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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 23631 KING, KIOWA CITY OF CHICAGO 01/31/03 KARCHMAR & STONE HENNESSY & ROACH PC 09WC021796 -C 10WC009221 -C 2 04WC 41597 REYES, CARLOS CITY OF CHICAGO 05/14/04 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 08WC018068 -C 3 07WC 18182 19B HAEPP, BARBARA CITY OF CHICAGO 03/02/07 HEALY LAW FIRM SPIEGEL & CAHILL, PC 4 07WC 20563 GOMEZ, TERESA ALTIVITY PACKAGING 12/08/06 MINKOW DOMIN DOHERTY & PROGAR LLC 08WC042821 -C 11WC034492 -C GRAPHIC PACKAGING INT'L 5 08WC 16875 PACHECO, MELVIN METRO INTERSTATE W 03/25/08 GOLDSTEIN FISHMAN BENDER E IRWIN ROZNER 6 08WC 19398 TYRRELL, TIMOTHY DEPARTMENT OF TRANSPORTAT @ 04/03/07 JAMES M RIDGE LAW OFFICE 7 08WC 45606 SCHULTZ, JAMES E STATE OF ILLINOIS @ 06/27/08 MANDELL, GREGG ASSISTANT ATTORNEY GENERAL 8 10WC 04707 RECCHIA, JOHN CITY OF CHICAGO 01/28/09 JOSEPH J SPINGOLA, LTD HENNESSY & ROACH PC 10WC004708 -C 9 10WC 07786 SANCHEZ, MARIA JACKSON PARK HOSPITAL 12/04/09 LEWIS DAVIDSON & HETHERING QUERRY & HARROW LTD 10WC035349 -C 10 10WC 41596 SCHREAN, TIA C METROPLITAN WATER RECLAMA 10/15/08 GAINES & GAINES NOBLE & ASSOCIATES PC 11 10WC 46807 PAGAN-SANCHEZ, OSCAR BKJK ENTERPRISES 11/17/10 SALK, STEVEN B & ASSOC LTD CASSANO & ASSOCIATES 12 10WC 49658 HEERY, EDWARD M JR CHICAGO TRANSIT AUTHORITY 08/12/10 STEVEN J SEIDMAN LAW OFFIC CHICAGO TRANSIT AUTHORITY 13 11WC 01167 GARZA, NOE CITY OF CHICAGO 12/06/10 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 11WC 03575 CALDERON, ROSA ASPEN FOODS 11/23/10 STANCZAK LAW OFFICES INMAN & FITZGIBBONS 12WC004791 -C 12WC028617 -C 15 11WC 04806 MORRIS, JEFFERY CITY OF CHICAGO-DEPT OF S 01/19/11 COYNE REINKE LAW CITY OF CHICAGO 13WC000078 -C 16 11WC 05647 SOLIS, AURORA EL HOGAR DEL NINO 05/07/10 GOLDSTEIN BENDER & ROMANOF RUSIN & MACIOROWSKI LTD 17 11WC 19042 ZABOR, DENNIS P ESTES EXPRESS LINES 09/07/07 LAWRENCE A SCORDINO WIEDNER & MCAULIFFE LTD 18 11WC 21023 MOSLEY, EDWARD J CITY OF CHICAGO 11/04/11 STEVEN J SEIDMAN LAW OFFIC CITY OF CHICAGO 11WC039672 -C 13WC000592 -C 19 11WC 26319 HARRIS, SHANELL FAMILY DOLLAR 07/05/11 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 12WC012563 -C 15WC009130 -C 20 11WC 32188 LA JOY, RICHARD II CITY OF EVANSTON 12/09/10 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 13WC017960 -C 21 11WC 37985 SMITH, DONALD SR CITY OF CHICAGO 05/04/11 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 11WC037986 -C 11WC037987 -C 14WC013749 -C 14WC023154 -C 22 11WC 39334 GONZALEZ, ROSSARIO LABOR NETWORK INC 09/26/11 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 12WC021379 -C 13WC011843 -C 23 11WC 42495 THOMAS, JEFFREY T & T FOOD SERVICE 10/04/11 MICHAEL P MCCREADY & ASSOC GANAN & SHAPIRO 24 11WC 44527 SEMETIS, LAWRENCE F ROOFS INC 08/17/11 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ 25 11WC 44870 ADIBU, GEORGE CHICAGO CARRIAGE CAB CORP 10/31/11 POMPER & GOODMAN STONE & JOHNSON CHARTERED 26 12WC 12264 LOPEZ, IRMA ED MINIAT INC 02/10/12 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 27 12WC 16851 SKWARCZYK, JANICE PALOS COMMUNITY HOSPITAL 04/16/12 JOSEPH G HAFFNER LAW OFFIC 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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 12WC 17015 19B CASAS, TONY CITY OF CHICAGO-DEPARTMEN 04/17/12 FIGLIOLI, DAVID CITY OF CHICAGO 29 12WC 17386 ROSA, DEBORAH SEARCH DEVELOPMENTAL CENT 04/04/12 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 30 12WC 18666 WILFORE, BLANCHE UNITED AIRLINES INC. 09/02/11 JAMES P. TUTAJ WIEDNER & MCAULIFFE LTD 31 12WC 24161 SOLANO, ANGEL H EDURADO ALVAREZ INDIV & D @ W 06/28/12 VITELL & SPITZ LTD 32 12WC 24417 VILLALOBOS, GREGORIA CORNERSTONE CLEANERS W 06/25/12 LUIS A ACEVES & ASSOC DWYER AND COOGAN 33 12WC 25838 ELLIS, KATHERIS CITY OF CHICAGO 02/06/12 ANKIN LAW OFFICE CITY OF CHICAGO 15WC014471 -C 34 12WC 26922 TURNER, HERBERT WALGREENS 02/10/12 RUBIN LAW GROUP GILDEA & COGHLAN 16WC007596 -C OPTICIANCARE LTD 35 12WC 27109 MC GEE, KAY M UNIVERSITY OF ILLINOIS HO @ 10/27/11 O'CONNOR & NAKOS HEYL ROYSTER VOELKER & ALLEN 36 12WC 27828 VAS, WILLIAM UNITED AIRLINES INC. 07/27/12 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 37 12WC 28218 GUTIERREZ, ADELA APL LOGISTICS 03/10/11 HUGHES SOCOL PIERS RESNICK KEEFE CAMPBELL & ASSOC LLC 12WC028219 -C 13WC018070 -C 14WC021859 -C 14WC029308 -C 15WC009110 -C 16WC003065 -C 38 12WC 28755 ESQUIVEL, RAQUEL ALEXIAN BROTHERS MEDICAL 02/03/11 CULLEN HASKINS NICHOLSON RODDY LAW LTD 39 12WC 29258 POWELL, CLARA COOK DUPAGE TRANSPORT CO 08/15/12 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 40 12WC 29603 TAYLOR, PLESHETTE CHICAGO TRANSIT AUTHORITY 07/11/12 LARRY J COVEN CHICAGO TRANSIT AUTHORITY

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 41 12WC 30115 19B JAIMES, ENRIQUE R G CONSTRUCTION 08/10/12 ALAN A BLUM, PC MACIOROWSKI SACKMANN & ULRIC 42 12WC 34565 WELLS, DIVETTA CITY OF CHICAGO 09/07/12 COVEN LAW GROUP CITY OF CHICAGO 15WC033880 -C 43 12WC 38412 CISNEROS, RIGOBERTO PAINT SOLUTIONS AUTO BODY 08/03/12 LOUIS A PLZAK & ASSOCIATES HANSON LAW OFFICE 44 12WC 39652 CRUZ, ISRAEL AMERICAN AIRLINES 10/27/12 ALAN A BLUM, PC GAROFALO SCHREIBER STORM 45 12WC 40123 CWYNAR, LINCOLN M STATE OF ILLINOIS @ 09/19/11 JOHN E LUSAK COLIN KICKLIGHTER 46 12WC 40985 GRAY, GERROD CHICAGO TRANSIT AUTHORITY 10/27/12 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 47 12WC 41839 BUCKNER, CHRISTINA CTA 02/09/12 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 48 13WC 03360 DOUGHERTY, DAN SOUTHERN WINE & SPIRITS 08/24/12 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 49 13WC 11516 MC GINLEY, JAMES SOUTHERN WINE & SPIRITS 03/22/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 13WC034754 -C 50 13WC 13167 MONTEAGUDO, BETTY H SWEDISH COVENANT HOSPITAL 09/13/12 COLLISON LAW OFFICES MACIOROWSKI SACKMANN & ULRIC 51 13WC 15167 ATIYEH, DAED HOME DEPOT 01/28/13 SEIDMAN MARGULIS & FAIRMAN MC ANDREWS & NORGLE LLC 52 13WC 15777 SANCHEZ, ALBERTO AT & T, INC 03/08/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 13WC015778 -C 53 13WC 15836 SMITH, CYNTHIA (SPOUSE) PEPPERS CONSTRUCTION 04/01/13 MAURICE E DUSKY PC KEEFE CAMPBELL & ASSOC LLC 13WC021439 -C 54 13WC 17391 CAZARES, ARMANDO NATIONAL PIZZA PRODUCTS, 06/25/12 ANGELINI & ORI LLC MEACHUM STARCK & BOYLE 55 13WC 17427 ISMAIL, GEORGE KUEHNE & NAGLE, INC 05/02/13 ACEVES & PEREZ PC MACIOROWSKI SACKMANN & ULRIC 56 13WC 18960 LEBRON-CORTES, FELICITA ST OF IL DEPT OF HUMAN SE @ 03/13/12 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 57 13WC 22105 HAWKINS, DANETT UNIVERSITY OF ILLINOIS 03/30/12 ANKIN LAW OFFICE 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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 58 13WC 23934 DORADO, TEODORO WORLD WIDE FITTINGS INC 06/28/13 CULLEN HASKINS NICHOLSON 59 13WC 24429 WASHINGTON, GLOVER RED DRAGON MATIAL ARTS AC 07/10/13 VRDOLYAK LAW GROUP LLC GILDEA & COGHLAN 60 13WC 25105 MENDOZA, IVAN STRIVE GROUP LLC 05/10/13 STROM, NEAL B HEYL ROYSTER VOELKER & ALLEN 14WC039175 -C 16WC005167 -C 61 13WC 25165 HERNANDEZ, PAULO OFFICE FURNITURE RESOURCE 07/03/13 ACEVES & PEREZ PC HANSON LAW OFFICE 62 13WC 25568 HOLLIS, PATRICIA ANN WE CLEAN MAINTENANCE 04/30/11 STEVEN J SEIDMAN LAW OFFIC THOMAS & PORTELA 63 13WC 26132 SEGURA, MARIA H ST OF IL DEPT OF HUMAN SE @ 06/30/13 SALK, STEVEN B & ASSOC LTD JILL OTTE 64 13WC 26227 ROACH, BERNIE COOK COUNTY DEPT OF 07/29/13 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 65 13WC 26448 TAFF, KIM COMMUNITY HEALTH SYSTEMS 02/05/13 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 66 13WC 27154 SIMPSON, LARRY T ABF FREIGHT SYSTEMS 04/13/12 SPIROS LAW PC KEEFE CAMPBELL & ASSOC LLC 67 13WC 27520 KAUTZ, KEITH EDWARD WALMART STORE #1497 05/27/11 STUART H GALESBURG WIEDNER & MCAULIFFE LTD 68 13WC 27983 ZELEZNIK, MATT MCCAULEY MECHANICAL 08/06/13 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 69 13WC 28217 BOXLEY, TIFFANEY S CTA 08/03/13 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 70 13WC 28567 SHEARS, DERRICK M FORD MOTOR COMPANY 07/15/13 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 14WC004893 -C 17WC016954 -C 71 13WC 30676 HERNANDEZ, IRENE MC DONALDS 08/06/13 GRAVLIN, MICHAEL J LLC CRIVELLO CARLSON SC 72 13WC 34033 19B GARCIA, CARLOS TENACIOUS CLEANING SERVIC 08/23/13 BERG & BERG BRADY CONNOLLY & MASUDA PC 73 13WC 36335 TYLL, MARILYN CHICAGO BOARD OF EDUCATIO 10/04/13 STROM, NEAL B LAW DEPARTMENT 74 13WC 37147 GARCIA, ANTHONY WE CLEAN MAINTENANCE & 08/06/13 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 75 13WC 38762 NEALON, HOWARD FAMILY DOLLAR 07/31/13 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 76 13WC 40160 MORGAN, COREY CTA 11/22/13 JAMES J BURKE LAW OFFICE CHICAGO TRANSIT AUTHORITY 77 13WC 41781 WILLIAMS, SONJA UNITED INSURANCE CO 03/27/13 DAVID W MARTAY 78 14WC 00335 IZAGUIRRE, SALVADOR H & M INTERNATIONAL 12/10/13 LOUIS A PLZAK & ASSOCIATES SPIEGEL & CAHILL, PC 79 14WC 00745 ATKOCAITIS, DAVID NORTHLAKE FIRE PROTECTION 09/27/13 KATZ FRIEDMAN EAGLE ET AL STONE & JOHNSON CHARTERED 80 14WC 01828 ZAHUMENSKY, THOMAS WHITE WAY SIGN & MAINTENA 06/29/13 RUBIN LAW GROUP HOLECEK & ASSOCIATES 81 14WC 02028 CORRAL, MARIA CARMEN UNITED STATES SMOKELESS T 11/22/13 SALVATO & O TOOLE CACCHILLO LAW GROUP LLC 82 14WC 02455 GONZALEZ, NAYELI LABOR TEMPS 01/14/14 ENCINAS & ORNELAS 83 14WC 02562 CRISOSTOMO, EULOGIO CLYBOURN EXPRESS CAR WASH 12/03/13 LAW OFFICE HUGO ORTIZ 84 14WC 02631 CASTRO, SIMON CHGO WHITE SOX BASEBALL C 08/05/13 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 85 14WC 03522 RAICA, KAREN CHRIST HOSPITAL 11/03/13 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 86 14WC 04502 TATOM, SANDRA ALPHA BUS COMPANY 01/14/14 LAW OFFICE OF SCOTT B SHAP STONE & JOHNSON CHARTERED 87 14WC 06408 SANCHEZ, ROSARIO WE CLEAN MAINTENANCE 03/28/13 SOSTRIN AND SOSTRIN PC THOMAS & PORTELA 88 14WC 11173 AKINYEMI, GARCE PIPELAYO COOK COUNTY HEALTH & HOSP 03/05/14 THE ROMAKER LAW FIRM 15WC021236 -C 89 14WC 12235 CORRAL-CARRERA, REYNALDA PREFERRED MEAL SYSTEMS IN 01/17/14 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 90 14WC 12608 GUERRERO, LUIGI INTEGRITY TRADE SERVICES 02/17/14 KATZ FRIEDMAN EAGLE ET AL 91 14WC 13550 VALES, ARCELIA CITY OF CHICAGO 10/02/13 HORWITZ HORWITZ & ASSOC CITY OF CHICAGO 92 14WC 13606 WILLIAMS, SAVONIA CHICAGO TRANSIT AUTHORITY 11/27/13 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 93 14WC 14002 BARBERA, VITO R CITY OF CHICAGO-DEPT OF 03/28/14 SALVATO & O'TOOLE CITY OF CHICAGO 94 14WC 14228 HORNE, REGINALD CHICAGO TRIBUNE 01/13/14 VRDOLYAK LAW GROUP LLC 95 14WC 15243 KING, CARLA ADDUS HEALTHCARE 10/28/13 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 96 14WC 16229 PINTORAN, JOE SODEXO INC 01/08/14 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 97 14WC 16412 CEDENO, JOSE CTA 04/15/13 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 98 14WC 16443 SMITH, SAUNDRA M CHICAGO TRANSIT AUTHORITY 01/20/14 ROMANUCCI & BLANDIN CHICAGO TRANSIT AUTHORITY 99 14WC 16668 PATRIZI, VALERIE SOUTH CHICAGO 05/02/14 DAVID W MARTAY 100 14WC 16812 SOLANO, DARIO RICHELIEU FOODS INC 04/25/14 THE FITZ LAW GROUP HOLECEK & ASSOCIATES 101 14WC 17239 AREVALO, YOLANDA ADDUS HEALTH CARE INC 05/12/14 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 102 14WC 17726 GONZALES ROJAS, ROSA ELEN KCC PARTNERS INC 02/20/14 MAGNUSON, LAWRENCE K, PC ROSARIO CIBELLA 103 14WC 19781 LA VALLAIS, KIM CHICAGO BOARD OF EDUCATIO 05/15/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 104 14WC 23790 BURGESS, TABATHA ENVOY 06/10/14 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 105 14WC 24374 IVERSON, MICHAEL C J LEPRETRE CONSTRUCTION 06/24/14 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 106 14WC 24520 WRIGHT, LISA ALDEN TOWN MANOR 02/12/14 VITELL & SPITZ LTD LAW OFFICES FRANCESCA LARSEN 107 14WC 24524 BAGGETT, MARY A CITY OF CHICAGO 07/15/14 WILLIAM MARTAY CITY OF CHICAGO 108 14WC 24923 ORTIZ, JOSE CHICAGO TRANSIT AUTHORITY 07/10/14 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 109 14WC 25228 KACZONOWSKI, TAVIS R CITY OF BLUE ISLAND 02/11/13 JASINSKI, GEORGE J DEL GALDO LAW GROUP LLP 110 14WC 25252 HUSSAIN, MOHAMMED FLASH CAB CO 06/28/14 POMPER & GOODMAN

