STARCK LAW OFFICES 15WC010015 -C GONNELLA BAKING CO 3 03WC 34995 MERCIL, WILLIAM JEWEL 02/03/03 FIGLIOLI, DAVID RODDY LAW LTD 04WC048088 -C 09WC006072 -C 4 03WC 58752 O'SHEA, TIMOTHY UNIVERSITY OF ILLINOIS 08/14/03 GALLIANNI DOELL & COZZI LT NYHAN BAMBRICK KINZIE & LOWR 09WC011539 -C 5 03WC 59237 HURT, THEODORE CHICAGO BOARD OF EDUCATIO 11/10/03 KARP & ELLIS LAW DEPARTMENT 05WC018258 -C 08WC013944 -C 6 04WC 34073 SWANSON, JAMES T FORD MOTOR COMPANY 03/25/04 DECARLO LAW GROUP POWER & CRONIN LTD 7 05WC 07463 LANE-JENKINS, LILLIAN KRAFT FOODS 01/12/05 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 14WC002888 -C INSIGHT GLOBAL 8 05WC 13055 REYES, RAMON CITY OF CHICAGO-SANITATIO 03/11/05 MARK S DYM CITY OF CHICAGO 9 06WC 11366 FRANCO, MARGOT CHICAGO PUBLIC SCHOOLS 10/12/05 LEONARD LAW GROUP LLC LEAHY EISENBERG & FRAENKEL 06WC011367 -C 10 06WC 48212 CONROY, JANICE PALOS COMMUNITY HOSPITAL 10/01/06 DEUTSCHMAN, JEFFREY S BRAUN LORENZ & BERGIN PC 11 07WC 18185 GOMEZ, ANNA ASSEMBLEY UNLIMITED PACKA W 04/18/07 JAMES ELLIS GUMBINER & ASS 07WC018186 -C 12 07WC 18806 THOMAS, JACQUELINE STATE OF ILLINOIS DEPT @ 05/27/05 ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 07WC 48108 WILLIAMS, ANDRE E ST OF IL DEPARTMENT OF HS @ 09/13/07 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 10WC042395 -C MADDEN MENTAL HEALTH CENTE 14 08WC 10298 ROA, RHODORA R STATE OF IL DEPT OF HS @ 10/10/07 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 12WC012462 -C ST OF IL DEPT OF HS 12WC014707 -C 13WC000696 -C 13WC000697 -C 13WC000698 -C 15WC032517 -C ST OF IL, DEPT OF HS 15WC032518 -C 15WC032519 -C ST OF IL, DEPT OF HS 15WC032520 -C 15 08WC 27157 ERONDU, NWARARA PROVIDENT HOSPITAL 03/13/08 MARVIN A BRUSTIN LTD STATES ATTORNEY OF COOK COUN 16 08WC 39195 MIGUEL, SILVANO CENTRAL BUILDING SERVICES W 04/01/08 JAMES ELLIS GUMBINER & ASS ASSISTANT ATTORNEY GENERAL 17 08WC 55025 HAMILTON, ROZELLA CITY OF CHICAGO 05/30/07 POMPER & GOODMAN HENNESSY & ROACH PC 09WC005642 -C 18 08WC 56733 GIBSON, MARVIN MESA AIRLINES 02/21/08 BOWMAN & CORDAY BRADY CONNOLLY & MASUDA PC 19 09WC 01463 GONZALEZ, GRISELDA OAKTON COMMUNITY COLLEGE 12/04/08 EMPLOYEE LEGAL SERVICES LT POWER & CRONIN LTD 11WC011404 -C 12WC040522 -C 14WC020090 -C 20 09WC 19108 VARNADO, VANESSA CHICAGO TRANSIT AUTHORITY 04/08/09 KARNO, MARK L & ASSOC CHICAGO TRANSIT AUTHORITY 12WC036009 -C CTA 14WC002161 -C 21 09WC 20439 19B LADING, RUDOLPH CITY OF CHICAGO 01/07/09 BAUM RUFFOLO & MARZAL LTD CITY OF CHICAGO 14WC034241 -C 22 09WC 24883 WILSON, BRENDA F CHICAGO TRANSIT AUTHORITY 01/02/09 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 23 09WC 27090 FERNANDEZ, IMELDA CITY OF CHICAGO 05/26/09 GRAZIAN & VOLPE PC CITY OF CHICAGO 24 09WC 27593 HUMPHREY, KELLY METROPOLITAN PIER & 05/30/08 NYHAN BAMBRICK KINZIE & LOWR 09WC027594 -C 25 09WC 30046 BRUGGENWIRTH, CARL MOLTER CORP 07/09/09 RATHBUN, CSERVENYAK & KOZO THOMAS & PORTELA 26 09WC 32789 BLACK, TANYA CITY OF CHICAGO DEPT OF 03/25/09 RUBIN LAW GROUP SCOPELITIS GARVIN LIGHT 27 09WC 33361 LOPEZ, MIGUEL SUNDSTROM PRESSED STEEL 02/16/09 KARCHMAR & STONE LAW OFFICES JOSEPH MARCINIAK 28 09WC 34768 HIGH, LATANYA GATE SERVE/GATE COURMET 12/01/07 SHELDON I MINKOW & ASSOCIA MEACHUM & STARCK LAW OFFICES 29 09WC 35166 GUARDIOLA, ALBA LOYOLA UNIVERSITY 07/13/09 JAMES ELLIS GUMBINER & ASS BRAUN LORENZ & BERGIN PC 11WC046066 -C 30 09WC 35949 HARDY, VELMA PACE SUBURBAN BUS 10/01/08 CHRISTIAN & MANNO SLAVIN & SLAVIN 10WC035933 -C 11WC044737 -C 15WC017616 -C 31 09WC 42328 PEREZ, TERESA SWISS PORT AIRLINES 08/17/09 BRISKMAN BRISKMAN GREENBER KNELL & O'CONNOR 10WC022061 -C 32 09WC 43023 JIMENEZ, JOSE TEMPEL STEEL COMPANY 05/26/09 KATZ FRIEDMAN EAGLE ET AL RODDY LAW LTD 12WC000190 -C 33 09WC 45460 19B DECESARE, PIO JSL PROPERTIES W 09/25/09 WAYNE RHINE ROBERT E LEWIN ATTORNEY AT L 34 10WC 00143 HARRIS, KIMBERLY COOK COUNTY DEPT OF CORR 12/07/09 KENNETH B GORE, LTD STATES ATTORNEY OF COOK COUN 35 10WC 04941 PLOSZAI, WALTER M CITY OF CHICAGO 01/19/10 TAMVAKIS, GEORGE L CITY OF CHICAGO 36 10WC 14754 GONZALEZ, MAXIMILIANO TS DISTRIBUTORS, INC 06/12/09 BRADY CONNOLLY & MASUDA PC 37 10WC 16275 CONTRERAS, GABRIEL AMERICAN DEMOLITIAN 03/10/10 CULLEN HASKINS NICHOLSON THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 38 10WC 16890 MENDOZA, RALPH CHICAGO PUBLIC SCHOOLS 03/08/10 JAMES E MURRAY LTD LAW DEPARTMENT 39 10WC 24242 HERNANDEZ, TEODORO ILLINOIS BELL TELEPHONE 08/21/07 KARCHMAR & STONE INMAN & FITZGIBBONS 10WC024243 -C 10WC024244 -C 40 10WC 31035 PARSLEY, AUDREY CHICAGO PUBLIC SCHOOL 08/15/09 POMPER & GOODMAN LAW DEPARTMENT 41 10WC 32239 ROBERSON, MICHAEL BINNY'S BEVERAGE DEPOT 12/22/09 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 42 10WC 33226 ROMO, ISMAEL RANDALL METAL 08/06/10 SHELDON I MINKOW & ASSOCIA 43 10WC 33707 EPANUGA, ADEDEJI GLOBE TAXI 08/10/10 KENNETH B GORE, LTD 44 10WC 34063 BUSH, BARBARA FIFTH THIRD BANK 2505 AUB 02/12/10 O'CONNOR & NAKOS MEACHUM & STARCK 45 10WC 34810 TAPIA, APOLINAR RELIABLE EMPLOYMENT SERVI @ W 06/28/10 JAMES ELLIS GUMBINER & ASS STONE & JOHNSON CHARTERED 46 10WC 48850 FAJDICH, JACQUELINE ST JAMES HOSPITAL 03/01/10 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 11WC009237 -C 47 10WC 48998 WATKINS, CHARLES III UNIVERSITY CLUB OF CHICAG 07/15/10 ACEVES & PEREZ PC MEACHUM & STARCK 48 11WC 01873 SISK, ADRIAN LAKE BOOK MANUFACTURING 11/06/09 NICHOLAS D LAPONTE & ASSOC SUGAR FELSENTHAL GRAIS HAMME 49 11WC 05236 BRADLEY, BRANDON GTS TOWING, INC @ W 01/13/11 CANDIANO LAW OFFICE GAROFALO SCHREIBER STORM 50 11WC 05325 GARCIA, ERIC CITY OF CHICAGO 02/08/11 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 12WC035711 -C 14WC008100 -C 14WC008301 -C 14WC008302 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 51 11WC 05537 WEAVER, WENDY CITY OF CHICAGO EMERGENCY 02/01/11 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 52 11WC 08165 KRECH, LARRY CENTRAL TRANSPORT 06/14/10 STEVEN J SEIDMAN LAW OFFIC HINSHAW & CULBERTSON 12WC020302 -C 53 11WC 16845 KOSCH, DOUGLAS VEOLIA ENVIRONMENTAL SERV 12/30/08 CRONIN & PETERS INMAN & FITZGIBBONS 54 11WC 21150 HILL, GREGORY CITY OF CHICAGO 03/17/11 COLLISON & O'CONNOR CITY OF CHICAGO 55 11WC 22438 FARIAS, MANUEL CITY OF CHICAGO 02/28/11 COVEN LAW GROUP CITY OF CHICAGO 56 11WC 22776 YATES, CHRISTINA AVERITT EXPRESS 04/18/11 STEWART C ORZOFF 57 11WC 23190 SITASZ, JILL COOK COUNTY JUVENILLE 06/02/11 JOHN J CASTANEDA STATES ATTORNEY OF COOK COUN 58 11WC 25149 HUDSON, JOHN JR CITY OF CHICAGO 05/03/11 MINKOW DOMIN CITY OF CHICAGO 11WC025150 -C 59 11WC 25903 OVANDO, NARDO CONSERVATOR PAINTERS USA 06/30/11 CANDIANO LAW OFFICE THOMAS & ASSOCIATES 60 11WC 30153 DRINKARD, PATRICIA ALDI FOODS 03/16/11 SHELDON I MINKOW & ASSOCIA BRADY CONNOLLY & MASUDA PC 12WC018853 -C 12WC035954 -C 61 11WC 30388 KENDRICK, CHARLENE ALICES BAR B Q @#W 07/12/11 BRILL & FISHEL 62 11WC 31448 ROSALES, JAVIER SHERIFF OF COOK COUNTY 07/11/11 EPSTEIN, JACK R LAW OFFICE STATES ATTORNEY OF COOK COUN 63 11WC 31711 LISA, JENNINGS CHICAGO COMMONS ASSOCIATI 01/05/10 BAUM RUFFOLO & MARZAL LTD STELLATO & SCHWARTZ 64 11WC 33369 HAWKINS, TRENA CHICAGO STATE UNIVERSITY 06/07/11 DWORKIN AND MACIARIELLO ILLINOIS ATTORNEY GENERALS 12WC021828 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 65 11WC 33501 ANDRADE, RICARDO THORNE ASSOCIATES, INC 02/16/11 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 66 11WC 39488 ARELLANOS, JUAN CARLOS SURDO LANDSCAPING CONTRAC 09/27/11 PETER D CORTI LAW GROUP MACIOROWSKI SACKMANN & ULRIC 12WC003071 -C ELEVENTH HOUR HAUNTED HOUS 67 11WC 39629 JASHENSKI, DENNIS M CTA 10/03/11 WM JAKOFSKY CHICAGO TRANSIT AUTHORITY 68 11WC 41094 MARTINEZ, MARTHA C E NIEHOFF 09/23/11 JAMES ELLIS GUMBINER & ASS 69 11WC 41342 SIMPSON, RONA CHICAGO TRANSIT AUTHORITY 04/06/11 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 70 11WC 42991 GILLESPIE, ANDREW PEOPLE GAS 09/13/11 KROL BONGIORNO & GIVEN LTD GAROFALO SCHREIBER STORM 71 11WC 46053 19B ARROYO, GUILLERMO BRETFORD MANUFACTURING, I 07/13/11 COSTA IVONE LLC GAROFALO SCHREIBER STORM 72 11WC 47815 HUGHES, MALCOLM CITY OF CHICAGO 10/13/11 SALVATO & O'TOOLE CITY OF CHICAGO 73 11WC 48781 19B LEWIS, TONYA PACE 01/19/09 LANNON LANNON & BARR LTD SLAVIN & SLAVIN 11WC048782 -C 74 12WC 03577 19B ATLAS, JENNIFER PALOS COMMUNITY HOSPITAL 04/11/11 HEALY LAW FIRM BRAUN LORENZ & BERGIN PC 12WC003578 -C 75 12WC 03940 JANECKO, ALPHONSE AMERICAN AIRLINES 10/09/11 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 12WC003941 -C 76 12WC 04232 FLORES, JAVIER FORD MOTOR COMPANY 04/15/11 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 77 12WC 04471 L'ABBATE, VITANGELO MEADE ELECTRIC 06/03/11 CUDA LAW OFFICES LTD RUSIN MACIOROWSKI & FRIEDMAN 13WC018908 -C 78 12WC 05976 ROMERO, JOSE M COREY STEEL COMPANY 01/10/12 LAW OFFICE OF JAMES URTIS MEACHUM & STARCK 79 12WC 13749 ODUM-BURGIN, SANCHEZ COOK COUNTY ADULT PROBATI 01/12/12 VRDOLYAK LAW GROUP LLC 80 12WC 13811 LEPRETRE, WILLIAM M BOND STEEL 02/15/12 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA 81 12WC 14451 MURPHY, KENNETH RODE WELDING 04/12/12 STRELLIS & FIELD CTD LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 82 12WC 16241 ANDRADE, RAUL BANNER WHOLESALE GROCERS 03/13/12 STROM, NEAL B RUSIN MACIOROWSKI & FRIEDMAN 83 12WC 18471 MENDEZ RAGO, MARYANN NAVISTAR INT'L 11/09/10 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 84 12WC 19418 PATTERSON, JAMES SUPERA ASSET MANAGEMENT 12/07/11 FIGLIOLI, DAVID MACIOROWSKI SACKMANN & ULRIC 85 12WC 23314 ANIFOWOSE, AYO YELLOW TAXI ASSOC 04/07/12 SKOLNICK & ROSENTHAL 86 12WC 23541 19B NOWAK, CARL VILLAGE OF OAK LAWN 11/01/11 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 87 12WC 25023 CARTER-DAVENPORT, DENISE NATIONAL TEACHERS ACADEMY 01/10/12 KENNETH B GORE, LTD LAW DEPARTMENT 88 12WC 25335 LEMUS, BLANCA BERRY PLASTICS 07/31/11 ACEVES & PEREZ PC HENNESSY & ROACH PC 89 12WC 25750 VIDAL, ANGEL SCHULZE & BURCH 06/27/12 LAW OFFICES OF MARK SCHAFF WIEDNER & MCAULIFFE LTD 13WC032447 -C 90 12WC 26721 JIMENEZ, ESTEBAN GIERTSEN CO OF IL 08/24/11 PETER D CORTI LAW GROUP RODDY LAW LTD 91 12WC 27421 RAMIREZ, LORENA MENARD INC 04/21/12 SANTILLI LAW GROUP CHILTON YAMBERT PORTER LLP 92 12WC 28047 MILLER, ANTHONY CHICAGO BOARD OF EDUCATIO 03/14/12 MICHAEL P MCCREADY & ASSOC LEAHY EISENBERG & FRAENKEL 93 12WC 28083 WHITE, COLLEEN CENTRAL BAPTIST VILLAGE 06/25/12 CUDA LAW OFFICES BRADY CONNOLLY & MASUDA PC 94 12WC 28542 FINNER-WILLIAMS, KENYATTA CTA 07/15/12 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 95 12WC 35709 MARTINEZ, FERNANDO EMPIRE RENOVATIONS 08/21/12 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 96 12WC 35822 LILLA, CHARLES A VILLAGE OF SCHAUMBURG 05/20/12 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 97 12WC 36905 HERNANDEZ, ROGELIO ELITE STAFFING 10/09/12 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 98 12WC 37095 LUKES, SHARON JOHN HERSEY HSD 214 09/24/11 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 99 12WC 37709 GIAMARUSTI, MICHAEL CITY OF CHICAGO 10/15/12 DAVID W MARTAY CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 100 12WC 37714 RODRIGUEZ, ERNESTINE GRAPHIC PACKAGING 02/26/12 DAVID W MARTAY DOHERTY & PROGAR LLC 101 12WC 39440 PAVLIUKOVICAS, NIKOLAJUS BOST CORP 11/06/12 EFTEKHARI LAW OFFICES BRADY CONNOLLY & MASUDA PC 102 13WC 00931 JONES, MELANTHIA J CITY OF CHICAGO 12/05/12 MINKOW DOMIN CITY OF CHICAGO 103 13WC 01681 TAYLOR, RAMIR PACE TRANSPORATION 10/09/12 LEONARD LAW GROUP LLC SLAVIN & SLAVIN 13WC001682 -C 104 13WC 06539 19B ALVAREZ-REYNA, ANTONIO HUDSON GROUP 02/11/13 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 105 13WC 06683 MOJICA, ANTHONY TEMPEL STEEL COMPANY 10/17/12 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 15WC002226 -C 15WC015858 -C 106 13WC 08034 MCBRIDE, COLIN UTILITY RESOURCE GROUP 02/05/13 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 107 13WC 13298 KOTWICA, GREGORY CHICAGO DELIVERY INC 09/22/11 SEGAL MCCAMBRIDGE SINGER MAH 13WC013299 -C UNITED EXPRESS SYSTEM INC 108 13WC 13364 GIEELAK, TERESA CARL BUDDIG AND CO 10/03/11 MARSZALEK AND MARSZALEK KNELL & O'CONNOR 109 13WC 13436 GRAHAM, FRANCES LOYOLA UNIVERSITY 02/16/12 RITTENBERG BUFFEN GULBRAND BRAUN LORENZ & BERGIN PC 110 13WC 13570 DEGARCIA, MIREYA CTA 03/23/13 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 111 13WC 13730 NEGRETE, DANIEL SUPERMERCADO ANTONIO 08/15/12 THOMAS W DUDA KARCHMAR & STONE 112 13WC 13832 SCOTT, SONYA COOK COUNTY JUVENILE DET 11/29/12 FOHRMAN, DONALD W & ASSOCS STATES ATTORNEY OF COOK COUN 113 13WC 14921 ANTUNEZ, MICHAEL UNITED AIRLINES INC. 03/26/13 HUGHES SOCOL PIERS RESNICK 114 13WC 14956 WILLIAMS, JONATHAN UNITED AIRLINES 04/25/13 ANGELINI & ORI LLC 115 13WC 14979 JONES-JOHNSON, CONSTANCE CHICAGO PUBLIC SCHOOLS 03/04/12 KROL BONGIORNO & GIVEN LTD LAW DEPARTMENT 116 13WC 15099 KOSEVICH, MARK A VILLAGE OF BELLWOOD 04/18/13 FIGLIOLI, DAVID

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 117 13WC 15588 GENCIK, ANNA BED, BATH & BEYOND 05/01/12 DWORKIN AND MACIARIELLO KOPKA, PINKUS & DOLIN, PC 118 13WC 17434 FARR, JOEL CHICAGO TRANSIT AUTHORITY 05/07/13 MAINARD LAW OFFICE CHICAGO TRANSIT AUTHORITY 119 13WC 22775 HANSEN, ROBERT HANSENS LANDSCAPING 06/13/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 120 13WC 22829 PEREZ, FELIX CASA DEL TAPIA 04/23/13 KENNETH B GORE, LTD 121 13WC 23130 DIXON, PAMELA M CHICAGO TRANSIT AUTHORITY 06/26/13 MINKOW DOMIN 122 13WC 23351 MEISINGER, JEFFREY ALLIANCE MECHANICAL SERVI 06/25/13 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 13WC023352 -C 123 13WC 23361 TEXTA, VIRGINIA LABOR NETWORK 06/29/13 ANKIN LAW OFFICE ROSARIO CIBELLA 124 13WC 23739 HAWK, KENYA KINDRED LAKESHORE HEALTHC 07/06/13 DAVID W MARTAY ARNETT LAW GROUP 125 13WC 23764 WNEK, BRAD MCNAMARA CAB 06/15/13 LEONARD LAW GROUP LLC 126 13WC 23919 REED, JUANITA CTA 07/02/13 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 127 13WC 24027 SINGSTON, KAREN ASPIRE OF ILLINOIS 06/23/13 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 128 13WC 24093 FERRO, RALPH CITY OF CHICAGO 05/14/13 SALVATO & O'TOOLE CITY OF CHICAGO 129 13WC 24227 ROSALES, MIGUEL A ASPEN FOODS INC 06/17/11 ACEVES & PEREZ PC GAROFALO SCHREIBER STORM 13WC024228 -C 13WC024229 -C 130 13WC 24566 SHUBERT, NICOLE RIVERS CASINO 11/12/12 PRESBREY & ASSOC LLC GRANT & FANNING 131 13WC 24875 REDEAUX, ALLISON CTA 07/26/13 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 132 13WC 24927 PACKARD, CATHI A SOUTHWEST AIRLINES 12/02/12 DRUMM, JOHN L HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 133 13WC 24993 AYORA, CARLOS HYATT HOTEL 06/20/13 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 134 13WC 25006 SADOH, SAMUEL SERTOMA CENTRE INC 11/27/12 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS, INC 13WC028151 -C 135 13WC 25114 NEWTON, JIMMIE M CHICAGO BOARD OF EDUCATIO 10/10/12 JOEL BELL LAW DEPARTMENT 136 13WC 25723 JUCA, ROSA LSL INDUSTRIES INC 03/13/13 DEPAOLO ZADEIKIS GORE GANAN & SHAPIRO 137 13WC 25923 CARDENAS, JUAN PABLO A-Z PLUS REMODELING INC 07/25/13 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 138 13WC 25979 WILLIAMS, ANTONIO CITY OF CHICAGO 05/21/13 SALVATO & O'TOOLE CITY OF CHICAGO 139 13WC 26270 COLECIO, EMILIANO CORPORATE ARTWORKS 06/14/13 HUGHES SOCOL PIERS RESNICK LAW OFFICES JOSEPH MARCINIAK 140 13WC 26507 JAIMES, GABINO BEST PRICE MOVING & STORA 07/24/13 KENNETH B GORE, LTD RUSIN MACIOROWSKI & FRIEDMAN 13WC027312 -C 141 13WC 26564 WELLS, MICHAEL UNIVERSITY OF ILLINOIS 06/22/13 SAUNDERS CONDON & KENNY POWER & CRONIN LTD 142 13WC 27119 SMITH, MARGUERITE AMERICAN EAGLE AIRLINES 03/13/13 GOLDBERG WEISMAN & CAIRO L 143 13WC 27832 NACPIL, PACITA JOHN J MADDEN MENTAL HEAL @ 07/10/13 CHRISTINE F DAVID JEANNINE SIMS 144 13WC 31936 SOUTHWORTH, DEIRDRA CHICAGO TRANSIT AUTHORITY 03/18/13 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 145 13WC 33629 PINA, MARIA ESTEE BEDDING COMPANY 09/25/13 JOHN S. ELIASIK LAW OFFICES OF EDWARD J. KOZ 13WC033630 -C 146 13WC 33664 ZWOLEN, TOMASZ DESIGN EQUIPMENT CORPORAT 10/07/13 ARGIONIS & ASSOCIATES LLC LITCHFIELD CAVO 147 13WC 33817 CONDIT, WILLIAM L CITY BEVERAGE 06/07/13 BRILL & FISHEL ASHER, RAYMOND L LTD 148 13WC 33992 MA SUN, PALAUNI ARENA FOOTBALL ONE LLC 07/08/12 GORDON LAW OFFICES LTD ADELSON TESTAN & BRUNDO 13WC033993 -C 149 13WC 34133 FENTON, LATRESE PACE 09/07/13 POLANSKY & CICHON CHTD SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 150 13WC 34152 NUNEZ, ANDRES MARVEL COMPANY 09/23/13 O'CONNOR & NAKOS 151 13WC 34227 JORDAN, LAWANDA P FORD MOTOR CO 04/10/13 KENNETH B GORE, LTD POWER & CRONIN LTD 13WC034228 -C 13WC034229 -C 13WC034230 -C 152 13WC 34402 JOHNSON, ZIA SWIFT IMPRESSION 08/12/13 COYNE REINKE LAW RUSIN MACIOROWSKI & FRIEDMAN 153 13WC 34588 HALL, EVELYN ST OF IL DEPT OF H S @ 10/10/13 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 154 13WC 34736 GARCIA, ABELARDO HARRIS PROPERTIES MANAGEM 08/21/13 ILLINOIS INJURY LAWYERS 155 13WC 34829 DEKKER, MICHELLE YRC FREIGHT 07/20/13 PORRO NIERMANN & PETERSEN HENNESSY & ROACH PC 156 13WC 35053 KOLK, JASON T HOIST LIFTRUCK MFG, INC 03/02/13 RUBIN LAW GROUP GANAN & SHAPIRO 157 13WC 35207 DIAMOND, NICOLE AMERICAN AIRLINES 06/03/13 GORDON & CENTRACCHIO LLC 158 13WC 35383 SCOTELLARO, MICHAEL TRAFFIC CONTROL & PROTECT 07/01/13 MEYERS & FLOWERS QUINTAIROS PRIETO WOOD & BOY 159 13WC 35961 JASIUKENAITE, DOVILE WESTIN RIVER NORTH 10/29/13 ELFENBAUM EVERS & AMARILIO 160 13WC 36068 DURAN, ALEJANDRO R & L TRUCKING OF ILLINOI 10/31/13 EPSTEIN, JACK R LAW OFFICE STANCZAK LAW OFFICES 15WC006327 -C R&L TRUCKING OF 161 13WC 36417 LOPEZ, CANDELARIO VFJ DRYWALL, LLC 09/20/13 KENNETH B GORE, LTD CASSANO & ASSOCIATES 162 13WC 36605 KHAN, FAREES FLASH CAB CO 09/30/13 DAVID W MARTAY 163 13WC 36726 MATOS, EDGAR BRIDGESTONE AMERICAS INC 01/06/12 WARREN W MARK WIEDNER & MCAULIFFE LTD 13WC036727 -C 15WC010410 -C FIRESTONE 164 13WC 37365 DONG LI, WEI BAO LONG FOOD SERVICE 08/21/13 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES OF EDWARD J. KOZ 165 13WC 37416 AYALA, JOSE CHICAGO TRANSIT AUTHORITY 09/09/13 BUDIN LAW OFFICES CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 166 13WC 37434 ZINTAK, DAVID F METROPOLITAN WATER 03/12/12 LAW OFFICE OF JAMES URTIS 167 13WC 37567 KASHPAR, VOLODYMYR AXLETECH INTERNATIONAL I 09/04/13 LEONARD LAW GROUP LLC RUSIN MACIOROWSKI & FRIEDMAN 168 13WC 38138 19B RASINKIS, NICHOLAS SOUTHWEST AIRLINES 07/08/13 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 169 13WC 38405 HULL, THOMAS DRAPER & KRAMER PROPERTY 09/16/13 ROSS TYRRELL HOLECEK & ASSOCIATES 170 14WC 00364 GRONEMEYER, PHILIP CATHOLIC CEMETERIES 08/09/13 O'CONNOR LAW GROUP LLC MC ANDREWS & NORGLE LLC 15WC001602 -C 15WC001603 -C 171 14WC 00702 JOHNSON, PAMELA ARIES SHUTTLE 01/06/14 COVEN LAW GROUP 172 14WC 00707 ORTIZ, ELOY PRODUCT DEVELOPMENT CORP 02/27/11 JOEL BELL KEEFE CAMPBELL & ASSOC LLC 14WC000708 -C 173 14WC 00864 JAMBORSKI, SEBASTIAN M PRO TRAILER REPAIR INC 10/16/13 LAW OFFICE TIMOTHY DEFFET RIPES NELSON BAGGOT KALOBRAT 174 14WC 00928 BURSEY, CHRISTOPHER ACCURATE PERSONNEL SERVIC 01/07/14 GRAZIAN & VOLPE PC GRANT & FANNING 175 14WC 00937 FLYNN, SHANNON FAMOUS DAVES 12/12/13 CANDIANO LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 176 14WC 01427 CASTRO, OLGA KARAVITES MANAGEMENT/MCDO 10/08/13 SHEA LAW GROUP GAROFALO SCHREIBER STORM 177 14WC 01586 MARIN, MARIA RON'S STAFFING SERVICES 10/23/13 JOHN J CASTANEDA STONE & JOHNSON CHARTERED 178 14WC 01711 MEJIA, JOSE LAL QILA 10/09/13 LULAY LAW OFFICES 179 14WC 01819 SANCHEZ, CLAUDINO OMEGA DEMOLITION 11/25/13 DOUGLAS RALLO PC CHILTON YAMBERT PORTER LLP 180 14WC 01906 AGUIRRE, JOSE DANIEL BECKER WORKS LTD 09/27/12 ARNOLD & KADJAN BRADY CONNOLLY & MASUDA PC 181 14WC 01918 NEVILS, BRIAN STANDARD HEATING & COOLIN @ W 07/18/13 FRIEND LEVINSON & BERGAL 182 14WC 01956 MC DANIELS CAMPBELL, HELE SOUTH SUBURBAN REHAB 02/28/13 THE ROMAKER LAW FIRM RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 183 14WC 02111 ROMERO, LEONARDO ARAMARK 01/13/14 COVEN LAW GROUP 184 14WC 02339 MUELLER, DENNIS ALEXIAN BROTHERS 07/17/13 HEALY LAW FIRM POWER & CRONIN LTD 185 14WC 02409 CARRILLO, HERMAN A CLEARBROOK 09/20/12 JOHN C WUNSCH PC 186 14WC 02440 BLANCO, MAURICIO OLD DOMINION FREIGHT LINE 01/15/14 LUIS A ACEVES & ASSOC 187 14WC 02500 BURTON, DIANE THE SECURITY MANAGEMENT G 09/28/13 CUTLER & HULL NOBLE & ASSOCIATES PC 188 14WC 02534 CLARK, MONTINEASE STAFF MANAGEMENT 12/12/13 DAVID W MARTAY 189 14WC 02551 SCOTT, MARY PARALLEL EMPLOYMENT GROUP 01/10/14 ANKIN LAW OFFICE ADELSON TESTAN & BRUNDO 190 14WC 02811 STOVALL, MARGARET CITY OF CHICAGO STREET & 12/26/13 ANGELINI & ORI LLC 191 14WC 03024 ORTEGA, FIDELINA ELITE AIRLINE LINEN OF CH 12/27/13 CULLEN HASKINS NICHOLSON 192 14WC 03069 BALTIMORE, BERNARD UNIVERSITY OF ILLINOIS 07/17/13 ROBERT BURROWS POWER & CRONIN LTD 193 14WC 03087 DANCY, DONNA SCR MEDICAL TRANSPORTATIO 12/12/13 MUELHAUSEN & STEFANI NYHAN BAMBRICK KINZIE & LOWR 194 14WC 03133 ROSA, ADA J MOST VALUABLE PERSONNEL 12/12/13 JAMES ELLIS GUMBINER & ASS 195 14WC 03353 VILLAGRAN, OMAR Y ELITE STAFFING INC 01/13/14 ANKIN LAW OFFICE MARC CAIRO 196 14WC 03718 RAMIREZ, FRANCISCO MADISON AWNING 12/19/13 ILLINOIS INJURY LAWYERS 197 14WC 03923 SHNAYDER, VICTORIA ESCAPE 2 SALON & SPA 01/09/14 DAVID M SPADA 198 14WC 06573 19B RILEY, JOSEPH HILL MECHANICAL 02/05/14 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 199 14WC 07390 BUTLER, FRANK HARLEM GAS & FOOD, INC. 01/21/13 GRAZIAN & VOLPE PC HOLECEK & ASSOCIATES 200 14WC 12104 KEATING, BRIAN UNIVERSITY OF CHICAGO 01/16/14 CANDIANO LAW OFFICE WIEDNER & MCAULIFFE LTD 14WC012105 -C 201 14WC 12354 HUGHES, ROSALIE UNIVERSITY OF CHICAGO 04/08/14 FRIEDMAN & SOLMOR LTD MACIOROWSKI SACKMANN & ULRIC 202 14WC 12863 CHITIOUI, YOUSEF SUN-TAXI 03/12/14 DWORKIN AND MACIARIELLO 203 14WC 12890 WILMANOWSKI, JOHN HAYES MECHANICAL 05/02/12 COLLISON & O'CONNOR GAROFALO SCHREIBER STORM 204 14WC 12954 LEGORRETA, ESTELA AUTOMATION SYSTEM 02/11/14 STROM, NEAL B 205 14WC 12962 MCDUFF, KEITH CITY OF CHICAGO 04/14/14 DWORKIN AND MACIARIELLO CITY OF CHICAGO 206 14WC 13106 DI BIASE, JAMES W JR MOMENTUM MANAGEMENT 03/10/14 GOLDBERG WEISMAN & CAIRO L 207 14WC 13136 EMMETT, JAMES CITY OF OAK FOREST 08/27/13 RAYMOND P GARZA LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 208 14WC 13195 WILLIAMS, HELLEN SECURITAS SECURITY 01/16/14 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 209 14WC 13374 KRASS, BRIAN M CITY OF CHICAGO 03/19/14 ROMANUCCI & BLANDIN CITY OF CHICAGO 15WC022697 -C 210 14WC 13703 KRAJCI, CHRISTOPHER BED BATH & BEYOND 04/08/14 KARLIN FLEISHER & FALKENBE KOPKA, PINKUS & DOLIN, PC 211 14WC 13746 MALARICH, BLAINE BLUELINX CORPORATION 10/02/12 FOOTE MIELKE CHAVEZ & O'NE 212 14WC 13779 KANEL, SOPHIA G CERMAK HEALTH SERVICES 03/11/14 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 213 14WC 13841 CAMPBELL, LATRICE DELTA SONIC CAR WASH 12/05/13 SHELDON I MINKOW & ASSOCIA GILDEA & COGHLAN 214 14WC 13909 CONNOLLY, KEVIN COOK COUNTY SHERIFF'S DEP 03/13/14 RICHARD O. GREENFIELD STATES ATTORNEY OF COOK COUN 215 14WC 14031 WILKIN, LAWRENCE AM CASTLE METALS 08/21/13 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 216 14WC 14134 JONES, CAROLYN A CHICAGO PUBLIC SCHOOLS 04/24/13 BUDIN LAW OFFICES LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 217 14WC 14278 HILL, DEWANDA JOHN H STROGER HOSPITAL 04/14/14 ROGER D RUDICH LTD STATES ATTORNEY OF COOK COUN 218 14WC 14488 HURTADO, MEZA TRINIDAD COLLINS & HERMANN INC 04/22/14 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 219 14WC 14535 MONTGOMERY-SMITH, JUDNITA CHICAGO TRANSIT AUTHORITY 03/10/14 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 220 14WC 14666 DANIEL, JUDY MISERICORDIA 12/29/13 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 221 14WC 14712 CONCEPCION, EDDIE CITY OF CHICAGO STREETS A 04/04/14 STEWART C ORZOFF CITY OF CHICAGO 222 14WC 14757 BOMAR, AVA RAE ASPIRE OF IL-CHILDREN,ADU 02/05/13 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 223 14WC 14847 LUCAS, WILLIE EJR LOGISTICS INC 12/23/13 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 224 14WC 14904 TURLEY-PALMER, NIKKOL CHICAGO BOARD OF EDUCATIO 02/19/14 DAVID W MARTAY LAW DEPARTMENT 225 14WC 15158 NAVA, BENJAMIN J RELIABLE STAFFING 03/03/14 DEPAOLO ZADEIKIS GORE 226 14WC 15726 CARDENAS, BERNARDO PEOPLES EVERGY INTEGRYS 12/21/13 SLAVIN & SLAVIN GAROFALO SCHREIBER STORM 227 14WC 18508 GONZALEZ, FRANCISCO R ATLAS 04/03/14 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 228 14WC 23248 BLOCK, ROBERT AIR LIQUIDE 11/05/13 RATHBUN CSEVENYAK & KOZOL RODDY LAW LTD 229 14WC 23256 KANE, PATRICK BILL KAY FORD 05/26/14 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 230 14WC 23272 OTANO, YOLANDA HELP AT HOME INC 05/02/14 LAW OFFICE EDWARD RUEDA MEACHUM & STARCK 231 14WC 23275 HARRIS, DENISE BOARD OF EDUCATION 05/30/14 CHRISTINE F DAVID LAW DEPARTMENT 232 14WC 23616 FRANCO, CARLOS LOWES 06/30/14 DEPAOLO ZADEIKIS GORE KEEFE CAMPBELL & ASSOC LLC 233 14WC 23689 RAMIREZ, HUMBERTO M LAKESHORE BEVERAGE 04/25/14 LEONARD LAW GROUP LLC ASHER, RAYMOND L LTD 234 14WC 23830 CASTRO, ISAIAS EDSAL MANUFACTURING 12/11/13 HERRERA LAW CENTER SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 235 14WC 23900 MUNDT, RICHARD ADVOCATE CHRIST MEDICAL C 01/14/14 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 236 14WC 23956 O'GILVIE, KARLEEN B UNITED AIRLINES INC. 05/11/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 237 14WC 24043 ALMENDARIZ, ERNESTO POWER GAS 06/28/14 JONATHAN SCHLACK GANAN & SHAPIRO 238 14WC 24147 WILLIAMSON, DENISE CTA 02/13/14 LAW OFFICES PETER LEKAS CHICAGO TRANSIT AUTHORITY 239 14WC 24734 NOE, MARTIN CITY OF CHICAGO 10/03/13 HEALY SCANLON LAW FIRM CITY OF CHICAGO 15WC014821 -C 240 14WC 24926 RIVAS, JOSE CATHOLIC BISHOP OF THE 10/28/11 GERALD W KOREY WIEDNER & MCAULIFFE LTD 14WC024927 -C 241 14WC 25061 MATOS, MARILYN JEWEL FOOD STORES 06/18/14 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 242 14WC 25386 MATTEUCCI, JENNIFER UNIVERSITY OF CHICAGO 07/04/14 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 243 14WC 25441 LARSON, DONALD JEWEL FOOD STORES 07/05/14 GOLDBERG WEISMAN & CAIRO L 244 14WC 25510 STENSON, MARK SUTTON FORD 05/02/14 PIGATO, JOSEPH R LTD 245 14WC 25675 CASTRO, CARLOS CHALET LANDSCAPE 07/07/14 JONATHAN SCHLACK HENNESSY & ROACH PC 14WC025676 -C 246 14WC 25735 JONES, SHERRI ULTRA FOODS 01/11/14 BRISKMAN BRISKMAN GREENBER 247 14WC 25809 MONDANE, HILLIARD COOK COUNTY HIGHWAY DEPT 03/21/14 FRIEDMAN & SOLMOR LTD STATES ATTORNEY OF COOK COUN 248 14WC 25850 AKRAM, MOHAMMED FLASH CAB CO 07/21/14 STEPHEN G PINTO LTD 249 14WC 25950 SUAREZ, DIMAS MARTIN ELECTRIC 06/07/14 SEIDMAN MARGULIS & FAIRMAN 250 14WC 25990 ALLEN, ELAINE EASTER SEALS, INC 03/06/14 DEPAOLO ZADEIKIS GORE THOMAS & PORTELA 251 14WC 26027 MCCLENDON, LENISE M ACCURATE PERSONNEL SERVIC 07/10/14 DINIZULU LAW GROUP MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 252 14WC 26239 SEAGRAVES, MISSY A UNITED AIRLINES INC. 04/22/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 253 14WC 26409 VAZQUEZ, LEIDY SLOAN VALVE COMPANY 08/05/13 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 254 14WC 30647 EDWARDS, JONPAUL LINGER MARTINI BAR 08/16/14 JAMES W GREEN, JR 255 14WC 32018 CEPHAS, LA VELLE CHICAGO TRANSIT AUTHORITY 08/25/14 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 256 14WC 33140 NAJAR, CHRISTOBAL R RAZ MASONRY 07/28/14 STEVEN J MALMAN & ASSOCIAT 257 14WC 34591 DELGADO, JAIME CTA 05/29/14 SHANNON LAW GROUP CHICAGO TRANSIT AUTHORITY 258 14WC 34638 CAHUE, JAIME MENASHA PACKAGING CO 03/26/14 ACEVES & PEREZ PC HEYL ROYSTER VOELKER & ALLEN 259 14WC 34726 SMITH, PRISCILLA M STATE OF IL 09/18/14 VITELL & SPITZ LTD 260 14WC 34800 ESTRADA, MARGARITA ELITE STAFFING 09/15/14 AIOSSA LAW FIRM 261 14WC 35270 ESTRADA, ENEDINA CARL BUDDIG & CO 07/16/14 PETER D CORTI LAW GROUP KNELL & O'CONNOR 262 14WC 35425 GARCIA, DAVID O'REILLY AUTO PARTS 09/09/14 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 263 14WC 35462 MARTIN, LATONJA DUNBAS INC 12/13/13 DAMISCH & DAMISCH LTD LAW OFFICES JOSEPH MARCINIAK 264 14WC 35662 CARVER, DAMIEN R LKQ AUTO PARTS 08/01/14 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 265 14WC 35756 PEKOVIC, SARINA HOME DEPOT 09/07/14 SHIPLEY LAW GROUP LTD ADELSON TESTAN & BRUNDO 266 14WC 35942 GARCIA, NATALIA ADVOCATE GOOD SHEPHERD HO 06/25/14 POLANSKY & CICHON CHTD 267 14WC 35951 DOMINQUEZ, LETICIA CASA CENTRAL 12/31/12 GOLDSTEIN BENDER & ROMANOF MEACHUM & STARCK 268 14WC 36160 CASTILLO, DOLORES ORGANIC LIFE LLC 08/22/14 AIOSSA LAW FIRM RUSIN & MACIOROWSKI LTD 269 14WC 36230 LEGGINS, ANIKA TITAN PERSONNEL 09/08/14 DWORKIN AND MACIARIELLO THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 270 14WC 36335 PARRA, EDUARDO ARAMARK UNIFORM & CAREER 10/08/14 KARCHMAR & STONE STONE & JOHNSON CHARTERED 271 14WC 36439 MURPHY, RICKEY BARKAAT FOODS LLC W 09/15/14 SCHACTER, JEROME & ASSOC L ROBERT L. SMITH 272 14WC 36662 PALCZEWSKI, KRZYSZTOF WOODFACE COMPANY INC 10/15/14 BELCHER LAW OFFICE RUSIN & MACIOROWSKI LTD 273 14WC 36718 CHARLES, SHONTELLE D SEARS AUTO CENTER 05/25/14 CAMERON CLARK GAROFALO SCHREIBER STORM 274 14WC 36763 WILSON, TREASA CTA 07/11/14 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 275 14WC 36810 GLODOWSKI, JOZEF JS MASONRY & RESTORATION 08/08/14 BELLAS & WACHOWSKI BRADY CONNOLLY & MASUDA PC 276 14WC 36905 FERRARI, WAYNE UNITED AIRLINES INC. 12/30/13 WITTENBERG DOUGHERTY MAGLI 277 14WC 36974 EVANS-GREEN, SHERESE PACE BUS CO (1) 10/14/14 SHELDON I MINKOW & ASSOCIA 278 14WC 37080 HAMPTON, TIMOTHY D FORD MOTOR CO 09/22/14 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 14WC037081 -C 14WC037082 -C 279 14WC 37411 LAZARSKI, RUTH M 7-ELEVEN 08/25/14 MARSZALEK AND MARSZALEK MC ANDREWS & NORGLE LLC 280 14WC 37429 ALLEN, HELEN FORD MOTOR CO 07/08/14 BOWMAN & CORDAY POWER & CRONIN LTD 281 14WC 37477 HERNANDEZ, CARLOS UNIVERSAL SCRAP METALS 07/12/11 SHEA LAW GROUP THOMAS & PORTELA 282 14WC 40467 COLE, RONALD C TRADESMEN INTERNATIONAL 11/14/14 ANKIN LAW OFFICE RODDY LAW LTD 283 14WC 43509 JONES, CURTIS L AT&T 05/01/13 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 284 14WC 43738 FISHER, STEFEN H&M INTERNATIONAL 12/12/14 LEONARD LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 14WC043739 -C 285 15WC 00220 HILL, CAROL DEPT OF AVIATION POLICE 12/09/14 SHELDON I MINKOW & ASSOCIA MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 286 15WC 00246 BOYLE, JAMES PEOPLES GAS 05/21/14 JOHNSON, MICHAEL D & ASSOC GAROFALO SCHREIBER STORM 287 15WC 00513 DELPORTE, JULIAN DAWNS DAIRY 10/13/14 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 15WC026290 -C DAWN DAIRY 288 15WC 00559 MONTGOMERY, DARIAN AT&T 11/21/14 MICHAEL P MCCREADY & ASSOC INMAN & FITZGIBBONS 289 15WC 00648 QUINTANA, JOSE WOODBRIDGE NURSING PAVILI 11/23/14 RUBIN MACHADO ROSENBLUM HENNESSY & ROACH PC 290 15WC 00685 COKINS, MIKE ILLINOIS STATE POLICE @ 09/06/14 WOODRUFF & JOHNSON GANAN & SHAPIRO 291 15WC 00975 DAVIES, EMMANUEL SPEED SCHOOL DISTRICT 802 10/27/14 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 292 15WC 01039 WIESNER, DARRIN S EDON CONSTRUCTION COMPANY 06/11/14 FIGLIOLI, DAVID KEEFE CAMPBELL & ASSOC LLC 293 15WC 01065 MACKMORE, WILLIE COOK CTY SHERIFF'S DEPT 10/26/13 SHELDON I MINKOW & ASSOCIA STATES ATTORNEY OF COOK COUN 294 15WC 01108 RIDDIFORD, DAVID D J BUILDING MAINTENANCE 11/08/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 295 15WC 01135 BURKE, MICHAEL ST OF IL DEPT OF 12/10/14 HEALY SCANLON LAW FIRM ASSISTANT ATTORNEY GENERAL 296 15WC 01144 MURILLO, ALBERT G S & C ELECTRIC COMPANY 11/25/14 LEE A CAMPBELL LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 297 15WC 01449 BROWN, STEVEN METAL BOX INTERNATIONAL 01/09/15 ANKIN LAW OFFICE SLAVIN & SLAVIN 298 15WC 01453 JONES, ANTHONY ALDI'S FOOD STORE 07/02/13 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 15WC001454 -C 299 15WC 01496 DORN, RICKY FEDERAL EXPRESS CORP 07/28/14 HORWITZ HORWITZ & ASSOC HANSON LAW OFFICE 300 15WC 01569 FLORES, ALFONSO BRUNSWICK CORPORATION 11/14/14 DEPAOLO ZADEIKIS GORE KLAUKE LAW GROUP LLC 301 15WC 01580 MUDRO, PATRICIA INGALLS HOME HEALTH CARE 11/10/14 JASINSKI, GEORGE J 302 15WC 01657 LUX, PETER GOLDEN STATE FOODS 12/12/12 HORWITZ HORWITZ & ASSOC ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 303 15WC 01696 SOSA, DALILA MCDONALDS CORP W 03/01/14 SALVATO & O'TOOLE 304 15WC 01746 RIVERA, ANTONIO RAYMUNDO'S FOOD PRODUCTS 12/29/14 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 15WC018416 -C 305 15WC 01811 ISAIS, JULIETA SURGE STAFFING 01/09/15 GOLDSTEIN AIOSSA & GOOD BRADY CONNOLLY & MASUDA PC 306 15WC 01851 RODRIGUEZ, JUAN FABSCO CORPORATION 11/24/14 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 15WC001854 -C 307 15WC 01998 SIMPSON, TYARA L CHICAGO PUBLIC SCHOOLS 10/01/14 WARREN W MARK 15WC002944 -C 15WC003115 -C 15WC010406 -C 308 15WC 02199 KOWAL, BARBARA THE PRIVATE BANK 07/08/14 KOSIN LAW OFFICE LTD HENNESSY & ROACH PC 309 15WC 02224 CARABAT, MARIUS V ABT ELECTRONICS 05/17/12 ROMANUCCI & BLANDIN NYHAN BAMBRICK KINZIE & LOWR 15WC002225 -C 310 15WC 02244 MASRI, TAREK SUN FINANCIAL SERVICES 12/05/14 GRAVLIN, MICHAEL J LLC 311 15WC 02289 DE JESUS, JOSHUA OLYMPIA MAINTENANCE 01/05/15 LUIS A ACEVES & ASSOC ROBERT L. SMITH 312 15WC 02399 HUNT, TARA BANK OF AMERICA 02/22/13 THOMAS J STIBERTH LAW OFFI WOLFE & JACOBSON, LTD 313 15WC 02530 MCELROY, PHYLLIS EXELON/COMED 01/12/15 MICHAEL P MCCREADY & ASSOC HENNESSY & ROACH PC 314 15WC 02631 QUINTINO, JOSE EARLE M JORGENSEN STEEL C 10/07/14 LAW OFFICE MICHAEL M WOJIT POULOS & DIBENEDETTO LAW 315 15WC 02688 DICKSON, ABIMBOLA ON BEHA KIWANIS TRUCKING # 01/27/13 JACKLINE CJ EKOWA KNELL & O'CONNOR 316 15WC 02844 PEREZ, JULIE ADVOCATE HEALTH CARE 01/10/14 NEWLAND & NEWLAND NYHAN BAMBRICK KINZIE & LOWR 317 15WC 02920 PADILLA, MARIA CARMEN BELLWOOD DISTRICT #88 01/15/15 CHRISTIAN & MANNO ANCEL GLINK DIAMOND BUSH & E 15WC010985 -C SCHOOL DISTRICT 88 16WC000577 -C 318 15WC 03192 LOPEZ, JUAN A C H ROBINSON 04/09/14 ANKIN LAW OFFICE GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 319 15WC 03293 BLOCK, JIM POMPEI BAKERY 01/25/15 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 320 15WC 03325 STAREVICH, NICHOLAS MORTON GROVE SCHOOL DISTR 09/30/14 MICHAEL NICHOLSON ACCIDENT FUND HOLDINGS, INC 321 15WC 03406 FISCHER, RICHARD CITY OF CHICAGO 10/24/14 BAUM RUFFOLO & MARZAL LTD CITY OF CHICAGO 322 15WC 03473 VAZQUEZ-SEPULVA, JOSE RAM SUBLIME DEVELOPMENT LLC 12/16/14 ALEX MENDOZA LLC KINDWALD LAW OFFICES PC 323 15WC 03523 REDMOND, BRENDA 1ST STUDENT BUS COMPANY 12/05/14 KATZ FRIEDMAN EAGLE ET AL 324 15WC 03639 TRIMUEL, PHYLLIS TOWER INTERNATIONAL 10/27/14 THE MACK LAW GROUP PC KEEFE CAMPBELL & ASSOC LLC 15WC003640 -C 15WC003641 -C 15WC026603 -C 16WC020725 -C 325 15WC 04933 YANEZ, MARGARITA PREFERRED MEAL SYSTEMS 11/07/14 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 326 15WC 10769 FURCRON, DORIS RUSH UNIV MEDICAL CTR 02/12/15 GAINES & GAINES KEEFE CAMPBELL & ASSOC LLC 327 15WC 10877 SANCHEZ, RENE CASTWELL PRODUCTS 01/07/15 LAW OFFICE OF SCOTT B SHAP 328 15WC 11130 BECERRA, JAVIER FAMOUS GRILL 03/22/15 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD 329 15WC 11149 MULLINS, COLLEEN CENTRAL STEEL AND WIRE 04/03/12 ASHER, RAYMOND L LTD 330 15WC 11173 HENSLE, MATTHEW ACCURATE GROUP INC 12/09/14 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 15WC011174 -C 331 15WC 11221 LANE, JORVORSKIE TAMPA BAY BUCCANEERS 11/23/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 332 15WC 11225 ZIOMEK, JEFFREY G CITY OF CHICAGO 03/13/15 RUBIN LAW GROUP CITY OF CHICAGO 333 15WC 11243 RODRIGUEZ, EVA LUNA MVP 02/03/13 LUIS A ACEVES & ASSOC KOREY RICHARDSON LLC 334 15WC 11366 PENE, FELIX ROTO ROOTER CO 03/10/15 POMPER & GOODMAN WIEDNER & MCAULIFFE LTD 335 15WC 11383 CARTER, DEREK CUSTOMIZE STAFFING 07/03/14 JAMES ELLIS GUMBINER & ASS HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 336 15WC 11425 JONES, JAMES ABT ELECTRONICS, INC. 03/16/15 BERNAT & BERNAT PC NYHAN BAMBRICK KINZIE & LOWR 337 15WC 11431 ANGELL, WILLIAM A. SCHOOL DISTRICT NO. 170 01/27/15 PERRY M LAKS LAW OFFICE INMAN & FITZGIBBONS 338 15WC 11460 WARE, MELVIN CHICAGO TRANSIT AUTHORITY 03/30/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 339 15WC 11750 JACKSON, RONNIE CITY OF MARKHAM 03/16/15 HORWITZ HORWITZ & ASSOC SMITH AMUNDSEN LLC 340 15WC 11837 AMAYA, FRANCISCO NICK'S METAL AND 03/24/15 JOHN S. ELIASIK GANAN & SHAPIRO 15WC019409 -C 341 15WC 11846 PSIHOGIOS, MARY AMERICAN AIRLINES 07/03/14 CORBOY & DEMETRIO PC 342 15WC 11876 ROXANN, ROSANNA BOARD OF EDUCATION 09/04/14 KATZ FRIEDMAN EAGLE ET AL 343 15WC 11891 BARTOLO, ERIKA CINTAS CORPORATION 10/09/14 HERRERA LAW CENTER POWER & CRONIN LTD 344 15WC 11991 ERVING, JOHN PEOPLES GAS 04/21/14 LULAY LAW OFFICES GAROFALO SCHREIBER STORM 345 15WC 12039 RODRIGUEZ, MICHAEL GENESIS ATC 04/23/14 LAW OFFICE OF KEVIN O'BRIE LAW OFFICES OF EDWARD J. KOZ 346 15WC 12060 YOUNG, MELVIN JR FORD MOTOR COMPANY 10/20/14 SALVATO & O'TOOLE POWER & CRONIN LTD 347 15WC 12181 HOLCOMB, DAVONNA FORD MOTOR COMPANY 03/30/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 348 15WC 12195 ISLAMI, AKIM CENTRAL STATES TRUCKING C 11/06/14 DUDLEY & LAKE LLC GANAN & SHAPIRO 349 15WC 12216 REYNOLDS, TERRILL RUSH UNIV MEDICAL CTR 05/12/14 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 350 15WC 12297 GONZALEZ, LEOPOLDO KIRKPATRICK MANAGEMENT CO 02/25/15 HERRERA LAW CENTER HENNESSY & ROACH PC 351 15WC 12338 STONE-ACOX, REGINA ADVOCATE TRINITY HOSPITAL 09/29/14 GRAZIAN & VOLPE PC NYHAN BAMBRICK KINZIE & LOWR 352 15WC 12593 COLLADO, JEANNETTE CEANNATTE CORP 11/10/14 O'CONNOR & NAKOS HENNESSY & ROACH PC 353 15WC 12615 GUADALUPE, VERONICA LYRIC OPERA OF CHICAGO 12/02/14 CORNFIELD & FELDMAN GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 15WC 13022 ARMSTRONG, CHELANJA EVEREST COLLEGE 02/06/15 DWORKIN AND MACIARIELLO RODDY LAW LTD 355 15WC 13209 HAMB, RONALD DARDEN RESTAURANTS 04/04/15 HART AND DAVID LLP MEACHUM & STARCK 356 15WC 13258 BAZA, MAYRA TITAN PERSONEL 02/25/15 AIOSSA LAW FIRM 357 15WC 13384 HERNANDEZ, JOSE FRANCISCO ED MINIAT, INC. 02/06/15 POWER & CRONIN LTD 358 15WC 13459 LOPEZ, DANIEL PLASTIC RECLAMATION PARTN 04/02/15 TOPPER & WEISS LTD WOLFE & JACOBSON, LTD 359 15WC 13652 LANZRATH, JIM NICOR GAS 08/07/14 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 360 15WC 13661 MORRIS, BRENDEN OFFICE DEPOT, INC. 04/15/15 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 361 15WC 13695 PEACH, DARCY VITAL REHABILITATION CLIN 10/22/14 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 362 15WC 13726 MIGASI, MARLENE PALATINE SD #15 02/19/14 SEIDMAN MARGULIS & FAIRMAN 363 15WC 13801 POWELL, CATHERINE CHICAGO BOARD OF ED 04/01/13 JAMES A. THOMAS 364 15WC 13996 ROBERTS, DERRICK SOUTHWEST AIRLINES 01/30/15 LAW OFFICE EDWARD LICHTENS HENNESSY & ROACH PC 15WC013997 -C 365 15WC 14031 EBBENS, DONNA SOUTHWEST CO-OP FOR SPECI 12/09/14 KROL BONGIORNO & GIVEN LTD ANCEL GLINK DIAMOND BUSH & E 366 15WC 14115 BRISCOE, TIKETA HEARTLAND ALLIANCE 03/04/15 CULLEN HASKINS NICHOLSON 367 15WC 14176 RODRIGUEZ, VICTOR M FOUR STAR FOODS 03/25/15 BUDIN LAW OFFICES 368 15WC 14232 HUDYKA, RAFAL KLC GLOBAL W 04/22/15 CHEPOV & SCOTT LLC 369 15WC 14256 PERRY, ROBERT P TOTAL TRANSPORTATION 08/27/14 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 370 15WC 14686 TILLMAN-NEWELL, SABRINA LEXINGTON HEALTH CARE 05/14/14 HORWITZ HORWITZ & ASSOC LAW OFFICES FRANCESCA LARSEN 371 15WC 14719 LEON, CATALINA CHICAGO PUBLIC SCHOOLS 02/24/14 CANDIANO LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 15WC 14743 SMITH, TOLONDA CHICAGO COMMONS 01/16/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 373 15WC 14830 SAUCEDO, ALEXANDRA/CHILDR UNO JANITORIAL # 04/10/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 374 15WC 15012 ZANIN, KEVIN M CHGO STREETS & SAN DEPT 04/16/15 PARENTE & NOREM PC CITY OF CHICAGO 375 15WC 15058 MATTHEWS, KELLY P UNITED AIRLINES 07/28/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 15WC016821 -C 376 15WC 15090 TRINIDAD, REYNALDO ELITE STAFFING 04/24/15 CHEPOV & SCOTT LLC 377 15WC 17885 WEBB, MICHAEL CTA 05/26/15 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 378 15WC 21335 RODRIGUEZ, ROSA CHICAGO TRIBUNE 12/09/14 FRANCIS J DISCIPIO LAW OFF NYHAN BAMBRICK KINZIE & LOWR 15WC021336 -C 379 15WC 21538 WRIGHT, DEBBIE A JERNBERG INDUSTRIES 10/24/14 DEPAOLO ZADEIKIS GORE HOLECEK & ASSOCIATES 15WC021539 -C 380 15WC 21555 RAMIREZ, JAVIER ACME ALLIANCE 04/27/15 JONATHAN SCHLACK 381 15WC 21576 PEREZ, ANGELICA CLOVERHILL BAKERIES 10/07/14 LAW OFFICE HUGO ORTIZ 382 15WC 21632 PAETH, CHRISTINA FRITO LAY INC 05/18/15 TURCYCHUTE LLC GILDEA & COGHLAN 383 15WC 21671 DAILEY, LENORA M. ST. AUGUSTINE COLLEGE 05/18/15 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 384 15WC 21681 BROOKS, GWENDOLYN PARKSHORE ESTATES 06/30/15 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 385 15WC 21697 STEWART, GERARD WALMART STORES, INC. D/B/ 06/19/15 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 386 15WC 21798 NASH, ANASAI JEWELS BUS COMPANY 03/09/15 LAW OFFICE OF JAMES H MILL HENNESSY & ROACH PC 387 15WC 21822 LEBRON, MIRIAM ANIXTER INCORPORATED 04/28/13 MINKOW DOMIN HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 388 15WC 21846 AVILA, MARIA ISABEL OLD TOWN SCHOOL OF FOLK M 06/02/15 LAW OFFICES LEONARDO MORAL LAW OFFICES JOSEPH MARCINIAK 389 15WC 21969 GUZMAN, DESIREE O AMERICAN EAGLE AIRLINES 03/11/12 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 16WC009234 -C ENVOY AIR 390 15WC 22581 SILVA, LUIS WASTE MANAGEMENT 06/23/15 SHELDON I MINKOW & ASSOCIA GAROFALO SCHREIBER STORM 391 15WC 22828 BROWN, ANJENINE AT&T 01/07/15 SLAVIN & SLAVIN HENNESSY & ROACH PC 392 15WC 22839 HAYES, PATRICIA WALGREEN'S 09/05/14 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 393 15WC 22974 IVCHENKO, SERGY PAUL'S HARDWOOD FLOORING 07/02/15 BELCHER LAW OFFICE HOLECEK & ASSOCIATES 394 15WC 22995 MALESKE, KURT UNIVERSITY OF CHICAGOFACI 06/18/15 LAW OFFICES OF MARK SCHAFF NYHAN BAMBRICK KINZIE & LOWR 395 15WC 23006 CHILDS, THERESA PARK SHORE ESTATE 07/13/15 RUBIN MACHADO ROSENBLUM 396 15WC 23063 FRANKLIN, KEVIN CITY OF CHICAGO-DEPT OF W 04/15/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 397 15WC 23267 QUIROZ, CRUZ STERICYCLE 06/03/15 MC HARGUE, JAMES P LAW OFF 15WC025495 -C 398 15WC 23308 HERNANDEZ, JUANA INTERNATIONAL SPRING CO 07/15/15 CHEPOV & SCOTT LLC GANAN & SHAPIRO 399 15WC 23462 AVILA, JUVELINA BURGER KING 06/07/13 ROSS J HELFAND LAW OFFICES OF EDWARD J. KOZ 400 15WC 23505 JOHNSON, JERMAINE CF MANAGEMENT IL LLC 07/28/15 PARENTE & NOREM PC 401 15WC 23560 OROZCO, JUAN R APL LOGISTICS 06/15/15 PARENTE & NOREM PC GRANT & FANNING 402 15WC 24680 WASHINGTON, CORNELIUS CHICAGO BEARS FOOTBALL CL 09/28/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 15WC024681 -C 403 15WC 24698 BEEDIE, PATRICK SOUTHWEST REGIONAL PUBLIS 03/25/15 JOEL BELL GILDEA & COGHLAN 16WC025600 -C 404 15WC 24857 LOIACANO, JOSEPH III SHURE INC 05/07/15 O'CONNOR & NAKOS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 405 15WC 24959 PLEBANSKI, KAREN ALDI FOODS 12/02/14 PETER D CORTI LAW GROUP BRADY CONNOLLY & MASUDA PC 406 15WC 24988 CENTANO, THOMAS FRESH EXPRESS 06/24/15 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 15WC024989 -C 407 15WC 25062 SPINKS, CHARLES CHICAGO TRANSIT AUTHORITY 04/07/15 JONATHAN SCHLACK CHICAGO TRANSIT AUTHORITY 408 15WC 25078 SMITH, ALEXIS CHICAGO TRANSIT AUTHORITY 06/23/15 BURNES, EDWARD M 409 15WC 25090 MILLA, WARREN CHICAGO TRANSIT AUTHORITY 06/22/15 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 410 15WC 25102 BALLENTINE, BRIAN HEIFERMAN INC DBA 06/15/15 WILLIAM S. WOJCIK LTD THOMAS & ASSOCIATES 411 15WC 25123 CRONENWETT, ROBERT FORD MOTOR CO 09/17/14 KATZ FRIEDMAN EAGLE ET AL 412 15WC 25164 POSEY, PATRICK FORD MOTOR CO. 06/08/15 POWER & CRONIN LTD 413 15WC 25334 FLORES, MARIA AKA RESOURCE EMPLOYMENT SOLUT 06/23/15 MC HARGUE, JAMES P LAW OFF 414 15WC 25356 GONZALEZ, PEDRO WINEBOWINC 02/11/14 GORDON & CENTRACCHIO LLC THOMAS & PORTELA 415 15WC 25419 STAPLETON, MILDRED B&C BELLWOOD