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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 11WC 22349 ESTANISLAO, ELEANOR HMS HOST 05/20/11 ELFENBAUM EVERS & AMARILIO ROBERT L. SMITH 16WC025410 -C 14 11WC 29362 HOLMON, LASHAWN CTA 07/30/11 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 13WC032476 -C 14WC032940 -C CHICAGO TRANSIT AUTHORITY 15 11WC 43713 ZELLER, VERNON SEARS HOLDING CORP 05/23/11 JOHN E LUSAK GAROFALO SCHREIBER STORM GRA 16 11WC 44019 TOLLINCHI, JOSE GEORGIA NUT COMPANY 04/20/11 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 17 11WC 44330 HAMPTON, AUDREY CHICAGO PUBLIC SCHOOLS 09/13/11 DEAN J CARAS & ASSOCIATES LEAHY EISENBERG & FRAENKEL 18 11WC 47393 SOLANO, YOLANDA GATE COURMET 12/11/11 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 11WC047394 -C 11WC047395 -C 11WC047839 -C 19 12WC 02357 RALPH, JASON CURRIERS HUDO SERVICE LLC 01/06/12 JOHN S. ELIASIK RUSIN & MACIOROWSKI LTD 20 12WC 03586 19B LOCKHART, MARGARET ILL DEPT OF TRANSPORTATIO @ 01/13/12 LEWIS & DAVIDSON, LTD ASSISTANT ATTORNEY GENERAL 21 12WC 16306 ALLEN, WENDELL JOEYS MOVERS AND TRUCKING 04/26/12 KARCHMAR & STONE ASA LAW GROUP 22 12WC 16410 HOOTEN, WILLIAM F SPRAY INSULATIONS INC/ 01/10/12 DEBRA M BYRNES WIEDNER & MCAULIFFE LTD 23 12WC 16494 DACA, JANUSZ SPIE TOOL CO 05/01/11 MINKOW DOMIN LAW OFFICES JOSEPH MARCINIAK 24 12WC 21264 19B ROGERS, LENORA ELIZABETH LUDEMAN CENTER @ 11/20/11 ANKIN LAW OFFICE STEPHANIE KEVIL 25 12WC 22215 WOODS, RICARDO METROPOLITAN WATER RECLAM 01/27/12 ROBERT A. WILSON NYHAN BAMBRICK KINZIE & LOWR 15WC019694 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 26 12WC 27455 TRES, ALAN J WEST RIDGE NEWS AGENCY IN 05/15/03 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 27 12WC 28524 BALLARD, KEVIN FORD MOTOR CO 05/17/11 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 12WC028525 -C 14WC017178 -C 15WC039275 -C 15WC039276 -C 28 12WC 30666 GRANDE, MANUEL P DE STA CO MANUFACTURING 05/29/12 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 14WC012679 -C DE-STA-CO MANUFACTRING 29 12WC 34254 SPITZER, MELANIE CLUB 162 N/K/A 04/01/11 GORDON & CENTRACCHIO LLC 30 12WC 37400 19B OTT, DON ALLIANCE FIRE PROTECTION 11/01/11 HEALY LAW FIRM HENNESSY & ROACH PC 31 12WC 38165 DIAZ, ANTONIO SKYLINE FURNITURE MFG INC 05/10/12 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 32 13WC 07346 HARRIS, NATESHA ABM JANITORIAL 08/30/12 SALVATO & O'TOOLE GOLDBERG SEGALLA LLC 33 13WC 15855 SHEPARD, PATRICIA JEWEL FOODS 04/13/13 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 34 13WC 16757 ARANDA, ANTONIO HILTON WORLDWIDE INC C/O 02/15/13 LEWIS & DAVIDSON, LTD NOBLE & ASSOCIATES PC 35 13WC 16825 FRYE, LAMONT CHICAGO PUBLIC SCHOOL ROJ 05/13/13 LAW OFFICE OF SCOTT B SHAP LAW DEPARTMENT 36 13WC 21421 MURDOCK, KATHY ADDUS HEALTHCARE 12/13/12 DAVID W MARTAY HENNESSY & ROACH PC 14WC036019 -C 37 13WC 23909 HANNAH, TANASHA PRINCIPAL MANUFACTURING 05/01/11 MEYERS & FLOWERS JOSEPH MARCINIAK 15WC005006 -C 38 13WC 24167 ARANDA,MARIA DE LOS ANGEL SHORE CLEANERS W 06/17/13 JAMES ELLIS GUMBINER & ASS 39 13WC 24791 ULRICH, JOHN E JR PALOS COMMUNITY HOSPITAL 08/26/10 HORWITZ HORWITZ & ASSOC LORENZ & BERGIN PC 40 13WC 27554 RICHARDSON, KARENA UNIVERSITY OF CHICAGO HOS 06/29/13 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 41 13WC 27609 GOMEZ, GILBERTO VIRTO AND SON TRUCKING 10/15/12 CULLEN HASKINS NICHOLSON SMITH AMUNDSEN LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 59 14WC 15416 SOLANO, MOISES MULTI TEMPS SERVICES INC 07/09/13 GOLDSTEIN BENDER & ROMANOF THOMAS & PORTELA 60 14WC 16439 ARNOLD, ROBERT AMMERAAL BELTECH 08/17/13 SEIDMAN MARGULIS & FAIRMAN 61 14WC 16697 RAMOS, JUAN PABLO SORTO D & Z CONSTRUCTION LLC 01/19/14 SALVATO & O'TOOLE 62 14WC 16951 POCIASK, CHRISTINE CVS PHARMACY INC 11/09/13 ACEVES & PEREZ PC HINSHAW & CULBERTSON 63 14WC 17418 MORENO, HUGO COLONIAL BRICK CO INC 03/12/14 JOHN S. ELIASIK ACCIDENT FUND HOLDINGS 64 14WC 18959 19B CHACKO, ALVIN CHICAGO TRANSIT AUTHORITY 12/17/13 BOWMAN & CORDAY CHICAGO TRANSIT AUTHORITY 65 14WC 20860 JAMISON, ANTHONY CHICAGO PUBLIC SCHOOLS 09/22/11 CAMERON CLARK LAW DEPARTMENT 66 14WC 20980 BALEGH, HAMDY FRANK FOOD MART W 01/29/14 JAMES W GREEN, JR 67 14WC 24692 REYES, MARIO NTB 10/13/13 SALVATO & O'TOOLE BRADY CONNOLLY & MASUDA PC 68 14WC 25379 SCHNURR, RONALD L MOTOR WERKS OF BARRINGTON 01/09/14 JOHN E LUSAK BRYCE DOWNEY & LENKOV LLC 69 14WC 25499 RUIZ, ALEJANDRO AMERICAN BUILDING 12/26/13 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR 70 14WC 27017 RILEY, ERICA CHICAGO TRANSIT AUTHORITY 08/01/14 ANKIN LAW OFFICE 15WC018987 -C CTA 16WC027513 -C 71 14WC 30139 BOYD, NANCY ELIZABETH LUDEMAN CENTER @ 07/31/14 WITTENBERG DOUGHERTY MAGLI C. FLETCHER 72 14WC 30517 PEAKE, ROBYN CTA 06/09/14 CHICAGO TRANSIT AUTHORITY 73 14WC 35257 PREVENDAR, DAN UNITED AIRLINES INC. 10/03/14 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 74 14WC 36472 METZNER, MARK AMERICAN COMMUNITY MANAGE 08/05/14 BOUDREAU NISIVACO LLC ACCIDENT FUND HOLDINGS 75 14WC 36880 SMILEY, JOE D JR CHICAGO PUBLIC SCHOOLS 05/06/14 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 76 14WC 37435 AVILEZ, SEFERINO VPC PIZZA MANAGEMENT 08/26/13 MARTIN L GLINK LAW OFFICE INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 77 14WC 37467 BROOKS, SHIFFONE ALDI 06/01/14 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 78 14WC 37575 19B BRYANT, SUSAN ANN & ROBERT H LURIECHILD 07/28/12 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 79 14WC 37592 VOJINOVIC, NIKOLA MMJ TRANSPORTATION 10/23/14 O'CONNOR & NAKOS 80 14WC 37616 OLADIPO, OLALEKAN TRIBECA TWO CAB CORP 3335 09/04/14 COHN LAMBERT RYAN & SCHNEI 81 14WC 38491 OROZCO, MARIA ELENA LABOR SOLUTIONS/STAFF RIG 11/01/14 CULLEN HASKINS NICHOLSON MC ANDREWS & NORGLE LLC 82 14WC 38834 PRICE, TIMOTHY L D DHL WORLDWIDE EXPRESS 10/09/14 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 83 14WC 40488 HARTMAN, JEFF FORD MOTOR CO 05/13/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 15WC020865 -C 84 15WC 01658 SALDIVAR, ROGELIO PACKERS SANITATION SERVIC 12/14/14 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 85 15WC 01863 PARCHETA, PATTY STARBUCKS COFFEE COMPANY 06/03/14 LAW OFFICES DANIEL E MURPH BRADY CONNOLLY & MASUDA PC 15WC007804 -C 86 15WC 02354 IGOE, ELIZABETH CHICAGO PUBLIC SCHOOLS 09/13/13 KARCHMAR & STONE LAW DEPARTMENT 87 15WC 03509 BAKER, LAFORCE PACE BUS 12/05/14 TRAPP & GELLER SLAVIN & SLAVIN 88 15WC 03896 DAVIS, JAMICA N COOK CTY FACILITIES MGMT 11/14/13 GOLDSTEIN BENDER & ROMANOF STATES ATTORNEY OF COOK COUN 89 15WC 04584 DIONIDO, LEONARDO A PACE WEST DIVISION 08/18/14 MICHAEL HELLMAN PACE - LEGAL DEPT 90 15WC 04609 GIL, CARLOS CHICAGO TRANSIT AUTHORITY 01/12/15 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 91 15WC 04627 SAYANI, MOHAMMED N GLOBE TAXI 02/24/14 SEIDMAN MARGULIS & FAIRMAN 92 15WC 04907 LATRONICA, RENEE G CHICAGO PUBLIC SCHOOLS 06/10/14 GOLDBERG WEISMAN & CAIRO L 93 15WC 04948 LEWIS, JEZAIL CHICAGO PUBLIC SCHOOLS 01/14/15 BAUM RUFFOLO & MARZAL LTD CHGO BOARD OF EDUCATION 94 15WC 05046 BOENS, KEVIN COOK COUNTY 02/13/15 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 95 15WC 08879 MUENCH, RYAN UIC MEDICAL CTR PATHOLOGY 05/17/13 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 96 15WC 10740 19B DUNNING, TUESDAY VILLAGE DISCOUNT OUTLET 09/27/14 SLAVIN & SLAVIN NYHAN BAMBRICK KINZIE & LOWR 97 15WC 12804 DYMEK, JAMES M UNIVERSAL PROTECTION SERV 02/01/15 NEWMAN, BOYER & STATHAM KEEFE CAMPBELL & ASSOC LLC 98 15WC 12838 ARCE, LUIS CTA 01/15/15 WHITING LAW GROUP CHICAGO TRANSIT AUTHORITY 99 15WC 14293 KNIGHT, JANELLE NORTHWESTERN MEMORIAL HOS 12/01/14 EAMES LAW GROUP LTD GAROFALO SCHREIBER STORM GRA 100 15WC 14600 BOSCO, RONALD UNITED AIRLINES INC. 01/10/15 LAW OFFICE PHILIP BLOMBERG WIEDNER & MCAULIFFE LTD 101 15WC 14727 DELGADO, CUTBERTO FOOD 4 LESS 12/12/14 SALVATO & O'TOOLE STONE & JOHNSON CHARTERED 18WC013479 -C 102 15WC 15139 DANIELS, DAVID MIDTOWN CARPET 08/01/14 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 103 15WC 15227 SALCEDO, ROCHELLE TRADER JOE'S 06/07/13 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM GRA 104 15WC 15969 SANCHEZ, MARIO GRECO & SONS 04/06/15 LUIS A ACEVES & ASSOC WIEDNER & MCAULIFFE LTD 16WC005981 -C 105 15WC 17609 URBINA, GILBERTO KING OF GLORY OF CHICAGO W 06/06/12 SIMS, ZACHARY K PC 106 15WC 21856 CHERN, KAREN S. UPRIGHT LAW 06/08/15 VITELL & SPITZ LTD NYHAN BAMBRICK KINZIE & LOWR 107 15WC 23561 GARCIA, NOE REZA NATIONAL PROCESSING CO 07/27/15 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 16WC039435 -C 108 15WC 23647 VARGAS, ARTURO FORD MOTOR CO 08/24/14 LAW OFFICE EDWARD LICHTENS WIEDNER & MCAULIFFE LTD 16WC016010 -C 109 15WC 23679 RAFIDI, YASMIN SYMPHONY OF CRESTWOOD NUR 07/01/15 ANESI OZMON RODIN NOVAK KO MCCABE KIRSHNER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 110 15WC 24787 MEREGILLANO, VIRGINIA STATE OF IL-CHICAGO READ @ 06/17/15 HART & DAVID LLP ASSISTANT ATTORNEY GENERAL 111 15WC 25506 DAVIDSON, TAMARA UNITED AIRLINES 12/11/14 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 17WC004763 -C 112 15WC 25823 MC CARTHY, DAWN NAPLETON RIVER OAKS MOTOR 01/27/15 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 113 15WC 26377 SUAREZ, MIGUEL EDGAR A WEBER & CO 07/13/15 COHN & COHN HENNESSY & ROACH PC 114 15WC 26895 VALADAZ, JOSE A RINGWOOD COMPANY, INC 06/30/15 JOHN S. ELIASIK GAROFALO SCHREIBER STORM GRA 115 15WC 30987 ALEMAN, JOSEPH ARAMARK CORP 09/20/15 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 116 15WC 33063 DRINSKI, JEFFREY TOTAL REHAB 01/07/15 WOLFE LAW PC 117 15WC 33593 GALE, CORDRE FORD MOTOR COMPANY 07/17/15 LEE, MARK N LAW OFFICE POWER & CRONIN LTD 118 15WC 34041 FERGUSON, CHANY PACKERS SANITATION 10/18/15 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 119 15WC 34124 HARRIS, JULIE 2-IN-1 CONTRACTORS, INC 07/15/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 120 15WC 34230 SWEENEY, SUSAN SOUTHWEST AIRLINES 10/04/15 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 15WC034231 -C 121 15WC 34314 TORRE, ELEAZAR DE LA A & A DRYWALL & TAPING 02/09/15 RAYMOND M SIMARD, PC RODDY LAW LTD 