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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 WATTS, CHARLES 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/05/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 10WC 00567 CASKEN, LEONARD CITY OF CHICAGO 08/14/09 LAW OFFICES PETER LEKAS CITY OF CHICAGO 15 10WC 03626 MURO, LUIS CITY OF CHICAGO 09/29/09 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 13WC028451 -C 16 10WC 05904 19B SNEAD, DAVID ST OF IL DEPT OF TRANSPOR @ 12/01/09 CIFELLI SCREMENTI & DORE SHUAIB A. AHMED 17 10WC 38703 CATALANO, VINCENZO ST. ADALBERT CEMETERY 08/30/10 LAW OFFICE TIMOTHY LAMPINE MC ANDREWS & NORGLE LLC 18 11WC 00126 GOODALE, DONALD T.H. RYAN CARTAGE COMPANY 11/02/10 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 19 11WC 05690 RIPPE, SHILO L (MOM & NEX JAMIE EXPRESS INC 12/02/10 SAUNDERS CONDON & KENNY SCOPELITIS GARVIN LIGHT 20 11WC 06367 19B JAKSICH, VIOLET CITY OF CHICAGO DEPT OF 02/07/11 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 21 11WC 14691 GARIBAY, YOLANDA PACE 02/10/11 LUSAK AND COBB POWER & CRONIN LTD 22 12WC 03229 19B ACEBO, LINDA KM WHEELAND 11/22/10 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 23 12WC 04268 LICHTENFELD, NATHAN S CITY OF BLUE ISLAND 11/28/10 MICHAEL J DUDEK DEL GALDO LAW GROUP LLP 24 12WC 04484 DELASSANTOS, ANDREW CITY OF CHICAGO DEPT OF 10/13/11 SALVATO & O'TOOLE CITY OF CHICAGO 25 12WC 05447 SANSONE, FRANK T CITY OF CHICAGO 01/30/12 PARENTE & NOREM PC HENNESSY & ROACH PC 26 12WC 06215 STONE, ELLEN CITY OF CHICAGO 03/16/09 JAMES E MURRAY LTD LEAHY EISENBERG & FRAENKEL 27 12WC 06250 PALEOLOGOS, GEORGE CITY OF CHICAGO 09/19/11 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 17WC029049 -C 17WC034590 -C 18WC024257 -C 28 12WC 26324 TATUM, QUINTIN CHICAGO TRANSIT AUTHORITY 07/13/12 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 12WC026325 -C CTA 29 13WC 03780 MENDOZA, ROSA M CITY OF CHICAGO 06/20/12 LEE, MARK N LAW OFFICE CITY OF CHICAGO 30 13WC 04786 STINSON, ZACKERY SHIFT TRANSPORTATION 01/31/13 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M WATTS, CHARLES 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/05/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 13WC 04835 MCINTYRE, EDDIE L CHICAGO TRANSIT AUTHORITY 09/09/11 CAMERON CLARK CHICAGO TRANSIT AUTHORITY 32 13WC 06383 O'GILVIE, KARLEEN B UNITED AIRLINES INC. 02/02/13 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 14WC023956 -C 20WC010374 -C 33 13WC 11214 CASTILLO, ROBERTO CITY OF CHICAGO 02/27/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 34 13WC 14339 RODRIGUEZ, RICHARD CITY OF CHICAGO 05/12/11 O'CONNOR LAW GROUP LLC 35 13WC 15572 FOSTER, DAWN CTA 05/07/13 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 36 13WC 15603 HALL, EVELYN E ST OF IL, DEPT OF HS @ 05/01/13 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 13WC034588 -C 37 13WC 18822 MARTINEZ, RODOLFO BURBANK CONSTRUCTION 05/14/13 CULLEN HASKINS NICHOLSON VENIT, STEVEN L 38 13WC 