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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 02/11/2019 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 11WC 04597 TORRES, ALBERTO THE CLEAN BERETS W 01/26/11 EVINS & SKLARE LTD OLMSTEAD, GREGORY J LAW OFFI 14 11WC 05055 MAZON, ELEUTERIA CINTAS CORPORATION 12/28/10 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 15 11WC 09524 SAPP, CLARENCE CITY OF CHICAGO 02/06/11 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 16 11WC 11807 MCQUAID, KRISTINE PALOS COMMUNITY HOSPITAL 01/02/11 DWORKIN AND MACIARIELLO LORENZ & BERGIN PC 17 11WC 12425 MALINOWSKI, TADEUSZ A&D IMPORT MOTORS, INC W 03/15/11 BELCHER LAW OFFICE PAUL A COGHLAN & ASSOC 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 14916 19B MUMFORD, PHILLIP D JACKSON PARK HOSPITAL 03/24/11 WARREN W MARK ODELSON & STERK 21 11WC 17897 HALL, VALERIE R CTA 04/29/11 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 12WC001192 -C 22 11WC 19508 STRYSZAK-RADTKE, DAWN CENTRAL STEEL & WIRE COMP 03/31/11 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 23 11WC 20326 CRAWFORD, ERIN NORTHSTAR FIRE PROTECTION 03/14/11 BOUDREAU & NISIVACO LLC GAROFALO SCHREIBER STORM 24 11WC 24953 HAYES, VONDA CTA 04/04/11 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 25 11WC 25652 FLORES DE AGUILAR, ROSA JC PENNEY 01/14/11 DAVID W MARTAY QUINTAIROS PRIETO WOOD & BOY 11WC025653 -C 12WC032835 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 26 11WC 25661 BARO, SUSAN PALOS COMMUNITY HOSPITAL 08/01/10 FRIEND LEVINSON & BERGAL LORENZ & BERGIN PC 27 11WC 28648 CUGA, KEITH SOUTHERN WINE & SPIRITS O 07/01/11 GOLDSTEIN BENDER & ROMANOF MACIOROWSKI SACKMANN & ULRIC 14WC022409 -C 28 11WC 29359 WILLIS, LILLY CITY OF CHICAGO 10/23/10 RUBIN MACHADO ROSENBLUM CITY OF CHICAGO 29 11WC 32058 MARSHALL, AKILAH T CHICAGO STATE UNIVERSITY @ 04/04/11 PERRY M LAKS LAW OFFICE DANIEL SULLIVAN 30 11WC 34275 KING, MICHAEL DES PLAINES FIRE DEPT 06/13/11 STEVEN J SEIDMAN LAW OFFIC ANCEL GLINK DIAMOND BUSH & E 31 11WC 34336 ANDERSON, ALAN CTA 08/09/11 GRAZIAN & VOLPE PC CHICAGO TRANSIT AUTHORITY 32 11WC 46847 CHRISTIANSEN, ROBERT D RNF INSTALLATIONS 04/01/11 ANKIN LAW OFFICE 33 12WC 03153 GATLIN, MILDRED CHICAGO PUBLIC SCHOOLS 01/13/12 LEONARD LAW GROUP LLC LAW DEPARTMENT 34 12WC 08720 GAINES, MARTINEZ AT & T 03/02/12 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 35 12WC 10555 WESTBROOK, WYVETTA CITY OF CHICAGO 01/13/12 ANKIN LAW OFFICE CITY OF CHICAGO 12WC010556 -C 36 12WC 26084 JOSEPH, JASMIN UNIVERSITY OF ILL MEDICAL 06/04/12 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 37 12WC 31331 CARRERO, EDWIN CITY OF CHICAGO 09/04/12 PETER D CORTI LAW GROUP CITY OF CHICAGO 12WC035558 -C 38 12WC 31453 DUMAIS, LEANNE CHICAGO BOARD OF EDUCATIO 05/25/12 JAMES W GREEN, JR LAW DEPARTMENT 14WC040992 -C 39 12WC 32229 19B CALCAGNO, JOHN CITY OF CHICAGO 09/12/12 CUDA LAW OFFICES CITY OF CHICAGO 40 12WC 34087 GAFFNEY, ALICIA M CITY OF CHICAGO 08/10/12 RUBIN LAW GROUP CITY OF CHICAGO 41 12WC 34508 CAREY, DORIS CHICAGO TRANSIT AUTHORITY 08/06/12 GOLDBERG WEISMAN & CAIRO L

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 42 12WC 36214 SCOTT, DEMETRA BRIGHT HORIZONS 10/05/12 DWORKIN AND MACIARIELLO 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 43862 CASAS, MARIA THE PROCACCIANTI GROUP LL 03/01/12 MINKOW DOMIN 46 12WC 44545 STEWART, KUSHINDA CITY OF CHICAGO 11/26/12 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 47 13WC 06899 SOLIS, SAMUEL CITY OF CHICAGO 08/27/12 COVEN LAW GROUP CITY OF CHICAGO 13WC026632 -C 48 13WC 08232 19B KOMAR, MARK THE HEARTLAND CONSTRUCTIO 10/19/12 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 49 13WC 11102 SCHELL, CONRAD MONDELEZ INTERNATIONAL 10/25/12 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 50 13WC 11107 CALDERON, PEDRO THE ZONE HONDA KAWASAKI 06/23/12 BAUM RUFFOLO & MARZAL LTD ROBERT L. SMITH 13WC015937 -C 13WC019843 -C 51 13WC 16695 FERNANDEZ, GUADALUPE FOCAL POINT 10/04/12 JAMES ELLIS GUMBINER & ASS INMAN & FITZGIBBONS 52 13WC 19409 KHALIL, MOHAMMED ST ANTHONY HOSPITAL 03/14/12 CULLEN HASKINS NICHOLSON KLAUKE LAW GROUP LLC 53 13WC 19504 UPTON, DEREK HALO SECURITY GROUP 03/14/13 BRUSTIN & LUNDBLAD, LTD MEACHUM & STARCK 54 13WC 19849 REDDICK, WILLIAM JWK ENTERPRISES W 06/05/13 STEVEN J SEIDMAN LAW OFFIC JAMES L. HARDEMON 55 13WC 19999 ZAPATA, ANGEL CHICAGO TRANSIT AUTHORITY 12/27/12 LEWIS & DAVIDSON, LTD CHICAGO TRANSIT AUTHORITY 56 13WC 20850 JARVIER CERDA, FRANCISCO HECTOR RODRIGUEZ @ W 05/21/13 DWORKIN AND MACIARIELLO

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 57 13WC 22394 MISURACA, NICHOLAS CITY OF CHICAGO 06/27/13 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 58 13WC 31051 HILL, YVONNE SELECT RESTAURANTS, INC 07/25/12 OSVALDO RODRIGUEZ PC COZZI & GOGGIN-WARD 14WC007382 -C 59 13WC 31471 WELCH, MICHAEL K WIGDAHL ELECTRIC CO 08/27/13 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 60 13WC 31923 LEE, CARCYNTHIA BELLHAVEN NURSING & 08/29/13 DWORKIN AND MACIARIELLO JOHN LEE 61 13WC 32838 BRANDON, RITA C CRESCENZO DENTAL ASSOCIAT W 09/04/13 STROM, NEAL B 62 13WC 37536 CAHILL, DONALD SCHECK INDUSTRIES 11/07/13 LEONARD LAW GROUP LLC ROBERT L. SMITH 16WC028602 -C 18WC002952 -C 18WC003456 -C 63 13WC 38467 GEORG, DOLORES ALLSTATE INSURANCE CO 06/03/13 CORNFIELD & FELDMAN 64 13WC 39743 MEDINA, ELIZABETH JIBAROS INC 06/20/11 ANKIN LAW OFFICE 65 13WC 39880 ALEXANDER, BARBARA BRONZEVILLE PARK SKILLED 06/12/13 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 15WC019998 -C 66 13WC 40345 CERDAN, NORMA RIVERS CASINO 09/06/13 DOUGLAS RALLO PC KRAKER FANNING & OLSEN 14WC018365 -C 15WC028914 -C MIDWEST GAMING ENTERTAINME 16WC035269 -C 67 13WC 40606 LIPSCOMB, EMMIE CHICAGO COMMONS 06/06/13 THE ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC 68 13WC 40765 DROZD, JOHN T CITY OF CHICAGO 10/29/13 PARENTE & NOREM PC CITY OF CHICAGO 69 13WC 41701 WALTON, VIRGINIA CITY OF CHICAGO DEPT OF S 12/12/13 CUDA LAW OFFICES CITY OF CHICAGO 15WC031963 -C

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 70 13WC 42454 CUNNINGHAM, THOMAS A BARTON MALOW CO 12/19/13 PETER D CORTI LAW GROUP GRANT & FANNING 71 14WC 01257 BERMAN, NEIL D CITY OF CHICAGO 09/26/13 GOLDBERG WEISMAN & CAIRO L LEAHY EISENBERG & FRAENKEL 72 14WC 01843 MONTGOMERY, ANTOINETTE COOK COUNTY DEPT OF 11/24/13 STROM, NEAL B STATES ATTORNEY OF COOK COUN 73 14WC 04971 PULLIAM, DARRELL O WIRTZ REALTY CORPORATION 03/02/12 MICHAEL A. PEDICONE LTD NYHAN BAMBRICK KINZIE & LOWR 74 14WC 05562 KNOWLES, JUANITA BROWN HAYMARKET CENTER D/B/A 02/13/14 MINKOW DOMIN BRADY CONNOLLY & MASUDA PC 75 14WC 06479 MENSAH, JAMES U.S. SMOKELESS TOBACCO 02/19/14 SALVATO & O'TOOLE CACCHILLO LAW GROUP LLC 76 14WC 07434 MORIHARA, MARCIA L UNITED AIRLINES INC. 05/09/13 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 77 14WC 07563 THOMAS, GLENDA CITY OF CHICAGO WATER DEP 01/16/14 DWORKIN AND MACIARIELLO CITY OF CHICAGO 78 14WC 08275 SHANAHAN, PATRICK M M & O INSULATION 03/05/14 CULLEN HASKINS NICHOLSON ROSARIO CIBELLA 79 14WC 09063 SANCHEZ, JAVIER TRADER JOES 12/23/13 DEPAOLO & ZADEIKIS GAROFALO SCHREIBER STORM 80 14WC 09624 CAVIN, PHILLIS ST OF IL DEPT OF HUMAN SE @ 03/15/14 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 81 14WC 14491 19B BOVA, ANTHONEY G SAFELITE AUTO GLASS 03/25/14 FIGLIOLI, DAVID HENNESSY & ROACH PC 82 14WC 16651 OVIEDO, OCTAVIO FRESH FARMS 04/14/14 JOHN S. ELIASIK 83 14WC 18610 FITZGERALD, THOMAS CITY OF CHICAGO 05/12/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 84 14WC 19002 HASSAN, ADAM YELLOW CAB 05/17/14 LAW OFFICE OF SCOTT B SHAP 85 14WC 19056 CASILLAS, JOSE PEGASUS CUSTOM 03/22/14 MC HARGUE & JONES LAW OFFICES JOSEPH MARCINIAK 14WC019057 -C 86 14WC 19145 BEANE, JEROME E ILLINOIS DEPT OF TRANSPOR @ 05/19/14 FIGLIOLI, DAVID JEANNINE SIMS

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 87 14WC 19457 GLENNA, DENNI CANADA 06/07/11 SEIDMAN MARGULIS & FAIRMAN 88 14WC 19490 COLLINS, BRIAN J VILLAGE OF NILES 01/05/13 FIGLIOLI, DAVID NYHAN BAMBRICK KINZIE & LOWR 14WC019491 -C 17WC008917 -C 18WC018223 -C 89 14WC 19666 HAZELWOOD, RONNIE L COOK COUNTY SHERIFF 05/15/14 PARAG P. BHOSALE INMAN & FITZGIBBONS 90 14WC 20405 SKELLY, JEAN L WALGREENS 03/20/13 CULLEN HASKINS NICHOLSON GILDEA & COGHLAN 91 14WC 20424 CONDE, ROSA EMPLOYER'S CLAIM SERVICE 04/23/14 MC HARGUE & JONES 14WC020425 -C 14WC020426 -C 92 14WC 20644 MARTINEZ, HOMERO MR BULT'S INC 04/15/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 93 14WC 21259 ESPINOZA, MARGARITA BOARD OF EDUCATION OF THE 05/07/14 VRDOLYAK LAW GROUP LLC LAW DEPARTMENT 94 14WC 22371 RODRIGUEZ, MANUEL CITY OF CHICAGO 07/05/11 RUSSO & RUSSO LTD CITY OF CHICAGO 95 14WC 23307 CONTY, DONISE M AMERICAN AIRLINES INC 05/04/13 GRAUER & KRIEGEL LLC GAROFALO SCHREIBER STORM 14WC023308 -C 96 14WC 24236 HUBKA, PAUL PALATINE PARK DISTRICT 02/09/14 STELZMAN, RUTH MC CABE & HOGAN 97 14WC 24310 PALEVINO, MYRA FRESENIUS MEDICAL CARE 05/08/14 GIAMANCO & OOINK LAW OFFIC HENNESSY & ROACH PC 98 14WC 25321 DITUSA, TIMOTHY SOUTSOS DECORATING COMPAN 11/21/12 LEWIS & DAVIDSON, LTD MACIOROWSKI SACKMANN & ULRIC 99 14WC 27023 GRZYWACZ, WAYNE CITY OF CHICAGO 05/15/14 DEPAOLO & ZADEIKIS CITY OF CHICAGO 100 14WC 27780 REDMOND, LAQUITA CTA 10/17/12 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 101 14WC 28516 WOODS, GAYLE WALGREENS 07/30/14 GUTH REINKE LAW GILDEA & COGHLAN 102 14WC 28691 HUBBARD, SHANDRE RIVERDALE POLICE DEPT 07/14/14 BAUM RUFFOLO & MARZAL LTD PETERSON JOHNSON & MURRAY