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 111 14WC 26305 ASIEDU, CYNTHIA O LANE BRYANT INC 01/10/14 MARKS INJURY LAW 112 14WC 26415 MURRAY, DEBBIE UNITED AIRLINES 07/08/14 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 113 14WC 26634 BUCCI, JUDITH STARBUCKS CORP 11/20/13 MARKS INJURY LAW BRADY CONNOLLY & MASUDA PC 114 14WC 26992 LEON, MELISSA MC DONALD'S 04/18/14 CULLEN HASKINS NICHOLSON 115 14WC 27022 SMITH, DEREK C JR CHICAGO TRANSIT AUTHORITY 07/20/14 STEWART C ORZOFF CHICAGO TRANSIT AUTHORITY 116 14WC 27035 JOHNSON, JOSEPHINE TJ MAXX 01/15/14 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 117 14WC 27450 SISTO, MICHAEL CITY OF CHICAGO 07/01/14 PARAG P. BHOSALE CITY OF CHICAGO 118 14WC 27778 BERMUDEZ, JUAN C PROSPECT AIRPORT SERVICES 07/21/14 ANGELINI & ORI LLC THOMAS & PORTELA 119 14WC 28023 LOPEZ, ALEJANDRO STAMPEDE MEAT INC 07/21/14 CULLEN HASKINS NICHOLSON KNELL & O'CONNOR 120 14WC 28038 MONTES DE OCA, FELICITAS WHITE LODGING SERVICES CO 04/18/14 DEPAOLO ZADEIKIS GORE WILSON ELSER 121 14WC 34086 TEDESCO, WENDY/FRIEND & G CITY OF CHICAGO 09/22/14 PARENTE & NOREM PC CITY OF CHICAGO 122 14WC 34691 BORNER, EDWARD CITY OF CHICAGO 05/20/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 123 14WC 34762 CALDERON, ROSA ASPEN FOODS 08/12/14 INMAN & FITZGIBBONS 124 14WC 35832 CABRERA, OSVALDO UNITED AIRLINES INC. 07/24/14 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 125 14WC 35907 GROSS, GREG IL DEPT OF HUMAN SERVICES @ 08/19/14 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 126 14WC 36097 BUFORD, MARQUES JUVENILE TEMPORARY 12/05/13 MUELHAUSEN & STEFANI STATES ATTORNEY OF COOK COUN 127 14WC 36190 HERNANDEZ, MARIA REYNA ALTERNATIVE STAFFING INC 07/28/14 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 128 14WC 36328 AHMAD, MIKAL LABOR TEMPS 10/15/14 SHELDON I MINKOW & ASSOCIA FRANCIS J DISCIPIO LAW OFFIC 129 14WC 36477 WACHTER, DEBRA K UNITED AIRLINES INC. 09/17/12 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 14WC036478 -C 130 14WC 36888 LYONS, ARTHUR ILLINOIS BELL TELEPHONE C 02/07/14 BRIAN J MC MANUS & ASSOC, HENNESSY & ROACH PC 131 14WC 37172 TASSONE, DOMINICK A UNIVERSITY OF ILLINOIS @ 10/02/14 PETER D CORTI LAW GROUP POWER & CRONIN LTD 15WC000602 -C 132 14WC 37302 JARACZ, SCOTT CENTRAL GROCERS 12/20/13 GAINES & GAINES ROSARIO CIBELLA 133 14WC 37426 HOPKINS, SYLVIA HIGH TECH-PALOS HEIGHTS 01/25/12 BOWMAN & CORDAY GAROFALO SCHREIBER STORM 14WC037427 -C 14WC037428 -C 134 14WC 37443 IVONOVA, DENISE THE BREAKERS AT 07/14/14 SIGMOND, STEVEN RODDY LAW LTD 135 14WC 37698 19B TUNTLAND, THERESA A VILLAGE OF HANOVER PARK 08/11/14 FIGLIOLI, DAVID POWER & CRONIN LTD 136 14WC 37772 RUSH, HEATHER PALOS COMMUNITY HOSPITAL 10/10/14 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 137 14WC 37861 DATOLI, ANTHONY J MELROSE PARK POLICE DEPT 03/12/14 GIACOBBE, THOMAS M DEL GALDO LAW GROUP LLP 138 14WC 37907 MC DUFFIE, PHILLIP COOK DUPAGE TRANSPORTATIO 09/26/12 LAW OFFICE OF SCOTT B SHAP 139 14WC 38276 RODRIGUEZ, MARTHA CARL BUDDIG & COMPANY 04/23/14 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 140 14WC 38790 JENSEN, JAMES UNITED AIRLINES INC. 10/20/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 141 14WC 38815 GRAY, LEROY CITY OF CHICAGO 10/14/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 142 15WC 00541 PERTEET, LINDA CITY OF CHICAGO 12/19/13 ROMANEK & ROMANEK HENNESSY & ROACH PC 143 15WC 01445 BARRIENTOS, JUANITA KOCH FOODS 08/23/14 ANKIN LAW OFFICE INMAN & FITZGIBBONS 144 15WC 01515 SEGURA, MARIA H ILL DEPT OF HUMAN SERVICE @ 12/30/14 SALK, STEVEN B & ASSOC LTD ASSISTANT ATTORNEY GENERAL

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 145 15WC 01573 SOLIMANO, OSWALDO SAM'S CLUB 12/27/14 DEPAOLO ZADEIKIS GORE 146 15WC 01591 MORAN, SCOTT M UNIVERSITY OF CHICAGO MED 12/30/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 147 15WC 01628 GREEN, SIRELL FORD MOTOR COMPANY 01/16/15 FOHRMAN, DONALD W & ASSOCS 148 15WC 01693 OLMOS, JOSE LUIS ABM 12/09/14 SALVATO & O'TOOLE GOLDBERG SEGALLA LLC 15WC001694 -C 149 15WC 01828 WILLIAMS, LYNA TARGET CORPORATION 09/03/14 DAVID W MARTAY 150 15WC 01994 DIAZ, EVELYN CHICAGO PUBLIC SCHOOLS 10/07/14 BOGUSZ & BOGUSZ LTD 151 15WC 02061 LUSA, TAMARA ORLAND SCHOOL DISTRICT 13 01/26/12 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 152 15WC 02241 TANTIVITHIWATE, JENNIFER CHICAGO PUBLIC SCHOOLS 01/15/15 SEIDMAN MARGULIS & FAIRMAN 153 15WC 02345 SIMS, FELICIA BRONZEVILLE PARL 08/30/14 LEE, MARK N LAW OFFICE MCCABE KIRSHNER PC 15WC002346 -C 154 15WC 02385 REYNA, PRIMITIVO AMERICAN CONCRETE RESTORA 10/07/14 THOMAS & PORTELA 15WC029838 -C 155 15WC 02436 HOUGH, LAWRENCE AIRTITE CONTRACTORS, INC. 09/01/12 BELCHER LAW OFFICE WOLFE & JACOBSON, LTD 156 15WC 02746 LATINA, STEVEN SENIOR OPERATIONS LLC 08/28/14 FRANKS, GERKIN & MCKENNA P BRADY CONNOLLY & MASUDA PC 16WC017346 -C 157 15WC 02931 USMAN, TOMI CHICAGO ELITE CAB CORP 11/27/14 COHN LAMBERT RYAN & SCHNEI 158 15WC 02946 GUTIERREZ, JONATHON M DELTA MASONRY INC 01/19/15 WARREN W MARK 159 15WC 03171 BARTGEN, CHRISTINE M UNIVERSITY OF ILLINOIS 05/14/13 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 160 15WC 03384 GASTON, TOMMIE UNITED AIRLINES 02/01/15 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 161 15WC 03718 BUCZKOWSKI, DON D. JR COOK COUNTY SHERIFF'S OFF 01/09/15 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 162 15WC 03758 MARTINEZ, BEATRIZ SOUTHWEST AIRLINES 06/15/14 CULLEN HASKINS NICHOLSON 163 15WC 03777 HENKEN, CHRISTINE DECARI LEVINE AND FRIEDMA 12/27/13 GAINES & GAINES HOLECEK & ASSOCIATES 164 15WC 03970 HERNANDEZ, BENITO CLARE OAKS 11/27/13 CRONIN & PETERS WOLFE & JACOBSON, LTD 15WC009186 -C 165 15WC 04376 JIMENEZ, ALBERTO LITTLE LADY FOODS 01/17/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 166 15WC 11077 JOHNSON, ALFREDA CTA 03/24/15 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 15WC011078 -C 167 15WC 13440 LOPEZ, ESTEBAN OLYMPIA FIELDS POLICE FOR 12/27/13 O'CONNOR & NAKOS POWER & CRONIN LTD 15WC027055 -C 168 15WC 13475 MCDONNELL, JAMES P AIRPORT ELECTRIC 01/10/14 COHN LAMBERT RYAN & SCHNEI WIEDNER & MCAULIFFE LTD 169 15WC 13552 PETERS, GEORGE BELL FUELS 03/09/15 HORWITZ HORWITZ & ASSOC RODDY LAW LTD 170 15WC 13705 KAIHARA, LENNARD M ST STANISLAUS KOSTKA PARI 01/31/15 BRILL & FISHEL MC ANDREWS & NORGLE LLC 171 15WC 13722 MILLER, JENNIFER NAVISTAR 05/01/13 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 172 15WC 13732 YAZZIE, AARON B CHICAGO STEEL CONSTRUCTIO 03/23/15 O'CONNOR & NAKOS 173 15WC 14208 SOTELO, ALLEN CHICAGO MEAT AUTHORITY 04/10/15 BOUDREAU NISIVACO LLC LITCHFIELD CAVO 174 15WC 14269 ASHFORD, MICHELLE CITY OF CHICAGO 04/30/14 WOODRUFF & JOHNSON CITY OF CHICAGO 175 15WC 14345 TAPIA, ROBERTO LUNA DANTE PENA ULTIMATE M A 02/18/15 SALVATO & O'TOOLE 176 15WC 14396 GIBBS, GALE CHICAGO TRANSIT AUTHORITY 02/24/15 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 177 15WC 14827 DEPOZO, LOUIS CITY OF CHICAGO DEPT OF 04/24/15 ANKIN LAW OFFICE CITY OF CHICAGO 178 15WC 14840 SOSSONG, JENIFFER BONEFISH GRILL 01/23/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 179 15WC 15071 NOVAK, ANTHONY UPS 04/19/15 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 180 15WC 15366 GUILLERMO, JAVIER NISSAN WOODFIELD 01/14/14 POMPER & GOODMAN ROSARIO CIBELLA 181 15WC 15487 ALDRIDGE, HAROLD R SUBCONTRACTION CONCEPTS D 07/22/14 DEPAOLO ZADEIKIS GORE SCOPELITIS GARVIN LIGHT 15WC015488 -C 182 15WC 15649 JONES, CHANTE M ALPHA SCHOOL BUS 04/22/14 CHARLES LEVY & ASSOC LTD 183 15WC 16251 OLIVARES, ANEL MORTON HIGH SCHOOL 04/29/15 RUSIN & MACIOROWSKI LTD 184 15WC 16394 CONNER, DAVID M CITY OF CHICAGO 06/30/14 KARCHMAR & STONE 185 15WC 16500 ALVARADO, MANUEL COSMOS MFG 04/28/15 NEWMAN, BOYER & STATHAM GANAN & SHAPIRO 186 15WC 17134 DELGADO, MARIA AGUASCALIENTES @ W 03/13/15 GAINES & GAINES 187 15WC 17294 WILLIAMS, BRIDGETTE FORD MOTOR CO 06/01/14 CANDIANO LAW OFFICE WIEDNER & MCAULIFFE LTD 16WC010900 -C 188 15WC 23808 LEPPER, JAMES R UPS 12/19/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 189 15WC 23859 ALARCON, MARIA UNITED AIRLINES INC. 06/08/15 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 190 15WC 23890 CONTRERAS, LUIS E. TAQUERIA LOS COMALES #9 W 08/01/15 CULLEN HASKINS NICHOLSON LAW OFFICE EDWARD RUEDA 191 15WC 23960 CERDA, KATHERINE CHGO STREETS & SAN DEPT 07/24/15 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 192 15WC 24085 BUSH, MICHAEL CHICAGO BEARS FOOTBALL CL 12/02/12 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 193 15WC 24116 FARJADO-GUTIERREZ, GUSTAV BULL & BEAR (TRIFECTA ENT 07/24/15 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 194 15WC 24134 BANACHOWSKI, FRANCISZEK CITY OF CHICAGO 06/03/15 WHITESIDE & GOLDBERG LTD 195 15WC 24149 ADAMAITIS, GERALD PAUL DARJEAN 08/15/12 196 15WC 24200 YOUNG, BRUCE CITY OF CHICAGO -- SANITA 08/04/15 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 197 15WC 24403 KONCHAR, CASEY RIVER DOCKS, INC. 07/22/15 BAUM RUFFOLO & MARZAL LTD WOLF LAW LTD 198 15WC 24580 KOLESSAR, PAUL ILLINOIS STATE POLICE @ 09/11/15 LEE, MARK N LAW OFFICE C. FLETCHER 199 15WC 24601 MAREK, MARY NORTHSTAR AEROSPACE 02/28/13 LAW OFFICE WILLIAM STEARNS 200 15WC 24632 BALA, EUGENIA COVENANT CARE AT HOME 06/25/15 URSULA BABICZ & ASSOC ASHER, RAYMOND L LTD 201 15WC 24640 NEEQUAYE, ROSE NORTHWESTERN MEMORIAL HOS 07/21/14 KATZ FRIEDMAN EAGLE ET AL 202 15WC 24781 MATIAS, BETZAIDA CITY OF CHICAGO 07/07/14 CORBOY & DEMETRIO PC CITY OF CHICAGO 15WC024782 -C 15WC024783 -C 203 15WC 24839 HEREDIA, JOHN CHGO DEPT OF TRANSPORTATI 05/10/13 RUBIN LAW GROUP CITY OF CHICAGO 204 15WC 24853 TOWERS, BELINDA HEALTHCARE CONSORTIUM OF 05/20/13 BRISKMAN BRISKMAN GREENBER ACCIDENT FUND HOLDINGS 15WC024854 -C 15WC024855 -C 205 15WC 25266 PEREZ, NANCY AUGUSTINA UNIVERSITY OF IL AT CHICA 06/04/14 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 206 15WC 25268 PEREZ, NANCY AUGUSTINA UNIVERSITY OF IL AT CHICA 05/26/14 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 207 15WC 25580 ALHAKIM, ZIAD ULTIMATE MARTIAL ARTS 05/13/14 LAW OFFICES OF JOSEPH YOUN 208 15WC 25701 RANCZIE, SHONIA CTA 07/09/15 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 209 15WC 25718 CAMPBELL, JAMIE M UNITED AIRLINES 07/09/15 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 210 15WC 25947 HOLLAND, TIMOTHY SEARS HOLDING CORP 07/07/15 LAW OFFICES ROBERT WARSASK GAROFALO SCHREIBER STORM 211 15WC 25988 THOMPSON, GRAHAM CITY OF CHICAGO 11/24/14 BOWMAN & CORDAY MEACHUM & STARCK

