ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 99WC 40389 ROEDER, MARK STEVEN J SMEJA & UNKNOWN 02/20/99 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 2 03WC 54108 HINOJOSA, FRANCIS PROVENA ST. JOSEPH MED CT 05/23/02 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 03WC054393 -C 3 06WC 38570 LESSNER, PAM WILL COUNTY SHERIFF 05/15/06 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 07WC032346 -C 4 07WC 41483 FINNERY, SHERI L MIDWEST SUBURBAN 04/05/06 PETER F FERRACUTI & ASSOCI HOLECEK & ASSOCIATES 5 08WC 05596 KAIN, VIRGINIA PLAINFIELD SCHOOL DISTRIC 05/11/07 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 11WC003431 -C 6 09WC 07162 CHANDLER, DOREEN CATERPILLAR 09/08/08 SHANNON LAW GROUP GANAN & SHAPIRO 15WC013927 -C 16WC033985 -C 7 09WC 19360 RICHARDSON, JAMES TODD KS ENERGY SERVICES INC 04/08/09 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 8 09WC 25003 WALENGA, CAROL HONOR VILLAGE OF MOKENA 09/15/08 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 09WC025004 -C 09WC025005 -C 09WC030832 -C 13WC023004 -C 15WC014692 -C VILLAGE OF MOKENA 9 09WC 44788 HARTLEY, SANDY BERRYMAN TRANSFER 12/13/08 HORWITZ HORWITZ & ASSOC JAMES M KELLY 10 10WC 06458 19B WOODYARD, ROXANNE G RECYCLED PAPER GREETINGS 12/09/09 MATTHEW T. GUBBINS PC LAW OFFICES JOSEPH MARCINIAK 11 10WC 13366 EISON, LOVELLE COUNTY F WILL BUILDING 01/27/10 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 12 10WC 18985 LISTON, ROXANNE PROVENA ST JOSEPH MEDICAL 03/25/10 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 10WC 21433 MARTINEZ, JAIME SCARPELLI MATERIALS W 07/01/09 GOLDSTEIN BENDER & ROMANOF DANIELLE CURTISS 14 10WC 35282 19B COGLIANESE, WILLIAM LOUIS AMS 07/20/09 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES JOSEPH MARCINIAK 11WC048918 -C ASPHALT MAINTENACE SYSTEMS 15 10WC 36150 ANDERSON, CHERYL RONIN RISK INTERNATIONAL @ W 01/30/09 LAW OFFICE OF BART MARKESE 16 10WC 43197 OVER BISPHOP, ANNMARIE MEIJER STORES 05/04/10 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 17 11WC 02328 HUTTON, ARTHUR CARQUEST DISTRIBUTION CEN 09/11/10 THOMAS R LICHTEN COZZI & GOGGIN-WARD 11WC002329 -C 18 11WC 17159 SMITH, JIMMY ASPLUNDH TREE EXPERT CO 02/24/11 PORRO NIERMANN LAW GROUP KNELL & O'CONNOR 14WC002487 -C 17WC007611 -C 19 11WC 26784 CRUZ, ROSALINDA JOLIET SCHOOL DISTRICT 86 06/06/11 CORTINA MUELLER & FROBISH ROSARIO CIBELLA 14WC043697 -C 20 11WC 26877 WOZNICZKA, TADEUSZ RV BUILDERS CORP 06/17/11 JAMES M RIDGE LAW OFFICE HENNESSY & ROACH PC 21 11WC 29383 BALCERZAK, LIDIA GARY GALASSI STONE & STEE 09/04/08 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 22 11WC 30691 KNOX, JOYCE L STATE OF ILLINOIS @ 06/30/11 TONY L. BRASEL DANIEL SULLIVAN 23 11WC 32945 FRIIS, CRAIG M LEWIS BROTHERS BAKERIES I 06/28/11 RICHARD O. GREENFIELD POWER & CRONIN LTD 24 11WC 44525 19B SMITH, TEQUILA SCHNEIDER LOGISTICS 05/10/11 LUIS J MAGANA ASA LAW GROUP 25 11WC 45680 COLEMAN, MICHELLE KELLEY SERVICES 10/14/11 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 26 11WC 46566 PTACEK, ALECIA ILLINOIS CENTRAL BUS COMP 11/01/11 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 27 12WC 02474 ROOF, JAMES C ARL, INC 12/27/10 BLOCK, KLUKAS & MANZELLA P CHILTON YAMBERT PORTER LLP 15WC023080 -C T&T FARMS, INC 15WC023081 -C T & T FARMS, INC 28 12WC 05559 BOND, ROBERT ASSOCIATED MATERIAL HANDL 08/25/10 CAPRON & AVGERINOS PC WOLF LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 29 12WC 14836 WHITAKER, GENEKA VILLAGE OF UNIVERSITY PAR 01/18/12 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 30 12WC 16350 LINZY, SHARON HARRAH'S CASINO-JOLIET 07/17/11 GOLDBERG WEISMAN & CAIRO L NOBLE & ASSOC 31 12WC 24991 SENFFNER, VICTOR G PLAINFIELD SCHOOL DISTRIC 09/13/10 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 12WC036731 -C 15WC042704 -C 17WC006241 -C 17WC012903 -C 17WC012904 -C 19WC013508 -C 19WC013509 -C 32 12WC 28914 HOSCHUTZ, TRACIE PROVENA ST JOSEPH MEDICAL 05/30/12 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 33 12WC 31419 RICHARDSON, DONNA JP MORGAN CHASE 11/26/11 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 34 12WC 35093 SHERIDAN, ALDONA D DAYMON WORLDWIDE INC 11/20/11 THOMAS R LICHTEN COZZI & GOGGIN-WARD 12WC035094 -C 12WC035095 -C 35 12WC 40130 SALDIERNA, GLORIA PRECISION FOODS INC 04/12/12 LEONARD LAW GROUP LLC 13WC019232 -C 36 12WC 43359 TARRANT, JOSEPH RUAN TRANSPORTATION 10/26/12 ELFENBAUM EVERS ZIELINSKA JAMES M KELLY 12WC043360 -C 37 12WC 44308 TORREZ, KIM MENARDS 08/17/10 STEVEN A CRIFASE, LTD CHILTON YAMBERT PORTER LLP 38 13WC 04955 WILLIAMS, ELIZABETH VILLAGE OF UNIVERSITY PAR 03/27/12 RUBIN LAW GROUP INMAN & FITZGIBBONS 39 13WC 08158 MILLSAP, SHARON SILVER CROSS HOSPITAL 02/24/12 PETER F FERRACUTI LAW OFFI RUSIN & MACIOROWSKI LTD 13WC022506 -C 40 13WC 08862 LENARD, JOHN A WILL COUNTY 02/27/13 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 18WC009287 -C 41 13WC 12500 TUCKER, KIMBERLY L MC DONALD'S RESTAURANTS 07/07/12 FABRIZIO, HANSON & PEYLA NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 42 13WC 15676 VRBA, RICHARD REPUBLIC WASTE SERVICES 11/25/11 DUDLEY & LAKE LLC GILDEA & COGHLAN 43 13WC 19663 SINKULAR, RAYMOND CHELLINO CRANE 05/14/13 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 44 13WC 22087 ESPINO, YOLANDA TRIUNE LOGISTICS 05/30/13 KENNETH B GORE, LTD KOREY COTTER HEATHER RICHARD 45 13WC 24834 BARKER, WILLIAM FIRST CHOICE LOGISTICS 12/08/12 SANDMAN LEVY & PETRICH RIPES NELSON BAGGOT KALOBRAT 46 13WC 27599 HARFF, MARK T.J. LAMBRECHT 07/17/13 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 47 13WC 32280 AESHLIMAN, TODD CAR CARE COLLISION CENTER 02/02/11 HORWITZ HORWITZ & ASSOC CAPUANI, FRANK S 13WC032281 -C 48 13WC 35121 KUSTWIN, MICHAEL STRETCH AND SON 09/09/13 CANDIANO LAW OFFICE BRADY CONNOLLY & MASUDA PC 49 13WC 38115 HERNANDEZ, RENALDO CORNERSTONE SERVICES, INC 09/22/13 MCNAMARA PHELAN MCSTEEN LL RUSIN & MACIOROWSKI LTD 50 13WC 40605 SMITH, TAMARA RIVER VALLEY JUVENILE 09/27/12 MICHAEL P MCCREADY & ASSOC HINSHAW & CULBERTSON 15WC030458 -C 51 13WC 41189 PANTALEON, JUAN JB HUNT TRANSPORT 01/25/13 THOMAS J STIBERTH LAW OFFI COZZI & GOGGIN-WARD 14WC018824 -C 14WC018825 -C 17WC011341 -C 52 14WC 08754 CANTU, JOSEPHINE BEST PRACTICES STAFFING 01/21/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 53 14WC 08758 BERLONGIERI, KELLY KATIE SMITH ENTERPRISES I 09/24/13 DAVID W MARTAY CHILTON YAMBERT PORTER LLP 54 14WC 09949 MITCHELL, CARL JOLIET PETROLEUM LLC 09/23/13 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 55 14WC 11161 CELACU, VASILE DUBNO EXPRESS 12/30/13 STROM, NEAL B QUINTAIROS PRIETO WOOD & BOY 56 14WC 14911 DRYER, NATALIE M VINCA SOLUTIONS LLC 06/05/13 DAVID W MARTAY COZZI & GOGGIN-WARD 57 14WC 17101 GRIFFIN, OSCAR DIRECT TV 03/13/14 SEIDMAN MARGULIS & FAIRMAN GRANT & FANNING 58 14WC 19401 SANCHEZ, PATRICIA M SUPERIOR HEALTH LINENS 05/09/14 LAW OFFICES MICHAEL HELLMA HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 59 14WC 20071 STROMBERG, VICTORIA SILVER CROSS HOSPITAL 02/07/14 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 60 14WC 27494 ESPARZA, ROSANA SUPERMAID CLEANING SERVIC 03/04/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 61 14WC 29561 MCKINNEY, ERIN JEWEL FOOD STORES 04/11/14 ROBERT WARSASKI BRADY CONNOLLY & MASUDA PC 62 14WC 30759 DOYLE, ANDY JR VILLAGE OF PLAINFIELD 02/04/14 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 14WC030760 -C 63 14WC 30828 CARBONEL, CEZAR PRESENCE ST JOSEPH MED. C 01/08/14 THE MACK LAW GROUP PC NYHAN BAMBRICK KINZIE & LOWR 14WC038947 -C 64 14WC 31653 19B MILLER, ELIZABETH OSWEGO SCHOOL DIST 308 05/07/14 WOODRUFF & JOHNSON ROSARIO CIBELLA 65 14WC 31879 RIPPINGER, DAVID COMCAST 02/03/14 KINNALLY FLAHERTY KRENTZ & POWER & CRONIN LTD 66 14WC 35466 SEGERBERG, RAY MEADE ELECTRIC CO INC 09/30/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 67 14WC 35654 MEDINA, MARTHA FTC SERVICES INC 09/12/14 JOHN S. ELIASIK ACCIDENT FUND HOLDINGS 68 14WC 36327 WICKS, STEPHANIE MIDWEST X-RAY INC 10/04/14 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 69 14WC 37870 BONNIVIER, EDWARD A & E SEPTIC 06/06/12 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 70 14WC 38015 CHAMNESS, RANDY NUCOR STEEL 03/25/13 FREDERICK & HAGLE LEAHY EISENBERG & FRAENKEL 14WC038016 -C 14WC038017 -C 71 14WC 38812 BROWN-BENNETT, ZAKIYYAH GENERAL MOTORS 08/06/14 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 72 14WC 41575 TRATHEN, LORRAINE PRONGER SMITH MEDICAL GRO 06/19/13 BLOCK, KLUKAS & MANZELLA P ROBERT L. SMITH 73 14WC 42999 OLLIE, KEVIN PINNACLE WORKFORCE LOGIST 12/12/14 STROM, NEAL B EVANS & DIXON 74 15WC 00789 SANGABRIEL, DIANA ELITE STAFFING 10/24/14 BAUM RUFFOLO & MARZAL LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 75 15WC 01310 19B LINDBERG, ANNE STATE OF ILLINOIS @ W 12/20/14 ELFENBAUM EVERS ZIELINSKA ASSISTANT ATTORNEY GENERAL 76 15WC 02197 KRUKOWSKI, JOZEF PRESENCE ST JOSEPH 04/30/14 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 16WC031116 -C 77 15WC 02300 PIERSON, LARRY CPI, LLC 01/28/14 PORRO NIERMANN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 78 15WC 04964 MACHART, BONNIE SILVER CROSS HOSPITAL 02/25/14 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 79 15WC 06858 SMITH, AUDREY CORNERSTONE SERVICES 04/30/14 FIGLIOLI, DAVID BRADY CONNOLLY & MASUDA PC 15WC006862 -C 80 15WC 08352 AMARAL, ALI HAIN CELESTIAL GROUP 04/23/14 BLOCK, KLUKAS & MANZELLA P GRANT & FANNING 81 15WC 10263 MANCERA, BRAULIO U.S. XPRESS, INC. 12/10/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 82 15WC 11274 HRAY, RICHARD K-LINE TRANSPORTATION, IN 02/05/15 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 83 15WC 13536 OZBOLT, ALLEN DR PEPPER SNAPPLE GROUP 04/23/14 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 84 15WC 13716 MOODY, BLOWERY SUNNY HILL NURSING HOME 12/24/14 MARC J SHUMAN & ASSOCIATES HINSHAW & CULBERTSON 85 15WC 15586 DANIEL, MARIA COOK ILLINOIS CORP 04/13/15 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 86 15WC 16521 BAFFIELD, SHERIAN Y. SILVER CROSS HOSPITAL 06/13/14 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 87 15WC 21466 HOPKINS, JAMES SAM'S CLUB 01/30/15 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 88 15WC 21680 FORT, PATRICIA PRESENCE ST JOSEPH MEDICA 04/22/15 NYHAN BAMBRICK KINZIE & LOWR 89 15WC 22326 19B HAEMKER, TINA EASTERN WILL COUNTY 05/10/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 90 15WC 22658 BUELL, LARRY TRANSYSTEMS INC 01/08/15 BRUGGEMAN HURST & ASSOC KRAKER FANNING & OLSEN 91 15WC 22694 REISCHE, TODD ASI CONSTRUCTOS, INC. 07/07/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 92 15WC 24150 PERRY, KEVEN SHAPIRO DEVELOPMENT 04/02/15 STEVEN A CRIFASE, LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 93 15WC 24509 LOPEZ, MARCELA METRO STAFF INC 01/22/15 CULLEN HASKINS NICHOLSON 94 15WC 27069 WATSON, MARIA E JEWEL-OSCO 08/05/15 LAW OFFICES BRIAN LASSEN QUINTAIROS PRIETO WOOD & BOY 95 15WC 28903 BURKMAN, ALLISON CITGO 03/17/15 WHITESIDE & GOLDBERG LTD 96 15WC 28925 DECKINGA, JENISE ADVOCATE HEALTH CARE 07/25/15 MCNAMARA PHELAN MCSTEEN LL NYHAN BAMBRICK KINZIE & LOWR 97 15WC 29895 APARICIO, NAIVI TRIUNE LOGISTICS LLC 08/26/15 COSTA IVONE LLC LITCHFIELD CAVO 98 15WC 30515 CORONA, VICTOR EM LUBE & TRUCK REPAIR LL 07/18/15 JONATHAN SCHLACK THOMAS & PORTELA 99 15WC 31892 MITCHELL, MARCUS CITY OF JOLIET 10/15/13 DANIEL J ADLER LAW OFFICE CITY OF JOLIET 100 15WC 32980 MOORE, DESHON ACCURATE PERSONNEL LLC 10/01/15 MARC J SHUMAN & ASSOCIATES MC ANDREWS & NORGLE LLC 101 15WC 34426 JOHNSON, BONNIE PRESENCE ST JOSEPH'S MED 08/30/15 LEITER LAW OFFICES BRADY CONNOLLY & MASUDA PC 102 15WC 34755 RODRIQUEZ, REYNALDO ELITE STAFFING, INC. 09/28/15 THE ROMAKER LAW FIRM ANTHONY ESPOSITO 15WC034756 -C 103 15WC 35041 FULLER, CHERISSE ST OF IL DEPT OF 02/17/15 DRAKE & COLLOPY PC COLIN KICKLIGHTER 104 15WC 36564 KOVAC, ROBERT JELINEK & SONS INC 04/08/15 BURNETT & CARON, LTD 105 15WC 36740 GARIBOLDI, MARK GANDER MOUNTIN 08/13/15 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 106 15WC 37297 FRAHM, ERIC KEY WEST METAL INDUSTRIES 09/11/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 17WC001443 -C 107 15WC 37662 LOEHMAN, PAULETTE LUTHERAN SOCIAL SVCS OF I 09/01/15 SALVATO & O'TOOLE 108 15WC 38563 19B GAITHER, JASON CASSENS TRANSPORT COMPANY 10/31/15 LAW OFFICES MICHAEL HELLMA KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 109 15WC 39231 TRACY, BETH VALLEYVIEW SCHOOL 04/27/15 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 110 15WC 41186 DEESPITIA, MARIA RICH PRODUCTS CORP. 10/14/15 MC HARGUE & JONES GILDEA & COGHLAN 16WC002489 -C 111 15WC 42178 SAJENKO, THEODORE S. BASS PRO SHOPS/TRACKER MA 07/16/15 BRYCE DOWNEY & LENKOV LLC 112 16WC 02427 KVIETKAUSKAS, ASHLEY THE CLEANING AUTHORITY 12/01/14 PATRICOSKI, MARK G INMAN & FITZGIBBONS 113 16WC 03089 CEBALLOS, LUIS CAP BARBELL INC 12/19/15 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ 114 16WC 03831 ROSENBOOM, DAVID CABERY FERTILIZER INC 08/24/15 CORBOY & DEMETRIO PC EVANS & DIXON, LLC 115 16WC 04300 KUBAN, MELANIE IL SECRETARY OF STATE @ 01/18/16 ANGELINI & ORI LLC COLIN KICKLIGHTER 116 16WC 04474 ADCOCK, THOMAS J T THORPE AND SONS 01/21/16 HORWITZ HORWITZ & ASSOC STONE & JOHNSON CHARTERED 117 16WC 04535 LARKE, MARGARET THIS & THAT GIFTS 01/20/16 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 118 16WC 04699 19B GABRIEL, MICHAEL POWER GENERATION SERVICES 11/14/15 STYKA & STYKA BRADY CONNOLLY & MASUDA PC 119 16WC 05256 JEN, ROBERT GUARDIAN RADON MITIGATION 08/13/15 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 120 16WC 05357 FREDERICK, DOUGLAS CITY OF JOLIET-FIRE DEPT 12/15/14 CORTINA & MUELLER ROSARIO CIBELLA 121 16WC 05424 MENDOZA, MANILO F. EL GUERO DE CREST HILL 02/01/16 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 122 16WC 05814 AMAN, BENJAMIN RANDSTAD NORTH AMERICA 12/30/15 DAVID W MARTAY SLAVIN & SLAVIN 123 16WC 05853 GARCIA, ABEL ESMARK STEEL 01/26/16 ELFENBAUM EVERS & AMARILIO COZZI & GOGGIN-WARD 124 16WC 07243 CARRENO, SAUL HENIFF TRANSPORTATION LLC 12/22/15 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 125 16WC 07292 LOPEZ, MARIA D SILLIKER SOLUTION CENTER 08/04/15 COSTA IVONE LLC GAROFALO SCHREIBER STORM GRA 126 16WC 07907 LANTZ, WILLIAM PRICE GREGORY SERVICES IN 08/05/15 HORWITZ HORWITZ & ASSOC 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 CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 127 16WC 07984 HUBBARTT, MERIDA PRESENCE ST JOSEPH MEDICA 09/14/15 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 128 16WC 08767 CRASE, CAROL SILVER CROSS HOSPITAL 11/11/15 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 16WC008769 -C 129 16WC 08770 HARIS, VICKI SILVER CROSS HOSPITAL 01/31/16 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 130 16WC 09079 EDWARDS, LOISE NRG ENERGY SERVICES LLC 03/09/16 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 131 16WC 09516 FEI, JOSEPH PLAINFIELD SCHOOL 11/22/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 132 16WC 09904 HOLWELL, ROBYN MOKENA ANIMAL CLINIC 05/19/15 BOWMAN & CORDAY LAW OFFICES JOSEPH MARCINIAK 133 16WC 10773 STALLING, MARILYN FED EX 11/19/15 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS DOLIN, PC 134 16WC 11061 VALERIO-GOMEZ, KAREN JANE UNISTAFF INC 02/22/16 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 135 16WC 11098 CALLOWAY, SANDRA IL DEPT OF CORRECTIONS @ 02/22/16 BARRY A KETTER COLIN KICKLIGHTER 136 16WC 11312 TANNER, ANTONIO THE REBEL COMPANIES 12/28/15 ANKIN LAW OFFICE THOMAS MAMER LLP 137 16WC 12198 BAKER, MICHELLE VALLEY VIEW SCHOOL 01/15/15 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 16WC012320 -C 138 16WC 13124 WIATER, ANN M. CRETE MONEE SCHOOL DISTRI 01/26/16 STROM, NEAL B POWER & CRONIN LTD 139 16WC 13467 QUIROZ, GRACIA VILUTIS & CO 02/26/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 140 16WC 14262 MATA, MARIA TERESA NFI INDUSTRIES 03/11/16 MICHAEL HELLMAN QUINN JOHNSTON HENDERSON ETA 141 16WC 14678 GASAWAY, TOMMY AL TABRONS QUALITY PLUMBI 03/14/16 SPIROS LAW PC LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 142 16WC 15085 CALCESE, DAVID KEHE FOOD DISTRIBUTORS IN 04/07/16 COSTA IVONE LLC POULOS & DIBENEDETTO LAW 143 