37182 CERVANTES, MARIA ELITE STAFFING 10/10/13 SALVATO & O'TOOLE 39 13WC 37572 GARCIA, ADELA HELP AT HOME 09/23/13 RUBIN LAW GROUP MEACHUM & STARCK 40 13WC 37740 YUEN, STEVEN CHICAGO TRANSIT AUTHORITY 10/30/13 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 41 13WC 38536 LAURENCE, DANIEL LOWES HOME IMPROVEMENT 05/17/12 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 13WC038537 -C 42 13WC 39086 YOUSIF, SAMIRA CERES FOOD GROUP 07/29/13 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 43 13WC 42448 TRASHANI, FLAMUR COUNTY OF COOK DEPT 09/03/13 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 14WC011044 -C 44 14WC 00401 GUTIERREZ, THOMAS R CITY OF CHICAGO 12/13/13 PARENTE & NOREM PC CITY OF CHICAGO 45 14WC 01838 PAWLOWICZ, JANUSZ PREMIUM TRANSPORTATION 01/02/14 CHEPOV & SCOTT LLC STONE & JOHNSON CHARTERED 46 14WC 02874 REINKING, RICK ARROW IL CO 12/04/13 WOLFE LAW PC 47 14WC 05589 COATS, AISHA DELELA (HEIR CITY OF CHICAGO 11/13/13 WHITESIDE & GOLDBERG LTD CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M WATTS, CHARLES 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/05/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 48 14WC 06627 ADAM, MAHDI CHICAGO ELITE CAB COMPANY 09/11/13 HUNER LAW OFFICES LLC 49 14WC 12308 SIMS, RITHA CITY OF CHICAGO 04/02/14 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 50 14WC 15304 KIM, SO DUK NEON TEK SIGN INC DBA W 11/04/13 MICHAEL HELLMAN JEANNINE SIMS 51 14WC 15597 OUSLEY, TEQUILA O HOME DEPOT 04/27/14 VITELL & SPITZ LTD MC ANDREWS & NORGLE LLC 52 14WC 15962 WOLKE, GLEN CITY OF HARVEY'FIRE DEPT 03/18/14 ELFENBAUM EVERS ZIELINSKA ANCEL GLINK PC 17WC034463 -C 53 14WC 16112 ARZATE, RUBEN Z GEORGE MANAGEMENT CORP 03/27/14 ILLINOIS INJURY LAWYERS GEORGE PONTIKES & ASSOC 54 14WC 18283 BADER, MAHD YELLOW CAB COMPANY 05/06/14 STEPHEN G PINTO LTD 55 14WC 35919 HOLLADAY, J SCOTT TRITON PLUMBING 08/22/14 DWORKIN AND MACIARIELLO STONE & JOHNSON CHARTERED 56 14WC 36013 BRIGHT, DARRYL CHICAGO PUBLIC SCHOOLS 05/09/14 DWORKIN AND MACIARIELLO 57 14WC 37836 AHMED, HASSAN DISPATCH TAXI 08/30/14 HUNER LAW OFFICES LLC LAW OFFICES OF DEBORAH SCHAE 58 14WC 38101 CHENGARY, CORRINE COOK COUNTY 10/18/14 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 59 14WC 38142 NASH, JAMES LITTLE CEASARS PIZZA 07/19/14 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 18WC025570 -C 20WC009373 -C 60 14WC 38791 VAZQUEZ, LISANDRA TOWER AUTOMOTIVE 09/24/14 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 18WC013906 -C 61 14WC 39133 BURTON, JAMES MEYER STEEL DRUM CO 02/01/14 62 14WC 42059 EMERSON, PAULA COOK COUNTY SHERIFF'S DEP 09/02/12 GRECO, MICHAEL J INMAN & FITZGIBBONS 63 14WC 43660 BONAMICI, JEFF CITY OF CHICAGO 06/09/14 LAW OFFICE OF SCOTT B SHAP CITY OF CHICAGO 64 15WC 01110 SNYDER, JOHN FOUR SEASONS 10/07/14 GOLDBERG WEISMAN & CAIRO L CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M WATTS, CHARLES 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/05/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 