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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 11WC 44330 HAMPTON, AUDREY CHICAGO PUBLIC SCHOOLS 09/13/11 DEAN J CARAS & ASSOCIATES LEAHY EISENBERG & FRAENKEL 15 11WC 47393 SOLANO, YOLANDA GATE COURMET 12/11/11 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 11WC047394 -C 11WC047395 -C 312 11WC047839 -C 16 12WC 02357 RALPH, JASON CURRIERS HUDO SERVICE LLC 01/06/12 JOHN S. ELIASIK RUSIN & MACIOROWSKI LTD 17 12WC 03586 19B LOCKHART, MARGARET ILL DEPT OF TRANSPORTATIO @ 01/13/12 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 18 12WC 16306 ALLEN, WENDELL JOEYS MOVERS AND TRUCKING 04/26/12 KARCHMAR & STONE ASA LAW GROUP 19 12WC 16494 DACA, JANUSZ SPIE TOOL CO 05/01/11 MINKOW DOMIN LAW OFFICES JOSEPH MARCINIAK 20 12WC 21264 19B ROGERS, LENORA ELIZABETH LUDEMAN CENTER @ 11/20/11 ANKIN LAW OFFICE STEPHANIE KEVIL 21 12WC 22215 WOODS, RICARDO METROPOLITAN WATER RECLAM 01/27/12 ROBERT A. WILSON NYHAN BAMBRICK KINZIE & LOWR 15WC019694 -C 22 12WC 27455 TRES, ALAN J WEST RIDGE NEWS AGENCY IN 05/15/03 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 23 12WC 30666 GRANDE, MANUEL P DE STA CO MANUFACTURING 05/29/12 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 14WC012679 -C DE-STA-CO MANUFACTRING 24 12WC 34254 SPITZER, MELANIE CLUB 162 N/K/A 04/01/11 GORDON & CENTRACCHIO LLC 25 12WC 37400 19B OTT, DON ALLIANCE FIRE PROTECTION 11/01/11 HEALY LAW FIRM HENNESSY & ROACH PC 26 12WC 38165 DIAZ, ANTONIO SKYLINE FURNITURE MFG INC 05/10/12 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 27 13WC 07346 HARRIS, NATESHA ABM JANITORIAL 08/30/12 SALVATO & O'TOOLE GOLDBERG SEGALLA LLC 28 13WC 15855 SHEPARD, PATRICIA JEWEL FOODS 04/13/13 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 29 13WC 16757 ARANDA, ANTONIO HILTON WORLDWIDE INC C/O 02/15/13 DWORKIN AND MACIARIELLO NOBLE & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 13WC 16825 FRYE, LAMONT CHICAGO PUBLIC SCHOOL ROJ 05/13/13 LAW OFFICE OF SCOTT B SHAP LAW DEPARTMENT 31 13WC 21421 MURDOCK, KATHY ADDUS HEALTHCARE 12/13/12 DAVID W MARTAY HENNESSY & ROACH PC 14WC036019 -C 32 13WC 23909 HANNAH, TANASHA PRINCIPAL MANUFACTURING 05/01/11 MEYERS & FLOWERS JOSEPH MARCINIAK 15WC005006 -C 33 13WC 24791 ULRICH, JOHN E JR PALOS COMMUNITY HOSPITAL 08/26/10 HORWITZ HORWITZ & ASSOC LORENZ & BERGIN PC 34 13WC 27609 GOMEZ, GILBERTO VIRTO AND SON TRUCKING 10/15/12 CULLEN HASKINS NICHOLSON SMITH AMUNDSEN LLC 35 13WC 27932 RICHARD, MARY CTA 07/30/13 BALKE & WILLIAMS CHICAGO TRANSIT AUTHORITY 36 13WC 31234 MORALES, EDDIE VILLAGE OF BELLWOOD 08/08/13 FIGLIOLI, DAVID ROCK FUSCO & CONNELLY 15WC023030 -C 37 14WC 02379 GONZALEZ, NANCY CHICAGO BOARD OF EDUCATIO 11/21/13 SAUNDERS CONDON & KENNY LAW DEPARTMENT 38 14WC 02414 HORDE, CECILIA CHICAGO BOARD OF EDUCATIO 03/17/00 LUSAK AND COBB CHGO BOARD OF EDUCATION 39 14WC 02595 MORALES, EDUARDO VILLAGE OF BELLWOOD 12/30/13 FIGLIOLI, DAVID ROCK FUSCO & CONNELLY 40 14WC 03980 MATUSIAK, SAMANTHA VISCOFAN USA 10/12/12 RIDGE & DOWNES LAW OFFICES OF EDWARD J. KOZ 41 14WC 04405 MARTINEZ, JUAN CARLOS EL VENENO DE NAYARIT 05/06/13 VRDOLYAK LAW GROUP LLC 42 14WC 08492 EARTHELY DAVIS, DENISE CTA 02/28/14 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 43 14WC 13805 GARCIA, MAUEL ACCURATE DISPERTIONS 02/11/14 STYKA & STYKA ROBERT L. SMITH 44 14WC 13895 GAS, ROSELYN UNIVERSITY OF CHICAGO MED 02/26/14 DANIEL SZCZECIN & ASSOC KNELL O'CONNOR DANIELWICZ 45 14WC 16439 ARNOLD, ROBERT AMMERAAL BELTECH 08/17/13 SEIDMAN MARGULIS & FAIRMAN 46 14WC 16697 RAMOS, JUAN PABLO SORTO D & Z CONSTRUCTION LLC 01/19/14 SALVATO & O'TOOLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 47 14WC 17418 MORENO, HUGO COLONIAL BRICK CO INC 03/12/14 JOHN S. ELIASIK ACCIDENT FUND HOLDINGS 48 14WC 20860 JAMISON, ANTHONY CHICAGO PUBLIC SCHOOLS 09/22/11 CAMERON CLARK LAW DEPARTMENT 49 14WC 25379 SCHNURR, RONALD L MOTOR WERKS OF BARRINGTON 01/09/14 LUSAK AND COBB BRYCE DOWNEY & LENKOV LLC 50 14WC 25499 RUIZ, ALEJANDRO AMERICAN BUILDING 12/26/13 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR 51 14WC 27017 RILEY, ERICA CHICAGO TRANSIT AUTHORITY 08/01/14 ANKIN LAW OFFICE 15WC018987 -C CTA 16WC027513 -C 52 14WC 30139 BOYD, NANCY ELIZABETH LUDEMAN CENTER @ 07/31/14 WITTENBERG DOUGHERTY MAGLI C. FLETCHER 53 14WC 35257 PREVENDAR, DAN UNITED AIRLINES INC. 10/03/14 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 54 14WC 36472 METZNER, MARK AMERICAN COMMUNITY MANAGE 08/05/14 BOUDREAU NISIVACO LLC ACCIDENT FUND HOLDINGS 55 14WC 36880 SMILEY, JOE D JR CHICAGO PUBLIC SCHOOLS 05/06/14 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 56 14WC 37435 AVILEZ, SEFERINO VPC PIZZA MANAGEMENT 08/26/13 MARTIN L GLINK LAW OFFICE INMAN & FITZGIBBONS 57 14WC 37575 19B BRYANT, SUSAN ANN & ROBERT H LURIECHILD 07/28/12 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 58 14WC 37592 VOJINOVIC, NIKOLA MMJ TRANSPORTATION 10/23/14 O'CONNOR & NAKOS 59 14WC 37616 OLADIPO, OLALEKAN TRIBECA TWO CAB CORP 3335 09/04/14 COHN LAMBERT RYAN & SCHNEI DEBORAH SCHAEFER 60 14WC 38834 PRICE, TIMOTHY L D DHL WORLDWIDE EXPRESS 10/09/14 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 61 14WC 40488 HARTMAN, JEFF FORD MOTOR CO 05/13/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 15WC020865 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 62 15WC 01658 SALDIVAR, ROGELIO PACKERS SANITATION SERVIC 12/14/14 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 63 15WC 01863 PARCHETA, PATTY STARBUCKS COFFEE COMPANY 06/03/14 LAW OFFICES DANIEL E MURPH BRADY CONNOLLY & MASUDA PC 15WC007804 -C 64 15WC 02354 IGOE, ELIZABETH CHICAGO PUBLIC SCHOOLS 09/13/13 KARCHMAR & STONE LAW DEPARTMENT 65 15WC 03509 BAKER, LAFORCE PACE BUS 12/05/14 TRAPP & GELLER LITCHFIELD CAVO 66 15WC 03896 DAVIS, JAMICA N COOK CTY FACILITIES MGMT 11/14/13 GOLDSTEIN BENDER & ROMANOF STATES ATTORNEY OF COOK COUN 67 15WC 04584 DIONIDO, LEONARDO A PACE WEST DIVISION 08/18/14 MICHAEL HELLMAN PACE - LEGAL DEPT 68 15WC 04609 GIL, CARLOS CHICAGO TRANSIT AUTHORITY 01/12/15 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 69 15WC 04627 SAYANI, MOHAMMED N GLOBE TAXI 02/24/14 SEIDMAN MARGULIS & FAIRMAN 70 15WC 04907 LATRONICA, RENEE G CHICAGO PUBLIC SCHOOLS 06/10/14 GOLDBERG WEISMAN & CAIRO L 71 15WC 04948 LEWIS, JEZAIL CHICAGO PUBLIC SCHOOLS 01/14/15 BAUM RUFFOLO & MARZAL LTD CHGO BOARD OF EDUCATION 72 15WC 05046 BOENS, KEVIN COOK COUNTY 02/13/15 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 16WC018692 -C 17WC010522 -C 73 15WC 08879 MUENCH, RYAN UIC MEDICAL CTR PATHOLOGY 05/17/13 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 74 15WC 10740 19B DUNNING, TUESDAY VILLAGE DISCOUNT OUTLET 09/27/14 SLAVIN & SLAVIN NYHAN BAMBRICK KINZIE & LOWR 75 15WC 12804 DYMEK, JAMES M UNIVERSAL PROTECTION SERV 02/01/15 NEWMAN, BOYER & STATHAM KEEFE CAMPBELL & ASSOC LLC 76 15WC 12838 ARCE, LUIS CTA 01/15/15 WHITING LAW GROUP CHICAGO TRANSIT AUTHORITY 77 15WC 14293 KNIGHT, JANELLE NORTHWESTERN MEMORIAL HOS 12/01/14 EAMES LAW GROUP LTD GAROFALO SCHREIBER STORM GRA 78 15WC 15227 SALCEDO, ROCHELLE TRADER JOE'S 06/07/13 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 79 15WC 17609 URBINA, GILBERTO KING OF GLORY OF CHICAGO W 06/06/12 SIMS, ZACHARY K PC 80 15WC 21856 CHERN, KAREN S. UPRIGHT LAW 06/08/15 VITELL & SPITZ LTD NYHAN BAMBRICK KINZIE & LOWR 81 15WC 23561 GARCIA, NOE REZA NATIONAL PROCESSING CO 07/27/15 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 16WC039435 -C 82 15WC 23679 RAFIDI, YASMIN SYMPHONY OF CRESTWOOD NUR 07/01/15 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 83 15WC 24787 MEREGILLANO, VIRGINIA STATE OF IL-CHICAGO READ @ 06/17/15 HART & DAVID LLP ASSISTANT ATTORNEY GENERAL 84 15WC 25506 DAVIDSON, TAMARA UNITED AIRLINES 12/11/14 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 17WC004763 -C 85 15WC 25823 MC CARTHY, DAWN NAPLETON RIVER OAKS MOTOR 01/27/15 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 86 15WC 26377 SUAREZ, MIGUEL EDGAR A WEBER & CO 07/13/15 COHN & COHN HENNESSY & ROACH PC 87 15WC 32460 19B ANDREWS, ALAK MORTON SALT COMPANY 10/02/15 GAROFALO SCHREIBER STORM 88 15WC 33063 DRINSKI, JEFFREY TOTAL REHAB PROPERTY W 01/07/15 WOLFE LAW PC 89 15WC 33593 GALE, CORDRE FORD MOTOR COMPANY 07/17/15 LEE, MARK N LAW OFFICE POWER & CRONIN LTD 90 15WC 34124 HARRIS, JULIE 2-IN-1 CONTRACTORS, INC 07/15/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 91 15WC 34230 SWEENEY, SUSAN SOUTHWEST AIRLINES 10/04/15 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 15WC034231 -C 92 15WC 34314 TORRE, ELEAZAR DE LA A & A DRYWALL & TAPING 02/09/15 RAYMOND M SIMARD, PC EVANS & DIXON 15WC034315 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 93 15WC 34540 SAMUELS, TINA M SCR MEDICAL TRANSPORATION 10/19/15 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 94 15WC 34662 FULLER, KERI KRAFT HEINZ 11/14/13 RUBIN LAW GROUP GAROFALO SCHREIBER STORM GRA 15WC034663 -C 95 15WC 34805 MICHALSKI, MICHAEL FREEMAN EVENT PLANNER 07/15/15 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 96 15WC 34904 CROCKETT, EVELYN CHICAGO PARK DISTRICT 05/01/13 POLANSKY & CICHON CHTD CHICAGO PARK DIST LAW DEPT 97 15WC 34985 HOFFMAN, BETH SPANCIL DEVELOPMENT D/B/A 02/08/15 ASHER, RAYMOND L LTD HENNESSY & ROACH PC 98 15WC 35393 JONES, WENDELL E VCNA PRAIRIE MATERIAL SER 06/04/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 99 15WC 35663 COONS, LEE RONALD WEBER-STEPHEN 04/30/15 COLLISON LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 100 15WC 35775 TREIBER, STACI VILLAGE OF WHEELING 10/07/15 SCOTT BARBER KLEIN THORPE & JENKINS LTD 101 15WC 35910 HERNANDEZ, MARIA REYNA ALTERNATIVE STAFFING INC. 12/02/13 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 102 15WC 35923 STOLL, THOMAS GEICO INSURANCE 01/23/14 STEVEN M SELAN BRYCE DOWNEY & LENKOV LLC 15WC041959 -C 103 15WC 36039 WATKINS, RAYMOND CASSENS TRANSPORT 09/15/15 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 104 15WC 36106 RODRIGUEZ, SAMUEL GERBER TECHNOLOGY 04/20/15 GOLDBERG WEISMAN & CAIRO L 105 15WC 36175 CROWEROFT, MICHAEL A W SMITH CARTAGE COMPANY 10/18/15 LEONARD LAW GROUP LLC 106 15WC 36366 CAGLE, GREGORY ROSEMONT EXPOSITION SERVI 10/12/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 107 15WC 36476 SHERWOOD, KEVIN ORTIZ BUILDERS, INC 09/23/15 RUBIN LAW GROUP HOLECEK & ASSOCIATES 15WC036477 -C 108 15WC 36685 PAYNE, VONDA CIRCUIR COURT OF 08/02/14 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 109 15WC 36860 FIELDS, LINDA L STATE OF IL DEPT OF @ 11/07/15 FRIEDMAN & SOLMOR LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 110 15WC 36943 MUHAMMED, ARIF BLUE CODE CHICAGO W 09/28/15 BAUM RUFFOLO & MARZAL LTD 111 15WC 37118 AVILES, LANDA OEVY RESTAURANTS 10/09/15 GOLDSTEIN AIOSSA & GOOD 112 15WC 