ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 … · 67 13wc 13963 hernandez-dionicio, jesus universal exports of illi w ... seq case nbr petitioner name respondent name

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 01WC 14392 BANKS, LARRY CITY OF CHICAGO 10/02/00 ROSS TYRRELL LTD HENNESSY & ROACH PC 05WC047102 -C 05WC047103 -C 08WC032068 -C 2 02WC 42524 BERNATOWICZ, WAYNE CHICAGO TRANSIT AUTHORITY 05/21/02 JOHN E LUSAK CHICAGO TRANSIT AUTHORITY 02WC066372 -C 05WC005236 -C 3 04WC 44666 OCASIO, JUDY SERVICE EMPLOYEES W 02/22/02 O'CONNOR & NAKOS POWER & CRONIN LTD 04WC044667 -C 04WC044668 -C 04WC044669 -C 06WC002539 -C 06WC002540 -C 4 06WC 22949 SULEIMAN, NABIEL CHICAGO TRANSIT AUTHORITY 06/08/05 BOWMAN & CORDAY CHICAGO TRANSIT AUTHORITY 5 07WC 04220 CLEMENTSON, JOHN CITY OF CHICAGO 04/17/06 CULLEN, HASKINS, NICHOLSON CITY OF CHICAGO 07WC021908 -C 6 07WC 22140 CORTES, MIOSOTIS SOLO CUP COMPANY 09/27/06 GRAZIAN & VOLPE PC GAROFALO SCHREIBER STORM 08WC007333 -C 08WC043277 -C 08WC043278 -C 7 07WC 31304 MC NEAL, GEORGIA M CITY OF CHICAGO 12/07/06 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 8 08WC 35684 PLATT, DANIEL CHICAGO TRANSIT AUTHORITY 06/23/08 BOUDREAU NISIVACO LLC CHICAGO TRANSIT AUTHORITY 9 09WC 07093 GUZMAN, FIDEL VISAGE SCREEN PRINT 01/07/09 MARK A MORGENSTERN BRADY CONNOLLY & MASUDA PC 10 09WC 19965 MOYLAN, JAMES PICKENS-KANE ENTERPRISES 05/31/06 HEALY LAW FIRM 11 09WC 23205 BURKHEAD, ANTOINETTE CITY OF CHICAGO 05/28/09 STEVEN J SEIDMAN LAW OFFIC CITY OF CHICAGO 13WC032645 -C 12 09WC 39181 GONZALEZ, MARTIN C DOLLAR BUSTER W 05/18/09 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 10WC 12174 KESSANTI, FARID BLUE RIBBON CAB 03/05/10 TRUGLIO, FRED A & ASSOC STONE & JOHNSON CHARTERED 14 10WC 13334 THOMAS, RICK CITY OF EVANSTON 03/23/10 BURNES & LIBMAN WIEDNER & MCAULIFFE LTD 12WC025655 -C 14WC001008 -C 14WC007050 -C 16WC008727 -C 15 10WC 16276 BERGE, ERIC VILLAGE OF OAK LAWN FIRE 09/01/09 LAW OFFICES OF ANN O'CONNE KEEFE CAMPBELL & ASSOC LLC 11WC019971 -C FRANKFORT FIRE PROTECTION 16 10WC 22534 PENA, ANTONIO ELITE STAFFING 05/25/10 MC HARGUE & JONES MARC CAIRO 10WC022535 -C 17 10WC 23301 BARBEE, ANDREA CITY OF CHICAGO 04/14/10 ANESI OZMON RODIN NOVAK KO 18 10WC 24874 MELE, MARGARET YRC WORLDWIDE INC 06/17/10 BOUDREAU & NISIVACO LLC HENNESSY & ROACH PC 19 10WC 39014 ADAN, ANNA M MANOR CARE 07/29/10 VITELL & SPITZ LTD BRYCE DOWNEY & LENKOV LLC 20 10WC 39622 BOORMAN, PATRICIA L LOYOLA UNIVERSITY MED CTR 08/27/09 RICHARD O. GREENFIELD LORENZ & BERGIN PC 10WC039623 -C 21 10WC 40038 HU, KYONG CHA WOORI VILLAGE @ W 10/03/10 STEVEN J SEIDMAN LAW OFFIC 22 10WC 48551 BALDWIN, LESLIE HAYMARKET CENTER HOME 12/11/10 MARC J SHUMAN & ASSOCIATES BRADY CONNOLLY & MASUDA PC 23 11WC 04804 LAZAR, MIKE YELLOW CAB 10/04/10 KENNETH B GORE, LTD STONE & JOHNSON CHARTERED 24 11WC 05465 HENDERSON, LINDA CITY OF CHICAGO 10/21/09 LEO M. BLEIMAN & ASSOC CITY OF CHICAGO 17WC011829 -C 25 11WC 10075 SALAZAR, CESAREO STATE OF ILLINOIS @ 05/01/09 STEVEN J SEIDMAN LAW OFFIC DANIEL SULLIVAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 26 11WC 12801 DACOSTA, TONY CTA 03/14/11 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 27 11WC 14124 BRITT, CLAUDELL CITY OF CHICAGO 02/07/11 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 12WC020653 -C 13WC007301 -C 14WC032252 -C CHICAGO STREETS & SAN DEPT 15WC022398 -C 28 11WC 14477 GARCIA, ISMAEL ASG STAFFING 04/04/11 MC HARGUE & JONES POWER & CRONIN LTD 29 11WC 15243 ERAKAT, RIMA AWNI FOOD 4 LESS 03/20/11 COHN LAMBERT RYAN & SCHNEI STONE & JOHNSON CHARTERED 30 11WC 16507 CAMPOS, SERJIO SEVEN D CONSTRUCTION 04/15/10 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 31 11WC 17756 KEENE, WILLIAM CHICAGO PARK DISTRICT 03/03/11 HORWITZ HORWITZ & ASSOC CHICAGO PARK DIST LAW DEPT 32 11WC 19848 KULACH, PAWEL CHRIS CARPENTRY AND W 04/18/11 CHRISTOPHER BUCHCAR, LTD FUKSA KHORSHID LLC 33 11WC 24168 RUDINS, JOHN POWER PLAY DISTRIBUTORS, 04/20/10 EPSTEIN, JACK R LAW OFFICE ROCK FUSCO & CONNELLY 34 11WC 30641 BARNETT, MICHAEL CHICAGO TRANSIT AUTHORITY 07/30/11 MICHAEL J DUDEK CHICAGO TRANSIT AUTHORITY 35 11WC 32734 BAILEY, JANET M UNITED AIRLINES, INC. 10/31/10 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 15WC011143 -C 36 11WC 34023 NEWSUM, DEBRA CITY OF CHICAGO DEPT OF F 08/21/11 STEVEN J SEIDMAN LAW OFFIC CITY OF CHICAGO 37 11WC 42494 TOWNSEND, TAMEKA L CTA 10/31/11 MICHAEL P MCCREADY & ASSOC CHICAGO TRANSIT AUTHORITY 38 11WC 42512 CLERMOND, JOE ARENA FOOTBALL ONE LLC 04/22/11 PETER D CORTI LAW GROUP ADELSON TESTAN BRUNDO 39 11WC 42644 GUEVARA, FREDY PRIMARY STAFFING INC 08/10/11 KATZ FRIEDMAN EAGLE ET AL LEAHY EISENBERG & FRAENKEL 40 11WC 48875 VASQUEZ, ROGELIO ELITE STAFFING, INC 12/01/11 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 41 12WC 00132 MORENO, DANIEL SEAN'S CONSTRUCTION & 12/13/11 JAMES ELLIS GUMBINER & ASS 42 12WC 01384 FOSTER, SHARON CITY OF CHICAGO SANITATIO 01/04/12 MICHAEL P MCCREADY & ASSOC CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 43 12WC 04992 SIDA, JOSE PRO TRAILER 11/09/11 CHRISTINE F DAVID GANAN & SHAPIRO 44 12WC 06037 VINSON, TEKESHIA CTA 01/23/12 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 12WC040163 -C 45 12WC 10767 EGIZIO, MICHELLE WAL MART STORES 02/16/12 SAUNDERS CONDON & KENNY WIEDNER & MCAULIFFE LTD 12WC027235 -C 46 12WC 16761 KEANE, PETER CHICAGO TRANSIT AUTHORITY 12/01/11 HEALY LAW FIRM CHICAGO TRANSIT AUTHORITY 47 12WC 23212 BORAS, VLADO BARCELONA CONDO ASSOCIATI 04/20/12 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 14WC040927 -C 48 12WC 24638 WILLIAMS, KEITH CITY OF CHICAGO 06/18/12 SALVATO & O'TOOLE HENNESSY & ROACH PC 49 12WC 27207 COLEMAN, VALESKA PROVIDENT HOSPITAL 04/03/12 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 50 12WC 27844 SMITH, LAMONT CITY OF CHICAGO 06/25/12 HEALY LAW FIRM CITY OF CHICAGO 51 12WC 37862 MORALES, SILVIA CINTA'S CORP 10/09/12 SMOLER LAW OFFICE, PC KEEFE CAMPBELL & ASSOC LLC 52 12WC 42339 MAYOR, JAIR CITY OF CHICAGO 11/28/12 ACEVES & PEREZ PC CITY OF CHICAGO 53 12WC 43316 CARTER, URSULA IL STATE POLICE @ 10/01/12 STEVEN M SELAN JILL OTTE 13WC006097 -C ILLINOIS STATE POLICE 54 12WC 43615 BAILON, REYNA MARRIOTT HOTEL SRVCS INC 05/01/12 THE ROMAKER LAW FIRM POWER & CRONIN LTD 14WC034686 -C 55 12WC 44537 ZUNIGA-SANCHEZ, JULIO SCHNEIDER ELECTRIC USA IN 07/04/12 POMPER & GOODMAN SPIEGEL & CAHILL, PC 56 13WC 00588 CAMPOS, EDUARDO DISPATCH TAXI W 12/17/12 MARC J SHUMAN & ASSOCIATES 57 13WC 00730 WILLIAMS, SANDRA CHICAGO BOARD OF EDUCATIO 12/13/12 EPSTEIN, JACK R LAW OFFICE LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 58 13WC 00832 BARRIGA, OLGA PETE'S FRESH MARKET 12/04/12 JONATHAN SCHLACK KEEFE CAMPBELL BIERY & ASSOC 59 13WC 01764 DIAZ, HERMAN CHICAGO MEAT AUTHORITY IN 10/26/12 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 14WC007368 -C 14WC029231 -C 16WC002622 -C 60 13WC 05252 PUCCIO, JOHN CITY OF CHICAGO SANTIATIO 03/07/12 JOSEPH J SPINGOLA, LTD 16WC000250 -C 61 13WC 08858 LYONS, CHRISTINE ALEXIAN BROTHERS 07/20/12 COLLISON LAW OFFICES POWER & CRONIN LTD 62 13WC 11598 PERKINS, THEA ELEMENTARY SCHOOL DISTRIC 12/05/12 STEVEN J SEIDMAN LAW OFFIC ANCEL GLINK DIAMOND BUSH & E 63 13WC 11933 JOHNSON, LORETTA UNIVERSITY OF CHICAGO HOS 03/12/13 LAW OFFICES MICHAEL HELLMA MACIOROWSKI SACKMANN & ULRIC 14WC012075 -C 64 13WC 12517 MOTYASHOK, VOLODYMYR KAUNAS EXPRESS @ W 01/22/13 BELCHER LAW OFFICE DAVID M SPADA 65 13WC 12571 PAGAN, EDWARD THE KEMPNER CO., INC. 06/20/12 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 66 13WC 13729 SHULGA, MARY (WIDOW OF CITY OF EVANSTON 03/14/13 THOMAS W DUDA WIEDNER & MCAULIFFE LTD 16WC024300 -C 17WC034922 -C 67 13WC 13963 HERNANDEZ-DIONICIO, JESUS UNIVERSAL EXPORTS OF ILLI W 08/23/12 FRIEDMAN & SOLMOR LTD ASSISTANT ATTORNEY GENERAL 68 13WC 22757 LEON, MARIA BURGER KING 07/03/13 ACEVES & PEREZ PC LAW OFFICES OF EDWARD J. KOZ 69 13WC 22814 DEACON, LAWRENCE PENINSULA CHICAGO 12/18/12 HEALY LAW FIRM HENNESSY & ROACH PC 70 13WC 23103 CARNEY, HURBIE DEPT OF HUMAN SERVICES @ 04/18/13 BOGUSZ & BOGUSZ LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 71 13WC 25312 PERRI, NASER THE MILLARD GROUP 06/28/13 MICHAEL HELLMAN RODDY LAW LTD 14WC033111 -C 72 13WC 28400 CAMPBELL, HELEN MADDEN MENTAL HEALTH CTR @ 10/15/12 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 13WC028453 -C 73 13WC 30691 RODRIGUEZ, MANUEL TRIANGLE FABRICATION & 07/25/13 FIORENTINO LAW OFFICES 74 13WC 30719 PENE, FELIX ELITE CAB CO 09/02/13 POMPER & GOODMAN 75 13WC 31697 KOETZLE, RALPH L VERALLIA SANT GOBAIN 06/12/13 VITELL & SPITZ LTD HENNESSY & ROACH PC 76 13WC 32097 RICKMAN, CHESLEY CITY OF CHICAGO 09/13/13 ANKIN LAW OFFICE CITY OF CHICAGO 77 13WC 33337 CALDERON, MARTIN MENARDS, INC 11/28/11 SALK, STEVEN B & ASSOC LTD CHILTON YAMBERT PORTER LLP 13WC033338 -C 13WC033339 -C 14WC021836 -C 15WC026769 -C 78 13WC 33705 FERREYRA, JOSE D COMPACT INDUSTRIES INC 09/27/13 ANKIN LAW OFFICE 79 13WC 34654 CAMPOS, JOSEFINA AR-BEE TRANSPORT, INC. 06/12/13 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 80 13WC 35037 TORRES, MARIA DURABLE PACKAGING 10/16/12 THE ROMAKER LAW FIRM RODDY LAW LTD 13WC039489 -C 81 13WC 35162 SANTANA, MIGUEL AIR CHECK, INC 10/07/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 82 13WC 36064 OWENS, ORLANDO CITY OF CHICAGO 10/22/13 DWORKIN AND MACIARIELLO CITY OF CHICAGO 83 13WC 36791 HARRIS, VICTORIA ST OF IL, E LUDEMAN @ 06/27/11 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 15WC035265 -C STATE OF IL 16WC019828 -C 84 13WC 37218 SULLIVAN, MICHAEL NORTH PALOS FIRE PROTECTI 10/06/13 THOMAS W DUDA POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 85 13WC 38715 KEETON, JIMMY E LOYOLA UNIVERSITY 04/22/13 BRILL & FISHEL LORENZ & BERGIN PC 86 13WC 39873 CANNIZZARO, TAMMY LOYOLA UNIVERSITY 06/11/12 RONALDSON & KUCHLER LORENZ & BERGIN PC 14WC020186 -C 87 13WC 40828 ZAYA, LODIA XYLEM INC 02/06/13 O'CONNOR & NAKOS POULOS & DIBENEDETTO LAW 88 13WC 41526 WYDRA, STEPHEN CHICAGO PARK DISTRICT 12/06/13 GOLDBERG WEISMAN & CAIRO L CHICAGO PARK DIST LAW DEPT 89 13WC 41777 DOKES, MARIA E UNIVERSITY OF ILLINOIS 10/14/13 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 90 13WC 42550 CUNNINGHAM,SARAH MEDICAL EXPRESS SMBULANCE 11/01/13 LAW OFFICE EDWARD LICHTENS RIPES NELSON BAGGOT KALOBRAT 91 14WC 00164 AVALOS, ARACELI SUPERIOR MAILING SERV INC 10/03/13 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 14WC000165 -C 92 14WC 00324 RODRIGUEZ, GABRIEL THE LEVY COMPANY 11/27/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 93 14WC 00383 PEREZ, FERNEY FOOD 4 LESS 11/26/13 KENT M LUCACCIONI LTD STONE & JOHNSON CHARTERED 94 14WC 00417 HAENNICKE, GEORGE F CITY OF BERWYN 02/24/13 GOLDBERG WEISMAN & CAIRO L CUDA LAW OFFICES 14WC000418 -C 15WC003155 -C 95 14WC 00968 BOWEN, JOSEPH JB HUNT 12/04/13 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 14WC012657 -C 96 14WC 01130 MENDOZA, MARIA E TOWER AUTOMOTIVE 04/16/13 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 97 14WC 01445 CHAVEZ, MARIA G LABOR NETWORK 09/30/13 GOLDSTEIN BENDER & ROMANOF ROBERT L. SMITH 98 14WC 02054 HARGROVE WARD, TIKITA EVERST COLLEGE 12/31/13 DWORKIN AND MACIARIELLO GRANT & FANNING 99 14WC 03538 CLEVELAND, RONALD GROSSINGER TOYOTA NORTH 11/19/13 SALK, STEVEN B & ASSOC LTD ROBERT L. SMITH 14WC009920 -C 100 14WC 08574 KISSINGER, JASON L FORD MOTOR COMPANY 11/19/13 MARSZALEK AND MARSZALEK POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 101 14WC 09923 MORGAN-CORNELL, KRISTY CHICAGO TRANSIT AUTHORITY 03/24/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 102 14WC 10750 BENAISSA, ROCHDI FLASH CAB 02/24/14 DWORKIN AND MACIARIELLO LAW OFFICES OF DEBORAH SCHAE 103 14WC 10899 GARMAN, DION CHICAGO TRANSIT AUTHORITY 03/10/14 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 104 14WC 10939 ROSALES, MARIBEL UNISTAFF 03/19/14 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 105 14WC 11448 BECHARAS, BESSIE VASILIKI UNITED AIRLINES INC. 09/15/12 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 106 14WC 11506 TABB, YOHANNA CTA 04/03/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 107 14WC 11554 CAPARELLI-RUFF, ELIZABETH SPECIAL EDUCATION SERVICE 03/12/14 ERIC H CHECK, LAW OFFICES