ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 50823 JOHNSON, JEFF A U.S. SILICA 04/20/02 ANTHONY C RACCUGLIA & ASSO BRYCE DOWNEY & LENKOV LLC 2 05WC 02536 AMERAN, SHALA EXPORT PACKAGING, CO 10/19/04 WIEDNER & MCAULIFFE LTD RUSIN MACIOROWSKI & FRIEDMAN 3 06WC 40380 19B HELGESON, JOHN MENARDS INC D/B/A MENARDS 05/23/06 PETER F FERRACUTI & ASSOCI CHILTON YAMBERT PORTER LLP 4 07WC 03115 RUBIO, JULIO SPRING CREEK BUILDERS 11/04/05 LOUIS E OLIVERO & ASSOC BRADY CONNOLLY & MASUDA PC 5 07WC 08772 ROMBERG, LINDA MORRIS HOSPITAL 01/02/06 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 6 07WC 43882 WILSTERMAN, LINDA COSTCO WHOLESALE CORP 09/19/07 BRIAN T MORROW, LAW OFFICE GANAN & SHAPIRO 7 08WC 14926 CHABROS, ANNETTE WM WRIGLEY JR COMPANY 12/17/07 MINKOW DOMIN GAROFALO SCHREIBER STORM 8 08WC 15936 SIPULA, ANGELA HOLIDY INN EXP/JANKO HOSP 01/27/08 DREW J FERRACUTI WIEDNER & MCAULIFFE LTD 08WC021949 -C 08WC021950 -C 9 08WC 24179 RAMOS, DANIEL AMEX PALLET 05/02/08 RUEDA, IVAN A THOMAS & ASSOCIATES 10 10WC 02418 19B MARQUEZ, JOHN STEINBERG FURNITURE INC 03/28/09 SCHWEICKERT & GANASSIN RUSIN MACIOROWSKI & FRIEDMAN 11 10WC 02440 SOLIS, MANUEL CJ INSULATION 12/15/09 PRESBREY & ASSOC INC MARTIN, PATRICK W 12 10WC 08482 SMITH, ELIZABETH MORRIS HOSPITAL 11/22/08 EDWARD M PFISTER LLC GAROFALO SCHREIBER STORM 13 10WC 18236 GARCIA, HILARIA CENTENNIAL SCHOOL DISTRIC 12/11/09 EPSTEIN, JACK R LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 14 10WC 20708 USRY, PATRICIA DREYER MEDICAL CLINIC 03/19/09 PRESBREY & ASSOC INC LAW OFFICES JOSEPH MARCINIAK 10WC021213 -C 15 10WC 39359 19B REYNOLDS, GARY CARRIAGE HOUSE 10/19/09 PETER F FERRACUTI & ASSOCI HOLECEK & ASSOCIATES 16 11WC 01430 ROSANOVA, ADRIANNE KOHLS 10/10/10 JAY H JANSSEN HENNESSY & ROACH PC 17 11WC 06848 GUZMAN, ELBIA WRIGLEY MANUFACTURING 11/25/08 BRIAN T MORROW, LAW OFFICE GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 11WC 21563 DARM, DAVID US FOOD SERVICE 12/13/10 ANTHONY C RACCUGLIA & ASSO BRADY CONNOLLY & MASUDA PC 19 11WC 23582 MENDEZ, MARIA O ADVANTAGE LOGISTICS INC 12/12/08 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 20 11WC 24170 CABADA, NICOLAS IMPERIAL MARBLE 04/07/11 EPSTEIN, JACK R LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 21 11WC 24508 BOWMAN, MICHAELA MORTON BUILDINGS, INC. 04/12/11 STROW LAW LLC KNELL LAW LLC 22 11WC 32025 ESTES, LINDA OWENS ILLINOIS INC 04/07/11 SCHWEICKERT & GANASSIN POWER & CRONIN LTD 12WC028133 -C 13WC005771 -C 23 11WC 32945 FRIIS, CRAIG M LEWIS BROTHERS BAKERIES I 06/28/11 RICHARD O. GREENFIELD POWER & CRONIN LTD 24 11WC 33818 BOSCO, COLLEEN MORRIS HOSPITAL 05/07/11 BERG & BERG GAROFALO SCHREIBER STORM 25 11WC 35437 MURO, JO ANN KAYCEE CLUB OF MENDOTA, I 06/10/11 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 26 11WC 37024 WULF, JOHN P DONALDSON COMPANY INC 06/22/11 GREG TUITE & ASSOC LEAHY EISENBERG & FRAENKEL 27 11WC 40051 FINDLAY, LAVERNE JR DAY & ZIMMERMANN NPS 11/05/10 BLOCK, KLUKAS & MANZELLA P RUSIN MACIOROWSKI & FRIEDMAN 28 11WC 41921 JOHNSON, BILLY INFRASOURCE UNDERGROUND 10/19/11 SCHWEICKERT & GANASSIN RUSIN MACIOROWSKI & FRIEDMAN 29 11WC 43760 PUYEAR, MONICA MONTEREY MUSHROOMS INC 04/19/11 ANTHONY C RACCUGLIA & ASSO BRADY CONNOLLY & MASUDA PC 30 11WC 45764 19B HYSER, JEFF CASSENS TRANSPORT COMPANY 02/15/10 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 31 11WC 48396 NEWCOMER, RAELENE PERU VOLUNTEER AMBULANCE 06/13/11 ANTHONY C RACCUGLIA & ASSO RUSIN MACIOROWSKI & FRIEDMAN 32 12WC 01062 JOHNSON, ROBERT M MENARDS 03/08/11 RICHARD E ALEKSY RODDY LAW LTD 33 12WC 02690 SARVER, TREVA VERIA KRUG 06/15/11 WILLIAMS MCCARTHY LLP RODDY LAW LTD 12WC002691 -C 34 12WC 08011 KNOBELOCH, GERALD PUBLIC SAFETY SERVICES IN 12/22/11 MEYERS & FLOWERS JAMES M KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 35 12WC 08142 SCHEWE, WAYNE FORBO ADHESIVES 02/02/12 ANESI OZMON RODIN NOVAK KO SPIEGEL & CAHILL, PC 36 12WC 09126 DAVIS, BUDDY A SURE THING TRUCKING INC 05/12/05 RICHARD E ALEKSY POWER & CRONIN LTD 37 12WC 10848 RUTKOWSKI, TADEUSZ NORTHFIELD BLOCK COMPANY 12/29/11 DONALD M. PHELAN COZZI & GOGGIN-WARD 38 12WC 11198 AGUILAR, TOMAS MENARDS 09/26/11 KATZ FRIEDMAN EAGLE ET AL RODDY LAW LTD 12WC011199 -C 39 12WC 16032 WREN, JAMES MAZON TOWNSHIP 11/11/11 O'CONNOR & NAKOS JAMES M KELLY 12WC016898 -C 12WC018402 -C 40 12WC 18494 IRRA, ENRIQUE NEWLY WEDS FOODS 12/08/11 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 41 12WC 20177 PHILLIPS, AMY M EXELON NUCLEAR 01/23/12 FABRIZIO, HANSON & PEYLA CHILTON YAMBERT & PORTER LLP 42 12WC 22195 KNUDSEN, KENT PRINCETON HIGH SCHOOL 11/16/11 ANTHONY C RACCUGLIA & ASSO COZZI & GOGGIN-WARD 43 12WC 22455 THRUSH, STACY PLEASANT VIEW 03/09/12 PETER F FERRACUTI & ASSOCI BRADY CONNOLLY & MASUDA PC 44 12WC 23439 RICCOLO, TERRY CAPTAIN'S CONCRETE 05/08/12 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 45 12WC 26815 AUGUSTINE, ANDREW INTERNATIONAL TITANIUM PO 02/23/12 DAVID W OLIVERO BRADY CONNOLLY & MASUDA PC 46 12WC 27110 SANCHEZ, HILARIO SAFE-RITE STAFFING 02/02/12 ANTHONY C RACCUGLIA & ASSO ROSARIO CIBELLA 47 12WC 29867 BUTTERFIELD, BARRY ECHO BOWLING LANES 02/02/11 CORTINA & MUELLER WIEDNER & MCAULIFFE LTD 12WC037187 -C 48 12WC 30894 LONG, LESLIE J EYESITE ILLINOIS VALLEY L 08/08/12 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM 49 12WC 31339 PAGE, BRITTANY A GOODWILL INDUSTRIES 04/21/12 ARMSTRONG & SURIN 50 12WC 32448 RIVERA, EPIFANIA TYSON FOOD INC 02/02/12 ANTHONY C RACCUGLIA & ASSO GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 51 12WC 32602 SCHOTT, KRAIG SUNRISE HOSPITALITY INC 01/10/12 SCHWEICKERT & GANASSIN 52 12WC 38396 NUNEZ, DANIEL IMPERIAL MARBLE CORP 09/11/12 EPSTEIN, JACK R LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 15WC006326 -C 53 12WC 39318 SALZMAN, CHRIS NICOR GAS 06/21/12 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 54 12WC 41480 GARCIA-PINEDA, VICTOR C & C RAIL SERVICE INC 09/26/12 RUEDA, IVAN A HOLECEK & ASSOCIATES 55 12WC 44555 STUMPF, PHILLIP WAL MART SUPER CENTER 06/08/12 56 13WC 02538 PALMERIN, JUAN CASTLBERRY CONSTRUCTION 12/13/12 WHITESIDE & GOLDBERG LTD RATHBUN CESERVENYAK KOZOL 57 13WC 05711 BATES, MICHAEL KITTILSON'S GARAGE LLC 01/30/13 GEARHART, GARY L & ASSOCS 58 13WC 06484 MIROBALLI, JOSEPH A FICEK ELECTRIC COMMUNICAT 08/14/12 AMBROSE & ASSOCIATES