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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 11WC 28532 SIMMONS, MICHAEL ELGIN MENTAL HEALTH CENTE @ 07/07/11 LUSAK & COBB ASSISTANT ATTORNEY GENERAL 15 11WC 34509 KOOP, RICHARD J CITY OF ELGIN 01/21/11 THOMAS W DUDA FRED J BEER LAW OFFICES 11WC034510 -C 16 11WC 38540 WESEMANN, TRUDY ELGIN MENTAL HEALTH CENTE 08/16/11 LEE, MARK N LAW OFFICE ASST ATTY GENERAL 17 11WC 46369 FOLLMAN, ROBERT ILLINOIS DEPT OF HUMAN SR @ 03/03/10 GOLDBERG WEISMAN & CAIRO L COLIN KICKLIGHTER 18 11WC 48880 GARNICA, GREGORIO CREATIVE ELECTRONICS AND 09/12/11 LAW OFFICES PETER LEKAS HOLECEK & ASSOCIATES 17WC008678 -C 19 12WC 00293 SEE, SHARON COMPREHENSIVE UROLOGICAL 06/14/11 MARSZALEK AND MARSZALEK LAW OFFICES JOSEPH MARCINIAK 12WC032649 -C 20 12WC 09201 SANTOS, FIDEL ULTIMATE CAR WASH W 01/31/12 GOLDSTEIN BENDER & ROMANOF FRED J BEER LAW OFFICES 12WC030883 -C 21 12WC 10268 RASHEED, MOHAMMED BP AMOCO 01/28/12 LAW OFFICES OF 22 12WC 13868 BUSH, MARILYN ELGIN MENTAL HEALTH FACIL 11/22/11 HORWITZ HORWITZ & ASSOC 12WC013869 -C 13WC032286 -C 14WC027099 -C 23 12WC 20503 SMITH, LATOYA COMPUTER SYSTEMS INSTITUT 04/26/12 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 24 12WC 22647 RAMOS, JOSE ISIDORO JOHN B SANFILIPPO & SON, 03/08/12 VRDOLYAK LAW GROUP LLC SLAVIN & SLAVIN 25 12WC 25446 DEMIERRE, RICK ELGIN POLICE DEPARTMENT 12/17/11 MURPHY & MURPHY FRED J BEER LAW OFFICES 15WC021342 -C CITY OF ELGIN & ELGIN POLI 26 12WC 31030 ZURBA, JETT G ILLINOIS BELL 03/28/12 MEYER & BLUMENSHINE LAW OF HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 27 12WC 31998 YUCAITIS, WILLIAM CITY OF ELGIN 08/21/12 LAW OFFICES DANIEL E MURPH FRED J BEER LAW OFFICES 28 12WC 40228 DAVIS, STEPHANE GRAND VICTORIA CASINO 10/06/12 BRISKMAN BRISKMAN GREENBER CLAUSEN MILLER PC 12WC040229 -C 29 13WC 01651 SWANIGAN, CAROLYN SYNERGY STAFFING 11/16/11 MARSZALEK AND MARSZALEK 30 13WC 04198 MARSHALL, GERTRUDE CHASE CARD SERVICES 11/21/12 THOMAS J STIBERTH LAW OFFI NYHAN BAMBRICK KINZIE & LOWR 31 13WC 09286 BALDWIN, YOLANDA ELGIN MENTAL HEALTH CENTE 11/14/12 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 32 13WC 09319 LATINA, KAREN COMMUNITY UNIT SCHOOL DIS 08/15/12 POLANSKY & CICHON CHTD WIEDNER & MCAULIFFE LTD 13WC009320 -C 33 13WC 12942 PARK, LINDA ELGIN SCHOOL DIST U-46 02/13/13 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 34 13WC 14163 SALEM, AHMAD BALL AEROSOL & SPECIALTY 09/14/12 LAW OFFICE EDWARD LICHTENS NYHAN BAMBRICK KINZIE & LOWR 35 13WC 17770 LARA, MARITA ST OF IL DEPT OF HUMAN SE @ 04/11/13 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 36 13WC 18774 19B ARCEGA, DAVID S 4 INDUSTRIES INC 04/27/13 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 37 13WC 19284 HERNANDEZ, JAVIER OPTIMUM GRANITE & MARBLE 04/29/13 LUIS A ACEVES & ASSOC 38 13WC 26392 SANCHEZ, DEBBIE AIRLIANCE MATERIALS 03/12/13 PORRO NIERMANN LAW GROUP COZZI & GOGGIN-WARD 39 13WC 28692 SETZER, MARK EAST DUNDEE FIRE DEPARTME 06/14/12 MURPHY & MURPHY ANCEL GLINK DIAMOND BUSH & E 13WC028693 -C 40 13WC 29299 YI, HAE KYUNG SWEET NAILS INC 05/22/13 LAW OFFICES OF ANSELMO DUR 41 13WC 29313 SANCHEZ, MARIA I OTTO ENGINEERING 06/28/13 MARTIN V KUGIA GRANT & FANNING 15WC019106 -C 15WC019107 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 42 13WC 32816 FORTIN, CHERIF CITY OF ELGIN 02/25/12 SCHWARTZ, KENNETH L FRED J BEER LAW OFFICES 13WC032817 -C 43 13WC 32856 SALMERON, FRANCISCO DUNDEE TOWNSHIP PARK DIST 01/31/13 ALBERT R. PINO LAW OFFICE GAROFALO SCHREIBER STORM 13WC033911 -C 44 13WC 34231 JIMENEZ, DE LOS ANGELES M PRONTO HELP INC 09/09/13 KENNETH B GORE, LTD POWER & CRONIN LTD 45 13WC 34486 SHELBY, TAROL ELGIN MENTAL HEALTH CTR @ 09/21/13 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 46 13WC 35388 CHRISTIANSEN, BARBARA ELGIN MENTAL HEALTH CENTE 05/27/12 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 47 14WC 01109 DELLI, THOMAS ESTES EXPRESS LINES 11/13/13 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 48 14WC 04093 LEGG, ROSARIO NORTHGATE TECHNOLOGIES IN 07/20/12 LEONARD LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 14WC004094 -C 16WC031804 -C 49 14WC 04687 MORALES, PABLO BROINQUEN LLC 01/16/14 GOLDSTEIN BENDER & ROMANOF POULOS & DIBENEDETTO LAW 50 14WC 08946 GARZA, MIGUEL III BROADWAY TIRE W 12/12/13 COLLISON LAW OFFICES BOTTO GILBERT 51 14WC 11006 ROAKE, CINDY PRESENCE ST JOSEPHS 09/15/11 PORRO NIERMANN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 52 14WC 17122 SHREWSBERRY, CHARLES JEWEL OSCO 04/21/14 HANNIGAN & BOTHA, LTD QUINTAIROS PRIETO WOOD & BOY 53 14WC 21771 LABELLA, NICHOLAS BIMBO BAKERIES USA 06/10/14 MINKOW DOMIN 54 14WC 23534 ROMERO, SANTIAGO JTW CLEANING INC 12/24/13 ARGIONIS & ASSOCIATES LLC GANAN & SHAPIRO 55 14WC 23685 NEMETH, DAVID UPS 02/19/13 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 56 14WC 24082 VALENTINE, JAMES H MEYER MATERIAL CO. INC. 04/01/14 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 57 14WC 24393 SEIPP, KYLE M MEINKE CAR CARE CENTER 06/27/14 LEAHY, JAMES P EDWARD JANUSZKIEWICZ 14WC035858 -C MEINEKE ECONO LUBE CAR CO 58 14WC 26377 ARGUELLO, ANGELINA METRO STAFF INC 03/18/14 EPSTEIN, JACK R LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 59 14WC 30137 SILVERN, SHERRY ILLINOIS STATE @ 04/02/13 FRED J BEER LAW OFFICES C. FLETCHER 60 14WC 30963 JUAREZ, ELISA ACCURATE PERSONNEL 09/04/14 JOHN S. ELIASIK GRANT & FANNING 14WC030964 -C 61 14WC 31003 CORDERO RIOS, CARLOS REVCOR 08/17/13 RAYMOND M SIMARD, PC NYHAN BAMBRICK KINZIE & LOWR 15WC019960 -C 62 14WC 33839 RAHMAN, SYAED JOHN B SANFILIPO & SONS I 08/14/14 LAW OFFICES PETER LEKAS COZZI & GOGGIN-WARD 63 14WC 34587 ISAACSON, KRISTA ANIMAL CLINIC OF SOUTH EL 08/21/14 THOMAS J STIBERTH LAW OFFI LAW OFFICES JOSEPH MARCINIAK 64 14WC 35210 LEVI, ALON ALLWAYS MOVING & STORAGE 07/07/14 BLOCK, KLUKAS & MANZELLA P BERNAT & BERNAT PC 65 14WC 36126 RICO, CELIA LABOR POWER STAFFING 05/30/14 HORWITZ HORWITZ & ASSOC 66 14WC 36928 MARTINEZ, PABLO METRO STAFFING 03/12/14 JOHN S. ELIASIK 67 14WC 37924 BARBER, SERRA DHS ELGIN MENTAL HEALTH C @ 08/11/14 LEE, MARK N LAW OFFICE C. FLETCHER 68 14WC 38512 CATENAZZO, GERIANN TACO BELL 01/01/14 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 16WC018086 -C 69 14WC 39275 ORDONEZ, ISABELITA PRESCENCE SAINT 08/04/14 CANDIANO LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 70 14WC 39547 ZWEIG, BRIAN CITY OF ELGIN 11/16/14 MEYERS & FLOWERS FRED J BEER LAW OFFICES 71 14WC 41622 PEREZ, MARIA JUST IN TIME 11/10/14 JAMES ELLIS GUMBINER & ASS SCOPELITIS GARVIN LIGHT 72 14WC 42183 DIAZ, RICHARD HYDROX LABORATORIES 10/28/14 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 73 14WC 42736 HEREDIA, JORGELINA CHEMTECH PLASTICS INC 07/15/14 HANNIGAN & BOTHA, LTD RODDY LAW LTD 74 15WC 00511 SCHULTE, JEFF PRAIRIE MATERIAL 08/06/14 TURNER & SACKETT LLC GAROFALO SCHREIBER STORM 019 15WC003634 -C 019 15WC003669 -C 75 15WC 01905 CASIO, JOSE ANGEL HUNZINGER WILLIAMS INC 10/17/13 ROSS J HELFAND 76 15WC 03114 GONZALEZ, WILSON WALMART 11/26/14 RAYMOND M SIMARD, PC WIEDNER & MCAULIFFE LTD 77 15WC 03289 RODRIGUEZ, CLEMENCIA SCHOOL DISTRICT U-46 11/14/14 LAW OFFICES DANIEL E MURPH NYHAN BAMBRICK KINZIE & LOWR 78 15WC 03854 ORTEGA, FRANCISCO SOSA ELGIN COUNTRY CLUB DBA QB 06/15/14 PARENTE & NOREM PC 79 15WC 03985 SOBERANO, ROBERTO CITY OF ELGIN/ELGIN POLIC 10/05/14 MURPHY & MURPHY FRED J BEER LAW OFFICES 15WC003986 -C 15WC032230 -C 80 15WC 04620 PORTALATIN, MARCOS M VETERANS DISTRIBUTION 03/15/14 HUGHES SOCOL PIERS RESNICK INMAN & FITZGIBBONS 15WC004853 -C 81 15WC 05790 MARTINEZ, GUADALUPE M JOHN B SANFILLIPO & SONS 07/24/14 PORRO NIERMANN LAW GROUP COZZI & GOGGIN-WARD 82 15WC 06451 PRCHAL, CRAIG WALGREEN'S 12/15/13 CORBOY & DEMETRIO PC GILDEA & COGHLAN 83 15WC 06543 CRAIG, AMY ADVOCATE SHERMAN OUTPATIE 09/09/14 MEYERS & FLOWERS GAROFALO SCHREIBER STORM 84 15WC 07204 GRACE, SCHUBERT JEREL PERFECT HOME SERVICES 07/31/13 AMATO SHEEN & MAJER RODDY LAW LTD 85 15WC 08158 BUMGARNER, STACI PRESENCE ST JOSEPH HOSPIT 07/29/14 LAW OFFICES MICHAEL HELLMA NYHAN BAMBRICK KINZIE & LOWR 86 15WC 09474 JARQUIN, ANDRES TAQUERIA LOS COMALES 12/10/14 JONATHAN SCHLACK GANAN & SHAPIRO 87 15WC 10627 GONZALEZ, MARIA MCDONALDS 01/07/14 MARTIN V KUGIA BRADY CONNOLLY & MASUDA PC 88 15WC 11709 HERRERA, JESSICA ARAMARK 01/12/15 THOMAS J STIBERTH LAW OFFI WIEDNER & MCAULIFFE LTD 89 15WC 12723 ALRASHEEDY, GILDA C ELGIN MENTAL HEALTH CENTE 08/23/14 THE FITZ LAW GROUP ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 90 15WC 13127 ORTEGA, FRANCISCO SOSA ELGIN COUNTRY CLUB 08/15/14 SALK, STEVEN B & ASSOC LTD RIPES NELSON BAGGOT KALOBRAT 91 15WC 14988 REYERS, MARIO ITW PASLODE 10/30/14 HANNIGAN & BOTHA, LTD 92 15WC 15904 DELLI-PIPIA, VICTORIA ALDI 05/08/15 JOHNSON, MICHAEL D & ASSOC MACIOROWSKI SACKMANN & ULRIC 93 15WC 19414 MACIAS, RIGOBERTO DEO-TEK 05/14/15 JOHN S. ELIASIK ROBERT L. SMITH 94 15WC 19435 LODGE, MICHAEL CLIFF R LATHROP 11/17/14 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 95 15WC 20327 ESCONNETRIAS, ANGELA ACCURATE PERSONNEL STAFFI 05/20/15 PARENTE & NOREM PC MC ANDREWS & NORGLE LLC 96 15WC 20803 RIVERA, CRISTIAN AMERICAN NTN BEARING MFG 05/11/15 ANKIN LAW OFFICE 15WC020804 -C 15WC020805 -C 97 15WC 23789 AURELIO, ALESSANDRO AURELIO SERVICES, INC. 06/29/15 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 98 15WC 23978 SANABRIA, RAUL VILLAGE DISCOUNT OUTLET I 05/13/15 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 99 15WC 24113 AGUIRRE, OLIVIA KWIK FIX LUBE 08/19/13 LAW OFFICES JOSEPH MARCINIAK 100 15WC 24719 BERAN, TODD ALLSCAPE, INC. 06/09/15 DAVID J. BAWCUM LAW OFFICES JOSEPH MARCINIAK 101 15WC 25092 RODRIGUEZ, MARIA CAPSONIC GROUP, INC. 06/10/15 LAW OFFICE OF SCOTT B SHAP GRANT & FANNING 102 15WC 25307 CHAVEZ, FELIPE TWO HANDS GENL CONTRACTOR W 10/09/14 BOTTO GILBERT LAW OFFICE ROBERTO ACEVEDO 103 15WC 25514 MAJID, DURE ELGIN MENTAL HEALTH CENTE @ 05/15/15 STELZMAN, RUTH ASSISTANT ATTORNEY GENERAL 104 15WC 26070 GARCIA, FRED JR. DC TAYLOR ROOFING 07/20/15 ANKIN LAW OFFICE GRANT & FANNING 105 15WC 26297 ASHFORD, RICHARD TONY BROWN TRUCKING 08/23/14 LAW OFFICE OF SCOTT B SHAP WARD MURRAY PACE & JOHNSON P 106 15WC 27287 CRNCEVIC, DRAGOLJUB GATEWAY INDUSTRIAL POWER 07/01/15 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 107 15WC 27794 CHAVEZ, IRMA SWEETS AND MORE CO 02/26/15 MC HARGUE, JAMES P LAW OFF KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 108 15WC 28173 AVILA, RAUL MIDDLEBY MARSHALL 06/01/15 MARTIN V KUGIA 109 15WC 29640 BEKERIS, ERIC CITY OF ELGIN FIRE DEPT 06/21/15 ANGELINI & ORI LLC FRED J BEER LAW OFFICES 110 15WC 29801 NOA, DAMIAN LINERS OPERATOR 07/28/15 THE ROMAKER LAW FIRM MC ANDREWS & NORGLE LLC 111 15WC 30507 JENSEN, STEVEN FED EX 06/03/15 MARTIN V KUGIA HANSON LAW OFFICE 112 15WC 32424 LOPEZ, ALFONSO LINERS DIRECT 12/13/13 LAW OFFICE OF JAMES URTIS 113 15WC 33747 PADILLA, MICHEL HORIZON CARPENTRY INC 09/14/15 CAPRON & AVGERINOS PC RODDY LAW LTD 114 15WC 36746 THOMAS, GREGORY JR PSAV 10/22/15 DWORKIN AND MACIARIELLO 115 15WC 37950 ERVIN, LAWRENCE KRAEMER OF NO AMERICA 10/06/15 LAW OFFICE OF SCOTT B SHAP CHILTON YAMBERT PORTER LLP 116 15WC 41185 NAVARRO, IMELDA TCF NATL BANK 09/13/15 DISPARTI LAW GROUP PA GAROFALO SCHREIBER STORM 117 15WC 41202 VELEZ, HUGO METRO STAFF INC 12/07/15 ENCINAS & ORNELAS FRANCIS J DISCIPIO LAW OFFIC 118 15WC 41658 GARRAMONE, ROBERT THE POOL SPECIALIST 06/23/15 LAW OFFICE MATHYS& SCHNEID 119 16WC 00517 KENSELLA, MICHAEL TOWER WORKS INC 10/13/15 MEYERS & FLOWERS WOLF LAW LTD 120 16WC 01038 WOODS, MICHAEL LABOR NETWORK INC 12/23/15 ANKIN LAW OFFICE ROBERT L. SMITH 121 16WC 01176 19B FRAZIER, WILLIAM B&F CONSTRUCTION CODE SER 11/12/15 COLLISON LAW OFFICES RODDY LAW LTD 122 16WC 01459 SALAZAR, FERNANDO ESTES EXPRESS LINES 07/28/15 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 123 16WC 01516 COOPER, JEFF VILLAGE OF SOUTH ELGIN/SO 11/25/15 MURPHY & MURPHY 124 16WC 01569 LOVITZ, JOHN FOSTER PREMIER, INC 11/15/15 MEYERS & FLOWERS HOLECEK & ASSOCIATES 125 16WC 01951 APKING, TERRI ROSELLE ACE HARDWARE 06/04/15 ROBERT H HANAFORD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 126 16WC 02027 LOPEZ, ESPERANZA ELITE STAFFING INC 08/28/15 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 127 16WC 03789 TONYAN, PAMELA SCHOOL DISTRICT U-46 09/02/14 PORRO NIERMANN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 128 16WC 04346 VEGA, JANET LINDSTROM METRIC LLC 01/05/16 WITTENBERG DOUGHERTY MAGLI HOLECEK & ASSOCIATES 129 16WC 04584 SALAZAR, ALEX AMERICAN NTN BEARING 01/25/16 FICHERA & MILLER 130 16WC 05332 SCRUGGS, DARRYL CREATIVE RESOURCE PERSONN 01/13/16 MARC J SHUMAN & ASSOCIATES ROBERT L. SMITH 131 16WC 