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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 STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 09WC 39181 GONZALEZ, MARTIN C DOLLAR BUSTER W 05/18/09 EPSTEIN, JACK R LAW OFFICE 16 09WC 46198 SEAQUIST, MATTHEW SIGNODE INTERNATIONAL 08/18/09 HENNESSY & ROACH PC 17 10WC 06086 DROZD, JOHN CITY OF CHICAGO 01/25/10 MARSZALEK AND MARSZALEK CITY OF CHICAGO 13WC021554 -C 18 10WC 12174 KESSANTI, FARID BLUE RIBBON CAB 03/05/10 TRUGLIO, FRED A & ASSOC STONE & JOHNSON CHARTERED 19 10WC 16276 BERGE, ERIC VILLAGE OF OAK LAWN FIRE 09/01/09 LAW OFFICES OF ANN O'CONNE KEEFE CAMPBELL & ASSOC LLC 11WC019971 -C FRANKFORT FIRE PROTECTION 20 10WC 22534 PENA, ANTONIO ELITE STAFFING 05/25/10 MC HARGUE, JAMES P LAW OFF MARC CAIRO 10WC022535 -C 21 10WC 22982 ONTIVEROS, MARY HOME PRODUCTS INTL NC 04/24/09 OSVALDO RODRIGUEZ PC 10WC022983 -C 22 10WC 23301 BARBEE, ANDREA CITY OF CHICAGO 04/14/10 ANESI OZMON RODIN NOVAK KO 23 10WC 24874 MELE, MARGARET YRC WORLDWIDE INC 06/17/10 BOUDREAU & NISIVACO LLC HENNESSY & ROACH PC 24 10WC 29598 CIFUENTES, ROSELIA UIC HOSPITAL 02/20/10 MEYERS & FLOWERS HEYL ROYSTER VOELKER & ALLEN 10WC029599 -C 10WC039696 -C 11WC036860 -C 25 10WC 39287 BARRY, MAURICE AT & T 09/29/10 BAUM RUFFOLO & MARZAL LTD 26 10WC 39622 BOORMAN, PATRICIA L LOYOLA UNIVERSITY MED CTR 08/27/09 RICHARD O. GREENFIELD LORENZ & BERGIN PC 10WC039623 -C 27 10WC 40038 HU, KYONG CHA WOORI VILLAGE @ W 10/03/10 STEVEN J SEIDMAN LAW OFFIC 28 10WC 41874 CHRISTENSEN, CARL O BROOKWOOD BUILDERS 04/06/10 NILSON STOOKAL GLEASON CAP WIEDNER & MCAULIFFE LTD 29 10WC 47259 HERNANDEZ, JOSE HARPER COLLEGE 10/14/09 BARRY A KETTER WIEDNER & MCAULIFFE LTD 30 10WC 48551 BALDWIN, LESLIE HAYMARKET CENTER HOME 12/11/10 MARC J SHUMAN & ASSOCIATES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 10WC 48776 HODGE, GERALDINE GENTILE PRO HEALTH CARE 09/10/10 SHELDON I MINKOW & ASSOCIA 32 10WC 48845 HAUBRICH, DEDRA DOUMAK INC 07/21/10 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 33 11WC 01633 AMAYA, VIRGINIA MVP TEMPS 12/06/10 ACEVES & PEREZ PC KOREY LAW LLC 34 11WC 05465 HENDERSON, LINDA CITY OF CHICAGO 10/21/09 LEO M. BLEIMAN & ASSOC 35 11WC 10075 SALAZAR, CESAREO STATE OF ILLINOIS @ 05/01/09 STEVEN J SEIDMAN LAW OFFIC DANIEL SULLIVAN 36 11WC 10902 BUITRON, GERMAN RESURRECTION HEALTH CARE 08/25/10 JAMES ELLIS GUMBINER & ASS KEEFE CAMPBELL & ASSOC LLC 37 11WC 12801 DACOSTA, TONY CTA 03/14/11 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 38 11WC 12991 SWINTEK, RONALD COOK COUNTY SHERIFF'S OFF 11/04/10 DE SALVO, SCOTT D LAW OFFI STATES ATTORNEY OF COOK COUN 39 11WC 14124 BRITT, CLAUDELL CITY OF CHICAGO 02/07/11 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 12WC020653 -C 14WC032252 -C CHICAGO STREETS & SAN DEPT 40 11WC 14477 GARCIA, ISMAEL ASG STAFFING 04/04/11 MC HARGUE, JAMES P LAW OFF POWER & CRONIN LTD 41 11WC 15243 ERAKAT, RIMA AWNI FOOD 4 LESS 03/20/11 COHN LAMBERT RYAN & SCHNEI STONE & JOHNSON CHARTERED 42 11WC 16507 CAMPOS, SERJIO SEVEN D CONSTRUCTION 04/15/10 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 12WC000737 -C 43 11WC 17756 KEENE, WILLIAM CHICAGO PARK DISTRICT 03/03/11 HORWITZ HORWITZ & ASSOC CHICAGO PARK DIST LAW DEPT 44 11WC 19848 KULACH, PAWEL CHRIS CARPENTRY AND W 04/18/11 CHRISTOPHER BUCHCAR, LTD FUKSA KHORSHID LLC 45 11WC 24168 RUDINS, JOHN POWER PLAY DISTRIBUTORS, 04/20/10 EPSTEIN, JACK R LAW OFFICE ROCK FUSCO & CONNELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 11WC 30641 BARNETT, MICHAEL CHICAGO TRANSIT AUTHORITY 07/30/11 MICHAEL J DUDEK CHICAGO TRANSIT AUTHORITY 47 11WC 32734 BAILEY, JANET M UNITED AIRLINES, INC. 10/31/10 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 15WC011143 -C 48 11WC 32969 DONEGAN, TOM KELLY SERVICES 02/18/10 THOMAS R LICHTEN SPIEGEL & CAHILL, PC 49 11WC 34023 NEWSUM, DEBRA CITY OF CHICAGO DEPT OF F 08/21/11 STEVEN J SEIDMAN LAW OFFIC CITY OF CHICAGO 50 11WC 37940 CAWLEY, MAREO OWL LOGISTIC W 09/16/11 BRISKMAN BRISKMAN GREENBER OALLAN FRIDMAN 51 11WC 42494 TOWNSEND, TAMEKA L CTA 10/31/11 MICHAEL P MCCREADY & ASSOC CHICAGO TRANSIT AUTHORITY 52 11WC 42512 CLERMOND, JOE ARENA FOOTBALL ONE LLC 04/22/11 PETER D CORTI LAW GROUP ADELSON TESTAN & BRUNDO 53 11WC 42644 GUEVARA, FREDY PRIMARY STAFFING INC 08/10/11 KATZ FRIEDMAN EAGLE ET AL QUINTAIROS PRIETO WOOD & BOY 54 11WC 44669 19B CAMPBELL, TOM, ESTATE ADM CORICO INC 04/26/11 HEALY LAW FIRM RUSIN MACIOROWSKI & FRIEDMAN 55 11WC 48875 VASQUEZ, ROGELIO ELITE STAFFING, INC 12/01/11 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 56 12WC 00133 VAZQUEZ, JAVIER SILVA'S CENTRAL BAKERY 11/21/11 JAMES ELLIS GUMBINER & ASS 57 12WC 01365 QUERCIO, CARMEN ELMWOOD PARK SCHOOL 12/13/11 CULLEN HASKINS NICHOLSON THOMAS & PORTELA 58 12WC 01384 FOSTER, SHARON CITY OF CHICAGO SANITATIO 01/04/12 MICHAEL P MCCREADY & ASSOC CITY OF CHICAGO 59 12WC 02442 STEHLIK, MILOS JORE PAINTING & DECORATIN 12/13/11 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 60 12WC 04992 SIDA, JOSE PRO TRAILER 11/09/11 CHRISTINE F DAVID GANAN & SHAPIRO 61 12WC 05510 BREWSTER, HAROLD ARKANSAS BEST FREIGHT 06/26/11 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC 12WC005511 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 62 12WC 05563 CASTILLO, MARGARITA SMOQUE BBQ 10/01/10 MARC J SHUMAN & ASSOCIATES GANAN & SHAPIRO 63 12WC 06037 VINSON, TEKESHIA CTA 01/23/12 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 12WC040163 -C 64 12WC 09204 MENDEZ, ALVARO LYON AND HEALY HARPS 02/03/12 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 65 12WC 10767 EGIZIO, MICHELLE WAL MART STORES 02/16/12 SAUNDERS CONDON & KENNY WIEDNER & MCAULIFFE LTD 12WC027235 -C 66 12WC 11338 COLEMAN, MARY A NICOR, INC 08/10/11 BERNAT & BERNAT PC MACIOROWSKI SACKMANN & ULRIC 67 12WC 13034 NOWAK, MICHAEL CITY OF CHICAGO 03/23/12 DAVID W MARTAY CITY OF CHICAGO 68 12WC 14979 O'LENUS, DARON GRIFFIN SUPPLY, INC 12/27/11 CULLEN HASKINS NICHOLSON EDWARD JANUSZKIEWICZ 69 12WC 15782 MARTINEZ, JULIO FEDERAL MOGUL 10/21/11 ROMANEK & ROMANEK HOLECEK & ASSOCIATES 70 12WC 16761 KEANE, PETER CHICAGO TRANSIT AUTHORITY 12/01/11 HEALY LAW FIRM CHICAGO TRANSIT AUTHORITY 71 12WC 18342 SMITH, DONNIE HAYES MECHANICAL 04/30/12 STEPHEN R. MARTAY GAROFALO SCHREIBER STORM 72 12WC 19115 OSORIO, SIXTO WOODWARD 12/29/11 DEPAOLO ZADEIKIS GORE HINSHAW & CULBERTSON 73 12WC 19202 TIGGS, DIANA R AMERICAN AIRLINES 03/11/12 CHRISTIAN & MANNO GAROFALO SCHREIBER STORM 74 12WC 20523 DELITZ, BILLEY CITY OF CHICAGO 03/22/12 WILLIAM B MEYERS, LTD CITY OF CHICAGO 75 12WC 23057 MARQUEZ, MARIA E OTTO & SONS 04/13/12 BRISKMAN BRISKMAN GREENBER MEACHUM & STARCK 76 12WC 23212 BORAS, VLADO BARCELONA CONDO ASSOCIATI 04/20/12 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 14WC040927 -C 77 12WC 24364 HURTADO-CHAVEZ, LIDIA J KDW WESTERN LLC 06/19/12 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 78 12WC 24638 WILLIAMS, KEITH CITY OF CHICAGO 06/18/12 SALVATO & O'TOOLE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 79 12WC 27207 COLEMAN, VALESKA PROVIDENT HOSPITAL 04/03/12 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 80 12WC 27844 SMITH, LAMONT CITY OF CHICAGO 06/25/12 HEALY LAW FIRM CITY OF CHICAGO 81 12WC 36437 JACKSON, JANET CHICAGO PUBLIC SCHOOLS 08/22/12 ANKIN LAW OFFICE LAW DEPARTMENT 82 12WC 37619 STEPANEK, STEVE CITY OF CHICAGO SDOT 12/14/09 DWYER AND COOGAN CITY OF CHICAGO 13WC008831 -C 83 12WC 37862 MORALES, SILVIA CINTA'S CORP 10/09/12 SMOLER LAW OFFICE, PC KEEFE CAMPBELL & ASSOC LLC 84 12WC 38019 KACMARSKI, MARIOLA,WIFE & CRS # 09/25/12 GOLDBERG WEISMAN & CAIRO L 85 12WC 38098 BROWN, RONALD CHICAGO PUBLIC SCHOOLS 08/10/12 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 86 12WC 38399 HENDERSON, TROY HERITAGE STEEL 10/15/12 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 87 12WC 40468 BLACK, SHERRIE UNITED AVE LINES 10/16/12 FRIEDMAN & SOLMOR LTD BRYCE DOWNEY & LENKOV LLC 13WC033972 -C 14WC036114 -C 14WC036115 -C 88 12WC 42339 MAYOR, JAIR CITY OF CHICAGO 11/28/12 ACEVES & PEREZ PC CITY OF CHICAGO 89 12WC 43316 CARTER, URSULA IL STATE POLICE @ 10/01/12 STEVEN M SELAN JILL OTTE 13WC006097 -C ILLINOIS STATE POLICE 90 12WC 43615 BAILON, REYNA MARRIOTT HOTEL SRVCS INC 05/01/12 THE ROMAKER LAW FIRM POWER & CRONIN LTD 14WC034686 -C 91 13WC 00308 ASMAH, ELIZABETH SERVICES OF ADULTS STAYIN 11/14/11 STEVEN J SEIDMAN LAW OFFIC BRADY CONNOLLY & MASUDA PC 92 13WC 00588 CAMPOS, EDUARDO DISPATCH TAXI W 12/17/12 MARC J SHUMAN & ASSOCIATES 93 13WC 00730 WILLIAMS, SANDRA CHICAGO BOARD OF EDUCATIO 12/13/12 EPSTEIN, JACK R LAW OFFICE LAW DEPARTMENT 94 13WC 00760 JACKSON, LOLITA CHICAGO BOARD OF EDUCATIO 05/06/11 MARSZALEK AND MARSZALEK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 95 13WC 00832 BARRIGA, OLGA PETE'S FRESH MARKET 12/04/12 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 96 13WC 00847 BROWN, CASSANDRA HABLE HARRIS TRUCKING W 10/06/12 CHASE & WERNER LTD ROBERT A. WILSON 13WC000848 -C 97 13WC 01167 COLON, MICHAEL A CITY OF CHICAGO 11/12/11 STROM, NEAL B 98 13WC 01512 19B TELLEZ, MANUEL JR CITY OF CHICAGO 12/27/12 STEVEN J TENZER, LTD CITY OF CHICAGO 99 13WC 01764 DIAZ, HERMAN CHICAGO MEAT AUTHORITY IN 10/26/12 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 14WC007368 -C 14WC029231 -C 100 13WC 02569 HLOMAH, PAUL MENARD INC 07/09/09 MINKOW DOMIN CHILTON YAMBERT PORTER LLP 101 13WC 03509 CROWL, JOSEPH COMBINED ROOFING INC 09/06/12 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 102 13WC 03811 TELAS, WILFREDO UNIVERSAL MATTRESS, INC. @ W 06/19/12 CULLEN HASKINS NICHOLSON 103 13WC 04042 CORTES, MIGUEL CHICAGO PUBLIC SCHOOLS 10/29/12 LEO ALT LAW DEPARTMENT 104 13WC 11543 BROWN, LUTHER SOUTHWEST AIRLINES 07/02/12 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 13WC011544 -C 14WC000442 -C 14WC038178 -C 105 13WC 11598 PERKINS, THEA ELEMENTARY SCHOOL DISTRIC 12/05/12 STEVEN J SEIDMAN LAW OFFIC ANCEL GLINK DIAMOND BUSH & E 106 13WC 11933 JOHNSON, LORETTA UNIVERSITY OF CHICAGO HOS 03/12/13 LAW OFFICES MICHAEL HELLMA MACIOROWSKI SACKMANN & ULRIC 107 13WC 12279 LAROCCO, CHUCK GLOBAL CFS INC 03/20/13 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 13WC012280 -C 108 13WC 12517 MOTYASHOK, VOLODYMYR KAUNAS EXPRESS 01/22/13 BELCHER LAW OFFICE DAVID M SPADA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 109 13WC 12571 PAGAN, EDWARD THE KEMPNER CO., INC. 06/20/12 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 110 13WC 13729 SHULGA, RONALD D CITY OF EVANSTON 03/14/13 THOMAS W DUDA WIEDNER & MCAULIFFE LTD 16WC024300 -C 111 13WC 13963 HERNANDEZ-DIONICIO, JESUS UNIVERSAL EXPORTS OF ILLI W 08/23/12 FRIEDMAN & SOLMOR LTD ASSISTANT ATTORNEY GENERAL 112 13WC 14185 CAMPOS-DESANCHEZ, REYNA Y ASSIST INCORPORATED 10/07/11 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 14WC030492 -C 113 13WC 20047 FLORES, JUAN SPACE BUILDERS INC 06/04/13 LUIS A ACEVES & ASSOC 114 13WC 21430 BROWN, JACQUELINE CARSON PIRIE SCOTT/THE BO 03/06/13 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 115 13WC 21803 MERGNER, CHRIS GOLBEIOWSKI TRANSPORT INC W 04/29/13 DWORKIN AND MACIARIELLO 116 13WC 22190 PEREZ, JOSE CAMICERIAS JIMENEZ 06/06/13 CULLEN HASKINS NICHOLSON RUSIN MACIOROWSKI & FRIEDMAN 117 13WC 22598 BADAL, FARHA A SUNRISE SENIOR LIVING 06/19/13 KALOGERAKOS & ASSOC HENNESSY & ROACH PC 118 13WC 22757 LEON, MARIA BURGER KING 07/03/13 ACEVES & PEREZ PC LAW OFFICES OF EDWARD J. KOZ 119 13WC 22814 DEACON, LAWRENCE PENINSULA CHICAGO 12/18/12 HEALY LAW FIRM HENNESSY & ROACH PC 120 13WC 23103 CARNEY, HURBIE DEPT OF HUMAN SERVICES @ 04/18/13 BOGUSZ & BOGUSZ LTD ASSISTANT ATTORNEY GENERAL 121 13WC 23622 KHALED, AMAL NOVASPECT INC 10/25/12 LAW OFFICE OF TIMOTHY LAMP LAW OFFICES OF EDWARD J. KOZ 122 13WC 24000 SCHUMACHER, MICHAEL COMMERCIAL CARPENTRY 12/26/12 POLANSKY & CICHON CHTD KEEFE CAMPBELL & ASSOC LLC 123 13WC 24653 MORENO, SARAI KENNEDY KING COLLEGE D/B/ 12/07/12 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 124 13WC 25164 GONZALEZ, JESUS M COREY STEEL COMPANY 07/15/13 ACEVES & PEREZ PC MEACHUM & STARCK 125 13WC 25312 PERRI, NASER THE MILLARD GROUP 06/28/13 WILLIAMS, ROBERT B LAW OFF RODDY LAW LTD 14WC033111 -C 126 13WC 25651 RODRIGUEZ, RUBEN D RESERVE MARINE TERMINAL 04/09/13 ELFENBAUM EVERS & AMARILIO GRANT & FANNING 127 13WC 28400 CAMPBELL, HELEN MADDEN MENTAL HEALTH CTR @ 10/15/12 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 13WC028453 -C 128 13WC 30691 RODRIGUEZ, MANUEL TRIANGLE FABRICATION & 07/25/13 FIORENTINO LAW OFFICES 129 13WC 31697 KOETZLE, RALPH L VERALLIA SANT GOBAIN 06/12/13 VITELL & SPITZ LTD HENNESSY & ROACH PC 130 13WC 32097 RICKMAN, CHESLEY CITY OF CHICAGO 09/13/13 ANKIN LAW OFFICE CITY OF CHICAGO 131 13WC 33337 CALDERON, MARTIN MENARDS, INC 11/28/11 SALK, STEVEN B & ASSOC LTD CHILTON YAMBERT PORTER LLP 13WC033338 -C 13WC033339 -C 14WC021836 -C 15WC026769 -C 132 13WC 33618 FRAZIER, PHILANDER GROCERIES AND MORE @ W 09/09/13 RONALDSON & KUCHLER 133 13WC 33705 FERREYRA, JOSE D COMPACT INDUSTRIES INC 09/27/13 ANKIN LAW OFFICE 134 13WC 34306 HOWARD, KENNETH CITY OF CHICAGO 08/16/13 CITY OF CHICAGO 135 13WC 34635 COOK, JAMES STA CLEAN SYSTEMS, INC 09/21/13 CULLEN HASKINS NICHOLSON RODDY LAW LTD 136 13WC 34654 CAMPOS, JOSEFINA AR-BEE TRANSPORT, INC. 06/12/13 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 137 13WC 34908 CRUZ, MARIA PREFERRED MEAL SYSTEMS 02/13/13 RATHBUN CSEVENYAK & KOZOL POWER & CRONIN LTD 138 13WC 35037 TORRES, MARIA DURABLE PACKAGING 10/16/12 THE ROMAKER LAW FIRM RODDY LAW LTD 13WC039489 -C 139 13WC 35162 SANTANA, MIGUEL SCRUB, INC 10/07/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 140 13WC 36064 OWENS, ORLANDO CITY OF CHICAGO 10/22/13 DWORKIN AND MACIARIELLO CITY OF CHICAGO 141 13WC 36496 JONES, MARCIA UNIVERSITY OF CHICAGO MED 08/25/13 COVEN LAW GROUP HENNESSY & ROACH PC 142 13WC 36804 WITTE, PATRICIA G UNO CHARTER SCHOOL/SANDRA 10/02/13 DWYER AND COOGAN MEACHUM & STARCK 143 13WC 36861 NAVA, PERLA KULAS MAIDS INC 08/15/13 MINKOW DOMIN HOLECEK & ASSOCIATES 144 13WC 37218 SULLIVAN, MICHAEL NORTH PALOS FIRE PROTECTI 10/06/13 THOMAS W DUDA POWER & CRONIN LTD 145 13WC 37469 MATWIJ, JERRY NEW ALBERTSON'S INC 06/13/13 COVEN LAW GROUP RODDY LAW LTD 146 13WC 38715 KEETON, JIMMY E LOYOLA UNIVERSITY 04/22/13 BRILL & FISHEL LORENZ & BERGIN PC 147 13WC 39873 CANNIZZARO, TAMMY LOYOLA UNIVERSITY 06/11/12 RONALDSON & KUCHLER LORENZ & BERGIN PC 14WC020186 -C 148 13WC 40507 MEZIERE, DAVE CITY OF CHICAGO 11/14/13 ROMANUCCI & BLANDIN CITY OF CHICAGO 149 13WC 41526 WYDRA, STEPHEN CHICAGO PARK DISTRICT 12/06/13 GOLDBERG WEISMAN & CAIRO L CHICAGO PARK DIST LAW DEPT 150 13WC 41777 DOKES, MARIA E UNIVERSITY OF ILLINOIS 10/14/13 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 151 13WC 41887 CRUZ, MANUEL BLOMMER CHOCOLATE CO 06/18/13 KENNETH B GORE, LTD GAROFALO SCHREIBER STORM 152 13WC 42550 CUNNINGHAM,SARAH MEDICAL EXPRESS SMBULANCE 11/01/13 LAW OFFICE EDWARD LICHTENS 153 14WC 00106 VERDINO, DONNA LASER REPRODUCTIONS 10/02/13 COVEN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 154 14WC 00164 AVALOS, ARACELI SUPERIOR MAILING SERV INC 10/03/13 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 14WC000165 -C 155 14WC 00324 RODRIGUEZ, GABRIEL THE LEVY COMPANY 11/27/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 156 14WC 00371 FORD, DARLENE FLICKERS 10/24/13 LITTLER RENNER HOWARD ET A 157 14WC 00417 HAENNICKE, GEORGE F CITY OF BERWYN 02/24/13 GOLDBERG WEISMAN & CAIRO L CUDA LAW OFFICES 14WC000418 -C 15WC003155 -C 158 14WC 00968 BOWEN, JOSEPH JB HUNT 12/04/13 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 14WC012657 -C 159 14WC 01130 MENDOZA, MARIA E TOWER AUTOMOTIVE 04/16/13 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 160 14WC 01265 HOLLIDAY, ROY UNITED AIRLINES INC. 09/22/13 SUTTER & ORI LLC 161 14WC 01297 PATYKOWSKI, PETER SAW ENTERPRISES INC 12/04/13 SMOLER LAW OFFICE, PC LAW OFFICES JOSEPH MARCINIAK 162 14WC 01386 AYALA, MANUEL MEYER STEEL DRUM INC 10/27/13 JAMES ELLIS GUMBINER & ASS 14WC001387 -C 163 14WC 01445 CHAVEZ, MARIA G LABOR NETWORK 10/04/13 GOLDSTEIN BENDER & ROMANOF ROBERT L. SMITH 164 14WC 01944 WOODS, LAKESHA K FACTORY MOTOR PARTS 11/11/13 LAW OFFICES MICHAEL HELLMA LEAHY EISENBERG & FRAENKEL 165 14WC 02054 HARGROVE WARD, TIKITA EVERST COLLEGE 12/31/13 DWORKIN AND MACIARIELLO GRANT & FANNING 166 14WC 02202 SMITH, PERSONIE SMX STAFF MGMT TEMP AGENC 11/15/13 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 167 14WC 02913 TANCHEV, ILIYA ENTERPRISE RENT A CAR 02/03/13 INMAN & FITZGIBBONS 168 14WC 03520 RIOS, MARY SEALED AIR CORPORATION 07/15/11 ROSS TYRRELL MEACHUM & STARCK 169 14WC 03538 CLEVELAND, RONALD GROSSINGER TOYOTA NORTH 11/19/13 SALK, STEVEN B & ASSOC LTD ROBERT L. SMITH 14WC009920 -C 170 14WC 08855 ZERMENO, LATISIA MATCHLESS METAL POLISH 03/08/14 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 171 14WC 09923 MORGAN-CORNELL, KRISTY CHICAGO TRANSIT AUTHORITY 03/24/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 172 14WC 10683 THOMAS, SHIRLEY CHICAGO TRANSIT AUTHORITY 03/21/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 173 14WC 10939 ROSALES, MARIBEL UNISTAFF 03/19/14 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 174 14WC 11264 BILLINGSLEA, PAMELA CPS/BOARD OF EDUCATION 02/07/13 SEIDMAN MARGULIS & FAIRMAN 175 14WC 11443 KUBELKA, LAURIE SUPERIOR AMBULANCE 02/07/14 MC HARGUE, JAMES P LAW OFF POWER & CRONIN LTD 176 14WC 11448 BECHARAS, BESSIE VASILIKI UNITED AIRLINES INC. 09/15/12 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 177 14WC 11496 SNIPES, CONTESSA MARYVILLE ACADEMY 01/02/14 RIFFNER BARBER ROWDEN & SC SMITH AMUNDSEN LLC 178 14WC 11506 TABB, YOHANNA CTA 04/03/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 179 14WC 11554 CAPARELLI-RUFF, ELIZABETH SPECIAL EDUCATION SERVICE 03/12/14 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 180 14WC 11819 FISHER, ANDREA FORD 03/23/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 14WC011820 -C 15WC032172 -C 181 14WC 12054 SULLIVAN, JAMES MONDELEZ INTERNATIONAL IN 11/11/13 LEO ALT WIEDNER & MCAULIFFE LTD 182 14WC 12097 MORALES, REGULO DEZURIK INC 07/25/13 MILLON & PESKIN LTD 183 14WC 12112 MIZIMAKOSKI, SIMON B FUNK LINKO 01/06/11 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 184 14WC 12220 WATTS, JAJA FORD MOTOR COMPANY 03/18/14 KP LAW LLC 185 14WC 12240 THEOBALD, DEBORAH STARBUCKS CORPORATION 10/23/12 NEWLAND & NEWLAND 186 14WC 12495 GIANNOPOULOS, SAM G ALPHA BAKING CO 10/02/13 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 187 14WC 13007 LOCOCO, ANTHONY CITY OF CHICAGO 01/09/14 PARAG P. BHOSALE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 14WC 13035 MATUSIAK, LARISSA CHICAGO BOARD OF EDUCATIO 03/12/14 CULLEN HASKINS NICHOLSON LAW DEPARTMENT 189 14WC 13163 CAREY, KARLOTTE ARAMARK, INC/INGALLS HOSP 04/03/14 KARCHMAR & STONE STONE & JOHNSON CHARTERED 14WC024688 -C 190 14WC 13216 REESE, DOUGLAS W ESMARK STEEL GROUP 02/27/14 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 191 14WC 13301 SHEPARD, TOM VERIZON 08/01/12 MEYERS & FLOWERS WHITT LAW 192 14WC 13441 KRASINSKI, MITCHELL C STATE OF ILLINOIS/IDOT @ 03/04/14 GOLDBERG WEISMAN & CAIRO L 193 14WC 13924 19B CHAVEZ, ARTURO G ASG STAFFING 12/13/13 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 194 14WC 14148 WIECHOWSKI, ROMAN FIT LOGISTICS,INC 02/24/14 KP LAW, LLC 195 14WC 14182 LOPEZ, LUCY CHICAGO PUBLIC SCHOOLS 03/17/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 196 14WC 14231 SLEDGE, GEORGE D III CITY OF CHICAGO DEPT OF 01/09/14 VRDOLYAK LAW GROUP LLC 197 14WC 14428 GILSON, KATHLEEN CHICAGO PUBLIC SCHOOLS 03/06/13 BRILL & FISHEL LAW DEPARTMENT 198 14WC 15014 OCHOA, JOSE A NEILL CARTAGE 01/24/14 VASILATOS & COTTER LLC INMAN & FITZGIBBONS 199 14WC 15045 STUDWAY, WILLIE CITY OF CHICAGO 07/26/11 BRUSTIN & LUNDBLAD LTD CITY OF CHICAGO 200 14WC 15165 SPRATT, DARRYL ILLINOIS SPORTSSERVICE IN 03/31/14 DEPAOLO ZADEIKIS GORE 201 14WC 15473 HALBERTHAL, SANDRA ALEXIAN BROTHERS 03/01/14 HENNESSY & ROACH PC 202 14WC 17107 KILGORE, SUZETTE CTA 05/14/14 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 203 14WC 18329 POREBA, THOMASZ JX ENTERPRISES 05/09/14 CRONIN & PETERS GAROFALO SCHREIBER STORM 204 14WC 18911 WHITFIELD, KEVIN CHUBB ENTERPRISES 04/24/14 ILLINOIS INJURY LAWYERS 16WC016015 -C SB ENTERPRISES 205 14WC 19442 PETERSON, RASHANDA RALLY'S @ W 03/28/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 206 14WC 20184 REYES, MANUEL ELECTRONIC PLATING CO 05/16/14 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 207 14WC 20961 TAMBURELLO, GREGORY MICHELE BAKING COMPANY 01/10/14 FINE, MARK S LAW OFFICES GILDEA & COGHLAN 208 14WC 21600 FULLER, KEITH AMR-SIMMONS AIRLINES 06/15/14 PETER D CORTI LAW GROUP POWER & CRONIN LTD 209 14WC 22295 GARCIA, MARISOL STARBUCKS 06/06/14 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 210 14WC 22296 WAUCHOP, JOHN G MOMENTUM MANGEMENT INC 05/24/13 CULLEN HASKINS NICHOLSON LAW OFFICES FRANCESCA LARSEN 211 14WC 22381 ASH, DEBRA WSI INC 03/19/14 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 212 14WC 22382 VILLALOBOS, MARIBEL CRESCENT FOODS INC 05/22/14 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 213 14WC 22752 TYLER, TRACY CHICAGO TRANSIT AUTHORITY 06/16/14 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 214 14WC 22766 LOPEZ, MARTIN OLYMPIA MOVING & STORAGE 06/15/14 ENCINAS & ORNELAS SPIEGEL & CAHILL, PC 215 14WC 22785 MAYO, LISA PARKSHORE ESTATES NURSING 07/05/14 KARNO, MARK L & ASSOC 216 14WC 22856 PIERCE, ZACHARY DHR INC STAFFING SOLUTION W 03/04/14 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 217 14WC 22904 GARZA, RAYMUNDO CHICAGO TRANSIT AURTHORIT 04/29/14 KROL BONGIORNO & GIVEN LTD CHICAGO TRANSIT AUTHORITY 218 14WC 23059 HILL, SHANTINEER SOUL VEGITARIAN ETERNITY 01/20/14 219 14WC 23189 JONES, GEORGE CTA 07/02/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 220 14WC 23258 CONTRERAS, BAILON IRENE WENDY'S 03/10/14 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 221 14WC 23386 AYALA, MARTHA ARAMARK 01/23/14 RUSSO & RUSSO LTD 222 14WC 23608 BIURQUIS, SALVADOR TOTAL STAFFING 06/06/14 JONATHAN SCHLACK ROCK FUSCO & CONNELLY 223 14WC 24096 HANKISON, WILLIAM PEPSI CO 07/09/14 BRISKMAN BRISKMAN GREENBER ROBERT L. SMITH 224 14WC 24224 EVANS, RANDOLPH HMS HOST CORPORATION 07/08/14 MARSZALEK AND MARSZALEK ROBERT L. SMITH 225 14WC 24271 DOMINQUEZ, ALEXANDRA MOBILE RAIL SOLUTIONS INC 07/13/14 DEPAOLO ZADEIKIS GORE 14WC024272 -C 15WC000177 -C 226 14WC 24772 BROWN, ALPHONZO UNIVERSITY OF CHICAGO (7) 04/23/14 SHELDON I MINKOW & ASSOCIA POWER & CRONIN LTD 227 14WC 25285 AYALA, KEVIN DAVENPORT LOGISTICS, INC. 07/08/14 FRANCIS J DISCIPIO LAW OFF 228 14WC 25469 SOPRYCH, ROBERT J CITY OF CHICAGO 03/12/14 SALVATO & O'TOOLE 229 14WC 25486 HAYWOOD, SABRINA WALMART 06/20/14 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 230 14WC 25864 MECHER, DANIELLE RISK PLACEMENT SERVICES I 05/01/14 GASSMAN LEGAL PC HENNESSY & ROACH PC 231 14WC 26516 WALKER-JAMES, JANICE ST OF IL DEPT OF 04/15/14 GRAZIAN & VOLPE PC ASSISTANT ATTORNEY GENERAL 232 14WC 30228 PENGIEL, MARY ANN MAC NEAL HOSPITAL 05/05/13 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 233 14WC 31632 SCHUELKE, RICHARD FREEMAN COMPANIES 08/28/14 MILLON & PESKIN LTD MC ANDREWS & NORGLE LLC 234 14WC 31992 