ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 36741 MORMAN, DWAYNE COOK COUNTY 11/22/00 RAYMOND P GARZA LAW OFFICE STATES ATTORNEY OF COOK CO 02WC036742 -C STATES ATTY OF COOK COUNTY 2 05WC 45685 FRANKLIN, ROBERT TEMPLE STEEL COMPANY 06/08/05 SHELDON I MINKOW & ASSOCIA RODDY LAW LTD 10WC039339 -C TEMPEL STEEL COMPANY 3 05WC 48780 JAMOUA, DIANA CHICAGO BOARD OF EDUCATIO 03/01/03 MARK S DYM LAW DEPARTMENT 11WC001395 -C 4 06WC 03171 GALADA, MARGARET INTERNATIONAL TRUCK & 10/08/05 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 06WC010239 -C 06WC023853 -C 06WC041575 -C 08WC005514 -C 08WC007193 -C 09WC019542 -C 09WC048659 -C 10WC015479 -C NAVISTAR INTERNATIONAL TRU 5 06WC 07479 WEAVER, YOLANDA CHICAGO BOARD OF EDUCATIO 11/16/05 WHITING LAW GROUP LTD LAW DEPARTMENT 6 06WC 18337 SETLAK, CECILIA LOYOLA UNIVERSITY MEDICAL 08/19/05 KATZ FRIEDMAN EAGLE ET AL BRAUN LORENZ & BERGIN PC 09WC019056 -C 09WC044394 -C 11WC044433 -C 7 06WC 53619 19B HOBBS, KELLY CITY OF CHICAGO DOT ASPHA 11/08/06 JOSEPH J SPINGOLA, LTD HENNESSY & ROACH PC 8 07WC 18137 ZAWADA, JANICE L RESURRECTION MEDICAL CENT 09/02/05 RUBIN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 9 07WC 20938 KALKE, DENNIS UIC 01/08/07 RUBIN & MACHADO NYHAN BAMBRICK KINZIE & LOWR 09WC038655 -C 11WC002319 -C U.I.C. 10 07WC 38683 MOORE, DWIGHT J VOGUE TYRE & RUBBER CO 07/12/07 CULLEN, HASKINS, NICHOLSON LAW OFFICES JOSEPH MARCINIAK 11 07WC 45869 KULERSKI, PAUL G CITY OF CHICAGO 09/19/07 CULLEN, HASKINS, NICHOLSON CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 12 07WC 46209 LINDROTH, CHRISTOPHER COASTAL INTERNATIONAL 07/10/07 SCHREINER MALLOY & ETZLER NYHAN BAMBRICK KINZIE & LOWR 13 07WC 50870 ROWE, ELIAS KICKERT BUS LINES 10/04/07 THOMAS R LICHTEN O HARA, TIMOTHY D & ASSOC 09WC024662 -C 14 08WC 02722 HICKOK, LINDA APRIA HEALTH CARE 12/10/07 MANDELL, GREGG LITCHFIELD CAVO 15 08WC 10998 SOBIERAJSKI, BERNARD HALINA SEDELMAIER INDIV, W 02/29/08 CUSHING LAW OFFICES 16 08WC 13235 SCHULTZ, DAVID UNITED PARCEL SERVICE 12/24/07 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 08WC029808 -C 08WC044549 -C 17 08WC 32755 PALERIN, RICHARD J CITY OF CHICAGO WATER MGM 07/03/08 VITELL & SPITZ LTD CITY OF CHICAGO 18 08WC 33938 TARASZKA, KRZYSZTOF B J TRAILER & TRUCK REPAI 05/22/08 MINKOW DOMIN THOMAS & PORTELA 19 08WC 35846 LOSOYO, JESUS AKA MAY ST CAFE W 12/14/07 JAMES ELLIS GUMBINER & ASS 08WC035851 -C 20 08WC 40737 19B SZYMCZAK, CHARLES EDMAR HEATING & COOLING C 06/20/06 RICHARD D HANNIGAN, LTD HEYL ROYSTER VOELKER & ALLEN 21 08WC 46700 HERNANDEZ, MARIA ABM JANITORIAL MIDWEST 11/15/07 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR 11WC026905 -C 22 08WC 51673 GUZMAN, GREGORIO CBSL TRANSPORTATION 03/12/08 HUGHES SOCOL PIERS RESNICK RUSIN MACIOROWSKI & FRIEDMAN 09WC031380 -C 23 08WC 53917 WALKER, JOHNNIE TECHNICAL CONSTRUCTION IN @ W 05/07/08 LUIS A ACEVES & ASSOC ASSISTANT ATTORNEY GENERAL 24 09WC 04198 JAUGA, SANDRA SENIOR SUITES 11/13/08 JONATHAN SCHLACK MEACHUM & STARCK LAW OFFICES 09WC004199 -C 25 09WC 04287 MEDINA, LUIS FREEDMAN SEATING CO 03/27/08 CULLEN, HASKINS, NICHOLSON LAW OFFICES JOSEPH MARCINIAK 09WC026831 -C 26 09WC 11640 DEAN, TONIA CTA 03/02/09 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 27 09WC 25432 COPERTINO, DONATO MEADE ELECTRIC COMPANY IN 05/14/09 FIORENTINO LAW OFFICES RUSIN MACIOROWSKI & FRIEDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 09WC 30991 HAMMONS, THOMAS SAIA MOTOR FREIGHT 08/20/08 KENNETH B GORE, LTD CHILTON YAMBERT PORTER LLP 29 09WC 32342 FLORES, DIANA M SWEDISH COVENANT HOSPITAL 05/31/09 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 09WC038989 -C 30 09WC 38122 MARNELL, PAUL A JR WIRTZ BEVERAGE GROUP 07/28/09 NAVIGATO & SALVATO NYHAN BAMBRICK KINZIE & LOWR 31 09WC 38350 HERNANDEZ, GREGORIO RIBBON WEBBING COMPANY 10/03/08 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 32 09WC 39899 HARPER, ADARTHUS FORD MOTOR COMPANY 04/21/07 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 11WC024174 -C 11WC024175 -C 16WC017167 -C 33 09WC 48163 IPPOLITO, DEBRA COSTCO WHOLESALE 01/01/07 EMPLOYEE LEGAL SERVICES LT GANAN & SHAPIRO 09WC048164 -C 10WC001859 -C 10WC001861 -C 10WC001862 -C 34 09WC 49738 SANCHEZ, EDUARDO LATINO MEAT & PRODUCE W 11/23/09 EPSTEIN, JACK R LAW OFFICE 35 09WC 51589 MERCADO, IGNACIO KELLY SERVICES 12/02/09 SMOLER LAW OFFICE, PC BRADY CONNOLLY & MASUDA PC 36 10WC 00943 VARGAS, JULIO ALEXIAN BROTHERS MEDICAL 10/17/09 ANTHONY MANCINI LAW OFFICE WIEDNER & MCAULIFFE LTD 37 10WC 02970 SPERLAZZO, NICHOLAS R DHL DANZAS 09/12/09 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 11WC002300 -C DHL/DANZAS 12WC027914 -C 38 10WC 03612 GROELLER, KEVIN E PACKERS SANITATION 01/06/10 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 10WC026356 -C 39 10WC 05662 TURNER, FREDERICK CTA 12/30/09 STROM, NEAL B CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 40 10WC 07499 PHILPOT, KENNETH CHICAGO BOARD OF EDUCATIO 09/24/09 ELFENBAUM EVERS & AMARILIO LAW DEPARTMENT 41 10WC 08868 WILSON, LINDA SOLO CUP CO 11/28/09 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 11WC042679 -C 42 10WC 10943 HERNANDEZ, NORA M ILLINOIS DEPT OF TANSPORT @ 10/07/09 BRILL & FISHEL ASSISTANT ATTORNEY GENERAL 43 10WC 11332 HERNANDEZ, JESUS PEXCO & PRIME STAFFING IN 02/26/10 EPSTEIN, JACK R LAW OFFICE LEAHY EISENBERG & FRAENKEL 44 10WC 18988 CARR, RALPH CENTRAL STEEL & WIRE 04/23/10 BAUM RUFFOLO & MARZAL LTD GAROFALO SCHREIBER STORM 45 10WC 29514 SEBASTIAN, VICNETE NORWEGIAN AMERICAN HOSPIT 04/14/10 LAW OFFICE OF SCOTT B SHAP GAROFALO SCHREIBER STORM 46 10WC 29592 QUINTANA, VERONICA MVP WORKFORCE LLC 04/20/10 BERG & BERG KOREY LAW LLC 14WC006572 -C 47 10WC 36058 SHLIMON, YOUNAIL NORTH SHORE UNIVERSITY HE 03/01/07 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 10WC036059 -C 48 10WC 42925 SIGALOS, LOUIE CITY OF CHICAGO-DEPT OF W 10/06/10 ARGIONIS & ASSOCIATES LLC 49 10WC 44848 STEVENS, REGINALD CHICAGO TRANSIT AUTHORITY 10/19/10 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 50 10WC 45204 BOND, MARCUS ILLINOIS STATE TOLL @ 08/13/10 RUBIN & MACHADO NYHAN BAMBRICK KINZIE & LOWR 51 10WC 45413 SANCHEZ, THERESA TOOTSIE ROLL 07/28/10 BRUGGEMAN HURST & ASSOC NYHAN BAMBRICK KINZIE & LOWR 12WC035328 -C 14WC002450 -C 14WC006603 -C 52 10WC 46534 19B SAMUELS, MARY JERON ELECTRONICS 08/31/10 JOHN E LUSAK WIEDNER & MCAULIFFE LTD 53 11WC 04073 HALL, LOUTRICIA ENTERPRISE NATIONAL 01/27/11 DAVID W MARTAY INMAN & FITZGIBBONS 54 11WC 05055 MAZON, ELEUTERIA CINTAS CORPORATION 12/28/10 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 55 11WC 08401 DORSEY, ARVELL CITY OF CHICAGO 01/13/11 KURASCH & KLEIN, LTD CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 56 11WC 09300 ARIZMENDI, NANCY MOST VALUABLE PERSONNEL 09/06/10 EPSTEIN, JACK R LAW OFFICE KOREY LAW LLC 57 11WC 10906 ORTIZ, RAFAEL AIR CHECK INC/SCRUB, INC 04/18/10 JOEL BELL HENNESSY & ROACH PC 11WC010907 -C 11WC010908 -C 11WC033719 -C 58 11WC 12484 HONG, KYUNG RAN THE KOREAN AMERICAN 02/08/11 DRAKE & COLLOPY PC STELLATO & SCHWARTZ 59 11WC 12882 LAWLESS, DANIEL C IMPERIAL KITCHENS & BATHS 01/14/11 TURCYCHUTE LLC LAW OFFICES JOSEPH MARCINIAK 11WC012883 -C 16WC023710 -C HABITAT FOR HUMANITY 16WC023711 -C 16WC023712 -C HABITAT FOR HUMANITY 60 11WC 12917 GABRIEL, ROSE NORTHSHORE UNIVERSITY HEA 03/10/11 SCHACTER, JEROME & ASSOC L KEEFE CAMPBELL & ASSOC LLC 11WC012924 -C 12WC015885 -C 13WC007115 -C 61 11WC 14161 JENDRZEJCZAK, LUKASZ OLYMPIC LOGISTICS SERVICE W 07/19/10 BELCHER LAW OFFICE MEACHUM & STARCK 62 11WC 16851 BAEZA, FIDEL JR MINUTE MEN STAFFING SERVI 02/24/11 JAMES ELLIS GUMBINER & ASS SCOPELITIS GARVIN LIGHT 63 11WC 19139 PONCE, FRANCISCO X PERT LANDSCAPING 05/03/11 JAMES ELLIS GUMBINER & ASS HEYL ROYSTER VOELKER & ALLEN 64 11WC 20577 MARCHESE, CLAUDIO C CITY OF CHICAGO 06/18/10 O'CONNOR & NAKOS 65 11WC 20705 GUERRERO, JOSE PREMIER STAFFING SERVICES @ W 05/14/11 MCLAUGHLIN HATTERY ET AL POULOS & DIBENEDETTO LAW 66 11WC 23215 ARDON, JOSE CARLSON PROPERTY MANAGMEN W 04/25/11 RUBIN & MACHADO 67 11WC 23697 RILEY, DAVID W BIG RED TRANSPORT 04/11/11 WILLIAMS, ROBERT B LAW OFF BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 68 11WC 27639 BANE, JAMES CITY OF CHICAGO DEPT OF 07/11/11 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 69 11WC 27866 PARRA, MARIA MCDONALD'S OF COUNTRYSIDE 05/20/11 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 11WC027867 -C 70 11WC 29084 TINOCO, ROBERTO FRANK ZIYAD, ZACK ZIYAD A @ W 07/08/11 SALK, STEVEN B & ASSOC LTD 71 11WC 29654 KIDD, LORRETTA ILLINOIS ENVIRONMENTAL @ 07/26/11 KARCHMAR & STONE ASSISTANT ATTORNEY GENERAL 72 11WC 34872 CROOKS, BOBBI C UNIVERSITY OF ILLINOIS 04/04/11 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 73 11WC 36572 TIERNEY, DEBRA A CITY OF CHICAGO 05/11/11 HEALY LAW FIRM CITY OF CHICAGO 14WC008084 -C 74 11WC 37087 EDWARDS, BRANDIE WATER RECLAMATION DISTRIC 08/18/11 LEO ALT NOBLE & ASSOCIATES PC 75 11WC 37456 WATKINS, SHELLAH TWIN CLEANING PROFESSIONA 09/08/11 SALVATO & O'TOOLE 76 11WC 37680 NERY, VICTOR FRONTLINE COMMUNICATIONS 04/11/11 BOUDREAU & NISIVACO LLC LAW OFFICES JOSEPH MARCINIAK 77 11WC 37715 WILLIAMS, DENISE NORTHWESTERN MEMORIAL HOS 11/05/10 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 11WC040606 -C 78 11WC 38383 KORZUN, JADWIGA SCRUB INC 03/02/11 BELCHER LAW OFFICE HENNESSY & ROACH PC 79 11WC 43772 COSTILLA, CAROLINA FRESH EXPRESS, INC. 11/02/11 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 80 11WC 44308 LOREN, FREDESWINDA F UNIVERSITY OF CHICAGO HOS 11/06/11 ANKIN LAW OFFICE HENNESSY & ROACH PC 81 11WC 45420 MAGANA, OSCAR GALOMEX CORPORATION 10/05/11 IVAN A RUEDA GILDEA & COGHLAN 82 11WC 47027 MACK, NORA PRO SOURCE DBA GLENCOE 05/06/10 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 83 11WC 48538 ESCUDERO, SILVIA JEWEL EVENTS CATERING 12/08/11 JAMES ELLIS GUMBINER & ASS RIPES NELSON BAGGOT KALOBRAT 84 12WC 07792 ROQUE, RONALD A BLOOMINGDALE'S HOME SERVI 12/08/10 DWORKIN AND MACIARIELLO ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 85 12WC 07853 SLEDGE, PAULA PUBLIC BLDG COMMISSION 07/28/11 BOWMAN & CORDAY LAW OFFICES JOSEPH MARCINIAK 86 12WC 08030 ZAMUDIO, LUIS F COST OF WISCONSIN INC 12/22/11 O'CONNOR & NAKOS HOLECEK & ASSOCIATES 87 12WC 08804 SCHAD, WILLIAM C CHICAGO TRANSIT AUTHORITY 12/28/11 LANZILLOTTI GRIBBEN & MARC CHICAGO TRANSIT AUTHORITY 88 12WC 08874 TAMMINGA, LINDSEY A PALOS COMMUNITY HOSPITAL 01/14/12 JASINSKI, GEORGE J BRAUN LORENZ & BERGIN PC 12WC021059 -C 89 12WC 16956 DELORENGO, MONICA L FRANCIS XAVIER WARD SCHOO 01/12/12 ANKIN LAW OFFICE SMITH AMUNDSEN LLC 90 12WC 17241 WHITMORE, DIANA CHICAGO PUBLIC SCHOOLS 02/09/12 SALK, STEVEN B & ASSOC LTD LAW DEPARTMENT 13WC030814 -C 91 12WC 17659 HILLBERG, KAREN CHICAGO BOARD OF EDUCATIO 01/25/12 DAVID W MARTAY LAW DEPARTMENT 92 12WC 18787 THOMAS, DARRYLL NICOR GAS 07/15/10 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 93 12WC 19016 SLOWIK, LISA KIDDIE ACADEMY OF STREAMW 04/11/12 DWORKIN AND MACIARIELLO RUSIN MACIOROWSKI & FRIEDMAN 94 12WC 19556 POLAK, DALE METROPOLITAN WATER RECLAM 02/22/12 DWORKIN AND