05723 KENNEDY, GERALD KAWNEER 01/19/16 RIDGE & DOWNES GAROFALO SCHREIBER STORM 132 16WC 06173 MARTIN, CHRISTOPHER M STEAK N SHAKE INC 12/23/15 MAGNUSON, LAWRENCE K, PC KLAUKE LAW GROUP LLC 133 16WC 06697 MARTINEZ, FRANCISCO QUALITY TEMPERM, INC 03/07/13 LULAY LAW OFFICES HENNESSY & ROACH PC 134 16WC 07557 LOPEZ, TERESA HIGHLAND OAKS 01/07/16 THOMAS J STIBERTH LAW OFFI GALLIANI DOELL & COZZI LTD 135 16WC 08518 ZEPEDA, JUAN C COPENHAVER CONSTRUCTION I 02/26/16 MEYERS & FLOWERS LAW OFFICES OF EDWARD J. KOZ 136 16WC 09443 SMITH, VERONICA ELGIN MENTAL HEALTH CENTE @ 03/02/16 PORRO NIERMANN LAW GROUP ASSISTANT ATTORNEY GENERAL 137 16WC 10035 KOEHNKE, STEVE JEW FOR JESUS 06/10/14 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 138 16WC 10049 FILIPE, JUAN MARTA J SANCHEZ CONSTRUCT 02/01/16 BERNAT & BERNAT PC COZZI & GOGGIN-WARD 139 16WC 10379 LAURANCHET, MIGUEL A ELGIN FRESH MARKETS 09/21/15 DISPARTI LAW GROUP PA GANAN & SHAPIRO 140 16WC 11024 PERCLE, ANDREW WOODMARK LLC 12/21/15 COMPTON LAW GROUP ACCIDENT FUND HOLDINGS 141 16WC 11351 RAMIREZ, ANA SHERMAN HOSPITAL 04/01/15 GAROFALO SCHREIBER STORM 142 16WC 11787 GREENLEE, WILLIAM VILLAGE OF SOUTH ELGIN 07/01/15 HANNIGAN & BOTHA, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 143 16WC 12337 ROBLES, MARK GLEN ELLYN STORAGE 02/20/16 LAW OFFICE OF KEVIN O'BRIE HENNESSY & ROACH PC 144 16WC 13187 LOCASCIO, SALVINA BUTERA FINER FOODS 01/01/15 LAW OFFICE OF SCOTT B SHAP CHILTON YAMBERT PORTER LLP 16WC013185 -C 16WC013186 -C 145 16WC 13461 DIAZ, GABRIELA THE AGENCY STAFFING 10/29/14 JONATHAN SCHLACK WOLF LAW LTD 146 16WC 14184 SOTEROS, CHRIST ILLINOIS TOLLWAY 03/09/16 LEE, MARK N LAW OFFICE GANAN & SHAPIRO 147 16WC 14693 MCGUIRE, LAURA SIEMANS INDUSTRY, INC. 11/03/14 CZAPLA LAW 148 16WC 15369 ANDERSON, CAROLYN ADVOCATE SHERMAN WEST COU 05/09/16 DWORKIN AND MACIARIELLO 149 16WC 15549 DAVENPORT, GINA ESPOSITO SUPERVALV, INC 12/24/12 VENIT, STEVEN L 150 16WC 16436 HEDERA, JAMES BURKE JIM EXCAVATING INC 04/10/16 DWORKIN AND MACIARIELLO LOSS & PAVONE 151 16WC 17150 HANKS, RICHARD W CITY OF ELGIN 03/28/16 THOMAS W DUDA FRED J BEER LAW OFFICES 16WC017151 -C 152 16WC 17944 MORALES, MARIA ANTONIA JOHN B SANFILIPPO 04/05/16 BOTTO GILBERT COZZI & GOGGIN-WARD 153 16WC 18146 JOHNSON, KEEDA ST OF IL DEPT OF ELGIN ME 05/21/14 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 154 16WC 18933 CLAUSSNER, SHEILA ADVOCATE SHERMAN HOSPITAL 10/02/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 155 16WC 18996 GUERRERO, MARIA ELGIN INDUSTRIES INC 10/27/14 LAW OFFICE ROBERTO ACEVEDO 156 16WC 19200 CARDONA, BEATRIZ BOYS & GIRLS CLUB OF ELGI 05/19/16 LEE COLEMAN WIEDNER & MCAULIFFE LTD 157 16WC 20332 GARCIA, GABRIEL HOME PROPERTIES/LIGHTHOUS 05/21/16 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 158 16WC 20747 SOTO, LORENA MANPOWER 05/13/16 HART & DAVID LLP BRADY CONNOLLY & MASUDA PC 159 16WC 21075 FRAZEN, KEITH SHAW INDUSTRIES 05/26/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 160 16WC 21870 PIMENTEL, ALICIA ACCURATE PERSONNEL, LLC 04/20/16 SALK, STEVEN B & ASSOC LTD RODDY LAW LTD 161 16WC 22568 RAMIREZ, OBER ELGIN MENTAL HEALTH CENTE 06/12/16 BLACK & JONES ASSISTANT ATTY GENERAL 162 16WC 22624 PACHECO, GENARO LINERS DIRECT 06/10/16 ANKIN LAW OFFICE ROSARIO CIBELLA 163 16WC 23015 BALDWIN, ABBY ADVOCATE SHERMAN HOSPITAL 07/14/16 RIDGE & DOWNES GAROFALO SCHREIBER STORM 16WC023016 -C 164 16WC 23151 DUCHESNE, MATTHEW S ADVANCE ENGINEERING CORP 02/29/16 LEAHY, JAMES P 165 16WC 23905 CEBALLOS, GERARDO SUPERIOR CONTRACTING CORP 07/24/14 PORRO NIERMANN LAW GROUP INMAN & FITZGIBBONS 166 16WC 24654 BADILLO, DELIA CALIFORNIA PIZZA KITCHEN 07/30/16 CHEPOV & SCOTT LLC GRANT & FANNING 16WC024655 -C 16WC024656 -C 16WC024657 -C 167 16WC 24823 HERNANDEZ, FRANCISCO W ILLINOIS DEPT OF TRNSPORT @ 04/12/16 WILLIAMS, ROBERT B LAW OFF ASSISTANT ATTORNEY GENERAL 168 16WC 24996 ALDERSON, TYRONE METRO STAFF INCORPORATED 07/14/16 COMPTON LAW GROUP 169 16WC 25353 PENA, LAURENCIO HAGG PRESS, INC. 07/30/16 COVEN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 170 16WC 26047 RUSTAY, JONATHAN CITY OF ELGIN 12/16/14 MEYERS & FLOWERS FRED J BEER LAW OFFICES 171 16WC 26054 GUTIERREZ, CORA JEWEL SOUTH ELGIN 01/11/16 