NURSING CENT 10/11/14 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 416 15WC 25467 MERKENDORFER, KURT F. ALL MECHANICAL INDUSTRIES 07/01/15 FIGLIOLI, DAVID ANCEL GLINK DIAMOND BUSH & E 417 15WC 25726 WILLIAMS, KENNETH CITY OF CHICAGO - SANITAT 02/23/15 JOSEPH J SPINGOLA, LTD 418 15WC 25821 ROBINSON, ANDRE L COOK COUNTY(RECORDER OF D 01/05/13 BAUM RUFFOLO & MARZAL LTD STATES ATTORNEY OF COOK COUN 419 15WC 26036 RUSH, SUSAN UNITED AIRLINES INC. 08/02/12 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 15WC026037 -C 420 15WC 26142 CIFUENTES, EDUARDO SELECT REMEDY 07/11/15 RUEDA, IVAN A 421 15WC 26185 THEISS, MATTHEW RAY S & C ELECTRIC COMPANY 11/17/14 STROM, NEAL B MACIOROWSKI SACKMANN & ULRIC 422 15WC 26255 THOMAS, KRISHAWNDA MARIANO'S 07/31/15 MARC J SHUMAN & ASSOCIATES POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 423 15WC 31504 NAPLES, RONALD L JR JAMES MC HUGH CONSTRUCTIO 07/14/14 DANIEL C.TRUESDALE KEEFE CAMPBELL & ASSOC LLC 424 15WC 31575 GUERRERO, JUAN TOTAL STAFFING SOLUTIONS, 09/01/15 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 425 15WC 31636 CHRISAFIS, CHRISOULA CHICAGO READ MENTAL HEALT 11/18/14 SYREGELAS, NICHOLAS C ASSISTANT ATTORNEY GENERAL 426 15WC 31645 TOLEDO,JESUS UPS-UNITED PARCEL SERVICE 07/25/15 VITELL & SPITZ LTD ASA LAW GROUP 427 15WC 32174 COTNER, GERALD CTA 09/28/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 428 15WC 32237 BOND, WENDY M RYDER SCHOOL 06/16/15 FRIEDMAN & SOLMOR LTD 429 15WC 32252 BEYNA, ALFONCINA TM WEST WHOLESALE 08/26/15 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 430 15WC 32355 BAKKE, LEONARD JR AAA RENTAL SYSTEM 09/04/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 431 15WC 32384 HAWBAKER, JEFF PAMPERED TAILS 06/28/15 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 432 15WC 32397 ROMERO, IRENE BEE LINE 04/29/15 JAMES ELLIS GUMBINER & ASS 433 15WC 32492 NAVARRO, JUAN RAMON THE ARCHIDIOCESE OF CHICA 04/16/15 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 434 15WC 32599 HYLES, ORLANDO PRESENCE RESURRECTION 09/18/15 VASILATOS & COTTER LLC 435 15WC 32666 SANCHEZ, NAZ METRO STAFF 08/19/15 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 436 15WC 32690 MORCIEGO, LORENZO J SURE STAFF 09/23/15 STEWART C ORZOFF CACCHILLO LAW GROUP LLC 437 15WC 32700 NOVAK, CRAIG IMPERIAL CRANE SERVICES, 09/26/15 LEO M. BLEIMAN & ASSOC BRADY CONNOLLY & MASUDA PC 438 15WC 32719 DAVIS, KEVIN UNITED PARCEL SERVICE 09/17/15 HODES GREENSTEIN & LITWIN NYHAN BAMBRICK KINZIE & LOWR 439 15WC 32755 SIMPSON, KEITH AL SOUTHWEST AIRLINES 08/23/15 ROBERT A. WILSON 440 15WC 32885 WALLER, SEAN AT&T INC 06/11/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 441 15WC 32940 HUDSON, GEORICO HOME DEPOT 08/28/15 GOLDBERG WEISMAN & CAIRO L ADELSON TESTAN & BRUNDO 442 15WC 33017 SKRGIC, HASAN LUFTHANSA CARGO 11/07/14 LAW OFFICE OF KEVIN O'BRIE MEACHUM & STARCK 443 15WC 33033 TANNER, STEPHEN SOUTHWEST AIRLINES 08/04/15 KARCHMAR & STONE 444 15WC 33049 DURAN, JOSE UNCLE JULIOS 09/28/15 MARC J SHUMAN & ASSOCIATES 445 15WC 33250 COLLINS, MARY L COOK COUNTY SHERIFS DEPAR 09/15/15 BRILL & FISHEL STATES ATTORNEY OF COOK COUN 446 15WC 33265 ADAMUS, JAMEY CHICAGO TRANSIT AUTHORITY 07/24/14 BRAD J. BALKE, PC CHICAGO TRANSIT AUTHORITY 447 15WC 33323 GINZKEY, LAURA UNITED AIRLINES, INC 01/10/15 BRIAN J MC MANUS & ASSOC, 448 15WC 33538 COBBINS, CORNEISHA ABERDEEN TAP 09/21/15 WITTENBERG DOUGHERTY MAGLI 449 15WC 33670 RIOS, ISIDORA KOCH FOODS 04/29/14 MC HARGUE, JAMES P LAW OFF 450 15WC 33750 MANCILLA, RAYMOND JR CRST 08/07/15 TURNER & SACKETT LLC THOMAS & PORTELA 451 15WC 33777 SUAREZ, ERASMO ARCH FLOORING COMPANY W 04/01/15 SALK, STEVEN B & ASSOC LTD 452 15WC 33843 HAWKINS, YOLANDA HEUMANN FAMILY SERVICES 10/07/15 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 453 15WC 33978 GONZALEZ-RAMIREZ STAFF MANAGEMENT SOLUTION 10/02/15 JOHN C SERKLAND RODDY LAW LTD 454 15WC 34040 CARNER, JIM CULBERTSON LOGISTICS, INC 08/05/15 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 455 15WC 34139 HERNANDEZ, MARIA NOEMI RECYCLING DEPOT INC 02/09/15 AIOSSA LAW FIRM LITCHFIELD CAVO 456 15WC 34144 SCOTT, KEVIN UNITED PARCEL SERVICES 03/30/15 SEIDMAN MARGULIS & FAIRMAN ASA LAW GROUP 457 15WC 34313 BROWN, ZACHARY GREAT LAKES COCO-COLA 10/12/15 HODES GREENSTEIN & LITWIN NYHAN BAMBRICK KINZIE & LOWR 458 15WC 34375 ANDRA, JAMES MANAGED BY Q CHICAGO LLC 09/25/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 459 15WC 34403 GONZALEZ, NATHANIEL FURIOUS SPOON LLC 10/01/15 ANKIN LAW OFFICE GANAN & SHAPIRO 460 15WC 34536 BURKAN, ERIC ENGIS CORPORATION 03/03/14 MILLON & PESKIN LTD HENNESSY & ROACH PC 461 15WC 34577 VARGAS, ELI ILLINOIS INSTITUTE 10/05/15 BRUCE RAFALSON LTD NYHAN BAMBRICK KINZIE & LOWR 462 15WC 34603 PLIZGA, JAN DMW COMPANY 10/12/15 THERMAN LAW OFFICES COZZI & GOGGIN-WARD 463 15WC 34632 SULLIVAN, DONALD ORCPG/ 05/28/15 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 464 15WC 34698 PUGH, NICOLE CROTHAL SERVICES GROUP 09/01/15 465 15WC 34743 RODRIQUEZ, JOSE ZYAD BROTHERS IMPORTING 10/02/15 CULLEN HASKINS NICHOLSON 466 15WC 34826 ZABIELSKI, STANISLAW T H RYAN CARTAGE CO 09/09/15 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 467 15WC 34832 THOMPSON, ROY UNITED AIRLINES 09/28/15 STEVEN M SELAN WIEDNER & MCAULIFFE LTD 468 15WC 35046 WALKER, CHRISTOPHER COOK COUNTY SHERIFF 06/04/15 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 469 15WC 35101 FLEMING, MEGHAN M CHICAGO PUBLIC SCHOOLS 06/16/15 STUART H GALESBURG 470 15WC 35142 FLOWERS, DAVID JR MAYWOOD FIRE DEPARTMENT 09/26/15 BARRY A KETTER INMAN & FITZGIBBONS 471 15WC 35286 SUTTON, CELESTE CHICAGO PUBLIC SCHOOLS 03/19/15 ANKIN LAW OFFICE 15WC035287 -C 16WC007273 -C 472 15WC 35356 HARRISON, TERESA ARAMARK 06/01/15 SEIDMAN MARGULIS & FAIRMAN STONE & JOHNSON CHARTERED 473 15WC 35390 MARTINEZ, MARIA B PACTIV CORPORATION 08/19/15 CULLEN HASKINS NICHOLSON SPIEGEL & CAHILL, PC 474 15WC 35483 JENKINS, JENNIFER FORD MOTOR COMPANY 01/13/15 BOWMAN & CORDAY 475 15WC 35495 BRITTON, NICHOLAS THE UNIVERSITY OF CHICAGO 02/07/14 GOLDBERG WEISMAN & CAIRO L SCOPELITIS GARVIN LIGHT 476 15WC 35515 ESPARZA, LAURO SORENSEN CONSTRUCTION SER 01/28/15 ELFENBAUM EVERS & AMARILIO QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 477 15WC 35639 NUR, ABDIQADAR CHERRY CAB CORP 06/08/15 FISHER & LAMONICA 478 15WC 35730 MIKRUT, DARRYL M PEPSICO 10/16/15 TOSCAS, JOHN Z LAW OFFICE INMAN & FITZGIBBONS 479 15WC 35820 SMITH, BRIAN K FORD MOTOR COMPANY 07/27/15 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 480 15WC 35922 RODRIGUEZ, SALUSTIA MARIA UNITED TEMPS INC 09/18/15 OSVALDO RODRIGUEZ PC 481 15WC 39336 GOOODMAN, MICHAEL ARLINGTON PARK RACE COURS 09/25/15 PATRICIA E BENDER POWER & CRONIN LTD 482 15WC 41967 PADILLA, ALICIA LBP MANUFACTURING 10/02/15 RUBIN MACHADO ROSENBLUM 483 16WC 00010 UMBERGER, JACKIE AGUDATH ISRAEL OF ILLINOI 12/01/15 LEO ALT 484 16WC 00438 SMITH, DEBORAH ALDEN TOWN MANOR 05/16/15 MEYER & BLUMENSHINE LAW OF 485 16WC 00474 ORDUNO, EZEQUIEL T&C RESOURCES, INC. 10/04/15 KEATING LAW OFFICE 486 16WC 00496 STORONOWICZ, ZBIGNIEW BAYS ENGLISH MUFFINS 11/02/15 KURASCH & KLEIN, LTD HOLECEK & ASSOCIATES 487 16WC 00528 WILIM, ERIC UPS 10/07/15 LEONARD LAW GROUP LLC ASA LAW GROUP 488 16WC 00553 BETTES, LAMONT ALL TRUCK TRANSPORTATION 11/03/15 STELZMAN, RUTH HEYL ROYSTER VOELKER & ALLEN 489 16WC 00650 ARENAS, LEONARDO COOK COUNTY 12/26/15 VASILATOS & COTTER LLC STATES ATTORNEY OF COOK COUN 490 16WC 00655 LAVELL, JOE EXPRESS SVC INC 12/10/15 KARCHMAR & STONE MC ANDREWS & NORGLE LLC 491 16WC 00789 ESCOBAR, BRENDA ALDEN MGMT SVCS 11/05/15 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 492 16WC 00862 THOMAS, RHONDA C SOUTHWEST COOK COUNTY ASS 10/21/15 ANKIN LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 493 16WC 00872 RAMEY, TANGY Y. CITY OF CHICAGO 10/16/15 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 494 16WC 00916 HERNANDEZ, MARCO ANTONIO NATL PASTEURIZED EGG INC 08/17/15 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 495 16WC 00988 LANE, CAMILLE CITY OF CHICAGO 11/07/15 BAUM RUFFOLO & MARZAL LTD 496 16WC 01051 SMITH, LEON CAREER EDUCATION CORPORAT 01/07/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 497 16WC 01219 JACKSON, ZAINAB YELLOW CAB CO 12/03/15 WEISS & WEISS LAW OFFICES 498 16WC 01275 DANNER, LIZ CARSON'S 12/09/15 GOLDFEIN LAW OFFICE PC WIEDNER & MCAULIFFE LTD 499 16WC 01310 SUSKA, KRYSTYNA UNITED AIRLINES INC. 12/11/15 BRIAN J MC MANUS & ASSOC, 500 16WC 01322 ELEY, DWAYNE ARENA FOOTBALL ONE LLC 05/17/14 GORDON LAW OFFICES LTD ADELSON TESTAN & BRUNDO 501 16WC 01345 RIORDAN, KIMBERLY L CME GROUP 08/26/15 CULLEN HASKINS NICHOLSON 502 16WC 01385 TOBIAS, SHARON STATE OF IL - IDHS @ 09/23/15 DWORKIN AND MACIARIELLO MALLORY ZIMET 503 16WC 01411 RANGEL, VERONICA M BLOCK & SONS INC 12/14/15 ENCINAS & ORNELAS 504 16WC 01465 LUNA, TEHUDULIO LABOR SOLUTIONS 06/18/15 MC HARGUE, JAMES P LAW OFF KLAUKE LAW GROUP LLC 505 16WC 01513 VELEZ, JULIO CPS/BELMONT CRAGIN ECC 07/27/15 RUEDA, IVAN A 506 16WC 01567 RIOS, FRANCISCO JAVIER USD, INC 11/24/14 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 507 16WC 01574 GUERRO, ADRIAN LD TRADING & ERIE INSURAN 04/03/15 DEPAOLO ZADEIKIS GORE GANAN & SHAPIRO 508 16WC 01650 COX, JAMES CHICAGO BOARD OF EDUCATIO 01/11/16 ROMANEK & ROMANEK 509 16WC 01701 RICHARD, CODY FREEMAN AUDIO VISUAL INC 12/31/15 HEALY SCANLON LAW FIRM MC ANDREWS & NORGLE LLC 510 16WC 01759 HAZELTON, MICHAEL GOLD STANDARD ENTERPRISES 09/29/13 SHELDON I MINKOW & ASSOCIA COZZI & GOGGIN-WARD 511 16WC 01793 BROWN, LISA CITY OF CHICAGO 12/11/15 GOLDSTEIN BENDER & ROMANOF CITY OF CHICAGO 512 16WC 01850 STACY, APRIL FORD MOTOR COMPANY 07/29/15 BECKER & SILVERMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 513 16WC 01893 EVANS DAVID COOK COUNTY COMPTROLLER @ 12/16/15 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 514 16WC 01955 RASHIN,E ESMAEILI MANJILI METRO STAFF 09/12/15 EFTEKHARI LAW OFFICES FRANCIS J DISCIPIO LAW OFFIC 515 16WC 01986 DIOLIVERIA, NATANAEL NEVE FOGO DE CHAO 10/24/15 JONATHAN SCHLACK COZZI & GOGGIN-WARD 16WC006701 -C 16WC012235 -C 516 16WC 02024 CLAY, CARLOS UPS 01/09/16 DWORKIN AND MACIARIELLO ASA LAW GROUP 517 16WC 02141 ROJAS, VICTOR ACCURATE PERSONNEL 01/11/16 JONATHAN SCHLACK MC ANDREWS & NORGLE LLC 518 16WC 02165 MOORE, LENATTIA FAIRMOUNT HOTEL 06/10/15 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 519 16WC 02199 MCCAMURY, BRUCE UNITED REO 12/16/15 DAVID W MARTAY MEACHUM & STARCK 520 16WC 02300 MERCADO, RICARDO FOOD SPECIALIST 07/15/15 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 521 16WC 02348 ELLIS, TERENCE CTA 08/31/15 RUBIN MACHADO ROSENBLUM CHICAGO TRANSIT AUTHORITY 522 16WC 02397 CHAVEZ, LILIANA DESIGNER DELIVERY 12/28/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 523 16WC 02466 OSORNIO, BERNARDO GEORGIA NUT COMPANY 01/15/16 LAW OFFICE OF SCOTT B SHAP 524 16WC 02578 JENKINS, YOLANDA UNITED SECURITY 01/09/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 525 16WC 02630 QUIRARTE, JOSE