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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 CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 10WC 39291 VALELA, RICHARD COOK COUNTY SHERIFF 09/28/10 SUTTER & ORI LLC STATES ATTORNEY OF COOK COUN 16 10WC 41010 DAVIS, MARLIETA CHICAGO PUBLIC SCHOOLS 09/30/10 ABELS & ANNES, PC LAW DEPARTMENT 17 10WC 41596 SCHREAN, TIA C METROPLITAN WATER RECLAMA 10/15/08 GAINES & GAINES NOBLE & ASSOCIATES PC 18 10WC 46807 PAGAN-SANCHEZ, OSCAR BKJK ENTERPRISES 11/17/10 SALK, STEVEN B & ASSOC LTD CASSANO & ASSOCIATES 19 10WC 49658 HEERY, EDWARD M JR CHICAGO TRANSIT AUTHORITY 08/12/10 STEVEN J SEIDMAN LAW OFFIC CHICAGO TRANSIT AUTHORITY 20 11WC 01167 GARZA, NOE CITY OF CHICAGO 12/06/10 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 21 11WC 03575 CALDERON, ROSA ASPEN FOODS 11/23/10 STANCZAK LAW OFFICES INMAN & FITZGIBBONS 12WC004791 -C 12WC028617 -C 14WC034762 -C 22 11WC 04806 MORRIS, JEFFERY CITY OF CHICAGO-DEPT OF S 01/19/11 COYNE REINKE LAW CITY OF CHICAGO 13WC000078 -C 23 11WC 05647 SOLIS, AURORA EL HOGAR DEL NINO 05/07/10 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 24 11WC 09998 FLORES, MARIA A&R JANITORIAL 01/26/11 JAMES ELLIS GUMBINER & ASS RODDY LAW LTD 25 11WC 26319 HARRIS, SHANELL FAMILY DOLLAR 07/05/11 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 12WC012563 -C 15WC009130 -C 26 11WC 27053 SHABAZZ, ABU DOLLAR GENERAL 06/29/11 VRDOLYAK LAW GROUP LLC SLAVIN & SLAVIN 27 11WC 27312 MUHR, LELAND VILLAGE OF SCHAUMBURG 04/27/11 PAUL W GRAUER & ASSOC MACIOROWSKI SACKMANN & ULRIC 28 11WC 28756 VERA, ALFREDO HOWARD AURO SERVICE INC 07/20/11 SALK, STEVEN B & ASSOC LTD LITCHFIELD CAVO

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 29 11WC 32188 LA JOY, RICHARD II CITY OF EVANSTON 12/09/10 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 13WC017960 -C 30 11WC 33639 RODRIGUEZ, MARIBEL LOYOLA UNIVERSITY 02/01/10 CHRISTINE F DAVID BRAUN LORENZ & BERGIN PC 11WC033640 -C 11WC033641 -C 11WC033642 -C 31 11WC 34014 BEDOLLA, ELISA KMART 08/22/11 MINKOW DOMIN 32 11WC 35018 AMILA, SINANOVIC THE ELI'S CHEESECAKE CO 08/18/11 STERNIC LAW OFFICES HOLECEK & ASSOCIATES 33 11WC 35704 CHAVEZ, DIEGO TOTAL MAINTENANCE CLEANIN 07/18/11 SALVATO & O'TOOLE STONE & JOHNSON CHARTERED 34 11WC 36990 ADAMS, KAREN ILLINOIS SECRETARY OF STA @ 08/08/11 SAUNDERS CONDON & KENNY NICHOLE S. MCNAIR 35 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 36 11WC 43441 COX, RODNEY ATLAS TUBE 10/03/11 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 37 11WC 44367 LAHORI-KNIGHT, SCHIETA EDWARD E GILLEN CO 07/08/11 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 38 11WC 44479 ROCCO, ANGELA BORG WARNER 04/14/10 ANGELINI & ORI LLC KEEFE CAMPBELL & ASSOC LLC 11WC044482 -C 39 11WC 44527 SEMETIS, LAWRENCE F ROOFS INC 08/17/11 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ 40 11WC 44870 ADIBU, GEORGE CHICAGO CARRIAGE CAB CORP 10/31/11 POMPER & GOODMAN STONE & JOHNSON CHARTERED 41 12WC 00266 SMITH, EDGAR CITY OF CHICAGO 10/30/11 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 12WC022763 -C 12WC022764 -C 42 12WC 10526 19B WILLIAMS, JOSEPH ADVOCATE SOUTH 03/07/12 HEALY LAW FIRM GAROFALO SCHREIBER STORM

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 43 12WC 16851 SKWARCZYK, JANICE PALOS COMMUNITY HOSPITAL 04/16/12 JOSEPH G HAFFNER LAW OFFIC BRAUN LORENZ & BERGIN PC 44 12WC 16883 ROBINSON-DAVIS, DEBORAH ZF LEMFORDER CHICAGO LLC 05/09/12 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 12WC023810 -C 45 12WC 17015 19B CASAS, TONY CITY OF CHICAGO-DEPARTMEN 04/17/12 FIGLIOLI, DAVID CITY OF CHICAGO 46 12WC 18316 CASARRUBIAS-VELASCO, MARI UIC MEDICAL CENTER 08/17/11 ELFENBAUM EVERS & AMARILIO HEYL ROYSTER VOELKER & ALLEN 47 12WC 18666 WILFORE, BLANCHE UNITED AIRLINES INC. 09/02/11 JAMES P. TUTAJ WIEDNER & MCAULIFFE LTD 48 12WC 21015 ALEXANDER, ELVIS CHICAGO REVIEW PRESS INC 04/18/12 MINKOW DOMIN WOLFE & JACOBSON, LTD 49 12WC 24018 19B GALDAMEZ, JUANA E ENAMELED STEEL & SIGN CO 05/23/12 ACEVES & PEREZ PC HENNESSY & ROACH PC 50 12WC 24161 SOLANO, ANGEL H EDURADO ALVAREZ INDIV & D @ W 06/28/12 VITELL & SPITZ LTD 51 12WC 24417 VILLALOBOS, GREGORIA CORNERSTONE CLEANERS W 06/25/12 LUIS A ACEVES & ASSOC DWYER AND COOGAN 52 12WC 25838 ELLIS, KATHERIS CITY OF CHICAGO 02/06/12 ANKIN LAW OFFICE CITY OF CHICAGO 15WC014471 -C 53 12WC 26295 MORAN, WILLIAM OPC COMMUNICATIONS INC 06/13/12 MINKOW DOMIN RUSIN MACIOROWSKI & FRIEDMAN 54 12WC 26922 TURNER, HERBERT WALGREENS 02/10/12 RUBIN LAW GROUP GILDEA & COGHLAN 16WC007596 -C OPTICIANCARE LTD 55 12WC 27109 MC GEE, KAY M UNIVERSITY OF ILLINOIS HO @ 10/27/11 O'CONNOR & NAKOS HEYL ROYSTER VOELKER & ALLEN 56 12WC 27586 HELMENSTINE, JULIA UNITED AIRLINES INC. 05/21/12 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 14WC026242 -C

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 57 12WC 27828 VAS, WILLIAM UNITED AIRLINES INC. 07/27/12 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 58 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 59 12WC 28755 ESQUIVEL, RAQUEL ALEXIAN BROTHERS MEDICAL 02/03/11 CULLEN HASKINS NICHOLSON RODDY LAW LTD 60 12WC 29258 POWELL, CLARA COOK DUPAGE TRANSPORT CO 08/15/12 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 61 12WC 29603 TAYLOR, PLESHETTE CHICAGO TRANSIT AUTHORITY 07/11/12 LARRY J COVEN CHICAGO TRANSIT AUTHORITY 62 12WC 34565 WELLS, DIVETTA CITY OF CHICAGO 09/07/12 COVEN LAW GROUP CITY OF CHICAGO 15WC033880 -C 63 12WC 38412 CISNEROS, RIGOBERTO PAINT SOLUTIONS AUTO BODY 08/03/12 LOUIS A PLZAK & ASSOCIATES HANSON LAW OFFICE 64 12WC 39652 CRUZ, ISRAEL AMERICAN AIRLINES 10/27/12 ALAN A BLUM, PC GAROFALO SCHREIBER STORM 65 12WC 40123 CWYNAR, LINCOLN M STATE OF ILLINOIS @ 09/19/11 JOHN E LUSAK COLIN KICKLIGHTER 66 12WC 40264 THOMPSON, RACHEL WALMART 11/03/12 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 67 12WC 40911 19B SIEDSCHLAG, SUZANNE WALMART 10/29/10 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 68 12WC 40985 GRAY, GERROD CHICAGO TRANSIT AUTHORITY 10/27/12 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 69 12WC 42875 ECHENIQUE, MARIA IL DEPT OF HUMAN SERVICES @ 10/19/12 BAUM RUFFOLO & MARZAL LTD ASSISTANT ATTORNEY GENERAL 70 12WC 44145 PHILLIPS, DANIEL IDOT 11/30/12 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 71 13WC 00589 URENA, JOSE WE CLEAN, INC 12/07/12 HEALY LAW FIRM THOMAS & PORTELA 72 13WC 02714 SALCEDO, VENTURA REMEDIAL ENVIRONMENTAL MA 09/09/12 STEVEN J SEIDMAN LAW OFFIC WOLF LAW LTD

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 73 13WC 03360 DOUGHERTY, DAN SOUTHERN WINE & SPIRITS 08/24/12 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 74 13WC 05532 HAWLEY, BEVERLY IL DEPT OF TRANSPORTATION @ 10/26/12 PORRO NIERMANN & PETERSEN JILL OTTE 75 13WC 06098 SIDORKIEWICZ, KAZIEMIERZ NEW ENGLAND MOTOR FREIGHT 01/08/13 HUGHES SOCOL PIERS RESNICK MEACHUM & STARCK 76 13WC 06134 OQUENDO, JAMES COMMUNITY GUIDE MAGAZINE 02/10/98 77 13WC 08549 ACOSTA, JOSE I R TREE REMOVAL W* 09/16/12 GAINES & GAINES KEEFE CAMPBELL & ASSOC LLC 78 13WC 09949 OBREGON, TEODORO HMD TRUCKING 11/28/11 PAUL A ROSSI GRANT & FANNING 79 13WC 10772 LISBON, ERIC CORNER COMMUNITY 01/30/13 SHELDON I MINKOW & ASSOCIA 13WC014590 -C 80 13WC 11516 MC GINLEY, JAMES SOUTHERN WINE & SPIRITS 03/22/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 13WC034754 -C 81 13WC 11855 ENSALACO, MARK R QPS EMPLOYMENT GROUP INC 05/24/12 PAUL W GRAUER & ASSOC MEACHUM & STARCK 82 13WC 14371 MC NEAL, WANDA FEDERAL EXPRESS CORP. 04/25/13 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 83 13WC 14933 BEEZHOLD, ROBERT REPUBLIC WASTE 06/15/10 GOLDBERG WEISMAN & CAIRO L 84 13WC 14992 BAKER, GERMAINE CITY OF CHICAGO 10/31/12 DWORKIN AND MACIARIELLO CITY OF CHICAGO 85 13WC 15167 ATIYEH, DAED HOME DEPOT 01/28/13 SEIDMAN MARGULIS & FAIRMAN MC ANDREWS & NORGLE LLC 86 13WC 15777 SANCHEZ, ALBERTO AT & T, INC 03/08/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 13WC015778 -C 87 13WC 15836 SMITH, CYNTHIA (SPOUSE) PEPPERS CONSTRUCTION 04/01/13 MAURICE E DUSKY PC KEEFE CAMPBELL & ASSOC LLC 13WC021439 -C 88 13WC 17391 CAZARES, ARMANDO NATIONAL PIZZA PRODUCTS, 06/25/12 ANGELINI & ORI LLC MEACHUM STARCK & BOYLE

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 89 13WC 17427 ISMAIL, GEORGE KUEHNE & NAGLE, INC 05/02/13 ACEVES & PEREZ PC MACIOROWSKI SACKMANN & ULRIC 90 13WC 17737 HEFT, CRAIG WASTE MANAGEMENT 05/21/13 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 13WC039459 -C 91 13WC 18960 LEBRON-CORTES, FELICITA ST OF IL DEPT OF HUMAN SE @ 03/13/12 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 92 13WC 20002 JOHNSON, BETTY ACTION FIGURES 05/29/13 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC 93 13WC 24429 WASHINGTON, GLOVER RED DRAGON MATIAL ARTS AC 07/10/13 VRDOLYAK LAW GROUP LLC GILDEA & COGHLAN 94 13WC 24601 NORWOOD, NIJA S (DAUGHTER JOHN H STROGER # 06/24/13 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 95 13WC 24638 GAONA, SILVIA UNIVERSITY OF IL-CHICAGO @ 04/12/13 SAMUEL K BELL NYHAN BAMBRICK KINZIE & LOWR 96 13WC 25012 COFIELD, MICHAEL GENERAL ELECTRIC 07/08/13 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 97 13WC 25014 LUNA-RUEDA, CARLOS TOMOTTO CO 09/19/12 LAW OFFICES MICHAEL HELLMA 98 13WC 25105 MENDOZA, IVAN STRIVE GROUP LLC 05/10/13 STROM, NEAL B HEYL ROYSTER VOELKER & ALLEN 14WC039175 -C 16WC005167 -C 99 13WC 25165 HERNANDEZ, PAULO OFFICE FURNITURE RESOURCE 07/03/13 ACEVES & PEREZ PC HANSON LAW OFFICE 100 13WC 25221 SIMMS, AMELIA PETCO 01/19/13 FRANCIS J DISCIPIO LAW OFF ADELSON TESTAN & BRUNDO 101 13WC 25568 HOLLIS, PATRICIA ANN WE CLEAN MAINTENANCE 04/30/11 STEVEN J SEIDMAN LAW OFFIC THOMAS & PORTELA 102 13WC 26132 SEGURA, MARIA H ST OF IL DEPT OF HUMAN SE @ 06/30/13 SALK, STEVEN B & ASSOC LTD JILL OTTE 103 13WC 26227 ROACH, BERNIE COOK COUNTY DEPT OF 07/29/13 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 104 13WC 26448 TAFF, KIM COMMUNITY HEALTH SYSTEMS 02/05/13 PORRO NIERMANN & PETERSEN WIEDNER & MCAULIFFE LTD 105 13WC 26633 SMITH, JAMES NESTLE 06/18/13 DWORKIN AND MACIARIELLO 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 CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 106 13WC 27191 MORA, JOSE ALRO STEEL 07/30/13 ENCINAS & ORNELAS GAROFALO SCHREIBER STORM 107 13WC 27520 KAUTZ, KEITH EDWARD WALMART STORE #1497 05/27/11 STUART H GALESBURG WIEDNER & MCAULIFFE LTD 108 13WC 27687 GONSALEZ, MARIA WE CLEAN MAINTENANCE & 05/31/12 GOLDBERG WEISMAN & CAIRO L THOMAS & PORTELA 109 13WC 27983 ZELEZNIK, MATT MCCAULEY MECHANICAL 08/06/13 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 110 13WC 28217 BOXLEY, TIFFANEY S CTA 08/03/13 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 111 13WC 28372 HILL, PATRICIA STATE OF ILLINOIS @ 07/18/13 DAVID W MARTAY JILL OTTE 112 13WC 28556 PAGE, ELIZABETH KINDRED HOSPITAL 03/14/12 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 113 13WC 28567 SHEARS, DERRICK M FORD MOTOR COMPANY 07/15/13 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 14WC004893 -C 114 13WC 34033 19B GARCIA, CARLOS TENACIOUS CLEANING SERVIC 08/23/13 BERG & BERG BRADY CONNOLLY & MASUDA PC 115 13WC 35595 MAJEWSKI, WALTER CHICAGO PARK DISTRICT 10/09/13 GOLDBERG WEISMAN & CAIRO L CHICAGO PARK DIST LAW DEPT 116 13WC 35705 GRIFFIN, MARQUES D MARYVILLE ACADEMY 02/24/12 MARKER & ASSOCIATES SMITH AMUNDSEN LLC 117 13WC 36335 TYLL, MARILYN CHICAGO BOARD OF EDUCATIO 10/04/13 STROM, NEAL B LAW DEPARTMENT 118 13WC 36996 HOLLINS, ABDULAH RIGHT WAY HUGGINS CONSTRU 02/21/13 DWORKIN AND MACIARIELLO KLAUKE LAW GROUP LLC 119 13WC 37147 GARCIA, ANTHONY WE CLEAN MAINTENANCE & 08/06/13 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO 120 13WC 37338 AKLI, YAO YELLOW CAB COMPANY 10/20/13 OTUBUSIN & ASSOC PC