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 14WC 28759 GUTIERREZ, DIANA UNIVERSITY OF ILLINOIS @ 05/04/10 LAW OFFICE MATHYS& SCHNEID POWER & CRONIN LTD 104 14WC 28893 KOWALCZYK, STANISLAW GPL INDUSTRIES 08/07/14 JOHN E LUSAK BRADY CONNOLLY & MASUDA PC 105 14WC 30297 GRAGNANI, MARRI CITY OF BERWYN 06/29/12 JOHN E LUSAK FRANCIS J DISCIPIO LAW OFFIC 106 14WC 30747 PERVEILER, J MICHAEL OTIS ELEVATOR 07/10/14 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 107 14WC 30750 BROOME, EDWIN CITY OF CHICAGO DOT @ 08/26/14 RITTENBERG & BUFFEN 108 14WC 30754 REYES, BARBARA WOODBRIDGE NURSING PAVILI 08/04/14 JOHN E LUSAK HENNESSY & ROACH PC 109 14WC 31510 LAWSON, DARRELL CHICAGO STREETS & SAN DEP 09/10/14 O'CONNOR & NAKOS CITY OF CHICAGO 110 14WC 32228 DENTON, CHIQUITA TOOTSIE ROLL 08/21/14 BRUGGEMAN HURST & ASSOC NYHAN BAMBRICK KINZIE & LOWR 14WC032229 -C 111 14WC 32749 VOGEL, CHRIS HERCULES FREIGHT 09/22/14 MICHAEL A. HIGGINS HEYL ROYSTER VOELKER & ALLEN 112 14WC 33216 RAINEY, ALLAN J CITY OF CHICAGO 07/22/14 COVEN LAW GROUP CITY OF CHICAGO 113 14WC 35313 LAGUNAS, CARLOS CHICAGO CUT STEAKHOUSE 09/10/14 JOHN S. ELIASIK ZENITH INSURANCE CO. 114 14WC 37848 MOORE, MARTIN L BENCHMARK CONSTRUCTION 10/11/14 SEIDMAN MARGULIS & FAIRMAN ACCIDENT FUND HOLDINGS 115 14WC 38145 AGUIRRE, MARISELA FELXIBLE STAFFING 08/29/14 CHRISTIAN & MANNO KOPKA, PINKUS DOLIN, PC 116 14WC 39580 BROWN, TAWANA CHECKERS RESTAURANT 11/06/14 ANKIN LAW OFFICE 117 14WC 41516 ROBIDOUX, CHANTEL (MOTHER CHICAGO BLACKHAWKS # 09/15/12 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 118 14WC 41894 NOVA, NARCISO NANDO MILANO TRATTORIA 11/08/14 AIOSSA LAW FIRM 119 14WC 42206 REYES, DOMINIQUE CITY OF CHICAGO 09/08/14 COVEN LAW GROUP CITY OF CHICAGO 120 14WC 42661 LAMBRIGGER, JAMES AT & T CORP 10/31/13 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 14WC 42803 SURVIVED BY MOTHER/SON CASSENS TRANSPORT COMPANY # 11/20/14 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 122 15WC 00574 VEGA, MARILYN CHICAGO BOARD OF EDUCATIO 09/18/13 GOLDSTEIN BENDER & ROMANOF CHGO BOARD OF EDUCATION 123 15WC 02941 WALKER, ERICA T COOK DUPAGE TRANSPORT CO 01/10/15 WARREN W MARK 124 15WC 04541 SUN, YIN YAN CHI TUNG RESTAURANT CORP 06/10/14 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK 125 15WC 04965 BAPTISTE, ANGEL C HUD TRANSPORTATION, INC 01/06/15 VRDOLYAK LAW GROUP LLC 126 15WC 05446 WILLIAMS, JERELEAN SCHOOL DISTRICT 10/06/14 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 127 15WC 05619 MORALES, GABRIELA FINESS CLEANERS 01/21/15 AIOSSA LAW FIRM 128 15WC 07913 MUCINO IBARRA, SERGIO RAHCO RUBBER, INC 03/14/14 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 129 15WC 08516 OSENI, RAMON YELLOW CAB AFFILIATION 11/20/14 HUNER LAW OFFICES LLC 130 15WC 08558 NAN, ADAM GOLD STANDARD ENTERPRISES 06/26/14 GRAZIAN & VOLPE PC MEACHUM & STARCK 131 15WC 08825 AUSTIN, EDWARD GOODER-HENRICHSON CO 02/25/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 132 15WC 08955 IZAGUIRRE, FERNANDO JR CITY OF CHICAGO 06/06/14 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 133 15WC 10124 VENEGAS, DAVID SOUTHWEST AIRLINES 08/08/14 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 134 15WC 10285 OLIVARES, MARIA FAMILY DOLLAR, INC 06/30/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 135 15WC 10400 PENA, JOSE A RANA MEAL SOLUTIONS LLC 03/19/15 WARREN W MARK 136 15WC 10491 JOHNSON, NANCY NORTHSHORE UNIVERSITY HEA 07/25/14 WHITESIDE & GOLDBERG LTD KEEFE CAMPBELL BIERY & ASSOC 137 15WC 11417 HARRIS, DAVID ALLIED BARTON 07/10/14 COHN & COHN GAROFALO SCHREIBER STORM

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 138 15WC 17672 JORDAN, ANN M. ADDUS DAYTIME CENTER 04/14/15 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 139 15WC 18073 STENSON, DAVID A. CITY OF CHICAGO 05/23/15 CUDA LAW OFFICES CITY OF CHICAGO 17WC005281 -C 18WC002467 -C 140 15WC 18548 DOIRON, JAMES TRADE JOE'S 02/09/15 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM 15WC018549 -C 141 15WC 18550 BRADLEY, DEBORAH CLARITY PARTNERS 05/15/15 FRANCIS J DISCIPIO LAW OFF LAW OFFICES JOSEPH MARCINIAK 142 15WC 18568 TILLERY, CHONITA RENAISSANCE REHABILITATIO 05/26/15 FOHRMAN, DONALD W & ASSOCS MCCABE KIRSHNER PC 143 15WC 18815 CONTRERAS, SOCORRO BIGANE PAVING CO 05/13/15 DEPAOLO & ZADEIKIS LAW OFFICES OF EDWARD J. KOZ 144 15WC 19011 GERACI, PETER SKOKIE VALLEY BEVERAGE CO 03/26/14 FRIEND LEVINSON & BERGAL BORGELT POWELL 15WC019012 -C 145 15WC 19410 HERNANDEZ, LUIS M KG PAYROLL & STAFFING 06/01/15 JOHN S. ELIASIK SMITH AMUNDSEN LLC 146 15WC 19415 RIVERA, CARMEN DUNKIN DONUTS 06/02/15 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 201 15WC018868 -C SHREE DUTT INC DBA 147 15WC 19939 FLOWERS, BOBANNA ADVOCATE SOUTH SUBURBAN 03/26/14 MEYERS & FLOWERS GAROFALO SCHREIBER STORM 148 15WC 20872 JOHN, JACOB ELECTRO MOTIVE DIESEL 12/17/14 STEVEN A CRIFASE, LTD 149 15WC 21124 CISLO, WILLIAM ILLINOIS SCHOOL BUS CO 02/26/15 GORDON LAW OFFICES LTD GALLIANI DOELL & COZZI LTD 150 15WC 21276 IBARRA, GLORIA CICERO SCHOOL DISTRICT #9 12/11/14 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 151 15WC 22175 VILLEGAS, ELIZABETH THE MALNATI ORGANIZATION 04/23/15 LAW OFFICE OF SCOTT B SHAP MEACHUM & STARCK 152 15WC 24120 CEDENO-RODRIGUEZ, GUADALU PRIMARY STAFFING 06/24/15 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 153 15WC 24323 LEON, MARIA L CORPORATE TRANSIT OF AMER 07/24/15 STROM, NEAL B SCOPELITIS GARVIN LIGHT 154 15WC 26724 PEREZ, DIANA UNIVERSITY OF ILLINOIS 06/17/15 HEYL ROYSTER VOELKER & ALLEN

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 155 15WC 27616 KELLY, TERRENCE RIDE RIGHT LLC 07/22/15 MATHYS & SCHNEID THOMAS & PORTELA 156 15WC 27957 QUALLS, DEBRA FEDERAL EXPRESS 05/18/15 SEIDMAN MARGULIS & FAIRMAN 157 15WC 28285 RUIZ, IRMA LITTLE LAOY FOODS, INC. 05/07/15 FERRIS THOMPSON & ZWEIG 158 15WC 28944 DAVIS, WAYNE MENARDS 05/15/15 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 159 15WC 28951 FLORES, JUANITA CITY OF CHICAGO 06/24/15 KROL BONGIORNO & GIVEN LTD 160 15WC 29273 19B RUTANA, DONNA L CONWAY FREIGHT INC 08/20/14 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 161 15WC 29510 MANDERS, ELIZABETH COMMUNITY CONSOLIDATED SC 08/20/15 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 162 15WC 29843 MIKA, RICHARD CITY OF CHICAGO 04/24/14 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 163 15WC 29889 SMITH, DORIS CTA 09/01/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 164 15WC 29891 BENITEZ, JENNY CLEARSTAFF INC 08/17/15 CHEPOV & SCOTT LLC 165 15WC 30255 WOLSKI, JOSEPH A CATHOLIC CEMETERIES 03/17/14 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 15WC030256 -C 17WC029562 -C 166 15WC 31088 GRAUER, PAUL W PAUL W GRAUER & ASSOC, A 10/18/12 RIDGE & DOWNES GILDEA & COGHLAN 167 15WC 31156 TORAN, COURTNEY LE PAN QUOTIEDIEN 03/15/15 MICHAEL A. HIGGINS 168 15WC 31157 DISALVO, PETER AT&T A/K/A ILLINOIS BELL 04/09/15 FRIEDMAN & SOLMOR LTD INMAN & FITZGIBBONS 169 15WC 31657 KAPES, RANSON YRC 06/01/15 SAUNDERS CONDON & KENNY HENNESSY & ROACH PC 170 15WC 37833 HERRERA, SANTIAGO TAUBENSE STEEL & WIRE CO. 07/08/15 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 171 15WC 38879 ORTIZ, JOSE MANUEL BARKAAT FOODS MKT 07/13/15 LAW OFFICES OF ANSELMO DUR 172 15WC 39951 WILLIAMS, LINDA SEARS 03/15/14 JOHN C SERKLAND GAROFALO SCHREIBER STORM

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 173 15WC 41104 19B WILKOS, STANLEY AMERICAN AIRLINES 05/01/15 CAPRON & AVGERINOS PC POWER & CRONIN LTD 174 15WC 41427 GONCIARCZYK, STANISLAW J&E CONSTRUCTION INC 10/20/15 BELLAS & WACHOWSKI WIEDNER & MCAULIFFE LTD 15WC041428 -C 175 15WC 41591 HOLLY, WILLIAM P CTA 10/20/15 O'CONNOR & NAKOS CHICAGO TRANSIT AUTHORITY 176 15WC 41787 SHABAZZ, SULTAN C T A 11/23/15 STEPHEN G PINTO LTD CHICAGO TRANSIT AUTHORITY 177 15WC 41957 TURNER, LYNN DELTA-SONIC CARWASH 05/23/15 SALK, STEVEN B & ASSOC LTD 178 15WC 41983 HANSON, THOMAS R VILLAGE OF SKOKIE 02/20/14 FIGLIOLI, DAVID VILLAGE OF SKOKIE 179 15WC 42024 RAMIREZ, DAVID CHGO STREETS & SAN DEPT 12/01/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 180 16WC 00047 WAGNER, STEVEN DUNNET BAY CONSTRUCTION 10/01/15 MACK, LAWRENCE M LAW OFFIC GAROFALO SCHREIBER STORM 181 16WC 00083 WILLIAMS, LATANYA CTA 12/24/15 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 182 16WC 00101 BENNETT, KIMBERLY N COOK COUNTY DOC 12/01/15 BRILL & FISHEL STATES ATTORNEY OF COOK COUN 183 16WC 00186 WALLACE, KENNETH CITY OF CHICAGO 12/28/15 KUMLIN & FROMM CITY OF CHICAGO 184 16WC 00711 JEFFERSON, RAYMOND CITY OF CHICAGO 04/30/15 FOHRMAN, DONALD W & ASSOCS 185 16WC 02224 ARELLANO, JAIME CANNON MANAGEMENT GROUP L 07/10/14 EPSTEIN, JACK R LAW OFFICE 186 16WC 05892 RODRIGUEZ, MATTHEW FEDERAL EXPRESS 10/26/15 LAW OFFICE ILONKA ULRICH 187 16WC 05967 RODRIGUEZ, NANCY GRAPHIC PACKAGING INTER. 12/02/15 JONATHAN SCHLACK DOHERTY & PROGAR LLC 188 16WC 06867 RODRIGUEZ, ANICETO CONTRACTORS ACCESS EQUIPM 09/03/15 CORBOY & DEMETRIO PC ACCIDENT FUND HOLDINGS 189 16WC 07418 MUNOZ, HIPOLITO ED MINIATE 01/23/15 KREITER, BYCK & ASSOC LLP POWER & CRONIN LTD 190 16WC 07490 RUIZ, JOSE ALVARADO GENERAL 01/26/16 BERG & BERG

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 191 16WC 07513 ENGLISH, TANGELA SCHWAB REHABILITATION HOS 12/04/15 GAINES & GAINES NYHAN BAMBRICK KINZIE & LOWR 192 16WC 07759 ALVAREZ, MARTA VARGAS GROUP INC 12/31/15 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 193 16WC 07890 ZABOROWSKI, ADAM LOWELL INTERNATIONAL FOOD 07/31/15 MINKOW DOMIN MACIOROWSKI SACKMANN & ULRIC 194 16WC 08108 CAIN, YOLANDA CURIE HIGH SCHOOL 12/10/15 LEE, MARK N LAW OFFICE LAW DEPARTMENT 195 16WC 08266 BURNETT, DARLENE AMERICAN AIRLINES 12/04/15 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 196 16WC 08296 HERNANDEZ, ALDO MORON UNIVERSITY OF ILLINOIS 03/01/16 MARKER & ASSOCIATES POWER & CRONIN LTD 197 16WC 08309 JOINTER, CHERYL TALIAFARO INC 01/27/16 JOHN C SERKLAND 198 16WC 08330 BREDICEAN, LIGIA SCRUBZZ 03/07/16 199 16WC 08416 OSBORN, DAVID MAYFIELD TRANSFER CO, INC 07/13/15 HETHERINGTON KARPEL BOBBER WOLF LAW LTD 200 16WC 08512 CUEVAS-SOTO, ROLANDO CHICAGO BOARD-UP SERVICES 02/29/16 NICHOLIS J STEIN EPSTEIN, JACK R LAW OFFICES 201 16WC 08663 PHILLIPS, DANIELLE DAVIS FOOD 4 LESS 11/08/14 THE ROMAKER LAW FIRM BRYCE DOWNEY & LENKOV LLC 16WC015501 -C 202 16WC 08807 VERGARA, ALEXANDRA GCA SERVICE GROUP 03/10/16 ASA LAW GROUP 203 16WC 08939 ROBINSON, DA JUAN CHICAGO STATE UNIVERSITY @ 03/01/16 ANKIN LAW OFFICE C. FLETCHER 204 16WC 09100 BLOK, SUSANNE SMJ CORP A/K/A FMHR, LLC 09/18/15 CAPRON & AVGERINOS PC 205 16WC 09216 CAMPOS, JAIME QUALITY SNACK FOODS INC 01/29/16 COSTA IVONE LLC HOLECEK & ASSOCIATES 206 16WC 09374 ROBLES, AMALIA DE JESUS W DIAMON GROUP CORPORATIO 06/09/14 COLLISON LAW OFFICES