PC HOLECEK & ASSOCIATES 59 13WC 07003 SALAS, FRANCISCA MONTEREY MUSHROOM INC 02/11/13 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 60 13WC 08189 WEST, PAUL A IMPERIAL MARBLE 01/10/13 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 61 13WC 11053 MARKOWSKI, PAUL CON-WAY FREIGHTS 03/03/12 GOLDBERG WEISMAN & CAIRO L 62 13WC 12513 WHITE, CHRISTINA S RURAL KING SUPPLY 03/13/13 ANESI OZMON RODIN NOVAK KO CAPUANI & SCHNEIDER 63 13WC 13273 KLINEFELTER, REBECCA PRESCOTT BROTHERS 02/13/13 DREW J FERRACUTI GANAN & SHAPIRO 64 13WC 14079 STOCKING, ROBYN M GMRI INC D/B/A THE OLIVE 02/08/13 MAY, MAY, ANGEL & HARRIS COZZI & GOGGIN-WARD 65 13WC 14296 WEST, PAUL A IMPERIAL MARBLE 03/13/13 SCHWEICKERT & GANASSIN KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 66 13WC 15651 DELGADO, SYLVIA WRIGLEY'S 07/25/12 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 14WC040431 -C 67 13WC 15717 BARBA, JOHANNA M MENARD'S, INC. 04/01/13 PETER F FERRACUTI & ASSOCI CHILTON YAMBERT PORTER LLP 13WC022271 -C 68 13WC 15996 VASQUEZ, ROSALINDA TYSON FOODS 10/31/10 MISKELL LAW CENTER GANAN & SHAPIRO 69 13WC 16226 VASQUEZ, ROSALINDA TYSON FOODS 01/21/11 MISKELL LAW CENTER GANAN & SHAPIRO 70 13WC 19054 SOLIS, MIGUEL A OAK STATE PRODUCTS, INC 03/02/13 DREW J FERRACUTI KNELL LAW LLC 13WC019055 -C 71 13WC 20786 MISSEL, TINA M BUREAU COUNTY SHERIFF'S D 08/01/12 DREW J FERRACUTI BUSH MOTTO CREEN KOURY 72 13WC 20927 SARGESON, KATHERINE E GATEWAY SERVICES 03/13/13 ANTHONY C RACCUGLIA & ASSO GALLIANNI DOELL & COZZI LTD 73 13WC 21799 SONSOUCIE, MEGAN PARKER NURSING & 01/18/13 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 74 13WC 24822 RODRIGUEZ, NINFA TMF PLASTIC SOLUTIONS 02/28/13 O'CONNOR & NAKOS HENNESSY & ROACH PC 75 13WC 28984 VILLALOBOS, ERNESTO A BUREAU COOUNTY HEALTH DEP 08/02/13 HERBOLSHEIMER LANNON ET AL BUSH MOTTO CREEN KOURY 76 13WC 31305 VELA, RICARDO METOKOTE 07/23/13 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 13WC031314 -C 77 13WC 32134 RIOS, MARIA OAK STATE PRODUCTS, INC 10/29/11 SCHWEICKERT & GANASSIN KNELL LAW LLC 13WC032143 -C 15WC015188 -C 78 13WC 33766 DOMKUSKI, DIANA GRIZZLY JACK'S GRAND BEAR 03/04/13 SCHWEICKERT & GANASSIN ALLEN KOPET & ASSOCIATES 79 13WC 34348 PENA, ARACELI MONTEREY MUSHROOM INC 11/09/12 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 80 13WC 35699 WILSON, JAMES STARVED ROCK LODGE & 09/18/13 SCHWEICKERT & GANASSIN RIPES NELSON BAGGOT KALOBRAT 81 13WC 36626 CARABALLO, RUBEN AJ CONSTRUCTION 10/07/13 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 82 13WC 36986 BELTZ, MARYBETH IL CENTRAL SCHOOL BUS LLC 04/29/13 DAVID W OLIVERO MACIOROWSKI SACKMANN & ULRIC 83 13WC 39478 SCHMOTZER, DELORES SUNRISE HOSPITALITY INC 07/13/12 KROL BONGIORNO & GIVEN LTD COZZI & GOGGIN-WARD 13WC039479 -C 14WC022100 -C HAMPTON INN & SUITES 84 13WC 39705 WATTS, CHARLES R YMCA OF OTTAWA, IL 07/20/13 WIEDNER & MCAULIFFE LTD 85 13WC 39731 OROZCO, MICHELLE ALDI'S 05/22/12 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 86 13WC 39836 HIGGS, WILLIAM R A&R MECHANICAL 01/23/13 HARRIETT LAKERNICK HOLECEK & ASSOCIATES 87 13WC 40673 MYERS, CARLA NATIONAL BANK & TRUST CO 11/12/13 KINNALLY FLAHERTY KRENTZ & HOLECEK & ASSOCIATES 88 13WC 41018 MEYERS, JAMES P CONWAY FREIGHT 11/22/13 PETER F FERRACUTI & ASSOCI RUSIN MACIOROWSKI & FRIEDMAN 89 14WC 01068 LOMBARDO, JOHN T RIVERFRONT MACHINE INC 02/14/13 DAVID W OLIVERO ROBERT L. SMITH 90 14WC 01380 LANNING, TABITHA WALMART (OTTAWA) 12/19/13 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 91 14WC 01463 CAPARRO, ISMAEL RAVENSWOOD DISPOSAL SERVI 12/11/13 JAUREGUI & ASSOCIATES 92 14WC 02890 TERRAZAS, SIMON ADVANCED DRAINAGE SYSTEMS 01/09/14 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 93 14WC 03934 GRAFF, KENT LASALLE PERU TOWNSHIP 03/26/12 PETER F FERRACUTI & ASSOCI ROSARIO CIBELLA 94 14WC 05303 SCHMIDT, STEVEN THE BREWER COMPANY 01/20/14 PORRO NIERMANN & PETERSEN 95 14WC 06298 GIOVANNONI, DAVID A & R LOGISTICS INC 01/23/14 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 96 14WC 07151 GRIEFF, DEBRA L H.B. FULLER 02/10/14 STROW LAW LLC RUSIN MACIOROWSKI & FRIEDMAN 97 14WC 07250 CALHOUN, THOMAS AMERICAN DREAM 01/27/14 WOODRUFF & JOHNSON COZZI & GOGGIN-WARD 98 14WC 09057 VAUGHN, DEBBIE MENARDS 01/31/14 MEYERS & FLOWERS RODDY LAW LTD 99 14WC 09571 WINDY, SCOTT FAIRMOUNT MINERALS 04/10/13 ANTHONY C RACCUGLIA & ASSO BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 100 14WC 09676 JENSEN, VIRGINIA WILLOWCREST NURSING HOME 12/17/12 PERONA, PETERLIN, ANDREONI 101 14WC 09677 JENSEN, VIRGINIA WILLOWCREST NURSING HOME 03/18/13 PERONA, PETERLIN, ANDREONI GRANT & FANNING 102 14WC 09966 HANSEN, JOE WALMART DISTRIBUTION 08/31/13 MISKELL LAW CENTER WIEDNER & MCAULIFFE LTD 14WC035463 -C WAL MART DISTRIBUTION 103 14WC 10785 SCAMAN, REBECCA TA TRAVEL CENTER/MORRIS 02/03/14 CORTINA & MUELLER RODDY LAW LTD 104 14WC 15043 SLATER, SCOTT COSTCO WHOLESALE 03/27/14 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 105 14WC 15255 CARBAJAL, ARTEMIO JR MONTEREY MUSHROOM INC 03/05/14 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 106 14WC 15791 MORGANEGG, KRISTEEN VALLEY WEST HOSPITAL 01/13/14 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 107 14WC 17279 WHITE, DEBRA BETTMAN GROUP 03/30/12 DWORKIN AND MACIARIELLO JOHN LEE 108 14WC 17729 TORRES, ROSARY A ILLINI STATE BANK 05/05/14 PERONA, PETERLIN, ANDREONI QUINN JOHNSTON HENDERSON ETA 109 14WC 18147 RUSSELL, ROBERT EAKAS CORP 06/18/13 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 110 14WC 18425 MARTINEZ, MARIA SEATTLE SUTTON'S 01/09/14 ILLINOIS INJURY LAWYERS RUSIN MACIOROWSKI & FRIEDMAN 111 14WC 20076 BROCKMAN, KATHY BERLIN PACKAGING CORP 04/21/14 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 112 14WC 21042 FRAZIER, PAUL G VISSERING CONSTRUCTION CO 11/04/10 WILLIAMS & SWEE CASSANO & ASSOCIATES 113 14WC 21199 BLANCHARD, ERIN KISH HEALTH SYSTEMS 04/23/14 PETER F FERRACUTI & ASSOCI SCOPELITIS GARVIN LIGHT 114 14WC 21962 SANCHEZ, HILARIO AMERICAN BARE 02/02/12 ANTHONY C RACCUGLIA & ASSO RIPES NELSON BAGGOT KALOBRAT 115 14WC 22121 WATSON, WILLIAM UNITED SUPPLIERS, INC 06/09/14 PERONA, PETERLIN, ANDREONI EDWARD JANUSZKIEWICZ 116 14WC 22874 HOLLAND, TARA CIRCLE K 05/26/14 DAVID W OLIVERO KEEFE CAMPBELL & ASSOC LLC 117 14WC 23018 SAEPHARN, NAILIAM MONTEREY MUSHROOMS INC 01/07/14 PERONA, PETERLIN, ANDREONI BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 14WC 24583 ONSEN, MELISSA GRUNDY COUNTY SHERIFFS DE 06/18/14 RIDGE & DOWNES 119 14WC 24640 STOCKWELL, DAWN M YORKVILLE COMMUNITY 02/18/14 DREW J FERRACUTI 120 14WC 24787 GALINDO, LINDA DPCS INVESTMENTS INC 05/16/14 RUSIN & MACIOROWSKI LTD 121 14WC 25111 WAGNER, VICTORIA HCC INC. 02/03/14 SCHWEICKERT & GANASSIN MACIOROWSKI SACKMANN & ULRIC 122 14WC 25168 BALLAS, JOHN MENARD INC 11/26/12 DAVID W OLIVERO RODDY LAW LTD 123 14WC 25277 CHAMBERLAIN, MARIAN CLIFFORD W ESTES CO 02/20/14 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 124 14WC 25926 URBANSKI, GARY MAZE NAIL 03/22/13 WOLFE LAW PC ACCIDENT FUND HOLDINGS 14WC029952 -C 125 14WC 26737 SAECHAO, MUANG ORN MONTEREY MUSHROOMS, INC. 07/11/14 PERONA, PETERLIN, ANDREONI 14WC026738 -C 14WC026739 -C 14WC026740 -C 126 14WC 28021 CRAVENS, CHRISTOPHER SPACEMARK INC 01/01/12 WOODRUFF & JOHNSON 127 14WC 28076 BLATTI, ROBERT GRAINCO FS INCORPORATED 07/16/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 128 14WC 28085 PEREZ, GULLERMO MIDWEST MANUFACTURING 08/05/14 MORTON, STEVEN J & ASSOC RODDY LAW LTD 129 14WC 28481 REGAL, TINA ASHTON FRANKLIN CENTER SC 12/08/12 GESMER LAW OFFICES, PC 130 14WC 28668 LOGSDON, MARTHA J MIDWEST TROPHY MANUFACTUR 07/24/13 AMES LAW OFFICES HOLECEK & ASSOCIATES 131 14WC 29119 BRADLEY, THOMAS E NORTHFIELD, AN OLD CASTLE 07/26/14 ANESI OZMON RODIN NOVAK KO COZZI & GOGGIN-WARD 132 14WC 29284 ROBBINS, GERALD L INFRA-METALS CO 08/19/14 DREW J FERRACUTI POULOS & DIBENEDETTO LAW 133 14WC 29473 VANPELT, RAY WJ STONE ACE HARDWARE INC 06/27/12 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 134 14WC 30962 ANTONENKO, LIUDMILA M. HCC INC. 01/03/14 O'CONNOR & NAKOS MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 135 14WC 31882 HAAGE, MICHELLE M WASHINGTON MILLS GROUP IN 07/13/12 PETER F FERRACUTI & ASSOCI COZZI & GOGGIN-WARD 136 14WC 33309 IVERSON, KATHLEEN OSF ST ELIZABETH MEDICAL 04/01/12 ANTHONY C RACCUGLIA & ASSO HERBOLSHEIMER LANNON ET AL 137 14WC 33488 EWING, BRIAN MARTIN EQUIPMENT OF IL IN 07/22/14 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 14WC033522 -C 138 14WC 33943 FLODSTROM, JENNIFER JEWEL-OSCO 08/23/14 RUBIN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 139 14WC 34082 WEIKLE, RICHARD COSTCO WHOLESALE 08/06/14 RIDGE & DOWNES GANAN & SHAPIRO 140 14WC 34466 OROZCO, JESSICALYN THE RESULTS CO 09/19/14 SCHWEICKERT & GANASSIN LAW OFFICES OF EDWARD J. KOZ 141 14WC 34546 MOUNCE, JASON STERTIL ALM CORP 09/17/14 SCHWEICKERT & GANASSIN ACCIDENT FUND HOLDINGS 142 14WC 35189 CAMACHO, EMILIO FRANK BRAY 08/14/14 BERTRAND LAW OFFICE 143 14WC 35371 BURCIAGA, GUADALUPE MENARDS 04/25/13 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD 144 14WC 36992 POWER, ROBIN MENNIE MACHINE 07/24/14 DAVID W OLIVERO GANAN & SHAPIRO 145 14WC 37119 BATTISTELLI, GARY FAIRMOUNT MINERALS- 09/29/12 SEIGLER, DARRELL K LTD BRADY CONNOLLY & MASUDA PC 146 14WC 37327 AVILA, CRISTINA RONKEN INDUSTRIES INC, AN 08/06/14 BRIAN J MC MANUS & ASSOC, LAW OFFICES JOSEPH MARCINIAK 147 14WC 38283 ORTIZ, PONCIANO WRIGLEY 02/27/13 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 148 14WC 38474 TOMPKINS, RONALD C WHITESIDE COUNTY SENIOR C 01/24/14 REESE & REESE WIEDNER & MCAULIFFE LTD 149 14WC 38561 POPKINS, TINA M DIXON PUBLIC SCHOOLS 08/07/14 LEE, MARK N LAW OFFICE 150 14WC 39241 COFOID, MANDI J JAMES HARDIE BUILDING 08/26/14 DREW J FERRACUTI LITCHFIELD CAVO 151 14WC 39982 SCHAEFFER, MARK CUSTOM MACHINE, INC. 02/10/14 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 152 14WC 40049 SAEPHAN, CHAN WERN MONTEREY MUSHROOMS INC 09/19/14 PERONA, PETERLIN, ANDREONI BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 153 14WC 40113 SCHMITT, ASHLEE STARVED ROCK LODGE & 07/22/13 PETER F FERRACUTI & ASSOCI 154 14WC 40609 SETSER, DIANNA OFFICE MAX INC 06/05/14 SCHWEICKERT & GANASSIN KNELL & O'CONNOR 155 14WC 40804 TORRES, MARIAE MENARDS DISTRIBUTION PLAN 12/02/13 MEYERS & FLOWERS RODDY LAW LTD 156 14WC 41381 MARSHALL, ALBERT W HB FULLER CO 08/20/14 DREW J FERRACUTI RUSIN & MACIOROWSKI LTD 157 14WC 41401 GONZALEZ, JUAN MENARDS PLANO 10/22/14 MEYERS & FLOWERS 158 14WC 41713 NEFF, WILLIAM E CON-WAY FREIGHT INC 08/18/14 PERONA, PETERLIN, ANDREONI RUSIN & MACIOROWSKI LTD 159 14WC 41862 RODRICK, WILLIAM WILLIAM TREGONING D/B/A 03/15/13 DAVID W OLIVERO RUSIN & MACIOROWSKI LTD 160 14WC 41973 PENOYER, MELISSA DSI CORPORATION 11/23/14 PETER F FERRACUTI & ASSOCI HEYL ROYSTER VOELKER & ALLEN 161 14WC 42516 AVILA, CRISTINA RONKON INDUSTRIES C/O 09/07/13 BRIAN J MC MANUS & ASSOC, CASSANO & ASSOCIATES 162 14WC 42892 ORBAN, SCOTT E CITY OF STREATOR 09/02/14 THOMAS W DUDA ANCEL GLINK DIAMOND BUSH & E 163 14WC 43014 ANDERSON, DAVID R ST US SILICA 08/05/14 ELFENBAUM EVERS & AMARILIO KNELL LAW LLC 164 14WC 43160 TOOLEY, TONY E OWENS-BROCKWY GLASS CONTA 12/03/14 DREW J FERRACUTI POWER & CRONIN LTD 165 14WC 43698 LUDWICK, JOHNNY UPM RAFLATAC INC 05/21/14 JAMES G AHLBERG 166 15WC 01366 VIGNALI, MICHAEL E CARDINAL LOGISTICS 07/21/14 MARTIN V KUGIA SPIEGEL & CAHILL, PC 15WC001367 -C 15WC001368 -C 167 15WC 01891 DAVIS, LILLIAN BLAIN'S FARM & FLEET INC 10/15/14 SCHWEICKERT & GANASSIN RIPES NELSON BAGGOT KALOBRAT 15WC002145 -C 168 15WC 02185 CAZARES, DORA ELSA WRIGLEY MANUFACTORING 04/03/13 OSVALDO RODRIGUEZ PC GAROFALO SCHREIBER STORM 169 15WC 02704 BROCKMAN, KATHY BERLIN PACKAGING CORP 01/20/14 SCHWEICKERT & GANASSIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 170 15WC 02881 LENSKI, JEREMY ILLINOIS FREIGHT HANDLERS 11/25/14 GOLDSTEIN BENDER & ROMANOF 171 15WC 03838 PENFIELD, ADAM CENTRAL CONCRETE COMPANY 02/19/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 172 15WC 04913 MUSICH, BRENDA LELAND CUSD #1 11/24/14 GOLDBERG WEISMAN & CAIRO L 173 15WC 06671 ENGEL, STEPHANIE DOLLAR GENERAL 02/02/15 PORRO NIERMANN & PETERSEN WIEDNER & MCAULIFFE LTD 15WC006674 -C 174 15WC 06685 CHRISTENSEN, LUCAS JOE'S STATION HOUSE PIZZE 02/13/15 SCHWEICKERT & GANASSIN BRAUN LORENZ & BERGIN PC 175 15WC 07329 GOTT, MONICA DIVERSI FOAM PRODUCTS INC 02/10/15 SCHWEICKERT & GANASSIN LAW OFFICES JOSEPH MARCINIAK 176 15WC 07373 KENDALL, DAVID FLINK COMPANY 02/03/15 STROW LAW LLC RIPES NELSON BAGGOT KALOBRAT 177 15WC 08354 KEYLARD, KIM B & B ELECTRONICS MFCTG C 10/03/13 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 178 15WC 08506 KOCH, KATHY AMERICAN RED CROSS 02/03/15 LAW OFFICE OF CHRIS DOSCOT POWER & CRONIN LTD 179 15WC 08979 VO, TOMMY OAK STATE PRODUCTS INC 11/18/14 SCHWEICKERT & GANASSIN KNELL LAW LLC 180 15WC 10451 GOODCHILD, ROSINA OTTAWA TOWNSHIP HIGH SCHO 02/19/15 GOLDBERG WEISMAN & CAIRO L ANCEL GLINK DIAMOND BUSH & E 181 15WC 11028 DELA GARZA, GEORGE VACTOR MANUFACTURING 11/19/14 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 182 15WC 12332 GEDRAITIS, CHRISTOPHER CB&I CHICAGO BRIDGE & IRO 02/18/15 SCHWEICKERT & GANASSIN RIPES NELSON BAGGOT KALOBRAT 183 15WC 12378 HAMPTON, SHELLEY HCC INC 06/26/14 MARTIN V KUGIA MACIOROWSKI SACKMANN & ULRIC 184 15WC 12468 CERVANTEZ, LETICIA R SINNISSIPPI CENTERS 08/08/14 REESE & REESE HOLECEK & ASSOCIATES 185 15WC 13758 DRAKE, JOSH WATERSREET PUB & 06/25/13 GOLDFINE & BOWLES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 15WC 14385 IQBAL, TAHIR SCRIPTFLEET, INC 03/21/15 DREW J FERRACUTI SCOPELITIS GARVIN LIGHT 187 15WC 14403 FARNETI, ALAN AMERICAN NICKELOID CO 03/31/15 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 15WC033791 -C 188 15WC 14414 DILLER, DUANE SPRING-GREEN 04/17/15 PORRO NIERMANN & PETERSEN GAROFALO SCHREIBER STORM 189 15WC 15184 CUSICK, CHELSEA MENARDS, INC. 04/03/15 SCHWEICKERT & GANASSIN RODDY LAW LTD 190 15WC 15697 REYES, SERGIO NEWLY WEDS FOODS, INC 01/13/15 DAVID W OLIVERO GAROFALO SCHREIBER STORM 191 15WC 16041 DECKER, GERALD BOB'S BARGAIN BARN 02/11/15 PETER F FERRACUTI & ASSOCI 192 15WC 16293 MILLER, TRACY H G PRESLEY INSURANCE AGENC 02/26/15 PIGNATELLI & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 193 15WC 18984 YUNGMAN, BRADY NORTHFIELD BLOCK CO/OLDCA 12/16/14 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 16WC015359 -C 194 15WC 19050 GOLGIN, ROBERT P STONE & WEBSTER CONSTRUCT 02/09/14 ANESI OZMON RODIN NOVAK KO RIPES NELSON BAGGOT KALOBRAT 195 15WC 19458 EKSTROM, DEBRA JEWEL FOOD STORES 03/16/15 FOOTE MIELKE CHAVEZ & O'NE 196 15WC 19770 PICKETT, LAURA ACE HARDWARE 05/20/15 SCHWEICKERT & GANASSIN KLAUKE LAW GROUP LLC 197 15WC 19842 RODRIGUEZ, CARMEN ILLINOIS VALLEYFOOD & DEL 03/30/15 PERONA, PETERLIN, ANDREONI KOPKA, PINKUS & DOLIN, PC 198 15WC 20681 BELL, REBECCA MCDONALD'S OF MORRIS 06/01/15 BLOCK, KLUKAS & MANZELLA P 199 15WC 20787 PETERSON, KELLY EXELON NUCLEAR SECURITY 05/03/15 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 200 15WC 21451 ZDANY, RICHARD V FEDEX FREIGHT 06/09/15 A RANDOLPH COMBA SCOPELITIS GARVIN LIGHT 201 15WC 21708 SINETOS, NICHOLAS BRAHMA MASONRY CONSTRUCTI 06/01/15 ELFENBAUM EVERS & AMARILIO 202 15WC 21914 HOFILENA, REYNALDO C JACK MABLEY DEVELOPMENTAL @ 06/07/15 REESE & REESE ASSISTANT ATTORNEY GENERAL 203 15WC 21980 MCCOLLUM, KAREN RIVERSHORES NURSING & REH 01/23/15 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 15WC 22479 ZNANIECKI, ANDREA HY-VEE INC. 08/07/13 SCHWEICKERT & GANASSIN QUINN JOHNSTON HENDERSON ETA 205 15WC 23158 VALENTINE, VICKI ANN DISTRICT 60(C) 01/13/15 CORTINA & MUELLER ROBERT L. SMITH 206 15WC 23212 PEREZ, GUILLERMO MIDWEST MANUFACTURING 06/16/15 MORTON, STEVEN J & ASSOC 207 15WC 23480 FORD, BRITTON NICO GAS/AGL RESOURCES 12/31/14 WHITESIDE & GOLDBERG LTD MACIOROWSKI SACKMANN & ULRIC 208 15WC 23565 MALY, DENISE HCC INC 03/24/14 SCHWEICKERT & GANASSIN MACIOROWSKI SACKMANN & ULRIC 209 15WC 24493 MC DANIELS, SEAN DATAMINE INC. 05/19/15 RATHBUN CSEVENYAK & KOZOL LAW OFFICES JOSEPH MARCINIAK 16WC003751 -C 210 15WC 24728 OLSZEWSKI, MARK VILLAGE OF DEPUE 07/05/15 STRONG LAW OFFICE RODDY LAW LTD 15WC024729 -C 211 15WC 24928 WALKER, CHARLES MENARDS 06/20/15 ANTHONY ESPOSITO CHILTON YAMBERT PORTER LLP 212 15WC 25398 MIX, TRACY IL DEPT OF TRANSPORTATION @ 02/12/15 BOWMAN & CORDAY ASSISTANT ATTORNEY GENERAL 213 15WC 25787 GOMEZ, STACIE DSI CORP 07/02/15 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 15WC025789 -C 214 15WC 26226 COUNCIL, JACK US FOOD SERVICE OF IL, IN 09/09/13 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 15WC026396 -C 215 15WC 26394 FELLERS, ROGER WAL-MART SUPERCENTER 05/05/14 SCHWEICKERT & GANASSIN 216 15WC 26419 FELLERS, ROGER WAL-MART SUPERCENTER 06/26/15 SCHWEICKERT & GANASSIN 217 15WC 27280 JANKO, CHANPIDOR LASALLE VETERAN'S HOME-LA @ 06/12/15 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 218 15WC 27422 SMITH, JOANN COMMUNITY CARE SYSTEMS 09/10/14 PORRO NIERMANN & PETERSEN LIVINGSTONE MUELLER ET AL 219 15WC 27702 MORALES, ELIDA HCC, INC. 05/21/15 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 220 15WC 27732 STRACK, DEAN HCC INC 08/18/15 SCHWEICKERT & GANASSIN MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 221 15WC 27816 STOCKDALE, TAMARA L. STATE OF ILLINOIS, JACK M 11/02/14 REESE & REESE MATTHEW J KELLER 222 15WC 27850 MALONE, BRENDA BEST WESTERN (OGLESBY) 08/10/15 PETER F FERRACUTI & ASSOCI COZZI & GOGGIN-WARD 223 15WC 27926 DUMA, WILLIAM JACK MABLY DEVELOPMENTAL 02/06/15 THOMPSON, ROBERT J ASSISTANT ATTORNEY GENERAL 224 15WC 28237 BOLECH, KAREN OAK STATE PRODUCTS, INC. 06/28/14 ANTHONY C RACCUGLIA & ASSO KNELL LAW LLC 225 15WC 28549 MEREDITH, TERESA S.O.I SHERIDAN CORRECTION @ 02/18/15 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 226 15WC 28760 HARRIS, ANNETTE JEWEL FOOD STORES 03/07/15 O'CONNOR & NAKOS 227 15WC 29063 HALE, MIKE CON WAY FREIGHT 03/13/15 GOLDFINE & BOWLES 228 15WC 29447 LYLE, THOMAS A FAIRMOUNT MINERALS 02/02/14 BRASSFIELD KRUEGER & RAMLO BRADY CONNOLLY & MASUDA PC 229 15WC 29892 PANTOJA, RICARDO THE CEDAR MILL INC 07/24/15 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 230 15WC 30127 CORBIN, KRISTIE CENTENNIEL ELEMENTARY SCH 01/26/15 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 231 15WC 30179 CONLEY, RICKEY E INTERIOR BUILDING SYSTEMS 06/22/15 REESE & REESE GAROFALO SCHREIBER STORM 232 15WC 30575 SCHWEICKERT, JO ANN OAK STATE PRODUCTS INC 06/19/15 SCHWEICKERT & GANASSIN KNELL LAW LLC 233 15WC 30624 LEIGH, LIBBY LIGHTED WAY ASSOCIATION, 10/30/14 DAVID W OLIVERO GANAN & SHAPIRO 234 15WC 32038 JOHNSON, TIFFANY C KISH HEALTH SYSTEMS 05/24/15 WILLIAMS, ROBERT B LAW OFF 235 15WC 32096 PISANO, BEVERLY THE HOME DEPOT 04/09/15 MEYERS & FLOWERS ADELSON TESTAN & BRUNDO 236 15WC 33431 FRAZIER, FRED LOTZ TRUCKING 07/18/15 PETER F FERRACUTI & ASSOCI 237 15WC 33573 SHOFNER, SANDRA ACE HARDWARE DISTRIBUTION 