ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 45118 19B LANDA, MARIBEL SOLO CUP CO 09/23/99 THOMAS R LICHTEN GAROFALO SCHREIBER STORM GRA 00WC048763 -C 02WC036196 -C 05WC000620 -C 2 02WC 16858 19B NELSON, BONNIE ST JAMES HOSPITAL 11/22/01 NYHAN BAMBRICK KINZIE & LOWR 3 04WC 50171 MYLES, SAMUEL L INTERSTATE BRAND COMPANIE 12/08/03 CAMERON CLARK ADELSON TESTAN BRUNDO 04WC050172 -C 08WC054195 -C 09WC046685 -C 09WC046686 -C 10WC043779 -C 4 06WC 52669 SIMON, DONN CHICAGO BOARD OF EDUCATIO 10/11/06 JACK R EPSTEIN LAW DEPARTMENT 09WC045189 -C 12WC031970 -C 15WC019102 -C 5 08WC 18264 HURST, DIANE ST OF IL ELIZABETH LUDEMA @ 11/14/05 WOODRUFF & JOHNSON LAW OFF ASSISTANT ATTORNEY GENERAL 08WC018265 -C 08WC018266 -C 08WC036443 -C ELIZABETH LUDEMANN CENTER 11WC031882 -C 6 08WC 51076 MARTINEZ, GUADALUPE CHICAGO PUBLIC SCHOOLS 05/09/08 ELFENBAUM EVERS ZIELINSKA LEAHY EISENBERG & FRAENKEL 08WC051077 -C 7 09WC 00438 LETT, JAMES D CITY OF CHICAGO 02/21/07 MEYERS & FLOWERS CITY OF CHICAGO 15WC037623 -C CHICAGO CITY CLERK 8 09WC 13378 RODRIQUEZ, ROCIO UNIVERSITY OF CHICAGO 08/03/08 STEVEN J SEIDMAN LAW OFFIC SCOPELITIS GARVIN LIGHT 9 09WC 19481 JOHNSON, JAMES VILLAGE OF ELK GROVE 11/01/07 ANESI OZMON RODIN NOVAK KO NOBLE & ASSOCIATES PC 09WC019482 -C 10 10WC 28730 VILLANUEVA, EFRAIN ALVARE LVI ENVIRONMENTAL SERVICE 07/08/10 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 11 10WC 30626 AHMED, KHADAR CHICAGO CARRIAGE CAB CO 07/24/10 VRDOLYAK LAW GROUP LLC STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 12 10WC 32593 PANIAGUA, LUCINA COOK COUNTY CLERK CIRCUIT 08/11/10 EPSTEIN, JACK R LAW OFFICE STATES ATTORNEY OF COOK COUN 13 10WC 48235 HICKS, ALICIA CITY OF CHICAGO 11/17/10 COVEN LAW GROUP CITY OF CHICAGO 10WC048236 -C 14 11WC 08403 WATSON, MARY ST OF ILL DEPT OF HUMAN S 02/24/10 BAUM RUFFOLO & MARZAL LTD SHUAIB A. AHMED 15 11WC 13730 JUAREZ, MARIA CHICAGO HILTON CORP 04/16/08 SCHWEICKERT & GANASSIN NOBLE & ASSOC 11WC013795 -C HILTON HOTELS CORP 16WC023137 -C 16 11WC 15057 LOPEZ, LUCIANO CHICAGO AUTO REPAIR & W 04/04/11 CULLEN HASKINS NICHOLSON 17 11WC 25764 AYALA, ALEXANDER J DIAZ INC 07/18/08 JOHNSON, MICHAEL D & ASSOC BRADY CONNOLLY & MASUDA PC 18 11WC 25874 WEATHERALL, IRENE THE CATALYST SCHOOL 07/02/09 STEVEN J SEIDMAN LAW OFFIC LAW OFFICES JOSEPH MARCINIAK 19 11WC 37897 RODRIGUEZ,MARIA AS GUARDI NOVAK CONSTRUCTION 08/25/11 MEYERS & FLOWERS LITCHFIELD CAVO 20 11WC 38411 RIVERA, JOSE LUIS JR USED CAR FACTORY 07/06/11 CULLEN HASKINS NICHOLSON 21 11WC 38978 BROOKS, KELLIE SOUTH POINT NURSING REHAB 09/26/11 COVEN LAW GROUP 22 11WC 40074 HOLMES, JIM W JERNBERG INDUSTRIES 08/23/11 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 11WC040075 -C 23 11WC 43539 PLEASANT, DESHUN CITY OF CHICAGO 02/11/11 KARCHMAR & STONE CITY OF CHICAGO 24 11WC 44264 MCLAIN, WILLIAM BRIAN & CINDY BUTLER 10/20/11 CHRISTIAN & MANNO COSTIGAN & WOLLRAB PC 25 11WC 46124 GANT, THELMA SMART STOP 11/08/11 DWORKIN AND MACIARIELLO ROBERT L. SMITH 26 12WC 06028 PEREZ, JORGE NORWEGIAN AMERICAN HOSPIT 12/06/11 JAMES ELLIS GUMBINER & ASS 27 12WC 10197 ORTIZ, GABRIEL ACME REFINING 03/17/11 RUSSO & RUSSO LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 12WC 12238 19B MILLS, DAVID PARK DISTRICT OF OAK PARK 09/29/11 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 29 12WC 27229 PALUMBO, CHARLES AMERICAN AIRLINES 06/23/12 ELFENBAUM EVERS ZIELINSKA GAROFALO SCHREIBER STORM GRA 14WC011046 -C LISIECKI, DANIELLE (EXECU 16WC013925 -C 30 12WC 28112 BOKINA, ALEX POWER PLANT/GENERAL MAN 07/20/12 CHRISTOPHER BUCHCAR, LTD CASSANO & ASSOCIATES 31 12WC 29281 HILLERY, JACQUELINE HELP AT HOME 06/26/12 MICHAEL P MCCREADY & ASSOC MEACHUM & STARCK 14WC041566 -C 32 12WC 30901 NEGRON, ISABEL COUNTY OF COOK 06/23/10 LAW OFFICES PETER LEKAS STATES ATTORNEY OF COOK COUN 33 12WC 31448 MEHANOVIC, DZEVAD LAKESIDE ABM 08/10/12 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 13WC016683 -C ABM LAKESIDE BUILDING MAIN 13WC033893 -C ABM JANITORIAL 34 12WC 36225 DOTSON, NANCY CITY OF CHICAGO 01/01/12 STEPHEN G PINTO LTD CITY OF CHICAGO 35 12WC 40483 MERTES, PAULETTE MT PROSPECT PARK DIST 07/09/12 DEPAOLO & ZADEIKIS POWER & CRONIN LTD 13WC029021 -C 36 12WC 40759 GOINS, LA BARBA CHICAGO BOARD OF EDUCATIO 05/29/12 POLTROCK & POLTROCK LAW DEPARTMENT 37 12WC 42169 KELLY, CARVEL CITY OF CHICAGO BLDG DEPT 08/16/12 SANDMAN LEVY & PETRICH CITY OF CHICAGO 38 12WC 42325 GRAY, KENNETH WATER ONE INC 09/01/12 JAMES M RIDGE LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 39 13WC 04960 GRYGIERCZYK, WIESLAW OAK PARK ARMS, LLC 01/24/12 MINKOW DOMIN NYHAN BAMBRICK KINZIE & LOWR 40 13WC 05507 ROCCASALVA, JASON M WESTSIDE MECHANICAL INC 06/18/12 RUBIN LAW GROUP HOLECEK & ASSOCIATES 13WC005508 -C 41 13WC 16933 GUZMAN, SALVADOR MONDELEZ INTL SERVICE D/B 02/16/13 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 42 13WC 17410 SOLARTE, YOLANDA CHICAGO STATE UNIVERSITY @ 03/01/13 MAURICE E DUSKY PC ASSISTANT ATTORNEY GENERAL 43 13WC 17524 FRAPANPINA, JOSEPH M, III GARDA CASH LOGISTICS 02/22/13 LANZILLOTTI GRIBBEN & MARC KEEFE CAMPBELL & ASSOC LLC 16WC004572 -C 44 13WC 17733 GRAHAM, VASA BRIDGFORD QUALITY FOODS 05/08/13 ASHER, RAYMOND L LTD GRANT & FANNING 45 13WC 19234 JONES, HENRIKA CHICAGO TRANSIT AUTHORITY 04/15/12 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 46 13WC 20626 MATTHEWS, CARY CITY OF CHICAGO 01/12/12 LUSAK AND COBB CITY OF CHICAGO 14WC034252 -C 47 13WC 25969 LUEVANOS, YOLANDA ST ANTHONY HOSPITAL 07/01/13 MARVIN A BRUSTIN LTD KLAUKE LAW GROUP LLC 14WC022957 -C 14WC022958 -C 48 13WC 26726 WRIGHT, CYNTHIA UNITED AIRLINES INC. 06/27/13 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 49 13WC 27554 RICHARDSON, KARENA UNIVERSITY OF CHICAGO HOS 06/29/13 MARKER & ASSOCIATES NOBLE & ASSOC 50 13WC 27831 FAUST, WALLACE JERNBERG INDUSTRIES 10/25/12 CHRISTINE F DAVID 13WC027833 -C 51 13WC 29978 BARNER, BERTHA JOHN J MADDEN 07/06/13 HORWITZ HORWITZ & ASSOC TERESA R MAHER 52 13WC 33957 SILVA, JOSE N MAURITZON INC 09/23/13 53 13WC 38206 PLOETZ, DAWN M ARCHIDIOCESE OF CHICAGO 10/08/13 NEWMAN, BOYER & STATHAM WIEDNER & MCAULIFFE LTD 54 13WC 38663 VERMILLION, VIVI FRANCISCAN ST JAMES HEALT 06/17/13 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 55 13WC 39552 KOLK, TRACI DISTRICT U46 09/25/13 RICHARD O. GREENFIELD NYHAN BAMBRICK KINZIE & LOWR 56 13WC 39896 MANNEY, DELORES STATE OF ILLINOIS @ 12/14/11 MINKOW DOMIN ASSISTANT ATTORNEY GENERAL 57 14WC 04470 CAMPBELL, SYLVESTER CITY OF CHICGO STREETS AN 02/05/14 BAUM RUFFOLO & MARZAL LTD CITY OF CHICAGO 58 14WC 05443 HAWN, THOMAS SUPERIOR TRUSS & PANEL IN 02/04/14 JAMES ELLIS GUMBINER & ASS GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 59 14WC 05471 HARRISON, JOHN B OGGLESBY ELEMENTARY SCHOO 01/31/14 KENNETH B GORE, LTD LEAHY EISENBERG & FRAENKEL 60 14WC 05782 PETERS, ELIA CLERK OF COOK COUNTY 02/03/14 STEPHEN G PINTO LTD STATES ATTORNEY OF COOK COUN 17WC011556 -C 18WC016900 -C 61 14WC 06035 SVOBODA, ROGER CITY OF CHICAGO 02/05/14 PARENTE & NOREM PC CITY OF CHICAGO 62 14WC 10114 CAMPUZANO, JOSEFINA COMMUNITY CARE SYSTEMS, I 02/11/14 KENNETH B GORE, LTD LIVINGSTONE MUELLER ET AL 63 14WC 11262 MARTIN, EDGAR IL DEPT OF @ 09/01/12 BRUSTIN & LUNDBLAD LTD JEANNINE SIMS 11WC021426 -C 12WC036359 -C ILLINOIS DEPARTMENT OF 64 14WC 16534 JIMENEZ, BERNARDINO MARCELLS PAPER & METAL IN 04/03/14 NICHOLIS J STEIN HOLECEK & ASSOCIATES 65 14WC 17091 DELGADO, LINDA CITY OF CHICAGO DEPT OF 12/04/10 CUDA LAW OFFICES CITY OF CHICAGO 14WC017092 -C 14WC017093 -C 14WC017094 -C 14WC017095 -C 17WC015912 -C 18WC024296 -C 66 14WC 18623 BLACKBURN, DENISE CHE TRINITY INC (LUMC) 02/19/14 LEONARD LAW GROUP LLC LORENZ & BERGIN PC 67 14WC 18702 FLOURNOY, DEJEANETTE M COOK COUNTY SHERIFF 04/27/14 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 68 14WC 26143 19B GOW, VICKIE RICKLEE VANS 05/16/14 ALEKSY BELCHER GALLIANI DOELL & COZZI LTD 69 14WC 27308 BATES, JEVON COOK COUNTY SHERIFF'S DEP 06/30/14 RANDALL T MANOYAN STATES ATTORNEY OF COOK COUN 70 14WC 27633 OZIMINSKI, MICHAEL U S SMOKELESS TOBACCO CO 06/05/14 HORWITZ HORWITZ & ASSOC CACCHILLO LAW GROUP LLC 71 14WC 29810 HERNANDEZ, RICARDO AEP INDUSTRIES 07/02/14 SCOTT B SHAPIRO GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 72 14WC 34952 THOMAS, KEVIN CITY OF CHICAGO 10/10/14 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 73 14WC 38371 VEGA, RICHARD METROPOLITAN WATERRECLAIM 01/17/14 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 15WC002864 -C 74 14WC 38415 ZAJICEK, THOMAS B JR STATE OF ILLINOIS @ 10/26/14 GOLDBERG WEISMAN & CAIRO L JILL OTTE 75 14WC 38419 VARGAS, OMAR CBM PLUMBING 07/14/14 CUDA LAW OFFICES CASSANO & ASSOCIATES 76 14WC 38438 PHILLIP, TORIA CITY OF CHICAGO 07/05/14 MC HARGUE & JONES CITY OF CHICAGO 77 14WC 39100 ELKIN, KAREN CIM GROUP 02/06/14 LAW OFFICE OF SCOTT B SHAP 78 14WC 39253 SIMMONS, DARNELL CITY OF CHICAGO 09/10/84 KARCHMAR & STONE CITY OF CHICAGO 79 14WC 39372 SMITH, VANESSA STATE OF ILLINOIS HFS @ 10/07/14 ASSISTANT ATTORNEY GENERAL 80 14WC 39664 NAJERA, JIMMY SEARS HOLDINGS CORPORATIO 09/15/14 CHRISTINE F DAVID GAROFALO SCHREIBER STORM GRA 81 14WC 40598 DIAZ, ELLIS O JEWEL - OSCO 01/06/14 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 82 15WC 02066 YELLI, MENISHI ZENITH FACILITY SERVICES 10/23/14 SEIDMAN MARGULIS & FAIRMAN HEYL ROYSTER VOELKER & ALLEN 83 15WC 03812 CISNEROS, BALTAZAR TOMAHAWK TRUCKING 10/28/14 STEVEN A CRIFASE, LTD 84 15WC 04360 REYES, MARCO MORFIN CONSTRUCTION 12/24/14 RITTENBERG & BUFFEN BRADY CONNOLLY & MASUDA PC 85 15WC 05016 KRAMER, ROGELIA ELI'S CHEESECAKE FACTORY 09/03/14 EVAN A HUGHES LAW OFFICE HOLECEK & ASSOCIATES 86 15WC 05196 JENKINS, JOHNNY N COMCAST 01/04/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 87 15WC 05778 SMITH, RHONDA MACY'S 12/23/14 WITTENBERG DOUGHERTY MAGLI ROBERT L. SMITH 88 15WC 06109 REYES, DAVID SR BCI COMPONENTS AND 09/09/14 BAUM RUFFOLO & MARZAL LTD 89 15WC 06172 JACKSON, NAKIA DEPARTMENT OF STREETS 02/06/15 GOLDSTEIN BENDER & ROMANOF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 90 15WC 06908 FRAIRE, MARIA MENASHA PACKAGING COMPANY 02/10/15 COHN & COHN GOLDBERG SEGALLA LLC 91 15WC 10005 19B AITKEN, RITA COVENANT 10/13/14 RUBENS AND KRESS ASHER, RAYMOND L LTD 92 15WC 11084 MCKISSACK, SANDY BEACON HILLS 03/10/15 LAW OFFICE NANCY HIRSCH LL 93 15WC 14550 HUFF, CINDY CHICAGO TRANSIT AUTHORITY 03/17/14 ERIC M GLASSON & ASSOCIATE CHICAGO TRANSIT AUTHORITY 94 15WC 14579 WILLIAMS, GLENDA DOLTON SCHOOL DISTRICT #1 09/17/14 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 95 15WC 14715 ANAYA, JOSE SECURITAS 04/18/15 LAW OFFICES ROBERT WARSASK WIEDNER & MCAULIFFE LTD 96 15WC 14819 CANALE, LORETTA MARIANO'S/ROUNDY'S 11/20/13 VRDOLYAK LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 97 15WC 15311 TOWNSEND, CELESTE ATKORE INTERNATIONAL 11/05/13 DANIEL PERIASWAMY KNELL & O'CONNOR 15WC015312 -C 98 15WC 16200 ALFARO, ABEL A. MOST VALUABLE PERSONNEL 04/23/15 EPSTEIN, JACK R LAW OFFICE KOREY RICHARDSON LLC 99 15WC 16241 CARPENTER, DENISE THE SALVATION ARMYSTORE # 11/22/14 DWORKIN AND MACIARIELLO EVANS & DIXON 100 15WC 16608 PEAKE, ROBYN CTA 01/29/15 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 101 15WC 16760 GARRARD, LARA-TERESA UNITED AIRLINES 04/27/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 19WC001603 -C 102 15WC 17003 OCAMPO, FLEICIANO IRVINGTON, INC. 04/12/15 JOHN S. ELIASIK KOPKA, PINKUS DOLIN, PC 15WC017534 -C ALPS WEST RESTAURANT & 103 15WC 17050 DIXON, TAMIRRA CTA 09/08/13 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 104 15WC 17767 JANETZKE, LYNETTE NORTHWESTERN MEMORIAL HOS 04/12/14 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 105 15WC 18345 GUERRERO, ALEJANDRO WHEATLAND TUBE CO 04/06/15 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM GRA 106 15WC 18415 WELLS, MICHAEL A. HUDSON BOILER & TANK COMP 09/26/14 BAUM RUFFOLO & MARZAL LTD THOMAS & ASSOCIATES 15WC018417 -C 15WC018418 -C 15WC018419 -C 107 15WC 23912 THOMPSON, JAMES CHICAGO TRANSIT AUTHORITY 06/27/14 DANIEL PERIASWAMY CHICAGO TRANSIT AUTHORITY 108 15WC 23939 CUNDARI, ALBERT CITY OF CHICAGO 07/30/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 109 15WC 26615 REYES, EMILIO APOGEE TRUCKING LLC 05/12/15 CULLEN HASKINS NICHOLSON EVANS & DIXON 110 15WC 28014 HUNT, SANFORD CITY OF CHICAGO POLICE DE 07/14/15 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 111 15WC 28090 JACKSON, ANTHONY MONDELEZ INTERNATIONAL 08/14/14 LUSAK AND COBB BRADY CONNOLLY & MASUDA PC 112 15WC 33833 ROSALIO BALTAZAR, JESUS OK AUTO REPAIR & BODY SHO W 10/02/15 MC HARGUE, JAMES P LAW OFF 