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 15WC 26045 HUBBARD, ARTHUR CHGO BOARD OF ED 07/21/15 CAPRON & AVGERINOS PC 213 15WC 26081 GONZALEZ, ANTHONY CONGLOBAL INDUSTRIES LLC 07/24/15 BRYCE DOWNEY & LENKOV LLC 15WC037426 -C CON GLOBAL INDUSTRIES INC 214 15WC 26137 MILEVSKI, TOME SIEMENS HEALTHCARE 01/20/15 RUBIN LAW GROUP HOLECEK & ASSOCIATES 215 15WC 26279 KAUFMAN, ANDREW JESSE WHITE TUMBLING TEAM 06/06/15 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 216 15WC 26334 SANTOS, AMANDA ADVOCATE CHRIST HOSPITAL 01/17/15 GRAZIAN & VOLPE PC 217 15WC 26384 SULLIVAN-WOOD, TIMOTHY M. CITY OF CHICAGO HEIGHTS 07/18/15 THOMAS W DUDA PETERSON JOHNSON & MURRAY 15WC026385 -C 15WC026386 -C 218 15WC 26586 SALINAS, ANTONIO NASCO 04/07/15 SAUNDERS CONDON & KENNY GOLDSTEIN & PRICE LC 219 15WC 26713 RODRIGUEZ, MARIA M LEMURIA LLC 07/13/15 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK 220 15WC 26888 LINO, LETICIA ELITE STAFFING 05/27/15 JOHN S. ELIASIK 221 15WC 26985 INGRAM, MARTIAR CTA 07/31/15 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 222 15WC 32827 BOSBY, CALVIN ELAKY MANUFACTURING COMPA 05/21/15 CHARLES LEVY & ASSOC LTD 223 15WC 32997 BECKER, ROBERT ALLIED TUBE (ATKORE) 03/11/14 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 224 15WC 33011 LOPEZ, SALVADOR JR BEST VALUE AUTOBODY 08/04/15 225 15WC 33234 HERNANDEZ, FRANCISCO CITY OF CHICAGO DEPT OF 09/18/15 RUBIN LAW GROUP CITY OF CHICAGO 226 15WC 33340 SCHMIDT, KATELYNN BURBANK SCHOOL DISTRICT # 06/01/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 227 15WC 33485 HARDY, CRYSTAL MEIJER-BERWYN 09/18/15 MEYERS & FLOWERS KOPKA, PINKUS DOLIN, PC 228 15WC 33660 RODRIGUEZ, JESUS CITY OF CHICAGO DEPT OF 08/11/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 229 15WC 33811 MARTINEZ, MARIA HOME PRODUCTS INTERNATION 10/09/15 EPSTEIN, JACK R LAW OFFICE 230 15WC 33969 ALMANZA, ABEL JR KELVIN CO LLC 09/30/15 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 231 15WC 34193 YEPEZ, JUAN M REINKE 10/20/15 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 232 15WC 34271 ROSAS, YOSELIN RON'S STAFFING 09/17/15 JAMES J. GAY GAROFALO SCHREIBER STORM 233 15WC 34371 HART, JEROME WALMART 04/23/15 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 234 15WC 34499 THAKKAR, SANJAY NESTLE USA, INC 07/10/15 GOLDSTEIN AIOSSA & GOOD NYHAN BAMBRICK KINZIE & LOWR 235 15WC 34509 JOHNSON, CORDARYL FORD MOTOR COMPANY 07/24/15 DAVID W MARTAY POWER & CRONIN LTD 236 15WC 34567 ROJAS, GUADALUPE SERVPRO 05/05/15 MC HARGUE, JAMES P LAW OFF 237 15WC 34757 RAMIREZ, MARIA DE LA LUZ HOME PRODUCTS 09/09/15 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 238 15WC 34941 DAVIS, AGNES STATE OF ILLINOIS @ 10/21/15 GOLDSTEIN AIOSSA & GOOD ASSISTANT ATTORNEY GENL 239 15WC 35035 RAPCIAK, DAMIAN GRANITE SOLUTIONS INC 09/14/15 ROSS TYRRELL INMAN & FITZGIBBONS 240 15WC 35188 GAYDE, GEORGE FORD MOTOR COMPANY 07/13/13 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 241 15WC 35283 BAILEY, WILLIAM DAVIS STAFFING, INC. 10/15/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 242 15WC 35365 MUHLY, FREDERICK EXELON WEST 04/24/15 HENNESSY & ROACH PC 243 15WC 35470 MUNGUIA, MARIO COLFAX CORP 06/15/15 SPIEGEL & DEMARS SOSTRIN AND SOSTRIN PC 244 15WC 35613 OROZCO, ALFONSO WALSH CONSTRUCT CO 10/21/15 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 245 15WC 35704 DAMASCHKE, JEFFREY CHICAGO PUBLIC SCHOOL 09/19/14 DINIZULU LAW GROUP 246 15WC 35903 PAREDES, ALEXANDER FH LEINWEBER, INC. 12/18/14 DAVID W MARTAY THOMAS & PORTELA

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 247 15WC 35919 CARMONA, ELKIN THE PROFESSIONALS INC 09/14/15 248 15WC 36023 VALLE, JUAN NORTHWEST GENERAL 10/08/15 PAUL LUKA PC 249 15WC 36081 ROUSE, ANDREW AT & T 05/06/15 LEONARD LAW GROUP LLC 250 15WC 36137 RIVERA, MARIO L METRO LIFT TRUCK SERVICE 10/29/15 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 251 15WC 36303 EARL, CHERRY M PROJECT HOPE ELC 08/21/15 252 15WC 36331 WALLS,SKYNEEKA JACKSON PARK HOSPITAL 07/20/15 ODELSON & STERK 253 15WC 36661 HURT, LINDA CDS COURIER 10/23/15 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 254 15WC 36692 ANDERSON, MARCINE D CTA 10/25/15 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 255 15WC 36735 DALEY, GREG HALL ENTERPRISES, INC. 02/08/13 CZAPLA LAW GANAN & SHAPIRO 256 15WC 36775 RIBER, YANEK CREATIVE STEEL 10/17/14 BELCHER LAW OFFICE COZZI & GOGGIN-WARD 257 15WC 36869 HOLTE, RALPH R PJ FAZIO PLUMBING & HEATI 09/23/15 MEYERS & FLOWERS BRYCE DOWNEY & LENKOV LLC 15WC036871 -C 258 15WC 36939 JIMENEZ, ROCIO FLEXIBLE STAFFING SERVICE 11/02/15 JOHN C SERKLAND WIEDNER & MCAULIFFE LTD 259 15WC 37014 MENDEZ, HUGO METAL-MATIC INC 10/19/15 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 260 15WC 37073 JAMEEL, HAMID M VASKEN CAB INC 09/06/15 MARSZALEK AND MARSZALEK 261 15WC 37160 LEBRON, LUIS CITY OF CHICAGO 10/19/15 BOGUSZ & BOGUSZ LTD CITY OF CHICAGO 262 15WC 37273 ROBINSON, TERRANCE JOHN MARSHALL HIGH SCHOOL 11/03/15 LEONARD LAW GROUP LLC

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 263 15WC 37291 BACHMANN, JACOB GREAT LAKES LIFTING SOLUT 11/05/15 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 264 15WC 37350 QUARLES, KAREN COOK COUNTY JUVENILE TEMP 01/15/15 SEIDMAN MARGULIS & FAIRMAN 16WC003824 -C 265 15WC 37445 SANCHEZ, MARIA DE LOURDES TAMALES Y MAS TAMALES 10/20/15 PAUL LUKA PC 266 15WC 37491 BRIGEMON, AHNAHTIYAH WAL-MART STORES, INC 10/31/15 SANDMAN LEVY & PETRICH 267 15WC 37591 DRAINE, JASON FORD MOTOR COMPANY 09/17/15 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 268 15WC 37601 MANSKE, BRIAN SUGAR STEEL 08/01/15 MC HARGUE, JAMES P LAW OFF POULOS & DIBENEDETTO LAW 269 15WC 37735 ESPINOZA, ALEXIS PARK TAVERN 10/27/15 STROM, NEAL B 270 15WC 37778 MARCHIORI, GINA CITY OF CHICAGO 11/03/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 271 15WC 37817 OBADEIN, ABAYOMI DISPATCH TAXI 10/14/15 LAW OFFICE RYAN ROSENTHAL 272 15WC 37908 MAGEE, JAMIE REHAB INSTITUTE OF CHICAG 10/11/15 POLANSKY & CICHON CHTD KEEFE CAMPBELL & ASSOC LLC 17WC007522 -C 273 15WC 38021 PERKINS, JOSEPH OLYMPIA FIELDS COUNTRY CL 10/09/15 274 15WC 38148 VARGAS, ENCARNACION PIERCE ELEMENTARY SCHOOL 09/03/15 DEPAOLO ZADEIKIS GORE 275 15WC 38172 HENDERSON, KAWADA FALLAS/NATIONAL STORAGE 07/13/15 THOMAS & PORTELA 276 15WC 38427 CHINO, ARTURO GRILLHOUSE 11/11/15 DWORKIN AND MACIARIELLO 277 15WC 38747 FRANKLIN, ALBERTA M CHICAGO OEMC 11/12/15 ANKIN LAW OFFICE CITY OF CHICAGO 278 15WC 38768 MORENA, ANEL COSTCO 08/05/15 COSTA IVONE LLC GANAN & SHAPIRO 279 15WC 39003 BEWLEY, MARK HARBOR GROUP MANAGEMENT 02/27/13 HEALY SCANLON LAW FIRM HOLECEK & ASSOCIATES 280 15WC 42703 VARGAS, IGNACIO AAA PAINTING CONTRACTORS 10/14/15 KARCHMAR & STONE THOMAS & PORTELA

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 281 16WC 01095 FELDMAN, SHARON UNIVERSITY OF ILLINOIS @ 09/22/15 ROSS J HELFAND HEYL ROYSTER VOELKER & ALLEN 282 16WC 03234 PALACIOS, RICARDO MERCHANDISE USA 04/13/15 CANDIANO LAW OFFICE MEACHUM & STARCK 17WC006295 -C 283 16WC 03427 LOPEZ, BELLA SCRUB INC 04/19/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 284 16WC 03493 ZAKOIAN, MICHELLE PEAPOD INC 08/15/15 FRANCIS J DISCIPIO LAW OFF LITCHFIELD CAVO 285 16WC 03535 LUNER, CAROL ANNE BROOKDALE SENIOR LIVING @ 12/10/15 JOHNSON, MICHAEL D & ASSOC ROSARIO CIBELLA 286 16WC 03670 ANTONIAZZI, JOSEPH KEPPER HEARTT 05/14/15 ASHER, RAYMOND L LTD GANAN & SHAPIRO 287 16WC 03770 HERRERA, ELENA THE KEEBLER COMPANY 01/24/16 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 288 16WC 04032 PALMSISANO, JOHN ABLE ENGINEERING SERVICES 09/15/15 GALLIANI DOELL & COZZI LTD 289 16WC 04169 MERCADO, TEODULO BIONDILLOS BAKERY LLC 12/26/15 DEPAOLO ZADEIKIS GORE NYHAN BAMBRICK KINZIE & LOWR 290 16WC 04172 ORTIZ-GARCIA, DAVID AIRCRAFT SERVICE INTERNAT 01/16/16 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 291 16WC 04212 BASILIO, PERMIN MARCELO UNITED SCRAP METAL INC 01/21/16 ANKIN LAW OFFICE WOLF LAW LTD 292 16WC 04294 SMITH, ROCKY ENTERPRISE LEASING CO 12/23/15 TAYLOR MILLER SPROWL ET AL KNELL & O'CONNOR 293 16WC 04338 ZARAGOZA, JUAN AMITY PACKING COMPANY INC 03/25/15 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES 294 16WC 04373 GRIFFIN, LOUISA PRAIRIE MANOR NURSING AND 12/11/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 295 16WC 04473 BALOUGH, APRIL PEPPER CONSTRUCTION CO 04/06/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 296 16WC 04518 HIDALGO, ANTONIO KELLOGS 08/09/15 JOHN S. ELIASIK KEEFE CAMPBELL & ASSOC LLC 297 16WC 04740 MORENO, AMBROSIO ASPEN FOODS 01/29/16 ANKIN LAW OFFICE POWER & CRONIN LTD 298 16WC 04922 OCHOA DE MARTINEZ, MARIA ASPEN FOODS INC 12/10/10 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 299 16WC 04990 BRENS, STEVEN SIEMENS 01/20/16 JOHN F GREGORIO & ASSOC HOLECEK & ASSOCIATES 300 16WC 05048 ROMERO, UBALDO WESTROCK SERVICES, INC. 07/01/15 CZAPLA LAW GAROFALO SCHREIBER STORM 301 16WC 05067 MILLER, ERIK P VILLAGE OF MORTON GROVE 01/27/16 THOMAS W DUDA ANCEL GLINK DIAMOND BUSH & E 302 16WC 05107 MORTEGA, IRENE CHGO BOARD OF ED 01/26/15 HORWITZ HORWITZ & ASSOC 303 16WC 05170 ROMERO, ROBERT COOK COUNTY SHERIFF'S DEP 01/29/16 PETER D CORTI LAW GROUP STATES ATTORNEY OF COOK COUN 304 16WC 05220 SANDERS, DELVIN COOK COUNTY JUVENILE 10/13/15 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 305 16WC 05273 ROJAS, JOSE F CITY OF CHICAGO 08/04/15 FABRIZIO, HANSON & PEYLA CITY OF CHICAGO 306 16WC 05307 RESA, JERRY CITY OF CHICAGO STREETS & 03/05/14 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 307 16WC 05412 JANG, DANIEL DALE COYNE RACING 05/24/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 308 16WC 05520 NUNEZ, ADRIAN GOMEZ STEAD SHEET METAL INC. 12/18/15 GOLDSTEIN BENDER & ROMANOF 309 16WC 06200 CUEVAS, TRINIDAD FLORIDA FRUIT JUICES 02/18/16 CRONIN & PETERS 310 16WC 06501 ASH, RALPHAEL FORD MOTOR COMPANY 02/18/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 311 16WC 06626 HARRIS, LAWRENCE DHL GLOBAL FORWARDING 11/25/15 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 16WC006627 -C 312 16WC 06693 VARNADO, VANESSA CHICAGO TRANSIT AUTHORITY 02/27/16 KARNO, MARK L & ASSOC CHICAGO TRANSIT AUTHORITY 313 16WC 06767 BLES, MICHAEL GATESAFE 02/02/16 NILSON STOOKAL GLEASON CAP RUSIN & MACIOROWSKI LTD 314 16WC 13402 GOSHEN, THOMAS COOK COUNTY 02/24/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 315 16WC 13720 WILBON, SANDRA ILLINOIS SECRETARY OF STA 08/04/15 ASHER, RAYMOND L LTD C. FLETCHER 316 16WC 13765 CAMBRON, JULIO RELIABLE GALVANIZING 04/27/16 COSTA IVONE LLC RODDY LAW LTD