MANUEL EGGSPERIENCE CAFE 01/16/16 EPSTEIN, JACK R LAW OFFICE 526 16WC 02653 CARTER, STEPHEN B ORLAND FIRE 06/17/15 COHN LAMBERT RYAN & SCHNEI INMAN & FITZGIBBONS 527 16WC 02683 HERNANDEZ, LUIS MAROZAS REAL ESTATE 10/30/15 DISPARTI LAW GROUP PA GANAN & SHAPIRO 528 16WC 02706 MORROW, ROBERT E (ESTATE) MIDWEST PROPERTY SERVICE # 09/01/15 E JAMES RAYMOND 529 16WC 02736 KELLY, ALTIS FEDEX 10/09/15 DWORKIN AND MACIARIELLO SCOPELITIS GARVIN LIGHT 530 16WC 02772 SANTOS, DANNY JR CITY OF CHICAGO PARK DIST 08/13/15 PEREZ, MICHAEL A LAW OFFIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 531 16WC 02849 MARTINEZ, FRANKY BATAGLIA 01/27/16 RUBENS AND KRESS 532 16WC 02917 SYNOWIECKI, MATT COOK COUNTY SHERIFF'S OFF 01/09/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 533 16WC 02933 HOLMAN, ANGELA CHICAGO PUBLIC SCHOOLS 01/25/16 COVEN LAW GROUP 534 16WC 03067 BERGEN, ROGER VON ECO LABS GCS 07/11/14 O'CONNOR & NAKOS KEEFE CAMPBELL & ASSOC LLC 535 16WC 03135 SUERTH, STEPHEN CITY OF CHICAGO- DEPARTME 07/06/15 ARGIONIS & ASSOCIATES LLC 536 16WC 03163 WODARCZKY, MICHAEL VILLAGE OF SUMMIT 10/13/15 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 537 16WC 03237 KOSZYK, KRISTINE THE HOME DEPOT 09/18/15 SANDMAN LEVY & PETRICH ADELSON TESTAN & BRUNDO 538 16WC 03260 JANUSZ, RONALD UTILITY RESOURCE GROUP LL 12/14/15 RAYMOND M SIMARD, PC HOLECEK & ASSOCIATES 539 16WC 03355 JONES, PIERRE MINUTEMAN PRESS 06/21/15 MC HARGUE, JAMES P LAW OFF GANAN & SHAPIRO 16WC003356 -C 540 16WC 03385 CHAVEZ, BERTHA WHOLESOME HIDE INC 01/29/16 ACEVES & PEREZ PC LAW OFFICES JOSEPH MARCINIAK 541 16WC 03412 DRAKE, DONNA NORTHWEST MEMORIAL HOSPIT 12/31/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 542 16WC 03432 GARCIA, JORGE ALL TRUCK TRANSPORTATION 11/07/15 COSTA IVONE LLC HEYL ROYSTER VOELKER & ALLEN 543 16WC 03491 MARTINEZ, BLANCA MIDWAY BLDG SERVICES 03/10/15 COYNE REINKE LAW KEEFE CAMPBELL & ASSOC LLC 544 16WC 03593 RICH, JOSHUA M AMERICAN AMBULANCE LLC 04/09/14 TUITE LAW 545 16WC 03678 JOHNSON, RONNET FIRST STUDENT BUS COMPANY 02/02/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 546 16WC 04687 WEHMHOEFER, PAULETTE (WID B&K CONCRETE&CONSTRUCTION # 11/25/15 KARCHMAR & STONE 547 16WC 05771 ELSON, JEANNEAN THE HABITAT CO 01/15/16 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES JOSEPH MARCINIAK 548 16WC 08312 HMEIDAN, EMAD A KISWANI TRUCKING CO A/K/A 03/02/16 FRIEDMAN & SOLMOR LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 549 16WC 10398 JONES, REBECCA (ESTATE AD ROUNDY'S DBA MARIANOS # 01/27/14 JOHN A SHENDEN INMAN & FITZGIBBONS 550 16WC 10687 NELSON, ROBYN H UNITED AIRLINES 11/29/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 551 16WC 10696 VARGAS, CONCEPCION GARRETT POPCORN SHOP 12/16/14 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 552 16WC 10760 KIELCZEWSKI, MIECZUSLA NYPRO PACKAGING 12/05/13 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 553 16WC 10834 GARCIA, JAIME WHOLE FOODS MARKET 03/12/15 LASSEN, BRIAN D LAW OFFICE BRYCE DOWNEY & LENKOV LLC 554 16WC 10893 MEDINA, FRANCISCA HANDI FOIL CORP. 09/03/15 GOLDSTEIN BENDER & ROMANOF 555 16WC 10921 SILVA, DONICIO VILLAGE OF OAK PARK 08/25/15 ROMANUCCI & BLANDIN NYHAN BAMBRICK KINZIE & LOWR 556 16WC 10975 MCCLINTON, KIMBERLY MARYVILLE ACADEMY 02/06/16 SEIDMAN MARGULIS & FAIRMAN 557 16WC 11012 ADAMPTEY, PATRICK CHICAGO CARRIAGE CAB 03/28/16 DWORKIN AND MACIARIELLO 558 16WC 11112 WRIGHT, WILLIAM VILLAGE OF HOMEWOOD 02/01/16 JASINSKI, GEORGE J BRYCE DOWNEY & LENKOV LLC 559 16WC 11153 POPP, JAMIE ALLSTATE INSURANCE 01/11/16 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 560 16WC 11172 LOCASCIO, GASPARE RAI CONCRETE, INC. 06/29/15 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 561 16WC 11239 WINSLOW, ANGELA DART CONTAINER CORPORATIO 03/29/14 GRAZIAN & VOLPE PC 562 16WC 11291 TAYLOR, BOBBY II WALGREENS 03/08/16 VRDOLYAK LAW GROUP LLC 563 16WC 11314 BENTON, TERRY D AT & T CORPORATION 03/31/16 ANKIN LAW OFFICE INMAN & FITZGIBBONS 564 16WC 11334 WILLIAMS, ALBERT CONCRETE STRUCTURE OF THE 02/29/16 STROM, NEAL B GAROFALO SCHREIBER STORM 565 16WC 11354 PERKINS, PATRICK CAPSTONE LOGISTICS 03/28/16 DWORKIN AND MACIARIELLO 566 16WC 11485 ALLOUSSI, AYMAN AMTRAK 11/07/15 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 16WC 11521 MURO-VALLE, FAUSTINO HACKNEYS ON LAKE, INC. 12/11/14 ACEVES & PEREZ PC 568 16WC 11578 DRLJACA, PETAR FORD MOTOR COMPANY 03/14/16 SCHREINER MALLOY & ETZLER 569 16WC 11658 GARCIA, SERGIO MONTROSE FOOD MART & DELI 03/20/16 GOLDSTEIN BENDER & ROMANOF 570 16WC 11673 DRURY, JOSEPH CITY OF BERWYN 02/02/15 ROMANUCCI & BLANDIN CUDA LAW OFFICES 571 16WC 11705 GUTIERREZ, YOLANDA TRETO US BANK 11/24/15 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 572 16WC 11764 RENDINO, KATHLEEN USF HOLLAND 04/02/15 DAVID W MARTAY HENNESSY & ROACH PC 573 16WC 11804 SOTO, ALMA COSTCO 01/31/15 LAW OFFICE OF SCOTT B SHAP GANAN & SHAPIRO 574 16WC 11833 WHITESIDE, BRENDA ACQUAINT HOME CARE 03/25/16 ROSENFELD HAFRON SHAPIRO F WIEDNER & MCAULIFFE LTD 575 16WC 11920 MARTINEZ, CELINA JUNO LIGHTING GROUP 03/08/16 COSTA IVONE LLC SLAVIN & SLAVIN 576 16WC 11988 WISNIOS, GEORGE SYSCO FOOD SERVICE 10/15/15 ALAN A BLUM, PC 577 16WC 12016 GUZMAN, MARIA ATLAS EMPLOYMENT SERVICES 03/04/16 RUEDA, IVAN A ROBERT L. SMITH 578 16WC 12104 DURAN, ROSA FLEXIBLE STAFFING 12/17/15 JAUREGUI & ASSOCIATES BRADY CONNOLLY & MASUDA PC 579 16WC 12153 ZERMENO, BAUL INNOVA AUTO BODY SUPPLY I 04/02/16 ANKIN LAW OFFICE 580 16WC 12178 HOWANIEC, MICHAEL C H ROBINSON 04/11/16 COVEN LAW GROUP GANAN & SHAPIRO 581 16WC 12212 BURTNER, ANTHONY STANDARD PARKING 03/31/16 DAVID W MARTAY GAROFALO SCHREIBER STORM 582 16WC 12276 SPADAVECCHIA, MICHAEL FEDEX 01/25/16 LANCASTER, DEBORAH 583 16WC 12327 HINTON, MICHAEL JEWEL FOODS 02/12/16 BOUDREAU NISIVACO LLC 584 16WC 12368 WEBB, ANDRE AMERICAN AIRLINES 04/05/16 GOLDSTEIN AIOSSA & GOOD GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 585 16WC 12376 PEREZ, FELIX TM WEST WHOLESALE BAKING 04/11/16 THE ROMAKER LAW FIRM 586 16WC 12401 AVALOS, EMIGDIO CAPSTONE LOGISTICS 06/04/15 CHEPOV & SCOTT LLC 587 16WC 12530 SMITH, KEVIN TRINITY SERVICES 10/14/15 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 588 16WC 12562 ORNELAS, JUAN CHICAGO BOARD OF EDUCATIO 03/28/16 KREITER, BYCK & ASSOC LLP 589 16WC 12599 WATKINS, TYEISHA PROFESSIONAL TRANSPORTATI 12/30/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 590 16WC 12637 DAILY, TRACY COMMUNITY CARE SYSTEMS 03/01/16 LANNON LANNON & BARR LTD LIVINGSTONE MUELLER ET AL 591 16WC 12667 CARTHARN, REGINA WORKFORCE 04/20/16 BAUM RUFFOLO & MARZAL LTD KOREY RICHARDSON LLC 592 16WC 12705 TIMMONS, DENISE SPECIAL EDUCATION JOINT A 01/25/16 DAMISCH & DAMISCH LTD 593 16WC 12739 FRIEL, GEORGE PARK FOREST-CHICAGO HEIGH 03/02/16 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 594 16WC 12761 LETCHER, CHERIE ROBERTSON RYAN & ASSOC. I 01/13/16 PORRO NIERMANN & PETERSEN HENNESSY & ROACH PC 595 16WC 12794 BRUNSON, OLEVIER CTA 02/15/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 596 16WC 12810 GORDILS, CATHLEEN BURLINGTON COAT FACTORY 03/15/16 RUBENS AND KRESS BRADY CONNOLLY & MASUDA PC 597 16WC 12836 TOBIN, BRIAN M E-COM 911 DISPATCH CENTER 02/04/16 RIDGE & DOWNES LAW OFFICES JOSEPH MARCINIAK 598 16WC 12858 HERNANDEZ, BRENDA LABOR SOLUTIONS/STAFF RIG 11/17/15 VRDOLYAK LAW GROUP LLC 599 16WC 12945 ALLEN, SHTEILA FAIRMONT HOTEL 09/10/15 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 600 16WC 12966 PENA, CARLOS TOTAL STAFFING SOLUTIONS, 04/21/16 HUGHES SOCOL PIERS RESNICK 601 16WC 13068 JACOBS, TIMOTHY STATE OF IL DEPARTMENT OF @ 04/01/16 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 602 16WC 13117 VALENTINE, JAMES VILLAGE OF OAK PARK POLIC 04/17/16 THOMAS A MORRISSEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 16WC 13163 PALOMARES, ALEX EVANSTON FIRE DEPT 01/09/15 FOHRMAN, DONALD W & ASSOCS 604 16WC 13183 BUTLER-DANIELS, DONITA FORD MOTOR COMPANY 02/09/16 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 605 16WC 13260 STRYLOWSKI, LAUREN ST COLETTAS 03/03/16 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 606 16WC 13288 ARZATE, MARIA METROSTAFF INC 11/10/14 DEPAOLO ZADEIKIS GORE HENNESSY & ROACH PC 16WC013289 -C 16WC014122 -C 607 16WC 13337 SPROVIERI, KEITH COASTAL INTERNATIONAL INC 04/13/16 ROSS TYRRELL 608 16WC 13452 OCASIO, LOUIS R JR CITY OF CHICAGO 01/05/16 KARCHMAR & STONE CITY OF CHICAGO 609 16WC 13474 MOORE, CAROL CHICAGO TRANSIT AUTHORITY 02/02/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 610 16WC 13493 DURAN, ADAN BL WEBER CONSTRUCTION 04/13/16 DWORKIN AND MACIARIELLO 611 16WC 13594 BARBER, RICHARD ABLE ELECTROPOLISHING CO. 03/17/16 GOLDBERG WEISMAN & CAIRO L 612 16WC 13616 MATTHEWS, JOANNA SWISSOTEL CHICAGO 01/30/16 STROM, NEAL B HENNESSY & ROACH PC 613 16WC 13640 SKIBICKI, JOHN IDEAL BOX 09/19/15 JASINSKI, GEORGE J 614 16WC 13726 LEGG, JACK B&H SYSTEMS 11/13/15 COLLISON & O'CONNOR GANAN & SHAPIRO 615 16WC 13768 FIGUEROA, RICHARD GOLD STANDARD BAKING 04/27/16 COSTA IVONE LLC 616 16WC 13769 SOTO, JAVIER ESCO'S TOWING & PLOWING W 04/14/16 MURPHY & MURPHY BERGLUND & ARMSTRONG 617 16WC 13788 NAVARRETE, MIGUEL ALDI 01/06/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 618 16WC 13814 PATEL, SAVITABEN SUKHADIA SNACKS & SWEETS, 08/22/14 SHELDON I MINKOW & ASSOCIA NYHAN BAMBRICK KINZIE & LOWR 619 16WC 13859 COTTON, SAM GREAT LAKES COCA COLA 01/12/16 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR 620 16WC 13900 GALAN, GERARDO TREJO GAMES THINGS 05/24/13 ROSS J HELFAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 621 16WC 13917 SUMMERSELL, KRISTEN SOUTHWEST AIRLINES 08/29/15 SEIDMAN MARGULIS & FAIRMAN 622 16WC 13944 SMITH, WANDA ARDAGH GROUP 04/23/16 FOHRMAN, DONALD W & ASSOCS 623 16WC 14059 WILLIAMS, ANITA PARKER ELEMENTARY 02/01/16 STEVEN A CRIFASE, LTD 624 16WC 14098 WILLIAMS, STANLEY CHICAGO TRIBUNE 05/01/16 PETER D CORTI LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 625 16WC 14201 CORTES, MICHAEL FLEXIBLE STAFFING SERVICE 05/03/16 STEVEN J TENZER, LTD 626 16WC 16367 BANKS, MARQUITA GATE GOURMET 04/10/16 PARENTE & NOREM PC RUSIN & MACIOROWSKI LTD 627 16WC 20838 BUCKLEY, BRANT MIDTOWN ATHLETIC CLUB CHI 05/09/15 MARTIN V KUGIA HENNESSY & ROACH PC 628 16WC 20966 MARTINEZ, HUMBERTO COOK COUNTY SHERIFF'S DEP 06/17/16 STELZMAN, RUTH STATES ATTORNEY OF COOK COUN 629 16WC 20984 BYARS, JASON US ECOLOGY 05/03/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 630 16WC 21024 PERZ, JOSE A CITY OF CHICAGO - 06/29/16 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 631 16WC 21052 RODRIGUEZ, ERNESTINA ABM INDUSTRIES 08/19/15 SEIDMAN MARGULIS & FAIRMAN 632 16WC 21068 COOK, SHAREE WARREN BARR NORTHSHORE 06/11/16 COVEN LAW GROUP 633 16WC 21115 OTT, KEVIN ZEIGLER CHEVROLET- SCHAUM 05/22/15 LEWIS & DAVIDSON, LTD 634 16WC 21168 PETERSON, BRIDGETTE SVT LLC 03/05/16 COHN LAMBERT RYAN & SCHNEI 635 16WC 21174 ADAMS, DOMINIQUE HERTZ EQUIPMENT RENTAL 06/29/16 COHN LAMBERT RYAN & SCHNEI 636 16WC 21200 BANKS, ASHAKE LSG SKY