15WC034315 -C 122 15WC 34540 SAMUELS, TINA M SCR MEDICAL TRANSPORATION 10/19/15 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 123 15WC 34662 FULLER, KERI KRAFT HEINZ 11/14/13 RUBIN LAW GROUP GAROFALO SCHREIBER STORM GRA 15WC034663 -C 124 15WC 34805 MICHALSKI, MICHAEL FREEMAN EVENT PLANNER 07/15/15 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 125 15WC 34904 CROCKETT, EVELYN CHICAGO PARK DISTRICT 05/01/13 POLANSKY & CICHON CHTD CHICAGO PARK DIST LAW DEPT 126 15WC 34985 HOFFMAN, BETH SPANCIL DEVELOPMENT D/B/A 02/08/15 ASHER, RAYMOND L LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 127 15WC 35393 JONES, WENDELL E VCNA PRAIRIE MATERIAL SER 06/04/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 128 15WC 35663 COONS, LEE RONALD WEBER-STEPHEN 04/30/15 COLLISON LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 129 15WC 35775 TREIBER, STACI VILLAGE OF WHEELING 10/07/15 SCOTT BARBER KLEIN THORPE & JENKINS LTD 130 15WC 35910 HERNANDEZ, MARIA REYNA ALTERNATIVE STAFFING INC. 12/02/13 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 131 15WC 35923 STOLL, THOMAS GEICO INSURANCE 01/23/14 STEVEN M SELAN BRYCE DOWNEY & LENKOV LLC 15WC041959 -C 132 15WC 36039 WATKINS, RAYMOND CASSENS TRANSPORT 09/15/15 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 133 15WC 36106 RODRIGUEZ, SAMUEL GERBER TECHNOLOGY 04/20/15 GOLDBERG WEISMAN & CAIRO L 134 15WC 36175 CROWEROFT, MICHAEL A W SMITH CARTAGE COMPANY 10/18/15 LEONARD LAW GROUP LLC 135 15WC 36366 CAGLE, GREGORY ROSEMONT EXPOSITION SERVI 10/12/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 136 15WC 36476 SHERWOOD, KEVIN ORTIZ BUILDERS, INC 09/23/15 RUBIN LAW GROUP HOLECEK & ASSOCIATES 15WC036477 -C 137 15WC 36685 PAYNE, VONDA CIRCUIR COURT OF 08/02/14 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 138 15WC 36836 19B MONTES, OSCAR EQUIPMENT DEPOT 10/15/14 CAPRON & AVGERINOS PC MEACHUM & STARCK 139 15WC 36860 FIELDS, LINDA L STATE OF IL DEPT OF @ 11/07/15 FRIEDMAN & SOLMOR LTD ASSISTANT ATTORNEY GENERAL 140 15WC 36943 MUHAMMED, ARIF BLUE CODE CHICAGO W 09/28/15 BAUM RUFFOLO & MARZAL LTD 141 15WC 37118 AVILES, LANDA OEVY RESTAURANTS 10/09/15 GOLDSTEIN AIOSSA & GOOD 142 15WC 37759 HERRERA, SILVESTRE P&K AUTO SALES INC (NKA- W 02/25/15 MENDOZA LAW PC ATSAVES, LOUIS G LTD 143 15WC 37983 BIBBS, LATONYA CHGO STREETS & SAN DEPT 08/19/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 144 15WC 38153 SCHMITZ, THOMAS M BREMEN HIGH SCHOOL DIST 2 06/02/15 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 145 15WC 38177 WILSON, JOHN UPS 12/10/14 LEONARD LAW GROUP LLC 146 15WC 38800 PEREZ, OLIVIERO ACME INDUSTRIES INC 04/29/15 NEWLAND & NEWLAND HOLECEK & ASSOCIATES 147 15WC 38822 VEGA, JOSE G RONS STAFFING SVC - WESTE 11/24/15 EPSTEIN, JACK R LAW OFFICE KOREY RICHARDSON LLC 148 15WC 38841 ANZALDUA, ANASTASCIO BIG TOP AUTO PARTS INC 10/23/15 COHN & COHN 149 15WC 38996 SMITH, ABDULLAH COOK DUPAGE TRANSPORTION 11/24/15 BRISKMAN BRISKMAN GREENBER 150 15WC 41287 TALLERICO, JAMIE ILLINOIS STATE TOLL HIGHW @ 04/18/13 KOSIN LAW OFFICE LTD NYHAN BAMBRICK KINZIE & LOWR 17WC001051 -C 17WC005323 -C IL STATE TOLL HWY AUTHORIT 151 16WC 00441 BRICENO, ANTONIO CHRIS THOMAS COMPANY 11/04/15 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 152 16WC 00914 19B GRAJALES-ARCE, MARIA PLEASANT HOUSE BAKERY LLC 12/15/15 NICHOLIS J STEIN LAW OFFICES JOSEPH MARCINIAK 153 16WC 02178 CIRKIC, SABEHETA LUTHERAN GENERAL HOSPITAL 09/19/15 RITTENBERG & BUFFEN NYHAN BAMBRICK KINZIE & LOWR 16WC002179 -C 154 16WC 03520 SCHWARZ, BARBARA SPEED COOP 10/24/14 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 155 16WC 04018 MORTENSEN, CAROL ADVOCATE CHRIST MEDICAL C 02/01/16 KOSIN LAW OFFICE LTD GAROFALO SCHREIBER STORM GRA 17WC020923 -C 156 16WC 04165 HEINTZMAN, PETER CTA 01/28/16 LAW OFFICES PETER LEKAS CHICAGO TRANSIT AUTHORITY 157 16WC 04218 MOORE, LUSETTE PACE BUS 11/29/15 VASILATOS & COTTER LLC SLAVIN & SLAVIN 158 16WC 04380 BROWN, GABRIEL A NELSON INSULATION CO 12/22/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 159 16WC 04671 ZHURBA, LEONIA GATE GOURMET 08/15/15 MEYER & BLUMENSHINE LAW OF 160 16WC 04929 DODARO, JOHN NATIONAL CONVENTION SERVI 02/05/16 JOHN E LUSAK LAW OFFICES OF EDWARD J. KOZ 161 16WC 05117 MORENO, DEBRA J FORD MOTOR CO 02/04/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 162 16WC 05190 CARPENTER, BEATRICE FEDEX CORPORATE SERVICES 02/01/16 ANKIN LAW OFFICE 163 16WC 06774 STAYKOV, NICK CECO CONCRETE CONSTRUCTIO 12/04/15 MUELHAUSEN & STEFANI RUSIN & MACIOROWSKI LTD 164 16WC 06963 008 CARCILLO, DAN CHICAGO BLACKHAWKS HOCKEY 03/08/13 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 008 12WC008405 -C 008 13WC025302 -C 008 15WC021330 -C 008 15WC021331 -C 165 16WC 10989 JIMENO, RICARDO KUSTOM SEATING UNLIMITED 08/18/14 COSTA IVONE LLC 166 16WC 13653 DE LEON, RODOLFO MARCIAL NEVAREZ/IWBF 04/02/16 JAMES ELLIS GUMBINER & ASS 167 16WC 13981 QUAM, SONYA HMS HOST 11/25/15 ELFENBAUM EVERS & AMARILIO ROBERT L. SMITH 168 16WC 14060 MATTHEW, JACOB PROSPECT AIRPORT SERVICES 03/10/16 STEVEN A CRIFASE, LTD 169 16WC 14515 YOUNG, WILLIE CHICAGOBEARS FOOTBALL 12/21/14 WOLFE LAW PC MC ANDREWS & NORGLE LLC 16WC034808 -C 16WC034809 -C 18WC015357 -C 18WC028874 -C 18WC028875 -C 18WC028876 -C 18WC028877 -C 18WC028878 -C 18WC028879 -C 18WC028880 -C 18WC030692 -C 170 16WC 14667 MEDINA, ELIZER JR. METROPOLITAN WATER 04/29/16 HUGHES SOCOL PIERS RESNICK 171 16WC 15377 LLOYD, BONNIE CHICAGO TRANSIT AUTHORITY 02/19/16 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 172 16WC 15830 NASCIMENTO, EDVALDO MAACO COLLISION & REPAIR 12/07/15 NEWLAND & NEWLAND RUSIN & MACIOROWSKI LTD 173 16WC 16008 MONTERO, JOSE LUIS DICICCO CONCRETE PRODUCTS 10/04/13 CORBOY & DEMETRIO PC 174 16WC 16809 BELAUZARAN, MARTHA EXECUTIVE MAILING 08/14/15 SALVATO & O'TOOLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 175 16WC 16874 WASHINGTON, ANGELA COOK COUNTY HOSPITAL 02/29/16 DWORKIN AND MACIARIELLO 176 16WC 16973 PEREZ, JACQUELINE PETE'S FRESH MARKET 05/20/16 BRISKMAN BRISKMAN GREENBER 177 16WC 17375 STOVALL, GRACE RICK'S SERVICES INCORP. 04/23/16 COSTA IVONE LLC HOLECEK & ASSOCIATES 178 16WC 23944 BAKER, KEVIN QUAD CITY MALLARDS 12/22/14 GORDON LAW OFFICES LTD INMAN & FITZGIBBONS 179 16WC 24690 NORWOOD, APRIL CARL BUDDIG & CO 05/30/16 DEPAOLO ZADEIKIS GORE KNELL & O'CONNOR 180 16WC 24839 YUSSUF, SACIID 2D2 LTD 07/29/16 FISHER & LAMONICA 181 16WC 24946 SANCHEZ, NILDA MENARD INC 04/19/15 RICHARD O. GREENFIELD CHILTON YAMBERT PORTER LLP 16WC024947 -C 182 16WC 25016 ZARAGOZA, JESUS M. ROY STROM, INC. 05/10/16 CHRISTIAN & MANNO KLAUKE LAW GROUP LLC 183 16WC 25026 PODOLSKI, JOHN CITY OF PARK RIDGE 05/18/16 JOHNSON, MICHAEL D & ASSOC MACIOROWSKI SACKMANN & ULRIC 16WC025027 -C 184 16WC 25220 CASTRO, SILVIA ARAMARK 06/08/16 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 185 16WC 25283 SPAIN, JOSEPH COOK COUNTY SHERIFF DEPAR 08/09/16 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 186 16WC 25358 PANAGOULIS, JOANN LOYOLA GOTTLIEB 03/30/16 PARAD LAW OFFICES PC 187 16WC 25412 FONTANINI, RITA PRESENCE ST FRANCIS HOSPI 09/01/15 CHARLES A FANUCCHI BRADY CONNOLLY & MASUDA PC 16WC025413 -C ADVOCATE CONDELL MEDICAL C 188 16WC 25525 AWAD, HATEM DISPATCH TAXI MGMT LLC 04/30/16 SEIDMAN MARGULIS & FAIRMAN 189 16WC 25579 SANTOS, GEORGINA ALDEN ESTATES OF ORLAND P 07/31/16 HEALY SCANLON LAW FIRM KEEFE CAMPBELL & ASSOC LLC 190 16WC 25599 HARDEN, DOMINIQUE FORD MOTOR COMPANY 08/06/16 JAMES ELLIS GUMBINER & ASS WIEDNER & MCAULIFFE LTD 191 16WC 25804 WIGGINS, ANTONIO MEADE ELECTRIC CO, INC 07/20/15 RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 192 16WC 26250 HERNANDEZ, CARY TIGER AUTOMOTIVE 06/16/16 CRONIN & PETERS 193 16WC 26393 TORRES, NANCY D L H SOLUTIONS 04/27/16 HEALY SCANLON LAW FIRM WOLFE & JACOBSON, LTD 194 16WC 26458 TRENDLE, MICHAEL W.R. GRACE & CO 01/08/14 BERG & BERG SPIEGEL & CAHILL, PC 195 16WC 26811 BAUTISTA, JAIME COMMUNITY FIRST MEDICAL C 10/05/15 JOSEPH G HAFFNER LAW OFFIC GRANT & FANNING 196 16WC 26833 HEATHERLY, MICHAEL ALLIANCE GROUND INTERNATI 07/28/16 BART DURHAM NYHAN BAMBRICK KINZIE & LOWR 197 16WC 31498 GANNON, BARBIE COOK COUNTY DEPT OF CORR 10/06/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 198 16WC 32429 MARTINEZ, ELVIA KIK CUSTOM PRODUCTS 02/09/16 RICHARD E ALEKSY POWER & CRONIN LTD 16WC032430 -C 16WC032431 -C 199 16WC 33946 ESCUTIA, PEDRO MARTINEZ B LANDSCAPING 05/13/16 CULLEN HASKINS NICHOLSON 200 16WC 33981 ALVAREZ, GERMAN THE LEVY CO 09/12/16 ACEVES & PEREZ PC KLAUKE LAW GROUP LLC 201 16WC 34153 GLASS, AVERILL D GREYHOUND LINES INC/ 10/04/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 202 16WC 34162 REYNISH, SAM CHICAGO SURGICAL CLINIC 02/02/15 MARTIN L GLINK LAW OFFICE JOSEPH MARCINIAK 203 16WC 34178 LEWIS, MICHAEL MA STEEL ERECTORS 10/20/16 DWORKIN AND MACIARIELLO 204 16WC 34206 PUCKETT, ANTHONY FORD MOTOR CO 05/27/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 205 16WC 34351 MILLER, ANDREW ARENA FOOTBALL ONE LLC 04/01/16 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 206 16WC 34429 CHRISTIAN, RONAK DISPATCH TAXI AFFILIATION 11/10/13 MARK WHITESIDE ESQ 207 16WC 34499 TATE, ASHANTE ALDI STORES 10/12/15 SAUNDERS CONDON & KENNY BRADY CONNOLLY & MASUDA PC 17WC026651 -C 208 16WC 34556 SWIGON, PHILLIP CONCRETE STRUCTURES OF TH 06/22/16 HEALY SCANLON LAW FIRM GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 209 16WC 34574 BLANK, DANIEL BRACKENBOX ROLLOFF SERVIC 06/21/16 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 210 16WC 34783 HERNANDEZ, FELICIANO PROGRESS RAIL SERVICES 09/23/15 CHEPOV & SCOTT LLC GOLDBERG SEGALLA LLC 17WC007752 -C 211 16WC 34802 NAVA, RUBEN NATURE'S TR EES INC 06/27/16 LAW OFFICE ANTHONY B GORDO 212 16WC 34974 DOORNBOS, RICHARD WASTE MANAGEMENT 09/25/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 213 16WC 35006 EWALD, JOHN COOK COUNTY DEPT OF CORRE 06/28/16 STEWART C ORZOFF 16WC035007 -C 214 16WC 35024 MOLINA, DOLORES FIRST STUDENT SCHOOL BUS 10/20/16 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 215 16WC 35089 RAMIREZ, FELIX ELITE STAFFING 10/11/16 JOHN S. ELIASIK 216 16WC 35138 HIDALGO, ENRIQUE UNIFIED CML, LLC 