113 15WC 36149 19B DAVILA, ALBERTO CHICAGO HEIGHTS POLICE DE 09/22/15 COVEN LAW GROUP DEL GALDO LAW GROUP LLP 114 15WC 36684 BRONAKOWSKI, NANCY ALL TRUST 10/01/15 SCOTT B SHAPIRO GAROFALO SCHREIBER STORM GRA 115 15WC 37334 WIERZBOWSKA, ALICJA ANDY'S DELI & MIKOLAJCZYK 01/16/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 116 15WC 37618 FIGUEROA, MIRNA KOCH FOODS 10/12/15 PETER LEKAS RUSIN & MACIOROWSKI LTD 117 15WC 37936 LUTTERY, TEISHA CHICAGO TRANSIT AUTHORITY 11/18/15 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 15WC037937 -C 18WC037178 -C 118 15WC 38008 UGWA, KINGSLEY CHICAGO CARRIAGE CAB - 08/23/15 HORWITZ HORWITZ & ASSOC DEBORAH SCHAEFER 119 15WC 38378 SAMPSON, KENNETH CTA 05/18/15 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 120 15WC 39926 MELLETT, CATHERINE COOK CTY SHERIFF'S OFFICE 08/06/15 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 121 15WC 41402 SPRUELL, GWENDOLYN CTA 12/10/15 O'TOOLE LAW FIRM LLC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 122 16WC 00505 LORENZI, CHRISTOPHER NATIONAL POWER RODDING 10/07/15 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 123 16WC 02139 SAJWANI, SHAMSHA MB FINANCIAL BANK 01/19/16 ACEVES & PEREZ PC HENNESSY & ROACH PC 124 16WC 04017 DOMINGUEZ, FABIOLA F FARMINGTON FOODS 12/16/15 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 125 16WC 04197 VILLALOBOS, GILBERTO GPA CONTRACTING SERVICES @ 12/11/15 EFTEKHARI LAW OFFICES GANAN & SHAPIRO 126 16WC 04404 GUZMAN, JOSE G MENASHA PPACKAGING CO 01/17/15 ACEVES & PEREZ PC HEYL ROYSTER VOELKER & ALLEN 17WC020170 -C 127 16WC 04563 GIOIA, ANTHONY CITY OF CHICAGO 06/29/15 DEPAOLO & ZADEIKIS CITY OF CHICAGO 128 16WC 04961 TOMINELLO, JOHN R CITY OF CHICAGO DEPT 02/10/16 RUBIN LAW GROUP CITY OF CHICAGO 129 16WC 04972 CUDIA, LUZ RAQUELITA 1ST ASSIST HOME HEALTHCAR 12/30/15 MARC J SHUMAN & ASSOCIATES HENNESSY & ROACH PC 130 16WC 05135 PARKINSON, ANJEL COOK COUNTY JUVENILE DEPT 03/24/14 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 131 16WC 05538 MORTERA, JACOB CHICAGO TRANSIT AUTHORITY 01/01/16 MARC J SHUMAN & ASSOCIATES CHICAGO TRANSIT AUTHORITY 132 16WC 06309 SUSCAVAGE, RONALD NEWLY WEDS FOODS INC 01/29/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 133 16WC 06465 VAZQUEZ, CAROLINA O'KEEFE MANAGEMENT COMPAN 01/02/16 BUDIN LAW OFFICES 134 16WC 06487 SAEZ, EDWIN SMITH-COPPER INTERNATIONA 10/19/15 ANKIN LAW OFFICE JOSEPH MARCINIAK 135 16WC 06962 STEWART, CHERYL CITY OF CHICAGO 02/26/16 GORDON & CENTRACCHIO LLC CITY OF CHICAGO 136 16WC 06988 DAVIS, ANYA UNITED AIRLINES, INC. 11/01/15 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 137 16WC 08388 BERRY, MELISSA S CHICAGO TRANSIT AUTHORITY 02/14/16 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 138 16WC 10519 HOWELL, TAMIEKA CITY OF CHICAGO 01/14/16 STEVEN M SELAN CITY OF CHICAGO 139 16WC 12820 ROBERTS, CAROLYN FEDEX 03/16/16 BURNES & LIBMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 140 16WC 14109 AMATO, FRANK ILLINOIS DEPARTMENT @ 08/04/15 FIGLIOLI, DAVID STEPHANIE KEVIL 141 16WC 14127 MANOLIS, PHIL KINFORK 04/09/16 SLAVIN & SLAVIN BRADY CONNOLLY & MASUDA PC 142 16WC 14375 STAPLES, MICHAEL CTA 04/18/16 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 143 16WC 14843 SMITH, MARK LAZ PARKING CHICAGO, LLC. 04/05/16 PORRO NIERMANN LAW GROUP MEACHUM & STARCK 144 16WC 14906 PEREZ, EDWIN CARLOS CONSTRUCTION CO. W 08/02/14 JAMES ELLIS GUMBINER & ASS QUINTAIROS PRIETO WOOD & BOY 145 16WC 15067 LAWAL, LINDA CHICAGO TRANSIT AUTHORITY 11/05/15 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 16WC015068 -C 146 16WC 15176 ROGERS, LEROY JOHN TODD 04/08/16 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 16WC015526 -C 147 16WC 15201 GUNN, SANDRA ZURICH NORTH AMERICA 05/22/13 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 148 16WC 16007 MONTERO, JOSE LUIS DICICCO CONCRETE PRODUCTS 04/13/15 RUBENS KRESS MULHOLLAND WOLFE & JACOBSON, LTD 16WC016008 -C 149 16WC 16147 ALVAREZ, HECTOR BUEDEL FINE MEATS 03/16/16 DWORKIN AND MACIARIELLO KRAKER FANNING & OLSEN 150 16WC 16418 DIAZ, CHRISTINA ARYZTA LLC 03/25/16 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 16WC016419 -C 16WC022841 -C 151 16WC 17091 ROBINSON, KEITH L. VARGAS GROUP 07/10/14 GORDON & CENTRACCHIO LLC THOMAS & PORTELA 152 16WC 17290 RANGEL, ZENAIDA SUBMARINE PORT 04/15/16 SPENCER LAW OFFICES GAROFALO SCHREIBER STORM GRA 153 16WC 17491 RIVERA, EDDIE SWEDISH COVENANT HOSPITAL 08/06/12 CHRISTINE F DAVID RUSIN & MACIOROWSKI LTD 154 16WC 17575 BUTLER, DATRIN MARIANO'S FRESH MARKET 04/09/16 CHARLES LEVY & ASSOC LTD 155 16WC 21149 19B MCDONAGH, THOMAS P CITY OF CHGO-DEPT WATER M 04/15/16 O'CONNOR & NAKOS CITY OF CHICAGO 156 16WC 21868 TAMAYO, JORGE CITY OF CHICAGO 06/30/16 COVEN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 16WC 23897 KERMAN, ROBERT CHICAGO BOARD OF EDUCATIO 08/04/16 ANESI OZMON RODIN NOVAK KO CHGO BOARD OF EDUCATION 158 16WC 24445 MARIOTTI, MICHAEL J. NORTHROP GRUMMAN CORPORAT 11/30/15 LAW OFFICE PHILIP BLOMBERG RUSIN & MACIOROWSKI LTD 159 16WC 24510 JONES, TORRENCE CPS/RYDER SCHOOL 08/09/16 COSTA IVONE LLC CHGO BOARD OF EDUCATION 160 16WC 24611 LILLARD, CAROL CHICAGO TRANSIT AUTHORITY 07/19/16 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 161 16WC 24619 HOPE, CHERYL THE RESIDENCES AT RIVER 03/18/16 FRIEDMAN, MICHAEL T & ASSO HENNESSY & ROACH PC 162 16WC 25238 JONES, HENRY JR METROPOLITAN WATER 05/27/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 163 16WC 25343 GAWLIK, ROSEMARIE COOK COUNTY FACILITIES 07/29/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 164 16WC 25389 MURPH, DANIELLE CTA 07/12/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 165 16WC 25729 RIVERA, ESTEVAN D.T. CHICAGOLAND EXPRESS 01/09/15 BOGUSZ & BOGUSZ LTD EVANS & DIXON 16WC025730 -C 166 16WC 26115 GUZMAN, CARLOS SIPI METALS CORPORATION 08/11/16 CHEPOV & SCOTT LLC BRYCE DOWNEY & LENKOV LLC 17WC001353 -C 167 16WC 26247 JARAMILLO, SOCORRO AS WID THE ACACIA ASSOCIATION # 05/05/16 PORRO NIERMANN LAW GROUP THOMAS & PORTELA 168 16WC 26303 WIGITON, DEBRA SOUTHWEST AIRLINES CO 07/02/16 PATRICOSKI, MARK G HENNESSY & ROACH PC 169 16WC 26392 CUSACK, PATRICIA CITY OF CHICAGO 03/09/16 HEALY SCANLON LAW FIRM 170 16WC 26609 LEVINE, KATHERINE COOK COUNTY 01/10/14 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 171 16WC 27148 ROBERSON, ROBIN CDT 08/22/16 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 172 16WC 27311 DUSZYNSKI, THOMAS DEPAUL UNIVERSITY 08/03/15 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 173 16WC 27699 SADLER, MARYELLEN AMERICAN AIRLINES 07/12/16 STRELLIS & FIELD CTD GAROFALO SCHREIBER STORM GRA 17WC035712 -C 174 16WC 33601 HALTERS, DONNA CITY OF CHICAGO 08/11/16 CUDA LAW OFFICES HENNESSY & ROACH PC 175 16WC 34173 HODGES, MELVINA UBER 11/02/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 176 16WC 34428 SANTOS, MAURA SONESTA HOTEL 10/19/16 HERRERA LAW CENTER 177 16WC 34497 NIEVES, ENRIQUE COOK COUNTY 09/08/15 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 178 16WC 34540 ROMO-SANCHEZ, GERARDO DOC B'S FRESH KITCHEN 10/15/16 RUEDA, IVAN A 179 16WC 34612 SALDIVAR, MARCO CITY WIDE DISPOSAL AND 08/05/15 MENDOZA LAW PC LITCHFIELD CAVO 180 16WC 34705 MASTERSON, MICHELLE UNITED AIRLINES 11/05/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 19WC002507 -C 181 16WC 34992 NORWOOD, LEON COOK COUNTY HIGHWAY DEPT 09/06/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 182 16WC 35137 TAMAYO, JUICE JUICE TYME 12/23/13 LAW OFFICE HUGO ORTIZ 183 16WC 35248 DE FILIPPO, BARBARA PROVIDENCE HOME HEALTH 03/24/16 MARSZALEK AND MARSZALEK LAW OFFICES FRANCESCA LARSEN 184 16WC 35625 HAGGERTY, MARQUITHE O'REILLY AUTO PARTS 11/15/16 COSTA IVONE LLC HENNESSY & ROACH PC 185 16WC 35666 HARRIS, CAROLYN COUNTRY CLUB HILLS POLICE 11/14/16 SKLARE LAW GROUP HENNESSY & ROACH PC 186 16WC 35774 LATIMER, SHARON WALGREENS 11/01/14 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 187 16WC 36070 MIRAMONTES, MARIA CONCORDIA UNIVERSITY 05/05/16 WOODRUFF & JOHNSON 188 16WC 36585 HARRIS, TIENEH HYATT REGENCY MCCORMICK P 10/18/16 MORGENSEN LAW LLC NYHAN BAMBRICK KINZIE & LOWR 19WC000054 -C 189 16WC 36742 THOMAS, CHARLES GREEN DOLPHIN INC/ 10/23/16 KOFOED, RUSSEL M 190 16WC 37135 DRIVER, AARON S IL DEPTMENT OF HUMAN SERV 02/16/16 CHEPOV & SCOTT LLC ALYSSA SILVESTRI 191 16WC 37165 BOERMA, KEVIN INTERNATIONAL DECORATORS, 01/16/15 CUTLER & SILVERGLADE ROSARIO CIBELLA 192 16WC 37254 VELASQUEZ, CARLOS G UIC POLICE DEPT 06/30/15 O'CONNOR & NAKOS POWER & CRONIN LTD 193 17WC 03734 REED, SHERWIN MESSINA GROUP 02/17/16 194 17WC 03861 WILLIAMS, NICOLE CHICAGO TRANSIT AUTHORITY 06/15/16 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 195 17WC 03981 KYSER, LARRY BERRY PLASTICS 02/05/17 JAMES J BURKE LAW OFFICE 196 17WC 04073 MORZEL, GUS L ROOFING SOURCE AKA 07/30/15 GARDI & HAUGHT LAW OFFICES OF EDWARD J. KOZ 197 17WC 04270 GILES, PAULETTE AMERICAN AIRLINES INC 12/02/16 RICHARD O. GREENFIELD GAROFALO SCHREIBER STORM GRA 198 17WC 04341 FOSTER, JOHN TOP TIER SAFETY 01/28/17 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 199 17WC 04360 BARKER, DENISE B CHICAGO BOARD EDUCATION 12/16/16 LEONARD LAW GROUP LLC 200 17WC 04410 MOORE, ALLEN B CHICAGO TRANSIT AUTHORITY 02/03/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 201 17WC 04622 KOHN, ROBERT IL DEPT OF TRANSPORTATION 09/27/15 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 202 17WC 04755 CERVANTES, JUAN L TIFFANY MATTRESS 01/20/17 SALVATO & O'TOOLE 203 17WC 04769 MURPHY, PETER RC HOME MAINTENANCE INC 10/09/16 204 17WC 05148 SULTANKHODZHAEV, DASTAN FLASH CAB CO 01/01/17 LAW OFFICES YEVGENIY VAYSM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 205 17WC 05255 BUCHANAN, FREDERIC G CITY OF CHICAGO, DEPARTME 11/16/16 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 206 17WC 05415 TERRY, MARK ELITE STAFFING 01/26/17 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 207 17WC 05501 MORENO, JORGE SHAW'S CRAB HOUSE 01/13/15 JONATHAN SCHLACK NOBLE & ASSOC 17WC005502 -C 208 17WC 05537 HEFFERNAN, BRAIN CITY OF CHICAGO DEPT OF T 02/03/17 CULLEN HASKINS NICHOLSON 209 17WC 05559 STAMPS, MARSHA CHICAGO PUBLIC SCHOOLS 09/25/15 DWORKIN AND MACIARIELLO 210 17WC 05612 NORIEGA, LUIS A PACE NORTHWEST 02/24/14 211 17WC 05655 THOMAS, DAPHNE J CITY OF CHICAGO, DEPT OF 02/07/17 COHN LAMBERT RYAN & SCHNEI 212 17WC 05692 AGLE, BRIAN ORLAND FIRE PROTECTION DI 02/02/17 CULLEN HASKINS NICHOLSON 213 17WC 05793 ROZSIVAL, MICHAL CHICAGO BLACKHAWKS HOCKEY 01/25/17 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 214 17WC 06317 ZAID, RAJA CHICAGO CARRIAGE CAB 07/11/16 SCOTT B SHAPIRO 215 17WC 06356 ZIENTEK-FIOCOLA, JENA LOYOLA UNIVERSITY MEDICAL @ 09/23/16 LAW OFFICE OF SCOTT B SHAP LORENZ & BERGIN PC 18WC022139 -C 216 17WC 06435 HARRINGTON, DANYELL SMG FOOD & BEVERAGE, LLC 02/23/17 RITTENBERG & BUFFEN 217 17WC 06547 STADNYCHUK, MYKOLA REMODLERS SUPPLY CNTR DIV 02/06/17 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 218 17WC 06817 HERNANDEZ, MARIA LAND O FROST 02/22/17 219 17WC 06880 GAZLAY, GLORIA UNITED AIRLINES INC 01/03/17 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 220 17WC 06933 OAKLEY, HOLLY ABBOTT MOLECULAR INC 12/23/16 CZAPLA LAW 221 17WC 06966 DENISON, LESLIE JEWEL OSCO STORES 12/18/14 KATZ FRIEDMAN EAGLE ET AL 222 17WC 11427 CARAWAY, MEGAN AMERICAN AIRLINES 12/10/16 SAUNDERS CONDON & KENNY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 223 17WC 13690 STEWART, ORLANDO ST MARTHA MANOR 05/27/16 DAVID W MARTAY GALLIANI DOELL & COZZI LTD 224 17WC 13706 CAMACHO, JORGE H. INTERMODAL REPAIRS SERVIC 10/16/15 SALK, STEVEN B & ASSOC LTD THOMAS & PORTELA 225 17WC 14189 GALLEGOS, TERESA LAND O' FROST 03/14/17 CIARDELLI CUMMINGS CAMPAGN GAROFALO SCHREIBER STORM GRA 226 17WC 14339 LOFTMAN-DAVIS, MARIKA STATE OF IL LUDEMAN @ 05/01/17 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 227 17WC 14482 BYRD, YAHALOM HAYES-GIBSON INT & LENZY 01/16/17 COSTA IVONE LLC RIPES NELSON BAGGOT KALOBRAT 228 17WC 14696 GUAJAN, LIDIA OSI INDUSTRIES 05/08/17 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 229 17WC 14720 PALMA, CONSTANTINA BWAY CORPORATION 12/01/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 230 17WC 14744 HERNANDEZ, SANDRA WEBER STEPHENS PRODUCTS 01/10/17 LAW OFFICE OF SCOTT B SHAP JOSEPH MARCINIAK 231 17WC 14927 BRADLEY, JIMMY DENTON CARTAGE TRUCKING C 04/28/17 ANGELINI & ORI LLC 232 17WC 14990 DOROBA, FRANK ORKIN 03/08/17 DEPAOLO & ZADEIKIS BRADY CONNOLLY & MASUDA PC 233 17WC 15240 PEREZ, TIMOTHY COOK CNTY DEPT OF CORRECT 04/06/16 MC HARGUE & JONES