65 15WC 01856 VELAZQUEZ, GLADYS CHICAGO BOARD OF EDUCATIO 01/13/15 EPSTEIN, JACK R LAW OFFICE CHGO BOARD OF EDUCATION 66 15WC 02539 HOPKINS, DARYL CITY OF CHICAGO 01/12/15 CULLEN HASKINS NICHOLSON 67 15WC 02764 POLANCO, DOEL CHGO STREETS & SAN DEPT 01/16/15 BERG & BERG CITY OF CHICAGO 68 15WC 05521 HOWELL, ANNIE, WIDOW OF CITY OF CHICAGO # 01/15/15 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 69 15WC 10586 GASH, LARRY L UNITED PARCEL SERVICE 01/17/15 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 70 15WC 13447 SALAZAR, ASENCIO GLAD REX LLC 02/16/15 JOHN S. ELIASIK LAW OFFICES JOSEPH MARCINIAK 71 15WC 13462 MC ALLISTER, MILLAR CTA 04/09/15 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 72 15WC 13544 BELL, MARLON CTA 04/02/15 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 73 15WC 13854 GARCIA, JORGE AYALA NLD SERVICES LLC 11/25/14 MICHELOTTI & ASSOC LTD 74 15WC 13932 ARROYO, MARIA DE HU-FRIEDY 11/21/14 HART AND DAVID LLP 75 15WC 15142 WHIRITY, WILLIAM, J CHICAGO PUBLIC SCHOOLS 08/15/14 GOLDBERG WEISMAN & CAIRO L CHGO BOARD OF EDUCATION 15WC015143 -C 76 15WC 16140 HERNANDEZ, LUIS CHARLES AUSTIN LIMITED 10/24/13 LAW OFFICE OF SCOTT B SHAP 77 15WC 23242 MATLOCK, SHARON COOK COUNTY HEALTH 06/23/15 THOMAS R LICHTEN STATES ATTORNEY OF COOK COUN 78 15WC 23635 ABDI, DUALE KOAM TAXI 06/15/15 LAW OFFICE RYAN ROSENTHAL 79 15WC 24510 RODRIGUEZ, JOSE ACCURATE PERSONNEL, LLC 07/03/14 CULLEN HASKINS NICHOLSON MC ANDREWS & NORGLE LLC 80 15WC 24744 MOORE, SUZETTE HOME HEALTH CARE (IL) @ 05/22/15 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M WATTS, CHARLES 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/05/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 81 15WC 25146 PEDROZA, ONDINA A BARON HR DBA 07/08/15 ANKIN LAW OFFICE JOSEPH MARCINIAK 82 15WC 25480 CZERWONKA, DANIEL PROPERTY RECYCLING SERVIC 06/25/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 16WC000794 -C 83 15WC 25609 MILLER, PAUL CITY OF CHICAGO 10/15/14 STROM, NEAL B 84 15WC 26054 ROSOGA, LUCIA EUROPEAN AMERICAN ASSOCIA 06/01/15 ELFENBAUM EVERS ZIELINSKA GALLIANI DOELL & COZZI LTD 85 15WC 26449 LEON, REFUGIO J. GRAPHIC PACKAGING 05/16/15 ACEVES & PEREZ PC DOHERTY & PROGAR LLC 86 15WC 32722 REED, ARDELLA, SPOUSE OF COOK COUNTY MEDICAL EXAMI 09/24/15 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 87 15WC 33037 DELGADO, GAVIN LOYOLA UNIVERSITY 03/02/15 HUGHES SOCOL PIERS RESNICK LORENZ & BERGIN PC 88 15WC 33065 STRZECHOWSKI, JAMES SOUTHWEST AIRLINES 04/28/15 CULLEN HASKINS NICHOLSON 89 15WC 33116 LYKE, SCHATAAN FORD MOTOR CO 04/08/15 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 90 15WC 33302 CONTRERAS, LARRY J. LARRY J. CONTRERAS 10/14/15 WHITESIDE & GOLDBERG LTD 91 15WC 33541 POLLARD, DANIEL W COOK COUNTY SHERIFF'S POL 05/24/15 O'CONNOR & NAKOS INMAN & FITZGIBBONS 92 15WC 33955 KUMARI, NAKKA LORETTO HOSPITAL 09/03/13 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM GRA 93 15WC 34406 HUGHES, OCTAVIA CTA 