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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 12WC 24417 VILLALOBOS, GREGORIA CORNERSTONE CLEANERS W 06/25/12 CULLEN HASKINS NICHOLSON 16 12WC 25838 ELLIS, KATHERIS CITY OF CHICAGO 02/06/12 ANKIN LAW OFFICE CITY OF CHICAGO 15WC014471 -C 17 12WC 28218 GUTIERREZ, ADELA APL LOGISTICS 03/10/11 HUGHES SOCOL PIERS RESNICK KEEFE CAMPBELL & ASSOC LLC 12WC028219 -C 13WC018070 -C 14WC021859 -C 14WC029308 -C 15WC009110 -C 16WC003065 -C 18 12WC 30115 19B JAIMES, ENRIQUE R G CONSTRUCTION 08/10/12 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 19 12WC 34565 WELLS, DIVETTA CITY OF CHICAGO 09/07/12 COVEN LAW GROUP CITY OF CHICAGO 15WC033880 -C 20 12WC 39652 CRUZ, ISRAEL AMERICAN AIRLINES 10/27/12 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 21 13WC 15167 ATIYEH, DAED HOME DEPOT 01/28/13 SEIDMAN MARGULIS & FAIRMAN MC ANDREWS & NORGLE LLC 17WC032023 -C 22 13WC 17427 ISMAIL, GEORGE KUEHNE & NAGLE, INC 05/02/13 ACEVES & PEREZ PC MACIOROWSKI SACKMANN & ULRIC 23 13WC 18960 LEBRON-CORTES, FELICITA ST OF IL DEPT OF HUMAN SE @ 03/13/12 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 24 13WC 24601 NORWOOD, NIJA S (DAUGHTER JOHN H STROGER # 06/24/13 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 25 13WC 25105 MENDOZA, IVAN STRIVE GROUP LLC 05/10/13 STROM, NEAL B HEYL ROYSTER VOELKER & ALLEN 14WC039175 -C 16WC005167 -C 26 13WC 25568 HOLLIS, PATRICIA ANN WE CLEAN MAINTENANCE 04/30/11 STEVEN J SEIDMAN LAW OFFIC THOMAS & PORTELA 27 13WC 26132 SEGURA, MARIA H ST OF IL DEPT OF HUMAN SE @ 06/30/13 SALK, STEVEN B & ASSOC LTD JILL OTTE 15WC001515 -C ILL DEPT OF HUMAN SERVICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 13WC 26448 TAFF, KIM COMMUNITY HEALTH SYSTEMS 02/05/13 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 29 13WC 27154 SIMPSON, LARRY T ABF FREIGHT SYSTEMS 04/13/12 SPIROS LAW PC KEEFE CAMPBELL & ASSOC LLC 13WC038778 -C ABF SYSTEMS 30 13WC 27983 ZELEZNIK, MATT MCCAULEY MECHANICAL 08/06/13 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 31 13WC 35857 SUTTON, SHAWN CITY OF CHICAGO 10/16/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 32 14WC 01828 ZAHUMENSKY, THOMAS WHITE WAY SIGN & MAINTENA 06/29/13 RUBIN LAW GROUP HOLECEK & ASSOCIATES 33 14WC 02562 CRISOSTOMO, EULOGIO CLYBOURN EXPRESS CAR WASH W 12/03/13 LAW OFFICE HUGO ORTIZ 34 14WC 06408 SANCHEZ, ROSARIO WE CLEAN MAINTENANCE 03/28/13 SOSTRIN AND SOSTRIN PC THOMAS & PORTELA 35 14WC 11173 AKINYEMI, GARCE PIPELAYO COOK COUNTY HEALTH & HOSP 03/05/14 THE ROMAKER LAW FIRM 15WC021236 -C 18WC003867 -C 18WC003868 -C 18WC003869 -C 36 14WC 11795 SOSA, CELSO CONTRACTORS ACCESS EQUIPM 12/03/13 VRDOLYAK LAW GROUP LLC ACCIDENT FUND HOLDINGS 37 14WC 13973 JANECEK, JEFFREY A NORTHERN PIPELINE CONSTRU 09/17/13 FABRIZIO, HANSON & PEYLA GRANT & FANNING 38 14WC 19781 LA VALLAIS, KIM CHICAGO BOARD OF EDUCATIO 05/15/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 39 14WC 23684 GARIBAY, ANTHONY TAYLOR ELECTRIC 06/18/14 LEONARD LAW GROUP LLC MEACHUM & STARCK 40 14WC 23790 BURGESS, TABATHA ENVOY 06/10/14 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 18WC011670 -C 41 14WC 24374 IVERSON, MICHAEL C J LEPRETRE CONSTRUCTION 06/24/14 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 42 14WC 24923 ORTIZ, JOSE CHICAGO TRANSIT AUTHORITY 07/10/14 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 43 14WC 27035 JOHNSON, JOSEPHINE TJ MAXX 01/15/14 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 44 14WC 27450 SISTO, MICHAEL CITY OF CHICAGO 07/01/14 PARAG P. BHOSALE CITY OF CHICAGO 45 14WC 36190 HERNANDEZ, MARIA REYNA ALTERNATIVE STAFFING INC 07/28/14 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 46 14WC 37172 TASSONE, DOMINICK A UNIVERSITY OF ILLINOIS @ 10/02/14 DEPAOLO & ZADEIKIS POWER & CRONIN LTD 15WC000602 -C 47 14WC 37426 HOPKINS, SYLVIA HIGH TECH-PALOS HEIGHTS 01/25/12 BOWMAN & CORDAY GAROFALO SCHREIBER STORM GRA 14WC037427 -C 14WC037428 -C 48 14WC 37772 RUSH, HEATHER PALOS COMMUNITY HOSPITAL 10/10/14 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 49 15WC 01628 GREEN, SIRELL FORD MOTOR COMPANY 01/16/15 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 15WC003772 -C 50 15WC 01693 OLMOS, JOSE LUIS ABM 12/09/14 SALVATO & O'TOOLE GOLDBERG SEGALLA LLC 15WC001694 -C 51 15WC 02241 TANTIVITHIWATE, JENNIFER CHICAGO PUBLIC SCHOOLS 01/15/15 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 18WC008691 -C 52 15WC 02931 USMAN, TOMI CHICAGO ELITE CAB CORP 11/27/14 COHN LAMBERT RYAN & SCHNEI 53 15WC 14208 SOTELO, ALLEN CHICAGO MEAT AUTHORITY 04/10/15 BOUDREAU NISIVACO LLC LITCHFIELD CAVO 54 15WC 15649 JONES, CHANTE M ALPHA SCHOOL BUS 04/22/14 CHARLES LEVY & ASSOC LTD STONE & JOHNSON CHARTERED 16WC017572 -C 55 15WC 16394 CONNER, DAVID M CITY OF CHICAGO 06/30/14 KARCHMAR & STONE CITY OF CHICAGO 56 15WC 17740 TIERI, DONALD CORAM ALTERNATE SITE SRVC 11/04/14 RICHARD E ALEKSY NYHAN BAMBRICK KINZIE & LOWR 57 15WC 23960 CERDA, KATHERINE CHGO STREETS & SAN DEPT 07/24/15 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 58 15WC 24403 KONCHAR, CASEY RIVER DOCKS, INC. 07/22/15 BAUM RUFFOLO & MARZAL LTD WOLF LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 59 15WC 24839 HEREDIA, JOHN CHGO DEPT OF TRANSPORTATI 05/10/13 RUBIN LAW GROUP CITY OF CHICAGO 60 15WC 25266 PEREZ, NANCY AUGUSTINA UNIVERSITY OF IL AT CHICA 06/04/14 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 15WC025267 -C 15WC025268 -C 61 15WC 26045 HUBBARD, ARTHUR CHGO BOARD OF ED 07/21/15 CAPRON & AVGERINOS PC CHGO BOARD OF EDUCATION 62 15WC 26384 SULLIVAN-WOOD, TIMOTHY M. CITY OF CHICAGO HEIGHTS 07/18/15 THOMAS W DUDA PETERSON JOHNSON & MURRAY 15WC026385 -C 15WC026386 -C 63 15WC 26713 RODRIGUEZ, MARIA M LEMURIA LLC 07/13/15 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK 64 15WC 26888 LINO, LETICIA ELITE STAFFING 05/27/15 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 65 15WC 33234 HERNANDEZ, FRANCISCO CITY OF CHICAGO DEPT OF 09/18/15 RUBIN LAW GROUP CITY OF CHICAGO 66 15WC 33340 SCHMIDT, KATELYNN BURBANK SCHOOL DISTRICT # 06/01/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 67 15WC 33811 MARTINEZ, MARIA HOME PRODUCTS INTERNATION 10/09/15 EPSTEIN, JACK R LAW OFFICE 68 15WC 33969 ALMANZA, ABEL JR KELVIN CO LLC 09/30/15 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 69 15WC 34193 YEPEZ, JUAN M REINKE 10/20/15 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 70 15WC 34567 ROJAS, GUADALUPE SERVPRO 05/05/15 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 71 15WC 34757 RAMIREZ, MARIA DE LA LUZ HOME PRODUCTS 09/09/15 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 72 15WC 34941 DAVIS, AGNES STATE OF ILLINOIS @ 10/21/15 GOLDSTEIN AIOSSA & GOOD ASSISTANT ATTORNEY GENL 73 15WC 35035 RAPCIAK, DAMIAN GRANITE SOLUTIONS INC 09/14/15 ROSS TYRRELL INMAN & FITZGIBBONS 74 15WC 35283 BAILEY, WILLIAM DAVIS STAFFING, INC. 10/15/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 75 15WC 35470 MUNGUIA, CARLOS AKA COLFAX CORP 06/15/15 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 76 15WC 35613 OROZCO, ALFONSO WALSH CONSTRUCT CO 10/21/15 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 77 15WC 35903 PAREDES, ALEXANDER FH LEINWEBER, INC. 12/18/14 DAVID W MARTAY THOMAS & PORTELA 78 15WC 36661 HURT, LINDA CDS COURIER 10/23/15 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 79 15WC 36735 DALEY, GREG HALL ENTERPRISES, INC. 02/08/13 CZAPLA LAW GANAN & SHAPIRO 80 15WC 37073 JAMEEL, HAMID M VASKEN CAB INC 09/06/15 MARSZALEK AND MARSZALEK 81 15WC 37350 QUARLES, KAREN COOK COUNTY JUVENILE TEMP 01/15/15 SEIDMAN MARGULIS & FAIRMAN 16WC003824 -C 82 15WC 37778 MARCHIORI, GINA CITY OF CHICAGO 11/03/15 SHANNON LAW GROUP CITY OF CHICAGO 83 15WC 37817 OBADEIN, ABAYOMI DISPATCH TAXI 10/14/15 LAW OFFICE RYAN ROSENTHAL RUBENS KRESS MULHOLLAND 84 15WC 38747 FRANKLIN, ALBERTA M CHICAGO OEMC 11/12/15 ANKIN LAW OFFICE CITY OF CHICAGO 85 15WC 39003 BEWLEY, MARK HARBOR GROUP MANAGEMENT 02/27/13 HEALY SCANLON LAW FIRM HOLECEK & ASSOCIATES 86 16WC 01551 HOWARD, RICHMOND AS LEGAL CHICAGO PUBLIC SCHOOLS 09/04/13 NEWMAN, BOYER & STATHAM 87 16WC 02621 MANOUSHAG, DANIEL SUNRISE AT PARK RIDGE 03/04/13 ALEKSY BELCHER NOBLE & ASSOC 17WC022413 -C 88 16WC 03535 LUNER, CAROL ANNE BROOKDALE SENIOR LIVING @ 12/10/15 JOHNSON, MICHAEL D & ASSOC ROSARIO CIBELLA 89 16WC 04169 MERCADO, TEODULO BIONDILLOS BAKERY LLC W 12/26/15 DEPAOLO ZADEIKIS GORE 90 16WC 04294 SMITH, ROCKY ENTERPRISE LEASING CO 12/23/15 TAYLOR MILLER SPROWL ET AL KNELL & O'CONNOR 91 16WC 04338 ZARAGOZA, JUAN AMITY PACKING COMPANY INC 03/25/15 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES 92 16WC 04373 GRIFFIN, LOUISA PRAIRIE MANOR NURSING AND 12/11/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 93 16WC 04473 BALOUGH, APRIL PEPPER CONSTRUCTION CO 04/06/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 94 16WC 04518 HIDALGO, ANTONIO KELLOGS 08/09/15 JOHN