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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 12 12WC 25838 ELLIS, KATHERIS CITY OF CHICAGO 02/06/12 ANKIN LAW OFFICE CITY OF CHICAGO 15WC014471 -C 13 12WC 28218 GUTIERREZ, ADELA APL LOGISTICS 03/10/11 HUGHES SOCOL PIERS RESNICK KEEFE CAMPBELL & ASSOC LLC 12WC028219 -C 13WC018070 -C 14WC021859 -C 14WC029308 -C 15WC009110 -C 16WC003065 -C 14 12WC 34565 WELLS, DIVETTA CITY OF CHICAGO 09/07/12 COVEN LAW GROUP CITY OF CHICAGO 15WC033880 -C 15 12WC 39652 CRUZ, ISRAEL AMERICAN AIRLINES 10/27/12 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 16 13WC 15167 ATIYEH, DAED HOME DEPOT 01/28/13 SEIDMAN MARGULIS & FAIRMAN MC ANDREWS & NORGLE LLC 17WC032023 -C 17 13WC 18960 LEBRON-CORTES, FELICITA ST OF IL DEPT OF HUMAN SE @ 03/13/12 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 18 13WC 25568 HOLLIS, PATRICIA ANN WE CLEAN MAINTENANCE 04/30/11 STEVEN J SEIDMAN LAW OFFIC THOMAS & PORTELA 19 13WC 26448 TAFF, KIM COMMUNITY HEALTH SYSTEMS 02/05/13 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 20 13WC 27154 SIMPSON, LARRY T ABF FREIGHT SYSTEMS 04/13/12 SPIROS LAW PC KEEFE CAMPBELL & ASSOC LLC 13WC038778 -C ABF SYSTEMS 21 13WC 27983 ZELEZNIK, MATT MCCAULEY MECHANICAL 08/06/13 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 22 14WC 01828 ZAHUMENSKY, THOMAS WHITE WAY SIGN & MAINTENA 06/29/13 RUBIN LAW GROUP HOLECEK & ASSOCIATES 23 14WC 02562 CRISOSTOMO, EULOGIO CLYBOURN EXPRESS CAR WASH W 12/03/13 LAW OFFICE HUGO ORTIZ HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 24 14WC 03865 KERN, ALEXIA UNITED AIRLINES INC. # 07/17/08 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 25 14WC 11173 AKINYEMI, GARCE PIPELAYO COOK COUNTY HEALTH & HOSP 03/05/14 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 15WC021236 -C 18WC003867 -C 18WC003868 -C 18WC003869 -C 26 14WC 13973 JANECEK, JEFFREY A NORTHERN PIPELINE CONSTRU 09/17/13 FABRIZIO, HANSON & PEYLA GRANT & FANNING 27 14WC 19781 LA VALLAIS, KIM CHICAGO BOARD OF EDUCATIO 05/15/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 28 14WC 23684 GARIBAY, ANTHONY TAYLOR ELECTRIC 06/18/14 LEONARD LAW GROUP LLC MEACHUM & STARCK 29 14WC 23790 BURGESS, TABATHA ENVOY 06/10/14 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 18WC011670 -C 30 14WC 24374 IVERSON, MICHAEL C J LEPRETRE CONSTRUCTION 06/24/14 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 31 14WC 27035 JOHNSON BLACK,GERALDINE(E TJ MAXX 01/15/14 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 32 14WC 27097 DOUGLAS, ADORN CITY OF CHICAGO 08/08/14 FRIEDMAN & SOLMOR LTD CITY OF CHICAGO 33 14WC 27450 SISTO, MICHAEL CITY OF CHICAGO 07/01/14 PARAG P. BHOSALE CITY OF CHICAGO 34 14WC 36190 HERNANDEZ, MARIA REYNA ALTERNATIVE STAFFING INC 07/28/14 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 