ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 01563 GOLLIAS, GEORGE CHICAGO BOARD OF EDUCATIO 10/08/03 HORWITZ HORWITZ & ASSOC LAW DEPARTMENT 07WC014542 -C 2 04WC 18475 ZACARIAS, JOSE ST OF IL @ 12/15/03 ROBBINS & ROBBINS LTD NYHAN BAMBRICK KINZIE & LOWR 06WC007664 -C 16WC015925 -C UNIVERSITY OF ILLINOIS 3 05WC 44564 19B MC GANN, ELIZABETH CITY OF CHICAGO, 02/07/05 BAUM RUFFOLO & MARZAL LTD CITY OF CHICAGO 4 05WC 45163 FLORES, BLANCA CHICAGO BOARD OF EDUCATIO 10/05/05 STEVEN J TENZER, LTD 06WC001989 -C 5 06WC 20096 GLITTA, DOMINIC CITY OF CHICAGO 04/13/06 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 06WC031795 -C 07WC048605 -C 08WC011313 -C 11WC022782 -C 11WC032124 -C 13WC013104 -C 6 06WC 45122 JOHNSON, TAMMY V. STATE OF IL @ 11/25/03 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 11WC014078 -C ILLINOIS DEPARTMENT OF 7 07WC 18146 JEFFERSON, CARLA J ST OF IL DEPARTMENT OF HS @ 04/05/07 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 12WC031328 -C 8 07WC 41501 JOHNSON, TAMMY V ST OF IL DEPARTMENT OF HS @ 09/27/05 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 07WC041502 -C 07WC041503 -C 11WC028086 -C IL DEPT OF HUMAN SERVICES 9 08WC 10094 HERNANDEZ, ALEJANDRO RECYCLING SYSTEMS, INC 01/26/08 JAMES M GERAGHTY THOMAS & PORTELA 08WC012409 -C 10 08WC 12511 AVOLIO, WILLIAM VILLAGE OF ORLAND HILLS 02/26/08 CAPRON & AVGERINOS PC RUSIN MACIOROWSKI & FRIEDMAN 11 08WC 14305 JEFFERSON, DAWN, REP/ESTA JEVIC TRANSPORTATION 05/21/07 LEWIS & DAVIDSON, LTD POULOS & DIBENEDETTO LAW 08WC014306 -C 12 08WC 15648 LAWSON, VANESSA ILL DEPT OF FINANCIAL & 11/05/07 SLAVIN & SLAVIN ASSISTANT ATTORNEY GENERAL 13 08WC 19170 DYBALSKI, KATHLEEN LOYOLA MEDICAL CENTER 01/16/07 GOLDBERG WEISMAN & CAIRO L BRAUN LORENZ & BERGIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 08WC 23037 GRIFFIN, THOMAS CHICAGO PUBLIC SCHOOLS 04/03/08 VRDOLYAK LAW GROUP LLC LAW DEPARTMENT 15 08WC 32923 GARCIA, WILFREDO WATER SAVER FAUCET CO 04/04/08 PETER D CORTI LAW GROUP MACIOROWSKI SACKMANN & ULRIC 16 08WC 42155 VILLAGOMEZ, MARTHA JACKSON PARK HOSPITAL 12/09/07 CANDIANO LAW OFFICE WIEDNER & MCAULIFFE LTD 17 08WC 50284 DROYSEN, JEAN COUNTY OF COOK 11/05/08 BIZZIERI LAW OFFICES 18 08WC 51230 JOHNSON, OPAL AVON PRODUCTS 08/01/08 JOEL BELL HOLECEK & ASSOCIATES 09WC018644 -C 19 08WC 55283 CODA, VICTORIA L (WIDOW) ILL DEPT OF REVENUE @# 01/23/06 DECARLO LAW GROUP ASSISTANT ATTORNEY GENERAL 08WC055917 -C IL DEPT OF REVENUE 20 09WC 07826 SCHMIDT, DAWN CHICAGO PUBLIC SCHOOLS 09/05/08 ANESI OZMON RODIN NOVAK KO LEAHY EISENBERG & FRAENKEL 21 09WC 08426 MELENDEZ, JESSE CITY OF CHICAGO 10/14/08 RONALDSON & KUCHLER 13WC029416 -C 22 09WC 11723 DAVIS, VIRGINIA CITY OF CHICAGO 11/13/08 MINKOW DOMIN CITY OF CHICAGO 23 09WC 23251 CRAWFORD, SUSANNE P T D LOGISTICS 11/16/07 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 09WC045812 -C T.D. LOGISTICS 24 09WC 23737 DEL PAGE, RON JR MURPHY ELECTRICAL 05/13/09 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 25 09WC 24480 HENDERSON, LYNDON B CITY OF CHICAGO 05/30/09 LAW OFFICES OF HELEN BLOCH CITY OF CHICAGO 13WC009209 -C 26 09WC 25620 SLUSINSKI, PETER MASTER TAPE & LABEL 02/01/07 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 27 09WC 38756 SMITH, TERICA HEKTOEN INSTITUTE 08/24/09 KATZ FRIEDMAN EAGLE ET AL THOMAS & PORTELA 28 09WC 41066 RESS, KONSTANTINE GUS TURANO BAKING CO 09/17/09 RITTENBERG & BUFFEN GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 29 09WC 41345 ROSS, THEADORA M KRAFT 04/07/09 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 30 09WC 43142 LANIER, JAN STATE OF ILLINOIS @ 03/01/08 CULLEN, HASKINS, NICHOLSON ASSISTANT ATTORNEY GENERAL 09WC043143 -C 31 09WC 52946 RODRIGUEZ, ERIC PEPSI 08/27/09 ROBERT L. SMITH 09WC052947 -C 11WC040974 -C 32 10WC 11467 MILLER-ALSTON, ELIZABETH BED, BATH AND BEYOND 02/13/10 WARREN W MARK INMAN & FITZGIBBONS 33 10WC 17455 BRIGANCE, LINDA LOYOLA UNIVERSITY MEDICAL 03/02/10 KOFOED, RUSSEL M BRAUN LORENZ & BERGIN PC 34 10WC 17774 FINNEGAN, TOM JOYCE BROTHERS RELOCATION W 01/30/10 HORWITZ HORWITZ & ASSOC LAW OFFICE KATHLEEN ULBERT 35 10WC 21567 ELLISON, DONNA PACE 02/26/10 VRDOLYAK LAW GROUP LLC MARK F SLAVIN 36 10WC 24824 CZUBAK, DARIN W CTA 05/06/10 TAMVAKIS, GEORGE L CHICAGO TRANSIT AUTHORITY 37 10WC 34805 CABAN, MICHAEL SHERWYN WILLIAMS 07/30/10 JAMES ELLIS GUMBINER & ASS GAROFALO SCHREIBER STORM 38 10WC 37525 JONES, MOTISE DIVISION OF REHABILITATIO @ 09/01/10 THE FITZ LAW GROUP NICHOLE S. MCNAIR 39 10WC 39425 MC MURRAY, WILLIAM R FRANKLIN PARK FIRE 08/30/10 THOMAS W DUDA RUSIN MACIOROWSKI & FRIEDMAN 40 10WC 40172 SANCHEZ, RAMIRO MIMAR CONSTRUCTION W 08/20/10 ROY P AMATORE CULLEN HASKINS NICHOLSON 41 10WC 42524 DELGADILLO, JOSE TOLBERTS ROOFING & 10/11/10 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 12WC044553 -C 42 10WC 44675 ALBARRAN-ROGEL, ALFREDO LABOR POWER INC 11/04/10 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 43 10WC 46656 SERVIN, RENEE PEOPLE'S GAS ENERGY 05/03/10 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 44 10WC 48229 FEYISSA, TAFESECH DRAKE HOTEL 11/05/10 EPSTEIN, JACK R LAW OFFICE NOBLE & ASSOCIATES PC 11WC018626 -C 45 11WC 02332 FOX, SUSAN NKA ALDI INC-C/O KIMBERLY SHA 01/07/10 LEWIS & DAVIDSON, LTD MACIOROWSKI SACKMANN & ULRIC 11WC002333 -C 11WC008692 -C 46 11WC 14054 OHAKOSIM, ANNE COOK COUNTY JUVENILE 09/30/10 MINKOW DOMIN STATES ATTORNEY OF COOK COUN 13WC010462 -C 47 11WC 20637 GALINDO, REYNA TRENDLER, INC 05/05/11 JAMES ELLIS GUMBINER & ASS HANSON LAW OFFICE 12WC001226 -C 48 11WC 21735 PINKUS, CYNTHIA MARZULLO RIVERSIDE PUBLIC SCHOOL 05/05/11 CULLEN HASKINS NICHOLSON ANCEL GLINK DIAMOND BUSH & E 49 11WC 22880 19B MCHUGH, RUTH CITY OF CHICAGO 06/01/11 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 50 11WC 24140 BERNEY, AUDREY HARTMARX 08/02/07 LANNON LANNON & BARR LTD MACIOROWSKI SACKMANN & ULRIC 51 11WC 25419 RIVERA, LUIS RESTORE MASONRY 06/16/11 CANDIANO LAW OFFICE THOMAS & PORTELA 52 11WC 32174 SANCHEZ, MAXIMINO MVP WORKFORCE 06/16/11 VRDOLYAK LAW GROUP LLC KOREY LAW LLC 53 11WC 35079 SCHROEDER, MICHAEL GORDON TRUCKING INC 02/09/11 WAGNER, REESE AND CROSSEN POWER & CRONIN LTD 54 11WC 35214 WARDLAW, AVA COOK DUPAGE TRANSPORT CO 06/08/11 MARC J SHUMAN & ASSOCIATES HENNESSY & ROACH PC 55 11WC 35408 SMOLINSKI, MARGARET(WIFE) SKOKIE PARK DISTRICT # 05/23/11 LAW OFFICE OF JAMES A KAMI RUSIN MACIOROWSKI & FRIEDMAN 56 11WC 35922 KARADIMA, DEMETRA WALMART 04/26/11 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 13WC038693 -C 57 11WC 36346 BELAYE, TSEHAY SPARTECH PLASTICS 09/06/11 LEADERS LAW CENTER CHICAGO WOLFE & JACOBSON, LTD 58 11WC 40892 19B SCHLAMAN, ERIC VILLAGE OF LYONS POLICE D 01/13/11 SCHIFF GORMAN LLC RUSIN MACIOROWSKI & FRIEDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 59 11WC 44421 NAVARRO, PABLO CITY OF CHICAGO 08/12/11 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 60 11WC 45441 QUINTANA, BERNABE CHICAGO PK DIST BURNHAM P 09/01/11 COHN LAMBERT RYAN & SCHNEI CHICAGO PARK DIST LAW DEPT 61 11WC 45477 HARRIS, CHINA S DIVISION OF REHABILITATIO 10/12/11 LEONARD LAW GROUP LLC ASST ATTY GENERAL 62 11WC 48394 GRIFFIN, LETHA G CHICAGO PARK DISTRICT 10/31/11 CHARLES LEVY & ASSOC LTD CHICAGO PARK DIST LAW DEPT 63 11WC 49218 CASTRO, LUZ LUTHERAN GENERAL HOSPITAL 06/04/10 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 11WC049219 -C 64 12WC 00143 JORDON, CLINET W UNIVERSITY OF CHICAGO 10/24/10 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR 12WC025195 -C 65 12WC 07364 PANKEY, NAKIA ZF LEMFORDER 10/13/11 RUBENS AND KRESS KEEFE CAMPBELL & ASSOC LLC 66 12WC 08928 THOLL, DIANE M FAMILY DENTAL ASSOC 01/25/11 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS, INC 67 12WC 12423 LOME, MANUEL ANDRES A&S YACHT CLUB 02/24/12 JAMES ELLIS GUMBINER & ASS BOGUSZ & BOGUSZ LTD 68 12WC 17796 19B FOSS, DAVID M ALEXIAN BROTHERS HEALTH S 01/06/11 LAW OFFICE PHILIP BLOMBERG POWER & CRONIN LTD 69 12WC 17815 SHALES, JAMES ST OF IL IDOT @ 09/19/11 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 14WC018638 -C ILLINOIS DEPT OF TRANS 70 12WC 18289 SOTO, CESAR JULIO GREEN TECH 01/27/12 KATZ FRIEDMAN EAGLE ET AL THOMAS & PORTELA 12WC018290 -C 71 12WC 20273 DE LA TORRE, RAMON ALLIED WASTE SERVICES 05/23/12 O'CONNOR & NAKOS GILDEA & COGHLAN 72 12WC 21203 HARVEY, TAVARRIS VICTOR C NEUMANN ASSOCIAT 03/16/12 STROM, NEAL B THOMAS & PORTELA 73 12WC 21693 ESCOBEDO, JUAN BEST PRACTICES STAFFING I 05/09/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 74 12WC 21698 GUTIERREZ, LEOBARDO MVP INC 05/11/12 CULLEN HASKINS NICHOLSON GRANT & FANNING 75 12WC 22516 BRUCE, KATRINA STATE OF ILLINOIS @ 04/10/12 CORNFIELD & FELDMAN ASST ATTY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 76 12WC 22845 LAMONICA, NICHOLAS S T J LAMBRECHT 06/20/12 O'CONNOR & NAKOS HENNESSY & ROACH PC 77 12WC 23044 COLE, MARY A CHICAGO TRANSIT AUTHORITY 01/31/12 PETER D CORTI LAW GROUP CHICAGO TRANSIT AUTHORITY 78 12WC 23242 WILSON, DAVID H.H. GREGG INC 05/19/12 KROL BONGIORNO & GIVEN LTD HOLECEK & ASSOCIATES 79 12WC 28123 DAVIS, GWENDOLYN STATE OF ILLINOIS 07/19/12 BOUDREAU & NISIVACO LLC 80 12WC 28580 SCHUETT, LINDA S ALEXIAN BROTHERS MEDICAL 12/16/11 BRISKMAN BRISKMAN GREENBER POWER & CRONIN LTD 81 12WC 28900 RIVADENEIVA, LUZ HOULIHAN'S RESTAURANT 08/03/12 ACEVES & PEREZ PC QUINN JOHNSTON HENDERSON ETA 82 12WC 28920 SILVA, MIGUEL IL DEPT OF TRANSPORTATION @ 08/07/12 TRUGLIO, FRED A & ASSOC ASSISTANT ATTORNEY GENERAL 83 12WC 29583 HUGHES, ZENOBRIA ST OF IL REHABILITATION S @ 08/21/12 STEPHEN G PINTO LTD MATTHEW HAMMER 84 12WC 31447 WHITTMON, REGINA CHICAGO BOARD OF EDUCATIO 09/06/12 COVEN LAW GROUP LAW DEPARTMENT 85 12WC 31780 ESPINO, ANTONY STARBURCKS COFFEE 09/22/11 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 86 12WC 33088 LA-BROSE, NICHOLAS G 2ND GEN-PARK RIDGE INC 07/07/12 FOTOPOULOS, JOHN S CULLEN HASKINS NICHOLSON 87 12WC 33598 PADILLA, JOSE FIBERWRAP CONSTRUCTION 08/30/12 MINKOW DOMIN MEACHUM & STARCK 88 12WC 33778 POLLARD, SHEILA RAINBOW HOSPICE 04/14/12 STEVEN J SEIDMAN LAW