ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 01WC 14811 YODER, KATHLEEN HEALTH DEPARTMENT 10/19/98 CRONIN & PETERS WOLFE & JACOBSON, LTD 01WC054481 -C COUNTY OF LAKE HEALTH DEPT 07WC025560 -C 2 02WC 50253 ROMANO, PAMELA NICOR GAS COMPANY 09/09/01 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 03WC027289 -C 07WC011846 -C 3 03WC 24753 PROVENZANO, JAMES ST OF IL-DEPT TRANSPORTAT @ 05/02/03 BAUM RUFFOLO & MARZAL LTD ASSISTANT ATTORNEY GENERAL 4 04WC 06993 CLARK, MONICA ZION ELEMNTARY SCHOOL DIS 05/03/01 LEWIS DAVIDSON & HETHERING SCOPELITIS GARVIN LIGHT ETAL 10WC037808 -C 13WC037650 -C 5 04WC 41929 RUIZ, DANIEL SHELL OIL CO. & JIFFY LUB 07/16/04 DUDLEY & LAKE LLC CHILTON YAMBERT PORTER LLP 6 05WC 20571 GREGORY, CHRISTINE M STATE OF ILLINOIS @ 01/07/03 FERRIS THOMPSON & ZWEIG ASSISTANT ATTORNEY GENERAL 7 06WC 26153 GARDNER, BRADLEY PMAC INSTALLATIONS INC W 05/24/06 ASSISTANT ATTORNEY GENERAL 8 06WC 47717 HERNANDEZ, MARIA TEMPEL STEEL CO 03/24/06 MARKHAM M JEEP & ASSOCIATE RODDY LAW LTD 11WC002936 -C 9 07WC 05525 SWANSON, JOHN J DON'T SHOOT THE MESSENGER 09/12/06 TAMVAKIS, GEORGE L SVENSON LAW OFFICES 10 07WC 08545 KICK, KURTIS VILLAGE OF MUNDELEIN 01/25/07 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 11 07WC 23986 HALLER, CAROLYN M PIGGLY WIGGLY 02/09/07 LEE A CAMPBELL LAW OFFICE BRADY CONNOLLY & MASUDA PC 12 07WC 26802 KNAPZYK, CARL JOSEPH KOLOPZIEWJCZYK @ W 09/16/06 RUBIN & MACHADO 13 07WC 52323 19B WILDENHAIN, GARY ROBINSON HEATING & COOLIN 07/17/07 RICHARD D HANNIGAN, LTD ACCIDENT FUND HOLDINGS 08WC008794 -C 14 07WC 54701 19B HAIN, KEVIN J RAYMOND CHEVROLET 11/17/06 CHEPOV & SCOTT LLC LORENZ & BERGIN PC 15 07WC 56024 ACOSTA, MANUEL JAMES METZGER & SALLY MET 09/20/07 LINN & CAMPE LTD 16 08WC 00024 DU CATO, ROBERT VILLAGE OF GURNEE 04/11/06 DOUGLAS RALLO PC ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 08WC 42376 TUDOR, MARC COUNTY OF COOK 08/30/07 STEVEN J SEIDMAN LAW OFFIC STATES ATTORNEY OF COOK COUN 18 08WC 47147 MARTINEZ, JUSTINO FK FOUNDRIES LLC 09/18/08 POSTERLI, OSCAR STONE & JOHNSON CHARTERED 09WC009449 -C F K FOUNDRIES LLC 19 08WC 51910 MCHUGH, JAMES J PEPSI-COLA GENERAL BOTTLE 04/26/99 LEWIS DAVIDSON & HETHERING SPIEGEL & CAHILL, PC 08WC051911 -C 09WC044165 -C 20 09WC 01097 PERGANDE, GREGORY A KOR-PAK CORPORATION 10/28/08 MARKHAM M JEEP & ASSOCIATE NYHAN BAMBRICK KINZIE & LOWR 21 09WC 11549 NICHOLS, JAMES HOME DEPOT 04/28/07 MARKHAM M JEEP & ASSOCIATE MC ANDREWS & NORGLE LLC 22 09WC 19549 WEINDEL, ROBERT XEROX CORPORATION 08/01/08 MCGLYNN & MCGLYNN BRADY CONNOLLY & MASUDA PC 23 09WC 20000 SCHMIDT, MICHAEL S & L HOSPITALITY 02/10/09 GANAN & SHAPIRO 24 09WC 26774 SINGLETARY, CESSLIA STATE OF IL @ 08/22/08 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 25 09WC 48511 PRESLEY, REGINA WMS GAMING INC 03/25/09 KARCHMAR & STONE NOBLE & ASSOCIATES PC 26 10WC 23799 ZACHARIAH, MARIAMMA STATE OF ILLINOIS @ 03/17/10 MARKHAM M JEEP & ASSOCIATE ASSISTANT ATTORNEY GENERAL 27 10WC 42136 HILL, FRED DEMAR LOGISTICS 11/03/09 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 28 10WC 43426 FRANCISCO, GARY LEE THE SCHWAN FOOD COMPANY 09/17/10 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 29 10WC 44234 THOMPSON, CHRISTINE WAUKEGAN SCHOOL DIST 60 09/10/10 SHELDON I MINKOW & ASSOCIA BRADY CONNOLLY & MASUDA PC 30 10WC 45612 DUMKE, MARK K & K SCREW PRODUCTS LLC 08/31/10 NEMEROFF LAW OFFICES, LTD ACCIDENT FUND HOLDINGS, INC 13WC018304 -C 31 10WC 47527 BASSEL, JESSICA G JEWEL INC 08/22/10 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 10WC047634 -C 32 11WC 00586 BARRETT, ELLEN PARK STREET CAFE W 08/31/10 MARKS & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 11WC 04072 POLAKOW, ROBERT LAKE ZURICH FIRE DEPT 05/19/10 DAVID W MARTAY 34 11WC 04239 REYES-SIMERY, KARLA P ILLINOIS CENTRAL 01/13/01 ROMAKER LAW FIRM MACIOROWSKI SACKMANN & ULRIC 11WC004240 -C KB STAFFING, LLC. 11WC039804 -C 35 11WC 04242 TENNORT, CAROLYN M ANN KELLY CENTER @ 05/07/10 DONALD W FOHRMAN & ASSOCIA ASSISTANT ATTORNEY GENERAL 14WC008312 -C 36 11WC 08049 HUERTA, NANCY MARIO TRICOCI HAWTHORN IN 01/10/11 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 37 11WC 08798 19B CAMPUZANO, GILBERTO COMPLETE TEMPORARY LABOR 12/22/10 VRDOLYAK LAW GROUP LLC KOREY LAW LLC 38 11WC 09725 SHOOK, NICKI E THE HANNA GROUP 05/19/10 ANKIN LAW OFFICE THOMAS & PORTELA 39 11WC 13860 PATTERSON, ROBERT NORTHPOINT RESOURCES 12/01/09 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 40 11WC 15870 ESPINOSA, CARMEN ADPRO HEALTH CARE SERVICE W 04/08/11 LAW OFFICES OF RONALD B SK 41 11WC 16884 TELLEZ, INOCENTE NOSCO 12/30/10 LINN, CAMPE & RIZZO LTD 42 11WC 18780 MADLOCK, TERRI ABBOTT LABS 04/26/11 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 43 11WC 20242 JIMENEZ, ADRIAN DIP N DELIVER 05/08/11 ANGELINI & ORI LLC COZZI & GOGGIN-WARD 44 11WC 21872 RINGSTMEYER, WILLIAM FOUR SEASONS MAINTENANCE 03/05/09 NEWLAND NEWLAND & NEWLAND HENNESSY & ROACH PC 45 11WC 26808 HANNA, SAMI H ABBOTT LABORATORIES 03/14/11 VITELL & SPITZ LTD WIEDNER & MCAULIFFE LTD 46 11WC 32634 VEGA, ROSA A KIPP MFG CO INC 07/26/11 EPSTEIN, JACK R LAW OFFICE WOLFE & JACOBSON, LTD 47 11WC 36706 19B GILBOY, DIANE FISCHER PAPER PRODUCTS IN 05/16/11 HEALY LAW FIRM BRADY CONNOLLY & MASUDA PC 48 11WC 37185 ROSALES-MONCADA MEDLINE INDUSTRIES INC 07/20/11 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 49 11WC 37327 JIMENEZ, RAUL HENDRICKSON TREE CARE W 06/14/11 JAMES ELLIS GUMBINER & ASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 11WC 41453 OFENLOCH, DAVID A VILLAGE OF GURNEE 06/15/11 TAMVAKIS, GEORGE L ANCEL GLINK DIAMOND BUSH & E 51 11WC 42937 GONZALEZ, LETICIA COUNTY OF LAKE 10/11/11 MARKHAM M JEEP & ASSOCIATE 52 12WC 00354 CURTIS, CARLI MARKET HILL FRAM INC 01/08/09 TERRENCE R LYONS, JR HINSHAW & CULBERTSON 53 12WC 08599 PIZANO, MARIA MOST VALUABLE PERSONNEL 05/29/09 HANNIGAN & BOTHA, LTD KOREY COTTER HEATHER RICHARD 12WC018506 -C 54 12WC 13604 CAROLE, DAVID VITAL ENTERPRISES INC W 01/27/12 LOSS & PAVONE 55 12WC 13621 TYLER, SHERI D RIVERWOODS POLICE DEPARTM 09/23/10 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 56 12WC 14763 SAKURAL, EMMA LINCOLNSHIRE SENIOR CARE 04/05/12 POSTERLI, OSCAR WOLFE & JACOBSON, LTD 57 12WC 17812 PAYNE, JOETTA S NORTH POINTE RESOURCES 07/22/11 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 58 12WC 17993 ESTES, SHERRY AMERICAN MARKETING SERVIC 12/01/10 MARKHAM M JEEP & ASSOCIATE ANCEL GLINK DIAMOND BUSH & E 59 12WC 18326 DAVIS, ARTHUR J VILLAGE OF ROUND 01/10/12 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 60 12WC 19874 HOPKINS, BARBARA COMMUNITY ACTION PARTNERS 02/13/12 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 61 12WC 23368 MANDUJANO, MARISELA CIRCUIT COURT CLERK 05/15/12 MARKHAM M JEEP & ASSOCIATE BERNARD WYSOCKI & ASSOCIATES 62 12WC 24574 ARZATE, JOSE C MVP 06/18/12 KENNETH B GORE, LTD GRANT & FANNING 63 12WC 25110 LOBIANCO, FRANK M ZION SOLUTIONS 01/24/12 RUBIN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 64 12WC 27975 KELLY, PATRICK JETS PIZZA 12/03/11 FRANCIS J DISCIPIO LAW OFF ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 65 12WC 28756 GONZALEZ, MARIA STAFFING NETWORK 04/23/12 FERRIS THOMPSON & ZWEIG SLAVIN & SLAVIN 13WC036004 -C 66 12WC 29142 EGEBRECHT, SCOTT D SEARS INC 01/21/12 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 14WC039775 -C 67 12WC 29493 HILB, JEANNINE ANN RILEY CENTER - ST OF @ 03/24/10 TARADASH LAW OFFICE ASSISTANT ATTORNEY GENERAL 68 12WC 29838 19B CALUCCI, BRADLEY SAFELITE AUTO GLASS 04/10/12 HANNIGAN & BOTHA, LTD BRYCE DOWNEY & LENKOV LLC 69 12WC 31064 TORRES III, JUAN LAKE COUNTY HEALTH DEPT 06/27/12 MARKS INJURY LAW BERNARD WYSOCKI & ASSOCIATES 70 12WC 32108 ZDON, JASON P CITY OF HIGHLAND PARK 09/06/12 DOUGLAS RALLO PC POWER & CRONIN LTD 12WC033774 -C 71 12WC 32611 HEMM, PAMELA FED EX 06/08/12 LINN, CAMPE & RIZZO LTD HANSON LAW OFFICE 14WC017872 -C 72 12WC 33024 CALDERON, VERONICA PETER BAKER & SONS 08/20/12 LINN, CAMPE & RIZZO LTD THOMAS & PORTELA 73 12WC 33473 GARCIA, JULIA COMPASS GROUP 02/13/12 POSTERLI, OSCAR BRADY CONNOLLY & MASUDA PC 74 12WC 33739 19B MORALES, RAQUEL WAUCONDA HEALTH CARE & 07/09/12 SOSTRIN AND SOSTRIN PC BRYCE DOWNEY & LENKOV LLC 75 12WC 41540 LEIGH, TINA WAUCONDA SCHOOL DISTRICT 11/01/12 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 76 13WC 03170 MARTINEZ, JESUS G TRUCK CITY LAKE BLUFF 01/10/13 HANNIGAN & BOTHA, LTD 77 13WC 05231 GUZMAN, FLAVIO ZION SOLUTIONS LLC 01/31/13 ACEVES & PEREZ PC QUINTAIROS PRIETO WOOD & BOY 78 13WC 05535 PACHECO, SALVADOR MC DONALD'S 01/01/13 NEWLAND & NEWLAND NYHAN BAMBRICK KINZIE & LOWR 79 13WC 06344 RAMOS DEGAONO, MIGDALIA CHICAGO MARRIOTT SUITES 02/25/12 ACEVES & PEREZ PC 80 13WC 06406 FERRI, KATHY M WAUKEGAN PUBLIC SCHOOL 11/22/11 SUSAN BLEDSOE BRADY CONNOLLY & MASUDA PC 81 13WC 06523 SANCHEZ, HUGO F WINDRIDGE BUILDERS INC 02/15/13 ACEVES & PEREZ PC KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 82 13WC 07777 KAMINSKI, ROMAN ALEF REMODELING INC 10/08/12 GALLIANI DOELL & COZZI LTD 83 13WC 09982 RODRIGUEZ, ROSA MEDLINE 11/23/11 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 84 13WC 10600 SMITH, DIANE AK-SAL, INC. 02/07/13 MARKS INJURY LAW HOLECEK & ASSOCIATES 85 13WC 11623 MICHALAK, KEITH ROADSIDE AUTO & 02/12/13 LINN, CAMPE & RIZZO LTD ROBBINS SALOMON & PATT 86 13WC 11661 PHIFER, NATASI WAUKEGAN SCHOOL DISTRICT 09/12/12 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 87 13WC 13020 GARRITY, LUCIA ASSURED HEALTH CARE STAFF 03/04/13 LEWIS & DAVIDSON, LTD RIPES NELSON BAGGOT KALOBRAT 88 13WC 13203 WILLE, RUTHIE STRAITS RESTAURANT INC 06/09/12 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 13WC041695 -C DOVER STRAITS 89 13WC 13823 FISHER, YASMINDA ANDY FRAIN SERVICES, INC 03/08/13 MEYERS & FLOWERS 14WC004527 -C 90 13WC 14631 MILLER, REGINALD T STUDENT FINANCIAL ASSISTA W 04/04/13 KENNETH B GORE, LTTD ASSISTANT ATTORNEY GENERAL 91 13WC 15966 MARTINEZ, AURELIO N AUTO PARTS CITY, INC 02/26/13 LINN, CAMPE & RIZZO LTD 92 13WC 16239 EDWARDS, EDWARDS KEMPER VALVE & FITTING 11/20/12 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 93 13WC 16240 EDWARDS, EDWARD KEMPER VALVE & FITTING 03/13/13 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 94 13WC 16787 HALLIDAY, JOSEPHINA MEDLINE INDUSTRIES 05/31/10 ANTHONY J MAY GAROFALO SCHREIBER STORM 95 13WC 18317 ADAMS, SAMMY C WAUKEGAN SCHOOL DISTRICT 01/18/13 ANTHONY J MAY BRADY CONNOLLY & MASUDA PC 96 13WC 18474 TELLEZ, HORTENCIA MCDONALDS 06/26/12 TOPPER & WEISS LTD 14WC015015 -C 97 13WC 19869 19B CAROTHERS, KEN COMMUNITY