S. ELIASIK KEEFE CAMPBELL & ASSOC LLC 95 16WC 05048 ROMERO, UBALDO WESTROCK SERVICES, INC. 07/01/15 CZAPLA LAW GAROFALO SCHREIBER STORM GRA 96 16WC 05067 MILLER, ERIK P VILLAGE OF MORTON GROVE 01/27/16 THOMAS W DUDA ANCEL GLINK DIAMOND BUSH & E 97 16WC 05107 MORTEGA, IRENE CHGO BOARD OF ED 01/26/15 HORWITZ HORWITZ & ASSOC 98 16WC 05273 ROJAS, JOSE F CITY OF CHICAGO 08/04/15 FABRIZIO, HANSON & PEYLA CITY OF CHICAGO 99 16WC 05520 NUNEZ, ADRIAN GOMEZ STEAD SHEET METAL INC. 12/18/15 GOLDSTEIN BENDER & ROMANOF 100 16WC 06200 CUEVAS, TRINIDAD FLORIDA FRUIT JUICES 02/18/16 CRONIN & PETERS 101 16WC 06501 ASH, RALPHAEL FORD MOTOR COMPANY 02/18/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 102 16WC 06693 VARNADO, VANESSA CHICAGO TRANSIT AUTHORITY 02/27/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 103 16WC 07332 CRUZ, DAISY COSTCO WHOLESALE 01/23/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 17WC028453 -C 104 16WC 10401 BROADNEY, LISA UNIVERSITY OF ILLINOIS 02/12/15 SALVATO & O'TOOLE NYHAN BAMBRICK KINZIE & LOWR 105 16WC 13720 WILBON, SANDRA ILLINOIS SECRETARY OF STA 08/04/15 ASHER, RAYMOND L LTD C. FLETCHER 106 16WC 14446 BROWN, DULCIE UNITED AIRLINES 01/31/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 107 16WC 15223 OLMOS, LEONCIO OSWALDO CASTRO W 04/28/16 WOODRUFF & JOHNSON MEACHUM BOYLE TRAUFMAN 108 16WC 15242 ESTRADA, MIRNA EL ASADOR W 05/07/16 SALVATO & O'TOOLE 109 16WC 15743 WILLIAMS, SELINA CITY OF CHGO./DEPT OF FIN 05/04/16 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 110 16WC 15809 WALKER, ROSALYNN IL DEPT OF CHILDREN & FAM @ 01/15/16 STEVEN J TENZER, LTD ASSISTANT ATTORNEY GENL 111 16WC 15832 MENGWA, GLORY CHALET SKILLED NURSING 04/30/16 RICHARD E ALEKSY BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 112 16WC 15926 ANASTASOF, FRANK CITY OF CHICAGO 11/09/15 SOSTRIN AND SOSTRIN PC 113 16WC 16074 LOPEZ, IGNACIO CLOVERHILL SOUTH 05/12/15 ENCINAS & ORNELAS ROBERT L. SMITH 114 16WC 16443 RUIZ, CESAR CATER BIZ 04/25/16 HERRERA LAW CENTER 115 16WC 16576 SMITH, SHIRLEY CITY OF CHICAGO 05/04/16 SEIDMAN MARGULIS & FAIRMAN 116 16WC 21266 19B VEGA, ANTONIO PACE COOK DUPAGE TRANSPOR 07/03/16 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 117 16WC 22065 GILL, TIMOTHY CTA 07/14/16 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 17WC035870 -C 118 16WC 22594 SLOBODIAN, CHAD MENARDS 01/02/16 RIDGE & DOWNES EVANS & DIXON 119 16WC 23953 RIVERA, JOHNNY RIVERSIDE CONCRETE W 07/28/16 MC HARGUE, JAMES P LAW OFF 120 16WC 24595 PARKER-ROBINSON, GWENDOLY PRIMESOURCE HEALTHCARE SY 07/05/16 HORWITZ HORWITZ & ASSOC 121 16WC 24683 KYSER, LONNIE OLYMPIC MOVING 07/22/16 STEVEN J MALMAN & ASSOCIAT 122 16WC 25235 STEELE, CHRISTOPHER DHL EXPRESS USA INC 07/08/16 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 123 16WC 25407 CIGANOVIC, VERA WALDORF ASTORIA, A SUBSID 09/29/15 GALLIANI DOELL & COZZI LTD 124 16WC 25529 SANCHEZ, OSCAR EL MILAGRO, INC 04/13/15 MC HARGUE & JONES LAW OFFICES FRANCESCA LARSEN 125 16WC 25573 DRISH, RYAN SILBRICO CORP 05/03/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 19WC000917 -C 126 16WC 25819 OCAMPO, ESTEBAN CHICAGO TRANSIT AUTHORITY 07/30/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 127 16WC 25998 BATAINEH, KHALED CLIMATE ZONE HEATING & 04/08/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 128 16WC 26450 HUBBARD, SONYA N CHICAGO PUBLIC SCHOOLS 01/21/16 DISPARTI LAW GROUP PA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 129 16WC 26720 DURON, MARIA P RAIN FOREST CAFE, INC 03/19/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 130 16WC 29167 LISIKIEWICZ, EDWARD PACE SUBURBAN BUS SERVICE 10/03/14 RAYMOND P GARZA LAW OFFICE POWER & CRONIN LTD 16WC029168 -C 131 16WC 34040 GREEN, BARBARA CERMAK HEALTH SERVICES 04/07/15 CAPRON & AVGERINOS PC STATES ATTORNEY OF COOK COUN 132 16WC 34044 BOTICA, MARTIN CITY OF CHICAGO 10/11/16 SALVATO & O'TOOLE 133 16WC 34143 RODRIGUEZ, MARGARITA CARL BUDDIG & CO 10/21/16 CHEPOV & SCOTT LLC KNELL & O'CONNOR 16WC036342 -C 134 16WC 34200 PANIK, THOMAS WILLIAMS STEEL ERECTORS 10/27/16 ELFENBAUM EVERS & AMARILIO GILDEA, COGHLAN & REGAN LTD. 135 16WC 34294 WARD, DENEEN M STATE OF ILLINOS ET AL @ 03/01/16 STUART H GALESBURG C. FLETCHER 136 16WC 34309 BUENZOW, KEITH E VILLAGE OF SKOKIE FIRE DE 09/28/16 FIGLIOLI, DAVID VILLAGE OF SKOKIE 137 16WC 34345 BLOCH, FERN COOK COUNTY CLERK OF COUR 10/31/16 KATZ FRIEDMAN EAGLE ET AL STATES ATTORNEY OF COOK COUN 138 16WC 34370 JORDAN-BAHENA, JACOB RENE CAMPOS LANDSCAPING I 09/27/16 LAW OFFICES LEONARDO MORAL 139 16WC 34425 CONDE, WALTER LOU MALNATI'S 03/11/16 HERRERA LAW CENTER GRANT & FANNING 140 16WC 34490 MCCREEDY, LAWRENCE COOK COUNTY 05/17/16 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 141 16WC 34543 JUNGO, PATRICIA CHICAGO MEAT AUTHORITY 10/29/16 RUEDA, IVAN A 142 16WC 34570 HOOKS, KAREN PACE SUBURBAN BUS 09/15/16 DAVID W MARTAY LITCHFIELD CAVO 143 16WC 34739 HUDSON, ANTONIO CHICAGO PUBLIC SCHOOLS 10/24/16 RUBENS AND KRESS CHGO BOARD OF EDUCATION 144 16WC 34837 PALADIN, LUKE COOK COUNTY SHERIFF'S DEP 09/20/16 LAW OFFICES MICHAEL HELLMA INMAN & FITZGIBBONS 145 16WC 34860 GARCIA, MARCO HILTON 07/04/16 LAW OFFICE HOWARD ABRAMS NOBLE & ASSOC 146 16WC 34887 CLAIBORNE, THEODORE C UNIVERSITY OF IL AT CHICA 05/21/15 SLAVIN & SLAVIN NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 147 16WC 35153 WILLIAMS, DEVONA EUROPEAN SERVICE AT HOME 05/23/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 148 16WC 35192 RIGGENS, DUANE INFUSION MANAGEMENT GROUP 11/21/15 WOLIN KELTER & ROSEN LTD RIPES NELSON BAGGOT KALOBRAT 149 16WC 35221 MCDONALD, ALICE SPIRIT HALLOWEEN SUPER ST 11/03/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 16WC035222 -C 150 16WC 35331 MARTINEZ, ANILU EYM DINER LP AKA PIZZA HU 10/01/16 CUDA LAW OFFICES INMAN & FITZGIBBONS 151 16WC 35349 PROCTOR, RENDA LUDEMAN CENTER @ 07/03/16 ASSISTANT ATTORNEY GENL 152 16WC 35508 EVITT, DEREK TOWN OF CICERO POLICE DEP 10/11/16 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 153 16WC 35536 DAVIS, CLINIQUE UNIVERSITY OF CHICAGO MED 10/06/16 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 154 16WC 35767 SWIETLICKI, ZBIGNIEW SKRUT CONSTRUCTION INC 11/11/16 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM GRA 155 16WC 35889 STRATTON, YOLANDA FEDEX 09/01/16 RUBIN LAW GROUP 156 16WC 36050 GARCIA, EDUARDO DUTCH FARMS 09/23/16 JONATHAN SCHLACK WOLF & LAUDICINA LTD 157 16WC 36359 ROSALES, CRESENSIO VIKING MATERIALS 08/05/16 TOPPER & WEISS LTD POULOS & DIBENEDETTO LAW 158 16WC 36633 SCOTT, YVETTE PARAMOUNT OF OAK PARK 08/13/16 BRADY CONNOLLY & MASUDA PC 159 17WC 03065 WARZECHA, ARTUR JCB INTERNATIONAL INC 01/26/17 CHRISTOPHER BUCHCAR, LTD KNELL & O'CONNOR 160 17WC 03359 RIPKA, JOHN P VILLIAGE OF WINNETKA 10/05/16 THOMAS W DUDA POWER & CRONIN LTD 161 17WC 03407 MCNEAL, LISA JACKSONN CHICAGO REED MENTAL HEALT 01/04/17 EDWIN REYES LEGAL GROUP ASSISTANT ATTORNEY GENL 18WC012636 -C 162 17WC 03595 BRANDON, CHERYL KELLOGG 01/12/17 MARC J SHUMAN & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 163 17WC 03774 TURAJ, ROMAN ILLINOIS GRANITE & MARBLE 12/06/16 CHEPOV & SCOTT LLC BRADY CONNOLLY & MASUDA PC 164 17WC 03858 BENDER, NICOLE CHICAGO TRANSIT AUTHORITY 11/30/16 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 165 17WC 03894 ARRIAGE, MARTHA BLUE PLATE 10/28/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 166 17WC 03913 RIVERA, SOPHIA NORTHEASTERN IL UNIVERSIT 12/20/16 LAW OFFICE OF SCOTT B SHAP ASSISTANT ATTORNEY GENL 167 17WC 03930 SANCHEZ, CAROLINA SMG MCCORMICK PLACE F&B 10/23/16 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 18WC030538 -C 168 17WC 03975 KIRKLEY, JAMES FORD MOTOR COMPANY 07/10/16 HORWITZ HORWITZ & ASSOC 169 17WC 04335 CHANDLER, IRIS ALPHA MONTESSORI SCHOOL 01/13/17 170 17WC 04591 NEAL, ERIC L CITY OF CHICAGO 12/22/16 MC HARGUE & JONES 171 17WC 04610 SIMS, SHEILA CHICAGO BOARD OF ED 01/20/17 LEO ALT CHGO BOARD OF EDUCATION 172 17WC 04804 QUEEN-THOMAS, BEVERLY BOARD OF ED CHICAGO 09/01/11 BEVERLY QUEEN-THOMAS 173 17WC 05245 HALL, NICHOLE A FORD MOTOR CO 12/09/16 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 17WC005246 -C 18WC007380 -C 174 17WC 05344 19B TROTTER, FELICIA COCA COLA 02/16/17 CHRISTIAN & MANNO BRADY CONNOLLY & MASUDA PC 175 17WC 05362 KAZIOR, MELISSA TARGET 01/30/16 GORDON & CENTRACCHIO LLC KEEFE CAMPBELL & ASSOC LLC 176 17WC 05388 GUERRERO, ALICIA F MCDONALD'S 11/22/16 CULLEN HASKINS NICHOLSON 177 17WC 05482 GONZALEZ, PHILLIP FEDEX 02/11/17 GOLDSTEIN BENDER & ROMANOF 18WC014377 -C FEDERAL EXPRESS 18WC016459 -C CHILI'S RESTAURANT 178 17WC 05687 PIZARRO, LYDIA HOMEGOODS INC 11/10/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 179 17WC 05952 HITCHCOCK, AMANDA FORD MOTOR COMPANY 01/09/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 180 17WC 06274 IZGUERRA, GUADALUPE TRELLEBORG SEALING SOLUTI 01/15/16 MARTIN V KUGIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 