OFFIC STELLATO & SCHWARTZ 89 12WC 34104 BERROA, MARTHA MILLARD GROUP 07/04/12 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 90 12WC 34325 LAMPERT, ELLEN ALERE HEALTH CARE 06/11/11 MEYERS & FLOWERS LAW OFFICES JOSEPH MARCINIAK 91 12WC 34367 CONLON, LAURA NORTH SHORE UNIVERSITY 01/12/12 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 92 12WC 34782 O'NEILL, JOSEPH A CITY OF CHICAGO DEPT OF 02/07/11 RICHARD O. GREENFIELD 12WC034783 -C 12WC034784 -C 14WC017647 -C 93 12WC 34857 JOHNSON, EDWARD S VILLAGE OF BURNHAM PUBLIC 07/24/12 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 13WC021376 -C 94 12WC 35403 VALDIVIA, YOLANDA FRESENIUS MEDICAL CARE 02/01/12 CANDIANO LAW OFFICE HENNESSY & ROACH PC 95 12WC 35955 WILLIAMS, WENDY ALDI FOODS 08/07/11 SHELDON I MINKOW & ASSOCIA BRADY CONNOLLY & MASUDA PC 96 12WC 36949 DEL NODAL, JUAN HELLO PREISION 02/08/12 COLLISON & O'CONNOR LTD THOMAS & PORTELA 97 12WC 37164 DIAZ, SILBIA TOTAL STAFFING 06/14/12 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 98 12WC 37817 EASTON, ROBERT ARAIZA CORPORATION 10/05/12 WITTENBERG DOUGHERTY MAGLI BRADY CONNOLLY & MASUDA PC 12WC044227 -C 99 12WC 37841 TABARES, GLORIA SOUDAN METALS CO INC # 07/30/12 LUIS A ACEVES & ASSOC HOLECEK & ASSOCIATES 100 12WC 38495 JOSEPH, PHILOMINA CONTINENTAL NURSING & REH @ W 08/23/12 STEVEN A CRIFASE, LTD MICHAEL D JACOBS 101 12WC 40960 19B-1 JALBRZYKOWSKI, BOGDAN KRYSTYNA'S DELI INC 08/13/12 BELCHER LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 102 12WC 41762 LOPEZ, ANA UNITED BUILDING MAINTANCE 09/06/12 ANESI OZMON RODIN NOVAK KO LITCHFIELD CAVO 13WC041216 -C 103 12WC 42513 BUDZ, CARY OAK PARK ARMS 07/08/12 BOUDREAU & NISIVACO LLC HENNESSY & ROACH PC 104 12WC 43107 SANCHEZ, ROSALBA ATLAS EMPLOYMENT 11/13/12 THE ROMAKER LAW FIRM KEEFE CAMPBELL & ASSOC LLC 105 12WC 43173 BAGGETT, JOHNNY E II-N-ONE 11/12/12 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 106 12WC 43280 LOPEZ, CARLOS AT&T 12/10/12 HUGHES SOCOL PIERS RESNICK HENNESSY & ROACH PC 107 12WC 44173 CHATMAN, RAMONA CHICAGO TRANSIT AUTHORITY 12/02/12 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 108 13WC 05200 GARDNER, MELVIN AT&T/SBC COMMUNICATIONS, 08/13/12 KARCHMAR & STONE HENNESSY & ROACH PC 109 13WC 07828 MORCIEGO, LORENZO J RON'S STAFFING SERVICES I 02/14/13 STEWART C ORZOFF KOREY COTTER HEATHER RICHARD 13WC007829 -C FRESH EXPRESS 110 13WC 08764 GARCIA, LUIS ELITE STAFFING 02/21/13 LAW OFFICE OF JAMES URTIS MARC CAIRO 111 13WC 09147 GODINEZ, JORGE ED MINIAT INC 02/04/13 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 112 13WC 09675 HALINSKI, PEGGY ZAIBAK CENTER FOR 02/12/13 RATHBUN CSEVENYAK & KOZOL HOLECEK & ASSOCIATES 113 13WC 09828 LAMAS, ROBERTO WALSH CONSTRUCTION 01/30/13 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 114 13WC 10467 SERNA-CHAIREZ, LUIS E HIGH EFFICIENCY 03/01/13 EPSTEIN, JACK R LAW OFFICE ORENSTEIN & ASSOCIATES 115 13WC 10552 JESIONOWSKI, DAVID WASTE MANAGEMENT 02/24/12 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 116 13WC 10795 THEIL, IRENE CENVEO, INC 02/15/12 KATZ FRIEDMAN EAGLE ET AL NOBLE & ASSOCIATES PC 117 13WC 10821 STALTER, KEITH CITY OF CHICAGO 01/09/13 HEALY LAW FIRM CITY OF CHICAGO 118 13WC 11061 STEPHENSON, BARBARA CTA 07/09/12 RUBENS AND KRESS CHICAGO TRANSIT AUTHORITY 119 13WC 11488 CONDE, ROSA CUSTOM STAFFING, INC 02/27/12 MC HARGUE, JAMES P LAW OFF WOLF LAW LTD 120 13WC 17880 MARQUARDT, DANIEL J LAGRANGE CRANE SERVICES 04/20/13 JASINSKI, GEORGE J LITCHFIELD CAVO 121 13WC 19015 JOHNSON, NATHANIEL ALBAINO'S PIZZERIA 05/04/13 DWORKIN AND MACIARIELLO WOLF LAW LTD 122 13WC 19061 OWOLABI, LOOKMAN YELLOW CAB, CUSTODIAN OF 12/07/12 POMPER & GOODMAN 123 13WC 19184 FITZGERALD, JOHN VILLAGE OF HOFFMAN ESTATE 02/01/12 RIFFNER BARBER ROWDEN & SC RODDY LAW LTD 124 13WC 19423 ERVIN, ADANIA FFE TRANSPORTATION 04/13/13 DWORKIN AND MACIARIELLO SCOPELITIS GARVIN LIGHT 125 13WC 19659 SALIS, MARTHA DENTSPLY INTERNATIONAL 05/21/12 RIDGE & DOWNES GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 126 13WC 19706 TOUTCHINSKAIA, TATIANA SIEMENS MEDICAL SOLUTIONS 11/28/12 ANGELINI & ORI LLC BRAUN LORENZ & BERGIN PC 127 13WC 20523 FURDGE, HARRY DEBBIE'S STAFFING/FREEMAN 06/12/13 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM 128 13WC 20639 PEREZ, JAMIE BOLDER CONTRACTORS 06/05/13 COLLISON & O'CONNOR LTD CHILTON YAMBERT PORTER LLP 129 13WC 20737 GIBALA, DANIEL B&D CUSTOM BUILDERS INC 10/09/12 NEMEROFF LAW OFFICES LTD THOMAS & PORTELA 130 13WC 20970 SMITH, DONNELL II IN ONE CONTRACTORS INC 05/30/13 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 131 13WC 21132 HERNANDEZ, ALICIA RTS PACKAGING 05/15/13 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 132 13WC 21216 FLAGG, GLENN CITY OF CHICAGO DEPT OF 06/28/12 GOLDSTEIN BENDER & ROMANOF CITY OF CHICAGO 13WC021217 -C 15WC006419 -C 133 13WC 21242 VIRGILIO, PASQUALE EAGLE EXPRESS LINES 01/07/13 MAURICE E DUSKY PC 134 13WC 24563 RIVERA, MARIO ELITE STAFFING 07/15/13 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 135 13WC 27184 BENINATI, ERIC UPS 07/22/13 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 136 13WC 28864 FRANKLIN, LETICIA CITY OF CHICAGO SANITATIO 08/14/13 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 137 13WC 29522 KIZER, TECORA ELMWOOD CARE NURSING HOME 08/30/13 GOLDBERG WEISMAN & CAIRO L 138 13WC 29687 CHAVEZ, JOSE MARTAM CONSTRUCTION 08/07/13 STROM, NEAL B HOLECEK & ASSOCIATES 139 13WC 30083 DAHL, JENNIFER FORD MOTOR CO 08/20/13 KREITER, BYCK & ASSOC LLP POWER & CRONIN LTD 140 13WC 30289 KOPEC, WIESLAW DR PEPPER SNAPPLE GROUP I 05/23/13 BELCHER LAW OFFICE GAROFALO SCHREIBER STORM 141 13WC 30364 SANTANA-SOTO, RADAMES/DEP MULTI TEMP 08/08/13 MEYERS & FLOWERS THOMAS & PORTELA 142 13WC 30382 SMITH, MICHAEL MEYER STEEL DRUM INC 09/11/13 143 13WC 30631 RODRIGUEZ, JUAN CHICAGO MEAT AUTHORITY 06/03/13 ROSS J HELFAND LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 144 13WC 31128 MAGANA, JOSE M MANGO CONSTRUCTION INC 07/27/13 MC HARGUE, JAMES P LAW OFF RUSIN MACIOROWSKI & FRIEDMAN 145 13WC 31225 D'APICE, SAMUEL, II HOME DEPOT 04/29/13 PERRY M LAKS LAW OFFICE MC ANDREWS & NORGLE LLC 146 13WC 31414 KUHN, EVAN TERRELL MATERIALS CORP 07/13/13 CLARK JUSTEN ZUCCHI NYHAN BAMBRICK KINZIE & LOWR 147 13WC 31493 ORTEGA, ARMANDO JOSE SPECIALTY FOODS GROUP INC 09/16/13 VRDOLYAK LAW GROUP LLC 148 13WC 32019 HART, RICHARD J MATERIAL SCIENCE CORPORAT 12/10/12 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 149 13WC 32114 CAPUTO, PHIL CMS @ 07/29/13 DAVENPORT & WHITE ASSISTANT ATTORNEY GENERAL 150 13WC 32182 MONTES, MARIA ELECTRO MOTIVE 07/01/11 MICHELOTTI & ASSOC LTD WIEDNER & MCAULIFFE LTD 151 13WC 32272 EDGEWORTH, CARRIE D CHICAGO TRANSIT AUTHORITY 09/24/10 CHICAGO TRANSIT AUTHORITY 152 13WC 32287 JEFFERSON, MATTHEW GREAT NORTHERN LUMBER 08/28/13 HORWITZ HORWITZ & ASSOC RUSIN MACIOROWSKI & FRIEDMAN 13WC032475 -C 153 13WC 32384 GOMEZ, ARTURO AKA ARIEL Z NATERA'S NEWS 08/28/13 JONATHAN SCHLACK VINCENT J O'BRIEN 154 13WC 32440 SERRANO, NYOMARI CELLUR TELESERVICES, INC. 08/29/13 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 155 13WC 32790 BARR, ANN DREA ECHO JOINT AGREEMENT 09/17/13 DEUTSCHMAN, JEFFREY S BRADY CONNOLLY & MASUDA PC 156 13WC 32820 JORDAN, MARVIN CITY OF CHICAGO DEPT OF W 08/01/13 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 157 13WC 33123 LEWIS, ANTHONY ARYZTA LLC 07/12/13 ROSS TYRRELL LAW OFFICES JOSEPH MARCINIAK 158 13WC 33277 HICKEY, MICHAEL METROPOLITAN WATER RECLAM 05/24/12 COLLISON & O'CONNOR LTD HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 159 13WC 33314 PEDRAZA, SANDRA ROYAL MALABAR INC. W 09/26/13 HANNIGAN & BOTHA, LTD 160 13WC 33377 FLORES, MARCO ANTONIO LAG EL MILAGRO INC 08/02/13 EPSTEIN, JACK R LAW OFFICE BRYCE DOWNEY & LENKOV LLC 14WC012224 -C 161 13WC 33423 SWITZER, ALFREDA RIC 06/10/13 WHITESIDE & GOLDBERG LTD KEEFE CAMPBELL & ASSOC LLC 13WC033424 -C 162 13WC 33450 EVANS, EARL CHICAGO TRANSIT AUTHORITY 07/30/13 WITTENBERG DOUGHERTY MAGLI CHICAGO TRANSIT AUTHORITY 163 13WC 33468 EPPS, LETITIA UNIVERSITY OF ILLIOIS 11/08/12 KOFOED, RUSSEL M POWER & CRONIN LTD 164 13WC 33520 HEGWOOD, LAJOIE CHICAGO TRANSIT AUTHORITY 10/05/13 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 165 13WC 33884 MACK, JOHN ST LUCAS ASSOCIATION 10/07/13 COLLISON LAW OFFICES RUSIN MACIOROWSKI & FRIEDMAN 13WC033885 -C 166 13WC 38871 PETERSON, BRIAN REPUBLIC AIRWAYS 02/13/13 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 167 13WC 40824 ANDREWS, STEVEN COOK COUNTY SHERIFF'S OFF 10/22/13 FRIEND LEVINSON & BERGAL STATES ATTORNEY OF COOK COUN 168 13WC 41127 GRIFFIN-MATTHEWS, ADA CTA 11/22/13 JOEL STEPHEN CHICAGO TRANSIT AUTHORITY 169 13WC 41262 FLORES DE PAZ, DEGLIN ALPHA BAKING CO 07/15/13 HORWITZ HORWITZ & ASSOC 170 13WC 41315 JOHNSON, BARBARA FEDEX 04/02/13 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 15WC025366 -C 171 13WC 41327 ROONEY, WILLIAM CITY OF CHICAGO 01/02/13 CUDA LAW OFFICES CITY OF CHICAGO 172 13WC 41342 MACIAS, CESAR L CENTRAL GROCERS 11/20/13 ANKIN LAW OFFICE ROSARIO CIBELLA 173 13WC 41426 SALGADO, JOSEFINA CHICAGO BOARD OF EDUCATIO 11/06/13 CHRISTIAN & MANNO LAW DEPARTMENT 174 13WC 41668 GONZALEZ, ANGEL IRON MOUNTAIN 12/19/13 FOHRMAN, DONALD W & ASSOCS 175 13WC 41722 NELSON, TELMADGE SOUTHTOWN AIRLINES 12/11/13 GRAZIAN & VOLPE PC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 13WC 41738 THOMPSON, RONDAE CITY OF CHICAGO 11/21/13 KUMLIN & FROMM 177 13WC 42045 WCISLO, STANISLAW NU-WAY INDUSTRIES, INC 09/19/11 BELCHER LAW OFFICE 178 13WC 42153 LOOS, KENNETH EXTREME REACH TALENT 11/20/13 JOEL BELL 179 13WC 42193 PEARSON, LA GONNA ADVOCATE MEDICAL GROUP 11/25/13 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 180 13WC 42340 FEREGA, MICHAEL STATE OF ILLINOIS @ 08/29/13 BERG & ROBESON COLIN KICKLIGHTER 181 13WC 42403 ANDRADE, ROGELIO V W B EXPRESS 12/07/13 182 13WC 42410 RODRIGUEZ, GABRIEL H DYNAMIC MANUFACTURING INC 11/15/13 JAMES ELLIS GUMBINER & ASS THOMAS & PORTELA 183 14WC 00266 AMATO, FRANK COOK COUNTY SHERIFF 12/04/13 