CONSOLIDATED SC 08/01/12 HANNIGAN & BOTHA, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 98 13WC 20886 SZUBINSKI, SHARON MILAN BANQUEST 12/30/12 THERMAN LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 99 13WC 21491 PAYNE, MANFRED EMCO CHEMICAL DISTRIBUTOR 11/28/12 COLLISON LAW OFFICES THOMAS & PORTELA 13WC023343 -C 100 13WC 22179 TIMS, JOHN LAKE COUNTY DEPARTMENT OF 01/23/13 FERRIS THOMPSON & ZWEIG WOLFE & JACOBSON, LTD 101 13WC 22559 MEVERDEN, RONALD J STATE OF IL - IDOT - W/C @ 03/06/13 LINN, CAMPE & RIZZO LTD ASSISTANT ATTORNEY GENERAL 102 13WC 22604 KOZLOWSKI-SHANNON, GAYLE MARKET STAFF INC. 06/26/13 DOUGLAS RALLO PC HENNESSY & ROACH PC 103 13WC 23172 LINARES, RHINA M E LINARES 10/27/11 STROM, NEAL B GAROFALO SCHREIBER STORM 104 13WC 24374 MYERS, DIANNA BEACH PARK CCSD 3 03/14/13 DUDLEY & LAKE LLC GANAN & SHAPIRO 105 13WC 25698 RUDZINSKI, DARIUSZ SAIA 04/19/11 SOSTRIN AND SOSTRIN PC TUCKER ROBIN & MERKER LLC 106 13WC 25947 NELSON, ALLEN III KNAUZ MOTOR SALES INC 07/18/13 MARKHAM M JEEP & ASSOCIATE GANAN & SHAPIRO 107 13WC 25958 TREJO, GLORIA THERMOFLEX CORP 07/25/12 BERG & BERG NYHAN BAMBRICK KINZIE & LOWR 13WC025959 -C 108 13WC 26532 FLORES, MIRIAM KEYLIME COVE 06/16/13 JONATHAN SCHLACK RIPES NELSON BAGGOT KALOBRAT 109 13WC 26964 GONZAGA, LEONARDO LIFTEX CORPORATION 05/24/13 STROM, NEAL B GRANT & FANNING 110 13WC 27134 DIAZ, BLANCA E ECHO INCORPORATED 07/23/13 LINN, CAMPE & RIZZO LTD STONE & JOHNSON CHARTERED 14WC015830 -C 111 13WC 27747 SAAVEDRA, NOE JR SGS LIFE SCIENCE SERVICES 02/08/11 LOCASCIO, MARK A LTD HENNESSY & ROACH PC 112 13WC 28169 LUNA, JOSE NICHOLS ALUMINUM 08/02/13 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC 113 13WC 28771 KAPPEL, WILLIAM K LKQ/KEYSTONE AUTOMOTIVE 08/09/13 BUDIN LAW OFFICES BRYCE DOWNEY & LENKOV LLC 15WC030647 -C LKO/KEYSTONE 114 13WC 29267 LARA, SANDRA QUALITY LABOR SERVICES LL 08/13/13 FERRIS THOMPSON & ZWEIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 115 13WC 29617 FLORES, XAVIER ELITE RENOVATION SYSTEMS W 08/27/13 STANCZAK LAW OFFICES GRIMES, G DOUGLAS 116 13WC 29647 PELESKA, DORIS WALMART 02/14/13 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 117 13WC 29811 FERRUSQUIA, JOSE BIMBO BAKERIES 08/30/13 DWORKIN AND MACIARIELLO 118 13WC 29895 RODRIGUEZ, GUADALUPE MCDONALDS RESTAURANT 05/19/13 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 119 13WC 30302 O'NEILL, BARBARA PCI ENERGY SERVICES LLC 05/13/12 BLEAKNEY & TROIANI MC ANDREWS & NORGLE LLC 120 13WC 31074 CHRISTENSEN, JAMES WALGREEN CO 07/02/13 MARKHAM M JEEP & ASSOCIATE GILDEA & COGHLAN 13WC031075 -C 121 13WC 31515 MARQUEZ, MARIA NORTH CHICAGO, CUSD #187 04/23/12 AIOSSA LAW FIRM INMAN & FITZGIBBONS 122 13WC 31588 GOULD, ROBERT CHICAGO BEARS FOOTBALL 12/09/12 WOLFE LAW PC MC ANDREWS & NORGLE LLC 123 13WC 32786 PRICE, RICHARD L CAREY ELECTRIC INC 07/03/13 GOLDBERG WEISMAN & CAIRO L THOMAS & PORTELA 13WC032787 -C 124 13WC 33112 KOTROTSIOS, NIKOLAS ALPHA BAKING DISTRIBUTION 09/10/13 HANNIGAN & BOTHA, LTD MACIOROWSKI SACKMANN & ULRIC 125 13WC 34098 GARCIA, OCHOA JESUS CEDAR ROOFING COMPANY 07/03/13 STANCZAK LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 126 13WC 34304 WILLIAMS, ANNA BARCLAY PRODUCTS LTD 01/03/13 LUIS A ACEVES & ASSOC LAW OFFICES JOSEPH MARCINIAK 127 13WC 36006 AYALA, EMMANUEL MOST VALUABLE PERSONNEL 09/26/13 FERRIS THOMPSON & ZWEIG KOREY COTTER HEATHER RICHARD 128 13WC 36289 NOWOBILSKI, PETER WALSH CONSTRUCTION CO 10/14/13 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 129 13WC 36700 LENO, CONSTANTINO PRESTIGE MAINTENANCE USA 07/03/13 JAMES ELLIS GUMBINER & ASS COZZI & GOGGIN-WARD 130 13WC 37645 BEDNOWICZ, ANTHONY LANSING BUILDING PRODUCTS 07/31/12 PERRY M LAKS LAW OFFICE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 131 13WC 38259 GOMEZ, LETICIA WORLD CLEANING SERVICES 06/27/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 132 13WC 39177 LUEVANO, MARCOS III AMERICAN BLENDING & FILLI 09/05/13 RICHARD E ALEKSY 15WC023651 -C 133 13WC 40302 FALL, MARY ANN WAUCONDA COMMUNITY UNIT S 10/04/13 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 134 13WC 40588 SHOELHORN, REX NORTH SHORE STAIRS LLC 08/13/13 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 135 13WC 42506 BUGARIN, ANTONIO BEST BUY 10/18/13 JOHN S. ELIASIK INMAN & FITZGIBBONS 136 13WC 43425 STEWART, JOHN SAN DIEGO CITY COLLEGE 01/08/13 HANNIGAN & BOTHA, LTD 137 14WC 00065 DEBRITO, MICHAEL CUSTOM HOME ELECTRIC INC 08/19/13 E JAMES RAYMOND 138 14WC 01276 GALLARDO, EUNICE SPRINGHILL SUITES WAUKEGA 08/04/13 FERRIS THOMPSON & ZWEIG GRANT & FANNING 139 14WC 01343 QUINTANA, RAUL STAFFING NETWORK LLC 12/17/13 ALBERT R. PINO LAW OFFICE SLAVIN & SLAVIN 140 14WC 01487 FLORES, FERNANDO STAFF FORCE 10/02/13 JONATHAN SCHLACK SLAVIN & SLAVIN 141 14WC 01564 HURTADO, PENELOPE SAM MARTIRANO SALON & SPA 10/24/13 HANNIGAN & BOTHA, LTD LAW OFFICES JOSEPH MARCINIAK 142 14WC 01810 SABAJ, MITCH JR VICTOR FORD 04/27/12 KEVIN P. JUSTEN PC NOBLE & ASSOCIATES PC 14WC001811 -C 143 14WC 05012 JOB, ANNAMMA ANN KILEY DEVELOPMENTAL 07/18/13 STROM, NEAL B ASSISTANT ATTORNEY GENERAL 144 14WC 05148 INES, ELOISA RON'S STAFFING INC * 12/20/13 KENNETH B GORE, LTD KOREY RICHARDSON LLC 145 14WC 05710 NOVARRO, DALE J COUNTY OF LAKE 12/23/13 BAUM RUFFOLO & MARZAL LTD 146 14WC 05930 CAMBRONI, LUIS DOMINICKS 10/12/13 POSTERLI, OSCAR 14WC005931 -C 147 14WC 06478 PORTILLA, RUBEN CHICAGO PIZZA AUTHORITY 08/31/13 WOODRUFF & JOHNSON ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 148 14WC 06605 DOHM, KARIN MAPLE RESTAURANT INC W 06/29/13 TAMVAKIS, GEORGE L C. FLETCHER 149 14WC 07365 BAHENA, ROMELIA F MOST VALUABLE PERSONNEL 02/12/14 JAMES ELLIS GUMBINER & ASS KOREY RICHARDSON LLC 150 14WC 08517 SCHWERY, JOSEPH KLOSS DISTRIBUTING CO INC 12/02/13 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 151 14WC 08644 HERNANDEZ, ARTURO ANDREWS STAFF FORCE 12/20/13 MC HARGUE, JAMES P LAW OFF SLAVIN & SLAVIN 152 14WC 09325 BRITO, GUADALUPE BG STAFFING 01/20/14 MC HARGUE, JAMES P LAW OFF SLAVIN & SLAVIN 153 14WC 09439 VILLAGOMEZ, GERARDO YRC INC 01/13/14 RIDGE & DOWNES HENNESSY & ROACH PC 16WC004130 -C 16WC027691 -C YRC, INC 154 14WC 10308 LITBERG, BARRY WALMART 12/08/13 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 155 14WC 10950 GARCIA-HINOJOSA, CRISTINA PINNACLE PROPANE EXPRESS 03/18/14 MARKHAM M JEEP & ASSOCIATE 156 14WC 11514 NORELS, KENNETH ENTERPRISE 03/27/14 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 157 14WC 12158 WODA, MIROSLAW TRUE WORLD FOODS LLC 03/10/14 DUDLEY & LAKE LLC RODDY LAW LTD 158 14WC 12717 GONZALEZ, GARMEN ARAMARK 02/28/14 JEROME FOREMAN & ASSOCIATE 159 14WC 13123 BAHENA, MARIA ELITE STAFFING, INC 03/21/14 COSTA IVONE LLC GAROFALO SCHREIBER STORM 160 14WC 13324 SENG, PETER MEDLINE INDUSTRIES 03/14/12 BOWMAN & CORDAY GAROFALO SCHREIBER STORM 14WC013325 -C 161 14WC 13329 BAJOREK, LINDA LAKE COUNTY STORAGE LLC 12/27/13 STANCZAK LAW OFFICES LAW OFFICES OF EDWARD J. KOZ 162 14WC 15196 GROOMES, CHRIS CHICAGO SEA RAY 11/13/12 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 163 14WC 15480 RADDATZ, FRED W FAMILY DOLLAR 01/15/14 RIFFNER BARBER ROWDEN & SC 15WC032168 -C 164 14WC 15601 THOMAS, KATHLEEN MARIO TRICOCI HAIR SALONS 02/01/12 BOWMAN & CORDAY COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 165 14WC 15771 SCHELSKY, MARSHA CONGREGATION B'NAI 06/06/13 FRANCIS J DISCIPIO LAW OFF DAMON YOUNG 166 14WC 16906 DIAZ, LETICIA JIMMY JOHN'S 04/14/14 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 167 14WC 17577 PEDROZA, MAGDALENA QLS QUALITY LABOR SERVICE 04/17/14 VITELL & SPITZ LTD BRADY CONNOLLY & MASUDA PC 168 14WC 18766 MELNYK, BOGDAN WO-MAR REMODELING INC 04/30/14 FIGLIOLI, DAVID HENNESSY & ROACH PC 169 14WC 18795 KRIEGER, KENNETH MORTON MANUFACTURING COMP 04/30/14 HANNIGAN & BOTHA, LTD COZZI & GOGGIN-WARD 15WC011898 -C JASON INC. 170 14WC 19643 SIMON, TASHA MOUNT ST JOSEPH'S 04/03/14 BURNES & LIBMAN 171 14WC 20639 BARRETO, EDUARDO XCEL STAFFING SOLUTION 05/15/14 KATZ FRIEDMAN EAGLE ET AL KOREY RICHARDSON LLC 172 14WC 20814 GAMBOA, ALVARO HERITAGE CONSTRUCTION 06/03/14 AIOSSA LAW FIRM 173 14WC 21149 JAIMES, DAVID A CRISTO REY ST MARTIN 05/07/14 MC HARGUE, JAMES P LAW OFF SMITH AMUNDSEN LLC 174 14WC 21428 RIOS, MICHAEL BLACK & GREEN LANDSCAPING 05/31/14 FERRIS THOMPSON & ZWEIG COZZI & GOGGIN-WARD 175 14WC 22020 CRANE, CHRISTINA TRAVELCENTERS OF AMERICA 05/31/14 MARKHAM M JEEP & ASSOCIATE RODDY LAW LTD 176 14WC 22095 HAGEN, JOHN MENARD, INC 03/20/14 THOMAS J POPOVICH CHILTON YAMBERT PORTER LLP 177 14WC 23264 FARFAN, MARIA D CORNFIELDS INC 08/24/13 JONATHAN SCHLACK RIPES NELSON BAGGOT KALOBRAT 178 14WC 24348 SCHULTZ, DANIELLE M GROVE AT THE LAKE INC 06/06/14 LINN, CAMPE & RIZZO LTD KEEFE CAMPBELL & ASSOC LLC 179 14WC 24451 PITTMAN, REEMON FED EX GROUND 01/15/14 GOLDBERG WEISMAN & CAIRO L SCOPELITIS GARVIN LIGHT 15WC035496 -C FEDEX GROUND PACKAGE 180 14WC 25295 JAKUBIAK, ROMAN COST OF WISCONSIN INC 03/06/14 CUSHING LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 181 14WC 25425 RAMIREZ, BLANCA COUNTYARD MARIOTT 06/07/13 POSTERLI, OSCAR NYHAN BAMBRICK KINZIE & LOWR 182 14WC 26165 LOPEZ, OSVALDO CITY OF WAUKEGAN 02/07/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 14WC026166 -C 183 14WC 26280 PAGE, BRUCE ICG 05/12/14 DAVID W MARTAY GANAN & SHAPIRO 184 14WC 26514 BLONDELL, REID AMERICAN DEMOLITION 05/15/14 WOLFE LAW PC THOMAS & PORTELA 185 14WC 26870 NOWOTNIK, KENNETH EWING-DOHERTY MECHANICAL 03/12/13 COHN LAMBERT RYAN & SCHNEI KNELL & O'CONNOR 186 14WC 27080 TERRELL, VINCENT SHOPPERS WORLD 08/26/12 DUDLEY & LAKE LLC 187 14WC 27329 O'BRIEN, AARON VILLAGE OF LAKE ZURICH 07/22/14 RIDGE & DOWNES 188 14WC 27605 HUDSON, TRACIE WALMSRT 06/04/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 189 14WC 27957 LEDESMA, DIEGO A HUERTA BROTHERS INC 10/05/13 BRADY CONNOLLY & MASUDA PC 190 14WC 28144 CARMICKLE, JOHN D TRADESMAN INTERNATIONAL 08/05/14 WHITESIDE & GOLDBERG LTD RODDY LAW LTD 191 14WC 28186 BROOKWALTER, MARSHA ACCELERATED REHABILILTATI 07/12/12 HOLECEK & ASSOCIATES 192 14WC 29163 HERNANDEZ, LAURA COMFORT 11/19/13 FERRIS THOMPSON & ZWEIG INMAN & FITZGIBBONS 193 14WC 30532 KNUTH, MICAH J RAYMOND CHEVROLET INC 03/08/14 CZAPLA LAW HENNESSY & ROACH PC 194 14WC 30737 PADILLA, YANET SUAREZ PEAPOD 07/21/14 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 195 14WC 31419 HERNANDEZ, JOSEFINA ANDREW STAFFING 07/03/14 JAMES ELLIS GUMBINER & ASS SLAVIN & SLAVIN 15WC013129 -C 196 14WC 31457 PIERRI, DOMINIC V ACTION AIR INC 06/27/14 LINN, CAMPE & RIZZO LTD KNELL & O'CONNOR 197 14WC 31523 