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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 08WC 45682 DELGADILLO, CENDY COOPERS HAWK BURR RIDGE, 07/28/08 SAUNDERS CONDON & KENNY 19 08WC 56347 19B HARRINGTON, VAN VILLAGE OF CAROL STREAM 03/08/07 MILLON & PESKIN LTD POWER & CRONIN LTD 08WC056348 -C 20 09WC 03082 JUKNUIS, BRIAN PATTEN INDUSTRIES 11/04/08 CAPRON & AVGERINOS PC GRANT & FANNING 21 09WC 12014 DUAMROH, SOLOMON SPRAYING SYSTEMS CO 04/16/08 WOODRUFF & JOHNSON DONALD J. MORAN 22 09WC 15894 SVOBODA, ROBERT TRANS-LINK INC 03/05/09 CULLEN, HASKINS, NICHOLSON CHRISTOPHER BUCHCAR LAW OFF 23 09WC 19952 BERRUM, NOEL PERFECT PASTA 01/13/09 COLLISON LAW OFFICES RUSIN & MACIOROWSKI LTD 24 09WC 27727 RUIZ, DILIA FIC AMERICA CORP 04/23/09 CULLEN, HASKINS, NICHOLSON INMAN & FITZGIBBONS 09WC027728 -C 09WC027729 -C 09WC033615 -C 25 09WC 28196 OROZCO, MIGUEL EMPIRE BRONZE CORP 04/04/09 LEWIS DAVIDSON & HETHERING LAW OFFICES OF EDWARD J. KOZ 11WC013752 -C 26 09WC 39119 ZAGORSKI, DEBORAH FIRST TRANSIT 12/11/07 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 27 09WC 42250 HOLDEN, ROBERT CORPORATE RISK MANAGEMENT 08/03/09 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 28 10WC 06602 COOK, LAURA A UNITED SURGICAL PARTNERS 09/04/09 FIGLIOLI, DAVID HOLECEK & ASSOCIATES 29 10WC 08549 SABLIK, ARTHUR CAC CORPORATION 10/01/09 MEYERS & FLOWERS ACCIDENT FUND HOLDINGS 30 10WC 23473 ORZECHOWSKI, JAY WHEATON PARK DISTRICT 11/25/09 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 31 10WC 24193 GERK, MICHAEL D MORSE ELECTRIC 05/14/10 NEWLAND & NEWLAND CACCHILLO LAW GROUP LLC 10WC024194 -C 10WC029475 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 32 10WC 35497 MUNIZ, JOE VILLAGE OF BENSENVILLE 07/02/10 STEINBERG BURTKER & GROSSM POWER & CRONIN LTD 33 10WC 35515 JAKOBSONS, VICTOR LISLE WOODRIDGE FIRE DEPT 05/26/10 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 11WC045442 -C 34 10WC 35751 CUNDARI, ALEX PENDUM LLC C/O 08/25/09 LEWIS & DAVIDSON, LTD NOBLE & ASSOCIATES PC 35 10WC 36349 SALEK, KYLE CITY OF ELMHURST 04/07/10 THOMAS W DUDA POWER & CRONIN LTD 36 10WC 36417 BARAJAS, SUSAN JOE DIETER & SONS 10/16/09 PORRO NIERMANN LAW GROUP INMAN & FITZGIBBONS 37 10WC 39570 CASTRO, HECTOR NAPERVILLE COMMUNITY UNIT 06/25/10 SALVATO & O'TOOLE MACIOROWSKI SACKMANN & ULRIC 10WC039571 -C 12WC034378 -C 38 10WC 48115 SIMS, FLOR SERVICE MASTER 11/19/10 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS 11WC028642 -C 39 11WC 00649 ESCALERA SOSA, ROCIO MVP VALUABLE PERSONNEL 07/23/10 COVEN LAW GROUP KOREY LAW LLC 40 11WC 01669 MOULTON, AMANDA VITAS HEALTHCARE 10/02/10 STRONG LAW OFFICE HENNESSY & ROACH PC 12WC039338 -C 41 11WC 02331 19B SAVALA, GLORIA NESTLE USA, INC-C/O CT CO 06/15/09 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 42 11WC 02386 SALTO, ROSALINDA IMI CORNELIUS, INC. 07/06/10 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 43 11WC 06620 LUNA, MARIA G VIE DE FRANCE 01/21/11 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 44 11WC 14568 KANIA, WALDEMAR PEPBOYS AUTO 03/31/11 CHEPOV & SCOTT LLC CHILTON YAMBERT PORTER LLP 45 11WC 15322 GLASGOW, TAMMY NICOR GAS 09/02/10 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 11WC 19660 TEELING, GEORGE MICHAEL CITY OF ELMHURST 12/12/09 THOMAS J STIBERTH LAW OFFI POWER & CRONIN LTD 47 11WC 22862 KIRCANOV, DEJAN GLOBAL CARD SERVICES 04/15/11 NEMEROFF LAW OFFICES LTD LAW OFFICES OF EDWARD J. KOZ 48 11WC 27086 MATA, MARIA T ELMHURST MEMORIAL HOSPITA 12/22/10 LEONARD LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 49 11WC 35187 MOLENDA, LISA CORNER BAKERY CAFE 09/18/08 SOSTRIN AND SOSTRIN PC GRANT & FANNING 50 11WC 37638 19B WALKER, DEWAYNE ILLINOIS MEDI CAR INC 08/25/11 KARCHMAR & STONE POWER & CRONIN LTD 51 11WC 38596 DAMIAN, BALBINA H C SCHAU & SON INC 04/06/11 LUIS J MAGANA COZZI & GOGGIN-WARD 52 11WC 39589 MCGANN, DENNIS M INTERBAY TECHNOLOGIES 03/29/11 FABRIZIO, HANSON & PEYLA LAW OFFICES JOSEPH MARCINIAK 53 11WC 39618 CASAS, CANDELARIA RON'S STAFFING SERVICES 09/26/11 CULLEN HASKINS NICHOLSON KOREY LAW LLC 54 11WC 42345 MCNELLIS, THOMAS PREGIS CORP 06/24/11 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 55 11WC 42874 CRUEGER, SCOTT STERLING ENGINEERING 09/21/11 SPIEGEL & CAHILL, PC 56 11WC 44287 THIELEN, JASON C PANDUIT 09/22/11 JASINSKI, GEORGE J HEYL ROYSTER VOELKER & ALLEN 12WC032133 -C 57 11WC 45039 VASQUEZ, SALVADOR APPLIANCE DISTRIBUTION 06/18/11 JAMES ELLIS GUMBINER & ASS STONE & JOHNSON CHARTERED 58 11WC 45469 LUPO, KATHLEEN CENTRAL DU PAGE HOSPITAL 06/28/11 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 59 11WC 46787 SOTELO, EZEQUIEL PREFERRED MEAL SYSTEMS IN 11/17/11 MINKOW DOMIN POWER & CRONIN LTD 12WC012571 -C 12WC012572 -C 12WC012573 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 60 11WC 48883 MARIN, JOSE CUT ABOVE LANDSCAPING & L 10/11/11 EPSTEIN, JACK R LAW OFFICE THOMAS & PORTELA 61 12WC 00945 DAYLOR, ANDREW BLOOMINGDALE FIRE 09/20/11 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 15WC020227 -C 62 12WC 01135 VEVERKA, RICHARD J.A.M. TRUCKING 12/05/11 RATHBUN CSEVENYAK & KOZOL RUSIN MACIOROWSKI & FRIEDMAN 63 12WC 02884 BURSE, JERRY DARIEN SCHOOL DISTRICT 61 11/07/11 DIXON LAW FIRM BRADY CONNOLLY & MASUDA PC 64 12WC 03010 RANSOM, SHARON L FRITO LAY INC 11/02/11 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 65 12WC 05340 ALEXANDER, ERIC SMART-TEK 02/03/12 CORTI ALEKSY & CASTANEDA POWER & CRONIN LTD 66 12WC 05384 CAMPOS, RIGOBERTO EXPEDITORS INTERNATIONAL 02/16/11 JOHN J CASTANEDA HOLECEK & ASSOCIATES 12WC026574 -C 67 12WC 05498 OSORIO, ALENJANDRO EXPEDITORS INTERNATIONAL 12/02/11 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 68 12WC 06358 BERMUDEZ, ROBERTO A RB ENTERPRISES 11/04/11 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 69 12WC 07942 SNITKO, AANNA MEADOWBROOK MANOR 01/17/12 COMPTON LAW GROUP ASSISTANT ATTORNEY GENERAL 70 12WC 09344 OKOYE, ANTHONY A BUTTERFIELD HALTH CARE IN 09/10/11 GOLDSTEIN BENDER & ROMANOF 71 12WC 10571 KISS, THOMAS G GENERAL ELECTRIC 12/01/11 WILLIAMS, ROBERT B LAW OFF MACIOROWSKI, SACKMANN & 72 12WC 12020 BIGGERSTAFF, KEITH SOI - DPET OF TRANS 03/14/12 CULLEN HASKINS NICHOLSON C. FLETCHER 73 12WC 13452 PRADO DIAZ, ELISO TRINIDA SUPEREME LOBSTER AND SEAF 02/29/12 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 74 12WC 13737 MARTIN, ROBERT CENTRAL TURF AND 10/25/11 MINKOW DOMIN THOMAS & PORTELA 75 12WC 14461 BERGHOFF-YUSCZAK, BETTY M ELMHURST MEMORIAL HOSPITA 04/11/12 RUBIN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 12WC015973 -C 76 12WC 14815 AGUILAR, CHERYL ECP INC 03/04/11 CHRISTIAN & MANNO COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 77 12WC 15539 PIERCE, DOUGALS W JEWEL SUPER VALUE 04/02/12 ALAN A BLUM, PC BRADY CONNOLLY & MASUDA PC 78 12WC 16045 MENA, ZEFERINA SPRAYING SYSTEMS 03/22/12 THE ROMAKER LAW FIRM DONALD J. MORAN 79 12WC 16529 ORTEGA, EFRAIN KEMCO TRUCKING, INC 05/01/12 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 80 12WC 16894 MARJANOVIC, VLADIMIR INTER INC 12/10/09 WOLF & TENNANT 81 12WC 16963 SMITH, JEFFERY MAR COR PURIFICATION A 04/11/12 LANNON LANNON & BARR LTD LAW OFFICES JOSEPH MARCINIAK 82 12WC 18343 SANDERS, OZELL MOLEX INC 12/14/11 DAVID W MARTAY HOLECEK & ASSOCIATES 12WC018344 -C 83 12WC 18521 COTTER, JOHN A DUPAGE COUNTY SHERIFF'S O 12/28/11 JAMES M RIDGE LAW OFFICE WIEDNER & MCAULIFFE LTD 12WC018522 -C 84 12WC 18674 JOHNSON, KRISTINE SCHOOL DISTRICT 200 02/17/12 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 85 12WC 19214 MIZLO, JACK ARJOHUNTLEIGH INC 06/09/09 MARKHAM M JEEP & ASSOCIATE 86 12WC 19427 19B MORIN, ISRAEL CECO CONCRETE CONSTRUCTIO 05/22/12 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 87 12WC 19517 DE LOA, GLORIA SUBURBAN MAILING SERVICES 01/15/12 THE ROMAKER LAW FIRM RUSIN MACIOROWSKI & FRIEDMAN 13WC014376 -C 88 12WC 22693 REITER, RICHARD ONEOK N SYSTEM LLC 05/01/12 FOTOPOULOS, JOHN S HENNESSY & ROACH PC 89 12WC 23227 ARITA, ALEX CORNERSTONE EXTERIORS 05/28/12 CULLEN HASKINS NICHOLSON ANKIN LAW OFFICE 90 12WC 25404 HERNANDEZ, SUYAPA PRESORT SOLUTION 03/04/12 PORRO NIERMANN LAW GROUP GRANT & FANNING 91 12WC 25617 KUBORN, COREY FRITO LAY 05/28/12 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 92 12WC 26074 TENNEY, JEFFREY D HERTZ CORPORATION D/B/A 09/15/11 BUDIN LAW OFFICES NOBLE & ASSOCIATES PC 93 12WC 28311 LAGIOIA, PAUL A MEDEFIL INC 12/13/10 VITELL & SPITZ LTD ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 94 12WC 31566 CIELO, JUAN C OLIVE GARDENS 09/22/11 ACEVES & PEREZ PC BRYCE DOWNEY & LENKOV LLC 95 12WC 31904 19B LLOYD, JASON E DUPAGE COUNTY SHERIFF 01/23/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 96 12WC 32156 DIVITO, JOSH ALAN HEATING AIR CONDITIO 11/22/11 JOHN E LUSAK 97 12WC 32850 ZAPP, ANNETTE M LISLE WOODRIDGE FIRE 07/17/12 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 98 12WC 33367 GAINES, JUSTEN D HCR MANORCARE 08/07/12 VITELL & SPITZ LTD 99 12WC 34945 ZOBJECK, RALPH VLGE OF HINSDALE 06/11/12 DAN COLLINS LAW FIRM RUSIN & MACIOROWSKI LTD 100 12WC 35112 MERRITT, STEPHEN JDR INSTALLATIONS INC W 12/12/11 WOLFE LAW PC C. FLETCHER 101 12WC 36602 CARILLO, LUIS MCOLLISTER TRNSPORTATION 09/11/12 LAW OFFICE OF OSVALDO RODR HENNESSY & ROACH PC 102 12WC 37571 NAYONIS, MICHAEL WOODWARD, INC. 02/24/10 BLACK & JONES HINSHAW & CULBERTSON 16WC009575 -C 103 12WC 37672 BROADWELL, LOREEN DEAN (W COMBINED ROOFING INC 08/17/12 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 12WC037673 -C 104 12WC 37847 REYNA, JOSEPH NICOR GAS 09/16/10 PORRO NIERMANN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 105 12WC 38217 RAMIREZ, RAYMUNDO ROSALES HART & COOLEY INC 10/24/12 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 13WC004500 -C 106 12WC 39254 DUNN, WILLIE NEIL RESSIN RACING STABLE W 05/23/12 DWORKIN AND MACIARIELLO 107 12WC 40541 LAGIOIA, PAUL A MEDEFIL INC 10/31/12 VITELL & SPITZ LTD 108 12WC 41162 SPIEWAK, DENISE JEWEL-OSCO 10/25/12 KLEINMUNTZ LAW OFFICE RODDY LAW LTD 109 12WC 42476 FERNANDEZ, MAYTE WORKFORCE, LLC 08/13/12 EPSTEIN, JACK R LAW OFFICE GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 110 12WC 43668 CANTU, MARTHA NESTLE D/B/A 08/15/12 BRIAN T MORROW, LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 111 13WC 00254 HUNTINGHOUSE, DARLENE CITY OF ELMHURST 08/04/12 MILLON & PESKIN LTD POWER & CRONIN LTD 112 13WC 03946 GUEVARA, JENNIFER KJF EGG HOLIOINGS LLC 10/05/12 CULLEN HASKINS NICHOLSON 113 13WC 04544 ABRIL, MANUEL CEVA LOGISTICS 10/25/12 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 114 13WC 06199 DENOYELLES, CHRISTINA BURGESS SQUARE HEALTH CEN 05/31/12 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 115 13WC 07095 HAMAD, RAMSEY CONNIE'S PIZZA INC 02/05/13 GOLDBERG WEISMAN & CAIRO L 116 13WC 07783 VARGAS, ALEJANDRO ETS LINDGREN 02/28/13 EPSTEIN, JACK R LAW OFFICE GRANT & FANNING 13WC007785 -C 13WC008737 -C 117 13WC 11847 SHERROD, PAUL E LISLE-WOODRIDGE FIRE 12/21/12 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 13WC011848 -C 13WC011849 -C 118 13WC 13154 CORTEZ, JUAN TAFF ON SITE INC 03/07/13 SANDMAN LEVY & PETRICH RUSIN & MACIOROWSKI LTD 119 13WC 14184 MONCADA, RAMON OMEDA RESAURANT 04/24/13 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 120 13WC 14363 BAHENA, DANIEL NICKELSON INDUSTRIAL SERV 03/21/13 STEVEN J SEIDMAN LAW OFFIC INMAN & FITZGIBBONS 121 13WC 14949 RICHARDSON, JOHN ARAMARK UNIFORM & CAREER 04/12/13 RUBIN LAW GROUP INMAN & FITZGIBBONS 15WC003387 -C 122 13WC 15759 ALALLAN, IHSAN AGM TRANSPORT INC 08/25/11 BRUSTIN & LUNDBLAD LTD MCANANY VANCLEVE & PHILLIPS 123 13WC 16636 YOUNGBERG, ROBYN (WIDOW) WEST CHICAGO FIRE PROTECT # 03/14/13 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 124 13WC 16642 FRANCO, CAROLINA ACCURATE CARRIERS USA 05/06/13 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 125 13WC 16662 BURLINGAME, GLEN ROOF OPITIONS 11/15/12 BRAD J. BALKE, PC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 126 13WC 17273 JANICH, JAMES COLLEGE OF DUPAGE 04/22/13 RIDGE & DOWNES POWER & CRONIN LTD 127 13WC 18627 MANN, BRAD CITY OF WHEATON POLICEDEP 04/21/13 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 15WC039771 -C 128 13WC 19282 VELAZQUEZ, GABRIEL PEREZ LANDSCAPING 05/28/13 LUIS A ACEVES & ASSOC MICHELOTTI & ASSOC LTD 129 13WC 19489 WAYTULA, JOSEPH MONDELEZ GLOBAL 08/16/12 STROM, NEAL B WIEDNER & MCAULIFFE LTD 130 13WC 20925 AUDEH, EMAD REDBIRD CARRIERS W 08/20/12 LEO ALT 131 13WC 21127 RODRIGUEZ, MARIA MOST VALUEABLE PERSONNEL 05/02/13 ACEVES & PEREZ PC KOREY COTTER HEATHER RICHARD 132 13WC 21334 CORP, CAROL JEAN BRIGHTON GARDENS OF WHEAT 09/08/12 MILLON & PESKIN LTD NOBLE & ASSOCIATES PC 133 13WC 21396 RATAY, FRANK A TO Z BODY & FENDER INC 04/19/13 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 134 13WC 22569 19B GILMORE, ANEDRA BURLINGTON COAT FACTORY 02/21/13 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 135 13WC 22778 VASILIEVAS, LEO C POWER MECHANICAL INC 06/27/13 DAVENPORT & WHITE BRADY CONNOLLY & MASUDA PC 136 13WC 23008 REISINGER, DENISE MARIANJOY REHABILITATION 11/22/12 JAMES G AHLBERG NYHAN BAMBRICK KINZIE & LOWR 13WC023012 -C 137 13WC 23847 PATEL, BABUBHAI GRIND LABS SERVICES 07/10/13 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 138 13WC 24096 CARR, SHEILA SUPERIOR AMBULANCE 06/07/13 LAW OFFICE EDWARD LICHTENS POWER & CRONIN LTD 139 13WC 25034 DOLE, CYNTHIA NAPERVILLE SCHOOL 04/19/12 LAW OFFICE STEVEN J SEIDMA MACIOROWSKI SACKMANN & ULRIC 140 13WC 25047 THOMAS, LAMOND CLEAR STAFF, INC. 03/28/13 MILLON & PESKIN LTD ACCIDENT FUND HOLDINGS 141 13WC 25468 CAMPOS, OTILIO BLACKHAWK MOLDING CO INC 05/31/13 ANKIN LAW OFFICE CHILTON YAMBERT & PORTER LLP 142 13WC 25529 UNRUH, CATHERINE CENTRAL DUPAGE HOSPITAL 09/04/12 TRUEMPER HOLLINGSWORTH ET GAROFALO SCHREIBER STORM 143 13WC 25574 FLORES, JUANA FIVE GUYS ENTERPRISES 09/18/12 BURNETT & CARON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 144 13WC 26099 REYES, LISA MARIANJOY REHABILITATION 04/12/13 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 145 13WC 26438 RAMIREZ, JUAN M CONTINENTAL WEB PRESS 05/09/13 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 146 13WC 28402 CLARO, ALMA SPICETEK USF 06/17/13 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 147 13WC 28778 MALLAVARSPU, SANJAY FED EX TRADE NETWORKS GRO 09/24/10 ANESI OZMON RODIN NOVAK KO LAW OFFICES JOSEPH MARCINIAK 148 13WC 28820 FONTENOT, JONATHON HOOTER'S 08/06/13 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 149 13WC 29958 PLETSCH, JAMES SOUTHERN WINE & SPIRITS O 12/27/12 CRONIN PETERS & COOK, PC MACIOROWSKI SACKMANN & ULRIC 13WC029959 -C 16WC008875 -C 150 13WC 30533 VIRZI, ANNA M LIFETIME FITNESS 08/28/12 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 151 13WC 31167 RICHARDSON, REGINALD J U.S FOOD SERVICES 09/17/13 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 152 13WC 31383 PEREZ, LORENA A FIC AMERICA CORPORATION 06/15/12 GOLDSTEIN BENDER & ROMANOF INMAN & FITZGIBBONS 153 13WC 33538 SAVAGEAU, JONATHAN M ITASCA POLICE DEPARTMENT 09/07/13 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 14WC019975 -C 154 13WC 36464 DOMIO-BURNS, DELITE FEDERAL EXPRESS 10/10/13 SANDMAN LEVY & PETRICH HANSON LAW OFFICE 155 13WC 