06/01/15 HARVEY & STUCKEL KLAUKE LAW GROUP LLC 238 15WC 33651 JASON, CHRISTOPHER US FOOD INC. 09/16/15 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 239 15WC 33917 SANFRATELLO, CAPRICE AMERICAN INCOME LIFE 02/17/14 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 240 15WC 34134 CASAS, JOANNA DEL MONTE FOODS CORP 08/21/15 SCHWEICKERT & GANASSIN RODDY LAW LTD 241 15WC 34283 MARTINEZ, CHAD ILLINOIS STATE POLICE 10/04/15 THE MACK LAW GROUP PC ASSISTANT ATTORNEY GENERAL 242 15WC 34340 WITZLEB, PEGGY S VITAS HEALTHCARE CORP 07/27/15 GREG TUITE & ASSOC KELLEY KRONENBERG 243 15WC 34630 HENRY, RICHARD PHELPS UNIFORM SPECIALIST 08/07/15 SCHWEICKERT & GANASSIN 244 15WC 34843 ROGERS, DENISE ILLINOIS CENTRAL SCHOOL B 10/19/15 MISKELL LAW CENTER MACIOROWSKI SACKMANN & ULRIC 245 15WC 34877 BRITO, MARTIN ALLIED LOCKE, IND. 08/18/15 PIGNATELLI & ASSOCIATES 246 15WC 34913 ROBERTSON, CATHLEEN CON AGRA FOODS INC. 03/13/15 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 15WC034919 -C 15WC034930 -C 247 15WC 34946 BRADSHAW, PARKER BOY SCOUTS OF AMERICA 06/21/15 THE HOPSON FIRM PC NYHAN BAMBRICK KINZIE & LOWR 248 15WC 35195 RODRIQUEZ, ZANETA MENARD INC. 10/16/15 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 249 15WC 35866 SMRZ, PAMELA EXELON NUCLEAR 05/08/12 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 15WC035886 -C 15WC036123 -C 250 15WC 36352 STRAGAND, MICHELLE LASALLE VETERAN'S HOME @ 09/21/15 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 251 15WC 36459 WILKE, MICHAEL FLINT HILLS RESOURCES 08/05/15 PERONA, PETERLIN, ANDREONI MC ANDREWS & NORGLE LLC 15WC036460 -C 252 15WC 36589 AUSTIN, PATRICIA HELP AT HOME, INC. 09/01/15 PIGNATELLI & ASSOCIATES LITCHFIELD CAVO 253 15WC 37377 PIETROPAOLO, MAURICE CSX INTERMODAL TERMINALS 03/12/15 DWORKIN AND MACIARIELLO MCANANY VANCLEVE & PHILLIPS 254 15WC 37642 ROADHOUSE, SANDY HERITAGE WOODS 09/01/15 WOODRUFF & JOHNSON POWER & CRONIN LTD 255 15WC 38102 MCGUIRE, CALEB DIXON DIRECT LLC 03/30/15 PIGNATELLI & ASSOCIATES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 256 15WC 38482 BROWN, ANNA TACO BELL CORP 10/23/15 KEEFE CAMPBELL & ASSOC LLC 257 15WC 38676 YORK, JERRY U.S. TRUCK BODY 04/02/15 DAVID W OLIVERO NYHAN BAMBRICK KINZIE & LOWR 258 15WC 39308 MAGNUSON, DAWN WALMART DISTRIBUATION CEN 06/08/15 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 15WC039309 -C 259 15WC 39492 ELLSOOS, TROY MENARDS 10/22/14 MEYERS & FLOWERS 260 15WC 39525 BISGROVE, JIMMY TRADESMEN INTERNATIONAL 10/14/15 MISKELL LAW CENTER 261 15WC 39656 EGAN, PHIL XOP LOGISTICS INC. 11/20/15 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 262 15WC 39883 WEBSTER, EDWARD FLINK COMPANY 02/03/15 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 263 15WC 39992 MAGUIRE, DAWN WALLACE SCHOOL DISTRICT 1 04/07/15 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 264 15WC 41802 HALFACRE, WILLIAM DIXON CORRECTIONAL CENTER @ 06/18/14 ASSISTANT ATTORNEY GENERAL 265 15WC 42609 LAUSTER, THOMAS WALMART SUPERCENTER 09/05/14 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 266 16WC 00443 BILL, CLIFFORD JOHANNES BUS SERVICE 11/14/15 PETER F FERRACUTI & ASSOCI JAMES M KELLY 267 16WC 00468 CASPER, TROY FAGEN INC. 12/16/15 BELCHER LAW OFFICE GRANT & FANNING 268 16WC 00588 MAVIS, VIRGINIA M IL DEPT OF CORRECTIONS @ 08/03/15 GREG TUITE & ASSOC ASSISTANT ATTORNEY GENERAL 16WC013233 -C STATE OF ILLINOIS, 269 16WC 00740 MCGINNIS, ROSEMARY OSF ST. ELIZABETH MEDICAL 08/22/13 RATHBUN CSEVENYAK & KOZOL 270 16WC 00945 SAGE, MERL STATE OF IL. IDOC 12/26/15 FOOTE MIELKE CHAVEZ & O'NE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 271 16WC 01197 GALINDO, LINDA DPCS INVESTMENTS, INC. D/ 03/01/13 RUSIN & MACIOROWSKI LTD 272 16WC 01524 KENT, RICH HCC, INC. 12/15/15 SCHWEICKERT & GANASSIN MACIOROWSKI SACKMANN & ULRIC 16WC003870 -C HCC INC 273 16WC 01725 LOUGH, KENNETH R MARQUIS ENERGY 07/21/13 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 274 16WC 01781 EDWARDS, ROBERT K AT&T INC 11/14/14 GOLDBERG WEISMAN & CAIRO L 275 16WC 01956 WILTS, MARVIN GRASSER'S PLUMBING & HEAT 10/11/13 GANAN & SHAPIRO 276 16WC 02132 HULLINGER, WILLIAM CONSOLIDATED GRAIN & BARG 01/06/16 SCHWEICKERT & GANASSIN CAPUANI & SCHNEIDER 277 16WC 02230 PANICUCCI, JOSEPH INNOVATING STAFFING 12/15/15 PERONA, PETERLIN, ANDREONI BRUCE WARREN 278 16WC 02751 JACKSON, STACIA CASEY'S GENERAL STORE 01/14/16 WOODRUFF & JOHNSON JAMES M KELLY 279 16WC 02795 SCHAMMEL, GENA FIRST STATE BANK 12/14/15 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 280 16WC 02956 HIDROGO, VERONICA MONTEREY MUSHROOMS 07/27/15 KALEEL, DAVID M BRADY CONNOLLY & MASUDA PC 281 16WC 03279 KUNKEL, JUSTIN WALMART SPRING VALLEY 08/05/14 MEYERS & FLOWERS QUINTAIROS PRIETO WOOD & BOY 282 16WC 03548 BEGGS, BRIAN JIMMY JOHNS 01/26/16 LAW OFFICE OF SCOTT B SHAP QUINN JOHNSTON HENDERSON ETA 283 16WC 04285 ELLI, VALERIE PLEASANT VIEW LUTHERAN HO 12/30/15 ANTHONY C RACCUGLIA & ASSO 284 16WC 04405 PHILLIPS, CHARLES A MGR FREIGHT SYSTEMS INC 09/18/15 GREGORY T MITCHELL 285 16WC 04440 RIOS-LUEDEKING, RITA JEWEL-OSCO 08/23/15 BRASSFIELD KRUEGER & RAMLO 286 16WC 04587 JOHNSON, DOREEN ILLINOIS VETERANS HOME OF 09/14/15 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 287 16WC 04792 BEGGS, BRIAN JIMMY JOHNS 11/14/15 LAW OFFICE OF SCOTT B SHAP QUINN JOHNSTON HENDERSON ETA 288 16WC 04820 MURPHY, CAROL CREST FOOD INC 02/06/15 SCHWEICKERT & GANASSIN ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 289 16WC 04945 LANDRUM, JOHN III INVENERGY 09/04/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 290 16WC 05098 FRIES, MICHAEL MONDELEZ GLOBAL LLC 01/26/16 GOLDBERG WEISMAN & CAIRO L 291 16WC 05266 BARICHELLO, DEBBIE SUZIS VI LLC 10/23/15 SCHWEICKERT & GANASSIN BUSH MOTTO CREEN KOURY 292 16WC 05439 WOLFE, KRISTEN APRIA HEALTHCARE GROUP IN 10/21/15 SCHWEICKERT & GANASSIN 293 16WC 05493 BREED, ABIGAIL L DR JAMES HEY DDS EXCEPTIO 12/15/14 GESMER LAW OFFICES, PC 294 16WC 05554 ROSE, SANDRA PRINCETON SCHOOL DIST #11 01/19/16 SCHWEICKERT & GANASSIN 295 16WC 05686 CHAMPION, DEBBIE WALMART SUPERCENTER 12/08/15 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 296 16WC 06021 CARDENAS, MARTHA MAZON-VERONA-KINSMAN 07/06/15 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 297 16WC 06066 BADER, HUDA WIDOW OF DECE SCRIPTFLEET, INC # 