11/04/16 MAURICE E DUSKY PC HOLECEK & ASSOCIATES 217 16WC 35483 LARSON, MELANIE COMM CONSOLIDATED SD 15 04/21/16 CORBOY & DEMETRIO PC WIEDNER & MCAULIFFE LTD 218 16WC 36072 LAROSA, JOSEPH CITY OF CHICAGO DEPARTMEN 11/03/16 CUDA LAW OFFICES CITY OF CHICAGO 17WC034403 -C 219 16WC 36253 SIRCHER, KYLE CITY OF CHICAGO - DEPT OF 03/08/16 ARNOLD & KADJAN CITY OF CHICAGO 220 16WC 36516 GONZALEZ, ANGELES AXLE TECH INTERNATIONAL 10/19/16 STROM, NEAL B WOLFE & JACOBSON, LTD 221 16WC 36586 HERNTON, SHWANNA SHIP INPAX 07/27/16 DISPARTI LAW GROUP PA ACCIDENT FUND HOLDINGS 222 16WC 36720 DAVIS, WILLIE CITY OF CHICAGO DEPT OF W 10/28/16 VRDOLYAK LAW GROUP LLC 223 16WC 36728 BELTRAN, JOSE AHM BUILDERS 11/17/16 JAMES ELLIS GUMBINER & ASS 224 16WC 36795 ALLEN, PATRICIA CTA-CHICAGO TRANSIT AUTHO 11/08/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 225 16WC 36868 HENESTROSA, RAUL GALINDO DELTA LOGISTICS, INC 06/27/16 THE ROMAKER LAW FIRM LITCHFIELD CAVO 226 16WC 37136 BAEZ, JOSE GREENSIDE DEVELOPMENT LLC W 11/22/16 CHEPOV & SCOTT LLC LAW OFFICE OF PAUL O WATKISS 16WC038044 -C 17WC015227 -C 227 16WC 39406 HERNANDEZ, FELICIANO PROGRESS RAIL SERVICES 11/02/16 CHEPOV & SCOTT LLC GOLDBERG SEGALLA LLC 228 17WC 03509 SMITH, MATTHEW A CLAASSEN,WHITE& ASSOCIATE 10/05/16 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 229 17WC 03665 LA VOIE, DEIDRE GP LOGISTICS 06/24/13 STEVEN L. VENIT HENNESSY & ROACH PC 230 17WC 03735 ORTIZ, MARICELA WINTRUST FINANCIAL 10/26/16 DAVID W MARTAY LAW OFFICES OF EDWARD J. KOZ 231 17WC 03863 MOORE, JENNIFER L COOK COUNTY SHERIFF 01/19/17 TAMVAKIS, GEORGE L INMAN & FITZGIBBONS 232 17WC 03898 MENDEZ, KRISTY RESOURCE MFG 12/09/16 HART & DAVID LLP 233 17WC 03982 RIVERA, CHRISTIAN ROSE PACKIGN CO 01/18/17 CRONIN & PETERS 234 17WC 04020 GALLAGHER, JOHN II IN ONE CONTRACTORS, IN 01/07/17 O'CONNOR & NAKOS HENNESSY & ROACH PC 235 17WC 04141 ROBINSON, ISAAC ABSOPURE WATER CO, INC 01/21/16 HANNIGAN & BOTHA, LTD SMITH AMUNDSEN LLC 236 17WC 04221 BABAJANYAN, ARTUR JOFFREY BALLET 02/22/15 LANNON LANNON & BARR LTD RIPES NELSON BAGGOT KALOBRAT 237 17WC 04342 WARMLEY, TONY CHICAGO POLICE DEPARTMENT 11/02/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 238 17WC 04361 BARKER, DENISE B CHICAGO BOARD EDUCATION 01/27/17 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION 239 17WC 04411 JOHNSON, ROSIE L JEWEL FOOD STORES INC 07/25/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 240 17WC 04598 BERG, CHARLES SKYWEST AIRLINES 01/13/17 BERG & BERG GANAN & SHAPIRO 241 17WC 04696 JEFFERSON, MAURICE WHOLE FOODS 02/08/17 LAW OFFICES OF JOSEPH F. V 242 17WC 04756 ROTH, ERIC SOUTHWEST AIRLINES 03/24/16 GREGORIO & MARCO HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 243 17WC 05156 WARDELL, BILLY PROGRESS RAIL A CATERPILL 01/24/17 MILLON & PESKIN LTD GOLDBERG SEGALLA LLC 244 17WC 05172 MARTINEZ, MAGDIEL ROSAL'S CUCINA, INC W 01/28/17 STEVEN J TENZER, LTD 245 17WC 05214 THOMAS, PEARL M CHICAGO PULBIC SCHOOLS 11/28/16 ANKIN LAW OFFICE LAW DEPARTMENT 246 17WC 05325 CHANG, BRENDA NALCO CHEMICAL CO 04/05/16 GOLDSTEIN BENDER & ROMANOF KEEFE CAMPBELL & ASSOC LLC 247 17WC 05620 ILUMINADA, ROMAN COOK COUNTY C/O 08/20/14 RAYMOND P GARZA LAW OFFICE STATES ATTORNEY OF COOK COUN 248 17WC 05794 ROZSIVAL,M MICHAL CHICAGO BLACKHAWKS HOCKEY 05/07/15 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 249 17WC 05956 SEYPTOLOOL, MEHDI NECT 17 - LLC 01/29/17 250 17WC 06036 PURSLEY, ROBERT SERVICE MECHANICAL INDUST 11/03/16 LAW OFFICES MICHAEL HELLMA WIEDNER & MCAULIFFE LTD 251 17WC 06149 MITCHELL, JAMIAM FORD MOTOR COMPANY 01/15/17 DISPARTI LAW GROUP PA WIEDNER & MCAULIFFE LTD 252 17WC 06179 KIMBROUGH, REGINA LYFT 02/20/17 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 253 17WC 06287 EVANS, ROBERT RELATED MIDWEST MGMT 01/20/17 DISPARTI LAW GROUP PA 254 17WC 06320 GLYAZER, ALECKSNDR COUNCIL FOR JEWISH ELDERL 02/03/17 255 17WC 06341 REYES, ALEJANDRA PRONTO STAFFING SERVICE 11/28/16 ROSS TYRRELL POWER & CRONIN LTD 256 17WC 06358 PENNYMON, LATAVIA NORTHWESTERN MEDICAL CENT 09/22/16 SHELDON I MINKOW & ASSOCIA 257 17WC 06409 HERNANDEZ, HUMBERTO CTA 02/15/17 RUBENS AND KRESS CHICAGO TRANSIT AUTHORITY 258 17WC 06441 LANE, JOHN FEDEX EXPRESS 07/21/16 PARENTE & NOREM PC HANSON LAW OFFICE 259 17WC 06467 MABIN, MARCIA GRAND PRAIRIE SERVICES 02/03/17 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 260 17WC 06643 PIETRANEK, PETER APM MANAGEMENT 02/15/17 KEEFE CAMPBELL & ASSOC LLC 261 17WC 06749 19B BLOCKER, PAMELA MICHAEL FOODS, INC DBA 12/07/16 HETHERINGTON KARPEL BOBBER MEACHUM & STARCK 17WC006986 -C 262 17WC 06795 ROBERTSON, KIMBERLY GLENVIEW TERRACE NURSING 01/26/17 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 263 17WC 11428 CARAWAY, MEGAN AMERICAN AIRLINES 12/12/16 SAUNDERS CONDON & KENNY 264 17WC 13432 PEOPLES, LAWANDA PERFECT CLEANING SERVICE 07/12/16 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 265 17WC 13568 RODRIGUEZ, KARINA MARQUEZ BRYN MAWR RESTAURANT CORP 08/06/16 KARCHMAR & STONE JOSEPH MARCINIAK 266 17WC 13604 MARTINEZ, MARTHA UIC HOSPITAL 04/29/15 CURTIS S BURKE LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 17WC013605 -C 17WC013606 -C 267 17WC 13707 JUAREZ, FRANCISCO C. DYNAMIC MANUFACTURING INC 02/01/17 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 268 17WC 13729 GAYTON, CESAR JLDC CONSTRUCTION INC 02/27/17 COSTA IVONE LLC GILDEA & COGHLAN 269 17WC 13784 HEJNAL, LEE PEPSI CO 03/15/17 SAUNDERS CONDON & KENNY GAIDO & FINTZEN 270 17WC 13891 LOFTIS, STEVE CORTLAND'S GARAGE 01/17/17 COSTA IVONE LLC POWER & CRONIN LTD 271 17WC 13899 JAZO, GAYLE PRIMUS ORTHOPEDICS, S.C. 06/30/16 SPENCER LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 272 17WC 13917 ARNOLD, TONIA MARSHALLS 04/19/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 273 17WC 14007 PINA, MARIA WORK FORCE, LLC 08/22/14 ROSS TYRRELL KOREY RICHARDSON LLC 274 17WC 14034 ODEYELE, SAMUEL SAMODE 49, INC 04/07/17 LAW OFFICE RYAN ROSENTHAL 275 17WC 14173 RECENDIZ, JAIME CURTO-LIGONIER FOUNDRIES 05/25/15 LAW OFFICE ILONKA ULRICH KEEFE CAMPBELL BIERY & ASSOC 276 17WC 14223 SPENCER, SADE HAYMARKET CENTER 04/26/17

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 277 17WC 14462 NUCCIO, LORETTA WALGREENS 02/26/17 RIDGE & DOWNES GILDEA, COGHLAN & REGAN LTD. 278 17WC 14601 AGUILAR, JOSE DE JESUS EL POPOCATEPETL INDUSTRIE 12/20/15 CUSHING LAW OFFICES ACCIDENT FUND HOLDINGS 279 17WC 14669 AGUILAR, SILVIA CHICAGO MIDWAY INT'L AIRP 04/27/17 ESR LAW GROUP THOMAS & PORTELA 280 17WC 14929 URBANI, BARBARA ROSELAND COMMUNITY HOSP 04/28/17 ANGELINI & ORI LLC SCOPELITIS GARVIN LIGHT 281 17WC 14991 DEPKON, JAMES CITY OF PARK RIDGE 03/14/17 HEALY SCANLON LAW FIRM MACIOROWSKI SACKMANN & ULRIC 282 17WC 15062 ROBLES, JOSE STERLING SLEEP PRODUCTS 02/14/17 MILLON & PESKIN LTD HENNESSY & ROACH PC 283 17WC 15320 YOUNUS, FAWZI AMERICAN AIRLINES 05/19/17 HUGHES SOCOL PIERS RESNICK GAROFALO SCHREIBER STORM GRA 284 17WC 15537 JOHNSON, JUANITA MCCORMACK BARON MGMT, INC 04/18/17 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 285 17WC 15558 ALSHWAYYAT, WALID AMERICAN TAXI DISPATCH IN 05/18/16 BRUSTIN & LUNDBLAD LTD BAUM RUFFOLO & MARZAL LTD 286 17WC 15597 GARMENDIA, ERIK PRIMERA CONSTRUCTIONS AND 04/06/17 LAW OFFICES PETER LEKAS ANCEL GLINK DIAMOND BUSH & E 287 17WC 15743 CAREY, MARK AT&T 01/17/17 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 288 17WC 15787 LOVELL, BRYNN MARIE TRAVELERS 01/29/16 COLLISON LAW OFFICES RUSIN & MACIOROWSKI LTD 289 17WC 15804 RAMIREZ, VINCENTE R.K. HOLDINGS DBA RUSTIC 09/13/16 ANKIN LAW OFFICE GANAN & SHAPIRO 290 17WC 15877 GOMEZ-VARGAS, JAIME NORTHWEST COMMUNITY HEALT 03/18/17 RUEDA, IVAN A HEYL ROYSTER VOELKER & ALLEN 291 17WC 15956 GUERRERO, ALICIA F MCDONALD'S 11/22/16 CULLEN HASKINS NICHOLSON 292 17WC 15972 HUTCHINSON, DERRICK WILMETTE SD # 39 04/24/17 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 293 17WC 16050 YOUNG, MELVIN JR FORD MOTOR COMPANY 01/10/17 SALVATO & O'TOOLE POWER & CRONIN LTD 294 17WC 16187 STILLWELL, TAYSHA FED EX 05/24/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 295 17WC 16277 KIDD, DWANE OLD VETERAN CONSTRUCTION 03/20/17 ERIC M GLASSON & ASSOCIATE 296 17WC 16418 CALLAHAN, CHRISTINE A WALGREENS 05/01/17 VRDOLYAK LAW GROUP LLC GILDEA, COGHLAN & REGAN LTD. 297 17WC 16437 SKINDINGSRUDE, SCOTT A VILLAGE OF MT PROSPECT 10/02/16 THOMAS W DUDA 298 17WC 16645 MARTINEZ, ROSEMARIE G FEDERAL EXPRESS CORPORATI 11/21/16 ANKIN LAW OFFICE HANSON LAW OFFICE 17WC016646 -C 299 17WC 16666 CROWE, RON DART CONTAINER 06/18/16 JOHN C SERKLAND GAROFALO SCHREIBER STORM GRA 17WC016667 -C 17WC016668 -C 300 17WC 16683 ESTRADA, DANIEL CSR ROOFING CONTRACTORS 05/31/17 ASHER, RAYMOND L LTD STONE & JOHNSON CHARTERED 301 17WC 16960 BRINGLE, JANE RICHARD HENRY LEE ELEMENT 03/02/17 DEPAOLO ZADEIKIS GORE 302 17WC 18984 MILLER, DAMIAN MARKETBUZZ PROMOTIONS 06/15/17 BRISKMAN BRISKMAN GREENBER 303 17WC 19055 GORZ, BRIAN HUDSON BOILER 01/03/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 304 17WC 19421 GAINER, TRACIE, WIDOW OF FORTIFIED SYSTEMS, INC # 09/14/16 JAY S. SHETH LLC BRYCE DOWNEY & LENKOV LLC 305 17WC 23045 TURNER, RHONDA COUNTRY CLUB HILLS SD 160 03/02/17 GAINES & GAINES COZZI & GOGGIN-WARD 306 17WC 23085 PHILLIPS, KAMARII SWISSPORT USA, INC 08/01/17 COSTA IVONE LLC KNELL O'CONNOR DANIELWICZ 307 17WC 23144 GILLMAN, MARGARET M CITY OF CHICAGO POLICE DE 04/12/17 BRILL & FISHEL CITY OF CHICAGO 308 17WC 23242 MALCOLM, ROBERT ILLCO, INC. 08/01/17 GOLDBERG WEISMAN & CAIRO L NOBLE & ASSOCIATES PC 309 17WC 23268 CABRERA, SILVANO TOTAL FACILITY MAINTENANC 04/15/15 LAW OFFICE HUGO ORTIZ 310 17WC 23296 HERNANDEZ, GUADALUPE ED MINIAT, LLC 07/11/17 BERNAT & BERNAT PC POWER & CRONIN LTD 18WC030248 -C MINIAT HOLDINGS LLC 18WC030249 -C 311 17WC 23346 NASH, DARRICK V VILLAGE OF SKOKIE 06/02/17 JAMES ELLIS GUMBINER & ASS VILLAGE OF SKOKIE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 312 17WC 23392 DUNA, DEBORAH UNIVERSITY OF IL OF CHICA 06/30/17 THERMAN LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 313 17WC 23436 LITTLE, PATRICIA STEINER SECURITY SERVICES 05/13/17 MARC J SHUMAN & ASSOCIATES 314 17WC 23468 MARTINEZ, GUADALUPE