illinois workers' compensation commission page 1 c a … · 4 07wc 34620 studnicka, heidi ups...

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 05WC 24626 MARTINIS, MICHELLE CHICAGO TRANSIT AUTHORITY 02/19/04 KROL BONGIORNO & GIVEN LTD CHICAGO TRANSIT AUTHORITY 05WC024627 -C 2 06WC 16406 BERGNER, NICHOLAS WALSH CONSTRUCTION 07/14/01 DAVID W MARTAY HINSHAW & CULBERTSON 3 06WC 21799 LOVING, SHELTON L UNITED AIRLINES 11/04/05 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 06WC021800 -C 06WC021815 -C 07WC002653 -C 4 07WC 34620 STUDNICKA, HEIDI UPS 06/23/07 PRESBREY & ASSOC INC NYHAN BAMBRICK KINZIE & LOWR 07WC049585 -C 07WC049634 -C 5 07WC 43787 SZUBA, MICHAEL J SR CHICAGO TRANSIT AUTHORITY 11/12/06 CORTI ALEKSY & CASTANEDA CHICAGO TRANSIT AUTHORITY 10WC021590 -C 6 07WC 44153 LOPEZ, ALEJANDRO WORLD SUPER SERVICES, INC 06/26/06 GOLDSTEIN FISHMAN BENDER E 07WC044154 -C 7 07WC 46642 TORRES, MARIA G FERRARA PAN CANDY 09/22/05 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS 12WC036906 -C 8 08WC 01074 STROUD, DENISE CHICAGO HILTON LLC C/O IL 06/21/07 LEWIS DAVIDSON & HETHERING NOBLE & ASSOCIATES PC 10WC011551 -C 9 08WC 07663 OLVERA, ROSEMARY PINNACLE HEALTHCARE OF BE 10/10/07 EPSTEIN, JACK R LAW OFFICE WEINBERG LAW GROUP LTD 10 08WC 08253 WILLIAMS, GREGORY IL DEPT OF TRANSPORTATION @ 10/11/07 EMPLOYEE LEGAL SERVICES LT ASSISTANT ATTORNEY GENERAL 11 08WC 09780 TAYLOR, SHAVONNA GLENDA THOMAS INDIVIDUALL @ W 02/01/08 CHARLES LEVY & ASSOC LTD 12 08WC 10108 STALNAKER, JUDY N CITY OF CHGO OFF OF EMERG 01/31/08 VITELL & SPITZ LTD CITY OF CHICAGO 13 08WC 16819 CELIS, JOSE ALPHA BAKING CO 11/16/07 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 14 08WC 54029 KRZEPINA, MAREK EUROPE TRUCK LINES, INC W 10/17/08 STEVEN J SEIDMAN LAW OFFIC URSULA BABICZ & ASSOC 15 09WC 05802 FOY, SCOTT M NEMETH GLASS INC 02/18/08 COLLISON & O'CONNOR LTD THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 09WC 13238 GARRETT, JAMES P STATE OF ILLINOIS @ 09/14/08 TOPPER & WEISS LTD ASSISTANT ATTORNEY GENERAL 17 09WC 16138 MOORE, ERIC CITY OF CHICAGO 04/06/09 FOHRMAN, DONALD W & ASSOCS 18 09WC 22055 19B NEELY, SELONGE THE SPORTS AUTHORITY INC 05/05/09 LEWIS DAVIDSON & HETHERING RODDY LAW LTD 19 09WC 44730 STREL, HENDRIK ILLINOS DEPT OF TRANSPORT @ 02/05/08 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 20 10WC 18946 LANGON, KENYA P STATE OF ILLINOIS @ 03/25/10 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 11WC029206 -C SHAPIRO CENTER 21 10WC 19236 ROOT, RICHARD W ILLINOIS DEPARTMENT OF @ 11/18/08 JOHN J CASTANEDA ASSISTANT ATTORNEY GENERAL 22 10WC 19761 19B ARIAS, MARIA DUNKIN DONUTS 10/26/09 LANNON LANNON & BARR LTD LAW OFFICES JOSEPH MARCINIAK 23 10WC 24451 SIKORSKI, PIOTR ACCU-CUT DIAMOND TOOL COI 04/08/10 BELLAS & WACHOWSKI RUSIN MACIOROWSKI & FRIEDMAN 14WC007693 -C 24 10WC 27032 SANCHEZ RAYAS, FELIX BRETFORD MANUFACTURING, I 11/20/09 MC HARGUE, JAMES P LAW OFF GAROFALO SCHREIBER STORM 15WC003408 -C 25 10WC 31454 19B DEVON, ROY ST OF IL DEPT OF TRANSPOR @ 06/10/09 NEMEROFF LAW OFFICES, LTD JEANNINE SIMS 26 10WC 31652 HIGGINS, KENNY CHICAGO RUSH ARENA FOOTBA 04/16/10 WOLFE LAW PC ADELSON TESTAN & BRUNDO 27 10WC 31898 GOMEZ, YOLANDA N/K/A WAL-MART STORES INC 03/13/10 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 28 10WC 32519 MC MAHON, NOEL SKYLINE PLASTERING 07/06/10 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 29 10WC 37272 HARPER, CLIFFORD CALIFORNIA PIZZA KITCHEN 04/01/10 WILLIAM L STEARNS GRANT & FANNING 30 10WC 45670 PINEDA, SUSAN COOK COUNTY JUVENILE 07/06/10 LANNON LANNON & BARR LTD STATES ATTORNEY OF COOK COUN 10WC045671 -C 12WC012789 -C 15WC028144 -C 16WC036016 -C 31 10WC 46520 BOUUKLIEY, STEFAN TAXI MEDALLION MANAGEMENT 10/15/10 JAMES ELLIS GUMBINER & ASS STONE & JOHNSON CHARTERED 32 10WC 47933 PIETRZAK, SHARON LOYOLA UNIVERSITY MEDICAL 09/23/10 COVEN LAW GROUP LORENZ & BERGIN PC 11WC007992 -C 33 10WC 48742 BRECKINRIDGE, KIMBERLY CHEM RX CHICAGO LLC 12/06/10 COHN LAMBERT RYAN & SCHNEI LAW OFFICES JOSEPH MARCINIAK 34 10WC 49091 FREEMAN, ALEXIUS L NURTURING DEVELOPMENTAL 03/13/09 KENNETH B GORE, LTD LORENZ & BERGIN PC 35 10WC 49400 19B MCLAUGHLIN, DELORES COUNTY OF COOK 12/17/08 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 36 10WC 49571 JUAREZ, STEPHANIE JEWEL 06/24/10 BRISKMAN BRISKMAN GREENBER RODDY LAW LTD 12WC030085 -C 296 13WC010090 -C SUPER VALU 37 11WC 12687 MARTINEZ, ENRIQUE NH & J INC C/O NOE HARNAN 03/23/11 LEWIS & DAVIDSON, LTD GANAN & SHAPIRO 38 11WC 17040 SOLORZANO, ANTONIO CESARS 02/07/11 JAMES ELLIS GUMBINER & ASS THOMAS ROSENBURG ESQ.LTD. 39 11WC 17302 GUEST, ANN DORIS UNIVERSITY OF ILLINOIS 04/24/11 LEONARD LAW GROUP LLC HEYL ROYSTER VOELKER & ALLEN 40 11WC 20050 MANCILLA, SAUL EDWARD DON & COMPANY 05/17/11 SALVATO & O'TOOLE NYHAN BAMBRICK KINZIE & LOWR 14WC006098 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 41 11WC 20169 PADZUNAS, LEO STATE OF IL @ 09/09/09 STROM, NEAL B MATTHEW LICAVOLI 11WC048552 -C ST OF IL DEPT OF 42 11WC 30724 CHODOROWSKI, RAYMOND ATLAS VAN LINES 03/11/11 BRUSTIN & LUNDBLAD LTD MCANANY VANCLEVE & PHILLIPS 11WC030726 -C 13WC002381 -C 13WC002852 -C JOSEPH NOSEK 13WC004460 -C JO JO PALMER 43 11WC 32058 MARSHALL, AKILAH T CHICAGO STATE UNIVERSITY @ 04/04/11 PERRY M LAKS LAW OFFICE DANIEL SULLIVAN 44 11WC 32080 JONES, JOHN T JR A2B TRANSPORT 07/04/11 STEVEN J SEIDMAN LAW OFFIC 45 11WC 32599 BELLAMY, KEVIN CARRY TRANSIT 08/15/11 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK 46 11WC 33334 MC GUIRE, PATRICK J JOYCE BROTHER'S INC. 02/04/11 HANNIGAN & BOTHA, LTD THOMAS & ASSOCIATES 11WC033335 -C 47 11WC 34853 KUNSTMAN, JOHN V P MECHANICAL 03/09/11 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 48 11WC 35265 PITONYAK, GREG SMURFIT STONE 10/19/09 MINKOW DOMIN GAROFALO SCHREIBER STORM 11WC035266 -C 49 11WC 35648 LABAUEX, CARLEEN SOUTHWEST AIRLINE 04/02/11 STEVEN J SEIDMAN LAW OFFIC HENNESSY & ROACH PC 11WC035649 -C 11WC035651 -C 12WC040337 -C 12WC041993 -C 13WC032076 -C 15WC019560 -C 15WC019561 -C 50 11WC 36324 RAMIREZ, DAVID CHICAGO TRANSIT AUTHORITY 09/07/11 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 51 11WC 36352 ADAMS, MAURICE CITY OF CHICAGO 03/28/11 HEALY LAW FIRM HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 52 11WC 37267 ROMAC, TODD CHICAGO TRANSIT AUTHORITY 08/10/11 HUGHES SOCOL PIERS RESNICK CHICAGO TRANSIT AUTHORITY 53 11WC 37505 MAYES, MARJORIE GLENSHIRE NURSING 09/26/11 KP LAW LLC GALLIANNI DOELL & COZZI LTD 12WC019756 -C 54 11WC 42689 19B GOOCH, CALVIN CHICAGO PUBLIC SCHOOLS 10/27/11 FOHRMAN, DONALD W & ASSOCS LEAHY EISENBERG & FRAENKEL 55 11WC 46619 POWELL, MARY LOU STATE OF ILLINOIS @ 12/15/08 PETER D CORTI LAW GROUP ASST ATTY GENERAL 56 11WC 47072 ARROYO, ANNEL COUNTY OF COOK 10/11/11 LAW OFFICE ANTHONY IVONE STATES ATTORNEY OF COOK COUN 57 11WC 47094 HACHLER, TRACY NORDSTROM, INC 03/09/10 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 58 11WC 47186 HOUSTON, DARWIN CHICAGO PUBLIC SCHOOLS 11/03/11 GOLDSTEIN BENDER & ROMANOF LAW DEPARTMENT 59 11WC 48360 KIM, SORA PREMIER SALON 11/22/11 ELFENBAUM EVERS & AMARILIO LAW OFFICES JOSEPH MARCINIAK 11WC048361 -C 60 12WC 09953 SULLIVAN, JAMES SCHAAF GLASS & MIRROR 10/04/11 ANESI