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 207 16WC 09481 WASHINGTON, FLORA CHICAGO TRANSIT AUTHORITY 03/11/16 MC HARGUE & JONES CHICAGO TRANSIT AUTHORITY 208 16WC 09950 DVORETSKIY, URIY KINSALE CONTRACTING GROUP 03/16/16 CHEPOV & SCOTT LLC KLAUKE LAW GROUP LLC 16WC009951 -C 209 16WC 10220 IRIZARRY, RICARDO OLYMPIA MOVING & STORAGE 08/03/15 DEUTSCHMAN, JEFFREY S COZZI & GOGGIN-WARD 210 16WC 10257 O'DONNELL, STEPHEN RR DONNELLEY 01/19/16 STEPHEN G PINTO LTD BRADY CONNOLLY & MASUDA PC 211 16WC 10519 HOWELL, TAMIEKA CITY OF CHICAGO 01/14/16 STEVEN M SELAN CITY OF CHICAGO 212 16WC 10587 DIMAGGIO, LINDA JOANN STORES LLC 05/22/15 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 213 16WC 10621 REYES, BARBARA WOODBRIDGE NURSING HOME 08/04/14 JOHN E LUSAK HENNESSY & ROACH PC 214 16WC 10818 O'GRADY, ARIEL RADIO SHACK 04/10/13 JOHN S. ELIASIK 215 16WC 18141 HENDERSON, KAREEM D CEVA LOGISTICS 11/18/15 216 16WC 18165 MITCHELL, MICHELLE CTA 05/20/16 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 217 16WC 18231 KING, JOHN TRX, INC. 03/30/16 TOPPER & WEISS LTD 218 16WC 18401 MC GOWAN, CELESTINE CHICAGOPUBLIC SCHOOLS 05/25/16 MINKOW DOMIN 219 16WC 18459 ISRAEL, MARIE A FORD MOTOR COMPANY 05/19/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 220 16WC 18497 RODRIGUEZ, JOSE S CHICAGO ANODIZING CO 06/08/15 ENCINAS & ORNELAS RODDY LAW LTD 221 16WC 18695 WILSON, A D FOOD 4 LESS 05/18/16 LAW OFFICES ROBERT WARSASK 222 16WC 18716 MURRAY, JOHN CITY OF BLUE ISLAND 07/01/14 STEINBERG BURTKER & GROSSM DEL GALDO LAW GROUP LLP 223 16WC 18877 DIAZ, LUIS DURABLE PACKAGING, INC 05/19/16 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 224 16WC 19126 FLORES, VICTOR MAIN STEEL POLISHING COMP 03/11/16 HUGHES SOCOL PIERS RESNICK 225 16WC 19272 THORNE, DONALD STERN PINBALL INC 09/03/15 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 16WC019274 -C 226 16WC 19293 RIBAJ, KLODIAN DISPATCH TAXI AFFL, INC 06/20/16 DWORKIN AND MACIARIELLO 227 16WC 19424 HENEGHAN, SEAN T CITY OF EVANSTON FIRE DEP 06/10/16 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 228 16WC 19494 RUIZ, EVA PAYLINK DIRECT 01/01/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 229 16WC 19618 MORISH, DARNELL WIS INTERNATIONAL 09/24/15 RONALDSON & KUCHLER 230 16WC 19740 ARNA, DAVIS 71ST STREET BEST LAUNDRY W 06/18/16 SKLARE LAW GROUP RICHARD F MORTON 231 16WC 19762 OLLIE, MARY CARL BUDDIG 09/16/15 CANDIANO LAW OFFICE KNELL & O'CONNOR 232 16WC 19778 WILLIAMS, DWAYNE FRITO LAY 05/16/16 DEPAOLO ZADEIKIS GORE GILDEA & COGHLAN 233 16WC 19825 LEVY, YAFAH CHICAGO BOARD OF EDUCATIO 05/11/16 BRILL & FISHEL 234 16WC 19913 HERNANDEZ, REGINA ILLINOIS TOOL WORKS, INC 05/16/16 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 235 16WC 19974 BENDER, JOHNNY TRANSPORTATION SECURITY A 03/05/16 SEIDMAN MARGULIS & FAIRMAN 236 16WC 19994 SANDOVAL, JOSHIO CHICAGO MUSTANGS 02/21/16 HERRERA LAW CENTER 237 16WC 20329 ARROYO, ESTELA ARAMARK 06/04/16 ENCINAS & ORNELAS INMAN & FITZGIBBONS 238 16WC 20491 RAMIREZ, OSCAR CORNER BAKERY CAFE 08/01/15 LAW OFFICE DIANE ARELLANO HOLECEK & ASSOCIATES 239 16WC 20599 JENKINSON, CHRISTOPHER COOK COUNTY FACILITIES MG 08/18/15 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 240 16WC 20762 GARCIA, DANIEL PARAMOUNT STAFFING 04/21/16 MC HARGUE & JONES 241 16WC 20913 NOVA, MIGUEL IMPERIAL REALTY CO, INC. 05/27/16 LANNON LANNON & BARR LTD GRANT & FANNING

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 242 16WC 21164 CHIBE, JOHN JR COOK COUNTY DEPTOF CORREC @ 06/20/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 243 16WC 21234 WITEK, TADEUSZ DUDEK & BOCK 01/08/16 BUDIN LAW OFFICES 244 16WC 21446 HERNANDEZ, RICARDO CORNELL FORGE COMPANY 06/24/16 EPSTEIN, JACK R LAW OFFICE 245 16WC 21684 SINGH, SURJIT S&A TRANSPORTATION 06/18/16 FISHER & LAMONICA 246 16WC 21703 RITTER, ANGELA SUNRISE SENIOR LIVING 03/02/16 LAW OFFICE ILONKA ULRICH HENNESSY & ROACH PC 247 16WC 23573 SHELTON, SHEILA UNITED PARCEL SERVICE 03/26/14 LEONARD LAW GROUP LLC ASA LAW GROUP 16WC023574 -C 16WC023575 -C 17WC020388 -C UPS 248 16WC 26658 ROBERT SMERLING COMPETITIVE WOODCRAFT- 06/20/16 249 16WC 26980 ESTRADA, CESAR CHEESE MERCHANTS OF AMERI 07/05/16 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 250 16WC 27002 GOLDEN, DANIEL S. COOK COUNTY SHERIFF 08/23/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 251 16WC 27401 LEON, RICARDO ZERA CONSTRUCTION 08/08/16 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 252 16WC 27434 VERZONI, JOSEPH CITY OF CHICAGO 12/28/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 253 16WC 27715 19B BRYANT, MARVIN C CITY OF CHICAGO 08/15/16 DEPAOLO ZADEIKIS GORE CITY OF CHICAGO 254 16WC 28449 MILLS, BRADY CHICAGO TRANIT AUTHORITY 07/25/16 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 255 16WC 28462 ROSALES MIRANDA, BEATRIZ SURGE STAFFING, LLC 08/27/16 SYREGELAS, NICHOLAS C HENNESSY & ROACH PC 256 16WC 28553 TRUJILLO, MARTIN WOLCOTT REAL PROPERTY 07/21/16 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 257 16WC 28619 DURAN, GUADALUPE ARROW ROAD CONSTRUCTION C 08/02/16 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 258 16WC 28642 VILLARINY, EDWIN LAKESHORE PLAZA 09/02/16 ASHER, RAYMOND L LTD 16WC028643 -C 259 16WC 28707 MENDEZ, ERIC URBAN INNOVATIONS LTD 08/26/16 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 260 16WC 28724 WOOD, JEREMY LABOR READY 06/01/16 MEYERS & FLOWERS CHILTON YAMBERT PORTER LLP 261 16WC 28867 ADAMS, SHEILA CITY OF CHICAGO 08/15/16 WILLIAM MARTAY CITY OF CHICAGO 17WC034127 -C 262 16WC 28890 METWALLY, SIHAM AQSA SCHOOL 08/20/16 HETHERINGTON KARPEL BOBBER LAW OFFICES JOSEPH MARCINIAK 263 16WC 28978 PETERSON, JAMES CHICAGO PUBLIC SCHOOLS 09/13/16 THE ROMAKER LAW FIRM 264 16WC 29043 SOTO, MARTHA OUTBACK STEAKHOUSE 08/08/16 SALVATO & O'TOOLE 265 16WC 29083 ESTATE OF TINCU, MAXIM DREMEX TRANS INC VICTOR T # 05/27/16 266 16WC 29115 WILLIAMS, SELINA CITY OF CHICAGO/DEP OF FI 04/23/15 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 267 16WC 29169 MATEO, LUIS CHICAGO TRANSIT AUTHORITY 06/14/16 RAYMOND P GARZA LAW OFFICE CHICAGO TRANSIT AUTHORITY 268 16WC 29271 ROLLE, ANTREL CHICAGO BEARS FOOTBALL CL 10/04/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 16WC029272 -C 269 16WC 29321 GARCIA, JUAN RAMON ACCURATE PARTITIONS 02/01/16 ENCINAS & ORNELAS 270 16WC 29413 WAGNER, JOHN S UNIVERSITY OF ILLINOIS 08/07/16 DEPAOLO & ZADEIKIS POWER & CRONIN LTD 271 16WC 29561 020 GLASS, HELEN CITADEL HEALTH CARE 09/21/16 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 020 16WC027303 -C 020 17WC002021 -C 272 16WC 29653 FRENKOVA, ANA HMS HOST 12/12/15 ELFENBAUM EVERS & AMARILIO GAIDO & FINTZEN 273 16WC 29672 SMITH, PAMELA H CTA 08/28/15 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 274 16WC 29850 KING, EDWARDO COSMETIC COLLISION CENTER 08/24/16 STEVEN J MALMAN & ASSOCIAT GAROFALO SCHREIBER STORM 275 16WC 29864 MARTIN, BENJAMIN BCBM, LLC 02/04/16 CULLEN HASKINS NICHOLSON THOMAS & PORTELA 276 16WC 29883 TRUONG, HUNG MOTOR COACH HOLDINGS INC 01/15/15 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD 277 16WC 29983 HARRIS, MARK FREEMAN ELECTRICAL 09/22/16 STROM, NEAL B MC ANDREWS & NORGLE LLC 278 16WC 30046 AHLGRIM, GINA VILLAGE OF NILES 10/27/15 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 279 16WC 30066 WATERS, STACI GOTTLIEB MEMORIAL HOSPITA 06/15/10 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 280 16WC 30485 OKITIPI, BETTYE ELEMENTARY SD #159 08/23/16 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK DIAMOND BUSH & E 281 16WC 30545 RODRIGUEZ, RICARDO THR1, INC 09/20/16 DEPAOLO & ZADEIKIS JOSEPH MARCINIAK 282 16WC 30572 PETERSON, DEREK T&JJ'S SUPREME STEAKS AND 07/01/16 BERNSTEIN, PHILIP L 283 16WC 30611 SMITH, VELMA ALDEN TOWN MANOR REHAB & 09/28/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 284 16WC 30628 ANDERSON, DERRON 3520 N LAKESHORE DR CONDO 03/29/16 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 285 16WC 30709 SWEENEY, ERIK STATE OF ILLINOIS/JJ MADD @ 09/28/16 MICHAEL P MCCREADY & ASSOC MATTHEW J KELLER 286 16WC 30801 WATSON, WILLIE LUCKY'S ENERGY SERVICES 05/02/16 STROM, NEAL B RODDY LAW LTD 287 16WC 30840 SMITH, SEQUOIA CTA 06/21/16 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 288 16WC 30984 GARCIA, LUZ MARIA ARROYO ELITE STAFFING, INC 09/15/16 ANKIN LAW OFFICE 289 16WC 31209 GORMAN, STEVE HARVEY FIRE DEPARTMENT 10/05/16 RIDGE & DOWNES SMITH AMUNDSEN LLC 290 16WC 31232 GILMORE, BERNARD STAFFING NETWORK LLC 10/07/16 HUGHES SOCOL PIERS RESNICK SLAVIN & SLAVIN 291 16WC 31246 GAYTAN, JOSE J A MIDWEST CANVAS CORP 10/06/16 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 292 16WC 31401 PAZ, JAIME FEDEX FREIGHT 10/16/15 QUINTAIROS PRIETO WOOD & BOY 293 16WC 37194 JASPER, CHAUN CTA 08/06/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 294 16WC 38064 WALKER, MAURICE THE UNIVERSITY OF CHICAGO 11/10/16 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 295 16WC 38276 VILLASANA, MIGUELE FIRST RESPONSE EMS 01/25/16 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 296 16WC 38367 CURA, LUIS INSIGHT 09/16/16 STEVEN H MEVORAH & ASSOCIA 297 16WC 38450 INNISS, GEORGE CITY OF CHICAGO 10/13/16 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 298 16WC 38523 MYSLEWIEC, EDWARD DART CORP 07/23/15 JOHN E LUSAK HENNESSY & ROACH PC 299 16WC 38769 HOOVER, KIRA CTA 12/08/16 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 300 16WC 38837 OCANA, YVONNE UNITED AIRLINES 09/18/16 CHASE & WERNER LTD NYHAN BAMBRICK KINZIE & LOWR 301 16WC 38935 STOCZANSKYJ, ANGELA M CAREER EDUCATION CORP 08/24/16 FRANKS & RECKENBERG NYHAN BAMBRICK KINZIE & LOWR 302 16WC 39019 MOSES, ANTHONY STATE OF IL/UIC HOSPITAL @ 12/06/16 KARNO, MARK L & ASSOC POWER & CRONIN LTD 303 16WC 39070 SESSION, ARNETTA CHICAGO TRANSIT AUTHORITY 12/22/16 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 304 16WC 39206 CHINEDU, IRENE COOK COUNTY HOSPITAL 09/09/16 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 305 16WC 39316 GILL, MARSHA RENAISSANCE SOCIAL SERVIC 12/02/16 POMPER & GOODMAN 306 16WC 39357 HENDERSON, CEOLA LORETTO HOSPITAL 12/20/16 GRAVLIN, MICHAEL J LLC 307 16WC 39393 MANUEL, EDITA AVANTARA PARK RIDGE 12/25/16 CELSO FUENTES JR BRADY CONNOLLY & MASUDA PC 308 17WC 00062 LAVECCHIA, JACQUELINE JEWEL FOOD STORES, INC 06/06/16 JOHN TREPEL & ASSOC 309 17WC 00113 MUNOZ, DORIS RENEE CITY OF CHICAGO 08/18/16 SANDMAN LEVY & PETRICH

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 310 17WC 00193 BOCK, BRITTANY NATIONAL WOMENS SOCCER LE 04/12/14 HART & DAVID LLP 311 17WC 00253 ZUNIGA, EDWIN E ACCURATE PERSONNEL 11/17/16 DAVID W MARTAY 312 17WC 00360 SAULSBERRY, CHARLES HOME DEPOT 02/05/15 BRISKMAN BRISKMAN GREENBER MC ANDREWS & NORGLE LLC 313 17WC 00362 HILLARD, ROBERT 3520 N LAKESHORE DR CONDO 03/22/10 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 314 17WC 00504 O'CONNOR, DEIRDRE SWEDISH COVENANT HOSPITAL 11/03/16 SEIDMAN MARGULIS & FAIRMAN MACIOROWSKI SACKMANN & ULRIC 315 17WC 00595 RAMIREZ, CHRIS CITY OF CHICAGO 09/13/16 ROBIN LAW OFFICE CITY OF CHICAGO 316 17WC 00622 HERRERA, CELINA SCREW MACHINE ENGINEERING 01/20/16 CULLEN HASKINS NICHOLSON CASSANO & ASSOCIATES 317 17WC 00870 WEEDEN, MELLISSA FRITO LAY 11/17/16 HUGHES SOCOL PIERS RESNICK GILDEA & COGHLAN 318 17WC 00939 ZANER, KEVIN KELLER & HEARTT OIL 11/20/15 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 319 17WC 01125 PAGAN, WILLIAM CHICAGO TRANSIT AUTHORITY 12/19/16 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 320 17WC 04646 MONARREZ, GERARDO ED MINIAT INC. 01/17/17 POWER & CRONIN LTD 17WC024676 -C 18WC017001 -C 321 17WC 05944 DIAZ, LUCIO CITY OF CHICAGO 08/22/16 HEALY SCANLON LAW FIRM CITY OF CHICAGO 322 17WC 07162 MONTES, ALBERT L DIAMOND WASTE 12/19/16 GOLDBERG WEISMAN & CAIRO L RIPES NELSON BAGGOT KALOBRAT 323 17WC 07556 BELMER, ANNETTE CTA 03/10/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 324 17WC 07596 RODRIGUEZ, RAYMUNDO THERMAL CARE INC 02/01/17 MARTIN V KUGIA 325 17WC 07747 SCHILDGEN, JOHN LOYOLA UNIVERSITY MEDICAL 12/01/16 BOWMAN & CORDAY LORENZ & BERGIN PC 326 17WC 07865 JAMES, DANA ALEXIAN BROTHERS 12/18/16 THE ROMAKER LAW FIRM POWER & CRONIN LTD 327 17WC 07870 JAMES, DESIREE CITY OF CHCIAGO 03/08/17 KREITER, BYCK & ASSOC LLP

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 328 17WC 07914 STEWART, FLOYD JIMMY JOHNS 03/09/17 FRIEDMAN & SOLMOR LTD 329 17WC 07929 SILVA, RENE RELIABLE CONSTRUCTION & E 07/27/16 COSTA IVONE LLC STONE & JOHNSON CHARTERED 330 17WC 08009 SCHWEBKE, JUNE CHICAGO TRANSIT AUTHORITY 12/30/16 HORWITZ HORWITZ & ASSOC 331 17WC 08059 GOSA, ANGIE FORD MOTOR COMPANY 02/28/17 FOHRMAN, DONALD W & ASSOCS 332 17WC 08078 WALKER, MARCUS DR&LA INC 02/25/17 DWORKIN AND MACIARIELLO 333 17WC 08209 19B JOHNSON, MICHELLE CITY OF CHICAGO 02/09/17 HEALY SCANLON LAW FIRM CITY OF CHICAGO 334 17WC 08285 PEREZ, MARCIAL ELITE STAFFING 03/03/17 AIOSSA LAW FIRM 335 17WC 08364 JOHNSON, RENWICK CHICAGO TRANSIT AUTHORITY 03/03/17 ANKIN LAW OFFICE 336 17WC 08448 DARLING, PAULA UNITED AIRLINES INC. 02/20/17 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 337 17WC 08640 PURCELL, SONIA TRADER JOES 06/13/16 CULLEN HASKINS NICHOLSON 338 17WC 08760 IANNACCO, JEFFERY FEDEX 11/08/16 LANCASTER, DEBORAH 339 17WC 08812 BAHENA, REYNEL COLOR COMMUNICATIONS INC 03/06/17 EPSTEIN, JACK R LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 340 17WC 08845 BOMBATA, ADETUTU N&C IMPACT CARE SOLUTIONS @ 03/07/17 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 341 17WC 08877 MORENO, MARIA SIMON BROTHERS BAKERY INC 10/10/16 FICHERA & MILLER 342 17WC 08929 REED, EDDIE M STATE OF ILLINOIS - IDOT 01/31/17 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 343 17WC 08958 SLAN, FRANKLIN COOK COUNTY FREST PERSERV 05/13/16 HANNIGAN & BOTHA, LTD GILDEA, COGHLAN & REGAN LTD. 344 17WC 08988 MEO, ABDUL ELITE CAB CO 12/26/16 LAW OFFICE RYAN ROSENTHAL 345 17WC 09244 TOVAR, JESUS CITY OF CHICAGO 03/06/17 ANESI OZMON RODIN NOVAK KO

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 346 17WC 09286 RASO, MIKE CITY OF CHICAGO 06/05/15 ROBERT H HANAFORD CITY OF CHICAGO 347 17WC 09305 YOUNG, BRITTNEY SOUTHWEST AIRLINES 01/28/17 BOWMAN & CORDAY 348 17WC 09385 THOMPSON, CEDRIC MAKESPACE STORAGE 02/26/17 JAMES ELLIS GUMBINER & ASS 349 17WC 09423 PORTER, JANECE CTA 03/25/17 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY 17WC025851 -C 350 17WC 09454 HOSFIELD, JAMES A VILLAGE OF MORTON GROVE 02/06/17 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 351 17WC 09484 PEREZ, MIGDALIA SHERATON CITY FRONT CENTE 12/12/16 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 18WC022207 -C 352 17WC 09602 MARTINEZ, SERGIO E TABARE TRIUNE LOGISTICS LLC 03/21/17 ANKIN LAW OFFICE LITCHFIELD CAVO 353 17WC 09698 MUNOZ, EDWIN CITY OF CHICAGO 01/11/17 WHITING LAW GROUP 354 17WC 09810 DALICANDRO, MICHAEL J CITY OF CHICAGO 09/01/15 CRONIN & PETERS 355 17WC 09876 GLADNEY, CORDERO MACGUFFINS BAR & LOUNGE 03/24/17 DWORKIN AND MACIARIELLO 356 17WC 09903 DZIADANA, ZIGGY EXCELLENT MASONRY CORP 01/27/17 CHRISTOPHER BUCHCAR, LTD HOLECEK & ASSOCIATES 357 17WC 09958 HASTINGS, CHRISTINE F LITTLE COMPANY OF MARY HO 03/09/16 O'CONNOR & NAKOS 358 17WC 10009 CARDENAS, SONIA P COMPASS GROUP/WOLFGANG PU 11/17/16 ANKIN LAW OFFICE GANAN & SHAPIRO 359 17WC 10183 FOLKER, ANTOINETTE INGALLS HOSPITAL 11/15/16 SCHREINER MALLOY & ETZLER NYHAN BAMBRICK KINZIE & LOWR 360 17WC 10353 GARCIA, ALEJANDRO CAPSTONE LOGISTICS 02/12/17 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 361 17WC 10384 LARSON, THOMAS MAKE CORPORATION 03/28/17 NEWLAND & NEWLAND HOLECEK & ASSOCIATES 362 17WC 10506 FITZMAURICE, ROBERT BURBANK POLICE DEPT 06/10/16 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 363 17WC 15894 RABY, CALVIN PREMIUM CONCRETE 03/03/17 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 364 17WC 16735 SANCHEZ, JUAN M UPS 12/10/16 EPSTEIN, JACK R LAW OFFICE 365 17WC 17251 BINDAS, ELENA FREEMAN DECORATING 05/28/17 RUBENS AND KRESS MC ANDREWS & NORGLE LLC 366 17WC 17707 GRIFFIN, JAMES LAKESHORE EXHIBIT SERVICE 05/24/17 RIDGE & DOWNES COZZI & GOGGIN-WARD 18WC028645 -C 367 17WC 17914 BENSON, TYRONE ELITE STAFFING 07/13/16 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 368 17WC 17957 VELDHUIZEN, JENNIFER AVSC HOLDING LLC 03/13/17 COMPTON LAW GROUP SPIEGEL & CAHILL, PC 369 17WC 18075 ARROYO, MARIA LUISA LABOR NETWORK, INC (LOANI 04/22/17 SALK, STEVEN B & ASSOC LTD ROBERT L. SMITH 370 17WC 18118 JANKOWSKI, PAMELA INGRDION INCORPORATED 05/28/17 KEDZIE LAW OFFICE PC GAROFALO SCHREIBER STORM 371 17WC 18134 HERNANDEZ, GILBERTO MAINES PAPER & FOOD SERVI 02/28/17 LEONARD LAW GROUP LLC GOLDBERG SEGALLA LLC 372 17WC 18186 FOLKER, ANTOINETTE INGALLS HOSPITAL 11/15/16 SCHREINER MALLOY & ETZLER 373 17WC 18326 ANDRADE, RAUL EL MILAGRO, INC 05/02/17 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 374 17WC 18402 KHAN, NADIA G EQMD INC 05/21/17 STROM, NEAL B 375 17WC 18498 WIELGOSZ-MARCHI, MARY A RICH LEE VANS INC 03/31/17 GOLDSTEIN BENDER & ROMANOF GALLIANI DOELL & COZZI LTD 376 17WC 18598 ADAMOWICZ, ROBERT MAJESTIC ARCHITECTURAL 10/12/16 VASILATOS & COTTER LLC 377 17WC 18668 SERRANO, MELIDA WOMEN'S ATHLETIC CLUB OF 05/20/17 BAUM RUFFOLO & MARZAL LTD 378 17WC 18789 SLOAN, DAN ELITE PIERING, LLC 06/22/17 GREGORIO & MARCO GAROFALO SCHREIBER STORM 379 17WC 18869 GARCIA, LAURO AMERICAN CRAWLSPACES CORP 06/16/17 SHEA LAW GROUP QUINTAIROS PRIETO WOOD & BOY 380 17WC 18930 ALLEN, PHYLLIS CHILDSERV 10/25/16 SCHACTER, JEROME & ASSOC L 381 17WC 19016 BLAUSIUS, CAROLINE SUMMERDALE/5413 RESTAURAN 03/20/15 RICHARD O. GREENFIELD RUSIN & MACIOROWSKI LTD

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 382 17WC 19066 SEGOVIA, LUIS ADVANCED DISPOSAL 05/24/17 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 383 17WC 19087 FRIAS, CHRISTIAN 3520N LAKESHORE DR CONDO 06/20/17 BRISKMAN BRISKMAN GREENBER 384 17WC 19104 ROHLOFF, CHRISTOPHER COOK COUNTY BUILDING 06/07/17 BAUM RUFFOLO & MARZAL LTD STATES ATTORNEY OF COOK COUN 385 17WC 19218 HARDIN, JOHN NORCON, INCORPORATED 06/15/17 386 17WC 19221 GRANT, TIFFANYS SUMMIT STAFFING- LOANER 05/24/17 VITELL & SPITZ LTD 387 17WC 19349 BURKE, JAMES MCNEAL HOSPITAL 05/08/17 HORWITZ HORWITZ & ASSOC 17WC019350 -C MACNEAL HOSPITAL 388 17WC 19409 KRISCH, KAREN TVI, INC 05/18/17 BUIKEMA HISKES DILLNER ET WIEDNER & MCAULIFFE LTD 17WC019410 -C 389 17WC 19426 WILLIAMS, JAMILA ACCESS COMMUNITY HEALTH 06/20/16 CRONIN & PETERS 390 17WC 19667 SHAH, SHAHZADA KALIM KAHN 06/12/17 HUNER LAW OFFICES LLC 391 17WC 19726 FERIZOVIC, MIRSAD WOODSTOCK HOME IMPROVEMEN 04/26/17 LEONARD LAW GROUP LLC 392 17WC 19796 JONES, RODERICK A DELAWARE NORTH SPORTS SER 05/24/17 COSTA IVONE LLC 393 17WC 19825 LAMORE, DEANN EASTER SEALS METROPOLITAN 03/01/17 CAPRON & AVGERINOS PC NOBLE & ASSOCIATES PC 394 17WC 20004 RAINEY, DOMINI UPS 02/22/17 JASINSKI, GEORGE J ASA LAW GROUP 395 17WC 20051 POPOLLA, ROBERT ASC INDUSTRIES INC 07/15/15 FIGLIOLI, DAVID RIPES NELSON BAGGOT KALOBRAT 396 17WC 20172 KUBLE-BALL, VIRGINIA NORDSTROM 10/06/13 ROBERT L. SMITH 397 17WC 20312 TORRES, JOSE L DYNAMIC MANUFACTURING INC 07/26/16 SHEA LAW GROUP JOSEPH MARCINIAK 398 17WC 20345 WATSON, JAMES CITY OF CHICAGO 06/15/17 WILLIAM MARTAY 399 17WC 20375 NEWBERG, JEFFREY CALUMET CITY POLICE DEPT 03/30/17 KROL BONGIORNO & GIVEN LTD RANDOLPH GREUNE LAW OFFICE

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 400 17WC 25284 BLAND, THEODIS CTA 08/18/17 RUBIN MACHADO ROSENBLUM CHICAGO TRANSIT AUTHORITY 401 17WC 25684 SHILNEY, JAMES CITY OF CHICAGO 11/22/16 JOSEPH J SPINGOLA, LTD 402 17WC 27056 MARTINEZ, JASON T M&K TRUCK SALES, INC 10/20/16 403 17WC 27139 SHEENHAN, JOHN CITGO PETROLEUM 02/27/17 KROL BONGIORNO & GIVEN LTD 404 17WC 27164 BOYD, VICTORIA CTA 09/13/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 405 17WC 27243 MARTIN, PHILLIP CITY OF CHICAGO 05/01/17 ROMANEK & ROMANEK 406 17WC 27285 OWENS, LEON SOUTHWEST AIRLINES 07/19/17 ROGER D RUDICH LTD HENNESSY & ROACH PC 407 17WC 27287 KARAS, DONALD CITY OF CHICAGO 05/31/17 TAMVAKIS, GEORGE L CITY OF CHICAGO 408 17WC 27304 FOSTER, LAYUNA NORTH CENTER FOR HANDICAP 05/10/17 JONATHAN SCHLACK JOSEPH MARCINIAK 409 17WC 27325 JOHNSON, ASHLEY LEXINGTON HEALTH CARE CEN 07/13/17 MC HARGUE & JONES 410 17WC 27340 SHEPPARD, BILLY ARCELOR MITTAL STEEL 06/05/17 ELFENBAUM EVERS & AMARILIO SPIEGEL & CAHILL, PC 411 17WC 27362 MEEKS, DEBRA UPS 09/12/17 COVEN LAW GROUP ASA LAW GROUP 412 17WC 27459 CUADRO, JORGE V DART SOLO CUP 09/11/17 RUEDA, IVAN A GAROFALO SCHREIBER STORM 413 17WC 27511 JONAS, ROMAN LAKESHORE CONSTRUCTION GR 06/27/17 CHEPOV & SCOTT LLC 414 17WC 27537 SATTERFIELD, GREG MURPHY MARBLE 11/08/16 PETER F FERRACUTI & ASSOCI GANAN & SHAPIRO 415 17WC 27582 POWER, DONALD TRIANGLE PACKAGE MACHINER 01/10/14 LANNON LANNON & BARR LTD HOLECEK & ASSOCIATES 416 17WC 27606 SAUDERS, SHANNON NORTHWESTERN MEDICINE 07/21/17 STROM, NEAL B 417 17WC 27608 VEGA, REUBEN KOPPERS, INC. 08/01/16 LEO ALT RUSIN & MACIOROWSKI LTD

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 418 17WC 27711 SCHOENHOFEN, DAVID VILLAGE OF CALUMET PARK 03/02/17 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 419 17WC 27897 HERNANDEZ URIBE, SANTIAGO METROSTAFF INC 08/30/17 PETER D CORTI LAW GROUP 420 17WC 27919 JIMENEZ, VICTOR CHICAGO TRANSIT AUTHORITY 09/18/17 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 421 17WC 27949 ICE, KATHLEEN M ELEMENTARY SCHOOL DIST 15 08/11/17 GOLDSTEIN BENDER & ROMANOF ANCEL GLINK DIAMOND BUSH & E 422 17WC 28012 VELAZQUEZ, JACOB ALL AMERICAN ROOFING, INC 09/15/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 18WC012142 -C 423 17WC 28069 SPIVEY, MARY J TRIUNE 08/10/17 SKLARE LAW GROUP LITCHFIELD CAVO 424 17WC 28087 JOHNSON, CINDY L MARIANOS 12/18/16 TOPPER & WEISS LTD BRYCE DOWNEY & LENKOV LLC 425 17WC 28107 PEREZ, EUSTACIO NORTHWEST COMMUNITY HOSPI 06/19/17 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 426 17WC 28154 EDWARDS, MANASSES M APRIA HEALTHCARE/CRESTWOO 06/16/17 JAMES A CORRIGAN LTD 427 17WC 28216 LEAGOGO, FRANCISCO XYLEM INC 08/29/17 BAUM RUFFOLO & MARZAL LTD POULOS & DIBENEDETTO LAW 428 17WC 28260 HAWKINS, SONJA FIRST STUDENT, INC 09/12/17 JAMES J. GAY 429 17WC 28293 MORALES, AGUSTIN SAM'S CLUB 05/17/17 CHEPOV & SCOTT LLC QUINTAIROS PRIETO WOOD & BOY 430 17WC 28441 NEGRON, ISMAEL NORTHWEST EXPRESS INC 08/26/17 ANKIN LAW OFFICE JAMES M KELLY 431 17WC 28458 SMITH, LASHAWN PERSONNEL STAFFING GROUP, 07/31/17 COSTA IVONE LLC KOREY RICHARDSON LLC 432 17WC 28480 ELLIS, ANTONIA MONDELEZ INTERNATIONAL 05/25/17 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 18WC008884 -C 18WC008885 -C 433 17WC 28678 HOSLEY, LAPORTIA UNIVERSITY OF CHICAGO 09/04/17 VRDOLYAK LAW GROUP LLC POWER & CRONIN LTD 434 17WC 28721 HERNANDEZ, DIMAS COOK COUNTY SHERIFF'S DEP 08/07/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 435 17WC 28877 RODRIGUEZ, CARLOS CITY FOODS 11/14/16 LAW OFFICE EDWARD RUEDA 436 17WC 28918 MORGAN, TAWNY ORGANIC LIFE 08/30/17 LEO ALT 437 17WC 28994 TLANDA, SUSAN LENSCRAFTERS 07/05/17 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 438 17WC 29015 GLOWICKI, MIKE CITY OF CHICAGO 07/03/17 THE ROMAKER LAW FIRM CITY OF CHICAGO 439 17WC 29080 JOHNSON, ANITA SURE STAFF, INC 09/24/17 GOLDSTEIN AIOSSA & GOOD LOUIS MUNDY 440 17WC 29095 VELEZ, JUDITH ALTIRO LATIN FUSION 08/30/17 EDWIN REYES LEGAL GROUP HENNESSY & ROACH PC 441 17WC 29123 LASIOWSKI, HEIDI EARLE M JORGENSEN COMPANY 09/01/17 ALEKSY BELCHER POULOS & DIBENEDETTO LAW 442 17WC 29184 O'DELL, ABIE E HERSHA GROUP LLC DBA HOTE 05/24/17 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 443 17WC 29200 RAMIREZ, JOSE FLEXIBLE STAFFING 02/01/17 RAYMOND M SIMARD, PC BRADY CONNOLLY & MASUDA PC 444 17WC 29320 HERNANDEZ, JUAN CHICAGO DRYER COMPANY 09/07/17 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 445 17WC 29337 HEARN, QUINNIYA RESERVED ENTERPRISE 08/12/17 DWORKIN AND MACIARIELLO 446 17WC 29377 MC GRAW, SHEMEKA S CTA-CHICAGO TRANSIT AUTHO 09/17/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 447 17WC 29430 ARVIA, MICHAEL JEWEL/NEW ALBERTSON'S INC 06/22/17 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC 448 17WC 29455 GONZALEZ, NEMECIO NEXUS EMPLOYMENT SOLUTION 10/02/17 EPSTEIN, JACK R LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 449 17WC 29472 REMBERT, DWAYNE B U.S. XPRESS INC 02/06/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 450 17WC 29515 LEYVA, MARIO JIT JUST IN TIME STAFFING 09/21/17 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 451 17WC 29577 RAMIREZ, FILBERTO COOK COUNTY CIRCUIT COURT 03/15/17 BRILL & FISHEL 452 17WC 29595 MARTINEZ, MARTIN SHARPRINT SILKSCREEN AND 07/25/17 TAXMAN POLLOCK

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 453 17WC 29624 MYERS, BAKARI CITY OF CHICAGO-FORESTRY 09/29/17 JOSEPH J SPINGOLA, LTD 454 17WC 29666 MCKEATING, NORMA LITTLE COMPANY OF MARY HO 03/15/17 BOUDREAU NISIVACO LLC WIEDNER & MCAULIFFE LTD 455 17WC 29755 PALMER, MARSHUN ALLIED INDUSTRIAL 10/08/17 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM 456 17WC 29770 RIOS SR, ABEL RAINCOAT ROOFING SYSTEMS, 08/14/17 O'CONNOR & NAKOS CLAUSEN MILLER PC 457 17WC 33526 ANDERSON, SHANIECE L CHICAGO TRANSIT AUTHORITY 08/06/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 458 17WC 33585 SANDOVAL, JUAN ROBERTO MIDWEST CANVAS CORPORATIO 11/06/17 COSTA IVONE LLC GAROFALO SCHREIBER STORM 17WC035064 -C 459 17WC 34713 MENDEZ, HORACIO LAKESHORE RECYCLING SYSTE 08/09/17 THOMAS J STIBERTH LAW OFFI NYHAN BAMBRICK KINZIE & LOWR 460 17WC 36460 WELLS, CATRICE UNITED AIRLINES 12/02/17 ANGELINI & ORI LLC 461 17WC 36513 LAGUNAS, MARGARITA ENGINEERED GLASS PRODUCTS 10/11/17 ENCINAS & ORNELAS MC ANDREWS & NORGLE LLC 17WC036865 -C 462 17WC 36533 LOMAX, WILMA V ILLINOIS CENTRL SCHOOL BU 11/29/17 ANKIN LAW OFFICE 463 17WC 36569 PHETEAU, MARGARETH ADVOCATE LUTHERAN 09/22/17 FRIEND LEVINSON & BERGAL GAROFALO SCHREIBER STORM 17WC036570 -C 18WC016712 -C 464 17WC 36612 EDWARDS, JAMES ARAMARK 12/05/17 MARC J SHUMAN & ASSOCIATES 465 17WC 36690 NAJERA, ESTELA CIERA STAFFINGS 11/14/17 CHEPOV & SCOTT LLC 466 17WC 36792 BROOKS, LETICIA GLENSHIRE NURSE & REHAB C 11/24/17 ANGELINI & ORI LLC 467 17WC 36823 CHAVEZ, CONCEPCION PEREIR SCRUB INC 11/09/17 SALVATO & O'TOOLE POULOS & DIBENEDETTO LAW 468 17WC 36882 SISSON, LARRY IL DEPARTMENT OF REVENUE 11/09/17 MC HARGUE & JONES KRISTIN LEASIA 469 17WC 36969 MONROE, DASHUNDA CHICAGO SKYWAY 12/04/17 KUMLIN & FROMM

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 470 17WC 36984 FICK, DAVID JONES LANG LASALLE AMERIC 04/05/17 HEALY SCANLON LAW FIRM SMITH AMUNDSEN LLC 471 17WC 37016 BRADLEY, STEVEN ELIZABETH LUDEMAN CENTER 11/24/17 DWORKIN AND MACIARIELLO KRISTIN LEASIA 472 17WC 37036 JACKSON, BRITTANY N REVIVAL FOOD HALL 10/18/17 GALLAGHER, DONALD V BRADY CONNOLLY & MASUDA PC 473 17WC 37099 MORATAYA, LESTER CENTRAL TRANSPORT 12/17/16 WHITESIDE & GOLDBERG LTD HINSHAW & CULBERTSON 474 17WC 37143 LOBLEY-TRIMBLE, JANIE MEDICAL GEAR, LLC DBA 12/28/16 SEIDMAN MARGULIS & FAIRMAN HEYL ROYSTER VOELKER & ALLEN 475 17WC 37167 REYNOLDS, KHALIAH ALONTI CATERING KITCHEN 09/18/17 COSTA IVONE LLC 476 17WC 37321 GARRETT, PATRICK MIDAS 10/11/17 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 477 17WC 37382 AVILA, MARITZA RON'S STAFFING SERVICES, 11/08/17 GRAZIAN & VOLPE PC KOREY RICHARDSON LLC 478 17WC 37446 EZUMAH,IKECHI JEWEL FOOD STORE 03/28/16 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 479 17WC 37559 CASTILLO, ALICIA CARNICERIA JIMENEZ 06/18/17 HERRERA LAW CENTER BRADY CONNOLLY & MASUDA PC 480 17WC 37575 BLANCARD, KELVIN SR COOK COUNTY SHERIFF'S POL 12/13/17 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 481 17WC 37624 RYAN, JOSEPH SOUTHWEST AIRLINES 04/05/17 KARCHMAR & STONE 482 17WC 37647 JORDAN, CECILIA UNITED AIRLINES 09/07/17 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 18WC005074 -C 483 17WC 37678 MCCRANEY, RONALD GCP APPLIED TECHNOLOGIES 11/22/15 DAVID W MARTAY 484 17WC 37693 PANCER, JOSHUA KCI, INC 11/27/17 GOLDBERG WEISMAN & CAIRO L 485 17WC 37722 HARLAN, MATTHEW ARYZTA LLC 11/11/17 ANKIN LAW OFFICE 486 17WC 37760 WHITMORE, PATRICIA AMERICAN MATTRESS 12/11/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 487 17WC 37936 DEMINGLIO, MICHAEL EASTERSEALS 12/18/17 SANDMAN LEVY & PETRICH

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 488 18WC 00017 TEGTMEIER, STEPHEN ADVANCED DISPOSAL SERVICE 11/10/17 KOSIN LAW OFFICE LTD INMAN & FITZGIBBONS 489 18WC 00065 HUGHES, ERIC FEDEX FREIGHT 03/04/16 WILLIAM B MEYERS, LTD QUINTAIROS PRIETO WOOD & BOY 490 18WC 00136 BROWN, DAWN PORTER PLACE TINLEY PARK 11/11/17 VASILATOS & COTTER LLC 491 18WC 00185 BAIG, ADIL PRESENCE HEALTH 02/06/17 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 492 18WC 00227 THOMPSON, RACHAEL CITY OF CHICAGO 10/25/17 ANKIN LAW OFFICE 493 18WC 00237 SPENCER, WILLIAM BLACKHAWK TRANSPORT 12/26/17 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 494 18WC 00251 RUDOLPH, JESSIE PACE 12/19/17 FOHRMAN, DONALD W & ASSOCS 495 18WC 00307 ELLIOTT, SHARON SCR MEDICAL TRANSPORTATIO 12/16/17 WILLIAM S. WOJCIK LTD NYHAN BAMBRICK KINZIE & LOWR 496 18WC 00332 DURAN BETANCOURT, GISSELL AMERICAN AIRLINES INC 12/18/16 PETER D CORTI LAW GROUP 497 18WC 00387 GIVANTT, ANTOINE METRO STAFFING 06/16/17 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 498 18WC 00410 ESQUIVEL, ANTHONY BMWC CONSTRUCTORS, INC 09/05/17 GORDON & CENTRACCHIO LLC BRADY CONNOLLY & MASUDA PC 499 18WC 00434 RODRIGUEZ, OLGA PLITEK 09/23/17 EDWIN REYES LEGAL GROUP 500 18WC 00504 DUKES, DORIS HEALTHCARE SVCS GROUP, IN 11/01/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 501 18WC 00527 ASKEW, KEARTHUR CITY OF CHICAGO DEPT OF 12/29/17 CUDA LAW OFFICES 502 18WC 00582 FERGUSON, WILLIAM COOK COUNTY MEDICAL EXAMI 06/13/17 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 503 18WC 00622 MITHANI, NINA HALO SALON FOR MEN 02/15/16 ANGELINI & ORI LLC HOLECEK & ASSOCIAT0ES 504 18WC 00646 MARTIN, LAMONT BEGGARS PIZZA AKA PIZZA D 11/12/17 DWORKIN AND MACIARIELLO 505 18WC 00663 MARIN, CRUZ E MIDWAY STAFFING 12/19/17 RIPES NELSON BAGGOT KALOBRAT

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 506 18WC 00683 BECERRA, FELIPE COLUMBIA YACHT CLUB 11/05/17 ENCINAS & ORNELAS NYHAN BAMBRICK KINZIE & LOWR 507 18WC 00797 TAMAYO, LINETH LABOR TEMPS, INC 10/10/17 PETER D CORTI LAW GROUP ROBERT L. SMITH 508 18WC 00863 BURGESS, BRITTANNI CHICAGO TRANSIT AUTHORITY 12/05/17 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 509 18WC 00963 ROBINSON, DALE ILLINOIS BELL TELEPHONE C 10/20/16 WHITERS, ALFRED T 510 18WC 00992 BOYKIN, BOYKIN MERCY HOSPITAL MEDICAL CE 12/02/17 VRDOLYAK LAW GROUP LLC LORENZ & BERGIN PC 511 18WC 01031 RICHARD, HELEN RIVERS CASINO 03/15/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 512 18WC 01071 NAVARRO, ISMAEL HOME PRODUCTS INTERNATION 12/18/17 JENEL COTTON LAWRENCE COZZI - LAW OFFICES 513 18WC 04006 RODGERS, JACQUIZZ CHICAGO BEARS FOOTBALL CL 10/11/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 514 18WC 04224 HODOROWICZ, RENEE A BERKOT, LTD # 01/29/18 DAVID W CLARK 18WC006357 -C 515 18WC 06805 CROFT, PATRICE CITY OF CHICAGO-SANITATIO 12/11/17 JOSEPH J SPINGOLA, LTD 516 18WC 07400 MONGE, ANITA PRESENCE RESURRECTION MED 01/31/18 ANKIN LAW OFFICE 517 18WC 07427 CRUZ, CARMELO ACCURATE PERFORATING 02/14/18 EPSTEIN, JACK R LAW OFFICE LITCHFIELD CAVO 518 18WC 07446 NWOKO, DORIS ROSELAND HOSPITAL 02/05/18 DWORKIN AND MACIARIELLO SCOPELITIS GARVIN LIGHT 519 18WC 07479 GEEVE, DONNA LUTERHAN HOME, 02/02/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 520 18WC 07503 TALLEY, JULIAN ARENA FOOTBALL ONE LLC 07/29/17 GORDON LAW OFFICES LTD GORDON & CENTRACCHIO LLC 521 18WC 07545 GALLEGOS, ALICIA EL PAPOCATEPETL INDUSTRIE 03/01/18 ANKIN LAW OFFICE 522 18WC 07565 HOLLIDAY, WANDA CDT 02/28/18 COSTA IVONE LLC 523 18WC 07585 VALENTINE, NATALIE CHICAGO TRANSIT AUTHORITY 02/03/18 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY

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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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 542 18WC 08229 BENITEZ, MIGUEL ABRA AUTO BODY AND GLASS 02/26/18 KREITER, BYCK & ASSOC LLP 543 18WC 08288 FERNANDEZ, LINDA ALDEN MANAGEMENT 10/14/16 LEONARD LAW GROUP LLC 544 18WC 08321 ORTIZ, JOSE A MINUTE MEN STAFFING SRVCS 03/02/18 CHEPOV & SCOTT LLC GILDEA & COGHLAN 545 18WC 08410 SYKES, CARL WALMART 01/17/18 SKLARE LAW GROUP QUINTAIROS PRIETO WOOD & BOY 546 18WC 08455 CAULFIELD, PATRICK CAST AND CREW ENTERTAINME 02/23/18 ELFENBAUM EVERS & AMARILIO BRADY CONNOLLY & MASUDA PC 547 18WC 08551 WASP, ROBERT SHEET METAL WERKS 01/11/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 548 18WC 08566 WEBB, GARY CHICAGO TRANSIT AUTHORITY 11/18/16 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 549 18WC 08611 CLIFFORD, MICHAEL F HEARTLAND BLOOD CTR 02/13/18 ANESI OZMON RODIN NOVAK KO MEACHUM & STARCK 550 18WC 08645 HILL, DEONTATE BULKMATIC TRANSPORT 02/12/18 VASILATOS & COTTER LLC 551 18WC 08688 ADLER, RICHARD UPS 10/09/17 LEONARD LAW GROUP LLC ASA LAW GROUP 552 18WC 08711 WILLIAMS, MARK INGALLS MEMORIAL HOSPITAL 03/06/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 553 18WC 08777 MEDELLIN, GASTON ALPHA BAKING CO 11/29/17 HORWITZ HORWITZ & ASSOC 554 18WC 08808 LATRONICO, GLENN IL STATE POLICE 03/19/18 COLLISON LAW OFFICES KRISTIN LEASIA 555 18WC 08897 BROWN, ANTONIO PROVIDENT HOSPITAL OF COO 08/14/17 DAMISCH & DAMISCH LTD STATES ATTORNEY OF COOK COUN 556 18WC 08934 BRUNNER, DANIELLE IL BELL TELEPHONE COMPANY 10/09/17 TUITE LAW HENNESSY & ROACH PC 557 18WC 08964 RODRIGUEZ, ARLIN CRUZ MCDONALDS 03/03/18 ANKIN LAW OFFICE 558 18WC 08994 ANDERSON, TYNEASE METRO STAFF, INC 01/11/18 VRDOLYAK LAW GROUP LLC 559 18WC 09015 ZETINA, ERIC M TIDAL WAVE HAND CARE WASH 02/09/18 CHEPOV & SCOTT LLC CASSANO & ASSOCIATES

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 560 18WC 09066 NUKIC, AMIRA MACY'S RETAIL HOLDINGS 01/02/18 MARKS INJURY LAW BRYCE DOWNEY & LENKOV LLC 561 18WC 09121 FOX, NICHOLE PREMIER TRANSPORTATION 11/19/17 RUBENS AND KRESS 562 18WC 09169 LABON, JEREMY D STAFFMARK 01/31/18 GALLAGHER, DONALD V KEEFE CAMPBELL BIERY & ASSOC 563 18WC 09200 DENNISON, JOSHUA G.E. MATHIS COMPANY 01/17/18 ANKIN LAW OFFICE 564 18WC 09264 JOYCE, NOREEN CITY OF CHICAGO 03/08/18 BURNETT & CARON, LTD HENNESSY & ROACH PC 565 18WC 09328 STEWART, SHONDRE JEWEL OSCO 03/09/18 ENCINAS & ORNELAS 566 18WC 09356 MCDONALD, MIRANDA WINFIEL CHICAGO TRANSIT AUTHORITY 03/23/18 SCOTT B SHAPIRO CHICAGO TRANSIT AUTHORITY 567 18WC 09379 GIBSON, STEVEN SPRINTER PLUMBING 03/14/18 DWORKIN AND MACIARIELLO 568 18WC 09451 GUTIERREZ, ALVARO OZINGA 01/23/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 569 18WC 09549 QUEEN-THOMAS, BEVERLY CHICAGO PUBLIC SCHOOLS 04/17/15 BEVERLY QUEEN-THOMAS CHGO BOARD OF EDUCATION 570 18WC 09594 DUENEZ, JOSE CHICAGO AMERICAN MANUFACT 02/26/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 571 18WC 09626 SERRANO, RUDELL VALUE PAWN 10/31/17 WARREN W MARK MENDOZA LAW PC 572 18WC 09658 STINSON, JOLIE UNIVERSITY OF CHICAGO 09/15/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 573 18WC 09722 ZHANG, RUI YIN GREAT BEIJING CHINESE 02/08/18 MARK SCHAFFNER BRADY CONNOLLY & MASUDA PC 574 18WC 09729 KERSHAW, DECARI JEWEL-OSCO 03/25/18 VASILATOS & COTTER LLC RODDY LAW LTD 575 18WC 09763 HENDZEL, THOMAS NOLAND SALES CORPORATION 09/06/17 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 576 18WC 09789 LEWIS, CATRINA CARL BUDDIG & CO 03/16/18 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 577 18WC 09915 AMOPE, ADESHINA FREEDOM HOME CARE 03/17/18 HERRERA LAW CENTER GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 578 18WC 09930 ONI, SHARON LIEBERMAN CENTER 05/22/16 DWORKIN AND MACIARIELLO 579 18WC 09970 HILL, CLEO J SCR MEDICAL TRANSPORTATIO 03/02/18 VITELL & SPITZ LTD QUINTAIROS PRIETO WOOD & BOY 580 18WC 09999 BODEDE-ADEBAYO, BENEDICTA WESTWOOD MANOR 04/15/17 RANDALL A. WOLFF & ASSOC GAIDO & FINTZEN 581 18WC 10042 MORALES, RAUL ELITE STAFFING INC 03/12/18 COSTA IVONE LLC 582 18WC 10138 WEATHERLY, DORIS PRESENCE 02/19/17 HETHERINGTON KARPEL BOBBER 583 18WC 10201 TORRES, DAVID S BIGANE PAVING CO 03/24/17 GALLAGHER, DONALD V EDWARD J. KOZEL 584 18WC 10224 FLETCHER, JONATHAN E & R TOWNING 03/22/18 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 585 18WC 10262 STARANOWICZ, DIANE JEWEL OSCO 02/17/18 JOSHUA KARMEL 586 18WC 10307 YOUNG, LERENDA SIDNODE 10/25/17 JOHN E LUSAK HENNESSY & ROACH PC 587 18WC 10408 ARGUETA, DANIEL SCHOOL DISTRICT 54 02/27/17 PHILIP BLOMBERG 588 18WC 10432 RODRIGUEZ, ANTONIO RAHCO RUBBER 02/20/18 CHASE & WERNER LTD 18WC010433 -C 18WC010434 -C 589 18WC 10476 WINTERS, CAITLIN DOLLAR GENERAL 11/15/17 MARSZALEK AND MARSZALEK LEAHY EISENBERG & FRAENKEL 590 18WC 10518 PRADO, DAVID A MICKEY'S LINEN & TOWEL SU 04/02/18 HOLECEK & ASSOCIATES 591 18WC 10546 RAMIREZ, JUAN ELSTON MATERIALS LLC 11/26/16 CHEPOV & SCOTT LLC CASSANO & ASSOCIATES 592 18WC 10570 RICHARDSON, SAM GREYHOUND 03/28/18 FOHRMAN, DONALD W & ASSOCS 593 18WC 17444 JOHNSON, THERESA ADVOCATE CHRIST MEDICAL C 05/02/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 594 18WC 17486 VALLE JR, OSCAR RAINBOW INTERNATIONAL OF 05/25/18 CELSO FUENTES JR 595 18WC 17524 SARNO, DEBORAH RUSH UNIVERSITY MED CTR 04/09/18 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL BIERY & ASSOC

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 596 18WC 17553 MARKS, ESTEVAN FORD MOTOR CO 06/06/18 KREITER, BYCK & ASSOC LLP 597 18WC 17590 RIVERA, FRANCISCO JR SRU COMMUNICATIONS 03/26/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 598 18WC 17616 DASILVA, STEPHANIE COMPASS GROUP 02/11/18 LEONARD LAW GROUP LLC 599 18WC 17632 BRUNNER, AUDREY HOFFMAN ESTATES POLICE DE 04/13/18 WOODRUFF JOHNSON MACIOROWSKI SACKMANN & ULRIC 600 18WC 17688 TUCKER, JACQUELINE HOSTESS BRANDS, LLC 05/17/18 CELSO FUENTES JR INMAN & FITZGIBBONS 601 18WC 17751 GONZALEZ ZUNIGA, GERARDO ANNING-JOHNSON CO 02/15/18 HETHERINGTON KARPEL BOBBER GAROFALO SCHREIBER STORM 602 18WC 17828 WRIGHT, MARJORIE GCA SERVICES GROUP 05/15/18 DWORKIN AND MACIARIELLO 603 18WC 17850 WEEKLY, SHONTELL C HOME DEPOT 05/28/18 STEVEN J MALMAN & ASSOCIAT ADELSON TESTAN BRUNDO 604 18WC 17861 PEREYA, BALTAZAR HYATT REGENCY CHICAGO 04/04/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 605 18WC 17897 WALLACE, VELEDA T ALPHA BAKING 05/17/18 DEPAOLO & ZADEIKIS MACIOROWSKI SACKMANN & ULRIC 606 18WC 17919 CASTRO, FAUSTINO ELBOW GREASE JANITORIAL 05/24/18 STEVEN B SALK & ASSOC LTD 607 18WC 17941 WRIGHT, DEMETRIUS EXCEL WINDOWS AND DOORS 06/11/18 DWORKIN AND MACIARIELLO 608 18WC 18011 CARREON, MARIA N OCHOA UNITED TEMPS, INC 03/23/18 SALVATO O'TOOLE FROYLAN RUSIN & MACIOROWSKI LTD 609 18WC 18030 DOBYNE, NEENA NCH NORTHWESTERN 05/04/18 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 610 18WC 18087 REYES, NELLY METRO STAFFING 05/31/18 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 611 18WC 18153 CASARONA, LORI EXECUTIVE JET MGMT 02/03/18 HUGHES SOCOL PIERS RESNICK 612 18WC 18173 GUADARRAMA, AIDA CARIBOU COFFEE 05/17/18 MARKER & CRANNELL MEACHUM & STARCK 613 18WC 18207 MC MILLIAN, PORCSHIA BAGCRAFT PAPERCON, LLC 06/05/18 ANKIN LAW OFFICE

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 614 18WC 18245 MANNING, THOMAS FRESENIUS KABI 05/24/18 CUDA LAW OFFICES HOLECEK & ASSOCIATES 615 18WC 18261 PATTEN, ADRIAN E FARMINGTON FOODS 05/28/18 GALLAGHER, DONALD V CAPUANI, FRANK S 616 18WC 18277 GIKAS, KATHY MACY'S 03/18/18 SCOTT B SHAPIRO GAIDO & FINTZEN 617 18WC 18311 MURDOCK, ROBIN SUNRISE SENIOR LIVING 06/17/18 MC HARGUE & JONES DENNIS J NOBLE & ASSOC 618 18WC 18416 FRIESEN, ALEX CHICAGO WOLVES 01/28/17 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 619 18WC 18439 FRIAS, GRISELDA CROTHALL LAUNDRY SERVICES 02/22/18 ACEVES & PEREZ PC 18WC018440 -C 620 18WC 18464 JAROS, JOSHUA VANDRUNEN FORD 04/18/18 SPIROS LAW PC GANAN & SHAPIRO 621 18WC 18535 TOMASELLO, ANTONINO BOCKWINKEL'S AT PARK MILL 10/20/16 ROSS TYRRELL RODDY LAW LTD 622 18WC 18557 WOODS, MATTHEW M&K TRUCK CTR 06/11/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 623 18WC 18598 BHIMANI, RAMZAN HAMIDREZA NIKAMALFARD AND 06/20/18 STEVEN J TENZER, LTD 624 18WC 18620 PAULK, KAMEELAH BLUE CROSS/BLUE SHIELD IL 06/23/15 WHITESIDE & GOLDBERG LTD 625 18WC 18665 HAZELWOOD, LATOYA COOK COUNTY 06/16/17 THOMAS LAW STATES ATTORNEY OF COOK COUN 626 18WC 18684 HOLLY, TAMARA CHILDERN'S CREATIVE CORNE 03/01/18 EDWIN REYES LAW FIRM VITELL & SPITZ LTD 627 18WC 18704 ROBINSON, THELMA L CHICAGO BOARD OF EDUCATIO 03/21/18 VITELL & SPITZ LTD CHGO BOARD OF EDUCATION 628 18WC 18724 ATA, AMAL K FRANCESCA'S RETAIL STORE 11/01/16 CUDA LAW OFFICES 629 18WC 18747 ADAMCZYK, TRACIE WALMRT, INC D/B/A SAM'S C 10/28/17 HETHERINGTON KARPEL BOBBER GANAN & SHAPIRO 630 18WC 18773 TANNER, QUINTIN CHICAGO TRANSIT AUTHORITY 02/05/18 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 631 18WC 18793 SLATER, LANE COMMERCIAL PAINTING 09/01/17 BRADY CONNOLLY & MASUDA PC

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 632 18WC 18806 PEREZ, JOSE DE HOYOS CONCRETE 06/04/18 JONATHAN SCHLACK 633 18WC 18887 JIMENEZ, MARILU DUNBAR ARMORED INC 06/11/18 GARDI & HAUGHT 634 18WC 18946 MORALES, VERONICA SEALED AIR CORP 04/24/18 COSTA IVONE LLC MEACHUM & STARCK 635 18WC 19006 RIVERA, JOSE UPS 01/11/18 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 636 18WC 19125 AUGUST, MARK A CHICAGO BOARD OF EDUCATIO 05/17/18 VITELL & SPITZ LTD 637 18WC 19147 PETERSON, TREVOR PROAMPAC 12/21/17 GREGORIO & MARCO 638 18WC 19215 JAMES, KEON M FEDEX 06/01/18 GALLAGHER, DONALD V 639 18WC 19235 JACKSON, WONDA E CHICAGO TRANSIT AUTHORITY 06/12/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 640 18WC 19248 AHMED, SHAAN MOHAMMAD A AHMED 02/02/18 RYAN ROSENTHAL 641 18WC 19326 BEYER, WALTER COMCAST 10/01/16 GOLDBERG WEISMAN & CAIRO L SPIEGEL & CAHILL, PC 642 18WC 19373 OWENS, NORZELLA MV TRANSPORTATION INC 06/06/18 POMPER & GOODMAN BRADY CONNOLLY & MASUDA PC 643 18WC 19420 ARGOS, MERCEDES FEDERAL-MOGUL, LLC 05/23/18 JAMES M GERAGHTY KEEFE CAMPBELL BIERY & ASSOC 644 18WC 19436 GONZALEZ, MARIA DE LOURDE HOSTESS BRANDS LLC 05/16/18 HOWARD S. KAVENOW LLC INMAN & FITZGIBBONS 645 18WC 19471 MAKOWSKI, TIM RICHO USA, INC 03/02/18 STEVEN H MEVORAH & ASSOCIA CHILTON YAMBERT PORTER LLP 646 18WC 19515 BROWN, LUVONIA IL CENTRAL TRANSPORTATION 06/13/18 PARENTE & NOREM PC 647 18WC 19536 MARRERO, JOSE UNITED AIRLINES, INC 01/18/18 GREGORIO & MARCO 18WC023318 -C 648 18WC 19554 QUINONES, HUGO UNITED AIRLINES 11/26/17 CUDA LAW OFFICES 649 18WC 19598 HARREL, STEVEN DAUBERT CHEMICAL COMPANY 06/04/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH 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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 650 18WC 19613 PATTISON, SANDRA EGE TRANS USA, INC 01/30/18 MENDOZA LAW PC WIEDNER & MCAULIFFE LTD 651 18WC 19645 MORENO-SCOTT, SUGAR ADVOCATE HEALTH CARE 04/30/18 SILVERMAN, CLIFFORD A NYHAN BAMBRICK KINZIE & LOWR 652 18WC 19685 LLAMAS, BEN SIEGAL 05/25/18 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 653 18WC 19743 ZAGAJEWSKI, DANIEL JR. VILLAGE OF BARTLETT 11/02/17 TARADASH LAW OFFICE RUSIN & MACIOROWSKI LTD 654 18WC 19791 KWIATKOWSKI, EDWARD M VILLAGE OF HILLSIDE-FIRE 06/04/18 MORICI FIGLIOLI & ASSOC 655 18WC 19827 BARRERA, JASMIN GENNX/MWC HOLDINGS, LLC 10/10/17 JOSEPH MARCINIAK 656 18WC 19855 SCOTT, DONESHA JAMILA RICH PRODUCTS CORP 04/07/17 PETER D CORTI LAW GROUP 657 18WC 19883 LIGAS, JONATHAN GARFIELD'S BEVERAGE WAREH 06/01/18 ALEKSY BELCHER JOSEPH MARCINIAK 658 18WC 19959 SZYNKOWSKI, ERIC MC HUGH CONSTRUCTION 01/29/18 CAPRON & AVGERINOS PC KEEFE CAMPBELL BIERY & ASSOC 659 18WC 19997 HALL, JIMMIE ATKORE INTERNATIONAL, INC 04/23/18 JAMES GREGORY LASCOLA HENNESSY & ROACH PC 660 18WC 20001 LOPEZ, JORGE LAKESHORE BEVERAGE 10/23/17 LEONARD LAW GROUP LLC ACCIDENT FUND HOLDINGS 18WC020002 -C 661 18WC 20053 TELLEZ, JORGE HIGHLAND BAKING CO. 05/14/18 COSTA IVONE LLC 662 18WC 20088 PEREZ, GREGORY CTA 06/20/18 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 663 18WC 20128 JACKSON, ANGELA FIRST AMERICAN/FIRST TRAN 10/10/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 664 18WC 20158 GATES, PATRICIA UNITED CONTINENTAL HOLDIN 06/06/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 665 18WC 20166 JONES, JOHN L TONY YEH PROPERTY MANAGEM 05/08/18 GALLAGHER, DONALD V 666 18WC 20200 VAZQUEZ, EDUARDO UPS 01/09/18 MOGENSEN LAW LLC ASA LAW GROUP 667 18WC 20226 ZAVALA, RAMON ALL MASONRY CONSTRUCTION 06/13/18 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 668 18WC 20265 LACH, ANDRZEJ BELMONT SAUSAGE 07/02/18 NILSON STOOKAL GLEASON CAP SLAVIN & SLAVIN 669 18WC 20314 GARCIA, MARCELLA AMERICAN AIRLINES 04/14/18 ASHER, RAYMOND L LTD 670 18WC 20365 VIRNICH, PATRICIA A WALMART STORES, INC 04/15/18 BELLAS & WACHOWSKI QUINTAIROS PRIETO WOOD & BOY 671 18WC 26303 VILLARREAL, RAUL A UNIVERSITY OF IL AT CHICA 06/21/18 DEPAOLO & ZADEIKIS POWER & CRONIN LTD 672 18WC 27020 NELSON, DOMINIQUE CHICAGO PUBLIC SCHOOLS 04/25/18 MC HARGUE & JONES CHGO BOARD OF EDUCATION 673 18WC 27043 SZCZEPANSKI, RAFAL KAMIL BEDNARZ CONSTRUCTION INC 08/30/18 CHEPOV & SCOTT LLC 674 18WC 27103 DAOUD, SUSAN VISUAL COMFORT GROUP, INC 06/25/18 EFTEKHARI LAW OFFICES 675 18WC 27131 HOOD, SUSAN K YANNI MANAGEMENT, INC C/O 07/23/18 BRIAN J MC MANUS & ASSOC, 676 18WC 27208 MC LAIN, AARON A-1 ROOFING COMPANY 07/30/18 GOLDBERG WEISMAN & CAIRO L 677 18WC 27247 STOJAKOVIC, GOLDIE L UNITED AIRLINES 05/21/18 NILSON STOOKAL GLEASON CAP 678 18WC 27268 TUROCI, JEFFREY WOLVERINE TRADING 08/18/17 DAMISCH & DAMISCH LTD 679 18WC 27285 STRICKLAND, REGINALD NYCO PRODUCTS 03/01/18 CULLEN HASKINS NICHOLSON 680 18WC 27299 BEECHAM, SHERRON U.S. BANK CORP 08/22/18 RICHARD O. GREENFIELD HENNESSY & ROACH PC 681 18WC 27343 RIVERS, DAVID MONARCH CONSTRUCTION CO 08/06/18 HORWITZ HORWITZ & ASSOC KNELL O'CONNOR DANIELWICZ 682 18WC 27377 CARRERA, LORENA LEXINGTON HEALTH CARE CEN 08/17/16 EPSTEIN, JACK R LAW OFFICE 683 18WC 27398 ALICEA, MARCO ANTONIO JR PENTAIR FILTRATION SOLUTI 08/27/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 684 18WC 27418 HODZIC, ALMA ABLE SERVICES 09/06/18 COVEN LAW GROUP 685 18WC 27433 BARNES, DORETHA CHICAGO PUBLIC SCHOOLS 08/01/18 ANKIN LAW OFFICE CHGO BOARD OF EDUCATION

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 686 18WC 27472 BRISCOE, KENNETH CITY OF CHICAGO 07/27/18 ROSENFELD HAFRON SHAPIRO F CITY OF CHICAGO 687 18WC 27483 LOPEZ, ABEL ADVANCED WHEEL CORPORATIO 07/01/16 CULLEN HASKINS NICHOLSON 688 18WC 27500 BAXA, JAMES VILLAGE OF NORTHBROOK 12/17/17 STEWART C ORZOFF POWER & CRONIN LTD 689 18WC 27515 OJEIWA, AUGUSTINE CHICAGO ELITE CAB CO 08/16/18 RYAN ROSENTHAL 690 18WC 27529 SMITH, CASSANDRA J CHICAGO PUBLIC SCHOOLS 08/30/18 TIMOTHY HENDERSON 691 18WC 27546 THOMPSON, ALFORT METRO STAFF INC 08/10/18 GOLDSTEIN BENDER & ROMANOF 692 18WC 27567 EDGAR, HOLLY UNITED AIRLINES INC. 04/25/18 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 693 18WC 27586 BROOKS, LANIKA COOK DUPAGE TRANSPORTATIO 08/24/18 ANGELINI & ORI LLC 694 18WC 27599 LEE, MARY BURLINGTON COAT FACTORY 06/28/18 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 695 18WC 27627 AUGUSTYN, BODGA ADVOCATE LUTHERAN GENERAL 07/10/18 LEO ALT GAROFALO SCHREIBER STORM 696 18WC 27644 OCASIO, CAROLYN STARBUCKS 08/31/18 COSTA IVONE LLC 697 18WC 27666 TILLMAN, ANDREW CORNER BAKERY 08/16/18 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 698 18WC 27713 NAVARRO, JORGE SEARS HOLDINGS 12/16/16 HOWARD ABRAMS 699 18WC 27751 OH, JENNY DB SCHENKER 02/12/18 SANDMAN LEVY & PETRICH 700 18WC 27769 HOLMES, KAREN FOREST PRESERVE DISTRICT 01/24/17 SCOTT BARBER FOREST PRESERVE DIST COOK CO 701 18WC 27794 CHANDLER, MICHAEL TRINITY SERVICES 07/13/18 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 702 18WC 27852 PRUITT, DESMOND A WAL-MART ASSOCIATES, INC 09/06/18 ANKIN LAW OFFICE GANAN & SHAPIRO

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 703 18WC 27871 SANDOVAL, JOSE BERKSHIRE REFRIDGERATED 08/15/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 704 18WC 27892 REEDER, LINDA DART CONTAINER 02/20/17 JOHN S. ELIASIK GAROFALO SCHREIBER STORM 18WC027893 -C 18WC027894 -C 705 18WC 28110 LONG, PHYLLIS THRESHOLDS 08/10/18 BRISKMAN BRISKMAN GREENBER 706 18WC 28132 FOLA, JUSTIN JEWEL OSCO 09/16/18 DWORKIN AND MACIARIELLO 707 18WC 28157 GILBERT, DURRIYA CHICAGO TRANSIT AUTHORITY 06/27/18 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 708 18WC 28202 MAZUR, KRISTIN M MACY'S 09/06/18 HANNIGAN & BOTHA, LTD GAIDO & FINTZEN 709 18WC 28245 CEBALLOS, MARIO DEVON PRECISION MACHINE 06/19/18 HERRERA LAW CENTER 710 18WC 28265 WILKS, DAJUAN JEWEL FOODS 08/27/18 SEIDMAN MARGULIS & FAIRMAN 18WC028266 -C 711 18WC 28284 SANCHEZ, CATALINA METOCO TREATING & DEVELOP 06/03/18 STEVEN B SALK & ASSOC LTD 712 18WC 28307 MAOLONE, DARRIN NAPA - GENUINE PARTS CO 08/28/18 GORDON & CENTRACCHIO LLC KEEFE CAMPBELL BIERY & ASSOC 713 18WC 28342 GARCIA, JOSEL ALLIANCE STEEL CORP 08/30/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 714 18WC 28363 EBERS, EARL JR. MWRDGC 06/17/18 BOWMAN & CORDAY 715 18WC 28381 COOKS, DOLORES BOARD OF EDUCATION U-46 07/02/18 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 716 18WC 28402 JOHNSON, RODOLFO LYFT 09/12/18 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 717 18WC 28461 CHAMPAGNE, JOSEPH UPS 08/08/18 ROBERT WARSASKI ASA LAW GROUP 718 18WC 28494 FUENTES, RAMON CITY OF CHICAGO-OEMC DEPT 09/14/18 KARCHMAR & STONE 719 18WC 28508 DRAIN, JOSALYN CITY OF CHICAGO 01/25/17 HEALY SCANLON LAW FIRM

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 720 18WC 28517 VAZQUEZ, ERNESTO MORETTI'S SCHAUMBURG 11/01/16 CULLEN HASKINS NICHOLSON 721 18WC 28547 SCOTT, CHERYL EMPIRE CASTING, LLC 03/25/18 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 722 18WC 28635 HOCKIN, VIRGINIA DAO JAPANESE STEAKHOUSE 08/27/18 MARC J SHUMAN & ASSOCIATES 723 18WC 28659 IVY, STEVEN CITY OF CHICAGO 09/13/18 SEIDMAN MARGULIS & FAIRMAN 724 18WC 28691 SALGADO, JAVIER HIDDEN VALLEY MANUFACTURI 09/29/15 PHILLIP FARINA 725 18WC 28723 LOPEZ, JOSE ROMAN 2650 LAKEVIEW CONDOMINIUM 09/04/18 MICHAEL M WOJITAS 726 18WC 28752 MORQUECHO, SIMON SOURCE ONE STAFFING 09/04/18 EPSTEIN, JACK R LAW OFFICE 727 18WC 28800 DAVIS, BILLY EAST BANK STORAGE 09/13/18 TIMOTHY HENDERSON 728 18WC 28818 VAN POUCKE, TODD E JEWEL FOOD STORES, INC 10/14/17 JOHN W TURNER 729 18WC 28831 ROHRER, RICHARD O NORTHWESTERN UNIVERSITY 10/14/15 JOHN W TURNER 730 18WC 28868 HARMON, KATHERINE SIRIUS COMPUTER SOLUTION 05/15/18 SEIDMAN MARGULIS & FAIRMAN 731 18WC 28881 BOYD, BRONZELLA UPS 09/08/18 LEONARD LAW GROUP LLC ASA LAW GROUP 732 18WC 28900 SANCHEZ, VERONICA TARGET 09/04/18 COSTA IVONE LLC KEEFE CAMPBELL BIERY & ASSOC 733 18WC 28920 REYAD, OSAMA NCR CORPORATION 06/26/18 THOMAS M. PARIS SPIEGEL & CAHILL, PC 734 18WC 29006 SILVA, MARIA DRAPER & KRAMER 08/24/18 STEVEN J MALMAN & ASSOCIAT 735 18WC 29051 RODRIGUEZ, ISRAEL CHICAGO PARK DISTRICT/ 09/03/18 HERRERA LAW CENTER CHICAGO PARK DIST LAW DEPT 736 18WC 29087 TINGLE, CARLTON ARAMARK 07/06/18 DWORKIN AND MACIARIELLO

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 737 18WC 29117 PERCIC, MIKE YRC FREIGHT INC 08/30/18 COYNE REINKE LAW 738 18WC 29169 HALLMAN, CHARLES E UNITED PARCEL SERVICE, IN 09/22/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 18WC030642 -C UPS 739 18WC 29201 ARROYO, JUAN COLUMBIA METAL SPINNING 01/10/18 PHILLIP FARINA 740 18WC 29248 FALCON, JOSHUA PRESECNE HEALTH 09/07/18 ANGELINI & ORI LLC NYHAN BAMBRICK KINZIE & LOWR 741 18WC 29298 PEREZ, JORDAN KELLY'S APPLIANCES 03/27/18 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 742 18WC 29368 KOCLANIS, LYNN DHL/STANDARD 07/11/18 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 743 18WC 29419 SHAHEEN, ADAM CHICAGO BEARS FOOTBALL CL 12/10/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 18WC029422 -C 744 18WC 29474 FERNANDEZ, GLORIA FLEXAN, LLC 07/27/18 STEVEN B SALK & ASSOC LTD 745 18WC 29542 RAGGS, DARI ELITE STAFFING, INC 09/11/18 ANKIN LAW OFFICE 746 18WC 29562 SALAZAR, MIGUEL UNITED RENTAL FENCE 08/31/18 DE SALVO, SCOTT D LAW OFFI 747 18WC 29578 VOUTAS, MARIKA VILLAGE OF NILES C/O IPMG 12/01/17 POLANSKY & CICHON CHTD NYHAN BAMBRICK KINZIE & LOWR 748 18WC 29602 AKHNANA, DAVID CHICAGO TRANSIT AUTHORITY 02/28/18 SANDMAN LEVY & PETRICH CHICAGO TRANSIT AUTHORITY 749 18WC 29630 WASHINGTON, TEARRA R SCOOBEEZ, INC. 09/17/18 CHEPOV & SCOTT LLC 750 18WC 29658 LARA, FABIAN SUNBELT RENTALS 09/26/18 LEONARD LAW GROUP LLC HARRIS DOWELL FISHER & HARRI 751 18WC 29701 PINTOR, PEDRO GARDNER GIBSON 09/21/18 EPSTEIN, JACK R LAW OFFICE 752 18WC 29789 RIGONI, JEFFREY SOUTHWEST AIRLINES 06/20/18 DAVID M. STEPHANICH 753 18WC 29813 LIVELY, MICHAEL INGALLS HOSPITAL 06/29/18 VRDOLYAK LAW GROUP LLC 754 18WC 29832 OJEDA, JULIO SANCHEZ SENECA NURSING HOME INC 07/31/18 ANKIN LAW OFFICE

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 755 18WC 29847 WALKER, CYNTHIA CHATHAM DIALYSIS 09/22/18 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 756 18WC 29865 LEE, SHEILA VILLAGE OF MATTESON 09/26/18 DWORKIN AND MACIARIELLO 757 18WC 29888 BROWN-CONLEY, PATRICIA A COOK CNTY DEPT OF CORRECT 06/12/17 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 758 18WC 29911 CONTRERAS, SILVESTRE NATURE'S PATH, INC 08/23/18 RUEDA, IVAN A BRYCE DOWNEY & LENKOV LLC 759 18WC 29961 REYES, MARTIN AMB ROOFING & SHEET METAL 09/24/18 JONATHAN SCHLACK LAWRENCE COZZI - LAW OFFICE 760 18WC 29974 RODRIGUEZ, MARIA FOUNDERS INSURANCE COMPAN 10/16/17 HANNIGAN & BOTHA, LTD 761 18WC 29994 MORAN, ROSALINDA CARDENAS DOMESTIC LINEN SUPPLY CO. 09/20/18 HERRERA LAW CENTER 762 18WC 30065 CANDELARIA, LAWRENCE WHOLE FOODS MARKET INC 01/28/18 LINN, CAMPE & RIZZO LTD 763 18WC 30092 DAWKINS, EVERETT ARENA FOOTBALL ONE LLC 08/04/17 GORDON & CENTRACCHIO LLC 764 18WC 30117 REDMOND, ANGELA D JOHN H. STROGER COOK CNTY 09/26/18 TOPPER & WEISS LTD STATES ATTORNEY OF COOK COUN 765 18WC 30152 MORROW, JERREL FURIOUS SPOON WICKER PARK 07/21/18 MC HARGUE & JONES 766 18WC 30214 BROCK, KATHLEEN COOK COUNTY JUVENILE 09/16/18 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN 767 18WC 30238 DWIRE, SUNDAY AMERICAN AIRLINES 04/26/18 SAUNDERS CONDON & KENNY 768 18WC 30261 GARDOCKI, STANISLAW MAH MACHINE COMPANY, C/O 05/01/18 HETHERINGTON KARPEL BOBBER 769 18WC 30285 LOPEZ-ESTRADA, MONICA GREENWOOD, INC 07/25/18 SALVATO O'TOOLE FROYLAN NYHAN BAMBRICK KINZIE & LOWR 770 18WC 30303 JUSTICE, EDREICK ARCELOR MITTAL 03/05/17 VRDOLYAK LAW GROUP LLC 771 18WC 30308 BROWNER, ALEXIS CITY OF CHICAGO 10/01/18 FRIEDMAN & SOLMOR LTD 772 18WC 30330 YATES, CLIFFORD RIVER-EDGE HOSPITALINC 09/13/18 ANKIN LAW OFFICE

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 773 18WC 30354 GRIGALIUNAS, PAUL CENTRAL STEEL & WIRE COMP 02/07/18 MARC J SHUMAN & ASSOCIATES 774 18WC 30379 POWELL, JOSHUA D LABOR TEMPS 03/23/18 GALLAGHER, DONALD V GAIDO & FINTZEN 775 18WC 30406 GONZALEZ, ARTURO MOORE CONSTRUCTION 08/09/18 GOLDSTEIN BENDER & ROMANOF 776 18WC 30428 HARRIS, ARETHA LOYOLA UNIV HEALTH SYSTEM 09/22/17 CORBOY & DEMETRIO PC 777 18WC 30448 HEGWOOD, LACROIX CHICAGO TRANSIT AUTHORITY 10/05/18 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 778 18WC 30468 SELLERS, XAVIER GDI OMNI 09/12/18 DWORKIN AND MACIARIELLO 779 18WC 30499 LEWIS LEE YRC 10/03/18 LANGENDORF, ROBERT A 780 18WC 30517 WILLIAMS, SHARON CITY VIEW MULTICARE CENTE 10/08/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 781 18WC 30533 JONES, BRIAN SOUTHWEST AIRLINES 08/13/18 KROL BONGIORNO & GIVEN LTD 782 18WC 30551 GARCIA, LUIS HICKEY ELECTRICAL CONTRAC 07/11/18 HERRERA LAW CENTER GANAN & SHAPIRO 783 18WC 30603 VENEGAS, LISA UNITEC CONTINENTAL HOLDIN 11/28/17 BRIAN J MC MANUS & ASSOC, 784 18WC 30643 LEE, ROBERT ASPEN GUARD LLC 07/23/18 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 785 18WC 30667 WORLEY, BRANDON PROTECT-A-BED 03/05/16 KATZ FRIEDMAN EAGLE ET AL 786 18WC 31493 ABERGEL, SHULI (WIDOW) CHICAGO QUARTZ, LLC # 02/28/18 NO ATTORNEY HENNESSY & ROACH PC 787 18WC 33851 CAPUTO, DOMINIC (ADMIN ES CHICAGO CUT CONCRETE CUTT # * 09/14/18 NO ATTORNEY 788 18WC 36189 SANTOS, JOSE A CAPSTONE LOGISTICS * 08/05/18 COSTA IVONE LLC 789 18WC 36216 GREENUP, WILLIAM J BATTAGLIA DISTRIBUTING CO * 11/04/18 JAMES ELLIS GUMBINER & ASS WIEDNER & MCAULIFFE LTD 790 18WC 36242 GELLE, MOHAMED CHICAGO SEVEN CAB, INC * 11/10/18 FISHER & LAMONICA

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 791 18WC 36285 RANDALL, HOWARD CLARETIAN ASSOCIATES * 10/15/18 CARAS LAW GROUP 792 18WC 36319 SLATER, FRED CHICAGO HIGHLANDS * 08/02/18 ROMANUCCI & BLANDIN 793 18WC 36347 BROWN, TAWANA WEST SUBURBAN HOSPITAL * 10/20/18 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC 794 18WC 36366 HOLLOWAY, VALENCIA MOODY BIBLE INSTITUTE * 10/25/17 VASILATOS & COTTER LLC 795 18WC 36392 CASTILLO, ELIZABETH CLEAN HEART INC * 03/21/18 ROBERT WARSASKI BRADY CONNOLLY & MASUDA PC 796 18WC 36458 RUIZ, JOHN M UPLAND CONCRETE * 10/19/18 DUDLEY & LAKE LLC 797 18WC 36508 FLYE, VERRENDA COOK COUNTY * 08/06/18 THOMAS LAW 798 18WC 36530 RICHIE, AHMAD VILLAGE OF COUNTRY CLUB H * 11/15/18 FOOTE MIELKE CHAVEZ O'NEIL BRYCE DOWNEY & LENKOV LLC 799 18WC 36618 WILLIAMS, BRITTANY SOUTH SUBURBAN FAMILY SHE * 07/02/18 VASILATOS & COTTER LLC 800 18WC 36638 HARPER, VICTORIA SIGNATURE ROOM 95TH FL * 11/20/18 ELFENBAUM EVERS & AMARILIO QUINTAIROS PRIETO WOOD & BOY 801 18WC 36673 JONES, DANIEL FOSTER Z FORCE TRANSPORTATION IN * 06/11/18 ALVAREZ LAW OFFICES 802 18WC 36723 LAWRENCE, PIPER COOK COUNTY CLERK'S OFFIC * 11/27/18 ANKIN LAW OFFICE 803 18WC 36741 AGUILAR, TINA MARIE RCN BUSINESS SERVICES * 11/27/18 COHN & COHN 804 18WC 36779 CONLEY, CHERIE SECURITAS * 11/27/18 RITTENBERG BUFFEN 805 18WC 36822 LOGSDON, MICHAEL L CONTRACT TRANSPT SYSTEMS * 09/12/18 BOSHARDY LAW OFFICE PC 806 18WC 36872 ANNORENO, JACKLYN SSP AMERICA * 12/08/18 SCOTT B SHAPIRO 807 18WC 36915 HORTON, MELVINA COUNTRYSIDE VETERINARY CE * 11/14/18 SMOLER LAW OFFICE, PC 808 18WC 36947 CRAWFORD, BARRON UNITED AIRLINES * 12/07/18 COVEN LAW GROUP

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 809 18WC 36997 SCHAFER, ROSEANNE AUTOMOTION * 06/05/18 FRANK A CELANI 810 18WC 37012 MURRAY, MARY A JEWEL FOODS * 05/11/17 EDWIN REYES LAW FIRM 811 18WC 37107 FOSTER, TORIA AMAZON DELIVERY STATION-D * 12/06/18 DWORKIN AND MACIARIELLO 812 18WC 37133 GREEN, ERIC CITY OF CHICAGO * 11/28/18 KUMLIN & FROMM 813 18WC 37178 LUTTERY, TEISHA CHICAGO TRANSIT AUTHORITY * 12/12/17 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 814 18WC 37208 WILSON, DEVIN ARENA FOOTBALL ONE, LLC * 08/13/16 GORDON & CENTRACCHIO LLC 815 18WC 37233 UTTERBACK, BENJAMIN VILLAGE OF ARLINGTON HEIG * 03/23/18 DONALD FOHRMAN & ASSOC 816 18WC 37265 HUKILL, VICTOR US INFRASTRUCTURE COMPANY * 05/08/17 PHILIP BLOMBERG 817 18WC 37319 ROBINSON, VANCUREN CONTRACT PACKAGING ASSOCI * 10/09/18 EFTEKHARI LAW OFFICES 818 18WC 37342 COLEY, LOVAR CHICAGO TRANSIT AUTHORITY * 12/08/18 KING LAW FIRM 819 18WC 37364 QUEZADA, ISIDRA BARTON STAFFING SOLUTIONS * 11/27/18 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 820 18WC 37388 PATEL, NIKETA BROOKDALE SENIOR LIVING * 08/14/18 THERMAN LAW OFFICES 821 18WC 37494 ESKRIDGE, MARSHA MIDWAY STAFFING * 12/06/18 TIMOTHY HENDERSON 822 18WC 37530 BOYZO, JOSE R&M FREIGHT, INC * 11/30/18 ANKIN LAW OFFICE 823 18WC 37567 VERA, FERNANDO LAKESHORE BEVERAGE * 07/25/18 HEALY SCANLON LAW FIRM 824 18WC 37602 JACKSON-WILLIAMS, ALBERSE HELP AT HOME * 11/27/18 CHARLES LEVY & ASSOC LTD 825 18WC 37624 ALLEN, DYANE HALLCON * 10/20/18 DONALD FOHRMAN & ASSOC KNELL O'CONNOR DANIELWICZ 826 18WC 37699 KAPLAN, BRITTANY NORTHSHORE SPECIAL * 06/14/16 KREITER, BYCK & ASSOC LLP

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 827 18WC 37767 WIENCEK, MIGDALIA ALGONQUIN ELEMENTARY SCHO * 12/13/18 RIDGE & DOWNES 828 18WC 37786 MIHAYLOV, YAVOR FRONTIER AIRLINES, INC & * 04/06/18 HEALY SCANLON LAW FIRM 829 18WC 37805 SCARELLI, CHARONDA CHICAGO PUBLIC SCHOOLS * 12/04/18 SEIDMAN MARGULIS & FAIRMAN 830 18WC 37813 WARD, DEMETRIOUS COOPER'S HAWK WINERY & * 05/19/17 KRAKER FANNING & OLSEN 831 18WC 37840 LOVE, MARCUS R PRESSBOX LLC * 12/07/18 ANKIN LAW OFFICE 832 18WC 37859 QUIROZ, JESUS ALPHA BAKING CO * 12/16/18 CUDA LAW OFFICES 833 18WC 37876 OJEADA, SIXTO MARANI LAND SERVICES INC * 08/28/18 DEPAOLO & ZADEIKIS 834 18WC 37915 POINTER, ERIC ALLIED METAL CO * 10/24/18 RIPES NELSON BAGGOT KALOBRAT 835 18WC 37938 FINISTER, WILLIE DART * 10/19/18 SEIDMAN MARGULIS & FAIRMAN 836 18WC 38057 KOUDELIK, THOMAS WINDY CITY DISTRIBUTING, * 11/27/18 MILLON & PESKIN LTD 837 18WC 38152 SPILLERS, THOMAS BEAM TEAM * 11/15/18 TARUN RANA 838 18WC 38192 SMERZ, PHILIP AFFORDABLE FIRE * 03/29/17 GANAN & SHAPIRO 839 18WC 38206 RODRIGUEZ, TRACY ANN AMERICAN AIRLINES, INC. * 09/19/18 CULLEN HASKINS NICHOLSON 840 18WC 38225 TERRELL, CLAUDIA THE LOOK * 10/25/18 SCHACTER, JEROME & ASSOC L 841 18WC 38246 PICKENS, EDDIE SAM'S CLUB * 07/09/18 DAVID W MARTAY 842 18WC 38276 BATES,JOSEPH NORTH PALOS FIRE * 02/10/16 RIDGE & DOWNES 843 18WC 38301 ANDRADE, JONATHAN CHEESE MERCHANTS OF AMERI * 11/12/18 WOODRUFF JOHNSON 844 18WC 38321 VALDEZ, RODNEY CITY OF CHICAGO- GRAFITTI * 07/13/18 JOSEPH J SPINGOLA, LTD

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 845 18WC 38339 BOZEMAN-WYNTER, DEBRA UNITED AIRLINES INC. * 02/18/18 MANDELL, GREGG 846 18WC 38378 VELA, ENRIQUE ARAMARK SERVICES, INC * 08/27/18 ANKIN LAW OFFICE 847 18WC 38397 PEARSON, DYLAN YRC * 11/30/18 LEONARD LAW GROUP LLC 848 18WC 38414 KING, CHRISTINA SEDGWICK CLAIMS * 06/26/17 KELLEY KRONENBERG 849 18WC 38463 SEGURA, DONALD MICRO CENTER * 12/26/18 STROM & ASSOC 850 19WC 00002 GHNAIMAT, MAHMOUD MOUSA JJ FISH RESTAURANT * 12/02/18 EDWIN REYES LAW FIRM 851 19WC 00021 MARCHIORELLO, LEO P ASHBURN POWER & LIGHT * 08/30/18 MD JOHNSON PC 852 19WC 00039 WASHINGTON, KORIANNA WARREN BARR GOLD COAST * 12/02/18 SKLARE LAW GROUP 853 19WC 00062 BENSON, LAWRENCE P II JEWEL FOOD STORE, INC. * 08/07/18 STEVEN J MALMAN & ASSOCIAT 854 19WC 00076 SCOTT, NAVORRO SCR MEDICAL TRANSPORTATIO * 10/20/18 VRDOLYAK LAW GROUP LLC 855 19WC 00118 WATSON, KATRINA CHICAGO TRANSIT AUTHORITY * 12/18/18 COSTA IVONE LLC 856 19WC 00165 WYMER, GREGORY WELSCH READY MIC * 09/07/17 BRADY CONNOLLY & MASUDA PC 857 19WC 00186 DESAI, RAJAN FEDEX FREIGHT, INC. * 03/03/16 QUINTAIROS PRIETO WOOD & BOY 858 19WC 00211 MARTINEZ, MARIA ADMINISTR J PEREZ TREE SERVICE CORP # * 07/21/18 MICHAEL C. GOODE 859 19WC 00220 GONAZALEZ, ELSY WALGREENS COMPANY * 12/05/17 JOHN J CASTANEDA 860 19WC 00242 LOCKETTE, WARREN WHOLE FOODS MARKET * 09/17/18 CHEPOV & SCOTT LLC 861 19WC 00288 DE JESUS, ELENA PERSONNEL STAFFING GROUP * 09/17/18 RUBIN MACHADO ROSENBLUM 862 19WC 00326 BUSZINSKI, MICHAEL CREATIVE GOODS MERCHANDIS * 01/11/18 EDWARD J. KOZEL

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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 863 19WC 00351 JIMENEZ, MIDGALIA JIMMY JOHNS * 11/26/18 STEPHAN L. HOFFMAN 864 19WC 00374 NGUYEN, ANH ST MARY OF NAZARETH HOSPI * 12/09/18 COSTA IVONE LLC 865 19WC 00408 SERRANO, SILVIA LATINCITY * 12/27/18 MC HARGUE & JONES 866 19WC 00426 SENIOR, MICHELLE NILES TOWNSHIP DIST FOR * 12/14/18 JOSEPH F. VITU 867 19WC 00464 TOWNS, JAR NEEN D THE LARAMAR GROUP LLC * 12/26/18 ANKIN LAW OFFICE 868 19WC 00490 POPOVICH, WALTER RITE-WAY PAINTING * 11/23/18 LEITER LAW OFFICES 869 19WC 00495 BARTCZAK, DIANE UNITED PARCEL SERVICE 11/26/18 RUBIN LAW GROUP 870 19WC 00518 CINTRON, ILIANA AMITA HEALTH * 08/21/18 GARDI & HAUGHT 871 19WC 00541 PEREZ, ADRIAN SOUTHWEST AIRLINES * 09/25/18 ELFENBAUM EVERS & AMARILIO 872 19WC 00604 HOROWITZ, NANCY TRAVEL OUTFITTERS INC * 04/05/18 SCHWEICKERT & GANASSIN 873 19WC 00636 ALLEN, SHAKIAH C CHICAGO PARK DIST ON FETR * 12/14/18 VITELL & SPITZ LTD 874 19WC 00655 NIETO, JUAN MANUEL COMBINED ROOFING SERVICES * 12/29/18 TIMOTHY HENDERSON 875 19WC 00688 FORNARELLI, JOHN GA PAVING * 12/17/18 CULLEN HASKINS NICHOLSON 876 19WC 00711 BAHAMUNDI, WALTER HOLIDAY INN EXPRESS * 10/06/17 BRISKMAN BRISKMAN GREENBER 877 19WC 00730 NYBERG, TIM VINE INDUSTRIES * 06/13/18 JOHN W TURNER 878 19WC 00751 DORN, DEMAR ELITE STAFFING - BERWYN * 11/16/18 GOLDSTEIN BENDER & ROMANOF 879 19WC 00767 ANANABA, FELIX CHICAGO CARRIAGE CAB COMP * 11/22/18 TIMOTHY HENDERSON 880 19WC 00793 PROCE, VITO CAPUTOS NEW FARM PRODUCE * 11/19/18 WILLIAM H MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 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 02/11/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 881 19WC 00817 QUIROZ, ANDRES PARAMOUNT STAFFING * 04/30/18 COVEN LAW GROUP 882 19WC 00835 BAILEY, ED SCHROEDER & SCHROEDER * 08/24/18 RODDY LAW LTD 883 19WC 00854 SMITH, HARRY V LSD SKY CHEFS * 12/23/18 WARREN W MARK 884 19WC 00884 BENSON, SHAMIKA HELP AT HOME, INC * 10/07/18 DWORKIN AND MACIARIELLO 885 19WC 00908 TORRES, LUIS VARGAS GROUP INC. * 01/02/19 SALVATO O'TOOLE FROYLAN 886 19WC 00923 BOLDEN, RONNIE KOSH FOODS, INC. * 12/19/18 SEIDMAN MARGULIS & FAIRMAN