WORK NOW STAFFING 07/27/17 COLLISON LAW OFFICES 315 17WC 23527 WILLIAMS, CRYSTAL VALLI PRODUCE 08/12/15 DWORKIN AND MACIARIELLO 316 17WC 23576 TURNER-MICKEY, SYDNEY FORD MOTOR COMPANY 12/12/16 KUMLIN & FROMM RUSIN & MACIOROWSKI LTD 317 17WC 23767 LAGRANDBERY, SIRQUINN CARDINAL LOGISTICS 08/10/17 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 318 17WC 23809 AMEEN, MOHAMMED REX 2 INC. 07/31/17 FISHER & LAMONICA 319 17WC 23822 DAVIS, ROSLYN ARAMARK NUTRITION SUPPORT 01/01/17 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION 320 17WC 23889 STARLING, CYNTHIA JACKSON PARK HOSPITAL 03/17/17 MAURICE E DUSKY PC ODELSON & STERK 321 17WC 23923 AYALA, FELICITAS ARYZTA 03/30/17 LAW OFFICES LEONARDO MORAL HENNESSY & ROACH PC 322 17WC 23972 HALEY, TITANNA CENTRAL STEEL AND WIRE CO 07/14/17 THOMAS D BOUSLOG 323 17WC 23984 NOCULA, JOSEPHINE CHICAGO PUBLIC SCHOOLS, M 05/26/17 COHN LAMBERT RYAN & SCHNEI CHGO BOARD OF EDUCATION 17WC023985 -C 324 17WC 24129 MANOS-VICKERS, MATTHEW MARR CHICAGO PIZZA, INC 10/25/14 LAW OFFICES OF HELEN BLOCH HENNESSY & ROACH PC 325 17WC 24152 ROMERO, GLORIA ST ANTHONY HOSPITAL 03/29/17 326 17WC 24344 JONES, JIMMY BREMEN HS #228 07/20/17 SEIDMAN MARGULIS & FAIRMAN 327 17WC 24357 JEDRZEJCZYK, ANTHONY USF HOLLAND INC 06/22/17 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 328 17WC 24425 SMITH, LARRY TRINITY SERVICES 07/10/17 CHARLES LEVY & ASSOC LTD 329 17WC 24470 NUNEZ, GRISELDA TRIUNE LOGISTICS 08/04/17 HERRERA LAW CENTER LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 330 17WC 24573 SHINES, DORIS L CRESTLINE HOTELS & RESORT 03/21/17 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 331 17WC 24641 LOMES, MARCIA LAURA CONSTRUCTION REX, LLC 07/03/17 AIOSSA LAW FIRM ANCEL GLINK DIAMOND BUSH & E 332 17WC 24698 TAYLOR, BRYANT GOODWILL INDUSTRIES OF SE 08/09/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 333 17WC 24749 HERNANDEZ, BENJAMIN FORD MOTOR COMPANY 10/27/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 17WC024750 -C 17WC024801 -C 17WC024802 -C 334 17WC 24777 AMOATIN, FELIX SCOOBEEZ INC 07/28/17 TAXMAN POLLOCK 335 17WC 24812 DIAL, CHRISTOPHER PORRECA FREIGHT 07/05/17 RANDALL A. WOLFF & ASSOC 336 17WC 24871 HARRINGTON, ANTWAN FEDERAL EXPRESS CORP 07/18/17 RITTENBERG & BUFFEN 337 17WC 24997 HOFF, TIM DELTA AIRLINES, INC 05/02/16 RIDGE & DOWNES ROBERT L. SMITH 18WC003554 -C 338 17WC 25214 OLMOS, HECTOR COLONIAL BRICK CO 06/05/17 COSTA IVONE LLC GAROFALO SCHREIBER STORM GRA 339 17WC 25342 GARCIA, MARIA CARL BUDDIG & CO. 06/10/17 HERRERA LAW CENTER 340 17WC 25366 REBAPIS-NEHRING, AMANDA SPEEDEE DELIVERY SERVICE 08/17/17 MUELHAUSEN & STEFANI BRADY CONNOLLY & MASUDA PC 341 17WC 25401 CHILLIS, TREMAYNE AIRGAS USA LLC 07/25/17 LITCHFIELD CAVO 342 17WC 25424 BOVAN, DEBORAH GERALEX/RD REAL ESTATE 07/03/17 SALVATO & O'TOOLE 343 17WC 25649 MITCHELL, MAUREEN LEXINGTON HOSPICE 05/24/17 COHN LAMBERT RYAN & SCHNEI WOLFE & JACOBSON, LTD 344 17WC 25705 WELLS, SHERRIE FOOD 4 LESS 07/03/17 CULLEN HASKINS NICHOLSON STONE & JOHNSON CHARTERED 345 17WC 25730 DIEGO, DANIEL COLUMBUS VEGETABLE OILS 07/23/17 GORDON LAW OFFICES LTD MEACHUM & STARCK 346 17WC 25797 JOHNSON, ERIKKA SYMPHONY JACKSON SQUARE, 08/27/17 RITTENBERG & BUFFEN MCCABE KIRSHNER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 347 17WC 25805 GARCIA, ISAAC GROOT INDUSTRIES 10/08/15 LANCASTER, DEBORAH 348 17WC 25832 SIMPSON, ROCHELLE CHICAGO PUBLIC SCHOOLS 06/13/16 HODES GREENSTEIN & LITWIN 349 17WC 25849 HURTADO VARGAS, ALVARO AN MENDOZA GUTIERREZ CONSTRU 08/11/17 SALK, STEVEN B & ASSOC LTD EPSTEIN, JACK R LAW OFFICES 350 17WC 25962 HERNANDEZ, MONICO COOK COUNTY SHERIFF'S DEP 08/24/17 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 351 17WC 26028 GRAY, SYLVESTER UNITED PARCEL SERVICE 07/24/17 ROGER D RUDICH LTD ASA LAW GROUP 352 17WC 26039 ATWOOD, EUGENE SECURITAS SECURITY USA IN 11/04/14 SALVATO & O'TOOLE STONE & JOHNSON CHARTERED 353 17WC 26948 FORDE, THOMAS MB REAL ESTATE SERVICES I 08/17/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 354 17WC 30618 TUCKER, TERENCE VILLAGE OF ROBBINS 10/10/17 SKLARE LAW GROUP POWER & CRONIN LTD 355 17WC 32766 WINDHAM, WENDELL CTA 10/24/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 356 17WC 32784 IWANSKI, STEVEN LIGHTHOUSE MANAGEMENT SER 03/16/16 ANGELINI & ORI LLC HENNESSY & ROACH PC 17WC032785 -C 357 17WC 32800 WALKER, CHRIS NIAGRA LASALLE 06/24/17 DWORKIN AND MACIARIELLO 358 17WC 32895 RAINEY, PHYLLIS BLOOMINGDALE'S 08/12/17 COVEN LAW GROUP BRYCE DOWNEY & LENKOV LLC 359 17WC 32926 BEASLEY, CHARLES PULLMAN SUGAR 11/10/16 CHADWICK & LAKERDAS 360 17WC 32970 LOPEZ, IRENE M FLEXAN CORPORATION 09/05/17 OSVALDO RODRIGUEZ PC HOLECEK & ASSOCIATES 17WC032972 -C 361 17WC 33041 BEATTY, RICHARD CBRE 07/24/17 ROSENFELD HAFRON SHAPIRO F GRANT & FANNING 17WC033042 -C 362 17WC 33098 VILCHIS, ANGEL OHARE METAL COMPANY/CONCI 06/23/16 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 363 17WC 33193 GAVRYLKO, IVAN PROSPECT AIRPORT SVS, INC 07/07/14 FEDOR KOZLOV & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 364 17WC 33279 ASHFORD, LATRICE KROGER FOODS 10/19/17 LEONARD LAW GROUP LLC 365 17WC 33329 MORENO-ARELLANO, DAVID HASSAN AZARPIRA W 05/04/15 ANKIN LAW OFFICE LADUZINSKY & ASSOC 366 17WC 33420 IBARRA, JOSE BECKS LIGHT GAUGE ALUMINU 10/18/17 LAW OFFICES PETER LEKAS LAW OFFICES JOSEPH MARCINIAK 367 17WC 33453 011 OMEROVIC, DENIS GREYSTAR 07/27/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 011 17WC033452 -C 368 17WC 33517 MEJIA, JOSE ADVANCED DISPOSAL 03/01/16 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 312 17WC033518 -C 369 17WC 33563 REED-FERRARI, TRACEY UNITED AIRLINES 10/21/17 HEALY SCANLON LAW FIRM 370 17WC 33643 HARRIS-BOYD, TANZELLA THRESHOLDS 09/04/17 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 371 17WC 33658 SUDDUTH, MALVIN T RIKKI'S CLEANING SERVICES 09/01/17 MCGOVERN, JOSEPH M LAW OFFIC 372 17WC 33886 AMUKWO, LYCENT UNISTAFF 10/17/17 JOHN S. ELIASIK 373 17WC 33916 HERNANDEZ-KAZECKI, ELIZAB AMERICAN AIRLINES 10/27/17 COVEN LAW GROUP GAROFALO SCHREIBER STORM GRA 374 17WC 34104 LARES, DAVID ASPEN FOODS INC 11/09/17 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 375 17WC 34135 PIPKIN, KIMBERLEY UPS INC 11/07/17 ANKIN LAW OFFICE ASA LAW GROUP 376 17WC 34169 LEE, DESMOND UBER 11/10/17 DWORKIN AND MACIARIELLO 377 17WC 34242 YOUNG, WILLIE COMMUNITY SPECIALISTS, IN 08/22/17 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 378 17WC 34268 CARABALLO, MICHAEL L ELITE RENOVATIONS SYSTEMS W 08/16/17 GALLAGHER, DONALD V

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 379 17WC 34286 ARMSTRONG, ANTONIO LABOR READY 04/22/16 380 17WC 34298 GALES, JOHN AMERICAN AIRLINES 12/30/16 FRANCIS J DISCIPIO LAW OFF ROSARIO CIBELLA 18WC007148 -C 381 17WC 34379 PHILLIPS, ANTHONY PACE 10/13/17 LAW OFFICE OF SCOTT B SHAP 382 17WC 34446 SOLOMON-DABOUS, HELEN FIRST STUDENT BUS 07/29/16 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 383 17WC 34488 DADE, CHIRL A COOK CNTY DEPT OF CORRECT 06/30/17 SOSTRIN AND SOSTRIN PC 384 17WC 34582 SLUE, MONTGOMERY CHICAGO TRANSIT AUTHORITY 03/14/17 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 385 17WC 34607 ALEXANDER, SHERITA PACE 11/10/17 SALVATO & O'TOOLE 386 17WC 34629 JONES, JOE KOCH TRUCKING, INC 11/18/17 COSTA IVONE LLC 387 17WC 34704 DEVIN, LERNY FRANK CAR-X AUTO SERVICE 10/26/17 LAW OFFICE JOSHUA KARMEL WOLF LAW LTD 388 17WC 34803 WREN, LISA CHICAGO TRANSIT AUTHORITY 11/09/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 389 17WC 34841 SIADEK, STEPHEN J CHARLES EQUIPMENT 08/04/17 GALLAGHER, DONALD V HOLECEK & ASSOCIATES 390 17WC 34891 FERGUSON, ROBERT LOWE'S 07/03/17 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL BIERY & ASSOC 18WC037922 -C WALMART SUPERCENTER 391 17WC 34933 THRELKELD, JOHN KRDENTH TRUCKING INC 10/16/17 ANKIN LAW OFFICE 392 17WC 34980 WHITE, LAUREN LOYOLA UNIVERSITY HEALTH 08/10/17 SCOTT BARBER 393 17WC 35007 FIESTA, KARL UNITED PARCEL SVC 10/31/17 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 394 17WC 35090 HAMILTON, CJ KENNY CONSTRUCTION 09/22/17 BUDIN LAW OFFICES GAROFALO SCHREIBER STORM GRA 395 17WC 35147 GARCIA, ALEX RT WHOLESALE LLC D/B/A 10/26/17 FIGLIOLI, DAVID GANAN & SHAPIRO 396 17WC 35198 ROZSIVAL, MICHAL CHICAGO BLACKHAWKS HOCKEY 04/19/15 GORDON LAW OFFICES LTD 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 TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 397 17WC 35214 REEVES, RANDALL R N&M TRANSFER CO INC 07/21/17 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 398 17WC 35257 VILLA, BETTYE LURIE CHILDRENS HOSPITAL 06/04/17 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 399 17WC 35308 PARTEE, JACQUELINE CITYOF CHICAGO 04/19/17 LAW OFFICE JOSHUA KARMEL CITY OF CHICAGO 400 17WC 35324 CONTRERAS, GRACIELA CHICAGO PUBLIC SCHOOLS 10/23/17 LANNON LANNON & BARR LTD 401 17WC 35363 HOSKINS, STACY NORTH SHORE UNIVERSITY 09/25/17 GOLDSTEIN AIOSSA & GOOD 402 17WC 35381 BROWN-BURGE, AYESHA T COOK COUNTY DEPT OF CORRE 11/13/17 FRIEDMAN & SOLMOR LTD STATES ATTORNEY OF COOK COUN 403 17WC 35514 ALEQUIN, ANTHONY ELMWOOD PARK POLICE DEPT 10/25/17 RIDGE & DOWNES INMAN & FITZGIBBONS 404 17WC 35542 HAWKINS, MARK TRAC SVC, LLC 10/19/17 CAPRON & AVGERINOS PC BRYCE DOWNEY & LENKOV LLC 405 18WC 03283 PADILLA, HOLLIE ADVOCATE MEDICAL GROUP 12/29/17 RUSSEL M KOFOED GAROFALO SCHREIBER STORM GRA 406 18WC 03451 FANE, TAMMIE NIELSEN BAINBRIDGE 12/02/15 LEONARD LAW GROUP LLC 407 18WC 03483 AVILA, LUMEY PORKCHOP RESTAURANT 01/11/18 408 18WC 03570 FENNERSON-PORCHE, MARGO ILLINOIS TOLLWAY AUTHORIT 12/10/17 NYHAN BAMBRICK KINZIE & LOWR 409 18WC 03752 RUIZ, MARIA A MCDONALD'S 01/17/18 CHEPOV & SCOTT LLC ASA LAW GROUP 410 18WC 03759 HARRISON, TOIYA CTA 01/29/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 411 18WC 03783 ZYGALDO, EVE CHICAGO PUBLIC SCHOOLS 11/06/17 COVEN LAW GROUP CHGO BOARD OF EDUCATION 412 18WC 03891 JAROSZ, KEITH HARVEY POLICE DEPARTMENT 01/31/18 CUDA LAW OFFICES SMITH AMUNDSEN LLC 413 18WC 03908 RIER, MARK PINNACLE DECORATING INC 01/26/18 ELFENBAUM EVERS & AMARILIO JOSEPH MARCINIAK 414 18WC 04030 BOND, PATRICK INTRIGUE DANCE INTENSIVE 01/14/18 