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 172 16WC 26240 GREGORY, DAVID ELGIN MENTAL HEALTH CENTE @ 07/05/16 PORRO NIERMANN LAW GROUP ASSISTANT ATTORNEY GENERAL 173 16WC 26619 RUSH, MARK RIGHT AT HOME 02/19/15 JONATHAN SCHLACK 174 16WC 27875 ALVARADO, JAIME TORRES JOHN B. SANFILIPPO & SON, 01/25/16 ARIANO HARDY NYULI JOHHSON COZZI & GOGGIN-WARD 175 16WC 28138 LYDON, FAYTH TED ROOD D/B/A COUNTRY DO 05/10/16 TURNER & SACKETT LLC WIEDNER & MCAULIFFE LTD 176 16WC 28745 LAMBAREN, CARMEN ELGIN SCHOOL DISTRICT U-4 06/03/15 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 177 16WC 29016 GOLTZ, JOSHUA D REINHART & FOODSERVICE LL 07/07/16 COHN LAMBERT RYAN & SCHNEI MC CABE & HOGAN 178 16WC 29775 VO, TRUNG BENESIS INCORP 06/06/16 MILLON & PESKIN LTD LAW OFFICES JOSEPH MARCINIAK 179 16WC 30241 RIVERA, JULIA CUSTOM ALUMINUM PRODUCTS 07/11/16 JONATHAN SCHLACK 180 16WC 30474 FERNANDEZ, GREGORIO J A ADVANCED ROOFING & WOODWO 06/30/16 THE FITZ LAW GROUP GAROFALO SCHREIBER STORM 181 16WC 30699 HERNANDEZ, FERNANDO MINUTEMAN INTERNATIONAL 05/16/16 MILLON & PESKIN LTD 182 16WC 30704 LEGORRETA, TOMAS COBRA METALWORKS 07/21/15 JONATHAN SCHLACK 183 16WC 30988 SEALS, COLLETTA D DURHAM D&M LLC 09/08/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 184 16WC 31097 OLVERA, JUAN M LABOR NETWORK 07/29/16 MARTIN V KUGIA 185 16WC 31266 AYALA-PEREZ, ALEX METRO STAFF, INC 09/17/16 COSTA IVONE LLC FRANCIS J DISCIPIO LAW OFFIC 186 16WC 31620 PALESTINA, JOSE BOS 05/19/16 FOOTE MIELKE CHAVEZ & O'NE 187 16WC 32114 ARCHULETA, JOSE FIRST PRIORITY 10/16/15 WOODRUFF & JOHNSON 188 16WC 32432 ESTRADA, LUCIO WORLD PAC 06/09/16 FIGLIOLI, DAVID 189 16WC 32710 BERNAL, RAFAEL SCHOOL DISTRICT 300 09/30/16 NEWLAND & NEWLAND NYHAN BAMBRICK KINZIE & LOWR 190 16WC 32908 CASTREJON, IGNACIO KRISDEE & ASSOCIATES INC 01/22/16 GESMER LAW OFFICES, PC BRADY CONNOLLY & MASUDA PC 191 16WC 33039 JOHNSON SR., WILLIAM L SKF BEARINGS 11/21/13 ELFENBAUM EVERS & AMARILIO 192 16WC 33106 WYATT-SAMUELS, SHANESE ELGIN MENTAL HEALTH CENTE @ 09/03/16 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 193 16WC 33252 JOOST, ANITA R COSMOPROF BEAUTY SUPPLY 06/14/16 TURNER & SACKETT LLC HARRIS DOWELL FISHER & HARRI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 16WC 33514 PEARSON, DEAN GRAPHIC ARTS STUDIOS 10/20/16 LAW OFFICE OF SCOTT B SHAP 195 16WC 34006 TOLEDO, OSCAR BOX PARTNERS, LLC 10/25/16 COSTA IVONE LLC KEEFE CAMPBELL & ASSOC LLC 17WC018814 -C 196 16WC 34760 ELLISON, DIANE JEWEL FOOD STORES 06/21/16 KROL BONGIORNO & GIVEN LTD QUINTAIROS PRIETO WOOD & BOY 197 16WC 35297 VAN ACKER, LUIS ASAP GARAGE DOOR REPAIR I 10/25/16 LANNON LANNON & BARR LTD WOLFE & JACOBSON, LTD 198 16WC 35340 LOPEZ, ZOZIMO CRUZ BREEN LAMDSCAPING IN 06/28/16 MC HARGUE, JAMES P LAW OFF GAROFALO SCHREIBER STORM 199 16WC 35534 MILLER, CONNIE F NTN BEARING CORP OF AMERI 10/19/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 200 16WC 35643 RIVERA, BENJAMIN ELGIN SWEEPER COMPANY 06/10/16 LAW OFFICE OF SCOTT B SHAP 201 16WC 35839 WEHRHEIM, DARREN POMPILIO TRUCKING, INC 04/01/16 TARADASH LAW OFFICE 202 16WC 36570 OLVERA, MARTHA COMMUNICATIONS TEST DESIG 09/07/16 LAW OFFICE DAVID W CLARK ROSARIO CIBELLA 203 16WC 38196 GUAMAN, CARMELO M&M CONSTRUCTION & DEVELO 10/27/16 FIGLIOLI, DAVID GAROFALO SCHREIBER STORM 204 16WC 38758 ALBERT, STEPHEN CONSOLIDATED GRAIN AND 10/26/16 LEE, MARK N LAW OFFICE CAPUANI & SCHNEIDER 205 16WC 38798 GONZALEZ, JORGE TREJO CROSS PERSONNEL 05/28/16 HART & DAVID LLP ROBERT L. SMITH 206 17WC 00083 FAVIA, ROY METRO STAFF INC. 10/31/16 GESMER LAW OFFICES, PC FRANCIS J DISCIPIO LAW OFFIC 207 17WC 01669 NELSON, FLOYD LARSON-JUHL 10/10/16 BURNETT & CARON, LTD 208 17WC 01803 JENSEN, STEVEN FED EX 12/12/16 MARTIN V KUGIA 209 17WC 01942 SHEAHAN, THERESA LRS HEALTHCARE 01/10/17 TURNER & SACKETT LLC 210 17WC 02338 CONAWAY, JAMES ARTHUR SCHUMAN INC 01/18/17 STROM, NEAL B COZZI & GOGGIN-WARD 211 17WC 02428 GARCIA, MARIA R METRO STAFF, INC 04/07/16 STEPHEN G PINTO LTD FRANCIS J DISCIPIO LAW OFFIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 17WC 02874 WOLF, SCOTT VILLAGE OF LAGRANGE 01/18/17 TURCYCHUTE LLC 213 17WC 03474 SAMAYON, JOEL ELECTI-FLEX COMPANY 07/21/16 JAMES J. GAY 214 17WC 03657 ANDRADE TORRES, ANA RUTH