OZMON RODIN NOVAK KO STONE & JOHNSON CHARTERED 16WC021939 -C 61 12WC 11618 PRINCE, TONEY D FAMILY DOLLAR 12/11/11 62 12WC 11974 LOPEZ, FELIPE DUNIGAN CONSTRUCTION 11/18/11 KENNETH B GORE LTD WIEDNER & MCAULIFFE LTD 12WC011975 -C 13WC018665 -C 63 12WC 12574 VIVEROS, PABLO ELITE STAFFING 02/21/12 MARC CAIRO 64 12WC 19559 QTAISH, INEZ BRONZEVILLE PARK NURSING 05/13/12 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 65 12WC 20203 ORTIZ, JULIO C THE HOME DEPOT U.S.A INC 03/19/12 KOSIN LAW OFFICE LTD MC ANDREWS & NORGLE LLC 66 12WC 20621 PETERSON, JODI AMERICAN AIRLINES 04/15/12 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 67 12WC 20804 AMMONS-LEWIS, DELORES METROPOLITAN WATER RECLAM 05/14/12 NOBLE & ASSOCIATES PC 68 12WC 21799 WOODS, STEPHANIE CITY OF CHICAGO 06/04/12 COVEN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 69 12WC 21937 TWUM, KWASI ROSEMOND AGYEMAN 06/24/12 BRUCE RAFALSON LTD 70 12WC 22084 CUTRO, JOE KNICKERBOCKER ROOFING & P 04/10/12 JOHN J CASTANEDA GRANT & FANNING 71 12WC 22474 MADRID, JOSE CHECKMATE REALTY DEVELOPM 06/07/12 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 72 12WC 22648 PEOPLES, BENJAMIN CITY OF HARVEY 07/21/11 VRDOLYAK LAW GROUP LLC SMITH AMUNDSEN LLC 14WC025189 -C 73 12WC 24273 WILSON, DENISE CITY OF CHICAGO 04/13/12 MARC J SHUMAN & ASSOCIATES CITY OF CHICAGO 74 12WC 24430 MACHNIK, CZESLAW DJR INC 10/01/11 GALLIANNI DOELL & COZZI LT GILDEA & COGHLAN 75 12WC 26732 NAPIOR, KATHELEEN CITY OF CHICAGO POLICE DE 09/03/10 MEYERS & FLOWERS CITY OF CHICAGO 76 12WC 29360 FABRE-AUSTIN, JOANIE AMERICAN AIRLINES 05/07/12 RUBENS AND KRESS GAROFALO SCHREIBER STORM 77 12WC 29765 LAMMERS, JANET UNITED AIRLINES INC. 01/21/12 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 13WC014323 -C 13WC014324 -C 14WC001125 -C 14WC021144 -C 15WC022524 -C 78 12WC 31331 CARRERO, EDWIN CITY OF CHICAGO 09/04/12 PETER D CORTI LAW GROUP CITY OF CHICAGO 12WC035558 -C 79 12WC 31512 WEBSTER, FLINT FEDERAL EXPRESS 07/24/12 ANESI OZMON RODIN NOVAK KO HANSON LAW OFFICE 14WC001116 -C FED EX 80 12WC 31887 PAWLUCZUK, GRAZYNA KUROWSKI SAUSAGE SHOP 02/16/12 GALLIANNI DOELL & COZZI LT THOMAS & PORTELA 81 12WC 32229 19B CALCAGNO, JOHN CITY OF CHICAGO 09/12/12 CUDA LAW OFFICES CITY OF CHICAGO 82 12WC 32346 HERNANDEZ, JOSE MARTIN ARAMARK 07/31/12 GOLDSTEIN, AIOSSA & GOOD STONE & JOHNSON CHARTERED 12WC032347 -C 12WC035727 -C 83 12WC 32527 SANCHEZ, STEVEN J CHICAGO PARK DISTRICT 07/09/12 CRONIN PETERS & COOK PC CHICAGO PARK DIST LAW DEPT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 84 12WC 32532 MEEHAN, MICHAEL SIEMENS INFRASTRUCTURE 05/30/12 ANESI OZMON RODIN NOVAK KO KOPKA, PINKUS DOLIN, PC 85 12WC 32738 GOMEZ, MARINA UNIFIRST CORPORATION 10/18/11 LEWIS & DAVIDSON, LTD BRADY CONNOLLY & MASUDA PC 86 12WC 33567 HARDY, SHIRLEY CTA 09/19/12 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 13WC008935 -C 14WC011176 -C CHICAGO TRANSIT AUTHORITY 87 12WC 34622 GUTIERREZ, AMALIA CINTAS 05/22/12 BUDIN LAW OFFICES POWER & CRONIN LTD 15WC039000 -C 88 12WC 37156 MONTGOMERY, MARK CITY OF C0ICAGO 04/04/12 DEER & STONE PC CITY OF CHICAGO 89 12WC 37632 ESTRADA, JOSEPH USF HOLLAND/YRC WORLDWIDE 08/07/12 PETER D CORTI LAW GROUP HENNESSY & ROACH PC 90 12WC 41969 ADE, ABDIRASHID CHOICE TAXI ASSOCIATION 12/11/10 HUNER LAW OFFICES LLC SHIRLEY WARFIELD 91 12WC 41974 KOONCE, GWENDOLYN CHICAGO BOARD OF EDUCATIO 11/14/12 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 92 12WC 42222 CLANCY, ANTHONY CHICAGO PUBLIC SCHOOLS 10/31/11 JOHN E LUSAK LEAHY EISENBERG & FRAENKEL 93 12WC 42416 DOUGLAS, DEBRA OAK PARK HEALTH CARE CENT 10/06/12 KURASCH & KLEIN, LTD QUINN JOHNSTON HENDERSON ETA 94 12WC 42721 BJORKLUND, EDWARD CHICAGO TRANSIT AUTHORITY 07/11/11 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 15WC027096 -C CTA 95 12WC 43225 BRYANT, BRUCE MERCY HOSPITAL & MEDICAL 10/30/12 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 96 12WC 43579 PUGH, PAMELA COOK COUNTY 12/06/12 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 97 12WC 43825 BILANIUC, MONA ABM JANITORIAL 02/29/12 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 98 12WC 43845 CASTILLO, ELISA TOWN OF CICERO 02/25/12 KATZ FRIEDMAN EAGLE ET AL DEL GALDO LAW GROUP LLP 12WC043846 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 99 12WC 44351 WITHERS, CHARLES C C WITHERS PLUMBING LLC 09/28/12 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 100 13WC 01135 WALIA, POONAM TJ MAXX 04/09/10 MILLON & PESKIN LTD 13WC007062 -C 13WC008320 -C 101 13WC 09159 FEITHEN, ROSS HERTZ EQUIPMENT RENTAL 11/03/12 HANNIGAN & BOTHA, LTD NOBLE & ASSOCIATES PC 102 13WC 09262 BANASIAK, JAMES PALMER PRINTING 08/17/11 DAVID W MARTAY GANAN & SHAPIRO 103 13WC 09742 KASKA, GRZEGORZ VETERANS DISTRIBUTION OF 11/08/12 BELCHER LAW OFFICE BRADY CONNOLLY & MASUDA PC 104 13WC 09786 GARCIA, MIQUEL PEPE'S MEXICAN RESTAURANT 07/31/12 SVENSON LAW OFFICES RUSIN MACIOROWSKI & FRIEDMAN 105 13WC 10061 SALEM, MIKE A KISWANI TRUCKING INC 01/15/13 STELZMAN, RUTH KNELL & O'CONNOR 106 13WC 10416 MADRIGAL, SHARON P STATE OF IL DEPT OF HS @ 03/07/13 VITELL & SPITZ LTD JEANNINE SIMS 107 13WC 11992 PATRICK, THOMAS VSN SHIPPING, INC. W 03/09/13 GALANTI LAW OFFICES 108 13WC 13555 LAZO, JOSEPH VILLAGE OF NILES PD 03/15/13 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 109 13WC 16773 SALCEDO, DEMETRIUS SMJ TOWING 04/18/13 BUDIN LAW OFFICES 110 13WC 18010 HOFER, FRANK PTO SERVICES 04/22/13 THE FITZ LAW GROUP CHILTON YAMBERT PORTER LLP 111 13WC 18948 NEAL, VALERIE CITY OF CHICAGO 03/20/13 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 15WC011081 -C 112 13WC 19115 CANO, PABLO MATRO STAFF INC 05/20/13 MC HARGUE, JAMES P LAW OFF 113 13WC 19186 PIERSZA, ROBERT STATE OF ILLINOIS - D.H.S @ 06/13/10 STROM, NEAL B JEANNINE SIMS 13WC019187 -C 14WC019247 -C 114 13WC 19288 PRIAS, RUBEN FEDEX GROUNG 05/21/13 THE FITZ LAW GROUP SCOPELITIS GARVIN LIGHT 115 13WC 19832 CUZCO, ANA R LABRIOLA 06/07/10 JONATHAN SCHLACK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 116 13WC 19886 ROJAS, JAIRO TOTAL STAFFING 04/24/13 JAMES ELLIS GUMBINER & ASS KNELL & O'CONNOR 117 13WC 20205 JONES, ARIEL CHICAGO TRANSIT AUTHORITY 03/09/13 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 118 13WC 20233 RILEY, LORI M M.D. COOK COUNTY HEALTH AND 04/23/13 JOHN J CASTANEDA STATES ATTORNEY OF COOK COUN 119 13WC 21139 VELASCO, MARTIN NU WAY INDUSTRIES 05/14/12 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 120 13WC 21273 DANIEL, SHLEMON WOLIN-LEVIN 02/20/13 LEO ALT LAW OFFICES JOSEPH MARCINIAK 121 13WC 21390 MOORE, IDA ST JAMES HOSPITAL 05/14/12 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 122 13WC 27544 SUMMERS, NORA STATE OF IL DEPT OF HUMAN 06/28/13 JOHN E LUSAK ASSISTANT ATTORNEY GENERAL 123 13WC 27914 CHERKO, JIM A FINKL & SONS 08/24/10 BOWMAN & CORDAY GAROFALO SCHREIBER STORM 124 13WC 28503 EURKAITIS, MICHAEL STATE OF IL-IDOT @ 10/03/11 MEYERS & FLOWERS LLC ASSISTANT ATTORNEY GENERAL 125 13WC 29521 PAKULA, ANGKANA PANDUIT CORPORATION 04/09/13 MINKOW DOMIN GAROFALO SCHREIBER STORM 126 13WC 29569 THORNHILL, JOHN CITY OF CHICAGO FLEET 08/06/12 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 127 13WC 29602 BARRETT, RICKY SCHECK