37531 KRAJISNIK, ZORAN AS CORP., INC. 05/15/12 SHEA LAW GROUP 156 13WC 37613 TSAI, ANNIE SODEXO 10/25/13 WIEDNER & MCAULIFFE LTD 157 13WC 37717 DAVIS, PAMELA FIRST STUDENT 09/20/13 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 158 13WC 38370 ELIAS, JAVIER COSTCO WAREHOUSE 08/22/13 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 159 13WC 39309 RAMIREZ, RENE TRI-AIR TRANSPORTATION 10/07/13 LAW OFFICE EDWARD LICHTENS WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 160 13WC 39481 MCLEES, CHRISTOPHER UNITED DELIVERY SERVICES 04/04/11 NICHOLAS M. BIGONESS RUSIN & MACIOROWSKI LTD 161 13WC 39516 HERNANDEZ, ANASTACIO ADVANCE THERMAL CORP 11/05/13 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 162 13WC 40173 DIAZ, ANNA DUPAGE COUNTY SHERIFF 11/08/13 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 16WC016803 -C 16WC020163 -C 16WC020164 -C 163 13WC 41567 DICKS, JENNIFER BLUE TECH 12/11/13 WOODRUFF & JOHNSON LAW OFFICES JOSEPH MARCINIAK 164 13WC 41817 SCUMACI, MATTHEW ANDERSON PEST SOLUTIONS 07/11/13 JOHN E LUSAK WOLFE & JACOBSON, LTD 165 13WC 41897 RAMOS, HECTOR ASG STAFFING 11/29/13 WOODRUFF & JOHNSON FRANCIS J DISCIPIO LAW OFFIC 166 13WC 41945 HATLER, MARK W MEYER MATERIALS CO 10/23/13 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 167 13WC 42405 VARGAS, NOEMI CHIPOTIE MEXICANGRILL 12/02/13 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 168 14WC 00399 TORRES, DIANA B HUBBELL INC 12/27/13 PARAG P. BHOSALE COZZI & GOGGIN-WARD 169 14WC 00434 MARTINEZ, JAIME CONAGRA FOODS 08/29/13 GOLDSTEIN BENDER & ROMANOF RUSIN & MACIOROWSKI LTD 170 14WC 01025 DAVIS-WILLIAMS, KIMBERLY PELLAR WINDOWS & DOORS 01/06/14 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM 171 14WC 01252 FERRARA, ANTHONY CONTINENTAL WEB PRESS 12/03/13 MILLON & PESKIN LTD QUINTAIROS PRIETO WOOD & BOY 172 14WC 01294 DECRAENE, DANIEL J LISLE-WOODRIGE FIRE 09/01/11 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 14WC001295 -C 173 14WC 01405 TALIA, TAWER VIE DE FRANCE YAMAZAKI IN 09/15/12 VITELL & SPITZ LTD HOLECEK & ASSOCIATES 174 14WC 02035 GALVAN, AGUSTIN CUBESMART 11/15/13 O'CONNOR & NAKOS 175 14WC 02362 ARNETT, ADAM SCHRAMM CONSTRUCTION 07/08/13 LAW OFFICE OF SCOTT B SHAP 176 14WC 02488 PATINO, ANGEL DON BOSCO LLC 11/18/13 PORRO NIERMANN LAW GROUP COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 177 14WC 02507 SAVAGE, BRADLEY K CROIXCO CONSTRUCTION 01/20/14 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 178 14WC 02755 SCARIA, BIGI RML SPECIALTY HOSPITAL 11/16/13 STEVEN A CRIFASE, LTD KEEFE CAMPBELL & ASSOC LLC 179 14WC 03085 JENSEN, LISA A PANASONIC HEALTHCARE 09/26/13 LAW OFFICE OF GREGORY MART RUSIN & MACIOROWSKI LTD 180 14WC 03147 ISAACSON, ALAN DIEBOLD, INC. 12/18/13 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 14WC003146 -C 181 14WC 03279 19B LLOYD, JASON E DUPAGE COUNTY SHERIFF 01/10/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 182 14WC 03284 HICKENBOTTOM, ALBERT AT&T AKA ILLINOIS 01/03/14 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 183 14WC 03621 POHL, BILL PTO SERVICES 08/05/13 DWORKIN & MACIARIELLO 14WC023196 -C 184 14WC 04557 JACKSON, JASON HOME DEPOT 10/09/12 FOOTE MIELKE CHAVEZ & O'NE MC ANDREWS & NORGLE LLC 185 14WC 04656 VILLAFUERTE-ESPINAL, HORA MAPEI CORPORATION 12/30/13 MC HARGUE, JAMES P LAW OFF KEEFE CAMPBELL & ASSOC LLC 14WC037094 -C 186 14WC 04861 DE BIAS, ANTHONY JB HUNT TRANSPORT INC 12/06/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 187 14WC 05414 INSERRA, JOANNA GIANT STEPS 11/15/13 MARTIN L GLINK LAW OFFICE HOLECEK & ASSOCIATES 188 14WC 06108 IBEKIE, ANTHONY ST PATRICKS RESIDENCE 02/01/14 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 189 14WC 06320 MC NEELY, ANNETTE FOREST PRESERVE 01/06/14 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 190 14WC 06539 ONIK, MATTHEW C MICHELE PELAFAS INC 12/24/13 CUDA LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 191 14WC 07587 SCHULTZ, LAURA HOBBY LOBBY 01/24/14 MILLON & PESKIN LTD QUINTAIROS PRIETO WOOD & BOY 192 14WC 07595 SALAZAR, EFRAIN ASG STAFFING 11/01/13 ENCINAS & ORNELAS 193 14WC 07956 ZARCO, MAGDALENA BOSTON WINDOW CLEANING IN 02/05/14 JAMES ELLIS GUMBINER & ASS RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 14WC 08015 SAENZ, EDUARDO 1ST CLASS STAFFING 02/05/14 THOMAS J STIBERTH LAW OFFI RODDY LAW LTD 195 14WC 08295 GLASGOW, TAMMY NICOR GAS COMPANY 05/01/12 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 196 14WC 08928 BUCKNER, KATHLEEN GOODWILL INDUSTRIES 10/20/13 COSTA IVONE LLC ACCIDENT FUND HOLDINGS 14WC020382 -C 14WC020383 -C COTTAGE HILL OPERATING CO 197 14WC 08975 AYALA, PEDRO AMERICA'S BEST INC 09/06/13 ACEVES & PEREZ PC LAW OFFICES JOSEPH MARCINIAK 14WC025831 -C 15WC018232 -C 198 14WC 09044 COBBINS, SYLVIA ELMHURST HOSPITAL 02/15/14 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 199 14WC 09487 ZAMUDIO, VERONICA JEL SERT 03/10/14 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 200 14WC 11227 LYDON, DARYL LARLIN HOME CARE SERVICES 03/07/14 CONWAY LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 201 14WC 12098 SMITH, RONALD DUPAGE COUNTY SHERIFF'S D 06/24/13 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 14WC012099 -C 14WC012100 -C 202 14WC 12110 EDUCATE, ROXANNE J DUPAGE MEDICAL GROUP 03/06/14 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 203 14WC 13086 WARD, MAURICE CROWN SERVICES, INC 02/07/14 JOHN C SERKLAND 204 14WC 13122 DELGADILLO, HERMELINDA IONBOND, LLC 01/04/14 SALK, STEVEN B & ASSOC LTD THOMAS & PORTELA 205 14WC 13154 WOOD, CAROL THE RESERVES NETWORK, INC 03/28/14 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 206 14WC 13186 MCMINN, SONIA MEDICAL MANAGEMENT 03/14/14 VASILATOS & COTTER LLC 207 14WC 13631 GARCIA, RAUL MEXICALI HARD CHROME CORP 04/01/13 JAMES ELLIS GUMBINER & ASS 208 14WC 13641 DUNLAP, BEVERLY E FED EX GROUND 03/08/14 DOBRA, CHARLES W LTD SCOPELITIS GARVIN LIGHT 209 14WC 13736 PEREZ, LUIS VILLAGE OF OAK BROOK 03/13/14 FRANCIS J DISCIPIO LAW OFF POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 210 14WC 13763 BLANKENSHIP, DAVID DOORS BY RUSS INC 02/21/14 WHITESIDE & GOLDBERG LTD GANAN & SHAPIRO 211 14WC 13979 STEVENS, TINA ALDI INC C/O 02/09/12 BRIAN J MC MANUS & ASSOC, MACIOROWSKI SACKMANN & ULRIC 212 14WC 14188 POOL, VIRGINIA INHANCE TECHNOLOGIES 02/07/14 TURNER & SACKETT LLC NYHAN BAMBRICK KINZIE & LOWR 213 14WC 14408 ARGUELLO, JOSE METROSTAFF INC 04/14/14 GOLDBERG WEISMAN & CAIRO L FRANCIS J DISCIPIO LAW OFFIC 214 14WC 14611 DAMICO, SUSAN M JEWEL/NEW ALBERTSON'S INC 01/08/14 COLLISON LAW OFFICES 215 14WC 14760 VAN WITZENBURG, WILLIAM A 6 D'S ALUMINUM CO. 04/23/14 TAMVAKIS, GEORGE L WIEDNER & MCAULIFFE LTD 216 14WC 14848 HIRST, ROBERT OGDEN LINCOLN 10/30/13 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 217 14WC 14990 HENNINGS, THOMAS ORKIN PEST CONTROL 03/18/14 R. MARK MARITOTE PC BRADY CONNOLLY & MASUDA PC 218 14WC 15108 GONZALEZ, ANTONIO MICROMATIC SPRING & STAMP 05/30/13 BERG & BERG LAW OFFICES OF EDWARD J. KOZ 219 14WC 15317 SCHOBER, BARBARA M ELMHURST MEMORIAL HOSPITA 11/09/12 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 220 14WC 15535 MIRANDA, SAUL SAM'S CLUB 04/07/14 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 221 14WC 16076 AMBIA, LUCIA FLEXIBLE STAFFING 04/08/14 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 222 14WC 16321 JOHNSON-COLE, LISA EDWARD HOSPITAL 10/27/12 ANKIN LAW OFFICE WILLIAMS MCCARTHY LLP 14WC016322 -C 14WC016323 -C 223 14WC 16927 GOMEZ-RAMIREZ, ARMANDO ASG STAFFING 04/18/14 JONATHAN SCHLACK POWER & CRONIN LTD 224 14WC 17213 BARKER, JOSEPH MIDWESTERN UNIVERSITY 04/21/14 JOHN E LUSAK LAW OFFICES JOSEPH MARCINIAK 225 14WC 18280 TAPIA, JOSE UNITED LAWN & SEAL COATIN W 05/06/14 CULLEN HASKINS NICHOLSON 226 14WC 18710 MUNOZ, CRISTINO WILDFIRE 09/13/13 ANKIN LAW OFFICE NOBLE & ASSOCIATES PC 227 14WC 18815 ORTEGA, SERGIO SEARS, ROEBUCK AND CO. 02/02/14 DIXON LAW FIRM GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 14WC 19360 COBB, DAMIAN NU-WAY TRANSPORT 05/23/14 RUBIN LAW GROUP HOLECEK & ASSOCIATES 229 14WC 19439 BOBAK, PIOTR PLEASANT DALE 04/21/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 230 14WC 19678 INIGUEZ, MANUEL FULLERS SERVICE CENTER 05/17/13 STROM, NEAL B EDWARD JANUSZKIEWICZ 231 14WC 20676 BANDUCCI, DE-ANN THE MEN'S WAREHOUSE 01/23/14 BUDIN LAW OFFICES HENNESSY & ROACH PC 232 14WC 21167 RATTIN, MARIA GIANT STEPS 02/27/14 CULLEN HASKINS NICHOLSON 14WC021168 -C 14WC021169 -C 233 14WC 21583 MARINES, JORGE RAMADA INN & SUITES 05/31/14 AIOSSA LAW FIRM 234 14WC 21987 RUSEVIC, ALICE EDWARD HEALTH & FITNESS C 07/19/12 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 235 14WC 22423 HERNANDEZ, ARTEMIO LABOR SOLUTIONS LLC 06/10/14 GOLDBERG WEISMAN & CAIRO L MC ANDREWS & NORGLE LLC 236 14WC 22511 GODSEY, JEFFREY LAND ROVER OF HINSDALE 02/08/13 LAW OFFICE DAVID W CLARK 237 14WC 22556 AGUIRRE, SANTURINO ENERGY SMART 05/30/14 PORRO NIERMANN LAW GROUP GANAN & SHAPIRO 238 14WC 22667 HAYS, MIA CAPUTO'S NEW FARM PRODUCE 04/27/14 FRANCIS J DISCIPIO LAW OFF ACCIDENT FUND HOLDINGS 15WC022937 -C FRESH MARKET 239 14WC 22919 STEINEKE, ED AVALANCHE PUB/ 06/13/13 R. MARK MARITOTE PC WOLF LAW LTD 240 14WC 22978 ALVARADO, ANA MARIA FOREST VIEW REHAB & 11/16/13 BOWMAN & CORDAY BRADY CONNOLLY & MASUDA PC 241 14WC 23253 WOODALL, BRIAN MB TRANSPORTATION 05/20/14 CULLEN HASKINS NICHOLSON 242 14WC 23866 GATTUSO, GIOVANNI THREE GENERATIONS 07/07/14 LOCASCIO, MARK A LTD LITCHFIELD CAVO 243 14WC 23922 GROSS, RACHAEL CERMAK FOODS 06/06/14 WHITESIDE & GOLDBERG LTD KOPKA, PINKUS DOLIN, PC 244 14WC 24025 SPENCER, MAURICE HCR MANOR CARE 06/26/14 VRDOLYAK LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 245 14WC 24253 SCHNAYER, LEROY AT&T 06/12/14 GOLDBERG WEISMAN & CAIRO L 246 14WC 24742 ZUBEK, HELENA EDWARD HOSPITAL 04/03/14 DEPAOLO ZADEIKIS GORE POWER & CRONIN LTD 14WC024743 -C ARAMARK MANAGEMENT SERVICE 247 14WC 24981 POULIOT, JEFFERY BRONSON & BRATTON 03/13/13 JACOBSON & SCHIEFELBEIN GAROFALO SCHREIBER STORM 248 14WC 25649 ALVEN, VON TROY SYSCO CENTRAL ILLINOIS 06/11/14 SAUNDERS CONDON & KENNY HENNESSY & ROACH 249 14WC 25801 GRADY, DONALD R BRACING SYSTEMS 04/25/14 CRONIN & PETERS WOLFE & JACOBSON, LTD 250 14WC 27270 ARIZA, JOSE HUMBERTO METRO STAFF, INC. 03/10/12 EPSTEIN, JACK R LAW OFFICE 251 14WC 27294 CINTRON, LISA EQUIPMENT DEPOT 03/14/14 LAW OFFICE OF SCOTT B SHAP 252 14WC 27486 CINTRON, LISA EQUIPMENT DEPOT 03/14/14 LAW OFFICE OF SCOTT B SHAP COZZI & GOGGIN-WARD 253 14WC 27848 PATAPAUCHI, YESENIA WHITE CASTLE 03/14/14 254 14WC 28439 CAMACHO-MENDEZ, JESUS COM2 COMPUTERS & TECHNOLO 07/01/14 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 255 14WC 28710 WESTLUND, JAMES FLOLO CORP 05/19/14 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 256 14WC 28826 SANCHEZ, JACOBO KRHR DISTRIBUTORS, INC. 05/15/14 LEWIS & DAVIDSON, LTD 257 14WC 28988 MARIN, ALFREDO QUALITY BAGS INC 07/18/14 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD 14WC028989 -C 258 14WC 29340 VEGA, DAVID TOTAL TRANSPORATION 03/05/14 DEFFET, TIMOTHY J LAW OFFI HOLECEK & ASSOCIATES 259 14WC 29942 MC DANIEL, ROBIN GRAPHIC PACKAGING INT'L 05/08/14 SKLARE LAW GROUP DOHERTY & PROGAR LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 260 14WC 30336 CALDERON, SUSANA ECU STAFFING MULTI-SVCS. 05/30/14 LEWIS & DAVIDSON, LTD THOMAS & PORTELA 14WC030337 -C 261 14WC 30469 MONROY, MARIA MARRIOTT OAKBROOK 01/01/14 SALVATO & O'TOOLE POWER & CRONIN LTD 16WC031485 -C 16WC031486 -C 262 14WC 30569 GRAZIANO, JESSE AT&T AKA ILLINOIS 07/25/14 BRILL & FISHEL HENNESSY & ROACH PC 263 14WC 30892 ARELLANO, MIGUEL SIMPLEX GRINNEL 06/15/14 MARC J SHUMAN & ASSOCIATES POWER & CRONIN LTD 264 14WC 31182 19B HOLLE, JESSICA FAIRWOOD SCHOOL 11/01/13 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 265 14WC 31336 DELGADO, GRISELDA INDIAN PRAIRIE SCHOOL 10/02/13 SKLARE LAW GROUP BRADY CONNOLLY & MASUDA PC 14WC031337 -C 14WC031338 -C 266 14WC 32221 THOMAS, LAMOND CLEAR STAFF INC 10/08/13 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 267 14WC 32550 VANCIL, EARL SUNCRAFT TECHNOLOGIES INC 02/11/14 PORRO NIERMANN LAW GROUP COZZI & GOGGIN-WARD 268 14WC 33096 BARAJAS, NINFA LINDSAY WINDOW & DOOR LLC 12/06/13 BRIAN T MORROW, LAW OFFICE COZZI & GOGGIN-WARD 269 14WC 33645 PESOVIC, DALIBORKA UNITED PARCEL SERVICE 02/28/14 PORRO NIERMANN LAW GROUP ASA LAW GROUP 15WC017622 -C UPS 16WC023689 -C 270 14WC 33746 KENNEDY, CARMELIA WEST TERRACE NURSING HOME 07/14/14 PORRO NIERMANN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 271 14WC 34165 BROWN, ELIZABETH MARKLUND CHILDREN'S HOME 07/04/14 JOHN C SERKLAND KEEFE CAMPBELL & ASSOC LLC 272 14WC 34200 STEELE, GREG WILLIAM BUIKEMA'S ENTERPRISES LTD 01/22/12 RICHARD C GLEASON WOLFE & JACOBSON, LTD 273 14WC 34283 MEDRANO, SALOMON ADDISON FRESH MARKET INC 08/20/14 THE ROMAKER LAW FIRM GANAN & SHAPIRO 15WC041625 -C CARNICERIA JIMENEZ 274 14WC 34359 IBARRA, MARIA E DUNKIN DONUT PC #336533 07/04/14 OSVALDO RODRIGUEZ PC RUSIN & MACIOROWSKI LTD 275 14WC 34494 FERRERIA, JORGE JOHN BURNS CONSTRUCTION 09/24/14 BRUSTIN & LUNDBLAD LTD ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 14WC 34614 KNIGHT, ROBERT A WHEATON POLICE DEPT. 02/04/14 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 277 14WC 34698 GARCIA, MARIA EDITH HOME PRIDE SERVICES, INC 07/30/14 RATHBUN CSEVENYAK & KOZOL 278 14WC 35699 JACKSON, CURTIS EDWARD HOSPITAL 08/08/14 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 279 14WC 35981 TOCHIMANI, MARIA ARAMARK 09/05/14 JAMES ELLIS GUMBINER & ASS 280 14WC 36025 HERNANDEZ, LUZ COSTCO 04/11/14 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 281 14WC 36344 MARTIN, JAMES P NOLAND SALES CORP 06/02/14 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 282 14WC 36359 WHEELER, GEORGE JR DAIMLER TRUCKS NO AMERICA 08/20/12 LAW OFFICES OF MARK SCHAFF KNELL & O'CONNOR 14WC036360 -C 14WC036361 -C 14WC036362 -C 14WC036363 -C 14WC036364 -C 283 14WC 36637 SINGO, SANDILE SYNCREON 09/02/14 DWORKIN AND MACIARIELLO 284 14WC 36944 ALMEN, SCOTT VON DOWNERS GROVE POLICE DEPT 11/13/13 MEYERS & FLOWERS VILLAGE OF DOWNERS GROVE 285 14WC 37098 ROGERS, CORY MIDDLE WEST DISTRIBUTORS 09/19/14 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 286 14WC 37174 LEE, ROBERT DUPAGE COUNTY 05/29/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 287 14WC 37219 CRUDU, VADIM ABS TRANSPORTATION INC; T 11/02/12 LAW OFFICES SIDNEY EZRA 288 14WC 37370 PELAEZ, ELMA JF CLEANING, INC 10/10/14 CULLEN HASKINS NICHOLSON RODDY LAW LTD 289 14WC 37379 MARTINEZ, MARCO A ELITE STAFFING 07/01/14 CULLEN HASKINS NICHOLSON MARC CAIRO 290 14WC 37693 SEBESTA, GREGORY OAKBROOK TERRACE 06/17/14 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 291 14WC 37780 SERRANO, DANIEL PROFESSIONAL TREE REMOVAL W 07/22/14 THOMAS J STIBERTH LAW OFFI ASSISTANT ATTORNEY GENERAL 292 14WC 37841 STUBBS, JOSEPH R OPUS DESIGN BUILD 06/25/13 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 293 14WC 38263 SALAS, MARIA ARAMARK 03/14/14 COSTA IVONE LLC STONE & JOHNSON CHARTERED 294 14WC 38719 JAKVANI, SHOUKAT EXTENDED STAY AMERICA 02/13/14 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 295 14WC 38758 CALDERON, RAMIRO CCA MIDWEST 10/02/14 