PAGAN, DANIEL ROCK-TENN CO 08/13/14 GAROFALO SCHREIBER STORM 198 14WC 31651 REYES, LUIS MORTON MANUFACTURING, CO 07/19/14 POSTERLI, OSCAR COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 199 14WC 32245 19B DONEHEY, KIMBERLY KNOWLEDGE UNIVERSE/KINDER 08/29/13 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 200 14WC 32980 RIVERA, OMAR OLIVE GARDEN 11/22/13 WOODRUFF & JOHNSON COZZI & GOGGIN-WARD 201 14WC 33032 MORALES, JOSE FLEXIBLE STAFFING 09/04/14 AIOSSA LAW FIRM KOPKA, PINKUS DOLIN, PC 202 14WC 33107 GARDUNO, SERGIO FIRST CLASS MOVING & STOR 06/21/14 BALTAZAR MENDOZA RIPES NELSON BAGGOT KALOBRAT 203 14WC 33355 DIAZ, LETICIA JIMMY JOHNS/ JJ SEVERSON 04/14/14 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 204 14WC 33908 AUGUSTUS, CHRISTOPHER ERS CHICAGO INC 09/19/14 GOLDBERG WEISMAN & CAIRO L 16WC001782 -C EXPRESS EMPLOYMENT PROS 205 14WC 33992 HARRIS, DUNCAN SEARCH DEVELOPMENTAL CENT 08/29/14 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 14WC043412 -C 206 14WC 34887 ROMAN, LISBETH HAAPANEN BROTHERS 07/25/14 JONATHAN SCHLACK GANAN & SHAPIRO 207 14WC 35506 SOTO, VICTOR M TA CHEN INTERNATIONAL 02/01/14 DOUGLAS RALLO PC KNELL & O'CONNOR 208 14WC 35583 PAZ, JOSUE ISAI MORAN GRANDE JAKE'S MEXICAN GRI 09/21/14 AIOSSA LAW FIRM 209 14WC 35634 19B QUILL, IRENE VILLAGE OF DEERFIELD 09/08/14 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK DIAMOND BUSH & E 210 14WC 35778 YILMAZ, KEREM CORNFIELD 09/03/14 DWORKIN AND MACIARIELLO 211 14WC 35886 GONZALEZ, FERNANDO ROCCO FIORE & SONS INC 07/03/14 ABELS & ANNES, PC KNELL & O'CONNOR 212 14WC 36552 ALEXANDER, JIMMY UNISTAFF INC 09/26/14 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 213 14WC 36760 COCO, MARY THE FRESH MARKET 07/10/14 COLLISON & O'CONNOR SMITH AMUNDSEN LLC 214 14WC 37268 ALDRICH, ARLYN HN PRECISION 08/20/13 HANNIGAN & BOTHA, LTD 215 14WC 37296 TAPIA, MARIA LORENA ECHO INC 10/10/14 AIOSSA LAW FIRM 216 14WC 37680 SANCHEZ, CRISTINA ACACIA SPICE CO 10/10/14 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 217 14WC 37998 MUZUREK, ELANA BUTERA MARKET 08/07/14 GOLDBERG WEISMAN & CAIRO L 218 14WC 38553 WILSON, CARLO MAGIC WRENCH INC D/B/A 09/29/14 HANNIGAN & BOTHA, LTD LAW OFFICES JOSEPH MARCINIAK 219 14WC 38706 NAVA, JUANITA ACCURATE PERSONNEL 11/04/14 LAW OFFICES LEONARDO MORAL RODDY LAW LTD 220 14WC 38960 RAMIREZ, RICARDO MIDWEST EXCHANGE 06/03/14 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 221 14WC 39500 LINBACK, CHRIS WOOD RUN FARM VENTURES, L 06/24/12 BIZZIERI LAW OFFICES WIEDNER & MCAULIFFE LTD 222 14WC 39649 NAVA, FERNANDO MARSHALL BROTHERS INC W 10/21/14 GOLDSTEIN BENDER & ROMANOF 223 14WC 39969 HERRERA, DOLORES MCESSY INVESTMENT CO., 09/04/14 POSTERLI, OSCAR 224 14WC 40998 MESNARD, JOSEPH AUTOZONE, INC. 10/27/14 GRAHAM J. JEEP GILDEA & COGHLAN 225 14WC 41315 MALAVE, JAIME ST OF IL DEPT OF 11/26/14 ARGIONIS & ASSOCIATES LLC ASSISTANT ATTORNEY GENERAL 226 14WC 42344 WENZEL, MARILYN S WAL MART 01/21/14 MAY & BUEGE GANAN & SHAPIRO 227 14WC 42934 KATIE MACMILLAN ABBVIE INC # 01/31/14 MACIOROWSKI SACKMANN & ULR WIEDNER & MCAULIFFE LTD 228 14WC 43474 MANESS, CHARLES FIRST STUDENT INC 11/10/14 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 229 15WC 00449 NYSDROH, ELOM THE SPORTS AUTHORITY 03/02/14 RAPAPORT, STEVEN I RODDY LAW LTD 230 15WC 00783 ROMERO, RUFINA EBM 10/23/14 HART & DAVID LLP HOLECEK & ASSOCIATES 231 15WC 00874 JONES, MICHAEL A SR LABOR SOLUTIONS 07/30/14 VRDOLYAK LAW GROUP LLC NEWLAND & NEWLAND 232 15WC 01159 LOVE, LAMAR TUXCO 09/02/14 GAROFALO SCHREIBER STORM 233 15WC 01968 BECKER, JOYCE M MASSAGE ENVY SPA 01/03/15 SIGMOND, STEVEN GILDEA & COGHLAN 234 15WC 02375 CARUSO, MARISE L. VILLAGE OF LANSING 06/26/12 DOUGLAS RALLO PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 235 15WC 03233 HERNANDEZ, ELEUTERIO PANERA BREAD 08/14/14 LARRY FLEISCHER & ASSOCIAT COZZI & GOGGIN-WARD 236 15WC 03302 REA, SILVIA V AMCOR FLEXIBLES 09/10/13 JEROME FOREMAN & ASSOCIATE 237 15WC 03352 GARCIA, EMPERATRIZ ECHO, INC. 05/01/14 FERRIS THOMPSON & ZWEIG WIEDNER & MCAULIFFE LTD 238 15WC 03468 KAPPLEHOFF, MAGGIE GREAT AMERICA LLC 08/02/13 MARKHAM M JEEP & ASSOCIATE BRADY CONNOLLY & MASUDA PC 239 15WC 03546 HUERTA, NANCY MARIO TRICOCI HAWTHORN IN 11/23/13 SALK, STEVEN B & ASSOC LTD 240 15WC 03848 VILLANUEVA, JOSEFINA VISUAL PAK 12/17/14 MC HARGUE, JAMES P LAW OFF 241 15WC 04239 PAUZA, RICH JASON INDUSTRIES/MORTON M 01/04/15 SEIDMAN MARGULIS & FAIRMAN COZZI & GOGGIN-WARD 242 15WC 04389 CUNA, PEDRO MACLEAN FOGG COMPANY 01/20/14 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 243 15WC 05015 TELLO, ANTONIO GARCIA UNISTAFF 12/22/14 JAMES ELLIS GUMBINER & ASS MC ANDREWS & NORGLE LLC 244 15WC 05712 BURNS, CHARLOTTE RTC D/B/A 02/09/15 MARKS INJURY LAW WIEDNER & MCAULIFFE LTD 245 15WC 06119 LANDEENE, DEBRA ACADEMY OF DOG GROOMING A 07/17/14 WIEDNER & MCAULIFFE LTD 246 15WC 06472 CYSCON, RONALD J.A. FRATE, INC. 10/22/14 SOSTRIN AND SOSTRIN PC GANAN & SHAPIRO 15WC006473 -C 15WC006474 -C 247 15WC 07107 ALEXAKOS, JOHN ABLE ENGINEERING 02/12/15 HEALY SCANLON LAW FIRM GRANT & FANNING 17WC011444 -C 248 15WC 07222 MATHIS, CHESTER L LAKESIDE TRANSPORTATION 10/02/14 MARKS INJURY LAW GALLIANI DOELL & COZZI LTD 249 15WC 07613 MCGOWAN, KATHY ANTIOCH DODGE 12/04/14 BAUM RUFFOLO & MARZAL LTD ROSARIO CIBELLA 250 15WC 07637 GONZALEZ, HECTOR CHICK-FIL-A 12/22/14 DWORKIN AND MACIARIELLO THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 251 15WC 07919 MARTINEZ-RODRIQUEZ, JUAN SCOTT BYRON & COMPANY, IN 07/25/14 FERRIS THOMPSON & ZWEIG 252 15WC 08035 MADDEN, BRUCE NEW ALBERTON'S, INC. 08/12/14 GRAHAM J. JEEP BRADY CONNOLLY & MASUDA PC 15WC041333 -C 253 15WC 08063 HAMMOND, JANET VISTA EAST 07/25/12 STANCZAK LAW OFFICES POWER & CRONIN LTD 254 15WC 08442 BUENO, SILVANO KEMPER VALVE AND FITTINGS 01/28/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 15WC008446 -C 15WC008447 -C 255 15WC 08744 HUNT, ROMELL M ANN KILEY CENTER 09/17/14 ANTHONY ESPOSITO ASSISTANT ATTORNEY GENERAL 256 15WC 09057 PEREZ, MARIA PET FACTORY 09/17/14 MC HARGUE, JAMES P LAW OFF RIPES NELSON BAGGOT KALOBRAT 15WC009058 -C 15WC009506 -C 15WC009515 -C 257 15WC 10675 CORRALES, MARIA GREAT LAKES RESOURCES 09/12/14 FERRIS THOMPSON & ZWEIG HOLECEK & ASSOCIATES 258 15WC 11421 GILL, BRIAN SPEEDWAY LLC 02/27/15 DAVID M SPADA NYHAN BAMBRICK KINZIE & LOWR 259 15WC 11441 SOSTRE, JORGE KIRKPATRICK MANAGEMENT 10/18/13 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 260 15WC 11747 GROTKIEWICZ, KELLY LAKE COUNTY 08/04/14 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 261 15WC 11857 MIGALLA, DAVE N PORTER & PORTER LLC 10/30/14 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 262 15WC 12088 RODRIGUEZ, ISIDRO ECHO INC 02/13/15 FERRIS THOMPSON & ZWEIG BRADY CONNOLLY & MASUDA PC 263 15WC 12408 CANNON, DOCK DOLLAR GENERAL 08/16/14 BERNARD WYSOCKI & ASSOCIAT WIEDNER & MCAULIFFE LTD 264 15WC 13434 KEEBLE, LYLE ROUND LAKE AREA SCHOOL 11/28/14 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 265 15WC 13603 VARGAS, GIOVANNI VICINITECH 09/25/14 MARKHAM M JEEP & ASSOCIATE WOLFE & JACOBSON, LTD 266 15WC 13821 REA, SILVIA V AMCOR FLEXIBLE 03/07/14 JEROME FOREMAN & ASSOCIATE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 267 15WC 14150 OLIVER, CAROLYN GREAT LAKE RESOURCES 02/20/15 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 268 15WC 14241 THOMAS, LINDA MED LINE INDUSTRIES 05/02/14 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM 269 15WC 15354 CARREON, RAYMUNDO WHOLE FOODS MARKET, INC. 03/14/14 FOOTE MIELKE CHAVEZ & O'NE 270 15WC 15376 FLORES, JUAN MIGUEL IRIBE WM ROOFING MASONRY & MORE 04/13/15 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM 271 15WC 16413 OSTROWSKI, SANDRA LEICA MICROSYSTEMS 02/25/15 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 272 15WC 16917 DESTRY, LYNN M ROUNDYS SUPERMARKET INC 03/19/15 GOLDBERG WEISMAN & CAIRO L 273 15WC 17112 CASHMORE, JONATHON LAKE COUNTY SHERIFF'S DEP 01/25/14 MARKHAM M JEEP & ASSOCIATE WOLFE & JACOBSON, LTD 15WC017113 -C 15WC017114 -C 15WC017115 -C 274 15WC 17363 ZAMUDIO, JAVIER FLEXIBLE STAFFING 04/18/15 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 275 15WC 17523 HERNANDEZ, ALBERTO METALEX 10/05/14 HANNIGAN & BOTHA, LTD COZZI & GOGGIN-WARD 276 15WC 17558 ANDRADE, ALFONSO CENTRAL GROCERS INC 11/26/14 HETHERINGTON KARPEL BOBBER 277 15WC 17997 SOTELO, ABRAHAM MVP 11/12/12 AIOSSA LAW FIRM GRANT & FANNING 278 15WC 18162 MILLER, STACY E WFF FACILITY SERVICES 06/07/12 ANTHONY J MAY 279 15WC 18606 NUNEZ, JUAN ROOF OPTIONS, LLC 04/30/15 GRAHAM J. JEEP LAW OFFICES OF EDWARD J. KOZ 280 15WC 18895 SHAW, MAIKO NORTH POINT RESOURCES 04/13/15 281 15WC 18982 THOMAS, ERIC WAUKEGAN SCHOOL DIST 60 06/02/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 282 15WC 19210 HERNANDEZ, ROMULO ECHO INC 04/01/15 CHEPOV & SCOTT LLC 15WC019212 -C 283 15WC 19250 JOHNSON, HENRY MARIANO'S 03/30/15 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 15WC 19319 KANKA, VICKIE S. WORKING WORLD, INC. 03/17/15 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 285 15WC 19389 HAMIL, AUDREY BEST BUY 04/18/15 GOLDBERG WEISMAN & CAIRO L 286 15WC 19466 JOHNSON, MARIE LAKE COUNTY GRADING CO 03/20/15 NICHOLIS J STEIN WIEDNER & MCAULIFFE LTD 287 15WC 19511 ITKOWITZ, JASON MOTION DYNAMICS POWER SVC 02/16/15 MARKS INJURY LAW LAW OFFICES JOSEPH MARCINIAK 288 15WC 19647 HUFFMAN, ROBERT T SKIPPER BUD'S MARINE 09/09/14 NILSON STOOKAL GLEASON CAP HENNESSY & ROACH PC 289 15WC 19904 SANCHEZ, RUBEN MAREK VRANA 06/10/15 RUBENS AND KRESS HOLECEK & ASSOCIATES 290 15WC 19994 MICHAELS, KAREN S. JILL ACQUISITION, LLC 12/21/14 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 291 15WC 20081 DAYMENT, JOSHUA METAL EX NORTH 10/20/14 DOUGLAS RALLO PC COZZI & GOGGIN-WARD 292 15WC 20406 WRIGHT, BRITTANY RAINBOW APPAREL, INC. 05/26/15 GRAHAM J. JEEP HENNESSY & ROACH PC 293 15WC 20472 RICHMAN, VICKI L NORTH SUBURBAN SPECIAL 10/21/14 WEISS & WEISS LAW OFFICES 294 15WC 20696 WILLIAMS, EARL MOTION DYNAMICS 05/11/15 STANCZAK LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 295 15WC 20768 GARCIA, JUANA DIRECT ENERGY 10/06/14 CLARK FROST GRANT & FANNING 296 15WC 20913 SALGADO, MYRTA B WAUKEGAN PUBLIC SCHOOL 06/12/15 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 297 15WC 21313 MATEOS, JESUS TERMAX CORPORATION 06/01/15 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 298 15WC 21364 SHIVERS, JOYCE GLENLAKE TERRACE 08/12/13 STEVEN J TENZER, LTD LAW OFFICES FRANCESCA LARSEN 299 15WC 21394 OLIVAS, ISAAC STAR CREATIONS INC 04/06/15 JONATHAN SCHLACK 300 15WC 