MECHANICAL CORPORA 07/31/13 GARDNER KOCH WEISBERG & WR GAROFALO SCHREIBER STORM 128 13WC 29633 ANDRINO, JACQUELINE PREFERRED MEAL SYSTEMS, I 08/08/13 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 129 13WC 30107 NORWELL, MARY LOU COOK COUNTY 02/15/11 HEALY LAW FIRM STATES ATTORNEY OF COOK COUN 130 13WC 30197 MORENO, ROSA KELLOGG COMPANY D/B/A 08/26/13 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 13WC039545 -C 131 13WC 30369 GARCIA, LEOBARDO COUNTRYSIDE INDUSTRIES 08/29/13 JONATHAN SCHLACK RUSIN MACIOROWSKI & FRIEDMAN 132 13WC 30384 KURTZ, ROBERT PARK DISTRICT OF OAK PARK 01/08/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 133 13WC 30434 ANDINO, ROSALY COSTCO 05/07/12 COSTA IVONE LLC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 134 13WC 30731 BEDOY, JESUS LINTRAC SERVICE INC 01/27/13 MARC J SHUMAN & ASSOCIATES RUSIN MACIOROWSKI & FRIEDMAN 135 13WC 30857 TAPPER, JAMIE CHICAGO BOARD OF EDUCATIO 03/01/13 JAMES W GREEN, JR LAW DEPARTMENT 13WC030858 -C 15WC022540 -C 136 13WC 31234 MORALES, EDDIE VILLAGE OF BELLWOOD 08/08/13 FIGLIOLI, DAVID ROCK FUSCO & CONNELLY 15WC023030 -C 137 13WC 31265 BENITEZ-VIVERO, FREDI EUG CORPORATE ARTWORKS 09/17/13 HUGHES SOCOL PIERS RESNICK LAW OFFICES JOSEPH MARCINIAK 138 13WC 31495 GARCIA, JOSE METRAFLEX CO 08/19/13 VRDOLYAK LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 139 13WC 31538 PEDROZA, JOSEPH CHICAGO PARK DISTRICT 02/08/13 LORENZ & BERGIN PC CHICAGO PARK DIST LAW DEPT 14WC024664 -C 140 13WC 31971 THOMPSON, JASPER DHL 07/29/13 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 13WC031974 -C 14WC025032 -C 141 13WC 32065 DAVIS, RONALD D J & J NEWELL CONCRETE 08/14/13 THE FITZ LAW GROUP QUINTAIROS PRIETO WOOD & BOY 142 13WC 32183 MARTIN, SHIRLEY CIT OF CHICAGO 05/06/13 BUDIN LAW OFFICES LAW DEPARTMENT 143 13WC 32827 RAMIREZ, EUGENIO JARILLO CUMMINS 08/16/13 PETER D CORTI LAW GROUP HENNESSY & ROACH PC 144 13WC 32908 PALMA, JOSE A WOODLAWN COMMUNITY DEVELO 03/03/13 LAW OFFICE OF JAMES H MILL RUSIN MACIOROWSKI & FRIEDMAN 145 13WC 32921 19B DEVERS, DARWIN ARLINGTON HEIGHTS 04/29/13 STEVEN J MALMAN & ASSOCIAT RUSIN MACIOROWSKI & FRIEDMAN 146 13WC 37074 ARAM, AVILEEN ROSS STORES, INC. 10/25/13 LAW OFFICE STEVEN J SEIDMA NYHAN BAMBRICK KINZIE & LOWR 147 13WC 37575 RITTHALER, MICHAEL NOLAND SALES CORP 03/22/05 HANNIGAN & BOTHA, LTD GRANT & FANNING 148 13WC 37595 ENNIS, JUNIOR DB SCHENKER 11/09/13 COVEN LAW GROUP LAW OFFICES OF EDWARD J. KOZ 149 13WC 38021 JOHNSON, JAMES G & K SERVICES 06/25/13 PORRO NIERMANN & PETERSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 150 13WC 38505 MOORE, LASHUNDA THORNTON FRACTIONAL 10/22/13 MINKOW DOMIN BRADY CONNOLLY & MASUDA PC 151 13WC 38767 HANNA, JOSEPH ALPHA BAKING CO 09/03/13 KARCHMAR & STONE MACIOROWSKI SACKMANN & ULRIC 152 13WC 39215 NASER, EVA EXECUTIVE MAILING 07/12/13 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 153 13WC 39333 CHAPMAN, COLIN WINTRUST FINANCIAL CORP 06/22/13 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 154 13WC 39446 WOHL, RAYMOND F CHICAGO BOARD OF EDUCATIO 10/29/13 ELFENBAUM EVERS & AMARILIO LEAHY EISENBERG & FRAENKEL 155 13WC 39755 WALTON, BRIAN L JEWEL OSCO 10/19/13 LEONARD LAW GROUP LLC RODDY LAW LTD 156 13WC 39844 ROBLES, EDWARDO TREDROC TIRE SERVICES 06/11/12 LEWIS & DAVIDSON, LTD 157 13WC 39880 ALEXANDER, BARBARA BRONZEVILLE PARK SKILLED 06/12/13 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 15WC019998 -C 158 13WC 40340 RENTAS, YANAIRA ALDI STORES 11/08/11 SAUNDERS CONDON & KENNY MACIOROWSKI SACKMANN & ULRIC 13WC040341 -C 13WC040342 -C 159 13WC 40487 COLLINS, ROGER MODERN MIDWAYS W 06/25/13 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 160 13WC 40925 TEJANI, INAYATALI YELLOW TAXI 11/08/13 LAW OFFICE RYAN ROSENTHAL 161 13WC 41331 CONEY-MILLER, DIANE M EVERGREEN HEALTHCARE CENT 12/04/13 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 162 13WC 41430 ZAINO, KRISTINA A DUNKIN DONUTS 11/24/13 GOLDSTEIN BENDER & ROMANOF MEACHUM & STARCK 163 13WC 41560 ABDALLAH, NADIQ ADDUS HEALTHCARE 11/18/13 JOHN S. ELIASIK HENNESSY & ROACH PC 164 13WC 41907 SAULSBERRY, JOANN KATES DETECTIVE & SECURIT 09/19/13 MARSZALEK AND MARSZALEK ROBERT L. SMITH 14WC031774 -C 165 14WC 02595 MORALES, EDUARDO VILLAGE OF BELLWOOD 12/30/13 FIGLIOLI, DAVID ROCK FUSCO & CONNELLY 166 14WC 04695 FIORE-MEJTA, TERESA DLH SOLUTIONS, INC. 08/19/13 LANZILLOTTI GRIBBEN & MARC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 167 14WC 05562 KNOWLES, JUANITA BROWN HAYMARKET CENTER D/B/A 02/13/14 MINKOW DOMIN BRADY CONNOLLY & MASUDA PC 168 14WC 05576 O'NEAL, RYAN RESERVES NETWORK 01/15/14 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 169 14WC 06310 MITCHELL, LINDA TOWNSHIP HIGH SCHOOL 01/23/13 EVAN A HUGHES LAW OFFICE WIEDNER & MCAULIFFE LTD 14WC006311 -C 170 14WC 06344 VIOLA, MICHAEL MIDWEST AIR PRO 06/11/13 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 171 14WC 06753 O'DONNELL, PATRICK COLDWELL PLUMBING 12/18/13 LULAY LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 172 14WC 07026 LAGUNAS, MARCELINO JIMMY JOHNS/C BUCCINI LLC 02/09/14 LAW OFFICE OF SCOTT B SHAP RUSIN MACIOROWSKI & FRIEDMAN 173 14WC 07402 SHELTON, MICHAEL CHICAGO PUBLIC SCHOOLS 02/12/14 WITTENBERG DOUGHERTY MAGLI LAW DEPARTMENT 174 14WC 07637 RAHMAN, SYED YELLOW CAB CO 12/20/13 LAW OFFICE RYAN ROSENTHAL 175 14WC 07716 TARAWNEH, MOHAMMED CHICAGO CARRIAGE CAB 12/26/13 POLANSKY & CICHON CHTD LAW OFFICES OF DEBORAH SCHAE 176 14WC 08362 GOERING, ALAN W CICERO SCHOOL DISTRICT 99 02/21/14 THE FITZ LAW GROUP INMAN & FITZGIBBONS 177 14WC 08398 JAIME, JAVIER ALTERNATIVE STAFFING 10/10/13 MACIOROWSKI SACKMANN & ULRIC 178 14WC 08421 WILLIAMS, LORRAINE UNITED AIRLINES INC. 03/06/11 ROMANUCCI & BLANDIN WIEDNER & MCAULIFFE LTD 14WC008422 -C 14WC008423 -C 179 14WC 08560 LAZO, JOAQUIN CITY OF CHICAGO 07/15/13 WILLIAM MARTAY CITY OF CHICAGO 14WC008561 -C 180 14WC 08802 FIELDS, JAMES ADVOCATE CHRIST MEDICAL C 01/10/14 POLANSKY & CICHON CHTD NYHAN BAMBRICK KINZIE & LOWR 181 14WC 09435 HALL, SUSAN D SERTOMA CENTRE INC 03/17/14 FRIEDMAN & SOLMOR LTD RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 182 14WC 10206 19B MAYS, ANNETTE CHICAGO TRANSIT AUTHORITY 03/06/14 BRIAN J MC MANUS & ASSOC, CHICAGO TRANSIT AUTHORITY 183 14WC 16101 OCHOA, JESUS EVERGREEN REAL ESTATE SER 03/26/14 RUSIN MACIOROWSKI & FRIEDMAN 14WC038277 -C 184 14WC 16688 GILLESPIE, MARC FORD MOTOR CO 02/17/14 DAVENPORT & WHITE 185 14WC 16937 JERDING-KORAN, KAREN M FRANKFORT TERRACE 06/01/13 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 186 14WC 17579 GREEN, DAVID P CTA-CHICAGO TRANSIT AUTHO 05/19/14 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 187 14WC 17605 PELLICORE, RAY JANGHO CURTAIN WALL 02/16/14 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 14WC017606 -C 188 14WC 17664 MOHAMED, ABDULKADIR YELLOW CAB 04/23/14 JAMES ELLIS GUMBINER & ASS 189 14WC 18107 AMADOR, LAURA CHICAGO PUBLIC SCHOOLS 03/19/14 BERG & BERG LAW DEPARTMENT 190 14WC 18290 VARGAS, SERGIO VETERANS DISTRIBUTION 04/01/14 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 191 14WC 18326 LOGWOOD, LADONNA CHICAGO TRANSIT AUTHORITY 05/26/14 KUMLIN & FROMM 192 14WC 18327 KRZYSZTOF, WARZECHA QUANTUM FOODS 08/02/12 CHRISTOPHER BUCHCAR, LTD MEACHUM & STARCK 193 14WC 18384 REED, TONY ARAMARK 01/24/14 CHRISTIAN & MANNO STONE & JOHNSON CHARTERED 194 14WC 18531 WARD, FLASH COOK DU PAGE TRANSPORTATI 05/23/14 PAUL A COGHLAN & ASSOC HENNESSY & ROACH PC 195 14WC 18642 RAVINDRAN, RETHIMOL PRESENCE ST FRANCIS 01/05/14 STEVEN A CRIFASE, LTD NYHAN BAMBRICK KINZIE & LOWR 196 14WC 18705 HEARN, ALBERT KINDRED HEALTHCARE 05/13/14 SHELDON I MINKOW & ASSOCIA ARNETT LAW GROUP 197 14WC 18726 FARAH, ABDISAYID CARRIAGE CAB 02/09/14 LAW OFFICE RYAN ROSENTHAL 198 14WC 18954 COOPER, LINDA CDT 05/02/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 199 14WC 19145 BEANE, JEROME E ILLINOIS DEPT OF TRANSPOR @ 05/19/14 FIGLIOLI, DAVID JEANNINE SIMS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 200 14WC 19651 GONZALEZ, ISRAEL MULTI-TEMPS, INC. 06/04/14 LAW OFFICE HUGO ORTIZ THOMAS & PORTELA 201 14WC 20187 MORENO, BENJAMIN CITY OF CHICAGO 05/27/14 COVEN LAW GROUP CITY OF CHICAGO 202 14WC 20297 MORGAN, TRAVIS D CITY OF CHICAGO 06/11/14 MARSZALEK AND MARSZALEK CITY OF CHICAGO 203 14WC 20510 PATSIOURAS, ILIAS GREEK VILLAGE RESTAURANT 04/11/14 ROBIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 204 14WC 20546 ALLEN CASTRO, JOSE VANEE FOODS COMPANY 04/26/13 SHELDON I MINKOW & ASSOCIA QUINTAIROS PRIETO WOOD & BOY 205 14WC 20572 PALMERIN, MARISOL UNITED AIRLINES INC. 05/27/14 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 206 14WC 20675 NAVARRO, ISABEL ESSENTRA 04/07/14 BUDIN LAW OFFICES WOLFE & JACOBSON, LTD 207 14WC 20687 SUAREZ, JOSE NEW LEAF LANDSCAPING 06/03/14 DEPAOLO ZADEIKIS GORE 208 14WC 20946 WONG, OSCAR CHICAGO TRANSIT AUTHORITY 06/10/14 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 209 14WC 21346 SMITH, DIANNE LURIE CHILDREN'S HOSPITAL 03/01/14 FOHRMAN, DONALD W & ASSOCS KEEFE CAMPBELL & ASSOC LLC 15WC020262 -C 210 14WC 21539 ALVAREZ, YOLANDA ELI WHITNEY SCHOOL 04/25/13 LANNON LANNON & BARR LTD LAW DEPARTMENT 211 14WC 21815 GONZALEZ, JUAN RAPID PALLETS 05/20/14 ILLINOIS INJURY LAWYERS THOMAS & ASSOCIATES 212 14WC 21850 GALLEGOS, ALMA G4S SECURED SOLUTIONS 06/12/14 WHITESIDE & GOLDBERG LTD BRYCE DOWNEY & LENKOV LLC 213 14WC 22371 RODRIGUEZ, MANUEL CITY OF CHICAGO 07/05/11 RUSSO & RUSSO LTD 214 14WC 24079 JONES, SHARIEF A CHICAGO TRANSIT AUTHORITY 07/08/14 BRISKMAN BRISKMAN GREENBER CHICAGO TRANSIT AUTHORITY 215 14WC 27266 STUBITSCH, WILLIAM VILLAGE OF LANSING 04/22/14 NEWMAN, BOYER & STATHAM INMAN & FITZGIBBONS 216 14WC 27784 SANTOS, VICTOR UNITED AIRLINES INC. 05/01/14 SAUNDERS CONDON & KENNY 217 14WC 28053 STOPKA, ZOFIA W ABM JANITORIAL SERVICES 07/07/14 MARSZALEK AND MARSZALEK GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 218 14WC 28517 MULLER, JOHN CENTRAL BUILDING & 08/01/14 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 219 14WC 28570 HUERTA, JESSICA ELI'S CHEESECAKE COMPANY 01/22/00 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 14WC041945 -C ELY'S CHEESECAKE FACTORY 220 14WC 29056 SCHULTZ-PANOS, CHRISTINA CITY OF BLUE ISLAND 02/19/14 BUDIN LAW OFFICES DEL GALDO LAW GROUP LLP 221 14WC 29074 WHITE, IRVING JR GARDA CASH LOGISTICS 08/14/14 GOLDBERG WEISMAN & CAIRO L 222 14WC 29155 SURMACZ, MAREK A PLUS 06/16/14 CHEPOV & SCOTT LLC GANAN & SHAPIRO 223 14WC 29227 CZUWARA, ADELINE A NORWEGIAN LUTHERAN 08/08/12 GALLAGHER, DONALD V KEEFE CAMPBELL & ASSOC LLC 15WC004115 -C 224 14WC 29250 BELL, EVETTE THE VILLA AT SOUTH HOLLAN 07/25/14 NILSON STOOKAL GLEASON CAP RIPES NELSON BAGGOT KALOBRAT 225 14WC 29441 DUNN, AUGUSTA COUNTRY CLUB HILLS 02/17/14 FOHRMAN, DONALD W & ASSOCS GANAN & SHAPIRO 226 14WC 29514 WHITMER, KEVIN WALSH CONSTRUCTION 08/23/14 RUBIN LAW GROUP HINSHAW & CULBERTSON 227 14WC 29564 LOPEZ, GERARDO JERNBERG INDUSTRIES 07/15/14 LAW OFFICES TIMOTHY HENDER HOLECEK & ASSOCIATES 14WC029565 -C 228 14WC 29779 NOLAN, MARK R & J CARTAGE 04/15/14 FREDERICK & HAGLE RODDY LAW LTD 229 14WC 29892 TOWNSEND, ROBIN (WIDOW) KROPP FORGE, A DIVISION O # 02/28/14 PETER D CORTI LAW GROUP HOLECEK & ASSOCIATES 230 14WC 30142 COZZO, TERRY G NCCR METALS INC 09/07/12 ELFENBAUM EVERS & AMARILIO RUSIN MACIOROWSKI & FRIEDMAN 231 14WC 30150 SCIOS, MICHAEL HILL MECHANICAL 05/01/13 DIXON LAW FIRM BRADY CONNOLLY & MASUDA PC 232 14WC 30331 JOHNSON, VERNICE TOWER AUTOMOTIVE 03/10/14 LEVIN RIBACK LAW GROUP KEEFE CAMPBELL & ASSOC LLC 233 14WC 30365 EVANS, SAMUEL CHICAGO TRANSIT AUTHORITY 08/09/12 WOODRUFF & JOHNSON CHICAGO TRANSIT AUTHORITY 234 14WC 30466 CHAMNIK, JOHN III ILLINOIS CONSTRUCTORS 08/26/14 GOLDBERG WEISMAN & CAIRO L SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 235 14WC 30489 CORTEZ, CANDELARIA CARL BUDDING & COMPANY 08/15/14 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 236 14WC 30579 VARGAS, MARIA DEL ROCIO TOTAL MAINTENANCE CLEANIN 04/24/14 MC HARGUE, JAMES P LAW OFF STONE & JOHNSON CHARTERED 14WC030580 -C 237 14WC 30635 WACHOWSKI, JASON FORD MOTOR CO. 04/05/13 KOSIN LAW OFFICE LTD POWER & CRONIN LTD 238 14WC 30802 BENJAMIN, CAVELLE MAACO 08/20/14 SPINAK & BABCOCK 239 14WC 30864 JOHNSON, TIFFANY GATE GOURMET 09/04/14 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 240 14WC 30871 JARAMILLO, JOHN LAKWSHORE BEVERAGE 03/20/14 ARGIONIS & ASSOCIATES LLC ASHER, RAYMOND L LTD 241 14WC 30885 HERNANDEZ, JOSE ANTONIO LAKEWOOD CARPENTRY SERVIC 01/28/14 HUGHES SOCOL PIERS RESNICK GANAN & SHAPIRO 242 14WC 31319 MERIDA, DELIA PHILIPS F/K/A ALKCO LIGHT 04/29/13 GOLDBERG WEISMAN & CAIRO L POULOS & DIBENEDETTO LAW 243 14WC 31349 CONTRERAS, MANUEL S KOLE CONSTRUCTION 08/28/14 LAW OFFICES MICHAEL HELLMA 244 14WC 31414 COLLINS, VERDUS MIDWAY NEUROLOGICAL & REH 01/20/14 WITTENBERG DOUGHERTY MAGLI 245 14WC 31510 LAWSON, DARRELL CHICAGO STREETS & SAN DEP 09/10/14 O'CONNOR & NAKOS CITY OF CHICAGO 246 14WC 31548 TOLLIVER, TONY BURGER KING 08/21/14 VASILATOS & COTTER LLC 247 14WC 31670 TRIPP, BRANDON E ELECTRO MOTIVE DIESEL 07/30/13 WILLIAMS, ROBERT B LAW OFF GOLDBERG SEGALLA LLC 248 14WC 35664 HERNANDEZ, ROQUE E CTA 04/25/13 GRAZIAN & VOLPE PC CHICAGO TRANSIT AUTHORITY 249 14WC 36029 PORTILLO, OSCAR WILLIAMS STOKER & HEATING 08/21/14 KROL BONGIORNO & GIVEN LTD THOMAS & PORTELA 250 14WC 38145 AGUIRRE, MARISELA FELXIBLE STAFFING 08/29/14 CHRISTIAN & MANNO KOPKA, PINKUS & DOLIN, PC 15WC011311 -C AEROTEK 251 14WC 38204 GODINEZ, FRANCISCO I&I HOUSE BUILDERS 10/16/14 GOLDSTEIN BENDER & ROMANOF 252 14WC 38439 REYES, DIEGO ZACATACOS 08/17/14 MC HARGUE, JAMES P LAW OFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 253 14WC 38851 ONI, ANDREW BLUE RIBBON 10/15/14 LAW OFFICE RYAN ROSENTHAL 254 14WC 39282 EASTER, CHARLES K CITY OF CHICAGO 09/30/14 GALLAGHER, DONALD V LAW DEPARTMENT 255 14WC 39307 REDMOND, MARDISA CHICAGO PUBLIC SCHOOLS 11/05/14 JOEL BELL 256 14WC 39375 HUDDLESTON, PERVIS EVERGREEN REAL ESTATE SER 11/04/14 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 257 14WC 39504 MCINTYRE, JOSEPH UNLIMITED MASONRY & 10/29/14 CORBOY & DEMETRIO PC GANAN & SHAPIRO 258 14WC 39545 BARRAZA, ENRIQUE RESTAURANT DEPOT 08/08/14 O'CONNOR & NAKOS HOLECEK & ASSOCIATES 259 14WC 39881 CROSSETT-HILL, JOY CHICAGO PUBLIC SCHOOLS 04/22/14 THE ROMAKER LAW FIRM LAW DEPARTMENT 260 14WC 39902 GIANNESCHI, PATRICK D ENTERTAINMENT PARTNERS 11/17/14 BRILL & FISHEL RUSIN & MACIOROWSKI LTD 261 14WC 40079 KOHL, ROBERT RIDE-N-GRIND INC 01/10/12 CORNFIELD & FELDMAN GANAN & SHAPIRO 14WC040080 -C 16WC010251 -C 262 14WC 40093 SAITTA, ANTHONY V NAVISTAR 11/06/14 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 263 14WC 40220 CROSBY, FREDDY JR COOK COUNTY SHERIFF'S OFF 09/28/13 VELAZQUEZ LAW GROUP STATES ATTORNEY OF COOK COUN 264 14WC 40629 ESCARZAGA, LAURA CALIHAN CATERING INC 11/22/14 ROMANUCCI & BLANDIN GANAN & SHAPIRO 265 14WC 40645 LAUTURE, ALINE UNITED AIRLINES INC. 11/19/14 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 266 14WC 40769 LUCKETT, LYNN BRIGHTVIEW HEALTHCARE & 02/07/14 RONALDSON & KUCHLER 267 14WC 40838 FORSON, CLEMENTINE SPECTRUM NURSES INC W 02/18/14 C DEAN MATSAS MARC J SHUMAN & ASSOCIATES, 268 14WC 40883 MC BRIDE, LA SHONDA MARYVILLE ACADEMY 07/08/14 RICHARD O. GREENFIELD 269 14WC 41071 JACKSON, LARRY CHICAGO TRANSIT AUTHORITY 10/28/14 STEVEN J MALMAN & ASSOCIAT 270 14WC 41185 JAAFARI, ABDELOUAHAB SUN TAXI ASSOCIATION 11/26/14 KARNO, MARK L & ASSOC LAW OFFICES OF DEBORAH SCHAE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 271 14WC 41224 SALMERON, FRANCISCO UNITRAC RAILROAD MATERIAL 05/09/14 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK 272 14WC 41278 VILLAOBOS, MAURCIO R.M. LUCAS 03/31/14 BARRY E BLUMENFELD GANAN & SHAPIRO 273 14WC 41363 WILKINS, VICKI CITY OF CHICAGO 10/01/14 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 274 14WC 41539 CRAWFORD, MURVIN MEYERS COPAL INC 05/11/14 DWORKIN AND MACIARIELLO 275 14WC 41561 LEW, SHEILA GOTTLIEB HOSPITAL 05/05/13 R. MARK MARITOTE PC 276 14WC 41601 GUMERINDO, YVERIO WORKFORCE, LLC 10/14/14 JOHN C SERKLAND GRANT & FANNING 277 14WC 41623 SAUCEDA, GAUDALUPE FOOD FOR THOUGHT 08/20/14 278 14WC 41769 WILSON, LEWIS CDOT 12/04/14 STEWART C ORZOFF CITY OF CHICAGO 279 14WC 41810 ACKER, AARON METRO WATER RECLAMATION 05/09/13 CUTLER & HULL 280 14WC 42308 GONZALEZ, JUAN D OLE MEXICAN FOODS 11/19/14 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 281 14WC 42390 PACHECO, MARTINA MOST VALUABLE PERSONNEL 11/28/14 VRDOLYAK LAW GROUP LLC KOREY RICHARDSON LLC 282 14WC 42426 MOORE, NYKEYA GOLDSTON CHICAGO PUBLIC SCHOOLS 11/24/14 ANKIN LAW OFFICE 283 14WC 42452 KONOPZ, JANUSA HUDSON RCI 09/16/14 CHEPOV & SCOTT LLC HEYL ROYSTER VOELKER & ALLEN 284 14WC 42524 WORDLAW, STEVIE POPEYE'S 12/12/14 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 285 15WC 04240 EPSTEIN, CHRISTOPHER FMS FINANCIAL 09/22/14 VASILATOS & COTTER LLC 286 15WC 04356 CARRERO, WILLIAM V CITY OF CHICAGO DEPT OF 12/09/14 PETER D CORTI LAW GROUP CITY OF CHICAGO 287 15WC 04490 DELEON, SERGIO SUMMIT REAL 11/03/14 BOUDREAU NISIVACO LLC GAROFALO SCHREIBER STORM 288 15WC 04517 ANWAR, SYED CHICAGO SERVICE 02/07/15 STEPHEN G PINTO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 289 15WC 04541 SUN, YIN YAN CHI TUNG RESTAURANT CORP 06/10/14 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK 290 15WC 04886 GONZALEZ, ESTEBAN SEALED AIR CORP 12/18/14 STYKA & STYKA MEACHUM & STARCK 291 15WC 04924 OLIVA, LILIA GATE GOURMET 09/26/14 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 292 15WC 04998 CALZADA, HENRY JERNBERG INDUSTRIES 01/27/15 DEPAOLO ZADEIKIS GORE MEACHUM & STARCK 293 15WC 05020 LUELLEN, PATRICIA JP MORGAN CHASE 09/01/14 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 294 15WC 05043 GRADY, KENDRIC FORD 08/02/13 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 295 15WC 05065 GUZMAN, JESUS SHERIDAN PLUMBING & SEWER 01/30/15 KURASCH & KLEIN, LTD 296 15WC 05132 WHARTON, QUINN HUBBARD STREET DANCE CHIC 11/19/13 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 297 15WC 05153 REYES, EMILIO DART CONTAINER CORPORATIO 03/15/14 COVEN LAW GROUP GAROFALO SCHREIBER STORM 298 15WC 05328 NGUYEN, HIEU SEGERDAHL CORP 12/28/14 COPLAN & CRANE, LTD 299 15WC 05376 BREWSTER, CATHERINE COOK COUNTY SHERIFF'S 05/29/14 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 300 15WC 05467 MATZ, GREGG JOHN DELUXE CORPORATION 04/29/14 THE FITZ LAW GROUP HENNESSY & ROACH PC 301 15WC 05531 WILLIAMS, ANDRE SUPREME LOBSTER 01/08/15 RUBENS AND KRESS 302 15WC 05771 BINION, GALE A KNOCK AT MIDNIGHT 02/04/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 303 15WC 05866 AMAYA, LILIANA ARAMARK 02/16/15 GRAZIAN & VOLPE PC INMAN & FITZGIBBONS 304 15WC 06020 NICHOLS, REMELL JERNBERG INDUSTRIES 10/01/13 SEIDMAN MARGULIS & FAIRMAN 305 15WC 06045 SIMMONS, CAROLYN CTA 02/20/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 306 15WC 06178 ALVAREZ, ALVARO A&G FOODS INC 02/02/15 DEPAOLO ZADEIKIS GORE INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 307 15WC 06256 ROSA-RODRIGUEZ, JUAN J UNITED MAINTENANCE CO 01/15/15 DEPAOLO ZADEIKIS GORE 308 15WC 06324 PEREZ, MARTHA WHITE LODGING SERVICES CO 07/28/13 EPSTEIN, JACK R LAW OFFICE 15WC006325 -C 309 15WC 06356 HUNTER, CHARLES J II FORD MOTOR COMPANY 09/03/13 MARSZALEK AND MARSZALEK POWER & CRONIN LTD 310 15WC 06373 MCMANUS, RANDI J CHICAGO PUBLIC SCHOOLS 01/12/15 GOLDBERG WEISMAN & CAIRO L 311 15WC 06436 BRAXTON, TOMMY KOCH FOODS 02/06/15 POLANSKY & CICHON CHTD 312 15WC 06466 MCKINLEY, DEMETRIUS FOOD FOR LESS 01/10/15 DWORKIN AND MACIARIELLO STONE & JOHNSON CHARTERED 313 15WC 06518 NEAL, TYRONE FIRST TRANSIT INC 02/05/15 ANKIN LAW OFFICE 314 15WC 06579 PSZENYCZNY, DAVID CHICAGO WOLVES 01/28/12 FLOYD LAW FIRM ARCHER LASSA & MCHUGH 315 15WC 06619 CASTELLANOS, RICHARD WHOLE FOODS 01/27/15 VASILATOS & COTTER LLC 316 15WC 06634 NUNEZ, JOSE FEDEX FREIGHT 06/18/14 SCOPELITIS GARVIN LIGHT 317 15WC 06657 JINDRICH CHLUD, HENRY WE TRANSPORT INC 02/16/15 CHEPOV & SCOTT LLC ALLEN KOPET & ASSOCIATES 318 15WC 06751 RIVERS, CAREY CITY OF CHICAGO-DEPT OF W 02/17/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 319 15WC 06884 GUTIERREZ, JOHN JEWISH VOCATIONAL SERVICE 11/10/14 MARK G BERGAL LAW OFFICE 320 15WC 07003 NELSON, DWAYNE ESTES EXPRESS LINES TRUCK 01/30/15 THE FITZ LAW GROUP 321 15WC 07065 LOPEZ, MIGUEL A EMCO METALWORKS CO 12/08/14 GOLDSTEIN AIOSSA & GOOD ROBERT L. SMITH 15WC008748 -C 322 15WC 07098 PARRA, SANTOS EZ CLEANERS 02/09/15 323 15WC 07191 BERRIMAN, DOROTHY SCHAUMBURG SCHOOL DISTRIC 10/07/13 SEIDMAN MARGULIS & FAIRMAN ACCIDENT FUND HOLDINGS 324 15WC 07230 FISCHER, STEVE A CHICAGO TRANSIT AUTHORITY 11/14/14 CRONIN & PETERS CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 325 15WC 07635 BRITO, JACINTO ATG REPAIR INC 10/31/14 JOHN S. ELIASIK 326 15WC 07650 RUIZ, JUAN DC FORM RECYCLE INC. 02/12/15 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 327 15WC 07861 ALONSO, MARTINA EAGLE PRODUCTS, INC 02/28/15 COSTA IVONE LLC KOPKA, PINKUS & DOLIN, PC 328 15WC 07995 GIOVENCO, JOHN AMERICAN AIRLINES 12/08/14 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 16WC002438 -C 329 15WC 08019 ULUOCHA, SMART DISPATCH TAXI AFFILIATION 02/01/14 KARCHMAR & STONE 330 15WC 08039 AGUILAR, EMMANUEL WELLE TREE CARE W 05/30/12 HEALY SCANLON LAW FIRM 331 15WC 08392 O'NEAL, JOHNNIE GE ZENITH CONTROLS 08/20/14 WILLIAM S. WOJCIK LTD MACIOROWSKI SACKMANN & ULRIC 15WC028162 -C 332 15WC 08577 KRUCK, WENDY UNITED AIRLINES 11/20/14 KATZ FRIEDMAN EAGLE ET AL 16WC013258 -C 333 15WC 08654 LINDO, BETTY GREAT LAKES RESOURCES 02/03/15 