ROSELLE MOTORS INC 11/01/16 EPSTEIN, JACK R LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 215 17WC 03808 SZEWCZYK, BOHDAN (DANIEL) ELGIN MENTAL HEALTH CENTE 01/04/17 ROBBINS & ROBBINS LTD ASSISTANT ATTORNEY GENERAL 216 17WC 04142 TORRES, GERARDO JESUS MASTER MOLDED 04/18/16 LAW OFFICE RICHARD BINGHAM COZZI & GOGGIN-WARD 217 17WC 04631 CARBAJAL, ROBERTO PRONTO HELP, INC. 01/17/17 LAW OFFICE EDWARD RUEDA WOLF LAW LTD 218 17WC 05079 ROJO, MARIA C JPMORGAN CHASE 01/03/17 FOOTE MIELKE CHAVEZ & O'NE GILDEA & COGHLAN 219 17WC 05594 VANNESS, ROBERT A SPEEDWAY 07/07/14 FRANKS, GERKIN & MCKENNA P KEEFE CAMPBELL & ASSOC LLC 220 17WC 06081 RAMIREZ SLIWINSKI, LINDA US ONCOLOGY 11/17/16 FOOTE MIELKE CHAVEZ & O'NE 221 17WC 06212 BARTON, ANDREW ALL-AROUND MAINTENANCE, I 12/11/15 FLECK & MEYERS PA 222 17WC 06799 FARNIN, JOSEPH CITY OF ELGIN 12/18/16 STROM, NEAL B FRED J BEER LAW OFFICES 223 17WC 06888 BARRERA, EDUARDO SOURCE ONE STAFFING INC 02/03/17 LAW OFFICE EDWARD RUEDA ROBERT L. SMITH 224 17WC 07181 RILEY, HEATHER TOI STATE OF IL/DEPT OF HS @ 03/03/17 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 225 17WC 07309 KERSTEIN, RON BUSCH LLC SVC CTR ILLINOI 03/01/17 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 226 17WC 07620 SOSTRE, JOSEPH CITY OF ELGIN POLICE DEPT 02/22/17 TURNER & SACKETT LLC FRED J BEER LAW OFFICES 227 17WC 07715 MERCADO, OTILIA OTTO ENGINEERING INC 01/17/17 COSTA IVONE LLC GRANT & FANNING 228 17WC 07887 KLIMA, PATRICIA WALMART 04/29/15 PORRO NIERMANN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 229 17WC 08171 ROSS, LEAH ELGIN COUNTY CLUB 05/08/16 COLLISON LAW OFFICES NOBLE & ASSOCIATES PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 230 17WC 08250 INIGUEZ, GUADALUPE BIG LOTS 04/01/15 MARTIN V KUGIA 231 17WC 08372 BROWN, TIFFANY SCHOOL DISTRICT U46 03/14/17 RANDALL A. WOLFF & ASSOC NYHAN BAMBRICK KINZIE & LOWR 232 17WC 08787 HEGER, JOHN SHAW INDUSTRIES 02/01/17 KREITER, BYCK & ASSOC LLP 233 17WC 08952 SELVICK, JACQUE SCHOOL DISTRICT U46 10/03/16 ROMANEK & ROMANEK NYHAN BAMBRICK KINZIE & LOWR 234 17WC 09346 HASIL, STACEY SLOAN DELIVERY, INC 12/22/16 BOUDREAU NISIVACO LLC KNELL & O'CONNOR 235 17WC 09469 ULLAH, SABGHAT BARTON STAFFING 12/28/16 MARTIN V KUGIA SLAVIN & SLAVIN 236 17WC 09699 THORSON, ALAN STAMAT PACKAGING 09/28/16 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 237 17WC 11104 MEDINA, FRANCISCO JOHN B SANFILIPPO & SON 01/18/17 SCOTT BARBER SLAVIN & SLAVIN 238 17WC 11502 NELSON, STUART CITY OF ELGIN 04/05/17 KROL BONGIORNO & GIVEN LTD FRED J BEER LAW OFFICES 239 17WC 11614 KRIEGER, CAROL QCSS, INC A FOREIGN CORP, 03/30/17 BRIAN J MC MANUS & ASSOC, LAW OFFICES OF EDWARD J. KOZ 240 17WC 12436 MORRIS, JOHN GRAND VICTORIA CASINO 12/06/16 LAW OFFICE OF SCOTT B SHAP 241 17WC 12448 BALL, DENICE PRESENCE ST JOSEPHS HOSPI 10/24/16 LULAY LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 242 17WC 13379 PULIDO, JESUS GENERAL SERVO & SPINDLE M 04/27/16 LEONARD LAW GROUP LLC 243 17WC 13936 TONTILLO, ANTHONY GORDON FOOD SERVICES 09/08/16 BRAD J. BALKE, PC GANAN & SHAPIRO 244 17WC 14037 CINTORA, SALVADOR PERFORMANCE STAMPING CO 04/24/17 BOTTO GILBERT 245 17WC 14389 SPLINTER, JACLYN JP MORGAN CHASE & COMPANY 11/27/16 EVAN A HUGHES LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 246 17WC 14743 PEREZ, SANDRA SCHOOL DISTRICT U46 03/13/17 LAW OFFICE OF SCOTT B SHAP 247 17WC 14928 GARZA, JOSE SOURCE ONE STAFFING 04/28/17 ANGELINI & ORI LLC ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 17WC 15211 JANIS, DEBORAH CANON SOLUTIONS AMERICA 06/08/15 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC 249 17WC 15353 SWITZER, DAVID L FOWLER TREE SUGERY, INC. 04/21/17 ANKIN LAW OFFICE 250 17WC 15496 BIESZKA, JENNIFER L MECHANICAL 24 INC 02/06/17 FIGLIOLI, DAVID 251 17WC 15684 KINNEY, SHAWN EBCO 05/23/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 252 17WC 16194 CLEARY, TAMMY ELGIN SD U-46 04/13/17 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 253 17WC 16228 VILLAGOMEZ, JUANA PROVEN PARTNERS MANUFACTU 05/10/17 LAW OFFICE EDWARD RUEDA 254 17WC 16556 PANARESE, CHRISTOPHER M LAFARGE AGGREGATES IL INC 06/01/17 GRAUER & KRIEGEL LLC GAROFALO SCHREIBER STORM 255 17WC 16953 MONJARAS, TERESA