ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 97WC 19969 CARRINGTON, DAVID W JP FOODSERVICE 03/21/97 MATTHEW T. GUBBINS PC LIVINGSTONE MUELLER ET AL 03WC026888 -C ST OF IL ILLINOIS DEPARTME 2 01WC 47324 19B OWEN, STELLA ST OF IL DEPT OF HUMAN SE @ 07/10/01 HORWITZ HORWITZ & ASSOC STATE OF ILLINOIS 3 04WC 41382 19B FRANKLIN, JOHNNY ST OF IL-STATEVILLE CORR @ 07/23/04 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 4 04WC 42656 SONS, LISA PROVENA ST JOSPEH MEDICAL 08/14/04 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 5 04WC 54373 KORCZAK, KEVIN R S CORCORAN 09/16/02 AMBROSE & ASSOCIATES PC HOLECEK & ASSOCIATES 6 05WC 09919 MUNOZ, SOCORRO EDO JAPANESE RESTAURANT 02/18/05 MCNAMARA PHELAN MCSTEEN, L 7 05WC 15765 GRANT, BRIAN PIPEVISION W 12/21/04 GANASSIN, SCOTT J BLOCK, BLOCK & KLUKAS P.C. 8 05WC 19198 19B-1 VERKLAN, RICHARD AHRENS CONCRETE PAVING LL 02/04/05 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS, INC 9 05WC 27326 ZAYED, AZZAM BUTCHERS CHOICE AND DONAL W 05/13/05 BLOCK, BLOCK & KLUKAS P.C. 10 06WC 25517 MARTINEZ, ROSARIO ULTA 08/13/04 THOMAS R LICHTEN, LTD 06WC025518 -C 13WC020828 -C 11 06WC 30285 ENRIQUES, JOANNA EMPRESS CASINO 06/09/06 GANASSIN, SCOTT J KLAUKE LAW GROUP LLC 06WC041146 -C 12 06WC 32506 19B REED, LISA COLLISION REVISION 09/13/05 DAN COLLINS LAW FIRM RUSIN MACIOROWSKI & FRIEDMAN 13 06WC 33876 JOLY, WILLIAM MEIJER 9STORE #169) 03/05/06 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 14 06WC 45647 19B-1 GARCIA, RAMIRO SCOTTS COMPANY 08/08/06 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT ETAL 15 06WC 53468 ALVAREZ, JORGE B MIDWEST INTERMODAL SERVIC W 11/21/05 CULLEN, HASKINS, NICHOLSON 16 06WC 53841 19B MC NAMEE, RYAN ALCA INC 09/05/06 RICHARD D HANNIGAN, LTD SPIEGEL & CAHILL, PC 17 07WC 00644 WEAVER, SHARON JOLIET PETROLEUM #2087 W 12/02/06 COHN LAMBERT RYAN & SCHNEI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 07WC 17868 CANCEL, DIANE LOWE'S 09/09/05 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 19 07WC 26393 ESTRADA, FRANCISCO ILLINOIS DEPARTMENT OF @ 05/31/07 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 08WC027541 -C 10WC015358 -C 10WC016808 -C 20 07WC 27857 FLESZEWSKI, ANGELINE KOHL'S DEPT STORE, INC 04/25/07 STEVEN J SEIDMAN LAW OFFIC HENNESSY & ROACH PC 21 07WC 29940 SCHULTZ, RONALD L GRAYCOR INC. 03/24/07 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 22 07WC 40070 GALVAN, SOCORRO ITW FILLTRATION 03/06/06 BRIAN T MORROW, LAW OFFICE HENNESSY & ROACH PC 23 07WC 42749 SINGH, JASKARENPEREET CITGO GAS STEGER W 10/31/05 CULLEN, HASKINS, NICHOLSON 24 07WC 55241 CASPERSON, JOY HARRAH'S ILLINOIS CORP 04/30/06 HORWITZ HORWITZ & ASSOC NOBLE & ASSOCIATES PC 25 08WC 01131 SMITH, ROBIN SILVER CROSS HOSPITAL 10/20/07 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 26 08WC 02057 HARRIS, ROGER L STAFFMARK 09/12/07 LAW OFFICE OF ROBERT E BUR RUSIN & MACIOROWSKI LTD 27 08WC 02424 BARFIELD, BRENDA STATE OF ILLINOIS @ 01/13/07 STEVEN J SEIDMAN LAW OFFIC ASSISTANT ATTORNEY GENERAL 28 08WC 07946 HUIZAR, JOSE F LABOR READY 01/23/08 PRESBREY & ASSOC INC GANAN & SHAPIRO 29 08WC 11587 BRORSEN, BRUCE INEOS AMERICAS LLC 10/01/07 MCNAMARA PHELAN MCSTEEN LL BRADY CONNOLLY & MASUDA PC 30 08WC 21461 HARRIS, ROGER STAFFMARK INVESTMENTS, LL 09/11/07 BRISKMAN & BRISKMAN RUSIN & MACIOROWSKI LTD 31 08WC 23102 SIBERT, JOSEPH STATESVILLE CORRECTIONAL @ 04/24/08 GANASSIN, SCOTT J ASSISTANT ATTORNEY GENERAL 32 08WC 27045 BELLANTE, ROBERTA KD TRANSPORT INC W 02/08/08 PRESBREY & ASSOC INC 08WC043830 -C KEVIN R DANIELS 33 08WC 27063 PATRICK, CHERYL ST OF IL DEPT OFSTATE POL @ 12/05/06 ROSS TYRRELL ASSISTANT ATTORNEY GENERAL 34 08WC 27303 JOHNSON, JEANETTE ILLINOIS DEPARTMENT OF @ 12/06/07 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 35 08WC 32447 MCGREW, YOLANDA ALDIS FOOD 04/30/08 LEE VASILATOS BRADY CONNOLLY & MASUDA PC 36 08WC 41869 JONES, TERRENCE OZINGA 08/14/08 EMPLOYEE LEGAL SERVICES LT 37 08WC 43288 DAMON, BARRY STATEOF ILLINOIS @ 08/04/08 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 38 08WC 44663 SANCHEZ, MANUEL ATRIUM 11/01/05 FITZ & TALLON LTD THOMAS & ASSOCIATES 39 08WC 47054 LLOYD, ANY VITAS INNOVATIVE HOSPICE 09/16/08 GORDON & CENTRACCHIO LLC HENNESSY & ROACH PC 40 08WC 47900 CALDERON, WESLEY CALDERON LIQUORS INC 07/28/08 FABRIZIO, HANSON & PEYLA COZZI & GOGGIN-WARD 41 08WC 48821 DARSIPUDI, VIJAI ILLINOIS DEPARTMENT 09/06/08 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 10WC026435 -C IL DEPT OF CORRECTIONS 10WC032100 -C 12WC029763 -C 42 08WC 51211 MITCHELL, MARCUS CITY OF JOLIET 09/06/08 DANIEL J ADLER LAW OFFICE CITY OF JOLIET 43 08WC 51627 CANAS, DOUGLAS DEDICATED LOGISTICS INC 08/13/08 HORWITZ HORWITZ & ASSOC GRANT & FANNING 08WC051628 -C 44 08WC 52068 BAILEY, DANNETTE FIRST STUDENT BUS SERVICE 11/14/08 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 45 08WC 56335 GONZALEZ, VICTOR CONCRETE CREATIONS PLUS W 07/21/08 ANKIN LAW OFFICE GORDON & CENTRACCHIO LLC 46 09WC 03939 KASSENOFF, CATHY ATI PHYSICAL THERAPY 08/25/08 SOSTRIN AND SOSTRIN PC LAW OFFICES OF EDWARD J. KOZ 47 09WC 04084 FIGUERO, CARMEN BRODER BROTHERS COMPANY 12/03/08 FITZ & TALLON HOLECEK & ASSOCIATES 48 09WC 06393 LESNIAK, TIMOTHY STATEVILLE CORRECTIONAL C @ 01/14/09 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 49 09WC 08657 POLITO, DANIEL MCADAM LANDSCOPE 10/13/08 RICHARD E ALEKSY GANAN & SHAPIRO 50 09WC 09007 CORREA, GILBERTO FABRICATED METAL SYSTEMS 01/29/09 OSVALDO RODRIGUEZ PC RIPES NELSON BAGGOT KALOBRAT 09WC009008 -C 51 09WC 11042 JOHNSON, SUSIE EASTER SEALS 02/14/09 STEVEN J TENZER, LTD STELLATO & SCHWARTZ 52 09WC 12218 FOWLER, JEFF VALLEY BATAVIA LLC 08/01/07 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 53 09WC 13097 NOVAK, CATHERINE PLAINFIELD COMMUNITY 01/15/09 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 09WC013098 -C 10WC044240 -C SCHOOL DISTRICT 202 54 09WC 15598 LONG, ROBERT STATE OF ILLINOIS @ 04/30/06 GOLDSTEIN FISHMAN BENDER E ASSISTANT ATTORNEY GENERAL 12WC009183 -C ST OF IL DEPT OF CORRECTIO 55 09WC 15964 ATCHER, SAMUEL CERTIFIED GROCERS MIDWEST 04/07/09 JAMES M RIDGE LAW OFFICE THOMAS & ASSOCIATES 56 09WC 16726 ESTRADA, AMBELIO ULTA 01/28/09 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 57 09WC 17804 19B SMITH, MICHAEL L STONE & WEBSTER CONST SER 03/11/09 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 58 09WC 19094 KRZYZANOWSKI, JACQUE WILL COUNTY GOVT 02/21/09 STRONG LAW OFFICE HINSHAW & CULBERTSON LLP 09WC025993 -C 12WC044506 -C 59 09WC 19337 CROSBY, GWENDOLYN KEHE FOOD