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 334 15WC 08677 ROSENDO, SIXTO SAI CAFE INC 10/07/13 LAW OFFICE OF JAMES H MILL KOPKA, PINKUS & DOLIN, PC 335 15WC 08865 SALINAS, ERNESTINA ABM JANITORIAL SERVICES I 01/23/15 LAW OFFICE OF SCOTT B SHAP 336 15WC 08915 WOODS, BABETTE SALVATION ARMY 03/05/14 IRA M KLEINMUNTZ & ASSOC 337 15WC 08957 VEGA, GUILLERMO JR FED EX FREIGHT CORPORATIO 11/18/14 ANGELINI & ORI LLC QUINTAIROS PRIETO WOOD & BOY 338 15WC 09253 SHELBY, LEIMOMI FORD MOTOR COMPANY 11/23/14 KUMLIN & FROMM WIEDNER & MCAULIFFE LTD 339 15WC 09466 AYYASH, HAMADA KISWANI TRUCKING INC # 06/25/13 BELCHER LAW OFFICE 340 15WC 17137 PEREZ, MARIA G PRINCIPAL MANUFACTURING C 03/11/15 FREDRICK B BARDER, LTD RUSIN & MACIOROWSKI LTD 341 15WC 17153 PERRY, VALERIE ABM 03/09/15 DAVID M SPADA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 342 15WC 17223 GORHAM, KATHLEEN CPS 03/05/15 RUBIN MACHADO ROSENBLUM 343 15WC 17479 GARAY, LUIS BEST PRICE MOVING & STORA 11/01/13 BAUM RUFFOLO & MARZAL LTD GRANT & FANNING 344 15WC 17496 STRICKLAND, PASTELL REGENCY REHAB CENTER 04/10/15 DEPAOLO ZADEIKIS GORE BRADY CONNOLLY & MASUDA PC 345 15WC 17530 HERNANDEZ, HUMBERTO MVP 04/30/15 JOHN S. ELIASIK KOREY RICHARDSON LLC 346 15WC 17635 TADLA, DAVID L UPS 04/29/15 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 347 15WC 17964 ADAMCZYK, STANISLAW FOUR SEASONS HEATING AND 05/29/15 BELCHER LAW OFFICE BRADY CONNOLLY & MASUDA PC 348 15WC 17984 PAOLISSO, JOHN MORAN ELECTRIC 04/11/14 HORWITZ HORWITZ & ASSOC 349 15WC 18013 BOWENS, LETITIA FAMILY DOLLAR INC 05/16/15 ANKIN LAW OFFICE 350 15WC 18082 PORTILLO, DILICIA STAFF RITE 04/03/15 EPSTEIN, JACK R LAW OFFICE KLAUKE LAW GROUP LLC 351 15WC 18144 RAMOS, ROSEMARY SEDGWICK CMS 05/23/13 STROM, NEAL B ARNETT LAW GROUP 352 15WC 18161 RACHOU, AMIRA ARAMARK 05/14/15 ACEVES & PEREZ PC STONE & JOHNSON CHARTERED 353 15WC 18228 HART, JANELL FORD 01/25/15 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 354 15WC 18573 FRANKLIN, ERIC METROPOLITAN WATER 05/21/15 WILLIAM B MEYERS, LTD HEYL ROYSTER VOELKER & ALLEN 355 15WC 18867 NOEL, REMSON TEMPLE STEEL CO 03/03/15 THE ROMAKER LAW FIRM RODDY LAW LTD 356 15WC 18925 BUTLER, MARY GEOMETRY GLOBAL C/O CORP 03/31/14 BRIAN J MC MANUS & ASSOC, RUSIN & MACIOROWSKI LTD 357 15WC 18973 HARRIS, JERALDYNE CTA 12/05/13 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 358 15WC 19101 MENDEZ, MARIO ACCURATE PARTITIONS CORP 04/15/15 EPSTEIN, JACK R LAW OFFICE 359 15WC 19135 FORMAN, EDWARD S. IL BONE & JOINT INSTITUTE 01/10/13 RITTENBERG & BUFFEN HOLECEK & ASSOCIATES

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 378 15WC 28370 FRANCESCHI, WILLIAM AUTO ZONE 08/03/15 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 379 15WC 28403 DIOSDADO, ERNESTO IVAN OUTBACK STEAK HOUSE 08/09/15 JOHN S. ELIASIK 380 15WC 28418 GALLIVAN, VINCENT ILLINOIS STATE TOLL @ 07/06/15 PETER D CORTI LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 16WC026122 -C 381 15WC 28530 SEXTON, TIMOTHY SPECIALTY CONSTRUCTION LL 07/09/15 DUDLEY & LAKE LLC 382 15WC 28661 NARDI, DEAN CITY OF CHICAGO 10/16/13 GORDON & CENTRACCHIO LLC 383 15WC 28680 DUNBAR, DARRYL GERALEX JANITORIAL SERVIC 08/28/15 FOHRMAN, DONALD W & ASSOCS ANCEL GLINK DIAMOND BUSH & E 384 15WC 28804 PYZIK, WILLIAM BP STAFFING 07/17/15 POLANSKY & CICHON CHTD RUSIN & MACIOROWSKI LTD 385 15WC 28918 DITCHIE, MICHAEL LYONS TOWNSHIP HIGH SCHOO 02/01/15 RIDGE & DOWNES 386 15WC 29100 THOMPSON, ALVIN NORDSTROM 07/23/14 ANKIN LAW OFFICE ROBERT L. SMITH 15WC034404 -C 387 15WC 29184 BUSTAMANTE, VICTORIA KOCH FOODS 05/11/15 BAUM RUFFOLO & MARZAL LTD MACIOROWSKI SACKMANN & ULRIC 388 15WC 29217 LUNDBERG, PAMELA UL LLC 02/22/13 NEWLAND & NEWLAND NYHAN BAMBRICK KINZIE & LOWR 389 15WC 29311 EBLER, NATALIE K DARDEN RESTAURANTS INC 04/24/15 MONDRY & MONDRY WIEDNER & MCAULIFFE LTD 390 15WC 29414 ROBERTS, PATRICIA FORD MOTOR COMPANY 03/19/13 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 391 15WC 29546 WIGGINS, JERMAINE ED MINIAT INC 07/14/15 COSTA IVONE LLC POWER & CRONIN LTD 392 15WC 29583 VENEMA, KATRIN UNITED AIRLINES 07/17/14 KATZ FRIEDMAN EAGLE ET AL 393 15WC 29686 RAMIREZ, JULIAN EL MILAGRO TORTILLA 08/13/15 THE KARMEL LAW FIRM LAW OFFICE OF SCOTT B SHAPIR 394 15WC 29986 DE-LUCA, DONALD MARIANO'S 10/01/14 MANDELL, GREGG BRYCE DOWNEY & LENKOV LLC 395 15WC 30004 BEHRENS, J. MARIA COSTCO WHOLESALE 12/01/14 GOLDSTEIN BENDER & ROMANOF GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 396 15WC 30198 MAROTTA, ANTHONY UNITED AIRLINES INC. 03/06/15 LAW OFFICE OF ROBERT J. IR 397 15WC 30209 WESOLOSKI, BENJAMIN EXPRESS JET AIRLINES, INC 07/25/15 MARKHAM M JEEP & ASSOCIATE 398 15WC 30246 DAVIS, JACQUELINE Y REHABILITATION INSTITUTE 05/27/15 WARREN W MARK KEEFE CAMPBELL & ASSOC LLC 399 15WC 30383 HAHN, PHIL COOK COUNTY SHERIFF 06/10/15 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 400 15WC 30428 LITTLE, JOHNNIE KEYBOARD DEVELOPMENT ENT. 10/28/14 FRIEDMAN & SOLMOR LTD 401 15WC 30545 SEABOLT, THOMAS CHICAGO TRANSIT AUTHORITY 09/14/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 402 15WC 31028 YEARGAIN, MECHELLE EXPRESS EMPLOYMENT 09/15/15 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 403 15WC 31183 MCINTOSH, RICKY JERNBERG INDUSTRIES 09/01/15 CHRISTINE F DAVID 404 15WC 35512 ELMORE, SANDRA COOK DUPAGE TRANSPORTATIO 07/13/15 STANCZAK LAW OFFICES HENNESSY & ROACH PC 405 15WC 38879 ORTIZ, JOSE MANUEL BARKAAT FOODS MKT 07/13/15 LAW OFFICES OF ANSELMO DUR 406 15WC 39102 KEEFE, LUKE J LJ KEEFE CO 09/09/15 CRONIN & PETERS HOLECEK & ASSOCIATES 407 15WC 39135 ANGELILLI, ANTHONY CHICAGO BOARD OF EDUCATIO 12/01/15 GORDON & CENTRACCHIO LLC 408 15WC 39152 DIAZ, RICARDO MENARDS 03/25/15 COSTA IVONE LLC CHILTON YAMBERT PORTER LLP 409 15WC 39184 AMBRIZ, JOSE A HEARTHSIDE FOOD SOLUTIONS 05/19/15 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 410 15WC 39277 JOHNSON, LONNIE WAL-MART 11/09/15 GOLDSTEIN BENDER & ROMANOF 411 15WC 39379 LUBINSKI, BOGDAN JAKUB KOSIK/HK WOODWORK L W 10/17/14 LAW OFFICE TIMOTHY DEFFET 412 15WC 39419 MELENDEZ, ELBA M DOLLAR GENERAL 12/06/15 RUEDA, IVAN A LEAHY EISENBERG & FRAENKEL 413 15WC 39618 MOHAMMED, MOHAMEDRASHED NEV CAP CORP 94 TX 11/07/15 HETHERINGTON KARPEL BOBBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 414 15WC 39705 WASHINGTON, RUBY FORD MOTOR COMPANY 09/02/14 KATZ FRIEDMAN EAGLE ET AL 415 15WC 39756 GADDIS, SHAKITA DESIGN PAC 10/09/15 DAVID W MARTAY 416 15WC 39865 MARTINEZ, DAVID RON'S STAFFING SERVICES, 11/09/15 ACEVES & PEREZ PC GAROFALO SCHREIBER STORM 417 15WC 39900 LEVY, ROBERT F ARCELOR MITTAL STEEL 05/11/15 LAW OFFICES MARK LOFTUS SPIEGEL & CAHILL, PC 418 15WC 40977 OLAMIDE, JOSEPH JOEY'S MOVERS & TRUCKING W 09/18/15 ELFENBAUM EVERS & AMARILIO 419 15WC 41012 ROCHA, ARNULFO MIDWEST TRUCK AND AUTO PA 09/29/15 ANKIN LAW OFFICE 420 15WC 41029 ROBLES, MANUEL OWENS & MINOR 10/28/15 ELFENBAUM EVERS & AMARILIO KEEFE CAMPBELL & ASSOC LLC 421 15WC 41063 RHOADES, ANNE CASTLE VENTURES INC. D/B/ 08/15/14 CLARK JUSTEN ZUCCHI HOLECEK & ASSOCIATES 422 15WC 41171 SIPPLE, STEVEN CLOVERLEAF FARMS 09/03/15 VASILATOS & COTTER LLC BRYCE DOWNEY & LENKOV LLC 423 15WC 41210 SANTANA, ALFONSO CITY OF CHICAGO 09/03/15 RICHARD O. GREENFIELD 15WC041211 -C 424 15WC 41235 SHELTON, CHRISTOPHER WINKLER'S TREE SERVICE 12/04/15 LEO ALT RODDY LAW LTD 425 15WC 41303 RICE, MICHAEL AMERICAN AIRLINES 02/12/14 BOUDREAU NISIVACO LLC 426 15WC 41479 MEZA, ALEJANDRO WILDBERRY PANCAKES & CAFE 11/04/15 THE ROMAKER LAW FIRM NOBLE & ASSOCIATES PC 15WC041616 -C 427 15WC 41621 THOMAS, PATRICK CHICAGO TRANSIT AUTHORITY 12/14/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 428 15WC 41714 NORIEGA, DANIEL O'MALLEY CONSTRUCTION COM 11/07/15 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 16WC003072 -C 429 15WC 41863 KOKITKO, MANA NORTHWESTERN UNIV 02/22/13 ROSS J HELFAND 430 15WC 41895 MAZAR, JAMES JLL 03/27/15