181 17WC 06541 HATTEN-ALEXANDER, ANGELA THE CIRCUIT COURT OF COOK 02/15/17 KATZ FRIEDMAN EAGLE ET AL STATES ATTORNEY OF COOK COUN 182 17WC 08096 QUIROZ, BERTHA COMPASS GROUP 03/13/17 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 183 17WC 10338 GALBRAITH, DANIEL CITY OF CHICAGO 03/24/17 SALVATO & O'TOOLE 184 17WC 13424 CABRALES, OMAR 24/7 CHICAGO LOCKSMITHS 01/31/17 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 185 17WC 13465 BELK, ANTONIO COOK COUNTY SHERIFF'S DEP @ 01/31/17 LANGENDORF, ROBERT A STATES ATTORNEY OF COOK COUN 186 17WC 13500 WILLIAMS, CHRISTOPHER AMERIFREIGHT SYSTEMS, LLC 04/07/17 ARGIONIS & ASSOCIATES LLC MCANANY VANCLEVE & PHILLIPS 187 17WC 13633 DIAZ, RAUL VARGAS GROUP 09/14/16 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 188 17WC 13649 TRIPP, CORILIS STATE OF ILLINOIS-DEPARTM @ 04/03/17 ANKIN LAW OFFICE DANIELLE CURTISS 189 17WC 13779 TODE, ROSE RGIS INVENTORY 01/14/14 WHITESIDE & GOLDBERG LTD ARNETT LAW GROUP 190 17WC 13900 JAZO, GAYLE PRIMUS ORTHOPEDICS, S.C. 11/18/16 SPENCER LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 191 17WC 14048 HAMER, MARK BME ELECTRIC, INC 03/17/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 192 17WC 14176 VILLA, LUCAS J PANGEA VENTURES LLC 04/26/17 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 193 17WC 14379 LARA JR, GUILLERMO EL MINIAT LLC 04/25/17 MINKOW DOMIN POWER & CRONIN LTD 194 17WC 14563 PADILLA, ENELIDA SECURITAS 11/29/16 SALVATO & O'TOOLE WIEDNER & MCAULIFFE LTD 195 17WC 14618 LIAUBA, MARIANNE SOUTH SUBURBAN COLLEGE 05/12/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 196 17WC 14903 CURRY, ADAM WALSH CONSTRUCTION CO OF 07/13/16 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 197 17WC 14941 JAUREZ, MAYBELINE SWEDISH COVENANT HOSPITAL 12/22/16 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 198 17WC 14984 SEGERS, MICHAEL NORTH AMERICAN DISTRIBUTI 05/11/17 TURCYCHUTE LLC FRIEDRICH LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 199 17WC 15037 MADRIZ-OCAMPO, JOSE PANGEA VENTURES, LLC 06/29/15 EPSTEIN, JACK R LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 200 17WC 15139 WILSON, KORTILLOUS AVERUS 05/16/17 DOUGLAS RALLO PC MACIOROWSKI SACKMANN & ULRIC 201 17WC 15197 PIPHUS, GERALDINE FEDEX GROUND PACKAGE SYST 04/22/17 CORBOY & DEMETRIO PC KOPKA, PINKUS DOLIN, PC 202 17WC 15219 LINCOLN, DAVID CITY OF CHICAGO 12/16/16 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 203 17WC 15236 GOGGINS, SANDRA CHICAGO TRANSIT AUTHORITY 04/29/17 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 204 17WC 15258 WILLIAMS, CALVIN CITY OF CHICAGO 05/10/17 DWORKIN AND MACIARIELLO 205 17WC 15314 DANYAL, GORGES D&D FINER FOODS 05/03/17 SEIDMAN MARGULIS & FAIRMAN RIPES NELSON BAGGOT KALOBRAT 206 17WC 15357 TERCS, CSABA RUSH UNIVERSITY MEDICAL C 05/14/17 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 207 17WC 15401 LOUIS, TERESA BURLINGTON COAT FACTORY 05/08/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 208 17WC 15486 STRIBLING, DONNA DAKKOTA INTEGRATED SYSTEM 04/15/16 ALEKSY BELCHER RIPES NELSON BAGGOT KALOBRAT 209 17WC 15591 STOUTMIRE, LESTER FRESH EXPRESS 03/12/16 JAMES ELLIS GUMBINER & ASS 210 17WC 15651 MEHRINGER, BRIAN NORTHERN PRODUCTS CO 09/19/16 ROBIN LAW OFFICE HOLECEK & ASSOCIATES 17WC015652 -C 211 17WC 15669 ROSALIO, CRISOFORO ACCURATE PARTITIONS 04/07/17 MC HARGUE & JONES GAROFALO SCHREIBER STORM GRA 212 17WC 15693 MORALES, ALEXANDRA CHICAGO BARTON LLC 12/08/16 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 18WC033823 -C 213 17WC 15734 MALDONADO, LENNY PRESENCE HEALTH 05/14/17 COVEN LAW GROUP 214 17WC 15799 PLECKI, JACOB M BETON CONSTRUCTION CO. 05/16/17 FIGLIOLI, DAVID BRADY CONNOLLY & MASUDA PC 215 17WC 15951 SHARP, TERRENCE CTA 05/12/17 FOHRMAN, DONALD W & ASSOCS 216 17WC 15966 CHAVEZ, MA ROSARIO CHICAGO POWDERED METAL PR 01/07/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 217 17WC 15990 GALINDO, EDWIN JANOZ BUILDING SERVICES, 04/26/17 CULLEN HASKINS NICHOLSON VILLALOBOS, RAUL 218 17WC 16310 LOPEZ, JESSICA FLORES SURE STAFF 01/27/17 EDWIN REYES LEGAL GROUP LOUIS MUNDY 219 17WC 16494 LAMBERT, GEORGE THE WALSH GROUP 05/02/17 TAXMAN POLLOCK HINSHAW & CULBERTSON 220 17WC 20299 INSKO, DUSTIN MIDLAND GENERAL CONTRACTO 06/14/17 COVEN LAW GROUP LAW OFFICES OF EDWARD J. KOZ 221 17WC 22504 MITIC, MILOS PARIS FREIGHT INC # 05/24/17 SPIEGEL & CAHILL, PC 222 17WC 22897 VALDEZ, TERESA WATERTON HOSPITALITY D/B/ 12/11/16 FREDRICK B BARDER, LTD HOLECEK & ASSOCIATES 223 17WC 23018 ROCK, CINDY BLU PETROLEUM 11/17/16 JAMES J. GAY 224 17WC 23038 ALTIER, SCOTT PILOT FREIGHT SVCS 04/07/17 LEONARD LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 225 17WC 23139 BUCKNER, DELOREAN CTA 07/24/17 GARDI & HAUGHT CHICAGO TRANSIT AUTHORITY 226 17WC 23307 ZUNIGA, FRANNCISCO CHICAGO TRANSIT AUTHORITY 07/22/17 RIDGE & DOWNES 227 17WC 23328 CAHUE, MARIA STAMPEDE MEAT INC 05/10/17 KARCHMAR & STONE GANAN & SHAPIRO 228 17WC 23411 FRIGO, MICHAEL WERTHEIMER BOX AND PAPER 07/15/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 229 17WC 23616 BERGLES-MUEHLENBECK, TRAC MOBILITIE MGMT, LLC 06/27/17 PAUL A COGHLAN & ASSOC HENNESSY & ROACH PC 230 17WC 23675 LINTON, STANLEY WESTMONT ENGINEERING CO 09/25/15 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 17WC027205 -C 231 17WC 23690 MARTINEZ, CESAR CTA 08/04/17 CHICAGO TRANSIT AUTHORITY 232 17WC 23725 PUCKETT, DOMINICK PEOPLES GAS 03/29/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 233 17WC 23861 SIMPSON, COLIN PURPLE PIG 07/15/17 DEPAOLO & ZADEIKIS QUINTAIROS PRIETO WOOD & BOY 234 17WC 24402 EVANS, MICHELLE UNITED AIRLINES INC 02/09/17 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 19WC008738 -C 235 17WC 24464 GALIGHER, MICHELLE L ADVOCATE CHRIST MEDICAL C 05/01/17 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 236 17WC 24500 JOHNSON, BRIAN CITY OF CHICAGO 07/27/17 GOLDSTEIN AIOSSA & GOOD CITY OF CHICAGO 237 17WC 24566 DUSEK, ERIC UNISYS CORPORATION 08/04/17 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 238 17WC 24585 WEBB, DENARDO DELTA SONIC 08/11/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 239 17WC 24628 CALI, JOSEPH E JR VILLAGE OF WHEELING 09/02/15 THOMAS W DUDA KLEIN THORPE & JENKINS LTD 18WC001323 -C 240 17WC 24685 BURNS, MELVIN STATE OF IL DEPT OF @ 08/02/17 MARKHAM M JEEP & ASSOCIATE DANIELLE CURTISS 241 17WC 24771 HOLMES, MELISSA CHICAGO BOARD OF EDUCATIO 04/03/17 LEO ALT CHGO BOARD OF EDUCATION 242 17WC 24932 LITZEY, MARY CENTRAL STEEL AND WIRE CO 03/21/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 17WC024933 -C 243 17WC 25228 MARSHALL-LANG, ANTHONY FIRESTONE COMPLETE AUTO C 04/19/17 SCOTT BARBER 244 17WC 25260 WANG, HONG MEI HARPER COLLEGE 08/15/16 ROMANEK & ROMANEK WIEDNER & MCAULIFFE LTD 245 17WC 25293 MORRIS, VIVIAN NAVISTAR 04/01/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 246 17WC 25315 WATSON, MICHAEL STEVEN'S SECURITY AND TRI 08/03/17 VASILATOS & COTTER LLC 247 17WC 25387 PHILLIPS, JOSEPH MISWAY DODGE 08/11/17 GRAZIAN & VOLPE PC 248 17WC 25420 COULTER, LARRY GENERAL IRON 06/29/17 CAPRON & AVGERINOS PC 249 17WC 25656 LARA, ANABEL CLUB QUARTERS 08/03/17 JOHN S. ELIASIK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 250 17WC 25671 PITTMAN, ANDRE CHICAGO TANSIT AUTHORITY 08/22/17 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 251 17WC 25700 SEVERINO, SOPHIA UNITED AIRLINES 07/10/17 CULLEN HASKINS NICHOLSON 252 17WC 25717 ARENAS-ALVA, MARTINA MIDWEST CANVAS 05/02/17 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM GRA 253 17WC 31716 SCOTT, TRACEY TWO MEN AND A TRUCK 10/21/17 FOHRMAN, DONALD W & ASSOCS HENNESSY & ROACH PC 254 17WC 32413 NAVA, JUANITA QUALITY LABOR SERVICES 10/19/17 LAW OFFICES LEONARDO MORAL INMAN & FITZGIBBONS 255 17WC 32623 FONTANA, JUNE INSIGHT GLOBAL LLC 07/01/16 JAMES A. KAMIDE LAW OFFICES JOSEPH MARCINIAK 256 17WC 32719 MILLAN, HENRY CITY OF CHICAGO HEALTH DE 10/24/17 SHELDON I MINKOW & ASSOCIA 257 17WC 32721 KNIGHT, CECIL AT&T 09/27/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 258 17WC 32779 BATES, TRACY VERSITI, INC 07/25/17 BRISKMAN BRISKMAN GREENBER MEACHUM & STARCK 259 17WC 32794 JAMES, WILLIE MARIE JACKSON PARK HOSPITAL 09/11/17 DWORKIN AND MACIARIELLO ODELSON & STERK 260 17WC 33064 FRIEL, GEORGE PARK FOREST CHICAGO HTS 09/26/17 ANGELINI & ORI LLC BRADY CONNOLLY & MASUDA PC 261 17WC 33221 MOONEY, KATHERINE MICROSOFT TECHNOLOGY CENT 08/22/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 262 17WC 33266 HOROWTIZ, DEAN ELLIS PROGRESSIVE BUINESS MEDIA 09/21/16 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 263 17WC 33325 MURDEN JR, RALSTON CHICAGO TRANSIT AUTHORITY 09/24/17 ANKIN LAW OFFICE 264 17WC 33370 MONTES, ALBERTA CROTHALL LAUNDRY SVCS 11/02/17 COVEN LAW GROUP GOLDBERG SEGALLA LLC 265 17WC 33416 MONAHAN, JAMES ARAMARK 04/01/15 THOMAS A MORRISSEY STONE & JOHNSON CHARTERED 17WC033417 -C 17WC033418 -C 266 17WC 33480 BROWN, SHELLY