ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 99WC 03404 19B DE FALCO, PHILLIP SELCO INDUSTRIES 12/31/98 ELFENBAUM EVERS & AMARILIO LAW OFFICES OF EDWARD J. KOZ 2 02WC 11901 DUMAS, AL ST OF IL DEPT OF HS ELISA @ 09/24/01 EDWARD SPITZ & ASSOC LTD DONALD MC LAUGHLIN 02WC051247 -C 03WC033396 -C 05WC002627 -C 05WC002891 -C 3 02WC 57116 ROHAN, WILLIAM CHICAGO PUBLIC SCHOOLS 10/12/01 TIMOTHY LAMPINEN LAW OFFIC LAW DEPARTMENT 03WC035590 -C 4 04WC 00106 RAUZI, DAWN CHICAGO BOARD OF EDUCATIO 11/11/03 ROMANEK & ROMANEK LAW DEPARTMENT 5 05WC 27781 WALKER, CYNTHIA COOK COUNTY SHERIFFS OFFI 07/08/04 SEIDMAN, STEVEN J STATES ATTORNEY OF COOK CO 05WC027783 -C 6 05WC 36980 19B STRUGIELSKI, DIANE COOK COUNTY MEDICAL EXAMI 07/13/05 NAVIGATO & SALVATO INMAN & FITZGIBBONS 7 05WC 49945 TOLEFREE, THOMAS ALPHA BAKING CO 07/13/05 EMPLOYEE LEGAL SERVICES LT MACIOROWSKI SACKMANN & ULRIC 8 06WC 17045 ROSEN, AL EVANSTON TOWNSHIP H.S. SD 03/15/05 STEVEN J SEIDMAN LAW OFFIC BRADY CONNOLLY & MASUDA PC 06WC017046 -C 9 06WC 47892 IVANOV, EDWARD CHICAGO TRANSIT AUTHORITY 01/11/02 O'CONNOR & NAKOS 06WC047893 -C 06WC047894 -C 08WC009844 -C 10 07WC 02679 BORRERO, DEBORAH CHICAGO BOARD OF EDUCATIO 08/09/06 LEO ALT LEAHY EISENBERG & FRAENKEL 11 07WC 38739 STEVENS, JEFFREY CITY OF CHICAGO 11/29/05 JOHN E LUSAK CITY OF CHICAGO 07WC038740 -C 07WC038741 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 12 08WC 16442 LAZAR, EDMAND S & C ELECTRIC CO 02/06/08 HUGHES SOCOL PIERS RESNICK MACIOROWSKI SACKMANN & ULRIC 13 08WC 50939 SAHAL, NASIR W TIP TOM TOO INC 04/03/07 KNELL & O'CONNOR 14 09WC 05235 PEREZ, CARLOS DESSENT ROOFING 11/11/08 O'CONNOR & NAKOS LAW OFFICES OF EDWARD J. KOZ 15 09WC 14379 CHADWICK, JOSEPHINE FED EX FREIGHT EAST 01/02/08 GOLDBERG WEISMAN & CAIRO L SCOPELITIS GARVIN LIGHT 16 09WC 16042 MCLAURIN, JOE CHICAGO TRANSIT AUTHORITY 01/17/09 BOWMAN & CORDAY CHICAGO TRANSIT AUTHORITY 17 09WC 32214 PIERCE, HEATHER (WIFE) CHICAGO TRANSIT AUTHORITY # 07/17/09 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 18 09WC 33791 USTASIEWSKI, JOSEPH CITY OF CHICAGO 04/30/09 CULLEN, HASKINS, NICHOLSON 12WC040219 -C 19 09WC 36506 WELLS, LETICIA A CTA 08/24/09 STEWART C ORZOFF CHICAGO TRANSIT AUTHORITY 20 09WC 46581 GARDNER, ARA UNIVERSITY OF ILLINOIS @ 09/27/07 JOHN E LUSAK NYHAN BAMBRICK KINZIE & LOWR 09WC046582 -C 10WC021737 -C 10WC021738 -C 10WC021739 -C 10WC023182 -C 21 10WC 13288 CONTRERAS, MARIA TUTTLE SPECIALTY STAFFING W 02/09/10 GOLDSTEIN BENDER & ROMANOF 22 10WC 21059 TILLER, VICTORIA EVANSTON NORTHWESTERN 12/04/04 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 23 10WC 23267 BURRUSS, FELICIA COOK COUNTY SHERIFFS DEPT 05/18/10 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 24 10WC 26766 19B IRIZARRY, EDWIN CITY OF CHICAGO 06/21/10 BAUM RUFFOLO & MARZAL LTD 25 10WC 30960 ARRIAGA, HILDA COMPASS GROUP USA, INC 07/12/10 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 26 10WC 32246 BACHELDER, GEORGE OUTSOURCE FLEET SERVICES 07/22/10 ANGELINI & ORI LLC HOLECEK & ASSOCIATES 27 10WC 41745 DIAZ, ELVA LOYOLA UNIVERSITY 08/20/10 SANDMAN LEVY & PETRICH LORENZ & BERGIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 10WC 43083 ALVARADO, JESUS ULTRAVEND 07/28/10 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 29 10WC 46964 THOMPSON, LORETTA CITY OF CHICAGO 11/03/10 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 30 11WC 03165 SANTIAGO, LOUIS IDOT @ 01/17/11 SIGMOND, STEVEN ASSISTANT ATTORNEY GENERAL 31 11WC 14728 RODRIGUEZ, LUCIO MVP PERSONNEL 03/15/11 LAW OFFICE OF SCOTT B SHAP KOREY LAW LLC 32 11WC 15990 OROZCO, JORGE BRICKMAN LANDSCAPING 04/19/11 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 33 11WC 19977 LIPIEN, DEBORAH SOUTHWESTAIRLINES 04/06/11 DAVENPORT & WHITE HENNESSY & ROACH PC 11WC019978 -C 34 11WC 21515 HERNANDEZ, MARGARITA EXCEL SCREEN PRINTING 05/13/11 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK 35 11WC 22400 LAPICE, JACK ZORAN CALOVIC @ W 05/20/11 O'CONNOR & NAKOS 36 11WC 30774 WASHINGTON, LAVERNE PACE WEST DIVISION 01/18/10 TRUGLIO, FRED A & ASSOC MARK F SLAVIN 37 11WC 31372 THOMAS, MAURICE METROPOLITAN WATER RECLAM 07/13/11 WEISS & WEISS LAW OFFICES NOBLE & ASSOCIATES PC 38 11WC 31458 THOMPSON, KIMBERLY CTA 07/03/11 JOHN C SERKLAND CHICAGO TRANSIT AUTHORITY 12WC038224 -C CHICAGO TRANSIT AUTHORITY 39 11WC 32165 DOMINGUEZ, JUAN SPORTS N'FASHION, INC. 08/06/11 VRDOLYAK LAW GROUP LLC BASILE LAW FIRM 40 11WC 32789 GARCIA, JOSE J NORTHSHORE UNIVERSITY HEA 08/01/10 HUGHES SOCOL PIERS RESNICK KEEFE CAMPBELL & ASSOC LLC 12WC008356 -C 41 11WC 39174 WIGGINS, CHERYL COOK DUPAGE TRANSPORATION 09/27/11 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 12WC005505 -C 42 11WC 39876 WILLIAMS, ANITA SCHIELE GROUP 08/19/10 LEONARD LAW GROUP LLC CASSANO & ASSOCIATES 43 11WC 48451 SEGURA, CELIA METAL IMPACT AND RON'S 10/08/10 EPSTEIN, JACK R LAW OFFICE KOREY RICHARDSON LLC 44 12WC 12746 CHICO, ROBERT CHICAGO BOARD OF EDUCATIO 03/14/12 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 45 12WC 13465 TAYLOR, KATHRYN CHICAGO TRANSIT AUTHORITY 01/29/12 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 46 12WC 20479 MALEC, JIM METRO WATER RECLAMATION 12/25/10 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 47 12WC 21845 HERNANDEZ, CHRISTOPHER V CHICAGO PARK DIST 05/28/12 ANKIN LAW OFFICE CHICAGO PARK DIST 48 12WC 22136 SCOTT REA, DEBRA OAK FOREST HOSPITAL OF 05/15/12 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 49 12WC 22429 19B PORTILLO, SOCORRO CITY OF CHICAGO 04/13/12 HETHERINGTON KARPEL BOBBER CITY OF CHICAGO 12WC022430 -C 50 12WC 22957 CHAMBERS, KEITH CITY OF CHICAGO 03/23/12 HEALY LAW FIRM 51 12WC 25258 SANCHEZ, MIGUEL P SR ALBIN CARLSON INC 03/27/12 SALVATO & O'TOOLE STONE & JOHNSON CHARTERED 52 12WC 26161 SIMS GATES, SHARIANNE IHFS CHILD SUPPORT @ 06/27/12 DAVID W MARTAY MATTHEW LICAVOLI 53 12WC 35480 HENDERSON, CHARLES CHICAGO BOTANIC GARDEN 09/30/11 MARTIN L GLINK LAW OFFICE JOSEPH MARCINIAK 12WC040364 -C 13WC002750 -C 13WC002751 -C 54 12WC 35730 SANTAMARIA-LINARES, GLORI MIDWEST DIRECT MAILERS 09/27/12 LUIS A ACEVES & ASSOC 55 12WC 36090 NUNEZ, JOSE G CHICAGO PARK DISTRICT 05/16/12 SHELDON I MINKOW & ASSOCIA CHICAGO PARK DIST LAW DEPT 56 12WC 37045 JOHANN, DEBRA D TIMBER RIDGE SCHOOL 10/19/11 THOMAS W DUDA WIEDNER & MCAULIFFE LTD 57 12WC 43027 CACERES, SOL V CHICAGO SOUL SOCCER W 10/03/12 LAW OFFICE OF SCOTT B SHAP 58 13WC 02841 GARDNER-DAVIS, VANESSA ADDUS HEALTHCARE INS 01/15/13 STEWART C ORZOFF HENNESSY & ROACH PC 59 13WC 03610 HEDLUND, DIANNE JESSE WHITE @ 01/05/13 BURNES & LIBMAN ASSISTANT ATTORNEY GENERAL 60 13WC 03853 DEVITA, ANGELO ST OF ILL EMERGENCY TRAFF 02/04/13 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 61 13WC 07564 CEJA, ALEJANDRO ED MINIAT 10/01/12 RAYMOND M SIMARD, PC POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 62 13WC 11004 BURTON, CHADDIE CITY OF CHICAGO 06/07/10 DWORKIN AND MACIARIELLO 63 13WC 11025 BELL, WAYNE J SR COOK COUNTY 10/29/12 TAXMAN POLLOCK STATES ATTORNEY OF COOK COUN 64 13WC 12194 MCCLINE, LYNETTE MT SINAI HOSPITAL MED CEN 10/23/12 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 65 13WC 12225 STANFORD, EDDIE J JR ENTERPRISE HOLDINGS INC 12/12/12 VRDOLYAK LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 14WC018353 -C 66 13WC 12892 SANTANA-ROMAN, JESUS ALPHA METALS CORPORATION 01/14/13 SALK, STEVEN B & ASSOC LTD 67 13WC 12941 TORRES, ELIZABETH DPI LOGISTICS 07/29/12 MEYERS & FLOWERS MEACHUM & STARCK 68 13WC 13025 MALLOY, JOHN NUANCE SOLUTIONS 10/10/12 CAPRON & AVGERINOS PC KEEFE CAMPBELL & ASSOC LLC 69 13WC 13161 EDWARDS, DANIEL CITY OF CHICAGO 01/03/12 SALVATO & O'TOOLE CITY OF CHICAGO 70 13WC 14328 WARD, JEANNE M CHICAGO PUBLIC SCHOOLS 03/07/13 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 71 13WC 14992 BAKER, GERMAINE CITY OF CHICAGO 10/31/12 DWORKIN AND MACIARIELLO CITY OF CHICAGO 72 13WC 20241 GOMEZ, HECTOR R VINCE & SONS PASTA CO 05/01/13 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 73 13WC 20540 OCHOA, FERNANDO CAPITOL CAR WASH COMPANY 07/05/12 ACEVES & PEREZ PC GILDEA & COGHLAN 74 13WC 21484 BOZYCH, JEANNE/WIFE OF PAUL H SCHWENDENER INC # 04/14/13 HEALY SCANLON LAW FIRM 75 13WC 22816 MAYERAK, JEREMIAH EXPERIMENTAL SYSTEM 04/11/13 RUBIN LAW GROUP KNELL & O'CONNOR 76 13WC 24213 BELL, CAROLINE YOUTH CONNECTION 10/24/12 WHITESIDE & GOLDBERG LTD 77 13WC 24382 NOLAN, MICHAEL COOK COUNTY JOHN H STROGE 12/28/12 FRANK A CELANI STATES ATTORNEY OF COOK COUN 78 13WC 24977 DAVIS, SABRINA ADVOCATE CHRIST MEDICAL C 03/16/13 NICHOLAS ROBERT RECCHIA GAROFALO SCHREIBER STORM 79 13WC 25014 LUNA-RUEDA, CARLOS TOMOTTO CO 09/19/12 LAW OFFICES MICHAEL HELLMA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 13WC 29706 PAYNE, BERNARD EA SWEEN COMPANY 06/09/13 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 81 13WC 29724 WILLIAMS, JERRY CTA 09/04/13 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 82 13WC 30769 SARGON-SWENSON, LINDA ST OF IL SECRETARY OF STA @ 08/01/11 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 83 13WC 30907 DOUGLAS, ADORN CITY OF CHICAGO 09/17/13 FRIEDMAN & SOLMOR LTD CITY OF CHICAGO 14WC027097 -C 84 13WC 33351 GARCIA, FELIMON ATLAS WIRE 08/26/13 NILSON STOOKAL GLEASON CAP HOLECEK & ASSOCIATES 85 13WC 33418 SIEMANOWICZ, MARIUSZ KOVACS DECORATING & 09/05/13 BELCHER LAW OFFICE SMITH AMUNDSEN LLC 86 13WC 33936 DE AVILES, BASILISA ALOFT O'HARE 10/01/12 EPSTEIN, JACK R LAW OFFICE GRANT & FANNING 87 13WC 34140 ROSADO, JOEL CITY OF CHICAGO 09/16/13 SALVATO & O'TOOLE CITY OF CHICAGO 88 13WC 34542 TERPENING, BERNARD CLARICH MOLD CORP 10/07/13 OSVALDO RODRIGUEZ PC LAW OFFICES JOSEPH MARCINIAK 13WC034543 -C 89 13WC 34663 RIVERA, YOLANDA CARAUSTAR 03/19/13 FRANCIS J DISCIPIO LAW OFF KNELL & O'CONNOR 13WC040388 -C 90 13WC 35965 COPELAND, DAWN ENTERTAINMENT PARTNERS 10/21/13 BRILL & FISHEL RUSIN & MACIOROWSKI LTD 16WC034337 -C 91 13WC 38754 HOLIDAY, TAMMY J CITY OF CHICAGO 05/02/13 ANKIN LAW OFFICE 92 13WC 40979 JACKSON, RAY C CHICAGO TRANSIT AUTHORITY 12/01/13 JAKOFSKY, WILLIAM CHICAGO TRANSIT AUTHORITY 93 14WC 00570 RAYA, JESSE CITY OF CHICAGO 09/09/13 TAMVAKIS, GEORGE L CITY OF CHICAGO 94 14WC 00605 BABUSKOW, PATRICK CITY OF CHICAGO 08/19/13 BOWMAN & CORDAY 95 14WC 00704 HOUSE, CATHERINE KIRK CITY OF CHICAGO 03/21/13 BERG & BERG ODELSON & STERK 96 14WC 00754 SURGES, JACQUELYN MAC NEAL HOSPITAL 02/22/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 97 14WC 00844 SALGADO, MARIA DART CONTAINER CORP 08/12/13 SALVATO & O'TOOLE GAROFALO SCHREIBER STORM 98 14WC 01580 CELAYA, ROMAN HIGHLAND BAKING COMPANY I 12/31/13 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 99 14WC 05118 KLUGA, KIMBERLY HIGHLAND PARK HOSPITAL 11/01/11 ANKIN LAW OFFICE 100 