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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 08WC 33938 TARASZKA, KRZYSZTOF B J TRAILER & TRUCK REPAI 05/22/08 MINKOW DOMIN THOMAS & PORTELA 14 08WC 35846 LOSOYO, JESUS AKA MAY ST CAFE W 12/14/07 JAMES ELLIS GUMBINER & ASS 08WC035851 -C 15 08WC 40737 19B SZYMCZAK, CHARLES EDMAR HEATING & COOLING C 06/20/06 RICHARD D HANNIGAN, LTD HEYL ROYSTER VOELKER & ALLEN 16 08WC 46700 HERNANDEZ, MARIA ABM JANITORIAL MIDWEST 11/15/07 ACEVES & PEREZ PC LITCHFIELD CAVO 11WC026905 -C 17 08WC 51673 GUZMAN, GREGORIO CBSL TRANSPORTATION 03/12/08 HUGHES SOCOL PIERS RESNICK RUSIN MACIOROWSKI & FRIEDMAN 09WC031380 -C 18 08WC 51988 DILLON, MARK VILLAGE OF ARLINGTON HTS 06/06/08 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 19 08WC 53917 WALKER, JOHNNIE TECHNICAL CONSTRUCTION IN @ W 05/07/08 LUIS A ACEVES & ASSOC ASSISTANT ATTORNEY GENERAL 20 09WC 02999 MILLS, SHARON ARAMARK 01/15/09 DWORKIN AND MACIARIELLO STONE & JOHNSON CHARTERED 21 09WC 04287 MEDINA, LUIS FREEDMAN SEATING CO 03/27/08 CULLEN, HASKINS, NICHOLSON LAW OFFICES JOSEPH MARCINIAK 09WC026831 -C 22 09WC 08205 LEWIS, DENNIS NORTHERN ILLINOIS GAS 11/20/08 GRAZIAN & VOLPE PC MACIOROWSKI SACKMANN & ULRIC 23 09WC 11640 DEAN, TONIA CTA 03/02/09 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 24 09WC 30991 HAMMONS, THOMAS SAIA MOTOR FREIGHT 08/20/08 KENNETH B GORE, LTD CHILTON YAMBERT PORTER LLP 25 09WC 32342 FLORES, DIANA M SWEDISH COVENANT HOSPITAL 05/31/09 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 09WC038989 -C 26 09WC 38350 HERNANDEZ, GREGORIO RIBBON WEBBING COMPANY 10/03/08 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 27 09WC 39899 HARPER, ADARTHUS FORD MOTOR COMPANY 04/21/07 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 11WC024174 -C 11WC024175 -C 16WC017167 -C 28 09WC 46103 CHANEY, AARON AT & T 06/22/09 CULLEN, HASKINS, NICHOLSON HENNESSY & ROACH PC 10WC017120 -C AT&T 12WC022137 -C 29 09WC 48163 IPPOLITO, DEBRA COSTCO WHOLESALE 01/01/07 EMPLOYEE LEGAL SERVICES LT GANAN & SHAPIRO 09WC048164 -C 10WC001859 -C 10WC001861 -C 10WC001862 -C 30 09WC 49738 SANCHEZ, EDUARDO LATINO MEAT & PRODUCE W 11/23/09 EPSTEIN, JACK R LAW OFFICE 31 10WC 05662 TURNER, FREDERICK CTA 12/30/09 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 32 10WC 07499 PHILPOT, KENNETH CHICAGO BOARD OF EDUCATIO 09/24/09 ELFENBAUM EVERS & AMARILIO LEAHY EISENBERG & FRAENKEL 33 10WC 08868 WILSON, LINDA SOLO CUP CO 11/28/09 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 11WC042679 -C 34 10WC 10943 HERNANDEZ, NORA M ILLINOIS DEPT OF TANSPORT @ 10/07/09 BRILL & FISHEL ASSISTANT ATTORNEY GENERAL 35 10WC 11332 HERNANDEZ, JESUS PEXCO & PRIME STAFFING IN 02/26/10 EPSTEIN, JACK R LAW OFFICE LEAHY EISENBERG & FRAENKEL 36 10WC 18988 CARR, RALPH CENTRAL STEEL & WIRE 04/23/10 BAUM RUFFOLO & MARZAL LTD GAROFALO SCHREIBER STORM 37 10WC 23512 RUSSELL, REGINA UIC 01/01/10 LEONARD LAW GROUP LLC KEEFE & DEPAULI 38 10WC 29592 QUINTANA, VERONICA MVP WORKFORCE LLC 04/20/10 BERG & BERG KOREY LAW LLC 14WC006572 -C 39 10WC 36058 SHLIMON, YOUNAIL NORTH SHORE UNIVERSITY HE 03/01/07 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 10WC036059 -C 40 10WC 41292 LOPEZ, ALEJANDRO JOSE PESCADOR W 09/17/10 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 TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 41 10WC 44848 STEVENS, REGINALD CHICAGO TRANSIT AUTHORITY 10/19/10 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 42 10WC 45413 SANCHEZ, THERESA TOOTSIE ROLL 07/28/10 BRUGGEMAN HURST & ASSOC NYHAN BAMBRICK KINZIE & LOWR 12WC035328 -C 14WC002450 -C 14WC006603 -C 43 10WC 46534 19B SAMUELS, MARY JERON ELECTRONICS 08/31/10 JOHN E LUSAK WIEDNER & MCAULIFFE LTD 44 11WC 04073 HALL, LOUTRICIA ENTERPRISE NATIONAL 01/27/11 DAVID W MARTAY INMAN & FITZGIBBONS 45 11WC 05055 MAZON, ELEUTERIA CINTAS CORPORATION 12/28/10 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 46 11WC 08401 DORSEY, ARVELL CITY OF CHICAGO 01/13/11 KURASCH & KLEIN, LTD CITY OF CHICAGO 47 11WC 09300 ARIZMENDI, NANCY MOST VALUABLE PERSONNEL 09/06/10 EPSTEIN, JACK R LAW OFFICE KOREY LAW LLC 48 11WC 12484 HONG, KYUNG RAN THE KOREAN AMERICAN 02/08/11 DRAKE & COLLOPY PC BRADY CONNOLLY & MASUDA PC 49 11WC 12882 LAWLESS, DANIEL C IMPERIAL KITCHENS & BATHS 01/14/11 TURCYCHUTE LLC LAW OFFICES JOSEPH MARCINIAK 11WC012883 -C 16WC023710 -C HABITAT FOR HUMANITY 16WC023711 -C 16WC023712 -C HABITAT FOR HUMANITY 50 11WC 12917 GABRIEL, ROSE NORTHSHORE UNIVERSITY HEA 03/10/11 SCHACTER, JEROME & ASSOC L KEEFE CAMPBELL & ASSOC LLC 11WC012924 -C 12WC015885 -C 13WC007115 -C 51 11WC 14161 JENDRZEJCZAK, LUKASZ OLYMPIC LOGISTICS SERVICE W 07/19/10 BELCHER LAW OFFICE MEACHUM & STARCK 52 11WC 16851 BAEZA, FIDEL JR MINUTE MEN STAFFING SERVI 02/24/11 JAMES ELLIS GUMBINER & ASS SCOPELITIS GARVIN LIGHT 53 11WC 20577 MARCHESE, CLAUDIO C CITY OF CHICAGO 06/18/10 O'CONNOR & NAKOS 54 11WC 20705 GUERRERO, JOSE PREMIER STAFFING SERVICES @ W 05/14/11 MCLAUGHLIN HATTERY ET AL POULOS & DIBENEDETTO LAW 55 11WC 23215 ARDON, JOSE CARLSON PROPERTY MANAGMEN W 04/25/11 RUBIN & MACHADO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 56 11WC 23697 RILEY, DAVID W BIG RED TRANSPORT 04/11/11 WILLIAMS, ROBERT B LAW OFF SPIEGEL & CAHILL, PC 57 11WC 23918 MACKEY, SHANICE CTA 05/27/11 KENNETH B GORE LTD CHICAGO TRANSIT AUTHORITY 58 11WC 27639 BANE, JAMES CITY OF CHICAGO DEPT OF 07/11/11 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 59 11WC 29654 KIDD, LORRETTA ILLINOIS ENVIRONMENTAL @ 07/26/11 KARCHMAR & STONE ASSISTANT ATTORNEY GENERAL 60 11WC 36572 TIERNEY, DEBRA A CITY OF CHICAGO 05/11/11 HEALY LAW FIRM CITY OF CHICAGO 14WC008084 -C 61 11WC 37456 WATKINS, SHELLAH TWIN CLEANING PROFESSIONA 09/08/11 SALVATO & O'TOOLE ROSARIO CIBELLA 62 11WC 37680 NERY, VICTOR FRONTLINE COMMUNICATIONS 04/11/11 BOUDREAU & NISIVACO LLC LAW OFFICES JOSEPH MARCINIAK 63 11WC 37715 WILLIAMS, DENISE NORTHWESTERN MEMORIAL HOS 11/05/10 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 11WC040606 -C 64 11WC 38383 KORZUN, JADWIGA SCRUB INC 03/02/11 BELCHER LAW OFFICE HENNESSY & ROACH PC 65 11WC 38498 MILLER, GLENN CITY OF CHICAGO 12/07/09 HEALY LAW FIRM CITY OF CHICAGO 66 11WC 43125 HANEBERG, JOHN JOHN HANEBERG MASONRY & 07/01/09 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 67 11WC 44308 LOREN, FREDESWINDA F UNIVERSITY OF CHICAGO HOS 11/06/11 ANKIN LAW OFFICE HENNESSY & ROACH PC 68 11WC 45420 MAGANA, OSCAR GALOMEX CORPORATION 10/05/11 IVAN A RUEDA GILDEA & COGHLAN 69 11WC 47027 MACK, NORA PRO SOURCE DBA GLENCOE 05/06/10 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 70 11WC 47765 19B LIGUE, DONALD J JERNBERG INDUSTRIES INC 08/13/11 RUBIN LAW GROUP HOLECEK & ASSOCIATES 13WC041767 -C 13WC042163 -C 14WC029807 -C 71 12WC 07792 ROQUE, RONALD A BLOOMINGDALE'S HOME SERVI 12/08/10 DWORKIN AND MACIARIELLO ROBERT L. SMITH 72 12WC 07853 SLEDGE, PAULA PUBLIC BLDG COMMISSION 07/28/11 BOWMAN & CORDAY LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 73 12WC 08030 ZAMUDIO, LUIS F COST OF WISCONSIN INC 12/22/11 O'CONNOR & NAKOS HOLECEK & ASSOCIATES 74 12WC 08874 TAMMINGA, LINDSEY A PALOS COMMUNITY HOSPITAL 01/14/12 JASINSKI, GEORGE J LORENZ & BERGIN PC 12WC021059 -C 75 12WC 14890 PERRY, RAYMONA CITY OF CHICAGO 11/04/11 COVEN LAW GROUP CITY OF CHICAGO 76 12WC 17659 HILLBERG, KAREN CHICAGO BOARD OF EDUCATIO 01/25/12 DAVID W MARTAY LAW DEPARTMENT 77 12WC 19016 SLOWIK, LISA KIDDIE ACADEMY OF STREAMW 04/11/12 DWORKIN AND MACIARIELLO RUSIN MACIOROWSKI & FRIEDMAN 78 12WC 22746 19B COLEMAN, PATRICIA ARBOUR HEALTH CARE CTR LT 06/20/12 SPINAK & BABCOCK ADELSON TESTAN & BRUNDO 79 12WC 25627 GRANTON, MAURICE PROFESSIONAL 07/02/12 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 80 12WC 26832 WEST, CLINTON EDSAL MANUFACTURING COMPA 12/06/10 EDWARD J. BRADLEY SLAVIN & SLAVIN 81 12WC 28396 MUNOZ, JORGE HOULIHAN'S RESTAURANT 12/11/11 PORRO NIERMANN LAW GROUP GALLIANNI DOELL & COZZI LTD 82 12WC 28592 GONZALES, RUBEN SUPERMERCADO EL GUERO 07/06/12 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 83 12WC 28895 ALEXANDER, TYRONE UNITED AIRLINES INC. 07/26/12 STEVEN J SEIDMAN LAW OFFIC WIEDNER & MCAULIFFE LTD 17WC001016 -C 84 12WC 29181 LAZIER, SUZANNE M SLOAN VALVE COMPANY 11/03/11 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 85 12WC 29275 DRDLA, DAVID NORTH MAINE FIRE 03/27/12 MARKHAM M JEEP & ASSOCIATE STONE & JOHNSON CHARTERED 86 12WC 29400 DE PUE, WILLIAM S CHICAGO TRIBUNE CO 05/20/12 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 87 12WC 31833 WOODS, EVERETT UNILEVER 03/27/12 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 88 12WC 34564 19B PANZER, CRYSTAL TRICARE REHAB 05/08/12 HEALY LAW FIRM MICHAEL D JACOBS 89 12WC 41944 PLOSHAY, PAMELA MIDTOWN ATHLETIC CLUB 10/29/12 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 90 12WC 43752 FIELDS, ERIK CEEBEE CARTAGE 10/09/12 BARRETT & SRAMEK MEACHUM & STARCK 91 13WC 00835 JOHNSON, RAY PREFERRED MEAL 12/06/10 COHN LAMBERT RYAN & SCHNEI POWER & CRONIN LTD 15WC016349 -C 92 13WC 01189 JONES, CALVIN CHICAGO TRANSIT AUTHORITY 05/21/12 MARVIN A BRUSTIN LTD CHICAGO TRANSIT AUTHORITY 93 13WC 04425 BAZZARONE, DANIEL J ADVANCED MECHANICAL 07/18/12 HORWITZ HORWITZ & ASSOC MEACHUM & STARCK 94 13WC 04839 JIMENEZ, JUAN SCOTT BYRON & COMPANY INC 11/29/12 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 95 13WC 04958 WHITE, SUSAN FRESENIUS MEDICAL CARE 02/01/13 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 96 13WC 05227 BAHENA, RAMIRO HONDO RANCH INC. 02/09/12 JONATHAN SCHLACK 97 13WC 05741 ROBINSON, MALESIA F CHICAGO TRANSIT AUTHORITY 09/11/12 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 14WC042917 -C CTA 98 13WC 06034 CAHILL, JAMES PINTO CONSTRUCTION GROUP 11/20/12 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 99 13WC 06075 LAUREANO, AGUSTINA BRADLEY D KOLTON @ W 10/31/11 JAMES ELLIS GUMBINER & ASS INMAN & FITZGIBBONS 100 13WC 06154 MONTILLA, JULIO CITY OF CHICAGO 12/20/12 KARCHMAR & STONE CITY OF CHICAGO 101 13WC 06231 19B MAGANA, ANDREW MEP AUTHO SER LLC D/B/A 02/06/13 CUDA LAW OFFICES BRADY CONNOLLY & MASUDA PC 102 13WC 06302 HARRIS, JUSTIN COM ED 01/31/13 GOLDBERG WEISMAN & CAIRO L CHILTON YAMBERT PORTER LLP 103 13WC 06490 SANCHEZ, SALVADOR INDUSTRIAL PARK 01/10/13 LUIS A ACEVES & ASSOC RUSIN MACIOROWSKI & FRIEDMAN 104 13WC 06524 RAMIREZ, MARIA ELITE STAFFING INC 02/19/13 CULLEN HASKINS NICHOLSON GOLDBERG SEGALLA LLC 13WC008548 -C