03/02/13 CAPRON & AVGERINOS PC SCOPELITIS GARVIN LIGHT 298 16WC 06179 MURPHY, SHONA WALMART SUEPRCENTER 08/13/15 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 299 16WC 06480 BRUNOEHLER, MARVIN SCHNEIDER NATIONAL CARRER 02/14/16 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 300 16WC 06560 DEMARIA, JENNIFER L. MCDONALD'S 12/05/15 REESE & REESE NYHAN BAMBRICK KINZIE & LOWR 301 16WC 06594 STUEDEMANN, DOUGLAS LYONDELL BASELL 01/18/16 PETER F FERRACUTI & ASSOCI BRADY CONNOLLY & MASUDA PC 302 16WC 06981 WOZNIAK, MICHELLE HERITAGE HEALTH 10/26/15 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 303 16WC 07877 COLBY, RACHEL ST. MARGARET'S HOSPITAL 12/24/13 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 304 16WC 08254 BARON, DALE E CASSENS TRANSPORT 01/12/16 ALAN A BLUM, PC KNAPP, OHL & GREEN 305 16WC 08393 WILLIAMS, ROY A SRU ELECTRIC INC 08/13/15 BERTRAND LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 306 16WC 08507 WEEKS, CHRIS A DIXON HOTEL GROUP 11/21/15 TUITE LAW INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 307 16WC 08602 MATHIS, BRADLEY W PLANO SYNERGY 02/24/16 GOLDBERG WEISMAN & CAIRO L 308 16WC 08688 MORINA, FIDAN MENARDS 04/01/13 PORRO NIERMANN & PETERSEN RODDY LAW LTD 309 16WC 08765 STEWART, KURT MIDWEST M & D SERVICES IN 09/17/15 PIGNATELLI & ASSOCIATES RUSIN & MACIOROWSKI LTD 310 16WC 08787 VARY, BRANDON MIDWEST M&D SERVICES 02/10/16 MEYERS & FLOWERS 311 16WC 08853 DAVIS, PAMELA JEWEL OSCO 01/14/16 DWORKIN AND MACIARIELLO 312 16WC 09195 GINTER, XENA HEARTLAND BANK & TRUST 10/30/13 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 313 16WC 09211 KOSTMAN, TRISTAN STERTIL ALM 12/15/15 STROW LAW LLC 314 16WC 09413 CHALKEY, NOEMI STREATOR ELEMENTARY SCHOO 03/08/16 DWORKIN AND MACIARIELLO 315 16WC 09712 BROOKS, JACQUELYN WESTCARE 02/24/16 SOSTRIN AND SOSTRIN PC 16WC026371 -C 316 16WC 09965 PONSETTI, ANTHONY JR US SILICA COMPANY 03/11/16 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 317 16WC 10361 DIAZ, JORGE A SPONGE CUSHION, INC. 01/08/16 MISKELL LAW CENTER 318 16WC 10878 BONNELL, TERRY USF HOLLAND, INC. 08/11/15 FRANKS, GERKIN & MCKENNA P 319 16WC 10914 BOULT, STEVE KALUZNY BROTHERS INC. 09/15/14 HORWITZ HORWITZ & ASSOC 320 16WC 10953 LOWE, DIANE CASEY'S GENERAL STORES, I 10/30/15 PETER D CORTI LAW GROUP 321 16WC 11129 ROUSSEAU, LATASHA ULTIMATE HEALTH & FITNESS 01/12/15 CAPRON & AVGERINOS PC INMAN & FITZGIBBONS 322 16WC 11383 WING, ADAM BLAIN'S FARM & FLEET 03/11/16 PETER F FERRACUTI & ASSOCI 323 16WC 11506 ALBITER, JAVIER STATION IMAGING 12/20/15 SPENCER LAW OFFICES KLAUKE LAW GROUP LLC 324 16WC 11771 WILKENS, MICHAEL OAK STATE PRODUCTS INC 12/08/15 SCHWEICKERT & GANASSIN KNELL LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 325 16WC 11816 HEATON, DANINE CASEYS GENERAL STORE #131 02/29/16 BERTRAND LAW OFFICE 326 16WC 12106 CRADDOCK, DENNIS J USIC LOCATING SERVICES 03/24/16 TURNER & SACKETT LLC MCANANY VANCLEVE & PHILLIPS 327 16WC 12677 HERNANDEZ, RAFAEL WRIGLEY 04/15/16 MC HARGUE, JAMES P LAW OFF GAROFALO SCHREIBER STORM 328 16WC 12745 PERKINS, MICHAEL GREATER JOLIET AREA YMCA 04/25/15 CORTINA & MUELLER 329 16WC 12867 BITTNER, MICHAEL S SEWER EQUIPMENT COMPANY 09/29/15 STENGEL BAILEY ROBERTSON RODDY LAW LTD 330 16WC 13210 WEIKUM, WILLIAM D KEN'S BEVERAGE INC. 03/31/14 MISKELL LAW CENTER GRANT & FANNING 331 16WC 13413 GARCIA, EVA WALMSRT 04/11/16 PAUL LUKA PC QUINTAIROS PRIETO WOOD & BOY 332 16WC 13715 PAISLEY, HARMON IMPERIAL MARBLE CORPORATI 11/11/15 DREW J FERRACUTI WIEDNER & MCAULIFFE LTD 333 16WC 13784 BONE, MICHAEL GAMESA WIND GSQ WIND FARM 04/11/16 DWORKIN AND MACIARIELLO 334 16WC 14085 LOWE, KURT PRICE GREGORY INT. INC. 08/07/15 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 335 16WC 14213 REUTER, CURTISS D LCN CLOSURES A/K/A 06/20/13 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 336 16WC 14241 LOGUE, JUSTIN FLEXICORPS 04/14/16 WOODRUFF & JOHNSON ROBERT L. SMITH 337 16WC 14602 IBARRA, ANTONIA NEWLY WEDS FOODS INC 05/29/15 HERRERA LAW CENTER WOLFE & JACOBSON, LTD 338 16WC 14827 WNENK, ROBERT NEWARK COMMUNITY HIGH SCH 01/04/16 MILLON & PESKIN LTD RODDY LAW LTD 339 16WC 14840 STASKO, THOMAS C. SCOOT'S AUTO 10/09/14 DREW J FERRACUTI GANAN & SHAPIRO 340 16WC 15244 KALINA, MIKE DIERZEN WELDING & MACHINE 04/26/16 QUINTAIROS PRIETO WOOD & BOY 16WC015245 -C 341 16WC 15300 ADAMS, JOSEPH L B & B ELECTRONICS 02/03/15 DREW J FERRACUTI HEYL ROYSTER VOELKER & ALLEN 342 16WC 15479 SMITH, MICHAEL G P R WALKER INC 03/09/16 MARK G BERGAL LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 343 16WC 15494 JIMENEZ-ABURTO, ARMANDO AMERICAN BARE CODUCTOR 04/21/16 OSVALDO RODRIGUEZ PC GANAN & SHAPIRO 344 16WC 16360 HARDEN, CHAD JAMES HARDLE 04/22/16 SCHWEICKERT & GANASSIN LITCHFIELD CAVO 345 16WC 16466 GERDING, JEANNE STARVED ROCK LODGE & CONF 04/19/15 BERTRAND LAW OFFICE 346 16WC 17018 FULLER, CARL W SR ST OF IL/DIXON CORRECTION @ 04/19/16 PETER F FERRACUTI & ASSOCI MATTHEW J KELLER 347 16WC 17339 RIOS, MARIA OAK STATE PRODUCTS INC 11/05/15 SCHWEICKERT & GANASSIN KNELL LAW LLC 348 16WC 17379 EGGERS-BRADY, PATRICIA A BUREAU PUTNAM AREA RURAL 10/26/15 PETER F FERRACUTI & ASSOCI GALLIANI DOELL & COZZI LTD 349 16WC 17409 RIOS, MARIA OAK STATE PRODUCTS INC 12/11/15 SCHWEICKERT & GANASSIN KNELL LAW LLC 350 16WC 17541 MARTINEZ-HERNANDEZ, GUILL PRONTO STAFFING SERVICES, 12/03/15 SCHWEICKERT & GANASSIN SLAVIN & SLAVIN 351 16WC 18213 HILL, EDWARD STERTIL ALM, INC. 08/26/15 WILLIAMS & SWEE 352 16WC 18299 BROWER, RICHARD VEOLIA 11/05/15 ACEVES & PEREZ PC INMAN & FITZGIBBONS 353 16WC 18614 SENICA, DALE US SILICA CO 02/17/14 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM 354 16WC 19112 GILL, ALICE MICRO-SURFACING, INC. 06/07/16 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 355 16WC 19824 VARGA, BARRY INDIAN CREEK RANCH CLUB 06/14/16 HORWITZ HORWITZ & ASSOC 356 16WC 20314 HELTON, BRANDON TRI-CON MATERIALS INC 06/07/16 PERONA, PETERLIN, ANDREONI HEYL ROYSTER VOELKER & ALLEN 357 16WC 20458 CERVANTES, JUAN MENARDS 04/28/16 STEVEN A CRIFASE, LTD 358 16WC 20798 HERNANDES, JAVIER CAPSTONE LOGISTIC INDIVID 06/13/16 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 359 16WC 20953 ENDRESS, LARRY MACON GC, LLC 04/27/15 LAW OFFICE DAVID HUNT HENNESSY & ROACH 360 16WC 21435 JOHNSON, CHRISTOPHER US FOODS, INC. 04/27/16 