DISTRIBUTORS IN 12/05/08 VRDOLYAK LAW GROUP LLC POULOS & DIBENEDETTO LAW 10WC013494 -C 11WC007601 -C 60 09WC 24532 SCHMIDT, LINDA STATE OF IL DJJ IYC JOLET @ 05/13/09 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 61 09WC 26042 ULRICH, RAY STATESVILLE CORRECTIONAL @ 06/11/09 EMPLOYEE LEGAL SERVICES LT ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 62 09WC 30089 RIZZO, JEANNIE SPORT CLIPS 04/07/09 CULLEN, HASKINS, NICHOLSON HOLECEK & ASSOCIATES 63 09WC 30158 MITCHELL, SHIRLEY ADDUS HEALTHCARE 05/12/09 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 11WC044977 -C 64 09WC 30322 KRUEGER, MARY LU RICHLAND GRADE SCHOOL 02/19/09 HORWITZ HORWITZ & ASSOC RODDY LAW LTD 12WC000431 -C ILLINOIS CENTRAL BUS COMPA 12WC000433 -C 13WC000011 -C MINOOKA SCHOOL DISTRICT 20 65 09WC 30437 CERVANTES, WILIBALDO MCCANN CONSTRUCTION W 07/13/09 BLOCK, KLUKAS & MANZELLA P MCNAMARA PHELAN MCSTEEN, LLC 66 09WC 32416 OCEGUERA, MANUEL US HOSE CORP 04/16/09 BLOCK, KLUKAS & MANZELLA P THOMAS & ASSOCIATES 67 09WC 34734 GAGLIARDO, BRIAN CLENNON ELECTRIC 07/26/06 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 68 09WC 34748 CARRERA, GERARDO FIRST WORLD MGMT SERVICE W 08/07/09 O'CONNOR & NAKOS RAYMOND J SANDERS & ASSOC 69 09WC 35842 COBB, DONALD JR AT & T C/O SEGGWICK CMS 03/04/09 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 12WC023155 -C 70 09WC 35887 ORTEGA, CRISTINA TROY COMMUNITY CONSOLIDAT 08/03/09 GOLDSTEIN AIOSSA & GOOD POWER & CRONIN LTD 11WC021136 -C 71 09WC 36651 GERRETTIE, SANDRA (WIDOW) CITY OF JOLIET DEPT OF PO 06/09/09 SHELDON I MINKOW & ASSOCIA KNELL & O'CONNOR 13WC033467 -C 72 09WC 39271 MCLELLAND, ERIC P IL DEPT OF CORRECTIONS- @ 08/09/09 MCNAMARA PHELAN MCSTEEN, L ASSISTANT ATTORNEY GENERAL 73 09WC 40293 O'ROURKE, JENNIFER CITY OF JOLIET POLICE DEP 09/05/09 MCNAMARA PHELAN MCSTEEN, L CITY OF JOLIET 74 09WC 42449 CARR, XAVIER HOME CHOICE 07/27/09 BLOCK, KLUKAS & MANZELLA P EVANS & DIXON, LLC 75 09WC 46030 UGALDE, PEDRO MADISON WAREHOUSE 11/20/08 SUTTER & ORI LLC GRANT & FANNING 10WC011091 -C 76 09WC 46426 BOLDEN, TANEL STATE OF ILLINOIS @ 10/22/09 JOEL BELL ASSISTANT ATTORNEY GENERAL 77 09WC 47705 SCUMACI, PATRICIA COSTELL NATIONAL CITY 11/04/08 CANDIANO LAW OFFICE INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 78 09WC 48441 ESCOTO-CAMPOS, JORGE ALBE MIDWEST CUSTOM CASE INC 09/15/09 SALK, STEVEN B & ASSOC LTD RUSIN MACIOROWSKI & FRIEDMAN 79 09WC 49558 EGGERT, KARY A AT&T INC 09/02/09 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 80 09WC 50988 JASTRZEMSKI, MARTIN AGISSLAS HAITAS D/B/A W 09/16/09 CULLEN HASKINS NICHOLSON JONATHAN KURASCH 81 09WC 51956 19B MARTINEZ, ENRIQUE CENTRAL GROCERS CO OP INC 11/11/09 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 82 09WC 53141 GRAY, DEBORAH AM PM 12/15/09 RICHARD E ALEKSY THOMAS & ASSOCIATES 83 10WC 00045 HERNANDEZ, GILBERTO PEREZ SEARS HOLDINGS CORPORATIO 11/19/09 LUIS A ACEVES & ASSOC GAROFALO SCHREIBER STORM 84 10WC 00658 HOWARD, CAROL J FAMILY CHRISTIAN STORES 10/08/09 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ 85 10WC 03328 SILVA, KATHERINE PARTY CITY 06/09/09 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 12WC035221 -C 12WC035222 -C 86 10WC 04087 BAMBIC, MICHAEL RAMP MANAGEMENT LLC 01/09/10 MCNAMARA PHELAN MCSTEEN, L HOLECEK & ASSOCIATES 87 10WC 04504 LOCKWOOD, RONALD A BLOCK BLOCK & KLUKAS PC 03/19/07 88 10WC 06706 BARNES, DAVID ILLINOIS DEPT OF CORRECTI @ 08/24/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 89 10WC 08234 KERR, HAMPTON ILLINOIS DEPT OF CORRECTI @ 02/06/10 O'CONNOR & NAKOS ASSISTANT ATTORNEY GENERAL 13WC024823 -C IL DEPT OF CORRECTIONS 90 10WC 08379 SANCHEZ, FABIAN PRO LOGISTICS INC 01/04/10 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 91 10WC 11186 MCGAUGHY, SARAH SALEM VILLAGE NURSING HOM 02/07/10 BLOCK, KLUKAS & MANZELLA P THOMAS & ASSOCIATES 92 10WC 11536 SCHWARZ, DALE STATE OF ILLINOIS 01/01/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 93 10WC 12596 WILDA, CARL STATE OF ILLINOIS DEPT @ 03/10/10 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 94 10WC 13208 RIVERA, JAMIE J BOLINGBROOK POLICE DEPT 03/16/10 LAW OFFFICES OF THOMAS S R RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 95 10WC 14150 REEVES, JODY SARAH MINI-MART W 01/07/10 HORWITZ HORWITZ & ASSOC 96 10WC 16393 MATZ, CAROL LINCOLN-WAY 02/02/10 BRUGGEMAN HURST & ASSOC RUSIN MACIOROWSKI & FRIEDMAN 97 10WC 18799 OLIVER, GORDON STATE OF ILLINOIS @ 02/10/10 GALLAGHER LAW PC ASSISTANT ATTORNEY GENERAL 98 10WC 19734 HERRERA, GUILLERMINA MCDONALD'S CORPORATION 09/10/09 JAMES ELLIS GUMBINER & ASS BRYCE DOWNEY & LENKOV LLC 11WC044336 -C 99 10WC 22620 GREEN, JAMES JEWEL FOOD STORES 05/06/10 GOLDBERG WEISMAN & CAIRO L 100 10WC 24869 GORSKI, BARBARA MPI LABEL SYSTEM 01/15/10 BLOCK, KLUKAS & MANZELLA P LAW OFFICES OF EDWARD J. KOZ 101 10WC 25652 LOVE, TIMOTHY VILLAGE OF BOLINGBROOK 06/11/09 RUSIN MACIOROWSKI & FRIEDMAN 11WC034197 -C 102 10WC 26624 JABLONSKI, GWEN LHK PARTNERS 02/19/10 RATHBUN CSEVENYAK & KOZOL RUSIN MACIOROWSKI & FRIEDMAN 10WC042401 -C 103 10WC 27067 NILES, LEE FAMILY DOLLAR 05/11/10 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 104 10WC 28002 DAY, TYLESIA WALGREENS OPTION CARE 02/11/10 COSTA IVONE LLC GILDEA & COGHLAN 10WC028003 -C 105 10WC 28841 WILLIAMS, MICHAEL ST OF IL DJJ IYC JOLIET @ 07/09/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 106 10WC 29432 BABCOCK, BETH US SECURITY SERVICES 02/12/10 BLOCK, KLUKAS & MANZELLA P GRANT & FANNING 107 10WC 32211 BUTZEN, JAMIE DUNKIN DONUTS 02/12/09 ANESI OZMON RODIN NOVAK KO 108 10WC 32220 MORRIS, HARRY ILLINOIS DEPARTMENT OF @ 12/30/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 109 10WC 32942 HALL, ROBERT CITY OF JOLIET POLICE DEP 08/05/10 MCNAMARA PHELAN MCSTEEN LL KAVANAGH GRUMLEY & GORBOLD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 110 10WC 33661 ROSALES, OFELIA ELITE STAFFING 03/10/10 KATZ FRIEDMAN EAGLE ET AL CASSIDAY SCHADE LLP 111 10WC 34118 MIXON, DALIA M LG ELECTRONICS MOBILE COM 02/09/09 GALLAGHER, DONALD V THOMAS & ASSOCIATES 12WC014109 -C L G ELECTRONICS MOBILE 112 10WC 34651 COOPER, MEGAN STATE OF ILLINOIS @ 08/19/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 113 10WC 35203 MOOI, ANNETTE C FOOD 4 LESS 08/26/10 PETER F FERRACUTI & ASSOCI STONE & JOHNSON CHARTERED 10WC045689 -C SCHULTZ-MOOI, ANNETTE 114 10WC 35765 YOUNG, JAMES J&M FORKLIFT 08/05/10 BURNES & LIBMAN HENNESSY & ROACH PC 115 10WC 36396 GARVEY, TERRANCE ST OF IL DJJ IYC JOLIET @ 03/30/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 