JUST IN TIME, LLC 06/01/17 ANGELINI & ORI LLC BRADY CONNOLLY & MASUDA PC 256 17WC 16977 SCIANNA, MICHAEL ELGIN SCHOOL DISTRICT U-4 05/09/17 TURNER & SACKETT LLC 257 17WC 17326 LOPEZ, MARY ADVOCATE SHERMAN HOSPITAL 02/18/17 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 258 17WC 17464 DASAKIS, EVAN TRAKTOR SUPPLY 05/25/17 NEWLAND & NEWLAND HENNESSY & ROACH PC 259 17WC 17655 LENT, GREG VAN RELIANCE TOOL & MANUFACTU 03/27/17 GARDI & HAUGHT GANAN & SHAPIRO 260 17WC 17800 SIMMONS, MICHAEL ELGIN MENTAL HEALTH CENTE 06/26/14 JOHN E LUSAK ASSISTANT ATTORNEY GENERAL 261 17WC 18017 BERGDAHL, DOUGLAS CITY OF ELGIN 04/20/17 FRANKS, GERKIN & MCKENNA P FRED J BEER LAW OFFICES 262 17WC 18265 TINAJERO, JOAQUINA DURHAM SCHOOL SERVICES 01/12/17 HEALY SCANLON LAW FIRM BRADY CONNOLLY & MASUDA PC 263 17WC 18328 MONTESINOS, PATRICIA METROSTAFF INC-LOANING 05/12/17 SALK, STEVEN B & ASSOC LTD 264 17WC 19081 LOPEZ, LETICIA METRO STAFFING INC 06/20/16 COSTA IVONE LLC 265 17WC 19270 MUELLER, CONNIE JEWEL * 07/13/14 TURNER & SACKETT LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 266 17WC 19276 PREWITT, DONALD EXPRESS EMPLOYMT PROFESSI * 05/24/17 BURNETT & CARON, LTD 267 17WC 19463 KULA, KRZYSTOF ART HEAVY HAUL, INC * 06/07/17 ALEKSY BELCHER 268 17WC 19489 MCMAHON, ERIC CITY OF ELGIN FIRE DEPT * 08/20/16 ANGELINI & ORI LLC FRED J BEER LAW OFFICES 269 17WC 19899 PAREDES, CIRILO ROSELLE CAR CARE CENTER, * 11/20/15 KARCHMAR & STONE 270 17WC 19988 ROSS, DEBRA SCHOOL DISTRICT U-46 * 08/24/16 MC HARGUE, JAMES P LAW OFF 271 17WC 20132 GOMEZ, LUZ SCHOOL DISTRICT U-46 * 09/26/16 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 272 17WC 20224 KIRCHWAY, ROGER S SHAW INDUSTRIES INC * 10/25/16 GOLDSTEIN BENDER & ROMANOF 273 17WC 20862 MONTES, EDWIN E JR. P & D RESTAURANTS, LTD.DB * 07/02/17 GANAN & SHAPIRO 274 17WC 20924 GRANDE, MARIO HORIZON CARPENTRY, INC * 02/17/17 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 275 17WC 21374 SMITH, WAYNE ELGIN FIRE DEPARTMENT * 08/10/16 THE ROMAKER LAW FIRM FRED J BEER LAW OFFICES 276 17WC 21481 WILSON, DUANE DURANGO CUSTOM BUILDERS * 06/05/17 LAW OFFICE OF SCOTT B SHAP 277 17WC 22201 ROBINSON, BRENDA DUNDEE PARK DISTRICT * 11/23/16 OWENS & LAUGHLIN LLC 278 17WC 22441 CAMPBELL, JANET TOP COVERAGE * 07/14/17 ANGELINI & ORI LLC INMAN & FITZGIBBONS 279 17WC 22633 CALLAHAN, DAVID CCUSD 301 * 05/15/17 COLLISON LAW OFFICES ROBERT L. SMITH 280 17WC 22883 GONZALEZ, JOSE MANUEL TRIM-RITE FOOD CORP * 10/06/16 RODDY LAW LTD 281 17WC 23055 PIERCE, JASON ADVANCED AUTOMOTIVE GRIND * 07/13/17 THOMAS J STIBERTH LAW OFFI HOLECEK & ASSOCIATES 282 17WC 23198 CORONA, SILVIA A TRIM-RITE FOOD CORPORATIO * 01/10/17 LAW OFFICE OF JAMES H MILL 283 17WC 23535 LANTERN, IRVIN PARKWAY FORMING, INC * 08/04/17 ANGELINI & ORI LLC WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 17WC 23702 TRIER, JOSHUA ELGIN CHRYSLER JEEP DODGE * 03/30/17 BERG & BERG 285 17WC 24012 STERN, LAUREL EXPRESS JET * 04/19/16 RUBENS AND KRESS QUINTAIROS PRIETO WOOD & BOY 17WC024013 -C 286 17WC 24474 SOSA, ANDRES METRO STAFF INC * 06/13/17 HERRERA LAW CENTER 287 17WC 24630 KAPFHAMMER, STEVEN VILLAGE OF ROSELLE * 04/09/17 THOMAS W DUDA 288 17WC 24770 MCCARTHY, MIKE CITY OF ELGIN * 08/01/16 LAW OFFICES DANIEL E MURPH FRED J BEER LAW OFFICES 289 17WC 24797 TESINSKY, CHRISTOPHER ELGIN MENTAL HEALTH CENTE @ * 08/14/17 PORRO NIERMANN LAW GROUP 290 17WC 24907 CASTRO, ARTURO TRIPLE H MULCH & FIREWOOD * 08/08/17 CULLEN HASKINS NICHOLSON DAVID M SPADA 291 17WC 25022 KRASOWSKI, JERZY BABBITTING SERVICE INC * 04/10/17 DEPAOLO ZADEIKIS GORE 292 17WC 25085 PLATA, JAYPEE PSAV * 07/31/17 DWORKIN AND MACIARIELLO 293 17WC 25464 SANCHEZ, ROSA CHILDRENS HOME AND AID * 11/15/16 DWORKIN AND MACIARIELLO 294 17WC 25518 NAVA, ANTONIO DYNACAST * 10/20/16 THOMAS J STIBERTH LAW OFFI LAW OFFICES JOSEPH MARCINIAK 295 17WC 25519 TERRY, KANEN CITY OF ELGIN FIRE DEPT * 02/14/17 THOMAS J STIBERTH LAW OFFI FRED J BEER LAW OFFICES 296 17WC 25655 MARTINEZ, MANUEL ARANA LINERS DIRECT * 10/07/16 JOHN S. ELIASIK GANAN & SHAPIRO 297 17WC 25898 JOHNSON, TERESA K PRESENCE ST JOSEPH HOSPIT * 08/19/16 ANKIN LAW OFFICE 298 17WC 26361 REPPY, JEFFREY RJ ONEIL INC * 06/27/17 ANKIN LAW OFFICE 299 17WC 26403 MCCAFFERY, JANE