FORD, EMANUEL GO AIRPORT EXPRESS 06/07/14 DWORKIN AND MACIARIELLO 235 14WC 32509 FIELDS, REBEKAH ALDI 03/28/14 COPLAN & CRANE, LTD 236 14WC 32542 MARTINEZ, FRANCISCO SCHENKER INC 07/08/14 ENCINAS & ORNELAS LAW OFFICES OF EDWARD J. KOZ 237 14WC 32573 CANTAVE, GAIL IL DEPT OF CHILDREN & FAM 09/15/14 GOLDBERG WEISMAN & CAIRO L JILL OTTE 238 14WC 33042 WIECZOREK, WOJCIECH MERCHANDISE MART PROPERTI 03/21/14 BELLAS & WACHOWSKI HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 239 14WC 33390 MOHAMED, MOHAMED DISPATCH TAXI AFFILIATION 08/27/14 HUNER LAW OFFICES LLC 240 14WC 33407 GOMEZ, JOSEPH RAPID RESPONSE, INC. 09/03/14 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 241 14WC 33776 GONZALEZ, IRMA WIRELESS VISION HOLDINGS 08/20/14 O'CONNOR & NAKOS LAW OFFICES OF EDWARD J. KOZ 242 14WC 33998 JIMENEZ, VIOLETA SCHULZE & BURCH 09/27/14 LAW OFFICES OF MARK SCHAFF WIEDNER & MCAULIFFE LTD 243 14WC 34013 SIMPSON, ANDRE TITAN SECURITY GROUP 09/05/14 244 14WC 34424 FLORES, ROMAN TOP VALUE AUTO REPAIR 09/10/14 THE BRYANT LAW GROUP LLC 245 14WC 34511 HERNANDEZ, JORGE CONSTRUCTION DEVELOPMENTS 09/25/14 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 246 14WC 34681 QUIROZ, CATALINA DUNKIN DONUTS/SEVA CO LLC 08/02/14 LAW OFFICE OF SCOTT B SHAP 247 14WC 34722 THOMPSON, SHEMIKA RENAISSANCE AT MIDWAY 09/30/14 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 248 14WC 34842 MIERITZ, MARK LAKESHORE RECYCLING SYSTE 09/23/14 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 249 14WC 34983 CLAUDIO, DOMINGO VIENNA BEEF 09/23/14 LAW OFFICES OF JOSEPH F. V 250 14WC 35403 APPLEWHITE, LATRICE ELITE STAFFING 05/01/13 DWORKIN AND MACIARIELLO 251 14WC 35488 SOTO, MARTIN NEWARK GROUP, INC. 10/09/13 COHN LAMBERT RYAN & SCHNEI MEACHUM & STARCK 252 14WC 35857 EWEN, RONALD D NUVEEN INVESTMENTS, LLC 07/15/14 ANGELINI & ORI LLC 253 14WC 36014 BILBREY, WILLIAM J IDOT 03/10/14 WILLIAM MARTAY ILLINOIS ATTORNEY GENERAL 14WC036015 -C 254 14WC 36345 MARTINEZ, JULIO HOGAN & SON MOVERS LTD 03/05/14 VRDOLYAK LAW GROUP LLC ANKIN LAW OFFICE 255 14WC 37273 BAUTISTA, JAMES CHICAGO TRANSIT AUTHORITY 12/11/12 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY 256 14WC 37721 RAMIREZ, JOSE HEARTLAND ILLINOIS FOOD C 11/03/14 BRIAN J MC MANUS & ASSOC, LAW OFFICES OF EDWARD J. KOZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 257 14WC 40437 HARRIS, LESLIE CITY OF CHICAGO 08/29/14 MICHAEL P MCCREADY & ASSOC CITY OF CHICAGO 258 14WC 42556 BROWN, RICHARD EAGLES VIEW APARTMENTS 06/26/14 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 14WC042557 -C 259 14WC 43087 HICKSON, TRACEY CTA 12/04/14 FOHRMAN, DONALD W & ASSOCS 260 14WC 43186 YOUNGER, MARCIE WAL-MART STORES, INC. 11/29/14 DWYER MCCARTHY & ASSOC QUINTAIROS PRIETO WOOD & BOY 261 14WC 43276 GARCIA, JULIAN CARILLO ROOFING W 11/29/14 KATZ FRIEDMAN EAGLE ET AL QUINTAIROS PRIETO WOOD & BOY 262 14WC 43423 CARTER, MICHAEL CITY OF CHICAGO 10/17/14 MARC J SHUMAN & ASSOCIATES CITY OF CHICAGO 263 14WC 43520 SANCHEZ, SANTIAGO ARLINGTON PARK RACECOURSE 12/07/12 COSTA IVONE LLC POWER & CRONIN LTD 264 15WC 00153 DAVIS, JOHN CITY OF CHICAGO DEPT OF 12/16/14 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 265 15WC 00206 STEIF, ROBERT J SR ROY ZENERE TRUCKING/ESCAV 12/26/13 CAMERON CLARK GAROFALO SCHREIBER STORM 266 15WC 00453 SAMEGAWALA, NASIR YELLOW TAXI 11/15/14 LAW OFFICE RYAN ROSENTHAL 267 15WC 00605 JONES, SHARON CTA 11/14/14 THE FITZ LAW GROUP CHICAGO TRANSIT AUTHORITY 268 15WC 00832 HASKINS, PATRIECE FEDERAL EXPRESS 11/04/14 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 269 15WC 00854 LOVE, RACHEL CHICAGO PUBLIC SCHOOLS 03/26/14 PARENTE & NOREM PC 270 15WC 01403 SHATALOVICH, VALENTIN AS LIMOUSINE SERVICE 12/03/14 CHEPOV & SCOTT LLC 271 15WC 01660 PEREZ, GLORIA MARIANO'S 12/03/14 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 272 15WC 01794 TODD, LINDA DEARBORN WHOLESALE GROCER 02/12/13 COHN & COHN GANAN & SHAPIRO 273 15WC 01805 RUIZ, LUIS HOSTESS BRAND LLC 07/24/14 KARCHMAR & STONE INMAN & FITZGIBBONS 274 15WC 01832 HERMAN, DIERDRE D FIVE SEASONS FAMILY 03/07/12 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 275 15WC 01844 WATSON, SHARNETT ANDREA RICH LEE VANS 03/12/14 ANKIN LAW OFFICE GALLIANI DOELL & COZZI LTD 276 15WC 02007 DIAZ, MARTHA SMILE & LOVE, INC 01/19/15 ACEVES & PEREZ PC 277 15WC 02350 WOODSON, JOSELYN AUNT MARTHA'S YOUTH SVC C 07/03/14 STEVEN H MEVORAH & ASSOCIA 278 15WC 02471 RODRIGUEZ, ARMANDO CHEM-PLATE INDUSTRIES, IN 03/12/14 WIEDNER & MCAULIFFE LTD 17WC003810 -C CHEM PLATE INDUSTRIES, INC 279 15WC 02879 ARREGUIN, MARIA OSI INDUSTRIES 05/28/14 GOLDSTEIN BENDER & ROMANOF MEACHUM & STARCK 280 15WC 02907 DELA CRUZ, MARCIAL VALLARTA LANDSCAPING 12/04/14 281 15WC 03073 HARRIS, YOLANDA CHICAGO TRANSIT AUTHORITY 01/24/15 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 282 15WC 03160 JANAC, MARY ST JAMES HOSPITAL 01/21/15 COVEN LAW GROUP 283 15WC 03355 DOBBS, SAMUEL COOK COUNTY 01/10/15 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 284 15WC 04134 RIVERA, JUAN CHICAGO HEIGHTS STEEL 01/03/15 DWORKIN AND MACIARIELLO 285 15WC 04938 SANCHEZ, TERESA SAM'S CLUB 09/16/14 MC HARGUE, JAMES P LAW OFF WIEDNER & MCAULIFFE LTD 15WC012928 -C 286 15WC 08109 MENDIA, BRUNO REFLECTION WINDOW CO. 11/24/14 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 287 15WC 08272 ROGERS, JOSELYN ARDEN COURTS 01/21/15 LEONARD LAW GROUP LLC 288 15WC 08674 AYALA, EMMANUEL A.K.A. ACCURATE PERSONNEL SERVIC 01/21/15 CHEPOV & SCOTT LLC GRANT & FANNING 289 15WC 09076 BERRY, ROBERT JB HUNT TRANSPORT INC 11/25/14 ANKIN LAW OFFICE THOMAS & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 290 15WC 09246 MORRIS, CYNTHIA COOK COUNTY STATE'S ATTOR 02/03/15 KURASCH & KLEIN, LTD STATES ATTORNEY OF COOK COUN 291 15WC 10227 DOMINGUEZ, MARCELINA THE GARLANDS OF BARRINGTO 01/08/15 PARENTE & NOREM PC LAW OFFICES JOSEPH MARCINIAK 16WC003743 -C 292 15WC 10417 OREA, YAJAIRA STARBUCKS 07/04/13 GOLDSTEIN BENDER & ROMANOF 293 15WC 10447 JAROSCAK, DONALD CHGO DEPT OF FLEET MGMT 02/02/15 VASILATOS & COTTER LLC CITY OF CHICAGO 294 15WC 10510 OCAMPO, MARIA TRINIDAD TOTAL FACILITY MANAGEMENT 02/26/15 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 295 15WC 10535 JACOB, MARY UIC HOSPITALS 07/13/14 KINNALLY FLAHERTY KRENTZ & HEYL ROYSTER VOELKER & ALLEN 296 15WC 10793 BROWNN, NICOLE CTA 02/26/15 LEE, MARK N LAW OFFICE 297 15WC 11064 DILLARD, MARCELLA CITY OF CHICAGO 03/12/14 ROSENFELD HAFRON SHAPIRO F CITY OF CHICAGO 298 15WC 11122 ORTIZ, MAYRA CLARK ADAMS ASSOCIATES 07/14/13 BAUM RUFFOLO & MARZAL LTD MEACHUM & STARCK 15WC013408 -C 299 15WC 11165 OWENS, KEENAN LAMONT CHICAGO DEPT OF REVENUE 11/11/14 WILLIAM MARTAY CITY OF CHICAGO 300 15WC 11270 JOHNSON, SUZETTE UNITED AIRLINES, INC. 02/08/14 RICHARD E ALEKSY WIEDNER & MCAULIFFE LTD 301 15WC 11288 MC ELROY, SHERONNE SOUTHWEST AIRLINES 02/26/15 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 302 15WC 11354 ANGLIN, MICHELLE STAN KOCH & SONS TRUCKING 08/07/14 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES JOSEPH MARCINIAK 303 15WC 11358 HARRIS, MICHELE C CTA 02/20/15 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 304 15WC 11404 CARREON, RICARDO CHEM PLATE INDUSTRIES 03/29/15 SOSTRIN AND SOSTRIN PC WIEDNER & MCAULIFFE LTD 305 15WC 11592 KITA, LULEZIM DISPATCH TAXI AFFILIATION 03/20/15 DWORKIN AND MACIARIELLO 306 15WC 11655 MASSEY, WILLETTA MORGAN SERVICES, INC. 01/02/15 COHN LAMBERT RYAN & SCHNEI HOLECEK & ASSOCIATES 307 15WC 11659 JACOBS, RHONA LUTHERAN SOCIAL SERVICES 02/03/15 POMPER & GOODMAN GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 308 15WC 11680 WILLIAMS, VANESSA CHICAGO BOARD OF EDUCATIO 01/20/15 HEALY SCANLON LAW FIRM 309 15WC 11749 BLAKELY, JACQUELINE FRESENUIS 01/20/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 310 15WC 11780 URBANIO, ORONZO BATTAGLIA DISTRIBUTING CO 08/12/14 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 15WC016230 -C 311 15WC 11843 CRONIN, TIMOTHY W DELTA AIRLINES 04/13/14 WITTENBERG DOUGHERTY MAGLI 312 15WC 11904 SCOTT, ROBIN CHICAGO WATER MGMT DEPT 03/10/15 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 313 15WC 12099 PEREZ, RAUL SOUTH WATER MARKET PRODUC @ W 02/04/15 ARGIONIS & ASSOCIATES LLC DEER & STONE PC 314 15WC 12190 SUAREZ, HERMILO THE XCEL GROUP 02/10/15 CHEPOV & SCOTT LLC KOREY RICHARDSON LLC 315 15WC 12229 PILLOT, RAMON STATE OF IL CHICAGO REED @ 11/04/13 MICHAEL P MCCREADY & ASSOC ASSISTANT ATTORNEY GENERAL 16WC014142 -C 316 15WC 12436 MACIAS, BEATRIZ HOTEL STAFFING SOLUTIONS 03/30/15 MICHAEL P MCCREADY & ASSOC KOREY RICHARDSON LLC 317 15WC 12473 DE LEON, OSCAR V LETTUCS ENTERTAIN YOU 04/07/15 SALK, STEVEN B & ASSOC LTD NOBLE & ASSOCIATES PC 318 15WC 12488 BLAKE, CLAUDETTE ST OF IL REHAB SERVICES 03/09/15 DWORKIN AND MACIARIELLO JEANNINE SIMS 319 15WC 12695 BONILLA, BEVERLY NEW ALBERTSONS INC 10/24/14 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 320 15WC 12990 JENNINGS, JACQUES COCA COLA ENTERPRISES INC 04/02/15 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 321 15WC 12994 ROSAS, FRANCISCO COLOR COMMUNICATIONS INC 01/06/15 RUEDA, IVAN A KLAUKE LAW GROUP LLC 322 15WC 13027 BOGACZ, ROMAN BRAD FOOTE GEAR WORKS INC 03/25/15 MINKOW DOMIN MEACHUM & STARCK 15WC020924 -C 323 15WC 13145 TAYLOR, BARBARA TOWER 03/19/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 324 15WC 13382 ARAMBULA, JOSE L FRESNO TRANSPORT, INC. 04/03/15 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 325 15WC 13442 MARTINEZ, YEIMY MACNEAL HOSPITAL 10/09/14 JOHN S. ELIASIK HENNESSY & ROACH PC 326 15WC 13498 MITCHELL, BENNIE ELITE LABOR SERVICES LTD 09/04/14 SPENCER LAW OFFICES GOLDBERG SEGALLA LLC 327 15WC 13778 ANDERSON, JONATHAN UNISTAFF INC 03/15/15 GOLDBERG WEISMAN & CAIRO L MC ANDREWS & NORGLE LLC 15WC014956 -C 328 15WC 13911 OROZCO, FRANCISCO SUPERMERCADO VILLAREAL IN 12/03/13 LAW OFFICE OF JAMES URTIS ANCEL GLINK DIAMOND BUSH & E 329 15WC 13916 KALLIS, ANNA V ST IAKOVOS RETREAT CENTER 03/06/15 RUBIN LAW GROUP KOPKA, PINKUS & DOLIN, PC 330 15WC 14095 BRATTON, JAMES FORD MOTOR COMPANY 04/15/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 331 15WC 14231 CHAVEZ, MARIA ARAMARK 06/01/14 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 332 15WC 14265 JONES, ROY CHICAGO TRANSIT AUTHORITY 10/30/14 SANDMAN LEVY & PETRICH 333 15WC 15008 SERRANO, MARTIN RON'S STAFFING SERVICES 04/16/15 COSTA IVONE LLC GAROFALO SCHREIBER STORM 334 15WC 15143 075 WHIRITY, WILLAIMS J CHICAGO PUBLIC SCHOOLS 08/22/12 GOLDBERG WEISMAN & CAIRO L 075 15WC015142 -C 335 15WC 16545 REYES, JESUS CHICAGO BAKING CO 04/23/15 OLMSTEAD, GREGORY J LAW OF POWER & CRONIN LTD 336 15WC 19438 INENDINO, DANIEL F CITY OF CHICAGO 04/08/15 WILLIAM MARTAY CITY OF CHICAGO 337 15WC 19452 NORTH, RYAN CITY OF CHICAGO 06/10/15 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 338 15WC 20044 WILLIAMS, MONIQUE SUN RISE BUS COMPANY 06/08/15 VRDOLYAK LAW GROUP LLC 339 15WC 20198 MCCAIN, GILBERT E FLEISHMANNS VINEGAR COMPA 05/16/15 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 340 15WC 20423 WILLIAMS, MARCUS ROCK-TENN 04/20/15 SCHREINER MALLOY & ETZLER GAROFALO SCHREIBER STORM 341 15WC 20580 SANCHEZ, ALEJANDRO SERVICE DRYWALL & DECORAT 05/22/15 THE ROMAKER LAW FIRM KEEFE CAMPBELL & ASSOC LLC 342 15WC 20712 CARBALLO, BALBINA METRO STAFF INC 06/23/15 EPSTEIN, JACK R LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 343 15WC 20879 GALBRAITH, DANIEL CHICAGO DEPT OF FLEET2FM 06/18/15 SALVATO & O'TOOLE 344 15WC 21051 YATES, MARY RUNDY'S SUPERMARKET/ 02/28/15 O'CONNOR LAW GROUP LLC 345 15WC 21162 FEKADO, HADISH ENCORE HOSPITALITY SERVIC 04/30/15 DOUGLAS C DORN PC ADELSON TESTAN & BRUNDO 