STATES ATTORNEY OF COOK COUN 234 17WC 15672 REARDON, JOAN INGALLS MEMORIAL HOSPITAL 04/09/17 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 17WC015673 -C 235 17WC 15741 RODRIGUEZ, JUAN SHERWIN WILLIAMS 07/26/16 BRUSTIN & LUNDBLAD LTD GANAN & SHAPIRO 236 17WC 15955 GUERRERO, ALICIA F MCDONALD'S 02/25/17 CULLEN HASKINS NICHOLSON 237 17WC 15993 TLAPANCO, ROMULO SPECIALIZED STAFFING 11/29/16 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 238 17WC 16184 RIX, JONATHAN UBER EATS 03/01/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 239 17WC 16709 CORONA, JAVIER THE CUSTOM COMPANY 04/11/16 COSTA IVONE LLC 240 17WC 16785 GALAN, DIANE COOK COUNTY SHERIFF'S 05/22/17 SMOLER LAW OFFICE, PC STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 241 17WC 16878 VILLAGOMEZ, CARLOS NAF NAF GRILL 05/22/17 STEVEN J TENZER, LTD HOLECEK & ASSOCIATES 242 17WC 23435 KINSLOW, ADAM RED LOBSTER MANAGEMENT, L 07/18/17 LAW OFFICE NICHOLAS H. MIH BRYCE DOWNEY & LENKOV LLC 243 17WC 23521 ALAGNA, PETER WILL COOK COUNTY 05/04/15 COVEN LAW GROUP HINSHAW & CULBERTSON 244 17WC 23730 DELL-PETERSON, MONIQUE ILLINOIS TOLLWAY 12/02/16 SKLARE LAW GROUP GANAN & SHAPIRO 17WC025747 -C 245 17WC 23744 PATEL, JAYANTIBHAI K. DUNKIN DONUTS OF AMERICA, 04/16/17 BAUM RUFFOLO & MARZAL LTD 246 17WC 23839 MERRITT, GLORIA CHICAGO YOUTH PROGRAM 05/10/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 17WC023918 -C 247 17WC 23866 BARNETT, LISA CITY OF CHICAGO, DEPART O 06/14/17 HORWITZ HORWITZ & ASSOC 248 17WC 23920 PATLAN, MARIA BRENTWOOD SUB-ACUTE 07/16/17 DWORKIN AND MACIARIELLO 249 17WC 24016 MANZON, HAROLD UNITED AIRLINES, INC 02/05/17 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 18WC008415 -C 250 17WC 24030 GREEN, KAREN THORNTON TOWNSHIP 05/15/17 GRECO, MICHAEL J RUSIN & MACIOROWSKI LTD 251 17WC 24243 LEWIS, CHERISSE COOK COUNTY CLERK OFFICE 04/01/17 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 252 17WC 24424 BROOKS, ERIC CITY OF CHICAGO 07/19/17 EDWIN REYES LEGAL GROUP 253 17WC 24572 FOUGHALI, HOCINE GEORGIA NUT COMPANY 07/03/17 LAW OFFICES ROBERT WARSASK CAPUANI, FRANK S 254 17WC 24588 COBBINS, CHERESSE HALSTED PHARMACY, INC 08/08/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 255 17WC 24672 TRIPLETT, LANELL CHICAGO PARK DISTRICT 09/09/16 CHICAGO PARK DIST LAW DEPT 256 17WC 24697 CANALES, PEDRO REYES DECORATING 07/28/17 EPSTEIN, JACK R LAW OFFICE 257 17WC 24730 PINA, YNOCENCIO THE ELI'S CHEESECAKE COMP 08/13/16 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 258 17WC 24775 TEDMON, CHRISTOPHER SWISSPORT USA INC 08/18/17 TAXMAN POLLOCK KNELL & O'CONNOR 259 17WC 24836 GORDON, JIMMY ARENA ONE FOOTBALL LLC 06/20/15 GORDON LAW OFFICES LTD 260 17WC 24920 ESCO, JAMES E. POWER STOP LLC 08/12/17 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 261 17WC 24955 LEVIN, MYRA SERVICE CORPORATION 10/22/14 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 262 17WC 24996 BIBBS, SONYA FREE ENTERPRISE SYSTEM 08/06/17 ASHER, RAYMOND L LTD COZZI & GOGGIN-WARD 263 17WC 25069 BROWNLEE, TANETTA DIY GROUP INC 06/14/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 264 17WC 25213 CRUZ, FRANCISCO SUGAR FACTORY 08/17/17 SALK, STEVEN B & ASSOC LTD INMAN & FITZGIBBONS 265 17WC 25302 JACKSON, LAKECIA THE UNIVERSITY OF CHICAGO 08/10/17 BRIAN J MC MANUS & ASSOC, RUSIN & MACIOROWSKI LTD 266 17WC 25320 LITTLE, EMANUEL COOK COUNTY CLERK OF COUR 08/07/17 LEONARD S. BECKER STATES ATTORNEY OF COOK COUN 267 17WC 25365 ROJAAS, SANDRA PSSI-PACKERS SANITATION 11/22/15 GOLDSTEIN BENDER & ROMANOF 268 17WC 25423 GARCIA, GUILLERMINA LCV STAFFING 08/21/17 SALVATO & O'TOOLE GAROFALO SCHREIBER STORM GRA 269 17WC 25456 ROSENTHALL, JOSEPH GRT TRANSPORATION 08/28/17 COSTA IVONE LLC 270 17WC 25681 HAMILTON, ANTOINETTE CHICAGO TRANSIT AUTHORITY 08/18/17 VRDOLYAK LAW GROUP LLC VRDOLYAK LAW GROUP LLC 271 17WC 25721 RIOS, BENITO A TOYOTA TSUSHO AMERICA INC 12/03/16 LAW OFFICES DEBORAH SCHAEF HENNESSY & ROACH PC 272 17WC 25802 VAZQUEZ, JOANNA NORWEGIAN AMERICAN HOSPIT 05/29/17 WHITESIDE & GOLDBERG LTD 273 17WC 25924 SCOTT, DONESHA JAMILA RICH PRODUCTS CORP 04/07/17 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 274 17WC 26038 EDWARDS, PATRICIA EVANSTON TOWNSHIP HIGH SC 07/05/17 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 275 17WC 26095 DE LO SANTO, JULIO SCRUB INC 03/02/17 JAMES ELLIS GUMBINER & ASS LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 17WC 26141 OWENS, DAVID WHOLE FOODS MARKET 07/09/17 HORWITZ HORWITZ & ASSOC 277 17WC 26943 RIVERA, JOSE L CITY OF CHICAGO 06/22/17 VITELL & SPITZ LTD 278 17WC 32944 ROMO, ALEJANDRO INFINITY TRAILER REPAIR 10/01/17 HERRERA LAW CENTER HOLECEK & ASSOCIATES 279 17WC 33040 BANYAMIN, GLADES RGB, INC 07/11/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 280 17WC 33096 ROBINSON, APRIL CTA 10/21/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 281 17WC 33118 SWIENTEK, NICHOLAS CHICAGO PARK DISTRICT 03/31/17 DANIEL PERIASWAMY CHICAGO PARK DIST LAW DEPT 19WC028719 -C 282 17WC 33250 SABA, MICHAEL CHICAGO TRANSIT AUTHORITY 09/08/17 HEALY SCANLON LAW FIRM CHICAGO TRANSIT AUTHORITY 19WC001060 -C 19WC001061 -C 283 17WC 33278 GARCIA, OMAR RICH PRODUCTS CORP. 02/19/16 LEONARD LAW GROUP LLC GILDEA & COGHLAN 284 17WC 33292 JAMAL, MUHAMMAD VEEN TAXI INC 10/20/17 FISHER & LAMONICA 285 17WC 33346 WATSON, DENISE GATE GOURMET 11/07/17 RUSIN & MACIOROWSKI LTD 286 17WC 33399 BOLDEN-SMITH, LILLIAN ADDUS HOME 10/21/17 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 287 17WC 33611 BERMUDEZ, ELVA FLYING FOOD GROUP, LLC. 11/05/17 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 288 17WC 33785 VELAZQUEZ, YOLANDA CITY OF CHICAGO 10/25/17 BURNETT & CARON, LTD HENNESSY & ROACH PC 289 17WC 33854 RICKS, DARIUS SOUTHWEST AIRLINES 09/07/17 RONALDSON & KUCHLER HENNESSY & ROACH PC 290 17WC 33879 GARDNER, TERRENCE PROVISO TOWNSHIP HIGH SCH 10/28/17 SHANNON LAW GROUP ANCEL GLINK DIAMOND BUSH & E 291 17WC 34027 PATTERSON, SHEILA JJ MADDEN 09/28/17 EDWIN REYES LEGAL GROUP ALYSSA SILVESTRI 292 17WC 34074 GONZALEZ HERNANDEZ, JUAN WORLD CLEANING SVCS, INC 09/19/17 JAMES M GERAGHTY BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 293 17WC 34198 HOFFMAN, MICHAEL R ECOLAB, INC 12/01/16 BUDIN LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 294 17WC 34377 EMMANUEL, ADESHINA O SUN TAXI 11/03/17 LAW OFFICE OF SCOTT B SHAP GRANT & FANNING 295 17WC 34529 PERRINO, EMANUEL EVANSTON FIRE DEPT 03/13/15 HUGHES SOCOL PIERS RESNICK WIEDNER & MCAULIFFE LTD 19WC023499 -C 296 17WC 34606 BUCHMEIER, LOREN CITY OF BERWYN 11/07/16 THOMAS A MORRISSEY CUDA LAW OFFICES 297 17WC 34652 MCADORY, JACQUELINE ADDUS HEALTH CARE 09/11/17 CHARLES LEVY & ASSOC LTD HENNESSY & ROACH PC 298 17WC 34703 ALPHONSE, LANTANYA CTA 07/29/16 LAW OFFICE JOSHUA KARMEL CHICAGO TRANSIT AUTHORITY 299 17WC 34978 VESELI, TEFIKE ASHA SALON & SPA 05/24/16 SCOTT BARBER JOSEPH MARCINIAK 300 17WC 35042 MOORE, VINCENT THE HABITAT CO, LLC 11/16/17 ROSENFELD HAFRON SHAPIRO F LAW OFFICES JOSEPH MARCINIAK 301 17WC 35196 ROZSIVAL, MICHAL CHICAGO BLACKHAWKS HOCKEY 01/16/15 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 302 17WC 35306 TERRY JR, MARK NICHOLAS ELITE STAFFING INC 10/02/17 POMPER & GOODMAN BRADY CONNOLLY & MASUDA PC 303 17WC 35322 BALL, DONALD L CITY OF CHGO DEPT OF WATE 10/11/17 KOSIN LAW OFFICE LTD 304 17WC 35380 HERMAN, DIONNDREA SOUTH SUBURBAN REHAB CENT 09/15/17 FRIEDMAN & SOLMOR LTD BRADY CONNOLLY & MASUDA PC 305 17WC 35426 JENNER, EDWARD O'HARE CAB CO. 10/29/17 HUNER LAW OFFICES LLC 306 17WC 35493 AGUILAR, JUAN EMA GROUP, INC 11/15/17 ACEVES & PEREZ PC 307 17WC 35541 MARTINEZ, MARITZA HARVARD MAINTENANCE 11/20/17 SEIDMAN MARGULIS & FAIRMAN GAIDO & FINTZEN 308 17WC 35652 SKINNER JR, GROVER KOPPERS INC 05/31/17 RUSIN & MACIOROWSKI LTD 18WC032656 -C 18WC032657 -C 18WC032658 -C 309 17WC 35675 KARIMI, KAYVON VILLAGE OF HOMEWOOD 11/25/17 THOMAS W DUDA RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 310 17WC 35784 DEROSA, JEREMY FIRST PRIORITY RESTORATIO 10/21/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 311 17WC 35864 SOLER, MICHAEL D KENNICOTT BROTHERS 10/18/17 HANNIGAN & BOTHA, LTD WOLFE & JACOBSON, LTD 312 17WC 35961 STOKES, MOLLY CTA 11/11/17 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY 313 18WC 03664 GIPSON, CORTEZ MASTERFORM TOOLS 01/22/18 JAMES ELLIS GUMBINER & ASS 314 18WC 03875 PRIMBAS, SAMUEL CITY OF CHICAGO-FLEET MGM 05/03/16 O'CONNOR & NAKOS 315 18WC 03966 LICHTER, MICHAEL MELROSE PARK POLICE DEPT 12/11/17 FOOTE MIELKE CHAVEZ O'NEIL DEL GALDO LAW GROUP LLP 316 18WC 04029 MONGAN, JOHN CHICAGO PUBLIC SCHOOLS 09/02/17 O'CONNOR & NAKOS CHGO BOARD OF EDUCATION 317 18WC 04042 SANTANA, ELLYS UNITED AIRLINES 01/14/18 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 318 18WC 04081 PAGANINI, MARY FAMILY DOLLAR 01/23/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 319 18WC 04212 YOUNG, CARMIKA FORD MOTOR COMPANY 01/15/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 18WC004213 -C 18WC031481 -C 320 18WC 04237 PACK, NOMOYA IL DEPT OF HEALTH SERVICE 01/14/18 CRONIN & PETERS ALYSSA SILVESTRI 321 18WC 04337 VAZQUEZ, GREGORY STATE OF ILLINOIS 02/01/18 FRANCIS J DISCIPIO LAW OFF ALYSSA SILVESTRI 322 18WC 04402 DIXON, MICHELLE VILLAGE OF RICHTON PARK 01/13/18 LANNON LANNON & BARR LTD BRYCE DOWNEY & LENKOV LLC 323 18WC 04438 ROBINSON, GREGORY FURIOUS SPOON LAKEVIEW 01/24/18 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 324 18WC 04458 ROCKETT, WANDA J AMERICAN HERITAGE PROTECT 02/06/18 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 325 18WC 04780 HAMPTON, MICHAEL T MARR CHICAGO PIZZA INC 02/03/18 ANKIN LAW OFFICE 326 18WC 04838 WILLIAMS, KENNETH CITY OF CHICAGO 11/02/17 COVEN LAW GROUP 327 18WC 04930 ROBERTSON, MONICA COUNTY OF COOK 02/20/15 PETER LIMPERIS STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 328 18WC 04937 BROWN, BRENDA CHICAGO TRANSIT AUTHORITY 01/22/18 MARC J SHUMAN & ASSOCIATES CHICAGO TRANSIT AUTHORITY 329 18WC 04954 RUPAR, BRANDI ALEXIAN BROTHERS MEDICAL 01/23/18 GRAVLIN, MICHAEL J LLC HENNESSY & ROACH PC 330 18WC 04970 STUMPF, MICHAEL HAMILTON PARTNERS 02/09/18 COVEN LAW GROUP HOLECEK & ASSOCIATES 331 18WC 05041 YOUNG, VIOLA CHICAGO PUBLIC SCHOOLS 01/29/18 WARREN W MARK 332 18WC 05063 HENRY, MIKITA CITY OF CHICAGO, DDS 10/12/17 RITTENBERG & BUFFEN 333 18WC 05089 ZENNER, AUDREY UNIVERSITY OF IL AT CHICA @ 10/01/15 LANGENDORF, ROBERT A 334 18WC 05120 STEVENSON, LARICO ARENA FOOTBALL ONE LLC 07/09/16 GORDON LAW OFFICES LTD GORDON & CENTRACCHIO LLC 335 18WC 05163 SULLIVAN, BEATRICE ACCESS COMMUNITY HEALTH N 12/26/17 LEONARD LAW GROUP LLC WOLFE & JACOBSON, LTD 336 18WC 05180 DELEON, CARLA WENDY'S 12/07/17 COSTA IVONE LLC HENNESSY & ROACH PC 337 18WC 05270 AMEZCUA, ARTURO SYSCO CHICAGO INC 02/14/18 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 338 18WC 05376 SMITH, DANIEL YRC 02/06/18 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 339 18WC 05466 MAGPAYO, CRIXENIA COOK COUNTY 08/24/17 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 19WC020934 -C STROGER HOSPITAL - COOK CO 340 18WC 05488 VIRGO, CARL A FORD MOTOR STAMPING PLANT 06/25/17 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 341 18WC 05833 SANDERS, BARBARA PRESENCE HEALTH ST MARY'S 01/12/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 342 18WC 05882 GUSMANO, MICHELLE ROCCO'S LITTLE ITALY, INC 02/18/18 GRAVLIN, MICHAEL J LLC BRADY CONNOLLY & MASUDA PC 343 18WC 05920 ROBINSON, CECIL FORD MOTOR COMPANY 03/31/17 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 18WC005921 -C 18WC005922 -C 344 18WC 05957 PELAYO, CRISTINA UNITED AIRLINES 02/18/18 SCOTT B SHAPIRO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 345 18WC 06059 SANDOVAL, AGNES J WORLD FINEST CHOCOLATE, I 11/24/16 KATZ FRIEDMAN EAGLE ET AL GRANT & FANNING 346 18WC 06131 DUCREE, KIMBERLY CHICAGO TRANSIT AUTHORITY 02/08/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 347 18WC 06172 LIDDELL, WILLIAM CHICAGO PUBLIC SCHOOLS 04/14/17 GOLDSTEIN BENDER & ROMANOF CHGO BOARD OF EDUCATION 348 18WC 06270 LEWIS, ERIK VILLAGE OF BRIDGEVIEW 02/08/18 LEONARD LAW GROUP LLC INMAN & FITZGIBBONS 349 18WC 06408 KROL, MARIO BOASSA AMERICAN CORP 12/01/16 ACEVES & PEREZ PC QUINTAIROS PRIETO WOOD & BOY 350 18WC 06426 GUTIERREZ, PEDRO NORTHWEST STEEL CORPORATI 02/10/17 SIGMOND, STEVEN JOSEPH MARCINIAK 18WC009342 -C 18WC009343 -C 18WC015964 -C 351 18WC 06529 DRINKWINE, KENNETH R HARD ROCK CONCRETE CUTTER 11/07/17 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 352 18WC 06547 FINNIGAN, BART COOK COUNTY SHERIFF DEPT 09/16/17 SALK, STEVEN