MACIARIELLO NEUSON LAW, PC 12WC019561 -C 95 12WC 20557 BROWN, LEON JR CITY OF CHICAGO 06/06/12 FRIEDMAN & SOLMOR LTD CITY OF CHICAGO 96 12WC 20623 ULRICH, ERIK CENTRAL TILE SERVICE 05/15/12 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM 97 12WC 25627 GRANTON, MAURICE PROFESSIONAL 07/02/12 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 98 12WC 26832 WEST, CLINTON EDSAL MANUFACTURING COMPA 12/06/10 EDWARD J. BRADLEY SLAVIN & SLAVIN 99 12WC 28396 MUNOZ, JORGE HOULIHAN'S RESTAURANT 12/11/11 PRESBREY & ASSOC INC GALLIANNI DOELL & COZZI LTD 100 12WC 28592 GONZALES, RUBEN SUPERMERCADO EL GUERO 07/06/12 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 14WC004938 -C REM, INC 101 12WC 28895 ALEXANDER, TYRONE UNITED AIRLINES INC. 07/26/12 STEVEN J SEIDMAN LAW OFFIC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 102 12WC 29181 LAZIER, SUZANNE M SLOAN VALVE COMPANY 11/03/11 DECARLO LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 103 12WC 29275 DRDLA, DAVID NORTH MAINE FIRE 03/27/12 MARKHAM M JEEP & ASSOCIATE STONE & JOHNSON CHARTERED 104 12WC 29400 DE PUE, WILLIAM S CHICAGO TRIBUNE CO 05/20/12 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 105 12WC 30401 OCEGUERA, JORGE SHERWIN PAINTERS 02/14/12 PETER D CORTI LAW GROUP BRADY CONNOLLY & MASUDA PC 106 12WC 31170 ROBIN, VALERIE JOFFREY BALLET 12/26/10 LANNON LANNON & BARR LTD THOMAS & PORTELA 12WC031171 -C 12WC031172 -C 12WC031173 -C 107 12WC 31330 WAYTULA, EDWARD III AMERICAN AIRLINES 08/15/12 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 14WC012404 -C 108 12WC 31833 WOODS, EVERETT UNILEVER 03/27/12 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 109 12WC 32776 VILLA, GINO ILLINOIS HARLEY DAVIDSON 02/24/12 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 110 12WC 34564 19B PANZER, CRYSTAL TRICARE REHAB 05/08/12 HEALY LAW FIRM SEGAL MCCAMBRIDGE SINGER MAH 111 12WC 34827 SCUMACI, ROBERT J CITY OF CHICAGO 08/02/12 PARENTE & NOREM PC CITY OF CHICAGO 112 12WC 38470 BRENNER, STEVE W MI-JACK 04/01/12 SPIROS LAW PC HOLECEK & ASSOCIATES 113 12WC 39388 BLANKUS, RONALD CITY OF CHICAGO 07/20/12 THOMAS W DUDA HENNESSY & ROACH PC 114 12WC 39521 DELEON, HECTOR CARDA 06/22/12 LULAY LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 115 12WC 40851 MCHUGH, DAN DHAL EXPRESS 09/05/12 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 12WC040852 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 116 12WC 41016 SCOTT, LAVETTA FORD MOTOR COMPANY 06/01/12 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 12WC041017 -C 117 12WC 41465 SZURAN, ELZBIETA CITY OF CHICAGO 11/28/12 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK 14WC038002 -C 118 12WC 41941 VELASCO, REFUGIO LAWSON PRODUCTS 03/26/10 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 119 12WC 41944 PLOSHAY, PAMELA MIDTOWN ATHLETIC CLUB 10/29/12 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 120 13WC 00835 JOHNSON, RAY PREFERRED MEAL 12/06/10 COHN LAMBERT RYAN & SCHNEI POWER & CRONIN LTD 15WC016349 -C 121 13WC 01189 JONES, CALVIN CHICAGO TRANSIT AUTHORITY 05/21/12 MARVIN A BRUSTIN LTD CHICAGO TRANSIT AUTHORITY 122 13WC 04425 BAZZARONE, DANIEL J ADVANCED MECHANICAL 07/18/12 HORWITZ HORWITZ & ASSOC MEACHUM & STARCK 123 13WC 04830 GILES, DARIO SOURCE INTERLINK COMPANIE 12/29/12 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 13WC004831 -C 124 13WC 04839 JIMENEZ, JUAN SCOTT BYRON & COMPANY INC 11/29/12 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 125 13WC 04891 SOKOLOWSKI, JOHN CZARNOWSKI DISPLAY SERVIC 02/25/09 DOUGLAS RALLO PC HOLECEK & ASSOCIATES 126 13WC 04958 WHITE, SUSAN FRESENIUS MEDICAL CARE 02/01/13 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 127 13WC 05227 BAHENA, RAMIRO HONDO RANCH INC. 02/09/12 JONATHAN SCHLACK 128 13WC 05741 ROBINSON, MALESIA F CHICAGO TRANSIT AUTHORITY 09/11/12 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 14WC042917 -C CTA 129 13WC 06017 RANGOONWALA, ZACH UNITED AIRLINES INC. 01/31/13 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 130 13WC 06034 CAHILL, JAMES PINTO CONSTRUCTION GROUP 11/20/12 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 131 13WC 06075 LAUREANO, AGUSTINA BRADLEY D KOLTON @ W 10/31/11 JAMES ELLIS GUMBINER & ASS INMAN & FITZGIBBONS 132 13WC 06154 MONTILLA, JULIO CITY OF CHICAGO 12/20/12 KARCHMAR & STONE CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 133 13WC 06231 19B MAGANA, ANDREW MEP AUTHO SER LLC D/B/A 02/06/13 CUDA LAW OFFICES BRADY CONNOLLY & MASUDA PC 134 13WC 06490 SANCHEZ, SALVADOR INDUSTRIAL PARK 01/10/13 LUIS A ACEVES & ASSOC RUSIN MACIOROWSKI & FRIEDMAN 135 13WC 06524 RAMIREZ, MARIA ELITE STAFFING INC 02/19/13 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 13WC008548 -C 136 13WC 06712 CAMPOS, RUBEN CITY OF CHICAGO 11/27/12 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 137 13WC 06740 MUSCARI, MARY JANE ILLINOIS STATE BOARD 02/14/13 CORTI ALEKSY & CASTANEDA ASSISTANT ATTORNEY GENERAL 138 13WC 07228 FERRERA, SANDRA WALGREENS 03/01/12 ANKIN LAW OFFICE GILDEA & COGHLAN 13WC007227 -C 14WC015470 -C 139 13WC 07411 WILLIAMS, GEORGINA FEDERAL EXPRESS CORPORATI 07/19/12 VRDOLYAK LAW GROUP LLC HANSON LAW OFFICE 140 13WC 07582 YATES, DONALD ELECTRO MOTIVE DIESEL 11/02/12 STROM, NEAL B WIEDNER & MCAULIFFE LTD 14WC025152 -C 141 13WC 07608 SANCHEZ, CARLOS P BDK QUALITY SERVICES 07/10/12 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 142 13WC 07622 DILLARD, HINTON CTA 12/11/12 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 143 13WC 07989 FLOWERS, TONNIE STATE OF ILLINOIS @ 03/23/12 WITTENBERG DOUGHERTY MAGLI ASSISTANT ATTORNEY GENERAL 144 13WC 13811 RANGEL, MARIA DEBBIE'S CUSTOMIZED STAFF 10/06/12 ACEVES & PEREZ PC STONE & JOHNSON CHARTERED 145 13WC 15440 MIRAMONTES, ISIDRA NUNEZ DEBBIE'S CUSTOMIZED STAFF 02/11/13 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 146 13WC 15462 STINSON, PATRICK THE UNIVERSITY OF CHICAGO 03/14/13 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 147 13WC 15622 MORA, APRIL L SMG & MC CORMICK PL 02/21/13 RUBIN LAW GROUP GRANT & FANNING 148 13WC 16251 NAJAFI, MINA DOUBLETREE BY HILTON 11/26/12 ACEVES & PEREZ PC COZZI & GOGGIN-WARD 13WC020101 -C 149 13WC 16298 HOLMES, TERRELL WORLD SECURITY AGENCY 03/08/13 COLLISON & O'CONNOR LTD GANAN & SHAPIRO 150 13WC 17395 WILSON, KENYA UNITED AIRLINES INC. 04/12/13 ANGELINI & ORI LLC 151 13WC 17523 TAMEZ, RALPH URBAN WORKS GROUP, INC 12/31/12 LANZILLOTTI GRIBBEN & MARC WOLFE & JACOBSON, LTD 152 13WC 17619 BURG, RONNIE VILLAGE OF DOLTON 05/08/13 DAVENPORT & WHITE 153 13WC 17819 RODRIGUEZ, MILAGROS IL DEPT OF 03/29/12 STEVEN J SEIDMAN LAW OFFIC ASSISTANT ATTORNEY GENERAL 13WC017820 -C 154 13WC 18521 BIEDERWOLF, LAUREN CHICAGO EDUCATION PRODJEC 10/30/12 ANGELINI & ORI LLC 155 13WC 18533 RUIZ-MALDONADO, EMIGDIO FREEMAN SEATING COMPANY 05/31/13 STEVEN J SEIDMAN LAW OFFIC BRADY CONNOLLY & MASUDA PC 156 13WC 18575 SANTIAGO, OMAR MARKS TUCKPOINTIN/REMODEL 06/09/10 LAW OFFICE MARC ALBERTS SMITH AMUNDSEN LLC 157 13WC 18657 COLLINS, TRACY CHICAGO PUBLIC SCHOOLS 05/28/13 COVEN LAW GROUP LAW DEPARTMENT 158 13WC 18703 PRZENIESLO, JASON CITY OF CHICAGO HEIGHTS 05/17/13 HETHERINGTON KARPEL BOBBER DEL GALDO LAW GROUP LLP 159 13WC 18768 JOHNSON, LILLIAN ABM INDUSTRIES, INC 05/08/13 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 160 13WC 18907 HALL, ESSIE STATE OF ILLINOIS @ 01/31/13 ANGELINI & ORI LLC ASSISTANT ATTORNEY GENERAL 161 13WC 19338 HAMMOCK, TONY FORD MOTOR COMPANY 06/11/13 FRIEDMAN & SOLMOR LTD POWER & CRONIN LTD 162 13WC 21301 PEREZ, JAIME NATL PORGES RADIATOR CORP 07/06/11 163 13WC 23563 CRAWFORD, CHERYLE L BROWN CHICAGO TRANSIT AUTHORITY 02/01/13 STEVEN J SEIDMAN LAW OFFIC CHICAGO TRANSIT AUTHORITY 164 13WC 25228 ALANI, MAHMOUD BLUE RIBBON 12/19/12 LAW OFFICE RYAN ROSENTHAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 165 13WC 25494 FRIEND, GWENETTE ARAMARK 06/24/13 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 166 13WC 26986 HARRIS, CORY WOODLAWN ORGANIZATION 06/04/12 LEO ALT RUSIN MACIOROWSKI & FRIEDMAN 167 13WC 27526 BRODY, SCOTT WASTE MANAGEMENT OF 07/17/13 RITTENBERG & BUFFEN GAROFALO SCHREIBER STORM 168 13WC 27617 WALKER, MATTHEW HOME IMPROVEMENT CONTRACT @ W 07/15/13 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 169 13WC 27829 EGBEBU, EMESON OSIRI BRYN MAWR CARE 08/06/13 170 13WC 27885 VERA, ELIZABETH CHICAGO BOARD OF EDUCATIO 05/07/13 ROMANEK & ROMANEK LAW DEPARTMENT 15WC001634 -C 171 13WC 27908 HARDAWAY, SHAUN FORD MOTOR CO ASSEMBLY PL 05/15/13 JASINSKI, GEORGE J WIEDNER & MCAULIFFE LTD 13WC027909 -C 172 13WC 28032 CASILLAS, MIRIAM JOHN STROGER HOSPITAL OF 07/23/13 ARGIONIS & ASSOCIATES LLC STATES ATTORNEY OF COOK COUN 173 13WC 28147 GONZALEZ, JUAN J GUERRERO TRUCKING AND 07/13/13 KARNO, MARK L & ASSOC 174 13WC 28365 PROFITT, JERAL GARDA CASH LOGISTICS 06/04/13 CUDA LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 14WC005500 -C 175 13WC 28378 KRAUSE, THOMAS TOYS R' US 07/27/13 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 176 13WC 28455 ELAM, MARY AMERICAN EAGLE AIRLINES 05/22/12 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 177 13WC 28614 CARBAJAL, SANDRA CITY OF CHICAGO/OEMC 12/01/10 DEUTSCHMAN, JEFFREY S CITY OF CHICAGO 178 13WC 28917 MOHAMMAD, ADAM DR PEPPER SNAPPLE GROUP 06/18/13 ALAN A BLUM, PC GAROFALO SCHREIBER STORM 179 13WC 29045 HERNANDEZ, SHIRLEY A LOYOLA UNIVERSITY 07/27/13 RIDGE & DOWNES BRAUN LORENZ & BERGIN PC 180 13WC 29147 FRANCISCO, ROCIO SUPERIOR STAFFING 08/15/13 CULLEN HASKINS NICHOLSON 181 13WC 33559 19B TOLEDO, SOFIA ARAMARK 09/27/13 JOEL BELL INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 182 13WC 35495 JACKSON, ROMULUS PEPSI AMERICAS 04/23/13 SAUNDERS CONDON & KENNY SPIEGEL & CAHILL, PC 183 13WC 36023 BOLANOS, DAVID SCREW MACHINE ENGINEERING 04/05/13 LAW OFFICES LEONARDO MORAL SALVATO & O'TOOLE 184 13WC 36427 ORTIZ, ANAYANCYNI CHICAGO MATTRESS 10/28/13 SALVATO & O'TOOLE GANAN & SHAPIRO 185 13WC 37017 CASHAW, DARWIN HILTON CHICAGO 05/21/13 DAVID W MARTAY NOBLE & ASSOCIATES PC 186 13WC 37415 HENTON, BRITTANY A JEWEL FOOD STORES LLC 10/28/13 BUDIN LAW OFFICES 187 13WC 37433 DIAZ, ANTONIO JACK TUCHTEN WAREHOUSE PR 08/26/13 VRDOLYAK LAW GROUP LLC RIPES NELSON BAGGOT KALOBRAT 188 13WC 37525 COLETTA, DEBRA R ROUNDY'S 08/02/13 LAW OFFICE PHILIP BLOMBERG BRYCE DOWNEY & LENKOV LLC 189 13WC 37564 ARELLANO, ANGEL MUNOZ LITHONIA LIGHTING 08/28/13 LULAY LAW OFFICES SLAVIN & SLAVIN 190 13WC 37742 BRAY, AMY CPS/VOISE ACADEMY 06/21/13 LAW OFFICE OF SCOTT B SHAP LAW DEPARTMENT 191 13WC 38082 RIVERA, ALCIDES STATE OF ILLINOIS ILL DEP @ 10/03/13 GOLDBERG WEISMAN & CAIRO L COLIN KICKLIGHTER 192 13WC 38135 WALKER, WILLIE L THE PARKWAYS 09/18/12 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 193 13WC 38337 TORRES, CAROLYN ASI INC 10/30/13 ARGIONIS & ASSOCIATES LLC STELLATO & SCHWARTZ 194 13WC 38418 JIMENEZ, JUAN UNIVAR CORP 03/29/12 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 195 13WC 38439 GOINS, MARIA CCSD #15 02/22/13 RIFFNER BARBER ROWDEN & SC WIEDNER & MCAULIFFE LTD 196 13WC 38661 ZAMUDIO, JUANA Y BRETFORD MANUFACTURING