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 TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 415 18WC 04040 WARDELL, NOLA LUDEMAN CENTER @ 01/25/18 VASILATOS & COTTER LLC ASSISTANT ATTORNEY GENERAL 416 18WC 04057 GONZALEZ, LANCE DSTM INC/ FINAL MILE DELI 01/08/18 SEIDMAN MARGULIS & FAIRMAN RIPES NELSON BAGGOT KALOBRAT 417 18WC 04084 MERAZ, RACHEL JOHNNY K PATIO 01/24/18 DWORKIN AND MACIARIELLO 418 18WC 04134 LEVERSTON, ELIZETTIE THE PALMER HOUSE HILTON E 11/16/17 WARREN W MARK DENNIS J NOBLE & ASSOC 419 18WC 04150 RODRIGUEZ, MARINA SPECIALIZED STAFFING SOLU 01/29/18 SCOTT B SHAPIRO SLAVIN & SLAVIN 420 18WC 04177 PASTRANA-RAFFLES, BRIAM CLIMATE SOLUTIONS, INC 02/05/18 RITTENBERG & BUFFEN 421 18WC 04191 MONROE, MARCUS FED EX 12/17/17 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 422 18WC 04238 PACK, NOMOYOA IL DEPT OF HEALTH SERVICE @ 12/30/17 CRONIN & PETERS ASSISTANT ATTORNEY GENERAL 423 18WC 04278 MOLINA, ABRAHAM NATIONAL AUTOMOTIVE PARTS 09/26/17 424 18WC 04296 HUGGINS, CORNELIA TOWER AUTOMOTIVE 01/05/18 COSTA IVONE LLC KEEFE CAMPBELL & ASSOC LLC 425 18WC 04412 FELICIANO, LUIS CTA-CHICAGO TRANSIT AUTHO 08/07/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 426 18WC 04572 JOHNSON JR, JAMES R.K. HILLSIDE BOWL 02/20/16 SEIDMAN MARGULIS & FAIRMAN NOBLE & ASSOCIATES PC 427 18WC 04592 NAUERT, CHRIS COM ED 01/19/18 TAXMAN POLLOCK HENNESSY & ROACH PC 428 18WC 04613 GARCIA, ROBERTO TITAN PERSONNEL INC 12/12/17 JOHN S. ELIASIK 429 18WC 04644 BLACK, TOMMY FORD MOTOR COMPANY 09/25/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 430 18WC 04660 ORNELAS, ERICK ALLIED UNIVERSAL 12/08/17 HERRERA LAW CENTER GAROFALO SCHREIBER STORM GRA 431 18WC 04684 HOWELL, KATHY ALDI 08/16/16 JASINSKI, GEORGE J 432 18WC 04764 VARGAS, LUIS RAUL RG CONSTRUCTION SERVICES 07/17/17 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 433 18WC 04844 MOHAMED, SHEMSUDIN THE CHEESECAKE FACTORY 01/14/18 ABELS & ANNES, PC 434 18WC 04899 ROJAS, HECTOR UNITED AIRLINES 09/13/16 SAUNDERS CONDON & KENNY WIEDNER & MCAULIFFE LTD 435 18WC 04931 CARR, CHARLES IMPAX SHIPPING SOLUTIONS 10/25/17 SEIDMAN MARGULIS & FAIRMAN WOLF LAW LTD 436 18WC 04955 SCHELLER, KENNETH CARMAX 09/26/17 ANKIN LAW OFFICE ASA LAW GROUP 437 18WC 04971 ALVAREZ, CELSO GOLD STANDARD BAKING 05/04/16 COSTA IVONE LLC RODDY LAW LTD 438 18WC 04986 HARDAWAY, GEORGETTE CTA 02/16/18 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY 439 18WC 05003 LOVELL, TAMMY L JEWEL OSCO 12/12/16 BLEAKNEY & TROIANI WIEDNER & MCAULIFFE LTD 440 18WC 05019 DARGUZIS, NINA PARTY CITY 12/12/17 DWORKIN AND MACIARIELLO 441 18WC 05042 BROWNLEE, CYNTHIA BERKELEY NURSING & REHAB 08/01/17 WARREN W MARK 442 18WC 05064 RILEY, CHRISTOPHER COOK COUNTY SHERIF'S DEPT 11/30/17 TIMOTHY HENDERSON STATES ATTORNEY OF COOK COUN 443 18WC 05121 STEVENSON, LARICO ARENA FOOTBALL ONE LLC 04/22/17 GORDON LAW OFFICES LTD 444 18WC 05146 BUCHANAN, ANTHONY L CITY OF CHICAGO DEPT OF W 01/09/18 GALLAGHER, DONALD V CITY OF CHICAGO 445 18WC 05157 WHITE, DEVASHA KINDER CARE EDUCATION LLC 01/29/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 446 18WC 05164 DEUTSCH-SMITH, DEBRA BLACKHAWK TRANSPORT 05/24/17 LEONARD LAW GROUP LLC HINSHAW & CULBERTSON 447 18WC 05168 BESTWINA, TRACY UPS 03/14/17 LEONARD LAW GROUP LLC ASA LAW GROUP 448 18WC 05181 JIMENEZ, ALEJANDRO LABRIOLA CHICAGO 01/21/18 KARCHMAR & STONE 449 18WC 05232 DELGADO, SERGIO GEORGIA NUT COMPANY 09/19/17 EPSTEIN, JACK R LAW OFFICE CAPUANI, FRANK S 450 18WC 05294 DANO, MARKO ROCKFORD ICE HOGS 02/17/16 GORDON LAW OFFICES LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 451 18WC 05311 KUEHN, TERRENCE DS TEQUILA COMPANY 06/23/16 STEVEN J MALMAN & ASSOCIAT ROSARIO CIBELLA 452 18WC 05450 AVILA, MARITZA RON'S STAFFING SERVICES I 01/30/18 GRAZIAN & VOLPE PC 453 18WC 05467 MERCHERSON, CARL COOK COUNTY SHERIFFS OFFI 02/01/18 COVEN LAW GROUP STATES ATTORNEY OF COOK COUN 454 18WC 05512 SANDOVAL, ABRAHAM MIDWAY AIRPORT SHUTTLE SE 08/14/17 RUBIN MACHADO ROSENBLUM STONE & JOHNSON CHARTERED 455 18WC 05551 CEDENO, DANIEL FIVE T MANAGEMENT INC 01/20/17 HART & DAVID LLP LAWRENCE COZZI - LAW OFFICES 456 18WC 05594 PALICKI, JASON PUROFIRST OF CHICAGOLAND 01/09/18 MCNAMARA PHELAN MCSTEEN LL 457 18WC 05633 BRACEY, VERONICA CHICAGO PUBLIC SCHOOLS 02/12/18 EDWIN REYES LEGAL GROUP CHGO BOARD OF EDUCATION 458 18WC 05717 ARROYO, MARIA COMMUNITY FIRST MEDICAL C 08/07/15 THE ROMAKER LAW FIRM KRAKER FANNING & OLSEN 459 18WC 05755 WARE, TANISHA UNIVERSITY OF CHICAGO COM 01/15/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 460 18WC 05811 RODRIGUEZ, ROSAURA CHICAGO PUBLIC SCHOOLS 02/13/18 TIMOTHY E. TAKASH CHGO BOARD OF EDUCATION 461 18WC 05883 FLOWERS, CHARISE METROPOLITAN FAMILY SVCS 02/15/18 GOLDSTEIN AIOSSA & GOOD RUSIN & MACIOROWSKI LTD 462 18WC 06064 BAJOREK, ELZBIETA WESTIN CHICAGO 12/20/17 ALEKSY BELCHER GANAN & SHAPIRO 463 18WC 06113 LOVE, MARSHENNA LUDEMAN DEVELOPMENTAL CTE 02/07/18 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 464 18WC 06158 SODJA, NOEL SAGGITARIUS 1 INC 02/04/18 SPENCER LAW OFFICES DEBORAH SCHAEFER 465 18WC 06173 HERNANDEZ, RAQUEL DHL GLOBAL MAINTENANCE 09/14/17 GOLDSTEIN BENDER & ROMANOF 466 18WC 06197 CERVANTES, EDUARDO JOHN J MADDEN MENTAL HEAL 02/14/18 EDWIN REYES LEGAL GROUP ASSISTANT ATTORNEY GENERAL 18WC016849 -C 467 18WC 06250 CONWAY, JOHN VILLAGE OF DALTON PUBLIC 09/21/17 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 468 18WC 06333 PAULSON, WILLIAM COOK COUNTY-RISK MANAGEME 02/14/18 KEVIN O'BRIEN STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 469 18WC 06468 NAVARRETE, MANUEL GOLDEN COUNTRY ORIENTAL 01/29/18 GOLDSTEIN BENDER & ROMANOF JOSEPH MARCINIAK 470 18WC 06533 HERNANDEZ, MARTHA GENERATIONS BRANDS 11/27/17 EDWIN REYES LEGAL GROUP HENNESSY & ROACH PC 18WC006964 -C 471 18WC 06548 CONRY, KEITH MWRDGC 07/08/15 BOWMAN & CORDAY 472 18WC 06667 RUIZ, D'ANGELO JID MOTORS 02/20/18 COVEN LAW GROUP GAROFALO SCHREIBER STORM GRA 473 18WC 11538 JEGLUM, DAVID PROSPECT HEIGHTS FIRE 03/26/18 SAUNDERS CONDON & KENNY POWER & CRONIN LTD 474 18WC 12333 IKE, RONALD D UNIVERSITY OF ILLINOIS AT 02/11/18 ANKIN LAW OFFICE POWER & CRONIN LTD 475 18WC 13381 CONTRERAS, HUGO US TANK ALLIANCE INC 05/31/17 GRAUER & KRIEGEL LLC GAROFALO SCHREIBER STORM GRA 18WC013382 -C 476 18WC 13537 HEICHMAN, WILLIAM SHERWIN-WILLAIMS PAINT ST 02/14/18 MC HARGUE & JONES GAROFALO SCHREIBER STORM GRA 477 18WC 13767 GREEN, MADELEINE THE HOME DEPOT, INC 06/01/17 PETER D CORTI LAW GROUP ADELSON TESTAN BRUNDO 478 18WC 14020 GREENE, DOMONIQUE SUBWAY RESTURANT 05/01/18 LEONARD LAW GROUP LLC 479 18WC 14055 BIERNAT, WILLIAM USF HOLLAND INC. 03/23/18 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 480 18WC 14105 MARSHALEK, RAYMOND POWER WELLNESS MANAGEMENT 07/13/16 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 481 18WC 14182 PRICE, DESIREE MARIANO'S 04/29/18 DICKLER KAHN GANAN & SHAPIRO 482 18WC 14205 LOPEZ, LUIS E FEDEX GROUND PACKAGE SYST 11/26/17 KOSIN LAW OFFICE LTD KOPKA, PINKUS DOLIN, PC 483 18WC 14220 BURRELL, DAVID WINPAK PORTION PACKAGING 03/16/18 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 484 18WC 14285 HERMAN, JOANNE TGI FRIDAYS/YADAY ENTERPR 09/15/17 CORTINA & MUELLER MEACHUM & STARCK 485 18WC 14333 BAUTISTA, FERNANDO TAYLOR FARMS ILLINOIS 12/05/17 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 486 18WC 14534 WILSON, DIANNE SENIOR HELPERS 04/07/18 MC HARGUE & JONES GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 487 18WC 14556 VANDYS, KESTUTIS ARKA LOGISTICS, INC 02/19/16 JASON SAGER 488 18WC 14584 MORGAN, TRACEY COOK COUNTY SHERRIF'S DEP 05/06/18 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 489 18WC 14678 REEVES, DERRICK XPO LOGISTICS 02/13/17 RUBENS AND KRESS 490 18WC 14711 GISCOMBE, MARCUS UCAN-UHLICH CHILDRENS 01/22/18 MC HARGUE & JONES 491 18WC 14749 KONCEVIC, MICHAEL MURPHY & MILLER 04/05/13 COVEN LAW GROUP HOLECEK & ASSOCIATES 492 18WC 14767 QUINTANAR, MARIA C DART CONTAINER 03/23/18 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM GRA 493 18WC 14861 SANCHEZ, CELSO ACCORD CARTON 03/31/18 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 494 18WC 15116 ROONEY, WILLIAM CITY OF CHICAGO DEPT OF 11/19/14 CUDA LAW OFFICES CITY OF CHICAGO 495 18WC 15135 AVILES, OMAR FROZEN FOOD EXPRESS 10/12/17 JACOBSON & SCHIEFELBEIN WIEDNER & MCAULIFFE LTD 496 18WC 15156 SPEROPOULOS, TRAVIS ALLSEASONS HVAC/R, LLC 05/14/18 BARRY E BURKE GILDEA, COGHLAN & REGAN LTD. 497 18WC 15201 MCCOY, SAMARAH D RUSH UNIV MEDICAL CENTER 05/07/18 VITELL & SPITZ LTD 498 18WC 15222 MURRAY, WILLIE AUTOZONE 02/27/18 JAMES ELLIS GUMBINER & ASS 499 18WC 15288 LATASIEWWICZ, SUSAN V PEPSICO D/B/A FRITO LAY I 04/02/18 KOSIN LAW OFFICE LTD GILDEA & COGHLAN 500 18WC 15309 GRADOS, CESAR A CARL BUDDING & CO 05/03/18 ANKIN LAW OFFICE KNELL O'CONNOR DANIELWICZ 501 18WC 15387 HOWARD, JAMAR ARENA FOOTBALL ONE, LLC 06/11/16 GORDON & CENTRACCHIO LLC 502 18WC 15435 LEE, ANDREW HARPER COLLEGE 02/09/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 18WC015436 -C 503 18WC 15459 FLORECKI, NIKO XSPORT FITNESS 04/26/18 RIDGE & DOWNES 504 18WC 15500 EVANS, REGINALD M ILLINOIS DEPARTMENT OF 02/23/18 ANKIN LAW OFFICE ASSISTANT ATTY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 505 18WC 15545 RUFINO, FRANCISCO ROSBOROUGH PARTNERS INC 05/10/18 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 506 18WC 15639 WILLIAMS, LESLIE D CTA 05/11/18 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 507 18WC 15656 DUFFY, SANTO C COOK COUNTY SHERIFF'S DEP 05/05/18 DAVID W MARTAY STATES ATTORNEY OF COOK COUN 508 18WC 15744 HUIZINGA, JAMES ADVANCED DISPOSAL SERVICE 12/26/17 KOSIN LAW OFFICE LTD INMAN & FITZGIBBONS 509 18WC 15777 DAHMER, DARYL FLECK'S LANDSCAPING 01/13/18 STROM & ASSOC BRADY CONNOLLY & MASUDA PC 510 18WC 15812 SPRAWLS, LILLIE CHICAGO PUBLIC SCHOOLS 12/07/17 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION 511 18WC 15891 WESTBROOK, MARVIN L RPT TRANSPORTATION, INC 04/15/16 JAMES M KELLY 512 18WC 15943 MILEWSKI, MICHAEL SOUTHWEST AIRLINES CO. 05/15/18 ANKIN LAW OFFICE 513 18WC 15993 ROBINSON, KAREN CTA 03/13/18 MICHAEL A. HIGGINS 514 18WC 16017 CARROLL, MICHAEL MORAN MASONRY 