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 361 16WC 21516 HALL, VICKI ACCURATE HOME CARE HOLDIN 01/15/16 SCHWEICKERT & GANASSIN RODDY LAW LTD 362 16WC 21611 SEVILLA, ISABELLA M. COMPUCOM SYSTEMS, INC. 03/02/16 FRIEND LEVINSON & BERGAL HOLECEK & ASSOCIATES 363 16WC 21647 BUCH, RHONDA HELP AT HOME INC 06/06/16 PIGNATELLI & ASSOCIATES 364 16WC 22009 DEETS, JAMES RAYNOR GARAGE DOORS 06/06/16 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES JOSEPH MARCINIAK 365 16WC 22124 DEZAM, JAMES LONE STAR-CARDINAL MOTORC 05/08/16 SCHWEICKERT & GANASSIN 366 16WC 22447 PERALTA, GINA R AURORA SPECIALTY TEXTILES 06/16/16 TUITE LAW GAROFALO SCHREIBER STORM 367 16WC 22676 BAUER, JONATHAN MENARDS 06/14/16 ROMANEK & ROMANEK 368 16WC 22934 REYES, NORA FOX VALLEY MOLDING 04/19/16 WOODRUFF & JOHNSON 369 16WC 22963 BUCKLEY, KEVIN NORTHERN ILLINOIS FOOD BA 06/27/16 KINNALLY FLAHERTY KRENTZ & NYHAN BAMBRICK KINZIE & LOWR 370 16WC 23094 KONIECZKI, MICHAEL CITY OF PERU, ILLINOIS 04/04/16 ANTHONY C RACCUGLIA & ASSO RODDY LAW LTD 371 16WC 23410 MEDELIN, JUAN DURO CAST INC. 06/23/16 BERTRAND LAW OFFICE 372 16WC 23434 BUGIVNE, FERN IMERIS BIG APPLE INC 11/03/15 SCHWEICKERT & GANASSIN ROSARIO CIBELLA 373 16WC 23876 ZEMKE, JAKOB BOSS ROOFING SIDING 08/27/15 RUBENS AND KRESS HENNESSY & ROACH PC 374 16WC 23988 BRADFORD, JON OWL, LTD 04/27/15 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 375 16WC 24104 GONZALEZ-ROSALES, FRANCIS UTILITY CONCRETE PRODUCTS 03/04/16 RUBIN LAW GROUP 376 16WC 24215 BREYNE, SARAH WAL-MART DISTRIBUTION CTR 05/09/16 PETER F FERRACUTI & ASSOCI QUINTAIROS PRIETO WOOD & BOY 377 16WC 24550 AIMONE, DEBORAH HALLMARK MARKETING CO, LL 03/17/16 SCHWEICKERT & GANASSIN INMAN & FITZGIBBONS 378 16WC 24580 ALMANZA, OLIVERIO OAK STATE PRODUCTS 10/12/15 JOHN LESAGANICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 379 16WC 24637 REYNOLDS, PAUL J POWER DISTRIBUTING LLC 06/03/16 LEONARD LAW GROUP LLC GANAN & SHAPIRO 380 16WC 25399 CARLSON, GARY PLANO SCHOOL DISTRICT 88 08/01/16 KATZ FRIEDMAN EAGLE ET AL 381 16WC 25682 HENRY, JEFFREY RUAN TRANSPORTATION 06/12/15 ANTHONY C RACCUGLIA & ASSO JAMES M KELLY 382 16WC 25946 SHEEHAN, PATRICIA LMK TECHNOLOGIES, LLC 04/14/16 SCHWEICKERT & GANASSIN 383 16WC 26055 PARRA SALINAS, MARINA ADM ANTIOCH TIRE D/B/A # 08/01/16 MEYERS & FLOWERS 384 16WC 26092 FINK, JAMES FLINK COMPANY 02/03/15 PETER F FERRACUTI & ASSOCI 385 16WC 26135 RYAN, MOLLY SOI-DIXON CORRECTIONAL CT @ 07/05/16 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 386 16WC 26459 SMITH, JOSEPH DAUBER COMPANY INC 07/08/15 ANTHONY C RACCUGLIA & ASSO THOMAS & PORTELA 387 16WC 26550 BIBBY, MICHAEL KOHL'S DISTRIBUTION 04/15/15 MISKELL LAW CENTER CHILTON YAMBERT PORTER LLP 388 16WC 26686 WOJCIECHOWSKI, CHERYL MENARDS DISTRIBUTION CENT 06/06/16 TURNER & SACKETT LLC 389 16WC 26801 LESMAN, JEFFERY MBL USA CORPORTATION 01/17/16 PETER F FERRACUTI & ASSOCI BRADY CONNOLLY & MASUDA PC 390 16WC 27208 HOPPE, JOHN (PARENT) CULVER'S OF YORKVILLE 08/23/16 CORBOY & DEMETRIO PC 391 16WC 27652 TLACH, PETR MENARDS DISTRIBUTION CENT 02/06/15 PORRO NIERMANN & PETERSEN 392 16WC 27776 LUCAS, JULIE A WAL-MART 636 08/22/14 PETER F FERRACUTI & ASSOCI 393 16WC 27861 GERKITZ, DAVID FLINK COMPANY 02/01/16 HORWITZ HORWITZ & ASSOC 394 16WC 27892 PRUITTE, KENDRICK THE RESULTS CO 08/18/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 395 16WC 28153 HEWITT, JOHN YORKVILLESCHOOL DISTRICT 04/08/15 GREGORIO & MARCO ROSARIO CIBELLA 396 16WC 28156 HEWITT, JOHN YORKVILLE SCHOOL DISTRICT 06/21/16 GREGORIO & MARCO ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 397 16WC 28262 CONKLEN, JERALD ROCK RIVER READY MIX 04/01/14 LUDENS POTTER & MELTON HEYL ROYSTER VOELKER & ALLEN 398 16WC 28272 PALKO, CHERYL A OWENS-BROCKWAY GLASS CONT 08/08/13 DREW J FERRACUTI 399 16WC 28276 MITCHELL, CHRISTOPHER M COMMUNICATION DATA LINK 03/11/16 DREW J FERRACUTI NYHAN BAMBRICK KINZIE & LOWR 400 16WC 28856 MARTINEZ, RUBEN ACQUA CORPORATION 07/28/16 WIEDNER & MCAULIFFE LTD 401 16WC 29003 BREYNE, SARAH WAL MART DISTRIBUTION CEN 09/17/16 PETER F FERRACUTI & ASSOCI QUINTAIROS PRIETO WOOD & BOY 402 16WC 29078 BIERWIRTH, KATHY S HORIZON HOUSE OF ILL VALL 08/14/16 GEARHART, GARY L & ASSOCS HEYL ROYSTER VOELKER & ALLEN 403 16WC 29222 CARLOS, MAYRA EAKAS CORPORATION 08/15/16 PERONA, PETERLIN, ANDREONI 404 16WC 29401 CONCA, AMANDA L JC WHITNEY-AUTO PARTS & 08/09/16 DREW J FERRACUTI BRYCE DOWNEY & LENKOV LLC 405 16WC 29589 FRANTZEN, BRUCE PEPSICO 08/12/16 WOODRUFF & JOHNSON BRYCE DOWNEY & LENKOV LLC 406 16WC 29786 ROSALES, MARGARET FEDERAL EXPRESS 10/29/13 BERTRAND LAW OFFICE 407 16WC 30204 VALDES-ROMERO, ELISA WALMART DISTRIBUTION CENT 01/04/16 PETER F FERRACUTI & ASSOCI QUINTAIROS PRIETO WOOD & BOY 408 16WC 30246 PEARSON, STEVEN A W H MAZE CO 06/19/13 NOLASCO, RAYMOND R 409 16WC 30612 GARNER, JAMES MENARDS 05/26/16 DWORKIN AND MACIARIELLO RODDY LAW LTD 410 16WC 30695 COUGHLIN, DAVID CHELLINO CRANE 08/16/16 RUBENS AND KRESS MCANANY VANCLEVE & PHILLIPS 411 16WC 30728 MARTIN, LISA ILLINOIS VETERANS HOME @ 09/08/16 SCHWEICKERT & GANASSIN MATTHEW J KELLER 412 16WC 30859 HICKS JR., HAROLD POMP'S TIRE SVCS, INC 08/29/16 SCHWEICKERT & GANASSIN KNELL & O'CONNOR 413 16WC 30862 FLORES, LUIS BECKER AUTOMOTIVE, INC 08/24/16 SCHWEICKERT & GANASSIN HERBOLSHEIMER LANNON ET AL 414 16WC 31066 HEDRICK, JAMES CITY OF WENONA 09/08/14 SCHWEICKERT & GANASSIN RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 415 16WC 31303 MURPHY, TERRY D SR. STREATOR DEPENDABLE MANUF 02/04/16 DREW J FERRACUTI NYHAN BAMBRICK KINZIE & LOWR 416 16WC 31526 MANSOUR, GEORGE V SIGAN AMERICA, LLC 08/18/16 DREW J FERRACUTI 417 16WC 31564 WAGNER, VICTORIA EAKAS CORP 08/19/16 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 418 16WC 31591 SANDOVAL, JOSE PETSMART, INC 03/13/16 SCHWEICKERT & GANASSIN 419 16WC 31745 LEHMAN, JEREMY U.S. SILICA 05/11/16 TIMOTHY CANTLIN 420 16WC 31851 KAY, TRACY SHAFER STAFFING, INC 09/09/16 ROMANEK & ROMANEK ROBERT L. SMITH 421 16WC 31935 THOMPSON, JOSEPH W H MAZE CO DBA 03/30/16 SCHWEICKERT & GANASSIN 422 16WC 32008 CORRIE, OLIVIA FLEXICORPS INC 09/15/16 ROMANUCCI & BLANDIN ROBERT L. SMITH 423 16WC 32575 CHIMNER, JULIE JEWEL 04/07/16 BRIAN T MORROW, LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 424 16WC 32681 HERNANDES, JAVIER CAPSTONE LOGISITIC INDIV/ 10/07/16 