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 122 13WC 18907 HALL, ESSIE STATE OF ILLINOIS @ 01/31/13 ANGELINI & ORI LLC ASSISTANT ATTORNEY GENERAL 123 13WC 21301 PEREZ, JAIME NATL PORGES RADIATOR CORP 07/06/11 124 13WC 23563 CRAWFORD, CHERYLE L BROWN CHICAGO TRANSIT AUTHORITY 02/01/13 STEVEN J SEIDMAN LAW OFFIC CHICAGO TRANSIT AUTHORITY 125 13WC 25228 ALANI, MAHMOUD BLUE RIBBON 12/19/12 LAW OFFICE RYAN ROSENTHAL 126 13WC 27526 BRODY, SCOTT WASTE MANAGEMENT OF 07/17/13 RITTENBERG & BUFFEN GAROFALO SCHREIBER STORM 127 13WC 27617 WALKER, MATTHEW HOME IMPROVEMENT CONTRACT @ W 07/15/13 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 128 13WC 27855 19B SPINDEL, SONYA CHICAGO TRANSIT AUTHORITY 08/01/13 ANKIN LAW OFFICE 129 13WC 27885 VERA, ELIZABETH CHICAGO BOARD OF EDUCATIO 05/07/13 ROMANEK & ROMANEK LAW DEPARTMENT 15WC001634 -C 130 13WC 27908 HARDAWAY, SHAUN FORD MOTOR CO ASSEMBLY PL 05/15/13 JASINSKI, GEORGE J WIEDNER & MCAULIFFE LTD 13WC027909 -C 16WC015183 -C 131 13WC 28147 GONZALEZ, JUAN J GUERRERO TRUCKING AND 07/13/13 KARNO, MARK L & ASSOC 132 13WC 28378 KRAUSE, THOMAS TOYS R' US 07/27/13 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 133 13WC 28455 ELAM, MARY AMERICAN EAGLE AIRLINES 05/22/12 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 134 13WC 28614 CARBAJAL, SANDRA CITY OF CHICAGO/OEMC 12/01/10 DEUTSCHMAN, JEFFREY S CITY OF CHICAGO 135 13WC 29045 HERNANDEZ, SHIRLEY A LOYOLA UNIVERSITY 07/27/13 RIDGE & DOWNES LORENZ & BERGIN PC 136 13WC 29147 FRANCISCO, ROCIO SUPERIOR STAFFING 08/15/13 CULLEN HASKINS NICHOLSON 137 13WC 33559 19B TOLEDO, SOFIA ARAMARK 09/27/13 COHN LAMBERT RYAN & SCHNEI INMAN & FITZGIBBONS 138 13WC 37017 CASHAW, DARWIN HILTON CHICAGO 05/21/13 DAVID W MARTAY NOBLE & ASSOCIATES PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 14WC 04396 CORRIGAN, VICTORIA L ALLIANCE REHAB 07/08/13 CRONIN & PETERS WOLF LAW LTD 158 14WC 04535 JAROCKA, ANETA HOME DELIGHT 11/18/13 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 159 14WC 04894 MENDEZ, MICHAEL AFFILIATED STEAM 11/08/13 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 160 14WC 05181 HUMMEL, CLARANCE D COOK COUNTY SHERIFF DEPT 01/16/14 THE FITZ LAW GROUP STATES ATTORNEY OF COOK COUN 161 14WC 05325 DEVLOO, RITA CHICAGO PUBLIC SCHOOLS 09/23/13 ROBERT HORWITZ LAW DEPARTMENT 162 14WC 05352 GUNDLACH, KYLE CITY OF CHICAGO 12/19/13 HEALY SCANLON LAW FIRM CITY OF CHICAGO 163 14WC 05560 ARCOS, ONOFRE CENVEO INCORPORATED 01/23/14 STEVEN A CRIFASE, LTD NOBLE & ASSOCIATES PC 164 14WC 05864 AGUILAR, GUSTAVO AMITY PACKING 01/31/14 LAW OFFICE OF OSVALDO RODR 14WC005865 -C 165 14WC 05937 LLOYD, FREDRIKA ELIZABETH LUDEMAN CENTER @ 01/07/14 WILLIAMS, ROBERT B LAW OFF JILL OTTE 166 14WC 06147 PEARS, ROBERT A THERMO FISHER SCIENTIFIC 02/22/11 CZAPLA LAW KEEFE CAMPBELL & ASSOC LLC 167 14WC 06210 FLOSMAN, BLANCHE CHICAGO BOARD OF EDUCATIO 05/16/13 POLTROCK & POLTROCK 168 14WC 06307 DLEGADO, JAVIER IRVING PARK CLEANERS 02/14/14 169 14WC 06354 GARCIA, VICTORIA ARAMARK 02/02/14 EPSTEIN, JACK R LAW OFFICE STONE & JOHNSON CHARTERED 170 14WC 06390 MARTINEZ, JULIA KEEBLER COMPANY 02/24/14 STROM, NEAL B KEEFE CAMPBELL & ASSOC LLC 171 14WC 06708 ANGELES, JORGE UNITED SERVICE COMPANY 02/17/14 CULLEN HASKINS NICHOLSON STONE & JOHNSON CHARTERED 172 14WC 06994 KILBURG, JOYCE ST OF IL, ILLINOIS FILM O @ 10/06/09 BLEAKNEY & TROIANI COLIN KICKLIGHTER 173 14WC 07059 SODERLUND, RICHARD NEAL'S TRANSPORTATION @ 12/16/13 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 174 14WC 07233 MONTALVO, ANTONIO FLEXIBLE STAFFING 04/12/13 HORWITZ HORWITZ & ASSOC GRANT & FANNING 175 14WC 07518 ZAMORA, SAUL VALENZANO BAKING CO 02/03/14 JONATHAN SCHLACK LAW OFFICES JOSEPH MARCINIAK 14WC013001 -C IL MULINO DI VALENZANO BAK 176 14WC 07559 ZAMBRANO, SALVADOR DONNELLY TRAN 03/23/11 THE FITZ LAW GROUP SCOPELITIS GARVIN LIGHT 177 14WC 07608 GARCIA, LUIS TRUMP INTERNATIONAL 09/04/13 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 178 14WC 07758 GIRJATOWICZ, FRANK SECURITY MANAGEMENT GROUP 12/29/11 RIFFNER BARBER ROWDEN & SC BRYCE DOWNEY & LENKOV LLC 179 14WC 07944 RIZVI, ZAHID GZK LOGISTICS 05/10/13 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 180 14WC 13155 HERNANDEZ, SANDRA (WIDOW) KENNY/GRANITE # 09/18/13 GOLDSTEIN BENDER & ROMANOF 181 14WC 13239 KHAN, PERVEZ PMK LIMOUSINE SERVICE INC 02/17/14 ILLINOIS INJURY LAWYERS 182 14WC 15989 STEC, THOMASZ P PACTIV CORP 04/22/14 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 16WC020268 -C 183 14WC 16026 MACINTOSH, ORLANDO K N S FOODS 04/01/14 BAUM RUFFOLO & MARZAL LTD LAW OFFICES JOSEPH MARCINIAK 184 14WC 16078 NAVA, NICOLAS PARK PACKING OF CHICAGO I 04/13/14 RUEDA, IVAN A WOLF LAW LTD 185 14WC 16456 CHAVEZ, RIGOBERTO TANGENT FREIGHT SOLUTIONS 09/16/13 SANDMAN LEVY & PETRICH MCANANY VANCLEVE & PHILLIPS 186 14WC 16845 QUIROZ, SALVADOR JR COUNTRY FINANCIAL INS 01/20/14 GESMER LAW OFFICES, PC HENNESSY & ROACH PC 14WC016846 -C 187 14WC 16884 JORDAN, TROY T SR STATE OF IL DEPT OF @ 05/09/14 SALVATO & O'TOOLE COLIN KICKLIGHTER 188 14WC 16932 LAURA, SONIA CHICAGO PUBLIC SCHOOLS 05/09/14 MICHAEL A. HIGGINS LAW DEPARTMENT 189 14WC 17014 RODRIGUEZ, NICOLAS GEORGIA NUT COMPANY 01/19/13 GOLDBERG WEISMAN & CAIRO L 190 14WC 17073 SEGURA, MANUEL JUAN ARRO CORPORATION 11/18/13 VRDOLYAK LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 191 14WC 17088 REYES, JOSE TAQUERIA LOS GALLOS #3 10/23/11 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 192 14WC 17445 CARREON, GRACIELA THE BIG FOUR, LLC D/B/A 12/31/13 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 193 14WC 17659 HAYNES, NICOLE WAL MART 02/20/14 THOMAS R LICHTEN WIEDNER & MCAULIFFE LTD 194 14WC 17856 MARTINEZ, AMY (MOTHER & B PTC ALLIANCE # 05/19/14 LAW OFFICES CORTI & ALEKSY HOLECEK & ASSOCIATES 195 14WC 18441 WILKINS, KRISTOPHER ILL DEPT TRANSPORTATION @ 04/25/14 LANNON LANNON & BARR LTD ASSISTANT ATTORNEY GENERAL 196 14WC 21988 GERALD, FRANK CTA 10/15/13 MEYERS & FLOWERS CHICAGO TRANSIT AUTHORITY 197 14WC 24890 BRUNEY, BRIAN CHICAGO WHITE SOX BASEBAL 06/24/12 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 198 14WC 25015 RAMIREZ, JOSE LUIS FRESH MARKET 07/06/13 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 199 14WC 25640 JARZASKI, ROBERT COSMETIC AUTO TRIM & GLAS 04/02/14 LEE PHILLIP FORMAN LTD 200 14WC 26169 FINLEY, ALBERT UNIVERSITY OF 07/22/14 ANKIN LAW OFFICE POWER & CRONIN LTD 201 14WC 26600 DEFRANCESCO, VITO JOE & ROSS INC 06/11/14 MARTIN L GLINK LAW OFFICE GANAN & SHAPIRO 202 14WC 26741 JOHNSON, MAURICE WEING-DOHERTY 08/05/14 O'CONNOR & NAKOS KNELL & O'CONNOR 203 14WC 27024 EVANS, CHARLENE NEAR WEST SIDE CDC INC 07/16/14 THE FITZ LAW GROUP HOLECEK & ASSOCIATES 204 14WC 27038 HICKS, WILLAIM JR BOARD OF EDUCATION OF THE 05/11/12 HORWITZ HORWITZ & ASSOC LAW DEPARTMENT 205 14WC 27227 MATTHEWS, CHIKETA STATE OF ILLINOIS @ 08/07/14 SKLARE LAW GROUP JILL OTTE 206 14WC 27247 LOVELY, ALVIN VOITH INDUSTRIAL SERVICES 05/05/14 THOMAS R LICHTEN WOLFE & JACOBSON, LTD 207 14WC 27262 SEALS, PAMELA CITY OF CHICAGO 03/25/14 WOODRUFF & JOHNSON CITY OF CHICAGO 208 14WC 27272 GOWDY, MECHELLE CTA 06/05/12 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 209 14WC 27283 GRAFT, LINDA CNA INSURANCE COMPANY 09/30/13 LAW OFFICES OF MARK SCHAFF LAW OFFICES OF EDWARD J. KOZ 210 14WC 27307 RUSSO, JOE CITY OF CHICAGO/FINANCE 07/01/14 PATRICIA HARDIMAN LAW OFFI 211 14WC 27660 KLAPKOWSKI, ALFRED FUTURE MARK PAPER CO 10/11/12 GOLDFEIN LAW OFFICE PC THOMAS & PORTELA 212 14WC 27811 MERAZ, MARIA CENTRA STEEL & WIRE COMPA 12/02/13 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 213 14WC 27996 ZEPEDA, CESAR JR TOWN OF CICERO 08/02/14 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 214 14WC 28016 SALDANA, MELISSA ST OF IL - IDOT 01/21/14 DAN COLLINS LAW FIRM JILL OTTE 215 14WC 28059 MARTINEZ, NERY RON'S STAFFING 03/15/14 ENCINAS & ORNELAS KOREY RICHARDSON LLC 216 14WC 28514 ROVY, ROBERT METROPOLITAN WATER RECLAM 03/11/14 JOHN E LUSAK 217 14WC 28567 DAVIS, YOLANDA LOYOLA UNIVERSITY 07/07/13 DOUGLAS C DORN PC 218 14WC 28584 KEANE, STEPHEN IL DEPT OF TRANSPORTATION 07/14/14 LAW OFFICE OF SCOTT B SHAP COLIN KICKLIGHTER 219 14WC 29047 LECZYCKI, ADAM MPD CONSTRUCTION GROUP IN 08/05/14 URSULA BABICZ & ASSOC RUSIN & MACIOROWSKI LTD 220 14WC 29078 CONRAD, JEFFREY CITY OF CHICAGO 04/16/14 GOLDBERG WEISMAN & CAIRO L 221 14WC 29116 GONZALEZ, WALTER GREEN MONKEY 08/21/14 JOHN S. ELIASIK 222 14WC 29217 CARROLL, GAVIN STARBUCKS 05/03/14 RUBIN LAW GROUP BRADY CONNOLLY & MASUDA PC 223 14WC 29224 ALLEN, SHERON CHICAGO STATE UNIVERSITY 07/29/14 DAVID W MARTAY COLIN KICKLIGHTER 224 14WC 29365 CUMMINS, PETER ADDISON CONSTRUCTION & @ W 08/18/14 HEALY SCANLON LAW FIRM GAROFALO SCHREIBER STORM 225 14WC 29429 ARELLANO, MARIA PRINCIPLE MANUFACTURING 03/04/13 MICHAEL P MCCREADY & ASSOC LAW OFFICES JOSEPH MARCINIAK 226 14WC 29662 WENGANG, CHANTAL CARE CONNECT 08/06/14