STATE OF IL DHS 02/03/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 267 17WC 33557 SANTILLAN, JOSE SMART INTERIORS, LLC 10/13/17 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 268 17WC 33608 SILVERSTEIN, RICHARD MACHINED PRODUCT CO. 10/19/17 NEWLAND & NEWLAND 269 17WC 34013 VILLEGAS, ELVA THE HARTFORD 08/29/17 DEPAOLO ZADEIKIS GORE 270 17WC 34163 HENTGEN, DIANE CBOE 03/28/17 LEO ALT 271 17WC 34281 SCRUGGS, KENNETH COLDWELL BANKER 11/09/17 272 17WC 34370 DOMIAN, STEVEN P CITY OF CHICAGO- WATER MA 10/17/17 NILSON STOOKAL GLEASON CAP 273 17WC 34505 JACOBO, SERGIO SCOTT BYRON & CO 04/23/12 STANCZAK LAW OFFICES 274 17WC 34576 NIETO, MA FELISA ANGELICA CORPORATION 08/03/17 COLLISON LAW OFFICES 275 17WC 34741 HARRIS, NIKITA WIDE OPEN WEST 10/21/17 276 17WC 34868 GAYTAN, ISABEL PREFERRED MEAL SYSTEM INC 10/10/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 277 17WC 34974 PATTI, KATHRYN EARTHLINK 01/26/15 SCOTT BARBER HOLECEK & ASSOCIATES 278 17WC 34996 GOMEZ RAMOS, RAMIRO SUPERIOR STAFFING 11/15/17 EPSTEIN, JACK R LAW OFFICE SLAVIN & SLAVIN 279 17WC 35085 TOLIVER, ANTHONY SR. BREAKING GROUND INC 11/16/17 DWORKIN AND MACIARIELLO THOMAS & PORTELA 280 17WC 35250 RODRIGUEZ, ROSA L HELP AT HOME LLC 11/22/17 HERRERA LAW CENTER 281 17WC 35534 SALCEDO, LUZ LITTLE LADY FOODS, INC 08/28/17 LUSAK AND COBB 282 18WC 03252 RAIMONDI, JACK V GEM CONSTRUCTION, INC. 11/17/17 GALLAGHER, DONALD V LAWRENCE COZZI - LAW OFFICES 283 18WC 03541 GARCIA, SILVESTRE PACTIV, C/O CT CORP SYSTE 09/12/17 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 284 18WC 03564 HARRIS, SPENSER LIVE NATION 01/09/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 285 18WC 03601 GOGA, CINDY M STARBUCKS 04/15/16 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 286 18WC 03661 WILLIAMS, ROBERT LUIGI'S PIZZA 01/11/18 JAMES H MILLER JR 287 18WC 03739 PAYNE, PALMER A CHICAGO TRANSIT AUTHORITY 08/03/17 BUDIN LAW OFFICES CHICAGO TRANSIT AUTHORITY 288 18WC 03823 BARROW, KEITH U.S. FOODS 01/12/18 BOGUSZ & BOGUSZ LTD BRADY CONNOLLY & MASUDA PC 289 18WC 03880 HILL, JERRI MARIANO'S FRESH MARKET/ 01/15/18 JOSHUA KARMEL BRYCE DOWNEY & LENKOV LLC 290 18WC 03987 NEGRON, JULIAN PRET A MANGER USA 12/30/17 GOLDSTEIN AIOSSA & GOOD JOSEPH MARCINIAK 291 18WC 04022 PEEPLES, MARK LA FITNESS 12/28/17 RUBIN LAW GROUP KRAKER FANNING & OLSEN 292 18WC 04034 KEMP, CHRISTOPHER UTILITY RESOURCES GROUP L 10/24/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 293 18WC 04144 YOUNG,IMARI SRV ELECTRIC 10/20/16 BAUM RUFFOLO & MARZAL LTD GRANT & FANNING 18WC004145 -C 294 18WC 04173 VASQUEZ, BARBARA COOK COUNTY JUVENILE 06/21/17 BRILL & FISHEL STATES ATTORNEY OF COOK COUN 295 18WC 04186 KING, JOHN CITY OF CHICAGO 02/01/18 HEALY SCANLON LAW FIRM 296 18WC 04204 PICMAN JR, WILLIAM J VILLAGE OF JUSTICE 10/14/17 FRIEDMAN & SOLMOR LTD POWER & CRONIN LTD 297 18WC 04287 HENDRIX, JOHNNY PACE SUBURBAN BUS SERVICE 08/10/17 ANKIN LAW OFFICE POWER & CRONIN LTD 298 18WC 04356 WILLIAMS, SYLVIA ARAMARK 01/10/18 VASILATOS & COTTER LLC 299 18WC 04470 SANCHEZ, SONIA ABM JANITORIAL SERVICES 09/15/17 HORWITZ HORWITZ & ASSOC GOLDBERG SEGALLA LLC 300 18WC 04509 SOTO, GUADALUPE MIDWEST MOLDING 12/27/17 HERRERA LAW CENTER KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 18WC 04532 ALVAREZ, ROSELIA PALOS HILLS HOSPITAL 11/08/17 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 302 18WC 04560 RAMIREZ, JESSE WILLIAM J CASSIDY TIRE 08/29/16 ASHER, RAYMOND L LTD CASSANO & ASSOCIATES 18WC004561 -C 18WC005567 -C 18WC012679 -C 303 18WC 04639 DARDAGAN, RAMO UNIVERSAL GRANITE & MARBL 10/12/17 JEFFREY FRIEDMAN WIEDNER & MCAULIFFE LTD 304 18WC 04640 TAYLOR, DARNELL FORD MOTOR COMPANY 10/23/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 18WC004641 -C 18WC004642 -C 305 18WC 04677 MARSHALL, SHIRLEY VITAS HEALTHCARE 01/29/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 306 18WC 04706 RICO, ALEJANDRO BENCHMARK CONSTRUCTION CO 01/04/17 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 307 18WC 04829 VELAZQUEZ MARTINEZ,GUILLE RICHARDSON SEATING CORPOR 11/13/17 EPSTEIN, JACK R LAW OFFICE KRAKER FANNING & OLSEN 308 18WC 04967 ZIEMKE, DARYL NBC UNIVERSAL CHICAGO FIR 01/12/18 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 309 18WC 05013 ADEWO, BAYO BIG APPLE CAB TWO CO 06/05/17 CHASE & WERNER LTD 310 18WC 05060 SULLIVAN, STEVEN PAMELA LOVE 12/12/16 311 18WC 05113 BROWN, LETICIA ALDI FOODS 03/11/15 LUSAK AND COBB 312 18WC 05139 FOSTER, LAYUNA NORTH CENTER FOR HANDICAP 01/18/18 JONATHAN SCHLACK JOSEPH MARCINIAK 313 18WC 05219 ROJAS-ACUNA, ARTEMIO AAA PAINTING CONTRACTORS, 11/03/17 LULAY LAW OFFICES 314 18WC 05288 RIVERA, JUAN THE CHLOROX CO 10/02/17 BOUDREAU NISIVACO LLC WIEDNER & MCAULIFFE LTD 315 18WC 05357 ABNER, THOMAS FORD MOTOR CO. 02/01/18 VASILATOS & COTTER LLC POWER & CRONIN LTD 316 18WC 05463 LEE, ROBERT ABF FREIGHT SYSTEMS INC 09/24/17 GOLDBERG WEISMAN & CAIRO L 317 18WC 05711 BRAMBERT, CAITLINA BUFFALO WILD WINGS 11/10/17 GALLAGHER, DONALD V

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 318 18WC 05787 SPEGON, JASON CHICAGO TRANSIT AUTHORITY 01/16/18 DIXON LAW FIRM CHICAGO TRANSIT AUTHORITY 319 18WC 05877 COLSTON, TRACEY CTA 02/01/18 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 320 18WC 05917 BELL, GARY CARL BUILDING & CO 02/10/18 FOHRMAN, DONALD W & ASSOCS KNELL & O'CONNOR 18WC005918 -C 321 18WC 05933 BRADIN, ANDREA CLAIRE'S BOUTIQUE 08/28/16 JAMES ELLIS GUMBINER & ASS ARNETT LAW GROUP 322 18WC 05954 CARRILLO, MARTHA ELITE STAFFING 09/01/17 ENCINAS & ORNELAS 323 18WC 05981 VELAZQUEZ, CRISTOBAL SOMERVILLE PLATING CO 02/08/18 324 18WC 06078 DAY, PETE LEOPARDO COMPANIES, INC 01/25/17 HORWITZ HORWITZ & ASSOC GRANT & FANNING 325 18WC 06154 STEPHENS, REGINALD CHICAGOPUBLIC SCHOOL 02/07/18 BRISKMAN BRISKMAN GREENBER CHGO BOARD OF EDUCATION 326 18WC 06169 GUERRERO, ALEJANDRO WHEATLAND TUBE CO 02/12/18 CELSO FUENTES JR GAROFALO SCHREIBER STORM GRA 327 18WC 06216 CROSSLEY, MYRA CHILDREN'S HOME & AID 04/25/16 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 328 18WC 06321 SHULTAF, JAMAL AL BAWADI GRILL 12/29/17 GALLAGHER, DONALD V JOSEPH MARCINIAK 329 18WC 06383 CALDERON-RAMOS, ANGELINA CITY OF CHICAGO 02/11/18 BURNETT & CARON, LTD LEAHY EISENBERG & FRAENKEL 330 18WC 06498 FRIES, MICHAEL MONDELEZ GLOBAL, LLC 02/11/18 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 331 18WC 12107 FROBES, JAMES CITY OF CHICAGO 02/17/18 VRDOLYAK LAW GROUP LLC 332 18WC 13362 MATRANGA, ANTHONY CITY OF CHICAGO 04/12/18 STEINBERG, POLACEK & GOODM CITY OF CHICAGO 333 18WC 13584 BONKOWSKI, BRADLEY JEWEL OSCO 04/20/18 JOSHUA KARMEL 334 18WC 13639 ANSELMINI, BRANDON ROCKFORD ICE HOGS 01/28/18 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 335 18WC 13669 RODRIGUEZ, ANIBAL GEORGIA NUT COMPANY 01/22/18 JAMES ELLIS GUMBINER & ASS CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 336 18WC 13698 JACKSON, RENEE ILLINOIS SECRETARY OF STA @ 01/24/18 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 337 18WC 13758 SHARIF, MUHAMMAD ATAULLAH AMERICAN AIRLINES, INC 02/07/18 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 338 18WC 13844 PHILLIPS, TERRY STATE OF IL DJJ IYC @ 04/25/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 339 18WC 13869 CONNER, TYRONE VILLAGE OF GLENWOOD 03/13/18 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 340 18WC 13911 RODRIGUEZ, BLANCA TARGET CORPORATION 08/22/17 ROBERT WARSASKI NYHAN BAMBRICK KINZIE & LOWR 341 18WC 13993 SANCHEZ, MARCO A MARCO SANCHEZ 03/12/18 ACEVES & PEREZ PC 342 18WC 14031 MAHER, HEATHER LEIGH MORAINE VALLEY COMMNTY CO 04/03/18 COSTA IVONE LLC POWER & CRONIN LTD 343 18WC 14239 BRYANT, LONDONN ILLINOIS DEPT OF JUV JUST @ 12/13/17 KREITER, BYCK & ASSOC LLP DANIELLE CURTISS 18WC014240 -C 18WC014241 -C IL DEPT OF JUVENILE JUSTIC 18WC014242 -C 18WC014243 -C IL DEPT OF JUVENILE JUSTIC 344 18WC 14276 MATIAS, AMADO UPS 05/02/18 BERG & BERG NYHAN BAMBRICK KINZIE & LOWR 345 18WC 14400 OCAMPO, ROSA KINDERCARE LEARNING CTR 01/11/17 JONATHAN SCHLACK HENNESSY & ROACH PC 18WC014401 -C 19WC007402 -C 19WC014211 -C 346 18WC 14526 TOMASELLO, AMRIO CITY OF CHICAGO - 10/30/17 O'CONNOR & NAKOS CITY OF CHICAGO 347 18WC 14580 ALCANTAR, DENISE CITY OF CHICAGO DEPT OF S 12/05/17 ANKIN LAW OFFICE CITY OF CHICAGO 348 18WC 14596 LANGE, SHEILA LEXINGTON HOME HEALTH & 02/09/18 TAMVAKIS, GEORGE L 349 18WC 14656 SWEATT, RONALD MATTESON SCHOOL DISTRICT 08/22/17 AMBROSE BUTZEN LAW GROUP POWER & CRONIN LTD 350 18WC 14760 GARCIA, MARIA SILVER LINE WINDOWS 11/30/17 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 351 18WC 14784 DIXON-MARTIN, DARLING SCR MEDICAL TRANSPORTATIO 05/08/18 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 352 18WC 14853 AIARDO, JONATHAN GROOT INDUSTRIES 06/12/17 TIMOTHY HENDERSON BRADY CONNOLLY & MASUDA PC 18WC014854 -C 353 18WC 14899 MARSHALL, RAY ELITE STAFFING 05/14/18 MC HARGUE & JONES 354 18WC 14948 GONZALEZ, JOSE G DIVERSIFIED RECYCLING INC 05/26/17 COSTA IVONE LLC KEEFE CAMPBELL BIERY & ASSOC 355 18WC 14996 CROSS, JONATHAN SYSCO CHICAGO, INC 01/04/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 356 18WC 15039 GULLEY, LARRY LAMBERT REALTY W 03/21/18 JAMES L. HARDEMON 357 18WC 15127 HASLERIG, LIONEL EIMER STAHL LLP 02/02/18 DWORKIN AND MACIARIELLO EDWARD J. KOZEL 358 18WC 15147 QUINLAN, KATHRYN CITY OF CHICAGO 07/25/14 TURCYCHUTE LLC CITY OF CHICAGO 359 18WC 15173 GUERRERO, RICARDO J OMEGA & ASSOCIATES, INC 02/08/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 360 18WC 15191 HOLLOMAN, NICOLE CTA 11/21/17 ANGELINI & ORI LLC CHICAGO TRANSIT AUTHORITY 361 18WC 15327 SCOTT, THEARTHUR CHICAGO TRANSIT AUTHORITY 03/07/18 RITTENBERG BUFFEN CHICAGO TRANSIT AUTHORITY 362 18WC 15427 DEL COTTO, WILLIAM ADVOCATE SOUTH SUBURBAN H 08/01/17 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 363 18WC 15475 TOPCZEWSKI, CHARLES CITY OF CHICAGO 05/08/18 SHANNON LAW GROUP HENNESSY & ROACH PC 364 18WC 15496 HAWKINS, ELIZABETH BLOOM TRAIL HS SCHOOL DIS 05/14/18 VASILATOS & COTTER LLC 365 18WC 15514 VOLCU, VASILE C&S CONSTRUCTION, LLC. 04/21/18 STANCZAK LAW OFFICES JOSEPH MARCINIAK 366 18WC 15539 GONZALEZ, CARLOS GEORGIA NUT COMPANY 03/28/18 EPSTEIN, JACK R LAW OFFICE 367 18WC 15676 BOWLING, KARRIE POPEYES 03/15/18 JAMES ELLIS GUMBINER & ASS JOSEPH MARCINIAK 368 18WC 15711 OUSLEY, TEQUILA O ALDEN LAKELAND NURSING HO 05/01/18 VITELL & SPITZ LTD KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 369 18WC 16058 ROBINSON, ANTHONY ELITE STAFFING INC 05/24/18 CUDA LAW OFFICES 370 18WC 16076 JONES, ADENA CTA 05/24/18 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 371 18WC 16129 NALLS, STARLA JOHN J MADDEN 04/09/18 DWORKIN AND MACIARIELLO DANIELLE CURTISS 372 18WC 16149 ESPARZA, JUAN ALSIDE SUPPLY CENTER 04/30/18 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 373 18WC 16188 GUDANOWSKI, SYLVIA DISCOVERY PRACTICE MANAGE 04/14/18 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 18WC025218 -C 374 18WC 16291 SMITH, FREDRICK CITY OF CHICAGO 02/17/18 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 375 18WC 16311 CUMMINGS, BERNICEL COOK CNTY DEPT OF CORRECT 09/20/17 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 376 18WC 16366 DELACRUZ, JOSE LYFT 05/14/18 BRISKMAN BRISKMAN GREENBER ANCEL GLINK DIAMOND BUSH & E 377 18WC 16383 PULIDO, LUIS ALFONSO GRAZIANO'S BRICK OVEN PIZ 02/27/18 HERRERA LAW CENTER 378 18WC 16425 OJO, OLUSEYI A ALARIS 01/09/18 MANDELL, GREGG LEAHY EISENBERG & FRAENKEL 379 18WC 16507 CAMARDA, EMANUELE NELSEN STEEL COMPANY 04/06/18 GREGORIO & MARCO 380 18WC 16545 PORTER, RODERICK GREAT LAKES COCA-COLA DIS 05/31/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 381 18WC 16604 DIPASALEGNE, LESLIE MACY'S 12/23/17 HORWITZ HORWITZ & ASSOC GAIDO & FINTZEN 382 18WC 22580 ROMERO, TRANSITO INDIAN GARDEN RESTAURANT 05/19/18 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 383 18WC 23433 MANZANO, RAMBERTO ADVANCED SPRINKLER SYSTEM 07/12/18 CELSO FUENTES JR 384 18WC 23503 ADAMS, TOMMY ARMARK FACILITY SERVICES 06/29/18 COSTA IVONE LLC 385 18WC 23533 OUARDI, EL BOUAZZAOUI EL TRIBECA CAB CORP. 04/20/18 FISHER & LAMONICA NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 386 18WC 23604 LAPINSKIE, CHRISTINE SCHAUMBURG TWNSHP DIST LI 12/08/17 SCOTT BARBER JOSEPH MARCINIAK 387 18WC 23652 SALINAS, JOSE L NEALEY FOODS, INC 01/30/18 DWYER & COOGAN RUSIN & MACIOROWSKI LTD 18WC023653 -C 388 18WC 23734 YEPEZ, JOSE ROINS PRODUCE INC. 07/24/18 MC HARGUE & JONES JOSEPH MARCINIAK 389 18WC 23782 FICHTER, JAMES FORD MOTOR COMPANY 08/03/18 RUBENS KRESS MULHOLLAND POWER & CRONIN LTD 390 18WC 23948 GARCIA, LETICIA JOHNSON CLEANING, INC 05/15/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 391 18WC 24003 DANIELSKI, CHRISTINE ADVOCATE CHRIST MEDICAL C 08/16/16 ARGIONIS & ASSOCIATES LLC NYHAN BAMBRICK KINZIE & LOWR 18WC024004 -C 18WC024005 -C 18WC024006 -C 392 18WC 24039 PRICE, BESSIE ARETE EVENT STAFFING 07/08/18 DEPAOLO & ZADEIKIS KNELL O'CONNOR DANIELWICZ 393 18WC 24102 ALAMANJO, GODWIN CHICAGO SEVEN, INC. 06/24/18 COHN LAMBERT RYAN & SCHNEI 394 18WC 24165 SALAZAAR, RAFAEL NATIONAL CASH REGISTER 07/06/18 CAPRON & AVGERINOS PC SPIEGEL & CAHILL, PC 395 18WC 24185 BUTLER, JAMES SOS SECURITY HOLDINGS LLC 07/26/18 JAMES J. GAY 396 18WC 24220 PEREZ, MARTHA RENAISSANCE CHICAGO DOWNT 06/08/18 HART & DAVID LLP NYHAN BAMBRICK KINZIE & LOWR 19WC025229 -C 397 18WC 24246 WILLIAMS, JON REM 07/31/18 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 398 18WC 24297 LARKIN, JOSEPH COOK COOK SHERIFF'S DEPT 08/02/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 399 18WC 24347 SOTO, MARIA SODEXO, INC 11/16/17 400 18WC 24526 SZATKO, JOHN S HIMMELSTEIN AND COMPANY 06/04/18 SCHRAMM LAW GROUP WIEDNER & MCAULIFFE LTD 401 18WC 24594 BARKLEY, JEANETTE CITY OF CHICAGO DEPT OF A 02/18/18 JAMES ELLIS GUMBINER & ASS 402 18WC 24681 DILLON, MATTHEW METROPOLITAN WATER RECLAM 02/20/18 NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 403 18WC 24683 MERZA, BENJAMIN CUSHMAN WAKEFIELD 01/04/18 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 404 18WC 24738 HALL, QUVENCY V WATERTON ASSOC LLC 08/09/18 BALKE & WILLIAMS HENNESSY & ROACH PC 405 18WC 24916 MARTINEZ, JENNIFER CHICAGO PARK DISTRICT 08/02/18 ROBBINS & ROBBINS LTD CHICAGO PARK DIST LAW DEPT 406 18WC 24968 MALINOWSKI, KENNETH COOK COUNTY 08/14/18 BAUM RUFFOLO & MARZAL LTD STATES ATTORNEY OF COOK COUN 18WC028822 -C 407 18WC 24999 LONG, RICHARD UNITED AIRLINES, INC 06/15/17 MC HARGUE & JONES 408 18WC 25023 GONZALEZ, JOSE C SANDSMITH MASONRY INC 07/27/18 RAYMOND M SIMARD, PC GANAN & SHAPIRO 409 18WC 25063 PETERSON, DEBORAH UNITED AIRLINES 07/24/18 LANNON LANNON & BARR LTD 410 18WC 25123 RAYA, MARTHA ADECCO 07/05/18 WOODRUFF JOHNSON HENNESSY & ROACH PC 411 18WC 25212 MIMS, DEANDRE C CVS PHARMACY 08/10/18 VITELL & SPITZ LTD NYHAN BAMBRICK KINZIE & LOWR 412 18WC 25240 ROMAN, ARTURO HYATT REGENCY O'HARE 10/15/15 BUDIN LAW OFFICES HENNESSY & ROACH PC 413 18WC 25309 GRIFFIN, DARRIN UPS 08/21/18 KATZ FRIEDMAN EAGLE ET AL ASA LAW GROUP 414 18WC 25506 RIOS, GRICELDA EVOLUTION SORBENT PRODUCT 04/11/17 CUDA LAW OFFICES EDWARD J. KOZEL 415 18WC 25574 FABBRI, STEVEN M ACROSS TOWN DOOR SERVICE, 01/27/15 MORICI FIGLIOLI & ASSOC WIEDNER & MCAULIFFE LTD 416 18WC 25631 GRAY, KIMYATA COOK COUNTY SHERIFF DEPAR 04/26/18 MC HARGUE & JONES STATES ATTORNEY OF COOK COUN 417 18WC 25678 BESS, ELLESSE RGIS 08/19/18 STEWART C ORZOFF 418 18WC 25746 GAINES, ANNETTE FORD MOTOR COMPANY 10/05/17 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 419 18WC 25811 MUHAMMAD, JAMII AUTO WAREHOUSING COMPANY 08/25/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 420 18WC 25843 WAGLAIS, PIERRE LABOR NETWORK 08/03/18 ANGELINI & ORI LLC GAIDO & FINTZEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 421 18WC 25862 CASTRO RAMIREZ, PABLO RAZ DASHEN 08/22/18 RUEDA, IVAN A JOSEPH MARCINIAK 422 18WC 25921 CONDON, DAVID CHICAGO PARK DISTRICT 08/23/18 MINKOW DOMIN CHICAGO PARK DIST LAW DEPT 423 18WC 25945 STEWART, ERICA FORD MOTOR COMPANY 08/01/18 COSTA IVONE LLC 424 18WC 26051 KLIMA, MICHAEL J SERVICE KING PAINT & 03/19/18 DEPAOLO & ZADEIKIS MEACHUM & STARCK 18WC026052 -C 425 18WC 31175 GRIFFIN, KATHRYN STATE OF ILLINOIS 08/28/18 LEONARD LAW GROUP LLC DANIELLE CURTISS 426 18WC 32136 MARROQUIN, OSCAR ARMOR SHIELD CONSTRUCTION 07/22/17 THE ROMAKER LAW FIRM 17WC028995 -C 427 18WC 33173 MASSENGILL, ANDREW MACHINE HOSPITALITY GROUP 10/30/17 R. MARK MARITOTE PC 428 18WC 33288 VALENZUELA, MARIBEL STAFF RIGHT 10/23/18 JONATHAN SCHLACK MC ANDREWS & NORGLE LLC 429 18WC 33312 ROBLES, ANDREW CITY OF CHICAGO 09/24/18 ANKIN LAW OFFICE CITY OF CHICAGO 18WC033313 -C 430 18WC 33327 JOHNSON, SANDY METRO STAFF 09/22/18 JAMES ELLIS GUMBINER & ASS SLAVIN & SLAVIN 431 18WC 33342 RODRIGUEZ, MARTIN UNIVERSITY OF IL CHICAGO 09/17/18 SCOTT B SHAPIRO NYHAN BAMBRICK KINZIE & LOWR 432 18WC 33373 HERNANDEZ, MIGUEL CRAWFORD STEEL COMPANY 08/20/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 433 18WC 33396 MALONE, FREDERICK UPS 10/24/18 NILSON STOOKAL GLEASON CAP NYHAN BAMBRICK KINZIE & LOWR 434 18WC 33459 NUTLEY, COLLEEN SKOKIE SCHOOL DIST #69 11/01/18 ACEVES & PEREZ PC 435 18WC 33487 PASQUALE, NICHOLAS ALLIED WASTE 06/26/18 SEIDMAN MARGULIS & FAIRMAN 436 18WC 33504 QUEEN-THOMAS, BEVERLY BOARD OF EDUCATION 01/22/16 NO ATTORNEY 437 18WC 33512 GRABE, VALERIE UPS 08/15/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 438 18WC 33528 MADISON, MONA LOUISE FILTRAN LLC 07/19/18 DAVID W MARTAY ROSARIO CIBELLA 439 18WC 33549 MONTOYA, RAQUEL CALMARK GROUP LLC 08/01/16 JONATHAN SCHLACK 440 18WC 33654 SORIANO, ROBERTO SAWING & SHEARING SERVICE 10/16/18 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 441 18WC 33678 GODOMSKI, BREANN SAM'S CLUB 06/10/18 MANDELL, GREGG WIEDNER & MCAULIFFE LTD 442 18WC 33719 DANIELS, KENNETH LEVY CO 05/17/18 GOLDBERG WEISMAN & CAIRO L 443 18WC 33746 FOROUZI, HUSSEIN CTA 11/06/18 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 19WC010326 -C CHICAGO TRANSIT AUTHORITY 444 18WC 33783 MARTINEZ, JESUS ALONTI CATERING KITCHEN 03/02/18 JONATHAN SCHLACK 445 18WC 33992 SCOTT-REA, DEBRA A OAK FOREST HOSPITAL, COOK 08/30/18 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 446 18WC 34009 PETRELLA, VICTORIA JEWEL 10/27/17 JOSEPH G HAFFNER LAW OFFIC WIEDNER & MCAULIFFE LTD 447 18WC 34049 CATCHINGS, LAURECIA CLERK OF THE CIRCUIT COUR 11/13/18 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 448 18WC 34075 PARKER, WARREN CHICAGO EDUCATION PARTNER 10/08/18 ANKIN LAW OFFICE 449 18WC 34142 EREL, SAPHO COOK COUNTY GOVERNMENT 09/12/18 CHEPOV & SCOTT LLC STATES ATTORNEY OF COOK COUN 450 18WC 34227 BASS-JOHNSON, MAXINE ADMIRAL SECURITY SERVICES 10/08/18 NEWLAND & NEWLAND 451 18WC 34246 RADZKO, JOHN NILES-MAINE DISTRICT LIBR 10/25/18 ASHER, RAYMOND L LTD GILDEA, COGHLAN & REGAN LTD. 452 18WC 34360 ANDERSON, TYNEASE GREAT LAKES COCA COLA 11/13/18 DWORKIN AND MACIARIELLO 453 18WC 34386 KAHN, JEFFREY PEAK SYSTEMS 10/12/18 STEVEN J TENZER, LTD JOSEPH MARCINIAK 454 18WC 34417 SIMMONS, DIANE COOK DUPAGE TRANSPORTATIO 11/06/18 ANKIN LAW OFFICE 455 18WC 34493 STRICKLAND, JOHNNY ABRA AUTO BODY & GLASS 11/12/18 DWORKIN AND MACIARIELLO MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 456 18WC 34559 STANLEY, EDWARD F CHICAGO BEARS FOOTBALL CL 08/30/18 MEYERS & FLOWERS MC ANDREWS & NORGLE LLC 457 18WC 34580 LICHTER, MICHAEL MELROSE PARK POLICE DEPAR 11/05/18 FOOTE MIELKE CHAVEZ O'NEIL DEL GALDO LAW GROUP LLP 19WC001226 -C 458 18WC 34610 MORENO, LIDIA BUCK SERVICES, INC 01/10/18 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 459 18WC 34748 DALEY, TREVOR CHICAGO BLACKHAWKS HOCKEY 12/06/15 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 460 18WC 34761 VARGAS, ELIZABETH GASPAR ALTERNATIVE STAFFING CO. 06/06/17 TOPPER & WEISS LTD MACIOROWSKI SACKMANN & ULRIC 461 18WC 34778 DAVIS, SHIRLEY J FEDEX 11/12/18 CHEPOV & SCOTT LLC 462 18WC 34815 BASKERVILLE, EBONEE ANTHEM BLUE CROSS BLUE SH 10/29/18 GESMER & REYNOLDS PC KRAKER FANNING & OLSEN 463 18WC 34952 MONTGOMERY, HUSTON JR MANPOWER GROUP US, INC 10/16/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 464 18WC 34971 JOHNSON, CRAIG TOWN & COUNTRY DISTRIBUTI 01/10/18 DEPAOLO & ZADEIKIS 465 18WC 35026 GONZALEZ, ALBA QUALITY LABOR 09/01/18 CULLEN HASKINS NICHOLSON KOREY RICHARDSON LLC 466 18WC 35047 MURILLO, ALMA GREAT WESTERN BEEF CO 08/04/18 ACEVES & PEREZ PC MEACHUM & STARCK 467 18WC 35076 HAHN, PHIL COOK COUNTY SHERIFF 11/14/18 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 468 18WC 35159 BAHENA, MARIA HYATT 10/07/18 KREITER, BYCK & ASSOC LLP 469 18WC 35188 GARCIA, CLARIBEL AMERICAN AIRLINES, INC. 07/17/18 CULLEN HASKINS NICHOLSON 470 18WC 35226 JOHNSON, RONALD DART CONTAINER 03/15/18 COVEN LAW GROUP GAROFALO SCHREIBER STORM GRA 471 18WC 35298 RAMIREZ, GUADALUPE TOTAL STAFFING SOLUTIONS 10/29/18 CULLEN HASKINS NICHOLSON KNELL O'CONNOR DANIELWICZ 472 18WC 35326 COLLIER, JOHN WEALTH BUILDING MANAGEMEN 10/24/18 ROGER D RUDICH LTD 473 18WC 35370 MARTIN, TODD UNITED AIRLINES 09/04/18 SAUNDERS CONDON & KENNY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 474 18WC 35412 LOPEZ, MARIA D UNITED BUILDING MAINTENAN 08/24/18 SALVATO O'TOOLE FROYLAN 475 18WC 35429 MASCOTE, HUMBERTO ATLAS EMPLOYMENT SERVICES 09/24/18 CULLEN HASKINS NICHOLSON GAIDO & FINTZEN 476 18WC 35446 SANCHEZ, MONICA M COOK COUNTY SHERIFF'S DEP 11/17/17 WEISS & WEISS LAW OFFICES STATES ATTORNEY OF COOK COUN 477 18WC 35493 WIGGINS, KIM COOK COUNTY SHERIFF'S DEP 07/06/18 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 478 18WC 35514 DAVIS, CALVIN FBM EXPRESS, INC 06/15/18 KATZ FRIEDMAN EAGLE ET AL 479 18WC 35537 AUSTIN, SHARON M COOK COUNTY CLERK 11/15/18 SMOLER LAW OFFICE, PC STATES ATTORNEY OF COOK COUN 480 19WC 02407 BARNES, SANDRA MCDONALDS CORP. 10/12/18 ANKIN LAW OFFICE 481 19WC 02428 MEANS, DANIELLE PANERA BREAD 09/01/18 LEONARD LAW GROUP LLC 482 19WC 02448 ARCEO, ALEJANDRA FEDEX FREIGHT 09/11/18 BARRY STEWART SILVER QUINTAIROS PRIETO WOOD & BOY 483 19WC 02470 THOMAS, MUJAHID SHEARD LOMAN TRANSPORT, L 12/19/18 DEPAOLO & ZADEIKIS 484 19WC 02896 HUGUELET, KIMBERLY PROGRESSIVE TREATMENT 01/17/19 ROMANUCCI & BLANDIN QUINTAIROS PRIETO WOOD & BOY 485 19WC 02917 BARNES, RONALD UPS 01/23/19 DWORKIN AND MACIARIELLO ASA LAW GROUP 486 19WC 02939 BONDS, VANESSA OAK PARK ELEMENTARY SCHOO 09/11/15 ROSS TYRRELL ANCEL GLINK PC 19WC002940 -C 487 19WC 02990 WADOLOWSKA, KRYSTYNA GREENRIDGE FARM, INC. 12/20/18 KURASCH & KLEIN, LTD GAROFALO SCHREIBER STORM GRA 488 19WC 03010 SILVA, RAQUEL TRANSLINE GROUP, INC. 01/12/19 LEONARDO MORALES 489 19WC 03032 JOHNSON, EBONI SOUTH SHORE HOSPITAL CORP 11/02/18 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 490 19WC 03086 HERNS, JONATHAN REM, INC 01/18/19 JAMES ELLIS GUMBINER & ASS SLAVIN & SLAVIN 491 19WC 03164 BOSBY, ANTONIO SUTTON TRANSPORT 01/27/19 SKLARE LAW GROUP LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 492 19WC 03223 KNIGHT, GREGORY CITY OF CHICAGO- DEPT OF 01/20/19 ARGIONIS & ASSOCIATES LLC 493 19WC 03254 ALEXENKO, EMILY LEYDEN HIGH SCHOOL DIST 2 11/07/18 STROM & ASSOC BRADY CONNOLLY & MASUDA PC 494 19WC 03287 WILLIAMS, KESHA FEDEX 01/21/19 KROL BONGIORNO & GIVEN LTD 495 19WC 03322 LINDA, RAFAEL STERLING SITE ACCESS 01/15/19 AIOSSA LAW FIRM KLAUKE LAW GROUP LLC 496 19WC 03354 ENGLAND, KRISTEN HOLY CROSS HOSPITAL 01/09/19 BERNAT & BERNAT PC NYHAN BAMBRICK KINZIE & LOWR 497 19WC 03435 ANDUALEM, ZERFIE GREAT CLIPS 11/03/18 SCOTT B SHAPIRO 498 19WC 03458 HENRY, MIKITA CITY OF CHICAGO 01/25/18 RITTENBERG BUFFEN 499 19WC 03574 HAYNES, MARIELLA GARDA 01/07/19 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 500 19WC 03603 VERA, LIBETH 3D BREAD BAKERS, LLC 09/25/18 ANKIN LAW OFFICE JOSEPH MARCINIAK 501 19WC 03623 BYRD, DIAMOND AUNT MARTHA'S 11/07/18 ANGELINI & ORI LLC 502 19WC 03688 MAYNE, LOLA WHOLE FOODS 12/04/18 SEIDMAN MARGULIS & FAIRMAN 503 19WC 03755 WELLS, TAMMY CHICAGO TRANSIT AUTHORITY 02/02/19 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 504 19WC 03771 BELIAKOU, ARTUR EVERGREEN REAL ESTATES 11/28/18 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 505 19WC 03832 GREEN, WILLIAM S&C ELECTRIC COMPANY 08/27/18 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 506 19WC 03859 JOHNSON, CARVELLA CHICAGO BOARD OF EDUCATIO 01/15/19 MARC J SHUMAN & ASSOCIATES CHGO BOARD OF EDUCATION 507 19WC 03907 GARCIA, MERCEDES ARBOR MANAGEMENT 09/06/18 CUDA LAW OFFICES 508 19WC 03925 IPEMA, MICHAEL JR. STANDARD CARTAGE CO INC 05/15/18 HORWITZ HORWITZ & ASSOC THOMAS & ASSOCIATES 509 19WC 03982 VALLE, JOSE UNITED PARCEL SERVICE 12/10/18 CAPRON & AVGERINOS PC ASA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 510 19WC 04000 KELLY, THOMAS C COMMUNITY HIGH SCHOOL 01/22/19 KROL BONGIORNO & GIVEN LTD 511 19WC 04033 ROGERS, DEANNA OAK PARK RIVER FOREST 09/11/18 SCOTT B SHAPIRO 512 19WC 04092 ALVARADO, FRANCISCO PANIAGUA GROUP INC 12/17/18 JAMES ELLIS GUMBINER & ASS 513 19WC 04182 KELLY, ANTHONY MARON ELECTRIC 04/23/18 SMOLER LAW OFFICE, PC 514 19WC 04203 SMITH, CEAIRRA CHIPOTLE MEXICAN GRILL 01/28/19 ACEVES & PEREZ PC HENNESSY & ROACH PC 515 19WC 04220 HERNANDEZ, JESSE TIBOR MACHINE PRODUCTS, I 01/07/19 ANKIN LAW OFFICE 516 19WC 04245 ASHRAF, ZAFAR G.A. CHICAGO INC 01/30/19 SPENCER LAW OFFICES 517 19WC 04258 MORRIS, STEPHANIE CHICAGO TRANSIT AUTHORITY 01/30/19 NILSON STOOKAL GLEASON CAP CHICAGO TRANSIT AUTHORITY 518 19WC 04274 DIAZ, LUIS ANTONIO ASPIRA INC OF ILLINOIS 11/30/18 HERRERA LAW CENTER ERIN D. FOWLER, FRANCZEK P.C 519 19WC 04351 TERRELL, LAEROY ASHLAND COLD STORAGE COUR 02/06/19 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS 520 19WC 04368 KIMMEL, ERIC HOOTERS OF WELLS ST INC. 12/26/18 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK 521 19WC 04387 GONZALES, PHILLIP GALE STREET INN CHICAGO 12/13/18 SAUNDERS CONDON & KENNY 522 19WC 04408 CENCULA, CHRISTINA STANDARD PARKING 09/23/17 SEIDMAN MARGULIS & FAIRMAN 523 19WC 04516 SWAIN, RUTH ANN CONTINENTAL AIR TRANSPORT 02/13/19 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 524 19WC 04592 THORNTON, ADORNAL UPS 01/08/18 JAMES ELLIS GUMBINER & ASS LAWRENCE COZZI - LAW OFFICE 525 19WC 04610 ZUNIGA-GUILLEN, BLANCA F HARVARD MAINTENANCE, INC 01/30/19 RUEDA, IVAN A HENNESSY & ROACH PC 526 19WC 04672 BREWER, RONALD A & T TRUCKING CO. 02/08/19 BRILL & FISHEL SCOPELITIS GARVIN LIGHT 527 19WC 04698 THOMPSON, MELONY CHICAGO TRANSIT AUTHORITY 12/16/18 STROM & ASSOC CHICAGO TRANSIT AUTHORITY

