ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 99WC 03404 19B DE FALCO, PHILLIP SELCO INDUSTRIES 12/31/98 ELFENBAUM EVERS ZIELINSKA LAW OFFICES OF EDWARD J. KOZ 2 02WC 57116 ROHAN, WILLIAM CHICAGO PUBLIC SCHOOLS 10/12/01 TIMOTHY LAMPINEN LAW DEPARTMENT 03WC035590 -C 3 05WC 27781 WALKER, CYNTHIA COOK COUNTY SHERIFFS OFFI 07/08/04 SEIDMAN, STEVEN J STATES ATTORNEY OF COOK CO 05WC027783 -C 13WC034480 -C 14WC039066 -C 4 05WC 36980 19B STRUGIELSKI, DIANE COOK COUNTY MEDICAL EXAMI 07/13/05 NAVIGATO & SALVATO INMAN & FITZGIBBONS 5 06WC 47892 IVANOV, EDWARD CHICAGO TRANSIT AUTHORITY 01/11/02 O'CONNOR & NAKOS 06WC047893 -C 06WC047894 -C 08WC009844 -C 6 07WC 02679 BORRERO, DEBORAH CHICAGO BOARD OF EDUCATIO 08/09/06 LEO ALT CHGO BOARD OF EDUCATION 7 08WC 16442 LAZAR, EDMAND S & C ELECTRIC CO 02/06/08 HUGHES SOCOL PIERS RESNICK RUSIN & MACIOROWSKI LTD 8 09WC 36506 WELLS, LETICIA A CTA 08/24/09 STEWART C ORZOFF CHICAGO TRANSIT AUTHORITY 9 10WC 26766 19B IRIZARRY, EDWIN CITY OF CHICAGO 06/21/10 BAUM RUFFOLO & MARZAL LTD 10 10WC 32246 BACHELDER, GEORGE OUTSOURCE FLEET SERVICES 07/22/10 ANGELINI & ORI LLC HOLECEK & ASSOCIATES 11 10WC 35806 CORSEY, ENTROPHI A CARMAX 01/21/10 DEPAOLO ZADEIKIS GORE MARTIN, PATRICK W 12 10WC 46964 THOMPSON, LORETTA CITY OF CHICAGO 11/03/10 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 13 11WC 03165 SANTIAGO, LOUIS IDOT @ 01/17/11 SIGMOND, STEVEN ASSISTANT ATTORNEY GENERAL 14 11WC 21515 HERNANDEZ, MARGARITA EXCEL SCREEN PRINTING 05/13/11 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 11WC 30774 WASHINGTON, LAVERNE PACE WEST DIVISION 01/18/10 TRUGLIO, FRED A & ASSOC HEYL ROYSTER VOELKER ALLEN 16 11WC 36002 YESSIN, FATHYEH CPS MARQUETTE SCHOOL 01/19/10 STROM, NEAL B 11WC036003 -C 11WC036004 -C 11WC036005 -C 11WC036006 -C 11WC037035 -C 17 11WC 47227 MUNOZ, DORIS CITY OF CHICAGO 11/23/11 SANDMAN LEVY & PETRICH CITY OF CHICAGO 13WC011003 -C 17WC000113 -C 17WC013031 -C 18WC005018 -C 18 12WC 09441 SPENCER, DEBORAH UNIVERSITY OF ILLINOIS 03/08/12 SAUNDERS CONDON & KENNY HEYL ROYSTER VOELKER & ALLEN 15WC004428 -C 19 12WC 13465 TAYLOR, KATHRYN CHICAGO TRANSIT AUTHORITY 01/29/12 ELFENBAUM EVERS ZIELINSKA CHICAGO TRANSIT AUTHORITY 20 12WC 22429 19B PORTILLO, SOCORRO CITY OF CHICAGO 04/13/12 HETHERINGTON KARPEL BOBBER CITY OF CHICAGO 12WC022430 -C 18WC033443 -C 21 12WC 22957 CHAMBERS, KEITH CITY OF CHICAGO 03/23/12 HEALY LAW FIRM 22 12WC 25258 SANCHEZ, MIGUEL P SR ALBIN CARLSON INC 03/27/12 SALVATO & O'TOOLE STONE & JOHNSON CHARTERED 23 12WC 35480 HENDERSON, CHARLES CHICAGO BOTANIC GARDEN 09/30/11 MARTIN L GLINK LAW OFFICE JOSEPH MARCINIAK 12WC040364 -C 13WC002750 -C 13WC002751 -C 24 12WC 37045 JOHANN, DEBRA D TIMBER RIDGE SCHOOL 10/19/11 RANDALL A. WOLFF & ASSOC WIEDNER & MCAULIFFE LTD 25 12WC 38209 SANTIAGO, AURORA ELITE STAFFING INC/ 09/28/12 LAW OFFICE HUGO ORTIZ MARC CAIRO 26 13WC 03853 DEVITA, ANGELO ST OF ILL EMERGENCY TRAFF 02/04/13 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 27 13WC 11025 BELL, WAYNE J SR COOK COUNTY 10/22/12 TAXMAN POLLOCK STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 13WC 20241 GOMEZ, HECTOR R VINCE & SONS PASTA CO 05/01/13 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 29 13WC 24977 DAVIS, SABRINA ADVOCATE CHRIST MEDICAL C 03/16/13 NICHOLAS ROBERT RECCHIA GAROFALO SCHREIBER STORM 30 13WC 27228 NAVARRO, PABLO CITY OF CHICAGO 06/24/13 KATZ FRIEDMAN EAGLE ET AL CITY OF CHICAGO 15WC013155 -C 31 13WC 30769 SARGON-SWENSON, LINDA ST OF IL SECRETARY OF STA @ 08/01/11 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 32 13WC 35977 DEMETER, JAMES N PERILLO BMW, INC. 06/19/13 SYREGELAS, NICHOLAS C HENNESSY & ROACH PC 33 13WC 39757 CAIN, MAURICE E AT&T 01/22/13 VITELL & SPITZ LTD HENNESSY & ROACH PC 34 13WC 41718 FRAZIER-HILL, HELEN CHICAGO TRANSIT AUTHORITY 10/25/13 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 35 14WC 00570 RAYA, JESSE CITY OF CHICAGO 09/09/13 TAMVAKIS, GEORGE L CITY OF CHICAGO 36 14WC 00754 SURGES, JACQUELYN MAC NEAL HOSPITAL 02/22/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 37 14WC 00844 SALGADO, MARIA DART CONTAINER CORP 08/12/13 SALVATO & O'TOOLE GAROFALO SCHREIBER STORM GRA 38 14WC 01580 CELAYA, ROMAN HIGHLAND BAKING COMPANY I 12/31/13 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 39 14WC 03316 SIWEK, KAZIMIERZ RAVENSWOOD DISPOSAL 12/12/13 MINKOW DOMIN KNELL & O'CONNOR 40 14WC 05109 SHKROBACH, IRVAN ABCOR HOME HEALTH INC 01/13/14 CHEPOV & SCOTT LLC STONE & JOHNSON CHARTERED 41 14WC 05643 BEATTY, MARGIE L WARNING PAIGE TRANSPORTAT 01/23/14 BAUM RUFFOLO & MARZAL LTD STONE & JOHNSON CHARTERED 42 14WC 10275 MANNO, CARL GES 02/18/14 LEO ALT GILDEA & COGHLAN 43 14WC 11145 WILLIAMS, CONSTANCE STATE OF ILLINOIS @ 03/04/14 VRDOLYAK LAW GROUP LLC 44 14WC 12044 SCOTT, ARNOLD STATE OF ILLINOIS @ 01/24/14 GOLDBERG WEISMAN & CAIRO L JILL OTTE 45 14WC 12144 KUNZIE, STEVEN A VILLAGE OF MORTON GROVE 02/24/14 THOMAS W DUDA POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 14WC 12149 LIGGETT, CHANTEL COOK COUNTY SHERIFFS DEPT 12/01/13 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 47 14WC 15683 SIMPSON, JAY AT & T 03/31/14 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 48 14WC 19755 WYNN, CHARLES D CTA-CHICAGO TRANSIT AUTHO 06/07/14 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 49 14WC 20871 BORGES, ENRIQUE SEWER TECH SERVICES 05/05/14 O'CONNOR & NAKOS MEACHUM & STARCK 50 14WC 22326 BLAKELY, JACQUELINE FRESENIUS MEDICAL CARE 05/13/14 ANKIN LAW OFFICE HENNESSY & ROACH PC 51 14WC 23589 THURMAN, TISA IMAGINE LIMO W 03/07/14 FOHRMAN, DONALD W & ASSOCS 52 14WC 27129 FALGIER, DOUGLAS THE WJ MCGUIRE CO 07/29/14 HORWITZ HORWITZ & ASSOC 53 14WC 31382 HAHN, PETER RIDGEMOOR COUNTRY CLUB 05/28/13 NEWLAND & NEWLAND LAW OFFICES JOSEPH MARCINIAK 14WC031383 -C 16WC026507 -C 54 14WC 32126 REILLY-DOSE, SUSAN THRESHOLDS 08/25/14 ROMANUCCI & BLANDIN BRYCE DOWNEY & LENKOV LLC 55 14WC 33600 KENNY, THOMAS CITY OF CHICAGO 09/16/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 56 14WC 33906 FLOWERS, DARRELL W SR CHGO STREETS & SAN DEPT 04/18/14 LAW OFFICE OF SCOTT B SHAP CITY OF CHICAGO 57 14WC 34011 GUBERNAT, BARTOSZ ALRO STEEL CORP 07/31/14 ALEKSY BELCHER GAROFALO SCHREIBER STORM GRA 58 14WC 34691 BORNER, EDWARD CITY OF CHICAGO 05/20/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 59 14WC 35283 RICHARDSON, KENNETH CITY OF CHICAGO - WATER D 08/20/14 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 60 14WC 43397 CISZEK, JOZEF R & N MACHINE, INC W 04/25/12 SEIDMAN MARGULIS & FAIRMAN GARDINER KOCH & WEISBERG 14WC043398 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 61 15WC 00303 HIXSON, ROSALIE ST OF IL DEPT OF CHICAGO 09/04/14 GOLDBERG WEISMAN & CAIRO L C. FLETCHER 62 15WC 01104 ANDERSON, RHONDA CTA 09/16/14 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 15WC021739 -C 63 15WC 02423 19B SMITH, ISABEL AVERITT 01/15/15 GRAVLIN, MICHAEL J LLC WIEDNER & MCAULIFFE LTD 64 15WC 09828 HAMPTON, CECILE PACE 03/16/15 FOHRMAN, DONALD W & ASSOCS 65 15WC 10440 BIELANSKI, ANDRZEJ HOUSE OF GRANITE & MARBLE W 03/20/15 CUSHING LAW OFFICES LAW OFFICES KRISTEN M KOZLOW 66 15WC 11222 MANOLE, DRAGOS DISPATCH TAXI, INC. 02/23/15 DEPAOLO & ZADEIKIS 67 15WC 11651 SANCHEZ, MARY CHICAGO BOARD OF EDUCATIO 02/03/14 JAMES W GREEN, JR 68 15WC 11704 ADELFIO, ROSE MARY ELI'S CHEESECAKE FACTORY 04/06/15 MC HARGUE & JONES HOLECEK & ASSOCIATES 69 15WC 11959 BRITO, LOURDES FIC MANUFACTURING CO 06/19/13 LAW OFFICE OF SCOTT B SHAP 70 15WC 12054 JIMENEZ, RAMIRO DR PEPPER/SEVEN UP, INC. 03/17/15 HETHERINGTON KARPEL BOBBER GAROFALO SCHREIBER STORM GRA 71 15WC 12456 LUGO-ARAJO, DAISY ST MARY OF NAZARETH HOSPI 03/23/15 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 72 15WC 12556 KLOTZ, FRANK PARKWAY FORMING INC 11/21/14 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 73 15WC 21112 KOCZUR, JASON TROY DESIGN & MANUFACTURI 03/27/15 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 17WC008302 -C 74 15WC 23089 GEBRETINSAE, BESRAT FOUR SEASONS HOTEL LIMITE 09/21/13 MARK WHITESIDE ESQ 75 15WC 24580 KOLESSAR, PAUL ILLINOIS STATE POLICE @ 09/11/15 LEE, MARK N LAW OFFICE C. FLETCHER 76 15WC 29820 GILBERT, MELISSA VILLAGE OF OAK PARK 01/05/15 LAW OFFICES GERALD DOLL NYHAN BAMBRICK KINZIE & LOWR 77 15WC 30448 GLOVER, KEVIN M. ABF FREIGHT SYSTEMS, INC. 07/15/15 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 78 15WC 32644 BAEZ, EVANGELISTA JR EDGEWATER BEACH APARTMENT 05/05/13 BAUM RUFFOLO & MARZAL LTD LAW OFFICES OF EDWARD J. KOZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 79 15WC 32812 BETTS, CAROLYN A JACKSON PARK HOSPITAL 07/15/15 CULLEN HASKINS NICHOLSON ODELSON & STERK 80 15WC 32881 HEBERT, MICHAEL C JR ST OF IL DEPT OF 07/02/14 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTY GENERAL 15WC032882 -C 81 15WC 32911 HOWARD, MICHAEL ELITE STAFFING 10/01/15 SEIDMAN MARGULIS & FAIRMAN 82 15WC 32934 MALDONADO, JESUS MARTIN PRODUCE 09/24/15 SALVATO & O'TOOLE ANCEL GLINK DIAMOND BUSH & E 83 15WC 36869 HOLTE, RALPH R PJ FAZIO PLUMBING & HEATI 09/23/15 MEYERS & FLOWERS BRYCE DOWNEY & LENKOV LLC 15WC036871 -C 84 15WC 39114 JAMISON, SCHENIA T IL DEPT OF HS 10/12/15 COYNE REINKE LAW C. FLETCHER 85 16WC 00236 DULLEN, DEBRA CHICAGO OF CHICAGO 10/16/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 86 16WC 00350 MELSON, SHALONDA CTA 11/20/15 ABELS & ANNES, PC CHICAGO TRANSIT AUTHORITY 87 16WC 00432 NAVICKAS, CHUCK CITY OF CHICAGO 12/18/15 STEVEN A CRIFASE, LTD HENNESSY & ROACH PC 88 16WC 00580 BARRETT, JOSEPH M HAYES MECHANICAL 08/01/14 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM GRA 89 16WC 00835 RODRIGUEZ, CARLA COOK COUNTY ADULT PROBATI 08/20/15 SALVATO & O'TOOLE STATES ATTORNEY OF COOK COUN 90 16WC 02227 ARELLANO, JAIME DENK & ROCHE BUILDERS 06/12/15 EPSTEIN, JACK R LAW OFFICE ACCIDENT FUND HOLDINGS 91 16WC 06057 FELTZ, GREGORY ALPHA SCHOOL BUS CO 01/06/16 HORWITZ HORWITZ & ASSOC GALLIANI DOELL & COZZI LTD 92 16WC 09122 19B GLADNEY, WADDELL CITY OF CHICAGO 12/18/15 FOHRMAN, DONALD W & ASSOCS CITY OF CHICAGO 93 16WC 10126 MONTANO, MARIA B CARL BUDDIG AND COMPANY 03/14/16 SALK, STEVEN B & ASSOC LTD KNELL & O'CONNOR 16WC018317 -C 16WC018318 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 94 16WC 10521 FLORES, GERONIMO CONSUMERS PACKING COMPANY 08/15/15 HART & DAVID LLP HOLECEK & ASSOCIATES 95 16WC 10551 