14WC 05643 BEATTY, MARGIE L WARNING PAIGE TRANSPORTAT 01/23/14 BAUM RUFFOLO & MARZAL LTD STONE & JOHNSON CHARTERED 101 14WC 09992 SMITH, MICHAEL UIC BIOLOGICAL RESOURCES 10/19/13 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 102 14WC 10275 MANNO, CARL GES 02/18/14 LEO ALT GILDEA & COGHLAN 103 14WC 10614 OCAMPO-FLORES, FRANCISCO ROSBOROUGH PARTNERS, INC 11/15/13 GOLDBERG WEISMAN & CAIRO L HANSON LAW OFFICE 104 14WC 11145 WILLIAMS, CONSTANCE STATE OF ILLINOIS @ 03/04/14 VRDOLYAK LAW GROUP LLC 105 14WC 11390 RAMIREZ, MARTHA TARGET CORPORATION 03/10/14 SANDMAN LEVY & PETRICH KEEFE CAMPBELL & ASSOC LLC 106 14WC 11795 SOSA, CELSO CONTRACTORS ACCESS EQUIPM 12/03/13 VRDOLYAK LAW GROUP LLC ACCIDENT FUND HOLDINGS 107 14WC 12007 BOHLING, TIMOTHY HADADY MACHINING CO. INC 05/18/13 ANKIN LAW OFFICE HENNESSY & ROACH PC 108 14WC 12044 SCOTT, ARNOLD STATE OF ILLINOIS @ 01/24/14 GOLDBERG WEISMAN & CAIRO L JILL OTTE 109 14WC 12144 KUNZIE, STEVEN A VILLAGE OF MORTON GROVE 02/24/14 THOMAS W DUDA POWER & CRONIN LTD 110 14WC 12149 LIGGETT, CHANTEL COOK COUNTY SHERIFFS DEPT 12/01/13 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 111 14WC 12331 DAVIS, CHIQUITA STATE OF ILLINOIS 03/18/14 DOUGLAS RALLO PC ASSISTANT ATTORNEY GENERAL 112 14WC 12798 CAYABYAB, NICETAS UIC HOSPITAL 04/01/14 FRIEDMAN & SOLMOR LTD POWER & CRONIN LTD 113 14WC 12860 GARCIA, JORGE NAGATA TECHNOLOGY INC 08/21/13 LAW OFFICES OF MARK SCHAFF EDWARD JANUSZKIEWICZ 14WC012861 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 114 14WC 15683 SIMPSON, JAY AT & T 03/31/14 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 115 14WC 15865 RAMIREZ, JOSE SOUTHWEST AIRLINES 08/02/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 16WC029407 -C 116 14WC 16678 SHELBY, SIOBHAN CTA 05/02/14 MICHAEL P MCCREADY & ASSOC CHICAGO TRANSIT AUTHORITY 117 14WC 19148 PODRECCA, PHILLIP NATIONAL RAILWAY 03/20/14 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 15WC028042 -C 118 14WC 19410 RODRIGUEZ, ANGIE DOLLAR GENEREAL 03/22/14 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 119 14WC 20603 OTTOLINO, GERARD GATEWAY CONCRETE 07/20/11 CULLEN HASKINS NICHOLSON 120 14WC 20871 BORGES, ENRIQUE SEWER TECH SERVICES 05/05/14 O'CONNOR & NAKOS MEACHUM & STARCK 121 14WC 20932 POOL, JOHN UPS FREIGHT 10/08/13 DWORKIN AND MACIARIELLO ASA LAW GROUP 122 14WC 21921 ASHFORD, MC ALLISTER AMERICAN AUTO HIKERS INC 05/22/14 GOLDFEIN LAW OFFICE PC RUSIN & MACIOROWSKI LTD 123 14WC 22301 RUIZ, LORENA ARAMARK 04/04/14 COHN LAMBERT RYAN & SCHNEI STONE & JOHNSON CHARTERED 14WC022302 -C 124 14WC 22326 BLAKELY, JACQUELINE FRESENIUS MEDICAL CARE 05/13/14 ANKIN LAW OFFICE HENNESSY & ROACH PC 125 14WC 22502 WILLIAMS, SUE UNITED HEALTH GROUP 03/25/14 CHARLES A FANUCCHI SLAVIN & SLAVIN 126 14WC 23342 HARRIS, FRANCES CITY OF CHICAGO 06/29/14 SKLARE LAW GROUP 127 14WC 23548 STROUD, DANIEL VACUDYNE, INC. 06/30/14 GOLDBERG WEISMAN & CAIRO L WOLFE & JACOBSON, LTD 128 14WC 23589 THURMAN, TISA IMAGINE LIMO W 03/07/14 FOHRMAN, DONALD W & ASSOCS 129 14WC 23612 HERNANDEZ, JUANA ALTERNATIVE STAFFING 03/10/14 ENCINAS & ORNELAS MACIOROWSKI SACKMANN & ULRIC 130 14WC 23684 GARIBAY, ANTHONY TAYLOR ELECTRIC 06/18/14 LEONARD LAW GROUP LLC MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 131 14WC 27129 FALGIER, DOUGLAS THE WJ MCGUIRE CO 07/29/14 HORWITZ HORWITZ & ASSOC 132 14WC 28130 COOK, WAYNE WINEBOW INC 02/06/14 DEAN J CARAS & ASSOCIATES THOMAS & PORTELA 14WC028131 -C 133 14WC 29110 CLARK, THERESA MACY'S/WATER TOWER 08/17/14 WITTENBERG DOUGHERTY MAGLI ROBERT L. SMITH 134 14WC 31382 HAHN, PETER RIDGEMOOR COUNTRY CLUB 05/28/13 NEWLAND & NEWLAND LAW OFFICES JOSEPH MARCINIAK 14WC031383 -C 135 14WC 31719 FELICIANO, GLADYS SCH&T CORP OF IL/DBA 08/31/14 LEWIS & DAVIDSON, LTD GILDEA & COGHLAN 136 14WC 31927 JAAX, JAMES CITY OF CHICAGO 08/21/14 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 137 14WC 31957 BRADLEY, DONALD UNIVERSITY OF CHICAGO 07/03/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 138 14WC 31986 CAMPOS, ESTELA EXECUTIVE MAILING SERVICE 07/13/13 SALK, STEVEN B & ASSOC LTD 139 14WC 32126 REILLY-DOSE, SUSAN THRESHOLDS 08/25/14 ROMANUCCI & BLANDIN LITCHFIELD CAVO 140 14WC 32244 THOMAS, DEBORAH JEWEL FOOD STORE 05/23/14 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 141 14WC 32388 ORTEGA, GILBERTO AP MACHINE INC 08/26/14 NILSON STOOKAL GLEASON CAP 142 14WC 32684 ROMANEK, GAIL CHICAGO TRANSIT AUTHORITY 01/29/14 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 143 14WC 32809 KUNZ, MICHAEL C AMERICAN AIRLINES 05/29/14 ELFENBAUM EVERS & AMARILIO ROSARIO CIBELLA 144 14WC 33600 KENNY, THOMAS CITY OF CHICAGO 09/16/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 145 14WC 33865 GUZMAN, EDELMA SURE STAFF INC 09/17/14 ANKIN LAW OFFICE SURE-STAFF 146 14WC 33906 FLOWERS, DARRELL W SR CHGO STREETS & SAN DEPT 04/18/14 LAW OFFICE OF SCOTT B SHAP CITY OF CHICAGO 147 14WC 33944 BUTLER, MARIE IL DEPT OF TRANSPORTATION 09/24/14 SEIDMAN MARGULIS & FAIRMAN C. FLETCHER 148 14WC 33986 VALVERDR, ANTONIO SR LAYSTROM MANUFACTURING CO 07/30/14 CULLEN HASKINS NICHOLSON CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 149 14WC 34011 GUBERNAT, BARTOSZ ALRO STEEL CORP 07/31/14 ALEKSY BELCHER GAROFALO SCHREIBER STORM 150 14WC 34632 REAL, JAMES KOLE CONSTRUCTION 09/30/14 FIGLIOLI, DAVID GANAN & SHAPIRO 151 14WC 34678 MOJICA, MARIA DEL CARMEN ALTERNATIVE STAFFING INC 07/26/14 COSTA IVONE LLC MACIOROWSKI SACKMANN & ULRIC 152 14WC 34754 BAZAN, DAMIAN CITY OF EVANSTON 02/11/14 FOHRMAN, DONALD W & ASSOCS 153 14WC 35283 RICHARDSON, KENNETH CITY OF CHICAGO - WATER D 08/20/14 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 154 14WC 41170 HOUSE, JACQUELINE CITY OF CHICAGO DEPT OF 02/17/14 ANKIN LAW OFFICE CITY OF CHICAGO 14WC041171 -C 155 14WC 42288 BROOKS, ANTHONY JB HUNT 11/26/14 CHRISTOPHER FREEMAN RUSIN & MACIOROWSKI LTD 156 14WC 42487 BARBA, ADRIANA SOUTHWEST AIRLINES 02/19/14 ANGELINI & ORI LLC 157 14WC 42809 MORELOS, PALEMON GOLD STANDARD BAKING 12/04/14 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 158 14WC 42916 ROMERO, ALBERTO TOVAR QUALITY LABOR SERVICES LL 09/06/14 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 159 14WC 43007 CROSS, LERQUONNA J ZF LEMFORDER 11/18/14 DWORKIN AND MACIARIELLO 160 14WC 43397 CISZEK, JOZEF R & N MACHINING 04/25/12 SEIDMAN MARGULIS & FAIRMAN 161 15WC 00236 MAHIR, MOHAMMED MUAAZ MOH CHECKER TAXI AFFILIATION 11/26/14 WARREN W MARK 162 15WC 00303 HIXSON, ROSALIE ST OF IL DEPT OF CHICAGO 09/04/14 GOLDBERG WEISMAN & CAIRO L C. FLETCHER 163 15WC 00516 OLVERA, MARVIN ST OF IL 11/24/14 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 164 15WC 00556 MUNOZ, GUADALUPE ADJUSTABLE FORMS INC 11/28/14 FIGLIOLI, DAVID HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 165 15WC 00664 RUDCKI, DONNA POTASH MARKETS 11/28/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 166 15WC 01104 ANDERSON, RHONDA CTA 09/16/14 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 15WC021739 -C 167 15WC 01214 O'BRIEN, DEBRA ADVOCATE HEALTH CARE 12/31/14 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 168 15WC 04644 GAYTAN, ROBERT CITY OF CHICAGO 03/27/13 ROSS TYRRELL 169 15WC 07261 GINAVEN, GARY FORD MOTOR COMPANY 10/24/14 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 15WC007262 -C 170 15WC 08786 LAGER, KRAIG FORD MOTOR COMPANY 10/14/14 LEE, MARK N LAW OFFICE 171 15WC 09071 JONES, DEMARIO THE IVY APARTMENTS 03/09/15 ANKIN LAW OFFICE 172 15WC 09082 RALEIGH, RICHARD PAT SALMON & SONS 12/12/14 WOODRUFF & JOHNSON DOWD & DOWD LTD 173 15WC 09215 SMITH, TIMOTHY WALMART 02/16/15 DAVID W MARTAY 174 15WC 09951 KOTOMSKI, WOJCIECH GREENRIDGE FARM, INC 03/02/15 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 175 15WC 10188 MARTILLO, JUAN C NATION PIZZA & FOODS, LLC 02/03/15 MEYERS & FLOWERS MEACHUM & STARCK 176 15WC 10315 DARKWA, JOSEPH CHICAGO ELITE CAB CORP 01/13/15 HUNER LAW OFFICES LLC 177 15WC 10440 BIELANSKI, ANDRZEJ HOUSE OF GRANITE & MARBLE 03/20/15 CUSHING LAW OFFICES LAW OFFICES KRISTEN M KOZLOW 178 15WC 10534 MUNOZ, MARIA GLENVIEW TERRANCE 02/03/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES FRANCESCA LARSEN 16WC033956 -C 179 15WC 10634 AVILA, ROCIO THE KROGER CO 12/24/14 DAVID W MARTAY 180 15WC 11186 RAMIREZ, JORGE BON TON FOOD SERVICE 09/23/13 FRIEDMAN & SOLMOR LTD BRADY CONNOLLY & MASUDA PC 181 15WC 11222 MANOLE, DRAGOS DISPATCH TAXI, INC. 02/23/15 LAW OFFICES CORTI & ALEKSY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 182 15WC 11291 RYBARCZYK, ELIZABETH U S XPRESS ENTERPRISE 12/31/14 BART DURHAM WIEDNER & MCAULIFFE LTD 183 15WC 11450 KOJAK, JAMAL 303 TAXI 03/27/15 184 15WC 11651 SANCHEZ, MARY CHICAGO BOARD OF EDUCATIO 02/03/14 JAMES W GREEN, JR 185 15WC 11704 ADELFIO, ROSE MARY ELI'S CHEESECAKE FACTORY 04/06/15 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 186 15WC 11842 CRONIN, TIMOTHY W DELTA AIRLINES 12/19/13 WITTENBERG DOUGHERTY MAGLI 187 15WC 11909 PALOMINO, JORGE CTA 03/18/15 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 188 15WC 11959 BRITO, LOURDES FIC MANUFACTURING CO 06/19/13 LAW OFFICE OF SCOTT B SHAP 189 15WC 12054 JIMENEZ, RAMIRO DR PEPPER/SEVEN UP, INC. 03/17/15 HETHERINGTON KARPEL BOBBER GAROFALO SCHREIBER STORM 190 15WC 12444 RAMIREZ, ROBERT FOUR BOYS LABOR 03/06/15 COZZI & GOGGIN-WARD 191 15WC 12456 LUGO-ARAJO, DAISY ST MARY OF NAZARETH HOSPI 03/23/15 O'CONNOR & NAKOS KEEFE CAMPBELL & ASSOC LLC 192 15WC 12556 KLOTZ, FRANK PARKWAY FORMING INC 11/21/14 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 193 15WC 12741 HILL, LYZERAX DR FED EX 02/04/15 COLLISON LAW OFFICES BRADY CONNOLLY & MASUDA PC 194 15WC 13045 CARTER, LUCINDA UNITED SERVICE CO 02/02/15 STEVEN A CRIFASE, LTD WIEDNER & MCAULIFFE LTD 195 15WC 13319 ROWAN, WILLIAM FEDERAL RESERVE BANK 01/02/14 BOCK, JOHN A JR LTD RUSIN & MACIOROWSKI LTD 15WC013320 -C 196 15WC 13642 BOIDY, GREGORY GABBY'S BAGELS, INC. 09/26/14 DOUGLAS RALLO PC GILDEA & COGHLAN 15WC013641 -C 197 15WC 19427 WARR, LARRY T JERNBERG INDUSTRIES 05/04/15 DEPAOLO ZADEIKIS GORE MEACHUM & STARCK 198 15WC 19597 SNOWDEN, NEIL M BRIDGFORD FOODS CORP 04/08/15 GOLDSTEIN BENDER & ROMANOF GRANT & FANNING 199 15WC 20200 ABOUTORABI, HASSAN FIRST TRANSIT 12/08/14 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 200 15WC 20453 HARRINGTON, JOHN FORD MOTOR COMPANY 11/23/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 201 15WC 20485 TORRES, CARLOS M HOMER CONSTRUCTION IL COR 05/12/15 S M AHN & ASSOC 202 15WC 20946 JOHNSON, GREGORY RUAN TRANSPORTATION 06/05/15 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 203 15WC 20997 WARD, MARLENE JEWELL EVENTS AND CATERIN 11/12/14 ANGELINI & ORI LLC 204 15WC 21112 KOCZUR, JASON TROY DESIGN & MANUFACTURI 03/27/15 