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 13WC 37581 SMITH, MARION PEPSI CO 09/25/13 JOEL BELL 122 13WC 38151 RODRIGUEZ, DANIEL CTA 11/07/13 ANKIN LAW OFFICE 14WC029644 -C CHICAGO TRANSIT AUTHORITY 123 13WC 38762 NEALON, HOWARD FAMILY DOLLAR 07/31/13 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 124 13WC 41781 WILLIAMS, SONJA UNITED INSURANCE CO 03/27/13 DAVID W MARTAY 125 13WC 42272 MC DONALD, WILLIE DUNBAR TRANSPORTATION 12/18/13 STEPHEN G PINTO LTD LAW OFFICES JOSEPH MARCINIAK 126 14WC 00335 IZAGUIRRE, SALVADOR H & M INTERNATIONAL 12/10/13 LOUIS A PLZAK & ASSOCIATES SPIEGEL & CAHILL, PC 127 14WC 00745 ATKOCAITIS, DAVID NORTHLAKE FIRE PROTECTION 09/27/13 KATZ FRIEDMAN EAGLE ET AL STONE & JOHNSON CHARTERED 128 14WC 00751 BAKER, JASMINE PER MAR SECURITY SERVICES 12/22/13 ROBIN LAW OFFICE MEACHUM & STARCK 129 14WC 01580 CELAYA, ROMAN HIGHLAND BAKING COMPANY I 12/31/13 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 130 14WC 01696 CARREON, JOSEFINA ARYZTA LLC 01/14/14 RAYMOND M SIMARD, PC LAW OFFICES JOSEPH MARCINIAK 131 14WC 01771 HUERTA, GREGORIO ELECTROMOTIVE DIVISION 03/27/13 KATZ FRIEDMAN EAGLE ET AL GOLDBERG SEGALLA LLC 132 14WC 01828 ZAHUMENSKY, THOMAS WHITE WAY SIGN & MAINTENA 06/29/13 RUBIN LAW GROUP HOLECEK & ASSOCIATES 133 14WC 02010 JENKINS, WILLIAM CANADIAN NATIONAL RAILWAY 11/22/13 SKLARE LAW GROUP 134 14WC 02028 CORRAL, MARIA CARMEN UNITED STATES SMOKELESS T 11/22/13 SALVATO & O TOOLE 135 14WC 02436 RAMIREZ, LOUIS CITY OF CHICAGO 01/08/14 HEALY LAW FIRM CITY OF CHICAGO

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 136 14WC 02455 GONZALEZ, NAYELI LABOR TEMPS 01/14/14 ENCINAS & ORNELAS 137 14WC 02548 ALVARDO, JOSEPH SWISSPORT FUELING INC 01/08/14 ANKIN LAW OFFICE KNELL & O'CONNOR 16WC011323 -C 138 14WC 02562 CRISOSTOMO, EULOGIO CLYBOURN EXPRESS CAR WASH 12/03/13 LAW OFFICE HUGO ORTIZ 139 14WC 02631 CASTRO, SIMON CHGO WHITE SOX BASEBALL C 08/05/13 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 140 14WC 03129 JONES, ELIZABETH CHICAGO BOARD OF EDUCATIO 12/09/13 JAMES W GREEN, JR LAW DEPARTMENT 141 14WC 03316 SIWEK, KAZIMIERZ RAVENSWOOD DISPOSAL 12/12/13 MINKOW DOMIN 142 14WC 03378 SANCHEZ, DAGOBERTO BENVENUTI & STEIN INC 07/13/13 EPSTEIN, JACK R LAW OFFICE 143 14WC 04050 MARKS, JAMES LAMBENT TENOLOGIES 08/01/13 JEROME FOREMAN & ASSOCIATE 144 14WC 04216 GARCIA, SAUL ELITE STAFFING 01/22/14 STROM, NEAL B MARC CAIRO 145 14WC 04219 VAZQUEZ, CYNTHIA NEAR NORTH MONTESSORI 12/04/13 STROM, NEAL B RUSIN & MACIOROWSKI LTD 146 14WC 06408 SANCHEZ, ROSARIO WE CLEAN MAINTENANCE 03/28/13 SOSTRIN AND SOSTRIN PC THOMAS & PORTELA 147 14WC 06577 MAROY, JESSIE JOHNSON & JOHNSON 08/20/13 ARGIONIS & ASSOCIATES LLC HENNESSY & ROACH PC 148 14WC 08097 JENNINGS, DAVID CITY OF CHICAGO 08/14/13 FOHRMAN, DONALD W & ASSOCS CITY OF CHICAGO 14WC015210 -C 149 14WC 10035 NOUH, ADEL DAVITA HEALTH CARE PARTNE 03/15/14 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 150 14WC 11173 AKINYEMI, GARCE PIPELAYO COOK COUNTY HEALTH & HOSP 03/05/14 THE ROMAKER LAW FIRM 15WC021236 -C 151 14WC 11605 LOPEZ, HECTOR CONTINENTAL PAPER GRADING 02/28/14 STEVEN A CRIFASE, LTD 152 14WC 11807 FITZMAURICE, BRIAN CITY OF CHICAGO 05/03/11 MICHAEL P MCCREADY & ASSOC CITY OF CHICAGO

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 153 14WC 12235 CORRAL-CARRERA, REYNALDA PREFERRED MEAL SYSTEMS IN 01/17/14 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 154 14WC 12603 HARSANY, NICK OTIS ELEVATOR 04/02/14 THE KARMEL LAW FIRM RUSIN MACIOROWSKI & FRIEDMAN 155 14WC 12608 GUERRERO, LUIGI INTEGRITY TRADE SERVICES 02/17/14 KATZ FRIEDMAN EAGLE ET AL 156 14WC 13438 JACKSON, MARIETTA LORETTO HOSPITAL 02/25/14 SCHACTER, JEROME & ASSOC L GAROFALO SCHREIBER STORM 157 14WC 13456 SARABIA, ANGEL THE TOWN OF CICERO 11/22/12 HUGHES SOCOL PIERS RESNICK DEL GALDO LAW GROUP LLP 158 14WC 13550 VALES, ARCELIA CITY OF CHICAGO 10/02/13 HORWITZ HORWITZ & ASSOC CITY OF CHICAGO 159 14WC 13606 WILLIAMS, SAVONIA CHICAGO TRANSIT AUTHORITY 11/27/13 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 160 14WC 13973 JANECEK, JEFFREY A NORTHERN PIPELINE CONSTRU 09/17/13 FABRIZIO, HANSON & PEYLA GRANT & FANNING 161 14WC 14002 BARBERA, VITO R CITY OF CHICAGO-DEPT OF 03/28/14 SALVATO & O'TOOLE 162 14WC 14129 SCOTT, ROBYN GREYHOUND BUS 02/19/14 VASILATOS & COTTER LLC WIEDNER & MCAULIFFE LTD 163 14WC 14228 HORNE, REGINALD CHICAGO TRIBUNE 01/13/14 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 164 14WC 14407 HAWKINS, WILLAM UNITED BUILDING MAINTENAN 04/01/14 MEACHUM & STARCK 165 14WC 14436 LAWAL, GANIYU CARRIAGE CAB 03/11/14 166 14WC 14518 SNEED, LINDA CTA 02/16/14 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 167 14WC 14770 SANTA CRUZ, JAIME INTERNATIONAL PAPER-BEDFO 09/25/13 PETER D CORTI LAW GROUP GOLDBERG SEGALLA LLC 168 14WC 15027 NORRIS, WILLIE U S AIRWAYS 04/27/14 RIDGE & DOWNES GAROFALO SCHREIBER STORM 15WC027860 -C U.S. AIRWAYS 169 14WC 15065 PRESS, HOMER REALTY & MORTAGE BUILDING 03/05/14 JOEL BELL RUSIN & MACIOROWSKI LTD 15WC015281 -C 170 14WC 15155 RICE, AARON STATE OF IL DEPT OF CORRE @ 11/19/12 DEPAOLO ZADEIKIS GORE ASSISTANT ATTORNEY GENERAL

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 14WC 15243 KING, CARLA ADDUS HEALTHCARE 10/28/13 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 172 14WC 15382 DIPILLO, LARRY UNITED AIRLINES INC. 09/09/13 RICHARD O. GREENFIELD WIEDNER & MCAULIFFE LTD 15WC004553 -C 173 14WC 15865 RAMIREZ, JOSE SOUTHWEST AIRLINES 08/02/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 174 14WC 16229 PINTORAN, JOE SODEXO INC 01/08/14 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 175 14WC 16276 CORDELL, BRYAN GOLDEN COUNTRY ORIENTAL F 04/22/14 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 176 14WC 16443 SMITH, SAUNDRA M CHICAGO TRANSIT AUTHORITY 01/20/14 ROMANUCCI & BLANDIN CHICAGO TRANSIT AUTHORITY 177 14WC 16668 PATRIZI, VALERIE SOUTH CHICAGO 05/02/14 DAVID W MARTAY 178 14WC 16777 WELLS, ANGELA E.A. BERG ASSOCIATES, INC 05/13/14 COVEN LAW GROUP HOLECEK & ASSOCIATES 179 14WC 16812 SOLANO, DARIO RICHELIEU FOODS INC 04/25/14 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 180 14WC 16908 PARKER, BARBARA SEARS HOLDINGS (KMART) 04/24/14 MARSZALEK AND MARSZALEK GAROFALO SCHREIBER STORM 181 14WC 17239 AREVALO, YOLANDA ADDUS HEALTH CARE INC 05/12/14 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 182 14WC 17979 CASEY, MARY A CHICAGO BOARD OF EDUCATIO 03/21/06 GORDON & CENTRACCHIO LLC LEAHY EISENBERG & FRAENKEL 183 14WC 18994 WOODS, TRACY NORTHSIDE CATHOLIC ACADEM 09/12/13 AIOSSA LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 184 14WC 19781 LA VALLAIS, KIM CHICAGO BOARD OF EDUCATIO 05/15/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 185 14WC 22299 MENDOZA, JESUS CHICAGO TRANSIT AUTHORITY 05/23/14 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 186 14WC 22860 MARISHTA, ELMIRA Q PYRAMID SCHAUMBURG 05/24/14 CRONIN & PETERS 187 14WC 23789 LOPEZ, GASPAR FLEXIBLE STAFFING SERVICE 06/13/14 HORWITZ HORWITZ & ASSOC RUSIN MACIOROWSKI & FRIEDMAN 188 14WC 23790 BURGESS, TABATHA ENVOY 06/10/14 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 189 14WC 24372 ZARATE, COLUMBA LAKE SHORE HOSPITALITY IN 06/03/14 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 190 14WC 24374 IVERSON, MICHAEL C J LEPRETRE CONSTRUCTION 06/24/14 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 191 14WC 24520 WRIGHT, LISA ALDEN TOWN MANOR 02/12/14 VITELL & SPITZ LTD LAW OFFICES FRANCESCA LARSEN 192 14WC 24524 BAGGETT, MARY A CITY OF CHICAGO 07/15/14 WILLIAM MARTAY CITY OF CHICAGO 193 14WC 24594 DERELIEVA, KRISTINA FRENCH ACCENT 08/09/13 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 194 14WC 24616 FIGUEROA, BERTHA WE CLEAN MAINTENANCE & 06/26/14 OSVALDO RODRIGUEZ PC KNELL & O'CONNOR 195 14WC 24849 MURRAY, CHERYL CHICAGO TRANSIT AUTHORITY 05/08/14 LAW OFFICES OF 196 14WC 24923 ORTIZ, JOSE CHICAGO TRANSIT AUTHORITY 07/10/14 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 197 14WC 25228 KACZONOWSKI, TAVIS R CITY OF BLUE ISLAND 02/11/13 JASINSKI, GEORGE J DEL GALDO LAW GROUP LLP 198 14WC 25252 HUSSAIN, MOHAMMED YASYA SHTAYNER 06/28/14 POMPER & GOODMAN 199 14WC 25531 MANSWOR, NATHER WESTERN RECYCLING 03/28/14 VRDOLYAK LAW GROUP LLC 200 14WC 25616 ESPINOZA, NOEMI OLD NAVY 05/16/13 ANKIN LAW OFFICE ROBERT L. SMITH 201 14WC 25774 CHUKWU, BASIL DISPATCH TAXI 02/17/14 HUNER LAW OFFICES LLC 202 14WC 25887 PATEL, KETAN AMITRON CORP 12/06/13 NEWLAND & NEWLAND LAW OFFICES JOSEPH MARCINIAK 203 14WC 26305 ASIEDU, CYNTHIA O LANE BRYANT INC 01/10/14 MARKS & ASSOCIATES 204 14WC 26371 RAZO, JUAN CLASSIC PARTY RENTALS INC 08/08/13 ILLINOIS INJURY LAWYERS 205 14WC 26634 BUCCI, JUDITH STARBUCKS CORP 11/20/13 MARKS & ASSOCIATES BRADY CONNOLLY & MASUDA PC 206 14WC 26992 LEON, MELISSA MC DONALD'S 04/18/14 CULLEN HASKINS NICHOLSON