CO 05/05/11 GOLDBERG WEISMAN & CAIRO L 197 13WC 38751 ARMSTRONG, CRAIG TOTAL STAFFING 11/11/13 ANKIN LAW OFFICE KNELL & O'CONNOR 198 13WC 38778 SIMPSON, LARRY T ABF SYSTEMS 09/15/13 SPIROS LAW, PC KEEFE CAMPBELL & ASSOC LLC 199 13WC 38868 HERNANDEZ, JUSTO EXECUTIVE MAILING SERVICE 09/18/13 JONATHAN SCHLACK HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 200 13WC 38892 CLAUDE, GLORIA CUSTOM STAFFING INC 07/13/10 VRDOLYAK LAW GROUP LLC GALLAGHER BASSETT SVCS 201 13WC 39110 FRANSE, ELISABETH MARIANO'S 09/21/13 FOHRMAN, DONALD W & ASSOCS 202 13WC 39328 RENDEZ, JOSE FLEXI CORPS 11/01/13 MC HARGUE, JAMES P LAW OFF 203 13WC 39388 LEWIS, KENYA MARINA EXPRESS INC 10/28/13 POLANSKY & CICHON CHTD 204 13WC 39840 PANTELIN, ROBERT ELECTRO-MOTIVE DIESEL, IN 06/01/13 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 14WC012496 -C 205 13WC 39860 BRANCH, RICK WAGGONERS TRUCKING 10/23/12 SAUNDERS CONDON & KENNY ALLEN & NEWMAN 206 13WC 39876 WHITLOCK, LYNN WILLIAM LEA 02/09/09 RUBIN LAW GROUP 207 13WC 40004 RAMIREZ, LUIS NORTHWESTERN UNIVERSITY 12/16/10 ACEVES & PEREZ PC 208 13WC 40074 STINSON, SHANNON PARK LAWN 10/28/13 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 209 13WC 40226 MARTINEZ, JUAN CARLOS RACQUET CLUB OF CHICAGO 05/28/13 KARLIN FLEISHER & FALKENBE NOBLE & ASSOCIATES PC 210 13WC 40287 HUGHES, DENISE CHICAGO TRANSIT AUTHORITY 11/26/12 LAW OFFICE EDWARD LICHTENS CHICAGO TRANSIT AUTHORITY 211 13WC 40335 HOBBS, PATRICIA UNILEVER 11/15/13 THOMAS W DUDA WIEDNER & MCAULIFFE LTD 212 13WC 42450 CLEMONS, CHRISTOPHER CHICAGO TRANSIT AUTHORITY 12/18/13 LAW OFFICE EDWARD LICHTENS CHICAGO TRANSIT AUTHORITY 213 14WC 00279 ROZELLE, PHILLIP CITY OF CHICAGO 12/21/13 MINKOW DOMIN CITY OF CHICAGO 214 14WC 03768 GATHERIGHT, TERRANCE CITY OF CHICAGO DEPT OF 12/14/13 WILLIAM MARTAY MEACHUM & STARCK 14WC043382 -C 215 14WC 04287 PATTERSON, SAMUEL CITY OF HARVEY 10/30/13 ROBIN LAW OFFICE SMITH AMUNDSEN LLC 216 14WC 04396 CORRIGAN, VICTORIA L ALLIANCE REHAB 07/08/13 CRONIN & PETERS WOLF LAW LTD 217 14WC 04535 JAROCKA, ANETA HOME DELIGHT 11/18/13 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 218 14WC 04652 MENDOZA, LAURA HEARTLAND FOOD CORPORATIO 02/08/14 ACEVES & PEREZ PC LAW OFFICES OF EDWARD J. KOZ 219 14WC 04894 MENDEZ, MICHAEL AFFILIATED STEAM 11/08/13 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 220 14WC 05158 SERNA, JOSE J OLYMPIC OIL LTD 12/05/13 FINE, MARK S LAW OFFICES 221 14WC 05181 HUMMEL, CLARANCE D COOK COUNTY SHERIFF DEPT 01/16/14 FITZ & TALLON STATES ATTORNEY OF COOK COUN 222 14WC 05325 DEVLOO, RITA CHICAGO PUBLIC SCHOOLS 09/23/13 ROBERT HORWITZ LAW DEPARTMENT 223 14WC 05352 GUNDLACH, KYLE CITY OF CHICAGO 12/19/13 HEALY SCANLON LAW FIRM CITY OF CHICAGO 224 14WC 05385 MANIGLIA, PAM HMS HOST INTERNATIONAL IN 11/22/13 DWORKIN AND MACIARIELLO ROBERT L. SMITH 225 14WC 05549 BURTON, DARELL GENERAL ELCTRIC COMPANY 05/20/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 226 14WC 05560 ARCOS, ONOFRE CENVEO INCORPORATED 01/23/14 STEVEN A CRIFASE, LTD NOBLE & ASSOCIATES PC 227 14WC 05783 SALAS, LIVIA AURORA DISP-PACK CORP 09/27/12 GAINES & GAINES QUINTAIROS PRIETO WOOD & BOY 14WC005784 -C 228 14WC 05864 AGUILAR, GUSTAVO AMITY PACKING 01/31/14 LAW OFFICE OF OSVALDO RODR 229 14WC 06147 PEARS, ROBERT A THERMO FISHER SCIENTIFIC 02/22/11 PAUL W GRAUER & ASSOC KEEFE CAMPBELL & ASSOC LLC 230 14WC 06210 FLOSMAN, BLANCHE CHICAGO BOARD OF EDUCATIO 05/16/13 POLTROCK & POLTROCK 231 14WC 06307 DLEGADO, JAVIER IRVING PARK CLEANERS 02/14/14 232 14WC 06354 GARCIA, VICTORIA ARAMARK 02/02/14 EPSTEIN, JACK R LAW OFFICE 233 14WC 06390 MARTINEZ, JULIA KEEBLER COMPANY 02/24/14 STROM, NEAL B KEEFE CAMPBELL & ASSOC LLC 234 14WC 06484 BURG, ANGELA FRESENIUS MEDICAL CARE 02/20/14 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 235 14WC 06587 MC DANIEL, HAROLD D YRC INC 02/04/14 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 14WC 06708 ANGELES, JORGE UNITED SERVICE COMPANY 02/17/14 CULLEN HASKINS NICHOLSON STONE & JOHNSON CHARTERED 237 14WC 06964 JACKSON, ISAIAH T INTEROKIES 01/31/14 JAMES J. GAY 238 14WC 06994 KILBURG, JOYCE ST OF IL, ILLINOIS FILM O @ 10/06/09 BLEAKNEY & TROIANI COLIN KICKLIGHTER 239 14WC 07059 SODERLUND, RICHARD NEAL'S TRANSPORTATION 12/16/13 RATHBUN CSEVENYAK & KOZOL 240 14WC 07233 MONTALVO, ANTONIO FLEXIBLE STAFFING 04/12/13 HORWITZ HORWITZ & ASSOC GRANT & FANNING 241 14WC 07518 ZAMORA, SAUL VALENZANO BAKING CO 02/03/14 JONATHAN SCHLACK LAW OFFICES JOSEPH MARCINIAK 14WC013001 -C IL MULINO DI VALENZANO BAK 242 14WC 07559 ZAMBRANO, SALVADOR DONNELLY TRAN 03/23/11 FITZ & TALLON LTD SCOPELITIS GARVIN LIGHT 243 14WC 07944 RIZVI, ZAHID GZK LOGISTICS 05/10/13 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 244 14WC 15989 STEC, THOMASZ P PACTIV CORP 04/22/14 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 16WC020268 -C 245 14WC 16026 MACINTOSH, ORLANDO K N S FOODS 04/01/14 BAUM RUFFOLO & MARZAL LTD LAW OFFICES JOSEPH MARCINIAK 246 14WC 16078 NAVA, NICOLAS PARK PACKING OF CHICAGO I 04/13/14 RUEDA, IVAN A WOLF LAW LTD 247 14WC 16456 CHAVEZ, RIGOBERTO TANGENT FREIGHT SOLUTIONS 09/16/13 SANDMAN LEVY & PETRICH MCANANY VANCLEVE & PHILLIPS 248 14WC 16526 GONZALEZ, ROBERT COMCAST 07/17/13 WILLIAMS & SWEE SPIEGEL & CAHILL, PC 249 14WC 16743 MUSCATO, CHERYL FIRST SERVICE RESIDENTIAL 12/04/13 DONALD M. PHELAN 250 14WC 16781 FOSTER, THERESA HELPING HAND 02/20/14 SEIDMAN MARGULIS & FAIRMAN GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 251 14WC 16810 BANDA, RAYMUNDO LAKE SHORE BEVERAGE 02/04/14 LEONARD LAW GROUP LLC ASHER, RAYMOND L LTD 252 14WC 16845 QUIROZ, SALVADOR JR COUNTRY FINANCIAL INS 01/20/14 GESMER LAW OFFICES, PC HENNESSY & ROACH PC 14WC016846 -C 253 14WC 16884 JORDAN, TROY T SR STATE OF IL DEPT OF @ 05/09/14 SALVATO & O'TOOLE COLIN KICKLIGHTER 254 14WC 17014 RODRIGUEZ, NICOLAS GEORGIA NUT COMPANY 01/19/13 GOLDBERG WEISMAN & CAIRO L 255 14WC 17073 SEGURA, MANUEL JUAN ARRO CORPORATION 11/18/13 VRDOLYAK LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 256 14WC 17088 REYES, JOSE TAQUERIA LOS GALLOS #3 10/23/11 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 257 14WC 17140 SMITH, MONIQUE C CTA-CHICAGO TRANSIT AUTHO 04/24/14 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 258 14WC 17298 SMITH, RANDY ADDUS HEALTHCARE 02/02/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 259 14WC 17316 KING, PRENTICE AT&T 12/22/13 ALAN A BLUM, PC 260 14WC 17445 CARREON, GRACIELA THE BIG FOUR, LLC D/B/A 12/31/13 SALK, STEVEN B & ASSOC LTD 261 14WC 17659 HAYNES, NICOLE WAL MART 02/20/14 THOMAS R LICHTEN 262 14WC 17856 MARTINEZ, AMY (MOTHER & B PTC ALLIANCE # 05/19/14 LAW OFFICES CORTI & ALEKSY HOLECEK & ASSOCIATES 263 14WC 17888 GARCIA-CASTRO, LUIS HARD ROCK HOTEL CHICAGO 03/18/12 GRAZIAN & VOLPE PC 264 14WC 17934 RAMIREZ, LUZ CHICAGO PUBLIC SCHOOLS 03/11/14 BERG & BERG 265 14WC 18053 KALAN, ELLI UNITED AIRLINES INC. 11/18/13 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 14WC041691 -C 266 14WC 18284 DURAN, EDUARDO IRON MOUNTAIN 04/25/14 FOHRMAN, DONALD W & ASSOCS 267 14WC 18441 WILKINS, KRISTOPHER ILL DEPT TRANSPORTATION @ 04/25/14 LANNON LANNON & BARR LTD ASSISTANT ATTORNEY GENERAL 268 14WC 19134 JARAVILLO, ANDREA MCDONALDS 05/03/12 AIOSSA LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 269 14WC 21988 GERALD, FRANK CTA 10/15/13 MEYERS & FLOWERS CHICAGO TRANSIT AUTHORITY 270 14WC 24890 BRUNEY, BRIAN CHICAGO WHITE SOX BASEBAL 06/24/12 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 271 14WC 26169 FINLEY, ALBERT UNIVERSITY OF 07/22/14 ANKIN LAW OFFICE POWER & CRONIN LTD 272 14WC 26383 CINTRON, JOSE L CHICAGO BOARD OF EDUCATIO 05/21/14 JOHN E LUSAK LAW DEPARTMENT 273 14WC 26600 DEFRANCESCO, VITO JOE & ROSS INC 06/11/14 MARTIN L GLINK LAW OFFICE GANAN & SHAPIRO 274 14WC 26741 JOHNSON, MAURICE WEING-DOHERTY 08/05/14 O'CONNOR & NAKOS KNELL & O'CONNOR 275 14WC 27024 EVANS, CHARLENE NEAR WEST SIDE CDC INC 07/16/14 FITZ & TALLON LTD HOLECEK & ASSOCIATES 276 14WC 27038 HICKS, WILLAIM JR BOARD OF EDUCATION OF THE 05/11/12 HORWITZ HORWITZ & ASSOC LAW DEPARTMENT 277 14WC 27227 MATTHEWS, CHIKETA STATE OF ILLINOIS @ 08/07/14 SKLARE LAW GROUP JILL OTTE 278 14WC 27247 LOVELY, ALVIN VOITH INDUSTRIAL SERVICES 05/05/14 THOMAS R LICHTEN 279 14WC 27262 SEALS, PAMELA CITY OF CHICAGO 03/25/14 WOODRUFF & JOHNSON CITY OF CHICAGO 280 14WC 27272 GOWDY, MECHELLE CTA 06/05/12 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 281 14WC 27283 GRAFT, LINDA CNA INSURANCE COMPANY 09/30/13 LAW OFFICES OF MARK SCHAFF LAW OFFICES OF EDWARD J. KOZ 282 14WC 27307 RUSSO, JOE CITY OF CHICAGO/FINANCE 07/01/14 PATRICIA HARDIMAN LAW OFFI 283 14WC 27404 JACKSON, KEITH L COOK DUPAGE TRANSPORTATIO 05/11/14 SIGMOND, STEVEN 284 14WC 27660 KLAPKOWSKI, ALFRED FUTURE MARK PAPER CO 10/11/12 GOLDFEIN LAW OFFICE PC 285 14WC 27811 MERAZ, MARIA CENTRA STEEL & WIRE COMPA 12/02/13 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 286 14WC 27932 HIBBLER, RHONDA CHICAGO TRANSIT AUTHORITY 08/05/14 LAW OFFICE EDWARD RUEDA CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 287 14WC 27996 ZEPEDA, CESAR JR TOWN OF CICERO 08/02/14 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 288 14WC 28016 SALDANA, MELISSA ST OF IL - IDOT 01/21/14 DAN COLLINS LAW FIRM JILL OTTE 289 14WC 28059 MARTINEZ, NERY RON'S STAFFING 03/15/14 ENCINAS & ORNELAS KOREY RICHARDSON LLC 290 14WC 28514 ROVY, ROBERT METROPOLITAN WATER RECLAM 03/11/14 JOHN E LUSAK 291 14WC 28567 DAVIS, YOLANDA LOYOLA UNIVERSITY 07/07/13 DOUGLAS C DORN PC 292 14WC 28584 KEANE, STEPHEN IL DEPT OF TRANSPORTATION 07/14/14 LAW OFFICE OF SCOTT B SHAP COLIN KICKLIGHTER 293 14WC 28644 HUSIDIC, EDIN WALSH CONSTRUCTION 07/28/14 ALAN A BLUM, PC HINSHAW & CULBERTSON 294 14WC 28785 STEWART, MICHAEL NFI 01/06/14 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 295 14WC 28825 POTURALSKI, LISA AMERICAN AIRLINES, 08/15/14 HUGHES SOCOL PIERS RESNICK GAROFALO SCHREIBER STORM 296 14WC 29047 LECZYCKI, ADAM MPD CONSTRUCTION GROUP IN 08/05/14 URSULA BABICZ & ASSOC RUSIN & MACIOROWSKI LTD 297 14WC 29078 CONRAD, JEFFREY CITY OF CHICAGO 04/16/14 GOLDBERG WEISMAN & CAIRO L 298 14WC 29116 GONZALEZ, WALTER GREEN MONKEY 08/21/14 JOHN S. ELIASIK 299 14WC 29217 CARROLL, GAVIN STARBUCKS 05/03/14 RUBIN LAW GROUP BRADY CONNOLLY & MASUDA PC 300 14WC 29224 ALLEN, SHERON CHICAGO STATE UNIVERSITY 07/29/14 DAVID W MARTAY COLIN KICKLIGHTER 301 14WC 29290 RIBAN, TERRY BERGLUND MAINTENANCE CO 08/06/14 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 302 14WC 29365 CUMMINS, PETER ADDISON CONSTRUCTION & @ W 08/18/14 HEALY SCANLON LAW FIRM GAROFALO SCHREIBER STORM 303 14WC 29429 ARELLANO, MARIA PRINCIPLE MANUFACTURING 03/04/13 MICHAEL P MCCREADY & ASSOC LAW OFFICES JOSEPH MARCINIAK 304 14WC 29662 WENGANG, CHANTAL CARE CONNECT 08/06/14