21669 GONZALEZ, ELVIA THERMAX CORP. 04/17/15 VICTORY LAW OFFICE HOLECEK & ASSOCIATES 301 15WC 21973 GARLAND, DARON UNISTAFF 05/26/15 STANCZAK LAW OFFICES MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 302 15WC 22119 KRUPICKI, DARIUSZ KRUDAR INC 06/04/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 303 15WC 22625 DEAND, MARIA LIBERTYVILLE MANOR 05/25/15 JEROME FOREMAN & ASSOCIATE 304 15WC 22780 VELAZQUEZ, ISALIA HOLIDAY INN EXPRESS 06/17/15 SALK, STEVEN B & ASSOC LTD WOLFE & JACOBSON, LTD 305 15WC 23012 HOSS, KATHY SMALLEY STEEL RING CO 02/03/15 HANNIGAN & BOTHA, LTD ACCIDENT FUND HOLDINGS 306 15WC 23253 HACKERT, JASON SEARS 08/07/14 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM 307 15WC 23272 ALVAREZ, JESUS HUEMANN CLEANING SERVICE 06/19/15 JOHN S. ELIASIK 308 15WC 23958 HOWSAM, RONALD LIQUID CONTROLS INC/IDEX 06/13/12 309 15WC 24034 TYLER, JON A. DENOVO CONSTRUCTORS 07/23/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 310 15WC 24061 GABRIEL, MIKE MENARDS 07/11/15 JOHN F GREGORIO & ASSOC 311 15WC 24188 GALVEZ, JOSE MVP 07/27/15 FERRIS THOMPSON & ZWEIG KOREY RICHARDSON LLC 312 15WC 24976 RIVAS, MARIA CORPAK MEDSYSTEMS 06/29/15 JAMES ELLIS GUMBINER & ASS LAW OFFICES JOSEPH MARCINIAK 313 15WC 25360 SINGLETON-REED, KAMARIA LAKE COUNTY HEALTH DEPT 07/02/15 RUBIN LAW GROUP SMITH AMUNDSEN LLC 314 15WC 25841 RODRIGUEZ, JOSEFINA COMMERCIAL PLASTICS DBA 04/09/13 JONATHAN SCHLACK CASSANO & ASSOCIATES 315 15WC 26080 SANCHEZ, EDGAR LUDLOW MANUFACTURING INC 06/29/15 ANKIN LAW OFFICE CASSANO & ASSOCIATES 316 15WC 26170 JACKSON, MARY HERITAGE WOODS OF GURNEE 06/29/15 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 317 15WC 26660 REDMAN, SUE C. WALMART 05/19/15 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 15WC026665 -C 318 15WC 26667 ODISHOO, ANN M. LEARN CHARTER SCHOOL NETW 02/11/15 LINN, CAMPE & RIZZO LTD LAW OFFICES JOSEPH MARCINIAK 319 15WC 26734 TREVINO, VERONICA NOSCO 06/24/15 MC HARGUE, JAMES P LAW OFF WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 15WC 26844 SCHROEDER, ROBERT E USA DRIVERS 06/15/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 321 15WC 26892 GOMEZ, YOSELIN MOST VALUABLE 07/13/15 JOHN S. ELIASIK KOREY RICHARDSON LLC 322 15WC 26948 NAVARRO, FELIPE M NORTH SHORE PAVING 06/08/15 ABELS & ANNES, PC LAW OFFICES JOSEPH MARCINIAK 323 15WC 27753 MYERS, CARMEN THE GROVE AT THE LAKE 05/13/15 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC 324 15WC 27915 GARCIA, PATRICIA SENTRAL ASSEMBLIES & 01/05/15 LAW OFFICES LEONARDO MORAL 325 15WC 28120 RUIZ, MARIA MC DONALDS 07/14/15 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 326 15WC 28215 PERALTA, RONY PERFECT CLEANING SERVICES 08/11/15 LAW OFFICE OF SCOTT B SHAP BRADY CONNOLLY & MASUDA PC 16WC006911 -C 327 15WC 28325 GARIBAY, JUAN PABLO GT LANDSCAPING LLC 05/19/15 STROM, NEAL B 328 15WC 28865 GOMEZ, KEVIN TOTAL SIDING 08/25/15 JOHN S. ELIASIK GAROFALO SCHREIBER STORM 329 15WC 29229 ELIAS, JUAN MRK INDUSTRIES 06/21/14 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 330 15WC 29484 MACK, JOSEPH ILLINOIS CENTRAL SCHOOL B 07/18/15 HORWITZ HORWITZ & ASSOC 331 15WC 29710 HUDAK, FRANTISEK WHS CONSTRUCTION INC 07/28/15 BELCHER LAW OFFICE BRADY CONNOLLY & MASUDA PC 332 15WC 29871 RIVERA, ROBERTO HANDYMAN SERVICES O CALL 08/17/15 JOHN S. ELIASIK 333 15WC 29939 ROBINSON, JAMES PETCO 09/01/15 COLLISON & O'CONNOR ADELSON TESTAN & BRUNDO 16WC003990 -C 334 15WC 30472 DIZDAREVIC, AMEL INNOVATION PAINTING & 07/20/15 STEVEN H MEVORAH & ASSOCIA GAROFALO SCHREIBER STORM 335 15WC 30688 AYALA, MARCO METALEX 07/11/15 DUDLEY & LAKE LLC INMAN & FITZGIBBONS 15WC030689 -C 15WC030729 -C 336 15WC 31022 JIMENEZ, ROSA APTAR GROUP 07/23/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 337 15WC 31548 GARCIA, DIEGO VOLLMAR CLAY PRODUCTS 09/22/15 NEWLAND & NEWLAND 338 15WC 31952 CASTRO, ALLAN FMS INVESTMENT CORP/ 07/08/15 ANKIN LAW OFFICE HENNESSY & ROACH PC 339 15WC 32214 FUGELSETH, TODD D. LAKE COUNTY SHERIFF 05/30/15 PARENTE & NOREM PC SMITH AMUNDSEN LLC 340 15WC 32360 GROSSMAN-JUDSON, THERESE BIG DADDY PUMP CO # 06/05/13 NEWLAND & NEWLAND GANAN & SHAPIRO 341 15WC 32767 MUNOZ, YESENIA CRACKER BARREL OLD COUNTR 04/13/15 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 342 15WC 32810 BARRETT, BARBARA FEDEX GROUND PKG 09/29/15 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 343 15WC 33091 BREUNSBACH, KEITH THE FOUNTAIN GROUP 03/31/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 344 15WC 33197 RENDON, AARON CONNELLY ELECTRIC, INC. 07/18/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 345 15WC 33478 MCLEAN, WILLIAM JASON INC. 05/11/15 HANNIGAN & BOTHA, LTD COZZI & GOGGIN-WARD 346 15WC 33556 WITOWSKI, LOTTIE ROBERT HALF INTERNATIONAL 01/15/15 ANKIN LAW OFFICE 347 15WC 33680 CHACHA, ANA MARIA MVP STAFFING 09/24/15 JAUREGUI & ASSOCIATES KOREY RICHARDSON LLC 348 15WC 33893 LONG, WILLIAM M. WASTE MANAGEMENT, INC. 04/15/15 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 349 15WC 33911 GIZA, ALEKSANDRA THE BENIDA GROUP, LLC 06/08/15 BELCHER LAW OFFICE COZZI & GOGGIN-WARD 350 15WC 34266 MANOLIS, ZACHARY AMF BOWLING CENTER, INC 10/09/15 SLAVIN & SLAVIN 351 15WC 34326 STUCKRATH, ADAM CITY OF HIGHLAND PARK 10/15/15 DOUGLAS RALLO PC POWER & CRONIN LTD 352 15WC 34445 SHIRLEY, RENEE JOANN FABRIC 06/30/14 TARADASH LAW OFFICE HENNESSY & ROACH PC 353 15WC 34657 BENYAMIN, SARGON MARIANO'S FRESH MARKET 07/20/15 SEIDMAN MARGULIS & FAIRMAN BRYCE DOWNEY & LENKOV LLC 354 15WC 34817 PRETZER BURNS, TANIA NAUTA INSURANCE AGENCY 01/12/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 355 15WC 34950 MATA-ARCOS, AUGUSTO TYLER'S UNDERGROUND, LLC 10/14/15 SEIDMAN MARGULIS & FAIRMAN GILDEA & COGHLAN 356 15WC 35128 SANDBERG, DOUGLAS ABBOTT LABORATORIES 07/18/13 DOUGLAS RALLO PC WIEDNER & MCAULIFFE LTD 357 15WC 35129 SANDBERG, DOUGLAS ABBOTT LABORATORIES 09/16/14 DOUGLAS RALLO PC WIEDNER & MCAULIFFE LTD 358 15WC 35223 ARIZMENDI, ANGEL NATURAL BEAUTY LANDSCAPIN 06/18/14 RODDY LAW LTD 359 15WC 35376 MAZANET, RICHARD J ZION SOLUTIONS 07/21/15 O'CONNOR & NAKOS QUINTAIROS PRIETO WOOD & BOY 360 15WC 35485 QUAID, TERRY HINES SUPPLY 06/02/14 BOWMAN & CORDAY GAROFALO SCHREIBER STORM 361 15WC 35609 SORAPARU, WARREN A FEDERAL EXPRESS CORP 10/16/14 LAW OFFICE DAVID W CLARK HANSON LAW OFFICE 362 15WC 35741 BORAWSKI, PAUL ACCO BRANDS 09/28/15 LIESER LAW FIRM HENNESSY & ROACH, PC 363 15WC 35885 VORPAGEL, WILLIAM ADP TOTAL 10/14/15 LAW OFFICES PAPPAS & BELL WIEDNER & MCAULIFFE LTD 364 15WC 35924 MORALES, CARMELO JELLY BELLY CANDY CO 09/16/15 EPSTEIN, JACK R LAW OFFICE 365 15WC 36021 WASHINGTON, OLLIE CORNFIELDS, INC 10/22/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 366 15WC 36082 HOLETZKY, LEROY JR DROP ZONE PORTABLE SERVIC 08/24/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 367 15WC 36696 MURRAY, RONALD MOST VALUABLE PERSONNEL 07/29/15 HANNIGAN & BOTHA, LTD KOREY RICHARDSON LLC 368 15WC 37005 GALLARDO, JOSE A SCHROEDER & SCHROEDER INC 06/26/15 ANKIN LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 369 15WC 37058 CLARA, MARIA D ECHO INCORPORATED 10/05/15 SALVATO & O'TOOLE WOLF LAW LTD 370 15WC 37139 GALLARDO, ELENA HOLIDAY INN EXPRESS 08/14/15 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 371 15WC 37621 POWERS, HELENE ADVOCATE CONDELL MED CTR 06/21/15 RANDALL A. WOLFF & ASSOC NYHAN BAMBRICK KINZIE & LOWR 372 15WC 37765 CORRAL, DOMINGO MASTER FENCE 09/14/15 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 373 15WC 38432 OH, CHRISTINE SEARCH INC 05/03/14 DWORKIN AND MACIARIELLO 374 15WC 38661 ESTRADA, JESUS SOUTHWIRE COLEMAN CABLE 09/27/15 DUDLEY & LAKE LLC GANAN & SHAPIRO 375 15WC 38928 WOOD, TERRY B FREEMONT PUBLIC LIBRARY 06/25/15 LINN, CAMPE & RIZZO LTD GILDEA & COGHLAN 376 15WC 38931 KENNEDY, JOHN D COLBERT PACKAGING INC 01/14/15 LINN, CAMPE & RIZZO LTD 377 15WC 38934 ENGQUIST, VANESSA M AT&T 05/22/15 LINN, CAMPE & RIZZO LTD INMAN & FITZGIBBONS 378 15WC 38937 TUGGLE, FRANK D VILLAGE OF GURNEE 07/09/14 LINN, CAMPE & RIZZO LTD ANCEL GLINK DIAMOND BUSH & E 379 15WC 39358 GUERRERO, SOCORRO ELITE STAFFING INC 05/15/15 FERRIS THOMPSON & ZWEIG 380 15WC 39359 GUZMAN, TRINIDAD ARAMARK 12/01/14 FERRIS THOMPSON & ZWEIG 381 15WC 39565 FILIP, EUGIENIUSZ A J CONSTRUCTION W 07/22/14 SCHACTER, JEROME & ASSOC L 382 15WC 39688 ORTIZ, MARIA HILLCREST RETIREMENT VILL 09/23/15 383 15WC 39713 GARCIA, PEDRO MARIAN DULU 09/10/15 GOLDBERG WEISMAN & CAIRO L ROCK FUSCO & CONNELLY 384 15WC 39741 HERNANDEZ, JOSE JUAN PUGSLEY & LAHAIE, LTD 09/15/15 BAUM RUFFOLO & MARZAL LTD 385 15WC 39935 MENDEZ, RICARDO TAQUERIA TOLUCA II INC W 10/24/15 DUDLEY & LAKE LLC POSTERLI, OSCAR 386 15WC 40976 PARRISH, NICHOLAS CDI CORP 09/15/15 LEONARD LAW GROUP LLC COZZI & GOGGIN-WARD 387 15WC 41066 AMBRIZ, MARTINA PUPRECHT COMPANY 11/10/15 LAW OFFICE ROBERTO ACEVEDO COZZI & GOGGIN-WARD 388 15WC 41117 MARTINEZ, ROSALINO MARIANI LANDSCAPING 11/19/15 JONATHAN SCHLACK 389 15WC 41225 CASTILLO, SERGIO LABOR SOLUTIONS 10/29/15 GOLDSTEIN BENDER & ROMANOF 390 15WC 41501 MERCIER, PAMELA MENARDS 11/01/15 TARADASH LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 391 15WC 41611 ADKINS, JAIME L MUNDELEIN CONSOLIDATED SD 08/19/14 SEIDMAN MARGULIS & FAIRMAN 392 15WC 41679 PERRY, ANGELA PEAPOD 02/01/15 SEIDMAN MARGULIS & FAIRMAN LITCHFIELD CAVO 393 15WC 41857 ALLEN, THOMAS J&S LANDSCAPE 12/04/15 POLANSKY & CICHON CHTD LITCHFIELD CAVO 394 15WC 41945 MURRAY, KELLIE A CLEAN SWEEP 11/12/15 ANKIN LAW OFFICE HENNESSY & ROACH PC 395 15WC 42229 TEWELL-HARMON, KAREN PNC BANK 12/30/13 DUDLEY & LAKE LLC 396 15WC 42345 SAMANGOOIE, DESIREE D. LAKE COUNTY HEALTH DEPT. 09/08/15 TAMVAKIS, GEORGE L WOLFE & JACOBSON, LTD 16WC019812 -C 16WC019813 -C 397 15WC 42641 FULLER, KYLE CHICAGO BEARS FOOTBALL 10/19/14 WOLFE LAW PC MC ANDREWS & NORGLE LLC 16WC002478 -C 16WC002479 -C 398 15WC 42723 GARCIA, DEYMI HYDRAFORCE 09/19/14 399 16WC 00102 JIMENEZ, ADALBERTO TERMAX CORP 12/14/15 BRILL & FISHEL 400 16WC 00495 ARIAS, TOMAS ARAGON ACCURATE PERSONNEL LLC @ 09/25/15 SALK, STEVEN B & ASSOC LTD MC ANDREWS & NORGLE LLC 401 16WC 00693 BRAGG, MATTHEW DEUBLIN 10/01/15 JONATHAN SCHLACK HOLECEK & ASSOCIATES 402 16WC 00760 WAGEMANN, DANIEL PEAPOD, LLC 01/19/15 MAGNUSON, LAWRENCE K, PC LITCHFIELD CAVO 16WC000761 -C 16WC000762 -C 16WC000763 -C 403 16WC 00950 SCHNELLE, THOMAS ANTHONY BUICK GMC 11/18/14 ALAN A BLUM, PC WIEDNER & MCAULIFFE LTD 404 16WC 01388 GODINA, MARTIN LUNA AVERUS 10/22/15 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 405 16WC 01621 GORSKI, ROBERT HLP SYSTEMS INC 09/29/15 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 