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 207 14WC 27022 SMITH, DEREK C JR CHICAGO TRANSIT AUTHORITY 07/20/14 STEWART C ORZOFF CHICAGO TRANSIT AUTHORITY 208 14WC 27035 JOHNSON, JOSEPHINE TJ MAXX 01/15/14 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 209 14WC 27110 QUEEN-THOMAS, BEVERLY CHICAGO PUBLIC SCHOOLS 04/18/14 210 14WC 27168 BUMGARDNER, MARK TRINITY HIGH SCHOOL 07/25/14 JOHNSON, MICHAEL D & ASSOC LAW OFFICES JOSEPH MARCINIAK 211 14WC 27260 MARTIN, MARY CATHERINE COLLEGE OF AMERICAN 09/14/11 MUELHAUSEN & STEFANI 212 14WC 27450 SISTO, MICHAEL CITY OF CHICAGO 07/01/14 PARAG P. BHOSALE CITY OF CHICAGO 213 14WC 27501 BRACY, CASSANDRA CTA 08/09/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 214 14WC 27929 SLAPINSKI, JASON WELLS FARGO 05/16/14 BECKER & SILVERMAN KEEFE CAMPBELL & ASSOC LLC 215 14WC 28023 LOPEZ, ALEJANDRO STAMPEDE MEAT INC 07/21/14 CULLEN HASKINS NICHOLSON KNELL & O'CONNOR 216 14WC 28038 MONTES DE OCA, FELICITAS WHITE LODGING SERVICES CO 04/18/14 DEPAOLO ZADEIKIS GORE WILSON ELSER 217 14WC 31750 RIVERA, CRESCENCIO BERRY PLASTIC CORP 12/04/12 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 218 14WC 32914 BROWN, DAWINTA CITY OF CHICAGO @ 08/06/14 COYNE REINKE LAW CITY OF CHICAGO 219 14WC 33847 KNESS, JAMES C EMCO CHEMICALS & DIST INC 03/05/13 220 14WC 34086 TEDESCO, WENDY/FRIEND & G CITY OF CHICAGO 09/22/14 PARENTE & NOREM PC CITY OF CHICAGO 221 14WC 34356 WELLS, RONI BRENTWOOD SUB ACUTE 12/05/13 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 14WC034474 -C 222 14WC 34504 COREY, BEVERLY CARL BUDDIG 08/27/14 STEPHEN G PINTO LTD 223 14WC 34691 BORNER, EDWARD CITY OF CHICAGO 05/20/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 224 14WC 35658 HYCAE, TAWONDA BINNY'S BEVERAGE DEPOT 08/19/14 ANKIN LAW OFFICE MEACHUM & STARCK

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 225 14WC 35733 SCHURY, GEORGE METROPOLITAN WATER RECLAM 06/26/13 DOUGLAS RALLO PC 226 14WC 35832 CABRERA, OSVALDO UNITED AIRLINES INC. 07/24/14 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 227 14WC 35845 CHAPMAN, MELANIE UNITED AIRLINES INC. 09/07/14 KATZ FRIEDMAN EAGLE ET AL 228 14WC 35907 GROSS, GREG IL DEPT OF HUMAN SERVICES @ 08/19/14 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 229 14WC 36097 BUFORD, MARQUES JUVENILE TEMPORARY 12/05/13 MUELHAUSEN & STEFANI STATES ATTORNEY OF COOK COUN 230 14WC 36190 HERNANDEZ, MARIA REYNA ALTERNATIVE STAFFING INC 07/28/14 EPSTEIN, JACK R LAW OFFICE 231 14WC 36227 FLORES, JUAN ACCURATE PERSONNEL LLC 09/17/14 DWORKIN AND MACIARIELLO 232 14WC 36328 AHMAD, MIKAL LABOR TEMPS 10/15/14 SHELDON I MINKOW & ASSOCIA FRANCIS J DISCIPIO LAW OFFIC 233 14WC 36477 WACHTER, DEBRA K UNITED AIRLINES INC. 09/17/12 KATZ FRIEDMAN EAGLE ET AL 14WC036478 -C 234 14WC 36554 NORMAN, KESHIA HOMEWOOD FLOSSMOOR PARK D 03/06/14 ANKIN LAW OFFICE HENNESSY & ROACH PC 235 14WC 36888 LYONS, ARTHUR ILLINOIS BELL TELEPHONE C 02/07/14 BRIAN J MC MANUS & ASSOC, HENNESSY & ROACH PC 236 14WC 37172 TASSONE, DOMINICK A UNIVERSITY OF ILLINOIS @ 10/02/14 THE FITZ LAW GROUP POWER & CRONIN LTD 15WC000602 -C 237 14WC 37302 JARACZ, SCOTT CENTRAL GROCERS 12/20/13 GAINES & GAINES ROSARIO CIBELLA 238 14WC 37356 WILLIAM, CLAIRE A IL DEPT OF CHILDREN & FAM @ 07/14/14 DAVID W MARTAY C. FLETCHER 239 14WC 37408 WHITE, MARY NORNAT MANAGEMENT SERVICE 09/26/14 FRIEND LEVINSON & BERGAL 240 14WC 37426 HOPKINS, SYLVIA HIGH TECH-PALOS HEIGHTS 01/25/12 BOWMAN & CORDAY GAROFALO SCHREIBER STORM 14WC037427 -C 14WC037428 -C 241 14WC 37443 IVONOVA, DENISE THE BREAKERS AT 07/14/14 SIGMOND, STEVEN RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 242 14WC 37516 DEES, GWENDOLYN UNIVESAL PROTECTION SERVI 09/04/14 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 243 14WC 37669 OLMOS, SIXTO GOLFVIEW CLUB 09/12/14 AIOSSA LAW FIRM 244 14WC 37698 19B TUNTLAND, THERESA A VILLAGE OF HANOVER PARK 08/11/14 FIGLIOLI, DAVID POWER & CRONIN LTD 245 14WC 37772 RUSH, HEATHER PALOS COMMUNITY HOSPITAL 10/10/14 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 246 14WC 37861 DATOLI, ANTHONY J MELROSE PARK POLICE DEPT 03/12/14 GIACOBBE, THOMAS M DEL GALDO LAW GROUP LLP 247 14WC 37892 ZARATE, CESAR FOOD 4 LESS 11/05/14 MICHAEL P MCCREADY & ASSOC 248 14WC 37907 MC DUFFIE, PHILLIP COOK DUPAGE TRANSPORTATIO 09/26/12 LAW OFFICE OF SCOTT B SHAP 249 14WC 37968 MONSOR, STEVE ARLINGTON HEIGHTS 10/16/13 SCHACTER, JEROME & ASSOC L 250 14WC 38258 PLASCENCIA, OLGA F/K/A SWISSPORT AT O'HARE 06/14/14 WOLFE LAW PC KNELL & O'CONNOR 251 14WC 38276 RODRIGUEZ, MARTHA CARL BUDDIG & COMPANY 04/23/14 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 252 14WC 38790 JENSEN, JAMES UNITED AIRLINES INC. 10/20/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 253 14WC 38815 GRAY, LEROY CITY OF CHICAGO 10/14/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 254 15WC 00179 LEWIS, ANTONIO ASHLEY FURNITURE 12/13/14 DAVID W MARTAY WOLF LAW LTD 255 15WC 00541 PERTEET, LINDA CITY OF CHICAGO 12/19/13 ROMANEK & ROMANEK 256 15WC 01445 BARRIENTOS, JUANITA KOCH FOODS 08/23/14 ANKIN LAW OFFICE INMAN & FITZGIBBONS 257 15WC 01515 SEGURA, MARIA H ILL DEPT OF HUMAN SERVICE @ 12/30/14 SALK, STEVEN B & ASSOC LTD ASSISTANT ATTORNEY GENERAL 258 15WC 01573 SOLIMANO, OSWALDO SAM'S CLUB 12/27/14 DEPAOLO ZADEIKIS GORE 259 15WC 01628 GREEN, SIRELL FORD MOTOR COMPANY 01/16/15 FOHRMAN, DONALD W & ASSOCS

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 260 15WC 01693 OLMOS, JOSE LUIS ABM 12/09/14 SALVATO & O'TOOLE 261 15WC 01828 WILLIAMS, LYNA TARGET CORPORATION 09/03/14 DAVID W MARTAY 262 15WC 01848 TORRES, EDUARDO GARDNER GIBSON 12/05/14 EPSTEIN, JACK R LAW OFFICE 263 15WC 01889 JOHNSON, KELLY VILLAGE OF LYNWOOD 12/08/14 SILVERMAN, CLIFFORD A SCOPELITIS GARVIN LIGHT 264 15WC 01994 DIAZ, EVELYN CHICAGO PUBLIC SCHOOLS 10/07/14 BOGUSZ & BOGUSZ LTD 265 15WC 02018 BENNETT, LARREESE CARL BUDDIG & CO 01/07/15 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 266 15WC 02061 LUSA, TAMARA ORLAND SCHOOL DISTRICT 13 01/26/12 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 267 15WC 02183 MC CANN, CHARLES TOWN OF CICERO 01/05/15 HEALY SCANLON LAW FIRM DEL GALDO LAW GROUP LLP 268 15WC 02190 GRAY, ERICA ASPEN FOODS INC 08/07/14 RICHARD J ZABORSKY 269 15WC 02241 TANTIVITHIWATE, JENNIFER CHICAGO PUBLIC SCHOOLS 01/15/15 SEIDMAN MARGULIS & FAIRMAN 270 15WC 02286 DAUGHRITY, LAWRENCE UNIVERSITY OF CHICAGO 01/30/14 SHELDON I MINKOW & ASSOCIA MACIOROWSKI SACKMANN & ULRIC 271 15WC 02345 SIMS, FELICIA BRONZEVILLE PARL 08/30/14 LEE, MARK N LAW OFFICE BRADY CONNOLLY & MASUDA PC 15WC002346 -C 272 15WC 02385 REYNA, PRIMITIVO AMERICAN CONCRETE RESTORA 10/07/14 THOMAS & PORTELA 15WC029838 -C 273 15WC 02436 HOUGH, LAWRENCE AIRTITE CONTRACTORS, INC. 09/01/12 BELCHER LAW OFFICE WOLFE & JACOBSON, LTD 274 15WC 02746 LATINA, STEVEN SENIOR OPERATIONS LLC 08/28/14 FRANKS, GERKIN & MCKENNA P BRADY CONNOLLY & MASUDA PC 16WC017346 -C 275 15WC 02796 THOREN, MELODY HELP AT HOME, INC 12/14/13 MARKS & ASSOCIATES MEACHUM & STARCK 276 15WC 02931 USMAN, TOMI CHICAGO ELITE CAB CORP 11/27/14 COHN LAMBERT RYAN & SCHNEI

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 277 15WC 02946 GUTIERREZ, JONATHON M DELTA MASONRY INC 01/19/15 WARREN W MARK 278 15WC 03166 JONES-BATES, LORRAINE ST JOSEPH HOSPITAL 11/03/14 VRDOLYAK LAW GROUP LLC 279 15WC 03171 BARTGEN, CHRISTINE M UNIVERSITY OF ILLINOIS 05/14/13 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 280 15WC 03384 GASTON, TOMMIE UNITED AIRLINES 02/01/15 COVEN LAW GROUP 281 15WC 03456 SHAFFER, TRENTON FORD 06/03/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 282 15WC 03758 MARTINEZ, BEATRIZ SOUTHWEST AIRLINES 06/15/14 CULLEN HASKINS NICHOLSON 283 15WC 03777 HENKEN, CHRISTINE DECARI LEVINE AND FRIEDMA 12/27/13 GAINES & GAINES HOLECEK & ASSOCIATES 284 15WC 03877 FERRELL, JAMES SWISSPORT SA LLC 01/13/15 STEVEN J. MORTON & ASSOC 285 15WC 03970 HERNANDEZ, BENITO CLARE OAKS 11/27/13 CRONIN & PETERS WOLFE & JACOBSON, LTD 15WC009186 -C 286 15WC 04151 HICKS, JAMES P&G CRANE RENTAL 01/28/15 CRONIN & PETERS 287 15WC 04338 HUNTER, ELAMORE SWISSPORT CARGO SERVICES 11/23/14 RIDGE & DOWNES KNELL & O'CONNOR 288 15WC 04376 JIMENEZ, ALBERTO LITTLE LADY FOODS 01/17/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 289 15WC 04562 KINES, WARDELL CITY OF CHICAGO 02/04/15 SYREGELAS, NICHOLAS C CITY OF CHICAGO 290 15WC 05899 MARTINEZ, MARIA UNIVERSITY OF IL CHICAGO 01/08/15 LEE, MARK N LAW OFFICE POWER & CRONIN LTD 291 15WC 11077 JOHNSON, ALFREDA CTA 03/24/15 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 15WC011078 -C 292 15WC 11777 KHAN, ZAHED H OVERTON CHICAGO GEAR 03/16/15 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 15WC011781 -C COREY STEEL CO 293 15WC 12183 HOLCOMB, DAVONNA FORD MOTOR COMPANY 10/25/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 294 15WC 13255 SANDERS, ANGELA ROUNDYS SUPERMARKET, INC. 04/20/15 SKLARE LAW GROUP INMAN & FITZGIBBONS 295 15WC 13375 KALONJI, CHANTAL MARIA CLUB QUARTERS 11/21/13 THE ROMAKER LAW FIRM MEACHUM & STARCK 296 15WC 13440 LOPEZ, ESTEBAN OLYMPIA FIELDS POLICE FOR 12/27/13 O'CONNOR & NAKOS POWER & CRONIN LTD 297 15WC 13475 MCDONNELL, JAMES P AIRPORT ELECTRIC 01/10/14 COHN LAMBERT RYAN & SCHNEI WIEDNER & MCAULIFFE LTD 298 15WC 13552 PETERS, GEORGE BELL FUELS 03/09/15 HORWITZ HORWITZ & ASSOC RODDY LAW LTD 299 15WC 13606 MILLER, CRAIG PUZZO CONSTRUCTION INC 04/06/15 MARKHAM M JEEP & ASSOCIATE 300 15WC 13672 ALEJANDRE, FRANCISCO TRILLIUM DRIVERS 01/22/15 COLLISON & O'CONNOR SPIEGEL & CAHILL, PC 301 15WC 13705 KAIHARA, LENNARD M ST STANISLAUS KOSTKA PARI 01/31/15 BRILL & FISHEL MC ANDREWS & NORGLE LLC 302 15WC 13722 MILLER, JENNIFER NAVISTAR 05/01/13 KATZ FRIEDMAN EAGLE ET AL 303 15WC 13732 YAZZIE, AARON B CHICAGO STEEL CONSTRUCTIO 03/23/15 O'CONNOR & NAKOS 304 15WC 13912 KUCHARSKI, ROBERT CHICAGO TRIBUNE INC 11/23/14 SAUNDERS CONDON & KENNY 305 15WC 14208 SOTELO, ALLEN CHICAGO MEAT AUTHORITY 04/10/15 BOUDREAU NISIVACO LLC LITCHFIELD CAVO 306 15WC 14269 ASHFORD, MICHELLE CITY OF CHICAGO 04/30/14 WOODRUFF & JOHNSON CITY OF CHICAGO 307 15WC 14345 TAPIA, ROBERTO LUNA DANTE PENA ULTIMATE M A 02/18/15 SALVATO & O'TOOLE 308 15WC 14416 MILLER, MICHAEL NICORGAS/AGL RESOURCES 02/24/14 KINNALLY FLAHERTY KRENTZ & MACIOROWSKI SACKMANN & ULRIC 309 15WC 14816 LOVE, LOVELL ADE, INC. 12/31/14 POMPER & GOODMAN RUSIN & MACIOROWSKI LTD 310 15WC 14827 DEPOZO, LOUIS CITY OF CHICAGO DEPT OF 04/24/15 ANKIN LAW OFFICE CITY OF CHICAGO 311 15WC 14840 SOSSONG, JENIFFER BONEFISH GRILL 01/23/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 312 15WC 15051 KEEN, JANICE TEVA PHARMACEUTICALS USA 03/04/15 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 313 15WC 15071 NOVAK, ANTHONY UPS 04/19/15 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 314 15WC 15363 ROMAN, ELSIE CITY OF CHICAGO - DEPARTM 03/31/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 315 15WC 15366 GUILLERMO, JAVIER NISSAN WOODFIELD 01/14/14 POMPER & GOODMAN ROSARIO CIBELLA 316 15WC 15368 WHITFIELD, PAUL CITY OF CHICAGO 03/26/15 VASILATOS & COTTER LLC CITY OF CHICAGO 317 15WC 15426 MORENO, CESAR GENERAL TRUCK PARTS 02/06/15 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 318 15WC 15487 ALDRIDGE, HAROLD R SUBCONTRACTION CONCEPTS D 07/22/14 DEPAOLO ZADEIKIS GORE 319 15WC 15508 SENNE, DAVID VILLAGE OF WINNETKA 10/01/14 BOWMAN & CORDAY POWER & CRONIN LTD 320 15WC 15649 JONES, CHANTE M ALPHA SCHOOL BUS 04/22/14 CHARLES LEVY & ASSOC LTD 321 15WC 15889 BREJTA, BOGUSLAW VESUVIUS USA CORP 08/10/13 BELLAS & WACHOWSKI RUSIN & MACIOROWSKI LTD 322 15WC 15938 BARRERA, JESUS UNISTAFF 04/18/15 MC ANDREWS & NORGLE LLC 323 15WC 16047 BUDDE, JULIANN WILL COUNTY SHERIFF 04/21/15 COVEN LAW GROUP HINSHAW & CULBERTSON 324 15WC 16217 LA FLAME, BRYAN MERCURY SIGHT SETTING 08/28/14 HEALY SCANLON LAW FIRM 325 15WC 16235 MORALES, ROBERT SCRUB, INC 02/08/15 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 326 15WC 16251 OLIVARES, ANEL MORTON HIGH SCHOOL 04/29/15 RUSIN & MACIOROWSKI LTD 327 15WC 16391 DEIR, SEAN FITZSIMMONS HOME MEDICAL 03/09/15 LANNON LANNON & BARR LTD 328 15WC 16394 CONNER, DAVID M CITY OF CHICAGO 06/30/14 KARCHMAR & STONE 329 15WC 16500 ALVARADO, MANUEL COSMOS MFG 04/28/15 NEWMAN, BOYER & STATHAM GANAN & SHAPIRO