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 305 14WC 29744 HORN, JR. JOHNIE WASTE MANAGEMENT INC 02/05/14 RUBIN MACHADO ROSENBLUM 306 14WC 29799 JONES, BEATRICE THE CLARE 04/25/14 CAPRON & AVGERINOS PC WOLFE & JACOBSON, LTD 307 14WC 29804 WOOLFORK, NINA HELPING HANDS 03/28/14 COVEN LAW GROUP GALLIANI DOELL & COZZI LTD 308 14WC 29828 WALKER, KOBINA YELLOW CAB COMPANY 09/05/11 WARREN W MARK 309 14WC 29852 FEELEY, KEVIN INTEGRYS ENERGY GROUP INC 05/15/14 STROM, NEAL B GAROFALO SCHREIBER STORM 310 14WC 29913 FAULSTICH, PATRICIA BUY BUY BABY INC 08/08/13 RIDGE & DOWNES KOPKA, PINKUS & DOLIN, PC 311 14WC 29931 JONES, REGGIE MVP WORKFORCE, LLC D/B/A 08/28/14 BELCHER LAW OFFICE GRANT & FANNING 312 14WC 29998 BENITEZ, MOISES UNITED SCRAP METAL 04/15/14 EPSTEIN, JACK R LAW OFFICE 313 14WC 30039 SANCHEZ, HERMINIO P THE STANDARD CLUB 06/11/14 LAW OFFICES MICHAEL HELLMA KEEFE CAMPBELL & ASSOC LLC 314 14WC 30061 RHYNE, TEELY YRC FREIGHT 07/12/14 PETER C KOPOULOS HENNESSY & ROACH PC 315 14WC 30094 ELEM, JOSEPHINE S TERRACE PAPER 07/25/14 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 316 14WC 30190 PERNELL, LARRY JEWEL OSCO 08/14/14 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 317 14WC 30218 HALL, TRAVIS WHOLE FOODS MARKET 01/25/14 RONALDSON & KUCHLER GILDEA & COGHLAN 318 14WC 30240 JOHNSON, MARTINIA FORD MOTOR COMPANY 07/25/14 FOHRMAN, DONALD W & ASSOCS 319 14WC 30453 FARMER, AL S AT&T 02/17/14 PARENTE & NOREM PC HENNESSY & ROACH PC 320 14WC 30495 GRANVILLE, JESSE J CHICAGO VOCATIONAL CAREER 07/09/13 DEPAOLO ZADEIKIS GORE 321 14WC 30660 DYSON, DAPHNE CHICAGO STREETS & SAN. DE 08/08/14 SANDMAN LEVY & PETRICH CITY OF CHICAGO 14WC030661 -C 322 14WC 32130 MAROUSOPOULOS, MARINA NCH MEDICAL GROUP 04/09/14 CHARLES MANNING NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 323 14WC 33580 MONROE, NATALIE UNITED AIRLINES 09/07/14 BRIAN J MC MANUS & ASSOC, 324 14WC 35369 RUIZ, JOSE ENRIQUE GM WAREHOUSE INC. 06/08/14 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 325 14WC 35902 PERCY, SPARKLE POSITIVE CONNECTIONS 09/17/14 MICHAEL P MCCREADY & ASSOC RODDY LAW LTD 326 14WC 35957 MORA, DIANA LOWE'S 09/06/14 SMOLER LAW OFFICE, PC KEEFE CAMPBELL & ASSOC LLC 327 14WC 36730 HOOKER, DARREN CHARTER STEEL TRADING 10/20/14 MEYER & BLUMENSHINE LAW OF 328 14WC 36739 ATHANS, JAMES ILLINOIS SECRETARY OF STA 10/03/14 WILLIAM MARTAY ASSISTANT ATTORNEY GENERAL 329 14WC 37627 DAVIS, TEISHA SCR MEDICAL TRANSPORTATIO 10/21/14 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 330 14WC 37647 CARDINAL, TYLER POPEYE'S CHICKEN 10/31/14 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 331 14WC 38009 WERNER, MICHAEL MOUNT PROSPECT 10/21/14 RIDGE & DOWNES RODDY LAW LTD 332 14WC 38041 GUAMAN, FREDY AMULET CONSTRUCTION COMPA 10/27/14 HUGHES SOCOL PIERS RESNICK DOUGLAS W GRAHAM 333 14WC 38048 ANNING, ERIC A THRILLOS INC 10/29/14 VRDOLYAK LAW GROUP LLC ALLEN KOPET & ASSOCIATES 334 14WC 38110 PAYNE, ANTHONY CITY OF CHICAGO 09/08/14 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 335 14WC 38126 IVANCICH, EDWARD M HOSTESS BRANDS 12/04/13 FREDRICK B BARDER, LTD INMAN & FITZGIBBONS 336 14WC 38160 SMITH, BERTHA JP MORGAN CHASE 10/02/12 BARRY STEWART SILVER INMAN & FITZGIBBONS 337 14WC 38367 LERNER, ELIZABETH CITY OF CHGO/INDEPENDENT 10/24/14 HORWITZ HORWITZ & ASSOC CITY OF CHICAGO 338 14WC 38476 HIGUEROS, KEVIN STARBUCKS 04/18/14 DE SALVO, SCOTT D LAW OFFI ROBERT L. SMITH 339 14WC 38667 RODRIGUEZ, MARTIN NORTHWEST STEEL CORP 10/03/14 DEPAOLO ZADEIKIS GORE LAW OFFICES JOSEPH MARCINIAK 340 14WC 38775 PLAZA, JOSE M OAK PARK SCHOOL DISTRICT 05/20/14 VASILATOS & COTTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 341 14WC 38861 GOMEZ, PABLO PRINCIPAL MFG CORP 08/12/14 FRIEDMAN & SOLMOR LTD LAW OFFICES JOSEPH MARCINIAK 342 14WC 39089 GOMEZ, MARGARITA HILTON HOTEL 03/28/14 ACEVES & PEREZ PC INMAN & FITZGIBBONS 343 14WC 39183 CHAUHAN, HITENDRASINH C FRESENIUS KABI USA, LLC 09/16/14 SALK, STEVEN B & ASSOC LTD COZZI & GOGGIN-WARD 344 14WC 39218 MCCRAY, DWAYNE THE PALMER HOUSE HILTON 11/01/14 MINKOW DOMIN NOBLE & ASSOCIATES PC 345 14WC 39252 TOSCANO, MARIA CVS PHARMACY 01/01/14 BRISKMAN BRISKMAN GREENBER 346 14WC 39274 HERREJON, JORGE DUNLAP CONSTRUCTION 08/22/14 CANDIANO LAW OFFICE MANDELL, GREGG 347 14WC 39536 BERNAL, JOSE LUIS INFINITY TRAILER REPAIR 09/02/14 DE SALVO, SCOTT D LAW OFFI ACCIDENT FUND HOLDINGS 348 14WC 39582 ROMANO, FLOREIDY MIDWEST CANVAS CORP 03/10/14 ANKIN LAW OFFICE INMAN & FITZGIBBONS 349 14WC 39646 PANIAGUA, JESUS J CHICAGO TRANSIT AUTHORITY 11/06/14 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 350 14WC 39663 STUART, CRAIG CAT INC 06/08/13 VRDOLYAK LAW GROUP LLC 351 14WC 39896 WOLOSIK, AGNIESZKA LOWES 05/26/14 CHEPOV & SCOTT LLC KEEFE CAMPBELL & ASSOC LLC 352 14WC 39916 SPARKS, CHARLES CPS 10/09/13 DWORKIN AND MACIARIELLO 353 14WC 39971 TURNEY, JOHN J CITY OF CHICAGO 04/18/14 LAW OFFICES MICHAEL HELLMA CITY OF CHICAGO 354 14WC 40250 LIMARDO, MARTHA ST OF IL DEPT OF READ 10/11/14 LAW OFFICE OF SCOTT B SHAP COLIN KICKLIGHTER 355 14WC 40253 CORTES, MIGUEL CHICAGO PUBLIC SCHOOLS 11/13/14 LEO ALT 356 14WC 40408 GONZALEZ, ROGELIO ATLAS/STAR THERMAL PLASTI 10/15/14 SALK, STEVEN B & ASSOC LTD ROBERT L. SMITH 15WC003535 -C MICHIGAN COMMERCIAL INSURA 15WC007437 -C 357 14WC 40450 ROSARIO, ANGELO ESTES EXPRESS LINES 11/17/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 358 14WC 40466 GRIFFIN, NATTAY B L T I SERVICES 09/24/14 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 359 14WC 40671 MINELLI, JOHN M REX ELECTRIC 09/29/14 DAVID W MARTAY INMAN & FITZGIBBONS 360 14WC 40702 TOSCANO, DAVID JR NICOR GAS 10/06/14 RAYMOND M SIMARD, PC MACIOROWSKI SACKMANN & ULRIC 361 14WC 40723 ARATO, JOHN GAMBINO LANDSCAPING INC @ W 07/11/14 DWORKIN AND MACIARIELLO 362 14WC 40739 SADDER, SANTINO CHICAGO PUBLIC SCHOOLS 11/05/14 THOMAS A MORRISSEY 363 14WC 40781 EDWARDS, IRIS JR STATE OF ILLINOIS @ 06/16/14 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 364 14WC 40877 KNUTSON, ROGER ROSEMONT MASONRY CORP 06/26/14 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 365 14WC 40900 HUNTER, ELA'MORE SERVISAIR 11/23/14 GOLDBERG WEISMAN & CAIRO L 366 14WC 40924 CLAY, CARL UNITED AIRLINES INC. 07/30/14 COVEN LAW GROUP 367 14WC 41105 ZARATE, VICTOR MANUEL TOTAL STAFFING SOLUTIONS 11/15/14 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 368 14WC 41320 HEATLEY, MICHELLE ROUNDY'S SUPERMARKET 10/01/13 ANKIN LAW OFFICE INMAN & FITZGIBBONS 369 14WC 41385 TORRES, MARCOS SURGE STAFFING 11/19/14 PARENTE & NOREM PC 370 14WC 41724 COSMANO, CHRIS IBBOTSON HEATING CO 11/07/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 371 14WC 43492 ALEXANDER, FRANK JR UNITED PARCEL SERVICES 08/27/14 FOX GOLDBLATT & SINGER PC MCANANY VANCLEVE & PHILLIPS 372 15WC 03711 RODEA-TAPIA, CARLOS MORTON ROOFING OF ILLINOI 08/13/14 SHELDON I MINKOW & ASSOCIA 373 15WC 03779 LEE, BRANDON SCR MEDICAL TRANSPORT INC 11/22/14 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 374 15WC 03904 SERRANO, FERNANDO ELECTRO-MOTIVE DIESEL 12/08/12 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 15WC003905 -C 375 15WC 04153 ROMERO, ERICK MOST VALUABLE PERSONNEL 02/13/14 ANKIN LAW OFFICE KOREY RICHARDSON LLC 376 15WC 04170 SALAZAR, TERESA DE JESUS EXPRESS EMPLOYMENT PROS 01/28/15 AIOSSA LAW FIRM GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 377 15WC 04230 BRAND, NOREEN HOLOCAUST MEM FOUNDATION 07/24/14 CAPRON & AVGERINOS PC NOBLE & ASSOCIATES PC 378 15WC 04256 HESS, CAROLYN M PRESENCE HOLY FAMILY MEDI 07/14/14 LEWIS & DAVIDSON, LTD NYHAN BAMBRICK KINZIE & LOWR 379 15WC 04262 FERNANDEZ, CLARA HELP AT HOME INC 07/01/14 JONATHAN SCHLACK MEACHUM & STARCK 380 15WC 04353 REYES, FREDI ZIYAD BROTHERS IMPORTING 01/29/15 BELCHER LAW OFFICE ACCIDENT FUND HOLDINGS 381 15WC 04396 BANKS, CHERYL CITY OF CHICAGO 09/29/14 LEE, MARK N LAW OFFICE CITY OF CHICAGO 382 15WC 04412 BLACKMON, SYLVIA FORD MOTOR COMPANY 10/31/14 PETER D CORTI LAW GROUP 383 15WC 04438 ALLEN, KESHANI DLH SOLUTIONS, INC. 01/21/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 384 15WC 04555 HACKER, ERIC G CITY OF CHICAGO 09/09/14 RICHARD O. GREENFIELD 385 15WC 04596 MARQUEZ, DEBRA COOK COUNTY STATE'S ATTY 11/14/14 KURASCH & KLEIN, LTD STATES ATTORNEY OF COOK COUN 386 15WC 04660 JOHNSON, CINDY L JEWEL INC 04/09/14 TOPPER & WEISS LTD 387 15WC 04738 MCKAY, ALLEN PROLOOGISTIX ST LOUIS 10/01/14 SAUTER, SULLIVAN & EVANS 388 15WC 04758 CARTER, RENITA CHICAGO TRANSIT AUTHORITY 02/08/15 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 389 15WC 04843 MARTINEZ, GUMERCINDO AMERICAN LABELMARK CO 01/02/15 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 390 15WC 04854 KANE, DAN FED EX FREIGHT 01/23/15 BARRY STEWART SILVER 391 15WC 05054 CONNER, MANDRAKE COMCAST 02/23/12 POWER & CRONIN LTD 392 15WC 05121 HARRY, DEBORAH UNITED AIRLINES INC. 11/01/14 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 393 15WC 05126 CZYZYK, ANGELA IRISH PATRIOT 08/13/14 SAUNDERS CONDON & KENNY WOLF LAW LTD 394 15WC 05220 MARTINEZ, NOE CHRIS'S TRANSPORT SERVICE 11/12/14 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 395 15WC 05252 THOMAS, TERRI CASCADE ORTHOPEDIC SUPPLY 02/05/15 GRAZIAN & VOLPE PC 396 15WC 05487 BOYKIN, MARK IL DEPT OF JUVENILE JUSTI @ 09/14/14 SEIDMAN MARGULIS & FAIRMAN ASSISTANT ATTORNEY GENERAL 397 15WC 05513 SHOLAJA, WAHEED JIFFY LUBE 05/28/14 PETER D CORTI LAW GROUP 398 15WC 05563 DULSKI, WALTER UPS 12/07/14 EVAN A HUGHES LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 399 15WC 05595 HERNANDEZ, PLACIDO GINEZ PRESTIGE MAINTENANCE 01/23/15 LAW OFFICE OF JAMES H MILL MEACHUM & STARCK 400 15WC 05643 MORENO, RAFAELA LABOR TEMPS II INC 01/05/15 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 401 15WC 05740 MICHAEL REAMAN K.R. DRENTH TRUCKING 08/05/14 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 402 15WC 05806 CLARK, VICKIE UNITED AIRLINES INC. 12/08/14 HEALY SCANLON LAW FIRM 403 15WC 05853 NAVARRO, DELIA PURE'S FOOD SPECIALTIES I 11/24/14 RUBIN MACHADO ROSENBLUM LAW OFFICES JOSEPH MARCINIAK 404 15WC 05881 MOORE, LAURENE SALVATION ARMY 02/09/15 SALVATO & O'TOOLE 405 15WC 05889 FARR, GEOFFERY BLUE ISLAND POLICE DEPART 01/19/14 KROL BONGIORNO & GIVEN LTD DEL GALDO LAW GROUP LLP 406 15WC 06194 PARKS, LARRY FORD MOTOR CO 07/07/14 KREITER, BYCK & ASSOC LLP 407 15WC 06211 FIORENTINO, NICHOLAS COOK COUNTY SHERIFF 02/18/15 SALVATO & O'TOOLE STATES ATTORNEY OF COOK COUN 408 15WC 06295 PORTER, KARLA CHICAGO LASHES 02/05/15 CHRISTIAN & MANNO HOLECEK & ASSOCIATES 409 15WC 06316 MEDEL, MARTIN KASTALON INC 08/19/14 OSVALDO RODRIGUEZ PC NYHAN BAMBRICK KINZIE & LOWR 410 15WC 06513 ISENMANN, DANIEL L O'HARE'S PUB & RESTAURANT 07/08/14 411 15WC 06559 SMITH, STEVE CHGO BOARD OF ED 01/12/15 LEO ALT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 412 15WC 06615 MENDOZA, LUIS R&J SZYMANSKI ENTERPRISES 09/15/14 MC HARGUE, JAMES P LAW OFF 413 15WC 06617 COLLIN, MARY AMERIGAS 09/22/14 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 15WC006779 -C 414 15WC 06763 MAJEWSKI, BARNEY AIM NATIONALEASE 11/20/14 RUBENS AND KRESS 415 15WC 06786 MARTINEZ, MARTIN HOME CARE PLUS INC 01/10/14 COVEN LAW GROUP 416 15WC 06826 ARMENTANO, JOHN STAR HYDRAULICS INC 12/08/14 PORRO NIERMANN & PETERSEN WOLFE & JACOBSON, LTD 417 15WC 07081 REARDON, DAVE CHICAGO RIDGE FIRE DEPART 01/05/15 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 418 15WC 07187 LINDGERG, TRACY ASENDIA USA 12/01/14 BURNES & LIBMAN INMAN & FITZGIBBONS 419 15WC 07207 CAMPOVERDE, ROMEL AQUAMARINE TAXI INC. 01/15/15 DRAKE & COLLOPY PC LAW OFFICES OF DEBORAH SCHAE 420 15WC 07270 PIPPIN, CAMILLE CTA 11/29/13 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 421 15WC 09954 MIODOWSKI, KAZIMIERZ WHEELER TRAILER INC 02/11/15 BELCHER LAW OFFICE BRADY CONNOLLY & MASUDA PC 422 15WC 14501 ESPARZA, HORACIO CHICAGO MUSHROOM & PRODUC 04/09/15 SALVATO & O'TOOLE LAW OFFICES JOSEPH MARCINIAK 423 15WC 14714 BERHE, KAHSAY ABM PARKING SERVICES 04/03/15 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 424 15WC 14818 CORNELIUS, DELITHIA WALMART 10/18/14 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 425 15WC 15187 RICE, AARON FORD MOTOR CO 02/09/15 KREITER, BYCK & ASSOC LLP 426 15WC 15464 VARGAS, JUAN COFAIR PRODUCTS INC 07/01/14 JOHN C SERKLAND LAW OFFICES JOSEPH MARCINIAK 427 15WC 15483 RHYNE, CHRISTOPHER YRC INC DBA YRC FREIGHTS 12/15/14 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 428 15WC 15490 BENJAMIN, CARMENLETHA GAREDA LLC 04/21/15 VRDOLYAK LAW GROUP LLC GALLIANI DOELL & COZZI LTD 429 15WC 15515 HOWELL, WILLIE HARRIS STEEL CO 04/23/15 BRUCE RAFALSON LTD NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 430 15WC 15585 KLEES, NICOLE GIBSONS RESTAURANT GROUP 09/25/14 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 431 15WC 15616 NOLAN, TIMOTHY J ENVOY AIR, INC 11/17/14 BAUM RUFFOLO & MARZAL LTD POWER & CRONIN LTD 432 15WC 15651 SANCHEZ, ELLENA LAIRD TECHNOLOGIES/AEROTE 12/18/14 CUDA LAW OFFICES HENNESSY & ROACH PC 433 15WC 15719 PIEKAREWICZ, JAN EXPERIOR TRANSPORT 04/21/15 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 434 15WC 15731 BUTLER, DESTYNE ABEL ENGINEERING 05/07/15 BRISKMAN BRISKMAN GREENBER GRANT & FANNING 435 15WC 15769 KARTHEISER, DAVID CTA 12/04/14 PORRO NIERMANN & PETERSEN CHICAGO TRANSIT AUTHORITY 436 15WC 15892 MARTINEZ, MARIA HEARTLAND FOOD LLC D/B/A 07/07/14 COLLISON & O'CONNOR LAW OFFICES OF EDWARD J. KOZ 437 15WC 16013 BALDWIN, LAWRENCE ALL ACCESS TRUCKING CO. 05/17/12 LAW OFFICES ALEXANDER JARO HEYL ROYSTER VOELKER & ALLEN 438 15WC 16072 CARRILLO, JUAN APONTE SNC ELECTRICAL 02/03/15 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 439 15WC 16170 CLARK, YOLANDA NORTHWESTERN MEMORIAL 05/05/15 LAW OFFICES TIMOTHY HENDER HENNESSY & ROACH PC 440 15WC 16199 LOPEZ, LUIS E. REMEDIAL ENVIRONMENTAL 04/16/15 PARENTE & NOREM PC HENNESSY & ROACH PC 441 15WC 16222 CALDWELL, KIM WAL MART 07/26/14 FOHRMAN, DONALD W & ASSOCS 442 15WC 16440 GOSSELIN, ANTHONY P SET ENTERPRISES 04/18/15 JASINSKI, GEORGE J 443 15WC 16461 TERAN, SYLVIA M PROMOTION ACTIVATORS INC 02/27/15 LAW OFFICES TIMOTHY LAMPIN 444 15WC 16540 BARAJAS, JESUS COOK COUNTY 10/15/14 RICHARD O. GREENFIELD STATES ATTORNEY OF COOK COUN 445 15WC 16626 LECLAIRE, LEVI TARGET 04/29/15 ALAN A BLUM, PC NYHAN BAMBRICK KINZIE & LOWR 446 15WC 16647 BRODA, ANDY PHILLIPS CHEVROLET 02/20/15 ROBERT H HANAFORD MC ANDREWS & NORGLE LLC 447 15WC 16658 GREER, BRITT ATLAS COPCO COMPRESSORS L 03/24/15 GORDON & CENTRACCHIO LLC MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 448 15WC 16798 ZUNIGA, OSCAR ROBERT'S SHEET METAL WORK 06/16/14 DEPAOLO ZADEIKIS GORE GILDEA & COGHLAN 449 15WC 17022 LEE, YOLANDA CHICAGO BOARD OF EDUCATIO 05/04/15 DAVID W MARTAY 450 15WC 17027 JOHNSON, VINCENT RUSH UNIVERSITY 03/29/15 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 451 15WC 17049 SHER, MARK NILES TOWNSHIP 12/01/14 POLTROCK & POLTROCK ROBERT L. SMITH 452 15WC 17081 FLETCHER, DANIEL ARAMARK MGMT SERVICES 04/10/15 MONDRY & MONDRY 453 15WC 17118 MATWIJ, JERRY NEW ALBERTSON'S INC 03/26/15 COVEN LAW GROUP RODDY LAW LTD 454 15WC 17193 CIECHNA, TERRENCE C GREAT LAKES PLUMBING 03/16/15 LEONARD LAW GROUP LLC 455 15WC 17232 RAMIREZ, JORGE STAIRS AND RAILS INC. 05/26/15 GOLDBERG WEISMAN & CAIRO L THOMAS & PORTELA 456 15WC 17290 CASTILLO, LUIS SAVA TREE 03/27/15 JOHN S. ELIASIK GAROFALO SCHREIBER STORM 457 15WC 17337 GALVEZ, MARIA L CHICAGO TRANSIT AUTHORITY 01/30/15 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 458 15WC 17351 RICE, MARTIN CHICAGO TRANSIT AUTHORITY 05/15/15 DAVID SZCZECIN & ASSOC CHICAGO TRANSIT AUTHORITY 459 15WC 17407 SITKO, ILEANA JOHN H STROGER HOSPITAL 04/04/15 LUIS A ACEVES & ASSOC STATES ATTORNEY OF COOK COUN 460 15WC 17556 CAMPBELL, MIKE BL DOWNEY CO LLC 03/13/15 HORWITZ HORWITZ & ASSOC 461 15WC 17846 RODRIGUEZ, VICTOR AVANT GARDEN SCAPES 10/21/14 JOHN S. ELIASIK NOBLE & ASSOCIATES PC 15WC024665 -C 462 15WC 17955 WILLIAMS, DARRYL LTI SERVICES 01/18/15 STEVEN J MALMAN & ASSOCIAT 463 15WC 17972 ELIAS, ALYSE ENVOY AIR INC/ 05/27/15 GOLDBERG WEISMAN & CAIRO L 464 15WC 17990 FIC, JACEK ALL CARS AUTO SERVICES 01/12/15 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 465 15WC 18052 CURTIS, JAMES ABF FREIGHT 03/03/15 SPIROS LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 466 15WC 18070 BOUATI, ZOUHAIR KINZIE HOTEL D/B/A 01/02/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 467 15WC 18243 LEWIS, SHIRLEY COOK DUPAGE TRANSPORTATIO 05/21/15 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 468 15WC 18341 KONCEL, MARY ELLEN CHICAGO PUBLIC SCHOOLS 01/22/15 ARGIONIS & ASSOCIATES LLC LEAHY EISENBERG & FRAENKEL 469 15WC 22300 BENDA, TSHEILA NESTLE USA 06/20/15 BELCHER LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 470 15WC 23711 HICKS, SONIA UPS 06/25/15 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 471 15WC 23787 RUFUS, MICHAEL CLEAR CHANNEL 04/14/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 472 15WC 23866 PEREZ, DAVID KOCH FOODS CORP 02/25/13 RUBIN LAW GROUP 473 15WC 23897 HOUSE, GWENDOLYN R. GATE GOURMET 07/13/15 WARREN W MARK RUSIN & MACIOROWSKI LTD 474 15WC 23911 COLEMAN, CYNTHIA STANDARD PARKING 10/25/14 GRAZIAN & VOLPE PC GAROFALO SCHREIBER STORM 475 15WC 23937 MONRY-ALCANTARA, JOSE TOTAL STAFFING SOLUTIONS 07/23/15 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 476 15WC 23979 VALENZUELA, OLGA CLEAR STAFF INC 06/26/15 SALK, STEVEN B & ASSOC LTD ACCIDENT FUND HOLDINGS 477 15WC 24123 REYES, PEDRO CHICAGO TRANSIT AUTHORITY 08/02/15 BOWMAN & CORDAY 478 15WC 24136 PAGAN, ANDRES KERRY INGREDIENTS 07/11/15 WHITESIDE & GOLDBERG LTD 479 15WC 24178 JONES, CANDICE CTA 08/08/15 SALVATO & O'TOOLE CHICAGO TRANSIT AUTHORITY 480 15WC 24203 CARRILLO, ARNULFO HOLT CONSTRUCTION INC 01/20/15 BRISKMAN BRISKMAN GREENBER LAW OFFICES JOSEPH MARCINIAK 481 15WC 24243 HINCKLEY, DAVID UNITED RENTALS 04/06/15 WOODRUFF & JOHNSON KNELL & O'CONNOR 482 15WC 24280 COZART, FARON CHICAGO TRIBUNE COMPANY 02/13/13 SAUNDERS CONDON & KENNY NYHAN BAMBRICK KINZIE & LOWR 483 15WC 24318 DWYER, TOM CITY OF CHGO - FLEET SERV 07/05/13 STROM, NEAL B CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 484 15WC 24360 SALINAS, VERONICA JEWEL OSCO 07/02/15 CUDA LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 485 15WC 24411 O'CONNOR, CHRISTOPHER TRIMARK MARLINN 09/17/14 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 486 15WC 24432 MC CRANEY, THOMAS REO MOVERS & VAN LINES, I 07/28/15 ROBIN LAW OFFICE 487 15WC 24465 RZEPKA, EUGENIUSZ ARS INVESTMENT HOLDINGS 11/15/14 LAW OFFICE PHILIP BLOMBERG MEACHUM & STARCK 15WC024466 -C 15WC024467 -C 488 15WC 26497 SIWEK, LUCY PRESENCE RESSURECTION 07/04/15 RICHARD O. GREENFIELD KEEFE CAMPBELL & ASSOC LLC 489 15WC 26522 ZIGMAN, BERBARD K RELIABLE RECOVERY SVCS IN 07/24/15 KOSIN LAW OFFICE LTD RUSIN & MACIOROWSKI LTD 490 15WC 26589 WATTS, ALBERT PEPSICO 05/23/15 RUBIN LAW GROUP ROBERT L. SMITH 491 15WC 26601 NEGRON, JASON NBC UNIVERSAL TELEVISION 04/29/15 PETER D CORTI LAW GROUP SPIEGEL & CAHILL, PC 492 15WC 26614 PANZICA, THOMAS ORLAND FIRE PROTECTION DI 07/28/15 CULLEN HASKINS NICHOLSON 493 15WC 26643 CARUSO, JEROME IL DEPT OF TRANSPORTATION @ 12/09/14 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 494 15WC 26874 BUTLER, LISA PHILLIP MEI SHUN TOFU 07/06/15 SEIDMAN MARGULIS & FAIRMAN 495 15WC 26891 CANDANEDO, CLARA PACTIV 06/12/14 ACEVES & PEREZ PC SPIEGEL & CAHILL, PC 496 15WC 27092 ALFORD, GWENDOLYN HILTON WORLDWIDE INC 07/20/15 THE ROMAKER LAW FIRM NOBLE & ASSOCIATES PC 497 15WC 27289 FAYNE, PHILLIP FORD MOTOR COMPANY 08/06/15 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 498 15WC 27313 MANTIA, MATTHEW WELSCH READY MIX 08/10/15 DAVID W MARTAY 499 15WC 27389 GLOVER, EDDIE DHL EXPRESS (USA), INC. 08/11/15 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 16WC001608 -C 500 15WC 27402 POTURALSKI, MICHAEL LEE & ASSOCS ASSET MGMT L 03/25/15 PAUL W GRAUER & ASSOC RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 501 15WC 27515 PECIRNO, PASCAL UNITED AIRLINES INC. 07/10/15 SCHRAMM LAW GROUP WIEDNER & MCAULIFFE LTD 502 15WC 27669 NUNEZ, SOCORRO ELITE STAFFING INC 07/14/15 ACEVES & PEREZ PC 503 15WC 27814 RUIZ, JOSE ELITE STAFFING 03/01/14 SCHREINER MALLOY & ETZLER 504 15WC 27916 FRANCESCHI, MARIA E CHICAGO PUBLIC SCHOOLS 03/11/15 BUDIN LAW OFFICES 505 15WC 27948 SAHAJ, JOANN UNITED AIRLINES INC. 08/25/13 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 506 15WC 28029 HERNANDEZ, SUSANA STAR AVIATION 09/04/14 EPSTEIN, JACK R LAW OFFICE 507 15WC 28111 ANDERSON, DERRICK CITY OF CHICAGO 04/27/15 KARCHMAR & STONE CITY OF CHICAGO 508 15WC 28361 CLOUSTON, PETER J. TOMPKINS PRINTING EQUIPME 04/22/14 PARAG P. BHOSALE 15WC028362 -C 15WC028363 -C 509 15WC 28392 DAFETTA, MOSES DISPATCH AFFILIATION, INC 06/29/15 COHN LAMBERT RYAN & SCHNEI 510 15WC 28471 KYAW, ZAW ZAW TYSON BRUSS CO 07/13/15 ELFENBAUM EVERS & AMARILIO GANAN & SHAPIRO 511 15WC 28571 ZAMORA, EVER CALUMET CARTON CO. 06/15/15 HEALY SCANLON LAW FIRM GANAN & SHAPIRO 512 15WC 28719 HARDY, BESSIE COOK COUNTY HEALTH & 07/21/15 WILLIAMS, ROBERT B LAW OFF STATES ATTORNEY OF COOK COUN 513 15WC 28744 TANG, YU(DEPENDENT OF C&D TRANSPORTATION, INC. # 06/02/15 FIGLIOLI, DAVID HOLECEK & ASSOCIATES 514 15WC 30342 SOTO, MARISSA KS ENERGY SERVICES LLC # 09/01/15 GOGIN & ASSOCIATES 515 15WC 32529 THOMPSON, DESHAWN FORD MOTOR CO. 09/24/15 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 516 15WC 34253 KUCZEK, KRYSTIAN CLIMATE GUARD WINDOWS 10/09/15 WILLIAMS, ROBERT B LAW OFF MEACHUM & STARCK 517 15WC 35381 MOORE, GRETA RJB PROPERTIES 01/27/15 BRISKMAN BRISKMAN GREENBER 518 15WC 35590 ONTIVEROS, MARIA M JAMES HOTEL 11/01/12

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 519 15WC 35772 BRACCI, EILEEN MELTZER, PURTILL & STELLE 09/28/15 SCOTT BARBER LAW OFFICES JOSEPH MARCINIAK 520 15WC 35933 ALMALLAH, AMER PORTILLO'S 08/15/15 DANIEL PERIASWAMY 521 15WC 35984 JOHNSON, ANGELA MORGAN SOUTHERN TRUCKING 10/26/15 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 522 15WC 36034 TERREL, ROBERT LAFRAMBOISE GROUP 10/13/15 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 523 15WC 36071 RYAN, TIMOTHY J DR PEPPER SNAPPLE GROUP 04/21/15 LEONARD LAW GROUP LLC SMITH AMUNDSEN LLC 524 15WC 36084 BLAYLOCK, SYLVESTER EASTER SEALS METROPOLITAN 10/27/15 BRISKMAN BRISKMAN GREENBER 525 15WC 36104 HAYES, DANIELLE BOKA RESTAURANT GROUP 10/18/14 KARNO, MARK L & ASSOC BRADY CONNOLLY & MASUDA PC 526 15WC 36119 PRESTON, JERMAINE CITY OF CHICAGO 10/23/15 KARCHMAR & STONE SCOPELITIS GARVIN LIGHT 527 15WC 36173 DANIEL, MARK PRUDENTIAL SECURITY 10/31/15 DAVID W MARTAY 528 15WC 36202 HENDERSON, LORI A FEDEX EXPRESS 09/17/13 FRIEDMAN & SOLMOR LTD 15WC036203 -C 529 15WC 36213 SMITH, RAHSAAN A MEYER STEEL DRUM INC 10/13/15 VASILATOS & COTTER LLC 530 15WC 36259 GIARMIDIS, JANET ALEXIAN BROTHERS 07/07/15 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 531 15WC 36340 BROWLEY, LARRY DABECCA NATURAL FOODS 08/12/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 532 15WC 36405 STEELE, CORY M METRO STAFF 10/29/15 LAW OFFICES TIMOTHY HENDER FRANCIS J DISCIPIO LAW OFFIC 533 15WC 36425 SANDOVAL, NOE RG CONSTRUCTION SVCS INC 02/04/15 BRIAN T MORROW, LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 534 15WC 36436 BENNETT, TRACY NORTH SHORE UNIVERSITY 09/14/15 ASHER, RAYMOND L LTD KEEFE CAMPBELL & ASSOC LLC 535 15WC 36486 OLVERA, JHOVANY VINTHAUS PAINTING AND W 08/28/15 O'CONNOR & NAKOS COLIN KICKLIGHTER 536 15WC 36513 SQUIRES, MICHAEL LOTT ENTERPRISES, INC 09/19/15 COLLISON & O'CONNOR

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 555 15WC 37140 PADILLA, JUAN LA GARITA FOOD 10/23/15 MC HARGUE, JAMES P LAW OFF RUSIN & MACIOROWSKI LTD 556 15WC 37162 GUERRERO, MARIA LACOSTA, INC. 05/15/15 ANKIN LAW OFFICE 557 15WC 37183 TORRES, SARA UNITED AIRLINES INC. 08/17/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 558 15WC 37299 SMITH, WILL E DAUBERT CHEMICAL COMPANY, 10/26/15 LOUIS A PLZAK & ASSOCIATES 559 15WC 37330 AUSTIN, JANICE LAWRENCE HALL YOUTH SERVI 11/06/15 DEUTSCHMAN, JEFFREY S 560 15WC 37355 GLORIA, JORGE DUBOIS PAVING 09/30/15 JONATHAN SCHLACK GANAN & SHAPIRO 561 15WC 37373 GLUTH, LINDSAY N GLENWOOD VILLAGE PET HOSP 10/15/15 DAVID W MARTAY 562 15WC 37394 LABOY, ENRIQUE CHICAGO STREETS & SANITAT 06/03/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 563 15WC 37512 FOSTON, HAROLD FORD MOTOR COMPANY 02/26/15 PERRY M LAKS LAW OFFICE 564 15WC 37539 RAMOS-MUNOS, RAQUEL THORNTONS 11/14/15 MANDELL, GREGG GRANT & FANNING 565 15WC 37595 KROLAK, KEVIN KLOECKNER METALS CORPORAT 08/21/14 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 566 15WC 37616 SHAW-STALEY, DEBORAH JO WHOLE FOODS MARKET INC 07/20/15 CULLEN HASKINS NICHOLSON 567 15WC 37681 MABRY, GLORIA XCEL GROUP 10/13/15 SKLARE LAW GROUP KOREY RICHARDSON LLC 568 15WC 37781 WALASZEK, KRZYSZTOF TOOTSIE ROLL, INC. 09/09/15 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 16WC019805 -C 569 15WC 37820 GROSS, VYN TREASYE CHICAGO BOARD OF EDUCATIO 10/20/15 GALLAGHER LAW PC 570 15WC 37897 PREWITT, PATTY AMERICAN HERITAGE PROTECT 11/19/15 FRIEDMAN & SOLMOR LTD BRYCE DOWNEY & LENKOV LLC 571 15WC 37935 ZUTANT, JENNIFER SAVERS 11/24/14 GRAVLIN, MICHAEL J LLC 572 15WC 37973 DENT, SHERMAN CTA 11/19/15 ADLER & ADLER CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 573 15WC 38035 MADISON, DARIUS FAMILY DOLLAR 11/19/14 SANDMAN LEVY & PETRICH 574 15WC 38051 JARZABEK, JOHN W JARZABEK CONSTRUCTION INC 04/25/05 VITELL & SPITZ LTD 575 15WC 38151 LEWIS, DEBRA MARIANO'S RAVENSWOOD 11/15/15 MARC J SHUMAN & ASSOCIATES 576 15WC 38261 ADAMS, MICHAEL JERNBERG INDUSTRIES, INC. 08/19/15 FOTOPOULOS, JOHN S 577 15WC 38430 WRIGHT, RONALD NORWEGIAN AMERICAN HOSPIT 09/29/15 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 578 15WC 38558 SHAW, GERALD CITY OF CHICAGO 07/27/15 STEVEN J MALMAN & ASSOCIAT CITY OF CHICAGO 579 15WC 38639 VAZQUEZ, ARMANDO JR EMPLOYCO USA 09/30/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 580 15WC 38699 GURDOV, KERIM CHECKER TAXI @ 06/06/15 HUNER LAW OFFICES LLC 581 15WC 38707 ROMAN, MARIA WEBER PRODUCTS CO 06/22/15 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK 582 15WC 38735 RUFF, THOMAS ABLE ENGINEERING SVCS INC 03/04/15 BAUM RUFFOLO & MARZAL LTD GRANT & FANNING 583 15WC 38750 RODRIGUEZ, RICARDO PCA 10/15/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 584 15WC 38838 PILLER, PAUL CARPET CRAFTERS 07/22/14 ROMANEK & ROMANEK INMAN & FITZGIBBONS 585 15WC 38902 DORSEY, ONITA CTA 11/14/15 SANTILLI LAW GROUP CHICAGO TRANSIT AUTHORITY 586 15WC 38993 MATA, PAUL LACOSTA SERVICES 08/28/14 RIDGE & DOWNES 587 15WC 39036 LYNCH, ADRIAN CEMECARE, LLC 07/14/15 CULLEN HASKINS NICHOLSON 588 15WC 39080 SMYTH, MARGARET SOUTHWEST AIRLINES 05/25/15 KUMLIN & FROMM HENNESSY & ROACH PC 589 15WC 39118 CZARNECKI, JAMES TOWNSHIP HIGH SCHOOL DIST 11/23/15 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 590 15WC 39139 GIBSON, MARK A CELTIC CARTAGE 11/25/15 THE ROMAKER LAW FIRM ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 591 15WC 39159 TURNER, RONALD FORD MOTOR COMPANY 06/29/15 ANKIN LAW OFFICE 592 15WC 39202 RAYMOND, NICHOLAS J UNIVERSITY OF ILLINOIS @ 11/12/15 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 593 15WC 39218 ROSE, ANGELA DOLTON/RIVERDALE SCHOOL 10/14/15 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 594 15WC 39235 COVELLO, STEVEN M VILLAGE OF SCHAUMBURG 01/16/13 THOMAS W DUDA MACIOROWSKI SACKMANN & ULRIC 595 15WC 39333 CADET, GUADALUPE M EVANSTON TOWNSHIP HIGHSCH 01/12/15 SMOLER LAW OFFICE, PC NYHAN BAMBRICK KINZIE & LOWR 596 15WC 39345 IRVIN, EDWARD CITY OF CHICAGO 05/13/15 BELCHER LAW OFFICE CITY OF CHICAGO 597 15WC 39387 HALL, CARL FORD MOTOR CO 12/07/15 KREITER, BYCK & ASSOC LLP POWER & CRONIN LTD 598 15WC 39426 JOHNSON, BRYAN CHICAGO DEPT OF FINANCE 12/02/15 GOLDBERG WEISMAN & CAIRO L 599 15WC 39450 PAYAN, ROGELIO AM CASTLE METALS 09/24/15 ELFENBAUM EVERS & AMARILIO 15WC039451 -C 600 15WC 39563 WELLS, TRAY WELLCARE INC 01/03/13 JOSEPH L PLANERAL 601 16WC 03058 BAUMANN, REBECCA HOT CHOCOLATE, LLC 09/05/15 KARCHMAR & STONE 602 16WC 03370 VASQUEZ, JUAN A A&A MIDWEST 01/13/16 ACEVES & PEREZ PC 603 16WC 03882 MARTINEZ, DANIEL CTA 01/11/16 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 604 16WC 03973 SOLISBERRY, CHECWANDA AMERICAN AIRLINES 01/29/16 RUBENS AND KRESS 605 16WC 03996 VELLA, MIKE KUJO INC 01/21/16 ANESI OZMON RODIN NOVAK KO BRYCE DOWNEY & LENKOV LLC 606 16WC 04016 HERNANDEZ, VIRGILIO LAKIN GENERAL CORPORATION 01/08/16 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 607 16WC 04042 ROBLES, ANN SUNRISE OF BARRINGTON 12/26/15 TARADASH LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 608 16WC 04156 FRANCIS, NICOLI J COUNTY OF COOK DEPT OF TR 01/11/16 RUBIN LAW GROUP STATES ATTORNEY OF COOK COUN 609 16WC 04175 NABOR, FLAVIA LETTUCE ENTERTAIN YOU 07/30/15 TAMVAKIS, GEORGE L NOBLE & ASSOCIATES PC 16WC004176 -C 610 16WC 04196 PASIC, ASMIR HOLSTEN MANAGEMENT CORPOR 03/17/14 EFTEKHARI LAW OFFICES 611 16WC 04263 PAMPKLIN, TYLA PARAMOUNT OF OAK PARK 10/23/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 612 16WC 04341 SPANN, TINESHA R PEOPLE AGAINST DIRTY MANU 03/18/15 DEPAOLO ZADEIKIS GORE 613 16WC 04348 CERVANTES, RAUL JB&A REMODELING LLC 01/04/16 JONATHAN SCHLACK 614 16WC 04403 ABUGHWEILI, MAHMOUD NEIGLER BMW 01/16/16 ACEVES & PEREZ PC HENNESSY & ROACH PC 615 16WC 04521 TRINIDAD, REYNALDO ELITE STAFFING 04/24/15 DEPAOLO ZADEIKIS GORE 616 16WC 04526 SANCHEZ, SHIRLEY CITY OF CHICAGO DEPARTMEN 12/03/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 617 16WC 04571 ROSY, THOMAS EAST BALT COMMISSARY LLC 01/07/16 HUTCHISON ANDERS & HICKEY 618 16WC 04684 KARAS, DENISE ADVOCATE CHRIST MEDICAL C 09/19/15 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 619 16WC 04717 HUDDLESTON, PERVIS ABM ONSITE SVCES-MIDWEST 02/15/16 FRIEDMAN & SOLMOR LTD 620 16WC 04786 GOLUSZKA, RAYMOND J PARAMEDIC SERVICES OF 08/30/15 JOHN J CASTANEDA HENNESSY & ROACH PC 16WC004787 -C 621 16WC 04851 HUYNH, TU C.E. NIEHOFF & CO. 10/01/15 LAW OFFICE OF JAMES URTIS 622 16WC 04884 LOCONTE, DANIEL UPS 02/03/16 BURNES & LIBMAN ASA LAW GROUP 623 16WC 04905 TAYLOR, HILDARY CTA 01/31/16 SKLARE LAW GROUP CHICAGO TRANSIT AUTHORITY 624 16WC 04992 PEREZ, RAUL ETTLESON CADILLAC BUICK G 01/05/16 JOHN F GREGORIO & ASSOC RODDY LAW LTD 625 16WC 05019 ORTIZ, LUCIA EXECUTIVE MAILING SERVICE 02/03/16 EFTEKHARI LAW OFFICES ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 626 16WC 05029 HARGROVE, LUCILLE PROVIDENT HOSPITAL 08/26/14 WOODRUFF & JOHNSON STATES ATTORNEY OF COOK COUN 627 16WC 05050 SOSA, NAOMI CITY OF CHICAGO 02/01/16 COVEN LAW GROUP HENNESSY & ROACH PC 628 16WC 05071 MILLER, SAMUEL LEE UPS 09/17/15 LEONARD LAW GROUP LLC 629 16WC 05134 METZGER, STEPHEN KR DRENTH 02/01/16 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 630 16WC 05174 EVANS, MORGAN SCHNEIDER NATIONAL INC 02/01/16 JOHN S. ELIASIK POWER & CRONIN LTD 631 16WC 05185 CHAVEZ, LUIS M SOUTHWEST AIRLINES 05/28/15 SAMUEL K BELL 632 16WC 05228 AVINA, ANTONIO LA GROU DISTRIBUTION SYST 06/08/15 BOUDREAU NISIVACO LLC 633 16WC 05297 HENDERSON, CRYSTAL IDOT @ 12/24/15 FITZ & TALLON LTD ASSISTANT ATTORNEY GENERAL 634 16WC 05309 RESA, JERRY CITY OF CHICAGO STREETS 01/11/16 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 635 16WC 05348 ISLAS, ERNEST CHICAGO TRANSIT AUTHORITY 12/29/15 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 636 16WC 05395 DE LA ROSA, JOSE AEROTEK, INC. 08/13/15 ANKIN LAW OFFICE 637 16WC 05414 WILLINGHAM, LARRY THORTON HEIGHTS TERRACE 01/19/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 638 16WC 05435 GONZALEZ, ANTONIO BENEDICTINE SISTERS OF CH 06/26/15 NEUSON LAW, PC 639 16WC 05614 NEAL-ROBINSON, VENUS CTA 01/06/16 STROM, NEAL B 640 16WC 05646 MONDRAGON, ANABEL ALTERNATE STAFFING INC 01/20/15 FABRIZIO, HANSON & PEYLA MACIOROWSKI SACKMANN & ULRIC 641 16WC 06227 SIMMONS, JERMAINE CHICAGO TRANSIT AUTHORITY 01/29/16 ROGER D RUDICH LTD CHICAGO TRANSIT AUTHORITY 642 16WC 06247 EDWARDS, KEIANA GARDA CL 12/23/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 643 16WC 06267 GARCIA, ESTELA ILLINOIS TOLLWAY PLAZA 39 01/21/16 OSVALDO RODRIGUEZ PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 662 16WC 12532 MARTINEZ, MARTIN P NAVISTAR 03/16/16 KATZ FRIEDMAN EAGLE ET AL 663 16WC 13650 WAIGHT, LETECIA WALGREENS 03/31/16 CHARLES LEVY & ASSOC LTD GILDEA & COGHLAN 664 16WC 14196 MITCHELL, CRYSTAL SCR MEDICAL TRANSPORTATIO 04/29/16 GRAZIAN & VOLPE PC NYHAN BAMBRICK KINZIE & LOWR 665 16WC 14210 MARKOWSKI, TAMARA FORD MOTOR CO 11/25/15 KREITER, BYCK & ASSOC LLP POWER & CRONIN LTD 666 16WC 14220 LOPEZ, MARIA CHURRO FACTORY 04/20/16 COSTA IVONE LLC 667 16WC 14247 MURRAY, MATTHEW PRIORITY STAFFING, LTD 03/24/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 668 16WC 14267 NEWSOME, SHAWNEE SCHOOL DIST 89 12/09/15 LAW OFFICES OF MARK SCHAFF INMAN & FITZGIBBONS 669 16WC 14416 GILLEN, BRITTANI RENEWAL BY ANDERSEN 04/01/16 CAPRON & AVGERINOS PC 670 16WC 14452 SMITH, TIMOTHY WALMART 02/16/15 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 671 16WC 14538 MC LIN, DOMINIQUE STARBUCKS 04/22/16 VRDOLYAK LAW GROUP LLC ACCIDENT FUND HOLDINGS 672 16WC 14568 HENRY, LYDIA I CHICAGO PUBLIC SCHOOLS 03/07/16 NILSON STOOKAL GLEASON CAP 673 16WC 14583 ALEXANDER, NATASHA CAPSTONE LOGISTICS 04/24/16 BRISKMAN BRISKMAN GREENBER 674 16WC 14608 FOSTER, KEVIN CITY OF CHICAGO-DEPT OF 05/10/13 BIZZIERI LAW OFFICES 675 16WC 14691 CARLISLE, YOLANDA M. COOK COUNTY SHERIFF DEPT. 07/30/15 MINKOW DOMIN STATES ATTORNEY OF COOK COUN 676 16WC 14735 ARROCHA, VICTOR INTEGRATED AIRLINES SERVI 04/21/16 DAVID W MARTAY 677 16WC 14762 BATEMON, YOLANDA FORD MOTOR CO 04/04/16 FOHRMAN, DONALD W & ASSOCS 678 16WC 14766 DAVIS, SHARAE KRISPY'S CHICKEN 04/30/16 FOHRMAN, DONALD W & ASSOCS 679 16WC 14792 LUNGARO, GIUSEPPE AVIS BUDGET GROUP, INC. 04/03/16 MICHAEL CONRAD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 680 16WC 14839 TORRES, RUBEN TREES OF GREEN 03/22/16 LAW OFFICE OF SCOTT B SHAP 681 16WC 14890 LOPEZ, MILLY SWISSPORT USA, INCCHICAGO 03/06/16 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 682 16WC 14905 KHOURY, ALBERT CITY OF CHICAGO DOT 04/26/16 JOSEPH J SPINGOLA, LTD 683 16WC 14933 SYKES, RICHARD M. SHALLOTS BISTRO INC. 03/10/16 ANKIN LAW OFFICE 684 16WC 15061 MANNING, KEVIN CHICAGO BOARD OF EDUCATIO 03/26/15 GRAZIAN & VOLPE PC 685 16WC 15175 PAPAY, DAVID J VILLAGE OF STREAMWOOD 10/07/15 MEYERS & FLOWERS 686 16WC 15200 SMOLAREK, STEVEN UNITED RENTALS 05/14/13 CULLEN HASKINS NICHOLSON KNELL & O'CONNOR 687 16WC 15225 MIMS, KESHONNA SERTOMA CENTRE 03/30/16 STROM, NEAL B 688 16WC 15247 SORIANO, ALVARO STONEWOOD ALE HOUSE 04/05/16 CUSHING LAW OFFICES RUSIN & MACIOROWSKI LTD 689 16WC 15328 WALLACE, VALERIE UNIVERSITY OF IL. HOSPITA 01/10/16 MARC J SHUMAN & ASSOCIATES POWER & CRONIN LTD 690 16WC 15375 VILLEZCAS, JOSE SEAL TIGHT EXTERIORS 12/18/15 COSTA IVONE LLC LAW OFFICES OF EDWARD J. KOZ 691 16WC 15455 WYSONG, JOSHUA L PLASTICS COLOR CORP OF IL 05/04/16 FIGLIOLI, DAVID GAROFALO SCHREIBER STORM 692 16WC 15504 CLARK, KATRINA UNISTAFF 05/12/16 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 693 16WC 15588 TEMPLE, WALTER ARAMARK-NORTH WESTERN UNI 04/27/16 STEPHEN G PINTO LTD 694 16WC 15634 MATLACHOWSKI, JOHN VILLAGE OF BARRINGTON 04/10/16 NILSON STOOKAL GLEASON CAP RIPES NELSON BAGGOT KALOBRAT 695 16WC 15646 UTRIA, LUIS VANCE FOODS 02/01/16 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 696 16WC 15668 RAMIREZ, RAUL TIRADO AL KRAML CONSTUCTION COMP 02/05/16 ANGELA NARDI-QUIGLEY 697 16WC 15687 WILKINS, INEATHER SMITH VILLAGE 04/17/14 MICHAEL P MCCREADY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 698 16WC 15706 ALMANZA-BORJA, FERMIN STAFF RIGHT INC. 04/26/16 HERRERA LAW CENTER 699 16WC 15717 BAWIEC, MICHAEL COOK COUNTY HIGHWAY DEPT. 08/17/12 DICKMAN, BRUCE LAW OFFICES STATES ATTORNEY OF COOK COUN 700 16WC 15745 SANCHEZ, OSIEL MIDWEST CANVAS CORP. 11/13/14 GAROFALO SCHREIBER STORM 701 16WC 15796 DELGADO, MODESTO 2000 PLUS GROUPS, INC. 04/22/16 STROM, NEAL B 702 16WC 15812 LUNA, LORENA TOTAL STAFFING SOLUTIONS 01/04/16 CHEPOV & SCOTT LLC GILDEA & COGHLAN 703 16WC 15849 FIDIS, JOYAEL C WHITE LODGING SERVICES 05/09/16 WARREN W MARK WILSON ELSER 704 16WC 15882 SNOWDEN, NIKIL ILLINOIS CENTRAL SCHOOL B 05/02/16 BRISKMAN BRISKMAN GREENBER 705 16WC 15981 GALLIVAN, ROBERT E COOK COUNTY 02/09/16 BUDIN LAW OFFICES STATES ATTORNEY OF COOK COUN 706 16WC 16003 UNZUETA, RAFAEL RAPID PALLETS 12/01/15 MC HARGUE, JAMES P LAW OFF THOMAS & PORTELA 707 16WC 16032 O'NEAL, ANTOINETTE CHICAGO PUBLIC SCHOOLS 05/18/16 JOEL BELL 708 16WC 16126 CLAY, DEMETRIUS JEWISH CHILDREN 04/21/16 LEE, MARK N LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 709 16WC 16146 TURNER, CARTINA UPS 03/21/16 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 710 16WC 16202 TRIMBLE, FRANK CHICAGO PUBLIC SCHOOLS 05/12/16 HUGHES SOCOL PIERS RESNICK 711 16WC 16219 FLORES, MINERVA LIBERTY BUILDING MAINTENA 02/04/16 JONATHAN SCHLACK KEEFE CAMPBELL & ASSOC LLC 712 16WC 16230 POE, BEVERLY K UNITED AIRLINES INC. 12/08/15 VITELL & SPITZ LTD 713 16WC 16307 VIZEK, PETE VILLAGE OF LYONS 04/19/16 FOOTE MIELKE CHAVEZ & O'NE 714 16WC 16347 ARROYO, IMELDA LABOR NETWORK 02/27/16 THE ROMAKER LAW FIRM ROBERT L. SMITH 715 16WC 16379 MEEKS, KIMBERLY J COOK COUNTY 05/18/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 716 16WC 16417 SMITH, SAMMANTHA ZUGRESS SECURITY SERVICES 05/15/16 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 717 16WC 16452 AVITIA, VICTOR SOTO NATIONAL CONTAINER GROUP 11/23/15 SPINAK & BABCOCK 718 16WC 16582 MUNOZ, RICARDO LINCOLN PROVISION INC. 04/20/16 ELFENBAUM EVERS & AMARILIO COZZI & GOGGIN-WARD 719 16WC 16600 GONZALEZ, RAUL SARAVIA JUST IN TIME STAFFING 04/27/16 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 720 16WC 16645 LONDON, SONYE CITY OF HARVEY 05/17/16 BURNES & LIBMAN SMITH AMUNDSEN LLC 721 16WC 16675 HERNANDEZ DE RUIZ, DELIA KIK CUSTOM PRODUCTS 02/11/16 RICHARD E ALEKSY POULOS & DIBENEDETTO LAW 722 16WC 16695 HOLMES, CARA VETERANS DISTRIBUTION 07/01/15 JOHN E LUSAK POWER & CRONIN LTD 723 16WC 16734 HARRIS, KIMBERLY K HOLY CROSS HOSPITAL 07/11/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 16WC016735 -C 724 16WC 16797 CARTER, CHRISTOPHER CHICAGO TRANSIT AUTHORITY 05/10/16 LAW OFFICE OF KEVIN O'BRIE CHICAGO TRANSIT AUTHORITY 725 16WC 16872 JOHNSON, TESSIE HOLLAND HOME 05/26/16 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 726 16WC 16880 MARTINEZ, JAIRO U. JEWEL OSCO-NEW ALBERTSON' 02/27/16 MANDELL, GREGG 727 16WC 16971 HERNANDEZ, JOSEFA NATION PIZZA & FOOD 04/24/15 COSTA IVONE LLC MEACHUM & STARCK 728 16WC 16990 ARVANITES, JOHN TIRES UNLIMITED 04/13/16 LEONARD LAW GROUP LLC NOBLE & ASSOCIATES PC 729 16WC 17003 OKOCHA, PAUL CHICAGO MEDALLION MGMT CO 04/02/16 LAW OFFICE RYAN ROSENTHAL 730 16WC 17057 DEAN, GARY A. AIM LEASING COMPANY 05/11/16 ROMANUCCI & BLANDIN 731 16WC 17090 MOSES-RODRIGUEZ, ANABEL SAINTS MARY AND ELIZABETH 02/21/10 RUBIN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 732 16WC 17146 CIABURRI, NICHOLAS L CITY OF DES PLAINES 11/07/13 THOMAS W DUDA 733 16WC 17187 SALYER, RAMEY STARCON INTERNATIONAL 10/16/15

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 734 16WC 17289 SHANE, AMY ADVOCATE HEALTH CARE NETW 05/20/16 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 735 16WC 17368 SOPATA, DANYL UNITED PARCEL SERVICE 01/05/16 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 736 16WC 17373 CAMACHO, MARIA FEDERAL MOGUL CORP 04/27/16 COYNE REINKE LAW 737 16WC 17417 BERRIEL, NORMA UNITED AIRLINES INC. 07/25/15 KATZ FRIEDMAN EAGLE ET AL 738 16WC 17487 DORNBOS, BRIAN LANSING POLICE DEPARTMENT 05/26/16 BARRY A KETTER INMAN & FITZGIBBONS 739 16WC 17545 JERNIGAN, VINSON MVP WORKFORCE, LLC 05/04/16 ANKIN LAW OFFICE GRANT & FANNING 740 16WC 17574 SMITH, ANDREW RIDE RIGHT LLC 04/29/16 CHARLES LEVY & ASSOC LTD 741 16WC 17606 HARRIETT, ROBERT G.C.A. SERVICES 04/30/16 ROM LAW POWER & CRONIN LTD 742 16WC 21265 FAVELA, GILDARDO ITW SHAKEPROOF 03/05/16 DWORKIN AND MACIARIELLO 743 16WC 24360 MCDANIELS, ELIZABETH ILLINOIS CENTRAL SCHOOL B 04/28/16 KUMLIN & FROMM 744 16WC 24618 LUMPKIN, STEVEN FRITO LAY 07/11/16 O'CONNOR & NAKOS GILDEA & COGHLAN 745 16WC 24639 TAYLOR, ROBERT M UNITED AIRLINES 04/13/16 LEONARD LAW GROUP LLC 746 16WC 24644 COTTON, KAREN UNITED AIRLINES 07/18/16 LEONARD LAW GROUP LLC 747 16WC 24685 JONES, JANICE UNITED AIRLINES 06/24/16 DEPAOLO ZADEIKIS GORE 748 16WC 24711 HUDDLESTON, LLOYD ACCURATE PERSONNEL LLC 07/29/16 GRAZIAN & VOLPE PC 749 16WC 24762 FIGUEROA, ALBERTO LB STEEL 08/25/15 MICHAEL P MCCREADY & ASSOC 750 16WC 24771 JONES, LINDA MT SINAI HOSPITAL 07/17/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 751 16WC 24837 FRICANO, MICHAEL COOK COUNTY 07/29/16 BERG & BERG STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 752 16WC 24896 KOSTICK, STEVEN SOUTHWEST AIRLINES CO 04/20/16 DWORKIN AND MACIARIELLO 753 16WC 24927 OCAMPO, PABLO CHICAGO TRANSIT AUTHORITY 08/09/16 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 754 16WC 24943 ALTAMIRANO, ANTONIO ANTHONY MARANO COMPANY IN 08/09/16 ANKIN LAW OFFICE 755 16WC 25010 ALLEN, LARRY TOOTSIE ROLL INDUSTRIES, 06/17/16 BRUGGEMAN HURST & ASSOC 756 16WC 25076 MITCHELL, JOSHUA CITY OF CHICAGO 04/17/16 ANGELINI & ORI LLC CITY OF CHICAGO 757 16WC 25145 STEELBERG, ERIC EAGLE EXPRESS LINES 06/05/16 KROL BONGIORNO & GIVEN LTD HINSHAW & CULBERTSON 758 16WC 25159 SHIELDS, EDWIN ATLAS TOOL AND DIE 07/25/16 STEWART C ORZOFF 759 16WC 25216 GAWLINSKI, JEFFREY REGAL STEEL 08/11/16 O'CONNOR & NAKOS COZZI & GOGGIN-WARD 760 16WC 25237 GUGLIELMO, ANDREA KMART CORPORATION OF ILLI 07/29/16 ANKIN LAW OFFICE 761 16WC 25278 MOHAMED, MOHAMED MIKAHALIA CABS FOUR, INC. 06/19/16 HUNER LAW OFFICES LLC 762 16WC 25327 AREIZAGA, ERIK JEWEL FOODS 08/12/16 SEIDMAN MARGULIS & FAIRMAN 763 16WC 25341 DENTON, MICHAEL VILLAGE OF OAK LAWN 01/24/14 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 764 16WC 25351 BUSH, CHRISTOPHER SELECT SERVICES 06/21/16 DAVID W MARTAY 765 16WC 25435 WELLINGTON, LAWRENCE FIRST CHOICE MEDICAR 07/01/16 PETER D CORTI LAW GROUP 766 16WC 25461 RIVERA, ANGEL PLANT PROPERTY MANAGEMENT 06/27/16 LAW OFFICE OF SCOTT B SHAP 767 16WC 25523 HERRERA, RODOLFO ARCHDIOCESE OF CHICAGO 08/13/14 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 768 16WC 25531 SOTERO, ALEXANDER AMIBERICA, INC 08/05/16 MC HARGUE, JAMES P LAW OFF 769 16WC 25536 BALLARD, RONALD A. CITY OF CHICAGO DEPARTMEN 08/06/16 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 770 16WC 25555 GRECO, JOSEPH DRAKE HOTEL 06/06/16 GOLDBERG WEISMAN & CAIRO L NOBLE & ASSOCIATES PC 771 16WC 25575 BRIGHT, THERESA UPS 07/26/16 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 772 16WC 25596 TAYLOR, COREY MCGAW YMCA CHILDREN'S CEN 04/08/16 VASILATOS & COTTER LLC 773 16WC 25623 GARCIA, JUAN OG PLUMBING, LLC 07/23/16 PETER D CORTI LAW GROUP HOLECEK & ASSOCIATES 774 16WC 25710 RIVERA, MIGUEL CHICAGO TRANSIT AUTHORITY 08/10/16 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 775 16WC 25782 BANKS, ALBERT DSC LOGISTICS 08/18/16 MC HARGUE, JAMES P LAW OFF 776 16WC 25802 WILLIAMS, TERRY SALEM BAPTIST CHURCH W 01/22/16 HORWITZ HORWITZ & ASSOC 777 16WC 25822 ZAMUDIO, GUSTAVO PICKENS-KANE STORAGE & 08/16/16 SALK, STEVEN B & ASSOC LTD GILDEA & COGHLAN 778 16WC 25893 SIMMONS, STEVEN M. MOTOR GENESIS, INC. 04/07/15 COZZI & GOGGIN-WARD 779 16WC 25931 CHAVEZ, DAVID A. TEMPERATURE EQUIPMENT COR 08/07/14 ROM LAW INMAN & FITZGIBBONS 780 16WC 26034 LOPEZ, KAREN A ARANDA PANERA BREAD 04/14/16 CUTLER & HULL 781 16WC 26060 RAINEY, ALLAN J CITY OF CHICAGO 08/22/16 COVEN LAW GROUP 782 16WC 26082 VELAZQUEZ-OJEDA, MADELINE CHICAGO CLASSIC COACH LLC 08/12/16 DWORKIN AND MACIARIELLO 783 16WC 26113 CARRERA, FAUSTO RON'S STAFFING 07/29/16 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM 784 16WC 26129 MUHR, JASON CLUNE CONSTRUCTION CO 07/07/16 RIDGE & DOWNES 785 16WC 26157 SWEERS, TIM PERILLO BMW 07/25/16 STEVEN J TENZER, LTD WIEDNER & MCAULIFFE LTD 786 16WC 26168 VARGAS, RUBEN GET FRESH PRODUCE 08/23/16 COSTA IVONE LLC 787 16WC 26196 COGLIANESE, DAVID PDQ TOOL & STAMPING COMPA 08/18/16 BIZZIERI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 788 16WC 26211 POINTER, MANDELL JIFFY LUBE 08/03/16 SHELDON I MINKOW & ASSOCIA 789 16WC 26245 NEWSON, VERONICA ACCEPTANCE CASUALTY 08/12/16 ARGIONIS & ASSOCIATES LLC 790 16WC 26276 SHELTON, GINA P COOK COUNTY, ILLINOIS 10/24/15 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 791 16WC 26302 HUNT, BRODERICK DART CONTAINERS 05/03/16 GOLDSTEIN AIOSSA & GOOD 792 16WC 26329 ADAMS, CAROL EL HOGAR DEL NINO 03/19/14 RAYMOND M