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 616 19WC 15223 CHAPMAN, CORRIEAN HALAL GUYS 04/15/19 DAVID W MARTAY 617 19WC 15251 JIMENEZ, YOMAIRA JET'S PIZZA 05/12/19 MANUAL CARDENAS & ASSOC HENNESSY & ROACH PC 618 19WC 15292 BROWN, WESTON THYSSENKRUPP 04/15/19 DWORKIN AND MACIARIELLO 619 19WC 15311 MCGOWAN, ANGELA UNIVERSITY OF CHICAGO HOS 05/13/19 ANKIN LAW OFFICE POWER & CRONIN LTD 620 19WC 15342 FIGUEROA, JAVIER RACO STEEL CO 10/30/18 EDWIN REYES LAW FIRM 621 19WC 15361 GUERRERO, RUBEN M JMS ELECTRIC 09/25/18 THOMAS LAW 622 19WC 15429 HALL, DARREN D CITY OF CHICAGO 04/29/19 ANKIN LAW OFFICE CITY OF CHICAGO 623 19WC 15448 JOHNSON, MONICA CHICAGO TRANSIT AUTHORITY 05/10/19 GWC INJURY LAWYERS LLC CHICAGO TRANSIT AUTHORITY 624 19WC 15470 BEDFORD, EDWINA CHICAGO TRANSIT AUTHORITY 05/18/19 STROM & ASSOC 625 19WC 15494 PULIDO, MARINA MANUEL A CARDENAS & ASSOC 05/15/19 LEONARD LAW GROUP LLC MANUAL CARDENAS & ASSOC 626 19WC 15550 HODGES, ROBERT CHSD 218 02/28/19 DWORKIN AND MACIARIELLO ODELSON & STERK 627 19WC 15599 TISCARENO, GRAZIELLA UNITED AIRLINES 07/30/18 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 628 19WC 15614 CAVALLARI, JAMES VILLAGE OF SKOKIE 08/16/17 VILLAGE OF SKOKIE 629 19WC 15631 DIAZ, SANTIAGO MC DONALD'S 06/27/18 MC HARGUE & JONES 630 19WC 15692 PANEK, ALLEN PEP BOYS 12/17/17 ROBIN LAW OFFICE DOHERTY & PROGAR LLC 631 19WC 15739 LEBLANC, CRE'VON CHICAGO BEARS FOOTBALL CL 11/20/16 GORDON LAW OFFICES LTD BRYCE DOWNEY & LENKOV LLC 19WC015740 -C 19WC015741 -C 632 19WC 15759 SIMMONS, DIMITRI CHICAGO TRANSIT AUTHORITY 05/21/19 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 633 19WC 15772 SCALZETTI, CONSTANCE WEST BELDEN DISTINCTIVE S 12/08/16 LEONARD LAW GROUP LLC NOBLE & ASSOC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 652 19WC 23149 MCNEAL, CLAIRE COMMUNITY CARE 07/09/19 MANDELL, GREGG 653 19WC 23170 RAIA, CHRISTOPHER CITY CAPITAL ADVISORS 06/12/19 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 654 19WC 23216 ALEXANDER, MICHAEL RON'S STAFFING SERVICES I 07/23/19 SANDMAN LEVY & PETRICH KOREY RICHARDSON LLC 655 19WC 23233 HARDRICK, SHERI ADA F MCKINLEY CMMTY SVCE 04/08/19 STONE & MAYA PC WOLFE & JACOBSON, LTD 656 19WC 23257 LINEAR, SHARON COOK COUNTY HEALTH SERVIC 07/11/19 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 657 19WC 23275 CALDWELL, ANGELA CITY OF CHICAGO 06/14/18 VRDOLYAK LAW GROUP LLC 658 19WC 23296 HUNTER, JAMIRA CTA 07/24/19 DONALD FOHRMAN & ASSOC 659 19WC 23318 MENDOZA, GERARDO AMS MECHANICAL 04/02/19 TURCYCHUTE LLC 660 19WC 23375 BRYANT, LAJUAN UNIVERSITY OF CHICAGO HOS 07/24/19 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 661 19WC 23399 LLOYD, AKILIUS ATKORE INTERNATIONAL 07/25/19 ELFENBAUM EVERS AMARILIO Z HENNESSY & ROACH PC 662 19WC 23439 PARKER, SHERITA UBER 08/08/19 DWORKIN AND MACIARIELLO 663 19WC 23462 ZAMORA, LETICIA ADVOCATE HEALTH CARE SOUT 08/01/17 COVEN LAW GROUP 664 19WC 23513 SKORNOG, HENRY BLOMMER CHOCOLATE COMPANY 07/20/18 BELLAS & WACHOWSKI 665 19WC 23530 JANACEK, GREGORY SPEEDWAY 08/05/19 MC HARGUE & JONES KEEFE CAMPBELL BIERY & ASSOC 666 19WC 23549 AGUILAR, HOMERO RESENDIS GORILLA ROOFERS CNSTRUCTO 04/26/19 EPSTEIN, JACK R LAW OFFICE MEACHUM BOYLE TRAUFMAN 667 19WC 23621 CELESTIN, CARMELO UPS 07/31/19 MOGENSEN LAW LLC 668 19WC 23659 BURGOS MEJIA, JUAN VICENT ASPIRA OF ILLINOIS 08/08/19 ANKIN LAW OFFICE 669 19WC 23679 DOHNEY, LAURENCE BERKSHIRE REFRIGERATED 07/15/19 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 670 19WC 23770 GARRETT, JANET VERIZON 07/25/19 HORWITZ HORWITZ & ASSOC 671 19WC 23829 VENZOR, PAULA FOCAL POINT, LLC 11/07/17 ROSS TYRRELL 672 19WC 23863 ROSERS, TIM METRO STAFFING 05/09/19 GERALD CONNOR BRADY CONNOLLY & MASUDA PC 673 19WC 23894 SHATTUCK, JOHN M PDQ COMMUNICATIONS 06/25/19 DAVID HUNT JOSEPH MARCINIAK 674 19WC 23967 HERNANDEZ, SANTIAGO ANTHONY MARANO CO, INC 04/19/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 675 19WC 24006 CAIN, MICHAEL ADJUSTABLE FORMS, INC AND 07/25/19 DEPAOLO & ZADEIKIS KEEFE CAMPBELL BIERY & ASSOC 676 19WC 24030 HOOKS, MICHAEL PEOPLE READY INC 08/05/19 KUMLIN & FROMM 677 19WC 24066 BARCENAS, RENE ELITE STAFFING 05/13/19 CELSO FUENTES JR 678 19WC 24103 ZELENKIC, ELMEDIN COOK COUNTY SHERIFF'S DEP 07/16/19 ARGIONIS & ASSOCIATES LLC STATES ATTORNEY OF COOK COUN 679 19WC 24148 RODRIGUEZ, JOSE O & K AMERICAN GROUP 08/08/19 WHITESIDE & GOLDBERG LTD BORGELT POWELL 680 19WC 24181 SCOTT, ULYSSES CINTAS CORPORATION 04/04/19 SANDMAN LEVY & PETRICH POWER & CRONIN LTD 681 19WC 24234 BIGGS, RYAN BEST SOLUTION EXPRESS 05/29/18 CHRISTOPHER FREEMAN 682 19WC 24285 INGRAM, CLAYBORN WASTE MANAGEMENT 07/24/19 ANGELINI & ORI LLC 683 19WC 24321 VENCES, ROBERTO DINGLE BAY CONSTRUCTION, 06/21/19 HERRERA LAW CENTER GILDEA, COGHLAN & REGAN LTD. 684 19WC 24341 DE JESUS RAMIREZ VAZQUEZ, STONEWOOD ALE HOUSE 07/28/19 OSVALDO RODRIGUEZ PC 685 19WC 24382 CURIEL, LUIS A CTA 08/13/19 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 686 19WC 24413 NASELLI, MARY UNITED AIRLINES 11/29/18 SHANNON LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 687 19WC 24450 SOUMANOU, KENNEISHA CTA 08/20/19 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 688 19WC 24484 GARCIA, ELVIDA STAFFING TRIUNE LOGISTICS 03/09/17 CULLEN HASKINS NICHOLSON 689 19WC 24509 MANNING, MARK NATION PIZZA & FOODS 08/01/19 SHEA LAW GROUP MEACHUM BOYLE TRAUFMAN 690 19WC 24540 BENTLEY, LINDA UNITED AIRLINES HOLDINGS, 07/18/19 BRIAN J MC MANUS & ASSOC, 691 19WC 24570 DAVISTON, YVONNE DAVE OSBORNE CONSTRUCTION 08/12/19 HEALY SCANLON LAW FIRM GILDEA, COGHLAN & REGAN LTD. 692 19WC 24596 LOTT, ASHLEY UNIVERSTY OF CHICAGO MEDI 08/09/19 LEONARD LAW GROUP LLC 693 19WC 24613 HUNTER, STANLEY ENTERPRISE RENTAL 06/25/19 BRISKMAN BRISKMAN GREENBER KNELL O'CONNOR DANIELWICZ 694 19WC 24631 SCHENKER, LORI AMERICAN AIRLINES 02/14/19 SAUNDERS CONDON & KENNY 695 19WC 24682 BARNETT, MICHAEL TOWN OF CICERO/ PUBLIC WO 06/26/19 MILLON & PESKIN LTD DEL GALDO LAW GROUP LLP 696 19WC 24726 SMITH, ROBERT CENTRAL PARK APARTMENTS/ 05/02/19 DWORKIN AND MACIARIELLO 697 19WC 24774 ACEVEDO, NAYDA NEAR THE PEIR DEVELOPMENT 02/06/19 KATZ FRIEDMAN EAGLE ET AL 19WC024775 -C 698 19WC 24799 NEDBAL, DON MCMAHON TRANSPORT GROUP 04/19/19 KARCHMAR & STONE 699 19WC 24835 MOSLEY, CASSANITA BRINKS HOME SECURITY 08/09/19 GERALD CONNOR 700 19WC 24857 PANTOJA, GUADALUPE HELP AT HOME, INC 07/01/19 EPSTEIN, JACK R LAW OFFICE 701 19WC 24897 HENZE, ROBERT DHL GLOBAL FORWARDING 08/06/19 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 702 19WC 24932 SMITH, STANLEY RIVEREDGE HOSPITAL 08/16/19 MARKER & CRANNELL MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 703 19WC 24960 JOHNSON, MARION PARAMOUNT STAFFING LLC 08/22/19 RITTENBERG BUFFEN KNELL O'CONNOR DANIELWICZ 704 19WC 24981 093 EUBANKS, DERRICK HALLSTAR 08/14/19 ELFENBAUM EVERS AMARILIO Z RUSIN & MACIOROWSKI LTD 093 19WC024980 -C 705 19WC 25003 FLORES, ANA LAURA BLDG SERVICES OF AMERICA 07/29/19 CULLEN HASKINS NICHOLSON 706 19WC 25023 CASTRO, RICARDO JR. FEDEX 12/12/18 MC HARGUE & JONES KOPKA, PINKUS DOLIN, PC 707 19WC 25045 FLOWERS, TALLISA CSL PLASMA 08/09/19 ANKIN LAW OFFICE 708 19WC 25078 ALBOR, EVA MIDWAY BUILDING 08/14/19 DWORKIN AND MACIARIELLO 709 19WC 25095 SODERHOLM, BARBARA ARLINGTON HTS SCHOOL DIST 03/13/19 LEO M. BLEIMAN & ASSOC POWER & CRONIN LTD 710 19WC 25173 TERRELL, DANAKIEL APERION CARE DOLTON 08/26/19 STROM & ASSOC 711 19WC 25211 WILLIAMS, TYRONE US EXPRESS ENTERPRISES, I 07/11/19 ANKIN LAW OFFICE HENNESSY & ROACH PC 712 19WC 25230 RIVAS GARCIA, MIGUEL ANGE FOREST AVENUE RENOVATION, 06/05/19 HERRERA LAW CENTER QUINTAIROS PRIETO WOOD & BOY 713 19WC 25310 MILLER, KELLY FORD MOTOR COMPANY 08/19/19 DWORKIN AND MACIARIELLO 714 19WC 25337 NEGA, DAVID UNITED AIRLINES INC. 03/16/19 SEIDMAN MARGULIS & FAIRMAN 715 19WC 25361 CHOI, YOUNG WESTERN EXPRESS TRUCKING 08/21/19 GERALD CONNOR FRANCESCA LARSEN 716 19WC 25442 BAKER, DAVID UNITED PARCEL SERVICE INC 08/20/19 HETHERINGTON KARPEL & BOBB ASA LAW GROUP 717 19WC 25499 ROMERO, ISMAEL, AKA ISMAE HARVEY PALLETS 01/21/19 DWORKIN AND MACIARIELLO 718 19WC 25524 WHITE, THEODORE ILLINOIS TOLLWAY @ 08/27/19 DWORKIN AND MACIARIELLO 719 19WC 32016 GOSS, MYRNA CTA * 03/12/19 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 720 19WC 32051 KEANE, ANN SPECIAL EDUCATION SERVICE * 07/05/18 ROSENFELD HAFRON SHAPIRO F