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 296 14WC 39068 ROSE, PHILLIP FORE TRANSPORATION, INC. 11/11/14 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 297 14WC 39350 GUZMAN, LUIS BUILDERS CONCRET SERVICE 10/17/14 KALOGERAKOS & ASSOC 298 14WC 39377 PADILLA, JUAN CARLOS JOSE ROJAS & SHOWALTER RO 10/29/14 EPSTEIN, JACK R LAW OFFICE WOLF LAW LTD 299 14WC 39939 LOPEZ-PEREZ, MIGUEL VILLAGE MARKET PLACE 05/28/14 DEPAOLO ZADEIKIS GORE GANAN & SHAPIRO 300 14WC 40196 VALENZUELA, JORGE N J.B. HUNT 03/04/14 AIOSSA LAW FIRM RUSIN & MACIOROWSKI LTD 301 14WC 40385 STOFFLE, DAVID JEWEL OSCO 11/17/11 DWORKIN AND MACIARIELLO 302 14WC 40441 SERRITELLA, ANNETTE MACY'S EAST 10/03/10 LAW OFFICE PHILIP BLOMBERG ROBERT L. SMITH 14WC040442 -C 14WC040443 -C 14WC040444 -C 303 14WC 40776 RHODE, NICK RADIO SHACK 09/23/14 GRAZIAN & VOLPE PC 304 14WC 40950 SOLIS, JOSE OYUKIS LANDSCAPING CORP 10/29/14 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 305 14WC 41238 DELGADO, ALVARO AMICI ITALIAN DELI 11/20/14 AIOSSA LAW FIRM 306 14WC 41454 CUEVAS-ROGEL, RUFINA ADDUS HOME CARE 10/17/14 TAMVAKIS, GEORGE L HENNESSY & ROACH PC 307 14WC 41499 LEWIS, JOHN J JR DAN LOGISTICS INC 03/21/13 ANTHONY C RACCUGLIA & ASSO 308 14WC 41528 GUZMAN, LUIS BUILDERS CONCRETE SERVICE 10/17/14 KALOGERAKOS & ASSOC 309 14WC 41649 LEVCHENKOV, LEONID WIESLAW SKOWRON CONSTRUCT 11/25/14 PARAD LAW OFFICES PC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 310 14WC 41910 ASCENCIO, MANUEL SERVICE DRYWALL COMPANY 11/17/14 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 311 14WC 42145 PEREZ, VICTOR M F.R.Y. INSTALLATIONS CORP 03/17/14 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 312 14WC 42310 AYALA, MANUELA ELITE STAFFING INC 11/01/14 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 313 14WC 42323 JONES, SHIRLEY A BRIDGEWAY OF BENSENVILLE 10/30/14 FRIEDMAN & SOLMOR LTD INMAN & FITZGIBBONS 314 14WC 42444 JONES, PIERRE SAVERS THRIFT STORE 09/05/14 ANKIN LAW OFFICE RODDY LAW LTD 15WC012909 -C 315 14WC 42810 MOORE, JASON AT & T 09/01/14 GOLDBERG WEISMAN & CAIRO L 316 14WC 42984 CARPENTER, MARIA CHRISTIAN ART GIFTS INC 11/25/14 FRANCIS J DISCIPIO LAW OFF RUSIN & MACIOROWSKI LTD 317 14WC 43046 GIRALDO, MARIA EATON CORPORATION 12/03/14 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 15WC006062 -C 318 14WC 43173 TARNOWSKA-KRAHEL, BEATA AMBULATORY SURGICENTER 01/10/12 SYREGELAS, NICHOLAS C 319 14WC 43442 KOMMENICH, MARY THE ILLINOIS STATE TOLL 11/13/14 ANKIN LAW OFFICE GANAN & SHAPIRO 320 14WC 43734 VELAZQUEZ, HUGO E UNION STAFFING 11/21/14 GOLDSTEIN BENDER & ROMANOF MC ANDREWS & NORGLE LLC 16WC034277 -C UNISTAFF, INC 321 14WC 43750 POSADA, MARIA ABBOTT LABEL INC. 09/23/14 ARGIONIS & ASSOCIATES LLC LAW OFFICES OF EDWARD J. KOZ 322 15WC 00132 MARU, DANIEL NAVIGATION INC 11/05/14 KATZ FRIEDMAN EAGLE ET AL 323 15WC 00289 MELEHAN, DANIEL D2K TRAFFIC EQUIPMENT & D 12/20/14 DONALD M. PHELAN NYHAN BAMBRICK KINZIE & LOWR 324 15WC 00311 BELEIN, SAWSAN T TYSON FOODS INC 08/28/13 BUDIN LAW OFFICES GANAN & SHAPIRO 325 15WC 00319 MENDOZA, ANGELINA US BANK 07/15/14 LIPKIN & HIGGINS LAW OFFIC HENNESSY & ROACH PC 326 15WC 00370 MORALES, ALMA ELITE STAFFING 12/04/14 LAW OFFICES OF ANSELMO DUR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 327 15WC 00394 CLAMPITT, CORTNEY F/K/A ALDI 11/01/14 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 328 15WC 00676 VAZQUEZ, DIEGO ADDANTE'S CATERING & PIZZ 10/03/14 MUELHAUSEN & STEFANI PATRICOSKI, MARK G 329 15WC 00997 PINEDA, CARLOS ASG STAFFING 08/28/14 STROM, NEAL B 330 15WC 01427 FLORES, ISAI AGUILAR STANDARD MARKET LLC 08/26/14 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 331 15WC 01537 JIMENEZ, JOSE ASPLUNDH TREE EXPERT 10/15/14 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 332 15WC 01655 HALSTEAD, ALVA LORUSSO CEMENT CONTRACTOR 11/11/14 HORWITZ HORWITZ & ASSOC CHILTON YAMBERT PORTER LLP 333 15WC 01918 KNITTER, DEBORAH HCR MANORCARE 07/17/14 HORWITZ HORWITZ & ASSOC 15WC001919 -C 334 15WC 01944 ROBLES, ROBERTO OLYMPIA MOVING & STORAGE W 12/05/14 MC HARGUE, JAMES P LAW OFF MICHAEL DAVIS, ESQ 335 15WC 02321 SCHOLTENS, DEANNA JEWEL-OSCO 11/06/14 LAW OFFICE MATHYS& SCHNEID 336 15WC 02540 AGUINIR-BOWIE, MARGARETTE EDWARD HOSPITAL/LINDEN OA 07/05/14 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 337 15WC 02635 WHITE, ALBERT PEOPLES RESOURCE CENTER 07/21/14 HUGHES SOCOL PIERS RESNICK NYHAN BAMBRICK KINZIE & LOWR 338 15WC 02898 MARTINEZ, CLAUDIA FOREST ENVELOPE CO 11/05/14 RATHBUN CSEVENYAK & KOZOL 339 15WC 02930 SARRIS, DINOS NATIONAL EXPRESS CORP 03/12/13 BRADY CONNOLLY & MASUDA PC 340 15WC 03025 CANDIA, JOSE SUPREME LOBSTER & SEAFOOD 01/14/15 LUIS A ACEVES & ASSOC ROSARIO CIBELLA 341 15WC 03047 RENTERIA, JOSE INTEGRA 11/07/14 SOSTRIN AND SOSTRIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 342 15WC 03320 SCHULD, MICHAEL UPS 10/24/13 CHRISTIAN & MANNO NYHAN BAMBRICK KINZIE & LOWR 343 15WC 03457 BIEDA, JOHN US FOOD SERVICES 06/11/14 FOHRMAN, DONALD W & ASSOCS BRADY CONNOLLY & MASUDA PC 15WC003458 -C 16WC020059 -C 344 15WC 03589 HILL, ROGER DOWNERS GROVE SOUTH H.S. 04/14/14 WHITESIDE & GOLDBERG LTD LAW OFFICES JOSEPH MARCINIAK 345 15WC 03619 MARTINEZ, MODESTA ARAMARK UNIFORM 10/20/14 JAMES ELLIS GUMBINER & ASS STONE & JOHNSON CHARTERED 15WC005017 -C 346 15WC 03764 DELEON, KATRINA EMBASSY SUITES CHICAGO 11/17/14 ROSS TYRRELL NOBLE & ASSOCIATES PC 347 15WC 03808 GHAI, VED BANK OF AMERICA 02/19/14 LAW OFFICE PHILIP BLOMBERG WOLFE & JACOBSON, LTD 348 15WC 03976 HAKIM, DAVID DUPAGE COUNTY SHERIFF 12/11/14 MCCARRON LAW FIRM, PC WIEDNER & MCAULIFFE LTD 349 15WC 04055 MURPHY, JAMES LITTLE MAX INC 01/08/15 WOODRUFF & JOHNSON ALLEN KOPET & ASSOCIATES 350 15WC 04200 JACKSON, PATRICE A COMED 12/16/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 351 15WC 04237 DEALBA, GABRIELLE E SES LOGISTICS 12/01/14 SEIDMAN MARGULIS & FAIRMAN GRANT & FANNING 352 15WC 04282 DONIEK, DENISE LUNAN CORP 07/09/13 MOSS & MOSS PC COZZI & GOGGIN-WARD 353 15WC 04451 ALVARADO, MARIA ILLINOIS CENTRAL 10/30/12 BURNETT AND CARON MACIOROWSKI SACKMANN & ULRIC 354 15WC 04540 GAMBOA, MARIA PARKER HANNIFIN CORPORATI 01/07/14 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD 355 15WC 04666 FULWILEY, EBONY MARIE UNITED PARCEL SERVICE 01/07/15 CULLEN HASKINS NICHOLSON 356 15WC 04890 GALVAN, ERASTO UNIVERSAL TAXI DISPATCH I W 01/09/15 WILLIAMS, ROBERT B LAW OFF MACIOROWSKI SACKMANN & ULRIC 357 15WC 04966 DRISH, KRISTINE FIRST CENTENNIAL MORTGAGE 02/06/15 VRDOLYAK LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 358 15WC 05125 FRENECAK, BILL CARCARE COLLISSION 01/28/14 SAUNDERS CONDON & KENNY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 359 15WC 05217 FORTINO, ROBERT VILLAGE OF WOODRIDGE 01/03/15 WHITESIDE & GOLDBERG LTD POWER & CRONIN LTD 360 15WC 05397 GLOWA, ZBIGNIEW INX INTERNATIONAL INK CO 01/14/15 KARCHMAR & STONE RODDY LAW LTD 361 15WC 05739 VARGAS, SUSAN COVENANT RETIREMENT 01/02/15 COVEN LAW GROUP ASHER, RAYMOND L LTD 362 15WC 06162 TILL, KENNETH MID CITY TRUCK BODY & 06/19/13 BRIAN T MORROW, LAW OFFICE GAROFALO SCHREIBER STORM 363 15WC 06266 DOUGLAS, RHONDA FEDEX GROUND PACKAGE 01/20/15 SANDMAN LEVY & PETRICH SCOPELITIS GARVIN LIGHT 364 15WC 06375 RIZZI, ANGELO C PRO SERVICES INC 12/30/14 GOLDBERG WEISMAN & CAIRO L 365 15WC 06403 LOPEZ, VICTOR TPG NORAMCO LLC 02/09/15 AIOSSA LAW FIRM 366 15WC 06642 ISIDRO REZA, JOSE NEW ROYAL DISTRIBUTERS 02/09/15 COSTA IVONE LLC LAW OFFICES JOSEPH MARCINIAK 367 15WC 06951 SCHULTZ, ERIN DUPAGE COUNTY 02/12/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 368 15WC 06956 LAMBERT, RICHARD DILWORTH WINDOWS & DOORS 06/04/14 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 369 15WC 07028 NAVA, MARIA ELITE STAFFING 02/20/15 JONATHAN SCHLACK 370 15WC 07141 ZIETHEN, RICK FOX VALLEY FORK LIFT 01/27/15 COMPTON LAW GROUP COZZI & GOGGIN-WARD 371 15WC 07241 PATTELLI, GINA J WHOLE FOODS MARKET INC 03/08/13 MICHAEL FRADIN GILDEA & COGHLAN 372 15WC 07277 FLORES, BELKYN STAND FAST PACKAGING 06/09/14 JAMES ELLIS GUMBINER & ASS 373 15WC 07400 BARNO, JEFF NAVISTAR 03/14/12 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 374 15WC 07424 JOHNSON, ANDERS MAAC MACHINERY CO 02/02/15 CAMERON CLARK HOLECEK & ASSOCIATES 375 15WC 07497 WESOLEK, THOMAS AMERIGAS PROPANE INC 10/31/13 CORBOY & DEMETRIO PC WIEDNER & MCAULIFFE LTD 376 15WC 07532 BERREONDO, MIGUEL CONAGRA FOODS 08/26/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 377 15WC 07767 KAZOTIN, CHRISTELLE VITAS HEALTHCARE CORP 02/02/15 CRONIN & PETERS HENNESSY & ROACH PC 378 15WC 07859 ADAMS, ROBERT F II ADVANTAGE VALET PARKING I 02/04/15 DOUGLAS RALLO PC 379 15WC 07877 MESQUITA, WILLIAM MCMASTER-CARR 09/23/14 RIFFNER BARBER ROWDEN & SC NYHAN BAMBRICK KINZIE & LOWR 16WC029541 -C 380 15WC 08201 MORALES, ISABEL MEYERCORD 11/07/14 LEAHY, JAMES P THOMAS & PORTELA 381 15WC 08207 HARRISON, GENE GRADY SPEEDWAY TRANSPORT 02/25/15 WOODRUFF & JOHNSON LEWUN & KAIS LTD 382 15WC 08384 SHAH, ANILKUMAR DELTA CIRCUITS INC 05/20/14 KINNALLY FLAHERTY KRENTZ & WOLFE & JACOBSON, LTD 383 15WC 08703 SALGADO, ROCIO E&C CUSTOM PLASTICS INC 01/15/15 FRIEND LEVINSON & BERGAL LAW OFFICES JOSEPH MARCINIAK 384 15WC 08736 MACDONALD, DOUGLAS PETCO PETROLEUM CORP 02/05/15 SOSTRIN AND SOSTRIN PC GRANT & FANNING 385 15WC 09002 HAMMOND, MICHAEL CASSENS TRANSPORT 02/24/14 PORRO NIERMANN LAW GROUP KNAPP, OHL & GREEN 386 15WC 09060 HOFFMAN, COURTNEY KANE ANESTHESIA ASSOCIATE 02/08/15 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 387 15WC 09349 PARKER, CHARLES GENERAL MILLS, INC. 01/14/15 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 388 15WC 09612 SASSEN, JUSTIN D GIVAUDAN FLAVORS 08/22/14 BUDIN LAW OFFICES SLAVIN & SLAVIN 389 15WC 09706 SCHERRER, RAYMOND W JR EMPLOYMENT MANAGEMENT SER 10/07/14 SHENOO, EDWARD G BRYCE DOWNEY & LENKOV LLC 390 15WC 09713 KUMAR, ARUN INGRAM MICRO INC 12/06/13 MILLON & PESKIN LTD 391 15WC 09729 BURNS, JEANNINE FOREST ENVELOPE CO 08/26/14 NEWLAND & NEWLAND HENNESSY & ROACH PC 392 15WC 09738 GUERRERO, GIOVANNI ALBLE ENGINEERING SERVICE 02/06/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING 393 15WC 10381 EILERT, AILEEN GZA GEO ENVIRONMENTAL INC 01/15/15 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 394 15WC 10533 BURNSIDE, SUSAN JEWEL FOOD STORE 09/27/14 KINNALLY FLAHERTY KRENTZ & BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 395 15WC 10553 SAUCEDO, ALMA S&S CLEANING SOLUTINS 02/25/15 396 15WC 10590 CHAMBERS, BRIAN MECHANICAL INC. 03/13/15 JOHN E LUSAK KEEFE CAMPBELL & ASSOC LLC 397 15WC 10709 KAUR, JASWINDER SONOCO PRODUCT COMPANY 04/07/14 KP LAW LLC NOBLE & ASSOCIATES PC 15WC010710 -C 15WC010711 -C 15WC010712 -C 15WC010713 -C 398 15WC 11276 MUTZ, CATHERINE EDWARDS HOSPITAL 01/04/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 399 15WC 11369 WHITE, KATHY FACTORY NESTLE USA INC 04/11/14 JOHN E LUSAK KEEFE CAMPBELL & ASSOC LLC 15WC011370 -C 400 15WC 11895 HAGOPIAN, CHERYL JETRO HOLDINGS, LLC 03/19/15 SKLARE LAW GROUP HOLECEK & ASSOCIATES 401 15WC 12351 HUFNAL, STEPHANIE PROCURE PROTON THERAPY CE 12/11/12 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 15WC012352 -C 15WC013099 -C 15WC042344 -C NORTHWESTERN MEDICINE CHIC 402 15WC 12366 GOGERTY, PATRICK PUBLIC STORAGE 03/19/14 HUGHES SOCOL PIERS RESNICK MC ANDREWS & NORGLE LLC 15WC012367 -C 403 15WC 12566 RIEBEL, FRED TURNER INDUSTRIAL MAINTEN 12/23/14 ROMANUCCI & BLANDIN SPIEGEL & CAHILL, PC 404 15WC 12863 NORDSTROM, ANDREW COMCAST 11/08/14 405 15WC 13098 GOMEZ, JOSE CORNELIUS INC 03/31/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 406 15WC 13139 HUTTON, HAROLD BATESVILLE CASKET CO 03/15/15 KINNALLY FLAHERTY KRENTZ & BRADY CONNOLLY & MASUDA PC 407 15WC 13430 CLARK, KEVIN J. ELLIS CORPORATION 01/16/15 BUDIN LAW OFFICES GRANT & FANNING 408 15WC 13777 GLOVER, SCOTT ITASCA FIRE PROTECTION DI 11/25/14 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 409 15WC 13863 FILISHIO, MICHAEL VILLAGE OF ADDISON 08/19/14 R. MARK MARITOTE PC BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 410 15WC 13908 SCHIAVONE, ANGELA GREAT ASH 05/18/13 KP LAW LLC 411 15WC 14026 ASHITTEY, PETER CRST MALONE/CRST INTL 03/16/15 FOOTE MIELKE CHAVEZ & O'NE THOMAS & PORTELA 412 15WC 14272 GUYTON, RICKEY ASG STAFFING INC. 04/15/15 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 413 15WC 14407 BERNDT, ROBERT KEENAN TRANSIT COMPANY 03/23/15 PORRO NIERMANN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 16WC006712 -C 16WC020206 -C PHOENIX LOGISTICS INC 16WC020211 -C 414 15WC 14500 BROWN, JOSEPH THE HOLLAND DESIGN GROUP 08/28/14 KP LAW LLC 415 15WC 14594 SARMIENTO, PEDRO WINGREN LANDSCAPE 04/15/15 THE ROMAKER LAW FIRM HANSON LAW OFFICE 416 15WC 14911 CZERNEK, DIANA ADVOCATE GOOD SAMAITAN 10/29/13 LAW OFFICE JOSHUA KARMEL NYHAN BAMBRICK KINZIE & LOWR 15WC014912 -C 417 15WC 14932 WANG, JHON TRYSON METAL STAMPING 12/22/14 RUBENS AND KRESS GRANT & FANNING 418 15WC 14937 MARTINEZ, MARCO A ELITE STAFFING INC 02/02/15 CULLEN HASKINS NICHOLSON MARC CAIRO 419 15WC 15270 O'CONNOR, JEFFREY VERISK INC DBA 04/21/15 RUSSO & RUSSO LTD HOLECEK & ASSOCIATES 420 15WC 15369 ROBERT, CIRICLO MAAC 03/03/15 JOHN E LUSAK HOLECEK & ASSOCIATES 421 15WC 15425 FONSECA, MARIA SPRAYING SYSTEMS CO 08/15/13 EPSTEIN, JACK R LAW OFFICE DONALD J. MORAN 422 15WC 15672 MONTERO FIGUERO, JOSE A SABIC INNOVATIVE PLASTICS 07/25/14 SALGADO, DAVID L MC ANDREWS & NORGLE LLC 423 15WC 15676 KUHTER, STEPHANIE FED EX # 04/20/15 LAW OFFICE PHILIP BLOMBERG SCOPELITIS GARVIN LIGHT 424 15WC 15792 HARRIS, BARBARA GENERAL MILLS INC 05/31/13 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 15WC 15805 LODESTRO, VINCENT CAPUTO'S FRESH MARKET 11/13/14 STEVEN M SELAN GANAN & SHAPIRO 426 15WC 15875 HUITZ, AMALIA DEMAR 05/12/14 BUDIN LAW OFFICES HOLECEK & ASSOCIATES 15WC015876 -C 427 15WC 15985 MACIEJEWSKI, ROBERT T JR MAVERICK TRANSPORTATION L 04/25/14 MAURICE E DUSKY PC LEWIS RICE LLC 428 15WC 16179 RICCARDO, MARGARET THE BONTON 03/11/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 429 15WC 16267 MCCORKELL, KYLE MANSFIELD OIL CO. 08/12/14 CAPRON & AVGERINOS PC LAW OFFICES OF 430 15WC 16379 LAKE, LYLE CITY OF WHEATON 03/13/15 THOMAS W DUDA BRADY CONNOLLY & MASUDA PC 431 15WC 16429 ADKINS, TINA NEW ALBERTSON'S/ 11/19/14 LOSS & PAVONE 432 15WC 16522 CARPENTER, BRANDON MCDONALD'S 05/09/15 VRDOLYAK LAW GROUP LLC 433 15WC 16563 GARCIA, J VICENTE SANCHEZ APPIAN STONE WERKS INC 04/20/15 R. MARK MARITOTE PC GANAN & SHAPIRO 434 15WC 16574 LAUNIZAR-MORALES, MAGDALE LABOR SOLUTIONS 09/26/13 LAW OFFICE OF JAMES URTIS RODDY LAW LTD 435 15WC 16575 HOLZWART, LEIGH ENTERPRISE LEASING OC CHG 07/16/13 ELMAN LAW GROUP LLC LAW OFFICES OF JOHN D. WENDL 436 15WC 16581 POSH, MAX E TRADER JOE'S 10/11/13 CRONIN & PETERS MC ANDREWS & NORGLE LLC 437 15WC 16585 BARRERA, ADELA JEWEL FOOD STORES 07/23/14 KARCHMAR & STONE 438 15WC 16624 MARTINEZ, CECILIA MID-WEST DIRECT MAILERS, 03/03/15 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 439 15WC 17069 CABRERA, ERIC A POWER SOLUTIONS INTL 04/22/15 GOLDSTEIN BENDER & ROMANOF 440 15WC 17282 JAIMES, GLORIA ALDEN STATES 11/13/14 SEIDMAN MARGULIS & FAIRMAN 441 15WC 17309 VIVO, FRANCIS LOMBARD POLICE DEPT 03/04/15 STROM, NEAL B KLEIN THORPE & JENKINS LTD 