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 245 14WC 38041 GUAMAN, FREDY AMULET CONSTRUCTION COMPA 10/27/14 HUGHES SOCOL PIERS RESNICK DOUGLAS W GRAHAM 246 14WC 38048 ANNING, ERIC A THRILLOS INC 10/29/14 VRDOLYAK LAW GROUP LLC ALLEN KOPET & ASSOCIATES 247 14WC 38110 PAYNE, ANTHONY CITY OF CHICAGO 09/08/14 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 248 14WC 38160 SMITH, BERTHA JP MORGAN CHASE 10/02/12 BARRY STEWART SILVER INMAN & FITZGIBBONS 249 14WC 38340 HAMATER, RANDALL CAR PARTS 7 SERVICES 06/20/12 JAMES A PAYONK JR 250 14WC 38367 LERNER, ELIZABETH CITY OF CHGO/INDEPENDENT 10/24/14 HORWITZ HORWITZ & ASSOC CITY OF CHICAGO 251 14WC 38667 RODRIGUEZ, MARTIN NORTHWEST STEEL CORP 10/03/14 DEPAOLO ZADEIKIS GORE LAW OFFICES JOSEPH MARCINIAK 252 14WC 38775 PLAZA, JOSE M OAK PARK SCHOOL DISTRICT 05/20/14 VASILATOS & COTTER LLC 253 14WC 39089 GOMEZ, MARGARITA HILTON HOTEL 03/28/14 ACEVES & PEREZ PC INMAN & FITZGIBBONS 254 14WC 39183 CHAUHAN, HITENDRASINH C FRESENIUS KABI USA, LLC 09/16/14 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 17WC002939 -C 255 14WC 39218 MCCRAY, DWAYNE THE PALMER HOUSE HILTON 11/01/14 MINKOW DOMIN NOBLE & ASSOCIATES PC 256 14WC 39252 TOSCANO, MARIA CVS PHARMACY 01/01/14 BRISKMAN BRISKMAN GREENBER 257 14WC 39274 HERREJON, JORGE DUNLAP CONSTRUCTION 08/22/14 CANDIANO LAW OFFICE MANDELL, GREGG 258 14WC 39646 PANIAGUA, JESUS J CHICAGO TRANSIT AUTHORITY 11/06/14 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 259 14WC 39663 STUART, CRAIG CAT INC 06/08/13 VRDOLYAK LAW GROUP LLC 260 14WC 39896 WOLOSIK, AGNIESZKA LOWES 05/26/14 CHEPOV & SCOTT LLC KEEFE CAMPBELL & ASSOC LLC 261 14WC 39916 SPARKS, CHARLES CPS 10/09/13 DWORKIN AND MACIARIELLO 262 14WC 39971 TURNEY, JOHN J CITY OF CHICAGO 04/18/14 LAW OFFICES MICHAEL HELLMA CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 263 14WC 40250 LIMARDO, MARTHA ST OF IL DEPT OF READ 10/11/14 LAW OFFICE OF SCOTT B SHAP COLIN KICKLIGHTER 264 14WC 40408 GONZALEZ, ROGELIO ATLAS/STAR THERMAL PLASTI 10/15/14 SALK, STEVEN B & ASSOC LTD ROBERT L. SMITH 15WC003535 -C MICHIGAN COMMERCIAL INSURA 15WC007437 -C 265 14WC 40671 MINELLI, JOHN M REX ELECTRIC 09/29/14 DAVID W MARTAY INMAN & FITZGIBBONS 266 14WC 40702 TOSCANO, DAVID JR NICOR GAS 10/06/14 RAYMOND M SIMARD, PC MACIOROWSKI SACKMANN & ULRIC 267 14WC 40723 ARATO, JOHN GAMBINO LANDSCAPING INC @ W 07/11/14 DWORKIN AND MACIARIELLO 268 14WC 40781 EDWARDS, IRIS JR STATE OF ILLINOIS @ 06/16/14 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 269 14WC 40877 KNUTSON, ROGER ROSEMONT MASONRY CORP 06/26/14 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 270 14WC 40900 HUNTER, ELA'MORE SERVISAIR 11/23/14 GOLDBERG WEISMAN & CAIRO L 271 14WC 40924 CLAY, CARL UNITED AIRLINES INC. 07/30/14 COVEN LAW GROUP 272 14WC 41105 ZARATE, VICTOR MANUEL TOTAL STAFFING SOLUTIONS 11/15/14 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 273 14WC 41320 HEATLEY, MICHELLE ROUNDY'S SUPERMARKET 10/01/13 ANKIN LAW OFFICE CLAYBORNE SABO & WAGNER 274 14WC 41385 TORRES, MARCOS SURGE STAFFING 11/19/14 PARENTE & NOREM PC 275 14WC 41724 COSMANO, CHRIS IBBOTSON HEATING CO 11/07/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 276 14WC 43492 ALEXANDER, FRANK JR UNITED PARCEL SERVICES 08/27/14 FOX GOLDBLATT & SINGER PC MCANANY VANCLEVE & PHILLIPS 277 15WC 02032 EMERICK, GERARD CHICAGO PUBLIC SCHOOLS 05/01/14 COSTA IVONE LLC 278 15WC 03711 RODEA-TAPIA, CARLOS MORTON ROOFING OF ILLINOI 08/13/14 SHELDON I MINKOW & ASSOCIA RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 279 15WC 03890 MACK, SHARON COOK COUNTY SHERIFF 12/12/14 GORDON LAW OFFICES LTD STATES ATTORNEY OF COOK COUN 280 15WC 03904 SERRANO, FERNANDO ELECTRO-MOTIVE DIESEL 12/08/12 BAUM RUFFOLO & MARZAL LTD GOLDBERG SEGALLA LLC 15WC003905 -C 281 15WC 03912 LOMELI, SILVESTRE UNIVERSITY OF CHICAGO 08/15/14 KREITER, BYCK & ASSOC LLP NYHAN BAMBRICK KINZIE & LOWR 16WC007924 -C 282 15WC 04153 ROMERO, ERICK MOST VALUABLE PERSONNEL 02/13/14 ANKIN LAW OFFICE KOREY RICHARDSON LLC 283 15WC 04170 SALAZAR, TERESA DE JESUS EXPRESS EMPLOYMENT PROS 01/28/15 AIOSSA LAW FIRM GILDEA & COGHLAN 284 15WC 04256 HESS, CAROLYN M PRESENCE HOLY FAMILY MEDI 07/14/14 LEWIS & DAVIDSON, LTD NYHAN BAMBRICK KINZIE & LOWR 285 15WC 04262 FERNANDEZ, CLARA HELP AT HOME INC 07/01/14 JONATHAN SCHLACK MEACHUM & STARCK 286 15WC 04353 REYES, FREDI ZIYAD BROTHERS IMPORTING 01/29/15 BELCHER LAW OFFICE ACCIDENT FUND HOLDINGS 287 15WC 04412 BLACKMON, SYLVIA FORD MOTOR COMPANY 10/31/14 PETER D CORTI LAW GROUP 288 15WC 04438 ALLEN, KESHANI DLH SOLUTIONS, INC. 01/21/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 289 15WC 04555 HACKER, ERIC G CITY OF CHICAGO 09/09/14 RICHARD O. GREENFIELD 290 15WC 04758 CARTER, RENITA CHICAGO TRANSIT AUTHORITY 02/08/15 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 291 15WC 04843 MARTINEZ, GUMERCINDO AMERICAN LABELMARK CO 01/02/15 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 292 15WC 04854 KANE, DAN FED EX FREIGHT 01/23/15 BARRY STEWART SILVER QUINTAIROS PRIETO WOOD & BOY 293 15WC 05121 HARRY, DEBORAH UNITED AIRLINES INC. 11/01/14 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 294 15WC 05126 CZYZYK, ANGELA IRISH PATRIOT 08/13/14 SAUNDERS CONDON & KENNY WOLF LAW LTD 295 15WC 05220 MARTINEZ, NOE CHRIS'S TRANSPORT SERVICE 11/12/14 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 296 15WC 05252 THOMAS, TERRI CASCADE ORTHOPEDIC SUPPLY 02/05/15 GRAZIAN & VOLPE PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 351 15WC 18341 KONCEL, MARY ELLEN CHICAGO PUBLIC SCHOOLS 01/22/15 ARGIONIS & ASSOCIATES LLC LEAHY EISENBERG & FRAENKEL 352 15WC 22300 BENDA, TSHEILA NESTLE USA 06/20/15 BELCHER LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 353 15WC 23787 RUFUS, MICHAEL CLEAR CHANNEL 04/14/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 354 15WC 23866 PEREZ, DAVID KOCH FOODS CORP 02/25/13 RUBIN LAW GROUP INMAN & FITZGIBBONS 355 15WC 23911 COLEMAN, CYNTHIA STANDARD PARKING 10/25/14 GRAZIAN & VOLPE PC GAROFALO SCHREIBER STORM 356 15WC 23952 JONES, JULIANNE PRESENCE HOLY FAMILY MED 02/22/15 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 357 15WC 23979 VALENZUELA, OLGA CLEAR STAFF INC 06/26/15 SALK, STEVEN B & ASSOC LTD ACCIDENT FUND HOLDINGS 358 15WC 24123 REYES, PEDRO CHICAGO TRANSIT AUTHORITY 08/02/15 BOWMAN & CORDAY 359 15WC 24178 JONES, CANDICE CTA 08/08/15 SALVATO & O'TOOLE CHICAGO TRANSIT AUTHORITY 360 15WC 24243 HINCKLEY, DAVID UNITED RENTALS 04/06/15 WOODRUFF & JOHNSON KNELL & O'CONNOR 361 15WC 24318 DWYER, TOM CITY OF CHGO - FLEET SERV 07/05/13 STROM, NEAL B CITY OF CHICAGO 362 15WC 24360 SALINAS, VERONICA JEWEL OSCO 07/02/15 CUDA LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 363 15WC 24411 O'CONNOR, CHRISTOPHER TRIMARK MARLINN 09/17/14 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 364 15WC 24432 MC CRANEY, THOMAS REO MOVERS & VAN LINES, I 07/28/15 ROBIN LAW OFFICE 365 15WC 24714 ALLEN, KEITH ORLANDO CHIME SERVICES, LLC. 06/30/15 ABRAHAMSON REED BILSE 366 15WC 26235 FRAMPTON, GLORIA DEPARTMENT OF HUMAN RESOU @ 01/27/15 KARCHMAR & STONE ASSISTANT ATTORNEY GENERAL 367 15WC 26497 SIWEK, LUCY PRESENCE RESSURECTION 07/04/15 RICHARD O. GREENFIELD KEEFE CAMPBELL & ASSOC LLC 368 15WC 26643 CARUSO, JEROME IL DEPT OF TRANSPORTATION @ 12/09/14 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 369 15WC 26891 CANDANEDO, CLARA PACTIV 06/12/14 ACEVES & PEREZ PC SPIEGEL & CAHILL, PC 370 15WC 27092 ALFORD, GWENDOLYN HILTON WORLDWIDE INC 07/20/15 THE ROMAKER LAW FIRM NOBLE & ASSOCIATES PC 371 15WC 27313 MANTIA, MATTHEW WELSCH READY MIX 08/10/15 DAVID W MARTAY 372 15WC 27389 GLOVER, EDDIE DHL EXPRESS (USA), INC. 08/11/15 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 16WC001608 -C 373 15WC 27402 POTURALSKI, MICHAEL LEE & ASSOCS ASSET MGMT L 03/25/15 GRAUER & KRIEGEL LLC RODDY LAW LTD 374 15WC 27669 NUNEZ, SOCORRO ELITE STAFFING INC 07/14/15 ACEVES & PEREZ PC 375 15WC 27814 RUIZ, JOSE ELITE STAFFING 03/01/14 SCHREINER MALLOY & ETZLER 376 15WC 27916 FRANCESCHI, MARIA E CHICAGO PUBLIC SCHOOLS 03/11/15 BUDIN LAW OFFICES 377 15WC 28029 HERNANDEZ, SUSANA STAR AVIATION 09/04/14 EPSTEIN, JACK R LAW OFFICE 378 15WC 28111 ANDERSON, DERRICK CITY OF CHICAGO 04/27/15 KARCHMAR & STONE CITY OF CHICAGO 379 15WC 28361 CLOUSTON, PETER J. TOMPKINS PRINTING EQUIPME 04/22/14 PARAG P. BHOSALE GANAN & SHAPIRO 15WC028362 -C 15WC028363 -C 380 15WC 28392 DAFETTA, MOSES DISPATCH AFFILIATION, INC 06/29/15 COHN LAMBERT RYAN & SCHNEI 381 15WC 28571 ZAMORA, EVER CALUMET CARTON CO. 06/15/15 HEALY SCANLON LAW FIRM GANAN & SHAPIRO 382 15WC 28719 HARDY, BESSIE COOK COUNTY HEALTH & 07/21/15 WILLIAMS, ROBERT B LAW OFF STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 383 15WC 28744 TANG, YU(DEPENDENT OF C&D TRANSPORTATION, INC. # 06/02/15 FIGLIOLI, DAVID HOLECEK & ASSOCIATES 384 15WC 33481 LAUDERBACK, DOROTHY UPS 12/04/14 MICHAEL P MCCREADY & ASSOC ASA LAW GROUP 15WC033482 -C 15WC038044 -C 15WC038045 -C 16WC017985 -C 385 15WC 33641 DEL PINO, MARIA DIVERSE FACILTY SOLUTIONS 08/27/15 ROBIN LAW OFFICE KNELL & O'CONNOR 386 15WC 34384 GOSS-SMLITH, NICOLE COOK COUNTY PUBLIC GUARDI 04/20/15 RAPAPORT, STEVEN I STATES ATTORNEY OF COOK COUN 387 15WC 35377 GARCIA, ALEJANDRO INTERNATIONAL PAPER COMPA 03/13/15 O'CONNOR & NAKOS GOLDBERG SEGALLA LLC 388 15WC 35381 MOORE, GRETA RJB PROPERTIES 01/27/15 BRISKMAN BRISKMAN GREENBER 389 15WC 35590 ONTIVEROS, MARIA M JAMES HOTEL 11/01/12 390 15WC 35772 BRACCI, EILEEN MELTZER, PURTILL & STELLE 09/28/15 SCOTT BARBER LAW OFFICES JOSEPH MARCINIAK 391 15WC 35933 ALMALLAH, AMER PORTILLO'S 08/15/15 DANIEL PERIASWAMY 392 15WC 36034 TERREL, ROBERT LAFRAMBOISE GROUP 10/13/15 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 393 15WC 36071 RYAN, TIMOTHY J DR PEPPER SNAPPLE GROUP 04/21/15 LEONARD LAW GROUP LLC SMITH AMUNDSEN LLC 394 15WC 36084 BLAYLOCK, SYLVESTER EASTER SEALS METROPOLITAN 10/27/15 BRISKMAN BRISKMAN GREENBER 395 15WC 36104 HAYES, DANIELLE BOKA RESTAURANT GROUP 10/18/14 KARNO, MARK L & ASSOC BRADY CONNOLLY & MASUDA PC 396 15WC 36119 PRESTON, JERMAINE CITY OF CHICAGO 10/23/15 KARCHMAR & STONE SCOPELITIS GARVIN LIGHT 397 15WC 36202 HENDERSON, LORI A FEDEX EXPRESS 09/17/13 FRIEDMAN & SOLMOR LTD WIEDNER & MCAULIFFE LTD 15WC036203 -C 398 15WC 36213 SMITH, RAHSAAN A MEYER STEEL DRUM INC 10/13/15 VASILATOS & COTTER LLC 399 15WC 36340 BROWLEY, LARRY DABECCA NATURAL FOODS 08/12/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 400 15WC 36383 SIRCHER, THOMAS CHILDREN'S HOME & AID 06/14/14 NILES AND ASSOCIATES 401 15WC 36425 SANDOVAL, NOE RG CONSTRUCTION SVCS INC 02/04/15 BRIAN T MORROW, LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 402 15WC 36486 OLVERA, JHOVANY VINTHAUS PAINTING AND W 08/28/15 O'CONNOR & NAKOS COLIN KICKLIGHTER 403 15WC 36513 SQUIRES, MICHAEL LOTT ENTERPRISES, INC 09/19/15 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 404 15WC 36528 HIATT, JAMES COOK COUNTY SHERIFF'S OFF 11/10/15 SANDMAN LEVY & PETRICH 405 15WC 36551 OLVERA, MARGARITO INTERNATIONAL PAPER 02/16/15 NILSON STOOKAL GLEASON CAP GOLDBERG SEGALLA LLC 406 15WC 36609 BLAIR, RAASHAD FORD MOTOR COMPANY 08/12/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 407 15WC 36683 HERNANDEZ, FIDEL CRESTONE GROUP BAKING CO 08/13/15 CULLEN HASKINS NICHOLSON KNELL & O'CONNOR 408 15WC 36698 WOODS, HUGH JR LORING CONSTRUCTION COMPA 11/03/15 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM 409 15WC 36717 LEFLEUR, GARRETT VILLAGE OF OAK PARK 10/07/15 THOMAS W DUDA 410 15WC 36738 EVANS, LARISSA CHIPOTLE MEXICAN GRILL 10/20/15 DWORKIN AND MACIARIELLO 411 15WC 36777 CARROLL, BENJAMIN HIRSH MANAGEMENT CO., INC 11/02/15 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 412 15WC 36871 HOLTE, RALPH R PJ FAZIO PLUMBING & HEATI 05/27/15 MEYERS & FLOWERS BRYCE DOWNEY & LENKOV LLC 413 15WC 36921 MACON, VIRGINIA WILLIAMS LEA INC. 11/10/15 SKLARE LAW GROUP HENNESSY & ROACH PC 414 15WC 36941 DOSEN, JOSEPH M CHICAGO TRANSIT AUTHORITY 07/18/15 RUBIN LAW GROUP CHICAGO TRANSIT AUTHORITY 415 15WC 36959 ACOSTA, LETICIA MILLARD GROUP 01/21/15 O'CONNOR & NAKOS RODDY LAW LTD 15WC036960 -C 416 15WC 37002 JIMENEZ, MARGARITA SURFACE SOLUTIONS GROUP L 11/20/13 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 417 15WC 37022 JOYCE, CHERI IL DHS/ELIZABETH LUDEMAN @ 09/25/15 JAMES DORE STATE OF ILLINOIS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 418 15WC 37049 BOLESKI, WILLIAM BRINKS'S INC. 09/14/15 COHN LAMBERT RYAN & SCHNEI SLAVIN & SLAVIN 419 15WC 37068 MIRANDA, ISRAEL HYATT REGENCY MCCORMICK 06/27/15 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 420 15WC 37079 WILL, SARINA SKY WEST 02/05/15 BRAD J. BALKE, PC 421 15WC 37140 PADILLA, JUAN LA GARITA FOOD 10/23/15 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 422 15WC 37162 GUERRERO, MARIA LACOSTA, INC. 05/15/15 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 423 15WC 37330 AUSTIN, JANICE LAWRENCE HALL YOUTH SERVI 11/06/15 DEUTSCHMAN, JEFFREY S BRADY CONNOLLY & MASUDA PC 424 15WC 37355 GLORIA, JORGE DUBOIS PAVING 09/30/15 JONATHAN SCHLACK GANAN & SHAPIRO 17WC003183 -C 425 15WC 37373 GLUTH, LINDSAY N GLENWOOD VILLAGE PET HOSP 10/15/15 DAVID W MARTAY 426 15WC 37512 FOSTON, HAROLD FORD MOTOR COMPANY 02/26/15 PERRY M LAKS LAW OFFICE 427 15WC 37595 KROLAK, KEVIN KLOECKNER METALS CORPORAT 08/21/14 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 428 15WC 37616 SHAW-STALEY, DEBORAH JO WHOLE FOODS MARKET INC 07/20/15 CULLEN HASKINS NICHOLSON 429 15WC 37681 MABRY, GLORIA XCEL GROUP 10/13/15 SKLARE LAW GROUP KOREY RICHARDSON LLC 430 15WC 37781 WALASZEK, KRZYSZTOF TOOTSIE ROLL, INC. 09/09/15 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 16WC019805 -C 431 15WC 37820 GROSS, VYN TREASYE CHICAGO BOARD OF EDUCATIO 10/20/15 GALLAGHER LAW PC 432 15WC 37935 ZUTANT, JENNIFER SAVERS 11/24/14 GRAVLIN, MICHAEL J LLC 433 15WC 37964 VERALDI, WILLIAM MARIANO'S 10/13/15 SIGMOND, STEVEN BRYCE DOWNEY & LENKOV LLC 434 15WC 37973 DENT, SHERMAN CTA 11/19/15 ADLER & ADLER CHICAGO TRANSIT AUTHORITY 435 15WC 38035 MADISON, DARIUS FAMILY DOLLAR 11/19/14 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 436 15WC 38051 JARZABEK, JOHN W JARZABEK CONSTRUCTION INC 04/25/05 VITELL & SPITZ LTD 437 15WC 38151 LEWIS, DEBRA MARIANO'S RAVENSWOOD 11/15/15 MARC J SHUMAN & ASSOCIATES 438 15WC 38261 ADAMS, MICHAEL JERNBERG INDUSTRIES, INC. 08/19/15 FOTOPOULOS, JOHN S MEACHUM & STARCK 439 15WC 38639 VAZQUEZ, ARMANDO JR EMPLOYCO USA 09/30/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 440 15WC 38699 GURDOV, KERIM CHECKER TAXI @ 06/06/15 HUNER LAW OFFICES LLC 441 15WC 38707 ROMAN, MARIA WEBER PRODUCTS CO 06/22/15 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK 442 15WC 38750 RODRIGUEZ, RICARDO PCA 10/15/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 443 15WC 38902 DORSEY, ONITA CTA 11/14/15 SANTILLI LAW GROUP CHICAGO TRANSIT AUTHORITY 444 15WC 39036 LYNCH, ADRIAN CEMECARE, LLC 07/14/15 CULLEN HASKINS NICHOLSON 445 15WC 39118 CZARNECKI, JAMES TOWNSHIP HIGH SCHOOL DIST 11/23/15 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 446 15WC 39139 GIBSON, MARK A CELTIC CARTAGE 11/25/15 THE ROMAKER LAW FIRM ROSARIO CIBELLA 447 15WC 39159 TURNER, RONALD FORD MOTOR COMPANY 06/29/15 ANKIN LAW OFFICE 448 15WC 39202 RAYMOND, NICHOLAS J UNIVERSITY OF ILLINOIS @ 11/12/15 SALVATO & O'TOOLE POWER & CRONIN LTD 449 15WC 39218 ROSE, ANGELA DOLTON/RIVERDALE SCHOOL 10/14/15 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 450 15WC 39235 COVELLO, STEVEN M VILLAGE OF SCHAUMBURG 01/16/13 THOMAS W DUDA MACIOROWSKI SACKMANN & ULRIC 451 15WC 39333 CADET, GUADALUPE M EVANSTON TOWNSHIP HIGHSCH 01/12/15 SMOLER LAW OFFICE, PC NYHAN BAMBRICK KINZIE & LOWR 452 15WC 39345 IRVIN, EDWARD CITY OF CHICAGO 05/13/15 BELCHER LAW OFFICE CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 453 15WC 39426 JOHNSON, BRYAN CHICAGO DEPT OF FINANCE 12/02/15 GOLDBERG WEISMAN & CAIRO L 454 15WC 39450 PAYAN, ROGELIO AM CASTLE METALS 09/24/15 ELFENBAUM EVERS & AMARILIO 15WC039451 -C 455 15WC 39563 WELLS, TRAY WELLCARE INC 01/03/13 JOSEPH L PLANERAL 456 16WC 03058 BAUMANN, REBECCA HOT CHOCOLATE, LLC 09/05/15 KARCHMAR & STONE LAW OFFICES JOSEPH MARCINIAK 457 16WC 03370 VASQUEZ, JUAN A A&A MIDWEST 01/13/16 ACEVES & PEREZ PC GANAN & SHAPIRO 458 16WC 03882 MARTINEZ, DANIEL CTA 01/11/16 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 459 16WC 03973 SOLISBERRY, CHECWANDA AMERICAN AIRLINES 01/29/16 RUBENS AND KRESS 460 16WC 03996 VELLA, MIKE KUJO INC 01/21/16 ANESI OZMON RODIN NOVAK KO BRYCE DOWNEY & LENKOV LLC 461 16WC 04016 HERNANDEZ, VIRGILIO LAKIN GENERAL CORPORATION 01/08/16 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 462 16WC 04042 ROBLES, ANN SUNRISE OF BARRINGTON 12/26/15 TARADASH LAW OFFICE 463 16WC 04156 FRANCIS, NICOLI J COUNTY OF COOK DEPT OF TR 01/11/16 RUBIN LAW GROUP STATES ATTORNEY OF COOK COUN 464 16WC 04196 PASIC, ASMIR HOLSTEN MANAGEMENT CORPOR 03/17/14 EFTEKHARI LAW OFFICES 465 16WC 04208 NOSKO, GARY R A ZWEIG INC 02/20/14 JOHN E LUSAK HENNESSY & ROACH PC 466 16WC 04348 CERVANTES, RAUL JB&A REMODELING LLC 01/04/16 JONATHAN SCHLACK 467 16WC 04521 TRINIDAD, REYNALDO ELITE STAFFING 04/24/15 DEPAOLO ZADEIKIS GORE 468 16WC 04526 SANCHEZ, SHIRLEY CITY OF CHICAGO DEPARTMEN 12/03/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 469 16WC 04684 KARAS, DENISE ADVOCATE CHRIST MEDICAL C 09/19/15 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 470 16WC 04786 GOLUSZKA, RAYMOND J PARAMEDIC SERVICES OF 08/30/15 JOHN J CASTANEDA HENNESSY & ROACH PC 16WC004787 -C 471 16WC 04851 HUYNH, TU C.E. NIEHOFF & CO. 10/01/15 LAW OFFICE OF JAMES URTIS 472 16WC 04894 ESPINOSA, LUIS MENARDS 12/28/15 KREITER, BYCK & ASSOC LLP 473 16WC 04992 PEREZ, RAUL ETTLESON CADILLAC BUICK G 01/05/16 JOHN F GREGORIO & ASSOC RODDY LAW LTD 474 16WC 05019 ORTIZ, LUCIA EXECUTIVE MAILING SERVICE 02/03/16 EFTEKHARI LAW OFFICES ANCEL GLINK DIAMOND BUSH & E 475 16WC 05029 HARGROVE, LUCILLE PROVIDENT HOSPITAL 08/26/14 WOODRUFF & JOHNSON STATES ATTORNEY OF COOK COUN 476 16WC 05046 BECK, JOSEPH IMPERIAL WOODWORKING COMP 12/10/11 HEALY SCANLON LAW FIRM KLAUKE LAW GROUP LLC 210 12WC016343 -C 16WC005047 -C 477 16WC 05050 SOSA, NAOMI CITY OF CHICAGO 02/01/16 COVEN LAW GROUP HENNESSY & ROACH PC 478 16WC 05071 MILLER, SAMUEL LEE UPS 09/17/15 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 479 16WC 05185 CHAVEZ, LUIS M SOUTHWEST AIRLINES 05/28/15 SAMUEL K BELL 480 16WC 05228 AVINA, ANTONIO LA GROU DISTRIBUTION SYST 06/08/15 BOUDREAU NISIVACO LLC RUSIN & MACIOROWSKI LTD 481 16WC 05297 HENDERSON, CRYSTAL IDOT @ 12/24/15 THE FITZ LAW GROUP ASSISTANT ATTORNEY GENERAL 482 16WC 05309 RESA, JERRY CITY OF CHICAGO STREETS 01/11/16 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 483 16WC 05348 ISLAS, ERNEST CHICAGO TRANSIT AUTHORITY 12/29/15 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 484 16WC 05435 GONZALEZ, ANTONIO BENEDICTINE SISTERS OF CH 06/26/15 NEUSON LAW, PC 485 16WC 06267 GARCIA, ESTELA ILLINOIS TOLLWAY PLAZA 39 01/21/16 OSVALDO RODRIGUEZ PC GANAN & SHAPIRO 16WC006268 -C 486 16WC 06320 WYSOCKI, GRZEGORZ ROCK-TENN CO 01/04/16 ANESI OZMON RODIN NOVAK KO 487 16WC 06343 CENTANO, TRACY CITY OF CHICAGO 01/26/15 FRANCIS J DISCIPIO LAW OFF 488 16WC 06486 RUSSELL-MORRIS, LINELL S LAKESHORE BEVERAGE 02/14/16 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 489 16WC 06507 RICHARDSON, MORRIS SECURITAS 01/09/16 DWORKIN AND MACIARIELLO 490 16WC 06539 JOHNSON, NOLITA CTA 01/19/15 LULAY LAW OFFICES CHICAGO TRANSIT AUTHORITY 491 16WC 06635 LALANI, KARIM N K CAB CO INC. 02/14/16 FISHER & LAMONICA 492 16WC 06817 SULEWSKI, HENRYK GITERDONE CONSTRUCTION IN 07/14/15 DABEK, JOHN LAW OFFICE 493 16WC 06887 MEDINA, SERGIO RICO FRESH INC 02/19/16 VRDOLYAK LAW GROUP LLC 494 16WC 06954 VAUGHAN, JOHN GATEWAY CONCRETE FORMING 12/10/15 HORWITZ HORWITZ & ASSOC MEACHUM & STARCK 495 16WC 06961 RUSSELL, BROGWLEY CITY OF CHICAGO DEPT 11/24/15 THE FITZ LAW GROUP 496 16WC 07018 MURILLO, MARITZA POWER STAFFING INC DBA MI 02/02/16 ANKIN LAW OFFICE MEACHUM & STARCK 497 16WC 07183 RYCZEWK, MARTYNA MANORCARE HEALTH SERVICES 02/04/16 CHRISTOPHER BUCHCAR, LTD BRYCE DOWNEY & LENKOV LLC 498 16WC 07652 CALVACHE, JESUS PARAMOUNT STAFFING 08/22/15 CULLEN HASKINS NICHOLSON 499 16WC 13650 WAIGHT, LETECIA WALGREENS 03/31/16 CHARLES LEVY & ASSOC LTD GILDEA & COGHLAN 500 16WC 13995 PETERSON, AMANDA ZIRKLE ELIZABETH LUDEMAN CENTER 08/05/15 JOHN E LUSAK ASSISTANT ATTORNEY GENERAL 501 16WC 14220 LOPEZ, MARIA CHURRO FACTORY 04/20/16 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 502 16WC 14247 MURRAY, MATTHEW PRIORITY STAFFING, LTD 03/24/16 HENNESSY & ROACH PC 503 16WC 14267 NEWSOME, SHAWNEE SCHOOL DIST 89 12/09/15 LAW OFFICES OF MARK SCHAFF INMAN & FITZGIBBONS 504 16WC 14538 MC LIN, DOMINIQUE STARBUCKS 04/22/16 VRDOLYAK LAW GROUP LLC ACCIDENT FUND HOLDINGS 505 16WC 14568 HENRY, LYDIA I CHICAGO PUBLIC SCHOOLS 03/07/16 NILSON STOOKAL GLEASON CAP 506 16WC 14608 FOSTER, KEVIN CITY OF CHICAGO-DEPT OF 05/10/13 BIZZIERI LAW OFFICES 507 16WC 14691 CARLISLE, YOLANDA M. COOK COUNTY SHERIFF DEPT. 07/30/15 MINKOW DOMIN STATES ATTORNEY OF COOK COUN 508 16WC 14735 ARROCHA, VICTOR INTEGRATED AIRLINES SERVI 04/21/16 DAVID W MARTAY GAROFALO SCHREIBER STORM 509 16WC 14766 DAVIS, SHARAE KRISPY'S CHICKEN W 04/30/16 FOHRMAN, DONALD W & ASSOCS 510 16WC 14792 LUNGARO, GIUSEPPE AVIS BUDGET GROUP, INC. 04/03/16 MICHAEL CONRAD BRADY CONNOLLY & MASUDA PC 511 16WC 14839 TORRES, RUBEN TREES OF GREEN 03/22/16 LAW OFFICE OF SCOTT B SHAP 512 16WC 14890 LOPEZ, MILLY SWISSPORT USA, INCCHICAGO 03/06/16 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 513 16WC 14905 KHOURY, ALBERT CITY OF CHICAGO DOT 04/26/16 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 514 16WC 15061 MANNING, KEVIN CHICAGO BOARD OF EDUCATIO 03/26/15 GRAZIAN & VOLPE PC 515 16WC 15078 WRIGHT, THADDIA ARAMARK INC 04/26/16 GOLDSTEIN BENDER & ROMANOF INMAN & FITZGIBBONS 516 16WC 15175 PAPAY, DAVID J VILLAGE OF STREAMWOOD 10/07/15 MEYERS & FLOWERS ANCEL GLINK DIAMOND BUSH & E 517 16WC 15200 SMOLAREK, STEVEN UNITED RENTALS 05/14/13 CULLEN HASKINS NICHOLSON KNELL & O'CONNOR 518 16WC 15225 MIMS, KESHONNA SERTOMA CENTRE 03/30/16 STROM, NEAL B 519 16WC 15328 WALLACE, VALERIE UNIVERSITY OF IL. HOSPITA 01/10/16 MARC J SHUMAN & ASSOCIATES POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 520 16WC 15375 VILLEZCAS, JOSE SEAL TIGHT EXTERIORS 12/18/15 COSTA IVONE LLC LAW OFFICES OF EDWARD J. KOZ 521 16WC 15455 WYSONG, JOSHUA L PLASTICS COLOR CORP OF IL 05/04/16 FIGLIOLI, DAVID GAROFALO SCHREIBER STORM 522 16WC 15504 CLARK, KATRINA UNISTAFF 05/12/16 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 523 16WC 15634 MATLACHOWSKI, JOHN VILLAGE OF BARRINGTON 04/10/16 NILSON STOOKAL GLEASON CAP RIPES NELSON BAGGOT KALOBRAT 524 16WC 15646 UTRIA, LUIS VANCE FOODS 02/01/16 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 525 16WC 15668 RAMIREZ, RAUL TIRADO AL KRAML CONSTUCTION COMP 02/05/16 ANGELA NARDI-QUIGLEY LAW OFFICES JOSEPH MARCINIAK 526 16WC 15680 FOTOPOULOS, JAMES OZINGA READY MIX CONCRETE 08/19/15 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM 527 16WC 15687 WILKINS, INEATHER SMITH VILLAGE 04/17/14 MICHAEL P MCCREADY & ASSOC 528 16WC 15706 ALMANZA-BORJA, FERMIN STAFF RIGHT INC. 04/26/16 HERRERA LAW CENTER MC ANDREWS & NORGLE LLC 529 16WC 15745 SANCHEZ, OSIEL MIDWEST CANVAS CORP. 11/13/14 GAROFALO SCHREIBER STORM 530 16WC 15796 DELGADO, MODESTO 2000 PLUS GROUPS, INC. 04/22/16 STROM, NEAL B 531 16WC 15812 LUNA, LORENA TOTAL STAFFING SOLUTIONS 01/04/16 CHEPOV & SCOTT LLC GILDEA & COGHLAN 532 16WC 15849 FIDIS, JOYAEL C WHITE LODGING SERVICES 05/09/16 WARREN W MARK WILSON ELSER 533 16WC 15882 SNOWDEN, NIKIL ILLINOIS CENTRAL SCHOOL B 05/02/16 BRISKMAN BRISKMAN GREENBER 534 16WC 15981 GALLIVAN, ROBERT E COOK COUNTY 02/09/16 BUDIN LAW OFFICES STATES ATTORNEY OF COOK COUN 535 16WC 16003 UNZUETA, RAFAEL RAPID PALLETS 12/01/15 MC HARGUE, JAMES P LAW OFF THOMAS & PORTELA 536 16WC 16032 O'NEAL, ANTOINETTE CHICAGO PUBLIC SCHOOLS 05/18/16 537 16WC 16126 CLAY, DEMETRIUS JEWISH CHILDREN 04/21/16 LEE, MARK N LAW OFFICE LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 538 16WC 16202 TRIMBLE, FRANK CHICAGO PUBLIC SCHOOLS 05/12/16 HUGHES SOCOL PIERS RESNICK 539 16WC 16219 FLORES, MINERVA LIBERTY BUILDING MAINTENA 02/04/16 JONATHAN SCHLACK KEEFE CAMPBELL & ASSOC LLC 540 16WC 16230 POE, BEVERLY K UNITED AIRLINES INC. 12/08/15 VITELL & SPITZ LTD 541 16WC 16307 VIZEK, PETE VILLAGE OF LYONS 04/19/16 FOOTE MIELKE CHAVEZ & O'NE 542 16WC 16347 ARROYO, IMELDA LABOR NETWORK 02/27/16 GOLDSTEIN BENDER & ROMANOF ROBERT L. SMITH 543 16WC 16379 MEEKS, KIMBERLY J COOK COUNTY 05/18/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 544 16WC 16600 GONZALEZ, RAUL SARAVIA JUST IN TIME STAFFING 04/27/16 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 545 16WC 16645 LONDON, SONYE CITY OF HARVEY 05/17/16 BURNES & LIBMAN SMITH AMUNDSEN LLC 546 16WC 16695 HOLMES, CARA VETERANS DISTRIBUTION 07/01/15 JOHN E LUSAK POWER & CRONIN LTD 547 16WC 16734 HARRIS, KIMBERLY K HOLY CROSS HOSPITAL 07/11/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 16WC016735 -C 548 16WC 16797 CARTER, CHRISTOPHER CHICAGO TRANSIT AUTHORITY 05/10/16 LAW OFFICE OF KEVIN O'BRIE CHICAGO TRANSIT AUTHORITY 549 16WC 16872 JOHNSON, TESSIE HOLLAND HOME 05/26/16 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 550 16WC 16971 HERNANDEZ, JOSEFA NATION PIZZA & FOOD 04/24/15 COSTA IVONE LLC MEACHUM & STARCK 551 16WC 17003 OKOCHA, PAUL CHICAGO MEDALLION MGMT CO 04/02/16 LAW OFFICE RYAN ROSENTHAL 552 16WC 17057 DEAN, GARY A. AIM LEASING COMPANY 05/11/16 ROMANUCCI & BLANDIN ALLEN & NEWMAN 553 16WC 17146 CIABURRI, NICHOLAS L CITY OF DES PLAINES 11/07/13 THOMAS W DUDA 16WC017147 -C 554 16WC 17187 SALYER, RAMEY STARCON INTERNATIONAL 10/16/15 TOPPER & WEISS LTD MEACHUM & STARCK 555 16WC 17373 CAMACHO, MARIA FEDERAL MOGUL CORP 04/27/16 COYNE REINKE LAW

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 574 16WC 25327 AREIZAGA, ERIK JEWEL FOODS 08/12/16 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 575 16WC 25341 DENTON, MICHAEL VILLAGE OF OAK LAWN 01/24/14 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 576 16WC 25435 WELLINGTON, LAWRENCE FIRST CHOICE MEDICAR 07/01/16 PETER D CORTI LAW GROUP 577 16WC 25461 RIVERA, ANGEL PLANT PROPERTY MANAGEMENT 06/27/16 LAW OFFICE OF SCOTT B SHAP HOLECEK & ASSOCIATES 578 16WC 25536 BALLARD, RONALD A. CITY OF CHICAGO DEPARTMEN 08/06/16 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 579 16WC 25555 GRECO, JOSEPH DRAKE HOTEL 06/06/16 GOLDBERG WEISMAN & CAIRO L NOBLE & ASSOCIATES PC 580 16WC 25575 BRIGHT, THERESA UPS 07/26/16 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 581 16WC 25710 RIVERA, MIGUEL CHICAGO TRANSIT AUTHORITY 08/10/16 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 582 16WC 25802 WILLIAMS, TERRY SALEM BAPTIST CHURCH W 01/22/16 HORWITZ HORWITZ & ASSOC 583 16WC 25869 DRUMMOND, PATRICIA CTA 07/14/16 URSULA BABICZ & ASSOC CHICAGO TRANSIT AUTHORITY 584 16WC 26060 RAINEY, ALLAN J CITY OF CHICAGO 08/22/16 COVEN LAW GROUP 585 16WC 26082 VELAZQUEZ-OJEDA, MADELINE CHICAGO CLASSIC COACH LLC 08/12/16 DWORKIN AND MACIARIELLO 586 16WC 26168 VARGAS, RUBEN GET FRESH PRODUCE 08/23/16 COSTA IVONE LLC CAPUANI & SCHNEIDER 587 16WC 26196 COGLIANESE, DAVID PDQ TOOL & STAMPING COMPA 08/18/16 BIZZIERI LAW OFFICES 588 16WC 26211 POINTER, MANDELL JIFFY LUBE 08/03/16 SHELDON I MINKOW & ASSOCIA 589 16WC 26276 SHELTON, GINA P COOK COUNTY, ILLINOIS 10/24/15 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 590 16WC 26302 HUNT, BRODERICK DART CONTAINERS 05/03/16 GOLDSTEIN AIOSSA & GOOD 591 16WC 26329 ADAMS, CAROL EL HOGAR DEL NINO 05/12/14 RAYMOND M SIMARD, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 592 16WC 26390 HUCK, DANIEL VILLAGE OF WILMETTE 08/04/16 GORDON & CENTRACCHIO LLC 593 16WC 26452 WILSON, AARON LIFELINE AMBULANCE 08/03/16 DISPARTI LAW GROUP PA 594 16WC 26486 PEREZ, EDUARDO CITY OF CHICAGO 07/07/16 COVEN LAW GROUP 595 16WC 26510 BRAND, JOSEPH VILLAGE OF PALATINE 07/07/16 ANKIN LAW OFFICE POWER & CRONIN LTD 596 16WC 26573 BOYAS, MARCELINO PRINT TURNAROUND 07/22/16 LAW OFFICES LEONARDO MORAL ROBERT L. SMITH 597 16WC 26664 ZAMORA, JOSE METAL-MATIES INC. 04/18/16 GRAZIAN & VOLPE PC HOLECEK & ASSOCIATES 598 16WC 26668 HAYES, GEORGE SOUTHWEST AIRLINES 06/30/16 RONALDSON & KUCHLER HENNESSY & ROACH PC 599 16WC 26914 GARNCARZ, DARIUSZ DECAMS CABINETS INC 08/10/16 BOGUSZ & BOGUSZ LTD 600 16WC 27114 RYAN, CATHERINE CITY OF CHICAGO 05/20/16 WOODRUFF & JOHNSON 601 16WC 27129 082 WILLIAMS, FELICIA OJKAY 08/04/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 082 16WC027128 -C 602 16WC 27203 LOREDO, ROSALBA TECTONICS 08/31/16 HUGHES SOCOL PIERS RESNICK HOLECEK & ASSOCIATES 603 16WC 27308 LOPEZ, ROBERTO CARLOS GAL RAINBOW COLORS INC 08/11/16 SALK, STEVEN B & ASSOC LTD 604 16WC 27468 HUERTAS, JAMES E NEUMAN FAMILY SERVICES 08/22/14 COHN LAMBERT RYAN & SCHNEI 605 16WC 27521 YOUSIF, SAMIR K AALLIED DIE CASTING COMPA 11/23/15 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 606 16WC 27574 PETERSON, DEATRICE TENET CONCEPTS 07/16/16 BIZZIERI LAW OFFICES 607 16WC 27618 RIKER, JAMES JJB STEEL INC 03/04/16 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 608 16WC 32527 BARNES, DORETHA CITY OF CHICAGO DEPT OF 07/05/16 O'CONNOR & NAKOS CITY OF CHICAGO 609 16WC 34113 ANDERSON, RONALD H ELECTRO-MOTIVE DIESEL, IN 08/12/16 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 610 16WC 34145 LOME, RAFAEL SMITH COOPER INTERNATIONA 01/04/16 JOSEPH G HAFFNER LAW OFFIC LAW OFFICES JOSEPH MARCINIAK 611 16WC 34171 ROSS, CHRISTINE PRESBYTERIAN HOMES 07/06/16 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR 612 16WC 34203 BOYCE, ANTHONY ALLIED SVC GROUP 08/14/16 LEO ALT HOLECEK & ASSOCIATES 613 16WC 34229 JOHNSON, RICKY B SEPTRAN INC 05/02/16 WAYNE A ADAMS 614 16WC 34276 ISRAEL, GINA PINE DENTAL CARE, PC 07/18/16 GOLDBERG WEISMAN & CAIRO L 615 16WC 34300 GRAY, KENNETH WATER ONE, INC 02/08/16 RIDGE & DOWNES LAW OFFICES OF EDWARD J. KOZ 616 16WC 34311 AMBROSE, RENODA L WILLIS FEDEX GROUD PACKAGE SYSTE 10/31/16 FIGLIOLI, DAVID 617 16WC 34331 GALINDO, HECTOR PACKERS SANITATION 09/11/16 JOHN E LUSAK GANAN & SHAPIRO 618 16WC 34349 RODRIGUEZ, FLORENTINO VARGAS GROUP 03/10/16 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 619 16WC 34496 WOODIE, SALVADOR VILLAGE OF ROBBINS 08/20/16 MAURICE E DUSKY PC RUSIN & MACIOROWSKI LTD 620 16WC 34509 FUENTES, JUANA M LUTHERAN HOME CUMMUNITY 07/22/16 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC 621 16WC 34514 PIERCE, D'JARIS TREASURE ISLAND 09/21/16 CONWAY LAW OFFICE GANAN & SHAPIRO 622 16WC 34545 VALKENBURG, MATTHEW F UNITED PARCEL SERVICE 07/19/16 ANESI OZMON RODIN NOVAK KO ASA LAW GROUP 623 16WC 34648 WHITLEY, MONICA SP PLUS CORPORATION 04/27/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 624 16WC 34680 ARIAS, CARLOS CENTRAL TRANSPORT 06/16/16 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 625 16WC 34741 RUBIO, REBECCA M MACNEAL HOSPITAL 10/18/16 WHITESIDE & GOLDBERG LTD 626 16WC 34761 MUDDAMALLE, KENNETH UNITED AIRLINES INC. 11/04/16 VASILATOS & COTTER LLC 627 16WC 34781 ALUMBAUGH, JERRY L METALWORKING LUBRICANTS 02/06/15 CUDA LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 628 16WC 34842 BERNABE, CARLOTA UPS 07/15/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 629 16WC 34862 ORTEGA, MARICELA FORD MOTOR COMPANY 04/04/16 MC HARGUE, JAMES P LAW OFF POWER & CRONIN LTD 630 16WC 34889 KHAN, OBAIDULLAH RHS CAB INC 10/25/16 LAW OFFICE RYAN ROSENTHAL 631 16WC 34911 QUINONEZ, JUAN AMERICAN AIRLINES/AMR COR 11/10/16 SEIDMAN MARGULIS & FAIRMAN 632 16WC 34925 RAMOS, VICTOR KVF COMPANY 11/03/16 COSTA IVONE LLC LAW OFFICES JOSEPH MARCINIAK 633 16WC 34989 OCHOA, LUIS ALLIED BUILDING PRODUCTS 06/02/16 RUBENS AND KRESS MEACHUM & STARCK 634 16WC 35003 WILLIAMS, MARY UPS 08/02/16 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 635 16WC 35013 GARCIA-HERNANDEZ, EDUARDO KOCH FOODS INC 09/29/16 BOWMAN & CORDAY MACIOROWSKI SACKMANN & ULRIC 636 16WC 35022 RUSSELL, ZERRIE PROVISO WEST HIGH SCHOOL 10/12/16 FRANCIS J DISCIPIO LAW OFF ANCEL GLINK DIAMOND BUSH & E 637 16WC 35136 TAMAYO, MARTHA BEVOLUTION GROUP 10/28/16 LAW OFFICE HUGO ORTIZ 638 16WC 35156 RUBIO, ERNEST CITY OF CHICAGO DEPARTMEN 10/28/16 VRDOLYAK LAW GROUP LLC 639 16WC 35197 SANCHEZ, LAURA PRESTIGE MAINTENANCE, INC 08/31/16 MC HARGUE, JAMES P LAW OFF MEACHUM & STARCK 640 16WC 35223 HARRIS, ANTOINE J CITY OF CHICAGO DEPT OF 10/17/16 ANKIN LAW OFFICE CITY OF CHICAGO 641 16WC 35247 GREENSTEIN, JULIE HINA ENTERPRISES INC D/B/ 10/15/16 LAW OFFICES OF PHILLIP FAR KEEFE CAMPBELL & ASSOC LLC 642 16WC 35314 BURT, LATRICIA ELIZAETH LUDEMAN MENTAL H @ 02/15/16 HORWITZ HORWITZ & ASSOC COLIN KICKLIGHTER 643 16WC 35403 TRUJILLO, GILBERTO GRECO & SONS 11/04/16 COSTA IVONE LLC 644 16WC 35539 NUNO, ISIDRO COCA COLA 09/06/16 COVEN LAW GROUP 645 16WC 35582 HERSTOWSKI, PAUL MUNCH SUPPLY 11/03/16 R. MARK MARITOTE PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 646 16WC 35595 SCHODTLER, DONNA WEISS MEMORIAL HOSPITAL 09/04/16 WOLIN KELTER & ROSEN LTD HENNESSY & ROACH PC 647 16WC 35633 HUDSON, KATHERINE ILLINOIS CENTRAL SCHOOL B 10/06/16 KROL BONGIORNO & GIVEN LTD MACIOROWSKI SACKMANN & ULRIC 648 16WC 35665 WASHINGTON, SHARON WALGREENS 08/20/16 SPINAK & BABCOCK 649 16WC 35772 GOMERO, MERCEDES CLEAR STAFF INC 06/17/16 LAW OFFICES OF MARK SCHAFF ACCIDENT FUND HOLDINGS 650 16WC 35864 HUBER, ROBERT PAYDAY, INC III C/O INCOR W 11/06/14 BRIAN J MC MANUS & ASSOC, LEAHY EISENBERG & FRAENKEL 651 16WC 35954 GARZA, JOSEPH DEVON CARTAGE 10/19/16 O'CONNOR & NAKOS 652 16WC 35968 HAQQ, MONICA M PROFESSIONAL ELEVATOR SER 06/21/16 GOLDBERG WEISMAN & CAIRO L 653 16WC 36037 OLIVELLA, MARIO HOGAN PLUMBING INC 10/17/16 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 654 16WC 36064 CORDERO, NATHEN GEORGIA NUT COMPANY 10/14/16 DWORKIN AND MACIARIELLO CAPUANI & SCHNEIDER 655 16WC 36088 VARGAS, ROBERTO FLEXIBLE STAFFING SERVICE 10/19/16 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 656 16WC 36119 PRUCHNICKI, WESLEY 3 PHASE LINE CONSTRUCTION 11/09/16 TURCYCHUTE LLC BRYCE DOWNEY & LENKOV LLC 657 16WC 36135 MORGAN, JOHNNIE CITY OF HARVEY 11/18/16 KREITER, BYCK & ASSOC LLP 658 16WC 36144 WATTS, DENNIS UNITED AIRLINES 09/13/16 HEALY SCANLON LAW FIRM 659 16WC 36163 HERNANDEZ, GEORGE O CROWN SEVICES INC 11/18/16 ANKIN LAW OFFICE 660 16WC 36241 JACOBS, DYSHIKA L CHICAGO TRANSIT AUTHORITY 11/18/16 FIGLIOLI, DAVID CHICAGO TRANSIT AUTHORITY 661 16WC 36323 WALKER, STEPHEN HEATHER HEALTH CARE CENTE 11/21/16 GORDON & CENTRACCHIO LLC 662 16WC 36342 RODRIGUEZ, MARGARITA CARL BUDDING & CO 10/17/16 CHEPOV & SCOTT LLC KNELL & O'CONNOR 663 16WC 36345 WALUSZKO, ALOJZY LESTER MASONRY GROUP INC 10/26/16 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 664 16WC 36365 MEVIS, STEVEN ADCOCK BROTHERS AUTO TRAN 10/10/16 HENNESSY & ROACH PC 665 16WC 36390 PEDROZA, JESUS COREY STEEL 06/23/15 PARENTE & NOREM PC MEACHUM & STARCK 666 16WC 36434 WASHLOW, MARGARET A WALGREEN CO 07/17/16 LAW OFFICE PHILIP BLOMBERG 667 16WC 36453 HOSKINS, SAMMIE EDSAL MANUFACTURING CO. 05/18/15 LAW OFFICES OF SLAVIN & SLAVIN 668 16WC 36512 LANSTON, KEENAN BJ'S TRANSPORTATION 11/23/16 RIPES NELSON BAGGOT KALOBRAT 669 16WC 36549 MOHAMMED, MEHMOOD FLASH CAB CO 09/16/16 FINE, MARK S LAW OFFICES 670 16WC 36581 MASHAK, THOMAS J CTA 10/28/16 CRONIN & PETERS CHICAGO TRANSIT AUTHORITY 671 16WC 36602 QUAM, DAREN PRECISION PIPELINE, LLC 11/04/16 NILSON STOOKAL GLEASON CAP BRYCE DOWNEY & LENKOV LLC 672 16WC 36635 BRINSON, HILLERY J CPC LOGISTICS 09/27/16 COLLISON LAW OFFICES GAROFALO SCHREIBER STORM 673 16WC 36682 DAVIS, LANNIE FORD MOTOR COMPANY 10/11/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 674 16WC 36812 LAUCK, SARAH DOLLAR TREE 08/27/16 CULLEN HASKINS NICHOLSON 675 16WC 36831 FLORES, ESTELA ARYZTA LLC 11/03/16 ENCINAS & ORNELAS HENNESSY & ROACH PC 676 16WC 36860 TREJO, JOSE CHICAGO AMERICAN MANUFACT 11/06/15 RUEDA, IVAN A 677 16WC 36902 RITTER JR., DONALD F L&S CARTAGE 11/16/15 LEONARD LAW GROUP LLC 678 16WC 36996 SHIMANOVASKY, ROGER FEDEX EXPRESS 12/01/15 DEER & STONE PC 679 16WC 37014 WILLIAMSON, ASHLEY UNIVERSITY OF ILLINIOS HO 11/14/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 680 16WC 37063 MCNAIRY, AYONNA ARAMARK 09/10/16 CHASE & WERNER LTD 681 16WC 37134 GEORGOPOULOS, ALANA JEWEL FOOD STORES, INC. 08/16/16 BUDIN LAW OFFICES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 682 16WC 37163 CAMPBELL, MARK REPUBLIC AIRWAYS 04/27/16 KATZ FRIEDMAN EAGLE ET AL 683 16WC 37238 MARTINEZ, VERONICA CARAUSTAR CUSTOM PACKAGIN 11/09/14 DEPAOLO ZADEIKIS GORE KNELL & O'CONNOR 16WC037240 -C 684 16WC 37253 RUMORO, JOHN OAK PARK POLICE DEPT 11/26/16 O'CONNOR & NAKOS 685 16WC 37393 LINDHOLM, PAUL CHICAGO TRANSTI AUTHORITY 01/16/13 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 686 16WC 37440 PERVAZ, ASLAM TAXI EXPERTS 10/11/16 LAW OFFICE RYAN ROSENTHAL 687 16WC 37508 JACKSON, LISA A FRESENIUS KABI 12/01/16 SHELDON I MINKOW & ASSOCIA 688 17WC 02406 NELSON-DANLEY, CRYSTAL Y COOK DUPAGE TRANSPORT CO, 11/28/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 689 17WC 03710 MEADE, PAGE UNITED AIRLINES 12/25/16 HEALY SCANLON LAW FIRM 690 17WC 04225 SCANIO, ANTHONY JEWEL FOODS 11/14/16 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 691 17WC 04269 ALLEN, LEON PF CHICAGO HOLDING LLC 12/08/16 RICHARD O. GREENFIELD RUSIN & MACIOROWSKI LTD 692 17WC 04292 CARBAJAL, ROY CHICAGO STREETS & SANITAT 12/19/16 WHITING LAW GROUP HENNESSY & ROACH PC 693 17WC 04324 DALE, JEFFREY IL STATE TOLLWAY AUTHORIT 07/12/16 STEVEN J TENZER, LTD GANAN & SHAPIRO 694 17WC 04358 BRASKI, BRUCE W PEOPLES GAS LIGHT & COKE 01/13/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 695 17WC 04364 CHAVEZ, FEBE SENIOR FLEXONICS 06/10/15 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 696 17WC 04409 HENDRIX, GARRETT CHICAGO TRANSIT AUTHORITY 01/26/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 697 17WC 04423 TOVALIN, BERNARDO TUFTS GRINDING INC 01/11/17 ANKIN LAW OFFICE 698 17WC 04482 COOK, MICHAEL RUDD CONTAINER 02/03/17 MICHAEL P MCCREADY & ASSOC 699 17WC 04506 MARTIN, RANDY BOYS & SUNS 01/13/17 KATZ FRIEDMAN EAGLE ET AL SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 700 17WC 04528 BUTZ, ROBERT DEBBIE'S CUSTOM STAFF INC 01/11/17 FRIEDMAN, MICHAEL T & ASSO 701 17WC 04563 BROWN, SAM COOK DUPAGE TRANSPORTATIO 10/18/15 JOHN E LUSAK 702 17WC 04593 HARRIS, FALLON CITY OF CHICAGO 02/07/17 MC HARGUE, JAMES P LAW OFF 703 17WC 04604 AZIZ, TAREQ BROADBAND INTERACTIVE 01/16/17 DWORKIN AND MACIARIELLO 704 17WC 04612 ESCOBEDO, JULIO LUPFER LANDSCAPING 11/22/16 COVEN LAW GROUP 705 17WC 04681 PLACEK, DANIEL FED EX FREIGHT 09/22/16 STEVEN J TENZER, LTD QUINTAIROS PRIETO WOOD & BOY 706 17WC 04768 RIVERA, JACQUELIN PIZZA HUT 01/25/17 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 707 17WC 04793 HOLIDAY, VIRGIE ARDAGH GROUP 12/02/16 BRISKMAN BRISKMAN GREENBER 708 17WC 04815 DOBY-MCLAURIN, LINDA SOUTHPOINT NURSING & REHA 11/24/16 WOODRUFF & JOHNSON KNELL & O'CONNOR 709 17WC 04940 DEALBA, EFRAIN ROSE PACKING COMPANY 01/26/17 SALVATO & O'TOOLE NYHAN BAMBRICK KINZIE & LOWR 710 17WC 04958 SHAFFER, DIONNIA BRINKS, INC 07/29/16 ARGIONIS & ASSOCIATES LLC 711 17WC 04981 JAMES, LORRAINE CHICAGO TRANSIT AUTHORITY 01/29/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 712 17WC 05005 VARIKATT, GEORGE UPS 12/24/15 LEONARD LAW GROUP LLC ASA LAW GROUP 713 17WC 05028 DENNIS, MARK R SOUTHWEST AIRLINES CO. 01/24/17 ANESI OZMON RODIN NOVAK KO 714 17WC 05110 ALLEN, TRACI M CTA 02/15/17 SIGMOND, STEVEN CHICAGO TRANSIT AUTHORITY 715 17WC 05132 SMITH, TYRONE STAFF MANAGEMENT SMX 01/18/17 GOLDSTEIN AIOSSA & GOOD 716 17WC 05206 SALAZR, CARLOS A HERNANDE BL RESTAURANT OPERATIONS, 01/29/17 ANKIN LAW OFFICE 717 17WC 05212 DORSEY, ROHONDA CTA 02/01/17 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 718 17WC 05232 MORA, JOSEFINA CHICAGO MARRIOTT O'HARE 09/05/16 COSTA IVONE LLC GILDEA & COGHLAN 719 17WC 05252 HOWARD, JACOB CITY OF ARLINGTON HEIGHTS 12/31/16 FRANCIS J DISCIPIO LAW OFF MACIOROWSKI SACKMANN & ULRIC 720 17WC 05272 CLAY, JACKIE UPS 08/22/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 721 17WC 05297 ROMAN, ILUMINADA COOK COUNTY C/O 03/11/15 RAYMOND P GARZA LAW OFFICE STATES ATTORNEY OF COOK COUN 722 17WC 05366 LEE, RAYMOND HMS HOST 06/28/16 RUBIN LAW GROUP ROBERT L. SMITH 723 17WC 05392 IBANEZ, MICHELLE I HILTON WORLDWIDE INC 11/03/16 ANKIN LAW OFFICE 724 17WC 05449 CARROLL, MAUREEN P CITY OF CHICAGO 01/03/17 BARRY A KETTER 725 17WC 05498 COCKRELL III, ARTHUR L WERTHEIMER BOX CORPORATIO 09/06/16 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 726 17WC 05536 KENNEDY, HERMAN WEATHER'S LTD DBA 02/08/17 ANKIN LAW OFFICE 727 17WC 05558 STAMPS, MARSHA CHICAGO PUBLIC SCHOOLS 02/08/16 DWORKIN AND MACIARIELLO 728 17WC 05572 BLAKES, JAMES AT&T 03/04/14 TAMVAKIS, GEORGE L HENNESSY & ROACH PC 729 17WC 05610 ADAMS-DEJARDIN, ROBIN AMERICAN AIRLINES 11/03/16 STRONG LAW OFFICE GAROFALO SCHREIBER STORM 730 17WC 05641 SOTO, RICARDO CONCRETE STRUCTURES 01/27/17 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 731 17WC 05762 COLON, JULIO FERRARA CANDY 02/17/17 GOLDSTEIN BENDER & ROMANOF 732 17WC 05792 SIMMONS, MILTON FORD MOTOR COMPANY 07/01/16 COHN LAMBERT RYAN & SCHNEI 733 17WC 05813 WARE, MICHELLE C LUTHERAN SOCIAL SERVICES 02/07/17 ANKIN LAW OFFICE 734 17WC 05832 CRUZ, CARMEN ARYZTA 07/05/16 LAW OFFICES LEONARDO MORAL 735 17WC 05855 BAGGETT, TECORA CHICAGO PUBLIC SCHOOLS 02/17/17 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 736 17WC 05916 COVINGTON, DAVID SOUTH SHORE HOSPITAL 02/18/17 SKLARE LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 737 17WC 05951 FOURNIER, DILLON CHICAGO BLACKHAWKS 11/15/15 FLOYD LAW FIRM 738 17WC 05954 NORFLEET, DONNETTA AMERICAN AIRLINES DBA ENV 09/05/16 BARRY STEWART SILVER 739 17WC 05972 BARRON, ANGELA M AMBULANCE TRANSPORTATION, 02/09/17 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 740 17WC 05997 HOLT, JANET A STANDARD CLUB 09/10/13 SALK, STEVEN B & ASSOC LTD 741 17WC 06102 PURBALLARI, FLORIJE PROSPECT AIRPORT SERVICES 10/20/16 ROMANEK & ROMANEK 742 17WC 06115 MANASRAH, ZAHRAN YELLOW CAB AFFILIATION, I 09/04/16 HETHERINGTON KARPEL BOBBER 743 17WC 06144 VELASQUEZ, ABILIO LOU MALNATI'S 07/29/16 JONATHAN SCHLACK 744 17WC 06176 LUVIANO, JOSE MARWILL CAB CO 07/29/16 LANNON LANNON & BARR LTD 745 17WC 06195 THEOHARIS, GEORGE P RODITY'S RESTAURANT 11/15/15 THERMAN LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 746 17WC 06276 LUNN, JAMES JR ALLIED BUILDING PRODUCTS 09/21/16 STROM, NEAL B MEACHUM & STARCK 747 17WC 06315 ALLEN, SHERRON CHICAGO STATE UNIVERSITY @ 02/06/17 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 748 17WC 06337 