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 317 16WC 13782 FLORES-RUIZ, CARLOS BATTAGLIA DISTRIBUTING CO 04/22/16 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 318 16WC 13856 SEGINA, JOHN SCH&T CORP. OF ILLINOIS C 03/07/16 HETHERINGTON KARPEL BOBBER COZZI & GOGGIN-WARD 319 16WC 13877 MURRAY, TIM VILLAGE OF SCHAUMBURG 08/31/15 MACIOROWSKI SACKMANN & ULRIC 320 16WC 13939 RYAN, MARGARET E BROADWAY IN CHICAGO 10/08/15 GALLAGHER, DONALD V KNELL & O'CONNOR 321 16WC 14188 BALTAZAR, MARICELA LITTLE LADY FOODS 04/06/16 LARRY FLEISCHER & ASSOCIAT HOLECEK & ASSOCIATES 322 16WC 14372 DE WEIS, YAZMIN MORAD RON'S STAFFING/AB PLASTIC 12/30/15 ACEVES & PEREZ PC GAROFALO SCHREIBER STORM 323 16WC 14444 LEAKE, KATHLEEN ENVOY AIR-OHARE AIRPORT 06/11/15 CULLEN HASKINS NICHOLSON ROSARIO CIBELLA 324 16WC 14446 BROWN, DULCIE UNITED AIRLINES 01/31/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 325 16WC 14487 VASQUEZ, ARMANDO COOK COUNTY SHERIFF'S DEP 04/07/16 ROMANEK & ROMANEK STATES ATTORNEY OF COOK COUN 326 16WC 14665 ALLEN, TASHA GAP INC 04/23/16 K P LAW LLC 327 16WC 14888 WEST, MICHAEL J. TRIBE MANAGEMENT CONCEPTS 03/03/16 ROSS TYRRELL HOLECEK & ASSOCIATES 328 16WC 14929 MORRISON, DAVID CHICAGO TRANSIT AUTHORITY 04/28/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 329 16WC 15058 RICHARDS, CINDY J UNITED AIRLINES INC. 04/18/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 17WC028374 -C 17WC028375 -C 17WC028376 -C 330 16WC 15223 OLMOS, LEONCIO OSWALDO CASTRO 04/28/16 WOODRUFF & JOHNSON 331 16WC 15242 ESTRADA, MIRNA EL ASADOR EXPRESS 05/07/16 LAW OFFICES LEONARDO MORAL 332 16WC 15325 DE LA CRUZ, GERMAN ALLIANCE COMPANIES INC 04/28/16 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 333 16WC 15450 CARPENTER, ROBERT W JR ATKORE INTERNATIONAL 10/07/15 FINE, MARK S LAW OFFICES HENNESSY & ROACH PC

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 16WC 15501 PHILLIPS, DANIELLE DAVIS FOOD 4 LESS 04/01/16 THE ROMAKER LAW FIRM BRYCE DOWNEY & LENKOV LLC 335 16WC 15642 LIDDELL, IRIS BALLARD RESPITORY & REHAB 05/04/16 PARENTE & NOREM PC LAW OFFICES FRANCESCA LARSEN 336 16WC 15666 ROZKO, MAREK BWAY CORPORATION 03/28/16 TOPPER & WEISS LTD 337 16WC 15743 WILLIAMS, SELINA CITY OF CHGO./DEPT OF FIN 05/04/16 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 338 16WC 15809 WALKER, ROSALYNN IL DEPT OF CHILDREN & FAM @ 01/15/16 STEVEN J TENZER, LTD ASSISTANT ATTORNEY GENL 339 16WC 15832 MENGWA, GLORY CHALET SKILLED NURSING 04/30/16 RICHARD E ALEKSY BRADY CONNOLLY & MASUDA PC 340 16WC 15878 CENTENO, JUAN DART CONTAINER CORP 03/18/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 341 16WC 15926 ANASTASOF, FRANK CITY OF CHICAGO 11/09/15 SOSTRIN AND SOSTRIN PC 342 16WC 16030 CALATAYUD, RICKY A.L.L. MASONRY CONSTRUCTI 04/12/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 343 16WC 16074 LOPEZ, IGNACIO CLOVERHILL SOUTH 05/12/15 ENCINAS & ORNELAS ROBERT L. SMITH 344 16WC 16198 MONTEJANO, ROSA GHM INC D/B/A HILTON OAK 12/04/15 SALK, STEVEN B & ASSOC LTD 345 16WC 16216 HARRIS, MELVIN CTA 04/29/16 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 346 16WC 16245 COLEMAN, INEZ FEDEX 03/22/16 DWORKIN AND MACIARIELLO 347 16WC 16249 HUDSON, GLORIA CITY OF CHICAGO 03/01/16 DWORKIN AND MACIARIELLO 348 16WC 16443 RUIZ, CESAR CATER BIZ 04/25/16 HERRERA LAW CENTER 349 16WC 16576 SMITH, SHIRLEY CITY OF CHICAGO 05/04/16 SEIDMAN MARGULIS & FAIRMAN 350 16WC 16630 PATRICK, MARCUS CTA 05/17/00 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 351 16WC 16749 SWANSEY, DIESHA CELADON TRUCKING SERVICES 05/24/16 SEIDMAN MARGULIS & FAIRMAN KOPKA, PINKUS DOLIN, PC

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 352 16WC 16864 BURKS, CHANTELLE RICOH AMERICAS CORP 01/22/16 FOHRMAN, DONALD W & ASSOCS CHILTON YAMBERT PORTER LLP 353 16WC 16938 KALINOWSKI, HENRY AMERICAN AIRLINES INC 03/24/16 PETER D CORTI LAW GROUP 354 16WC 22065 GILL, TIMOTHY CTA 07/14/16 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 355 16WC 23221 SUGGS, MARLON COMCAST CORP 07/01/16 LEONARD LAW GROUP LLC POWER & CRONIN LTD 356 16WC 23901 ESCOBAR, MIRNA ANDREWS STAFFING, INC. 05/04/16 JAUREGUI & ASSOCIATES 357 16WC 23940 LAMARCA, MARY PRESENCE ST JOSEPH HOSPIT 07/16/16 EVAN A HUGHES LAW OFFICE BRADY CONNOLLY & MASUDA PC 358 16WC 23953 RIVERA, JOHNNY RIVERSIDE CONCRETE W 07/28/16 MC HARGUE, JAMES P LAW OFF 359 16WC 23974 PEREZ, BERTHA SLOAN VALVE COMPANY 06/14/16 DEAN J CARAS & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 360 16WC 24047 NIEMIEC, JOSEPHINE CITY OF CHICAGO 05/13/16 JOSEPH J SPINGOLA, LTD 361 16WC 24203 WEEKS, SANDRA LORETTO HOSPITAL 02/22/16 BOWMAN & CORDAY GAROFALO SCHREIBER STORM 362 16WC 24247 ROBINSON, EDWARD EXPRESS EMPLOYMENT 03/17/16 DEER & STONE PC MC ANDREWS & NORGLE LLC 363 16WC 24282 DELGADO, CENON STAFFING NETWORK LLC 09/04/15 KARCHMAR & STONE SLAVIN & SLAVIN 364 16WC 24595 PARKER-ROBINSON, GWENDOLY PRIMESOURCE HEALTHCARE SY 07/05/16 HORWITZ HORWITZ & ASSOC 365 16WC 24683 KYSER, LONNIE OLYMPIC MOVING 07/22/16 STEVEN J MALMAN & ASSOCIAT 366 16WC 24708 LANNANTENE, JOHN SYSCO CHICAGO INC 07/16/15 TAXMAN POLLOCK HENNESSY & ROACH PC 367 16WC 24742 REED, KYLIE AVANT GARDENIA 07/17/16 MEYERS & FLOWERS 368 16WC 24835 MITCHELL, NAKAJI SODEXO 06/23/16 SPENCER LAW OFFICES 369 16WC 25196 COLE, ASHELY NEW ALBERTON'S INC 03/22/15 EFTEKHARI LAW OFFICES

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 370 16WC 25235 STEELE, CHRISTOPHER DHL EXPRESS USA INC 07/08/16 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 371 16WC 25348 GOTT, ALEX ASSOCIATED SERVICES 08/12/16 372 16WC 25381 PATRICIO, ALFREDO KIMCO 07/27/16 373 16WC 25407 CIGANOVIC, VERA WALDORF ASTORIA, A SUBSID 09/29/15 GALLIANI DOELL & COZZI LTD 374 16WC 25459 RIVERA, ANGEL PLANT PROPERTY MANAGEMENT 04/20/15 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 16WC025460 -C 375 16WC 25529 SANCHEZ, OSCAR EL MILAGRO, INC 04/13/15 MC HARGUE, JAMES P LAW OFF LAW OFFICES FRANCESCA LARSEN 376 16WC 25549 AULENTA, JOSEPH D. GES CHICAGO 06/29/16 LAW OFFICES MICHAEL HELLMA GILDEA & COGHLAN 377 16WC 25573 DRISH, RYAN SILBRICO CORP 05/03/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 378 16WC 25819 OCAMPO, ESTEBAN CHICAGO TRANSIT AUTHORITY 07/30/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 379 16WC 25927 CANO, MARILU STAFF RIGHT 05/03/16 AIOSSA LAW FIRM MC ANDREWS & NORGLE LLC 380 16WC 25998 BATAINEH, KHALED CLIMATE ZONE HEATING & 04/08/16 GOLDBERG WEISMAN & CAIRO L 381 16WC 26166 MICHALSKI, MIROSLAWA MB FINANCIAL BANK 08/01/16 BELLAS & WACHOWSKI HENNESSY & ROACH PC 382 16WC 26274 KILCULLEN, JOHN J VILLAGE OF SKOKIE POLICE 05/05/16 FIGLIOLI, DAVID 383 16WC 26435 BEJARANO, LUIS NESTLE CHOCOLATE & CONFEC 08/20/16 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 384 16WC 26450 HUBBARD, SONYA N CHICAGO PUBLIC SCHOOLS 01/21/16 DISPARTI LAW GROUP PA 385 16WC 26508 SAMANO-CORIA, GRACIELA METROSTAFF INCORPORATED 12/30/15 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 386 16WC 26533 ESCOBEDO, MONICA COOK COUNTY SHERIFF'S DEP 08/07/16 STATES ATTORNEY OF COOK COUN 387 16WC 26571 DOMINGUEZ, LUIS M MEYER STEEL & DRUM 03/01/16 LAW OFFICES LEONARDO MORAL

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 388 16WC 26604 IBARRA, RICARDO COOK COUNTY 08/13/16 ANGELINI & ORI LLC STATES ATTORNEY OF COOK COUN 389 16WC 26720 DURON, MARIA P RAIN FOREST CAFE, INC 03/19/16 ANKIN LAW OFFICE 390 16WC 26895 FIGUEROA, MARILYN SECURE AMERICA 08/28/16 GALLIANI DOELL & COZZI LTD 391 16WC 26911 BRYANT, EVITA P FAMILY DOLLAR 04/12/16 ANESI OZMON RODIN NOVAK KO BRYCE DOWNEY & LENKOV LLC 392 16WC 31683 PATINO CAMARGO, IRENE ASSOCIATED LABOR CORPORAT 08/23/16 LAW OFFICE OF SCOTT B SHAP POWER & CRONIN LTD 393 16WC 33887 CONTRERAS, LUIS F UNION AUTO SALES 02/25/16 394 16WC 33994 SMITH, PRESTON L CITY OF CHICAGO/DEPT OF 10/30/16 ANKIN LAW OFFICE 395 16WC 34040 GREEN, BARBARA CERMAK HEALTH SERVICES 04/07/15 CAPRON & AVGERINOS PC STATES ATTORNEY OF COOK COUN 396 16WC 34044 BOTICA, MARTIN CITY OF CHICAGO 10/11/16 SALVATO & O'TOOLE 397 16WC 34116 LOPEZ, LUIS CHICAGO TRANSIT AUTHORITY 10/26/16 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 398 16WC 34143 RODRIGUEZ, MARGARITA CARL BUDDIG & CO 10/21/16 CHEPOV & SCOTT LLC KNELL & O'CONNOR 399 16WC 34166 MORALES, ROBERTO INDUSTRIAL MATERIALS & SU 01/21/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 400 16WC 34200 PANIK, THOMAS WILLIAMS STEEL ERECTORS 10/27/16 ELFENBAUM EVERS & AMARILIO 401 16WC 34221 HUGHIE, STEVE UNITED AIRLINES INC. 09/11/16 NILSON STOOKAL GLEASON CAP 402 16WC 34272 FANANI, GIOVANNA UNITED AIRLINES INC. 09/22/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 403 16WC 34294 WARD, DENEEN M STATE OF ILLINOS ET AL @ 03/01/16 STUART H GALESBURG C. FLETCHER 404 16WC 34309 BUENZOW, KEITH E VILLAGE OF SKOKIE FIRE DE 09/28/16 FIGLIOLI, DAVID VILLAGE OF SKOKIE 405 16WC 34325 BENITEZ, NEYVA O'REILLY AUTO ENTERPRISES 10/04/16 CUSHING LAW OFFICES HENNESSY & ROACH PC

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 16WC 34345 BLOCH, FERN COOK COUNTY CLERK OF COUR 10/31/16 KATZ FRIEDMAN EAGLE ET AL STATES ATTORNEY OF COOK COUN 407 16WC 34370 JORDAN-BAHENA, JACOB RENE CAMPOS LANDSCAPING I 09/27/16 LAW OFFICES LEONARDO MORAL 408 16WC 34396 MUNOZ, JOSE RED CARPET INN 08/03/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 409 16WC 34425 CONDE, WALTER LOU MALNATI'S 03/11/16 HERRERA LAW CENTER GRANT & FANNING 410 16WC 34490 MCCREEDY, LAWRENCE COOK COUNTY 05/17/16 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 411 16WC 34512 CAMERINO, FRANK J PATHWAY TO ADVENTURE COUN 07/04/16 TAMVAKIS, GEORGE L INMAN & FITZGIBBONS 412 16WC 34543 JUNGO, PATRICIA CHICAGO MEAT AUTHORITY 10/29/16 RUEDA, IVAN A 413 16WC 34570 HOOKS, KAREN PACE SUBURBAN BUS 09/15/16 DAVID W MARTAY SLAVIN & SLAVIN 414 16WC 34605 ROUSE-NELSON, TANICIA SEARS HOME IMPROVEMENT 10/22/16 RIDGE & DOWNES 415 16WC 34678 FARA, ALI CHICAGO HEIGHTS POLICE DE 11/14/16 DEL GALDO LAW GROUP LLP 416 16WC 34739 HUDSON, ANTONIO CHICAGO PUBLIC SCHOOLS 10/24/16 RUBENS AND KRESS 417 16WC 34795 HSIAO, RUTH DARDEN RESTAURANTS, INC 08/30/16 SCOTT BARBER 418 16WC 34837 PALADIN, LUKE COOK COUNTY SHERIFF'S DEP 09/20/16 LAW OFFICES MICHAEL HELLMA INMAN & FITZGIBBONS 419 16WC 34860 GARCIA, MARCO HILTON 07/04/16 LAW OFFICE HOWARD ABRAMS NOBLE & ASSOCIATES PC 420 16WC 34887 CLAIBORNE, THEODORE C UNIVERSITY OF IL AT CHICA 05/21/15 SLAVIN & SLAVIN NYHAN BAMBRICK KINZIE & LOWR 421 16WC 34909 WARD, GRANT CHICAGO FIRE SOCCER CLUB 02/19/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 422 16WC 34962 SKOWRON, BOZENA LITTLE SISTERS OF THE POO 11/02/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 423 16WC 34987 YOES, AMY SCHOOL OF THE ART INSTITU 09/21/16 RUBENS AND KRESS THOMAS & PORTELA