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 17WC008302 -C 205 15WC 21270 KETCHAM, TIMOTHY UNITED AIRLINES 06/18/15 SAUNDERS CONDON & KENNY 206 15WC 21321 MARTIN, ALISHA CERMAK HEALTH SERVICES OF 06/08/15 DICKMAN, BRUCE LAW OFFICES STATES ATTORNEY OF COOK COUN 207 15WC 21350 RICHARDSON, TEENA MISERICORDIA 04/29/15 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 15WC022327 -C 208 15WC 21429 CHRISTIANSON, LESLIE ANN TAYLOR LOFT/ANN INC 05/24/15 NEWLAND & NEWLAND HENNESSY & ROACH PC 209 15WC 21587 HADDAD, ISMAT CHICAGO TRANSIT AUTHORITY 02/04/15 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 210 15WC 21711 SMITH, ROGER HIGH PARK EXPRESS 06/22/15 DWORKIN AND MACIARIELLO 211 15WC 21963 VELASQUEZ, JOSE ALVAREZ STA ROOFING 07/01/15 JAMES ELLIS GUMBINER & ASS 212 15WC 21993 DOSS, SUPRENA CHICGAO PUBLIC SCHOOLS (6 06/15/15 DWORKIN AND MACIARIELLO 213 15WC 22121 HRENO, ROBERT ECONOMY PACKING CO INC 05/22/10 BAUM RUFFOLO & MARZAL LTD 214 15WC 22542 STRYSZYK, JOHN FJM OF JL, INC./ 03/19/15 SEIDMAN MARGULIS & FAIRMAN 215 15WC 22733 PALENCIA, EMILIN PARLIAMENT CHICAGO 06/26/15 EVAN A HUGHES LAW OFFICE WOLF LAW LTD 216 15WC 22877 DEJESUS, RILEY CATHOLIC BISHOP OF CHICAG 07/08/13 STROM, NEAL B 217 15WC 22985 BUHO, SAMIA VICTORIA SECRET 01/02/14 HORWITZ HORWITZ & ASSOC GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 218 15WC 23060 RODRIGUEZ, ERIK VAPIANO 06/23/15 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS 219 15WC 23089 GEBRETINSAE, BESRAT FOUR SEASONS HOTEL LIMITE 09/21/13 MARK WHITESIDE ESQ 220 15WC 23132 MASLET, AHMAD OMAR HASSAN SUPER SALES INC DBA FOOD #W 04/01/14 SYREGELAS, NICHOLAS C CRONIN & PETERS 221 15WC 25056 MAURICIO SANTOS, JOSE GROT TOOL & MANUFACTURING 11/13/14 THE ROMAKER LAW FIRM LAW OFFICES JOSEPH MARCINIAK 222 15WC 25116 TABOR, TERENCE KALLEMEYN AUTO REBUILDERS 05/29/15 KATZ FRIEDMAN EAGLE ET AL ANCEL GLINK DIAMOND BUSH & E 223 15WC 29781 SARDIN, SABRINA SOUTHWEST AIRLINES 06/24/15 TAMVAKIS, GEORGE L HENNESSY & ROACH PC 224 15WC 29820 GILBERT, MELISSA VILLAGE OF OAK PARK 01/05/15 LAW OFFICES GERALD DOLL NYHAN BAMBRICK KINZIE & LOWR 225 15WC 29932 PALLISTER, DAVID WASTE MANAGEMENT INC. 06/25/15 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM 226 15WC 30027 VERCHER, RILEY III AAA RENTAL SYSTEM 09/04/15 ANKIN LAW OFFICE 227 15WC 30070 AGUILERA, TONY CITY OF CHICAGO 09/08/15 COVEN LAW GROUP 228 15WC 30410 BAUGH, JODY S & C ELECTRIC CO. 07/23/15 HEALY SCANLON LAW FIRM MACIOROWSKI SACKMANN & ULRIC 229 15WC 30448 GLOVER, KEVIN M. ABF FREIGHT SYSTEMS, INC. 07/15/15 LEONARD LAW GROUP LLC 230 15WC 30765 MOSES, BONNIE UNITED AIRLINES INC. 05/20/15 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 231 15WC 30825 GALLEGOS, ARIF BLAKC & WHITE VALET 09/17/15 STROM, NEAL B 232 15WC 31255 HEGLAR, TAMARA SOUTHWEST AIRLINES 09/09/15 STYKA & STYKA 233 15WC 31270 LEAL, ENRIQUE JR. WALT'S FOOD CENTER 07/05/15 RAYMOND M SIMARD, PC 234 15WC 31316 GARZA, MANFREDO CITY OF CHICAGO 02/27/15 FOHRMAN, DONALD W & ASSOCS HENNESSY & ROACH PC 15WC033071 -C 235 15WC 31428 SALES, STEVEN M MAYFIELD TRANSFER COMPANY 09/12/14 MCNAMARA PHELAN MCSTEEN LL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 15WC 31496 BELLO, FATAI BLUE RIBBON TAXI 08/23/15 LAW OFFICE RYAN ROSENTHAL 237 15WC 31556 REED, ANNETTE W CTA 09/29/15 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 16WC015492 -C 238 15WC 31679 MARTINEZ, REFUGIO J F LABS 09/13/14 THE ROMAKER LAW FIRM 239 15WC 31766 NEAL, JEAN OAKTON COMMUNITY COLLEGE 05/26/15 ARGIONIS & ASSOCIATES LLC POWER & CRONIN LTD 240 15WC 31913 QURAISHI, MOHAMMED S CHICAGO CARRIAGE CAB CORP 09/05/15 DEPAOLO ZADEIKIS GORE 241 15WC 31951 CROTHERS, ELIZABETH ROUNDY'S ILLINOIS LLC 09/13/15 ANKIN LAW OFFICE CLAYBORNE SABO & WAGNER 242 15WC 32056 HARVEY, MARGO CHICAGO PUBLIC SCHOOLS 09/17/15 VRDOLYAK LAW GROUP LLC 243 15WC 32221 CLAY, ANDREW MARSHALL ASSOCIATES 02/09/15 SPIEGEL & CAHILL, PC 244 15WC 32596 DURAN, EDUARDO IRON MOUNTAIN 10/05/15 MINKOW DOMIN WIEDNER & MCAULIFFE LTD 245 15WC 32644 BAEZ, EVANGELISTA JR EDGEWATER BEACH APARTMENT 05/05/13 BAUM RUFFOLO & MARZAL LTD LAW OFFICES OF EDWARD J. KOZ 246 15WC 32812 BETTS, CAROLYN A JACKSON PARK HOSPITAL 07/15/15 CULLEN HASKINS NICHOLSON ODELSON & STERK 247 15WC 32881 HEBERT, MICHAEL C JR ST OF IL DEPT OF 07/02/14 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTY GENERAL 15WC032882 -C 248 15WC 32903 BARBA-MARSIGLIO, DONNA COMMUNITY SUPPORT SERVICE 09/23/15 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 249 15WC 32911 HOWARD, MICHAEL ELITE STAFFING 10/01/15 SEIDMAN MARGULIS & FAIRMAN 250 15WC 32928 VELAZQUEZ, ENRIQUE LABOR SOLUTIONS 05/21/14 MARSZALEK AND MARSZALEK NEWLAND & NEWLAND 251 15WC 32934 MALDONADO, JESUS MARTIN PRODUCE 09/24/15 SALVATO & O'TOOLE ANCEL GLINK DIAMOND BUSH & E 252 15WC 33533 ROMERO, RAFAEL ELSTON NUGGET INC 09/29/15 POMPER & GOODMAN VENIT, STEVEN L 253 15WC 36420 SALGADO, ALBERTO RKC CLEANERS 10/05/15 DAMISCH & DAMISCH LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 254 15WC 37838 RAMIREZ, RAFAEL ALPHA BAKING CO. INC. 08/19/15 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 255 15WC 41295 VERHUNCE, JOHN UNITED AIRLINES 11/14/15 LAW OFFICE OF SCOTT B SHAP 256 15WC 42006 SANCHEZ, AVERY CHGO STREETS & SAN DEPT 04/21/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 257 16WC 00139 ALICEA, DAVID QUALITEX CO 12/23/15 JAMES ELLIS GUMBINER & ASS INMAN & FITZGIBBONS 258 16WC 00171 GERVASE, ANTHONY F BEST AUTO CARE 06/08/15 WHITESIDE & GOLDBERG LTD 259 16WC 00221 TAYLOR, KEVIN OMNI CART SERVICES 11/16/15 STROM, NEAL B 260 16WC 00236 DULLEN, DEBRA CHICAGO OF CHICAGO 10/16/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 261 16WC 00350 MELSON, SHALONDA CTA 11/20/15 ABELS & ANNES, PC 262 16WC 00405 THOMPSON, CALVIN SR. DUNBAR ARMORED 07/06/15 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 263 16WC 00432 NAVICKAS, CHUCK CITY OF CHICAGO 12/18/15 STEVEN A CRIFASE, LTD HENNESSY & ROACH PC 264 16WC 00464 ENGLESTAD, GEORGIA PETE'S FRESH MARKET 10/06/15 FRANCIS J DISCIPIO LAW OFF 265 16WC 00546 KNOX-SABANE, FELICE CHALET LIVING & REHAB CEN 11/11/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 266 16WC 00580 BARRETT, JOSEPH M HAYES MECHANICAL 08/01/14 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM 267 16WC 00782 ALCANTAR, MARCELO GURTLER INDUSTRIES 06/16/15 DISPARTI LAW GROUP PA RUSIN & MACIOROWSKI LTD 268 16WC 00835 RODRIGUEZ, CARLA COOK COUNTY ADULT PROBATI 08/20/15 SALVATO & O'TOOLE STATES ATTORNEY OF COOK COUN 269 16WC 01001 ROBERTS, MARGIE FORD MOTOR CO 01/06/16 SKLARE LAW GROUP POWER & CRONIN LTD 270 16WC 01179 BENAVIDEZ, JIMMY VASILE VOICU D/B/A 12/02/15 KARCHMAR & STONE MEACHUM & STARCK 271 16WC 01510 TOMPKINS, SCOTT CITY OF CHICAGO DEPT OF 02/24/15 CRONIN & PETERS MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 272 16WC 01551 HOWARD, RICHMOND AS LEGAL CHICAGO PUBLIC SCHOOLS 09/04/13 NEWMAN, BOYER & STATHAM 273 16WC 01644 PEREZ, ALVA CHICAGO HILTON & TOWERS 06/11/15 EPSTEIN, JACK R LAW OFFICE NOBLE & ASSOCIATES PC 274 16WC 01817 WRIGHT, LEON NEW WORLD VAN LINES 04/30/15 GORDON & CENTRACCHIO LLC 275 16WC 02129 ALONZO, MARIBEL EFIES CANTEEN INC 01/18/16 PARENTE & NOREM PC JOSEPH MARCINIAK 276 16WC 02159 BUREL, GREGORY NEP SUPERSHOOTERS BROADCA 08/22/15 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 277 16WC 02195 FAULKNER-STARKS, KIMBERLY CHICAGO TRANSIT AUTHORITY 01/11/16 DEPAOLO ZADEIKIS GORE 278 16WC 02227 ARELLANO, JAIME DENK & ROCHE BUILDERS 06/12/15 EPSTEIN, JACK R LAW OFFICE ACCIDENT FUND HOLDINGS 279 16WC 02572 MEDINA, ISRAEL SENOVA HEALTHCARE 01/21/16 COSTA IVONE LLC 280 16WC 02589 BAILLIE, BRIAN TRADER JOE'S 07/23/15 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 16WC002590 -C 281 16WC 02593 DAVIS, JENIKA CHICAGO ATHLETIC 11/28/15 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 282 16WC 02649 MAMON, JESSE JR DELTA AIRLINES 08/21/15 COHN LAMBERT RYAN & SCHNEI 283 16WC 02729 SANTACRUZ, JOSE PARKOHIOFORGED&MACHINEDPR 10/22/15 WHITESIDE & GOLDBERG LTD HOLECEK & ASSOCIATES 284 16WC 02984 CARRENO, KRISTIN MC DONALDS CORP 12/01/15 LAW OFFICE OF ROBERT J. IR BRYCE DOWNEY & LENKOV LLC 285 16WC 03049 CATALFAMO, KRISTA GAP 11/03/15 HORWITZ HORWITZ & ASSOC 286 16WC 03062 KORBUS, GARY NEXUS DISTRIBUTION 12/07/15 PETER D CORTI LAW GROUP 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 CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 287 16WC 03564 OROZCO, EVARISTA NATIONAL PASTURIZED EGG 12/17/15 PETER D CORTI LAW GROUP 288 16WC 10126 MONTANO, MARIA B CARL BUDDIG AND COMPANY 03/14/16 SALK, STEVEN B & ASSOC LTD KNELL & O'CONNOR 16WC018317 -C 16WC018318 -C 289 16WC 10287 DEMELENDEZ, ISISDRA TAMARACK 02/02/15 ELFENBAUM EVERS & AMARILIO MEACHUM & STARCK 290 16WC 10395 MILLTER, BARBARA J WALMART 01/14/16 ROBERT A. WILSON QUINTAIROS PRIETO WOOD & BOY 291 16WC 10422 VAZQUEZ, FANNY CALMARK GROUP, LLC 10/25/15 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 292 16WC 10431 SUAREZ, ANTONIO ANGELOS PIZZA 06/22/14 COSTA IVONE LLC 293 16WC 10449 DZIEJMA, PAWEL AFFORDABLE PRO CONSTRUCTI 03/15/16 TAMVAKIS, GEORGE L 294 16WC 10521 FLORES, GERONIMO CONSUMERS PACKING COMPANY 08/15/15 HART & DAVID LLP HOLECEK & ASSOCIATES 295 16WC 10551 MC CORMICK, KEITH CPS 02/20/15 LEO ALT 296 16WC 10603 DUDZIK, MICHAEL IL DEPT OF CORRECTIONS @ 05/02/13 DAVID SZCZECIN & ASSOC ASSISTANT ATTORNEY GENL 297 16WC 10631 MALDONADO, EDUARDO LABOR TEMPS 01/21/16 FIGLIOLI, DAVID FRANCIS J DISCIPIO LAW OFFIC 298 16WC 10691 VILLASALDO, JOSE SCOTT BYRON & CO, INC 09/18/15 JONATHAN SCHLACK RIPES NELSON BAGGOT KALOBRAT 299 16WC 10722 MC VICKER, DAVID VALSPAR CORPORATION 03/23/16 BARRY STEWART SILVER RUSIN & MACIOROWSKI LTD 300 16WC 10867 CHAIDEZ, HUMBERTO H20 PLUS, LLC 12/11/15 COVEN LAW GROUP HOLECEK & ASSOCIATES 301 16WC 10870 VIENS, PAUL JEFFERY CENTRAL BLACKTOP CO., INC 07/13/15 THE FITZ LAW GROUP LAW OFFICES OF EDWARD J. KOZ 302 16WC 10887 IBARRA, MARIBEL RENAISSANCE CHICAGO O'HAR 02/17/16 THERMAN LAW OFFICES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 303 16WC 10971 JACKSON, RENARD RENARD JACKSON 11/19/15 SEIDMAN MARGULIS & FAIRMAN 304 16WC 11143 001 HERNANDEZ, NORA CARL BUDDING AND COMPANY 01/06/16 BRUGGEMAN HURST & ASSOC 001 15WC011183 -C 305 16WC 11215 HERRERA, MIGUEL A HEADLY MANUFACTURING 03/28/16 RONALDSON & KUCHLER GRANT & FANNING 306 16WC 11267 DYLAK, KAZIMIERA PRESENCE HOLY FAMILY MED. 02/09/16 HETHERINGTON KARPEL BOBBER KEEFE CAMPBELL & ASSOC LLC 307 16WC 11278 HUERTA, LUIS ALBERTO PAINTING EXPRESS, LTD 04/01/16 MC HARGUE, JAMES P LAW OFF GILDEA & COGHLAN 308 16WC 11310 SNARSKI, JEFF VILLAGE OF SCHILLER PARK 07/01/10 NEWLAND & NEWLAND KEEFE CAMPBELL & ASSOC LLC 309 16WC 11331 CARPENTER, NANCY POINT OF PURCHASE ADVERTI 03/23/15 SCOTT BARBER LAW OFFICES JOSEPH MARCINIAK 310 16WC 11367 MADRANO, JOHN JR WORK FORCE 02/14/16 JAMES J BURKE LAW OFFICE KOREY RICHARDSON LLC 311 16WC 11499 MONTOYA, MARIA ISABEL TARA INTERNATIONAL 03/19/16 PETER D CORTI LAW GROUP WIEDNER & MCAULIFFE LTD 312 16WC 11518 BALEGH, HAMDY TITANIC FURNITURE COMPANY 07/03/14 KP LAW LLC LAW OFFICE OF PETER LIMPERIS 313 16WC 11548 MCLAURIN, ZARAK CITY OF CHICAGO DEPT. 03/29/16 DWORKIN AND MACIARIELLO 314 16WC 11655 RAMOS, GLADYS STATE OF ILLINOIS @ 10/14/15 THE FITZ LAW GROUP ASSISTANT ATTORNEY GENL 315 16WC 11664 MURRAY, CHERYL UNITED AIRLINES 06/01/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 316 16WC 11800 VASQUEZ, JOSE UNITED VAN LINES 02/09/15 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 317 16WC 11964 HOGUE, LEMUEL VETERANS ADMINISTRATION 03/28/16 LAW OFFICES OF KIRK MOYER 318 16WC 12074 CUEVAS, JOSE JERRY'S LAWN & TREE CARE 04/04/16 DEER & STONE PC 319 16WC 12271 ALVAREZ, JESSICA SEASONS HOSPICE & PALLIAT 01/04/16 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 320 16WC 12346 HARRIS, ARNETTE STATE OF IL DJJ IYC CHICA @ 03/30/16 BLOCK, KLUKAS & MANZELLA P C. FLETCHER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 321 16WC 12420 GONZALEZ, VIDAL ST OF IL DEPT OF 12/21/15 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENL 322 16WC 12631 BROWN, NACOLE UPS 04/01/16 LEONARD LAW GROUP LLC ASA LAW GROUP 323 16WC 12725 KOLFF, HENRY MR DAVID'S FLOORING 07/06/15 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 324 16WC 12728 CORGIAT, FRANK MAP TRANSPORTATION 04/05/16 JOHN E LUSAK INMAN & FITZGIBBONS 325 16WC 12853 ZUBIA, DANIEL LABOR QUALITY SERVICE 12/09/14 MC HARGUE, JAMES P LAW OFF 326 16WC 12957 LOVGREN, JAMES SERVICE DRYWALL 08/12/15 FIGLIOLI, DAVID KEEFE CAMPBELL & ASSOC LLC 327 16WC 12962 AYALA, LUZ ACE ANODIZING & IMPREGNAT 02/25/16 LEWIS & DAVIDSON, LTD BRYCE DOWNEY & LENKOV LLC 328 16WC 13051 HARRIS, KAREN WADSWORTH ELEMENTARY SCHO 03/23/15 VASILATOS & COTTER LLC 329 16WC 13087 RUSH, MARK RIGHT AT HOME 10/08/14 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 330 16WC 13114 CLARKE, KRISTIN EVANSTON SKOKIE SCHOOL 04/19/16 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 331 16WC 13588 ZHMUD, MYKHAILO STREAM LOGISTICS, INC. 04/21/16 LAW OFFICES ALEXANDER JARO SCOPELITIS GARVIN LIGHT 332 16WC 13591 STRAMA, STANLEY J. SKOKIE MOTOR SALES D/B/A 01/29/16 GROSZEK LAW FIRM GANAN & SHAPIRO 333 16WC 18833 GREEN, CONSTANCE CHICAGO TRANSIT AUTHORITY 05/28/16 URSULA BABICZ & ASSOC CHICAGO TRANSIT AUTHORITY 334 16WC 19781 KROTIAK, JOHN UNIVERSITY OF CHICGO HOSP 06/15/16 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 335 16WC 20431 RICHARD, THOMAS PES PAYROLL 04/24/16 GOLDBERG WEISMAN & CAIRO L 336 16WC 20474 WOBBE, SCOTT D STATE OF ILLINOIS 06/13/16 PETER BLASI LLC C. FLETCHER 337 16WC 20493 BOYD, ADREANNA ELISABETH LUDEMAN CTR/IDH 05/19/16 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENL 338 16WC 20507 DAWSON JR, STANLEY C BURLINGTON COAT FACTORY O 06/23/16 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 339 16WC 20532 MISTER, ELLIOT JB HUNT 11/09/15 POLLANS, LANNIE A LTD GRANT & FANNING 340 16WC 20567 REDMOND, LAQUITA M CTA- CHGO TRANSIT AUTHORI 06/25/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 341 16WC 20739 SANTOS, JOSE HORTONS HOME LIGHTING 05/29/16 JONATHAN SCHLACK CASSANO & ASSOCIATES 342 16WC 20802 ESTRELLA, ALFREDO ILLINOIS AUTO TRUCK CO IN 06/08/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 343 16WC 20821 AVALOS JR, SAUL ELITE STAFFING INC 06/08/16 ANKIN LAW OFFICE 344 16WC 20837 VEGA, ANGELICA SQUEAKY CLEAN BY SHELLY B 06/02/16 SALK, STEVEN B & ASSOC LTD 345 16WC 20855 STETSENKO, NATALIYA KOHLS CORP 06/01/15 PARAD LAW OFFICES PC HENNESSY & ROACH PC 346 16WC 20871 RENE, KIRBY MV PUBLIC TRANSPORTATION 07/02/16 PARENTE & NOREM PC BRADY CONNOLLY & MASUDA PC 347 16WC 20915 BELICI, ELENA GREEK AMERICAN REHABILITA 05/13/16 SPIEGEL & DEMARS 348 16WC 20933 LAERA, FRANCO ALAMP ROAD BUILDERS 06/22/15 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 349 16WC 21049 WILSON, AUGUSTUS FORD MOTOR CO 04/28/16 MC HARGUE, JAMES P LAW OFF RUSIN & MACIOROWSKI LTD 350 16WC 21064 OLIHA, OLADIMEJI CHICAGO CARRIAGE CAB CORP 07/06/16 JAMES ELLIS GUMBINER & ASS 351 16WC 21147 CORCOLES, JORGE PREFERRED FREEZER SERVICE 12/02/15 RUSSO & RUSSO LTD HOLECEK & ASSOCIATES 352 16WC 21171 FRANCIS, STANLEY SERVICE MASTER RESTORATIO 06/23/16 COHN LAMBERT RYAN & SCHNEI RUSIN & MACIOROWSKI LTD 353 16WC 21197 HART, NIKIMA CTA 07/02/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 354 16WC 21236 O'HALLAREN, BERNIE NAVARRO'S CONCERETE, INC 06/08/16 CUDA LAW OFFICES 355 16WC 21331 GOMEZ, ISABELLE SPORT CLIPS 07/03/16 VASILATOS & COTTER LLC 356 16WC 21402 TOPETE, ALICIA ALLIANCE STAFFING 06/13/16 LAW OFFICE EDWARD RUEDA NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 357 16WC 21480 CEDENO, JOSE C.T.A 06/11/16 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 358 16WC 21500 GLOVER, ANGELO LIEBERMAN MANAGEMENT SERV 05/03/16 SALVATO & O'TOOLE 359 16WC 21595 ABDUL-MUHAIMIN, DAAIYAH HELP AT HOME, LLC. 08/24/15 SAMUEL K BELL MEACHUM & STARCK 360 16WC 21722 HUDACEK, MILAN ARAMARK UNIFORM AND 05/06/16 ANKIN LAW OFFICE INMAN & FITZGIBBONS 361 16WC 21910 KRUPA, DAVID PROVIDENT HOSP OF COOK CO 12/02/15 BOUDREAU NISIVACO LLC STATES ATTORNEY OF COOK COUN 362 16WC 21994 CAPUTO, BRIAN POSITIVE CONNECTIONS 04/14/16 SPIROS LAW PC RODDY LAW LTD 363 16WC 22187 MILES, MONIQUE DAKKOTA INTEGRATED SYSTEM 05/17/16 MENDOZA LAW PC 364 16WC 22284 WILLIAMS, MARCUS ALEXANDE SOUTHWEST AIRLINES 05/16/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 365 16WC 22394 LONG, ASHLEY INPAX, INC. 04/05/16 LARRY FLEISCHER & ASSOCIAT ACCIDENT FUND HOLDINGS 366 16WC 22492 MICHNIOWSKI, STANISLAW SOLID EXTERIOR REMODELING 07/25/14 ALEKSY BELCHER HOLECEK & ASSOCIATES 367 16WC 22594 SLOBODIAN, CHAD MENARDS 01/02/16 RIDGE & DOWNES CHILTON YAMBERT PORTER LLP 368 16WC 22598 FOY, XOCHUITL MARTHA JOHN H STROGER JR HOSPITA 06/27/16 PETER D CORTI LAW GROUP STATES ATTORNEY OF COOK COUN 369 16WC 22616 WATSON, CHARLES IL DEPARTMENT OF JUVENILE @ 07/19/16 ANKIN LAW OFFICE C. FLETCHER 370 16WC 22646 ROBINSON, DEONNE SOUTHWEST AIRLINES 04/09/16 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 371 16WC 22761 SANKS, CHRYSTAL CHICAGO STATE UNIVERSITY 06/29/16 FOHRMAN, DONALD W & ASSOCS ASSISTANT ATTORNEY GENL 372 16WC 22812 WILLEY, JESSICA ALLIANT STAFFING LLC 06/21/16 LEWIS & DAVIDSON, LTD RIPES NELSON BAGGOT KALOBRAT 373 16WC 22817 JONES, ANNETTE STATE OF ILLINOIS HEALTHC @ 07/05/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 374 16WC 22953 WARD, JEFFERY CTA 07/02/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 375 16WC 22989 PEREZ, JULIA PACTIVE 02/12/16 STEVEN A CRIFASE, LTD WIEDNER & MCAULIFFE LTD 376 16WC 23066 TOVAR, HILDA AZUCENA PALA Z BAKERY, LLC 08/28/14 DWYER AND COOGAN 377 16WC 23243 COUSINEAU, MONIKA UNITED AIRLINES INC. 04/16/16 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 378 16WC 23312 REYES, ISRAEL WALDEMAR UNITED PARCEL SERVICE INC 07/14/16 DEAN J CARAS & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 379 16WC 23364 ADAMS, FELIX III STATE OF ILLINOIS @ 05/05/16 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENL 380 16WC 23477 LITUMA, SANDRO FULTON CATERING CORP 05/11/16 LAW OFFICE OF SCOTT B SHAP 381 16WC 23517 ANDERSON, HUBERT NEWLY WEDS FOODS 10/26/15 BURNES, EDWARD M 382 16WC 26038 SANCHEZ, VICENTE PEOPLEASE, LLC C/O CORPOR 06/20/16 HETHERINGTON KARPEL BOBBER WOLF LAW LTD 383 16WC 29508 GOMEZ-MANZANAREZ, ERICA ARTISTS FRAME SERVICE INC 06/13/16 ACEVES & PEREZ PC 384 16WC 29540 CAMPBELL, JAMIE UNITED AIRLINES INC. 07/05/15 COVEN LAW GROUP 385 16WC 30487 GONZALEZ, JOSE L LINCOLN PROVISION, INC 07/25/16 MACKEY & KRAMER PC COZZI & GOGGIN-WARD 386 16WC 30549 RODRIGUEZ, MANUEL TOWN OF CICERO PUBLIC WOR 09/20/16 KOSIN LAW OFFICE LTD DEL GALDO LAW GROUP LLP 387 16WC 30627 FRIAS, CHRISTIAN 3520 N LAKESHORE DR ASSOC 09/10/16 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 388 16WC 30843 TOLIVER, ANTOINE ARENA FOOTBALL ONE, LLC 06/03/16 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 389 16WC 30851 GRASSE, KAREN UNITED AIRLINES 02/13/15 CULLEN HASKINS NICHOLSON 390 16WC 30963 ROQUE, LATISHA ALLIANCE HEALTHCARE 08/15/16 ANGELINI & ORI LLC 391 16WC 30986 LOCKE, TRISTIAN COURIER DISTRIBUTION 03/19/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 392 16WC 31105 MAZUR, JEFFREY CLARE OAKS 08/06/16 MEYERS & FLOWERS ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 393 16WC 31141 JOHNSON, ROBERT HMD TRUCKING @ 04/24/14 MARSZALEK AND MARSZALEK MCANANY VANCLEVE & PHILLIPS 394 16WC 31190 ASHE, PATRICK CITY OF CHICAGO-08TH DIST 09/06/16 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 395 16WC 31213 PATEL, MILANKUMA LSG SKY CHEFS 08/01/16 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 396 16WC 31425 BENITEZ, SANTA PALMER HOUSE HILTON 09/07/16 JOHN E LUSAK NOBLE & ASSOCIATES PC 397 16WC 31473 SCHURINGA, JOSEPH CITY OF OAK FOREST 09/22/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 398 16WC 31551 MAXWELL, TANISHA N AMERICAN AIRLINES, INC 09/19/16 SALK, STEVEN B & ASSOC LTD 399 16WC 31594 STEVENS, MICHAEL TIM STEFL, INC 10/26/15 MATHYS & SCHNEID NYHAN BAMBRICK KINZIE & LOWR 400 16WC 31642 VAZQUEZ, LOURDES CITY OF CHICAGO/CHGO CITY 09/15/16 FISHER & LAMONICA CITY OF CHICAGO 401 16WC 31655 ALLEN, MARIO SAM'S CLUB 09/19/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 402 16WC 31681 TINAJERO, ESTEBAN PIT STOP 09/13/16 RUEDA, IVAN A 403 16WC 31750 BARRERA, LISANDRO LINCOLN PROVISION, INC. 08/17/16 LULAY LAW OFFICES COZZI & GOGGIN-WARD 404 16WC 31810 ROBINSON, ANDRE L CTA 08/16/16 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 405 16WC 32133 CARVAJAL, NANCY ANAYA LUCKY NOODLES, LLC 10/13/16 MC HARGUE, JAMES P LAW OFF MEACHUM & STARCK 406 16WC 32151 EVANS, YVETTE D CHICAGO SPORTS SERVICE 07/03/15 PETER D CORTI LAW GROUP 407 16WC 32227 PERRY, LAURA COOK COUNTY ASSESSOR 12/29/15 STATES ATTORNEY OF COOK COUN 408 16WC 32320 RUEB, MEGAN YMCA OF METRO 07/01/16 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES FRANCESCA LARSEN 409 16WC 32380 LANKIN, ALINA ABF 09/27/16 LEONARD LAW GROUP LLC 410 16WC 32424 SMITH, NICOLE HYATT REGENCY MCCORMICK P 10/09/16 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 411 16WC 32442 RODRIQUEZ, ANDREW CITY OF CHICAGO 10/05/15 KARCHMAR & STONE 412 16WC 32473 STELLATO, RITA M FRIENDSHIP VILLAGE 07/28/16 LAW OFFICES FRANCESCA LARSEN 413 16WC 32525 SCHMIDT, MATT J AREA ERECTORS 10/07/16 DUDLEY & LAKE LLC 414 16WC 32637 HARRIS JR., L M ASG STAFFING INC 08/23/16 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 415 16WC 32706 