ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 20690 RUTECKI, JOHN EDWARD SCOTSMAN ICE SYSTEMS 03/18/98 STEVEN J SEIDMAN LAW OFFIC COZZI & GOGGIN-WARD 2 06WC 27848 KIMURA, HEATHER L ABBOTT LABORATORIES, 09/08/05 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 06WC027849 -C 06WC052113 -C 3 06WC 51831 JASSO JR, MAURO TOWNSHIP HIGH SCHOOL DIST 08/01/05 NEWLAND & NEWLAND & NEWLAN SCOPELITIS GARVIN LIGHT 06WC051871 -C 07WC027823 -C 13WC001894 -C 13WC001895 -C 4 07WC 19527 STALLINGS, STEVE G H&H HOMES TESTING 06/25/06 VITELL & SPITZ LTD NYHAN BAMBRICK KINZIE & LOWR 5 07WC 27873 JONES, SOLOMON W BEST BUY 05/14/07 THOMAS R LICHTEN INMAN & FITZGIBBONS 09WC030568 -C 13WC042071 -C 6 07WC 55813 MEDINA, FERNANDO RENT A CENTER, INC 04/03/07 LINN & CAMPE LTD GILDEA, COGHLAN & REGAN LTD. 07WC056025 -C 07WC056480 -C 7 08WC 05039 GOLLAY, JACQUELINE ST OF IL DEPARTMENT OF @ 01/11/08 CULLEN, HASKINS, NICHOLSON ASSISTANT ATTORNEY GENERAL 8 08WC 15587 KORMANY, KRISTINA, FOR ES A TECH STUCCO EIFS CO W 03/19/07 JAMES M RIDGE LAW OFFICE 9 09WC 06127 JONES, KIMBERLY STATE OF ILLINOIS @ 11/24/06 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 11WC038535 -C 10 09WC 23830 19B FERNANDEZ CARRENO, JOSE FETCO 10/10/06 HANNIGAN & BOTHA, LTD LORENZ & BERGIN PC 11 09WC 28235 KANE, JOAN ALDI 06/15/09 LEE A CAMPBELL LAW OFFICE BRADY CONNOLLY & MASUDA PC 15WC001145 -C 12 10WC 35557 ORTIZ, OCTAVIO CITY OF HIGHLAND PARK 05/01/08 BAUM RUFFOLO & MARZAL LTD POWER & CRONIN LTD 10WC035558 -C 11WC028676 -C 11WC034477 -C 13 10WC 38048 VELAZQUEZ, JOSE MATILDE N C & M RECYCLING INC 07/16/10 KATZ FRIEDMAN EAGLE ET AL STONE & JOHNSON CHARTERED 10WC038049 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 11WC 04165 ILLANA, MARILU WMS GAMING 11/12/10 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 15 12WC 22143 ORTIZ, CATALINA PARKER HANNIFIN CORP 04/24/12 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 13WC029622 -C 16 12WC 27487 ORTIZ, MANUEL ARCHITERRA @ W 03/30/12 SOSTRIN AND SOSTRIN PC MATTHEW LICAVOLI 17 13WC 06065 ROLDAN, ALBERTO UNISTAFF INC 01/18/13 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 18 13WC 10066 GIBSON, MICHAEL ECHELON CORPORATION 06/06/08 NEWLAND & NEWLAND WIEDNER & MCAULIFFE LTD 19 13WC 11058 MACHUCA, MARTHA HAAPENEN BROTHERS 02/27/13 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 20 13WC 15153 SLOVAK, TIMOTHY ILLINOIS MASONRY 01/19/12 NEWLAND & NEWLAND STONE & JOHNSON CHARTERED 21 13WC 15876 KRASOWSKI, JACK TERMAX CORP 01/22/13 CHEPOV & SCOTT LLC JOSEPH MARCINIAK 22 13WC 19602 THOMAS, KATHLEEN MARIO TRICOCI HAIR SALONS 12/13/12 BOWMAN & CORDAY COZZI & GOGGIN-WARD 14WC015601 -C 23 13WC 26206 CRONIN, JASON ARROW PLUMBING 10/11/12 HANNIGAN & BOTHA, LTD ANCEL GLINK DIAMOND BUSH & E 18WC019233 -C LAKE COOK PLUMBING SERVICE 24 13WC 31972 BRAN, CARLOS CARLOS BRAN REMODELING 10/09/12 LINN, CAMPE & RIZZO LTD 25 13WC 40740 ERGISH, HEATHER LINCOLNSHIRE MARRIOTT RES 12/04/11 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 26 14WC 00252 KROPP, CLARENCE E KILDEER POLICE DEPT 12/07/13 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 27 14WC 03883 CARON, CRAIG ST OF IL DEPT TRANSPORTAT 01/25/14 GRAHAN J. JEEP ASSISTANT ATTORNEY GENERAL 28 14WC 04889 YOUNG, TONJUA LAKESIDE TRANSPORTATION 11/07/13 SEIDMAN MARGULIS & FAIRMAN GALLIANI DOELL & COZZI LTD 29 14WC 07338 PADGETT, DENNIS ABBVIE 02/11/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 30 14WC 10000 FLETCHER WILSON, WANIKEE ANN KILEY DEVELOPMENTAL C 02/18/14 BAUM RUFFOLO & MARZAL LTD ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 14WC 10514 WILLEMS, TIMOTHY J JELLY BELLY CANDY COMPANY 02/13/12 NEWLAND & NEWLAND LAW OFFICE OF LAWRENCE COZZI 32 14WC 17293 RIVERA, JANIE DARLENE LAKE COUNTY SHERIFF DEPT 04/18/14 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 33 14WC 24167 BLOOM, MICHAEL J GREATER ROUND LAKE FIRE 08/26/13 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 34 14WC 24348 SCHULTZ, DANIELLE M GROVE AT THE LAKE INC 06/06/14 LINN, CAMPE & RIZZO LTD KEEFE CAMPBELL & ASSOC LLC 35 14WC 28363 PODLESH, ADAM CHICAGO BEARS FOOTBALL CL 04/10/13 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 15WC007751 -C 36 14WC 31711 WALTZE, JOHN TOWNSHIP HIGH SCHOOL 09/06/14 MARK SCHAFFNER NYHAN BAMBRICK KINZIE & LOWR 37 14WC 34145 HUERTA, MARIA L WEALSHIRE 09/18/14 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 38 14WC 34398 BRENNER, DIANA JEWEL FOOD STORES 07/27/14 PETER C KOPOULOS BRADY CONNOLLY & MASUDA PC 17WC015232 -C 39 14WC 37676 MC LEAN, WILLIAM JASON INC. 07/31/14 HANNIGAN & BOTHA, LTD COZZI & GOGGIN-WARD 15WC023815 -C METALEX 15WC033478 -C 40 14WC 38496 BUSTAMANTE, EVERARDO LOGAN GRAPHIC PRODUCTS 08/12/14 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 41 14WC 38552 19B MAYER, GREGORY SLEEPYS LLC 01/22/14 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 42 15WC 04482 MANGINI, ROBERTA PHILLY G'S, LTD 12/31/14 NEWLAND & NEWLAND RUSIN & MACIOROWSKI LTD 18WC030530 -C ATLAS STAFFING 43 15WC 05712 BURNS, CHARLOTTE RTC D/B/A 02/09/15 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD 44 15WC 08416 MACHUCA, MARTHA HAAPENEN BROTHERS 02/17/15 MC HARGUE & JONES ROSARIO CIBELLA 45 15WC 09944 SILVA-MORALES, GABRIEL LEIDER'S PRAIRIE VIEW GAR 03/21/15 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 46 15WC 16622 HERNANDEZ, JUAN MVP STAFFING, INC 05/04/15 CULLEN HASKINS NICHOLSON KOREY RICHARDSON LLC 47 15WC 17343 TORRES, MARIA GARDEN FRESH MARKET & STA W 05/11/15 MARKS INJURY LAW KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 48 15WC 18966 VINAS, MARIA T. COUNTY OF LAKE 03/18/15 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 49 15WC 20959 ECHEVARRIA, DOEL WAUKEGAN PUBLIC SCHOOL 09/12/14 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 15WC020960 -C 15WC039020 -C 50 15WC 24664 AMBROCIO, ANA MARIA MVP 04/18/15 JOHN S. ELIASIK KOREY RICHARDSON LLC 51 15WC 25149 MICHALOWSKI, TIMOTHY A FED EX 11/24/14 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 52 15WC 26662 OCHOA, MARIA G. COLEMAN CABLE - SOUTHWIRE 04/20/15 LINN, CAMPE & RIZZO LTD GANAN & SHAPIRO 53 15WC 26663 SIMMONS, RENITA L. COMMUNITY H. S. DISTRICT 01/28/15 LINN, CAMPE & RIZZO LTD BRYCE DOWNEY & LENKOV LLC 54 15WC 26667 ODISHOO, ANN M. LEARN CHARTER SCHOOL NETW 02/11/15 LINN, CAMPE & RIZZO LTD LAW OFFICES JOSEPH MARCINIAK 55 15WC 26883 RAMIREZ, WILBER PHOENIX LOCAL MOVERS W 07/13/15 JOHN S. ELIASIK 56 15WC 26946 GEZZER, ROBERT J COBBLESTONE OVENS INC 12/22/14 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 57 15WC 29211 BODNAR, ANDRII TOWER COMMUNICATIONS EXPE 08/16/15 NEWLAND & NEWLAND KRAKER FANNING & OLSEN 58 15WC 29775 RAMIREZ, ROSA V MEDLINE INDUSTRIES 07/23/07 JONATHAN SCHLACK GAROFALO SCHREIBER STORM GRA 15WC029776 -C 59 15WC 32225 VAZQUEZ, RUBEN WEISS DEVELOPMENT CORP. 01/06/14 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 60 15WC 32789 WHITE, KEVIN CHICAGO BEARS FOOTBALL CL 06/15/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 18WC021210 -C 18WC021211 -C 18WC021212 -C 61 15WC 34414 HIDALGO, MAYELI XCEL STAFFING 09/17/15 MC HARGUE & JONES KOREY RICHARDSON LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 62 15WC 35395 MILLER, THOMAS GOLAN'S MOVING STORAGE 09/16/15 LEONARD LAW GROUP LLC ROBERT L. SMITH 15WC035396 -C 63 15WC 36826 ROBINSON, BRYANT ENVIROMENTAL HAZARD CONTR 08/19/15 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 64 15WC 37139 GALLARDO, ELENA HOLIDAY INN EXPRESS 08/14/15 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 65 15WC 39716 VALESCO, RAFAEL GLENBROOK GROUP INC 10/17/15 EPSTEIN, JACK R LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 66 15WC 42005 GIRON, DORA D&W FINE PACK 12/05/15 BAUM RUFFOLO & MARZAL LTD GRANT & FANNING 16WC012205 -C 67 15WC 42267 LENCZUK, KATHIE MARIANO'S 06/05/15 CHEPOV & SCOTT LLC BRYCE DOWNEY & LENKOV LLC 68 16WC 02366 VELASCO, JAVIER SELECT REMEDY 05/19/15 JOHN S. ELIASIK LEAHY EISENBERG & FRAENKEL 69 16WC 03212 BUTLER, WANDA FREEDOM HOME HEALTH CARE 11/16/15 JONATHAN SCHLACK GALLIANI DOELL & COZZI LTD 70 16WC 03526 MEDINA, ROBERT ALERIS, INTERNATIONAL 11/25/15 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 71 16WC 04237 JOLLY, CORETTA LAKESIDE TRANSPORTATION 01/04/16 WOODRUFF & JOHNSON GALLIANI DOELL & COZZI LTD 72 16WC 05826 REED, SUSAN AON CORP 02/26/13 ADELSON TESTAN BRUNDO 73 16WC 07574 GOMEZ, KIMBERLY THE MAIDS OF LAKE COUNTY 05/24/13 COHN & COHN BRADY CONNOLLY & MASUDA PC 74 16WC 07646 NUNEZ REYES, EDGAR PERSONNEL STAFFING GROUP, 02/25/16 KOREY RICHARDSON LLC 75 16WC 08082 LAYBURN, JAMES TOSHIBA BUSINESS SOLUTION 12/11/15 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 76 16WC 08846 FLORES, ENRIQUE ROBERTO LABOR SOLUTIONS, INC. 07/06/15 PETER LEKAS MC ANDREWS & NORGLE LLC 77 16WC 09006 MILLER, RICKY AMERIGAS PROPANE, INC. 12/24/15 FRANKS, GERKIN & MCKENNA P WIEDNER & MCAULIFFE LTD 78 16WC 09538 KELLY, DAVID B GYPSUM EXPRESS, LTD 01/18/16 RICHARD O. GREENFIELD INMAN & FITZGIBBONS 79 16WC 10133 PERNICE, DEBORAH J PRO SOURCE WHOLESALE FLOO 01/30/15 GORDON & CENTRACCHIO LLC COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 16WC 10672 PITA, JUANA L ESIS 03/08/16 DEPAOLO ZADEIKIS GORE BRYCE DOWNEY & LENKOV LLC 81 16WC 11229 MORALES, DELIA ANDREWS STAFFING 03/15/16 GOLDSTEIN BENDER & ROMANOF SLAVIN & SLAVIN 82 16WC 11328 CHAPMAN, MARY NORTHSHORE UNIV HEALTHCAR 10/28/15 SCOTT BARBER KEEFE CAMPBELL & ASSOC LLC 83 16WC 13798 GASIENICA, DANIEL WILLIAMS, CONSTRUCTION & 04/04/16 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM GRA 84 16WC 13978 HAHLE, JAMES P ROUNDY'S INC 04/16/16 TAMVAKIS, GEORGE L BRYCE DOWNEY & LENKOV LLC 85 16WC 15685 ROTHMAN, RANDEE JEWEL OSCO 03/31/16 STROM, NEAL B EVANS & DIXON 86 16WC 16469 FLAX, CINDY THE BON TON STORES, INC 01/15/16 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 16WC016998 -C 87 16WC 18153 SCOTT, VINCENT NEW BERN TRANSPORT CORPOR 04/08/14 LEWIS & DAVIDSON, LTD GAIDO & FINTZEN 16WC018154 -C 88 16WC 19104 RIVERA, NORMA HORIZON WINDOW FASHIONS 03/13/16 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 89 16WC 20539 SEIVERT, DEBRA CVS HEALTH 09/15/15 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 90 16WC 21130 RUNDE, MARILYN COLLEGE OF LAKE COUNTY 02/07/13 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM GRA 91 16WC 21941 WEIS, MARIANNE MARIANO'S 05/27/16 SMOLER LAW OFFICE, PC BRYCE DOWNEY & LENKOV LLC 18WC023041 -C AMAZON 92 16WC 22432 LOCKE, GILBERT L WALMART 05/09/15 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 93 16WC 23955 NAVARRETE, YOLANDA ELITE STAFFING 07/21/16 MC HARGUE & JONES MARC CAIRO 94 16WC 24240 MALDONADO, HORTENSIA ECHO INCORPORATED @ 02/11/16 LAW OFFICE OF SCOTT B SHAP WOLF LAW LTD 95 16WC 24948 FLOWERS, JONTELLE S COMMUNITY ACTION PARTNERS 08/03/16 TOPPER & WEISS LTD 96 16WC 25188 SCHWAB, CAROL WAUKEGAN PUBLIC SCHOOL 08/18/15 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 97 16WC 25639 CYCHOSZ, MICHELLE BELLWOOD INDUSTRIAL, INC 10/09/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 98 16WC 26938 LYNN, MICHAEL HOME DEPOT 07/02/16 TAMVAKIS, GEORGE L ADELSON TESTAN BRUNDO 99 16WC 27176 PALMER, RAYMOND GDI SERVICES 06/27/16 VRDOLYAK LAW GROUP LLC COZZI & GOGGIN-WARD 100 16WC 28075 MALDONADO, NELSON NORTHFIELD BLOCK COMPANY 05/10/16 HART & DAVID LLP COZZI & GOGGIN-WARD 101 16WC 28127 CARRILLO, IRENE ELITE LABOR SERVICES, LTD 06/30/16 DUDLEY & LAKE LLC GAROFALO SCHREIBER STORM GRA 102 16WC 28335 BAEZ, IRMAL LAKE COUNTY HEATH DEPT 06/20/16 COSTA IVONE LLC SMITH AMUNDSEN LLC 103 16WC 28443 ESCOBAR-MEDINA, JOSE SIGMA SERVICES CORP 06/20/16 SOSTRIN AND SOSTRIN PC ACCIDENT FUND HOLDINGS 18WC010779 -C 104 16WC 28523 AMBROCIO, ANA MARIA MVP 08/03/16 JOHN S. ELIASIK 105 16WC 30599 ALMAZAN, LUCIA ELITE STAFFING INC 07/13/16 MARKS INJURY LAW 106 16WC 31351 ORTIZ-GOMEZ, MARIE S MCDONALD'S 05/02/15 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 107 16WC 31677 VINIKOOR, CHERYL NORTHSHORE UNIVERSITY 07/26/16 ROBIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 108 16WC 32711 HALL, DARLENE, ADMIN FOR JONES LANG LASALLE 10/10/16 NEWLAND & NEWLAND 109 16WC 34168 LOPEZ-AGUILERA, ROGELIO WAUKEGAN STEEL, LLC 09/14/16 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 110 16WC 34504 COLLINS, MARIAN STATE OF ILLINOIS - ANN K @ 06/29/16 BAUM RUFFOLO & MARZAL LTD ILLINOIS ATTORNEY GENERAL 111 16WC 34806 DOTEN, PATRICIA A RAVINIA FESTIVAL ASSOCIAT 08/07/14 SHELDON I MINKOW & ASSOCIA CAPUANI, FRANK S 112 16WC 35369 CASTRO, JOSE WEST ROCK 12/08/15 LINN, CAMPE & RIZZO LTD 113 16WC 35787 MOLIDOR, SANDRA J VILLAGE OF ROUND LAKE BEA 06/16/16 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 114 16WC 35788 MOLIDOR, SANDRA J VILLAGE