04/20/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 94 15WC 34664 HARVEY, DERRICK CITY OF CHICAGO 10/07/15 HEALY SCANLON LAW FIRM 95 15WC 34678 KNIGHT, GARLAND CLERK OF CIRCUIT CT OF 09/24/15 VASILATOS & COTTER LLC STATES ATTORNEY OF COOK COUN 96 15WC 34793 RAHEEM, YISA BLUE RIBBON 10/04/15 DAVID M SPADA 97 15WC 35324 REYES, BARUCH INNOVA AUTO SUPPLY 10/09/15 GOLDSTEIN BENDER & ROMANOF JOSEPH MARCINIAK 98 15WC 35621 BANKS, LARRY CITY OF CHICAGO 10/22/15 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M WATTS, CHARLES 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/05/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 99 15WC 36963 GISSY, SHARON SULZER LIBRARY CITY OF CH 10/15/15 RUBIN MACHADO ROSENBLUM 100 15WC 37039 JOYCE, PATRICK E CITY OF CHICAGO 09/14/15 CRONIN & PETERS CITY OF CHICAGO 101 15WC 38043 DAVIS, ALDINE JUKE JOYNT 06/19/15 CHARLES LEVY & ASSOC LTD 102 15WC 38166 NORWOOD, JOSEPH JR CTA 12/31/12 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 103 15WC 39636 CARON, RONALD LETTUCE ENTERTAIN YOU ENT 12/14/14 RATHBUN CSEVENYAK & KOZOL NOBLE & ASSOCIATES PC 16WC016227 -C 104 16WC 01716 JACKSON, LINDA CITY OF CHICAGO 12/01/15 MARK N LEE CITY OF CHICAGO 105 16WC 03139 CHODOROWSKI, RAYMOND ATLAS VAN LINES & JOSEPH 10/07/09 GORDON & CENTRACCHIO LLC 106 16WC 03635 HERMOSA, MARIANO TERRACE HOLDING COMPANY 03/18/15 JAMES ELLIS GUMBINER & ASS HOLECEK & ASSOCIATES 107 16WC 04776 WALLS, NICHEA FORD MOTOR COMPANY 01/26/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 108 16WC 04805 RODRIGUEZ, JAVIER MARCO'S PAINTING/ W 01/28/16 SALVATO & O'TOOLE 109 16WC 04852 CAMPOS, MARK ROUND LAKE AREA PARK DIST 08/04/15 JAMES M GERAGHTY HENNESSY & ROACH PC 110 16WC 05089 JOHNSON, ANNIE CHICAGO BOARD OF EDUCATIO 11/20/15 JAMES J BURKE LAW OFFICE CHGO BOARD OF EDUCATION 111 16WC 05923 MACK, GRACE LEE MERCY HOSP AND MEDICAL CE 02/27/13 HANNA VANDER PLOEG LLC 17WC009834 -C 112 16WC 06749 JACKSON, LARHONDA FORD MOTOR COMPANY 02/24/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 113 16WC 06790 BANKS, YOLANDA PARKVIEW REHAB CENTER 01/03/16 MARKS INJURY LAW KEEFE CAMPBELL & ASSOC LLC 114 16WC 13985 SYED, SHAMUDDIN CHICAGO MEDALLION MANAGEM 02/24/16 C DEAN MATSAS 115 16WC 14655 LAVEN, PAULA C. THORNTON TOWNSHIP 02/23/16 CRONIN & PETERS INMAN & FITZGIBBONS 116 16WC 15208 PEREZ, JUAN MOORE LANDSCAPING INC 03/22/16 DWORKIN AND MACIARIELLO EDWARD J. KOZEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M WATTS, CHARLES 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/05/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 117 16WC 16608 SODERBERG, DANIEL NATIONAL REPROGRAPHICS 10/15/15 LAW OFFICE OF SCOTT B SHAP 118 16WC 17120 MERCED, LUIS EDLER COMPANY, INC. 05/11/16 MARC S. MAYER & ASSOCIATES HENNESSY & ROACH PC 119 16WC 18963 HARWOOD, DEREK CITY OF PEORIA 06/09/16 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 120 16WC 23417 HIPPS-GLENN, DENISE CHICAGO FIRE DEPARTMENT 08/31/15 MICHAEL HELLMAN CITY OF CHICAGO 121 16WC 23437 WILLIAMS, CHARLOTTE