CHEFS 05/28/16 JOEL BELL INMAN & FITZGIBBONS 637 16WC 21239 CHAGALA, RODRIGO RICHELIEU FOODS 06/09/16 CHEPOV & SCOTT LLC 638 16WC 21315 MARTIN, DEWITT JR PICKENS-KANE STORAGE & 06/24/16 SALK, STEVEN B & ASSOC LTD GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 639 16WC 21378 HARRIS, MARCUS IRON MOUNTAIN 06/29/16 GOLDBERG WEISMAN & CAIRO L 640 16WC 21406 PORTER KATHY DUCKER-RINGWOOD AUTOMATIO 08/18/15 WOODRUFF & JOHNSON WOLFE & JACOBSON, LTD 641 16WC 21519 KURZYNSKI, CHRISTOPHER MAGELLAN DEVELOPMENT GROU 02/12/16 MINKOW DOMIN 642 16WC 21533 AVITIA, VERONICA KIMCO FACILITY SERVICES 06/23/16 LANNON LANNON & BARR LTD 643 16WC 21601 ALARAN, RASHEED ED MINIAT LLC 07/02/16 ELFENBAUM EVERS & AMARILIO POWER & CRONIN LTD 644 16WC 21618 NYSTROM, BRENDA ALL HOLDINGS INC. DBA 12/15/15 BELLAS & WACHOWSKI 645 16WC 21664 RAMIREZ, JOSE PREFERRED FREEZER SERVICE 05/11/16 THE FITZ LAW GROUP HOLECEK & ASSOCIATES 646 16WC 21678 COLLAZO, DIANA CTA 06/02/16 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 647 16WC 21689 WILLIAMS, MARY FAIRPLAY FOODS 06/04/15 LAW OFFICE OF KEVIN O'BRIE 648 16WC 21730 GONZALEZ, PATRICIA ELITE STAFFING INC. 06/10/16 SALK, STEVEN B & ASSOC LTD 649 16WC 21752 KIERSNOSKA, AGNIESZKA NORTHWEST COMMUNITY HOSPI 02/19/16 THERMAN LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 650 16WC 21861 COTTEN, KIMBERLY LITTLE COMPANY OF 12/15/15 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 651 16WC 21871 MCELROY, STAR ALDI FOOD STORES 03/16/16 STROM, NEAL B 652 16WC 21915 WARZECHA, ROBERT HOME DEPOT 06/28/16 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 653 16WC 21927 MASHNI, JACK JEWEL OSCO 12/22/13 JOHN E LUSAK QUINTAIROS PRIETO WOOD & BOY 654 16WC 21999 HIRMIZ, GEORGE TRAVELODGE HOTEL 02/20/15 THE FITZ LAW GROUP BRADY CONNOLLY & MASUDA PC 655 16WC 22052 DESANTO, JOHN THE BUTTERFIELD HEALTH CA 04/18/16 STEIN & CHERNEY LTD BRADY CONNOLLY & MASUDA PC 656 16WC 22083 BUTLER, DONISSA NORTHWESTERN MEMORIAL HOS 07/03/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 657 16WC 22156 RAMIREZ, MALCHOR CONAGRA 03/29/16 RUBENS AND KRESS 658 16WC 22200 SMITH, CHARLES E HOME JUICE CORP 09/01/15 CULLEN HASKINS NICHOLSON 659 16WC 22237 GARCIA, JUAN COOK COUNTY SHERIFF 06/25/16 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 660 16WC 22251 LINDO,JULIAN R&D THIEL, INC 06/29/16 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 661 16WC 22288 ROSAL, SUZANNE ALDI, INC. 07/11/16 BAUM RUFFOLO & MARZAL LTD MACIOROWSKI SACKMANN & ULRIC 662 16WC 22300 METOYER, BRADLEY BURAK HANDLING, INC 08/01/14 STEVEN J MALMAN & ASSOCIAT 663 16WC 22327 CUNNINGHAM, GIRCEL CHALET LIVING AND REHAB C 10/29/15 ASHER, RAYMOND L LTD BRADY CONNOLLY & MASUDA PC 664 16WC 22425 JONES, FAITH DOLLAR TREE STORES INC 08/16/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 665 16WC 22502 FERNANDEZ, ADAM ENVOY AIR INC. FKA AMERIC 06/30/16 GOLDBERG WEISMAN & CAIRO L 666 16WC 22574 BAUER, ANTHONY APRIA HEALTHCARE 06/14/15 STROM, NEAL B LITCHFIELD CAVO 667 16WC 22601 CHAMBERS CHRISTOPHER EXTREME REACH 04/22/16 ANGELINI & ORI LLC 668 16WC 22620 PRATER, ANTHONY JB HUNT TRANSPORTINC 01/16/16 ANKIN LAW OFFICE 669 16WC 22655 ARROYO, FATIMA ABM FACILITY SERVICES 07/13/16 SALK, STEVEN B & ASSOC LTD 670 16WC 22677 WARE, DONTAYA CHICAGO TRANSIT AUTHORITY 07/13/16 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 671 16WC 22718 SHIPLEY-WANDELL, LINDA RAVENSWOOD BAPTIST CHURCH 04/24/16 CHEPOV & SCOTT LLC BRYCE DOWNEY & LENKOV LLC 672 16WC 22726 SELVIE, ANDREA SECURITAS 07/08/16 DWORKIN AND MACIARIELLO 673 16WC 22765 MITCHELL, LONDON UPS 04/06/16 LEONARD LAW GROUP LLC ASA LAW GROUP 674 16WC 22791 GUZMAN, JOSE R ASPLUNDH TREE EXPERT CO 06/29/16 CUSHING LAW OFFICES KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 675 16WC 22816 FIELDS, JAMES CHRIST MEDICAL CENTER 07/02/16 POLANSKY & CICHON CHTD 676 16WC 22836 GREEN, PATRICIA KINDER CARE LEARNING CENT 03/10/16 VASILATOS & COTTER LLC HENNESSY & ROACH PC 677 16WC 22909 WALLACE, KEISHA TRT TRANSPORTATION, INC. 09/23/13 CULLEN HASKINS NICHOLSON POULOS & DIBENEDETTO LAW 678 16WC 22994 JOHNSON, NEDRA DAVIS STAFFING 05/05/16 KATZ FRIEDMAN EAGLE ET AL 679 16WC 23028 BIESK, RALPH TRANSERVICE LOGISTICS, IN 02/16/16 CAPRON & AVGERINOS PC LITCHFIELD CAVO 680 16WC 23043 PAYNE, DARRYL RICHLEE COOK COUNTY BUS C 01/04/16 CULLEN HASKINS NICHOLSON 681 16WC 23125 DOOCY, ELIZABETH UNITED AIRLINES INC. 07/23/16 COVEN LAW GROUP 682 16WC 23157 VELAZQUEZ, MARIA KOCH FOODS 05/17/16 DISPARTI LAW GROUP PA 683 16WC 23171 MORALES, JUAN THUNDER TOOL CORP 06/06/16 HART & DAVID LLP 684 16WC 23216 CALHOUN, SAMARA ALPHA TRANSPORTATION 07/11/16 BRISKMAN BRISKMAN GREENBER 685 16WC 23256 BANKS, ROBERT DDI PROPERTIES 07/27/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 686 16WC 23279 FLORES, CEDONIO NEW CHINA EXPRESS 12/17/15 O'CONNOR & NAKOS 687 16WC 23315 BOWEN, ZANNIE ENVOY AIR INC. 07/21/16 ANKIN LAW OFFICE 688 16WC 23376 BERRIOS, MARYBEL CTA- CHICAGO TRANSIT AUTH 07/27/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 689 16WC 23419 ELLIOT, MICHELLE DAKKOTA INTEGRATED SYSTEM 03/18/16 KATZ FRIEDMAN EAGLE ET AL 690 16WC 23422 ALVAREZ-AYUSO, WALDEMAR UNITED AIRLINES 02/29/16 KATZ FRIEDMAN EAGLE ET AL 691 16WC 23481 KONRAD, JOANNA UNITED AIRLINES, INC C/O 02/15/15 BRIAN J MC MANUS & ASSOC, 692 16WC 23522 MENDOZA, JOSE RICHELIEU FOODS 07/06/16 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 693 16WC 23569 TAYLOR, CHARRASS KOCH FOODS 07/20/16 COHN & COHN 694 16WC 23622 KNOWLES, IAN ARCHON CONSTRUCTION 07/25/16 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 695 16WC 23691 PLASENCIA, MANUEL FORD MOTOR COMPANY 04/21/16 WOLFE LAW PC 696 16WC 23732 TORRES, CARLOS ARAMARK SERVICES (LOANING 08/24/15 O'CONNOR & NAKOS 697 16WC 23776 DIXON, CORNELIUS ARENA FOOTBALL ONE LLC 04/26/14 GORDON LAW OFFICES LTD 698 16WC 23824 SOTO, RICHARD HONEYWELL INTERNATIONAL 05/09/16 MICHAEL NICHOLSON 699 16WC 23881 WHITE, ROBERT B. UNITED AIRLINES 07/29/14 KATZ FRIEDMAN EAGLE ET AL 700 16WC 23923 KARCZ, DIANE HOME RUN INN 05/08/16 GRAZIAN & VOLPE PC POWER & CRONIN LTD 701 16WC 23943 BAKER, KEVIN QUAD CITY MALLARDS 11/23/14 GORDON LAW OFFICES LTD INMAN & FITZGIBBONS 702 16WC 24051 OLIVIER, LAURENCE AMMONS TRANSPORTATION 07/26/16 POWELL & PISMAN 703 16WC 24126 WILLIAMS, MARKITA M MARR CHICAGO PIZZA INC 07/26/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 704 16WC 24144 CARDENAS, JOSE DEMETER MILLWORK 05/13/16 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 705 16WC 24163 ROMERO, MARIA I RRP ENTERPRISES, INC. 01/21/16 FAJARDO LAW GROUP LAW OFFICES JOSEPH MARCINIAK 706 16WC 24199 BUCKNER, JONTE FAMILY DOLLAR 08/02/16 MICHAEL FRADIN 707 16WC 24269 MICKIE, KEITH TRUGREEN 07/29/16 NILSON STOOKAL GLEASON CAP 708 16WC 24285 RUIZ, SARA CHICAGO NORTH KINDRED 07/18/16 PETER D CORTI LAW GROUP ARNETT LAW GROUP 709 16WC 29500 GLASS, WILLIAM ADVANCED DISPOSAL SERVICE 09/07/16 DAVID W MARTAY INMAN & FITZGIBBONS 710 16WC 29514 REYES RUIZ, ARISAI DAVIS STAFFING 07/29/16 MC HARGUE, JAMES P LAW OFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 16WC 30755 CONTRERAS, MATTHEW P SUPERIOR AMBULANCE SERVIC 06/11/16 LAW OFFICES OF KIRK MOYER POWER & CRONIN LTD 712 16WC 30778 CONTRERAS, RAMIRO M&B LANSCAPING 08/27/16 JAMES ELLIS GUMBINER & ASS 713 16WC 30826 STEGMILLER, DAVID CITY OF CHICAGO 08/12/16 PARENTE & NOREM PC CITY OF CHICAGO 714 16WC 30910 FANNIEL, DAVIDA STATE OF IL DEPARTMENT OF @ 09/30/16 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 715 16WC 30932 MONTOYA, EMILIO EMPLOYER SOLUTIONS STAFFI 02/21/15 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 716 16WC 30947 WILCOX, PIILANI UNITED AIRLINE 11/17/15 CORNFIELD & FELDMAN 717 16WC 30990 SAULSBERRY, ALTHEA MONDELEZ INTERNATIONAL IN 06/20/16 ANKIN LAW OFFICE 718 16WC 31002 GUEST, CHRISTOPHER NATIONAL MINORITY SUPPLIE 04/20/16 KATZ FRIEDMAN EAGLE ET AL 719 16WC 31015 JONES, DANIELLE DANIELLE JONES 07/05/16 POLANSKY & CICHON CHTD CHICAGO TRANSIT AUTHORITY 720 16WC 31086 WILSON, GARY L KELVIN LANE PROPERTY OWNE 07/01/16 ANGELA NARDI-QUIGLEY 721 16WC 31168 COLE, DERRICK A AMERICAN AIRLINES, INC 08/25/15 HASSAKIS & HASSAKIS PC 722 16WC 31216 ESCARENO, INEZ CLOVER LEAF FARMS DAIRY 09/13/16 KARCHMAR & STONE BRYCE DOWNEY & LENKOV LLC 723 16WC 31235 LAINO, MICHAEL J UNITED AIRLINES 10/03/16 WILLIAM MARTAY 724 16WC 31253 BARRAZA, SANTIAGO LKQ PICK YOUR PART 06/07/16 DWORKIN AND MACIARIELLO 725 16WC 31293 LAGUATAN, KAREN KPMG, LLP 08/11/16 ELMAN LAW GROUP LLC 726 16WC 31342 FIGUEROA, MARIA CITY OF CHICAGO 09/13/16 KARCHMAR & STONE CITY OF CHICAGO 727 16WC 31367 GUADARRAMA, MARIA ATLAS EMPLOYMENT SVC INC 06/02/16 ENCINAS & ORNELAS 728 16WC 31388 RUIZ, REYNA COURTYARD HEALTHCARE CTR 08/23/16 STROM, NEAL B BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 16WC 31408 MCKINNEY, DONALD UNITED PROTECTIVE SVCS 09/28/16 HERRERA LAW CENTER 730 16WC 31430 BOTNER, SACHI PAYCHEX, INC 09/21/16 SOSTRIN AND SOSTRIN PC 731 16WC 31477 LADA, KIMBERLY H M UNITED AIRLINES INC. 03/13/16 FIGLIOLI, DAVID 732 16WC 31528 RIVERA, RONALD ILLINOIS DEPT OF TRANS @ 05/24/16 SANDMAN LEVY & PETRICH GANAN & SHAPIRO 733 16WC 31555 HERNANDEZ, ALVARO MARK VEND CO 09/19/16 DUDLEY & LAKE LLC MEACHUM & STARCK 734 16WC 31616 KACZANOWSKI, TAVIS R CITY OF BLUE ISLAND @ 07/01/14 JASINSKI, GEORGE J DEL GALDO LAW GROUP LLP 735 16WC 31644 ALAM, SHAH BENGAL CAB CORPORATION 09/21/16 FISHER & LAMONICA 736 16WC 31665 CEBALLOS, ABEL CUSHING TRANSPORTATION 07/22/16 SALVATO & O'TOOLE KNELL & O'CONNOR 737 16WC 31764 FENNER, JOHN L CHICAGO TRANSIT AUTHORITY 09/10/15 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 738 16WC 31816 ZAVALA, RUBEN MAUSER USA, LLC 02/05/16 MC HARGUE, JAMES P LAW OFF 739 16WC 31822 DOBY, LOUIS PEPSI AMERICA 10/05/16 DAVID W MARTAY 740 16WC 31881 MCCURTY, JAKIA CITY OF CHICAGO/CITY FINA 09/07/16 WILLIAM MARTAY CITY OF CHICAGO 741 16WC 31908 HERNANDEZ, NORMA ENVOY AIR 06/30/16 BRISKMAN BRISKMAN GREENBER 742 16WC 31977 MORRIS, MICHAEL AT&T INC 09/07/16 MARKHAM M JEEP & ASSOCIATE 743 16WC 32014 O'SULLIVAN, STEVE PTC ALLIANCE CORP 09/01/16 HORWITZ HORWITZ & ASSOC 744 16WC 32030 STEPHENSON, ROBERT FOX DP MOTOR SPORTS/ 06/20/16 DUDLEY & LAKE LLC 745 16WC 32071 GALLEGOS, MARTIN T CRANKED CONSTRUCTION CO 10/04/16 SOSTRIN AND SOSTRIN PC 746 16WC 32115 MANUS, EDWARD YRC 09/22/16 JASINSKI, GEORGE J