37759 HERRERA, SILVESTRE P&K AUTO SALES INC (NKA- W 02/25/15 MENDOZA LAW PC ATSAVES, LOUIS G LTD 113 15WC 37983 BIBBS, LATONYA CHGO STREETS & SAN DEPT 08/19/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 114 15WC 38153 SCHMITZ, THOMAS M BREMEN HIGH SCHOOL DIST 2 06/02/15 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 115 15WC 38177 WILSON, JOHN UPS 12/10/14 LEONARD LAW GROUP LLC 116 15WC 38800 PEREZ, OLIVIERO ACME INDUSTRIES INC 04/29/15 NEWLAND & NEWLAND HOLECEK & ASSOCIATES 117 15WC 38841 ANZALDUA, ANASTASCIO BIG TOP AUTO PARTS INC 10/23/15 COHN & COHN 118 15WC 41287 TALLERICO, JAMIE ILLINOIS STATE TOLL HIGHW @ 04/18/13 KOSIN LAW OFFICE LTD NYHAN BAMBRICK KINZIE & LOWR 17WC001051 -C 17WC005323 -C IL STATE TOLL HWY AUTHORIT 119 16WC 00914 19B GRAJALES-ARCE, MARIA PLEASANT HOUSE BAKERY LLC 12/15/15 NICHOLIS J STEIN LAW OFFICES JOSEPH MARCINIAK 120 16WC 02178 CIRKIC, SABEHETA LUTHERAN GENERAL HOSPITAL 09/19/15 RITTENBERG & BUFFEN NYHAN BAMBRICK KINZIE & LOWR 16WC002179 -C 121 16WC 03520 SCHWARZ, BARBARA SPEED COOP 10/24/14 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 122 16WC 04018 MORTENSEN, CAROL ADVOCATE CHRIST MEDICAL C 02/01/16 KOSIN LAW OFFICE LTD GAROFALO SCHREIBER STORM GRA 17WC020923 -C 123 16WC 04218 MOORE, LUSETTE PACE BUS 11/29/15 VASILATOS & COTTER LLC POWER & CRONIN LTD 124 16WC 04380 BROWN, GABRIEL A NELSON INSULATION CO 12/22/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 125 16WC 05117 MORENO, DEBRA J FORD MOTOR CO 02/04/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 126 16WC 10989 JIMENO, RICARDO KUSTOM SEATING UNLIMITED 08/18/14 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 127 16WC 14060 MATTHEW, JACOB PROSPECT AIRPORT SERVICES 03/10/16 STEVEN A CRIFASE, LTD THOMAS & ASSOCIATES 128 16WC 14515 YOUNG, WILLIE CHICAGOBEARS FOOTBALL 12/21/14 WOLFE LAW PC MC ANDREWS & NORGLE LLC 16WC034808 -C 16WC034809 -C 18WC015357 -C 18WC028874 -C 18WC028875 -C 18WC028876 -C 18WC028877 -C 18WC028878 -C 18WC028879 -C 18WC028880 -C 18WC030692 -C 129 16WC 14667 MEDINA, ELIZER JR. METROPOLITAN WATER 04/29/16 HUGHES SOCOL PIERS RESNICK 130 16WC 15377 LLOYD, BONNIE CHICAGO TRANSIT AUTHORITY 02/19/16 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 131 16WC 16809 BELAUZARAN, MARTHA EXECUTIVE MAILING 08/14/15 SALVATO & O'TOOLE 132 16WC 23944 BAKER, KEVIN QUAD CITY MALLARDS 12/22/14 GORDON LAW OFFICES LTD INMAN & FITZGIBBONS 133 16WC 24690 NORWOOD, APRIL CARL BUDDIG & CO 05/30/16 DEPAOLO ZADEIKIS GORE KNELL & O'CONNOR 134 16WC 24946 SANCHEZ, NILDA MENARD INC 04/19/15 RICHARD O. GREENFIELD CHILTON YAMBERT PORTER LLP 16WC024947 -C 135 16WC 25016 ZARAGOZA, JESUS M. ROY STROM, INC. 05/10/16 CHRISTIAN & MANNO KLAUKE LAW GROUP LLC 136 16WC 25026 PODOLSKI, JOHN CITY OF PARK RIDGE 05/18/16 JOHNSON, MICHAEL D & ASSOC MACIOROWSKI SACKMANN & ULRIC 16WC025027 -C 137 16WC 25220 CASTRO, SILVIA ARAMARK 06/08/16 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 138 16WC 25358 PANAGOULIS, JOANN LOYOLA GOTTLIEB 03/30/16 PARAD LAW OFFICES PC 139 16WC 25412 FONTANINI, RITA PRESENCE ST FRANCIS HOSPI 09/01/15 CHARLES A FANUCCHI BRADY CONNOLLY & MASUDA PC 16WC025413 -C ADVOCATE CONDELL MEDICAL C 140 16WC 25525 AWAD, HATEM DISPATCH TAXI MGMT LLC 04/30/16 SEIDMAN MARGULIS & FAIRMAN 141 16WC 25579 SANTOS, GEORGINA ALDEN ESTATES OF ORLAND P 07/31/16 HEALY SCANLON LAW FIRM KEEFE CAMPBELL & ASSOC LLC 142 16WC 25599 HARDEN, DOMINIQUE FORD MOTOR COMPANY 08/06/16 JAMES ELLIS GUMBINER & ASS WIEDNER & MCAULIFFE LTD 143 16WC 26250 HERNANDEZ, CARY TIGER AUTOMOTIVE 06/16/16 CRONIN & PETERS 144 16WC 26393 TORRES, NANCY D L H SOLUTIONS 04/27/16 SHANNON LAW GROUP WOLFE & JACOBSON, LTD 145 16WC 26811 BAUTISTA, JAIME COMMUNITY FIRST MEDICAL C 10/05/15 JOSEPH G HAFFNER LAW OFFIC GRANT & FANNING 146 16WC 26833 HEATHERLY, MICHAEL ALLIANCE GROUND INTERNATI 07/28/16 BART DURHAM NYHAN BAMBRICK KINZIE & LOWR 147 16WC 31498 GANNON, BARBIE COOK COUNTY DEPT OF CORR 10/06/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 148 16WC 32429 MARTINEZ, ELVIA KIK CUSTOM PRODUCTS 02/09/16 RICHARD E ALEKSY POWER & CRONIN LTD 16WC032430 -C 16WC032431 -C 149 16WC 33946 ESCUTIA, PEDRO MARTINEZ B LANDSCAPING 05/13/16 CULLEN HASKINS NICHOLSON 150 16WC 33981 ALVAREZ, GERMAN THE LEVY CO 09/12/16 ACEVES & PEREZ PC KLAUKE LAW GROUP LLC 151 16WC 34162 REYNISH, SAM CHICAGO SURGICAL CLINIC 02/02/15 MARTIN L GLINK LAW OFFICE JOSEPH MARCINIAK 152 16WC 34178 LEWIS, MICHAEL MA STEEL ERECTORS 10/20/16 DWORKIN AND MACIARIELLO 153 16WC 34351 MILLER, ANDREW ARENA FOOTBALL ONE LLC 04/01/16 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 16WC 34429 CHRISTIAN, RONAK DISPATCH TAXI AFFILIATION 11/10/13 MARK WHITESIDE ESQ 155 16WC 34499 TATE, ASHANTE ALDI STORES 10/12/15 SAUNDERS CONDON & KENNY BRADY CONNOLLY & MASUDA PC 17WC026651 -C 156 16WC 34574 BLANK, DANIEL BRACKENBOX ROLLOFF SERVIC 06/21/16 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 157 16WC 34802 NAVA, RUBEN NATURE'S TR EES INC 06/27/16 LAW OFFICE ANTHONY B GORDO WIEDNER & MCAULIFFE LTD 158 16WC 34974 DOORNBOS, RICHARD WASTE MANAGEMENT 09/25/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 159 16WC 35006 EWALD, JOHN COOK COUNTY DEPT OF CORRE 06/28/16 STEWART C ORZOFF 16WC035007 -C 160 16WC 35024 MOLINA, DOLORES FIRST STUDENT SCHOOL BUS 10/20/16 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 19WC019288 -C 161 16WC 35089 RAMIREZ, FELIX ELITE STAFFING 10/11/16 JOHN S. ELIASIK 162 16WC 35138 HIDALGO, ENRIQUE UNIFIED CML, LLC 11/04/16 MAURICE E DUSKY PC HOLECEK & ASSOCIATES 163 16WC 35483 LARSON, MELANIE COMM CONSOLIDATED SD 15 04/21/16 CORBOY & DEMETRIO PC WIEDNER & MCAULIFFE LTD 164 16WC 36072 LAROSA, JOSEPH CITY OF CHICAGO DEPARTMEN 11/03/16 CUDA LAW OFFICES CITY OF CHICAGO 17WC034403 -C 165 16WC 36253 SIRCHER, KYLE CITY OF CHICAGO - DEPT OF 03/08/16 ARNOLD & KADJAN CITY OF CHICAGO 166 16WC 36516 GONZALEZ, ANGELES AXLE TECH INTERNATIONAL 10/19/16 STROM, NEAL B WOLFE & JACOBSON, LTD 167 16WC 36720 DAVIS, WILLIE CITY OF CHICAGO DEPT OF W 10/28/16 VRDOLYAK LAW GROUP LLC 168 16WC 36728 BELTRAN, JOSE AHM BUILDERS 11/17/16 JAMES ELLIS GUMBINER & ASS 169 16WC 36795 ALLEN, PATRICIA CTA-CHICAGO TRANSIT AUTHO 11/08/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 170 16WC 36868 HENESTROSA, RAUL GALINDO DELTA LOGISTICS, INC 06/27/16 THE ROMAKER LAW FIRM LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 17WC 03509 SMITH, MATTHEW A CLAASSEN,WHITE& ASSOCIATE 10/05/16 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 172 17WC 03665 LA VOIE, DEIDRE GP LOGISTICS 06/24/13 STEVEN L. VENIT HENNESSY & ROACH PC 173 17WC 03898 MENDEZ, KRISTY RESOURCE MFG 12/09/16 HART & DAVID LLP 174 17WC 03982 RIVERA, CHRISTIAN ROSE PACKIGN CO 01/18/17 CRONIN & PETERS 175 17WC 04141 ROBINSON, ISAAC ABSOPURE WATER CO, INC 01/21/16 HANNIGAN & BOTHA, LTD SMITH AMUNDSEN LLC 176 17WC 04221 BABAJANYAN, ARTUR JOFFREY BALLET 02/22/15 LANNON LANNON & BARR LTD RIPES NELSON BAGGOT KALOBRAT 177 17WC 04342 WARMLEY, TONY CHICAGO POLICE DEPARTMENT 11/02/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 178 17WC 04361 BARKER, DENISE B CHICAGO BOARD EDUCATION 01/27/17 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION 179 17WC 04411 JOHNSON, ROSIE L JEWEL FOOD STORES INC 07/25/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 180 17WC 04598 BERG, CHARLES SKYWEST AIRLINES 01/13/17 BERG & BERG GANAN & SHAPIRO 181 17WC 04696 JEFFERSON, MAURICE WHOLE FOODS 02/08/17 LAW OFFICES OF JOSEPH F. V 182 17WC 04756 ROTH, ERIC SOUTHWEST AIRLINES 03/24/16 GREGORIO & MARCO HENNESSY & ROACH PC 183 17WC 05156 WARDELL, BILLY PROGRESS RAIL A CATERPILL 01/24/17 MILLON & PESKIN LTD GOLDBERG SEGALLA LLC 184 17WC 05172 MARTINEZ, MAGDIEL ROSAL'S CUCINA, INC W 01/28/17 STEVEN J TENZER, LTD 185 17WC 05214 THOMAS, PEARL M CHICAGO PULBIC SCHOOLS 11/28/16 ANKIN LAW OFFICE LAW DEPARTMENT 186 17WC 05325 CHANG, BRENDA NALCO CHEMICAL CO 04/05/16 GOLDSTEIN BENDER & ROMANOF KEEFE CAMPBELL & ASSOC LLC 187 17WC 05620 ILUMINADA, ROMAN COOK COUNTY C/O 08/20/14 RAYMOND P GARZA LAW OFFICE STATES ATTORNEY OF COOK COUN 188 17WC 05794 ROZSIVAL,M MICHAL CHICAGO BLACKHAWKS HOCKEY 05/07/15 GORDON LAW OFFICES LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 189 17WC 05956 SEYPTOLOOL, MEHDI NECT 17 - LLC 01/29/17 NYHAN BAMBRICK KINZIE & LOWR 190 17WC 06036 PURSLEY, ROBERT SERVICE MECHANICAL INDUST 11/03/16 LAW OFFICES MICHAEL HELLMA WIEDNER & MCAULIFFE LTD 191 17WC 06179 KIMBROUGH, REGINA LYFT 02/20/17 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 192 17WC 06287 EVANS, ROBERT RELATED MIDWEST MGMT 01/20/17 DISPARTI LAW GROUP PA 193 17WC 06320 GLYAZER, ALECKSNDR COUNCIL FOR JEWISH ELDERL 02/03/17 194 17WC 06341 REYES, ALEJANDRA PRONTO STAFFING SERVICE 11/28/16 ROSS TYRRELL POWER & CRONIN LTD 195 17WC 06358 PENNYMON, LATAVIA NORTHWESTERN MEDICAL CENT 09/22/16 SHELDON I MINKOW & ASSOCIA 196 17WC 06409 HERNANDEZ, HUMBERTO CTA 02/15/17 RUBENS AND KRESS CHICAGO TRANSIT AUTHORITY 197 17WC 06441 LANE, BETSY FEDEX EXPRESS 07/21/16 PARENTE & NOREM PC HANSON LAW OFFICE 198 17WC 06467 MABIN, MARCIA GRAND PRAIRIE SERVICES 02/03/17 CULLEN HASKINS NICHOLSON 199 17WC 06795 ROBERTSON, KIMBERLY GLENVIEW TERRACE NURSING 01/26/17 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 200 17WC 11428 CARAWAY, MEGAN AMERICAN AIRLINES 12/12/16 SAUNDERS CONDON & KENNY 201 17WC 13568 RODRIGUEZ, KARINA MARQUEZ BRYN MAWR RESTAURANT CORP 08/06/16 KARCHMAR & STONE JOSEPH MARCINIAK 202 17WC 13604 MARTINEZ, MARTHA UIC HOSPITAL 04/29/15 CURTIS S BURKE LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 17WC013605 -C 17WC013606 -C 203 17WC 13707 JUAREZ, FRANCISCO C. DYNAMIC MANUFACTURING INC 02/01/17 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 204 17WC 13784 HEJNAL, LEE PEPSI CO 03/15/17 SAUNDERS CONDON & KENNY GAIDO & FINTZEN 205 17WC 13891 LOFTIS, STEVE CORTLAND'S GARAGE 01/17/17 COSTA IVONE LLC POWER & CRONIN LTD 206 17WC 13899 JAZO, GAYLE PRIMUS ORTHOPEDICS, S.C. 06/30/16 SPENCER LAW OFFICES LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 207 17WC 14007 PINA, MARIA WORK FORCE, LLC 08/22/14 ROSS TYRRELL KOREY RICHARDSON LLC 208 17WC 14034 ODEYELE, SAMUEL SAMODE 49, INC 04/07/17 LAW OFFICE RYAN ROSENTHAL 209 17WC 14223 SPENCER, SADE HAYMARKET CENTER 04/26/17 210 17WC 14462 NUCCIO, LORETTA WALGREENS 02/26/17 RIDGE & DOWNES GILDEA, COGHLAN & REGAN LTD. 211 17WC 14601 AGUILAR, JOSE DE JESUS EL POPOCATEPETL INDUSTRIE 12/20/15 CUSHING LAW OFFICES ACCIDENT FUND HOLDINGS 212 17WC 14669 AGUILAR, SILVIA CHICAGO MIDWAY INT'L AIRP 04/27/17 ESR LAW GROUP THOMAS & PORTELA 213 17WC 14929 URBANI, BARBARA ROSELAND COMMUNITY HOSP 04/28/17 ANGELINI & ORI LLC SCOPELITIS GARVIN LIGHT 214 17WC 14991 DEPKON, JAMES CITY OF PARK RIDGE 03/14/17 HEALY SCANLON LAW FIRM MACIOROWSKI SACKMANN & ULRIC 215 17WC 15062 