OF ROUND LAKE BEA 06/17/16 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 115 16WC 36413 HERNANDEZ, FELIPA ANDREWS STAFFING 11/13/16 JONATHAN SCHLACK SLAVIN & SLAVIN 116 16WC 36595 ELLIOTT, HEATHER HEARTLAND BANK AND TRUST 02/04/16 DEPAOLO & ZADEIKIS COZZI & GOGGIN-WARD 117 16WC 37320 MELENDEZ, CARMEN STATE OF IL & ANN KILEY C @ 10/21/16 BAUM RUFFOLO & MARZAL LTD ILLINOIS ATTORNEY GENERAL 118 16WC 37727 CURLES, DEAN SIX FLAGS GREAT AMERICA 10/22/15 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 119 16WC 38678 VAZQUEZ, RUBEN WEISS DEVELOPMENT CORP 01/15/14 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 120 16WC 38795 SMITH, CATHY JEWEL OSCO 10/15/15 LEO M. BLEIMAN & ASSOC WIEDNER & MCAULIFFE LTD 18WC009271 -C 121 16WC 39076 LISS, VALERIE A VILLAGE OF ROUND LAKE 09/02/16 STROM, NEAL B RUSIN & MACIOROWSKI LTD 122 16WC 39379 WOOD, DAWN QUORUM HEALTHCARE 11/03/16 TAMVAKIS, GEORGE L POWER & CRONIN LTD 123 17WC 00005 FLORES, ANA XCEL PERSONNEL 11/20/16 COSTA IVONE LLC GILDEA & COGHLAN 124 17WC 00384 ALONSO, ORALLA ANDREWS STAFFING 12/19/16 EPSTEIN, JACK R LAW OFFICE SLAVIN & SLAVIN 125 17WC 00942 NEJMAN, SHARON M CRAIG BERGMANN 10/07/16 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 126 17WC 02146 19B KLEICH, JASON C GM SIGN, INC 07/26/16 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 127 17WC 02161 REIMHOLZ, CANDICE ATHLETICO OF GRAYSLAKE, L 11/10/16 MARKHAM M JEEP & ASSOCIATE LAW OFFICES OF EDWARD J. KOZ 128 17WC 02291 ASLETT, WILLIAM BURGER EXCAVATION 10/24/16 SCOTT B SHAPIRO WOLFE & JACOBSON, LTD 129 17WC 03864 CAPPELLO, ARON KOBAC 09/20/16 TAMVAKIS, GEORGE L BORGELT POWELL 130 17WC 03974 VEGA, LEOBARDO VAN ZELST, INC 05/12/14 GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 131 17WC 04077 CHAVEZ, ANTIOCO EMBERS 11/04/16 KATZ FRIEDMAN EAGLE ET AL 132 17WC 04530 JONES, JUDITH RENTOKIL NORTH AMERICA 06/20/16 JAMES P. TUTAJ INMAN & FITZGIBBONS 17WC017981 -C 133 17WC 05701 VIEYRA, JORGE WAUKEGAN STEEL 12/20/16 ENCINAS & ORNELAS POWER & CRONIN LTD 134 17WC 06313 HERRERA, ANA Y SURESTAFFING INC LOANING 02/06/17 SALK, STEVEN B & ASSOC LTD SURE-STAFF 135 17WC 06380 OGDEN, JOANNE NORTHWESTERN LAKE FOREST 05/12/15 MARKS INJURY LAW NYHAN BAMBRICK KINZIE & LOWR 136 17WC 07101 MCMAHON, JAMES MEDLINE INDUSTRIES 10/25/16 ROBBINS & ROBBINS LTD GAROFALO SCHREIBER STORM GRA 137 17WC 07676 VLADIVIAS, NORMA XCEL STAFFING SOLUTIONS 01/18/17 FERRIS THOMPSON & ZWEIG POWER & CRONIN LTD 138 17WC 08182 SIMMONS, RENITA L COMMUNITY HS DIST 117 01/04/17 LINN, CAMPE & RIZZO LTD BRYCE DOWNEY & LENKOV LLC 139 17WC 08802 REYES, BERNARDINO HN PERCISION & TRAVELERS 04/08/14 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 140 17WC 09072 SOSA, NICO TRANE AIR CONDITIONING 03/07/17 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 17WC009073 -C 141 17WC 09290 GRAHOVAC, CLAUDIA X ELITE LABOR SERVICES FABT 03/13/17 COSTA IVONE LLC 142 17WC 09747 LAVRISA, CAROLE PETCO 02/12/17 HANNIGAN & BOTHA, LTD ROSARIO CIBELLA 143 17WC 10188 DWORIANYN, TIMOTHY M AWESOME DYNAMIC TECH SOLU 02/03/17 ROBERT EDENS LAW OFFICES OF EDWARD J. KOZ 144 17WC 10613 BARTH, GEORGE ABLE ENGINEERING 10/01/15 LEO ALT MICHAEL JASPER 145 17WC 11149 KANIA, TERESA M UNITED AIRLINES 09/19/16 LINN, CAMPE & RIZZO LTD 146 17WC 12071 GUERRERO, ROBERT CONCRETE STRUCTURES OF TH 10/25/16 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL & ASSOC LLC 147 17WC 12272 KASHUL, PETER TARGET CORPORATION 05/26/16 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 148 17WC 12476 COHEN, HEATHER AON HEWITT 09/12/16 JASON HAUCK BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 149 17WC 12670 LOPEZ-ORTIZ, MIGUEL 5 STAR CONCRETE CONTRACTI 07/25/16 NEWLAND & NEWLAND WIEDNER & MCAULIFFE LTD 150 17WC 12867 BRIGGS, ROBERT M. ITW PASLODE 09/27/16 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 151 17WC 13629 RAMIREZ, JOSE AKA SYNAX, INC 06/16/16 GRAVLIN, MICHAEL J LLC LAW OFFICES JOSEPH MARCINIAK 17WC013630 -C SYNTAX, INC 152 17WC 13904 AYALA, JOSE REFUGIO WOODLAWNS LANDSCAPING CO 04/22/17 JAMES ELLIS GUMBINER & ASS JONATHAN SCHLACK 153 17WC 13915 RICHMOND, SIMONE REAL URBAN BBQ 05/04/17 DWORKIN AND MACIARIELLO GRIFFIN, LORETTA M LAW OFFIC 154 17WC 14169 RICHMOND, LISA MARIANO'S 10/16/16 POLANSKY & CICHON CHTD BRYCE DOWNEY & LENKOV LLC 155 17WC 14360 DELEON, ANAHI LIBERTYVILLE CHEVROLET, I 01/15/15 JASON HAUCK 156 17WC 14625 PYSZKA, HENRYK ITALIAN MARBLE & GRANITE 03/28/17 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON 157 17WC 14678 BEINLICH, MICHAEL W. GB SPRINKLER SYSTEMS, INC 11/09/16 LINN, CAMPE & RIZZO LTD JOSEPH MARCINIAK 158 17WC 15847 DAVID, LAUREN NORTH SHORE 08/03/16 SEIDMAN MARGULIS & FAIRMAN GOLDBERG SEGALLA LLC 17WC015848 -C 159 17WC 16957 LI, GUANGDA HONG KONG CHINESE RESTAUR 06/10/15 JOHN S. ELIASIK 160 17WC 17298 BUNK, STEVEN JEWEL FOOD STORES, INC 01/24/17 FISHER & LAMONICA WIEDNER & MCAULIFFE LTD 161 17WC 17363 WENTZEL, KEVIN PENNY'S REPAIR SVC 04/20/16 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 162 17WC 17624 HUNTER, ROBERT 901 MLK MED MENTUM 06/13/14 163 17WC 17678 EICHELBERGER, CYNTHIA KELSO BURNETT COMPANY 09/18/15 MARKHAM M JEEP & ASSOCIATE CACCHILLO LAW GROUP LLC 164 17WC 17734 JOHNSON, CHARLES ELITE STAFFING I NC 05/25/17 MARKHAM M JEEP & ASSOCIATE GOLDBERG SEGALLA LLC 165 17WC 18324 CAMACHO, JAZMIN MCDONALD'S 02/07/17 CULLEN HASKINS NICHOLSON 166 17WC 18325 CAMACHO, JAZMIN MCDONALD'S 05/23/17 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 167 17WC 18589 OCAMPO, MARIA GUCKENHEIMER 03/17/17 LAW OFFICES MICHAEL HELLMA 168 17WC 18648 CRUZ, EDITH DUNKIN DONUTS 10/08/15 RUEDA, IVAN A 169 17WC 18678 SCHNEIDER, JASON PETER BAKER & SON CO 06/15/17 KARCHMAR & STONE KLAUKE LAW GROUP LLC 170 17WC 20342 KEYFAUVER, JAMES IRVING ELLEFSEN & SONS 06/07/17 POLANSKY & CICHON CHTD JASON HAUCK 171 17WC 20643 CARAWAY, SHERRY COUNCIL FOR JEWISH ELDERL 04/25/17 CHARLES A FANUCCHI LAW OFFICES JOSEPH MARCINIAK 172 17WC 20918 CORONEL, FAVIOLA LA UNION 05/09/17 LARRY FLEISCHER & ASSOCIAT 173 17WC 20947 ALBARRAN, JORGE SMART TEMP,INC 10/20/15 ANTHONY J MAY 174 17WC 21350 MONESTEL, LUIS LACUNA'S TREE SERVICE, IN W 07/15/17 KATZ FRIEDMAN EAGLE ET AL DWORKIN AND MACIARIELLO 175 17WC 21628 19B BALTHAZOR, JAMES QUALITY SAW & SEAL 09/09/16 KROL BONGIORNO & GIVEN LTD QUINTAIROS PRIETO WOOD & BOY 176 17WC 22433 MONTONERA, KATHLYNN JOY ETC PRESCHOOL 07/07/17 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 177 17WC 22793 QUIJADA, RODOLFO MEADE ELECTRIC 07/24/17 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 178 17WC 23231 HERBST, CHARLES W GREENSLATE 07/07/17 SOSTRIN AND SOSTRIN PC LAW OFFICES OF EDWARD J. KOZ 179 17WC 24565 CRUZ DE OCHOA, ANA OHIO MEDICAL, LLC 02/09/17 MARKS INJURY LAW HOLECEK & ASSOCIATES 180 17WC 24591 VAZQUEZ, ANTONIO SURESTAFF, INC 06/22/17 COSTA IVONE LLC LOUIS MUNDY 181 17WC 25058 LANGHORST, DIANE CHICAGO SCENIC STUDIOS 05/07/17 CULLEN HASKINS NICHOLSON 182 17WC 25362 ARENIBAR, MIRANDA STATE OF ILLINOIS/DCFS @ 03/22/17 BARRY STEWART SILVER ASSISTANT ATTORNEY GENERAL 183 17WC 25742 PEREZ, VIRGINIA, GUARDIAN S&J TOWING AND RECOVERY, 03/26/17 MARKS INJURY LAW 184 17WC 26129 OHLSON, RICHARD MCHENRY LIMOUSINE SERVICE 04/20/17 TARADASH LAW OFFICE ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 185 17WC 26347 HALCOM, DAVID WBR ROOFING 08/09/17 GOLDBERG WEISMAN & CAIRO L LAW OFFICES OF EDWARD J. KOZ 186 17WC 26499 MICHELINI, CYNTHIA NORTHSHORE EVANSTON HEALT 07/29/17 ROMANUCCI & BLANDIN KEEFE CAMPBELL BIERY & ASSOC 187 17WC 26901 VALKO, ANDREW CITY OF WAUKEGAN 03/05/15 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 188 17WC 27297 NORMAN, MARY PACE 12/22/16 GRAVLIN, MICHAEL J LLC POWER & CRONIN LTD 189 17WC 27609 FIGUEROA-MALAVE, REINALDO MUELLER LANDSCAPE CO 08/21/17 AIOSSA LAW FIRM JOSEPH MARCINIAK 17WC027610 -C 19WC021259 -C 19WC021260 -C 190 17WC 28333 MUSLIMOVIC, SEFKET CENTRISYS CORPORATION 08/21/17 191 17WC 28422 REBOLLEDO, RICARDO SUPER FRESH MARKET & 08/10/17 DEPAOLO ZADEIKIS GORE 192 17WC 29511 SERZYNSKI, PAUL S LAKE COUNTY: DIVISION OF 05/15/15 HANNIGAN & BOTHA, LTD 193 17WC 29596 OCHOA, MANUEL MARTIN JOHN CO 08/01/17 JONATHAN SCHLACK QUINTAIROS PRIETO WOOD & BOY 17WC029597 -C 194 17WC 29798 LABONNE, JAMES J ZION POLICE DEPT 05/08/15 TARADASH LAW OFFICE RUSIN & MACIOROWSKI LTD 195 17WC 30369 WILLIAMS, CAROL LAKESIDE TRANSPORTATION 03/07/17 COSTA IVONE LLC 196 17WC 30453 BEUCHER, DANIEL VILLAGE OF LINDENHURST 02/02/15 HANNIGAN & BOTHA, LTD 197 17WC 30779 LEVANDOSKI, CYNTHIA HOME OWNERS BARGAIN OUTLE 05/22/17 VOGG, MARK J LAW OFFICE EVANS & DIXON 198 17WC 31091 VUONG, MILAGRO TRANSITIONAL CARE OF 12/07/16 FERRIS THOMPSON & ZWEIG 199 17WC 31094 FUENTES, CORAL ACCURATE PERSONNEL 10/16/17 FERRIS THOMPSON & ZWEIG JOHN T GONNELLA 200 17WC 31235 RICHMOND, SIMONE A PORTILLO'S RESTAURANT 08/05/17 EFTEKHARI LAW OFFICES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 201 17WC 31842 EICHELBERGER, CYNTHIA TITAN ELECTRIC, LLC 08/18/16 MARKHAM M JEEP & ASSOCIATE BRADY CONNOLLY & MASUDA PC 202 17WC 32393 GALLARD (SANCHEZ), EUNICE CHASE PROFESSIONALS 10/09/17 HERRERA LAW CENTER ADELSON TESTAN BRUNDO 203 17WC 33031 PADILLA, JORGE C WESTROCK 09/06/17 POSTERLI, OSCAR SPIEGEL & CAHILL, PC 204 17WC 33110 ZELAYA, MARCOS R.R. ADJUSTING & LOSS MAN W 10/21/17 TIMOTHY CULBERTSON 205 17WC 33122 LUNA, JOSE CESAR M.R.V. LANDSCAPING INC 09/30/17 LARRY FLEISCHER & ASSOCIAT COHN & COHN 206 17WC 33310 ESCOBEDO, SAMUEL ROUND LAKE SCHOOL DISTRIC 10/18/17 CELSO FUENTES JR GOLDBERG SEGALLA LLC 17WC035577 -C 207 17WC 33549 MONROE, GINA ARBY'S-LUNAN CORPORATION 02/06/16 SAUNDERS CONDON & KENNY 208 17WC 34095 JONES, VIRGINIA A CHILD'S PLACE 11/06/15 POLANSKY & CICHON CHTD JOSEPH MARCINIAK 209 17WC 34174 MARTINEZ, ARMANDO EDDIE MERLOT'S RESTAURANT 07/23/17 MC HARGUE & JONES GILDEA, COGHLAN & REGAN LTD. 210 17WC 34419 GONZALES-GOMEZ, ADAN FISHER CONTAINER LLC/ADP 11/03/17 COLLISON LAW OFFICES WIEDNER & MCAULIFFE LTD 211 17WC 35104 DELATORRE, STEVE PIONEER GREENSCAPE INC. 04/17/17 TARADASH LAW OFFICE GILDEA, COGHLAN & REGAN LTD. 212 17WC 35569 BUDAIR, SAM PROSPHERE LTD 11/13/17 COSTA IVONE LLC JOSEPH MARCINIAK 213 17WC 35754 MERCADO, ENRIQUE MEDLINE 11/09/17 MARKS INJURY LAW 214 17WC 35883 CLAUSSEN, DEAN IN THE EST PIZZA HUT 11/22/17 DWORKIN AND MACIARIELLO 215 17WC 36127 RICE, MARLA M ALLIED UNIVERSAL 04/24/17 COHN & COHN GAROFALO SCHREIBER STORM GRA 216 17WC 36327 ROSE, JAMES D BMWC CONSTRUCTORS, INC 10/24/17 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 217 17WC 36486 DUMYAHN, SHELIA ARAMARK 09/09/17 BARRY A KETTER INMAN & FITZGIBBONS 218 17WC 36924 BABIKAN, ELIZABETH UNIQUE FITNESS CONCEPTS, 09/18/17 DUDLEY & LAKE LLC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 219 17WC 36962 REYNA, JOSEPH JR VILLAGE OF VERNON HILLS 10/07/17 LINN, CAMPE & RIZZO LTD EVANS & DIXON 220 17WC 37074 CORONA, CECILIA FIDELITONE INC 04/17/17 LAW OFFICES OF DAVID FREYD FRANCESCA LARSEN 18WC035609 -C 221 17WC 37322 CASTILLO, VICTOR ANDREWS STAFFING 12/04/17 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 222 17WC 37662 TRAGASZ, ROGER MEILNER MECHANICAL SALES 12/15/15 COHN & COHN JOSEPH MARCINIAK 223 17WC 37854 DIONIDO, WANDA ADVOCATE CONDELL MEDICAL 09/25/17 STEWART C ORZOFF NYHAN BAMBRICK KINZIE & LOWR 224 17WC 37940 WARD, SHARON DOVENMUEHLE MORTGAGE INC 10/12/17 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 225 18WC 00732 TAYLOR, ANNETTE GOODWILL INDUSTRIES OF SE 12/22/17 AIOSSA LAW FIRM 226 18WC 00770 HERNANDEZ JR, JOSEPH SAB MOVING LLC 08/16/17 FIGLIOLI, DAVID CHRISTOPHER KREID & ASSOC 227 18WC 00971 HERRERA, EVELIN MEDLINE 03/01/16 JOHN S. ELIASIK GAROFALO SCHREIBER STORM GRA 18WC000972 -C 228 18WC 01007 PASTERNAK, ZYGMUNT RTS EXPRESS, INC # 08/24/17 MICHALSKI & GUBERNAT LAWRENCE COZZI - LAW OFFICES 229 18WC 01219 PAYTON, BRANDON THE ALTERNATIVE SOURCE ME 09/26/17 PAUL F PETERS 230 18WC 01362 CAMPBELL, PATRICE LAKE COUNTY BEHAVIORAL 01/08/18 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 18WC002280 -C 231 18WC 01998 BARTOLI, DAVID VILLAGE OF LAKE ZURICH 10/30/17 232 18WC 02141 SIGALA, JOSE RG CONSTRUCTION 10/24/17 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 233 18WC 02304 POUSSON, RITA GAVIN S MIDDLE SCHOOL DIS 01/23/17 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 234 18WC 02334 JACOBSEN, MARANDA L ADVOCATE HEALTH CARE 03/28/17 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 235 18WC 02559 HARRIS, BRAD ILLINOIS TOLLWAY 01/10/18 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 18WC 02699 FEES, CRAIG K ROBERT KINNUCAN TREE EXPE 11/01/17 TARADASH LAW OFFICE 237 18WC 03075 GARCIA, BERENICE COMMERCIAL CLEANING SYSTE 08/16/17 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 18WC003074 -C BAHENA, MARIA 238 18WC 03216 BORAWSKI, MACIEJ M DENNISON CONSTRUCTION C 01/22/18 239 18WC 03338 GUTIERREZ, EFRAIN MIDWEST FENCE 08/31/16 EAMES LAW GROUP LTD JOSEPH MARCINIAK 240 18WC 03621 STEFO, MICHAEL RMA MECHANICAL, INC. 12/26/17 AIOSSA LAW FIRM 241 18WC 03644 COLE, LATRISHA ILLINOIS DEPT OF HUMAN SV 02/02/16 AIOSSA LAW FIRM KRISTIN LEASIA 242 18WC 03819 COVENTRY, KAITLYN M TORRID, LLC 01/06/18 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 243 18WC 04032 MISPAGEL, RALPH GREAT LAKE PLUMBING & 06/21/17 HEALY SCANLON LAW FIRM GAROFALO SCHREIBER STORM GRA 244 18WC 04163 SOLANO SALGADO, OTILIO BCI ACRYLIC 11/30/17 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 245 18WC 04398 SAWIN, PATRICIA ANN WARREN-NEWPORT PUBLIC 02/28/13 LINN, CAMPE & RIZZO LTD JOSEPH MARCINIAK 246 18WC 04449 JONES, DIONCA LAKE COUNTY SHERIFF'S OFF 01/05/18 HANNIGAN & BOTHA, LTD SMITH AMUNDSEN LLC 247 18WC 04485 JENKS, LARRY THE GRIEVE CORPORATION 01/26/18 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 248 18WC 04598 MARGALIT, NORMAN DESIGN CRAFT INC 02/01/18 COLLISON LAW OFFICES JOSEPH MARCINIAK 249 18WC 04688 RODRIGUEZ, FERNANDO QUALITY CATERING 01/31/18 ANGELINI & ORI LLC 250 18WC 05268 WAHL, MICHAEL T VILLAGE OF ISLAND LAKE 01/16/17 FIGLIOLI, DAVID ANCEL GLINK DIAMOND BUSH & E 251 18WC 06134 SERNA, MANUEL JR. UNISTAFF INC. (LENDING) 12/27/17 HANNIGAN & BOTHA, LTD LITCHFIELD CAVO 252 18WC 06301 ARCUS, JODY COMMUNITY CONSOLIDATED 01/17/18 GRAHAM J. JEEP 253 18WC 06302 ARCUS, JODY COMMUNITY CONSOLIDATED 01/30/18 GRAHAM J. JEEP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 254 18WC 06619 ALLISON, EDWIN P SURE STAFF 07/14/17 LINN, CAMPE & RIZZO LTD LOUIS MUNDY 255 18WC 06882 VASQUEZ, LITA WALMART 04/03/17 QUINTAIROS PRIETO WOOD & BOY 256 18WC 06958 BABNIK, MONICA WAUKEGAN PUBLIC SCHOOLS D 01/17/17 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 257 18WC 07453 BARNES, ALONZO ABBOTT INDUSTRIES 02/05/18 DWORKIN AND MACIARIELLO 258 18WC 07583 ZENAWICK, PAMELA MENARD'S 09/20/17 MC HARGUE & JONES EVANS & DIXON 259 18WC 07676 MOORE, CRAWFORD J LABOR SOLUTIONS 01/25/18 LINN, CAMPE & RIZZO LTD MC ANDREWS & NORGLE LLC 18WC025726 -C 260 18WC 08527 SUAREZ, MARTHA THE VISUAL PAK COMPANIES 12/07/17 MC HARGUE & JONES HOLECEK & ASSOCIATES 261 18WC 08837 MILLER, DAVID EXPRESS EMPLY PROFESSIONA 10/23/17 FERRIS THOMPSON & ZWEIG MC ANDREWS & NORGLE LLC 262 18WC 08941 CRAWFORD, MICHAEL DOUBLE P CORP D/B/A 01/15/18 MARKHAM M JEEP & ASSOCIATE GRIFFIN, LORETTA M LAW OFFIC 263 18WC 09096 MOTINO, EVA ALLSTAFF 03/14/18 AIOSSA LAW FIRM SLAVIN & SLAVIN 264 18WC 09317 CHRISTMAS, ANTHONY M ABBOTT LABORATORIES 12/18/17 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 265 18WC 09337 GANDHI, DHIREN V MORGAN BRONZE PRODUCTS, I 10/18/14 GARDI & HAUGHT 266 18WC 09472 PINEDO, MODESTO ERA TOOL AND MANUFACURING 03/12/18 GOLDBERG WEISMAN & CAIRO L 267 18WC 09701 LEONARD, JAUBOAH LABOR SOLUTIONS 11/03/17 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 268 18WC 09740 CASSIDY, MICHAEL WARREN TOWNSHIP HIGHWAY D 10/16/17 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 269 18WC 10020 ESCOBAR, ELIZABETH HONEYWELL ANALYTICS, INC 03/20/17 DWORKIN AND MACIARIELLO EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 270 18WC 10137 OLKER, JESSICA HOME DEPOT 02/16/18 GOLDBERG WEISMAN & CAIRO L ADELSON TESTAN BRUNDO 271 18WC 10958 BURTON, KASEY VISITING ANGELS INC. 11/06/12 COSTA IVONE LLC WOLFE & JACOBSON, LTD 272 18WC 11298 CERVANTES, GRACIELA WILLIAM FRICK & CO 02/01/18 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 18WC011332 -C 273 18WC 11325 ARIZMENDI, CONSUELO GURNEE SCHOOL DISTRICT 56 04/12/17 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 18WC011347 -C 274 18WC 11346 SANCHEZ, BULMARO CONTRACTORS INC 06/07/17 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 275 18WC 11462 MIKELS, JEFF XPO LOGISTICS 03/22/18 COYNE REINKE LAW RUSIN & MACIOROWSKI LTD 276 18WC 11699 BUSTAMANTE, SYLVIA RON'S STAFFING SERVICE 04/11/18 SANDMAN LEVY & PETRICH 277 18WC 11749 CALLAHAN, ANTHONY M MAKI & ASSOCIATES 07/03/17 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 278 18WC 11801 HOWLETT, PAUL ILLINOIS DEPT OF TRANSPOR 03/26/18 DUDLEY & LAKE LLC KRISTIN LEASIA 279 18WC 12423 GARCIA-GARCIA, URIEL WAUCONDA CAR WASH 02/05/18 SALK, STEVEN B & ASSOC LTD 280 18WC 12609 RODRIGUEZ, NICOLE L ZION ELEMENTARY SCHOOL DI 10/06/17 LINN, CAMPE & RIZZO LTD 281 18WC 12985 KALAHIKI, PAUL LAKEWOOD CARPENTRY SVS, I 05/10/17 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 282 18WC 13363 LANIER, SYLVIA BURLINGTON INC 07/15/17 STEINBERG, POLACEK & GOODM CHILTON YAMBERT PORTER LLP 283 18WC 13757 NOVAK, LEE ADVANCED DISPOSAL 01/18/18 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 284 18WC 13818 ALONSO, AGRIPINA PPC FLEXIBLE PACKAGING LL 04/06/18 GRAUER & KRIEGEL LLC JOSEPH MARCINIAK 285 18WC 13867 SHULL, JACK SHULL PLUMBING 01/23/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 286 18WC 13999 BARNES, PASTY R AON RISH SERVICES CO INC 05/02/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 287 18WC 14206 SALGADO, MARTIN GREG TREYSMAN INC 09/27/17 ROSS TYRRELL SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 288 18WC 14352 MOUSOURAKIS, GEORGIA SMEDBO, INC 09/19/16 ROBERT EDENS 289 18WC 14416 TOCHILHUITL, JOSE ASUNCIO CLARIDGE OPERATIONS LLC 04/11/18 THE ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC 18WC029564 -C 290 18WC 15292 SOTO, FAUSTO LORIG CONSTRUCTION COMPAN 03/17/18 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 19WC031454 -C 291 18WC 15493 VELASCO, STEPHANIE BANFIELD PET HOSPITAL 12/16/17 HANNIGAN & BOTHA, LTD RIPES NELSON BAGGOT KALOBRAT 292 18WC 15544 RUFINO, FRANCISCO ROSBOROUGH PARTNERS INC 05/01/18 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 18WC015545 -C 293 18WC 15568 MORENO, GILBERTO NELS JOHNSON TREE EXPERTS 08/15/17 SOSTRIN AND SOSTRIN PC WOLF LAW LTD 294 18WC 15833 HURTADO, JESUS METAL MANAGEMENT 04/19/18 MARSZALEK AND MARSZALEK LAWRENCE COZZI - LAW OFFICE 295 18WC 16121 SOTO, MARIA CARMEN, WIDOW ROCCO FIORE & SONS, INC # 06/04/15 VOGG, MARK J LAW OFFICE 296 18WC 16215 GOLDA, EWA HONEYWELL ANALYTICS 03/08/17 KARP & ELLIS EVANS & DIXON 297 18WC 16500 GONZALEZ, BERNARDO TEMPEL HOLDINGS INC 11/27/17 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 298 18WC 16739 STANEK, MICHAEL VILLAGE OF LIBERTYVILLE 03/01/18 DUDLEY & LAKE LLC 299 18WC 17062 MIKELS, JEFF XPO LOGISTICS 04/07/16 COYNE REINKE LAW RUSIN & MACIOROWSKI LTD 300 18WC 17367 PETERS, ROBERT D VILLAGE OF LIBERTYVILLE 01/12/17 HANNIGAN & BOTHA, LTD ANCEL GLINK DIAMOND BUSH & E 301 18WC 17678 WITT, SHARI LEXINGTON HEALTHCARE 04/25/18 TARADASH LAW OFFICE 302 18WC 17803 YOUNG, TERENCE IL DEPT OF HUMAN SERVICES 04/26/18 JEROME FOREMAN & ASSOCIATE KRISTIN LEASIA 303 18WC 18126 ARANA, JORGE AMERICAN NATIONAL SPRINKL 11/08/17 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 304 18WC 18391 GALLEGOS, ALMA BAXALTA, INC 10/15/16 POSTERLI, OSCAR BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 305 18WC 18531 VOVILLIA, REBECCA JEWEL OSCO 05/15/18 TAMVAKIS, GEORGE L 306 18WC 19087 MANN, DAVID W JELLY BELLY CANDY INC 12/01/15 LINN, CAMPE & RIZZO LTD LAWRENCE COZZI - LAW OFFICE 18WC019094 -C 18WC019095 -C 18WC019195 -C 307 18WC 19318 LONG, JEFFREY PIEPER ELECTRIC, INC 04/09/18 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 18WC019319 -C 308 18WC 19898 ABSIL, AILEEN LAKE COUNTY HEALTH DEPART 09/12/17 LUSAK AND COBB WOLFE & JACOBSON, LTD 309 18WC 20219 HERNANDEZ, GEORGE DK CONTRACTORS 06/29/18 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS DOLIN, PC 310 18WC 20361 GONZALEZ, ELIGIO COMMERCIAL PLASTICS CO 11/27/17 GERALD CONNOR EDWARD J. KOZEL 311 18WC 20428 DIXON, CHERYL LAKE COUNTY SPECIAL EDUCA 03/02/18 VRDOLYAK LAW GROUP LLC 312 18WC 20596 INFANTE, GUILLERMINA POTBELLY SANDWICH SHOP 08/21/17 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 313 18WC 20978 TURNER, ABIGAIL ABBVIE 01/03/18 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 314 18WC 21043 CRUZ, ANGELICA FRANCISCAN COMMUNITITES I 05/04/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 315 18WC 21254 SLOTTAG, MICHAEL ACE HARDWARE 06/14/18 HANNIGAN & BOTHA, LTD KLAUKE LAW GROUP LLC 316 18WC 21393 SEARCY, ELDARADA SUNRISE SENIOR LIVING 06/07/18 ASHER, RAYMOND L LTD NOBLE & ASSOC 317 18WC 21502 PRINTIS, MARK REVCON CONSTRUCTION CORP 06/21/18 JAMES ELLIS GUMBINER & ASS 318 18WC 21525 ESPARZA, ANTONIO JOSE GONZALEZ LANDSCAPING 08/01/17 JOHN S. ELIASIK STEIN & CHERNY LTD 319 18WC 21759 MURRAY, PATRICK J ABM INDUSTRIES INC 06/30/18 CULLEN HASKINS NICHOLSON ASA LAW GROUP 320 18WC 21941 CLARK, SACRETTA PACE 07/10/18 BRISKMAN BRISKMAN GREENBER 321 18WC 22043 KADLUBOSKI, BRIAN MATTHEWS PROFESSIONAL 02/13/18 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 322 18WC 22281 PLUMLEY, ZOILA R ADVOCATE CONDELL MEDICAL 05/24/18 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 323 18WC 22387 ORTEGA, FROILAN HOMER TREE SERVICE 05/08/18 DUDLEY & LAKE LLC GAIDO & FINTZEN 324 18WC 22490 HERRERA, RAMON MRS. V'S RESTAURANT 05/23/18 COSTA IVONE LLC GANAN & SHAPIRO 325 18WC 22612 KURAS, MICHAEL D SR CIT TRUCKS LLC 06/13/18 SLAVIN & SLAVIN 326 18WC 22812 SESMAS, FRANCISCO COMPLETE BUILDING MAINTEN 06/27/18 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 327 18WC 22931 CORCORAN, SEAN DR PEPPER/SNAPPLE GROUP 04/23/18 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 328 18WC 23087 MURILLO, LUIS WAUKEGAN STEEL SALES INC 09/26/17 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 329 18WC 23506 TEJEDA GARCIA, ARELI ALLSTAFF 06/21/18 ENCINAS & ORNELAS SLAVIN & SLAVIN 330 18WC 23738 PRUITT, VICTOR LABOR SOLUTIONS 04/24/18 MC HARGUE & JONES MC ANDREWS & NORGLE LLC 331 18WC 23953 NADING, KATELIN COMPX SECURITY PRODUCTS 07/19/18 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 332 18WC 24316 PEDROZA, MARIA DEL CARMEN PEAPOD 04/20/18 CHEPOV & SCOTT LLC LITCHFIELD CAVO 333 18WC 24429 FISHMAN, JON VISUAL PAK COMPANY 03/19/18 MARKHAM M JEEP & ASSOCIATE 334 18WC 25051 CULLOTTA, CARMELA HYATT (AIMBRIDGE HOSPITAL 09/03/16 ANKIN LAW OFFICE 335 18WC 25235 JONES, SYLVIA JOHNSON COLLEGE OF LAKE COUNTY 10/15/17 BRISKMAN BRISKMAN GREENBER GAROFALO SCHREIBER STORM GRA 336 18WC 25293 DAVIS, JUDITH ANN JEWEL FOOD STORES, INC 04/29/18 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 337 18WC 25326 BERLINER, KIM HOME DEPOT USA, INC 01/15/18 DEUTSCHMAN, JEFFREY S ADELSON TESTAN BRUNDO 338 18WC 25360 LECHNER, THOMAS J VAN VLISSINGEN AND CO 06/25/16 THOMAS W DUDA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 339 18WC 25572 STOYKOV, STEFAN HUNT MILITARY COMMUNITIES 11/22/17 HORWITZ HORWITZ & ASSOC 340 18WC 25610 JOHNSON, TRACEY ZION ELEMENTARY SCHOOL DI 01/19/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 18WC025611 -C 341 18WC 25665 SANCHEZ, JUAN C RUPRECHT CO 02/15/17 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 342 18WC 25810 KEEFE, MICHELE PEOPLE LINK STAFFING 06/14/18 DWORKIN AND MACIARIELLO WOLF & LAUDICINA LTD 343 18WC 25828 OLSON, MERLIN CONCRETE SOLUTIONS & 06/18/18 DUDLEY & LAKE LLC LAWRENCE COZZI - LAW OFFICE 344 18WC 26259 HERNANDEZ, SANTOS SURE STAFF 07/26/18 MARTIN V KUGIA LOUIS MUNDY 18WC033688 -C 345 18WC 26573 MENDOZA, CARLOS POLY CLIP SYSTEM CORPORAT 02/27/18 KATZ FRIEDMAN EAGLE ET AL EDWARD J. KOZEL 346 18WC 26998 ACOSTA, VALENTIN J&E NURSERY LTD 05/04/18 COSTA IVONE LLC JOSEPH MARCINIAK 347 18WC 27094 VAZQUEZ, MANUEL O SIEMENS INDUSTRY, INC 10/20/17 MARKHAM M JEEP & ASSOCIATE HOLECEK & ASSOCIATES 348 18WC 27266 BUSTOS, AGUEDA BG STAFFING 04/13/18 SLAVIN & SLAVIN 349 18WC 28434 DOMINGUEZ, ADILENE PHARMA LOGISTICS 05/11/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 350 18WC 28489 HALL, DEIONDRE' CHICAGO BEARS FOORBALL CL 08/31/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 18WC028488 -C 351 18WC 28733 SIMS, ROY L ARAMARK, INC. 08/30/18 LINN, CAMPE & RIZZO LTD STONE & JOHNSON CHARTERED 352 18WC 28844 SCHUTTE, NICOLE SUPERIOR AIR-GROUND AMBUL 01/17/18 MARKS INJURY LAW POWER & CRONIN LTD 353 18WC 28919 JONES, BARBARA WAL-MART 08/04/18 MARTIN L GLINK LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 354 18WC 29038 WEINSTOCK, RICHARD KASAB MULTI SERVICE 09/05/18 COLLISON LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 355 18WC 29191 LULICH, THERESA FIRST TRANSIT 08/21/18 TAXMAN POLLOCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 356 18WC 29514 GAGLIARDO, KENNETH J HAYES MECHANICAL INC 11/03/17 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM GRA 357 18WC 29522 VILLAGOMEZ, MARTA LTD COMMODITIES LTD 05/12/15 LINN, CAMPE & RIZZO LTD JOSEPH MARCINIAK 358 18WC 29793 MOSLEY, JEFFREY DORMAKABA 02/21/18 CAPRON & AVGERINOS PC LAWRENCE COZZI - LAW OFFICE 359 18WC 30054 SEARCY, JENNIFER GRAHAM ENTERPRISE INC 08/04/18 VOGG, MARK J LAW OFFICE 360 18WC 30127 GOMEZ, MARCELA FISHER CONTAINER LLC 01/18/17 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 361 18WC 30160 LISSADE, LOUIS ALLIED UNIVERSAL SECURITY 09/19/18 GAROFALO SCHREIBER STORM GRA 362 18WC 30277 MEREDITH, CAMERON CHICAGO BEARS FOOTBALL CL 06/03/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 18WC030278 -C 363 18WC 30680 DUNCAN ROCHELLE M. MANORCARE 07/12/18 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 364 18WC 30698 HUERTA, RAQUEL WALMART 08/14/18 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 365 18WC 30721 JOHNSON, MARVIN THE XCEL GROUP 04/23/13 JAMES ELLIS GUMBINER & ASS HOLECEK & ASSOCIATES 366 18WC 30779 ALEMAN, VICTORIA GRAND STAFFING AGENCY, LL 07/30/18 GOLDSTEIN BENDER & ROMANOF QUINN JOHNSTON HENDERSON ETA 367 18WC 30827 NUNO, JESUS HEATHROW SCIENTIFIC 07/25/17 LEONARD LAW GROUP LLC JOSEPH MARCINIAK 368 18WC 30901 AVALOS CARRASCO, MARIA MA THE SALVATION ARMY 08/31/18 THE ROMAKER LAW FIRM EVANS & DIXON 369 18WC 31011 GARCIA, RUBEN PRECAST, LLC 09/10/18 CUDA LAW OFFICES KEEFE CAMPBELL BIERY & ASSOC 19WC019056 -C 370 18WC 31578 BARAJAS, IGNACIO ROCCO FIRE & SONS, INC 10/04/18 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 371 18WC 31808 FLORES, SANTIAGO PRO BROTHERS MASONRY SERV 10/15/18 GOLDBERG WEISMAN & CAIRO L 372 18WC 32515 MEJIA, MICHAEL GENESIS TECH 08/24/18 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM GRA 373 18WC 33153 COOK, ETHEL AMAZON 07/07/18 BRISKMAN BRISKMAN GREENBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 374 18WC 33194 VILLAREAL, ROSENDO LANDSCAPE CONCEPT MANAGEM 07/10/18 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 375 18WC 33484 SALYER, TAMMY COURIER EXPRESS ONE INC 10/29/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 376 18WC 33578 BAZIANOS, CHRISTINE M MICHAELS STORES, INC 07/26/18 ATSAVES, LOUIS G LTD 377 18WC 33800 RIVAS, JOSE ICP 12/06/17 CULLEN HASKINS NICHOLSON 378 18WC 33913 KURTZ, NICHOLAS ALDI, INC 09/04/18 RITTENBERG BUFFEN BRADY CONNOLLY & MASUDA PC 379 18WC 33935 BANEGAS, LESLIE GUADALUPE LTD COMMODITIES LLC 04/12/16 THE ROMAKER LAW FIRM 18WC037201 -C AMERIMARK FKAL.T.D. 380 18WC 34002 ESCOGIDO, CECILIA MAID BRIGADE 02/01/18 SCOTT B SHAPIRO RUSIN & MACIOROWSKI LTD 18WC034003 -C 381 18WC 34011 CAPEN, KAREN E AMAZON.COM SERVICES INC 10/23/18 CAMERON CLARK WIEDNER & MCAULIFFE LTD 382 18WC 34090 GUTIERREZ, FRANCISCO MARIANI LANDSCAPE 07/30/18 JONATHAN SCHLACK KRAKER FANNING & OLSEN 383 18WC 34252 TREPTOW, JACK CAMPING WORLD 09/14/18 MC HARGUE & JONES 384 18WC 34335 STALLINGS, DALIA WIDW/NXT H & H HOMES TESTING # 09/25/06 VITELL & SPITZ LTD NYHAN BAMBRICK KINZIE & LOWR 385 18WC 34525 LIRA, BRIGIDA KAUFFMAN ENGINEERING INC 09/24/18 KATZ FRIEDMAN EAGLE ET AL 386 18WC 34554 RUIZ, REFUGIO J BRICK PAVING &LANDSCAPI 07/05/18 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 387 18WC 34594 WELLS, KEENAN STAR CREATIONS INC 10/31/18 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 388 18WC 34647 MARTINEZ, FELIX MARIANI LANDSCAPE 08/10/18 KATZ FRIEDMAN EAGLE ET AL KRAKER FANNING & OLSEN 18WC034646 -C 389 18WC 34669 SULLIVAN, RYAN C LINCOLNSHIRE-RIVERWOODS F 08/02/18 THOMAS W DUDA 390 18WC 34717 RIVERA, LUIS KALLE USA, INC 11/01/18 ANGELINI & ORI LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 391 18WC 35045 AMAYA, FERNANDO IHC CONSTRUCTION COMPANIE 11/09/18 GARDI & HAUGHT JOSEPH MARCINIAK 392 18WC 35124 ORTEGA, MARIA JEWEL OSCO 09/12/18 TARADASH LAW OFFICE BRADY CONNOLLY & MASUDA PC 18WC038458 -C NEW ALBERTSON'S, INC/ 393 18WC 35236 WILSON, LUKE THE FOUNTAIN GROUP 06/13/18 DWORKIN AND MACIARIELLO 394 18WC 35752 WRIGHT, DWAYNE FISH LAKE BEACH CAMPING R 09/01/18 HANNIGAN & BOTHA, LTD 395 18WC 35855 WAGNER, MICHAEL BANNER PLUMBING SUPPLY 10/26/18 MORICI FIGLIOLI & ASSOC RUSIN & MACIOROWSKI LTD 396 18WC 35990 BYRNE, WILLIAM P PAQUESI HOME AND GARDENS 11/16/18 HANNIGAN & BOTHA, LTD LAWRENCE COZZI - LAW OFFICE 397 18WC 36017 OLIVER, JAMES R MATT'S COOKIE CO, INC 07/09/18 LINN, CAMPE & RIZZO LTD 398 18WC 36192 GARCIA, ROSALINA MCDONALD'S 11/19/18 COSTA IVONE LLC 399 18WC 36314 SALAMONE, ANGELO KELSO-BURNETT CO 10/30/18 GOLDBERG WEISMAN & CAIRO L CACCHILLO LAW GROUP LLC 400 18WC 36425 KRZAN, ANDRZEJ POWER SOURCE ELECTRIC INC 12/07/18 CUSHING LAW OFFICES LAWRENCE COZZI - LAW OFFICE 401 18WC 36532 BOHNING, KENNETH ABBOTT LABORATORIES 04/16/18 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD 402 18WC 36636 O'HAGAN, BOBBI JO UNITED STATES POSTAL SERV 08/30/17 DAVID J. BAWCUM 403 18WC 36757 WHITESCARVER, DAVID VILLAGE OF LIBERTYVILLE 01/08/18 ROBERT EDENS RUSIN & MACIOROWSKI LTD 18WC036758 -C 404 18WC 36769 CERVANTES, ANTONIO THE FISHER BURTON COMPANY 08/23/18 AIOSSA LAW FIRM 405 18WC 37020 LLOYD, VINCENT J HERTZ DBA DONLEN FLEET MA 06/26/17 BUDIN LAW OFFICES BRYCE DOWNEY & LENKOV LLC 406 18WC 37023 STEVENS, MICHAEL J VILLAGE OF ROUND LAKE 09/25/18 HANNIGAN & BOTHA, LTD 407 18WC 37079 AGUIRRE, BLANCA ELITE STAFFING INC 10/17/18 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 408 18WC 37267 ARCHILA, YARISSA MEDLINE INDUSTRIES INC 10/11/18 AIOSSA LAW FIRM GAROFALO SCHREIBER STORM GRA 409 18WC 37374 DILLON, JERRY SUPERIOR AMBULANCE 02/18/18 VASILATOS & COTTER LLC POWER & CRONIN LTD 19WC000523 -C 410 18WC 37389 AMARO-FERNANDEZ, ALBERTO GOLF VISION MANAGEMENT 08/25/18 THERMAN LAW OFFICES 411 18WC 37476 KUMM, ALICE D NEW ALBERTSON'S INC D/B/A 01/19/18 LINN, CAMPE & RIZZO LTD 412 18WC 37496 JACKSON, MALIK C MALIK C JACKSON 10/17/18 LINN, CAMPE & RIZZO LTD POWER & CRONIN LTD 413 18WC 37526 MILLER, TINA STONEBRIDGE OF GURNEE 07/22/18 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 414 18WC 37562 MILLER, DAVID GURNEE PARK DISTRICT 11/26/18 SEIDMAN MARGULIS & FAIRMAN 415 18WC 37599 GAHAGAN, JAMES J WAUKEGAN PUBLIC SCHOOL DI 11/16/18 ANTHONY J MAY BRADY CONNOLLY & MASUDA PC 416 18WC 37769 SANCHEZ, AZUCENA FOOD FOR THOUGHT CHICAGO 07/25/17 GOLDBERG WEISMAN & CAIRO L LEWIS BRISBOIS BISGAARD 417 18WC 37875 HALVERSON, DAVID W VLGE OF BUFFALO GROVE POL 09/17/18 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 418 18WC 37953 19B PAULIN, SONIA SURESTAFF 05/16/18 LINN, CAMPE & RIZZO LTD LOUIS MUNDY 419 18WC 38221 ZUG, JOHN BURROUGHS INC 11/26/18 KROL BONGIORNO & GIVEN LTD EDWARD J. KOZEL 420 18WC 38322 MCDONAGH, JOHN KINZIE BUILDERS 10/13/18 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 421 18WC 38428 MAUL, DENISE SAFEWAY TRANSPORTATION 11/27/18 JONATHAN SCHLACK GAIDO & FINTZEN 422 19WC 00104 BROWN, SHEILA D MACY'S 12/20/18 HANNIGAN & BOTHA, LTD BRYCE DOWNEY & LENKOV LLC 423 19WC 00153 CAMPBELL, PATRICE L LAKE COUNTY SUBSTANCE ABU 10/28/13 TAMVAKIS, GEORGE L WOLFE & JACOBSON, LTD 424 19WC 00156 CAMBELL, PATRICE L LAKE COUNTY SUBSTANCE ABU 09/05/18 TAMVAKIS, GEORGE L WOLFE & JACOBSON, LTD 425 19WC 00166 DAVILA, GLORYBI BOSTON MARKET 04/16/18 JOHN M BORCIA LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 426 19WC 00236 CRUZ, GILDARDO NAF NAF HOLDINGS, LLC 12/21/17 BERG & BERG HOLECEK & ASSOCIATES 427 19WC 00376 MATA, JUAN ELITE STAFFING 10/01/18 COSTA IVONE LLC 428 19WC 00596 LEWAKOWSKI, KENNETH J MOTOR WERKS OF BARRINGTON 11/18/17 LINN, CAMPE & RIZZO LTD BRYCE DOWNEY & LENKOV LLC 429 19WC 00607 GRAHAM, HEATH A VILLAGE OF GURNEE 07/17/18 LINN, CAMPE & RIZZO LTD 430 19WC 00625 SADDLER, GLENN AMAZON 09/14/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 431 19WC 00803 PAVLOVIC, CHRISTOPHER FACILITY & CONSTRUCTION 10/18/18 KROL BONGIORNO & GIVEN LTD KOPKA, PINKUS DOLIN, PC 432 19WC 01042 BROWN, DAVID GKJ MANAGEMENT CORPORATIO 12/11/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 433 19WC 01066 BLOUGH, JOSHUA PIEPER ELECTRIC INC. DBA 06/04/18 BLEAKNEY & TROIANI KRAKER FANNING & OLSEN 434 19WC 01204 CORDTS, WENDY J MOHAWK ELECTRIC CONSTRUCT 12/19/18 GOLDBERG WEISMAN & CAIRO L 435 19WC 01571 TILIANO, MARIBEL MIDWAY STAFFING 12/28/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 436 19WC 01629 HERNANDEZ, JOSE GOODWILL INDUSTRIES OF 05/13/18 MARKHAM M JEEP & ASSOCIATE HOLECEK & ASSOCIATES 437 19WC 01822 CSORBA, MITCHELL FEDEX GROUND PACKAGE 09/20/18 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 438 19WC 01888 HOUSER, RODNEY SAFCO DENTAL SUPPY CO 01/03/19 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 439 19WC 01946 GRABOWSKI, MARTIN JBE GROUP INC 10/03/18 DEPAOLO & ZADEIKIS QUINN JOHNSTON HENDERSON ETA 440 19WC 01980 RICHEL, KEITH STATE OF ILLINOIS/IDOT @ 06/19/18 KINNALLY FLAHERTY KRENTZ KRISTIN LEASIA 441 19WC 02118 WEISS, DAVID ELECTRICAL OPTIONS, LLC 09/27/18 MARKHAM M JEEP & ASSOCIATE BRADY CONNOLLY & MASUDA PC 442 19WC 02241 TORRES, ROBERTO SALAZAR SPRINGS WINDOW FASHIONS, 01/18/19 COSTA IVONE LLC EVANS & DIXON 443 19WC 02322 NOTARNICOLA, GIOVANNI TGI FRIDAY'S INC 11/21/18 MARKHAM M JEEP & ASSOCIATE LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 444 19WC 02826 BROWLEY, JAMES AT&T 12/27/18 GOLDBERG WEISMAN & CAIRO L 445 19WC 02894 SMITH, BARBARA A PACE 09/04/18 GALLAGHER, DONALD V 446 19WC 02970 SALDANA, ARTURO JR. WAUKEGAN STEEL, LLC 05/08/18 LINN, CAMPE & RIZZO LTD POWER & CRONIN LTD 447 19WC 02984 GIRON, RICARDO HORIZONS WINDOW FASHIONS 07/13/18 DUDLEY & LAKE LLC KRAKER FANNING & OLSEN 448 19WC 03105 LANCASTER, CARINE MILLBURN DISTRICT 24 09/05/18 TARADASH LAW OFFICE 449 19WC 03344 RIOS, YAN CARLOS LEWIS PRODUCE MARKET #2, 01/16/19 POSTERLI, OSCAR KOPKA, PINKUS DOLIN, PC 450 19WC 03439 NUNN, JEREMY STONE WITH STYLE 11/27/18 SCOTT B SHAPIRO 451 19WC 03646 WOODFORLK, ELECTRA CRAWFORD AND COMPANY 01/25/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 452 19WC 03760 CHAPNICK, ALAN S FEDEX EXPRSS 12/14/17 WEISS & WEISS LAW OFFICES 453 19WC 03852 CHRISTENSEN, DAVID JR. CREATIVE MANAGEMENT TECHN 02/01/18 WOLFE & JACOBSON, LTD 454 19WC 03928 MCKNIGHT, SUSAN LAKE COUNTY HEALTH DEPART 08/31/15 TAMVAKIS, GEORGE L WOLFE & JACOBSON, LTD 455 19WC 04008 TAYLOR, MELINDA SOI - ANN KILEY DC @ 08/15/18 CORNFIELD & FELDMAN KRISTIN LEASIA 456 19WC 04072 GOLDEN, NANETTE KENAN ADVANTAGE GROUP INC 09/24/18 LINN, CAMPE & RIZZO LTD INMAN & FITZGIBBONS 457 19WC 04102 WELLS, DAVID ELECTRICAL OPTIONS, LLC 05/31/16 MARKHAM M JEEP & ASSOCIATE BRADY CONNOLLY & MASUDA PC 458 19WC 04422 VALKENAAR, MARK CROWN BUILDING MAINTENANC 01/15/19 NEWLAND & NEWLAND 459 19WC 04476 WINTERS, RAYMOND GOODWILL TALENT BRIDGE 01/18/19 ROBERT WARSASKI HOLECEK & ASSOCIATES 460 19WC 04499 SAINT LOUIS, MILOUS HMS HOST INTERNATIONAL 18 08/31/18 LANNON LANNON & BARR LTD GAIDO & FINTZEN 461 19WC 04662 ORDONEZ, GORGE STRAMPEL SMALL ENGINE REP 10/17/18 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 462 19WC 04768 EAQUIVEL, CARLOS HYDE PARK ELEMENTARY 01/28/19 ANGELINI & ORI LLC BRADY CONNOLLY & MASUDA PC 463 19WC 04864 GARCIA, DANIEL RBD CONSTRUCTION INC. W 10/16/18 MC HARGUE & JONES 464 19WC 05058 LEITH, DENNIS J DEERFIELD MOVING & STORAG 01/17/19 LINN, CAMPE & RIZZO LTD FRIEDRICH LAW LLC 465 19WC 05073 JANKE, JOE SR. GEREMARIE CORP 11/19/18 OWENS & LAUGHLIN LLC INMAN & FITZGIBBONS 466 19WC 05120 AVALOS, FIDEL ALOHA CONSTRUCTION 09/21/18 LINN, CAMPE & RIZZO LTD WOLF & LAUDICINA LTD 467 19WC 05133 MACK, CHARLES STRICKLEN G. TREYSMAN, INC. 08/28/18 COLLISON LAW OFFICES SCOPELITIS GARVIN LIGHT 468 19WC 05633 MONTES, GIOMARA MEDLINE INDUSTRIES, ICN 01/15/19 MARKHAM M JEEP & ASSOCIATE GAROFALO SCHREIBER STORM GRA 469 19WC 05700 WOODSON, ABBY THE LAMBS FARM, INC 01/28/17 TARADASH LAW OFFICE LAWRENCE COZZI - LAW OFFICE 470 19WC 05737 PARKS, ELIJAH EXPRESS SERVICES, INC. 02/20/19 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 471 19WC 05766 FAJARDO, FELIPE MARIANI COMMERCIAL LANDSC 08/16/18 DUDLEY & LAKE LLC KRAKER FANNING & OLSEN 472 19WC 06013 KAROLEWSKI, DENISE NEW ALBERTSON'S INC 01/10/19 MILLON & PESKIN LTD WIEDNER & MCAULIFFE LTD 473 19WC 06020 WASMER, BERNARD A WAUCONDA SD #118 02/04/19 HANNIGAN & BOTHA, LTD 474 19WC 06206 WHITE, SHANICE SILVERSTAR DELIVERY 02/17/19 BRISKMAN BRISKMAN GREENBER 475 19WC 06214 SANCHEZ, GLORIA ELITE STAFFING/ 11/09/17 TAMVAKIS, GEORGE L 476 19WC 06281 FRANKLIN, KATRINA PANERA BREAD FOUNDATION, 11/27/17 ANKIN LAW OFFICE 477 19WC 06541 GOLDEN, CHRISTINE NORTHSHORE UNIVERSITY 01/16/19 MARKS INJURY LAW 478 19WC 06917 DIAZ, ESTANISLAO ARCOS DURABLE PACKING INTERNATI 02/26/19 BAUM RUFFOLO & MARZAL LTD WOLF & LAUDICINA LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 479 19WC 07001 DE ZAVALA, LAURA SBM SITE SERVICES, LLC 01/08/19 POWER & CRONIN LTD 480 19WC 07140 GONZALEZ MARTINEZ, MARIA PEAPOD LLC 02/06/19 STEVEN B SALK & ASSOC LTD LITCHFIELD CAVO 19WC013581 -C 481 19WC 07206 BULZAK, JOSEPH WINDY CITY ROOTER 01/05/19 SEIDMAN MARGULIS & FAIRMAN SPIEGEL & CAHILL, PC 482 19WC 07650 SERZYNSKI, PAUL S LAKE COUNTY DIVISION 01/29/19 HANNIGAN & BOTHA, LTD WOLFE & JACOBSON, LTD 483 19WC 07686 LAWYER, RONNIE P STATE OF ILLINOIS @ 01/13/19 LINN, CAMPE & RIZZO LTD KRISTIN LEASIA 484 19WC 07710 TOVAR, LEONOR SNAP-ON-TOOLS 01/23/19 LINN, CAMPE & RIZZO LTD GILDEA, COGHLAN & REGAN LTD. 485 19WC 07906 TORNINCASA, DOMINIC J METROPOLIAN STEEL 02/21/19 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 486 19WC 08115 SCHEID, BARBARA NORTHSHORE CENTER FOR ORA 03/13/19 HANNIGAN & BOTHA, LTD ACCIDENT FUND HOLDINGS 487 19WC 08182 MCKINNEY, CHARLES FIELDS MASERATI 02/09/19 GOLDBERG WEISMAN & CAIRO L GAIDO & FINTZEN 488 19WC 08403 ANDERSON, DEVERAN ABM JANITORIAL SERVICES 02/26/19 MEYERS & FLOWERS GOLDBERG SEGALLA LLC 489 19WC 08416 LAKE, LEON L VILLAGE OF GURNEE 02/11/19 LINN, CAMPE & RIZZO LTD POWER & CRONIN LTD 490 19WC 08433 KELLY, MICHAEL SHRED-IT 01/29/19 THERMAN LAW OFFICES 491 19WC 08438 ROHLOFF, CHRISTOPHER C CITY OF WAUKEGAN 10/08/18 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 492 19WC 08511 LOFTON, JUSTIN ALERIS LINCOLNSHIRE 03/05/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 493 19WC 08568 MCGEE, MICHELLE 901 TRANSPORT LLC 10/27/17 STRONG LAW OFFICE 494 19WC 08621 HERTA, ARELIA LAKE BEHAVIORAL HOSPITAL 03/10/19 VITELL & SPITZ LTD RUSIN & MACIOROWSKI LTD 495 19WC 08688 RODRIGUEZ, KAREN DOLLAR GENERAL 09/01/18 PETER C KOPOULOS LEAHY EISENBERG & FRAENKEL 496 19WC 08869 MCCLINTON, RHAKIA SUPERIOR AMBULANCE 03/13/19 DWORKIN AND MACIARIELLO POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 497 19WC 09026 ALVARADO, SONIA SCHWEITZER ENGINEERING 08/30/17 EPSTEIN, JACK R LAW OFFICE KRAKER FANNING & OLSEN 498 19WC 09092 JUAREZ, REYNA CONCEPCION MEDLINE 01/11/19 MARKS INJURY LAW GAROFALO SCHREIBER STORM GRA 499 19WC 09139 FISCHER, JAIME STEINMART, INC 11/28/18 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 500 19WC 09289 ALVARADO, SONIA SCHWEITZER ENGINEERING 09/18/18 EPSTEIN, JACK R LAW OFFICE 501 19WC 09674 NAPOLITANO, ROCCO ILLINOIS SECRATARY OF STA 03/06/19 ANESI OZMON RODIN NOVAK KO KRISTIN LEASIA 502 19WC 09778 CAMPOBASSO, STEPHEN LAKE COUNTY SHERIFF'S DEP 02/02/17 MARKHAM M JEEP & ASSOCIATE WOLFE & JACOBSON, LTD 503 19WC 09972 JANCZEWSKA, JANINA NEMERA BUFFALO GROVE, LLC 12/07/18 JAMES MACCHITELLI JOSEPH MARCINIAK 504 19WC 10060 DICKEY, GAIL BELMONT VILLAGE LP 02/07/19 GRAUER & KRIEGEL LLC GAROFALO SCHREIBER STORM GRA 505 19WC 10277 DEROSE, MARIA HEINEN'S OF BANNOCKBURN 02/18/19 HANNIGAN & BOTHA, LTD GILDEA, COGHLAN & REGAN LTD. 506 19WC 10485 KEY, EURYDICE WALMART 04/11/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 507 19WC 10694 ANDERSON, TINA HOLLISTER, INC 03/01/18 DUDLEY & LAKE LLC INMAN & FITZGIBBONS 508 19WC 10854 NISHIBAYASHI, TROY THE TJX COMPANIES, INC. 04/10/16 BRYAN SCOTT WALLOCK 509 19WC 10911 HARDIN, LA JUAN WARREN BARR OF LINCOLNSHI 03/25/19 AIOSSA LAW FIRM BRADY CONNOLLY & MASUDA PC 510 19WC 11004 HOWELL, ALICE WAUKEGAN PUBLIC SCHOOL DI 02/26/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 511 19WC 11133 GOOD, KIMBERLEY GINANCE, INC 01/08/19 THE ROMAKER LAW FIRM KEEFE CAMPBELL BIERY & ASSOC 512 19WC 11248 LONGO, SHARON L JEWEL FOOD STORES, INC 09/02/18 MORICI FIGLIOLI & ASSOC 513 19WC 11359 HERNANDEZ, JOSE J APEX LANDSCAPING, INC 06/14/18 MANUAL CARDENAS & ASSOC RIPES NELSON BAGGOT KALOBRAT 514 19WC 11478 LINARIS, JAMES NORTH SHORE SIGN 01/28/19 LIPKIN & HIGGINS LAW OFFIC EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 515 19WC 11512 WALK, TAMMY GRAND OAKS BEHAVIOUR HEAL 03/02/16 JAMES W GREEN, JR 516 19WC 11556 LOPEZ, GABRIEL ANDREW STAFFING 02/12/17 JONATHAN SCHLACK SLAVIN & SLAVIN 517 19WC 11630 SALGADO, THERESA SLOVAK-AMERICAN 03/20/19 LAWRENCE COZZI - LAW OFFICE 518 19WC 11668 VIEYRA, SANTIAGO G.E. RIDDIFORD COMPANY DB 06/08/18 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM GRA 519 19WC 11736 GIEBLEWICZ, BARBARA WALMART 01/06/19 MEYERS & FLOWERS QUINTAIROS PRIETO WOOD & BOY 520 19WC 11823 LOGAN, CRAIG A ALLEGIS GROUP D/B/A 09/05/18 LINN, CAMPE & RIZZO LTD SPIEGEL & CAHILL, PC 521 19WC 11848 VELA, PATRICIA CONDUIT HR SERVICES 04/12/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 522 19WC 11965 TINO, LUCILA MVP STAFFING, INC 08/01/18 CULLEN HASKINS NICHOLSON 523 19WC 12138 ROMAN, HEATHER ELEVELE 04/04/19 524 19WC 12432 HEMPHILL, PRINSES LAZY DOG RESTAURANT 03/07/19 BAUM RUFFOLO & MARZAL LTD LAWRENCE COZZI - LAW OFFICE 525 19WC 12472 MACIAS, ROSALINDA BEAR DOWN LOGISTICS 10/24/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 526 19WC 12740 CARLOS, JESUS FER- ACOSTA'S LANDSCAPING 10/01/16 CULLEN HASKINS NICHOLSON COZZI & ZAPF LAW OFFICE 527 19WC 12756 KOTROTSIOS, NIKOLAS ALPHA BAKING CO 04/05/19 NEWLAND & NEWLAND 528 19WC 12863 BERNARDY, MARCUS LAKE COUNTY SHERIFF'S OFF 04/25/19 ROMANUCCI & BLANDIN WOLFE & JACOBSON, LTD 529 19WC 13302 DEFRANCO, BOBBY FIRST SUPPLY 01/15/19 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 530 19WC 13381 GERHART, MICHAEL A COOK COUNTY HIGHWAY DEPT 04/15/19 NILSON STOOKAL GLEASON CAP STATES ATTORNEY OF COOK COUN 531 19WC 13487 HOLIDAY, ALBERT 1800 FLOWERS 04/08/19 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 532 19WC 13521 FARFAN, ERICK ZION ELEMENTARY SCHOOL DI 03/19/19 CAPRON & AVGERINOS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 533 19WC 13545 BAIZABAL, NORMA LAKE PARK CENTER 01/03/19 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 534 19WC 13558 REYES, JOSE US RESIDENTIAL GROUP, LLC 12/22/18 NEWLAND & NEWLAND 535 19WC 13812 LUBETKIN, JANET DEERFIELD PARK DISTRICT 04/16/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 536 19WC 13861 CAPLICK, EVA NEW ALBERTSON'S INC DBA 02/01/19 COLLISON LAW OFFICES 537 19WC 13998 ESTRADA, MARIO INSTAFF 02/26/19 BAUM RUFFOLO & MARZAL LTD SLAVIN & SLAVIN 538 19WC 14212 PAGUADA, YESENIA GRAND STAFFING AGENCY, LL 05/09/19 JONATHAN SCHLACK 539 19WC 14285 VERNEZZE, RANDY AB SPECIALITY SILICONES, 05/03/19 TAXMAN POLLOCK GAROFALO SCHREIBER STORM GRA 540 19WC 14288 SCOTT, ERIC DEPT HUMAN SERVICES AKA K 12/07/17 THE MACK LAW GROUP PC KRISTIN LEASIA 541 19WC 14321 ABSOLON, ROGER L AMERICAN DOOR & DOCK, INC 02/15/19 LINN, CAMPE & RIZZO LTD FRIEDRICH LAW LLC 542 19WC 14348 WARD, MATTHEW LIBERTY COACH 03/11/19 BURNETT & CARON, LTD GAIDO & FINTZEN 543 19WC 14366 CEPEDA, JUAN MANUEL NORTHERN INSULATION 05/01/18 POSTERLI, OSCAR QUINN JOHNSTON HENDERSON ETA 544 19WC 14425 THOMAS, VICKY H NORTH AMERICAN CORPORATIO 04/09/19 LINN, CAMPE & RIZZO LTD RIPES NELSON BAGGOT KALOBRAT 545 19WC 14529 ACOSTA-RIVERA, CAROLINA C THE XCEL GROUP/ 03/14/19 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 546 19WC 14566 CIOCCHETTI, ANTHONY JEWEL FOOD STORE 11/21/17 LINN, CAMPE & RIZZO LTD 547 19WC 14578 RIDER, CARRIE COLLEGE OF LAKE COUNTY 04/25/19 MARKHAM M JEEP & ASSOCIATE GAROFALO SCHREIBER STORM GRA 548 19WC 14654 JANG, YOUNG R HYDRAFORCE, INC 11/30/18 WEISS & WEISS LAW OFFICES 549 19WC 14710 GRANT, ROSSA M SOI-ANN KILEY DEVELOPMENT @ 04/17/19 CORNFIELD & FELDMAN KRISTIN LEASIA 550 19WC 14851 JUSZCZYK, CHRISTOPHER L WALMART 10/31/18 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 551 19WC 14854 CABALLERO, FRANCISCO ROCCO FIORE & SONS LANDSC 06/11/18 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 552 19WC 14930 PRETTENHOFER, DONNA THORNTONS 12/24/17 TARADASH LAW OFFICE KRAKER FANNING & OLSEN 553 19WC 14958 CARMONA, ERNESTO FLEXIBLE STAFFING 05/24/18 FERRIS THOMPSON & ZWEIG BRADY CONNOLLY & MASUDA PC 554 19WC 14959 POSADA, OSCAR RANDSTAD 01/29/19 FERRIS THOMPSON & ZWEIG SLAVIN & SLAVIN 555 19WC 15106 VEZENSKY, STEVE ILLINOIS TOLLWAY @ 04/26/19 HANNIGAN & BOTHA, LTD ASSISTANT ATTORNEY GENERAL 556 19WC 15324 BAKER, TERRY PARAMOUNT STAFFING 09/08/17 VRDOLYAK LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 557 19WC 15635 JABLONSKI, DANIEL T VILLAGE OF WINTHROP HARBO 06/19/18 LINN, CAMPE & RIZZO LTD 558 19WC 15785 SANTOYO, JESUS GOLDEN OAKS FARMS 11/07/18 HANNIGAN & BOTHA, LTD SPIEGEL & CAHILL, PC 559 19WC 15791 CRAIG, SHAWNTE L COMPX, INC 10/18/18 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 560 19WC 15795 ROMO, GUADALUPE PEPSI COMPANY 04/01/19 LINN, CAMPE & RIZZO LTD 561 19WC 15866 GARCIA, MARIA KELLY SERVICES, INC 09/17/18 MARKS INJURY LAW BRADY CONNOLLY & MASUDA PC 562 19WC 15933 PERO, DONALD W JEWEL FOOD STORES, INC. 04/20/18 RUBIN LAW GROUP EVANS & DIXON 563 19WC 15973 ARRIAGA, OFELIA HALF DAY BREWING 04/07/19 CULLEN HASKINS NICHOLSON GILDEA, COGHLAN & REGAN LTD. 564 19WC 16074 HERNANDEZ, MARIA L ECHO INCORPORATION 01/03/19 BOTTO GILBERT WOLF & LAUDICINA LTD 565 19WC 16116 DELGADO, VICENTE ROMAN ELITE STAFFING 04/24/19 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 566 19WC 16167 PASHTAN, HANNA HIGHLAND PRK HIGH SCHL DI 11/30/18 BRILL & FISHEL GOLDBERG SEGALLA LLC 567 19WC 16411 FLORES, ADRIAN HORIZONS WINDOW FASHIONS 12/04/18 STROM & ASSOC EVANS & DIXON 568 19WC 16440 MARCINIAK, ANDREW SCHULTES PRECISION 11/05/18 SCOTT B SHAPIRO KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 569 19WC 16492 BENITEZ, CARLOS ALLSTAFF 04/01/19 FERRIS THOMPSON & ZWEIG SLAVIN & SLAVIN 570 19WC 16541 COHEN, STEVEN ANTHONY BUICK GMC 05/25/18 CHEPOV & SCOTT LLC ROSARIO CIBELLA 571 19WC 16561 GREENLEE, ANN DODGE OF ANTIOCH, INC 04/06/19 TARADASH LAW OFFICE 572 19WC 16645 DOMAR, JOHN SEARS HOLDING CORP 02/14/19 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 573 19WC 16808 STRINGER, RICO HIGHWOOD POLICE DEPARTMEN 05/09/19 ELFENBAUM EVERS ZIELINSKA RUSIN & MACIOROWSKI LTD 19WC023397 -C 574 19WC 16811 RUIZ, GONZALO PEAPOD, LLC 08/17/18 ACEVES & PEREZ PC LITCHFIELD CAVO 575 19WC 16886 JOHNSON, ASHLEY STATE OF ILLINOIS- KILEY @ 06/07/19 ANKIN LAW OFFICE KRISTIN LEASIA 576 19WC 16944 SEARCY, ELDARADA SUNRISE SENIOR LIVING 06/04/19 ASHER, RAYMOND L LTD NOBLE & ASSOC 577 19WC 16978 MOY, JERRY EPSON AMERICA, INC 05/16/19 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICE 578 19WC 17120 GILBERT, LINDA A ADVOCATE GOOD SHEPHERD 05/15/19 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 579 19WC 17155 GUZMAN-BRINDIZ, TEODORO RELIABLE/FLEXIBLE STAFFIN 02/18/19 HANNIGAN & BOTHA, LTD ROSARIO CIBELLA 580 19WC 17196 CONEY, LATRICE LAKE COUNTY 04/27/19 DAVID J. BAWCUM 581 19WC 17297 LANDAN, HOLLY LEVY RESTAURANTS 05/31/19 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 582 19WC 17411 STEWART, JAMES II KEVIN WALSH EXCAVATING 05/10/18 MARKS INJURY LAW GAROFALO SCHREIBER STORM GRA 583 19WC 17455 GONZALES, GENO WEST MARINE 07/21/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 584 19WC 17534 SKIDMORE, DANIEL UPS 06/07/19 LEONARD LAW GROUP LLC ASA LAW GROUP 585 19WC 17650 CUNA, PEDRO HYDRAFORCE, INC 03/12/19 COSTA IVONE LLC HOLECEK & ASSOCIATES 586 19WC 17678 MONTERO, EMIGDIA BRYAN CONSOLO D.B.A MCDON 12/09/17 POSTERLI, OSCAR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 587 19WC 17695 HERNANDEZ, JOSE L COUNTY OF LAKE 05/06/19 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 588 19WC 17771 COLE, WILLIAM DOVENMUEHLE MORTGAGE COMP 02/11/19 DAVID W MARTAY 589 19WC 17929 CASTRO, EVER SCEL STAFFING SOLUTIONS, 12/12/18 COSTA IVONE LLC KNELL O'CONNOR DANIELWICZ 590 19WC 17969 LACNY, JEROME J ROQUETTE AMERICA INC 05/29/19 DOUGLAS RALLO PC LAWRENCE COZZI - LAW OFFICE 591 19WC 18055 COHEN, JEFFREY FEDEX FREIGHT, INC. 04/16/18 KREITER, BYCK & ASSOC LLP QUINTAIROS PRIETO WOOD & BOY 592 19WC 18112 DOSS, KATHLEEN POWER DISTRIBUTING, LLC 06/18/19 LEONARD LAW GROUP LLC GANAN & SHAPIRO 593 19WC 18193 LEIBSON, LAURA LIV HOME, INC. 06/05/19 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 594 19WC 18306 ARANDA, AURORA TARGET 05/15/19 ARGIONIS & ASSOCIATES LLC NYHAN BAMBRICK KINZIE & LOWR 595 19WC 18476 ROLLENE, KEITH LAKE VILLA FIRE 06/14/19 MARKHAM M JEEP & ASSOCIATE 596 19WC 18537 ZAVALA, SALVADOR ARK LOGISTICS 04/10/19 AIOSSA LAW FIRM 597 19WC 18707 GARCIA, JUAN C JEFF CADY, JEFF CADY D/B/ 08/01/17 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 598 19WC 18731 SHARMA, SANJAY U.S. CELLULAR 06/07/19 MC HARGUE & JONES EVANS & DIXON 599 19WC 18808 AMBROSE, TRACEY ARDEN SHORE CHILD & FAMIL 09/26/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 600 19WC 18916 REZA, SIDORO FETCO INC 06/11/19 MARKHAM M JEEP & ASSOCIATE EDWARD J. KOZEL 601 19WC 18967 POPOCA, ELIZABETH ECHO, INC 05/01/19 MARKS INJURY LAW SLAVIN & SLAVIN 602 19WC 18984 LOPEZ, MARCO A BEST BUY CARPET AND GRANI 05/15/19 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 603 19WC 19018 HILL, VICTOR A ABVIE, INC. 03/21/19 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 604 19WC 19064 GUTIERREZ, MARIA GUADALUP BROWN PAPER GOODS 05/15/18 AIOSSA LAW FIRM HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 605 19WC 19081 LYNN, RONALD KILDEER COUNTRYSIDE 04/15/19 MARKHAM M JEEP & ASSOCIATE NYHAN BAMBRICK KINZIE & LOWR 606 19WC 19248 MENDEZ-ZARINANA, JOSE LAKE COOM TRENCHING 05/31/19 MC HARGUE & JONES 607 19WC 19418 YOST, LAURA A VILLAGE OF WINTHROP HARBO 02/18/19 LINN, CAMPE & RIZZO LTD POWER & CRONIN LTD 608 19WC 19579 LOPEZ, SARAHI ELITE STAFFING 06/10/19 COSTA IVONE LLC 609 19WC 19620 AGUILAR, CESAR GFX INTERNATIONAL 12/05/18 STAVINS & ASSOCIATES KRAKER FANNING & OLSEN 610 19WC 19811 HANNA, DAVID R SHERMAN MECHANICAL, INC. 05/29/19 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 611 19WC 19955 OWENS, DAN STAFFING NETWORK 06/14/19 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 612 19WC 20053 KUEHN, JIM JONES LANG LASALLE INC. 07/01/19 STROM & ASSOC 613 19WC 20174 LUNA, CARLOS MAURO SEWER CONSTRUCTION 06/20/19 PORRO NIERMANN LAW GROUP STONE & JOHNSON CHARTERED 614 19WC 20198 RAMIREZ LOPEZ, LUZ ELBA NAF NAF GRILL 03/24/19 ROSS TYRRELL 615 19WC 20560 AMBRIZ, LETICIA DUNKIN DONUTS 02/18/19 SOSTRIN AND SOSTRIN PC LAWRENCE COZZI - LAW OFFICE 616 19WC 20648 WIGINTON-CORRADINI, ERIK STEAK 'N SHAKE 05/15/19 MC HARGUE & JONES KEEFE CAMPBELL BIERY & ASSOC 617 19WC 20820 SMITH, RAYMOND ELITE STAFFING 07/09/19 SKLARE LAW GROUP 618 19WC 20826 POPOCA, JOSE A.M. WOODLAND OUTDOOR DES 07/03/19 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 619 19WC 20928 BIEHN, BYRON AB SPECIALTY SILICONES, L 05/03/19 TAXMAN POLLOCK GAROFALO SCHREIBER STORM GRA 620 19WC 20943 BRYA, TIMOTHY CBRE, INC 07/08/19 GWC INJURY LAWYERS LLC KRAKER FANNING & OLSEN 18WC034723 -C 621 19WC 21093 KRIZANOVIC, JULIE A DONATO RESTAURANT GROUP 05/24/19 GOLDSTEIN BENDER & ROMANOF 622 19WC 21271 WILLY, DAUREEN GREENS BY WHITE, INC. 10/22/18 FRANKS, GERKIN & MCKENNA P HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 623 19WC 21574 LORR, EDWARD EAGLE EXPRESS LINES, INC. 05/27/19 GWC INJURY LAWYERS LLC INMAN & FITZGIBBONS 624 19WC 21691 HANKINS, JEFF OLSEN TRANSPORTATION MIDW 03/11/19 DUDLEY & LAKE LLC JAMES M KELLY 625 19WC 21885 MASSEY, CLIFTON AMERICAN FAB & MAINTENANC 02/28/19 WARNER & ZIMMERLE 626 19WC 22043 MCKINNEY, JAMES CORT FURNITURE 06/26/19 WOODRUFF JOHNSON GAROFALO SCHREIBER STORM GRA 627 19WC 22137 SILVA, CAROLINA FOUR POINTS BY SHERATON 05/24/19 JAUREGUI & ASSOCIATES GRIFFIN, LORETTA M LAW OFFIC 628 19WC 22520 HANSON, MICHAEL J WEC ENERGY/NSG ILLINOIS 08/17/17 ANTHONY J MAY GAROFALO SCHREIBER STORM GRA 629 19WC 22557 GONZALEZ, ROSEMARIE SENIOR LIFESTYLE HOLDING 04/18/19 MARKHAM M JEEP & ASSOCIATE 630 19WC 22595 GRIDER, JOHN CIRCUIT WORKS CORPORATION 07/03/19 DWORKIN AND MACIARIELLO 631 19WC 22823 RICHMOND, LISA MARIANO'S FRESH MARKET 10/02/16 EFTEKHARI LAW OFFICES 632 19WC 22853 KILGALLON, TIMOTHY M BUTERA FINER FOODS 12/08/18 LINN, CAMPE & RIZZO LTD CHILTON YAMBERT PORTER LLP 633 19WC 22908 ALQUICIRA, TIMO GFX INTERNATIONAL 07/22/19 COSTA IVONE LLC KRAKER FANNING & OLSEN 634 19WC 22980 REYNA, DANIEL RUPRECHT 06/28/19 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 635 19WC 23283 SCHULTZ, MARY BRICKFORD SENIOR LIVING 07/11/19 HANNIGAN & BOTHA, LTD LAWRENCE COZZI - LAW OFFICE 636 19WC 23284 JONES, MARCUS B AMAZON MDWS 04/16/19 HANNIGAN & BOTHA, LTD 637 19WC 23459 MACKEY, PHAELANN MOD PIZZA 07/01/19 DAVID W MARTAY LAWRENCE COZZI - LAW OFFICE 638 19WC 23539 WIEREMA, JEFF CITY OF LAKE FOREST 03/30/16 HANNIGAN & BOTHA, LTD 639 19WC 23573 LARA, MARIA HELP AT HOME, LLC 07/01/19 MARKHAM M JEEP & ASSOCIATE ROSARIO CIBELLA 640 19WC 23775 VILLEGAS, JAVIER ILLINOIS STATE POLICE-DIS @ 07/23/19 MORICI FIGLIOLI & ASSOC ASSISTANT ATTORNEY GENERAL

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 659 19WC 25414 PIPES, NITYSHAUWA PREFERRED MEALS 08/01/19 GALLAGHER LAW PC 660 19WC 25550 MAGDON, AREK FETCO 06/08/17 TARADASH LAW OFFICE 661 19WC 25744 CANALES, DINA ACCURATE PERSONNEL 08/19/19 COSTA IVONE LLC JOHN T GONNELLA 662 19WC 25851 WALLS, ANDREA STATE OF ILLINOIS, DEPT O @ 07/15/17 AIOSSA LAW FIRM 663 19WC 26019 LOPEZ GUIFARRO, JOSE COMPX 05/02/19 PETER LEKAS RUSIN & MACIOROWSKI LTD 664 19WC 26086 TELLEZ, ALMA GOODWILL 10/12/18 JAUREGUI & ASSOCIATES 665 19WC 26182 CORTEZ, VERONICA PARKER HANNIFIN 08/22/18 POSTERLI, OSCAR RUSIN & MACIOROWSKI LTD 666 19WC 26211 DURAN, ADELA ALLSTAFF-GURNEE 07/03/17 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 667 19WC 26238 FLORES, OMAR WOODLAND FOODS LTD 10/28/16 LINN, CAMPE & RIZZO LTD 668 19WC 26241 HILL, MICHAEL E ANN M. KILEY CENTER @ 06/20/19 LINN, CAMPE & RIZZO LTD KRISTIN LEASIA 669 19WC 26245 FLORES, OMAR WOODLAND FOODS LTD 06/21/19 LINN, CAMPE & RIZZO LTD 670 19WC 26505 PIAT, LEAH ABRH BAKERS SQUARE 02/22/19 TAMVAKIS, GEORGE L BRYCE DOWNEY & LENKOV LLC 19WC026506 -C 671 19WC 26545 SIGAFUS, GORDON A SODEXO, INC. 02/01/19 WIEDNER & MCAULIFFE LTD 672 19WC 26655 SOTO, DANIA RAMOS COMPX TIMBERLINE 08/23/19 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 673 19WC 26972 HETZNER, KENNETH JEWEL 04/24/19 NILSON STOOKAL GLEASON CAP BRADY CONNOLLY & MASUDA PC 674 19WC 27062 KOSBAR, DARWIN HOEKSTRA TRANSPORTATION L 08/14/19 DWORKIN AND MACIARIELLO JAMES M KELLY 675 19WC 27112 BAILEY, THOMAS K CITY OF ZION 12/07/18 THOMAS W DUDA 676 19WC 27328 GALEANA, ROBERTO A TORTILLERIA SUPERMERCADO 07/26/19 LINN, CAMPE & RIZZO LTD LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 677 19WC 27331 COPEN, SCOTT D SIGNATURE DEVELOPMENT 11/13/18 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 678 19WC 27334 WATKINS, BRADLEY M SUPERIOR AMBULANCE 06/24/16 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 679 19WC 27361 ARIZMENDI, SALOMON SKIDMASTERS 10/06/16 CULLEN HASKINS NICHOLSON 680 19WC 27375 LEWIS, DEBRA CLAIMS BUREUA USA INC 09/26/16 ROSS TYRRELL 681 19WC 27437 LOPEZ, ESMERALDA BURGER KING 08/18/19 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 682 19WC 27502 WAKEFIELD, VERA OLSEN 08/06/19 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 683 19WC 27599 SHEDRICK, DIONKA M RANDSTAD 08/20/19 TAMVAKIS, GEORGE L SLAVIN & SLAVIN 684 19WC 27614 BROOKS, MARY J WALGREENS 12/21/18 HORWITZ HORWITZ & ASSOC 685 19WC 27728 ALVAREZ, EDMUNDO CITY OF LAKE FOREST 01/15/19 ANKIN LAW OFFICE 686 19WC 27803 GAYDEN, JANIS THE GROVE AT THE LAKE 08/10/19 RAYMOND M SIMARD, PC BRADY CONNOLLY & MASUDA PC 687 19WC 27900 MENDEZ-ZARINANA, JOSE LAKE COOK TRENCHING 09/13/19 MC HARGUE & JONES 688 19WC 28013 LIKER, ANNA ADLAI E STEVENSON HIGH 08/15/19 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 689 19WC 28031 GOMEZ, MARTHA SHIRE PHARMACEUTICALS 04/04/19 COVEN LAW GROUP 690 19WC 28182 BENTLEY, VANESSA GOODWILL GREAT LAKES 09/20/19 EAMES LAW GROUP LTD 691 19WC 28334 RYBA, RICK JEWEL-OSCO 08/20/19 JOHN M BORCIA LAW OFFICE 692 19WC 28416 ROGEL-LOPEZ, ELENA LAKE FOREST PLACE 10/07/18 MARKHAM M JEEP & ASSOCIATE 693 19WC 28727 ZIEGENBEIN, RICK UNITED PARCEL SERVICE 08/23/19 BOWMAN & CORDAY NYHAN BAMBRICK KINZIE & LOWR 694 19WC 28763 AREVALO, REYES D ARBOR MASTERS 09/24/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 695 19WC 28805 HERNANDEZ, SILVIA ROUND LAKE SILVER OAK DON 09/17/19 JONATHAN SCHLACK 696 19WC 28857 HOFF, CHARLES GM SIGNS, INC 09/10/19 BRYCE DOWNEY & LENKOV LLC 697 19WC 28899 SERRANO, LETICIA ALLSTAFF 07/18/19 LARRY FLEISCHER & ASSOCIAT SLAVIN & SLAVIN 698 19WC 28933 COLON, VICTOR LAJOY GROUP 09/27/19 SKLARE LAW GROUP 699 19WC 29081 NUNEZ, MARICRUZ MOUNT ST JOSEPH 09/11/19 GRAVLIN, MICHAEL J LLC 700 19WC 29100 LOPEZ, JARIN JR. MIDWAY STAFFING 06/09/19 COSTA IVONE LLC 701 19WC 29206 GUSTAFSON, SALLY CITY OF ZION 02/12/19 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 19WC029207 -C 702 19WC 29245 ORNELAS, GERARDO ALERIS 09/11/19 RIDGE & DOWNES 703 19WC 29317 CALLESE, ROGER E VILLAGE OF ROUND LAKE BEA 07/26/19 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 704 19WC 29320 SPIEWAK, JOHN R CITY OF WAUKEGAN 03/17/19 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 705 19WC 29324 BOATMAN, JIMMIE GREEN KITCHEN CONCEPTS, I 04/25/19 LINN, CAMPE & RIZZO LTD 706 19WC 29440 BARRY, LORA FEDEX GROUND 09/27/19 MINKOW DOMIN 707 19WC 29497 KANKA, THOMAS SIX FLAGS 08/08/18 JOHN M BORCIA LAW OFFICE BRADY CONNOLLY & MASUDA PC 708 19WC 29586 ALVAREZ, EULALIA HURTADO SCHOOLKIDZ 08/05/19 HEALY SCANLON LAW FIRM JOSEPH MARCINIAK 709 19WC 29654 VALLADARES, LAZARO SYNERGY FLAVORS, INC 10/02/19 COSTA IVONE LLC 710 19WC 30011 DABABNEH, NAJI AMAZON 09/30/19 SEIDMAN MARGULIS & FAIRMAN 711 19WC 30062 VILLARREAL, ELIAS VILLAGE OF ISLAND LAKE 07/02/19 LEONARD LAW GROUP LLC ANCEL GLINK PC 712 19WC 30121 CHOCOLATE, JENNIFER AMAZON.COM INC 03/10/19 PAUL MARZANO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 713 19WC 30161 WOOD, SCOTT A VILLAGE OF BUFFALO GROVE 08/27/19 THOMAS W DUDA 714 19WC 30379 ANDERSON, JULIE AMERICAN DRUG STORES LLC 10/28/18 VOGG, MARK J LAW OFFICE 715 19WC 30430 AGUILAR, OSWALDO MATTHEWS PROFESSIONAL 09/20/19 DAVID W MARTAY LAWRENCE COZZI - LAW OFFICE 716 19WC 30471 CONNEELY, VERONICA HIGHLAND PARK HOSPITAL 10/09/19 POLANSKY & CICHON CHTD 717 19WC 30654 ROTHMALLER, CLARENCE EMCO CHEMICAL 09/27/19 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 718 19WC 31048 MARES, JULIO JR. JEWEL-OSCO 11/21/16 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 719 19WC 31061 GLOEDE, TRACI S VILLAGE OF LINCOLNSHIRE 09/07/19 LINN, CAMPE & RIZZO LTD 720 19WC 31148 DIAZ, RODRIGO KANAFLEX 06/18/19 BOTTO GILBERT 721 19WC 31205 MOGAN, DENNIS ILLINOIS COMMERCE COMMISS 04/02/19 PORRO NIERMANN LAW GROUP 722 19WC 31241 AMAYA, OLVIN MIGUEL'S CONSTRUCTION INC 10/08/19 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 723 19WC 31288 HOGAN, DIEDRE ADVOCATE CONDELL MEDICAL 06/04/18 PRIME LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 724 19WC 31335 SMIGEL, LESLIE A HIGHLAND PARK HOUSING 10/17/18 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 19WC031336 -C 725 19WC 31342 DOTE, MAUREEN HOME DEPOT 02/17/19 LANCASTER, DEBORAH 726 19WC 31388 CORTES, MARIA THE POPCORN FACTORY/ 09/26/19 LINN, CAMPE & RIZZO LTD LAWRENCE COZZI - LAW OFFICE 727 19WC 31477 REBOLLEDO, RICARDO VAL'S FRESH MARKET 10/20/19 BAUM RUFFOLO & MARZAL LTD 728 19WC 31500 BOYLES, CORDARIOUS ACCURATE PERSONNEL 09/10/19 COHN & COHN JOHN T GONNELLA 729 19WC 31561 MCJOY, DEMARIUS L MEDSPEED 10/15/19 GERALD CONNOR SCHOUEST BAMDAS SOSHEA 730 19WC 31668 LARA, LILIANA B&B MAINTENANCE, INC 09/13/19 HERRERA LAW CENTER LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 731 19WC 31826 TRUJILLO, RAFAEL FK FOUNDRIES, INC 09/11/19 LINN, CAMPE & RIZZO LTD 732 19WC 31829 MURPHY, JOHN D EAGLE EXPRESS LINES, INC 07/31/19 LINN, CAMPE & RIZZO LTD INMAN & FITZGIBBONS 733 19WC 32035 MENDOZA, JHONATTAN HUNTER EXTERIOR 10/18/19 CHEPOV & SCOTT LLC 734 19WC 32245 YARBROUGH, TONJIA SOI-ANN KILEY @ 09/12/19 CORNFIELD & FELDMAN ASSISTANT ATTY GENERAL 735 19WC 32272 WELLS, CHARLES ISAZA, INC 10/31/19 VASILATOS & COTTER LLC 736 19WC 32371 MARIN, MARIA CLAUDIA LIQUID CONTROLS 03/29/19 PARENTE & NOREM PC LAWRENCE COZZI - LAW OFFICE 737 19WC 32414 BONE, TYRONE THE LAMBS FARM INC 06/05/18 LAWRENCE COZZI - LAW OFFICE 738 19WC 32695 CHENG, MARY M OPTION CARE 10/11/18 ANKIN LAW OFFICE GILDEA, COGHLAN & REGAN LTD. 739 19WC 32741 LEFF, ED CALIBER MANAGEMENT LLC 08/01/17 JOHN C SERKLAND LAWRENCE COZZI - LAW OFFICE 740 19WC 32784 NERI, AVELARDO C RUPRECHT COMPANY A/K/A 06/17/19 HANNIGAN & BOTHA, LTD 741 19WC 32940 TORRES DELGADO, EDGAR BARRY ROOFING, INC 10/09/19 HERRERA LAW CENTER BRYCE DOWNEY & LENKOV LLC 742 19WC 33024 SOTO ZAMORA, DAVID GERARD SUNSET FOOD MART 11/11/19 JONATHAN SCHLACK 743 19WC 33102 LINDELOF, WADE SCOTT ONE PRICE AUTO SALES/ 12/18/18 LINN, CAMPE & RIZZO LTD WILLIAMS MCCARTHY LLP 744 19WC 33172 LAFFEY, MICHAEL R & D THEIL 06/03/19 MARKS INJURY LAW WIEDNER & MCAULIFFE LTD 745 19WC 33273 DZIADKOWIEC, TIERARA HEALTH AT HOME 05/30/19 SANDMAN LEVY & PETRICH HOLECEK & ASSOCIATES 746 19WC 33315 GAVIN, SUSAN SCHOOL DISTRICT 102 12/11/17 SANDMAN LEVY & PETRICH 747 19WC 33340 BERNAL, MAYRA MMD, INC, D/B/A ALLSTAFF 03/27/19 LARRY FLEISCHER & ASSOCIAT WIEDNER & MCAULIFFE LTD 748 19WC 33468 PEREZ, TOMAS HUNT COMPANIES 01/21/19 MARKS INJURY LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 749 19WC 33477 BUHRMESTER, DAVID W LAKE FOREST COUNTRY DAY S 01/18/19 LINN, CAMPE & RIZZO LTD 750 19WC 33494 KRIKAU, GEORGE AT&T 07/31/19 GWC INJURY LAWYERS LLC 751 19WC 33499 CAHUE, JOSE J WAUKEGAN PUBLIC SCHOOL DI 07/30/18 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 752 19WC 33546 MAGUIRE, MICHAEL WARREN ELECTRIC, INC. 02/21/19 LINN, CAMPE & RIZZO LTD HARVEY & STUCKEL 753 19WC 33565 HODGES, LENA TRANSITIONAL CARE OF LAKE 08/30/19 AIOSSA LAW FIRM INMAN & FITZGIBBONS 754 19WC 33622 HUSK, ZAKERY MCDONALDS 09/01/19 LEONARD LAW GROUP LLC 755 19WC 33814 LOA, DIANA MCDONALDS 08/20/19 SOSTRIN AND SOSTRIN PC 756 19WC 33934 LEONARD, DENNISSA VILLAGE AT VICTORY LAKES 12/23/17 CRAIG L MANCHIK & ASSOC. 