116 10WC 36705 HIBLER, MICHAEL JOLIET FIRE DEPARTMENT 06/16/10 GOLDBERG WEISMAN & CAIRO L CITY OF JOLIET 117 10WC 37091 BENNINK, PAUL CRETE CARRIERS CORP 09/07/10 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 118 10WC 37254 GONZALEZ, MAYTE TOYS "R" US 05/10/10 BERG NORTHCUTT & BERG KEEFE CAMPBELL & ASSOC LLC 119 10WC 38220 VAJDA, MICHAEL THOMAS VICTORIAN REMODELING @ 03/06/09 AMBROSE & ASSOCIATES PC 120 10WC 38551 BRUSZNIEWSKI, JANUSZ VA SERVICES INC 02/24/10 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 121 10WC 40448 WALKER, ROBERT GROUP O SUPPLY CHAIN/CATE 09/30/10 BLOCK, KLUKAS & MANZELLA P KNELL LAW LLC 122 10WC 41725 19B HOPPER, PATRICIA STATE OF ILLINOIS @ 07/15/10 CAPRON & AVGERINOS PC MALLORY ZIMET 123 10WC 42018 AGUILAR, EVERADO CASTRO'S LANDSCAPING W 09/29/10 KATZ FRIEDMAN EAGLE ET AL 124 10WC 43042 KAPP, WILLIAM WILL COUNTY SHERIFF'S DEP 07/29/00 SAUNDERS CONDON & KENNY HINSHAW & CULBERTSON 125 10WC 44020 GADBOIS, CINDY JEWEL-OSCO 04/08/10 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 126 10WC 44607 SZORC, KRZYSTOF ILLINOIS DEPARTMENT @ 08/12/10 R. MARK MARITOTE PC ASSISTANT ATTORNEY GENERAL 127 10WC 46973 NUNEZ, JESUS R & S DRYWALL CORP 11/09/10 HEALY LAW FIRM RUSIN MACIOROWSKI & FRIEDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 128 10WC 48205 ALLEN, IRMA ST OF IL/STATEVILLE CORR @ 10/07/10 GALLAGHER LAW PC ASSISTANT ATTORNEY GENERAL 129 10WC 49277 NGIENTH, TINA PLAINFIELD TOOL & ENGINEE 11/08/10 BRIAN T MORROW, LAW OFFICE HOLECEK & ASSOCIATES 130 11WC 00690 LEVANGE, AARON UTI INTEGRATED LOGISTICS 09/10/10 ANESI OZMON RODIN NOVAK KO RUSIN MACIOROWSKI & FRIEDMAN 131 11WC 01294 BAILEY, MICHAEL LASER CONSTRUCTION 03/30/10 PRESBREY & ASSOC INC KNELL & O'CONNOR 132 11WC 01403 DINING, JERI JOLIET JOB CORPS 12/12/10 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 11WC042200 -C ADAMS AND ASSOCIATES/ 133 11WC 01599 NGIENTH, TINA PLAINFIELD TOOL & ENGINEE 11/01/09 BRIAN T MORROW, LAW OFFICE HOLECEK & ASSOCIATES 134 11WC 03694 COUCH, JODIE ADVENTIST BOLINGBROOK HOS 03/28/08 BLOCK, KLUKAS & MANZELLA P MC ANDREWS & NORGLE LLC 135 11WC 04392 SELLARS, DONNA DEATON KENNEDY COMPANY, I 10/25/10 LAW OFFICE OF BART MARKESE LAW OFFICES JOSEPH MARCINIAK 136 11WC 05089 DANIELEWICZ, ABIGAIL PET SMART 10/03/10 THOMAS R LICHTEN MC ANDREWS & NORGLE LLC 11WC005090 -C 137 11WC 06549 SPRINGER, ALISA STATE OF ILLINOIS @ 01/18/11 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 138 11WC 09307 ANSERE, PATRICIA BOLINGBROOK HOSPITAL FOOD 01/01/11 LAW OFFICES OF INMAN & FITZGIBBONS 139 11WC 10214 DEMET, THOMAS DARVIN FURNITURE AND APPL 09/24/10 JOHN E LUSAK COZZI & GOGGIN-WARD 140 11WC 10842 RAMINIAK, TONI WILTON INDUSTRIES 10/17/08 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 11WC010843 -C 141 11WC 11858 RADTKE, HELEN M PEOPLE 4 U INC 08/17/10 BRYCE DOWNEY & LENKOV LLC 022 11WC035557 -C MELCO TRANSFER INC 142 11WC 12723 SEROKA, DAVE GOLDEN STATE FOODS 04/15/09 MCNAMARA PHELAN MCSTEEN LL COZZI & GOGGIN-WARD 143 11WC 14118 STIRRATT, MICHAEL TRDA WOOD PRODUCTS INC @ W 04/01/11 ELFENBAUM EVERS & AMARILIO KROCKEY CERNUGEL COWGILL ET 144 11WC 15714 BEASLEY, DOUG INTERSTATE CHEMICAL 01/17/11 BOGGS & FILLENWARTH GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 145 11WC 17171 TORRES, PHILIP WILL COUNTY HEALTH DPT 10/08/08 TONY L BRASEL 146 11WC 17493 SCHNEIDER, WILLIAM CIRCUIT CITY STORES INC 05/07/08 FRANKLIN, VALARIE P & ASSO 147 11WC 18457 RODRIGUEZ, JOSE VLG OF NEW LENOX 08/02/09 DWORKIN & MACIARIELLO SLAVIN & SLAVIN 11WC018458 -C 148 11WC 18921 YOUNG, KEENAN ST OF IL DOC STATEVILLE @ 02/12/11 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 149 11WC 19918 TUNNEY, COLETTE M NUTRO PRODUCTS 04/02/11 MCNAMARA PHELAN MCSTEEN LL GAROFALO SCHREIBER STORM 150 11WC 21500 NORALS, LABRIDGETTE DEPT OF CORRECTIONS STATE @ 11/01/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 14WC040171 -C STATE OF IL 151 11WC 21765 GARNER, JANE E GOVERNORS STATE UNIVERSIT @ 03/02/10 LEO ALT ASSISTANT ATTORNEY GENERAL 152 11WC 22091 ZAVALA, JOSE SOGA TRUCKING INC & DAN @ W 02/24/11 SALK, STEVEN B & ASSOC LTD 153 11WC 22989 GRAY, DOUGLAS BMS ENTERPRISES 11/02/09 MCNAMARA PHELAN MCSTEEN LL CASSANO & ASSOCIATES 154 11WC 23841 KOBEL, CHRISTIAN H III DR GREEN SERVICES LP 04/27/11 BRIAN T MORROW, LAW OFFICE BRIAN T MORROW, LAW OFFICE 155 11WC 24710 TORRES, FORTINO RUBINELLI INC AN ILLINOIS 04/20/11 BRIAN J MC MANUS & ASSOC, RIPES NELSON BAGGOT KALOBRAT 156 11WC 25718 OCHOA, VICTOR RAILWAY & INDUSTRIAL 05/06/11 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD 13WC004760 -C 157 11WC 26379 WATSON, RAY ORANGE CRUSH LLC 10/26/10 HORWITZ HORWITZ & ASSOC NICHOLAS M. BIGONESS 11WC026380 -C 158 11WC 26686 KERSH, VALORIE ILL DEPT OF CORRECTIONS @ 06/27/11 STEVEN J SEIDMAN LAW OFFIC ASSISTANT ATTORNEY GENERAL 159 11WC 27008 SHAIN, BARBARA CLEARWATER PAPER PRODUCTS 06/27/11 PRESBREY & ASSOC INC NYHAN BAMBRICK KINZIE & LOWR 160 11WC 27403 REID, CHRISTOPHER COMMSCOPE 10/12/10 STROM, NEAL B POULOS & DIBENEDETTO LAW 161 11WC 28539 WEAVER, FRANKLIN A MICHAELS STORES INC 04/07/11 BAUM RUFFOLO & MARZAL LTD WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 162 11WC 29518 TAYLOR, DANIELLE STATE OF ILLINOIS @ 04/27/11 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 163 11WC 29869 19B HARAN, JERROLD I AT&T CORPORATION 12/08/10 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 164 11WC 30023 CULLICK, CONSTANCE HORWITZ HORWITZ & ASSOC @ 05/06/11 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 165 11WC 31978 TRINKA, STEVE KEHE FOODS 06/24/11 LAW OFFICES OF NOBLE & ASSOCIATES PC 13WC000352 -C 166 11WC 32470 MORENO, NICOLASA ELITE STAFFING 12/08/10 EPSTEIN, JACK R LAW OFFICE CASSIDAY SCHADE LLP 13WC001992 -C 16WC000915 -C 16WC011993 -C 167 11WC 32865 RUSSELL, DANIEL UNITED STATES INFRASTRUCT 06/07/11 KARCHMAR & STONE COZZI & GOGGIN-WARD 168 11WC 33100 19B ROSALES, PERFECTON MINUTEMAN INTL INS 06/02/11 KENNETH B GORE, LTD THOMAS & PORTELA 169 11WC 34231 PELAEZ, ALBERTO COATINGS & LOGISTICS GROU 11/03/10 LEADERS LAW CENTER LLC RUSIN & MACIOROWSKI LTD 170 11WC 34413 RICHARDSON, KYLE JOLIET JUNIOR COLLEGE 04/01/10 RATHBUN CSEVENYAK & KOZOL SCOPELITIS GARVIN LIGHT 171 11WC 35357 CHEEK, DAVID CITY OF JOLIET DEPT 11/25/09 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 172 11WC 35365 LEON, NATALIE PNC BANK 02/01/11 PORRO NIERMANN & PETERSEN INMAN & FITZGIBBONS 173 11WC 35504 MITCHELL, MAUREEN PROVENA ST JOSEPH 09/07/10 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 174 11WC 36930 MEZA, JESUS