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 330 15WC 17134 DELGADO, MARIA AGUASCALIENTES @ W 03/13/15 GAINES & GAINES 331 15WC 17294 WILLIAMS, BRIDGETTE FORD MOTOR CO 06/01/14 CANDIANO LAW OFFICE WIEDNER & MCAULIFFE LTD 16WC010900 -C 332 15WC 17631 RAMOS, VINCENT AT&T 01/07/15 CAPRON & AVGERINOS PC 333 15WC 23169 BLUE, CHARLES AUTO CLINIC 07/26/13 KP LAW LLC 334 15WC 23278 ADEYEMI, ADETUNJI FLASH CAB 07/23/15 CHASE & WERNER LTD 335 15WC 23423 HIGH, BYRON FEDEX EXPRESS 07/22/15 POMPER & GOODMAN 336 15WC 23515 MEJIA, JESSICA PRONTO STAFFING 12/23/14 SEIDMAN MARGULIS & FAIRMAN 337 15WC 23627 FINKELMAN, MARK A CORPORATE PLUMBING INC 07/03/15 PAUL W GRAUER & ASSOC HOLECEK & ASSOCIATES 338 15WC 23641 KASZUK, RICHARD RAMAR SUPPLY CO 08/20/14 COVEN LAW GROUP RIPES NELSON BAGGOT KALOBRAT 339 15WC 23808 LEPPER, JAMES R UPS 12/19/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 340 15WC 23859 ALARCON, MARIA UNITED AIRLINES INC. 06/08/15 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 341 15WC 23892 MOHAMED, MOHAMUD BLUE RIBBON TAXI/ GSCABCO 07/25/15 ELFENBAUM EVERS & AMARILIO LAW OFFICES DEBORAH SCHAEFER 342 15WC 23960 CERDA, KATHERINE CHGO STREETS & SAN DEPT 07/24/15 JOEL BELL CITY OF CHICAGO 343 15WC 24085 BUSH, MICHAEL CHICAGO BEARS FOOTBALL CL 12/02/12 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 344 15WC 24093 SEGINA, ROBBIE DOLLAR TREE DBA DEALS 07/08/15 DAVID W MARTAY BRYCE DOWNEY & LENKOV LLC 345 15WC 24116 FARJADO-GUTIERREZ, GUSTAV BULL & BEAR 07/24/15 GOLDSTEIN BENDER & ROMANOF 346 15WC 24134 BANACHOWSKI, FRANCISZEK CITY OF CHICAGO 06/03/15 WHITESIDE & GOLDBERG LTD 347 15WC 24149 ADAMAITIS, GERALD PAUL DARJEAN 08/15/12

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 348 15WC 24200 YOUNG, BRUCE CITY OF CHICAGO -- SANITA 08/04/15 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 349 15WC 24236 STOCKSTILL, STEVEN SR TOWN OF CICERO 07/30/15 ELFENBAUM EVERS & AMARILIO DEL GALDO LAW GROUP LLP 350 15WC 24403 KONCHAR, CASEY RIVER DOCKS, INC. 07/22/15 BAUM RUFFOLO & MARZAL LTD WOLF LAW LTD 351 15WC 24443 CARTER, RAYMOND JERNBERG INDUSTRIES INC 04/17/15 MICHAEL P MCCREADY & ASSOC MEACHUM & STARCK 15WC027397 -C 16WC021188 -C 352 15WC 24580 KOLESSAR, PAUL ILLINOIS STATE POLICE @ 09/11/15 LEE, MARK N LAW OFFICE C. FLETCHER 353 15WC 24601 MAREK, MARY NORTHSTAR AEROSPACE 02/28/13 LAW OFFICE WILLIAM STEARNS 354 15WC 24632 BALA, EUGENIA COVENANT CARE AT HOME 06/25/15 URSULA BABICZ & ASSOC ASHER, RAYMOND L LTD 355 15WC 24640 NEEQUAYE, ROSE NORTHWESTERN MEMORIAL HOS 07/21/14 KATZ FRIEDMAN EAGLE ET AL 356 15WC 24781 MATIAS, BETZAIDA CITY OF CHICAGO 07/07/14 CORBOY & DEMETRIO PC CITY OF CHICAGO 357 15WC 24839 HEREDIA, JOHN CHGO DEPT OF TRANSPORTATI 05/10/13 RUBIN LAW GROUP CITY OF CHICAGO 358 15WC 24853 TOWERS, BELINDA HEALTHCARE CONSORTIUM OF 05/20/13 BRISKMAN BRISKMAN GREENBER ACCIDENT FUND HOLDINGS 15WC024854 -C 15WC024855 -C 359 15WC 24939 PATERA, JEFFREY R. GRAND KAHN ELECTRIC 06/30/15 PETERS, KENNETH D ESQ HOLECEK & ASSOCIATES 360 15WC 25266 PEREZ, NANCY AUGUSTINA UNIVERSITY OF IL AT CHICA 06/04/14 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 361 15WC 25293 ROBINSON, ALVANCE ARENA FOOTBALL ONE LLC 06/01/13 GORDON LAW OFFICES LTD ADELSON TESTAN & BRUNDO 362 15WC 25393 SOSA, MICHELLE C SOUTHWEST AIRLINES 08/16/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 363 15WC 25580 ALHAKIM, ZIAD ULTIMATE MARTIAL ARTS 05/13/14 SALVATO & O'TOOLE 364 15WC 25701 RANCZIE, SHONIA CTA 07/09/15 CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 365 15WC 25718 CAMPBELL, JAMIE M UNITED AIRLINES 07/09/15 STEVEN J MALMAN & ASSOCIAT 366 15WC 25780 DRESNER, SANDY COOPERS HAWK RESTAURANT 03/14/15 MARTIN L GLINK LAW OFFICE GRANT & FANNING 367 15WC 25815 STAHL, JORDAN BEVERLY MATERIALS, LLC 07/01/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 368 15WC 25947 HOLLAND, TIMOTHY SEARS HOLDING CORP 07/07/15 LAW OFFICES ROBERT WARSASK 369 15WC 25988 THOMPSON, GRAHAM CITY OF CHICAGO 11/24/14 BOWMAN & CORDAY MEACHUM & STARCK 370 15WC 26011 HUIZAR, STEVE WELD RITE SERVICES INC 07/07/15 GRAVLIN, MICHAEL J LLC 371 15WC 26108 LARDYDELL, JUAN NORTHERN PLANT SERVICES 06/02/15 POLANSKY & CICHON CHTD THOMAS & PORTELA 372 15WC 26137 MILEVSKI, TOME SIEMENS HEALTHCARE 01/20/15 RUBIN LAW GROUP HOLECEK & ASSOCIATES 373 15WC 26279 KAUFMAN, ANDREW JESSE WHITE TUMBLING TEAM 06/06/15 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 374 15WC 26334 SANTOS, AMANDA ADVOCATE CHRIST HOSPITAL 01/17/15 GRAZIAN & VOLPE PC 375 15WC 26350 CARABALLO, WILFREDO MID-STATES WIRE PROCESSIN 04/22/15 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 376 15WC 26384 SULLIVAN-WOOD, TIMOTHY M. CITY OF CHICAGO HEIGHTS 07/18/15 THOMAS W DUDA PETERSON JOHNSON & MURRAY 15WC026385 -C 15WC026386 -C 377 15WC 26586 SALINAS, ANTONIO NASCO 04/07/15 SAUNDERS CONDON & KENNY GOLDSTEIN & PRICE LC 378 15WC 26624 SANCHEZ, OSCAR NUCARE SERVICES CORP. 12/07/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 379 15WC 26713 RODRIGUEZ, MARIA M LEMURIA LLC 07/13/15 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK 380 15WC 26888 LINO, LETICIA ELITE STAFFING 05/27/15 JOHN S. ELIASIK 381 15WC 26903 ELENZ, JIM VILLAGE OF NILES POLICE D 05/17/15 BOWMAN & CORDAY NYHAN BAMBRICK KINZIE & LOWR 382 15WC 26977 SHUETT, THOMAS VILLAGE OF BARRINGTON 04/25/13 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 383 15WC 26985 INGRAM, MARTIAR CTA 07/31/15 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 384 15WC 31948 WELLS, RONI BRENTWOOD SUB-ACUTE 09/26/15 ANKIN LAW OFFICE HENNESSY & ROACH PC 385 15WC 32747 MILICEVIC, MILIJANA ABM COMPANY 09/25/14 SCOTT BARBER GOLDBERG SEGALLA LLC 386 15WC 32997 BECKER, ROBERT ALLIED TUBE (ATKORE) 03/11/14 ELFENBAUM EVERS & AMARILIO KNELL & O'CONNOR 387 15WC 33011 LOPEZ, SALVADOR JR BEST VALUE AUTOBODY 08/04/15 388 15WC 33052 WEIDNER, CURTIS L. O'HARE METAL PRODUCTS DIV 10/30/14 ROSS TYRRELL GANAN & SHAPIRO 389 15WC 33176 JURECKA, ZDENEK CONTINENTAL STYLE TUCKPOI 09/29/15 CUSHING LAW OFFICES HENNESSY & ROACH PC 390 15WC 33194 JAKICH, RICHARD WALSH CONSTRUCTION COMPAN 07/21/15 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 391 15WC 33234 HERNANDEZ, FRANCISCO CITY OF CHICAGO DEPT OF 09/18/15 RUBIN LAW GROUP CITY OF CHICAGO 392 15WC 33246 MELENDEZ, MARTIN CITY OF CHICAGO DEPT OF 07/14/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 393 15WC 33283 ABRAHAM, DAVID BENCHMARK CONSTRUCTION 10/01/15 MATHYS & SCHNEID MEACHUM & STARCK 394 15WC 33340 SCHMIDT, KATELYNN BURBANK SCHOOL DISTRICT # 06/01/15 MC HARGUE, JAMES P LAW OFF BRADY CONNOLLY & MASUDA PC 395 15WC 33352 PFROMMER, ROBERT J CHUCK'S CONSTRUCTION INC 10/06/15 GAROFALO SCHREIBER STORM 396 15WC 33453 PILOTTO, ARTHUR IROQUOIS PAVING CO 09/15/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 397 15WC 33485 HARDY, CRYSTAL MEIJER-BERWYN 09/18/15 MEYERS & FLOWERS KOPKA, PINKUS & DOLIN, PC 398 15WC 33660 RODRIGUEZ, JESUS CITY OF CHICAGO DEPT OF 08/11/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 399 15WC 33811 MARTINEZ, MARIA HOME PRODUCTS INTERNATION 10/09/15 EPSTEIN, JACK R LAW OFFICE 400 15WC 33935 ABDULAHAD, NASHWAN AMMERAAL BELTECH 07/06/15 SEIDMAN MARGULIS & FAIRMAN