16WC 15499 HINKLE, KENNETH M WASTE MANAGEMENT 06/10/14 RIDGE & DOWNES THOMAS J STIBERTH LAW OFFICE 273 16WC015498 -C 273 16WC015500 -C 16WC017751 -C 144 16WC 15567 VANOOTEGHEM, MARIAN FOREST PRESERVE DISTRICT 04/13/16 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 145 16WC 15916 SAWIN, DANIEL JOLIET JUNIOR COLLEGE 04/25/16 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 146 16WC 16351 PODRASKY, NANCY DISTRICT 308 OSWEGO 03/01/16 LUSAK AND COBB ROSARIO CIBELLA 147 16WC 16761 MC LAURIN, CHARLES ELITE STAFFING BOLINGBROO 05/24/16 EPSTEIN, JACK R LAW OFFICE 148 16WC 17041 CANCIALOSI, TERESA VILLAGE OF MONEE 11/21/15 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 19WC004143 -C 149 16WC 18297 OSTROWSKI, JOSEPH WASTE MANAGEMENT, INC 05/23/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 150 16WC 18449 HUMMER, WAYNE NEXEO SOLUTIONS, LLC. 05/06/16 MARK SCHAFFNER SPIEGEL & CAHILL, PC 151 16WC 18479 NOLDEN, LAVELL G-TECH 01/10/14 DANIEL PERIASWAMY 152 16WC 18520 CHAVEZ, GUADALUPE ASSOCIATED LOGISTICS INC 06/02/16 MC HARGUE & JONES COZZI & GOGGIN-WARD 153 16WC 18737 19B MEYERCHICK, KENNETH ARAMARK UNIFORM SERVICES 01/16/15 RUBIN LAW GROUP STONE & JOHNSON CHARTERED 154 16WC 19201 SMTIH, KEVIN STATE OF ILLINOIS @ 06/01/15 RUSSO & RUSSO LTD STEPHANIE KEVIL 155 16WC 19266 HERNANDEZ, ANGEL KENT PRECISION FOODS GRP, 06/14/16 HETHERINGTON KARPEL BOBBER MICHAEL BEST & FRIEDRICH LLC 156 16WC 19594 BARTH, JOHN STATE OF ILLINOISRTMENT O @ 04/27/16 GOLDBERG WEISMAN & CAIRO L COLIN KICKLIGHTER 157 16WC 19720 SLIVA, JACQUELINE ALDI 02/27/16 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 158 16WC 19760 KNELLER, FRED L JOYCE FARMS RECYCLING 06/13/16 RUBIN LAW GROUP HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 159 16WC 20412 CASPER, LAWRENCE LINEAGE LOGISTICS HOLDING 09/25/14 BRIAN T MORROW, LAW OFFICE WOLFE & JACOBSON, LTD 160 16WC 20616 MORENO, MANUEL SAFEWAY GROUP 05/31/16 HORWITZ HORWITZ & ASSOC GOLDBERG SEGALLA LLC 161 16WC 21917 SPENCER, THOMAS ILLINOIS DEPT OF CORRECTI 05/23/16 HORWITZ HORWITZ & ASSOC STEPHANIE KEVIL 162 16WC 22012 SLADCIK, STACIE PLAINFIELD SCHOOL DISTRIC 12/02/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 163 16WC 22136 WERRY, JOHN FAIRBANKS SCALES, INC. 10/14/13 STRONG LAW OFFICE 164 16WC 22405 THURMAN, AMOS ABF 06/13/16 JASINSKI, GEORGE J KEEFE CAMPBELL BIERY & ASSOC 165 16WC 22504 SCHERP, MICHAEL E. ERICSSON, INC. 06/14/16 CIARDELLI CUMMINGS CAMPAGN 166 16WC 22862 LULLO, TONY REGENCY TILE 04/11/16 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 167 16WC 22929 VASQUEZ, ARTHUR VILLAGE OF ROMEOVILLE 12/04/15 LUSAK AND COBB SLAVIN & SLAVIN 168 16WC 24352 FALCONI, EDISON E. DIAZ TRANSPORTATION 06/28/16 SCHWARTZ, BERLE L SCOPELITIS GARVIN LIGHT 169 16WC 24428 ORTIZ, LUIS T. KEHE DISTRIBUTORS, LLC 11/17/14 SCHWEICKERT & GANASSIN NOBLE & ASSOC 170 16WC 24831 SVAGDIS, GLEN ALRO STEEL CORPORATION 09/01/15 GALLAGHER LAW PC 171 16WC 25312 SHARP, CANDACE D CONSTRUCTION INC. 05/03/16 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 172 16WC 25632 MARQUEZ, JOSE VELASQUEZ MUFFLERS & BRAK 07/25/16 173 16WC 25674 SCHALK, LORA E STREET BAR & GRILLE INC 03/03/16 SPYRATOS DAVIS LLC MCNAMARA PHELAN MCSTEEN LLC 174 16WC 26373 DRUML, CYNTHIA MINOOKA SCHOOL DISTRICT 2 05/05/16 RIDGE & DOWNES INMAN & FITZGIBBONS 175 16WC 26789 KLEMENKO, ANDREW III MENARDS, INC. 05/13/15 ROSS TYRRELL CHILTON YAMBERT PORTER LLP 176 16WC 27813 CHAVEZ, TERESA HEADWAY WORKFORCE SOLUTIO 08/05/16 NILSON STOOKAL GLEASON CAP HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 177 16WC 27990 CADENA, OSCAR ELITE STAFFING- JOLIET 09/09/16 COSTA IVONE LLC GAROFALO SCHREIBER STORM GRA 178 16WC 28412 MADDOX, KATHLEEN DR. JOSEPH CAMPOBASSO PC 01/21/11 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 179 16WC 28854 LIKAR, LINDA JOLIET SCHOOL DISTRICT 86 05/17/16 HORWITZ HORWITZ & ASSOC KNELL O'CONNOR DANIELWICZ 180 16WC 29324 VARGAS-BARAJAS MARIA GUAD RONS STAFFING SERVICE 04/14/16 COSTA IVONE LLC GAROFALO SCHREIBER STORM GRA 16WC029325 -C 181 16WC 30086 PHIPPS, MICHAEL IL DEPT OF CORRECTIONS 09/26/16 MICHAEL P MCCREADY & ASSOC STEPHANIE KEVIL 182 16WC 30178 CORDERO, CHRISTIAN TREADSTONE TIRE RECYCLING 08/19/16 DAVID SZCZECIN & ASSOC 183 16WC 30708 WRIGHT, MELVIN STATE OF ILLINOIS, DEPART @ 09/26/16 MICHAEL P MCCREADY & ASSOC STEPHANIE KEVIL 184 16WC 31038 VINTON, LINDA ARENA AUTO AUCTION 08/17/16 MCNAMARA PHELAN MCSTEEN LL GANAN & SHAPIRO 185 16WC 31189 LANNEN, LARRY ST OF IL DEPT OF STATEVIL 11/06/15 GOLDBERG WEISMAN & CAIRO L STEPHANIE KEVIL 186 16WC 31676 PINEDA, LUIS CLASSIC TRANSPORTATION 09/19/16 MC HARGUE & JONES MCANANY VANCLEVE & PHILLIPS 187 16WC 31737 WALTERS, JOHN TRACKER MARINE 09/14/16 BLOCK, KLUKAS & MANZELLA P 188 16WC 31945 SAGO, JANET HARRAH'S JOLIET CASINO HO 10/01/16 MCNAMARA PHELAN MCSTEEN LL NOBLE & ASSOC 189 16WC 32110 GARCIA, JESUS PRO-HOME SERVICES INC. 09/09/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 190 16WC 32534 BURNETT, RONICA XEROX 06/27/16 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 191 16WC 32918 MARTINEZ, JAIME RAILWAY & INDUSTRIAL SERV 01/26/15 BLOCK, KLUKAS & MANZELLA P 192 16WC 33955 ALVARADO, ABIGAIL ELITE STAFFING BOLINGBROO 11/02/16 EPSTEIN, JACK R LAW OFFICE 193 16WC 34101 LAWSON, EUGENE VILLAGE OF UNIVERSITY PAR 09/28/16 DEPAOLO ZADEIKIS GORE MONTANA & WELCH 194 16WC 34278 TERDICH, ROBERT J AGL RESOURCES 10/11/16 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 195 16WC 34455 HRUSSOSKY, SHARRY ALDI 08/06/16 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 196 16WC 35062 COLE, CHARLENE CATERPILLAR INC 08/19/16 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 197 16WC 35422 SEGURA, MONICA E KEHE FOODS 07/25/16 BART DURHAM POULOS & DIBENEDETTO LAW 198 16WC 35812 SANCHEZ, LUIS MICHAELS DISTRIB CENTER 11/16/16 AIOSSA LAW FIRM 199 16WC 36482 DZINCIOLOSKI, JOSHUA BEST PRACTICES STAFFING 11/04/16 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 200 16WC 36568 MARTINEZ, MARIA ELITE STAFFING 05/26/16 EPSTEIN, JACK R LAW OFFICE 201 16WC 36629 STANO, PETER SCENIC LANDSCAPING 09/12/16 CARONE LAW OFFICES JOSEPH MARCINIAK 202 16WC 36679 VITTORI, DAVID E SR. TRINITY SERVICE 11/15/16 COVEN LAW GROUP GALLIANI DOELL & COZZI LTD 203 16WC 36814 ALLEN, ORLANDO ST OF IL DEPT OF CORRECTI 11/11/16 KROL BONGIORNO & GIVEN LTD STEPHANIE KEVIL 204 16WC 36917 MACHULIS, TAMMY QUEST FOOD MGMT SVCS 11/01/16 RATHBUN CSEVENYAK & KOZOL RIPES NELSON BAGGOT KALOBRAT 205 16WC 37175 TASCH, NICHOLAS CITY OF JOLIET 10/28/16 HETHERINGTON KARPEL BOBBER KNELL & O'CONNOR 206 16WC 37666 MOORE, WILLIAM SPECIALIZED STAFFING SOLU 12/07/15 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 207 16WC 38110 MORALES, JORGE ELITE STAFFING 09/21/16 SALVATO & O'TOOLE 208 16WC 39304 LARA, DORA ELITE STAFFING, INC 12/06/16 CULLEN HASKINS NICHOLSON 209 17WC 00246 JACKSON, LASHON ELITE STAFFING 12/19/16 JOHN S. ELIASIK GAROFALO SCHREIBER STORM GRA 210 17WC 00762 BOSTEDT, TRISHA A ELITE STAFFING INC 12/08/16 O'CONNOR & NAKOS 211 17WC 01191 MELENDEZ, JUAN DPI SPECIALTY FOODS 01/01/17 SALVATO & O'TOOLE GILDEA & COGHLAN 212 17WC 01805 STEG, THOMAS EVOKE KITCHEN AND BATH 08/23/16 MCNAMARA PHELAN MCSTEEN LL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 213 17WC 02715 THURMAN, AMOS ABF 12/08/16 JASINSKI, GEORGE J KEEFE CAMPBELL BIERY & ASSOC 214 17WC 03083 BLAU, MARIA AMERISOURCE BERGEN 04/17/16 HORWITZ HORWITZ & ASSOC 215 17WC 03158 WRIGHT, TONYA STATE OF ILLINOIS @ 07/20/16 BLOCK, KLUKAS & MANZELLA P STEPHANIE KEVIL 216 17WC 04055 SARAGOSSA, ADAM LUTHERAN SOCIAL SERVICES 11/18/16 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM GRA 217 17WC 04091 ESPINOZA, ALEJANDRA GREENCORE 06/01/16 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 218 17WC 04370 CUEVAS, ANGELICA ELITE STAFFING 12/10/15 COSTA IVONE LLC 219 17WC 04682 NAVARRO, YOLANDA SUMMIT STAFFING INC (LOAN 01/30/17 ENCINAS & ORNELAS WIEDNER & MCAULIFFE LTD 220 17WC 04697 JOHNSON, EARL STEPAN CHEMICAL 01/16/17 HORWITZ HORWITZ & ASSOC KLAUKE LAW GROUP LLC 221 17WC 05444 FUENTES-LOPES, RIGOBERTO HZ OPS HOLDINGS, INC 11/25/15 EPSTEIN, JACK R LAW OFFICE 17WC005445 -C 222 17WC 05458 ABUALSAMEN, FIRSAN CROSSMARK SITE UTILITIES, 01/03/17 LIDOV & BLOCK BRADY CONNOLLY & MASUDA PC 223 17WC 05744 SZYCHLINSKI, ANDY EUCLID BEVERAGE 01/11/17 PORRO NIERMANN LAW GROUP ROBERT L. SMITH 224 17WC 05774 KNIGHTS, MARSHALL AMAZON DELIVERY 01/04/17 WOLFE LAW PC WIEDNER & MCAULIFFE LTD 18WC016835 -C 225 17WC 06034 HERNANDEZ VARGA, ELBIRA ABACUS CORPORATION 11/23/16 LAW OFFICES MICHAEL HELLMA WIEDNER & MCAULIFFE LTD 226 17WC 06455 CLARK, JOHN TYSON MOTOR CORP 02/23/17 SEIDMAN MARGULIS & FAIRMAN NOBLE & ASSOC 227 17WC 06905 MOORE, TENESHIA RON POSTMA AUTO SALES INC 02/23/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 228 17WC 06936 WOLSKI, JOSEPH IL DEPT OF TRANSPORTATION 11/16/16 VRDOLYAK LAW GROUP LLC STEPHANIE KEVIL 229 17WC 07473 WILLIAMS, MCKENNETH AUSTIN TYLER CONSTRUCTION 09/30/16 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 230 17WC 08199 WICEVIC, KENNETH FIGURE 8, INC 01/27/17 RUBIN LAW GROUP HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 231 17WC 09092 EVERETT, LARRY A AMERICAN SCHOOL BUS CO 02/14/17 KROCKEY CERNUGEL COWGILL E GALLIANI DOELL & COZZI LTD 232 17WC 09136 MACHART, BONNIE SILVER CROSS HOSPITAL 08/27/16 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 233 17WC 09874 BEDELL, LEONARD WILLY WORLD CYCLES 07/15/15 LUSAK AND COBB ROBERT L. SMITH 234 17WC 09933 BAKER, SHERRY VALLEY VIEW PUBLIC SCHOOL 01/28/16 17WC009934 -C 235 17WC 10047 SANTIAGO, SCOTT BARNETT BATES CORPORATION 03/23/17 MCNAMARA PHELAN MCSTEEN LL WIEDNER & MCAULIFFE LTD 236 17WC 10128 IRWIN, ELVIN CHICAGO BRIDGE & IRON 02/23/17 MC HARGUE & JONES RIPES NELSON BAGGOT KALOBRAT 237 17WC 10373 ARNOLD, RENAE SALEM VILLAGE NURSING HOM 03/01/17 MEYERS & FLOWERS GANAN & SHAPIRO 238 17WC 10472 RICHARDS, JACY CORNERSTONE SERVICES 10/17/16 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 239 17WC 10556 ROSSEL, STEVEN SIMOS INSOURCING SOLUTION 04/04/17 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 240 17WC 10821 RAMOS, HECTOR COMCAST 07/22/16 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 17WC010822 -C 241 17WC 10993 SCRUTCHENS, ROBERT RADIAL HOLDINGS 01/03/17 SMOLER LAW OFFICE, PC SCHOUEST BAMDAS SOSHEA 242 17WC 11213 BRADLEY JR, EDDIE SUNNY HILL NURSING HOME 02/09/17 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 243 17WC 11247 POLLARD, DALE ARCHER LOGISTICS LTD 03/31/17 MC HARGUE, JAMES P LAW OFF MCANANY VANCLEVE & PHILLIPS 244 17WC 11526 STEGENGA, THOMAS R VILLAGE OF UNIVERSITY PAR W 11/20/16 THOMAS W DUDA MONTANA & WELCH 245 17WC 11544 WILKIE, BRIAN INNOVATIVE INTERMODAL INC 09/28/15 BOUDREAU NISIVACO LLC INMAN & FITZGIBBONS 17WC011545 -C 17WC011546 -C 246 17WC 11818 BERRAKI, HAKIM LOGO PLASTE 02/22/17 VASILATOS & COTTER LLC 247 17WC 11882 ZIMNY, JOHN KOLE CONSTRUCTION 08/08/16 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 17WC 11998 THORNTON, SIMONE M. ILLINOIS DEPT OF CORRECTI @ 03/08/16 RUBIN LAW GROUP DANIELLE CURTISS 249 17WC 12186 GARCIA, TERESA PRIORITY STAFFING LTD 06/13/16 WOODRUFF & JOHNSON 250 17WC 12345 COPALELLO, PAULA SILVER CROSS HOSPITAL 03/05/16 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 251 17WC 13092 WHITE, JASMIN AMAZON 03/18/17 DANIEL PERIASWAMY 252 17WC 13322 GARRETT, ETHEL TRINITY SERICES 05/01/17 BRISKMAN BRISKMAN GREENBER GALLIANI DOELL & COZZI LTD 253 17WC 13370 CONTRERAS, LORENZA PEACOCK ENGINEERING CO, L 02/17/17 RUBIN MACHADO ROSENBLUM HOLECEK & ASSOCIATES 254 17WC 13408 19B NAUGHTON, JAMES MICHAEL'S CARTAGE 03/24/16 GREGORIO & MARCO RUSIN & MACIOROWSKI LTD 17WC016570 -C 255 17WC 13428 DILDAY, DAVID EXXON MOBIL 08/01/04 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 256 17WC 13470 GEREDINE, KEVIN FED EX 04/23/15 TRAPP & GELLER KOPKA, PINKUS DOLIN, PC 257 17WC 13679 GSELL, MICHAEL J HAYES MECHANICAL 09/27/16 COLLISON LAW OFFICES GAROFALO SCHREIBER STORM GRA 258 17WC 13700 KATRO, JEREMY DOLLAR TREE 12/19/15 FOHRMAN, DONALD W & ASSOCS BRYCE DOWNEY & LENKOV LLC 17WC013901 -C 17WC019084 -C 259 17WC 13815 RAYO, ISMAEL ESMARK STEEL 10/05/16 SHANNON LAW GROUP COZZI & GOGGIN-WARD 260 17WC 13914 BLASZAK, WOJCIECH DJW ENTERPRISES 02/27/16 SHELDON I MINKOW & ASSOCIA WIEDNER & MCAULIFFE LTD 261 17WC 13937 COATES, GWENDOLYN SUNNY HILL NURSING HOME O 02/23/17 CANDIANO LAW OFFICE HINSHAW & CULBERTSON 262 17WC 13976 BROWN, KEVIN CCA MIDWEST INC 06/07/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 263 17WC 14301 HARRISON, ETHEL SEPTRAN INC 04/11/17 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 264 17WC 14457 DEGRADO, GUY VILLAGE OF BOLINGBROOK 11/25/14 KINNALLY FLAHERTY KRENTZ & POWER & CRONIN LTD 17WC014458 -C 265 17WC 14817 TOMALIEH, LOUAAI WILL COUNTRY SHERIFF'S OF 04/25/17 COVEN LAW GROUP HINSHAW & CULBERTSON 266 17WC 14959 SHERER, REVANN ECOLAB 09/27/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 267 17WC 14981 MICHEL, JAMES B MAUL PAVING, INC. 06/01/15 DWYER AND COOGAN JOSEPH MARCINIAK 268 17WC 15134 KRYSTYNIAK, CHRISTOPHER F MEIJER 02/28/17 RUBIN LAW GROUP KNELL & O'CONNOR 269 17WC 15214 ROBINSON, AVA ADMIN OF ES THE HOME DEPOT 03/31/17 MARC J SHUMAN & ASSOCIATES MC ANDREWS & NORGLE LLC 270 17WC 15309 BAIZAN, ISABEL ELITE STAFFING (LOANING) 04/19/17 ALEKSY BELCHER 271 17WC 16324 CARDENAS, BAYRON CARSON'S 05/24/17 MC HARGUE & JONES 272 17WC 16360 OVALLE, SAGRARIO BERGSTROM INC 05/03/17 BLOCK, KLUKAS & MANZELLA P WOLFE & JACOBSON, LTD 273 17WC 16510 SMITH, NICOLE DR. PEPPER SNAPPLE GROUP 02/15/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 274 17WC 16800 GAONA, JUAN ROLANDO TOM TRIPOLIS ROOFING 04/22/17 MARC J SHUMAN & ASSOCIATES COZZI & GOGGIN-WARD 275 17WC 16843 19B WILSON, JACQUELINE STATE OF IL DOC OF STATEV @ 11/14/16 BLOCK, KLUKAS & MANZELLA P DANIELLE CURTISS 276 17WC 17096 DEAL, JAMES S&S ACTIVEWEAR 05/25/17 SKLARE LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 277 17WC 17512 PASTERNAK, WALTER ULTRA FOODS 06/06/16 HORWITZ HORWITZ & ASSOC 17WC017513 -C 278 17WC 18161 RAMIREZ, MARIA ELITE STAFFING 05/23/17 SALVATO & O'TOOLE 279 17WC 18171 MARTINEZ, BERTHA CARRANZA RAYMOND MANAGEMENT COMPAN 04/06/16 STEWART C ORZOFF ACCIDENT FUND HOLDINGS 280 17WC 18256 WILSON, ANTHONY DAVIS STAFFING 06/19/17 SKLARE LAW GROUP KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 281 17WC 18440 CONROY, JOHN VILLAGE OF NEW LENOX 03/01/17 FRANCIS J DISCIPIO LAW OFF SLAVIN & SLAVIN 282 17WC 18945 DIDIER, LEO P STATE OF IL/DEPT OF CORR 02/12/17 DEPAOLO ZADEIKIS GORE DANIELLE CURTISS 283 17WC 19860 ERICKSEN, JASON TOYS R US DISTRIBUTION CE 06/12/17 KEEFE CAMPBELL BIERY & ASSOC 284 17WC 20000 TORRES, ELIZABETH SURESTAFF 06/27/17 LOUIS MUNDY 285 17WC 20266 ARMSTRONG, MELANIE AMAZON 04/03/17 CULLEN HASKINS NICHOLSON 286 17WC 20308 MOORE, JAKEEM J JR RESOURCE EMPLOYMENT SOLUT 07/09/17 THE ROMAKER LAW FIRM POULOS & DIBENEDETTO LAW 287 17WC 20385 SHORT, KEVIN STAFFMARK 07/11/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 288 17WC 20851 PRUITT, BIANCA ADAMS & ASSOCIATES 11/01/16 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 289 17WC 21075 WHITE, CHRISTINE M AMERICAN MANAGEMENT SERVI 05/05/17 BRILL & FISHEL JOSEPH MARCINIAK 290 17WC 21469 PEDEN, WILLIAM AEROTEK STAFFING AGENCY 05/30/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 291 17WC 21596 RENZI, BRETT NFI NATIONAL FREIGHT 06/12/16 BLOCK, KLUKAS & MANZELLA P QUINN JOHNSTON HENDERSON ETA 292 17WC 21629 LARSON, DONALD CATERPILLAR, INC 09/09/16 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 293 17WC 21858 TRYBUL, DUKE DIAGEO 12/17/16 PARENTE & NOREM PC LAWRENCE COZZI - LAW OFFICE 294 17WC 21863 MIKKELSON, JULIE (WIFE) BRADY CONSTRUCTION # 07/07/17 ANGELINI & ORI LLC HENNESSY & ROACH PC 295 17WC 21870 TIRADO, ANTONIO ECOWIZE NORTH AMERICA, LL 04/17/17 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 296 17WC 21973 STEPPS, PATRICK WASTE CONNECTIONS, INC 06/01/17 CORBOY & DEMETRIO PC BRADY CONNOLLY & MASUDA PC 297 17WC 22300 IBARRA, LEONOR FERRARA CANDY COMPANY 01/27/16 JOHN J CASTANEDA HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 298 17WC 22436 BARRY, JOSEPH MENARD'S INC 03/10/17 299 17WC 22643 CHURCHILL, MICHELLE AMAZON 02/01/17 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 19WC019038 -C 300 17WC 22714 RIVERA, ROBERT AMERISOURCE BERGEN 04/13/17 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 295 13WC042079 -C ASG STAFFING INC 301 17WC 22748 ARVIZU, OLGA LZB MANUFACTURING INC 07/20/17 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 302 17WC 22808 WATERS, BRANDON PRO STAFFING,INC W 06/29/17 DEPAOLO ZADEIKIS GORE 303 17WC 23184 SHAIN, NICK JOLIET JUNIOR COLLEGE 05/31/17 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 304 17WC 23302 HOLMES, MICHAEL JEWEL-OSCO 06/26/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 305 17WC 23508 BEDNARZ, BRIAN AMAZON.COM 06/12/17 BRIAN KEELEY LTD WIEDNER & MCAULIFFE LTD 306 17WC 23727 FENILI, JOSEPH WELSCH READY MIX INC 03/03/17 HORWITZ HORWITZ & ASSOC GILDEA, COGHLAN & REGAN LTD. 307 17WC 24141 SAVANNAH, AUGUSTINE INDIVIDUAL ADVOCACY GROUP 06/05/17 HASSAKIS & HASSAKIS GALLIANI DOELL & COZZI LTD 308 17WC 24419 HERNANDEZ, JOSE KENNEDY TRANSPORTATION 11/28/16 THE ROMAKER LAW FIRM 309 17WC 24611 SAVERINO, PATRICK DEHUMIDICATION TECHNOLOGI 07/20/17 HOLECEK & ASSOCIATES 310 17WC 24663 SALINAS, JANET HARBOR CHASE OF PLAINFIEL 07/25/17 ROBIN LAW OFFICE FRANCESCA LARSEN 311 17WC 24745 MORALES, LILIANA ILLINOIS AUTO ELECTRIC CO 12/09/16 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 312 17WC 25218 FLORES, ZOILA JOLLY ANGELS HOMECARE SEV 03/29/17 GANAN & SHAPIRO 313 17WC 25238 HARRIS, MYRON NEXUS 08/11/17 DWORKIN AND MACIARIELLO 314 17WC 25322 DAVIS, KELLY RUSH TRUCK CENTER JOLIET 03/09/16 STROM, NEAL B HENNESSY & ROACH PC 315 17WC 25374 STEWART, BARRY IFCO SYSTEMS 06/27/17 DAMISCH & DAMISCH LTD LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 316 17WC 25442 BARNES, DAVID ILLINOIS DEPT OF CORRECTI @ 08/19/16 ANKIN LAW OFFICE DANIELLE CURTISS 317 17WC 25512 PALOMO, SARA OSWEGO CUSD 308 03/09/17 KINNALLY FLAHERTY KRENTZ & 318 17WC 25607 ALDRIDGE, ARRICE BRENNAN EQUIPMENT AND 02/03/17 LAW OFFICE OF KEVIN O'BRIE NYHAN BAMBRICK KINZIE & LOWR 319 17WC 26548 ADAMS, DARRYL IOI LODERS CROKLAAN 09/08/17 FOHRMAN, DONALD W & ASSOCS ROSARIO CIBELLA 320 17WC 26818 PRZEKWAS, MARK JACK COOPER TRANSPORT CO 07/05/17 COMPTON LAW GROUP HENNESSY & ROACH PC 321 17WC 26855 WINTERS, LORA AMAZON 03/19/17 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 322 17WC 26872 RUSSILDI, ERIK OLD DOMINION FREIGHT LINE 09/02/17 SANDMAN LEVY & PETRICH EVANS & DIXON 323 17WC 26968 ORTIZ, RAMIRO JR STATE OF ILLINOIS DEPT OF 08/01/17 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 324 17WC 27116 LAS, DOROTA ALDI, INC 07/10/17 TIMOTHY E. TAKASH BRADY CONNOLLY & MASUDA PC 325 17WC 27344 SANCHEZ-CARTENO, OLISSER EMERALD BLOOM LANDSCAPING 08/14/17 EPSTEIN, JACK R LAW OFFICE LAWRENCE COZZI - LAW OFFICE 326 17WC 27420 LAGESSE, DAVID M BEECHER FIRE PROTECTION D 10/21/16 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 327 17WC 27489 DAVIS, NICHOLAS ACCURATE TEMP SERVICE 02/05/17 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 328 17WC 27559 SUGGS, JOHN ELITE STAFFING 09/08/17 MARC J SHUMAN & ASSOCIATES 329 17WC 27815 POZOS, MIGUEL SURGE STAFFING LLC 07/08/17 KINNALLY FLAHERTY KRENTZ & HENNESSY & ROACH PC 330 17WC 28063 HERMAN, CHARLES WERNER ENTERPRISES 08/01/17 LEITER LAW OFFICES SMITH AMUNDSEN LLC 331 17WC 28147 VILLAFUERTE, LINDA ST OF IL,IL DEPT OF MOTOR @ 08/09/17 LAW OFFICE OF ANDREW HAMIL ASSISTANT ATTORNEY GENERAL 332 17WC 28236 MOSLEY, JAMILA SCHNEIDER LOGISTICS INC 09/14/17 ANKIN LAW OFFICE ASA LAW GROUP 18WC001300 -C 333 17WC 28331 TAPIA, ROSA SUPER MAID INC 08/31/17 AIOSSA LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 17WC 28553 HUSTON, DOUGLAS S NEW LENOX TOWNSHIP HWY DE 08/21/17 NILSON STOOKAL GLEASON CAP JAMES M KELLY 335 17WC 28573 ACEVEDO, PATRICIA MACNEIL AUTOMOTIVE PRODUC 05/16/17 RATHBUN CSEVENYAK & KOZOL HOLECEK & ASSOCIATES 336 17WC 28604 SLAGER, JEANNETTE PROVIDENCE LIFE SERVICES 08/18/17 DAVID J. BAWCUM LAW OFFICES FRANCESCA LARSEN 337 17WC 28830 RUMCHAK, ZACHERY D. AT&T 05/06/17 MCNAMARA PHELAN MCSTEEN LL 338 17WC 29012 GONZALEZ-HERRERA, CAMILA S&S ACTIVEWEAR 09/06/17 GOLDSTEIN BENDER & ROMANOF EDWARD J. KOZEL 339 17WC 29168 NORFLEET, DOUGLAS WEST SIDE TRANSPORT 09/26/17 HEALY SCANLON LAW FIRM HOLECEK & ASSOCIATES 340 17WC 29314 PALMERIN, SERGIO U & N CONCRETE 08/22/17 WOLFE & JACOBSON, LTD 341 17WC 29389 INTRAVAIA, JEFF VILLAGE OF BOLINGBROOK 03/28/17 LEO M. BLEIMAN & ASSOC POWER & CRONIN LTD 18WC005961 -C 18WC005962 -C 19WC022438 -C 342 17WC 29611 VILLEGAS, ARMANDO MCBRADY ENGINEERING CO 09/22/17 LAW OFFICES MICHAEL HELLMA LAW OFFICES JOSEPH MARCINIAK 343 17WC 29756 RODRIGUEZ, GUSTAVO HOMES FOR HEINTZ INC 08/03/17 HORWITZ HORWITZ & ASSOC QUINN JOHNSTON HENDERSON ETA 344 17WC 30144 LILLY, MICHAEL ELITE STAFFING 09/18/17 MARKER & ASSOCIATES 345 17WC 30310 BROWN,ANDREA(ON BEHALF OF NEXUS EMPLYMENT SOLUTIONS # 01/12/17 RATHBUN CSEVENYAK & KOZOL RIPES NELSON BAGGOT KALOBRAT 346 17WC 30364 DUCKETT SR, GARY W AT&T CORP IL BELL 06/09/17 DWYER AND COOGAN HENNESSY & ROACH PC 347 17WC 30381 RENDE, PETER CENTRELLA GROCERS INC 08/15/17 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD 348 17WC 30582 MENENDEZ, ELDER E GENERAL LOGISTICS, INC 03/24/16 RUEDA, IVAN A 349 17WC 30878 PUJOL, VINCENT HOME DEPOT 09/26/17 350 17WC 30916 GABON, JESUS CADENCE PREMIER LOGISTICS 09/18/17 MCNAMARA PHELAN MCSTEEN LL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 351 17WC 31330 HARNETT, ELOISE 1ST CLASS STAFFING 09/29/17 JAMES ELLIS GUMBINER & ASS GRANT & FANNING 352 17WC 31478 BATCHELOR, MAXINE ELITE STAFFING INC 10/09/17 COSTA IVONE LLC HOLECEK & ASSOCIATES 353 17WC 31517 BURT, TARA ALDI 11/20/15 HORWITZ HORWITZ & ASSOC 354 17WC 31711 DVORA, DAVID MARASPEED LOGISTICS, INC W 07/10/15 JOSEPH YOUNES MANUAL CARDENAS & ASSOC 355 17WC 32266 BROWN, MICHAEL INTERSTATE CHEMICAL CO, I 10/24/16 DANIEL J ADLER LAW OFFICE ORENSTEIN & ASSOCIATES 356 17WC 32404 BURKHART, WILLIAM II CROWN ENERGY SERVICES/ABL 06/20/17 MC HARGUE & JONES HENNESSY & ROACH PC 357 17WC 32571 LITTERIO, GREGORY RACHKE PIPING & MECHANIC 10/06/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 358 17WC 32663 ROSE, NICK CITY OF JOLIET 09/27/17 MCNAMARA PHELAN MCSTEEN LL KNELL & O'CONNOR 359 17WC 32679 WEIS, DWAYNE CITY OF JOLIET 05/15/16 MCNAMARA PHELAN MCSTEEN LL KAVANAGH GRUMLEY & GORBOLD 360 17WC 32965 CERVANTES, VICTOR M KNEAD DOUGH BAKING COMPAN 08/12/17 CHEPOV & SCOTT LLC KEEFE CAMPBELL BIERY & ASSOC 19WC026668 -C TURANO BAKING COMPANY 361 17WC 33189 SMITH, TERRY MACY'S LOGISTICS & OPERAT 04/09/17 SCHWEICKERT & GANASSIN BRYCE DOWNEY & LENKOV LLC 362 17WC 33460 CUMMINGS, CLINTON ADAMS & ASSOCIATES 09/15/17 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 363 17WC 33509 COFFMAN, DAVID BARGE TERMINAL TRUCKING I 10/07/17 SPIROS LAW PC GANAN & SHAPIRO 364 17WC 33539 LES, MARCIN STATEVILLE CORRECTIONAL C 10/02/17 KATZ FRIEDMAN EAGLE ET AL DANIELLE CURTISS 365 17WC 33711 LUCIANO, ROSEMARIE PROVIDENCE LIFE SERVICES 08/19/17 THOMAS R LICHTEN 366 17WC 33870 JONES, BOBBY USF HOLLAND FREIGHT 11/07/17 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC 367 17WC 34844 WALSH, COLLEEN JOLIET AREA COMMUNITY HOS 07/16/17 DWORKIN AND MACIARIELLO 368 17WC 34855 FORESTIERE, MICHAEL CAP BARBELL, INC 05/30/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 369 17WC 34900 ANGELUS, MARK T EMCOR FACILITIES SVS, INC 05/15/17 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 370 17WC 35349 MAYFIELD, ANTHONY WEST LIBERTY FOODS 08/31/17 STROM, NEAL B HEYL ROYSTER VOELKER & ALLEN 371 17WC 35513 HENNIN, JEFFREY REPUBLIC SERVICES, INC 11/21/17 RIDGE & DOWNES 372 17WC 35585 AGOJCI, DRITAN MBT TRANSPORT INC 10/27/17 KATZ FRIEDMAN EAGLE ET AL GOLDBERG SEGALLA LLC 373 17WC 35671 MCMURRAY, DOROTHY AMAZON 11/19/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 374 17WC 35689 ALBERTO, GONZALO DYNAMIC 3PL 11/20/17 COSTA IVONE LLC EVANS & DIXON 19WC012644 -C 375 17WC 35854 JONES, DIONTE A AMAZON.COM 11/24/17 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 376 17WC 35999 GONZALEZ, ANA ULTA BEAUTY DISTRIBUTION 10/04/17 WOODRUFF & JOHNSON ARNETT LAW GROUP 377 17WC 36072 FISHER, MICHAEL L VILLAGE OF PLAINFIELD, 10/28/17 RUBIN LAW GROUP SLAVIN & SLAVIN 378 17WC 36342 MOLINA, DANIA N LOS COMALES 11/29/17 379 17WC 36522 19B EDWARDS, RENARD RANDSTAD MANUFACTURING 11/30/17 JAMES ELLIS GUMBINER & ASS SLAVIN & SLAVIN 380 17WC 36625 HANSEN, BRIDGET TRINITY SERVICES 04/17/17 SEIDMAN MARGULIS & FAIRMAN 381 17WC 36637 DUNCAN, DUANE II LAFARGE JOLIET, INC. 09/12/17 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM GRA 382 17WC 37109 JENNER, CORY DONEGALS EXCAVATING 11/13/17 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 383 17WC 37823 PICKETT, DARLA J JEWEL OSCO 10/03/17 PATRICOSKI, MARK G 384 17WC 37842 CONTRERAS, JANET MECINO METRO STAFFING INC. 07/06/17 JAMES ELLIS GUMBINER & ASS SLAVIN & SLAVIN 385 17WC 37972 RICO, LUIS WEST LIBERTY FOODS 12/15/17 CARONE LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 386 17WC 38006 KAPRAK, ROBERT SUPERIOR TOWING 12/16/17 KROL BONGIORNO & GIVEN LTD WOLF & LAUDICINA LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 387 17WC 38044 MANCINAS, JAVIER MATTRESS FIRM 11/24/17 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 388 17WC 38069 JEHLE, TERESA ADVENTIST BOLINGBROOK 03/22/17 BLOCK, KLUKAS & MANZELLA P STONE & JOHNSON CHARTERED 389 17WC 38112 LUNA, ALEJANDRA ACCURATE PERSONNEL LLC 12/03/17 RUEDA, IVAN A JOHN T GONNELLA 390 18WC 00425 WARREN, CARLA WHITNEY AMAZON MDW2 09/26/17 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 18WC024674 -C 391 18WC 00581 CUMMINGS, MARCUS CLOVERLEAF COLD STORAGE 12/13/17 HORWITZ HORWITZ & ASSOC KNELL LAW LLC 392 18WC 00888 ZITELLA, NICOLE INDIAN PRAIRIE SC 12/04/17 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 18WC000889 -C 393 18WC 01254 DIAZ, GABRIEL MINUTE MEN OF ILLINOIS 10/26/17 394 18WC 01390 MATEO-GARCIA, MARIA METROSTAFF 11/30/17 KARNO, MARK L & ASSOC 395 18WC 01516 MARIN, JUAN C BLUCHIP INDUSTRIAL SVCES 10/11/17 PARENTE & NOREM PC STANCZAK LAW OFFICES 396 18WC 01575 SANCHEZ, MARIBEL STATEVILLE CORRECTIONAL C 10/19/15 HETHERINGTON KARPEL BOBBER DANIELLE CURTISS 397 18WC 01663 SYKES, KENNETH ELITE STAFFING INC. 11/30/17 ANKIN LAW OFFICE 398 18WC 01785 GILBERT, JENNIFER AMAZON 11/22/17 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 399 18WC 01806 HUTTON, ALVIN T VILLAGE OF UNIVERSITY PAR 01/10/18 ANKIN LAW OFFICE MONTANA & WELCH 18WC029606 -C 400 18WC 01976 TULLY, JOEL K JR DELLWOOD TIRE & AUTO SUPP 01/15/18 ANKIN LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 401 18WC 02220 NIMAKOH, JOHN ARYZTA LLC D/B/A ARYZTA B 10/25/17 LEITER LAW OFFICES 18WC002221 -C 18WC002222 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 402 18WC 02365 ROHDE, DONALD PREFERRED ELECTRIC, INC 06/08/17 HORWITZ HORWITZ & ASSOC EDWARD J. KOZEL 403 18WC 02537 TOKARCZYK, DENA AMAZON 08/02/17 SEROWKA LAW WIEDNER & MCAULIFFE LTD 18WC030865 -C 19WC019937 -C 404 18WC 02717 CARTER, MELISSA WATSEKA REHAB AND 11/30/17 HORWITZ HORWITZ & ASSOC KNELL LAW LLC 405 18WC 02770 KOHUT, DAVID AMAZON 03/28/17 MC HARGUE & JONES 406 18WC 02834 WALKER, DAVID SOUTHERN WILL COUNTY 10/21/15 MCNAMARA PHELAN MCSTEEN LL WIEDNER & MCAULIFFE LTD 18WC002835 -C 407 18WC 02845 ROCHELLE-CONTEREZ, ROXANN MOORE TRANSPORT 12/27/17 MCNAMARA PHELAN MCSTEEN LL 408 18WC 02964 SIRANOSSIAN, ALLYSA DHL SUPPLY CHAIN 01/22/18 DWORKIN AND MACIARIELLO 409 18WC 03542 AGUILAR, RAYMUNDO AMAZON 11/13/17 RICHARD E ALEKSY WIEDNER & MCAULIFFE LTD 410 18WC 03565 SUKLE, JOE RIVER CITY CONSTRUCTION 01/22/18 HORWITZ HORWITZ & ASSOC KNELL LAW LLC 411 18WC 03678 SARGENT, JAMES NICOR GAS CO 10/11/16 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 412 18WC 03702 CHATMAN, KIRK PARAMOUNT STAFFING INC 01/24/18 ANKIN LAW OFFICE 413 18WC 03980 COX, LINDA AT&T 10/15/17 ALEKSY BELCHER HENNESSY & ROACH PC 414 18WC 04095 HOFBAUER, VALERIE ILLINOIS @ 01/02/18 COPELAND FINN & FIERI LTD DANIELLE CURTISS 415 18WC 04335 CAIRO, RICHARD DSC LOGISTICS INC 01/17/18 FRANCIS J DISCIPIO LAW OFF WIEDNER & MCAULIFFE LTD 416 18WC 04453 BATES, TIFFANY M AMAZON 03/16/17 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 417 18WC 04472 RAPSON, BRAD PATTEN INDUSTRIES INC 12/28/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 418 18WC 05141 HENDRICKS, PAULA ON FORCE 01/02/18 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 419 18WC 05258 HINTON, ANTIONETTE STATE OF IL, 01/13/18 HORWITZ HORWITZ & ASSOC DANIELLE CURTISS 420 18WC 05289 WEBER JR, CHARLES MECCON INDUSTRIES, INC 01/25/18 LUSAK AND COBB CACCHILLO LAW GROUP LLC 421 18WC 05511 GREEN, TAMMY AMAZON 01/29/18 MINKOW DOMIN WIEDNER & MCAULIFFE LTD 18WC035772 -C 422 18WC 05632 CAMPBELL, TYLER SKY ZONE 10/16/17 JOSEPH MARCINIAK 423 18WC 05924 RIGGS, PATRICK VOORTMAN USA 05/13/17 EDWIN REYES LEGAL GROUP EDWARD J. KOZEL 424 18WC 06108 TORRES, CYNTHIA ULTA BEAUTY DISTRIBUTION 10/30/16 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 425 18WC 06276 HREN, ANDREW JV ENTERPRISES OF IL LLC 10/27/17 JAMES J. GAY 426 18WC 06298 HORGAN, SUSAN VILLAGE OF BOLINGBROOK 01/18/18 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 427 18WC 06346 WILSON, MONET STATE OF ILLINOIS DOC, @ 02/13/18 BLOCK, KLUKAS & MANZELLA P DANIELLE CURTISS 428 18WC 06692 SPARKS, SIKETTA ILLINOIS DEPT OF CORRECTI @ 02/15/18 JOHN C SERKLAND DANIELLE CURTISS 429 18WC 06925 MORAN, JAMES D&B CARPENTRY W 01/21/18 PARENTE & NOREM PC 430 18WC 06966 SHULMAN, RAUL CITY OF JOLIET 09/30/17 COVEN LAW GROUP ROSARIO CIBELLA 431 18WC 07098 BODEMULLER, STEVEN S ELITE LABOR SERVICES LTD 02/25/18 ANKIN LAW OFFICE 432 18WC 07375 MCCOY, YURI PROLOGISTIX 01/12/18 PARENTE & NOREM PC 433 18WC 07390 ZIMMERMAN, STEVE SIMPLEX GRINNELL 03/23/17 HEALY SCANLON LAW FIRM 434 18WC 07440 WILLIS, TIMOTHY IKEA 02/17/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICES 435 18WC 07945 METHENEY, LINDA LOCKPORT TOWNSHIP HWY COM 06/01/17 SHEA LAW GROUP JAMES M KELLY 436 18WC 08486 GONZALEZ, ADAN MENDOZA WEST SUBURBAN TRUCKING 08/18/17 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 437 18WC 08573 JONES, PARNELL MTIL INC. 07/26/17 TAMVAKIS, GEORGE L 438 18WC 08595 PRUITT, TRACIE THE PARC AT JOLIET 03/09/18 ROGER D RUDICH LTD HOLTKAMP LIESE ET AL 439 18WC 08615 LAWS, BRIAN NEW LENOX POLICE DEPT 10/08/17 PARENTE & NOREM PC SLAVIN & SLAVIN 440 18WC 08657 WALSH, JAMES LE CRESUSET 10/04/17 MEYERS & FLOWERS HOLECEK & ASSOCIAT0ES 441 18WC 08788 ORAM, LAURA FEDEX GROUND SYSTEMC/O 04/05/17 HETHERINGTON KARPEL BOBBER KOPKA, PINKUS DOLIN, PC 19WC009233 -C 19WC032471 -C 442 18WC 08943 KNIGHT, CONNIE SUNNY HILL NURSING HOME 01/15/18 RATHBUN CSEVENYAK & KOZOL HINSHAW & CULBERTSON 443 18WC 09061 WOLFE, TIMOTHY MENARD'S 01/26/16 BLOCK, KLUKAS & MANZELLA P EVANS & DIXON 444 18WC 09136 WHITE, ERICA STATEVILLE CORRECTIONAL C @ 03/07/18 DREW J FERRACUTI DANIELLE CURTISS 445 18WC 09288 ARCARAZ, GRAZIELLA ELITE STAFFING 02/14/18 HORWITZ HORWITZ & ASSOC 446 18WC 09383 ORTEGA, HECTOR FED EX 12/10/17 PORRO NIERMANN LAW GROUP 447 18WC 09415 MITILINAKIS, VIRGINIA CASEY'S GENERAL STORE-MAN 11/19/17 BLOCK, KLUKAS & MANZELLA P HEYL ROYSTER VOELKER & ALLEN 448 18WC 09582 LEZON, RONALD MOORE GLASS, INC. 10/17/17 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 449 18WC 09647 THOMAS, CHIQUITA JOLIET TREATMENT CENTER @ 02/15/18 COHN LAMBERT RYAN & SCHNEI DANIELLE CURTISS 450 18WC 09759 SHERLOCK, CHRIS HAWK CHEVROLET 12/14/17 MEYERS & FLOWERS GANAN & SHAPIRO 451 18WC 10240 VALENZUELA, LILIA FIRST CHOICE TEMPORARY SE 12/13/17 AIOSSA LAW FIRM 452 18WC 10300 HARRIS, LARTECE ILLINOIS TOOL WORKS, INC 05/27/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 453 18WC 10375 ROBINSON, PHILBICK AMAZON 03/10/18 SCOTT B SHAPIRO WIEDNER & MCAULIFFE LTD 454 18WC 10555 TZINZUN, RODOLFO ENERSYS INC 09/12/17 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 455 18WC 10831 SMITH, SHERRY AMAZON 02/26/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 456 18WC 11448 PATEL, BIJAL WALMART 08/05/17 DAVID W MARTAY GANAN & SHAPIRO 457 18WC 12234 GONZALEZ, LUIS ELGIN SWEEPING SVCS, INC 04/26/17 RUBIN LAW GROUP LITCHFIELD CAVO 458 18WC 12257 JUAREZ, MANUEL GREENCORE PEAKCOCK FOODS 02/23/18 ENCINAS & ORNELAS HOLECEK & ASSOCIATES 459 18WC 12771 