04/27/18 LUSAK AND COBB 515 18WC 16047 ROVERTS, LESTER H SR SUNRISE SOUTHWEST LLC 04/24/18 ANKIN LAW OFFICE FRANCESCA LARSEN 516 18WC 16193 MAHANNA, MATTHEW P UNITED AIRLINES 04/05/18 COVEN LAW GROUP 517 18WC 16196 KNIGHT, ASHLEY UPS 11/01/17 DWORKIN AND MACIARIELLO ASA LAW GROUP 518 18WC 16344 WOOLFOLK, JOSEPHINE CHICAGO TRANSIT AUTHORITY 05/29/18 MC HARGUE & JONES CHICAGO TRANSIT AUTHORITY 519 18WC 16360 CUNTUM, VIJAYA CR ENGLAND 05/24/18 SEIDMAN MARGULIS & FAIRMAN SPIEGEL & CAHILL, PC 520 18WC 16371 FLAVIN, GARRETT ORLAND FIRE PROTECTION DI 03/19/18 CULLEN HASKINS NICHOLSON 521 18WC 16387 AVILA, JUANA L TAYLOR FARMS 04/26/18 SALK, STEVEN B & ASSOC LTD RODDY LAW LTD 522 18WC 16463 SANCHEZ, ANGELINA APPLE INC 04/12/18 KOSIN LAW OFFICE LTD BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 523 18WC 16550 ALVARADO, ANA THREE BROTHERS LAUNDRY 05/20/18 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 524 18WC 16612 PATTERSON, LAZAREN B FORD MOTOR COMPANY 10/11/17 VITELL & SPITZ LTD 525 18WC 16630 CUEVAS SANCHEZ, DIONISIO POZO CONSTRUCTION AND ALI 05/05/18 THE ROMAKER LAW FIRM POWER & CRONIN LTD 526 18WC 16711 DUNN, DOMINIQUE PACE SUBURBAN BUS 02/25/18 BLUMENSHINE LAW GROUP PAUL A COGHLAN & ASSOC 527 18WC 16750 VELASCO, JOEY YRC, INC 11/26/17 RAYMOND P GARZA LAW OFFICE HENNESSY & ROACH PC 528 18WC 16780 MASON, GEORGE CTA 08/28/17 ASHER, RAYMOND L LTD CHICAGO TRANSIT AUTHORITY 529 18WC 16797 LOGWOOD, YOLANDA UNITED AIRLINES 05/28/18 KUMLIN & FROMM WIEDNER & MCAULIFFE LTD 530 18WC 16823 MACHUCA, J. SOCCORO ELI'S CHEESECAKE CO 04/12/18 VASILATOS & COTTER LLC MEACHUM & STARCK 531 18WC 22007 LEWIS-BUNCH, RITA ADVOCATE TRINITY HOSPITAL 01/11/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 532 18WC 23473 CASTRO, IVONNE SCRUB INC 07/29/18 JAMES ELLIS GUMBINER & ASS POULOS & DIBENEDETTO LAW 533 18WC 23508 YUNDA, AMINA Z KRISPY KREME DOUGHNUTS 07/20/17 COSTA IVONE LLC MEACHUM & STARCK 534 18WC 23524 SANCHEZ, OMAR DUNKIN DONUTS 07/25/18 LEONARD LAW GROUP LLC 535 18WC 23543 MIOLETTI, MICHELE CIRCUIT COURT OF COOK COU 08/03/18 GERALD CONNOR STATES ATTORNEY OF COOK COUN 536 18WC 23571 GREENWOOD, ROBBIE SSP AMERICA FOOD TRAVL EX 07/17/18 DWORKIN AND MACIARIELLO 537 18WC 23614 MARTINEZ, EMILIO R FARMINGTON FOODS, INC 05/07/18 DENNIS HESSER 538 18WC 23656 MCWILLIAMS, DAVID SEARS HOME SERVICES 08/02/18 SKLARE LAW GROUP GAROFALO SCHREIBER STORM GRA 539 18WC 23715 DUNNE, PATRICK T PINNACLE SERVICES INC 08/02/18 PAUL A COGHLAN & ASSOC RODDY LAW LTD 540 18WC 23792 HARDY, SYEITHA MANOR CARE PALOS EAST 07/08/18 WOODRUFF JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 541 18WC 23810 DE CURIE, TRINA NICOR 06/14/17 TAXMAN POLLOCK MACIOROWSKI SACKMANN & ULRIC 542 18WC 23842 SAMANDAS, LINA NIEMAN MARCUS 03/21/17 LUSAK AND COBB 543 18WC 23882 BRAVO, EDGAR PARAGON MECHANICAL 08/02/18 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 544 18WC 23952 KINGSBURY, BETH, LEGAL CHICAGO PARK DISTRICT 08/02/18 ACEVES & PEREZ PC CHICAGO PARK DIST LAW DEPT 545 18WC 24023 D'ANGELO, CYNTHIA NEW ALBERTSON'S INC D/B/A 02/15/18 NICHOLIS J STEIN 546 18WC 24047 NETTLES, AARON CTA 04/26/18 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 547 18WC 24073 JONES, PHILLIP CITY OF CHICAGO ST & SAN 05/13/18 DONALD FOHRMAN & ASSOC CITY OF CHICAGO 548 18WC 24091 PADILLA, MARTHA CASA CENTRAL SOCIAL SERVI 07/25/18 CHEPOV & SCOTT LLC 549 18WC 24136 CARRANZA-BUENO, MARIA GUA ACUITY BRANDS 07/26/17 LULAY LAW OFFICES SLAVIN & SLAVIN 550 18WC 24174 SARUMI, OLUWAFEMI AMERICAN AIRLINES, INC 06/21/18 PETER D CORTI LAW GROUP ROSARIO CIBELLA 551 18WC 24189 MALINOWSKI, DIANE OLYMPIA FIELDS COUNTY CLU 11/30/17 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 552 18WC 24230 JACOBSON, CURTIS HOME DEPOT USA INC 09/19/17 DENNIS HESSER ADELSON TESTAN BRUNDO 553 18WC 24258 HERNANDEZ, ESTHER ST JOSEPH VILLAGE OF CHIC 06/02/18 MARKER & CRANNELL 554 18WC 24282 AGUILAR, HUMBERTO PRIDE CLEANERS 01/26/16 JONATHAN SCHLACK 555 18WC 24304 LOERA, MAYRA FORD MOTOR CO 06/08/18 VASILATOS & COTTER LLC 556 18WC 24320 MORENO, OSCAR HUMBERTO DE QUALITY LABOR SERVICE NOR 08/10/18 HERRERA LAW CENTER KOREY RICHARDSON LLC 557 18WC 24352 ZARAGOZA, YVONNE PLYMOUTH PLACE 07/01/18 PORRO NIERMANN LAW GROUP WOLF LAW LTD 558 18WC 24562 LAUDERBACK, LAURA UPS 08/01/18 STROM & ASSOC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 559 18WC 24582 GREENWOOD, PORSHIA NORTH SHORE UNIVERSITY HE 05/30/18 WOODRUFF JOHNSON 560 18WC 24617 BROWN, ROSALYN CTA 06/26/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 561 18WC 24628 COLLINS, ALBERT ILLINOIS DEPT OF TRANSPOR @ 08/01/16 JASINSKI, GEORGE J ASSISTANT ATTY GENERAL 562 18WC 24642 ABDI, ABDIAZIZ DISPATCH TAXI AFFILIATION 08/06/18 HETHERINGTON KARPEL BOBBER 563 18WC 24664 MIKALSEN, MAUREEN GRAND WORLD WIDE LOGISTIC 07/05/18 STEVEN H MEVORAH & ASSOCIA 564 18WC 24727 MURGEUITIO, RUDOLPH SODEXO 07/23/18 SALVATO O'TOOLE FROYLAN INMAN & FITZGIBBONS 565 18WC 24742 MARTIN, CORY ARAMARK SERVICES INC 08/07/18 GOLDSTEIN BENDER & ROMANOF 566 18WC 24756 LOSTER, ELBA FIRST STUDENT 07/11/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 18WC024757 -C 567 18WC 24774 ARANGO, JORGE COMPLETE HOOD SERVICES 08/06/18 HERRERA LAW CENTER MEACHUM & STARCK 568 18WC 24803 SIMACK, KATHRYN L LOYOLA UNIVERSITY 06/27/16 RICHARD E ALEKSY LORENZ & BERGIN PC 569 18WC 24900 HILL, BLONDINA SOUL CARE SERVICES 07/24/18 DWORKIN AND MACIARIELLO 570 18WC 24927 PACK, NOMOYA IL DEPT OF HEALTH SERVICE @ 05/26/18 CRONIN & PETERS ASSISTANT ATTORNEY GENERAL 571 18WC 25008 MORENO, PABLO GOLD STANDARD BAKING 08/04/18 DAVID W MARTAY 572 18WC 25049 082 REYES, ROXANA DAKKOTA INTEGRATED SYSTEM 07/19/18 CHRISTIAN & MANNO RIPES NELSON BAGGOT KALOBRAT 082 17WC008633 -C 573 18WC 25081 WILKES, JERI LAKHANI HOSPITALITY 02/14/18 SHAY & ASSOCIATES 574 18WC 25130 PEREZ, FERNANDO VIP LOGISTICS 04/04/17 STEVEN A CRIFASE, LTD 575 18WC 25181 CHAPMAN, ALLEN ARENA FOOTBALL ONE LLC 04/23/16 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 576 18WC 25247 MERRIWEATHER, KRISTOFF FORD MOTOR COMPANY 06/13/18 DONALD FOHRMAN & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 577 18WC 25273 WILSON, JOHNNIE ASHUNTI RESIDENTIAL MANAG 08/16/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 578 18WC 25344 WILSON, LAMAR WILLIE STALLWORTH 07/09/18 VRDOLYAK LAW GROUP LLC 579 18WC 25367 ARELLANO, EDUARDO BUDDY BEAR CAR WASH 06/20/18 DWORKIN AND MACIARIELLO ANCEL GLINK PC 580 18WC 25422 SAID, ABDELSALAM TFORCE FINAL MILE 06/12/18 ROGER D RUDICH LTD SCOPELITIS GARVIN LIGHT 581 18WC 25445 LOPEZ, ULISES PEREZ RELIABLE CONTRACTING 06/01/18 COYNE REINKE LAW 582 18WC 25466 LUCIA, KELLY UNITED CONTINENTAL HOLDIN 03/03/18 RUSSO & RUSSO LTD NYHAN BAMBRICK KINZIE & LOWR 583 18WC 25561 VASQUEZ, STEVEN UNISTAFF OFFICE, INC 08/17/18 ANKIN LAW OFFICE 584 18WC 25585 AGNEW, KAREN KINDERCARE 02/28/18 CORNFIELD & FELDMAN HENNESSY & ROACH PC 585 18WC 25621 WILLIAMS, KAREN ANTI-CRUELTY SOCIETY 12/01/17 BRISKMAN BRISKMAN GREENBER INMAN & FITZGIBBONS 586 18WC 25661 PAGE, JOHNNY UNIQUE THRIFT STORE 08/21/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 587 18WC 25684 MURPHEY, MARY LOU MALNATI'S 07/12/18 ROSENBERG EISENBERG ASSOC 588 18WC 25735 FOHRMAN, PAUL USF HOLLAND 08/06/18 MARTIN V KUGIA HENNESSY & ROACH PC 589 18WC 25751 GOMEZ, MARIA ELITE STAFFING 03/16/17 KREITER, BYCK & ASSOC LLP 590 18WC 25764 VOTTERO, KYLE SOUTHEAST LEASING PERSONN 05/23/18 CULLEN HASKINS NICHOLSON QUINTAIROS PRIETO WOOD & BOY 591 18WC 25846 SIMS, HERMAN CHICAGO STATE UNIVERSITY 07/24/18 ANGELINI & ORI LLC ASSISTANT ATTY GENERAL 592 18WC 25868 LIGHTFORD, MELVIN EVANS FOOD GROUP, LTD 05/31/18 RUBENS KRESS MULHOLLAND HOLECEK & ASSOCIATES 593 18WC 25894 SHEEHAN, THOMAS ILLINOIS STATE POLICE 04/25/18 COLLISON LAW OFFICES 594 18WC 25908 PEREZ, WALTER D AT&T 08/24/17 GALLAGHER, DONALD V

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 595 18WC 25925 OBAGHEMI, SOJI CHICAGO ELITE CAB 08/14/18 SHELDON I MINKOW & ASSOCIA 596 18WC 25956 JACKSON, HANNAH JAYMEES CAFE 01/08/16 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 597 18WC 26055 BIRKHOLTZ, SUSAN THE FOUNTAIN GROUP 08/15/18 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 598 18WC 26063 GONZALEZ, JOSE UNITED AIRLINES INC. 08/19/18 WEISS ORTIZ PC WIEDNER & MCAULIFFE LTD 599 18WC 26097 MOLETTE, CYNTHIA ALDEN ESTATES OF NORTHMOO 08/21/18 MARC J SHUMAN & ASSOCIATES KEEFE CAMPBELL BIERY & ASSOC 600 18WC 26140 HENDERSHOT, BROOKE AMITA/ST 07/21/18 DOUGLAS RALLO PC POWER & CRONIN LTD 601 18WC 26163 JENNINGS, LATONYA D A.S.G. STAFFING, INC 08/24/18 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 602 18WC 26199 FRANTZ, MICHAEL J UNION LEAGUE CLUB OF CHIC 11/04/17 CORNFIELD & FELDMAN HENNESSY & ROACH PC 603 18WC 26216 BAKER, YOLANDA (MOTHER OF NAVY PIER INC 07/20/18 CHRISTINE F DAVID HENNESSY & ROACH PC 604 18WC 26595 BAEZ, ESTEBAN CHICAGO PUBLIC SCHOOL 11/13/17 GOLDBERG WEISMAN & CAIRO L CHGO BOARD OF EDUCATION 605 18WC 30449 PEREZ-HUERTA, JOSE G MINUTE MEN STAFFING SERVI 08/14/18 SALVATO O'TOOLE FROYLAN POWER & CRONIN LTD 606 18WC 31920 NORRIS, TRAVONE TWO MEN AND A TRUCK * 08/10/18 CHARLES LEVY & ASSOC LTD HENNESSY & ROACH PC 607 18WC 33331 SINGLETON, MARY TOWER AUTOMOTIVE HOLDINGS 10/05/18 BRENNAN, THOMAS E LTD KEEFE CAMPBELL BIERY & ASSOC 608 18WC 33379 GAINES, JERMAINE MAYFIELD CARE CENTER 11/04/18 SKLARE LAW GROUP GILDEA, COGHLAN & REGAN LTD. 609 18WC 33427 JACKSON, DONALD AWC WAREHOUSE 11/01/18 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL BIERY & ASSOC 610 18WC 33492 MCKINZIE, LATRELL CHICAGO TRANSIT AUTHORITY 11/03/18 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 611 18WC 33517 ALLEN, JOSEPH WORLDWIDE FLIGHT SERVICES 08/19/17 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 612 18WC 33531 CAMACHO, ALEJANDRO FORT DEARBORN 10/26/18 HERRERA LAW CENTER JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 613 18WC 33575 CAPIZ, ELVIA MC DONALD'S 02/11/18 HORWITZ HORWITZ & ASSOC 614 18WC 33604 BOGARD, DIAMOND CPS-WESTINGHOUSE COLLEGE 11/05/18 STROM & ASSOC CHGO BOARD OF EDUCATION 615 18WC 33616 KAPLAN, MARLA PETEY'S II RESTAURANT & L 11/21/15 DAVID W MARTAY ROSARIO CIBELLA 616 18WC 33639 BECK, ALLEN