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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 45118 19B LANDA, MARIBEL SOLO CUP CO 09/23/99 LICHTEN, THOMAS R GAROFALO SCHREIBER STORM 00WC048763 -C 02WC036196 -C 05WC000620 -C 2 02WC 16858 19B NELSON, BONNIE ST JAMES HOSPITAL 11/22/01 NYHAN BAMBRICK KINZIE & LOWR 3 02WC 65980 DILLON, RODGER CITY OF CHICAGO 12/07/00 JOHN E LUSAK 04WC053974 -C 4 04WC 08716 WALTON, JANET CHICAGO BOARD OF EDUCATIO 04/26/01 ROSS TYRRELL LAW DEPARTMENT 5 04WC 50171 MYLES, SAMUEL L INTERSTATE BRAND COMPANIE 12/08/03 CAMERON CLARK ADELSON TESTAN BRUNDO 04WC050172 -C 08WC054195 -C 09WC046685 -C 09WC046686 -C 10WC043779 -C 6 06WC 52669 SIMON, DONN CHICAGO BOARD OF EDUCATIO 10/11/06 JACK R EPSTEIN LAW DEPARTMENT 09WC045189 -C 12WC031970 -C 15WC019102 -C 7 07WC 05276 SANCHEZ, ISRAEL FELIPE LA CONDESA W 04/15/06 EPSTEIN, JACK R LAW OFFICE 8 08WC 10298 ROA, RHODORA R STATE OF IL DEPT OF HS @ 10/10/07 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 12WC012462 -C ST OF IL DEPT OF HS 12WC014707 -C 13WC000696 -C 13WC000697 -C 13WC000698 -C 13WC034586 -C ST OF IL DEPT HUMAN SERVIC 15WC032517 -C 15WC032518 -C ST OF IL, DEPT OF HS 15WC032519 -C 15WC032520 -C ST OF IL, DEPT OF HS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 9 08WC 18264 HURST, DIANE ST OF IL ELIZABETH LUDEMA @ 11/14/05 WOODRUFF & JOHNSON LAW OFF ASSISTANT ATTORNEY GENERAL 08WC018265 -C 08WC018266 -C 08WC036443 -C ELIZABETH LUDEMANN CENTER 11WC031882 -C 10 08WC 24208 HAMPTON, RUBY CARSON PIRIE SCOTT 06/06/05 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 08WC024209 -C 09WC043191 -C 10WC049628 -C 10WC049629 -C 12WC009961 -C 11 08WC 51076 MARTINEZ, GUADALUPE CHICAGO PUBLIC SCHOOLS 05/09/08 ELFENBAUM EVERS & AMARILIO LEAHY EISENBERG & FRAENKEL 08WC051077 -C 12 09WC 00438 LETT, JAMES D CITY OF CHICAGO 02/21/07 MEYERS & FLOWERS CITY OF CHICAGO 15WC037623 -C CHICAGO CITY CLERK 13 09WC 13378 RODRIQUEZ, ROCIO UNIVERSITY OF CHICAGO 08/03/08 STEVEN J SEIDMAN LAW OFFIC SCOPELITIS GARVIN LIGHT 14 09WC 19481 JOHNSON, JAMES VILLAGE OF ELK GROVE 11/01/07 ANESI OZMON RODIN NOVAK KO NOBLE & ASSOCIATES PC 09WC019482 -C 15 09WC 27593 HUMPHREY, KELLY METROPOLITAN PIER & 05/30/08 THE FITZ LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 09WC027594 -C 16 09WC 48992 19B-1 STUPAY, MICHAEL HESTER DECORATING CO INC 02/18/09 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 17 10WC 13205 MANNINO, VINCE FOUR SEASONS HEATING AND 10/13/09 COVEN LAW GROUP ROSARIO CIBELLA 18 10WC 14633 HERNANDEZ, ALICIA SOURCE INTERLINK DISTRIBU 03/10/10 SALK, STEVEN B & ASSOC LTD GAROFALO, SCHREIBER, HART 10WC014634 -C 19 10WC 14903 MICOVIC, NADEZDA MAVA ROMANOFF CORPORATION 04/30/07 ROMANUCCI & BLANDIN JOSEPH MARCINIAK 20 10WC 28730 VILLANUEVA, EFRAIN ALVARE LVI ENVIRONMENTAL SERVICE 07/08/10 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 21 10WC 30626 AHMED, KHADAR CHICAGO CARRIAGE CAB CO 07/24/10 VRDOLYAK LAW GROUP LLC STONE & JOHNSON CHARTERED 22 10WC 30670 WILEY, TRACY CHICAGO STATE UNIVERSITY 07/12/10 LEO ALT ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 23 10WC 32593 PANIAGUA, LUCINA COOK COUNTY CLERK CIRCUIT 08/11/10 EPSTEIN, JACK R LAW OFFICE STATES ATTORNEY OF COOK COUN 24 10WC 32940 LOGAN, VANESSA CHICAGO STATE UNIVERSITY 09/23/08 MICHAEL HELLMAN ASSISTANT ATTORNEY GENERAL 25 10WC 45070 LUSBY, GERTHA CTA 11/12/08 BRAD J. BALKE, PC CHICAGO TRANSIT AUTHORITY 11WC019357 -C CHICAGO TRANSIT AUTHORITY 26 10WC 47155 MERCADO, RODOLFO FOX VALLEY CONTRACTORS LL @ W 11/11/10 JONATHAN SCHLACK LAW OFFICES GERALD DOLL 27 10WC 48235 HICKS, ALICIA CITY OF CHICAGO 11/17/10 COVEN LAW GROUP CITY OF CHICAGO 28 11WC 08403 WATSON, MARY ST OF ILL DEPT OF HUMAN S 02/24/10 BAUM RUFFOLO & MARZAL LTD SHUAIB A. AHMED 29 11WC 10077 LATTANZIO, KERRY A FINKL & SONS 11/05/10 STEVEN J SEIDMAN LAW OFFIC GAROFALO SCHREIBER STORM 30 11WC 13406 TOMASELLO, DOMINICK CITY OF CHICAGO 03/06/11 HEALY LAW FIRM CITY OF CHICAGO 31 11WC 13730 JUAREZ, MARIA CHICAGO HILTON CORP 04/16/08 SCHWEICKERT & GANASSIN NOBLE & ASSOCIATES PC 11WC013795 -C HILTON HOTELS CORP 16WC023137 -C 32 11WC 15057 LOPEZ, LUCIANO CHICAGO AUTO REPAIR & W 04/04/11 CULLEN HASKINS NICHOLSON 33 11WC 19452 KEY, JOSEPH BEST TRANSPORTATION W 04/21/11 SPIEGEL & CAHILL, PC 34 11WC 21426 MARTIN, EDGAR IL DEPT OF EMPLOYMENT SEC @ 03/17/11 MARVIN A BRUSTIN LTD ASSISTANT ATTORNEY GENERAL 12WC036359 -C ILLINOIS DEPARTMENT OF 14WC011262 -C 35 11WC 25764 AYALA, ALEXANDER J DIAZ INC 07/18/08 JOHNSON, MICHAEL D & ASSOC BRADY CONNOLLY & MASUDA PC 36 11WC 25874 WEATHERALL, IRENE THE CATALYST SCHOOL 07/02/09 STEVEN J SEIDMAN LAW OFFIC LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 37 11WC 27276 ESCUDERO, OSCAR SANDRA'S FOOD INC 06/28/11 SALK, STEVEN B & ASSOC LTD MACIOROWSKI SACKMANN & ULRIC 38 11WC 33231 HOLLINS, ALVIN IDOT @ 06/06/11 BART DURHAM ASSISTANT ATTORNEY GENERAL 14WC007166 -C ST OF IL DEPT OF 14WC028262 -C IL DEPT OF TRANSPORATION 39 11WC 37897 RODRIGUEZ,MARIA AS GUARDI NOVAK CONSTRUCTION 08/25/11 MEYERS & FLOWERS KLAUKE LAW GROUP LLC 40 11WC 38411 RIVERA, JOSE LUIS JR USED CAR FACTORY 07/06/11 CULLEN HASKINS NICHOLSON 41 11WC 40074 HOLMES, JIM W JERNBERG INDUSTRIES 08/23/11 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 11WC040075 -C 42 11WC 43539 PLEASANT, DESHUN CITY OF CHICAGO 02/11/11 KARCHMAR & STONE CITY OF CHICAGO 43 11WC 43879 WOOD, CHRISTOPHER CHICAGO TRANSIT AUTHORITY 07/03/11 JAMES M RIDGE LAW OFFICE CHICAGO TRANSIT AUTHORITY 44 11WC 44015 RAMIREZ, MARIA LUZ ROBERTSON INNOVATIVE LIGH 05/18/11 EPSTEIN, JACK R LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 45 11WC 44264 MCLAIN, WILLIAM BRIAN & CINDY BUTLER 10/20/11 CHRISTIAN & MANNO COSTIGAN & WOLLRAB PC 46 11WC 44590 SALDIVAR, STEVE CITY OF CHICAGO 11/11/11 RUBIN LAW GROUP HENNESSY & ROACH PC 47 11WC 46124 GANT, THELMA SMART STOP 11/08/11 DWORKIN AND MACIARIELLO ROBERT L. SMITH 48 11WC 47647 MEDINA, JOSE C ROLLEX CORP 11/15/11 JOSEPH A DEL CAMPO GRANT & FANNING 49 12WC 06028 PEREZ, JORGE NORWEGIAN AMERICAN HOSPIT 12/06/11 JAMES ELLIS GUMBINER & ASS 50 12WC 10197 ORTIZ, GABRIEL ACME REFINING 03/17/11 RUSSO & RUSSO LTD RUSIN & MACIOROWSKI LTD 51 12WC 12238 19B MILLS, DAVID PARK DISTRICT OF OAK PARK 09/29/11 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 52 12WC 14415 MADRIGAL, ALEJANDRA UNITED MAINTENANCE 11/27/11 53 12WC 18434 VANTREASE-HENLEY, KELLI MERCY HOSPITAL 10/20/11 LAW OFFICES PETER LEKAS 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 MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 54 12WC 20245 THOMAS, WENDY NORTHEASTERN ILLINOIS @ 05/01/12 KENNETH B GORE, LTD ASSISTANT ATTORNEY GENERAL 55 12WC 20350 NUDO, KENNETH ILLINOIS TOLLWAY AUTHORIT @ 05/02/12 BOUDREAU & NISIVACO LLC GANAN & SHAPIRO 56 12WC 24849 DAVIS, DAVID EAST LAKE MANAGEMENT GROU 06/19/12 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 57 12WC 27229 PALUMBO, CHARLES AMERICAN AIRLINES 06/23/12 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 14WC011046 -C 16WC013925 -C 58 12WC 28112 BOKINA, ALEX POWER PLANT/GENERAL MAN 07/20/12 CHRISTOPHER BUCHCAR, LTD CASSANO & ASSOCIATES 59 12WC 28873 BROWN, TIMOHTY MAY FOOD W 06/25/12 MARSZALEK AND MARSZALEK 60 12WC 29281 HILLERY, JACQUELINE HELP AT HOME 06/26/12 MICHAEL P MCCREADY & ASSOC MEACHUM & STARCK 14WC041566 -C 61 12WC 30064 PAPAFIO, GERMINATU UNIVERSITY OF CHICAGO 02/03/11 ROGER D RUDICH LTD HENNESSY & ROACH PC 62 12WC 30107 19B ROMAN, ANITA ABM JANITORIAL SERVICES 08/17/12 MARSZALEK AND MARSZALEK GOLDBERG SEGALLA LLC 63 12WC 30901 NEGRON, ISABEL COUNTY OF COOK 06/23/10 LAW OFFICES PETER LEKAS STATES ATTORNEY OF COOK COUN 64 12WC 31078 RAMIREZ, LEONOR ROCK BOTTOM 04/21/12 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 65 12WC 31448 MEHANOVIC, DZEVAD LAKESIDE ABM 08/10/12 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 13WC016683 -C ABM LAKESIDE BUILDING MAIN 13WC033893 -C ABM JANITORIAL 66 12WC 36225 DOTSON, NANCY CITY OF CHICAGO 01/01/12 STEPHEN G PINTO LTD CITY OF CHICAGO 67 12WC 40483 MERTES, PAULETTE MT PROSPECT PARK DIST 07/09/12 PETER D CORTI LAW GROUP POWER & CRONIN LTD 13WC029021 -C 68 12WC 40759 GOINS, LA BARBA CHICAGO BOARD OF EDUCATIO 05/29/12 POLTROCK & POLTROCK LAW DEPARTMENT 69 12WC 42169 KELLY, CARVEL CITY OF CHICAGO BLDG DEPT 08/16/12 SANDMAN LEVY & PETRICH CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 70 12WC 42325 GRAY, KENNETH WATER ONE INC 09/01/12 JAMES M RIDGE LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 71 13WC 04960 GRYGIERCZYK, WIESLAW OAK PARK ARMS, LLC 01/24/12 MINKOW DOMIN NYHAN BAMBRICK KINZIE & LOWR 72 13WC 05507 ROCCASALVA, JASON M WESTSIDE MECHANICAL INC 06/18/12 RUBIN LAW GROUP HOLECEK & ASSOCIATES 13WC005508 -C 73 13WC 05553 SANGAS, JULIAN UNIVERSITY OF ILLINOIS 07/06/12 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 13WC005554 -C 74 13WC 06783 LEVI, JONATHAN CHATFIELD ELECTRIC 11/01/12 JOHN S. ELIASIK QUINTAIROS PRIETO WOOD & BOY 75 13WC 12364 NEGRETE, HEYN SIMS RECYCLING SOLUTIONS 07/24/12 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES OF EDWARD J. KOZ 14WC026948 -C 76 13WC 15621 FELIX, LUIS COMCAST 10/11/11 RUBIN LAW GROUP SPIEGEL & CAHILL, PC 77 13WC 16933 GUZMAN, SALVADOR MONDELEZ INTL SERVICE D/B 02/16/13 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 78 13WC 16991 GIAMARUSTI, MICHAEL CITY OF CHICAGO 10/14/12 DAVID W MARTAY CITY OF CHICAGO 79 13WC 17410 SOLARTE, YOLANDA CHICAGO STATE UNIVERSITY @ 03/01/13 MAURICE E DUSKY PC ASSISTANT ATTORNEY GENERAL 80 13WC 17524 FRAPANPINA, JOSEPH M, III GARDA CASH LOGISTICS 02/22/13 LANZILLOTTI GRIBBEN & MARC KEEFE CAMPBELL & ASSOC LLC 16WC004572 -C 81 13WC 17733 GRAHAM, VASA BRIDGFORD QUALITY FOODS 05/08/13 ASHER, RAYMOND L LTD GRANT & FANNING 82 13WC 19234 JONES, HENRIKA CHICAGO TRANSIT AUTHORITY 04/15/12 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 83 13WC 20626 MATTHEWS, CARY CITY OF CHICAGO 01/12/12 JOHN E LUSAK CITY OF CHICAGO 14WC034252 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 84 13WC 25772 HANSEN, JAMES R BANNER PLUMBING 11/09/12 THOMAS R LICHTEN ANCEL GLINK DIAMOND BUSH & E 13WC025773 -C 85 13WC 25969 LUEVANOS, YOLANDA ST ANTHONY HOSPITAL 07/01/13 MARVIN A BRUSTIN LTD KLAUKE LAW GROUP LLC 14WC022957 -C 14WC022958 -C 86 13WC 26400 19B WATROBA, STEFANIA THOMAS ENGINEERING INC 09/11/12 BELCHER LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 87 13WC 26726 WRIGHT, CYNTHIA UNITED AIRLINES INC. 06/27/13 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 88 13WC 27831 FAUST, WALLACE JERNBERG INDUSTRIES 10/25/12 CHRISTINE F DAVID 13WC027833 -C 89 13WC 27866 PIERRE-JACQUES, DALINE LOWE ENTERPRISES INC 06/14/13 COVEN LAW GROUP HENNESSY & ROACH PC 90 13WC 28117 DEINEMA, LORI FORD MOTOR CO 08/06/13 WOLFE LAW PC WIEDNER & MCAULIFFE LTD 13WC028125 -C 91 13WC 28511 DAVIS, PAMELA YVETTE OAK LAWN RESPIRATORY AND 05/17/13 COLLISON & O'CONNOR LTD RIPES NELSON BAGGOT KALOBRAT 92 13WC 29978 BARNER, BERTHA JOHN J MADDEN 07/06/13 HORWITZ HORWITZ & ASSOC TERESA R MAHER 93 13WC 33957 SILVA, JOSE N MAURITZON INC 09/23/13 94 13WC 34152 NUNEZ, ANDRES MARVEL COMPANY W 09/23/13 O'CONNOR & NAKOS 95 13WC 38206 PLOETZ, DAWN M ARCHIDIOCESE OF CHICAGO 10/08/13 NEWMAN, BOYER & STATHAM WIEDNER & MCAULIFFE LTD 96 13WC 38603 MUNOZ, JULIO CITY OF CHICAGO DEPT OF 09/27/12 O'CONNOR & NAKOS CITY OF CHICAGO 97 13WC 38663 VERMILLION, VIVI FRANCISCAN ST JAMES HEALT 06/17/13 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 98 13WC 38723 KOPINSKI, CECYLIA UNITED AIRLINES INC. 10/17/13 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 14WC002430 -C 99 13WC 39468 RAMIREZ, MARCO HIGHLAND BAKING 10/03/13 PETER D CORTI LAW GROUP RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 100 13WC 39552 KOLK, TRACI DISTRICT U46 09/25/13 RICHARD O. GREENFIELD NYHAN BAMBRICK KINZIE & LOWR 101 13WC 39896 MANNEY, DELORES STATE OF ILLINOIS @ 12/14/11 MINKOW DOMIN ASSISTANT ATTORNEY GENERAL 102 14WC 04470 CAMPBELL, SYLVESTER CITY OF CHICGO STREETS AN 02/05/14 BAUM RUFFOLO & MARZAL LTD CITY OF CHICAGO 103 14WC 04551 ANDERSEN, WALTER CITY OF CHICAGO 04/16/13 CUDA LAW OFFICES CITY OF CHICAGO 15WC001902 -C 104 14WC 04941 STOVER, PRESTON METROPOLITAN WATER RECLAM 01/14/14 