HERRERA, RUDY MVP WORKFORCE 12/17/16 HERRERA LAW CENTER 749 17WC 06355 BARKSDALE, CHANEL WALGREENS 09/12/16 LAW OFFICE OF SCOTT B SHAP 750 17WC 06376 CONNOLLY, SUSAN ADVOCATE LUTHERAN GENERAL 03/31/16 NYHAN BAMBRICK KINZIE & LOWR 751 17WC 06406 MCMINN,JOANN AMERICAN AIRLINES 02/24/17 RUBENS AND KRESS 752 17WC 06430 LOZANO-ASCENCIO, JAVIER NEW WORLD VAN LINES 12/23/16 ELFENBAUM EVERS & AMARILIO 753 17WC 06465 KUPRIYANOV, VLADIMIR GENUINE PARTS COMPANY 03/02/15 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 754 17WC 06493 CORRALES, ADAN PARLOR PIZZA BAR 09/29/16 AIOSSA LAW FIRM WOLF LAW LTD 755 17WC 06509 JOHNSON, ANTHONY STAFF NETWORK 02/08/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 756 17WC 06602 PULLIAM, SUZAN CALUMET TOWNSHIP DIST 132 02/24/17 COYNE REINKE LAW ANCEL GLINK DIAMOND BUSH & E 757 17WC 06613 BRIDGEMON, AHNAHTIYAH AMAZON.COM INC 02/10/17 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 758 17WC 06721 TAMEZ, LUIS SKYLINE DESIGN, INC 09/26/16 FIGLIOLI, DAVID KEEFE CAMPBELL & ASSOC LLC 759 17WC 06741 VILLAVICENCIO, PATRICIA UNITED AIRLINES INC. 01/12/17 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 760 17WC 06816 ROBINSON, MICHELLE ST OF ILLINOIS/COURT REPO 10/27/16 EDWIN REYES LEGAL GROUP COLIN KICKLIGHTER 761 17WC 06836 PAVON, MARIA GOLD STANDARD BAKING 01/19/17 CULLEN HASKINS NICHOLSON 762 17WC 06878 CASILLAS, ROSA MSG SERVICE GROUP INC 12/14/16 HART & DAVID LLP 763 17WC 06924 DOBSON, ANNA FEDERAL EXPRESS 01/23/17 COVEN LAW GROUP 764 17WC 06930 TAYLOR, KIMBERLY CHICAGO TRANSIT AUTHORITY 02/02/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 765 17WC 06964 MIHAILOVICH, STEVEN METROPOLITAN STEEL 08/23/16 HORWITZ HORWITZ & ASSOC 766 17WC 06995 HAMILTON, JAMES UNITED PARCEL SERVICE 02/07/17 RUBENS AND KRESS ASA LAW GROUP 767 17WC 07016 SHAW, LARRY WEST SUBURBAN HOSPITAL 09/07/16 VRDOLYAK LAW GROUP LLC 768 17WC 13688 KIMBROUGH, DENNIS SOUTHWEST AIRLINES 04/04/17 DAVID W MARTAY 769 17WC 13828 EDDINS, MONIQUE UNITED AIRLINES INC 04/07/17 BRIAN J MC MANUS & ASSOC, 770 17WC 13933 MCGOWAN, LACHELLE HOME DEPOT 04/10/17 VASILATOS & COTTER LLC ADELSON TESTAN & BRUNDO 771 17WC 13980 BURNOM, PARIS FORD MOTOR CO 05/03/17 KREITER, BYCK & ASSOC LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 772 17WC 14004 BEDOY, MAGDALENA THE DRAKE HOTEL 04/28/17 ELFENBAUM EVERS & AMARILIO NOBLE & ASSOCIATES PC 773 17WC 14013 MEDINA, ERIC BIONIC AUTO PARTS & SALES 03/28/17 ANKIN LAW OFFICE GANAN & SHAPIRO 774 17WC 14050 FELTES, JOHN THE NINE PRODUCTIONS, LLC 04/20/17 RUBIN LAW GROUP ROSARIO CIBELLA 775 17WC 14071 PRATT, FRANCES CHICAGO PUBLIC SCHOOLS 01/20/17 LEE, MARK N LAW OFFICE 776 17WC 14151 KEENE, YVETTE FORD MOTOR CO 03/15/17 KUMLIN & FROMM 777 17WC 14167 SPOON, JASON HOMEWOOD DISPOSAL, INC 10/13/16 HUGHES SOCOL PIERS RESNICK KEEFE CAMPBELL & ASSOC LLC 778 17WC 14185 BINYAMIN, BOTRIS CE NIEHOFF & CO 03/29/17 KALOGERAKOS & ASSOC 779 17WC 14207 FITZPATRICK, PATRICK M COOK COUNTY SHERIFF'S DEP 09/14/16 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 780 17WC 14255 RENOVALES, JANIELLIE SERVICEMASTER 03/28/17 GOLDSTEIN BENDER & ROMANOF 781 17WC 14316 LYTLE, THOMAS JB HUNT TRANSPORT INC 01/10/17 KOSIN LAW OFFICE LTD GRANT & FANNING 782 17WC 14338 TOMAS, DOMINICK L WINPAK PORTION PACKING IN 03/19/17 ANKIN LAW OFFICE 783 17WC 14384 RABEL, WILLIAM M UPS - FRANKLIN PARK 05/19/15 DAVID B RABEL 784 17WC 14435 AVALOS, AMELIA ARCIGA B & B MAINTENANCE INC 04/05/16 HERRERA LAW CENTER HOLECEK & ASSOCIATES 785 17WC 14440 HAYWOOD, LLOYD CTA 08/05/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 17WC014441 -C 17WC015158 -C 786 17WC 14481 ROBLE, EPIFANIO III MCGARTH ACURA OF DT CHICA 12/22/16 COSTA IVONE LLC 787 17WC 14495 NIEMANN, GREGORY FORWARD AIR LOGISTICS 04/24/17 NEWLAND & NEWLAND HINSHAW & CULBERTSON 788 17WC 14537 WILLIAMS, JEROME LORI'S GIFTS 05/05/17 ROGER D RUDICH LTD 789 17WC 14565 LADD, OTIS ALPHA BAKING CO, INC 02/27/17 STEVEN J MALMAN & ASSOCIAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 790 17WC 14572 WOJS, MAREK FOX MACHINE & TOOL, INC 01/10/17 BELLAS & WACHOWSKI 791 17WC 14623 DESZEZ, PAULINA HK ENTERPRISE CORPORATION 04/14/17 GOLDBERG WEISMAN & CAIRO L 792 17WC 14660 SCHMALL, CAROL A PALOS COMMUNITY HOSPITAL 01/06/15 FRIEDMAN & SOLMOR LTD POWER & CRONIN LTD 793 17WC 14698 PACE-MOODY, ANGELA UNIVERSITY OF CHICAGO 03/29/16 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 794 17WC 14717 MORENO, KARINA MIMOSA INTERIOR LANDSCAPI 04/14/17 GONZALEZ LAW GROUP 795 17WC 14735 POKKA, VILLE ROCKFORD ICE HOGS 12/21/16 FLOYD LAW FIRM 796 17WC 14767 ALVARADO, JOSE A CLERK OF THE CIRCUIT COUR 01/19/17 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 797 17WC 14790 DALLAS, STEVE BUDDY GUY LEGENDS 04/27/17 JAMES ELLIS GUMBINER & ASS GANAN & SHAPIRO 798 17WC 14838 COBLEIGH, ROSE FOOD SERVICE DATABASE COM 04/26/17 799 17WC 14905 MEHRINGER, BRIAN NORTHERN PRODUCTS 02/13/17 PARENTE & NOREM PC 800 17WC 14926 VAUGHN, MAYA TITAN SECURITY SERVICES 05/14/17 ANGELINI & ORI LLC 801 17WC 14944 WILLIAMS, EMANUEL FORD MOTOR COMPANY 05/15/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 802 17WC 14987 GATES, LARRY IRON MOUNTAIN RECORDS MGM 01/30/17 FIGLIOLI, DAVID 803 17WC 14988 LENTINO, DANIEL PATRICK CADILLAC 09/12/16 CAPRON & AVGERINOS PC ROBERT L. SMITH 804 17WC 15054 HERNANDEZ, ALFONSO ASSEMBLERS 08/05/15 HART & DAVID LLP 805 17WC 15094 CRUZ, GABRIEL MILLWOOD, INC 04/04/17 KREITER, BYCK & ASSOC LLP KEEFE CAMPBELL & ASSOC LLC 806 17WC 15122 REZA-GARCIA, NOE FLEXIBLE STAFFING SERVICE 04/22/17 GOLDSTEIN BENDER & ROMANOF 807 17WC 15142 SARTIN, RENEE PROPAYHR, LLC 06/12/16 HEALY SCANLON LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 808 17WC 15149 SPAN, ALONO K JR CINTAS CORPORATE SERVICES 11/01/16 ANKIN LAW OFFICE POWER & CRONIN LTD 809 17WC 15164 OLSON, BRETT C TRADER JOE'S 02/12/17 VASILATOS & COTTER LLC 810 17WC 15199 TORRES, VIRGINIA GOLD STANDARD BAKING 03/08/17 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 811 17WC 15221 STANTON, KEITH JEWEL FOOD STORE INC 02/03/17 ANKIN LAW OFFICE 812 17WC 15239 PEREZ, TIMOTHY COOK CNTY DEPT OF CORRECT 01/07/15 MC HARGUE, JAMES P LAW OFF STATES ATTORNEY OF COOK COUN 813 17WC 15266 DURR, MARCUS J ULTRA FOODS 05/17/16 RAYMOND M SIMARD, PC 814 17WC 15284 KARIM, YVONNE UNITED AIRLINES INC. 09/09/16 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 815 17WC 15316 GUADIAN, EDUARDO PRIME SCAFFOLD, INC 11/30/16 KARCHMAR & STONE 816 17WC 15342 VALDEZ, GONZALO ELITE STAFFING 05/11/17 ENCINAS & ORNELAS 817 17WC 15362 BOUAOUINATE, HAFID B AMERICAN AIRLINES GROUP, 04/25/17 ANKIN LAW OFFICE 818 17WC 15405 ORMSBY, LORRAINE UNITED AIRLINES 12/01/16 NILSON STOOKAL GLEASON CAP 819 17WC 15489 NGUYEN, ANH ST MARY PRESENCE 05/14/17 VRDOLYAK LAW GROUP LLC 820 17WC 15535 ALATORRE, GLORIA WALMART 08/10/16 LOSS & PAVONE QUINTAIROS PRIETO WOOD & BOY 821 17WC 15553 MAHONE, TOMIKO OCTAPHARMA PLASMA 05/17/17 BRISKMAN BRISKMAN GREENBER 822 17WC 15569 PACHECO, TONY CHIPOTLE MEXICAN GRILL 05/15/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 823 17WC 15595 CASTREJON, MARIA ELENA JW MARRIOTT CHICAGO 04/23/17 ELFENBAUM EVERS & AMARILIO NYHAN BAMBRICK KINZIE & LOWR 824 17WC 15625 VASILJEVIC, RAJKO DYNAMEX 09/06/16 TAMVAKIS, GEORGE L SCOPELITIS GARVIN LIGHT 825 17WC 15653 EZAIZT, RANDA EVERGREEN CEMETERY 12/22/16 PETER D CORTI LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 826 17WC 15671 SANCHEZ, ALBERTO X-CEL TECHOLOGIES, INC 02/23/17 MC HARGUE, JAMES P LAW OFF 827 17WC 15695 COLON, JUAN SOUTH CHICAGO PACKING LLC 03/22/17 COSTA IVONE LLC 828 17WC 15740 BOBLEWSKI, NICHOLAS A CITY OF CHICAGO DEPT OF 05/01/17 RUBIN LAW GROUP CITY OF CHICAGO 829 17WC 15759 ROBLEDO, ALAN AIRGAS 01/23/17 SEIDMAN MARGULIS & FAIRMAN MC ANDREWS & NORGLE LLC 17WC015760 -C 830 17WC 15778 ROBINSON, KAREN COACH USA 10/20/16 LEONARD LAW GROUP LLC POULOS & DIBENEDETTO LAW 831 17WC 15801 ABURAS, ABDEL CAPTIAN HOOKS OF COTTAGE 11/21/16 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 832 17WC 15817 SOLANO, ANTONIA MSG SERVICES GROUP INC 05/18/17 CHEPOV & SCOTT LLC 833 17WC 15875 CLARK, TANESE ILLINOIS MASONIC MED CTR 04/25/17 KALOGERAKOS & ASSOC NYHAN BAMBRICK KINZIE & LOWR 834 17WC 15893 BARBER, AUDREI MOSAIC OF MAYFIELD 04/27/17 TAXMAN POLLOCK 835 17WC 15912 DELGADO, LINDA CITY OF CHICAGO DEPT OF S 07/25/16 CUDA LAW OFFICES HENNESSY & ROACH PC 836 17WC 15954 RODRIGUEZ, MARIA LAKE CITY CLEANERS 04/04/17 JAMES ELLIS GUMBINER & ASS HOLECEK & ASSOCIATES 837 17WC 15969 HARDOY, JAQUELINE CRUZ SYDELL FREEHAND CHICAGO L 04/21/17 CHEPOV & SCOTT LLC 838 17WC 15992 CHESS, MIRIAM MARIANO'S GLENVIEW EAST 11/24/15 EPSTEIN, JACK R LAW OFFICE 839 17WC 16032 WELSH, KENNETH J CHICAGO PARK DISTRICT 03/07/17 RICHARD O. GREENFIELD CHICAGO PARK DIST LAW DEPT 840 17WC 16047 LOPEZ, LUIS ADVOCATE CHRIST MED CENTE 02/14/17 FIGLIOLI, DAVID GAROFALO SCHREIBER STORM 841 17WC 16115 HARRIS, DEONNE SOUTHERN WINE & SPIRIT OF 05/16/17 COVEN LAW GROUP 842 17WC 16156 DELEON, ANTONIO D'ARTAGNAN INC 04/26/17 WILLIAM S. WOJCIK LTD 843 17WC 16182 MULLANEY, JAMES T. CITY OF CHICAGO FINANCE C 05/16/17 WILLIAM MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 844 17WC 16204 MARTIN, DANIEL BINNEY'S BEVERAGE DEPOT 09/15/14 GAINES & GAINES MEACHUM & STARCK 845 17WC 16274 BEDI, AMARJEET NABISCO 05/08/17 BRISKMAN BRISKMAN GREENBER 846 17WC 16293 JONES, BARBARA BORGWARNER, INC 05/02/17 ANKIN LAW OFFICE 847 17WC 16359 CAMPERM REGINALD CITY OF CHICAGO - 05/19/17 GOLDBERG WEISMAN & CAIRO L 848 17WC 16416 IKNER, ARNESS ARENA FOOTBALL ONE LLC 04/03/15 GORDON LAW OFFICES LTD 849 17WC 16434 PATTON, WILLIAM JR BOYER ROSENE MOVING & STO 04/18/17 LANNON LANNON & BARR LTD GAROFALO SCHREIBER STORM 850 17WC 16527 HUNT, GLORIA BRIAR PLACE NURSING CENTE 05/19/17 CULLEN HASKINS NICHOLSON 851 17WC 16565 MYLES, BIANCA N MORTON GROVE LIVING & REH 05/23/17 ANKIN LAW OFFICE 852 17WC 16584 GORDON, SHARON K CHICAGO TRANSIT AUTHORITY 05/24/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 853 17WC 16634 SEALS, JORDAN ALLIANCE GRAND INTERNATIO 05/26/17 MARC J SHUMAN & ASSOCIATES 854 17WC 16660 JONES, FELICIA ISM SECURITY MGMT LLC 08/21/16 RITTENBERG & BUFFEN 855 17WC 16681 BUSH, VICTOR WITTENSTEIN 07/21/16 MC HARGUE, JAMES P LAW OFF 856 17WC 16708 CORONA, JAVIER THE CUSTOM COMPANY 09/18/15 COSTA IVONE LLC 857 17WC 16727 OCHOA, ARMANDO COSCO INDUSTRIES 03/15/17 