REPUBLIC SERVICES, INC. 01/26/18 KROL BONGIORNO & GIVEN LTD 617 18WC 33657 AGUILAR, ABEL ARRO CORPORATION AND 10/11/18 EPSTEIN, JACK R LAW OFFICE 618 18WC 33701 TODD, MYKAL PDS TECHNICAL SERVICES IN 08/28/18 BUDIN LAW OFFICES KRAKER FANNING & OLSEN 619 18WC 33726 SALGADO, RICARDO SCHNEIDER NATIONAL CARRIE 08/03/18 JAUREGUI & ASSOCIATES POWER & CRONIN LTD 620 18WC 33757 SOTO, CRISTIAN SPI STAFFING 07/09/18 STONE & MAYA PC SLAVIN & SLAVIN 621 18WC 33786 REED, ANTHONY ELITE RENOVATION SYSTEM 10/05/18 ANGELINI & ORI LLC 622 18WC 33805 GRIFFIN, DEVON FORD MOTOR COMPANY 11/07/18 DONALD FOHRMAN & ASSOC 623 18WC 33847 RODRIGUEZ, ELIZABETH FRANCISCAN HEALTH 04/12/18 ENCINAS & ORNELAS 624 18WC 33879 VILLASENOR, OCTAVIO TOOTSIE ROLL 06/22/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 625 18WC 33897 BRAN, HECTOR DOMESTIC LINEN SUPPLY CO 07/02/18 TAXMAN POLLOCK 626 18WC 33927 PALKA, CHARLENE QUEST ENTERPRISES, LLC 11/13/17 GOLDBERG WEISMAN & CAIRO L 627 18WC 33956 BARNETT, ERIN M COMPASS GROUP NORTH AMERI 10/17/18 RUBIN LAW GROUP 18WC033957 -C 628 18WC 33981 HUERTA, MATEO RJ CONCRETE, INC. 07/23/18 NILSON STOOKAL GLEASON CAP GILDEA, COGHLAN & REGAN LTD. 629 18WC 34024 HAMILTON, RAYMOND COMCAST 11/10/18 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 630 18WC 34053 ANDREWS, LETHA APOLLO PROPERTY MANAGEMEN 08/31/17 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 631 18WC 34078 TAYLOR, ANDIE DRAPER & KRAMER MORTGAGE 10/22/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 632 18WC 34102 SMITH, STEVEN ABT HOME SERVICES, INC. 09/25/18 GRAUER & KRIEGEL LLC 633 18WC 34173 FOUNTAIN, TERRI VILLA AT EVERGREEN PARK 09/08/18 SCOTT B SHAPIRO HOLTKAMP LIESE 634 18WC 34201 LAXAMANA, ALBERT NORDSTROM 11/08/17 ERIC H CHECK, LAW OFFICES GAIDO & FINTZEN 635 18WC 34231 MARTINEZ, MARTIN J.A. JOHNSON PAVING COMPA 10/17/18 COSTA IVONE LLC ACCIDENT FUND HOLDINGS 636 18WC 34251 SOTO, JAVIER ILLINOIS BELL TELEPHNE CO 11/02/18 MC HARGUE & JONES 637 18WC 34275 JORDAN, RAY SECRETARY OF STATE 06/13/18 SMOLER LAW OFFICE, PC ASSISTANT ATTORNEY GENERAL 638 18WC 34297 ALBARRAN, EDGAR PIEMONTE DUNDEE CHEVROLET 02/03/17 TARPEY JONES SCHROEDER HENNESSY & ROACH PC 639 18WC 34344 MORENO, RONALDOA OLD WORLD MARKET 09/18/18 GALLAGHER, DONALD V 640 18WC 34389 FINCH, DARIUS FORD MOTOR COMPANY 11/07/18 GORDON & CENTRACCHIO LLC KEEFE & DEPAULI 641 18WC 34420 CARBAGE, BOBBY PEER SERVICES 10/30/18 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 642 18WC 34444 SOTO, MARCO ANTONIO BLUEBERRY HILL CAFE 09/14/18 COSTA IVONE LLC 643 18WC 34467 FOUNTAIN, TERRI VILLA AT EVERGREEN PARK 09/08/18 SCOTT B SHAPIRO 644 18WC 34485 ALLEN, CHANTINIA CTA 11/12/18 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 645 18WC 34510 COWART, CAROLYN CHICAGO PUBLIC SCHOOLS 11/06/18 WARREN W MARK CHGO BOARD OF EDUCATION 646 18WC 34587 PEREZ-RODRIGUEZ, AGUSTIN THE XCEL GROUP 10/29/18 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 647 18WC 34600 SALAZAR MORALES, DOMINGO RAPID PALLETS COMPANY 07/30/18 EPSTEIN, JACK R LAW OFFICE 648 18WC 34613 LAVIN, YVONNE CENTRAL HS RICH TOWNSHIP 02/23/18 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 649 18WC 34637 SCOTT, YOLANDA BRITE NEW MIND DAYCARE CE 11/13/18 STROM & ASSOC JOSEPH MARCINIAK 650 18WC 34667 LOPEZ, RUBAN DURAN TEMPS P.D.Q. INC. 11/13/18 ENCINAS & ORNELAS POWER & CRONIN LTD 651 18WC 34696 LOZANO, MARIA LILIANA HOTEL STAFFING SOLUTION 10/21/18 OSVALDO RODRIGUEZ PC KOREY RICHARDSON LLC 652 18WC 34726 BAEZ, SANDRA NIEVEZ A CAROUSEL DAY CARE CENTE 11/08/18 SEIDMAN MARGULIS & FAIRMAN 653 18WC 34764 CLOUGH, DANIEL YRC WORLDWIDE 09/29/18 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 654 18WC 34782 008 VILCHIS, MYRNA ATLAS EMPLOYMENT SERVICES 11/13/15 POSTERLI, OSCAR GAIDO & FINTZEN 008 18WC033721 -C 655 18WC 34825 PIERCE, SHEILA FEDERAL MOGUL CORP 09/27/18 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL BIERY & ASSOC 656 18WC 34877 DIAZ, CHUCK QUALITY CUSTOM INSTALL, I 11/12/18 GREGORIO & MARCO 657 18WC 34917 RUBALCAVA, FELICITAS BRIDGEPORT LAUNDROMAT 06/13/18 SHELDON I MINKOW & ASSOCIA 658 18WC 34955 SARTIN, QUINCE JR AM BUS COMPANY 11/15/18 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 659 18WC 34977 SCHIBILLA, DAVID LEGGETT & PLATT FASION BE 07/02/18 HORWITZ HORWITZ & ASSOC 660 18WC 34995 VILCHIS, ROSALIE HORMEL FOODS 09/14/18 STEVEN J MALMAN & ASSOCIAT LEAHY EISENBERG & FRAENKEL 661 18WC 35005 ABBIO, JOHN VILLAGE OF WHEELING 10/22/18 CAPRON & AVGERINOS PC 662 18WC 35031 JONES, MARQUIS MIDWAY STAFFING INC 11/20/18 ANKIN LAW OFFICE 663 18WC 35059 LAWSON, RICKY SWISSPORT 11/17/18 MC HARGUE & JONES KNELL O'CONNOR DANIELWICZ 664 18WC 35084 LEMAIRE, JAMES THE SEGERDAHL CORP DBA SG 09/13/18 ARIANO HARDY NYULI JOHHSON 665 18WC 35118 MOGHALU, CHRISTIAN RAINSTORM II 10/11/18 COHN LAMBERT RYAN & SCHNEI 666 18WC 35141 ROWELL, YARNELL COSTCO 11/09/18 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 667 18WC 35142 KERFMAN, LIBBY STARBUCKS CORPORATION C/O 06/25/17 HETHERINGTON KARPEL BOBBER 668 18WC 35197 KINDRED, BENNIE JR. SUNCAST CORPORATION 10/08/18 BLUMENSHINE LAW GROUP 669 18WC 35231 LARY, RODNEY GARTH MASONRY CORPORATION 11/24/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 670 18WC 35258 BOYD, MELVIN AMERICAN METAL CHEMICAL C 10/08/18 ANKIN LAW OFFICE 671 18WC 35289 MARTINEZ, ANAYELI METRO STAFFING 09/20/18 JOHN S. ELIASIK 672 18WC 35311 SOTELO, MARIA H DONNA LYON, LLC W 11/22/18 STEVEN B SALK & ASSOC LTD ARMSTRONG LAW 673 18WC 35329 RAMIREZ, MARILU MULTI-TEMPS SERVICES INC 03/01/17 ANSELMO DURAN GAIDO & FINTZEN 674 18WC 35379 BRYANT, CURTIS M2 PROPERTY GROUP, LLC 10/12/18 ASHER, RAYMOND L LTD 675 18WC 35398 VARGAS, MARCO DART CONTAINER 10/07/18 TAXMAN POLLOCK GAROFALO SCHREIBER STORM GRA 676 18WC 35418 RINKUS, JAMES CHICAGO RIDGE SCHL DIST # 11/28/17 STEVEN J TENZER, LTD NYHAN BAMBRICK KINZIE & LOWR 18WC035757 -C 677 18WC 35433 STOKES, JOHNNY CTA 10/17/18 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 678 18WC 35449 SMITH, RITA A VICTORY CENTRE OF GALEWOO 10/22/18 DANIEL PERIASWAMY 679 18WC 35474 PILLOW, ROY ACCENTURE 11/09/18 LAW OFFICES OF ADRIAN CHER RODDY LAW LTD 680 18WC 35496 IBARRA, ANTONIO A-KORN ROLLER, INC, C/O 08/06/18 HETHERINGTON KARPEL BOBBER INMAN & FITZGIBBONS 681 18WC 35519 SOTELO, MOISES ALLEN BROTHERS 1893, LLC 10/20/18 COSTA IVONE LLC HENNESSY & ROACH PC 682 18WC 35540 MCCLELLNAN, GREGORY E HICKORY HILLS NRSNG PAVIL 10/21/18 DEPAOLO & ZADEIKIS GOLDBERG SEGALLA LLC 683 18WC 35551 FUNK, RONALD J L.A. FITNESS 11/09/18 CULLEN HASKINS NICHOLSON ADELSON TESTAN BRUNDO 684 18WC 35581 FLORES, MARISOL ELITE STAFFING, INC./BEST 10/24/18 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 685 18WC 35711 WILLIAMS-LASH, CRYSTAL AMAZON 08/01/17 PORRO NIERMANN LAW GROUP SLAVIN & SLAVIN 686 18WC 35734 KING-BELL, SABRYNA-JOI CHICAGO TRANSIT AUTHORITY 11/21/18 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 687 18WC 35771 CROSS, ROBERT PROSPECT AIRPORT SERVICES 11/17/18 DWORKIN AND MACIARIELLO 688 18WC 35811 EASTER, TYEISHH SCRUB, INC 11/13/18 STEVEN J MALMAN & ASSOCIAT GAIDO & FINTZEN 689 18WC 35831 DIJAR, ALFONSO ROSALES CARNICERIAS JIMENEZ INC 11/21/18 COSTA IVONE LLC RIPES NELSON BAGGOT KALOBRAT 690 19WC 02415 GILLESPIE, FREDDIE REPUBLIC SERVICES 01/08/19 KROL BONGIORNO & GIVEN LTD 691 19WC 02433 MARTIN, RENEE JCG INDUSTRIES, INC/ 11/27/18 JAMES H MILLER JR 692 19WC 02452 BALDERAMA, DAVID MA REBAR SERVICES, INC 08/19/16 GOLDBERG & DOHAN WIEDNER & MCAULIFFE LTD 693 19WC 02456 SOTO, JESUS RIVER EDGE HOSPITAL 08/27/18 CUDA LAW OFFICES MC ANDREWS & NORGLE LLC 694 19WC 02479 MCCANN, LATEESHA CHICAGO TRANSIT AUTHORITY 01/19/19 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 695 19WC 03044 ARAQUE, CARLOS CHICAGO TRANSIT AUTHORITY 01/26/19 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 696 19WC 03056 NUNEZ, JACQUELINE LINCOLN PARK SKILLED 01/22/19 RUEDA, IVAN A BRADY CONNOLLY & MASUDA PC 697 19WC 03074 WILLIAMS, GERTIE UPS 12/10/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 698 19WC 03107 BOYD, LAURA ALLIED UNIVERSAL SECURITY 01/26/19 ROGER D RUDICH LTD GAROFALO SCHREIBER STORM GRA 699 19WC 03257 003 RUTHBERG, ANDREW UNITED AIRLINES 01/27/19 GERALD CONNOR WIEDNER & MCAULIFFE LTD 003 15WC030029 -C 003 15WC030030 -C 700 19WC 03292 MALEC, MICHAEL AT&T 09/17/18 ABELS & ANNES, PC 701 19WC 03329 SHEPHARD, ROSEMARY ABCOR HOME HEALTH 11/01/18 BRISKMAN BRISKMAN GREENBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 702 19WC 03373 BUROW, SAVANNAH INTERCONTINENTAL HOTELS G 12/19/18 MCNAMARA PHELAN MCSTEEN LL 703 19WC 03445 RAMIREZ, ROBERTO RUSH UNIVERSITY MED CTR 08/21/18 EDWIN REYES LAW FIRM KEEFE CAMPBELL BIERY & ASSOC 19WC003446 -C 704 19WC 03461 HASKETT, JUSTIN CITY OF COUNTRY CLUB HILL 01/22/19 HETHERINGTON KARPEL & BOBB BRYCE DOWNEY & LENKOV LLC 705 19WC 03522 ABRAMS, CAROLYN F COMMUNITY CONSOLIDATED 10/08/18 ANESI OZMON RODIN NOVAK KO ACCIDENT FUND HOLDINGS 706 19WC 03560 WASHINGTON, KEVIN AT&T 01/07/19 MC HARGUE & JONES 707 19WC 03585 GIGELE, JOSEPH SALT CREEK PARK DISTRICT 10/12/18 BALKE & WILLIAMS 708 19WC 03630 CHERRY, KEVIN B CTA 01/09/19 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 709 19WC 03651 ELHELW, MOHAMED HUB GROUP TRUCKING INC 12/19/18 GOLDBERG WEISMAN & CAIRO L 710 19WC 03673 WRIGHT, DARROL OPTIMAL EXPRESS 11/30/18 STEVEN J MALMAN & ASSOCIAT 711 19WC 03691 ROE, DAVID M.J. ELECTRIC CO. 11/01/18 TAXMAN POLLOCK RUSIN & MACIOROWSKI LTD 712 19WC 03710 VALLE, RAYMOND PALATINE CCSD #15 01/30/19 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 713 19WC 03761 CASTANEDA, ANTHONY R PANDUIT CORPORATION 01/07/19 WEISS & WEISS LAW OFFICES 714 19WC 03775 PETERSEN, SCOTT OAK LAWN POLICE DEPARTMEN 07/10/18 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL BIERY & ASSOC 715 19WC 03811 MARTINEZ, MARIA SCHULZE & BURCH BISCUIT C 09/25/17 MARK SCHAFFNER 716 19WC 03812 MARQUEZ, JOSE LUIS PRONTO STAFFING 12/11/18 GAINES & GAINES POWER & CRONIN LTD 717 19WC 03863 ISRAEL, MARIAM WOODWARD, INC. 01/22/19 HUGHES SOCOL PIERS RESNICK 718 19WC 03893 ADAMS, KIMBERLY THE BLACKSTONE, 08/24/18 HERRERA LAW CENTER 719 19WC 03912 GOSCINSKI, MONIKA WALGREEN'S 01/05/19 STANCZAK LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 720 19WC 03934 HOWARD, JASON NORTHWEST EXPRESS 12/20/18 SKLARE LAW GROUP 721 19WC 03987 HILL, TONY ST OF IL SECRETARY OF STA @ 10/30/18 DANIEL PERIASWAMY ASSISTANT ATTORNEY GENERAL 722 19WC 04117 HOLIDAY, JUDITH DART CONTAINER CORP 02/02/19 CELSO FUENTES JR GAROFALO SCHREIBER STORM GRA 723 19WC 04158 MCCRAW, FREDDIE AUTO WAREHOUSING COMPANY 02/05/19 KUMLIN & FROMM KEEFE CAMPBELL BIERY & ASSOC 724 19WC 04176 DRAKE, SHENISE CHICAGO TRANSIT AUTHORITY 01/22/19 VLANTIS LAW LLC CHICAGO TRANSIT AUTHORITY 725 19WC 04188 090 KIRKSEY, ALEXANDER AMERICAN AIRLINES 12/16/18 MEYERS & FLOWERS GAROFALO SCHREIBER STORM GRA 090 16WC037519 -C 726 19WC 04206 DE JESUS, ELIAS DISCOUNT TIRE 05/01/18 MC HARGUE & JONES 727 19WC 04226 HOGUE, JOHN R LUBINSKI FURNITURE 02/01/19 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 728 19WC 04248 RAMIREZ, LORENA SUPERIOR AMBULANCE SERVIC 01/11/19 KOSIN LAW OFFICE LTD POWER & CRONIN LTD 729 19WC 04262 HOPKINS, JESSICA C SONY ELECTRONICS 09/12/18 VITELL & SPITZ LTD GOLDBERG SEGALLA LLC 730 19WC 04278 JONES-ROBERTSON, ALISA C BEST LOVING CARE AT HOME 01/19/19 CHEPOV & SCOTT LLC 731 19WC 04297 PRIEST-NEAL, SAMETA UNITED MAINTENANCE COMPAN 09/16/18 SCOTT B SHAPIRO RUSIN & MACIOROWSKI LTD 732 19WC 04319 MAYFIELD, CHRISTOPHER ARYZTA BAKERY 01/28/19 GERALD CONNOR HENNESSY & ROACH PC 733 19WC 04354 MARTINEZ, SAUL GREATER CHGO FOOD DEPOSIT 11/29/18 GRAZIAN & VOLPE PC 734 19WC 04371 AVALOS, ALEJANDRO OLD DOMINION FREIGHT LINE 09/06/18 BAUM RUFFOLO & MARZAL LTD RODDY LAW LTD 735 19WC 04393 ARMENTA, INDELFONSO QUALITY TRUCK & TRAILER 10/22/18 THE ROMAKER LAW FIRM 736 19WC 04411 ALDARO, MELINDA FRAMARX/WAX STAR 08/28/18 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 737 19WC 04429 BAILEY, BRUCE UNITED AIRLINES 09/07/18 CULLEN HASKINS NICHOLSON 738 19WC 04444 082 NEAL, TITANIA AUTO WAREHOUSING CO 01/20/19 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 082 18WC035071 -C 739 19WC 04472 016 HERNANDEZ, ENRIQUETA MARRIOT/WESTIN CHICAGO O' 08/21/18 SHEA LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 016 18WC011712 -C 740 19WC 04496 GALEAS, MIGUEL ANGEL AUTO SUPER TIRES 10/25/18 ANGELINI & ORI LLC 741 19WC 04519 GROCHOWSKI, DANIEL C.T. MECHANICAL LLC 10/17/18 MORICI FIGLIOLI & ASSOC 742 19WC 04549 COLLINS, NIKO GARDAWORLD 02/11/19 STROM & ASSOC KEEFE CAMPBELL BIERY & ASSOC 743 19WC 04575 TORRES ANGUIANO, ABRAHAM ESMARK STEEL GROUP LLC 01/16/19 ANKIN LAW OFFICE 744 19WC 04596 KHALIL, WAJIH CONRAD HOTEL 11/20/17 RUBENS KRESS MULHOLLAND 745 19WC 04613 OLVERA-LEALDE, JOSE NORBE FIRST RESIDENTIAL CONSTRU 12/18/18 RUEDA, IVAN A 746 19WC 04633 REYES, MARIA ISABEL ARLINGTON PARK RACECOURSE 09/26/18 ANKIN LAW OFFICE DENNIS J NOBLE & ASSOC 747 19WC 04676 MARTINEZ, CRYSTAL RUSH UNIVERSITY MEDICAL C 01/29/19 PETER D CORTI LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 748 19WC 04706 KOSIEK, PETER CANON BUSINESS SOLUTIONS 09/10/18 CUDA LAW OFFICES 749 19WC 04722 SOLORIO, ROBERTO INTEGRATED INDUSTRIES DBA 09/10/18 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 750 19WC 04749 STEWART, EARL NCBA-SR. COMMUNITY SERVIC 01/16/19 ARGIONIS & ASSOCIATES LLC 751 19WC 04781 MORENO, FRANCISCO ISS FACILITY SERVICES 06/19/17 FRIEND LEVINSON & BERGAL 752 19WC 04837 SALDIVAR, NELSON PRONTO STAFFING SERVICES 11/19/18 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 753 19WC 04855 HUNT, RONALD CITY OF CHICAGO DEPARTMEN 05/02/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 754 19WC 04928 GARNER, KARYN WALMART 10/30/18 COVEN LAW GROUP QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 755 19WC 04952 BUTLER, MYANA CHICAGO TRANSIT AUTHORITY 02/11/19 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 756 19WC 04987 DONEGAN, SHELLIE CHICAGO TRANSIT AUTHORITY 01/29/19 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 757 19WC 05007 ROSA, CARLOS VILLAGE OF DIXMOOR POLICE 12/30/18 O'CONNOR & NAKOS 758 19WC 05024 BURGOS, JULIO C THE KROGER CO, D/B/A MARI 01/03/19 STEVEN B SALK & ASSOC LTD BRYCE DOWNEY & LENKOV LLC 759 19WC 05041 WILLIAMS, AARON M G&D INTEGRATED TRANSPORAT 10/31/18 MARK SCHRAMM MEACHUM & STARCK 760 19WC 05079 MEWES, EMILY WHOLE FOODS MARKET 06/26/17 ARGIONIS & ASSOCIATES LLC 761 19WC 05137 BENJEMIN, JOE AMERICAN AIRLINES, INC. 01/26/19 PETER D CORTI LAW GROUP 762 19WC 05166 JACKSON, CORNELIUS TOTAL STAFFING SOLUTION, 02/07/19 LEONARD LAW GROUP LLC KNELL O'CONNOR DANIELWICZ 763 19WC 05188 CARLIN, JASON UNITED PARCEL SERVICE 01/29/19 COVEN LAW GROUP 764 19WC 05211 OCASIO, EDWARD ALCO SALES & SERVICE CO 10/26/18 ROBERT WARSASKI WIEDNER & MCAULIFFE LTD 765 19WC 05272 KHAN, YOUSUF HATEF CAB CO 01/13/19 HUNER LAW OFFICES LLC 766 19WC 05314 GREEN, KATRICE OSI FOODS CO LLC 01/23/19 DWORKIN AND MACIARIELLO 767 19WC 05358 CONNELLY, KIMBERLY KIMCO REALTY CORPORATION 01/29/19 WHITESIDE & GOLDBERG LTD 768 19WC 05414 BYRD, ANGELA LYDIA HOME ASSOCIATION 01/19/19 BRISKMAN BRISKMAN GREENBER 769 19WC 05466 ARTERBERRY, YOLANDA T HILTON GARDEN INN 02/08/19 WARREN W MARK 770 19WC 05486 MARCIANO, BERTHA ELITE STAFFING INC 12/05/18 COSTA IVONE LLC 771 19WC 05509 ZAPATA, JESUS A MULTI-TEMPS SERVICES, INC 02/18/19 RUEDA, IVAN A GAIDO & FINTZEN 772 19WC 05543 GEESO, SAMI CATCO O'HARE 01/31/19 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 773 19WC 05595 GOMEZ, WANDA EXECUTIVE MAILING SERVICE 08/25/16 DAVID W MARTAY 774 19WC 05685 RADULESCU, MELISSA ANN & ROBERT H LURIE 12/30/18 ABELS & ANNES, PC KEEFE CAMPBELL BIERY & ASSOC 775 19WC 05732 THORPE, CARL CTA 02/19/19 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 776 19WC 05762 STAFFORD, LEJUANIA ADDUS HEALTHCARE 11/30/18 CUTLER & HULL HENNESSY & ROACH PC 777 19WC 05801 ELSMO, ALAN IRONWOOD PHARMACEUTICALS 01/21/19 MOGENSEN LAW LLC HOLECEK & ASSOCIATES 778 19WC 05815 NORMAN, JOHN OAKBROOK MECHANICAL SERVI 02/07/19 CULLEN HASKINS NICHOLSON 779 19WC 05861 COLEMAN, INEZ RENTOKIL 02/21/19 DWORKIN AND MACIARIELLO 780 19WC 05896 KIDD SR, JAMES JEWWEL FOOD STORES, INC 01/22/19 GOLDSTEIN AIOSSA & GOOD 781 19WC 05918 GONZALEZ, EDGAR HARVEST FOODS GROUP 01/18/19 JONATHAN SCHLACK HOLECEK & ASSOCIATES 782 19WC 05928 JANSSEN, ERICA FRIENDSHIP VILLAGE 12/28/18 SCOTT BARBER 783 19WC 05945 DERAT, SARA COMMAND SECURITY CORP 11/27/18 COSTA IVONE LLC 784 19WC 06095 HAYNER, PIERRE BLACK HORSE CARRIERS 02/21/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 785 19WC 06141 FANNING, JONATHAN ABF FREIGHT 01/13/19 PETER D CORTI LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 786 19WC 06158 SOKARDA, GEORGE PETE PEPPER CONSTRUCTION 12/04/18 O'CONNOR & NAKOS KEEFE CAMPBELL BIERY & ASSOC 787 19WC 06216 ORTEGA, CEASAR SOLUTIONS MANAGEMENT CORP 01/21/19 TAMVAKIS, GEORGE L 788 19WC 06243 TOLSON, ANDRE FREEMAN ELECTRIC 09/05/18 JOSEPH J LOSS PC 789 19WC 06293 MCKINEY, BENIKA GLENKIRK 02/26/19 ANKIN LAW OFFICE 790 19WC 06314 LOPEZ, ELIZABETH UNIFIED CML, LLC. 02/15/19 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 791 19WC 06346 WILHELM, ROBERT AMERICAN AIRLINES 01/20/19 CULLEN HASKINS NICHOLSON 792 19WC 06427 HORVATH, CHELSY MENARDS 10/21/18 SPIROS LAW PC 793 19WC 06449 HARPER, MELVIN UBER 02/27/19 DWORKIN AND MACIARIELLO 794 19WC 06478 DORSA, ERIC TRUE FOOD KITCHEN 01/27/19 SEIDMAN MARGULIS & FAIRMAN 795 19WC 12202 TURNER, MARESHA HOLY CROSS HOSPITAL 04/06/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 796 19WC 13288 CERRATO, HECTOR UG2 * 04/15/19 LEONARDO MORALES 797 19WC 13315 SKEDD, CHRISTOPHER POWER ENERGY SOLUTIONS/ * 04/02/19 GWC INJURY LAWYERS LLC 798 19WC 13334 HARRIS, FRANK UNIVERSAL SCRAP METALS, I * 01/28/19 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 799 19WC 13355 FLOWERS, KATHLEEN CPS- YATES ELEMENTARY * 11/20/18 SEIDMAN MARGULIS & FAIRMAN CHGO BOARD OF EDUCATION 800 19WC 13384 POTEETE, STEVEN JB HUNT TRANSPORT * 06/08/18 PORRO NIERMANN LAW GROUP 801 19WC 13429 VILLANUEVA, FLORENCIO CARAUSTAR CUSTOM PACKAGIN * 11/02/18 DESTEFANO, ROBERT A & ASSO 802 19WC 13488 SALGADO, MIREYA STATE FARM INSURANCE * 04/29/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 803 19WC 13525 HOOD, DEONNA CHICAGO PUBLIC SCHOOLS * 04/29/19 GOLDSTEIN AIOSSA & GOOD CHGO BOARD OF EDUCATION 804 19WC 13540 POSTER, HERMAN AEROTEK STAFFING * 04/18/19 WARREN W MARK 805 19WC 13569 WILSON, DEIDRA L LOT #1, INC * 04/29/19 ANKIN LAW OFFICE 806 19WC 13584 SANCHEZ, REYNA BERWYN NORTH DISTRICT 98 * 04/23/19 COSTA IVONE LLC 807 19WC 13612 ADAMS, MARIO DR PEPPER SNAPPLE GROUP * 10/30/18 SCOTT B SHAPIRO 808 19WC 13635 RIVERA, LUZ UIC HOSPITAL * 04/05/19 GWC INJURY LAWYERS LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 827 19WC 14180 MARTINEZ, JAIME CITY OF CHICAGO * 01/28/19 HEALY SCANLON LAW FIRM 828 19WC 14237 GUTIERREZ, VINCE WALMART * 01/01/18 JAMES ELLIS GUMBINER & ASS 829 19WC 14256 HERNANDEZ, DANIEL PLANET FITNESS * 05/02/19 ELFENBAUM EVERS AMARILIO Z 830 19WC 14274 LECZYCKI, ADAM PERFECT EDGE CONSTRUCTION * 12/03/18 URSULA BABICZ & ASSOC 831 19WC 14302 RIOS-PONCE, LUISA MCDONALDS * 03/25/19 KATZ FRIEDMAN EAGLE ET AL 832 19WC 14392 DIAZ JR, JIMMY FLYING FOODS GROUP LLC * 04/07/19 DEPAOLO & ZADEIKIS 833 19WC 14394 PIECZKO, ANDY CITY OF CHICAGO, DEPT OF * 05/14/19 CUDA LAW OFFICES 834 19WC 14447 FLORES, MARTIN CUSTOM MOLD SRVS, INC * 03/14/19 CARAS LAW GROUP GANAN & SHAPIRO 835 19WC 14466 TAYLOR, REGINALD HAROLD'S CHICKEN * 05/11/19 DWORKIN AND MACIARIELLO 836 19WC 14490 GARCIA, JOSE BLOCK AND COMPANY * 04/30/19 ANSELMO DURAN 837 19WC 14510 QUINN, DESIREE WENDY'S * 05/10/19 ANKIN LAW OFFICE 838 19WC 14526 GOMEZ, WILLIAN, A/K/A FREEDMAN SEATING COMPANY * 03/19/19 STEVEN B SALK & ASSOC LTD 839 19WC 14543 JOHN, SABU FED EX * 05/06/19 STEVEN A CRIFASE, LTD 840 19WC 14564 VARELA, ROSA WILLIAM RAINEY HARPER COL * 11/30/18 AIOSSA LAW FIRM 841 19WC 14616 PULLIAM, LINDA NORTHPOINTE RESOURCES INC * 04/15/19 GOLDSTEIN AIOSSA & GOOD 842 19WC 14659 JOHNSON, LENA CODDLED CARE DAY CARE CEN * 05/16/19 DAVID W MARTAY 843 19WC 14680 HERNANDEZ, HUMBERTO MULTI-TEMPS, INC * 03/06/19 COSTA IVONE LLC 844 19WC 14699 DOMINGUEZ, PRISCILLA UPS * 04/29/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR

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