CTA 07/28/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 122 16WC 23627 DEL TORO, MARILU SAVERS 05/09/16 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 123 16WC 24080 MORGAN, RAYMOND CITY OF CHICAGO 06/30/16 THE FITZ LAW GROUP CITY OF CHICAGO 17WC032313 -C 124 16WC 24131 NARVAEZ, MICHAEL J WERNER PRINTING & ENGRAVI 01/22/16 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 125 16WC 24289 VILLA, AURELIO CHICAGO PUBLIC SCHOOLS 05/13/15 JONATHAN SCHLACK CHGO BOARD OF EDUCATION 126 16WC 24335 CONDE, NELIA TOP OF TOPS CLEANERS INC. W 07/07/16 ANKIN LAW OFFICE 127 16WC 24669 RALSTON, DYHEMA HCR MANOR CARE 06/18/16 ROMANEK & ROMANEK BRYCE DOWNEY & LENKOV LLC 128 16WC 24845 SPISAK, STEVEN KMH SYSTEMS, INC 04/01/16 SAUNDERS CONDON & KENNY 129 16WC 25029 SHORTINO, CATHY CITY OF CHICAGO, DEPT. OF 07/22/16 CUDA LAW OFFICES CITY OF CHICAGO 130 16WC 25177 ZAMORA, JORGE HIGHLAND BAKING COMPANY 08/28/13 ERIC M GLASSON & ASSOCIATE 131 16WC 25912 ARROYO, VICENTA WEBER STEPHEN PRODUCTS 07/18/16 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 132 16WC 25960 NOA, SARAH COOK DUPAGE TRANSPORTATIO 07/26/16 LAW OFFICE OF SCOTT B SHAP 133 16WC 26121 YOUNG, SAMMIE L JR HARVEY CITY POLICE DEPT 05/26/16 VITELL & SPITZ LTD ANCEL GLINK PC 134 16WC 26710 MALVAIZ, LUIS A NEWLY WEDS FOODS INC 08/16/16 COSTA IVONE LLC WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M WATTS, CHARLES 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/05/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 135 16WC 31674 MALOOF, KATHLEEN CHICAGO BOARD OF EDUCATIO 04/14/16 LEO ALT 136 16WC 32721 BURTON, ANNIE CTA 10/22/16 CHICAGO TRANSIT AUTHORITY 137 16WC 33599 HASTY, JUSTIN GONELLA BAKERY 10/26/16 GORDON & CENTRACCHIO LLC RUSIN & MACIOROWSKI LTD 138 16WC 33774 BUCKLEY, BRANT MIDTOWN ATHLETIC CLUB CHI 10/31/16 MARTIN V KUGIA 139 16WC 34657 TAYLOR, LA'TWANISE SODEXO 11/11/16 COSTA IVONE LLC INMAN & FITZGIBBONS 140 16WC 34894 CHOWDHURY, SHAMIN ALT KHAN CORP 10/11/16 LAW OFFICE RYAN ROSENTHAL 141 16WC 35500 DOLLY, KELLY CITY OF CHICAGO @ 07/21/16 PARENTE & NOREM PC CITY OF CHICAGO 142 16WC 35547 CLANTON-THOMAS, SHIRLEY ADA S MCKINLEY 09/23/16 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 143 16WC 35716 JONES, MICHAEL CHRISTY WEBBER LANDSCAPES 03/26/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 144 16WC 35914 OMIDIJI, SAHEED ELSTON FOURTEEN LLC 11/05/16 HUNER LAW OFFICES LLC 145 16WC 36414 GABINO, VICTOR A-1 ROOFING CO 09/09/16 JONATHAN SCHLACK ALLEN & NEWMAN 146 16WC 36668 ZUKOWSKI, MARY ADVOCATE HOME HEALTH SERV 08/24/16 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 19WC012136 -C 19WC012137 -C 147 17WC 02846 GARCIA, MARIO BRACKENBOX, INC. 08/15/16 HART & DAVID LLP 148 17WC 03190 WALTON, JERRY COOK COUNTY SHERIFF'S DEP 09/01/16 O'CONNOR & NAKOS STATES ATTORNEY OF COOK COUN 149 17WC 03233 MADRIGAL, LUZ MARIA SIGMATRON INTERNATIONAL I 08/16/16 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 150 17WC 03738 FRATANTION, ANTHONY JOSEPH'S CONSTRUCTION