HOME DEPOT * 05/30/17 LANNON LANNON & BARR LTD MC ANDREWS & NORGLE LLC 300 17WC 26532 WHITE, NITA SCHOOL DISTRICT U-46 * 09/18/14 JOHN E LUSAK 301 17WC 26839 GARZA, SILVIA JUST IN TIME STAFFING * 08/27/17 HERRERA LAW CENTER BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 302 17WC 27111 BULINSKI, JOHN NATIONAL EXPRESS CORP * 07/05/17 FRED J BEER LAW OFFICES 303 17WC 27191 DRINIS, EVAGELOS FESTO CORPORATION * 12/05/16 BARRY STEWART SILVER 304 17WC 27710 MINYARD, MILLARD E-QUIP MANUFACTURING CO, * 08/02/17 HORWITZ HORWITZ & ASSOC 305 17WC 28117 MYLES, MELVIN AUTOZONE * 09/10/17 DWORKIN AND MACIARIELLO 306 17WC 28307 MEJIA, ESTRELLA ACME INDUSTRIAL CO. * 05/11/17 HECTOR ESPITIA NYHAN BAMBRICK KINZIE & LOWR 307 17WC 28558 ORDOQUIL, DANIEL LEGEND EXTERIORS AND * 08/12/16 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM 308 17WC 28651 CENTENO, ROBERT JP MORGAN CHASE HOLDINGS, * 07/25/17 ANKIN LAW OFFICE 309 17WC 28722 ISHAM, ROGER VILLAGE OF SOUTH ELGIN * 08/26/17 MEYERS & FLOWERS 310 17WC 28783 NELSON, DUSTIN BIG RIVER RESOURCES * 09/15/17 RIDGE & DOWNES COZZI & GOGGIN-WARD 311 17WC 29157 CAREY, KARLOTTE CROSS PERSONNEL INC * 09/12/17 312 17WC 29351 LEMON, RANDY PH PRONTO HELP * 09/04/17 DWORKIN AND MACIARIELLO WOLF LAW LTD 313 17WC 29584 LIMA, LUIS DANA PLASTIC CONTAINERS * 12/11/14 KARCHMAR & STONE 314 17WC 29616 NAVA, LUIS I JESTER'S FAST FOOD INC * 03/23/17 LEAHY, JAMES P 315 17WC 29956 PAYTON, DELVIN KING INDUSTRIAL & INSTALL * 08/02/17 TAXMAN POLLOCK COZZI & GOGGIN-WARD 316 17WC 30148 ANGELES, JESUS WISDOM ADHESIVES * 02/28/17 AIOSSA LAW FIRM BRADY CONNOLLY & MASUDA PC 317 17WC 30371 MAJOR, JANET SCHOOL DISTRICT U-46 * 02/14/17 COYNE REINKE LAW NYHAN BAMBRICK KINZIE & LOWR 318 17WC 30505 JONES, ROBIN VILLAGE OF SOUTH ELGIN PO * 09/14/17 ROBERT EDENS 319 17WC 30976 MENDEZ, LUZ MARIA GRAND VICTORIA CASINO * 11/04/14 JONATHAN SCHLACK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 17WC 31138 BROWNE, LINDA LUTHERAN HOME AND SERVICE * 08/14/17 MARTIN V KUGIA 321 17WC 31176 PALMA, FREDY PROVEN PARTNER MANUFACTUR * 08/30/17 THOMAS LAW 322 17WC 31865 VARGAS, JOSEPHINA ELGIN COMMUNITY COLLEGE * 08/03/17 AIOSSA LAW FIRM 323 17WC 32080 BECK, D ANDREW ELGIN MENTAL HEALTH CENTE * 12/22/16 PORRO NIERMANN LAW GROUP 324 17WC 32133 POLO, JULIO JUST IN TIME STAFFING * 08/21/17 BOTTO GILBERT BRADY CONNOLLY & MASUDA PC 325 17WC 32275 DURAN, ALEJANDRO DYNACAST * 09/12/16 LULAY LAW OFFICES 326 17WC 32643 BIERDEMANN, KRISTY L SYSCO CHICAGO * 10/16/17 FRANKS & RECKENBERG 327 17WC 32912 ABBOTT, THOMAS E HYPERMAX ENGINEERING INC * 08/10/17 HANNIGAN & BOTHA, LTD 328 17WC 33007 MARTINSON, SEAN HENKEL CORP * 08/09/17 HORWITZ HORWITZ & ASSOC 329 17WC 33589 ALEXANDER, ALFARAE KELLY SERVICES USA LLC * 10/27/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 330 17WC 33666 GOMEZ, ANGELINA A MCDONALD'S * 05/06/17 BRADY CONNOLLY & MASUDA PC 331 17WC 34102 PEREZ, MARTIN CREATIVE RESOURCE PERSONN * 06/26/17 LARRY FLEISCHER & ASSOCIAT ROBERT L. SMITH 332 17WC 34161 ESQUIVIAS, MARIA LUZ THE MILLARD GROUP * 07/21/17 LAW OFFICES OF ANSELMO DUR RODDY LAW LTD 333 17WC 34569 TORRE, GERARDO DE LA JCNC VENTURES INC * 10/26/17 RUEDA, IVAN A 334 17WC 35195 MACEDO, MARIA ELITE STAFFING * 11/08/17 THOMAS LAW 335 17WC 35242 LARA, MARIA GRAND VICTORIA CASINO DBA * 07/22/16 LAW OFFICES OF ANSELMO DUR 336 17WC 35412 PALMER, SHAWN MIDWEST BONE & JOINT INST * 12/14/15 COMPTON LAW GROUP 337 17WC 35598 MARIN, LUIS F O'REILLY AUTO PARTS * 10/17/17 CHEPOV & SCOTT LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON II (ELGIN) 22002 ON 02/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 338 17WC 35796 DELGADO, DAVID AIRSTREAM MOBILE POWER WA * 11/15/17 AIOSSA LAW FIRM 339 17WC 36684 ELLIS, MICHAEL METRO STAFF * 12/01/17 COSTA IVONE LLC 340 17WC 37209 TONTILLO, ANTHONY GORDON FOOD SERVICES * 02/19/16 BRAD J. BALKE, PC 341 17WC 37376 CLAROS, MARIA PHILIP SCHOOL DISTRICT U-46 * 01/12/17 THOMAS J STIBERTH LAW OFFI 342 17WC 37556 DIAZ, JAVIER SANTIAGO TOUCHPOINT LOGISTICS * 11/30/17 HERRERA LAW CENTER 343 17WC 37923 MONTGOMERY, JEREMY J SOUTH ELGIN FIRE DISTRICT * 11/02/17 CORNFIELD & FELDMAN 344 18WC 00184 VILLARREAL, MICHAEL CITY OF ELGIN FIRE DEPT * 09/25/17 DAVID W MARTAY