757 19WC 33951 HURTADO CARLOS, ELIDA KHM PLASTICS INC 02/26/19 POSTERLI, OSCAR JOSEPH MARCINIAK 758 19WC 34008 RAMIREZ, SANTIAGO STAFFING NETWORK 10/22/19 MARKS INJURY LAW 759 19WC 34060 WISNIEWSKI, ROBERT ADAMS AUTO BODY, LLC 07/22/19 DUDLEY & LAKE LLC ROSARIO CIBELLA 760 19WC 34106 GREAVES, MONECKA MACY'S 10/15/19 DAVID W MARTAY BRYCE DOWNEY & LENKOV LLC 761 19WC 34189 KIMBLE, LEVELL DCFS 11/13/19 DWORKIN AND MACIARIELLO 762 19WC 34228 NAVARRETE, JAIME ALLSTAFF 10/29/19 DUDLEY & LAKE LLC 763 19WC 34338 PEREZ, SANTOS TEMPS NOW STAFFING 11/01/19 MC HARGUE & JONES 764 19WC 34440 SIRAK, ANDY REAL TRUCKING INC 12/08/16 RALPH BRISCOE 765 19WC 34512 FREEMAN, MARY SAFEWAY TRANSPORTATION 10/30/19 STEVEN J MALMAN & ASSOCIAT MACIOROWSKI SACKMANN & ULRIC 766 19WC 34534 MEYER, KEN NAPLETON CADILLAC 05/10/19 HANNIGAN & BOTHA, LTD JAMES M KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 767 19WC 34624 TOLEDO, TEOFILO AVERUS, INC 11/21/19 THE ROMAKER LAW FIRM POULOS & DIBENEDETTO LAW 768 19WC 34682 GARCIA, PAULA BROOKDALE SENIOR LIVING I 02/28/19 FERRIS THOMPSON & ZWEIG ROSARIO CIBELLA 769 19WC 34759 ADAMS, FLOYD MACY'S 11/16/18 MCDONALD WOODWARD & CARLSO BRYCE DOWNEY & LENKOV LLC 770 19WC 34942 OLANDESE, THOMAS BRUIN BRAKE CABLES 11/08/19 MARKHAM M JEEP & ASSOCIATE 771 19WC 35060 MARRUFO-MARTINEZ, MARIA BROOKDALE SENIOR LIVING I 10/03/19 MARKS INJURY LAW ROSARIO CIBELLA 772 19WC 35112 LOPEZ, OCTAVIANO ROGERS NURSERY INC 10/11/19 TAMVAKIS, GEORGE L LAWRENCE COZZI - LAW OFFICE 773 19WC 35267 ALLEN, QIANNA DUNKIN DONUTS 11/28/19 DWORKIN AND MACIARIELLO 774 19WC 35293 RAMIREZ, JACQUELINE MUNDELEIN MONTESSORI SCHO 07/16/19 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 775 19WC 35327 HUPP, DEAN SKIPPER MARINE DEVELOPMEN 03/15/19 GANAN & SHAPIRO 776 19WC 35466 RUEDA, ANTHONY CENTRAL STATE TRUCKING 10/31/19 JONATHAN SCHLACK HINSHAW & CULBERTSON 777 19WC 35561 MODDES, MARK FISCHER PAPER PRODUCTS IN 03/31/17 LINN, CAMPE & RIZZO LTD 778 19WC 35797 CRUZ, GABRIEL ALLSTAFF RECRUITING, INC 11/07/19 ANKIN LAW OFFICE 779 19WC 35828 ORTIZ, NIDIA PRESTIGE, USA 10/03/19 SEIDMAN MARGULIS & FAIRMAN LAWRENCE COZZI - LAW OFFICE 780 19WC 36319 SAINTCROSS, MARGARET SAS RETAIL SERVICES 08/13/19 GWC INJURY LAWYERS LLC KELLEY KRONENBERG 781 19WC 36379 COLMAN, FREDERICK E WAUKEGAN TOWNSHIP 08/01/19 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 782 19WC 36436 LUNA, ERICK N HYATT REGENCY DEERFIELD 07/26/18 VITELL & SPITZ LTD HENNESSY & ROACH PC 783 19WC 36478 PEREZ, PEDRO LABOR SOLUTIONS 12/09/19 EPSTEIN, JACK R LAW OFFICE MC ANDREWS & NORGLE LLC 784 19WC 36601 CLEMMINGS, TREVOR JR CHICAGO BEARS FOOTBALL 08/24/19 WOLFE LAW PC MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 785 19WC 36689 RODRIGUEZ, MARVELIA HOOGWEGT US, INC. 09/27/18 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 786 19WC 36772 GRANADOS, MOISES MICHAEL'S RED HOTS 05/29/17 WILLIAM H MARTAY GANAN & SHAPIRO 19WC036773 -C 19WC036774 -C 787 19WC 36793 IRIZARRY, JANITZA GRAND STAFFING AGENCY, LL 12/04/19 MARKHAM M JEEP & ASSOCIATE 788 19WC 36882 GILBERT, SAMUEL C WAUKEGAN SCHOOL DIST 60 09/09/19 MARKS INJURY LAW BRADY CONNOLLY & MASUDA PC 789 19WC 36933 WILLIAMS, ALEXANDRA GREAT LAKES RESOURCES INC 11/25/19 DOUGLAS RALLO PC 790 19WC 37024 PEREZ, DAILY THE SHERIDAN AT GREEN OAK 11/07/19 AIOSSA LAW FIRM 791 19WC 37103 CAMPBELL, PATRICE L LAKE COUNTY SUBSTANCE ABU 04/22/14 TAMVAKIS, GEORGE L WOLFE & JACOBSON, LTD 792 19WC 37107 BAXTER, LAURA A JOANN FABRICS 08/17/18 MARKS INJURY LAW 793 19WC 37136 KAREEM, MEEKAAEEL ADVANCE DISPOSAL 12/05/19 DUDLEY & LAKE LLC INMAN & FITZGIBBONS 794 19WC 37247 KRUEGER, RICHARD HILL'S ROOFING & WINDOWS 11/02/19 DWORKIN AND MACIARIELLO 795 19WC 37279 LOUIS, EARL GOODWILL WORKFORCE 11/14/19 DAVID W MARTAY 796 19WC 37319 RELLE, TAYLOR WAUKEGAN SCHOOL DISTRICT 10/03/18 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 797 19WC 37322 RELLE, TAYLOR WAUKEGAN SCHOOL DISTRICT 11/01/18 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 798 19WC 37325 RELLE, TAYLOR WAUKEGAN SCHOOL DISTRICT 11/19/18 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 799 19WC 37328 RELLE, TAYLOR WAUKEGAN SCHOOL DISTRICT 01/24/19 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 800 19WC 37331 RELLE, TAYLOR WAUKEGAN SCHOOL DISTRICT 04/03/19 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 801 19WC 37352 VAN SICKLE, HELENE KROGER CO 09/08/19 NEWLAND & NEWLAND 802 19WC 37389 PANIAGUA, AGUSTINA VISUAL-PAK CO, INC 04/24/19 MARKHAM M JEEP & ASSOCIATE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 803 19WC 37483 MIRANDA, MARGARITA BLUE JAYS HOME CARE, LLC W 12/17/19 BAUM RUFFOLO & MARZAL LTD 804 19WC 37498 PUMALA, JOSHUA JEWEL OSCO 09/20/19 ELFENBAUM EVERS ZIELINSKA 805 19WC 37503 AMBRIZ, LETICIA DUNKIN DONUTS 12/26/19 SOSTRIN AND SOSTRIN PC LAWRENCE COZZI - LAW OFFICE 806 19WC 37508 SEPULVEDA LOPEZ, ANDRES SHINGLES ETC, INC 11/24/19 JONATHAN SCHLACK INMAN & FITZGIBBONS 807 19WC 37565 MILLS, MEGHAN HUNT COMPANIES 08/19/19 LINN, CAMPE & RIZZO LTD 808 19WC 37592 KORBAS, JEFFREY ALDI 05/13/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 809 20WC 00159 KELLY, HAYWARD WALMART 12/15/19 SKLARE LAW GROUP QUINTAIROS PRIETO WOOD & BOY 810 20WC 00192 TORRES, RUBEN AMCOR FLEXIBLES HEALTHCAR 08/21/19 STEVEN J MALMAN & ASSOCIAT 811 20WC 00289 FRY, LACIE COSTCO WHOLESALE 07/19/18 GANAN & SHAPIRO 812 20WC 00307 IVANTIC, MATTHEW LAKE COUNTY HOUSING AUTHO 12/19/19 SANDMAN LEVY & PETRICH GILDEA, COGHLAN & REGAN LTD. 813 20WC 00386 CAVAZOS, MANUEL MEDLINE INDUSTRIES, INC 11/21/19 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 814 20WC 00436 COLEMAN, NIKITA VYAIRE MEDICAL 12/10/19 MC HARGUE & JONES 815 20WC 00494 POWELL, DELROY CITY OF HIGHLAND PARK 12/03/19 SANDMAN LEVY & PETRICH 816 20WC 00588 MOOTE, GRACE SUPERIOR AMBULANCE 10/19/18 JOSEPH J LOSS PC POWER & CRONIN LTD 817 20WC 00613 HANDY, DONNA GOODWILL INDUSTRIES 12/28/19 DWORKIN AND MACIARIELLO 818 20WC 00670 HAUSER, ALEC UL, LLC 10/11/18 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 20WC000671 -C 819 20WC 00701 TAYAG, JOLY FLEXTRONICS 11/05/19 DAVID W MARTAY HOLECEK & ASSOCIATES 820 20WC 00735 FALLUCCA, CASSANDRA VISTA MEDICAL CENTER 12/03/19 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 821 20WC 00789 JONES, MICHAEL JB HUNT TRANSPORT 12/11/19 BRIAN M LAUGHLIN PC 822 20WC 00883 JAWOREK, RYAN GNC 12/08/19 ZANCK COEN WRIGHT & SALADI 823 20WC 00936 JENKINS, LATASHIA N SUNRISE SENIOR LIVING 10/01/19 COVEN LAW GROUP 824 20WC 00964 GARCIA, NICOLAS MARTIN JOHN COMPANY 10/30/19 DWORKIN AND MACIARIELLO 825 20WC 00985 MEYER, JOYANNA H KOHL'S DEPARTMENT STORES 11/22/19 LINN, CAMPE & RIZZO LTD CHILTON YAMBERT PORTER LLP 826 20WC 01080 CASTRO, MARTHA ALLSTAFF 09/25/19 DAVID J. BAWCUM SLAVIN & SLAVIN 827 20WC 01094 HERNANDEZ, JUAN CEDAR ROOFING COMPANY 10/29/18 COSTA IVONE LLC BRYCE DOWNEY & LENKOV LLC 828 20WC 01135 MCNUTT, KAREN MONDELEZ/NABISCO 12/06/19 DWORKIN AND MACIARIELLO 829 20WC 01213 CORREA, JAIME COURIER EXPRESS 12/17/19 AIOSSA LAW FIRM WIEDNER & MCAULIFFE LTD 830 20WC 01276 SHOCKLEY, LATASHA LIPARI FOODS 10/15/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 831 20WC 01376 RIVERA, PEDRO ISLA DEL MAR #2 07/22/19 JOHN S. ELIASIK 832 20WC 01407 HAYNES, GERRICK INSIGHT GLOBAL, LLC 01/15/19 JOSEPH MARCINIAK 833 20WC 01536 DAVIS, LILIA HAWTHORN SCHOOL DISTRICT 01/31/17 POLACHEK & POLACHEK NYHAN BAMBRICK KINZIE & LOWR 834 20WC 01588 CUSTO, NADILE CIBC BANK USA 12/20/19 GWC INJURY LAWYERS LLC 835 20WC 01678 RAYMOND, JASON PATIENT'S CHOICE, LLC 01/26/17 REESE & REESE EDWARD J. KOZEL 836 20WC 01789 COBB, ALIYEMI FEDEX 03/28/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 837 20WC 01841 COZART, KIMBERLY MOD SUPER FAST PIZZA 10/24/19 DAVID W MARTAY COZZI & ZAPF LAW OFFICE 838 20WC 02071 MATEOS, ALEJANDRA JAFFA SALADS INC 12/27/19 MARKS INJURY LAW LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 839 20WC 02216 HERMOSILLO, LUIS SANDMAN'S PAVING AND 05/02/19 TARADASH LAW OFFICE 840 20WC 02345 FLAX, CINDY THE BON TON STORES, ICN 10/14/16 EPSTEIN, JACK R LAW OFFICE 841 20WC 02528 MARTINEZ, GERONIMO MARIANI LANDSCAPING 04/16/18 JONATHAN SCHLACK KRAKER FANNING & OLSEN 842 20WC 02626 WARDA, JOHN J WOODLAND SCHOOL DIST #50 04/09/18 TAMVAKIS, GEORGE L 843 20WC 02735 ORTENBERG, OLEG FED EX 09/25/19 LEO ALT 844 20WC 02773 TERRILL, MICHAEL JEFFRIES HEATING 07/08/18 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 845 20WC 02803 JONES, DIANA HARBOR GROUP MANAGEMENT 10/26/19 MC HARGUE & JONES 846 20WC 02847 DILLON, JAMES MATTHEWS PROFESSIONAL 01/24/20 DWORKIN AND MACIARIELLO 847 20WC 02901 LINDSEY, KACEY PETSMART 12/30/19 ROBERT E LUNZ WIEDNER & MCAULIFFE LTD 848 20WC 02935 PARHAM, ANTONIO WAUKEGAN S.D. #60 05/11/19 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 849 20WC 03043 WEATHERLY, KAREN ZION BENTON TWP TRANS DEP 10/16/19 MARKS INJURY LAW POWER & CRONIN LTD 850 20WC 03094 GRANADOS DERODRIGUEZ, JOS MATTHEWS PROFESSIONAL EMP 11/01/19 TAMVAKIS, GEORGE L COZZI & ZAPF LAW OFFICE 851 20WC 03097 COLE, MICHAEL VALOR UNDERGROUND CONSTRU 02/03/20 RITTENBERG BUFFEN BRADY, CONNOLLY & MASUDA, PC 852 20WC 03124 GLASSBERG, SUSAN MCHENRY DONUTS, INC/DBA D 01/03/20 KATZ FRIEDMAN EISENSTEIN JOSEPH MARCINIAK 853 20WC 03243 DIAZ (PENA), DAGOBERTO STAFFING NETWORK 11/09/19 LARRY FLEISCHER & ASSOCIAT 854 20WC 03276 HUERTA, ELIAS HUERTA STATION IMAGING, INC. 01/15/20 SPENCER LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 855 20WC 03372 ARREOLA, JUAN INSTAFF 01/09/20 AIOSSA LAW FIRM 856 20WC 03443 RUTHERFORD, LESLIE LIBERTYVILLE TILE 06/12/18 HEALY SCANLON LAW FIRM GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 857 20WC 03477 PETERS, ANGELIQUE M BAXTER HEALTHCARE CORP 11/02/18 CHEPOV & SCOTT LLC 858 20WC 03513 CIENFUEGOS, JOSE MIRACAPO PIZZA 12/28/18 NILSON STOOKAL GLEASON CAP SPIEGEL & CAHILL, PC 859 20WC 03662 ESTRADA GARCIA,MA DEL CON AMADEUS & PARTNERS INC 01/17/20 CULLEN HASKINS NICHOLSON COZZI & ZAPF LAW OFFICE 860 20WC 03731 CAMERON, SHENACH DEERFIELD SD #109 01/27/20 SEIDMAN MARGULIS & FAIRMAN 861 20WC 03780 SALINAS ALVAREZ, CHRISTHI RED LOBSTER 12/12/19 HERRERA LAW CENTER BRYCE DOWNEY & LENKOV LLC 862 20WC 03873 BRYANT, KELLY TECZA LANDSCAPE GROUP 01/24/20 LIPKIN & APTER COZZI & ZAPF LAW OFFICE 863 20WC 03894 SPAARGAREN, JASON PIEPER POWER 01/06/20 GWC INJURY LAWYERS LLC KRAKER FANNING & OLSEN 864 20WC 03985 RILEY, ANITA WAUKEGAN COMMUNITY UNIT 04/10/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 865 20WC 03998 ANDERSON, TRACY STARBUCKS 02/06/20 DWORKIN AND MACIARIELLO 866 20WC 04081 KANTNER, BARRY FEDEX FREIGHT 02/27/19 QUINTAIROS PRIETO WOOD & BOY 867 20WC 04102 AYALA, JUANA ECHO INCORPORATED 01/14/20 CHEPOV & SCOTT LLC WOLF & LAUDICINA LTD 868 20WC 04122 WANGALL, JEFF FBG SERVICE CORPORATION 02/08/20 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 869 20WC 04208 KREVCHUCK, LAREN LANDRUM PIER ONE IMPORTS 07/30/18 DUDLEY & LAKE LLC INMAN & FITZGIBBONS 870 20WC 04356 TOUSANA, TONY AMAZON 10/25/19 ANKIN LAW OFFICE 871 20WC 04494 REED, ASHLIE VISTA MEDICAL CENTER EAST 03/19/17 RANDALL A. WOLFF & ASSOC 872 20WC 04644 SANTOYO, JESUS GOLDEN OAKS FARMS 12/09/19 HANNIGAN & BOTHA, LTD SPIEGEL & CAHILL, PC 873 20WC 04678 REYES, CLAIRES THE GROVE AT THE LAKE 02/15/20 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 874 20WC 04702 ROBERTS, CARLEE N DD'S DISCOUNTS 10/16/19 LINN, CAMPE & RIZZO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 875 20WC 04750 MAYERS, LARRY VISUAL PAK 02/14/20 GWC INJURY LAWYERS LLC WIEDNER & MCAULIFFE LTD 876 20WC 04777 BAUTISTA, SANDRA WHITE LODGING SERVICES CO 01/22/20 JONATHAN SCHLACK 877 20WC 04933 BLIZNICK, JAY DEL RIO RESTAURANT INC 02/07/20 SIGMOND, STEVEN 878 20WC 04990 LEHMAN, TODD THE GRIEVE CORP 01/12/19 DAVID J. BAWCUM 879 20WC 05129 SWANSON, JULIE OLIVE GARDEN ITALIAN RSTR 01/18/19 DWORKIN AND MACIARIELLO 880 20WC 05237 FUNEZ, KARLA ALLSTAFF 12/17/19 JONATHAN SCHLACK 881 20WC 05284 GARCIA, RAMIRO CERTASUN, LLC 10/08/19 DESTEFANO, ROBERT A & ASSO COZZI & ZAPF LAW OFFICE 882 20WC 05387 SZBKOWSKI, TONY GROOT INDUSTRIES 02/24/20 GWC INJURY LAWYERS LLC 883 20WC 05467 ROBINSON, STEPHANIE JACKS WAUKEGAN PUBLIC 10/08/19 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 884 20WC 05511 SCOTT-WILLIAMS, NANNETTE WAUKEGAN PUBLIC SCHL BROO 01/14/20 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 885 20WC 05568 LOPEZ-LARIOS, MANUEL BROWN PAPER GOODS CO 02/03/20 KATZ FRIEDMAN EISENSTEIN GRIFFIN, LORETTA M LAW OFFIC 886 20WC 05644 SIGNA, MATTHEW J CITY