DWORKIN AND MACIARIELLO 858 17WC 16751 BROWN, DAMON VILLAGE OF SAUK VILLAGE 05/17/17 ANKIN LAW OFFICE 859 17WC 16783 PIMENTEL, ANGEL A LAVA & SON CO 04/03/17 TAMVAKIS, GEORGE L 860 17WC 16830 DIAZ, FRANCISCO MARIANO'S 08/25/16 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 861 17WC 16875 PERALES, ROGELIO RITZ CARLTON HOTEL 05/22/17 ELFENBAUM EVERS & AMARILIO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 862 17WC 16897 GUTIERREZ, CARMEN ADVOCATE CHRIST HOSPITAL 12/26/16 FINE, MARK S LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 863 17WC 16921 BARRIGA LOPEZ, MIGUEL A MATTHEW'S ROOFING 05/18/17 ENCINAS & ORNELAS LAW OFFICES OF EDWARD J. KOZ 864 17WC 16958 SKOWRONSKI, RON CLOVER TECHNOLOGIES GROUP 10/27/14 DEPAOLO ZADEIKIS GORE INMAN & FITZGIBBONS 865 17WC 16968 GUZELDERE, ADAM E COOPER'S HAWK WINERY & RE 05/03/17 ANKIN LAW OFFICE GRANT & FANNING 866 17WC 16992 SANTOS, JAMES AMERICAN AIRLINES 09/01/15 MIRAE LAW GAROFALO SCHREIBER STORM 867 17WC 17079 MOORE, ALVIN II IN ONE CONTRACTORS 05/05/17 TOPPER & WEISS LTD MEACHUM & STARCK 868 17WC 17108 SCHMIDT, EDWARD AMERICAN AIRLINES 01/26/17 RUBENS AND KRESS 869 17WC 22138 WARD, TOMACEIA M NESTLE USA INC * 07/23/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 870 17WC 23378 CARTER, TANISHA LITTLE CAESAR * 05/25/17 BRISKMAN BRISKMAN GREENBER GRANT & FANNING 871 17WC 23415 TOPPS, MARISA THE VILLA OF SOUTH HOLLAN * 12/29/16 DWORKIN AND MACIARIELLO 872 17WC 23432 GRANDA, DANIEL NATION PIZZA PRODUCTS * 07/24/17 BOTTO GILBERT MEACHUM & STARCK 873 17WC 23466 DORTCH, ALICE SENIOR LIFESTYLE CORP * 07/23/17 SEIDMAN MARGULIS & FAIRMAN 874 17WC 23514 JOHNSON, HAROLD HARVARD MAINTENANCE INC * 05/31/17 VRDOLYAK LAW GROUP LLC 875 17WC 23520 ALAGNA, PETER WILL COOK COUNTY * 06/28/17 COVEN LAW GROUP HINSHAW & CULBERTSON 876 17WC 23544 AMBROCIO, GABRIEL FRESH MARKET, LLC * 05/20/16 RAYMOND P GARZA LAW OFFICE 877 17WC 23574 PETROCELLI, STEVE HILL MECHANICAL CORP * 06/28/17 HEALY SCANLON LAW FIRM BRADY CONNOLLY & MASUDA PC 878 17WC 23588 VOLTZ, SAM FORD MOTOR COMPANY * 07/26/17 VASILATOS & COTTER LLC 879 17WC 23622 HERNANDEZ, CECILIA LEE MANOR REHABILITATION * 01/21/15 JONATHAN SCHLACK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 880 17WC 23639 ESTRADA, ANTONIO US FOODS INC * 07/30/17 ANKIN LAW OFFICE 881 17WC 23658 RAMOS, PAUL GREYHOUND LINES, INC * 06/11/17 MC HARGUE, JAMES P LAW OFF 882 17WC 23677 SANCHEZ, MANUEL GYPSUM SUPPLY COMPANY * 11/10/15 COSTA IVONE LLC NOBLE & ASSOCIATES PC 883 17WC 23692 QUINTUNA, IVAN BERNIE'S LUNCH & SUPPER * 07/08/17 HERRERA LAW CENTER 884 17WC 23713 MEZA, RAMIRO REDLINE DEMOLITION * 07/05/17 TURCYCHUTE LLC WIEDNER & MCAULIFFE LTD 885 17WC 23729 FLETCHER, LYNDA UIC * 07/19/17 SKLARE LAW GROUP 886 17WC 23743 JOYCE, MARILYN FOOD 4 LESS * 07/12/15 SAUNDERS CONDON & KENNY 887 17WC 23765 APPLING, YOLANDA CHICAGO CHILDREN'S CENTER * 08/05/17 BRISKMAN BRISKMAN GREENBER 888 17WC 23780 DUKES, TENESHA BENIHANA CHICAGO * 08/11/17 DAVID W MARTAY 889 17WC 23807 SAHAL, ABDIAZIZ MARGITINE, INC. * 08/02/17 FISHER & LAMONICA 890 17WC 23820 ISHADIMU, FATAI UPS * 08/03/17 LEONARD LAW GROUP LLC ASA LAW GROUP 891 17WC 23838 WILSON, RONALD NATION PIZZA AND FOODS * 07/12/17 DWORKIN AND MACIARIELLO 892 17WC 23864 ABDIN, SAM M CARMAX THE AUTO SUPER STO * 08/03/15 GOLDBERG WEISMAN & CAIRO L 893 17WC 23882 DOCKUM, JOHN C LOYOLA UNIVERSITY MEDICAL * 04/25/17 ANESI OZMON RODIN NOVAK KO 894 17WC 23901 GIRARD, WENDY P SCHOOL DISTRICT 54 * 11/05/15 CULLEN HASKINS NICHOLSON 895 17WC 23919 RODRIGUEZ, FAITH JEWEL OSCO * 04/15/17 DWORKIN AND MACIARIELLO 896 17WC 23967 JACKSON, CRAIG LIVEWIRE ELECTRICAL SYSTS * 04/19/17 J MANIATIS 897 17WC 24015 MANZON, HAROLD UNITED AIRLINES, INC * 03/14/17 BRIAN J MC MANUS & ASSOC,

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 898 17WC 24029 GALAVIZ, MARK SUMITOMO CRYOGEMICS OF AM * 02/16/16 SEIDMAN MARGULIS & FAIRMAN 899 17WC 24053 PETERSON, MARILEE A UNITED AIRLINES INC. * 05/04/17 STROM, NEAL B 900 17WC 24127 WRAAS, ANGELINA 1ST CHOICE AT HOME ASSIST * 06/01/17 KOSIN LAW OFFICE LTD 901 17WC 24146 ANDERSON, REGINALD CANTEEN VENDING * 08/01/17 GREGORIO & MARCO 902 17WC 24214 EDDINGTON, MICHAEL GPG ENTERPRISES * 01/11/17 CAPRON & AVGERINOS PC 903 17WC 24241 MOORE, CHANTEL RUSH UNIVERSITY MEDICAL C * 06/22/17 VRDOLYAK LAW GROUP LLC 904 17WC 24262 JOHNSON, KIM P TREASURE ISLAND FOODS INC * 07/04/17 ANKIN LAW OFFICE 905 17WC 24322 CARTER, WILLIAM DELIVERY & DISTRIBUTIONS * 07/18/17 BAUM RUFFOLO & MARZAL LTD 906 17WC 24354 MACEJAK, KENNETH A KING HEATING & COLLING IN * 04/21/14 KOSIN LAW OFFICE LTD RUSIN & MACIOROWSKI LTD 907 17WC 24400 VELASQUEZ, OCTAVIO CUSTOM DESIGNS BY GEORGIO * 07/29/17 CHEPOV & SCOTT LLC 908 17WC 24404 MORALES, CONSTANTINO UNIVERSAL REALTY GROUP * 08/12/16 RITTENBERG & BUFFEN 909 17WC 24423 LEE, SHARICE CITY OF CHICAGO * 06/06/17 FRIEDMAN & SOLMOR LTD 910 17WC 24451 DURAN-GOMEZ, JOSE FRANCIS JASHI, INC * 08/10/17 CHEPOV & SCOTT LLC 911 17WC 24467 GIBSON, STEPHANIE DELAWARE CAR RENTAL, INC * 08/17/17 HERRERA LAW CENTER 912 17WC 24487 FUSHIA, JEFFREY A TRUE VALUE COMPANY * 06/14/17 ALEKSY BELCHER 913 17WC 24516 HERNANDEZ, ANGEL C/O MAURITZON INC * 02/15/16 GORDON LAW OFFICES LTD 914 17WC 24536 NARCISSUS, LILLIAN UNITED AIRLINES * 07/26/17 KATZ FRIEDMAN EAGLE ET AL 915 17WC 24569 BASS, QUENTIN FEDEX GROUND * 02/04/17 LAW OFFICES ROBERT WARSASK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 916 17WC 24587 CARTER, KILYLA K VARGAS GROUP, INC * 08/10/17 ANKIN LAW OFFICE 917 17WC 24605 MATYS, MICHAEL SOUTHWEST AIRLINES * 07/28/17 KARCHMAR & STONE HENNESSY & ROACH PC 918 17WC 24633 MATTHEWS, RACHEL (WIDOW) VILLAGE OF DOLTON * 06/10/17 THOMAS W DUDA 919 17WC 24671 TRIPLETT, BRYAN DYNAMIC MANUFACTURING * 06/15/17 LEONARD LAW GROUP LLC 920 17WC 24688 OAKLEY, ANTHONY VILLAGE OF BRIDGEVIEW * 01/11/17 LARSON & GREENBERG 921 17WC 24729 MANN, DAVID AMERICAN AIRLINES * 08/05/17 RUBENS AND KRESS 922 17WC 24739 ARGENTINE, ANTHONY EARL M JORGENSEN * 10/17/16 ELFENBAUM EVERS & AMARILIO 923 17WC 24746 BOROCZK, CHERLYN LOWE'S * 12/17/16 WOODRUFF & JOHNSON 924 17WC 24774 LABOY, ENRIQUE CITY OF CHICAGO DEPARTMEN * 07/27/17 TAXMAN POLLOCK 925 17WC 24810 SARACENO, ANTHONY VILLAGE OF MAYWOOD * 07/06/17 CULLEN HASKINS NICHOLSON 926 17WC 24835 GORDON, JIMMY ARENA FOOTBALL ONE LLC * 08/07/16 GORDON LAW OFFICES LTD 927 17WC 24869 REYAD, HOSNY NCR CORPORATION * 02/20/17 BROWN & BROWN 928 17WC 24899 GUARDADO, ANA M CHEESE MERCHANTS OF AMERI * 07/28/17 CHEPOV & SCOTT LLC 929 17WC 24919 LISZKIEWICZ, JOHN S HELM ELECTRICAL SERVICES * 07/24/17 ANKIN LAW OFFICE 930 17WC 24934 CHILESKI, HARRY IV JOHN STROGER JR HOSPITAL * 07/09/17 LAW OFFICES MICHAEL HELLMA 931 17WC 24954 AVILES, JULIAN CONVITO CAFE & MARKET * 08/01/17 HERRERA LAW CENTER 932 17WC 24995 VILLALOBOS, JESSICA ALDI * 05/20/17 KREITER, BYCK & ASSOC LLP 933 17WC 25019 MITCHEL, GUY ILLINOIS BRICK/SOUTHFIELD * 04/28/17 EDWIN REYES LEGAL GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 934 17WC 25044 IZURIETA, CARLOS CHICAGO MESSENGER SVC * 01/01/15 DE SALVO, SCOTT D LAW OFFI 935 17WC 25068 WRIGHT, DESTINY KFC * 08/06/17 DWORKIN AND MACIARIELLO 936 17WC 25119 O'NEILL, BRIAN UIC HEALTH SERVICE * 03/28/17 GOLDBERG WEISMAN & CAIRO L 937 17WC 25147 MADRIGAL, RAUL CHICAGO MEAT AUTHORITY * 08/12/17 JONATHAN SCHLACK ROBERT L. SMITH 938 17WC 25212 REAL, RAUL DEL ROYAL ENVELOPE INC * 07/10/15 LAW OFFICES JOHN HEDRICH 939 17WC 25235 KAMARA, MUSA UBER * 08/20/17 DWORKIN AND MACIARIELLO 940 17WC 25262 TOMAS, JOSE LUIS SAWING & SHEARING SERVICE * 08/18/17 SALK, STEVEN B & ASSOC LTD 941 17WC 25301 POWELL, SEDRICK SOUTHWEST AIRLINES * 07/20/17 KARCHMAR & STONE 942 17WC 25318 MONTESINOS, ANGEL BILL'S AUTO & TRUCK REPAI * 08/15/17 COSTA IVONE LLC QUINTAIROS PRIETO WOOD & BOY 943 17WC 25340 CRUZ, MARCELINO DEPENDABLE STAFFING GROUP * 08/01/17 HERRERA LAW CENTER 944 17WC 25361 ARTABUZ-JARACZ, ANTONINA CENTRAL BAPTIST VILLAGE I * 08/26/17 LEO ALT 945 17WC 25394 MCCORMICK, LATOYA JEWEL OSCO * 05/06/16 LAW OFFICE JOSHUA KARMEL 946 17WC 25419 HINDS, CESAR TRICITY FOOD/ * 08/25/17 KANURU LAW GROUP PC 947 17WC 25422 ROWAN, KEITH ECOLAB * 05/10/17 CAPRON & AVGERINOS PC 948 17WC 25454 LOUDEN, JERRY EAST BALT COMMISARY INC * 07/12/17 CULLEN HASKINS NICHOLSON 949 17WC 25476 THOMAS, DARRYL COOK COUNTY SHERIFF * 08/22/17 GORDON & CENTRACCHIO LLC 950 17WC 25553 FORD, BERNADINE CHICAGO CHILDRENS CENTER * 07/01/17 PAUL MARZANO 951 17WC 25633 OPITZ, ERIC OSCO, INC * 07/20/17 DWYER AND COOGAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 952 17WC 25658 HIGHTOWER, DARNICE FIRST AMERICA DBA FIRST * 04/17/17 POMPER & GOODMAN 953 17WC 25674 KALISZ, WAYNE MCCOLLISTER'S TRANSPORATI * 06/15/15 HENNESSY & ROACH PC 954 17WC 25703 GRANDBERRY, PATRICK WENDY'S * 08/15/17 CULLEN HASKINS NICHOLSON 955 17WC 25719 CORREA, PEDRO PAVEMENT MAINTENANCE * 06/29/17 SALK, STEVEN B & ASSOC LTD 956 17WC 25795 KRENZEL, JOHN S KROGER * 08/02/16 ANESI OZMON RODIN NOVAK KO 957 17WC 25799 RYDOLSKI, BILL WALSH CONSTRUCTION * 12/23/16 O'CONNOR & NAKOS 958 17WC 25827 TORRES, ANTONIO MENDOZA STAFFING NETWORK * 06/23/17 MC HARGUE, JAMES P LAW OFF 959 17WC 25846 MILLER, ERIEK ALTERNATIVE STAFFING * 07/30/17 DWORKIN AND MACIARIELLO 960 17WC 25877 CROOMS, SAM COOK COUNTY * 08/06/17 WHITESIDE & GOLDBERG LTD 961 17WC 25902 MCFARLAND-WRIGHT, YVETTE ABCOR HOME HEALTH INC * 08/28/17 ANKIN LAW OFFICE 962 17WC 25921 TERRONEZ, JOSE GUADALUPE CHARLES AUSTIN LTD * 12/10/16 NAVA LAW 963 17WC 25923 ANDERSON, JAMES INDEPENDENCE TUBE CORP * 03/03/17 WOLF LAW LTD 964 17WC 25959 STANLEY, DENISE UNITED AIRLINES, INC. * 09/07/15 NYHAN BAMBRICK KINZIE & LOWR 965 17WC 26002 BEYER, KELLY VILLAGE OF HODGKINS * 04/15/17 ASHER, RAYMOND L LTD 966 17WC 26026 ROTTO, DOMINIC CHICAGO TRANSIT AUTHORITY * 04/02/17 SEIDMAN MARGULIS & FAIRMAN 967 17WC 26052 HARRIS, MICHAEL J PROGRESS RAIL SERVICES * 07/26/17 NILSON STOOKAL GLEASON CAP 968 17WC 26094 BURNS, VIVIAN VILLA AT WINDSOR PARK * 08/15/17 JAMES ELLIS GUMBINER & ASS 969 17WC 26140 REBACZ, MATTHEW TRANSERVICE LOGISTIC * 08/01/17 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M TBA1 010 ARBITRATION CALL FOR CHICAGO 99010 ON 10/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 970 17WC 26161 REDMOND, JESSICA R COMMONWEALTH EDISON * 06/22/17 971 17WC 26175 SCOTT, CONSTANCE MAESTRO CONSULTING SERVIC * 08/07/17 BAUM RUFFOLO & MARZAL LTD