B & ASSOC LTD STATES ATTORNEY OF COOK COUN 353 18WC 06665 WEBSTER, DEBORAH CHICAGO PUBLIC SCHOOLS 01/17/18 THOMAS M. PARIS CHGO BOARD OF EDUCATION 354 18WC 06721 STELMASZEK, JOSEPH CITY OF CHICAGO-STREETS & 09/01/17 JOSEPH J SPINGOLA, LTD 355 18WC 06740 HERNANDEZ, MIREYA SCHULZE & BURCH BISCUIT C 02/26/18 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 356 18WC 06879 MARTINEZ CERNA, ROSA M MCDONALD'S OF BERWYN RELO 01/14/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 357 18WC 06922 BERRY, REGINALD OLD VETERAN CONSTRUCTION 04/03/17 PARENTE & NOREM PC GAROFALO SCHREIBER STORM GRA 358 18WC 07994 WITTMAN, FREDERICK UNITED AUTO WORKERS LOCAL # 04/04/16 ALEKSY BELCHER MEACHUM & STARCK 359 18WC 13831 ARITZMENDY, BENJAMIN UNITED REMANUFACTURING 10/23/15 CULLEN HASKINS NICHOLSON 360 18WC 13914 SANCHEZ, JULIAN CENTRAL STEEL & WIRE COMP 04/06/18 GALLAGHER, DONALD V 361 18WC 13998 BOURAS, CONSTANTINOS F CHICAGO TRANSIT AUTHORITY 04/24/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 362 18WC 14129 CRUZ, RICARDO TOOTSIE ROLL INDUSTRIES 04/18/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 363 18WC 14146 PALENCIA, JAVIER CENVEO, INC 10/26/17 O'CONNOR & NAKOS NOBLE & ASSOC 364 18WC 14161 WIAFE-ABABIO, NANA UNITED AIRLINES 09/06/17 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 365 18WC 14332 OSENI, RAMON OZZIE CAB CO 04/22/18 HUNER LAW OFFICES LLC 366 18WC 14403 VEHAB, ARNELA ABM JANITORIAL SVCS 03/14/15 STROM, NEAL B 367 18WC 14501 DYSZYNSKI, THOMAS DEPAUL UNIVERSITY 02/14/18 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 368 18WC 14569 BROWN, ALINA VANILLE PATISSERIE 05/03/18 LEONARD LAW GROUP LLC 369 18WC 14583 REIZ, ZEHRA RIDGE MAINTENANCE GROUP I 05/04/18 ANKIN LAW OFFICE MEACHUM & STARCK 370 18WC 14658 ADOGA, DANIEL GREVENA CORP 05/07/18 371 18WC 14710 JOHNSON, WILEY 2020 COMMUNICATIONS 04/23/18 MC HARGUE & JONES JOSEPH MARCINIAK 372 18WC 14731 SEDLACEK, RAYMOND UPS 01/15/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 373 18WC 14764 SANTIAGO, RAYMOND P CHICAGO PUBLIC SCHOOLS 09/22/17 LEONARD S. BECKER CHGO BOARD OF EDUCATION 374 18WC 14788 HINTON, LOREAL SPEEDWAY 05/01/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 375 18WC 14856 MUFWENE, PATRICIA PARKSHORE ESTATES NURSING 03/22/18 TRAPP & GELLER BRYCE DOWNEY & LENKOV LLC 376 18WC 14951 SCHAEFER, SHERRI ALLIANCE GROUNDINTERNATIO 03/07/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 377 18WC 14968 CALVILLO, SALVADORA DEBBIE'S CUSTOMIZED STAFF 04/09/18 HUGO ORTIZ 378 18WC 15042 ERWIN, DEBRA J CIBC 01/04/18 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 379 18WC 15176 PRESTON, MALIK FAMILY DOLLAR STORES, INC 05/01/18 DEPAOLO & ZADEIKIS BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 380 18WC 15200 NEWBY, TONYA CTA 05/16/18 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 381 18WC 15245 CURTIS, ANTONIA FIRST STUDENT BUS COMPANY 05/09/18 HERRERA LAW CENTER 382 18WC 15308 HAYNES, LEVERNE STAMPED MEAT INC 05/08/18 ANKIN LAW OFFICE JOHN T GONNELLA 383 18WC 15331 LOPEZ, VINCENT TRANSCENDIA, INC 03/01/18 RUBIN LAW GROUP HENNESSY & ROACH PC 384 18WC 15386 LUCIO, SERGIO ALPHA BAKING 03/04/18 SALK, STEVEN B & ASSOC LTD MACIOROWSKI SACKMANN & ULRIC 385 18WC 15458 MENA, SERAFIN LEONA'S PIZZERIA, INC 05/11/18 RUEDA, IVAN A 386 18WC 15518 GUARDADO, LUDIN PASTA MIA 04/14/18 AIOSSA LAW FIRM GANAN & SHAPIRO 387 18WC 15543 EDWARDS, TAMALA SUNRISE TRANSPORTATION LL 04/09/18 JONATHAN SCHLACK 388 18WC 15655 TRAHEY, KATHLEEN R CHICAGO PUBLIC SCHOOLS 04/30/18 DAVID W MARTAY CHGO BOARD OF EDUCATION 389 18WC 15679 MALLET, ANNETTE JOHN H. STROGER 10/20/17 KENNETH B GORE LTD STATES ATTORNEY OF COOK COUN 390 18WC 15834 SANNI, MAJORIE PRESENCE HEALTH DBA ST FR 01/11/18 BUDIN LAW OFFICES BRADY CONNOLLY & MASUDA PC 391 18WC 15942 MITCHELL, ANTHONY LEAF FILTER NORTH, LLC 04/12/18 ANKIN LAW OFFICE MEACHUM BOYLE TRAUFMAN 392 18WC 15971 BARBARA, AMANDA ACE 09/19/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 18WC031786 -C 393 18WC 16015 BYRON, RALPH WASTE MANAGEMENT 04/13/17 LUSAK AND COBB THOMAS J STIBERTH LAW OFFICE 19WC015730 -C 394 18WC 16152 DZIEDZIC, EILEEN CHICAGO PUBLIC SCHOOLS 02/12/18 GOLDBERG WEISMAN & CAIRO L CHGO BOARD OF EDUCATION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 395 18WC 16192 BRUSCEMI, JESSE HUEN ELECTRIC CO 04/26/18 CRAIG L MANCHIK & ASSOC. STONE & JOHNSON CHARTERED 396 18WC 16296 KAMKA, MITCHELL SYSCO FOOD SERVICES 03/30/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 18WC016297 -C 397 18WC 16370 MARKEY, KATHRYN MARIANO'S FRESH MARKET 09/25/17 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 398 18WC 16386 PITMAN, ERIC CICERO FIRE DEPARTMENT 12/08/16 COPLAN & CRANE, LTD DEL GALDO LAW GROUP LLP 399 18WC 16428 MINION, HEATHER BERGHAUS ORGAN CO 08/12/16 BLOCK, KLUKAS & MANZELLA P JOSEPH MARCINIAK 400 18WC 16462 WILLIAMS, ARTHUR E DHL EXPRESS, INC 03/23/18 DESTEFANO, ROBERT A & ASSO HENNESSY & ROACH PC 401 18WC 16489 CROW-SCHIYER, KIMBERLY TREASURE ISLAND FOODS INC 05/25/18 ROBERT WARSASKI ROSARIO CIBELLA 402 18WC 16629 JARQUIN, CARLOS CHEESE MERCHANTSOF AMERIC 04/10/17 THE ROMAKER LAW FIRM 403 18WC 16648 WELLS, MORHFIA S CITY OF CHICAGO 05/03/18 VRDOLYAK LAW GROUP LLC 404 18WC 16749 WHEELER, BERNARD HOSTESS 05/03/18 MC HARGUE & JONES INMAN & FITZGIBBONS 19WC010857 -C AEROTEK STAFFING 405 18WC 16830 HILL, RAYMOND CITY OF CHICAGO DEPT OF 01/19/18 ANKIN LAW OFFICE CITY OF CHICAGO 406 18WC 16861 RUIZ, ARIEL GINO ROSADO CROWN SERVICES 05/29/18 EPSTEIN, JACK R LAW OFFICE EVANS & DIXON 407 18WC 16908 STACK, GARY LIBERTY FLAG AND BANNER 05/15/18 COSTA IVONE LLC ACCIDENT FUND HOLDINGS 408 18WC 16925 MUNOZ, PAZ O ACCURATE PERSONNEL SERVIC 04/26/18 COSTA IVONE LLC JOHN T GONNELLA 409 18WC 16948 VARGAS, ADRIANA BAGELERS CAFE LUNA 03/21/17 NILSON STOOKAL GLEASON CAP JOSEPH MARCINIAK 410 18WC 18490 LYONS, ROBERT STATE OF ILLINOIS @ 04/01/18 ASSISTANT ATTY GENL 411 18WC 21096 GERALDO, GUADALUPE M CINTAS 06/13/18 MANUAL CARDENAS & ASSOC POWER & CRONIN LTD 412 18WC 23929 GARCIA MOLINA, FATIMA ADP TOTAL SOURCE CO XXI I 07/02/18 SOSTRIN AND SOSTRIN PC WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 413 18WC 24045 SCHURING, ADAM M COOK COUNTY SHERIFF'S DEP 04/15/17 MORICI FIGLIOLI & ASSOC STATES ATTORNEY OF COOK COUN 414 18WC 24090 OVIEDO, IRVING CENTRO REALTY & DEVELOPME 07/29/18 CHEPOV & SCOTT LLC GANAN & SHAPIRO 415 18WC 24105 FOUNTAIN, MICHAEL BIMBO BAKERIES USA, INC. 06/23/18 COHN LAMBERT RYAN & SCHNEI KRALOVEC & MARQUARD 416 18WC 24169 SELINGER, LEAH QUINTAIROS PRIETO WOOD & 04/10/18 SEIDMAN MARGULIS & FAIRMAN EDWARD J. KOZEL 417 18WC 24301 WILSON, BARBRA TRADER JOE'S COMPANY 03/31/18 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 418 18WC 24319 WITLOW, RAVEN ECO BRITE LINENS LLC 08/05/18 HERRERA LAW CENTER MEACHUM & STARCK 419 18WC 24350 AGUILAR, MARIO R FERRERA PAN CANDY 05/24/18 ANSELMO DURAN HOLECEK & ASSOCIATES 420 18WC 24414 MORALES-TREJO, FERNANDO ABRA AUTO BODY & GLASS 12/04/17 LULAY LAW OFFICES MEACHUM & STARCK 421 18WC 24597 HARDIN, AUDREY UNITED AIRLINES 07/09/18 DWORKIN AND MACIARIELLO 422 18WC 24627 GUZMAN, OMAR AEROTEK 08/02/17 JONATHAN SCHLACK 423 18WC 24662 TAMEZ, LINDA COOK COUNTY DETENTION CEN 06/20/18 TAXMAN POLLOCK STATES ATTORNEY OF COOK COUN 424 18WC 24726 MONTERO, JUAN CITY OF CHICAGO DEPT OF 08/15/18 SALVATO O'TOOLE FROYLAN 425 18WC 24741 SFIRNACIUC, ELENA HARVARD MAINTENANCE INC 08/02/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 426 18WC 24771 FALVEY, THOMAS CITY OF CHICAGO 06/07/18 PATRICIA HARDIMAN LAW OFFI CITY OF CHICAGO 427 18WC 25069 BROGAN, PATRICK REPUBLIC SERVICES, INC. 07/05/18 CHRISTINE F DAVID 428 18WC 25154 SOTO, DAVID IL BELL TELEPHONE COMPANY 05/11/18 ROBERT WARSASKI HENNESSY & ROACH PC 429 18WC 25270 KELLY, MICHAEL A COOK COUNTY SHERIFF 07/19/18 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 430 18WC 25343 BANKS, TAURUS ILLINOIS STATE TOLLWAY @ 08/10/18 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 431 18WC 25365 RAMIREZ, DAVID UNITED AIRLINES 05/22/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 432 18WC 25417 QUEZADA, MA DEL ROSARIO STAFF RIGHT/QUANTUM GROUP 06/26/18 RUEDA, IVAN A LOUIS MUNDY 433 18WC 25443 ORTIZ, JOSE L OLD DOMINION FREIGHT 01/09/18 BAUM RUFFOLO & MARZAL LTD EVANS & DIXON 434 18WC 25510 PSALTIS, CONSTANTINE FEDERAL EXPRESS 05/16/18 LANCASTER, DEBORAH 435 18WC 25559 LOPER, MARCUS GARDA USA, INC 08/10/18 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 436 18WC 25582 SIGLE, ALEXUS WHITE CASTLE 08/06/18 JOHN S. ELIASIK 437 18WC 25619 WASHINGTON, IVORY LUDEMAN DEVELOPMENT CTR @ 08/04/18 BRISKMAN BRISKMAN GREENBER ALYSSA SILVESTRI 19WC025985 -C 438 18WC 25635 GONZALEZ, JOSE SUPERIOR AMBULANCE 08/21/18 HERRERA LAW CENTER POWER & CRONIN LTD 439 18WC 25659 TRACY, JABREEL UBER 08/21/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 440 18WC 25729 CONTRERAS, JUAN WHEATLAND TUBE COMPANY 04/03/17 GRAVLIN, MICHAEL J LLC GAROFALO SCHREIBER STORM GRA 441 18WC 25763 TELLEZ, JOSE LUIS THERMAL EXTERIORS INC LOA 08/18/18 BERG & BERG 442 18WC 25798 SUZUKI, AZUMI DELOITTE & TOUCHE LLP 04/07/16 GORDON & CENTRACCHIO LLC RUSIN & MACIOROWSKI LTD 443 18WC 25822 SCHROEDER, CHRISTINA DEMARS FAMILY RESTAURANT/ 07/18/18 MC HARGUE & JONES 444 18WC 25867 JOHNSON, GENISE PUBLIC BUILDING 05/11/18 KEVIN O'BRIEN JOSEPH MARCINIAK 445 18WC 25893 BANIASDI, MOHAMMAD ALI BLK & WHT VALET, LLC 08/16/18 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 446 18WC 25924 ANAYA, ESTHER AMAZON 04/25/18 SHELDON I MINKOW & ASSOCIA 447 18WC 26006 NIX, MICHELLE CITY OF CHICAGO 06/05/18 WOODRUFF JOHNSON CITY OF CHICAGO 448 18WC 26054 CARRASCO, RENE COOK COUNTY 02/17/18 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 449 18WC 26074 KEARNEY, JEFF CITY OF CHICAGO, WATER DE 08/27/18 ARGIONIS & ASSOCIATES LLC 450 18WC 26133 ACOSTA, SANDRA UNITED SERVICE COMPANIES 05/15/18 CHRISTIAN & MANNO RUSIN & MACIOROWSKI LTD 451 18WC 26162 GOTLIBOWSKI, GREG FEDEX CORPORATION 04/23/18 MAURICE E DUSKY PC BRADY CONNOLLY & MASUDA PC 452 18WC 26198 BRIDGES, SHANDAR J FEDEX FREIGHT 06/06/18 NILSON STOOKAL GLEASON CAP QUINTAIROS PRIETO WOOD & BOY 453 18WC 26215 GRECO, GREGORY AT&T 10/31/17 CHRISTINE F DAVID 454 18WC 26254 CAIRO, MICHAEL M & K TRUCK CENTER 08/23/18 THOMAS A MORRISSEY WIEDNER & MCAULIFFE LTD 455 18WC 26335 DUNLEVY, LARRY CITY OF CHICAGO 07/06/18 HEALY SCANLON LAW FIRM CITY OF CHICAGO 456 18WC 30767 JURAN, DAVID K NAVISTAR 07/30/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 457 18WC 33612 BUTCHER, RACHEL BURLINGTON COAT FACTORY 04/11/18 VASILATOS & COTTER LLC KOPKA, PINKUS DOLIN, PC 458 18WC 33637 MINOR, DORIAN CITY OF CHICAGO, DEPT OF 03/13/18 CHRISTY & CHRISTY CITY OF CHICAGO 459 18WC 33694 GERVACIO, LEOBARDO GDI SERVICES, INC 08/20/16 AIOSSA LAW FIRM MEACHUM & STARCK 460 18WC 33725 BASILIOS, ANGELOPOULOS MERLIN 12/21/16 BAUM RUFFOLO & MARZAL LTD PAUL O WATKISS 461 18WC 33802 SCHALLER, GLENDA WASTE MANAGEMENT INC. 09/14/18 DAVID W CLARK 462 18WC 33895 PIETSCH, AL BEACON FASTENERS & COMPON 06/01/16 TAXMAN POLLOCK JOSEPH MARCINIAK 463 18WC 33923 ROLDAN, LISSETTE MARIO TRICOCI 09/13/18 MORICI FIGLIOLI & ASSOC JOSEPH MARCINIAK 464 18WC 33980 ROHLF, ANDREA UNITED AIRLINES 02/16/18 NILSON STOOKAL GLEASON CAP 465 18WC 34052 LUU, JESSE DUDEK & BOCK SRPING MANUF 10/31/16 WOLF LAW LTD 466 18WC 34077 DREW JR, ANTWON F AIRCRAFT SERVICE INTERNAT 11/03/18 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 467 18WC 34248 CASSARINO, FRANK AFFILIATED CUSTOMER SERVC 10/23/18 MARC J SHUMAN & ASSOCIATES GANAN & SHAPIRO 468 18WC 34295 GRAHAM, NICHOLAS UNITED AIRLINES 07/09/18 TAXMAN POLLOCK 469 18WC 34343 JACKSON, EDWARD E UNITED PARCEL SERVICE 10/07/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 470 18WC 34362 SANDOVAL, SALUD S&C ELECTRIC COMPANY 09/15/18 CUSHING LAW OFFICES RUSIN & MACIOROWSKI LTD 471 18WC 34442 WRIGHT, JAMES M KEN RICH CONCRETE LIFTING 12/06/16 JAMES ELLIS GUMBINER & ASS 472 18WC 34466 VALENTINE, MICHAEL ILLINOIS DEPT OF TRANSPOR @ 08/24/18 DEPAOLO & ZADEIKIS ASSISTANT ATTY GENL 473 18WC 34495 WHORRALL, GUY KNUDSEN CONSTRUCTION 09/10/18 BURNES & LIBMAN GANAN & SHAPIRO 474 18WC 34526 SOUDER, CHERYL UNITED CONTINENTAL HOLDIN 10/21/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 475 18WC 34548 MACIAS, ARTURO CBSL TRANSPORTATION SERVI 11/05/18 SALVATO O'TOOLE FROYLAN MCANANY VANCLEVE & PHILLIPS 476 18WC 34583 STONE, EARNESTINE VICTORY CENTER OF PARK FO 09/11/18 CIFELLI SCREMENTI & DORE 477 18WC 34661 MCFADDEN, MARYLINN PREMIER HOME HEALTH CARE 09/26/18 GALLAGHER, DONALD V HOLECEK & ASSOCIATES 17WC016635 -C 478 