35 14WC 37172 TASSONE, DOMINICK A UNIVERSITY OF ILLINOIS @ 10/02/14 DEPAOLO & ZADEIKIS POWER & CRONIN LTD 15WC000602 -C 36 14WC 37426 HOPKINS, SYLVIA HIGH TECH-PALOS HEIGHTS 01/25/12 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 14WC037427 -C 14WC037428 -C 37 14WC 37772 RUSH, HEATHER PALOS COMMUNITY HOSPITAL 10/10/14 DWORKIN AND MACIARIELLO POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 38 15WC 00516 OLVERA, MARVIN ST OF IL 11/24/14 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 39 15WC 01693 OLMOS, JOSE LUIS ABM 12/09/14 SALVATO & O'TOOLE GOLDBERG SEGALLA LLC 15WC001694 -C 18WC018014 -C 40 15WC 02931 USMAN, TOMI CHICAGO ELITE CAB CORP 11/27/14 COHN LAMBERT RYAN & SCHNEI 41 15WC 14208 SOTELO, ALLEN CHICAGO MEAT AUTHORITY 04/10/15 BOUDREAU NISIVACO LLC LITCHFIELD CAVO 42 15WC 16394 CONNER, DAVID M CITY OF CHICAGO 06/30/14 KARCHMAR & STONE CITY OF CHICAGO 43 15WC 17740 TIERI, DONALD CORAM ALTERNATE SITE SRVC 11/04/14 RICHARD E ALEKSY NYHAN BAMBRICK KINZIE & LOWR 44 15WC 24403 KONCHAR, CASEY RIVER DOCKS, INC. 07/22/15 KARCHMAR & STONE WOLF LAW LTD 45 15WC 24839 HEREDIA, JOHN CHGO DEPT OF TRANSPORTATI 05/10/13 RUBIN LAW GROUP CITY OF CHICAGO 46 15WC 26045 HUBBARD, ARTHUR CHGO BOARD OF ED 07/21/15 CAPRON & AVGERINOS PC CHGO BOARD OF EDUCATION 47 15WC 26384 SULLIVAN-WOOD, TIMOTHY M. CITY OF CHICAGO HEIGHTS 07/18/15 THOMAS W DUDA PETERSON JOHNSON & MURRAY 15WC026385 -C 15WC026386 -C 20WC003594 -C 48 15WC 33234 HERNANDEZ, FRANCISCO CITY OF CHICAGO DEPT OF 09/18/15 RUBIN LAW GROUP CITY OF CHICAGO 49 15WC 33340 SCHMIDT, KATELYNN BURBANK SCHOOL DISTRICT # 06/01/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 50 15WC 33969 ALMANZA, ABEL JR KELVIN CO LLC 09/30/15 SALK FLORES & BRODERICK GANAN & SHAPIRO 51 15WC 34193 YEPEZ, JUAN M REINKE 10/20/15 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 52 15WC 34567 ROJAS, GUADALUPE SERVPRO 05/05/15 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 53 15WC 34757 RAMIREZ, MARIA DE LA LUZ HOME PRODUCTS 09/09/15 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 54 15WC 35470 MUNGUIA, CARLOS AKA COLFAX CORP 06/15/15 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 55 15WC 35903 PAREDES, ALEXANDER FH LEINWEBER, INC. 12/18/14 DAVID W MARTAY THOMAS & PORTELA 56 15WC 36735 DALEY, GREG HALL ENTERPRISES, INC. 02/08/13 CZAPLA LAW GANAN & SHAPIRO 57 15WC 37073 JAMEEL, HAMID M VASKEN CAB INC 09/06/15 MARSZALEK AND MARSZALEK 58 15WC 37778 MARCHIORI, GINA CITY OF CHICAGO 11/03/15 SHANNON LAW GROUP CITY OF CHICAGO 59 15WC 38747 FRANKLIN, ALBERTA M CHICAGO OEMC 11/12/15 ANKIN LAW OFFICE CITY OF CHICAGO 60 16WC 02195 FAULKNER-STARKS, KIMBERLY CHICAGO TRANSIT AUTHORITY 01/11/16 DEPAOLO ZADEIKIS GORE 61 16WC 02621 MANOUSHAG, DANIEL SUNRISE AT PARK RIDGE 03/04/13 ALEKSY BELCHER NOBLE & ASSOC 17WC022413 -C 62 16WC 04294 SMITH, ROCKY ENTERPRISE LEASING CO 12/23/15 TAYLOR MILLER SPROWL ET AL KNELL & O'CONNOR 63 16WC 04338 ZARAGOZA, JUAN AMITY PACKING COMPANY INC 03/25/15 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES 64 16WC 04473 BALOUGH, APRIL PEPPER CONSTRUCTION CO 04/06/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 65 16WC 04518 HIDALGO, ANTONIO KELLOGS 08/09/15 JOHN S. ELIASIK KEEFE CAMPBELL & ASSOC LLC 66 16WC 05048 ROMERO, UBALDO WESTROCK SERVICES, INC. 07/01/15 CZAPLA LAW GAROFALO SCHREIBER STORM GRA 67 16WC 05067 MILLER, ERIK P VILLAGE OF MORTON GROVE 01/27/16 THOMAS W DUDA ANCEL GLINK DIAMOND BUSH & E 68 16WC 05107 MORTEGA, IRENE CHGO BOARD OF ED 01/26/15 HORWITZ HORWITZ & ASSOC 69 16WC 05273 ROJAS, JOSE F CITY OF CHICAGO 08/04/15 FABRIZIO, HANSON & PEYLA CITY OF CHICAGO 70 16WC 06200 CUEVAS, TRINIDAD FLORIDA FRUIT JUICES 02/18/16 CRONIN & PETERS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 71 16WC 06693 VARNADO, VANESSA CHICAGO TRANSIT AUTHORITY 02/27/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 72 16WC 07332 CRUZ, DAISY COSTCO WHOLESALE 01/23/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 17WC028453 -C 73 16WC 10401 BROADNEY, LISA UNIVERSITY OF ILLINOIS 02/12/15 SALVATO & O'TOOLE NYHAN BAMBRICK KINZIE & LOWR 74 16WC 15223 OLMOS, LEONCIO OSWALDO CASTRO W 04/28/16 WOODRUFF & JOHNSON MEACHUM BOYLE TRAUFMAN 75 16WC 15242 ESTRADA, MIRNA EL ASADOR W 05/07/16 SALVATO & O'TOOLE 76 16WC 15743 WILLIAMS, SELINA CITY OF CHGO./DEPT OF FIN 05/04/16 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 77 16WC 15809 WALKER, ROSALYNN IL DEPT OF CHILDREN & FAM @ 01/15/16 STEVEN J TENZER, LTD ASSISTANT ATTORNEY GENL 78 16WC 15926 ANASTASOF, FRANK CITY OF CHICAGO 11/09/15 SOSTRIN AND SOSTRIN PC 79 16WC 16249 HUDSON, GLORIA CITY OF CHICAGO 03/01/16 DWORKIN AND MACIARIELLO 80 16WC 16443 RUIZ, CESAR CATER BIZ 04/25/16 HERRERA LAW CENTER 81 16WC 16576 SMITH, SHIRLEY CITY OF CHICAGO 05/04/16 SEIDMAN MARGULIS & FAIRMAN 82 16WC 22594 SLOBODIAN, CHAD MENARDS 01/02/16 RIDGE & DOWNES EVANS & DIXON 83 16WC 24595 PARKER-ROBINSON, GWENDOLY PRIMESOURCE HEALTHCARE SY 07/05/16 HORWITZ HORWITZ & ASSOC 84 16WC 25573 DRISH, RYAN SILBRICO CORP 05/03/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 19WC000917 -C 85 16WC 25819 OCAMPO, ESTEBAN CHICAGO TRANSIT AUTHORITY 07/30/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 86 16WC 29167 LISIKIEWICZ, EDWARD PACE SUBURBAN BUS SERVICE 10/03/14 RAYMOND P GARZA LAW OFFICE POWER & CRONIN LTD 16WC029168 -C 87 16WC 33184 SODUNKE, MOLARA SUN DOWN BOWL TAXI/ 09/27/16 STEPHEN G PINTO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 88 16WC 34040 GREEN, BARBARA CERMAK HEALTH SERVICES 04/07/15 CAPRON & AVGERINOS PC STATES ATTORNEY OF COOK COUN 89 16WC 34044 BOTICA, MARTIN CITY