DIAMOND GRANITE INC W 09/14/11 SALK, STEVEN B & ASSOC LTD 175 11WC 40064 HAAS, SHEILA ERJ DINING LLC 12/05/10 TUITE LAW RODDY LAW LTD 176 11WC 40678 WOJTOWICZ, TOMASZ TRUE KEEPER, LTD W 09/18/11 BELCHER LAW OFFICE BELLAS & WACHOWSKI 177 11WC 41246 AGUIRRE, MARY CITY OF JOLIET 09/21/11 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 178 11WC 41250 NEGRAY, SHANE DECEASED BY STREATOR MASONRY 08/23/11 SCHWEICKERT & GANASSIN LOSS & PAVONE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 179 11WC 42193 SKUBNIK, LISA D SILVER CROSS HOSPITAL 12/29/10 BOWMAN & CORDAY MACIOROWSKI SACKMANN & ULRIC 180 11WC 42953 GOMEZ, JUAN UNITED LANDSCAPE SERVICE 07/06/11 RANDALL A WOLFF & ASSOC. L HENNESSY & ROACH PC 181 11WC 43874 BRYCK, ADAM MIDWEST TEMP GROUP 05/04/11 WHITESIDE & GOLDBERG LTD BRYCE DOWNEY & LENKOV LLC 182 11WC 44860 JOHNSON, BILLY ST OF IL DEPT OF CORRECTI 11/05/11 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 183 11WC 44912 BROMBEREK, SCOTT SUNBELT RENTALS 04/08/10 CAPRON & AVGERINOS PC SMITH AMUNDSEN LLC 16WC004969 -C 184 11WC 46988 19B PITTMAN, TONY JOLIET SCHOOL DISTRICT #8 06/02/10 LAW OFFICE OF THOMAS P NAU ROSARIO CIBELLA 11WC046989 -C 11WC046990 -C 185 11WC 48491 VANDYKE, MARGARET WILL COUNTY COMMUNITY 08/16/11 CULLEN HASKINS NICHOLSON HINSHAW & CULBERTSON 186 11WC 49190 MILLER, DANIEL UTI 08/31/11 SPIROS & WALL CHILTON YAMBERT PORTER LLP 187 12WC 00611 ORNEALAS, CYNTHIA INNOTRAC 08/23/11 STEPHEN G PINTO LTD LAW OFFICES JOSEPH MARCINIAK 188 12WC 01399 FERNANDEZ, AVIMAEL D & D TOOLING & MFG., INC @ 12/15/11 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 189 12WC 01448 ETOKHANA, JULIET PETCO 11/15/11 POMPER & GOODMAN ADELSON TESTAN & BRUNDO 190 12WC 01877 19B KROLL, ANDREW E A N WEBBER INC 01/09/12 JAMES M RIDGE LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 191 12WC 01946 LEMUS, JOSE D CONSTRUCTION INC 07/08/11 JAMES ELLIS GUMBINER & ASS WIEDNER & MCAULIFFE LTD 192 12WC 02700 GREER, MICHAEL ECO LAB 12/27/11 CORTINA & MUELLER KEEFE CAMPBELL & ASSOC LLC 193 12WC 02941 SALAZAR, SONJA SALEM VILLAGE 12/07/11 DWORKIN AND MACIARIELLO GALLIANNI DOELL & COZZI LTD 194 12WC 04662 HOWARD, JEFFREY T H RYAN CARTAGE CO 06/27/10 EVAN A HUGHES LAW OFFICE SPIEGEL & CAHILL, PC 195 12WC 05006 MUSSARIO, PAUL LOCKPORT TOWNSHIP 05/05/08 GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 196 12WC 05478 PALLARES, MICHAEL FIFTH THIRD BANK 11/21/11 O'CONNOR & NAKOS COZZI & GOGGIN-WARD 197 12WC 05813 CERDA, FIDEL COMMSCOPE, INC 02/07/12 HETHERINGTON KARPEL BOBBER POULOS & DIBENEDETTO LAW 198 12WC 06154 ESPINOZA, EDUARDO SEALER INDUSTRIES 10/11/11 BRISKMAN BRISKMAN GREENBER THOMAS & ASSOCIATES 199 12WC 06418 SANCHEZ, CESAR FARMERS INS EXCHANGE 02/06/12 STEIN & CHERNEY LTD THOMAS & ASSOCIATES 200 12WC 07344 MUDRON, PATRICIA PROVENA ST JOSEPH 08/10/11 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 201 12WC 07408 GADSON, VICKI L ALL TRUST HOME CARE 03/16/11 ROSS TYRRELL HENNESSY & ROACH PC 202 12WC 07668 SARACCO, RICHARD UNITED VAN LINES 03/28/11 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 12WC011700 -C 203 12WC 08096 SCAMEN, SCOTT LODERS CROKLAAN 06/01/11 PATRICOSKI, MARK G GANAN & SHAPIRO 204 12WC 08617 SHANKLE, JOHN RISELING MOTOR EXPRESS 01/26/12 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 13WC016835 -C 205 12WC 09082 ROBERTO, BRUNO CROWN CORK & SEAL 03/15/10 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 206 12WC 09401 WARREN, DAVID SOI HUMAN SRVS/SODC C/O C @ 02/02/12 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 207 12WC 09584 HAMELEN-JENKINS, RONDA PLAINFIELD SCHOOL DIST 20 11/30/10 FRANCIS J DISCIPIO LAW OFF ROSARIO CIBELLA 208 12WC 09746 ROBLES, ELVA H BERGSTROM 09/11/11 WOLFE & JACOBSON, LTD 13WC012400 -C 13WC012682 -C 209 12WC 11493 THOMPSON, TONY DEDICATED LOGISTICS 03/10/12 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 210 12WC 11497 WHITE, DEBORAH D BASS PRO SHOPS 03/04/12 PARENTE & NOREM PC BRYCE DOWNEY & LENKOV LLC 211 12WC 12265 MORALES, BARTOLO PIERCE PACKAGING CO 01/13/12 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 212 12WC 12503 MOYERS, JEFFREY LIGHTNING MOTORS 12/26/11 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 213 12WC 12778 GAYTAN, RICARDO CONCRETE SPECIALITIES COM 10/15/11 PORRO NIERMANN & PETERSEN WIEDNER & MCAULIFFE LTD 214 12WC 13702 LOPEZ, VALENTIN STATEVILLE CORRECTIONAL C @ 01/14/12 EPSTEIN, JACK R LAW OFFICE ASSISTANT ATTORNEY GENERAL 215 12WC 14101 PAYNE, RUBY ST OF IL DEPT OF CORRECTI @ 03/03/12 JASINSKI, GEORGE J DANIEL SULLIVAN 216 12WC 14165 CASTLEBERRY, BRIAN PLAINFIELD SCHOOL DST #20 12/22/09 ROSARIO CIBELLA 217 12WC 14345 TORRES, SABINO UNISTAFF 03/08/12 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 218 12WC 14477 MC DOWELL, GRANT CHICAGO AEROSOL 03/08/12 BRIAN T MORROW, LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 219 12WC 14835 SCHWARZ, DALE ST OF IL, DEPT OF CORRECT @ 05/07/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 220 12WC 15296 BENITEZ, VICTOR APPLEBEES RESTAURANT 02/16/12 ACEVES & PEREZ PC THOMAS & ASSOCIATES 221 12WC 15721 HURTADO, JAYSON LAWN WORKS OF JOLIET 04/05/12 O'CONNOR & NAKOS CHILTON YAMBERT PORTER LLP 222 12WC 16215 AUSTIN, TONYA VEASY TRINITY SERVICES 03/11/12 HORWITZ HORWITZ & ASSOC STELLATO & SCHWARTZ 223 12WC 16473 SANCHEZ, MANUEL A M PROFESSIONAL CARPENTR 02/28/12 GOLDSTEIN AIOSSA & GOOD 224 12WC 16519 UDABE-PEREZ, RUBEN RAILWAY & INDUSTRIAL SERV 01/18/12 BRIAN T MORROW, LAW OFFICE BRADY CONNOLLY & MASUDA PC 225 12WC 17237 JARAMILLO, VERONICA H INNOTRAC 04/02/12 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 12WC024772 -C 226 12WC 17405 FARMER, ALBERT AMERICAN SECURITY SERVICE 05/06/12 MARKER & ASSOCIATES NOBLE & ASSOCIATES PC 227 12WC 17990 TORREY, DENNIS STATE OF ILL DOT STATEVIL @ 01/23/12 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 228 12WC 18503 SMOLINSKI, WILLIAM TRAVEL CENTERS OF AMERICA 01/02/12 FINE, MARK S LAW OFFICES RODDY LAW LTD 229 12WC 19169 HABEEB, OMAR ASG STAFFING 04/25/12 WOODRUFF & JOHNSON POWER & CRONIN LTD 230 12WC 20732 WINTERS, LORA ULTA BEAUTY 04/06/12 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 231 12WC 21029 SMITH, TROVROUS D&R LOGISTICS 06/07/12 232 12WC 21519 BRADFORD, KHADIJAH C SIMOS INSOURCING SOLUTION 06/12/12 FRIEDMAN & SOLMOR LTD BRADY CONNOLLY & MASUDA PC 233 12WC 21596 BRONKE, BRIAN RR DONNELLY 05/14/12 SCOTT W SHEEN & ASSOCIATES BRADY CONNOLLY & MASUDA PC 12WC021597 -C 13WC024555 -C 234 12WC 23223 VERTIZ, GUSTAVO GAYTAN SIGNS 06/20/12 CULLEN HASKINS NICHOLSON 235 12WC 23443 CHURCHILL, CHRISTINE ADAMS & ASSOCIATES 05/17/11 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 13WC030720 -C 13WC030721 -C 236 12WC 23630 SHORE, CAROL SILVER CROSS HOSPITAL 10/17/11 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 237 12WC 24486 LASETER, WALTER STATE OF ILLINOIS @ 05/25/12 KROL BONGIORNO & GIVEN LTD ASSISTANT ATTORNEY GENERAL 238 12WC 25077 KALEBIC, DONNA BRIGHTSTAR HEALTHCARE 07/14/12 BAUM RUFFOLO & MARZAL LTD 239 12WC 25188 HOLLEY, JASON DTLI LLC 07/03/12 BLOCK, KLUKAS & MANZELLA P 240 12WC 25551 LOPEZ, CLAUDIA H HOLUM & SON COMPANY INC 06/26/12 CULLEN HASKINS NICHOLSON 241 12WC 25629 BORST, BRIAN DOW CHEMICAL 06/07/12 JOHN S. ELIASIK KNELL & O'CONNOR 15WC018638 -C DOW CHEMICAL 242 12WC 26088 MARTINEZ, LUIS PACTIV 06/20/12 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 243 12WC 26265 FRIEDERS, DEBRA OSWEGO SCHOOL DIST 308 CU 02/06/12 PRESBREY & ASSOC INC GAROFALO SCHREIBER STORM 244 12WC 27085 LOPEZ-RANGEL, ALEXCI SDLR ENTERTAINMENT INC D/ W 12/10/11 GALLIANNI DOELL & COZZI LT RATHBUN CSEVENYAK & KOZOL 245 12WC 27143 LEON, JOSE THE MILLARD GROUP 07/19/12 BRIAN J MC MANUS & ASSOC, RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 246 12WC 27374 DINTERMAN, EVAN CEDAR ELECTRIC @ W 06/06/12 SAUNDERS CONDON & KENNY 247 12WC 28054 RODRIGUEZ, CARLOS LUIS NEW BREED CORPORATION 06/22/12 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 12WC028056 -C 248 12WC 28183 19B MUFICH, MARK ILLINOIS DEPARTMENT @ 11/16/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 249 12WC 28823 SCISSOM, CAROLYN UNITED CEREBRAL PALSY OF 09/19/11 BLOCK, KLUKAS & MANZELLA P STELLATO & SCHWARTZ 250 12WC 29408 HERNANDEZ, JOSE DEALS NOTHING 08/07/12 HUGHES SOCOL PIERS ET AL 251 12WC 30215 19B PRYOR, ARTIC ST OF IL DEPT OF @ 07/05/12 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 252 12WC 31090 HOGUE, ANGEL ADECCO 07/30/12 ANKIN LAW OFFICE HENNESSY & ROACH PC 253 12WC 31112 CAMPBELL, GREG ALDI INC 06/26/12 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 12WC040719 -C 254 12WC 31557 STOKES JR, SAMUEL L JOLIET HOUSING AUTHORITY 02/23/12 BRIAN T MORROW, LAW OFFICE 255 12WC 31618 CREDIT, REB GERDAU AMERISTEEL 06/01/11 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 256 12WC 32105 19B ZAMBRANO, GUSTAVO APL LOGISTICS WAREHOUSE 08/17/12 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 257 12WC 32589 MILK, DRAKE PROGRESSIVE LOGISTICS SER 05/13/11 SPIROS & WALL THOMAS & ASSOCIATES 258 12WC 32772 GORDON, LAWRENCE ILLINOIS DEPARTMENT OF @ 04/28/12 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 13WC020953 -C ST OF IL DEPT OF CORRECTIO 259 12WC 33463 GARCIA, CARLOS DIGIOIA BROTHERS CONSTRUC 07/31/12 DONAHUE, PAUL T LAW OFFICE EDWARD JANUSZKIEWICZ 260 12WC 33764 VILLAFUENTE, LINDA C GONZ SECRETARY OF STATE @ 08/15/12 GOLDSTEIN, AIOSSA & GOOD ASSISTANT ATTORNEY GENERAL 261 12WC 33985 MARTINEZ, GENARO COMCAST INC 06/10/12 OSVALDO RODRIGUEZ PC SPIEGEL & CAHILL, PC 262 12WC 34521 MOLNAR, TREVOR CASSENS TRANSPORT CO 09/09/12 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 263 12WC 34574 CHUMBLEY, BRAD R J CORMAN RAILROAD CO LL 07/01/11 KEEFE & GRIFFITHS PC 264 12WC 34729 JORDAN, BRITTANY ADMINISTRATOR SERV GROUP 08/01/11 SPIEGEL & CAHILL, PC 265 12WC 34936 LARMON, DANIEL M METROPOLITAN TRUCKING 08/11/11 ROMANUCCI & BLANDIN STONE & JOHNSON CHARTERED 266 12WC 35180 PELLILLO, JOAN MEIJER 08/27/12 LEITER LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 267 12WC 35837 GUERRERO, LUIGI ALTERNATIVE STAFFING INC 09/13/12 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 268 12WC 37344 RAMIREZ, MARIA QUANTUM FOODS LLC 06/01/12 SALK, STEVEN B & ASSOC LTD COZZI & GOGGIN-WARD 12WC037345 -C 269 12WC 37560 LYONS, FRANK ST DOMINIC CHURCH 07/13/12 BART DURHAM STONE & JOHNSON CHARTERED 270 12WC 38559 WAUPOOSE, WADE A R CLEVELAND U G TECHNOLOG 06/19/12 GOLDBERG WEISMAN & CAIRO L CASSANO & ASSOCIATES 271 12WC 38615 GOODVIN, MICHAEL UTI MARKET TRANSPORT 06/06/12 RATHBUN CSERVENYAK & KOZOL 272 12WC 38858 BERENDSON, JOHN PRAIREE 10/02/12 LAW OFFICE DAVID W CLARK GAROFALO SCHREIBER STORM 273 12WC 39076 CRAVEN, DEBBIE S LEXINGTON HEALTH CARE 07/19/12 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 274 12WC 39146 WAHLMAN, JAMES DIRECTSAT USA LLC 12/12/11 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC 275 12WC 39676 TARNOWSKI, ERLINDA MCDONALDS 11/15/11 GOLDSTEIN AIOSSA & GOOD NYHAN BAMBRICK KINZIE & LOWR 276 12WC 39861 NGIENTH, TINA PLAINFIELD TOOL AND 11/20/09 BRIAN T MORROW, LAW OFFICE 277 12WC 40034 CHIRICH, THOMAS JEEB INC D/B/A 08/17/12 BRIAN T MORROW, LAW OFFICE LAW OFFICE OF PAUL O WATKISS 278 12WC 40049 LUKE-BENNET, LOLITA PARSEC INC 09/26/12 JOEL BELL MACIOROWSKI SACKMANN & ULRIC 279 12WC 40438 ROMOLT, CATHLEEN BED BATH & BEYOND 11/13/12 RUBIN LAW GROUP WOLF LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 280 12WC 40461 RODRIQUEZ, JOSE VILLAGE OF NEW LENOX 05/15/12 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 281 12WC 41233 ONOFREY, NANCY JOLIET SCHOOL DISTRICT 86 08/26/11 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 282 12WC 41362 WASKO, ANTONI G.C.A.L. @ W 05/24/12 CHEPOV & SCOTT LLC 283 12WC 41555 SILVA, MARIELA S & S ACTIVEWEAR 10/04/12 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 284 12WC 41745 VOITIK, SUE MARBL SALONS/GREAT CLIPS 07/02/11 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 285 12WC 41955 PETITTI, JOHN TKT TRUCKING 10/30/12 STYKA & STYKA COZZI & GOGGIN-WARD 286 12WC 42872 REYNOLDS, SAMUEL S F.E. MORAN 04/08/08 CORTI ALEKSY & CASTANEDA 287 12WC 43500 BODOH, AMY QUEST FOOD MANAGEMENT SER 08/20/12 BOWMAN & CORDAY RUSIN MACIOROWSKI & FRIEDMAN 288 12WC 43564 GONZALEZ, FERNANDO THE SCOTTS COMPANY 11/14/12 MCNAMARA PHELAN MCSTEEN LL HENNESSY & ROACH PC 289 12WC 43644 WADE, LAKESHIA SELECT REMEDY STAFFING 10/27/12 BLOCK, KLUKAS & MANZELLA P 290 12WC 44091 PRATT, VICKI EXTENDED CARE 10/05/12 ANESI OZMON RODIN NOVAK KO MCANANY VANCLEVE & PHILLIPS 13WC000147 -C 291 12WC 44174 LOFTIS, JOY L COUNTY OF WILL 09/12/12 FABRIZIO, HANSON PEYLA ET WIEDNER & MCAULIFFE LTD 292 12WC 44416 OLSON, DARRELL COAL CITY MUNICIPAL CORP 10/06/12 SCHWEICKERT & GANASSIN RUSIN MACIOROWSKI & FRIEDMAN 15WC003263 -C 293 12WC 44442 LEWIS, JAMES F RECALL SECURE D 11/26/12 MARKER & ASSOCIATES HOLECEK & ASSOCIATES 294 12WC 44501 CVITANOVICH, MICHAEL CAR WASH SERVICES INC 09/15/11 ROBERT W BURNETT GANAN & SHAPIRO 295 13WC 01324 VITAL, GUADALUPE DYWIDAG SYSTEMS INTERNATI 11/29/12 RUEDA, IVAN A GAROFALO SCHREIBER STORM 296 13WC 01439 ROBINSON, JOSHUA LABOR READY 11/14/12 HORWITZ HORWITZ & ASSOC 297 13WC 02194 DELGADO, THELMA BOLINGBROOK GOLF CLUB 12/29/12 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 298 13WC 02362 KNEZEVICH, ANGELA SCHOOL OF EXPRESSIVE ARTS 12/18/12 HORWITZ HORWITZ & ASSOC RUSIN MACIOROWSKI & FRIEDMAN 299 13WC 02570 TOUHY, LORETTA NEW BREED HOLDING CO 06/22/12 MINKOW DOMIN HENNESSY & ROACH PC 300 13WC 03010 HEARD, STEVEN EMPLOYMENT PLUS 01/13/13 BRISKMAN BRISKMAN GREENBER 301 13WC 03113 SIZEMORE, LESLIE PANERA BREAD 09/24/12 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 302 13WC 03436 HERNANDEZ, TERBSA MASTER JANITORIAZ 01/07/13 303 13WC 03519 MANRIQUEZ, ROOSELT ELITE STAFFING 12/14/12 KATZ FRIEDMAN EAGLE ET AL MARC CAIRO 304 13WC 03822 GRAY, MARVIN UNITED TECHNOLOGIES INC 12/03/10 DONALD W FOHRMAN & ASSOC 305 13WC 03948 GAYTAN, RICARDO NORTHWIND CONCRETE 10/21/11 PORRO NIERMANN & PETERSEN 306 13WC 04250 STYGAR, RICHARD WELSCH READY MIX 06/25/12 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 307 13WC 04712 HOUSTON, BENJAMIN IL DEPT OF CORRECTIONS 10/02/12 STEVEN J SEIDMAN LAW OFFIC ASSISTANT ATTORNEY GENERAL 14WC023839 -C IDOC STATESVILLE PRISON 308 13WC 04732 ZWART, JULIE H TY INC 07/24/12 GARDI & HAUGHT LAW OFFICES JOSEPH MARCINIAK 309 13WC 04953 COLLINS, WILLIAM SAFEWAY INSURANCE 02/19/10 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 310 13WC 05677 MARQUEZ, IGNACIO KEHE DISTRIBUTORS 04/19/12 STRELLIS & FIELD CTD RODDY LAW LTD 311 13WC 05991 HOGAN, JOHN, FATHER OF SCHNEIDER NATIONAL 06/01/12 BURNETT & CARON LTD POWER & CRONIN LTD 312 13WC 06189 HALEY, LORENZO JACK COOPER TRAN 01/05/13 DAVID W MARTAY KNELL & O'CONNOR 313 13WC 06429 TINOCO, CARBAJAL ANGEL JU SIMOS INSOURCING SOLUTION 05/13/12 COSTA IVONE LLC LAW OFFICES FRANCESCA LARSEN 314 13WC 06447 COLLINS, WILLIAM SAFEWAY INSURANCE 06/22/11 BLOCK, KLUKAS & MANZELLA P 315 13WC 07557 MACDONALD, CINDY PLAINFIELD SCHOOL DISTRIC 02/07/13 NEWLAND & NEWLAND KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 316 13WC 07831 TORRES, FRANCISCO CARLISLE STAFFING LTD 08/28/12 ENCINAS & ORNELAS STONE & JOHNSON CHARTERED 317 13WC 09110 JOHNSON, WILLIAM SELECT REMEDY 03/12/13 BRISKMAN BRISKMAN GREENBER LEAHY EISENBERG & FRAENKEL 318 13WC 09156 ULRICH, RAY STATESVILLE CORRECTIONAL @ 02/04/13 LEONARD LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 319 13WC 09165 ZEPEDA, JESUS DESTINY ENTERPRISE INTL/ W 03/13/13 JAMES ELLIS GUMBINER & ASS 320 13WC 09244 LOPEZ, FRANCISCO JAVIER NFL CORP 02/10/13 GOLDSTEIN, AIOSSA & GOOD 321 13WC 09505 BLAKE, EUGENE FUTURE ENVIRONMENTAL INC 12/14/12 SARKISIAN & FLEMING COLLINS & COLLINS 322 13WC 10089 ZAMUDIO, NORA HARRAHS CASINO 07/13/12 BRISKMAN BRISKMAN GREENBER NOBLE & ASSOCIATES PC 16WC005216 -C 323 13WC 10769 THOMPSON, CATHERINE COUNTY OF WILL/SUNNY HILL 02/17/13 ANKIN LAW OFFICE HINSHAW & CULBERTSON 324 13WC 10952 TULLY, MARTIN BERGSTROM, INC 02/14/13 JOHNSON, MICHAEL D & ASSOC WOLFE & JACOBSON, LTD 325 13WC 11663 BARBOSA, GUADALUPE ANDERSON CONCRETE 08/21/12 DWORKIN AND MACIARIELLO RODDY LAW LTD 326 13WC 12062 KING, TERRENCE STATE OF ILLINOIS @ 02/04/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 327 13WC 12094 MALDONADO, VINCENTE OTIS SPUNKMEYER 10/04/11 RATHBUN, CSERVENYAK & KOZO LAW OFFICES JOSEPH MARCINIAK 328 13WC 12180 QUINONES, JOSE A.S.G. STAFFING INC 04/03/13 RATHBUN CSEVENYAK & KOZOL LAW OFFICE HUGO ORTIZ 329 13WC 12355 MACKOVITCH, TOM CENTRAL GROCERS INC 12/30/12 LEONARD LAW GROUP LLC ROSARIO CIBELLA 330 13WC 12425 FLORES, MARIA TOTAL STAFFING 02/21/13

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 331 13WC 12510 HORWATH, RONALD RAYS AUTO BODY 12/05/12 BOUDREAU & NISIVACO LLC NYHAN BAMBRICK KINZIE & LOWR 332 13WC 12724 ROMAN, NICOLAS SKYWARD 02/20/13 KENNETH B GORE, LTD RUSIN MACIOROWSKI & FRIEDMAN 13WC024647 -C WALMART 333 13WC 13576 BANKS,TEAN EARNEST ALPHA BUS COMPANY 01/23/13 CHARLES LEVY & ASSOC LTD TUCKER ROBIN & MERKER LLC 334 13WC 14343 JAMES, CYNTHIA JOLIET TOWNSHIP HIGH SCHO 04/08/13 BRIAN T MORROW, LAW OFFICE THOMAS & ASSOCIATES 335 13WC 14359 ALVAREZ, JUANA JOLIET FRUIT RANCH D/B/A 04/15/13 LUIS A ACEVES & ASSOC HOLECEK & ASSOCIATES 336 13WC 15028 MIDDLETON, LUELLA FT CARE LLC 04/08/13 THERMAN LAW OFFICES BRADY CONNOLLY & MASUDA PC 337 13WC 15790 PARRA, MARIA UNISTAFF, INC 12/04/12 EK COLLISON III/MURIEL WIEDNER & MCAULIFFE LTD 338 13WC 15924 ROGALA, PATRICIA GOVERNORS STATE UNIVERSIT @ 04/02/13 KENNETH B GORE, LTD ASSISTANT ATTORNEY GENERAL 339 13WC 16350 DU CHARME, WILLIAM ST OF ILL DEPT OF CORRECT @ 02/13/13 RATHBUN, CSERUVENYAK & KRO ASSISTANT ATTORNEY GENERAL 340 13WC 16405 JORGENSEN, JAKE R ST OF IL STATEVILLE PRISO @ 03/30/13 KENNETH B GORE, LTD ASSISTANT ATTORNEY GENERAL 341 13WC 16460 19B WILSON, DWAYNE PETCO DISTRIBUTION CENTER 03/28/13 KOSIN LAW OFFICE LTD HENNESSY & ROACH PC 342 13WC 16749 CARVER, KEVIN L SR MIDWEST GENERATION 11/14/11 PARENTE & NOREM PC INMAN & FITZGIBBONS 343 13WC 17096 ALLEN, MICAH VOL WORKFORCE SOLUTIONS 04/10/13 ALAN A BLUM, PC ORENSTEIN & ASSOCIATES 344 13WC 17133 PACE, NICHOLAS PARSEC INC 12/06/12 SPIROS LAW PC MACIOROWSKI SACKMANN & ULRIC 345 13WC 17808 MEJIA, CLORISSA ALDI 11/30/12 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 13WC017809 -C 346 13WC 17843 KUREK, MICHAEL B & E AUTO REPAIR 04/09/13 BLOCK, KLUKAS & MANZELLA P HEYL ROYSTER VOELKER & ALLEN 347 13WC 18087 POULOS, STEVE VILLAGE OF BOLINGBROOK 03/05/13 SOSTRIN AND SOSTRIN PC POWER & CRONIN LTD 348 13WC 18291 ROCHA, JOSE NFI 02/08/12 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 349 13WC 18662 VILLANUEVA, ALFONSO THREE MEN CREW, INC. 03/11/13 DEPAOLO ZADEIKIS GORE 350 13WC 18851 BARRERA, ELVIRA UNIQUE MAILING SERVICE IN 05/12/11 GOLDSTEIN BENDER & ROMANOF LAW OFFICES OF EDWARD J. KOZ 13WC018852 -C 351 13WC 18989 LUTZ, PAUL M ST OF IL DEPT OF CORRECTI @ 08/30/12 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 352 13WC 19738 RASHAD, OMAR STATE OF II, DOC STATEVIL @ 06/07/11 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 353 13WC 19788 HARTKORN, CRAIG AMEX NOOTER, LLC 05/11/13 SCHWEICKERT & GANASSIN KNELL LAW LLC 354 13WC 19919 KLEIN, MICHALE TDC FILTER MANUFACTURING 04/03/13 POLANSKY & CICHON CHTD THOMAS & ASSOCIATES 355 13WC 20005 RATAJCZYK, RONALD NOKIA SIEMENS NETWORKS 09/01/12 JOHN E LUSAK GRANT & FANNING 356 13WC 20032 FULLER, DEANDRE SEARS LOGISTICS SERVICES 04/15/13 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 357 13WC 20042 RAMIREZ, JANITZIO METRO STAFFING 06/05/13 ACEVES & PEREZ PC 358 13WC 20126 HERNANDEZ-MEJIA, JESUS CHIPOTLE MEXICAN GRILL 05/15/13 CHRISTINE F DAVID HENNESSY & ROACH PC 359 13WC 20362 POULOS, STEVE VILLAGE OF BOLINGBROOK 06/13/13 SOSTRIN AND SOSTRIN PC POWER & CRONIN LTD 360 13WC 20409 MELENDEZ, DELFINA RON'S STAFFING 03/12/13 GOLDSTEIN, AIOSSA & GOOD KOREY COTTER HEATHER RICHARD 361 13WC 20750 ATENCO, RICHARD STANT CORP 03/07/13 MCNAMARA PHELAN MCSTEEN LL COZZI & GOGGIN-WARD 362 13WC 20829 MARTINEZ, ROSARIO ULTA 06/11/12 THOMAS R LICHTEN HINSHAW & CULBERTSON 363 13WC 20846 CHAVEZ, SANDRA SEARS LOGISTICS SERVICES 02/18/13 KENNETH B GORE LTD GAROFALO SCHREIBER STORM 364 13WC 21083 LEASURE, RONALD SCHNEIDER LOGISTICS TRANS 12/11/12 PERONA, PETERLIN, ANDREONI POWER & CRONIN LTD 365 13WC 21791 GARDEA, LEOPOLDO ASG STAFFING 05/06/13 LEITER LAW OFFICES POWER & CRONIN LTD 366 13WC 21836 THOMPSON, TERRIE L SEARS 09/01/12 WARREN W MARK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 367 13WC 22257 JABLONSKI, SLAWOMIR MGD ELECTRIC INC 06/05/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 368 13WC 22506 MILLSAP, SHARON CHANDLER SILVER CROSS HOSPITAL 04/10/13 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 369 13WC 22651 STUART, DAVID J BURDICK BUILDERS, INC. 08/13/12 CAPRON & AVGERINOS PC BARMAN KRAMER & BOHLEN 370 13WC 23075 YALDA, BENJAMIN ASHLEY FURNITURE INDUSTRI 03/02/12 DAVID NEMEROFF WOLFE & JACOBSON, LTD 14WC004980 -C 371 13WC 23420 PRAWDZIK, GREG HOMER TOWNSHIP FIRE 03/29/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 14WC029423 -C 15WC019002 -C 372 13WC 23687 NALLEY, MICHAEL D COUNTY OF WILL 06/26/12 CIARDELLI CUMMINGS CAMPAGN KNELL & O'CONNOR 373 13WC 24294 OCHOA, SALVADOR TRIUMPH PACKAGING GROUP 06/10/12 O'CONNOR & NAKOS GRANT & FANNING 374 13WC 25129 KUYKENDALL, KIMBERLY A ILLINOIS VALLEY INDUSTRIE 04/05/11 BRADY CONNOLLY & MASUDA PC 375 13WC 25480 RODRIGUEZ, ARTURO JR ASC INDUSTRIES 06/06/13 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 376 13WC 25831 BILLADEAU, SEAN FLEXIBLE STAFFING SERVICE 06/27/13 SPIROS LAW PC 377 13WC 25891 ROBB, MARY PACE 04/26/13 LAW OFFICE DAVID W CLARK POWER & CRONIN LTD 378 13WC 26906 SHOTO, HAZEL MEIJER 08/14/13 LAW OFFICE EDWARD LICHTENS NYHAN BAMBRICK KINZIE & LOWR 379 13WC 27459 SUMNER, JEFFREY CASSENS TRANSPORT COMPANY 11/10/11 ANGELINI & ORI LLC KNAPP, OHL & GREEN 380 13WC 27521 MARTINEZ, GENARO COMCAST INC 06/25/13 OSVALDO RODRIGUEZ PC SPIEGEL & CAHILL, PC 381 13WC 27826 BUSBY, RUSSEL NFI 07/22/13 CAPRON & AVGERINOS PC MACIOROWSKI SACKMANN & ULRIC 382 13WC 27946 FARRIS, WARREN RYDER LOGISTICS 06/27/13 BIZZIERI LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 383 13WC 27953 HILL, JACOB IMPERIAL MARBLE 07/17/13 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 384 13WC 28187 ORR, TODD WALMART 07/30/13 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 385 13WC 28414 GALLEGOS, MARCELA GREAT KITCHENS 05/07/13 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 386 13WC 28588 RODRIGUEZ, ABEL G & G LANDSCAPING 08/13/13 WHITESIDE & GOLDBERG LTD 387 13WC 29180 SCHROEDER, REBECCA HOME DEPOT 10/16/12 BLOCK, KLUKAS & MANZELLA P ADELSON TESTAN & BRUNDO 14WC023249 -C 14WC023465 -C 388 13WC 29493 GREEN, AARON KALUZNY BROTHERS INC 09/22/11 DAVID B RABEL 389 13WC 29872 OVIEDO, ENRIQUE IMPACT LOGISTICS 07/03/13 O'CONNOR & NAKOS WOLFE & JACOBSON, LTD 15WC004475 -C 390 13WC 30008 GUTIERREZ, ROSIO VALLEY VIEW PUBLIC SCHOOL 08/26/13 KATZ FRIEDMAN EAGLE ET AL 391 13WC 30580 ELLIS, JOSPEH AT&T 07/08/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 392 13WC 30661 MC GEE, DAVID STATEVILLE CORRECTIONAL C 09/11/12 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 393 13WC 31099 SAMOSKA-BARSKI, JACALYN WILL COOUNTY COMMUNITY 03/28/13 GALLAGHER, DONALD V 394 13WC 31149 HALEEM, NABIL NFI INDUSTRIES 09/17/13 MICHAEL D GERSTEIN MACIOROWSKI SACKMANN & ULRIC 395 13WC 31486 DAWSON, DYLAN BP STAFFING/PEOPLE 2.0 07/30/12 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 396 13WC 31855 MONSON, NANCY BANFIELD/MEDICAL 03/04/13 KP LAW LLC HOLECEK & ASSOCIATES 397 13WC 31935 TERRY, JACOB THE HOME DEPORT 06/07/13 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 398 13WC 32284 SANCHEZ, BLANCA DIAGEO GLOBAL SUPPLY 04/01/12 HORWITZ HORWITZ & ASSOC 399 13WC 32345 HELFERT, KEVIN J B HUNT TRANSPORT 06/28/13 NILSON STOOKAL GLEASON CAP RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 400 13WC 32662 DEFRANCE, JOYCE NICOR 04/10/13 MACIOROWSKI SACKMANN & ULRIC 401 13WC 32668 REID, CHARLES VITRAN EXPRESS CORPORATIO 02/27/13 KARCHMAR & STONE COZZI & GOGGIN-WARD 13WC032669 -C 402 13WC 32893 SAMUEL, MARK AZZ GALVANIZING 08/02/13 MILLON & PESKIN LTD GAROFALO SCHREIBER STORM 403 13WC 32922 WOODCOCK, PAT CARSON PIRIE SCOTT 06/27/13 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 404 13WC 32955 GUERRERO, DANIEL VITRAN EXPRESS 02/08/13 FRANCIS J DISCIPIO LAW OFF GAROFALO SCHREIBER STORM 14WC003783 -C 405 13WC 33086 WARCHOLEK, NANCY K BURLINGTON COAT FACTORY 07/16/13 ANESI OZMON RODIN NOVAK KO KOPKA, PINKUS & DOLIN, PC 406 13WC 33178 ADAN, SILVINO JACOBSON COMPANIES 07/24/13 CORTINA & MUELLER CACCHILLO LAW GROUP LLC 407 13WC 33227 LEWANDOWSKI, PATRICK CHICAGO HEIGHTS PARK DIST 04/04/13 BLOCK, KLUKAS & MANZELLA P RUSIN MACIOROWSKI & FRIEDMAN 408 13WC 34043 TOMAS, JOHN A TRACK STORAGE INC 06/20/13 JOSEPH L PLANERAL 409 13WC 34123 SANCHEZ, BLANCA DIAGEO GLOBAL SUPPLY 05/15/13 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 410 13WC 34491 RECORD, EDWARD COUNTRY LANE TREE SERVICE W 08/29/13 MEYERS & FLOWERS 411 13WC 35156 DRWAL, JOSEPH ADMIN STEWART SPREADING INC # 09/09/13 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 13WC037925 -C 412 13WC 35166 JONES, PATRICK ILLINOIS DEPARTMENT OF @ 05/26/13 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 413 13WC 35575 THORNE, MARICELA CARD DYNAMIX LLC 03/27/13 PORRO NIERMANN & PETERSEN HOLECEK & ASSOCIATES 414 13WC 35684 REINBOLD, STEPHANIE JABER PEDIATRICS 08/22/13 RIFFNER BARBER ROWDEN & SC RUSIN MACIOROWSKI & FRIEDMAN 415 13WC 36021 RAMOS, RODOLFO ESMARK STEEL GROUP 09/27/13 LAW OFFICES LEONARDO MORAL COZZI & GOGGIN-WARD 416 13WC 36043 CALIBRARO, KRYSTINA PORTILLOS RESTAURANT 07/30/13 BRISKMAN BRISKMAN GREENBER GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 417 13WC 36292 SCHROEDER, KAREN HOME DEPOT 06/18/13 HORWITZ HORWITZ & ASSOC ADELSON TESTAN & BRUNDO 418 13WC 36442 SUSTE, ROBERTA PROVENA MEDICAL CENTER 04/01/11 NYHAN BAMBRICK KINZIE & LOWR 419 13WC 36456 MANOS, JOHN P ATLANTIC PLANT SERVICES 06/04/13 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 420 13WC 36481 CHESTER, BRYAN WILL COUNTY SHERIFF DEPAR 