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 401 15WC 33969 ALMANZA, ABEL JR KELVIN CO LLC 09/30/15 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 402 15WC 34271 ROSAS, YOSELIN RON'S STAFFING 09/17/15 JAMES J. GAY GAROFALO SCHREIBER STORM 403 15WC 34371 HART, JEROME WALMART 04/23/15 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 404 15WC 34499 THAKKAR, SANJAY NESTLE USA, INC 07/10/15 GOLDSTEIN AIOSSA & GOOD NYHAN BAMBRICK KINZIE & LOWR 405 15WC 34509 JOHNSON, CORDARYL FORD MOTOR COMPANY 07/24/15 DAVID W MARTAY POWER & CRONIN LTD 406 15WC 34528 GINA, ROLANDO AMERICNA AIRLINES GROUP 07/10/15 WOODRUFF & JOHNSON POWER & CRONIN LTD 407 15WC 34567 ROJAS, GUADALUPE SERVPRO 05/05/15 MC HARGUE, JAMES P LAW OFF 408 15WC 34643 HENDERSON, RETHER CHICAGO TRANSIT AUTHORITY 10/08/15 KUMLIN & FROMM 409 15WC 34757 RAMIREZ, MARIA DE LA LUZ HOME PRODUCTS 09/09/15 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 410 15WC 34868 BYRD, PHILLIP FEDERAL MOGUL 09/24/15 AIOSSA LAW FIRM HOLECEK & ASSOCIATES 411 15WC 34941 DAVIS, AGNES STATE OF ILLINOIS @ 10/21/15 GOLDSTEIN AIOSSA & GOOD ASSISTANT ATTORNEY GENL 412 15WC 34962 MORALES, MARIBEL NATION PIZZA & FOODS 11/14/14 COSTA IVONE LLC MEACHUM & STARCK 413 15WC 35035 RAPCIAK, DAMIAN GRANITE SOLUTIONS INC 09/14/15 ROSS TYRRELL INMAN & FITZGIBBONS 414 15WC 35155 NOYOLA, MARILU ALDI 06/24/15 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 415 15WC 35188 GAYDE, GEORGE FORD MOTOR COMPANY 07/22/13 FOHRMAN, DONALD W & ASSOCS 416 15WC 35271 SANTIAGO, ANGEL UNITED PARCEL SERVICE OF 05/27/15 PETER D CORTI LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 417 15WC 35283 BAILEY, WILLIAM DAVIS STAFFING, INC. 10/15/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 418 15WC 35294 TAYLOR, RAPHAEL FORT DEARBORN CO 10/22/15 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 419 15WC 35333 YURGIL, DONNA COST OF WISCONSIN 10/05/15 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK 420 15WC 35365 MUHLY, FREDERICK EXELON WEST 04/24/15 HENNESSY & ROACH PC 421 15WC 35470 MUNGUIA, MARIO COLFAX CORP 06/15/15 SPIEGEL & DEMARS 422 15WC 35492 LEGGINS, ANIKA TITAN PERSONNEL INC. 09/08/14 GOLDBERG WEISMAN & CAIRO L 423 15WC 35511 TRETO, JAQUELINE ARAMARK 10/15/15 DWORKIN AND MACIARIELLO 424 15WC 35613 OROZCO, ALFONSO WALSH CONSTRUCT CO 10/21/15 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 425 15WC 35704 DAMASCHKE, JEFFREY CHICAGO PUBLIC SCHOOL 09/19/14 DINIZULU LAW GROUP 426 15WC 35903 PAREDES, ALEXANDER FH LEINWEBER, INC. 12/18/14 DAVID W MARTAY THOMAS & PORTELA 427 15WC 35919 CARMONA, ELKIN THE PROFESSIONALS INC 09/14/15 428 15WC 35986 SAV, SAMMUEL MADSEN BUILDERS 12/02/14 HEALY SCANLON LAW FIRM 429 15WC 36023 VALLE, JUAN NORTHWEST GENERAL 10/08/15 PAUL LUKA PC 430 15WC 36032 TAGLER, PAULA COOK COUNTY SCHOOL DIST 1 10/22/15 BARRETT & SRAMEK NYHAN BAMBRICK KINZIE & LOWR 431 15WC 36056 DIANA, SARAH R NORTHWEST SUBURBAN PHYSIC 09/30/15 SALVATO & O'TOOLE 432 15WC 36081 ROUSE, ANDREW AT & T 05/06/15 LEONARD LAW GROUP LLC 433 15WC 36099 NORIEGA, MARGARITA METHODE ELECTRONICS 07/24/15 FREDRICK B BARDER, LTD 434 15WC 36184 BAKUNAS, SUADA XYLEM, INC 10/10/12 NEWLAND & NEWLAND POULOS & DIBENEDETTO LAW 435 15WC 36211 PIENIAZEK, ANGELA COSTCO WHOLESALE 09/04/13 CUDA LAW OFFICES GANAN & SHAPIRO 436 15WC 36247 ANDERSON, TANEISHA KATES DETECTIVE & 09/13/15 LANNON LANNON & BARR LTD

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 437 15WC 36303 EARL, CHERRY M PROJECT HOPE ELC 08/21/15 438 15WC 36331 WALLS,SKYNEEKA JACKSON PARK HOSPITAL 07/20/15 ANKIN LAW OFFICE ODELSON & STERK 439 15WC 36433 WALLACE, TASHA SPECIAL EDUCATION SYSTEMS 05/06/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 440 15WC 36546 CORDOBA, JORGE IMS BUHRKE-OLSON 10/27/14 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 441 15WC 36635 REIKEN, MICHAEL J VILLAGE OF SKOKE FIRE DEP 10/21/15 FIGLIOLI, DAVID 442 15WC 36661 HURT, LINDA CDS COURIER 10/23/15 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 443 15WC 36692 ANDERSON, MARCINE D CTA 10/25/15 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 444 15WC 36715 YORK, CATHLEEN WELCH PACKAGING 09/28/15 CIFELLI SCREMENTI & DORE HOLECEK & ASSOCIATES 445 15WC 36735 DALEY, GREG HALL ENTERPRISES, INC. 02/08/13 PAUL W GRAUER & ASSOC GANAN & SHAPIRO 446 15WC 36775 RIBER, YANEK CREATIVE STEEL 10/17/14 BELCHER LAW OFFICE COZZI & GOGGIN-WARD 447 15WC 36800 NOGUERAS, YANELLE VALENTI UNITED AIRLINES INC. 02/16/15 KATZ FRIEDMAN EAGLE ET AL 448 15WC 36856 WILDER, DAVID IDEAS INC. 10/28/15 ANKIN LAW OFFICE RODDY LAW LTD 449 15WC 36869 HOLTE, RALPH R PJ FAZIO PLUMBING & HEATI 09/23/15 MEYERS & FLOWERS BRYCE DOWNEY & LENKOV LLC 450 15WC 36939 JIMENEZ, ROCIO FLEXIBLE STAFFING SERVICE 11/02/15 JOHN C SERKLAND WIEDNER & MCAULIFFE LTD 451 15WC 37016 ACEVEDO, ELSA W LUNA SECURITY SERVICES 11/01/15 LAW OFFICE OF JAMES H MILL 452 15WC 37073 JAMEEL, HAMID M VASKEN CAB INC 09/06/15 MARSZALEK AND MARSZALEK 453 15WC 37120 TREJO, CECILIA B AND B MAINTENANCE 07/06/15 HART & DAVID LLP HOLECEK & ASSOCIATES 454 15WC 37160 LEBRON, LUIS CITY OF CHICAGO 10/19/15 BOGUSZ & BOGUSZ LTD CITY OF CHICAGO

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 455 15WC 37198 LASKOWSI, JOSEPH PENSKE TRUCK LEASING 07/23/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 456 15WC 37234 SUGG, LEONA PIN PIONT LOGISTICS, LLC 05/29/15 DEPAOLO ZADEIKIS GORE GAROFALO SCHREIBER STORM 457 15WC 37273 ROBINSON, TERRANCE JOHN MARSHALL HIGH SCHOOL 11/03/15 LEONARD LAW GROUP LLC 458 15WC 37291 BACHMANN, JACOB MIDWEST SIGN & LIGHTING I 11/05/15 HORWITZ HORWITZ & ASSOC 459 15WC 37350 QUARLES, KAREN COOK COUNTY JUVENILE TEMP 01/15/15 SEIDMAN MARGULIS & FAIRMAN 16WC003824 -C 460 15WC 37445 SANCHEZ, MARIA DE LOURDES TAMALES Y MAS TAMALES 10/20/15 PAUL LUKA PC 461 15WC 37476 TRIPLETT, JEROME SWISSPORT 11/04/15 LIPKIN & HIGGINS LAW OFFIC GAROFALO SCHREIBER STORM 462 15WC 37491 BRIGEMON, AHNAHTIYAH WAL-MART STORES, INC 10/31/15 SANDMAN LEVY & PETRICH 463 15WC 37591 DRAINE, JASON FORD MOTOR COMPANY 09/17/15 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 464 15WC 37601 MANSKE, BRIAN SUGAR STEEL 08/01/15 MC HARGUE, JAMES P LAW OFF 465 15WC 37735 ESPINOZA, ALEXIS PARK TAVERN 10/27/15 STROM, NEAL B 466 15WC 37778 MARCHIORI, GINA CITY OF CHICAGO 11/03/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 467 15WC 37817 OBADEIN, ABAYOMI DISPATCH TAXI 10/14/15 LAW OFFICE RYAN ROSENTHAL 468 15WC 37895 RIOS, TOMAS SAVERS INC DBA UNIQUE THR 11/19/15 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 469 15WC 37908 MAGEE, JAMIE REHAB INSTITUTE OF CHICAG 10/11/15 DE SALVO, SCOTT D LAW OFFI KEEFE CAMPBELL & ASSOC LLC 470 15WC 38021 PERKINS, JOSEPH OLYMPIA FIELDS COUNTRY CL 10/09/15 471 15WC 38148 VARGAS, ENCARNACION PIERCE ELEMENTARY SCHOOL 09/03/15 DEPAOLO ZADEIKIS GORE 472 15WC 38172 HENDERSON, KAWADA FALLAS/NATIONAL STORAGE 07/13/15 THOMAS & PORTELA

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 473 15WC 38203 JACKSON, TIM ARENA FOOTBALL ONE LLC 08/15/15 GORDON LAW OFFICES LTD ADELSON TESTAN & BRUNDO 474 15WC 38256 PRICKETT, SARAH CANCHOLA SLEEP RX 10/28/15 KURASCH & KLEIN, LTD 475 15WC 38325 FISHMAN, ERIC ROLLING FRITO-LAY SALES L 10/23/15 BARMAN KRAMER & BOHLEN GILDEA & COGHLAN 476 15WC 38427 CHINO, ARTURO GRILLHOUSE 11/11/15 DWORKIN AND MACIARIELLO 477 15WC 38449 PERRYMAN, JULIUS PRODRIVERS 11/27/15 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 478 15WC 38556 MANNING, CHAUSSE COOK-DUPAGE TRANSPORTAION 09/29/15 STEVEN J MALMAN & ASSOCIAT 479 15WC 38747 FRANKLIN, ALBERTA M CHICAGO OEMC 11/12/15 ANKIN LAW OFFICE CITY OF CHICAGO 480 15WC 38768 MORENA, ANEL COSTCO 08/05/15 COSTA IVONE LLC 481 15WC 39003 BEWLEY, MARK HARBOR GROUP MANAGEMENT 02/27/13 HEALY SCANLON LAW FIRM HOLECEK & ASSOCIATES 482 15WC 39033 CHAVEZ, MARTIN RAM ROOFING SERVICES, INC 11/04/15 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 483 15WC 42703 VARGAS, IGNACIO AAA PAINTING CONTRACTORS 10/14/15 KARCHMAR & STONE THOMAS & PORTELA 484 16WC 01095 FELDMAN, SHARON UNIVERSITY OF ILLINOIS @ 09/22/15 ROSS J HELFAND HEYL ROYSTER VOELKER & ALLEN 485 16WC 02674 HAND, JOHN UNIVERSITY OF IL AT CHICA @ 05/04/15 FRANK SOTO HEYL ROYSTER VOELKER & ALLEN 16WC003142 -C ST OF IL DEPT OF 486 16WC 02913 SEIBT, GAYLE WICK HIGHLAND PARK CVS, LLC 10/18/14 VRDOLYAK LAW GROUP LLC HINSHAW & CULBERTSON 487 16WC 03181 LENON, ELVIN HUNTER TRUCKING 03/03/14 RONALDSON & KUCHLER ROSARIO CIBELLA 488 16WC 03207 ASHFORD, NAKIA CHICAGO TRANSIT AUTHORITY 10/06/15 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 16WC003557 -C 489 16WC 03234 PALACIOS, RICARDO MERCHANDISE USA 04/13/15 CANDIANO LAW OFFICE MEACHUM & STARCK 490 16WC 03256 RESITVO, VINCENT CTA 01/29/16 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 491 16WC 03402 HODGE, CHARON STUDENT TRANSPORTATION OF 01/11/16 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 492 16WC 03427 LOPEZ, BELLA SCRUB INC 04/19/15 COSTA IVONE LLC 493 16WC 03493 ZAKOIAN, MICHELLE PEAPOD INC 08/15/15 FRANCIS J DISCIPIO LAW OFF LITCHFIELD CAVO 494 16WC 03535 LUNER, CAROL ANNE BROOKDALE SENIOR LIVING @ 12/10/15 JOHNSON, MICHAEL D & ASSOC 495 16WC 03670 ANTONIAZZI, JOSEPH KEPPER HEARTT 05/14/15 ASHER, RAYMOND L LTD 496 16WC 03770 HERRERA, ELENA THE KEEBLER COMPANY 01/24/16 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 497 16WC 03804 HUIRACOCHA, MIGUEL SURESTAFF 02/03/16 CUDA LAW OFFICES SURE-STAFF 498 16WC 03827 HARRIS, CLAYTON PARK PACKAGING OF CHGO IN 12/17/15 RUBIN LAW GROUP 499 16WC 03854 JUAREZ, PABLO ANTONIO HIGHLIGHTS CHICAGO, INC. 01/04/16 FRIEDMAN & SOLMOR LTD HENNESSY & ROACH PC 500 16WC 03989 HERNANDEZ, ENRIQUE NEXUS PAYROLL INC 01/11/16 STROM, NEAL B 501 16WC 04032 PALMSISANO, JOHN ABLE ENGINEERING SERVICES 09/15/15 GALLIANI DOELL & COZZI LTD 502 16WC 04172 ORTIZ-GARCIA, DAVID AIRCRAFT SERVICE INTERNAT 01/16/16 VRDOLYAK LAW GROUP LLC 503 16WC 04212 BASILIO, PERMIN MARCELO UNITED SCRAP METAL INC 01/21/16 ANKIN LAW OFFICE 504 16WC 04294 SMITH, ROCKY ENTERPRISE LEASING CO 12/23/15 TAYLOR MILLER SPROWL ET AL KNELL & O'CONNOR 505 16WC 04338 ZARAGOZA, JUAN AMITY PACKING COMPANY INC 03/25/15 MARC J SHUMAN & ASSOCIATES 506 16WC 04373 GRIFFIN, LOUISA PRAIRIE MANOR NURSING AND 12/11/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 507 16WC 04401 JENKINS, TIMOTHY CAPSTONE LOGISTICS 01/29/16 BRISKMAN BRISKMAN GREENBER 508 16WC 04473 BALOUGH, APRIL PEPPER CONSTRUCTION CO 04/06/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 509 16WC 04518 HIDALGO, ANTONIO KELLOGS 08/09/15 JOHN S. ELIASIK KEEFE CAMPBELL & ASSOC LLC 510 16WC 04569 MEEKS, KENISHA CHICAGO PUBLIC SCHOOLS 01/11/16 STEWART C ORZOFF 511 16WC 04623 FITZGERALD, TINA TREETOP GENERATIONS, INC. 01/04/16 LOUIS A PLZAK & ASSOCIATES GAROFALO SCHREIBER STORM 512 16WC 04663 SWAN, CHRISTOPHER GALOMEX CONSTRUCTION 12/07/15 PETER D CORTI LAW GROUP MEACHUM & STARCK 513 16WC 04740 MORENO, AMBROSIO ASPEN FOODS 01/29/16 ANKIN LAW OFFICE POWER & CRONIN LTD 514 16WC 04922 OCHOA DE MARTINEZ, MARIA ASPEN FOODS INC 12/10/15 EPSTEIN, JACK R LAW OFFICE 515 16WC 04990 BRENS, STEVEN SIEMENS 01/20/16 JOHN F GREGORIO & ASSOC 516 16WC 05048 ROMERO, UBALDO WESTROCK SERVICES, INC. 07/01/15 PAUL W GRAUER & ASSOC GAROFALO SCHREIBER STORM 517 16WC 05067 MILLER, ERIK P VILLAGE OF MORTON GROVE 01/27/16 THOMAS W DUDA RIPES NELSON BAGGOT KALOBRAT 518 16WC 05107 MORTEGA, IRENE CHGO BOARD OF ED 01/26/15 HORWITZ HORWITZ & ASSOC 519 16WC 05170 ROMERO, ROBERT COOK COUNTY SHERIFF'S DEP 01/29/16 PETER D CORTI LAW GROUP STATES ATTORNEY OF COOK COUN 520 16WC 05220 SANDERS, DELVIN COOK COUNTY JUVENILE 10/13/15 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 521 16WC 05273 ROJAS, JOSE F CITY OF CHICAGO 08/04/15 FABRIZIO, HANSON & PEYLA CITY OF CHICAGO 522 16WC 05307 RESA, JERRY CITY OF CHICAGO STREETS & 03/05/14 GOLDBERG WEISMAN & CAIRO L 523 16WC 05346 LEON, MARIA L RELIABLE EXPRESS TRANSPOR 02/14/16 STROM, NEAL B MCANANY VANCLEVE & PHILLIPS 524 16WC 05412 JANG, DANIEL DALE COYNE RACING 05/24/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 525 16WC 05432 LABOY, LESBIA MID-WEST WIRE SPECIALITIE 01/14/16 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 526 16WC 05520 NUNEZ, ADRIAN GOMEZ STEAD SHEET METAL INC. 12/18/15 GOLDSTEIN BENDER & ROMANOF

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 527 16WC 05634 MONTIJO, ABRAHAM DPI DEDICATED LOGISTICS 01/25/16 COSTA IVONE LLC 528 16WC 06200 CUEVAS, TRINIDAD FLORIDA FRUIT JUICES 02/18/16 CRONIN & PETERS 529 16WC 06265 CRUDER, SHAKIA CHICAGO TRANIST ANTHORITY 08/23/15 JOHN E LUSAK CHICAGO TRANSIT AUTHORITY 530 16WC 06336 KIOUSIS, MARY LU SOUTH SUBURBAN HOSPITAL 02/03/16 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 531 16WC 06362 VUKOVSKI, KRASIMIR PUSHO, INC 01/08/16 MEYERS & FLOWERS 532 16WC 06416 KOLB, ROBERT J UNIVERSAL PARKING OF IL L 01/05/16 DISPARTI LAW GROUP PA THOMAS & PORTELA 533 16WC 06501 ASH, RALPHAEL FORD MOTOR COMPANY 02/18/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 534 16WC 06533 STOLZ, STEVE SR KNICKERBOCKER ROOFING AND 11/23/15 PETER F FERRACUTI & ASSOCI GRANT & FANNING 535 16WC 06693 VARNADO, VANESSA CHICAGO TRANSIT AUTHORITY 02/27/16 KARNO, MARK L & ASSOC CHICAGO TRANSIT AUTHORITY 536 16WC 06767 BLES, MICHAEL GATESAFE 02/02/16 NILSON STOOKAL GLEASON CAP RUSIN & MACIOROWSKI LTD 537 16WC 10761 KIELCZEWSKI, MIECZUSLA NYPRO PACKAGING 05/14/15 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 538 16WC 13402 GOSHEN, THOMAS COOK COUNTY 02/24/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 539 16WC 13503 PACHASA, RUSS UNITED AIRLINES 05/11/15 SAUNDERS CONDON & KENNY 540 16WC 13634 LUNA, HUGO IMPERIAL ZINC 11/20/13 KATZ FRIEDMAN EAGLE ET AL 541 16WC 13720 WILBON, SANDRA ILLINOIS SECRETARY OF STA 08/04/15 ASHER, RAYMOND L LTD C. FLETCHER 542 16WC 13742 MCALLISTER, DORTHERA BERKELEY NURSING & REHAB 09/14/15 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 543 16WC 13765 CAMBRON, JULIO RELIABLE GALVANIZING 04/27/16 COSTA IVONE LLC RODDY LAW LTD 544 16WC 13782 FLORES-RUIZ, CARLOS BATTAGLIA DISTRIBUTING CO 04/22/16 SALK, STEVEN B & ASSOC LTD

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 545 16WC 13811 MONTESINO, VINCENTE MIDWAY BUILDING GROUP 09/12/15 LAW OFFICE JEFFREY FRIEDMA KEEFE CAMPBELL & ASSOC LLC 546 16WC 13844 SYED, AZEEM PARK AVE TAXI CORP LSE 03/05/16 C DEAN MATSAS 547 16WC 13856 SEGINA, JOHN SCH&T CORP. OF ILLINOIS C 03/07/16 HETHERINGTON KARPEL BOBBER COZZI & GOGGIN-WARD 548 16WC 13877 MURRAY, TIM VILLAGE OF SCHAUMBURG 08/31/15 MACIOROWSKI SACKMANN & ULRIC 549 16WC 13897 BANKS, DIANAH METRO STAFF, INC 04/20/16 MC HARGUE, JAMES P LAW OFF 550 16WC 13914 DEMIROVSKI, DITMIR EAGLE EXPRESS LINE INC 03/25/16 KP LAW LLC NYHAN BAMBRICK KINZIE & LOWR 551 16WC 13939 RYAN, MARGARET E BROADWAY IN CHICAGO 10/08/15 GALLAGHER, DONALD V KNELL & O'CONNOR 552 16WC 14125 HERNANDEZ, JASMINE CHILDCARE CAREERS 04/28/16 MARC J SHUMAN & ASSOCIATES BRYCE DOWNEY & LENKOV LLC 553 16WC 14145 SHAFIO, MEHWISH LSG SKY CHEFS 04/22/16 SANDMAN LEVY & PETRICH INMAN & FITZGIBBONS 554 16WC 14188 BALTAZAR, MARICELA LITTLE LADY FOODS 04/06/16 LARRY FLEISCHER & ASSOCIAT HOLECEK & ASSOCIATES 555 16WC 14194 DZIABA, MARK ABF FREIGHT 09/24/15 SPIROS LAW PC 556 16WC 14245 WISEMAN, BARBARA TENET HEALTHCARE CORPORAT 03/14/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 557 16WC 14263 PICARDI, EMILIA JEWEL FOOD STORES 03/26/16 LAW OFFICES MICHAEL HELLMA RODDY LAW LTD 558 16WC 14372 DE WEIS, YAZMIN MORAD RON'S STAFFING/AB PLASTIC 12/30/15 ACEVES & PEREZ PC GAROFALO SCHREIBER STORM 559 16WC 14414 OKWEI, ANGELA DURO-HILEX 10/16/15 CAPRON & AVGERINOS PC 560 16WC 14444 LEAKE, KATHLEEN ENVOY AIR-OHARE AIRPORT 06/11/15 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 561 16WC 14446 BROWN, DULCIE UNITED AIRLINES 01/31/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 562 16WC 14487 VASQUEZ, ARMANDO COOK COUNTY SHERIFF'S DEP 04/07/16 ROMANEK & ROMANEK STATES ATTORNEY OF COOK COUN

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 563 16WC 14565 GARCIA, JUDITH ASSIST, INC 04/20/16 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 564 16WC 14654 MARATTO, DOMINIC UNITED AIRLINES 02/13/14 ALAN A BLUM, PC 565 16WC 14665 ALLEN, TASHA GAP INC 04/23/16 K P LAW LLC 566 16WC 14732 SIMMONS, DALMANIC DUANE EHRESHMAN 02/04/16 DAVID W MARTAY HENNESSY & ROACH PC 567 16WC 14757 APAEZ, ARMANDO SUPERIOR STAFFING 03/22/16 NEWLAND & NEWLAND 568 16WC 14764 ZICK, LAIMA GENTIVA 03/19/15 FOHRMAN, DONALD W & ASSOCS ARNETT LAW GROUP 569 16WC 14888 WEST, MICHAEL J. TRIBE MANAGEMENT CONCEPTS 03/03/16 ROSS TYRRELL HOLECEK & ASSOCIATES 570 16WC 14929 MORRISON, DAVID CHICAGO TRANSIT AUTHORITY 04/28/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 571 16WC 14935 KUZNECOVA, DIANA CLEARBROOK 03/25/16 MINKOW DOMIN ACCIDENT FUND HOLDINGS 572 16WC 15058 RICHARDS, CINDY J UNITED AIRLINES INC. 04/18/16 KATZ FRIEDMAN EAGLE ET AL 573 16WC 15081 JAMA, OMAR CHICAGO SEVEN INC 04/26/16 FISHER & LAMONICA 574 16WC 15223 OLMOS, LEONCIO OSWALDO CASTRO 04/28/16 WOODRUFF & JOHNSON 575 16WC 15242 ESTRADA, MIRNA EL ASADOR EXPRESS 05/07/16 LAW OFFICES LEONARDO MORAL 576 16WC 15325 DE LA CRUZ, GERMAN ALLIANCE COMPANIES INC 04/28/16 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 577 16WC 15354 MC DONALD, SHARON R. LITTLE COMPANY OF 03/30/16 ROBERT A. WILSON WIEDNER & MCAULIFFE LTD 578 16WC 15450 CARPENTER, ROBERT W JR ATKORE INTERNATIONAL 10/07/15 FINE, MARK S LAW OFFICES 579 16WC 15501 PHILLIPS, DANIELLE DAVIS FOOD 4 LESS 04/01/16 MICHAEL P MCCREADY & ASSOC 580 16WC 15642 LIDDELL, IRIS BALLARD RESPITORY & REHAB 05/04/16 PARENTE & NOREM PC LAW OFFICES FRANCESCA LARSEN

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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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 635 16WC 24398 FIALA, KIMBERLY CDW 02/16/16 WHITESIDE & GOLDBERG LTD 636 16WC 24505 BURCHETT, LAMAR FAMILY DOLLAR 06/01/16 BRISKMAN BRISKMAN GREENBER BRYCE DOWNEY & LENKOV LLC 637 16WC 24529 SACKS, LOUIS UPS 07/26/16 STEWART C ORZOFF ASA LAW GROUP 638 16WC 24595 PARKER-ROBINSON, GWENDOLY PRIMESOURCE HEALTHCARE SY 07/05/16 HORWITZ HORWITZ & ASSOC 639 16WC 24614 INGRAM, CHARISSE SCR MEDICAL TRANSPORTATIO 05/19/16 DEPAOLO ZADEIKIS GORE NYHAN BAMBRICK KINZIE & LOWR 640 16WC 24635 HODGE, JERRY D ROUNDY'S SUPERMARKETS, IN 07/01/16 641 16WC 24642 GARCIA, CHRISTIAN PEPSI CO. 07/26/16 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 642 16WC 24683 KYSER, LONNIE OLYMPIC MOVING 07/22/16 STEVEN J MALMAN & ASSOCIAT 643 16WC 24708 LANNANTENE, JOHN SYSCO CHICAGO INC 07/16/15 BEKKERMAN LAW OFFICE 644 16WC 24742 REED, KYLIE AVANT GARDENIA 07/17/16 MEYERS & FLOWERS 645 16WC 24835 MITCHELL, NAKAJI SODEXO 06/23/16 SPENCER LAW OFFICES 646 16WC 24893 RICKS, SHANNON WALMART 03/26/16 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 647 16WC 24989 MATA, YESENIA GROVE OF LAGRANGE PARK 10/01/15 LAW OFFICES OF HERBERT ABR BRADY CONNOLLY & MASUDA PC 648 16WC 25069 GIBBONS, NEAL GIBBONS, NEAL 08/10/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 649 16WC 25088 MADERAK, ADAM J. ADJUSTABLE FORMS, INC. 06/26/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 650 16WC 25139 ROBINSON, SHARON LIVHOME INC 06/08/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 651 16WC 25141 CARRASQUILLO, WILBERTO NU-WAY INDUSTRIES, INC. 04/12/16 ANKIN LAW OFFICE 652 16WC 25235 STEELE, CHRISTOPHER DHL EXPRESS USA INC 07/08/16 ANKIN LAW OFFICE

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 653 16WC 25249 WATSON, BERTHA ADVOCATE HEALTH CARE/ILLI 07/18/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 654 16WC 25348 GOTT, ALEX ASSOCIATED SERVICES 08/12/16 DAVID W MARTAY 655 16WC 25381 PATRICIO, ALFREDO KIMCO 07/27/16 656 16WC 25407 CIGANOVIC, VERA WALDORF ASTORIA, A SUBSID 09/29/15 GALLIANI DOELL & COZZI LTD 657 16WC 25459 RIVERA, ANGEL PLANT PROPERTY MANAGEMENT 04/20/15 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 16WC025460 -C 658 16WC 25498 BRODERICK, PATRICIA STATE OF ILLINOIS DEPT @ 01/09/14 STEVEN L. VENIT C. FLETCHER 659 16WC 25520 LARES, MICHAEL KOCH FOODS 06/13/16 GOLDSTEIN AIOSSA & GOOD 660 16WC 25529 SANCHEZ, OSCAR EL MILAGRO, INC 04/13/15 MC HARGUE, JAMES P LAW OFF 661 16WC 25533 PILECKI, ANDREW W. CITY OF CHICAGO DEPARTMEN 07/14/15 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 662 16WC 25549 AULENTA, JOSEPH D. GES CHICAGO 06/29/16 LAW OFFICES MICHAEL HELLMA GILDEA & COGHLAN 663 16WC 25573 DRISH, RYAN SILBRICO CORP 05/03/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 664 16WC 25592 WILLIAMS, KOREY CTA 08/19/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 665 16WC 25617 FARRIS, RICK POWER CONSTRUCTION 02/28/15 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 666 16WC 25708 LAWNY, DONNA LEVY RESTAURANTS 08/13/16 ELFENBAUM EVERS & AMARILIO GANAN & SHAPIRO 667 16WC 25819 OCAMPO, ESTEBAN CHICAGO TRANSIT AUTHORITY 07/30/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 668 16WC 25927 CANO, MARILU STAFF RIGHT 05/03/16 AIOSSA LAW FIRM 669 16WC 25998 BATAINEH, KHALED CLIMATE ZONE HEATING & 04/08/16 GOLDBERG WEISMAN & CAIRO L 670 16WC 26025 ANSARI, SAMEENA NORWEGIAN AMERICAN HOSPIT 07/28/16 COLLISON & O'CONNOR