MCCORMICK, KEITH CPS 02/20/15 LEO ALT 17WC015699 -C 17WC021830 -C 96 16WC 10870 VIENS, PAUL JEFFERY CENTRAL BLACKTOP CO., INC 07/13/15 WHITESIDE & GOLDBERG LTD LAW OFFICES OF EDWARD J. KOZ 97 16WC 11251 TATUM, WILLIAM CHICAGO TRANSIT AUTHORITY 03/18/16 RIDGE & DOWNES CHICAGO TRANSIT AUTHORITY 98 16WC 11518 BALEGH, HAMDY TITANIC FURNITURE COMPANY 07/03/14 LAW OFFICE OF PETER LIMPERIS 16WC012741 -C 99 16WC 12346 HARRIS, ARNETTE STATE OF IL DJJ IYC CHICA @ 03/30/16 BLOCK, KLUKAS & MANZELLA P C. FLETCHER 19WC020866 -C 100 16WC 13087 RUSH, MARK RIGHT AT HOME 10/08/14 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 16WC026621 -C 101 16WC 19781 KROTIAK, JOHN UNIVERSITY OF CHICGO HOSP 06/15/16 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 102 16WC 20493 BOYD, ADREANNA ELISABETH LUDEMAN CTR/IDH 05/19/16 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENL 103 16WC 20532 MISTER, ELLIOT JB HUNT 11/09/15 POLLANS, LANNIE A LTD MICHAEL JASPER 104 16WC 20567 REDMOND, LAQUITA M CTA- CHGO TRANSIT AUTHORI 06/25/16 CORNFIELD & FELDMAN CHICAGO TRANSIT AUTHORITY 105 16WC 20739 SANTOS, JOSE HORTONS HOME LIGHTING 05/29/16 JONATHAN SCHLACK CASSANO & ASSOCIATES 106 16WC 21064 OLIHA, OLADIMEJI CHICAGO CARRIAGE CAB CORP 07/06/16 JAMES ELLIS GUMBINER & ASS 107 16WC 21197 HART, NIKIMA CTA 07/02/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 108 16WC 21236 O'HALLAREN, BERNIE NAVARRO'S CONCERETE, INC 06/08/16 CUDA LAW OFFICES 109 16WC 21500 GLOVER, ANGELO LIEBERMAN MANAGEMENT SERV 05/03/16 SALVATO & O'TOOLE 110 16WC 21910 KRUPA, DAVID PROVIDENT HOSP OF COOK CO 12/02/15 BOUDREAU NISIVACO LLC STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 111 16WC 22492 MICHNIOWSKI, STANISLAW SOLID EXTERIOR REMODELING 07/25/14 ALEKSY BELCHER HOLECEK & ASSOCIATES 112 16WC 22616 WATSON, CHARLES IL DEPARTMENT OF JUVENILE @ 07/19/16 ANKIN LAW OFFICE C. FLETCHER 113 16WC 22761 SANKS, CHRYSTAL CHICAGO STATE UNIVERSITY 06/29/16 FOHRMAN, DONALD W & ASSOCS ASSISTANT ATTORNEY GENL 114 16WC 23477 LITUMA, SANDRO FULTON CATERING CORP 05/11/16 LAW OFFICE OF SCOTT B SHAP 115 16WC 26619 RUSH, MARK RIGHT AT HOME 02/19/15 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 116 16WC 29329 AVERY, GEORGE HR SLATER 04/06/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 117 16WC 31105 MAZUR, JEFFREY CLARE OAKS 08/06/16 MEYERS & FLOWERS ACCIDENT FUND HOLDINGS 118 16WC 31141 JOHNSON, ROBERT HMD TRUCKING @ 04/24/14 MARSZALEK AND MARSZALEK MCANANY VANCLEVE & PHILLIPS 119 16WC 32442 RODRIQUEZ, ANDREW CITY OF CHICAGO 10/05/15 KARCHMAR & STONE 120 16WC 33061 MOHIUDDIN, MUNAWAR STEPHEN OMOFONMWAN 02/14/16 DISPARTI LAW GROUP PA 121 16WC 33082 SUBICK, RONALD ARMACELL LLC 07/07/16 LOUIS A PLZAK & ASSOCIATES HOLECEK & ASSOCIATES 122 16WC 33200 CARDENAS, JOSE KATE LYNN PAINTING 08/22/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 123 16WC 33211 REYES, JIA LOYA EXPRESS, INC 09/21/16 THOMAS W DUDA ROSS TYRRELL 124 16WC 33402 BURNS, JEFFERY CTA 10/07/16 MARC PEKAY CHICAGO TRANSIT AUTHORITY 125 16WC 33679 BAILEY, ROBERT J CITY OF CHICAGO 05/05/16 BARRY A KETTER 126 16WC 33703 OWENS, DION STK CHICAGO 09/29/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 127 17WC 00064 KENDALL, ALLISON CHICAGO TRANSIT AUTHORITY 11/21/16 GRAZIAN & VOLPE PC CHICAGO TRANSIT AUTHORITY 128 17WC 00255 MANALASTAS, EDEN UNIVERSITY OF IL HOSPITAL 11/30/16 DAVID W MARTAY HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 129 17WC 00363 SAULSBERRY, CHARLES THE SHRINE NIGHTCLUB 04/14/14 BRISKMAN BRISKMAN GREENBER 130 17WC 00461 BETTS, WANDA CTA 08/11/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 131 17WC 00581 CUMISKEY, KYLE ROCLFORD ICE HOGS 09/29/14 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 17WC000582 -C ROCKFORD ICE HOGS 17WC023239 -C 17WC023240 -C ROCKFORD ICE HOGS 17WC023241 -C 132 17WC 00709 RAMOS-MUNOS, RAQUEL THORNTON'S 12/23/16 MANDELL, GREGG KRAKER FANNING & OLSEN 133 17WC 00828 GRAY, NICOLE CHICAGO TRANSIT AUTHORITY 12/08/16 LAW OFFICE OF SCOTT B SHAP 134 17WC 01127 MARTINEZ, ANASTACIA HELP AT HOME, INC 01/05/17 MINKOW DOMIN HENNESSY & ROACH PC 18WC011621 -C 135 17WC 01177 GALANTI, PHILIP IDOT @ 06/23/16 STROM, NEAL B C. FLETCHER 18WC018964 -C 136 17WC 01377 HARRISON, DONALD DHL 11/11/16 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 18WC014326 -C 137 17WC 01601 BAHENA, ESMERALDA FEDEX CORPORATION 01/04/17 LAW OFFICE OF KEVIN O'BRIE HANSON LAW OFFICE 138 17WC 01761 HAMMONDS, TERRE L LAPHAM-HICKEY STEEL 01/07/17 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR 139 17WC 02012 MURO, YOLANDA MEAD FLUID DYNAMICS 02/21/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 17WC002013 -C 140 17WC 02038 WOODS, MICHAEL STATE OF ILLINOIS/ @ 01/02/17 BLOCK, KLUKAS & MANZELLA P C. FLETCHER 141 17WC 02446 SULEJMANI, NERXHIVAN ABM JANITORIAL SERVICES 05/16/16 LAURA A CHILDS GOLDBERG SEGALLA LLC 17WC002447 -C 142 17WC 02482 SNOW, ERNIE D HAYES MECHANICAL5959 S HA 11/17/14 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 143 17WC 02505 HUNTER, GABRIELLE CHICAGOPUBLIC SCHOOLS 01/29/16 ROSENFELD HAFRON SHAPIRO F CHGO BOARD OF EDUCATION 144 17WC 02723 WHITE, THOMAS CITY OF CHICAGO 08/15/16 HEALY SCANLON LAW FIRM 18WC018669 -C 145 17WC 02983 HUDSON, TIMOTHY PAN OCEANIC ENGINEERING C 12/12/16 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 146 17WC 03040 TERRAZAS, MARIA SELF-HELP FEDERAL CREDIT 12/27/16 OSVALDO RODRIGUEZ PC RUSIN & MACIOROWSKI LTD 147 17WC 03209 LORR, KEVIN BERWYN POLICE DEPARTMENT 01/15/17 CHRISTINE F DAVID CUDA LAW OFFICES 148 17WC 09814 SAMUEL, BARBARA CHICAGO PUBLIC SCHOOLS 01/25/17 KUMLIN & FROMM LAW DEPARTMENT 149 17WC 09987 CORTES, ANGELICA L PACTIV 05/18/16 JAMES M GERAGHTY SPIEGEL & CAHILL, PC 150 17WC 10280 BRUSH, KATELYN LOVE FUR DOGS 02/24/17 HANNIGAN & BOTHA, LTD JOSEPH MARCINIAK 151 17WC 10328 BLANCHARD, RUSSELL COOK COUNTY RISK MANAGEME 04/03/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 152 17WC 10407 ANWIA, RONY DARD PRODUCTS 10/03/16 ACEVES & PEREZ PC JOSEPH MARCINIAK 153 17WC 10829 ALBERGO, KATHLEEN MEGURNEE LLC DBA MASSAGE 01/16/17 FIGLIOLI, DAVID JOSEPH MARCINIAK 154 17WC 10921 CHRISTENSEN, BRIAN ALEXIAN BROTHERS MEDICAL 02/16/17 NEWLAND & NEWLAND POWER & CRONIN LTD 17WC010922 -C 155 17WC 11139 LYKOURETZOS, JOHN BUSINESS OFFICE SYSTEMS, 11/03/16 LINN, CAMPE & RIZZO LTD EVANS & DIXON 156 17WC 11256 LANGERMAN, DORAINE MARIANO'S 03/18/17 157 17WC 11536 TODD, CHARLES UBER 04/12/17 DWORKIN AND MACIARIELLO 158 17WC 11644 ECKLUND, LYDIA AMERICAN AIRLINES INC 01/03/17 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 159 17WC 11676 LLAMAS, ISAAC APEX PUMPING EQUIPMENT 03/08/17 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 160 17WC 11956 COLON, DENNIS AUTOPORT (MICHIGAN) LTD 02/16/17 SPENCER LAW OFFICES MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 161 17WC 12058 RICHARDSON, MARK A CHICAGO BOARD OF EDUCATIO 01/26/17 VITELL & SPITZ LTD 162 17WC 12153 PENA, JOSE PRIMARY STAFFING 04/14/17 ACEVES & PEREZ PC QUINTAIROS PRIETO WOOD & BOY 163 17WC 12440 PHILLIPS JONES, DELORES ILLINOIS TOOL WORKS 01/12/17 LAW OFFICE OF SCOTT B SHAP NYHAN BAMBRICK KINZIE & LOWR 164 17WC 12598 PACHECO, DOLORES SCHOOL HEALTH CORPORATION 07/06/16 LAW OFFICE ROBERTO ACEVEDO RUSIN & MACIOROWSKI LTD 17WC012753 -C 165 17WC 12920 ARTAJO, EDDIE PREMIER STAFFING CO, A/K/ 05/12/16 HANNIGAN & BOTHA, LTD KRAKER FANNING & OLSEN 17WC019855 -C THE WIT CHICAGO -A DOUBLE 166 17WC 13029 FERGUSON, MICHAEL J COM ED 12/29/16 GOLDBERG WEISMAN & CAIRO L CHILTON YAMBERT PORTER LLP 167 17WC 13047 JEFFERSON, CARL CITY OF CHICAGO-DEPT OF 01/23/17 TAMVAKIS, GEORGE L 168 17WC 18542 19B COOMANS, DONNA UNITED AIRLINES 01/09/17 SHANNON LAW GROUP WIEDNER & MCAULIFFE LTD 169 17WC 19380 WATKINS, TOYA UNIVERSITY OF CHICAGO HOS 06/14/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 170 17WC 19496 RAMIREZ, GABRIEL VILLAGE OF NORRIDGE POLIC 05/20/17 POWER & CRONIN LTD 171 17WC 19615 LAY, LENA GAREDA, LLC 06/19/17 ANKIN LAW OFFICE 172 17WC 19707 ALLEN, LASHARN CTA 07/03/17 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 173 17WC 19766 YOUSUF, FARZANA CHICAGO PUBLIC SCHOOLS 10/19/16 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 174 17WC 19798 BREWER, LATOCHIA CDT 06/22/17 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 175 17WC 19990 OKAMOTO, TABATHA NORTHEASTERN IL UNIVERSIT 06/12/17 MC HARGUE & JONES ASSISTANT ATTORNEY GENERAL 176 17WC 20056 LEMA, LUZ M KOCH FOODS INC 06/01/16 BAUM RUFFOLO & MARZAL LTD RUSIN & MACIOROWSKI LTD 177 17WC 20177 CAMARGO, ELSA PACTIV/RESOURCE EMPLOYMEN 01/27/17 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC 178 17WC 20317 MINNIEFIELD, RANDALL FORD MOTOR COMPANY 08/19/14

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 179 17WC 20377 SPAIN, MICHAEL GLENBRIDGE NURSING AND 04/18/17 LAW OFFICE HUGO ORTIZ 180 17WC 20454 WOJTOWICZ, ZOFIA (EXEC OF JMZ TRUCKING #W 03/28/17 STANCZAK LAW OFFICES 181 17WC 20506 GRIMALDO, ALMA TOPPSHELF STAFFING, INC 05/14/17 RUEDA, IVAN A 182 17WC 20895 LANDRY, DEON APEX PINNACLE MOVING 07/10/17 THOMAS LAW 183 17WC 20952 AUGUSTYNIAK, PATRICK WMC INC 06/05/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 184 17WC 21018 HENTON, DWIGHT JACK COOPER TRANSPORT CO, 10/12/15 MEYERS & FLOWERS HENNESSY & ROACH PC 185 17WC 21316 LUSTOFIN, CHRISTINE JEWEL FOOD STORE 04/10/17 R. MARK MARITOTE PC 186 17WC 21519 MCDONALD JR, DARRELL VILLAGE OF MAYWOOD 08/11/15 PARENTE & NOREM PC INMAN & FITZGIBBONS 187 17WC 21838 LAWRENCE, JAMMIE TERRANCE ELECTRIC CO, INC 07/18/17 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 188 17WC 21871 PACLIBARE, LINA RETINA INSTITUTE OF ILLIN 02/27/17 SALK FLORES & BRODERICK BRADY CONNOLLY & MASUDA PC 189 17WC 21927 CASSELLO, PHILLIP AEROTEK, INC 07/17/17 ARGIONIS & ASSOCIATES LLC WIEDNER & MCAULIFFE LTD 190 17WC 21966 LISTELLO, SHARRI AMITA HEALTH ADVENTIST ME 02/14/17 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 191 17WC 22082 VANZANT, MARCY CTA 07/27/17 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 192 17WC 22106 GORYL, KRZYSTOF USP TRANS INC 06/12/17 BURNES & LIBMAN GANAN & SHAPIRO 17WC022107 -C 193 17WC 22471 ACEVEDO, SIGFREDO O INTERPARK HOLDINGS LLC 04/24/17 HART & DAVID LLP HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 17WC 22550 CURRY, FLOYD LANGER TRANSPORT CORP 06/22/17 VASILATOS & COTTER LLC SPIEGEL & CAHILL, PC 195 17WC 22663 