406 16WC 01796 UKLEJA, DONALD A JR FOX LAKE SCHOOL DIST 114 06/22/15 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 16WC 01833 HERNANDEZ, MARIA PLEXUS CORP 09/16/15 SCOTT BARBER 408 16WC 02111 VOELL, CAILYN WALMART DBA SAMS CLUB 05/18/15 DISPARTI LAW GROUP PA QUINTAIROS PRIETO WOOD & BOY 409 16WC 02930 CARVAJAL, MARIA SUNSET FOOD MART INC 10/15/15 STANCZAK LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 410 16WC 03064 TRUJILLO, RUBEN UPS 01/12/16 ELFENBAUM EVERS & AMARILIO NYHAN BAMBRICK KINZIE & LOWR 411 16WC 03212 BUTLER, WANDA FREEDOM HOME HEALTH CARE 11/16/15 JONATHAN SCHLACK GALLIANI DOELL & COZZI LTD 412 16WC 03375 BRIDGEFORTH, TOMMIE ILLINOIS DEPARTMENT OF @ 01/11/16 JOHN E LUSAK ILLINOIS ATTORNEY GENERAL 413 16WC 03603 CALOMINO, ADELINA STARBUCKS INC 02/20/13 LINN, CAMPE & RIZZO LTD 414 16WC 03662 TORRES, JOSE LACOSTA, INC. 11/17/15 BERG & BERG ACCIDENT FUND HOLDINGS 415 16WC 03708 JACOBS, RANDY NEW ALBERTSONS INC DBA 06/16/15 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 416 16WC 03868 COVEY, SHANNON SBARRO GURNEE MILL MALL 11/25/15 NEWLAND & NEWLAND COZZI & GOGGIN-WARD 417 16WC 03986 SANDRE, PAULA MARIANO'S 04/27/15 O'CONNOR & NAKOS 418 16WC 04009 HERRERA, SERGIO DIVINCI PAINTERS INC 11/16/15 CHEPOV & SCOTT LLC 419 16WC 04048 GRIFFIS, WESLEY H III AL HANSEN MFG 08/17/15 C DEAN MATSAS HENNESSY & ROACH PC 420 16WC 04127 SPIVAK, GENRIETTA KLEIN TOOLS INC 08/05/12 BELCHER LAW OFFICE ROBERT L. SMITH 421 16WC 04723 TRIOLO, ANGELO MOLD SOLUTIONS 05/01/15 WOLFE LAW PC 422 16WC 04738 CERVANTES, ESPERANZA COLEMAN CABLE LLC 11/03/15 LINN, CAMPE & RIZZO LTD GANAN & SHAPIRO 423 16WC 04841 ISBERG, KIMBERLY DISCOVER FINANCIAL SERVIC 04/10/14 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 424 16WC 04925 HERNANDEZ, JORGE CANALES CRYSTAL LAKE BUILDERS 01/23/16 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 16WC 05207 WILLIS, SADE NORTHPOINTE RESOURCES INC 11/13/15 MARKS INJURY LAW 426 16WC 05211 RAY, ROBERT BEAM TEAM INC 01/29/16 MARC J SHUMAN & ASSOCIATES LAW OFFICES FRANCESCA LARSEN 427 16WC 05365 MCGEE, MARQUITA COMMUNITY ACTION PARTNERS 01/06/16 MARKS INJURY LAW 428 16WC 05421 ROSENBLUM, DEBRAH WARREN BARR NORTH SHORE 12/10/15 LANNON LANNON & BARR LTD BRADY CONNOLLY & MASUDA PC 429 16WC 05561 HENTSCHEL, JILLIAN IND DISTRIBUTION 01/08/16 CLARK FROST 430 16WC 05644 DUGAN, ROBERT F JR KEITH V KRUSE/KJK SOLUTIO 11/06/15 DUDLEY & LAKE LLC HENNESSY & ROACH PC 431 16WC 05907 SOTO, SARAFIN ROCCO FIORE & SONS INC 06/04/15 VOGG, MARK J LAW OFFICE 432 16WC 05942 STINNETTE, DEANICE GREAT LAKES RESOURCES INC 07/06/15 LINN, CAMPE & RIZZO LTD 433 16WC 05965 CASTRO, ALEJANDRO BECERRA PEAPOD, LLC 02/01/16 JONATHAN SCHLACK LITCHFIELD CAVO 434 16WC 06013 HALL, TIFFANY ST. COLETTA OF WISCONSIN 01/25/16 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 435 16WC 06104 VARELAS, CARLOS QUALITY LABOR SERVICES LL 02/12/16 DWORKIN AND MACIARIELLO KOREY RICHARDSON LLC 436 16WC 06294 OZIMINSKI, MICHAEL GRAYCOR 07/13/15 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 437 16WC 06478 ACOSTA, CESAR ANDREWS STAFFING 11/23/15 JONATHAN SCHLACK SLAVIN & SLAVIN 438 16WC 06571 STONER, DAVID M. EIRICH MACHINES, INC. 08/31/12 LINN, CAMPE & RIZZO LTD LAW OFFICES JOSEPH MARCINIAK 439 16WC 06577 HILL, GREGORY R VILLAGE OF BUFFALO GROVE 06/30/15 LINN, CAMPE & RIZZO LTD 440 16WC 06815 SEDEY, MICHAEL JEWEL-OSCO 10/26/15 HORWITZ HORWITZ & ASSOC 441 16WC 07001 NEGRON, MARTA CARDINAL HEALTH 04/05/13 COHN & COHN HENNESSY & ROACH PC 442 16WC 07042 MAYS, SANDRA WAUKEGAN PUBLIC SCHOOL DI 12/09/15 DUDLEY & LAKE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 16WC 07696 MURPHY, ARLENE BABY'S R US 02/11/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 444 16WC 07761 SZYMANSKI, PAUL BREAKTHRU BEVERAGE OF ILL 12/21/15 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 445 16WC 07812 PATT, JASON LAKE COUNTY CORONER 02/15/16 EVAN A HUGHES LAW OFFICE WOLFE & JACOBSON, LTD 446 16WC 07852 CAMACHO, JORGE NO DOUBT CONSTRUCTION, IN 03/03/16 DEPAOLO ZADEIKIS GORE HOLECEK & ASSOCIATES 447 16WC 07999 LAURENT, THEODORA E STARBUCKS COFFEE 08/15/13 WEISS & WEISS LAW OFFICES 448 16WC 08272 CORTES, VALERIE MURRAY ROUND LAKE SCHOOL DISTRIC 12/30/15 BOTTO GILBERT 449 16WC 08433 PERKINS, PAUL UPS 03/01/16 RUBIN MACHADO ROSENBLUM NYHAN BAMBRICK KINZIE & LOWR 450 16WC 08450 DEANER, TERRELL ANATOL EQUIPMENT 03/14/15 MARKHAM M JEEP & ASSOCIATE LAW OFFICES JOSEPH MARCINIAK 451 16WC 08593 URBINA, HEYDA EXCEL PERSONNEL 09/10/15 GOLDSTEIN BENDER & ROMANOF KOREY RICHARDSON LLC 16WC008594 -C 452 16WC 09120 HERNANDEZ-ACOSTA, JORGE J TASTY THAI RESTAURANT 03/11/16 HANNIGAN & BOTHA, LTD 453 16WC 09172 MATA-GUZMAN, MARTA CANCER TREATMENT CENTERS 04/17/15 POLANSKY & CICHON CHTD GAROFALO SCHREIBER STORM 16WC009173 -C 454 16WC 09204 DOROBEK, CHERYL ZION ELEMENTARY SCHOOL 10/20/15 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 455 16WC 09357 ZAVALA, FERNANDO BIG BOWL 08/15/15 BAUM RUFFOLO & MARZAL LTD 456 16WC 09548 LOPEZ, ROBERTO HN PRECISION COMPANY 01/12/15 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 457 16WC 09725 PEREZ, VERGIL ALVARO ISRA POMPS TIRE 02/24/16 ANKIN LAW OFFICE KNELL & O'CONNOR 458 16WC 09794 VELAZQUEZ, MARGARITA SPRINGS WINDOW FASHIONS/ 01/29/14 DUDLEY & LAKE LLC 459 16WC 09812 SUMMERS, RONALD A UNITED STATES INFRASTRUCT 05/06/15 LINN, CAMPE & RIZZO LTD MCANANY VANCLEVE & PHILLIPS 460 16WC 09859 PRATT, DEANDRE M MCDONALD'S 11/28/15 TAMVAKIS, GEORGE L BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 16WC 09988 SULZBERGER, ROBERT D MONARCH CONSTRUCTION COMP 03/07/16 PETER D CORTI LAW GROUP KNELL & O'CONNOR 462 16WC 10539 IMPASTATO, LORI ROSS DRESS FOR LESS 03/25/16 DWORKIN AND MACIARIELLO 463 16WC 10633 MOORE, AMBROSE SECURITY & PROTECTION 12/16/15 KROL BONGIORNO & GIVEN LTD THOMAS & PORTELA 464 16WC 10923 SURUY, JORGE ROMEO CONSTRUCTION 02/02/16 DISPARTI LAW GROUP PA 465 16WC 10938 JENSEN, DUSTIN GRAEBEL ILLINOIS MOVERS L 02/15/16 ANKIN LAW OFFICE SMITH AMUNDSEN LLC 466 16WC 10959 MARQUEZ, ISAIAS INDEPENDENT FARMS 01/20/16 MARKS INJURY LAW 467 16WC 11179 STARR, GEOFFREY A. MENDEL PLUMBING 11/16/15 GREGORIO & MARCO BRYCE DOWNEY & LENKOV LLC 468 16WC 11230 PORCAYO, JESUS ACCURATE PERSONNEL SVC & 12/21/15 POSTERLI, OSCAR MC ANDREWS & NORGLE LLC 469 16WC 11322 FULLER, ANTHONY ZELLER PLASTIK USA INC 03/22/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 470 16WC 11329 SMITH, JULIA VISTA 07/11/15 SCOTT BARBER 471 16WC 11554 FIGUEROA, RAUL BROOKDALE SENIOR LIVING D 10/28/15 FERRIS THOMPSON & ZWEIG 472 16WC 11571 SAKALOWSKI, LEONARD ZELLER PLASTIK, INC. 04/15/14 ROBERT EDENS 473 16WC 11579 PACHECO, JOSE BILL'S PUB NORTH, HNC. 02/10/15 DUDLEY & LAKE LLC LAW OFFICES JOSEPH MARCINIAK 474 16WC 11754 PALACIOS, DAISY HYDRA FORCE 10/10/15 FINE, MARK S LAW OFFICES HOLECEK & ASSOCIATES 475 16WC 11877 VAN CLEVE, GEORGENE DURHAM SCHOOL SERVICES 03/10/16 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 476 16WC 12022 STOVES, DAVID J RACK'M UP EQUIPMENT 12/07/15 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 477 16WC 12029 POE, CHARLES E NRG ENERGY INC 01/23/16 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 478 16WC 12059 JOHNSON, PATSY A HELP AT HOME 03/16/16 AIOSSA LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 479 16WC 12244 HARRIS, DUNCAN SEARCH DEVELOPMENT CENTER 04/12/15 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 480 16WC 12279 NOYOLA, MARIA G ASSEMBLED PRODUCTS INC 09/02/15 RICHARD O. GREENFIELD COZZI & GOGGIN-WARD 16WC012280 -C 16WC012281 -C 16WC012282 -C 481 16WC 12435 PEREZ, JOSE F UPLAND CONCRETE 12/07/15 BOWMAN & CORDAY ACCIDENT FUND HOLDINGS 482 16WC 12588 HUCKER, WENDY AON HEWITT 02/01/16 DUDLEY & LAKE LLC BRADY CONNOLLY & MASUDA PC 483 16WC 12712 LOPEZ, ELISA HYDRAFORCE INC 02/02/16 CLARK JUSTEN ZUCCHI 484 16WC 12897 SELLING, ERIC C AMICA MUTUAL INSURANCE CO 04/01/16 MURPHY & MURPHY KEEFE CAMPBELL & ASSOC LLC 485 16WC 13000 SPAID, RAY A JR STATE OF ILLINOIS/ DEPT O @ 12/10/14 LINN, CAMPE & RIZZO LTD ILLINOIS ATTORNEY GENERAL 486 16WC 13101 LOVELACE, DEANGELO MANPOWER GROUP 04/15/16 LAW OFFICE JEFFREY FRIEDMA HENNESSY & ROACH PC 487 16WC 13169 MARTINEZ, CARMEN STAR CREATIONS 03/15/16 STEWART C ORZOFF LAW OFFICES JOSEPH MARCINIAK 488 16WC 13268 CUENCA, MARIA THE XCEL GROUP 04/08/16 ACEVES & PEREZ PC GILDEA & COGHLAN 489 16WC 13582 FERNANDEZ, HECTOR HILLSIDE LANDSCAPE, INC. 04/15/16 HANNIGAN & BOTHA, LTD 490 16WC 13600 HARDER, THOMAS K. RIEDY CONSTRUCTION 07/13/15 FIGLIOLI, DAVID 491 16WC 13620 GONZALEZ, RUBEN MATTHEWS PROFESSIONAL 12/09/13 ROSS J HELFAND THOMAS & PORTELA 492 16WC 13795 MEDINA, TEODORA ANDREWS STAFFING 03/07/16 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 493 16WC 13808 HEIDLER, EDWARD F. WAUKEGAN POLICE DEPARTMEN 04/07/16 SOSTRIN AND SOSTRIN PC BERNARD WYSOCKI & ASSOCIATES 494 16WC 13978 HAHLE, JAMES P ROUNDY'S INC 04/16/16 TAMVAKIS, GEORGE L BRYCE DOWNEY & LENKOV LLC 495 16WC 14124 JACKSON, ROBERT ILLINOIS TOLLWAY @ 04/30/15 ALBERT R. PINO LAW OFFICE GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 496 16WC 14312 LOPEZ, ISRAEL RENT-A-CENTER 04/07/16 MARKS INJURY LAW KEEFE CAMPBELL & ASSOC LLC 497 16WC 14336 TROPINSKI, MARCIA ABBVIE 03/17/16 SOSTRIN AND SOSTRIN PC WIEDNER & MCAULIFFE LTD 498 16WC 14525 NEGRON, TAMARA NORTHSORE SCHOOL DISTRICT 02/16/16 DEPAOLO ZADEIKIS GORE 499 16WC 14837 BODANI, SANIJE BUFFALO GROVE HIGH 06/11/15 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 500 16WC 14860 NIEVES DE DIAZ, ROSA E. BURGER KING 11/27/15 LARRY FLEISCHER & ASSOCIAT HOLECEK & ASSOCIATES 501 16WC 15203 MIKE, SHANTE DHS OF ILLINOIS AKC @ 12/01/15 DWORKIN AND MACIARIELLO ILLINOIS ATTORNEY GENERAL 502 16WC 15445 CANNON, ALECIA SPECIAL EDUCATION DIST OF 04/23/14 TARADASH LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 503 16WC 15471 REA, MAKI ANDREWS STAFFING 10/09/15 AIOSSA LAW FIRM SLAVIN & SLAVIN 504 16WC 15678 SANCHEZ, RENE NATIONAL TIRE & BATTERY 03/31/16 HANNIGAN & BOTHA, LTD 505 16WC 15728 VARELA, GEORGE LABOR SOLUTIONS, LLC 09/15/15 GOLDBERG WEISMAN & CAIRO L MC ANDREWS & NORGLE LLC 506 16WC 15748 SHEEHAN, PATRICK K. EQUIPMENT DEPOT OF IL. IN 09/23/15 LEWIS & DAVIDSON, LTD 507 16WC 15792 DUBIN, DEBORAH NORTHSHORE SCHOOL DISTRIC 11/13/15 WEISS & WEISS LAW OFFICES WIEDNER & MCAULIFFE LTD 508 16WC 15837 FRATUS, COREY SIMON ROOFING & SHEET MET 05/02/16 HORWITZ HORWITZ & ASSOC STONE & JOHNSON CHARTERED 509 16WC 15881 LIMON, JOSE G ILLINOIS BEACH RESORT 05/12/16 SALK, STEVEN B & ASSOC LTD CAPUANI & SCHNEIDER 510 16WC 16316 WHALEN, JAMES MECHANICAL, INC 03/28/16 HANNIGAN & BOTHA, LTD 511 16WC 16381 GALVAN, MARIS TERESA ARAMARK 04/21/16 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 512 16WC 16512 BAUTISTA-LOPEZ, NORMA ANDREWS STAFFING 05/04/16 POSTERLI, OSCAR SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 513 16WC 16883 SHIMKUS, JAMES FEDEX 05/11/16 LANCASTER, DEBORAH 514 16WC 16965 FREMAUX, SHIRLEY SODEXO 09/18/15 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 16WC018577 -C 515 16WC 17196 GOMEZ, ANDRES FBH CONSTRUCTION, INC. 04/19/16 LINN, CAMPE & RIZZO LTD 516 16WC 17481 HARGROVE, WALTER LITTLE LADY FOODS 06/05/13 COHN & COHN 517 16WC 17523 HINKLE, HILDA J WORKING WORLD, INC 01/14/16 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 518 16WC 17720 ALLEN, CINDY COMMUNITY CONSOLIDATED SC 02/06/16 STEIN & CHERNY LTD BRADY CONNOLLY & MASUDA PC 519 16WC 17889 WINFREY, PHILLIP SIX FLAGS GREAT AMERICA 04/28/15 DUDLEY & LAKE LLC BRADY CONNOLLY & MASUDA PC 520 16WC 17940 UMLAUF, ARACELI MAXIM STAFFING SOLUTIONS 10/05/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 521 16WC 18017 KAPP, PETER 24-7 BRIGHTSTAR OPERATION 01/05/16 MARKHAM M JEEP & ASSOCIATE HEYL ROYSTER VOELKER & ALLEN 522 16WC 18079 EVEN, JAMES CLEAN-TECH CO/WFF 08/27/15 BOWMAN & CORDAY 523 16WC 18220 HOWORTH, DAVID LAKE COUNTY GRADING CO. 04/11/16 GORDON & CENTRACCHIO LLC HOLECEK & ASSOCIATES 524 16WC 18373 ROBINSON, LORONDA ILLINOIS CENTRAL SCHOOL 11/01/15 MARKHAM M JEEP & ASSOCIATE MACIOROWSKI SACKMANN & ULRIC 525 16WC 18426 STANOEV, MOMCHIL MECHANICAL PLUS 04/26/16 TEWS THEISEN & THEISEN LAW OFFICES JOSEPH MARCINIAK 526 16WC 18537 RODRIGUREZ, SALVADOR GARC LESTER'S MATERIAL SRVC IN 04/18/16 POSTERLI, OSCAR BRADY CONNOLLY & MASUDA PC 527 16WC 18576 MEDINA, LUIS PRIMESOURCE BUILDING PROD 03/21/16 DAVID W MARTAY LITCHFIELD CAVO 528 16WC 18743 OLANDESE, BRUCE P. ROTO ROOTER 07/19/13 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 529 16WC 18760 IVANIUK, VIKTORIYA GDI-CARDINAL 06/09/16 LAW OFFICES ALEXANDER JARO COZZI & GOGGIN-WARD 530 16WC 18860 SCHUTTER, JENNIFER M BIG LOTS 05/18/16 ROBERT EDENS LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 531 16WC 18930 LINARES, JAMES A NORTHSHORE SIGN COMPANY 05/05/16 GOLDBERG WEISMAN & CAIRO L 532 16WC 19020 BRADSHAW, RICHARD A BRADSHAW & RANGE FUNERAL 02/17/15 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 533 16WC 19062 REYES, JUANA ILLINOIS TOOL WORKS, INC 02/09/16 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 534 16WC 19076 KOEHNKE, WILLIAM D HERITAGE-CHRYSTAL CLEAN, 05/11/15 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 535 16WC 19114 TOMASEWSKI, BRIAN FUTURE ENVIRONMENTAL, INC 11/04/15 BRILL & FISHEL GAROFALO SCHREIBER STORM 536 16WC 19247 MIKOLAJEWSKI, ASHLEY WARREN BARR LINCOLNSHIRE 03/31/16 RUBENS AND KRESS BRADY CONNOLLY & MASUDA PC 537 16WC 19250 AMBROCIO, YNEZ C SALAS VISUAL PACK 10/21/15 ANTHONY ESPOSITO KOREY RICHARDSON LLC 538 16WC 19375 NOLEN, ROBERT G. CARRARA STONE SYSTEM 05/24/16 ANKIN LAW OFFICE 539 16WC 19502 JOHNSON, JAMES L BEACH PARK SCHOOL DISTRIC 04/12/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 540 16WC 19514 WRIGHT, WILLIAM L CITY OF LAKE FOREST 01/30/16 LINN, CAMPE & RIZZO LTD 541 16WC 19517 LINDHOLM, DANIEL M WISE WAY MOTOR FREIGHT IN 11/15/15 LINN, CAMPE & RIZZO LTD HINSHAW & CULBERTSON 542 16WC 19520 BALL, SHARON L WALMART 09/24/15 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 543 16WC 19523 NORDIN, FRANK C JR CHARLES EQUIPMENT ENERGY 08/08/15 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 544 16WC 19562 AMBROCIO, YNEZ C SALAS IGM SOLUTIONS 04/14/16 ANTHONY ESPOSITO 545 16WC 19893 RIVERA, GERARDO ULINE 09/30/14 DAVID J. BAWCUM GANAN & SHAPIRO 546 16WC 20051 BOCKWINKEL, GLENN SCOT AUTOMOTIVE DBA 01/28/16 LEO M. BLEIMAN & ASSOC ROSARIO CIBELLA 547 16WC 20288 RUVIRA, MARIO ACTAVIS, INC. 06/08/15 BOTTO GILBERT 548 16WC 20344 REID, ALTAMONT SCHOOLKIDZ.COM LLC 03/24/16 CORBOY & DEMETRIO PC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 549 16WC 20457 PROUTSOS, SPYROS HELLENIC AMERICAN ACADEMY 10/21/13 STEVEN A CRIFASE, LTD GANAN & SHAPIRO 550 16WC 20654 HAHLE, JOHN LEISURE WORLD 05/26/16 DISPARTI LAW GROUP PA ROSARIO CIBELLA 551 16WC 20731 MEAL, JAMES T COUNTY OF LAKE 06/05/16 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 552 16WC 20734 EVELAND, TIMOTHY R VAL'S FRESH MARKET 06/08/16 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 553 16WC 21009 CAMP, ERIKA JEWEL-OSCO 06/08/14 DWORKIN AND MACIARIELLO 554 16WC 21083 MENDEZ MENDEZ, ROBERTO WAUKEGAN COMMUNITY SCHOOL 11/13/14 RAPAPORT, STEVEN I BRADY CONNOLLY & MASUDA PC 555 16WC 21170 DELGADO, KRISTEN IBARRA SUNRISE SENIOR LIVING MGM 12/28/13 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 556 16WC 21335 GARCIA, ALVARO FLORIDA FRUIT JUICES INC 05/16/16 MC HARGUE, JAMES P LAW OFF LITCHFIELD CAVO 557 16WC 21503 HERNANDEZ, ADOLFO JAIME S.C.H. SANTOS LANDSCAPING 06/23/16 HART & DAVID LLP 558 16WC 21698 GUERRERO, CARMELA WORLD CLEANING SERVICE IN 03/05/15 MC HARGUE, JAMES P LAW OFF 559 16WC 21736 OCONNER, ISAAC STERIS 01/07/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 560 16WC 21983 CHISM, MICHAEL SHAWN CIRCUIT COURT OF LAKE COU 01/22/15 MARKHAM M JEEP & ASSOCIATE 561 16WC 22100 RUSSO, DAN JAC MASONRY 12/18/13 DUDLEY & LAKE LLC GANAN & SHAPIRO 562 16WC 22212 FEJES, DAVID M VILLAGE OF DEERFIELD 10/07/13 RICHARD O. GREENFIELD 563 16WC 22332 BREWER, JOHN VAPOR BUS INTERNATIONAL 08/21/15 BLEAKNEY & TROIANI GAROFALO SCHREIBER STORM 564 16WC 22437 SHOFROTH, CHRISTOPHER CENTRAL CONTRACTORS 04/21/16 LEONARD LAW GROUP LLC COZZI & GOGGIN-WARD 565 16WC 22543 HOLLINS, QUENTNESHA K. CATERINA FOODS LLC 07/01/16 JOHN C WUNSCH 566 16WC 22673 POZDOL, ANN M LUNDSTED GROUT & TILE INC 02/03/16 HUGHES SOCOL PIERS RESNICK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 16WC 22710 AGUILAR, RODOLFO LIMON THE TEMPEL LIPIZZANE 06/21/16 CHEPOV & SCOTT LLC 568 16WC 22872 KOAN, SIN YOUNG H-MART 07/15/16 CORBOY & DEMETRIO PC INMAN & FITZGIBBONS 569 16WC 22977 LORENZ, ROBERT KNOLLWOOD CLUB 06/29/16 DUDLEY & LAKE LLC NOBLE & ASSOCIATES PC 570 16WC 23029 NICIKOWSKI, SHANE SAIA LTL FREIGHT 03/16/16 CAPRON & AVGERINOS PC POULOS & DIBENEDETTO LAW 571 16WC 23073 SCHULTZ, SUSAN P. NORTH CHICAGO SCHOOL 04/04/16 CORNFIELD & FELDMAN 572 16WC 23159 AQUINO, DEBRA MCDONALD'S 06/01/16 DISPARTI LAW GROUP PA BRYCE DOWNEY & LENKOV LLC 573 16WC 23268 HENCE, PAUL CATALYTIC PRODUCTS 06/07/16 DEPAOLO ZADEIKIS GORE 16WC023297 -C 574 16WC 23294 BLANCO, JOAQUIN MEDLINE INDUSTRIES INC 06/14/16 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 16WC027961 -C 575 16WC 23412 REYES-GUTIERREZ, MARIA PET FACTORY, INC. 11/20/15 LINN, CAMPE & RIZZO LTD RIPES NELSON BAGGOT KALOBRAT 576 16WC 23478 RUIZ, ROSA ISELA TERMAK CROP 06/06/16 RUEDA, IVAN A 577 16WC 23628 JUNIOR, LEROY HOLETZKY DROP ZONE PORTABLE 08/24/15 MARSZALEK AND MARSZALEK GAROFALO SCHREIBER STORM 578 16WC 23658 MORRIS, MELISSA A 131 S DEARBORN LLC 11/01/15 ANKIN LAW OFFICE 579 16WC 23864 WALLECK, CORY OTB ACQUISITION, LLC 01/01/16 DOUGLAS RALLO PC 580 16WC 23977 MORALES, CESARIO ELITE STAFFING 06/06/16 FERRIS THOMPSON & ZWEIG 581 16WC 24034 DOMINGUEZ, FERNANDINO HOME DEPOT 02/27/15 MARKS INJURY LAW MC ANDREWS & NORGLE LLC 582 16WC 24404 SCHULTZ, PHILLIP E. LYNDEX-NIKKEN, INC. 05/09/16 HANNIGAN & BOTHA, LTD CHILTON YAMBERT PORTER LLP 583 16WC 24410 SALMINEN, CYNTHIA WOODLAND SCHOOL DISTRICT 03/28/16 DUDLEY & LAKE LLC 584 16WC 24516 GONZALEZ, MIGUEL VISTA HOSPITAL 01/24/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 585 16WC 24530 SCHUTTE, NICOLE SUPERIOR AMBULANCE 12/28/15 MARKS INJURY LAW 586 16WC 24565 RAVEN, JEFFREY A SUPER MIX 11/23/15 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 587 16WC 24638 MARTINEZ, EULALIO WAUBONSEE DEVELOPMENT 07/20/16 LEONARD LAW GROUP LLC ACCIDENT FUND HOLDINGS 588 16WC 24982 VALLADARES, JUAN HOME OWNERS BARGAIN OUTLE 06/08/16 VOGG, MARK J LAW OFFICE 589 16WC 25127 ZAMORA, JESUS ULINE SHIPPING SUPPLIES 03/11/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 590 16WC 25218 SALAMANCA, WILFREDO JR TREE SERVICE 06/10/16 JONATHAN SCHLACK HENNESSY & ROACH PC 591 16WC 25284 DUMONG, WILLIAM M. ILLINOIS SECRETARY OF STA @ 08/09/16 THE FITZ LAW GROUP ILLINOIS ATTORNEY GENERAL 16WC025285 -C 592 16WC 25328 SANCHEZ, REYNA EXPRESS EMPLOYMENT 08/11/16 MC HARGUE, JAMES P LAW OFF MC ANDREWS & NORGLE LLC 593 16WC 25669 POPE, JAMES E. JEWEL FOOD STORES, INC. 07/16/16 LINN, CAMPE & RIZZO LTD 594 16WC 25678 EVANS, ASHLEY ANN KILEY DEVELOPMENT CEN @ 07/26/16 ANTHONY ESPOSITO ILLINOIS ATTORNEY GENERAL 595 16WC 25732 MORENO, TRACY ACCURATE PLUMBING PROS, I 07/25/16 LAW OFFICES TIMOTHY HENDER GANAN & SHAPIRO 596 16WC 25820 KOBAK, EDWIN W HOME DEPOT USA, INC 07/11/16 ANKIN LAW OFFICE ADELSON TESTAN & BRUNDO 597 16WC 25973 BANEGAS, LESLIE A INTERNATIONAL PRECISION 07/20/16 JOHN C WUNSCH 598 16WC 26232 TORRES, GILBERTO MANZANO AZTECA ROOFING INC. 06/06/16 LAW OFFICE ANTHONY B GORDO 599 16WC 26364 SIEGMAN, JOHN FAITH COUNTRYSIE HOMES 01/28/16 KOLKER LAW OFFICES BRUCE WARREN 600 16WC 26403 BITTON, DANIEL AIR ONE 03/12/16 SANDMAN LEVY & PETRICH 601 16WC 26544 BUTKOVICH, JOSEPH TAC CONSTRUCTION COMPANY 07/30/16 ARNOLD & KADJAN GANAN & SHAPIRO 602 16WC 26558 LIZANO, PETER MEDLINE INDUSTRIES, INC 07/05/16 MARKHAM M JEEP & ASSOCIATE GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 16WC 26644 KITCHENS, ANGEL ANDREWS STAFFING 08/18/16 604 16WC 26769 ZIETEK, SLAWOMIR FETCO 05/19/16 GOLDBERG WEISMAN & CAIRO L LAW OFFICES OF EDWARD J. KOZ 605 16WC 26795 ZAMORA, JESUS ULINE SHIPPING SUPPLIES 08/16/16 DWORKIN AND MACIARIELLO 606 16WC 26906 HAYS, JEFFREY THE WINTER CLUB OF LAKE F 02/03/16 MARKHAM M JEEP & ASSOCIATE ACCIDENT FUND HOLDINGS 607 16WC 27089 SANCEN, FELIPE SCOTT BYRON & CO INC C/O 07/07/15 HETHERINGTON KARPEL BOBBER 608 16WC 27196 RODRIGUEZ, ADAN THE XCEL GROUP 06/23/16 CUSHING LAW OFFICES GILDEA & COGHLAN 609 16WC 27298 ANDERSEN, TIMOTHY WOODLAND SCHOOL DIST 50 05/24/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 610 16WC 27377 MALDONADO, GLADYS LEWIS FRESH MARKET 06/06/16 DAVID J. BAWCUM GANAN & SHAPIRO 611 16WC 27378 RIVERA, GERARDO ULINE 01/27/16 DAVID J. BAWCUM GANAN & SHAPIRO 612 16WC 27485 GOMEZ, BRIAN BCI ACRYLIC 05/04/16 KP LAW LLC LAW OFFICES JOSEPH MARCINIAK 613 16WC 27515 RAMIREZ, ROSA GCA SERVICES GROUP, ICN 07/21/16 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 614 16WC 27634 CAROLL, MATTHEW COUNTY OF LAKE 07/22/16 LINN, CAMPE & RIZZO LTD 615 16WC 27890 NAVARRETE, GIOVANNI ADVANCE AUTO PARTS 09/06/16 HANNIGAN & BOTHA, LTD 616 16WC 27955 LOPEZ, AGUSTIN ROGERS NURSEY INC 07/08/16 THE ROMAKER LAW FIRM COZZI & GOGGIN-WARD 617 16WC 27995 SCHNEIDER, COLETTE ADVOCATE CONDELL HOSPITAL 04/08/15 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 618 16WC 28307 HUZSEK, CHERI L LAKE ZURICH SCHOOL DISTRI 01/12/16 LINN, CAMPE & RIZZO LTD GOLDBERG SEGALLA LLC 619 16WC 28382 ORNELAS, BRAULIO BMB INSULATION, INC 11/10/15 FERRIS THOMPSON & ZWEIG 620 16WC 28402 TREJO, ALEJANDRO STELLAR PRODUCTIONS 09/09/16 MC HARGUE, JAMES P LAW OFF WIEDNER & MCAULIFFE LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 17WC 00190 KELLY, CHARLENE M GREAT LAKES RESOURCES 12/07/16 MARKS INJURY LAW COZZI & GOGGIN-WARD 730 17WC 00215 TURKOWSKI, DANIEL J COUNTY OF LAKE 09/20/16 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 731 17WC 00250 STINNETTE, TERELLIS CITY OF NORTH CHICAGO PUB @ 01/06/14 ROSS TYRRELL INMAN & FITZGIBBONS 732 17WC 00347 YORE, STEVEN GREAT LAKES ELECTRICAL 06/17/16 GOLDBERG WEISMAN & CAIRO L 733 17WC 00379 IRWIN, JEROME J JENSEN'S PLUMBING 06/22/16 ANKIN LAW OFFICE 734 17WC 00452 KUKREJA, KAMAL SUNSET FOODS 05/11/16 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES FRANCESCA LARSEN 735 17WC 00638 CONTRESRAS, JAVIER JR LAKE SHORE BEVERAGE 12/16/16 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 736 17WC 00684 SIEBOLD, PAUL WAUKEGAN STEEL 10/31/16 STANCZAK LAW OFFICES POWER & CRONIN LTD 737 17WC 00735 PACHECO, AMYJO LEXINGTON HEALTH CARE 08/07/16 WOLFE LAW PC LAW OFFICES FRANCESCA LARSEN 738 17WC 00777 COLGAN, VIOLETA TARGET CORPORATION 12/23/16 ANKIN LAW OFFICE 739 17WC 00918 WROBEL, RANDY PEOPLELINK STAFFING 12/21/16 HANNIGAN & BOTHA, LTD WOLF LAW LTD 740 17WC 00922 STONE, JED STONE & ASSOCIATES LTD. 12/13/16 HANNIGAN & BOTHA, LTD RODDY LAW LTD 741 17WC 01037 VALLE, MIGUEL HOME DEPOT 09/26/16 DAVID J. BAWCUM ADELSON TESTAN & BRUNDO 742 17WC 01146 GROSS, VICTORIA SUBWAY STORE #3171 12/27/16 MARKHAM M JEEP & ASSOCIATE GANAN & SHAPIRO 743 17WC 01196 SANCHEZ, JUAN MENARDS HOME IMPROVEMENT, 02/22/16 BERNAT & BERNAT PC 744 17WC 01486 SHADDEN, TYLER ALLSTATE INSURANCE CO 09/20/16 MARKS INJURY LAW HENNESSY & ROACH PC 745 17WC 01589 CONTRERAS-PEREZ, ANA AMERICAN BLENDING AND FIL 04/15/16 MARKHAM M JEEP & ASSOCIATE 746 17WC 01603 CANTU, LUISA LABOE SOLUTIONS LLC 11/01/16 SALK, STEVEN B & ASSOC LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 765 17WC 03493 CONTRERAS, ANAYELI ANDREWS STAFFING 01/10/17 GONZALEZ LAW GROUP SLAVIN & SLAVIN 766 17WC 03510 MATUTE, EDDY MCDONALD'S 01/06/17 POWELL & PISMAN COSTA IVONE LLC 767 17WC 03517 TORRES, EFREN TIMMERMANN'S RANCH & 01/16/17 AIOSSA LAW FIRM QUINTAIROS PRIETO WOOD & BOY 768 17WC 03644 ALVARADO, ERENDIRA ANDREWS STAFFING 01/06/17 JASON HAUCK SLAVIN & SLAVIN 769 17WC 03668 ZAVALETA, MIREYA ACURATE PERSONNEL (LENDIN 03/16/16 HANNIGAN & BOTHA, LTD MC ANDREWS & NORGLE LLC 770 17WC 03698 ABZALOV, GEORGE THE CHEESECAKE FACTORY 01/13/17 RITTENBERG & BUFFEN 771 17WC 03767 GROSS, SANDRA FIRST MERIT BANK 05/15/15 LEO ALT LAW OFFICES JOSEPH MARCINIAK 772 17WC 03811 MORRIS, CHINIEC HOME WATCH CAREGIVERS, NS 11/05/16 CHARLES LEVY & ASSOC LTD 773 17WC 03873 ECHEVARRIA, DIANA M SYNERGY DBA COLBERT PACKA 11/01/16 STEVEN J MALMAN & ASSOCIAT 774 17WC 03900 GOMEZ, ARMANDO RICK'S AUTO CARE & COLLIS 06/02/14 COSTA IVONE LLC 775 17WC 03924 ROMANO, DOMINIC UPS 01/20/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 776 17WC 03974 VEGA, LEOBARDO VAN ZELST, INC 05/12/14 ZANCK COEN WRIGHT & SALADI 777 17WC 04081 BARRERA, FELIPE COLEMAN CABLE, LLC 01/20/17 FERRIS THOMPSON & ZWEIG 778 17WC 04206 JOHNSON, THOMAS BIMBO BAKERIES USA 12/12/16 WILLIAM A MUELLER, JR 779 17WC 04323 TRAEGER-HERMANSEN, DONNA WAUCONDA SCHOOL DIST. #11 01/09/17 KROL BONGIORNO & GIVEN LTD 780 17WC 04329 SILVA, ADELA B D&W FINE PACK LLC 11/11/16 BRILL & FISHEL 781 17WC 04472 SCHMIDT, ROBERT HIGHLAND PARK HOSPITAL 01/20/17 SANDMAN LEVY & PETRICH 782 17WC 04619 PEREGRIN, ANDREW G SP SERVICES * 05/17/16 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 783 17WC 04706 NOVAL, ROBERT DZIAL CONSTRUCTION, INC * 12/19/16 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 784 17WC 04757 HOLDEN, RODNEY L EXPRESS EMPLOYMENT PROFES * 11/04/16 TAMVAKIS, GEORGE L MC ANDREWS & NORGLE LLC 785 17WC 04771 TRUJILLO, JOSE ZELLER PLASTIK INC * 01/27/17 HANNIGAN & BOTHA, LTD HEYL ROYSTER VOELKER & ALLEN 786 17WC 04905 ESTELA, GUADALUPE METRO CLEANERS, INC * 01/18/17 RITTENBERG & BUFFEN KEEFE CAMPBELL & ASSOC LLC 787 17WC 05371 PAPAGEORGIOU, EFTIHIA HELLENIC AMERICAN ACADEMY * 01/25/17 MAURICE E DUSKY PC GANAN & SHAPIRO 788 17WC 05476 HAMPTON, HARRIETT NORTHPOINTE RESOURCES * 01/11/17 STEVEN A CRIFASE, LTD 789 17WC 05530 WARE, DELESA DSTM INC * 11/17/16 ANKIN LAW OFFICE 790 17WC 05771 JENSON, JULIE CANCER TREATMENT CENTERS * 02/06/17 WOLFE LAW PC GAROFALO SCHREIBER STORM 791 17WC 05861 HENTZ, SHERILL AMERISOURCEBERGEN DRUG CO * 12/15/16 SPIEGEL & CAHILL, PC 792 17WC 05865 MCFARLAND, ERVIN V ZION BENTON TOWNSHIP * 02/03/17 ANTHONY J MAY 793 17WC 06007 GREEN, TERRELL NEMERA * 01/28/17 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 794 17WC 06117 CERVANTES, MARIA G QPS EMPLOYMENT GROUP * 01/25/17 KATZ FRIEDMAN EAGLE ET AL WOLFE & JACOBSON, LTD 795 17WC 06156 SLEDD, ANDREW E JR PEREPECTIVES LANDSCAPE * 06/28/16 ROSS TYRRELL 796 17WC 06185 HENCE, GULIANNA ARBOR MANAGEMENT INC * 02/09/17 LEONARD LAW GROUP LLC 797 17WC 06214 RUTHERFORD, NADIA GAVIN SCHOOL DISTRICT #37 * 08/11/16 MAGNUSON, LAWRENCE K, PC 798 17WC 06319 MALDANADO, MARVIN C&P REMODELING INC * 11/22/16 FINE, MARK S LAW OFFICES 799 17WC 06370 NILSON, HEAVEN PEAPOD, LLC * 02/05/17 JASON HAUCK LITCHFIELD CAVO 800 17WC 06443 NAKANISHI, ROBERT LAKE COUNTY SHERIFF * 12/08/14 PARENTE & NOREM PC SMITH AMUNDSEN LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 801 17WC 06544 HEJDOSZ-ZEJDEL, MONIKA CLEAN IMPRESSIONS CORP * 01/14/17 NILSON STOOKAL GLEASON CAP 802 17WC 06633 WILSON, VICKI WOODLAND SCHOOL DISTRICT * 08/28/16 DAVID W MARTAY 803 17WC 06763 RAMIREZ, NESTOR MACLEAN FOGG * 07/14/16 FRANKS & RECKENBERG 804 17WC 06942 TURNER, KELLY M LAKE COUNTY SHERIFF'S OFF * 07/22/16 HANNIGAN & BOTHA, LTD WOLFE & JACOBSON, LTD 805 17WC 07171 FOX, HOWELL B COUNTY OF LAKE * 09/26/16 LINN, CAMPE & RIZZO LTD 806 17WC 07215 REBOLLEDO, RICARDO LABOR SOLUTIONS * 01/26/16 DEPAOLO ZADEIKIS GORE 807 17WC 07352 MOORE, THOMAS LAKE COUNTY FOREST PRESER * 02/23/17 HANNIGAN & BOTHA, LTD 808 17WC 07423 KNEPPER, MICHAEL ABBOTT LABORATORIES * 01/16/17 RUBENS AND KRESS 809 17WC 07465 LOPEZ, ALICIA ARAMARK SCHOOLS LLC, C/O * 03/07/17 HETHERINGTON KARPEL BOBBER INMAN & FITZGIBBONS 810 17WC 07570 HART, PAMELA KILDEER COUNTRYSIDE SCHOO * 03/02/17 SANDMAN LEVY & PETRICH 811 17WC 07642 FLANNERY, MICHAEL HERITAGE CARPENTRY * 01/16/17 DOUGLAS RALLO PC QUINTAIROS PRIETO WOOD & BOY 812 17WC 07697 RAUSCH, DANIEL R MARINO'S * 03/20/13 HANNIGAN & BOTHA, LTD 813 17WC 07749 STAGEN, GARY RELADYNE LLC * 11/03/16 ANDREW J KRIEGEL HENNESSY & ROACH PC 814 17WC 07903 SANTOYO, RAMON RAMON SANTOYO * 03/01/17 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 815 17WC 08039 AROBELIDZE, ALEXANDER L&D DRIVERS SVC, INC * 02/13/17 CRONIN & PETERS 816 17WC 08113 AGUIRRE, GILBERTO ARWAY CONFECTIONS INC * 01/05/16 EFTEKHARI LAW OFFICES 817 17WC 08184 ZUNIGA, ERICK EDDIE'S RESTAURANT COMPAN * 06/27/16 AIOSSA LAW FIRM 818 17WC 08267 AGUILAR, GLORIA XCEL STAFFING * 09/03/16 ENCINAS & ORNELAS GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 819 17WC 08288 LUKASZEK-SIERZ, SHERRY WALMART * 12/19/16 DAVID M SPADA QUINTAIROS PRIETO WOOD & BOY 820 17WC 08380 BAEZA, ANTONIO SOTO US ACRYLIC LLC * 02/17/17 COSTA IVONE LLC 821 17WC 08439 BURLESON, MICHAEL S AUTO PARTS CITY, INC * 09/09/16 LINN, CAMPE & RIZZO LTD 822 17WC 08466 MARSH, JACOB E VILLAGE OF ANTIOCH * 03/07/17 LINN, CAMPE & RIZZO LTD 823 17WC 08527 MONTGOMERY, TAMEKA AUTUMN LEAVES OF GURNEE * 03/14/17 DWORKIN AND MACIARIELLO 824 17WC 08545 CANDRA, LAUREL AON HEWITT * 10/01/16 ROBBINS SALOMON & PATT BRADY CONNOLLY & MASUDA PC 825 17WC 08585 VERDUZCO, FERNANDO WAL-MART STORES INC, D/B/ * 10/22/16 GRAUER & KRIEGEL LLC QUINTAIROS PRIETO WOOD & BOY 826 17WC 08692 SCHEFFLER, RALPH UNDERWRITERS LABORATORIES * 01/27/16 DIAMOND & LESUEUR PC 827 17WC 08748 ISYCHKO, MARINA LIBERTYVILLE CHEVROLET * 02/08/17 SCHACTER, JEROME & ASSOC L 828 17WC 08955 HAGI, DAN GRANT TOWNSHIP HIGHWAY * 01/12/17 HANNIGAN & BOTHA, LTD INMAN & FITZGIBBONS 829 17WC 08970 TOLEDO, GERARDO SUNSET FOOD MART, INC. * 02/03/17 DOUGLAS RALLO PC 830 17WC 09037 BUENO, SERGIA TELEFONIX, INC * 03/07/17 AIOSSA LAW FIRM 831 17WC 09073 SOSA, NICO TRANE AIR CONDITIONING * 02/13/17 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 832 17WC 09176 MOE, KEVIN CULVERS * 03/02/17 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 833 17WC 09237 FARNER, RICHARD LAKE COUNTY FOREST PRESER * 01/06/17 RIDGE & DOWNES HENNESSY & ROACH PC 834 17WC 09291 WRIGHT, SEAN FEDEX * 03/01/17 COSTA IVONE LLC 835 17WC 09328 SANCHEZ, JOSE APTAR GROUP INC * 05/06/16 LINN, CAMPE & RIZZO LTD 836 17WC 09329 CUNNINGHAM, MICHAEL T SHERIDAN CONSTRUCTION * 07/05/16 LINN, CAMPE & RIZZO LTD DAMON YOUNG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 837 17WC 09331 LIMA, RAMIRO JM IRRIGATION * 06/21/16 LINN, CAMPE & RIZZO LTD GANAN & SHAPIRO 838 17WC 09401 LOPEZ, WILFREDO ENSEMBLE OF CARE, INC * 01/26/16 EPSTEIN, JACK R LAW OFFICE 839 17WC 09438 WRIGHT, SEAN FEDEX * 03/01/17 COSTA IVONE LLC 840 17WC 09528 FLORES, LEVI LABOR SOLUTIONS * 09/19/16 MARKS INJURY LAW MC ANDREWS & NORGLE LLC 841 17WC 09610 MACK, PYEISHA S STATE OF IL/IDHS ANN M. K @ * 02/26/17 ANKIN LAW OFFICE ILLINOIS ATTORNEY GENERAL 842 17WC 09654 HAYES, PRECIOUS N FAMILIES BUILDING DREAMS, * 12/22/16 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 843 17WC 09748 FRANCISCO, DEBRA TRANSPORTATION JOINT AGRE * 01/31/17 HANNIGAN & BOTHA, LTD 844 17WC 09766 GARCIA, MARIA E LABOR SOLUTIONS * 03/07/17 CHEPOV & SCOTT LLC ILLINOIS INJURY LAWYERS 845 17WC 09937 BURDA, ELIZABETH K NW GRAYSLAKE OUTPATIENT C * 03/12/17 BRILL & FISHEL POWER & CRONIN LTD 846 17WC 10103 CASTRO, JESUS PRECISION TOOLMAKERS & * 12/10/16 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 847 17WC 10136 ESCOBAR, ROCIO SEDGEBROOK * 02/26/17 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 848 17WC 10282 PIAT, LEAH C HALF DAY BREWING COMPANY * 02/20/17 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 849 17WC 10405 CAMBRAY, SILVIA FLEXIBLE STAFFING * 02/20/17 GAINES & GAINES 850 17WC 10439 KUREK, KEVIN C VILLAGE OF ROUND LAKE BEA * 01/26/16 