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 671 16WC 26051 RADCLIFFE, MARVIN INGREDION 12/19/15 MEYERS & FLOWERS 672 16WC 26126 PARKINSON, ELIZABETH NORTHSTAR FRONTIER USA IN 07/05/16 GOLDBERG WEISMAN & CAIRO L 673 16WC 26166 MICHALSKI, MIROSLAWA MB FINANCIAL BANK 08/01/16 BELLAS & WACHOWSKI 674 16WC 26189 SCAGLIONE, NICOLE WEBER STEPHEN PRODUCTS 08/05/16 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 675 16WC 26204 MONARREZ, CRISTINA RITZ CARLTON 07/21/16 STEVEN A CRIFASE, LTD 676 16WC 26274 KILCULLEN, JOHN J VILLAGE OF SKOKIE POLICE 05/05/16 FIGLIOLI, DAVID 677 16WC 26450 HUBBARD, SONYA N CHICAGO PUBLIC SCHOOLS 01/21/16 DISPARTI LAW GROUP PA 678 16WC 26508 SAMANO-CORIA, GRACIELA METROSTAFF INCORPORATED 12/30/15 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 679 16WC 26533 ESCOBEDO, MONICA COOK COUNTY SHERIFF'S DEP 08/07/16 STELZMAN, RUTH STATES ATTORNEY OF COOK COUN 680 16WC 26571 DOMINGUEZ, LUIS M MEYER STEEL & DRUM 03/01/16 LAW OFFICES LEONARDO MORAL 681 16WC 26604 IBARRA, RICARDO COOK COUNTY 08/13/16 ANGELINI & ORI LLC STATES ATTORNEY OF COOK COUN 682 16WC 26720 DURON, MARIA P RAIN FOREST CAFE, INC 03/19/16 ANKIN LAW OFFICE 683 16WC 26842 LACEY, TROY INDEPENDENCE TUBE CORPORA 05/26/16 BIZZIERI LAW OFFICES 684 16WC 26857 MURPHY, MICHAEL P US FOODS 08/02/16 FIGLIOLI, DAVID BRADY CONNOLLY & MASUDA PC 685 16WC 26895 FIGUEROA, MARILYN SECURE AMERICA 08/28/16 GALLIANI DOELL & COZZI LTD 686 16WC 26911 BRYANT, EVITA P FAMILY DOLLAR 04/12/16 ANESI OZMON RODIN NOVAK KO BRYCE DOWNEY & LENKOV LLC 687 16WC 33789 NOEL, CHRISTINE MEIJER 09/28/16 MEYERS & FLOWERS 688 16WC 33887 CONTRERAS, LUIS F UNION AUTO SALES 02/25/16

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 689 16WC 33930 GATSON, MARY ILLINOIS CENTRAL SCHOOL B 10/03/16 BERG & BERG GILDEA & COGHLAN 690 16WC 33968 GABER, SADEDEEN SEARS HOLDINGS 12/24/15 CAPRON & AVGERINOS PC 691 16WC 33994 SMITH, PRESTON L CITY OF CHICAGO/DEPT OF 10/30/16 ANKIN LAW OFFICE 692 16WC 34007 ROMAN, IVAN PARRA SOURCE ONE STAFFING, INC 09/01/16 COSTA IVONE LLC ROBERT L. SMITH 693 16WC 34044 BOTICA, MARTIN CITY OF CHICAGO 10/11/16 SALVATO & O'TOOLE 694 16WC 34054 COOPER, LARRY WATERFRONT TERRACE, INC 07/15/16 SPENCER LAW OFFICES POWER & CRONIN LTD 695 16WC 34100 ASHFORD, ANGELA UNITED TEMPS, INC 10/20/14 DEPAOLO ZADEIKIS GORE INMAN & FITZGIBBONS 696 16WC 34116 LOPEZ, LUIS CHICAGO TRANSIT AUTHORITY 10/26/16 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 697 16WC 34143 RODRIGUEZ, MARGARITA CARL BUDDIG & CO 10/21/16 CHEPOV & SCOTT LLC KNELL & O'CONNOR 698 16WC 34166 MORALES, ROBERTO INDUSTRIAL MATERIALS & SU 01/21/16 CULLEN HASKINS NICHOLSON 699 16WC 34200 PANIK, THOMAS WILLIAMS STEEL ERECTORS 10/27/16 ELFENBAUM EVERS & AMARILIO 700 16WC 34221 HUGHIE, STEVE UNITED AIRLINES INC. 09/11/16 NILSON STOOKAL GLEASON CAP 701 16WC 34272 FANANI, GIOVANNA UNITED AIRLINES INC. 09/22/16 KATZ FRIEDMAN EAGLE ET AL 702 16WC 34294 WARD, DENEEN M STATE OF ILLINOS ET AL @ 03/01/16 STUART H GALESBURG C. FLETCHER 703 16WC 34309 BUENZOW, KEITH E VILLAGE OF SKOKIE FIRE DE 09/28/16 FIGLIOLI, DAVID VILLAGE OF SKOKIE 704 16WC 34325 BENITEZ, NEYVA O'REILLY AUTO ENTERPRISES 10/04/16 CUSHING LAW OFFICES HENNESSY & ROACH PC 705 16WC 34345 BLOCH, FERN COOK COUNTY CLERK OF COUR 10/31/16 HUGHES SOCOL PIERS RESNICK STATES ATTORNEY OF COOK COUN 706 16WC 34370 JORDAN-BAHENA, JACOB RENE CAMPOS LANDSCAPING I 09/27/16 LAW OFFICES LEONARDO MORAL

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 707 16WC 34396 MUNOZ, JOSE RED CARPET INN 08/03/15 COSTA IVONE LLC 708 16WC 34425 CONDE, WALTER LOU MALNATI'S 03/11/16 HERRERA LAW CENTER GRANT & FANNING 709 16WC 34490 MCCREEDY, LAWRENCE COOK COUNTY 05/17/16 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 710 16WC 34512 CAMERINO, FRANK J PATHWAY TO ADVENTURE COUN 07/04/16 TAMVAKIS, GEORGE L INMAN & FITZGIBBONS 711 16WC 34543 JUNGO, PATRICIA CHICAGO MEAT AUTHORITY 10/29/16 RUEDA, IVAN A 712 16WC 34570 HOOKS, KAREN PACE SUBURBAN BUS 09/15/16 DAVID W MARTAY SLAVIN & SLAVIN 713 16WC 34605 ROUSE-NELSON, TANICIA SEARS HOME IMPROVEMENT 10/22/16 RIDGE & DOWNES 714 16WC 34629 KOZLOWSKA, MARTA RADISSON-BLU AQUA HOTEL 09/15/16 LAW OFFICE NANCY HIRSCH LL 715 16WC 34646 CLINTON-TYRUS, APRIL ADVOCATE HOME HEALTH SERV 03/27/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 716 16WC 34678 FARA, ALI CHICAGO HEIGHTS POLICE DE 11/14/16 DEL GALDO LAW GROUP LLP 717 16WC 34739 HUDSON, ANTONIO CHICAGO PUBLIC SCHOOLS 10/24/16 RUBENS AND KRESS 718 16WC 34757 VAUPEL, MARK ARDAGH GLASS, INC 08/01/15 NEWMAN, BOYER & STATHAM 719 16WC 34795 HSIAO, RUTH DARDEN RESTAURANTS, INC 08/30/16 SCOTT BARBER 720 16WC 34827 GRAHAM, THERESA JEWEL OSCO 07/06/16 THE KARMEL LAW FIRM 721 16WC 34837 PALADIN, LUKE COOK COUNTY SHERIFF'S DEP 09/20/16 LAW OFFICES MICHAEL HELLMA STATES ATTORNEY OF COOK COUN 722 16WC 34860 GARCIA, MARCO HILTON 07/04/16 LAW OFFICE HOWARD ABRAMS 723 16WC 34887 CLAIBORNE, THEODORE C UNIVERSITY OF IL AT CHICA 05/21/15 SLAVIN & SLAVIN NYHAN BAMBRICK KINZIE & LOWR 724 16WC 34909 WARD, GRANT CHICAGO FIRE SOCCER CLUB 02/19/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 725 16WC 34923 IACOVETTI, CHRISTOPHER ENTRUST DATACARD 09/08/16 COSTA IVONE LLC 726 16WC 34962 SKOWRON, BOZENA LITTLE SISTERS OF THE POO 11/02/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 727 16WC 34987 YOES, AMY SCHOOL OF THE ART INSTITU 09/21/16 RUBENS AND KRESS THOMAS & PORTELA 728 16WC 35019 RODRIGUEZ, ALICIA STAFFING NETWORK, LLC 11/08/16 EPSTEIN, JACK R LAW OFFICE SLAVIN & SLAVIN 729 16WC 35083 KELLY, MICHAEL U-HAUL COMPANY OF IL 06/26/16 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 730 16WC 35153 WILLIAMS, DEVONA EUROPEAN SERVICE AT HOME 05/23/16 DWORKIN AND MACIARIELLO 731 16WC 35192 RIGGENS, DUANE INFUSION MANAGEMENT GROUP 11/21/15 WOLIN KELTER & ROSEN LTD RIPES NELSON BAGGOT KALOBRAT 732 16WC 35221 MCDONALD, ALICE SPIRIT HALLOWEEN SUPER ST 11/03/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 733 16WC 35244 GORDON, ANNIE COOK COUNTY 07/28/16 CARONE LAW OFFICES STATES ATTORNEY OF COOK COUN 734 16WC 35312 WILES, SHERI JEWEL FOOD STORES 04/26/16 GOLDBERG WEISMAN & CAIRO L 735 16WC 35331 MARTINEZ, ANILU PIZZA HUT 10/01/16 CUDA LAW OFFICES 736 16WC 35349 PROCTOR, RENDA LUDEMAN CENTER @ 07/03/16 737 16WC 35513 STARNES, TANESHA PERSONAL FINANCE CO 03/29/16 MEYERS & FLOWERS 738 16WC 35536 DAVIS, CLINIQUE UNIVERSITY OF CHICAGO MED 10/06/16 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 739 16WC 35628 HILL, RAYMOND LAKESHORE BEVERAGE 04/29/16 LEONARD LAW GROUP LLC 740 16WC 35649 CELEDON, GERARDO ABSOLUTE GARAGE BUILDERS 11/04/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO 741 16WC 35695 GONZALEZ, IVAN HOTEL BURNHAM 04/24/16 HERRERA LAW CENTER 742 16WC 35728 NAVARRO, ADRIAN CTA 10/21/16 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 743 16WC 35767 SWIETLICKI, ZBIGNIEW SKRUT CONSTRUCTION INC 11/11/16 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM 744 16WC 35802 REYNOLDS, ANTOINETTE AM BUS COMPANY 10/10/16 LANNON LANNON & BARR LTD 745 16WC 35889 STRATTON, YOLANDA FEDEX 09/01/16 RUBIN LAW GROUP 746 16WC 35895 EMERY, CHARLES ELGIN TOYOTA 11/10/16 SANDMAN LEVY & PETRICH 747 16WC 35986 JUAREZ, HERLINDA KOHLS DEPT STORES 10/10/16 GORDON & CENTRACCHIO LLC CHILTON YAMBERT PORTER LLP 748 16WC 36010 FURCZON, JAN C UNITED PARCEL SERVICE 09/30/16 WILLIAMS, ROBERT B LAW OFF NYHAN BAMBRICK KINZIE & LOWR 749 16WC 36033 MARTINEZ-LOPEZ, HILARIO S PETE'S PIZZA 05/10/16 JOHN E LUSAK 750 16WC 36050 GARCIA, EDUARDO DUTCH FARMS 09/23/16 NEWLAND & NEWLAND 751 16WC 36117 GREER, TIMOTHY PAMCO LABEL CO INC 10/20/16 MARSZALEK AND MARSZALEK HOLECEK & ASSOCIATES 752 16WC 36142 AGUAYSA, LUIS THEORY 08/25/16 KUMLIN & FROMM 753 16WC 36161 OWENS, ANTHONY COOK COUNTY SHERIFFS DEPT 08/24/16 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 754 16WC 36178 MARTINEZ, JAMIE G ALLEN MOORE LANDSCAPE C 11/16/16 COSTA IVONE LLC GANAN & SHAPIRO 755 16WC 36231 TESTA, FRANK CARQUEVILLE PRINTING 11/01/16 JAMES W GREEN, JR BRADY CONNOLLY & MASUDA PC 756 16WC 36306 ATECA, SUSAN COOK COUNTY SHERIFF'S 05/17/16 SHANCER, JEFFREY M STATES ATTORNEY OF COOK COUN 757 16WC 36340 GUSMAN, EPIFANIO ANIXTER INC 07/27/16 CHEPOV & SCOTT LLC 758 16WC 36359 ROSALES, CRESENSIO VIKING MATERIALS 08/05/16 TOPPER & WEISS LTD 759 16WC 36429 CETERA-LEWIS, KATIE LITTLE COMPANY OF MARY HO 10/04/16 CULLEN HASKINS NICHOLSON 760 16WC 36449 RAMIREZ, JUAN THREE BROTHERS LANDSCAPIN 08/01/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 761 16WC 36510 MC CORMICK, VITO UPS 02/03/15 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 762 16WC 36600 LUCAS, KEITH M UNITED AIRLINES CORP 11/14/16 BUDIN LAW OFFICES 763 16WC 36633 SCOTT, YVETTE PARAMOUNT OF OAK PARK 08/13/16 DAMISCH & DAMISCH LTD 764 16WC 36680 GARCIA, AIDE SHOP & SAVE 03/21/16 COVEN LAW GROUP 765 16WC 36713 USMAN-GHANI, SHAIKH FLASH CAB COMPANY 11/26/16 MANDELL, GREGG 766 16WC 36864 VILLAGOMES, ALFREDO ROLLEX CORPORATION 11/30/16 KREITER, BYCK & ASSOC LLP 767 17WC 01476 LEWIS, DENISE CEDAR POINT * 09/25/14 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 768 17WC 02211 SCUDIERI, ANTHONY CHICAGO TRANSIT AUTHORITY * 12/28/16 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY 769 17WC 03065 WARZECHA, ARTUR JCB INTERNATIONAL INC * 01/26/17 KNELL & O'CONNOR 770 17WC 03241 STALLWORTH, ROBERT IMPERIAL ZINC * 01/14/17 DWORKIN AND MACIARIELLO 771 17WC 03266 ARREOLA, LORRAINA COSTCO WHOLESALE CORPORAT * 07/01/16 CORBOY & DEMETRIO PC 772 17WC 03316 TANNER, STEPHEN SOUTHWEST AIRLINES * 09/30/16 KARCHMAR & STONE 773 17WC 03339 LEWIS, RAMON EXPRESS EMPLOYMENT * 01/25/17 POLANSKY & CICHON CHTD 774 17WC 03340 PODGORSKI, JOZEF TOTAL FACILITY MAINTENANC * 08/17/16 GREGORIO & MARCO 775 17WC 03359 RIPKA, JOHN P VILLIAGE OF WINNETKA * 10/05/16 THOMAS W DUDA POWER & CRONIN LTD 776 17WC 03376 COGLIANESE, MARK CHICAGO BEVERAGE SYSTEMS * 12/31/15 MC CABE & HOGAN 777 17WC 03407 MC NEAL, LISA JACKSON CHICAGO REED MENTAL HEALT * 01/04/17 EDWIN REYES LEGAL GROUP 778 17WC 03413 KANZLER, KYLE KANZLER LANDSCAPE * 03/25/16 RODDY LAW LTD

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 779 17WC 03436 WINSTON, SARITA EUROPEAN AT HOME SERVICES * 12/23/16 BRISKMAN BRISKMAN GREENBER 780 17WC 03459 SWANSON, MICHAEL KANELA BREAKFAST CLUB * 01/13/17 LEONARD LAW GROUP LLC 781 17WC 03489 OWOO-BATTLET, JULIANA PLYMOTH PLACE * 12/17/16 LANNON LANNON & BARR LTD 782 17WC 03543 GONZALEZ, HILARIO METRO POUTAN CLUB MANAGEM * 09/11/16 RUEDA, IVAN A WIEDNER & MCAULIFFE LTD 783 17WC 03595 BRANDON, CHERYL KELLOGG * 01/12/17 MARC J SHUMAN & ASSOCIATES 784 17WC 03619 ASKHARIA, NINOSE HC NAHIGIAN & SONS * 01/10/17 SANDMAN LEVY & PETRICH 785 17WC 03659 HALIOTIS, GEORGE DANIA FURNITRE CO AKA PLU * 08/19/16 NICHOLIS J STEIN 786 17WC 03690 PERNELL, LARRY JEWEL OSCO * 11/02/16 HORWITZ HORWITZ & ASSOC 787 17WC 03715 BUSHROD, JERMON CHICAGO BEARS FOOTBALL CL * 09/27/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 788 17WC 03749 MANLY, JEFFREY MEN'S WEARHOUSE * 05/04/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 789 17WC 03774 TURAJ, ROMAN ILLINOIS GRANITE & MARBLE * 12/06/16 CHEPOV & SCOTT LLC 790 17WC 03804 DIXON-LARRY, THERESA CITY OF CHICAGO- * 12/12/16 ANKIN LAW OFFICE 791 17WC 03828 LEON, MILDRED M VILLAGE OF ARLINGTON HEIG * 02/09/16 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 792 17WC 03858 BENDER, NICOLE CHICAGO TRANSIT AUTHORITY * 11/30/16 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY 793 17WC 03878 SYKES, TERENCE CHICAGO TRANSIT AUTHORITY * 01/01/17 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 794 17WC 03894 ARRIAGE, MARTHA BLUE PLATE * 10/28/16 DWORKIN AND MACIARIELLO 795 17WC 03913 RIVERA, SOPHIA NORTHEASTERN IL UNIVERSIT * 12/20/16 LAW OFFICE OF SCOTT B SHAP 796 17WC 03930 SANCHEZ, CAROLINA SMG MCCORMICK PLACE F&B * 10/23/16 LEONARD LAW GROUP LLC

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 797 17WC 03975 KIRKLEY, JAMES FORD MOTOR COMPANY * 07/10/16 HORWITZ HORWITZ & ASSOC 798 17WC 04015 WILLIS, BRENDA SYNERGY HOME CARE * 01/12/17 COLLISON & O'CONNOR 799 17WC 04038 ROYAL, EDDIE CHICAGO BEARS FOOTBALL DR * 10/04/15 WOLFE LAW PC MC ANDREWS & NORGLE LLC 800 17WC 04068 RAKOWSKI, DOUGLAS E FRITO-LAY * 01/30/15 CULLEN HASKINS NICHOLSON 801 17WC 04112 REGULUS, RICHARD WALGREENS * 01/30/17 DWORKIN AND MACIARIELLO 802 17WC 04204 WALSH, ROBERT MEDSPEED * 08/27/15 HORWITZ HORWITZ & ASSOC 803 17WC 04234 WIECZOREK, ARKADIUSZ VINAKOM, INC * 10/20/16 HETHERINGTON KARPEL BOBBER 804 17WC 04267 ADAMS, CHRISTIAN TOWN & COUNTRY DISTRIBUTO * 06/23/15 RICHARD O. GREENFIELD 805 17WC 04289 REESE-JOHNSON, SHIRLEY ULTRA FOODS * 11/21/16 THE KARMEL LAW FIRM 806 17WC 04319 AYINAR, SUSAN MILTON INDUSTRIES, INC * 09/27/16 ELFENBAUM EVERS & AMARILIO 807 17WC 04335 CHANDLER, IRIS ALPHA MONTESSORI SCHOOL * 01/13/17 STEVEN J MALMAN & ASSOCIAT 808 17WC 04355 LANIER, JAN SECRETARY OF STATE IL * 09/06/16 CULLEN HASKINS NICHOLSON 809 17WC 04388 HARDY, DOUGLAS DR. PEPPER SNAPPLE * 01/27/17 DWORKIN AND MACIARIELLO 810 17WC 04406 AMAYA, JOSE SECURITAS SECURITY SERVIC * 03/03/16 ANKIN LAW OFFICE 811 17WC 04421 BENJAMIN, KRISTEN CHILDREN'S HOME CENTER IN * 12/16/16 ANKIN LAW OFFICE 812 17WC 04473 GALE, JEFFREY VILLAGE OF FOREST VIEW * 01/29/17 SKLARE LAW GROUP 813 17WC 04502 SLAUSON, MATT CHICAGO BEARS FOOTBALL CL * 10/26/14 GORDON LAW OFFICES LTD 814 17WC 04524 WOOD, JOANNE UNITED AIRLINES, INC * 02/04/17 BRIAN J MC MANUS & ASSOC,

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 815 17WC 04560 VELASQUEZ, PATRICIA ADVOCATE LUTHERAN GENERAL * 05/16/16 NYHAN BAMBRICK KINZIE & LOWR 816 17WC 04591 NEAL, ERIC L CITY OF CHICAGO * 12/22/16 MC HARGUE, JAMES P LAW OFF 817 17WC 04610 SIMS, SHEILA CHICAGO BOARD OF ED * 01/20/17 LEO ALT 818 17WC 04677 ALMAGUER, ALEJANDRO HD SUPPLY * 02/03/17 NILSON STOOKAL GLEASON CAP 819 17WC 04701 MARTINEZ, RODOLFO US FOODS, INC * 02/07/17 GOLDBERG WEISMAN & CAIRO L 820 17WC 04748 CHOI, YUMI UNITED AIRLINES, INC * 01/31/17 BRIAN J MC MANUS & ASSOC, 821 17WC 04765 ORLOFF, DAVID P HOME DEPOT * 09/22/16 GALLAGHER, DONALD V 822 17WC 04804 THOMAS, BEVERLY QUEEN BOARD OF ED CHICAGO * 09/01/11 823 17WC 04811 THOMAS, BEVERLY QUEEN BOARD OF ED CHICAGO * 08/30/16 824 17WC 04873 ALVAREZ, JESUS CHICAGO ORIENTAL WHOLESAL * 05/17/16 GANAN & SHAPIRO 825 17WC 04955 KELLY, MICHAEL SILVER LINE WINDOWS * 10/11/16 MC HARGUE, JAMES P LAW OFF 826 17WC 04979 SAENZ, SANDRA ALDI * 07/25/16 JOHN J CASTANEDA 827 17WC 05003 CRAWFORD, JUSTIN PEPSI * 12/06/16 LEONARD LAW GROUP LLC 828 17WC 05022 CALDERON, RENE NEWLY WEDS FOODS INC. * 01/13/17 HERRERA LAW CENTER 829 17WC 05107 MC EFEE, LOUIS ENVISION UNLIMITED * 01/01/17 SHELDON I MINKOW & ASSOCIA 830 17WC 05145 WARD, EBONY A CHICAGO TRANSIT AUTHORITY * 02/07/17 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 831 17WC 05167 ORIGEL, CLAUDIA QUALITY LABOR SERVICES * 12/15/16 OSVALDO RODRIGUEZ PC KOREY RICHARDSON LLC 832 17WC 05210 MCDOWELL, MARLO CALMUMET COUNTRY CLUB * 07/17/14 MICHAEL P MCCREADY & ASSOC

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 833 17WC 05229 MCQUEEN, BURL CHICAGO TRANSIT AUTHORITY * 02/11/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 834 17WC 05248 LAS, ANDRZEJ ENR GENERAL MACHINING CO * 02/10/17 CHEPOV & SCOTT LLC 835 17WC 05268 MILTON, JACQUELINE MERCY CIRCLE * 02/11/17 DWORKIN AND MACIARIELLO 836 17WC 05294 GILL, SEAN MYKEL BROADWAY IN CHICAGO * 02/12/17 CURTIS S BURKE LAW OFFICE 837 17WC 05321 CRIOLLO, ANGEL COSI RESTAURANT * 08/12/16 FISHER & LAMONICA 838 17WC 05344 TROTTE, FELICIA COCA COLA * 02/16/17 LAW OFFICES OF JOSEPH YOUN 839 17WC 05362 KAZIOR, MELISSA TARGET * 01/30/16 GORDON & CENTRACCHIO LLC 840 17WC 05388 GUERRERO, ALICIA F MCDONALD'S * 11/22/16 CULLEN HASKINS NICHOLSON 841 17WC 05411 HUGHES, JOSHUA JERNBERG INDUSTRIES, INC. * 01/17/17 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 842 17WC 05441 SHIPP, SHIOBAN STATE OF ILLINOIS, DEPT H @ * 12/26/16 GALLAGHER LAW PC 843 17WC 05482 GONZALEZ, PHILLIP FEDEX * 02/11/17 GOLDSTEIN BENDER & ROMANOF 844 17WC 05495 CUMMINGS, JEFFREY M JKC TRUCKING * 02/02/17 PATRICOSKI, MARK G 845 17WC 05514 MCCLAIN, MICHAEL MCHUGH CONSTRUCTION CO * 02/10/17 HEALY SCANLON LAW FIRM 846 17WC 05532 PITTMAN, HENRY L SANCHEZ CONSTRUCTION SERV * 10/29/16 ANKIN LAW OFFICE 847 17WC 05555 TRUJILLO, SALVADOR SKYLINE FURNITUR MANUFACT * 07/18/16 LAW OFFICES JOSEPH MARCINIAK 848 17WC 05577 BRANDER, JOSHUA VILLAGE OF BRIDGEVIEW * 06/26/16 MICHAEL D WALSH PC 849 17WC 05637 MALDONADO, VICTOR BLOOMER CHOCOLATE COMPANY * 10/27/16 HORWITZ HORWITZ & ASSOC 850 17WC 05659 SUSTAITA, LUIS BLOOMIN BRANDS, INC * 11/08/16 CUSHING LAW OFFICES

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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 851 17WC 05687 PIZARRO, LYDIA HOMEGOODS INC * 11/10/16 ANKIN LAW OFFICE 852 17WC 05760 SANCHEZ, ESTEBAN MR DUCT * 02/15/17 LANNON LANNON & BARR LTD 853 17WC 05789 PEARSON, JEFFREY UPS FREIGHT * 02/16/17 STROM, NEAL B 854 17WC 05811 RUDAS, JAIME ENRIQUE CHAC FOGO DE CHAO @ * 01/29/17 LESTER, JEFFREY D CITY A 855 17WC 05830 CHRISTOPHER, RICARDO UPS- HODGKINS * 03/23/16 MEYERS & FLOWERS 856 17WC 05853 DOMABYL, FLORENCE REM STAFFING * 10/21/16 LEONARD LAW GROUP LLC 857 17WC 05897 GUERECA, IVAN BLOCK AND COMPANY * 01/12/17 BARRY FORMAN 858 17WC 05944 DIAZ, LUCIO CITY OF CHICAGO * 08/22/16 HEALY SCANLON LAW FIRM 859 17WC 05952 HITCHCOCK, AMANDA FORD MOTOR COMPANY * 01/09/17 FOHRMAN, DONALD W & ASSOCS 860 17WC 05970 BARRON, ANGELA M AMBULANCE TRANSPORTATION * 04/05/16 ANKIN LAW OFFICE 861 17WC 05994 OUTLAND, CARLTON UNITED PARCEL SERVICE * 02/11/17 BERG & BERG NYHAN BAMBRICK KINZIE & LOWR 862 17WC 06100 LYNCH JR, MICHAEL OAK FOREST POLICE DEPT * 12/24/16 RATHBUN CSEVENYAK & KOZOL 863 17WC 06120 PORTER, TRACY CHICAGO BEARS FOOTBALL CL * 11/23/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 864 17WC 06142 SCHULDT, GREG VILLAGE OF HOFFMAN ESTATE * 09/26/15 MACIOROWSKI SACKMANN & ULRIC 865 17WC 06171 ORTIZ, MIGUEL PIZZA NOVA * 12/17/16 CULLEN HASKINS NICHOLSON 866 17WC 06192 CHAVEZ, JESUS TAUBENSEE STEEL AND WIRE * 02/15/17 DAVID J. BAWCUM 867 17WC 06236 MC CLAIN, TAMALCA DLH HOLDINGS CORP * 04/01/16 KUMLIN & FROMM 868 17WC 06274 IZGUERRA, GUADALUPE TRELLEBORG SEALING SOLUTI * 01/15/16 MARTIN V KUGIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 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 04/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 869 17WC 06305 CHATMAN, GWENDOLYN SCR MEDICAL TRANSPORTATIO * 01/31/17 VRDOLYAK LAW GROUP LLC 870 17WC 06312 BELTRAN, KAREN METRO STAFF INC * 12/01/16 CULLEN HASKINS NICHOLSON 871 17WC 06335 ROJAS, JUVENAL TWEETEN FIBRE CO. * 10/19/16 HODES GREENSTEIN & LITWIN 872 17WC 06353 SCHAPIRA, GERALDINA THE CONTAINER STORE INC * 02/16/17 ANKIN LAW OFFICE 873 17WC 06403 GILL, TODD FORD MOTOR COMPANY * 10/03/16 KATZ FRIEDMAN EAGLE ET AL 874 17WC 06424 GOMEZ, MIGUEL LATINO MEATS * 12/01/16 KREITER, BYCK & ASSOC LLP