CO 01/31/17 CUDA LAW OFFICES WIEDNER & MCAULIFFE LTD 151 17WC 03903 YACOVACCI, ANTHONY VILLAGE OF BROOKFIELD 01/13/17 COSTA IVONE LLC 152 17WC 04025 MELISSORATOS, GERASSIMOS PACE SUBURBAN BUS CO 12/29/16 GORDON & CENTRACCHIO LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M WATTS, CHARLES 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/05/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 153 17WC 04308 D'ACQUISTO, ADRIANA ST ALEXIUS MEDICAL 11/24/16 LAW OFFICE OF SCOTT B SHAP 154 17WC 04347 DAHER, AHMAD AYYOD FATTOUSH RESTUARANT 02/01/17 SANDMAN LEVY & PETRICH 155 17WC 04385 RUTLAND, EDWARD CATALYST CHARTER SCHOOL 02/08/17 DWORKIN AND MACIARIELLO NOBLE & ASSOC 156 17WC 04398 CLARK, STEVEN CELADON GROUP, INC. 02/01/17 ANKIN LAW OFFICE 157 17WC 04492 BILLUPS-DRYER, ANDREA WINDSOR ESTATES NURSING & 10/06/16 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 158 17WC 04778 SANDERS, ANTWAUN T CHICAGO TRANSIT AUTHORITY 02/08/17 ELFENBAUM EVERS ZIELINSKA CHICAGO TRANSIT AUTHORITY 159 17WC 05161 WOULFE, MARTIN JONES LANG LASALLE INC 06/11/16 PARENTE & NOREM PC JOSEPH MARCINIAK 160 17WC 05219 CHIQUITO, BIBIAN NATIONAL KWIKMETAL SERVIC 03/28/16 BUDIN LAW OFFICES HOLECEK & ASSOCIATES 161 17WC 05237 HUGGINS, LISA CTA 02/01/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 162 17WC 05355 PLUNKETT, REDELL SCR MEDICAL TRANSPORTATIO 06/20/16 MARC J SHUMAN & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 18WC003208 -C 163 17WC 05523 CALDERON, ROBERTO C TITANIC FURNITURE/AMERICA 08/01/14 GALLAGHER, DONALD V 164 17WC 05542 VAZQUEZ, JUAN EAST BELT BAKERIES 02/07/17 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 165 17WC 05651 OLADEHINDE, SULE SNOWSTORM II HACKING CORP 12/02/16 COHN LAMBERT RYAN & SCHNEI 166 17WC 05797 WEBSTER, BRIAN NORTHBROOK FIRE DEPARTMEN 01/26/17 SLAVIN & SLAVIN POWER & CRONIN LTD 167 17WC 06182 GAMBRELL, EDWARD UBER 10/12/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 168 17WC 06207 PEREZ, ALBERTO CITY OF CHICAGO DEPT OF 02/15/17 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M WATTS, CHARLES 075 ARBITRATION CALL FOR CHICAGO 99075 ON 01/05/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 169 17WC 06414 EGNATZ, JOHN P PEPPER CONSTRUCTION COMPA 01/06/17 DEPAOLO & ZADEIKIS KEEFE CAMPBELL & ASSOC LLC 170 17WC 07825 GALVAN, PABLO FORTE PACKAGING & SUPPLIE 09/19/16 LULAY LAW OFFICES JOSEPH MARCINIAK 18WC010007 -C TOTAL STAFFING SOLUTIONS 19WC002844 -C 171 17WC 13080 TORRES, EDUARDO C CHICAGO TRANSIT AUTHORITY 04/12/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 172 17WC 13150 AROCHO, CHRISTOPHER M COOK COUNTY SHERIFF DEPAR 04/26/17 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 173 17WC 13730 TERRY, STACEY UNIVERSITY OF CHICAGO 03/14/17 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 174 17WC 14057 DAVEY, MARCELINO ROMA'S ITALIAN BEEF & SAU 04/19/17 MANDELL, GREGG 175 17WC 14304 ASHFORD, EVELYAN SOUTH SUBURBAN REHABILITA 12/17/16 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC