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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 KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 10 10WC 42891 19B CARR, AVIS JOHN STROGER COOK COUNTY 09/13/09 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 10WC044288 -C 11 10WC 45302 ESKRIDGE, HERBERT CITY OF CHICAGO 11/19/10 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 12 10WC 47003 HAIRULINA, NADYA RUMBA CAFE W 10/23/10 STUART H GALESBURG 13 10WC 47849 HOUSTON, ROBERT J CITY OF CHICAGO 11/02/10 THE BARRY LAW GROUP PC CITY OF CHICAGO 14 11WC 04597 TORRES, ALBERTO THE CLEAN BERETS W 01/26/11 EVINS & SKLARE LTD OLMSTEAD, GREGORY J LAW OFFI 15 11WC 05055 MAZON, ELEUTERIA CINTAS CORPORATION 12/28/10 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 16 11WC 09524 SAPP, CLARENCE CITY OF CHICAGO 02/06/11 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 17 11WC 11807 MCQUAID, KRISTINE PALOS COMMUNITY HOSPITAL 01/02/11 DWORKIN AND MACIARIELLO LORENZ & BERGIN PC 18 11WC 12959 GRAVES. FITZGERALD SOUTHWEST AIRLINES INC 03/16/11 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 19 11WC 14015 MENDOZA, FAUSTO CITY OF CHICAGO 04/04/11 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 20 11WC 14670 GAINES, MARTINEZ AT & T 03/04/11 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 12WC008720 -C 21 11WC 14916 19B MUMFORD, PHILLIP D JACKSON PARK HOSPITAL 03/24/11 WARREN W MARK ODELSON & STERK 22 11WC 17897 HALL, VALERIE R CTA 04/29/11 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 12WC001192 -C 23 11WC 19508 STRYSZAK-RADTKE, DAWN CENTRAL STEEL & WIRE COMP 03/31/11 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 24 11WC 20326 CRAWFORD, ERIN NORTHSTAR FIRE PROTECTION 03/14/11 BOUDREAU & NISIVACO LLC GAROFALO SCHREIBER STORM

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 41 12WC 34508 CAREY, DORIS CHICAGO TRANSIT AUTHORITY 08/06/12 GOLDBERG WEISMAN & CAIRO L 42 12WC 36214 SCOTT, DEMETRA BRIGHT HORIZONS 10/05/12 HOLECEK & ASSOCIATES 43 12WC 37271 DERDZINSKI, CHERYL CITY OF CHICAGO 02/06/12 BAUM RUFFOLO & MARZAL LTD CITY OF CHICAGO 16WC009532 -C 16WC009533 -C 44 12WC 42933 BERMUDEZ, HENRY S CHICAGO TRANSIT AUTHORITY 12/03/12 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 45 12WC 43845 CASTILLO, ELISA TOWN OF CICERO 02/25/12 KATZ FRIEDMAN EAGLE ET AL DEL GALDO LAW GROUP LLP 12WC043846 -C 46 12WC 43862 CASAS, MARIA THE PROCACCIANTI GROUP LL 03/01/12 MINKOW DOMIN 47 12WC 44545 STEWART, KUSHINDA CITY OF CHICAGO 11/26/12 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 48 13WC 06899 SOLIS, SAMUEL CITY OF CHICAGO 08/27/12 COVEN LAW GROUP CITY OF CHICAGO 13WC026632 -C 49 13WC 08232 19B KOMAR, MARK THE HEARTLAND CONSTRUCTIO 10/19/12 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 50 13WC 11102 SCHELL, CONRAD MONDELEZ INTERNATIONAL 10/25/12 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 51 13WC 11107 CALDERON, PEDRO THE ZONE HONDA KAWASAKI 06/23/12 BAUM RUFFOLO & MARZAL LTD ROBERT L. SMITH 13WC015937 -C 13WC019843 -C 52 13WC 16695 FERNANDEZ, GUADALUPE FOCAL POINT 10/04/12 JAMES ELLIS GUMBINER & ASS INMAN & FITZGIBBONS 53 13WC 19409 KHALIL, MOHAMMED ST ANTHONY HOSPITAL 03/14/12 CULLEN HASKINS NICHOLSON KLAUKE LAW GROUP LLC 54 13WC 19504 UPTON, DEREK HALO SECURITY GROUP 03/14/13 BRUSTIN & LUNDBLAD, LTD MEACHUM & STARCK 55 13WC 19849 REDDICK, WILLIAM JWK ENTERPRISES W 06/05/13 STEVEN J SEIDMAN LAW OFFIC JAMES L. HARDEMON 56 13WC 19999 ZAPATA, ANGEL CHICAGO TRANSIT AUTHORITY 12/27/12 LEWIS & DAVIDSON, LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 57 13WC 20850 JARVIER CERDA, FRANCISCO HECTOR RODRIGUEZ @ W 05/21/13 DWORKIN AND MACIARIELLO 58 13WC 22394 MISURACA, NICHOLAS CITY OF CHICAGO 06/27/13 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 59 13WC 31051 HILL, YVONNE SELECT RESTAURANTS, INC 07/25/12 OSVALDO RODRIGUEZ PC COZZI & GOGGIN-WARD 14WC007382 -C 60 13WC 31471 WELCH, MICHAEL K WIGDAHL ELECTRIC CO 08/27/13 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 61 13WC 31923 LEE, CARCYNTHIA BELLHAVEN NURSING & 08/29/13 DWORKIN AND MACIARIELLO JOHN LEE 62 13WC 32838 BRANDON, RITA C CRESCENZO DENTAL ASSOCIAT W 09/04/13 STROM, NEAL B 63 13WC 33117 CLARK, DANNY TASK FORCE 09/06/13 JOHN E LUSAK 64 13WC 34143 COLLINS, STANLEY AMERICAN AIRLINES 09/15/13 KARCHMAR & STONE GAROFALO SCHREIBER STORM 13WC034766 -C AMR CORP DBA AMERICAN AIRL 16WC001705 -C 65 13WC 37536 CAHILL, DONALD SCHECK INDUSTRIES 11/07/13 LEONARD LAW GROUP LLC ROBERT L. SMITH 16WC028602 -C 18WC002952 -C 18WC003456 -C 66 13WC 38021 JOHNSON, JAMES G & K SERVICES 06/25/13 PORRO NIERMANN LAW GROUP 67 13WC 38467 GEORG, DOLORES ALLSTATE INSURANCE CO 06/03/13 CORNFIELD & FELDMAN 68 13WC 39743 MEDINA, ELIZABETH JIBAROS INC 06/20/11 ANKIN LAW OFFICE 69 13WC 39880 ALEXANDER, BARBARA BRONZEVILLE PARK SKILLED 06/12/13 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 15WC019998 -C 70 13WC 40345 CERDAN, NORMA RIVERS CASINO 09/06/13 DOUGLAS RALLO PC GRANT & FANNING 14WC018365 -C 15WC028914 -C MIDWEST GAMING ENTERTAINME 16WC035269 -C 71 13WC 40606 LIPSCOMB, EMMIE CHICAGO COMMONS 06/06/13 THE ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 72 13WC 40765 DROZD, JOHN T CITY OF CHICAGO 10/29/13 PARENTE & NOREM PC CITY OF CHICAGO 73 13WC 41701 WALTON, VIRGINIA CITY OF CHICAGO DEPT OF S 12/12/13 CUDA LAW OFFICES CITY OF CHICAGO 74 13WC 41885 JACOBO, MARIA RON'S STAFFING SERVICES I 10/29/13 DEPAOLO ZADEIKIS GORE STONE & JOHNSON CHARTERED 75 13WC 42454 CUNNINGHAM, THOMAS A BARTON MALOW CO 12/19/13 PETER D CORTI LAW GROUP GRANT & FANNING 76 14WC 01257 BERMAN, NEIL D CITY OF CHICAGO 09/26/13 GOLDBERG WEISMAN & CAIRO L LEAHY EISENBERG & FRAENKEL 77 14WC 01843 MONTGOMERY, ANTOINETTE COOK COUNTY DEPT OF 11/24/13 STROM, NEAL B STATES ATTORNEY OF COOK COUN 78 14WC 04971 PULLIAM, DARRELL O WIRTZ REALTY CORPORATION 03/02/12 MICHAEL A. PEDICONE LTD NYHAN BAMBRICK KINZIE & LOWR 79 14WC 05562 KNOWLES, JUANITA BROWN HAYMARKET CENTER D/B/A 02/13/14 MINKOW DOMIN BRADY CONNOLLY & MASUDA PC 80 14WC 06479 MENSAH, JAMES U.S. SMOKELESS TOBACCO 02/19/14 SALVATO & O'TOOLE CACCHILLO LAW GROUP LLC 81 14WC 07434 MORIHARA, MARCIA L UNITED AIRLINES INC. 05/09/13 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 82 14WC 07563 THOMAS, GLENDA CITY OF CHICAGO WATER DEP 01/16/14 DWORKIN AND MACIARIELLO CITY OF CHICAGO 83 14WC 08275 SHANAHAN, PATRICK M M & O INSULATION 03/05/14 CULLEN HASKINS NICHOLSON ROSARIO CIBELLA 84 14WC 09063 SANCHEZ, JAVIER TRADER JOES 12/23/13 THE FITZ LAW GROUP GAROFALO SCHREIBER STORM 85 14WC 09624 CAVIN, PHILLIS ST OF IL DEPT OF HUMAN SE @ 03/15/14 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 86 14WC 11444 FARNAN, EDWARD SERVPRO OF OAK PARK 08/16/13 FARMAN & CAHILL LTD 87 14WC 14491 19B BOVA, ANTHONEY G SAFELITE AUTO GLASS 03/25/14 FIGLIOLI, DAVID HENNESSY & ROACH PC 88 14WC 16651 OVIEDO, OCTAVIO FRESH FARMS 04/14/14 JOHN S. ELIASIK 89 14WC 18610 FITZGERALD, THOMAS CITY OF CHICAGO 05/12/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 90 14WC 19002 HASSAN, ADAM YELLOW CAB 05/17/14 LAW OFFICE OF SCOTT B SHAP 91 14WC 19056 CASILLAS, JOSE PEGASUS CUSTOM 03/22/14 MC HARGUE & JONES LAW OFFICES JOSEPH MARCINIAK 14WC019057 -C 92 14WC 19145 BEANE, JEROME E ILLINOIS DEPT OF TRANSPOR @ 05/19/14 FIGLIOLI, DAVID JEANNINE SIMS 93 14WC 19457 GLENNA, DENNI CANADA 06/07/11 SEIDMAN MARGULIS & FAIRMAN 94 14WC 19490 COLLINS, BRIAN J VILLAGE OF NILES 01/05/13 FIGLIOLI, DAVID NYHAN BAMBRICK KINZIE & LOWR 14WC019491 -C 17WC008917 -C 18WC018223 -C 95 14WC 19666 HAZELWOOD, RONNIE L COOK COUNTY SHERIFF 05/15/14 PARAG P. BHOSALE INMAN & FITZGIBBONS 96 14WC 20405 SKELLY, JEAN L WALGREENS 03/20/13 CULLEN HASKINS NICHOLSON GILDEA & COGHLAN 97 14WC 20424 CONDE, ROSA EMPLOYER'S CLAIM SERVICE 04/23/14 MC HARGUE & JONES 14WC020425 -C 14WC020426 -C 98 14WC 20644 MARTINEZ, HOMERO MR BULT'S INC 04/15/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 99 14WC 21259 ESPINOZA, MARGARITA BOARD OF EDUCATION OF THE 05/07/14 VRDOLYAK LAW GROUP LLC LAW DEPARTMENT 100 14WC 22371 RODRIGUEZ, MANUEL CITY OF CHICAGO 07/05/11 RUSSO & RUSSO LTD CITY OF CHICAGO 101 14WC 23307 CONTY, DONISE M AMERICAN AIRLINES INC 05/04/13 GRAUER & KRIEGEL LLC GAROFALO SCHREIBER STORM 14WC023308 -C 102 14WC 24310 PALEVINO, MYRA FRESENIUS MEDICAL CARE 05/08/14 GIAMANCO & OOINK LAW OFFIC HENNESSY & ROACH PC 103 14WC 25321 DITUSA, TIMOTHY SOUTSOS DECORATING COMPAN 11/21/12 LEWIS & DAVIDSON, LTD MACIOROWSKI SACKMANN & ULRIC 104 14WC 27023 GRZYWACZ, WAYNE CITY OF CHICAGO 05/15/14 THE FITZ LAW GROUP CITY OF CHICAGO 105 14WC 27780 REDMOND, LAQUITA CTA 10/17/12 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 106 14WC 28516 WOODS, GAYLE WALGREENS 07/30/14 GUTH REINKE LAW GILDEA & COGHLAN 107 14WC 28691 HUBBARD, SHANDRE RIVERDALE POLICE DEPT 07/14/14 BAUM RUFFOLO & MARZAL LTD PETERSON JOHNSON & MURRAY 108 14WC 28759 GUTIERREZ, DIANA UNIVERSITY OF ILLINOIS @ 05/04/10 LAW OFFICE MATHYS& SCHNEID POWER & CRONIN LTD 109 14WC 28893 KOWALCZYK, STANISLAW GPL INDUSTRIES 08/07/14 JOHN E LUSAK BRADY CONNOLLY & MASUDA PC 110 14WC 30297 GRAGNANI, MARRI CITY OF BERWYN 06/29/12 JOHN E LUSAK FRANCIS J DISCIPIO LAW OFFIC 111 14WC 30747 PERVEILER, J MICHAEL OTIS ELEVATOR 07/10/14 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 112 14WC 30750 BROOME, EDWIN CITY OF CHICAGO DOT @ 08/26/14 RITTENBERG & BUFFEN 113 14WC 30754 REYES, BARBARA WOODBRIDGE NURSING PAVILI 08/04/14 JOHN E LUSAK HENNESSY & ROACH PC 114 14WC 31510 LAWSON, DARRELL CHICAGO STREETS & SAN DEP 09/10/14 O'CONNOR & NAKOS CITY OF CHICAGO 115 14WC 32228 DENTON, CHIQUITA TOOTSIE ROLL 08/21/14 BRUGGEMAN HURST & ASSOC NYHAN BAMBRICK KINZIE & LOWR 14WC032229 -C 116 14WC 32749 VOGEL, CHRIS HERCULES FREIGHT 09/22/14 MICHAEL A. HIGGINS HEYL ROYSTER VOELKER & ALLEN 117 14WC 33216 RAINEY, ALLAN J CITY OF CHICAGO 07/22/14 COVEN LAW GROUP CITY OF CHICAGO 118 14WC 34423 CAKORA, CHARLENE NICOR GAS/AGL RESOURCE CO 09/16/13 CRONIN & PETERS MACIOROWSKI SACKMANN & ULRIC 16WC022325 -C 119 14WC 35313 LAGUNAS, CARLOS CHICAGO CUT STEAKHOUSE 09/10/14 JOHN S. ELIASIK ZENITH INSURANCE CO. 120 14WC 37848 MOORE, MARTIN L BENCHMARK CONSTRUCTION 10/11/14 SEIDMAN MARGULIS & FAIRMAN ACCIDENT FUND HOLDINGS 121 14WC 38145 AGUIRRE, MARISELA FELXIBLE STAFFING 08/29/14 CHRISTIAN & MANNO KOPKA, PINKUS DOLIN, PC 122 14WC 39580 BROWN, TAWANA CHECKERS RESTAURANT 11/06/14 ANKIN LAW OFFICE 123 14WC 41070 HALL, SHARRON TDM 09/11/14 CANDIANO LAW OFFICE POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 124 14WC 41516 ROBIDOUX, CHANTEL (MOTHER CHICAGO BLACKHAWKS # 09/15/12 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 125 14WC 41894 NOVA, NARCISO NANDO MILANO TRATTORIA 11/08/14 AIOSSA LAW FIRM 126 14WC 42206 REYES, DOMINIQUE CITY OF CHICAGO 09/08/14 COVEN LAW GROUP CITY OF CHICAGO 127 14WC 42661 LAMBRIGGER, JAMES AT & T CORP 10/31/13 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 128 14WC 42803 SURVIVED BY MOTHER/SON CASSENS TRANSPORT COMPANY # 11/20/14 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 129 15WC 00574 VEGA, MARILYN CHICAGO BOARD OF EDUCATIO 09/18/13 GOLDSTEIN BENDER & ROMANOF 130 15WC 02941 WALKER, ERICA T COOK DUPAGE TRANSPORT CO 01/10/15 WARREN W MARK 131 15WC 04541 SUN, YIN YAN CHI TUNG RESTAURANT CORP 06/10/14 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK 132 15WC 04965 BAPTISTE, ANGEL C HUD TRANSPORTATION, INC 01/06/15 VRDOLYAK LAW GROUP LLC 133 15WC 05446 WILLIAMS, JERELEAN SCHOOL DISTRICT 10/06/14 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 134 15WC 05619 MORALES, GABRIELA FINESS CLEANERS 01/21/15 AIOSSA LAW FIRM 135 15WC 05771 BINION, GALE A KNOCK AT MIDNIGHT 02/04/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 136 15WC 07913 MUCINO IBARRA, SERGIO RAHCO RUBBER, INC 03/14/14 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 137 15WC 08516 OSENI, RAMON YELLOW CAB AFFILIATION 11/20/14 HUNER LAW OFFICES LLC 138 15WC 08558 NAN, ADAM GOLD STANDARD ENTERPRISES 06/26/14 GRAZIAN & VOLPE PC MEACHUM & STARCK 139 15WC 08672 ANDERSON, DONNA CTA 02/27/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 140 15WC 08825 AUSTIN, EDWARD GOODER-HENRICHSON CO 02/25/15 GOLDBERG WEISMAN & CAIRO L 141 15WC 08955 IZAGUIRRE, FERNANDO JR CITY OF CHICAGO 06/06/14 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 142 15WC 09270 ENNIS, MADELYNNE WALGREENS INFUSION SERVIC 01/16/14 ANKIN LAW OFFICE GILDEA & COGHLAN 143 15WC 10093 ROSS, WILLIE BECAUSE WE CARE TOO INC 02/13/15 144 15WC 10124 VENEGAS, DAVID SOUTHWEST AIRLINES 08/08/14 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 145 15WC 10285 OLIVARES, MARIA FAMILY DOLLAR, INC 06/30/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 146 15WC 10400 PENA, JOSE A RANA MEAL SOLUTIONS LLC 03/19/15 WARREN W MARK 147 15WC 10491 JOHNSON, NANCY NORTHSHORE UNIVERSITY HEA 07/25/14 WHITESIDE & GOLDBERG LTD 148 15WC 17672 JORDAN, ANN M. ADDUS DAYTIME CENTER 04/14/15 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 149 15WC 18073 STENSON, DAVID A. CITY OF CHICAGO 05/23/15 CUDA LAW OFFICES CITY OF CHICAGO 17WC005281 -C 18WC002467 -C 150 15WC 18548 DOIRON, JAMES TRADE JOE'S 02/09/15 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM 15WC018549 -C 151 15WC 18550 BRADLEY, DEBORAH CLARITY PARTNERS 05/15/15 FRANCIS J DISCIPIO LAW OFF LAW OFFICES JOSEPH MARCINIAK 152 15WC 18568 TILLERY, CHONITA RENAISSANCE REHABILITATIO 05/26/15 FOHRMAN, DONALD W & ASSOCS MCCABE KIRSHNER PC 153 15WC 18815 CONTRERAS, SOCORRO BIGANE PAVING CO 05/13/15 THE FITZ LAW GROUP LAW OFFICES OF EDWARD J. KOZ 154 15WC 19011 GERACI, PETER SKOKIE VALLEY BEVERAGE CO 03/26/14 FRIEND LEVINSON & BERGAL BORGELT POWELL 15WC019012 -C 155 15WC 19410 HERNANDEZ, LUIS M KG PAYROLL & STAFFING 06/01/15 JOHN S. ELIASIK SMITH AMUNDSEN LLC 156 15WC 19415 RIVERA, CARMEN DUNKIN DONUTS 06/02/15 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 201 15WC018868 -C SHREE DUTT INC DBA 157 15WC 19939 FLOWERS, BOBANNA ADVOCATE SOUTH SUBURBAN 03/26/14 MEYERS & FLOWERS GAROFALO SCHREIBER STORM 158 15WC 20790 HANCOCK, TRACEY FOUR SEASONS HOTEL 05/30/15 VRDOLYAK LAW GROUP LLC GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 159 15WC 20872 JOHN, JACOB ELECTRO MOTIVE DIESEL 12/17/14 STEVEN A CRIFASE, LTD 160 15WC 21124 CISLO, WILLIAM ILLINOIS SCHOOL BUS CO 02/26/15 GORDON LAW OFFICES LTD GALLIANI DOELL & COZZI LTD 161 15WC 21276 IBARRA, GLORIA CICERO SCHOOL DISTRICT #9 12/11/14 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 162 15WC 22175 VILLEGAS, ELIZABETH THE MALNATI ORGANIZATION 04/23/15 LAW OFFICE OF SCOTT B SHAP MEACHUM & STARCK 163 15WC 24120 CEDENO-RODRIGUEZ, GUADALU PRIMARY STAFFING 06/24/15 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 164 15WC 24323 LEON, MARIA L CORPORATE TRANSIT OF AMER 07/24/15 STROM, NEAL B SCOPELITIS GARVIN LIGHT 165 15WC 26724 PEREZ, DIANA UNIVERSITY OF ILLINOIS 06/17/15 HEYL ROYSTER VOELKER & ALLEN 166 15WC 27616 KELLY, TERRENCE RIDE RIGHT LLC 07/22/15 MATHYS & SCHNEID THOMAS & PORTELA 167 15WC 27957 QUALLS, DEBRA FEDERAL EXPRESS 05/18/15 SEIDMAN MARGULIS & FAIRMAN 168 15WC 28285 RUIZ, IRMA LITTLE LAOY FOODS, INC. 05/07/15 FERRIS THOMPSON & ZWEIG 169 15WC 28944 DAVIS, WAYNE MENARDS 05/15/15 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 170 15WC 28951 FLORES, JUANITA CITY OF CHICAGO 06/24/15 KROL BONGIORNO & GIVEN LTD 171 15WC 29167 AVILA, DEBORAE UNITED AIRLINES INC. 08/30/15 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 172 15WC 29273 19B RUTANA, DONNA L CONWAY FREIGHT INC 08/20/14 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 173 15WC 29510 MANDERS, ELIZABETH COMMUNITY CONSOLIDATED SC 08/20/15 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 174 15WC 29843 MIKA, RICHARD CITY OF CHICAGO 04/24/14 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 175 15WC 29889 SMITH, DORIS CTA 09/01/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 15WC 29891 BENITEZ, JENNY CLEARSTAFF INC 08/17/15 CHEPOV & SCOTT LLC 177 15WC 30255 WOLSKI, JOSEPH A CATHOLIC CEMETERIES 03/17/14 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 15WC030256 -C 17WC029562 -C 178 15WC 31088 GRAUER, PAUL W PAUL W GRAUER & ASSOC, A 10/18/12 RIDGE & DOWNES GILDEA & COGHLAN 179 15WC 31156 TORAN, COURTNEY LE PAN QUOTIEDIEN 03/15/15 MICHAEL A. HIGGINS 180 15WC 31157 DISALVO, PETER AT&T A/K/A ILLINOIS BELL 04/09/15 FRIEDMAN & SOLMOR LTD INMAN & FITZGIBBONS 181 15WC 31657 KAPES, RANSON YRC 06/01/15 SAUNDERS CONDON & KENNY 182 15WC 32046 BARAJAS, NORMA UNIQUE THRIFT STORE 08/11/15 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 183 15WC 32111 RUIZ, HILDA RIVERS CASINO 10/12/14 LOSS & PAVONE HENNESSY & ROACH PC 184 15WC 37833 HERRERA, SANTIAGO TAUBENSE STEEL & WIRE CO. 07/08/15 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 185 15WC 38879 ORTIZ, JOSE MANUEL BARKAAT FOODS MKT 07/13/15 LAW OFFICES OF ANSELMO DUR 186 15WC 39951 WILLIAMS, LINDA SEARS 03/15/14 JOHN C SERKLAND GAROFALO SCHREIBER STORM 187 15WC 41427 GONCIARCZYK, STANISLAW J&E CONSTRUCTION INC 10/20/15 BELLAS & WACHOWSKI WIEDNER & MCAULIFFE LTD 15WC041428 -C 188 15WC 41591 HOLLY, WILLIAM P CTA 10/20/15 O'CONNOR & NAKOS CHICAGO TRANSIT AUTHORITY 189 15WC 41787 SHABAZZ, SULTAN C T A 11/23/15 STEPHEN G PINTO LTD CHICAGO TRANSIT AUTHORITY 190 15WC 41957 TURNER, LYNN DELTA-SONIC CARWASH 05/23/15 SALK, STEVEN B & ASSOC LTD 191 15WC 41983 HANSON, THOMAS R VILLAGE OF SKOKIE 02/20/14 FIGLIOLI, DAVID VILLAGE OF SKOKIE 192 15WC 42024 RAMIREZ, DAVID CHGO STREETS & SAN DEPT 12/01/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 193 16WC 00037 ORDAZ, JEAN CARLO EL RANCHITO RESTAURANT 12/26/15 STROM, NEAL B JOSEPH MARCINIAK 194 16WC 00047 WAGNER, STEVEN DUNNET BAY CONSTRUCTION 10/01/15 MACK, LAWRENCE M LAW OFFIC GAROFALO SCHREIBER STORM 195 16WC 00083 WILLIAMS, LATANYA CTA 12/24/15 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 196 16WC 00101 BENNETT, KIMBERLY N COOK COUNTY DOC 12/01/15 BRILL & FISHEL STATES ATTORNEY OF COOK COUN 197 16WC 00186 WALLACE, KENNETH CITY OF CHICAGO 12/28/15 KUMLIN & FROMM CITY OF CHICAGO 198 16WC 00711 JEFFERSON, RAYMOND CITY OF CHICAGO 04/30/15 FOHRMAN, DONALD W & ASSOCS 199 16WC 02224 ARELLANO, JAIME CANNON MANAGEMENT GROUP L 07/10/14 EPSTEIN, JACK R LAW OFFICE 200 16WC 05892 RODRIGUEZ, MATTHEW FEDERAL EXPRESS 10/26/15 LAW OFFICE ILONKA ULRICH 201 16WC 05967 RODRIGUEZ, NANCY GRAPHIC PACKAGING INTER. 12/02/15 JONATHAN SCHLACK DOHERTY & PROGAR LLC 202 16WC 06867 RODRIGUEZ, ANICETO CONTRACTORS ACCESS EQUIPM 09/03/15 CORBOY & DEMETRIO PC ACCIDENT FUND HOLDINGS 203 16WC 07418 MUNOZ, HIPOLITO ED MINIATE 01/23/15 KREITER, BYCK & ASSOC LLP POWER & CRONIN LTD 204 16WC 07490 RUIZ, JOSE ALVARADO GENERAL 01/26/16 BERG & BERG 205 16WC 07513 ENGLISH, TANGELA SCHWAB REHABILITATION HOS 12/04/15 GAINES & GAINES NYHAN BAMBRICK KINZIE & LOWR 206 16WC 07759 ALVAREZ, MARTA VARGAS GROUP INC 12/31/15 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 207 16WC 07890 ZABOROWSKI, ADAM LOWELL INTERNATIONAL FOOD 07/31/15 MINKOW DOMIN MACIOROWSKI SACKMANN & ULRIC 208 16WC 08108 CAIN, YOLANDA CURIE HIGH SCHOOL 12/10/15 LEE, MARK N LAW OFFICE LAW DEPARTMENT 209 16WC 08266 BURNETT, DARLENE AMERICAN AIRLINES 12/04/15 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 210 16WC 08296 HERNANDEZ, ALDO MORON UNIVERSITY OF ILLINOIS 03/01/16 MARKER & ASSOCIATES POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 211 16WC 08309 JOINTER, CHERYL TALIAFARO INC 01/27/16 JOHN C SERKLAND 212 16WC 08330 BREDICEAN, LIGIA SCRUBZZ 03/07/16 213 16WC 08416 OSBORN, DAVID MAYFIELD TRANSFER CO, INC 07/13/15 HETHERINGTON KARPEL BOBBER WOLF LAW LTD 214 16WC 08512 CUEVAS-SOTO, ROLANDO CHICAGO BOARD-UP SERVICES 02/29/16 NICHOLIS J STEIN EPSTEIN, JACK R LAW OFFICES 215 16WC 08663 PHILLIPS, DANIELLE DAVIS FOOD 4 LESS 11/08/14 THE ROMAKER LAW FIRM BRYCE DOWNEY & LENKOV LLC 16WC015501 -C 216 16WC 08807 VERGARA, ALEXANDRA GCA SERVICE GROUP 03/10/16 ASA LAW GROUP 217 16WC 08939 ROBINSON, DA JUAN CHICAGO STATE UNIVERSITY @ 03/01/16 ANKIN LAW OFFICE C. FLETCHER 218 16WC 09100 BLOK, SUSANNE SMJ CORP A/K/A FMHR, LLC 09/18/15 CAPRON & AVGERINOS PC 219 16WC 09216 CAMPOS, JAIME QUALITY SNACK FOODS INC 01/29/16 COSTA IVONE LLC HOLECEK & ASSOCIATES 220 16WC 09374 ROBLES, AMALIA DE JESUS W DIAMON GROUP CORPORATIO 06/09/14 COLLISON LAW OFFICES 221 16WC 09481 WASHINGTON, FLORA CHICAGO TRANSIT AUTHORITY 03/11/16 MC HARGUE & JONES CHICAGO TRANSIT AUTHORITY 222 16WC 09950 DVORETSKIY, URIY KINSALE CONTRACTING GROUP 03/16/16 CHEPOV & SCOTT LLC KLAUKE LAW GROUP LLC 16WC009951 -C 223 16WC 10220 IRIZARRY, RICARDO OLYMPIA MOVING & STORAGE 08/03/15 DEUTSCHMAN, JEFFREY S COZZI & GOGGIN-WARD 224 16WC 10257 O'DONNELL, STEPHEN RR DONNELLEY 01/19/16 STEPHEN G PINTO LTD BRADY CONNOLLY & MASUDA PC 225 16WC 10519 HOWELL, TAMIEKA CITY OF CHICAGO 01/14/16 STEVEN M SELAN CITY OF CHICAGO 226 16WC 10587 DIMAGGIO, LINDA JOANN STORES LLC 05/22/15 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 227 16WC 10621 REYES, BARBARA WOODBRIDGE NURSING HOME 08/04/14 JOHN E LUSAK HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 16WC 10818 O'GRADY, ARIEL RADIO SHACK 04/10/13 JOHN S. ELIASIK 229 16WC 11404 CAMERON, SELENA ADDUS HEALTHCARE 01/11/16 HENNESSY & ROACH PC 230 16WC 18141 HENDERSON, KAREEM D CEVA LOGISTICS 11/18/15 231 16WC 18165 MITCHELL, MICHELLE CTA 05/20/16 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 232 16WC 18183 JAMERO, JOSE BERMAN AUTO GROUP 05/25/16 STROM, NEAL B RODDY LAW LTD 233 16WC 18231 KING, JOHN TRX, INC. 03/30/16 TOPPER & WEISS LTD 234 16WC 18401 MC GOWAN, CELESTINE CHICAGOPUBLIC SCHOOLS 05/25/16 MINKOW DOMIN 235 16WC 18459 ISRAEL, MARIE A FORD MOTOR COMPANY 05/19/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 236 16WC 18497 RODRIGUEZ, JOSE S CHICAGO ANODIZING CO 06/08/15 ENCINAS & ORNELAS RODDY LAW LTD 237 16WC 18695 WILSON, A D FOOD 4 LESS 05/18/16 LAW OFFICES ROBERT WARSASK 238 16WC 18716 MURRAY, JOHN CITY OF BLUE ISLAND 07/01/14 STEINBERG BURTKER & GROSSM DEL GALDO LAW GROUP LLP 239 16WC 18877 DIAZ, LUIS DURABLE PACKAGING, INC 05/19/16 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 240 16WC 19126 FLORES, VICTOR MAIN STEEL POLISHING COMP 03/11/16 HUGHES SOCOL PIERS RESNICK 241 16WC 19272 THORNE, DONALD STERN PINBALL INC 09/03/15 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 16WC019274 -C 242 16WC 19293 RIBAJ, KLODIAN DISPATCH TAXI AFFL, INC 06/20/16 DWORKIN AND MACIARIELLO 243 16WC 19424 HENEGHAN, SEAN T CITY OF EVANSTON FIRE DEP 06/10/16 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 244 16WC 19494 RUIZ, EVA PAYLINK DIRECT 01/01/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 245 16WC 19618 MORISH, DARNELL WIS INTERNATIONAL 09/24/15 RONALDSON & KUCHLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 246 16WC 19740 ARNA, DAVIS 71ST STREET BEST LAUNDRY W 06/18/16 SKLARE LAW GROUP RICHARD F MORTON 247 16WC 19762 OLLIE, MARY CARL BUDDIG 09/16/15 CANDIANO LAW OFFICE KNELL & O'CONNOR 248 16WC 19778 WILLIAMS, DWAYNE FRITO LAY 05/16/16 DEPAOLO ZADEIKIS GORE GILDEA & COGHLAN 249 16WC 19825 LEVY, YAFAH CHICAGO BOARD OF EDUCATIO 05/11/16 BRILL & FISHEL 250 16WC 19853 FROHMAN, MARSHA L LL BEAN 06/15/16 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 251 16WC 19913 HERNANDEZ, REGINA ILLINOIS TOOL WORKS, INC 05/16/16 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 252 16WC 19974 BENDER, JOHNNY TRANSPORTATION SECURITY A 03/05/16 SEIDMAN MARGULIS & FAIRMAN 253 16WC 19994 SANDOVAL, JOSHIO CHICAGO MUSTANGS 02/21/16 HERRERA LAW CENTER 254 16WC 20329 ARROYO, ESTELA ARAMARK 06/04/16 ENCINAS & ORNELAS INMAN & FITZGIBBONS 255 16WC 20491 RAMIREZ, OSCAR CORNER BAKERY CAFE 08/01/15 LAW OFFICE DIANE ARELLANO HOLECEK & ASSOCIATES 256 16WC 20599 JENKINSON, CHRISTOPHER COOK COUNTY FACILITIES MG 08/18/15 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 257 16WC 20762 GARCIA, DANIEL PARAMOUNT STAFFING 04/21/16 MC HARGUE & JONES 258 16WC 20913 NOVA, MIGUEL IMPERIAL REALTY CO, INC. 05/27/16 LANNON LANNON & BARR LTD GRANT & FANNING 259 16WC 21164 CHIBE, JOHN JR COOK COUNTY DEPTOF CORREC @ 06/20/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 260 16WC 21234 WITEK, TADEUSZ DUDEK & BOCK 01/08/16 BUDIN LAW OFFICES 261 16WC 21370 CHIOVINO, GINA HYATT REGENCY O'HARE 11/02/15 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 262 16WC 21446 HERNANDEZ, RICARDO CORNELL FORGE COMPANY 06/24/16 EPSTEIN, JACK R LAW OFFICE 263 16WC 21562 GREEN, ORLANDO CENTERLINE 07/14/15 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 264 16WC 21684 SINGH, SURJIT S&A TRANSPORTATION 06/18/16 FISHER & LAMONICA 265 16WC 21703 RITTER, ANGELA SUNRISE SENIOR LIVING 03/02/16 LAW OFFICE ILONKA ULRICH HENNESSY & ROACH PC 266 16WC 23573 SHELTON, SHEILA UNITED PARCEL SERVICE 03/26/14 LEONARD LAW GROUP LLC ASA LAW GROUP 16WC023574 -C 16WC023575 -C 267 16WC 26658 ROBERT SMERLING COMPETITIVE WOODCRAFT- 06/20/16 268 16WC 26980 ESTRADA, CESAR CHEESE MERCHANTS OF AMERI 07/05/16 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 269 16WC 27002 GOLDEN, DANIEL S. COOK COUNTY SHERIFF 08/23/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 270 16WC 27401 LEON, RICARDO ZERA CONSTRUCTION 08/08/16 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 271 16WC 27434 VERZONI, JOSEPH CITY OF CHICAGO 12/28/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 272 16WC 28449 MILLS, BRADY CHICAGO TRANIT AUTHORITY 07/25/16 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 273 16WC 28462 ROSALES MIRANDA, BEATRIZ SURGE STAFFING, LLC 08/27/16 SYREGELAS, NICHOLAS C BRADY CONNOLLY & MASUDA PC 274 16WC 28518 AMADOR, ISABEL PACE INDUSTRIES INC 09/07/16 THE ROMAKER LAW FIRM RIPES NELSON BAGGOT KALOBRAT 275 16WC 28553 TRUJILLO, MARTIN WOLCOTT REAL PROPERTY 07/21/16 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 276 16WC 28619 DURAN, GUADALUPE ARROW ROAD CONSTRUCTION C 08/02/16 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 277 16WC 28642 VILLARINY, EDWIN LAKESHORE PLAZA 09/02/16 ASHER, RAYMOND L LTD 16WC028643 -C 278 16WC 28707 MENDEZ, ERIC URBAN INNOVATIONS LTD 08/26/16 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 279 16WC 28724 WOOD, JEREMY LABOR READY 06/01/16 MEYERS & FLOWERS CHILTON YAMBERT PORTER LLP 280 16WC 28867 ADAMS, SHEILA CITY OF CHICAGO 08/15/16 WILLIAM MARTAY CITY OF CHICAGO 17WC034127 -C 281 16WC 28890 METWALLY, SIHAM AQSA SCHOOL 08/20/16 HETHERINGTON KARPEL BOBBER LAW OFFICES JOSEPH MARCINIAK 282 16WC 28978 PETERSON, JAMES CHICAGO PUBLIC SCHOOLS 09/13/16 MICHAEL P MCCREADY & ASSOC 283 16WC 29043 SOTO, MARTHA OUTBACK STEAKHOUSE 08/08/16 SALVATO & O'TOOLE 284 16WC 29083 ESTATE OF TINCU, MAXIM DREMEX TRANS INC VICTOR T # 05/27/16 285 16WC 29115 WILLIAMS, SELINA CITY OF CHICAGO/DEP OF FI 04/23/15 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 286 16WC 29169 MATEO, LUIS CHICAGO TRANSIT AUTHORITY 06/14/16 RAYMOND P GARZA LAW OFFICE CHICAGO TRANSIT AUTHORITY 287 16WC 29271 ROLLE, ANTREL CHICAGO BEARS FOOTBALL CL 10/04/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 16WC029272 -C 288 16WC 29321 GARCIA, JUAN RAMON ACCURATE PARTITIONS 02/01/16 ENCINAS & ORNELAS 289 16WC 29413 WAGNER, JOHN S UNIVERSITY OF ILLINOIS 08/07/16 THE FITZ LAW GROUP POWER & CRONIN LTD 290 16WC 29561 GLASS, HELEN CITADEL HEALTH CARE 09/21/16 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 291 16WC 29653 FRENKOVA, ANA HMS HOST 12/12/15 ELFENBAUM EVERS & AMARILIO GAIDO & FINTZEN 292 16WC 29672 SMITH, PAMELA H CTA 08/28/15 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 293 16WC 29850 KING, EDWARDO COSMETIC COLLISION CENTER 08/24/16 STEVEN J MALMAN & ASSOCIAT GAROFALO SCHREIBER STORM 294 16WC 29864 MARTIN, BENJAMIN BCBM, LLC 02/04/16 CULLEN HASKINS NICHOLSON THOMAS & PORTELA 295 16WC 29883 TRUONG, HUNG MOTOR COACH HOLDINGS INC 01/15/15 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD 296 16WC 29983 HARRIS, MARK FREEMAN ELECTRICAL 09/22/16 STROM, NEAL B MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 297 16WC 30046 AHLGRIM, GINA VILLAGE OF NILES 10/27/15 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 298 16WC 30066 WATERS, STACI GOTTLIEB MEMORIAL HOSPITA 06/15/10 SEIDMAN MARGULIS & FAIRMAN 299 16WC 30150 HOFFER, DAVID TROSTRUD 08/18/16 JOHNSON, MICHAEL D & ASSOC WIEDNER & MCAULIFFE LTD 300 16WC 30485 OKITIPI, BETTYE ELEMENTARY SD #159 08/23/16 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK DIAMOND BUSH & E 301 16WC 30545 RODRIGUEZ, RICARDO THR1, INC 09/20/16 THE FITZ LAW GROUP JOSEPH MARCINIAK 302 16WC 30572 PETERSON, DEREK T&JJ'S SUPREME STEAKS AND 07/01/16 BERNSTEIN, PHILIP L 303 16WC 30611 SMITH, VELMA ALDEN TOWN MANOR REHAB & 09/28/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 304 16WC 30628 ANDERSON, DERRON 3520 N LAKESHORE DR CONDO 03/29/16 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 305 16WC 30709 SWEENEY, ERIK STATE OF ILLINOIS/JJ MADD @ 09/28/16 MICHAEL P MCCREADY & ASSOC MATTHEW J KELLER 306 16WC 30801 WATSON, WILLIE LUCKY'S ENERGY SERVICES 05/02/16 STROM, NEAL B RODDY LAW LTD 307 16WC 30840 SMITH, SEQUOIA CTA 06/21/16 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 308 16WC 30984 GARCIA, LUZ MARIA ARROYO ELITE STAFFING, INC 09/15/16 ANKIN LAW OFFICE 309 16WC 31135 MARTINEZ, MAYRA FILTRAN 02/01/16 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 310 16WC 31209 GORMAN, STEVE HARVEY FIRE DEPARTMENT 10/05/16 RIDGE & DOWNES SMITH AMUNDSEN LLC 311 16WC 31232 GILMORE, BERNARD STAFFING NETWORK LLC 10/07/16 HUGHES SOCOL PIERS RESNICK SLAVIN & SLAVIN 312 16WC 31246 GAYTAN, JOSE J A MIDWEST CANVAS CORP 10/06/16 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 313 16WC 31274 ESPARZA, GUSTAVO FORD MOTOR CO 09/20/16 WIEDNER & MCAULIFFE LTD 314 16WC 31401 PAZ, JAIME FEDEX FREIGHT 10/16/15 QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 315 16WC 31422 WESTBROOK, MICHELLE COOK DUPAGE TRANSPORTATIO 10/04/16 LAW OFFICE OF SCOTT B SHAP 316 16WC 37194 JASPER, CHAUN CTA 08/06/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 317 16WC 38064 WALKER, MAURICE THE UNIVERSITY OF CHICAGO 11/10/16 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 318 16WC 38276 VILLASANA, MIGUELE FIRST RESPONSE EMS 01/25/16 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 319 16WC 38367 CURA, LUIS INSIGHT 09/16/16 STEVEN H MEVORAH & ASSOCIA 320 16WC 38450 INNISS, GEORGE CITY OF CHICAGO 10/13/16 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 321 16WC 38459 WATSON, NA'TAIJA S MEIJER INC 12/05/16 ANKIN LAW OFFICE KNELL & O'CONNOR 322 16WC 38523 MYSLEWIEC, EDWARD DART CORP 07/23/15 JOHN E LUSAK HENNESSY & ROACH PC 323 16WC 38769 HOOVER, KIRA CTA 12/08/16 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 324 16WC 38837 OCANA, YVONNE UNITED AIRLINES 09/18/16 CHASE & WERNER LTD NYHAN BAMBRICK KINZIE & LOWR 325 16WC 38935 STOCZANSKYJ, ANGELA M CAREER EDUCATION CORP 08/24/16 FRANKS & RECKENBERG NYHAN BAMBRICK KINZIE & LOWR 326 16WC 39019 MOSES, ANTHONY STATE OF IL/UIC HOSPITAL @ 12/06/16 KARNO, MARK L & ASSOC POWER & CRONIN LTD 327 16WC 39070 SESSION, ARNETTA CHICAGO TRANSIT AUTHORITY 12/22/16 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 328 16WC 39206 CHINEDU, IRENE COOK COUNTY HOSPITAL 09/09/16 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 329 16WC 39316 GILL, MARSHA RENAISSANCE SOCIAL SERVIC 12/02/16 POMPER & GOODMAN 330 16WC 39317 HANDLEY, ROBERT JR G4S SECURE SOLUTIONS 01/05/14 JOHN E LUSAK BRYCE DOWNEY & LENKOV LLC 331 16WC 39357 HENDERSON, CEOLA LORETTO HOSPITAL 12/20/16 GRAVLIN, MICHAEL J LLC 332 16WC 39393 MANUEL, EDITA AVANTARA PARK RIDGE 12/25/16 CELSO FUENTES JR BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 333 17WC 00062 LAVECCHIA, JACQUELINE JEWEL FOOD STORES, INC 06/06/16 JOHN TREPEL & ASSOC 334 17WC 00113 MUNOZ, DORIS RENEE CITY OF CHICAGO 08/18/16 SANDMAN LEVY & PETRICH 335 17WC 00193 BOCK, BRITTANY NATIONAL WOMENS SOCCER LE 04/12/14 HART & DAVID LLP 336 17WC 00253 ZUNIGA, EDWIN E ACCURATE PERSONNEL 11/17/16 DAVID W MARTAY 337 17WC 00360 SAULSBERRY, CHARLES HOME DEPOT 02/05/15 BRISKMAN BRISKMAN GREENBER MC ANDREWS & NORGLE LLC 338 17WC 00362 HILLARD, ROBERT 3520 N LAKESHORE DR CONDO 03/22/10 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 339 17WC 00504 O'CONNOR, DEIRDRE SWEDISH COVENANT HOSPITAL 11/03/16 SEIDMAN MARGULIS & FAIRMAN MACIOROWSKI SACKMANN & ULRIC 340 17WC 00528 ARREDONDO, JOSE LUIS UNILEVER 08/25/16 KINNALLY FLAHERTY KRENTZ & WIEDNER & MCAULIFFE LTD 341 17WC 00595 RAMIREZ, CHRIS CITY OF CHICAGO 09/13/16 ROBIN LAW OFFICE CITY OF CHICAGO 342 17WC 00622 HERRERA, CELINA SCREW MACHINE ENGINEERING 01/20/16 CULLEN HASKINS NICHOLSON CASSANO & ASSOCIATES 343 17WC 00870 WEEDEN, MELLISSA FRITO LAY 11/17/16 HUGHES SOCOL PIERS RESNICK GILDEA & COGHLAN 344 17WC 00939 ZANER, KEVIN KELLER & HEARTT OIL 11/20/15 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 345 17WC 01125 PAGAN, WILLIAM CHICAGO TRANSIT AUTHORITY 12/19/16 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 346 17WC 04646 MONARREZ, GERARDO ED MINIAT INC. 01/17/17 POWER & CRONIN LTD 17WC024676 -C 18WC017001 -C 347 17WC 05944 DIAZ, LUCIO CITY OF CHICAGO 08/22/16 HEALY SCANLON LAW FIRM CITY OF CHICAGO 348 17WC 07162 MONTES, ALBERT L DIAMOND WASTE 12/19/16 GOLDBERG WEISMAN & CAIRO L RIPES NELSON BAGGOT KALOBRAT 349 17WC 07556 BELMER, ANNETTE CTA 03/10/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 350 17WC 07562 MARTIN, DENISE CALIFORNIA GARDENS NURSIN 03/13/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 351 17WC 07596 RODRIGUEZ, RAYMUNDO THERMAL CARE INC 02/01/17 MARTIN V KUGIA 352 17WC 07702 REYES, EFRAIN GC MANUFACTURING AMERICA 09/02/16 VASILATOS & COTTER LLC HOLECEK & ASSOCIATES 17WC017389 -C 353 17WC 07747 SCHILDGEN, JOHN LOYOLA UNIVERSITY MEDICAL 12/01/16 BOWMAN & CORDAY LORENZ & BERGIN PC 354 17WC 07865 JAMES, DANA ALEXIAN BROTHERS 12/18/16 THE ROMAKER LAW FIRM POWER & CRONIN LTD 355 17WC 07870 JAMES, DESIREE CITY OF CHCIAGO 03/08/17 KREITER, BYCK & ASSOC LLP 356 17WC 07914 STEWART, FLOYD JIMMY JOHNS 03/09/17 FRIEDMAN & SOLMOR LTD 357 17WC 07929 SILVA, RENE RELIABLE CONSTRUCTION & E 07/27/16 COSTA IVONE LLC STONE & JOHNSON CHARTERED 358 17WC 08009 SCHWEBKE, JUNE CHICAGO TRANSIT AUTHORITY 12/30/16 HORWITZ HORWITZ & ASSOC 359 17WC 08059 GOSA, ANGIE FORD MOTOR COMPANY 02/28/17 FOHRMAN, DONALD W & ASSOCS 360 17WC 08078 WALKER, MARCUS DR&LA INC 02/25/17 DWORKIN AND MACIARIELLO 361 17WC 08285 PEREZ, MARCIAL ELITE STAFFING 03/03/17 AIOSSA LAW FIRM 362 17WC 08364 JOHNSON, RENWICK CHICAGO TRANSIT AUTHORITY 03/03/17 ANKIN LAW OFFICE 363 17WC 08448 DARLING, PAULA UNITED AIRLINES INC. 02/20/17 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 364 17WC 08588 GENUALDI, VINCENZO VILLAGE OF NILES/POLICE D 02/18/17 BARRY A KETTER NYHAN BAMBRICK KINZIE & LOWR 17WC008589 -C 365 17WC 08640 PURCELL, SONIA TRADER JOES 06/13/16 CULLEN HASKINS NICHOLSON 366 17WC 08760 IANNACCO, JEFFERY FEDEX 11/08/16 LANCASTER, DEBORAH 367 17WC 08812 BAHENA, REYNEL COLOR COMMUNICATIONS INC 03/06/17 GOLDSTEIN BENDER & ROMANOF 368 17WC 08845 BOMBATA, ADETUTU N&C IMPACT CARE SOLUTIONS @ 03/07/17 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 369 17WC 08877 MORENO, MARIA SIMON BROTHERS BAKERY INC 10/10/16 FICHERA & MILLER 370 17WC 08929 REED, EDDIE M STATE OF ILLINOIS - IDOT 01/31/17 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 371 17WC 08958 SLAN, FRANKLIN COOK COUNTY FREST PERSERV 05/13/16 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 372 17WC 08988 MEO, ABDUL ELITE CAB CO 12/26/16 LAW OFFICE RYAN ROSENTHAL 373 17WC 09116 MASON, ERIC J&M TILE, INC 02/23/17 GREGORIO & MARCO 374 17WC 09180 GUERRERO, JUAN C SOUTHERN MAIL SERVICE 02/07/17 LEE A CAMPBELL LAW OFFICE RODDY LAW LTD 375 17WC 09244 TOVAR, JESUS CITY OF CHICAGO 03/06/17 ANESI OZMON RODIN NOVAK KO 376 17WC 09286 RASO, MIKE CITY OF CHICAGO 06/05/15 ROBERT H HANAFORD CITY OF CHICAGO 377 17WC 09305 YOUNG, BRITTNEY SOUTHWEST AIRLINES 01/28/17 BOWMAN & CORDAY 378 17WC 09385 THOMPSON, CEDRIC MAKESPACE STORAGE 02/26/17 SEIDMAN MARGULIS & FAIRMAN 379 17WC 09423 PORTER, JANECE CTA 03/25/17 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY 17WC025851 -C 380 17WC 09454 HOSFIELD, JAMES A VILLAGE OF MORTON GROVE 02/06/17 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 381 17WC 09484 PEREZ, MIGDALIA SHERATON CITY FRONT CENTE 12/12/16 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 18WC022207 -C 382 17WC 09602 MARTINEZ, SERGIO E TABARE TRIUNE LOGISTICS LLC 03/21/17 ANKIN LAW OFFICE LITCHFIELD CAVO 383 17WC 09698 MUNOZ, EDWIN CITY OF CHICAGO 01/11/17 WHITING LAW GROUP 384 17WC 09810 DALICANDRO, MICHAEL J CITY OF CHICAGO 09/01/15 CRONIN & PETERS 385 17WC 09876 GLADNEY, CORDERO MACGUFFINS BAR & LOUNGE 03/24/17 DWORKIN AND MACIARIELLO 386 17WC 09903 DZIADANA, ZIGGY EXCELLENT MASONRY CORP 01/27/17 CHRISTOPHER BUCHCAR, LTD HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 387 17WC 09958 HASTINGS, CHRISTINE F LITTLE COMPANY OF MARY HO 03/09/16 O'CONNOR & NAKOS 388 17WC 10009 CARDENAS, SONIA P COMPASS GROUP/WOLFGANG PU 11/10/16 ANKIN LAW OFFICE GANAN & SHAPIRO 389 17WC 10083 GAMINO, FERNANDO ALPHA OMEGA PLASTICS CO I 02/09/17 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO 390 17WC 10183 FOLKER, ANTOINETTE INGALLS HOSPITAL 11/15/16 SCHREINER MALLOY & ETZLER NYHAN BAMBRICK KINZIE & LOWR 391 17WC 10353 GARCIA, ALEJANDRO CAPSTONE LOGISTICS 02/12/17 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 392 17WC 10384 LARSON, THOMAS MAKE CORPORATION 03/28/17 NEWLAND & NEWLAND HOLECEK & ASSOCIATES 393 17WC 10506 FITZMAURICE, ROBERT BURBANK POLICE DEPT 06/10/16 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 394 17WC 10582 MCCREE, VENUS CHICAGO PUBLIC SCHOOL/CHI 08/11/16 DUDLEY & LAKE LLC CHGO BOARD OF EDUCATION 395 17WC 15894 RABY, CALVIN PREMIUM CONCRETE 03/03/17 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 396 17WC 16735 SANCHEZ, JUAN M UPS 12/10/16 EPSTEIN, JACK R LAW OFFICE 397 17WC 17251 BINDAS, ELENA FREEMAN DECORATING 05/28/17 RUBENS AND KRESS MC ANDREWS & NORGLE LLC 398 17WC 17707 GRIFFIN, JAMES LAKESHORE EXHIBIT SERVICE 05/24/17 RIDGE & DOWNES COZZI & GOGGIN-WARD 399 17WC 17914 BENSON, TYRONE ELITE STAFFING 07/13/16 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 400 17WC 17957 VELDHUIZEN, JENNIFER AVSC HOLDING LLC 03/13/17 COMPTON LAW GROUP 401 17WC 18075 ARROYO, MARIA LUISA LABOR NETWORK, INC (LOANI 04/22/17 SALK, STEVEN B & ASSOC LTD ROBERT L. SMITH 402 17WC 18118 JANKOWSKI, PAMELA INGRDION INCORPORATED 05/28/17 KEDZIE LAW OFFICE PC GAROFALO SCHREIBER STORM 403 17WC 18134 HERNANDEZ, GILBERTO MAINES PAPER & FOOD SERVI 02/28/17 LEONARD LAW GROUP LLC GOLDBERG SEGALLA LLC 404 17WC 18186 FOLKER, ANTOINETTE INGALLS HOSPITAL 11/15/16 SCHREINER MALLOY & ETZLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 405 17WC 18269 DELLIOS, REESE KEN'S LANDSCAPING @ W 06/05/17 RUBIN MACHADO ROSENBLUM 406 17WC 18326 ANDRADE, RAUL EL MILAGRO, INC 05/02/17 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 407 17WC 18402 KHAN, NADIA G EQMD INC 05/21/17 STROM, NEAL B 408 17WC 18498 WIELGOSZ-MARCHI, MARY A RICH LEE VANS INC 03/31/17 GOLDSTEIN BENDER & ROMANOF GALLIANI DOELL & COZZI LTD 409 17WC 18598 ADAMOWICZ, ROBERT MAJESTIC ARCHITECTURAL 10/12/16 VASILATOS & COTTER LLC 410 17WC 18668 SERRANO, MELIDA WOMEN'S ATHLETIC CLUB OF 05/20/17 BAUM RUFFOLO & MARZAL LTD 411 17WC 18789 SLOAN, DAN ELITE PIERING, LLC 06/22/17 GREGORIO & MARCO GAROFALO SCHREIBER STORM 412 17WC 18869 GARCIA, LAURO AMERICAN CRAWLSPACES CORP 06/16/17 SHEA LAW GROUP QUINTAIROS PRIETO WOOD & BOY 413 17WC 18930 ALLEN, PHYLLIS CHILDSERV 10/25/16 SCHACTER, JEROME & ASSOC L 414 17WC 19016 BLAUSIUS, CAROLINE SUMMERDALE/5413 RESTAURAN 03/20/15 RICHARD O. GREENFIELD 415 17WC 19066 SEGOVIA, LUIS ADVANCED DISPOSAL 05/24/17 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 416 17WC 19087 FRIAS, CHRISTIAN 3520N LAKESHORE DR CONDO 06/20/17 BRISKMAN BRISKMAN GREENBER 417 17WC 19104 ROHLOFF, CHRISTOPHER COOK COUNTY BUILDING 06/07/17 BAUM RUFFOLO & MARZAL LTD STATES ATTORNEY OF COOK COUN 418 17WC 19218 HARDIN, JOHN NORCON, INCORPORATED 06/15/17 HORWITZ HORWITZ & ASSOC 419 17WC 19221 GRANT, TIFFANYS SUMMIT STAFFING- LOANER 05/24/17 VITELL & SPITZ LTD 420 17WC 19349 BURKE, JAMES MCNEAL HOSPITAL 05/08/17 HORWITZ HORWITZ & ASSOC 17WC019350 -C MACNEAL HOSPITAL 421 17WC 19409 KRISCH, KAREN TVI, INC 05/18/17 BUIKEMA HISKES DILLNER ET WIEDNER & MCAULIFFE LTD 422 17WC 19426 WILLIAMS, JAMILA ACCESS COMMUNITY HEALTH 06/20/16 CRONIN & PETERS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 423 17WC 19612 BALL, LEAH LOWE ENTERPRISES, INC/ 05/28/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 424 17WC 19667 SHAH, SHAHZADA KALIM KAHN 06/12/17 HUNER LAW OFFICES LLC 425 17WC 19726 FERIZOVIC, MIRSAD WOODSTOCK HOME IMPROVEMEN 04/26/17 LEONARD LAW GROUP LLC 426 17WC 19746 VALVIS, GEORGE DR. PEPPER SNAPPLE GROUP 05/12/17 CARONE LAW OFFICES GAROFALO SCHREIBER STORM 427 17WC 19796 JONES, RODERICK A DELAWARE NORTH SPORTS SER 05/24/17 COSTA IVONE LLC 428 17WC 19825 LAMORE, DEANN EASTER SEALS METROPOLITAN 03/01/17 CAPRON & AVGERINOS PC NOBLE & ASSOCIATES PC 429 17WC 20004 RAINEY, DOMINI UPS 02/22/17 JASINSKI, GEORGE J ASA LAW GROUP 430 17WC 20051 POPOLLA, ROBERT ASC INDUSTRIES INC 07/15/15 FIGLIOLI, DAVID RIPES NELSON BAGGOT KALOBRAT 431 17WC 20172 KUBLE-BALL, VIRGINIA NORDSTROM 10/06/13 ROBERT L. SMITH 432 17WC 20195 SZUMOWSKI, WALTER E W.J. O'NEIL CHICAGO, LLC 06/22/17 CAPRON & AVGERINOS PC 433 17WC 20285 GOMEZ, JULIO COFFEY BROTHERS MOVING @ W 07/01/17 HANNIGAN & BOTHA, LTD 434 17WC 20312 TORRES, JOSE L DYNAMIC MANUFACTURING INC 07/26/16 SHEA LAW GROUP JOSEPH MARCINIAK 435 17WC 20345 WATSON, JAMES CITY OF CHICAGO 06/15/17 WILLIAM MARTAY 436 17WC 20375 NEWBERG, JEFFREY CALUMET CITY POLICE DEPT 03/30/17 KROL BONGIORNO & GIVEN LTD RANDOLPH GREUNE LAW OFFICE 437 17WC 20449 VILLANUEVAS, VICTOR POWDER COAT CHICAGO 07/10/17 KATZ FRIEDMAN EAGLE ET AL ROSARIO CIBELLA 438 17WC 25284 BLAND, THEODIS CTA 08/18/17 RUBIN MACHADO ROSENBLUM CHICAGO TRANSIT AUTHORITY 439 17WC 25684 SHILNEY, JAMES CITY OF CHICAGO 11/22/16 JOSEPH J SPINGOLA, LTD 440 17WC 26605 LEACH, LADARIEN GREAT LAKES COCA COLA 08/07/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 441 17WC 26959 KEMP, NICKI BELMONT VILLAGE SENIOR LI 08/29/17 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 442 17WC 27056 MARTINEZ, JASON T M&K TRUCK SALES, INC 10/20/16 443 17WC 27139 SHEENHAN, JOHN CITGO PETROLEUM 02/27/17 KROL BONGIORNO & GIVEN LTD 444 17WC 27164 BOYD, VICTORIA CTA 09/13/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 445 17WC 27243 MARTIN, PHILLIP CITY OF CHICAGO 05/01/17 ROMANEK & ROMANEK 446 17WC 27285 OWENS, LEON SOUTHWEST AIRLINES 07/19/17 ROGER D RUDICH LTD 447 17WC 27287 KARAS, DONALD CITY OF CHICAGO 05/31/17 TAMVAKIS, GEORGE L CITY OF CHICAGO 448 17WC 27304 FOSTER, LAYUNA NORTH CENTER FOR HANDICAP 05/10/17 JONATHAN SCHLACK JOSEPH MARCINIAK 449 17WC 27308 ADAMS, RONALD MIDWEST CANVAS CORP 08/25/17 SILVERMAN, CLIFFORD A 450 17WC 27325 JOHNSON, ASHLEY LEXINGTON HEALTH CARE CEN 07/13/17 MC HARGUE & JONES 451 17WC 27340 SHEPPARD, BILLY ARCELOR MITTAL STEEL 06/05/17 ELFENBAUM EVERS & AMARILIO SPIEGEL & CAHILL, PC 452 17WC 27362 MEEKS, DEBRA UPS 09/12/17 COVEN LAW GROUP ASA LAW GROUP 453 17WC 27409 WILLIS, SHAWRI UPS 09/12/17 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 454 17WC 27459 CUADRO, JORGE V DART SOLO CUP 09/11/17 RUEDA, IVAN A GAROFALO SCHREIBER STORM 455 17WC 27511 JONAS, ROMAN LAKESHORE CONSTRUCTION GR 06/27/17 CHEPOV & SCOTT LLC 456 17WC 27537 SATTERFIELD, GREG MURPHY MARBLE 11/08/16 PETER F FERRACUTI & ASSOCI GANAN & SHAPIRO 457 17WC 27582 POWER, DONALD TRIANGLE PACKAGE MACHINER 01/10/14 LANNON LANNON & BARR LTD HOLECEK & ASSOCIATES 458 17WC 27606 SAUDERS, SHANNON NORTHWESTERN MEDICINE 07/21/17 STROM, NEAL B

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 459 17WC 27608 VEGA, REUBEN KOPPERS, INC. 08/01/16 LEO ALT RUSIN & MACIOROWSKI LTD 460 17WC 27711 SCHOENHOFEN, DAVID VILLAGE OF CALUMET PARK 03/02/17 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 461 17WC 27897 HERNANDEZ URIBE, SANTIAGO METROSTAFF INC 08/30/17 PETER D CORTI LAW GROUP 462 17WC 27919 JIMENEZ, VICTOR CHICAGO TRANSIT AUTHORITY 09/18/17 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 463 17WC 27949 ICE, KATHLEEN M ELEMENTARY SCHOOL DIST 15 08/11/17 GOLDSTEIN BENDER & ROMANOF ANCEL GLINK DIAMOND BUSH & E 464 17WC 28012 VELAZQUEZ, JACOB ALL AMERICAN ROOFING, INC 09/15/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 18WC012142 -C 465 17WC 28069 SPIVEY, MARY J TRIUNE 08/10/17 SKLARE LAW GROUP LITCHFIELD CAVO 466 17WC 28087 JOHNSON, CINDY L MARIANOS 12/18/16 TOPPER & WEISS LTD 467 17WC 28107 PEREZ, EUSTACIO NORTHWEST COMMUNITY HOSPI 06/19/17 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 468 17WC 28134 HAWKINS, TASHIANA LIEBERMAN CENTER FOR HEAL 09/07/17 LEONARD LAW GROUP LLC JOSEPH MARCINIAK 469 17WC 28154 EDWARDS, MANASSES M APRIA HEALTHCARE/CRESTWOO 06/16/17 JAMES A CORRIGAN LTD 470 17WC 28216 LEAGOGO, FRANCISCO XYLEM INC 08/29/17 BAUM RUFFOLO & MARZAL LTD POULOS & DIBENEDETTO LAW 471 17WC 28260 HAWKINS, SONJA FIRST STUDENT, INC 09/12/17 JAMES J. GAY 472 17WC 28293 MORALES, AGUSTIN SAM'S CLUB 05/17/17 CHEPOV & SCOTT LLC QUINTAIROS PRIETO WOOD & BOY 473 17WC 28441 NEGRON, ISMAEL NORTHWEST EXPRESS INC 08/26/17 ANKIN LAW OFFICE JAMES M KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 474 17WC 28458 SMITH, LASHAWN PERSONNEL STAFFING GROUP, 07/31/17 COSTA IVONE LLC KOREY RICHARDSON LLC 475 17WC 28480 ELLIS, ANTONIA MONDELEZ INTERNATIONAL 05/25/17 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 18WC008884 -C 18WC008885 -C 476 17WC 28678 HOSLEY, LAPORTIA UNIVERSITY OF CHICAGO 09/04/17 VRDOLYAK LAW GROUP LLC POWER & CRONIN LTD 477 17WC 28721 HERNANDEZ, DIMAS COOK COUNTY SHERIFF'S DEP 08/07/17 LAW OFFICES MICHAEL HELLMA STATES ATTORNEY OF COOK COUN 478 17WC 28857 ALEXANDER-SMITH, MILDRED NORWEGIAN AMERICAN HOSPIT 09/27/17 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 479 17WC 28877 RODRIGUEZ, CARLOS CITY FOODS 11/14/16 LAW OFFICE EDWARD RUEDA 480 17WC 28918 MORGAN, TAWNY ORGANIC LIFE 08/30/17 LEO ALT 481 17WC 28994 TLANDA, SUSAN LENSCRAFTERS 07/05/17 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 482 17WC 29015 GLOWICKI, MIKE CITY OF CHICAGO 07/03/17 THE ROMAKER LAW FIRM CITY OF CHICAGO 483 17WC 29080 JOHNSON, ANITA SURE STAFF, INC 09/24/17 GOLDSTEIN AIOSSA & GOOD LOUIS MUNDY 484 17WC 29095 VELEZ, JUDITH ALTIRO LATIN FUSION 08/30/17 EDWIN REYES LEGAL GROUP HENNESSY & ROACH PC 485 17WC 29123 LASIOWSKI, HEIDI EARLE M JORGENSEN COMPANY 09/01/17 ALEKSY BELCHER POULOS & DIBENEDETTO LAW 486 17WC 29184 O'DELL, ABIE E HERSHA GROUP LLC DBA HOTE 05/24/17 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 487 17WC 29200 RAMIREZ, JOSE FLEXIBLE STAFFING 02/01/17 RAYMOND M SIMARD, PC BRADY CONNOLLY & MASUDA PC 488 17WC 29320 HERNANDEZ, JUAN CHICAGO DRYER COMPANY 09/07/17 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 489 17WC 29337 HEARN, QUINNIYA RESERVED ENTERPRISE 08/12/17 DWORKIN AND MACIARIELLO 490 17WC 29377 MC GRAW, SHEMEKA S CTA-CHICAGO TRANSIT AUTHO 09/17/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 491 17WC 29430 ARVIA, MICHAEL JEWEL/NEW ALBERTSON'S INC 06/22/17 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 492 17WC 29455 GONZALEZ, NEMECIO NEXUS EMPLOYMENT SOLUTION 10/02/17 EPSTEIN, JACK R LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 493 17WC 29472 REMBERT, DWAYNE B U.S. XPRESS INC 02/06/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 494 17WC 29515 LEYVA, MARIO JIT JUST IN TIME STAFFING 09/21/17 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 495 17WC 29577 RAMIREZ, FILBERTO COOK COUNTY CIRCUIT COURT 03/15/17 BRILL & FISHEL 496 17WC 29595 MARTINEZ, MARTIN SHARPRINT SILKSCREEN AND 07/25/17 TAXMAN POLLOCK 497 17WC 29624 MYERS, BAKARI CITY OF CHICAGO-FORESTRY 09/29/17 JOSEPH J SPINGOLA, LTD 498 17WC 29666 MCKEATING, NORMA LITTLE COMPANY OF MARY HO 03/15/17 BOUDREAU NISIVACO LLC WIEDNER & MCAULIFFE LTD 499 17WC 29755 PALMER, MARSHUN ALLIED INDUSTRIAL 10/08/17 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM 500 17WC 29770 RIOS SR, ABEL RAINCOAT ROOFING SYSTEMS, 08/14/17 O'CONNOR & NAKOS CLAUSEN MILLER PC 501 17WC 33526 ANDERSON, SHANIECE L CHICAGO TRANSIT AUTHORITY 08/06/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 502 17WC 33585 SANDOVAL, JUAN ROBERTO MIDWEST CANVAS CORPORATIO 11/06/17 COSTA IVONE LLC 17WC035064 -C 503 17WC 34713 MENDEZ, HORACIO LAKESHORE RECYCLING SYSTE 08/09/17 THOMAS J STIBERTH LAW OFFI NYHAN BAMBRICK KINZIE & LOWR 504 17WC 36460 WELLS, CATRICE UNITED AIRLINES 12/02/17 ANGELINI & ORI LLC 505 17WC 36505 BELK, DONNA CTA 12/11/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 506 17WC 36513 LAGUNAS, MARGARITA ENGINEERED GLASS PRODUCTS 10/11/17 ENCINAS & ORNELAS MC ANDREWS & NORGLE LLC 17WC036865 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 507 17WC 36533 LOMAX, WILMA V ILLINOIS CENTRL SCHOOL BU 11/29/17 ANKIN LAW OFFICE 508 17WC 36569 PHETEAU, MARGARETH ADVOCATE LUTHERAN 09/22/17 FRIEND LEVINSON & BERGAL GAROFALO SCHREIBER STORM 17WC036570 -C 18WC016712 -C 509 17WC 36612 EDWARDS, JAMES ARAMARK 12/05/17 MARC J SHUMAN & ASSOCIATES 510 17WC 36653 WHITE, KIMBERLY K SOUTHWEST AIRLINES 05/28/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 511 17WC 36690 NAJERA, ESTELA CIERA STAFFINGS 11/14/17 CHEPOV & SCOTT LLC 512 17WC 36792 BROOKS, LETICIA GLENSHIRE NURSE & REHAB C 11/24/17 ANGELINI & ORI LLC 513 17WC 36823 CHAVEZ, CONCEPCION PEREIR SCRUB INC 11/09/17 SALVATO & O'TOOLE POULOS & DIBENEDETTO LAW 514 17WC 36882 SISSON, LARRY IL DEPARTMENT OF REVENUE 11/09/17 MC HARGUE & JONES KRISTIN LEASIA 515 17WC 36969 MONROE, DASHUNDA CHICAGO SKYWAY 12/04/17 KUMLIN & FROMM 516 17WC 36984 FICK, DAVID JONES LANG LASALLE AMERIC 04/05/17 HEALY SCANLON LAW FIRM SMITH AMUNDSEN LLC 517 17WC 37016 BRADLEY, STEVEN ELIZABETH LUDEMAN CENTER 11/24/17 DWORKIN AND MACIARIELLO KRISTIN LEASIA 518 17WC 37036 JACKSON, BRITTANY N REVIVAL FOOD HALL 10/18/17 GALLAGHER, DONALD V BRADY CONNOLLY & MASUDA PC 519 17WC 37099 MORATAYA, LESTER CENTRAL TRANSPORT 12/17/16 WHITESIDE & GOLDBERG LTD HINSHAW & CULBERTSON 520 17WC 37118 BERNING, MICHAEL UNITED AIRLINES 11/23/17 KATZ FRIEDMAN EAGLE ET AL 521 17WC 37143 LOBLEY-TRIMBLE, JANIE MEDICAL GEAR, LLC DBA 12/28/16 SEIDMAN MARGULIS & FAIRMAN HEYL ROYSTER VOELKER & ALLEN 522 17WC 37167 REYNOLDS, KHALIAH ALONTI CATERING KITCHEN 09/18/17 COSTA IVONE LLC 523 17WC 37303 GRIFFITH, JOYCELIN SCR MEDICAL TRANSPORTATIO 09/22/17 DEPAOLO ZADEIKIS GORE NYHAN BAMBRICK KINZIE & LOWR 524 17WC 37321 GARRETT, PATRICK MIDAS 10/11/17 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 525 17WC 37382 AVILA, MARITZA RON'S STAFFING SERVICES, 11/08/17 GRAZIAN & VOLPE PC KOREY RICHARDSON LLC 526 17WC 37446 EZUMAH,IKECHI JEWEL FOOD STORE 03/28/16 GALLAGHER, DONALD V 527 17WC 37526 MOORE, GABRIEL GREAT LAKES COCA COLA 12/15/17 PETER D CORTI LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 528 17WC 37559 CASTILLO, ALICIA CARNICERIA JIMENEZ 06/18/17 HERRERA LAW CENTER BRADY CONNOLLY & MASUDA PC 529 17WC 37575 BLANCARD, KELVIN SR COOK COUNTY SHERIFF'S POL 12/13/17 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 530 17WC 37624 RYAN, JOSEPH SOUTHWEST AIRLINES 04/05/17 KARCHMAR & STONE 531 17WC 37647 JORDAN, CECILIA UNITED AIRLINES 09/07/17 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 532 17WC 37678 MCCRANEY, RONALD GCP APPLIED TECHNOLOGIES 11/22/15 DAVID W MARTAY 533 17WC 37693 PANCER, JOSHUA KCI, INC 11/27/17 GOLDBERG WEISMAN & CAIRO L 534 17WC 37722 HARLAN, MATTHEW ARYZTA LLC 11/11/17 ANKIN LAW OFFICE 535 17WC 37760 WHITMORE, PATRICIA AMERICAN MATTRESS 12/11/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 536 17WC 37848 SCHATZ, BRUCE LEVY RESTAURANTS 08/30/17 TURCYCHUTE LLC GANAN & SHAPIRO 537 17WC 37886 STUART, ROBERT CHICAGO PUBLIC SCHOOLS 05/24/17 LAW OFFICES ROBERT WARSASK CHGO BOARD OF EDUCATION 538 17WC 37914 LEON, ABRAHAM CHARTER STEEL TRADING CO 09/11/17 KARCHMAR & STONE 539 17WC 37936 DEMINGLIO, MICHAEL EASTERSEALS 12/18/17 SANDMAN LEVY & PETRICH 540 17WC 37993 GREEN, EDWARD HOME DEPOT 07/23/17 THOMAS M. PARIS ADELSON TESTAN BRUNDO 541 18WC 00017 TEGTMEIER, STEPHEN ADVANCED DISPOSAL SERVICE 11/10/17 KOSIN LAW OFFICE LTD INMAN & FITZGIBBONS 542 18WC 00040 PUROL, DAVID J USF HOLLAND, INC 03/15/17 HART & DAVID LLP HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 543 18WC 00065 HUGHES, ERIC FEDEX FREIGHT 03/04/16 WILLIAM B MEYERS, LTD 544 18WC 00136 BROWN, DAWN PORTER PLACE TINLEY PARK 11/11/17 VASILATOS & COTTER LLC 545 18WC 00185 BAIG, ADIL PRESENCE HEALTH 02/06/17 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 546 18WC 00227 THOMPSON, RACHAEL CITY OF CHICAGO 10/25/17 ANKIN LAW OFFICE 547 18WC 00237 SPENCER, WILLIAM BLACKHAWK TRANSPORT 12/26/17 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 548 18WC 00251 RUDOLPH, JESSIE PACE 12/19/17 FOHRMAN, DONALD W & ASSOCS 549 18WC 00307 ELLIOTT, SHARON SCR MEDICAL TRANSPORTATIO 12/16/17 WILLIAM S. WOJCIK LTD NYHAN BAMBRICK KINZIE & LOWR 550 18WC 00332 DURAN BETANCOURT, GISSELL AMERICAN AIRLINES INC 12/18/16 PETER D CORTI LAW GROUP 551 18WC 00387 GIVANTT, ANTOINE METRO STAFFING 06/16/17 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 552 18WC 00410 ESQUIVEL, ANTHONY BMWC CONSTRUCTORS, INC 09/05/17 GORDON & CENTRACCHIO LLC BRADY CONNOLLY & MASUDA PC 553 18WC 00434 RODRIGUEZ, OLGA PLITEK 09/23/17 EDWIN REYES LEGAL GROUP 554 18WC 00483 TOLENTINO, ALBERTO LKQ CORP KEYSTONE AUTOMOT 09/11/17 KREITER, BYCK & ASSOC LLP BRYCE DOWNEY & LENKOV LLC 555 18WC 00504 DUKES, DORIS HEALTHCARE SVCS GROUP, IN 11/01/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 556 18WC 00527 ASKEW, KEARTHUR CITY OF CHICAGO DEPT OF 12/29/17 CUDA LAW OFFICES 557 18WC 00582 FERGUSON, WILLIAM COOK COUNTY MEDICAL EXAMI 06/13/17 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 558 18WC 00622 MITHANI, NINA HALO SALON FOR MEN 02/15/16 ANGELINI & ORI LLC HOLECEK & ASSOCIAT0ES 559 18WC 00646 MARTIN, LAMONT BEGGARS PIZZA AKA PIZZA D 11/12/17 DWORKIN AND MACIARIELLO 560 18WC 00663 MARIN, CRUZ E MIDWAY STAFFING 12/19/17 RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 561 18WC 00683 BECERRA, FELIPE COLUMBIA YACHT CLUB 11/05/17 ENCINAS & ORNELAS NYHAN BAMBRICK KINZIE & LOWR 562 18WC 00772 RAMACCIOTTI, RICHARD FIRSTGROUP AMERICA 04/26/17 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 563 18WC 00797 TAMAYO, LINETH LABOR TEMPS, INC 10/10/17 PETER D CORTI LAW GROUP ROBERT L. SMITH 564 18WC 00840 STEELE, BRIAN VILLAGE OF RICHTON PARK 05/11/17 NILSON STOOKAL GLEASON CAP POWER & CRONIN LTD 565 18WC 00863 BURGESS, BRITTANNI CHICAGO TRANSIT AUTHORITY 12/05/17 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 566 18WC 00963 ROBINSON, DALE ILLINOIS BELL TELEPHONE C 10/20/16 WHITERS, ALFRED T 567 18WC 00992 BOYKIN, BOYKIN MERCY HOSPITAL MEDICAL CE 12/02/17 VRDOLYAK LAW GROUP LLC 568 18WC 01031 RICHARD, HELEN RIVERS CASINO 03/15/17 DWORKIN AND MACIARIELLO 569 18WC 01071 NAVARRO, ISMAEL HOME PRODUCTS INTERNATION 12/18/17 JENEL COTTON LAWRENCE COZZI - LAW OFFICES 570 18WC 04006 RODGERS, JACQUIZZ CHICAGO BEARS FOOTBALL CL 10/11/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 571 18WC 06805 CROFT, PATRICE CITY OF CHICAGO-SANITATIO 12/11/17 JOSEPH J SPINGOLA, LTD 572 18WC 07400 MONGE, ANITA PRESENCE RESURRECTION MED 01/31/18 ANKIN LAW OFFICE 573 18WC 07427 CRUZ, CARMELO ACCURATE PERFORATING 02/14/18 EPSTEIN, JACK R LAW OFFICE LITCHFIELD CAVO 574 18WC 07446 NWOKO, DORIS ROSELAND HOSPITAL 02/05/18 DWORKIN AND MACIARIELLO SCOPELITIS GARVIN LIGHT 575 18WC 07479 GEEVE, DONNA LUTERHAN HOME, 02/02/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 576 18WC 07503 TALLEY, JULIAN ARENA FOOTBALL ONE LLC 07/29/17 GORDON LAW OFFICES LTD GORDON & CENTRACCHIO LLC 577 18WC 07545 GALLEGOS, ALICIA EL PAPOCATEPETL INDUSTRIE 03/01/18 ANKIN LAW OFFICE 578 18WC 07565 HOLLIDAY, WANDA CDT 02/28/18 COSTA IVONE LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 597 18WC 08167 ROMERO, RAFAEL PROST 02/23/18 ANKIN LAW OFFICE 598 18WC 08209 ORECH, STEFFANY L STARBUCKS COFFEE 10/01/17 VITELL & SPITZ LTD 599 18WC 08229 BENITEZ, MIGUEL ABRA AUTO BODY AND GLASS 02/26/18 KREITER, BYCK & ASSOC LLP 600 18WC 08288 FERNANDEZ, LINDA ALDEN MANAGEMENT 10/14/16 LEONARD LAW GROUP LLC 601 18WC 08304 AGUILAR, LUIS B&J WIRE, INC. 02/26/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 602 18WC 08321 ORTIZ, JOSE A MINUTE MEN STAFFING SRVCS 03/02/18 CHEPOV & SCOTT LLC GILDEA & COGHLAN 603 18WC 08410 SYKES, CARL WALMART 01/17/18 SKLARE LAW GROUP QUINTAIROS PRIETO WOOD & BOY 604 18WC 08455 CAULFIELD, PATRICK CAST AND CREW ENTERTAINME 02/23/18 ELFENBAUM EVERS & AMARILIO BRADY CONNOLLY & MASUDA PC 605 18WC 08551 WASP, ROBERT SHEET METAL WERKS 01/11/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 606 18WC 08566 WEBB, GARY CHICAGO TRANSIT AUTHORITY 11/18/16 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 607 18WC 08611 CLIFFORD, MICHAEL F HEARTLAND BLOOD CTR 02/13/18 ANESI OZMON RODIN NOVAK KO MEACHUM & STARCK 608 18WC 08633 BRUCHERT, GREG TRADER JOE'S 08/05/17 SCOTT BARBER GAROFALO SCHREIBER STORM 609 18WC 08645 HILL, DEONTATE BULKMATIC TRANSPORT 02/12/18 VASILATOS & COTTER LLC 610 18WC 08688 ADLER, RICHARD UPS 10/09/17 LEONARD LAW GROUP LLC ASA LAW GROUP 611 18WC 08711 WILLIAMS, MARK INGALLS MEMORIAL HOSPITAL 03/06/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 612 18WC 08777 MEDELLIN, GASTON ALPHA BAKING CO 11/29/17 HORWITZ HORWITZ & ASSOC 613 18WC 08808 LATRONICO, GLENN IL STATE POLICE 03/19/18 COLLISON LAW OFFICES KRISTIN LEASIA 614 18WC 08897 BROWN, ANTONIO PROVIDENT HOSPITAL OF COO 08/14/17 DAMISCH & DAMISCH LTD STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 615 18WC 08934 BRUNNER, DANIELLE IL BELL TELEPHONE COMPANY 10/09/17 TUITE LAW 616 18WC 08964 RODRIGUEZ, ARLIN CRUZ MCDONALDS 03/03/18 ANKIN LAW OFFICE 617 18WC 08994 ANDERSON, TYNEASE METRO STAFF, INC 01/11/18 VRDOLYAK LAW GROUP LLC 618 18WC 09015 ZETINA, ERIC M TIDAL WAVE HAND CARE WASH 02/09/18 CHEPOV & SCOTT LLC CASSANO & ASSOCIATES 619 18WC 09041 HINSON, NANCY SLEEP INN 02/05/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 620 18WC 09066 NUKIC, AMIRA MACY'S RETAIL HOLDINGS 01/02/18 MARKS INJURY LAW BRYCE DOWNEY & LENKOV LLC 621 18WC 09121 FOX, NICHOLE PREMIER TRANSPORTATION 11/19/17 RUBENS AND KRESS 622 18WC 09169 LABON, JEREMY D STAFFMARK 01/31/18 GALLAGHER, DONALD V KEEFE CAMPBELL BIERY & ASSOC 623 18WC 09184 RODRIGUEZ, JOSE HIGHLAND BAKING CO. 02/23/18 LANNON LANNON & BARR LTD 624 18WC 09200 DENNISON, JOSHUA G.E. MATHIS COMPANY 01/17/18 ANKIN LAW OFFICE 625 18WC 09222 SATTERFIELD, DEBORAH ST COLETTA'S OF ILLINOIS 03/22/18 HERRERA LAW CENTER 626 18WC 09264 JOYCE, NOREEN CITY OF CHICAGO 03/08/18 BURNETT & CARON, LTD HENNESSY & ROACH PC 627 18WC 09328 STEWART, SHONDRE JEWEL OSCO 03/09/18 ENCINAS & ORNELAS 628 18WC 09356 MCDONALD, MIRANDA WINFIEL CHICAGO TRANSIT AUTHORITY 03/23/18 SCOTT B SHAPIRO CHICAGO TRANSIT AUTHORITY 629 18WC 09379 GIBSON, STEVEN SPRINTER PLUMBING 03/14/18 DWORKIN AND MACIARIELLO 630 18WC 09451 GUTIERREZ, ALVARO OZINGA 01/23/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 631 18WC 09466 RIVERA, BENJAMIN WASTE CONNECTION D/B/A 01/30/18 GRAZIAN & VOLPE PC 632 18WC 09549 QUEEN-THOMAS, BEVERLY CHICAGO PUBLIC SCHOOLS 04/17/15 BEVERLY QUEEN-THOMAS CHGO BOARD OF EDUCATION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 633 18WC 09564 BERMUDEZ, JUAN J NATION PIZZA PRODUCTS LP 02/12/18 ANKIN LAW OFFICE MEACHUM & STARCK 634 18WC 09594 DUENEZ, JOSE CHICAGO AMERICAN MANUFACT 02/26/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 635 18WC 09626 SERRANO, RUDELL VALUE PAWN 10/31/17 WARREN W MARK MENDOZA LAW PC 636 18WC 09658 STINSON, JOLIE UNIVERSITY OF CHICAGO 09/15/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 637 18WC 09699 FEDELE, GENNARO CITY OF CHICAGO 03/28/18 STROM, NEAL B HENNESSY & ROACH PC 04WC058457 -C 638 18WC 09722 ZHANG, RUI YIN GREAT BEIJING CHINESE 02/08/18 MARK SCHAFFNER BRADY CONNOLLY & MASUDA PC 639 18WC 09729 KERSHAW, DECARI JEWEL-OSCO 03/25/18 VASILATOS & COTTER LLC RODDY LAW LTD 640 18WC 09763 HENDZEL, THOMAS NOLAND SALES CORPORATION 09/06/17 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 641 18WC 09789 LEWIS, CATRINA CARL BUDDIG & CO 03/16/18 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 642 18WC 09862 CARR, RAYMOND WOODLAWN COM DEVELCORP C/ 02/10/18 BRIAN J MC MANUS & ASSOC, 643 18WC 09915 AMOPE, ADESHINA FREEDOM HOME CARE 03/17/18 HERRERA LAW CENTER GALLIANI DOELL & COZZI LTD 644 18WC 09930 ONI, SHARON LIEBERMAN CENTER 05/22/16 DWORKIN AND MACIARIELLO 645 18WC 09970 HILL, CLEO J SCR MEDICAL TRANSPORTATIO 03/02/18 VITELL & SPITZ LTD QUINTAIROS PRIETO WOOD & BOY 646 18WC 09999 BODEDE-ADEBAYO, BENEDICTA WESTWOOD MANOR 04/15/17 RANDALL A. WOLFF & ASSOC GAIDO & FINTZEN 647 18WC 10042 MORALES, RAUL ELITE STAFFING INC 03/12/18 COSTA IVONE LLC 648 18WC 10138 WEATHERLY, DORIS PRESENCE 02/19/17 HETHERINGTON KARPEL BOBBER 649 18WC 10201 TORRES, DAVID S BIGANE PAVING CO 03/24/17 GALLAGHER, DONALD V EDWARD J. KOZEL 650 18WC 10224 FLETCHER, JONATHAN E & R TOWNING 03/22/18 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 651 18WC 10262 STARANOWICZ, DIANE JEWEL OSCO 02/17/18 JOSHUA KARMEL 652 18WC 10287 FRANKLIN, WAYNE UNITED CONTINENTAL HOLDIN 01/13/18 BRIAN J MC MANUS & ASSOC, 653 18WC 10307 YOUNG, LERENDA SIDNODE 10/25/17 JOHN E LUSAK HENNESSY & ROACH PC 654 18WC 10326 SCOTT, ARTHUR 4S ERECTION INC 01/17/18 STEVEN J MALMAN & ASSOCIAT 655 18WC 10408 ARGUETA, DANIEL SCHOOL DISTRICT 54 02/27/17 PHILIP BLOMBERG 656 18WC 10432 RODRIGUEZ, ANTONIO RAHCO RUBBER 02/20/18 CHASE & WERNER LTD 657 18WC 10476 WINTERS, CAITLIN DOLLAR GENERAL 11/15/17 MARSZALEK AND MARSZALEK LEAHY EISENBERG & FRAENKEL 658 18WC 10518 PRADO, DAVID A MICKEY'S LINEN & TOWEL SU 04/02/18 HOLECEK & ASSOCIATES 659 18WC 10546 RAMIREZ, JUAN ELSTON MATERIALS LLC 11/26/16 CHEPOV & SCOTT LLC CASSANO & ASSOCIATES 660 18WC 10570 RICHARDSON, SAM GREYHOUND 03/28/18 FOHRMAN, DONALD W & ASSOCS 661 18WC 16758 JONES, ROBERT R E M, INC 05/25/18 JACKOWIAK LAW OFFICES POWER & CRONIN LTD 662 18WC 17444 JOHNSON, THERESA ADVOCATE CHRIST MEDICAL C 05/02/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 663 18WC 17486 VALLE JR, OSCAR RAINBOW INTERNATIONAL OF 05/25/18 CELSO FUENTES JR 664 18WC 17524 SARNO, DEBORAH RUSH UNIVERSITY MED CTR 04/09/18 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL BIERY & ASSOC 665 18WC 17553 MARKS, ESTEVAN FORD MOTOR CO 06/06/18 KREITER, BYCK & ASSOC LLP 666 18WC 17579 ADAMS, ALTHEA ALLTOWN SCHOOL BUS 06/05/18 JAMES ELLIS GUMBINER & ASS 667 18WC 17590 RIVERA, FRANCISCO JR SRU COMMUNICATIONS 03/26/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 668 18WC 17616 DASILVA, STEPHANIE COMPASS GROUP 02/11/18 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 669 18WC 17632 BRUNNER, AUDREY HOFFMAN ESTATES POLICE DE 04/13/18 WOODRUFF JOHNSON MACIOROWSKI SACKMANN & ULRIC 670 18WC 17688 TUCKER, JACQUELINE HOSTESS BRANDS, LLC 05/17/18 CELSO FUENTES JR INMAN & FITZGIBBONS 671 18WC 17713 OWENS, ALONZO HOME DEPOT 05/24/18 POLANSKY & CICHON CHTD ADELSON TESTAN BRUNDO 672 18WC 17751 GONZALEZ ZUNIGA, GERARDO ANNING-JOHNSON CO 02/15/18 HETHERINGTON KARPEL BOBBER GAROFALO SCHREIBER STORM 673 18WC 17828 WRIGHT, MARJORIE GCA SERVICES GROUP 05/15/18 DWORKIN AND MACIARIELLO 674 18WC 17850 WEEKLY, SHONTELL C HOME DEPOT 05/28/18 STEVEN J MALMAN & ASSOCIAT ADELSON TESTAN BRUNDO 675 18WC 17861 PEREYA, BALTAZAR HYATT REGENCY CHICAGO 04/04/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 676 18WC 17897 WALLACE, VELEDA T ALPHA BAKING 05/17/18 DEPAOLO & ZADEIKIS MACIOROWSKI SACKMANN & ULRIC 677 18WC 17919 CASTRO, FAUSTINO ELBOW GREASE JANITORIAL 05/24/18 STEVEN B SALK & ASSOC LTD 678 18WC 17941 WRIGHT, DEMETRIUS EXCEL WINDOWS AND DOORS 06/11/18 DWORKIN AND MACIARIELLO 679 18WC 18011 CARREON, MARIA N OCHOA UNITED TEMPS, INC 03/23/18 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 680 18WC 18030 DOBYNE, NEENA NCH NORTHWESTERN 05/04/18 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 681 18WC 18087 REYES, NELLY METRO STAFFING 05/31/18 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 682 18WC 18113 011 THOMAS, DARRELL SOUTHWEST AIRLINES 06/14/18 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 011 17WC035818 -C 683 18WC 18153 CASARONA, LORI EXECUTIVE JET MGMT 02/03/18 HUGHES SOCOL PIERS RESNICK 684 18WC 18173 GUADARRAMA, AIDA CARIBOU COFFEE 05/17/18 MARKER & CRANNELL MEACHUM & STARCK 685 18WC 18207 MC MILLIAN, PORCSHIA BAGCRAFT PAPERCON, LLC 06/05/18 ANKIN LAW OFFICE 686 18WC 18245 MANNING, THOMAS FRESENIUS KABI 05/24/18 CUDA LAW OFFICES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 687 18WC 18261 PATTEN, ADRIAN E FARMINGTON FOODS 05/28/18 GALLAGHER, DONALD V CAPUANI, FRANK S 688 18WC 18277 GIKAS, KATHY MACY'S 03/18/18 SCOTT B SHAPIRO GAIDO & FINTZEN 689 18WC 18311 MURDOCK, ROBIN SUNRISE SENIOR LIVING 06/17/18 MC HARGUE & JONES DENNIS J NOBLE & ASSOC 690 18WC 18416 FRIESEN, ALEX CHICAGO WOLVES 01/28/17 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 691 18WC 18439 FRIAS, GRISELDA CROTHALL LAUNDRY SERVICES 02/22/18 ACEVES & PEREZ PC 18WC018440 -C 692 18WC 18464 JAROS, JOSHUA VANDRUNEN FORD 04/18/18 SPIROS LAW PC GANAN & SHAPIRO 693 18WC 18535 TOMASELLO, ANTONINO BOCKWINKEL'S AT PARK MILL 10/20/16 ROSS TYRRELL RODDY LAW LTD 694 18WC 18557 WOODS, MATTHEW M&K TRUCK CTR 06/11/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 695 18WC 18598 BHIMANI, RAMZAN HAMIDREZA NIKAMALFARD AND 06/20/18 STEVEN J TENZER, LTD 696 18WC 18620 PAULK, KAMEELAH BLUE CROSS/BLUE SHIELD IL 06/23/15 WHITESIDE & GOLDBERG LTD 697 18WC 18665 HAZELWOOD, LATOYA COOK COUNTY 06/16/17 THOMAS LAW STATES ATTORNEY OF COOK COUN 698 18WC 18684 HOLLY, TAMARA CHILDERN'S CREATIVE CORNE 03/01/18 EDWIN REYES LAW FIRM VITELL & SPITZ LTD 699 18WC 18704 ROBINSON, THELMA L CHICAGO BOARD OF EDUCATIO 03/21/18 VITELL & SPITZ LTD CHGO BOARD OF EDUCATION 700 18WC 18724 ATA, AMAL K FRANCESCA'S RETAIL STORE 11/01/16 CUDA LAW OFFICES 701 18WC 18747 ADAMCZYK, TRACIE WALMRT, INC D/B/A SAM'S C 10/28/17 HETHERINGTON KARPEL BOBBER GANAN & SHAPIRO 702 18WC 18773 TANNER, QUINTIN CHICAGO TRANSIT AUTHORITY 02/05/18 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 703 18WC 18793 SLATER, LANE COMMERCIAL PAINTING 09/01/17 BRADY CONNOLLY & MASUDA PC 704 18WC 18806 PEREZ, JOSE DE HOYOS CONCRETE 06/04/18 JONATHAN SCHLACK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 705 18WC 18842 EDWARDS, TANGELA SYMPHONY OF SOUTHSHORE 05/25/18 LEONARD LAW GROUP LLC MCCABE KIRSHNER PC 706 18WC 18887 JIMENEZ, MARILU DUNBAR ARMORED INC 06/11/18 GARDI & HAUGHT 707 18WC 18921 ROCHON, JAMES UPS FREIGHT 06/20/18 GOLDBERG WEISMAN & CAIRO L 708 18WC 18946 MORALES, VERONICA SEALED AIR CORP 04/24/18 COSTA IVONE LLC MEACHUM & STARCK 709 18WC 18967 GODLA, LOUIS C 33 REALTY 06/04/18 JAMES ELLIS GUMBINER & ASS RODDY LAW LTD 710 18WC 19006 RIVERA, JOSE UPS 01/11/18 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 711 18WC 19061 DORSEY, TIM ED LEWIS TRUCKING 11/22/17 JAMES M KELLY 712 18WC 19083 ANDREWS, TONYA TRINITY UNITED CHURCHOF C 08/07/17 STEPHAN L. HOFFMAN 713 18WC 19125 AUGUST, MARK A CHICAGO BOARD OF EDUCATIO 05/17/18 VITELL & SPITZ LTD 714 18WC 19147 PETERSON, TREVOR PROAMPAC 12/21/17 GREGORIO & MARCO 715 18WC 19215 JAMES, KEON M FEDEX 06/01/18 GALLAGHER, DONALD V 716 18WC 19235 JACKSON, WONDA E CHICAGO TRANSIT AUTHORITY 06/12/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 717 18WC 19248 AHMED, SHAAN MOHAMMAD A AHMED 02/02/18 RYAN ROSENTHAL 718 18WC 19298 MORGAN, WARREN FIRST CLASS STAFFING 03/21/17 JOSEPH YOUNES GRANT & FANNING 719 18WC 19326 BEYER, WALTER COMCAST 10/01/16 GOLDBERG WEISMAN & CAIRO L 720 18WC 19353 FORMEY, WANDA UNITED CONTINENTAL HOLDIN 06/01/18 BRIAN J MC MANUS & ASSOC, 721 18WC 19373 OWENS, NORZELLA MV TRANSPORTATION INC 06/06/18 POMPER & GOODMAN BRADY CONNOLLY & MASUDA PC 722 18WC 19420 ARGOS, MERCEDES FEDERAL-MOGUL, LLC 05/23/18 JAMES M GERAGHTY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 723 18WC 19436 GONZALEZ, MARIA DE LOURDE HOSTESS BRANDS LLC 05/16/18 HOWARD S. KAVENOW LLC INMAN & FITZGIBBONS 724 18WC 19471 MAKOWSKI, TIM RICHO USA, INC 03/02/18 STEVEN H MEVORAH & ASSOCIA CHILTON YAMBERT PORTER LLP 725 18WC 19515 BROWN, LUVONIA IL CENTRAL TRANSPORTATION 06/13/18 PARENTE & NOREM PC 726 18WC 19536 MARRERO, JOSE UNITED AIRLINES, INC 01/18/18 GREGORIO & MARCO 18WC023318 -C 727 18WC 19554 QUINONES, HUGO UNITED AIRLINES 11/26/17 CUDA LAW OFFICES 728 18WC 19598 HARREL, STEVEN DAUBERT CHEMICAL COMPANY 06/04/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 729 18WC 19613 PATTISON, SANDRA EGE TRANS USA, INC 01/30/18 MENDOZA LAW PC WIEDNER & MCAULIFFE LTD 730 18WC 19645 MORENO-SCOTT, SUGAR ADVOCATE HEALTH CARE 04/30/18 SILVERMAN, CLIFFORD A NYHAN BAMBRICK KINZIE & LOWR 731 18WC 19685 LLAMAS, BEN SIEGAL 05/25/18 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 732 18WC 19743 ZAGAJEWSKI, DANIEL JR. VILLAGE OF BARTLETT 11/02/17 TARADASH LAW OFFICE RUSIN & MACIOROWSKI LTD 733 18WC 19767 ESTRADA, ALFREDO SAMUEL MAIN STEEL, LLC 04/30/18 MC HARGUE & JONES HOLECEK & ASSOCIATES 734 18WC 19791 KWIATKOWSKI, EDWARD M VILLAGE OF HILLSIDE-FIRE 06/04/18 MORICI FIGLIOLI & ASSOC 735 18WC 19827 BARRERA, JASMIN GENNX/MWC HOLDINGS, LLC 10/10/17 JOSEPH MARCINIAK 736 18WC 19855 SCOTT, DONESHA JAMILA RICH PRODUCTS CORP 04/07/17 PETER D CORTI LAW GROUP 737 18WC 19883 LIGAS, JONATHAN GARFIELD'S BEVERAGE WAREH 06/01/18 KATZ FRIEDMAN EAGLE ET AL JOSEPH MARCINIAK 738 18WC 19959 SZYNKOWSKI, ERIC MC HUGH CONSTRUCTION 01/29/18 CAPRON & AVGERINOS PC KEEFE CAMPBELL BIERY & ASSOC 739 18WC 19997 HALL, JIMMIE ATKORE INTERNATIONAL, INC 04/23/18 JAMES GREGORY LASCOLA HENNESSY & ROACH PC 740 18WC 20001 LOPEZ, JORGE LAKESHORE BEVERAGE 10/23/17 LEONARD LAW GROUP LLC ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 741 18WC 20016 VALDES, MIGUEL HAMRA ENTERPRISES 05/08/18 STROM & ASSOC FRANCESCA LARSEN 742 18WC 20053 TELLEZ, JORGE HIGHLAND BAKING CO. 05/14/18 COSTA IVONE LLC 743 18WC 20088 PEREZ, GREGORY CTA 06/20/18 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 744 18WC 20128 JACKSON, ANGELA FIRST AMERICAN/FIRST TRAN 10/10/17 COSTA IVONE LLC 745 18WC 20158 GATES, PATRICIA UNITED CONTINENTAL HOLDIN 06/06/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 746 18WC 20166 JONES, JOHN L TONY YEH PROPERTY MANAGEM 05/08/18 GALLAGHER, DONALD V 747 18WC 20200 VAZQUEZ, EDUARDO UPS 01/09/18 MOGENSEN LAW LLC ASA LAW GROUP 748 18WC 20226 ZAVALA, RAMON ALL MASONRY CONSTRUCTION 06/13/18 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS 749 18WC 20265 LACH, ANDRZEJ BELMONT SAUSAGE 07/02/18 NILSON STOOKAL GLEASON CAP SLAVIN & SLAVIN 750 18WC 20314 GARCIA, MARCELLA AMERICAN AIRLINES 04/14/18 ASHER, RAYMOND L LTD 751 18WC 20365 VIRNICH, PATRICIA A WALMART STORES, INC 04/15/18 BELLAS & WACHOWSKI QUINTAIROS PRIETO WOOD & BOY 752 18WC 27005 DICKENS, ANTON CHARTWELL STAFFING SOLUTI * 08/13/18 CULLEN HASKINS NICHOLSON 753 18WC 27020 NELSON, DOMINIQUE CHICAGO PUBLIC SCHOOLS * 04/25/18 MC HARGUE & JONES 754 18WC 27043 SZCZEPANSKI, RAFAL KAMIL BEDNARZ CONSTRUCTION INC * 08/30/18 CHEPOV & SCOTT LLC 755 18WC 27103 DAOUD, SUSAN VISUAL COMFORT GROUP, INC * 06/25/18 EFTEKHARI LAW OFFICES 756 18WC 27131 HOOD, SUSAN K YANNI MANAGEMENT, INC C/O * 07/23/18 BRIAN J MC MANUS & ASSOC, 757 18WC 27181 LASS, TIMOTHY JEWEL OSCO * 05/13/18 JOSHUA KARMEL 758 18WC 27208 MC LAIN, AARON A-1 ROOFING COMPANY * 07/30/18 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 759 18WC 27247 STOJAKOVIC, GOLDIE L UNITED AIRLINES * 05/21/18 NILSON STOOKAL GLEASON CAP 760 18WC 27268 TUROCI, JEFFREY WOLVERINE TRADING * 08/18/17 DAMISCH & DAMISCH LTD 761 18WC 27285 STRICKLAND, REGINALD NYCO PRODUCTS * 03/01/18 CULLEN HASKINS NICHOLSON 762 18WC 27299 BEECHAM, SHERRON U.S. BANK CORP * 08/22/18 RICHARD O. GREENFIELD HENNESSY & ROACH PC 763 18WC 27343 RIVERS, DAVID MONARCH CONSTRUCTION CO * 08/06/18 HORWITZ HORWITZ & ASSOC KNELL O'CONNOR DANIELWICZ 764 18WC 27377 CARRERA, LORENA LEXINGTON HEALTH CARE CEN * 08/17/16 EPSTEIN, JACK R LAW OFFICE 765 18WC 27398 ALICEA, MARCO ANTONIO JR PENTAIR FILTRATION SOLUTI * 08/27/18 DWORKIN AND MACIARIELLO 766 18WC 27418 HODZIC, ALMA ABLE SERVICES * 09/06/18 COVEN LAW GROUP 767 18WC 27433 BARNES, DORETHA CHICAGO PUBLIC SCHOOLS * 08/01/18 ANKIN LAW OFFICE CHGO BOARD OF EDUCATION 768 18WC 27455 ARTIS, CHERISHA UPS * 08/20/18 GOLDSTEIN AIOSSA & GOOD 769 18WC 27472 BRISCOE, KENNETH CITY OF CHICAGO * 07/27/18 ROSENFELD HAFRON SHAPIRO F 770 18WC 27483 LOPEZ, ABEL ADVANCED WHEEL CORPORATIO * 07/01/16 CULLEN HASKINS NICHOLSON 771 18WC 27500 BAXA, JAMES VILLAGE OF NORTHBROOK * 12/17/17 STEWART C ORZOFF 772 18WC 27515 OJEIWA, AUGUSTINE CHICAGO ELITE CAB CO * 08/16/18 RYAN ROSENTHAL 773 18WC 27529 SMITH, CASSANDRA J CHICAGO PUBLIC SCHOOLS * 08/30/18 TIMOTHY HENDERSON 774 18WC 27546 THOMPSON, ALFORT METRO STAFF INC * 08/10/18 GOLDSTEIN BENDER & ROMANOF 775 18WC 27567 EDGAR, HOLLY UNITED AIRLINES INC. * 04/25/18 HEALY SCANLON LAW FIRM 776 18WC 27586 BROOKS, LANIKA COOK DUPAGE TRANSPORTATIO * 08/24/18 ANGELINI & ORI LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 777 18WC 27599 LEE, MARY BURLINGTON COAT FACTORY * 06/28/18 ANKIN LAW OFFICE 778 18WC 27627 BODGA, AUGUSTYN ADVOCATE LUTHERAN GENERAL * 07/10/18 LEO ALT 779 18WC 27644 OCASIO, CAROLYN STARBUCKS * 08/31/18 COSTA IVONE LLC 780 18WC 27666 TILLMAN, ANDREW CORNER BAKERY * 08/16/18 DWORKIN AND MACIARIELLO 781 18WC 27689 LOPEZ, JOSE GOLDEN STATE FOODS * 09/06/18 EDWIN REYES LAW FIRM 782 18WC 27713 NAVARRO, JORGE SEARS HOLDINGS * 12/16/16 HOWARD ABRAMS 783 18WC 27732 TAKAHASHI, HIROMI UNITED CONTINENTAL HOLDIN * 07/08/18 BRIAN J MC MANUS & ASSOC, 784 18WC 27751 OH, JENNY DB SCHENKER * 02/12/18 SANDMAN LEVY & PETRICH 785 18WC 27769 HOLMES, KAREN FOREST PRESERVE DISTRICT * 01/24/17 SCOTT BARBER 786 18WC 27794 CHANDLER, MICHAEL TRINITY SERVICES * 07/13/18 DWORKIN AND MACIARIELLO 787 18WC 27852 PRUITT, DESMOND A WAL-MART ASSOCIATES, INC * 09/06/18 ANKIN LAW OFFICE GANAN & SHAPIRO 788 18WC 27871 SANDOVAL, JOSE BERKSHIRE REFRIDGERATED * 08/15/18 KATZ FRIEDMAN EAGLE ET AL 789 18WC 27892 REEDER, LINDA DART CONTAINER * 02/20/17 JOHN S. ELIASIK 790 18WC 28110 LONG, PHYLLIS THRESHOLDS * 08/10/18 BRISKMAN BRISKMAN GREENBER 791 18WC 28132 FOLA, JUSTIN JEWEL OSCO * 09/16/18 DWORKIN AND MACIARIELLO 792 18WC 28157 GILBERT, DURRIYA CHICAGO TRANSIT AUTHORITY * 06/27/18 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 793 18WC 28202 MAZUR, KRISTIN M MACY'S * 09/06/18 HANNIGAN & BOTHA, LTD 794 18WC 28222 MILLER, AJA WHOLE FOODS * 09/05/18 EDWIN REYES LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 795 18WC 28245 CEBALLOS, MARIO DEVON PRECISION MACHINE * 06/19/18 HERRERA LAW CENTER 796 18WC 28265 WILKS, DAJUAN JEWEL FOODS * 08/27/18 SEIDMAN MARGULIS & FAIRMAN 797 18WC 28284 SANCHEZ, CATALINA METOCO TREATING & DEVELOP * 06/03/18 STEVEN B SALK & ASSOC LTD 798 18WC 28307 MAOLONE, DARRIN NAPA - GENUINE PARTS CO * 08/28/18 GORDON & CENTRACCHIO LLC 799 18WC 28342 GARCIA, JOSEL ALLIANCE STEEL CORP * 08/30/18 ANKIN LAW OFFICE 800 18WC 28363 EBERS, EARL JR. MWRDGC * 06/17/18 BOWMAN & CORDAY 801 18WC 28381 COOKS, DOLORES BOARD OF EDUCATION U-46 * 07/02/18 JAMES ELLIS GUMBINER & ASS 802 18WC 28402 JOHNSON, RODOLFO LYFT * 09/12/18 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 803 18WC 28461 CHAMPAGNE, JOSEPH UPS * 08/08/18 ROBERT WARSASKI 804 18WC 28494 FUENTES, RAMON CITY OF CHICAGO-OEMC DEPT * 09/14/18 KARCHMAR & STONE 805 18WC 28508 DRAIN, JOSALYN CITY OF CHICAGO * 01/25/17 HEALY SCANLON LAW FIRM 806 18WC 28517 VAZQUEZ, ERNESTO MORETTI'S SCHAUMBURG * 11/01/16 CULLEN HASKINS NICHOLSON 807 18WC 28547 SCOTT, CHERYL EMPIRE CASTING, LLC * 03/25/18 SOSTRIN AND SOSTRIN PC 808 18WC 28635 HOCKIN, VIRGINIA DAO JAPANESE STEAKHOUSE * 08/27/18 MARC J SHUMAN & ASSOCIATES 809 18WC 28659 IVY, STEVEN CITY OF CHICAGO * 09/13/18 SEIDMAN MARGULIS & FAIRMAN 810 18WC 28691 SALGADO, JAVIER HIDDEN VALLEY MANUFACTURI * 09/29/15 PHILLIP FARINA 811 18WC 28723 LOPEZ, JOSE ROMAN 2650 LAKEVIEW CONDOMINIUM * 09/04/18 MICHAEL M WOJITAS 812 18WC 28752 MORQUECHO, SIMON SOURCE ONE STAFFING * 09/04/18 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 813 18WC 28800 DAVIS, BILLY EAST BANK STORAGE * 09/13/18 TIMOTHY HENDERSON 814 18WC 28818 VAN POUCKE, TODD E JEWEL FOOD STORES, INC * 10/14/17 JOHN W TURNER 815 18WC 28831 ROHRER, RICHARD O NORTHWESTERN UNIVERSITY * 10/14/15 JOHN W TURNER 816 18WC 28868 HARMON, KATHERINE SIRIUS COMPUTER SOLUTION * 05/15/18 SEIDMAN MARGULIS & FAIRMAN 817 18WC 28881 BOYD, BRONZELLA UPS * 09/08/18 LEONARD LAW GROUP LLC 818 18WC 28900 SANCHEZ, VERONICA TARGET * 09/04/18 COSTA IVONE LLC 819 18WC 28920 REYAD, OSAMA NCR CORPORATION * 06/26/18 THOMAS M. PARIS SPIEGEL & CAHILL, PC 820 18WC 29006 SILVA, MARIA DRAPER & KRAMER * 08/24/18 STEVEN J MALMAN & ASSOCIAT 821 18WC 29032 LEE, HOWARD AMERICAN AIRLINES, INC * 08/27/18 PETER D CORTI LAW GROUP 822 18WC 29051 RODRIGUEZ, ISRAEL CHICAGO PARK DISTRICT/ * 09/03/18 HERRERA LAW CENTER CHICAGO PARK DIST LAW DEPT 823 18WC 29087 TINGLE, CARLTON ARAMARK * 07/06/18 DWORKIN AND MACIARIELLO 824 18WC 29117 PERCIC, MIKE YRC FREIGHT INC * 08/30/18 COYNE REINKE LAW 825 18WC 29133 MEZA, CELIA CHICAGO EYE INSTITUTE 01/18/17 NYHAN BAMBRICK KINZIE & LOWR 826 18WC 29169 HALLMAN, CHARLES E UNITED PARCEL SERVICE, IN * 09/22/18 ANKIN LAW OFFICE 827 18WC 29201 ARROYO, JUAN COLUMBIA METAL SPINNING * 01/10/18 PHILLIP FARINA 828 18WC 29248 FALCON, JOSHUA PRESECNE HEALTH * 09/07/18 ANGELINI & ORI LLC 829 18WC 29269 HEALY, JAMES THE PEOPLES GAS LIGHT &CO * 07/24/15 MC CABE & HOGAN 830 18WC 29298 PEREZ, JORDAN KELLY'S APPLIANCES * 04/20/18 VASILATOS & COTTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 831 18WC 29334 PALMIERI, VINCENT EAGLE EXPRESS LINES * 08/03/18 DWORKIN AND MACIARIELLO 832 18WC 29368 KOCLANIS, LYNN DHL/STANDARD * 07/11/18 MARSZALEK AND MARSZALEK 833 18WC 29419 SHAHEEN, ADAM CHICAGO BEARS FOOTBALL CL * 12/10/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 834 18WC 29474 FERNANDEZ, GLORIA FLEXAN, LLC * 07/27/18 STEVEN B SALK & ASSOC LTD 835 18WC 29542 RAGGS, DARI ELITE STAFFING, INC * 09/11/18 ANKIN LAW OFFICE 836 18WC 29562 SALAZAR, MIGUEL UNITED RENTAL FENCE * 08/31/18 DE SALVO, SCOTT D LAW OFFI 837 18WC 29578 VOUTAS, MARIKA VILLAGE OF NILES C/O IPMG * 12/01/17 POLANSKY & CICHON CHTD 838 18WC 29602 AKHNANA, DAVID CHICAGO TRANSIT AUTHORITY * 02/28/18 SANDMAN LEVY & PETRICH 839 18WC 29630 WASHINGTON, TEARRA R SCOOBEEZ, INC. * 09/17/18 CHEPOV & SCOTT LLC 840 18WC 29658 LARA, FABIAN SUNBELT RENTALS * 09/26/18 LEONARD LAW GROUP LLC 841 18WC 29701 PINTOR, PEDRO GARDNER GIBSON * 09/21/18 EPSTEIN, JACK R LAW OFFICE 842 18WC 29789 RIGONI, JEFFREY SOUTHWEST AIRLINES * 06/20/18 DAVID M. STEPHANICH 843 18WC 29813 LIVELY, MICHAEL INGALLS HOSPITAL * 06/29/18 VRDOLYAK LAW GROUP LLC 844 18WC 29832 OJEDA, JULIO SANCHEZ SENECA NURSING HOME INC * 07/31/18 ANKIN LAW OFFICE 845 18WC 29847 WALKER, CYNTHIA CHATHAM DIALYSIS * 09/22/18 JAMES ELLIS GUMBINER & ASS 846 18WC 29865 LEE, SHEILA VILLAGE OF MATTESON * 09/26/18 DWORKIN AND MACIARIELLO 847 18WC 29888 BROWN-CONLEY, PATRICIA A COOK CNTY DEPT OF CORRECT * 06/12/17 VITELL & SPITZ LTD 848 18WC 29911 CONTRERAS, SILVESTRE NATURE'S PATH, INC * 08/23/18 RUEDA, IVAN A

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 849 18WC 29961 REYES, MARTIN AMB ROOFING & SHEET METAL * 09/24/18 JONATHAN SCHLACK 850 18WC 29974 RODRIGUEZ, MARIA FOUNDERS INSURANCE COMPAN * 10/16/17 HANNIGAN & BOTHA, LTD 851 18WC 29994 MORALEZ, ROSALINDA CARDEN DOMESTIC LINEN SUPPLY CO. * 09/20/18 HERRERA LAW CENTER 852 18WC 30065 CANDELARIA, LAWRENCE WHOLE FOODS MARKET INC * 01/28/18 LINN, CAMPE & RIZZO LTD 853 18WC 30092 DAWKINS, EVERETT ARENA FOOTBALL ONE LLC * 08/04/17 GORDON LAW OFFICES LTD 854 18WC 30117 REDMOND, ANGELA D JOHN H. STROGER COOK CNTY * 09/26/18 TOPPER & WEISS LTD 855 18WC 30152 MORROW, JERREL FURIOUS SPOON WICKER PARK * 07/24/18 MC HARGUE & JONES 856 18WC 30178 SONSIADEK, STACEE ZF LEMFORDER CORP * 08/05/18 LANNON LANNON & BARR LTD 857 18WC 30214 BROCK, KATHLEEN COOK COUNTY JUVENILE * 09/16/18 RITTENBERG BUFFEN 858 18WC 30238 DWIRE, SUNDAY AMERICAN AIRLINES * 04/26/18 SAUNDERS CONDON & KENNY 859 18WC 30261 GARDOCKI, STANISLAW MAH MACHINE COMPANY, C/O * 05/01/18 HETHERINGTON KARPEL BOBBER 860 18WC 30285 LOPEZ-ESTRADA, MONICA GREENWOOD, INC * 07/25/18 SALVATO O'TOOLE FROYLAN 861 18WC 30303 JUSTICE, EDREICK ARCELOR MITTAL * 03/05/17 VRDOLYAK LAW GROUP LLC 862 18WC 30308 BROWNER, ALEXIS CITY OF CHICAGO * 10/01/18 FRIEDMAN & SOLMOR LTD 863 18WC 30330 YATES, CLIFFORD RIVER-EDGE HOSPITALINC * 09/13/18 ANKIN LAW OFFICE 864 18WC 30354 GRIGALIUNAS, PAUL CENTRAL STEEL & WIRE COMP * 02/07/18 MARC J SHUMAN & ASSOCIATES 865 18WC 30379 POWELL, JOSHUA D LABOR TEMPS * 03/23/18 GALLAGHER, DONALD V 866 18WC 30406 GONZALEZ, ARTURO MOORE CONSTRUCTION * 08/09/18 GOLDSTEIN BENDER & ROMANOF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 867 18WC 30428 HARRIS, ARETHA LOYOLA UNIV HEALTH SYSTEM * 09/22/17 CORBOY & DEMETRIO PC 868 18WC 30448 HEGWOOD, LACROIX CHICAGO TRANSIT AUTHORITY * 10/05/18 ELFENBAUM EVERS & AMARILIO 869 18WC 30468 SELLERS, XAVIER GDI OMNI * 09/12/18 DWORKIN AND MACIARIELLO 870 18WC 30499 LEWIS LEE YRC * 10/03/18 LANGENDORF, ROBERT A