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 721 19WC 32071 KOVACH, HELEN CHICAGO BOARD OF EDUCATIO * 11/10/17 RICHARD E ALEKSY 722 19WC 32092 ALVAREZ, SOCORRO ACME FINISHING CO LLC. * 01/17/19 JONATHAN SCHLACK 723 19WC 32115 FELTZ, SHANE SOUTHWEST AIRLINES * 08/27/19 ELFENBAUM EVERS AMARILIO Z 724 19WC 32137 GARCIA, JUAN M ILLINOIS LANDSCAPING * 06/21/19 HERRERA LAW CENTER 725 19WC 32151 VICTORIA, LETICIA TOTAL STAFFING SOLUTIONS * 03/28/17 LEONARDO MORALES 726 19WC 32171 MAHAFFEY, REUBEN PIONEER VILLAGE * 07/29/19 EDWIN REYES LAW FIRM 727 19WC 32190 MASANIAI, BERNADETTE MARRIOTT * 10/15/19 MARC S. MAYER & ASSOCIATES WIEDNER & MCAULIFFE LTD 728 19WC 32211 ELGHORR, YOUSSEF VILLAGE OF FRANKLIN PARK * 05/08/19 KATZ FRIEDMAN EISENSTEIN 729 19WC 32229 KENNEDY, KARMEN OFFICE-CHIEF JUDGE OF COO * 10/30/19 RITTENBERG BUFFEN 730 19WC 32237 WILLIAMS, JUSTIN O COMCAST * 09/22/19 GALLAGHER, DONALD V 731 19WC 32265 CARTER, TYRONE EXPRESS EMPLOYMENT * 11/04/19 GERALD CONNOR 732 19WC 32281 MARTINEZ, LENNY AYALA CERMAK PRODUCE NO. 15 INC * 06/28/19 EPSTEIN, JACK R LAW OFFICE 733 19WC 32303 PACK-ROBLE, ALBERTA CENTRAL BAPRIST VILLAGE * 10/09/19 ANKIN LAW OFFICE 734 19WC 32326 MILLER, DANIEL N FOREST PARK POLICE DEPT * 11/07/18 RIDGE & DOWNES INMAN & FITZGIBBONS 735 19WC 32347 ROMERO, REISE ROTO-ROOTER * 10/15/19 WOODRUFF JOHNSON WIEDNER & MCAULIFFE LTD 736 19WC 32365 HEISE, NADINE BELLWOOD SD #88 * 09/16/19 SEIDMAN MARGULIS & FAIRMAN 737 19WC 32399 HERNANDEZ, JACQUELINE FORD MOTOR COMPANY * 07/01/19 DONALD FOHRMAN & ASSOC 738 19WC 32420 KATNER, KEITH ADVOCATE CHRIST MEDICAL C * 05/29/19 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 739 19WC 32446 KOZBIAL, GRZEGORZ P WATERMAX PLUMBING INC * 07/02/19 KATZ FRIEDMAN EISENSTEIN 740 19WC 32486 GARCIA, DENNIS LAND ESCAPES, INC * 06/10/19 HANNIGAN & BOTHA, LTD GILDEA, COGHLAN & REGAN LTD. 741 19WC 32505 SOCHA, KEVIN CHICAGO TRANSIT AUTHORITY * 10/28/19 KROL BONGIORNO & GIVEN LTD CHICAGO TRANSIT AUTHORITY 742 19WC 32524 JONES, ADAM WENDY'S * 09/30/19 ANGELINI & ORI LLC 743 19WC 32542 GARCIA, FELIPE A FINKL & SONS * 08/07/19 SAM CUBA LAW OFFICE 744 19WC 32559 ALVARADO, AGUSTIN EL MILAGRO INC * 10/16/19 COSTA IVONE LLC 745 19WC 32584 JONES, MELVIN ULIMATE RENTAL SERVICE * 10/23/19 COVEN LAW GROUP 746 19WC 32612 MC QUEEN, KYLE THE FAIRMONT CHICAGO HOTE * 11/30/18 ELFENBAUM EVERS AMARILIO Z WIEDNER & MCAULIFFE LTD 747 19WC 32628 TAYLOR, KEVIN DONTE CHICAGO TRANSIT AUTHORITY * 11/05/19 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 748 19WC 32653 SALGADO, NIMBE CLUB QUARTERS HOTEL * 09/03/19 DWORKIN AND MACIARIELLO 749 19WC 32677 GOLAS, DAMIAN ACCORO CARTON * 10/10/18 MICHAEL A. HIGGINS 750 19WC 32697 CRUZ, JONY 2400 LAKEVIEW CONDO ASSOC * 11/05/18 GANAN & SHAPIRO 751 19WC 32718 GAGEN, BRIAN JASLIN HOTEL LLC * 08/25/19 GWC INJURY LAWYERS LLC HENNESSY & ROACH PC 752 19WC 32738 PLUNKETT, THERESE BOARD OF ED CITY OF CHICA * 08/07/19 COHN LAMBERT RYAN & SCHNEI 753 19WC 32764 NOOR, RAZIA ABM PARKING * 10/03/19 MC HARGUE & JONES 754 19WC 32778 CERVANTES, EDGAR SILVA SWISSPORT O'HARE * 09/24/19 SEIDMAN MARGULIS & FAIRMAN 755 19WC 32799 STRODER, FAYE BARRINGTON EARLY LEARNING * 05/01/19 WOODRUFF JOHNSON 756 19WC 32820 GERMAN, DEMARIUS FEDEX * 11/06/19 ANGELINI & ORI LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 757 19WC 32840 KASEY, MICHAEL PHOENIX CONSTRUCTION SERV * 10/31/18 DWORKIN AND MACIARIELLO 758 19WC 32867 KOMIVES, JILL VILLAGE OF CRESTWOOD * 03/07/19 CAPRON & AVGERINOS PC 759 19WC 32892 BRADLEY, KEVIN KB PUBLISHING, INC. * 12/26/18 GANAN & SHAPIRO 760 19WC 32919 CHAVEZ, LETICIA AMBASSADOR CHICAGO * 08/05/18 CULLEN HASKINS NICHOLSON 761 19WC 32941 BURCIAGA, FLOR DE DAHLIA STATE OF ILLINOS * 10/16/19 HERRERA LAW CENTER DANIELLE CURTISS 762 19WC 33015 SANCHEZ, MARY JEWEL FOOD STORES * 07/03/18 EVANS & DIXON 763 19WC 33039 CARTER, ADAM SWIFT TRANSPORTATION * 10/23/19 KUMLIN & FROMM WIEDNER & MCAULIFFE LTD 764 19WC 33058 FONSECA, VICTOR MARO CARTON INC. * 07/08/19 LUSAK AND COBB 765 19WC 33100 TAYLORSON, JAMES SPIRIT AIRLINES * 06/12/19 LINN, CAMPE & RIZZO LTD 766 19WC 33110 CABRERA, CIRO SERVIN SOURCE ONE * 10/14/19 JOHN J CASTANEDA 767 19WC 33140 DAVENPORT, ANDREW FRIENDSHIP VILLAGE * 07/16/19 ROBERT J. IRSUTO 768 19WC 33204 MAZIARKA, SCOTT WELCH PACKAGING CHICAGO, * 11/06/19 ANKIN LAW OFFICE 769 19WC 33229 MASEDA, FRANCINE ROSE CARTAGE SERVICES, IN * 08/17/18 RIPES NELSON BAGGOT KALOBRAT 770 19WC 33251 GRAYS, KEN UNITED AIRLINES, INC. * 10/16/19 GREGORIO & MARCO 771 19WC 33291 DIAZ OCAMPO, MONICA MASTERFORM TOOL COMPANY * 10/08/19 HERRERA LAW CENTER 772 19WC 33312 OWINGS, ANN MANOR CARE HEALTH SERVICE * 11/09/19 DAVID W MARTAY 773 19WC 33352 HERRERA, MARTIZA FEDEX * 01/25/19 RICHARD E ALEKSY 774 19WC 33375 COOK, LESTER K CHICAGO TRANSIT AUTHORITY * 11/06/19 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 775 19WC 33391 CORTEZ, EDWARD PACTIVE * 07/27/19 CUDA LAW OFFICES 776 19WC 33457 VINCI, JONATHAN AVONDALE ELECTRIC * 05/02/19 DWORKIN AND MACIARIELLO 777 19WC 33501 MERRITT, JUNE SALVATION ARMY/DEPARTMENT * 12/14/17 SALVATO O'TOOLE FROYLAN DANIELLE CURTISS 778 19WC 33596 GARCIA, SALVADOR UNITED SCRAP METAL INC * 07/11/18 HETHERINGTON KARPEL & BOBB 779 19WC 33610 FERNANDEZ, CARLOS JAMAL NASIR D/B/A ALL W* 10/17/19 CUDA LAW OFFICES 780 19WC 33627 MASSEY, DOROTHEA JB HUNT TRANSPORTATION * 10/24/19 LEONARD LAW GROUP LLC 781 19WC 33650 LAZZARA, JOSEPH SG 360 * 08/01/18 MC HARGUE & JONES 782 19WC 33667 BURIAN, ANDREW VULCAN MATERIALS * 10/12/19 RYAN ROSENTHAL NYHAN BAMBRICK KINZIE & LOWR 783 19WC 33704 RAMIREZ, DAVID LALO'S RESTAURANT * 10/10/19 JOHN S. ELIASIK 784 19WC 33724 SANDOVAL, DANIEL SERVICE ONE, INC. * 04/15/19 WOLF & LAUDICINA LTD 785 19WC 33748 STARLING, JERRY MAUSER PACKAGING * 11/13/19 DWORKIN AND MACIARIELLO 786 19WC 33825 DIAZ, SANTOS HALLS RENTAL SERVICE INC * 08/20/19 ROBERT WARSASKI 787 19WC 33843 CAHILL, MARK ROYAL3, INC * 04/11/18 LEVIN RIBACK LAW GROUP 788 19WC 33865 MARZANO, ANA TJ MAX OF IL LLC * 11/13/19 KOSIN LAW OFFICE LTD 789 19WC 33895 MUNIZ, ELIZABETH FAMILY CHOICE HOME HEALTH * 11/14/19 THE ROMAKER LAW FIRM 790 19WC 33941 BABBRA, HARVEY RAMKE * 05/16/19 SCOTT B SHAPIRO 791 19WC 33992 BEAR, LARRY YRC WORLDWIDE * 10/31/19 SCOTT B SHAPIRO 792 19WC 34039 MURILLO, ANGELINA EXPRESS GRINDING INC. * 10/17/19 BART DURHAM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 793 19WC 34079 MCKERMITT, JOSEPH AREA ERECTORS * 11/14/19 O'CONNOR & NAKOS 794 19WC 34103 RIBOUL, RICHARD UNITED AIRLINES INC. * 11/01/19 WILLIAM H MARTAY 795 19WC 34124 MARTIN, AGUSTIN INTERNATIONAL PAPER CO. * 11/06/19 LEONARD LAW GROUP LLC 796 19WC 34150 HUGGINS, MICHELLE ADVOCATE CHRIST HOSPITAL * 02/18/18 EDWIN REYES LAW FIRM 797 19WC 34194 HORTON, ANGELIC CITY OF CHICAGO DSS * 11/18/19 DWORKIN AND MACIARIELLO 798 19WC 34261 LOPEZ, FELIX RIZZA CONCRETE INC * 04/15/18 TAXMAN POLLOCK 799 19WC 34310 TLATENCHI, MATILDE LAVA & SONS INC * 11/12/19 TAMVAKIS, GEORGE L 800 19WC 34333 MCMAHON, DAVID LITTLE COMPANY OF MARY HS * 08/14/19 STELZMAN, RUTH 801 19WC 34358 CYRUS, RANDI UPS FREIGHT * 09/19/19 RAYMOND M SIMARD, PC 802 19WC 34382 LIPPER, EDWARD DAVID ARCHITECTURAL METAL * 01/04/19 HORWITZ HORWITZ & ASSOC 803 19WC 34405 ARNONE, PAUL CITY OF CHICAGO * 05/22/19 PARENTE & NOREM PC 804 19WC 34410 SERRA, IVY JEWEL OSCO * 11/21/19 JOSHUA KARMEL 805 19WC 34427 GONZALEZ, MARTA LCG SALES INC * 09/03/18 EDWIN REYES LAW FIRM 806 19WC 34446 STUTTS, DWAYNE M & O ENVIRONMENTAL SERVI * 11/05/09 SAUNDERS CONDON & KENNY 807 19WC 34470 GUZMAN, CANDELARIO CHICAGO PALLET SERVICE, I * 08/05/19 ACEVES & PEREZ PC 808 19WC 34498 ESTRADA, GUADALUPE M AVIS BUDGET RENTAL SERVIC * 11/28/16 NO ATTORNEY 809 19WC 34526 ROGERS, MARIA ALEJANDRA PARADISE 4 PAWS * 10/03/19 THE MACK LAW GROUP PC 810 19WC 34538 FRANCIS, MALINDA THRESHOLDS * 03/16/19 VASILATOS & COTTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 811 19WC 34561 THOMAS, MICHAEL S UPS * 04/03/19 SHANCER, JEFFREY M 812 19WC 34582 WHITE, MARRIC R POSITIVE CONNECTIONS * 09/18/19 COVEN LAW GROUP 813 19WC 34603 JACKSON, TIMOTHY FORD MOTOR COMPANY * 08/22/17 WIEDNER & MCAULIFFE LTD 814 19WC 34623 SOSA, ALMIDA AIR & GROUND SVCS, INC * 11/11/19 ACEVES & PEREZ PC 815 19WC 34665 TAYLOR-SYKES, KIMBERLY CHICAGO TRANSIT AUTHORITY * 11/21/19 DONALD FOHRMAN & ASSOC 816 19WC 34699 FERNANDEZ, LAWRENCE E APPLIED CONTROLS & CONTRA * 09/15/19 VITELL & SPITZ LTD 817 19WC 34741 ST PREUX, JOHN COOK COUNTY FOREST PRESER * 11/08/19 VRDOLYAK LAW GROUP LLC 818 19WC 34792 GRUENKE, DENNIS COSTCO WHOLESALE * 09/11/18 WOLFE & JACOBSON, LTD 819 19WC 34812 GALLEGOS, JOEL COOK COUNTY * 11/15/19 WHITESIDE & GOLDBERG LTD 820 19WC 34845 ZIRBES, KEITH METROPOLITAN WATER RECLAM * 01/22/19 HEALY SCANLON LAW FIRM 821 19WC 34866 LINDEMANN, DAVID CITY OF CHICAGO * 08/26/19 VASILATOS & COTTER LLC 822 19WC 34884 CINZOMME, MIREILLE SUNRISE OF BARRINGTON * 08/31/19 MEYERS & FLOWERS 823 19WC 34911 SCARAVALLE, MARIA AMERICAN AIRLINES * 04/08/19 INJURY LAWYERS OF IL 824 19WC 34963 JOHNSON JR, NATHANIEL WALMART SUPERCENTER * 10/08/19 DWORKIN AND MACIARIELLO 825 19WC 34986 MUSARACA, MICHAEL AT&T * 09/16/19 GWC INJURY LAWYERS LLC 826 19WC 35006 VILLANUEVA, OSCAR UNIVERSAL SCRAP METALS, I * 11/07/19 ANKIN LAW OFFICE 827 19WC 35035 FLOWERS, JEFFREY J ENVIRONMENTAL DESIGN INTL * 12/04/18 RUBIN LAW GROUP 828 19WC 35075 DRZEWIECKI, BONNIE HEINEN'S GROCERY STORE * 10/30/18 BRISKMAN BRISKMAN GREENBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 829 19WC 35098 MOORE, DAVETTE CHICAGO LYFT HUB * 10/26/19 CHARLES LEVY & ASSOC LTD 830 19WC 35113 JORDAN, MICHAEL A PULLMAN SUGAR * 11/25/19 RUEDA, IVAN A 831 19WC 35129 SOLONKA, DAVID KEHE DISTRIBUTORS * 08/19/19 GARDI & HAUGHT 832 19WC 35158 SHANAS, RICHARD L CITY OF EVANSTON * 05/12/15 833 19WC 35186 FUNCHESS, MARQUES L UNITED PARCEL SERVICE * 11/22/19 TIMOTHY HENDERSON 834 19WC 35219 BUFFKIN, SHURAY AIRGAS USA, LLC * 11/15/19 CHRISTINE F DAVID