442 15WC 17364 MYSLINSKI, DAVID PIR TANO CONSTRUCTION CO. 05/23/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 15WC 17684 MIRAMONTES, JOSE GENERAL GROWTH PROPERTIES 04/13/15 ANKIN LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 444 15WC 17994 RYAN, PATRICK JR. TSA PROCESSING 04/16/15 THE FITZ LAW GROUP HOLECEK & ASSOCIATES 445 15WC 18028 SCHABINGER, PETER COMMVAULT 05/22/15 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 15WC018029 -C 446 15WC 18691 COGGINS, DENNIS CHICAGO MARRIOTT NAPERVIL 09/18/14 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 15WC018692 -C 447 15WC 18828 NOBLE, CHARLES EA SWEEN CO 05/08/15 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 16WC004261 -C 448 15WC 19198 GARCIA, MARIA E TARGET PLASTICS 01/30/15 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM 449 15WC 19253 VALDEZ, DANIEL SOUTH SHORE IRON WORKS 04/09/15 HORWITZ HORWITZ & ASSOC RODDY LAW LTD 450 15WC 19300 SHERIDAN, SEAN AMERICAN LITHO 06/04/15 RUBIN LAW GROUP 451 15WC 19347 MONEY, WILLIE C. FIRST STUDENT BUS CO. 01/05/15 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 452 15WC 19593 FERNANDEZ, ELVA CROSSROADS HOSPITALITY MG 10/03/14 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 453 15WC 19840 AMBRAY, MICHAEL L ADVOCATE GOOD SAMARITAN H 08/12/13 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 15WC019841 -C 454 15WC 19938 WHEELER, GREY ACCURATE TEMPORARY SERVIC 03/26/15 MEYERS & FLOWERS GRANT & FANNING 455 15WC 20142 VASQUEZ, MIGUEL RACKOW POLYMERS 01/06/15 FREDRICK B BARDER, LTD LUCAS & APOSTOLOPOULOS 456 15WC 20471 MOORE, KAREN COMFORT KEEPERS 09/27/14 STROM, NEAL B 457 15WC 20744 SYDOR, JASON TOP HAT LOGISTICS 03/29/13 STEWART C ORZOFF SMITH AMUNDSEN LLC 458 15WC 21079 LOPEZ, DIANA PROTECTO SEAL 02/18/15 STEVEN J MALMAN & ASSOCIAT 459 15WC 21183 DOMALIK, PIOTR CORONET CONSTRUCTION INC 06/17/14 LEO ALT RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 460 15WC 21280 ACEVEDO, MANUEL AMERICAN GARDEN INC 05/10/14 MARC J SHUMAN & ASSOCIATES LAW OFFICES OF 461 15WC 21385 MARTINEZ, FRANSISCO SURE STAFF INC 05/11/15 JOHN S. ELIASIK KEEFE CAMPBELL & ASSOC LLC 462 15WC 21727 BEASLEY, WISHANDA ST PATRICK'S RESIDENCE 06/18/15 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM 463 15WC 21746 LAROCCA, JACQUELINE JEWEL OSCO 07/30/14 CRONIN & PETERS BRADY CONNOLLY & MASUDA PC 464 15WC 21762 DOWD, STEVE J ARGONNE NATL LABORATORY 05/11/15 O'CONNOR & NAKOS KEEFE CAMPBELL & ASSOC LLC 465 15WC 21858 BURROW, AARON BRADFORD EXCHANGE 02/03/15 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 466 15WC 22013 SITTIG, MICHELE CHANG DENTAL 03/24/14 KINNALLY FLAHERTY KRENTZ & RUSIN & MACIOROWSKI LTD 467 15WC 22118 VAN OVERMEIRER, ABEL EUCLID BEVERAGE * 05/20/15 PORRO NIERMANN LAW GROUP ROBERT L. SMITH 468 15WC 22203 HARRIS, AUTUMN NICOR GAS COMPANY 06/10/15 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 469 15WC 22278 GOMEZ, MANUEL AGL RESOURCES 06/24/15 RUBIN LAW GROUP 470 15WC 22431 BARRERA, JUAN CARLOS E&M ALVAREZ MOVING COMPAN 04/25/15 CHEPOV & SCOTT LLC 471 15WC 22475 PROCICH, ALEXANDER J. THOMAS INTERIOR SYSTEMS 06/05/15 MARKER & ASSOCIATES CASSANO & ASSOCIATES 472 15WC 22745 LOCKERT, STEVEN PLOTE CONSTRUCTION 02/14/14 RIDGE & DOWNES GAROFALO SCHREIBER STORM 473 15WC 22773 AMADOR, MARIA ARAMARK 04/17/15 DAVID W MARTAY INMAN & FITZGIBBONS 474 15WC 22860 TLAHUEXTL, JORGE TGI FRIDAYS 06/02/15 GERALD BAUER JR INMAN & FITZGIBBONS 475 15WC 23188 ALDAY, JUAN PACKEY WEBB FORD 12/02/14 LAW OFFICES ROBERT WARSASK WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 476 15WC 23213 THOMAS, JOSEPH W RND EXHIBITS INTERNATIONA 11/30/12 TAMVAKIS, GEORGE L 15WC023214 -C 477 15WC 23234 LALEIAN, THEODORE CAROL STREAM PARK DIST 08/08/13 MILLON & PESKIN LTD HENNESSY & ROACH PC 15WC023235 -C 15WC023236 -C 15WC023237 -C 15WC023238 -C 478 15WC 23248 BUENO, ROSALINDA M&R HVAC 08/06/12 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 479 15WC 23288 TATE, LAKEESHA D BIRGHTSTAR CARE 07/16/15 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD 15WC023729 -C WYNSCAPE NURSING/REHAB CTR 480 15WC 23418 DIMITROV, IVAN NORTHWESTERN MEDICINE 01/19/15 CAPRON & AVGERINOS PC 481 15WC 23578 ZIELEZINSKI, STEPHEN IL STATE TOLL HWY AUTHORI 04/27/15 STROW LAW LLC GANAN & SHAPIRO 482 15WC 23646 DOLE, BRIAN K5 CONSTRUCTION 06/05/15 PETER D CORTI LAW GROUP GAROFALO SCHREIBER STORM 483 15WC 23683 GARNICA, JUAN THE JEL SERT COMPANY 07/08/15 SALVATO & O'TOOLE 484 15WC 23723 COTTS, REINALDO SERVICE MASTER CLEAN 04/04/15 FOOTE MIELKE CHAVEZ & O'NE 485 15WC 24038 GASCA, EDUARDO COMMERCIAL FLOOR COVERING 07/28/15 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 486 15WC 24043 BURRELL, KERRY DUPAGE HABITAT FOR HUMANI 06/03/15 STEVEN H MEVORAH & ASSOCIA 487 15WC 24070 CUADROS, ROSA EUREST SERVICES 06/04/15 ALBERT R. PINO LAW OFFICE GANAN & SHAPIRO 488 15WC 24165 CAVANAUGH, AURORA M & H MACHINING, LLC 07/14/15 MC HARGUE, JAMES P LAW OFF NYHAN BAMBRICK KINZIE & LOWR 489 15WC 24491 CLAYTON, L.C. KRAFT FOODS 07/12/15 SMOLER LAW OFFICE, PC WIEDNER & MCAULIFFE LTD 16WC020657 -C MONDELEZ 490 15WC 24531 LEICHT, BRENDA L HAIR CLUB FOR MEN OF CHGO 06/27/15 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 491 15WC 24620 DE LA CRUZ, ANABEL GOODWILL RETAIL SERVICES 06/04/15 EPSTEIN, JACK R LAW OFFICE ACCIDENT FUND HOLDINGS

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 510 15WC 26996 ROMERO, OMAR CONCRETE CONSTRUCTION CO 07/29/15 BAUM RUFFOLO & MARZAL LTD COZZI & GOGGIN-WARD 511 15WC 27177 BACHMANN, MICHAEL ANDERSON PEST CONTROL 09/23/10 CAPRON & AVGERINOS PC GOLDBERG SEGALLA LLC 512 15WC 27184 MENDOZA, LEANDRO VDS ROOFING & SIDING & 06/24/15 STROM, NEAL B COZZI & GOGGIN-WARD 513 15WC 27293 FLORES, DANIEL JEL SERT CO 07/18/14 SALVATO & O'TOOLE 514 15WC 27304 ORDONEZ, DEDIUSKA VALDES GCA SERVICES 07/29/15 HANNIGAN & BOTHA, LTD POWER & CRONIN LTD 515 15WC 27542 GARCIA, IRMA SIEMENS INDUSTRY INC 01/06/15 ALVARO COOK LTD HOLECEK & ASSOCIATES 516 15WC 27612 MAY, LAURA J QUEST DIAGNOSTIC 02/10/14 LAURA WALKER HENNESSY & ROACH PC 517 15WC 27734 RANGEL, MARIA R PORTFOLIO OAK BROOK LLC 06/23/15 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 518 15WC 28033 PLENCNER, JOSEPH LISLE-WOODRIDGE FIRE 06/23/15 THOMAS W DUDA 519 15WC 28087 DRASKOVIC, OGNJEN LITTLE MACS, INC. 06/19/15 LOSS & PAVONE NYHAN BAMBRICK KINZIE & LOWR 520 15WC 28254 GALLINA, BARRY IMTT-ILLINOIS 08/20/15 SALK, STEVEN B & ASSOC LTD GRANT & FANNING 521 15WC 28322 SMITH-MYLES, KATHERINE HCR MANOR CARE 04/02/15 ANGELINI & ORI LLC BRYCE DOWNEY & LENKOV LLC 522 15WC 28354 BARLOW, JAMES OXBOW MIDWEST CALCINING 08/05/15 BIZZIERI LAW OFFICES GRANT & FANNING 523 15WC 28420 LINCOLN, KATHERINE STS PETER AND PAUL PARISH 11/03/13 EDWARD P GRAHM LAW OFFICE STONE & JOHNSON CHARTERED 524 15WC 28450 WALLS, WILLIAM THE WESTIN LOMBARD 07/13/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 525 15WC 28669 MARTIN, JUSTIN CARMAX 10/03/14 BLEAKNEY & TROIANI ASA LAW GROUP 526 15WC 28774 HANDA, NEENA BANK OF AMERICA 01/03/15 MARKER & ASSOCIATES WOLF LAW LTD 527 15WC 28867 HERMOSILLO, MARIA MVP TEMPS 07/31/15 THE ROMAKER LAW FIRM KOREY RICHARDSON LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 564 15WC 34007 AVILA-ORTIZ, MARIA E ARAMARK 08/27/14 PETER D CORTI LAW GROUP WIEDNER & MCAULIFFE LTD 565 15WC 34038 VEGA, MARIA E KESTER, INC. 11/25/14 CIARDELLI CUMMINGS CAMPAGN 566 15WC 34061 MONDRAGON, ARMANDO SOURCE ONE STAFFING 10/08/15 JAMES ELLIS GUMBINER & ASS ROBERT L. SMITH 14WC041948 -C 567 15WC 34377 CHRISTIAN, SEAN A V STUMPFL 06/19/15 STROM, NEAL B 568 15WC 34402 SANDOVAL-RIOS, FLORIA COMMERCIAL CONTRACT CLEAN 10/08/15 ANKIN LAW OFFICE GILDEA & COGHLAN 569 15WC 34502 SNOWDEN-GASCA, APRIL SUNRISE OF WILLOWBROOK 08/30/15 ROSS TYRRELL HENNESSY & ROACH PC 16WC006907 -C 570 15WC 34524 TORRY, TINA BRIGHT DENTAL P.C. W 03/02/15 WOODRUFF & JOHNSON HENNESSY & ROACH PC 571 15WC 34956 GARCIA RAMOS, FRANCISCO JUST IN TIME STAFFING, LL 08/27/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 572 15WC 35186 TLEIB, RIMA CHRIST PANOS FOODS 10/27/14 FOHRMAN, DONALD W & ASSOCS 573 15WC 35255 FROHLING, FELICISIMA ALDEN ESTATES OF NAPERVIL 07/08/15 BRIAN J MC MANUS & ASSOC, KEEFE CAMPBELL & ASSOC LLC 574 15WC 35327 CIULLO, MICHAEL NORTH CENTRAL COLLEGE 06/05/15 ROMANEK & ROMANEK 575 15WC 35342 DREW, CAITLYN/STEPHENSON BED BATH AND BEYOND 09/09/15 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS DOLIN, PC 576 15WC 35454 PERRY, LAURA WALMART 08/19/15 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 577 15WC 35559 LEGASSIQUE, ASHLEY CENTRAL DUPAGE HOSPITAL 03/23/15 MILLON & PESKIN LTD 578 15WC 35635 LEJA, LOTTIE ANTHELIO HEALTHCARE SOL 11/15/12 KINNALLY FLAHERTY KRENTZ & HENNESSY & ROACH PC 579 15WC 35682 VANDERMOLEN, ERIC ALL STEEL IROM WORKS, INC 08/30/15 SEIDMAN MARGULIS & FAIRMAN HEYL ROYSTER VOELKER & ALLEN 580 15WC 36037 LINDEN, SCOTT GENEVA CONSTRUCTION CO 10/15/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 581 15WC 36145 RIO, JEFFREY VARIO MECHANICAL, LLC 01/07/15 KROL BONGIORNO & GIVEN LTD 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 FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 582 15WC 36182 ELLMAN, STEVEN IL STATE TOLL HWY AUTHORI @ 10/05/15 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 583 15WC 36431 BARBIER, KEVIN WILLAGE OF LOMBARD 04/21/14 HORWITZ HORWITZ & ASSOC KLEIN THORPE & JENKINS LTD 584 15WC 36675 VAZQUEZ, VICTOR INNOCOR FOAM TECHNOLOGIES 08/21/15 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 585 15WC 36751 SCHWARZ, DAVID UPS 04/20/15 MC HARGUE, JAMES P LAW OFF NYHAN BAMBRICK KINZIE & LOWR 586 15WC 36819 HEATHER, THOMAS GENERAL MILLS 06/30/14 BRYCE DOWNEY & LENKOV LLC 587 15WC 36866 STEDMAN, BARBARA WHITE PINES GOLF CLUB 10/03/15 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 588 15WC 36949 MILLER, THERESA BLACKHAWK RESTAURANT GROU 10/27/15 MARC J SHUMAN & ASSOCIATES RUSIN & MACIOROWSKI LTD 15WC036951 -C 589 15WC 37444 ABU-SHALBAK, MUSTAFA FRITO LAY 02/19/14 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 590 15WC 37469 PEREZ, LILIA SEPTRAN 10/21/15 FOHRMAN, DONALD W & ASSOCS BRADY CONNOLLY & MASUDA PC 591 15WC 37826 TLASECA, TEODORA UNITED BUILDING MAINTENAN 04/29/15 SALVATO & O'TOOLE COZZI & GOGGIN-WARD 592 15WC 37867 WALLS, LEONARD JEWEL OSCO 09/04/15 NILSON STOOKAL GLEASON CAP RODDY LAW LTD 593 15WC 38405 OLAGE, ERENDIDA MACK'S GOLDEN PHEASANT 08/24/15 MC HARGUE, JAMES P LAW OFF GANAN & SHAPIRO 594 15WC 38605 MENDOZA, JAMES S AMERICAN COMFORT ONE HOUR 05/28/15 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 595 15WC 38611 DAVALOS, URIEL ACURA INC 11/30/15 HANNIGAN & BOTHA, LTD LAW OFFICES OF EDWARD J. KOZ 596 15WC 38817 JORDAN, MICHELLE ADVENTIST HOSP HINSDALE 09/29/15 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD 597 15WC 38848 LYLE, KRISTI COCA-COLA 11/19/15 ASHER, RAYMOND L LTD NYHAN BAMBRICK KINZIE & LOWR 598 15WC 39027 CASTELLANOS, FIDEL CENTIMARK 02/03/15 TOSCAS, JOHN Z LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 599 15WC 39678 CISNEROS, JESUS QUESTMARK 03/06/14 PORRO NIERMANN LAW GROUP RIPES NELSON BAGGOT KALOBRAT

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 704 16WC 09850 ASTORGA, VERONICA RJB PROPERTIES 01/20/16 PARENTE & NOREM PC RODDY LAW LTD 705 16WC 09887 MCTEAR, KAYLA LEXINGTON HEALTH CARE 03/25/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 706 16WC 09991 SCHILF, CANDY M ADVOCATE HEALTHCARE - AMG 04/10/14 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 707 16WC 10014 VELASQUEZ, RICARDO INNOCOR INC. 08/31/15 LAW OFFICES MICHAEL HELLMA 708 16WC 10033 PEDERSEN, MARCIA DRAPERY CONNECTION 12/04/15 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 16WC010032 -C 709 16WC 10137 GILLON, JASMINE A-1 LIMOUSINE 10/17/15 LAW OFFICE OF SCOTT B SHAP 710 16WC 10191 FLORES, VICTORIA TOTAL STAFFING 03/03/16 MC HARGUE, JAMES P LAW OFF SLAVIN & SLAVIN 711 16WC 10256 BIRD, BRIAN APPLIANCE ALLIANCE 03/29/16 STEPHEN G PINTO LTD RUSIN & MACIOROWSKI LTD 712 16WC 10410 OSMAN, YASIR INDEMAND INTERPRETING 09/02/15 DEPAOLO ZADEIKIS GORE 713 16WC 10480 LARKIN, BONNIE L BABIES R US/TOYS R US 04/13/13 BLEDSOE, SUSAN G KEEFE CAMPBELL & ASSOC LLC 714 16WC 10630 DIAZ, GONZALO IRON MOUNTAIN 01/15/16 FIGLIOLI, DAVID 715 16WC 10707 JONES, PHILLIP PHOENIX STAFFING 03/28/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 716 16WC 10922 RAMIREZ, LEOPOLDO JUST IN TIME STAFFING INC 02/23/16 DISPARTI LAW GROUP PA 717 16WC 10988 LARA, JUVENCIO BARRICADE LITES INC 04/05/16 COSTA IVONE LLC THOMAS & PORTELA 718 16WC 11108 DELLARINGA, JOEL PRO MARTIAL ARTS/ARCILLA 12/14/15 MILLON & PESKIN LTD ROSARIO CIBELLA 719 16WC 11357 FLICEK, ESTHER SASED 11/02/15 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 720 16WC 11455 BRUNSON, MARVIN OFFICE DEPOT 02/15/16 THE FITZ LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 721 16WC 11472 DENENO, MILENA LE MERIDIAN 03/11/16 BAUM RUFFOLO & MARZAL LTD COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 722 16WC 11954 AGUILAR, JOSEFINA KSM ELECTRONICS MIDWEST I 02/15/16 ANKIN LAW OFFICE INMAN & FITZGIBBONS 723 16WC 12134 BROWN, TINA WHITE LODGING SERVICES CO 11/11/15 LEWIS & DAVIDSON, LTD WILSON ELSER 724 16WC 12150 HAMMAD, BILAL A & Z TRANSPORT COMPANY 03/31/16 SANDMAN LEVY & PETRICH CIARDELLI CUMMINGS CAMPAGNA 725 16WC 12218 ITURDE, FAVIOLA TRYSON METAL 01/21/16 KARNO, MARK L & ASSOC GRANT & FANNING 726 16WC 12340 HILLS, MATTHEW DOWNERS GROVE FIRE DEPART 03/21/15 RIDGE & DOWNES VILLAGE OF DOWNERS GROVE 727 16WC 12374 RODRIGUEZ, JAVIER KRONOS FOODS CORP 09/25/14 CHRISTINE F DAVID NYHAN BAMBRICK KINZIE & LOWR 728 16WC 12417 MASTRO, JAMES VERIZON 04/16/16 DWORKIN AND MACIARIELLO WHITT LAW LLC 729 16WC 12447 OMAR, KATARZYNA DUPAGE MEDICAL GROUP 03/26/15 FRANCIS J DISCIPIO LAW OFF COZZI & GOGGIN-WARD 730 16WC 12613 BENEFIELD, FARREL E FEDERAL EXPRESS CORPORATI 04/11/16 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 731 16WC 12648 ESPINOZA, SARAHI CORNELIUS, INC 04/20/06 SCHRAMM LAW GROUP RUSIN & MACIOROWSKI LTD 732 16WC 12796 OLVERA, MARIANO W.A. MANAGEMENT, INC. 07/27/15 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 16WC035020 -C 733 16WC 12909 PETERSON, RUTHANNE WALMART 01/16/16 PATRICOSKI, MARK G QUINTAIROS PRIETO WOOD & BOY 734 16WC 12941 OPALKA, DANIEL M & R PRINTING EQUIPMENT 11/01/15 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 16WC012942 -C 16WC012943 -C 735 16WC 12950 MERRIS, KATHERINE ART VAN FURNITURE 09/09/15 PETER D CORTI LAW GROUP HOLECEK & ASSOCIATES 736 16WC 13002 PARKER, DUANE ADVANCE AUTO PARTS 01/16/16 FIORENTINO LAW OFFICES WIEDNER & MCAULIFFE LTD 737 16WC 13006 MAROTTA, DARLENE NEW ALBERTSON'S INC D/B/A 05/14/15 DEUTSCHMAN, JEFFREY S BRADY CONNOLLY & MASUDA PC 738 16WC 13112 TEMPLE, CALVIN SPICETEC FLAVORS & SEASON 01/15/15 DAVID W MARTAY RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 739 16WC 13147 TRUDNOS, STEVEN BUCKY'S MOBIL 04/21/16 DWORKIN AND MACIARIELLO 740 16WC 13166 ROLDAN, EMILIO IRON MOUNTAIN 01/20/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 741 16WC 13297 HAYS, JOSHUA VILLAGE OF LOMBARD 02/15/16 PORRO NIERMANN LAW GROUP KLEIN THORPE & JENKINS LTD 742 16WC 13344 BONANNO, GINO SANDBURG MIDDLE SCHOOL/ 09/14/15 BARRY STEWART SILVER NYHAN