ROBLES, JOSE STERLING SLEEP PRODUCTS 02/14/17 MILLON & PESKIN LTD HENNESSY & ROACH PC 216 17WC 15320 YOUNUS, FAWZI AMERICAN AIRLINES 05/19/17 HUGHES SOCOL PIERS RESNICK GAROFALO SCHREIBER STORM GRA 217 17WC 15537 JOHNSON, JUANITA MCCORMACK BARON MGMT, INC 04/18/17 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 218 17WC 15558 ALSHWAYYAT, WALID AMERICAN TAXI DISPATCH IN 05/18/16 BRUSTIN & LUNDBLAD LTD BAUM RUFFOLO & MARZAL LTD 219 17WC 15743 CAREY, MARK AT&T 01/17/17 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 220 17WC 15787 LOVELL, BRYNN MARIE TRAVELERS 01/29/16 COLLISON LAW OFFICES RUSIN & MACIOROWSKI LTD 221 17WC 15804 RAMIREZ, VINCENTE R.K. HOLDINGS DBA RUSTIC 09/13/16 ANKIN LAW OFFICE GANAN & SHAPIRO 222 17WC 15956 GUERRERO, ALICIA F MCDONALD'S 11/22/16 CULLEN HASKINS NICHOLSON 223 17WC 15972 HUTCHINSON, DERRICK WILMETTE SD # 39 04/24/17 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 224 17WC 16050 YOUNG, MELVIN JR FORD MOTOR COMPANY 01/10/17 SALVATO & O'TOOLE POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 225 17WC 16277 KIDD, DWANE OLD VETERAN CONSTRUCTION 03/20/17 ERIC M GLASSON & ASSOCIATE 226 17WC 16666 CROWE, RON DART CONTAINER 06/18/16 JOHN C SERKLAND GAROFALO SCHREIBER STORM GRA 17WC016667 -C 17WC016668 -C 227 17WC 16683 ESTRADA, DANIEL CSR ROOFING CONTRACTORS 05/31/17 ASHER, RAYMOND L LTD STONE & JOHNSON CHARTERED 228 17WC 16960 BRINGLE, JANE RICHARD HENRY LEE ELEMENT 03/02/17 DEPAOLO ZADEIKIS GORE 229 17WC 18984 MILLER, DAMIAN MARKETBUZZ PROMOTIONS 06/15/17 230 17WC 19055 GORZ, BRIAN HUDSON BOILER 01/03/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 231 17WC 23045 TURNER, RHONDA COUNTRY CLUB HILLS SD 160 03/02/17 GAINES & GAINES COZZI & GOGGIN-WARD 232 17WC 23085 PHILLIPS, KAMARII SWISSPORT USA, INC 08/01/17 COSTA IVONE LLC KNELL O'CONNOR DANIELWICZ 233 17WC 23144 GILLMAN, MARGARET M CITY OF CHICAGO POLICE DE 04/12/17 BRILL & FISHEL CITY OF CHICAGO 234 17WC 23242 MALCOLM, ROBERT ILLCO, INC. 08/01/17 GOLDBERG WEISMAN & CAIRO L NOBLE & ASSOC 235 17WC 23268 CABRERA, SILVANO TOTAL FACILITY MAINTENANC 04/15/15 LAW OFFICE HUGO ORTIZ 236 17WC 23296 HERNANDEZ, GUADALUPE ED MINIAT, LLC 07/11/17 BERNAT & BERNAT PC POWER & CRONIN LTD 18WC030248 -C MINIAT HOLDINGS LLC 18WC030249 -C 237 17WC 23436 LITTLE, PATRICIA STEINER SECURITY SERVICES 05/13/17 MARC J SHUMAN & ASSOCIATES 238 17WC 23527 WILLIAMS, CRYSTAL VALLI PRODUCE 08/12/15 DWORKIN AND MACIARIELLO 239 17WC 23767 LAGRANDBERY, SIRQUINN CARDINAL LOGISTICS 08/10/17 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 240 17WC 23822 DAVIS, ROSLYN ARAMARK NUTRITION SUPPORT 01/01/17 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION 241 17WC 23889 STARLING, CYNTHIA JACKSON PARK HOSPITAL 03/17/17 MAURICE E DUSKY PC ODELSON & STERK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 242 17WC 23923 AYALA, FELICITAS ARYZTA 03/30/17 LAW OFFICES LEONARDO MORAL HENNESSY & ROACH PC 243 17WC 23972 HALEY, TITANNA CENTRAL STEEL AND WIRE CO 07/14/17 GORDON & CENTRACCHIO LLC GAROFALO SCHREIBER STORM GRA 18WC012892 -C 244 17WC 24129 MANOS-VICKERS, MATTHEW MARR CHICAGO PIZZA, INC 10/25/14 LAW OFFICES OF HELEN BLOCH HENNESSY & ROACH PC 245 17WC 24152 ROMERO, GLORIA ST ANTHONY HOSPITAL 03/29/17 246 17WC 24470 NUNEZ, GRISELDA TRIUNE LOGISTICS 08/04/17 HERRERA LAW CENTER LITCHFIELD CAVO 247 17WC 24573 SHINES, DORIS L CRESTLINE HOTELS & RESORT 03/21/17 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 19WC015077 -C 248 17WC 24749 HERNANDEZ, BENJAMIN FORD MOTOR COMPANY 10/27/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 17WC024750 -C 17WC024801 -C 17WC024802 -C 249 17WC 24777 AMOATIN, FELIX SCOOBEEZ INC 07/28/17 TAXMAN POLLOCK 250 17WC 24812 DIAL, CHRISTOPHER PORRECA FREIGHT 07/05/17 RANDALL A. WOLFF & ASSOC 251 17WC 24997 HOFF, TIM DELTA AIRLINES, INC 05/02/16 RIDGE & DOWNES ROBERT L. SMITH 18WC003554 -C 252 17WC 25342 GARCIA, MARIA CARL BUDDIG & CO. 06/10/17 HERRERA LAW CENTER KNELL O'CONNOR DANIELWICZ 253 17WC 25366 REBAPIS-NEHRING, AMANDA SPEEDEE DELIVERY SERVICE 08/17/17 RICHARD E ALEKSY BRADY CONNOLLY & MASUDA PC 254 17WC 25401 CHILLIS, TREMAYNE AIRGAS USA LLC 07/25/17 LITCHFIELD CAVO 255 17WC 25424 BOVAN, DEBORAH GERALEX/RD REAL ESTATE 07/03/17 SALVATO & O'TOOLE 256 17WC 25705 WELLS, SHERRIE FOOD 4 LESS 07/03/17 CULLEN HASKINS NICHOLSON STONE & JOHNSON CHARTERED 257 17WC 25730 DIEGO, DANIEL COLUMBUS VEGETABLE OILS 07/23/17 GORDON LAW OFFICES LTD MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 258 17WC 25805 GARCIA, ISAAC GROOT INDUSTRIES 10/08/15 LANCASTER, DEBORAH 259 17WC 25832 SIMPSON, ROCHELLE CHICAGO PUBLIC SCHOOLS 06/13/16 HODES GREENSTEIN & LITWIN 260 17WC 25849 HURTADO VARGAS, ALVARO AN MENDOZA GUTIERREZ CONSTRU 08/11/17 SALK, STEVEN B & ASSOC LTD EPSTEIN, JACK R LAW OFFICES 261 17WC 26948 FORDE, THOMAS MB REAL ESTATE SERVICES I 08/17/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 262 17WC 30377 OWENS, EUGENIE UNITED AIRLINES 03/25/17 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 263 17WC 30618 TUCKER, TERENCE VILLAGE OF ROBBINS 10/10/17 SKLARE LAW GROUP POWER & CRONIN LTD 264 17WC 32784 IWANSKI, STEVEN LIGHTHOUSE MANAGEMENT SER 03/16/16 ANGELINI & ORI LLC HENNESSY & ROACH PC 17WC032785 -C 265 17WC 32800 WALKER, CHRIS NIAGRA LASALLE 06/24/17 DWORKIN AND MACIARIELLO 266 17WC 32926 BEASLEY, CHARLES PULLMAN SUGAR 11/10/16 CHADWICK & LAKERDAS 267 17WC 32970 LOPEZ, IRENE M FLEXAN CORPORATION 09/05/17 OSVALDO RODRIGUEZ PC HOLECEK & ASSOCIATES 17WC032972 -C 268 17WC 33193 GAVRYLKO, IVAN PROSPECT AIRPORT SVS, INC 07/07/14 FEDOR KOZLOV & ASSOC 269 17WC 33279 ASHFORD, LATRICE KROGER FOODS 10/19/17 LEONARD LAW GROUP LLC 270 17WC 33329 MORENO-ARELLANO, DAVID HASSAN AZARPIRA W 05/04/15 ANKIN LAW OFFICE LADUZINSKY & ASSOC 271 17WC 33517 MEJIA, JOSE ADVANCED DISPOSAL 03/01/16 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 312 17WC033518 -C 272 17WC 33658 SUDDUTH, MALVIN T RIKKI'S CLEANING SERVICES 09/01/17 MCGOVERN, JOSEPH M LAW OFFIC 273 17WC 33886 AMUKWO, LYCENT UNISTAFF 10/17/17 JOHN S. ELIASIK 274 17WC 33916 HERNANDEZ-KAZECKI, ELIZAB AMERICAN AIRLINES 10/27/17 COVEN LAW GROUP GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 275 17WC 34104 LARES, DAVID ASPEN FOODS INC 11/09/17 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 276 17WC 34169 LEE, DESMOND UBER 11/10/17 DWORKIN AND MACIARIELLO 277 17WC 34242 YOUNG, WILLIE COMMUNITY SPECIALISTS, IN 08/22/17 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 278 17WC 34268 CARABALLO, MICHAEL L ELITE RENOVATIONS SYSTEMS W 08/16/17 GALLAGHER, DONALD V 279 17WC 34286 ARMSTRONG, ANTONIO LABOR READY 04/22/16 280 17WC 34379 PHILLIPS, ANTHONY PACE 10/13/17 LAW OFFICE OF SCOTT B SHAP 281 17WC 34446 SOLOMON-DABOUS, HELEN FIRST STUDENT BUS 07/29/16 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 282 17WC 34582 SLUE, MONTGOMERY CHICAGO TRANSIT AUTHORITY 03/14/17 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 283 17WC 34607 ALEXANDER, SHERITA PACE 11/10/17 SALVATO & O'TOOLE 284 17WC 34629 JONES, JOE KOCH TRUCKING, INC 11/18/17 COSTA IVONE LLC 285 17WC 34704 DEVIN, LERNY FRANK CAR-X AUTO SERVICE 10/26/17 LAW OFFICE JOSHUA KARMEL WOLF LAW LTD 286 17WC 34803 WREN, LISA CHICAGO TRANSIT AUTHORITY 11/09/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 287 17WC 34891 FERGUSON, ROBERT LOWE'S 07/03/17 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL BIERY & ASSOC 288 17WC 34933 THRELKELD, JOHN KRDENTH TRUCKING INC 10/16/17 ANKIN LAW OFFICE 289 17WC 34980 WHITE, LAUREN LOYOLA UNIVERSITY HEALTH 08/10/17 SCOTT BARBER 290 17WC 35007 FIESTA, KARL UNITED PARCEL SVC 10/31/17 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 291 17WC 35090 HAMILTON, CJ KENNY CONSTRUCTION 09/22/17 BUDIN LAW OFFICES GAROFALO SCHREIBER STORM GRA 292 17WC 35147 GARCIA, ALEX RT WHOLESALE LLC D/B/A 10/26/17 FIGLIOLI, DAVID GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 293 17WC 35198 ROZSIVAL, MICHAL CHICAGO BLACKHAWKS HOCKEY 04/19/15 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 294 17WC 35257 VILLA, BETTYE LURIE CHILDRENS HOSPITAL 06/04/17 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 17WC035258 -C 295 17WC 35308 PARTEE, JACQUELINE CITYOF CHICAGO 04/19/17 LAW OFFICE JOSHUA KARMEL CITY OF CHICAGO 296 17WC 35363 HOSKINS, STACY NORTH SHORE UNIVERSITY 09/25/17 GOLDSTEIN AIOSSA & GOOD 297 17WC 35381 BROWN-BURGE, AYESHA T COOK COUNTY DEPT OF CORRE 11/13/17 FRIEDMAN & SOLMOR LTD STATES ATTORNEY OF COOK COUN 298 17WC 35542 HAWKINS, MARK TRAC SVC, LLC 10/19/17 CAPRON & AVGERINOS PC BRYCE DOWNEY & LENKOV LLC 299 18WC 03283 PADILLA, HOLLIE ADVOCATE MEDICAL GROUP 12/29/17 RUSSEL M KOFOED GAROFALO SCHREIBER STORM GRA 18WC033336 -C 300 18WC 03451 FANE, TAMMIE NIELSEN BAINBRIDGE 12/02/15 LEONARD LAW GROUP LLC 301 18WC 03483 AVILA, LUMEY PORKCHOP RESTAURANT 01/11/18 302 18WC 03570 FENNERSON-PORCHE, MARGO ILLINOIS TOLLWAY AUTHORIT 12/10/17 ASSISTANT ATTORNEY GENERAL 303 18WC 03759 HARRISON, TOIYA CTA 01/29/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 304 18WC 03783 ZYGALDO, EVE CHICAGO PUBLIC SCHOOLS 11/06/17 COVEN LAW GROUP CHGO BOARD OF EDUCATION 305 18WC 03891 JAROSZ, KEITH HARVEY POLICE DEPARTMENT 01/31/18 CUDA LAW OFFICES ANCEL GLINK PC 306 18WC 03908 RIER, MARK PINNACLE DECORATING INC 01/26/18 ELFENBAUM EVERS & AMARILIO JOSEPH MARCINIAK 307 18WC 04030 BOND, PATRICK INTRIGUE DANCE INTENSIVE 01/14/18 O'CONNOR & NAKOS WOMICK LAW FIRM CHTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 308 18WC 04040 WARDELL, NOLA LUDEMAN CENTER @ 01/25/18 VASILATOS & COTTER LLC ASSISTANT ATTORNEY GENERAL 309 18WC 04084 MERAZ, RACHEL JOHNNY K PATIO 01/24/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 18WC010043 -C 18WC021385 -C 310 18WC 04134 LEVERSTON, ELIZETTIE THE PALMER HOUSE HILTON E 11/16/17 WARREN W MARK NOBLE & ASSOC 311 18WC 04150 RODRIGUEZ, MARINA SPECIALIZED STAFFING SOLU 01/29/18 SCOTT B SHAPIRO SLAVIN & SLAVIN 312 18WC 04177 PASTRANA-RAFFLES, BRIAM CLIMATE SOLUTIONS, INC 02/05/18 RITTENBERG & BUFFEN 313 18WC 04238 PACK, NOMOYOA IL DEPT OF HEALTH SERVICE @ 12/30/17 CRONIN & PETERS ASSISTANT ATTORNEY GENERAL 314 18WC 04278 MOLINA, ABRAHAM NATIONAL AUTOMOTIVE PARTS 09/26/17 315 18WC 04296 HUGGINS, CORNELIA TOWER AUTOMOTIVE 01/05/18 COSTA IVONE LLC KEEFE CAMPBELL & ASSOC LLC 316 18WC 04412 FELICIANO, LUIS CTA-CHICAGO TRANSIT AUTHO 08/07/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 317 18WC 04572 JOHNSON JR, JAMES R.K. HILLSIDE BOWL 02/20/16 SEIDMAN MARGULIS & FAIRMAN NOBLE & ASSOC 318 18WC 04613 GARCIA, ROBERTO TITAN PERSONNEL INC W 12/12/17 JOHN S. ELIASIK 319 18WC 04644 BLACK, TOMMY FORD MOTOR COMPANY 09/25/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 320 18WC 04764 VARGAS, LUIS RAUL RG CONSTRUCTION SERVICES 07/17/17 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 321 18WC 04844 MOHAMED, SHEMSUDIN THE CHEESECAKE FACTORY 01/14/18 ABELS & ANNES, PC 322 18WC 04955 SCHELLER, KENNETH CARMAX 09/26/17 ANKIN LAW OFFICE ASA LAW GROUP 323 18WC 04971 ALVAREZ, CELSO GOLD STANDARD BAKING 05/04/16 COSTA IVONE LLC EVANS & DIXON 324 18WC 04986 HARDAWAY, GEORGETTE CTA 02/16/18 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY 325 18WC 05019 DARGUZIS, NINA PARTY CITY 12/12/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 326 18WC 05064 RILEY, CHRISTOPHER COOK COUNTY SHERIF'S DEPT 11/30/17 TIMOTHY HENDERSON STATES ATTORNEY OF COOK COUN 327 18WC 05121 STEVENSON, LARICO ARENA FOOTBALL ONE LLC 04/22/17 GORDON LAW OFFICES LTD 328 18WC 05146 BUCHANAN, ANTHONY L CITY OF CHICAGO DEPT OF W 01/09/18 GALLAGHER, DONALD V CITY OF CHICAGO 329 18WC 05157 WHITE, DEVASHA KINDER CARE EDUCATION LLC 01/29/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 330 18WC 05164 DEUTSCH-SMITH, DEBRA BLACKHAWK TRANSPORT 05/24/17 LEONARD LAW GROUP LLC HINSHAW & CULBERTSON 331 18WC 05168 BESTWINA, TRACY UPS 03/14/17 LEONARD LAW GROUP LLC ASA LAW GROUP 332 18WC 05181 JIMENEZ, ALEJANDRO LABRIOLA CHICAGO 01/21/18 KARCHMAR & STONE 333 18WC 05232 DELGADO, SERGIO GEORGIA NUT COMPANY 09/19/17 EPSTEIN, JACK R LAW OFFICE CAPUANI, FRANK S 334 18WC 05294 DANO, MARKO ROCKFORD ICE HOGS 02/17/16 GORDON LAW OFFICES LTD 335 18WC 05311 KUEHN, TERRENCE DS TEQUILA COMPANY 06/23/16 COSTA IVONE LLC ROSARIO CIBELLA 336 18WC 05450 AVILA, MARITZA RON'S STAFFING SERVICES I 01/30/18 GRAZIAN & VOLPE PC 337 18WC 05467 MERCHERSON, CARL COOK COUNTY SHERIFFS OFFI 02/01/18 COVEN LAW GROUP STATES ATTORNEY OF COOK COUN 338 18WC 05512 SANDOVAL, ABRAHAM MIDWAY AIRPORT SHUTTLE SE 08/14/17 RUBIN MACHADO ROSENBLUM STONE & JOHNSON CHARTERED 339 18WC 05551 CEDENO, DANIEL FIVE T MANAGEMENT INC 01/20/17 ELFENBAUM EVERS AMARILIO Z MEACHUM BOYLE TRAUFMAN 340 18WC 05594 PALICKI, JASON PUROFIRST OF CHICAGOLAND 01/09/18 MCNAMARA PHELAN MCSTEEN LL 341 18WC 05717 ARROYO, MARIA COMMUNITY FIRST MEDICAL C 08/07/15 THE ROMAKER LAW FIRM KRAKER FANNING & OLSEN 342 18WC 05755 WARE, TANISHA UNIVERSITY OF CHICAGO COM 01/15/18 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 343 18WC 05811 RODRIGUEZ, ROSAURA CHICAGO PUBLIC SCHOOLS 02/13/18 TIMOTHY E. TAKASH CHGO BOARD OF EDUCATION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 344 18WC 06064 BAJOREK, ELZBIETA WESTIN CHICAGO 12/20/17 ALEKSY BELCHER GANAN & SHAPIRO 345 18WC 06113 LOVE, MARSHENNA LUDEMAN DEVELOPMENTAL CTE 02/07/18 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 346 18WC 06158 SODJA, NOEL SAGGITARIUS 1 INC 02/04/18 SPENCER LAW OFFICES DEBORAH SCHAEFER 347 18WC 06173 HERNANDEZ, RAQUEL DHL GLOBAL MAINTENANCE 09/14/17 GOLDSTEIN BENDER & ROMANOF 348 18WC 06197 CERVANTES, EDUARDO JOHN J MADDEN MENTAL HEAL 02/14/18 EDWIN REYES LEGAL GROUP ASSISTANT ATTORNEY GENERAL 18WC016849 -C 349 18WC 06333 PAULSON, WILLIAM COOK COUNTY-RISK MANAGEME 02/14/18 KEVIN O'BRIEN STATES ATTORNEY OF COOK COUN 350 18WC 06468 NAVARRETE, MANUEL GOLDEN COUNTRY ORIENTAL 01/29/18 GOLDSTEIN BENDER & ROMANOF JOSEPH MARCINIAK 351 18WC 06533 HERNANDEZ, MARTHA GENERATIONS BRANDS 11/27/17 EDWIN REYES LEGAL GROUP HENNESSY & ROACH PC 18WC006964 -C 352 18WC 06548 CONRY, KEITH MWRDGC 07/08/15 BOWMAN & CORDAY 353 18WC 11538 JEGLUM, DAVID PROSPECT HEIGHTS FIRE 03/26/18 SAUNDERS CONDON & KENNY POWER & CRONIN LTD 354 18WC 12333 IKE, RONALD D UNIVERSITY OF ILLINOIS AT 02/11/18 ANKIN LAW OFFICE POWER & CRONIN LTD 355 18WC 13381 CONTRERAS, HUGO US TANK ALLIANCE INC 05/31/17 GRAUER & KRIEGEL LLC GAROFALO SCHREIBER STORM GRA 18WC013382 -C 356 18WC 13537 HEICHMAN, WILLIAM SHERWIN-WILLAIMS PAINT ST 02/14/18 GAROFALO SCHREIBER STORM GRA 357 18WC 14020 GREENE, DOMONIQUE SUBWAY RESTURANT 05/01/18 LEONARD LAW GROUP LLC 358 18WC 14055 BIERNAT, WILLIAM USF HOLLAND INC. 03/23/18 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 359 18WC 14105 MARSHALEK, RAYMOND POWER WELLNESS MANAGEMENT 07/13/16 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 19WC016175 -C 360 18WC 14205 LOPEZ, LUIS E FEDEX GROUND PACKAGE SYST 11/26/17 KOSIN LAW OFFICE LTD KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 361 18WC 14220 BURRELL, DAVID WINPAK PORTION PACKAGING 03/16/18 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 362 18WC 14285 HERMAN, JOANNE TGI FRIDAYS/YADAY ENTERPR 09/15/17 CORTINA & MUELLER MEACHUM & STARCK 363 18WC 14556 VANDYS, KESTUTIS ARKA LOGISTICS, INC 02/19/16 JASON SAGER 364 18WC 14584 MORGAN, TRACEY COOK COUNTY SHERRIF'S DEP 05/06/18 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 365 18WC 14678 REEVES, DERRICK XPO LOGISTICS 02/13/17 RUBENS AND KRESS 366 18WC 14711 GISCOMBE, MARCUS UCAN-UHLICH CHILDRENS 01/22/18 MC HARGUE & JONES 367 18WC 14749 KONCEVIC, MICHAEL MURPHY & MILLER 04/05/13 COVEN LAW GROUP HOLECEK & ASSOCIATES 368 18WC 14767 QUINTANAR, MARIA C DART CONTAINER 03/23/18 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM GRA 369 18WC 14861 SANCHEZ, CELSO ACCORD CARTON 03/31/18 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 370 18WC 15116 ROONEY, WILLIAM CITY OF CHICAGO DEPT OF 11/19/14 CUDA LAW OFFICES CITY OF CHICAGO 371 18WC 15135 AVILES, OMAR FROZEN FOOD EXPRESS 10/12/17 JACOBSON & SCHIEFELBEIN WIEDNER & MCAULIFFE LTD 372 18WC 15201 MCCOY, SAMARAH D RUSH UNIV MEDICAL CENTER 05/07/18 VITELL & SPITZ LTD KEEFE CAMPBELL BIERY & ASSOC 373 18WC 15222 MURRAY, WILLIE AUTOZONE 02/27/18 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 374 18WC 15288 LATASIEWWICZ, SUSAN V PEPSICO D/B/A FRITO LAY I 04/02/18 KOSIN LAW OFFICE LTD GILDEA & COGHLAN 375 18WC 15309 GRADOS, CESAR A CARL BUDDING & CO 05/03/18 ANKIN LAW OFFICE KNELL O'CONNOR DANIELWICZ 376 18WC 15387 HOWARD, JAMAR ARENA FOOTBALL ONE, LLC 06/11/16 GORDON & CENTRACCHIO LLC 377 18WC 15459 FLORECKI, NIKO XSPORT FITNESS 04/26/18 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 378 18WC 15500 EVANS, REGINALD M ILLINOIS DEPARTMENT OF 02/23/18 ANKIN LAW OFFICE ASSISTANT ATTY GENERAL 379 18WC 15545 006 RUFINO, FRANCISCO ROSBOROUGH PARTNERS INC 05/10/18 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 006 18WC015544 -C 380 18WC 15639 WILLIAMS, LESLIE D CTA 05/11/18 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 381 18WC 15656 DUFFY, SANTO C COOK COUNTY SHERIFF'S DEP 05/05/18 DAVID W MARTAY STATES ATTORNEY OF COOK COUN 18WC030113 -C 382 18WC 15777 DAHMER, DARYL FLECK'S LANDSCAPING 01/13/18 STROM & ASSOC BRADY CONNOLLY & MASUDA PC 383 18WC 15812 SPRAWLS, LILLIE CHICAGO PUBLIC SCHOOLS 12/07/17 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION 384 18WC 15891 WESTBROOK, MARVIN L RPT TRANSPORTATION, INC 04/15/16 JAMES M KELLY 385 18WC 15993 ROBINSON, KAREN CTA 03/13/18 MICHAEL A. HIGGINS CHICAGO TRANSIT AUTHORITY 386 18WC 16017 CARROLL, MICHAEL MORAN MASONRY 04/27/18 LUSAK AND COBB KEEFE CAMPBELL BIERY & ASSOC 387 18WC 16047 ROVERTS, LESTER H SR SUNRISE SOUTHWEST LLC 04/24/18 ANKIN LAW OFFICE FRANCESCA LARSEN 388 18WC 16196 KNIGHT, ASHLEY UPS 11/01/17 DWORKIN AND MACIARIELLO ASA LAW GROUP 389 18WC 16344 WOOLFOLK, JOSEPHINE CHICAGO TRANSIT AUTHORITY 05/29/18 MC HARGUE & JONES CHICAGO TRANSIT AUTHORITY 390 18WC 16360 CUNTUM, VIJAYA CR ENGLAND 05/24/18 SEIDMAN MARGULIS & FAIRMAN SPIEGEL & CAHILL, PC 391 18WC 16371 FLAVIN, GARRETT ORLAND FIRE PROTECTION DI 03/19/18 CULLEN HASKINS NICHOLSON 392 18WC 16387 AVILA, JUANA L TAYLOR FARMS 04/26/18 SALK, STEVEN B & ASSOC LTD EVANS & DIXON 393 18WC 16550 ALVARADO, ANA THREE BROTHERS LAUNDRY 05/20/18 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 394 18WC 16711 DUNN, DOMINIQUE PACE SUBURBAN BUS 02/25/18 BLUMENSHINE LAW GROUP PAUL A COGHLAN & ASSOC 395 18WC 16780 MASON, GEORGE CTA 08/28/17 ASHER, RAYMOND L LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 396 18WC 16823 MACHUCA, J. SOCCORO ELI'S CHEESECAKE CO 04/12/18 VASILATOS & COTTER LLC MEACHUM & STARCK 397 18WC 22007 LEWIS-BUNCH, RITA ADVOCATE TRINITY HOSPITAL 01/11/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 398 18WC 23508 YUNDA, AMINA Z KRISPY KREME DOUGHNUTS 07/20/17 COSTA IVONE LLC MEACHUM & STARCK 399 18WC 23524 SANCHEZ, OMAR DUNKIN DONUTS 07/25/18 LEONARD LAW GROUP LLC 400 18WC 23571 GREENWOOD, ROBBIE SSP AMERICA FOOD TRAVL EX 07/17/18 DWORKIN AND MACIARIELLO 401 18WC 23614 MARTINEZ, EMILIO R FARMINGTON FOODS, INC 05/07/18 DENNIS HESSER 402 18WC 23656 MCWILLIAMS, DAVID SEARS HOME SERVICES 08/02/18 SKLARE LAW GROUP GAROFALO SCHREIBER STORM GRA 19WC003072 -C 403 18WC 23792 HARDY, SYEITHA MANOR CARE PALOS EAST 07/08/18 WOODRUFF JOHNSON 404 18WC 23810 DE CURIE, TRINA NICOR 06/14/17 TAXMAN POLLOCK MACIOROWSKI SACKMANN & ULRIC 405 18WC 23842 SAMANDAS, LINA NIEMAN MARCUS 03/21/17 LUSAK AND COBB LEAHY EISENBERG & FRAENKEL 406 18WC 23882 BRAVO, EDGAR PARAGON MECHANICAL 08/02/18 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 407 18WC 23952 KINGSBURY, BETH, LEGAL CHICAGO PARK DISTRICT 08/02/18 ACEVES & PEREZ PC CHICAGO PARK DIST LAW DEPT 408 18WC 24023 D'ANGELO, CYNTHIA NEW ALBERTSON'S INC D/B/A 02/15/18 NICHOLIS J STEIN 409 18WC 24047 NETTLES, AARON CTA 04/26/18 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 410 18WC 24073 JONES, PHILLIP CITY OF CHICAGO ST & SAN 05/13/18 DONALD FOHRMAN & ASSOC CITY OF CHICAGO 411 18WC 24091 PADILLA, MARTHA CASA CENTRAL SOCIAL SERVI 07/25/18 CHEPOV & SCOTT LLC 412 18WC 24174 SARUMI, OLUWAFEMI AMERICAN AIRLINES, INC 06/21/18 DEPAOLO & ZADEIKIS ROSARIO CIBELLA 413 18WC 24189 MALINOWSKI, DIANE OLYMPIA FIELDS COUNTY CLU 11/30/17 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 414 18WC 24230 JACOBSON, CURTIS HOME DEPOT USA INC 09/19/17 DENNIS HESSER ADELSON TESTAN BRUNDO 415 18WC 24282 AGUILAR, HUMBERTO PRIDE CLEANERS 01/26/16 JONATHAN SCHLACK 416 18WC 24320 MORENO, OSCAR HUMBERTO DE QUALITY LABOR SERVICE NOR 08/10/18 HERRERA LAW CENTER KOREY RICHARDSON LLC 417 18WC 24352 ZARAGOZA, YVONNE PLYMOUTH PLACE 07/01/18 PORRO NIERMANN LAW GROUP WOLF LAW LTD 418 18WC 24582 GREENWOOD, PORSHIA NORTH SHORE UNIVERSITY HE 05/30/18 WOODRUFF JOHNSON KEEFE CAMPBELL BIERY & ASSOC 419 18WC 24617 BROWN, ROSALYN CTA 06/26/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 420 18WC 24628 COLLINS, ALBERT ILLINOIS DEPT OF TRANSPOR @ 08/01/16 JASINSKI, GEORGE J ASSISTANT ATTY GENERAL 421 18WC 24727 MURGEUITIO, RUDOLPH SODEXO 07/23/18 SALVATO O'TOOLE FROYLAN INMAN & FITZGIBBONS 422 18WC 24742 MARTIN, CORY ARAMARK SERVICES INC 08/07/18 GOLDSTEIN BENDER & ROMANOF 423 18WC 24756 LOSTER, ELBA FIRST STUDENT 07/11/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 18WC024757 -C 424 18WC 24774 ARANGO, JORGE COMPLETE HOOD SERVICES 08/06/18 HERRERA LAW CENTER MEACHUM & STARCK 425 18WC 24803 SIMACK, KATHRYN L LOYOLA UNIVERSITY 06/27/16 RICHARD E ALEKSY LORENZ & BERGIN PC 18WC024804 -C 18WC024805 -C 426 18WC 24927 PACK, NOMOYA IL DEPT OF HEALTH SERVICE @ 05/26/18 CRONIN & PETERS ASSISTANT ATTORNEY GENERAL 427 18WC 25008 MORENO, PABLO GOLD STANDARD BAKING 08/04/18 DAVID W MARTAY 428 18WC 25081 WILKES, JERI LAKHANI HOSPITALITY 02/14/18 SHAY & ASSOCIATES INMAN & FITZGIBBONS 429 18WC 25130 PEREZ, FERNANDO VIP LOGISTICS 04/04/17 STEVEN A CRIFASE, LTD 430 18WC 25181 CHAPMAN, ALLEN ARENA FOOTBALL ONE LLC 04/23/16 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 431 18WC 25247 MERRIWEATHER, KRISTOFF FORD MOTOR COMPANY 06/13/18 DONALD FOHRMAN & ASSOC 432 18WC 25344 WILSON, LAMAR BATISTE MASONRY 07/09/18 VRDOLYAK LAW GROUP LLC 433 18WC 25367 ARELLANO, EDUARDO BUDDY BEAR CAR WASH 06/20/18 DWORKIN AND MACIARIELLO ANCEL GLINK PC 434 18WC 25445 LOPEZ, ULISES PEREZ RELIABLE CONTRACTING 06/01/18 COYNE REINKE LAW STONE & JOHNSON CHARTERED 435 18WC 25466 LUCIA, KELLY UNITED CONTINENTAL HOLDIN 03/03/18 RUSSO & RUSSO LTD NYHAN BAMBRICK KINZIE & LOWR 436 18WC 25585 AGNEW, KAREN KINDERCARE 02/28/18 CORNFIELD & FELDMAN HENNESSY & ROACH PC 437 18WC 25621 WILLIAMS, KAREN ANTI-CRUELTY SOCIETY 12/01/17 BRISKMAN BRISKMAN GREENBER INMAN & FITZGIBBONS 438 18WC 25735 FOHRMAN, PAUL USF HOLLAND 08/06/18 MARTIN V KUGIA HENNESSY & ROACH PC 439 18WC 25846 SIMS, HERMAN CHICAGO STATE UNIVERSITY 07/24/18 ANGELINI & ORI LLC ASSISTANT ATTY GENERAL 440 18WC 25894 SHEEHAN, THOMAS ILLINOIS STATE POLICE @ 04/25/18 COLLISON LAW OFFICES STATE OF ILLINOIS 441 18WC 25908 PEREZ, WALTER D AT&T 08/24/17 GALLAGHER, DONALD V EVANS & DIXON 442 18WC 25925 OBAGHEMI, SOJI CHICAGO ELITE CAB 08/14/18 SHELDON I MINKOW & ASSOCIA 443 18WC 25956 JACKSON, HANNAH JAYMEES CAFE 01/08/16 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 444 18WC 26055 BIRKHOLTZ, SUSAN THE FOUNTAIN GROUP 08/15/18 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 445 18WC 26063 GONZALEZ, JOSE UNITED AIRLINES INC. 08/19/18 SAUNDERS CONDON & KENNY WIEDNER & MCAULIFFE LTD 446 18WC 26097 MOLETTE, CYNTHIA ALDEN ESTATES OF NORTHMOO 08/21/18 MARC J SHUMAN & ASSOCIATES KEEFE CAMPBELL BIERY & ASSOC 447 18WC 26140 HENDERSHOT, BROOKE AMITA/ST 07/21/18 DOUGLAS RALLO PC POWER & CRONIN LTD 448 18WC 26163 JENNINGS, LATONYA D A.S.G. STAFFING, INC 08/24/18 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 449 18WC 26216 BAKER, YOLANDA (MOTHER OF NAVY PIER INC 07/20/18 CHRISTINE F DAVID HENNESSY & ROACH PC 450 18WC 26595 BAEZ, ESTEBAN CHICAGO PUBLIC SCHOOL 11/13/17 GOLDBERG WEISMAN & CAIRO L CHGO BOARD OF EDUCATION 451 18WC 30449 PEREZ-HUERTA, JOSE G MINUTE MEN STAFFING SERVI 08/14/18 SALVATO O'TOOLE FROYLAN POWER & CRONIN LTD 452 18WC 31920 NORRIS, TRAVONE TWO MEN AND A TRUCK 08/10/18 CHARLES LEVY & ASSOC LTD HENNESSY & ROACH PC 453 18WC 33331 SINGLETON, MARY TOWER AUTOMOTIVE HOLDINGS 10/05/18 BRENNAN, THOMAS E LTD KEEFE CAMPBELL BIERY & ASSOC 454 18WC 33427 JACKSON, DONALD AWC WAREHOUSE 11/01/18 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL BIERY & ASSOC 455 18WC 33492 MCKINZIE, LATRELL CHICAGO TRANSIT AUTHORITY 11/03/18 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 456 18WC 33575 CAPIZ, ELVIA MC DONALD'S 02/11/18 HORWITZ HORWITZ & ASSOC 457 18WC 33604 BOGARD, DIAMOND CPS-WESTINGHOUSE COLLEGE 11/05/18 STROM & ASSOC CHGO BOARD OF EDUCATION 458 18WC 33639 BECK, ALLEN REPUBLIC SERVICES, INC. 01/26/18 KROL BONGIORNO & GIVEN LTD GILDEA, COGHLAN & REGAN LTD. 459 18WC 33657 AGUILAR, ABEL ARRO CORPORATION AND 10/11/18 EPSTEIN, JACK R LAW OFFICE 460 18WC 33701 TODD, MYKAL PDS TECHNICAL SERVICES IN 08/28/18 BUDIN LAW OFFICES KRAKER FANNING & OLSEN 461 18WC 33726 SALGADO, RICARDO SCHNEIDER NATIONAL CARRIE 08/03/18 JAUREGUI & ASSOCIATES ASA LAW GROUP 462 18WC 33786 REED, ANTHONY ELITE RENOVATION SYSTEM W 10/05/18 ANGELINI & ORI LLC 463 18WC 33847 RODRIGUEZ, ELIZABETH FRANCISCAN HEALTH 04/12/18 ENCINAS & ORNELAS 464 18WC 33897 BRAN, HECTOR DOMESTIC LINEN SUPPLY CO 07/02/18 TAXMAN POLLOCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 465 18WC 33927 PALKA, CHARLENE QUEST ENTERPRISES, LLC 11/13/17 GOLDBERG WEISMAN & CAIRO L 466 18WC 33956 BARNETT, ERIN M LEVY PREMIUM FOODSERVICE 10/17/18 RUBIN LAW GROUP GANAN & SHAPIRO 18WC033957 -C 467 18WC 34024 HAMILTON, RAYMOND COMCAST 11/10/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 468 18WC 34053 ANDREWS, LETHA APOLLO PROPERTY MANAGEMEN 08/31/17 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 469 18WC 34078 TAYLOR, ANDIE DRAPER & KRAMER MORTGAGE 10/22/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 470 18WC 34102 SMITH, STEVEN ABT HOME SERVICES, INC. 09/25/18 GRAUER & KRIEGEL LLC 471 18WC 34173 FOUNTAIN, TERRI VILLA AT EVERGREEN PARK 09/08/18 SCOTT B SHAPIRO HOLTKAMP LIESE 472 18WC 34231 MARTINEZ, MARTIN J.A. JOHNSON PAVING COMPA 10/17/18 COSTA IVONE LLC ACCIDENT FUND HOLDINGS 473 18WC 34251 SOTO, JAVIER ILLINOIS BELL TELEPHNE CO 11/02/18 MC HARGUE & JONES 474 18WC 34275 JORDAN, RAY SECRETARY OF STATE 06/13/18 SMOLER LAW OFFICE, PC ASSISTANT ATTORNEY GENERAL 19WC026340 -C 475 18WC 34297 ALBARRAN, EDGAR PIEMONTE DUNDEE CHEVROLET 02/03/17 TARPEY JONES SCHROEDER HENNESSY & ROACH PC 476 18WC 34344 MORENO, RONALDOA OLD WORLD MARKET 09/18/18 GALLAGHER, DONALD V 477 18WC 34389 FINCH, DARIUS FORD MOTOR COMPANY 11/07/18 GORDON & CENTRACCHIO LLC WIEDNER & MCAULIFFE LTD 478 18WC 34420 CARBAGE, BOBBY PEER SERVICES 10/30/18 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 479 18WC 34444 SOTO, MARCO ANTONIO BLUEBERRY HILL CAFE 09/14/18 COSTA IVONE LLC 480 18WC 34467 FOUNTAIN, TERRI VILLA AT EVERGREEN PARK 09/08/18 SCOTT B SHAPIRO 481 18WC 34485 ALLEN, CHANTINIA CTA 11/12/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 482 18WC 34510 COWART, CAROLYN CHICAGO PUBLIC SCHOOLS 11/06/18 WARREN W MARK CHGO BOARD OF EDUCATION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 483 18WC 34600 SALAZAR MORALES, DOMINGO RAPID PALLETS COMPANY 07/30/18 EPSTEIN, JACK R LAW OFFICE 484 18WC 34613 LAVIN, YVONNE CENTRAL HS RICH TOWNSHIP 02/23/18 SEIDMAN MARGULIS & FAIRMAN 485 18WC 34667 LOPEZ, RUBAN DURAN TEMPS P.D.Q. INC. 11/13/18 ENCINAS & ORNELAS POWER & CRONIN LTD 486 18WC 34696 LOZANO, MARIA LILIANA HOTEL STAFFING SOLUTION 10/21/18 OSVALDO RODRIGUEZ PC KOREY RICHARDSON LLC 487 18WC 34726 BAEZ, SANDRA NIEVEZ A CAROUSEL DAY CARE CENTE 11/08/18 SEIDMAN MARGULIS & FAIRMAN 488 18WC 34825 PIERCE, SHEILA FEDERAL MOGUL CORP 09/27/18 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL BIERY & ASSOC 489 18WC 34877 DIAZ, CHUCK QUALITY CUSTOM INSTALL, I 11/12/18 GREGORIO & MARCO 490 18WC 34917 RUBALCAVA, FELICITAS BRIDGEPORT LAUNDROMAT 06/13/18 SHELDON I MINKOW & ASSOCIA 491 18WC 34977 SCHIBILLA, DAVID LEGGETT & PLATT FASION BE 07/02/18 HORWITZ HORWITZ & ASSOC 492 18WC 35059 LAWSON, RICKY SWISSPORT 11/17/18 ANGELINI & ORI LLC KNELL O'CONNOR DANIELWICZ 18WC035417 -C 493 18WC 35084 LEMAIRE, JAMES THE SEGERDAHL CORP DBA SG 09/13/18 ARIANO HARDY NYULI JOHHSON 494 18WC 35118 MOGHALU, CHRISTIAN RAINSTORM II 10/11/18 COHN LAMBERT RYAN & SCHNEI 495 18WC 35141 ROWELL, YARNELL COSTCO 11/09/18 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO 496 18WC 35197 KINDRED, BENNIE JR. SUNCAST CORPORATION 10/08/18 BLUMENSHINE LAW GROUP WIEDNER & MCAULIFFE LTD 497 18WC 35231 LARY, RODNEY GARTH MASONRY CORPORATION 11/24/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 498 18WC 35258 BOYD, MELVIN AMERICAN METAL CHEMICAL C 10/08/18 ANKIN LAW OFFICE 499 18WC 35289 MARTINEZ, ANAYELI METRO STAFFING 09/20/18 TRENT LAW FIRM PC 500 18WC 35311 SOTELO, MARIA H DONNA LYON, LLC W 11/22/18 STEVEN B SALK & ASSOC LTD ARMSTRONG LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 501 18WC 35329 RAMIREZ, MARILU MULTI-TEMPS SERVICES INC 03/01/17 ANSELMO DURAN GAIDO & FINTZEN 502 18WC 35379 BRYANT, CURTIS M2 PROPERTY GROUP, LLC 10/12/18 ASHER, RAYMOND L LTD 503 18WC 35398 VARGAS, MARCO DART CONTAINER 10/07/18 TAXMAN POLLOCK GAROFALO SCHREIBER STORM GRA 504 18WC 35433 STOKES, JOHNNY CTA 10/17/18 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 505 18WC 35449 SMITH, RITA A VICTORY CENTRE OF GALEWOO 10/22/18 DANIEL PERIASWAMY BRYCE DOWNEY & LENKOV LLC 506 18WC 35474 PILLOW, ROY ACCENTURE 11/09/18 LEGALRIDESHARE, LLC EVANS & DIXON 507 18WC 35519 SOTELO, MOISES ALLEN BROTHERS 1893, LLC 10/20/18 COSTA IVONE LLC HENNESSY & ROACH PC 508 18WC 35551 FUNK, RONALD J L.A. FITNESS 11/09/18 CULLEN HASKINS NICHOLSON ADELSON TESTAN BRUNDO 509 18WC 35581 FLORES, MARISOL ELITE STAFFING, INC./BEST 10/24/18 EPSTEIN, JACK R LAW OFFICE 510 18WC 35711 WILLIAMS-LASH, CRYSTAL AMAZON 08/01/17 PORRO NIERMANN LAW GROUP SLAVIN & SLAVIN 511 18WC 35734 KING-BELL, SABRYNA-JOI CHICAGO TRANSIT AUTHORITY 11/21/18 O'CONNOR & NAKOS CHICAGO TRANSIT AUTHORITY 512 18WC 35771 CROSS, ROBERT PROSPECT AIRPORT SERVICES 11/17/18 DWORKIN AND MACIARIELLO 513 18WC 35831 DIJAR, ALFONSO ROSALES CARNICERIAS JIMENEZ INC 11/21/18 COSTA IVONE LLC RIPES NELSON BAGGOT KALOBRAT 514 19WC 02433 MARTIN, RENEE JCG INDUSTRIES, INC/ 11/27/18 JAMES H MILLER JR 515 19WC 02452 BALDERAMA, DAVID MA REBAR SERVICES, INC 08/19/16 JOHN J CASTANEDA WIEDNER & MCAULIFFE LTD 516 19WC 02456 SOTO, JESUS RIVER EDGE HOSPITAL 08/27/18 CUDA LAW OFFICES MC ANDREWS & NORGLE LLC 517 19WC 02479 MCCANN, LATEESHA CHICAGO TRANSIT AUTHORITY 01/19/19 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 518 19WC 03044 ARAQUE, CARLOS CHICAGO TRANSIT AUTHORITY 01/26/19 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 519 19WC 03056 NUNEZ, JACQUELINE LINCOLN PARK SKILLED 01/22/19 RUEDA, IVAN A BRADY CONNOLLY & MASUDA PC 520 19WC 03107 BOYD, LAURA ALLIED UNIVERSAL SECURITY 01/26/19 ROGER D RUDICH LTD GAROFALO SCHREIBER STORM GRA 521 19WC 03292 MALEC, MICHAEL AT&T 09/17/18 ABELS & ANNES, PC 522 19WC 03329 SHEPHARD, ROSEMARY ABCOR HOME HEALTH 11/01/18 BRISKMAN BRISKMAN GREENBER 523 19WC 03373 BUROW, SAVANNAH INTERCONTINENTAL HOTELS G 12/19/18 MCNAMARA PHELAN MCSTEEN LL 524 19WC 03445 RAMIREZ, ROBERTO RUSH UNIVERSITY MED CTR 08/21/18 EDWIN REYES LAW FIRM KEEFE CAMPBELL BIERY & ASSOC 19WC003446 -C 525 19WC 03461 HASKETT, JUSTIN CITY OF COUNTRY CLUB HILL 01/22/19 HETHERINGTON KARPEL & BOBB BRYCE DOWNEY & LENKOV LLC 526 19WC 03522 ABRAMS, CAROLYN F COMMUNITY CONSOLIDATED 10/08/18 ANESI OZMON RODIN NOVAK KO ACCIDENT FUND HOLDINGS 527 19WC 03560 WASHINGTON, KEVIN AT&T 01/07/19 MC HARGUE & JONES 528 19WC 03585 GIGELE, JOSEPH SALT CREEK PARK DISTRICT 10/12/18 BALKE & WILLIAMS 529 19WC 03630 CHERRY, KEVIN B CTA 01/09/19 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 530 19WC 03651 ELHELW, MOHAMED HUB GROUP TRUCKING INC 12/19/18 GOLDBERG WEISMAN & CAIRO L 531 19WC 03691 ROE, DAVID M.J. ELECTRIC CO. 11/01/18 TAXMAN POLLOCK RUSIN & MACIOROWSKI LTD 532 19WC 03710 VALLE, RAYMOND PALATINE CCSD #15 01/30/19 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 533 19WC 03775 PETERSEN, SCOTT OAK LAWN POLICE DEPARTMEN 07/10/18 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL BIERY & ASSOC 534 19WC 03811 MARTINEZ, MARIA SCHULZE & BURCH BISCUIT C 09/25/17 MARK SCHAFFNER 535 19WC 03812 MARQUEZ, JOSE LUIS PRONTO STAFFING 12/11/18 GAINES & GAINES POWER & CRONIN LTD 536 19WC 03863 ISRAEL, MARIAM WOODWARD, INC. 01/22/19 HUGHES SOCOL PIERS RESNICK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 537 19WC 03912 GOSCINSKI, MONIKA WALGREEN'S 01/05/19 MEYERS & FLOWERS 538 19WC 03934 HOWARD, JASON NORTHWEST EXPRESS 12/20/18 SKLARE LAW GROUP 539 19WC 03987 HILL, TONY ST OF IL SECRETARY OF STA @ 10/30/18 DANIEL PERIASWAMY ASSISTANT ATTORNEY GENERAL 540 19WC 04117 HOLIDAY, JUDITH DART CONTAINER CORP 02/02/19 CELSO FUENTES JR GAROFALO SCHREIBER STORM GRA 541 19WC 04158 MCCRAW, FREDDIE AUTO WAREHOUSING COMPANY 02/05/19 KUMLIN & FROMM KEEFE CAMPBELL BIERY & ASSOC 542 19WC 04176 DRAKE, SHENISE CHICAGO TRANSIT AUTHORITY 01/22/19 VLANTIS LAW LLC CHICAGO TRANSIT AUTHORITY 543 19WC 04262 HOPKINS, JESSICA C SONY ELECTRONICS 09/12/18 VITELL & SPITZ LTD GOLDBERG SEGALLA LLC 544 19WC 04278 JONES-ROBERTSON, ALISA C BEST LOVING CARE AT HOME 01/19/19 545 19WC 04297 PRIEST-NEAL, SAMETA UNITED MAINTENANCE COMPAN 09/16/18 SCOTT B SHAPIRO RUSIN & MACIOROWSKI LTD 546 19WC 04319 MAYFIELD, CHRISTOPHER ARYZTA BAKERY 01/28/19 GERALD CONNOR HENNESSY & ROACH PC 19WC005859 -C 547 19WC 04354 MARTINEZ, SAUL GREATER CHGO FOOD DEPOSIT 11/29/18 GRAZIAN & VOLPE PC 548 19WC 04371 AVALOS, ALEJANDRO OLD DOMINION FREIGHT LINE 09/06/18 BAUM RUFFOLO & MARZAL LTD EVANS & DIXON 549 19WC 04411 ALDARO, MELINDA FRAMARX/WAX STAR 08/28/18 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 550 19WC 04429 BAILEY, BRUCE UNITED AIRLINES 09/07/18 CULLEN HASKINS NICHOLSON 551 19WC 04496 GALEAS, MIGUEL ANGEL AUTO SUPER TIRES W 10/25/18 ANGELINI & ORI LLC 552 19WC 04519 GROCHOWSKI, DANIEL C.T. MECHANICAL LLC 10/17/18 MORICI FIGLIOLI & ASSOC EDWARD J. KOZEL 553 19WC 04575 TORRES ANGUIANO, ABRAHAM ESMARK STEEL GROUP LLC 01/16/19 ANKIN LAW OFFICE 554 19WC 04596 KHALIL, WAJIH CONRAD HOTEL 11/20/17 RUBENS KRESS MULHOLLAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 555 19WC 04613 OLVERA-LEALDE, JOSE NORBE FIRST RESIDENTIAL CONSTRU 12/18/18 RUEDA, IVAN A 556 19WC 04633 REYES, MARIA ISABEL ARLINGTON PARK RACECOURSE 09/26/18 ANKIN LAW OFFICE NOBLE & ASSOC 557 19WC 04676 MARTINEZ, CRYSTAL RUSH UNIVERSITY MEDICAL C 01/29/19 DEPAOLO & ZADEIKIS KEEFE CAMPBELL BIERY & ASSOC 558 19WC 04706 KOSIEK, PETER CANON BUSINESS SOLUTIONS 09/19/00 CUDA LAW OFFICES HENNESSY & ROACH PC 559 19WC 04749 STEWART, EARL NCBA-SR. COMMUNITY SERVIC 01/16/19 ARGIONIS & ASSOCIATES LLC 560 19WC 04781 MORENO, FRANCISCO ISS FACILITY SERVICES 06/19/17 FRIEND LEVINSON & BERGAL QUINTAIROS PRIETO WOOD & BOY 561 19WC 04837 SALDIVAR, NELSON PRONTO STAFFING SERVICES 11/19/18 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 562 19WC 04855 HUNT, RONALD CITY OF CHICAGO DEPARTMEN 05/02/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 563 19WC 04928 GARNER, KARYN WALMART 10/30/18 COVEN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 564 19WC 04952 BUTLER, MYANA CHICAGO TRANSIT AUTHORITY 02/11/19 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 565 19WC 04987 DONEGAN, SHELLIE CHICAGO TRANSIT AUTHORITY 01/29/19 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 19WC018425 -C 566 19WC 05007 ROSA, CARLOS VILLAGE OF DIXMOOR POLICE 12/30/18 O'CONNOR & NAKOS 567 19WC 05024 BURGOS, JULIO C THE KROGER CO, D/B/A MARI 01/03/19 STEVEN B SALK & ASSOC LTD BRYCE DOWNEY & LENKOV LLC 568 19WC 05041 WILLIAMS, AARON M G&D INTEGRATED TRANSPORAT 10/31/18 MARK SCHRAMM MEACHUM & STARCK 569 19WC 05079 MEWES, EMILY WHOLE FOODS MARKET 06/26/17 ARGIONIS & ASSOCIATES LLC 570 19WC 05137 BENJEMIN, JOE AMERICAN AIRLINES, INC. 01/26/19 DEPAOLO & ZADEIKIS 571 19WC 05166 JACKSON, CORNELIUS TOTAL STAFFING SOLUTION, 02/07/19 LEONARD LAW GROUP LLC KNELL O'CONNOR DANIELWICZ 572 19WC 05188 CARLIN, JASON UNITED PARCEL SERVICE 01/29/19 COVEN LAW GROUP ASA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 573 19WC 05211 OCASIO, EDWARD ALCO SALES & SERVICE CO 10/26/18 ROBERT WARSASKI WIEDNER & MCAULIFFE LTD 574 19WC 05272 KHAN, YOUSUF HATEF CAB CO 01/13/19 HUNER LAW OFFICES LLC 575 19WC 05358 CONNELLY, KIMBERLY KIMCO REALTY CORPORATION 01/29/19 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 576 19WC 05414 BYRD, ANGELA LYDIA HOME ASSOCIATION 01/19/19 BRISKMAN BRISKMAN GREENBER 577 19WC 05466 ARTERBERRY, YOLANDA T HILTON GARDEN INN 02/08/19 WARREN W MARK 578 19WC 05486 MARCIANO, BERTHA ELITE STAFFING INC 12/05/18 COSTA IVONE LLC 579 19WC 05595 GOMEZ, WANDA EXECUTIVE MAILING SERVICE 08/25/16 DAVID W MARTAY 580 19WC 05685 RADULESCU, MELISSA ANN & ROBERT H LURIE 12/30/18 ABELS & ANNES, PC KEEFE CAMPBELL BIERY & ASSOC 581 19WC 05732 THORPE, CARL CTA 02/19/19 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 582 19WC 05801 ELSMO, ALAN IRONWOOD PHARMACEUTICALS 01/21/19 MOGENSEN LAW LLC HOLECEK & ASSOCIATES 19WC005802 -C 19WC005803 -C 583 19WC 05815 NORMAN, JOHN OAKBROOK MECHANICAL SERVI 02/07/19 CULLEN HASKINS NICHOLSON 584 19WC 05861 COLEMAN, INEZ RENTOKIL 02/21/19 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 585 19WC 05896 KIDD SR, JAMES JEWWEL FOOD STORES, INC 01/22/19 GOLDSTEIN AIOSSA & GOOD 586 19WC 05918 GONZALEZ, EDGAR HARVEST FOODS GROUP 01/18/19 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 587 19WC 05928 JANSSEN, ERICA FRIENDSHIP VILLAGE 12/28/18 SCOTT BARBER 588 19WC 05945 DERAT, SARA COMMAND SECURITY CORP 11/27/18 COSTA IVONE LLC 589 19WC 06141 FANNING, JONATHAN ABF FREIGHT 01/13/19 DEPAOLO & ZADEIKIS KEEFE CAMPBELL BIERY & ASSOC 590 19WC 06158 SOKARDA, GEORGE PETE PEPPER CONSTRUCTION 12/04/18 O'CONNOR & NAKOS KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 591 19WC 06216 ANNES, SCOTT SUPERVISED A SOLUTIONS MANAGEMENT CORP 09/29/17 TAMVAKIS, GEORGE L 592 19WC 06243 TOLSON, ANDRE FREEMAN ELECTRIC 09/05/18 JOSEPH J LOSS PC 593 19WC 06293 MCKINEY, BENIKA GLENKIRK 02/26/19 ANKIN LAW OFFICE 594 19WC 06314 LOPEZ, ELIZABETH UNIFIED CML, LLC. 02/15/19 COSTA IVONE LLC 595 19WC 06346 WILHELM, ROBERT AMERICAN AIRLINES 01/20/19 CULLEN HASKINS NICHOLSON 596 19WC 06427 HORVATH, CHELSY MENARDS 10/21/18 SPIROS LAW PC 597 19WC 06449 HARPER, MELVIN UBER 02/27/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 598 19WC 06478 DORSA, ERIC TRUE FOOD KITCHEN 01/27/19 SEIDMAN MARGULIS & FAIRMAN 599 19WC 12202 TURNER, MARESHA HOLY CROSS HOSPITAL 04/06/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 600 19WC 13288 CERRATO, HECTOR UG2 04/15/19 LEONARDO MORALES 601 19WC 13315 SKEDD, CHRISTOPHER POWER ENERGY SOLUTIONS/ 04/02/19 GWC INJURY LAWYERS LLC JOSEPH MARCINIAK 602 19WC 13334 HARRIS, FRANK UNIVERSAL SCRAP METALS, I 01/28/19 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 603 19WC 13355 FLOWERS, KATHLEEN CPS- YATES ELEMENTARY 11/20/18 SEIDMAN MARGULIS & FAIRMAN CHGO BOARD OF EDUCATION 604 19WC 13384 POTEETE, STEVEN JB HUNT TRANSPORT 06/08/18 PORRO NIERMANN LAW GROUP MICHAEL JASPER 605 19WC 13488 SALGADO, MIREYA STATE FARM INSURANCE 04/29/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 606 19WC 13525 HOOD, DEONNA CHICAGO PUBLIC SCHOOLS 04/29/19 GOLDSTEIN AIOSSA & GOOD CHGO BOARD OF EDUCATION 607 19WC 13540 POSTER, HERMAN AEROTEK STAFFING 04/18/19 WARREN W MARK 608 19WC 13569 WILSON, DEIDRA L LOT #1, INC 04/29/19 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 609 19WC 13584 SANCHEZ, REYNA BERWYN NORTH DISTRICT 98 04/23/19 COSTA IVONE LLC 610 19WC 13612 ADAMS, MARIO DR PEPPER SNAPPLE GROUP 10/30/18 SCOTT B SHAPIRO GAROFALO SCHREIBER STORM GRA 611 19WC 13635 RIVERA, LUZ UIC HOSPITAL 04/05/19 GWC INJURY LAWYERS LLC HEYL ROYSTER VOELKER & ALLEN 612 19WC 13702 MCGUIRE, ANTHONY CITY OF CHICAGO 01/24/19 BURNES & LIBMAN CITY OF CHICAGO 613 19WC 13724 LINDSEY, ELASHIA FACTORY MOTOR PARTS 12/04/18 GWC INJURY LAWYERS LLC RUSIN & MACIOROWSKI LTD 614 19WC 13749 GEFFRARD, JEAN AND KEL LOGISTICS INC. 02/14/19 RUBENS KRESS MULHOLLAND MCANANY VANCLEVE & PHILLIPS 19WC013750 -C 615 19WC 13770 ESCAMILLA, JAIME IDOT 04/07/19 BOWMAN & CORDAY ALYSSA SILVESTRI 616 19WC 13822 GREEN, BRITTANY RESICAP 05/01/19 MARKER & CRANNELL HOLECEK & ASSOCIATES 617 19WC 13842 ABDELBAQI, MUATH WFF FACILITY SERVICES 10/16/18 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM GRA 618 19WC 13884 STOKES, JERWANDA CTA 05/12/19 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 619 19WC 13904 NORIEGA, ALICIA LUTHER HOME 08/24/18 DONALD FOHRMAN & ASSOC 620 19WC 13935 SODE, JOHN SHEET METAL WERKS 03/27/19 KEVIN P. JUSTEN PC GILDEA, COGHLAN & REGAN LTD. 621 19WC 13991 REED, KEONA CHICAGO TRANSIT AUTHORITY 04/29/19 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 622 19WC 14016 RAMOS, CARLOS CHICAGO MATTRESS CO. 02/07/19 SLAVIN & SLAVIN 623 19WC 14033 NUNEZ, IRIANA WEBER-STEPHEN PRODUCTS, L 05/02/19 HANNIGAN & BOTHA, LTD JOSEPH MARCINIAK 624 19WC 14119 LOYA, DANIEL AT&T 02/18/19 GWC INJURY LAWYERS LLC 625 19WC 14145 NORWOOD, ROBERT ABM INDUSTRIES, INC 05/11/19 ANKIN LAW OFFICE LITCHFIELD CAVO 626 19WC 14180 MARTINEZ, JAIME CITY OF CHICAGO 01/28/19 HEALY SCANLON LAW FIRM CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 627 19WC 14256 HERNANDEZ, DANIEL PLANET FITNESS 05/02/19 ELFENBAUM EVERS AMARILIO Z 628 19WC 14274 LECZYCKI, ADAM PERFECT EDGE CONSTRUCTION 12/03/18 URSULA BABICZ & ASSOC GAROFALO SCHREIBER STORM GRA 629 19WC 14302 RIOS-PONCE, LUISA MCDONALDS 03/25/19 KATZ FRIEDMAN EAGLE ET AL 630 19WC 14392 DIAZ JR, JIMMY FLYING FOODS GROUP LLC 04/07/19 DEPAOLO & ZADEIKIS GOLDBERG SEGALLA LLC 631 19WC 14394 PIECZKO, ANDY CITY OF CHICAGO, DEPT OF 05/14/19 CUDA LAW OFFICES CITY OF CHICAGO 632 19WC 14447 FLORES, MARTIN CUSTOM MOLD SRVS, INC 03/14/19 CARAS LAW GROUP GANAN & SHAPIRO 633 19WC 14466 TAYLOR, REGINALD HAROLD'S CHICKEN 05/03/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 634 19WC 14490 GARCIA, JOSE BLOCK AND COMPANY 04/30/19 ANSELMO DURAN HENNESSY & ROACH PC 635 19WC 14510 QUINN, DESIREE WENDY'S 05/10/19 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 636 19WC 14526 GOMEZ, WILLIAN, A/K/A FREEDMAN SEATING COMPANY 03/19/19 STEVEN B SALK & ASSOC LTD 637 19WC 14543 JOHN, SABU FED EX 05/06/19 STEVEN A CRIFASE, LTD 638 19WC 14564 VARELA, ROSA WILLIAM RAINEY HARPER COL 11/30/18 AIOSSA LAW FIRM WIEDNER & MCAULIFFE LTD 639 19WC 14616 PULLIAM, LINDA NORTHPOINTE RESOURCES INC 04/15/19 GOLDSTEIN AIOSSA & GOOD 640 19WC 14659 JOHNSON, LENA CODDLED CARE DAY CARE CEN 05/16/19 DAVID W MARTAY 641 19WC 14680 HERNANDEZ, HUMBERTO MULTI-TEMPS, INC 03/06/19 COSTA IVONE LLC GAIDO & FINTZEN 642 19WC 14721 FITOWSKI, MICHAL KLM EXPRESS 05/10/19 SCOTT B SHAPIRO 643 19WC 14752 JOHNSON, TESHAWN FEDEX GROUND 02/23/19 JAMES ELLIS GUMBINER & ASS 644 19WC 14796 SYKES, RICHARD HOME DEPOT 05/07/19 VITELL & SPITZ LTD ADELSON TESTAN BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 645 19WC 14864 BASHIR, JAMAAL HYPE PRODUCTIONS, INC 04/27/19 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICE 646 19WC 14947 HILL, SAM DOLTON PARK DISTRICT 01/29/19 CLAYBORNE SABO & WAGNER MEACHUM & STARCK 647 19WC 15005 ANDERSON, KL UNITED AIRLINES INC. 01/27/17 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 648 19WC 15026 RAMIREZ, JUAN DR. PEPPER SNAPPLE GROUP 04/23/19 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM GRA 649 19WC 15043 BLACKWELL, JAMES E INTERSTATE HOTELS- CHICAG 08/13/18 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 650 19WC 15204 ARRIGO, DANIEL J HAPP MOVERS INC. 05/20/19 STROM & ASSOC 651 19WC 15227 LANIER, TAURAUN JR PSSI 04/25/19 SANDMAN LEVY & PETRICH 652 19WC 15261 GUTIERREZ, GREGORIO LA MARCHE MANUFACTURING 03/15/19 ACEVES & PEREZ PC BRYCE DOWNEY & LENKOV LLC 653 19WC 15296 GILMORE, SELENA AMAZON FLEX 05/20/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 654 19WC 15331 HERNANDEZ, MABIL CLEAN HEART, INC DBA 04/26/19 JONATHAN SCHLACK EVANS & DIXON 655 19WC 15350 MEJIA, PATRICIA WINPAK PORTION PACKAGING 02/22/19 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 656 19WC 15385 BRICENO, SAMUEL HEIM GROUP 09/07/18 BLOCK, KLUKAS & MANZELLA P EDWARD J. KOZEL 657 19WC 15433 ZARATE, JUAN M COMCAST CORP 03/17/19 ANKIN LAW OFFICE HENNESSY & ROACH PC 658 19WC 15452 BUFORD, DARNISHA L PREMIER HOMEHEALTHCARE 05/08/19 GOLDSTEIN BENDER & ROMANOF 659 19WC 15499 GUTIERREZ, GONZALO ROYAL BUFFET 03/10/19 COSTA IVONE LLC LAWRENCE COZZI - LAW OFFICE 660 19WC 15519 MAJEED, SHAHID JAWAID SIDDIQI 03/30/19 RYAN ROSENTHAL 661 19WC 15558 BUTLER, CHARLES AMERICAN SCHOOL BUS CO LL 05/21/19 SKLARE LAW GROUP 662 19WC 15580 BROWN, EARTHA CHICAGO TRANIST AUTHORITY 05/19/19 KATZ FRIEDMAN EAGLE ET AL CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 663 19WC 15602 FORSLING, GUSTAV CHICAGO BLACKHAWKS HOCKEY 10/24/16 GORDON LAW OFFICES LTD 664 19WC 15619 FLETCHER, DARLENE LOVING WALMART 05/11/19 CUDA LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 665 19WC 15638 NEWELL, SHAWN CHICAGO BOARD OF EDUCATIO 02/27/19 ROSS TYRRELL CHGO BOARD OF EDUCATION 666 19WC 15695 HORNER, CHANTEL CTA 05/22/19 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 667 19WC 15723 MULLEN, AMANDA AMERICAN AIRLINES 07/24/18 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 668 19WC 15743 LAMBERT, ANTHONY JACKSON PARK HOSPITAL FOU 04/30/19 STROM & ASSOC ODELSON & STERK 669 19WC 15762 REYES, MARIA DIAL-A-MAID 02/05/19 JOHN S. ELIASIK LITCHFIELD CAVO 670 19WC 15775 HAWKINS, SONYA UPS 06/04/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 19WC015776 -C 671 19WC 15824 LEON, JAVIER MORELIA SUPERMARKET #2 05/21/19 HERRERA LAW CENTER LAWRENCE COZZI - LAW OFFICE 672 19WC 15887 MITURA, JOSEPH ALEXANDRIA MOULDING 04/04/19 MARKER & CRANNELL MCANANY VANCLEVE & PHILLIPS 673 19WC 15903 003 MEKURIA, ALEMINESH M SYMPHONY OF EVANSTON 05/22/19 ANKIN LAW OFFICE MCCABE KIRSHNER PC 003 19WC009140 -C 674 19WC 15934 ELHOUMAIDI, AHMED BELMORT VILLAGE 02/17/18 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 19WC015935 -C 675 19WC 15974 OSORIO, ALFONSO JCG INDUSTRY 04/16/19 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 676 19WC 16029 HERBERT, TSHARA THE MINTE 05/07/19 DWORKIN AND MACIARIELLO 677 19WC 16071 HEREDIA, BENJAMIN DAYTON SUPERIOR 09/01/18 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 678 19WC 16106 PLASCENCIA, FERNANDO ABT ELECTRONICS, INC 05/23/19 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 19WC020733 -C 679 19WC 16134 005 GASKI, JODI LUTHERAN GENERAL HOSPITAL 04/19/19 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM GRA 005 19WC016131 -C 680 19WC 16153 TAYLOR, TUSSANEE CTA 05/22/19 COSTA IVONE LLC 681 19WC 16197 JONES, QUINDARA CHICAGO TRANSIT AUTHORITY 04/26/19 STEVEN J MALMAN & ASSOCIAT CHICAGO TRANSIT AUTHORITY 682 19WC 16240 LOPEZ, EMMANUEL TR CLARK MANAGEMENT LLC 11/19/18 SALVATO O'TOOLE FROYLAN 683 19WC 23057 GIBBS, APRIL J UNITED PARCEL SERVICE, IN 07/11/19 ANKIN LAW OFFICE ASA LAW GROUP 684 19WC 23077 PLUTA, RYSZARD DAWN TRANSPORT LTD. 07/08/19 INJURY LAWYERS OF IL 685 19WC 23096 O'BRIEN, ROBERT ARYZTA BAKERY 07/29/19 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 686 19WC 23152 RITCHIE-WILCOX, NATALYA UNITED AIRLINES INC. 04/22/18 SHEA LAW GROUP 687 19WC 23183 SCOTT, ERIC HOME DEPOT 09/17/18 MC HARGUE & JONES ADELSON TESTAN BRUNDO 688 19WC 23196 PORTE, PAKISHA IVY LEAGUE KIDS-MONTESSOR 08/01/19 ANGELINI & ORI LLC 689 19WC 23208 BELL, MARIA CHICAGO TRANSIT AUTHORITY 08/04/19 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 690 19WC 23236 PEREZ, SERGIO JR. BARRINGTON 220 SCHOOL DIS 05/15/19 LEAHY, JAMES P 691 19WC 23261 ROJAS, YANET METRO STAFF, INC 05/30/19 STROM & ASSOC 692 19WC 23278 GLANVILLE, MAURICE JR. JEWEL FOOD STORES, INC. 06/18/19 KARCHMAR & STONE 693 19WC 23299 TORES, JIMMY ADAMS & SON GARDEN 07/08/19 MC HARGUE & JONES GALLAGHER, DONALD V 694 19WC 23329 MERINO, MANUEL ECOBRITE LINEN 07/04/19 EDWIN REYES LAW FIRM MEACHUM BOYLE TRAUFMAN 695 19WC 23354 FLEMING, RAY CHICAGO TRANSIT AUTHORITY 07/22/19 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 696 19WC 23387 DELGADO, VERONICA HU-FRIEDY 09/05/18 MC HARGUE & JONES JOSEPH MARCINIAK 697 19WC 23405 BILLINGS, THOMAS JR ABRA AUTO BODY AND GLASS 02/26/19 RICHARD J ZABORSKY 698 19WC 23423 FERRELL, KANIA LEXINGTON HEALTHCARE NETW 07/16/19 GREGORIO & MARCO 699 19WC 23444 BUSH, MICHAEL REPUBLIC SERVICES 09/27/18 GWC INJURY LAWYERS LLC 700 19WC 23468 ROBLES, ORENCIO RIVAS TRANSPORTATION 07/09/18 DEPAOLO & ZADEIKIS 701 19WC 23516 STANCHEVA, KATERINA EUROPEAN SERVICE AT HOME, 02/08/18 BARGANSKA LAW 702 19WC 23533 CAZARES, RAUL WHELAN SECURITY 07/23/18 JAMES ELLIS GUMBINER & ASS 703 19WC 23552 GOMEZ RODRIGUEZ, ROSALBA MJ CELCO INC 07/02/18 EPSTEIN, JACK R LAW OFFICE 704 19WC 23606 ESPERANCILLA, ALFONSO OMNI CHICAGO HOTEL 03/05/19 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 705 19WC 23627 HUNTER, WILLIAM SELECT REHAB 05/31/19 WILLIAMS CAPONI & ASSOC 706 19WC 23647 JANIK, ZOFIA MJ CELCO, INC 09/01/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 707 19WC 23667 CARTER, PAMELA ENVISION UNLIMITED 08/07/19 COVEN LAW GROUP 708 19WC 23682 CARMONA, RAMON HYR-UP SOLUTIONS 07/11/19 MC HARGUE & JONES KNELL O'CONNOR DANIELWICZ 709 19WC 23714 SGARBOSSA, DANIEL LINO & POLI PLUMBING 04/01/19 KINNALLY FLAHERTY KRENTZ GILDEA, COGHLAN & REGAN LTD. 710 19WC 23779 CANNON, MORRIS SYSCO CHICAGO, INC 06/24/19 GWC INJURY LAWYERS LLC 711 19WC 23801 JARDINIANO, AURELIO BROOKDALE SENIOR LIVING 05/19/19 COVEN LAW GROUP 712 19WC 23855 MANEEWAN, SIRIVANH SPEEDWAY 07/27/19 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL BIERY & ASSOC 713 19WC 23868 PEREZ GARCIA, FERNANDO HOB CHICAGO, INC 07/22/19 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 714 19WC 23916 SPIVEY, ARTHUR UNITED AIRLINES INC. 02/13/19 EDWIN REYES LAW FIRM 715 19WC 23993 DAVIDSON, BRANDON ROCKFORD ICE HOGS 01/21/19 GORDON LAW OFFICES LTD 716 19WC 24009 LAVINGE, TERRANCE MARQUEE EVENT RENTALS 08/09/19 KROL BONGIORNO & GIVEN LTD LAWRENCE COZZI - LAW OFFICE 717 19WC 24019 MARTINEZ, DALIA RAYMUNDO'S FOOD GROUP 07/16/19 COSTA IVONE LLC 718 19WC 24033 PAIVA, JOSE LUIS M & M BOX PARTITIONS CO 07/29/19 EPSTEIN, JACK R LAW OFFICE 719 19WC 24078 TOADER, SOFIA CPS/ARAMARK 08/01/19 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 720 19WC 24109 ROBINSON, ORLANDO CTA 07/28/19 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 721 19WC 24154 STILES, DIANA UNITED AIRLINES 06/17/19 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 722 19WC 24185 MORROW, TYMIE ECOLAB 08/16/19 GERALD CONNOR KEEFE CAMPBELL BIERY & ASSOC 723 19WC 24205 HANSEN, CHRIS PEOPLES GAS 07/17/19 LEONARD LAW GROUP LLC MC CABE & HOGAN 724 19WC 24237 SIERRA, JAIME THE HOME DEPOT 05/21/19 DWORKIN AND MACIARIELLO ADELSON TESTAN BRUNDO 725 19WC 24267 BRANCH, ROSALIND CHICAGO PUBLIC SCHOOLS 05/02/19 GOLDSTEIN AIOSSA & GOOD CHGO BOARD OF EDUCATION 726 19WC 24289 LIN, LIN CHOWBUS 06/08/19 DEPAOLO & ZADEIKIS MEACHUM BOYLE TRAUFMAN 727 19WC 24304 FLOWERS, DONETTA FEDEX EXPRESS 04/03/19 DOBRA, CHARLES W LTD 728 19WC 24324 WILLIAMS, DONALD CHICAGO PUBLIC SCHOOL 02/19/19 HERRERA LAW CENTER CHGO BOARD OF EDUCATION 729 19WC 24361 SMAGACZ, LAWRENCE J CONVERGEONE HOLDINGS CORP 07/31/18 CHARLES C HARTH MC ANDREWS & NORGLE LLC 730 19WC 24388 HALL, CHRISTOPHER FAMILY DOLLAR 08/10/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 731 19WC 24418 HERRERA, RACHEL WALGREENS 08/13/19 GREGORIO & MARCO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 732 19WC 24488 WULSCH, SHARON CAR MAX 02/06/19 LEONARD LAW GROUP LLC 733 19WC 24521 PASQUEL, RICHARD COOK COUNTY SHERIFF'S DEP 07/16/19 HERRERA LAW CENTER STATES ATTORNEY OF COOK COUN 734 19WC 24545 LOGAN, IRISSA KISWANI TRUCKING 05/20/19 DWORKIN AND MACIARIELLO 735 19WC 24601 SIOUROUNIS, MARIA ULTA BEAUTY 06/22/19 SYREGELAS, NICHOLAS C 736 19WC 24618 MC LEOD, ELAINE GLENSHIRE NURSING & REHAB 08/21/19 MC HARGUE & JONES 737 19WC 24635 HANNAH, CARNESHA VENTURA FOODS 08/03/19 SAUNDERS CONDON & KENNY 738 19WC 24700 CZESZEWSKI, CATHY CCSD59 07/25/19 MILLON & PESKIN LTD 739 19WC 24732 MUTO, ANGELO NORTECH PACKAGING 08/20/19 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 740 19WC 24779 BENNETT, DANETTE UNITED CONTINENTL HOLIDNG 10/15/16 KATZ FRIEDMAN EAGLE ET AL 741 19WC 24804 ZIEGLER, SANDRA KRYKEN INTERNATIONAL 11/21/18 BURNETT & CARON, LTD 742 19WC 24840 ALMENGOR, GUDILIO SIGN STUDIO 08/13/19 EDWIN REYES LAW FIRM MEACHUM BOYLE TRAUFMAN 743 19WC 24921 SHOCKEY, FRED UPS 05/15/19 ROBERT WARSASKI ASA LAW GROUP 744 19WC 24940 BORREGO, ALEXANDER TURANO BAKING COMPANY 06/13/19 SKLARE LAW GROUP ASA LAW GROUP 745 19WC 24964 PADILLA, HOMERO CITY OF CHICAGO-DEPT OF W 10/12/18 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 746 19WC 24987 LAPE, ERIC J COOK COUNTY SHERIFF'S OFF 04/18/19 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 747 19WC 25006 RODRIGUEZ, WILNELY TCSC 08/01/19 COSTA IVONE LLC 748 19WC 25028 AVINA, EDUARDO ESCARPITA CONSTRUCTION CO 08/13/19 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 749 19WC 25050 MORGAN, KAREN ADVOCATE CHRIST HOSP & ME 07/29/19 GRAZIAN & VOLPE PC GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 750 19WC 25105 HAZLEY, LATISHA NORTHWESTERN MEMORIAL HOS 06/12/19 COSTA IVONE LLC 751 19WC 25131 MYRICK, MASON M UPS 08/19/19 NANCY HIRSCH LLC NYHAN BAMBRICK KINZIE & LOWR 752 19WC 25158 TRULL, ERNEST TOWER AUTOMOTIVE 08/05/19 STEVEN J MALMAN & ASSOCIAT KEEFE CAMPBELL BIERY & ASSOC 753 19WC 25182 RODRIGUEZ, HERBERT JP PHILLIPS, INC. 04/27/18 JAUREGUI & ASSOCIATES KEEFE CAMPBELL BIERY & ASSOC 754 19WC 25199 ZAMUDIO, FRANCISCO ZERA CONSTRUCTION CO 06/10/19 LEONARD LAW GROUP LLC 755 19WC 