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 747 16WC 32141 MELGAR, BEATRIZ UNITED AIRLINES INC, CT S 10/27/15 MATT MURPHY CONSULTING NYHAN BAMBRICK KINZIE & LOWR 748 16WC 32144 MOLINA, LUZ D CHICAGO TRANSIT AUTHORITY 10/04/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 749 16WC 32156 DAVIS, SHADONNA C COOK COUNTY DEPT CORRECTI 09/27/16 STEVEN J MALMAN & ASSOCIAT STATES ATTORNEY OF COOK COUN 750 16WC 32176 THOMPSON, DENNIS YRC FRIEGHT 08/05/16 MARSZALEK AND MARSZALEK 751 16WC 32214 ABU ASSAF, ABDULKARIM ABU ASSAF CORP/YELLOW CAB 07/11/15 DAVID SZCZECIN & ASSOC 752 16WC 32231 AYALA, JOSEFINA MARCOS A LOPEZ MD SC 06/08/16 JOHN E LUSAK HOLECEK & ASSOCIATES 753 16WC 32267 PARADISO, NICHOLAS CONWAY FREIGHT 08/13/16 COVEN LAW GROUP 754 16WC 32303 ANDERSON, SARAH WALMART 07/12/16 GORDON & CENTRACCHIO LLC WIEDNER & MCAULIFFE LTD 755 16WC 32359 REYES, ARTURO TM TIRE CO INC 10/12/16 JAUREGUI & ASSOCIATES 756 16WC 32384 SEALS, STACEY UPS 10/07/16 LEONARD LAW GROUP LLC ASA LAW GROUP 757 16WC 32448 CAMPOS, JOEL MANCILLA AMERICAN GASKET & RUBBER 09/01/16 SEIDMAN MARGULIS & FAIRMAN 758 16WC 32482 SHOEMAKER JR., WILLIAM UOFI HOSP & HEALTH SCIENC 07/16/15 LEE, MARK N LAW OFFICE 759 16WC 32531 VALENTE, JOSE MCDONALDS CORP 06/23/15 KROL BONGIORNO & GIVEN LTD 760 16WC 32559 CUMMINGS, SHAWN CTA 10/07/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 761 16WC 32623 MATHEWS, ANDRE BRUCE FINDER SALES, INC/ 05/06/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 762 16WC 32684 BARNES, LILLIE CTA 10/14/16 POLANSKY & CICHON CHTD CHICAGO TRANSIT AUTHORITY 763 16WC 32716 GARCIA, JAIME CITY OF CHICAGO HEIGHTS 05/16/16 NEWMAN, BOYER & STATHAM PETERSON JOHNSON & MURRAY 764 16WC 32737 BUFFKIN, DEVEER ELITE STAFFING 10/04/16 LAW OFFICES TIMOTHY HENDER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 765 16WC 32785 LOOTENS, LORALEE UNITED AIRLINES INC. 08/04/14 BRIAN J MC MANUS & ASSOC, 766 16WC 32787 HOSKIN, ALISA ADVOCATE MEDICAL GROUP 09/29/16 STEVEN J MALMAN & ASSOCIAT NYHAN BAMBRICK KINZIE & LOWR 767 16WC 32805 ACOSTA, LILIANA ALTERNATIVE STAFFING 08/08/16 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 768 16WC 32843 RAMIREZ, JORGE A KOCH FOODS 08/24/16 DEPAOLO ZADEIKIS GORE MACIOROWSKI SACKMANN & ULRIC 769 16WC 32905 SMITH, BRUCE FEDERAL RESERVE BANK 12/08/15 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 770 16WC 32947 WONG, CAROL UNITED AIRLINES INC. 10/13/16 BRIAN J MC MANUS & ASSOC, 771 16WC 32989 AYALA, SARAHI ACE ANODIZING & 10/14/16 HERRERA LAW CENTER 772 16WC 33013 ESCUTIA, PEDRO MARTIN B LANDSCAPING, INC 05/13/15 CULLEN HASKINS NICHOLSON 773 16WC 33038 COOPER, LAWRENCE AMERICAN AIRLINES 09/12/15 ELFENBAUM EVERS & AMARILIO 774 16WC 33099 WELLS-CURRY, RHONDA CTA 10/18/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 775 16WC 33132 SOOLEY, BRIAN EAGLE EXPRESS LINES, INC 02/01/16 DWORKIN AND MACIARIELLO 776 16WC 33188 REID, KEDISHA K MATHER LIFEWAYS 09/20/16 ANKIN LAW OFFICE 777 16WC 33213 JAMES, LORI STATE OF ILLINOIS @ 08/24/16 FISHER & LAMONICA STEPHANIE KEVIL 778 16WC 33248 ORIZABA MARTINEZ, TIMOTEO PAVESTONE BRICK PAVING IN 10/13/16 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 779 16WC 33278 VERGARA, RO GELIO LOUIS JAVELL INDIVIDUALLY W 08/28/16 JOHN J CASTANEDA 780 16WC 33327 HOLIDAY, SHARONDA D TOOTSIE ROLL MFG LLC 08/01/16 BOWMAN & CORDAY 781 16WC 33373 SANCHEZ, JUAN EBBEN MASONRY 09/17/16 ARGIONIS & ASSOCIATES LLC 782 16WC 33451 VARGAS PEREZ, MAGDALENO TREES R US, INC 09/17/15 HART & DAVID LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 783 16WC 33478 TAYLOR, ALLEN AMERICAN AIRLINES 09/27/16 MC HARGUE, JAMES P LAW OFF 784 16WC 33520 CLARK, DEBRA COOK COUNTY SHERIFF'S OFF 10/21/16 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 785 16WC 33553 TAIBLESON, BRANDON L ABT ELECTRONICS 06/21/16 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 786 16WC 33586 CROIX, WILLIAM R AT&T INC 08/25/16 LAW OFFICE PHILIP BLOMBERG 787 16WC 33614 TRZOS, TOM CHICAGO TRANSIT AUTHORITY 08/05/16 BRIAN J MC MANUS & ASSOC, CHICAGO TRANSIT AUTHORITY 788 16WC 33644 GUALLPA, GABRIEL PALMER HOUSE HILTON 10/10/16 LAW OFFICE HUGO ORTIZ 789 16WC 33683 WALKER, TRENNIA C STATE OF IL/IDOC @ 09/23/16 GOLDSTEIN BENDER & ROMANOF STEPHANIE KEVIL 790 16WC 33706 HEIL, THOMAS DPI SPECIALTY FOODS 10/10/16 HORWITZ HORWITZ & ASSOC 791 16WC 33730 KARCZEWSKI, PATRICIA ALEXIAN BROTHER BEHAV HEA 07/09/16 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 792 16WC 33766 STACK, ALLAN MICHAEL'S CARTAGE INC 10/31/16 MARK G BERGAL LAW OFFICE 793 16WC 33793 BELSER, WILLIAM METRO COLLISION 08/30/16 LEONARD LAW GROUP LLC 794 16WC 33893 GIRARD, JOSEPH RIGGS DISTLER & CO 02/26/15 RATHBUN CSEVENYAK & KOZOL GAROFALO SCHREIBER STORM 795 16WC 34010 ORR, BRENDA FRANCISCAN SISTER OF CHIC 07/07/16 DWORKIN AND MACIARIELLO 796 17WC 00423 ANAGUANO, MONICA DISPATCH AFFILIATION, LLC * 12/29/16 SALK, STEVEN B & ASSOC LTD 797 17WC 00443 JOHNSON, ANDREW L CHICAGO TRANSIT AUTHORITY * 11/24/16 ANKIN LAW OFFICE 798 17WC 00473 STROH, MICHAEL REPUBLIC SERVICES * 11/07/16 ORTEGA & ASSOCIATES, LLC 799 17WC 00548 PHILLIPS, GLENN JEWEL OSCO/NEW ALBERTSON * 12/12/16 GOLDBERG WEISMAN & CAIRO L 800 17WC 00639 WILLIAMS, JACQUELINE K INTERSTATES DISTRIBUTOR C * 09/18/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 801 17WC 00677 HERNANDEZ, HERLINDA ALTERNATIVE STAFFING INC * 12/01/16 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 802 17WC 00760 FALEWICZ, ANDRZEJ LAPHAM HICKEY STEEL * 06/07/16 MACIEJ J ORDON 803 17WC 00778 DYE, CALEB FORD MOTOR COMPANY * 07/01/15 FOHRMAN, DONALD W & ASSOCS 804 17WC 00809 HALL, JUSTIN TEE TIME DELIVERY * 12/14/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 805 17WC 00831 MEYER, MICHAEL XPO LOGISTICS * 12/13/16 MC HARGUE, JAMES P LAW OFF 806 17WC 00852 JACKSON, MEL AMERICAN AIRLINES * 11/17/15 SAUNDERS CONDON & KENNY 807 17WC 00925 SHARAWI, MAGDI MIKE TAXI CORP * 12/16/16 FISHER & LAMONICA 808 17WC 00945 HAMILTON, RAYMOND COMCAST SERVICE CENTER * 10/27/16 DAVID W MARTAY 809 17WC 00986 LEON, ERNESTO LKQ CORPORATION * 01/03/17 LAW OFFICES LEONARDO MORAL 810 17WC 01014 JIMENEZ, SALVADOR MOTIVATE INTERNATIONAL IN * 07/06/16 CUSHING LAW OFFICES 811 17WC 01029 JONES, ANTHONY AMAZON * 12/29/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 812 17WC 01052 KRAWCZYK, PETER LAKE COUNTY DIVISION OF * 06/15/16 RIDGE & DOWNES 813 17WC 01082 SOBIESIAK, JAKUB AVONDALE ROOFING * 03/19/16 MINKOW DOMIN 814 17WC 01107 PERRY, JOANN COURTLAND HEALTHCARE * 01/08/17 DWORKIN AND MACIARIELLO 815 17WC 01130 RECARTE, MIRNA HELP AT HOME * 11/25/16 RUBIN MACHADO ROSENBLUM 816 17WC 01181 SEARCY, CHARLES CTA * 09/12/16 BRISKMAN BRISKMAN GREENBER 817 17WC 01246 IBARRA CARVAJAL, ALICIA SODEXO * 07/31/15 HERRERA LAW CENTER 818 17WC 01273 TOLAYO, FRANCISCO CLOVERHILL BAKERIES * 12/16/16 RUEDA, IVAN A

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 819 17WC 01288 THOMAS, BEVERLY QUEEN CHICAGO BOARD OF EDUCATIO * 09/01/15 820 17WC 01302 GALLEGOS, RAUL C.M.L. * 09/01/14 SALVATO & O'TOOLE 821 17WC 01321 JAMES-IRVIN, VERONICA HELP AT HOME, LLC * 01/03/17 ANKIN LAW OFFICE 822 17WC 01342 GAMBERALE, FRANK CITY OF CHICAGO, STREETS * 09/22/14 CUDA LAW OFFICES CITY OF CHICAGO 823 17WC 01359 CHORAGWICKI, ANDRZEJ PROVIDENCE HEALTHCARE & * 03/12/14 LEO M. BLEIMAN & ASSOC 824 17WC 01389 HALE-STEIBER, DONNA SOUTHERN COMPANY GAS F/K/ * 04/17/15 HUTCHISON ANDERS & HICKEY 825 17WC 01424 RINN, PHILIP JERRY CASTLE & SON HI LIF * 09/26/16 WOLF LAW LTD 826 17WC 01446 ANDERSON, ADAM SPEED INDEPENDENCE SCHOOL * 10/05/16 MARK G BERGAL LAW OFFICE 827 17WC 01472 DIAZ, JESUS D CAPSTONE LOGISTICS * 12/19/16 GOLDSTEIN BENDER & ROMANOF 828 17WC 01492 ANDERSON, KIMBERLY CHICAGO PUBLIC SCHOOLS * 09/07/16 STEVEN J MALMAN & ASSOCIAT 829 17WC 01504 BLAIR, STEVE FORD MOTOR CO * 11/22/16 FOHRMAN, DONALD W & ASSOCS 830 17WC 01526 HICKENBOTTOM, GREG DIRECT SAT USA * 01/04/17 DANIEL PERIASWAMY 831 17WC 01605 FREDERICKSEN, WILLIAM BAKE'S STEEL ERECTORS * 09/22/16 KROL BONGIORNO & GIVEN LTD 832 17WC 01625 RIZITIELLO, RICO MARIANO'S WESTCHESTER * 04/01/16 GOLDBERG WEISMAN & CAIRO L 833 17WC 01642 LIVINSTON, BROCK FEDEX EXPRESS * 04/10/15 ALBERT R. PINO LAW OFFICE 834 17WC 01710 WATSON, CHERYL CPS * 01/13/17 DWORKIN AND MACIARIELLO 835 17WC 01750 MARZULLO, MICHAEL CITY OF CHICAGO * 02/01/15 O'CONNOR & NAKOS 836 17WC 01789 JONES, MICHAEL SOUTHWEST AIRLINES * 10/23/16 ELFENBAUM EVERS & AMARILIO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 837 17WC 01860 ORTIZ, EZEQUIEL CONNOMAC CORP * 10/05/15 DEPAOLO ZADEIKIS GORE 838 17WC 01862 ANDREOTTA, MARY UNITED AIRLINES INC. * 01/01/17 GREGORIO & MARCO 839 17WC 01883 PIEKARSKA, ANNA D KENMARE CATERING & EVENTS * 09/04/16 ANKIN LAW OFFICE 840 17WC 01954 MOHAMUD, MAHAT FLASH CAB * 12/11/16 ELFENBAUM EVERS & AMARILIO 841 17WC 01978 WILK, CHRISTOPHER S UNITED PARCEL SERVICE * 09/03/16 WILLIAMS, ROBERT B LAW OFF 842 17WC 02001 ACOSTA, PATRICIA TOPNOTCH SILKSCREENING IN * 11/29/16 JAMES J. GAY 843 17WC 02019 SUTTON-BELL, DONNA DAVIS STAFFING, INC * 12/22/16 DWORKIN AND MACIARIELLO 844 17WC 02050 AGUILAR III, JULIO USF HOLLAND, INC * 01/12/17 GOLDBERG WEISMAN & CAIRO L 845 17WC 02094 GRIFFIN, TAMARA FORD MOTOR CO * 09/26/15 FOHRMAN, DONALD W & ASSOCS 846 17WC 02137 NERI, AVELARDO BARRINGTON POOLS INC * 12/16/16 HANNIGAN & BOTHA, LTD 847 17WC 02158 RUFUS, JAMES CITY OF CHICAGO * 01/12/17 LEO M. BLEIMAN & ASSOC HENNESSY & ROACH PC 848 17WC 02233 GRADY, LEONARD WENDY'S * 01/06/17 LEONARD LAW GROUP LLC 849 17WC 02256 ROBINSON, DANIEL J VILLAGE OF MATTESON * 07/11/16 RAYMOND M SIMARD, PC 850 17WC 02320 COVARRUBIAS, ANTHONY LSG SKY CHEFS * 09/18/16 HORWITZ HORWITZ & ASSOC 851 17WC 02336 CARR III, ROBERT DPI DEDICATED LOGISTICS, * 01/09/15 GOLDSTEIN AIOSSA & GOOD 852 17WC 02396 BARAJAS, JOSE COMMJNITY CONSOLIDATED SC * 01/11/17 CORBOY & DEMETRIO PC 853 17WC 02409 GOLDBERG, ROBERT ACCENTURE FEDERAL SERVICE * 02/04/14 ANKIN LAW OFFICE 854 17WC 02429 ORTEGA, BIBIANA ASPEN FOODS * 12/22/16 BERG & BERG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 03/08/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 855 17WC 02450 RODRIGUEZ, LILLIAM ABLE ENGINEERING MGMT CO * 02/13/16 THE ROMAKER LAW FIRM 856 17WC 02470 STALLWORTH, ALICE MT SINAI HOSPITAL * 01/18/17 FRIEDMAN & SOLMOR LTD NYHAN BAMBRICK KINZIE & LOWR 857 17WC 02493 ROGERS, ERIC NESTLE * 12/17/16 RAYMOND M SIMARD, PC 858 17WC 02508 KHALIL, FARAJ HERTZ * 11/23/15 THERMAN LAW OFFICES 859 17WC 02554 CUBERO, DAVID CITY OF CHGO-DEPT OF STRE * 06/01/16 GOLDBERG WEISMAN & CAIRO L 860 17WC 02592 DIAZ, REMBERTO COLUMBIA GLASS, INC * 01/15/16 BAUM RUFFOLO & MARZAL LTD 861 17WC 02649 BEAUCHAMP, ADRIESE CHICAGO TRANSITY AUTHORIT * 01/14/17 MC HARGUE, JAMES P LAW OFF 862 17WC 02672 ARKIS, JACK ACL LABORATORIES * 08/23/16 SEIDMAN MARGULIS & FAIRMAN 863 17WC 02726 DANIELS, KENNETH AT&T * 07/20/15 KATZ FRIEDMAN EAGLE ET AL 864 17WC 02727 ELISEO ARCEO ELITE STAFFING * 08/20/16 ALEX MENDOZA LLC 865 17WC 02763 MADRIGAL, ANA TERESA PAMCO PRINTED TAPE & LABE * 03/28/16 LAW OFFICE OF DONALD SINGE 866 17WC 02784 MILLER, KEYATA WHOLE FOODS MARKET * 10/06/16 RONALDSON & KUCHLER 867 17WC 02821 HOFFMAN, MONICA CHICAGO PUBLIC SCHOOLS * 01/19/17 MICHAEL A. HIGGINS 868 17WC 02840 BULLOCK, MICHAEL CTA * 12/22/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 869 17WC 02865 NEWMAN, ADAM ELECTRIC CONDUIT CONSTRUC * 11/29/16 JEROME FOREMAN & ASSOCIATE 870 17WC 02886 ENRIGHT, JOSEPH UNITED PARCEL SVC * 01/08/15 HORWITZ HORWITZ & ASSOC 871 17WC 02922 DRYDEN, SALENCIA P RICKY ROCKETS FUEL CENTER * 01/16/17 ANKIN LAW OFFICE 872 17WC 02952 RODRIGUEZ, ARCELIA LOYOLA UNIVERSITY HEALTH * 01/16/17 RAYMOND M SIMARD, PC

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