BAMBRICK KINZIE & LOWR 743 16WC 13605 GRZYBEK, JAMES GENERAL MILLS, INC. 02/26/16 KATZ FRIEDMAN EAGLE ET AL 744 16WC 13618 POSADAS, GERBER FORTUNE FISH COMPANY 12/15/15 ROSS J HELFAND HOLECEK & ASSOCIATES 745 16WC 13687 MARINO, SAM S JR CAPITAL SECURITY & 03/10/16 FRANKS & RECKENBERG 746 16WC 13743 MALIK-DUMAPIAS, CHRISTOPH CABINETS & GRANITE DIRECT 12/23/15 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES JOSEPH MARCINIAK 747 16WC 13863 GLOSNIAK, MINERVA ADDISON SCHOOL DISTRICT 4 03/03/16 ACEVES & PEREZ PC 748 16WC 13878 HOOD, DEMETRIA NURSES ON CALL 10/01/14 MC HARGUE, JAMES P LAW OFF UCHE O NWAKUDU 749 16WC 13991 SURLAK, BRYAN CIRCLE 8 LOGISTICS 08/24/15 DANIEL PERIASWAMY RUSIN & MACIOROWSKI LTD 750 16WC 14290 MOODY, SHARON BEHAVIORAL STAFFING 03/10/16 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 751 16WC 14389 SCHWARZ, DAVID UPS 03/05/16 MC HARGUE, JAMES P LAW OFF NYHAN BAMBRICK KINZIE & LOWR 752 16WC 14506 DEIDA, SIGRFREDO AVERITT EXPRESS 11/13/15 HORWITZ HORWITZ & ASSOC 753 16WC 14705 DARRIN, TRINA ODEUM, INC. 02/29/16 GOTTREICH & GRACE WIEDNER & MCAULIFFE LTD 754 16WC 14805 BALLARD, JESSE STAFFMARK 02/03/15 LAW OFFICE OF TRENT & BUTC KEEFE CAMPBELL & ASSOC LLC 755 16WC 14826 THOMAS, LISA MCDONALD'S CORPORATION 05/14/15 MILLON & PESKIN LTD BRYCE DOWNEY & LENKOV LLC 756 16WC 14878 LOPEZ, GREGORIA JOYS CLEANING SERVICES 02/19/16 AIOSSA LAW FIRM HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 757 16WC 14917 BIGGS, DARREN VILLAGE OF WILLOWBROOK 05/04/16 RUBIN LAW GROUP 758 16WC 14948 LOPEZ, DIANA PROTECTOSEAL COMPANY 02/18/15 RIDGE & DOWNES 759 16WC 15215 MELCHOR, JOSE A THE COUNTERTOP FACTORY 04/15/16 MINKOW DOMIN ACCIDENT FUND HOLDINGS 760 16WC 15346 HERNANDEZ, MIGUEL MULTI PACKAGING SOLUTION, 09/15/15 RUEDA, IVAN A COZZI & GOGGIN-WARD 761 16WC 15611 SYLVE, MARY AIMBRIDGE HOSPITALITY 08/24/14 ODELSON & STERK 762 16WC 15621 TORRALBO, JUAN SOURCE 1 BUILDING MAINTEN 03/20/16 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 763 16WC 15622 TORRALBO, JUAN SOURCE 1 BUILDING MAINTEN 01/10/15 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 764 16WC 15752 MARTINEZ, JORGE PATTEN INDUSTRIES INC 08/05/15 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 765 16WC 15782 BELTRAN, JOSE ABM INDUSTRIAL 12/03/15 CURTIS S BURKE LAW OFFICE BRADY CONNOLLY & MASUDA PC 766 16WC 15979 KOWALCZYK, CHRISTOPHER G VILLAGE OF BENSENVILLE 01/19/16 LAW OFFICE PHILIP BLOMBERG RUSIN & MACIOROWSKI LTD 767 16WC 16244 YARBROUGH, NIDIEA SPEEDWAY 11/23/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 768 16WC 16258 FORNEK, NEAL DAIMLER TRUCKS NORTH AMER 02/11/16 SMOLER LAW OFFICE, PC KNELL & O'CONNOR 769 16WC 16410 JEFFERSON, LAWRENCE EDWARD ELMHURST HEALTH 01/27/16 FOHRMAN, DONALD W & ASSOCS KEEFE CAMPBELL & ASSOC LLC 770 16WC 16451 ALAMO, NORMA CARDINAL COLOR GROUP 04/27/16 CUSHING LAW OFFICES 771 16WC 16565 CHIRIBOGA, RANA O'REILLYS AUTO PARTS 01/28/16 PETER D CORTI LAW GROUP HENNESSY & ROACH PC 772 16WC 16590 ZIAJA, KRZYSZTOF INSULATION DISTRIBUTORS 04/15/16 BELLAS & WACHOWSKI 773 16WC 16601 GAETA, MARIA THE MILLARD GROUP 05/14/16 CHEPOV & SCOTT LLC RODDY LAW LTD 774 16WC 16604 BUDURIS, MARK CASSENS TRANSPORT 05/16/16 LAW OFFICES ROBERT WARSASK KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 775 16WC 16665 ARROYO, MICHAEL PATTEN CAT 09/23/15 DAVID W MARTAY 776 16WC 16905 SUAREZ, RODOLFO ANCHOR BRAKE SHOE 11/03/15 MEYERS & FLOWERS 777 16WC 16942 JONES, WENDY HOME MEDICAL EXPRESS 04/25/16 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES JOSEPH MARCINIAK 778 16WC 17025 PUEBLA, JOSE GUADALUPE THE STANDARD MARKET LLC D 03/06/16 ROSS TYRRELL RUSIN & MACIOROWSKI LTD 779 16WC 17272 DAVIDSON, MARGARET MANOR CARE OF WESTMONT IL 04/27/16 HORWITZ HORWITZ & ASSOC 780 16WC 17442 FLORES, CLARA CRESTLINE HOTELS & RESORT 09/13/15 PETER D CORTI LAW GROUP 781 16WC 17600 JAKUBOWSKI, DANIEL PATTEN INDUSTRIES INC 09/14/15 GORDON & CENTRACCHIO LLC GAROFALO SCHREIBER STORM 782 16WC 17629 RAYGOZA, CHRISTINA SODEXO 01/06/16 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 783 16WC 17650 NALLEY, BRIAN GLENBARD ELECTRIC 11/01/15 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 784 16WC 17704 HALL, TOBY DUN-RITE WINDOW CLEANING 11/13/15 MEYERS & FLOWERS 785 16WC 17727 JOHNSON, GREGORY POWER PLAY DISTIBUTORS/ 09/28/15 DWYER AND COOGAN POWER & CRONIN LTD 786 16WC 17861 SOLIS, GEMA ADDUS HEALTHCARE 01/21/16 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 787 16WC 17913 BORZYM, JOZEF MARIO'S TRUCKING SERVICES 04/14/16 CUSHING LAW OFFICES WIEDNER & MCAULIFFE LTD 788 16WC 18128 MONTANO, EMMANUEL ALLMETAL INC 04/30/16 LAW OFFICES ROBERT WARSASK COZZI & GOGGIN-WARD 789 16WC 18284 WEHNER, LAWRENCE NAPERVILLE TOWNSHIP 10/26/15 BRADY CONNOLLY & MASUDA PC 790 16WC 18312 WU, NIU Z GEN HOE RESTAURANT 05/20/16 VRDOLYAK LAW GROUP LLC KOPKA, PINKUS DOLIN, PC 791 16WC 18394 GREANEY, DAVID FED EX 05/06/16 PARENTE & NOREM PC 792 16WC 18418 KELLY, DAVID OSA INTERNATIONAL INC 12/12/15 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 793 16WC 18567 LOPEZ, FLORENTINA TOTAL FACILITY MAINTENANC 04/13/16 SALVATO & O'TOOLE WIEDNER & MCAULIFFE LTD 794 16WC 18632 GUTIERREZ, JOSE LUIS DUNAWAY BROTHERS 02/04/16 LAW OFFICE OF SCOTT B SHAP SMITH AMUNDSEN LLC 795 16WC 18723 SEIDEL, JEFFREY SAINT-GOBAIN ABRASIVES, I 05/09/16 FIGLIOLI, DAVID 796 16WC 18841 GARCES, MARGARITO ECS ROOFING & SIDING 05/19/16 SOSTRIN AND SOSTRIN PC RODDY LAW LTD 797 16WC 18949 WALSH, WENDY COMFORT KEEPERS HOME HEAL 06/13/16 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES 798 16WC 19027 SALAZAR, LISA BROOKDALE GLEN ELLYN 10/06/15 WOODRUFF & JOHNSON POWER & CRONIN LTD 799 16WC 19106 CHRISTOPHER CHERRY LAKESIDE GLASS & MIRROR I 04/02/16 LINN, CAMPE & RIZZO LTD 800 16WC 19142 IVERS, EILEEN DUPAGE MEDICAL GROUP LTD 03/22/16 LAW OFFICE MICHAEL M WOJIT 801 16WC 19262 HARRIS, MICHAEL VAL-MATIC VALVE & MFG COR 12/23/15 HORWITZ HORWITZ & ASSOC 802 16WC 19368 LABELLE, GISELLE ADVANTAGE SALES MARKETING 10/10/15 LEO ALT KELLEY KRONENBERG 803 16WC 19382 CIENKUS, MARY MHS TECHNICAL SERVICES IN 02/08/16 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 804 16WC 19423 RUDOLPH, CHRISTOPHER F HAYES MECHANICAL 05/23/16 FIGLIOLI, DAVID GAROFALO SCHREIBER STORM 805 16WC 19485 CIPRA, MICHAEL VILLAGE OF DOWNERS GROVE 01/02/16 FRANCIS J DISCIPIO LAW OFF VILLAGE OF DOWNERS GROVE 806 16WC 19577 CULLINAN, IDA MORTON ARBORETUM 08/14/15 RICHARD O. GREENFIELD LAW OFFICES JOSEPH MARCINIAK 807 16WC 19593 ROSA, JOSE HEWLETT PACKARD 05/12/16 GOLDBERG WEISMAN & CAIRO L 808 16WC 19669 DEPALMA, NANCY CLEAR WOOD ACADEMY 01/28/16 STEVEN H MEVORAH & ASSOCIA 809 16WC 19799 SERRANO, REYNALDO KEHE DISTRIBUTORS 05/27/16 LEONARD LAW GROUP LLC NOBLE & ASSOCIATES PC 810 16WC 19968 HERNANDEZ, JULIO CHEM-IMPEX INTERNATIONAL, 06/21/16 HEALY SCANLON LAW FIRM HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 811 16WC 20036 VODA, ELLEN NAPERVILLE DISTRICT 203 08/06/09 KINNALLY FLAHERTY KRENTZ & MACIOROWSKI SACKMANN & ULRIC 812 16WC 20062 WASHINGTON, PRISCILLA ALLIEDBARTON SECURITY SRV 06/23/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 813 16WC 20362 LOCH, WILLIAM WOOD DALE FIRE PROTECTION 06/16/16 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 814 16WC 20629 SOVERINO, EILEEN VENUTIS RISTORANTE & BANQ 06/12/15 SALVATO & O'TOOLE RODDY LAW LTD 815 16WC 20652 BASSITT, WILLIAM HACH CO 02/18/16 STROM, NEAL B 816 16WC 20755 CARRILLO, FERNANDO PAINTERS USA 04/27/16 PORRO NIERMANN LAW GROUP ACCIDENT FUND HOLDINGS 817 16WC 20839 MARKOVIC, TIHOMIR BROOKHAVEN MARKETPLACE A/ 02/12/14 SYREGELAS, NICHOLAS C GANAN & SHAPIRO 818 16WC 20970 DEESE, SHEILA P. STATE OF IL DEPT OF @ 08/10/15 ROBERT BURROWS ASSISTANT ATTORNEY GENERAL 819 16WC 20982 HENDRICKS, THOMAS S. JR. AT&T 06/24/16 VITELL & SPITZ LTD 820 16WC 21023 GARZA, ADRIAN ACCURATE PERSONNEL 03/08/16 GOLDBERG & DOHAN 821 16WC 21098 GLASOW, WILLIAM P ROCKFORD CONSTRUCTION CO 09/23/15 CHARLES A FANUCCHI GAROFALO SCHREIBER STORM 822 16WC 21148 TANDO, YANIRA ALDI INC 05/26/15 BURNETT & CARON, LTD MACIOROWSKI SACKMANN & ULRIC 823 16WC 21193 D'ALEXANDER, DOMINIC FEDERAL EXPRESS CORPORATI 04/15/16 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 824 16WC 21203 SWEENEY, JAMES IRON MOUNTAIN 02/17/15 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 825 16WC 21298 BUCIO, ROSA JEL-SERT CO 06/23/14 FOOTE MIELKE CHAVEZ & O'NE HENNESSY & ROACH PC 826 16WC 21372 SOKOL, KRZYSZTOF CONTEMPORARY CABINETS W 11/30/15 TURCYCHUTE LLC MICHALSKI & GUBERNAT 827 16WC 21549 KOVACH, TAMMIE PERSONAL CREATIONS 03/24/16 ASHER, RAYMOND L LTD LAW OFFICES JOSEPH MARCINIAK 828 16WC 21785 POLI, ANTHONY ELMHURST POLICE DEPT 05/07/16 RIDGE & DOWNES POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 829 16WC 22022 ZAMORA, RODOLFO HARVARD MAINTENANCE 04/26/16 KREITER, BYCK & ASSOC LLP HOLECEK & ASSOCIATES 830 16WC 22198 JOHNSON, APRIL LEXINGTON OF LOMBARD 10/09/15 HANNIGAN & BOTHA, LTD 831 16WC 22339 NORTH, JAMES SERVPRO OF ELGIN 07/18/16 GOLDSTEIN BENDER & ROMANOF 832 16WC 22417 VILLA, NELLY SPECIALIZED STAFFING SOLU 06/24/15 MC HARGUE, JAMES P LAW OFF 833 16WC 22490 RODRIGUEZ, DANIEL AEROTEK 06/08/16 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 834 16WC 22597 TAPIA, ANGELICA LUTHERAN CHILD & FAMILY S 06/02/16 BUDIN LAW OFFICES INMAN & FITZGIBBONS 835 16WC 23005 SMITH, YVONNE PEPPERIDGE FARM INC. 06/17/16 CRONIN & PETERS KEEFE CAMPBELL & ASSOC LLC 836 16WC 23085 GAMBOA, NOE M MOVEMENT MORTGAGE 11/10/15 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 837 16WC 23118 ARMAS, CARLOS A BUIKEMA'S ACE HARDWARE 11/21/15 DEPAOLO ZADEIKIS GORE CAPUANI & SCHNEIDER 838 16WC 23310 HUGHES, BILLY A MIRROR IMAGE GLASS & 05/24/16 ANKIN LAW OFFICE 839 16WC 23466 STEWART, ANDREW CITY OF NAPERVILLE 07/13/16 MC HARGUE, JAMES P LAW OFF CITY OF NAPERVILLE 840 16WC 23482 EASLEY, JOHN MID AMERICA TAPE AND REEL 06/09/16 GREGORIO & MARCO LAW OFFICES OF EDWARD J. KOZ 841 16WC 23501 RODRIGUEZ, GUILLERMO ASG STAFFING 10/17/15 COSTA IVONE LLC FRANCIS J DISCIPIO LAW OFFIC 842 16WC 23777 FENNELL, MICHAEL WOOD DALE FIRE 06/27/16 THE ROMAKER LAW FIRM 843 16WC 24008 ERICKSEN, EMILY ASSOCIATED MATERIAL HANDL 07/26/16 SANDMAN LEVY & PETRICH 844 16WC 24070 PALOMARES-BELLO, JESUS BARRON P. CONSTRUCTION, I 06/20/16 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 845 16WC 24110 WASHINGTON, TED DIV CORP 07/10/16 VRDOLYAK LAW GROUP LLC 846 16WC 24208 MARTINEZ, RIGOBERTO ACRES GROUP 07/13/16 COSTA IVONE LLC ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 847 16WC 24274 ALLGOOD, ANTONIYA WALMART CORPORATION 06/09/16 THE ROMAKER LAW FIRM QUINTAIROS PRIETO WOOD & BOY 848 16WC 24397 DUMAS, SIDNEY IL STATE TOLL HWY AUTHORI @ 08/01/16 ANGELINI & ORI LLC GANAN & SHAPIRO 849 16WC 24406 BACI, ZIMBILE NAPERVILLE SCHOOL DIST. 2 03/08/16 LAW OFFICE PETER DELONGIS MACIOROWSKI SACKMANN & ULRIC 850 16WC 24599 CRIS II, LARRY G CHICAGO CUT CONCRETE CUTT 05/19/16 HORWITZ HORWITZ & ASSOC ANCEL GLINK DIAMOND BUSH & E 851 16WC 24601 GUITIERREZ, JUAN ARK TECHNOLOGY 07/28/16 JAMES ELLIS GUMBINER & ASS 852 16WC 24648 GUZZO, JOE INTERNATIONAL EXCAVATING 06/28/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 853 16WC 24676 LIMONCIELLO, MARIA D'ESCOTO, INC 10/05/15 RIDGE & DOWNES THOMAS & PORTELA 854 16WC 24777 BINDER, KATHYRN SOARING EAGLE ACADEMY 05/27/16 BARRY E BLUMENFELD HOLECEK & ASSOCIATES 855 16WC 24824 MEYERS, SCOTT GLENBARD TOWNSHIP HIGH SC 05/26/16 KATZ FRIEDMAN EAGLE ET AL ANCEL GLINK DIAMOND BUSH & E 856 16WC 25314 PERNELL, RAYVITA MONDELEZ, INTERNATIONAL, 06/18/16 HORWITZ HORWITZ & ASSOC 857 16WC 25404 GOLEC, DANIEL J GRAPHIC PACKAGING INTL 10/01/15 GALLAGHER, DONALD V DOHERTY & PROGAR LLC 858 16WC 25491 VARGAS, ROBERTO THE CARE OF TREES 05/02/15 MICHAEL P MCCREADY & ASSOC 859 16WC 25509 SNIPES, SHERRY COMCAST 03/30/16 POMPER & GOODMAN SPIEGEL & CAHILL, PC 860 16WC 25621 DAVIS, JACQULIN ADVENTIST HINSDALE HOSPIT 04/04/16 LEVIN RIBACK LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 861 16WC 25723 RAMSEY, HEATHER THE RICHARD LYNN COMPANY 02/07/15 ASHER, RAYMOND L LTD BRADY CONNOLLY & MASUDA PC 862 16WC 25737 ROE, DAVID MASTEC 06/23/16 FOOTE MIELKE CHAVEZ & O'NE HENNESSY & ROACH PC 863 16WC 25825 TIETJENS, BRIAN K ADSI-OSCO/SAV-ON/SUPERVAL 09/05/15 PATRICIA HARDIMAN LAW OFFI 864 16WC 25872 CLARK, LATISHA(MOTHER) THE PORTILLO RESTAURANT G 06/30/16 URSULA BABICZ & ASSOC GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 865 16WC 25914 BENITEZ, JOSE TWO TOUCH CLEANING 08/05/16 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 866 16WC 25975 SULLIVAN, JERRY P ATI HOLDINGS, LLC 08/03/14 LAW OFFICE DAVID W CLARK 867 16WC 26062 HUSSOS, GEORGE JEWEL 07/15/16 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 868 16WC 26119 GOVEA, ALEJANDRO ANDREWS STAFFING 07/24/16 LAW OFFICES OF MARK SCHAFF 869 16WC 26217 FRANCIS, HILLARY HOPE FREEDOM 1ST TRANSPORTATIO 06/13/16 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 870 16WC 26349 ALCANTAR, ODILIA STAFF FORCE 08/22/15 KINNALLY FLAHERTY KRENTZ & 871 16WC 26621 RUSH, MARK RIGHT AT HOME 03/01/15 JONATHAN SCHLACK 872 16WC 26936 SOUNDE, TIMOTHY INTERSTATE POWER SYSTEMS 11/18/15 CAPRON & AVGERINOS PC 873 16WC 26989 ZARINEBAF, AFSHIN FRESH THYME FARMERS MARKE 08/01/16 JAY S. SHETH LLC COZZI & GOGGIN-WARD 874 16WC 27101 FERRER, RAUL SR AMERICAN ROOFING & REPAIR 08/04/16 FAJARDO LAW GROUP KEEFE CAMPBELL & ASSOC LLC 875 16WC 27236 BUCIO, CARLOS RESPONDI ENTERPRISES 08/25/15 PORRO NIERMANN LAW GROUP 876 16WC 27300 SMITH, SHANIKA HILTON GARDEN INN 08/26/16 DWORKIN AND MACIARIELLO 877 16WC 27419 REIDY, JOSEPH SNYDER INDUSTRIES 08/18/16 BRISKMAN BRISKMAN GREENBER QUINTAIROS PRIETO WOOD & BOY 878 16WC 27497 FERREIRA, GENARO RUFFLED FEATHERS GOLF COU 07/30/16 ANKIN LAW OFFICE 879 16WC 27519 KALECIAK, KURT VILLAGE OF OAK BROOK 11/30/15 FRANCIS J DISCIPIO LAW OFF 880 16WC 27621 MCREADY, JOHN FORE TRANSPORTATION 04/11/16 HORWITZ HORWITZ & ASSOC WOLF LAW LTD 881 16WC 27629 HODOROWSKI, ELAINE W. SEPTRAN 03/25/16 GALLAGHER, DONALD V ROBERT L. SMITH 882 16WC 27687 GARCIA, MANUELA PRESTIGE MAINTENANCE USA 08/03/16 WARREN W MARK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 883 16WC 27726 GARCIA, ESTEBAN OLIVE GARDEN 08/03/16 AIOSSA LAW FIRM WIEDNER & MCAULIFFE LTD 884 16WC 27744 SAYFIDDINOV, DILSHOD TWO DOLPHINS CORP 08/22/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 885 16WC 27930 CZTERNASTEK, ALEKSANDER PRO QUA, INC 09/01/16 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES JOSEPH MARCINIAK 886 16WC 27945 REYES, JOSE FIC AMERICA CORPORATION 05/02/16 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 887 16WC 27975 CARLOS, ROSA MARIA TIDE DRY CLEANERS 08/10/16 JOHN J CASTANEDA 888 16WC 28172 NOONAN, MICHAEL K GCA SERVICES GROUP, INC 12/30/15 LAW OFFICE PHILIP BLOMBERG POWER & CRONIN LTD 889 16WC 28218 TESLICKA, THOMAS G BENJAMIN SCHOOL DISTRICT 11/14/15 C DEAN MATSAS WIEDNER & MCAULIFFE LTD 890 16WC 28255 HUNTINGHOUSE, DARELEN CITY OF ELMHURST 06/16/16 MILLON & PESKIN LTD POWER & CRONIN LTD 891 16WC 28263 KOEPKE, GLENN COSMO FILMS INCORPORATED 05/13/15 MADSEN SUGDEN & GOTTEMOLLE 892 16WC 28409 CANTU, AGAPITA GRAHAM PACKAGING COMPANY 03/01/16 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 893 16WC 28454 WOODS, DEANGELO JOHNSON SERVICE GROUP, IN 08/25/16 ANKIN LAW OFFICE KNELL & O'CONNOR 894 16WC 28484 GALLEGOS, MA PATROCINIO E MEN'S WEARHOUSE DISTRIBUT 08/11/16 WOODRUFF & JOHNSON 895 16WC 28545 BARNAS, ANDRZEJ A TP LASER CONSTRUCTION, IN 08/31/16 MICHALSKI & GUBERNAT 896 16WC 28651 DOMINGUEZ, ZUILAN SUNSHINE FAMILY DENTAL 06/10/15 MILLON & PESKIN LTD ACCIDENT FUND HOLDINGS 897 16WC 28721 BAUTISTA, LORENA ALDI 04/13/16 ROMAKER LAW FIRM MACIOROWSKI SACKMANN & ULRIC 898 16WC 28772 HOLDMAN, FREDERICK BLACK HORSE CARRIERS 09/01/16 DWORKIN AND MACIARIELLO 899 16WC 28878 MILLER, MITCHELL G2K LOGISTICS, LLC 03/12/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 900 16WC 28913 THODE, DANIEL ESSENDANT 08/23/16 LAW OFFICES MICHAEL HELLMA

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 917 16WC 29973 MEDRANO, GILBERTO FEDEX CORPORATE SERVICES, 09/23/16 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 918 16WC 30001 ALTIERY, DANIEL R JR MHS TECHNICAL SERVICES, I 06/23/16 LAW OFFICES OF JEFF A SALT HENNESSY & ROACH PC 16WC030002 -C 919 16WC 30015 DEL RIO, VERONICA RR DONNELLEY AND SONS CO 08/23/16 WARREN W MARK BRADY CONNOLLY & MASUDA PC 920 16WC 30130 CAVER, ANTOINE ELMHURST MEMORIAL HOSPITA 08/31/16 FRIEND LEVINSON & BERGAL MACIOROWSKI SACKMANN & ULRIC 921 16WC 30193 MARTIN, RONNIE ILLINOIS DEPT OF HUMAN SR 08/30/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 922 16WC 30206 DIMONTE, ANTHONY JOHN ILLINOIS STATE TOLLWAY 08/26/16 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 923 16WC 30251 OPALINSKI, DANA L CITY OF WHEATON POLICE 09/13/16 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 924 16WC 30511 NUN, NAK M UNITED PARCEL SERVICE 12/10/15 LAW OFFICE OF TRENT & BUTC ASA LAW GROUP 925 16WC 30568 THOMPSON, CHERYL FEDEX 02/15/15 FOOTE MIELKE CHAVEZ & O'NE WIEDNER & MCAULIFFE LTD 16WC030569 -C 926 16WC 30602 SALGADO, CRISTINA MCDONALD'S CORPORATION 09/16/16 ANKIN LAW OFFICE 927 16WC 30688 ADAME, LUIS A JUST IN TIME STAFFING, LL 09/23/16 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 928 16WC 30803 SARI, ANDREA COUNTY OF DUPAGE 03/21/16 LAW OFFICE DAVID W CLARK WIEDNER & MCAULIFFE LTD 929 16WC 30813 LEON, JOSE THE PATE CO 07/28/16 MARKER & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 930 16WC 30827 PEREZ, JORGE WM ROOFING & MASONRY & 09/23/16 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 931 16WC 30869 NAVARRO, MARIA R ACCUTECH MACHINING, INC 09/14/16 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 932 16WC 30942 BLAZE, JOSEPH WINDOW WORKS 08/16/16 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 933 16WC 31070 CARUSO, PHILLIP RUAN LOGICS CORP 05/15/15 SCHREINER MALLOY & ETZLER JAMES M KELLY 934 16WC 31223 CASTILLO PEREZ, MILTON ASPHALT PAVING 08/11/16 MC HARGUE, JAMES P LAW OFF WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 935 16WC 31249 PORKSCH, JOSEPH ABS & TAYLOR 08/19/15 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 936 16WC 31363 ZERMENO, ROSARIO CENTURY MOVING, INC 07/26/16 COSTA IVONE LLC ROSARIO CIBELLA 937 16WC 31465 TYLKA, MAGDALENA ARGONNE NATIONAL LABORATO 09/29/16 MC HARGUE, JAMES P LAW OFF KEEFE CAMPBELL & ASSOC LLC 938 16WC 31536 MURILLO, ALEXANDER G ESSENDANT 08/09/16 GALLAGHER, DONALD V HOLECEK & ASSOCIATES 939 16WC 31554 JUAREZ, JOSE US FOODS CHICAGO 08/16/16 OSVALDO RODRIGUEZ PC 940 16WC 31592 CARTER, ANDREW DESIGNED STAIRS, INC 02/17/16 MATHYS & SCHNEID KEEFE CAMPBELL & ASSOC LLC 941 16WC 31656 VILLARREAL, JESSE CTM MEDIA GROUP 06/21/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 942 16WC 31849 MROCH, EUGENE W JR GENERAL GROWTH PROPERTIES 12/29/15 THE FITZ LAW GROUP RIPES NELSON BAGGOT KALOBRAT 943 16WC 31861 KHAN, RAHAT DEMAR DIRECT 07/21/16 MILLON & PESKIN LTD 944 16WC 31952 SANCHEZ, SAMUEL DEGRAF CONCRETE CONSTR IN 06/07/16 BERNAT & BERNAT PC ACCIDENT FUND HOLDINGS 945 16WC 32215 GARCIA, IRMA RR STREET & CO, INC 08/15/16 ACEVES & PEREZ PC 17WC006139 -C R R STREET & CO INC 946 16WC 32291 WARD, STACY ADVOCATE MEDICAL GROUP 05/17/16 PARENTE & NOREM PC NYHAN BAMBRICK KINZIE & LOWR 947 16WC 32335 O'NEILL, WILLIAM L UPS 06/13/16 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 948 16WC 32375 GARCIA, MARIA FIRST TRANSIT, INC 09/28/16 DWORKIN AND MACIARIELLO 949 16WC 32519 BARNES, ARMANI MELROSE TRANSPORT SYSTEMS 05/27/16 LAW OFFICES OF ANSELMO DUR 950 16WC 32615 GARCIA, MICHELLE ULTRA FOODS 08/17/16 RUBENS AND KRESS ROSARIO CIBELLA 951 16WC 33048 LOZANO, ROGER A DOYLE SIGNS, INC 10/29/15 SCHRAMM LAW GROUP 952 16WC 33080 TORREZ, RALPH USF HOLLAND TRUCKING 08/12/16 STEVEN H MEVORAH & ASSOCIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 953 16WC 33127 LIMONEZ, ELISEO J C WOOD FINISHING 10/21/16 DWORKIN AND MACIARIELLO 954 16WC 33269 MALONEY, RON TERRANCE ELECTRIC 01/07/14 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 955 16WC 33368 LOPEZ, AUDEN JNR CUSTO-MATIC SCREW INC 02/19/16 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 956 16WC 33447 LOPEZ, ROSA EXTENDED STAY AMERICA HOT 10/18/16 LAW OFFICES LEONARDO MORAL WOLFE & JACOBSON, LTD 957 16WC 33466 BERRY, GERALD IMPERIAL LIGHTING 08/25/16 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 958 16WC 33486 WASP, JOHN OUTREACH COMMUNITY MINIST 05/09/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 959 16WC 33531 ROSZEL, THOMAS FLOYD'S STEEL ERECTORS 05/02/16 ANGELINI & ORI LLC 960 16WC 33579 LOPEZ, SILVIA VICTOR ENVELOPE MFG CO IN 10/10/16 SALK, STEVEN B & ASSOC LTD 961 16WC 33804 GOEBEL, MICHAEL J NEW ALBERTSON'S INC./ 10/07/16 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 962 16WC 33820 LOJA, MARIO TRI CITY FOODS, INC 11/09/15 MARKER & ASSOCIATES LAW OFFICES OF EDWARD J. KOZ 963 16WC 33844 HARDY, MARGARET THE RICHARD LYNN CO 05/08/15 ANGELINI & ORI LLC 964 16WC 33988 JAIMES, NOE M THE PLASTICS GROUP 09/07/16 COSTA IVONE LLC 965 16WC 33999 CRIVELLO, CYNDI A HEALTHCARE SVC CORP 10/12/16 ANKIN LAW OFFICE 966 16WC 34029 GALVAN, ADAN TLC PLUMBING INC 06/07/16 JOHN E LUSAK RUSIN & MACIOROWSKI LTD 967 16WC 34068 MARTINEZ, PEDRO DIAZ BLACK CREEK CANYON, INC 01/14/15 HODES GREENSTEIN & LITWIN 968 16WC 34118 IAFFALDANO, FRANK SERTA SIMMONS BEDDING 05/09/16 CULLEN HASKINS NICHOLSON 969 16WC 34217 BROWN, RYAN AT&T 10/13/16 FOOTE MIELKE CHAVEZ & O'NE 970 16WC 34284 RAMIREZ, ISMAEL NERIA NEXGEN ENTERPRISES 04/05/16 RUEDA, IVAN A MC ANDREWS & NORGLE LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1007 16WC 36942 ARREGUIN, EUMIR AMERIT FLEET SOLUTIONS 09/29/15 PORRO NIERMANN LAW GROUP LAW OFFICES FRANCESCA LARSEN 1008 16WC 37041 TOMS, PETER M NORTHWESTERN FLAVORS, LLC 10/06/15 TURNER & SACKETT LLC GAROFALO SCHREIBER STORM 1009 16WC 37159 CARRERA, ROLANDO A S&S INTERNATIONAL 10/27/16 JAMES J. GAY SCOPELITIS GARVIN LIGHT 1010 16WC 37204 ARIAS, ELDIN D AAPCO GROUP 10/09/16 CHRISTIAN & MANNO CASSANO & ASSOCIATES 1011 16WC 37277 LI, JIN BAO SARKU JAPAN 09/08/16 WILLIAM MARTAY COZZI & GOGGIN-WARD 1012 16WC 37414 SHICK, LAWRENCE M LEMONT SCHOOL DISTRICT #1 04/29/16 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 1013 16WC 37464 MARTINEZ-MEDINA GAVURE INK @ 11/15/16 WEISS ORTIZ PC 1014 16WC 37734 FAORO, MICHELLE SUPERIOR AMBULANCE 08/03/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 1015 16WC 37768 KOCORAS, FRIEDA MACY'S FURNITURE GALLERY 11/26/16 ROMANEK & ROMANEK BRYCE DOWNEY & LENKOV LLC 1016 16WC 37845 SANDOVAL, ELENA OLIVE GARDEN 08/29/16 MC HARGUE, JAMES P LAW OFF 1017 16WC 37893 ARJON, ELIZABETH HARVARD MAINTENANCE, INC 10/04/16 KUMLIN & FROMM 1018 16WC 37918 FRANCESCO DE, MICHAEL GREC & SONS 06/02/16 VASILATOS & COTTER LLC 1019 16WC 38124 D'ORONZO, VINCE D&P CONSTRUCTION CO INC 08/27/16 LOCASCIO, MARK A LTD ACCIDENT FUND HOLDINGS 1020 16WC 38204 EZQUIVEL, ADOLFO GENESIS CONSTRUCTION 12/06/16 WHITESIDE & GOLDBERG LTD 1021 16WC 38305 CIFONE, ROSEANN JEWEL/OSCO FOOD STORES 07/26/16 THE KARMEL LAW FIRM BRADY CONNOLLY & MASUDA PC 1022 16WC 38312 WASKO, AMY ADVOCATE GOOD 08/08/16 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 1023 16WC 38370 DAVIS, KRISTY PEACOCK ENGINEERING CO 07/22/16 BART DURHAM 1024 16WC 38605 OKUBO, KOJI CRATE AND BARREL 09/16/16 ROGER D RUDICH LTD MACIOROWSKI SACKMANN & ULRIC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1061 17WC 01717 CASTRO, EDUARDO TECTA AMERICA IL ROOFING 06/21/16 JAUREGUI & ASSOCIATES 1062 17WC 01748 DE CARLO, ELIA METRO STAFF, INC 02/19/16 MARC J SHUMAN & ASSOCIATES FRANCIS J DISCIPIO LAW OFFIC 1063 17WC 01843 LANIAUSKAS, MATAS PRO TEAM WINDOWS, INC 11/15/16 LAW OFFICES ANDRIUS SPOKAS 1064 17WC 01884 ALTERGOTT, BRYON R FIC AMERICA CORP 10/27/16 ANKIN LAW OFFICE INMAN & FITZGIBBONS 1065 17WC 01914 NELSON, JUDITH HR IMAGING 03/18/16 LAW OFFICE OF SCOTT B SHAP LAW OFFICES JOSEPH MARCINIAK 1066 17WC 02066 TORRES, ANDREA HELPING HANDS MAID SVCS 01/16/17 BRILL & FISHEL LAW OFFICES JOSEPH MARCINIAK 1067 17WC 02228 HARRIS, SHARRON ACOSTA SALES & MARKETING 08/21/16 RATHBUN CSEVENYAK & KOZOL SPIEGEL & CAHILL, PC 1068 17WC 02340 TOLEDO, DIOSELINA EMBASSY SUITES 09/10/16 STROM, NEAL B GRANT & FANNING 1069 17WC 02452 CAMARA, LUIS TANDEM PES/KERNEL SEASONS 10/11/16 RUSIN & MACIOROWSKI LTD 1070 17WC 02511 MARTINEZ, GABRIEL PACKAGING DESIGN CORPORAT 12/16/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO 1071 17WC 02577 PARRIS, RICK MONROE TRANSPORTATION 11/29/16 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 1072 17WC 02609 DE LA CRUZ, GREGORIO K D STEEL SERVICE 01/09/17 COSTA IVONE LLC GAROFALO SCHREIBER STORM 1073 17WC 02652 HENDERSON, THOMAS JR EMCOR GROUP, INC 02/25/16 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 1074 17WC 02686 ELDERS, MARCIA NTERSTATE HOTELS & RESORT 10/15/16 LAW OFFICES ANDRIUS SPOKAS 1075 17WC 02771 BLOOMHUFF, TROY RIGGS DISTLER COMPANY 09/06/16 DONOVAN ROBERTSON 1076 17WC 02843 ORTIZ, WILLIAM DUKANE PRECAST 11/11/16 BURNES & LIBMAN GAROFALO SCHREIBER STORM 1077 17WC 02887 WILTSE, RICHARD BATH PLANET OF CHICAGO IN 01/26/15 HORWITZ HORWITZ & ASSOC 1078 17WC 03143 KAYITES, SANDRA I SILVERADO SENIOR LIVING M 01/16/17 LAW OFFICE DAVID W CLARK RUSIN & MACIOROWSKI LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1151 17WC 07586 ANDERSON, RONNETTA BRIA OF WESTMONT 02/21/17 MEYERS & FLOWERS 1152 17WC 07711 BAVLSIK, JOHN HOLLAND MOTOR EXPRESS 11/07/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 1153 17WC 07767 SREY, LEA TABOR HILLS HEALTHCARE 12/17/15 KARNO, MARK L & ASSOC LAW OFFICES FRANCESCA LARSEN 1154 17WC 07863 RAMIREZ, VERONICA SURE STAFF 02/21/17 CUSHING LAW OFFICES SURE-STAFF 1155 17WC 07930 SIMMONS, BRANDON CRATE AND BARREL 01/13/17 COSTA IVONE LLC MACIOROWSKI SACKMANN & ULRIC 1156 17WC 08046 LOWERY, LISA SPRINT 05/13/16 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 1157 17WC 08088 FRIESON, TAMELA SILVERADO MEMORY CARE 09/24/15 DWORKIN AND MACIARIELLO 1158 17WC 08094 DERENZO, CARRIE SOARING EAGLE ACADEMY 09/17/16 MC HARGUE, JAMES P LAW OFF POWER & CRONIN LTD 1159 17WC 08186 WATKINS, STELLA COMPASS GROUP/CHARTWELL 03/09/16 MILLON & PESKIN LTD 1160 17WC 08226 ALEXANDER, WILLLIAM B ELMHURST COLLEGE 08/10/16 CUDA LAW OFFICES ACCIDENT FUND HOLDINGS 1161 17WC 08243 CHANDLER, SHARICE MOTHER TERESA HOME 02/01/17 DWORKIN AND MACIARIELLO 1162 17WC 08249 SHAH, RAJENDRA R OVERTON CHICAGO GEAR 07/11/16 LOUIS A PLZAK & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 17WC008248 -C 1163 17WC 08290 LOPEZ-RUIZ, VIOLETA RESOURCE EMPLOYMENT SOLUT 12/27/16 KOSIN LAW OFFICE LTD GANAN & SHAPIRO 1164 17WC 08370 KACZMARCZYK, ZBIGNIEW ABRASIVE-FORM, LLC. 02/12/16 BELLAS & WACHOWSKI 1165 17WC 08524 PENDLETON, ODELL UPS 12/17/16 DWORKIN AND MACIARIELLO 1166 17WC 08532 PINEDA, FELICIANA MIKE DITKA'S OAKBROOK, LL 01/21/17 HERRERA LAW CENTER 1167 17WC 08564 JACKSON, AIYISHA EDWARD HOSPITAL 03/01/17 LOUIS A PLZAK & ASSOCIATES POWER & CRONIN LTD 1168 17WC 08596 HENSLEY, JOSH GALEWOOD MECHANICAL CONTR 06/16/16 COYNE REINKE LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1169 17WC 08669 VEGA, ROBERTO ORBUS EXHIBITS 02/09/17 DWORKIN AND MACIARIELLO 1170 17WC 08788 HEGER, JOHN SHAW INDUSTRIES 04/27/16 KREITER, BYCK & ASSOC LLP 1171 17WC 08883 TSONIS, DIMITRA OXFORD BANK AND TRUST COM 09/25/14 GOLDBERG WEISMAN & CAIRO L LAW OFFICES OF EDWARD J. KOZ 1172 17WC 09117 ALNATOUR, MAHMOUD DIRECT MARKETING GROUP, C 02/24/17 MICHAEL J MORRISROE 1173 17WC 09182 TRINKO, ROBERT AT&T (2) 11/11/16 WOLFE LAW PC INMAN & FITZGIBBONS 1174 17WC 09241 LOMELI, AMALIA ELITE STAFFING 12/29/16 JAMES J. GAY NYHAN BAMBRICK KINZIE & LOWR 1175 17WC 09279 PAPA, MARYANN NEIMAN MARCUS 03/18/17 FRANCIS J DISCIPIO LAW OFF COZZI & GOGGIN-WARD 1176 17WC 09301 GALARZA, JULIO BULAW WELDING & ENGINEERI 11/02/15 LAW OFFICES ROBERT WARSASK 1177 17WC 09318 CVETKOVIC, IVANA EVA INVESTMENTS INC. DBA 07/02/14 SYREGELAS, NICHOLAS C GANAN & SHAPIRO 1178 17WC 09444 RAMIREZ, JESUS JEL SERT COMPANY 02/13/17 EFTEKHARI LAW OFFICES POWER & CRONIN LTD 1179 17WC 09510 PEREZ, JOSE L WEST CHICAGO COMMUNITY 11/20/16 SLAVIN & SLAVIN 1180 17WC 09535 GUERRERO, ADRIANA OSI INDUSTRIES 03/21/17 JONATHAN SCHLACK 1181 17WC 09552 WASHINGTON, LASHEENA BRIDGEWAY SENIOR LIVING 03/18/17 PORRO NIERMANN LAW GROUP 1182 17WC 09657 ZAHROUNI-KHAMISSI, MOHSEN PLATED, INC 09/13/16 EFTEKHARI LAW OFFICES GRANT & FANNING 1183 17WC 09787 WILLIS, KERBY EDWARD DON AND COMPANY 04/04/14 KEVIN L WILLIS 1184 17WC 09846 PARKER, LLANDER DEVON SEAFOOD & STEAK 01/22/17 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 1185 17WC 09875 BURKE, NICOLE M DOMINO'S D/B/A PROGRESSIV * 06/23/15 JOHN E LUSAK RUSIN & MACIOROWSKI LTD 1186 17WC 10023 HERNANDEZ-DIAZ, CARLOS MJK CONSTRUCTION INC 10/25/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 71 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1205 17WC 11191 BROWNLEE, OCTAVIA RAY GRAHAM ASSOCIATION 02/24/17 KATZ FRIEDMAN EAGLE ET AL COZZI & GOGGIN-WARD 1206 17WC 11229 DOBSON, JONATHAN MARQUETTE MANAGEMENT * 02/05/14 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 1207 17WC 11349 VARGAS, VICTORIA FORMAN MILLS INC 03/27/17 HETHERINGTON KARPEL BOBBER QUINTAIROS PRIETO WOOD & BOY 1208 17WC 11392 VAZQUEZ, VICTOR INNOCOR 08/21/15 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 1209 17WC 11414 HOLLENDER, JOSEPH SODEXO 12/22/15 WOODRUFF & JOHNSON 1210 17WC 11553 TYSON, JAMES E JR. UNITED PARCEL SERVICES 07/23/16 GOLDBERG WEISMAN & CAIRO L 1211 17WC 11588 ESSENMACHER, BRANDON INTEGRAL FLOORING SYSTEMS * 03/01/17 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 1212 17WC 11720 FRUSHOUR, JOSHUA FOREST PRESERVE DISTRICT 01/13/16 FRANK A CELANI SMITH AMUNDSEN LLC 1213 17WC 11762 PENDERGRASS, HAROLD EQUIPMENT DEPOT 04/07/17 HEALY SCANLON LAW FIRM GRANT & FANNING 1214 17WC 11795 VEGA, MIGUEL EXCEL DOWEL & WOOD PRODUC 11/14/16 CUSHING LAW OFFICES LAW OFFICES OF EDWARD J. KOZ 1215 17WC 11861 MEISTER, JOSEPH JR ILLINOIS DEPT OF CORRECTI @ 04/17/17 HUGHES SOCOL PIERS RESNICK ASSISTANT ATTORNEY GENERAL 1216 17WC 11983 PEREZ, JAIME ARCHON CONSTRUCTION CO 08/22/16 JONATHAN SCHLACK LAW OFFICES OF EDWARD J. KOZ 1217 17WC 12008 SCROGGINS, DAVID R ADVOCATE HEALTH CARE 02/16/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 1218 17WC 12063 WILSON, DANIEL C CITY OF WOOD DALE-POLICE 08/29/16 FIGLIOLI, DAVID 1219 17WC 12093 SCHULLER, HANS LUTHERAN CHILD & FAMILY 03/20/17 RICHARD O. GREENFIELD 1220 17WC 12128 ARANGO, MANUEL NFI LOGISTICS 09/21/16 GIACOBBE, THOMAS M HENNESSY & ROACH PC 1221 17WC 12170 TURGEON, ROBERT JEWEL-OSCO CLARENDON HILL 03/27/17 WOLFE LAW PC 1222 17WC 12247 NICOLAI, COLLEEN CORECENTRIC SOLUTIONS USA 04/13/17 FRANCIS J DISCIPIO LAW OFF

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 74 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1259 17WC 14070 KONNEY, JOSEPH GATE SAFE 03/11/17 ANGELA NARDI-QUIGLEY RUSIN & MACIOROWSKI LTD 1260 17WC 14155 O'LEARY, DANTA J ESSENDANT CO 04/13/17 STEVEN J MALMAN & ASSOCIAT 1261 17WC 14252 GONZALEZ, MARTA G PERSONALIZATIONMALL.COM, 05/01/16 GOLDSTEIN BENDER & ROMANOF 1262 17WC 14257 GARCIA, GUSTAVO ARAMARK 03/07/17 GOLDSTEIN BENDER & ROMANOF STONE & JOHNSON CHARTERED 1263 17WC 14333 BROWN, ANTONIO G WIZZARD WAY INC 04/15/17 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 1264 17WC 14367 GREINER, CRAIG SIMS RECYCLING SOLUTIONS 06/11/15 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 1265 17WC 14454 PEREA, LISA SCHOOL FOR SPECIAL EDUC D @ 02/08/17 BAUM RUFFOLO & MARZAL LTD 1266 17WC 14521 WAITE, PATRICIA STRACN & VAN TIL SUPERMAR 03/24/17 LOUIS A PLZAK & ASSOCIATES 1267 17WC 14582 WATTS, TARA APL LOGISTICS 05/12/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 1268 17WC 14620 MAKA, ANDREW PARAMEDIC SERVICES OF IL 08/15/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 1269 17WC 14638 CLEARY, PATRICK WALGREENS 03/18/17 SEIDMAN MARGULIS & FAIRMAN 1270 17WC 14702 GREEN, BRENDA LA-Z-BOY INC 05/12/16 HOLECEK & ASSOCIATES 1271 17WC 14724 PATEL, DAHIBEN VALID USA 10/24/16 DWORKIN AND MACIARIELLO GRANT & FANNING 1272 17WC 14758 SARKIC, ALMIR MIDWEST MOTOR EXPRESS, IN 05/10/17 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 1273 17WC 14778 REED, SCOTT BURGER KING 05/02/17 DAVID W MARTAY HOLECEK & ASSOCIATES 1274 17WC 14826 KMIEC, BRIAN ICON RESOURCES 08/01/16 PORRO NIERMANN LAW GROUP 1275 17WC 14864 HINES, KATHRYN RESIDENTIAL HOME HEALTH 04/04/17 BOGUSZ & BOGUSZ LTD HOLECEK & ASSOCIATES 1276 17WC 14873 SHRESTHA, SABITRI WINCUP 03/01/16 MILLON & PESKIN LTD HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1277 17WC 14906 STRONG, DZINTRA BP PRODUCTS NORTH AMERICA 05/12/15 PARENTE & NOREM PC ROSARIO CIBELLA 1278 17WC 14961 HAUCK, GEORGE UPS 05/03/17 LEONARD LAW GROUP LLC ASA LAW GROUP 1279 17WC 15016 JOHNSON JR, KENNETH SUNRISE TRANSFER, INC 01/20/16 MILLON & PESKIN LTD HENNESSY & ROACH PC 1280 17WC 15074 SERRITELLA, ANNETTE MACY'S EAST 09/24/16 LAW OFFICE PHILIP BLOMBERG ROBERT L. SMITH 1281 17WC 15088 VILLALOBOS, ELIAS ELITE STAFFING, INC 05/06/17 CUSHING LAW OFFICES 1282 17WC 15173 LYNCH, THOMAS VILLAGE OF ADDISON 02/20/15 THOMAS M. PARIS 1283 17WC 15291 BARDIN, AVI AVANIR PHARMACEUTICALS IN 12/03/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 1284 17WC 15311 JOHNSON, MICHAEL LAKESIDE RACK INSTALLERS, 05/15/17 O'CONNOR & NAKOS RIPES NELSON BAGGOT KALOBRAT 1285 17WC 15379 RODRIGUEZ, JOSE C MONDELEZ INTERNATIONAL 09/20/15 EPSTEIN, JACK R LAW OFFICE 1286 17WC 15528 BRANDKAMP, STEVE NICOR GAS 09/08/14 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 1287 17WC 15582 LOPEZ, NOE I RUBY CLEANERS OUTLET 05/13/17 CHEPOV & SCOTT LLC 1288 17WC 15608 FLORES, MARICELA METRO STAFF, INC 08/22/16 SHEA LAW GROUP 1289 17WC 15617 VELAZQUEZ, MARIA ROSALBA ELITE STAFFING 05/23/17 WARREN W MARK 1290 17WC 15635 GREEN, GEORGE ILLINOIS STATE TOLL HIGHW 06/26/16 PETER D CORTI LAW GROUP GANAN & SHAPIRO 1291 17WC 15687 OCONNOR, JONATHAN NIGHT LIGHT INC. 05/23/17 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 1292 17WC 15703 CUNNINGHAM, LEAHMON L FAB EXPRESS * 05/02/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 1293 17WC 15767 GORDON, JERMAINE PEPPERRIDGE FARM 05/05/17 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 1294 17WC 15772 CASTELLANOS, ELADIO S&S INTERNATIONAL INC 04/03/17 FREDRICK B BARDER, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 76 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1295 17WC 15777 STEWART, SHALONDA ST PATRICK'S RESIDENCE NU 03/21/17 LEONARD LAW GROUP LLC 1296 17WC 15811 CROWLEY, JEROME P AL WARREN OIL COMPANY INC 05/08/17 ANKIN LAW OFFICE 1297 17WC 15874 MCKINNEY, EBONY UCP SEGUIN 05/01/17 STEPHEN G PINTO LTD 1298 17WC 15897 HERNANDEZ, NECTOR FEDEX FREIGHT 05/05/17 KROL BONGIORNO & GIVEN LTD QUINTAIROS PRIETO WOOD & BOY 1299 17WC 15965 NORMAN, JACOB EZ TOYZ INC 05/02/17 DAVID W MARTAY LAW OFFICES JOSEPH MARCINIAK 1300 17WC 15979 SMITH, DAWN NORTHWESTERN MEDICINE 04/12/17 WOODRUFF & JOHNSON 1301 17WC 16024 LOCKHART, ADRIENNE COMCAST CABLE 05/16/17 DAVID SZCZECIN & ASSOC SPIEGEL & CAHILL, PC 1302 17WC 16169 SCHEIRICH, CHRISTOPHER US FOODS 04/02/17 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 1303 17WC 16192 MASA, MARK SUNDANCE CONCRETE 01/04/17 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 1304 17WC 16243 RAMIREZ, AGUSTIN CRATE & BARREL 02/21/17 BART DURHAM 1305 17WC 16281 ALEXANDER, JOYCE ADVENTIST HINSDALE HOSPIT 06/14/15 KARCHMAR & STONE RODDY LAW LTD 1306 17WC 16300 MOLLAS, MYRVETE EXTENDED STAY AMERICA INC 06/14/16 WOLFE & JACOBSON, LTD 1307 17WC 16358 WILE, TIM CASSENS TRANSPORT COMPANY 02/25/15 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 1308 17WC 16467 PHOTHISENE, BOUPHA WABTEC/TRIANGLE ENGINEERE 03/02/17 LAW OFFICE OF GREGORY MART 1309 17WC 16521 KUNSTMAN, KATHRYN PAWS IN TIME RESORT 04/10/17 SAUNDERS CONDON & KENNY 1310 17WC 16537 SUTHERLAND, WILLIAM L. FRITO LAY 02/08/17 WILLIAMS, ROBERT B LAW OFF GILDEA & COGHLAN 1311 17WC 16691 RAYNER, KENNETH CAMEO MOLD 01/22/16 ROBERT EDENS GANAN & SHAPIRO 1312 17WC 16770 DERECZENIK, MAREK THE MILLARD GROUP 05/26/17 CHEPOV & SCOTT LLC RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 77 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1313 17WC 16876 NAVARRO, MARIA DOUBLE TREE OAK BROOK 05/05/17 CHRISTIAN & MANNO GRANT & FANNING 1314 17WC 16894 SCHOOP, FRANK AMERICAN LITHO 04/15/17 ROGER D RUDICH LTD WIEDNER & MCAULIFFE LTD 1315 17WC 16930 CARDENAS, AMARA IDEXX DISTRIBUTION, INC 02/11/17 MATT MURPHY CONSULTING 1316 17WC 16964 PEREZ GARCIA, ZEFERIN HIGH STANDARD SERVICES 05/16/17 SALGADO, DAVID L 1317 17WC 16971 HORMAZABAL-IBARRRA TRU-TONE FINISHING, INC 12/15/16 ANKIN LAW OFFICE 1318 17WC 17077 PALOMERA, TERESA ELITE STAFFING INC 06/01/17 CHEPOV & SCOTT LLC 1319 17WC 17114 SLOBODECKI, AMANDA M COMMUNITY HIGH SCHOOL DIS 01/12/17 ANKIN LAW OFFICE 1320 17WC 17152 JIMENEZ, JAIME A.J. OSTER 06/14/16 COLLISON LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 1321 17WC 17153 ORTEGA, GERARDO INNOCOR FOAM TECHNOLOGIES 06/03/17 COLLISON LAW OFFICES 1322 17WC 17189 WOLF, KURT J JR. PRECISION PLUMBING 12/12/16 HANNIGAN & BOTHA, LTD 1323 17WC 17225 SCOTT, JASON CITY OF WHEATON POLICE DE 04/04/17 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 1324 17WC 17324 BAE, MATHEW ULTRA FOODS INC 01/04/15 LAW OFFICE TIMOTHY DEFFET 1325 17WC 17381 AQUIRRE, FRANCISCO ABRASIVE-FORM, INC 05/15/17 MILLON & PESKIN LTD HOLECEK & ASSOCIATES 1326 17WC 17403 SPIVEY, LAVERNE WYNSCAPE HEALTH AND REHAB 05/07/17 ARGIONIS & ASSOCIATES LLC HENNESSY & ROACH PC 1327 17WC 17421 LOPEZ, LUCIA MAYA MAGIC NAILS 04/10/17 HERRERA LAW CENTER 1328 17WC 17448 HUMPHRIES, SHERRI ALWAYS GREAT SMILES 03/11/16 FRANCIS J DISCIPIO LAW OFF 1329 17WC 17505 KALICKI, JACEK Z IL DEPT OF TRANSPORTATION 04/12/17 WILLIAMS, ROBERT B LAW OFF 1330 17WC 17523 OLAGUE, ALVARO ALLIANCE MECHANICAL SERVI 02/17/17 JONATHAN SCHLACK ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1331 17WC 17616 TABB, HOWARD PESONALIZATIONMAIL.COM 05/02/17 RUBENS AND KRESS KOPKA, PINKUS DOLIN, PC 1332 17WC 17641 NEMEC, BRETT EDDIE MERLOTS 02/20/17 DWORKIN AND MACIARIELLO 1333 17WC 17704 KEATING, PAUL M COOK COUNTY FOREST PRESER 04/10/17 FIGLIOLI, DAVID FOREST PRESERVE DIST COOK CO 1334 17WC 17728 TARSITANO, JOI BC INTERNATIONAL INC 05/23/17 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 1335 17WC 17791 HOLLAND, KAOMA ALDEN VALLEY RIDGE REHAB 01/16/17 THERMAN LAW OFFICES 1336 17WC 17818 BROWNLOW, CHARLES FIC AMERICA CORP 05/01/17 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 1337 17WC 17827 DOBEY, MARY ANN COMMUNITY CONSOLIDATED 04/03/17 WOODRUFF & JOHNSON 1338 17WC 17860 CICCONE, JOHN DOHERTY GIANNINI REITZ 05/10/17 GOLDBERG WEISMAN & CAIRO L 1339 17WC 17866 COSBY, JANA SCHOOL DIST 181 05/23/17 THOMAS A MORRISSEY 1340 17WC 17948 RICKEVICIENE, VAIDA COVENANT RETIREMENT COMMU 02/27/17 RAYMOND M SIMARD, PC ASHER, RAYMOND L LTD 1341 17WC 18031 HANSEN, MICHAEL ULTRA FOODS 10/21/15 ROSARIO CIBELLA 1342 17WC 18049 BILECKI, LINDA GIORDANO'S 06/03/17 PARENTE & NOREM PC 1343 17WC 18056 JEZIORO, JUDITH NORTHWESTERN MEDICINE 02/27/17 DAVID W MARTAY POWER & CRONIN LTD 1344 17WC 18109 PIERCE, YVETTE SHERIFF OF COOK COUNTY 10/06/16 COLLINS BARGIONE 1345 17WC 18129 CARRILLO, FRANISCA NEW BEGINNINGS LLC 03/06/15 LAW OFFICES JOSEPH MARCINIAK 1346 17WC 18173 BARNETT, DONNA J YMCA OF METRO CHICAGO 05/10/17 JOHN J CASTANEDA 1347 17WC 18270 SANDOVAL, MARISOL OL-USA LLC 04/18/17 PORRO NIERMANN LAW GROUP CASSANO & ASSOCIATES 1348 17WC 18332 GUZMAN, ALEJANDRO UNIFAB 05/16/17 WILLIAM B MEYERS, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 79 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1349 17WC 18413 RABULINSKI, DANIEL WILKINS BUICK 04/13/17 BRIAN T MORROW, LAW OFFICE 1350 17WC 18435 ALAIMO, GIANNI EXO FABRICATION 04/03/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 1351 17WC 18477 BUDNER, MICHAEL VAL-MATIC VALVE& MANUFACT 06/17/13 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 1352 17WC 18494 KOTZEV, JIVKO GT TRANS INC 12/15/14 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 1353 17WC 18531 NARANJO, ARMANDO SUNRISE ELECTRIC HOLDINGS 03/01/17 GANAN & SHAPIRO 1354 17WC 18548 KATRALIS, PETER KEENAN TRANSIT CO 03/27/17 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 17WC018547 -C 1355 17WC 18587 LARA, ELADIO BAEZA TRUCKING INC 11/03/16 LEAHY, JAMES P 1356 17WC 18687 ALINKEVICIENE, ASTA EDWARD HOSPITAL 06/15/17 CAPRON & AVGERINOS PC POWER & CRONIN LTD 1357 17WC 18720 AMBROSIO, JANE HOME GOOD/TJX 10/07/16 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC 1358 17WC 18811 ARROYO, VIRGINIA ASG STAFFING INC 102 06/08/17 STEPHEN G PINTO LTD FRANCIS J DISCIPIO LAW OFFIC 1359 17WC 18890 KURT, JENNIFER METLIFE 01/29/14 MEYERS & FLOWERS CHILTON YAMBERT PORTER LLP 1360 17WC 19000 MOORE, JETANTE ILLINOIS STATE TOLLWAY 12/29/16 TRUGLIO, FRED A & ASSOC NYHAN BAMBRICK KINZIE & LOWR 1361 17WC 19015 GARCIA, JOSE A ROSBOROGH PARTNERS INC. 06/08/17 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 1362 17WC 19052 HERNANDEZ, JOSE TRINIDAD BUTLER NATIONAL GOLF CLUB 10/20/16 CULLEN HASKINS NICHOLSON 1363 17WC 19209 LOCHNER, DONNA WINFIELD FLOWER SHOPPE 03/13/17 GOLDBERG WEISMAN & CAIRO L 1364 17WC 19269 OBERG, HAROLD KANA HOTEL GROUP 12/23/16 MILLON & PESKIN LTD 1365 17WC 19314 KRACH, KARIA J EDWARD AMBULANCE SERVICE 12/03/16 MATTHEW T. GUBBINS PC RUSIN & MACIOROWSKI LTD 1366 17WC 19347 ROSAS AVILA, FRANCISCO BARTON STAFFING SOLUTIONS 05/30/17 LANZILLOTTI GRIBBEN & MARC SLAVIN & SLAVIN

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 81 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1385 17WC 20634 MARTINEZ, JENNIFER CGC MANAGEMENT LLC 12/06/16 ANKIN LAW OFFICE 1386 17WC 20671 CAVANAUGH, JACQUELINE THE CLUBHOUSE 11/25/16 ERIC H CHECK, LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 1387 17WC 20689 JAVONILLO, MARCELO SPRAYING SYSTEMS CO. 06/15/17 KIPNIS & KAHN DONALD J. MORAN 1388 17WC 20704 MARTINEZ, HUGO MARTAM CONSTRUCTION 03/05/15 CASSANO & ASSOCIATES HOLECEK & ASSOCIATES 1389 17WC 20790 THOMPSON, MICHAEL MR. DAVID'S FLOORING 12/12/16 SPIROS LAW PC 1390 17WC 20826 THOMPSON, MICHAEL MR DAVIDS FLOORING 03/27/17 SPIROS LAW PC 1391 17WC 20869 SWIERBINSKI, MARK JEWEL FOOD STORE 06/01/17 LAW OFFICES MICHAEL HELLMA 1392 17WC 20933 RODRIGUEZ, RAYMUNDO FOUR LAKES CONDO 07/24/14 DAVID W MARTAY 1393 17WC 20957 JACKSON, YOLANDA BROOKDALE LISLE 05/17/17 BRISKMAN BRISKMAN GREENBER 1394 17WC 20995 LAMBETH, TIMOTHY CIT OF ELMHURST 06/01/17 MILLON & PESKIN LTD POWER & CRONIN LTD 1395 17WC 21020 AH-YO, MERNALEE ADDUS HOME CARE- DOWNERS 12/06/16 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 1396 17WC 21073 MARTINEZ, JESUS SAL'S PIZZA 06/03/17 EVAN A HUGHES LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 1397 17WC 21136 LAND, CHANCE OLSSON ROOFING CO * 06/06/17 KINNALLY FLAHERTY KRENTZ & 1398 17WC 21174 BRANNEN, DEBORAH THE PRIVATE BANK * 07/18/15 BOWMAN & CORDAY 1399 17WC 21233 RITTER, DOUGLAS E EARTH, INC * 09/04/15 WIEDNER & MCAULIFFE LTD 1400 17WC 21283 VENTURANZA, SHIRLEY WALMART * 04/29/17 BURNETT & CARON, LTD GANAN & SHAPIRO 1401 17WC 21296 SAWYER, JOHNATHAN EXPRESS EMPLOYMENT * 07/10/17 DWORKIN AND MACIARIELLO 1402 17WC 21304 LAMM, SHANE BTW PROPERTIES LLC D/B/A * 02/04/16 LAW OFFICES TIMOTHY HENDER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 82 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1403 17WC 21309 FRUSOLONE, MARY CAROL STREAM PARK DISTRIC * 05/20/17 MURPHY & MURPHY HENNESSY & ROACH PC 1404 17WC 21448 MOSER, RICHARD CHICAGO TRANSIT AURTHORIT * 03/17/17 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 1405 17WC 21518 COCONATO, RICHARD CONCRETE & MARBLE POLISHI * 04/27/17 DE FRIES LAW OFFICES PC 1406 17WC 21627 SAMPSON-BACH, NANCY ALLIANCE ENTERTAINMENT * 11/22/16 HOLECEK & ASSOCIATES 1407 17WC 21699 BARTOSZEK, RAFAL POWER SOLUTIONS IN'TL INC * 05/12/16 BELLAS & WACHOWSKI 1408 17WC 21790 CHAVEZ, LOURDES COSTCO * 04/01/17 SALVATO & O'TOOLE GANAN & SHAPIRO 1409 17WC 21889 PEREZ, GRACIELA CONWED PLASTICS, LLC * 10/12/16 DWORKIN AND MACIARIELLO 1410 17WC 21911 VALLE, ANGEL DANCO CONVERTING * 07/25/17 COSTA IVONE LLC 1411 17WC 21965 FINLAY, WILLIAM C ACCURATE TEMPORARY SERVIC * 07/20/17 MC ANDREWS & NORGLE LLC 1412 17WC 22011 WALANO, EVELYN ILLINOIS SECRETARY OF STA @ * 06/14/17 BARRY A KETTER 1413 17WC 22069 KIRK, MELVIN ALL 1 STAFFING * 07/17/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 1414 17WC 22089 SELTIN, CATHERINE T NAVISTAR INTERNATIONAL * 03/15/17 VITELL & SPITZ LTD 1415 17WC 22179 PULIDO, ANTONIO MOFFAT WIRE & DISPLAY, IN * 06/28/17 CHEPOV & SCOTT LLC 1416 17WC 22246 VALASEK, TIMOTHY J NEW ERA PAINTING * 07/26/17 LAW OFFICE OF SCOTT B SHAP RUSIN & MACIOROWSKI LTD 1417 17WC 22284 MONTAGNER, MIGUEL AMLI RESIDENTIAL * 04/26/17 STEVEN J MALMAN & ASSOCIAT 1418 17WC 22291 SMITH, CARISSA VILLAGE OF DOWNERS GROVE * 05/12/17 CULLEN HASKINS NICHOLSON VILLAGE OF DOWNERS GROVE 1419 17WC 22407 FLORES, SERGIO CASEY ELECTRIC SALES, INC * 12/05/16 RUEDA, IVAN A 1420 17WC 22448 ALVESTAD, JOSTEIN CITY OF ELMHURST * 05/18/17 MILLON & PESKIN LTD POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 83 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1421 17WC 22608 DEL RIO, JULIETA GCA SERVICES GROUP, INC * 04/17/17 WARREN W MARK 1422 17WC 22729 HURST, JOHN WOOD DALE FIRE PROTECTION * 07/24/17 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 1423 17WC 22739 POWELL, EDWARD VOLVO SALES & SVC CTR, IN * 09/01/14 ROSS TYRRELL WOLF LAW LTD 1424 17WC 22744 MAZZUCA, MARJORIE GORDON FOOD SERVICES * 07/04/17 WILLIAM MARTAY 1425 17WC 22794 VERHULST, DONNA