SIMARD, PC 793 16WC 26390 HUCK, DANIEL VILLAGE OF WILMETTE 08/04/16 GORDON & CENTRACCHIO LLC 794 16WC 26452 WILSON, AARON LIFELINE AMBULANCE 08/03/16 DISPARTI LAW GROUP PA 795 16WC 26510 BRAND, JOSEPH VILLAGE OF PALATINE 07/07/16 ANKIN LAW OFFICE POWER & CRONIN LTD 796 16WC 26536 PONCE, GLORIA TAVIRA MILE NORTH CHICAGO HOTEL 09/18/15 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 797 16WC 26557 MAGLOIRE, ROSELENE PRESBYTERIAN HOMES 08/07/16 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 798 16WC 26573 BOYAS, MARCELINO PRINT TURNAROUND 07/22/16 LAW OFFICES LEONARDO MORAL ROBERT L. SMITH 799 16WC 26668 HAYES, GEORGE SOUTHWEST AIRLINES 06/30/16 RONALDSON & KUCHLER HENNESSY & ROACH PC 800 16WC 26724 MAHANNA, SEAN INTERTHOR INC 11/20/15 ANKIN LAW OFFICE 801 16WC 26798 HYCHE, SHAWN STAFF SOURCE 08/16/16 DWORKIN AND MACIARIELLO 802 16WC 26866 MARTINEZ, GUILLERMO N F DEMOLITION, INC 06/28/16 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 803 16WC 26914 GARNCARZ, DARIUSZ DECAMS CABINETS INC 08/10/16 BOGUSZ & BOGUSZ LTD 804 16WC 27086 CURTIS, STEVEN BJ'S MARKET 08/26/16 DISPARTI LAW GROUP PA 805 16WC 27114 RYAN, CATHERINE CITY OF CHICAGO 05/20/16 WOODRUFF & JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 806 16WC 27129 WILLIAMS, FELICIA OJKAY 08/04/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 807 16WC 27147 HILL, DERRICK CIVIC STAFFING 08/25/16 COSTA IVONE LLC HENNESSY & ROACH PC 808 16WC 27203 LOREDO, ROSALBA TECTONICS 08/31/16 HUGHES SOCOL PIERS RESNICK 809 16WC 27308 LOPEZ, ROBERTO CARLOS GAL RAINBOW COLORS INC 08/11/16 SALK, STEVEN B & ASSOC LTD 810 16WC 27445 MIRANDA, NAITZA COMMUNITY FIRST MEDICAL C 09/12/15 DWORKIN AND MACIARIELLO 811 16WC 27468 HUERTAS, JAMES E NEUMAN FAMILY SERVICES 08/22/14 COHN LAMBERT RYAN & SCHNEI 812 16WC 27521 YOUSIF, SAMIR K AALLIED DIE CASTING COMPA 11/23/15 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 813 16WC 27574 PETERSON, DEATRICE TENET CONCEPTS 07/16/16 BIZZIERI LAW OFFICES 814 16WC 27618 RIKER, JAMES JJB STEEL INC 03/04/16 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 815 16WC 27698 HAGLER, WAYNE SURESTAFF INC 08/09/16 DISPARTI LAW GROUP PA SLAVIN & SLAVIN 816 16WC 27735 ALLO, SAMUEL THE HOME DEPOT 08/11/16 MARC J SHUMAN & ASSOCIATES MC ANDREWS & NORGLE LLC 817 16WC 27786 CARAJOHN, JEFFREY G.W. BERKHEIMER 07/15/16 COVEN LAW GROUP 818 16WC 30833 MYERS, CLAUDE UPS 08/04/16 LAW OFFICE NANCY HIRSCH LL NYHAN BAMBRICK KINZIE & LOWR 819 16WC 31493 ROGERS, IRENE HOGSALT HOSPITALITY * 09/18/16 BRIAN J MC MANUS & ASSOC, 820 16WC 33996 CHAPARRO, JOSEPH A COOK COUNTY SHERIFF'S DEP * 10/08/16 ANKIN LAW OFFICE 821 16WC 34120 ROGEL, RAUL MARIANI LANDSCAPE * 10/07/16 STROM, NEAL B 822 16WC 34145 LOME, RAFAEL SMITH COOPER INTERNATIONA * 01/04/16 STEVEN J MALMAN & ASSOCIAT 823 16WC 34171 ROSS, CHRISTINE PRESBYTERIAN HOMES * 07/06/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 824 16WC 34203 BOYCE, ANTHONY ALLIED SVC GROUP * 08/14/16 LEO ALT 825 16WC 34229 JOHNSON, RICKY B SEPTRAN INC * 05/02/16 WAYNE A ADAMS 826 16WC 34276 ISRAEL, GINA PINE DENTAL CARE, PC * 07/18/16 GOLDBERG WEISMAN & CAIRO L 827 16WC 34300 GRAY, KENNETH WATER ONE, INC * 02/18/16 RIDGE & DOWNES LAW OFFICES OF EDWARD J. KOZ 828 16WC 34311 AMBROSE, RENODA L WILLIS FEDEX GROUD PACKAGE SYSTE * 10/31/16 FIGLIOLI, DAVID 829 16WC 34331 GALINDO, HECTOR PACKERS SANITATION * 09/11/16 JOHN E LUSAK 830 16WC 34349 RODRIGUEZ, FLORENTINO VARGAS GROUP * 03/10/16 GORDON LAW OFFICES LTD 831 16WC 34372 LOPEZ, VICENTE MT FOOD SERVICES INC * 06/06/16 LAW OFFICES ROBERT WARSASK 832 16WC 34398 BRANNAN, CRAIG J CITY OF EVANSTON * 10/12/16 THOMAS W DUDA 833 16WC 34427 FEDRICK, CHRISTINE UPS * 09/27/16 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 834 16WC 34496 WOODIE, SALVADOR VILLAGE OF ROBBINS * 08/20/16 MAURICE E DUSKY PC 835 16WC 34514 PIERCE, D'JARIS TREASURE ISLAND * 09/21/16 CONWAY LAW OFFICE 836 16WC 34545 VALKENBURG, MATTHEW F UNITED PARCEL SERVICE * 07/19/16 ANESI OZMON RODIN NOVAK KO 837 16WC 34572 ARELLANO, ARIEL FIBRE DRUM SALES INC * 02/19/16 ELFENBAUM EVERS & AMARILIO 838 16WC 34611 PORTER, FRANK UPS * 09/08/16 LAW OFFICE JEFFREY FRIEDMA 839 16WC 34648 WHITLEY, MONICA SP PLUS CORPORATION * 04/27/16 ANKIN LAW OFFICE 840 16WC 34680 ARIAS, CARLOS CENTRAL TRANSPORT * 06/16/16 DWORKIN AND MACIARIELLO 841 16WC 34703 SANTOR, MICHAEL S ALRO STEEL * 08/07/15 ROMANUCCI & BLANDIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 842 16WC 34741 RUBIO, REBECCA M MACNEAL HOSPITAL * 10/18/16 WHITESIDE & GOLDBERG LTD 843 16WC 34761 MUDDAMALLE, KENNETH UNITED AIRLINES INC. * 11/04/16 VASILATOS & COTTER LLC 844 16WC 34781 ALUMBAUGH, JERRY L METALWORKING LUBRICANTS * 02/06/15 CUDA LAW OFFICES 845 16WC 34797 ARTEAGA, GLORIA RON'S STAFFING SERVICES I * 07/15/16 HERRERA LAW CENTER 846 16WC 34842 BERNABE, CARLOTA UPS * 07/15/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 847 16WC 34862 ORTEGA, MARICELA FORD MOTOR COMPANY * 04/04/16 MC HARGUE, JAMES P LAW OFF 848 16WC 34889 KHAN, OBAIDULLAH RHS CAB INC * 10/25/16 LAW OFFICE RYAN ROSENTHAL 849 16WC 34911 QUINONEZ, JUAN AMERICAN AIRLINES/AMR COR * 11/10/16 SEIDMAN MARGULIS & FAIRMAN 850 16WC 34925 RAMOS, VICTOR KVF COMPANY * 11/03/16 COSTA IVONE LLC 851 16WC 34969 GUERRA, ENRIQUE VALOR TECHNOLOGIES * 10/12/16 ROMANUCCI & BLANDIN MC ANDREWS & NORGLE LLC 852 16WC 34989 OCHOA, LUIS ALLIED BUILDING PRODUCTS * 06/02/16 RUBENS AND KRESS 853 16WC 35003 WILLIAMS, MARY UPS * 08/02/16 STROM, NEAL B 854 16WC 35022 RUSSELL, ZERRIE PROVISO WEST HIGH SCHOOL * 10/12/16 FRANCIS J DISCIPIO LAW OFF 855 16WC 35093 GONZALEZ, FRANCISCO SUPERIOR STAFFING * 04/25/16 DECARLO LAW GROUP 856 16WC 35136 TAMAYO, MARTHA BEVOLUTION GROUP * 10/28/16 LAW OFFICE HUGO ORTIZ 857 16WC 35156 RUBIO, ERNEST CITY OF CHICAGO DEPARTMEN * 10/28/16 VRDOLYAK LAW GROUP LLC 858 16WC 35197 SANCHEZ, LAURA PRESTIGE MAINTENANCE, INC * 08/31/16 MC HARGUE, JAMES P LAW OFF 859 16WC 35223 HARRIS, ANTOINE J CITY OF CHICAGO DEPT OF * 10/17/16 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 860 16WC 35247 GREENSTEIN, JULIE HINA ENTERPRISES INC D/B/ * 10/15/16 LAW OFFICES OF PHILLIP FAR KEEFE CAMPBELL & ASSOC LLC 861 16WC 35287 CAMPOS, LUIS LORIG CONSTRUCTION COMPAN * 08/05/15 WIEDNER & MCAULIFFE LTD 862 16WC 35314 BURT, LATRICIA ELIZAETH LUDEMAN MENTAL H @ * 02/15/16 HORWITZ HORWITZ & ASSOC COLIN KICKLIGHTER 863 16WC 35364 TATARA, KRYSTYNA CENTRAL STATE JOINT BOARD * 02/25/16 PARAD LAW OFFICES PC 864 16WC 35403 TRUJILLO, GILBERTO GRECO & SONS * 11/04/16 COSTA IVONE LLC 865 16WC 35521 BLANCO, ARAMANDO A EAM VENTURES, INC DBA * 11/08/16 ANKIN LAW OFFICE 866 16WC 35539 NUNO, ISIDRO COCA COLA * 09/06/16 COVEN LAW GROUP 867 16WC 35595 SCHODTLER, DONNA WEISS MEMORIAL HOSPITAL * 09/04/16 WOLIN KELTER & ROSEN LTD HENNESSY & ROACH PC 868 16WC 35633 HUDSON, KATHERINE ILLINOIS CENTRAL SCHOOL B * 10/06/16 KROL BONGIORNO & GIVEN LTD MACIOROWSKI SACKMANN & ULRIC 869 16WC 35665 WASHINGTON, SHARON WALGREENS * 08/20/16 SPINAK & BABCOCK 870 16WC 35676 STANTON, ROBERT O&K AMERICAN CORP * 03/16/16 WILLIAM MARTAY 871 16WC 35730 FANTAUZZI, JOSHUA CTA * 09/15/16 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 872 16WC 35772 GOMERO, MERCEDES CLEAR STAFF INC * 06/17/16 CHEPOV & SCOTT LLC 873 16WC 35805 SUAREZ, SOFIA CHICAGO MARRIOTT O'HARE * 09/30/16 ENCINAS & ORNELAS 874 16WC 35864 HUBER, ROBERT PAYDAY, INC III C/O INCOR * 11/06/14 BRIAN J MC MANUS & ASSOC, 875 16WC 35897 MOSS, GLORIA JEWEL OSCO * 10/09/16 ELFENBAUM EVERS & AMARILIO 876 16WC 35954 GARZA, JOSEPH DEVON CARTAGE * 10/19/16 O'CONNOR & NAKOS 877 16WC 35968 HAQQ, MONICA M PROFESSIONAL ELEVATOR SER * 06/21/16 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 878 16WC 35989 LOPEZ, OSCAR CITY OF CHICAGO * 11/14/16 MICHAEL P MCCREADY & ASSOC 879 16WC 36013 KEMP, ROBERT FORD MOTOR COMPANY * 11/03/16 LANNON LANNON & BARR LTD 880 16WC 36037 OLIVELLA, MARIO HOGAN PLUMBING INC * 10/17/16 O'CONNOR & NAKOS 881 16WC 36064 CORDERO, NATHEN GEORGIA NUT COMPANY * 10/14/16 DWORKIN AND MACIARIELLO 882 16WC 36088 VARGAS, ROBERTO FLEXIBLE STAFFING SERVICE * 10/19/16 HERRERA LAW CENTER 883 16WC 36119 PRUCHNICKI, WESLEY 3 PHASE LINE CONSTRUCTION * 11/09/16 TURCYCHUTE LLC 884 16WC 36144 WATTS, DENNIS UNITED AIRLINES * 09/13/16 HEALY SCANLON LAW FIRM 885 16WC 36163 HERNANDEZ, GEORGE O CROWN SEVICES INC * 11/18/16 ANKIN LAW OFFICE 886 16WC 36180 GONZALEZ, RAMON HILTON WORLDWIDE * 10/30/16 COSTA IVONE LLC 887 16WC 36241 JACOBS, DYSHIKA L CHICAGO TRANSIT AUTHORITY * 11/18/16 FIGLIOLI, DAVID 888 16WC 36278 MCCOY, PIERRE FOODLINER, INC * 07/20/16 HOLECEK & ASSOCIATES 889 16WC 36323 WALKER, STEPHEN HEATHER HEALTH CARE CENTE * 11/21/16 GORDON & CENTRACCHIO LLC 890 16WC 36342 RODRIGUEZ, MARGARITA CARL BUDDIG & CO * 10/21/16 CHEPOV & SCOTT LLC 891 16WC 36345 WALUSZKO, ALOJZY LESTER MASONRY GROUP INC * 10/26/16 CHEPOV & SCOTT LLC 892 16WC 36365 MEVIS, STEVEN ADCOCK BROTHERS AUTO TRAN * 10/10/16 HENNESSY & ROACH PC 893 16WC 36390 PEDROZA, JESUS COREY STEEL * 06/23/15 PARENTE & NOREM PC 894 16WC 36434 WASHLOW, MARGARET A WALGREEN CO * 07/17/16 LAW OFFICE PHILIP BLOMBERG 895 16WC 36453 HOSKINS, SAMMIE EDSAL MANUFACTURING CO. * 05/18/15 LAW OFFICES OF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 896 16WC 36512 LANSTON, KEENAN BJ'S TRANSPORTATION * 11/23/16 897 16WC 36549 MOHAMMED, MEHMOOD FLASH CAB CO * 09/16/16 FINE, MARK S LAW OFFICES 898 16WC 36581 MASHAK, THOMAS J CTA * 10/28/16 CRONIN & PETERS 899 16WC 36602 QUAM, DAREN PRECISION PIPELINE, LLC * 11/04/16 NILSON STOOKAL GLEASON CAP 900 16WC 36635 BRINSON, HILLERY J CPC LOGISTICS * 09/27/16 COLLISON & O'CONNOR 901 16WC 36682 DAVIS, LANNIE FORD MOTOR COMPANY * 10/11/16 FOHRMAN, DONALD W & ASSOCS 902 16WC 36716 RENDON, ALFREDO SUNRISE TRANSPORTATION * 10/06/16 GORDON & CENTRACCHIO LLC 903 16WC 36741 WILLIAMS, CAMIELLE SPEED SCHOOL DISTRICT #80 * 11/07/16 STROM, NEAL B 904 16WC 36792 ARVESEN, JAMES PEOPLES GAS LIGHT & COKE * 05/19/15 GAROFALO SCHREIBER STORM 905 16WC 36812 LAUCK, SARAH DOLLAR TREE * 08/27/16 CULLEN HASKINS NICHOLSON 906 16WC 36831 FLORES, ESTELA ARYZTA LLC * 11/03/16 ENCINAS & ORNELAS 907 16WC 36866 MUSANOVIC, SAKIB BRAMBLES USA INC. * 05/10/16 HOLECEK & ASSOCIATES 908 16WC 36902 RITTER JR., DONALD F L&S CARTAGE * 11/16/15 LEONARD LAW GROUP LLC 909 16WC 36996 SHIMANOVASKY, ROGER FEDEX EXPRESS * 12/01/15 DEER & STONE PC 910 16WC 37014 WILLIAMSON, ASHLEY UNIVERSITY OF ILLINIOS HO * 11/14/16 DWORKIN AND MACIARIELLO 911 16WC 37063 MCNAIRY, AYONNA ARAMARK * 09/10/16 CHASE & WERNER LTD 912 16WC 37134 GEORGOPOULOS, ALANA JEWEL FOOD STORES, INC. * 08/16/16 BUDIN LAW OFFICES 913 16WC 37163 CAMPBELL, MARK REPUBLIC AIRWAYS * 04/27/16 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 01/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 914 16WC 37210 JIMENEZ, MARIA EL VALOR * 10/27/16 RUBIN MACHADO ROSENBLUM 915 16WC 37238 MARTINEZ, VERONICA CARAUSTAR CUSTOM PACKAGIN * 11/09/14 DEPAOLO ZADEIKIS GORE 916 16WC 37253 RUMORO, JOHN OAK PARK POLICE DEPT * 11/26/16 O'CONNOR & NAKOS 917 16WC 37294 RAWLE, PAUL SUPERIOR EXHIBITS & DESIG * 02/06/15 WOODRUFF & JOHNSON