LAW OFFICE OF SCOTT B SHAP NYHAN BAMBRICK KINZIE & LOWR 14WC004942 -C 105 14WC 04964 COATES, SHARLATTE NET HANDS HOME CARE INC 01/08/14 COLLISON LAW OFFICES STONE & JOHNSON CHARTERED 106 14WC 04987 RODRIGUEZ DE LOPEZ, YOLAN RAS SERVICES INC A/K/A W 09/20/12 KRISIK, DENNIS J LTD SPIEGEL & CAHILL, PC 107 14WC 05105 SAHABAZ, DAMIR HASO WC TRANPORT INC W 12/13/13 TAMVAKIS, GEORGE L SALVATO & O'TOOLE 108 14WC 05409 HAITHAM, SAMEH GRANITE INNOVATIONS 01/24/14 RUBIN MACHADO ROSENBLUM QUINTAIROS PRIETO WOOD & BOY 109 14WC 05443 HAWN, THOMAS SUPERIOR TRUSS & PANEL IN 02/04/14 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 110 14WC 05471 HARRISON, JOHN B OGGLESBY ELEMENTARY SCHOO 01/31/14 KENNETH B GORE, LTD LEAHY EISENBERG & FRAENKEL 111 14WC 05626 BECK, BRIAN MAHONEY ENVIRONMENTAL 09/12/13 TARADASH LAW OFFICE LITCHFIELD CAVO 112 14WC 05782 PETERS, ELIA V CLERK OF COOK COUNTY 02/03/14 STEPHEN G PINTO LTD STATES ATTORNEY OF COOK COUN 113 14WC 05844 SIERRA, MANUEL ABM JANITOR SERVICES 02/08/14 HEALY LAW FIRM GOLDBERG SEGALLA LLC 114 14WC 06035 SVOBODA, ROGER CITY OF CHICAGO 02/05/14 PARENTE & NOREM PC CITY OF CHICAGO 115 14WC 06292 CASTINNEYRA, MARTHA RADISON BLUE AQUA HOTEL 02/02/13 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 116 14WC 06709 PIZANO, GUADALUPE PITA PAN OLD WORKD BAKERY 08/09/13 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 117 14WC 07023 WARNER, PHYLLIS CTA 12/10/13 MARSZALEK AND MARSZALEK CHICAGO TRANSIT AUTHORITY 14WC012865 -C CTA-KEDZIE GARAGE 118 14WC 07971 DODD-WESTON, KIMBERLY CHICAGO PUBLIC SCHOOL 01/22/14 BRISKMAN BRISKMAN GREENBER LAW DEPARTMENT 14WC011146 -C 15WC009923 -C CORLISS HIGH SCHOOL - CPS 15WC009924 -C 16WC011162 -C CORLISS HIGH SCHOOL CPS 17WC011749 -C 119 14WC 10114 CAMPUZANO, JOSEFINA COMMUNITY CARE SYSTEMS, I 02/11/14 KENNETH B GORE, LTD LIVINGSTONE MUELLER ET AL 120 14WC 14827 GIUSEPPE, DILIBERTO UNIQUE PLUMBING 10/03/13 SALVATO & O'TOOLE NYHAN BAMBRICK KINZIE & LOWR 121 14WC 16534 JIMENEZ, BERNARDINO MARCELLS PAPER & METAL IN 04/03/14 NICHOLIS J STEIN HOLECEK & ASSOCIATES 122 14WC 17091 DELGADO, LINDA CITY OF CHICAGO DEPT OF 12/04/10 CUDA LAW OFFICES CITY OF CHICAGO 14WC017092 -C 14WC017093 -C 14WC017094 -C 14WC017095 -C 17WC015912 -C 123 14WC 17633 ZABRAUSKAS, JULIUS RUSH UNIVERSITY MEDICAL C 03/27/14 LEONARD LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 17WC000836 -C 124 14WC 18086 REYES, JOSE TAQUERIA LOS GALLOS #4 11/03/12 CULLEN HASKINS NICHOLSON 125 14WC 18369 BOYD, KAREN (WIDOW) CITY OF CHICAGO DEPT OF 03/27/14 RUBIN LAW GROUP HENNESSY & ROACH PC 126 14WC 18400 SANCHEZ, HILDA DYNOMAX INC 08/01/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 127 14WC 18623 BLACKBURN, DENISE CHE TRINITY INC (LUMC) 02/19/14 LEONARD LAW GROUP LLC LORENZ & BERGIN PC 128 14WC 18702 FLOURNOY, DEJEANETTE M COOK COUNTY SHERIFF 04/27/14 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 129 14WC 18740 JONES, GLORIA CHICAGO TRANSIT AUTHORITY 05/29/14 CHRISTOPHER FREEMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 130 14WC 19166 CAZARES, ADELA DURABLE INC 05/29/11 MINKOW DOMIN WIEDNER & MCAULIFFE LTD 131 14WC 24623 DELUCA, FRANK PACE SUBURBAN BUS 11/22/13 JOHN J CASTANEDA SLAVIN & SLAVIN 16WC007203 -C 16WC010102 -C 132 14WC 27025 ROMOZZI, ANNAMARIE GRAND RIVER ONE INC 06/25/14 THE FITZ LAW GROUP LAW OFFICES JOSEPH MARCINIAK 133 14WC 27116 HERNANDEZ, MARTINA PRIMARY STAFFING INC 11/10/11 DEPAOLO ZADEIKIS GORE QUINTAIROS PRIETO WOOD & BOY 134 14WC 27308 BATES, JEVON COOK COUNTY SHERIFF'S DEP 06/30/14 OLMSTEAD, GREGORY J LAW OF STATES ATTORNEY OF COOK COUN 135 14WC 27633 OZIMINSKI, MICHAEL U S SMOKELESS TOBACCO CO 06/05/14 HORWITZ HORWITZ & ASSOC CACCHILLO LAW GROUP LLC 136 14WC 28871 MARTINEZ, ADONIAS M PRESTIGE MAINTKENANCE USA 10/10/13 LEAHY, JAMES P MEACHUM & STARCK 17WC028138 -C 137 14WC 29118 LONGORIA, LONN E MODERN DROP FORGE 04/21/13 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 138 14WC 29366 WILLIAMS, LADON CITY OF CHICAGO 10/07/13 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 139 14WC 29421 YUNG, MAY Y CITY OF CHICAGO 02/17/14 RICHARD E ALEKSY CITY OF CHICAGO 140 14WC 29810 HERNANDEZ, RICARDO AEP INDUSTRIES 07/02/14 FINE, MARK S LAW OFFICES GRANT & FANNING 141 14WC 33140 NAJAR, CHRISTOBAL R RAZ MASONRY 07/28/14 142 14WC 34591 DELGADO, JAIME CTA 05/29/14 SHANNON LAW GROUP CHICAGO TRANSIT AUTHORITY 143 14WC 34952 THOMAS, KEVIN CITY OF CHICAGO 10/10/14 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 144 14WC 36337 GUZMAN, BENJAMIN SHINE ON GROUP INC 10/01/14 DEPAOLO ZADEIKIS GORE SPONSLER BISHOP 145 14WC 37648 CARDONE, JOHN AUTOMOTIVE ENGINE SPECIAL W 07/07/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 146 14WC 37895 VILLANOVA, FRANK COOK COUNTY ASSESSOR 04/11/14 STROM, NEAL B STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 147 14WC 38010 TORO, JOHNNY MATERIAL SCIENCE CORPORAT 02/11/14 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 148 14WC 38167 MELLS, SEAN C COOK DUPAGE TRANSPORTATIO 10/29/14 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 149 14WC 38371 VEGA, RICHARD METROPOLITAN WATERRECLAIM 01/17/14 HORWITZ HORWITZ & ASSOC 15WC002864 -C 150 14WC 38415 ZAJICEK, THOMAS B JR STATE OF ILLINOIS @ 10/26/14 GOLDBERG WEISMAN & CAIRO L JILL OTTE 151 14WC 38419 VARGAS, OMAR CBM PLUMBING 07/14/14 CUDA LAW OFFICES CASSANO & ASSOCIATES 152 14WC 38438 PHILLIP, TORIA CITY OF CHICAGO 07/05/14 MC HARGUE & JONES CITY OF CHICAGO 153 14WC 39100 ELKIN, KAREN CIM GROUP 02/06/14 LAW OFFICE OF SCOTT B SHAP 154 14WC 39253 SIMMONS, DARNELL CITY OF CHICAGO 09/10/84 KARCHMAR & STONE CITY OF CHICAGO 155 14WC 39372 SMITH, VANESSA STATE OF ILLINOIS HFS @ 10/07/14 ASSISTANT ATTORNEY GENERAL 156 14WC 39639 PERINI, RANDY METROPOLITAN WATER RECLAM 11/08/12 RICHARD E ALEKSY NOBLE & ASSOCIATES PC 157 14WC 39664 NAJERA, JIMMY SEARS HOLDINGS CORPORATIO 09/15/14 CHRISTINE F DAVID GAROFALO SCHREIBER STORM 158 14WC 40598 DIAZ, ELLIS O JEWEL - OSCO 01/06/14 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 159 14WC 40672 DIAZ, MARGARITA MARRIOTT HOTELS 08/14/11 DAVID W MARTAY GANAN & SHAPIRO 14WC040673 -C 160 15WC 01053 KONTAXIS, HAROLD TYCO SIMPLEX GRINNELL 02/01/14 ANKIN LAW OFFICE POWER & CRONIN LTD 161 15WC 02066 YELLI, MENISHI ZENITH FACILITY SERVICES 10/23/14 SEIDMAN MARGULIS & FAIRMAN HEYL ROYSTER VOELKER & ALLEN 162 15WC 02688 ODUKOYA, OLUSOLA ON BEHAL KIWANIS TRUCKING # 01/27/13 JACKLINE CJ EKOWA KNELL & O'CONNOR 163 15WC 03812 CISNEROS, BALTAZAR TOMAHAWK TRUCKING 10/28/14 STEVEN A CRIFASE, LTD 164 15WC 04354 LONBERGER, VICKIE COMMONWEALTH EDISON W 02/22/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 165 15WC 04360 REYES, MARCO MORFIN CONSTRUCTION 12/24/14 RITTENBERG & BUFFEN BRADY CONNOLLY & MASUDA PC 166 15WC 04939 ALVAREZ, SANDRA PANDA EXPRESS 12/19/13 PARENTE & NOREM PC 167 15WC 05016 KRAMER, ROGELIA ELI'S CHEESECAKE FACTORY 09/03/14 EVAN A HUGHES LAW OFFICE HOLECEK & ASSOCIATES 168 15WC 05196 JENKINS, JOHNNY N COMCAST 01/04/15 CULLEN HASKINS NICHOLSON SPIEGEL & CAHILL, PC 169 15WC 05411 ORLOS, THOMAS HOME DEPOT 01/12/15 WOODRUFF & JOHNSON ADELSON TESTAN BRUNDO 170 15WC 05436 WILSON, DELLMUS CITY OF CHICAGO 09/09/14 CHRISTOPHER FREEMAN CITY OF CHICAGO 171 15WC 05514 ALSHWAYIT, HATEM UBER TECHNOLOGIES INC 08/01/14 BRUSTIN & LUNDBLAD LTD WIEDNER & MCAULIFFE LTD 172 15WC 05778 SMITH, RHONDA MACY'S 12/23/14 WITTENBERG DOUGHERTY MAGLI ROBERT L. SMITH 173 15WC 06040 QUEZADA, ANTHONY SULLIVAN'S STEAKHOUSE 11/15/14 HART & DAVID LLP HENNESSY & ROACH PC 174 15WC 06109 REYES, DAVID SR BCI COMPONENTS AND 09/09/14 BAUM RUFFOLO & MARZAL LTD 175 15WC 06172 JACKSON, NAKIA DEPARTMENT OF STREETS 02/06/15 GOLDSTEIN BENDER & ROMANOF 176 15WC 06231 CHAUDHRY, SAEED NORTHSTAR AEROSPACE 12/15/13 LAW OFFICE WILLIAM STEARNS 177 15WC 06296 WYNN, LAKISHA SUPERIOR AMBULANCE CO 02/03/15 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 15WC025901 -C 178 15WC 06318 WILLIAMS, TRACY CHICAGO TRANSIT AUTHORITY 02/07/15 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 179 15WC 06764 SMITH, MARJORIE SEASONS HOSPICE, INC 08/01/13 COLLISON LAW OFFICES WIEDNER & MCAULIFFE LTD 180 15WC 06908 FRAIRE, MARIA MENASHA PACKAGING COMPANY 02/10/15 COHN & COHN GOLDBERG SEGALLA LLC 181 15WC 09943 HOWARD, IRIS NAVISTAR 04/08/14 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 182 15WC 10005 19B AITKEN, RITA COVENANT 10/13/14 RUBENS AND KRESS ASHER, RAYMOND L LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 183 15WC 14232 HUDYKA, RAFAL KLC GLOBAL & KLC BROKERAG W 04/22/15 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM 184 15WC 14467 PONCE, MARCO A LIFEWAY FOODS INC 04/15/15 HART & DAVID LLP RIPES NELSON BAGGOT KALOBRAT 185 15WC 14579 WILLIAMS, GLENDA DOLTON SCHOOL DISTRICT #1 09/17/14 LEONARD LAW GROUP LLC 186 15WC 14715 ANAYA, JOSE SECURITAS 04/18/15 LAW OFFICES ROBERT WARSASK WIEDNER & MCAULIFFE LTD 187 15WC 14819 CANALE, LORETTA MARIANO'S/ROUNDY'S 11/20/13 VRDOLYAK LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 188 15WC 15311 TOWNSEND, CELESTE ATKORE INTERNATIONAL 11/05/13 DANIEL PERIASWAMY KNELL & O'CONNOR 15WC015312 -C 189 15WC 15569 GONZALEZ, JOSE G GLEN ELLYN STORAGE CORP 02/25/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 15WC015570 -C 190 15WC 15846 WICKS, KWEIKIELEE Z JEWEL FOOD STORES 01/17/15 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 191 15WC 16081 JONES, LATARA CHICAGO TRANSIT AUTHORITY 05/14/14 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 192 15WC 16200 ALFARO, ABEL A. MOST VALUABLE PERSONNEL 04/23/15 EPSTEIN, JACK R LAW OFFICE KOREY RICHARDSON LLC 193 15WC 16223 GUTIERREZ, JAVIER GREYHOUND 04/22/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 194 15WC 16241 CARPENTER, DENISE THE SALVATION ARMYSTORE # 11/22/14 DWORKIN AND MACIARIELLO RODDY LAW LTD 195 15WC 16608 PEAKE, ROBYN CTA 01/29/15 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 196 15WC 16760 GARRARD, LARA-TERESA UNITED AIRLINES 04/27/15 CULLEN HASKINS NICHOLSON 197 15WC 16918 MEZA, LEOPOLDO METALS USA 09/25/13 GOLDBERG WEISMAN & CAIRO L POULOS & DIBENEDETTO LAW 198 15WC 17003 OCAMPO, FLEICIANO IRVINGTON, INC. 04/12/15 JOHN S. ELIASIK KOPKA, PINKUS DOLIN, PC 199 15WC 17050 DIXON, TAMIRRA CTA 09/08/13 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 200 15WC 17233 MACIAS, MAURICIO CLOONE, INC. 05/05/15 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 201 15WC 17408 PAWINSKI, JOHN PROPERTY RECYCLING 05/20/15 FOHRMAN, DONALD W & ASSOCS THOMAS & PORTELA 202 15WC 17489 MOORE, DIANNA CITY OF CHICAGO 03/04/15 CORNFIELD & FELDMAN CITY OF CHICAGO 203 15WC 17608 BUSSE, MARTIN J NATIONAL HEAT & POWER 04/20/15 LAW OFFICE ILONKA ULRICH ACCIDENT FUND HOLDINGS 204 15WC 17767 JANETZKE, LYNETTE NORTHWESTERN MEMORIAL HOS 04/12/14 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 205 15WC 17801 MALONE, JOSEPH DAVIS STAFFING INC 05/01/15 AMBROSE BUTZEN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 206 15WC 17882 BRIDGES, ERICA CHICAGO TRANSIT AUTHORITY 05/28/15 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 207 15WC 18138 CEASER, NATECE L SCR MEDICAL TRANSPORTATIO 03/02/15 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 208 15WC 18345 GUERRERO, ALEJANDRO WHEATLAND TUBE CO 04/06/15 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM 209 15WC 18415 WELLS, MICHAEL A. HUDSON BOILER & TANK COMP 09/26/14 BAUM RUFFOLO & MARZAL LTD THOMAS & ASSOCIATES 15WC018417 -C 15WC018418 -C 15WC018419 -C 210 15WC 18416 RIVERA, ANTONIO RAYMUNDO'S FOOD PRODUCTS 05/14/15 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 15WC022432 -C 211 15WC 19007 HUGHES-BOOTH, VICKIE FRANCISCAN ST MARGARET HE 10/12/14 JAMIE M TRAPP, PC NYHAN BAMBRICK KINZIE & LOWR 212 15WC 19825 RZASINSKI, JAROSLAW DART CASTING, INC. 01/26/15 BELCHER LAW OFFICE WOLFE & JACOBSON, LTD 213 15WC 21134 19B LOVELAND, DAVID A. THE RESERVES NETWORK 12/11/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 214 15WC 23912 THOMPSON, JAMES CHICAGO TRANSIT AUTHORITY 06/27/14 POLANSKY & CICHON CHTD CHICAGO TRANSIT AUTHORITY 215 15WC 23939 CUNDARI, ALBERT CITY OF CHICAGO 07/30/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 216 15WC 24137 CEDILLO, PABLO CONTINENTAL