STROHMAN, KEN 3 GENERATION PLUMBING INC 01/22/16 HANNIGAN & BOTHA, LTD RODDY LAW LTD 416 16WC 32709 SLAY, LINDA COCA COLA CO 04/02/16 MICHAEL P MCCREADY & ASSOC BRADY CONNOLLY & MASUDA PC 417 16WC 32732 MUSKAT, GENO COOK COUNTY SHERIFF'S DEP 06/28/16 STELZMAN, RUTH STATES ATTORNEY OF COOK COUN 418 16WC 32800 NIEDZIELA, MARZENA SODEXO, INC 09/23/16 CHEPOV & SCOTT LLC INMAN & FITZGIBBONS 419 16WC 32839 MOSLEY, UKEDA AM RETAIL GROUP, LLC 09/03/16 DEPAOLO ZADEIKIS GORE HOLECEK & ASSOCIATES 420 16WC 32942 LAPOINTE, MATTHEW CREATIVE CHANNEL RETAIL 10/01/15 KARCHMAR & STONE 421 16WC 32961 TUEME, JOSE WESTMORELAND COUNTRY CLUB 06/26/16 JOHN C SERKLAND 422 16WC 33010 CAMACHO, ABEL CHICAGO TRANSIT AUTHORITY 10/18/16 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 423 16WC 33061 MOHIUDDIN, MUNAWAR STEPHEN OMOFONMWAN 02/14/16 DISPARTI LAW GROUP PA 424 16WC 33082 SUBICK, RONALD ARMACELL LLC 07/07/16 LOUIS A PLZAK & ASSOCIATES HOLECEK & ASSOCIATES 425 16WC 33128 LAWSON, CORNELIUS BETSON MIDWEST 04/12/16 DWORKIN AND MACIARIELLO 426 16WC 33184 SODUNKE, MOLARA SUN DOWN BOWL TAXI/ 09/27/16 STEPHEN G PINTO LTD 427 16WC 33200 CARDENAS, JOSE KATE LYNN PAINTING 08/22/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 428 16WC 33211 REYES, JIA LOYA EXPRESS, INC 09/21/16 THOMAS W DUDA ROSS TYRRELL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 429 16WC 33239 OCEGUERA, GUILIBALDO D&W MANUFACTURING CO 03/30/16 JAUREGUI & ASSOCIATES MCANANY VANCLEVE & PHILLIPS 430 16WC 33367 MARTIN, CIARRA S COOK DUPAGE TRANSPORT CO 10/03/16 WARREN W MARK 431 16WC 33396 GOETSCH, JOHN R ALTA EQUIPMENT 09/27/16 SEIDMAN MARGULIS & FAIRMAN 432 16WC 33402 BURNS, JEFFERY CTA 10/07/16 MARC PEKAY CHICAGO TRANSIT AUTHORITY 433 16WC 33516 HERNANDEZ, GUILLERMO TARGET 04/01/15 LAW OFFICE OF SCOTT B SHAP 434 16WC 33549 POWELL, TATYANA L WALMART 10/02/16 FRIEDMAN & SOLMOR LTD QUINTAIROS PRIETO WOOD & BOY 435 16WC 33575 GARVIN, MICHAEL VENT PRODUCTS INC 09/08/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 436 16WC 33610 HALLOM, TONY FLEXIBLE STAFFING 09/30/16 MC HARGUE, JAMES P LAW OFF BRADY CONNOLLY & MASUDA PC 437 16WC 33638 KOERNER, MARIA BARRINGTON TRANSPORTATION 05/19/16 NEWLAND & NEWLAND 438 16WC 33679 BAILEY, ROBERT J CITY OF CHICAGO 05/05/16 BARRY A KETTER 439 16WC 33703 OWENS, DION STK CHICAGO 09/29/16 HORWITZ HORWITZ & ASSOC 440 16WC 33713 JEFCHAK, JAMES MONDELEZ INTL 10/03/16 CAPRON & AVGERINOS PC 441 16WC 33817 WRATHER, NICOLE PORTILLO'S HOT DOGS 11/15/15 BRISKMAN BRISKMAN GREENBER 442 16WC 33826 HERNANDEZ, ANTONIO MILLARD CHICAGO WINDOW 10/01/16 THE ROMAKER LAW FIRM RODDY LAW LTD 443 16WC 34525 MUIR, ROBERT ADVOCATE CHRIST MEDICAL C 10/26/16 RICHARD O. GREENFIELD NYHAN BAMBRICK KINZIE & LOWR 444 17WC 00064 KENDALL, ALLISON CHICAGO TRANSIT AUTHORITY 11/21/16 GRAZIAN & VOLPE PC CHICAGO TRANSIT AUTHORITY 445 17WC 00198 SEALS, COLLETTA D DURHAM D&M, LLC 09/09/16 WARREN W MARK BRADY CONNOLLY & MASUDA PC 446 17WC 00255 MANALASTAS, EDEN UNIVERSITY OF IL HOSPITAL 11/30/16 DAVID W MARTAY HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 447 17WC 00337 CARTER, ANTHONY BARIC PROPERTIES 05/05/14 FAJARDO LAW GROUP 448 17WC 00363 SAULSBERRY, CHARLES THE SHRINE NIGHTCLUB 04/14/14 BRISKMAN BRISKMAN GREENBER 449 17WC 00414 ROBINSON, JOSHUA UPS 12/12/16 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 450 17WC 00461 BETTS, WANDA CTA 08/11/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 451 17WC 00581 CUMISKEY, KYLE ROCLFORD ICE HOGS 09/29/14 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 17WC000582 -C ROCKFORD ICE HOGS 17WC023239 -C 17WC023240 -C ROCKFORD ICE HOGS 17WC023241 -C 452 17WC 00597 BROWN, DEONDRA PRUDENTIAL SECURITY 11/02/16 DEPAOLO ZADEIKIS GORE 453 17WC 00709 RAMOS-MUNOS, RAQUEL THORNTON'S 12/23/16 MANDELL, GREGG 454 17WC 00756 RUSSELL, JAMES SKOKIE VALLEY BEVERAGE CO 12/27/16 RITTENBERG & BUFFEN KEEFE CAMPBELL & ASSOC LLC 17WC015083 -C 455 17WC 00773 RAMIREZ, JESUS AUTO WAREHOUSING CO, INC 09/18/16 ANKIN LAW OFFICE MEACHUM & STARCK 456 17WC 00801 ROSIER, YANICK UNIVERSITY OF CHICAGO HOS 12/20/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 457 17WC 00828 GRAY, NICOLE CHICAGO TRANSIT AUTHORITY 12/08/16 LAW OFFICE OF SCOTT B SHAP 458 17WC 00844 LINTON, PETE DHL 10/31/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 459 17WC 00941 LINDSAY, GENE V FRITO LAY-PEPSI 12/13/16 CULLEN HASKINS NICHOLSON GILDEA & COGHLAN 460 17WC 01010 PARAMORE, PARIS EXPRESS EMPLOYMENT 08/01/16 KARCHMAR & STONE MC ANDREWS & NORGLE LLC 461 17WC 01047 SHADYKANOV, TILEK FLASH CAB CO 12/10/16 LAW OFFICES YEVGENIY VAYSM 462 17WC 01104 EASLEY, MARK FIRST CLASS STAFFING 10/12/16 COSTA IVONE LLC GRANT & FANNING 463 17WC 01127 MARTINEZ, ANASTACIA HELP AT HOME, INC 01/05/17 MINKOW DOMIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 464 17WC 01177 GALANTI, PHILIP IDOT @ 06/23/16 STROM, NEAL B C. FLETCHER 465 17WC 01285 THOMAS, BEVERLY QUEEN CHICAGO BOARD OF EDUCATIO 10/28/14 466 17WC 01309 GRAY, ANGELA CTA 01/13/17 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 467 17WC 01339 SANCHEZ-LAND, YESENIA COOK COUNTY 11/07/16 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 468 17WC 01355 KELLER, CLIFFORD E GRAND PRAIRIE TRANSIT 11/16/16 TOPPER & WEISS LTD 469 17WC 01377 HARRISON, DONALD DHL 11/11/16 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 470 17WC 01601 BAHENA, ESMERALDA FEDEX CORPORATION 01/04/17 LAW OFFICE OF KEVIN O'BRIE HANSON LAW OFFICE 471 17WC 01619 FELIX, TYRONE COOK COUNTY DEPT OF CORRE 12/26/16 RICHARD E ALEKSY STATES ATTORNEY OF COOK COUN 472 17WC 01745 MARCELIN, ROMANE GCA SERVICES 01/05/17 MARC J SHUMAN & ASSOCIATES POWER & CRONIN LTD 473 17WC 01761 HAMMONDS, TERRE L LAPHAM-HICKEY STEEL 01/07/17 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR 474 17WC 01786 GODOY, ROBERT HOLLAND FREIGHT 12/15/16 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 475 17WC 01941 ORTIZ, JUAN NAPLETON RIVER OAKS HONDA 12/20/16 SCHREINER MALLOY & ETZLER LAW OFFICES FRANCESCA LARSEN 476 17WC 02012 MURO, YOLANDA MEAD FLUID DYNAMICS 02/21/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 17WC002013 -C 477 17WC 02038 WOODS, MICHAEL STATE OF ILLINOIS/ @ 01/02/17 BLOCK, KLUKAS & MANZELLA P C. FLETCHER 478 17WC 02091 GRIFFIN, TAMARA FORD MOTOR CO 05/28/16 FOHRMAN, DONALD W & ASSOCS 479 17WC 02122 SMITH, REGINA CITY OF CHICAGO DEPT OF 01/13/16 RUBENS AND KRESS CITY OF CHICAGO 480 17WC 02153 PARKER, CHARMAINE FED EX 07/11/16 BRIAN T MORROW, LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 481 17WC 02312 SWIERCZ, MACIEJ ANDY'S DELI & MIKOLAJCZYK 12/29/16 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 482 17WC 02333 SMITH, PAULINE BELLWOOD NURSING CENTER 06/12/15 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 17WC002334 -C 483 17WC 02422 GONZALEZ, ARNULFO MICHAEL FOODS, INC 01/26/16 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 484 17WC 02446 SULEJMANI, NERXHIVAN ABM JANITORIAL SERVICES 05/16/16 STEVEN H MEVORAH & ASSOCIA GOLDBERG SEGALLA LLC 17WC002447 -C 485 17WC 02467 MYRDA, KRYSZTOF UP TURN CONSTRUCTION INC 01/10/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 486 17WC 02505 HUNTER, GABRIELLE CHICAGOPUBLIC SCHOOLS 01/29/16 ROSENFELD HAFRON SHAPIRO F 487 17WC 02548 BURNETT, BRENDA WINDMILL NURSING PAVILLIO @ 12/13/16 HENNESSY & ROACH PC 488 17WC 02588 SUDDOTH, RICHARD STAFF RIGHT, LLC 12/27/16 LAW OFFICES ROBERT WARSASK 489 17WC 02669 DOBYNE, DONALD COCA-COLA CO 01/03/17 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 490 17WC 02723 WHITE, THOMAS CITY OF CHICAGO 08/15/16 HEALY SCANLON LAW FIRM 491 17WC 02812 PEREZ, GIOVANNI MARIANO'S 01/15/17 LEONARD LAW GROUP LLC 492 17WC 02883 ROBINSON-WATTS, DIONIS EVANSTON TOWNSHIP HIGH SC 10/25/16 HORWITZ HORWITZ & ASSOC 493 17WC 02983 HUDSON, TIMOTHY PAN OCEANIC ENGINEERING C 12/12/16 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 494 17WC 03005 SCHLESSE, ED JEWEL FOOD STORE 11/26/16 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 495 17WC 03040 TERRAZAS, MARIA SELF-HELP FEDERAL CREDIT 12/27/16 OSVALDO RODRIGUEZ PC 496 17WC 03086 BULLOCKS, TIFFANY CHICAGO TRANSIT AUTHORITY 10/05/16 ROGER D RUDICH LTD CHICAGO TRANSIT AUTHORITY 497 17WC 03209 LORR, KEVIN BERWYN POLICE DEPARTMENT 01/15/17 CHRISTINE F DAVID CUDA LAW OFFICES 498 17WC 03432 MATTHES, KATHLEEN WALMART SUPERCENTER 08/01/16 BRISKMAN BRISKMAN GREENBER GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 499 17WC 05964 WARD, ANTONIO CHICAGO MESSENGER SERVICE 01/25/17 JONATHAN SCHLACK INMAN & FITZGIBBONS 500 17WC 09784 VELASCO, SOLEDAD CENTRAL BAPTIST VILLAGE 02/14/17 STEVEN L. VENIT 501 17WC 09814 SAMUEL, BARBARA CHICAGO PUBLIC SCHOOLS 01/25/17 KUMLIN & FROMM LAW DEPARTMENT 502 17WC 09835 SOLANKA, DAVID KEHE DISTRUBUTION, INC 12/09/15 HANNA VANDER PLOEG LLC 503 17WC 09858 HORNER, HEATHER UNITED AIRLINES 04/21/15 ELFENBAUM EVERS & AMARILIO 504 17WC 09940 JOHNSON, KENNETH GREAT NORTHERN LUMBER INC 02/01/17 LAW OFFICES OF ANSELMO DUR KEEFE CAMPBELL & ASSOC LLC 505 17WC 09963 SAMBRANO, JABIN ARENA FOOTBALL ONE LLC 06/06/16 GORDON LAW OFFICES LTD 506 17WC 09987 CORTES, ANGELICA L PACTIV 05/18/16 JAMES M GERAGHTY 507 17WC 10011 HENDERSON, TANYA G COMMUNITY CARE SYSTEMS, I 02/20/17 ANKIN LAW OFFICE 508 17WC 10038 NELSON, ERIC AT&T 12/04/15 EFTEKHARI LAW OFFICES 509 17WC 10110 GINO, ROLANDO AMERICAN AIRLINES GROUP 10/01/15 WOODRUFF & JOHNSON ROSARIO CIBELLA 510 17WC 10173 BARRERO, MARIA J I.D.T. CORP. BOSS REVOLUT 03/13/17 MANUAL CARDENAS & ASSOC LAW OFFICES JOSEPH MARCINIAK 17WC018917 -C IDT CORP BOSS REVOL 511 17WC 10200 RODRIGUEZ, MARCO SCRUB INC 01/27/17 AIOSSA LAW FIRM RUSIN & MACIOROWSKI LTD 512 17WC 10280 BRUSH, KATELYN LOVE FUR DOGS 02/24/17 HANNIGAN & BOTHA, LTD 513 17WC 10328 BLANCHARD, RUSSELL COOK COUNTY RISK MANAGEME 04/03/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 514 17WC 10362 JOHNSON, TRACY D CTA INC 12/29/16 HASSAKIS & HASSAKIS CHICAGO TRANSIT AUTHORITY 515 17WC 10386 COLLINS, RICKEY R BROWN AND MOMEN INC. 03/29/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 516 17WC 10407 ANWIA, RONY DARD PRODUCTS 10/03/16 ACEVES & PEREZ PC JOSEPH MARCINIAK 517 17WC 10445 FRUSTI, MARK A ASBACH & VANSELOW INC 02/29/16 FOOTE MIELKE CHAVEZ & O'NE WIEDNER & MCAULIFFE LTD 17WC010447 -C 518 17WC 10481 MEDINA, LIZETTE SUPERIOR NUT & CANDY CO, 01/23/17 LANNON LANNON & BARR LTD CAPUANI & SCHNEIDER 17WC010482 -C 519 17WC 10508 SOUTHWARD, ANTOINETTE ELITE CARE MGMT 03/30/17 JOHN S. ELIASIK 520 17WC 10559 HARVEY, EUGENE CORAM 03/28/17 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 521 17WC 10590 MENARD, PATRICIA SCHOOL DISTRICT 149 03/01/17 STEVEN O HAMILL LTD 522 17WC 10694 MALECKI, URZULA WALMART 11/01/16 COVEN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 523 17WC 10766 TUCKER, CAROL G COMCAST CORPORATION 10/18/16 SOSTRIN AND SOSTRIN PC POWER & CRONIN LTD 524 17WC 10829 ALBERGO, KATHLEEN MEGURNEE LLC DBA MASSAGE 01/16/17 FIGLIOLI, DAVID 525 17WC 10901 PRYOR, ALFREDA VILLAGE SENIOR CARE 03/27/16 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 526 17WC 10921 CHRISTENSEN, BRIAN ALEXIAN BROTHERS MEDICAL 02/16/17 NEWLAND & NEWLAND 527 17WC 10954 VILLEGAS, JOSE A PRIMARY STAFFING 02/03/17 EPSTEIN, JACK R LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 528 17WC 11031 ALM, KYLE A. ED MINIAT 07/12/16 ANESI OZMON RODIN NOVAK KO 529 17WC 11045 ARROYO, CAMERINO NESTLE PROFESSIONAL BEVER 11/23/15 STEIN & CHERNY LTD NYHAN BAMBRICK KINZIE & LOWR 530 17WC 11131 KEY, KENITH BRAND ENERGY SERVICES, LL 11/08/16 KANOSKI BRESNEY GOLDBERG SEGALLA LLC 531 17WC 11139 LYKOURETZOS, JOHN BUSINESS OFFICE SYSTEMS, 11/03/16 LAW OFFICES PAPPAS & BELL RODDY LAW LTD 532 17WC 11181 WELLS, ANTHONY J DELTA STEEL 01/25/17 TAMVAKIS, GEORGE L 533 17WC 11256 LANGERMAN, DORAINE MARIANO'S 03/18/17