HOLECEK & ASSOCIATES 108 14WC 11819 FISHER, ANDREA FORD 03/23/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 14WC011820 -C 15WC032172 -C 109 14WC 12054 SULLIVAN, JAMES MONDELEZ INTERNATIONAL IN 11/11/13 LEO ALT WIEDNER & MCAULIFFE LTD 110 14WC 12240 THEOBALD, DEBORAH STARBUCKS CORPORATION 10/23/12 NEWLAND & NEWLAND 111 14WC 13007 LOCOCO, ANTHONY CITY OF CHICAGO 01/09/14 PARAG P. BHOSALE 112 14WC 14182 LOPEZ, LUCY CHICAGO PUBLIC SCHOOLS 03/17/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 113 14WC 14231 SLEDGE, GEORGE D III CITY OF CHICAGO DEPT OF 01/09/14 VRDOLYAK LAW GROUP LLC 114 14WC 14428 GILSON, KATHLEEN CHICAGO PUBLIC SCHOOLS 03/06/13 BRILL & FISHEL LAW DEPARTMENT 115 14WC 15045 STUDWAY, WILLIE CITY OF CHICAGO 07/26/11 BRUSTIN & LUNDBLAD LTD CITY OF CHICAGO 116 14WC 17911 19B GLADNEY, DWIGHT LIMELIGHT CATERING 05/03/14 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 117 14WC 20141 BLACK, JOSHUA PACIFIC NATIONAL SECURITY @ W 10/01/13 HORWITZ HORWITZ & ASSOC GOLDBERG SEGALLA LLC 118 14WC 20184 REYES, MANUEL ELECTRONIC PLATING CO 05/16/14 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 119 14WC 20961 TAMBURELLO, GREGORY MICHELE BAKING COMPANY 01/10/14 FINE, MARK S LAW OFFICES GILDEA & COGHLAN 120 14WC 22381 ASH, DEBRA WSI INC 03/19/14 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 121 14WC 22856 PIERCE, ZACHARY DHR INC STAFFING SOLUTION W 03/04/14 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 122 14WC 23189 JONES, GEORGE CTA 07/02/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 123 14WC 23386 AYALA, MARTHA ARAMARK 01/23/14 RUSSO & RUSSO LTD WIEDNER & MCAULIFFE LTD 124 14WC 24772 BROWN, ALPHONZO UNIVERSITY OF CHICAGO (7) 04/23/14 SHELDON I MINKOW & ASSOCIA POWER & CRONIN LTD 125 14WC 25469 SOPRYCH, ROBERT J CITY OF CHICAGO 03/12/14 SALVATO & O'TOOLE 126 14WC 26516 WALKER-JAMES, JANICE ST OF IL DEPT OF 04/15/14 GRAZIAN & VOLPE PC ASSISTANT ATTORNEY GENERAL 127 14WC 33998 JIMENEZ, VIOLETA SCHULZE & BURCH 09/27/14 MARK SCHAFFNER WIEDNER & MCAULIFFE LTD 128 14WC 34681 QUIROZ, CATALINA DUNKIN DONUTS/SEVA CO LLC 08/02/14 LAW OFFICE OF SCOTT B SHAP MEACHUM & STARCK 129 14WC 34842 MIERITZ, MARK LAKESHORE RECYCLING SYSTE 09/23/14 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 130 14WC 34983 CLAUDIO, DOMINGO VIENNA BEEF 09/23/14 LAW OFFICES OF JOSEPH F. V 131 14WC 35488 SOTO, MARTIN NEWARK GROUP, INC. 10/09/13 COHN LAMBERT RYAN & SCHNEI MEACHUM & STARCK 132 14WC 35857 EWEN, RONALD D NUVEEN INVESTMENTS, LLC 07/15/14 ANGELINI & ORI LLC INMAN & FITZGIBBONS 133 14WC 36345 MARTINEZ, JULIO HOGAN & SON MOVERS LTD 03/05/14 VRDOLYAK LAW GROUP LLC ANKIN LAW OFFICE 134 14WC 37273 BAUTISTA, JAMES CHICAGO TRANSIT AUTHORITY 12/11/12 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY 14WC037274 -C 135 14WC 40437 HARRIS, LESLIE CITY OF CHICAGO 08/29/14 MICHAEL P MCCREADY & ASSOC CITY OF CHICAGO 136 14WC 43087 HICKSON, TRACEY CTA 12/04/14 FOHRMAN, DONALD W & ASSOCS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 137 14WC 43186 YOUNGER, MARCIE WAL-MART STORES, INC. 11/29/14 THOMAS J STIBERTH LAW OFFI QUINTAIROS PRIETO WOOD & BOY 138 14WC 43276 GARCIA, JULIAN CARILLO ROOFING W 11/29/14 KATZ FRIEDMAN EAGLE ET AL QUINTAIROS PRIETO WOOD & BOY 139 14WC 43423 CARTER, MICHAEL CITY OF CHICAGO 10/17/14 MARC J SHUMAN & ASSOCIATES CITY OF CHICAGO 140 15WC 00153 DAVIS, JOHN CITY OF CHICAGO DEPT OF 12/16/14 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 141 15WC 00832 HASKINS, PATRIECE FEDERAL EXPRESS 11/04/14 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 142 15WC 01844 WATSON, SHARNETT ANDREA RICH LEE VANS 03/12/14 ANKIN LAW OFFICE GALLIANI DOELL & COZZI LTD 143 15WC 02350 WOODSON, JOSELYN AUNT MARTHA'S YOUTH SVC C 07/03/14 STEVEN H MEVORAH & ASSOCIA BRADY CONNOLLY & MASUDA PC 15WC002351 -C 144 15WC 03160 JANAC, MARY ST JAMES HOSPITAL 01/21/15 COVEN LAW GROUP 145 15WC 03355 DOBBS, SAMUEL COOK COUNTY 01/10/15 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 146 15WC 04298 LOPEZ, GUADALUPE LABOR NETWORK 01/26/15 STROM, NEAL B ROBERT L. SMITH 15WC037521 -C 147 15WC 08109 MENDIA, BRUNO REFLECTION WINDOW CO. 11/24/14 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 148 15WC 09246 MORRIS, CYNTHIA COOK COUNTY STATE'S ATTOR 02/03/15 KURASCH & KLEIN, LTD STATES ATTORNEY OF COOK COUN 149 15WC 10227 DOMINGUEZ, MARCELINA THE GARLANDS OF BARRINGTO 01/08/15 TARADASH LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 16WC003743 -C 150 15WC 10417 OREA, YAJAIRA STARBUCKS 07/04/13 GOLDSTEIN BENDER & ROMANOF 151 15WC 10447 JAROSCAK, DONALD CHGO DEPT OF FLEET MGMT 02/02/15 VASILATOS & COTTER LLC CITY OF CHICAGO 152 15WC 10535 JACOB, MARY UIC HOSPITALS 07/13/14 KINNALLY FLAHERTY KRENTZ & HEYL ROYSTER VOELKER & ALLEN 153 15WC 10793 BROWNN, NICOLE CTA 02/26/15 LEE, MARK N LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 15WC 11064 DILLARD, MARCELLA CITY OF CHICAGO 03/12/14 ROSENFELD HAFRON SHAPIRO F CITY OF CHICAGO 155 15WC 11122 ORTIZ, MAYRA CLARK ADAMS ASSOCIATES 07/14/13 BAUM RUFFOLO & MARZAL LTD MEACHUM & STARCK 15WC013408 -C 156 15WC 11270 JOHNSON, SUZETTE UNITED AIRLINES, INC. 02/08/14 RICHARD E ALEKSY WIEDNER & MCAULIFFE LTD 157 15WC 11288 MC ELROY, SHERONNE SOUTHWEST AIRLINES 02/26/15 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 158 15WC 11354 ANGLIN, MICHELLE STAN KOCH & SONS TRUCKING 08/07/14 KATZ FRIEDMAN EAGLE ET AL JOSEPH MARCINIAK 159 15WC 11655 MASSEY, WILLETTA MORGAN SERVICES, INC. 01/02/15 COHN LAMBERT RYAN & SCHNEI HOLECEK & ASSOCIATES 160 15WC 11680 WILLIAMS, VANESSA CHICAGO BOARD OF EDUCATIO 01/20/15 HEALY SCANLON LAW FIRM 161 15WC 11749 BLAKELY, JACQUELINE FRESENUIS 01/20/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 162 15WC 11780 URBANIO, ORONZO BATTAGLIA DISTRIBUTING CO 08/12/14 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 15WC016230 -C 163 15WC 11843 CRONIN, TIMOTHY W DELTA AIRLINES 04/13/14 WITTENBERG DOUGHERTY MAGLI ROBERT L. SMITH 164 15WC 12099 PEREZ, RAUL SOUTH WATER MARKET PRODUC @ W 02/04/15 ARGIONIS & ASSOCIATES LLC DEER & STONE PC 165 15WC 12436 MACIAS, BEATRIZ HOTEL STAFFING SOLUTIONS 03/30/15 MICHAEL P MCCREADY & ASSOC KOREY RICHARDSON LLC 166 15WC 12488 BLAKE, CLAUDETTE ST OF IL REHAB SERVICES 03/09/15 DWORKIN AND MACIARIELLO JEANNINE SIMS 167 15WC 12990 JENNINGS, JACQUES COCA COLA ENTERPRISES INC 04/02/15 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 168 15WC 13027 BOGACZ, ROMAN BRAD FOOTE GEAR WORKS INC 03/25/15 MINKOW DOMIN MEACHUM & STARCK 15WC020924 -C 169 15WC 13145 TAYLOR, BARBARA TOWER 03/19/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 170 15WC 13442 MARTINEZ, YEIMY MACNEAL HOSPITAL 10/09/14 JOHN S. ELIASIK HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 15WC 13498 MITCHELL, BENNIE ELITE LABOR SERVICES LTD 09/04/14 SPENCER LAW OFFICES GOLDBERG SEGALLA LLC 172 15WC 13916 KALLIS, ANNA V ST IAKOVOS RETREAT CENTER 03/06/15 RUBIN LAW GROUP KOPKA, PINKUS DOLIN, PC 173 15WC 14231 CHAVEZ, MARIA ARAMARK 06/01/14 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 17WC019392 -C 174 15WC 14265 JONES, ROY CHICAGO TRANSIT AUTHORITY 10/30/14 SANDMAN LEVY & PETRICH 175 15WC 15008 SERRANO, MARTIN RON'S STAFFING SERVICES 04/16/15 COSTA IVONE LLC GAROFALO SCHREIBER STORM 176 15WC 16545 REYES, JESUS CHICAGO BAKING CO 04/23/15 OLMSTEAD, GREGORY J LAW OF POWER & CRONIN LTD 177 15WC 20198 MCCAIN, GILBERT E FLEISHMANNS VINEGAR COMPA 05/16/15 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 178 15WC 20580 SANCHEZ, ALEJANDRO SERVICE DRYWALL & DECORAT 05/22/15 THE ROMAKER LAW FIRM KEEFE CAMPBELL & ASSOC LLC 179 15WC 21051 YATES, MARY RUNDY'S SUPERMARKET/ 02/28/15 O'CONNOR LAW GROUP LLC 180 15WC 21196 EVANS, EDITH FORD MOTOR CO 03/31/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 15WC021197 -C 181 15WC 21331 CARCILLO, DAN CHICAGO BLACKHAWKS HOCKEY 03/25/15 GORDON LAW OFFICES LTD 182 15WC 21435 BUIVIS, TRACY WHEELS INC 09/24/12 SIMS, ZACHARY K PC GRANT & FANNING 183 15WC 21441 PLESS, CHARLES II FORD MOTOR CO 07/19/14 CAMERON CLARK WIEDNER & MCAULIFFE LTD 15WC021442 -C 184 15WC 21531 MUNRO, ANDREW T CITY OF HARVEY 08/10/12 THOMAS W DUDA 185 15WC 21740 JAVIER, GENE CHICAGO READ MENTAL HEALT @ 06/09/15 EFTEKHARI LAW OFFICES ASSISTANT ATTORNEY GENERAL 186 15WC 22653 SANCHEZ, LUIS FERNANDO DSTM INC 06/29/13 BARRY STEWART SILVER HENNESSY & ROACH PC 187 15WC 22749 LEWIS, STEVEN CITY OF CHICAGO DEPT OF S 05/05/15 THE FITZ LAW GROUP CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 15WC 22836 GRISSETT, ALICE COOK DUPAGE TRANSPORTATIO 03/12/14 DAVID W MARTAY HENNESSY & ROACH PC 189 15WC 22984 DIDENKO, MICHAEL PARK DISTRICT OF OAK PARK 05/31/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 190 15WC 23566 DE LEON, SORIDA PROVIDENCE LIFE SERVICES 06/24/15 SCHREINER MALLOY & ETZLER BRYCE DOWNEY & LENKOV LLC 191 15WC 24685 ALVARADO, RICARDO STAFFING NETWORK 07/09/15 COSTA IVONE LLC SLAVIN & SLAVIN 192 15WC 24985 USHER, ALESIA ELIZABETH LUDEMAN CENTER @ 12/29/14 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 193 15WC 25070 STIGGER, TONIA FORD MOTOR COMPANY 06/15/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 194 15WC 25122 CRONENWETT, ROBERT FORD MOTOR CO 06/11/14 15WC025123 -C 195 15WC 25544 O'CAMPO, MAGDALENA KERRY SWEET 05/27/13 STONE & JOHNSON CHARTERED 196 15WC 25782 BOLIVAR, ARMANDO BARRINGTON DEVELOPMENT GR 07/03/14 EPSTEIN, JACK R LAW OFFICE HANSON LAW OFFICE 197 15WC 26018 ANTHONY, KENNETH ED MINIAT 07/10/15 DAN COLLINS LAW FIRM POWER & CRONIN LTD 198 15WC 26878 JAMES, MARSHALL D SYMPHONY OF CRESTWOOD 08/06/15 VRDOLYAK LAW GROUP LLC MCCABE KIRSHNER PC 15WC026880 -C 199 15WC 27074 19B TELLEZ, MARK CITY OF CHGO AVIATION 05/07/15 KROL BONGIORNO & GIVEN LTD LEAHY EISENBERG & FRAENKEL 200 15WC 29748 GARCIA-DEALBA USA JAN INC/IHOP 5309 07/26/15 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 201 15WC 29750 CHIMERA, MARYROSE LITTLE COMPANY OF 03/16/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 202 15WC 30097 KUERSTEN, ALEXANDRA COOK COUNTY JUVENILE 06/29/15 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 203 15WC 31266 OCHOA, FERNANDO CAPITAL CAR WASH COMPANY 12/02/14 LUIS A ACEVES & ASSOC 204 15WC 31628 MALAVE, JOSE F STATE OF IL DIST CHICAGO @ 09/01/15 PARENTE & NOREM PC MATTHEW J KELLER 205 15WC 31862 ASUAMA, YAW YEBOAH CARRIAGE TAXI CO. & 03/02/15 POMPER & GOODMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 206 15WC 32528 SCOTT, LATICIA A STATE OF ILLINOIS @ 10/21/14 LEO M. BLEIMAN & ASSOC ASSISTANT ATTORNEY GENERAL 207 15WC 32753 COLLINS, ALBERT IDOT @ 07/31/15 JASINSKI, GEORGE J ASSISTANT ATTORNEY GENERAL 208 15WC 32865 RANDLE, NATASHA HERTZ RENT A CAR 09/10/15 STEVEN J MALMAN & ASSOCIAT 209 15WC 33230 RODARTE, DELFINO LORETTO HOSPITAL 01/12/15 JOHN J CASTANEDA GAROFALO SCHREIBER STORM 15WC039041 -C ST ANTHONY HOSPITAL 210 15WC 33540 EDWARDS, BRETT LEND LEASE AMERICAS, INC 09/09/15 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 211 15WC 33877 HERRERA, DELIA CAPITAL ONE 10/05/15 O'CONNOR LAW GROUP LLC GRANT & FANNING 212 15WC 34802 ZIEMBA, MICHAEL POWER CONSTRUCTION CO LLC 09/04/15 DWORKIN AND MACIARIELLO 213 15WC 34972 SHABO, SAMIR PAMCO LABEL 03/24/15 WEISS & WEISS LAW OFFICES HOLECEK & ASSOCIATES 214 15WC 38642 BATRES, OSCAR MILLER BROTHERS LANDSCAPI 07/16/15 JOHN J CASTANEDA LAW OFFICES JOSEPH MARCINIAK 215 15WC 38970 KANUPKE, JOE WILLAGE OF MT PROSPECT 01/05/10 RODDY LAW LTD 216 15WC 39234 MAHMOUD, AHMAD KWIK MART 08/18/15 JAMES J BURKE LAW OFFICE 217 15WC 39344 QUINTERO, GUADALUPE SALLY'S BEAUTY SUPPLY 09/13/15 BELCHER LAW OFFICE HARRIS DOWELL FISHER & HARRI 218 15WC 39425 GOORSKY, JOE GOORSKY ELECTRIC 10/28/13 GOLDBERG WEISMAN & CAIRO L 219 15WC 39607 MORALES, ALEX CITY OF CHICAGO 11/12/15 BOGUSZ & BOGUSZ LTD CITY OF CHICAGO 220 15WC 39787 MC KAY, BIANCA K CTA CHICAGO TRANSIT AUTHO 09/21/15 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 221 15WC 41034 BOBO, RINO SOUTHERN REFRIGERATED 10/06/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 16WC027769 -C 222 15WC 41108 MAAYTEH, MICHAEL ANGELO STONE MASONS OF USA 11/11/15 RUBIN LAW GROUP RODDY LAW LTD 223 15WC 41486 ARAMBULA, DAVID GEORGE'S CONCRETEINC 10/13/15 DISPARTI LAW GROUP PA GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 