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 424 16WC 35019 RODRIGUEZ, ALICIA STAFFING NETWORK, LLC 11/08/16 EPSTEIN, JACK R LAW OFFICE SLAVIN & SLAVIN 425 16WC 35083 KELLY, MICHAEL U-HAUL COMPANY OF IL 06/26/16 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 426 16WC 35153 WILLIAMS, DEVONA EUROPEAN SERVICE AT HOME 05/23/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 427 16WC 35192 RIGGENS, DUANE INFUSION MANAGEMENT GROUP 11/21/15 WOLIN KELTER & ROSEN LTD RIPES NELSON BAGGOT KALOBRAT 428 16WC 35221 MCDONALD, ALICE SPIRIT HALLOWEEN SUPER ST 11/03/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 16WC035222 -C 429 16WC 35244 GORDON, ANNIE COOK COUNTY 07/28/16 CARONE LAW OFFICES STATES ATTORNEY OF COOK COUN 430 16WC 35312 WILES, SHERI JEWEL FOOD STORES 04/26/16 GOLDBERG WEISMAN & CAIRO L 431 16WC 35331 MARTINEZ, ANILU EYM DINER LP AKA PIZZA HU 10/01/16 CUDA LAW OFFICES INMAN & FITZGIBBONS 432 16WC 35349 PROCTOR, RENDA LUDEMAN CENTER @ 07/03/16 ASSISTANT ATTORNEY GENL 433 16WC 35508 EVITT, DEREK TOWN OF CICERO POLICE DEP 10/11/16 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 434 16WC 35513 STARNES, TANESHA PERSONAL FINANCE CO 03/29/16 435 16WC 35536 DAVIS, CLINIQUE UNIVERSITY OF CHICAGO MED 10/06/16 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 436 16WC 35628 HILL, RAYMOND LAKESHORE BEVERAGE 05/04/16 LEONARD LAW GROUP LLC ACCIDENT FUND HOLDINGS 437 16WC 35649 CELEDON, GERARDO D PEREZ CONCRETE SERVICES 11/04/16 CHEPOV & SCOTT LLC MEACHUM & STARCK 438 16WC 35728 NAVARRO, ADRIAN CTA 10/21/16 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 439 16WC 35767 SWIETLICKI, ZBIGNIEW SKRUT CONSTRUCTION INC 11/11/16 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM 440 16WC 35889 STRATTON, YOLANDA FEDEX 09/01/16 RUBIN LAW GROUP 441 16WC 35986 JUAREZ, HERLINDA KOHLS DEPT STORES 10/08/16 TIMOTHY E. TAKASH CHILTON YAMBERT PORTER LLP

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 442 16WC 36050 GARCIA, EDUARDO DUTCH FARMS 09/23/16 NEWLAND & NEWLAND 443 16WC 36080 ALVARADO, MARGARITA BEAR ESTATES #1 LLC D/B/A 10/18/16 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 444 16WC 36161 OWENS, ANTHONY COOK COUNTY SHERIFFS DEPT 08/24/16 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 445 16WC 36178 MARTINEZ, JAMIE G ALLEN MOORE LANDSCAPE C 11/16/16 RUEDA, IVAN A GANAN & SHAPIRO 446 16WC 36340 GUSMAN, EPIFANIO ANIXTER INC 07/27/16 HENNESSY & ROACH PC 447 16WC 36359 ROSALES, CRESENSIO VIKING MATERIALS 08/05/16 TOPPER & WEISS LTD POULOS & DIBENEDETTO LAW 448 16WC 36633 SCOTT, YVETTE PARAMOUNT OF OAK PARK 08/13/16 DAMISCH & DAMISCH LTD BRADY CONNOLLY & MASUDA PC 449 16WC 36680 GARCIA, AIDE SHOP & SAVE 03/21/16 COVEN LAW GROUP 450 17WC 02341 HERBERT, CAROL NCH IMMEDIATE CARE CENTER 01/10/17 STROM, NEAL B HEYL ROYSTER VOELKER & ALLEN 451 17WC 03065 WARZECHA, ARTUR JCB INTERNATIONAL INC 01/26/17 KNELL & O'CONNOR 452 17WC 03266 ARREOLA, LORRAINA COSTCO WHOLESALE CORPORAT 07/01/16 CORBOY & DEMETRIO PC MARTIN, PATRICK W 453 17WC 03339 LEWIS, RAMON EXPRESS EMPLOYMENT 01/25/17 POLANSKY & CICHON CHTD 454 17WC 03340 PODGORSKI, JOZEF TOTAL FACILITY MAINTENANC 08/17/16 GREGORIO & MARCO 455 17WC 03359 RIPKA, JOHN P VILLIAGE OF WINNETKA 10/05/16 THOMAS W DUDA POWER & CRONIN LTD 456 17WC 03407 MC NEAL, LISA JACKSON CHICAGO REED MENTAL HEALT 01/04/17 EDWIN REYES LEGAL GROUP ASSISTANT ATTORNEY GENL 457 17WC 03436 WINSTON, SARITA EUROPEAN AT HOME SERVICES 12/23/16 BRISKMAN BRISKMAN GREENBER RUSIN & MACIOROWSKI LTD 458 17WC 03454 SZPAKOWICS, WIACZESLAW SHEDD AQUARIUM 10/05/16 LEONARD LAW GROUP LLC 459 17WC 03595 BRANDON, CHERYL KELLOGG 01/12/17 MARC J SHUMAN & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 460 17WC 03619 ASKHARIA, NINOSE HC NAHIGIAN & SONS 01/10/17 SANDMAN LEVY & PETRICH 461 17WC 03655 GUZMAN, SANDRA UPS PALATINE 12/06/16 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 17WC003656 -C 462 17WC 03659 HALIOTIS, GEORGE DANIA FURNITRE CO AKA PLU 08/19/16 NICHOLIS J STEIN 463 17WC 03690 PERNELL, LARRY JEWEL OSCO 11/02/16 HORWITZ HORWITZ & ASSOC 464 17WC 03749 MANLY, JEFFREY MEN'S WEARHOUSE 05/04/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 465 17WC 03774 TURAJ, ROMAN ILLINOIS GRANITE & MARBLE 12/06/16 CHEPOV & SCOTT LLC BRADY CONNOLLY & MASUDA PC 466 17WC 03858 BENDER, NICOLE CHICAGO TRANSIT AUTHORITY 11/30/16 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY 467 17WC 03894 ARRIAGE, MARTHA BLUE PLATE 10/28/16 DWORKIN AND MACIARIELLO 468 17WC 03913 RIVERA, SOPHIA NORTHEASTERN IL UNIVERSIT 12/20/16 LAW OFFICE OF SCOTT B SHAP ASSISTANT ATTORNEY GENL 469 17WC 03930 SANCHEZ, CAROLINA SMG MCCORMICK PLACE F&B 10/23/16 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 470 17WC 03975 KIRKLEY, JAMES FORD MOTOR COMPANY 07/10/16 HORWITZ HORWITZ & ASSOC 471 17WC 04015 WILLIS, BRENDA SYNERGY HOME CARE 01/12/17 COLLISON LAW OFFICES ACCIDENT FUND HOLDINGS 472 17WC 04109 STEPHANY, LERAY CHRISTY WEBBER LANDSCAPES 06/03/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 473 17WC 04267 ADAMS, CHRISTIAN TOWN & COUNTRY DISTRIBUTO 06/23/15 RICHARD O. GREENFIELD 17WC004268 -C 474 17WC 04289 REESE-JOHNSON, SHIRLEY ULTRA FOODS 11/21/16 DWORKIN AND MACIARIELLO 475 17WC 04335 CHANDLER, IRIS ALPHA MONTESSORI SCHOOL 01/13/17 476 17WC 04355 LANIER, JAN SECRETARY OF STATE IL 09/06/16 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENL 477 17WC 04388 HARDY, DOUGLAS DR. PEPPER SNAPPLE 01/27/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 478 17WC 04406 AMAYA, JOSE SECURITAS SECURITY SERVIC 03/03/16 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 479 17WC 04591 NEAL, ERIC L CITY OF CHICAGO 12/22/16 MC HARGUE, JAMES P LAW OFF 480 17WC 04610 SIMS, SHEILA CHICAGO BOARD OF ED 01/20/17 LEO ALT 481 17WC 04701 MARTINEZ, RODOLFO US FOODS, INC 02/07/17 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 482 17WC 04804 THOMAS, BEVERLY QUEEN BOARD OF ED CHICAGO 09/01/11 483 17WC 04811 THOMAS, BEVERLY QUEEN BOARD OF ED CHICAGO 08/30/16 484 17WC 04979 SAENZ, SANDRA ALDI 07/25/16 JOHN J CASTANEDA BRADY CONNOLLY & MASUDA PC 485 17WC 05003 CRAWFORD, JUSTIN PEPSI 12/06/16 LEONARD LAW GROUP LLC ROBERT L. SMITH 486 17WC 05145 WARD, EBONY A CHICAGO TRANSIT AUTHORITY 02/07/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 487 17WC 05167 ORIGEL, CLAUDIA QUALITY LABOR SERVICES 12/15/16 OSVALDO RODRIGUEZ PC KOREY RICHARDSON LLC 488 17WC 05229 MCQUEEN, BURL CHICAGO TRANSIT AUTHORITY 02/11/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 489 17WC 05245 HALL, NICHOLE A FORD MOTOR CO 12/09/16 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 17WC005246 -C 490 17WC 05321 CRIOLLO, ANGEL COSI RESTAURANT 08/12/16 FISHER & LAMONICA WIEDNER & MCAULIFFE LTD 491 17WC 05344 TROTTER, FELICIA COCA COLA 02/16/17 LAW OFFICES OF JOSEPH YOUN BRADY CONNOLLY & MASUDA PC 492 17WC 05362 KAZIOR, MELISSA TARGET 01/30/16 GORDON & CENTRACCHIO LLC KEEFE CAMPBELL & ASSOC LLC 493 17WC 05388 GUERRERO, ALICIA F MCDONALD'S 11/22/16 CULLEN HASKINS NICHOLSON 494 17WC 05411 HUGHES, JOSHUA JERNBERG INDUSTRIES, INC. 01/17/17 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 495 17WC 05441 SHIPP, SHIOBAN STATE OF ILLINOIS, DEPT H @ 12/26/16 GALLAGHER LAW PC ASSISTANT ATTORNEY GENL

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 496 17WC 05482 GONZALEZ, PHILLIP FEDEX 02/11/17 GOLDSTEIN BENDER & ROMANOF 497 17WC 05514 MCCLAIN, MICHAEL MCHUGH CONSTRUCTION CO 02/10/17 HEALY SCANLON LAW FIRM KEEFE CAMPBELL & ASSOC LLC 498 17WC 05528 PRICE, GARRYL A DR PEPPER SNAPPLE GROUP I 01/13/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 499 17WC 05577 BRANDER, JOSHUA VILLAGE OF BRIDGEVIEW 06/26/16 DWYER AND COOGAN INMAN & FITZGIBBONS 500 17WC 05659 SUSTAITA, LUIS BLOOMIN BRANDS, INC 11/08/16 CUSHING LAW OFFICES 501 17WC 05687 PIZARRO, LYDIA HOMEGOODS INC 11/10/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 502 17WC 05789 PEARSON, JEFFREY UPS FREIGHT 02/16/17 STROM, NEAL B ASA LAW GROUP 503 17WC 05830 CHRISTOPHER, RICARDO UPS- HODGKINS 03/23/16 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 504 17WC 05944 DIAZ, LUCIO CITY OF CHICAGO 08/22/16 HEALY SCANLON LAW FIRM 505 17WC 05952 HITCHCOCK, AMANDA FORD MOTOR COMPANY 01/09/17 FOHRMAN, DONALD W & ASSOCS 506 17WC 06100 LYNCH JR, MICHAEL OAK FOREST POLICE DEPT 12/24/16 RATHBUN CSEVENYAK & KOZOL 507 17WC 06171 ORTIZ, MIGUEL PIZZA NOVA 12/17/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 508 17WC 06274 IZGUERRA, GUADALUPE TRELLEBORG SEALING SOLUTI 01/15/16 MARTIN V KUGIA 509 17WC 06305 CHATMAN, GWENDOLYN SCR MEDICAL TRANSPORTATIO 01/31/17 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 510 17WC 06335 ROJAS, JUVENAL TWEETEN FIBRE CO. 10/19/16 HODES GREENSTEIN & LITWIN 511 17WC 06353 SCHAPIRA, GERALDINA THE CONTAINER STORE INC 02/16/17 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 512 17WC 06424 GOMEZ, MIGUEL LATINO MEATS 12/01/16 KREITER, BYCK & ASSOC LLP 513 17WC 06456 NAJERA, SANTA A MCDONALDS 12/22/16 DEPAOLO ZADEIKIS GORE POWER & CRONIN LTD

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 17WC 06541 HATTEN-ALEXANDER, ANGELA THE CIRCUIT COURT OF COOK 02/15/17 WILLIAMS, ROBERT B LAW OFF STATES ATTORNEY OF COOK COUN 515 17WC 10338 GALBRAITH, DANIEL CITY OF CHICAGO 03/24/17 SALVATO & O'TOOLE 516 17WC 12243 HOLBERT, YOLANDA ROSS DRESS FOR LESS 06/01/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 17WC023120 -C 517 17WC 13376 LOPEZ, ERNEST PACIFIC RAIL SERVICES 04/20/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 518 17WC 13424 CABRALES, OMAR 24/7 CHICAGO LOCKSMITHS 01/31/17 DWORKIN AND MACIARIELLO 519 17WC 13465 BELK, ANTONIO COOK COUNTY SHERIFF'S DEP @ 01/31/17 LANGENDORF, ROBERT A STATES ATTORNEY OF COOK COUN 520 17WC 13500 WILLIAMS, CHRISTOPHER AMERIFREIGHT SYSTEMS, LLC 04/07/17 ARGIONIS & ASSOCIATES LLC 521 17WC 13624 GOOSSENS, JOHN CHICAGO FIRE SOCCER CLUB 04/29/16 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 17WC013625 -C 17WC013626 -C 522 17WC 13633 DIAZ, RAUL VARGAS GROUP 09/14/16 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 523 17WC 13649 TRIPP, CORILIS STATE OF ILLINOIS-DEPARTM @ 04/03/17 ANKIN LAW OFFICE 524 17WC 13779 TODE, ROSE RGIS INVENTORY 01/14/14 WHITESIDE & GOLDBERG LTD ARNETT LAW GROUP 525 17WC 13900 JAZO, GAYLE PRIMUS ORTHOPEDICS, S.C. 11/19/16 SPENCER LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 526 17WC 14000 VACA, MARCELA HEARTLAND ALLIANCE 03/09/17 KARCHMAR & STONE 527 17WC 14030 MASSEY, LISA ARAMARK FOOD SERVICES 09/15/16 KOSIN LAW OFFICE LTD 528 17WC 14048 HAMER, MARK BME ELECTRIC, INC 03/17/17 GOLDBERG WEISMAN & CAIRO L 529 17WC 14068 BRYANT, DERRICK UNIVERSITY OF CHICAGO MED 05/03/17 MC HARGUE, JAMES P LAW OFF 530 17WC 14069 BRYANT, DERRICK UNIVERSITY OF CHICAGO MED 05/04/17 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 531 17WC 14176 VILLA, LUCAS J PANGEA VENTURES LLC 04/26/17 LAW OFFICES ROBERT WARSASK 532 17WC 14204 DODSON, GORDON POMEROY IT SOLUTIONS SALE 02/19/17 ANKIN LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 533 17WC 14292 GALLARDO, TRANQUILINO ASPEN FOOD INC 04/12/17 CHEPOV & SCOTT LLC POWER & CRONIN LTD 534 17WC 14312 ARIANOUTSOS, GABRIELLE PARK FOREST-CHICAGO HEIGH 03/31/17 RIDGE & DOWNES 535 17WC 14336 BRYANT, CEPHAS ARYZTA LLC 04/28/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 536 17WC 14379 LARA JR, GUILLERMO EL MINIAT LLC 04/25/17 MINKOW DOMIN POWER & CRONIN LTD 537 17WC 14415 ROMAN, MOISES AMERICAN FURNITURE RENTAL 05/02/17 JONATHAN SCHLACK COZZI & GOGGIN-WARD 538 17WC 14510 JONES, JENNIFER DAKKOTA INTEGRATED SYSTEM 09/25/15 BOWMAN & CORDAY 539 17WC 14534 NOVA, LEONARD CHICAGO JOB CORP 04/26/17 RUEDA, IVAN A 540 17WC 14563 PADILLA, ENELIDA SECURITAS 11/29/16 SALVATO & O'TOOLE WIEDNER & MCAULIFFE LTD 541 17WC 14569 GAVIN, KARA V METROPOLITAN WATER RECLAM 01/20/17 CULLEN HASKINS NICHOLSON 542 17WC 14618 LIAUBA, MARIANNE SOUTH SUBURBAN COLLEGE 05/12/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 543 17WC 14733 OGUNDIPE, MICHAEL ALL CITY MADALLION MANAGE 04/28/17 WEISS & WEISS LAW OFFICES 544 17WC 14765 RODRIGUEZ, MARIA M METROSTAFF, INC 04/19/17 ANKIN LAW OFFICE 545 17WC 14903 CURRY, ADAM WALSH CONSTRUCTION CO OF 07/13/16 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 546 17WC 14924 JACINTO, JOEL SIX GRAND INC DBA SKYWAY 01/14/17 O'CONNOR & NAKOS 547 17WC 14941 JAUREZ, MAYBELINE SWEDISH COVENANT HOSPITAL 12/22/16 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 548 17WC 14984 SEGERS, MICHAEL NORTH AMERICAN DISTRIBUTI 05/11/17 DISPARTI LAW GROUP PA