346 15WC 21196 EVANS, EDITH FORD MOTOR CO 03/31/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 15WC021197 -C 347 15WC 21331 CARCILLO, DAN CHICAGO BLACKHAWKS HOCKEY 03/25/15 GORDON LAW OFFICES LTD 348 15WC 21435 BUIVIS, TRACY WHEELS INC 09/24/12 SIMS, ZACHARY K PC 349 15WC 21441 PLESS, CHARLES II FORD MOTOR CO 07/19/14 CAMERON CLARK WIEDNER & MCAULIFFE LTD 15WC021442 -C 350 15WC 21513 BANUELOS, JOSE A ELITE CONTRACTING CO 06/26/15 HERRERA LAW CENTER ANCEL GLINK DIAMOND BUSH & E 351 15WC 21531 MUNRO, ANDREW T CITY OF HARVEY 08/10/12 THOMAS W DUDA 352 15WC 21631 CORTEZ, LOUIS JA JOHNSON PAVING 06/11/15 TURCYCHUTE LLC ACCIDENT FUND HOLDINGS 353 15WC 21703 LOPEZ, JUAN METRO AIR SERVICE 06/21/15 DWORKIN AND MACIARIELLO GRANT & FANNING 354 15WC 21730 ZUKOWSKA, KATARZYNA ASSOCIATIONS INC 06/12/15 BELLAS & WACHOWSKI 355 15WC 21740 JAVIER, GENE CHICAGO READ MENTAL HEALT @ 06/09/15 STEVEN H MEVORAH & ASSOCIA ASSISTANT ATTORNEY GENERAL 356 15WC 21965 PARISI, MICHAEL CITY OF CHICAGO 06/23/14 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 357 15WC 21996 OROZCO, AMALIO MULTI-TEMPS SERVICES INC 04/13/15 CORBOY & DEMETRIO PC ROBERT L. SMITH 358 15WC 22019 TORPE, SUZANNE PEPSICO 12/31/13 ELMAN & EHARDT LTD ROBERT L. SMITH 359 15WC 22279 SARABIA, RICARDO BELLWOOD POLICE DEPARTMEN 05/21/15 ANESI OZMON RODIN NOVAK KO ROCK FUSCO & CONNELLY 360 15WC 22653 SANCHEZ, LUIS FERNANDO DSTM INC 06/29/13 BARRY STEWART SILVER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 361 15WC 22749 LEWIS, STEVEN CITY OF CHICAGO DEPT OF S 05/05/15 THE FITZ LAW GROUP CITY OF CHICAGO 362 15WC 22836 GRISSETT, ALICE COOK DUPAGE TRANSPORTATIO 03/12/14 DAVID W MARTAY 363 15WC 22984 DIDENKO, MICHAEL PARK DISTRICT OF OAK PARK 05/31/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 364 15WC 22993 FLEES, DEWAYNE HARRINGTON & KING PERFORA 01/26/15 LEE, MARK N LAW OFFICE CASSANO & ASSOCIATES 365 15WC 23524 SCHLEICH, PETER VILLAGE OF MAYWOOD 07/23/15 FOOTE MIELKE CHAVEZ & O'NE INMAN & FITZGIBBONS 366 15WC 23566 DE LEON, SORIDA PROVIDENCE LIFE SERVICES 06/24/15 SCHREINER MALLOY & ETZLER BRYCE DOWNEY & LENKOV LLC 367 15WC 24548 SOLIS, JOSE LUIS TURN-KEY FORGING & DESIGN 06/12/15 STEPHEN G PINTO LTD RODDY LAW LTD 15WC033184 -C 368 15WC 24583 PEREZ, JESUS RYAN MEAT COMPANY 07/01/15 MILLON & PESKIN LTD LAW OFFICES JOSEPH MARCINIAK 369 15WC 24685 ALVARADO, RICARDO STAFFING NETWORK 07/09/15 JOHN S. ELIASIK SLAVIN & SLAVIN 370 15WC 24954 MCTEAR, MELVIN JEWEL FOODS 06/01/15 LAW OFFICE EDWARD LICHTENS 16WC008463 -C 371 15WC 24985 USHER, ALESIA ELIZABETH LUDEMAN CENTER @ 12/29/14 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 372 15WC 25070 STIGGER, TONIA FORD MOTOR COMPANY 06/15/15 FOHRMAN, DONALD W & ASSOCS 373 15WC 25098 BAILEY-MOSS, JACALYN RICH TOWNSHIP EAST 02/09/15 VASILATOS & COTTER LLC 374 15WC 25122 CRONENWETT, ROBERT FORD MOTOR CO 06/11/14 KATZ FRIEDMAN EAGLE ET AL 375 15WC 25365 JASPER, KATIE FORD MOTOR CO 03/10/14 DANIEL PERIASWAMY WIEDNER & MCAULIFFE LTD 376 15WC 25544 O'CAMPO, MAGDALENA KERRY SWEET 05/27/13 BELCHER LAW OFFICE STONE & JOHNSON CHARTERED 377 15WC 25782 BOLIVAR, ARMANDO BARRINGTON DEVELOPMENT GR 07/03/14 EPSTEIN, JACK R LAW OFFICE HANSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 378 15WC 25951 WYATT, DEBBIE HELP AT HOME INC 04/06/15 GOLDSTEIN AIOSSA & GOOD MEACHUM & STARCK 379 15WC 26878 JAMES, MARSHALL D SYMPHONY OF CRESTWOOD 08/06/15 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 15WC026880 -C 380 15WC 29748 GARCIA-DEALBA USA JAN INC/IHOP 5309 07/26/15 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 381 15WC 29750 CHIMERA, MARYROSE LITTLE COMPANY OF 03/16/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 382 15WC 30097 KUERSTEN, ALEXANDRA COOK COUNTY JUVENILE 06/29/15 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 383 15WC 30540 WILSON, PETE VIKING ROOFING & 09/15/15 ANKIN LAW OFFICE KNELL & O'CONNOR 384 15WC 31266 OCHOA, FERNANDO CAPITAL CAR WASH COMPANY 12/02/14 LUIS A ACEVES & ASSOC 385 15WC 31614 QUILES, KEVIN SHOE CARNIVAL 07/27/15 SANDMAN LEVY & PETRICH GAROFALO SCHREIBER STORM 386 15WC 31628 MALAVE, JOSE F STATE OF IL DIST CHICAGO @ 09/01/15 PARENTE & NOREM PC MATTHEW J KELLER 387 15WC 31630 COX, LARRY MIDWEST FOOD DISTRIBUTION 03/25/15 ERIC M GLASSON & ASSOCIATE HOLECEK & ASSOCIATES 388 15WC 31862 ASUAMA, YAW YEBOAH CARRIAGE TAXI CO. & 03/02/15 POMPER & GOODMAN 389 15WC 31901 SMITH, PIERRE BROADVIEW POLICE DEPT 07/13/15 MARC J SHUMAN & ASSOCIATES 390 15WC 32171 GRAHAM, TEMPEST FORD MOTOR COMPANY 09/18/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 391 15WC 32401 YEHIA, ABEDELSALAM UNITED AIRLINES 09/20/13 FOHRMAN, DONALD W & ASSOCS 392 15WC 32508 BAKER, DORIANE ANDREWS STAFFING 07/31/15 COSTA IVONE LLC SLAVIN & SLAVIN 393 15WC 32525 DACIOLAS, KENNETH CITY OF CHICAGO 06/03/15 JOSEPH J SPINGOLA, LTD 394 15WC 32528 SCOTT, LATICIA A STATE OF ILLINOIS @ 10/21/14 LEO M. BLEIMAN & ASSOC ASSISTANT ATTORNEY GENERAL 395 15WC 32658 COLLINS, ROMELLE ILLINOIS STATE POLICE @ 10/01/15 RIDGE & DOWNES MATTHEW J KELLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 396 15WC 32753 COLLINS, ALBERT IDOT @ 07/31/15 JASINSKI, GEORGE J ASSISTANT ATTORNEY GENERAL 397 15WC 32783 MAGLLIERI, VITA COSTCO 07/29/15 CAPRON & AVGERINOS PC GANAN & SHAPIRO 398 15WC 32865 RANDLE, NATASHA HERTZ RENT A CAR 09/10/15 STEVEN J MALMAN & ASSOCIAT 399 15WC 32890 REYNA, TYRONE MICHELS CORP 09/17/15 HERRERA LAW CENTER GAROFALO SCHREIBER STORM 400 15WC 33058 MURSHED, SAMIR U.S. XPRESS ENTERPRISES, 08/14/15 RICHARD J ZABORSKY MEACHUM & STARCK 401 15WC 33087 MOGUEL, EMANUEL J CHICAGO PARK DISTRICT 09/23/15 TOPPER & WEISS LTD CHICAGO PARK DIST LAW DEPT 402 15WC 33096 GALLOWAY, PAUL CTA 09/28/15 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 403 15WC 33230 RODARTE, DELFINO LORETTO HOSPITAL 01/12/15 JOHN J CASTANEDA GAROFALO SCHREIBER STORM 15WC039041 -C ST ANTHONY HOSPITAL 404 15WC 33456 DAMPIER, NECOTA CHICAGO TRANSIT AUTHORITY 09/09/15 WOODRUFF & JOHNSON CHICAGO TRANSIT AUTHORITY 405 15WC 33540 EDWARDS, BRETT LEND LEASE AMERICAS, INC 09/09/15 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 406 15WC 33839 BRANDT, TERRENCE JONES LANG LA SALLE 02/28/14 RONALDSON & KUCHLER SMITH AMUNDSEN LLC 407 15WC 33877 HERRERA, DELIA CAPITAL ONE 10/05/15 O'CONNOR LAW GROUP LLC GRANT & FANNING 408 15WC 34026 FLEISCHER, JULIE NORDSTROM 08/25/15 ELIZABETH BOWER KENT WIEDNER & MCAULIFFE LTD 409 15WC 34290 YOUNG, LARRY Z FORCE TRANSPORTATION 10/16/15 STROM, NEAL B KEEFE CAMPBELL & ASSOC LLC 410 15WC 34395 MALLERIS, NICHOLAS ALL AMERICAN PAPAER CO 10/01/15 MARKER & ASSOCIATES 411 15WC 34802 ZIEMBA, MICHAEL POWER CONSTRUCTION CO LLC 09/04/15 DWORKIN AND MACIARIELLO 412 15WC 34972 SHABO, SAMIR PAMCO LABEL 03/24/15 WEISS & WEISS LAW OFFICES 413 15WC 35465 ROMINSKI, KATHERINE TRINITY SERVICES 03/30/15 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 414 15WC 38240 REYES, ALMA ENJOY LIFE * 09/28/15 FAJARDO LAW GROUP 415 15WC 38582 ARNOLD, DANIEL M TERRAZZO MARBLE & GRANITE 10/24/15 GORDON & CENTRACCHIO LLC 416 15WC 38629 FLOREK, WLADYSLAW STAMPEDE MEAT INC 10/30/15 ANKIN LAW OFFICE ROSARIO CIBELLA 417 15WC 38642 BATRES, OSCAR MILLER BROTHERS LANDSCAPI 07/16/15 JOHN J CASTANEDA LAW OFFICES JOSEPH MARCINIAK 418 15WC 38970 KANUPKE, JOE WILLAGE OF MT PROSPECT 01/05/10 RODDY LAW LTD 419 15WC 39234 MAHMOUD, AHMAD KWIK MART 08/18/15 JAMES J BURKE LAW OFFICE 420 15WC 39324 DECHO, JOSEPH E AT & T 05/18/15 BRASSFIELD KRUEGER & RAMLO 421 15WC 39344 QUINTERO, GUADALUPE SALLY'S BEAUTY SUPPLY 09/13/15 BELCHER LAW OFFICE HARRIS DOWELL FISHER & HARRI 422 15WC 39425 GOORSKY, JOE GOORSKY ELECTRIC 10/28/13 GOLDBERG WEISMAN & CAIRO L 423 15WC 39607 MORALES, ALEX CITY OF CHICAGO 11/12/15 BOGUSZ & BOGUSZ LTD CITY OF CHICAGO 424 15WC 39619 GUTIERREZ, MARIA ANTONIET TUTHILL CORP., 11/02/15 HETHERINGTON KARPEL BOBBER 425 15WC 39623 BEE, DENNIS PEOPLES GAS LIGHT & COKE 09/01/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 426 15WC 39738 BOWMAN, ZACKARY CHICAGO BEARS FOOTBALL CL 08/23/13 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 427 15WC 39787 MC KAY, BIANCA K CTA CHICAGO TRANSIT AUTHO 09/21/15 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 428 15WC 39943 WHITE, KENNETH VILLAGE OF JUSTICE 07/22/15 BARRY A KETTER RUSIN & MACIOROWSKI LTD 16WC024271 -C 429 15WC 39971 ISAKZHANOV, RUSLAN CITY SVC TAXI 06/14/15 LAW OFFICES YEVGENIY VAYSM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 430 15WC 41017 NELSON, MYRON JAN-PRO OF NORTHERN ILLIN 12/01/15 ANKIN LAW OFFICE KNELL & O'CONNOR 431 15WC 41034 BOBO, RINO SOUTHERN REFRIGERATED 10/06/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 16WC027769 -C 432 15WC 41108 MAAYTEH, MICHAEL ANGELO STONE MASONS OF USA 11/11/15 RUBIN LAW GROUP RODDY LAW LTD 433 15WC 41133 JAMES, LETISHA CHGO BOARD OF ED 09/25/15 JAMES W GREEN, JR 434 15WC 41218 GARCIA, MALVARA ARYZTA LLCC - OTIS SPUNKM 11/09/15 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 15WC041219 -C 435 15WC 41331 MILLER, JERRIE THE SALVATION ARMY 03/08/15 FRANKS, GERKIN & MCKENNA P RODDY LAW LTD 436 15WC 41486 ARAMBULA, DAVID GEORGE'S CONCRETEINC 10/13/15 DISPARTI LAW GROUP PA GILDEA & COGHLAN 437 15WC 41581 GARCIA, RAFAEL MARKING SPECIALISTS CORP. 11/13/15 MC HARGUE, JAMES P LAW OFF THOMAS & PORTELA 438 15WC 41734 RAINES, ANGELA THE RITZ CARLTON CHICAGO 11/30/15 MILLON & PESKIN LTD 439 15WC 42507 MADONNA, STEVE SIX DEGREES LLC. 07/11/14 HORWITZ HORWITZ & ASSOC 440 15WC 42527 ROSALES, ALBERTINA TEC AIR INC. 11/20/15 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 15WC042528 -C 441 15WC 42674 AGUILAR, ANGEL HOT TUNA INC D/B/A 11/15/15 RUEDA, IVAN A 442 16WC 00023 ARISTA, JUAN RUBEN LOPEZ & LETICIA LOP 11/24/15 CULLEN HASKINS NICHOLSON 443 16WC 00040 CARTER, CARL CITY OF CHICAGO DEPT OF W 10/26/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 444 16WC 00098 MANKIEWICZ, DANUTA RUSH UNIVERSITY MEDICAL C 11/02/15 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL & ASSOC LLC 445 16WC 00906 GALVEZ, MARIA L CTA 02/18/13 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 446 16WC 00992 WILLIAMS, JANNIE M ST OF IL DEPT OF OFFICE O 12/08/15 ATSAVES, LOUIS G LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 447 16WC 01035 HENDERSON, DENNIS CITY OF CHICAGO 12/29/15 ANKIN LAW OFFICE CITY OF CHICAGO 448 16WC 01966 MARTINEZ, MARIA CARMEN INTERSTATE CLEANING CORP 12/28/15 RUSSO & RUSSO LTD 449 16WC 01990 HERNANDEZ, JULIO SANCHEZ CHICAGO TANK REMOVAL 07/30/15 BUDIN LAW OFFICES HOLECEK & ASSOCIATES 450 16WC 02035 MARTINEZ,EDWIN UNIVERSAL PARKING OF IL, 11/20/15 CHEPOV & SCOTT LLC THOMAS & PORTELA 451 16WC 02067 HANSON, EUGENE M. NORTH STAR SERVICES 01/15/16 ROMANUCCI & BLANDIN GAROFALO SCHREIBER STORM 452 16WC 02144 TURNER, MEREDITH IL DEPT OF TRANSPORTATION @ 12/24/15 STEVEN J MALMAN & ASSOCIAT COLIN KICKLIGHTER 453 16WC 02203 KENDALL, CHRIS CHICAGO TRANSIT AUTHORITY 05/05/15 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 454 16WC 02378 DOBRANSKYI, ANDRIL KLI EXPRESS 01/15/16 455 16WC 02401 AGUIRRE, VICTOR RUBENS SPRAY INSULATION I 12/15/15 CULLEN HASKINS NICHOLSON 456 16WC 02418 VILLAGOMEZ, RIGOBERTO AMB JANITORIAL SVCS 12/14/15 LEO ALT LITCHFIELD CAVO 457 16WC 02531 UPSHAW, STEPHAINE CHICAGO PUBLIC SCHOOLS 05/15/15 ERIC M GLASSON & ASSOCIATE 458 16WC 02583 CARTER, RUKIYA R ELIZABETH LUDEMAN @ 01/22/16 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 459 16WC 02600 WASHINGTON, PAULINE KUEHNE NAGLE INC 12/31/15 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 460 16WC 02638 LAHA, ROBERT ILLINOIS SECRETARY OF STA @ 11/23/15 DAPRATO, DENNIS COLIN KICKLIGHTER 461 16WC 02658 POWERS, JOSEPH DPS SEWER CONSTRUCTION 12/07/15 GRAZIAN & VOLPE PC WOLF LAW LTD 462 16WC 02753 BARKER, EDDIE SCHOOL DISTRICT 89 12/29/15 WOODRUFF & JOHNSON INMAN & FITZGIBBONS 463 16WC 02902 CASTERTON, KATHLEEN E AMITA HEALTH ALEXIAN BROT 01/12/16 CRONIN & PETERS POWER & CRONIN LTD 16WC002903 -C 464 16WC 02999 CASTILLO-MARROGUIN CLEARBROOK COMMONS 12/08/15 ANGELA NARDI-QUIGLEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 465 16WC 03032 CAPSAY, SUSAN G PROTECT-A-BED 09/27/15 THOMAS J. POLINSKI & ASSOC HOLECEK & ASSOCIATES 466 16WC 03264 PHILLIP, COLLIN B ST ATLANTA REALTY PARTNERS 01/06/16 DAVID W MARTAY 467 16WC 03310 RODRIGUEZ, JOSE RICARDO LEON CONSTRUCTION CO 12/15/15 CHILTON YAMBERT PORTER LLP 468 16WC 03318 TOWNSEND, MARISA CHICAGO PUBLIC SCHOOLS 12/17/15 GRAZIAN & VOLPE PC 469 16WC 03358 LOPEZ, MARCO ANTONIO VIEY LAKESIDE LITHOGRAPHY LLC 01/22/13 MC HARGUE, JAMES P LAW OFF 470 16WC 03438 SWEIS, HASAN A1 AMERICAN LIMOSINE SERV 12/29/15 471 16WC 03614 BROWN, KAREN C COOK COUNTYHEALTH&HOSPITA 12/03/15 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 472 16WC 03634 HERMOSA, MARIANO TERRACE HOLDING COMPANY 07/28/15 JAMES ELLIS GUMBINER & ASS 473 16WC 03689 PIERCE, TRACY L LAGRANGE MEMORIAL HOSPITA 12/09/15 THOMAS W DUDA RODDY LAW LTD 474 16WC 03704 AMADO, JOSEPH JAMES MCHUGH CONSTRUCTION 01/16/15 KOSIN LAW OFFICE LTD KEEFE CAMPBELL & ASSOC LLC 475 16WC 03860 ADAM, ZUBEDA Y PRESENCE HEALTH 05/24/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 476 16WC 03880 HARDEN, RAYMOND PEOPLES GAS LIGHT & COKE 01/21/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 477 16WC 03997 MUNOZ, EDGARDO PACTIV 10/02/15 LAW OFFICE EDWARD RUEDA SPIEGEL & CAHILL, PC 478 16WC 04020 DUKES, DAVID COLOR COMMUNICATIONS 01/26/16 STEPHEN G PINTO LTD 479 16WC 04058 ROG, ANDRZEJ CONTOUR SAWS INC 08/03/15 BERNSTEIN, PHILIP L HOLECEK & ASSOCIATES 480 16WC 04077 ROBLES, KATHERINE UNIVERSITY OF ILLINOSI-CH 02/01/15 CURTIS S BURKE LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 16WC004078 -C 481 16WC 04163 JONES, LISA CHGO PUBLIC SCHOOLS 12/17/15 LAW OFFICES PETER LEKAS 16WC004164 -C 482 16WC 04471 JEWELL, ROBIN SKENDER CONSTRUCTION LLC 11/19/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 483 16WC 04556 HOSICK, JOSHUA LOWES 01/10/16 COVEN LAW GROUP 484 16WC 04602 THOMAS, KIEA UGN INC. 01/28/16 GRAZIAN & VOLPE PC HOLECEK & ASSOCIATES 485 16WC 04747 BRYAN, SHEILA MV TRANSPORTATION 12/04/15 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 16WC013334 -C 486 16WC 04833 PICKENS, MARCIA ELISBATH LUDEMAN CENTER @ 10/13/15 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 487 16WC 04861 BENELHACHEMI, ADAM LKQ 12/22/15 MINKOW DOMIN BRYCE DOWNEY & LENKOV LLC 488 16WC 04954 CALDERON, DONNAMARIE BOARD OF EDUCATION CITY 04/02/15 KARCHMAR & STONE LAW DEPARTMENT 489 16WC 04977 FITCH, MARIE COOK DUPAGE TRANSPORTATIO 01/24/16 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 490 16WC 04998 LARA, IRENE LUXURY MOTORS 08/17/15 VRDOLYAK LAW GROUP LLC 491 16WC 05023 SHIMKUS, TROY JAMES MC HUGH CONSTRUCTIO 02/04/15 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 16WC005024 -C 492 16WC 05121 TORRES, ROBERTO HARVEY PALLETS INC 12/21/15 THE ROMAKER LAW FIRM ROBERT L. SMITH 493 16WC 05139 WATTS, TONY ELITE STAFFING 10/14/15 LAW OFFICE OF JAMES H MILL 494 16WC 05463 HAYES, ERIAH CHICAGO WOLVES 09/30/15 FLOYD LAW FIRM 495 16WC 05560 MCRORY, KIMBERLY GRAND LUX CAFE LLC 03/11/15 SCHWEICKERT & GANASSIN 496 16WC 05827 MONZON, LUIS KRAFT FOODS INC 02/04/15 CULLEN HASKINS NICHOLSON 497 16WC 06230 COLBERT, CHRISTOPHER CEVA LOGISTICS 02/22/16 MARC J SHUMAN & ASSOCIATES RUSIN & MACIOROWSKI LTD 498 16WC 08294 VIDAL, MELESIO RICHARDSON SEATING CORP 07/16/15 JONATHAN SCHLACK THOMAS & PORTELA 499 16WC 10843 ALLEN, DEVON THORTON FRACTIONAL DIST 2 01/20/16 MICHAEL P MCCREADY & ASSOC BRADY CONNOLLY & MASUDA PC 500 16WC 11364 HOSEY, DALE SILBRICO CORPORATION 08/05/15 JAMES A PAYONK JR 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 STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 501 16WC 11526 MENDEZ, HUGO METAL-MATIC INC. 03/12/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 502 16WC 11709 KRUSE, MARY PROVIDENCE LIFE SERVICES 03/31/16 PETER D CORTI LAW GROUP LAW OFFICES FRANCESCA LARSEN 503 16WC 11748 ESTRADA, ENRIQUE CHICAGO TRANSIT AUTHORITY 04/04/16 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 504 16WC 11838 LOTOWSKI, KRZYSZTOF (CHRI P.L. RESTORATION, INC. 03/18/16 GRAUER & KRIEGEL LLC LAW OFFICES JOSEPH MARCINIAK 505 16WC 11901 DAVIS, FALA UNIVERSITY OF CHICAGO 03/16/16 BUDIN LAW OFFICES 506 16WC 11924 FUNK, RONALD J L A FITNESS 09/03/15 CULLEN HASKINS NICHOLSON 507 16WC 12083 ZIMMERMAN, JOHN COOK COUNTY 04/08/16 FIGLIOLI, DAVID FOREST PRESERVE DIST COOK CO 508 16WC 12118 MARTIN, DIANA PACE SUBURBAN BUS 02/19/16 LEE, MARK N LAW OFFICE PACE - LEGAL DEPT 16WC012123 -C 509 16WC 12135 MCELROY, BENJAMIN PRESENCE ST FRANCIS 03/22/16 STEVEN J MALMAN & ASSOCIAT 510 16WC 12184 ALCANTAR, ANTONIO PEPSI 02/18/16 LEONARD LAW GROUP LLC 511 16WC 12221 CLEMONS, RASHON E&R TOWING 12/17/15 SEIDMAN MARGULIS & FAIRMAN 512 16WC 12331 DEMICHELE, TIMOTHY R BEYOND EXHIBIT LOGISTICS 03/09/16 COYNE REINKE LAW WOLFE & JACOBSON, LTD 513 16WC 12443 PINNER, LINDA J HOME DEPOT 10/23/15 KARNO, MARK L & ASSOC ADELSON TESTAN & BRUNDO 514 16WC 12539 MAGLIO, RODOLFO NORTHEASTERN ILL UNIVERSI @ 03/17/16 KAUFFMAN, NEIL & ASSOC ASSISTANT ATTORNEY GENERAL 515 16WC 12602 GUTIERREZ-FALLS, LORRRAIN CHICAGO PUBLIC SCHOOLS 04/13/16 ANKIN LAW OFFICE 516 16WC 12615 DOMINQUEZ-RUIZ, ALEXANDRI ELITE STAFFING, INC. 03/23/16 ANKIN LAW OFFICE 517 16WC 12682 ERVING, MONIQUE S CAPITAL ONE SERVICES II L 04/09/16 518 16WC 12709 SCHEIRICH, JOHN US FOODS 03/07/16 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 519 16WC 12742 RIESER, STEPHANIE TRANS STATES HOLDINGS, IN 01/04/16 HETHERINGTON KARPEL BOBBER 520 16WC 12784 GONZALEZ, CARLOS THE CLEVELAND MARBLE 12/10/15 CULLEN HASKINS NICHOLSON GRANT & FANNING 521 16WC 12814 SIDDIQUI, FAZAL YELLOW CAB AFFILIATION IN 04/24/13 MARK WHITESIDE ESQ 522 16WC 12840 YATES, KATHLEEN M ALL TRUST HOME CARE 01/30/15 THE FITZ LAW GROUP GAROFALO SCHREIBER STORM 523 16WC 12887 ANDRES, DANTON UNITED AIRLINES 02/19/16 FRIEND LEVINSON & BERGAL 524 16WC 12948 GREGORY, PATRICK AT & T 02/16/16 JOHN E LUSAK HENNESSY & ROACH PC 525 16WC 12985 LEMUS, CARLOS SYSCO FOODS 03/02/16 LEONARD LAW GROUP LLC 526 16WC 13099 JORDAN, DAVID FORD MOTOR CO. 10/28/15 SEIDMAN MARGULIS & FAIRMAN 527 16WC 13120 ORTIZ, ISAURO Z BAKING COMPANY 04/16/16 OSVALDO RODRIGUEZ PC 528 16WC 13167 LAMPKIN, MARIAN CHICAGO TRANSIT AUTHORITY 04/20/16 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 529 16WC 13189 DEERING, DAVID LAZAR'S FURNITURE 04/05/16 LAW OFFICE OF SCOTT B SHAP RODDY LAW LTD 530 16WC 13207 SINGLETON, SHELIA ADDUS HEALTHCARE 03/01/16 O'CONNOR & NAKOS HENNESSY & ROACH PC 531 16WC 13264 RODRIGUEZ, ALBERTO PICKENS KANE MOVING CO 04/12/16 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 532 16WC 13291 MISCH, STEVEN CONTROLLED ENVIRONMENTALS 03/23/16 HEALY SCANLON LAW FIRM MEACHUM & STARCK 533 16WC 13343 HATTER, DARNELL UNIVERSITY OF ILLINOIS 06/04/15 CHRISTIAN & MANNO HEYL ROYSTER VOELKER & ALLEN 534 16WC 13421 WILLIAMS, BEVERLY TAYLOR CITY OF CHICAGO POLICE DE 01/22/16 CORNFIELD & FELDMAN CITY OF CHICAGO 535 16WC 13456 RIVERA, MILDRED DEPARTMENT OF HUMAN SERVI @ 03/08/16 BAUM RUFFOLO & MARZAL LTD COLIN KICKLIGHTER 536 16WC 13478 KRULL, BRIAN VILLAGE OF BARRINGTON 02/13/16 FOHRMAN, DONALD W & ASSOCS RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 537 16WC 13533 MIKULSKI, THOMAS M MIDWEST OUTDOORS, LTD 05/22/14 BART DURHAM 538 16WC 13580 WHITE, FRANCINE METRO STAFFING 03/04/16 GOLDSTEIN BENDER & ROMANOF FRANCIS J DISCIPIO LAW OFFIC 539 16WC 13602 LANGE, JOHN A. CONCRETE STRUCTURES OF 04/20/16 FIGLIOLI, DAVID GAROFALO SCHREIBER STORM 540 16WC 13623 FREEMAN, FREEDIE LEE KOCH FOODS 04/19/16 DISPARTI LAW GROUP PA MACIOROWSKI SACKMANN & ULRIC 541 16WC 13643 DAVIS, BRENDA MACY'S DEPT. STORE 11/12/15 SLAVIN & SLAVIN 542 16WC 13655 BRUNNER, JOHN NUMBERS AUTOMATION 04/04/14 DWORKIN AND MACIARIELLO 543 16WC 13772 CAZARES, PEDRO CHICAGO HEIGHTS STEEL 04/18/16 KROL BONGIORNO & GIVEN LTD 544 16WC 13862 WRIGHT, SHERICE CLARK CHICAGO PUBLIC SCHOOLS 04/28/16 ROGER D RUDICH LTD 545 16WC 13885 SALAMONSKI, JANUSZ AMERICAN VINTAGE HOME INC 04/24/15 HORWITZ HORWITZ & ASSOC 546 16WC 13890 PHAM, PETER S & C ELECTRIC CO 04/25/16 KREITER, BYCK & ASSOC LLP MACIOROWSKI SACKMANN & ULRIC 547 16WC 13920 JONAS, GLENN D CITY OF CHICAGO DEPART OF 06/24/15 ANESI OZMON RODIN NOVAK KO 548 16WC 13957 COLE, WILLIE MARIANO'S 03/28/16 RONALDSON & KUCHLER BRYCE DOWNEY & LENKOV LLC 549 16WC 13984 FUENTES, GUSTAVO RM LUCAS CO 04/14/16 COSTA IVONE LLC GANAN & SHAPIRO 550 16WC 14062 GUEVARA, GERARDO CITY OF CHICAGO 01/07/16 STEVEN A CRIFASE, LTD CITY OF CHICAGO 551 16WC 14358 DEBELLIS, ROBERT EMJ METALS 03/17/16 GOLDSTEIN BENDER & ROMANOF POULOS & DIBENEDETTO LAW 552 16WC 14431 HENDERSON, MARY BRENTWOOD SUB-ACUTE HEALT 01/19/16 TARADASH LAW OFFICE 553 16WC 14457 HARDMAN, LAQUILLA CITY OF CHICAGO 05/01/16 BARRY STEWART SILVER 554 16WC 14460 ESPINOZA, ADALBERTO C XYLEM INC 04/22/16 CAMERON CLARK KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 555 16WC 14495 RIZZO, PHIL C L DOUCETTE 02/08/15 TAMVAKIS, GEORGE L ANCEL GLINK DIAMOND BUSH & E 556 16WC 14526 TYUS, CARLEAN IL DEPT OF HUMAN SERVICES 04/10/15 DEPAOLO ZADEIKIS GORE COLIN KICKLIGHTER 16WC014527 -C 557 16WC 14548 HEFFERNAN, MEGHAN ABC PLUMBING HEATING 05/03/16 COSTA IVONE LLC MEACHUM & STARCK 558 16WC 14588 GIAMARUSTI-QUINTERO, DIAN AC IRON LLC 03/15/16 ANESI OZMON RODIN NOVAK KO LAW OFFICES OF EDWARD J. KOZ 559 16WC 14620 RIVERA, GERARDO SMITH SENIOR LIVING 03/28/16 THE FITZ LAW GROUP BRYCE DOWNEY & LENKOV LLC 560 16WC 14643 SCHOPER, STEPHEN CITY OF CHICAGO 04/11/16 WHITESIDE & GOLDBERG LTD CITY OF CHICAGO 561 16WC 14671 HUGHES, LILLIE MAXIM HEALTHCARE 04/18/16 LAW OFFICES TIMOTHY HENDER HENNESSY & ROACH PC 562 16WC 14722 REYNOSO, ROBERT FORD MOTOR CO 03/16/16 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 563 16WC 14723 LOZANO, AURELIO SOUTH WESTERN MOTOR SALES 09/08/14 SEIDMAN MARGULIS & FAIRMAN 564 16WC 14740 JONES, DONALD CTA 04/04/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 565 16WC 14828 MIR, IFRAN ALI BKA CANARY CORP 03/27/16 HUNER LAW OFFICES LLC 566 16WC 14875 MEKUS, LEE ROEHL TRANSPORT 02/03/16 SCHREINER MALLOY & ETZLER CACCHILLO LAW GROUP LLC 567 16WC 14895 DUARTE, JUVENAL M. MARS STEEL CORPORATION 04/05/16 JOHN J CASTANEDA HOLECEK & ASSOCIATES 568 16WC 15071 JACKSON, MARRI ELLEN AMERICAN AIRLINES 11/18/15 FIGLIOLI, DAVID 569 16WC 15090 ROSS, LADERRICK JAMES MCHUGH CONSTRUCTION 12/01/15 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 16WC015091 -C 570 16WC 15206 BOLANOS, ROSALBA VARGAS GROUP 03/17/16 DWORKIN AND MACIARIELLO 571 16WC 15283 ALVARADO, ALEJANDRO SEAFOOD EXPRESS INC 12/01/15 ROMANUCCI & BLANDIN GANAN & SHAPIRO 572 16WC 15309 ALSTON, MICHAEL C/O ARENA FOOTBALL ONE LLC 04/25/15 GORDON LAW OFFICES LTD ADELSON TESTAN & BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 573 16WC 15313 ALSTON, MICHAEL C/O ARENA FOOTBALL ONE LLC 03/29/14 GORDON LAW OFFICES LTD ADELSON TESTAN & BRUNDO 574 16WC 15332 MURRAY, MARTIN HARBOR GROUP MANAGEMENT 06/06/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 575 16WC 15478 COLE, JUSTIN GENEVA CONSTRUCTION 03/22/16 COVEN LAW GROUP 576 16WC 15539 JONES, ADRIENE JEWISH FEDERATION 04/20/16 COVEN LAW GROUP 577 16WC 18172 DAVIS, GLORIA CITY OF CHICAGO DEPT OF 03/09/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 578 16WC 20572 CRUMP, CAROLYN CITY OF