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 534 17WC 11411 CHARLES, ALBERT CHICAGO ILLINOIS ARAMARK 09/07/15 WHITERS, ALFRED T 535 17WC 11498 STRONG, KEISHA LUNDBECK, LLC 12/13/16 HUGHES SOCOL PIERS RESNICK HENNESSY & ROACH PC 536 17WC 11536 TODD, CHARLES UBER 04/12/17 DWORKIN AND MACIARIELLO 537 17WC 11589 MELLER, JULIE ROBERT MORRIS UNIVERSITY 11/05/14 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 538 17WC 11644 ECKLUND, LYDIA AMERICAN AIRLINES INC 01/03/17 CULLEN HASKINS NICHOLSON 539 17WC 11676 LLAMAS, ISAAC APEX PUMPING EQUIPMENT 03/08/17 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 540 17WC 11711 SERRANO, PROFINO ALLIED UNIVERSAL SECURITY 03/14/17 ENCINAS & ORNELAS GAROFALO SCHREIBER STORM 541 17WC 11736 MARTINEZ, VICTOR H FLY PLUMBING CO 04/01/17 LAW OFFICE EDWARD RUEDA 542 17WC 11760 ALEXANDER, L C III COOK COUNTY SHERIFF'S DEP 04/17/17 GORDON & CENTRACCHIO LLC INMAN & FITZGIBBONS 543 17WC 11792 DREW, ANTHONY POWER CONSTRUCTION CO, LL 04/13/17 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 544 17WC 11827 LEON, SALVADOR ELSTON MATERIALS LLC 01/10/17 KINNALLY FLAHERTY KRENTZ & CASSANO & ASSOCIATES 545 17WC 11848 TOVEY, GEORGE MORAN TRANSPORTATION CORP 03/28/17 POLANSKY & CICHON CHTD 546 17WC 11883 RIVERA, APOLINAR STAR DIE MOLDING, INC. 02/16/17 RUEDA, IVAN A 547 17WC 11910 TURNER, ARDIS JR DISCOUNT TIRE 04/11/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 548 17WC 11956 COLON, DENNIS AUTOPORT (MICHIGAN) LTD 02/16/17 SPENCER LAW OFFICES MEACHUM & STARCK 549 17WC 12045 TENA, DARLO RENE AUTO PARTS 01/13/17 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 550 17WC 12058 RICHARDSON, MARK A CHICAGO BOARD OF EDUCATIO 01/26/17 VITELL & SPITZ LTD 551 17WC 12113 CORTEZ, JOSE STACKED 04/09/17 MC HARGUE, JAMES P LAW OFF KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 552 17WC 12153 PENA, JOSE PRIMARY STAFFING 04/14/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 553 17WC 12234 VEGA, MANUEL VILLAGE OF LINCOLNWOOD 07/27/16 LEO M. BLEIMAN & ASSOC BRYCE DOWNEY & LENKOV LLC 554 17WC 12252 WIGGINS, DARREN POLYCHEM SERVICES, INC. 12/07/16 DONALD M. PHELAN RUSIN & MACIOROWSKI LTD 555 17WC 12280 HENRY JR., MARVIN PRAIRIE SHORES PROPERTY M 04/19/17 LEONARD LAW GROUP LLC GANAN & SHAPIRO 556 17WC 12337 SCHULTZ, JEFFREY AUBURN DISPOSAL 05/11/16 GOLDBERG WEISMAN & CAIRO L 557 17WC 12357 CASCONE, RONALD ZF OF AMERICA 12/23/15 JOHN E LUSAK KEEFE CAMPBELL & ASSOC LLC 558 17WC 12403 PRADO, JAIME ADC DIECASTING LLC 06/09/16 ROSS TYRRELL 559 17WC 12440 PHILLIPS JONES, DELORES ILLINOIS TOOL WORKS 01/12/17 LAW OFFICE OF SCOTT B SHAP NYHAN BAMBRICK KINZIE & LOWR 560 17WC 12482 DESSLER, MARIE UNITED AIRLINES 10/07/16 ROMANUCCI & BLANDIN WIEDNER & MCAULIFFE LTD 561 17WC 12548 RIVERA, MIGUEL KINDRED HEALTH CARE 03/13/17 MC HARGUE, JAMES P LAW OFF ARNETT LAW GROUP 562 17WC 12598 PACHECO, DOLORES SCHOOL HEALTH CORPORATION 07/06/16 LAW OFFICE ROBERTO ACEVEDO 563 17WC 12632 AGUILAR, JOSE TONY'S FINER FOODS INC 04/02/17 CHEPOV & SCOTT LLC 564 17WC 12647 MAHNKE, KEITH US FOODS 03/28/17 CUDA LAW OFFICES 565 17WC 12729 VLACH, STEVEN META STORAG SOLUTIONS 03/31/17 LEONARD LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 566 17WC 12838 MCGEOCH, DEREK SCOTTISH PLUMBER 03/21/17 STEVEN H MEVORAH & ASSOCIA 567 17WC 12878 THIGPEN, ARMIDA COUNTRYSIDE NURSING & REH 01/16/17 FRIEDMAN & SOLMOR LTD 568 17WC 12920 ARTAJO, EDDIE PREMIER STAFFING CO, A/K/ 05/12/16 HANNIGAN & BOTHA, LTD GRANT & FANNING 569 17WC 12963 ROEH, RICHARD CTA 04/19/17 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 570 17WC 13029 FERGUSON, MICHAEL J COM ED 12/29/16 GOLDBERG WEISMAN & CAIRO L CHILTON YAMBERT PORTER LLP 571 17WC 13047 JEFFERSON, CARL CITY OF CHICAGO-DEPT OF 01/23/17 KANURU LAW GROUP PC TAMVAKIS, GEORGE L 572 17WC 13076 MULAY, JOSPEH UNITED AIRLINES INC. 03/14/17 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 573 17WC 13090 LEWIS, RONALE POWER STOP 04/28/17 DWORKIN AND MACIARIELLO 574 17WC 13117 LAMPKIN, CANDACE MARIANO'S 04/23/17 DAVID W MARTAY 575 17WC 13165 GONZALEZ, JAZMINE ALDI 03/31/17 HERRERA LAW CENTER MACIOROWSKI SACKMANN & ULRIC 576 17WC 13280 DEVOGELEAR, ROBERT COOK COUNTY SHERIFF'S DEP 04/13/17 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 577 17WC 13301 NICHOLOS, ELLIS CENTRAL TRANSPORT LLC 03/23/17 RITTENBERG & BUFFEN HINSHAW & CULBERTSON 578 17WC 13321 DAWSON, DAVID KA PRIDJIAN & CO 03/23/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 579 17WC 13417 MARTINEZ, JOSE JC DECAUX NORTH AMERICA I 04/30/17 HEALY SCANLON LAW FIRM 580 17WC 13741 PEREZ, JOSE EDUARDO LEGACY UNDERGROUND CORP 02/28/17 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM 581 17WC 18784 CHAIDEZ SOTO, PEDRO MIGUE THE DOMAIN GROUP, LLC # 07/01/16 RUSIN & MACIOROWSKI LTD 582 17WC 19293 STYRCZULA, DENISE TJX COMPANIES 09/16/16 KUMLIN & FROMM 583 17WC 19355 ALVARADO, ISIDRA HOME PRODUCTS INTL 04/01/16 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD 584 17WC 19380 WATKINS, TOYA UNIVERSITY OF CHICAGO HOS 06/14/17 DWORKIN AND MACIARIELLO 585 17WC 19430 MARTINS, IRIS WAL-MART ASSOCIATES, INC 10/01/14 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 586 17WC 19496 RAMIREZ, GABRIEL VILLAGE OF NORRIDGE POLIC 05/20/17 JOHN J CASTANEDA POWER & CRONIN LTD 587 17WC 19598 BROOM, BEVERLY J CHICAGOPUBLIC SCHOOLS 06/12/17 STEVEN J MALMAN & ASSOCIAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 588 17WC 19615 LAY, LENA GAREDA, LLC 06/19/17 ANKIN LAW OFFICE 589 17WC 19707 ALLEN, LASHARN CTA 07/03/17 FRIEDMAN & SOLMOR LTD 590 17WC 19731 KYRIAK-LOPEZ, YVETTE UCAN @ 05/22/17 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 591 17WC 19766 YOUSUF, FARZANA CHICAGO PUBLIC SCHOOLS 10/19/16 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 592 17WC 19798 BREWER, LATOCHIA CDT 06/22/17 COSTA IVONE LLC 593 17WC 19879 GONZALEZ, NORIE LISTER & ROSALIE ANXITER 10/24/16 DWORKIN AND MACIARIELLO 594 17WC 19915 WAYNE, NICHOLAS UPS 04/18/17 WHITESIDE & GOLDBERG LTD ASA LAW GROUP 595 17WC 19951 LARENTOWICZ, JEFF CHICAGO FIRE SOCCER & MLS 06/03/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 17WC019952 -C 596 17WC 19973 FRANCISCO, CAESAR H SET ENTERPRISES, INC 06/05/17 ANKIN LAW OFFICE 597 17WC 19990 OKAMOTO, TABATHA NORTHEASTERN IL UNIVERSIT 06/12/17 MC HARGUE, JAMES P LAW OFF ASSISTANT ATTORNEY GENERAL 598 17WC 20007 LIN, ZHENFENG WIN WIN SEAFOOD 05/24/17 STEWART C ORZOFF 599 17WC 20056 LEMA, LUZ M KOCH FOODS INC 06/01/16 BAUM RUFFOLO & MARZAL LTD 600 17WC 20075 MCCAA, MICHELLE UCP SEGUIN OF GREATER CHI 07/02/17 JOHN S. ELIASIK 601 17WC 20094 LOPEZ, JORGE HUMBERTO DA STEIN CULINARY GROUP L 06/22/17 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 602 17WC 20177 CARMARGO, ELSA PACTIV/RESOURCE EMPLOYMEN 01/27/17 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC 603 17WC 20197 BYSKOSH, ANN MB FINANCIAL BANK 03/20/17 SCOTT BARBER 604 17WC 20213 COOK, MICHAEL RUDD CONTAINER 07/07/17 MICHAEL P MCCREADY & ASSOC 605 17WC 20293 POPP, SARAH PARKVIEW ORTHOPEDIC GROUP 05/31/16 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 606 17WC 20317 MINNIEFIELD, RANDALL FORD MOTOR COMPANY 08/19/14 FOHRMAN, DONALD W & ASSOCS 607 17WC 20339 ORSBY, AKIREN UNITED PARCEL SVC 06/29/17 ROGER D RUDICH LTD ASA LAW GROUP 608 17WC 20349 MOORE, TREVELL CHICAGO TRANSIT AUTHORITY 06/23/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 609 17WC 20377 SPAIN, MICHAEL GLENBRIDGE NURSING AND 04/18/17 LAW OFFICE HUGO ORTIZ 610 17WC 20454 WOJTOWICZ, ZOFIA,BEHALF O IWBF 03/28/17 STANCZAK LAW OFFICES 611 17WC 20485 JOINTER, TIYA CHICAGO BOARD OF EDUCATIO 06/19/17 DWORKIN AND MACIARIELLO 612 17WC 20506 GRIMALDO, ALMA TOPPSHELF STAFFING, INC 05/14/17 RUEDA, IVAN A 613 17WC 20518 SARGENT, TERVALON J CHICAGO TRANSIT AUTHORITY 05/09/17 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 614 17WC 20572 GARCIA, STEVEN ALCO SPRINGS INC 12/09/16 RAYMOND M SIMARD, PC 615 17WC 20619 BUCHANAN, CARLA COOK COUNTY SHERIFF 06/17/17 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 616 17WC 20632 BENJAMIN, EVELYN UNITED PARCEL SERVICE INC 05/30/17 ANKIN LAW OFFICE ASA LAW GROUP 617 17WC 20650 SIMPKINS, LYNDA J.D. MARS 03/09/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 618 17WC 20665 WILHELMY, TODD ILLINOIS STATE POLICE @ 05/07/17 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 619 17WC 20702 LEACHMAN, WILLIE MILLERS PUB 06/30/17 DWORKIN AND MACIARIELLO 620 17WC 20803 PAGE, HORACE JR BG MULTIFAMILY 07/07/17 COYNE REINKE LAW 621 17WC 20855 CABRERA, MIGUEL ADELMAN'S TRUCK & EQUIPME 07/06/17 VRDOLYAK LAW GROUP LLC 622 17WC 20874 PALAO, ODILIA TONY'S FINER FOODS 06/22/17 MC HARGUE, JAMES P LAW OFF 623 17WC 20895 LANDRY, DEON APEX PINNACLE MOVING 07/10/17 THOMAS LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 624 17WC 20940 HERNANDEZ, AMADA LAND O'FROST INC 07/04/17 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM 625 17WC 20952 AUGUSTYNIAK, PATRICK WMC INC 06/05/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 626 17WC 21018 HENTON, DWIGHT JACK COOPER TRANSPORT CO, 10/12/15 MEYERS & FLOWERS HENNESSY & ROACH PC 627 17WC 21097 GONZALEZ, ROBERTO JR BERMAN NISSAN OF CHICAGO 06/12/17 PETER D CORTI LAW GROUP RODDY LAW LTD 628 17WC 21190 PUCKETT, MELANYE OAK LAWN RESPIRATORY & RE 06/28/17 SIGMOND, STEVEN KNELL & O'CONNOR 629 17WC 21235 REDZIC, HUSO SENIOR FLEXONICS 03/08/17 LEAHY, JAMES P BRADY CONNOLLY & MASUDA PC 630 17WC 21254 REID-MARTINEZ, CHERYL UNITED AIRLINES INC. 07/13/16 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 631 17WC 21316 LUSTOFIN, CHRISTINE JEWEL FOOD STORE 04/10/17 R. MARK MARITOTE PC 632 17WC 21356 MC BETH, MARK TECH USA, INC 06/19/17 SPENCER LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 633 17WC 21378 HOOD, MARCHELLE CATHOLIC CHARITIES 07/12/17 VRDOLYAK LAW GROUP LLC 634 17WC 21395 SANDERS, DEBBIE CHICAGO PUBLIC SCHOOLS 06/19/17 ANKIN LAW OFFICE LAW DEPARTMENT 635 17WC 21459 COVINGTON, ROBERT CTA 07/02/17 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY 636 17WC 21519 MCDONALD JR, DARRELL VILLAGE OF MAYWOOD 08/11/15 PARENTE & NOREM PC INMAN & FITZGIBBONS 637 17WC 21690 GONZALEZ, FABIOLA GLEN OAKS NURSING & 07/16/17 HERRERA LAW CENTER LAW OFFICES FRANCESCA LARSEN 638 17WC 21743 IBRAHEEM, WALID VERIZON 07/09/17 DWORKIN AND MACIARIELLO ASA LAW GROUP 639 17WC 21763 REID, DARREN CAST & CREW ENTERTAINMENT 06/23/17 LANNON LANNON & BARR LTD 640 17WC 21838 LAWRENCE, JAMMIE TERRANCE ELECTRIC CO, INC 07/18/17 HORWITZ HORWITZ & ASSOC 641 17WC 21871 PACLIBARE, LINA RETINA INSTITUTE OF ILLIN 02/27/17 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 642 17WC 21895 BANKSROBINSON, DENISE ROOSEVELT UNIVERSITY 07/20/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 643 17WC 21927 CASSELLO, PHILLIP AEROTEK, INC 07/17/17 ARGIONIS & ASSOCIATES LLC 644 17WC 21966 LISTELLO, SHARRI AMITA HEALTH ADVENTIST ME 02/14/17 BART DURHAM NYHAN BAMBRICK KINZIE & LOWR 645 17WC 22037 RADCLIFFE, CAPRICE TRINITY UNITED 05/16/17 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK 646 17WC 22065 JACKSON, MONTECE PEAPOD 07/23/17 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 647 17WC 22082 VANZANT, MARCY CTA 07/27/17 COVEN LAW GROUP 648 17WC 22106 GORYL, KRZYSTOF USP TRANS INC 06/12/17 BURNES & LIBMAN 649 17WC 22146 SPENCER, JOHN COOK COUNTY SHERIFF'S DEP 05/10/17 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 650 17WC 22169 ZAVALA, ANTONIO WIRTZ RENTALS COMPANY 07/22/16 COSTA IVONE LLC 651 17WC 22190 SOLIK, MICHAEL UNITED AIRLINES 10/19/16 DWORKIN AND MACIARIELLO 652 17WC 22220 HACKETT, CHRIS PERFORMANCE FOOD GROUP 09/01/16 BOGUSZ & BOGUSZ LTD 653 17WC 22249 RODRIGUEZ, NOE JEWEL OSCO 07/15/17 LAW OFFICE OF SCOTT B SHAP 654 17WC 22266 MAYERHOFER, PAUL DAVE OSBORNE CONSTRUCTION 07/02/15 MUELHAUSEN & STEFANI KOPKA, PINKUS DOLIN, PC 655 17WC 22334 KAMHOLZ, NANCI IL DEPT OF JUVENILE JUSTI @ 06/26/17 BAUM RUFFOLO & MARZAL LTD ASSISTANT ATTORNEY GENERAL 656 17WC 22396 RILEY, HELEN COOK COUNTY HEALTH SYSTEM 07/11/17 STEVEN J TENZER, LTD STATES ATTORNEY OF COOK COUN 657 17WC 22414 RANGEL, EVELYN CITIBANK 06/15/17 RONALDSON & KUCHLER CHILTON YAMBERT PORTER LLP 658 17WC 22454 WALKER, VERONICA CTA 08/08/15 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 659 17WC 22471 ACEVEDO, SIGFREDO O INTERPARK HOLDINGS LLC 04/24/17 HART & DAVID LLP HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 660 17WC 22525 KOSCIELNIAK, KATARZYNA LITTLE COMPANY OF MARY HO 10/25/15 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 661 17WC 22550 CURRY, FLOYD LANGER TRANSPORT CORP 06/22/17 VASILATOS & COTTER LLC 662 17WC 22607 SOLANO, FLORENCIO LSG SKY CHEFS-DES PLAINES 01/04/17 WARREN W MARK NYHAN BAMBRICK KINZIE & LOWR 663 17WC 22663 CANAVAN, WILLIAM F CITY OF HARVEY 06/12/17 THOMAS W DUDA 664 17WC 22704 TELLADO, AURORA NEW ALBERTSON'S INC./ 07/03/17 GOLDSTEIN BENDER & ROMANOF 665 17WC 28580 ALLEN, CALVIN UPS 09/19/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 666 17WC 28995 MARROQUIN, OSCAR ARMOR SHIELD CONSTRUCTION 07/22/17 SALK, STEVEN B & ASSOC LTD 667 17WC 29018 ENDERSON, SHANIECE CTA 08/10/17 DWORKIN AND MACIARIELLO 668 17WC 29042 PRUNSKY, EDWARD YRC FREIGHT 07/16/17 THE FITZ LAW GROUP 669 17WC 29058 STEWARD, DALE MT PROSPECT FIRE DEPARTME 08/02/17 LAW OFFICES OF ANN O'CONNE RODDY LAW LTD 670 17WC 29083 RIVERA, EDWIN ADVANCE AUTO PARTS 10/05/15 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 671 17WC 29096 JIMENEZ, MARIA SCHULZE & BRUCH BISCUIT C 04/15/17 LAW OFFICES OF MARK SCHAFF WIEDNER & MCAULIFFE LTD 17WC029097 -C 17WC029098 -C 672 17WC 29110 ARCERI, TOMMY CHICAGO TRANSIT AUTHORITY 10/01/17 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 673 17WC 29124 GALAURAN, FELICITAS ADVOCATE ILLINOIS MASONIC 08/15/17 BAUM RUFFOLO & MARZAL LTD GAROFALO SCHREIBER STORM 674 17WC 29159 PACHECO, ALICIA HD HOSPITALITY DBA 09/10/17 675 17WC 29185 BROWN, TRAMOND ED MINIAT LLC, INC 05/02/17 COHN LAMBERT RYAN & SCHNEI 676 17WC 29201 RAMIREZ, JOSE FLEXIBLE STAFFING 09/20/17 RAYMOND M SIMARD, PC 677 17WC 29218 KARLIN, SHARON MACY'S RETAIL HOLDINGS, I 08/18/17 NEMEROFF LAW OFFICES BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 678 17WC 29244 SUMMERS, TANISHA SUNRISE BUS COMPANY 09/27/17 GRAZIAN & VOLPE PC KNELL & O'CONNOR 679 17WC 29270 DUVALT, CHRIS ARENA FOOTBALL ONE LLC 08/26/16 GORDON LAW OFFICES LTD 680 17WC 29281 RUIZ, ERNESTO PLUM VALLEY LANDSCAPING 08/16/17 DAVID W MARTAY 681 17WC 29300 COLLIER, LISA A ADVOCATE HEALTH CARE 08/07/17 ANKIN LAW OFFICE 682 17WC 29321 HERNANDEZ, JUAN CHICAGO DRYER COMPANY 09/11/17 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 683 17WC 29340 NOBLE, DOLLY PAYLESS 03/01/17 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 684 17WC 29378 NAGHAN, HAMID N CTA-CHICAGO TRANSIT AUTHO 08/15/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 685 17WC 29409 ISHOLA, HAKEEM NURSE SOURCE 05/18/17 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 686 17WC 29431 PAGAN, ANDRES KERRY HOLDINGS CO 07/25/17 WHITESIDE & GOLDBERG LTD 687 17WC 29456 TATE, MONIQUE CHICAGO TRANSIT AUTHORITY 09/20/17 LEWIS & DAVIDSON, LTD CHICAGO TRANSIT AUTHORITY 688 17WC 29474 VILLALPANDO, LUIS THE VITAMIN SHOPPE 02/11/17 LAW OFFICES ROBERT WARSASK 689 17WC 29496 COATES, PIERRE L NEIMAN MARCUS 08/02/17 LAW OFFICE OF SCOTT B SHAP 690 17WC 29516 WILLIAMS, PAMELA JEWEL OSCO 08/12/17 GOLDSTEIN BENDER & ROMANOF 691 17WC 29536 MCCLINTON, DEBRA DOLLAR TREE 09/23/17 JAMES ELLIS GUMBINER & ASS 692 17WC 29560 RAMSEY, STEFAN EAST LAKE MANAGEMENT 09/06/17 SAUNDERS CONDON & KENNY 693 17WC 29578 CHUBOFF, SHARON A CCDS 15 08/22/17 BRILL & FISHEL WIEDNER & MCAULIFFE LTD 694 17WC 29601 MCNICHOLAS, ROBERT CITY OF CHICAGO 05/09/17 RUBIN LAW GROUP 695 17WC 29625 TOVAR, MANUEL JR GMI PACKAGING CO 12/22/16 ELFENBAUM EVERS & AMARILIO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 696 17WC 29651 WARD, DESIREE CHIPOTLE MEXICAN GRILL 10/03/17 DWORKIN AND MACIARIELLO 697 17WC 29667 CANNISTRA, MICHAEL AMADEOS ITALIAN DELIGHTS 07/07/15 CULLEN HASKINS NICHOLSON 698 17WC 29757 HANSON, JAMES VILLAGE OF WESTERN SPRING 06/02/17 HORWITZ HORWITZ & ASSOC 699 17WC 29771 RIOS JR, ABEL RAINCOAT ROOFING SYSTEMS, 08/14/17 O'CONNOR & NAKOS 700 17WC 29820 TINAJERO, FRANCISCO METRO STAFF, INC 09/13/17 RUEDA, IVAN A 701 17WC 29836 PILECKI, ANDREW CITY OF CHICAGO, DEPT OF 03/24/17 CUDA LAW OFFICES 702 17WC 29855 TORRES, MARIA DE JESUS WEBER STEPHEN PRODUCTS 12/03/15 HERRERA LAW CENTER 703 17WC 29934 CORNISH, WILLIAM ESSEX ELECTRICAL 12/19/16 TURNER & SACKETT LLC 704 17WC 29962 MOORE, CARL KELLY SERVICES, INC 09/05/17 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 705 17WC 29981 SANGSTER, DEANDRE HMS HOSTS 10/02/17 ANGELINI & ORI LLC 706 17WC 30050 ANDERSON, ANDRE LINDOP SD 92 06/15/17 BRIAN KEELEY LTD 707 17WC 30057 SCHELFHOUT, JENNIFER EVNOY AIR 07/02/17 CULLEN HASKINS NICHOLSON 708 17WC 30097 AVELAR, CESAR GARY GOLAND AB CREATIVE C 05/04/17 LAW OFFICES PETER LEKAS 709 17WC 30212 ADKINS-COOPER, KELLY AMERICAN AIRLINES 06/02/17 RUBENS AND KRESS 710 17WC 30262 SMITH, JONTAE GORDON FOOD SERVICE STORE 11/16/16 STROM, NEAL B GANAN & SHAPIRO 711 17WC 30281 LEWANDOWSKI, KATHLEEN O'HARE CHILD DEVELOPMENT 09/07/17 VASILATOS & COTTER LLC 712 17WC 30308 FORD, SCOTT CITY OF CHICAGO-WATER MGM 09/26/17 DAVID W MARTAY 713 17WC 30383 HOFFMANN, MICHAEL R ECOLAB INC 11/25/15 BUDIN LAW OFFICES KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 714 17WC 30434 WILSON, JACKIE THE TERMINIZ INTERNATIONA 07/01/17 ANKIN LAW OFFICE 715 17WC 30454 SANDOVAL, VANESSA GDI SERVICES INC 07/17/17 BERG & BERG MEACHUM & STARCK 716 17WC 30495 SARTIN, BRUCE ROSE PLUMBING & SEWAGE IN 12/04/14 KEDZIE LAW OFFICE PC 717 17WC 30593 NOVICKAS, RAYMOND CITY OF CHICAGO 04/05/16 SAUNDERS CONDON & KENNY 718 17WC 30633 TAYLOR, MAMIE BLUE CROSS BLUE SHIELD 06/14/17 STROM, NEAL B BRYCE DOWNEY & LENKOV LLC 719 17WC 30648 STERLING, SHAWN PTI 09/28/17 SEIDMAN MARGULIS & FAIRMAN 720 17WC 30702 MILLER, PIERRE ELITE MEDICAL CARD 09/18/17 DWORKIN AND MACIARIELLO 721 17WC 30752 MORGAN, RYAN JEWEL-OSCO 09/22/17 LEONARD LAW GROUP LLC 722 17WC 30799 MALIK, STANLEY DRAPER & KRAMER 05/18/17 ALEKSY BELCHER HOLECEK & ASSOCIATES 723 17WC 30832 MCKEE, CAMERON KS ENERGY SVCS 07/19/17 CLARK FROST 724 17WC 30854 GUTIERREZ, ANTONIO CITY OF CHICAGO WATER 09/01/17 JOSEPH J SPINGOLA, LTD 725 17WC 30873 GURUMENDI, MANUEL METALDYNE PERFORMANCE GRO 09/09/17 JOHN E LUSAK 726 17WC 30931 GORDON, KEVIN L TREIA ROOFING & REMODELIN 06/26/17 LANNON LANNON & BARR LTD KEEFE CAMPBELL & ASSOC LLC 727 17WC 30963 GRANTSON, LEORA STATE OF ILLINOIS - DHS @ 10/13/17 RITTENBERG & BUFFEN ASSISTANT ATTORNEY GENERAL 728 17WC 31014 TURNER, LAVIA SCOOBEEZ 09/15/17 SOSTRIN AND SOSTRIN PC 729 17WC 31098 WILLIAMS, CEDRIC UNITED SECURITY INC 01/17/17 PORRO NIERMANN LAW GROUP 730 17WC 31124 COOK, ALVIN D CITY CLUB APARTMENTS LLC 09/08/17 COHN LAMBERT RYAN & SCHNEI MEACHUM & STARCK 731 17WC 31153 AUSTIN, JESSICA MACK & ASSOCIATES LTD 01/24/17 ANKIN LAW OFFICE MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 732 17WC 31195 MARBAN, RAUL GLEN VIEW CLUB 09/02/17 COSTA IVONE LLC NOBLE & ASSOCIATES PC 733 17WC 31211 COOPER, TERRY FOREST PRESERVE DISTRICT 12/01/16 CUDA LAW OFFICES FOREST PRESERVE DIST COOK CO 734 17WC 31300 093 VERNON, MIGUEL AMERICAN AIRLINES, INC 07/01/17 PETER D CORTI LAW GROUP GAROFALO SCHREIBER STORM 093 17WC031298 -C 093 17WC031299 -C 735 17WC 31328 DAVIS, SHELDON ALLIED UNIVERSAL 10/14/17 JAMES ELLIS GUMBINER & ASS GAROFALO SCHREIBER STORM 736 17WC 31348 NUNEZ, MIGUEL VECTOR DISEASE CTRL INTER 09/27/17 HERRERA LAW CENTER 737 17WC 31386 BOSIO, CHRIS CHICAGO CUBS 09/05/17 DWORKIN AND MACIARIELLO 738 17WC 31439 VALME, JEAN EVANSTON TOWNSHIP HS 08/23/17 RUBIN MACHADO ROSENBLUM 739 17WC 31466 PRICKETT, MARK CARL BUDDIG & CO. 09/02/17 DWORKIN AND MACIARIELLO 740 17WC 31486 SCOTT, SONYA ADDUS HEALTHCARE 10/05/17 HERRERA LAW CENTER 741 17WC 31505 ZAWITKOWSKI, ADAM MZ REMODELING, INC 10/18/17 CHEPOV & SCOTT LLC COZZI & GOGGIN-WARD 742 17WC 31526 JONES, PAMELA EAST BALT COMMISSARY 08/22/17 THE MACK LAW GROUP PC 743 17WC 31609 SHIELDS, DARSANDRA WALGREEN CO 05/31/17 ANKIN LAW OFFICE 744 17WC 31628 BABAJIDE, HAKEEM SCORPION CAB CO 10/08/16 WARREN W MARK 745 17WC 31657 RANGEL, RONALD RUSH UNIVERSITY MEDIRUSH 10/06/17 GOLDBERG WEISMAN & CAIRO L 746 17WC 31680 TITTLE, SCOTT FEDEX EXPRESS 08/21/17 JOSEPH G HAFFNER LAW OFFIC 747 17WC 31699 CATAMIN, SHARLIN PRESECE STS. MARY AND 10/12/17 VRDOLYAK LAW GROUP LLC 748 17WC 31715 SLAUGHTER, LEMUEL FORD MOTOR COMPANY 09/14/17 FOHRMAN, DONALD W & ASSOCS 749 17WC 31732 LEMA, BLANCA E SCRUB INC./EMPLOYCO USA I 05/25/17 SALVATO & O'TOOLE POULOS & DIBENEDETTO LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 750 17WC 31767 STINNETTE, LISA SOUTHWEST AIRLINES 02/26/16 RONALDSON & KUCHLER 751 17WC 31860 BAILEY, CHRISTOPHER XPO LOGISTICS INC 10/06/17 OWENS & LAUGHLIN LLC RUSIN & MACIOROWSKI LTD 752 17WC 31897 BRUESCH, DONALD ARCHITECTURAL SYSTEMS 10/17/16 VRDOLYAK LAW GROUP LLC 753 17WC 31914 MURDOCK, TONYA JP MORGAN CHASE 10/24/17 LEONARD LAW GROUP LLC 754 17WC 31929 BROWN, MARCUS GREYHOUND 07/13/17 FOHRMAN, DONALD W & ASSOCS 755 17WC 31978 LEWIS, GLEN INTERNATIONAL PAPER 10/16/17 DWORKIN AND MACIARIELLO 756 17WC 32085 ROLDAN, JOSE A ROLLEX CORPORATION 12/21/15 GOLDSTEIN BENDER & ROMANOF 757 17WC 32130 ZHANG, YU AI CHINESE AMERICAN SVS LEAG 03/21/15 RODDY LAW LTD 758 17WC 32151 MLKHAIL, ALLEN AMPAC 10/17/17 LAW OFFICE NANCY HIRSCH LL WIEDNER & MCAULIFFE LTD 759 17WC 32177 DIAZ, OSCAR SYSCO FOODS 06/20/17 BOUDREAU NISIVACO LLC 760 17WC 32184 RODRIGUEZ, GERARDO PERPETUAL, LLC 08/18/17 GALLAGHER, DONALD V 761 17WC 32228 MONDRAGON, JUAN HONEY BUTTER FRIED CHICKE 06/15/17 THOMAS LAW MEACHUM & STARCK 762 17WC 32313 MORGAN, RAYMOND CITY OF CHICAGO STREET AN 09/26/17 THE FITZ LAW GROUP 763 17WC 32333 MOORE, JOHN P WASTE CONNECTIONS INC 09/27/17 PARENTE & NOREM PC 764 17WC 32353 GOLDEN, CHRISTOPHER J. FORD MOTOR CO 02/04/16 CIARDELLI CUMMINGS CAMPAGN POWER & CRONIN LTD 765 18WC 00239 DYBAS, JAMES UPS * 10/02/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 766 18WC 00256 PADILLA, LUIS FITZSIMMONS HOME MEDICAL * 06/06/17 DWORKIN AND MACIARIELLO 767 18WC 00360 MORGAN, ROY BIMBO BAKERIES USA * 12/12/17 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 768 18WC 00391 MCCLURE, EBONEE GLOBAL AVIATION * 12/28/17 JAMES ELLIS GUMBINER & ASS 769 18WC 00412 RUSS, ZIOMARA GRAND LUX CAFE, LLC/ * 12/19/17 LAW OFFICE OF JAMES H MILL 770 18WC 00447 BARRETO, DENISE COOK COUNTY JUVENILE DETE * 11/27/17 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 771 18WC 00486 VELAZQUEZ, NORMA PROPERTY MGMT EXPERTS, IN * 10/20/17 KATZ FRIEDMAN EAGLE ET AL 772 18WC 00507 SVACHIRE, KATHLEEN NORTHWEST COM HOSP * 08/06/17 NEWLAND & NEWLAND 773 18WC 00587 MIZZI, BRIAN INTERSTATE TRANSPORT * 05/29/15 GRAZIAN & VOLPE PC 774 18WC 00602 JUAREZ, GRACIELA TJ MAXX OF IL, LLC * 10/13/17 THE MACK LAW GROUP PC BRADY CONNOLLY & MASUDA PC 775 18WC 00627 PROCE, VITO CAPUTOS NEW FARM PRODUCE * 12/28/17 WILLIAM MARTAY 776 18WC 00649 SMOLAREK, STEVEN UNITED RENTALS * 12/29/16 CULLEN HASKINS NICHOLSON KNELL & O'CONNOR 777 18WC 00665 BERNABE, MARCO ANTONIO PAY DAY, LLC * 12/14/17 CHEPOV & SCOTT LLC 778 18WC 00685 CARMONA, OSCAR COLORADO PREMIUM * 12/22/17 ENCINAS & ORNELAS 779 18WC 00775 SAITTA, ANTHONY NAVISTAR * 07/26/17 KATZ FRIEDMAN EAGLE ET AL 780 18WC 00800 THAMES, PAUL ABF FREIGHT * 12/30/17 POLANSKY & CICHON CHTD 781 18WC 00820 COSVIC, AHMED PANIOS PIZZERIA * 10/31/17 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 782 18WC 00843 LICKO, JOSEPH EKLIND TOOL COMPANY * 06/11/15 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 783 18WC 00867 CASTRO, ALBERTO MAPLE & SPROWL STEEL * 12/27/17 SHEA LAW GROUP 784 18WC 00943 TARRALLO, ERIN B AMITA ADVENTIST * 01/02/18 LAW OFFICE DAVID W CLARK 785 18WC 00967 BLACKMAN, TIFFANY DOLTON SD 149 * 12/14/17 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 786 18WC 00995 DIXON, ROSA SECURITAS SECURITY SERVIC * 06/14/17 GALLAGHER, DONALD V 787 18WC 01035 ROBINSON, BEATRICE UNIVERSITY OF CHICAGO * 10/27/17 DWORKIN AND MACIARIELLO 788 18WC 01080 WILKINSON, TANYA MV TRANSPORTATION * 10/19/17 LEE, MARK N LAW OFFICE 789 18WC 01114 AHMED, NASIR JEWEL FOOD STORES * 11/09/17 EDWIN REYES LEGAL GROUP 790 18WC 01134 COKER, REID W ENTERTAINMENT PARTNERS * 03/24/16 RUBIN LAW GROUP 791 18WC 01158 WALTON, TEMEKA CHICAGO TRANSIT AUTHORITY * 12/30/17 HERRERA LAW CENTER 792 18WC 01184 HILL, KANESHIA COSTCO WHOLESALE * 02/18/17 CHASE & WERNER LTD 793 18WC 01218 GONZALEZ, JOSEPH SCHMIDT STEEL INC * 01/08/18 CORBOY & DEMETRIO PC QUINTAIROS PRIETO WOOD & BOY 794 18WC 01243 HERRERA, MARIA E ALPHA BAKING CO * 12/08/17 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 795 18WC 01263 ALDRIDGE, STEVEN ADVANCED ELECTRICAL SYSTE * 07/27/17 HEALY SCANLON LAW FIRM 796 18WC 01291 RODRIGUEZ, MELISSA SCHUBERT ELEMENTARY SCHOO * 03/22/17 EDWIN REYES LEGAL GROUP 797 18WC 01310 BERGMAN, VERNON SIGMATRON INTERNATIONAL * 01/25/17 HOLECEK & ASSOCIATES 798 18WC 01327 THORSON, GREGORY AMERICAN AIRLINES * 02/11/17 ELFENBAUM EVERS & AMARILIO 799 18WC 01350 COLLINS, MICHELLE UBER * 01/01/18 LEONARD LAW GROUP LLC 800 18WC 01367 WALKER, TEMECA KURTZ AMBULANCE * 01/03/18 DWORKIN AND MACIARIELLO 801 18WC 01407 NOLAN, KEVIN LAWRENCE HALL YOUTH SERVI * 04/08/16 BRADY CONNOLLY & MASUDA PC 802 18WC 01435 CATO-BISHOP, DARRYL ARENA FOOTBALL ONE LLC * 07/09/16 GORDON LAW OFFICES LTD 803 18WC 01460 SAHULOUL, ZIEN TOP CAB CORPORATION * 01/05/18 RONALDSON & KUCHLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 804 18WC 01479 SANTIAGO, ARNALDO CHICAGO TRANSIT AUTHORITY * 01/12/18 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 805 18WC 01499 SILAS, BENNIE SNAK KING * 11/10/17 CHARLES LEVY & ASSOC LTD 806 18WC 01560 MAHONEY, BRIAN UNIVERSITY OF ILLINOIS * 10/24/17 SHANCER, JEFFREY M NYHAN BAMBRICK KINZIE & LOWR 807 18WC 01589 PENA, ELIEZER JR EXCEL ENVIRONMENTAL INC * 08/08/16 BRADY CONNOLLY & MASUDA PC 808 18WC 01607 TUCKER, STEPHANIE HOLIDAY INN * 12/17/17 KREITER, BYCK & ASSOC LLP 809 18WC 01650 MINOR, WANDA SCR MEDICAL TRANSPORTATIO * 12/20/17 FRANCIS J DISCIPIO LAW OFF 810 18WC 01674 TUJDOWSKI, EDWARD WHEATLAND TUBE COMPANY * 11/20/15 STEWART C ORZOFF 811 18WC 01696 STAINE, MICHAEL INTERSPED INC D/B/A AMCAN * 01/02/18 GRAUER & KRIEGEL LLC 812 18WC 01739 NICHOLS, DEMARCO IL DEPT OF TRANSPORTATION * 09/13/17 HORWITZ HORWITZ & ASSOC 813 18WC 01766 HARRIS, LETONYA CHICAGO TRANSIT AUTHORITY * 12/28/17 STEIN, DEBORAH M CHICAGO TRANSIT AUTHORITY 814 18WC 01813 HARPER, JAMES D JR HOUSING OPPURTUNITY * 01/12/18 VITELL & SPITZ LTD 815 18WC 01859 WILLIAMS, KEVIN ALPHA BAKING * 12/04/17 MARKER & ASSOCIATES 816 18WC 01910 MAHONEY, GERALD EVANS ELECTRIC * 12/07/17 THE FITZ LAW GROUP 817 18WC 01932 JENKINS, RAVEN CHIPOTLE MEXICAN GRILL * 12/04/17 KATZ FRIEDMAN EAGLE ET AL 818 18WC 01956 LANDOS, PETE ALPS CONSTRUCTION * 05/16/16 BAUM RUFFOLO & MARZAL LTD 819 18WC 01977 MELVIN, JOSHUA C AMBAR INC * 12/06/17 ANKIN LAW OFFICE 820 18WC 01999 HOWARD, CHARLES CTA * 01/05/18 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 821 18WC 02018 FERRUZZA, COURTNEY CHICAGO PART AND SOUND * 08/30/17 ORENSTEIN & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 822 18WC 02096 LUELLEN, RAY LISA UNIVERSITY OF ILL HOSPITA * 01/16/18 THE ROMAKER LAW FIRM 823 18WC 02116 NELSON, MARY UNITED AIRLINES INC * 12/02/17 TAXMAN POLLOCK 824 18WC 02120 UKROPEN, BEVERLY GUSTO RESTAURANT * 12/24/17 KROL BONGIORNO & GIVEN LTD 825 18WC 02145 ARANDA, JULIO PRIMARY STAFFING INC. * 01/18/18 HERRERA LAW CENTER HENNESSY & ROACH PC 826 18WC 02188 NGUYEN, ROBERT MECH-TRONICS * 09/06/17 STEVEN H MEVORAH & ASSOCIA KEEFE CAMPBELL & ASSOC LLC 827 18WC 02232 JOHNSON, LARISSA ALDEN ESTATES OF ORLAND P * 12/08/17 EDWIN REYES LEGAL GROUP 828 18WC 02246 LENTINE, FRANK CITY OF CHICAGO * 12/19/17 BRIAN J MC MANUS & ASSOC, 829 18WC 02270 LAWRENCE, PHD, CHARLES IL DEPT OF VETERANS AFFAI * 07/05/16 COHN & COHN 830 18WC 02277 MIRANDA, AUSTEBERTO BH MANAGEMENT SERVICES LL * 01/03/18 SANDMAN LEVY & PETRICH 831 18WC 02298 TERRY, GLENNA K COOK COUNTY CLERK'S OFFIC * 11/08/16 GARDI & HAUGHT 832 18WC 02319 HAMILTON, MARCIA GAREDA HOME CARE SERVICES * 11/07/17 THE FITZ LAW GROUP 833 18WC 02374 MONTALBO, MAYRA UNITED PARCEL SERVICE * 12/21/17 LAW OFFICES MICHAEL HELLMA 834 18WC 02399 NATHAN, TIERA C APERION CARE CHICAGO HEIG * 01/07/18 STEVEN J MALMAN & ASSOCIAT 835 18WC 02405 ROBERTSON, ELIZABETH AT HOME QUALITY CARE * 01/11/18 STROM, NEAL B 836 18WC 02424 WALSH, MADELINE DELOITTE CONSULTING * 06/19/17 HEALY SCANLON LAW FIRM 837 18WC 02439 MINGLEDOLPH-MARTIN, DEBRA SHEEHY MAIL CONTRACTORS I * 01/07/18 ANKIN LAW OFFICE 838 18WC 02458 BERNARD, ALBERT VORTEX COMMERCIAL FLOORIN * 11/16/17 COSTA IVONE LLC 839 18WC 02477 SOLANO, CARMELO PIEDMONT PLASTICS * 06/16/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 840 18WC 02497 OROZCO, RAMON MARK 1 RESTORATION * 10/10/17 HERRERA LAW CENTER 841 18WC 02517 WAGNER, DONALD UNITED RENTALS * 05/08/17 KEEFE CAMPBELL & ASSOC LLC 842 18WC 02542 JUNG, WONSEOP GMP DISTRIBUTION * 10/11/16 LAW OFFICES OF EDWARD J. KOZ 843 18WC 02574 WATKINS, KEVIN CTA * 01/23/18 MINKOW DOMIN 844 18WC 02608 PONCE, MARIANELA CHICAGO BOARD OF EDUCATIO * 04/11/14 845 18WC 02708 KOCHANSKI, SYLVIA CINTAS * 01/07/18 LAW OFFICES TIMOTHY HENDER 846 18WC 02730 FASSNACHT, MARC JEN-AIR, LLC * 06/24/16 QUINTAIROS PRIETO WOOD & BOY 847 18WC 02749 SANDERS, CLINTON ROBERTS PARK FIRE PROTECT * 12/27/17 SAUNDERS CONDON & KENNY 848 18WC 02793 GONZALEZ, NANCY IMPROVED CHILD CARE MANAG * 11/09/17 HERRERA LAW CENTER 849 18WC 02829 DIAZ, ELIAS SKYBRIDGE CONDOMINIUM ASS * 01/13/18 BRIAN T MORROW, LAW OFFICE 850 18WC 02887 RICHARDSON, EARLENE CITY OF CHICAGO STREETS * 01/16/18 CELSO FUENTES JR 851 18WC 02924 ROSENDO, CLAUDIO JD NEW CON & REMODELING & * 12/18/17 JOHN J CASTANEDA 852 18WC 02945 STEWART, DONETTA CHICAGO PUBLIC SCHOOLS * 01/10/18 LEONARD LAW GROUP LLC 853 18WC 02962 STEPHENS, DANA ARAMARK-NINA'S CAFE * 10/25/17 DWORKIN AND MACIARIELLO 854 18WC 02985 MENDEZ, MARIBEL M BLOCK * 01/09/18 LAW OFFICE EDWARD RUEDA 855 18WC 03027 SUAREZ, JOSE WATER HOUSE TAVERN * 12/23/17 TAXMAN POLLOCK 856 18WC 03051 PARRA, JESSE T UNIFIED CML LLC- G2K LOGI * 12/03/16 HANNIGAN & BOTHA, LTD 857 18WC 03084 CANO, JAIME RODRIGUEZ ENCANTO TRANSPORT INC * 01/20/18 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 03/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 858 18WC 03140 SMITH, LAVELLE D COOK COUNTY SHERIFF'S DEP * 07/15/16 RITTENBERG & BUFFEN 859 18WC 03174 JOHNSON, KARLONDA COOK CNTY DEPT OF CORRECT * 09/13/17 RUBENS AND KRESS 860 18WC 03199 WALKER, NICHOLAS H&B TRUE VALUE * 01/06/18 KATZ FRIEDMAN EAGLE ET AL 861 18WC 03221 MANJARREZ, RAFAEL O'S DECORATING INC * 10/26/17 COSTA IVONE LLC 862 18WC 03246 CASTILLO, EFRAIN LAKE SHARE RECYCLING * 01/19/18 RATHBUN CSEVENYAK & KOZOL 863 18WC 03345 AGUIRRE, NOE DAMASO HILTON WORLDWIDE, INC * 07/17/17 ANKIN LAW OFFICE 864 18WC 03371 ARIAS, JOSE JUAN DHALIWAL LABS IL LLC * 06/01/17 FIGLIOLI, DAVID 865 18WC 03414 SULAN, MARK BROOKFIELD ZOO * 07/24/16 MC HARGUE, JAMES P LAW OFF