18WC 34666 ALICEA, MIGUEL MICRON METAL FINISHING 06/04/18 ENCINAS & ORNELAS KEEFE CAMPBELL BIERY & ASSOC 479 18WC 34693 CASTILLO, CHRISTOPHER EDSAL MANUFACTURING 08/06/18 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 480 18WC 34724 RONJAK, TYRELL UNITED PARCEL SERVICE 09/06/18 RIDGE & DOWNES ASA LAW GROUP 481 18WC 34754 ORTIZ, JUAN HIGHLAND BAKING CO, INC 10/20/18 ROBERT EDENS 482 18WC 34824 ANDERSON, MICHAEL INTEGRATED DEMOLITION SER 09/10/18 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 483 18WC 34954 MC CURTY, JAKIA L CITY OF CHICAGO 11/21/18 ANKIN LAW OFFICE 484 18WC 34976 BUTLER, BRIAN DOOR SYSTEMS 10/30/18 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 485 18WC 34994 MARSHALL, ALEX FREEMAN ELECTRICAL INC 09/16/18 STEVEN J MALMAN & ASSOCIAT MC ANDREWS & NORGLE LLC 486 18WC 35001 TSCHURTZ, BRIGITTE JEWEL-OSCO 10/15/18 SEIDMAN MARGULIS & FAIRMAN 487 18WC 35029 LOPEZ, HECTOR M HUNSICKER ELECTRICAL SERV 10/29/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 488 18WC 35055 SHAFFER, KRISTAL UNIVERSITY OF CHICAGO MED 09/08/18 MC HARGUE & JONES POWER & CRONIN LTD 489 18WC 35082 MARRUTO, MARTINIANO HORMEL FOODS 11/14/18 BURNES & LIBMAN LEAHY EISENBERG & FRAENKEL 490 18WC 35140 SMITH, LAQUANDA ADVOCATE LUTHERAN GENERAL 08/15/18 RICHARD E ALEKSY GAROFALO SCHREIBER STORM GRA 491 18WC 35161 QUILES, JOSE FOUR SEASONS HEATING & 06/09/18 KATZ FRIEDMAN EAGLE ET AL 492 18WC 35191 SIMMONS, TIMOTHY NORTHWESTERN UNIVERSITY 09/27/18 BRISKMAN BRISKMAN GREENBER GAROFALO SCHREIBER STORM GRA 493 18WC 35302 RODRIGUEZ, ELIZABETH IL DEPT OF REVENUE 11/27/18 MC HARGUE & JONES ASSISTANT ATTY GENL 494 18WC 35328 STECHER, ROBERT C CITY OF CHICAGO DEPT 2FM 11/06/18 CUDA LAW OFFICES CITY OF CHICAGO 495 18WC 35397 CLINE, JEREMY STEVENS EXHIBITS 03/05/18 KREITER, BYCK & ASSOC LLP JOSEPH MARCINIAK 496 18WC 35432 MCKINNEY, NOLITA J CTA 08/29/18 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 497 18WC 35495 HERRERA, DANIEL SOUTHWEST AIRLINES 09/26/18 MAURICE E DUSKY PC HENNESSY & ROACH PC 498 18WC 35516 GUEVERA, TERESITA FRESH MARKET 03/03/18 MARK G BERGAL LAW OFFICE 499 18WC 35539 MCCLELLAN, GREGORY E HICKORY HILLS NRSNG PAVIL 10/03/18 JAMES ELLIS GUMBINER & ASS GOLDBERG SEGALLA LLC 18WC035540 -C 500 18WC 35732 SMITH, SAMANTHA BUTERA MARKET 11/12/18 DAVID W MARTAY CHILTON YAMBERT PORTER LLP 501 18WC 35750 JOHNSON, HENRY D PARK 1 INC. 11/07/18 JAMES ELLIS GUMBINER & ASS EVANS & DIXON 502 19WC 02431 JOHNSON, NICHOLAS EMSAR, INC 09/06/18 JACKOWIAK LAW OFFICES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 503 19WC 02450 LOVE, EMMARETTA RUSH OAK PARK HOSPITAL 12/20/18 LEONARD LAW GROUP LLC 504 19WC 02455 JIMENEZ, ANTONIO COOK CTY DEPT OF CORRECTI 12/18/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 505 19WC 02473 MARTINEZ, LILIANA CLEAN ADVANTAGE JANITORIA 01/20/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 506 19WC 02749 PYTLIK, BECKY PALOS COMMUNITY HOSPITAL 10/26/18 RUBIN LAW GROUP POWER & CRONIN LTD 507 19WC 03363 ROSAS, YONUEL CONTINENTAL NISSAN 01/30/19 BERG & BERG 508 19WC 03438 REYES, MARIO AMERICAN AIRLINES 01/19/19 SCOTT B SHAPIRO GAROFALO SCHREIBER STORM GRA 509 19WC 03521 CROSBY, SHEM U CHICAGO TRANSIT AUTHORITY 01/22/19 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 510 19WC 03584 VAN HENXLEDEN, CHARLES SUGAR STEEL CORPORATION 12/21/16 GALLAGHER, DONALD V 511 19WC 03627 DIXON, GLEN EATON CORPORATION 11/13/18 ANGELINI & ORI LLC LEAHY EISENBERG & FRAENKEL 512 19WC 03650 ALDERSON, LARRY A COOK CNTY DEPT OF CORRECT 01/28/19 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 513 19WC 03690 ALFARO, ALMA MCDONALD'S 04/07/18 TAXMAN POLLOCK 514 19WC 03709 MARTINEZ, JESUS LIFE FITNESS 09/20/18 JOHN S. ELIASIK HENNESSY & ROACH PC 515 19WC 03759 PEREZ, NATALIE A FOX RENT A CAR 12/20/18 WEISS & WEISS LAW OFFICES MEACHUM BOYLE TRAUFMAN 516 19WC 03810 RAHIMOM, BIBI APERIAN CARE 01/20/19 MARK SCHAFFNER 517 19WC 03861 EWINGS, KENIJA WEST SIDE TRANSPORT INC. 01/17/19 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 518 19WC 03892 SOLIS, JERARDO ELSTON MATERIALS, LLC 02/14/17 HERRERA LAW CENTER 519 19WC 03911 HARBIN, VICTORIA MARY CRANE LEAGUE 11/20/18 STANCZAK LAW OFFICES JOSEPH MARCINIAK 520 19WC 03956 LEDESMA, GENARO DRIVE CONSTRUCTION 11/12/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 521 19WC 03985 ARMSTRONG, MICHAEL EMPACT CONSTRUCTION SERVI 01/24/19 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 522 19WC 04006 SMITH, JAMIERE Y MD JAMIERE Y SMITH, MD, SC 10/05/17 BUDIN LAW OFFICES 523 19WC 04036 GARCIA, DAVID WALDHEIM CEMETARY 08/01/17 ENCINAS & ORNELAS 524 19WC 04174 WILLIAMS, MARCIA PEPE'S MEXICAN RESTAURANT W 12/28/18 VRDOLYAK LAW GROUP LLC SEIDMAN MARGULIS & FAIRMAN L 525 19WC 04186 LOPEZ, LUIS PRECISION CARPENTRY & 02/06/18 ASHER, RAYMOND L LTD 526 19WC 04205 PATINO, CESAR PARAMEDIC SERVICES OF IL 03/28/18 MC HARGUE & JONES HENNESSY & ROACH PC 527 19WC 04224 DEARON, BARBARA AM BUS COMPANY, INC 02/04/19 VASILATOS & COTTER LLC LEAHY EISENBERG & FRAENKEL 528 19WC 04261 ALVIZU, RAYMOND CITY OF CHICAGO-DEPT OF 02/21/18 ARGIONIS & ASSOCIATES LLC 529 19WC 04296 MENDEZ, SUSANA FORD MOTORS 08/22/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 19WC009169 -C 530 19WC 04318 WELLS, TERRENCE BALTON CORPORATION 01/14/19 DWORKIN AND MACIARIELLO 531 19WC 04370 MOYA, STEVE COMPASS GROUP CANTEEN 11/07/18 HOWARD ABRAMS GANAN & SHAPIRO 532 19WC 04392 EVITT, DEREK TOWN OF CICERO 01/31/19 DAVID SZCZECIN & ASSOC DEL GALDO LAW GROUP LLP 533 19WC 04410 ARAMBURO- HERNANDEZ, ADRI SHOP-N-SAVE 10/08/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 534 19WC 04443 MC GARRY, JAZMINE EMBASSY SUITES BY HILTON 12/29/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 535 19WC 04471 MELECIO, ELLIOT SWISSPORT 12/05/18 SHEA LAW GROUP 536 19WC 04518 MICELE, RAYMOND M KARAVITES RESTAURANT, INC 10/30/18 MORICI FIGLIOLI & ASSOC RUSIN & MACIOROWSKI LTD 537 19WC 04548 ZEPEDA, MARIA DE LA LUZ ABM JANITORIAL 01/20/19 BRILL & FISHEL ASA LAW GROUP 538 19WC 04574 HERBERT, VERICE TARGET 02/04/19 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 539 19WC 04595 ROSHANALI, SABERA ADVOCATE MEDICAL GROUP 06/27/18 THERMAN LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 540 19WC 04632 REED, JALIA TARGET CORPORATION 11/09/18 ANKIN LAW OFFICE 541 19WC 04674 MULLIN, CHRISTOPHER IL AUTO CENTRAL THERMO KI 01/16/19 CAPRON & AVGERINOS PC HOLECEK & ASSOCIATES 542 19WC 04705 DAVILA, JOSE M OAKK CONSTRUCTION 08/02/18 SOSTRIN AND SOSTRIN PC INMAN & FITZGIBBONS 543 19WC 04874 HARDERS, THOMAS PACIFIC RAIL SERVICES 06/14/17 POLANSKY & CICHON CHTD GAROFALO SCHREIBER STORM GRA 544 19WC 04913 JOHNSON-QUINN, DEMITRIE PINE CREST HEALTH CARE, L 01/24/19 ANKIN LAW OFFICE GALLIANI DOELL & COZZI LTD 545 19WC 04927 GALLO, ANTHONY R FRIENDSHIP VILLAGE 01/19/19 MARSZALEK AND MARSZALEK 546 19WC 04986 LEE, LAKESHA CHICAGO TRANSIT AUTHORITY 02/14/19 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 547 19WC 05040 HUDSON, ANDRE HAMMOND ELEMENTARY SCHOOL 01/22/19 SHELDON I MINKOW & ASSOCIA 548 19WC 05078 GILLAM, CARMEN CHICAGO TRANSIT AUTHORITY 02/14/19 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 549 19WC 05131 GALARZA, JAVIER ARRELLANO TRUCKING INC 08/13/18 ANGELINI & ORI LLC 550 19WC 05181 KUTSCHKE, MARYANN ADM INVESTOR SERVICES, IN 11/02/18 COHN LAMBERT RYAN & SCHNEI NYHAN BAMBRICK KINZIE & LOWR 551 19WC 05206 ROUNDS, JEREMY UPS FREIGHT 01/15/19 HOWARD S. KAVENOW LLC ASA LAW GROUP 552 19WC 05313 FONTAINE, KOLLIN SOS SECURITY 02/13/19 DWORKIN AND MACIARIELLO 553 19WC 05357 ILIC, ANITA BRICKYARD BANK 02/05/17 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD 554 19WC 05484 AGUILAR, MARIA CONSUMER PACKING COMPANY 01/25/19 COSTA IVONE LLC HOLECEK & ASSOCIATES 555 19WC 05508 GUZMAN, BALTAZAR MIDWEST INDUSTRIAL METAL 09/17/18 RUEDA, IVAN A JOSEPH MARCINIAK 556 19WC 05542 GREEN, MELVIN WEST ROCK 02/12/19 MC HARGUE & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 557 19WC 05594 JOHNSON, ANTHONY SERTOMA 02/01/19 558 19WC 05614 HANSON, ELLYN LEE MANOR REHAB & NURSING 01/22/19 COVEN LAW GROUP ACCIDENT FUND HOLDINGS 559 19WC 05684 BANKS, JOHNNIE CITY OF CHICAGO 01/22/19 ABELS & ANNES, PC 560 19WC 05731 BANKS, CORREN A COOK COUNTY SHERIFF'S DEP 01/29/19 MARKS INJURY LAW STATES ATTORNEY OF COOK COUN 561 19WC 05759 CABRAL, MARIA JACENT STRATEGIC MERCHAND 02/13/19 SEIDMAN MARGULIS & FAIRMAN WOLFE & JACOBSON, LTD 562 19WC 05834 BACHINGER, RAYMOND UPS 02/05/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 563 19WC 05860 SCHROYER, RICK JEWEL OSCO 02/10/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 564 19WC 05917 GONZALEZ, EDGAR HARVEST FOODS GROUP 01/08/19 JONATHAN SCHLACK 565 19WC 05960 RAWL, DONNA BLUE SKYHOME CARE 12/21/18 COVEN LAW GROUP 566 19WC 06094 SIMS, LEDA SCRUB INC 12/22/18 DWORKIN AND MACIARIELLO PETERSON JOHNSON & MURRAY 567 19WC 06135 STREETER, EDDIE AMERICAN HERITAGE 04/16/18 COSTA IVONE LLC MCANANY VANCLEVE & PHILLIPS 568 19WC 06157 MARTINEZ, ARTURO PEPSI BOTTLING CO. 01/03/19 HEALY SCANLON LAW FIRM 569 19WC 06194 NEMCEK, ROBERT ADVANCED DISPOSAL 01/21/19 KROL BONGIORNO & GIVEN LTD INMAN & FITZGIBBONS 570 19WC 06240 ALFARO, CRYSTAL WYNDAM GRAND CHGO RIVERFR 08/10/18 LANNON LANNON & BARR LTD 571 19WC 06266 BRUNS, MARY HENRY SCHEIN ANIMAL HEALT 09/04/18 KATZ FRIEDMAN EAGLE ET AL 19WC006267 -C 19WC006268 -C COVETRUS 572 19WC 06292 MURRAY, DEAN X MCDONALD'S 12/29/18 ANKIN LAW OFFICE 573 19WC 06313 RODRIGUEZ, RAFAEL GUZMAN RAM RESTURANT GROUP 01/09/19 COSTA IVONE LLC HENNESSY & ROACH PC 574 19WC 06345 ALVAREZ, RAMON CITY OF CHICAGO 01/14/19 CULLEN HASKINS NICHOLSON CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 575 19WC 06425 MAGEE, COREON BEST WESTERN 08/03/18 NO ATTORNEY 576 19WC 06447 MARTINEZ, JORGE MOTIF EVENTS 02/20/19 DWORKIN AND MACIARIELLO 577 19WC 06476 CARLAN, ANTONIO BIMBO BAKERIES USA 12/07/18 STROM & ASSOC KRALOVEC & MARQUARD 578 19WC 06494 FORD, SELENA NAVISTAR, INC. 05/25/16 COHN & COHN NYHAN BAMBRICK KINZIE & LOWR 579 19WC 06554 OLVERA, RODOLFO CHICAGO GLASS & MIRROR, I 12/05/18 ROBERT WARSASKI EVANS & DIXON 580 19WC 06739 RODRIGUEZ, JESUS OSEGUERA PANGEA REALESTATE CORP. 05/01/18 O'CONNOR & NAKOS HENNESSY & ROACH PC 581 19WC 07659 GONZALEZ, IMELDA, FOR DIAMOND HOME SERVICE CO # 06/27/17 EPSTEIN, JACK R LAW OFFICE LITCHFIELD CAVO 582 19WC 09834 SEARCY, JOHN DEPASQUALE STEEL ERECTORS 03/28/19 PARENTE & NOREM PC NYHAN BAMBRICK KINZIE & LOWR 583 19WC 13427 SZWET, RICHARD LOW MALNATI'S PIZZA 10/10/18 URBAN & BURT LTD MEACHUM & STARCK 584 19WC 13459 ALEXANDER, SHARON YANCY CTA 05/03/19 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 585 19WC 13485 EDWARDS, HENRINE FEDEX 11/14/17 KUMLIN & FROMM KOPKA, PINKUS DOLIN, PC 586 19WC 13539 BECKFORD, WINSTON BELLA AUTO REPAIR 02/13/19 WARREN W MARK 587 19WC 13568 SONDELSKI, SCOTT KEHE FOOD DISTRIBUTORS 02/21/19 LEONARD LAW GROUP LLC POULOS & DIBENEDETTO LAW 588 19WC 13583 REYES, MARTHA FONTANINI ITALIAN MEATS 04/08/19 COSTA IVONE LLC LEAHY EISENBERG & FRAENKEL 589 19WC 13611 DAVID, WYNTER STREAMWOOD BEHAVIORAL HLT 04/15/19 GRAUER & KRIEGEL LLC MC ANDREWS & NORGLE LLC 590 19WC 13633 MCGILLIVRAY, STEVEN SKYLINE DECORATING INC 11/05/18 GWC INJURY LAWYERS LLC GILDEA, COGHLAN & REGAN LTD. 591 19WC 13654 BRUNO, BENEDICTO COMPASS GROUP USA 02/22/19 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 592 19WC 13701 JIMENEZ, MARIBEL UNIVERSITY OF CHICAGO MED 02/02/19 SHEA LAW GROUP POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 593 19WC 13768 MCDONALD, CODY ANN MERCY HOME FOR BOYS & GIR 01/17/18 PARENTE & NOREM PC MC ANDREWS & NORGLE LLC 594 19WC 13789 KUDUZOVIC, ZINAJDA VON MAUR 04/29/19 COVEN LAW GROUP 595 19WC 13820 CILIA, ROLANDO SG 360 A SEGERDAHL COMPAN 04/03/19 VITELL & SPITZ LTD 596 19WC 13933 VEGA, TEODULA LA-CO INDUSTRIES 04/17/19 MINKOW DOMIN EDWARD J. KOZEL 597 19WC 14015 SPARANO, ANGELO CITY OF CHICAGO 07/25/18 VRDOLYAK LAW GROUP LLC 598 19WC 14054 TRAVIS, DARRYL BARR & MILES 02/12/19 LEONARD LAW GROUP LLC JAMES M KELLY 599 19WC 14179 MALCOLM, RONALD HYDRO EXCAVATIONS, INC. 03/01/19 HEALY SCANLON LAW FIRM 600 19WC 14236 IVEY, JAMES CHICAGO PARK MANAGEMENT 03/11/19 LEONARD LAW GROUP LLC 601 19WC 14253 THOAMS, ANGEL ABG INVESTIGATIVE SERVICE 04/22/19 HERRERA LAW CENTER BRYCE DOWNEY & LENKOV LLC 602 19WC 14256 HERNANDEZ, DANIEL PLANET FITNESS 05/02/19 ELFENBAUM EVERS ZIELINSKA 603 19WC 14273 KOTAPKA, JOZEF ANDERSON SHUMAKER CO 04/07/18 URSULA BABICZ & ASSOC 604 19WC 14301 MELERO, LEONIDES CITY OF CALUMET CITY 05/14/19 GWC INJURY LAWYERS LLC 605 19WC 14390 RAMIREZ, DIEGO HIGHLAND BAKING COMPANY, 04/26/19 