25217 NENDICK, TRENA TARGET BRANDS, INC 01/18/18 JOHN J CASTANEDA NYHAN BAMBRICK KINZIE & LOWR 756 19WC 25244 JOHNSON, ANGELA ARAMARK 07/18/19 CIARDELLI CUMMINGS CAMPAGN 757 19WC 25322 ORR, ROBERT NORTHLAKE FIRE PROTECTION 04/03/18 CORNFIELD & FELDMAN 758 19WC 25342 PAYTON, AMBER SURE STAFF 08/14/19 LAW OFFICES OF ADRIAN CHER LOUIS MUNDY 759 19WC 25369 MCGRATH, MICHAEL ARDMORE RODERICK 01/07/19 RUBIN LAW GROUP GILDEA, COGHLAN & REGAN LTD. 760 19WC 25386 MC CANTS, KENYATA CTA 05/12/19 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 761 19WC 25454 OCAMPO, JUANA LONDON HOUSE HOTEL 07/07/19 ELFENBAUM EVERS AMARILIO Z NOBLE & ASSOC 762 19WC 25503 CUELLAR, RYAN CITY OF CHICAGO 08/28/19 NILSON STOOKAL GLEASON CAP 763 19WC 25590 DUDLEY, WILLIAM DEXTER MAGNETIC TECHNOLOG 09/21/18 SALGADO, DAVID L 764 19WC 25629 REDD, TIMOTHY PROGRAM ONE 02/21/19 STEVEN J TENZER, LTD BRYCE DOWNEY & LENKOV LLC 765 19WC 25653 HAWKINS, TONDELYA RJB PROPERTY, INC 03/05/19 GWC INJURY LAWYERS LLC HENNESSY & ROACH PC 766 19WC 25678 HERRERA, ELOISA CHICAGO MEAT AUTHORITY 01/17/18 HEALY SCANLON LAW FIRM BRYCE DOWNEY & LENKOV LLC 767 19WC 32119 ANDERSON, AMARI WALMART * 10/21/19 ANGELINI & ORI LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 768 19WC 32141 FLOWERS, LINDA F CHRISTOPHER HOUSE * 05/13/19 SCHACTER, JEROME & ASSOC L 769 19WC 32155 WALTERS, PAUL UPS * 11/04/19 FRIEDMAN & SOLMOR LTD NYHAN BAMBRICK KINZIE & LOWR 770 19WC 32176 015 SIMA, LONNIE R & M TRUCKING * 07/16/18 HEALY SCANLON LAW FIRM 015 19WC027883 -C R&M TRUCKING 015 19WC027884 -C 771 19WC 32194 GREY, CARL BERWYN POLICE DEPT * 10/02/18 MICHAEL A. HIGGINS 772 19WC 32217 AGGARWAL, AMY UNITED AIRLINES HOLDINGS, * 02/07/19 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 773 19WC 32247 AGUADO, HUGO MEATS BY LINZ, INC * 10/07/19 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 774 19WC 32268 MIXON, VIRGIL CTA * 10/20/19 BARRY A KETTER CHICAGO TRANSIT AUTHORITY 775 19WC 32289 CRIVILARE, ANGELO LMAK INC * 04/03/18 MARSZALEK AND MARSZALEK 776 19WC 32308 HARRISON, DANIEL WARNER ENTERPRISES, INC * 07/18/19 ROSS TYRRELL 777 19WC 32331 OCHOA, RUBEN CITY OF CHICAGO * 06/10/19 THE ROMAKER LAW FIRM 778 19WC 32352 GISCOMBE, MARCUS UCAN * 10/22/19 MC HARGUE & JONES 779 19WC 32372 MUFARREH, ABEAR LSG SKY CHEF * 06/12/19 PARENTE & NOREM PC 780 19WC 32402 GARDNER, MYRA BLOOM TOWNSHIP DISTRICT 2 * 11/01/19 DONALD FOHRMAN & ASSOC 781 19WC 32423 GRACE, LASANDRA FEDEX * 09/23/19 JAMES ELLIS GUMBINER & ASS 782 19WC 32451 STEVENSON, ZELMA COOK COUNTY ADULT PROBATI * 02/20/19 MICHAEL A. HIGGINS STATES ATTORNEY OF COOK COUN 783 19WC 32489 PESCE, LUDMILA POTBELLY CORPORATION * 10/18/19 CHEPOV & SCOTT LLC 784 19WC 32510 RAMIREZ, NATALIA FLEXIBLE WORKFORCE, LLC * 10/30/19 STEVEN B SALK & ASSOC LTD 785 19WC 32528 HARDMON, TIFFANY CHICAGO TRANSIT AUTHORITY * 10/19/19 ANSELMO DURAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 786 19WC 32547 POLKOWSKI, RADOSLAW VENT PRODUCTS CO, INC * 04/22/19 ANKIN LAW OFFICE 787 19WC 32564 SANDOVAL, LILIA GRAYHILL CORP * 06/01/18 COSTA IVONE LLC 788 19WC 32590 ROJAS, SERAFIN JB HUNT TRANSPORT SERVICE * 10/29/19 JONATHAN SCHLACK 789 19WC 32597 VARESIS, VICTORIA A ALEXIAN BROTHERS HOSPITAL * 04/17/19 GALLAGHER, DONALD V 790 19WC 32615 CARRIER, VALERIE SOUTHWEST AIRLINES * 08/15/19 CULLEN HASKINS NICHOLSON 791 19WC 32633 CRAIG, BENJAMIN A&D PROPERTY SERVICES INC * 12/04/18 KENNETH FISHMAN 792 19WC 32660 COLE, YALETHA DEPT OF FINANCE * 08/08/19 DWORKIN AND MACIARIELLO 793 19WC 32681 JAMES, JOY CHICAGO TRANSIT AUTHORITY * 10/10/18 MICHAEL A. HIGGINS 794 19WC 32700 CLARK, ROMONIA HOME DEPOT * 06/06/19 MICHAEL A. HIGGINS 795 19WC 32723 PARCHMAN, NEKIA PARK FOREST-CHICAGO HEIGH * 10/25/19 RIDGE & DOWNES 796 19WC 32742 STARK, DYLAN BINNY'S BEVERAGE DEPOT * 08/17/19 WILLIAM S. WOJCIK LTD 797 19WC 32782 GHOLSTON, STEVEN ALL MASONRY * 10/07/19 HETHERINGTON KARPEL & BOBB 798 19WC 32802 GALVEZ, BRIAN RFD GRECO AND SONS, INC * 11/07/19 LEONARD LAW GROUP LLC 799 19WC 32825 THOMAS, TARYN CHICAGO PUBLIC SCHOOLS * 05/13/19 MICHAEL A. HIGGINS 800 19WC 32847 MORGAN, TERRY POLYONE CORP * 10/28/19 DWORKIN AND MACIARIELLO KNELL O'CONNOR DANIELWICZ 801 19WC 32870 CASPER, LARRY RIZZA CADILLAC * 01/02/18 CAPRON & AVGERINOS PC 802 19WC 32895 RAMIREZ-MARQUEZ, JACINTO CONNIE'S PIZZA, INC. * 08/31/19 SALVATO O'TOOLE FROYLAN 803 19WC 32926 BONDS, GWENDOLYN UNIVERSITY OF CHICAGO * 10/09/19 BRISKMAN BRISKMAN GREENBER POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 804 19WC 32946 OSHINIBI, AICHA A HILTON WORLDWIDE, INC, ET * 08/24/19 LANZILLOTTI GRIBBEN & MARC 805 19WC 33021 CARREON DE HERRERA, DELIA PROSPECT AIRPORT SERVICES * 10/05/19 RUBENS KRESS MULHOLLAND 806 19WC 33043 PAYTON, KENESHA SCR TRANSPORTATION * 10/05/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 807 19WC 33072 KRENZEL, JOHN S MARIANO'S * 06/10/19 ANESI OZMON RODIN NOVAK KO 808 19WC 33115 ESTRADA, ALEJANDRA UNISTAFF, INC * 10/18/19 HERRERA LAW CENTER 809 19WC 33165 PISARSKI, ROBERT UNITED AIRLINES INC * 06/18/19 PETER C KOPOULOS 810 19WC 33211 PRUITT, MAURICE JEWEL/ALBERTSONS * 10/13/19 GOLDSTEIN BENDER & ROMANOF 811 19WC 33234 NELSON, DWIGHT AMERICAN AIRLINES GROUP, * 04/11/19 GRAVLIN, MICHAEL J LLC 812 19WC 33259 LYLES, JAMES RENPRO RENAL SERVICES * 10/28/19 STEVEN J MALMAN & ASSOCIAT 813 19WC 33271 ABUHASHISH, THAER BLUE RAVEN SOLAR/ * 11/05/19 BELLAS & WACHOWSKI 814 19WC 33297 BENTON, COURTNEY ALLIED BUILDING PRODUCTS * 11/01/19 STEVEN A CRIFASE, LTD HOLECEK & ASSOCIATES 815 19WC 33324 TRIPP, TIMOTHY INTEGRATED ELECTRIC * 10/31/19 DWORKIN AND MACIARIELLO 816 19WC 33356 NOE, PETER MIRACLE PRESS * 09/05/19 BRIAN M LAUGHLIN PC 817 19WC 33397 ROBERTS, RASHAWN R & L CARRIERS * 11/05/19 NILSON STOOKAL GLEASON CAP KEEFE CAMPBELL BIERY & ASSOC 818 19WC 33467 WALESA, DAVID NOVEAU ELEVATOR * 10/02/19 DUDLEY & LAKE LLC 819 19WC 33514 LORENZO, JAVIER RYDER INTERGRATED LOGISTC * 08/08/19 HEALY SCANLON LAW FIRM 820 19WC 33599 HERNANDEZ, ROSA TRITON COLLEGE * 02/19/19 POWER & CRONIN LTD 821 19WC 33614 STOUDEMIRE, LUTHER L UNITED PARCEL SERVICE * 11/05/19 GALLAGHER, DONALD V

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 822 19WC 33633 MYERS, WALTER P APEX LOGISTICS * 11/15/19 VASILATOS & COTTER LLC 823 19WC 33654 CARTER, KYLA UNITED GROUND EXPRESS * 06/25/18 WOODRUFF JOHNSON 824 19WC 33672 VALLEJO, JAVIER VALLEY DRYWALL SRVS, CORP * 10/09/19 SALGADO, DAVID L BRADY CONNOLLY & MASUDA PC 825 19WC 33711 FRIEH, JOSEPH AT&T * 06/07/19 GWC INJURY LAWYERS LLC 826 19WC 33731 WILLIAMS, DARNELL L FORD MOTOR COMPANY * 05/30/19 WIEDNER & MCAULIFFE LTD 827 19WC 33751 MASSIMO, DIANNE UNITED AIRLINES HOLDINGS * 09/10/18 BRIAN J MC MANUS & ASSOC, 828 19WC 33806 VALLADARES, MARIO DAYTON SUPERIOR * 10/24/19 LEONARD LAW GROUP LLC 829 19WC 33829 ALVAREZ, SANDRA PANDA EXPRESS * 04/23/19 MC HARGUE & JONES 830 19WC 33848 WIKMAN, DANIEL REPUBLIC SERVICES * 05/07/18 SCOTT B SHAPIRO 831 19WC 33868 TRASS, CHRISTOPHER PEOPLES GAS * 10/26/19 MANDELL, GREGG 832 19WC 33903 KLAWITTER, ANTHONY UPS * 02/12/18 NYHAN BAMBRICK KINZIE & LOWR 833 19WC 33914 MONTGOMERY, TANESSA ASCENSION LIVING * 08/18/19 CUDA LAW OFFICES 834 19WC 33947 OLECHOWSKI, LESZEK CHRIS CONSTRUCTION AND * 02/19/19 MINKOW DOMIN RUSIN & MACIOROWSKI LTD 835 19WC 33999 WITTMANN, CARLA UNITED AIRLINES INC. * 07/10/19 COVEN LAW GROUP 836 19WC 34050 HENGELI, MEGAN RUSH OAK PARK HOSPITAL * 07/20/19 STEVEN J MALMAN & ASSOCIAT 837 19WC 34087 DAVIS, SHANE JIMMY JOHN'S * 09/27/19 COLLISON LAW OFFICES 838 19WC 34109 LACEY, KEVIN EDLEN ELECTRICAL CONTRACT * 09/25/19 MICHAEL HELLMAN 839 19WC 34129 VOLZ, JAMES AUTOMATIC SPRING COILING * 05/30/17 CHARLES C HARTH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 840 19WC 34155 PUREVICH, ALEX FORD MOTOR-CHICAGO ASSEMB * 08/27/19 WOLFE LAW PC 841 19WC 34206 PEARSON, JUSTIN A IHC CONSTRUCTION COMPANIE * 08/01/19 TUITE LAW 842 19WC 34271 THOMAS, MYCHAEL HERTZ * 10/05/19 BURNES & LIBMAN 843 19WC 34313 MULDROW, SHARON UPS * 09/17/19 LEONARD LAW GROUP LLC 844 19WC 34336 HOWARD, SHANETTA CITY OF CHICAGO DEPT OF * 11/01/19 MC HARGUE & JONES 845 19WC 34363 KING, DIANA SOUTH SHORE HOSPITAL * 09/23/19 ANKIN LAW OFFICE 846 19WC 34387 COLOMER, JOE J PROKOP SERVICE, INC. * 05/23/17 WIEDNER & MCAULIFFE LTD 847 19WC 34409 FRANK, JAMES T PIPPIN'S TAVERN * 04/12/18 SMOLER LAW OFFICE, PC 848 19WC 34415 GACKI, JAMES M UNITED PARCEL SERVICE * 11/01/19 CULLEN HASKINS NICHOLSON 849 19WC 34431 HOWARD, SHANETTA CITY OF CHICAGO DEPT OF * 11/01/19 MC HARGUE & JONES 850 19WC 34449 BEST, NEAL AMERICAN AIRLINES * 07/12/19 SAUNDERS CONDON & KENNY 851 19WC 34481 REYES, ANTHONY BENCHMARK CONSTRUCTION CO * 07/10/19 RUSSO & RUSSO LTD 852 19WC 34510 PETTWAY, TIMOTHY EAGLE EXPRESS LINES * 08/21/18 STEVEN J MALMAN & ASSOCIAT 853 19WC 34541 TYRELL, THOMAS FEDEX GROUND * 03/24/18 LEONARD LAW GROUP LLC 854 19WC 34568 PEREZ, JUAN CASTWELL PRODUCTS, LLC * 11/12/19 EPSTEIN, JACK R LAW OFFICE 855 19WC 34586 MATTHEWS, WANDA CHICAGO PUBLIC SCHOOLS * 11/22/19 DWORKIN AND MACIARIELLO 856 19WC 34607 ABBAS, GRACE ROSEWOOD CARE CENTER * 06/17/19 GERALD CONNOR 857 19WC 34631 WEBSTER, MONTREAL GARBER AUTOGROUP DBA * 11/22/19 GORDON & CENTRACCHIO LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 858 19WC 34672 BUSH, STEVEN JOHN B. SANFILIPPO & SON * 02/01/19 LAWRENCE COZZI - LAW OFFICE 859 19WC 34714 ZAYAS, ADRIAN WINEBOW * 11/01/19 GREGORIO & MARCO 860 19WC 34747 FOSTER, RANDAL BOARD OF EDUCATION SCHOOL * 10/21/19 LEAHY, JAMES P 861 19WC 34798 LEE, ANGELA WALGREENS * 10/15/18 GWC INJURY LAWYERS LLC 862 19WC 34815 BRANTLEY, JEROME UPS * 11/26/19 STROM & ASSOC 863 19WC 34863 AGUAYO, ALFONSO FERRARA CANDY CO * 11/11/19 COVEN LAW GROUP 864 19WC 34869 PARCHMAN, REGINALD BIMBO * 12/21/18 SMOLER LAW OFFICE, PC 865 19WC 34889 RIVERA, EVELYN FEDEX * 10/28/19 JAMES ELLIS GUMBINER & ASS 866 19WC 34918 LEWIS, ELIZABETH WALMART * 09/08/19 MC HARGUE & JONES 867 19WC 34971 FOSTER, PERCIE JR. LABOR ONE INC. * 11/08/19 SHELDON I MINKOW & ASSOCIA 868 19WC 34989 HARRINGTON, TERESA FEDEX * 11/13/19 GWC INJURY LAWYERS LLC 869 19WC 35009 SAUCEDO, JACQUELINE ROSS DRESS FOR LESS, INC. * 11/15/19 ANKIN LAW OFFICE 870 19WC 35039 HABERMANN, STRYKER WESTWARD 360/ * 04/23/19 SEIDMAN MARGULIS & FAIRMAN 871 19WC 35078 ALARCON, MARIA DHALIWAL LABS LLC * 02/11/19 CULLEN HASKINS NICHOLSON 872 19WC 35101 OLEA, ROGELIO UP AND RUNNING * 01/12/19 COSTA IVONE LLC 873 19WC 35116 TAYLOR, MARC DSC LOGISTICS INC * 10/25/19 KISS & ASSOCIATES 874 19WC 35167 GALLEGOS, PEDRO ZAMIAS SERVICES, INC * 06/24/19 KATZ FRIEDMAN EISENSTEIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M TBA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 01/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 875 19WC 35203 BURZAWA, MARIA CLIFFORD LAW OFFICES * 07/02/18 EDWARD J. KOZEL