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 431 15WC 41933 CARTER, BRANDON MONTERREY SECURITY 11/21/15 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 432 15WC 41976 HERNANDEZ-RUZA, OSCAR J INTERGRATED AIRLINE SERVI 11/23/15 MANUAL CARDENAS & ASSOC 433 15WC 41982 RODRIGUEZ, LAZARO TEMPEL STEEL CO 11/13/15 FIGLIOLI, DAVID RODDY LAW LTD 434 15WC 41992 HURLEY, KAREN UNITED AIRLINES INC. 02/05/14 KATZ FRIEDMAN EAGLE ET AL 435 15WC 42024 RAMIREZ, DAVID CHGO STREETS & SAN DEPT 12/01/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 436 15WC 42079 GUILLEN, YADIRA VAN METER MAILING INC 12/17/15 ENCINAS & ORNELAS LAW OFFICES JOSEPH MARCINIAK 437 15WC 42162 BUCKLER, CHRISTOPHER HAYES MECHANICAL 10/26/15 RUBIN LAW GROUP GAROFALO SCHREIBER STORM 438 15WC 42300 TELLEZ, JOSE J NARDULLI CONCRETE INC 07/02/15 SOSTRIN AND SOSTRIN PC WIEDNER & MCAULIFFE LTD 439 15WC 42380 ZATORSKI, PRZEMYSLAW ELSTON TWELVE LLC 6328 TX 08/02/15 CHEPOV & SCOTT LLC 440 15WC 42450 DIXON, TARA GLENWOOD HEALTHCARE & REH 11/28/15 WOODRUFF & JOHNSON GALLIANI DOELL & COZZI LTD 441 15WC 42492 TUINSTRA, KEITH GERRESHEIMER GLASS INC 04/21/15 BELCHER LAW OFFICE RUSIN & MACIOROWSKI LTD 442 15WC 42525 FERRO, VINCE COOK COUNTY DEPARTMENT 11/10/15 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 443 15WC 42532 SANTILLANEZ, ANSELMO ACCURATE PERSONNEL, LLC. 07/28/15 DEPAOLO ZADEIKIS GORE RODDY LAW LTD 444 15WC 42613 PEEBLES, CECIL TRIALCO, INC 09/01/15 VASILATOS & COTTER LLC 445 15WC 42672 GARCIA, ANA PETE'S FRESH MARKET 07/26/15 RUEDA, IVAN A 446 15WC 42705 WALLACE, DARRON EAST LAKE MANAGEMENT 11/03/15 HORWITZ HORWITZ & ASSOC 447 16WC 00019 FLORES, ALEXANDRO ATLAS EMPLOYMENT 12/08/15 WHITING LAW GROUP ROBERT L. SMITH 448 16WC 00037 ORDAZ, JEAN CARLO EL RANCHITO RESTAURANT 12/26/15 STROM, NEAL B

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 449 16WC 05463 HAYES, ERIAH CHICAGO WOLVES 09/30/15 FLOYD LAW FIRM 450 16WC 05590 LEYVA-MACIAS, TERESA CAPITOL WHOLESALE MEATS I 09/10/15 CUDA LAW OFFICES 451 16WC 05606 SORIANO, MARGARITA PAMCO 06/16/15 HART & DAVID LLP 452 16WC 05715 LAFFEE, RAYMOND GIBSON ELECTRIC & 01/21/16 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 453 16WC 05780 DAVIS, ERNEST B RTS PACKAGING 01/20/16 MONDRY & MONDRY GAROFALO SCHREIBER STORM 454 16WC 05891 VARILLA, ARTHUR M NILES PUBLIC LIBRARY 01/13/16 LEO M. BLEIMAN & ASSOC 455 16WC 05932 MCINERNEY, ANNETTE H MACY'S 01/11/16 HETHERINGTON KARPEL BOBBER ROBERT L. SMITH 456 16WC 05979 BENDER, ERIC CALZONE & MACARONI CO. 01/21/16 GORDON & CENTRACCHIO LLC LAW OFFICES JOSEPH MARCINIAK 457 16WC 05999 HENSLEY, NICOLE CARGO PACIFIC LOGISTICS 12/16/15 LAW OFFICE PHILIP BLOMBERG 458 16WC 06042 SOTO, JESUS AMERICAN BOXBOARD 06/02/15 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 459 16WC 06079 MITCHELL, RAYMOND JR MARKPOL DISTRIBUTORS, INC 10/16/15 HEALY SCANLON LAW FIRM LAW OFFICES JOSEPH MARCINIAK 460 16WC 06122 AVILA, SERGIO GRAPHIC PACKAGING 02/11/16 LAW OFFICE OF SCOTT B SHAP DOHERTY & PROGAR LLC 461 16WC 06834 ENGLEHART, STEVEN J. CITY OF CHICAGO 01/20/16 PARENTE & NOREM PC 462 16WC 06867 RODRIGUEZ, ANICETO CONTRACTORS ACCESS EQUIPM 09/03/15 CORBOY & DEMETRIO PC ACCIDENT FUND HOLDINGS 463 16WC 07011 SULLIVAN, DANIELLE ALLSTATE 06/10/15 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 464 16WC 07205 CABRERA, ELIZABETH LENZIP MANUFACTORING 12/18/15 SPENCER LAW OFFICES RIPES NELSON BAGGOT KALOBRAT

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 697 16WC 38020 SLAUGHTER, ADOLPHUSE STAFFING NETWORK 10/29/16 DWORKIN AND MACIARIELLO 698 16WC 38043 KONOPKA, WOJCIECH DOUMAK INC. 12/07/16 CHEPOV & SCOTT LLC 699 16WC 38052 YOUNG, THEROH SHERWIN-WILLIAMS 12/21/15 POLANSKY & CICHON CHTD ROBERT L. SMITH 700 16WC 38060 SAUCEDO, MICHAEL COOK COUNTY SHERIFF'S DEP 10/22/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 701 16WC 38211 MAY, DANIEL F CITY OF CHICAGO DEPT STRE 07/11/15 DEPAOLO ZADEIKIS GORE CITY OF CHICAGO 702 16WC 38273 HERMANSTEIN, BRENDA SWISSPORT CARGO SERVICES 08/24/16 KROL BONGIORNO & GIVEN LTD 703 16WC 38291 ALONSO, JESUS ADVANCE GRINDING 02/13/15 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 704 16WC 38325 PATTISON, WILLIAM CHICAGO PARK DISTRICT 12/29/15 RUBIN LAW GROUP CHICAGO PARK DIST LAW DEPT 705 16WC 38337 PITTMAN, AMOS CTA 08/29/16 LEONARD LAW GROUP LLC 706 16WC 38365 PAULS, MARIA BERKLEY SCHOOL DIST. 87 03/03/16 MICHAEL A. HIGGINS 707 16WC 38406 MORALES, CRESENCIO CONTOUR LANDSCAPING, INC 11/17/16 KUMLIN & FROMM 708 16WC 38449 INNISS, GEORGE CITY OF CHICAGO 07/25/16 POLANSKY & CICHON CHTD 709 16WC 38453 FORTIER, JOHN CITY OF CHICAGO DEPT OF 12/30/15 ANKIN LAW OFFICE 710 16WC 38483 ARDISANA, RICHARD R R.R DONNELLEY & SONS COMP 09/28/16 PAUL W GRAUER & ASSOC PAUL W GRAUER & ASSOC 711 16WC 38515 TAYLOR, MELVIN PRODRIVERS 08/25/16 ROSS TYRRELL 712 16WC 38576 BOYD, LANAIR CHICAGO TRANSIT AUTHORITY 12/02/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 713 16WC 38614 HIDALGO, EDITH CHICAGO BOARD OF EDUCATIO 01/15/16 WILLIAM MARTAY 16WC038615 -C 714 16WC 38665 COLON, PORSHA ARAMARK/ GLOBETROTTERS 11/28/16 THE FITZ LAW GROUP WIEDNER & MCAULIFFE LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 733 16WC 39465 GARCIA, DAVID USIC LOCATING SERVICES, L 08/18/16 GOLDBERG WEISMAN & CAIRO L 734 17WC 00003 CALHUN, AARON JEWISH COMMUNITY CENTER 12/27/16 BRISKMAN BRISKMAN GREENBER 735 17WC 00028 MORROW, LANCE UNITED AIRLINES 10/03/16 KATZ FRIEDMAN EAGLE ET AL 736 17WC 00098 SPENCE, BRANDON ALL STEEL IRON WORK, INC. 11/30/16 WHITESIDE & GOLDBERG LTD LAVELLE LAW LTD 737 17WC 00112 BLAS, SABINO PINSTRIPES 09/03/16 NEWLAND & NEWLAND 738 17WC 00145 VARGAS, JESUS TOWN OF CICERO 12/09/16 DAVID SZCZECIN & ASSOC 739 17WC 00181 NOLAN, DANIEL COOK COUNTY JUVENILE 01/14/16 EDWIN REYES LEGAL GROUP STATES ATTORNEY OF COOK COUN 740 17WC 00247 ROMERO, MIGALLY SURE STAFF 04/20/16 LAW OFFICE OF JAMES URTIS 741 17WC 00252 TRINIDAD, LINDA ALOFT HOTEL 09/24/16 VASILATOS & COTTER LLC WILSON ELSER 742 17WC 00307 BROWN, BARBARA TUTHILL PUMP GROUP 11/02/16 DWORKIN AND MACIARIELLO 743 17WC 00359 JIMENEZ, WILLIAM CHICAGO TRANSIT AUTHORITY 12/20/16 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY 744 17WC 00504 O'CONNOR, DEIRDRE SWEDISH COVENANT HOSPITAL 11/03/16 SEIDMAN MARGULIS & FAIRMAN MACIOROWSKI SACKMANN & ULRIC 745 17WC 06782 AVINA, RIGOBERTO EL MILAGRO * 02/03/17 MC HARGUE, JAMES P LAW OFF 746 17WC 06805 LOZANO, RODRIGO SOUTHWEST AIRLINES * 11/25/16 FRANCIS J DISCIPIO LAW OFF 747 17WC 06830 ANDREWS, STEVEN C, SR COOK COUNTY SHERIFF'S OFF * 