BAUM RUFFOLO & MARZAL LTD 184 14WC 00436 DIAZ, MARTIN MINUTE MEN STAFFING SERVI 11/21/13 ILLINOIS INJURY LAWYERS GILDEA & COGHLAN 185 14WC 00480 CREIGHTON, EDWARD CITY OF CHICAGO 11/25/13 HEALY LAW FIRM 186 14WC 00530 BILLUPS, SYLVIA FRAN FAMILY HEALTH CENTER 10/09/13 SHELDON I MINKOW & ASSOCIA LAW OFFICES JOSEPH MARCINIAK 14WC016336 -C 187 14WC 00633 ZAPIEN, ANTONIA AMERICAS AUTO AUCTION 11/19/13 BERG & BERG WOLFE & JACOBSON, LTD 188 14WC 07732 ALBINO, FELIPE HOT WOKS COOL SUSHI 01/05/14 ILLINOIS INJURY LAWYERS 189 14WC 07763 EVANS, GELAI CHICAGO TRANSIT AUTHORITY 01/13/14 STEPHEN G PINTO LTD CHICAGO TRANSIT AUTHORITY 190 14WC 08050 MANNONE, SALVATORE COOK COUNTY 09/17/12 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 191 14WC 08089 MACDONNELL-DAYHOFF, JACQU VILLAGE OF WESTERN SPRING 02/06/14 CULLEN HASKINS NICHOLSON RUSIN MACIOROWSKI & FRIEDMAN 192 14WC 08195 MARSHALL, ANGELA COOK COUNTY HEALTH AND 02/27/14 FRIEND LEVINSON & BERGAL STATES ATTORNEY OF COOK COUN 193 14WC 08382 BOYD, DONATHAN COOK COUNTY JUVENILE DET 11/21/13 FRIEDMAN & SOLMOR LTD STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 14WC 08474 WHITESIDE, WALTER AMERICAN AIRLINES 04/02/12 195 14WC 08491 DIMAS, FRANCISCO LAKE CABLE LLC 09/13/13 FAJARDO LAW GROUP MEACHUM & STARCK 196 14WC 08557 THULL, MICHAEL NEW BERN TRANSPORT 02/25/14 HEALY SCANLON LAW FIRM ROBERT L. SMITH 197 14WC 08574 KISSINGER, JASON L FORD MOTOR COMPANY 11/19/13 MARSZALEK AND MARSZALEK POWER & CRONIN LTD 198 14WC 08617 NEIL, BRUCE W CITY OF CHICAGO 09/03/13 LARRY S MAYSTER LTD CITY OF CHICAGO 199 14WC 08833 TRUJILLO, DIANA STATE FARM INS 03/10/14 COVEN LAW GROUP 200 14WC 08852 POSALES, JOSE HIGHLAND BAKING 11/21/11 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 201 14WC 09296 GODINEZ, JOSE DANIEL DELTA UNIBUS CORP 04/15/13 AIOSSA LAW FIRM 202 14WC 09317 COLLINS, BARRY CTA 03/10/14 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 203 14WC 09362 WILLIAMS, ANDRE SUPREME LOBSTER 02/21/13 RUBENS AND KRESS LAW OFFICES FRANCESCA LARSEN 204 14WC 09518 GREEN, JASMINE FED EX 04/25/13 LAW OFFICE OF JAMES H MILL 205 14WC 09724 TILLIS, KENNETH PEXCO 03/13/14 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 206 14WC 09760 JIMENEZ, EDGAR ELITE STAFFING 03/21/14 PETER D CORTI LAW GROUP MARC CAIRO 207 14WC 09913 IBARRA, ELLY MULTI TEMPS 03/06/14 STROM, NEAL B THOMAS & PORTELA 208 14WC 10112 HICHOS, RUDY QUALITY METALS CORPORATIO 05/01/13 KENNETH B GORE, LTD NYHAN BAMBRICK KINZIE & LOWR 14WC035302 -C 209 14WC 10277 BASS, ANDRE PGT TRUCKING INC 11/12/12 MARSZALEK AND MARSZALEK THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 210 14WC 10303 HERNANDEZ, MARIE D CHICAGO BOARD OF EDUCATIO 03/13/14 CULLEN HASKINS NICHOLSON LAW DEPARTMENT 211 14WC 10472 VIRGO, DELFIN PRESBYTERIAN HOMES 01/17/13 KARNO, MARK L & ASSOC NYHAN BAMBRICK KINZIE & LOWR 14WC010473 -C 212 14WC 10631 HARPER, LYDIA SET ENTERPRISES 12/18/13 BLOCK, KLUKAS & MANZELLA P CHILTON YAMBERT PORTER LLP 213 14WC 10693 DAVIS, RATONYA ARIES CHARTER TRANSPORTAT 02/10/14 CHARLES LEVY & ASSOC LTD 214 14WC 10749 THOMPSON, CARLA FEDERAL EXPRESS 03/28/14 KALOGERAKOS & ASSOC HANSON LAW OFFICE 215 14WC 11003 BASTRZYK, KRZYSTOF PETER FLOORING DESIGN COR 02/03/14 CUSHING LAW OFFICES 216 14WC 11045 ROSARIO, ANTONIO RYDER TRANSPORTATION 04/11/11 HEALY LAW FIRM 217 14WC 11499 ZUMACH, KATHY ILLINOIS PROTECTOR INS AG 06/11/12 RIFFNER BARBER ROWDEN & SC LAW OFFICES JOSEPH MARCINIAK 218 14WC 11811 LANDAICEH, JEFFREY L CECCHIN PLUMBING & HEATIN 02/21/14 FABRIZIO, HANSON & PEYLA NYHAN BAMBRICK KINZIE & LOWR 219 14WC 11832 MIDDLETON, GLADYS CHICAGO BOARD OF EDUCATIO 10/18/13 KARNO, MARK L & ASSOC LAW DEPARTMENT 220 14WC 12675 BLEATMAN, PAULA A SCHAUMBURG TOWNSHIP DISTR 06/07/13 RIFFNER BARBER ROWDEN & SC LAW OFFICES JOSEPH MARCINIAK 221 14WC 12742 JACKSON, WANDA CHICAGO TRANSIT AUTHORITY 04/08/14 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 222 14WC 12841 MARSHALL, RICARDO LEE'S MOBILE EXPRESS 12/03/13 MARK G BERGAL LAW OFFICE 223 14WC 14133 GROVES, WILLIE J SAC WIRELESS 12/06/13 BUDIN LAW OFFICES MEACHUM & STARCK 224 14WC 14833 NORIEGA, JOSE PENA PROFESSIONAL FREEZING SER 04/11/14 RONALDSON & KUCHLER RUSIN & MACIOROWSKI LTD 225 14WC 15689 KUDLIK, MAREK JERNBERG INDUSTRIES INC C 12/02/13 HETHERINGTON KARPEL BOBBER 226 14WC 16535 THOMAS, RAJAN AMERICAN AIRLINES 06/10/13 ALAN A BLUM, PC POWER & CRONIN LTD 227 14WC 19107 TIDWELL. GEORGE BROADBAND INTERACTIVE, IN 04/02/14 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 14WC 19159 MOTEN, ARNOLD COOK COUNTY HEALTH & HOSP 05/12/14 SALVATO & O'TOOLE STATES ATTORNEY OF COOK COUN 229 14WC 19179 BEHNEN, TIMOTHY B ABF FREIGHT SYSTEM INC 05/14/14 CULLEN HASKINS NICHOLSON 230 14WC 19258 MORA-GONZALEZ, LUIS J CINTAS 05/08/14 LAW OFFICE HUGO ORTIZ POWER & CRONIN LTD 231 14WC 19449 GRAHAM, TAMMIE CHICAGO BAROD OF EDUCATIO 10/03/13 GORDON & CENTRACCHIO LLC 232 14WC 19494 BARRERA, ELIAS OSCAR TOTAL FACILITY MAINTENANC 01/10/14 ACEVES & PEREZ PC STONE & JOHNSON CHARTERED 233 14WC 19566 WALDEN, CYNTHIA DELTA AIRLINES 05/21/14 FOHRMAN, DONALD W & ASSOCS ROBERT L. SMITH 234 14WC 19768 WELBON, LOURDES COUNTY OF COOK 05/05/14 SKLARE LAW GROUP STATES ATTORNEY OF COOK COUN 235 14WC 19789 PATTY, CHRIS PREMIUM CONCRETE 12/30/13 KROL BONGIORNO & GIVEN LTD HEPLER BROOM LLC 236 14WC 19999 ROSARIO, EDWARD PRECISION DIALOGUE 05/28/14 PETER D CORTI LAW GROUP MEACHUM & STARCK 237 14WC 20272 SMITH, ALVIN CHICAGO TRANSIT AUTHORITY 10/03/11 RITTENBERG & BUFFEN CHICAGO TRANSIT AUTHORITY 238 14WC 20283 STORY, MATTHEW J HOLLANDER INTERNATIONAL 06/28/13 LASSEN, BRIAN D LAW OFFICE HENNESSY & ROACH PC 239 14WC 20343 GODINEZ, DIANE AMERICAN AIRLINES 11/04/10 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 14WC020344 -C 240 14WC 20365 MENDEZ, FRANCISCO H PRINCIPAL MANUFACTURING C 05/12/14 ILLINOIS INJURY LAWYERS LAW OFFICES JOSEPH MARCINIAK 14WC020366 -C 241 14WC 20431 HAYWOOD, SABRINA L PACE WEST DIVISION 04/08/14 WILLIAM B MEYERS, LTD SLAVIN & SLAVIN 242 14WC 20450 MURRAY, CHARLES WINNETKA PARK DISTRICT 06/05/14 GOLDBERG WEISMAN & CAIRO L 243 14WC 20470 PETRASKI, GEORGE TOOTSIE ROLL INDUESTRIES 06/03/14 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 244 14WC 20494 SUHAYDA, HELEN CHICAGO BOTANICAL GARDENS 12/31/13 MICHAEL P MCCREADY & ASSOC 245 14WC 20534 VAHORA, YASINBHAI MONACO TAXI INC 04/09/12 SHEA LAW GROUP RUSIN MACIOROWSKI & FRIEDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 246 14WC 20610 WHITNEY, DAMIAN CITY OF CHICAGO 06/13/14 ANKIN LAW OFFICE CITY OF CHICAGO 247 14WC 20799 HERDUS, KATHERINE ILL DEPT OF TRANSPORTATIO @ 04/15/14 CAPRON & AVGERINOS PC ASSISTANT ATTORNEY GENERAL 248 14WC 20925 ALCIOMANI, GIULIARO GEI CONSULTING 11/19/13 VASILATOS & COTTER LLC LAW OFFICES OF EDWARD J. KOZ 249 14WC 21000 POTOSKY, STEVE UPS 05/30/14 SAUNDERS CONDON & KENNY NYHAN BAMBRICK KINZIE & LOWR 14WC020801 -C 14WC022459 -C 250 14WC 21059 BINNING, JOHN CARLOS R QUIZHPI 08/28/13 DEAN J CARAS & ASSOCIATES LAW OFFICE OF SCOTT B SHAPIR 251 14WC 21287 TRIBBLE, HENRY ALLIED TUBE & CONDUIT 06/13/14 ELFENBAUM EVERS & AMARILIO KNELL & O'CONNOR 252 14WC 21478 MULVEY, PATRICK J FREEMAN DECORATING SVCS I 01/25/12 CIFELLI SCREMENTI & DORE MC ANDREWS & NORGLE LLC 253 14WC 21973 BROWN, KENNETH J K & K IRONWORKS INC 05/08/14 ANESI OZMON RODIN NOVAK KO 254 14WC 22250 MARTINEZ, MANUEL ALS BEEF 05/17/14 VRDOLYAK LAW GROUP LLC RUSIN MACIOROWSKI & FRIEDMAN 255 14WC 22277 CALLAHAN, PATRICK CITY OF CHICAGO DEPT 08/09/13 O'CONNOR & NAKOS CITY OF CHICAGO 256 14WC 22293 KLAZEK, JOHN M EMPLOYEE SOLUTIONS 10/25/13 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 257 14WC 22598 GALVEZ, JERONIMA FERRARA PAN CANDY 10/07/13 GRAZIAN & VOLPE PC HOLECEK & ASSOCIATES 258 14WC 22614 MEZA, ANDREA M PACTIVE CORPORATION 03/03/14 SALVATO & O'TOOLE SPIEGEL & CAHILL, PC 259 14WC 22740 EUDY, JEFFREY GRANE TRANSPORTATION 11/19/13 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 260 14WC 22774 RUSSI, CHARLES A QUALITY TECH TOOL INC 02/27/14 WOODRUFF & JOHNSON BRYCE DOWNEY & LENKOV LLC 261 14WC 22975 BROWN, SYREETA CITY OF CHICAGO DEPARTMEN 04/15/14 CHARLES LEVY & ASSOC LTD CITY OF CHICAGO 262 14WC 27030 WASHINGTON, NICOLE T CTA 01/20/12 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 263 14WC 31023 TORRY, LATOY FED EX 01/16/14 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 318 14WC 42192 STRANGE, DANIEL PERCELL CHICAGO TRANSIT AUTHORITY 03/01/13 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 319 14WC 42366 MORA, MARICELA AVON GEAR 10/01/12 VRDOLYAK LAW GROUP LLC WOLFE & JACOBSON, LTD 320 14WC 42662 HOPKINS, RONALD GREYHOUND BUS LINES 09/18/14 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 321 14WC 42899 LUNDY, HUGUETTE AVANTI WELLNESS & REHAB 11/28/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 322 14WC 42937 MONREAL, JULIO NEXUS EMPLYMENT SOLUTIONS 11/22/14 SKLARE LAW GROUP RIPES NELSON BAGGOT KALOBRAT 323 14WC 43032 TRYBULEC, JANUSZ WHEATLAND TUBE CO 12/01/14 JOHN E LUSAK GAROFALO SCHREIBER STORM 324 14WC 43089 HERNANDEZ, GUILLERMO SENIOR OPERATIONS LLC 05/15/11 MARTIN V KUGIA 325 14WC 43178 BRADDOCK, CARL L ELITE STAFFING 09/19/14 SEIDMAN MARGULIS & FAIRMAN 326 14WC 43417 GARZA, CATHY ANN AND ROBERT H LURIE 10/10/14 LAW OFFICES ROBERT WARSASK KEEFE CAMPBELL & ASSOC LLC 327 14WC 43510 JONES, CURTIS L AT&T 11/01/13 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 328 14WC 43621 CHAVEZ, JOSEPH DJ EVOLUTION LLC 08/19/14 329 14WC 43652 DRAPER, DEBRA CHICAGO PUBLIC SCHOOLS 09/04/14 SMOLER LAW OFFICE, PC 330 14WC 43668 PASINDO, JOSE SHOP & SAVE MARKET 12/18/14 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 331 14WC 83868 TRIEZENBERG, MAZWELL ILLINOIS CENTRAL 09/26/14 HORWITZ HORWITZ & ASSOC 332 15WC 00062 LINDICH, ALBIN M & A SUPPLY 10/18/14 VRDOLYAK LAW GROUP LLC EDWARD JANUSZKIEWICZ 333 15WC 00160 COSIC, JASMINKA THOMPSON HOTEL 11/16/14 GOLDSTEIN BENDER & ROMANOF 334 15WC 00363 ORTIZ, NORA PORRECA FREIGHT INC 12/10/14 LAW OFFICE EDWARD RUEDA GANAN & SHAPIRO 335 15WC 03168 FERGUSON, ROBERT