SCHRAMM LAW GROUP 606 19WC 14446 MARTINEZ, CHAD ILLINOIS STATE POLICE @ 02/05/19 THE MACK LAW GROUP PC ASSISTANT ATTY GENL 607 19WC 14509 FRANKLIN, BRITNI J FIRST ACCEPTANCE CORPORAT 02/08/19 JAMES W GREEN, JR HENNESSY & ROACH PC 608 19WC 14542 JOHN, SABU FED EX 02/06/19 STEVEN A CRIFASE, LTD 609 19WC 14615 ALEXANDER, DAPHANNE BIMBO BAKERIES USA 05/14/19 GOLDSTEIN AIOSSA & GOOD 610 19WC 14658 TRICE, STARLA IDHS LUDEMAN DEVELOPMENT 04/16/19 ANKIN LAW OFFICE ASSISTANT ATTY GENL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 611 19WC 14678 MORALES, BLANCA E COMPASS GROUP USA, INC 12/10/18 COSTA IVONE LLC GANAN & SHAPIRO 612 19WC 14698 AGUAYO, DAVID PEOPLE GAS 05/07/19 LEONARD LAW GROUP LLC MC CABE & HOGAN 613 19WC 14720 PERRY, KENDALL PEPSI CO 05/08/19 SCOTT B SHAPIRO GAIDO & FINTZEN 614 19WC 14749 LAUREANO, GEORGE CRAFT DIE CASTING CO 04/01/19 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 615 19WC 14795 CARDO, LAUREN FED EX EXPRESS 02/26/19 KUMLIN & FROMM 616 19WC 14863 DOSS, KENYA MID CITY PLAZA OWNER, LLC 05/15/19 ANKIN LAW OFFICE 617 19WC 14882 PADILLA-PEREZ, EDGAR ALBE VALENZANO BAKING COMPANY, 05/11/19 STEVEN B SALK & ASSOC LTD RUSIN & MACIOROWSKI LTD 618 19WC 15025 SMITH, JAVEL HOME DEPOT 03/23/19 ANGELINI & ORI LLC ADELSON TESTAN BRUNDO 619 19WC 15042 REYES, ERWIN REYES CLEANING INC. 03/07/19 KEVIN O'BRIEN GILDEA, COGHLAN & REGAN LTD. 620 19WC 15076 BONILLA, ISMAEL EMSUR, USA 03/28/19 LUSAK AND COBB HOLECEK & ASSOCIATES 19WC019914 -C 621 19WC 15226 HERNANDEZ, ELENA S COOK COUNTY - CFO 11/06/18 SANDMAN LEVY & PETRICH STATES ATTORNEY OF COOK COUN 622 19WC 15260 BOLLS, KIMBERLY METHOD 05/07/19 ACEVES & PEREZ PC HENNESSY & ROACH PC 623 19WC 15295 CONTRERAS, PATRICIA DUPAGE MEDICAL GROUP 02/18/19 DWORKIN AND MACIARIELLO MEACHUM & STARCK 624 19WC 15313 SIMS, DOUGLAS R JANOSZ TRANSPORTATION LLC 05/08/19 ANKIN LAW OFFICE MEACHUM & STARCK 625 19WC 15328 BEANLAND, DENISE STATE OF ILLINOIS 04/16/19 VRDOLYAK LAW GROUP LLC ASSISTANT ATTY GENL 626 19WC 15349 EDWARDS, NAPOLEON BARTON STAFFING SOLUTIONS 05/08/19 LEONARD LAW GROUP LLC 627 19WC 15379 BUTT, KATHLEEN ADDUS HOMECARE INC 08/08/17 COSTA IVONE LLC HENNESSY & ROACH PC 628 19WC 15432 SMITH, TAWANA PARKSHORE ESTATES NURSING 05/13/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 629 19WC 15451 QUIROZ, ROBERT DAKKOTA INTERGRATED SYSTE 05/17/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 630 19WC 15552 AILEMAN, JOSPEHINE PERESON PARK HEALTH CARE 05/17/19 KURASCH & KLEIN, LTD BRADY CONNOLLY & MASUDA PC 631 19WC 15577 SANCHEZ-LEON, BERNARDO AMERICAN DECORATING AND 05/10/19 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 632 19WC 15601 NIETO, GUADALUPE MONDELEZ GLOBAL LLC 05/15/19 SPENCER LAW OFFICES 633 19WC 15618 GIAMARUSTI, ANTHONY CITY OF CHICAGO 05/15/19 CUDA LAW OFFICES CITY OF CHICAGO 634 19WC 15633 AGUIRRE, REBECA WEBER PACKAGING SOLUTIONS 03/22/19 MINKOW DOMIN EDWARD J. KOZEL 635 19WC 15694 ELMORE, THOMAS INSTITUTE FOR NONVIOLENCE 05/23/19 TIMOTHY HENDERSON RUSIN & MACIOROWSKI LTD 636 19WC 15774 ASSOODEE, ALI ALLIANCE GROUND INTERNATI 05/04/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 637 19WC 15823 RODRIGUEZ, YOLANDA MEZZA MEDITERRANEAN GRILL 05/17/19 HERRERA LAW CENTER HOLECEK & ASSOCIATES 638 19WC 15844 CHAPPLE, KENDALL PARAMOUNT STAFFING 05/25/19 DWORKIN AND MACIARIELLO 639 19WC 15885 EPTING, RENEE CHICAGO PUBLIC SCHOOLS 09/05/17 GERALD CONNOR 640 19WC 15932 MORENO, LUIS ASSEMBLERS, INC. 04/15/19 KARCHMAR & STONE HENNESSY & ROACH PC 641 19WC 16028 CHILDRESS, JOSHUA MANHEIM CHICAGO 01/26/19 DWORKIN AND MACIARIELLO EVANS & DIXON 642 19WC 16070 ELLIS, DENNIS NORTHERN ILLINOIS UNIVERS 04/11/18 GWC INJURY LAWYERS LLC ASSISTANT ATTY GENL 643 19WC 16104 GIST, DENESA POPEYE'S LOUISIANA KITCHE 05/23/19 ANGELINI & ORI LLC RUSIN & MACIOROWSKI LTD 19WC016654 -C 644 19WC 16150 RINELLA, JOSEPH A CITY OF CHICAGO, DEPT 22 06/20/16 BOWMAN & CORDAY CITY OF CHICAGO 645 19WC 16196 CAHUE, MARGARITA ALL TRUCK TRANSPORTATION 05/13/19 STEVEN J MALMAN & ASSOCIAT CHILTON YAMBERT PORTER LLP 646 19WC 16221 MOORE, OZZIE DISCOUNT TIRE 05/01/19 RITTENBERG BUFFEN KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 647 19WC 16239 GARCIA, MARCOS LOS TRES GARCIAS 04/22/19 DEPAOLO & ZADEIKIS 648 19WC 16266 RAMIREZ, GEORGE AT&T 04/15/19 MINKOW DOMIN 649 19WC 16296 CRAIG, RENAE COOK COUNTY SHERIFF'S DEP 04/13/19 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 650 19WC 16407 CASTILLO, JULIO ILLINOIS STATE POLICE @ 05/26/19 COLLISON LAW OFFICES STATE OF ILLINOIS 651 19WC 16437 HARVEY, ARMENTHA FORD MOTOR COMPANY 05/08/19 DONALD FOHRMAN & ASSOC 652 19WC 16628 ENGLUND, KEVIN SOUTHWEST AIRLINES 02/26/19 ELFENBAUM EVERS AMARILIO Z HENNESSY & ROACH PC 653 19WC 17816 CASH, TIMOTHY AREAS USA ORD LLC 06/10/19 ELFENBAUM EVERS ZIELINSKA POWER & CRONIN LTD 654 19WC 18409 REBAPIS-NEHRING, AMANDA SPEE DEE DELIVERY SERVICE 01/15/19 RICHARD E ALEKSY BRADY CONNOLLY & MASUDA PC 655 19WC 23218 CAREY, LIAM CHICAGO TRANSIT AUTHORITY 10/31/18 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 656 19WC 23235 RHEIN, DAVID YRC 05/20/19 JASINSKI, GEORGE J 657 19WC 23260 ROCHA, JOEL FERRARA CANDY CO 06/25/19 DWORKIN AND MACIARIELLO 658 19WC 23298 PILLOT, RAMON READ MENTAL HEALTH CENTER 07/29/19 EDWIN REYES LAW FIRM ASSISTANT ATTY GENL 659 19WC 23322 HERRERA, EDUARDO COURT REPORTERS OFFICE 08/05/19 DWORKIN AND MACIARIELLO ASSISTANT ATTY GENL 660 19WC 23404 SMITH, KASSANDRA UNITED AIRLINES 06/19/19 STEVEN M SELAN 661 19WC 23422 BIELAWSKA, ELZBIETA PRESENCE SAINTS MARY AND 01/30/19 NO ATTORNEY 662 19WC 23443 PAWLOWSKI, MICHAEL COURTYARD BY MARRIOTT 09/28/18 GWC INJURY LAWYERS LLC WIEDNER & MCAULIFFE LTD 663 19WC 23465 NOLAN, LEEANN AMERICAN AIRLINES 07/07/19 MAURICE E DUSKY PC GAROFALO SCHREIBER STORM GRA 664 19WC 23484 NOGIER, NELSON MANITOBA MOOSE/WINNIPEG J 02/02/19 GORDON LAW OFFICES LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 665 19WC 23532 DRWAL, DAMIAN PEPPER CONSTRUCTION 05/20/19 CHEPOV & SCOTT LLC KEEFE CAMPBELL BIERY & ASSOC 666 19WC 23551 MARTINEZ, ENRIQUE 90 MILES CUBAN CAFE 02/20/19 EPSTEIN, JACK R LAW OFFICE JOSEPH MARCINIAK 667 19WC 23623 MONTEJANO, ROSA GHM INC. DBA HILTON OAK L 05/04/19 JONATHAN SCHLACK KOPKA, PINKUS DOLIN, PC 668 19WC 23644 THOMAS, NAKEYA S ST BERNARD HOSPITAL 03/13/19 GALLAGHER, DONALD V GALLIANI DOELL & COZZI LTD 669 19WC 23666 CARTER, PAMELA ENVISION UNLIMITED 03/29/19 COVEN LAW GROUP 670 19WC 23681 WILLIAMS, GRADY AT&T 07/29/19 MC HARGUE & JONES INMAN & FITZGIBBONS 671 19WC 23778 PATENAUDE, TIMOTHY C F.E MORAN, INC 07/15/19 GWC INJURY LAWYERS LLC 672 19WC 23799 CARMONA, ARTURO ALPINE DEMOLITION SVCS 08/15/18 SEIDMAN MARGULIS & FAIRMAN MCANANY VANCLEVE & PHILLIPS 673 19WC 23831 AGNIS, FRANCIS FAE DISTRIBUTORS, INC 08/12/19 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 674 19WC 23970 JOHNSON, DAVID PANTHER PREMIUM LOGISTICS 08/13/19 DWORKIN AND MACIARIELLO MCANANY VANCLEVE & PHILLIPS 675 19WC 23992 DAVIDSON, BRANDON ROCKFORD ICE HOGS 11/12/18 GORDON LAW OFFICES LTD 676 19WC 24032 HERNANDEZ, ISRAEL ST. MARY'S OF PROVIDENCE 03/13/17 RUBENS KRESS MULHOLLAND 677 19WC 24073 MAHER, KARL HP PRODUCTS 01/09/19 LEITER LAW OFFICES HENNESSY & ROACH PC 678 19WC 24108 HANSBROUGH, LATASHA ENVISION UNLIMITED 08/05/19 SAUNDERS CONDON & KENNY 679 19WC 24151 HERNANDEZ, IRRVIN KEHOE DESIGNS 07/30/19 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 680 19WC 24204 O'SULLIVAN, BRENDAN SMITH CROSSING 04/15/19 LEONARD LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 681 19WC 24236 HENRY, PAMELA PRAIRIE MANOR NURSING HOM 08/04/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 682 19WC 24266 JIMENEZ, JUAN CARLOS SEBERP LANDSCAPE 06/01/17 JONATHAN SCHLACK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 683 19WC 24303 JACKSON, NAKIA CITY OF CHICAGO-SANITATIO 11/05/18 JOSEPH J SPINGOLA, LTD 684 19WC 24323 RODRIGUEZ, RAFAEL TOOTSIE ROLL INDUSTRIES 02/22/19 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 685 19WC 24345 JAMES, RICHARD MIDWAY BUILDING SUPPLY 07/23/19 DAMON YOUNG POWER & CRONIN LTD 686 19WC 24387 ESTRADA, ERIKA ADVOCATE IL MASONIC MED C 06/21/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 687 19WC 24417 MARQUEZ, JESUS WEC ENERGY GROUP DBA 02/07/19 LUSAK AND COBB GAROFALO SCHREIBER STORM GRA 688 19WC 24482 RUEDA, RAMIRO GREIF INC F/K/A CARAUSTAR 04/19/17 ELFENBAUM EVERS ZIELINSKA KNELL O'CONNOR DANIELWICZ 689 19WC 24516 SHAMOUN, DIANA ADVOCATE HEALTHCARE 11/09/18 INJURY LAWYERS OF IL GAROFALO SCHREIBER STORM GRA 690 19WC 24573 DEMPSEY, JOHN ADVANCED MECHANICAL SYSTE 02/14/18 HOLECEK & ASSOCIATES 691 19WC 24598 VALENTINE, SCHMONE SSP AMERICA 01/24/19 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 692 19WC 24617 VALENCIA, JENNI LAWSON PRODUCTS 08/19/19 MC HARGUE & JONES HENNESSY & ROACH PC 693 19WC 24634 HANNAH, CARNESHA VENTURA FOODS 06/12/19 SAUNDERS CONDON & KENNY 694 19WC 24731 BASKIN, PSALLAREOUS ABLE ELECTROPOLISHING 08/16/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 695 19WC 24777 BERGER, LYNN UNITED CONTINENTL HOLDING 03/29/19 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 696 19WC 24803 SHERIDAN, KRISTIE CHILDREN'S HOME & AID 07/17/19 CAPRON & AVGERINOS PC ACCIDENT FUND HOLDINGS 697 19WC 24839 BOLL, DOUGLAS OZINGA CONCRETE 11/20/18 COVEN LAW GROUP GAROFALO SCHREIBER STORM GRA 698 19WC 24920 ASASNTE, JULIANA PARK HYATT HOTEL 06/18/19 EDWIN REYES LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 699 19WC 24934 DIXON, EMONI UPS 08/15/19 DWORKIN AND MACIARIELLO ASA LAW GROUP 700 19WC 24983 SCOTT, WINFRED UNIVERSITY OF CHICAGO 05/21/19 DAVID W MARTAY POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 701 19WC 25005 FERNANDEZ, BENITO CITY OF CHICAGO 07/09/19 LANNON LANNON & BARR LTD 702 19WC 25027 AMMONS, PATRICE H GOLDEN YEARS COMPANION 02/21/19 BOWMAN & CORDAY RUSIN & MACIOROWSKI LTD 703 19WC 25048 AGUILAR, LUIS B&J WIRE 06/12/19 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 704 19WC 25086 DOYLE, CHRISTINE GENERAL DYNAMICS 03/06/19 RUBIN LAW GROUP HENNESSY & ROACH PC 705 19WC 25100 TRANKINA, RICHARD WHITNEY FOODS 10/16/18 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 706 19WC 25130 AVINO, STEPHEN COSTCO 10/22/18 THOMAS A MORRISSEY GANAN & SHAPIRO 707 19WC 25179 LARES, MICHAEL NOVOLEX DBA BAGCRAFT PAPE 06/24/19 GOLDSTEIN AIOSSA & GOOD GOLDBERG SEGALLA LLC 708 19WC 25213 MC DOWELL, KENEESHA CHICAGO TRANSIT AUTHORITY 08/01/19 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 709 19WC 25232 CONTRERAS, ROGELIO HUDSON BOILER & TANK CO 03/29/19 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 710 19WC 25281 WAGNER, GARRETT D VLGE OF MORTON GROVE-FIRE 12/22/18 MORICI FIGLIOLI & ASSOC RUSIN & MACIOROWSKI LTD 19WC025282 -C 711 19WC 25321 DODSON, KERRYBET UNITED AIRLINES INC. 10/12/17 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 712 19WC 25341 PREWITT, DUDLITA IL SECRETARY OF STATE DMV @ 08/21/19 LAW OFFICES OF ADRIAN CHER ILLINOIS ATTORNEY GENERAL 713 19WC 25385 CARDOZA, RAMON ATLAS EMPLOYMENT SERVICES 07/15/19 MC HARGUE & JONES GAIDO & FINTZEN 714 19WC 25452 MAROUSOPOULOS, KONSTANTIN NDP ELECTRIC, INC 08/28/17 JOSEPH MARCINIAK 715 19WC 25502 MARTINEZ, BRIAN A C4 TECHNICAL SERVICES 08/08/19 NILSON STOOKAL GLEASON CAP 716 19WC 25528 GILLENWATER-CATRON, TASHA THORNTON TOWNSHIP- DIST 2 11/09/18 SEIDMAN MARGULIS & FAIRMAN 717 19WC 25649 GUIDOTTI, HILLARY PET SUPPLIES PLUS 04/17/19 COVEN LAW GROUP 718 19WC 25677 BUTLER, DION CITY OF CHICAGO 08/12/19 HEALY SCANLON LAW FIRM CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 719 19WC 25704 AZUBUIKE, DAMIAN C VERONIQUE ARIELLE CAB COR 08/27/19 WEISS & WEISS LAW OFFICES 720 19WC 25747 IRIAS, JASMIN CAROLINA GLOBAL MATERIAL TECHNOLOG 08/07/19 COSTA IVONE LLC 721 19WC 25772 BACON, BRUCE GREIF 08/22/19 DWORKIN AND MACIARIELLO 722 19WC 25791 ANAYA, EUGENIA GLOBAL MAIL, INC 08/16/19 DEPAOLO & ZADEIKIS 723 19WC 25828 PEREZ, GUILLERMINA W CHICAGO LAKESHORE HOTEL 03/19/19 ELFENBAUM EVERS ZIELINSKA WIEDNER & MCAULIFFE LTD 724 19WC 25914 LEE, DEBORAH STARBUCKS 07/09/18 BOGUSZ & BOGUSZ LTD BRADY CONNOLLY & MASUDA PC 725 19WC 25947 PINEDA, HECTOR A REYES GROUP, LTD. 03/25/19 COSTA IVONE LLC 726 19WC 25968 RODRIGUEZ, SANDRA EASTERSEALS GILCHRIST MAR 07/30/18 PARENTE & NOREM PC 727 19WC 29804 DILAN, MARISOL ALDI 02/22/19 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 728 19WC 32246 RODRIGUEZ, MIGUEL A LIFEWAY FOODS, INC 10/22/19 COSTA IVONE LLC 729 19WC 32288 FREEMAN, LATANYA JACKSON PARK HOSPITAL 06/02/19 RONALDSON & KUCHLER ODELSON & STERK 730 19WC 32305 LEWIS, LUTHER ORKIN, LLC 