01/15/17 FRIEND LEVINSON & BERGAL 748 17WC 06841 PADILLA, ROBERTO CITY OF CHICAGO * 01/23/17 ARGIONIS & ASSOCIATES LLC 749 17WC 06853 MORFOOT, JOHN CHRISTOPHER GLASS & ALUMI * 02/13/17 WILLIAM S. WOJCIK LTD 750 17WC 06893 MATIAS, ANGELA J BARKER & MEOWSKY * 08/09/16 ANESI OZMON RODIN NOVAK KO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 751 17WC 06915 HEREDIA, VERONICA MCDONALD'S * 11/24/16 CULLEN HASKINS NICHOLSON 752 17WC 06949 KING, KAWON UNITED PARCEL SERVICE * 12/12/16 COPLAN & CRANE, LTD 753 17WC 06977 KRAJEWSKI, DIANE AMERICAN AIRLINES * 10/28/16 SAUNDERS CONDON & KENNY 754 17WC 07008 CALLAHAN, KEVIN M REED CONSTRUCTION * 02/09/17 O'CONNOR & NAKOS 755 17WC 07024 PEREZ, EDUARDO WALMART * 03/02/17 CUDA LAW OFFICES WIEDNER & MCAULIFFE LTD 756 17WC 07066 MACHANICKAL, SHAJAN VILLAGE DISCOUNT * 01/11/17 STEVEN A CRIFASE, LTD NYHAN BAMBRICK KINZIE & LOWR 757 17WC 07162 MONTES, ALBERT L DIAMOND WASTE * 12/19/16 GOLDBERG WEISMAN & CAIRO L 758 17WC 07201 CARDENAS, ANTONIA GEORGIA NUT CO * 02/09/17 KATZ FRIEDMAN EAGLE ET AL 759 17WC 07212 REYES, REINA WEAR FLEX SLINGS * 01/26/17 JONATHAN SCHLACK 760 17WC 07249 OROPEZA, LUIS HEARTLAND ALLIANCE FOR * 02/03/17 LAW OFFICES LEONARDO MORAL 761 17WC 07266 SIMPSON, SHIRLEY LOYOLA UNIVERSITY * 01/12/17 COVEN LAW GROUP 762 17WC 07300 TULIC, SAMIR HARVARD PROTECTION SERVIC * 11/29/16 FIGLIOLI, DAVID 763 17WC 07326 FARLEY, SHEILA SCHULZE & BURCH * 06/11/15 CORNFIELD & FELDMAN 764 17WC 07361 WILSON, ELISCIA AT&T * 02/22/17 DWORKIN AND MACIARIELLO 765 17WC 07388 RODRIGUEZ, BRYAN M BLOCK & SONS INC. * 12/28/16 PORRO NIERMANN & PETERSEN SURE-STAFF 766 17WC 07444 BRASSEL, SAMUEL UNILEVER CORPORATION * 08/22/16 LANNON LANNON & BARR LTD 767 17WC 07507 WOODS, FONDA CTA * 03/08/17 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 768 17WC 07524 HENAGHAN, ALINE BOSTON COACH * 01/23/17 JEROME FOREMAN & ASSOCIATE KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 769 17WC 07543 HERRERA, SAMUEL AAA AUTO CLUB GROUP/ * 06/03/16 ANKIN LAW OFFICE 770 17WC 07556 BELMER, ANNETTE CTA * 03/10/17 COSTA IVONE LLC 771 17WC 07559 IBARRA, ALBERTO NATIONAL PASTEURIZED EGG * 10/01/16 DWORKIN AND MACIARIELLO 772 17WC 07595 RODRIGUEZ, RAYMUNDO THERMAL CARE INC * 04/01/14 MARTIN V KUGIA 773 17WC 07661 MILLER, JAMES ALLIED BARTON SECURITY * 02/16/16 SPENCER LAW OFFICES 774 17WC 07694 CAHUE, JAIME MENASHA PACKAGING CO * 03/10/17 ACEVES & PEREZ PC HEYL ROYSTER VOELKER & ALLEN 775 17WC 07721 PENN, VAN GRAPHIC PACKAGING INTERNA * 03/02/17 CULLEN HASKINS NICHOLSON 776 17WC 07746 CASTILLO, JOSE EDUARDO AV MILLENIUM AUTO SALES * 03/03/17 HERRERA LAW CENTER 777 17WC 07766 JONES, RONALD ATI PHYSICAL THERAPY * 02/21/17 KARNO, MARK L & ASSOC MEACHUM & STARCK 778 17WC 07826 URBINA, DOREEN JEWEL/ALBERTSON'S * 02/25/17 BAUM RUFFOLO & MARZAL LTD 779 17WC 07869 RYAN, CYNTHIA MEDICAL STAFFING NETWORK * 12/19/16 KREITER, BYCK & ASSOC LLP 780 17WC 07983 MORROW, JONOL ALLIED DIE CASTING * 11/04/15 DAMISCH & DAMISCH LTD 781 17WC 08035 VILLASENOR, GONZALO R & S TRUCKING, INC * 03/06/17 THE ROMAKER LAW FIRM 782 17WC 08058 MCGEE, WILLIAM CTA * 03/16/17 FOHRMAN, DONALD W & ASSOCS 783 17WC 08077 HARRIS, MICHAEL JOE'S ON WEED ST * 12/12/15 LEONARD LAW GROUP LLC 784 17WC 08102 DAVIS, TIFFANY MOVING EVEREST CHARTER SC * 01/24/17 HERRERA LAW CENTER 785 17WC 08135 OCHOA, JOCELYN ROSS DRESS FOR LESS * 03/11/17 COSTA IVONE LLC 786 17WC 08208 WHITEHEAD, BRIAN CAESAR'S ENTERPRISE SVCS * 07/18/16 LEWIS & DAVIDSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 787 17WC 08219 HERNANDEZ, MARCELO ASSI PLAZA * 03/20/16 DEPAOLO ZADEIKIS GORE 788 17WC 08276 ZABIELSKI, MAREK COOK COUNTY SHERIFF'S OFF * 08/25/15 PERRY M LAKS LAW OFFICE 789 17WC 08328 HARVEY, CHRISTOPHER COOK COUNTY RISK MANAGEME * 01/02/17 WHITESIDE & GOLDBERG LTD 790 17WC 08363 SMITHEY, DAVID CARMAX * 01/01/17 CULLEN HASKINS NICHOLSON 791 17WC 08384 RUM, JAN ABM INDUSTRIES INC * 11/14/14 RUBIN LAW GROUP 792 17WC 08405 VALDIVIA, FRANCISCO BRANDENBURG INDUSTRIAL * 11/11/16 OSVALDO RODRIGUEZ PC 793 17WC 08446 MECHER, DANIELLE RISK PLACEMENT SERVICES I * 08/25/16 GASSMAN LEGAL PC 794 17WC 08482 MARZIGLIANO, MICHAEL ROBERTS HEATING & AIR * 06/10/16 STELLATO & SCHWARTZ 795 17WC 08517 GAYLES, JEANNIE SEIU LOCAL 73 * 02/16/17 LEONARD LAW GROUP LLC 796 17WC 08542 JONES, JERMAINE BOBAK SAUSAGE COMPANY * 03/07/17 JAMES ELLIS GUMBINER & ASS 797 17WC 08584 WALKER, HENRY PAGODA ELECTRIC * 03/02/17 BAUM RUFFOLO & MARZAL LTD 798 17WC 08609 HIGGINS, SEYMORE UPS * 08/17/16 NYHAN BAMBRICK KINZIE & LOWR 799 17WC 08636 COUARRUBIAS, SABITAS HOME DEPOT USA INC * 12/15/15 ANKIN LAW OFFICE 800 17WC 08660 KIRKWOOD, LATONIA ELITE STAFFING * 03/10/17 DWORKIN AND MACIARIELLO 801 17WC 08691 ORTIZ, LUIS KOCH FOODS INC DBA * 02/21/17 WHITING LAW GROUP 802 17WC 08756 KHAIRALLAH, KHETAM CHICAGO BOARD OF EDUCATIO * 02/07/17 BRILL & FISHEL LAW DEPARTMENT 803 17WC 08780 CRUZ, MARIA DEL CARMEN ADDOLORATA VILLA * 02/11/17 JONATHAN SCHLACK 804 17WC 08797 MUNOZ, VICTOR UNITED PARCEL SERVICE * 11/16/16 KARCHMAR & STONE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 805 17WC 08811 WESTON, NICOLE STATE OF IL OF DEPART OF @ * 03/01/17 BRISKMAN BRISKMAN GREENBER 806 17WC 08827 GREEN, DOROTHY ADDUN HEALTHCARE, INC. * 10/03/15 ANKIN LAW OFFICE 807 17WC 08844 FALLS, VERONICA L UNCLEREMUS SAUCY FRIED CH * 03/06/17 ANKIN LAW OFFICE 808 17WC 08876 JACKSON, MARDA CPS * 03/23/17 COVEN LAW GROUP 809 17WC 08896 SANCHEZ, MARIA ZF CHASSIS SYSTEM CHICAGO * 09/26/16 KATZ FRIEDMAN EAGLE ET AL 810 17WC 08913 ROSALES, ARNOLDO D MINI STORAGE MAINTENANCE, * 02/01/17 BRIAN J MC MANUS & ASSOC, 811 17WC 08928 ALABI, OLUDARE CHICAGO ELITE CAB CORP * 02/06/17 COHN LAMBERT RYAN & SCHNEI 812 17WC 08934 COVARRUBIAS, SABITAS HOME DEPOT USA INC * 02/24/17 ANKIN LAW OFFICE 813 17WC 08957 BANUELOS, ROSA M WEBER-STEPHEN PRODUCTS LL * 02/27/15 HANNIGAN & BOTHA, LTD 814 17WC 08987 ROGARIA, MOHAMMED WK-Z CAB INC * 11/23/16 LAW OFFICE RYAN ROSENTHAL 815 17WC 09038 AMBRIZ, JOSE WHTIE ARROW, LLC * 02/04/15 PORRO NIERMANN & PETERSEN 816 17WC 09111 LANDERS, BRENDA WHITE HOUSE BLACK MARKET * 11/13/16 CAPRON & AVGERINOS PC 817 17WC 09137 RAMIREZ, JUAN JR T&J MEAT PACKING * 11/16/15 RUSIN & MACIOROWSKI LTD 818 17WC 09160 SIDNEY, DWAYNE LYFT * 03/23/17 DWORKIN AND MACIARIELLO 819 17WC 09178 SOLORIO, MAURICIO JUST MANUFACTURING CO./ * 10/18/16 LEE A CAMPBELL LAW OFFICE 820 17WC 09212 YAKO, WASEEM FED-EX * 10/24/16 DEAN J CARAS & ASSOCIATES 821 17WC 09242 OLIVA, RUBEN DUNAWAY BROTHERS * 11/20/15 RUBIN MACHADO ROSENBLUM 822 17WC 09285 RASO, MIKE CITY OF CHICAGO * 01/05/15 BAER, ORA J II

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M TBD 096 ARBITRATION CALL FOR CHICAGO 99096 ON 05/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 823 17WC 09304 YOUNG, BRITTNEY SOUTHWEST AIRLINES * 06/09/16 BOWMAN & CORDAY 824 17WC 09356 BASHAM, ADRIAN CTA * 03/27/17 COVEN LAW GROUP 825 17WC 09382 SYKES, KIMBERLY FORD MOTOR CO. * 05/16/16 SEIDMAN MARGULIS & FAIRMAN 826 17WC 09453 WOJCIECHOWSKI, GREGORY A BARTLETT FIRE PROTECTION * 12/18/15 THOMAS W DUDA 827 17WC 09525 BAILEY, CHAD HUNTER FOUNDRY MACHINARYC * 01/05/17 FRANKS, GERKIN & MCKENNA P

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