MURPHY USA 01/21/15 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 336 15WC 03191 GARCIA, FRED D C TAYLOR CO 01/17/15 ANKIN LAW OFFICE GRANT & FANNING 337 15WC 07024 WEST, DEONTE GOLDLEAF PAINTING & DESIG 05/25/14 338 15WC 07030 VILLA, PEDRO HOIST LIFT TRUCKS 11/13/14 JOEL BELL GANAN & SHAPIRO 339 15WC 07252 DIAZ, ERIKA CHICAGO CHILDREN'S ADVOCA 02/05/15 DEPAOLO ZADEIKIS GORE 340 15WC 07258 CONTRERAS, MARTHA A. HMX ACQUISITION CORPATION 03/14/11 341 15WC 07393 TADISCH, ADAM ARENA FOOTBALL ONE LLC 05/25/12 GORDON LAW OFFICES LTD ADELSON TESTAN & BRUNDO 342 15WC 07739 HALE, KEVIN WALGREENS 02/27/15 ANKIN LAW OFFICE GILDEA & COGHLAN 343 15WC 07793 HERNANDEZ, ANTONIO CHGO DEPT OF STREETS & SA 03/04/15 RUBIN LAW GROUP CITY OF CHICAGO 344 15WC 07816 SANCHEZ, JOSE LUIS EL TORITO 12/28/14 VASILATOS & COTTER LLC HOLECEK & ASSOCIATES 345 15WC 07932 FOYTECK, CONNIE VILLAGE OF SKOKIE 04/01/13 DESTEFANO, ROBERT A & ASSO VILLAGE OF SKOKIE 346 15WC 07989 BAYUO, AUGUSTINE BLUE DIAMOND ASSOCIATES, 07/11/14 LEO ALT 347 15WC 08011 TURNER, LETENA NOVITEX ENTERPRISE SOLUTI 03/02/15 KREITER, BYCK & ASSOC LLP MEACHUM & STARCK 348 15WC 08097 GONZALEZ, GABRIEL BROADWAY AUTO REPAIR 02/11/15 GOLDFEIN LAW OFFICE PC 349 15WC 08106 ALVAREZ, VICENTE CITY OF CHICAGO - 01/08/15 GOLDBERG WEISMAN & CAIRO L 350 15WC 08132 OCHOA, ANDRES C & K TRUCKING @ 03/10/14 WEISS ORTIZ PC MCANANY VANCLEVE & PHILLIPS 351 15WC 08244 MYRON, DAVID J CITY OF CHICAGO 02/04/15 BLOCK, KLUKAS & MANZELLA P CITY OF CHICAGO 352 15WC 08404 FRAZIER, WALTER AT&T 03/13/12 GORDON & CENTRACCHIO LLC 353 15WC 08515 ADEN, ABDIKADAR CHICAGO ELITE CAB CORP 01/08/15 HUNER LAW OFFICES LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 15WC 08542 EMINOWA, JOHNSON GLOBE TAXI 02/18/15 LAW OFFICE RYAN ROSENTHAL 355 15WC 08719 HARISIS, AGGELIKI MARIANO'S 01/27/15 FINE, MARK S LAW OFFICES INMAN & FITZGIBBONS 356 15WC 08791 RENEAU, KENNETH DAY & NIGHT MESSANGER SER 02/16/15 SHELDON I MINKOW & ASSOCIA 357 15WC 08821 PALMA, DEYSI PAULA WEBER STEPHEN PRODUCTS 02/04/15 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 358 15WC 08837 LLOYD, MONIQUE COOK COUNTY JUVENILE 10/14/14 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 359 15WC 08951 VERNON, KAREN ALDEN WENTWORTH REHABILIT 11/21/14 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES FRANCESCA LARSEN 360 15WC 08960 ALEMU, DANIEL CHOICE TAXI ASSOC 03/05/15 VRDOLYAK LAW GROUP LLC 361 15WC 09056 CASILLAS, FELIPE XYLEM INC 08/26/14 COVEN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 15WC039130 -C 362 15WC 09067 CALHOUN, STACEY FOOD FOR LESS 01/09/15 COVEN LAW GROUP STONE & JOHNSON CHARTERED 363 15WC 09238 DAWKINS, ANTONIO L COMCAST 02/07/15 FRIEDMAN & SOLMOR LTD SPIEGEL & CAHILL, PC 364 15WC 09275 HERNANDEZ, MA DEL ROCIO LABOR SOLUTIONS 02/09/15 ANKIN LAW OFFICE NEWLAND & NEWLAND 15WC009276 -C 365 15WC 09291 RUIZ, ENIX AMERICAN AIRLINES GROUP, 12/19/14 EPSTEIN, JACK R LAW OFFICE 366 15WC 09395 CAMPBELL, TONY MV TRANSPORTATION 03/10/15 FOHRMAN, DONALD W & ASSOCS BRADY CONNOLLY & MASUDA PC 367 15WC 09432 HOLMES, ASALENE BOSWELL WINDMILL NURSING PAVILLIO 02/18/15 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 368 15WC 09444 HERNANDEZ, MARIA METRO STAFF, INC. 11/26/14 LAW OFFICE PHILIP BLOMBERG FRANCIS J DISCIPIO LAW OFFIC 369 15WC 09488 JEFFERSON, VANESSA CHICAGO PUBLIC SCHOOLS 01/13/15 MANDELL, GREGG 370 15WC 09511 ESPINOZA, IMELDA KEEBLER CO, KELLOGG'S 09/12/12 STEPHEN G PINTO LTD KEEFE CAMPBELL & ASSOC LLC 371 15WC 09694 WOLAK, KAZIMIERZ BRAD FOOTE GEAR WORKS 12/17/13 GALLIANI DOELL & COZZI LTD MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 15WC 09828 HAMPTON, CECILE PACE 03/16/15 FOHRMAN, DONALD W & ASSOCS 373 15WC 09846 JEAN-PIERRE, MILDRED COOK COUNTY SHERIFF'S DEP 10/31/14 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 374 15WC 09855 ELALLAOUI, JAMAL UBER 03/05/15 DWORKIN AND MACIARIELLO ROCK FUSCO & CONNELLY 375 15WC 09933 HART, KAREN ST JAMES HOSPITAL 11/22/14 SKLARE LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 376 15WC 10002 MARTINEZ, BEATRIZ V MI COSTENITA SERVICES INC 12/04/14 PARENTE & NOREM PC HANSON LAW OFFICE 377 15WC 10158 MC KINNEY, DION CAPSTONE LOGISTICS 03/09/15 BRISKMAN BRISKMAN GREENBER HOLECEK & ASSOCIATES 378 15WC 10186 DASH, DEBORAH KIMBALL MIDWEST TOOL 01/29/15 MEYERS & FLOWERS LAW OFFICES JOSEPH MARCINIAK 379 15WC 10204 BARRAZA, ZEFERINO FOCAL POINT LLC 02/16/15 HERRERA LAW CENTER HENNESSY & ROACH PC 380 15WC 10218 JARA, MARIO A CASTWELL PRODUCTS, LLC 02/10/15 LAW OFFICES LEONARDO MORAL 381 15WC 10265 THOMPSON, JAMES CITY OF CHICAGO, 02/26/15 RUBIN LAW GROUP LEAHY EISENBERG & FRAENKEL 382 15WC 10369 HARDWICK, BRANDON SOUTHWEST AIRLINES CO 09/16/14 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 383 15WC 10395 OLANDINO, CLARICE M COOPER'S HAWK WINERY 10/01/14 BOTTO GILBERT HOLECEK & ASSOCIATES 384 15WC 10495 GONZALEZ, ALICIA ADVOCATE CHRIST MEDIAL CE 02/21/15 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 385 15WC 10502 IBRAHIM, OMAR CAPSTONE LOGISTICS 09/24/14 ROMANUCCI & BLANDIN HOLECEK & ASSOCIATES 386 15WC 10539 HANSEN, VIRGINIA CHICAGO BOARD OF EDUCATIO 01/21/15 LEO ALT 387 15WC 10637 IRIZARRY, HERLINDA BIR TRAINING CENTER 02/14/15 FOHRMAN, DONALD W & ASSOCS LAW OFFICES JOSEPH MARCINIAK 388 15WC 10669 BEASLEY, DEBRA ELITE STAFFING 12/11/14 CHARLES J. GALE PC 389 15WC 10749 MESSEX, PATRICK THE VILLAGE OD MATTESON 05/10/12 DEPAOLO ZADEIKIS GORE INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 390 15WC 10801 HERNANDEZ, JOHN AT&T 01/28/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 391 15WC 10862 RODRIGUEZ, JORGE COMCAST CHICAGO 02/11/15 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 392 15WC 10960 BRIGGMAN, KEVIN COMET TRANSPORTATION INC W 03/07/14 DWORKIN AND MACIARIELLO 393 15WC 11082 CIOCH, CHRISTOPHER CITY OF CHICAGO 08/26/14 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 394 15WC 11095 CHAVEZ, JAVIER CITY OF EVANSTON 02/02/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 395 15WC 11140 JOINTER, JOHN CHGO POLICE CONTROL DETEN 06/17/14 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 396 15WC 11147 DIXON, DESIREE SYSCO 12/29/14 KATZ FRIEDMAN EAGLE ET AL 397 15WC 14266 VELEZ, RALPH CTA - WORK COMP 04/14/15 WILLIAM MARTAY CHICAGO TRANSIT AUTHORITY 398 15WC 15192 HERNANDES, DIANA CLOVERHILL BAKERIES 10/28/14 FIGLIOLI, DAVID ROBERT L. SMITH 399 15WC 17676 WOODS, SHERRY TARGET CORPORATION 03/06/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 400 15WC 18414 GREEN, DEBORAH A. MATANKY REALTY GROUP 03/14/14 BUTCHER, ROBERT J 401 15WC 18460 MILLS, DELORES US SMOKELESS TOBACCO CO 04/02/13 JAUREGUI & ASSOCIATES 402 15WC 18500 FRIEL, ANDREW SR FREEMAN EXPOSITIONS INC 05/19/13 MATTHIAS D. GILL MC ANDREWS & NORGLE LLC 403 15WC 18580 SOUTHERLAND, DEON FORD MOTOR CO 02/15/13 LAW OFFICE EDWARD LICHTENS POWER & CRONIN LTD 404 15WC 18728 JAUREGUI, EWELINA DRIFTWOOD HOSPITALITY MGM 12/26/14 JOHN E LUSAK RUSIN & MACIOROWSKI LTD 405 15WC 18967 IRBY, JOE JR FORD MOTOR COMPANY 02/28/15 LAW OFFICES KRISTEN M KOZL WIEDNER & MCAULIFFE LTD 406 15WC 19025 RUBIO, RAFAEL AUBURN PLASTICS 01/31/14 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 15WC019026 -C 407 15WC 19039 KINDRED, BRYANT SECRETARY OF STATE @ 11/25/14 SMOLER LAW OFFICE, PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 408 15WC 19053 MALONE, MATTHEW NAYLOR PIPE CO 05/19/15 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 409 15WC 19213 ZUNIGA, SATURNINO MVP WORKFORCE 11/21/14 CHEPOV & SCOTT LLC GRANT & FANNING 410 15WC 19448 JACKSON, SHELDIA CHGO STREETS & SAN DEPT 08/13/14 LAW OFFICE OF SCOTT B SHAP CITY OF CHICAGO 411 15WC 19769 WALTON, ALPHONZO WORKFORCE INC 06/10/15 DWORKIN AND MACIARIELLO KOREY RICHARDSON LLC 412 15WC 19972 GONZALEZ, AARON STARSTONE CONSTRUCTION, I 05/11/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 413 15WC 20040 SOLIS, MOISES FLEXIBLE STAFFING SERVICE 05/12/15 KREITER, BYCK & ASSOC LLP BRADY CONNOLLY & MASUDA PC 414 15WC 20095 SEARLES, THOMAS TCAT ENTERPRISES INC 12/15/14 CUDA LAW OFFICES WOLFE & JACOBSON, LTD 415 15WC 20123 RIVAS, EDISON GUADALUPE HERNANDEZ 04/10/15 DEPAOLO ZADEIKIS GORE 416 15WC 20159 DRUMMOND, DEDRA SCR MEDICAL TRANSPORTATIO 06/04/15 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 417 15WC 20243 JONES, MONTEL FORD MOTOR COMPANY 02/24/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 418 15WC 20336 GREGOR, JAMES BRIDGESTONE FIRESTONE, IN 09/11/14 LAW OFFICE DAVID W CLARK SLAVIN & SLAVIN 419 15WC 20350 DOSU-STEWARD, ELIZABETH DIVINE WORD 05/29/15 DWORKIN AND MACIARIELLO 420 15WC 20433 HARVEY, NARKIBLA PROGRAM ONE 05/26/15 FRIEDMAN & SOLMOR LTD MEACHUM & STARCK 421 15WC 20478 FLORES, ROSA MARIA HUIZAR GOLD STANDARD BAKING INC 05/28/15 SHEA LAW GROUP GRANT & FANNING 422 15WC 20490 PINA, MARIA WORK FORCE, LLC. 10/02/14 ROSS TYRRELL KOREY RICHARDSON LLC 423 15WC 20603 HALL, ANDRE T CITY OF ROLLING MEADOWS 12/29/12 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 15WC020604 -C 424 15WC 20652 LEWIS, PIERRE WHOLE FOODS MARKET 05/22/15 COHN LAMBERT RYAN & SCHNEI 425 15WC 20893 MAJKOWSKI, JUNE YACKOS IN NILES 04/07/15 SANDMAN LEVY & PETRICH ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 426 15WC 20908 GREEN, MEREDITH RALPH LAUREN CORP 07/30/13 NEWMAN, BOYER & STATHAM LAW OFFICES OF EDWARD J. KOZ 427 15WC 20972 PACHECO, MELQUEADES HIGHLAND BAKING COMPANY 06/22/14 PARENTE & NOREM PC 428 15WC 21001 ROSALES, PABLO KRUGEL COBBLES 06/12/15 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 429 15WC 21084 TRIGUEROS, ROBERTO ASSOCIATED RACK CORP 06/13/14 RICHARD O. GREENFIELD 430 15WC 21144 JAMISON, WILLIAM ALLIANCE STAFFING INC. 06/20/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 431 15WC 21309 GATEWOOD, KATHLEEN CHICAGO PUBLIC SCHOOLS 06/05/15 ANKIN LAW OFFICE 15WC021315 -C 432 15WC 21324 ROZDZIALIK, JANINA GREYSTAR 04/25/15 NILSON STOOKAL GLEASON CAP 433 15WC 21383 RODRIGUEZ, BIENVENIDO ADVOCATE ILLINOIS MASONIC 03/05/14 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 434 15WC 21392 WRIGHT, WILLIAM HASSETT EXPRESS INC 02/26/14 RONALDSON & KUCHLER COZZI & GOGGIN-WARD 435 15WC 21670 GONZALEZ, FRANCISCO LITTLE LADY FOODS, INC. 03/05/15 VICTORY LAW OFFICE 436 15WC 22004 ACHA, EFRAIN RUIZ MAINE TWNSHP SCHOOL DIST 04/04/15 PAUL W GRAUER & ASSOC WIEDNER & MCAULIFFE LTD 437 15WC 22244 ESCOBAR, GUILLERMO INDEPENDENCE TUBE CORP 01/26/15 KOSIN LAW OFFICE LTD HOLECEK & ASSOCIATES 438 15WC 22248 AGUIRRE, ALMA OSI 10/07/14 LAW OFFICE OF SCOTT B SHAP MEACHUM & STARCK 439 15WC 22282 STRAMA, RAYMOND METROPOLITAN WATER RECLAM 02/11/14 VRDOLYAK LAW GROUP LLC NOBLE & ASSOCIATES PC 15WC022285 -C 440 15WC 22362 19B LUETTEKE, SYLVIA MACY'S EAST 07/07/14 CAPRON & AVGERINOS PC ROBERT L. SMITH 441 15WC 22432 RIVERA, ANTONIO RAYMUNDO FOOD PRODUCTS IN 05/14/15 CHEPOV & SCOTT LLC 442 15WC 22457 MEDINA, ROSA SHERATON HOTEL 06/14/15 COVEN LAW GROUP COZZI & GOGGIN-WARD 443 15WC 22484 FUQUA, BRIAN ILLINOIS TOLLWAY AUTHORIT 05/26/15 BOUDREAU NISIVACO LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 444 15WC 22515 RODRIGUEZ, JOSE FELIPE THORNGATE COUNTRY CLUB 06/22/15 BOTTO GILBERT ACCIDENT FUND HOLDINGS, INC 445 15WC 28327 SOBIE, KAREN ANVIL INTERNATIONAL 08/12/15 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 446 15WC 28536 SHLIFKA, DIANA COOK COUNTY SHERIFF'S DEP 12/02/14 FIGLIOLI, DAVID STATES ATTORNEY OF COOK COUN 447 15WC 28810 COKER, DERRICK CITY OF CHICAGO 02/09/15 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 448 15WC 28877 JONES, DOMINIC ARENA FOOTBALL ONE LLC 07/12/14 GORDON LAW OFFICES LTD ADELSON TESTAN & BRUNDO 449 15WC 28910 GEORGARAS, NICK LINCOLNWOOD SCHOOL DISTRI 12/19/12 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 450 15WC 28931 JOHNSON, ROBERT CHICAGO TRANSITY AUTHORIT 08/05/15 PETER D CORTI LAW GROUP CHICAGO TRANSIT AUTHORITY 451 15WC 28987 KACZOROWSKI, KEEFE TOM'S POND SERVICE 05/01/15 STEVEN A CRIFASE, LTD WIEDNER & MCAULIFFE LTD 452 15WC 29105 MUNDY, RYAN CHICAGO BEARS FOOTBALL CL 08/22/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 15WC029106 -C 453 15WC 29158 HEALY, MARTIN COLUMBIA GORGE ORGANIC 11/05/12 DECARLO LAW GROUP LAW OFFICES JOSEPH MARCINIAK 454 15WC 29248 MARIANO HERRERA, MAURICIO STONE CITY KITCHEN & 10/17/12 CHRISTIAN & MANNO 455 15WC 29278 GONZALEZ, MARGARITO HR STAFF WORKS INC 04/03/15 STROM, NEAL B 456 15WC 29327 ZABIELSKI, MAREK BWAY CORPORATION 07/14/15 PERRY M LAKS LAW OFFICE 457 15WC 29435 VARGAS, RICARDO ATT 08/08/15 FRANCIS J DISCIPIO LAW OFF 458 15WC 29486 BARTZ, TIM REPUBLIC SERVICES INC. 06/09/15 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 459 15WC 29507 HOUSE, JOSEPH CARSON PIRIE SCOTT 08/20/15 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 460 15WC 29561 SMITH, CARL CITY OF CHICAGO 08/10/15 STEPHEN G PINTO LTD 461 15WC 29600 ARAGON, GABRIEL ALLIANCE GROUND INTERNATI 08/20/15 SALVATO & O'TOOLE NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 462 15WC 29641 BERGER, RALPH ST OF IL DEPT OF @ 08/19/15 ANGELINI & ORI LLC ASSISTANT ATTORNEY GENERAL 463 15WC 29785 GARCIA, JESUS R CHICAGO PUBLIC SCHOOLS 08/25/15 LAW OFFICES MICHAEL HELLMA 464 15WC 29824 GOLDBERG, JORDAN CHICAGO CUT STEAKHOUSE 07/08/15 GOLDBERG WEISMAN & CAIRO L 465 15WC 29903 ROMAN, DARIUSZ WOJCIECH KOJKOL 08/17/15 KURASCH & KLEIN, LTD HEYL ROYSTER VOELKER & ALLEN 466 15WC 29941 TAYLOR, FRED NIU @ 05/22/15 RUBIN LAW GROUP ASSISTANT ATTORNEY GENERAL 467 15WC 30030 RUTHBERG, ANDREW UNITED AIRLINES INC. 07/20/14 DWORKIN AND MACIARIELLO 468 15WC 30232 CASTANEDA, JAVIER THE HABITAT COMPANY LLC 09/19/13 OSVALDO RODRIGUEZ PC LAW OFFICES JOSEPH MARCINIAK 469 15WC 30276 DODD-MASTERS, RUSCHARD ARENA FOOTBALL ONE LLC 03/24/15 GORDON LAW OFFICES LTD ADELSON TESTAN & BRUNDO 470 15WC 30374 MURILLO, JORGE ANTONIO SEBERT LANDSCAPING 07/13/15 OSVALDO RODRIGUEZ PC 471 15WC 30389 SANCHEZ, SIMON RICHELIEU FOODS INC. 01/12/15 LAW OFFICES ROBERT WARSASK 472 15WC 30413 BRANDES, TIMOTHY TRIMARK MARLINN GROUP, LL 01/09/15 CHRISTINE F DAVID 473 15WC 30414 LEWIS, DAVID J B HULNT TRANSPORTATION 02/06/15 CAPRON & AVGERINOS PC GRANT & FANNING 474 15WC 30552 EVANS, LEVYNA COOK DUPAGE TRANSPORTATIO 07/08/15 ANKIN LAW OFFICE 475 15WC 30670 ARNEECHER, THOMAS M. LAKE TRUCKING CO. 06/03/15 HASSAKIS & HASSAKIS 476 15WC 30753 MARIN, SILVIA ADDUS HEALTH CARE 09/09/15 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 477 15WC 30773 SERRATO, IRMA ASSEMBLY UNLIMITED 08/05/15 THOMAS LAW 478 15WC 30865 SNYDER, TAYABA DA VITA DIALYSIS 08/25/15 POLANSKY & CICHON CHTD 479 15WC 30890 TAYLOR, KEVIN JEWEL FOODS 06/08/15 BOUDREAU NISIVACO LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 480 15WC 31087 SMITH, PAMELA UPS 08/23/14 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 481 15WC 31166 JIMENEZ, ZUYIN ESCARPITA CONSTRUCTION CO 08/03/15 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 482 15WC 31192 WASHINGTON, MARY INTEGRATED MEDICAL SERVIC 09/03/15 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 483 15WC 31242 PRICE, DARRELL SOUTHWEST AIRLINES 03/27/14 RONALDSON & KUCHLER HENNESSY & ROACH PC 484 15WC 31498 RABBANI, AKON YELLOW CAB 07/11/15 LAW OFFICE RYAN ROSENTHAL 485 15WC 31666 SMITH, SHERELLE DHL EXPRESS 09/21/15 PETER D CORTI LAW GROUP HENNESSY & ROACH PC 486 15WC 31702 ANGELETTI, ANTHONY CITY OF CHICAGO 09/21/15 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 487 15WC 31797 KRISHNAN, KAVITHA N. UNIVERSITY OF ILLINOIS 07/23/15 FIGLIOLI, DAVID 488 15WC 31804 VAZQUEZ, ANTHONY CITY OF CHICAGO 09/15/15 SANDMAN LEVY & PETRICH CITY OF CHICAGO 489 15WC 31889 FRAZIER, ELMER STAFFING ADVANTAGE, LLC 09/14/15 GOLDSTEIN AIOSSA & GOOD 490 15WC 31972 ROBLES, RAMON HENRY DELIVERS, INC. 05/16/14 EPSTEIN, JACK R LAW OFFICE 491 15WC 32001 WRAZIEN, DEBRA A PLANET FITNESS 09/13/15 DAVID W MARTAY 492 15WC 32040 TISDALE, ROBERT CITY CARBONIC GAS 09/04/15 RIDGE & DOWNES 493 15WC 32058 ALVAREZ, MARISOL METRO STAFF INC 09/26/15 STEIN & CHERNEY LTD FRANCIS J DISCIPIO LAW OFFIC 494 15WC 32142 ZUBEK, JANINA ABM JANITORIAL 09/03/15 DEPAOLO ZADEIKIS GORE BRADY CONNOLLY & MASUDA PC 16WC013756 -C 16WC013757 -C 495 15WC 32155 NAVARRO, SALVADOR NAPOLES MVP STAFFING 09/18/15 ENCINAS & ORNELAS 496 15WC 32207 ZOLINA, BABY LEXGTON HLTH CARE CTR SCH 08/02/15 HETHERINGTON KARPEL BOBBER 497 15WC 32236 MARTINEZ, RAFAEL O MOTERREY SECURITY CONSULT 09/13/15 VRDOLYAK LAW GROUP LLC MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 498 15WC 32251 CASTELLANOS, GUDELIA INDUSTRIAL BUSINESS 01/06/15 ANKIN LAW OFFICE HENNESSY & ROACH PC 499 15WC 32354 BAKKE, LEONARD JR AAA RENTAL SYSTEM 08/13/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 500 15WC 32754 ROBINSON, BRIAN FACILITY & GROUNDS 07/03/15 ROBERT A. WILSON HOLECEK & ASSOCIATES 501 15WC 37945 BUSH, SHERRIE CTA 11/23/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 502 15WC 38138 GEORGES, KEVIN AMERICAN ACCESS INSURANCE 07/06/15 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES OF EDWARD J. KOZ 503 15WC 39786 ZUNIGA, JOEL EL MILAGRO 11/24/15 ELFENBAUM EVERS & AMARILIO 504 15WC 40990 WHITE, ESSIE CATHOLIC CHARITIES 11/02/15 JAMES J BURKE LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 505 15WC 41037 MORALES, ANGEL CLEARSTAFF, INC 11/28/15 DEPAOLO ZADEIKIS GORE ACCIDENT FUND HOLDINGS 506 15WC 41079 HOLLAND, EDWARD UNITED RENTALS 03/03/14 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 15WC041080 -C 507 15WC 41109 COLEMAN, NICOLE CTA 07/14/15 RUBIN LAW GROUP CHICAGO TRANSIT AUTHORITY 508 15WC 41177 SANCHEZ, DANIEL CARNICERIA JIMINEZ 11/15/15 LAW OFFICES OF ANSELMO DUR RUSIN & MACIOROWSKI LTD 509 15WC 41246 OBIEDO, JOSE DOUGLAS & COMPANY LLC 09/18/15 MARC J SHUMAN & ASSOCIATES 510 15WC 41375 OWENS, JOHN C AMERICAN AIRLINES- ENVOY 09/19/15 FIGLIOLI, DAVID GAROFALO SCHREIBER STORM 511 15WC 41415 SHANAHAN, MICHAEL JEWEL FOOD STORES 10/20/15 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 512 15WC 41603 STANFORD, LAVENDER CHICAGO TRANSIT AUTHORITY 10/28/15 WITTENBERG DOUGHERTY MAGLI CHICAGO TRANSIT AUTHORITY 513 15WC 41630 DIMIC, JAVORKA ABLE BUILDING MAINT. CO. 06/18/15 DWORKIN AND MACIARIELLO GRANT & FANNING 514 15WC 41685 NOGUEZ, HERMILA PACTIV CORP 09/13/15 GOLDSTEIN BENDER & ROMANOF 515 15WC 41722 PHILLIPS-GAMBLE, ROSALYN UNITED AIRLINES, INC. 07/01/15 BRIAN J MC MANUS & ASSOC,

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 516 15WC 41792 PEREZ, ALEJANDRO DIAMOND ELECTRIC CO INC 10/10/15 CHEPOV & SCOTT LLC NYHAN BAMBRICK KINZIE & LOWR 517 15WC 41842 STACKEN, BRODERICK ARCHWAY REFRIGERATION W 01/04/13 RHONDA L WALKER 518 15WC 41872 PONCE, RITA H. ANN & ROBERT LURIE CHILDR 10/28/15 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 519 15WC 41915 CADENILLAS, ELBA SGA YOUTH FAMILY SERVICES 09/22/15 EFTEKHARI LAW OFFICES 520 15WC 41962 FLORES, JUAN RMC RESOURCE MANAGEMENT 07/24/15 RUBIN MACHADO ROSENBLUM HENNESSY & ROACH PC 521 15WC 42030 FUSCO, LAURIE OAK LAWN PARK DISTRICT 12/11/15 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 522 15WC 42063 AVILEZ, VICTOR MACCARB INC 05/10/15 CUDA LAW OFFICES 523 15WC 42126 GONNIGAN, HOSEA ADVOCATE TRINITY HOSPITAL 06/28/14 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 524 15WC 42220 JAMA, MOHAMUD MIKHALIA CABS FIVE INC 11/17/15 HUNER LAW OFFICES LLC 525 15WC 42369 RESTO, LONNIE CONFESSOR REXAM BEVERAGE CAN AMERIC 11/12/15 COLLISON & O'CONNOR SPIEGEL & CAHILL, PC 526 15WC 42510 TATOSIAN, BAYKAR WILMETTE AUTO CARE, INC. 12/18/15 GOLDBERG WEISMAN & CAIRO L 527 15WC 42678 SANI, ABOURAHMAN M CITY SERVICE CAB CO 10/19/15 CORNFIELD & FELDMAN 528 16WC 00026 WASHINGTON, PENNEY WILLIAMS CHRISTIAN DAYCAR 10/26/15 CULLEN HASKINS NICHOLSON 529 16WC 00109 LOPEZ, MARILYN MORTON'S STEAKHOUSE-LANDR 11/02/15 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 530 16WC 00135 SANDOVAL, JOSE M EDSAL MANUFACTURING 07/14/15 LAW OFFICE HUGO ORTIZ SLAVIN & SLAVIN 531 16WC 00146 SHANLEY, JOHN TRANSILWRAP COMPANY, INC 09/11/15 FINE, MARK S LAW OFFICES HENNESSY & ROACH PC 532 16WC 00173 ZEINTEK, MICHAEL JR HD SUPPLY 10/25/15 BOWMAN & CORDAY

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 16WC 07905 JOHNSON, DELIAH CITY OF CHICAGO DEPT OF 07/03/15 HORWITZ HORWITZ & ASSOC 568 16WC 07956 HEIMBERGER, TANYA PSAV PRESENTATION SERVICE 02/02/16 WILLIAM MARTAY BRADY CONNOLLY & MASUDA PC 569 16WC 07973 GRUMAN, ZACHARY ROMEOVILLE POLICE DEPARTM 01/08/16 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 570 16WC 08004 RICO, RICHARD XPO LOGISTICS 01/30/16 LAW OFFICE OF SCOTT B SHAP 571 16WC 08083 WRIGHT, RODNEY O&K AMERICAN CORP 02/20/16 WHITESIDE & GOLDBERG LTD CHILTON YAMBERT PORTER LLP 572 16WC 08113 SALAZAR, DANIEL L T STAFFING INC D/B/A EX 02/29/16 BRIAN J MC MANUS & ASSOC, MC ANDREWS & NORGLE LLC 573 16WC 08142 ORTIZ, SALVADOR MONDELEZ / CHICAGO 02/11/16 RUEDA, IVAN A 574 16WC 08163 WIRTH, JEANETTE M TACO BELL 02/29/16 CULLEN HASKINS NICHOLSON 575 16WC 08188 GARCIA, NERI SAFETY GUARD 12/30/15 STEWART C ORZOFF LAW OFFICES OF EDWARD J. KOZ 16WC008189 -C ANDREW STAFFING 576 16WC 08270 CORDERO, CONSEPCION MCDONALD'S 11/16/15 DISPARTI LAW GROUP PA 577 16WC 08284 RESENDEZ, JULISA H & K DONUTS 03/05/16 CHRISTINE F DAVID COZZI & GOGGIN-WARD 578 16WC 08387 ALVAREZ, OSCAR MENARD, INC HOME OFFICE 01/10/16 WARREN W MARK 579 16WC 08423 SANKSTONE, SHANNON CHICAGO BOARD OF EDUCATIO 09/20/13 JAMES W GREEN, JR 580 16WC 08454 BARTE, MARL MAXICARE THERAPY SVCS 03/02/15 GIAMANCO & OOINK LAW OFFIC KEEFE CAMPBELL & ASSOC LLC 581 16WC 08527 BRACERO, CARLOS B CITY OF CHICAGO 03/11/16 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 582 16WC 08675 SMITH, GEOFFREY TRANSLOGIX CORPORATION 07/23/13 STROM, NEAL B COZZI & GOGGIN-WARD 583 16WC 08696 KING-MOORE, NADINE EXPRESS JET AIRLINES 10/26/15 RANDALL A. WOLFF & ASSOC 584 16WC 08791 VAZQUEZ, MIROSLAVA CPS 02/25/16 LAW OFFICES TIMOTHY HENDER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 585 16WC 08815 POWELL, CHRISTIAN JOHN H. STROGER, JR. HOSP 01/06/16 STEPHAN L. HOFFMAN STATES ATTORNEY OF COOK COUN 586 16WC 08832 SEARS, WILLIAM E III MIKE HAGGERTY BUICK GMC 02/13/16 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 587 16WC 08878 KING, CRYSTAL D PACE SUBURBAN BUSES 02/20/16 VITELL & SPITZ LTD SLAVIN & SLAVIN 588 16WC 08916 DESANTIS, ROCCO BREDEMANN CHEVROLET 06/24/15 CAPRON & AVGERINOS PC HOLECEK & ASSOCIATES 589 16WC 08976 ISIDORO, GERARDA HYATT CHICAGO MAGNIFICENT 06/30/13 HART & DAVID LLP 590 16WC 08981 RIPA, DEBORAH MOLECULAR IMAGING 10/31/15 THERMAN LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 591 16WC 09075 HORBAL, JOSEPH #1 CLEANING SERVICE 09/28/13 TAMVAKIS, GEORGE L 592 16WC 09124 O'NEAL, JEANETTE CHICAGO PUBLIC SCHOOLS 03/15/16 KP LAW LLC 593 16WC 09149 ROBERTS, MICHAEL ILLINOIS TOLLWAY AUTHORIT 04/17/14 CUDA LAW OFFICES GANAN & SHAPIRO 594 16WC 09159 RUMBAUGH, CATHERINE S CLINICAL COMPUTER 09/14/14 KRISIK, DENNIS J LTD 595 16WC 09201 HERNANDEZ, CARLOS B UNITED AIRLINES, INC. 02/12/16 ANESI OZMON RODIN NOVAK KO 596 16WC 09257 PARKER, DYUMA COMCAST 03/18/16 MANDELL, GREGG SPIEGEL & CAHILL, PC 597 16WC 09297 RAGSDALE, DAVID DR. PEPPER SNAPPLE GROUP 02/08/16 STEVEN J MALMAN & ASSOCIAT SMITH AMUNDSEN LLC 598 16WC 09378 BORRERO, CARLOS CHICAGO BAOARD OF EDUCATI 09/08/15 CAPRON & AVGERINOS PC 599 16WC 09397 MCAFEE, LEONARD DENTON LOGISTICS, INC. 11/03/15 SALK, STEVEN B & ASSOC LTD JAMES M KELLY 600 16WC 09417 WORKMAN, HARRY ENTECH FABRICATIONS 10/21/15 LANNON LANNON & BARR LTD 601 16WC 09498 CHAVARRY, ALFREDO W TOWN OF CICERO 12/18/15 KOSIN LAW OFFICE LTD DEL GALDO LAW GROUP LLP 602 16WC 09525 NUTER, STEVE METROPOLITAN LIMOUSINE 12/16/13 HORWITZ HORWITZ & ASSOC RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 16WC 09547 VARGAS ROCHA, EFRAIN VICCINO'S PIZZA 09/13/15 SALVATO & O'TOOLE 604 16WC 09578 WELLS, JOHN STEPP EQUIPMENT 03/24/15 CHADWICK & LAKERDAS 605 16WC 09659 STERLING, DORA L. AMERICAN AIRLINES 11/05/15 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 606 16WC 09702 ABDI, ABDILLAHI CARMELO CAB CORP 02/17/16 HUNER LAW OFFICES LLC 607 16WC 09723 MUNOZ, TAMAYO CONTOUR SAWS, INC. 04/01/15 ANKIN LAW OFFICE 608 16WC 09741 SCHNEIDER, ROMELLE YELLOW ROADWAY CORP. # 01/22/16 JASINSKI, GEORGE J 609 16WC 09750 JONES, SHAMARI LYDIA HEALTH CARE 02/25/16 DWORKIN AND MACIARIELLO 610 16WC 09767 VILLAGRANA, JESUS ATLAS RESTORATION , LLC. 12/15/15 DOUGLAS RALLO PC HENNESSY & ROACH PC 611 16WC 09825 SEXTON, MARICEL ADDOLORATA VILLA 12/14/15 RANDALL A. WOLFF & ASSOC 612 16WC 09848 HERNANDEZ, GLORIA FRAUSTO NEAT&CLEAN JANITORIAL SER 11/24/15 NEWLAND & NEWLAND 613 16WC 09937 CORTES, NORMA EF CLEANING SERVICES CORP 02/11/16 CUSHING LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 614 16WC 10024 BARRAZA, JOSE NATHAN LINN & SONS INC 01/19/16 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 615 16WC 10050 WILLIAMS, JD TAYLOR FARMS 03/20/16 LAW OFFICES TIMOTHY HENDER RODDY LAW LTD 616 16WC 10088 JACKSON, OCTAVIA C STATE OF IL DEPT OF HS JO @ 03/21/16 VITELL & SPITZ LTD COLIN KICKLIGHTER 617 16WC 10225 HUDSON, WILLIAM WE O'NEIL CONSTRUCTION CO 12/04/15 HORWITZ HORWITZ & ASSOC PAUL A COGHLAN & ASSOC 618 16WC 10266 RAHMAN, IMRAN PROGENITY INC. 02/09/16 KARLIN FLEISHER & FALKENBE 619 16WC 10293 CATLIN, NICOLE IKEA 12/28/15 DWORKIN AND MACIARIELLO MEACHUM & STARCK 620 16WC 10397 SCOTT, CAROLYN CHICAGO PUBLIC SCHOOLS 09/28/15 KARCHMAR & STONE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 621 16WC 10424 MADRIGAL-SANCHEZ, LUVIA A RAYMUNDO FOOD PRODUCTS, I 02/24/15 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 622 16WC 10504 CLARK, FRANK CITY OF CHICAGO 09/24/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 623 16WC 10523 WHITFIELD, KOREY CHICAGO PARK DISTRICT 06/05/13 DWORKIN AND MACIARIELLO 624 16WC 10612 HARRIS, GEORGIA MONDELEZ 04/23/14 DANIEL PERIASWAMY 625 16WC 10634 GRAY, ALICIA FOOD 4 LESS 01/15/16 KROL BONGIORNO & GIVEN LTD 626 16WC 10677 SALINAS, MARIO R LA PREDERIDA, INC 02/24/16 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 627 16WC 11452 HARRIS, ALICIA (DAUGHTER OGLESBY TOWERS, # 03/06/16 DWYER AND COOGAN 628 16WC 17436 IVORY, DELANA COSTCO 05/26/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 629 16WC 17458 MCKNIGHT, RANDY HOME DEPOT 03/28/16 MC HARGUE, JAMES P LAW OFF MC ANDREWS & NORGLE LLC 630 16WC 17622 EVANS, GELAI B. CHICAGO TRANSIT AUTHORITY 06/01/16 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 631 16WC 17711 HOFFMAN, SUSAN LIFESTORAGE OF HARWOOD HE 11/06/15 DWORKIN AND MACIARIELLO 632 16WC 17749 MEDINA, JULIO HABITAT SCATTER SITE 05/19/16 WHITESIDE & GOLDBERG LTD 633 16WC 17768 LAGUNAS DE ENRIQUEZ, ARAC UNITED SERVICE MAINTENANC 10/21/15 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 634 16WC 17792 MARR, JASON E & R TOWING 03/24/14 VASILATOS & COTTER LLC 635 16WC 17911 RAMIREZ, LORENA AMBASSADOR NURSING & REHA 01/26/16 CUSHING LAW OFFICES BRYCE DOWNEY & LENKOV LLC 636 16WC 17936 SAPPINGTON, RICKY JONES LANG LASALLE DEVELO 08/07/14 GOLDBERG WEISMAN & CAIRO L 637 16WC 17959 HARDWICK, ANTHONY JERNBERG INDUSTRIES, LLC 05/18/16 CHRISTINE F DAVID 638 16WC 17975 CANFORA, PATRICK TOTAL MARKETING ASSOCIATE 03/06/15 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 639 16WC 18046 MOTA, BENJAMIN STAGES MUSIC HALL, INC. 10/30/15 LEONARD LAW GROUP LLC 640 16WC 18062 ESCOBAR, JOSE R. HIGHLAND BAKING COMPANY I 04/15/16 ANKIN LAW OFFICE 641 16WC 18085 PEDRAZA, ESTEBAN A.S.G. STAFFING, INC 06/02/16 DWORKIN AND MACIARIELLO FRANCIS J DISCIPIO LAW OFFIC 642 16WC 18116 DORTCH, TOMMY CATCO INC 03/19/14 FINE, MARK S LAW OFFICES GAROFALO SCHREIBER STORM 643 16WC 18150 JORDAN, VIVIAN BLUE CAP 04/12/16 SEIDMAN MARGULIS & FAIRMAN 644 16WC 18169 CARDENAS, CRISTINA CP RANKIN INC 05/18/16 CARRILLO LAW LLC 645 16WC 18187 RIVERA, JUAN MIDWEST CONVERTING, INC 02/04/16 OSVALDO RODRIGUEZ PC 646 16WC 18268 WAY, GEORGE SEARS 06/06/16 NILSON STOOKAL GLEASON CAP 647 16WC 18328 CHANDLER, TRISTAN FORD MOTOR COMPANY 11/27/15 BRISKMAN BRISKMAN GREENBER 648 16WC 18386 FIERRO, OLGA HOLUM & SONS COMPANY, INC 12/22/13 BRIAN J MC MANUS & ASSOC, INMAN & FITZGIBBONS 649 16WC 18428 PATINO, JOSE MOORE LANDSCAPE 07/20/15 EVAN A HUGHES LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 650 16WC 18464 SYLVESTER, DIONYOS AT&T 02/19/16 FOHRMAN, DONALD W & ASSOCS 651 16WC 18484 CORNEJO, HERMAN J DESIGNED EQUIPMENT CORP 09/24/15 CAMERON CLARK SPONSLER BISHOP 652 16WC 18501 DE OCHOA, ANA PEREZ MIRIAM NAVES, IND 07/26/13 RUEDA, IVAN A 653 16WC 18572 ALVAREZ, MARISOL MVP WORKFORCE, LLC 05/03/16 STEIN & CHERNEY LTD GRANT & FANNING 654 16WC 18619 BOYD-PEOPLES, LYNETTE ELITE STAFFING 06/02/15 DWORKIN AND MACIARIELLO 655 16WC 18722 WYRWICKI, MICHAEL E. CITY OF CALUMET CITY 02/20/16 FIGLIOLI, DAVID 656 16WC 18762 YOUNG, KRISTY CITY OF CHICAGO 01/12/15 LEVIN RIBACK LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 657 16WC 18784 MARTINEZ, AMANDA FACTORY MOTOR PARTS 05/26/16 KUMLIN & FROMM LEAHY EISENBERG & FRAENKEL 658 16WC 18847 TENNELL, ADRON ARENA FOOTBALL ONE LLC 05/09/14 GORDON & CENTRACCHIO LLC ADELSON TESTAN & BRUNDO 659 16WC 18897 WEST, JADA ALDI FOODS 06/18/14 MICHAEL P MCCREADY & ASSOC BRADY CONNOLLY & MASUDA PC 660 16WC 18952 VITACCA, RICHARD EAST POINT CONDOMINIUM AS 05/07/15 DWORKIN AND MACIARIELLO 661 16WC 18972 HOLDA, EPISE CHICAGO BOARD OF EDUCATIO 02/26/16 GORDON & CENTRACCHIO LLC 662 16WC 18994 PATEL, NISTHHA TOUCHPOINT SUPPORT SVCS L 01/15/16 LAW OFFICES OF ANSELMO DUR 663 16WC 19015 HERNANDEZ, JOSE TRIMARK MARLIN 04/08/16 SIMS, ZACHARY K PC 664 16WC 19055 MIKA, CZESLAW AM CASTLE & CO 01/08/16 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 665 16WC 19130 JACKSON, MONEEKA CITY OF CHICAGO STREETS & 06/13/16 WILLIAM MARTAY CITY OF CHICAGO 666 16WC 19165 HERNANDEZ-ANGULO BIO STAR FILMS, LLC 06/28/15 SALK, STEVEN B & ASSOC LTD 667 16WC 19195 PIERRE, FRANTZ LABOR READY STAFFING 06/16/16 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 668 16WC 19216 RECCORD, EVER BLOMMER CHOCOLATE CO 03/28/16 KUMLIN & FROMM 669 16WC 19255 MOORE, MICHAEL DISH NETWORK 06/10/16 COYNE REINKE LAW 670 16WC 19280 ANDERSON, RONNIE MEYER INDUSTRIAL CONTAINE 05/09/16 ROBIN LAW OFFICE 671 16WC 19319 VARA-QUEVEDO, JOSE DOMING