10/25/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 731 19WC 32330 LARRY, MALISHA CTA 10/13/19 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 732 19WC 32351 BENNETT, VERONICA ALTERNATIVE STAFFING 11/04/19 MC HARGUE & JONES SLAVIN & SLAVIN 733 19WC 32369 LEANO, MARILYN NORWEGIAN AMERICAN HOSPIT 10/18/19 SCOTT B SHAPIRO 734 19WC 32401 BILLINGSLEY, DOMINIQUE FRESENIUS KABI 06/25/19 DONALD FOHRMAN & ASSOC HOLECEK & ASSOCIATES 735 19WC 32422 BENNETT, DEON M GERRESHEIMER GLASS 10/04/19 JAMES ELLIS GUMBINER & ASS 736 19WC 32427 CHUNG, IVAN CONTINENTAL AIR TRANSPORT 10/08/19 CUDA LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 737 19WC 32449 BERLANGA, SERGIO WASTE CONNECTIONS 11/04/19 GWC INJURY LAWYERS LLC 738 19WC 32509 SANDERS, NIKITA EXPRESS, LLC 09/26/19 CUDA LAW OFFICES WIEDNER & MCAULIFFE LTD 739 19WC 32545 HAYWOOD, ALVIN FLEXIBLE STAFFING SERVS, 11/06/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 740 19WC 32554 RADCLIFFE, DIVINE CTA 10/31/19 VASILATOS & COTTER LLC CHICAGO TRANSIT AUTHORITY 741 19WC 32561 MUNOZ, MARIA D SILVER LINE BUILDING PROD 09/12/19 COSTA IVONE LLC MEACHUM BOYLE TRAUFMAN 742 19WC 32587 CASH, HOWARD ABF 04/20/19 JASINSKI, GEORGE J KEEFE CAMPBELL BIERY & ASSOC 743 19WC 32614 CAPISTRAN, TANIA WESTIN RIVER NORTH 10/13/19 ELFENBAUM EVERS ZIELINSKA NYHAN BAMBRICK KINZIE & LOWR 744 19WC 32631 VILLAGOMEZ, GERARDO UPS, INC 10/24/19 PARENTE & NOREM PC NYHAN BAMBRICK KINZIE & LOWR 745 19WC 32657 LECOCQ, ELIZABETH CHICAGO PARK DISTRICT 10/17/19 DWORKIN AND MACIARIELLO CHICAGO PARK DIST LAW DEPT 746 19WC 32680 NEAL, FREDDIE CHICAGO TRANSIT AUTHORITY 10/08/19 MARC J SHUMAN & ASSOCIATES CHICAGO TRANSIT AUTHORITY 747 19WC 32699 GREY, CARL BERWYN POLICE DEPARTMENT 10/02/18 MICHAEL A. HIGGINS CUDA LAW OFFICES 748 19WC 32722 MCDERMOTT, KATHERINE MEDEX AMBULANCE SERVICE 06/10/19 BAUM RUFFOLO & MARZAL LTD 749 19WC 32740 MELECIO, NOEL LOGAN SQUARE ALUMINUM 09/20/19 DEPAOLO & ZADEIKIS LEAHY EISENBERG & FRAENKEL 750 19WC 32846 PIERCE, CASSANDRA CITY OF CHICAGO 08/05/19 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 751 19WC 32869 CASPER, LARRY RIZZA CADILLAC 03/29/17 CAPRON & AVGERINOS PC 752 19WC 32894 VILLAMIL, ELSA UNIVERSITY OF CHICAGO HOS 01/21/19 SALVATO O'TOOLE FROYLAN 753 19WC 32924 MC ELROY, ANTOINETTE MANOR CARE HEALTH SERVICE 09/01/19 BRISKMAN BRISKMAN GREENBER BRYCE DOWNEY & LENKOV LLC 754 19WC 33019 HOLMES, YOLANDA AT&T 10/23/19 TOPPER & WEISS LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 755 19WC 33042 ARCHIE, JAMES TOTAL AIRPORT SERVICES 09/10/19 DWORKIN AND MACIARIELLO 756 19WC 33071 DUNSON, CHRISTINA DFS-DIVERSIFIED FACILITIE 09/19/19 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL BIERY & ASSOC 757 19WC 33113 THOMAS, JAHARY CHICAGO TRANSIT AUTHORITY 08/27/19 ARGIONIS & ASSOCIATES LLC CHICAGO TRANSIT AUTHORITY 758 19WC 33155 FERNANDEZ, FELIX CHICAGO RIDGE NURSING & R 10/06/19 ENCINAS & ORNELAS 759 19WC 33210 STEFANS, MICHAEL ALSIP MINIMILL 09/30/19 HORWITZ HORWITZ & ASSOC KRAKER FANNING & OLSEN 760 19WC 33231 TURNER, RODNEY NB COATINGS 10/03/19 O'CONNOR & NAKOS 761 19WC 33254 MIOCIC, FRANE B GEI CONSULTANTS, INC. 05/07/19 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 762 19WC 33270 ALVARADO, DAVID M VILLAGE OF DOLTON 06/04/19 THOMAS W DUDA 763 19WC 33296 BROOKS, TASANA WALGREENS 09/26/19 STEVEN A CRIFASE, LTD 764 19WC 33322 CRAWFORD, KHALID INNOVATED STAFFING, LLC 11/07/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 765 19WC 33354 GALANTI, ERIC CLINGAN STEEL 08/01/19 STROM & ASSOC 766 19WC 33377 CHAMBERS, ERIC CTA 11/10/19 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 767 19WC 33396 COMINGORE, HENRY MIKE RENEWEL BY ANDERSEN 10/14/19 VOGG, MARK J LAW OFFICE BRADY CONNOLLY & MASUDA PC 768 19WC 33460 ORTEGA, ALONZO PACE TRANSPORTATION 11/11/19 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER ALLEN 769 19WC 33511 PERKINS, JUSTIN JOHNSON CONTROLS INTERNAT 05/11/19 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 770 19WC 33598 MCNICHOLAS, MICHAEL C VILLAGE OF HAZEL CREST 11/11/19 RIDGE & DOWNES 771 19WC 33613 HUGGINS, YOLANDA M JEWEL FOOD STORES 07/26/19 GALLAGHER, DONALD V 772 19WC 33632 KAMYKOWSKI, STEPHEN MOTIVATE LLC 11/05/19 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 773 19WC 33652 COX, DELORES CTA 11/11/19 MC HARGUE & JONES CHICAGO TRANSIT AUTHORITY 774 19WC 33671 BELLUCCI, KATHERINE ADVOCATE HEALTH CARE 03/22/19 GWC INJURY LAWYERS LLC NYHAN BAMBRICK KINZIE & LOWR 775 19WC 33730 LYNCH, ANTHONY CITY OF BERWYN 10/28/19 ROMANUCCI & BLANDIN CUDA LAW OFFICES 776 19WC 33750 MASSIMO, DIANNE UNITED AIRLINES HOLDINGS 05/20/19 BRIAN J MC MANUS & ASSOC, 777 19WC 33805 REESE, MARK HUFFMASTER COMPANIES 10/31/19 LEONARD LAW GROUP LLC 778 19WC 33828 JORDAN, PAULA IBM 11/14/19 ARGIONIS & ASSOCIATES LLC MEACHUM BOYLE TRAUFMAN 779 19WC 33847 KOBUS, JONATHAN VILLAG EO F MORTON GROVE 11/07/19 KURASCH & KLEIN, LTD 780 19WC 33867 ORTA, CANDY UNITED AIRLINES INC. 09/25/19 GREGORIO & MARCO 781 19WC 33899 STEWART-BROWNLEE, CASSIOP AMAZON 11/12/19 POLANSKY & CICHON CHTD 782 19WC 33946 HERNANDEZ, DOLORES VANEE FOODS COMPANY 12/13/16 TIMOTHY HENDERSON WIEDNER & MCAULIFFE LTD 783 19WC 33996 TOAPANTA, LUPE HAMPTON SUITES 03/14/19 BAUM RUFFOLO & MARZAL LTD WOLFE & JACOBSON, LTD 784 19WC 34049 MCGRATH, MICHELLE DOLLAR TREE 01/22/19 STEVEN J MALMAN & ASSOCIAT NYHAN BAMBRICK KINZIE & LOWR 785 19WC 34107 SHARP, BRIAN USA HOIST 11/11/19 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 786 19WC 34127 MARTIN, PETER SYNY LOGISTICS 09/09/18 STANCZAK LAW OFFICES MCANANY VANCLEVE & PHILLIPS 787 19WC 34152 AMMONS, KEEFE METROPOLITAN SANITARY DIS 11/13/19 EDWIN REYES LAW FIRM 788 19WC 34199 DINASO, KAREN ACCOUNTABLE HEALTHCARE ST 02/04/19 NO ATTORNEY 789 19WC 34268 DAVIS, MARVIN KEURIG DR PEPPER GROUP 11/11/19 GOLDSTEIN AIOSSA & GOOD GAROFALO SCHREIBER STORM GRA 790 19WC 34312 MOORE, AARON PEOPLES GAS 11/04/19 LEONARD LAW GROUP LLC MC CABE & HOGAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 791 19WC 34335 CARTER, SHANTEL SCR MEDICAL TRANSPORT 10/13/19 MC HARGUE & JONES LEAHY EISENBERG & FRAENKEL 792 19WC 34360 SHAUGHNESSY, JAMES 3F CONSTRUCTION LLC 03/26/19 INMAN & FITZGIBBONS 793 19WC 34407 BUTZ, TERENCE AMITA ALEXIAN BROS REHAB 09/10/19 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 794 19WC 34414 LAMPLEY, QUINSHA T THE AUBERGE AT ORCHARD PA 08/31/19 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 795 19WC 34430 CARTER, SHANTEL SCR MEDICAL TRANSPORT 10/13/19 MC HARGUE & JONES LEAHY EISENBERG & FRAENKEL 796 19WC 34448 BEST, NEAL AMERICAN AIRLINES 08/08/17 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM GRA 19WC034449 -C 797 19WC 34474 GARCIA, ALEJANDRO CITY OF CHICAGO @ 11/12/19 CORNFIELD & FELDMAN 798 19WC 34506 FLORES, OSCAR JLL CHICAGO 10/15/19 KATZ FRIEDMAN EISENSTEIN HENNESSY & ROACH PC 799 19WC 34540 TYRELL, THOMAS FEDEX GROUND 11/27/17 LEONARD LAW GROUP LLC 800 19WC 34567 VENCES, RAYMUNDO SUREWAY TOOL & ENGINEERIN 03/08/19 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 801 19WC 34585 BAILEY, LAVON NOVOLEX 11/14/19 COVEN LAW GROUP GOLDBERG SEGALLA LLC 802 19WC 34606 CURTIS, SHAQUITA NEXUS EMPLOYMENT SOLUTION 11/24/19 GERALD CONNOR ROSARIO CIBELLA 803 19WC 34629 VERNI, JOHN TRAMCO PUMP CO 02/07/19 STROM & ASSOC 804 19WC 34670 LAHNIECHE, SOFIANE BRANDON INC D/B/A GLOBE T 08/04/19 ELFENBAUM EVERS AMARILIO Z 805 19WC 34711 LEE, TERRENCE W IL DEPT OF TRANSPORTATION 10/02/19 TOSCAS, JOHN Z LAW OFFICE ASSISTANT ATTY GENL 806 19WC 34795 SUTTON, BERNADINE PACE SUBURBAN BUS SERVICE 11/11/19 STEVEN J. MORTON & ASSOC BRADY CONNOLLY & MASUDA PC 807 19WC 34814 HOOD, GREGORY THREE PHASE LINE CONSTRUC 11/27/19 GOLDSTEIN AIOSSA & GOOD WIEDNER & MCAULIFFE LTD 808 19WC 34847 WAGNER, RYAN CHICAGO WOLVES HOCKEY CLU 11/24/18 GORDON LAW OFFICES LTD LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 809 19WC 34868 EVANS, YOLANDA CPC LOGISTICS 08/24/19 VASILATOS & COTTER LLC GAROFALO SCHREIBER STORM GRA 810 19WC 34888 LOVELAND, KATIE CHICAGO PUBLIC SCHOOLS 09/10/18 811 19WC 34917 DAWKINS, LAMONT SUN CHEMICAL CORP 11/04/19 MC HARGUE & JONES 812 19WC 34970 HARRIS, BRADLEY ILLINOIS TOLLWAY 07/15/19 SHELDON I MINKOW & ASSOCIA IL STATE TOLL HWY AUTHORITY 813 19WC 34981 HOLMES, GREGORY CTA 11/11/19 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 814 19WC 34988 BOWMAN, MARCUS FEDEX 05/04/19 GWC INJURY LAWYERS LLC 815 19WC 35008 LOTT, GLENDA MT SINAI MEDICAL CENTER-C 10/16/19 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 816 19WC 35037 TRIPP, ALANA TPOD MANAGEMENT INC 11/30/19 PARENTE & NOREM PC JAMES M KELLY 817 19WC 35077 RODRIGUEZ, MARIA DE LA LU PETE'S FRESH MARKET 05/26/19 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 818 19WC 35100 RETA, JORGE RELIABLE BASEMENT SERVICE 07/17/19 STEVEN B SALK & ASSOC LTD 819 19WC 35115 JONES, ERICA COOK COUNTY DEPT OF 11/17/19 RANDALL T MANOYAN STATES ATTORNEY OF COOK COUN 820 19WC 35188 JACKSON, DARRYL G CTA 11/26/19 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 821 19WC 35230 REEVES, DAVID ELKAY MANUFACTURING CO 05/28/19 LEONARD LAW GROUP LLC 822 19WC 35247 LOPEZ MEJIA, ADALBERTO FIRESIDE RESTAURANT & LOU 11/28/19 HERRERA LAW CENTER GANAN & SHAPIRO 823 19WC 35287 COMPTON, KEITH P LAKESHORE BEVERAGE 11/30/18 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS 824 19WC 35333 WILSON, TEDDY USF HOLLAND 12/05/19 PARENTE & NOREM PC 825 20WC 03158 BRIGGS, MICHAEL MCCORMICK PLACE 05/09/19 GERALD CONNOR 826 20WC 03232 HILL, JENNIFER UNITED PARCEL SERVICE 01/28/20 EAMES LAW GROUP LTD ASA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 827 20WC 03268 HARRIS, TERRY NEW ALBERTSON'S INC DBA 12/17/19 COLLISON LAW OFFICES 828 20WC 03287 AL-ISHWAIT, MARWAN TRANSIT ADMIN CNTR INC/YE 01/30/20 BRUSTIN & LUNDBLAD LTD 829 20WC 03308 MACK, ROBERT BOYER-ROSENE BEKINS 11/23/19 LEONARD LAW GROUP LLC GANAN & SHAPIRO 830 20WC 03329 KULASIK, ANNA ADVOCATE GOOD SHEPHERD 10/23/19 RAYMOND M SIMARD, PC NYHAN BAMBRICK KINZIE & LOWR 831 20WC 03354 OLIVER, TIANNA SCOOBEEZ 01/31/20 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 832 20WC 03399 DUMAS, SIDNEY ILLINOIS TOLLWAY 01/31/20 LAW OFFICE OF LAURA A CHIL 833 20WC 03427 ROBLES, RAUL MIDWAY STAFFING 01/18/20 DEPAOLO & ZADEIKIS 834 20WC 03450 HARTS, GREGORY MINORITY AUTO HANDLING SP 01/27/20 SEIDMAN MARGULIS & FAIRMAN MEACHUM BOYLE TRAUFMAN 835 20WC 03469 HEHIR, CONOR CITY OF CHICAGO 10/19/19 SALVATO O'TOOLE FROYLAN 836 20WC 03485 MILLER, TRACY SUZIE'S HALLMARK SHOP 09/19/19 STANCZAK LAW OFFICES 837 20WC 03512 WILLIAMS, ANGELILA CITY OF CHICAGO POLICE DE 12/02/19 CORNFIELD & FELDMAN 838 20WC 03551 VILLEGAS, SALVADOR DYNAMIC POWERTRAIN REMAN 01/06/20 GOLDSTEIN BENDER & ROMANOF QUINTAIROS PRIETO WOOD & BOY 839 20WC 03571 HARRIS, SHARON CTA 02/06/20 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 840 20WC 03593 CARBONNEAU, THOMAS E VILLAGE OF OAK PARK 11/03/19 THOMAS W DUDA NYHAN BAMBRICK KINZIE & LOWR 841 20WC 03611 NOTO, JAMES DELTA AIRLINES 09/23/19 CAPRON & AVGERINOS PC GAIDO & FINTZEN 842 20WC 03625 CHRISTMAS, KENNETH UPS FREIGHT 11/12/19 RAYMOND M SIMARD, PC 843 20WC 03683 JOVEL, JOSE P URBAN ALTERNATIVES 10/03/19 ACEVES & PEREZ PC 20WC003684 -C 844 20WC 03739 DAVIS, GREGORY D SUPERIOR NUTS AND CANDY 01/16/20 GALLAGHER, DONALD V GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 845 20WC 03776 MILIVOJEVIC, OBRAD A FINKL & SONS CO 01/08/20 SAM CUBA LAW OFFICE GAROFALO SCHREIBER STORM GRA 846 20WC 03793 ALLEN, STEVEN SUN CHEMICAL 01/28/20 DEPAOLO & ZADEIKIS 847 20WC 03816 OCAMPO, SAUL LOGAN SQUARE ALUMINUM SUP 12/19/19 ANKIN LAW OFFICE 848 20WC 03844 OMIENCINSKI, DANIEL F THE GEORGE SOLLOTT 11/13/18 LITCHFIELD CAVO 849 20WC 03874 DAVIS, FANTASIA MARCUS CHICAGO HEIGHTS CI 02/10/20 STROM & ASSOC CHILTON YAMBERT PORTER LLP 850 20WC 03902 WALLACE, ARNESTER HEALTHCARE PLUS 06/29/19 STYKA & STYKA QUINTAIROS PRIETO WOOD & BOY 851 20WC 03915 DE LA LUZ MUNOZ, MARIA ALTERNATIVE STAFFING, INC 08/09/19 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 852 20WC 03945 BRYANT, JOHNNY EOS TRUCKING 12/19/19 MC HARGUE & JONES GAROFALO SCHREIBER STORM GRA 853 20WC 03961 CASILLAS, ERNESTO SUPREME LOBSTER & SEAFOOD 12/05/19 HERRERA LAW CENTER 854 20WC 03983 VILLAGOMEZ, WILLIAM VEI SOLUTIONS, INC 08/02/19 LANZILLOTTI GRIBBEN & MARC WIEDNER & MCAULIFFE LTD 855 20WC 04017 GONZALEZ, MIGUEL MANDEL METALS, INC 01/07/20 STEVEN B SALK & ASSOC LTD 856 20WC 04039 VELA, HUGO JEWEL DISTRIBUTION CENTER 01/04/20 GWC INJURY LAWYERS LLC 857 20WC 04059 WATTS, ALBERT SNAK-KING CORP. 12/02/19 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 858 20WC 04075 CONTRERAS, JOSE KOLE CONSTRUCTION COMPANY 11/12/19 KARCHMAR & STONE ACCIDENT FUND HOLDINGS 859 20WC 04124 LOPEZ, ANGEL MILLWOOD, INC 02/06/20 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 860 20WC 04164 FLEMING, VINCENT ABT ELECTRONICS 06/27/19 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 861 20WC 04190 GORSKI, MICHAEL OZINGA BROTHERS 03/01/17 GAROFALO SCHREIBER STORM GRA 862 20WC 04212 LA MARCA, ROSA GLENVIEW S.D. #34- WESTBR 08/29/18 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 863 20WC 04240 BOYADZHIEV, HRISTO CASEY MUFFLER & BRAKE IV, 12/24/19 RUSIN & MACIOROWSKI LTD 864 20WC 04262 GILLS, MATTHEW OSI GROUP 10/05/19 COSTA IVONE LLC INMAN & FITZGIBBONS 865 20WC 04281 THOMAS, WILLIE SHIRLEY RYAN ABILITY LAB 06/15/19 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 866 20WC 04303 MARTIN, THEODORA HERTZ CAR RENTAL 01/09/20 DWORKIN AND MACIARIELLO 867 20WC 04339 ABOSHARAR, MASMOUD 7 GATES RESTAURANT, INC 02/08/20 PETER LIMPERIS JOSEPH MARCINIAK 868 20WC 04368 MASON, LAURA UNITED AIRLINES INC. 01/30/20 GWC INJURY LAWYERS LLC 869 20WC 04385 CRUZ, CAMERINO BALCAZAR DISP-PACK CORPORATION 09/15/19 HUGHES SOCOL PIERS RESNICK 870 20WC 04409 KOHS, DANIEL C.L. DOUCETTE, INC. 01/16/19 HEALY SCANLON LAW FIRM 871 20WC 04429 BOWMAN, JOHN FEDEX 11/06/19 KROL BONGIORNO & GIVEN LTD 872 20WC 04447 TRICE, RHONDA CHICAGO BOARD OF EDUCATIO 02/06/20 ELFENBAUM EVERS ZIELINSKA CHGO BOARD OF EDUCATION 873 20WC 04462 TORRES, ISRAEL TOTAL STAFFING SOLUTIONS, 02/11/20 COSTA IVONE LLC KNELL O'CONNOR DANIELWICZ 874 20WC 04487 GALICA, FRANCISZEK MARK 1 RESTORATION COMPAN 05/17/19 MINKOW DOMIN KRAKER FANNING & OLSEN 875 20WC 04540 SPATES, SPARKLE J BHC STREAMWOOD HOSPITAL I 02/05/20 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 876 20WC 04558 GOMEZ, ADELAIDO UNITED AIRLINES, INC. 02/07/20 ANKIN LAW OFFICE 877 20WC 04596 CALLEJA, RAUL ROCHA PLUMBING, INC 02/15/19 THE ROMAKER LAW FIRM 878 20WC 04632 ESPINOSA, LEONEL AMBER COAST, INC 06/03/19 BOWMAN & CORDAY 879 20WC 04730 MARIJAN, LUKA CITY OF CHICAGO 05/30/19 ANKIN LAW OFFICE 880 20WC 04751 CUTLER, MICHAEL UNITED AIRLINES 12/19/19 GWC INJURY LAWYERS LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 881 20WC 04781 ACEVEDO, ANGELICA O'REILLY AUTO PARTS 01/29/20 SEIDMAN MARGULIS & FAIRMAN BRYCE DOWNEY & LENKOV LLC 882 20WC 04783 AGUILAR, SILVIA KOCH FOODS, INC 09/18/18 COLLISON LAW OFFICES BRYCE DOWNEY & LENKOV LLC 883 20WC 04804 RIVERA, MARGARITA MICHAEL FOODS 08/12/19 HERRERA LAW CENTER 884 20WC 04844 STAFFORD, WYLANNE AT&T 01/17/19 BLEAKNEY & TROIANI 885 20WC 04873 MUNSIF, EVLINE WOODWARD, INC. 07/26/19 HUGHES SOCOL PIERS RESNICK HINSHAW & CULBERTSON 886 20WC 04935 FIGEROA, PEREZ FOOD AND PAPER SUPPLY 03/07/19 JOSHUA KARMEL 887 20WC 05015 FORDE, ANTHONY UNIVERSITY OF IL AT CHICA 02/21/20 GWC INJURY LAWYERS LLC HEYL ROYSTER VOELKER & ALLEN 888 20WC 05068 WHITE, PAMELA CTA 02/21/20 EDWIN REYES LAW FIRM CHICAGO TRANSIT AUTHORITY 889 20WC 05093 OAXACA LOPEZ, ALFREDO KEHOE DESIGNS 03/08/19 HERRERA LAW CENTER 890 20WC 05113 TAYLOR, JANICE FED EX 12/13/19 LAW OFFICES OF ADRIAN CHER 891 20WC 05133 PAYNE, DESINEE TMRS ENTERPRISE NC 02/21/20 DWORKIN AND MACIARIELLO 892 20WC 05160 HAMILTON, BYRON FORD MOTOR COMPANY 02/17/20 ANKIN LAW OFFICE 893 20WC 05208 WOLAN, ZBIGNIEW CHICAGO TRANSIT AUTHORITY 03/23/19 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 894 20WC 05248 MEDRANO-SANCHEZ, FATIMA UPS 12/28/19 STROM & ASSOC NYHAN BAMBRICK KINZIE & LOWR 895 20WC 05283 FARLAND, MITTIE GRAND PRAIRIE SERVICES 01/24/20 VASILATOS & COTTER LLC 896 20WC 05302 KRAMER, CHRISTINA M CHICAGO PUBLIC SCHOOLS 01/30/20 STEWART C ORZOFF CHGO BOARD OF EDUCATION 897 20WC 05326 SHEPHERD, ZENOBIA MCDONALD'S 02/23/20 DWORKIN AND MACIARIELLO 898 20WC 05406 HERNANDEZ, JUAN CARLOS BRAUM MANUFACTURING CO IN 09/18/19 KATZ FRIEDMAN EISENSTEIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 899 20WC 05445 STARK, GREGG R ORORA VISUAL 12/27/19 FRANKS & RECHENBERG 900 20WC 05456 DAVIS, DARRON TOWER AUTOMOTIVE 01/04/19 DAVID W MARTAY KEEFE CAMPBELL BIERY & ASSOC 901 20WC 05476 MOTLEY, SHALONDRA CHICAGO TRANSIT AUTHORITY 10/31/19 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 902 20WC 05492 DUGGER, DAVID ELITE STAFFING INC 12/21/19 GALLAGHER LAW PC BRADY CONNOLLY & MASUDA PC 903 20WC 05514 ODNEAL, LATHESA CHICAGO TRANSIT AUTHORITY 02/20/20 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 904 20WC 05553 RUCKER, JOHN METRO STAFFING 01/18/20 CORBOY & DEMETRIO PC 905 20WC 05582 RUBENS, CARALYN GRAHAM ENTERPRISES, INC. 02/10/20 SEIDMAN MARGULIS & FAIRMAN 906 20WC 05593 BEDNAR, ANNA MARIE ENVOY AIR 04/03/19 CULLEN HASKINS NICHOLSON 907 20WC 05606 HINES, ALESIA COOK CNTY CERMAK HEALTH S 01/21/20 STEVEN B SALK & ASSOC LTD 908 20WC 05628 SERRANO, SALVADOR QUALITY ASSURANCE HUMAN 08/26/19 OSVALDO RODRIGUEZ PC 909 20WC 05718 VALENTIN, LAURI CHICAGO PUBLIC SCHOOLS 01/29/20 ABELS & ANNES, PC CHGO BOARD OF EDUCATION 910 20WC 05835 BELCHER, CLAYTON ATLAS TOOL & DIE WORKS, I 09/03/19 GANAN & SHAPIRO 911 20WC 05856 EVANS, CIERA CHICAGO TRANSIT AUTHORITY 02/25/20 ARGIONIS & ASSOCIATES LLC CHICAGO TRANSIT AUTHORITY 912 20WC 05887 SWISTEK, ANTHONY SCHAAF GLASS COMPANY,INC 06/03/19 ACCIDENT FUND HOLDINGS 913 20WC 06003 SANCHEZ, OMAR CHICAGO TRANSIT AUTHORIT 02/26/20 KROL BONGIORNO & GIVEN LTD 914 20WC 06063 MARSHALL, LINDA MV TRANSPORTATION, INC. 02/27/20 DWORKIN AND MACIARIELLO 915 20WC 06084 JOHNSON, ROSHAWN CITY OF CHICAGO DEPT WATE 02/12/20 ASHER, RAYMOND L LTD 916 20WC 06181 RIVAS, RENA F SILVER CROSS HOSPITAL 02/24/18 THEODORE L STACY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 917 20WC 06214 VANZANT, REKIETHA STATE OF ILLINOIS @ 09/03/19 DEPAOLO & ZADEIKIS ASSISTANT ATTORNEY GENERAL 918 20WC 06244 ANDERSON, MARC U.P.S. 02/11/20 BERG & BERG NYHAN BAMBRICK KINZIE & LOWR 919 20WC 06274 WILLIAMS, LARRY HORWEEN LEATHER COMPANY 10/07/19 DWORKIN AND MACIARIELLO 920 20WC 06344 MULLINS, JAMES CHICAGO PARK DISTRICT 01/27/20 RICHARD O. GREENFIELD 921 20WC 06371 MODGLIN, CHRISTOPHER AMERICAN AIRLINES, INC. 02/26/20 RITTENBERG BUFFEN 922 20WC 06395 BURTON, TREY CHICAGO BEARS FOOTBALL CL 11/10/19 GORDON LAW OFFICES LTD BRYCE DOWNEY & LENKOV LLC 923 20WC 06423 CRAWFORD, RASHONDA MV PUBLIC TRANSPORATION, 06/18/19 DEPAOLO & ZADEIKIS BRADY CONNOLLY & MASUDA PC 924 20WC 06442 GONZALEZ, FAUSTO UNIFIRST UNIFORM SERVICES 01/30/20 ACEVES & PEREZ PC 925 20WC 06461 GOMEZ, ROSSANA UNITED SVC COMPANIES HLDI 10/14/19 JAMES H MILLER JR RUSIN & MACIOROWSKI LTD 926 20WC 06494 ANDERSON, VANJA MARSHALLS OF CALUMET 11/05/19 SCHWEICKERT GANASSIN BRADY CONNOLLY & MASUDA PC 927 20WC 06532 IBRAHIM, ADONIS FIRST HOSPITALITY GROUP 03/18/19 FEDOR KOZLOV & ASSOC 928 20WC 06563 TELLEZ, MICHAEL BONUS ELECTRIC 02/17/20 VRDOLYAK LAW GROUP LLC 929 20WC 06596 ZAVALETA, LUCILIA PRESTIGE MAINTENANCE 09/11/19 COSTA IVONE LLC MEACHUM BOYLE TRAUFMAN 930 20WC 06620 CHARLES, JERRON ADVOCATE AURORA HEALTH 12/18/19 STEVEN J MALMAN & ASSOCIAT NYHAN BAMBRICK KINZIE & LOWR 931 20WC 06646 REYNOSO, FERNANDO JEWEL FOODS 02/26/20 SEIDMAN MARGULIS & FAIRMAN EVANS & DIXON 932 20WC 10565 CRUZ, SAUL ACCURATE METAL FABRICATIN * 12/16/19 ACEVES & PEREZ PC 933 20WC 10604 KANZ, DANIEL J MERIT ELECTRIC * 09/25/19 COZZI & ZAPF LAW OFFICE 934 20WC 10654 VILLA, RAMIRO MIDWEST INSTITUTIONAL FOO * 03/12/19 GOLDSTEIN BENDER & ROMANOF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 935 20WC 10673 ACOSTA, ANGELA UCAN * 02/21/20 WHITESIDE & GOLDBERG LTD 936 20WC 10726 CAREY, ANIYA POPEYES LOUISIANA KITCHEN * 03/22/20 ROSS TYRRELL 937 20WC 10750 MEINEN, JULIA ADVOCATE MEDICAL GROUP SC * 09/24/14 NYHAN BAMBRICK KINZIE & LOWR 938 20WC 10785 KRUCZEK, DAWN LSG SKY CHEFS * 03/25/20 ELFENBAUM EVERS ZIELINSKA 939 20WC 10811 STILWELL, RANDY ARDAGH GLASS INC * 03/17/19 HENNESSY & ROACH PC 940 20WC 10840 ZAVALA, JOSE RAPID DISPLAYS * 04/30/20 DWORKIN AND MACIARIELLO 941 20WC 10861 HLOTKE, KEITH WASTE MANAGEMENT * 01/13/20 GWC INJURY LAWYERS LLC 942 20WC 10922 LOPEZ MORENO, GREGORIO KOLE CONSTRUCTION * 03/17/20 MICHAEL HELLMAN 943 20WC 10941 HILL, LAVELL CITY OF CHICAGO DEPT OF * 04/15/20 KREITER, BYCK & ASSOC LLP 944 20WC 10986 ROTH, JACKLYNE TARGET CORPORATION * 01/03/19 PORRO NIERMANN LAW GROUP 945 20WC 10997 COOK, CECILIA AMERICAN AIRLINES * 10/26/18 SAUNDERS CONDON & KENNY 946 20WC 11017 OMBALINO, VICTORIANOO GROSSE POINTE MANOR * 04/04/19 ANKIN LAW OFFICE 947 20WC 11044 HOLDREN, CYNTHIA JEWEL FOOD STORES INC * 12/05/14 WIEDNER & MCAULIFFE LTD 948 20WC 11060 MOHAMOUD, RASHID CITY OF EVANSTON * 01/29/20 DWYER & COOGAN 949 20WC 11083 MILLER, BRADLEY GROOT INDUSTRIES/WASTE CO * 10/22/19 GWC INJURY LAWYERS LLC 950 20WC 11105 SHER, FRANCA FEDERAL EXPRESS * 03/30/20 TAMVAKIS, GEORGE L 951 20WC 11125 LEON, MANUEL HERNAN BARRA SNELLING STAFFING SERVICE * 01/23/20 HERRERA LAW CENTER GOLDBERG SEGALLA LLC 952 20WC 11145 DAVIS, LUKE THOESEN TRACTOR & EQUIPME * 02/05/20 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 953 20WC 11163 RODRIGUEZ, CHRISTOPHER Z FORCE TRANSPORTATION * 03/30/20 SKLARE LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 954 20WC 11208 JANACEK, GREGORY CHICAGO PUBLIC SCHOOLS * 01/28/20 MC HARGUE & JONES 955 20WC 11262 MILLER, BRADLEY GROOT INDUSTRIES/WASTE CO * 10/22/19 GWC INJURY LAWYERS LLC 956 20WC 11325 MARTINEZ, ANDRE ALSIP FIRE DEPARTMENT * 03/11/20 RIDGE & DOWNES 957 20WC 11343 COURTS, RAMON COMCAST CORP * 08/15/19 DISPARTI LAW GROUP PA 958 20WC 11365 COLEMAN, ASIA L BROOKDALE SENIOR LIVING/ * 05/09/20 ANKIN LAW OFFICE 959 20WC 11386 MOHAMED, ATIF KISWANI TRUCKING, INC * 11/28/17 JOSEPH J LOSS PC 960 20WC 11401 MRNAK, ASHLEI COOK COUNTY/JUVENILE TEMP * 03/12/20 EDWARD L OSOWSKI 961 20WC 11441 VENZOR, PAULA FOCAL POINT, LLC * 10/17/19 ROSS TYRRELL INMAN & FITZGIBBONS 962 20WC 11464 DYE, EUNICE ADA S MCKINLEY COMMUNITY * 01/01/18 CULLEN HASKINS NICHOLSON 963 20WC 11499 BALL, DEVIN PROLOGISTIX * 04/29/20 GOLDSTEIN AIOSSA & GOOD 964 20WC 11513 JOHNSON, DAVID FORD MOTOR COMPANY * 01/01/20 ANKIN LAW OFFICE 965 20WC 11535 BRISCOE, JESSICA SCR MEDICAL TRANSPORTATIO * 02/10/20 DISPARTI LAW GROUP PA LEAHY EISENBERG & FRAENKEL 966 20WC 11549 MOSTYN, RYAN LIFELINE AMBULANCE * 10/18/19 EVANS & DIXON 967 20WC 11578 WHITTEN, ALEXANDER PLEASANTVIEW FIRE PROTECT * 02/14/18 RIDGE & DOWNES 968 20WC 11604 HILLERY, JONATHAN LOWE'S * 03/11/19 NILSON STOOKAL GLEASON CAP 969 20WC 11628 PUGA, KEITH NATIONAL TECHNOLOGY INC * 05/11/20 GWC INJURY LAWYERS LLC 970 20WC 11663 RILEY, LAWRENCE CONNORS TRANSPORTATION CO * 02/17/20 SCHWEICKERT GANASSIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 971 20WC 11804 MORENO, JUAN ELITE STAFFING * 04/28/20 STEWART C ORZOFF 972 20WC 11823 LOPEZ, ARMANDO DIMITRI BEST FOOD * 05/12/20 COSTA IVONE LLC 973 20WC 11842 KIELCZEWSKI, MARRCIN COOK COUNTY * 04/26/20 ARGIONIS & ASSOCIATES LLC 974 20WC 11865 SCHADE, MALLORY FIERSTEN GATECK LOGISTICS * 04/28/20 SALVATO O'TOOLE FROYLAN 975 20WC 11877 YOUNG, LERENDA DART * 08/31/19 LUSAK AND COBB 976 20WC 11903 MOISES, DESIREE CICERO PUBLIC SCHL DIST 9 * 01/15/20 ANKIN LAW OFFICE 977 20WC 11927 CHROMCIK, MICHAEL CHICAGO MESSENGER SERVICE * 11/26/18 CAPRON & AVGERINOS PC 978 20WC 11947 THOMAS, LLOYD RYDER TRUCK RENTAL * 02/04/20 VASILATOS & COTTER LLC 979 20WC 11978 GOENS, RODNEY PWS BUILDING CLEANING, IN * 06/16/18 STEVEN J MALMAN & ASSOCIAT 980 20WC 12005 WILSON, TERRY CHICAGO LAND LABORERS * 04/09/20 DEPAOLO & ZADEIKIS 981 20WC 12039 CHAVEZ, NOEL HIGHWAY SAFETY CORPORATIO * 05/16/20 ANKIN LAW OFFICE 982 20WC 12064 DAVIS, JEFFREY ELIZABETH LUDEMAN CENTER * 04/09/20 CULLEN HASKINS NICHOLSON 983 20WC 12125 TATUM, ANDRE ARP PROPERTY PRESERVATION * 10/11/18 STANCZAK LAW OFFICES 984 20WC 12170 HALL, TROY COOK COUNTY SHERIFF'S DEP * 05/19/20 ARGIONIS & ASSOCIATES LLC 985 20WC 12189 WILLIAMS, JANEVRA JEWEL OSCO * 04/13/20 COHN LAMBERT RYAN & SCHNEI 986 20WC 12217 WILLIAMS, ESSIE WALLYPARK * 01/18/20 BRYCE DOWNEY & LENKOV LLC 987 20WC 12238 HOLM, EDWARD UNIVERSITY OF CHICAGO * 03/12/19 SEIDMAN MARGULIS & FAIRMAN 988 20WC 12259 LOPEZ, VICTOR NORTH CROSS ROOFING * 05/07/20 ACEVES & PEREZ PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 07/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 989 20WC 12274 LAPICE, JACK L WERNER TRUCKING COURT * 09/05/18 O'CONNOR & NAKOS 990 20WC 12299 TREVATHAN, DANNY CHICAGO BEARS FOOTBALL CL * 11/10/19 GORDON LAW OFFICES LTD 991 20WC 12324 KHAN, QAISAR 5 STAR FLASH, INC F/K/A * 12/05/19 COSTA IVONE LLC 992 20WC 12371 DAVIS, FREDERICK DHL WORLDWIDE * 05/15/20 CULLEN HASKINS NICHOLSON 993 20WC 12396 ALVARADO, MARTINA CARL BUDDIG & COMPANY * 03/27/20 VRDOLYAK LAW GROUP LLC