224 15WC 41581 GARCIA, RAFAEL MARKING SPECIALISTS CORP. 11/13/15 MC HARGUE & JONES THOMAS & PORTELA 225 15WC 42527 ROSALES, ALBERTINA TEC AIR INC. 11/20/15 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 15WC042528 -C 226 15WC 42674 AGUILAR, ANGEL HOT TUNA INC D/B/A 11/15/15 RUEDA, IVAN A 227 16WC 00023 ARISTA, JUAN RUBEN LOPEZ & LETICIA LOP 11/24/15 CULLEN HASKINS NICHOLSON 228 16WC 00992 WILLIAMS, JANNIE M ST OF IL DEPT OF OFFICE O 12/08/15 ATSAVES, LOUIS G LTD ASSISTANT ATTORNEY GENERAL 18WC007332 -C STATE OF IL-COURT REPORTER 229 16WC 01035 HENDERSON, DENNIS CITY OF CHICAGO 12/29/15 ANKIN LAW OFFICE CITY OF CHICAGO 230 16WC 01966 MARTINEZ, MARIA CARMEN INTERSTATE CLEANING CORP 12/28/15 RUSSO & RUSSO LTD 231 16WC 02035 MARTINEZ,EDWIN UNIVERSAL PARKING OF IL, 11/20/15 CHEPOV & SCOTT LLC THOMAS & PORTELA 232 16WC 02203 KENDALL, CHRIS CHICAGO TRANSIT AUTHORITY 05/05/15 CHICAGO TRANSIT AUTHORITY 233 16WC 02378 DOBRANSKYI, ANDRIL KLI EXPRESS 01/15/16 234 16WC 02401 AGUIRRE, VICTOR RUBENS SPRAY INSULATION I 12/15/15 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 235 16WC 02531 UPSHAW, STEPHAINE CHICAGO PUBLIC SCHOOLS 05/15/15 ERIC M GLASSON & ASSOCIATE 236 16WC 02583 CARTER, RUKIYA R ELIZABETH LUDEMAN @ 01/22/16 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 237 16WC 02638 LAHA, ROBERT ILLINOIS SECRETARY OF STA @ 11/23/15 DAPRATO, DENNIS COLIN KICKLIGHTER 238 16WC 02753 BARKER, EDDIE SCHOOL DISTRICT 89 12/29/15 WOODRUFF & JOHNSON INMAN & FITZGIBBONS 239 16WC 02902 CASTERTON, KATHLEEN E AMITA HEALTH ALEXIAN BROT 01/12/16 CRONIN & PETERS POWER & CRONIN LTD 16WC002903 -C 240 16WC 02999 CASTILLO-MARROGUIN CLEARBROOK COMMONS 12/08/15 ANGELA NARDI-QUIGLEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 241 16WC 03310 RODRIGUEZ, JOSE RICARDO LEON CONSTRUCTION CO 12/15/15 CHILTON YAMBERT PORTER LLP 242 16WC 03318 TOWNSEND, MARISA CHICAGO PUBLIC SCHOOLS 12/17/15 GRAZIAN & VOLPE PC 243 16WC 03358 LOPEZ, MARCO ANTONIO VIEY LAKESIDE LITHOGRAPHY LLC 01/22/13 MC HARGUE & JONES 244 16WC 03438 SWEIS, HASAN A1 AMERICAN LIMOSINE SERV 12/29/15 245 16WC 03614 BROWN, KAREN C COOK COUNTYHEALTH&HOSPITA 12/03/15 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 246 16WC 03634 HERMOSA, MARIANO TERRACE HOLDING COMPANY 07/28/15 JAMES ELLIS GUMBINER & ASS 247 16WC 03704 AMADO, JOSEPH JAMES MCHUGH CONSTRUCTION 01/16/15 KOSIN LAW OFFICE LTD KEEFE CAMPBELL & ASSOC LLC 248 16WC 03860 ADAM, ZUBEDA Y PRESENCE HEALTH 05/24/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 249 16WC 03880 HARDEN, RAYMOND PEOPLES GAS LIGHT & COKE 01/21/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 250 16WC 03984 KIMBROUGH, ERIK CARL BUDDING MEATS 01/19/16 GORDON & CENTRACCHIO LLC KNELL & O'CONNOR 251 16WC 03997 MUNOZ, EDGARDO PACTIV 10/02/15 LAW OFFICE EDWARD RUEDA SPIEGEL & CAHILL, PC 252 16WC 04058 ROG, ANDRZEJ CONTOUR SAWS INC 08/03/15 BERNSTEIN, PHILIP L HOLECEK & ASSOCIATES 253 16WC 04077 ROBLES, KATHERINE UNIVERSITY OF ILLINOSI-CH 02/01/15 CURTIS S BURKE LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 16WC004078 -C 254 16WC 04163 JONES, LISA CHGO PUBLIC SCHOOLS 12/17/15 LAW OFFICES PETER LEKAS 16WC004164 -C 255 16WC 04833 PICKENS, MARCIA ELISBATH LUDEMAN CENTER @ 10/13/15 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 256 16WC 04861 BENELHACHEMI, ADAM LKQ 12/22/15 MINKOW DOMIN BRYCE DOWNEY & LENKOV LLC 257 16WC 04954 CALDERON, DONNAMARIE BOARD OF EDUCATION CITY 04/02/15 KARCHMAR & STONE LAW DEPARTMENT 258 16WC 04977 FITCH, MARIE COOK DUPAGE TRANSPORTATIO 01/24/16 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 259 16WC 04998 LARA, IRENE LUXURY MOTORS 08/17/15 VRDOLYAK LAW GROUP LLC 260 16WC 05139 WATTS, TONY ELITE STAFFING 10/14/15 LAW OFFICE OF JAMES H MILL 261 16WC 05463 HAYES, ERIAH CHICAGO WOLVES 09/30/15 FLOYD LAW FIRM HOLECEK & ASSOCIATES 16WC011704 -C CHGO. WOLVES & ST. LOUIS B 262 16WC 05827 MONZON, LUIS KRAFT FOODS INC 02/04/15 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 263 16WC 06380 GARCIA, ALFREDO CITY OF CHICAGO 02/23/15 THE ROMAKER LAW FIRM CITY OF CHICAGO 264 16WC 11838 LOTOWSKI, KRZYSZTOF (CHRI P.L. RESTORATION, INC. 03/18/16 GRAUER & KRIEGEL LLC LAW OFFICES JOSEPH MARCINIAK 265 16WC 11901 DAVIS, FALA UNIVERSITY OF CHICAGO 03/16/16 BUDIN LAW OFFICES 266 16WC 11924 FUNK, RONALD J L A FITNESS 09/03/15 CULLEN HASKINS NICHOLSON GRANT & FANNING 16WC017365 -C L.A. FITNESS 267 16WC 12118 MARTIN, DIANA PACE SUBURBAN BUS 02/19/16 LEE, MARK N LAW OFFICE PACE - LEGAL DEPT 16WC012123 -C 268 16WC 12184 ALCANTAR, ANTONIO PEPSI 02/18/16 LEONARD LAW GROUP LLC 269 16WC 12221 CLEMONS, RASHON E&R TOWING 12/17/15 SEIDMAN MARGULIS & FAIRMAN 270 16WC 12443 PINNER, LINDA J HOME DEPOT 10/23/15 DWORKIN AND MACIARIELLO ADELSON TESTAN BRUNDO 271 16WC 12539 MAGLIO, RODOLFO NORTHEASTERN ILL UNIVERSI @ 03/17/16 KAUFFMAN, NEIL & ASSOC ASSISTANT ATTORNEY GENERAL 272 16WC 12615 DOMINQUEZ-RUIZ, ALEXANDRI ELITE STAFFING, INC. 03/23/16 ANKIN LAW OFFICE 273 16WC 12682 ERVING, MONIQUE S CAPITAL ONE SERVICES II L 04/09/16 274 16WC 12784 GONZALEZ, CARLOS THE CLEVELAND MARBLE 12/10/15 CULLEN HASKINS NICHOLSON GRANT & FANNING 275 16WC 12814 SIDDIQUI, FAZAL YELLOW CAB AFFILIATION IN 04/24/13 MARK WHITESIDE ESQ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 16WC 12887 ANDRES, DANTON UNITED AIRLINES 02/19/16 FRIEND LEVINSON & BERGAL WIEDNER & MCAULIFFE LTD 277 16WC 12948 GREGORY, PATRICK AT & T 02/16/16 JOHN E LUSAK HENNESSY & ROACH PC 278 16WC 12985 LEMUS, CARLOS SYSCO FOODS 03/02/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 279 16WC 13264 RODRIGUEZ, ALBERTO PICKENS KANE MOVING CO 04/12/16 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 280 16WC 13421 TAYLOR-WILLIAMS, BEVERLY CITY OF CHICAGO POLICE DE 01/22/16 CORNFIELD & FELDMAN CITY OF CHICAGO 17WC006306 -C 17WC019816 -C 281 16WC 13456 RIVERA, MILDRED DEPARTMENT OF HUMAN SERVI @ 03/08/16 BAUM RUFFOLO & MARZAL LTD COLIN KICKLIGHTER 282 16WC 13478 KRULL, BRIAN VILLAGE OF BARRINGTON 02/13/16 FOHRMAN, DONALD W & ASSOCS ANCEL GLINK DIAMOND BUSH & E 283 16WC 13533 MIKULSKI, THOMAS M MIDWEST OUTDOORS, LTD 05/22/14 BART DURHAM 284 16WC 13580 WHITE, FRANCINE METRO STAFFING 03/04/16 GOLDSTEIN BENDER & ROMANOF FRANCIS J DISCIPIO LAW OFFIC 285 16WC 13643 DAVIS, BRENDA MACY'S DEPT. STORE 11/12/15 SLAVIN & SLAVIN 286 16WC 13890 PHAM, PETER S & C ELECTRIC CO 04/25/16 KREITER, BYCK & ASSOC LLP MACIOROWSKI SACKMANN & ULRIC 16WC013891 -C 287 16WC 13920 JONAS, GLENN D CITY OF CHICAGO DEPART OF 06/24/15 ANESI OZMON RODIN NOVAK KO 288 16WC 13984 FUENTES, GUSTAVO RM LUCAS CO 04/14/16 COSTA IVONE LLC GANAN & SHAPIRO 289 16WC 14457 HARDMAN, LAQUILLA CITY OF CHICAGO 05/01/16 BARRY STEWART SILVER 290 16WC 14460 ESPINOZA, ADALBERTO C XYLEM INC 04/22/16 CAMERON CLARK KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 291 16WC 14495 RIZZO, PHIL C L DOUCETTE 02/08/15 TAMVAKIS, GEORGE L ANCEL GLINK DIAMOND BUSH & E 292 16WC 14526 TYUS, CARLEAN IL DEPT OF HUMAN SERVICES 04/10/15 DEPAOLO ZADEIKIS GORE COLIN KICKLIGHTER 16WC014527 -C 293 16WC 14740 JONES, DONALD CTA 04/04/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 294 16WC 14828 MIR, IFRAN ALI BKA CANARY CORP 03/27/16 HUNER LAW OFFICES LLC 295 16WC 14875 MEKUS, LEE ROEHL TRANSPORT 02/03/16 SCHREINER MALLOY & ETZLER CACCHILLO LAW GROUP LLC 296 16WC 14895 DUARTE, JUVENAL M. MARS STEEL CORPORATION 04/05/16 JOHN J CASTANEDA HOLECEK & ASSOCIATES 297 16WC 15071 JACKSON, MARRI ELLEN AMERICAN AIRLINES 11/18/15 SAUNDERS CONDON & KENNY ROSARIO CIBELLA 298 16WC 15283 ALVARADO, ALEJANDRO SEAFOOD EXPRESS INC 12/01/15 ROMANUCCI & BLANDIN GANAN & SHAPIRO 17WC004316 -C 299 16WC 15332 MURRAY, MARTIN HARBOR GROUP MANAGEMENT 06/06/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 300 16WC 18172 19B DAVIS, GLORIA CITY OF CHICAGO DEPT OF 03/09/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 301 16WC 20572 CRUMP, CAROLYN CITY OF CHICAGO 04/27/16 HEALY SCANLON LAW FIRM CITY OF CHICAGO 302 16WC 22189 GONZALEZ, RAUL PRONTO STAFFING SERVICES 12/15/15 MENDOZA LAW PC SLAVIN & SLAVIN 303 16WC 22268 MARIN-REYES, KARINA GENERATION BRANDS 06/15/16 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 304 16WC 22390 ZARLENGA, MICHAEL CITY OF CHICAGO DEPT OF 07/07/16 CUDA LAW OFFICES CITY OF CHICAGO 305 16WC 22577 MC DEVITT, THOMAS ILLINOIS TOLLWAY 02/13/15 JOHN E LUSAK GANAN & SHAPIRO 306 16WC 22604 HORN, KIMBERLY STARBUCKS 05/25/16 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 16WC022605 -C 18WC016169 -C 307 16WC 22681 ABDALLAH, SAMAR XPRESS RECOVERY AND TOWIN 07/30/13 ERIC M GLASSON & ASSOCIATE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 308 16WC 22845 ZAMUDIO, CLEMENCIO BUILDERS CABINET SUPPLY 10/19/15 OSVALDO RODRIGUEZ PC GILDEA & COGHLAN 309 16WC 22920 THOMAS, JAMES D. CITY OF CHICAGO 05/09/16 DISPARTI LAW GROUP PA 310 16WC 23102 BELLINI, JOHN COOK COUNTY DEPT OF CORRE 07/16/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 311 16WC 23183 GRAY, JOSEPH A VILLAGE OF PARK FOREST 02/15/16 BARRETT & SRAMEK 312 16WC 23490 MATHEUS, CHRISTOPHER AT&T 06/04/16 CHRISTINE F DAVID 313 16WC 23537 ALGIRE, BRIAN BEDFORD MOTOR SERVICES IN 07/01/16 RATHBUN CSEVENYAK & KOZOL WOLFE & JACOBSON, LTD 314 16WC 23626 IBARRA, MARTIN JACKACKI BAG & BARREL INC 07/28/16 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 315 16WC 23659 RAMIREZ, ALVARO NADEAU'S ICE SCULPTURES, 09/05/15 ANKIN LAW OFFICE 316 16WC 23709 FOUTS, ROBERT COCA-COLA BOTTLING COMPAN 05/20/16 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 317 16WC 23817 BALSECA, ANTONIETA DLH HOLDINGS 05/23/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 16WC023818 -C 318 16WC 23926 ROSSI, FRANK NATIONAL DCP, LLC 09/18/15 GOLDBERG WEISMAN & CAIRO L ARNETT LAW GROUP 319 16WC 23946 DIAZ, MAYRA METRO STAFF 09/10/15 MC HARGUE & JONES FRANCIS J DISCIPIO LAW OFFIC 320 16WC 24002 RICHARD, WILLIE IL CENTRAL SCHOOL BUS CO 07/28/16 LANGENDORF, ROBERT A MACIOROWSKI SACKMANN & ULRIC 321 16WC 24090 CARR, MARVIN J. UNITED AIRLINES, INC. 04/17/16 FIGLIOLI, DAVID 322 16WC 24130 BEACH, ROBERT A EWING-DOHERTY MECHANICAL, 06/27/16 ANKIN LAW OFFICE KNELL & O'CONNOR 323 16WC 24172 MARTINEZ, JORGE TOUCH POINT SERVICES, LLC 05/08/16 RUEDA, IVAN A 324 16WC 24182 DELGADO, EDGAR STANDARD EQUIPMENT COMPAN 04/28/16 ANESI OZMON RODIN NOVAK KO 325 16WC 24220 PARKER, BRIGGITTE FED EX GROUND 09/26/15 RAYMOND M SIMARD, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 326 16WC 24272 MARSAW, GERALDINE CITY OF CHICAGO 08/06/16 SKLARE LAW GROUP CITY OF CHICAGO 327 16WC 24331 TRENKLER, URSULA BORG WARNER INC 06/29/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 328 16WC 24452 SCHAVER, DONALD W. JR. ROCK RIVER CARTAGE, INC. 03/07/13 JAMES G AHLBERG RUSIN & MACIOROWSKI LTD 329 16WC 24514 FIGUEROA, REYNALDO WESTMORELAND COUNTRY CLUB 07/21/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 330 16WC 24658 ALVARADO, JOSE LUIS DICICCO ACQUISITIONS LLC 06/24/16 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 331 16WC 24668 VARGAS, CARLOS LBP MANUFACTURING 08/02/16 LAW OFFICE OF JAMES H MILL HOLECEK & ASSOCIATES 332 16WC 24731 ROSS, ROSALYN NILES TOWNSHIP H.S. DIST 02/20/15 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 17WC030384 -C 333 16WC 25028 ARIAS, VICENTE A. ELITE STAFFING 07/21/16 HODES GREENSTEIN & LITWIN 334 16WC 25083 SEARS, MICHAEL CITY OF CHICAGO 02/24/16 HEALY SCANLON LAW FIRM CITY OF CHICAGO 335 16WC 25122 DE BLECOURT, PATRICIA 7-ELEVEN 04/20/16 ALEKSY BELCHER MC ANDREWS & NORGLE LLC 336 16WC 25222 GONZALEZ, ISAIAS MSM SOLUTIONS 02/18/16 RUEDA, IVAN A ACCIDENT FUND HOLDINGS 337 16WC 25260 CARBONELL, JUAN EDLONG CORP 05/31/16 LAW OFFICES OF JOSEPH F. V KEEFE CAMPBELL & ASSOC LLC 338 16WC 25307 WELLS, WAYNE PPG INDUSTRIES, INC. 05/12/16 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 339 16WC 25363 19B GAJDA, PATRYK DISH NETWORK 07/13/16 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 340 16WC 25393 GUIDO, JAVIER JUST IN TIME STAFFING LLC 08/09/16 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 341 16WC 25443 PRESTON, MAUVELINE CHICAGO PUBLIC SCHOOL 03/04/15 VRDOLYAK LAW GROUP LLC 342 16WC 25468 MONROE, DARIN STATE OF ILLINOIS/DEPT @ 07/08/16 LANNON LANNON & BARR LTD MATTHEW J KELLER 343 16WC 25859 