OF CHICAGO 10/11/16 SALVATO & O'TOOLE 90 16WC 34143 RODRIGUEZ, MARGARITA CARL BUDDIG & CO 10/21/16 CHEPOV & SCOTT LLC KNELL & O'CONNOR 16WC036342 -C 91 16WC 34309 BUENZOW, KEITH E VILLAGE OF SKOKIE FIRE DE 09/28/16 FIGLIOLI, DAVID VILLAGE OF SKOKIE 92 16WC 34345 BLOCH, FERN COOK COUNTY CLERK OF COUR 10/31/16 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 93 16WC 34370 JORDAN-BAHENA, JACOB RENE CAMPOS LANDSCAPING I 09/27/16 LAW OFFICES LEONARDO MORAL 94 16WC 34490 MCCREEDY, LAWRENCE COOK COUNTY 05/17/16 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 95 16WC 34543 JUNGO, PATRICIA CHICAGO MEAT AUTHORITY 10/29/16 RUEDA, IVAN A 96 16WC 34739 HUDSON, ANTONIO CHICAGO PUBLIC SCHOOLS 10/24/16 RUBENS AND KRESS CHGO BOARD OF EDUCATION 16WC034740 -C 97 16WC 34887 CLAIBORNE, THEODORE C UNIVERSITY OF IL AT CHICA 05/21/15 SLAVIN & SLAVIN NYHAN BAMBRICK KINZIE & LOWR 98 16WC 35331 MARTINEZ, ANILU EYM DINER LP AKA PIZZA HU 10/01/16 CUDA LAW OFFICES INMAN & FITZGIBBONS 99 16WC 35767 SWIETLICKI, ZBIGNIEW SKRUT CONSTRUCTION INC 11/11/16 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM GRA 100 16WC 36359 ROSALES, CRESENSIO VIKING MATERIALS 08/05/16 TOPPER & WEISS LTD POULOS & DIBENEDETTO LAW 101 17WC 03065 WARZECHA, ARTUR JCB INTERNATIONAL INC 01/26/17 CHRISTOPHER BUCHCAR, LTD KNELL & O'CONNOR 102 17WC 03359 RIPKA, JOHN P VILLIAGE OF WINNETKA 10/05/16 THOMAS W DUDA POWER & CRONIN LTD 103 17WC 03407 MCNEAL, LISA JACKSONN CHICAGO REED MENTAL HEALT 01/04/17 EDWIN REYES LEGAL GROUP ASSISTANT ATTORNEY GENL 18WC012636 -C 104 17WC 03595 BRANDON, CHERYL KELLOGG 01/12/17 MARC J SHUMAN & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 105 17WC 03858 BENDER, NICOLE CHICAGO TRANSIT AUTHORITY 11/30/16 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY 106 17WC 03894 ARRIAGE, MARTHA BLUE PLATE 10/28/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 107 17WC 03913 RIVERA, SOPHIA NORTHEASTERN IL UNIVERSIT 12/20/16 LAW OFFICE OF SCOTT B SHAP ASSISTANT ATTORNEY GENL 108 17WC 03930 SANCHEZ, CAROLINA SMG MCCORMICK PLACE F&B 10/23/16 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 18WC030538 -C 109 17WC 03975 KIRKLEY, JAMES FORD MOTOR COMPANY 07/10/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 110 17WC 04335 CHANDLER, IRIS ALPHA MONTESSORI SCHOOL 01/13/17 111 17WC 04591 NEAL, ERIC L CITY OF CHICAGO 12/22/16 MC HARGUE & JONES 112 17WC 04610 SIMS, SHEILA CHICAGO BOARD OF ED 01/20/17 LEO ALT CHGO BOARD OF EDUCATION 113 17WC 05344 19B TROTTER, FELICIA COCA COLA 02/16/17 CHRISTIAN & MANNO BRADY CONNOLLY & MASUDA PC 114 17WC 05388 GUERRERO, ALICIA F MCDONALD'S 11/22/16 CULLEN HASKINS NICHOLSON 115 17WC 05482 GONZALEZ, PHILLIP FEDEX 02/11/17 GOLDSTEIN BENDER & ROMANOF 18WC014377 -C FEDERAL EXPRESS 116 17WC 05687 PIZARRO, LYDIA HOMEGOODS INC 