CANAVAN, WILLIAM F CITY OF HARVEY 06/12/17 THOMAS W DUDA ANCEL GLINK PC 18WC025359 -C 196 17WC 29058 STEWARD, DALE MT PROSPECT FIRE DEPARTME 08/02/17 LAW OFFICES OF ANN O'CONNE EVANS & DIXON 197 17WC 29096 JIMENEZ, MARIA SCHULZE & BRUCH BISCUIT C 04/15/17 MARK SCHAFFNER WIEDNER & MCAULIFFE LTD 17WC029097 -C 17WC029098 -C 198 17WC 29218 KARLIN, SHARON MACY'S RETAIL HOLDINGS, I 08/18/17 NEMEROFF LAW OFFICES BRYCE DOWNEY & LENKOV LLC 199 17WC 29321 HERNANDEZ, JUAN CHICAGO DRYER COMPANY 09/11/17 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 200 17WC 29340 NOBLE, DOLLY PAYLESS 03/01/17 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 201 17WC 29409 ISHOLA, HAKEEM NURSE SOURCE 05/18/17 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 202 17WC 29496 COATES, PIERRE L NEIMAN MARCUS 08/02/17 LAW OFFICE OF SCOTT B SHAP 203 17WC 29601 MCNICHOLAS, ROBERT CITY OF CHICAGO 05/09/17 RUBIN LAW GROUP CITY OF CHICAGO 204 17WC 29667 CANNISTRA, MICHAEL AMADEOS ITALIAN DELIGHTS 07/07/15 CULLEN HASKINS NICHOLSON 205 17WC 29771 RIOS JR, ABEL RAINCOAT ROOFING SYSTEMS, 08/14/17 O'CONNOR & NAKOS KARBAL, COHEN, ECONOMOU, SIL 206 17WC 29820 TINAJERO, FRANCISCO METRO STAFF, INC 09/13/17 RUEDA, IVAN A SLAVIN & SLAVIN 207 17WC 29934 CORNISH, WILLIAM ESSEX ELECTRICAL 12/19/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 208 17WC 30057 SCHELFHOUT, JENNIFER EVNOY AIR 07/02/17 MARKS INJURY LAW ROSARIO CIBELLA 209 17WC 30097 AVELAR, CESAR GARY GOLAND AB CREATIVE C 05/04/17 LAW OFFICES PETER LEKAS 210 17WC 30212 ADKINS-COOPER, KELLY AMERICAN AIRLINES 06/02/17 RUBENS AND KRESS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 211 17WC 30281 LEWANDOWSKI, KATHLEEN O'HARE CHILD DEVELOPMENT 09/07/17 LEONARD LAW GROUP LLC WOLF & LAUDICINA LTD 212 17WC 30308 FORD, SCOTT CITY OF CHICAGO-WATER MGM 09/26/17 DAVID W MARTAY CITY OF CHICAGO 213 17WC 30383 HOFFMANN, MICHAEL R ECOLAB INC 11/25/15 BUDIN LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 214 17WC 30495 SARTIN, BRUCE ROSE PLUMBING & SEWAGE IN 12/04/14 KEDZIE LAW OFFICE PC JOSEPH MARCINIAK 215 17WC 30648 STERLING, SHAWN PTI 09/28/17 NO ATTORNEY 216 17WC 30854 GUTIERREZ, ANTONIO CITY OF CHICAGO WATER 09/01/17 JOSEPH J SPINGOLA, LTD 217 17WC 30873 GURUMENDI, MANUEL METALDYNE PERFORMANCE GRO 09/09/17 LUSAK AND COBB 218 17WC 30963 GRANSTON, LEORA STATE OF ILLINOIS - DHS @ 10/13/17 RITTENBERG BUFFEN ASSISTANT ATTORNEY GENERAL 219 17WC 31328 DAVIS, SHELDON ALLIED UNIVERSAL 10/14/17 JAMES ELLIS GUMBINER & ASS GAROFALO SCHREIBER STORM GRA 220 17WC 31386 BOSIO, CHRIS CHICAGO CUBS 09/05/17 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 221 17WC 31609 SHIELDS, DARSANDRA WALGREEN CO 05/31/17 FOHRMAN, DONALD W & ASSOCS GILDEA & COGHLAN 222 17WC 31860 BAILEY, CHRISTOPHER XPO LOGISTICS INC 10/06/17 OWENS & LAUGHLIN LLC RUSIN & MACIOROWSKI LTD 223 17WC 31929 BROWN, MARCUS GREYHOUND 07/13/17 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 224 17WC 32130 ZHANG, YU AI CHINESE AMERICAN SVS LEAG 03/21/15 EVANS & DIXON 225 17WC 32177 DIAZ, OSCAR SYSCO FOODS 06/20/17 BOUDREAU NISIVACO LLC GAROFALO SCHREIBER STORM GRA 226 17WC 32184 RODRIGUEZ, GERARDO PERPETUAL, LLC 08/18/17 GALLAGHER, DONALD V 227 18WC 00447 BARRETO, DENISE COOK COUNTY JUVENILE DETE 11/27/17 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 228 18WC 00867 CASTRO, ALBERTO MAPLE & SPROWL STEEL 12/27/17 SHEA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 229 18WC 00995 DIXON, ROSA SECURITAS SECURITY SERVIC 06/14/17 GALLAGHER, DONALD V STONE & JOHNSON CHARTERED 230 18WC 01080 WILKINSON, TANYA MV TRANSPORTATION 10/19/17 LEE, MARK N LAW OFFICE 231 18WC 01158 WALTON, TEMEKA CHICAGO TRANSIT AUTHORITY 12/30/17 HERRERA LAW CENTER CHICAGO TRANSIT AUTHORITY 232 18WC 01218 GONZALEZ, JOSEPH SCHMIDT STEEL INC 01/08/18 CORBOY & DEMETRIO PC QUINTAIROS PRIETO WOOD & BOY 233 18WC 01243 HERRERA, MARIA E ALPHA BAKING CO 01/08/18 GREGORIO & MARCO RUSIN & MACIOROWSKI LTD 234 18WC 01291 RODRIGUEZ, MELISSA SCHUBERT ELEMENTARY SCHOO 03/22/17 THE ROMAKER LAW FIRM CHGO BOARD OF EDUCATION 235 18WC 01350 COLLINS, MICHELLE UBER 01/01/18 LEONARD LAW GROUP LLC 236 18WC 01499 SILAS, BENNIE SNAK KING 11/10/17 CHARLES LEVY & ASSOC LTD GOLDBERG SEGALLA LLC 19WC031557 -C VITNER'S SNACKS 237 18WC 01650 MINOR, WANDA SCR MEDICAL TRANSPORTATIO 12/20/17 FRANCIS J DISCIPIO LAW OFF NYHAN BAMBRICK KINZIE & LOWR 238 18WC 01739 NICHOLS, DEMARCO IL DEPT OF TRANSPORTATION 09/13/17 HORWITZ HORWITZ & ASSOC DANIELLE CURTISS 239 18WC 01766 HARRIS, LETONYA CHICAGO TRANSIT AUTHORITY 12/28/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 240 18WC 01859 WILLIAMS, KEVIN ALPHA BAKING 12/04/17 MARKER & ASSOCIATES RUSIN & MACIOROWSKI LTD 241 18WC 02096 LUELLEN, RAY LISA UNIVERSITY OF ILL HOSPITA 01/16/18 THE ROMAKER LAW FIRM HEYL ROYSTER VOELKER & ALLEN 242 18WC 02120 UKROPEN, BEVERLY GUSTO RESTAURANT 12/24/17 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 243 18WC 02270 LAWRENCE, PHD, CHARLES IL DEPT OF VETERANS AFFAI 07/05/16 COHN & COHN ASSISTANT ATTORNEY GENERAL 244 18WC 02298 TERRY, GLENNA K COOK COUNTY CLERK'S OFFIC 11/08/16 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 245 18WC 02424 WALSH, MADELINE DELOITTE CONSULTING 06/19/17 SHANNON LAW GROUP EDWARD J. KOZEL 246 18WC 02574 WATKINS, KEVIN CTA 01/23/18 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 247 18WC 02829 DIAZ, ELIAS SKYBRIDGE CONDOMINIUM ASS 01/13/18 BRIAN T MORROW, LAW OFFICE 248 18WC 02887 RICHARDSON, EARLENE CITY OF CHICAGO STREETS 01/16/18 CELSO FUENTES JR 249 18WC 02945 STEWART, DONETTA CHICAGO PUBLIC SCHOOLS 01/10/18 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION 250 18WC 03345 AGUIRRE, NOE DAMASO HILTON WORLDWIDE, INC 07/17/17 ANKIN LAW OFFICE NOBLE & ASSOC 251 18WC 10044 TOVAR, SALVADOR GARCIA COBRA CONCRETE CUTTING SE 06/19/14 COSTA IVONE LLC 252 18WC 10145 MC MILLON, BOBBY COOK COUNTY JUVENILE 01/09/18 ALEKSY BELCHER STATES ATTORNEY OF COOK COUN 253 18WC 10369 STEVERSON, JANET CONTINENTAL LOGISTICS 02/12/18 STANCZAK LAW OFFICES MCANANY VANCLEVE & PHILLIPS 254 18WC 10459 MOTLEY, STEVEN CTA 02/08/17 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 255 18WC 10520 HERNANDEZ, SENONA TOMMY BAHAMA 03/08/18 STROM, NEAL B HOLECEK & ASSOCIATES 256 18WC 10548 AGUIRRE, ROMUALDO JUSTICE FRESH MARKET 09/01/17 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 257 18WC 10559 ADERMAN, MARY HELP AT HOME 10/30/17 STEVEN A CRIFASE, LTD 258 18WC 10597 ALAYAH, AHMED AMERICAN ACCORD FOOD CORP 02/08/18 ROBERT WARSASKI 259 18WC 10891 NAM, JULIA PRESENCE ST FRANCIS HOSPI 06/12/17 FISHER & LAMONICA NYHAN BAMBRICK KINZIE & LOWR 260 18WC 11033 LATRONICO, GLENN IL STATE POLICE 09/21/15 COLLISON LAW OFFICES DANIELLE CURTISS 261 18WC 11150 VALENTI, DINO CITY OF CHICAGO 03/16/18 SALVATO & O'TOOLE 262 18WC 11184 PHELAN, MARY PRINTING ARTS 07/27/17 PARENTE & NOREM PC LAWRENCE COZZI - LAW OFFICES 263 18WC 11230 COLLINS, AJA POPEYES 03/26/18 LEONARD LAW GROUP LLC 264 18WC 11271 ARITZMENDY, BENJAMIN DAVID PORMAN 03/07/18

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 18WC 11400 HRUBY, VIOLET FEDEX 01/12/18 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 266 18WC 11431 ROMAG, BRANDI ARLINGTON HEIGHTS POLICE 02/27/18 MEYERS & FLOWERS POWER & CRONIN LTD 18WC011432 -C 267 18WC 11606 TAYLOR, WANDA FORD MOTOR COMPANY 12/03/17 HERRERA LAW CENTER 268 18WC 11641 RODRIGUEZ, MARICELA COOK COUNTY STATE'S ATTOR 01/26/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 269 18WC 11680 CARRILLO, DIEGO CHICAGO TRANSIT AUTHORITY 04/06/18 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY 270 18WC 11805 HILL, ROBERT V RYDER LOGISTICS 01/06/18 RANDOLPH GREUNE LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 271 18WC 11928 LOPEZ, ANA WHITE LODGING 10/01/17 JONAT0HAN SCHLACK WILSON ELSER 272 18WC 11957 BATTS, MICHAEL CITY OF CHICAGO 04/16/18 FOHRMAN, DONALD W & ASSOCS 273 18WC 12088 REYNA, RICARDO TESTA PRODUCE, INC 03/09/18 BAUM RUFFOLO & MARZAL LTD CAPUANI, FRANK S 274 18WC 12123 JOHNSON, TEDDY TRITON LOGISTICS INC 01/05/18 RICHARD O. GREENFIELD MCANANY VANCLEVE & PHILLIPS 275 18WC 12156 COLLETTI, MICHAEL THORTON TOWNSHIP HS 01/18/18 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 276 18WC 12225 HURSON, MARK LANSING CUT STONE 02/06/18 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 277 18WC 12259 BARAJAS, ANGEL SAGER SEALANT CORPORATION 11/27/17 COSTA IVONE LLC HENNESSY & ROACH PC 278 18WC 12500 ABDELHAMID, ALAALDIN BESTWAY LOGISTICS INC W 01/29/18 GORDON LAW OFFICES LTD GRANT & FANNING 279 18WC 12549 HEALY, JODY INGALLS HOSPITAL 10/03/16 SLAVIN & SLAVIN NYHAN BAMBRICK KINZIE & LOWR 280 18WC 12823 DAILIDAS, JOANNA AMERICAN AIRLINES 02/02/16 TURCYCHUTE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 281 18WC 12984 MACK, SHARON COUNTRY CLUB HILLS DIST # 03/15/17 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK 282 18WC 13020 BASA, ARVEY UNITED AIRLINES, INC 04/13/18 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 19WC012753 -C 283 18WC 13039 MCARTHUR, DAVID CERTIFIED ELECTRIC SOLUTI 04/16/18 ANKIN LAW OFFICE 284 18WC 13102 STEVENSON, MARCELIS TITIANIC FURNITURE INC 04/25/18 285 18WC 13137 TOVAR, JAIME HARD SURFACE FINISHERS 02/23/18 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 286 18WC 13181 SCHWARTZ, CINDY BARID & WARNER REAL ESTAT 03/16/18 MC HARGUE & JONES EDWARD J. KOZEL 287 18WC 13324 MC ADAMS, JACK ENTERPRISE RENT-A-CAR 04/19/18 VITELL & SPITZ LTD KEEFE CAMPBELL BIERY & ASSOC 288 18WC 13356 HARPER, LATINA (GUARDIAN) EXCEL AMBULANCE SERVICE #W 03/31/18 STROM, NEAL B 289 18WC 13456 ARTHUR, DARRYL EUGENE STAELLITE AIR-LAND MOTOR 01/12/18 ROSS TYRRELL GANAN & SHAPIRO 290 18WC 13484 ROMAN, GILBERTO FORD MOTOR COMPANY 04/16/18 KREITER, BYCK & ASSOC LLP WIEDNER & MCAULIFFE LTD 291 18WC 17081 MC KINNEY, TERESSA CITY OF CHICAGO 01/26/18 DAVID W MARTAY CITY OF CHICAGO 292 18WC 18565 PEREZ HERNANDEZ, ELADIO MARTIN PRODUCE 06/04/18 DEPAOLO & ZADEIKIS ANCEL GLINK DIAMOND BUSH & E 293 18WC 19688 GRAY, ANGELA CTA 06/06/18 DANIEL PERIASWAMY CHICAGO TRANSIT AUTHORITY 294 18WC 19773 GUASTAFERRO, TIM CABELA'S 11/23/15 FOOTE MIELKE CHAVEZ O'NEIL 295 18WC 19860 CAMACHO, JUANA C ELK GROVE LODGING LLC 10/26/15 JONATHAN SCHLACK 296 18WC 19889 GORDON, GAIL CITY OF CHICAGO- FINANCE 05/29/18 EDWIN REYES LAW FIRM 297 18WC 19962 PONCE, HECTOR OSI INDUSTRIES, LLC 01/13/18 STEVEN A CRIFASE, LTD 298 18WC 20003 THOMAS, CHARLENE TACO BELL 06/17/18 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 299 18WC 20063 WHITE, FELICIA COURTYARD HEALTHCARE 05/29/18 HETHERINGTON KARPEL BOBBER BRADY CONNOLLY & MASUDA PC 300 18WC 20097 LABUS, MELISSA PRUDENTIAL 03/19/18 CAPRON & AVGERINOS PC HOLECEK & ASSOCIATES 301 18WC 20130 BENITEZ, JESSICA ACCURATE PERSONNEL 06/19/18 BAUM RUFFOLO & MARZAL LTD JOHN T GONNELLA 302 18WC 20203 MCGEE, LASHAWN SOUTHSHORE HOSPITAL 05/14/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 18WC020204 -C 303 18WC 20229 OLSEN, JOHN S & C ELECTRIC COMPANY 07/27/17 STROM & ASSOC RUSIN & MACIOROWSKI LTD 304 18WC 20270 MILLER, JANELLE COOK COUNTY 04/21/18 LEO ALT STATES ATTORNEY OF COOK COUN 305 18WC 20437 NIANG, GEORGETTA SHERWIN WILLIAMS 07/06/18 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 306 18WC 20476 HERNANDEZ, MARTIN CHICAGO REVIEW PRESS- PUL 11/10/17 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 307 18WC 20512 HUNTER, SHIRLEY COVENANT HEALTHCARE SVCS 06/08/18 KATZ FRIEDMAN EAGLE ET AL ACCIDENT FUND HOLDINGS 308 18WC 20560 DESPARROIS, WILLIAM CENTRAL STEEL & WIRE CO 10/11/17 COSTA IVONE LLC 309 18WC 20776 BAKER, BRITTNEY SEARCH INC 05/14/18 TIMOTHY DEFFET ACCIDENT FUND HOLDINGS 310 18WC 20831 SANCHEZ, MARIA MSC INDUSTRIAL SUPPLY CO 05/14/18 MILLON & PESKIN LTD SPIEGEL & CAHILL, PC 311 18WC 20958 MOORE, DERRICK D HARVEY CITY POLICE DEPT 07/08/18 VITELL & SPITZ LTD 312 18WC 20984 MERAZ, MIGUEL AMS SOLUTIONS, INC 05/17/18 KARCHMAR & STONE HOLECEK & ASSOCIATES 313 18WC 20995 WASHINGTON, GERALD IL DEPT OF TRANSPORTATION @ 06/27/18 CULLEN HASKINS NICHOLSON DANIELLE CURTISS 19WC003900 -C ILLINOIS DEPARTMENT OF 314 18WC 21132 OROZCO, ELISEO LSI STEEL DIVISION 07/10/18 ANGELINI & ORI LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 315 18WC 21167 OCHOA, HERNANDO THORNE ASSOCIATES, INC. 05/10/16 HORWITZ HORWITZ & ASSOC STONE & JOHNSON CHARTERED 316 18WC 21306 LUCERO, FERNANDO VILLAGE OF BELLWOOD POLIC 01/30/18 ANESI OZMON RODIN NOVAK KO ROCK FUSCO & CONNELLY 18WC021307 -C VLGE OF BELLWOOD POLICE DE 317 18WC 21526 CHAVEZ, ADRIAN JOSEPHINE'S CONSTRUCTION, 06/18/18 JOHN S. ELIASIK GILDEA, COGHLAN & REGAN LTD. 318 18WC 21594 FINNEY, LEONARD TYSON FOODS 05/21/18 JAMES ELLIS GUMBINER & ASS GANAN & SHAPIRO 319 18WC 21882 SWANSON, LAURA UNITED CONTINENTAL HOLDIN 06/28/18 EAMES LAW GROUP LTD 320 18WC 22193 WINOKOOR, NANCY UNITED CONTINENTAL HOLDIN 06/26/18 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 321 18WC 22236 STARK, GEORGE BILGER CORPORATION 03/22/18 SALVATO O'TOOLE FROYLAN NYHAN BAMBRICK KINZIE & LOWR 322 18WC 22473 MOSES, ALESIA ARDAGH GLASS INC 06/03/18 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 323 18WC 22494 JOHNSON, SARAH HILTON CHICAGO 07/17/18 COSTA IVONE LLC NOBLE & ASSOC 324 18WC 22502 SIMON, THOMAS E VILLAGE OF WILMETTE 12/01/16 THOMAS W DUDA 325 18WC 22518 PRYBIL, MICHAEL CHICAGO TRANSIT AUTHORITY 07/09/18 LANNON LANNON & BARR LTD CHICAGO TRANSIT AUTHORITY 326 18WC 22536 DURRELL, JASMINE CARL BUDDIG & COMPANY 03/01/18 GALLAGHER, DONALD V KNELL O'CONNOR DANIELWICZ 327 18WC 22562 CANCHOLA, TOMAS SHERWIN WILLIAMS 02/23/17 RUEDA, IVAN A GANAN & SHAPIRO 328 18WC 22779 WALKER, LATANYA COOK COUNTY JUVENILE DETE 02/16/18 STEVEN J TENZER, LTD STATES ATTORNEY OF COOK COUN 329 18WC 22968 HANDY, CARMELITA AMAZON 06/06/18 DWORKIN AND MACIARIELLO 330 18WC 22989 MOORE, CHRISTOPHER WENDY'S 04/13/18 ANKIN LAW OFFICE 331 18WC 23008 HERNANDEZ, RUBEN CORTINA TOOL & MOLDING CO 04/02/18 HETHERINGTON KARPEL BOBBER 332 18WC 23154 LITTLE, BRANDON BURKE BEVERAGE, INC 04/17/18 CAPRON & AVGERINOS PC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 333 18WC 23210 AVILES, ELVIRA KELLOG'S COMPANY 07/31/18 HERRERA LAW CENTER 334 18WC 23244 JOHNSON, NIJUANA CTA 07/09/18 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 335 18WC 24203 CHAPA, JACOB UNIVERSITY OF CHICAGO MED 03/07/18 BRILL & FISHEL POWER & CRONIN LTD 336 18WC 29984 COWAN, CURTIS CHICAGO TRANSIT AUTHORITY 09/29/18 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 337 18WC 30168 TORREBLANCA, ALMA GOTTLIEB MEMORIAL HOSPITA 04/30/18 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR 338 18WC 30232 SARDGON, JACQUELINE SOUTHWEST AIRLINES CO 07/20/18 VITELL & SPITZ LTD 339 18WC 30275 GREEN, LEONTA TRIUNE LOGISTICS 09/25/18 DEPAOLO & ZADEIKIS LITCHFIELD CAVO 340 18WC 30368 ZIMNY, MICHAEL E&R TOWING/UNITED ROAD TO 06/24/18 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 341 18WC 30398 BONFIGLIO, PAUL J ACORN STAIRLIFTS, INC 07/25/18 CRAIG L MANCHIK & ASSOC. JOSEPH MARCINIAK 342 18WC 30480 OKRZESIK, JAMES MOMENTUM MANAGEMENT, INC 09/28/18 BOTTO GILBERT HOLECEK & ASSOCIATES 343 18WC 30483 DE LA CRUZ, JULIO OAK/LEYDEN DEVELOPMENTAL 07/24/18 GOLDBERG WEISMAN & CAIRO L 344 18WC 30526 DIXON, MARSHAWN WASTE MANAGEMENT INC 10/08/18 LEONARD LAW GROUP LLC THOMAS J STIBERTH LAW OFFICE 345 18WC 30565 O'NEILL, W. MICHEAL JR. HOLY FAMILY VILLA 02/28/18 DAVID W CLARK WIEDNER & MCAULIFFE LTD 346 18WC 30657 REINDL, DANIEL SKENDER CONSTRUCTION, LLC 03/21/18 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 347 18WC 30706 BRYANT, RHONDA CTA 10/05/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 348 18WC 30845 RAILA, ERIC LOU MALNATI'S PIZZA 10/26/16 RAYMOND M SIMARD, PC 349 18WC 30882 BUCCIERI, GEORGE CITY OF CHICAGO 08/08/18 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 350 18WC 31031 HILL, BRENDA MACY'S 08/24/18 WOODRUFF JOHNSON BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 351 18WC 31121 ZAVALA, JOSE GREEN DAY CONSTRUCTION 09/15/18 JOHN S. ELIASIK 352 18WC 31246 HOSE, URIAH PIZZA CAPRI 10/05/18 MC HARGUE & JONES JOSEPH MARCINIAK 353 18WC 31393 SWAN, DAVID YRC FREIGHT 09/22/18 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 354 18WC 31441 HERNANDEZ, ARMANDO M MIDWEST CANVAS CORPORATIO 08/08/18 GOLDSTEIN BENDER & ROMANOF 355 18WC 31506 MAREK, DIANE SCHWAKKER INSURANCE AGENC 01/08/18 TURCYCHUTE LLC RIPES NELSON BAGGOT KALOBRAT 356 18WC 31898 AMBERS, CHRISTOPHER L M & M LIMOUSINE SERVICES 10/05/18 VITELL & SPITZ LTD 357 18WC 32022 EWING, SHANTON MERCY HOSPITAL 10/15/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 358 18WC 32052 COLE, EVERETT ANDREW STAFFING 11/16/17 WOODRUFF JOHNSON 359 18WC 32105 PELADIC, STANA CARL BUDDIG 08/27/18 DWORKIN AND MACIARIELLO KNELL O'CONNOR DANIELWICZ 360 18WC 32159 MAMI, SHABE ARAMARK 06/29/18 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 361 18WC 32178 JARAMILLO, HECTOR MANAGEMENT & TRAINING COR 10/18/17 SCOTT B SHAPIRO SLAVIN & SLAVIN 362 18WC 32200 ALDABA, AMADA CHICAGO POWDER METAL PROD # 08/13/18 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 363 18WC 32326 CASILLAS, JUAN R TRILLIUM DRIVERS SOLUTION 04/16/18 LEONARD LAW GROUP LLC 364 18WC 32345 SAUNDERS, MONICA COOK COUNTY 08/28/15 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 365 18WC 32423 LANNING, SHANE GREATER CHICAGO 02/18/16 JACKOWIAK LAW OFFICES RUSIN & MACIOROWSKI LTD 366 18WC 32501 DEW, ANDRE FORD MOTOR CO 09/20/18 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 367 18WC 32572 HERNANDEZ, ALBERTO REX CARTON COMPANY INC 09/14/18 ANSELMO DURAN HOLECEK & ASSOCIATES 368 18WC 32612 JIBY, SOBHA (KOTTOOR) JOHN STROGER HOSPITAL OF 10/15/18 KATZ FRIEDMAN EAGLE ET AL STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 369 18WC 32791 VANZANT, STANLEY ALTERNATIVE STAFFING 09/25/18 JAMES ELLIS GUMBINER & ASS SLAVIN & SLAVIN 370 18WC 32814 GARCIA, BRUNO CITY OF CHICAGO 09/26/18 SALVATO O'TOOLE FROYLAN CITY OF CHICAGO 371 18WC 32831 MAHONE, AYANNA ONE ELEVEN FOOD & LIQUORS 07/09/18 DAVID W MARTAY 372 18WC 32859 FARMER, JOHN JB HUNT 10/13/18 SCOTT B SHAPIRO 373 18WC 33108 HUGHES, CHISTOPHER VILLAGE OF PALOS PARK 10/09/18 JASINSKI, GEORGE J RUSIN & MACIOROWSKI LTD 374 18WC 34185 BRANCH, ADELL DFM 10/29/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 375 19WC 00300 BUSBY, DEJA SHEARD LOMAN TRANSPORT 12/28/18 376 19WC 00402 EMBREY, KEVIN CALUMET CITY 12/07/18 COVEN LAW GROUP RANDOLPH GREUNE LAW OFFICE 377 19WC 00453 STEMMONS, TIMOTHY TRU TEAM 01/17/17 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 378 19WC 00475 PUENTE, JUVENTINA CATHOLIC BISHOP OF CHGO A 12/05/18 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 379 19WC 00506 BROWN, MICHAEL CITY OF CHICAGO 08/05/18 SEIDMAN MARGULIS & FAIRMAN 380 19WC 00620 LLOYD, TYRONE FORD MOTOR COMPANY 11/13/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 381 19WC 00649 GRIFFIN, JANIE FOOD 4 LESS 12/17/18 ANGELINI & ORI LLC GANAN & SHAPIRO 382 19WC 00667 SOTO, ARMANDO KWASIGROCH ELECTRIC, INC. 01/03/19 SEIDMAN MARGULIS & FAIRMAN EDWARD J. KOZEL 383 19WC 00702 SEWELL, SANFORD UNITED AIRLINES INC. 11/16/18 FRIEDMAN & SOLMOR LTD NYHAN BAMBRICK KINZIE & LOWR 384 19WC 00811 MEZA, ANABEL MULTI-TEMPS INC 12/03/18 COSTA IVONE LLC GAIDO & FINTZEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 385 19WC 00847 GIL, JAZMYNE AMERICAN AIRLINES, INC 05/18/18 EAMES LAW GROUP LTD ROSARIO CIBELLA 386 19WC 00868 PONCE DE LEON, NATHANIEL AMERICAN AIRLINES GROUP, 12/29/18 GREGORIO & MARCO GAROFALO SCHREIBER STORM GRA 19WC023424 -C 387 19WC 00883 CANCHOLA, OSCAR ALL 1 STAFFING 10/25/18 MEYERS & FLOWERS POWER & CRONIN LTD 388 19WC 00942 GAYTON, GUILLERMO JOSE MENDIETA 05/23/17 RUSIN & MACIOROWSKI LTD 389 19WC 00965 VASQUEZ, BETTY ALLSTATE 11/08/18 NEWLAND & NEWLAND HENNESSY & ROACH PC 390 19WC 00984 LOTT, JOHN P ALUMITAL CORP 12/07/18 ANKIN LAW OFFICE GILDEA, COGHLAN & REGAN LTD. 391 19WC 01009 HUBERT, DAVID SONOMA UNDERGROUND SRVS, 09/22/18 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 392 19WC 01033 RATHERS, ANGELA HETHERINGTON, KARPEL, 02/03/17 ANESI OZMON RODIN NOVAK KO JOSEPH MARCINIAK 393 19WC 01329 MYERS, LINDELL FUJI FILM 11/27/18 BAUM RUFFOLO & MARZAL LTD 394 19WC 01366 CERVANTES, VICTOR FALL BACK TRUCKING & 08/08/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 395 19WC 01476 THOMAS, JOY CITY OF CHICAGO 10/31/18 KROL BONGIORNO & GIVEN LTD 396 19WC 01533 WEERNINK, JENNIFER ASCENSION HEALTH 11/02/17 EAMES LAW GROUP LTD BRADY CONNOLLY & MASUDA PC 397 19WC 01565 COCKRELL, ZAMON RUSH UNIVERSITY MEDICAL C 12/13/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 398 19WC 01594 STANOJEVIC, DRAGISA SCHENKER INC 11/07/18 EDWARD J. KOZEL 399 19WC 01657 CLEARY, STEVEN C CHI CARGO INC 09/03/16 DROST GILBERT ANDREW 400 19WC 01778 DILLON, JENNIFER LITTLE COMPANY OF MARY HO 08/24/18 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 401 19WC 01816 HERRERA, MARIA R AT&T 11/26/18 FRANCIS J DISCIPIO LAW OFF HENNESSY & ROACH PC 402 19WC 01830 MC LEOD, ELAINE GLENSHIER NURSING & REHAB 01/16/19 MC HARGUE & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 403 19WC 01862 JARRETT, JOHN MESKO SPOTTING SERVICE IN 08/01/17 SHELDON I MINKOW & ASSOCIA 404 19WC 01914 GATHINGS, RUBEN DOLTON RIVERDALE SCHL DIS 11/01/18 RICHARD E ALEKSY BRADY CONNOLLY & MASUDA PC 405 19WC 01934 JANETTAS, KEVIN SUMMIT POLICE DEPARTMENT 01/16/19 RIDGE & DOWNES POWER & CRONIN LTD 406 19WC 02028 MURPHY, CHRISTOPHER ADVANCED VALUE TECHNOLOGI 08/16/18 CUDA LAW OFFICES KEEFE CAMPBELL BIERY & ASSOC 407 19WC 02113 DEFRANCO, CINDY FLEX-O-GLASS 12/07/18 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 408 19WC 02229 DAVIDSON, VINCENT R FORD MOTOR CO. 01/11/19 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 409 19WC 02336 LONG, DALE PRINCESS J INC 11/15/18 NO ATTORNEY 410 19WC 02504 GERMAN, MAIKEL UNITED AIRLINES INC 01/13/19 SEIDMAN MARGULIS & FAIRMAN 411 19WC 02756 GUZMAN GUERRERO, NICOLAS SELECT COMFORT CORPORATIO 08/10/17 JAUREGUI & ASSOCIATES WOLFE & JACOBSON, LTD 412 19WC 02871 SANCHEZ, RODRIGO BULLY & ANDREWS, LLC 10/22/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 413 19WC 06513 WRIGHT, ANDREA CITY OF CHICAGO- 11/08/18 ELFENBAUM EVERS ZIELINSKA 414 19WC 10085 FUERTE, LUIS ALLIANCE STEEL LLC 02/05/19 JOHN C SERKLAND 415 19WC 10162 RIVERA, MARIA HARVEST FOODS 04/11/18 MARK LOFTUS 416 19WC 10183 WALKER, GEORGE ENTERPRISE 02/19/19 VRDOLYAK LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 417 19WC 10215 MURRY, TELISA CHICAGO TRANSIT AUTHORITY 03/20/19 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 418 19WC 10252 MUHAMAD, CAROL CITY OF CHICAGO 05/28/18 SIGMOND, STEVEN CITY OF CHICAGO 419 19WC 10275 WOODS, JETHEL JEWEL OSCO 06/28/18 JOSHUA KARMEL 420 19WC 10321 RAWLS, DONALD SR. UNITED PARCEL SERVIES 03/19/19 SEIDMAN MARGULIS & FAIRMAN ASA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 421 19WC 10369 FLORES, PEDRO CAPUTOS NEW FARM PRODUCE 02/07/18 DEPAOLO & ZADEIKIS ROSARIO CIBELLA 422 19WC 10456 CISNEROS, MARIO FEDERAL EXPRESS 02/01/19 COVEN LAW GROUP 423 19WC 10494 WALKER, ALBERTA ADDUS HOMECARE, INC 03/18/19 WEISS & WEISS LAW OFFICES 424 19WC 10555 CRAWFORD-JONES, PATRICIA CHICAGO PUBLIC SCHOOLS 01/14/19 MORICI FIGLIOLI & ASSOC CHGO BOARD OF EDUCATION 425 19WC 10631 BLANCHARD, AMANDA CITY OF CHICAGO 04/08/19 GERALD CONNOR ODELSON & STERK 426 19WC 10699 SHIELDS, BRENDA COOK DUPAGE TRANSPORTATIO 08/30/18 KEVIN O'BRIEN 427 19WC 10905 GARDNER, NOVELLIA WALGREENS 03/18/19 JAMES ELLIS GUMBINER & ASS GILDEA, COGHLAN & REGAN LTD. 428 19WC 11000 TOVAR, ANTHONY R MCDONAGH DEMOLITION INC 01/11/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 429 19WC 11020 BURTON-ASHLEY, DAVAUGHN FEDEX GROUND 03/19/19 GOLDSTEIN BENDER & ROMANOF KOPKA, PINKUS DOLIN, PC 430 19WC 11093 CERVANTES, MAYRA SSP AMERICA INC 03/18/19 GOLDSTEIN BENDER & ROMANOF 431 19WC 11169 LUNA, SILVIA TAQUERIA EL MILAGRO 11/28/17 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 19WC022859 -C EL MILAGRO, INC 432 19WC 11243 ALEJANDRES, CESAR SOUTHWEST AIRLINES 02/25/19 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 433 19WC 11287 BRITTON, ANTHONY ELITE STAFFING 03/02/19 DAVID W MARTAY 434 19WC 11343 VILLALPANDO, IMELDA COSTCO 01/15/19 MARK SCHAFFNER GANAN & SHAPIRO 435 19WC 11445 HIMELMAN, WILLIAM AMERICAN AIRLINES 01/24/19 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 436 19WC 11485 MENDOZA, SONIA DBA NEVAREZ R&C CLEANING 03/14/19 PETER LEKAS 437 19WC 11502 DIAZ, RUVI GENERATIONS 08/27/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 438 19WC 11530 MACIAS, EVANGELINA THE HOME DEPOT USA, INC. 03/22/19 GOLDSTEIN AIOSSA & GOOD ADELSON TESTAN BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 439 19WC 11561 JIMENEZ, DELIA KARAVITES RESTAURANT 3159 01/11/19 CULLEN HASKINS NICHOLSON 440 19WC 11583 LAWSON, SHARON F CHICAGO BOARD OF EDUCATIO 11/29/18 POLTROCK & POLTROCK CHGO BOARD OF EDUCATION 441 19WC 11622 WHITTLER JR, BRUCE IHOP 04/10/19 ASHER, RAYMOND L LTD CAPUANI, FRANK S 442 19WC 11674 BRAVO, GELACIA GDI SERVICES, INC 01/22/19 ACEVES & PEREZ PC MEACHUM & STARCK 443 19WC 11795 MALDONADO, FABIAN 777 CONDOMINIUM ASSOCIATI 01/16/19 MENDOZA LAW PC 444 19WC 11858 DAY, TYRONE CTA 04/01/19 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 445 19WC 12014 BOTELLO, DAVID MONTERREY SECURITY 12/01/18 KEVIN O'BRIEN 446 19WC 12041 LOPEZ, LEONARDO PACIFIC MANAGEMENT INC 06/05/16 KREITER, BYCK & ASSOC LLP 447 19WC 12112 GARCIA, JESUS CONTECH LIGHTING 03/14/19 STANCZAK LAW OFFICES WILSON ELSER 448 19WC 12172 PALERMO, ANTONINO DAINA AMERICAN AIRLINES 03/02/19 SCOTT B SHAPIRO ROSARIO CIBELLA 449 19WC 12270 LUJEN, ROSA CARL BUDDIG AND COMPANY 03/29/19 HETHERINGTON KARPEL & BOBB KNELL O'CONNOR DANIELWICZ 450 19WC 12296 FLETCHER, SHANIKA PACE 01/22/19 LEONARD LAW GROUP LLC 451 19WC 12316 GOULD, VICKIE NATIONAL EXPRESS TRANSIT 04/16/19 CHEPOV & SCOTT LLC GAIDO & FINTZEN 452 19WC 12359 STORM, ELIZABETH WALMART 03/15/19 MC HARGUE & JONES QUINTAIROS PRIETO WOOD & BOY 453 19WC 12426 WALKER, RONALD CHICAGO TRANSIT AUTHORITY 02/05/19 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 454 19WC 12515 HUGHES, HOWARD UPS 06/13/18 ANGELINI & ORI LLC 455 19WC 12555 BRADLEY, VALERIE KROGER/FOOD 4 LESS 04/24/19 LEONARD LAW GROUP LLC 456 19WC 12574 KNOX, EDWARD POPEYES LOUISIANA KITCHEN 03/20/19

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 457 19WC 12620 SEIDEL, ELIZABETH AMITA HEALTH ALEXIAN BROT 04/19/19 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 458 19WC 12660 AVILES, ELVIRA KELLOGG CO. 07/31/18 HERRERA LAW CENTER 459 19WC 12737 EARL, DANA MICHAEL FOODS 03/13/19 VASILATOS & COTTER LLC 460 19WC 12768 FINISTER, RAMONDA LUDEMAN CENTER 08/27/14 BLACK & JONES ASSISTANT ATTORNEY GENERAL 461 19WC 12809 BAROT, HIRAL SUNRISE SENIOR LIVING LLC 05/17/18 MORICI FIGLIOLI & ASSOC HENNESSY & ROACH PC 462 19WC 12865 GIZYNSKI, TIMOTHY ORGANIX RECYCLING 02/24/19 TAMVAKIS, GEORGE L GAROFALO SCHREIBER STORM GRA 463 19WC 12882 MARTINEZ, ANTONIA CONTINENTAL OFFICES LTD 04/08/19 SCOTT B SHAPIRO HENNESSY & ROACH PC 464 19WC 12906 MURPHY, SHAWN COOK COUNTY SHERIFF'S POL 04/15/19 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN 465 19WC 12954 BRYSKI, JAMES ADVANCED AUTO PARTS 03/09/19 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 466 19WC 13008 GALLAGHER, ANNE HOME DEPOT 06/11/18 SCOTT B SHAPIRO ADELSON TESTAN BRUNDO 19WC013009 -C 467 19WC 18046 SMITH, CORY H&M 04/22/19 SMOLER LAW OFFICE, PC SPIEGEL & CAHILL, PC 468 19WC 19447 SAVAGE, ANTHONY MID-WEST INSTITUTIONAL 06/25/19 ANKIN LAW OFFICE 469 19WC 19481 HOFFMAN, DAVID NWC BODY WORKS, INC 02/19/18 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 470 19WC 19555 BUDACK, LUKE CONTRACT GLAZIERS, INC. 04/23/19 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 471 19WC 19580 YEDNAK, LISA NEW STAR EMPLOYMENT SERVI 11/27/18 COSTA IVONE LLC 19WC020012 -C 472 19WC 19618 MUNOZ, PABLO CHICAGO PUBLIC SCHOOLS 05/15/19 JAMES H MILLER JR CHGO BOARD OF EDUCATION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 473 19WC 19695 DAVIDSON, CONSTANCE CITY OF CHICAGO 06/13/19 DWORKIN AND MACIARIELLO CITY OF CHICAGO 474 19WC 19752 BOHN, MATTHEW J CLUTTER 04/07/19 ANESI OZMON RODIN NOVAK KO LEWIS BRISBOIS BISGAARD 19WC024273 -C 475 19WC 19769 O'CONNOR, BRIAN GIBSON'S ELECTRIC & TECHN 08/21/17 PARENTE & NOREM PC BRADY CONNOLLY & MASUDA PC 476 19WC 19830 BAEZ, CARMEN PEOPLES GAS 03/20/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 477 19WC 19864 DANTONIO, ANTHONY FLOORING RESOURCES CORP 12/13/18 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL BIERY & ASSOC 478 19WC 19883 WADE, LORRAINE ILLINOIS DEP OF PUBLIC HE @ 06/24/19 HETHERINGTON KARPEL & BOBB DANIELLE CURTISS 479 19WC 19921 PELKA, RICHARD AMERICAN AIRLINES 05/03/19 SAUNDERS CONDON & KENNY 480 19WC 19952 ORLOF, CHRISTOPHER SUPERIOR ONE ELECTRIC 07/26/16 LEONARD LAW GROUP LLC JOSEPH MARCINIAK 481 19WC 19976 MORRIS, SCOTT VACCARO TRUCK BODY 08/15/17 LAW OFFICES OF ADRIAN CHER 482 19WC 20024 HERNANDEZ, JOSEPH ALRO STEEL CORP 06/27/19 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 483 19WC 20047 BENMON, EZELL MARCONI'S BAKING COMPANY 05/16/19 ANGELINI & ORI LLC 484 19WC 20078 SANDOVAL, JUAN PABLO MARQUEE EVENT RENTALS 09/20/18 MC HARGUE & JONES MEACHUM & STARCK 485 19WC 20371 GULLIVER, JAY F.H. PASCHEN 11/06/18 BLOCK, KLUKAS & MANZELLA P STONE & JOHNSON CHARTERED 486 19WC 20422 DUALE, ILYAS UBER 07/09/19 DWORKIN AND MACIARIELLO 487 19WC 20468 CRAWFORD, JODI UNITED AIRLINES HOLDINGS, 03/27/19 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 488 19WC 20497 MITCHELL, RICCARDO COOK DUPAGE TRANSP CO, IN 02/25/19 HEALY SCANLON LAW FIRM BRADY CONNOLLY & MASUDA PC 489 19WC 20553 BAPTISTE, MARIE JEAN ACTIVE VISIONS INC 03/13/19 RUBENS KRESS MULHOLLAND 490 19WC 20589 GONZALEZ, NEREYDA SOLO CUP OPERATING CORP 05/22/19 TAMVAKIS, GEORGE L GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 491 19WC 20608 CARTAGENA, ISAI HMS HOST 05/25/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 492 19WC 20629 ZAKARI, ANTIA FRANCISCAN HEALTH 03/27/19 TAXMAN POLLOCK 493 19WC 20675 HERNANDEZ ORTEGA, MARLENE TACO NANO 07/11/19 HERRERA LAW CENTER 494 19WC 20707 ROBINSON, CAROLYN METRO SOUTH MEDICAL CENTE 05/03/19 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 495 19WC 20731 ALMAZAN, MARIA A SUPERIOR HEALTH LINENS GR 05/13/19 RUEDA, IVAN A LAWRENCE COZZI - LAW OFFICE 496 19WC 20763 WILSON, CANDICE HEART AT HOME HEALTH 05/30/19 CULLEN HASKINS NICHOLSON 497 19WC 20787 D'ADAM, ROBERT TRIMARK MARLINN SUPPLY CO 05/24/19 CANDIANO LAW OFFICE 498 19WC 20809 ALBERTO, ANN COOK COUNTY SHERIFF'S DEP 07/03/19 ARGIONIS & ASSOCIATES LLC STATES ATTORNEY OF COOK COUN 499 19WC 20841 SANDERS, JIMMIE CALAHAN FUNERAL HOME, INC 05/29/19 JAMES J. GAY RUSIN & MACIOROWSKI LTD 500 19WC 20916 THOMAS, DEANDRE A CTA 07/03/19 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 501 19WC 20961 FRIZELL, LAMAR ITS TECHNOLOGIES AND LOGI 07/10/19 ALEKSY BELCHER BRYCE DOWNEY & LENKOV LLC 502 19WC 21068 COLON, JESIEL EAST LAKE MANAGEMENT 06/21/19 SALVATO O'TOOLE FROYLAN 503 19WC 21097 SMITH, RONALD VARGAS GROUP 05/03/19 SHEA LAW GROUP