DONISCH, JAMES SOUTHERN COMPANY GAS 01/16/18 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 460 18WC 12819 DOOLEY, PAUL ANDROMEDA COMPUTING SYSTE 06/05/17 LAW OFFICE OF LAURA A CHIL 461 18WC 12872 MILLAR, BRIAN HERITAGE FS, INC 07/05/17 ANESI OZMON RODIN NOVAK KO HEYL ROYSTER VOELKER & ALLEN 462 18WC 12877 VILLARRUEL, ILIANA TRITON MANUFACTURING 12/19/17 RAYMOND M SIMARD, PC WOLF & LAUDICINA LTD 463 18WC 13287 RENNER, BRANDY WALMART SUPERCENTER 12/16/17 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 464 18WC 13713 DIAZ, GABRIEL MINUTEMEN& LINDOO INSTALL 10/27/17 EPSTEIN, JACK R LAW OFFICE SCOPELITIS GARVIN LIGHT 465 18WC 13982 LEE, LETREESHA WEST SIDE TRANSPORATION 03/22/18 DAVID W MARTAY HOLECEK & ASSOCIATES 466 18WC 14045 SCUDDER, TITONIA BOLINGBROOK POLICE DEPT 03/22/18 RATHBUN CSEVENYAK & KOZOL 467 18WC 14065 MILLSAP, LEKESHA FIRST STUDENT BUS CO 04/06/18 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 468 18WC 14272 LESLEY, WESLEY WEST LIBERTY FOODS LLC 05/03/17 ROBERT WARSASKI HEYL ROYSTER VOELKER & ALLEN 469 18WC 14339 ANDERSON, LUCAS BOLINGBROOK POLICE DEPART 04/17/18 MCNAMARA PHELAN MCSTEEN LL POWER & CRONIN LTD 470 18WC 14427 DISTASIO, KELEIGH SITE ONE LANDSCAPE SUPPLY 04/02/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 471 18WC 14449 JANKOVICH, JAMES M LAWN-TECH LTD 11/04/15 SANDMAN LEVY & PETRICH ROSARIO CIBELLA 472 18WC 14521 JONES, PATRICK PRAIRIE CREEK LOGISTICS 10/03/17 HORWITZ HORWITZ & ASSOC CAPUANI, FRANK S 18WC014522 -C 473 18WC 14707 GONZALEZ, ALMA MICHAEL STORES 04/24/18 WITTER LAW OFFICE 474 18WC 14792 SWAERS, REBECCA AMAZON 05/04/18 RAYMOND M SIMARD, PC WIEDNER & MCAULIFFE LTD 475 18WC 14886 AUTMAN, SHARON ROCK RUN PLACE/ENLIVANT 04/21/18 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 476 18WC 14944 DUNMARS, SHAFIAH STATE OF IL DOC STATEVILL @ 08/28/17 BLOCK, KLUKAS & MANZELLA P DANIELLE CURTISS 477 18WC 14992 CAMPBELL, SHERMAN BUNGE LOADERS CROKLAAN 02/14/18 HORWITZ HORWITZ & ASSOC 478 18WC 15159 ZAVALA, RODRIGO TRUCADENCE, LLC (LENDING) 01/10/17 RICHARD E ALEKSY LAWRENCE COZZI - LAW OFFICE 479 18WC 15284 TURNER, ATHIA GRAND PRAIRIE TRANSIT 05/14/18 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 480 18WC 15594 FLEMING, FREDA MICHAELS 06/17/17 481 18WC 15623 KEAGLE, DAVID SILVER CROSS HOSPITAL 05/09/18 LUSAK AND COBB RUSIN & MACIOROWSKI LTD 482 18WC 15817 ROCHA, ELVIRA DHL 01/18/18 WOODRUFF & JOHNSON HENNESSY & ROACH PC 18WC032781 -C 19WC011212 -C 483 18WC 15870 POPOCA, DANIEL GREENCORE 07/16/17 TIMOTHY HENDERSON HOLECEK & ASSOCIATES 18WC015871 -C 18WC018492 -C 484 18WC 16270 HERNANDEZ, SONIA PLAINFIELD DIST 202 05/21/18 KROCKEY CERNUGEL COWGILL E KEEFE CAMPBELL BIERY & ASSOC 485 18WC 16559 VERONDA, SHELLY GEO'S PIZZA INC 03/10/18 CORTINA & MUELLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 486 18WC 16783 ACEVEDO, PATRICIA MACNIEL AUTOMOTIVE PRODUC 05/23/18 RATHBUN CSEVENYAK & KOZOL HOLECEK & ASSOCIATES 487 18WC 16850 THOMSEN, ERIC VILLAGE OF BOLINGBROOK FI 01/15/18 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 18WC016851 -C 18WC016852 -C 488 18WC 16971 19B WOODS, WESLEY JB HUNT TRANSPORTATION 01/30/18 CAPRON & AVGERINOS PC KRAKER FANNING & OLSEN 489 18WC 17295 ESCOBEDO, MIGUEL FAIRMOUNT HOUSE PAINTING 10/27/17 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 490 18WC 17352 MURILLO, BIANCA SILVER CROSS HOSPITAL 02/12/18 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 491 18WC 17537 ROBINSON, DAVID LITHOTYPE CO, INC 10/24/17 JAY S. SHETH LLC HOLECEK & ASSOCIATES 18WC018986 -C 492 18WC 17611 MILLS, MAURICE UPS FREIGHT 05/08/18 LEONARD LAW GROUP LLC LAWRENCE COZZI - LAW OFFICE 493 18WC 17634 HILL, WILLIAM HOME DEPOT 05/29/18 WOODRUFF JOHNSON ADELSON TESTAN BRUNDO 494 18WC 17699 KALEMBA, MICHELE SILVER CROSS HOSPITAL 01/11/18 STEVEN J TENZER, LTD RUSIN & MACIOROWSKI LTD 495 18WC 17748 WILLIAMS, DARRYL PREMIUM TRANSPORATION 02/01/18 LUSAK AND COBB WIEDNER & MCAULIFFE LTD 496 18WC 17791 HILLIARD, ROZETTE SCHNEIDER LOGISTICS 09/18/16 BRISKMAN BRISKMAN GREENBER ASA LAW GROUP 497 18WC 17809 ROGOWSKI, RICHARD METROPOLITAN INDUSTRIES 05/14/18 BURNETT & CARON, LTD HOLECEK & ASSOCIATES 498 18WC 18614 VELASQUEZ, ELIACIN SURE STAFF 12/06/17 EPSTEIN, JACK R LAW OFFICE LOUIS MUNDY 499 18WC 18872 REYNOSO, EFRAIN CTDI 05/16/18 LEITER LAW OFFICES 500 18WC 18961 BLOMLIE, CHARLES DR GREEN MGMT, INC 06/12/18 COSTA IVONE LLC HENNESSY & ROACH PC 501 18WC 18995 FLORES, IRMA WALGREENS 06/12/18 CANDIANO LAW OFFICE GILDEA, COGHLAN & REGAN LTD. 502 18WC 19148 GARCIA, GUADALUPE FEDEX GROUND PACKAGE SYS, 01/31/17 HETHERINGTON KARPEL BOBBER KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 503 18WC 19198 TATE, RODNEY AMAZON 06/20/18 JACKOWIAK LAW OFFICES WIEDNER & MCAULIFFE LTD 504 18WC 19220 LOPEZ, MAURICE APPLEBEE'S GRILL AND BAR 05/04/18 MICHAEL HELLMAN HOLECEK & ASSOCIATES 505 18WC 19398 SHAIN, NICK JOLIET JUNIOR COLLEGE 12/20/17 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 506 18WC 19415 GOMEZ, ALBERTO AEROTEK 06/04/18 MEYERS & FLOWERS HEYL ROYSTER VOELKER & ALLEN 507 18WC 19754 TRETO, EVERARDO CONCRETE SPECIALTIES 03/07/18 ABELS & ANNES, PC HOLECEK & ASSOCIATES 508 18WC 19871 STACEY, BRYAN JB HUNT 11/11/17 DWORKIN AND MACIARIELLO KRAKER FANNING & OLSEN 509 18WC 20037 CASSIDY, ALDONA MEDTRONIC 11/12/17 STROM & ASSOC POWER & CRONIN LTD 18WC030123 -C 510 18WC 20099 LOID, KEVIN HELGET GAS PRODUCTS, INC 04/13/18 RUBIN LAW GROUP HOLECEK & ASSOCIATES 511 18WC 20223 SMITH, ANDRE PROLOGISTIX 06/25/18 512 18WC 20273 ORTIZ, MA DE JESUS ADDUS HOMECARE INC 04/09/18 BRUGGEMAN HURST & ASSOC WIEDNER & MCAULIFFE LTD 513 18WC 20442 PALACIOS, ROBERT SUBURBAN MACHINE & TOOL 02/12/18 BERG & BERG JOSEPH MARCINIAK 514 18WC 20524 BENOIT, RYAN KOHL L&H SVCS, INC 06/01/18 FREDERICK & HAGLE INMAN & FITZGIBBONS 515 18WC 20705 HERNANDEZ, FRANCISCO J RAILWAY & INDUSTRIAL SVCE 05/24/18 THE ROMAKER LAW FIRM 516 18WC 20916 VELASQUEZ, EMMANUEL CHICAGOLAND WHOLESALE MUL 03/18/17 RIPES NELSON BAGGOT KALOBRAT 517 18WC 20981 VAZQUEZ, JOSE L 1ST CLASS STAFFING, LLC 06/14/18 GOLDSTEIN BENDER & ROMANOF INMAN & FITZGIBBONS 518 18WC 21025 DORRIS, LONDON TRINITY SERVICES 06/22/18 BRISKMAN BRISKMAN GREENBER GALLIANI DOELL & COZZI LTD 519 18WC 21094 POLK, ISAIAH JOLIET STAFFING LLC 06/19/18 JACKOWIAK LAW OFFICES HENNESSY & ROACH PC 520 18WC 21141 VERSTRAETE, ELISE (WIDOW MILLER'S TOTAL COMFORT IN # 04/14/17 RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 521 18WC 21249 FISHER, THOMAS A JR NICOR GAS 05/10/17 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 522 18WC 21313 FURTUTE, DOMINIQUE RAIL MGMT SVCS, LLC 04/28/18 SKLARE LAW GROUP GAROFALO SCHREIBER STORM GRA 523 18WC 21384 ANSARI, NASEEM ELITE STAFFING 06/18/18 WOODRUFF JOHNSON 524 18WC 21556 MOY, JAMES CTDI, JOLIET IL 05/04/18 SEROWKA LAW ROSARIO CIBELLA 525 18WC 21896 MALLOY, BRIAN WILL COUNTY CTR 02/20/18 SCHREINER MALLOY & ETZLER 526 18WC 21978 JACOBS, KARLA MINOOKA COMMUNITY HIGH SC 03/20/18 POWER & CRONIN LTD 527 18WC 22097 BENCKENDORF, JACQUELINE HOBO 02/26/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 18WC022098 -C 528 18WC 22104 RECALDE, MIROSLABA COMPUTERSHARE COMMUNICATI 10/03/17 ANKIN LAW OFFICE INMAN & FITZGIBBONS 529 18WC 22156 CAREY, JOHN P DRIVETRAIN SERVICE & 03/09/17 BOUDREAU NISIVACO LLC GAROFALO SCHREIBER STORM GRA 530 18WC 22160 SHARP, CHRISTOPHER AMAZON.COM DEDC LLC 07/07/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 531 18WC 22374 NICOLAS, JORGE RYDER 06/05/18 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 532 18WC 22454 GALARZA-SANCHEZ, LEOVIGIL ZOE & YUMMY ENTERPRISES D 07/10/18 STEVEN B SALK & ASSOC LTD 533 18WC 22530 WALKER, RENWICK SPIRIT TRUCKING COMPANY 05/21/18 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 534 18WC 22737 VANBYSSUM, SCOTT MIKE'S MUD CONSTRUCTION 07/02/18 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 535 18WC 22822 GREER, ADAM AMAZON.COM, LLC 01/28/18 RITTENBERG BUFFEN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 536 18WC 23037 HUERTA, RONANDO ABM INDUSTRIES, INC 07/23/18 JOHN S. ELIASIK HENNESSY & ROACH PC 537 18WC 23052 LANG, DANIEL RIVERSIDE CONSTRUCTION 05/29/18 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 18WC023242 -C 538 18WC 23206 ELWOOD, ELIZABETH TRINITY SERVICES INC 04/06/18 HORWITZ HORWITZ & ASSOC GALLIANI DOELL & COZZI LTD 539 18WC 23300 BUFKIN, DONNAH PACE 06/18/18 WHITESIDE & GOLDBERG LTD PRETZEL & STOUFFER, CHRTD 540 18WC 23426 MANCILLA, DIOCELINA S & S ACTIVEWEAR 05/08/18 LEADERS LAW CENTER LLC EDWARD J. KOZEL 541 18WC 23443 HANKINS, GLENN R JR. JOLIET STAFFING LLC 01/24/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 542 18WC 23646 MC KINNEY, JEFFREY SOUTH SUBURBAN MITSUBISHI 07/25/17 GERALD W KOREY KEEFE CAMPBELL BIERY & ASSOC 543 18WC 23726 SHEAR, VICTORIA HOME DEPOT 07/26/18 LEONARD LAW GROUP LLC ADELSON TESTAN BRUNDO 544 18WC 23822 TERRY, SHANTA ARCH INSURANCE 07/26/18 DEPAOLO & ZADEIKIS 545 18WC 23887 SCANLAN, GLEN ALPIMEX, INC 07/06/18 LEONARD LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 546 18WC 23912 MCCULLUM, MAURICE JR. WEBB CHEVROLET 04/07/18 DWORKIN AND MACIARIELLO NOBLE & ASSOC 547 18WC 24109 HERNANDEZ, GERARDO S&S ACTIVEWEAR LLC 06/20/18 STEVEN B SALK & ASSOC LTD 548 18WC 24141 JONES, CHATWELL HEAD OF E SEPTRAN, INC 07/02/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 549 18WC 24462 WOLF, KATHLEEN PRESENCE HEALTH 07/05/18 TAMVAKIS, GEORGE L 550 18WC 24663 SHANNON, MATTHEW BRESNAHAN, LTD 07/13/18 TAXMAN POLLOCK 551 18WC 24815 LOPEZ, MIGUEL RYDER LOGISTICS 08/07/18 STROM & ASSOC HEYL ROYSTER VOELKER & ALLEN 19WC027084 -C 552 18WC 24890 STARMACH, DAWN AMAZON.COM, INC. DBA AMAZ 02/14/18 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 553 18WC 24934 BUERGER, HARRY F III FAB EXPRESS 08/23/17 JOSEPH J LOSS PC KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 554 18WC 24954 SHEAR, SCOTT CITY OF JOLIET 03/21/18 HETHERINGTON KARPEL BOBBER KNELL O'CONNOR DANIELWICZ 555 18WC 25067 BOGLIO, JEFF PRAIRIE MATERIAL 07/27/18 JASINSKI, GEORGE J GAROFALO SCHREIBER STORM GRA 556 18WC 25209 BLACKAMORE, JAYLN FLEXIBLE STAFFING SERVICE 08/14/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 557 18WC 25239 HOSTETLER, WENDY L CIRCLE K GAS 07/19/18 CRONIN & PETERS NYHAN BAMBRICK KINZIE & LOWR 558 18WC 25323 CARIA, CONRAD ROADONE INTERMODAL 12/01/17 BLOCK, KLUKAS & MANZELLA P GRANT & FANNING 559 18WC 25370 HOLMES, SHELBY PEPSI BEVERAGES CO 04/02/18 DWORKIN AND MACIARIELLO GAIDO & FINTZEN 560 18WC 25406 ENGEL, KARL JOLIET JUNIOR COLLEGE 09/03/15 BLOCK, KLUKAS & MANZELLA P 561 18WC 25514 HALL, ALLEN STAFFING NETWORK 05/21/18 MARSZALEK AND MARSZALEK SLAVIN & SLAVIN 562 18WC 25544 SHEARER, KATELYN TERRY'S FORD OF PEOTONE 04/19/18 SPIROS LAW PC HOLECEK & ASSOCIATES 563 18WC 25583 THOMPSON, JENNIFER CATERPILLAR INCORPORATED 05/09/18 O'CONNOR & NAKOS GANAN & SHAPIRO 564 18WC 25668 BACON, JEREMY SPEEDEE DELIVERY SERVICES 07/30/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 18WC034262 -C 565 18WC 25730 NUSSBAUM, JOHN APOLLO COLORS 06/13/17 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 566 18WC 25765 JAMES, FAATIMAH AMAZON 04/27/18 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 567 18WC 25836 SPENCER, FAHREEN WILL COUNTY SHERIFF'S OFF 05/19/18 DAVID SZCZECIN & ASSOC HINSHAW & CULBERTSON 568 18WC 25881 MURRAY, MARIANA CINTAS 06/09/15 MARKER & CRANNELL POWER & CRONIN LTD 569 18WC 25915 JACKSON, DARRYL AMAZON 04/10/18 DAVID W MARTAY 570 18WC 25976 TORRES, KRISTOPHER AMAZON.COM 06/20/18 KINNALLY FLAHERTY KRENTZ 571 18WC 25988 WHITE, CHEYENNE SWAP.COM 12/06/17 BURNETT & CARON, LTD 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 CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 572 18WC 26066 MORPHEW, CHRISTOPHER CHEIF CONSTRUCTION, INC 07/19/18 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 573 18WC 26094 PETERSON, RANDY JOLIET JUNIOR COLLEGE 09/04/15 BLOCK, KLUKAS & MANZELLA P 574 18WC 26107 KRUEGER, MARK JOLIET JUNIOR COLLEGE 09/04/15 BLOCK, KLUKAS & MANZELLA P 575 18WC 26386 SUMMERS, ROY DOLLAR TREE 06/28/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 576 18WC 26431 ALMAZAN, ROBERTO ELITE STAFFING 02/02/18 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 577 18WC 26456 FRANK, JACKI SOUTHWEST AIRLINES CO, C/ 05/10/15 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 18WC026457 -C 578 18WC 26558 CASTILLO, GREGORIO WINDY CITY WIRE 07/02/18 LEONARDO MORALES HOLECEK & ASSOCIATES 579 18WC 26592 RIGGS, PENNY UNITED STATE COLD STORAGE 06/06/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 580 18WC 26689 PEREZ, DOMINGO T I EXPRESS 05/29/18 STROM & ASSOC GANAN & SHAPIRO 581 18WC 26719 MCCORD, MATTHEW J MINNESOTA LIMITED LLC 07/25/18 MCNAMARA PHELAN MCSTEEN LL BRADY CONNOLLY & MASUDA PC 582 18WC 26771 WARREN, PARIS T TRIUNE LOGISTICS 07/20/18 GOLDSTEIN BENDER & ROMANOF LITCHFIELD CAVO 583 18WC 26895 RENNER, BRANDY WALMART SUPERCENTER 08/10/18 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 584 18WC 26989 RAICES, MARIA VALLEY VIEW SCHOOL DIST 06/12/17 VRDOLYAK LAW GROUP LLC KNELL O'CONNOR DANIELWICZ 585 18WC 27329 ASHRAF, MOHAMMAD BLUE EYES CAB CORP 07/24/18 HUNER LAW OFFICES LLC 586 18WC 27381 ACUNA, CARLOS JAVIER BEARY LANDSCAPING 06/22/17 EPSTEIN, JACK R LAW OFFICE EDWARD J. KOZEL 587 18WC 27645 TIMM, NANCY AMAZON (SORT CENTER-MDW5) 05/12/18 ELFENBAUM EVERS ZIELINSKA 588 18WC 28244 WAFFORD, TINA CHILDREN & FAMILY SERVICE 03/27/18 HERRERA LAW CENTER DANIELLE CURTISS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 589 18WC 28345 VILCHEZ, JOSE E QUIROS CONSTRUCTION & 09/15/18 ANKIN LAW OFFICE 590 18WC 28431 HERNANDEZ, PABLO STRATEX DEVELOPMENT 10/03/17 COSTA IVONE LLC INMAN & FITZGIBBONS 18WC028432 -C 18WC028433 -C 591 18WC 28436 TSUKINARI, DENNIS BEST BUY 05/16/18 COSTA IVONE LLC HENNESSY & ROACH PC 592 18WC 28539 ROBINSON, PATRICIA MCKESSON/CHANGE HEALTH 04/19/18 BLOCK, KLUKAS & MANZELLA P EARLY & MIRANDA PC 593 18WC 28612 MATLOCK, GLENN NFI INDUSTRIES, INC 04/20/18 WITTER LAW OFFICE 594 18WC 28735 GARCIA, AMAURA BEDFORD MOTOR SERVICE, IN 08/17/18 LEITER LAW OFFICES 595 18WC 28801 HINES, KATHRYN RESIDENTIAL HOME HEALTH 07/23/18 BOGUSZ & BOGUSZ LTD LAWRENCE COZZI - LAW OFFICE 596 18WC 29024 DEAN, GINA L AMAZON 05/06/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 597 18WC 29091 POWERS, DANIEL MIDWEST BULK TRANSLOAD IN 08/28/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 18WC029092 -C 598 18WC 29185 LA MONICA, KIM FIELD AUDI SERVICES TEAM, 06/04/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 599 18WC 29263 SCOTT, DARIUS LABOR TEMPS II LLC 07/18/18 ANKIN LAW OFFICE GAIDO & FINTZEN 600 18WC 29290 WILLIAMS, ARLETHA FRESENIUS KIDNEY CARE 04/16/18 KURASCH & KLEIN, LTD HENNESSY & ROACH PC 601 18WC 29315 ATEN, LESTER JOLIET JUNIOR COLLEGE 07/17/18 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 602 18WC 29328 HART, GWENDOLYN AMAZON MDW2 (BORROWING) 09/08/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 19WC013222 -C INTEGRITY STAFFING SOLUTIO 603 18WC 29443 TELLEZ, ALVARO WILL COUNTY SHERIFF'S DEP 10/17/17 RATHBUN CSEVENYAK & KOZOL HINSHAW & CULBERTSON 604 18WC 29659 FRASSINONE, DAVID AMAZON FULFILLMENT CENTER 09/17/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 605 18WC 29822 REHMAN, RAYEENA TJ MAXX 06/21/17 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 606 18WC 29829 TORRES-VEGA, JOSE A REST HAVEN ILLIANA CHRIST 09/16/18 ANKIN LAW OFFICE FRANCESCA LARSEN 607 18WC 29908 DEAN, CORDERO AJILON 08/30/18 STEVEN J MALMAN & ASSOCIAT HENNESSY & ROACH PC 608 18WC 30102 ZAMBRANO, ANGELINA RYDER USED TRUCK SALES 09/28/18 COSTA IVONE LLC HEYL ROYSTER VOELKER & ALLEN 609 18WC 30159 GORGOL, RAFAL CZS CONSTRUCTION INC 09/19/18 BELLAS & WACHOWSKI 610 18WC 30313 NIKITSCHER, RHONDA SILVER CROSS HOSPITAL 08/15/18 SANDMAN LEVY & PETRICH RUSIN & MACIOROWSKI LTD 611 18WC 30535 RUFF, GERALD II STEGER POLICE DEPARTMENT 09/20/18 KROL BONGIORNO & GIVEN LTD INMAN & FITZGIBBONS 612 18WC 30555 SANDERS, EDWARD C III VULCAN MATERIAL 10/05/18 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 613 18WC 30596 SILVA, FIDENCIO PRIME WOODCRAFT, INC 10/13/17 DANIEL J ADLER LAW OFFICE KNELL O'CONNOR DANIELWICZ 614 18WC 30682 TORRES GARCIA EFRAIN ALAN HORTICULTURAL ENTEPR 07/19/18 GOLDSTEIN BENDER & ROMANOF EVANS & DIXON 615 18WC 30738 BLOCKER, CLARENCE ACCURATE TEMP SERVICES 05/01/18 DWORKIN AND MACIARIELLO JOHN T GONNELLA 616 18WC 30824 ROSA-DEVALLE, RAFAEL DEPENDABLE WAREHOUSING 09/01/18 LEONARD LAW GROUP LLC 617 18WC 31024 GRISETO, VICTOR COMCAST 08/22/18 TURNER & SACKETT LLC HENNESSY & ROACH PC 618 18WC 31201 MITCHELL, ELOISE AVENUE MANAGEMENT LLC 09/06/18 WARREN E DANZ, PC 619 18WC 31247 BANNER, PATRICK DOLLAR TREE DISTRIBUTION 07/17/18 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 620 18WC 31460 WILLIAMS, MARIO PEOPLEREADY/QUAD GRAPHICS 08/31/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 621 18WC 31534 USBORNE, ROBERT PRO LOGISTIX 09/26/18 MARC J SHUMAN & ASSOCIATES SLAVIN & SLAVIN 622 18WC 31587 LULICH, LARRY BYSTRONIC, INC 05/22/18 FRANCIS J DISCIPIO LAW OFF 623 18WC 31668 GOLLICK, DEBRA M SALEM VILLAGE NURSING 10/09/18 SABUCO BECK HANSEN WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 624 18WC 31783 DUNMARS, DAMON BATTLE ENTERPRISES 03/09/18 ALFRED T. WHITERS EVANS & DIXON 625 18WC 31807 FLORES, SANTIAGO PRO BROTHERS MASONRY SERV 04/04/18 GOLDBERG WEISMAN & CAIRO L 626 18WC 31853 BUTLER, CECILIA MAC'S CONVENIENCE STORES 09/11/18 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 627 18WC 32019 CAMERON, LARRY DIVERSIFIED MAINTENANCE 10/12/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 628 18WC 32259 LYNN, JILLIAN ALDI, INC 07/23/17 SCHWEICKERT & GANASSIN 629 18WC 32325 GARCIA, FRANCINE PARSEC 09/08/18 PARENTE & NOREM PC RUSIN & MACIOROWSKI LTD 630 18WC 32458 GALVEZ, ANTONIO DIAGEO 09/21/18 BART DURHAM LAWRENCE COZZI - LAW OFFICE 631 18WC 32513 MACKINEY, MICHAEL SOS CHILDREN'S VILLAGE IL 07/10/18 ANGELINI & ORI LLC 632 18WC 32524 WADE, MARQUELL KELLY SERVICES 10/30/15 JAMES A PAYONK JR 633 18WC 32599 SNOWDEN-BROWN, SHONA ILLINOIS DEPT OF CHILDREN @ 08/29/18 DINIZULU LAW GROUP DANIELLE CURTISS 634 18WC 32620 WILLIAMS, MAURICE PACE SUBURBAN BUS SERVICE 10/22/18 SEIDMAN MARGULIS & FAIRMAN 635 18WC 32661 CRUZ, FERNANDO J MEDTRONIC PLC 08/01/18 VRDOLYAK LAW GROUP LLC POWER & CRONIN LTD 18WC032968 -C MEDRONIC PLC 636 18WC 32711 LAMBERTON, NANETTE ALBERTSONS 06/28/18 PORRO NIERMANN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 637 18WC 32737 FRAUSTO, RICHARD ECFCO SERVICES W 08/02/18 BLOCK, KLUKAS & MANZELLA P 638 18WC 32868 BENSON, WENDY PILOT TRAVEL CENTER 09/18/18 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 639 18WC 32958 SKROBUTON, DAVID W AMAZON FULFILLMENT CENTER 08/29/18 BRILL & FISHEL WIEDNER & MCAULIFFE LTD 640 18WC 33031 CULLEN, MICHAEL J MCDONALD'S 11/21/17 ROSS TYRRELL 641 18WC 33068 SRAGA, ANDREW VILLAGE OF BOLINGBROOK 08/16/18 MICHAEL M WOJITAS 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 CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 642 18WC 33079 WILLIAMS, CHARLIE JR RAIL MANAGEMENT SERVICES 10/04/18 TURCYCHUTE LLC GAROFALO SCHREIBER STORM GRA 643 18WC 33189 BANKS, LEE ROY STATEVILLE CORRECTIONAL C @ 10/22/18 RATHBUN CSEVENYAK & KOZOL DANIELLE CURTISS 644 18WC 33403 ROGERS, OTIS L JR DSC LOGISTICS 07/13/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 645 18WC 33513 RANDALL, JOHN DART CONTAINER 07/28/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 646 18WC 33590 MOORE, LARRY US COLD STORAGE 11/29/17 SPIROS LAW PC BRADY CONNOLLY & MASUDA PC 647 18WC 33629 BRADLEY, NATASHA D SPRING CREEK NURSING/REHA 11/03/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 648 18WC 33649 CHAVEZ, NORMA BERNAL BRODER BROS. CO. 09/11/18 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 649 18WC 33818 SKEEN, DOUGLAS DOT FOODS 10/10/18 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 650 18WC 33828 TROCHEZ, MARITZA ABIGAIL MULTI-TEMPS 07/12/18 HERRERA LAW CENTER GAIDO & FINTZEN 651 18WC 33868 EVANS, SHANTA AVERITT EXPRESS 11/02/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 652 18WC 33943 CINTRON, EDWIN STAFFMARK 11/12/18 STROM & ASSOC KOPKA, PINKUS DOLIN, PC 653 18WC 34017 FISCHER, DAWNE HEALTHSMART HOLDINGS INC 08/01/18 MCNAMARA PHELAN MCSTEEN LL 654 18WC 34035 ASHIBUOGWU, AUSTIN AMAZON.COM 09/24/18 GIAMANCO & OOINK LAW OFFIC WIEDNER & MCAULIFFE LTD 655 18WC 34080 FLATT, JOSEPH WILMINGTON PROFESSIONAL 06/26/17 ANKIN LAW OFFICE 656 18WC 34127 BALLARD, MELISSA US VISION INC 01/29/18 BLEAKNEY & TROIANI 657 18WC 34190 RODRIGUEZ, TEODULO K-1 INTERMODEL, INC 11/12/18 BAUM RUFFOLO & MARZAL LTD 658 18WC 34215 SKAGGS, RANDALL G MFR MANUFACTURING 09/25/18 BLOCK, KLUKAS & MANZELLA P JOSEPH MARCINIAK 659 18WC 34352 WILKINS, TINESHA FEDEX GROUND 09/01/18 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 660 18WC 34410 MARTINES, JANET ELITE STAFFING 10/30/18 HERRERA LAW CENTER 661 18WC 34449 AIDINOVICH, DAVID JOLIET JUNIOR COLLEGE 10/12/18 SALVATO O'TOOLE FROYLAN SCOPELITIS GARVIN LIGHT 662 18WC 34465 CRUZ, ERNESTINA ALPHABRODER 12/15/17 DEPAOLO & ZADEIKIS 663 18WC 34595 VALDEZ-MARTINEZ, ANDREA ELITE STAFFING W 04/05/18 HORWITZ HORWITZ & ASSOC 664 18WC 34688 CHERVEN, FREDRICK IMPACT LOGISTICS INC 11/01/18 DWORKIN AND MACIARIELLO 665 18WC 34759 GARIBAY, JUANA HEADWAY-HICKORY FARMS 10/12/18 MC HARGUE & JONES HOLECEK & ASSOCIATES 666 18WC 34827 HORN, DAVID PARSEC, INC 11/11/18 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 667 18WC 35085 PERKINS, AHMED 1ST CLASS STAFFING 11/09/18 SMOLER LAW OFFICE, PC KRAKER FANNING & OLSEN 668 18WC 35128 MUELLER, ROLLIN CATERPILLAR, INC 05/29/18 RIDGE & DOWNES GANAN & SHAPIRO 669 18WC 35192 MAHON, MICHAEL JR. AMAZON 06/12/18 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 670 18WC 35232 NORWOOD, ASHLEY 48FORTY SOLUTIONS 11/08/18 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 671 18WC 35254 MICHALSKI, JOAN VALLEY VIEW SCHOOL DISTRI 09/14/18 MARKER & CRANNELL POWER & CRONIN LTD 18WC035255 -C 672 18WC 35336 ROWLAND, VICTORIA M AMAZON.COM INC 04/13/18 LOUIS A PLZAK & ASSOCIATES 673 18WC 35354 CHALLANS, CHARLES E COPIER CONSULTANTS INC 12/07/16 BRUGGEMAN HURST & ASSOC WIEDNER & MCAULIFFE LTD 674 18WC 35410 DURKIN, LAURA SPEEDWAY 08/08/18 POLANSKY & CICHON CHTD KEEFE CAMPBELL BIERY & ASSOC 675 18WC 35604 DIGIOVANNI, FRANK V VILLAGE OF BOLINGBROOK 07/18/18 THOMAS W DUDA POWER & CRONIN LTD 676 18WC 35624 NELSON, WILLIAM CHICAGO HEIGHTS SCHL DIST 01/06/17 BLOCK, KLUKAS & MANZELLA P 677 18WC 35748 SMITH, MICHAEL JOLIET PUBLIC SCHOOL DIST 11/27/18 JAMES ELLIS GUMBINER & ASS BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 678 18WC 35768 MASON, LATISHA TRINITY SERVICES 11/27/18 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 679 18WC 35819 BANKS, DENISHA LITTLE CAESARS 11/09/18 ROGER D RUDICH LTD HENNESSY & ROACH PC 680 18WC 35901 LIZARDO, AGUSTIN AMERICAN AUTO WORKS 08/08/18 CULLEN HASKINS NICHOLSON 681 18WC 35926 BAKER, MICHAEL AMAZON FULFILLMENT CENTER 07/03/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 682 18WC 35987 KMETTY, JOSEPH LEWIS UNIVERSITY 05/01/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 683 18WC 36116 ROSSOW, JAMES CROWN SERVICES INC 11/14/18 HORWITZ HORWITZ & ASSOC EVANS & DIXON 684 18WC 36139 BLACKMON, RACHELLE NOVASTAFF HEALTHCARE SRVS 01/17/18 HUGHES SOCOL PIERS RESNICK 685 18WC 36333 ORTIZ, ESTEFANIA VERIZON 10/24/18 KATZ FRIEDMAN EAGLE ET AL ASA LAW GROUP 686 18WC 36416 FRANKLIN, ANGELO WHEATHERTECH 11/08/18 ROGER D RUDICH LTD SCOPELITIS GARVIN LIGHT 687 18WC 36537 FREIGO, GARY JEWEL DISTRIBUTION CENTER 12/06/18 GOLDBERG WEISMAN & CAIRO L 688 18WC 36564 RENNER, DAVID USF HOLLAND, LLC C/O CT C 11/27/18 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 689 18WC 36608 PENA, ANTONIO JOLIET PUBLIC SCHOOLS DIS 08/20/18 FRANCIS J DISCIPIO LAW OFF ROSARIO CIBELLA 690 18WC 36752 DINGLE, KIESHA XSPORT FITNESS 12/05/18 ACCIDENT FUND HOLDINGS 691 18WC 36777 RUIZ, MARISOL AMAZON 05/08/18 FOOTE MIELKE CHAVEZ O'NEIL 692 18WC 36869 DE JESUS MARTINEZ, ALBERT BMP BUILDERS LLC 09/06/18 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 693 18WC 36995 FULTON, SHAWN WAREHOUSE SVCS INC 10/09/18 FRANK A CELANI 694 18WC 37081 MORENO, IGNACIO ECOLAB INC 11/02/18 SCHWEICKERT & GANASSIN KEEFE CAMPBELL BIERY & ASSOC 695 18WC 37188 BROOKS, LATOSHA A QUAD GRAPHICS 09/06/18 SABUCO BECK HANSEN WOLF & LAUDICINA LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 696 18WC 37324 TREECE,RICHARD K VLGE OF BOLINGBROOK POLIC 11/28/18 MORICI FIGLIOLI & ASSOC 697 18WC 37425 MURPHY, JAMES STATE OF IL C/O STATEVILL @ 02/06/18 PETER C KOPOULOS DANIELLE CURTISS 698 18WC 37498 MUNOZ, ISIDRO VALLEY VIEW COMMUNITY SCH 11/01/18 DEPAOLO & ZADEIKIS POWER & CRONIN LTD 699 18WC 37555 RAFIDI, FADI TIRE TRACKS 12/03/18 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 19WC001584 -C 700 18WC 37614 JONES, VENEZUELA AMAZON.COM.DEDC LLC 11/08/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 701 18WC 37724 CREMEENS, JAMES G STATE OF ILLINOIS @ 01/05/16 KELLEHER & BUCKLEY DANIELLE CURTISS 702 18WC 37760 WAGNER, MATTHEW UNITD PIPING, INC 12/06/18 FRIEND LEVINSON & BERGAL LEAHY EISENBERG & FRAENKEL 703 18WC 37838 RASZEWSKI, TAD M.R. EXPRESS INC 11/20/18 ANKIN LAW OFFICE 704 18WC 38204 BROWN, JOHN H PARSEC, INC. 12/22/18 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 705 18WC 38306 19B MAZEIKA, CHAD WESTERN UTILITY 01/11/18 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 706 19WC 00031 DIAZ, DOLORES Y AMAZON DISTRIBUTION CENTE 10/10/18 VITELL & SPITZ LTD 707 19WC 00181 ROGERS, TERESITA PILOT TRAVEL CENTER, LLC 06/05/17 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 19WC001536 -C 708 19WC 00205 POWELL, JOYCE HQC INC. 03/20/18 SOSTRIN AND SOSTRIN PC BRYCE DOWNEY & LENKOV LLC 709 19WC 00329 MARTINEZ, RENE PREMIER EMPLOYERS SERVICE 05/22/17 STUART H GALESBURG 710 19WC 00477 MUNOZ, RAMIRO KEHE FOOD DISTRIBUTORS IN 11/21/18 LUSAK AND COBB POULOS & DIBENEDETTO LAW 711 19WC 00498 RADAKOVICH, CATHY S KRUPALU, LLC, D/B/A 01/05/18 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 712 19WC 00537 SIWINSKI, DANIEL J VILLAGE OF MOKENA 01/12/16 HANNIGAN & BOTHA, LTD SLAVIN & SLAVIN 713 19WC 00626 BREEN, RACHEL WAREHOUSE SERVICES INTNL 12/09/18 HORWITZ HORWITZ & ASSOC FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 714 19WC 00657 JONES, KLARISA J EASTER SEALS 05/24/18 STEVEN J MALMAN & ASSOCIAT 715 19WC 00696 GARRETT, ROGER ELITE LABOR SERVICES 10/22/18 MC HARGUE & JONES 716 19WC 00881 LOPEZ, LEODEGARIO HOLLAND, LLP. 05/22/18 MEYERS & FLOWERS GAROFALO SCHREIBER STORM GRA 717 19WC 01048 MARTINEZ, JUANA NC-THE CLEANING AUTHORITY 01/02/19 COSTA IVONE LLC LAWRENCE COZZI - LAW OFFICE 718 19WC 01193 GREGORY, ERNEST ITW 01/09/19 DWORKIN AND MACIARIELLO 719 19WC 01255 OCHOA, ISAURA CUSTOM PERSONALIZATION 01/04/18 TAMVAKIS, GEORGE L ROSARIO CIBELLA 19WC001256 -C 720 19WC 01274 O'DELL, CLARENCE BRIGHT SKY STAFFING 12/08/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 721 19WC 01313 RICHARD, JARED STATE OF IL 11/28/18 HORWITZ HORWITZ & ASSOC DANIELLE CURTISS 722 19WC 01388 MAYE, JUNE STATE OF ILLINOIS DHS @ 06/26/18 BLOCK, KLUKAS & MANZELLA P DANIELLE CURTISS 723 19WC 01453 VOICE, JANE WALMART- BOLINGBROOK 04/06/18 STROM & ASSOC QUINTAIROS PRIETO WOOD & BOY 724 19WC 01481 TRIER, MARK ILLINOIS QUALITY CONSTRUC 08/14/18 STEWART C ORZOFF LITCHFIELD CAVO 725 19WC 01537 DREYER, CARL GREATER JOLIET AREA YMCA 08/19/17 DAVID SZCZECIN & ASSOC RUSIN & MACIOROWSKI LTD 726 19WC 01691 NUDO, DIANE AMAZON 10/14/18 ELIZABETH BOWER KENT WIEDNER & MCAULIFFE LTD 727 19WC 01767 DENTON, GAIL HOUSING AUTHORITY OF JOLI 11/27/18 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 728 19WC 01810 BOLING, MICHAEL VILLAGE OF PLAINFIELD 01/11/19 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 729 19WC 01905 MALLORCA, MYRNA PRESENCE PROVENS 12/07/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 730 19WC 01974 LOMELI, LUIS WINDY CITY DISTRIBUTION 12/18/18 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 731 19WC 01991 NERY, JOSEFINA PREMIER GROUP 12/28/18 SALVATO O'TOOLE FROYLAN KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 732 19WC 02207 PIERCE, MICHELLE MARIANO'S FRESH MARKET/KR 12/23/18 JOSHUA KARMEL BRYCE DOWNEY & LENKOV LLC 733 19WC 02292 LA BEAU, JAMES CITGO PETROLEUM CORP 12/16/18 BLOCK, KLUKAS & MANZELLA P SPIEGEL & CAHILL, PC 734 19WC 02379 JONES, GENELLE ILLINOIS STATE POLICE @ 10/25/18 RIDGE & DOWNES DANIELLE CURTISS 735 19WC 02411 ROSA, LUIS G WAL-MART ASSOCIATES INC 12/29/18 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 736 19WC 02432 SMITH, MORRIEL DOLLAR TREE DISTRIBUTION, 10/26/18 PAUL A COGHLAN & ASSOC LEAHY EISENBERG & FRAENKEL 737 19WC 02767 NOVAK, KELLY JEWEL OSCO 09/12/18 DAVID W MARTAY 738 19WC 03008 GEE, LA TINA INTEGRITY TRADE SERVICES 01/22/19 GOLDBERG WEISMAN & CAIRO L 739 19WC 03221 BOYLE, ROBERT L SHAMROCK CARTAGE, INC. 11/29/18 MORICI FIGLIOLI & ASSOC 740 19WC 03425 BROOKS, MORGAN KINDRED HEALTHCARE 09/12/18 RATHBUN CSEVENYAK & KOZOL ARNETT LAW GROUP 741 19WC 03478 EVANS, ROBERT AMAZON FULFILLMENT CENTER 02/16/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 742 19WC 03507 SOHM, TINA MEDTRONIC 01/28/18 GREGORIO & MARCO POWER & CRONIN LTD 743 19WC 03620 YOUNG, LAVON MIDWAY MOVING & STORAGE 01/18/19 ANGELINI & ORI LLC 744 19WC 03632 MCCRAY, DWAYNE WERNER 12/01/18 DWORKIN AND MACIARIELLO SMITH AMUNDSEN LLC 745 19WC 03652 DAVY, DARRIN AT&T 12/20/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 746 19WC 03746 BLAIR, CODY DRIVE TIME AUTOMOTIVE 12/13/18 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 747 19WC 03823 COLON, MARIEL ARAMARK 12/03/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 748 19WC 03858 ARNOLD, EDWARD M USF HOLLAND, LLC C/O CT 01/03/19 HETHERINGTON KARPEL & BOBB HENNESSY & ROACH PC 749 19WC 03906 CAMPBELL, PETER EDWARD AMBULANCE SERVICES 10/18/18 DAVID W CLARK RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 750 19WC 03947 BARBA, LETICICA RON'S STAFFING 01/16/19 COSTA IVONE LLC KOREY RICHARDSON LLC 751 19WC 03991 MC CAIN, CURTIS TH RYAN CARTAGE COMPANY 01/14/19 SANDMAN LEVY & PETRICH WOLFE & JACOBSON, LTD 752 19WC 04417 MUNOZ, ENRIQUE G&W ELECTRIC CO 08/14/18 JONATHAN SCHLACK 753 19WC 04494 VILLAFRANCO, ENRIQUE WILL COUNTY HEALTH DEPT 09/10/18 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 754 19WC 04586 HOLCOMB, TRACY MURPHY USA 02/06/19 ANSELMO DURAN LAWRENCE COZZI - LAW OFFICE 755 19WC 04685 RUSHIDOVSKI, BENIM TREDROC TIRE SERVICES 05/11/18 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 756 19WC 04724 CLEMONS, RASHON WERNER ENTERPRISES INC 02/13/19 ANKIN LAW OFFICE SMITH AMUNDSEN LLC 757 19WC 04762 WILLIAMS, THERESA BEECHER MANOR NURSING & R 01/28/19 BRISKMAN BRISKMAN GREENBER 758 19WC 04779 VELASZQUEZ, SALVADOR ATANACIO CUELLAR TACHOS B 07/30/18 HERRERA LAW CENTER LAWRENCE COZZI - LAW OFFICE 759 19WC 04797 BREITBARTH, ERNEST PACTIVE 03/01/18 BOUDREAU NISIVACO LLC WIEDNER & MCAULIFFE LTD 760 19WC 04818 ROMANO, PEGGY HOMER TOWNSHIP PUBLIC LIB 03/05/18 ROSS TYRRELL JOSEPH MARCINIAK 761 19WC 05039 HADLEY, CINDY AMITA HEALTH 12/19/18 SMOLER LAW OFFICE, PC NYHAN BAMBRICK KINZIE & LOWR 762 19WC 05100 REYNOLDS, BRYAN USF HOLLAND 02/14/19 PARENTE & NOREM PC HENNESSY & ROACH PC 763 19WC 05126 POSTMA, HAILEY R AMAZON FULFILLMENT CENTER 11/16/18 O'CONNOR & NAKOS 764 19WC 05159 VOLLMER, THOMAS JIM MELKA LANDSCAPING 04/17/18 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 765 19WC 05311 GREER, ADAM AMAZON.COM, LLC 01/23/19 RITTENBERG BUFFEN WIEDNER & MCAULIFFE LTD 766 19WC 05383 HARRIS, DAMOND J.B. HUNT 01/28/19 LEONARD LAW GROUP LLC MICHAEL JASPER 767 19WC 05415 RUIZ, SANDRA PRO STAFFING 02/07/19 MICHAEL HELLMAN SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 768 19WC 05490 O'SHAUGHNESSY, REBECCA JULIAN ELECTRIC, INC 01/04/19 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 769 19WC 05524 ANDRAE, CATHY JOLIET JUNIOR COLLEGE 01/23/19 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 770 19WC 05589 STACEY, SCOTT MACY'S LOGISTICS 12/04/18 MEYERS & FLOWERS BRYCE DOWNEY & LENKOV LLC 771 19WC 05743 TOMKO, GREER AMAZON.COM SERVICES, INC. 10/06/18 ANKIN LAW OFFICE 772 19WC 05881 AZOCAR DE MARTINEZ, MIRNA SERVICE MASTER CLEAN 02/12/19 EPSTEIN, JACK R LAW OFFICE GILDEA, COGHLAN & REGAN LTD. 773 19WC 05982 MUNOZ, ISRAEL FLEETWOOD GOLD COW YARD, 02/20/19 VRDOLYAK LAW GROUP LLC 774 19WC 06059 SIERRA-PENA, DAVID KNEAD DOUGH BAKING CO 07/07/16 ROBERT WARSASKI 775 19WC 06189 URZEDOWSKI, BRIAN AT&T 11/14/18 CULLEN HASKINS NICHOLSON 776 19WC 06301 SCHMIDT, KENNETH NATIONWIDE RAIL SERVICE 12/28/18 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 777 19WC 06349 RESENDEZ, ARTURO ILLINOIS STATE POLICE @ 01/24/19 RATHBUN CSEVENYAK & KOZOL DANIELLE CURTISS 778 19WC 06399 BROWN, TIMOTHY I55 AUTO SALVAGE INC 01/26/19 LEITER LAW OFFICES WOLFE & JACOBSON, LTD 779 19WC 06495 ROBINSON, RONALD USF HOLLAND 01/18/19 PARENTE & NOREM PC HENNESSY & ROACH PC 780 19WC 06509 CONTRERAS, JERARDO WILLCO GREEN, LLC 02/13/19 JOHN J CASTANEDA BRYCE DOWNEY & LENKOV LLC 781 19WC 06690 WILLIAMS-LASH, CRYSTAL INTEGRITY STAFFING SOLUTI 02/19/17 PORRO NIERMANN LAW GROUP 782 19WC 06762 GOMEZ, RAUL HENIFF TRANSPORATION SYST 12/21/18 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 783 19WC 06797 HARRISON, JOHNNY DOLLAR TREE WAREHOUSE 01/23/19 LEITER LAW OFFICES LEAHY EISENBERG & FRAENKEL 784 19WC 06981 HILL-TRAVIS, MELISSA Y PRESENCE VILLAG FRANCISCA 11/29/18 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 785 19WC 07157 ARNOLD, TIMOTHY MACY'S LOGISTICS & OPERAT 02/28/18 SCHWEICKERT & GANASSIN BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 786 19WC 07219 MCPHERSON, SANDRA ASCENSION HEALTH 03/28/18 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC 787 19WC 07260 CLARK, AARON TERMINAL SWITCHING SERVIC 12/12/18 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 788 19WC 07733 MURPHY, PATRICK JOLIET JUNIOR COLLEGE 01/13/19 BLOCK, KLUKAS & MANZELLA P 789 19WC 07793 KELLY, TROY WASTE INCORP 12/26/18 LEONARD LAW GROUP LLC 790 19WC 07916 JACKSON, DAVID JOLIET POLICE DEPARTMENT 01/24/19 PARENTE & NOREM PC KNELL O'CONNOR DANIELWICZ 791 19WC 07933 EASTERLING, MELODY STATE OF ILLINOSI DOC, @ 02/13/19 BLOCK, KLUKAS & MANZELLA P DANIELLE CURTISS 792 19WC 08020 19B CRONIN, KELLY AMAZON FULFILLMENT CENTER 07/04/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 793 19WC 08039 SEABRON, RONALD HOME ENERGY CONTROL 11/13/18 BLOCK, KLUKAS & MANZELLA P LAWRENCE COZZI - LAW OFFICE 794 19WC 08150 REEVES, ERIC POT BELLY'S 07/01/17 KINNALLY FLAHERTY KRENTZ HOLECEK & ASSOCIATES 795 19WC 08193 TREVINO, JUAN ROUTE 30 LAUNDROMAT 02/16/19 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 796 19WC 08214 SANCHEZ, JOSE H KEHE FOOD DISTRIBUTIONS, 02/19/18 DEPAOLO & ZADEIKIS 797 19WC 08275 NILES, KEVIN J ROCK RIVER CARTAGE 08/20/18 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL BIERY & ASSOC 798 19WC 08381 GILLILHAN, DEBBIE HARRAH'S JOLIET CASINO 02/01/19 HANNIGAN & BOTHA, LTD NOBLE & ASSOC 799 19WC 08441 NEUMANN, LIANA AMERICAN CHROME CHICAGO C 01/24/19 PORRO NIERMANN LAW GROUP 800 19WC 08460 LUTTRELL, RAY OSWEGO SCHOOL DISTRICT 30 07/10/17 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 801 19WC 08650 DE LA TORRE, ARACELI DOLLAR TREE DISTRIBUTION 02/12/19 LEITER LAW OFFICES LEAHY EISENBERG & FRAENKEL 802 19WC 08667 BERUMAN, MARIA PRIMARY STAFFING INC 02/25/19 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 803 19WC 08820 ALSTON, BRANDON ILLINOIS DEPARTMENT @ 01/30/19 RIDGE & DOWNES DANIELLE CURTISS 804 19WC 08847 PANTOJA, SANTOS ARYZTA 08/06/18 COSTA IVONE LLC HENNESSY & ROACH PC 19WC008848 -C 805 19WC 08882 MORALES MAGANA, RIGOBERTO ROVANCO PIPING SYSTEMS, I 10/08/18 KIPNIS & KAHN 806 19WC 08903 PEREZ, MARIO JOLIET JUNIOR COLLEGE 12/17/18 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 807 19WC 08923 GARESKI, STANLEY WOODMARK, LLC 02/04/19 RUBENS KRESS MULHOLLAND ACCIDENT FUND HOLDINGS 808 19WC 09059 GORDON, BARBARA WILL COUNTY SHERIFF'S DEP 02/22/18 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 19WC009060 -C 809 19WC 09089 CLIFTON, JOSH TEAM COMPANY INC D/B/A 02/01/19 ACEVES & PEREZ PC HENNESSY & ROACH PC 19WC009090 -C 810 19WC 09123 GRAZER, JEFF ANDROMEDA TECH SOLUTIONS/ 05/16/17 BLOCK, KLUKAS & MANZELLA P 811 19WC 09164 BECERRIL, HUGO A.S.G. STAFFING INC 02/18/19 TAMVAKIS, GEORGE L FRANCIS J DISCIPIO LAW OFFIC 812 19WC 09240 AGUILAR, MARTIANA ELITE STAFFING INC 08/07/17 CULLEN HASKINS NICHOLSON 813 19WC 09491 PARKER, JOHN KUUSAKOSKI US LLC 02/12/19 DAVID M SPADA RUSIN & MACIOROWSKI LTD 814 19WC 09567 POLKA, THOMAS AMAZON FULFILLMENT CENTER 12/22/18 SEIDMAN MARGULIS & FAIRMAN 815 19WC 09857 JACOB, SEBASTIAN STATE OF ILLINOIS @ 02/03/19 GERALD CONNOR DANIELLE CURTISS 816 19WC 09974 KHAKSARI, SORAYA D CIRCLE K 02/02/19 COSTA IVONE LLC 817 19WC 10082 ERBY, KENYATTA AMAZON (MONEE DISTRIBUTIO 03/23/19 COVEN LAW GROUP 818 19WC 10130 O'DONNELL, DAVID COMMONWEALTH EDISON CO 01/22/19 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 819 19WC 10143 HOLMGREN, JAMES CITY OF JOLIET 02/06/19 RIDGE & DOWNES ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 820 19WC 10166 WITVOET, RONALD BLUE LINX, INC. 01/18/19 CAPRON & AVGERINOS PC 821 19WC 10347 APPIAH, YAW US XPRESS ENTERPRISES 03/05/19 CHRISTIAN & MANNO HENNESSY & ROACH PC 822 19WC 10486 TATMAN, LLOYD KASPER AG SOLUTIONS, LLC 01/17/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 823 19WC 10586 LOPEZ, JOSE BASILIO PATIN RAILWAY & INDUSTRIAL SERV 06/28/18 THE ROMAKER LAW FIRM 824 19WC 10629 OLSON, JACQUELINE WEATHERTECH 10/17/18 KROL BONGIORNO & GIVEN LTD ROSARIO CIBELLA 825 19WC 10650 COLON, LINDA AGP CONSULTING & MANAGEME 02/21/19 VASILATOS & COTTER LLC COZZI & ZAPF LAW OFFICE 826 19WC 10894 LEMA, PIEDAD AMAZON. COM, INC. 05/08/18 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 19WC010895 -C 827 19WC 11035 PITTS, KEAVITH FLORSTAR SALES, INC 03/12/19 THERMAN LAW OFFICES 828 19WC 11083 OWENS, JOE D SHAMROCK CARTAGE INC 03/06/19 CHARLES LEVY & ASSOC LTD 829 19WC 11134 FLASSIG, TIMOTHY NATIONAL DCP, LLC 09/06/18 VRDOLYAK LAW GROUP LLC 830 19WC 11612 SANCHEZ, JAVIER PACTIV 12/03/18 MARKER & CRANNELL WIEDNER & MCAULIFFE LTD 831 19WC 11652 MAGERKURTH, DONNA PLAINFIELD SCHOOL DISTR 2 01/22/19 WOODRUFF JOHNSON INMAN & FITZGIBBONS 832 19WC 11692 BROWN, ETHAN UPS 12/04/18 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 833 19WC 11799 MOORE, LARRY UNITED STATES COLD STORAG 11/28/17 SPIROS LAW PC BRADY CONNOLLY & MASUDA PC 834 19WC 11966 PEREZ, MARGARITA MEJIA FIRST STAFF SERVICES 03/05/19 CULLEN HASKINS NICHOLSON 835 19WC 12234 RASCHKE, ERICK AUSTIN TYLER CONSTRUCTION 10/05/17 HORWITZ HORWITZ & ASSOC 836 19WC 12261 MASON, MAURICE METRO STAFF INC. 04/19/19 STROM & ASSOC WIEDNER & MCAULIFFE LTD 837 19WC 12412 CARTER, WESLEY LANGER TRANSPORT CORPORAT 12/27/18 STEVEN A CRIFASE, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 838 19WC 12489 RASCHKE, ERICK ASUTIN TYLER CONSTRUCTION 10/05/17 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 839 19WC 12535 REED, DAVID L COUNTY OF WILL SHERIFF'S 11/08/18 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 840 19WC 12575 TRAVIS, CLIANTHIA CENTER FOR DIABILITY 04/20/19 DWORKIN AND MACIARIELLO 841 19WC 12585 KNUDSEN, ANGELA MACY'S 01/18/19 RUBENS KRESS MULHOLLAND BRYCE DOWNEY & LENKOV LLC 842 19WC 12609 SOLIS, MARIA AARON THOMAS CO. 02/25/19 BRILL & FISHEL 843 19WC 12625 ANDERSON, KEBIN NATIONAL TUBES SUPPLY 04/17/19 DAVID W MARTAY 844 19WC 12641 HAWKINS, JAMIE VILLAGE OF BEECHER 02/16/19 DONALD FOHRMAN & ASSOC 845 19WC 12777 MAYO, MARIA ARYZTA 04/25/19 LUSAK AND COBB HENNESSY & ROACH PC 846 19WC 12895 SETHARAT, MANG SUMMIT STAFFING 01/17/19 DWORKIN AND MACIARIELLO 847 19WC 12917 STANISLAUS, DAVID NORTHERN ILLINOIS STEEL S 04/03/19 HORWITZ HORWITZ & ASSOC POULOS & DIBENEDETTO LAW 848 19WC 12975 GORTER, RONALD BRINKS ARMORED 03/20/19 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 849 19WC 13004 STARCZEWSKI, CONNIE JEWEL FOOD STORES INC 02/09/18 FRANK A CELANI 850 19WC 13060 KULOUSEK, BRIAN ACCURATE LOGISTICS 12/12/18 DEPAOLO & ZADEIKIS GANAN & SHAPIRO 851 19WC 13113 MOTHERSHED, KIRSTEN H SCHNEIDER NATIONAL TRUCKI 04/30/16 852 19WC 13280 LONG, ANTON MILANO BAKERY, INC 02/03/19 COSTA IVONE LLC GILDEA, COGHLAN & REGAN LTD. 853 19WC 13340 LEE, NATASHA L SILVER CROSS HOSPITAL 04/18/19 RONALDSON & KUCHLER RUSIN & MACIOROWSKI LTD 854 19WC 13463 GONZALEZ, NATHANIA COUNTY OF WILL 04/01/19 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 855 19WC 13565 MC DONALD, SHARON TRINITY SERVICES, INC 04/23/19 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 856 19WC 13588 ACOSTA, JOSE J SCURTO CONCRETE CNSTRUCTO 10/08/18 GORDON & CENTRACCHIO LLC CAPUANI, FRANK S 857 19WC 13613 GRACE, EMANUEL FEDERAL SIGNAL CORP 03/22/18 SCOTT B SHAPIRO 858 19WC 13708 HERNANDEZ, JOSE G CHOICE DRYWALL & PAINTING 03/27/18 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 859 19WC 13722 BUREK, JOSEPH STAFFMARK 04/09/19 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL BIERY & ASSOC 860 19WC 13843 JERONIMO, PABLO EASY MAILING INC 04/23/19 CHEPOV & SCOTT LLC HEYL ROYSTER VOELKER & ALLEN 19WC015833 -C 861 19WC 13894 MARTINEZ GRIMALDO, EVA AMAZON 04/22/19 JOHN J CASTANEDA WIEDNER & MCAULIFFE LTD 862 19WC 13929 PANAGIOTOPOULOS, GEORGE COUNTY OF WILL ADULT DETE 12/06/18 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 863 19WC 13986 DAVIS, SAMUEL R&L CARRIERS SHARED SRVS 07/10/18 GELCH & ASSOCIATES PA KEEFE CAMPBELL BIERY & ASSOC 864 19WC 14116 ANDERSON, HENRY HOME DEPOT 04/30/19 CRONIN PETERS & COOK ADELSON TESTAN BRUNDO 865 19WC 14265 FARNESI, IAN D ALAN MACK & SONS, INC 01/03/19 SOSTRIN AND SOSTRIN PC POWER & CRONIN LTD 866 19WC 14419 WAKEHAM, KRISTIE AT&T 11/30/18 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 867 19WC 14453 MEYERS, KYLE MARIGOLD INC 02/27/19 COVEN LAW GROUP 868 19WC 14505 MATTHIAS, BRADLEY AMAZON 03/29/19 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 869 19WC 14546 KASHER, DENISE NEW HOPE PRESBYTERIAN CHU 11/29/18 BLOCK, KLUKAS & MANZELLA P BRYCE DOWNEY & LENKOV LLC 870 19WC 14705 BROOKS, ARTELIA SIMOS INSOURCING SOLUTION 04/30/19 LEONARD LAW GROUP LLC 871 19WC 14792 SMOCK, MELISSA PLAINFIELD SURGERY CENTER 06/18/18 GWC INJURY LAWYERS LLC 872 19WC 14870 CORTEZ, JUAN ADHESIVE SYSTEMS, INC 06/12/18 BERG & BERG SCHOUEST BAMDAS SOSHEA 873 19WC 15063 LOPEZ, LEODEGARIO HOLLAND, LLP 05/06/19 MEYERS & FLOWERS GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 874 19WC 15178 SHEPARD, JUSTIN ATLAS STAFFING 05/18/19 GWC INJURY LAWYERS LLC KNELL O'CONNOR DANIELWICZ 875 19WC 15208 FITZGERALD, BRIAN USF HOLLAND 03/20/19 PARENTE & NOREM PC 876 19WC 15258 WILSON, MARVIS FEDEX 12/01/18 LEITER LAW OFFICES KOPKA, PINKUS DOLIN, PC 877 19WC 15305 DAUNIS, JAMES A VILLAGE OF BOLINGBROOK- 04/17/19 MORICI FIGLIOLI & ASSOC POWER & CRONIN LTD 878 19WC 15509 CROSS, LARRY STATE OF ILLINOIS/ @ 01/24/19 LANNON LANNON & BARR LTD DANIELLE CURTISS 879 19WC 15565 CAREY, MIKE UNIVAR USA, INC 07/16/18 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC 880 19WC 15634 BARRIOS, SERGIO GOLF VISION 05/09/19 CULLEN HASKINS NICHOLSON ROSARIO CIBELLA 881 19WC 15643 JAMES, DONOVAN G&W ELECTRIC 02/12/19 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 882 19WC 15646 SUMMERS, CHAD ALPHA BAKING 05/02/19 BLOCK, KLUKAS & MANZELLA P 883 19WC 15657 SANSON, CLINTON HOME DEPOT DISTRIBUTION C 05/14/19 ELFENBAUM EVERS ZIELINSKA MC ANDREWS & NORGLE LLC 884 19WC 15691 PIERSCIONEK, SPARKETTE SALEM VILLAGE NURSING & 05/13/19 ANKIN LAW OFFICE 885 19WC 15744 MUHAMMAD, HAKEEM ILLINOS DEPT OF CORRECTIO 05/26/19 STROM & ASSOC DANIELLE CURTISS 886 19WC 15906 KJELLESVIK, RYAN PIPE STRONG 03/28/19 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 887 19WC 15936 JACKSON, GEORGE AMAZON 04/10/19 VRDOLYAK LAW GROUP LLC 888 19WC 16060 POLK, CHARLES AMAZON DISTRIBUTION CENTE 04/04/19 HORWITZ HORWITZ & ASSOC 889 19WC 16151 CASTILLO, JOSE BC FOODS 04/15/19 COSTA IVONE LLC GANAN & SHAPIRO 890 19WC 16186 MAIR, ANDREW DOKA USA LTD 07/14/18 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 891 19WC 16203 PRODEHL, RUSSELL CITY OF JOLIET 05/13/19 POLANSKY & CICHON CHTD ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 892 19WC 16294 ALLEN, NATHAN NATIONAL RETAIL SYSTEMS 05/02/19 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC 893 19WC 16331 LAGUNES DE RODRIGUEZ, MYR ARYZTA 05/09/19 BART DURHAM HENNESSY & ROACH PC 894 19WC 16378 MOORE, JOSHUA GREENCORE USA, INC. 04/06/19 ANKIN LAW OFFICE WOLFE & JACOBSON, LTD 895 19WC 16485 QUEZADA, CARLOS ARS TRANSPORTATION COMPAN 11/15/17 ALEKSY BELCHER 896 19WC 16530 LEWIS, TRACY L METRO STAFF, INC 04/18/19 BRISKMAN BRISKMAN GREENBER 897 19WC 16565 DEL TORO, MARIO JH BOTTS, INC 05/28/19 BERG & BERG 898 19WC 16606 BAINES, VELISER DAVIS CORNERSTONE SERVICES INC 05/08/19 RATHBUN CSEVENYAK & KOZOL 899 19WC 16648 SPATARO, JOHN VILLAGE OF BOLINGBROOK 04/15/19 HORWITZ HORWITZ & ASSOC 900 19WC 16703 BALDYGA, CYNTHIA TROY COMMUNITY CONSOLIDAT 05/06/19 FAJARDO LAW GROUP RUSIN & MACIOROWSKI LTD 901 19WC 16764 RODRIGUEZ, SANTIAGO A COUNTRY FINANCIAL 06/03/19 TIMOTHY HENDERSON HOLECEK & ASSOCIATES 902 19WC 16768 SKREZYNA, RICHARD ALLIED UNIVERSAL 05/26/19 GERALD CONNOR GAROFALO SCHREIBER STORM GRA 903 19WC 16790 PERRY JR, MICHAEL LOGOPLASTE 05/20/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 904 19WC 16860 BROWDER, AUSTIN TONY WALLENBERG AND SONS 04/23/19 MCNAMARA PHELAN MCSTEEN LL 905 19WC 16945 KNIGHT, TANEKA COOK COUNTY JUVENILE 04/17/19 ASHER, RAYMOND L LTD STATES ATTORNEY OF COOK COUN 906 19WC 17038 MENSENDIKE, ROBERT CARPENTER LIQUID TRANSPOR 01/14/19 HORWITZ HORWITZ & ASSOC JAMES M KELLY 907 19WC 17088 HILL, WILLIAM HOME DEPOT 05/31/19 WOODRUFF JOHNSON ADELSON TESTAN BRUNDO 908 19WC 17099 METZGER, ROBERT WESTERN MOTOR GROUP, INC 06/11/19 CAPRON & AVGERINOS PC 909 19WC 17241 WUJEK, THOMAS J PORTILLO'S HOT DOGS 04/25/19 BERG & BERG HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 910 19WC 17303 OLESUK, CHRISTOPHER ILLINOIS DEPT OF CORRECTI @ 03/29/19 MARKER & CRANNELL DANIELLE CURTISS 911 19WC 17320 JENSEN, TODD FEDERAL EXPRESS CORP, FOR 12/22/17 BRIAN J MC MANUS & ASSOC, ASHER, RAYMOND L LTD 19WC017321 -C 912 19WC 17513 SURICO, THOMAS MARIANO'S 02/26/18 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC 913 19WC 17570 MCCABE, ROBERT PHILLIP R. KAPRAUN D.V.C. 10/17/18 VOGG, MARK J LAW OFFICE HOLECEK & ASSOCIATES 914 19WC 17586 WHITNEY, JACOB CACHE VALLEY ELECTRIC 05/09/19 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 915 19WC 17631 BATUSICH, JOHN LOCKPORT TOWNSHIP FIRE DI 01/29/19 MENDOZA LAW PC 916 19WC 17647 KEARNEY, DARRELL CLEARSTAFF, INC 06/05/19 COSTA IVONE LLC ACCIDENT FUND HOLDINGS 917 19WC 17671 SIMMONS, MARIAH LIFETIME FITNESS 06/13/19 JAMES ELLIS GUMBINER & ASS 918 19WC 17749 MELGOZA, MARIA AMITA HEALTH 05/17/19 SEIDMAN MARGULIS & FAIRMAN STONE & JOHNSON CHARTERED 919 19WC 17772 SMITH, NATHANIEL UNITED STATES COLD STORAG 06/10/19 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 920 19WC 17814 NUNEZ, JOSE ESMARK STEEL MIDWEST GROU 05/20/19 ROBERT WARSASKI 921 19WC 17850 BINNS, KATHLEEN T JTHS SCHOOL DISTRICT 204 05/07/19 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 922 19WC 18183 SIEGEL, KYLE F WILL COUNTY FOREST PRESER 03/01/19 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 923 19WC 18319 BOONE, DEBRA PRIMEVIEW WINDOW CLEANING 06/18/19 ANKIN LAW OFFICE GILDEA, COGHLAN & REGAN LTD. 924 19WC 18388 AFRIFAH, BENJAMIN CTA 02/15/19 PORRO NIERMANN LAW GROUP CHICAGO TRANSIT AUTHORITY 925 19WC 18432 STEWART, RONALD REDBIRD CARRIERS DBA SUPE 05/28/19 GRAVLIN, MICHAEL J LLC SCOPELITIS GARVIN LIGHT 926 19WC 18584 MCGRATH, MONICA JEWEL OSCO 07/14/18 HORWITZ HORWITZ & ASSOC 927 19WC 18640 EJMONT, JACEK ILLINOIS DEP OF TRANSPORT 12/03/18 SHANNON LAW GROUP DANIELLE CURTISS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 928 19WC 18740 PERRY, ANDREA S WILL COUNTY SHERIFF'S OFF 06/17/19 TOSCAS, JOHN Z LAW OFFICE 929 19WC 18801 REED, ZACHARY GEODIS 06/17/19 DWORKIN AND MACIARIELLO HARRIS DOWELL FISHER & HARRI 930 19WC 19067 JORDAN, DEXTER MIDWEST AIR TECHNOLOGY 05/12/19 LEITER LAW OFFICES HOLECEK & ASSOCIATES 931 19WC 19075 DANIEL, SANDRA AMAZON 05/29/19 RATHBUN CSEVENYAK & KOZOL 932 19WC 19105 STURGES, CAMILLE JOLIET STAFFING 05/10/18 DWORKIN AND MACIARIELLO 933 19WC 19142 CALLAHAN, PATRICK T S&S ACTIVEWEAR, LLC 05/01/19 KOSIN LAW OFFICE LTD EDWARD J. KOZEL 934 19WC 19162 HANTOSH, BRIAN BELCORE ELECTRIC 01/02/19 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 935 19WC 19228 BOYLE, JASON PACIFIC RAIL SERVICES LLC 02/13/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 936 19WC 19295 KASPER, TIMOTHY SR. APOLLO COLORS INC. 11/25/18 KARCHMAR & STONE LAWRENCE COZZI - LAW OFFICE 937 19WC 19453 DYSON, ZACHARIAS GOODYEAR COMMERCIAL TIRE 06/05/19 WHITESIDE & GOLDBERG LTD LAWRENCE COZZI - LAW OFFICE 938 19WC 19494 CROSBY, MARSHELL AMAZON FULFILLMENT CNTR-M 05/01/17 DWORKIN AND MACIARIELLO 939 19WC 19524 KLEINFIELDER, ERIC CARPENTER CONTRACTORS OF 01/28/19 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 940 19WC 19548 TYSON, VELISA CRETE-MONEE SCHOOL DIST # 05/17/19 MATT MURPHY CONSULTING NYHAN BAMBRICK KINZIE & LOWR 941 19WC 19583 CROCKRELL, DEANDRE NATIONAL DCP 06/18/19 COSTA IVONE LLC 942 19WC 19709 DUENAS JR, RAMIRO S&S ACTIVE WEAR 05/29/19 MARKER & CRANNELL EDWARD J. KOZEL 943 19WC 19770 SMITH, RAVEEN WASTE MANAGEMENT 01/21/19 PARENTE & NOREM PC 944 19WC 19912 DIAZ, CLAUDIA ST OF IL DOC STATEVILLE @ 05/28/19 BLOCK, KLUKAS & MANZELLA P DANIELLE CURTISS 945 19WC 19959 RENTERIA, JESUS PEOPLE READY 06/27/19 ANSELMO DURAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 946 19WC 20009 JORDAN, MICHAEL FLINT GROUP 05/17/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 947 19WC 20023 QUAGRAINE, ALEXANDER E ELITE STAFFING SERVICES 04/05/19 GOLDSTEIN BENDER & ROMANOF 948 19WC 20068 PARKER, FREIA-LIV GEODIS LOGISTICS, LLC 01/14/19 GALLAGHER, DONALD V LAWRENCE COZZI - LAW OFFICE 949 19WC 20115 DOCTOR, CHARLES FRANKFORT PARK DISTRICT 02/20/19 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 950 19WC 20197 ROBINSON, TAMIKA R ALLIED UNIVERSALD/B/A 06/27/19 GORDON & CENTRACCHIO LLC GAROFALO SCHREIBER STORM GRA 951 19WC 20536 RICE, TERRY PRESENCE ST JOSEPH 03/30/17 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 952 19WC 20718 STANFORD, JENNIFER PACE BUS - HERITAGE 07/15/19 GWC INJURY LAWYERS LLC 953 19WC 20758 SITARZ, WILLIAM ILLIOIS CENTRAL SCHOOL BU 04/04/19 MC HARGUE & JONES 954 19WC 20813 LILLARD, LUCRETIA GRAINGER 06/03/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 955 19WC 20868 CORDOVA, BALTAZAR BEST PRACTICES STAFFING, 06/21/19 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 956 19WC 20891 GILLIAM, RYAN CENTRAL STATES TRUCKING 07/21/16 RIDGE & DOWNES 957 19WC 20991 MANCINO, JOHN MADISON INDUSTRIES 06/24/19 RAYMOND M SIMARD, PC HENNESSY & ROACH PC 958 19WC 21024 HINES, JEREL NORTHERN PACKAGE DELIVERY 06/12/19 STEVEN A CRIFASE, LTD INMAN & FITZGIBBONS 959 19WC 21080 SHERECK, RYAN HFK ENTERTAINMENT, INC 07/14/19 PAUL A COGHLAN & ASSOC HENNESSY & ROACH PC 960 19WC 21090 PETERS, PATRICIA LIGHTHOUSE ACADEMY 04/15/19 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 961 19WC 21132 RUNDLE, CRAIG PLAINFIELD FIRE DIST 06/17/19 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 962 19WC 21157 ABRAHAM, MARIAM K STATEVILLE CORRECTIONAL C @ 10/06/17 NO ATTORNEY 963 19WC 21273 BRAND, TIFFANY ST OF IL DEPT OF CORRECTI @ 08/30/18 BLOCK, KLUKAS & MANZELLA P DANIELLE CURTISS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 964 19WC 21338 ODNEAL, ANTHONY A DOLLAR TREE DISTRIBUTION 12/13/18 STEVEN B SALK & ASSOC LTD LEAHY EISENBERG & FRAENKEL 965 19WC 21404 ABRAHAM, MARIAM STATE OF IL 10/06/17 HORWITZ HORWITZ & ASSOC 19WC021405 -C 966 19WC 21457 SILKOWSKI, DOUG (FATHER O PEOTONE BOWL 03/16/19 DAVID W MARTAY 967 19WC 21561 PADILLA-BARRIENTOS, VICTO AMAZON 01/25/19 DWORKIN AND MACIARIELLO 968 19WC 21739 SCHIFFER, LUKE AMAZON MDW2 11/08/18 BLOCK, KLUKAS & MANZELLA P 969 19WC 21815 WANDLESS, MACKENZIE PEAK FITNESS 02/12/19 GERALD CONNOR 970 19WC 21943 BENAVENTE, ALMA WEST LIBRTY FOODS, LLC 03/18/19 KREITER, BYCK & ASSOC LLP 971 19WC 22003 MCKINNIE, STARSHA AMAZON FULFILLMENT CENTER 07/17/19 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 972 19WC 22024 PARKS, WILLIAM R CITY OF JOLIET 04/01/17 EDWARD J FANNING KNELL O'CONNOR DANIELWICZ 973 19WC 22048 MILLER, KELLY AMAZON 06/12/18 WOODRUFF JOHNSON WIEDNER & MCAULIFFE LTD 974 19WC 22105 MILLER, SUSAN VALLEY VIEW SCHOOL 08/21/17 ANKIN LAW OFFICE KNELL O'CONNOR DANIELWICZ 975 19WC 22155 ANDERSON, TAIEVION GREIF PACKAGING, LLC 07/15/19 BLUMENSHINE LAW GROUP HOLECEK & ASSOCIATES 19WC033283 -C 976 19WC 22200 CABALLERO, JENY PRIMARY STAFFING INC 07/08/19 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 977 19WC 22294 GAVIN, ACE GRAND PRAIRIE TRANSIT LOC 02/12/19 PARENTE & NOREM PC STONE & JOHNSON CHARTERED 978 19WC 22373 FABER, JERMAINE CENTRAL CLINICAL LABS 07/29/19 DWORKIN AND MACIARIELLO 979 19WC 22389 SYKES, STACEY A AMAZON CROSS-DOCKING FACI 07/15/19 VITELL & SPITZ LTD 980 19WC 22420 DE LEON, CAROLINA FIDELITY NATIONAL INFO SR 07/21/19 SEIDMAN MARGULIS & FAIRMAN 981 19WC 22448 ANDRETICH, CHRISTINA VILLAGE OF PEOTONE 02/11/19 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1018 19WC 24886 NUNEZ, JAIME JULIAN ELECTRIC 02/13/19 RATHBUN CSEVENYAK & KOZOL 1019 19WC 25007 PASKVAN, MARK CITY OF JOLIET 08/02/19 COSTA IVONE LLC KNELL O'CONNOR DANIELWICZ 1020 19WC 25044 LUCKETT, KENNETH CENTRAL TRANSPORT LLC 03/19/19 ANKIN LAW OFFICE HINSHAW & CULBERTSON 1021 19WC 25054 LOPEZ, JAMES CITY OF JOLIET 05/30/19 HORWITZ HORWITZ & ASSOC KNELL O'CONNOR DANIELWICZ 1022 19WC 25117 BARNES, DARRIN DELL INC 01/29/19 EPSTEIN, JACK R LAW OFFICE 1023 19WC 25154 RUSSELL II, THOMAS ELITE STAFFING INC 12/01/18 HORWITZ HORWITZ & ASSOC 1024 19WC 25247 MORALES, TANIA JOLIET SCHOOL DISTRICT 86 08/15/19 LEONARDO MORALES 1025 19WC 25304 VOBROUCEK, BRIAN ALPS CONSTRUCTION, INCC/O 06/24/19 HETHERINGTON KARPEL & BOBB EVANS & DIXON 1026 19WC 25363 PEREZ, HECTOR VULCAN MATERIALS 07/20/19 PARENTE & NOREM PC NYHAN BAMBRICK KINZIE & LOWR 1027 19WC 25441 OCON, RICARDO UNITED PARCEL SERVICE INC 06/20/19 HETHERINGTON KARPEL & BOBB 1028 19WC 25486 CRUZ, JOSE J.B. HUNT TRANSPORT 07/17/19 KARCHMAR & STONE 1029 19WC 25683 KLICHOWSKI, MARILYN MEIJER, INC 06/24/19 RUBIN LAW GROUP KOPKA, PINKUS DOLIN, PC 1030 19WC 25719 COBB, JESSE GOODYEAR COMMERCIAL 08/02/19 STEVEN A CRIFASE, LTD 1031 19WC 25721 PARMHAM, AMY STATE OF ILLINOIS @ 07/03/19 BLOCK, KLUKAS & MANZELLA P 1032 19WC 25754 NEWTON, MICHAEL WELSCH READY MIX INC 08/28/19 GWC INJURY LAWYERS LLC GILDEA, COGHLAN & REGAN LTD. 1033 19WC 25866 YOUNG, JOHN MACY'S LOGISTICS & DISTRI 04/25/18 MILLON & PESKIN LTD GAIDO & FINTZEN 1034 19WC 25929 GARCIA, ODON GREENSCAPE SERVICES 07/24/19 WOODRUFF JOHNSON THOMAS MAMER LLP 1035 19WC 25951 ROSADO, CARMEN MURPHY USA 08/30/19 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1054 19WC 27458 RYAN, ANNA J MCDONALD'S 08/05/19 PARENTE & NOREM PC 1055 19WC 27512 SPARKS, LAWRENCE FISCHER CRANE COMPANY 08/13/19 GWC INJURY LAWYERS LLC EVANS & DIXON 1056 19WC 27612 MUCCI, GAIL HARRAH'S JOLIET CHICAGO 08/15/19 HORWITZ HORWITZ & ASSOC NOBLE & ASSOC 1057 19WC 27653 GILL, TRACY ADVANTAGE RESOURCING 08/14/19 RAYMOND M SIMARD, PC 1058 19WC 27723 PHILLIPS, STEVE SISBRO, INC 07/18/19 ANKIN LAW OFFICE LITCHFIELD CAVO 1059 19WC 27790 BLEVINS, PATRICIA FT CARE, LLC 08/28/19 VASILATOS & COTTER LLC 1060 19WC 27828 WINSTON, SINNITRA S&S ACTIVEWEAR 09/18/19 DWORKIN AND MACIARIELLO EDWARD J. KOZEL 1061 19WC 27892 MELANSON, JOHN HOMEWOOD DISPOSAL 09/17/19 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 1062 19WC 27928 DREW, LISA COUNTY OF WILL 08/22/19 FRANK A CELANI HINSHAW & CULBERTSON 1063 19WC 27971 BENNETT, CLYDE STATE OF ILLINOIS @ 09/04/19 LANNON LANNON & BARR LTD DANIELLE CURTISS 1064 19WC 28033 CARAYNOFF, KAITLYN ELTIE AMBULANCE 06/21/19 THOMAS W DUDA LAWRENCE COZZI - LAW OFFICE 1065 19WC 28045 CASTILLO, ROGELIO DOT FOODS, INC 08/27/19 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 1066 19WC 28093 SCHULTZ, RACHEL AMAZON 06/01/19 HORWITZ HORWITZ & ASSOC 1067 19WC 28149 CROWLEY, NICHOLAS CITY OF JOLIET POLICE DEP 09/09/19 RICHARD E ALEKSY ROSARIO CIBELLA 1068 19WC 28328 HUSSAIN, AZFAL HUB GROUP, INC C/O IL COR 02/15/19 HETHERINGTON KARPEL & BOBB 1069 19WC 28438 TROTTER, FERDINANDO ILLINOIS DEPT OF CORRECTI @ 08/01/19 RATHBUN CSEVENYAK & KOZOL DANIELLE CURTISS 1070 19WC 28644 COLUNGA, MANUEL MTIL, INC 12/08/18 ROSS TYRRELL 1071 19WC 28701 SKOLARZ, ELLA AMAZON 08/17/17 RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1072 19WC 28722 BOGGS, JASON JUST TRANSPO, LLC 09/26/19 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 1073 19WC 28748 CLAY, KARLADIEA NATIONAL DCP LLC 09/26/19 ANKIN LAW OFFICE 1074 19WC 28860 BARRY, CATHY SILVER CROSS HOSPITAL 07/08/19 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 1075 19WC 28925 REESE, RUDOLPH BRACKS TRANSPORT 08/24/19 DEUTSCHMAN, JEFFREY S HINSHAW & CULBERTSON 1076 19WC 29151 ARREDONDO, HILDA GSF USA, INC 10/04/18 LEONARDO MORALES INMAN & FITZGIBBONS 19WC029152 -C 1077 19WC 29205 WILLIAMS, TERRI KELLOGG WAREHUSE/APL LOGI 09/23/19 SPIROS LAW PC 1078 19WC 29227 BIELANSKI, WESLEY R & D THIEL 06/25/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1079 19WC 29239 MONDIA, MICHAEL MURRAY AND TRETTEL, INC D 07/03/19 HETHERINGTON KARPEL & BOBB RUSIN & MACIOROWSKI LTD 1080 19WC 29368 BOYD, ARIANNA AMAZON.COM, LLC 06/03/19 LAUREN A BUCHANAN & ASSC 1081 19WC 29401 MARQUEZ, AURORA HIMALAYA ENTERPRISES DBA 04/20/19 RICHARD E ALEKSY 1082 19WC 29479 HORVAT, MECHELLE CATHOLIC CHARITIES 03/02/18 MCNAMARA PHELAN MCSTEEN LL STONE & JOHNSON CHARTERED 1083 19WC 29544 DAVIS, BRYAN R PETCO 10/03/19 MARKER & CRANNELL ROSARIO CIBELLA 1084 19WC 29584 SULEJMANI, DZULIJETA AMAZON.COM, INC. 07/25/19 LEO M. BLEIMAN & ASSOC 1085 19WC 29594 JENSEN, DAVID T UPS 01/24/19 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 1086 19WC 29619 WHITFIELD, RODERICK WALMART DISTRIBUTION CENT 03/30/19 SPIROS LAW PC QUINTAIROS PRIETO WOOD & BOY 1087 19WC 29645 HAMILTON, CHAZ NGROUP, INC 09/19/18 MC HARGUE & JONES 1088 19WC 29691 MARCH, JOSHUA AMAZON 09/14/19 MCNAMARA PHELAN MCSTEEN LL 1089 19WC 29775 PARHAM, DAGIONNA STAFFMARK 09/18/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1090 19WC 29829 MUNDY, DAVID STANLEY STEAMER 01/22/19 PARENTE & NOREM PC BRYCE DOWNEY & LENKOV LLC 1091 19WC 29856 CARBONE, SEAN PACIFIC RAILWAY SERVICES 09/11/19 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 1092 19WC 29954 MOLEX, ROSE L DSC LOGISTICS, LLC 09/03/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 1093 19WC 30033 LEWIS, ANGELO HEROES WEST SPORTS GRILL 10/07/19 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 1094 19WC 30059 CREAL, KYLE SECOND BAPTIST CHURCH 09/19/19 BRISKMAN BRISKMAN GREENBER ROSARIO CIBELLA 1095 19WC 30085 HARTSFIELD, JERMILL DSC LOGISTICS 07/01/19 BRISKMAN BRISKMAN GREENBER MC ANDREWS & NORGLE LLC 19WC030086 -C 1096 19WC 30223 GILMORE, THOMAS G.S ELECTRIC CO INC 01/31/19 KARCHMAR & STONE GANAN & SHAPIRO 19WC030345 -C G.S.ELECTRIC CO, INC 1097 19WC 30256 VELAZQUEZ, NORBERT ECOWIZE NORTH AMERICA, LL 10/15/19 MC HARGUE & JONES HENNESSY & ROACH PC 1098 19WC 30269 SMITH, DONALD M&M AFFORDABLE PLUMBING 03/12/19 MEYERS & FLOWERS 1099 19WC 30322 JAMISON, PATRICE RJW TRANSPORT INC 01/23/19 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1100 19WC 30461 STAGGS, JAMES D JR. MAHONEY ENVIRONMENTAL, IN 09/05/19 ANKIN LAW OFFICE LITCHFIELD CAVO 1101 19WC 30644 TRUJILLO, TED LEGEND SMELTING & RECYCLI 07/22/19 BLOCK, KLUKAS & MANZELLA P 1102 19WC 30649 VIANO, PAUL JOLIET PUBLIC SCHOOL 07/24/19 BLOCK, KLUKAS & MANZELLA P ROSARIO CIBELLA 19WC030650 -C 1103 19WC 30719 GALLOWAY, WENDALL PRODRIVERS 10/09/19 STEVEN J MALMAN & ASSOCIAT LEAHY EISENBERG & FRAENKEL 1104 19WC 30740 EDLER, LAURA ALDI 01/04/19 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 1105 19WC 30811 MCNICHOLAS, TIMOTHY AMAZON 03/07/18 HERRERA LAW CENTER 1106 19WC 30875 TUMAN, KEN DHL LOGISTICS 01/10/19 DE SALVO, SCOTT D LAW OFFI

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1179 19WC 35404 MILLARD, DEANNA WALMART SUPERCENTER 03/26/18 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 1180 19WC 35451 SHAW, MELVIN TRANSPORTATION STAFFING S 10/22/19 RUSIN & MACIOROWSKI LTD 1181 19WC 35499 BONNES, ERIC NASH BROTHERS 11/25/19 DONALD FOHRMAN & ASSOC HOLECEK & ASSOCIATES 1182 19WC 35604 DORSEY, VALENCIA THE HOME DEPOT 10/14/19 DWORKIN AND MACIARIELLO ADELSON TESTAN BRUNDO 1183 19WC 35611 DOCTER, BLAKE J C & G JOHNSON TRUCKING, I 11/06/19 ANKIN LAW OFFICE JAMES M KELLY 1184 19WC 35827 PUENTE, JORGE ALRO STEEL 12/18/18 COYNE REINKE LAW GAROFALO SCHREIBER STORM GRA 1185 19WC 35852 SCHRAM, TYLER IL DEPT OF CORRECTIONS @ 09/20/19 SCHWEICKERT GANASSIN DANIELLE CURTISS 1186 19WC 35904 STEMMER, SHERYL MEIJER 08/14/19 MUELHAUSEN & STEFANI KNELL O'CONNOR DANIELWICZ 1187 19WC 35980 JENKINS- ALLEN, EXIE ROCK RUN PLACE 03/13/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 1188 19WC 36007 WHERRY,KYLE USF HOLLAND 12/09/19 PARENTE & NOREM PC HENNESSY & ROACH PC 1189 19WC 36039 ZAMUDIO, BENJAMIN MTIL 07/18/19 HERRERA LAW CENTER HENNESSY & ROACH PC 1190 19WC 36099 CARTHEN, TAMIKA AMAZON.COM SERVICES, INC. 12/11/19 ANKIN LAW OFFICE 1191 19WC 36107 COLON, FREDDY DAYTON FREIGHT LINES 03/01/19 POLANSKY & CICHON CHTD 1192 19WC 36205 HIDALGO, GEORGE CITY OF DES PLAINES 12/04/19 THOMAS W DUDA POWER & CRONIN LTD 1193 19WC 36232 LOPEZ, LOURDES ELITE STAFFING, INC 05/17/19 COSTA IVONE LLC 1194 19WC 36282 MENDIOLA, JUAN JULIAN ELECTRIC SERVICE & 03/05/19 RATHBUN CSEVENYAK & KOZOL 1195 19WC 36316 CRLASCIO, MICHELLE LOCKORT TOWNSHIP GOVERNME 07/06/18 HORWITZ HORWITZ & ASSOC JAMES M KELLY 1196 19WC 36352 BURR, JESSE AMAZON 11/06/19 TIMOTHY HENDERSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1197 19WC 36376 EDLER, LAURA ALDI 04/09/19 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 1198 19WC 36416 VILLANUEVA, CARLOS CINTAS CORPORATION 09/13/19 ANGELINI & ORI LLC POWER & CRONIN LTD 1199 19WC 36430 HERRERA, HILDA PANDUIT CORP 11/20/19 ACEVES & PEREZ PC HEYL ROYSTER VOELKER & ALLEN 1200 19WC 36467 JENKINS, COLLEEN FRANKFORT SCHOOL DISTRICT 08/28/19 NILSON STOOKAL GLEASON CAP 1201 19WC 36508 JOHNSON, ROSA INTEGRITY STAFFING SOLUTI 12/15/19 DWORKIN AND MACIARIELLO 1202 19WC 36543 THOMPSON, RONIQUE MICHAEL'S 11/19/19 DWORKIN AND MACIARIELLO 1203 19WC 36612 VILLALOBOS, MIGUEL PEAK SERVICES 09/25/19 MICHAEL A. HIGGINS GAROFALO SCHREIBER STORM GRA 1204 19WC 36723 APATO, DAVID HOME DEPOT 11/06/19 MINKOW DOMIN ADELSON TESTAN BRUNDO 1205 19WC 36747 GLORIA, HIGINIA DOLLAR TREE 08/12/19 FOOTE MIELKE CHAVEZ O'NEIL LEAHY EISENBERG & FRAENKEL 1206 19WC 36796 PFINGSTON, JOSEPH BOLINGBROOK FIRE DEPARTME 06/25/19 BARRY A KETTER POWER & CRONIN LTD 1207 19WC 36878 MEIER, MARK COMCAST 07/01/19 MAURICE E DUSKY PC 1208 19WC 36915 KASCH, ALAN WEBB HYUNDAI, LLC 12/11/19 BAUM RUFFOLO & MARZAL LTD NOBLE & ASSOC 1209 19WC 37009 RAUSCH, CAYLEE INTEGRITY STAFFING 11/21/19 MCNAMARA PHELAN MCSTEEN LL 1210 19WC 37039 GOOLSBY, MARGARET JOLIET CATHOLIC ACADEMY 01/25/19 MCNAMARA PHELAN MCSTEEN LL 1211 19WC 37197 OSBORNE, THOMAS OJKAV INC. 12/12/19 COSTA IVONE LLC 1212 19WC 37227 HUNT, ART ART HUNT 02/11/19 SPIEGEL & CAHILL, PC 1213 19WC 37287 MARQUEZ, PEDRO SEBERT LANDSCAPING, INC 04/17/19 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 1214 19WC 37305 JONES, RAMATU Y YRC FREIGHT 12/04/19 ANESI OZMON RODIN NOVAK KO

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1285 20WC 03040 FRYE, PRESTON LOCKPORT POLICE DEPARTMEN 10/09/19 KROL BONGIORNO & GIVEN LTD 1286 20WC 03188 SCHULTZ, JOSEPH G CECO CONCRETE CONSTRUCTIO 03/01/19 PHILIP BLOMBERG RUSIN & MACIOROWSKI LTD 18WC011759 -C TRIBCO CONSTRUCTION SERVIC 1287 20WC 03223 ALMEIDA, EDUARDO W TECORP, INC 01/06/20 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 1288 20WC 03319 WAGNER, SEAN ROMEOVILLE POLICE DEPARTM 09/13/19 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 1289 20WC 03459 FLEMING, FELICIA IKEA 12/12/19 LEONARD LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 1290 20WC 03542 HORTON, KRYSTAL AMAZON 11/27/19 GORDON & CENTRACCHIO LLC 1291 20WC 03580 NAVA, SANDY JEWEL-OSCO 12/29/19 SEROWKA LAW 1292 20WC 03608 KROPP, WILLIAM HIGHPOINT COMMUNITY APART 01/15/20 STEVEN J MALMAN & ASSOCIAT HENNESSY & ROACH PC 1293 20WC 03638 FITZ, ALFREDO INNOVATED STAFFING 01/03/20 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 1294 20WC 03769 GALLARDO, ESTEVAN ROMEOVILLE POLICE DEPARTM 11/18/19 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 1295 20WC 03810 BYRD, RONALD PIPERS EXPRESS, INC 01/13/20 ANKIN LAW OFFICE 1296 20WC 03846 DICKEN, MARK E VILLAGE OF BOLINGBROOK 01/26/20 MORICI FIGLIOLI & ASSOC 1297 20WC 03933 TRAINOR, CHARLES E SR HERITAGE FS, INC 01/21/20 DAVID W MARTAY 1298 20WC 03958 CIOFFI, CATHERINE LOWE'S HOME IMPROVEMENT 12/15/19 FRIEND LEVINSON & BERGAL KEEFE CAMPBELL BIERY & ASSOC 1299 20WC 04048 HOLMES, FRANK M W.W. TRANSPORT, INC. 01/31/20 BAUM RUFFOLO & MARZAL LTD 1300 20WC 04092 ALLEN, ASHLEY WAL-MART STORES, INC 01/14/20 JAMES J. GAY 1301 20WC 04219 MARQUARDT, MARK USF HOLLAND 02/07/20 PARENTE & NOREM PC HENNESSY & ROACH PC 1302 20WC 04229 UFTRING, BRETT WYNRIGHT/DAIFUKU & IKEA 12/28/19 BLOCK, KLUKAS & MANZELLA P

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1339 20WC 05906 OSWALD, BARRY PHOENIX ROPE & CORDAGE 09/27/17 LEITER LAW OFFICES 1340 20WC 06009 JELENIEWSKI, ZACHARY ALAR ENGINEERING CORP 01/21/20 TURCYCHUTE LLC NYHAN BAMBRICK KINZIE & LOWR 1341 20WC 06064 URQUIZO, CLAUDIA RJW TRANSPORT 12/04/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1342 20WC 06087 TESINA, RICHARD COSTCO 05/12/19 ASHER, RAYMOND L LTD GANAN & SHAPIRO 1343 20WC 06211 NELSON, MATTHEW VILLAGE OF ROMEOVILLE 01/28/18 SEIDMAN MARGULIS & FAIRMAN SLAVIN & SLAVIN 1344 20WC 06228 DUCKWORTH, WILLIAM BIMBO BAKERIES USA INC 12/07/19 CULLEN HASKINS NICHOLSON 1345 20WC 06251 LOPEZ, SUGEY TRIUNE LOGISTICS 01/27/20 CHEPOV & SCOTT LLC LITCHFIELD CAVO 1346 20WC 06312 WARD, ALLEN W.W. GRAINGER, INC 07/10/19 ANKIN LAW OFFICE HENNESSY & ROACH PC 1347 20WC 06320 JOHNSON, MICHAEL PENSKE TRUCK LEASING CORP 02/17/20 ANKIN LAW OFFICE HENNESSY & ROACH PC 1348 20WC 06352 STEMMER, SHERYL MEIJER 09/27/17 MUELHAUSEN & STEFANI KNELL O'CONNOR DANIELWICZ 1349 20WC 06372 SMITH, IAASIC ASG STAFFING 11/26/19 DEPAOLO & ZADEIKIS FRANCIS J DISCIPIO LAW OFFIC 1350 20WC 06413 LOPEZ, OLGA FLEXIBLE STAFFING SERVICE 01/02/20 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 1351 20WC 06598 TURSO, JOSEPH A.H. MANAGEMENT GROUP 01/28/19 KOSIN LAW OFFICE LTD ASA LAW GROUP 1352 20WC 06649 JOHNSTON, ADAM JOLIET POLICE DEPARTMENT 01/26/20 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA 1353 20WC 06700 GUISTAT, JULIA MINOOKA COMM HIGHSCHL DIS 02/10/20 RATHBUN CSEVENYAK & KOZOL 1354 20WC 06758 CRUZ-ESPINOZA, CAMERINA IFCO SYSTEMS 07/20/19 KATZ FRIEDMAN EISENSTEIN 1355 20WC 06803 HERNANDEZ, HECTOR AMSYSCO, INC 09/27/19 WILLIAM H MARTAY 1356 20WC 06853 SIMMONS, JOHNNIE MACY'S LOGISTICS AND OPER 02/24/20 HORWITZ HORWITZ & ASSOC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 80 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1375 20WC 07792 RATLIFF, JOSEPH DOT FOODS 10/08/19 DWORKIN AND MACIARIELLO 1376 20WC 07817 SILVA, ARTURO THE DOW CHEMICAL CO. 03/03/20 KATZ FRIEDMAN EISENSTEIN 1377 20WC 07848 DUNN, CONOR FEDEX GROUND PACKAGE 04/23/19 CULLEN HASKINS NICHOLSON 1378 20WC 07864 CONEY, PAMELA SALEM VILLAGE NURSING HOM 02/02/20 MCNAMARA PHELAN MCSTEEN LL 1379 20WC 07900 KOLOSH, DAVID MANHATTAN FIRE PROT DISTR 08/28/17 CRONIN PETERS & COOK 1380 20WC 07973 BRENCZWESKY, ZACH RICHMAN PROPERTY 03/15/19 RATHBUN CSEVENYAK & KOZOL 1381 20WC 08044 HEIDELBERG, KENDALL L DSC LOGISTICS CO 02/21/20 BLOCK, KLUKAS & MANZELLA P MC ANDREWS & NORGLE LLC 1382 20WC 08139 HENRIKSEN, THOMAS USF HOLLAND, LLC 10/23/19 HETHERINGTON KARPEL & BOBB 1383 20WC 08174 WEDER, MICHAEL WILL COUNTY SHERIFF DEPT 02/13/20 THOMAS J STIBERTH LAW OFFI HINSHAW & CULBERTSON 1384 20WC 08235 SOTELO, ALFONSO DYNAMIC COATINGS 02/25/20 PORRO NIERMANN LAW GROUP GANAN & SHAPIRO 1385 20WC 08268 CABRERA, LIGNA HOLIDAY INN 06/04/17 MCNAMARA PHELAN MCSTEEN LL NYHAN BAMBRICK KINZIE & LOWR 1386 20WC 08290 GHER, PAULINA COSTCO WHOLESALE 03/15/19 COHN LAMBERT RYAN & SCHNEI GANAN & SHAPIRO 1387 20WC 08308 ROUDEZ, JUSTIN UNIVERSITY PARK PUBLIC WO 09/10/19 SEIDMAN MARGULIS & FAIRMAN 1388 20WC 08323 SALGADO, PABLO PACTIV CORPORATION 03/01/20 KATZ FRIEDMAN EISENSTEIN 1389 20WC 08337 SOSA, MARIA DEL CARMEN SEALTEC 05/06/19 FOOTE MIELKE CHAVEZ O'NEIL GANAN & SHAPIRO 1390 20WC 08423 SEITS, SUSAN TRICOBRAUN HOLDINGS, INC 03/23/20 EAMES LAW GROUP LTD 1391 20WC 08469 TATE, KAMAU JOHNS MOVING COMPANY 03/04/19 DWORKIN AND MACIARIELLO 1392 20WC 08541 GARCIA, MARIA DEL CARMEN ELITE STAFFING- JOLIET 02/18/20 EPSTEIN, JACK R LAW OFFICE

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 82 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1411 20WC 09405 STIEG-MARTIN, KAREN BEGGARS PIZZA * 01/17/20 BURNETT & CARON, LTD 1412 20WC 09427 ALEMAN, ALEXSA ELITE STAFFING INC * 01/27/20 TIMOTHY HENDERSON 1413 20WC 09454 RATIGAN, MELISSA SCHOOL DISTRICT #308 * 01/16/20 HELLER HOLMES & ASSOC RUSIN & MACIOROWSKI LTD 1414 20WC 09517 CEPL, MICHAEL GRAINGER * 10/15/19 RATHBUN CSEVENYAK & KOZOL ASA LAW GROUP 1415 20WC 09540 MIKHEL, MENA DOLLAR TREE DISTRIBUTION * 12/06/19 SANDMAN LEVY & PETRICH LEAHY EISENBERG & FRAENKEL 1416 20WC 09546 BAGROWSKI, KEVIN GOLDEN SEAL SERVICE EXPER * 09/16/19 ANESI OZMON RODIN NOVAK KO 1417 20WC 09632 CZUPRYN, DANIEL HEARTHSIDE FOOD SOLUTIONS * 02/20/20 STEVEN J MALMAN & ASSOCIAT 1418 20WC 09641 LUCAS, MICHAEL AMAZON.COM SVCS INC * 04/12/20 ANKIN LAW OFFICE 1419 20WC 09661 BELL, PATRICIA AMAZON.COM, INC * 04/05/20 COHN LAMBERT RYAN & SCHNEI 1420 20WC 09712 ESQUIVEL, ROSAURA DOLLAR TREE * 10/01/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 1421 20WC 09771 FAHLBUSCH, PHILIP MAURER SVCS * 02/14/20 PARENTE & NOREM PC 1422 20WC 09790 KAMYS, JILL M AMITA HEALTH ADVENTIST * 10/08/18 SOSTRIN AND SOSTRIN PC EVANS & DIXON 1423 20WC 09819 EWING, KATHLEEN SILVER CROSS * 09/27/19 MCNAMARA PHELAN MCSTEEN LL RUSIN & MACIOROWSKI LTD 1424 20WC 09900 SALAZAR, JOSE STURDI IRON INC * 08/02/19 HENNESSY & ROACH 1425 20WC 09963 CLARK, VINCENT P CITY OF NAPERVILLE * 12/11/19 DRISCOLL LAW OFFICES PC 1426 20WC 10088 HARTON, PHYLLIS FT CARE, LLC * 04/30/19 THE HOPSON FIRM PC POWER & CRONIN LTD 1427 20WC 10103 NOUBANI, MAHMOUD HOME DEPOT * 04/17/20 DWORKIN AND MACIARIELLO ADELSON TESTAN BRUNDO 1428 20WC 10117 CRAIG, GABRIELLE MALONE SOLUTIONS * 06/16/19 DAVID W MARTAY SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 83 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1429 20WC 10163 MARTINEZ, MARIA MEDRANO USA INC * 03/24/20 CHEPOV & SCOTT LLC 1430 20WC 10204 O'NEILL, KEITH KEHE DISTRIBUTORS * 12/06/18 STROM & ASSOC NOBLE & ASSOC 1431 20WC 10359 STROUB, BRIAN OSWEGO FIRE PROTECTION * 04/07/20 CORNFIELD & FELDMAN 1432 20WC 10378 REYNOLDS, JAMES STARBUCKS * 05/11/19 DONALD FOHRMAN & ASSOC 1433 20WC 10402 GOMEZ, LUIS A FORTOSO ABC ROOFING & SIDING, CO. * 04/05/20 ROSS TYRRELL 1434 20WC 10413 JONES, CARL JB HUNT TRUCKING * 02/29/20 STEVEN A CRIFASE, LTD 1435 20WC 10482 TREND, ANGELA CRESCO LABS * 08/14/19 MEYERS & FLOWERS 1436 20WC 10509 RICE, MATTHEW MALONE STAFFING * 04/22/20 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 1437 20WC 10539 STAPLES, TODD JLL * 02/17/20 EAMES LAW GROUP LTD 1438 20WC 10607 TERRELL, BRIANA AMAZON FULFILLMENT CENTER * 05/03/20 STEVEN J MALMAN & ASSOCIAT 1439 20WC 10615 QUEZADA, EDUARDO NEW AGE SURFACES * 07/15/19 MARKER & CRANNELL 1440 20WC 10733 RODRIGUEZ, ROXANA AMERISOURCE BERGEN * 09/05/19 MICHAEL HELLMAN 1441 20WC 10770 LOPEZ, LUIS M NAVA CONSRUCTION GROUP * 03/28/20 KATZ FRIEDMAN EISENSTEIN 1442 20WC 10822 SEDA, ALBERT POWER DISTRIBUTING, LLC * 03/23/20 WHITESIDE & GOLDBERG LTD 1443 20WC 10859 MARTINEZ, MARIA SNIDER-BLAKE PERSONNEL * 10/23/19 BART DURHAM 1444 20WC 10906 BURIAN, MARK J.B. HUNT TRANSPORT SRVCE * 04/01/20 SCHWEICKERT GANASSIN 1445 20WC 10992 ARNOLD, EDWARD M USF HOLLAND LLC * 05/04/20 HETHERINGTON KARPEL & BOBB HENNESSY & ROACH PC 1446 20WC 11069 PALMER, MARY SYMPHONY DEER BROOK LLC * 03/01/20 GWC INJURY LAWYERS LLC MCCABE KIRSHNER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 84 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1447 20WC 11123 GAITAN, VIVIAN SPULVEDA PLI CARD MARKETING SOLUTI * 08/01/19 HERRERA LAW CENTER JOSEPH MARCINIAK 1448 20WC 11174 FREEMAN, CHRIS UPS * 03/17/20 BLOCK, KLUKAS & MANZELLA P ASA LAW GROUP 1449 20WC 11194 ZUREK, BRADLEY CITY OF BURBANK * 01/28/20 ANN O'CONNELL 1450 20WC 11211 CEJA, CHRISTIAN WHITING CORPORATION * 05/08/20 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 1451 20WC 11249 SOKOL, ADAM NORTIA LOGISTICS INC. * 03/10/20 MINKOW DOMIN COZZI & ZAPF LAW OFFICE 1452 20WC 11270 VALENCIA, SALVADOR ESMARK STEEL GROUP * 03/24/20 ACEVES & PEREZ PC 1453 20WC 11288 FREDERICK, JASON BOLINGBROOK FIRE DEPARTME * 05/11/20 EAMES LAW GROUP LTD 1454 20WC 11322 JARDRON, ERIC WILL COUNTY SIDIGN AND WI * 06/01/19 HORWITZ HORWITZ & ASSOC 1455 20WC 11360 POWELL, DELWYN TRANS QUALITY INC, D/B/A * 04/13/20 ANKIN LAW OFFICE 1456 20WC 11435 MOORE, MELISSA WALMART * 04/29/20 MC HARGUE & JONES GANAN & SHAPIRO 1457 20WC 11497 URBAN, RACHEL JEWEL FOOD STORES, INC * 01/12/07 BRADY CONNOLLY & MASUDA PC 1458 20WC 11539 GILLESPIE, JERRY CAPSTONE LOGISTICS LLC * 04/17/20 DISPARTI LAW GROUP PA 1459 20WC 11583 GAMBLE, JOANN AMAZON DISTRIBUTION COMPA * 08/20/19 HORWITZ HORWITZ & ASSOC 1460 20WC 11589 SANCHEZ, JOSE RESICOM CUSTOM PAINTING & * 06/12/18 QUINTAIROS PRIETO WOOD & BOY 1461 20WC 11629 SPRECHE, EDWARD BLUELINX CORP * 09/09/19 GWC INJURY LAWYERS LLC 1462 20WC 11664 HOLEMAN, LANDER TACO BELL * 04/21/20 LEITER LAW OFFICES 1463 20WC 11725 GURA, JOEL JOLIET STAFFING * 12/12/19 GELCH & ASSOCIATES PA 1464 20WC 11753 PALMER, MARY SYMPHONY DEERBROOK, LLC * 03/01/20 GWC INJURY LAWYERS LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1465 20WC 11835 HARRELL, EUGENE US COLD STORAGE, INC * 12/20/19 GALLAGHER, DONALD V KOPKA, PINKUS DOLIN, PC 1466 20WC 11896 FIALEK, MATTHEW USF HOLLAND * 05/13/20 PARENTE & NOREM PC HENNESSY & ROACH PC 1467 20WC 11976 BUTLER, QHRISTIANA AMAZON * 03/06/20 STEVEN J MALMAN & ASSOCIAT 1468 20WC 12026 MARTINEZ, SALVADOR B ELITE STAFFING * 04/28/20 EPSTEIN, JACK R LAW OFFICE 1469 20WC 12041 GONZALEZ, MARISELA FOREST ENVELOPE * 08/02/19 SCOTT B SHAPIRO 1470 20WC 12135 DOUGLAS, DORSEY ILLINOIS DEPT OF CORRECTI @ * 04/06/20 WOODRUFF JOHNSON 1471 20WC 12181 SACKS, BARBARA HOME DEPOT * 05/06/19 MARKER & CRANNELL ADELSON TESTAN BRUNDO 1472 20WC 12216 OBERDING, LISA RIGHT AT HOME * 07/22/19 ANGELINI & ORI LLC 1473 20WC 12245 ESQUIVEL, OSCAR SURE STAFF * 01/31/20 MEYERS & FLOWERS LOUIS MUNDY 1474 20WC 12275 LAPICE, JACK L WERNER TRUCKING CO * 01/31/19 O'CONNOR & NAKOS HENNESSY & ROACH PC 1475 20WC 12296 ROUSER, CORNELIUS CAMSO * 04/08/20 HERRERA LAW CENTER 1476 20WC 12314 YEPEZ, MAYRA K SUPERIOR HEALTH LINENS * 04/27/20 CULLEN HASKINS NICHOLSON 1477 20WC 12356 BONDS, LEO BLACK HORSE CARRIERS * 01/24/19 BLOCK, KLUKAS & MANZELLA P 1478 20WC 12363 MALEC, DAWN CITY OF JOLIET * 09/24/18 KNELL O'CONNOR DANIELWICZ 1479 20WC 12494 WILCZYNSKA, EWELINA WILL COUNTY SHERIFF'S OFF * 02/29/20 DAVID SZCZECIN & ASSOC 1480 20WC 12522 WEST, ASHLEY AMAZON * 05/13/20 VASILATOS & COTTER LLC 1481 20WC 12565 THACKER, STEPHEN PRO-DRIVER * 09/07/17 BALKE & WILLIAMS 1482 20WC 12599 GHOLSTON, ERIC AMAZON * 05/11/20 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 86 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1483 20WC 12653 DENBY, LISA AMAZON CORPORATION * 05/25/20 ANKIN LAW OFFICE 1484 20WC 12676 BRIZUELA, JOSE CLARK FOAM PRODUCTS CORP * 04/28/20 MC HARGUE & JONES 1485 20WC 12723 ROJAS, SARA GARAY, DEPEND MEADOWBROOK MANOR # * 04/08/20 STEIN & CHERNY LTD BRYCE DOWNEY & LENKOV LLC 1486 20WC 12779 BARFIELD, ELIJAH CROWN * 05/28/20 DWORKIN AND MACIARIELLO EVANS & DIXON 1487 20WC 12806 STANLEY, ERIC CITY OF JOLIET * 02/17/20 COVEN LAW GROUP KNELL O'CONNOR DANIELWICZ 1488 20WC 12816 HAYES-TURNER, TERESA RENT-A-CENTER CORP * 01/06/20 SCHAFFNER RABINOWITZ FEINA 1489 20WC 12834 DOMINGUEZ, TERESA (WIDOW JULIAN ELECTRIC SERVICE I # * 05/03/18 GRAUER & KRIEGEL LLC NYHAN BAMBRICK KINZIE & LOWR 1490 20WC 12889 LONG, JONAH HOME DEPOT * 10/29/19 ADELSON TESTAN BRUNDO 1491 20WC 12936 SHTILTZ, RAFAL JANI-KING * 03/02/19 ARGIONIS & ASSOCIATES LLC 1492 20WC 12970 ANDREASEN, BENJAMIN RA D ORZIO FORD, INC * 01/20/20 WIEDNER & MCAULIFFE LTD 1493 20WC 12990 MC CLUSKEY, WARD PACIFIC RAIL SERVICES * 01/30/20 BLOCK, KLUKAS & MANZELLA P 1494 20WC 13006 DICK, KEITH WILL COUNTY SHERIFF DEPAR * 03/30/20 ANESI OZMON RODIN NOVAK KO 1495 20WC 13058 TREVINO, NICOLI ARYZTA * 04/06/20 RATHBUN CSEVENYAK & KOZOL 1496 20WC 13172 HARVEY, VERJEANNIE AMAZON * 04/03/19 SCOTT B SHAPIRO 1497 20WC 13224 WAGNER, YVONNE WALMART, INC * 02/17/20 BOGUSZ & BOGUSZ LTD 1498 20WC 13296 TORRES, GREGORIO VIC'S EXPRESS CAR WASH & * 06/03/20 MICHAEL HELLMAN 1499 20WC 13322 VILLAZANA, JAQUELINE DOORDASH INC * 04/15/20 VLANTIS LAW LLC 1500 20WC 13391 NIETO, MARIANA MINUTE MAN STAFFING SERVC * 06/04/20 THE ROMAKER LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 87 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1501 20WC 13414 LARSON, ERIC WILL COUNTY PROBATION * 12/23/19 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 1502 20WC 13463 JONES, CARL EDWARD INEOS * 02/25/20 BLOCK, KLUKAS & MANZELLA P 1503 20WC 13542 PARAMO, MIGUEL HENDRICKSON * 01/23/20 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 1504 20WC 13668 O'NEILL, VICTORIA STATE OF IL @ * 02/13/20 LEITER LAW OFFICES 1505 20WC 13726 PEMBLE, PATRICIA AMITA ST JOSEPH'S HOSPITA * 06/05/20 DWORKIN AND MACIARIELLO 1506 20WC 13738 BROWN, CASEY L T INTERMODAL LOGISTIC L * 06/09/20 DWORKIN AND MACIARIELLO 1507 20WC 13771 WHEELER, WILLIAM STEGER ESTATE FIRE PROTEC * 06/07/20 GWC INJURY LAWYERS LLC 1508 20WC 13806 SEABORN, JUDIE (WIDOW) RICHS PRODUCTS CORPORATIO # * 04/29/20 BLOCK, KLUKAS & MANZELLA P 1509 20WC 13843 HARDMAN, SONJA AMAZON MDW2 * 03/28/20 BLOCK, KLUKAS & MANZELLA P 1510 20WC 13877 CLAY, BRANDI STATESVILLE * 05/03/20 LEITER LAW OFFICES 1511 20WC 13915 MOORE, BETTY NFI, INC * 03/04/20 KAVANAGH GRUMLEY & GORBOLD 1512 20WC 13985 LEE, JAMAR ILLINOIS TOOL WORKS, INC * 06/02/20 DWORKIN AND MACIARIELLO 1513 20WC 14002 WALKER, DUWANNA AMAZON * 05/07/20 STROM & ASSOC 1514 20WC 14016 COFIELD, ANDREAL AMAZON * 08/17/19 FRIEDMAN & SOLMOR LTD 1515 20WC 14061 LARRY, AMANDA WEXFORD HEALTH SOURCES IN * 04/01/20 BLOCK, KLUKAS & MANZELLA P 1516 20WC 14179 BAILEY, DOROTHY ELITE STAFFING * 09/05/17 ANSELMO DURAN 1517 20WC 14231 JORDAN, STEVEN DARKSIDE LOGISTICS * 06/19/20 VRDOLYAK LAW GROUP LLC 1518 20WC 14274 LYLES, ANITA SILVER CROSS HOSPITAL * 05/10/20 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 88 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1519 20WC 14314 COOKE, ROBERT FEECE OIL CO * 05/08/20 SCHWEICKERT GANASSIN EVANS & DIXON 1520 20WC 14360 KHIAR, NABIL ARYZTA LLC * 03/02/20 ROMANUCCI & BLANDIN 1521 20WC 14375 FORT, JAMES HEARTHSIDE FOOD SOLUTIONS * 02/10/20 KARLIN FLEISHER & FALKENBE 1522 20WC 14451 CRUTCHFIELD, KATHY JEWEL * 10/31/18 RATHBUN CSEVENYAK & KOZOL 1523 20WC 14490 DEZORT, ROGER TOUGH CUT CONCRETE SRVCS, * 06/09/20 ANESI OZMON RODIN NOVAK KO 1524 20WC 14504 RODRIGUEZ, HORACIO PREMIER SERVICE * 05/06/20 LEONARDO MORALES 1525 20WC 14554 WHITE JR, GERALD DUANE CALCO * 06/12/20 DAVID W MARTAY 1526 20WC 14585 BOTELLO, MANUEL MC NALLY LANDSCAPING * 05/11/20 COSTA IVONE LLC 1527 20WC 14607 GOMEZ, JOCELYN WALMART SUPERCENTER * 04/19/20 WHITESIDE & GOLDBERG LTD 1528 20WC 14647 MCGEE, RAY BATTERY SYSTEM * 04/22/20 DWORKIN AND MACIARIELLO 1529 20WC 14664 TRIPLETT, CAROL HEARTHSIDE SOLUTIONS * 06/01/20 DWORKIN AND MACIARIELLO 1530 20WC 14772 MOORE, WILLIAM GENERAL MOTORS * 10/29/19 PARENTE & NOREM PC 1531 20WC 14834 HUCKABY, BENJAMIN USF HOLLAND * 10/10/19 PARENTE & NOREM PC 1532 20WC 14866 FLEMING, BARBARA HR METRIC TEMP SERVICES- * 05/23/20 DWORKIN AND MACIARIELLO 1533 20WC 14898 ROSA, LUIS G WALMART SUPERCENTER * 11/23/18 ANKIN LAW OFFICE 1534 20WC 14948 JACKSON, KENNETH GRAINGER * 11/07/19 CULLEN HASKINS NICHOLSON 1535 20WC 14969 BECKER, WALTER CIRCLE K * 05/30/20 WOODRUFF JOHNSON 1536 20WC 14976 HEATER, DEBORAH HEELS AND HARDHATS CONTRA * 05/01/19 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 89 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR NEW LENOX 31002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1537 20WC 14995 TOVAR, JESUS F SR HENDRICKSON USA, LLC * 10/13/17 RICHARD O. GREENFIELD 1538 20WC 15031 HERRERA, CRUZ VILLAGE OF BOLINGBROOK * 01/15/18 BLOCK, KLUKAS & MANZELLA P 1539 20WC 15114 ISEINI, BEKIM PLAINFIELD CCSD #202 * 01/03/19 FLAHERTY LAW 1540 20WC 15148 MCAMANUS, RITA AMAZON * 02/18/20 MCNAMARA PHELAN MCSTEEN LL