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 425 16WC 32698 ENRIQUEZ, CYNTHIA JEWEL OSCO 08/22/16 THE KARMEL LAW FIRM 426 16WC 32889 BIVENS, JUSTIN KOHL'S DISTRIBUTION CENTE 08/29/16 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 427 16WC 32974 FRANTZEN, BRUCE PEPSICO 07/21/15 WOODRUFF & JOHNSON BRYCE DOWNEY & LENKOV LLC 428 16WC 33084 VERDIRAMO, MARCUS PETSMART, INC 07/11/16 SCHWEICKERT & GANASSIN CASSIDAY SCHADE LLP 429 16WC 33300 HOCHSTATTER, NEIL D DEL MONTE FOODS, INC 06/11/15 TUITE LAW RODDY LAW LTD 430 16WC 33557 SIEMBAB, BRIAN U.S. SILICA COMPANY 09/18/16 STROW LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 431 16WC 33725 RICHARDSON, TIMOTHY UNYTITE, INC 09/01/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 432 16WC 33739 NOYOLA, JUAN C CALIFORNIA MULTIMODAL LLC 10/17/16 CHEPOV & SCOTT LLC RODDY LAW LTD 16WC034142 -C 433 16WC 33940 CEPEDA, ELENA WRIGLEY MANUFACTURING CO 07/29/16 RATHBUN CSEVENYAK & KOZOL GAROFALO SCHREIBER STORM 434 16WC 34031 KOLAT, JOHN DOUBLE D EXPRESS 12/15/13 HORWITZ HORWITZ & ASSOC 435 16WC 34197 POSTMA, CARLA WEXFORD HEALTH SOURCES, I 07/06/16 ELFENBAUM EVERS & AMARILIO RUSIN & MACIOROWSKI LTD 436 16WC 34385 SLAY, DANA DONALDSON CO 10/03/16 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 437 16WC 34558 KIM, CHRISTOPHER H CHICAGO BRIDGE & IRON COM 11/05/16 RUBIN LAW GROUP RIPES NELSON BAGGOT KALOBRAT 438 16WC 34818 CRUZ, MARIA MONTEREY MUSHROOMS 11/17/15 ANTHONY C RACCUGLIA & ASSO BRADY CONNOLLY & MASUDA PC 439 16WC 34839 PISANO, KYLE DUNHAM'S SPORTS 10/14/16 LAW OFFICES MICHAEL HELLMA 440 16WC 34964 SCHUMANN, PATRICK C THE RESERVES NETWORK 08/23/16 DREW J FERRACUTI WIEDNER & MCAULIFFE LTD 441 16WC 35130 PACE, THOMAS E THRIFT TRUCKING 05/03/16 STEVEN P GLANCY 442 16WC 35709 VAN CLEVE, RANDY SHERWOOD LODGING, LLC D/B * 09/28/16 SCHWEICKERT & GANASSIN 443 16WC 35748 MALAND, MARY JO GRUNDY COUNTY * 10/17/16 CORTINA & MUELLER 444 16WC 35847 RIX, MICHAEL OLD CASTLE, INC., DBA/ * 12/15/14 SCHWEICKERT & GANASSIN MCANANY VANCLEVE & PHILLIPS 445 16WC 35868 RIX, MICHAEL OLD CASTLE, INC D/B/A * 08/05/16 SCHWEICKERT & GANASSIN MCANANY VANCLEVE & PHILLIPS 446 16WC 36005 FUENTES-GUTIERREZ, JOSE UCP-UTILITY CONCRETE PROD * 09/20/16 PETER F FERRACUTI & ASSOCI NYHAN BAMBRICK KINZIE & LOWR 447 16WC 36296 FULLER, CALEB CORPORATE SERVICES * 11/17/16 STRONG LAW OFFICE 448 16WC 36496 PULIDO, ARTURO NEWLY WEDS FOODS * 10/04/16 FOOTE MIELKE CHAVEZ & O'NE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 449 16WC 36539 DETTMANN, MICHAEL A&R LOGISTICS * 10/31/16 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 450 16WC 36659 BAILEY, RACHEL B STATE OF IL, JACK MABLEY @ * 10/22/16 REESE & REESE ASSISTANT ATTORNEY GENERAL 451 16WC 36662 BURASH, MICHAEL OSF SAINT ELIZABETH * 04/14/16 BLACK & JONES HERBOLSHEIMER LANNON ET AL 452 16WC 36966 MACKENZIE, BENJAMIN L INFRA METALS * 11/08/16 MARTIN V KUGIA POULOS & DIBENEDETTO LAW 453 16WC 37035 BUFFO, DALE RIDER'S CHOICE RACING, LL * 05/21/15 SCHWEICKERT & GANASSIN 454 16WC 37369 SMORON, MICHAEL ILLINOIS CEMENT COMPANY * 04/22/14 PERONA, PETERLIN, ANDREONI SPIEGEL & CAHILL, PC 455 16WC 37375 GILMORE, NANCY L SODEXO * 11/09/16 BERTRAND LAW OFFICE ASSISTANT ATTY GENERAL 456 16WC 37607 LUEVANO, ROSIO HI-TECH ELECTRONIC PRODUC * 08/29/16 PERONA, PETERLIN, ANDREONI 457 16WC 37688 SMENT, JAMES PRETIUM PACKAGING * 11/27/16 PETER F FERRACUTI & ASSOCI BRADY, CONNOLLY & MASUDA, PC 458 16WC 37928 JOHNSON, ROBERT WALMART DISTRIBUTION CTR * 11/23/16 REESE & REESE CHICAGO TRANSIT AUTHORITY 459 16WC 38098 BAKER, ROBERT F, JR FAIRMOUNT SANTROL * 01/15/16 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 460 16WC 39106 GRADY, JOSEPH S MORTON BUILDINGS * 04/23/15 DREW J FERRACUTI 461 16WC 39454 CHAMBERS, SHEILA FLIPO GROUP LTD * 11/17/15 SCHWEICKERT & GANASSIN 462 17WC 00689 STRAGAND, MICHELLE ST OF IL DEPT OF LA SALLE * 12/21/16 WOODRUFF & JOHNSON MATTHEW J KELLER 463 17WC 00733 WOOD, CHARLES J MAURO ATOR TRUCKNG INC * 12/17/16 PETER F FERRACUTI & ASSOCI JAMES M KELLY 464 17WC 00960 BEALE, JOYCE SAPP BROS BURGER KING * 09/30/16 PETER F FERRACUTI & ASSOCI 465 17WC 01184 SNOW, JERRY R NORTHERN IL STEEL ERECTOR * 10/03/16 ANESI OZMON RODIN NOVAK KO 466 17WC 01530 ARANDA, OSCAR CABELLO REHRIG PACIFIC CO * 11/22/16 SCHWEICKERT & GANASSIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 467 17WC 01780 MOLLN, RYAN J CITY OF PRINCETON * 12/02/16 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 468 17WC 01944 DUFFY, BRANDI OSF HEALTHCARE SYSTEM DBA * 01/10/16 SCHWEICKERT & GANASSIN 469 17WC 02077 LASIK, KEVIN CONWAY INC * 09/01/15 PERONA, PETERLIN, ANDREONI 470 17WC 02103 CALDWELL, CHRIS JEWEL FOOD STORES * 12/23/16 PETER F FERRACUTI & ASSOCI 471 17WC 02129 TORRES, EVANGELINA WRIGLEY * 04/12/15 WOODRUFF & JOHNSON 472 17WC 02351 REUTER, AMY BUREAU COUNTY SHERIFF DEP * 12/05/16 STRONG LAW OFFICE 473 17WC 02497 PIERCE, KAYLA LA SALLE COUNTY * 04/06/16 HERBOLSHEIMER LANNON ET AL 474 17WC 02543 MILLER, JENNIFER BUREAU COUNTY SHERIFF DEP * 11/18/15 STRONG LAW OFFICE 475 17WC 03174 ARTEAGA, MARIA J ALLIED LOCKE INDUSTRIES * 08/20/16 DREW J FERRACUTI 476 17WC 03322 OLSON, ERIC THOR STATE OF ILLINOIS IDOT @ * 08/15/15 MEYERS & FLOWERS 477 17WC 03397 SPOONMORE, TINA MCDONALDS * 12/28/16 BERTRAND LAW OFFICE 478 17WC 03523 QUACO, TIM PLEWS EDELMANN * 12/06/16 PIGNATELLI & ASSOCIATES 479 17WC 03946 SMITH, COURTNEE WALGREENS #4042 * 12/01/15 KINNALLY FLAHERTY KRENTZ & 480 17WC 04030 JURICH, PETER J BLACK HORSE CARRIERS, INC * 10/25/16 TAMVAKIS, GEORGE L 481 17WC 04164 RUFFNER, BRADLEY UNYTITE, INC * 01/27/17 SCHWEICKERT & GANASSIN 482 17WC 04167 HASSLER, JAMES UNITED PARCEL SERVICE * 10/26/16 SCHWEICKERT & GANASSIN 483 17WC 04246 ESCATEL SANCHEZ, HERMELIN MONTEREY MUSHROOMS * 02/07/16 ANTHONY C RACCUGLIA & ASSO 484 17WC 04277 KETCHUM, AMY KREIDER SERVICES * 01/28/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 03/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 485 17WC 04327 RODRIGUEZ, VICTOR HCC INC * 05/26/16 PETER F FERRACUTI & ASSOCI 486 17WC 04657 LUCAS, J SCOTT PLANO COMMUNITY SCHOOL DI * 03/18/15 MEYERS & FLOWERS 487 17WC 04699 GONZALEZ, LOUIS RAYNOR MANUFACTURING COMP * 08/17/15 GOLDBERG WEISMAN & CAIRO L 488 17WC 04862 ZUCHORA, NATHAN GREG THOMPSON CONSTRUCTIO * 02/02/17 PETER F FERRACUTI & ASSOCI