AIRPORT EXPRE 01/22/14 WHITESIDE & GOLDBERG LTD 217 15WC 24266 SOLIS, MILTON GUARDIAN HEATING & COOLIN 02/14/13 LANCASTER, DEBORAH GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 218 15WC 24320 MARTINEZ, RAQUEL ELITE STAFFING FKA 08/01/15 STROM, NEAL B 219 15WC 24334 AYALA, ISAAC Y UTI INTEGRATED LOGISTICS 05/23/15 RUEDA, IVAN A 220 15WC 24424 WHITMAN, MARK RENZENBERGER INC 01/05/15 DISPARTI LAW GROUP PA HENNESSY & ROACH PC 221 15WC 25245 MILLER, JANET SCR TRANSPORT 07/13/15 MICHAEL P MCCREADY & ASSOC NYHAN BAMBRICK KINZIE & LOWR 222 15WC 26261 ALMIRON, GRACIELA R. W CHICAGO CITY CENTER 11/02/14 CHRISTIAN & MANNO QUINTAIROS PRIETO WOOD & BOY 223 15WC 26615 REYES, EMILIO APOGEE TRUCKING LLC 05/12/15 CULLEN HASKINS NICHOLSON RODDY LAW LTD 224 15WC 26696 FLEENOR, RONALD J UNITED AIRLINES INC. 12/08/14 KATZ FRIEDMAN EAGLE ET AL 225 15WC 26877 BLUE, EUGENE CITY OF CHICAGO 06/24/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 226 15WC 26894 MALDONADO, DAVID LIBERTY STAFFING 01/29/15 JOHN S. ELIASIK 227 15WC 27118 COLE, IVAN CTA (3) 05/31/15 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 228 15WC 27179 IACOVETTI, CHRIS NCR 03/10/15 COSTA IVONE LLC SPIEGEL & CAHILL, PC 229 15WC 27519 HERNANDEZ, ERIC NE MOTOR FREIGHTWAYS 01/03/15 LAW OFFICE OF ROBERT J. IR WIEDNER & MCAULIFFE LTD 230 15WC 27531 GARCIA, ROSA COMPASS GROUP/LEVY RESTAU 05/08/15 LAW OFFICES CHRISTOPHER ED GANAN & SHAPIRO 15WC027537 -C 231 15WC 27575 GAWLE, GRAZYNA CHIQUITA BRANDS INTERNATI 01/02/15 CUSHING LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 16WC016769 -C FRESH EXPRESS INC 232 15WC 28014 HUNT, SANFORD CITY OF CHICAGO POLICE DE 07/14/15 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 233 15WC 28090 JACKSON, ANTHONY MONDELEZ INTERNATIONAL 08/14/14 JOHN E LUSAK BRADY CONNOLLY & MASUDA PC 234 15WC 28112 GORSKI, GRETCHEN LANSING SPROT SHOP INC 01/10/13 KARCHMAR & STONE BRYCE DOWNEY & LENKOV LLC 235 15WC 28207 HERNANDEZ, JOSE RON'S STAFFING SERVICES I 08/06/15 DANIEL PERIASWAMY KOREY RICHARDSON LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 15WC 28408 HERNANDEZ, VICTOR GQ HOME IMPROVEMENTS 06/27/15 JOHN S. ELIASIK 237 15WC 33833 ROSALIO BALTAZAR, JESUS OK AUTO REPAIR & BODY SHO W 10/02/15 MC HARGUE, JAMES P LAW OFF 238 15WC 34553 MARGALUS, WILLIAM T JR COOK COUNTY SHERIFF 01/29/15 FOTOPOULOS, JOHN S INMAN & FITZGIBBONS 239 15WC 35592 NOSSEM, ROBERT CARSON'S CLEARANCE CENTER 06/14/15 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 240 15WC 35985 ANDERSON, MARCINE CHICAGO TRANSIT AUTHORITY 10/25/15 241 15WC 36161 CHAPPLE, YVETTE PEDIATRIC SERVICES OF 01/27/15 LEO ALT INMAN & FITZGIBBONS 242 15WC 36526 FOSTER, SUNGHWA COOK COUNTY 09/03/15 DAN COLLINS LAW FIRM STATES ATTORNEY OF COOK COUN 243 15WC 36610 DELONEY, TOMICA FORD MOTOR COMPANY 01/16/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 16WC004181 -C 244 15WC 36684 BRONAKOWSKI, NANCY ALL TRUST 10/01/15 FINE, MARK S LAW OFFICES GAROFALO SCHREIBER STORM 245 15WC 36848 SIDNEY, MARCELL FORD MOTOR COMPANY 10/30/15 246 15WC 36970 WARD, APRIL CITY OF CHICAGO 05/20/15 SANDMAN LEVY & PETRICH CITY OF CHICAGO 17WC018556 -C 247 15WC 37092 FREEMAN, JERMAINE CITY OF CHICAGO 07/14/15 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 248 15WC 37334 WIERZBOWSKA, ALICJA ANDY'S DELI & MIKOLAJCZYK 01/16/15 LEWIS & DAVIDSON, LTD RUSIN & MACIOROWSKI LTD 249 15WC 37395 LUMPKIN-INGRAM, JACQUELIN CITY OF CHICAGO-DEPT OF W 07/30/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 250 15WC 37618 FIGUEROA, MIRNA KOCH FOODS 10/12/15 PETER LEKAS MACIOROWSKI SACKMANN & ULRIC 251 15WC 37641 MARTINEZ, JESUS MANUEL METRO STAFF INC 11/05/15 BOTTO GILBERT FRANCIS J DISCIPIO LAW OFFIC 252 15WC 37936 LUTTERY, TEISHA CHICAGO TRANSIT AUTHORITY 11/18/15 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 253 15WC 38008 UGWA, KINGSLEY CHICAGO CARRIAGE CAB - 08/23/15 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 254 15WC 38378 SAMPSON, KENNETH CTA 05/18/15 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 255 15WC 38469 DUNN, SANDRA FAMILY PARTNERS INC 06/13/15 JOHN E LUSAK 256 15WC 38736 FALLEN, DEREK EATALY CHICAGO LLC 10/20/15 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 257 15WC 38821 SILVA, SIDNEY RJB PROPERTIES INC 12/24/14 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 258 15WC 38840 YOUNG, DAYMEON STEVENS TRANSPORT 03/09/15 COHN & COHN GAROFALO SCHREIBER STORM 259 15WC 39037 ARANDA, SERGIO IMPACT STAFFING/PRECISION 09/28/15 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 260 15WC 39081 GARCIA, PORFIRIO A SAFE HAVEN LANDSCAPING 05/29/15 COSTA IVONE LLC 261 15WC 39905 JANY, SYLVIE UNITED AIRLINES INC. 08/27/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 262 15WC 39926 MELLETT, CATHERINE COOK CTY SHERIFF'S OFFICE 08/06/15 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 263 15WC 41016 VITAL, MARIA WHOLE FOODS MARKET 11/18/15 ANKIN LAW OFFICE 264 15WC 41470 PEREZ, EDGAR HALL'S RENTAL 11/04/15 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 265 16WC 00505 LORENZI, CHRISTOPHER NATIONAL POWER RODDING 10/07/15 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 266 16WC 02139 SAJWANI, SHAMSHA MB FINANCIAL BANK 01/19/16 ACEVES & PEREZ PC 267 16WC 03368 VALENZUELA, LILLIAM M FLEXIBLE STAFFING SERVICE 12/10/15 SALVATO & O'TOOLE BRADY CONNOLLY & MASUDA PC 268 16WC 03809 BOKENYA, RAYMOND BLUE RIBBON TAXI 12/16/15 269 16WC 03875 JADIN, DENNIS CONTINENTAL PAINTING & 11/20/15 SOSTRIN AND SOSTRIN PC GILDEA & COGHLAN 270 16WC 03937 SPURGEON, SAMANTHA SHIMURIMAINC DBA DUNKIN D 10/08/15 BRADY CONNOLLY & MASUDA PC 271 16WC 04017 DOMINGUEZ, FABIOLA F FARMINGTON FOODS 12/16/15 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 272 16WC 04197 VILLALOBOS, GILBERTO GPA CONTRACTING SERVICES @ 12/18/15 EFTEKHARI LAW OFFICES GANAN & SHAPIRO 273 16WC 04243 HICKMAN, DIANA UNITED AIRLINES 09/26/15 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 274 16WC 04349 CERVANTES, RAUL JB&A REMOLDELING LLC 12/21/15 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 275 16WC 04404 GUZMAN, JOSE G MENASHA PPACKAGING CO 01/17/15 ACEVES & PEREZ PC HEYL ROYSTER VOELKER & ALLEN 276 16WC 04563 GIOIA, ANTHONY CITY OF CHICAGO 06/29/15 THE FITZ LAW GROUP CITY OF CHICAGO 277 16WC 04772 WIMSATT, DARREN FORD MOTOR COMPANY 01/07/06 FOHRMAN, DONALD W & ASSOCS 278 16WC 04948 JOSON, ZENAIDA UNIVERSITY OF IL AT CHICA 01/11/16 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 279 16WC 04951 KOGUT, PAWEL HENRY CONSTRUCTION SERVIC 11/19/15 KATZ FRIEDMAN EAGLE ET AL MEACHUM & STARCK 280 16WC 04961 TOMINELLO, JOHN R CITY OF CHICAGO DEPT 02/10/16 RUBIN LAW GROUP CITY OF CHICAGO 281 16WC 04972 CUDIA, LUZ RAQUELITA 1ST ASSIST HOME HEALTHCAR 12/30/15 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 282 16WC 05135 PARKINSON, ANJEL COOK COUNTY JUVENILE DEPT 03/24/14 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 283 16WC 05242 YULDASHEV, AZAMAT MCCAB XX CORP. 01/16/16 HUNER LAW OFFICES LLC 284 16WC 05310 PASSARELLA, VICKIE L AMERICAN AA GROUP PO BOX 09/24/14 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 285 16WC 05534 LOPRESTI, SAMUEL DOUBLE A ELECTRIC 02/06/15 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 286 16WC 05537 RUETSCHE, KEVIN UNITED AIRLINES INC. 02/05/16 LEWIS & DAVIDSON, LTD WIEDNER & MCAULIFFE LTD 287 16WC 05538 MORTERA, JACOB CHICAGO TRANSIT AUTHORITY 01/01/16 MARC J SHUMAN & ASSOCIATES CHICAGO TRANSIT AUTHORITY 288 16WC 05596 URIBE, HUBALDO GOLDEN STATE FOODS CORP 11/25/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 289 16WC 06309 SUSCAVAGE, RONALD NEWLY WEDS FOODS INC 01/29/15 GOLDBERG WEISMAN & CAIRO L 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 MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 290 16WC 06390 CHOMENKO, ANTHONY ECOLAB INC 08/04/14 BOWMAN & CORDAY KEEFE CAMPBELL & ASSOC LLC 291 16WC 06430 TORRES, NICHOLAS GE TRANSPORTATION 09/15/15 MOGENSEN LAW LLC MACIOROWSKI SACKMANN & ULRIC 292 16WC 06465 VAZQUEZ, CAROLINA O'KEEFE MANAGEMENT COMPAN 01/02/16 BUDIN LAW OFFICES 293 16WC 06487 SAEZ, EDWIN SMITH-COPPER INTERNATIONA 10/19/15 ANKIN LAW OFFICE JOSEPH MARCINIAK 294 16WC 06700 OJEDA, MIGUEL THE STEEL SUPPLY COMPANY 01/06/16 JONATHAN SCHLACK GRANT & FANNING 295 16WC 06818 PERCY, GARY AMERICAN AIRLINES 01/14/16 LAW OFFICE OF SCOTT B SHAP GAROFALO SCHREIBER STORM 296 16WC 06915 PALCZYNSKI, DANIEL DARPET DOOR AND TRIM CO 01/19/16 NEWLAND & NEWLAND MEACHUM & STARCK 16WC006916 -C 297 16WC 06962 STEWART, CHERYL CITY OF CHICAGO 02/26/16 GORDON & CENTRACCHIO LLC CITY OF CHICAGO 298 16WC 06988 DAVIS, ANYA UNITED AIRLINES, INC. 11/01/15 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 299 16WC 12820 ROBERTS, CAROLYN FEDEX 03/16/16 BURNES & LIBMAN 300 16WC 14075 MARICLE, KATHERINE AFS-USA, INC. 02/19/15 FRIEND LEVINSON & BERGAL 301 16WC 14109 AMATO, FRANK ILLINOIS DEPARTMENT @ 08/04/15 FIGLIOLI, DAVID STEPHANIE KEVIL 302 16WC 14340 SPENCER, PAMELA ROMANIAN AMERICAN COMMUTY 04/27/16 DWORKIN AND MACIARIELLO 303 16WC 14375 STAPLES, MICHAEL CTA 04/18/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 304 16WC 14380 SANCHEZ, OSIEL MIDWEST CANVAS CORP. 11/13/14 CRONIN & PETERS KNELL & O'CONNOR 17WC007839 -C 305 16WC 14421 HARRIS, ROSHA D. IL. DEPT. OF HUMAN SERVIC @ 01/07/16 DEPAOLO ZADEIKIS GORE STEPHANIE KEVIL 16WC014422 -C 306 16WC 14492 PALMER, ROY F REPUBLIC SERVICES 01/18/16 DWYER AND COOGAN GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 307 16WC 14540 CASTILLO, MELISSA MERCY HOSPITAL 11/09/15 308 16WC 14569 LAMBRECHTS, ERIC NILES POLICE DEPARTMENT 12/31/15 FRANCIS J DISCIPIO LAW OFF NYHAN BAMBRICK KINZIE & LOWR 309 16WC 14843 SMITH, MARK LAZ PARKING CHICAGO, LLC. 04/05/16 PORRO NIERMANN LAW GROUP MEACHUM & STARCK 310 16WC 14906 PEREZ, EDWIN CARLOS CONSTRUCTION CO. W 08/02/14 JAMES ELLIS GUMBINER & ASS 311 16WC 15067 LAWAL, LINDA CHICAGO TRANSIT AUTHORITY 11/05/15 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 16WC015068 -C 312 16WC 15176 ROGERS, LEROY JOHN TODD 04/08/16 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 16WC015526 -C 313 16WC 15201 GUNN, SANDRA ZURICH NORTH AMERICA 05/22/13 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 314 16WC 15227 BEY, SHARIEF ASIM CHICAGO TRANSIT AUTHORITY 04/14/16 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 315 16WC 15306 SLAYTON, STANLEY TOWNE PARK, LLC AND BROAD 04/01/16 RITTENBERG & BUFFEN HINSHAW & CULBERTSON 16WC015307 -C 316 16WC 15360 HENSON, ERIC DSTM, INC. 04/21/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 317 16WC 15505 ROJAS, JENNIFER D'AGOSTINO'S PIZZA & PUB 12/12/14 CUDA LAW OFFICES RUSIN & MACIOROWSKI LTD 318 16WC 15708 HERRERA, ESTELA APERION CARE INTERNATIONA 03/07/16 HERRERA LAW CENTER 319 16WC 15813 CHAVEZ, ANA LABOR NETWORK ARYZA 03/20/16 CHEPOV & SCOTT LLC ROBERT L. SMITH 320 16WC 15983 WYNN, TOI ALDI 09/01/15 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 321 16WC 16007 MONTERO, JOSE LUIS DICICCO CONCRETE PRODUCTS 04/13/15 CORBOY & DEMETRIO PC 322 16WC 16033 JORDAN, JASMINE ST OF IL/REED MENTAL HEAL @ 05/01/16 MICHAEL P MCCREADY & ASSOC STEPHANIE KEVIL 323 16WC 16147 ALVAREZ, HECTOR BUEDEL FINE MEATS 03/16/16 HUGHES SOCOL PIERS RESNICK HUGHES SOCOL PIERS RESNICK &

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 324 16WC 16203 TRIMBLE, GARY CHICAGO PUBLIC SCHOOLS 03/04/16 HUGHES SOCOL PIERS RESNICK 325 16WC 16418 DIAZ, CHRISTINA ARYZTA LLC 03/25/16 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 16WC016419 -C 16WC022841 -C 326 16WC 16585 MARTINEZ, LUIS FLEXIBLE STAFFING 10/14/15 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 327 16WC 17004 EKRAM, MUHAMMED N LUQMAN CORP 03/29/16 LAW OFFICE RYAN ROSENTHAL 328 16WC 17091 ROBINSON, KEITH L. VARGAS GROUP 07/10/14 GORDON & CENTRACCHIO LLC THOMAS & PORTELA 329 16WC 17213 PHELPS, EUGENE BUNN-O-MATIC CORP 06/18/15 DUDLEY & LAKE LLC HOLECEK & ASSOCIATES 16WC037772 -C 330 16WC 17290 RANGEL, ZENAIDA SUBMARINE PORT 04/15/16 SPENCER LAW OFFICES GAROFALO SCHREIBER STORM 331 16WC 17353 MARIANI, MICHAEL F. H. PASCHEN 06/21/14 STUART H GALESBURG BRADY CONNOLLY & MASUDA PC 332 16WC 17418 RODRIGUEZ, JAVIER ANDREWS STAFFING 05/25/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 333 16WC 17491 RIVERA, EDDIE SWEDISH COVENANT HOSPITAL 08/06/12 CHRISTINE F DAVID MACIOROWSKI SACKMANN & ULRIC 334 16WC 17546 FOSTER, PATRICIA A CITY OF CHICAGO DEPT OF 04/01/16 335 16WC 17575 BUTLER, DATRIN MARIANO'S FRESH MARKET 04/09/16 CHARLES LEVY & ASSOC LTD 336 16WC 21868 TAMAYO, JORGE CITY OF CHICAGO 06/30/16 COVEN LAW GROUP 337 16WC 23897 KERMAN, ROBERT CHICAGO BOARD OF EDUCATIO 08/04/16 ANESI OZMON RODIN NOVAK KO 338 16WC 24445 MARIOTTI, MICHAEL J. NORTHROP GRUMMAN CORPORAT 11/30/15 LAW OFFICE PHILIP BLOMBERG 339 16WC 24510 JONES, TORRENCE CPS/RYDER SCHOOL 08/09/16 COSTA IVONE LLC CHGO BOARD OF EDUCATION 340 16WC 24611 LILLARD, CAROL CHICAGO TRANSIT AUTHORITY 07/19/16 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 341 16WC 24619 HOPE, CHERYL THE RESIDENCES AT RIVER 03/18/16 FRIEDMAN, MICHAEL T & ASSO HENNESSY & ROACH PC 342 16WC 24712 HARRISON, CHRISTOPHER UNIFIED CML LLC 06/21/16 GRAZIAN & VOLPE PC 343 16WC 24763 LELONKIEWICZ, HALINA ANDY'S DELI & MIKOLAJCZYK 05/12/16 ANKIN LAW OFFICE 344 16WC 25161 BURGE, DESTAINEA PACE BUS 05/12/16 VASILATOS & COTTER LLC SLAVIN & SLAVIN 345 16WC 25238 JONES, HENRY JR METROPOLITAN WATER 05/27/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 346 16WC 25343 GAWLIK, ROSEMARIE COOK COUNTY FACILITIES 07/29/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 347 16WC 25389 MURPH, DANIELLE CTA 07/12/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 348 16WC 25532 BELL, DOREEN CHICOS FAS, INC 07/05/16 MC HARGUE & JONES QUINTAIROS PRIETO WOOD & BOY 16WC037087 -C 349 16WC 25645 ABDI, DEEQ M. SWIFT TRANSPORTATION 10/15/15 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 350 16WC 25724 REED, CORTISIA AMERICAN ELECTRIC 06/23/16 GIACOBBE, THOMAS M STONE & JOHNSON CHARTERED 351 16WC 25729 RIVERA, ESTEVAN D.T. CHICAGOLAND EXPRESS 01/09/15 BOGUSZ & BOGUSZ LTD RODDY LAW LTD 16WC025730 -C 352 16WC 25932 THOMPSON, SHELLIE J. CREW GROUP, INC. 05/23/15 ANGELINI & ORI LLC GILDEA & COGHLAN 353 16WC 26084 OTERO, RICARDO F.H. PASCHEN, INC 10/06/15 OSVALDO RODRIGUEZ PC BRADY CONNOLLY & MASUDA PC 354 16WC 26115 GUZMAN, CARLOS SIPI METALS CORPORATION 08/11/16 CHEPOV & SCOTT LLC LITCHFIELD CAVO 17WC001353 -C 355 16WC 26158 GIRDLER, RICHARD L ACH FOOD COMPANIES, INC 08/01/16 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 356 16WC 26169 ANDRADE, TERESA OSS SERVICES LLC 06/25/16 COSTA IVONE LLC 357 16WC 26247 JARAMILLO, SOCORRO AS WID THE ACACIA ASSOCIATION # 05/05/16 PORRO NIERMANN LAW GROUP THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 358 16WC 26303 WIGITON, DEBRA SOUTHWEST AIRLINES CO 07/02/16 PATRICOSKI, MARK G HENNESSY & ROACH PC 359 16WC 26392 CUSACK, PATRICIA CITY OF CHICAGO 03/09/16 HEALY SCANLON LAW FIRM 360 16WC 26609 LEVINE, KATHERINE COOK COUNTY 01/10/14 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 361 16WC 26915 RIVERA, ARMANDO CITY OF BERWYN (POLICE) 05/15/16 CHRISTINE F DAVID 362 16WC 27148 ROBERSON, ROBIN CDT 08/22/16 COSTA IVONE LLC 363 16WC 27311 DUSZYNSKI, THOMAS DEPAUL UNIVERSITY 08/03/15 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 364 16WC 27357 GUTIERREZ, JANET UNIVERSITY OF IL HOSPITAL 07/17/16 RUBENS AND KRESS NYHAN BAMBRICK KINZIE & LOWR 365 16WC 27446 BRANCH, PATRICK ED MINIAT 07/06/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 17WC011371 -C 366 16WC 27469 ROBINSON, TYLER KMART 08/12/16 COHN LAMBERT RYAN & SCHNEI GAROFALO SCHREIBER STORM 367 16WC 27522 SANDOVAL, ALFREDO CONGLOBAL INDUSTRIES, INC 03/22/16 SHEA LAW GROUP BRYCE DOWNEY & LENKOV LLC 368 16WC 27699 SADLER, MARYELLEN AMERICAN AIRLINES 07/12/16 STRELLIS & FIELD CTD GAROFALO SCHREIBER STORM 369 16WC 28321 SECHEN, AMERICA WEST SUBURBAN MEDICAL CEN 04/07/16 RIDGE & DOWNES HENNESSY & ROACH PC 370 16WC 29560 CUEVAS, MERCEDES LAND O'FROST INC 09/09/16 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 371 16WC 32735 DRINKARD, MONIQUE CITY OF CHICAGO 10/05/16 RITTENBERG & BUFFEN CITY OF CHICAGO 372 16WC 33601 HALTERS, DONNA CITY OF CHICAGO 08/11/16 CUDA LAW OFFICES HENNESSY & ROACH PC 17WC020439 -C 373 16WC 33979 LACH, ERIC FEDEX 10/11/16 O'CONNOR & NAKOS 374 16WC 34173 HODGES, MELVINA UBER 11/02/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 375 16WC 34205 HARRIS, SHEMETRIC CTA 11/03/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 376 16WC 34332 BOJKO, MARK BONDED FILTER CO 08/18/16 JOHN E LUSAK LAW OFFICES JOSEPH MARCINIAK 16WC034333 -C 377 16WC 34350 WIRTH, GERHARD UNITED AIRLINES INC. 05/12/16 GORDON LAW OFFICES LTD WIEDNER & MCAULIFFE LTD 378 16WC 34428 SANTOS, MAURA SONESTA HOTEL 10/19/16 HERRERA LAW CENTER 379 16WC 34497 NIEVES, ENRIQUE COOK COUNTY 09/08/15 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 380 16WC 34540 ROMO-SANCHEZ, GERARDO DOC B'S FRESH KITCHEN 10/15/16 RUEDA, IVAN A 381 16WC 34612 SALDIVAR, MARCO CITY WIDE DISPOSAL AND 08/05/15 MENDOZA LAW PC LITCHFIELD CAVO 382 16WC 34705 MASTERSON, MICHELLE UNITED AIRLINES 11/05/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 383 16WC 34782 CORTEZ, RUBEN CNC LAWN CARE INC 04/18/16 CHEPOV & SCOTT LLC WOLF LAW LTD 384 16WC 34800 AGBOHLAH, DANIEL AMERICAN AIRLINES/ENVOY 10/25/15 LAW OFFICE OF SCOTT B SHAP 385 16WC 34843 PEREZ, ERIKA FRESH EXPRESS 03/11/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 386 16WC 34863 GOEPPNER, DANIEL P RG CONSTRUCTION SERVICES 07/20/16 RICHARD E ALEKSY MACIOROWSKI SACKMANN & ULRIC 387 16WC 34890 SANTIAGO, FLORANTE SEAFOOD CITY 09/15/16 LAW OFFICE RYAN ROSENTHAL 388 16WC 34926 PIZARRO, ADAN CHARTER STEEL TRADING CO. 10/31/16 JOHN E LUSAK 389 16WC 34992 NORWOOD, LEON COOK COUNTY HIGHWAY DEPT 09/06/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 390 16WC 35004 MIRELES, SERGIO QUALITY EXCAVATION INC 07/18/16 LAW OFFICES LEONARDO MORAL COZZI & GOGGIN-WARD 391 16WC 35075 COLLINS, DUANE COOK COUNTY DEPT OF CORR 10/20/16 LANGENDORF, ROBERT A INMAN & FITZGIBBONS 392 16WC 35137 TAMAYO, JUICE JUICE TYME 12/23/13 LAW OFFICE HUGO ORTIZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 393 16WC 35226 SCHULTZ, ROBERT A COOK COUNTY SHERIFF'S DEP 11/07/16 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 394 16WC 35248 DE FILIPPO, BARBARA PROVIDENCE HOME HEALTH 03/24/16 MARSZALEK AND MARSZALEK LAW OFFICES FRANCESCA LARSEN 395 16WC 35405 HERNANDEZ, ERI BED BATH & BEYOND 10/24/16 LAW OFFICES LEONARDO MORAL BRYCE DOWNEY & LENKOV LLC 396 16WC 35523 THOMAS, ALAN J NELSEN STEEL & WIRE 10/25/16 ANKIN LAW OFFICE 397 16WC 35541 MATIJASEVIC, MARY ST ALEXIUS MEDICAL 08/12/16 MC HARGUE & JONES POWER & CRONIN LTD 398 16WC 35625 HAGGERTY, MARQUITHE O'REILLY AUTO PARTS 11/15/16 COSTA IVONE LLC HENNESSY & ROACH PC 399 16WC 35634 LUCCHESI, CHERYL TRADER JOES 11/20/15 COVEN LAW GROUP GAROFALO SCHREIBER STORM 400 16WC 35666 HARRIS, CAROLYN COUNTRY CLUB HILLS POLICE 11/14/16 SKLARE LAW GROUP KEEFE CAMPBELL & ASSOC LLC 401 16WC 35731 CARROLL, MARGARET E COOK COUNTY SHERIFF'S OFF 06/08/16 CRONIN & PETERS 402 16WC 35774 LATIMER, SHARON WALGREENS 11/01/14 DWORKIN AND MACIARIELLO 403 16WC 35960 MORELOS, RODOLFO AREA DISPOSAL INC D/B/A 11/19/16 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 17WC023877 -C 404 16WC 36070 MIRAMONTES, MARIA CONCORDIA UNIVERSITY 05/05/16 WOODRUFF & JOHNSON 405 16WC 36089 CONTRERAS, JIMMY UPS FREIGHT 10/13/16 STEPHAN L. HOFFMAN COZZI & GOGGIN-WARD 406 16WC 36146 BROWN JR., EMMITTE CHICAGO TRANSIT AUTHORITY 11/18/16 PETER D CORTI LAW GROUP CHICAGO TRANSIT AUTHORITY 407 16WC 36324 DE BUHR, KIMBERLYN AVISON YOUNG 05/16/16 CORBOY & DEMETRIO PC CORBOY & DEMETRIO PC 408 16WC 36366 KOLASKI, MICHAEL PETE'S PERFECTION PLUS 10/21/16 MARTIN L GLINK LAW OFFICE NOBLE & ASSOCIATES PC 409 16WC 36585 HARRIS, TIENEH HYATT REGENCY MCCORMICK P 10/18/16 MORGENSEN LAW LLC NYHAN BAMBRICK KINZIE & LOWR 410 16WC 36718 WITHERSPOON, KYRISSA COOK COUNTY JUVENILE DET 11/05/16 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 411 16WC 36742 THOMAS, CHARLES GREEN DOLPHIN INC/ 10/23/16 KOFOED, RUSSEL M 412 16WC 36813 KING, MICHAEL CITY OF CHICAGO 11/04/16 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 413 16WC 36867 MOLENKAMP, MICHAEL NLES, INC 01/07/14 414 16WC 37135 DRIVER, AARON S IL DEPTMENT OF HUMAN SERV 02/16/16 CHEPOV & SCOTT LLC ALYSSA SILVESTRI 415 16WC 37165 BOERMA, KEVIN INTERNATIONAL DECORATORS, 01/16/15 CUTLER & SILVERGLADE ROSARIO CIBELLA 416 16WC 37254 VELASQUEZ, CARLOS G UIC POLICE DEPT 06/30/15 O'CONNOR & NAKOS POWER & CRONIN LTD 417 17WC 02250 19B RANCHER, TOMMY FOOD AND PAPER SUPPLY 01/06/17 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 418 17WC 03664 CASTANEDA CALDERON, MARIA UMW, INC 01/10/17 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 419 17WC 03734 REED, SHERWIN MESSINA GROUP 02/17/16 DAVID W MARTAY 420 17WC 03745 JACKSON, STEPHANIE INGALLS MEMORIAL HOSP 01/24/17 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 421 17WC 03837 MOLINA, ANGEL CHICAGO PUBLIC SCHOOLS 07/11/16 HEALY SCANLON LAW FIRM 422 17WC 03861 WILLIAMS, NICOLE CHICAGO TRANSIT AUTHORITY 06/15/16 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 423 17WC 03884 DUNOVSKY, ANTHONY MIDWEST STEEL ERECTORS 01/27/17 O'CONNOR & NAKOS WOLFE & JACOBSON, LTD 424 17WC 03981 KYSER, LARRY BERRY PLASTICS 02/05/17 JAMES J BURKE LAW OFFICE 425 17WC 04073 MORZEL, GUS L ROOFING SOURCE AKA 07/30/15 GARDI & HAUGHT LAW OFFICES OF EDWARD J. KOZ 426 17WC 04242 ROSALES, JOSE E GCA SERVICES GROUP 01/12/17 WEISS ORTIZ PC POWER & CRONIN LTD 427 17WC 04270 GILES, PAULETTE AMERICAN AIRLINES INC 12/02/16 RICHARD O. GREENFIELD 428 17WC 04341 FOSTER, JOHN TOP TIER SAFETY 01/28/17 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 429 17WC 04360 BARKER, DENISE B CHICAGO BOARD EDUCATION 12/16/16 LEONARD LAW GROUP LLC 430 17WC 04410 MOORE, ALLEN B CHICAGO TRANSIT AUTHORITY 02/03/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 431 17WC 04486 COOPER, MICHELLE L FORD MOTOR COMPANY 12/09/16 RAYMOND M SIMARD, PC WIEDNER & MCAULIFFE LTD 432 17WC 04508 TARVER, TAMIKA DAKKOTA INTEGRATED SYSTEM 09/25/16 KATZ FRIEDMAN EAGLE ET AL 433 17WC 04529 SILVERMAN, MARA KURTZ AMBULANCE 01/31/17 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 434 17WC 04622 KOHN, ROBERT IL DEPT OF TRANSPORTATION 09/27/15 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 435 17WC 04687 TYLKA, MICHAL M & K TRUCK CENTERS 07/03/14 ROSS TYRRELL HOLECEK & ASSOCIATES 436 17WC 04729 ORTIZ, THANIA CALIFORNIA GARDENS NURSIN 01/18/17 BUDIN LAW OFFICES MCCABE KIRSHNER PC 437 17WC 04755 CERVANTES, JUAN L TIFFANY MATTRESS 01/20/17 SALVATO & O'TOOLE 438 17WC 04769 MURPHY, PETER RC HOME MAINTENANCE INC 10/09/16 439 17WC 04822 MINAO, ALBERT MEDPRO 02/07/17 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 440 17WC 04877 BOYLE, RICHARD A CITY OF CHICAGO 12/03/16 CHRISTY & CHRISTY CITY OF CHICAGO 441 17WC 04941 WILSON, CORLISS LLP HEALTH CARE SERVICES 01/23/61 SALVATO & O'TOOLE 442 17WC 05148 SULTANKHODZHAEV, DASTAN FLASH CAB CO 01/01/17 LAW OFFICES YEVGENIY VAYSM 443 17WC 05213 CASTANEDA, TAMARA ARAMARK SERVICES INC 01/13/17 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 444 17WC 05255 BUCHANAN, FREDERIC G CITY OF CHICAGO, DEPARTME 11/16/16 BOWMAN & CORDAY CITY OF CHICAGO 445 17WC 05415 TERRY, MARK ELITE STAFFING 01/26/17 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 446 17WC 05450 BOCCIA, JOSEPH CITY OF CHICAGO 12/09/16 KARCHMAR & STONE LEAHY EISENBERG & FRAENKEL 447 17WC 05501 MORENO, JORGE SHAW'S CRAB HOUSE 01/13/15 JONATHAN SCHLACK NOBLE & ASSOCIATES PC 17WC005502 -C 448 17WC 05537 HEFFERNAN, BRAIN CITY OF CHICAGO DEPT OF T 02/03/17 CULLEN HASKINS NICHOLSON 449 17WC 05559 STAMPS, MARSHA CHICAGO PUBLIC SCHOOLS 09/25/15 DWORKIN AND MACIARIELLO 450 17WC 05612 NORIEGA, LUIS A PACE NORTHWEST 02/24/14 451 17WC 05655 THOMAS, DAPHNE J CITY OF CHICAGO, DEPT OF 02/07/17 COHN LAMBERT RYAN & SCHNEI 452 17WC 05692 AGLE, BRIAN ORLAND FIRE PROTECTION DI 02/02/17 CULLEN HASKINS NICHOLSON 453 17WC 05793 ROZSIVAL, MICHAL CHICAGO BLACKHAWKS HOCKEY 01/25/17 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 454 17WC 05980 SOTO, GERMAN CARRILLO METRO STAFF INCORPORATED 02/15/17 COSTA IVONE LLC FRANCIS J DISCIPIO LAW OFFIC 455 17WC 06103 FORTINEAUX, MAREK NICOR 12/05/16 STEPHAN L. HOFFMAN MACIOROWSKI SACKMANN & ULRIC 456 17WC 06148 COLLINS, JORDAN SWISSPORT USA INC 12/26/16 DISPARTI LAW GROUP PA COSTA IVONE LLC 457 17WC 06178 SHANNON, QUINTON MEDIZ WORKFORCE 02/02/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 458 17WC 06196 DIAZ, JULIO CESAR CHICAGO STEEL WELDING 01/05/17 GONZALEZ LAW GROUP JAMES M GERAGHTY 459 17WC 06282 PENDLETON, DEBRA JOHN H STROGER JR HOSPITA 09/24/15 ROGER D RUDICH LTD STATES ATTORNEY OF COOK COUN 460 17WC 06317 ZAID, RAJA CHICAGO CARRIAGE CAB 07/11/16 FINE, MARK S LAW OFFICES 461 17WC 06356 ZIENTEK, JENA LOYOLA UNIVERSITY MEDICAL @ 09/23/16 LAW OFFICE OF SCOTT B SHAP 462 17WC 06435 HARRINGTON, DANYELL SMG FOOD & BEVERAGE, LLC 02/23/17 RITTENBERG & BUFFEN 463 17WC 06466 MANEY, KEITH L SR UNITED RD SERVICES 10/29/16 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 464 17WC 06547 STADNYCHUK, MYKOLA REMODLERS SUPPLY CNTR DIV 02/06/17 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 465 17WC 06578 ANGELES LEON, MARIA UNITED SERVICES COMPANY 02/03/17 RUEDA, IVAN A RUSIN & MACIOROWSKI LTD 466 17WC 06722 O'SHAUGHNESSY, SANDRA J JEWEL FOODS, INC 06/16/16 FIGLIOLI, DAVID 467 17WC 06817 HERNANDEZ, MARIA LAND O FROST 02/22/17 468 17WC 06837 WENZ, MATTHEW ABT ELECTRONICS & APPLIAN 12/08/16 THERMAN LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 469 17WC 06865 LAUER, KENNETH CITY OF CHICAGO/ 02/17/17 WHITESIDE & GOLDBERG LTD 470 17WC 06880 GAZLAY, GLORIA UNITED AIRLINES INC 01/03/17 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 471 17WC 06933 OAKLEY, HOLLY ABBOTT MOLECULAR INC 12/23/16 CZAPLA LAW 472 17WC 06966 DENISON, LESLIE JEWEL OSCO STORES 12/18/14 KATZ FRIEDMAN EAGLE ET AL 473 17WC 07033 OUSLEY, LAKENYA SCHWAB REHAB HOSPITAL 01/04/17 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 474 17WC 11427 CARAWAY, MEGAN AMERICAN AIRLINES 12/10/16 SAUNDERS CONDON & KENNY 475 17WC 11590 MELLER, JULIE ROBERT MORRIS UNIVERSITY 09/02/15 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 476 17WC 13637 CURTIS, LATEESHA M AMAZON 05/02/17 FRIEDMAN & SOLMOR LTD 477 17WC 13690 STEWART, ORLANDO ST MARTHA MANOR 05/27/16 DAVID W MARTAY GALLIANI DOELL & COZZI LTD 478 17WC 13706 CAMACHO, JORGE H. INTERMODAL REPAIRS SERVIC 10/16/15 SALK, STEVEN B & ASSOC LTD THOMAS & PORTELA 479 17WC 13727 HOLM, WILLIAM BILL CONNORS TRANSPORTATION CO 10/25/16 JOHN E LUSAK 480 17WC 13832 BUTLER, GREGORY VETERANS DISTRIBUTION-HIL 04/03/17 ANGELINI & ORI LLC INMAN & FITZGIBBONS 17WC013833 -C 481 17WC 13882 BARWEGEN, CINDY R ADVOCATE GOOD SHEPHERD HO 12/18/16 LAW OFFICE DAVID W CLARK NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 482 17WC 13913 GEORGE, VIRGIL SEGUIN SERVICES INC 05/01/17 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 483 17WC 13934 JAIMES, LORENZO WALGREENS 03/30/17 EPSTEIN, JACK R LAW OFFICE 484 17WC 14014 MORRIS, JAMES TENET CONCEPTS LLC 09/16/16 ANKIN LAW OFFICE INMAN & FITZGIBBONS 485 17WC 14189 GALLEGOS, TERESA LAND O' FROST 03/14/17 CIARDELLI CUMMINGS CAMPAGN 486 17WC 14284 HENKELS, RANDALL CMI DISTRIBUTION 02/14/17 STROM, NEAL B HOLECEK & ASSOCIATES 17WC028337 -C 487 17WC 14317 MAKA, JAN ABO CONSTRUCTION INC 04/06/17 PETER D CORTI LAW GROUP GAROFALO SCHREIBER STORM 488 17WC 14339 LOFTMAN-DAVIS, MARIKA STATE OF IL LUDEMAN @ 05/01/17 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 489 17WC 14420 MITTLER, DANIEL LOHRE PAINTING 03/15/17 SLAVIN & SLAVIN 490 17WC 14423 FINNEY, LEONARD TYSON FOODS INC 04/03/17 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 491 17WC 14482 BYRD, YAHALOM HAYES-GIBSON INT & LENZY 01/16/17 COSTA IVONE LLC RIPES NELSON BAGGOT KALOBRAT 492 17WC 14696 GARCIA, GONZALO OSI INDUSTRIES 05/08/17 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 493 17WC 14720 PALMA, CONSTANTINA BWAY CORPORATION 12/01/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 494 17WC 14744 HERNANDEZ, SANDRA WEBER STEPHENS PRODUCTS 01/10/17 LAW OFFICE OF SCOTT B SHAP JOSEPH MARCINIAK 495 17WC 14927 BRADLEY, JIMMY DENTON CARTAGE TRUCKING C 04/28/17 ANGELINI & ORI LLC 496 17WC 14990 DOROBA, FRANK ORKIN 03/08/17 PETER D CORTI LAW GROUP BRADY CONNOLLY & MASUDA PC 497 17WC 15145 RAAB, MARGARET CHICAGO BOARD OF EDUCATIO 01/10/17 MARC S. MAYER & ASSOCIATES LAW DEPARTMENT 498 17WC 15165 DUMANLANG, DENNIS TOTAL AIRPORT SERVICES 05/05/17 FISHER & LAMONICA 499 17WC 15209 DIMPFL, WILLIAM SERVICE CORP INTL 03/31/16 SALVATO & O'TOOLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 500 17WC 15222 DYSON, DARLENE M COOK DUPAGE TRANSPORTATIO 05/19/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 501 17WC 15240 PEREZ, TIMOTHY COOK CNTY DEPT OF CORRECT 04/06/16 MC HARGUE & JONES STATES ATTORNEY OF COOK COUN 502 17WC 15343 CARABALLO, PATRICIA MUCH SHELIST, P.C. 05/05/17 DWORKIN AND MACIARIELLO 503 17WC 15408 MONTANA, DENNIS YRC 04/03/17 JASINSKI, GEORGE J HENNESSY & ROACH PC 504 17WC 15556 SAMPSON, SHARON NEXUS EMPLOYMENT SOLUTION 05/07/17 THE ROMAKER LAW FIRM 505 17WC 15628 KUREK, THOMAS CHICAGO TEMPERED GLASS IN 05/18/17 ALEKSY BELCHER BRADY CONNOLLY & MASUDA PC 506 17WC 15672 REARDON, JOAN INGALLS MEMORIAL HOSPITAL 04/09/17 CUDA LAW OFFICES 507 17WC 15696 VEGA, CESAR ITALIA MARBLE & TILE INC 04/17/17 COSTA IVONE LLC COZZI & GOGGIN-WARD 508 17WC 15741 RODRIGUEZ, JUAN SHERWIN WILLIAMS 07/26/16 BRUSTIN & LUNDBLAD LTD GANAN & SHAPIRO 509 17WC 15818 VILLEGAS, HERMINDA EDSAL MANUFACTURING CO IN 12/27/16 CHEPOV & SCOTT LLC 510 17WC 15876 SALGADO, TOMAS GENERATION BRANDS HOLDING 03/15/17 RUEDA, IVAN A 511 17WC 15915 FEARON, ELLEN CHICAGO BOARD OF EDUCATIO 05/16/17 LEO ALT CHGO BOARD OF EDUCATION 512 17WC 15955 GUERRERO, ALICIA F MCDONALD'S 02/25/17 CULLEN HASKINS NICHOLSON 513 17WC 15993 TLAPANCO, ROMULO SPECIALIZED STAFFING 11/29/16 EPSTEIN, JACK R LAW OFFICE SPIEGEL & CAHILL, PC 514 17WC 16033 JOHNSON, NATHANAEL AMBAR I NC 07/29/16 RICHARD O. GREENFIELD WIEDNER & MCAULIFFE LTD 515 17WC 16049 ECKELS, KIMBERLEE H CLEARBROOK 04/19/17 CRONIN & PETERS ACCIDENT FUND HOLDINGS 516 17WC 16184 RIX, JONATHAN UBER EATS 03/01/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 517 17WC 16205 WYMAN, EDGAR AAR CORP 09/29/16 CUDA LAW OFFICES GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 518 17WC 16276 MIXON, DE'JHANICE CHICAGO TRANSIT AUTHORITY 04/25/17 ERIC M GLASSON & ASSOCIATE CHICAGO TRANSIT AUTHORITY 519 17WC 16528 CALVACHE, JESUS PARAMOUNT STAFFING 08/03/15 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 520 17WC 16585 DAVIS, RICARDO S R & L CARRIERS AND SHARED 05/10/17 ANKIN LAW OFFICE SLAVIN & SLAVIN 17WC016586 -C 521 17WC 16635 MCFADDEN, MARILYN PREMIER HOME HEALTHCARE 04/10/17 MARC J SHUMAN & ASSOCIATES 522 17WC 16682 ARMENTA, VICTOR CITY FOOD 04/24/17 MC HARGUE & JONES CAPUANI, FRANK S 523 17WC 16709 CORONA, JAVIER THE CUSTOM COMPANY 04/11/16 COSTA IVONE LLC 524 17WC 16785 GALAN, DIANE COOK COUNTY SHERIFF'S 05/22/17 SMOLER LAW OFFICE, PC STATES ATTORNEY OF COOK COUN 525 17WC 16878 VILLAGOMEZ, CARLOS NAF NAF GRILL 05/22/17 POMPER & GOODMAN HOLECEK & ASSOCIATES 526 17WC 20528 DILLARD, SHERMAN CITY OF CHICAGO HEIGHTS 06/17/15 BOWMAN & CORDAY DEL GALDO LAW GROUP LLP 527 17WC 23435 KINSLOW, ADAM RED LOBSTER MANAGEMENT, L 07/18/17 LAW OFFICE NICHOLAS H. MIH BRYCE DOWNEY & LENKOV LLC 528 17WC 23467 MARTIN, LESLIE UCAN ACADEMY 07/20/17 CAPRON & AVGERINOS PC BRADY CONNOLLY & MASUDA PC 529 17WC 23521 ALAGNA, PETER WILL COOK COUNTY 05/04/15 COVEN LAW GROUP HINSHAW & CULBERTSON 530 17WC 23590 JONES, MORRIS UNITED AIRLINES 06/18/17 VASILATOS & COTTER LLC WIEDNER & MCAULIFFE LTD 18WC014001 -C 531 17WC 23640 GALLEGOS, MARDONIO AMERICAN GRINGING & MACHI 07/17/17 ANKIN LAW OFFICE 532 17WC 23659 ANKARLO, STEVE CHICAGO HEIGHTS POLICE DE 07/02/17 COVEN LAW GROUP PETERSON JOHNSON & MURRAY 533 17WC 23678 RODRIGUEZ, JAVIER CHICAGO BOARD OF EDUCATIO 10/18/16 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 534 17WC 23693 GOODLOE, PATRICIA WALMART 08/01/17 HERRERA LAW CENTER QUINTAIROS PRIETO WOOD & BOY 535 17WC 23730 DELL-PETERSON, MONIQUE ILLINOIS TOLLWAY 12/02/16 SKLARE LAW GROUP GANAN & SHAPIRO 17WC025747 -C 536 17WC 23744 PATEL, JAYANTIBHAI K. DUNKIN DONUTS OF AMERICA, 04/16/17 BAUM RUFFOLO & MARZAL LTD 537 17WC 23808 ZIRETTE, JAMILA JEWEL FOOD STORES, INC. 07/01/17 FISHER & LAMONICA 538 17WC 23821 MUGHUL, FAISAL DHL EXPRESS 12/29/16 LEONARD LAW GROUP LLC 539 17WC 23839 MERRITT, GLORIA CHICAGO YOUTH PROGRAM 05/10/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 17WC023918 -C 540 17WC 23866 BARNETT, LISA CITY OF CHICAGO, DEPART O 06/14/17 HORWITZ HORWITZ & ASSOC 541 17WC 23883 DOCKUM, JOHN C LOYOLA UNIVERSITY MEDICAL 11/23/16 ANESI OZMON RODIN NOVAK KO LORENZ & BERGIN PC 542 17WC 23902 ERCEG, JORGE ST ANDREWS GOLF AND COUNT 08/03/17 CHEPOV & SCOTT LLC INMAN & FITZGIBBONS 543 17WC 23920 PATLAN, MARIA BRENTWOOD SUB-ACUTE 07/16/17 DWORKIN AND MACIARIELLO 544 17WC 23968 ENRIQUEZ, GEORGINA CASAS ALL-STATE INDUSTRIES, INC 10/26/16 DIBELLA LAW FIRM PC 545 17WC 24016 MANZON, HAROLD UNITED AIRLINES, INC 02/05/17 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 18WC008415 -C 546 17WC 24030 GREEN, KAREN THORNTON TOWNSHIP 05/15/17 GRECO, MICHAEL J RUSIN & MACIOROWSKI LTD 547 17WC 24128 MCKINNEY, JAMES H CALMARK GROUP, LLC 05/10/17 KOSIN LAW OFFICE LTD 548 17WC 24151 RENTERIA, IRENE EL POLLO CRIS CRIS 07/20/17 RUEDA, IVAN A NYHAN BAMBRICK KINZIE & LOWR 549 17WC 24217 MCCANN, JENNIFER VILLAGE OF THORNTON FIRE 10/13/16 O'CONNOR LAW GROUP LLC 550 17WC 24243 LEWIS, CHERISSE COOK COUNTY CLERK OFFICE 04/01/17 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 551 17WC 24343 KIRK, FELICIA METRO SOUTH HOSPITAL 07/22/17 TAMVAKIS, GEORGE L 552 17WC 24406 GONZALEZ-URIBE, MARIA LEGENDARY BAKING, 08/10/15 DWORKIN AND MACIARIELLO 17WC024407 -C 17WC024408 -C 17WC024409 -C 553 17WC 24424 BROOKS, ERIC CITY OF CHICAGO 07/19/17 EDWIN REYES LEGAL GROUP 554 17WC 24452 DOMINGUEZ, HECTOR TBS PROPERTIES, LLC 07/16/17 KAT0Z FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 555 17WC 24469 SALGADO, FELIPA WARWICK ALLERTON-CHICAGO 03/31/17 HERRERA LAW CENTER WOLFE & JACOBSON, LTD 556 17WC 24499 KELLY, SEAN COOK COUNTY RISK MANAGEME 08/09/17 WHITESIDE & GOLDBERG LTD 557 17WC 24537 CHAPMAN, MICHAEL INFANT JESUS OF PRAGUE PA 06/01/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 558 17WC 24572 FOUGHALI, HOCINE GEORGIA NUT COMPANY 07/03/17 LAW OFFICES ROBERT WARSASK 559 17WC 24588 COBBINS, CHERESSE HALSTED PHARMACY, INC 08/08/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 560 17WC 24634 TOBEL, STEVEN PJ'S EXCAVATING SEWER & W 07/06/17 THOMAS W DUDA ACCIDENT FUND HOLDINGS 561 17WC 24672 TRIPLETT, LANELL CHICAGO PARK DISTRICT 09/09/16 LEONARD LAW GROUP LLC CHICAGO PARK DIST LAW DEPT 562 17WC 24697 CANALES, PEDRO REYES DECORATING 07/28/17 EPSTEIN, JACK R LAW OFFICE 563 17WC 24730 PINA, YNOCENCIO THE ELI'S CHEESECAKE COMP 08/13/16 ANESI OZMON RODIN NOVAK KO 564 17WC 24775 TEDMON, CHRISTOPHER SWISSPORT USA INC 08/18/17 TAXMAN POLLOCK KNELL & O'CONNOR 565 17WC 24811 DIAL, CHRISTOPHER SATELLITE AIR-LAND MOTOR 06/23/16 RANDALL A. WOLFF & ASSOC 566 17WC 24836 GORDON, JIMMY ARENA ONE FOOTBALL LLC 06/20/15 GORDON LAW OFFICES LTD 567 17WC 24870 HARRINGTON, ANTWAN FEDERAL EXPRESS CORP 08/12/17 RITTENBERG & BUFFEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 568 17WC 24920 ESCO, JAMES E. POWER STOP LLC 08/12/17 ANKIN LAW OFFICE 569 17WC 24938 LUNA, JAVIER GOMEZ SHELL SERVICE CENTE 02/14/17 SOSTRIN AND SOSTRIN PC ALLEN & NEWMAN 570 17WC 24955 LEVIN, MYRA SERVICE CORPORATION 10/22/14 VASILATOS & COTTER LLC 571 17WC 24996 BIBBS, SONYA FREE ENTERPRISE SYSTEM 08/06/17 ASHER, RAYMOND L LTD COZZI & GOGGIN-WARD 572 17WC 25069 BROWNLEE, TANETTA DIY GROUP INC 06/14/16 DWORKIN AND MACIARIELLO 573 17WC 25213 CRUZ, FRANCISCO SUGAR FACTORY 08/17/17 SALK, STEVEN B & ASSOC LTD 574 17WC 25236 MORROW, THOMAS G2K LOGISTICS 08/21/17 DWORKIN AND MACIARIELLO 575 17WC 25263 ESCALERA, HUMBERTO CTA 08/26/17 GARDI & HAUGHT 576 17WC 25302 JACKSON, LAKECIA THE UNIVERSITY OF CHICAGO 08/10/17 BRIAN J MC MANUS & ASSOC, MACIOROWSKI SACKMANN & ULRIC 577 17WC 25320 LITTLE, EMANUEL COOK COUNTY CLERK OF COUR 08/07/17 GERRY LAW FIRM STATES ATTORNEY OF COOK COUN 578 17WC 25341 CRUZ, MARCELINO DEPENDABLE STAFFING GROUP 06/29/17 HERRERA LAW CENTER LITCHFIELD CAVO 579 17WC 25365 ROJAAS, SANDRA PSSI-PACKERS SANITATION 11/22/15 GOLDSTEIN BENDER & ROMANOF 580 17WC 25423 GARCIA, GUILLERMINA LCV STAFFING 08/21/17 SALVATO & O'TOOLE GAROFALO SCHREIBER STORM 581 17WC 25456 ROSENTHALL, JOSEPH GRT TRANSPORATION 08/28/17 COSTA IVONE LLC 582 17WC 25477 MILLER, JORDAN ARENA FOOTBALL ONE, LLC 05/21/17 GORDON & CENTRACCHIO LLC GORDON LAW OFFICES LTD 583 17WC 25562 FOSTER, SEAN D CHILDREN'S HOME AND AID 05/06/17 LEE, MARK N LAW OFFICE 584 17WC 25681 HAMILTON, ANTOINETTE CHICAGO TRANSIT AUTHORITY 08/18/17 VRDOLYAK LAW GROUP LLC VRDOLYAK LAW GROUP LLC 585 17WC 25704 WILSON, RICHARD ARYZTA, LLC 08/08/17 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 586 17WC 25721 RIOS, BENITO A TOYOTA TSUSHO AMERICA INC 12/03/16 LAW OFFICES DEBORAH SCHAEF 587 17WC 25802 VAZQUEZ, JOANNA NORWEGIAN AMERICAN HOSPIT 05/29/17 WHITESIDE & GOLDBERG LTD 588 17WC 25848 WRIGHT, SAMUEL UBER 07/05/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 589 17WC 25879 KUS, NEWMAN NESTLE WATERS 06/05/17 BOGUSZ & BOGUSZ LTD NYHAN BAMBRICK KINZIE & LOWR 590 17WC 25903 TILLMAN, ROBERT L CITY OF CHICAGO DEOT OF 06/23/17 ANKIN LAW OFFICE 591 17WC 25922 XIE, QIANG WU'S HOUSE 05/02/17 KELLY & KING COZZI & GOGGIN-WARD 592 17WC 25924 SCOTT, DONESHA JAMILA RICH PRODUCTS CORP 04/07/17 PETER D CORTI LAW GROUP HOLECEK & ASSOCIATES 593 17WC 25961 ALVAREZ, MIGUEL SRU ELECTRIC 07/06/17 CULLEN HASKINS NICHOLSON GRANT & FANNING 594 17WC 26027 JOHNSON, ANDRE CHICAGO PUBLIC SCHOOLS 06/20/17 RUBENS AND KRESS 595 17WC 26038 EDWARDS, PATRICIA EVANSTON TOWNSHIP HIGH SC 07/05/17 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 596 17WC 26059 AYALA, JOSE BONIFACIO MO2 PROPERTIES LLC W 08/25/17 CHEPOV & SCOTT LLC WOLFE & JACOBSON, LTD 597 17WC 26095 DE LO SANTO, JULIO SCRUB INC 03/02/17 JAMES ELLIS GUMBINER & ASS 598 17WC 26141 OWENS, DAVID WHOLE FOODS MARKET 07/09/17 HORWITZ HORWITZ & ASSOC 599 17WC 26162 MADRIGAL, RIGOBERTO WORLD'S FINEST CHOCOLATE 07/12/17 RUEDA, IVAN A 600 17WC 26255 NIETO, RICARDO ON OFF HOSPITALITY GROUP 08/05/17 HERRERA LAW CENTER 601 17WC 26320 GADBOW, ROBERT CINTAS CORPORATION 07/10/17 LAW OFFICE OF LAURA A CHIL POWER & CRONIN LTD 602 17WC 26943 RIVERA, JOSE L CITY OF CHICAGO 06/22/17 VITELL & SPITZ LTD 603 17WC 32944 ROMO, ALEJANDRO INFINITY TRAILER REPAIR 10/01/17 HERRERA LAW CENTER HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 604 17WC 33002 TORRES, MARIA KARAVITES RESTAURANT 26,I 07/16/17 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 605 17WC 33040 BANYAMIN, GLADES RGB, INC 07/11/17 ANESI OZMON RODIN NOVAK KO 606 17WC 33074 SAWYER, USHER III COOK COUNTY HIGHWAY DEPT @ 11/03/16 ELFENBAUM EVERS & AMARILIO 607 17WC 33096 ROBINSON, APRIL CTA 10/21/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 608 17WC 33118 SWIENTEK, NICHOLAS CHICAGO PARK DISTRICT 03/31/17 DANIEL PERIASWAMY CHICAGO PARK DIST LAW DEPT 609 17WC 33175 JAMES, SANDRA CHILDREN'S HOME AND AID 09/24/17 LEE, MARK N LAW OFFICE ACCIDENT FUND HOLDINGS 610 17WC 33225 DEMICHEL, DENISE COOK COUNTY SHERIFF DEPT 09/06/17 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 611 17WC 33250 SABA, MICHAEL CHICAGO TRANSIT AUTHORITY 09/08/17 HEALY SCANLON LAW FIRM CHICAGO TRANSIT AUTHORITY 612 17WC 33278 GARCIA, OMAR RICH PRODUCTS CORP. 02/19/16 LEONARD LAW GROUP LLC GILDEA & COGHLAN 613 17WC 33292 JAMAL, MUHAMMAD VEEN TAXI INC 10/20/17 FISHER & LAMONICA 614 17WC 33311 LINCOLN, NICOLE CCHSD #160 10/31/17 ARGIONIS & ASSOCIATES LLC MEACHUM & STARCK 615 17WC 33346 WATSON, DENISE GATE GOURMET 11/07/17 RUSIN & MACIOROWSKI LTD 616 17WC 33369 DAVIS, ROBERT GREAT LAKES COCA-COLA 07/11/17 ASHER, RAYMOND L LTD NYHAN BAMBRICK KINZIE & LOWR 18WC014214 -C 617 17WC 33399 BOLDEN-SMITH, LILLIAN ADDUS HOME 10/21/17 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 618 17WC 33452 OMEROVIC, DENIS GREYSTAR 10/03/17 DWORKIN AND MACIARIELLO 619 17WC 33576 PATTERSON, SHELDON STAFF RIGHT AND QUINCY 11/01/17 THOMAS R LICHTEN 620 17WC 33611 BERMUDEZ, ELVA FLYING FOOD GROUP, LLC. 11/05/17 SALK, STEVEN B & ASSOC LTD GRANT & FANNING 621 17WC 33636 GROVE, BRIAN D POWER STOP, LLC 09/15/17 LAW OFFICE OF DAVID CLOUGH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 622 17WC 33697 BROWN, LEBRYANT RUSH UNIVERSITY MEDICAL C 09/27/17 WHITESIDE & GOLDBERG LTD 623 17WC 33728 LOSOS, DEBORAH SOUTHWEST AIRLINES 09/14/17 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 624 17WC 33785 VELAZQUEZ, YOLANDA CITY OF CHICAGO 10/25/17 BURNETT & CARON, LTD 625 17WC 33854 RICKS, DARIUS SOUTHWEST AIRLINES 09/07/17 RONALDSON & KUCHLER 626 17WC 33879 GARDNER, TERRENCE PROVISO TOWNSHIP HIGH SCH 10/28/17 HEALY SCANLON LAW FIRM ANCEL GLINK DIAMOND BUSH & E 627 17WC 33894 SINNATHURAI, MURUGANADARA JEWEL (WILMETTE) 09/17/17 ELFENBAUM EVERS & AMARILIO 628 17WC 34027 PATTERSON, SHEILA JJ MADDEN 09/28/17 EDWIN REYES LEGAL GROUP ALYSSA SILVESTRI 629 17WC 34074 GONZALEZ HERNANDEZ, JUAN WORLD CLEANING SVCS, INC 09/19/17 JAMES M GERAGHTY BRYCE DOWNEY & LENKOV LLC 630 17WC 34100 ABUBAYEH, ANAN LCV STAFFING 11/06/17 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM 631 17WC 34198 HOFFMAN, MICHAEL R ECOLAB, INC 12/01/16 BUDIN LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 632 17WC 34241 IZAGUIRRE, FERNANDO CHICAGO TRANSIT AUTHORITY 10/20/17 COHN LAMBERT RYAN & SCHNEI 633 17WC 34262 KUZMA, KEITH FORD MOTOR CO 11/12/17 KREITER, BYCK & ASSOC LLP WIEDNER & MCAULIFFE LTD 634 17WC 34317 MAGURNO, MARCELA CHICAGO AM TRANSPORTATION 10/05/17 HERRERA LAW CENTER 635 17WC 34336 HENDERSON, AHKEEM EMPIRE FILMS INC 10/24/17 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 636 17WC 34377 EMMANUEL, ADESHINA O SUN TAXI 11/03/17 LAW OFFICE OF SCOTT B SHAP 637 17WC 34386 SCHOEPKE, DAVID U-HAUL 06/06/17 FINE, MARK S LAW OFFICES RUSIN & MACIOROWSKI LTD 638 17WC 34398 CORTES, JOSE FUTURE STAFFING 11/09/17 ENCINAS & ORNELAS COZZI & GOGGIN-WARD 639 17WC 34445 SMITH, VIVIAN O'HARE AIRPORT/ARIES BUS 09/17/17 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 640 17WC 34468 MC BRIDE, MARGARET P WALGREENS CO 06/21/17 ANKIN LAW OFFICE 641 17WC 34529 PERRINO, EMANUEL EVANSTON FIRE DEPT 03/13/15 HUGHES SOCOL PIERS RESNICK WIEDNER & MCAULIFFE LTD 642 17WC 34581 ALCANTAR, ANTHONY H FISHER PRINTING 10/20/17 GOLDSTEIN BENDER & ROMANOF 643 17WC 34606 BUCHMEIER, LOREN CITY OF BERWYN 11/07/16 CHRISTINE F DAVID CUDA LAW OFFICES 644 17WC 34628 MENDEZ, ISMAEL EURO COLLISION 11/20/17 COSTA IVONE LLC 645 17WC 34652 MC ADORY, JACQUELINE ADDUS HEALTH CARE 09/11/17 CHARLES LEVY & ASSOC LTD 646 17WC 34703 ALPHONSE, LANTANYA CTA 07/29/16 LAW OFFICE JOSHUA KARMEL CHICAGO TRANSIT AUTHORITY 647 17WC 34748 PEREZ, BEATRIZ JUNO LIGHTING GROUP 06/16/17 LAW OFFICES KRISTEN M KOZL SLAVIN & SLAVIN 648 17WC 34802 HARKINS, JAMES VILLAGE OF ARLINGTON HEIG 01/02/16 COLLISON LAW OFFICES MACIOROWSKI SACKMANN & ULRIC 649 17WC 34816 ANDERSON, PAULETTE AMERICAN AIRLINES INC;AME 03/18/16 GRAUER & KRIEGEL LLC 650 17WC 34909 KOCH, CHESTER COOK COUNTY RISK MGMT 11/06/17 WHITESIDE & GOLDBERG LTD 651 17WC 34953 GOMEZ, JOSE LUIS H&S CABINETS LLC 09/21/17 HERRERA LAW CENTER QUINTAIROS PRIETO WOOD & BOY 652 17WC 34978 VESELI, TEFIKE ASHA SALON & SPA 05/24/16 SCOTT BARBER JOSEPH MARCINIAK 653 17WC 35028 MORALES, NORMAN JF LABS, INC 09/14/17 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM 654 17WC 35042 MOORE, VINCENT THE HABITAT CO, LLC 11/16/17 ROSENFELD HAFRON SHAPIRO F LAW OFFICES JOSEPH MARCINIAK 655 17WC 35068 HUMMEL, RICHARD DARLING INGREDIENTS 09/29/17 CIFELLI SCREMENTI & DORE QUINN JOHNSTON HENDERSON ETA 656 17WC 35088 MCKINNEY, CHARMANE FORD MOTOR CO CHICAGO STA 10/29/16 DWORKIN AND MACIARIELLO 657 17WC 35124 LOPEZ, ARTURO CORAL REEF ROSELLE INC 08/21/17 ROMANUCCI & BLANDIN RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 658 17WC 35196 ROZSIVAL, MICHAL CHICAGO BLACKHAWKS HOCKEY 01/16/15 GORDON LAW OFFICES LTD 659 17WC 35213 PADILLA, JAIME FRANCESCA'S RESTURANTS LL 07/21/17 ANKIN LAW OFFICE 660 17WC 35236 GOLDEN, DWIGHT KOCK FOODS 10/15/17 JAMES ELLIS GUMBINER & ASS BRYCE DOWNEY & LENKOV LLC 661 17WC 35256 BOGDANOV, IVAN CASSENS TRANSPORT CO 11/03/17 CULLEN HASKINS NICHOLSON KNAPP, OHL & GREEN 662 17WC 35306 TERRY JR, MARK NICHOLAS ELITE STAFFING INC 10/02/17 POMPER & GOODMAN BRADY CONNOLLY & MASUDA PC 663 17WC 35322 BALL, DONALD L CITY OF CHGO DEPT OF WATE 10/11/17 KOSIN LAW OFFICE LTD 664 17WC 35362 UDROW, KEVIN COOK COUNTY SHERIFF'S DEP 10/08/17 KARCHMAR & STONE STATES ATTORNEY OF COOK COUN 665 17WC 35380 HERMAN, DIONNDREA SOUTH SUBURBAN REHAB CENT 09/15/17 FRIEDMAN & SOLMOR LTD 666 17WC 35399 GRAZIANO, AARON MARIANO'S 11/23/17 667 17WC 35426 JENNER, EDWARD O'HARE CAB CO. 10/29/17 HUNER LAW OFFICES LLC 668 17WC 35493 AGUILAR, JUAN EMA GROUP, INC 11/15/17 ACEVES & PEREZ PC 669 17WC 35511 VEGA, ISAIAH IL STATE POLICE @ 11/20/17 FIGLIOLI, DAVID ALYSSA SILVESTRI 670 17WC 35541 MARTINEZ, MARITZA HARVARD MAINTENANCE 11/20/17 SEIDMAN MARGULIS & FAIRMAN GAIDO & FINTZEN 671 17WC 35563 REDMOND, KEVIN CHICAGO BOARD OF EDUCATIO 05/17/17 SALK, STEVEN B & ASSOC LTD 672 17WC 35652 SKINNER JR, GROVER KOPPERS INC 05/31/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 673 17WC 35675 KARIMI, KAYVON VILLAGE OF HOMEWOOD 11/25/17 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 674 17WC 35696 MUNOZ, HILARIO CASTRO HARVARD MAINTENANCE 10/05/17 COSTA IVONE LLC 675 17WC 35784 DEROSA, JEREMY FIRST PRIORITY RESTORATIO 10/21/17 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 676 17WC 35818 THOMAS, DARRELL SOUTHWEST AIRLINES 10/24/17 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 677 17WC 35864 SOLER, MICHAEL D KENNICOTT BROTHERS 10/18/17 HANNIGAN & BOTHA, LTD WOLFE & JACOBSON, LTD 678 17WC 35888 IBARRA, AMELIA TERRACE MOTEL 11/12/17 HERRERA LAW CENTER 679 17WC 35961 STOKES, MOLLY CTA 11/11/17 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY 680 17WC 35993 MCLAIN, AARON EAGLE SERVICE 10/24/17 SAUNDERS CONDON & KENNY 681 18WC 03614 GALVAN, PABLO J V & V SUPREMO FOODS, INC. 10/13/17 LULAY LAW OFFICES KOPKA, PINKUS DOLIN, PC 682 18WC 03664 GIPSON, CORTEZ MASTERFORM TOOLS 01/22/18 JAMES ELLIS GUMBINER & ASS 683 18WC 03682 WEKONY, BRIAN SYSCO CHICAGO, INC 01/31/18 GOLDBERG WEISMAN & CAIRO L 684 18WC 03705 DAY, JARED SHRED AUTHORITY 09/19/17 ANKIN LAW OFFICE 685 18WC 03751 OSCAR, ALVAREZ A NORTHSIDE IMPORTS INC 10/13/15 EFTEKHARI LAW OFFICES WIEDNER & MCAULIFFE LTD 686 18WC 03827 ARNONI, GINO QUALITY ASSURANCE 12/20/17 GRAZIAN & VOLPE PC POWER & CRONIN LTD 687 18WC 03875 PRIMBAS, SAMUEL CITY OF CHICAGO-FLEET MGM 05/03/16 O'CONNOR & NAKOS 688 18WC 03883 YODER, HEIDI UNITED AIRLINES 10/06/17 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 689 18WC 03890 WHITE, WILLIE DAYTON FREIGHT LINES INC 01/24/18 GOLDSTEIN AIOSSA & GOOD 690 18WC 03905 MCROBERTS, CAROLYN CITY OF CALUMET CITY 01/23/18 COVEN LAW GROUP 691 18WC 03966 LICHTER, MICHAEL MELROSE PARK POLICE DEPT 12/11/17 WOODRUFF & JOHNSON DEL GALDO LAW GROUP LLP 692 18WC 04008 FIGUEROA, PEREZ FOOD & PAPER SUPPLY 01/24/18 BRISKMAN BRISKMAN GREENBER CAPUANI, FRANK S 693 18WC 04029 MONGAN, JOHN CHICAGO PUBLIC SCHOOLS 09/02/17 O'CONNOR & NAKOS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 694 18WC 04055 ARAMBULA, IRMA ALIVIO MEDICAL CENTER 05/04/17 CUDA LAW OFFICES ACCIDENT FUND HOLDINGS 695 18WC 04081 PAGANINI, MARY FAMILY DOLLAR 01/23/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 696 18WC 04133 ROBINSON, NIESHA SMG/SAVOR MCCORMICK PLACE 10/26/17 COYNE REINKE LAW 697 18WC 04149 PEREZ, MARCOS EDSAL MANUFACTURING CO IN 08/17/16 RUEDA, IVAN A 698 18WC 04190 MCGREEVY, RYAN PEOPLES GAS 11/01/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 699 18WC 04212 YOUNG, CARMIKA FORD MOTOR COMPANY 01/15/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 18WC004213 -C 700 18WC 04237 PACK, NOMOYA IL DEPT OF HEALTH SERVICE 01/14/18 CRONIN & PETERS ALYSSA SILVESTRI 701 18WC 04261 SURPRISE, JEFFERY A SYSCO CORPORATION 01/19/18 BRIAN LASSEN HENNESSY & ROACH PC 702 18WC 04291 BALLENTINE, ANTONIO CENTRAL STEEL & WIRE COMP 08/22/16 MEYERS & FLOWERS 703 18WC 04317 GUZMAN, JOSE L UNITED CONTINENTAL HOLDIN 10/13/17 BUDIN LAW OFFICES 704 18WC 04337 VAZQUEZ, GREGORY STATE OF ILLINOIS 02/01/18 FRANCIS J DISCIPIO LAW OFF ALYSSA SILVESTRI 705 18WC 04362 RUVALCABA, SILVIA MC DONALDS 01/09/18 JAMES ELLIS GUMBINER & ASS 706 18WC 04402 DIXON, MICHELLE VILLAGE OF RICHTON PARK 01/13/18 LANNON LANNON & BARR LTD 707 18WC 04438 ROBINSON, GREGORY FURIOUS SPOON LAKEVIEW 01/24/18 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 708 18WC 04458 ROCKETT, WANDA J AMERICAN HERITAGE PROTECT 02/06/18 ANKIN LAW OFFICE 709 18WC 04475 HUMPHREY, JOSEPH CALHOUN TRUCK LINES 02/08/18 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 710 18WC 04491 IBRAHIM, HAMAAS V.J. KILLIAN PLUMBING 01/01/16 DWORKIN AND MACIARIELLO 711 18WC 04538 VILLEGAS, JUAN CARLOS ROY'S MOVERS, INC 07/25/17 ACEVES & PEREZ PC LAWRENCE COZZI - LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 712 18WC 04591 LOPEZ, FRANK UNLIMITED STEEL CONSTRUCT 02/01/18 TAXMAN POLLOCK QUINTAIROS PRIETO WOOD & BOY 713 18WC 04612 GUTIERREZ WENCES, MAYRA R SPECIALTY FINISHING GROUP 12/30/17 JOHN S. ELIASIK HENNESSY & ROACH PC 714 18WC 04643 JAMES, CANDICE CHICAGO TRANSIT AUTHORITY 02/11/18 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 715 18WC 04659 MOLINA, JAVIER DE JESUS MINUTE MEN STAFFING 01/26/18 HERRERA LAW CENTER 716 18WC 04683 WESTON, MEGGAN QUALITY FLOW INC 09/18/14 NYHAN BAMBRICK KINZIE & LOWR 717 18WC 04709 ZAIA, JAMES FITNESS FORMULA CLUBS 06/24/17 GAROFALO SCHREIBER STORM RUSIN & MACIOROWSKI LTD 718 18WC 04759 GONZALEZ, JOSE C GALAXY ENVIRONMENTAL INC 02/07/18 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 719 18WC 04780 HAMPTON, MICHAEL T DOMINO'S PIZZA DBA 02/03/18 ANKIN LAW OFFICE 720 18WC 04838 WILLIAMS, KENNETH CITY OF CHICAGO 11/02/17 COVEN LAW GROUP 721 18WC 04930 ROBERTSON, MONICA COUNTY OF COOK 02/20/15 PETER LIMPERIS STATES ATTORNEY OF COOK COUN 722 18WC 04937 BROWN, BRENDA CHICAGO TRANSIT AUTHORITY 01/22/18 MARC J SHUMAN & ASSOCIATES CHICAGO TRANSIT AUTHORITY 723 18WC 04954 RUPAR, BRANDI ALEXIAN BROTHERS MEDICAL 01/23/18 GRAVLIN, MICHAEL J LLC HENNESSY & ROACH PC 724 18WC 04970 STUMPF, MICHAEL HAMILTON PARTNERS 02/09/18 COVEN LAW GROUP 725 18WC 04985 ALEXANDER-SMITH, MILDRED NORWEGIAN AMERICAN HOSPIT 10/22/17 SEIDMAN MARGULIS & FAIRMAN 726 18WC 05002 SEKLEASE, REBECCA J EGG BASKET 2 INC 03/27/15 RICHARD BINGHAM 727 18WC 05018 MUNOZ, DORIS RENEE CITY OF CHGO STREETS&SANI 10/19/15 SANDMAN LEVY & PETRICH 728 18WC 05041 YOUNG, VIOLA CHICAGO PUBLIC SCHOOLS 01/29/18 WARREN W MARK 729 18WC 05063 HENRY, MIKITA CITY OF CHICAGO, DDS 10/12/17 RITTENBERG & BUFFEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 730 18WC 05089 ZENNER, AUDREY UNIVERSITY OF IL AT CHICA @ 10/01/15 LANGENDORF, ROBERT A 731 18WC 05120 STEVENSON, LARICO ARENA FOOTBALL ONE LLC 07/09/16 GORDON LAW OFFICES LTD GORDON & CENTRACCHIO LLC 732 18WC 05144 COFFEY, MATTHEW COOK COUNTY SHERIFF'S DEP 12/05/17 SANDMAN LEVY & PETRICH STATES ATTORNEY OF COOK COUN 733 18WC 05163 SULLIVAN, BEATRICE ACCESS COMMUNITY HEALTH N 12/26/17 LEONARD LAW GROUP LLC 734 18WC 05180 DELEON, CARLA WENDY'S 12/07/17 COSTA IVONE LLC 735 18WC 05201 BLAIR, DEFINIA NRTHSHORE UNIVERSTY HLTH 12/26/17 BRUCE RAFALSON LTD KEEFE CAMPBELL & ASSOC LLC 736 18WC 05270 AMEZCUA, ARTURO SYSCO CHICAGO INC 02/14/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 737 18WC 05293 OROZCO, JUAN CARLOS CHICAGO TRANSIT AUTHORITY 02/18/18 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 738 18WC 05360 ALVAREZ, MIGUEL CBRE 02/07/18 KROL BONGIORNO & GIVEN LTD 739 18WC 05376 SMITH, DANIEL YRC 02/06/18 LEONARD LAW GROUP LLC 740 18WC 05447 ABBATIELLO, JOHN MORTON GROVE FIRE DEPARTM 10/11/17 RIDGE & DOWNES 741 18WC 05466 MAGPAYO, CRIXENIA COOK COUNTY 08/24/17 DEUTSCHMAN, JEFFREY S STATES ATTORNEY OF COOK COUN 742 18WC 05488 VIRGO, CARL A FORD MOTOR STAMPING PLANT 06/25/17 O'CONNOR & NAKOS 743 18WC 05509 LEWIS, LARRY PALMER HOUSE HILTON 02/08/18 BRISKMAN BRISKMAN GREENBER DENNIS J NOBLE & ASSOC 744 18WC 05550 NASH, MICHAEL HEARTLAND ALLIANCE 01/26/18 DWORKIN AND MACIARIELLO 745 18WC 05630 TORRES, JOSE G EL REY USA MEATS & SEAFOO 11/20/17 GOLDSTEIN BENDER & ROMANOF 746 18WC 05715 DEMKIV, ANZHELA COPENHAGEN COIFFEUR 02/17/18 SANDMAN LEVY & PETRICH GAROFALO SCHREIBER STORM 747 18WC 05753 HALL, CHRISTOPHER ELITE STAFFING 01/01/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 748 18WC 05809 RUSH, SUSAN UNITED AIRLINES 04/10/15 KATZ FRIEDMAN EAGLE ET AL 749 18WC 05833 SANDERS, BARBARA PRESENCE HEALTH ST MARY'S 01/12/18 HORWITZ HORWITZ & ASSOC 750 18WC 05882 GUSMANO, MICHELLE ROCCO'S LITTLE ITALY, INC 02/18/18 GRAVLIN, MICHAEL J LLC BRADY CONNOLLY & MASUDA PC 751 18WC 05920 ROBINSON, CECIL FORD MOTOR COMPANY 03/31/17 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 18WC005921 -C 18WC005922 -C 752 18WC 05957 PELAYO, CRISTINA UNITED AIRLINES 02/18/18 SCOTT B SHAPIRO 753 18WC 06059 SANDOVAL, AGNES J WORLD FINEST CHOCOLATE, I 11/24/16 KATZ FRIEDMAN EAGLE ET AL GRANT & FANNING 754 18WC 06087 EHLIN, DWAYNE ADELMAN'S TRUCK PARTS 12/30/17 STROM, NEAL B WIEDNER & MCAULIFFE LTD 755 18WC 06131 DUCREE, KIMBERLY CHICAGO TRANSIT AUTHORITY 02/08/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 756 18WC 06172 LIDDELL, WILLIAM CHICAGO PUBLIC SCHOOLS 04/14/17 GOLDSTEIN BENDER & ROMANOF 757 18WC 06196 MATA, MANUEL AMERICNA BOTTLING COMPANY 04/20/17 GAROFALO SCHREIBER STORM 758 18WC 06222 HAYNES, SHERMAN PEPSICO 01/04/18 SHANCER, JEFFREY M 759 18WC 06270 LEWIS, ERIK VILLAGE OF BRIDGEVIEW 02/08/18 LEONARD LAW GROUP LLC INMAN & FITZGIBBONS 760 18WC 06332 BAIG, MIRZA AMERICAN AIRLINES 08/05/17 RUBENS AND KRESS ROSARIO CIBELLA 761 18WC 06365 MAINELLIS-HEILMAN, JUDITH HUDSON GROUP 08/29/17 SCHREINER MALLOY & ETZLER HOLECEK & ASSOCIATES 762 18WC 06408 KROL, MARIO BOASSA AMERICAN CORP 12/01/16 ACEVES & PEREZ PC ROBERT RUBIN 763 18WC 06426 GUTIERREZ, PEDRO NORTHWEST STEEL CORPORATI 02/10/17 SIGMOND, STEVEN 764 18WC 06529 DRINKWINE, KENNETH R HARD ROCK CONCRETE CUTTER 11/07/17 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 765 18WC 06547 FINNIGAN, BART COOK COUNTY SHERIFF DEPT 09/16/17 SALK, STEVEN B & ASSOC LTD STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 766 18WC 06595 READY, DEMETRIUS RENT-A-CENTER 01/28/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 767 18WC 06665 WEBSTER, DEBORAH CHICAGO PUBLIC SCHOOLS 01/17/18 THOMAS M. PARIS CHGO BOARD OF EDUCATION 768 18WC 06699 GITTINGS, KIM A WEILAND METAL PRODUCTS IN 10/25/16 ANKIN LAW OFFICE SLAVIN & SLAVIN 769 18WC 06721 STELMASZEK, JOSEPH CITY OF CHICAGO-STREETS & 09/01/17 JOSEPH J SPINGOLA, LTD 770 18WC 06740 HERNANDEZ, MIREYA SCHULZE & BURCH BISCUIT C 12/30/16 MARSZALEK AND MARSZALEK 771 18WC 06818 DURIC, MOE J.C. PENNY CORPORATION 12/14/17 PHILIP BLOMBERG 772 18WC 06852 SMARDZ, JOANNA UNITED CONTINENTAL HOLDIN 11/26/16 BRIAN J MC MANUS & ASSOC, 773 18WC 06879 MARTINEZ CERNA, ROSA M MCDONALD'S OF BERWYN RELO 01/14/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 774 18WC 06922 BERRY, REGINALD OLD VETERAN CONSTRUCTION 04/03/17 PARENTE & NOREM PC GAROFALO SCHREIBER STORM 775 18WC 07994 WITTMAN, FREDERICK UNITED AUTO WORKERS LOCAL # 04/04/16 ALEKSY BELCHER MEACHUM & STARCK 776 18WC 13831 ARITZMENDY, BENJAMIN UNITED REMANUFACTURING 10/23/15 CULLEN HASKINS NICHOLSON 777 18WC 13851 VELEZ, EDUARDO M ECOWIZE 04/12/18 ENCINAS & ORNELAS 778 18WC 13875 MINOR, YOLANDA AUTOZONE 02/08/18 DWORKIN AND MACIARIELLO 779 18WC 13914 SANCHEZ, JULIAN CENTRAL STEEL & WIRE COMP 04/06/18 GALLAGHER, DONALD V 780 18WC 13945 CORTECERO, ANTHONY AMERICAN AIRLINES, INC 04/30/18 PETER D CORTI LAW GROUP 781 18WC 13998 BOURAS, CONSTANTINOS F CHICAGO TRANSIT AUTHORITY 04/24/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 782 18WC 14018 LEACH, JEFF A YRC FREIGHT 12/29/17 LEONARD LAW GROUP LLC 783 18WC 14048 POTTER, TRACY FORD MOTOR CO 10/10/16 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 784 18WC 14103 AGUILAR, SILVIA KOCH FOODS INC/KOCH POULT 09/05/17 COLLISON LAW OFFICES 785 18WC 14129 CRUZ, RICARDO TOOTSIE ROLL INDUSTRIES 04/18/18 DWORKIN AND MACIARIELLO 786 18WC 14146 PALENCIA, JAVIER CENVEO, INC 10/26/17 O'CONNOR & NAKOS DENNIS J NOBEL & ASSOC 787 18WC 14161 WIAFE-ABABIO, NANA UNITED AIRLINES 09/06/17 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 788 18WC 14181 SCHWOLOW, WENDY JEWEL OSCO/NEW ALBERTSONS 02/26/18 STEVEN J TENZER, LTD 789 18WC 14204 APARICIO, VIDAL PEPPER CONSTRUCTION COMPA 03/23/18 BRAD J. BALKE, PC KEEFE CAMPBELL BIERY & ASSOC 790 18WC 14219 HAIMAN, EUGENE COOLEY WIRE 01/23/18 ARGIONIS & ASSOCIATES LLC 791 18WC 14242 BRYANT, LONDONN IL DEPT OF JUVENILE JUSTI @ 02/11/18 KREITER, BYCK & ASSOC LLP 792 18WC 14257 EASON, ZERUIAH W CHICAGO CTR 03/29/18 WILLIAM B MEYERS, LTD GANAN & SHAPIRO 793 18WC 14282 ANTHONY, ERIC PICKENS KANE MOVING & STO 11/03/17 LEONARD LAW GROUP LLC GILDEA, COGHLAN & REGAN LTD. 794 18WC 14332 OSENI, RAMON OZZIE CAB CO 04/22/18 HUNER LAW OFFICES LLC 795 18WC 14403 VEHAB, ARNELA ABM JANITORIAL SVCS 03/14/15 STROM, NEAL B 796 18WC 14444 JACKSON, PATRICIA ALL AMERICAN NURSING HOME 03/18/18 LEONARD LAW GROUP LLC POWER & CRONIN LTD 797 18WC 14501 DYSZYNSKI, THOMAS DE PAUL UNIVERSITY 02/14/18 SOSTRIN AND SOSTRIN PC 798 18WC 14531 KYLES, JENORA SHIRLEY RYAN ABILITY LAB 04/20/18 RUBENS AND KRESS KEEFE CAMPBELL BIERY & ASSOC 799 18WC 14569 BROWN, ALINA VANILLE PATISSERIE 05/03/18 LEONARD LAW GROUP LLC 800 18WC 14583 REIZ, ZEHRA RIDGE MAINTENANCE GROUP I 05/04/18 ANKIN LAW OFFICE MEACHUM & STARCK 801 18WC 14602 PAVLOVYCH, SERGIY V VIKTORIYA WINDOWS INC. 08/12/17 CHEPOV & SCOTT LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 802 18WC 14658 ADOGA, DANIEL GREVENA CORP 05/07/18 FISHER & LAMONICA 803 18WC 14710 JOHNSON, WILEY 2020 COMMUNICATIONS 04/23/18 MC HARGUE & JONES 804 18WC 14731 SEDLACEK, RAYMOND UPS 01/15/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 805 18WC 14748 SOKOLOVA, TATIANA NORTHSHORE UNIVERSITY HEA 05/04/18 COVEN LAW GROUP 806 18WC 14764 SANTIAGO, RAYMOND P CHICAGO PUBLIC SCHOOLS 09/22/17 LEONARD S. BECKER CHGO BOARD OF EDUCATION 807 18WC 14788 HINTON, LOREAL SPEEDWAY 05/01/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 808 18WC 14856 MUFWENE, PATRICIA PARKSHORE ESTATES NURSING 03/22/18 TRAPP & GELLER BRYCE DOWNEY & LENKOV LLC 809 18WC 14905 WHITE, ROBERT JONAS ENTERPRISES INC 01/29/18 GOLDSTEIN AIOSSA & GOOD DENNIS J NOBEL & ASSOC 810 18WC 14951 SCHAEFER, SHERRI ALLIANCE GROUNDINTERNATIO 03/07/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 811 18WC 14968 CALVILLO, SALVADORA DEBBIE'S CUSTOMIZED STAFF 04/09/18 HUGO ORTIZ 812 18WC 15025 DIMITRIJEVIC, JASMINA EVANSTON TOWNSHIP HIGH SC 07/01/16 BRILL & FISHEL 813 18WC 15042 ERWIN, DEBRA J CIBC 01/04/18 WHITESIDE & GOLDBERG LTD 814 18WC 15064 ESPINOSA, BLANCA ENCALADA ROUNDY'S IL LLC DBA MARIA 03/17/18 SALK, STEVEN B & ASSOC LTD BRYCE DOWNEY & LENKOV LLC 815 18WC 15115 CARTER, MICHAEL COOK COUNTY JUVENILE DETE 05/29/15 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 816 18WC 15134 RINKEL, JACLYN LETTUCE ENTERTAIN YOU 09/11/16 JACOBSON & SCHIEFELBEIN DENNIS J NOBEL & ASSOC 817 18WC 15155 SOLID, ANDREW FRITO LAY/PEPSI CO 04/02/18 GOLDSTEIN BENDER & ROMANOF GILDEA & COGHLAN 818 18WC 15176 PRESTON, MALIK FAMILY DOLLAR STORES, INC 05/01/18 PETER D CORTI LAW GROUP 819 18WC 15200 NEWBY, TONYA CTA 05/16/18 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 820 18WC 15215 MARTIN, ROMANA MOTHER/NEX ECHO DIRECT CLEANERS # 05/08/18 GORDON LAW OFFICES LTD 821 18WC 15221 SHAW, PHILLIP TOTAL STAFFING 05/07/18 JAMES ELLIS GUMBINER & ASS KNELL & O'CONNOR 822 18WC 15245 CURTIS, ANTONIA FIRST STUDENT BUS COMPANY 05/09/18 HERRERA LAW CENTER 823 18WC 15287 TETER, LAWRENCE BYLINE BANK 05/22/15 ADLER & ADLER HENNESSY & ROACH PC 824 18WC 15308 HAYNES, LEVERNE STAMPED MEAT INC 05/08/18 ANKIN LAW OFFICE JOHN T GONNELLA 825 18WC 15331 LOPEZ, VINCENT TRANSCENDIA, INC 03/01/18 RUBIN LAW GROUP HENNESSY & ROACH PC 826 18WC 15386 LUCIO, SERGIO ALPHA BAKING 03/04/18 SALK, STEVEN B & ASSOC LTD MACIOROWSKI SACKMANN & ULRIC 827 18WC 15458 MENA, SERAFIN LEONA'S PIZZERIA, INC 05/11/18 RUEDA, IVAN A 828 18WC 15499 NEELY, CHARLES MV TRANSPORTATION 05/15/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 829 18WC 15518 GUARDADO, LUDIN PASTA MIA 04/14/18 AIOSSA LAW FIRM GANAN & SHAPIRO 830 18WC 15543 EDWARDS, TAMALA SUNRISE TRANSPORTATION LL 04/09/18 JONATHAN SCHLACK 831 18WC 15597 TRIMUEL, OMORO CHICAGO TRANSIT AUTHORITY 05/01/18 SANDMAN LEVY & PETRICH CHICAGO TRANSIT AUTHORITY 832 18WC 15638 STEPHENS, MARVIN AMYLU FOODS 05/11/18 ANESI OZMON RODIN NOVAK KO 833 18WC 15655 TRAHEY, KATHLEEN R CHICAGO PUBLIC SCHOOLS 04/30/18 DAVID W MARTAY 834 18WC 15679 MALLET, ANNETTE JOHN H. STROGER 10/20/17 KENNETH B GORE LTD STATES ATTORNEY OF COOK COUN 835 18WC 15690 HARAUS, MARIA THE INLAND GROUP/ 05/05/18 MARTAY LAW 836 18WC 15743 STWARZ, WALTER JR JEWEL OSCO 10/20/17 JOSHUA KARMEL 837 18WC 15776 COX, SHANNON UNITED CONTINENTAL HOLDIN 05/14/18 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 838 18WC 15810 JACKSON, ROBERT UPS 05/17/18 LEONARD LAW GROUP LLC ASA LAW GROUP 839 18WC 15834 SANNI, MAJORIE PRESENCE HEALTH DBA ST FR 01/11/18 BUDIN LAW OFFICES BRADY CONNOLLY & MASUDA PC 840 18WC 15942 MITCHELL, ANTHONY LEAF FILTER NORTH, LLC 04/12/18 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICE 841 18WC 15971 BARBARA, AMANDA ACE 09/19/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 842 18WC 15992 PETRYNIEC, TRISHA COOK COUNTY-ADULT PROBATI 08/11/17 MICHAEL A. HIGGINS STATES ATTORNEY OF COOK COUN 843 18WC 16015 BYRON, RALPH WASTE MANAGEMENT 04/13/17 LUSAK AND COBB 844 18WC 16046 WHITE, JEREMY CTA 05/24/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 845 18WC 16063 WOODLOCK, LORRAINE E SCR MEDICAL TRANSPORTATIO 02/04/18 COVEN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 846 18WC 16085 GEORGE, ZUHAIR SIGNODE INDUSTRIAL GROUP 05/10/18 INJURY LAWYERS OF IL HENNESSY & ROACH PC 847 18WC 16132 DOHERTY, MICHAEL ALL-BRY CONSTRUCTION 05/18/18 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 848 18WC 16152 DZIEDZIC, EILEEN CHICAGO PUBLIC SCHOOLS 02/12/18 GOLDBERG WEISMAN & CAIRO L CHGO BOARD OF EDUCATION 849 18WC 16192 BRUSCEMI, JESSE HUEN ELECTRIC CO 04/26/18 CRAIG L MANCHIK & ASSOC. 850 18WC 16278 008 SONSIADEK, STACEE ZFLEMFORDER, CORP 11/28/16 LANNON LANNON & BARR LTD 008 18WC008946 -C ZF LEMFORDER, CORP 851 18WC 16296 KAMKA, MITCHELL SYSCO FOOD SERVICES 03/30/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 852 18WC 16343 FALLS, JEROME FLEXIBLE STAFFING 05/19/18 MC HARGUE & JONES ROSARIO CIBELLA 853 18WC 16359 SUTCLIFF, SCOTT CITY OF CHICAGO DEPT OF 05/01/18 SEIDMAN MARGULIS & FAIRMAN 854 18WC 16370 MARKEY, KATHRYN MARIANO'S FRESH MARKET 09/25/17 CULLEN HASKINS NICHOLSON 855 18WC 16386 PITMAN, ERIC CICERO FIRE DEPARTMENT 12/08/16 COPLAN & CRANE, LTD DEL GALDO LAW GROUP LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 856 18WC 16412 FIGUEROA, JESUS SYNERGY 05/16/18 SCOTT B SHAPIRO 857 18WC 16428 MINION, HEATHER BERGHAUS ORGAN CO 08/12/16 BLOCK, KLUKAS & MANZELLA P JOSEPH MARCINIAK 858 18WC 16462 WILLIAMS, ARTHUR E DHL EXPRESS, INC 03/23/18 DESTEFANO, ROBERT A & ASSO 859 18WC 16489 CROW-SCHIYER, KIMBERLY TREASURE ISLAND FOODS INC 05/25/18 ROBERT WARSASKI ROSARIO CIBELLA 860 18WC 16510 WOODS, CORNELIUS CITY OF CHICAGO 03/01/16 JOHN S. ELIASIK CITY OF CHICAGO 861 18WC 16549 ISOM, ANDREW ARDAGH 08/14/17 EDWIN REYES LEGAL GROUP 862 18WC 16611 SELTIN, CATHERINE T TRU VUE INC 05/14/18 VITELL & SPITZ LTD BRADY CONNOLLY & MASUDA PC 863 18WC 16629 JARQUIN, CARLOS CHEESE MERCHANTSOF AMERIC 03/10/17 THE ROMAKER LAW FIRM 864 18WC 16648 WELLS, MORHFIA S CITY OF CHICAGO 05/03/18 VRDOLYAK LAW GROUP LLC 865 18WC 16679 TATE, ADAM EXPRESS SERVICES 12/05/17 FRIEDMAN & SOLMOR LTD MC ANDREWS & NORGLE LLC 866 18WC 16710 ROMERO, SERVANDO JR. UNITED AIRLINES INC. 05/23/18 BOWMAN & CORDAY 867 18WC 16749 WHEELER, BERNARD HOSTESS 05/03/18 MC HARGUE & JONES 868 18WC 16778 CHAPUT, RICHARD E CITY OF BERWYN - FIRE DEP 05/03/17 MORICI FIGLIOLI & ASSOC CUDA LAW OFFICES 869 18WC 16796 CARR, JIMMY VARGAS GROUP 05/25/18 KUMLIN & FROMM NYHAN BAMBRICK KINZIE & LOWR 870 18WC 16822 DAVILA, ISMAEL INTERNATIONAL DECORATORS, 04/05/18 RITTENBERG BUFFEN GAROFALO SCHREIBER STORM 871 18WC 16830 HILL, RAYMOND CITY OF CHICAGO DEPT OF 01/19/18 ANKIN LAW OFFICE CITY OF CHICAGO 872 18WC 16844 MEDINA, ROBERT PEOPLE GAS 08/29/16 CUDA LAW OFFICES GAROFALO SCHREIBER STORM 873 18WC 16861 RUIZ, ARIEL GINO ROSADO CROWN SERVICES 05/29/18 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 874 18WC 16908 STACK, GARY LIBERTY FLAG AND BANNER 05/15/18 COSTA IVONE LLC 875 18WC 16925 MUNOZ, PAZ O ACCURATE PERSONNEL SERVIC 04/26/18 COSTA IVONE LLC 876 18WC 16948 VARGAS, ADRIANA BAGELERS CAFE LUNA 03/21/17 NILSON STOOKAL GLEASON CAP JOSEPH MARCINIAK 877 18WC 16975 TURI, FRANCESCO PENSKE TRUCK LEASING 03/12/18 CAPRON & AVGERINOS PC 878 18WC 17011 LARA, LUIS ANDRE LITTLE DBA QUALITY 05/15/18 MC HARGUE & JONES 879 18WC 17079 THEODOSOPOULOS, PANAGIOT PETE'S FRESH MARKET 12/28/17 SAM CUBA LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 880 18WC 17113 HERNANDEZ, KAREN BEST HAND LAUNDRY 05/07/18 KATZ FRIEDMAN EAGLE ET AL 881 18WC 18490 LYONS, ROBERT STATE OF ILLINOIS @ * 04/01/18 882 18WC 21096 GERALDO, GUADALUPE M CINTAS * 06/13/18 MANUAL CARDENAS & ASSOC POWER & CRONIN LTD 883 18WC 23162 RAMIREZ, FERNANDO UPS * 08/25/17 ROBERT WARSASKI ASA LAW GROUP 884 18WC 23900 MADRIGAL, ANTONIO LOPEZ BARTON STAFFING SOLUTIONS * 08/02/18 HERRERA LAW CENTER 885 18WC 23929 GARCIA MOLINA, FATIMA ADP TOTAL SOURCE CO XXI I * 07/02/18 SOSTRIN AND SOSTRIN PC WOLFE & JACOBSON, LTD 886 18WC 23951 HOWARD, ELVIN CITY OF CHICAGO * 07/30/18 CAPRON & AVGERINOS PC 887 18WC 24006 DANIELSKI, CHRISTINE ADVOCATE CHRIST MEDICAL C * 07/17/18 RAYMOND M SIMARD, PC 888 18WC 24045 SCHURING, ADAM M COOK COUNTY SHERIFF'S DEP * 04/15/17 MORICI FIGLIOLI & ASSOC 889 18WC 24063 LABISSIERE, MONA UNITED CONTINENTAL HOLDIN * 06/24/18 BRIAN J MC MANUS & ASSOC, 890 18WC 24071 ZOLLICOFFER, ADDIE PREFERRED BUILDING SERVIC * 06/08/18 POMPER & GOODMAN 891 18WC 24090 OVIEDO, IRVING CENTRO REALTY & DEVELOPME * 06/29/18 CHEPOV & SCOTT LLC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 892 18WC 24105 FOUNTAIN, MICHAEL BIMBO BAKERIES USA, INC. * 06/23/18 COHN LAMBERT RYAN & SCHNEI 893 18WC 24135 THOMAS, MICHAELINE APERION CARE * 03/17/18 RATHBUN CSEVENYAK & KOZOL 894 18WC 24169 SELINGER, LEAH QUINTAIROS PRIETO WOOD & * 04/10/18 SEIDMAN MARGULIS & FAIRMAN 895 18WC 24188 LONG, NINA UNITED AIRLINES * 03/01/17 CULLEN HASKINS NICHOLSON 896 18WC 24204 GALVEZ, ANTONIO DOUMAK INC. * 07/25/18 ARGIONIS & ASSOCIATES LLC 897 18WC 24229 LIU, XUEMEI CRESTLINE HOTELS & RESORT * 11/26/14 HENNESSY & ROACH PC 898 18WC 24257 PALEOGOS, GEORGE CITY OF CHICAGO * 07/10/18 GOLDBERG WEISMAN & CAIRO L 899 18WC 24259 ALKARAMLA, MOHAMMAD DAILY MAINTENANCE SRVS, L * 07/08/18 BERNSTEIN, PHILIP L 900 18WC 24281 CARRELL, DASHONTA ADVOCATE HEALTH CARE * 07/31/18 GOLDSTEIN AIOSSA & GOOD 901 18WC 24301 WILSON, BARBRA TRADER JOE'S COMPANY * 03/31/18 ANKIN LAW OFFICE 902 18WC 24319 WITLOW, RAVEN ECO BRITE LINENS LLC * 08/05/18 HERRERA LAW CENTER 903 18WC 24350 AGUILAR, MARIO R FERRERA PAN CANDY * 05/25/18 ANSELMO DURAN 904 18WC 24414 MORALES-TREJO, FERNANDO ABRA AUTO BODY & GLASS * 12/04/17 LULAY LAW OFFICES 905 18WC 24475 MILLER, FRANK M TRADER JOE'S * 07/18/18 STEVEN J MALMAN & ASSOCIAT 906 18WC 24549 STANKO, SANDRA UNITED CONTINENTAL HOLDIN * 07/15/18 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 907 18WC 24597 HARDIN, AUDREY UNITED AIRLINES * 07/09/18 DWORKIN AND MACIARIELLO 908 18WC 24627 GUZMAN, OMAR AEROTEK * 08/02/17 JONATHAN SCHLACK 909 18WC 24640 STANFORD, LEUGENE GATE GOURMET * 05/08/18 EDWIN REYES LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 910 18WC 24662 TAMEZ, LINDA COOK COUNTY DETENTION CEN * 06/20/18 TAXMAN POLLOCK 911 18WC 24693 WHITE, CHERYL L PETCO ANIMAL SUPPLIES, IN * 03/04/18 PETER D CORTI LAW GROUP 912 18WC 24726 MONTERO, JUAN CITY OF CHICAGO DEPT OF * 08/15/18 SALVATO O'TOOLE FROYLAN 913 18WC 24741 SFIRNACIUC, ELENA HARVAZD MAINTENANCE INC * 08/02/18 ANKIN LAW OFFICE 914 18WC 24755 GIBSON, LATAUYA CTA * 06/20/18 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 915 18WC 24771 FALVEY, THOMAS CITY OF CHICAGO * 06/07/18 PATRICIA HARDIMAN LAW OFFI 916 18WC 24800 PINARRIETA, SILVERIO SKOLNIK INDUSTRIES, INC * 08/09/18 THE ROMAKER LAW FIRM 917 18WC 24821 ANDERSON, KEITH IL STATE TOLL HWY AUTHORI @ * 08/06/18 KARCHMAR & STONE 918 18WC 24872 JOHNSON, ANTHONY LOOKIN GOOD HAND CAR WASH * 06/11/18 BIZZIERI LAW OFFICES 919 18WC 24898 HUIZAR, NOEL METRO STAFFING * 08/09/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 920 18WC 24926 BUHMANN, JEFF Z GALLERIE LLC * 02/28/18 ZENITH INSURANCE CO. 921 18WC 24984 NEGRETE, ALEJANDRO ATLAS EMPLOYMENT SVCS, IN * 06/11/18 SKLARE LAW GROUP 922 18WC 25004 LOPEZ, DAVID FH PASCHEN, SN NIELSEN & * 09/30/17 BRADY CONNOLLY & MASUDA PC 923 18WC 25007 ZEPEDA, NORBERTO GUDINO FEDEX FREIGHT * 05/26/18 DAVID W MARTAY 924 18WC 25027 SILVA, CAROLINA LAKE COUNTY HOSPITALITY L * 08/06/18 ELFENBAUM EVERS & AMARILIO 925 18WC 25048 SOTO, EDGAR MUNOZ CHEVY CHASE GOLF CLUB * 07/01/18 CUDA LAW OFFICES 926 18WC 25069 BROGAN, PATRICK REPUBLIC SERVICES, INC. * 07/05/18 CHRISTINE F DAVID 927 18WC 25129 JACKSON, FELECIA HARVARD MAINTENANCE, INC * 07/12/18 THE FITZ LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 928 18WC 25154 SOTO, DAVID IL BELL TELEPHONE COMPANY * 05/11/18 ROBERT WARSASKI 929 18WC 25180 SULLIVAN, DWIGHT NAVISTAR * 02/13/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 930 18WC 25215 DOMINGUEZ, PRISCILLA UPS * 05/23/18 LEONARD LAW GROUP LLC 931 18WC 25243 STRINGER, LATOYA CHICAGO TRANSIT AUTHORITY * 08/16/18 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 932 18WC 25270 KELLY, MICHAEL A COOK COUNTY SHERIFF * 07/19/18 GARDI & HAUGHT 933 18WC 25312 ABONCE, JOSE F.J. KERRIGAN PLUMBING CO * 03/27/17 GAROFALO SCHREIBER STORM 934 18WC 25343 BANKS, TAURUS ILLINOIS STATE TOLLWAY @ * 08/10/18 VRDOLYAK LAW GROUP LLC 935 18WC 25365 RAMIREZ, DAVID UNITED AIRLINES * 05/22/18 DWORKIN AND MACIARIELLO 936 18WC 25417 QUEZADA, MA DEL ROSARIO STAFF RIGHT/QUANTUM GROUP * 06/26/18 RUEDA, IVAN A 937 18WC 25443 ORTIZ, JOSE L OLD DOMINION FREIGHT * 01/09/18 BAUM RUFFOLO & MARZAL LTD 938 18WC 25465 CLARK JR, ALVIN L UNITED CONTINENTAL * 06/10/18 BRIAN J MC MANUS & ASSOC, 939 18WC 25479 DANIELS, DARWIN EAGLE EXPRESS LINES * 01/24/18 FRIEDMAN & SOLMOR LTD 940 18WC 25510 PSALTIS, CONSTANTINE FEDERAL EXPRESS * 05/16/18 LANCASTER, DEBORAH 941 18WC 25559 LOPER, MARCUS GARDA USA, INC * 08/10/18 ANKIN LAW OFFICE 942 18WC 25582 SIGLE, ALEXUS WHITE CASTLE * 08/06/18 JOHN S. ELIASIK 943 18WC 25619 WASHINGTON, IVORY LUDEMAN DEVELOPMENT CTR @ * 08/04/18 BRISKMAN BRISKMAN GREENBER 944 18WC 25635 GONZALEZ, JOSE SUPERIOR AMBULANCE * 08/21/18 HERRERA LAW CENTER 945 18WC 25659 TRACY, JABREEL UBER * 08/21/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 10/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 946 18WC 25681 TYSON, NATASHA SECURITAS * 07/18/18 DAMISCH & DAMISCH LTD 947 18WC 25729 CONTRERAS, JUAN WHEATLAND TUBE COMPANY * 04/03/17 GRAVLIN, MICHAEL J LLC 948 18WC 25750 TORO-URIBES, RAMON V & V SUPREMO * 01/31/18 STROM & ASSOC 949 18WC 25763 TELLEZ, JOSE LUIS THERMAL EXTERIORS INC LOA * 08/18/18 BERG & BERG 950 18WC 25798 SUZUKI, AZUMI DELOITTE & TOUCHE LLP * 04/07/16 GORDON & CENTRACCHIO LLC 951 18WC 25822 SCHROEDER, CHRISTINA DEMARS FAMILY RESTAURANT/ * 07/18/18 MC HARGUE & JONES 952 18WC 25867 JOHNSON, GENISE PUBLIC BUILDING * 05/11/18 KEVIN O'BRIEN 953 18WC 25893 BANIASDI, MOHAMMAD ALI BLK & WHT VALET, LLC * 08/16/18 COLLISON LAW OFFICES 954 18WC 25903 LOEHR, ROBERT G FOREST PRESERVE OF COOK C * 07/13/18 HANNIGAN & BOTHA, LTD 955 18WC 25924 ANAYA, ESTHER AMAZON * 04/25/18 BRYCE DOWNEY & LENKOV LLC 956 18WC 25949 MOORE, DAVID INSITUFORM TECHNOLOGIES * 11/17/17 COSTA IVONE LLC 957 18WC 26006 NIX, MICHELLE CITY OF CHICAGO * 06/05/18 WOODRUFF JOHNSON 958 18WC 26054 CARRASCO, RENE COOK COUNTY * 02/17/18 WHITESIDE & GOLDBERG LTD 959 18WC 26074 KEARNEY, JEFF CITY OF CHICAGO, WATER DE * 08/27/18 ARGIONIS & ASSOCIATES LLC 960 18WC 26095 ROSS, VALENCIA COOK COUNTY PUBLIC DEFEND * 08/23/18 ANGELINI & ORI LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E … · seq case nbr petitioner name respondent name accident date attorney name attorney name ... 31 11wc 13730 juarez,