WOODMARK, LLC 06/14/16 SALK, STEVEN B & ASSOC LTD ACCIDENT FUND HOLDINGS 672 16WC 19472 DEARTH, ALLEN T LAWDOG SECURITY & INVEST 10/06/15 O'CONNOR & NAKOS QUINTAIROS PRIETO WOOD & BOY 673 16WC 19500 BRASLAVSKY, STELLA UPS 04/12/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 674 16WC 19538 STEVENS, CRAIG UPS 10/22/15 JOHNSON, MICHAEL D & ASSOC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 675 16WC 19688 ALBA, MARIA DE JESUS METROSTAFF INC 04/06/16 RUBIN MACHADO ROSENBLUM FRANCIS J DISCIPIO LAW OFFIC 676 16WC 19768 SMITH, TYRONE CITY OF CHICAGO 05/27/16 DEPAOLO ZADEIKIS GORE 677 16WC 19798 WILLIAMS, LATONYA ADDUS HEALTH CARE 10/20/15 STROM, NEAL B WIEDNER & MCAULIFFE LTD 678 16WC 19832 NEWELL, PHILLIP GREAT LAKES COCA-COLA DIS 05/08/16 CORNFIELD & FELDMAN NYHAN BAMBRICK KINZIE & LOWR 679 16WC 19871 PEHLKE, JAMIE NATIONAL FREIGHT 01/20/16 WOODRUFF & JOHNSON QUINN JOHNSTON HENDERSON ETA 680 16WC 19892 PAREDONES, JUANA RICHARDSON SEATING CORP 05/03/16 BERG & BERG 681 16WC 19919 MOORE, VINCENT THE HABITAT COMPANY, LLC 06/01/16 ROSENFELD HAFRON SHAPIRO F 682 16WC 19982 DAVILA, JOSE A MAINES PAPER AND FOOD 03/08/16 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 683 16WC 20003 SANTIAGO, MICHAEL F UPS 05/20/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 684 16WC 20048 HOLLAND, TIFFANY WHITE LODGING/T.G.I.F. 05/21/16 BLOCK, KLUKAS & MANZELLA P WILSON ELSER 685 16WC 20076 STEPHENS, QUAID LABOR READY-TEMP SERVICE 06/20/16 JOHN C SERKLAND CHILTON YAMBERT PORTER LLP 686 16WC 20156 MANISCALCO, SEBASTIAN M CAST & CREW ENTERTAINMENT 07/18/15 WHITESIDE & GOLDBERG LTD 687 16WC 20182 ORTIZ, LEONEL FONTANINI 05/11/16 JOHN E LUSAK HOLECEK & ASSOCIATES 688 16WC 20214 CEJA, JUAN HANSON MATERIAL SERVICES 07/28/14 RODDY LAW LTD 689 16WC 20250 GUTIERREZ, MARCELINO CITY OF CHICAGO 05/20/16 WILLIAM MARTAY 690 16WC 20300 GANGLER, TIMOTHY LINDAHL BROTHERS INC 06/27/16 SKLARE LAW GROUP MEACHUM & STARCK 691 16WC 20312 SHAKO, ANGELE DEL MATTINO MONTESSORI SC 12/14/15 STEVEN J TENZER, LTD 692 16WC 20335 FUGH, LAURION GREYHOUND 02/27/15 RUBIN MACHADO ROSENBLUM BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 693 16WC 20365 SALINAS-PEREZ, ADRIANA RIBBON WEBBING CORP 06/21/16 MINKOW DOMIN 694 16WC 20434 SLEXANDER, TIFFANY GCA SEVICE GROUP 06/15/16 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 695 16WC 20477 MATTHEWS JR, BARRICK THE HABITAT CO 06/18/16 PERRY M LAKS LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 696 16WC 20511 SIMS, RITHA CITY OF CHGO STREETS & SA 06/21/16 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 697 16WC 20534 DANIELS, SYLVESTER SPECIALIZED STAFFING 05/10/16 R. MARK MARITOTE PC SLAVIN & SLAVIN 698 16WC 20569 CORNELIUS, LESTER PARAGON SYSTEMS INC 06/06/16 HUGHES SOCOL PIERS RESNICK HENNESSY & ROACH PC 699 16WC 20630 MOYADO, MARIA BOX FORM INC 05/25/16 SALVATO & O'TOOLE 700 16WC 20661 BROWN, MASHELL LOYOLA MEDICAL UNIV CENTE 07/03/16 DWORKIN AND MACIARIELLO 701 16WC 20716 MICKEY, SABRA LARABIDA CHILDREN'S HOSPI 08/12/14 CIFELLI SCREMENTI & DORE ANCEL GLINK DIAMOND BUSH & E 702 16WC 20742 BLANTON, AKIN AMERICAN AIRLINES 06/24/16 FRIEDMAN & SOLMOR LTD 703 16WC 20782 ACOSTA, SENIA HARVARD MAINTENANCE INC 02/10/16 CHARLES J. GALE PC 704 16WC 20805 MCDONALD, MICHELLE HILLSIDE ACADEMY EAST 03/08/16 DAVID W MARTAY 705 16WC 20823 AVINA, MARTHA C LOES COH OPERATING CO LLC 04/01/16 ANKIN LAW OFFICE MEACHUM & STARCK 706 16WC 20843 EISENHAUER, BRIAN CITY OF CHICAGO 11/09/15 JOHN TREPEL & ASSOC CITY OF CHICAGO 707 16WC 20873 SYLVESTER, YVONNE GERRESHEIMER GLASS 04/05/16 GOLDSTEIN AIOSSA & GOOD RUSIN & MACIOROWSKI LTD 708 16WC 20918 DELGADO, ALICIA BURGER KING 01/07/14 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 709 16WC 20935 KOTRBA, EDWARD UNITED AIRLINES 06/05/16 KARCHMAR & STONE 710 16WC 21066 YANOKE, GEORGE J./MARLENE EDWARDS STEEL/HERITAGE ST # 04/27/16 BRISKMAN BRISKMAN GREENBER STELLATO & SCHWARTZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 16WC 23740 BENAVIDES, LESTER CITY OF CHICAGO-CITY FINA 03/02/16 WILLIAM MARTAY CITY OF CHICAGO 712 16WC 25290 ROBINSON, VERONICA UPS 03/16/16 KATZ FRIEDMAN EAGLE ET AL ASA LAW GROUP 713 16WC 26581 PERTEET, LINDA CITY OF CHICAGO 08/03/15 ROMANEK & ROMANEK 714 16WC 26630 HOUSTON, IVORY L. CTA-CHICAGO TRANSIT AUTHO 07/27/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 715 16WC 26671 KRAUSE, MICHAEL N. UNITED AIRLINES, INC. 02/03/16 RICHARD E ALEKSY 716 16WC 26940 RIBOUL, RICHARD UNITED AIRLINES 08/02/16 WILLIAM MARTAY 717 16WC 26988 KOKU, FRANK CHICAGO TAXI LEASING INC. 08/27/16 LAW OFFICES TIMOTHY HENDER 718 16WC 27011 ESCOBAR, JORGE PREFERRED FREEZER SERVICE 06/23/16 DEPAOLO ZADEIKIS GORE 719 16WC 27039 RILEY, DEBRA RUSH HOSPITAL 08/13/16 LEONARD LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 720 16WC 27369 SMITH-WARD, JESSICA SYNERGY HUMAN RESOURCES 08/24/16 CHEPOV & SCOTT LLC KNELL & O'CONNOR 721 16WC 27411 RUIZ, RAMON STAFFING NETWORK 12/18/13 JAMES ELLIS GUMBINER & ASS 722 16WC 27424 COOPER, LINDA COOK-DUPAGE TRANSPORTATIO 07/18/16 STEVEN J MALMAN & ASSOCIAT 723 16WC 27650 VARGAS, MELODY NORTHWESTERN MEMORIAL HOS 04/25/16 LAW OFFICE OF KEVIN O'BRIE HENNESSY & ROACH PC 724 16WC 27810 SALAZER, JOHN A UPS 08/01/16 LEONARD LAW GROUP LLC ASA LAW GROUP 725 16WC 27888 ROJAS, PAULO CITY OF CHICAGO DEPT OF 03/29/16 ANKIN LAW OFFICE 726 16WC 27917 HAYLES, NAOMI HEALTH CARE PLUS 07/22/16 CHEPOV & SCOTT LLC 727 16WC 27918 HAYLES, NAOMI HEALTH CARE PLUS 08/26/15 CHEPOV & SCOTT LLC 728 16WC 27948 ANDRE, STEPHANIE UNITED AIRLIENS, INC 06/15/16 BRIAN J MC MANUS & ASSOC,

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 16WC 27972 DWYER, THOMAS CITY OF CHICAGO 05/24/16 ROSS TYRRELL 730 16WC 27998 JONES, XAVIER COOK COUNTY JUVENILE DETE 07/07/16 COSTA IVONE LLC STATES ATTORNEY OF COOK COUN 731 16WC 28008 AGUILAR, ROBERT CITY OF CHICAGO 07/18/16 WILLIAM MARTAY CITY OF CHICAGO 732 16WC 28084 CASTILLO, JOHANN NIELSON CO US LLC 09/04/16 DWORKIN AND MACIARIELLO ALLEN & NEWMAN 733 16WC 28134 SANTIAGO, DIEGO ACCURATE AUTO CARSTAR 03/03/16 ARGIONIS & ASSOCIATES LLC 734 16WC 28212 GUILLEN, JORGE VALOR TECHNOLOGIES 07/18/16 FRIEND LEVINSON & BERGAL MC ANDREWS & NORGLE LLC 735 16WC 28259 MUNOZ, PABLO JR K-MART 07/12/16 ROSENFELD HAFRON SHAPIRO F 736 16WC 28320 BATEMON, SUSAN ABF FREIGHT SYSTEMS INC 09/02/16 KARCHMAR & STONE 737 16WC 28344 STANTON, DANIELLE WALLYPARK 08/11/16 DWORKIN AND MACIARIELLO 738 16WC 28406 HARRIS, IESHA ABM INDUSTRIES INCORPORAT 08/16/16 GOLDBERG WEISMAN & CAIRO L 739 16WC 28417 MARTINEZ, JUAN BRANDONISIO & CO 09/08/16 LAW OFFICE DAVID W CLARK RODDY LAW LTD 740 16WC 28434 SMITH, VOYDRA FRESENIUS MEDICAL CARE 09/09/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 741 16WC 28478 IRBY, ARNETTA OPEN ARMS SOLUTIONS 06/12/16 DAVID W MARTAY GAROFALO SCHREIBER STORM 742 16WC 28503 ROGERS, LATRINA COOK COUNTY JUVENILE 07/20/16 RUBENS AND KRESS STATES ATTORNEY OF COOK COUN 743 16WC 28525 ROMAN, JUDITH SHERATON HOTEL 08/14/16 JOHN S. ELIASIK COZZI & GOGGIN-WARD 744 16WC 28558 SOBCZAK, BOGDAN US XPRESS INC 07/05/16 ANKIN LAW OFFICE MCANANY VANCLEVE & PHILLIPS 745 16WC 28593 ANDERSEN, BRITTANY LEXINGTON HEALTH CARE 08/22/16 LEO ALT 746 16WC 28625 GRIFFIN, TERRANCE DAKKOTA INTEGRATED SYSTEM 09/06/16 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 747 16WC 28646 ADAMS, JOANN PEPSICO 06/29/16 ROMANUCCI & BLANDIN INMAN & FITZGIBBONS 748 16WC 28697 SALAZAR, RUBEN CITY OF CHICAGO- STREETS 09/12/16 TAMVAKIS, GEORGE L CITY OF CHICAGO 749 16WC 28712 ROSAS, ANA MARIA SKYLINE FURNITURE 10/29/15 PETER D CORTI LAW GROUP 750 16WC 28733 TOWNES, WILLIE SOUTHWEST AIRLINES 08/09/16 KROL BONGIORNO & GIVEN LTD 751 16WC 28761 LUNKINS, ELAINE CITY OF CHICAGO 08/11/16 WILLIAM MARTAY 752 16WC 28789 CONYERS, SHENITA GLEN ST ANDERW LIVING 07/18/16 SIGMOND, STEVEN 753 16WC 28843 SYVYK, IGOR TALALAJ TRANSPORTATION, I @ W 08/10/16 ALEKSY BELCHER 754 16WC 28865 WATSON, ERIN COOK COUNTY DEPT OF CORRE 08/19/16 RUBIN LAW GROUP STATES ATTORNEY OF COOK COUN 755 16WC 28896 BAILEY-ROPPOLO, JENNIFER PALOS COMMUNITY HOSPITAL 07/11/16 DWYER AND COOGAN POWER & CRONIN LTD 756 16WC 28919 PULLOS, PATEI MIDWAY MOVING & STORAGE I 05/06/16 LAW OFFICES MICHAEL G. MIL 757 16WC 28925 KOSTELYK, JASON J&T COMTEMPORARY HOMES, L 03/02/16 MURPHY & MURPHY 758 16WC 28961 NAZAIRE, JUNIA GLENBROOK HOSPITAL- 07/06/16 DWORKIN AND MACIARIELLO 759 16WC 28992 OCAMPO, QUIRINO CARLOS JUST AUTO REPAIR & BODY S 09/01/16 ENCINAS & ORNELAS 760 16WC 29025 ARTIS, RAMONA MCDONALD'S/BUCKLEY MGMT 07/11/16 SEIDMAN MARGULIS & FAIRMAN 761 16WC 29048 MIKLUSAK, LINDA WORLD'S FINEST CHOCOLATE 07/25/16 ANKIN LAW OFFICE 762 16WC 29097 JOHNSON, ROBERT L HMD TRUCKING, INC 04/24/14 GOLDBERG WEISMAN & CAIRO L MCANANY VANCLEVE & PHILLIPS 763 16WC 29188 HOPPENRATH, THOMAS UNITED PARCEL SERVICE 09/07/16 KUMLIN & FROMM ASA LAW GROUP 764 16WC 29200 MAGANA, CARLOS UNIVISION COMMUNICATIONS 07/18/15 JONATHAN SCHLACK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 765 16WC 29226 VEGA, DANIEL BUSINESS OFFICE SYSTEMS I 09/07/16 GREGORIO & MARCO 766 16WC 29280 CLOWERS, DALE ALPHA BAKING COMPANY 01/14/16 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 767 16WC 29296 WALTON, THADDEUS D MIDWAY MOVING & STORAGE I 09/22/16 ANKIN LAW OFFICE 768 16WC 29333 PETERSON, ROBERT PACIFIC RAIL SERVICE 08/29/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 769 16WC 29374 PIMENTEL, MARIA G M- BLOCK & SONS 06/28/16 GOLDSTEIN BENDER & ROMANOF 770 16WC 29403 ANGULO DE IBARRA, ALMA Y LABOR NETWORK 08/27/16 GOLDSTEIN BENDER & ROMANOF 771 16WC 29418 DOTSON, EVELYN JW MARRIOTT 04/06/14 CHARLES J. GALE PC GANAN & SHAPIRO 772 16WC 29438 BOSTIC, JON CHICAGO BEARS FOOTBALL CL 12/15/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 16WC029439 -C 773 16WC 29462 SANTOS, FRANCISCO GROUNDS KEEPER LANDSCAPE 09/14/16 CHEPOV & SCOTT LLC RODDY LAW LTD 774 16WC 29472 VILLALOBOS, JAIME ACCURATE PERFORATING 05/21/15 BAUM RUFFOLO & MARZAL LTD LITCHFIELD CAVO 775 16WC 29526 MENDOZA, NENANCY DAKKOTA INTEGRATED SYSTEM 09/19/16 KATZ FRIEDMAN EAGLE ET AL 776 16WC 29565 PITTS, QUINTON FIREFIN POKE SHOP 09/19/16 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 777 16WC 29590 MCKNIGHT, KATHERINE LUDEMAN DEVELOPMENTAL CEN @ 08/12/16 WOODRUFF & JOHNSON COLIN KICKLIGHTER 778 16WC 29609 STANFORD, ALVIN VILLAGE OF OAK PARK 09/20/16 MAURICE E DUSKY PC 779 16WC 29661 SZUDROWICZ, PAUL O'HARE ENGINEERING 09/12/16 TURCYCHUTE LLC WIEDNER & MCAULIFFE LTD 780 16WC 29678 RICO, ROCENDO AZTECA FOODS, INC 01/20/16 GRAZIAN & VOLPE PC 781 16WC 29740 JAMERSON, LLOYD C JR CTA CHICAGO TRANSIT AUTHO 09/21/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 782 16WC 29759 FIELDLER, RICHARD WIDE OPEN WEST 08/02/16 SCOTT BARBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 783 16WC 29869 SANTIAGO, VICTOR CARL BUDDIG & CO 07/19/16 LAW OFFICES PETER LEKAS KNELL & O'CONNOR 784 16WC 29896 KROWN, RYAN GMI RECYCLING SVS 08/18/16 LAW OFFICES OF MARK SCHAFF ROSARIO CIBELLA 785 16WC 29908 ROBINSON, WILLIE TOTAL FACILITY MAINTENANC 08/30/16 LAW OFFICE OF SCOTT B SHAP 786 16WC 29949 ADAMS, REYNAUD CANTINA 1910/UPTPWN MGMT 08/16/16 LANGENDORF, ROBERT A WOLFE & JACOBSON, LTD 787 16WC 29955 RICE, JAQUELINE VICA SOLUTIONS LLC 08/12/15 HANNA VANDER PLOEG LLC 788 16WC 29987 KING, REGINA CLERK OF CIRCUIT COURT OF 05/06/16 NILSON STOOKAL GLEASON CAP STATES ATTORNEY OF COOK COUN 789 16WC 30023 PERALTA, ADAN HOME PRODUCTS INTERNATION 07/04/16 MC HARGUE, JAMES P LAW OFF 790 16WC 30053 CHRISS, DANIEL SOUTHWEST AIRLINES, INC 06/02/16 KARCHMAR & STONE HENNESSY & ROACH PC 791 16WC 30071 SHUMAKER, KAREN ARAMARK FACILITY SERVICES 07/20/16 DEPAOLO ZADEIKIS GORE 792 16WC 30091 ROGERS, HAZEL WALGREENS 1 10/10/15 HANNIGAN & BOTHA, LTD 793 16WC 30110 BLUNT, KEITH FLEXIBLE STAFFING SVCS IN 09/26/16 BERG & BERG 794 16WC 30192 WOLERS, KEVIN CHICAGO TRANSIT AUTHORITY 08/02/16 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 795 16WC 30230 PARKER, MARY UNIVERSITY OF CHGO MEDICA 07/12/16 MARC J SHUMAN & ASSOCIATES 796 16WC 30239 ESPINOZA, LUIS WHOLE FOODS 09/11/16 DEPAOLO ZADEIKIS GORE 797 16WC 30271 AGUILAR, JOSE G COOK COUNTY SHERIFF DEPT 09/12/16 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 798 16WC 30287 OCEGUEDA, JORGE LIQUID TRANSPORT CORP 09/13/16 SALK, STEVEN B & ASSOC LTD 799 16WC 30308 STEWART, RONALD RUSH ENTERPRISES/ 12/11/15 ROSS TYRRELL GAROFALO SCHREIBER STORM 800 16WC 30372 RODRIGUEZ, ERNESTO CORPORATE CLEANING SVC, I 08/14/16 AIOSSA LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 801 16WC 30415 BAKER, EUGENE FLEXSOL PACKING CORP 07/25/16 DISPARTI LAW GROUP PA BRADY CONNOLLY & MASUDA PC 802 16WC 30461 GARCIA, MIKE TOWN OF CICERO 04/16/16 TURCYCHUTE LLC DEL GALDO LAW GROUP LLP 803 16WC 30591 BROWN, SANDRA CITY OF CHGO-DEPT OF AVIA 06/16/16 HEALY SCANLON LAW FIRM 804 16WC 30632 CLUFF, SCOTT W VILLAGE OF WHEELING 01/01/14 THOMAS W DUDA KLEIN THORPE & JENKINS LTD 16WC031391 -C 805 16WC 30684 GALEANA, JOSEFA CLEAR STAFF/MATT PAK 08/24/16 RUEDA, IVAN A 806 16WC 30720 SEVILLA, CRUZ UPS 06/07/16 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 807 16WC 30754 ALVAREZ, ZOILA CASA CENTRAL 12/07/15 RUBIN MACHADO ROSENBLUM 808 16WC 30777 OSUNDA, CHRISTOPHER CHICAGO ELITE CAB CORP 09/26/16 JAMES ELLIS GUMBINER & ASS 809 16WC 30824 BLUMHARDT, DENNIS YRC, INC 09/14/16 PARENTE & NOREM PC HENNESSY & ROACH PC 810 16WC 30845 GRASU, HRONISS CHICAGO BEARS FOOTBALL CL 10/28/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 16WC030846 -C 16WC030847 -C 811 16WC 30854 SANTANA, JOE ELEMENT BARS, INC 03/21/16 GILDEA & COGHLAN 812 16WC 30895 MCCASTER, TAWANDA TENET CONCEPTS, LLC 09/11/16 BRISKMAN BRISKMAN GREENBER 813 16WC 30931 MONTOYA, EMILIO EMPOLYER SOLUTIONS STAFFI 02/26/16 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 814 16WC 31001 LOMELI, BERTHA DAKKOTA INTEGRATED SYSTEM 05/25/16 KATZ FRIEDMAN EAGLE ET AL 815 16WC 33752 KELLY, ROLAND MYSI CORPORATION F/K/A 10/13/16 ROMANUCCI & BLANDIN 816 16WC 34641 ANDERSON, MARIAN SCR TRANSPORTATION 05/20/16 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 817 16WC 35338 ADAMS, MICHELLE ILLINOIS INSTITUE OF TECH * 11/01/16 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 818 16WC 37318 CRNICH, MICHAEL UNIVERSITY OF IL AT CHICA * 07/26/16 RICHARD O. GREENFIELD 819 16WC 37497 QUEEN-THOMAS, BEVERLY BOARD OF EDUCATION * 03/10/16 820 16WC 37571 SCOTT, YVETTE THE ESTATES OF HYDE PARK * 11/09/16 DAVID W MARTAY 821 16WC 37603 COTTON, DANIEL SOUTHWEST AIRLINES * 11/05/16 WILLIAM S. WOJCIK LTD 822 16WC 37656 BRACKENRIDGE, ALEXSHANDRA SCOOBEEZ INC * 10/25/16 ANKIN LAW OFFICE 823 16WC 37673 PATTERSON, ROBIN A STAET OF IL - DHS * 03/25/16 ANKIN LAW OFFICE 824 16WC 37691 LOPEZ, CAROLINA AUTOMATION SYSTEM * 09/01/15 JAUREGUI & ASSOCIATES 825 16WC 37739 CORDERO, MARIA GUADALUPE PORTFOLIO HOTELS AND RESO * 10/31/16 COSTA IVONE LLC 826 16WC 37762 ROWLAND, SEAN PEOPLES GAS * 09/14/14 ELFENBAUM EVERS & AMARILIO 827 16WC 37820 SIMON, RADEK SAK FLOORING CORP * 01/19/16 JONATHAN SCHLACK 828 16WC 37869 DANIEL, ANI/AKA DIAZ, ANI CHICAGO PUBLIC SCHOOLS * 12/29/15 SALK, STEVEN B & ASSOC LTD 829 16WC 37886 HEBRON, HENRY CHICAGO TRANSIT AUTHORITY * 12/12/16 FOHRMAN, DONALD W & ASSOCS 830 16WC 37942 SANTANA, GEORGE BUEDEL MEATS AND PROVISIO * 12/05/16 GRAZIAN & VOLPE PC 831 16WC 37974 GARCIA, MARIO CHICAGO BOARD OF ELECTION * 11/05/16 ANESI OZMON RODIN NOVAK KO 832 16WC 37992 ALVARADO, JULIO A REPUBLIC SERVICES * 08/17/16 GARDI & HAUGHT 833 16WC 38011 BRINEY, MICHAEL AMERICAN AIRLINES * 05/18/16 ELFENBAUM EVERS & AMARILIO 834 16WC 38069 MILLS, TUESDAY A ENVOY AIR INC * 10/27/16 ANKIN LAW OFFICE 835 16WC 38087 BOWMAN, CAROL CHICAGO BOARD OF EDUCATIO * 11/10/16 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 836 16WC 38144 FAH, JONATHON CITY OF CHICAGO * 12/14/16 COVEN LAW GROUP 837 16WC 38151 SAWYER, MELVIN UIC PARKING ENFORCEMENT @ * 11/23/16 KARNO, MARK L & ASSOC 838 16WC 38195 HENSLEY, JEFFERIDA ADVOCATE MEDICAL GROUP * 10/07/16 THOMAS R LICHTEN 839 16WC 38280 GRACEY, CHARLES QUALITY ENERGY * 10/26/16 VASILATOS & COTTER LLC 840 16WC 38303 MCEASTLAND, ANTHONY ZF LEMFORDER * 09/25/16 HORWITZ HORWITZ & ASSOC 841 16WC 38342 GENTILE, ANTHONY DYROS INC * 07/20/16 FRANCIS J DISCIPIO LAW OFF 842 16WC 38381 LIPINSKI, JAMES KIRBY SHEET METAL WORKS, * 11/16/16 GOLDBERG WEISMAN & CAIRO L 843 16WC 38413 ELHALAH, SHARON AMERICAN AIRLINES, INC * 10/03/16 BRIAN J MC MANUS & ASSOC, 844 16WC 38434 WILLIAMS, HELENE TRIBUNE CO * 10/07/16 POMPER & GOODMAN 845 16WC 38463 THUESDEE, PHILLIP M CGS LLC D/B/A LAKEWOOD BO * 12/01/16 ANKIN LAW OFFICE 846 16WC 38500 JOYCE, MICHAEL LAKESIDE MASONRY RESTORAT * 09/27/16 DUDLEY & LAKE LLC BRYCE DOWNEY & LENKOV LLC 847 16WC 38539 SILAJ, PETER IMPERIAL TILE WORK, INC * 11/16/16 THE MACK LAW GROUP PC 848 16WC 38561 PAOLETTI, PAUL CERAMI CONSTRUCTION CO LT * 07/25/16 ACCIDENT FUND HOLDINGS 849 16WC 38602 ROLLINS, DON PACIFIC RAIL SERVICES * 12/06/16 RUBENS AND KRESS 850 16WC 38621 SPINA, STEVEN STATE OF ILLINOIS, ILLINO @ * 11/29/16 LANNON LANNON & BARR LTD 851 16WC 38674 SZALGA, JOHN GRIFFITH LABORATORIE, INC * 03/20/15 GOLDBERG WEISMAN & CAIRO L 852 16WC 38695 STEPHENS, EDWARD J LITTLE CMPNY OF MARY HOSP * 08/21/16 BOUDREAU NISIVACO LLC INMAN & FITZGIBBONS 853 16WC 38709 HORMILLOSA, ROMEO CTA * 12/09/16 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 854 16WC 38786 MLINARCIK, DAVID CAST AND CREW ENTERTAINME * 12/02/16 HEALY SCANLON LAW FIRM 855 16WC 38804 PORTER, DEBYANTE ST OF IL DEPT OF UNIVERSI * 11/30/16 FISHER & LAMONICA 856 16WC 38874 LOVELADY, BRENDA MEIJER * 12/03/16 DAVID W MARTAY 857 16WC 38914 MCLEMORE, TONYA D PROFESSIONAL TRANSPORTATI * 12/18/16 ANKIN LAW OFFICE 858 16WC 38954 DIAZ, GREGORIO AGI * 10/18/16 PATRICIA HARDIMAN LAW OFFI 859 16WC 38974 MAXINEZ, JORGE A LAKESHORE BEVERAGES * 10/10/16 FREDRICK B BARDER, LTD 860 16WC 39024 WASHINGTON, TAMIKA WST SECURITY * 12/12/16 KUMLIN & FROMM 861 16WC 39051 ENGELBERT, ROBERT A CHICAGO TRANSIT AUTHORITY * 02/01/01 O'CONNOR & NAKOS 862 16WC 39059 WEATHERSBY, SHARDAY DOLLAR TREE STORES INC * 12/08/16 ANKIN LAW OFFICE 863 16WC 39074 CARAJOHN, LADY INGALLS MEMORIAL HOSPITAL * 11/25/16 COVEN LAW GROUP 864 16WC 39138 ZILZ, JACK K & S ENGINEERS, INC * 10/03/16 FITZ & TALLON 865 16WC 39195 CLAY, KIMBERLY CHICAGO COMMONS * 12/20/16 DWORKIN AND MACIARIELLO 866 16WC 39223 GUTIERREZ, MARTIN ROSE PACKING COMPANY * 08/09/16 FICHERA & MILLER 867 16WC 39252 KRASTIN, JOHN PEOPLES GAS LIGHT & COKE * 04/05/14 GAROFALO SCHREIBER STORM 868 16WC 39306 SIMMONS, RAMON ELITE STAFFING, INC * 11/18/16 MARSZALEK AND MARSZALEK 869 16WC 39338 RODRIGUEZ, JOSHUA OFFICE FURNITURE INSTALLA * 12/22/16 RONALDSON & KUCHLER 870 16WC 39364 GILLESPIE, TIMOTHY M JEWEL FOOD STORES INC * 11/28/16 BOWMAN & CORDAY 871 16WC 39402 CARUSO, ANTHONY COMMUNITY HONDA * 12/06/16 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 02/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 872 16WC 39427 CAHILL, KIRK J CITY OF CALUMET - FIRE DE * 08/20/16 FIGLIOLI, DAVID 873 16WC 39483 GUERRERO, VERONICA FLEXIBLE STAFFING SVCS * 07/22/15 THE ROMAKER LAW FIRM 874 17WC 00014 PEREZ, ADRIEAN JEWEL/OSCO FOOD STORES * 12/11/16 GOLDBERG WEISMAN & CAIRO L 875 17WC 00037 PERRY, DONALD CTA * 08/10/16 DEPAOLO ZADEIKIS GORE 876 17WC 00070 KULAR, JOSEPH EDE CORPORATION * 05/12/15 GANAN & SHAPIRO 877 17WC 00130 ROBLES, ENRIQUE A SOUTHWEST AIRLINES CO * 11/09/16 LAW OFFICE TIMOTHY DEFFET 878 17WC 00157 HALLSTROM, MARK DEMCO MECHANICAL SVCS, IN * 09/20/16 GREGORIO & MARCO 879 17WC 00171 SANCHEZ, MAURO SECURITAS SECURITY * 12/15/16 ANKIN LAW OFFICE 880 17WC 00201 WARE, WILLIAM A PETE'S FRESH MARKET * 08/17/16 PERRY M LAKS LAW OFFICE 881 17WC 00262 CARLIN, JASON UNITED PARCEL SERVICE * 12/13/16 COVEN LAW GROUP 882 17WC 00289 ZILZ, ROGER D PRECISION CONTROL SYSTEMS * 03/11/16 COZZI & GOGGIN-WARD 883 17WC 00318 DAVIS, RODNEY PROSHRED * 10/28/16 MEYERS & FLOWERS 884 17WC 00370 GANJI, EHSAN SOHO HOUSE CHICAGO * 12/28/16 BAUM RUFFOLO & MARZAL LTD 885 17WC 00514 TETNOWSKI, ANDRZEJ DANNY'S CONSTRUCTION GROU * 07/30/14 HETHERINGTON KARPEL BOBBER