CHICAGO 04/27/16 HEALY SCANLON LAW FIRM CITY OF CHICAGO 579 16WC 21061 MOSLEY, CHENIECE ROSS DRESS FOR LESS 11/18/15 SANDMAN LEVY & PETRICH 580 16WC 21717 GAYLES, ALEXIS R. UNITED AIRLINES, INC 07/03/16 ANKIN LAW OFFICE 581 16WC 22189 GONZALEZ, RAUL PRONTO STAFFING SERVICES 12/15/15 ALEX MENDOZA LLC SLAVIN & SLAVIN 582 16WC 22268 MARIN-REYES, KARINA GENERATION BRANDS 06/15/16 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 583 16WC 22294 LEE, FATHIA TAHER, INC 04/19/16 BRISKMAN BRISKMAN GREENBER 584 16WC 22376 SEVERIANO-SANCHEZ, JOSE L BOX FORM INC 07/11/16 KALOGERAKOS & ASSOC 585 16WC 22390 ZARLENGA, MICHAEL CITY OF CHICAGO DEPT OF 07/07/16 CUDA LAW OFFICES CITY OF CHICAGO 586 16WC 22400 CONTRERAS, MARTHA EL MILAGRO 08/27/15 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 587 16WC 22433 DANIELS, FLORET RUSH UNIVERSITY MED CENTE 06/24/16 LEONARD LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 588 16WC 22525 WARE, R. VILLAGE OF MAYWOOD 12/02/15 ANKIN LAW OFFICE INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 589 16WC 22577 MC DEVITT, THOMAS ILLINOIS TOLLWAY 02/13/15 JOHN E LUSAK GANAN & SHAPIRO 590 16WC 22604 HORN, KIMBERLY STARBUCKS 05/25/16 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 16WC022605 -C 591 16WC 22681 ABDALLAH, SAMAR XPRESS RECOVERY AND TOWIN 07/30/13 ERIC M GLASSON & ASSOCIATE 592 16WC 22699 CARDENAS, FRANCISCO EAST LAKE MANAGEMENT & 06/06/16 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 593 16WC 22702 GONZALEZ, HUGO A&D LOGISTICS, INC. 03/17/16 ROSS TYRRELL GANAN & SHAPIRO 594 16WC 22733 RICHARDSON, WILLIAM AEP INDUSTRIES INC 07/16/16 COSTA IVONE LLC 595 16WC 22751 COOPER, JUWAUN PACTIV 07/17/16 ROBIN LAW OFFICE SPIEGEL & CAHILL, PC 596 16WC 22796 EPPS, CLARISSA CTA 07/11/16 ASHER, RAYMOND L LTD CHICAGO TRANSIT AUTHORITY 597 16WC 22845 ZAMUDIO, CLEMENCIO BUILDERS CABINET SUPPLY 10/19/15 OSVALDO RODRIGUEZ PC 598 16WC 22920 THOMAS, JAMES D. CITY OF CHICAGO 05/09/16 DISPARTI LAW GROUP PA 599 16WC 22948 DYNAK, SWAY DR. PEPPER SNAPPLE GROUP, 12/24/15 MILLON & PESKIN LTD GAROFALO SCHREIBER STORM 600 16WC 23051 CAIS, MICHAEL CENTRAL BLACTOP CO. AKA 08/25/13 ELFENBAUM EVERS & AMARILIO 601 16WC 23102 BELLINI, JOHN COOK COUNTY DEPT OF CORRE 07/16/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 602 16WC 23131 LYNCH, JAMES P III CITY OF CHICAGO 06/16/16 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 603 16WC 23183 GRAY, JOSEPH A VILLAGE OF PARK FOREST 02/15/16 BARRETT & SRAMEK 604 16WC 23225 GUZMAN, JOSE R ASPLUNDN TREE EXPERT CO 08/26/15 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 605 16WC 23260 BARNES, BOBBIE KINDRED HEALTH CARE 02/26/15 DWORKIN AND MACIARIELLO ARNETT LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 606 16WC 23317 SCHIPMA, GEORGE METROPOLITAN WATER 12/17/15 LAW OFFICES PETER LEKAS 607 16WC 23381 CONTRERAS, JOSE EXECUTIVE MAILING SERVICE 07/28/16 JONATHAN SCHLACK ANCEL GLINK DIAMOND BUSH & E 16WC023382 -C 608 16WC 23490 MATHEUS, CHRISTOPHER AT&T 06/04/16 CHRISTINE F DAVID 609 16WC 23537 ALGIRE, BRIAN BEDFORD MOTOR SERVICES IN 07/01/16 RATHBUN CSEVENYAK & KOZOL 610 16WC 23626 IBARRA, MARTIN JACKACKI BAG & BARREL INC 07/28/16 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 611 16WC 23659 RAMIREZ, ALVARO NADEAU'S ICE SCULPTURES, 09/05/15 ANKIN LAW OFFICE 612 16WC 23697 VALDIVIA, JORGE E AEROTEK 06/09/16 GOLDSTEIN BENDER & ROMANOF 613 16WC 23709 FOUTS, ROBERT COCA-COLA BOTTLING COMPAN 05/20/16 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 614 16WC 23718 CALDWELL III, WILLIE CITY OF CHICAGO 10/28/15 KREITER, BYCK & ASSOC LLP 615 16WC 23742 WEATHERSPOON, HEATH A. JR HOME DEPOT-STORE #1936 07/23/16 VASILATOS & COTTER LLC MC ANDREWS & NORGLE LLC 616 16WC 23817 BALSECA, ANTONIETA DLH HOLDINGS 05/23/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 617 16WC 23885 RAGAN, AMANDA TRADER JOES 12/01/13 RIDGE & DOWNES GAROFALO SCHREIBER STORM 618 16WC 23926 ROSSI, FRANK NATIONAL DCP, LLC 09/18/15 GOLDBERG WEISMAN & CAIRO L ARNETT LAW GROUP 619 16WC 23946 DIAZ, MAYRA METRO STAFF 09/10/15 MC HARGUE, JAMES P LAW OFF 620 16WC 24002 RICHARD, WILLIE IL CENTRAL SCHOOL BUS CO 07/28/16 LANGENDORF, ROBERT A MACIOROWSKI SACKMANN & ULRIC 621 16WC 24054 REED, DWAYNE L. RUSH MEDICAL CENTER 07/05/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 622 16WC 24077 DELUMUNDO, ELOSIA HOLY CROSS HOSPITAL 03/01/15 CARL H EBERT & ASSOC 623 16WC 24090 CARR, MARVIN J. UNITED AIRLINES, INC. 04/17/16 FIGLIOLI, DAVID

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 624 16WC 24130 BEACH, ROBERT A EWING-DOHERTY MECHANICAL, 06/27/16 ANKIN LAW OFFICE KNELL & O'CONNOR 625 16WC 24172 MARTINEZ, JORGE TOUCH POINT SERVICES, LLC 05/08/16 RUEDA, IVAN A 626 16WC 24220 PARKER, BRIGGITTE FED EX GROUND 09/26/15 RAYMOND M SIMARD, PC 627 16WC 24272 MARSAW, GERALDINE CITY OF CHICAGO 08/06/16 SKLARE LAW GROUP CITY OF CHICAGO 628 16WC 24331 TRENKLER, URSULA BORG WARNER INC 06/29/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 629 16WC 24452 SCHAVER, DONALD W. JR. ROCK RIVER CARTAGE, INC. 03/07/13 JAMES G AHLBERG RUSIN & MACIOROWSKI LTD 630 16WC 24474 DEL TORO, CLAUDIA HD SUPPLY FACILITIES 08/09/16 MC HARGUE, JAMES P LAW OFF 631 16WC 24514 FIGUEROA, REYNALDO WESTMORELAND COUNTRY CLUB 07/21/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 632 16WC 24658 ALVARADO, JOSE LUIS DICICCO ACQUISITIONS LLC 06/24/16 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 633 16WC 24668 VARGAS, CARLOS LBP MANUFACTURING 08/02/16 LAW OFFICE OF JAMES H MILL 634 16WC 24731 ROSS, ROSALYN NILES TOWNSHIP H.S. DIST 02/20/15 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 635 16WC 24766 LINTON, KEYVA ROSEWOOD CARE CENTER 07/25/16 DWORKIN AND MACIARIELLO 636 16WC 24842 MURILLO, ELENA SWEDISH COVENANT HOSPITAL 05/12/16 ELFENBAUM EVERS & AMARILIO MACIOROWSKI SACKMANN & ULRIC 637 16WC 24902 DORTCH, BRIANNA LEXINGTON HEALTH CARE CEN 05/25/16 SANDMAN LEVY & PETRICH LAW OFFICES FRANCESCA LARSEN 638 16WC 25028 ARIAS, VICENTE A. ELITE STAFFING 07/21/16 HODES GREENSTEIN & LITWIN 639 16WC 25055 PAYNE, ALFREDA ALDEN TOWN REHAB & 02/05/16 GOLDBERG WEISMAN & CAIRO L 640 16WC 25083 SEARS, MICHAEL CITY OF CHICAGO 02/24/16 HEALY SCANLON LAW FIRM CITY OF CHICAGO 641 16WC 25122 DE BLECOURT, PATRICIA 7-ELEVEN 04/20/16 O'CONNOR & NAKOS MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 642 16WC 25149 JONES, EZELL BEST PRACTICE STAFFING 07/18/16 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 643 16WC 25222 GONZALEZ, ISAIAS MSM SOLUTIONS 02/18/16 RUEDA, IVAN A 644 16WC 25241 BEATON, MARY ENTERPRISE LEASING CO OF 06/27/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 645 16WC 25260 CARBONELL, JUAN EDLONG CORP 05/31/16 LAW OFFICES OF JOSEPH F. V KEEFE CAMPBELL & ASSOC LLC 646 16WC 25307 WELLS, WAYNE PPG INDUSTRIES, INC. 05/12/16 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 647 16WC 25338 RAMOS, AGUSTIN ROBINETTE DEMOLITIAN INC. 02/08/16 ROSS TYRRELL KEEFE CAMPBELL & ASSOC LLC 648 16WC 25363 GAJDA, PATRYK DISH NETWORK 07/13/16 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 649 16WC 25393 GUIDO, JAVIER JUST IN TIME STAFFING LLC 08/09/16 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 650 16WC 25443 PRESTON, MAUVELINE CHICAGO PUBLIC SCHOOL 03/04/15 VRDOLYAK LAW GROUP LLC 651 16WC 25468 MONROE, DARIN STATE OF ILLINOIS/DEPT @ 07/08/16 LANNON LANNON & BARR LTD MATTHEW J KELLER 652 16WC 25540 MOORE, CARLOS KOBOTECH, INC. 07/27/16 ANKIN LAW OFFICE GANAN & SHAPIRO 653 16WC 25560 ALEJANDRES, JOSE SOUTHWEST AIRLINES 08/20/15 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 17WC006969 -C 654 16WC 25627 RUIZ, KENIA FORD MOTOR COMPANY 10/23/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 16WC025628 -C 655 16WC 25859 IBARRA, ERNESTO SUPER MERCADO TORRES 07/17/16 CARONE LAW OFFICES 656 16WC 25889 SAULS, EDNA IT TAKES A VILLAGE EARLY 09/08/15 STROM, NEAL B 657 16WC 26007 CRIDDELL, CHRISTOPHER MV TRANSPORTATION INC 08/07/16 LEE, MARK N LAW OFFICE 16WC027248 -C 658 16WC 26041 BROWN, FERN ABC BANK 06/25/16 BRISKMAN BRISKMAN GREENBER LAW OFFICES OF EDWARD J. KOZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 659 16WC 26087 ABINI, KOBLA FAIRMONT HOTELS & RESORTS 07/05/16 FISHER & LAMONICA HENNESSY & ROACH PC 660 16WC 26323 COGLIANESE, JERRY CITY OF PROSPECT HEIGHTS 10/27/13 CULLEN HASKINS NICHOLSON 661 16WC 27135 NEWTON, SUSAN V CHICAGO TRANSIT AUTHORITY 08/27/16 ANKIN LAW OFFICE 662 16WC 28063 HOLMAN, JEREMY A/K/A NORTHERN DECOR 08/25/16 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 663 16WC 30110 BLUNT, KEITH FLEXIBLE STAFFING SVCS IN 09/26/16 BERG & BERG 664 16WC 30746 MORENO, RAFAEL SUPER MERCADO LA CHIQUITA 08/07/16 HART & DAVID LLP 665 16WC 30761 FALCON, LEON THE HOME DEPOT 07/28/16 KARNO, MARK L & ASSOC 666 16WC 31357 HOPKINS-TALLY CITY OF CHICAGO - STREETS 08/02/16 DEPAOLO ZADEIKIS GORE CITY OF CHICAGO 667 16WC 31895 VAN HOOSIER, KENNETH SEARS HOLDINGS CO 08/29/16 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 668 16WC 32337 RODRIGUEZ, JOSHUA AURELIOS PIZZA 08/15/16 COVEN LAW GROUP RODDY LAW LTD 669 16WC 32364 GARCIA, RAFAEL THE DRY CLEANING FACTORY, 06/25/13 LAW OFFICE PHILIP BLOMBERG 670 16WC 32389 AVON, VICTORINO NAYLOR PIPE 09/28/16 VASILATOS & COTTER LLC MC ANDREWS & NORGLE LLC 671 16WC 32414 SHEDD, SEAN M AT&T 09/22/16 LAW OFFICE PHILIP BLOMBERG HENNESSY & ROACH PC 672 16WC 32451 JORDAN, TROY SR IDOT 08/27/16 SALVATO & O'TOOLE 673 16WC 32486 NEWSON, SEDRIC GOLDEN GRAIN CO 06/23/16 LIPKIN & HIGGINS LAW OFFIC INMAN & FITZGIBBONS 16WC032487 -C 674 16WC 32542 OCON, CARLOS VEEPAK, INC 08/25/16 STROM, NEAL B 675 16WC 32573 OLIVARES-URNINA, APOLINAR AMJ ENTERPRISE DEVELOPMEN 10/12/16 THE ROMAKER LAW FIRM 676 16WC 32606 SIMMONS, ISAIAH PROFESSIONAL SECURITY CON 10/16/16 BRIAN J MC MANUS & ASSOC, SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 677 16WC 32626 STACHNIK, SAVANNAH N ATLAS EMPLOYMENT SVCS INC 08/23/16 ANKIN LAW OFFICE ROBERT L. SMITH 678 16WC 32645 PEREZ, IGNACIO RIO VALLEY MARKET/ 10/10/16 COSTA IVONE LLC 679 16WC 32654 GEDDI, ABDULKADIR ELSTON ELEVEN, LLC 10/09/16 FISHER & LAMONICA 680 16WC 32693 CALVIN, TONI COOK COUNTY SHERIFF'S DEP 07/18/16 STROM, NEAL B STATES ATTORNEY OF COOK COUN 681 16WC 32719 BRONOWSKI, MICHAEL BELMONT GROCERIES LLC D/B 10/10/16 LEO M. BLEIMAN & ASSOC 682 16WC 32750 ADEPOJU, ROLAND LILLY CAP CORP 10/22/16 KENNETH L. SCHWARTZ 683 16WC 32809 FLORES, MARIA FIRST STUDENT 10/08/16 GOLDSTEIN BENDER & ROMANOF 684 16WC 32853 OKEKE, EVELYN G COOK COUNTY DEPT OF CORRE 10/19/16 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 685 16WC 32879 BARICKELLO, JOHN WESTMONT INTERIOR SUPPLY 10/21/16 DWORKIN AND MACIARIELLO THOMAS & PORTELA 686 16WC 32930 BRISKER, KEVIN FIRST CALL CAB COMPANY LL 09/08/16 CHARLES LEVY & ASSOC LTD 687 16WC 33007 PANOZZO, JAMES UNIVERSAL PROTECTION SVCS 01/16/16 VRDOLYAK LAW GROUP LLC SPIEGEL & CAHILL, PC 16WC033277 -C DSI SECURITY SERVICES 688 16WC 33023 GRAY, ALVIN AT&T 09/10/14 BLEAKNEY & TROIANI 689 16WC 33054 WILLIAMSON, RANDALL USF HOLLAND 07/18/16 ROBERT H HANAFORD 690 16WC 33069 KRIVANEC, JASON THE SHERWIN WILLIAMS CO 10/30/13 LAW OFFICE MARC ALBERTS ROBERT L. SMITH 691 16WC 33137 FUMEZ, ANGELA HYATT REGENCY 10/20/16 ELFENBAUM EVERS & AMARILIO 692 16WC 33157 NUNEZ, FELICIA CASAREZ CHICAGO BOARD OF EDUCATIO 09/15/15 ROMANEK & ROMANEK 693 16WC 33191 POLEP, PAUL J CITY OF EVANSTON FIRE DEP 01/09/15 ANKIN LAW OFFICE 694 16WC 33216 VLADIVIA, YOLANDA FRESENSIUS MEDICAL CARE 12/06/13 CANDIANO LAW OFFICE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 695 16WC 33255 THORNE-LOWE, LARISA METRO SOUTH MEDICAL CENTE 01/01/16 RONALDSON & KUCHLER 696 16WC 33282 