11/10/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 117 17WC 05952 HITCHCOCK, AMANDA FORD MOTOR COMPANY 01/09/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 118 17WC 06541 HATTEN-ALEXANDER, ANGELA THE CIRCUIT COURT OF COOK 02/15/17 KATZ FRIEDMAN EAGLE ET AL STATES ATTORNEY OF COOK COUN 119 17WC 08096 QUIROZ, BERTHA COMPASS GROUP 03/13/17 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 120 17WC 10338 GALBRAITH, DANIEL CITY OF CHICAGO 03/24/17 SALVATO & O'TOOLE 121 17WC 13633 DIAZ, RAUL VARGAS GROUP 09/14/16 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 122 17WC 13779 TODE, ROSE RGIS INVENTORY 01/14/14 WHITESIDE & GOLDBERG LTD ARNETT LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 123 17WC 13900 JAZO, GAYLE PRIMUS ORTHOPEDICS, S.C. 11/18/16 SPENCER LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 124 17WC 14048 HAMER, MARK BME ELECTRIC, INC 03/17/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 125 17WC 14176 VILLA, LUCAS J PANGEA VENTURES LLC 04/26/17 HENNESSY & ROACH PC 126 17WC 14941 JAUREZ, MAYBELINE SWEDISH COVENANT HOSPITAL 12/22/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 127 17WC 15037 MADRIZ-OCAMPO, JOSE PANGEA VENTURES, LLC 06/29/15 EPSTEIN, JACK R LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 128 17WC 15139 WILSON, KORTILLOUS AVERUS 05/16/17 DOUGLAS RALLO PC RUSIN & MACIOROWSKI LTD 129 17WC 15236 GOGGINS, SANDRA CHICAGO TRANSIT AUTHORITY 04/29/17 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 130 17WC 15258 WILLIAMS, CALVIN CITY OF CHICAGO 05/10/17 DWORKIN AND MACIARIELLO 131 17WC 15314 DANYAL, GORGES D&D FINER FOODS 05/03/17 SEIDMAN MARGULIS & FAIRMAN RIPES NELSON BAGGOT KALOBRAT 132 17WC 15357 TERCS, CSABA RUSH UNIVERSITY MEDICAL C 05/14/17 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 133 17WC 15401 LOUIS, TERESA BURLINGTON COAT FACTORY 05/08/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 134 17WC 15591 STOUTMIRE, LESTER FRESH EXPRESS 03/12/16 JAMES ELLIS GUMBINER & ASS 135 17WC 15651 MEHRINGER, BRIAN NORTHERN PRODUCTS CO 09/19/16 ROBIN LAW OFFICE HOLECEK & ASSOCIATES 17WC015652 -C 136 17WC 15693 MORALES, ALEXANDRA CHICAGO BARTON LLC 12/08/16 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 18WC033823 -C 137 17WC 15734 MALDONADO, LENNY PRESENCE HEALTH 05/14/17 COVEN LAW GROUP 138 17WC 15951 SHARP, TERRENCE CTA 05/12/17 FOHRMAN, DONALD W & ASSOCS 139 17WC 15966 CHAVEZ, MA ROSARIO CHICAGO POWDERED METAL PR 01/07/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 140 17WC 15990 GALINDO, EDWIN JANOZ BUILDING SERVICES, W 04/26/17 CULLEN HASKINS NICHOLSON VILLALOBOS, RAUL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 141 17WC 16310 LOPEZ, JESSICA FLORES SURE STAFF 01/27/17 LOUIS MUNDY 142 17WC 22504 MITIC, SVETLANA, PARENT O PARIS FREIGHT INC #W 05/24/17 SYREGELAS, NICHOLAS C SPIEGEL & CAHILL, PC 143 17WC 22897 VALDEZ, TERESA WATERTON HOSPITALITY D/B/ 12/11/16 FREDRICK B BARDER, LTD HOLECEK & ASSOCIATES 144 17WC 23018 ROCK, CINDY BLU PETROLEUM 11/17/16 JAMES J. GAY GANAN & SHAPIRO 145 17WC 23038 ALTIER, SCOTT PILOT FREIGHT SVCS 04/07/17 LEONARD LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 146 17WC 23139 BUCKNER, DELOREAN CTA 07/24/17 GARDI & HAUGHT CHICAGO TRANSIT AUTHORITY 147 17WC 23328 CAHUE, MARIA STAMPEDE MEAT INC 05/10/17 KARCHMAR & STONE GANAN & SHAPIRO 148 17WC 23411 FRIGO, MICHAEL WERTHEIMER BOX AND PAPER 07/15/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 149 17WC 23675 LINTON, STANLEY WESTMONT ENGINEERING CO 09/25/15 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 17WC027205 -C 150 17WC 23690 MARTINEZ, CESAR CTA 08/04/17 CHICAGO TRANSIT AUTHORITY 151 17WC 23725 PUCKETT, DOMINICK PEOPLES GAS 03/29/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 152 17WC 23861 SIMPSON, COLIN PURPLE PIG 07/15/17 DEPAOLO & ZADEIKIS QUINTAIROS PRIETO WOOD & BOY 153 17WC 24402 EVANS, MICHELLE UNITED AIRLINES INC 02/09/17 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 19WC008738 -C 154 17WC 24464 GALIGHER, MICHELLE L ADVOCATE CHRIST MEDICAL C 05/01/17 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 155 17WC 24500 JOHNSON, BRIAN CITY OF CHICAGO 07/27/17 GOLDSTEIN AIOSSA & GOOD CITY OF CHICAGO 156 17WC 24566 DUSEK, ERIC UNISYS CORPORATION 08/04/17 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 17WC 24585 WEBB, DENARDO DELTA SONIC 08/11/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 158 17WC 24628 CALI, JOSEPH E JR VILLAGE OF WHEELING 09/02/15 THOMAS W DUDA KLEIN THORPE & JENKINS LTD 18WC001323 -C 159 17WC 24685 BURNS, MELVIN STATE OF IL DEPT OF @ 08/02/17 MARKHAM M JEEP & ASSOCIATE DANIELLE CURTISS 160 17WC 24771 HOLMES, MELISSA CHICAGO BOARD OF EDUCATIO 04/03/17 LEO ALT CHGO BOARD OF EDUCATION 161 17WC 24932 LITZEY, MARY CENTRAL STEEL AND WIRE CO 03/21/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 17WC024933 -C 162 17WC 25293 MORRIS, VIVIAN NAVISTAR 04/01/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 163 17WC 25315 WATSON, MICHAEL STEVEN'S SECURITY AND TRI 08/03/17 VASILATOS & COTTER LLC 164 17WC 25387 PHILLIPS, JOSEPH MISWAY DODGE 08/11/17 GRAZIAN & VOLPE PC 165 17WC 25420 COULTER, LARRY GENERAL IRON 06/29/17 CAPRON & AVGERINOS PC 166 17WC 25656 LARA, ANABEL CLUB QUARTERS 08/03/17 JOHN S. ELIASIK 167 17WC 25671 PITTMAN, ANDRE CHICAGO TANSIT AUTHORITY 08/22/17 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 168 17WC 32623 FONTANA, JUNE INSIGHT GLOBAL LLC 07/01/16 JAMES A. KAMIDE LAW OFFICES JOSEPH MARCINIAK 169 17WC 32719 MILLAN, HENRY CITY OF CHICAGO HEALTH DE 10/24/17 SHELDON I MINKOW & ASSOCIA 170 17WC 32721 KNIGHT, MICHAEL MOSHE BEN AT&T # 09/27/17 GOLDBE