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 549 17WC 15037 MADRIZ-OCAMPO, JOSE PANGEA VENTURES, LLC 06/29/15 EPSTEIN, JACK R LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 550 17WC 15119 MEDLER, SANDRA MSC INDUSTRIAL SUPPLY CO. 05/02/17 FRANK A CELANI 551 17WC 15139 WILSON, KORTILLOUS AVERUS 05/16/17 POLANSKY & CICHON CHTD MACIOROWSKI SACKMANN & ULRIC 552 17WC 15197 PIPHUS, GERALDINE FEDEX GROUND PACKAGE SYST 04/22/17 CORBOY & DEMETRIO PC 553 17WC 15219 LINCOLN, DAVID CITY OF CHICAGO 12/16/16 CULLEN HASKINS NICHOLSON 554 17WC 15236 GOGGINS, SANDRA CHICAGO TRANSIT AUTHORITY 04/29/17 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 555 17WC 15258 WILLIAMS, CALVIN CITY OF CHICAGO 05/10/17 DWORKIN AND MACIARIELLO 556 17WC 15282 PRICE, LEAH CAREER EDUCATION CORPORAT 05/01/17 KOSIN LAW OFFICE LTD NYHAN BAMBRICK KINZIE & LOWR 557 17WC 15314 DANYAL, GORGES D&D FINER FOODS 05/03/17 SEIDMAN MARGULIS & FAIRMAN RIPES NELSON BAGGOT KALOBRAT 558 17WC 15340 SOLORIO, ERIC LIFE FITNESS 05/05/17 ENCINAS & ORNELAS 559 17WC 15357 TERCS, CSABA RUSH UNIVERSITY MEDICAL C 05/14/17 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 560 17WC 15401 LOUIS, TERESA BURLINGTON COAT FACTORY 05/08/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 561 17WC 15486 STRIBLING, DONNA DAKKOTA INTEGRATED SYSTEM 04/15/16 KATZ FRIEDMAN EAGLE ET AL 562 17WC 15532 RODRIGUEZ, LUCAS A WHOLE FOODS MARKET,INC 10/10/16 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 563 17WC 15551 WHITE, ANDREW SUMMIT POLICE DEPT 04/19/17 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 564 17WC 15591 STOUTMIRE, LESTER FRESH EXPRESS 03/12/16 JAMES ELLIS GUMBINER & ASS 565 17WC 15623 MARTINEZ, JEFFREY PERI FORMWORK SYSTEMS, IN 02/09/15 HOLECEK & ASSOCIATES 566 17WC 15651 MEHRINGER, BRIAN NORTHERN PRODUCTS CO 09/19/16 ROBIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 17WC 15669 ROSALIO, CRISOFORO ACCURATE PARTITIONS 04/07/17 MC HARGUE, JAMES P LAW OFF 568 17WC 15693 MORALES, ALEXANDRA CHICAGO BARTON LLC 12/08/16 COSTA IVONE LLC 569 17WC 15718 WALTERS, HORACE PRESENCE RESURRECTION 05/25/15 EFTEKHARI LAW OFFICES 570 17WC 15734 MALDONADO, LENNY PRESENCE HEALTH 05/14/17 COVEN LAW GROUP 571 17WC 15757 QUALIZZA, STEVEN TILE ROOFS, INC 04/13/17 JASINSKI, GEORGE J WOLF LAW LTD 572 17WC 15799 PLECKI, JACOB M BETON CONSTRUCTION CO. 05/16/17 FIGLIOLI, DAVID 573 17WC 15815 BROWN, HENRY J TOTAL FACILITY MAINTENANC 05/09/17 ANKIN LAW OFFICE 574 17WC 15906 ZAMBRANO, PRILCILIANA HAMPTON INN SUITES 07/13/16 SALGADO, DAVID L 575 17WC 15951 SHARP, TERRENCE CTA 05/12/17 FOHRMAN, DONALD W & ASSOCS 576 17WC 15966 CHAVEZ, MA ROSARIO CHICAGO POWDERED METAL PR 01/07/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 577 17WC 15990 GALINDO, EDWIN JANOZ BUILDING SERVICES, 04/26/17 AIOSSA LAW FIRM VILLALOBOS, RAUL 578 17WC 16030 WILLIAMS, DEANNA ALLIED UNIVERSAL 05/16/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 579 17WC 16180 MULLANEY, JAMES T CITY OF CHICAGO - FINANCE 08/11/16 WILLIAM MARTAY 580 17WC 16202 MC DONAGH, KAREN CHICAGO BOARD OF EDUCATIO 03/28/17 JAMES W GREEN, JR LAW DEPARTMENT 581 17WC 16271 GRINNAGE, SYLVIA FIRST TRANSIT 05/18/17 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 582 17WC 16287 VEGA, MARIA D EXPRESS JET 03/29/17 RUBENS AND KRESS QUINTAIROS PRIETO WOOD & BOY 583 17WC 16310 LOPEZ, JESSICA FLORES SURE STAFF 01/27/17 EDWIN REYES LEGAL GROUP LOUIS MUNDY 584 17WC 16494 LAMBERT, GEORGE THE WALSH GROUP 05/02/17 TAXMAN POLLOCK HINSHAW & CULBERTSON

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 585 17WC 16523 GAWLIK, ROSEMARIE COUNTY OF COOK 07/29/16 TAMVAKIS, GEORGE L STATES ATTORNEY OF COOK COUN 586 17WC 20816 GUIA, JOSE COSTA ROOFING INC 07/05/17 KATZ FRIEDMAN EAGLE ET AL MEACHUM & STARCK 587 17WC 22504 MITIC, MILOS PARIS FREIGHT INC # 05/24/17 SPIEGEL & CAHILL, PC 588 17WC 22750 PATTERSON, ANTHONY DART CONTAINER 06/19/17 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 589 17WC 22790 COPPAGE, TAMIA ROSS DRESS FOR LESS 07/26/17 SKLARE LAW GROUP 590 17WC 22800 REYES, SUZANNE G NORTHWEST COMMUNITY HOSPI 10/13/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 591 17WC 22897 VALDEZ, TERESA WATERTON HOSPITALITY D/B/ 12/11/16 FREDRICK B BARDER, LTD 592 17WC 22992 BLAGA, CRINA THE TERRACE AT TRUMP 08/02/17 KURASCH & KLEIN, LTD 593 17WC 23018 ROCK, CINDY BLU PETROLEUM 11/17/16 JAMES J. GAY 594 17WC 23038 ALTIER, SCOTT PILOT FREIGHT SVCS 04/07/17 LEONARD LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 595 17WC 23077 MILES, CHRISTINE CHICAGO TRANSIT AUTHORITY 07/22/17 ANKIN LAW OFFICE 596 17WC 23139 BUCKNER, DELOREAN CTA 07/24/17 GARDI & HAUGHT CHICAGO TRANSIT AUTHORITY 597 17WC 23164 MARTINEZ, MARTHA CHICAGO WHIRLY INC 07/10/17 CHEPOV & SCOTT LLC 598 17WC 23211 REED, JASMINE ARYTZA BAKERY 08/04/17 DAMISCH & DAMISCH LTD HENNESSY & ROACH PC 599 17WC 23236 LAUTERBURG, CAROLL A BILLS VILLAGE MARATHON 06/01/17 NILSON STOOKAL GLEASON CAP WIEDNER & MCAULIFFE LTD 600 17WC 23290 RANGEL, JESUS THE CHEF'S WAREHOUSE CHIC 06/09/17 LEONARD LAW GROUP LLC 601 17WC 23307 ZUNIGA, FRANNCISCO CHICAGO TRANSIT AUTHORITY 07/22/14 RIDGE & DOWNES 602 17WC 23328 CAHUE, MARIA STAMPEDE MEAT INC 05/10/17 GANAN & SHAPIRO

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 17WC 23376 WAGEMANN, CHERYL PAEC SEJA 803 06/16/17 DAVID M SPADA ANCEL GLINK DIAMOND BUSH & E 604 17WC 23411 FRIGO, MICHAEL WERTHEIMER BOX AND PAPER 07/15/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 605 17WC 23429 GRIMSLEY JR, GLENN W CXI TRUCKING 08/01/17 LAW OFFICE NANCY HIRSCH LL NYHAN BAMBRICK KINZIE & LOWR 606 17WC 23461 YARBER, GIOVANI FORD MOTOR CO 08/04/17 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 607 17WC 23505 MILTON, JEQUITA BELLWOOD NURSING CENTER L 07/22/17 BRILL & FISHEL 608 17WC 23518 BOX, JAMES SPO CNW, INC 01/31/17 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 609 17WC 23540 BEAUCHAMP, MARQUIS COOK COUNTY SHERIFF'S DEP 07/26/17 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 610 17WC 23586 THOMAS, LAYMOND PLANET TOYOTA 06/06/17 VASILATOS & COTTER LLC 611 17WC 23616 BERGLES-MUEHLENBECK, TRAC MOBILITIE MGMT, LLC 06/27/17 PAUL A COGHLAN & ASSOC 612 17WC 23637 POLK, DEBRA CHICAGO TRANSIT AUTHORITY 05/10/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 613 17WC 23675 LINTON, STANLEY WESTMONT ENGINEERING CO 09/25/15 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 614 17WC 23690 MARTINEZ, CESAR CTA 08/04/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 615 17WC 23725 PUCKETT, DOMINICK PEOPLES GAS 03/29/17 GOLDBERG WEISMAN & CAIRO L 616 17WC 23741 KUROWSKI, MICHELLE BERTEAU-LOWELL PLATING WO 08/18/15 SAUNDERS CONDON & KENNY NOBLE & ASSOCIATES PC 617 17WC 23763 SOLANO, JORGE A. RUSSO POWER EQUIPMENT 12/01/16 SALVATO & O'TOOLE WIEDNER & MCAULIFFE LTD 618 17WC 23776 BONADURER, DONALD CTA 08/11/17 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 619 17WC 23818 NASH, TABITHA UPS 04/17/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 620 17WC 23836 HASSANI, SAMUEL JAKE TRANSIT CO 07/17/17 LAW OFFICE RYAN ROSENTHAL

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 621 17WC 23861 SIMPSON, COLIN PURPLE PIG 07/15/17 THE FITZ LAW GROUP QUINTAIROS PRIETO WOOD & BOY 622 17WC 23880 TYSON, DIMETRIO ARENA FOOTBALL ONE LLC 08/06/16 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 623 17WC 23899 TYREE, DIANA L UNITED AIRLINES 08/02/17 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 624 17WC 23917 WACHINSKI, DONNA MAXIM HEALTHCARE SERVICES 11/10/16 SCOTT BARBER RUSIN & MACIOROWSKI LTD 625 17WC 24026 MARTINEZ, ANTHONY J UNIVERSITY OF IL AT CHICA 07/05/16 THOMAS R LICHTEN POWER & CRONIN LTD 626 17WC 24045 MARSH, EDWARD HOME DEPOT 11/01/16 SCHREINER MALLOY & ETZLER 627 17WC 24109 OCTAVIANO, CORINA WESTWOOD MANOR 06/23/17 DEPAOLO ZADEIKIS GORE ROBERT L. SMITH 628 17WC 24144 PERSON, VASHTI COOK COUNTY 11/16/16 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 629 17WC 24209 STEWART, RICKY JEWEL-OSCO/NEW ALBERTSON' @ 06/13/17 BRILL & FISHEL 630 17WC 24258 JEAN-PIERRE, MILDRED I COOK COUNTY JUVENILE 07/18/17 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 631 17WC 24311 ROWE, DAVID WESTERN UTILITY CONTRACTO 08/22/14 WOLFE LAW PC 632 17WC 24373 BLAKEMORE, LAYMONDT FEDEX 05/27/17 KARNO, MARK L & ASSOC 633 17WC 24402 EVANS, MICHELLE UNITED AIRLINES INC 02/09/17 BRIAN J MC MANUS & ASSOC, 634 17WC 24447 MILLER, ERIEK ALTERNATIVE STAFFING 08/09/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 17WC025846 -C 635 17WC 24464 GALIGHER, MICHELLE L ADVOCATE CHRIST MEDICAL C 05/01/17 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 636 17WC 24500 JOHNSON, BRIAN CITY OF CHICAGO 07/27/17 GOLDSTEIN AIOSSA & GOOD 637 17WC 24532 TELLEZ-MELO, EULOGIA PREFERRED BUILDING SERVIC 07/27/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 638 17WC 24566 DUSEK, ERIC UNISYS CORPORATION 08/04/17 VRDOLYAK LAW GROUP LLC