SIERRA, ARIZBETH DESLAURIERS, I NC 09/07/16 JOHN J CASTANEDA KEEFE CAMPBELL & ASSOC LLC 697 16WC 33330 HALL, WILLIE THE CRAZY CRAB CHICAGO 10/09/16 GOLDSTEIN BENDER & ROMANOF 698 16WC 33386 LYNCH, JENNIFER CHICAGO PUBLIC SCHOOLS 02/03/16 COHN LAMBERT RYAN & SCHNEI 699 16WC 33431 HILL, JOYCE CTA 10/28/16 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 700 16WC 33455 MOOREHOUSE, CHRISTINE ATHLETICO PHYSICAL THERAP 07/02/15 DAVID W MARTAY LAW OFFICES OF EDWARD J. KOZ 701 16WC 33482 WEBB, RALPH LABOR SOLUTIONS 10/27/16 MC HARGUE, JAMES P LAW OFF 702 16WC 33509 DIVENERE, NICHOLAS D IDOT @ 10/11/16 WILLIAMS, ROBERT B LAW OFF ASSISTANT ATTORNEY GENERAL 703 16WC 33528 AVELAR, MAYRA CROWN PLAZA HOTEL 10/03/16 ANGELINI & ORI LLC 704 16WC 33548 DE BLAISE, JEAN LOUISE KO LANGER TRANSPORT 10/06/16 HENNESSEY LAW FIRM 705 16WC 33556 ATTOCHI, GERALD MARINA LEASING & 09/29/15 FIORENTINO LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 706 16WC 33596 WOZNIAK, JOANNA JOFFREY BALLET 09/09/15 LANNON LANNON & BARR LTD RIPES NELSON BAGGOT KALOBRAT 17WC001508 -C 707 16WC 33628 YOUTEM, YOUSIF LZ 1503 INC 10/29/16 STEVEN J MALMAN & ASSOCIAT 708 16WC 33738 BURGOS, JUAN V MIDWAY BUILDING SERVICES 10/14/16 CHEPOV & SCOTT LLC KEEFE CAMPBELL & ASSOC LLC 709 16WC 33768 LOERA, ESTHER VICTORY 10/28/16 JAUREGUI & ASSOCIATES 710 16WC 33796 JAMES, ROBERT PEOPLES GAS LIGHT & COK 07/14/15 LEONARD LAW GROUP LLC 711 16WC 33797 LAGUNAS, JAIME EL ENCANTO PRODUCTS 07/18/16 LEONARD LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 712 16WC 33810 DYKES, LYNETTE VARGAS GROUP, INC 08/11/16 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 713 16WC 33840 BALDWIN, ROOSEVELT EXCELSIOR FOOD PRODUCTS/ 08/16/16 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK 714 16WC 33912 WILLIAMS, DEON V DAYTON FREIGHT LINES 08/31/16 PERRY M LAKS LAW OFFICE 715 16WC 33956 MUNOZ, MARIA GLENVIEW TERRANCE 10/26/16 EPSTEIN, JACK R LAW OFFICE LAW OFFICES FRANCESCA LARSEN 716 16WC 33983 MACIAS, DANIEL COOK COUNTY SHERIFF'S DEP 10/25/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 717 16WC 34020 VENTURA, DAWN NORTH PALOS SCHOOL DIST # 04/28/16 LANNON LANNON & BARR LTD 718 16WC 34091 STRETAR, ELIZABETH UNITED AIRLINES INC. 06/25/16 BRIAN J MC MANUS & ASSOC, 719 16WC 34124 GIBBS, TYRONE HARD SURFACE FINISHER 10/26/16 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 720 16WC 34150 DORAN, CHIQUITA COMFORT INN & SUITES 07/18/16 KISS & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 16WC034701 -C 721 16WC 34184 WILSON, KEIRON SURESTAFF 10/19/16 DWORKIN AND MACIARIELLO SURE-STAFF 722 16WC 34256 SMITH, LISA CHICAGO TRANSIT AUTHORITY 10/24/16 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 723 16WC 34283 PEREZ, JORGE ANIBAL HI SO, INC D/B/A SUBLIME 07/09/16 HART & DAVID LLP 724 16WC 34315 HOOVEN, CINDY EXPRESS JET AIRLINES, INC 09/08/16 BRIAN J MC MANUS & ASSOC, SPIEGEL & CAHILL, PC 725 16WC 34335 LOPEZ, JUSTIN DELI MANAGEMENT, INC 06/14/16 JOHN E LUSAK 726 16WC 34356 JACKSON, CAROLYN COOK COUNTY SHERIFF 10/16/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 727 16WC 34402 HUDSON, PAMELA CHICAGO TRANSIT AUTHORITY 10/24/16 MANDELL, GREGG CHICAGO TRANSIT AUTHORITY 728 16WC 34465 MCGIRT, BETTY ANDREWS STAFFING 09/01/16 MC HARGUE, JAMES P LAW OFF SLAVIN & SLAVIN 729 16WC 34550 PETERSON, SHAMONIA CITY OF CHICAGO/STREETS A 09/22/16 SEIDMAN MARGULIS & FAIRMAN 730 16WC 34579 LAPOSTA, PAUL KREZ GROUP 04/01/16 TRAPP & GELLER RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 731 16WC 34616 MCAFOOSE, REBECCA AMERICAN AIRLINES 11/28/15 ALAN A BLUM, PC 732 16WC 34654 DOWELL, LORRAINE M ATKORE INTERNATIONAL INC 08/09/16 ANKIN LAW OFFICE 733 16WC 34688 PREAS, JOANNE ZEMAN REALITY MOBILE HOME 09/06/16 DWORKIN AND MACIARIELLO 734 16WC 34711 STALLWORTH, ELIZABETH BRIA HEALTH SVCS 09/30/16 MEYERS & FLOWERS 735 16WC 34748 HUTCHINSON, CRAIG RHI 05/07/14 CAPRON & AVGERINOS PC LAW OFFICES JOSEPH MARCINIAK 736 16WC 34767 O'CONNOR, TIMOTHY COOK COUNTY SCHOOL DIST 1 04/20/16 GERALD W KOREY 737 16WC 34785 LOPEZ, JUAN RAIL EXCHANGE FABRICATORS 09/07/16 CUSHING LAW OFFICES RODDY LAW LTD 738 16WC 34805 MENDOZA, RUBEN ACTION K-9 09/20/16 SHELDON I MINKOW & ASSOCIA RIPES NELSON BAGGOT KALOBRAT 739 16WC 34848 BRADY, JAMES L & S CARTAGE 11/02/16 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 740 16WC 34870 MEZENGI, MICAEL SAWA CORP 10/20/16 FISHER & LAMONICA 741 16WC 34930 MOORE, GENE RUBIN BROTHER'S 09/27/16 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 742 16WC 34976 ABDIN, SAM CARMAX THE AUTO SUPER STO 07/06/16 GOLDBERG WEISMAN & CAIRO L 743 16WC 35008 BROWN, JOHN A III POWER PLAY DISTRIBUTORS 12/28/15 NILSON STOOKAL GLEASON CAP POWER & CRONIN LTD 16WC035009 -C 744 16WC 35035 TAYLOR, TEMPISST TEEN LIVING PROGRAM 11/02/16 MEYER & BLUMENSHINE LAW OF PAUL A COGHLAN & ASSOC 745 16WC 35056 WIETTING, GORDON THREE PHASE LINE CONSTRUC 09/12/16 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 746 16WC 35092 SPRINGER, SHEILA CHICAGO TRANSIT AUTHORITY 11/09/16 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 747 16WC 35140 TIDWELL, JOANNA EXECUTIVE MAILING SERVICE 10/25/16 CULLEN HASKINS NICHOLSON ANCEL GLINK DIAMOND BUSH & E 748 16WC 35161 O'BRIEN, MICHAEL ASIG, INC 01/05/16 NEWLAND & NEWLAND WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 749 16WC 36165 SHEKHA, SOHAIL CITY OF CHICAGO 11/15/16 ANKIN LAW OFFICE CITY OF CHICAGO 750 16WC 36731 LUEVANO, ARTURO BUEDEL FINE MEATS & PROVI 11/21/16 JAMES ELLIS GUMBINER & ASS 751 16WC 39441 MIRANDA, ROBERTA ELITE STAFFING 10/22/16 GOLDSTEIN BENDER & ROMANOF 752 17WC 00434 FERNANDEZ MARIN, WITMAN G BARBARA SIUDAK DBA 01/01/17 EPSTEIN, JACK R LAW OFFICE 753 17WC 00869 DRUNIN SR., DALE ALSIP PARK DISTRICT 06/15/16 ANGELINI & ORI LLC 754 17WC 01352 PYKE, DANIEL N NAPLETON RIVER OAKS LINCO 12/28/16 LEONARD LAW GROUP LLC 755 17WC 01777 WILLIAMS-SMITH, PATRICIA PRESENCE HEALTH 11/21/16 COVEN LAW GROUP 756 17WC 02029 QUINONES, SANTOS ACA CONSTRUCTION & MASONR 12/27/16 BRISKMAN BRISKMAN GREENBER COZZI & GOGGIN-WARD 757 17WC 02054 BOATWRIGHT, COLOSTINE 4 STAR CASTING 11/03/14 BAUM RUFFOLO & MARZAL LTD 758 17WC 02142 UPTON, GABRIELLE SUPERIOR AIR 01/12/17 ANKIN LAW OFFICE POWER & CRONIN LTD 759 17WC 02208 WILLIAMS, ISIAH(HUSB OF D CHICAGO BOARD OF EDUCATIO 12/28/15 LAW OFFICE OF JAMES H MILL LAW DEPARTMENT 760 17WC 02242 SANCHEZ, JOSE DECO ARTS BUILDING 12/27/16 COSTA IVONE LLC 761 17WC 02260 BRICENO, SAMUEL THE HEIM GROUP 06/21/16 HERRERA LAW CENTER 762 17WC 02323 JACKSON, ANGELICA HABITAT CO 12/23/15 BAUM RUFFOLO & MARZAL LTD 763 17WC 02358 CAMPBELL, JOHN CHICAGO TRANSIT AUTHORITY 01/01/17 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 764 17WC 02399 MCDANIEL, TERRANCE JEWEL FOODS 06/20/16 SEIDMAN MARGULIS & FAIRMAN 765 17WC 02412 FINNEY, ANTHONY C CHICAGO PUBLIC SCHOOLS 05/03/16 DAVID W MARTAY 766 17WC 02434 RUBIO, ALMA EXECUTIVE MAILING SERVICE 01/03/17 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 767 17WC 02454 BRANDONISIO, PAT CITY OF CHICAGO 12/28/16 SALVATO & O'TOOLE 768 17WC 02475 PAIGE-WILLIAMS, SHIRLEY DO & CO CATERING OF CHICA 10/17/16 ASHER, RAYMOND L LTD 769 17WC 02512 MORALES, HORACIO PERSONAL STAFFING GROUP L 07/21/16 CHEPOV & SCOTT LLC KEEFE CAMPBELL & ASSOC LLC 770 17WC 02595 MANGALAM, KYLE QUEST DRAPE 12/04/16 ERIC H CHECK, LAW OFFICES COZZI & GOGGIN-WARD 771 17WC 02604 JOHANSEN, MARGARET AMERICA'S AUTO AUCTION 01/13/17 EDWIN REYES LEGAL GROUP 772 17WC 02656 STRICKLAND, DORTHEA KIDS CARE TRANSPORTATION 01/18/17 KURASCH & KLEIN, LTD 773 17WC 02675 VAZQUEZ, JOSE PERFORMANCE CONTRACTING I 12/30/16 SALVATO & O'TOOLE 774 17WC 02737 HERRON, LATONYA AMERICAN AIRLINES INC 04/10/15 SALK, STEVEN B & ASSOC LTD 775 17WC 02777 HERNANDEZ, JETZEMANI DANIEL NOLL AND SONS 12/07/16 EPSTEIN, JACK R LAW OFFICE 776 17WC 02791 MEYER, KEVIN ILLINOIS BELL TELEPHONE C 11/21/16 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 777 17WC 02803 SIZE, JAMES A JEWEL FOOD STORES 12/30/15 CULLEN HASKINS NICHOLSON RODDY LAW LTD 778 17WC 02845 PLUTA, JEROME M MEADE ELECTRIC COMPANY, I 01/16/17 KOSIN LAW OFFICE LTD RUSIN & MACIOROWSKI LTD 779 17WC 02875 PENNOYER, ELSIE ADVOCATE CHRIST MEDICAL C 12/05/16 TURCYCHUTE LLC GAROFALO SCHREIBER STORM 780 17WC 02893 SIMPSON, JEFFREY RIVERSIDE POLICE DEPT 11/23/16 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 781 17WC 02969 GUZELDERELI, EMINE WHITE LODGING SERVICES IN 06/14/15 GALLIANI DOELL & COZZI LTD 782 17WC 03019 DUARTE, SYLVIA UNITED AIRLINES 09/08/16 CORNFIELD & FELDMAN 783 17WC 03073 ROGERS, TASHON RUPARI FOOD 01/10/17 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 784 17WC 03108 HERNANDEZ, MARCOS EXPRESS EMPLOYMENT 11/22/16 POLANSKY & CICHON CHTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 785 17WC 03136 HAWKINS, BRENDA SAM'S CLUB 12/01/15 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 786 17WC 03189 ANNAMANTHODO, O'NEIL COMCAST 01/12/17 SEIDMAN MARGULIS & FAIRMAN 787 17WC 03218 STOCH, ZDZISLAW STAALSEN CONSTRUCTION CO 03/22/16 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 788 17WC 03232 LEVEILLE, ALICE PENNOYER SCHOOL 01/19/17 DAVID W MARTAY ANCEL GLINK DIAMOND BUSH & E 789 17WC 03237 GRAY, BRIAN FLEETPRIDE 12/22/16 MICHAEL P MCCREADY & ASSOC 790 17WC 03300 QUICK, MICHAEL HINES MANAGEMENT 01/10/17 BURNES & LIBMAN 791 17WC 03325 BRAZIL, DWAYNE AMERICAN AIRLINES, INC 02/20/16 PETER D CORTI LAW GROUP 792 17WC 03367 HARRIS, ZSAKIEYA FORD MOTOR COMPANY 12/23/16 JOSEPH R NAVARRO LAW OFFIC 793 17WC 03391 GARCIA, JAIME WHOLE FOODS MARKET 05/16/15 LASSEN, BRIAN D LAW OFFICE 794 17WC 03425 JACKSON, MARGARITE RICH LEE VANS 11/07/16 MC HARGUE, JAMES P LAW OFF 795 17WC 03446 HARDIE, CHERRY CC CARE LLC D/B/A 01/21/17 PETER D CORTI LAW GROUP 796 17WC 03467 STATON, EVELYN ALDEN TOWN MANOR REHAB 08/01/15 DWORKIN AND MACIARIELLO 797 17WC 03521 CASON, MICHAEL ANDERSON ELEVATOR 01/06/17 LEE, MARK N LAW OFFICE 798 17WC 03550 JOHNSON, LEVELL VETERANS DISTRIBUTION OF 01/17/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 799 17WC 03580 PERKINS, SOPHIA ENVOY AIRLINES 01/06/17 ASHER, RAYMOND L LTD 800 17WC 03603 KARIM, YVONNE UNITED AIRLINES, INC 02/27/16 BRIAN J MC MANUS & ASSOC, 801 17WC 03627 BARRERA, ANGELICA OPEN KITCHENS, INC 12/12/16 HART & DAVID LLP CAPUANI & SCHNEIDER 802 17WC 03674 ESPINOZA, ALEXIS CTA-CHICAGO TRANSIT AUTHO 10/25/16 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 803 17WC 03724 HAYMON, SHANTA KINDERCARE EDUCATION 11/18/16 DEPAOLO ZADEIKIS GORE 804 17WC 03737 RIDLEY, DONNA ZANZIBAR CAFE LLC 01/28/17 CUDA LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 805 17WC 03757 NIX, DARRAL FINISH MASTER 02/03/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 806 17WC 03791 MACEDO, PEDRO COLOR COMMUNICATIONS INC 01/12/17 HERRERA LAW CENTER 807 17WC 03902 YACOVACCI, ANTHONY VILLAGE OF BROOKFIELD 08/25/16 COSTA IVONE LLC 808 17WC 03919 BOWENS, NAPOLEON HALLCON TRANSP COMPANY & 02/02/17 FRIEDMAN & SOLMOR LTD 809 17WC 03940 AZIZ, IFTAKHAR BAZZI CAB CO 01/29/17 FISHER & LAMONICA 810 17WC 04024 MORTON, YOLANDA CHICAGO PUBLIC SCHOOLS 01/11/16 GORDON & CENTRACCHIO LLC LAW DEPARTMENT 811 17WC 04049 ROMERO, JAVIER AMERICOATS @ 12/15/16 JAMES ELLIS GUMBINER & ASS 812 17WC 04076 GODBOLD, HENRY CURTIS AMERICAN HERITAGE PROTECT 01/06/15 CHRISTIAN & MANNO ADELSON TESTAN & BRUNDO 813 17WC 04154 MAHRT, NICHOLE EVANS WILLIAMS LAW GROUP 03/09/16 GOLDFINE & BOWLES LAW OFFICE MARTHA NILES 814 17WC 04214 DANIEL, ILIZABETH CHICAGO PUBLIC SCHOOLS 12/01/16 BASILE LAW FIRM 815 17WC 04251 BENNETT, JAMES TIERPOINT LLC 12/31/16 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD 816 17WC 04255 JIMENEZ, JOSE WILD STONE CONSTRUCTION C 10/14/15 CULLEN HASKINS NICHOLSON 817 17WC 04273 EDMONDS, JAVON TOTAL AIRPORT SERVICE 01/20/17 DWORKIN AND MACIARIELLO 818 17WC 04303 SILVA, YOLANDA SUNSTAR AMERICAS, INC 09/30/15 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 819 17WC 04346 NOIA, VANESSA MARRIOTT INTERNATIONAL IN 07/27/16 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 820 17WC 04372 DEL VALLE, GREGORIO CLINGAN STEEL, INC 08/25/16 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 821 17WC 04397 NAIR, DEEPAK S NDK LIMO, INC. 01/23/17 GREGORIO & MARCO 822 17WC 04436 DISBRO, JOHN MEDTRONIC 09/13/16 HERRERA LAW CENTER POWER & CRONIN LTD 823 17WC 04491 CRUZ-SABIDO, CARLOS OMEGA DEMOLITION CORPORAT 03/25/16 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 824 17WC 04513 NAPOLILLO, VICTORIA WALGREENS 08/28/16 WHITESIDE & GOLDBERG LTD 825 17WC 04545 RESTO, JORGE ASPEN FOODS INC 01/11/17 PETER D CORTI LAW GROUP POWER & CRONIN LTD 826 17WC 04568 WILLIAMS, DARNELL L FORD MOTOR CO 06/10/16 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 17WC004569 -C 827 17WC 04574 REAGAN, RICHARD NEXT REALTY 02/25/16 COLLISON LAW OFFICES GRANT & FANNING 828 17WC 04628 JOUNG, MATTHEW COMCAST 01/07/17 CANDIANO LAW OFFICE POWER & CRONIN LTD 829 17WC 04736 NAPOLES, LAURA C RAVINIA COMMUNITIES LLC 09/15/16 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 830 17WC 04777 TRIANTAFILIS, ELI FRANK SHIREY CADILLAC INC 01/23/17 ELFENBAUM EVERS & AMARILIO 831 17WC 04802 THOMAS, BEVERLY QUEEN BOARD OF ED CHICAGO 05/03/14 832 17WC 04841 ALBAKRI, ABDULRUB NORDSTROM 07/20/14 LULAY LAW OFFICES WIEDNER & MCAULIFFE LTD 17WC004843 -C 833 17WC 04880 MORENO, SANDRA ALDI, INC 06/10/15 BAUM RUFFOLO & MARZAL LTD MACIOROWSKI SACKMANN & ULRIC 834 17WC 04946 WILKINS, JEFFREY L EVEREST EXCAVATING INC 02/10/17 LAW OFFICE DAVID W CLARK WIEDNER & MCAULIFFE LTD 835 17WC 04987 NICOLE LYNN TAYLOR CROTHALL 11/15/16 GAINES & GAINES 836 17WC 05114 BROWN, JAMES W TOWER AUTOMOTIVE 09/21/16 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 837 17WC 05174 GALVEZ, FRANK KINSALE CONTRACTING GROUP 09/25/13 GOLDBERG WEISMAN & CAIRO L ORENSTEIN & ASSOCIATES 838 17WC 06881 BROCK, NOELANI LANI UNITED AIRLINES INC * 12/18/16 BRIAN J MC MANUS & ASSOC,

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 839 17WC 07974 NOVOA, FRANCISCO VANEE FOODS * 03/21/16 RUEDA, IVAN A 840 17WC 07976 ESPARZA, MIGUEL NEWLYWEDS FOODS, INC 08/22/16 RUEDA, IVAN A 841 17WC 08785 CORSI, MARK TROY DESIGN & 08/02/16 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 842 17WC 09957 COWSER, STEVEN AIRGAS INCGALLAGHER * 02/08/17 POLANSKY & CICHON CHTD 843 17WC 10436 CHANANA, RAJEEV BARAKA ENTERPRISES INC * 03/30/17 FISHER & LAMONICA 844 17WC 10917 ESCOBAR, JORGE C GREAT LAKES PACKING CO. * 04/05/17 ENCINAS & ORNELAS 845 17WC 11873 RODRIGUEZ, JOSE S CHICAGO ANODIZING CO. * 04/17/17 ENCINAS & ORNELAS 846 17WC 11897 GOGINS, TERESA CTA * 04/17/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 847 17WC 11917 LEWIS, CHRISTINA ADVOCATE CHRIST HOSPITAL * 04/18/17 DWORKIN AND MACIARIELLO 848 17WC 11963 ZIMMERMAN, STEVE STONE INSTALLATION & * 04/13/17 GREGORIO & MARCO 849 17WC 11976 FUENTES, FEDERICO LAND O' FROST * 08/24/16 MC HARGUE, JAMES P LAW OFF GAROFALO SCHREIBER STORM 850 17WC 12013 MURRAY, LOUIS ST COLETTA'S OF ILLINOIS, * 03/29/17 ANKIN LAW OFFICE 851 17WC 12052 CLIFFORD, MARGARET A ADVOCATE CHRIST MEDICAL C * 10/14/15 TOSCAS, JOHN Z LAW OFFICE GAROFALO SCHREIBER STORM 852 17WC 12074 O'CONORM VINCE PROGRAM PRODUCTIONS, INC * 06/05/16 KARCHMAR & STONE 853 17WC 12120 GAINES, FELICIA UNITED AIRLINES * 09/09/16 LEONARD LAW GROUP LLC 854 17WC 12162 CLARK, PHILLIP PREMIER TRANSPORATION * 03/29/17 LEONARD S. BECKER 855 17WC 12196 PLACE, KATHLEEN DELTA AIRLINES * 10/26/15 SCHREINER MALLOY & ETZLER 856 17WC 12211 RHODES, SHERYL CARES * 01/12/17 STEVEN J MALMAN & ASSOCIAT WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 857 17WC 12243 HOLBERT, YOLANDA ROSS DRESS FOR LESS * 06/01/15 DWORKIN AND MACIARIELLO 858 17WC 12303 OLSZOWA-PRZYBYLSKA, JADWI OPEN ARMS NORTHBROOK, LLC * 01/20/17 NILSON STOOKAL GLEASON CAP 859 17WC 12346 NOBILE, BRANDON THE HILL GROUP * 03/13/17 LEONARD S BECKER BRADY CONNOLLY & MASUDA PC 860 17WC 12373 MOORE, KAWANIS PRIMARY STAFFING, INC * 04/23/17 GRAZIAN & VOLPE PC QUINTAIROS PRIETO WOOD & BOY 861 17WC 12394 MASTRANGELO, DOUG ACCURATE OFFICE SUPPLY * 01/13/17 ASHER, RAYMOND L LTD 862 17WC 12413 CASTILLO, MARIA ASPEN FOODS * 03/03/17 BERG & BERG 863 17WC 12460 BONNER, EDDIE CUSTOMS CO * 04/18/17 DWORKIN AND MACIARIELLO 864 17WC 12534 WEKONY, BRIAN SYSCO CHICAGO, INC * 04/06/16 GOLDBERG WEISMAN & CAIRO L 865 17WC 12588 CERVANTES, JANET SGA YOUTH AND FAMILY * 10/31/16 GOLDSTEIN BENDER & ROMANOF 866 17WC 12607 VLACHOS, ATHANASIOS P SODEXOMAGIC * 03/17/17 DAVID W MARTAY 867 17WC 12624 RAMIREZ MUNOZ, JUAN A DEL FRISCO'S RESTAURANT * 03/14/17 SEIDMAN MARGULIS & FAIRMAN 868 17WC 12639 FOSTER, JESSICA ARYZTA LLC * 03/08/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 869 17WC 12655 TUCKER, ANTWAN SUN RISE TRANSPORATION * 03/17/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 870 17WC 12716 STYRCULA, PETER SKOKIE MOTORS SHERMAN DOD * 01/17/17 VRDOLYAK LAW GROUP LLC 871 17WC 12738 AVINA, PABLO SYSCO CHICAGO, INC. * 04/16/17 THE ROMAKER LAW FIRM 872 17WC 12764 GARCIA, JOSE GRAND PRAIRIE TRANSIT, IN * 02/04/14 RUEDA, IVAN A 873 17WC 12802 HOLLAND, SHAVANA ELIM CHRISTIAN CENTER * 03/30/17 VASILATOS & COTTER LLC ACCIDENT FUND HOLDINGS 874 17WC 12852 CRUZ, ROGER CHICAGO HEIGHTS STEEL * 12/27/16 WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 875 17WC 12872 RANGEL JR., RAFAEL MEDSTAR LABORATORIES * 04/18/17 BUDIN LAW OFFICES 876 17WC 12891 GALLARDO, MANUEL MANUEL GALLARDO * 02/19/16 GAINES & GAINES 877 17WC 12918 O'KEEFFE, THOMAS CITY OF CHICAGO * 07/15/15 HEALY SCANLON LAW FIRM 878 17WC 12929 BISHT, PRADEEP TAJ CAB CO * 03/24/17 LAW OFFICE RYAN ROSENTHAL 879 17WC 12953 DICKERSON, MONICA NOODLES & COMPANY * 04/18/17 DWORKIN AND MACIARIELLO 880 17WC 13061 WEATHERSBY, CAROL ADVOCATE CHRIST MEDICAL C * 01/19/17 RIDGE & DOWNES 881 17WC 13079 ROBINSON, JERRY CITY OF CHICAGO DEPT OF * 04/21/17 ANKIN LAW OFFICE 882 17WC 13098 DRAVILAS, ALEXIOS LITTLE COMPANY OF MARY HO * 03/13/17 NEWLAND & NEWLAND 883 17WC 13149 AYACHE, MICHAEL NBC UNIVERSAL * 04/21/17 THE FITZ LAW GROUP SPIEGEL & CAHILL, PC 884 17WC 13174 WEBB JOHNNIE WEBB MV TRANSPROTATION INC * 04/24/17 LAW OFFICE OF SCOTT B SHAP BRADY CONNOLLY & MASUDA PC 885 17WC 13239 JOHNSON, TEQUILA FIRST STUDENT MANAGEMENT * 03/29/17 GOLDSTEIN AIOSSA & GOOD 886 17WC 13262 SHAMLEY, LONDA CTA SKOKIE SHOPS * 04/03/17 LAW OFFICES TIMOTHY HENDER 887 17WC 13292 GLYNN, ANTHONY UTILITY TRANSPORT SERVICE * 04/17/17 CULLEN HASKINS NICHOLSON KNELL & O'CONNOR 888 17WC 13307 SYLER, ROBERT LKQ A RELIABLE * 08/02/16 DAVID W MARTAY 889 17WC 13344 ABBASI, MUHAMMED A BLUE RIBBON TAXI/ * 04/24/17 LAW OFFICE OF SCOTT B SHAP 890 17WC 13385 COONEY, TIMOTHY G JR. PET SUPPLIES PLUS, LLC * 04/15/17 ANKIN LAW OFFICE 891 17WC 13410 BRUTON, ALPHA ROUNDY'S SUPERMARKETS INC 02/23/17 THE MACK LAW GROUP PC 892 17WC 13435 POLLARD, JAKE CITY OF NORTHLAKE * 03/06/17 MEYERS & FLOWERS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 893 17WC 13452 MATTHEWS, PERRY MICHAEL'S CARTAGE * 03/30/17 KARNO, MARK L & ASSOC 894 17WC 13488 SOTELO, ALBERTO WINGREN LANDSCAPE, INC * 11/15/16 RIPES NELSON BAGGOT KALOBRAT 895 17WC 13523 WILLIAMS, JACQUELINE INTERSTATE DISTRIBUTION * 09/19/16 DWORKIN AND MACIARIELLO 896 17WC 13541 PRINDLE, JOSEPH STEFANOVIC TRUCKING * 03/17/17 BART DURHAM 897 17WC 13563 VARGAS, IRINED THE HABITAT COMPANY, LLC * 02/26/17 RUEDA, IVAN A 898 17WC 13606 MARTINEZ, MARTHA UIC HOSPITAL * 11/14/16 CURTIS S BURKE LAW OFFICE 899 17WC 13615 PATES, CHARLENE SCR MEDICAL TRANSPORT * 05/03/17 SKLARE LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 900 17WC 13642 CUARDO, VICTOR L SOUTHWEST AIRLINES CO * 05/05/16 ANKIN LAW OFFICE 901 17WC 13656 GUYTON, RICHARD TOTAL STAFFING SOLUTIONS * 04/30/17 LAW OFFICES TIMOTHY HENDER 902 17WC 13694 GONZALEZ, MANUEL ACURA INC * 06/02/15 LAW OFFICES DEBORAH SCHAEF 903 17WC 13710 BURT, MICHAEL CHICAGO TRANSIT AUTHORITY * 04/27/17 STROM, NEAL B 904 17WC 13732 NAVARRETE, SALVADOR MCCORMICK & SCHMICK'S * 04/30/17 COSTA IVONE LLC 905 17WC 13765 SMITH, CHARLES AB CAR RENTAL SERVICES, I * 04/23/17 LAW OFFICE HOWARD ABRAMS 906 17WC 13787 CADWELL, LORILEE AMERICAN AIRLINES * 03/11/17 SAUNDERS CONDON & KENNY 907 17WC 13835 EDWARDS, RAHSAAN BP STAFFING RESOURCES * 05/03/17 908 17WC 13887 SOLAK, JOSEPH CITY OF CHICAGO * 04/10/17 JOSEPH J SPINGOLA, LTD 909 17WC 13921 THOMPSON, DEJUAN DR PEPPER SNAPPLE GROUP * 05/03/17 DWORKIN AND MACIARIELLO 910 17WC 13956 AUSTIN, RONALD FEDEX * 03/22/17 FRANK A CELANI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 911 17WC 13990 HARDIN, DAWAN CHICAGO TRANSIT AUTHORITY * 08/02/16 RUBENS AND KRESS 912 17WC 14009 CARDONE, JUDITH COOK COUNTY CLERK OF * 10/07/16 ROSS TYRRELL 913 17WC 14017 COVINGTON, ELLEN R TRAGET CORPORATION * 04/20/17 ANKIN LAW OFFICE 914 17WC 14036 KWAKU, KOSSI JAKE TRANSPORT CO * 04/18/17 LAW OFFICE RYAN ROSENTHAL 915 17WC 14056 ESCAMILLA, PAULA TEMPERATURE ENGINEERING, * 09/23/16 STEPHAN L. HOFFMAN 916 17WC 14107 KNIGHTS, CHRIS ROBERTS PARK FIRE PROTECT * 01/17/17 SAUNDERS CONDON & KENNY 917 17WC 14156 SHAH, MUKESHCHANDRA M. JABIL CIRCUIT NKA NYPRO * 08/04/16 GARDI & HAUGHT 918 17WC 14193 KALKER, DAVID LOYOLA UNIVERSITY MEDICAL * 09/01/14 THOMAS A MORRISSEY 919 17WC 14227 JENSON, PAUL HAWK FORD * 05/06/17 DWORKIN AND MACIARIELLO 920 17WC 14271 STROZ, LINDA M ADVOCATE CHRIST MEDICAL C * 10/19/16 TOSCAS, JOHN Z LAW OFFICE 921 17WC 14303 LIBOY, MAGALY JEWEL FOOD STORES INC * 04/28/17 ARGIONIS & ASSOCIATES LLC 922 17WC 14322 GOLF, CARMAN CITY OF CHICAGO * 11/20/16 CAPRON & AVGERINOS PC 923 17WC 14328 STAMM, ALBERT ENGINEERING EXCELLANCE * 06/14/16 SANDMAN LEVY & PETRICH 924 17WC 14350 MACIASZEK, ANTHONY A AMERICAN AIRLINES * 05/08/17 DOUGLAS RALLO PC 925 17WC 14391 GANAY, AHMED BRILON ONE CAB CORP * 04/29/17 FISHER & LAMONICA 926 17WC 14426 MERLINI, THOMAS A YRC WORLDWIDE * 12/31/16 KROL BONGIORNO & GIVEN LTD 927 17WC 14453 PIEGARI, WILLIAM PEAK ELECTRIC, INC. * 05/30/14 GANAN & SHAPIRO 928 17WC 14469 RODRIGUEZ, MARTIN NORTHWEST STEEL CORPORATI * 04/07/17 EFTEKHARI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 06/22/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 929 17WC 14486 BARAJAS, ABRAHAM JEWEL-OSCO (DISTRIBUTION * 04/10/17 COSTA IVONE LLC 930 17WC 14499 MARTINEZ, YOLANDA CHICAGO TRANSIT AUTHORITY * 04/14/17 STEVEN M SELAN 931 17WC 14522 CABANAS, ERIK US FOODS * 03/16/17 LOUIS A PLZAK & ASSOCIATES 932 17WC 14543 AGUILAR, SEALTIEL UNITED AIRLINES INC * 04/23/17 GREGORIO & MARCO 933 17WC 14578 JOHNSON, RYAN WALGREENS * 05/05/17 STROM, NEAL B 934 17WC 14597 CATANIA, JENNIFER DOLLAR TREE-CHICAGO * 04/20/17 MEYERS & FLOWERS 935 17WC 14603 BRADFIELD, YAKENA CTA * 05/14/17 COVEN LAW GROUP 936 17WC 14629 NAIMOLI, ANTHONY J STATE OF ILLINOIS/IDOT * 09/16/10 THE FITZ LAW GROUP 937 17WC 14682 REILLY, LEONARD ARCHDIOCESE OF CHICAGO * 12/01/16 HETHERINGTON KARPEL BOBBER 938 17WC 14723 SCOTT, OZZIE PETTERINO'S * 05/12/17 DWORKIN AND MACIARIELLO 939 17WC 14756 SANCHEZ-CHAVERO, NORMA A ARROW PLASTIC MANUFACTURI * 12/03/15 ANKIN LAW OFFICE 940 17WC 14773 ROBINSON, TAWANNA PLS FINANCIAL SOLUTION * 04/13/17 DAVID W MARTAY 941 17WC 14801 DAVIS, TAKITA FORD MOTOR COMPANY * 05/29/16 DE SALVO, SCOTT D LAW OFFI 942 17WC 14844 BURNS, THOMAS IV CITY OF EAST DUBUQUE * 10/29/14 POWER & CRONIN LTD 943 17WC 14914 MASON, KEVIN PATRICK FOREST PRESERVE OF COOK C * 10/06/16 PETER D CORTI LAW GROUP