BRADY CONNOLLY & MASUDA PC 504 19WC 21115 MC KAY, TIMOTHY J DB SCHENKER 06/28/19 GALLIANI DOELL & COZZI LTD 505 19WC 21204 RIVERA, SHEILA AUTO ZONE 06/18/19 DWORKIN AND MACIARIELLO 506 19WC 21242 CARMONA, JUAN NATIONAL FILTER MEDIA 06/28/19 DUDLEY & LAKE LLC ADELSON TESTAN BRUNDO 507 19WC 21289 SMITH, COURTNEY MACANDREWS & FORBES HOLDI 08/06/18 SCHWEICKERT & GANASSIN 508 19WC 21301 PADETI, HANANYA S DHL 07/09/19 MC HARGUE & JONES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 509 19WC 21319 CHAVEZ-RIVERA, PAULO DRYWALL HOLDING 07/14/19 STEIN & CHERNY LTD BRADY CONNOLLY & MASUDA PC 510 19WC 21345 LEON, JORGE COOK COUNTY SHERIFF'S OFF 05/27/19 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 511 19WC 21379 MITCHELL, SUNITA GATE GOURMET, INC 07/08/19 ROBERT BURROWS RUSIN & MACIOROWSKI LTD 512 19WC 21398 KRYGOWSKI JR, CRAIG (SON) MEANY, INC # 07/20/19 GWC INJURY LAWYERS LLC 513 19WC 21417 MACIAS, JOSE LAS ISLITAS 05/03/19 LEONARDO MORALES JOSEPH MARCINIAK 514 19WC 21553 THOMPSON, APRIL THORNTONS 07/03/19 DWORKIN AND MACIARIELLO KRAKER FANNING & OLSEN 515 19WC 21594 EFFIOK, EMOH CHICAGO TRANSIT AUTHORITY 08/17/17 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 516 19WC 21686 DZIEDZIC, ANNA SOLUTIONS INC 04/22/19 MINKOW DOMIN 517 19WC 21731 WILLIAMS, LYNETTE STROGER HOSPITAL 07/18/19 DE SALVO, SCOTT D LAW OFFI STATES ATTORNEY OF COOK COUN 518 19WC 21781 FORD, MATTHEW TEMPEL STEEL COMP 07/11/19 KARCHMAR & STONE EVANS & DIXON 519 19WC 21868 RYNIEC, STEVEN JEWEL-ALBERTSONS 03/29/19 JASINSKI, GEORGE J EVANS & DIXON 520 19WC 21945 MONZON, MARIA CENVEO WORLDWIDE LIMITED 03/25/19 THE ROMAKER LAW FIRM NOBLE & ASSOC 521 19WC 21968 SMITH, CHRISTION ITS CONGLOBAL 06/27/19 PARENTE & NOREM PC 522 19WC 22011 KOPCHICK, JOSEPH RITZ CARLTON HOTEL 07/17/19 ELFENBAUM EVERS AMARILIO Z 523 19WC 22038 HALL, WES LABRIOLA BAKING CO 07/24/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 524 19WC 22075 STOKES-LOUIS, BELINDA TRINITY HEALTH CORP. 07/17/19 KREITER, BYCK & ASSOC LLP 525 19WC 22092 BROSMORE, MATTHEW GOOSE LAKE DEVELOPMENT, I W 07/25/19 SALVATO O'TOOLE FROYLAN 526 19WC 22098 BAYNES, DIANE CDT 06/25/19 SCOTT B SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 527 19WC 22122 MINNINI, ROCCO CHICAGO TRANIST AUTHORITY 11/27/18 RICHARD O. GREENFIELD CHICAGO TRANSIT AUTHORITY 528 19WC 22150 PERKINS, DONTE JB HUNT 07/16/19 DAVID W MARTAY 529 19WC 22219 DRAKE, ARTHUR SMG SAVOR 05/29/19 STEVEN J MALMAN & ASSOCIAT RUSIN & MACIOROWSKI LTD 530 19WC 22236 KAGLER, ANGIE ALDEN WENTWORTH 01/12/19 DWORKIN AND MACIARIELLO 531 19WC 22308 BLAIR, IRIS FEDERAL EXPRESS O'HARE 04/09/19 DONALD FOHRMAN & ASSOC WIEDNER & MCAULIFFE LTD 19WC022309 -C 19WC023128 -C 532 19WC 22337 CHESTER, DERON HOME DEPOT 12/07/18 MC HARGUE & JONES ADELSON TESTAN BRUNDO 533 19WC 22414 EDWARDS, NETTIE SPIRIT AIRLINES, INC 06/02/19 ANKIN LAW OFFICE 534 19WC 22435 LACY, LONNIE B ELITE CAR WASH 12/09/18 GOLDSTEIN BENDER & ROMANOF 535 19WC 22451 MORRISON, TANIKA SIBLING SOUL FOOD W 07/18/19 VRDOLYAK LAW GROUP LLC 536 19WC 22621 JOHNSON, TRACEY COACH USA CHICAGO/AIRPORT 05/11/19 GOLDSTEIN BENDER & ROMANOF POULOS & DIBENEDETTO LAW 537 19WC 22691 MC HALE, JESSIE REVOLUTION BREWING 06/21/19 HORWITZ HORWITZ & ASSOC 538 19WC 23427 TOLBERT, DOMINICA MARKHAM POLICE DEPARTMENT 06/15/19 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 539 19WC 28391 BARAJAS, VICTORINA HUITRO SUPERIOR STAFFING SERVICE 09/06/19 SLAVIN & SLAVIN 540 19WC 28836 GILLIE, SEAN CITY OF CHICAGO-DEPT OF W 08/07/18 ARGIONIS & ASSOCIATES LLC 541 19WC 28948 GREEN, RICHARD AMERICAN AIRLINES 09/28/19 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM GRA 542 19WC 28983 WILLIAMS, DIANE DHL 08/22/19 EDWIN REYES LAW FIRM HENNESSY & ROACH PC 543 19WC 29045 FONSECA, JOAQUIN NATIONAL CARRIERS OF AMER 09/18/19 TAMVAKIS, GEORGE L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 544 19WC 29067 BOGUILLE, MONICA LSG SKY CHEFS 09/16/19 DWORKIN AND MACIARIELLO 545 19WC 29096 COLON, ALEX FIBRE DRUM SALES, INC. 03/11/19 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 19WC029097 -C 19WC029098 -C 546 19WC 29338 RIVERA JACQUES JR SHRED-IT 09/27/19 LEONARD LAW GROUP LLC 547 19WC 29363 OJO, AKINOLA SANTORINI CAB CORP 02/03/19 NEWLAND & NEWLAND 548 19WC 29388 JONES, APRIL DELTA LEARNING CENTER & P 09/24/19 DEPAOLO & ZADEIKIS 549 19WC 29408 MILLER, SHAWN METHOD PRODUCTS 08/21/19 TAXMAN POLLOCK GAROFALO SCHREIBER STORM GRA 550 19WC 29450 FLYNN-CASEY, SHARON OFFICE OF THE 06/25/19 PETER LEKAS ASSISTANT ATTORNEY GENERAL 551 19WC 29467 YORK, PHILISHA CTA 09/17/19 MC HARGUE & JONES CHICAGO TRANSIT AUTHORITY 552 19WC 29555 CALKINS, TERRY WALSH CONSTRUCTION 04/01/19 SEIDMAN MARGULIS & FAIRMAN HINSHAW & CULBERTSON 553 19WC 29582 WILLIAMS, MAREON ALLIANCE GROUND INTERNATI 09/28/19 ANGELINI & ORI LLC 554 19WC 29658 ARFA, JANNATUL TAXI TOWN, INC 10/07/19 STEWART C ORZOFF 555 19WC 29735 HINOJOZA, GABRIEL ZIZUMBO LANDSCAPING 07/02/19 RUEDA, IVAN A HOLECEK & ASSOCIATES 556 19WC 29767 SANCHEZ, ALEJANDRO MSM SOLUTIONS LLC 08/14/19 RITTENBERG BUFFEN MEACHUM BOYLE TRAUFMAN 557 19WC 29787 JACKSON, DANNY DARRYL'S TRUCKING, INC 09/30/19 ANKIN LAW OFFICE 19WC031570 -C 558 19WC 29816 ORTIZ, REBECCA PICKET FENCE DAY CARE & 10/02/18 STROM & ASSOC JOSEPH MARCINIAK 19WC029985 -C 559 19WC 29878 TIMOTEO, MICHAELA WALMART 05/19/19 MC HARGUE & JONES QUINTAIROS PRIETO WOOD & BOY 560 19WC 29922 VILLALVAZO, CESAR BILL'S DRYWALL INC 09/27/18 RAYMOND P GARZA LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 561 19WC 29960 BARRERA, ROSA MARRIOTT INTERNATIONAL 07/07/19 GOLDSTEIN BENDER & ROMANOF GANAN & SHAPIRO 562 19WC 29980 BENSON, LATOYA DD'S DISCOUNT 09/13/19 SKLARE LAW GROUP 563 19WC 29999 BARAJAS, ISABEL VIENNA BEEF LTD. 09/26/19 MAURICE E DUSKY PC MEACHUM BOYLE TRAUFMAN 564 19WC 30039 GRIGUS, SANTINA FERRARA 05/07/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 565 19WC 30055 MAGANA, MELISA HYATT 09/19/19 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 566 19WC 30088 PRICE, TIPPI OAK LAWN PUBLIC LIBRARY 09/09/19 SCOTT B SHAPIRO 567 19WC 30159 CIPRIANI, ROCCO V CITY OF BLUE ISLAND 06/12/17 THOMAS W DUDA ODELSON & STERK 568 19WC 30210 EVANS, DARRIN BELLISSIMO DISTRIBUTION 09/13/19 STEVEN J MALMAN & ASSOCIAT 569 19WC 30250 LEAR, ROMMEAL FEDERAL EXPRESS 02/02/19 DAVID W MARTAY 570 19WC 30315 PRICE, ALAN UNITED AIRLINES INC. 07/13/19 RONALDSON & KUCHLER 571 19WC 30343 FLORES, JUAN JIMENEZ ENTERPRISES INC 10/03/19 JONATHAN SCHLACK 572 19WC 30395 GUASE, RONALD TURANO BAKING COMPANY 10/25/18 CUDA LAW OFFICES KEEFE CAMPBELL BIERY & ASSOC 573 19WC 30451 JENNINGS, PAUL IL DEPT OF TRANSPORTATION 09/12/19 GWC INJURY LAWYERS LLC DANIELLE CURTISS 574 19WC 30474 ALVARADO, JESUS KEATS MANUFACTURING CO. 10/02/19 NYHAN BAMBRICK KINZIE & LOWR 575 19WC 30492 SMITH, TERRANCE L CHICAGO MEAT AUTHORITY 05/23/19 GALLAGHER, DONALD V HENNESSY & ROACH PC 576 19WC 30506 DUFFIN, MAURA E KRAPIL'S STEAKHOUSE & PAT 10/06/18 LEONARD LAW GROUP LLC JOSEPH MARCINIAK 577 19WC 30571 HARRIS, CHARLES CHICAGO PUBLIC SCHOOLS 10/10/19 DWORKIN AND MACIARIELLO 578 19WC 30597 RICE, MARTIN LKQ CORPORATION 01/29/19 GWC INJURY LAWYERS LLC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 579 19WC 30618 SILVA, EDISON HMS HOST ADMIRALS CLUB/ 09/30/19 DEPAOLO & ZADEIKIS 580 19WC 30640 SNEED, TONIA TITIAN SECURITY 08/01/19 MINKOW DOMIN WIEDNER & MCAULIFFE LTD 581 19WC 30691 FURCZON, STANISLAWA THE MILLARD GROUP, INC C/ 06/13/18 HETHERINGTON KARPEL & BOBB GAROFALO SCHREIBER STORM GRA 582 19WC 30709 WILSON, SANTANIKA FORD MOTOR COMPANY 10/12/19 DWORKIN AND MACIARIELLO 583 19WC 30750 FIORE, JAMES MORTON SCHOOL DISTRICT 20 09/05/19 LUSAK AND COBB DEL GALDO LAW GROUP LLP 584 19WC 30777 BROWN, VALERIE ALPHA BAKING COMPANY, INC 04/15/18 SOSTRIN AND SOSTRIN PC 585 19WC 30797 BOROCZK, CHERLYNN JB HUNT 04/29/19 WOODRUFF JOHNSON MICHAEL JASPER 586 19WC 30877 IBARRA, NORMAN ST OF IL- DEPT OF CENTRAL @ 10/02/19 CAPRON & AVGERINOS PC DANIELLE CURTISS 587 19WC 30904 KARCZ, WLADYSLAW ANDY'S DELI 03/08/18 GALLIANI DOELL & COZZI LTD QUINTAIROS PRIETO WOOD & BOY 588 19WC 30929 GONZALEZ, ANGEL PROTEIN BAR/PB 7TH & D, L 10/07/19 JAUREGUI & ASSOCIATES EVANS & DIXON 589 19WC 30947 HARRIS, CHRISTY CHICAGO BOARD OF EDUCATIO 06/18/19 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 590 19WC 30963 SCOTT, DON HARDINGS INC. 09/27/19 KATZ FRIEDMAN EAGLE ET AL LEAHY EISENBERG & FRAENKEL 591 19WC 30991 CASTELLANOS, JOSEPH D JR CITY TRANSIT AUTHORITY 06/23/19 HANNIGAN & BOTHA, LTD CHICAGO TRANSIT AUTHORITY 592 19WC 31013 DEL VALLE, RAMON JR COOK COUNTY 10/16/19 RUBENS KRESS MULHOLLAND STATES ATTORNEY OF COOK COUN 593 19WC 31038 HENLY, DEBRA L FIRST TRANSIT 09/11/19 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 594 19WC 31080 LARIOS, MARIO A DEMETER MILLWORK LLC 09/23/19 GOLDSTEIN BENDER & ROMANOF 595 19WC 31123 ERICKSON, SCOTT M ADJUSTABLE FORMS, INC. 08/21/18 RUBIN LAW GROUP 19WC031124 -C 596 19WC 31168 COOK, CARL CITY OF CHICAGO 10/21/19 COVEN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 597 19WC 31244 RODRIGUEZ, ROSA LSG SKY CHEFS 07/28/19 JONATHAN SCHLACK ORENSTEIN & ASSOCIATES 598 19WC 31286 CANNON, KELLY ST OF IL-CHICAGO READ MEN @ 10/12/19 STROM & ASSOC 599 19WC 31346 SOTELO, GELACIO HUGO'S FROG BAR & FISH HO 05/02/19 HERRERA LAW CENTER KRAKER FANNING & OLSEN 600 19WC 31407 HERNANDEZ-FLORES, SONIA DAVIDSON HOTEL COMPANY 01/09/19 CELSO FUENTES JR 601 19WC 31429 CRUZ, XAVIER PRONTO MECHANICAL SRVS, I 06/28/19 ANKIN LAW OFFICE 602 19WC 31491 HERBST, LISA FEDERAL EXPRESS 04/24/19 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 603 19WC 31532 VELAZQUEZ, HUMBERTO SEVEN D CONSTRUCTION 09/11/19 JOHN J CASTANEDA BRADY CONNOLLY & MASUDA PC 604 19WC 31555 MENDOZA-SANCHEZ, LORENSO AMITY PACKING CO. INC 03/08/19 COSTA IVONE LLC HOLECEK & ASSOCIATES 605 19WC 31670 ARRELLANO, VICTOR MANUEL ARETA, LLC 10/05/19 WHITING LAW GROUP 606 19WC 31737 MYLES, ROCKIE CHICAGO BEHAVORIAL HOSPIT 10/11/19 ANGELINI & ORI LLC 607 19WC 31865 DILBECK, FRED HUNTER PIPELINE SERVICES 08/30/19 BRYCE DOWNEY & LENKOV LLC 608 19WC 31946 HERNANDEZ, CARMELA CPO HOSPITALITY, LLC 07/09/19 COSTA IVONE LLC 609 19WC 31979 KINSEY, SHARDAI SOUTHWEST AIRLINES 01/18/19 COVEN LAW GROUP HENNESSY & ROACH PC 610 20WC 00223 THOMAS, CALVIN CLARE OAKS SENIOR LIVING 10/30/19 COVEN LAW GROUP 611 20WC 00243 CLIFFORD, JOHANNA M RAMBOLL USA INC 09/18/19 KOSIN LAW OFFICE LTD KOPKA, PINKUS DOLIN, PC 612 20WC 00302 JIMERSON, JABARRY US EXPRESS TRUCKING 02/22/19 ANGELINI & ORI LLC HENNESSY & ROACH PC 613 20WC 00314 STELLA, DENNIS CALUMET CITY 12/18/19 COVEN LAW GROUP RANDOLPH GREUNE LAW OFFICE 614 20WC 00344 OSBORNE, CORNELIUS CENTRAL BAKING SUPPLIES, 08/29/19 ELFENBAUM EVERS ZIELINSKA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 615 20WC 00383 RINCON, YANETH ACUITY BRANDS LIGHTING IN 06/12/19 STEVEN B SALK & ASSOC LTD SLAVIN & SLAVIN 616 20WC 00409 DELANE, MICHAEL NICOR GAS COMPANY 05/07/19 GWC INJURY LAWYERS LLC ASA LAW GROUP 617 20WC 00425 BASIORKA, ANDRZEJ JENDREK CONSTRUCTION CO. 12/11/19 HETHERINGTON KARPEL & BOBB ANCEL GLINK PC 618 20WC 00453 GUTIERREZ, EMILIA BWAY CORPORATION 08/03/18 HENNESSY & ROACH PC 619 20WC 00496 HARRIS, RONNELL (ESTATE UPS 10/21/19 COVEN LAW GROUP ASA LAW GROUP 620 20WC 00581 ZEPEDA, OMAR A DENK & ROCHE BUILDERS 12/06/19 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM GRA 621 20WC 00609 RAMOS, ANTONIO AMITY PACKING CO INC 12/26/19 GWC INJURY LAWYERS LLC 622 20WC 00630 DITTMER, NICHOLE AMERICAN AIRLINES 08/12/19 SLAVIN & SLAVIN 623 20WC 00652 RANGEL, RODOLFO DIVERSIFIED ENTITIES 11/06/18 KROL BONGIORNO & GIVEN LTD 624 20WC 00675 BERRY, LINDA TITAN SECURITY GROUP LLC 02/16/19 MATTHIAS D. GILL 625 20WC 00696 MORA, MISAEL OMEGA RESTAURANT 10/19/19 JOHN S. ELIASIK ACCIDENT FUND HOLDINGS 626 20WC 00719 WADE, SHAWNQUE KLOSS DISTRIBUTING CO 12/31/19 LAW OFFICES OF ADRIAN CHER 627 20WC 00752 KORNEGAY, VADA FGM ARCHITECTS 09/04/19 KRISTEN M KOZLOWSKI HENNESSY & ROACH PC 628 20WC 00811 SWATZELL, JENA NIELSON BAINBRIDGE, LLC 12/04/19 JEROME FOREMAN & ASSOCIATE HENNESSY & ROACH PC 629 20WC 00861 PORRAS, MARIA SENIOR FLEXONICS/ 12/02/19 MILLON & PESKIN LTD 630 20WC 00890 JASTRZAB, ALOJZY ART BRICK AND RESTORATION 12/05/19 GWC INJURY LAWYERS LLC MEACHUM BOYLE TRAUFMAN 631 20WC 00910 JOSE, LOVESEA CHICAGO PUBLIC SCHOOLS 11/12/19 CORBOY & DEMETRIO PC CHGO BOARD OF EDUCATION 632 20WC 00937 BERNS, ROBERT UNITED PARCEL SERVICE 01/08/20 COVEN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 633 20WC 00958 NELSON, BETTY WALT'S FOODS 07/27/18 CULLEN HASKINS NICHOLSON 634 20WC 01038 HOOD, DEONNA CHICAGO PUBLIC SCHOOLS 01/03/20 GOLDSTEIN AIOSSA & GOOD CHGO BOARD OF EDUCATION 635 20WC 01102 SOLIS, LUIS YH FOODS, INC 01/10/20 MC HARGUE & JONES LAWRENCE COZZI - LAW OFFICE 636 20WC 01127 LOERA, ELIAS UPS 12/18/19 BARRY STEWART SILVER ASA LAW GROUP 637 20WC 01158 MENDOZA, ADOLFO POWER MAINTENANCE SERVICE 12/12/19 SHEA LAW GROUP 638 20WC 01211 DUMAS, LEMAIRE WASTE MANAGEMENT OF IL, I 09/16/19 BRIAN J MC MANUS & ASSOC, 639 20WC 01271 FURLOW, SHAWANDA PORTER PLACE 01/13/20 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 640 20WC 01315 MARRUFO, LETICIA MERCY HOSPITAL 12/02/19 HORWITZ HORWITZ & ASSOC 641 20WC 01337 MONCURE, ANIUNIQUEIA AMERICAN AIRLINES 08/09/18 SAUNDERS CONDON & KENNY 642 20WC 01361 AMBROISE, KARLY ASTER HALL 02/01/19 GALLAGHER, DONALD V GANAN & SHAPIRO 643 20WC 01379 ZITO, MICHAEL JEWEL 12/29/19 SALVATO O'TOOLE FROYLAN 644 20WC 01398 FLORES, CECILIA NEW ERA WINDOWS COOPERATI 10/25/19 CHEPOV & SCOTT LLC JOSEPH MARCINIAK 645 20WC 01422 AVALOS, FILLIPE GLOBAL MATERIAL TECHNOLOG 12/05/19 DWORKIN AND MACIARIELLO 646 20WC 01447 HARTNETT, JAMES M ENTERTAINMENT PARTNERS 11/12/19 BRILL & FISHEL RUSIN & MACIOROWSKI LTD 647 20WC 01488 WEIDNER, JAMES UNITED AIRLINES 12/20/19 SEIDMAN MARGULIS & FAIRMAN 648 20WC 01507 OROPEZA, LUIS HEARTLAND ALLIANCE 12/26/19 LEONARDO MORALES 649 20WC 01562 CAGE, KEVIN D ORGANIX RECYCLING 11/12/19 DOUGLAS RALLO PC GAROFALO SCHREIBER STORM GRA 650 20WC 01605 ARMAN, JUDITH BELLWOOD SCHOOL DIST 88 09/04/18 THOMAS A MORRISSEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 651 20WC 01684 JEREZ, XIAN SOLIDER DELIVERY 09/22/19 TAMVAKIS, GEORGE L 652 20WC 01701 ALFARO, HERIBERTO GEHRETT PLUMBING 08/13/18 CULLEN HASKINS NICHOLSON EDWARD J. KOZEL 653 20WC 01724 WILSON, GREGORY T FOOD AND PAPER SUPPLY 12/24/19 HERRERA LAW CENTER HEYL ROYSTER VOELKER ALLEN 654 20WC 01739 DAVIS, JEAN M SCHOOL DISTRICT 161 11/07/19 MICHAEL D WALSH PC 655 20WC 01757 BELMONTE, VICENTE METROSTAFF, INC 09/18/17 DWORKIN AND MACIARIELLO 656 20WC 01776 BARNES, LAMONTE AT&T 01/17/20 DONALD FOHRMAN & ASSOC HENNESSY & ROACH PC 657 20WC 01800 RIBALDO, DANIEL A COOK COUNTY DEP OF CORREC 12/19/19 TIMOTHY HENDERSON STATES ATTORNEY OF COOK COUN 658 20WC 01820 MCGILVREY, STEVEN UNITED RENTALS 10/14/19 HEALY SCANLON LAW FIRM KEEFE CAMPBELL BIERY & ASSOC 659 20WC 01843 DAY, LINDA ADA NILES ADULT DAY CARE 10/07/19 DAVID W MARTAY 660 20WC 01856 LOVE, CLARISE A PARAMOUNT STAFFING 01/03/20 GALLAGHER, DONALD V KNELL O'CONNOR DANIELWICZ 661 20WC 01890 LOZANO MONTANO, ENRIQUE WINDWARD ROOFING COMPANY 12/09/19 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 662 20WC 01916 LOCALLO, CATHERINE RUSH UNIVERSITY MEDICAL C 09/15/13 MAY & BUEGE 663 20WC 01952 MAYS, ADRIANNE ALPHA SCHOOL BUS COMPANY 01/22/20 GERALD CONNOR GALLIANI DOELL & COZZI LTD 664 20WC 02003 MASCARENHAS, LESLIE UNITED AIRLINES 12/02/19 DONALD FOHRMAN & ASSOC 665 20WC 02098 NAJIEB, KAHYREE STATE OF IL/ 07/18/18 ANKIN LAW OFFICE 666 20WC 02136 OWOLABI, BABATUNDE CHICAGO BOARD OF EDUCATIO 01/15/20 HUGHES SOCOL PIERS RESNICK CHGO BOARD OF EDUCATION 667 20WC 02181 BAZAN, ADRIAN KOVAL MASONRY CORP 12/16/19 SIGMOND, STEVEN MEACHUM BOYLE TRAUFMAN 668 20WC 02222 NELSON, DEBRA CHICAGO TRANSIT AUTHORITY 01/19/20 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 669 20WC 02249 CONNER, KEVIN SUNRISE SR LIVING 01/06/20 R. MARK MARITOTE PC NOBLE & ASSOC 670 20WC 02276 SAMMARCO, PAIGE ARAMARK 12/05/19 POLANSKY & CICHON CHTD 671 20WC 02339 HOWARD, DARNELL VIACOM/PARAMOUNT PICTURES 11/18/19 KROL BONGIORNO & GIVEN LTD 672 20WC 02354 RAMIREZ, YULIANA TARGET CORPORATION 12/13/19 LEONARDO MORALES KEEFE CAMPBELL BIERY & ASSOC 673 20WC 02386 WIGGINS, CYNDRA AEROTEK/ALLEGIS GROUP, IN 12/23/19 RICHARD O. GREENFIELD 674 20WC 02429 HARRIS, TANIKA G4S SECURE SOLUTIONS 10/17/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 675 20WC 02449 JONES, GLORIA CTA 12/23/19 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 676 20WC 02479 SALERNO, ROBERT ALL AROUND AMUSEMENT INC 11/13/19 LAW OFFICES OF ADRIAN CHER 677 20WC 02500 WIEDENHOFT, RAYMOND FED EX TRADE NETWORKS 06/07/19 JAY S. SHETH LLC RUSIN & MACIOROWSKI LTD 678 20WC 02518 HARTIGAN, JOHN UNIVERSITY OF IL AT CHICA 08/21/19 GWC INJURY LAWYERS LLC HEYL ROYSTER VOELKER & ALLEN 679 20WC 02537 EVANS, RANDOLA BEACON HEALTH CENTER 01/11/20 STEVEN J MALMAN & ASSOCIAT GILDEA, COGHLAN & REGAN LTD. 680 20WC 02562 ALVAREZ, IRMA THE ELI'S CHEESECAKE COMP 08/24/19 EPSTEIN, JACK R LAW OFFICE LAWRENCE COZZI - LAW OFFICE 681 20WC 02578 ZUNIGA OCEGUEDA, EVA VIENNA BEEF 12/26/19 HERRERA LAW CENTER 682 20WC 02601 PRIOLO, BENEDETTO MARIANO FRESH MARKET/KROG 12/05/19 JOSHUA KARMEL 683 20WC 02619 MOLINA, FELECIA ADVOCATE HEALTH CARE NETW 11/27/19 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 684 20WC 02646 CHERNEY, CAROLYN S PROSPECT AIRPORT SERVICES 09/29/19 ACEVES & PEREZ PC 685 20WC 02673 IBRAHIM, RATEB YELLOW CAB COMPANY 01/03/20 SANDMAN LEVY & PETRICH 686 20WC 02695 WILLETT, JESSE UBER TECHNOLOGIES, INC 01/18/20 SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 687 20WC 02733 LUNA, MARIA TERESA A.R.M STAFFING INC / BBJ 11/11/19 RUEDA, IVAN A LEAHY EISENBERG & FRAENKEL 688 20WC 02759 BUGARIN, ROGELIO INNOPHOS INC 12/30/19 KARLIN FLEISHER & FALKENBE RUSIN & MACIOROWSKI LTD 689 20WC 02798 FARMER, ARIAN DAVIS STAFFING 05/03/19 BRILL & FISHEL KEEFE CAMPBELL BIERY & ASSOC 690 20WC 02822 SORANSKI, TOM D ILLINOIS PLUMBING CORP 11/09/19 GARDI & HAUGHT MEACHUM BOYLE TRAUFMAN 691 20WC 02844 DORTCH, ANTOINETTE CTA 12/20/19 DWORKIN AND MACIARIELLO 692 20WC 02867 COOKS, INDIA CITY OF CHICAGO 08/01/19 GORDON & CENTRACCHIO LLC 693 20WC 02887 LATHAM, RANDY S C4 TECHNICAL SERVICES 12/20/19 SOSTRIN AND SOSTRIN PC 694 20WC 08726 SPRINGFIELD, MELLOWNEICE CHICAGO PUBLIC SCHOOLS 02/24/20 SCHWEICKERT GANASSIN 695 20WC 08766 SWARTZENTRUBER, TODD TINLEY PARK FIRE DEPT 09/06/19 KROL BONGIORNO & GIVEN LTD 696 20WC 08817 SHURHAY, JOHN UNITED AIRLINES, INC 12/12/19 RIDGE & DOWNES 697 20WC 08826 MISCH, DANIEL CITY OF CHICAGO 01/31/20 SHANNON LAW GROUP 698 20WC 08855 SANCHEZ, JANICE ASCENA RETAIL GROUP INC 01/16/20 NICHOLAS ROBERT RECCHIA KOPKA, PINKUS DOLIN, PC 699 20WC 08893 BEECHAM, AMARI FAMILY DOLLAR 11/30/19 KATZ FRIEDMAN EISENSTEIN 700 20WC 08914 GARCIA, JOSE CITY FOODS 03/31/20 DWORKIN AND MACIARIELLO 701 20WC 08929 HERRERA, CLEMENTE MELECIO LANDSCAPING W 03/08/20 CHEPOV & SCOTT LLC 702 20WC 08966 CHRISTENSEN, DANIEL TSI 02/13/20 GESMER & REYNOLDS PC BRYCE DOWNEY & LENKOV LLC 703 20WC 09017 WATTS, TARA HELP AT HOME INC. 12/27/19 STEVEN J MALMAN & ASSOCIAT 704 20WC 09040 NICHOLS, JAMES J AT&T 02/14/20 O'CONNOR & NAKOS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 705 20WC 09057 HARRINGTON, MARIS LYCEE FRANCAIS DE CHICAGO 03/07/20 KATZ FRIEDMAN EISENSTEIN JOSEPH MARCINIAK 706 20WC 09080 DURU, VERONICA STATE OF ILLINOIS @ 03/22/20 ELFENBAUM EVERS ZIELINSKA 707 20WC 09119 DE BERRY, RASHETA N STATE OF ILLINOIS/DEPARTM @ 08/21/19 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 708 20WC 09143 CENTENO, MARIA PACTIV, LLC 03/11/20 STEVEN B SALK & ASSOC LTD 709 20WC 09159 SAGUIPED JR, FELICANO G SYSCO CHICAGO INC 08/23/19 ANKIN LAW OFFICE 710 20WC 09196 VARGAS, ROSENDO CASTLE BUICK 02/06/20 DWORKIN AND MACIARIELLO 711 20WC 09224 GOLBARG, KOUROSH 3150 CONDOMINIUM ASSOCIA 03/05/20 MICHAEL C. GOODE HOLECEK & ASSOCIATES 712 20WC 09277 MARTENS, MICHAEL LIGHTING PROTECTION SYSTE 03/16/20 SCHWEICKERT GANASSIN 713 20WC 09308 093 BECERRA, GERARDO PROGRESS RAIL LOCOMOTIVE 03/24/20 GRAUER & KRIEGEL LLC GOLDBERG SEGALLA LLC 093 20WC009307 -C 714 20WC 09325 GARCIA, YADIRA YRC WORLDWIDE 03/19/20 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 715 20WC 09345 WINDER, KARYN ATC HEALTHCARE SVCS 03/28/20 EAMES LAW GROUP LTD 716 20WC 09364 ORTIZ, JONATAN EL POPOCATEPETL INDUSTRIE 02/13/20 EPSTEIN, JACK R LAW OFFICE 717 20WC 09425 WILLIAMS, ALEXIS HEINAN'S GROCERY STORE 05/23/19 KREITER, BYCK & ASSOC LLP GILDEA, COGHLAN & REGAN LTD. 718 20WC 09448 AVILEZ, HUMBERTO SULTAN'S MARKET 08/28/19 SALVATO O'TOOLE FROYLAN BUSSE BUSSE & GROSSE 719 20WC 09520 PETELSKI, WOJCIECH ANDY'S DELI & MIKOLAJCZYK 12/09/19 KAPLAN LAW OFFICES 720 20WC 09542 WILSON, JIMMIE EDSAL MANUFACTURING 09/26/19 ANGELINI & ORI LLC 721 20WC 09572 GROTH, SUSAN UNITED AIRLINES INC 02/17/20 MATT MURPHY CONSULTING 722 20WC 09618 OBEGOLU, CHIKA ELARA CARING 04/13/20 MC HARGUE & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 723 20WC 09643 QUALLS, CAIUS L CHICAGO TRANSIT AUTHORITY 04/15/20 ANKIN LAW OFFICE 724 20WC 09676 RUTUES, DENIS HOME PRODUCTS INTERNATION 06/21/19 SKLARE LAW GROUP COZZI & ZAPF LAW OFFICE 725 20WC 09695 DANIELS, DELEON AEROTEK 03/11/20 COSTA IVONE LLC 726 20WC 09721 AMBROSIA, CHARLES COOK COUNTY SHERIFF 04/14/20 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 727 20WC 09738 VELEZ, SYLVIA ENVOY AIRLINES 11/04/19 BOGUSZ & BOGUSZ LTD GAROFALO SCHREIBER STORM GRA 728 20WC 09757 CEJA, RUBEN O'MALLEY CONSTRUCTION CO 11/08/19 ACEVES & PEREZ PC EDWARD J. KOZEL 729 20WC 09789 CUMMINGS, GARY UPS 02/23/20 SOSTRIN AND SOSTRIN PC 730 20WC 09872 BRANDLE, RON SHAMBAUGH & SON LP 05/31/19 HEALY SCANLON LAW FIRM BRADY CONNOLLY & MASUDA PC 731 20WC 09889 HUGHES, BELINDA RICH TOWNSHIP HS DISTRICT 04/13/18 DISPARTI LAW GROUP PA 732 20WC 09909 DOUGLAS, MICHAEL KOCH FOODS 04/15/20 JAMES ELLIS GUMBINER & ASS 733 20WC 09946 MORRIS, BETTY SAS RETAIL SERVICES 04/17/20 DWORKIN AND MACIARIELLO KELLEY KRONENBERG 734 20WC 09976 HERNANDEZ, GUSTAVO MEEKHOF TIRE 01/29/20 POLANSKY & CICHON CHTD 735 20WC 09994 BURSE, EMMA NOVITEX (PARENT LP D/B/A 06/29/18 LAW OFFICE OF LAURA A CHIL MEACHUM BOYLE TRAUFMAN 736 20WC 10037 RATAJCZAK, JEFF V R.J. O'BRIEN & ASSOC, LLC 05/10/18 GRAUER & KRIEGEL LLC JOSEPH MARCINIAK 737 20WC 10078 ALMANZA, RUPERTO MENDEZ CLEANING SERVICES 04/02/20 ANSELMO DURAN JOSEPH MARCINIAK 738 20WC 10133 PACHECO, JUANA E JEWEL FOOD STORES, INC 11/01/19 MORICI FIGLIOLI & ASSOC 739 20WC 10156 HALE, MATTHEW CITY BEVERAGE ILLINOIS LL 12/09/18 ROBERT J. IRSUTO 740 20WC 10210 SIMMONS, ERNESTINE ST MARY'S HOSPITAL 04/21/20 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 741 20WC 10235 MAHMOOD, FAZIL S&C ELECTRIC COMPANY 02/21/20 TRENT LAW FIRM PC RUSIN & MACIOROWSKI LTD 742 20WC 10261 SPENCER, DARRELL COOK COUNTY DEPT OF 03/27/20 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 743 20WC 10284 HICKEY JR, RICHARD T ELECTRICAL SYSTEMS 06/11/18 KROL BONGIORNO & GIVEN LTD CACCHILLO LAW GROUP LLC 744 20WC 10308 TUCKER, STEPHANIE THE MINTE APARTMENT CLEAN 02/19/20 KREITER, BYCK & ASSOC LLP COZZI & ZAPF LAW OFFICE 745 20WC 10316 VEGA, DOLLY ADVOCATE HEALTHCENTER 04/10/20 PEREZ, MICHAEL A LAW OFFIC NYHAN BAMBRICK KINZIE & LOWR 746 20WC 10340 LORENZO, SAMMY COOK COUNTY 01/15/18 MICHAEL A. HIGGINS 747 20WC 10363 MORADO, REBECCA BROOKDALE SENIOR LIVING 04/10/20 JOHN S. ELIASIK ROSARIO CIBELLA 748 20WC 10379 SCOTT, LATAVIA CHICAGO TRANSIT AUTHORITY 03/14/20 DONALD FOHRMAN & ASSOC 749 20WC 11099 HAMILTON, KELLY WIDOW OF CITY OF CHICAGO # 03/29/20 CURTIS S BURKE LAW OFFICE 750 20WC 15266 MORENO, NALLELY SUMMIT STAFFING * 05/29/20 JOHN S. ELIASIK 751 20WC 15367 WHITE, EARL PARAMEDIC SERVICES OF * 05/06/20 THOMAS W DUDA HENNESSY & ROACH PC 752 20WC 15387 BAHENA, MARIANA GROOT RECYCLING * 02/12/20 THE ROMAKER LAW FIRM 753 20WC 15412 DURAN, OBRIEN JUST IN TIME STAFFING * 05/28/20 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 754 20WC 15433 STARNES, JASMINE APERION CARE FOREST PARK * 07/05/20 GERALD CONNOR 755 20WC 15439 CONTRERAS, DANIEL BEAN PRODUCTS INC * 02/28/20 THE ROMAKER LAW FIRM 756 20WC 15458 PIJANOWSKI, CAROL FLAG CREEK GOLF COURSE * 06/23/20 SHELDON I MINKOW & ASSOCIA 757 20WC 15479 FLORES, MARIA E COLOR COMMUNICATIONS INC * 01/02/20 ROSS TYRRELL 758 20WC 15498 RODEN, JASON POWER STOP * 06/28/20 DISPARTI LAW GROUP PA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 759 20WC 15514 AVANT, VALERIE MARIANO'S * 04/13/20 ANKIN LAW OFFICE 760 20WC 15530 TIEDMANN, TIFFANY WALMART * 06/16/20 PARENTE & NOREM PC QUINTAIROS PRIETO WOOD & BOY 761 20WC 15580 SANCHEZ, FERNANDO WICHITA PACKING CO, INC * 03/23/20 LLOYD MILLER LAW GROUP 762 20WC 15603 ARROYO, GENARO THORNE ASSOCIATES, INC * 06/08/20 GWC INJURY LAWYERS LLC 763 20WC 15623 COOLEY, DANIEL OMEGA & ASSOCIATES * 10/22/15 ANSELMO DURAN 764 20WC 15668 AMAYA, GUSTAVO LA QUEBRADA * 05/31/20 COSTA IVONE LLC 765 20WC 15692 MARTINEZ, MARIA G CHICK-FIL-A * 12/16/19 CULLEN HASKINS NICHOLSON 766 20WC 15717 BANKSTON, SHANNON COOK DUPAGE TRANSPORTATIO * 07/07/20 RUBENS KRESS MULHOLLAND 767 20WC 15746 ROMANSKI, TAMMY FORD MOTOR CO * 06/19/20 HORWITZ HORWITZ & ASSOC 768 20WC 15777 RAMIREZ, FRANCISCO ROSE PACKING CO, INC * 04/13/20 EPSTEIN, JACK R LAW OFFICE 769 20WC 15808 BENITEZ NAJERA, JAIME MIDWAY STAFFING * 05/06/20 EPSTEIN, JACK R LAW OFFICE 770 20WC 15826 COLLINS, MARCUS COOK COUNTY TEMPORARY * 02/04/20 RITTENBERG BUFFEN 771 20WC 15850 SICHORI, MIRIAM AMAZON * 07/02/20 ENCINAS & ORNELAS 772 20WC 15870 COHEN, GWEN MORGAN STANLEY * 06/19/19 TAXMAN POLLOCK 773 20WC 15888 DE LOS RIOS, ROBERTO CTA * 07/09/20 SKLARE LAW GROUP 774 20WC 15912 SARLEY, JAMES NORDSTROM RACK * 06/06/20 RUBENS KRESS MULHOLLAND 775 20WC 15927 DOMINGUEZ, IGNACIO MEDICI ON 57TH * 01/11/20 ENCINAS & ORNELAS 776 20WC 15944 ANTHONY, RICHARD CORNELL FORGE CO, INC. * 06/10/20 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 777 20WC 15965 GRIMBALL, JEREMY DIMO'S PIZZA WICKER PARK * 06/21/19 DWORKIN AND MACIARIELLO 778 20WC 16015 EDMOND, CRYSTAL FORD MOTOR COMPANY * 10/26/19 DONALD FOHRMAN & ASSOC 779 20WC 16035 VAZQUEZ, JULIO PEREZ GDI SERVICES, INC * 06/09/20 ENCINAS & ORNELAS 780 20WC 16059 LYSY, STANISLAW MAH MACHINE CO * 12/21/17 BORGELT POWELL 781 20WC 16164 DELPIT, DESIREE NFI * 07/12/20 SKLARE LAW GROUP 782 20WC 16184 MCMANIS, SHERRICK CHICAGO BEARS FOOTBALL CL * 10/20/19 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 783 20WC 16206 ALONSO, MARIA FLEXAN * 12/09/19 EPSTEIN, JACK R LAW OFFICE 784 20WC 16280 WHELEHAN, LARRY CITY OF CHICAGO- DEPT OF * 04/30/20 ARGIONIS & ASSOCIATES LLC 785 20WC 16300 VARGAS, RAY MAUSER PACKING SOLUTIONS * 01/08/20 FRIEDMAN & SOLMOR LTD HENNESSY & ROACH PC 786 20WC 16323 PARKER, TARONIA TARGET * 06/21/20 COVEN LAW GROUP 787 20WC 16345 GUERRERO, ABELINO KOLE CONSTRUCTION CO, INC * 01/28/20 WHITING LAW GROUP ACCIDENT FUND HOLDINGS 788 20WC 16384 TEMPINSON, STEVEN S GERBER COLLISION AND GLAS * 06/30/20 GALLAGHER, DONALD V 789 20WC 16405 ROMAN, RAFAEL E LITHOGRAPHIC INDUSTRIES, * 10/03/19 ANKIN LAW OFFICE 790 20WC 16433 OLSZEWSKI, SYLVESTER MAH MACHINE CO, C/O * 07/07/20 HETHERINGTON KARPEL & BOBB 791 20WC 16462 BANKS, CEDRIC UPS * 07/07/20 LEONARD LAW GROUP LLC 792 20WC 16495 VALENCIA, ELMER GOODYEAR AUTO SERVICE CEN * 07/06/20 COSTA IVONE LLC 793 20WC 16523 MICHAELI, DAVID ECOBRITE LINEN * 07/18/19 DAVID W MARTAY 794 20WC 16546 ALMAGUER, JUAN REM, INC. * 07/03/20 STEIN & CHERNY LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 795 20WC 16618 GREEN, DANA CITY OF OAK FOREST * 03/10/19 NEWMAN, BOYER & STATHAM 796 20WC 16641 VAZQUEZ, CARLOS SWISSPORT * 06/03/20 NEWLAND & NEWLAND 797 20WC 16661 MC GRATH, JOHN A R OLSEN CONSTRUCTION * 07/02/20 TAMVAKIS, GEORGE L 798 20WC 16674 CASTILLO, JOSE CHICAGO TRANSIT AUTHORITY 05/09/20 DONALD FOHRMAN & ASSOC 799 20WC 16701 MAJCHROWITZ, SABRINA REX THERAPEUTICS, LLC * 10/12/19 ACCIDENT FUND HOLDINGS 800 20WC 16713 NOVIL, DAVID WHOLE FOODS MARKET GROUP, * 06/29/19 HELEN BLOCH 801 20WC 16727 AGUILAR, MAYRA PENTAIR FILTRATION SOLUTI * 06/22/20 COSTA IVONE LLC 802 20WC 16741 MILLER, SHIRLEY JACKSON PARK HOSPITAL & * 04/08/20 CORBOY & DEMETRIO PC 803 20WC 16868 GARDNER, JASON ARYZTA * 06/21/20 COSTA IVONE LLC 804 20WC 16913 HOGAN, THOMAS ELMHURST CHICAGO STONE * 11/20/19 BURNETT & CARON, LTD 805 20WC 16973 MERRITT, SHARON TITAN SECURITY GROUP * 07/09/20 DAVID W MARTAY 806 20WC 16998 ABDELWAHAB, WISSAM LAZ PARKING * 01/19/20 NEWLAND & NEWLAND 807 20WC 17009 REYES, MANUEL SUDLER AND COMPANY * 10/06/19 MANUAL CARDENAS & ASSOC 808 20WC 17026 WADE, WILLIAM CTY OF CHGO-DEPT OF STREE * 02/18/20 BRIAN J MC MANUS & ASSOC, 809 20WC 17050 DESIMONE, NEIL RENAISSANCE MANAGEMENT IN * 10/25/19 ALEKSY BELCHER 810 20WC 17063 LAUDERBACK, DOROTHY UPS 10/04/19 COVEN LAW GROUP 811 20WC 17105 LUTKER, DEBBIE DELTA AIR LINES, INC * 07/14/19 TARADASH LAW OFFICE 812 20WC 17230 SAVAIANO, MARY RICH TOWNSHIP HIGH * 09/25/18 KROL BONGIORNO & GIVEN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 813 20WC 17273 BILLS, JEFF S J. STERLING MORTON HIGH * 02/06/20 ANESI OZMON RODIN NOVAK KO 814 20WC 17292 BRECHT, WILLIAMK SOUTHWIND INDUSTRIES INC * 08/11/19 STONE & JOHNSON CHARTERED 815 20WC 17313 LEDEZMA CONTRERAS, LAURA ASSEMBLERS INC * 07/08/20 CULLEN HASKINS NICHOLSON 816 20WC 17325 YOUNG, JERRY CEVA LOGISTICS * 02/19/20 KROL BONGIORNO & GIVEN LTD 817 20WC 17344 JOENS, LERON CHICAGO TRANSIT AUTHORITY * 10/26/19 DWORKIN AND MACIARIELLO 818 20WC 17365 MARIOLLO, VANESSA UNIVERSITY OF ILLINOS * 07/15/19 ANKIN LAW OFFICE 819 20WC 17383 ALARCON, MARIA JEWEL-OSCO * 04/29/20 STEVEN J MALMAN & ASSOCIAT 820 20WC 17501 PENA PEREZ, MA SANJUANA ELITE STAFFING * 04/15/20 ENCINAS & ORNELAS 821 20WC 17571 ARITA, HUGO L NATION PIZZA PRODUCTS LP * 07/07/20 ANKIN LAW OFFICE 822 20WC 17590 DURAJ, CONRAD J VILLAGE OF OAK PARK * 03/25/20 THOMAS W DUDA 823 20WC 17630 AFFLECK, SHAUN TOOTSIE ROLL INDUSTRIES L * 05/01/20 BRUGGEMAN HURST & ASSOC 824 20WC 17719 ORTIZ, ZULEMA DEPT OF CHILD AND FAMILY @ * 06/13/20 SCOTT B SHAPIRO 825 20WC 17737 ROREX, DANIELLE IHC CONTRIBUTION COMPANY * 02/26/20 DEVRIENDT, CHARLES J 826 20WC 17759 MIJAILOVIC, MIROSLAV GREMP STEEL COMPANY * 04/16/18 NYHAN BAMBRICK KINZIE & LOWR 827 20WC 17880 GUTIERREZ, JORGE A&J CONCRETE * 12/15/18 PORRO NIERMANN LAW GROUP 828 20WC 17950 HA, YOONJIN ELIZA TOUR LLC * 04/28/17 HENNESSY & ROACH PC 829 20WC 17969 URIBE, OSCAR CHICAGO EXTRUDED METALS * 07/14/20 DWORKIN AND MACIARIELLO 830 20WC 17983 FEHN, JOANNE ILLINOIS DEPT OF TRANSPOR @ * 09/12/19 KATZ FRIEDMAN EISENSTEIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 831 20WC 18002 BICKHAM, RAMON YRC FREIGHT * 05/22/20 ROMANEK & ROMANEK 832 20WC 18021 JUNGE, DATHAN VILLAGE OF HARWOOD HEIGHT * 07/13/20 DAVID W MARTAY 833 20WC 18038 PINEDA, ULISES NORTHWESTERN UNIVERSITY * 01/12/20 HERRERA LAW CENTER 834 20WC 18097 OCAMPO, MARIA L SUPER 8 * 07/14/20 SALK FLORES & BRODERICK 835 20WC 18122 FLEMING, TIMOTHY SUNBELT RENTALS * 07/22/20 JOHN S. ELIASIK 836 20WC 18147 HEIDEKRUEGER, JOHN BUDDING POLISHING * 08/16/19 JACKOWIAK LAW OFFICES