US FOODS * 06/13/17 JOHN E LUSAK 1426 17WC 22804 MASTNEY, CAROL PEPPERIDGE FARM, INC * 03/10/17 MARKER & ASSOCIATES CHILTON YAMBERT PORTER LLP 1427 17WC 22857 AVILA, VERONICA TEMP'S PDQ, INC * 05/30/17 SALVATO & O'TOOLE POWER & CRONIN LTD 1428 17WC 22869 HORVATH, JIMMY MEDTRONIC, INC * 05/10/17 CULLEN HASKINS NICHOLSON 1429 17WC 22936 SNYDER, JAMES TEAM INC. * 07/14/17 JOHNSON, MICHAEL D & ASSOC 1430 17WC 23019 COSSYLEON, JOSE ASG STAFFING * 07/07/17 VRDOLYAK LAW GROUP LLC 1431 17WC 23043 PALUMBO, JUDITH UPS * 03/03/17 LEONARD LAW GROUP LLC 1432 17WC 23121 ANDERSON, JEFFREY S UNITED PARCEL SERVICE * 06/19/17 JOHN E LUSAK NYHAN BAMBRICK KINZIE & LOWR 1433 17WC 23129 AGUILAR, OSMAN MR DAVID'S FLOORING * 12/06/15 JONATHAN SCHLACK 1434 17WC 23193 COOGLER, JODIE II CPC LOGISTICS * 08/01/17 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM 1435 17WC 23218 JONES, STACEY ADDUS HOME CARE * 08/01/17 DAVID W MARTAY 1436 17WC 23260 GARCIA, VICTORIA E FIRST HOSPITALITY GRP INC * 06/08/17 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 1437 17WC 23294 KOCIUBA, CRAIG UPS * 06/29/17 ROMANUCCI & BLANDIN NYHAN BAMBRICK KINZIE & LOWR 1438 17WC 23362 DEMERITT, PHILIP LITGEN CONCRETE CUTTING * 06/26/17 RICHARD O. GREENFIELD HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 84 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1439 17WC 23439 HUNT, ANTWOIN DES EMPLOYMENT GROUP * 12/01/16 MILLON & PESKIN LTD 1440 17WC 23526 TINAJERO, ANTONIO ADECCO STAFFING * 05/12/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH, PC 1441 17WC 23546 MENTZER, CHRISTINE ADVOCATE GOOD SAMARITAN H * 04/17/17 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 1442 17WC 23630 JAMES, WILLIAMS C&C BUILDING SOLUTIONS * 06/28/17 STEWART C ORZOFF 1443 17WC 23704 LINDQUIST, ASHLEY EDWARD ELMHURST HOSPITAL * 07/31/17 MICHAEL NICHOLSON 1444 17WC 23731 STANDLEE, SCOTT THE PEGGS COMPANY * 09/03/15 ASHER, RAYMOND L LTD COZZI & GOGGIN-WARD 1445 17WC 23789 KELLER, ANGELA DANADA DENTAL * 09/15/16 MILLON & PESKIN LTD 1446 17WC 23832 ELSMAN, BRIAN W UBER TECHNOLOGIES * 07/29/17 CULLEN HASKINS NICHOLSON 1447 17WC 23855 ESCAMILLA, JAIME FED EX FRIEGHT * 04/17/14 ROMANUCCI & BLANDIN QUINTAIROS PRIETO WOOD & BOY 1448 17WC 23936 CONSTANTINO, RANDAL K AMERICAN BOTTLING * 05/05/17 ANTHONY J MAY 1449 17WC 24023 LOPEZ, HUMBERTO J&K CABINETRY, INC * 03/05/16 RUSIN & MACIOROWSKI LTD 1450 17WC 24048 SHLIN, DONALD ERGOSEAL * 06/05/17 BART DURHAM HENNESSY & ROACH PC 1451 17WC 24092 GOMEZ, ARGENIS AM STAFFING GROUP * 06/07/17 GOLDSTEIN BENDER & ROMANOF 1452 17WC 24132 LUNA, RICK STAIR ONE INC * 08/12/17 GOLDBERG WEISMAN & CAIRO L 1453 17WC 24171 MORALES, DOUGLAS ELITE STAFFING * 08/05/17 JAMES J. GAY 1454 17WC 24218 LATEK, DANIEL DUPAGE COUNTY SHERIFF * 04/21/16 KREITER, BYCK & ASSOC LLP ROCK FUSCO & CONNELLY 1455 17WC 24246 HIGUERA, JUAN DR PEPPER SNAPPLE GROUP * 06/14/16 DWORKIN AND MACIARIELLO 1456 17WC 24377 STONE, SCOTT GOODWILL INDUSTRIES * 08/05/17 GREGORIO & MARCO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1457 17WC 24390 LAFEVER, MICHAEL STATE LINE CORP * 08/17/17 O'CONNOR & NAKOS 1458 17WC 24431 SALGADO, PRISCILLA WINDSOR PARK * 04/14/17 COSTA IVONE LLC ASHER, RAYMOND L LTD 1459 17WC 24563 STEWART, PAUL MARIANO'S * 08/09/17 RATHBUN CSEVENYAK & KOZOL 1460 17WC 24571 HERNANDEZ, PEDRO ALL WINDOW CLEANING SRVIC * 06/02/17 LAW OFFICES ROBERT WARSASK 1461 17WC 24602 PABST, JEFFERY R SR. METRO HARDWOODS * 08/02/17 CORNFIELD & FELDMAN WOLFE & JACOBSON, LTD 1462 17WC 24632 TURNER, SARIE A VILLAGE OF OAK BROOK * 06/12/16 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 1463 17WC 24639 RIVERA, CARLOS CONNELLY ELECTRIC * 07/07/17 KARNO, MARK L & ASSOC BRADY CONNOLLY & MASUDA PC 1464 17WC 24707 ALTAMIRANO, HERMAN WINCUP * 06/12/17 FOOTE MIELKE CHAVEZ & O'NE 1465 17WC 24747 JOHNSRUD, DEAN B SITE TECH STAFFING, INC. * 07/18/16 LAW OFFICES JOSEPH MARCINIAK 1466 17WC 24772 MAJER, LUKASZ 02 SPECIALTY MFG.HOLDINGS 01/12/17 RUSIN & MACIOROWSKI LTD 1467 17WC 24885 ADAMS, BRYANNA COURIER DISTRIBUTION SYST * 08/12/17 DAVID W MARTAY 1468 17WC 24912 DECESARE, DOMENIC UNITED PARCEL SERVICE INC * 07/17/17 GRAUER & KRIEGEL LLC 1469 17WC 25002 SCOTT, CHRYSTAL DRIVE TIME * 04/01/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 1470 17WC 25046 KLABISH, SHERI JOANN EVERGREEN ALLIANCE GOLF * 08/12/17 SALVATO & O'TOOLE 1471 17WC 25133 WIELAND, MATTHEW J GLENDALE HEIGHTS POLICE D * 12/25/16 LAW OFFICE PHILIP BLOMBERG ROBERT L. SMITH 1472 17WC 25199 RAMOS, JONATHAN METRO STAFFING * 05/02/17 AIOSSA LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 1473 17WC 25304 MARTINEZ, LEONARDO S&S INTERNATIONAL * 08/19/17 PETER D CORTI LAW GROUP 1474 17WC 25310 MURILLO, ALEXANDER ESSENDANT * 06/01/17 GALLAGHER, DONALD V HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 86 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1475 17WC 25388 FLORES, SANTOS J EAST PENN MANUFACTURING C * 06/09/17 GRAZIAN & VOLPE PC WIEDNER & MCAULIFFE LTD 1476 17WC 25437 YUSUF, AHMED WORLDWIDE CARRIER INC * 08/17/17 ANKIN LAW OFFICE 1477 17WC 25475 MESAZ, JONATHAN CARSONS * 06/28/17 DWORKIN AND MACIARIELLO 1478 17WC 25515 PAPACH, ERIC UPS * 02/21/17 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 1479 17WC 25542 LANGLO, JAMES AT&T * 06/12/17 FOOTE MIELKE CHAVEZ & O'NE 1480 17WC 25583 KETCHERSIDE, VICTORIA JAN EAGLE MERCHANDISING SOLUT * 12/06/16 BUTLER & KEMPER BRADY CONNOLLY & MASUDA PC 1481 17WC 25650 DONOHUE, JAMES AUTONATION - MERCEDEZ-BEN * 08/10/17 GRAVLIN, MICHAEL J LLC 1482 17WC 25672 THOMAS, DAVID LEWIS PROCESS SYSTEMS * 12/11/15 JOHN E LUSAK 1483 17WC 25732 CROW, MARK SOUTHERN REFRIGERATED * 07/18/17 BART DURHAM 1484 17WC 25822 CRUZ, GUADALUPE EMPLOY SOURCE TEMP * 08/17/17 KATZ FRIEDMAN EAGLE ET AL 1485 17WC 25834 SCOTT, MONETTA LEXINGTON MERIT * 07/18/17 SEIDMAN MARGULIS & FAIRMAN 1486 17WC 25920 WILLARD, RYAN LAUREL BMW OF WESTMONT * 06/24/17 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 1487 17WC 25939 COOPER, BRIAN VILLAGE OF CAROL STREAM/C * 09/01/16 MURPHY & MURPHY 1488 17WC 25949 GUGALA, MALGORZATA RPB OAKBROOK LLC DBA * 07/12/15 BELLAS & WACHOWSKI COZZI & GOGGIN-WARD 1489 17WC 25963 BABU, ALEYAMMA ELMHURST MEMORIAL HOSPITA * 07/02/17 CULLEN HASKINS NICHOLSON 1490 17WC 26003 BARTON, MICHAEL VILLAGE OF VILLA PARK * 07/25/17 CUDA LAW OFFICES 1491 17WC 26060 LOPEZ-JIMENEZ, ALAN HOME RUN INN * 08/21/17 CHEPOV & SCOTT LLC 1492 17WC 26076 MCDUFFEE, KELLY WILDSIDE JEEP CUSTOMS * 07/24/17 MEYERS & FLOWERS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 87 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1493 17WC 26131 CAGUINGIN, JOSE UPS * 06/08/16 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 1494 17WC 26165 VELASQUEZ, TOMAS BRAHMA MASONRY CONSTRUCTI * 09/05/17 SKLARE LAW GROUP 1495 17WC 26217 AGUIRE, ALICIA BROOKDALE LISLE * 09/20/16 LEADERS LAW CENTER LLC POWER & CRONIN LTD 1496 17WC 26292 DATTOLO, OTTAVIO NOLTES AUTO REPAIR * 07/27/17 DAVID W MARTAY 1497 17WC 26334 ESTRADA, LOURDES VILLAGE OF CAROL STREAM/C * 06/23/17 MURPHY & MURPHY 1498 17WC 26366 REUSCH, MARY PATRICK AUTO GROUP * 11/02/16 CAPRON & AVGERINOS PC 1499 17WC 26392 ALASCAGUA, PAULA CREATIVE RESOURCE PERSONN * 08/01/17 ANKIN LAW OFFICE ROBERT L. SMITH 1500 17WC 26496 VOSE, TIMOTHY SUTFIN MECHANICAL, INC * 06/16/16 GOLDBERG WEISMAN & CAIRO L 1501 17WC 26585 MADIA, MOHAMMED UNITED EXPRESS SYSTEM * 08/24/17 HART & DAVID LLP 1502 17WC 26601 BROWN, TEWAN NICOR GAS * 08/12/17 SHELDON I MINKOW & ASSOCIA 1503 17WC 26844 FICK, ADAM G CALIBER CONSTRUCTION CO * 10/11/16 ANESI OZMON RODIN NOVAK KO QUINTAIROS PRIETO WOOD & BOY 1504 17WC 26934 NEZIRI, BESNIK SUPERIOR AMBULANCE SERVIC * 03/07/17 MILLON & PESKIN LTD 1505 17WC 26956 MARTINEZ, OMAR CATALANO CONCRETE CONSTRU * 06/07/16 BRADY CONNOLLY & MASUDA PC 1506 17WC 26979 BILLINGS, DONOVAN NAPERVILLE SCHOOL DISTRIC * 09/09/15 STEPHEN P. KELLY MACIOROWSKI SACKMANN & ULRIC 1507 17WC 27007 WALLACE, PATRICIA ACADIA HEALTHCARE * 06/24/17 LEITER LAW OFFICES 1508 17WC 27066 REYES, JOSE FIC AMERICA CORP * 04/29/17 WHITESIDE & GOLDBERG LTD 1509 17WC 27142 WILLIAMS, AUDREY PARKER HANNIFIN CORPORATI * 08/24/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 1510 17WC 27213 LEWIS, MIKE BRONSON & BRATTON, INC * 04/28/17 SCHWEICKERT & GANASSIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 88 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1511 17WC 27244 SCALF, MICHAEL DYNAFRESH (PLATED) * 04/27/17 ROMANEK & ROMANEK 1512 17WC 27301 CAMPOS, JESSICA HANDI-FOIL CORPORATION * 08/01/17 TEWS THEISEN & THEISEN 1513 17WC 27336 WITKUS, ANGELA C CITY OF WARRENVILLE * 01/28/17 THOMAS W DUDA 1514 17WC 27350 VERDUGO, KARLA FLEXICORP, INC. * 04/11/17 HERRERA LAW CENTER ROBERT L. SMITH 1515 17WC 27364 REYNOLDS, DANIEL KALLEMEYN COLLISION CENTE * 08/29/17 COPELAND FINN & FIERI LTD 1516 17WC 27403 HAYWARD, ADAM DOWNERS GROVE FIRE DEPART * 06/21/17 RIDGE & DOWNES VILLAGE OF DOWNERS GROVE 1517 17WC 27443 TORRES, LUIS MANNA FREIGHT, INC * 08/17/17 KARCHMAR & STONE 1518 17WC 27468 MUNOZ, JOSE CLIPPER INDUSTRIES * 04/27/17 CULLEN HASKINS NICHOLSON 1519 17WC 27473 KOLACINSKI, KEITH DELEET MERCHANDISING CORP * 10/25/16 LAW OFFICES JOSEPH MARCINIAK 1520 17WC 27505 RICE, JIMMY NATIONWIDE RAIL SERVICES * 05/01/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1521 17WC 27585 HARRIS, JOHN J YAMASHO, INC * 07/11/17 GARDI & HAUGHT 1522 17WC 27622 SKOWRON, DANUTA BAKERS SQUARE/AMERICAN BL * 03/22/17 LAW OFFICE OF JAMES H MILL 1523 17WC 27654 HARRIS-WILLIAMS, LIONEL WISMETTAC ASIAN FOODS * 07/25/17 LEONARD LAW GROUP LLC 1524 17WC 27712 JASINOWSKI, DARRYL GENESIS CONSTRUCTION INC * 06/16/17 HORWITZ HORWITZ & ASSOC 1525 17WC 27789 WILSON, JAMES ACE HARDWARE * 07/03/16 DWORKIN AND MACIARIELLO 1526 17WC 27867 LIGHTFOOT, CARL SOUTHERN COMPANY GAS D/B/ * 09/12/17 CORBOY & DEMETRIO PC 1527 17WC 27900 KENZLE, JOSH DMS MOVING & STORAGE DBA * 09/15/17 RITTENBERG & BUFFEN 1528 17WC 27930 CAMARGO, FRANCISCO GOMEZ BALANCED ENVIRONMENTS INC * 07/12/17 SALK, STEVEN B & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 89 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1529 17WC 27993 YUGAR, THOMAS UPS * 09/08/17 BURNETT & CARON, LTD 1530 17WC 28035 FLORES, ELVIA BENIHANA * 07/27/17 GOLDSTEIN BENDER & ROMANOF 1531 17WC 28081 CLARKE, TIMOTHY AMER SPROTS COMPANY DBA W * 04/06/16 SANDMAN LEVY & PETRICH 1532 17WC 28121 BONILLA, MARIA HANDI FOIL CORPORATION * 02/05/17 DWORKIN AND MACIARIELLO 1533 17WC 28140 STEENBERGEN, CHRISTINE RUSSO & RUSSO LTD * 04/18/17 ZOTTI, ROBERT J LAW OFFICE BRADY CONNOLLY & MASUDA PC 1534 17WC 28155 SANTIAGO, BRANDON M VILLAGE OF VILLA PARK * 10/29/14 JAMES A CORRIGAN LTD 1535 17WC 28200 WILLIAMS, FRANKIE REGIS CORPORATION * 06/30/17 THE FITZ LAW GROUP 1536 17WC 28241 MANSFIELD, SCOTT TWIN PLEX STAFFING * 11/10/15 LAW OFFICES OF EDWARD J. KOZ 1537 17WC 28284 HILL, VERNON PROTILLOS * 08/24/17 DWORKIN AND MACIARIELLO 1538 17WC 28299 WILLIAMS, SCOTT ROLLPRINT PACKAGING * 01/05/15 JOHN J CASTANEDA 1539 17WC 28371 BREWSTER, JEFFREY TOTAL HOME HEALTH * 09/20/17 GOLDSTEIN BENDER & ROMANOF HOLTKAMP LIESE ET AL 1540 17WC 28417 WILLIAMS, NANCY SPECIALTY ROLLED METALS, * 12/09/15 COHN & COHN 1541 17WC 28474 ROSCH, HEATHER TARGET * 08/14/17 LAW OFFICE OF SCOTT B SHAP 1542 17WC 28529 ROGERS, PRINCESS SUBURBAN HOME CARE * 04/18/17 HEYL ROYSTER VOELKER & ALLEN 1543 17WC 28536 MONTEZ, MICHAEL NRJM INC, DBA DOMINO'S PI * 09/08/17 MARC J SHUMAN & ASSOCIATES 1544 17WC 28572 DE LA CRUZ, ANA I ARCHITECTURAL BUILDERS * 09/12/17 RUEDA, IVAN A 1545 17WC 28628 BROWN, MATTHEW DECK MEDIC/L&L BROTHERS S * 09/05/17 PORRO NIERMANN LAW GROUP 1546 17WC 28669 HOVEY, RANDY ACCEL ENTERTAINMENT * 06/15/17 RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 90 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1547 17WC 28699 HAUSER, LORI ALL SAINTS CATHOLIC ACADE * 01/10/17 RATHBUN CSEVENYAK & KOZOL 1548 17WC 28729 CRUZ, IRENE CLEAR STAFFING * 10/08/16 EDWIN REYES LEGAL GROUP 1549 17WC 28779 MARCINIAK, DANIEL VILLAGE OF LOMBARD * 09/07/17 MARQUARDT KALLAS & BELMONT 1550 17WC 28824 SANTOYO, PEDRO F&J RODRIGUEZ LANDSCAPING * 09/09/17 AIOSSA LAW FIRM 1551 17WC 28897 OSIPOV, VLADIMIR TRANS CHICAGO TRUCK GROUP * 06/28/17 DWORKIN AND MACIARIELLO 1552 17WC 28970 TURNER, WILL METRO STAFFING * 09/25/17 COLLISON LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 1553 17WC 28997 AVILES, NORMA ADVANCED URETHAN TECHNOLO * 11/04/16 LAW OFFICES OF ANSELMO DUR 1554 17WC 29007 ESPINOSA-GARCIA, MARGARIT MULTI TEMPS STAFFING * 12/23/16 CHEPOV & SCOTT LLC 1555 17WC 29075 DALO, DENNIS CALDWELL PLUMBING CO * 10/08/15 HEALY SCANLON LAW FIRM 1556 17WC 29118 KETHDY, VILAXON ABRASIVE FORM * 09/17/17 FICHERA & MILLER 1557 17WC 29158 MUNOZ SANCHEZ, SALVADOR OPUS DEVELOPMENT CORP * 08/30/17 1558 17WC 29212 ERDMANN, BONNIE SUNRISE SENIOR LIVING * 07/27/17 GOGIN & ASSOCIATES 1559 17WC 29288 KOZERA, KATARZYNA OLSON RUG, CO * 05/31/17 DAVID W MARTAY 1560 17WC 29307 REIDY, TOM D THE HOME DEPOT USA, INC. * 08/29/15 ADELSON TESTAN & BRUNDO 1561 17WC 29338 YARBROUGH, NIDIEA SPEEDWAY * 09/08/15 DWORKIN AND MACIARIELLO 1562 17WC 29354 KARAYEVA, GYULNARA WINCUP @ * 12/08/14 FEDOR KOZLOV & ASSOC 1563 17WC 29366 PAULEY, WAYNE ILLINOIS STATE @ * 05/08/17 KOSIN LAW OFFICE LTD 1564 17WC 29433 IVANOVSKA, KARAVILKA WALMART * 04/29/17 WHITESIDE & GOLDBERG LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 91 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1565 17WC 29465 KIDD, MATTHEW W WP BROMS INC * 06/09/17 GRAUER & KRIEGEL LLC 1566 17WC 29491 PETERS, JAMES THE PORTILLO'S RESTAURANT * 10/01/15 STEPHAN L. HOFFMAN 1567 17WC 29494 PETERS, JAMES THE PORTILLO'S RESTAURANT * 09/02/15 STEPHAN L. HOFFMAN 1568 17WC 29526 NUNO, ABIGAIL EMERITUS * 10/31/14 EPSTEIN, JACK R LAW OFFICE 1569 17WC 29540 JAMES, PETER PATTEN INDUSTRIES * 03/02/12 TARADASH LAW OFFICE 1570 17WC 29548 VIOLA, THOMAS ACURA INC * 08/29/17 GOLDBERG WEISMAN & CAIRO L 1571 17WC 29599 MANGIAMELI, JAMES NORTH CENTRAL COLLEGE * 10/21/13 NYHAN BAMBRICK KINZIE & LOWR 1572 17WC 29608 WOODHAM, STEVEN CITY OF NAPERVILLE * 09/18/17 DRISCOLL LAW OFFICES PC 1573 17WC 29632 LOPEZ, MIGUEL DIAZ THE DRAKE HOTEL * 09/17/17 COSTA IVONE LLC 1574 17WC 29642 ROSS, RONALD EXPRESS EMPLYMNT PROFESSI * 07/07/17 DWORKIN AND MACIARIELLO 1575 17WC 29677 HASKINS, ROBERT SR. STATION IMAGING * 05/21/16 DUDLEY & LAKE LLC BRYCE DOWNEY & LENKOV LLC 1576 17WC 29736 FUNAKOSHI, GEORGE E KONICA MINOLTA * 09/15/17 MILLON & PESKIN LTD 1577 17WC 29807 KUBES, MICHAEL TOP DRIVER/ ACCESS MGMT * 05/29/14 WOLFE & JACOBSON, LTD 1578 17WC 29929 GARCIA, ARACELLI BRIGHTON GARDENS OF WHEAT * 07/04/17 TURNER & SACKETT LLC 1579 17WC 29932 GARCIA, ARACELLI BRIGHTON GARDENS FO WHEAT * 06/15/17 TURNER & SACKETT LLC 1580 17WC 29953 ROBLES, CYNTHIA ILLINOIS DEPARTMENT OF @ * 02/10/17 WILLIAM B MEYERS, LTD 1581 17WC 29980 MCALPINE, MONIQUE BRENTFORD * 10/04/17 ANGELINI & ORI LLC 1582 17WC 30052 WRIGHT, GABRIEL BANDR ENTERPRISES INC VAL * 05/10/17 LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 92 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 11/16/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1583 17WC 30145 OSMAN, JENNIFER RESIDENTIAL HOME HEALTH * 05/04/16 MARKER & ASSOCIATES