IBARRA, ERNESTO SUPER MERCADO TORRES 07/17/16 CARONE LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 344 16WC 26087 ABINI, KOBLA FAIRMONT HOTELS & RESORTS 07/05/16 FISHER & LAMONICA HENNESSY & ROACH PC 345 16WC 28063 HOLMAN, JEREMY A/K/A NORTHERN DECOR 08/25/16 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 346 16WC 30746 MORENO, RAFAEL SUPER MERCADO LA CHIQUITA 08/07/16 HART & DAVID LLP 347 16WC 30761 FALCON, LEON THE HOME DEPOT 07/28/16 KARNO, MARK L & ASSOC ADELSON TESTAN BRUNDO 348 16WC 31357 HOPKINS-TALLY CITY OF CHICAGO - STREETS 08/02/16 DEPAOLO ZADEIKIS GORE CITY OF CHICAGO 349 16WC 32486 NEWSON, SEDRIC GOLDEN GRAIN CO 06/23/16 LIPKIN & HIGGINS LAW OFFIC INMAN & FITZGIBBONS 16WC032487 -C 350 16WC 32626 STACHNIK, SAVANNAH N ATLAS EMPLOYMENT SVCS INC 08/23/16 ANKIN LAW OFFICE ROBERT L. SMITH 351 16WC 32879 BARICKELLO, JOHN WESTMONT INTERIOR SUPPLY 10/21/16 DWORKIN AND MACIARIELLO THOMAS & PORTELA 352 16WC 32930 BRISKER, KEVIN FIRST CALL CAB COMPANY LL 09/08/16 CHARLES LEVY & ASSOC LTD 353 16WC 33007 PANOZZO, JAMES UNIVERSAL PROTECTION SVCS 01/16/16 VRDOLYAK LAW GROUP LLC SPIEGEL & CAHILL, PC 16WC033277 -C DSI SECURITY SERVICES 354 16WC 33054 WILLIAMSON, RANDALL USF HOLLAND 07/18/16 ROBERT H HANAFORD 355 16WC 33157 NUNEZ, FELICIA CASAREZ CHICAGO BOARD OF EDUCATIO 09/15/15 ROMANEK & ROMANEK 356 16WC 33255 THORNE-LOWE, LARISA METRO SOUTH MEDICAL CENTE 01/01/16 RONALDSON & KUCHLER 357 16WC 33282 SIERRA, ARIZBETH DESLAURIERS, I NC 09/07/16 JOHN J CASTANEDA KEEFE CAMPBELL & ASSOC LLC 358 16WC 33330 HALL, WILLIE THE CRAZY CRAB CHICAGO 10/09/16 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK 359 16WC 33386 LYNCH, JENNIFER CHICAGO PUBLIC SCHOOLS 02/03/16 COHN LAMBERT RYAN & SCHNEI 360 16WC 33431 HILL, JOYCE CTA 10/28/16 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 361 16WC 33548 DE BLAISE, JEAN LOUISE KO LANGER TRANSPORT 10/06/16 HENNESSEY LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 362 16WC 33556 ATTOCHI, GERALD MARINA LEASING & 09/29/15 FIORENTINO LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 363 16WC 33768 LOERA, ESTHER VICTORY 10/28/16 MC HARGUE & JONES 364 16WC 33810 DYKES, LYNETTE VARGAS GROUP, INC 08/11/16 DAVID W MARTAY 365 16WC 33912 WILLIAMS, DEON V DAYTON FREIGHT LINES 08/31/16 PERRY M LAKS LAW OFFICE 366 16WC 33983 MACIAS, DANIEL COOK COUNTY SHERIFF'S DEP 10/25/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 367 16WC 34150 DORAN, CHIQUITA COMFORT INN & SUITES 07/18/16 KISS & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 16WC034701 -C 368 16WC 34283 PEREZ, JORGE ANIBAL HI SO, INC D/B/A SUBLIME 07/09/16 HART & DAVID LLP 369 16WC 34356 JACKSON, CAROLYN COOK COUNTY SHERIFF 10/16/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 370 16WC 34402 HUDSON, PAMELA CHICAGO TRANSIT AUTHORITY 10/24/16 MANDELL, GREGG CHICAGO TRANSIT AUTHORITY 371 16WC 34550 PETERSON, SHAMONIA CITY OF CHICAGO/STREETS A 09/22/16 SEIDMAN MARGULIS & FAIRMAN 372 16WC 34579 LAPOSTA, PAUL KREZ GROUP 04/01/16 TRAPP & GELLER RUSIN & MACIOROWSKI LTD 373 16WC 34616 MCAFOOSE, REBECCA AMERICAN AIRLINES 11/28/15 ALAN A BLUM, PC GAROFALO SCHREIBER STORM 374 16WC 34711 STALLWORTH, ELIZABETH BRIA HEALTH SVCS 09/30/16 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 375 16WC 34748 HUTCHINSON, CRAIG RHI 05/07/14 CAPRON & AVGERINOS PC JOSEPH MARCINIAK 376 16WC 34767 O'CONNOR, TIMOTHY COOK COUNTY SCHOOL DIST 1 04/20/16 GERALD W KOREY 377 16WC 35056 WIETTING, GORDON THREE PHASE LINE CONSTRUC 09/12/16 TAXMAN POLLOCK BRYCE DOWNEY & LENKOV LLC 378 16WC 35092 SPRINGER, SHEILA CHICAGO TRANSIT AUTHORITY 11/09/16 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 379 16WC 36165 SHEKHA, SOHAIL CITY OF CHICAGO 11/15/16 ANKIN LAW OFFICE CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 380 16WC 38151 SAWYER, MELVIN UIC PARKING ENFORCEMENT @ 11/23/16 KARNO, MARK L & ASSOC POWER & CRONIN LTD 381 16WC 38804 PORTER, DEBYANTE ST OF IL DEPT OF UNIVERSI 11/30/16 FISHER & LAMONICA POWER & CRONIN LTD 382 17WC 00434 FERNANDEZ MARIN, WITMAN G BARBARA SIUDAK DBA 01/01/17 EPSTEIN, JACK R LAW OFFICE 383 17WC 00869 DRUNIN SR., DALE ALSIP PARK DISTRICT 06/15/16 ANGELINI & ORI LLC 384 17WC 02029 QUINONES, SANTOS ACA CONSTRUCTION & MASONR 12/27/16 BRISKMAN BRISKMAN GREENBER COZZI & GOGGIN-WARD 385 17WC 02054 BOATWRIGHT, COLOSTINE 4 STAR CASTING AND EFS 11/03/14 BAUM RUFFOLO & MARZAL LTD ORENSTEIN & ASSOCIATES 386 17WC 02208 WILLIAMS, ISIAH(HUSB OF D CHICAGO BOARD OF EDUCATIO 12/28/15 LAW OFFICE OF JAMES H MILL LAW DEPARTMENT 387 17WC 02242 SANCHEZ, JOSE DECO ARTS BUILDING 12/27/16 COSTA IVONE LLC 388 17WC 02412 FINNEY, ANTHONY C CHICAGO PUBLIC SCHOOLS 05/03/16 DAVID W MARTAY 389 17WC 02454 BRANDONISIO, PAT CITY OF CHICAGO 12/28/16 WILLIAM H MARTAY 390 17WC 02656 STRICKLAND, DORTHEA KIDS CARE TRANSPORTATION 01/18/17 KURASCH & KLEIN, LTD 391 17WC 02675 VAZQUEZ, JOSE PERFORMANCE CONTRACTING I 12/30/16 SALVATO & O'TOOLE 392 17WC 02737 HERRON, LATONYA AMERICAN AIRLINES INC 04/10/15 SALK, STEVEN B & ASSOC LTD 393 17WC 02777 HERNANDEZ, JETZEMANI DANIEL NOLL & SONS @ W 12/07/16 EPSTEIN, JACK R LAW OFFICE ROSARIO CIBELLA 394 17WC 02791 MEYER, KEVIN ILLINOIS BELL TELEPHONE C 11/21/16 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 395 17WC 02803 SIZE, JAMES A JEWEL FOOD STORES 12/30/15 CULLEN HASKINS NICHOLSON RODDY LAW LTD 396 17WC 02893 SIMPSON, JEFFREY RIVERSIDE POLICE DEPT 11/23/16 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 397 17WC 02969 GUZELDERELI, EMINE WHITE LODGING SERVICES IN 06/14/15 GALLIANI DOELL & COZZI LTD WILSON ELSER 398 17WC 03019 DUARTE, SYLVIA UNITED AIRLINES 09/08/16 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 18WC004136 -C 399 17WC 03218 STOCH, ZDZISLAW STAALSEN CONSTRUCTION CO 03/22/16 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 400 17WC 03232 LEVEILLE, ALICE PENNOYER SCHOOL 01/19/17 DAVID W MARTAY ANCEL GLINK DIAMOND BUSH & E 401 17WC 03325 BRAZIL, DWAYNE AMERICAN AIRLINES, INC 02/20/16 PETER D CORTI LAW GROUP 402 17WC 03521 CASON, MICHAEL ANDERSON ELEVATOR 01/06/17 LEE, MARK N LAW OFFICE 403 17WC 03550 JOHNSON, LEVELL VETERANS DISTRIBUTION OF 01/17/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 404 17WC 03580 PERKINS, SOPHIA ENVOY AIRLINES 01/06/17 ASHER, RAYMOND L LTD 405 17WC 03627 BARRERA, ANGELICA OPEN KITCHENS, INC 12/12/16 HART & DAVID LLP CAPUANI, FRANK S 406 17WC 03674 ESPINOZA, ALEXIS CTA-CHICAGO TRANSIT AUTHO 10/25/16 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 407 17WC 03724 HAYMON, SHANTA KINDERCARE EDUCATION 11/18/16 DEPAOLO ZADEIKIS GORE HENNESSY & ROACH PC 17WC003725 -C 408 17WC 03737 RIDLEY, DONNA ZANZIBAR CAFE LLC 01/28/17 CUDA LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 409 17WC 03791 MACEDO, PEDRO COLOR COMMUNICATIONS INC 01/12/17 HERRERA LAW CENTER KLAUKE LAW GROUP LLC 410 17WC 03902 YACOVACCI, ANTHONY VILLAGE OF BROOKFIELD 08/25/16 COSTA IVONE LLC 411 17WC 03919 BOWENS, NAPOLEON HALLCON TRANSP COMPANY & 02/02/17 FRIEDMAN & SOLMOR LTD KNELL & O'CONNOR 412 17WC 04024 MORTON, YOLANDA CHICAGO PUBLIC SCHOOLS 01/11/16 JAMES W GREEN, JR LAW DEPARTMENT 413 17WC 04214 DANIEL, ILIZABETH CHICAGO PUBLIC SCHOOLS 12/01/16 BASILE LAW FIRM 414 17WC 04255 JIMENEZ, JOSE WILD STONE CONSTRUCTION C 10/14/15 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 415 17WC 04346 NOIA, VANESSA MARRIOTT INTERNATIONAL IN 07/27/16 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 416 17WC 04397 NAIR, DEEPAK S NDK LIMO, INC. 01/23/17 GREGORIO & MARCO GANAN & SHAPIRO 417 17WC 04568 WILLIAMS, DARNELL L FORD MOTOR CO 05/02/16 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 17WC004569 -C 418 17WC 04574 REAGAN, RICHARD NEXT REALTY 02/25/16 COLLISON LAW OFFICES GRANT & FANNING 419 17WC 04628 JOUNG, MATTHEW COMCAST 01/07/17 CANDIANO LAW OFFICE POWER & CRONIN LTD 420 17WC 04736 NAPOLES, LAURA C RAVINIA COMMUNITIES LLC 09/15/16 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 421 17WC 04802 QUEEN-THOMAS, BEVERLY BOARD OF ED CHICAGO 03/14/14 BEVERLY QUEEN-THOMAS 422 17WC 04987 NICOLE LYNN TAYLOR CROTHALL 11/15/16 GAINES & GAINES 423 17WC 05174 GALVEZ, FRANK KINSALE CONTRACTING GROUP 09/25/13 GOLDBERG WEISMAN & CAIRO L ORENSTEIN & ASSOCIATES 424 17WC 06881 BROCK, NOELANI LANI UNITED AIRLINES INC 12/18/16 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 17WC006882 -C 17WC023366 -C 425 17WC 07976 ESPARZA, MIGUEL NEWLYWEDS FOODS, INC 08/22/16 RUEDA, IVAN A 426 17WC 08785 CORSI, MARK TROY DESIGN & 08/02/16 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 17WC008786 -C 427 17WC 09957 COWSER, STEVEN AIRGAS INCGALLAGHER 02/08/17 POLANSKY & CICHON CHTD MC ANDREWS & NORGLE LLC 428 17WC 10104 PILLER, AMIKA CHICAGO BOARD OF EDUCATIO 03/07/17 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 429 17WC 10124 CALLOWAY, DESENA KINDER CARE 09/06/16 MC HARGUE & JONES HENNESSY & ROACH PC 430 17WC 10436 CHANANA, RAJEEV BARAKA ENTERPRISES INC 03/30/17 FISHER & LAMONICA 431 17WC 11873 RODRIGUEZ, JOSE S CHICAGO ANODIZING CO. 04/17/17 ENCINAS & ORNELAS RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 432 17WC 11897 GOGINS, TERESA CTA 04/17/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 433 17WC 12074 O'CONORM VINCE PROGRAM PRODUCTIONS, INC 06/05/16 KARCHMAR & STONE HENNESSY & ROACH PC 434 17WC 12196 PLACE, KATHLEEN DELTA AIRLINES 10/26/15 SCHREINER MALLOY & ETZLER ROBERT L. SMITH 435 17WC 12303 OLSZOWA-PRZYBYLSKA, JADWI OPEN ARMS NORTHBROOK, LLC 01/20/17 NILSON STOOKAL GLEASON CAP 436 17WC 12346 NOBILE, BRANDON THE HILL GROUP 03/13/17 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC 437 17WC 12373 MOORE, KAWANIS PRIMARY STAFFING, INC 04/23/17 GRAZIAN & VOLPE PC QUINTAIROS PRIETO WOOD & BOY 438 17WC 12394 MASTRANGELO, DOUG ACCURATE OFFICE SUPPLY 01/13/17 ASHER, RAYMOND L LTD 439 17WC 12534 WEKONY, BRIAN SYSCO CHICAGO, INC 04/06/16 GOLDBERG WEISMAN & CAIRO L 440 17WC 12588 CERVANTES, JANET SGA YOUTH AND FAMILY 10/13/16 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 441 17WC 12607 VLACHOS, ATHANASIOS P SODEXOMAGIC 03/17/17 DAVID W MARTAY INMAN & FITZGIBBONS 442 17WC 12624 RAMIREZ MUNOZ, JUAN A DEL FRISCO'S RESTAURANT 03/14/17 HENNESSY & ROACH PC 443 17WC 12676 WINDHAM, KEITH PACE 03/21/17 CHASE & WERNER LTD POWER & CRONIN LTD 444 17WC 12716 STYRCULA, PETER SKOKIE MOTORS SHERMAN DOD 01/17/17 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 445 17WC 12764 GARCIA, JOSE GRAND PRAIRIE TRANSIT, IN 02/04/14 RUEDA, IVAN A 446 17WC 12872 RANGEL JR., RAFAEL MEDSTAR LABORATORIES 04/18/17 BUDIN LAW OFFICES GANAN & SHAPIRO 447 17WC 12918 O'KEEFFE, THOMAS CITY OF CHICAGO 07/15/15 HEALY SCANLON LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 448 17WC 12929 BISHT, PRADEEP TAJ CAB CO 03/24/17 LAW OFFICE RYAN ROSENTHAL 449 17WC 12953 DICKERSON, MONICA NOODLES & COMPANY 04/18/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 18WC007144 -C 450 17WC 13061 WEATHERSBY, CAROL ADVOCATE CHRIST MEDICAL C 01/19/17 RIDGE & DOWNES GAROFALO SCHREIBER STORM 18WC009462 -C 451 17WC 13079 ROBINSON, JERRY CITY OF CHICAGO DEPT OF 04/21/17 ANKIN LAW OFFICE 452 17WC 13098 DRAVILAS, ALEXIOS LITTLE COMPANY OF MARY HO 03/13/17 NEWLAND & NEWLAND WIEDNER & MCAULIFFE LTD 453 17WC 13149 AYACHE, MICHAEL NBC UNIVERSAL 04/21/17 THE FITZ LAW GROUP SPIEGEL & CAHILL, PC 454 17WC 13239 JOHNSON, TEQUILA FIRST STUDENT MANAGEMENT 03/29/17 GOLDSTEIN AIOSSA & GOOD WIEDNER & MCAULIFFE LTD 455 17WC 13292 GLYNN, ANTHONY UTILITY TRANSPORT SERVICE 04/17/17 CULLEN HASKINS NICHOLSON KNELL & O'CONNOR 456 17WC 13307 SYLER, ROBERT LKQ A RELIABLE 08/02/16 DAVID W MARTAY 457 17WC 13344 ABBASI, MUHAMMED A BLUE RIBBON TAXI/ 04/24/17 LAW OFFICE OF SCOTT B SHAP 458 17WC 13410 BRUTON, ALPHA ROUNDY'S SUPERMARKETS INC 02/23/17 THE MACK LAW GROUP PC 459 17WC 13523 WILLIAMS, JACQUELINE INTERSTATE DISTRIBUTION 09/19/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 460 17WC 13541 PRINDLE, JOSEPH STEFANOVIC TRUCKING 03/17/17 BART DURHAM 461 17WC 13563 VARGAS, IRINED THE HABITAT COMPANY, LLC 02/26/17 RUEDA, IVAN A 462 17WC 13642 CUARDO, VICTOR L SOUTHWEST AIRLINES CO 05/05/16 ANKIN LAW OFFICE 463 17WC 13694 GONZALEZ, MANUEL ACURA INC 06/02/15 LAW OFFICES DEBORAH SCHAEF 464 17WC 13765 SMITH, CHARLES AB CAR RENTAL SERVICES, I 04/23/17 LAW OFFICE HOWARD ABRAMS BRADY, CONNOLLY & MASUDA, PC 465 17WC 13835 EDWARDS, RAHSAAN BP STAFFING RESOURCES 05/03/17 RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 466 17WC 13887 SOLAK, JOSEPH CITY OF CHICAGO 04/10/17 JOSEPH J SPINGOLA, LTD 467 17WC 14009 CARDONE, JUDITH COOK COUNTY CLERK OF 10/07/16 ROSS TYRRELL STATES ATTORNEY OF COOK COUN 468 17WC 14017 COVINGTON, ELLEN R TRAGET CORPORATION 04/20/17 ANKIN LAW OFFICE 469 17WC 14036 KWAKU, KOSSI JAKE TRANSPORT CO 04/18/17 LAW OFFICE RYAN ROSENTHAL 470 17WC 14156 SHAH, MUKESHCHANDRA M. JABIL CIRCUIT NKA NYPRO 08/04/16 GARDI & HAUGHT HOLECEK & ASSOCIATES 471 17WC 14193 KALKER, DAVID LOYOLA UNIVERSITY MEDICAL 09/01/14 THOMAS A MORRISSEY 472 17WC 14227 JENSON, PAUL HAWK FORD 05/06/17 DWORKIN AND MACIARIELLO 473 17WC 14271 STROZ, LINDA M ADVOCATE CHRIST MEDICAL C 10/19/16 TOSCAS, JOHN Z LAW OFFICE GAROFALO SCHREIBER STORM 474 17WC 14322 GOLF, CARMAN CITY OF CHICAGO 11/20/16 CAPRON & AVGERINOS PC 475 17WC 14328 STAMM, ALBERT ENGINEERING EXCELLANCE 06/14/16 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 476 17WC 14391 GANAY, AHMED BRILON ONE CAB CORP 04/29/17 FISHER & LAMONICA 477 17WC 14426 MERLINI, THOMAS A YRC WORLDWIDE 12/31/16 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 478 17WC 14469 RODRIGUEZ, MARTIN NORTHWEST STEEL CORPORATI 04/07/17 EFTEKHARI LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 479 17WC 14522 CABANAS, ERIK US FOODS 03/16/17 LOUIS A PLZAK & ASSOCIATES BRADY CONNOLLY & MASUDA PC 480 17WC 14597 CATANIA, JENNIFER DOLLAR TREE-CHICAGO 04/20/17 MEYERS & FLOWERS BRYCE DOWNEY & LENKOV LLC 481 17WC 14603 BRADFIELD, YAKENA CTA 05/14/17 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 482 17WC 14629 NAIMOLI, ANTHONY J STATE OF ILLINOIS/IDOT 09/16/10 THE FITZ LAW GROUP ASSISTANT ATTORNEY GENERAL 483 17WC 14682 REILLY, LEONARD ARCHDIOCESE OF CHICAGO 12/01/16 HETHERINGTON KARPEL BOBBER MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 484 17WC 14914 MASON, KEVIN PATRICK FOREST PRESERVE OF COOK C 10/06/16 PETER D CORTI LAW GROUP FOREST PRESERVE DIST COOK CO 485 17WC 14934 BOOTH, TERRY MIDWAY STAFFING INC 01/22/17 ANKIN LAW OFFICE 486 17WC 14963 CRUTCHFIELD, AARON ANIXTER, INC. 03/30/17 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 487 17WC 14995 GARAY, GARY CITY OF CHICAGO, DEPT OF 01/15/17 O'CONNOR & NAKOS CITY OF CHICAGO 488 17WC 15098 ROSSI, KAREN J UNITED AIRLINES INC. 06/15/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 489 17WC 15127 WILLIAMS, KIEL UNIVERSITY OF CHICAGO HOS 03/21/17 HUGHES SOCOL PIERS RESNICK WIEDNER & MCAULIFFE LTD 490 17WC 15159 COLLAZO, JOHN FORD MOTOR COMPANY 05/07/17 FOHRMAN, DONALD W & ASSOCS 491 17WC 18583 GATSON, KIS CLEARLAM PACKAGING 06/13/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 492 17WC 19533 POWELL, DEBRA CITY OF CHICAGO 03/20/17 LEO ALT 493 17WC 21300 PREADOM, BYRON SOUTHWEST AIRLINES 02/05/15 RONALDSON & KUCHLER HENNESSY & ROACH PC 494 17WC 21366 ALBELO, MARIA NIKE FACTORY STORE 04/26/17 KATZ FRIEDMAN EAGLE ET AL 495 17WC 21406 RODRIGUEZ, JOSE TOTAL STAFFING SOLUTIONS 06/29/17 FINE, MARK S LAW OFFICES KNELL & O'CONNOR 496 17WC 21447 NUNEZ, TANIA HEALTHCARE ALTERNATIVE SY 06/29/17 LAW OFFICES TIMOTHY HENDER HEYL ROYSTER VOELKER & ALLEN 497 17WC 21497 MOSER, DEREK NC JUNK REMOVAL D/B/A 07/19/17 HUGHES SOCOL PIERS RESNICK 498 17WC 21530 NOAH, JOHN KWCC 03/31/17 JOHNSON & JOHNSON BRADY CONNOLLY & MASUDA PC 499 17WC 21653 SWANSON, AMY LITTLE COMPANY OF MARY HO 05/04/17 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD 500 17WC 21712 MACIAS, IRMA ESPINOZA JAFFA BAGEL-CHICAGO, INC 03/01/15 SALVATO & O'TOOLE 501 17WC 21728 ZARKY, ROGER CITY OF CHICAGO DEPT FLEE 07/12/17 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 502 17WC 21786 KROL, KRZYSZTOF PRO HOME 1, INTL 06/15/17 NEMEROFF LAW OFFICES WIEDNER & MCAULIFFE LTD 503 17WC 21831 RHEIN, DAVID YRC 05/30/17 JASINSKI, GEORGE J HENNESSY & ROACH PC 504 17WC 21861 RANGEL, JORGE SERVICE DRYWALL & DECORAT 03/24/17 PARENTE & NOREM PC KEEFE CAMPBELL & ASSOC LLC 505 17WC 21882 GROSS, ANITRA SOUTHWEST AIRLINES 12/07/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 506 17WC 21939 BATES, LEONARDO ARENA FOOTBALL ONE LLC 06/12/15 GORDON LAW OFFICES LTD 507 17WC 21947 FURUNDZIC, RADE GEORGIA NUT CO INC 10/23/15 ANKIN LAW OFFICE CAPUANI, FRANK S 508 17WC 21982 FLORES, TERESA DHALIWAL LABS ILLINOIS LL 06/30/17 ROSS J HELFAND HOLECEK & ASSOCIATES 509 17WC 22007 DEAN, TERRY ILLINOIS DEPARTMENT @ 10/10/16 VASILATOS & COTTER LLC ASSISTANT ATTORNEY GENERAL 510 17WC 22025 BERGMAN, LAYAH HILLEL TORAH NORTH SHORE 02/11/14 ROSS TYRRELL GILDEA & COGHLAN 511 17WC 22160 ADKINS, VERNON JUDLAU OHL GROUP 07/24/17 CULLEN HASKINS NICHOLSON THOMAS & PORTELA 512 17WC 22180 CARRANZA, DANIEL BSE TRUCKING, INC 05/04/17 MC HARGUE & JONES INMAN & FITZGIBBONS 513 17WC 22257 HUBBARD, RHONDA THE UNIVERSITY OF CHICAGO 06/06/17 BRIAN J MC MANUS & ASSOC, MACIOROWSKI SACKMANN & ULRIC 514 17WC 22285 JACKSON, ANNIE HELP AT HOME 06/08/17 ANGELINI & ORI LLC 515 17WC 22306 WELLS, JOHN MICHAEL LEWIS CO 04/18/17 DAVID SZCZECIN & ASSOC HOLECEK & ASSOCIATES 516 17WC 22354 KLOMES, WILLIAM CITY OF CALUMET CITY 07/30/17 COVEN LAW GROUP RANDOLPH GREUNE LAW OFFICE 517 17WC 22439 ADENIRAN, ADEBAYO M&A HAND CAR WASH 07/08/17 ANGELINI & ORI LLC 518 17WC 22462 WIGGINS, EZEKIEL LABOR NETOWRK, LLC (LOANI 04/23/17 O'CONNOR & NAKOS 519 17WC 22464 BATES, LEONARDO ARENA FOOTBALL ONE LLC 06/12/15 GORDON LAW OFFICES LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 520 17WC 22482 GONZALEZ, GUADALUPE AMERICA'S FOOD TECHNOLOGI 06/30/17 MC HARGUE & JONES 521 17WC 22490 BURNETT-MOSS, KATRINA METRO SOUTH MEDICAL CENTE 04/26/17 FRIEDMAN & SOLMOR LTD WIEDNER & MCAULIFFE LTD 522 17WC 22538 FLORES, RUBEN T STONE STYSTEMS WR WEIS CO 06/26/17 LEO ALT 523 17WC 22599 SAUCIUC, VASILE PARENTI & RAFFELI, LTD 01/15/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 524 17WC 22656 MARTIN, RANDOLPH CHICAGO TRANSIT AUTHORITY 07/20/17 ANKIN LAW OFFICE 525 17WC 22689 TRUEBLOOD, SABRENIA LEXINGTON HEALTH CARE 02/02/17 MARC J SHUMAN & ASSOCIATES 526 17WC 22721 AMIN, AKASH DUNKIN DONUTS 01/31/16 TURCYCHUTE LLC COZZI & GOGGIN-WARD 527 17WC 22778 FALCO, KEVIN CH ROBINSON 07/02/17 ASHER, RAYMOND L LTD GANAN & SHAPIRO 528 17WC 22931 DICOSOLA, DOMINIC JR AMS MECHANICAL SYSTEMS 06/21/17 ADLER & ADLER GAROFALO SCHREIBER STORM 529 17WC 23007 GOTT, DAVID LEVY 11/13/16 530 17WC 23070 DELGADO, MARIA T VALSPAR CORPORATION 11/07/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 531 17WC 23197 WALKER, MARC A LEWIS BAKERIES 08/11/14 STEVEN O HAMILL LTD 532 17WC 23299 ZANDERS, CHRISTIAN ABRA AUTO BODY & GLASS 07/07/17 HORWITZ HORWITZ & ASSOC 533 17WC 23319 MENDOZA-GARZA, JAVIER LASER CONSTRUCTION 07/27/17 RUEDA, IVAN A 534 17WC 23422 DRAKE, MICHAEL BODYCOTE 03/22/17 DWORKIN AND MACIARIELLO 535 17WC 23442 BJORGO, DENNIS G HUDSON BOILER & TANK 01/14/15 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 536 17WC 23471 ANDERSON, HOPE VARGAS GROUP, INC 08/02/17 SALVATO & O'TOOLE LITCHFIELD CAVO 537 17WC 23486 SILVA, JOSE RENT-A-CENTER 07/25/17 JAMES ELLIS GUMBINER & ASS KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 538 17WC 23532 SERENDA, STEPHEN M LOYOLA UNIVERSITY MEDICAL 11/07/16 STROM, NEAL B 539 17WC 23597 FERNANDEZ, CARLOS CITY OF CHICAGO 08/09/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 540 17WC 23607 LEON, JUAN NEW PROCESS STEEL 07/10/17 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 541 17WC 23645 RANDALL, CATHLEEN INTERFAITH YOUTH CORE # 07/06/17 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 542 17WC 23697 VASQUEZ, ABECINIA ST ALEXIUS MEDICAL CENTER 05/23/16 LAW OFFICE OF SCOTT B SHAP 543 17WC 23719 LAGUNAS ROMAN, ANGEL FLECK'S LANDSCAPING 08/01/17 LANNON LANNON & BARR LTD BRADY CONNOLLY & MASUDA PC 544 17WC 23735 HARRIS, DAVID JMJ TALENT SOLUTIONS 07/14/17 ASHER, RAYMOND L LTD COZZI & GOGGIN-WARD 545 17WC 23826 JOHNSON, MAGGIE WILSON AND SMITH INC 06/26/17 NEMEROFF LAW OFFICES HOLECEK & ASSOCIAT0ES 546 17WC 23874 SALGADO, MARTA KASIA'S DELI, INC 05/26/17 HOLECEK & ASSOCIATES 547 17WC 23888 WARRACK, JOSHUA LEVY RESTAURANT 08/11/17 ANGELINI & ORI LLC GANAN & SHAPIRO 548 17WC 23907 SALGADO, SAUL MULTI-TEMPS INC 07/14/17 CUDA LAW OFFICES ROBERT L. SMITH 17WC023908 -C FORMEL INDUSTRIES 549 17WC 23987 MAXWELL, TONY ADVOCATE ILLINOIS MASONIC 05/11/17 COHN LAMBERT RYAN & SCHNEI GAROFALO SCHREIBER STORM 550 17WC 24034 CRUZ, NOEL CTA 08/10/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 551 17WC 24084 REYES, GRISELD ALDEN TOWN MANOR 06/26/17 LEE, MARK N LAW OFFICE 552 17WC 24133 NAVARRO, JOSEPH RWWC LLC 08/07/17 GOLDBERG WEISMAN & CAIRO L 553 17WC 24237 HARRIS, MARQUIS TOOL AND STEEL SERVICES 08/04/17 ANGELINI & ORI LLC 554 17WC 24250 KEEHAN, JOHN COOK COUNTY IL DEPT OF CO 07/26/17 RICHARD O. GREENFIELD STATES ATTORNEY OF COOK COUN 555 17WC 24361 ZIELINSKI, KEITH AS WIDOW TERRA NOVA FILMS 10/21/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 556 17WC 24413 ABDERRHMAN, NIJEM LETTUCE ENTERTAIN YOU 06/24/17 VRDOLYAK LAW GROUP LLC NOBLE & ASSOCIATES PC 557 17WC 24457 SZCZYGIEL, ANDRZEJ REMODELERS SUPPLY CENTER 08/01/17 CHEPOV & SCOTT LLC 558 17WC 24544 GARCIA, JUAN COOK COUNTY 08/11/17 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 559 17WC 24596 AGUERO, ROBERTO DIESEL RADIATOR CO 08/07/17 RUEDA, IVAN A HOLECEK & ASSOCIATES 560 17WC 24676 MONARREZ, GERARDO ED MINIAT, INC 07/17/17 POWER & CRONIN LTD 561 17WC 24715 MORRIS, KIMBERLEY DEAN EDSAL MFG CO 08/11/17 JOHN C WUNSCH 562 17WC 24878 WARREN, MICHAEL HESTER DECORATING COMPANY 06/21/17 HEALY SCANLON LAW FIRM BRADY CONNOLLY & MASUDA PC 563 17WC 25062 SHIELDS, PAMELA CHICAGO TRANSIT AUTHORITY 08/15/17 FOHRMAN, DONALD W & ASSOCS 564 17WC 25789 SACEK, SCOTT FORD MOTOR-CHICAGO 04/03/17 WOLFE LAW PC RUSIN & MACIOROWSKI LTD 565 17WC 26616 CURRAN, THOMAS CHICAGO BEHAVIORAL HOSPIT 09/02/17 DWORKIN AND MACIARIELLO THOMAS & PORTELA 566 17WC 26693 STEWART, WILLIAM COOK COUNTY HEALTH & 04/09/17 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 567 17WC 26942 ANDERSON-BELL, STEPHANIE PARK VILLA HEALTH CARE 06/15/17 VITELL & SPITZ LTD 568 17WC 29296 MURRY, MONICA A CHICAGO TRANSIT AUTHORITY 09/24/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 569 17WC 30377 OWENS, EUGENIE UNITED AIRLINES 03/25/17 KATZ FRIEDMAN EAGLE ET AL 570 17WC 30863 SALAZAR, JUAN SUPERIOR NUT & CANDY CO 09/15/17 OSVALDO RODRIGUEZ PC CAPUANI, FRANK S 571 17WC 30898 CICHOCKI, ZACH ABC SUPPLY CO INC 09/12/17 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 572 17WC 30974 PEALS, KEVIN L HOST INTERNATIONAL, INC 08/17/17 DEPAOLO ZADEIKIS GORE ROBERT L. SMITH 573 17WC 31034 CASTILLO-ROSA, LYDIA PALATINE PUBLIC LIBRARY 08/30/17 RANDALL A. WOLFF & ASSOC LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 574 17WC 31109 RAMIREZ, ERIC RALLY INTERMODEL LLC 08/18/17 KATZ FRIEDMAN EAGLE ET AL QUINTAIROS PRIETO WOOD & BOY 575 17WC 31131 LLOYD, SHELLY WALMART 08/17/17 COHN LAMBERT RYAN & SCHNEI QUINTAIROS PRIETO WOOD & BOY 576 17WC 31185 FIELDING, ROBERT INFRARED INSPECTIONS INC 06/02/16 DAVID W MARTAY 577 17WC 31226 GARCIA, BENJAMIN PRO-DRIVERS 08/16/17 HART & DAVID LLP 578 17WC 31316 EPISCOPO MENESES, FLOR EL NORTHSHORE SENIOR SVCS 01/28/17 MC HARGUE & JONES 579 17WC 31320 LLAMAS, BENJAMIN SIEGEL STEEL 10/05/17 VASILATOS & COTTER LLC CAPUANI, FRANK S 580 17WC 31402 BOND, JEFFREY M SUBURBAN ELEVATOR 03/16/17 RUBIN LAW GROUP WOLF LAW LTD 581 17WC 31454 CAPPS, BIRDELL GATE GOURMET 10/04/17 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 582 17WC 31515 DAVIS, DEIDRE ADVOCATE CHRIST HOSPITAL 09/02/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 583 17WC 31544 HORN, JEANINE L CHICAGO TRANSIT AUTHORITY 08/22/17 WARREN W MARK CHICAGO TRANSIT AUTHORITY 584 17WC 31564 CHORAK, MICHAEL J MECCON INDUSTRIES, INC 09/26/17 RUBIN LAW GROUP CACCHILLO LAW GROUP LLC 585 17WC 31602 REBELES, DORA PETE'S FRESH MARKET 09/01/17 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 586 17WC 31620 MEJIA, RODOLFO OLYMPIA FOODS 10/20/17 CHEPOV & SCOTT LLC 587 17WC 31639 RENTERIA, FERNANDO FULTON TROIKA, LLC 09/26/17 DUDLEY & LAKE LLC 588 17WC 31672 HERNANDEZ, SERGIO PAN AMERICAN CONSTRUCTION 10/03/17 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 17WC031673 -C 589 17WC 31690 FUGLESTAD, ARNOLD AMERICAN AIRLINES, INC 10/04/17 PETER D CORTI LAW GROUP 590 17WC 31708 ESTRADA, BARBARA FORD MOTOR COMPANY 02/15/17 FOHRMAN, DONALD W & ASSOCS 591 17WC 31724 COLVIN, CASSANDRA CHICAGO PUBLIC SCHOOLS 10/20/17 ANKIN LAW OFFICE LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 592 17WC 31825 VELETYK, VOLODYMYR STAR NORTH MANAGEMENT LLC 10/12/17 LAW OFFICES YEVGENIY VAYSM 593 17WC 31875 WALKER, SHARON COMMUNITY CARE SYSTEMS IN 04/21/17 BERENZ LAW NETWORK 594 17WC 31880 ARCE, ARTURO ARLINGTON PLATING CO 10/02/17 THE ROMAKER LAW FIRM 595 17WC 31899 TARCHINSKI, MICHAEL RR DONNELLEY 03/29/17 KATHERINE A. CARDENAS BRADY CONNOLLY & MASUDA PC 596 17WC 31922 GUEVARA, OSCAR HUERTA CURTO-LIGONIER FOUNDRIES 09/25/17 SALK, STEVEN B & ASSOC LTD KNELL & O'CONNOR 597 17WC 31944 CHAVEZ AUZ, DIEGO E LALO'S MEXICAN RESTAURANT 09/09/17 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 598 17WC 31997 HUNT, ROY YRC INC 09/18/17 HENNESSY & ROACH PC 599 17WC 32031 TUJILLO, MA REYNALDA CESAR'S ON BROADWAY RESAU 08/21/17 NILSON STOOKAL GLEASON CAP HOLECEK & ASSOCIATES 600 17WC 32119 ASHLEY, DANA RENT-A-CENTER 10/09/17 DWORKIN AND MACIARIELLO 601 17WC 32144 JENNINGS, TEDDY ARENA FOOTBALL ONE, LLC 04/29/17 GORDON & CENTRACCHIO LLC 602 17WC 32197 PELAEZ, MOISES PROGRESSIVE COATING 10/26/17 JAMES ELLIS GUMBINER & ASS 603 17WC 32340 WONDOLOWSKI, FORREST CITY OF CHICAGO (FLEET MG 10/16/17 SEIDMAN MARGULIS & FAIRMAN 604 17WC 32426 MANGUAL, JOSE MADISON CONSTRUCTION 10/27/17 KROL BONGIORNO & GIVEN LTD LAW OFFICES OF EDWARD J. KOZ 605 17WC 32532 ROBERTS, FELICIA FORD MOTOR COMPANY 07/24/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 606 17WC 32558 BAKER, EUGENE GNPH #NINE, INC DBA 10/07/17 CULLEN HASKINS NICHOLSON STEVEN L. VENIT 607 17WC 32710 HERNAIZ-VAZQUEZ, ISRAEL CULTURE STUDIO 10/14/17 MC HARGUE & JONES LAW OFFICES JOSEPH MARCINIAK 608 17WC 32736 WARREN, JOHN COOK COUNTY SHERIFF'S DEP 05/08/17 ROMANEK & ROMANEK STATES ATTORNEY OF COOK COUN 609 17WC 32752 STEARN, CINDY UNITED AIRLINES, INC 10/09/17 GREGORIO & MARCO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 610 17WC 32788 BATES, ANTHONY JEWEL 09/21/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 611 17WC 32804 SARAZEN, JEWEL UNITED AIRLINES INC. 04/29/17 CORBOY & DEMETRIO PC WIEDNER & MCAULIFFE LTD 17WC032805 -C 612 17WC 32853 FROMME, CANDISE UNITED AIRLINES INC. 07/16/17 BRIAN J MC MANUS & ASSOC, 613 17WC 32869 PEREZ, CESAR GEORGIA NUT COMPANY 08/01/17 STYKA & STYKA 614 17WC 32898 BYLINA, RONALD S IDEAL BOX CO 08/11/17 RUBIN LAW GROUP 615 17WC 32908 KAUR, HARMIT PORTILLOS HOT DOGS LLC 09/04/17 LULAY LAW OFFICES HOLECEK & ASSOCIATES 616 17WC 32930 YONUSHATIS, EDWARD FORD MOTOR COMPANY 10/16/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 617 17WC 32951 WILSON, BERNADINE CHICAGO BOARD OF EDUCATIO 09/24/15 DAVID W MARTAY 618 17WC 32973 PRADO, MARIA MARSCO GP 06/23/17 CUDA LAW OFFICES MC ANDREWS & NORGLE LLC 619 17WC 32974 PRUENTE, DAWN COOK COUNTY 10/19/17 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 620 17WC 33011 ORTIZ, DULCE MARIA HMR DESIGNS 09/27/17 GOLDBERG WEISMAN & CAIRO L 621 17WC 33084 RODRIGUEZ, SERAFIN ACRES GROUP 10/30/17 LAW OFFICE OF SCOTT B SHAP ACCIDENT FUND HOLDINGS 622 17WC 33101 STURDIVANT, KENDALE DOLLAR GENERAL 09/05/17 CHARLES LEVY & ASSOC LTD LEAHY EISENBERG & FRAENKEL 623 17WC 33137 WILKERSON, CLINTON DAYTON FREIGHT 01/25/17 STANCZAK LAW OFFICES RUSIN & MACIOROWSKI LTD 624 17WC 33255 KING, SHARMONE EVANSTON/SKOKIE SCHOOL DI 10/02/17 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 625 17WC 33282 VAUGHN, FRED A SYNERGY 08/04/17 BUDIN LAW OFFICES 626 17WC 33345 BROWN, SHANA PACE SUBURBAN BUS 09/25/17 KUMLIN & FROMM 627 17WC 33380 AJOKU, FITGERALD COOK COUNTY HEALTH & HOSP 10/16/17 DEPAOLO ZADEIKIS GORE STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 628 17WC 33404 WATKINS, GARDNER CITY OF CHICAGO STREET AN 05/12/16 TAXMAN POLLOCK 629 17WC 33422 ABUKHADEEJA, EBRAHEEM PACTIV-BRIDGEVIEW 09/05/17 DAVID W MARTAY 630 17WC 33439 TREADWAY, HERMAN SWISSPORT USA, INC 06/28/17 COSTA IVONE LLC 631 17WC 33455 MOORE, ROBERT CTA 10/31/17 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 632 17WC 33545 FRAMPTON, DEAN ROGAN GRANITE & MARBLE 04/30/17 SAUNDERS CONDON & KENNY 633 17WC 33579 SHAW, WILLIAM SOUTHWEST AIRLINES 07/29/17 ANGELINI & ORI LLC HENNESSY & ROACH PC 634 17WC 33600 BROWN, STEPHANIE BEST CARE SERVICES 10/21/17 BRISKMAN BRISKMAN GREENBER GALLIANI DOELL & COZZI LTD 635 17WC 33672 DRUMMOND, STEPHEN VILLAGE OF NORTHBROOK 11/10/17 SKLARE LAW GROUP 636 17WC 33731 BICKETT, JESSICA CAST & CREW ENTERTAINMENT 07/15/17 ELFENBAUM EVERS & AMARILIO GRANT & FANNING 637 17WC 33825 KIE, SANDRA VETCO 07/09/17 GIAMANCO & OOINK LAW OFFIC 638 17WC 33864 BYARS, REGINA THE TJX COMPANIES, INC 09/19/17 CUSHING LAW OFFICES 639 17WC 33888 MURNANE, KYLE CUSTOM ELECTRICAL SERVICE 08/10/17 JOHN S. ELIASIK 640 17WC 33921 JAUREGUI, HELIODORO MANNHEIM SCHOOL DISTRICT 06/01/17 HART & DAVID LLP BRADY CONNOLLY & MASUDA PC 641 17WC 33948 ORTIZ, MODESTO R COOK DUPAGE TRANS. 08/29/17 MANUAL CARDENAS & ASSOC HENNESSY & ROACH PC 642 17WC 34077 ALEXANDER, PRENTISST REPUBLIC SVCS 11/09/17 MC HARGUE & JONES GILDEA & COGHLAN 643 17WC 34106 PARKS, DEBORAH M DABECCA NATURAL FOODS 10/17/17 ANKIN LAW OFFICE RODDY LAW LTD 644 17WC 34148 PIPIKIOS, JOANNE CVS HEALTH FKA CVS CAREMA 05/11/15 BELLAS & WACHOWSKI HINSHAW & CULBERTSON 645 17WC 35215 FORD, GLENN THE UNIVERSITY OF CHICAGO 11/15/17 ANKIN LAW OFFICE POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 646 17WC 37692 RICHART, JOSE FRASCO PROFILES 12/18/17 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 647 18WC 01765 VALDES, JUAN JR SCRUB INC 12/30/17 THE ROMAKER LAW FIRM KNELL & O'CONNOR 648 18WC 01987 CLAYTON, DONNA STATE OF IL DEPT OF HUMAN @ 01/10/18 BRISKMAN BRISKMAN GREENBER ASSISTANT ATTORNEY GENERAL 649 18WC 01992 HANSON, ARON CINTAS 01/17/18 COVEN LAW GROUP POWER & CRONIN LTD 650 18WC 02006 ROBINSON, ROBBIE UBER 01/11/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 651 18WC 02105 BOLIN, BRIAN MURPHY & MILLER INC 01/04/18 PARENTE & NOREM PC 652 18WC 02130 RILES, ANTWAIN CHICAGO SCAFFOLDING INC 02/28/17 MEYERS & FLOWERS 653 18WC 02153 BILLS, NASTASSIA CHICAGO OMC 01/08/18 ANGELINI & ORI LLC 654 18WC 02219 PICARDI, JAMES AM SLEEP, INC 12/11/17 GORDON & CENTRACCHIO LLC RUSIN & MACIOROWSKI LTD 655 18WC 02257 MCFARLAND, KRISTI CONSOLIDATED HS DISTRICT 10/20/17 HETHERINGTON KARPEL BOBBER 656 18WC 02287 STOCKSTILL, DOUGLAS AT & T 12/15/17 CULLEN HASKINS NICHOLSON 657 18WC 02309 MEADERDS, CATHERINE SCOOBEEZ 06/16/17 VASILATOS & COTTER LLC HENNESSY & ROACH PC 658 18WC 02364 FLOWERS, ROBERT FLEXIBLE STAFFING 01/15/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 659 18WC 02380 VALI, WALTER CONTAINER INT/ 06/20/16 GORDON LAW OFFICES LTD 660 18WC 02409 ACHMIROWICZ, ANDREZEJ HOME DEPOT 03/07/17 RUBENS AND KRESS MC ANDREWS & NORGLE LLC 661 18WC 02430 HENDERSON, DEBRA A ENVISION ULIMITED 01/17/18 VITELL & SPITZ LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 662 18WC 02447 WOODWARD, JIM ATLAS TUBE 11/14/17 KROL BONGIORNO & GIVEN LTD GAROFALO SCHREIBER STORM 663 18WC 02465 MORSCH, NEAL METALMASTER ROOFMASTER IN 06/15/16 JOHN E LUSAK ACCIDENT FUND HOLDINGS 18WC002466 -C 664 18WC 02504 MOCZYNSKI, LORETTA JEWEL FOOD STORE 10/22/17 MICHAEL A. HIGGINS 665 18WC 02530 BARTZ, HALINA JIMMY'S CHARHOUSE 12/22/17 FIGLIOLI, DAVID BRADY CONNOLLY & MASUDA PC 666 18WC 02551 POZWORSKI, JOHN N FIRST CHOICE LOGISTICS 09/28/17 O'CONNOR & NAKOS SCOPELITIS GARVIN LIGHT 667 18WC 02566 LJUBENKO, LUKA CHICAGO TRANSIT AUTHORITY 01/16/18 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 668 18WC 02582 HENRY, PHILIP COMMUNITY HIGH SCHOOL DIS 11/30/16 RATHBUN CSEVENYAK & KOZOL ODELSON & STERK 669 18WC 02719 MURPHY, COLLEEN UNITED CONTINENTAL 10/01/17 BRIAN J MC MANUS & ASSOC, 670 18WC 02739 LAZIC, MARIJA GLENBRIDGE NURSING & REHA 08/30/17 BRILL & FISHEL 671 18WC 02762 JOHNSON, VERNICE L TOWER AUTOMOTIVE 01/21/18 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 672 18WC 02764 GOLONKA, ARKADIUSZ MC CONSTRUCTION 11/17/17 KATZ FRIEDMAN EAGLE ET AL 673 18WC 02800 PODGORSKI, JOSEPH LEE YRC WORLDWIDE 11/15/17 KROL BONGIORNO & GIVEN LTD 674 18WC 02842 MEDINA, JANICE UNITED SERVICE COMPANIES 01/11/18 SALVATO & O'TOOLE RUSIN & MACIOROWSKI LTD 675 18WC 02915 ROSSI, JOSEPH LIBORIO BAKING SERVICES C 01/07/18 GREGORIO & MARCO 676 18WC 02933 BLANCAS, MARTIN DAPPER EAST 01/10/18 COSTA IVONE LLC 677 18WC 02951 SHED, FREDRICK BARNES DISTRIBUTION-BORRO 01/10/18 LEONARD LAW GROUP LLC 678 18WC 02960 TATE, WILENA AFCO 01/23/18 DWORKIN AND MACIARIELLO 679 18WC 02971 KOSIROG, DAVID M CDK ELECTRIC INC 01/10/18 DOUGLAS RALLO PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 680 18WC 02997 MAGNAN, PATRICIA LITTLE COMPANY OF MARY 02/03/16 WILLIAM S. WOJCIK LTD 681 18WC 03063 ADDUCI, NICHOLAS COOK COUNTY SHERIFF'S 01/10/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 682 18WC 03099 JIMENEZ, JAVIER ECOWIZE NORTH AMERICA 12/24/17 LAW OFFICES LEONARDO MORAL 683 18WC 03149 ODELL JR, ELTON AIR SERV 01/17/18 HORWITZ HORWITZ & ASSOC 684 18WC 03188 STAMPLEY, TERRANCE L COOK COUNTY SHERIFF'S DEP 01/11/18 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 685 18WC 03206 VILLALOBOS, CONSUELO POWER STOP LLC 07/06/17 KREITER, BYCK & ASSOC LLP 686 18WC 03231 GADDAM, AERUYA RUSH UNIVERSITY MEDICAL C 09/07/16 COHN LAMBERT RYAN & SCHNEI POWER & CRONIN LTD 687 18WC 03364 ALSTON, DAKOTA MONTGOMERY PLACE 12/25/17 CRONIN & PETERS 688 18WC 03403 MINOGUE, PATRICK ADVOCATE CHRIST MED CTR 09/18/15 COHN LAMBERT RYAN & SCHNEI GAROFALO SCHREIBER STORM 689 18WC 03432 FELKAMP, SAMUEL N OWENS-CORNING 01/12/18 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 690 18WC 03708 CASTILLO, CLARIBEL CRUZ WEST ROCK SERVICES 12/20/17 KARCHMAR & STONE 691 18WC 03715 WILLIAMS, EMMITT CHICAGO TRANSIT AUTHORITY 01/17/18 RUBENS AND KRESS CHICAGO TRANSIT AUTHORITY 692 18WC 03731 MASON, DAVID ZEGERS 12/11/17 VRDOLYAK LAW GROUP LLC 693 18WC 03757 GAITAN, GLADIS LAUNDRY WORLD CO 06/24/17 COSTA IVONE LLC 694 18WC 03834 LEON, MARIA VERONICA WHITE LODGING 02/01/18 GOLDBERG WEISMAN & CAIRO L 695 18WC 03893 COUTAIN, KEITH S R + L CARRIER SHARED SERV 07/17/17 CULLEN HASKINS NICHOLSON 696 18WC 03918 DUNCAN, MARTY GAME TRUCK GEORGIA LLC 01/15/18 KEVIN O'BRIEN 697 18WC 03976 MARTINEZ, MARGARITA CITY OF CHICAGO/ 01/02/18 RICHARD E ALEKSY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 698 18WC 04042 SANTANA, ELLYS UNITED AIRLINES 01/14/18 CULLEN HASKINS NICHOLSON 699 18WC 04154 KOCIK, SEBASTIAN COOK COUNTY DEP OF CORREC 12/12/17 PARAD LAW OFFICES PC STATES ATTORNEY OF COOK COUN 700 18WC 04179 JONES, CHICO FORD MOTOR CO 10/01/17 SEIDMAN MARGULIS & FAIRMAN 701 18WC 04240 ELEFRANGI, WALID D'ESCOTO INC 10/20/17 DEPAOLO & ZADEIKIS EDWARD J. KOZEL 702 18WC 04265 OROZCO, MARTIN KARAY METALS 01/19/18 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 703 18WC 04280 BRISENO, JUAN C A. KELLY'S GARAGE INC 12/08/17 ANKIN LAW OFFICE 704 18WC 04299 HARDY, ANN-REGINA SAFER FOUNDATION 12/29/17 COSTA IVONE LLC 705 18WC 04323 CALLAHAN, DAWN UNITED AIRLINES 01/13/18 NILSON STOOKAL GLEASON CAP 706 18WC 04346 LEFLORE, THERESA AMAZON 12/22/17 DWORKIN AND MACIARIELLO 707 18WC 04366 HOUGH, MARY A AT&T 08/23/17 FRIEND LEVINSON & BERGAL HENNESSY & ROACH PC 708 18WC 04415 YEE-HIMMIGER, HELEN S UNITED AIRLINES (UAL) 01/07/18 ROMANUCCI & BLANDIN 18WC007656 -C 709 18WC 04442 JOHNSON, DERRICK MIDWEST CONSTRUCTIONS SER 12/28/17 THE ROMAKER LAW FIRM 710 18WC 04461 BEENE, TAMARA R SCR MEDICAL TRANSPORTATIO 02/04/18 COSTA IVONE LLC QUINTAIROS PRIETO WOOD & BOY 711 18WC 04478 EDWARDS, TICINA FORD CITY DRS OFFICE 02/02/18 JAMES ELLIS GUMBINER & ASS ASSISTANT ATTORNEY GENERAL 712 18WC 04501 HOWARD, MICHAEL GLENWOOD HEALTHCARE & REH 01/01/18 VRDOLYAK LAW GROUP LLC 713 18WC 04515 HOUSE, ROBERT AT&T 12/11/17 LEO ALT 714 18WC 04542 MALDONADO, MARIA G THE HOME DEPOT, USA, INC 09/19/17 KOSIN LAW OFFICE LTD ADELSON TESTAN BRUNDO 715 18WC 04574 ESPINOZA, ARNALDO MECH-TRONICS, LLP 02/07/18 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 716 18WC 04595 LEOS, ELEAZAR DESLAURIERS, INC 12/14/17 JOHN C SERKLAND INMAN & FITZGIBBONS 717 18WC 04615 MARTINEZ, JOVANY GOLD STANDARD BAKING 01/27/18 JOHN S. ELIASIK HENNESSY & ROACH PC 718 18WC 04621 TOLSON, WILLIAM ABF FREIGHT 02/02/18 LEONARD LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 719 18WC 04646 KIRSCHBAUM, CARL YRC WORLDWIDE 01/01/18 KROL BONGIORNO & GIVEN LTD 720 18WC 04686 GANZ, PAUL NOVOTNY ENGINEERING 04/07/17 JASINSKI, GEORGE J 721 18WC 04713 RUBIO, MIGUEL UNITECH INDUSTRIES INC 11/14/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 722 18WC 06513 MALDONADO, NELIDA CTA 05/07/17 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 723 18WC 07256 VAZQUEZ, MARIA C ABM INDUSTRIES INC-LOANIN 02/23/18 SALK, STEVEN B & ASSOC LTD 724 18WC 10289 GRAVES, TRACY UNITED CONTINENTAL HOLDIN 11/19/17 BRIAN J MC MANUS & ASSOC, 725 18WC 10544 GUAMAN, TRANSITO L TAYLOR FARMS 03/03/18 CHEPOV & SCOTT LLC RODDY LAW LTD 726 18WC 11359 PEREZ, RICK CITY OF CHICAGO 12/09/16 RUBIN LAW GROUP 727 18WC 11424 SIMS, FELICIA SCIENTIFIC GAMES 03/14/18 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 728 18WC 11439 CID, RICARDO THE CHEESECAKE FACTORY 03/29/18 SALK, STEVEN B & ASSOC LTD ASA LAW GROUP 729 18WC 11453 KORSO, DAN TRACE AMBULANCE, INC 01/07/18 DAVID W MARTAY LAWRENCE COZZI - LAW OFFICES 730 18WC 11482 CARROLL, TIMOTHY ABM INDUSTRIES, INC 05/11/17 THERMAN LAW OFFICES 731 18WC 11520 ABRAM, KHAWANA HYATT REGENCY MCCORMICK P 03/08/18 ANGELINI & ORI LLC 732 18WC 11544 KNIGHT, DENISE JOHN H STROGER JR 04/13/18 HUGHES SOCOL PIERS RESNICK STATES ATTORNEY OF COOK COUN 733 18WC 11563 CONNER, THELMA HOLISTIC COMMUNITY OUTREA 10/16/16 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 734 18WC 11577 ALI, FATIMA WALMART STORES INC 04/13/18 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 735 18WC 11596 PALKA, DANIEL VANTAGE OLEOCHEMICAL 04/04/18 LEONARD LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 736 18WC 11614 KASIER, MATT EVANSTON TOWNSHIP HIGH SC 10/23/14 DWORKIN AND MACIARIELLO 737 18WC 11632 CARRILLO, CINDY GABBY'S BAGELS, INC 04/09/18 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIAT0ES 738 18WC 11688 KENNY, MICHAEL CITY OF CHICAGO 03/29/18 CAPRON & AVGERINOS PC 739 18WC 11706 SANTOS, ELCI DOS OHARE AMERICAN AIRLINESE 01/08/17 COSTA IVONE LLC ROSARIO CIBELLA 740 18WC 11733 BEVILL, JAMES WESTMONT ENGINEERING CO 02/16/17 LEONARD LAW GROUP LLC LITCHFIELD CAVO 741 18WC 11795 MOLINA, JUAN CARLOS Q.A. HUMAN RESOURCE SERVI 11/18/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 742 18WC 11869 GONZALEZ, MATTHEW ABF FREIGHT SYSTEM, INC 04/09/18 RIDGE & DOWNES 743 18WC 11887 MENDOZA, OMAR MIKE ANDERSON CHEVROLET 03/31/18 KAT0Z FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 744 18WC 11921 CALIFF, PHYLLIS GIORDANO'S RESTAURANT 10/27/17 STEVEN J MALMAN & ASSOCIAT LAWRENCE COZZI - LAW OFFICE 745 18WC 11937 MOSS, RONALD JK MANUFACTURING 11/20/17 O'CONNOR & NAKOS JOSEPH MARCINIAK 746 18WC 11943 STARKS, DONAVAN JACLYNN, INC. DBA GILIO 06/15/17 ARNETT LAW GROUP 747 18WC 11964 GONZALEZ, FRANCISCO COOPER'S HAWK WINERY & RE 03/30/18 CHEPOV & SCOTT LLC GRANT & FANNING 748 18WC 12016 WRICE, MARILYN THE DANA HOTEL AND SPA 02/01/18 DWORKIN AND MACIARIELLO 749 18WC 12040 STEWART, JOSEPH METROPOLITAN WATER 01/04/18 BARRETT & SRAMEK 750 18WC 12073 SCHULTE, RAY PANERA, LLC 03/27/18 DEER & STONE PC 751 18WC 12094 KELLY, BRYSON ARENA FOOTBALL ONE LLC 04/09/16 GORDON LAW OFFICES LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 752 18WC 12110 WILSON, CHARLES L BUILDING SVCS OF AMERICA 01/16/18 DAMISCH & DAMISCH LTD 753 18WC 12116 SELIMAGIC, BAHRA NORTHWESTERN MEMORIAL HOS 05/13/15 TAMVAKIS, GEORGE L 754 18WC 12136 LIVINGSTON, BYRON PEPSI 01/18/18 DWORKIN AND MACIARIELLO ROBERT L. SMITH 18WC012923 -C 755 18WC 12185 DELATORRE, GERARDO LARRY'S CARTAGE COMPANY I 03/28/18 BLUMENSHINE LAW GROUP 756 18WC 12214 O'BRIEN, RAMOND PREMIER SECURITY 04/03/18 SALVAT0O & O'TOOLE 757 18WC 12232 ARROYO-GONZALEZ, GUSTAVO UNIVERSAL SCRAP METAL, IN 01/08/18 RUEDA, IVAN A KEEFE CAMPBELL & ASSOC LLC 758 18WC 12248 BRAYLOCK, TAMELA SOUTHLOOP SKILLED NURSING 10/22/17 ANKIN LAW OFFICE 759 18WC 12268 JAMIMES, BENITO ANTUNEZ FCL GRAPHICS 03/20/18 COSTA IVONE LLC INMAN & FITZGIBBONS 760 18WC 12299 ROSEN, LAWRENCE TGM ASSOCIATES LP 12/07/15 LAWRENCE COZZI - LAW OFFICES 761 18WC 12313 CAMACHO, MERCEDES WOODWARD 05/04/17 MANUAL CARDENAS & ASSOC HINSHAW & CULBERTSON 762 18WC 12371 POPLAWSKI, ANDRZEJ S MATERIAL SCIENCES CORPORA 07/21/17 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 763 18WC 12405 HARLOW, JOHNATHAN VILLAGE OF GLENCOE 07/15/16 DUDLEY & LAKE LLC 764 18WC 12411 SOTO, MARIA I JF SCHROEDER CO 01/31/18 COSTA IVONE LLC QUINTAIROS PRIETO WOOD & BOY 765 18WC 12431 FOERSTER, ALVIN S UPS GROUND FREIGHT 04/12/18 SOSTRIN AND SOSTRIN PC ASA LAW GROUP 766 18WC 12471 WRIGHT, LORIE SOUTHWEST AIRLINES CO 08/15/17 SAM CUBA LAW OFFICE 767 18WC 12533 ROSADO, ANTHONY OROPEZA SUBURBAN LANDSCAPING 04/05/18 MILLON & PESKIN LTD 768 18WC 12560 ALCANTAR, DALIA COOK COUNTY HEALTH 04/05/18 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 769 18WC 12600 BROWN, PATRICE MERCY CIRCLE 02/08/18 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 770 18WC 12639 FLORNOY, TANTALAYA BRYNN MAWR CARE 04/04/18 WARREN W MARK 771 18WC 12678 AGUILAR, MARK CENTRAL TRANSPORT 03/06/18 ROMANEK & ROMANEK HINSHAW & CULBERTSON 772 18WC 12705 TOEPPER, JON PLEASANTVIEW FIRE PROTECT 07/17/17 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 773 18WC 12732 WHITMORE, JENNIFER MAXIM HEALTHCARE SVCS, IN 06/26/17 RITTENBERG & BUFFEN RUSIN & MACIOROWSKI LTD 774 18WC 12757 JOHNSON, FELICIA CITY OF CHICAGO 07/27/16 FOHRMAN, DONALD W & ASSOCS 775 18WC 12836 WARD, DEMOND RON'S STAFFING 04/19/18 DAVID W MARTAY KOREY RICHARDSON LLC 776 18WC 12924 DONALD, ELIZABETH YMCA 04/16/18 DWORKIN AND MACIARIELLO FRANCESCA LARSEN 777 18WC 12966 COOPER, DONNA CTA 04/24/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 778 18WC 12974 JOHNSON, FRED YELLOW TAXI 01/12/18 CORNFIELD & FELDMAN 779 18WC 12997 JENKINS, LACHELLE CTA 04/18/18 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 780 18WC 13013 HEINRICH, TIMOTHY COMCAST HUMAN RESOURCE 01/10/18 PETER D CORTI LAW GROUP POWER & CRONIN LTD 781 18WC 13028 KELLER, GUY DAVID UNITED AIRLINES 08/06/17 TAXMAN POLLOCK 782 18WC 13046 MORONES, JORGE RG CONSTRUCTION 03/12/18 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 783 18WC 13081 MARTINEZ, KATHERINE SURESTAFF, INC. 04/26/18 STEVEN J TENZER, LTD LOUIS MUNDY 784 18WC 13113 EMMANUEL, MICHAEL YELLOW CAB CO 04/14/18 POMPER & GOODMAN 785 18WC 13146 ALVAREZ, CLAUDIA ST JAMES HOSPITAL - 03/14/18 SAUNDERS CONDON & KENNY 786 18WC 13191 MORENO, NORMA CROWN PLAZA CHICAGO 02/18/18 ANGELINI & ORI LLC 787 18WC 13210 LOPEZ, LOURDES WHOLE FOODS MARKET 02/06/18 BRISKMAN BRISKMAN GREENBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 788 18WC 13259 KONG, TRACY PANDA EXPRESS 01/30/18 EFTEKHARI LAW OFFICES 789 18WC 13312 WACHHOLDER, MONICA PERFORMING ARTS AT METROP 09/29/16 LANNON LANNON & BARR LTD MEACHUM & STARCK 790 18WC 13370 SCHOENECKER, DAVID BURR OAK AUTO AND THE TOW W 04/03/18 HUGHES SOCOL PIERS RESNICK 791 18WC 13389 BOLDEN, EMMANUEL FORD MOTOR COMPANY 04/25/18 FOHRMAN, DONALD W & ASSOCS 792 18WC 13420 WILLIAMS, ANTONIO FREEMAN SEATING CO 04/25/18 ANKIN LAW OFFICE HEYL ROYSTER VOELKER ALLEN 793 18WC 13513 STERGEON, MISTER TARGET 03/09/18 MARC J SHUMAN & ASSOCIATES 794 18WC 13535 LOPEZ, HECTOR JB HUNT 01/17/18 VASILATOS & COTTER LLC 795 18WC 13557 LESNIAK, WILLIAM J VILLAGE OF BEDFORD PARK 12/06/17 TIMOTHY DEFFET RUSIN & MACIOROWSKI LTD 796 18WC 13617 SUMMERISE, ANNISSA SAGE HOSPITALITY 04/23/18 KREITER, BYCK & ASSOC LLP 797 18WC 13649 WHITE-MATTHEWS, KIMBERLY UNITED AIRLINES, INC 07/27/17 BRIAN J MC MANUS & ASSOC, 798 18WC 13684 SANCHEZ, OMAR TRANSFER LOGISTICS LLC 01/31/18 VRDOLYAK LAW GROUP LLC 799 18WC 13744 GONZALEZ, MARTHA UNITED CONTINENTL HOLDING 03/25/18 KATZ FRIEDMAN EAGLE ET AL 800 18WC 13769 FOLA, MAURICE CHICAGO PUBLIC SCHOOLS 02/23/18 KARCHMAR & STONE 801 18WC 13786 LANDEROS, NATALIO SEALMASTER 03/13/17 VRDOLYAK LAW GROUP LLC 802 18WC 13835 ELLIS, LUCRECIA CHICAGO ADA PARATRANSIT 04/18/18 COSTA IVONE LLC 803 18WC 13857 LIUZZA, KATHLEEN NORTHBROOK PARK DISTRICT 04/19/18 SCOTT B SHAPIRO HENNESSY & ROACH PC 804 18WC 13885 CASTILLO, ERASMO INSITUFORM TECHNOLOGIES I 01/15/16 ROSS TYRRELL 805 18WC 13927 GARCIA, BENITO AVERUS INC 04/12/18 MARKS INJURY LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 806 18WC 13983 MACON, TANYA SEARS HOLDING CORPORATION 03/23/18 DAVID W MARTAY 807 18WC 14006 MUFARREH, KELLY AUTOZONE 11/17/17 BRISKMAN BRISKMAN GREENBER 808 18WC 14063 HERNANDEZ, JAIME WALGREENS 09/20/17 COPLAN & CRANE, LTD 809 18WC 14107 ARELLANO, RAMON CITY OF CHICAGO 04/25/18 ARGIONIS & ASSOCIATES LLC 810 18WC 14133 CALDERON, FERNANDO BURGER KING 04/17/18 DWORKIN AND MACIARIELLO 811 18WC 14170 ALFARO, JOSE DELGAO O ILTACO FOOD 05/08/18 COSTA IVONE LLC CAPUANI, FRANK S 812 18WC 14188 BROWN, ARTENESE ARROW PLASTICS 05/07/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 813 18WC 14208 VILLAGOMEZ, MOISES PURE VOLTAGE INC # 09/16/17 BAUM RUFFOLO & MARZAL LTD 814 18WC 14222 MARILLO, MITCHELL SAINT ANTHONY HOSPITAL 11/13/17 GOLDBERG WEISMAN & CAIRO L KLAUKE LAW GROUP LLC 815 18WC 14224 MOHAMMED, YIMAM YUSUF CTA 05/01/18 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 816 18WC 14294 MARTINEZ, ISABEL DABDOOB CLEANING SERVICES 04/29/18 STANCZAK LAW OFFICES 817 18WC 14380 SALAS, ELPIDIO ELITE STAFFING, INC 05/02/18 ANKIN LAW OFFICE 818 18WC 14420 MALEK, PETER MR DAVIDS FLOORING 05/04/17 GREGORIO & MARCO 819 18WC 14447 KILROY, JEFFREY WHEELING TRANSPORTATION I 04/20/18 SANDMAN LEVY & PETRICH JAMES M KELLY 820 18WC 14513 WESTBROOK, CHERYL NSSRA (NORTH SUBURBAN 04/09/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 821 18WC 14536 GREEN, VERDELL FIRST TRANSIT 01/30/17 STEVEN J MALMAN & ASSOCIAT 822 18WC 14559 JARECKI, BRIAN MELROSE PARK POLICE DEPT 05/08/18 HUGHES SOCOL PIERS RESNICK DEL GALDO LAW GROUP LLP 823 18WC 14572 JACKSON, ALINA SWISSOTEL CHICAGO 10/20/17 STROM, NEAL B HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 824 18WC 14587 FREEMAN, CHARIDAN COVENANT HEALTHCARE SERVI 05/03/18 BRISKMAN BRISKMAN GREENBER 825 18WC 14607 ENGELMAN, GREG U.S. WATERPROOFING 02/23/18 SCOTT B SHAPIRO ACCIDENT FUND HOLDINGS 826 18WC 14661 REHAMTULLAH, KAMRUDIN ARFI, INC 03/07/18 FISHER & LAMONICA 827 18WC 14684 GARCIA, MARICELA EAGLE EXPRESS LINES 09/08/17 BURNETT & CARON, LTD 828 18WC 14713 MCGREGOR, MARIAN UNITED CONTINENTAL HOLDIN 02/16/18 BRIAN J MC MANUS & ASSOC, 829 18WC 14735 HUGHES, ANITA LUDEMAN CENTER 05/14/18 VASILATOS & COTTER LLC 830 18WC 14753 ORENUGA, ROTINCI HUMIDITY HACKING 03/07/18 RYAN ROSENTHAL 831 18WC 14770 ANDERSON, JAMES COOK COUNTY SHERIFF DEPT 05/08/18 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 832 18WC 14798 KREIS, LAURA WALGREENS PHARMACY 09/19/17 THE FITZ LAW GROUP 833 18WC 14864 BOR, BRYAN R LIMELIGHT CATERING 10/04/17 MICHAEL G. MILLER 834 18WC 14918 IVETICH, GORDON M FORD MOTOR COMPANY 12/15/16 O'CONNOR & NAKOS 835 18WC 14929 WEBB, ZONDRUS V NTB - NATIONAL TIRE & BAT 05/03/18 VITELL & SPITZ LTD 836 18WC 14954 RAMIREZ, XIOMARA TOTAL STAFFING SOLUTIONS 01/11/18 COSTA IVONE LLC KNELL & O'CONNOR 837 18WC 15029 STALLWORTH, DIAMOND ODYSSEY COUNTRY CLUB 05/04/18 STEVEN J MALMAN & ASSOCIAT 838 18WC 15663 BANKS, PETRO LTI SERVICES LLC * 05/16/18 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 839 18WC 16642 CANNATA, ANDREA CYSTIC FIBROSIS FOUNDATIO 03/26/18 SLAVIN & SLAVIN 840 18WC 17043 TURNER, LAWRENCE DR. PEPPERS SNAPPLE GROUP 05/23/18 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 841 18WC 17384 GODINEZ, JUAN SCHNEIDER NATIONAL CARRIE * 03/29/18 DWYER & COOGAN POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 842 18WC 17870 POWELL, KEVIN INSULECTRO * 02/14/18 ROMANUCCI & BLANDIN 843 18WC 19368 PINAS, MARY UNITED AIRLINES * 05/13/18 ANGELINI & ORI LLC 844 18WC 21224 REYES, MARIA A YOLK RESTAURANT * 06/23/18 PETER LEKAS 845 18WC 21259 O'MALLEY, ROBERT A SEGERDAHL GRAPHICS-SG360 * 04/05/18 KROL BONGIORNO & GIVEN LTD 846 18WC 21277 CZARNECKI, DANIEL J NORTH SHORE TOWING, INC * 02/05/18 ATSAVES, LOUIS