LINN, CAMPE & RIZZO LTD 851 17WC 10581 BRINDIS-SANCHEZ, OCTAVIO LOUIS GLUNZ WINES, INC. * 03/02/17 GRAHAM J. JEEP 852 17WC 10662 FICK, ADAM G. CALIBER CONSTRUCTION CO * 11/11/16 ANESI OZMON RODIN NOVAK KO QUINTAIROS PRIETO WOOD & BOY 853 17WC 10751 MOORE, VERONICA JOHN WRIGHT, CO. * 04/01/16 COSTA IVONE LLC 854 17WC 10801 GUEROULT, SARAH KELLY SERVICES, INC * 02/25/17 GRAHAM J. JEEP NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 855 17WC 10928 BOGERT, CONNIE M BELLE AIRE CREATIONS * 06/03/14 ANTHONY J MAY 856 17WC 11147 CRUZ, SAUL ELITE STAFFING * 03/01/17 LINN, CAMPE & RIZZO LTD 857 17WC 11150 HUTTON, KYLE J AEROTEK * 02/03/17 LINN, CAMPE & RIZZO LTD 858 17WC 11154 CARLSEN, CATHERINE M MICRO DESIGN SPECIALIST, * 08/15/15 LINN, CAMPE & RIZZO LTD LAW OFFICES OF EDWARD J. KOZ 859 17WC 11339 CARABALLO, MARGARIDA M GRAINGER * 08/01/16 GOLDSTEIN BENDER & ROMANOF INMAN & FITZGIBBONS 860 17WC 11397 CERONE, JOSEPH ESPO ENGINEERING CORPORAT * 02/22/17 VOGG, MARK J LAW OFFICE 861 17WC 11671 KAPLAN, ALAN HOME DEPOT * 03/28/17 ROSENBERG EISENBERG ASSOC ADELSON TESTAN & BRUNDO 862 17WC 11686 GILES, ALFREDO MATHEWS PROF EMPL INC * 01/10/17 POSTERLI, OSCAR THOMAS & PORTELA 863 17WC 11748 GUGALA, MARTY MARIANO'S * 02/27/17 SAUNDERS CONDON & KENNY 864 17WC 11796 CASALES, DULCE ACCURATE PERSONNEL LLC * 07/18/16 MC HARGUE, JAMES P LAW OFF 865 17WC 11966 CARLSEN, SCOTT BIAGI SEWER & WATER * 02/01/16 KROL BONGIORNO & GIVEN LTD GAROFALO SCHREIBER STORM 866 17WC 12036 GABINO, SIMPLICIO MC-JS, LLC DBA ANTIOCH * 03/11/17 SOSTRIN AND SOSTRIN PC 867 17WC 12072 GUERRERO, ROBERT CONCRETE STRUCTURES OF * 02/27/17 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL & ASSOC LLC 868 17WC 12106 FAIRBANKS, DANIEL TOWNSHIP HIGH SCHOOL DIST * 11/29/16 DUDLEY & LAKE LLC 869 17WC 12136 CHISM, MICHAEL SHAWN SPECIAL EDUCATION DIST OF * 05/24/16 JASON HAUCK NYHAN BAMBRICK KINZIE & LOWR 870 17WC 12178 RANDOLPH, BLAIR WEIMAN PRODUCTS * 11/23/16 ROBERT EDENS 871 17WC 12294 OREJEL, GABRIEL SUNSET FOODS * 02/16/17 DUDLEY & LAKE LLC 872 17WC 12390 LEATHEM, JANETTE RIGHT AT HOME * 04/12/16 DUDLEY & LAKE LLC HOLECEK & ASSOCIATES

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 909 17WC 15458 RELATION, DONNA MUNDELEIN SCHOOL DISTRICT 04/06/17 DUDLEY & LAKE LLC 910 17WC 15576 CALMEYN, THOMAS DAYTON FREIGHT LINES 05/17/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 911 17WC 15605 SYED, GHALIB WAL-MART STORES, INC 12/01/16 LEWUN & KAIS LTD QUINTAIROS PRIETO WOOD & BOY 912 17WC 15784 FURLONI, MARK WINTHROP HARBOR SCHOOL 03/21/17 WHITESIDE & GOLDBERG LTD 913 17WC 15848 DAVID, LAUREN NORTH SHORE 05/22/17 SEIDMAN MARGULIS & FAIRMAN GOLDBERG SEGALLA LLC 914 17WC 16048 RUDNICK, DIANA DURHAM SCHOOL SERVICES 09/27/16 SEIDMAN MARGULIS & FAIRMAN 915 17WC 16065 LEE, EFREM VALSPAR, INC 04/17/17 LINN, CAMPE & RIZZO LTD 916 17WC 16068 MCDERMOTT, TAYLOR J ANTIOCH AUTO PARTS, INC 01/18/17 LINN, CAMPE & RIZZO LTD 917 17WC 16119 HUNT, SABRINA GOODWILL NAVAL STATION GR 05/18/17 DWORKIN AND MACIARIELLO 918 17WC 16321 BERRY, RANDALL ISI GLOBAL SOLUTIONS 09/26/15 MC HARGUE, JAMES P LAW OFF COZZI & GOGGIN-WARD 919 17WC 16367 SHEBESTA, SUZANNE J JC PENNY, INC 04/05/17 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 920 17WC 16458 KUKIELKA, JOAN MK MARKETING LLC * 03/04/17 TARADASH LAW OFFICE 921 17WC 16724 GARIBAY, ANDRES LAKE FORREST HEALTH & FIT * 06/16/16 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 922 17WC 16817 RIVERA, HECTOR GDI INTEGRATED FACILITY S * 03/17/16 AIOSSA LAW FIRM 923 17WC 16963 GRIFFIN, EUGENIA ARAMARK * 06/16/16 JOHN M BORCIA LAW OFFICE 924 17WC 17138 SIRECI, JENNIFER ADVOCATE CONDELL MEDICAL * 06/02/17 WILLIAM MARTAY NYHAN BAMBRICK KINZIE & LOWR 925 17WC 17159 CUEVAS, GUADALUPE ELITE STAFFING * 04/17/17 SALVATO & O'TOOLE 926 17WC 17187 DIAMOND, LINDA BRIGHT HORIZONS FAMILY * 05/25/16 HANNIGAN & BOTHA, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 927 17WC 17188 GUADARRAMA, ROSA GREAT LAKES RESOURCES INC * 07/14/16 HANNIGAN & BOTHA, LTD 928 17WC 17260 WELCH, TIMMY ACCURATE PERSONNEL * 05/23/17 AIOSSA LAW FIRM 929 17WC 17307 RODRIGUEZ, MARIA SUNRISE SENIOR LIVING * 08/04/16 DWORKIN AND MACIARIELLO 930 17WC 17364 VIDAD, EILEEN BELMONT VILLAGE BUFFALO G * 01/14/15 ROGER D RUDICH LTD 931 17WC 17424 MOFFETT, LANCE GROOT INDUSTRIES * 04/12/16 SCOTT BARBER WIEDNER & MCAULIFFE LTD 932 17WC 17550 LAERA, MIRELLA NORTHSHORE SCHOOL DISTRIC * 01/13/16 STEVEN M SELAN 933 17WC 17648 SALAMANCA, RUPERTO COLBERT PACKAGING CORP * 06/08/17 BERG & BERG 934 17WC 17683 ANAYA, RAMON C DAVID ARCHITECTURAL METAL * 01/11/17 LAW OFFICES ROBERT WARSASK NYHAN BAMBRICK KINZIE & LOWR 935 17WC 17735 DE LA TORRE, JORGE SCHMIDT STEEL INC * 05/13/17 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 936 17WC 17859 CIMINO, DIANE JEWEL-OSCO * 06/03/17 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 937 17WC 18024 SHER, ALAN CARDINAL HEALTH * 09/30/16 VOGG, MARK J LAW OFFICE HENNESSY & ROACH PC 938 17WC 18050 WALLACH, TONYA F ABBOTT LABORATORIES * 03/17/16 COLLISON LAW OFFICES 939 17WC 18098 HEGLAND, RANDULF J VILLAGE OF GRAYSLAKE * 01/29/17 LINN, CAMPE & RIZZO LTD 940 17WC 18139 DEHMER, BRIAN M&M CYCLERY * 05/26/17 NEWLAND & NEWLAND 941 17WC 18281 DYSER, CHRISTOPHER THE VISUAL PAK COMPANIES * 06/16/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 942 17WC 18380 INDREIU, SLADJANA VITAS HEALTHCARE * 01/27/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 943 17WC 18472 TELLING, ASHLEY DOMINO'S PIZZA * 05/29/17 SVENSON LAW OFFICES CHILTON YAMBERT PORTER LLP 944 17WC 18525 STYX, EDWARD A NORTH SHORE GAS * 04/21/17 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 945 17WC 18552 HUGHES, DESTINY L SOI ANN KILEY DEV.CTR @ * 01/22/17 CORNFIELD & FELDMAN ASSISTANT ATTY GENERAL 946 17WC 18612 HILL, TWEEARAND RG CONSTRUCTION * 06/15/17 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 947 17WC 18699 ALVAREZ, RANDOLF LARSEN MFG, LLC * 02/07/17 HERRERA LAW CENTER 948 17WC 18771 BALDAN, JUSTYNA MUNDELEIN POLICE DEPARTME * 02/23/16 RICHARD E ALEKSY 949 17WC 18807 BAHENA, ERNESTINA CREATIONS OF VIOLET A/K/A * 10/28/14 DUDLEY & LAKE LLC 950 17WC 18884 SANCHEZ, LUIS ALBERTO JAI ELITE STAFFING * 03/09/16 EPSTEIN, JACK R LAW OFFICE 951 17WC 18975 CLARK, AGNES HALLMARK * 11/11/15 JOHN M BORCIA LAW OFFICE INMAN & FITZGIBBONS 952 17WC 19032 PUGA, ANTONIO CLEAN CUT TREE SERVICE IN * 11/28/16 DOUGLAS RALLO PC 953 17WC 19181 BROWN, CLEVELAND GOODWILL IND * 06/14/17 STANCZAK LAW OFFICES HOLECEK & ASSOCIATES 954 17WC 19258 KURTZ, WILLIAM FRIENDS OF THE HISTORIC * 03/07/17 TARADASH LAW OFFICE 955 17WC 19340 MARTINEZ, EDUARDO ONE HOPE UNITED * 06/17/17 DUDLEY & LAKE LLC 956 17WC 19373 LARA, MARIA APAK INC * 04/17/17 DAVID W MARTAY 957 17WC 19552 WALCZAK, HOLLY NORTHWESTERN MEDICINE * 02/16/17 MC HARGUE, JAMES P LAW OFF 958 17WC 19590 CORNWELL, CHARLES JR WHOLESALE CARPET DESIGN * 11/12/16 CASSANO & ASSOCIATES 959 17WC 19781 UMPIERRE, MELISSA FEDEX GROUND - GRAYSLAKE * 03/29/17 BRILL & FISHEL 960 17WC 19854 BUSTAMANTE, DARLING WALGREENS * 04/24/17 HANNIGAN & BOTHA, LTD GILDEA & COGHLAN 961 17WC 19889 JAMES, HENRY LEE SOUTHWIRE * 05/18/17 LAW OFFICES TIMOTHY HENDER 962 17WC 20022 SALGADO, CELESTINO ABBOTT LABORATORIES * 04/17/17 TOPPER & WEISS LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 963 17WC 20052 DURAN, REYNALDO JR TRANSCONTINENTAL * 06/15/17 FIGLIOLI, DAVID 964 17WC 20126 GUSTAVE, KYRA DURHAM SCHOOL SERVICES, L * 06/22/17 GRAHAM J. JEEP ROBERT L. SMITH 965 17WC 20392 ESCALANTE, HELI PEERLESS ENTERPRISES INC. * 12/31/16 LEONARD LAW GROUP LLC 966 17WC 20455 GESKY, ARTHUR NORTH SHORE SCHOOL DIST 1 * 06/15/17 STANCZAK LAW OFFICES 967 17WC 20555 DRAZBA, SHIRLEY IDEX CORPORATION * 03/16/17 RUBIN LAW GROUP COZZI & GOGGIN-WARD 968 17WC 20564 SHAFFER, ELAINE CLUB DEMONSTRATIONSERVICE * 06/24/17 THE ROMAKER LAW FIRM 969 17WC 20733 BURKE, MICHAEL J WESTINGHOUSE ELECTRIC CO * 10/14/13 CHILTON YAMBERT PORTER LLP 970 17WC 20829 CUEVAS, MARIA L HORIZONS WINDOW FASHIONS * 06/19/15 BERNARD WYSOCKI & ASSOCIAT 971 17WC 20897 KAGAN, ANDREA FOREST BOOTERY LTD * 11/04/16 BRADY CONNOLLY & MASUDA PC 972 17WC 20919 FERRY, WARREN T. ZION BLDG DEPT * 07/20/16 BARRY A KETTER 973 17WC 20946 ALBARRAN, JORGE SMART TEMP, INC * 08/11/16 ANTHONY J MAY 974 17WC 20950 DEGRYSE III, CHARLES W ABBVIE * 07/12/16 DOUGLAS RALLO PC 975 17WC 20961 VALEK, JAMES ESTES EXPRESS LINES * 05/16/17 ASHER, RAYMOND L LTD 976 17WC 21059 GOMEZ, LUCIA WORLD BIO PRODUCTS * 03/15/17 HART & DAVID LLP 977 17WC 21215 GUEROULT, MARIA QUALITY CATERING FOR KIDS * 08/20/16 DUDLEY & LAKE LLC 978 17WC 21263 MORALES, REYNALDO USIC LOCATING SVCS, LLC * 06/27/17 ALEKSY BELCHER 979 17WC 21298 LUCCHESI, MARCY ACOSTA SALES & MARKETING * 06/21/17 STEVEN J MALMAN & ASSOCIAT HENNESSY & ROACH PC 980 17WC 21427 LUCIDO, EDAHENA TERMAX CORP * 03/14/17 NEWLAND & NEWLAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 09/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 981 17WC 21533 DERRINGTON, WILLIAM WAUKEGAN SAFE AND LOCK * 10/14/16 ANGELINI & ORI LLC 982 17WC 21586 ZHIVAGO, YURIY ENTERPRISE LEASING COMPAN * 02/28/17 LAW OFFICES YEVGENIY VAYSM KEEFE CAMPBELL & ASSOC LLC 983 17WC 21639 QUIST, JAMES W ABBOTT LABORATORIES * 11/17/16 MARKS INJURY LAW 984 17WC 21679 VALERIO, VITO TYCO INTEGRATED SECURITY * 06/26/17 COLLISON LAW OFFICES 985 17WC 21736 HUERTA, EUGENIA THE XCEL GROUP * 05/08/17 ENCINAS & ORNELAS 986 17WC 21816 CROWDER, KIM CLIC/WAUCONDA SCHOOL DIST * 08/14/14 W RANDAL BAUDIN WIEDNER & MCAULIFFE LTD 987 17WC 21842 HILDEBRANDT, RICHARD TAYLOR MADE EXPRESS * 02/13/17 HORWITZ HORWITZ & ASSOC 988 17WC 21913 GRIZIC, ESAD PEPSICO, INC * 06/15/17 ANKIN LAW OFFICE 989 17WC 21981 WILKES, ERICA DHL EXPRESS, INC * 12/13/16 GAINSBERG LAW 990 17WC 22000 TOLEDO, YOLANDA WHOLE FOODS MARKET;WHOLE * 01/09/16 SOSTRIN AND SOSTRIN PC 991 17WC 22062 LEPMAN, MARTHA NORTH SHORE SCHOOL * 03/17/17 DWORKIN AND MACIARIELLO 992 17WC 22099 MOLILO MASIMANGO, GEGO WAL-MART STORES INC * 02/28/17 QUINTAIROS PRIETO WOOD & BOY 993 17WC 22124 BERGLES, BRYAN DEERFIELD BANNOCKBURN FIR * 02/27/14 RUSIN & MACIOROWSKI LTD 994 17WC 22410 BYSIEK, ZBIGNIEW MB AQUISITIONS INC * 07/28/16 GANAN & SHAPIRO 995 17WC 22501 PIERCE, MARCI WYNDHAM VACATION OWNERSHI * 07/16/17 SANDMAN LEVY & PETRICH 996 17WC 22544 ORSBY, LILLIE BAYSIDE TERRACE, LLC * 07/14/17 JASON HAUCK 997 17WC 22679 GRENIER, MICHAEL R ANN KILEY CENTER * 10/28/16 PAUL F SERKLAND 998 17WC 22757 CHAVEZ, JOAQUIN FISHER CONTAINER LLC * 04/12/17 CARONE LAW OFFICES

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