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 639 17WC 24585 WEBB, DENARDO DELTA SONIC 08/11/17 ANKIN LAW OFFICE 640 17WC 24601 FEIBUS, SAMUEL UNITED AIRLINES 07/26/17 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 641 17WC 24628 CALI, JOSEPH E JR VILLAGE OF WHEELING 09/02/15 THOMAS W DUDA KLEIN THORPE & JENKINS LTD 642 17WC 24669 VILLEGAS, MELISSA GAP INC 05/01/17 LEONARD LAW GROUP LLC ROBERT L. SMITH 643 17WC 24685 BURNS, MELVIN STATE OF IL DEPT OF @ 08/02/17 MARKHAM M JEEP & ASSOCIATE 644 17WC 24771 HOLMES, MELISSA CHICAGO BOARD OF EDUCATIO 04/03/17 LEO ALT 645 17WC 24805 BURTON, BRANDON FRITO-LAY INC 05/22/17 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 646 17WC 24827 WILLIAMS, SAM SYSCO CORPORATION 06/22/17 STORTO FINN & ROSINSKI HENNESSY & ROACH PC 647 17WC 24865 SHONDER, JASON JEWEL OSCO 04/11/17 648 17WC 24895 EVANS, LEONARD CITY OF CHICAGO-DEPARTMEN 05/11/17 DAVID W MARTAY 649 17WC 24932 LITZEY, MARY CENTRAL STEEL AND WIRE CO 03/21/17 ANKIN LAW OFFICE 650 17WC 24990 WILBURN, TYRONE RUSH UNIVERSITY MEDICAL C 08/03/17 ABELS & ANNES, PC 651 17WC 25016 COLEMAN-TAYLOR, CARLA ARDAGH GLASS INC, C/O CT 08/19/17 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 652 17WC 25037 HERNANDEZ, CECILIA LEE MANOR REHABILITATION 08/21/17 JONATHAN SCHLACK 653 17WC 25066 SHEEHAN, JAMES CITY OF CHICAGO 08/01/17 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 654 17WC 25143 MEDINA, GELACIO DEL RANCHO MARKET 03/09/16 GANAN & SHAPIRO 655 17WC 25210 OLIVER, GWINETTE (ADM EST GIDEONS 300 SECURITY # 11/26/16 TAMVAKIS, GEORGE L HOLECEK & ASSOCIATES 656 17WC 25228 MARSHALL-LANG, ANTHONY FIRESTONE COMPLETE AUTO C 04/19/17 SCOTT BARBER

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 657 17WC 25260 WANG, HONG MEI HARPER COLLEGE 08/15/16 ROMANEK & ROMANEK WIEDNER & MCAULIFFE LTD 658 17WC 25293 MORRIS, VIVIAN NAVISTAR 04/01/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 659 17WC 25315 WATSON, MICHAEL STEVEN'S SECURITY AND TRI 08/03/17 VASILATOS & COTTER LLC 660 17WC 25338 093 LOY, DONALD COOK COUNTY SHERIFF 08/26/15 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 093 12WC037880 -C 661 17WC 25359 OLIVO-OJEDA, JOSE ROBBINS AUTO PART 05/26/17 EPSTEIN, JACK R LAW OFFICE 662 17WC 25387 PHILLIPS, JOSEPH MISWAY DODGE 08/11/17 GRAZIAN & VOLPE PC 663 17WC 25420 COULTER, LARRY GENERAL IRON 06/29/17 CAPRON & AVGERINOS PC 664 17WC 25449 TURNER, LINDA ARYZTA, LLC 08/23/17 ANKIN LAW OFFICE 665 17WC 25517 RAMIREZ, BRIDGETTE CITY OF BERWYN 07/17/17 THOMAS A MORRISSEY CUDA LAW OFFICES 666 17WC 25656 LARA, ANABEL CLUB QUARTERS 08/03/17 JOHN S. ELIASIK 667 17WC 25671 PITTMAN, ANDRE CHICAGO TANSIT AUTHORITY 08/22/17 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 668 17WC 25700 SEVERINO, SOPHIA UNITED AIRLINES 07/10/17 CULLEN HASKINS NICHOLSON 669 17WC 25717 ARENAS-ALVA, MARTINA MIDWEST CANVAS 05/02/17 EPSTEIN, JACK R LAW OFFICE 670 17WC 31160 HOOKS, TABITHA BRIDGEVIEW HEALTH CARE CT 09/20/17 ANKIN LAW OFFICE POWER & CRONIN LTD 671 17WC 31205 DOWNS, ROSIE UPS 01/01/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 672 17WC 31716 SCOTT, TRACEY TWO MEN AND A TRUCK 10/21/17 FOHRMAN, DONALD W & ASSOCS HENNESSY & ROACH PC 673 17WC 32382 LORING, JOSEPH KNICKERBOCKER ROOFING 07/31/17 DWORKIN AND MACIARIELLO 674 17WC 32413 NAVA, JUANITA QUALITY LABOR SERVICES 10/19/17 LAW OFFICES LEONARDO MORAL KOREY RICHARDSON 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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 675 17WC 32504 MESICH, DANIEL T DEPASQUALE STEEL ERECTORS 04/11/17 CHILTON YAMBERT PORTER LLP QUINTAIROS PRIETO WOOD & BOY 676 17WC 32568 PEREZ, ZEFERINO OPART THAI HOUSE- WEST TO 10/09/17 KATZ FRIEDMAN EAGLE ET AL 677 17WC 32593 GILLILAN, TERRI TOOTSIE ROLL INDUSTRIES I 06/17/15 THE ROMAKER LAW FIRM 678 17WC 32604 LITTLEFIELD, JOHN D OZINGA READY MIX CONCRETE 09/07/17 LAW OFFICES BRIAN LASSEN GAROFALO SCHREIBER STORM 679 17WC 32623 FONTANA, JUNE INSIGHT GLOBAL LLC 07/01/16 JAMES A. KAMIDE LAW OFFICES JOSEPH MARCINIAK 680 17WC 32719 MILLAN, HENRY CITY OF CHICAGO HEALTH DE 10/24/17 GOLDBERG WEISMAN & CAIRO L 681 17WC 32721 KNIGHT, CECIL AT&T 09/27/17 GOLDBERG WEISMAN & CAIRO L 682 17WC 32762 WALLS, MARVIN SET ENTERPRISES INC 10/18/17 ANKIN LAW OFFICE 683 17WC 32779 BATES, TRACY VERSITI, INC 07/25/17 BRISKMAN BRISKMAN GREENBER MEACHUM & STARCK 684 17WC 32794 JAMES, WILLIE MARIE JACKSON PARK HOSPITAL 09/11/17 DWORKIN AND MACIARIELLO ODELSON & STERK 685 17WC 32834 CARPENTER, PHALON COOK COUNTY 10/16/17 THOMAS LAW STATES ATTORNEY OF COOK COUN 686 17WC 32862 PAZEREKAS, DAVID UNITED AIRLINES INC 10/26/17 RIDGE & DOWNES 687 17WC 32922 SMITH, DEREK DR. PEPPER SNAPPLE GROUP 10/17/17 DWORKIN AND MACIARIELLO 688 17WC 32939 SMITH, RYAN NEXUS EMPLYMNT SOLUTIONS 10/20/17 HERRERA LAW CENTER 689 17WC 32957 DEPEW, DEREK VILLAGE OF LYNWOOD 10/16/17 SILVERMAN, CLIFFORD A 690 17WC 32995 OSWAL, PRINCE AMERICAN AIRLINES 05/25/17 TURCYCHUTE LLC 691 17WC 33026 GONZALEZ, DANNY ACE HARDWARE CORPORATION 02/01/16 BRIAN J MC MANUS & ASSOC, 692 17WC 33064 FRIEL, GEORGE MICHELLE OBAMA JUNIOR HIG 09/26/17 ANGELINI & ORI LLC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 693 17WC 33093 LANG, DAVID THE YMI GROUP, INC. 01/09/17 MEYERS & FLOWERS 694 17WC 33112 SLAUGHTER, LASHONDA HELP AT HOME 10/24/17 EDWIN REYES LEGAL GROUP 695 17WC 33221 MOONEY, KATHERINE MICROSOFT TECHNOLOGY CENT 08/22/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 696 17WC 33246 TCHIRKO, MICHEL WYNDHAM GRAND 07/23/17 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 697 17WC 33266 HOROWTIZ, DEAN ELLIS PROGRESSIVE BUINESS MEDIA 09/21/16 CULLEN HASKINS NICHOLSON 698 17WC 33305 LARVICK,MARY WALMART 10/30/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 699 17WC 33325 MURDEN JR, RALSTON CHICAGO TRANSIT AUTHORITY 09/24/17 ANKIN LAW OFFICE 700 17WC 33353 MACHAN, NICHOLAS UNITED PARCEL SERVICE 09/11/17 BUSSE, BUSSE & GRASSE NYHAN BAMBRICK KINZIE & LOWR 701 17WC 33370 MONTES, ALBERTA CROTHALL LAUNDRY SVCS 11/02/17 TAMVAKIS, GEORGE L 702 17WC 33416 MONAHAN, JAMES ARAMARK 04/01/15 THOMAS A MORRISSEY 703 17WC 33431 WEATHERS, LEONARD VILLAGE OF DIXMOORR 05/27/17 STEVEN M SELAN 704 17WC 33448 FLOYD, KENDALL JT ENERGY 07/25/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 705 17WC 33480 BROWN, SHELLY STATE OF IL DHS 02/03/17 BLOCK, KLUKAS & MANZELLA P 706 17WC 33557 SANTILLAN, JOSE SMART INTERIORS, LLC 10/13/17 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 707 17WC 33591 FOX, NAKITA SOUTH SUBRUBAN HOSPITAL 11/03/17 VASILATOS & COTTER LLC 708 17WC 33608 SILVERSTEIN, RICHARD MACHINED PRODUCT CO. 10/19/17 NEWLAND & NEWLAND 709 17WC 33928 MENDOZA, ENRIQUE ILLINOIS INSTITUTE OF TEC 09/23/17 MC HARGUE, JAMES P LAW OFF 710 17WC 33975 BAILEY, JOHN FOOD 4 LESS 06/29/17 KINNALLY FLAHERTY KRENTZ & CLAYBORNE SABO & WAGNER

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 17WC 34013 VILLEGAS, NORRIDGE GARDENS 08/29/17 DEPAOLO ZADEIKIS GORE 712 17WC 34071 MANUEL, ETHEAL CITY OF CHICGO 04/24/17 KUMLIN & FROMM 713 17WC 34092 DARDAGAN, RAMO UNIVERSAL GRANITE & MARBL 11/24/15 LAW OFFICE JEFFREY FRIEDMA RIPES NELSON BAGGOT KALOBRAT 714 17WC 34130 PRATL, DEBORAH AURORA AREA BLOOD BANK DB 10/26/17 ANKIN LAW OFFICE MEACHUM & STARCK 715 17WC 34145 DELGADO, REYNALDO HD SUPPLY FACILITIES MAIN 05/26/17 LEONARD LAW GROUP LLC 716 17WC 34163 HENTGEN, DIANE CBOE 03/28/17 LEO ALT 717 17WC 34183 OLEKSY, ROBERT HARVARD 08/31/17 CHRISTOPHER BUCHCAR, LTD 718 17WC 34235 ESPINA, ESPIRIDION SIDNODE INDUSTRIAL GROUP, 11/04/17 CORBOY & DEMETRIO PC HENNESSY & ROACH PC 719 17WC 34254 LEE, ERICA S RED LOBSTER 11/26/16 BRYCE DOWNEY & LENKOV LLC 720 17WC 34281 SCRUGGS, KENNETH COLDWELL BANKER 11/09/17 LEONARD LAW GROUP LLC 721 17WC 34308 MORENO, LUISA ACCURATE PERSONNEL LLC 10/04/17 CHEPOV & SCOTT LLC 722 17WC 34332 GILES, TAISHA AM BUS CO 11/10/17 DWORKIN AND MACIARIELLO MEACHUM & STARCK 723 17WC 34370 DOMIAN, STEVEN P CITY OF CHICAGO- WATER MA 10/17/17 NILSON STOOKAL GLEASON CAP 724 17WC 34394 SAUCEDO, ISIDRO LAKESHORE BEVERAGE 09/01/17 DOUGLAS RALLO PC 725 17WC 34438 DAVISON, STEPHANIE MCDONALD'S RESTAURANT 11/09/17 ANESI OZMON RODIN NOVAK KO 726 17WC 34465 DIAZ, JOSE M KRYSTYNA'S DELI MARKET 11/20/17 ELFENBAUM EVERS & AMARILIO ARNETT LAW GROUP 727 17WC 34505 JACOBO, SERGIO SCOTT BYRON & CO 04/23/12 STANCZAK LAW OFFICES 728 17WC 34576 NIETO, MA FELISA ANGELICA CORPORATION 08/03/17 COLLISON LAW OFFICES

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 17WC 34603 FEJZA, SUZANNE SCHAUMBURG COMM.CONS. SCH 01/26/17 DAVID SZCZECIN & ASSOC 730 17WC 34624 ARCEO, EFRAIN HUERTA, JAIME D/B/A 11/04/17 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 731 17WC 34649 BAHENA, MARTHA CRESTLINE HOTELS & RESORT 08/19/17 STELZMAN, RUTH HENNESSY & ROACH PC 732 17WC 34688 VERA-TELLEZ, MIGUEL ANGEL NATURE GREEN SCAPE, INC 09/01/16 LULAY LAW OFFICES 733 17WC 34741 HARRIS, NIKITA WIDE OPEN WEST 10/21/17 CANDIANO LAW OFFICE 734 17WC 34764 HENRY, MICHELLE MIDWEST FOODS MFG 11/25/17 GOLDSTEIN AIOSSA & GOOD 735 17WC 34777 CENTENO, ERICK JB HUNT 10/20/17 FRIEDMAN & SOLMOR LTD 736 17WC 34795 BROOMFIELD, LEE A BEST WESTERN GRAND PARK H 11/10/17 ANKIN LAW OFFICE 737 17WC 34813 ROSALES, MONICA LAND O'FROST 08/12/17 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 738 17WC 34834 BONNER, EDDIE ESTES TRANSPORT 11/15/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 739 17WC 34904 SOLLSBERRY, CHECWANDA AMERICAN AIRLINES 09/30/17 RUBENS AND KRESS GAROFALO SCHREIBER STORM 740 17WC 34950 BROWN, SHAWN STAFFING NETWORK BENSENVI 10/30/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 741 17WC 34974 PATTI, KATHRYN EARTHLINK 01/26/15 SCOTT BARBER 742 17WC 34996 GOMEZ RAMOS, RAMIRO SUPERIOR STAFFING 11/15/17 EPSTEIN, JACK R LAW OFFICE SLAVIN & SLAVIN 743 17WC 35039 TREVINO, ADRIAN ARENA FOOTBALL ONE LLC 04/11/15 GORDON LAW OFFICES LTD GORDON & CENTRACCHIO LLC 744 17WC 35064 SANDOVAL, JUAN MIDWEST CANVAS CORPORATIO 11/06/17 COSTA IVONE LLC 745 17WC 35085 TOLIVER, ANTHONY SR. BREAKING GROUND INC 11/16/17 DWORKIN AND MACIARIELLO 746 17WC 35113 BERNIER, ALLISON RICH TOWNSHIP HIGH SCHOOL 11/06/17 TOSCAS, JOHN Z LAW OFFICE

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 747 17WC 35129 BILLUPS, CORNELIUS CLARION HOTEL 08/28/17 MC HARGUE, JAMES P LAW OFF 748 17WC 35190 THOMPSON, TIVONDA FIRST MIDWEST BANK 10/10/17 SAUNDERS CONDON & KENNY LAW OFFICES OF EDWARD J. KOZ 749 17WC 35209 ACOSTA, ROBERTO AMERIAN GRINDING & MACHIN 10/21/16 ANKIN LAW OFFICE 750 17WC 35229 CRUSOE, SHEILA SCR MEDICAL TRANSPORTATIO 11/07/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 751 17WC 35250 RODRIGUEZ, ROSA L HELP AT HOME LLC 11/22/17 HERRERA LAW CENTER 752 17WC 35294 HOBBS, PATRICK FIRST GROUP, INC 08/05/16 WIEDNER & MCAULIFFE LTD 753 17WC 35318 DE LA CRUZ-BARAJAS, MARIA OSI FOODS CO, LLC 10/19/17 DEPAOLO ZADEIKIS GORE ASA LAW GROUP 754 17WC 35359 MOJICA, ERNESTO FLEXIBLE STAFFING SVC 06/26/16 SEIDMAN MARGULIS & FAIRMAN 755 17WC 35377 HULL, DARRELL CITY OF CHICAGO DEPT OF 11/06/17 WILLIAM MARTAY 756 17WC 35394 CAMARENA, JOSE KOCH FOODS 11/07/17 LAW OFFICES PETER LEKAS BRYCE DOWNEY & LENKOV LLC 757 17WC 35418 SALAZAR, JOSE KAPETANEAS PAINTING, INC. 10/11/17 AIOSSA LAW FIRM INMAN & FITZGIBBONS 758 17WC 35508 LEWIS, KAREN D UNITED AIRLINES INC. 08/15/17 FIGLIOLI, DAVID 759 17WC 35534 SALCEDO, LUZ LITTLE LADY FOODS, INC 08/28/17 JOHN E LUSAK 760 18WC 03252 RAIMONDI, JACK V GEM CONSTRUCTION, INC. * 11/17/17 GALLAGHER, DONALD V 761 18WC 03447 COVARRABIAS, FRANCISCO J STAURT DEAN CO, INC * 04/14/15 LULAY LAW OFFICES 762 18WC 03477 FLORES, YOLANDA XCEL MED LLC * 12/26/17 STROM, NEAL B 763 18WC 03503 MARTINEZ, MARIA LABOR SOLUTIONS, INC * 10/25/17 HERBERT ABRAMS 764 18WC 03541 GARCIA, SILVESTRE PACTIV, C/O CT CORP SYSTE * 09/12/17 HETHERINGTON KARPEL BOBBER