G LTD 847 18WC 21297 GAMBLE, NICOLE R SYMPHONY SOUTH SHORE LLC * 06/24/18 ANKIN LAW OFFICE MCCABE KIRSHNER PC 848 18WC 21326 GOULD, KAREN UNITED CONTINENTAL HOLDIN * 12/10/17 BRIAN J MC MANUS & ASSOC, 849 18WC 21410 ARROYO, JUAN NORTH PULASKI FRESH MARKE * 06/23/18 DEPAOLO & ZADEIKIS 850 18WC 21419 JENKINS, ADOLPHUS L3 HOSPITALITY GROUP, LLC * 06/23/18 PETER LIMPERIS 851 18WC 21441 CAMPBELL, THOMAS J CTA * 04/14/18 RUBIN LAW GROUP CHICAGO TRANSIT AUTHORITY 852 18WC 21489 ZAGORSKI, WESLEY RM TRUCKING * 05/31/18 VRDOLYAK LAW GROUP LLC 853 18WC 21493 LOGAN, IRENE J FIRST TRANSIT INC * 07/18/18 FRIEDMAN & SOLMOR LTD 854 18WC 21516 JOHNSON, JOHNEAK FREEDMAN SEATING COMPANY * 06/14/18 DWORKIN AND MACIARIELLO 855 18WC 21533 CERONE, CAROL CASEY'S MARKET * 04/01/18 TIMOTHY HENDERSON GANAN & SHAPIRO 856 18WC 21545 WALKER, RAGKEHA AUTO WAREHOUSING COMPANY * 07/19/18 DWORKIN AND MACIARIELLO MEACHUM & STARCK 857 18WC 21570 HERRON, DAWN LUDEMAN DEVELOPMENTAL CTR @ * 06/27/18 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 858 18WC 21619 KASTERNAKIS, LUCY CONSOLIDATED HS DIST NO. * 02/06/18 URBAN & BURT LTD 859 18WC 21663 SPECHA, SILVANA COSTCO * 04/17/17 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 860 18WC 21707 WHITE, JAMES THE SYNERGY COMPANIES DBA * 07/07/18 COSTA IVONE LLC 861 18WC 21758 GOLABEK, MICHAEL CHICAGO PUBLIC SCHOOLS * 12/22/17 RUBENS KRESS MULHOLLAND 862 18WC 21772 GONZALEZ, ROGELIO DUTCH FARMS * 03/13/18 COSTA IVONE LLC 863 18WC 21793 WOODARD, ALEXIS SCHOOL DISTRICT 54 * 05/04/18 JAMES ELLIS GUMBINER & ASS 864 18WC 21817 ROTOLO, ZOILA SUNRISE SENIOR LIVING * 03/14/18 MICHAEL G. MILLER 865 18WC 21872 MARTINEZ, ANTHONY PRESENCE ST MARY'S HOSPIT * 12/20/15 HORWITZ HORWITZ & ASSOC 866 18WC 21898 AU APROZE, SYED M YAAH CAB CO * 05/14/18 HUNER LAW OFFICES LLC 867 18WC 21936 SOMEN, MARK BARCELONA APARTASSOCIATIO * 04/27/17 GOLDSTEIN BENDER & ROMANOF 868 18WC 21958 POLLMAN, JAMES P UNITED AIRLINESINC * 03/05/18 ANKIN LAW OFFICE 869 18WC 21979 RIOS, SUSANA URBAN OASIS * 06/09/18 CULLEN HASKINS NICHOLSON 870 18WC 22007 LEWIS-BUNCH, RITA ADVOCATE TRINITY HOSPITAL * 01/11/18 DWORKIN AND MACIARIELLO 871 18WC 22048 PEREZ, EZEQUIEL MEDEL BAKER DEVELOPMENT CORP * 05/23/18 ACEVES & PEREZ PC 872 18WC 22077 LOPEZ, JOSEPHINE WALMART SUPERCENTER * 05/30/18 KATZ FRIEDMAN EAGLE ET AL 873 18WC 22102 SILVESTRI, GARY SERVICE KING COLLISION * 04/05/18 LEONARD LAW GROUP LLC MEACHUM & STARCK 874 18WC 22122 KROCIN, ANN GEICO * 07/19/16 THERMAN LAW OFFICES 875 18WC 22140 RAHBAR, NINA NORDSTROM * 11/13/15 SCOTT B SHAPIRO 876 18WC 22165 VELASCO, SILVIA CARL BUDDIG & CO * 07/13/18 ANKIN LAW OFFICE KNELL O'CONNOR DANIELWICZ 877 18WC 22185 KOEPKE, TERRENCE L PLANET TOYOTA * 11/15/17 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 878 18WC 22208 KEMPF, KEVIN BROWN PAPER GOODS * 06/29/18 ANGELINI & ORI LLC 879 18WC 22221 HOGAN, JAMES P CENTRAL LIFT MAINTENACE G * 07/18/18 ANESI OZMON RODIN NOVAK KO 880 18WC 22251 FIGUEROA, LUZ U46 SCHOOL DISTRICT * 05/09/18 CUDA LAW OFFICES 881 18WC 22289 HAGGERTY, BRIAN JB HUNT * 07/03/18 LEONARD LAW GROUP LLC 882 18WC 22292 HERNANDEZ, HECTOR A BIGANE PAVING COMPANY * 07/16/18 ROSS TYRRELL 883 18WC 22352 KENDALL, MARTIN A UNITED AIRLINES INC * 04/09/18 ANKIN LAW OFFICE 884 18WC 22372 WILLIAMS, CHANTE WALGREENS * 07/23/18 DWORKIN AND MACIARIELLO 885 18WC 22375 TOLLIVER, CHARITY HOWARD BROWN HOSPITAL * 07/12/18 DWORKIN AND MACIARIELLO 886 18WC 22415 LOPEZ, LAURA ADVOCATE MEDICAL GROUP * 06/12/17 CAPRON & AVGERINOS PC 887 18WC 22458 SINGLETON, KEISHA ENTERPRISE RENT A CAR * 06/17/18 VITELL & SPITZ LTD 888 18WC 22482 LINDBERG, DAVID CHICAGOLAND BEVERAGE CO, * 02/05/18 HOLECEK & ASSOCIATES 889 18WC 22509 DECICCO, LISA UNITED AIRLINES * 06/26/18 ELFENBAUM EVERS & AMARILIO WIEDNER & MCAULIFFE LTD 890 18WC 22526 HERNANDEZ, ANGEL L RECONSERVE * 07/20/18 SMOLER LAW OFFICE, PC JOSEPH MARCINIAK 891 18WC 22546 SALAS, ELEAZAR RECONSERVE * 05/29/16 CORNFIELD & FELDMAN 892 18WC 22573 IJAOBL, LAWAL PROGRESS RAIL-ELECTRO-MOT * 02/19/18 KATZ FRIEDMAN EAGLE ET AL GOLDBERG SEGALLA LLC 893 18WC 22583 BUCIO, ELEASER VIENNA BEEF * 04/12/16 COVEN LAW GROUP 894 18WC 22614 ARAIZA, MICHELLE HERITAGE WINE CELLARS. LT * 06/05/16 GRAUER & KRIEGEL LLC GANAN & SHAPIRO 895 18WC 22655 MATTEI, JAVIER FLEXAN LLC * 11/14/17 HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 896 18WC 22700 EDWARDS, L'MEKKA COOK COUNTY SHERIFF'S POL * 03/07/18 RITTENBERG BUFFEN 897 18WC 22729 BARAK, JENNIFER ANN AFFINITY INC * 07/24/18 MC HARGUE & JONES 898 18WC 22768 ARELLANO, MAXIMILIANO CLEATS MANUFACTURING * 07/23/18 THOMAS LAW 899 18WC 22810 SALGASO, LUIS E FRY'S ELECTRONICS, INC * 05/05/18 NILSON STOOKAL GLEASON CAP 900 18WC 22837 MCGOWAN, JACINTA AMADO UNITED CONTINENTAL HOLDIN * 07/28/18 KATZ FRIEDMAN EAGLE ET AL 901 18WC 22916 WHITEHEAD, VALARIE MCSI, INC * 12/04/17 CHRISTIAN & MANNO 902 18WC 22945 RIVERA, JOHANNA ILLINOIS STATE POLICE @ * 06/22/16 COLLISON LAW OFFICES 903 18WC 22957 FUENTES, BRIAN GRANDAV BODY SHOP * 06/26/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 904 18WC 22981 COOK-HILL, CORY E LYFT * 07/28/18 DWORKIN AND MACIARIELLO 905 18WC 22997 SMITH, LATASHA J ENVISION UNLIMITED * 06/20/18 WARREN W MARK 906 18WC 23019 BRADLEY, LARRY VILLAGE OF DOLTON * 06/05/18 MAURICE E DUSKY PC 907 18WC 23040 MCDONALD, CURTIS PULLMAN SUGAR * 02/08/18 SMOLER LAW OFFICE, PC 908 18WC 23056 ZAVALA, MARIA DLH SOLUTIONS * 08/16/17 EDWIN REYES LAW FIRM 909 18WC 23088 DERIUS, MOHAMED ENTERPRISE RENT A CAR * 10/19/17 CULLEN HASKINS NICHOLSON KNELL O'CONNOR DANIELWICZ 910 18WC 23174 GLOTZ, MICHAEL RAIMONDE DRILLING CORP. * 03/23/17 KROL BONGIORNO & GIVEN LTD BRADY, CONNOLLY & MASUDA, PC 911 18WC 23193 ANACLETO, TERESA LOEW'S HOTEL * 04/28/16 STORTO FINN & ROSINSKI 912 18WC 23237 CALVACH (GUZMAN), ADRIANA MILES NORTH, LLC D/B/A * 04/19/18 O'CONNOR & NAKOS 913 18WC 23286 UNZUETA, FLORENTINA TOTAL MAINTENANCE CLEANIN * 06/22/18 GOLDSTEIN BENDER & ROMANOF ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 914 18WC 23313 CHURCHWELL, PATRICK TRIAD ASSOCIATES, INC * 07/14/18 KURASCH & KLEIN, LTD 915 18WC 23319 CALLAHAN, MICHAEL AIRGAS * 04/17/18 LEONARD LAW GROUP LLC 916 18WC 23340 GUTIERREZ, JAIME ALPHA OMEGA PLASTICS CO * 07/25/18 DWORKIN AND MACIARIELLO 917 18WC 23368 BEHOF, JERRY AFFORDABLE MOVING CO * 09/26/17 SEIDMAN MARGULIS & FAIRMAN 918 18WC 23410 MCDONAGH, ANTHONY CITY OF CHICAGO * 04/23/18 PARENTE & NOREM PC 919 18WC 23442 COLEMAN, NICKITTA GAREDA, LLC * 07/24/18 ANKIN LAW OFFICE 920 18WC 23463 ADAMS, SABRINA AMERICAN AIRLINESINC * 05/06/18 PETER D CORTI LAW GROUP 921 18WC 23477 GALIARDO, ROBERT P AVI SYSTEMS * 07/25/18 THERMAN LAW OFFICES 922 18WC 23511 MACIAS, ANA TOOTSIE ROLLS * 07/17/18 COSTA IVONE LLC 923 18WC 23526 SPANO, JOHN ABF FREIGHT * 06/21/18 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 924 18WC 23547 CAMPBELL, RENITA CTA * 08/03/18 WILLIAM B MEYERS, LTD 925 18WC 23590 SQUALLS, WASHITA CHICAGO TRANSIT AUTHORITY * 08/05/18 ARGIONIS & ASSOCIATES LLC 926 18WC 23617 HANSEN, CARIDAD WESTLAKE HOSPITAL * 03/16/18 CARONE LAW OFFICES 927 18WC 23635 JACOX, LINDA SMITH VILLAGE * 07/11/18 HORWITZ HORWITZ & ASSOC 928 18WC 23668 LANE-O'CONNOR, SHARON UNITED AIRLINES, INC * 06/26/18 BRIAN J MC MANUS & ASSOC, 929 18WC 23717 STERN, EDWARD L SERVICE KING COLLISION * 07/25/18 CULLEN HASKINS NICHOLSON 930 18WC 23750 FIGUEROA, MIRNA KOCK FOODS * 07/27/18 PETER LEKAS 931 18WC 23794 MC NICHOLS, MICHAEL BERKOT'S SUPER FOODS * 08/01/18 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 932 18WC 23812 ANDERSON, SIMONE S ALDEN LINCOLN PARK * 05/20/18 VITELL & SPITZ LTD 933 18WC 23846 APARICIO, FAUSTINA DRIFTWOOD HOSPITALITY * 11/15/17 RUEDA, IVAN A 934 18WC 23864 DUGAN, COREY VILLAGE OF ARLINGTON HEIG * 10/21/16 COLLISON LAW OFFICES MACIOROWSKI SACKMANN & ULRIC 935 18WC 23884 AGUILAR, ELIZABETH TRIVEDI HOSP LLC * 06/20/18 GRAUER & KRIEGEL LLC 936 18WC 23898 SALAS, GUADALUPE DAVANTE ENOTECA 12/18/17 HERRERA LAW CENTER 937 18WC 23938 KUEHNE, MARGARET UNITED CONTINENTAL HLDNGS * 07/28/18 KATZ FRIEDMAN EAGLE ET AL 938 18WC 23958 CLAY, DIANE HEKTOEN INSTITUTE, LLC * 10/13/17 MC HARGUE & JONES 939 18WC 23993 TEMPLE, MARC HICKEY ELECTRICAL CONTRAC * 06/20/18 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 940 18WC 24051 WILKES, HELEN MAYFIELD TRANSFER CO, INC * 05/31/18 GREGORIO & MARCO 941 18WC 24068 PIWOWARSKI, ALICE COMPASSIONATE HOME CARE, * 08/17/17 KARCHMAR & STONE 942 18WC 24076 BROWN, LAKASHA NEW ALBRETSONS LP * 05/11/18 ANKIN LAW OFFICE 943 18WC 24093 MOORE-ASHTON, MICHELLE A CITY OF CHICAGO DEPARTMEN * 06/08/18 COHN LAMBERT RYAN & SCHNEI 944 18WC 24108 BUTLER, BRITTCEL TUTTLE MANUFACTURING COMP * 07/12/18 STEVEN B SALK & ASSOC LTD 945 18WC 24138 ERVIN, TIFFANY L METRO STAFFING & COMPANY * 08/02/18 TIMOTHY HENDERSON 946 18WC 24157 LOGAN, NICHOLAS DAVID PENTASTAR AVIATION, LLC * 07/07/18 FREDRICK B BARDER, LTD 947 18WC 24178 TOJIN, GERARDO CITY OF CHICAGO * 04/17/17 HENNESSY & ROACH PC 948 18WC 24192 RAMOS, ANA AU CHEVAL * 07/18/18 COSTA IVONE LLC 949 18WC 24212 DIRIE, NASIR JALILPOUR INC. * 08/02/18 FISHER & LAMONICA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 950 18WC 24234 ANDERSON, SHAVONNE AUTO ZONE * 08/02/18 DWORKIN AND MACIARIELLO 951 18WC 24307 TORRY, ASHLEY ALDI * 05/01/18 JOSEPH PIEROTTI 952 18WC 24322 ARRIETA, CHRISTIAN ELGIN TOYOTA/HONDA CITY * 02/24/18 HERRERA LAW CENTER 953 18WC 24355 BELTRAN, BRAYAN FEDEX * 07/16/18 WHITING LAW GROUP 954 18WC 24442 FERRER, ADOLPH GREYHOUND * 05/09/17 WOODRUFF JOHNSON 955 18WC 24487 KNIGHTS, CHRIS ROBERTS PARK FIRE PROTECT * 08/04/18 SAUNDERS CONDON & KENNY 956 18WC 24585 DYKES, ROMAN ALLIED METAL * 07/08/18 GERALD CONNOR 957 18WC 24602 DUNLAP, ERICA CDT * 07/24/18 DWORKIN AND MACIARIELLO 958 18WC 24619 GREEN, SHARON LEXINGTON HEALTH CARE CEN * 07/14/18 COSTA IVONE LLC 959 18WC 24630 HASAN, MUAMAR MY WAY CAB CO * 07/16/17 TEWS THEISEN & THEISEN 960 18WC 24666 ARECHIGA, ALVARO FAIRWAY CUSTOM LANDSCAPIN * 11/20/15 COVEN LAW GROUP 961 18WC 24703 ESPARZA, RAQUEL DEPAUL UNIVERSITY * 06/19/18 JOHN S. ELIASIK 962 18WC 24728 LOCKHART, GENO UNITED AIRLINES * 08/15/18 FRIEDMAN & SOLMOR LTD 963 18WC 24744 ORTEGA, REFUGIO UNICORD COMPANIES * 02/10/18 COSTA IVONE LLC 964 18WC 24758 WILLIAMS, KENWAY ROYAL INDUSTRIES * 01/24/17 LEONARD LAW GROUP LLC 965 18WC 24777 THOMAS, MICHAEL CBOE * 07/30/18 LEO ALT 966 18WC 24805 SIMACK, KATHRYN L LOYOLA UNIVERSITY * 10/11/16 RICHARD E ALEKSY 967 18WC 24829 NUNEZ, BERNARD PEPSI, CO * 06/21/18 GREGORIO & MARCO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 09/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 968 18WC 24860 HALLUMS, RASHAD C BEYOND GREEN PARTNERS INC * 07/25/18 ANKIN LAW OFFICE 969 18WC 24880 LEE, JOSHUA IRISH TONY INC. * 08/11/18 STEPHAN L. HOFFMAN 970 18WC 24905 REYES, VIRGEN EXPRESS EMPLYMNT PROFESSI * 08/14/18 DWORKIN AND MACIARIELLO 971 18WC 24933 MURPHY, REGINALD COOK COUNTY * 05/22/18 GOLDBERG WEISMAN & CAIRO L 972 18WC 24989 DURKIEWICZ, NICHOLAS TRADER JOE'S * 01/19/18 HEALY SCANLON LAW FIRM 973 18WC 25012 DEUTSCH, KRISTINE L MANHEIM REMARKETING INC * 06/04/18 GALLAGHER, DONALD V 974 18WC 25031 PETERS, JOSEPH NATIONAL HEAT & POWER COR * 01/25/18 ACCIDENT FUND HOLDINGS 975 18WC 25052 OLEJARZ, RYSZARD MR. B'S LAUNDROMAT & DRY * 06/19/18 RUBIN MACHADO ROSENBLUM 976 18WC 25103 AGUILAR, MANUEL ATOTONILCO TORTILLERIA IN * 08/06/18 COHN LAMBERT RYAN & SCHNEI 977 18WC 25104 ROMO, GEORGE WALSH CONSTRUCTION COMPAN * 09/15/15 COHN LAMBERT RYAN & SCHNEI 978 18WC 25132 EZELL, RODNEY CITY OF CHICAGO * 06/22/18 SALVATO O'TOOLE FROYLAN 979 18WC 25157 MCDOWELL, MAGALLY CPS/FARRAGUT HS * 06/04/18 SEIDMAN MARGULIS & FAIRMAN 980 18WC 25187 REYES RINCON, RONALD M HARVARD MAINTENANCE * 08/08/18 JONATHAN SCHLACK 981 18WC 25220 SCUDIERI, ANTHONY CTA * 08/16/18 LEONARD LAW GROUP LLC 982 18WC 25249 ROYAL, ADAM FORD MOTOR COMPANY * 08/10/18 DONALD FOHRMAN & ASSOC 983 18WC 25277 BROOKS, ROSALIND WALMART * 08/07/18 DWORKIN AND MACIARIELLO 984 18WC 25319 KOSCICA, SLOBODAN AAA FREIGHT INC * 05/16/17 WHITESIDE & GOLDBERG LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 … · 67 13wc 13963 hernandez-dionicio, jesus universal exports of illi w ... seq case nbr petitioner name respondent name