OF LAKE FOREST 01/22/20 LINN, CAMPE & RIZZO LTD 887 20WC 05692 OBALI, DUMAN NEMERA BUFFALO GROVE 02/26/20 DWORKIN AND MACIARIELLO 888 20WC 05732 QUIJADA, JENNYFER NORTH SHORE TRANSIT, INC. 01/23/20 AIOSSA LAW FIRM 889 20WC 05811 TORRES, LUPITA AMAZON 05/09/19 LINN, CAMPE & RIZZO LTD 890 20WC 05963 GRAHAM, JANET VISTA EAST MEDICAL CENTER 10/21/19 ROBERT EDENS 891 20WC 05983 BOTERO, ZORAIDA WAUKEGAN SCHOOL DIST. #60 01/23/19 LINN, CAMPE & RIZZO LTD 892 20WC 05992 RAZO, GUSTAVO ALL STAFF GROUP 10/17/19 THE ROMAKER LAW FIRM SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 893 20WC 06050 WAGNER, SCOTT NORTH SHORE GAS 07/22/19 PERONA PETERLIN ANDREONI MC CABE & HOGAN 894 20WC 06146 GERARDO, XOCHTIL RUPRECHT COMPANY 09/05/19 AIOSSA LAW FIRM 895 20WC 06172 NORWOOD, SHERINA GREAT WOLF LODGE 01/30/20 896 20WC 06342 LARA, RAFAELA HANDI-FOIL (BORROWING) 02/07/20 SOSTRIN AND SOSTRIN PC 897 20WC 06448 TURKSON, MICHAEL LAKE COUNTY SHERIFF'S OFF 02/28/20 DUDLEY & LAKE LLC 898 20WC 06470 CARDENAS, RAUL GEORGE CARDENAS LANDSCAPI 08/17/19 SEIDMAN MARGULIS & FAIRMAN JOSEPH MARCINIAK 899 20WC 06499 VELASCO, BIANCA PEAPOD 11/22/16 DUDLEY & LAKE LLC LITCHFIELD CAVO 900 20WC 06552 CASTILLO, LETICIA TAKEDA 06/01/19 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 901 20WC 06581 RODRIGUEZ, GUSTAVO PROGISTICS DISTRIBUTION, 02/04/20 ANKIN LAW OFFICE 902 20WC 06650 FUENTES, GUILLERMO J METALEX 12/05/19 ANESI OZMON RODIN NOVAK KO COZZI & ZAPF LAW OFFICE 903 20WC 06688 MARKHAM, MARILYN VISTA MEDICAL CENTER EAST 09/10/19 DUDLEY & LAKE LLC 904 20WC 06751 CRUZ, GERARDO CLARIDGE HEALTHCARE 02/06/20 MC HARGUE & JONES 905 20WC 06827 LINDSLEY, PAULA VCA CAIRO ANIMAL HOSPITAL 07/12/19 HANNIGAN & BOTHA, LTD SLAVIN & SLAVIN 906 20WC 06852 DHIAB, ALI BEN LOUCINE LIMO INC 01/23/20 RIDGE & DOWNES LITCHFIELD CAVO 907 20WC 06897 RAMOS, ALEJANDRO HERNANDE AL HANSEN, INC. 10/15/19 MANUAL CARDENAS & ASSOC PAUL O WATKISS 908 20WC 06988 TAYLOR, MICHAEL CBRE, INC 05/07/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 909 20WC 07006 VILLAGOMEZ, DANIEL FEDEX GROUND 01/07/20 GWC INJURY LAWYERS LLC KOPKA, PINKUS DOLIN, PC 910 20WC 07009 LEWALLEN, RONALD KLOSS DISTRIBUTING CO. 07/16/19 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 911 20WC 07075 PEREZ, GUILLERMO ALLSTAFF 02/26/20 ACEVES & PEREZ PC SLAVIN & SLAVIN 912 20WC 07117 AMOS, MICHELLE NORTHPOINTE RESOURCES INC 02/26/20 ROMANUCCI & BLANDIN 913 20WC 07179 JOHNSON, SHAWNDRA M CITY OF NORTH CHICAGO 04/01/18 LINN, CAMPE & RIZZO LTD 914 20WC 07270 SKRANDZIUS, VICTOR J A FRATE INC 05/02/18 BOTTO GILBERT HINSHAW & CULBERTSON 915 20WC 07299 GENTILE, RICHARD F FIRST CLASS PLUMBING LLC 02/22/19 RUBIN LAW GROUP GILDEA, COGHLAN & REGAN LTD. 916 20WC 07476 CABREROS, ABELARDO PRESBYTERIAN HOMES 05/03/19 BURNETT & CARON, LTD 917 20WC 07598 WILLETT, BRUCE BEACH PARK FIRE DEPARTMEN 05/20/19 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 918 20WC 07620 ROMAS, RENE THE XCEL GROUP 01/14/20 AIOSSA LAW FIRM MC ANDREWS & NORGLE LLC 919 20WC 07648 ALICEA, JOSHUA DH PACE 10/14/19 CULLEN HASKINS NICHOLSON KRAKER FANNING & OLSEN 920 20WC 07855 SHEIKH, TAHMENA NAZ LINCOLNSHIRE MARRIOTT RES 03/15/20 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 921 20WC 07914 POMAZAL, ASHLEY LAKE COUNTY SHERIFF'S OFF 01/29/20 RIDGE & DOWNES 922 20WC 08196 WADKINS, DONNA G THORNTON'S 03/10/20 LINN, CAMPE & RIZZO LTD KRAKER FANNING & OLSEN 923 20WC 08260 KELLY, THOMAS J LIBERTY COACH INC 03/04/20 DOUGLAS RALLO PC MCANANY VANCLEVE & PHILLIPS 924 20WC 08301 VELA, JOSE A.M. WOODLAND OUTDOOR DES 09/17/19 KATZ FRIEDMAN EISENSTEIN 925 20WC 08352 SAUVE, CURTIS VISUAL PAK 03/09/18 DUDLEY & LAKE LLC 926 20WC 08425 OWSIANY, SCOTT LEICA BIOSYSTEMS 03/03/20 ROBERT WARSASKI WIEDNER & MCAULIFFE LTD 927 20WC 08466 STRAUSS, EDWARD SET AND SERVICE RESOURCES 03/24/20 DWORKIN AND MACIARIELLO 928 20WC 08521 ROJAS, GERARDO KEMPER VALVE & FITTINGS C 03/09/20 KATZ FRIEDMAN EISENSTEIN GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 929 20WC 08649 CRUZ, RICHARD PEAPOD 03/18/19 DAVID J. BAWCUM LITCHFIELD CAVO 930 20WC 08731 DIMAS, DORIS TRAVANSE LIVING/ 12/29/19 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 931 20WC 08981 EVANS, CHAD Q HINES BLDG SUPPLY-US LBM 12/30/19 MARKS INJURY LAW HOLECEK & ASSOCIATES 932 20WC 09098 BATES JR, SAMUEL J GOODWILL OF GREAT LAKES 01/20/20 KEVIN O'BRIEN 933 20WC 09171 DEJESUS, JONATHAN KILEY DEVELOPMENTAL CTR 01/06/20 DEPAOLO & ZADEIKIS 934 20WC 09204 CARRILLO, FRANKIE SUPERIOR HEALTH LINENS 01/29/20 DWORKIN AND MACIARIELLO COZZI & ZAPF LAW OFFICE 935 20WC 09362 PONCE ESPINO, NANCY RUBI NORTHSHORE GARDEN OF MEMO 05/03/18 EPSTEIN, JACK R LAW OFFICE COZZI & ZAPF LAW OFFICE 936 20WC 09647 REISTER, KARLHEINZ F CENTRAL MACHINES INC * 06/11/18 JOSEPH MARCINIAK 937 20WC 09848 LIPPERT, MICHAEL J STATE OF ILLINOIS @ * 02/04/20 LINN, CAMPE & RIZZO LTD 938 20WC 09852 YARBROUGH, ANIDRA N ANN M KILEY CTR * 10/24/19 LINN, CAMPE & RIZZO LTD 939 20WC 10019 KOLAR, JENNIFER LAKE FOREST SCHOOL * 11/27/18 ROMANUCCI & BLANDIN NYHAN BAMBRICK KINZIE & LOWR 940 20WC 10044 HOWLETT, PAUL IL DEPT OF TRANSPORTATION * 02/14/20 DUDLEY & LAKE LLC 941 20WC 10134 DIBASILIO, DOUGLAS HIGHLAND PARK POLICE DEPT * 03/05/20 JOSEPH J LOSS PC 942 20WC 10197 HAYHURST, LYNN GRAHAM C-STORES DBA * 03/09/20 MILLON & PESKIN LTD 943 20WC 10313 GREEN, DEANNA KILDEER COUNTRYSIDE SD 96 * 03/21/18 JAMES W GREEN, JR 944 20WC 10319 SCHULTZ, THOMAS FEDEX * 02/17/20 LIPKIN & APTER 945 20WC 10352 CONWAY, KIMBERLY A SOI - ANN KILEY D.C. @ * 05/05/19 CORNFIELD & FELDMAN 946 20WC 10435 FOSTER, WALTER D.R. HORTON, INC.- MIDWES 02/11/19 COZZI & ZAPF LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 947 20WC 10437 CLAUSING, MICHELE LARSEN FLORIST, INC/JOHN * 05/31/19 COZZI & ZAPF LAW OFFICE 948 20WC 10503 JIMENEZ, ALFREDO JIMENEZ EMERIC FACILITY SERVICES * 04/21/20 EPSTEIN, JACK R LAW OFFICE 949 20WC 10546 SANCHEZ, LEOBARDO FBG SERVICE CORP * 02/18/20 RUEDA, IVAN A 950 20WC 10622 RAMOS, MARIA GUADALUPE S I JACOBSON MANUFACTURIN * 08/15/19 CULLEN HASKINS NICHOLSON 951 20WC 10712 RAMIREZ, GREGORIO KEMPER VALVE & FITTINGS C * 11/06/19 COSTA IVONE LLC 952 20WC 10730 ARCOS, MARIA J WHITEHALL NORTH LLC. WHIT * 07/12/19 ROSS TYRRELL 953 20WC 10796 HAHLE, JAMES P ROUNDY'S INC * 09/08/16 TAMVAKIS, GEORGE L 954 20WC 10844 BATCHAMONG, MANUEL AMAZON * 12/12/19 DWORKIN AND MACIARIELLO 955 20WC 10875 MARTINEZ, MARCO ROBERT J SCHWAB PLUMBING * 09/06/19 WIEDNER & MCAULIFFE LTD 956 20WC 10936 SULLIVAN, KELLEY HOLLAND (YRC) * 04/21/20 LEONARD LAW GROUP LLC 957 20WC 11008 MCDONALD, FREDRICK PEAPOD LLC * 11/23/19 ANKIN LAW OFFICE LITCHFIELD CAVO 958 20WC 11030 AMUKAMARA, PRINCE CHICAGO BEARS FOOTBALL CL * 01/07/19 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 959 20WC 11082 GARITI, SALVATORE COPENHAVER CONSTRUCTION I * 11/11/19 GWC INJURY LAWYERS LLC ACCIDENT FUND HOLDINGS 960 20WC 11334 HAUBER, KIM J, WIDOW OF VILLAGE OF BUFFALO GROVE # * 01/27/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 961 20WC 11350 ORI, THEODORE FOREST BLUFF SCHOOL * 01/15/16 DAVID J. BAWCUM JOSEPH MARCINIAK 962 20WC 11395 STIBLING, JEAUN JEWEL FOOD STORES * 12/24/19 EVANS & DIXON 963 20WC 11452 TOCHIHUITL, JOSE A CLARIDGE OPERATIONS, LLC * 04/17/20 THE ROMAKER LAW FIRM 964 20WC 11575 HENSLEY, DONALD COMCAST * 05/12/20 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 965 20WC 11625 BORTO, VIOLET FLEX, LTD. * 01/06/20 NEMEROFF LAW OFFICES HOLECEK & ASSOCIATES 966 20WC 11702 CAPPIELLO, ROBERT SUNRISE TREE SERVICE COMP * 02/21/20 TARADASH LAW OFFICE 967 20WC 11905 WILLIAMS, ELRIDGE WEIMAN PRODUCTS LLC * 05/13/20 ANKIN LAW OFFICE 968 20WC 11921 ZAVALA, ELIO ROSBOROUGH PARTNERS, INC. * 11/07/19 BRADY CONNOLLY & MASUDA PC 969 20WC 11939 FIGUEROA, JOSE LAKE COUNTY PRESS * 04/01/19 MC HARGUE & JONES 970 20WC 12029 AYLWARD, RYAN JOHN WOODLAND MIDDLE SCHOOL * 05/11/20 HANNIGAN & BOTHA, LTD 971 20WC 12112 GAHAGAN, JAMES J WAUKEGAN PUBLIC SD 60 * 12/03/19 ANTHONY J MAY 972 20WC 12322 CARTER, CORAZON BELMONT VILLAGE SENIOR LI * 04/28/20 PETER LEKAS GAROFALO SCHREIBER STORM GRA 973 20WC 12373 QUINTANA, YOLANDA (WIDOW ALLSTAFF # * 03/20/20 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 974 20WC 12454 ACEVEDO RUIZ, GRACIELA ALLSTAFF-GURNEE * 04/17/20 EPSTEIN, JACK R LAW OFFICE 975 20WC 12476 WILLIAMS, LAWRENCE AMAZON * 01/21/20 TAMVAKIS, GEORGE L 976 20WC 12597 CAPPI, MARGARET NATURESCAPE * 12/26/19 DWORKIN AND MACIARIELLO 977 20WC 12662 ESCAMILLA, HECTOR XREL STAFFING SOLUTIONS L * 03/15/20 ANKIN LAW OFFICE 978 20WC 12754 SANCHEZ, GUADALUPE (WIDOW RUPRECHT COMPANY # * 04/23/20 CULLEN HASKINS NICHOLSON 979 20WC 12768 LOFTON, APRIL KILEY DEVELOPMENTAL CTR * 05/19/20 STEVEN J MALMAN & ASSOCIAT 980 20WC 12786 SPALDING, SHAWN VILLAGE OF DEERFIELD * 12/13/19 SHANCER, JEFFREY M 981 20WC 12920 GARIBAY, LUZ ELENA FLYNN RESTAURANT GROUP, L * 01/05/20 COSTA IVONE LLC 982 20WC 12998 RAMIREZ, NINA ALDEN LONG GROVE REHAB & * 04/01/20 JONATHAN SCHLACK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 983 20WC 13031 SOTELO, RENE COLBERT PACKAGING CORP * 04/24/20 HANNIGAN & BOTHA, LTD 984 20WC 13037 TABISZ, RICHARD D CITY OF WAUKEGAN * 04/03/20 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 985 20WC 13063 HERNANDEZ, ALEJANDRO MITSHUBISHI ELECTRIC * 10/28/19 LINN, CAMPE & RIZZO LTD 986 20WC 13072 KOCH, BRENT A A. K. BUILDERS * 01/22/20 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 987 20WC 13127 MENDOZA, VICTOR ACCURATE PERSONNEL LLC * 04/29/20 POSTERLI, OSCAR 988 20WC 13176 MASON, YVONNE ZION SD 6/ELMWOOD SCHOOL * 08/25/17 SCOTT B SHAPIRO 989 20WC 13274 CORTEZ, MIGUEL PEER BEARING CO * 09/16/19 ANKIN LAW OFFICE 990 20WC 13352 ALDAMA, SALOMON LEWIS PRODUCE * 04/19/20 MARKS INJURY LAW 991 20WC 13477 ASUNCION, MARIA LUISA THE ALLENDALE ASSOCIATION * 07/02/18 BERENZ LAW NETWORK WOLF & LAUDICINA LTD 992 20WC 13501 PEREZ, EDWARD L BUFFALO WILD WINGS * 01/19/20 LINN, CAMPE & RIZZO LTD GOLDBERG SEGALLA LLC 993 20WC 13575 BEGGS, MATTHEW CUMMINS, INC * 02/11/20 DUDLEY & LAKE LLC GOLDBERG SEGALLA LLC 994 20WC 13607 HERR, RONALD J WAUKEGAN PUBLIC SD 60 * 01/27/20 ANTHONY J MAY 995 20WC 13717 RINDFLEISCH, ANDREW MEDLINE * 11/15/19 DWORKIN AND MACIARIELLO 996 20WC 13782 ERATH, DANIEL ABITUA SEWER WATER & * 07/15/19 GANAN & SHAPIRO 997 20WC 13812 FRAYER-BRUNO (WIDOW) K EXPRESS INC # * 06/12/20 STROM & ASSOC 998 20WC 13932 CASEY, JAMES LAKE COUNTY SHERIFF'S DEP * 02/26/20 DUDLEY & LAKE LLC 999 20WC 14012 REYES, CIPRIANO ALLSTAFF-GURNEE * 04/15/20 CULLEN HASKINS NICHOLSON 1000 20WC 14103 DE ALEJANDRE, ELVIRA MART COMPX SECURITY PRODUCTS: * 01/27/20 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1001 20WC 14153 DRAPER, GREGORY L WALMART, INC * 03/05/20 LINN, CAMPE & RIZZO LTD GANAN & SHAPIRO 1002 20WC 14156 POLLIN, PATRIC A DEERFIELD-BANNOCKBURN FIR * 05/25/19 LINN, CAMPE & RIZZO LTD 1003 20WC 14172 ISITORO, SCOTT VENDEM, INC * 05/19/20 DOUGLAS RALLO PC JOSEPH MARCINIAK 1004 20WC 14229 BAUER, ANDREW NEW LIFE EVANGELICAL * 09/25/19 RICHARD O. GREENFIELD 1005 20WC 14273 PELC, OBIE KWCC INC * 07/18/19 ACCIDENT FUND HOLDINGS 1006 20WC 14332 ROMAN, ARACELI MIDWAY STAFFING & FNA GRO * 01/23/20 POSTERLI, OSCAR 1007 20WC 14368 DIAZ, MARYCEL HAMPTON INN & SUITES 03/09/20 DAVID W MARTAY 1008 20WC 14401 PRICE, KEITH MCCANN WINDOW & DOOR * 01/30/20 KINNALLY FLAHERTY KRENTZ 1009 20WC 14568 HARRIS, TIJUANA R NORTHWESTERN LAKE FOREST * 07/24/19 BRILL & FISHEL 1010 20WC 14688 OLAVERE, RUSTY ABBOTT LABORATORIES * 09/25/18 MARKS INJURY LAW 1011 20WC 14765 SMITH, JACKSON AMAZON FULFILLMENT CENTER * 04/22/20 DWORKIN AND MACIARIELLO 1012 20WC 14782 CALDWELL, MONITTA TRIDENT CARE * 01/24/20 THE ROMAKER LAW FIRM 1013 20WC 14830 IRAZOQUE, PERLA WHITEHALL * 04/11/19 ROSENBERG EISENBERG ASSOC 1014 20WC 14868 EVANS, DYLAN CHICAGO TAG AND LABEL * 06/19/20 DWORKIN AND MACIARIELLO 1015 20WC 14907 WEIS, MARIANNE AMAZON * 05/01/18 SMOLER LAW OFFICE, PC 1016 20WC 14990 RAMIREZ, ARACELI HYDRA FORCE * 12/19/19 ACEVES & PEREZ PC 1017 20WC 15012 HUTCHISON, CATHERINE SOUND, INC * 11/27/19 GWC INJURY LAWYERS LLC 1018 20WC 15139 SIERRA, DAVID D AKZO NOBEL AEROSPACE * 04/23/20 BRILL & FISHEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1019 20WC 15225 MALDONADO, JONY ALEX M. PAINTING, INC * 06/19/20 ANGELA NARDI-QUIGLEY 1020 20WC 15255 HEINZL, JASON ILLINOIS STATE POLICE * 04/21/20 RIDGE & DOWNES 1021 20WC 15265 SCOTT, EDWARD PETE'S HVAC, INC * 06/30/20 JOHN S. ELIASIK 1022 20WC 15440 ROMEO, MICHAEL T FEDEX GROUND * 05/01/20 NILSON STOOKAL GLEASON CAP 1023 20WC 15532 MERCADO, J CARMEN FIBERTEX NONWOVEN SOLUTIO * 10/30/19 ELFENBAUM EVERS ZIELINSKA 1024 20WC 15707 UHUKA, DORIS FIRST LIGHT HOME HEALTH * 12/28/19 SANDMAN LEVY & PETRICH