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 765 18WC 03564 HARRIS, SPENSER LIVE NATION * 01/11/18 HORWITZ HORWITZ & ASSOC 766 18WC 03601 GOGA, CINDY M STARBUCKS * 04/15/16 SOSTRIN AND SOSTRIN PC 767 18WC 03661 WILLIAMS, ROBERT LUIGI'S PIZZA * 01/11/18 JAMES H MILLER JR 768 18WC 03679 HICKEY, MICHAEL COOK COUNTY HEALTH * 12/19/17 GOLDBERG WEISMAN & CAIRO L 769 18WC 03699 RODRIGUEZ, ARQUELIO SUPERIOR STAFFING INC * 01/19/18 ANKIN LAW OFFICE SLAVIN & SLAVIN 770 18WC 03722 BARKER, SAMANTHA ADVOCATE CHRIST MED CTR * 01/08/18 MC HARGUE, JAMES P LAW OFF 771 18WC 03739 PAYNE, PALMER A CHICAGO TRANSIT AUTHORITY * 08/03/17 BUDIN LAW OFFICES CHICAGO TRANSIT AUTHORITY 772 18WC 03778 ROBINSON, RAMONE ST OF IL PONTIAC CORRECTI @ * 11/12/17 PETER F FERRACUTI & ASSOCI 773 18WC 03823 BARROW, KEITH U.S. FOODS * 01/12/18 BOGUSZ & BOGUSZ LTD 774 18WC 03844 OSHO, EMANNUEL NORTHSHORE CAB LLC * 12/31/15 COHN LAMBERT RYAN & SCHNEI 775 18WC 03880 HILL, JERRI MARIANO'S FRESH MARKET/ * 01/15/18 JOSHUA KARMEL 776 18WC 03902 CAMPBELL, JAMES AT&T * 11/28/17 DAVID W MARTAY 777 18WC 03954 STYRCZULA, JAKE UNITED PARCEL SERVICE * 09/21/17 KUMLIN & FROMM 778 18WC 03987 NEGRON, JULIAN PRET A MANGER USA * 12/30/17 GOLDSTEIN AIOSSA & GOOD 779 18WC 04022 PEEPLES, MARK LA FITNESS * 12/28/17 RUBIN LAW GROUP 780 18WC 04034 KEMP, CHRISTOPHER UTILITY RESOURCES GROUP L * 10/24/17 ANKIN LAW OFFICE 781 18WC 04051 LI, YAN CHUN CRYSTAL WINDOWS & DOOR IL * 01/16/18 SOSTRIN AND SOSTRIN PC 782 18WC 04076 ROBLES, MARCUS THE HOME DEPOT * 12/06/17 BOWMAN & CORDAY MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 783 18WC 04124 STEFFE, SCOTT COOK COUNTY * 06/18/16 WHITESIDE & GOLDBERG LTD 784 18WC 04144 YOUNG,IMARI SRV ELECTRIC * 10/01/16 BAUM RUFFOLO & MARZAL LTD 785 18WC 04173 VASQUEZ, BARBARA COOK COUNTY JUVENILE * 06/21/17 BRILL & FISHEL 786 18WC 04186 KING, JOHN CITY OF CHICAGO * 02/01/18 HEALY SCANLON LAW FIRM 787 18WC 04208 SANDOVAL, JOSE DANIEL IL DEPT OF TRANSPORTAION * 02/02/18 CUDA LAW OFFICES 788 18WC 04227 ORTIZ, ROBERTO SERVICE DRYWALL & DECORAT * 03/08/17 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 789 18WC 04248 INOCENCIO, BETI WALGREENS * 01/12/18 EFTEKHARI LAW OFFICES 790 18WC 04272 MILLER-EARL, CHERRY GAREDA LLC * 02/05/18 ANKIN LAW OFFICE 791 18WC 04287 HENDRIX, JOHNNY PACE SUBURBAN BUS SERVICE * 08/10/17 ANKIN LAW OFFICE 792 18WC 04312 SOWARD, REGINALD H&M INTERNATIONAL TRANSP, * 01/09/18 KNELL & O'CONNOR 793 18WC 04332 BERNGARD, ASHLEY PRECIOUS ANGELS LLC * 01/30/18 FRANCIS J DISCIPIO LAW OFF NYHAN BAMBRICK KINZIE & LOWR 794 18WC 04356 WILLIAMS, SYLVIA ARAMARK * 01/10/18 VASILATOS & COTTER LLC 795 18WC 04383 SCHULTZ, DAVID ROSE PEST SOLUTIONS * 02/06/18 WHITESIDE & GOLDBERG LTD 796 18WC 04424 SANTIAGO, RICHARD A ABLE SERVICES * 01/28/18 FIGLIOLI, DAVID 797 18WC 04451 PARADA, MARIA ISABEL WEBER STEPHEN PRODUCTS * 12/01/16 HANNIGAN & BOTHA, LTD 798 18WC 04470 SANCHEZ, SONIA ABM JANITORIAL SERVICES * 09/15/17 HORWITZ HORWITZ & ASSOC 799 18WC 04486 HOLLIEN, DWAYNE POWER STOP * 11/01/17 DWORKIN AND MACIARIELLO 800 18WC 04509 SOTO, GUADALUPE MIDWEST MOLDING * 12/27/17 HERRERA LAW CENTER

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 801 18WC 04532 ALVAREZ, ROSELIA PALOS HILLS HOSPITAL * 11/08/17 EPSTEIN, JACK R LAW OFFICE 802 18WC 04560 RAMIREZ, JESSE WILLIAM J CASSIDY TIRE * 08/29/16 ASHER, RAYMOND L LTD 803 18WC 04587 GARCIA, DORKA M UNITED SERVICE COMPANIES * 10/04/17 GORDON LAW OFFICES LTD RUSIN & MACIOROWSKI LTD 804 18WC 04609 ROJAS, HECTOR CAFE AROMA * 02/03/18 JOHN S. ELIASIK 805 18WC 04640 TAYLOR, DARNELL FORD MOTOR COMPANY * 07/15/15 FOHRMAN, DONALD W & ASSOCS 806 18WC 04655 COLON, DAVID DEAL GENIUS INC. * 11/28/17 CHEPOV & SCOTT LLC 807 18WC 04677 MARSHALL, SHIRLEY VITAS HEALTHCARE * 01/29/18 DWORKIN AND MACIARIELLO 808 18WC 04706 RICO, ALEJANDRO BENCHMARK CONSTRUCTION CO * 01/04/17 BURNES, EDWARD M MEACHUM & STARCK 809 18WC 04722 CAMPBELL, NIEKA APERION CARE * 01/15/18 ABELS & ANNES, PC 810 18WC 04751 KOBAK, DAVID SERVICE CORP INTERNATIONA * 01/20/18 BAUM RUFFOLO & MARZAL LTD 811 18WC 04777 SMITH, LISA LISA SMITH * 02/11/18 ANKIN LAW OFFICE 812 18WC 04829 VELAZQUEZ MARTINEZ,GUILLE RICHARDSON SEATING CORPOR * 11/13/17 EPSTEIN, JACK R LAW OFFICE 813 18WC 04893 DEL TORO, RAYMOND SR ILLINOIS CENTRAL SCHOOL B * 02/05/18 VITELL & SPITZ LTD 814 18WC 04925 GILLILAN, TERRI TOOTSIE ROLL INDUSTRIES I * 07/12/16 THE ROMAKER LAW FIRM 815 18WC 04950 TURNER, RODERICK FROZEN FOOD EXPRESS * 02/07/18 DAVID W MARTAY ROSARIO CIBELLA 816 18WC 04967 ZIEMKE, DARYL NBC UNIVERSAL CHICAGO FIR * 01/12/18 ELFENBAUM EVERS & AMARILIO SPIEGEL & CAHILL, PC 817 18WC 04982 SMITH, STERLING PACE BUS SOUTH DIVISION * 02/07/18 CHEPOV & SCOTT LLC 818 18WC 04997 GUHR, TERRENCE CURRENT COMMUNICATIONS & * 09/29/17 KROL BONGIORNO & GIVEN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 819 18WC 05013 ADEWO, BAYO BIG APPLE CAB TWO CO * 06/05/17 CHASE & WERNER LTD 820 18WC 05033 GALVAN, SALVADOR LOEBER MOTORS, INC * 11/28/17 BUDIN LAW OFFICES 821 18WC 05060 SULLIVAN, STEVEN PAMELA LOVE * 12/12/16 822 18WC 05081 VULJAN, ANTOINETTE DELTA AIR LINES INC * 03/16/17 SAUNDERS CONDON & KENNY ROBERT L. SMITH 823 18WC 05113 BROWN, LETICIA ALDI FOODS * 03/11/15 JOHN E LUSAK 824 18WC 05134 JONES, ANTONIO LAWRENCE HALL YOUTH SVC * 01/22/18 STEVEN J MALMAN & ASSOCIAT 825 18WC 05139 FOSTER, LAYUNA NORTH CENTER FOR HANDICAP * 01/18/18 JONATHAN SCHLACK 826 18WC 05159 MILES, CHRISTINE S CHICAGO TRANSIT AUTHORITY * 02/04/18 ANKIN LAW OFFICE 827 18WC 05176 CARMONA, ANGELA WOODBRIDGE NURSING PAVILI * 07/20/17 JAMES ELLIS GUMBINER & ASS 828 18WC 05198 ELDRIDGE, CORY SHERIFF'S OFFICE OF COOK * 02/17/18 PETER LEKAS 829 18WC 05219 ROJAS-ACUNA, ARTEMIO AAA PAINTING CONTRACTORS, * 11/03/17 LULAY LAW OFFICES 830 18WC 05264 REINHARD, KAI ALLEN DHL EXPRESS INC * 01/30/18 DESTEFANO, ROBERT A & ASSO 831 18WC 05288 RIVERA, JUAN THE CHLOROX CO * 10/02/17 BOUDREAU NISIVACO LLC 832 18WC 05310 STANEK, SHELLEY THE INGALLS MEMORIAL HOSP * 02/04/18 HETHERINGTON KARPEL BOBBER 833 18WC 05357 ABNER, THOMAS FORD MOTOR CO. * 02/01/18 VASILATOS & COTTER LLC 834 18WC 05372 GREEN, DERRICK UPS * 02/01/18 COVEN LAW GROUP ASA LAW GROUP 835 18WC 05390 HELTON, LINDA RON'S STAFFING * 02/08/18 DWORKIN AND MACIARIELLO 836 18WC 05442 ALLAWAY, DOROTHY ADMIRAL SECURITY * 02/14/18 JOSHUA KARMEL

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 837 18WC 05463 LEE, ROBERT ABF FREIGHT SYSTEMS INC * 09/24/17 GOLDBERG WEISMAN & CAIRO L 838 18WC 05484 GONZALEZ, JUAN FLEX SOL PACKAGING * 12/31/17 RUBENS AND KRESS 839 18WC 05500 GARCIA, LOUIS RAVENSWOOD STUDIOS * 10/29/17 LEO ALT 840 18WC 05544 ALHASSAN, AMEENAH COOK COUNTY STROGER HOSPI * 01/21/18 WOODRUFF & JOHNSON 841 18WC 05568 MONTICELLO, JIMMY GROUP FOX INC * 06/13/17 SHERO, THOMAS F ROSARIO CIBELLA 842 18WC 05623 KOMINSKI, BRYAN VILLAGE OF STREAMWOOD * 02/13/18 ROBERT WARSASKI 843 18WC 05656 GARCIA, CHARLES J NAVY PIERINC * 08/11/17 SOSTRIN AND SOSTRIN PC 844 18WC 05692 BARBOSA, GUILLERMO USA BOARD UP AND GLASS * 02/12/18 RONALDSON & KUCHLER 845 18WC 05711 BRAMBERT, CAITLINA BUFFALO WILD WINGS * 11/10/17 GALLAGHER, DONALD V 846 18WC 05730 EPPS, ANTONIE MCDONALD'S * 02/20/18 LEONARD LAW GROUP LLC 847 18WC 05787 SPEGON, JASON CHICAGO TRANSIT AUTHORITY * 01/16/18 DIXON LAW FIRM 848 18WC 05823 HENRIQUEZ, ELIAS ROSALES HERNANDEZ BROTHERS * 05/16/17 LULAY LAW OFFICES 849 18WC 05877 COLSTON, TRACEY CTA * 02/01/18 WILLIAM B MEYERS, LTD 850 18WC 05895 MATTHEWS, JENNIFER J UNIVERSITY OF ILLINOIS * 11/20/17 TAMVAKIS, GEORGE L 851 18WC 05917 BELL, GARY CARL BUILDING & CO * 02/10/18 FOHRMAN, DONALD W & ASSOCS 852 18WC 05933 BRADIN, ANDREA CLAIRE'S BOUTIQUE * 08/28/16 JAMES ELLIS GUMBINER & ASS 853 18WC 05954 CARRILLO, MARTHA HARVEST FOOD GROUP * 09/01/17 ENCINAS & ORNELAS 854 18WC 05981 VELAZQUEZ, CRISTOBAL SOMERVILLE PLATING CO * 02/08/18

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 04/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 855 18WC 06027 PRICE, LESTER BANCROFT & SONS TRANSPORT * 11/15/17 BOGGS & FILLENWARTH 856 18WC 06078 DAY, PETE LEOPARDO COMPANIES, INC * 01/25/17 HORWITZ HORWITZ & ASSOC 857 18WC 06127 FRY, SCOTT PHOENIX BUSINESS SOLUTION * 12/28/17 CULLEN HASKINS NICHOLSON 858 18WC 06154 STEPHENS, REGINALD CHICAGOPUBLIC SCHOOL * 02/07/18 BRISKMAN BRISKMAN GREENBER 859 18WC 06169 GUERRERO, ALEJANDRO WHEATLAND TUBE CO * 02/12/18 CELSO FUENTES JR 860 18WC 06192 VIZZA, CYNTHIA SOUTH LOOP ROOSEVELT, LLC * 06/09/17 HETHERINGTON KARPEL BOBBER 861 18WC 06216 CROSSLEY, MYRA CHILDREN'S HOME & AID * 04/25/16 O'CONNOR & NAKOS 862 18WC 06266 CANELO, CARMEN J PROFESSIONAL PRESONNEL SE * 12/12/17 COVEN LAW GROUP 863 18WC 06321 SHULTAF, JAMAL AL BAWADI GRILL * 12/29/17 GALLAGHER, DONALD V 864 18WC 06357 HODOROWICZ, BRIANNA, DAUG BERKOT, LTD # * 01/29/18 JAMES H MILLER JR