10/27/12 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 421 13WC 36561 DOYLE, KEVIN COUNTY OF WILL HIGHWAY DE 09/05/13 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 422 13WC 36643 RAGLAND, ROBBIE STEPAN COMPANY 02/12/12 HORWITZ HORWITZ & ASSOC KLAUKE LAW GROUP LLC 423 13WC 36745 DJIKAS, JOHN MARIANOS 08/28/13 FITZ & TALLON LTD BRYCE DOWNEY & LENKOV LLC 424 13WC 37144 AYALA, ESTEBAN V JR MIDWEST GENERATIN EME LLC 10/17/13 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 425 13WC 37341 HERNANDEZ, OSVALDO FILM QUEST GROUP 09/19/13 MARKER & ASSOCIATES BRADY CONNOLLY & MASUDA PC 426 13WC 37547 ZIEGLER, BETTE ILLINOIS TOLL 10/06/13 ANGELINI & ORI LLC GANAN & SHAPIRO 427 13WC 37781 BENSON, KEVIN TROY DISTRICT 30C 06/13/13 CORTINA & MUELLER RUSIN MACIOROWSKI & FRIEDMAN 428 13WC 37926 DARNSTAEDT, GARY MC SHANES BUSINESS PRODUC 01/02/13 CAPRON & AVGERINOS PC HANSON LAW OFFICE 429 13WC 37985 MUNOZ, RENE COUNTY OF WILL 05/07/13 KROCKEY CERNUGEL COWGILL E HINSHAW & CULBERTSON 14WC030390 -C 430 13WC 38014 LIND, MICHAEL MIDWEST GENERATION 05/07/13 BRIAN T MORROW, LAW OFFICE 431 13WC 38288 CHAVEZ, MARITZA INTERMAID INC 05/13/13 FICHERA & MILLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 432 13WC 38294 SAAVEDRA, RUBEN UNISTAFF AND BECKETT ASSO 08/03/12 GALLIANNI DOELL & COZZI LT 433 13WC 38355 KIECA, BILL AMERICAN PRESIDENT LINES 02/19/13 O'CONNOR & NAKOS KEEFE CAMPBELL & ASSOC LLC 13WC038356 -C 434 13WC 38443 WEATHERSBY, BRIAN ST OF IL C/O STATEVILLE @ 07/17/13 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 435 13WC 38848 TULLY, PAULA ST OF IL DEPT OF 07/15/13 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 436 13WC 38957 BALDWIN, TAMMY VALID USA 11/12/13 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES 437 13WC 39100 ROXBERG, BRYAN BARTON CARROLS 11/01/13 MCNAMARA PHELAN MCSTEEN LL 438 13WC 39591 VALENCZA, GERMAN KELLY CONCRETE INC 06/19/13 ROSS J HELFAND LAW OFFICES JOSEPH MARCINIAK 439 13WC 40018 MILLER, WANZA AMERICAN INN LODGE & SUIT 11/02/13 MARSZALEK AND MARSZALEK PERRY GENTILE 440 13WC 40095 FROEMING, KAREN SURVIVING SERVICE MASTER 08/06/13 TURNER & SACKETT LLC EDWARD JANUSZKIEWICZ 441 13WC 40440 HART, DONNA J ROUNDY'S SUPERMARKETS 07/29/13 FABRIZIO, HANSON & PEYLA POWER & CRONIN LTD 442 13WC 40567 AKROUSH, ANNA M SIMOS INSOURCING SOLUTION 11/05/13 MARKER & ASSOCIATES LAW OFFICES FRANCESCA LARSEN 443 13WC 40810 PARAMO, ROLANDO MENARDS DISTRIBUTION CENT 10/12/13 MCNAMARA PHELAN MCSTEEN LL GANAN & SHAPIRO 444 13WC 40968 JORDAN, JOEY M STATEVILLE CORRECTION CEN @ 04/17/13 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 13WC041517 -C 14WC027527 -C 16WC010389 -C 445 13WC 41469 PINA, JOSE WC TRANSPORT, INC. 10/15/13 STROM, NEAL B 446 13WC 41574 GUZMAN, CARLO C LODERS CROKLAAN 11/07/13 KENNETH B GORE, LTD HEYL ROYSTER VOELKER & ALLEN 447 13WC 41616 YOUNG, WALTER PEP BOYS 10/26/13 STEPHEN G PINTO LTD CHILTON YAMBERT PORTER LLP 448 13WC 42083 KENNEDY, MICHAEL SKYWARD W 10/04/13 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 449 13WC 42406 GREANEY, WILLIAM M SOUTHWEST FIREPLACE 07/07/13 CULLEN HASKINS NICHOLSON 450 13WC 42467 JOHNSON, CAROLYN CORNERSTONE SERVICES 05/29/13 DWORKIN AND MACIARIELLO 451 13WC 42499 FERGUSON, THOMAS GENERAL MACHINE AND TOOL 07/02/12 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 452 13WC 42534 RANGE, SIDONIA WALGREENS PHARMACY 11/12/11 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 453 14WC 00146 FLANAGON, ALEISHA ST OF IL DEPT OF @ 12/23/13 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 454 14WC 00217 WARNER, JEROME INTERNATIONAL MASONRY 09/23/11 HEALY LAW FIRM HOLECEK & ASSOCIATES 455 14WC 00320 SMOJEK, RAY C RAM FIRE PROTECTION 11/26/13 O'CONNOR & NAKOS QUINTAIROS PRIETO WOOD & BOY 456 14WC 00381 SCHREMSER, ANTHONY X DECE POWER DISTRIBUTING LLC 03/25/13 JOHN P GOGGIN GANAN & SHAPIRO 457 14WC 00498 DICOSOLA, THOMAS TRADESMAN INTERNATIONAL 12/09/13 SALVATO & O'TOOLE 458 14WC 00635 PEREZ, BLANCA STAFFMARK 12/03/13 ALEKSY BELCHER KEEFE CAMPBELL & ASSOC LLC 459 14WC 00713 PRIMOUS, JAMIL FEDERAL EXPRESS 09/19/13 DAVID W MARTAY SCOPELITIS GARVIN LIGHT 14WC000714 -C 460 14WC 01310 ESCOBAR, LUIS CITY OF BOLINGBROOK 01/20/11 LAW OFFICE OF MICHAEL M WO RUSIN & MACIOROWSKI LTD 461 14WC 01355 SMITH, DELKESA A SILLIKER, INC. 05/18/13 ANESI OZMON RODIN NOVAK KO WOLFE & JACOBSON, LTD 14WC001356 -C 15WC002758 -C 462 14WC 01406 FAIRBAIRN, VELMA A THE INN AT WILLOW FALLS 10/27/13 PETER F FERRACUTI & ASSOCI GANAN & SHAPIRO 463 14WC 01897 WALSH, MICHELLE SILVE CROSS HOSPITAL 11/06/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 464 14WC 02231 POHL, ALFRED TOVAR SNOW PROFESSIONALS 12/28/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 465 14WC 02484 MAC FADGEN, PEGGY OSWEGO SCHOOL DIST 308 08/26/13 PORRO NIERMANN & PETERSEN KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 466 14WC 02515 BERNINGER, DAVID CATERPILLAR, INC. 06/20/11 RIDGE & DOWNES CATERPILLAR, INC. 467 14WC 02590 WILLIAMS, RHONDA ST OF IL DOC PAROLE DEPT @ 12/11/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 468 14WC 02658 LEE, WHITNEY ILLINOIS DEPT OF CORRECTI 01/17/14 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 14WC027215 -C STATEVILLE CORRECTIONAL 469 14WC 02949 PENSON, STEPHEN UNITED STATES COLD STORAG 11/15/13 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 470 14WC 03190 BROCKETT, CHRISTINA PQ CORPORATION @ 12/18/13 STROM, NEAL B GRANT & FANNING 471 14WC 03261 HUGHES, DAN WILL COUNTY HWY DEPT 08/20/13 MUELHAUSEN & STEFANI HINSHAW & CULBERTSON 472 14WC 03496 COLORADO, JUVENAL SARATOGA SPECIALTIES INC 01/07/14 LULAY LAW OFFICES INMAN & FITZGIBBONS 473 14WC 03725 SAIA, MIKE CENTRAL GROCERS, INC 05/13/13 GOLDBERG WEISMAN & CAIRO L ROSARIO CIBELLA 474 14WC 03750 ELLENBERGER, DEREK JOLIET FIRE DEPARTMENT 01/15/13 COHN LAMBERT RYAN & SCHNEI KAVANAGH GRUMLEY & GORBOLD 475 14WC 04000 JUNIOR, SHAHEED RAVAGO 11/27/13 WOODRUFF & JOHNSON 476 14WC 04189 THOMPSON, LAMONT VALLEY VIEW TRANSPORTATIO 01/21/14 STEPHEN G PINTO LTD KNELL & O'CONNOR 477 14WC 04380 RAMOS, WILLIAM GOYA FOODS, INC. 05/17/13 MARKER & ASSOCIATES 478 14WC 04430 MC FARLAND, RANDALL L STATE OF ILLINOIS DOC @ 12/25/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 479 14WC 04501 MUNIZ, PHILLIP D & H DISTRIBUTING 11/04/13 LAW OFFICE OF SCOTT B SHAP INMAN & FITZGIBBONS 480 14WC 04778 KOPSTAIN, GREGG PARSEC INC 12/15/13 RIDGE & DOWNES MACIOROWSKI SACKMANN & ULRIC 14WC021565 -C 481 14WC 04844 NEELY, KRYSTAL SILVER CROSS HOSPITAL & 08/17/13 HETHERINGTON KARPEL BOBBER MACIOROWSKI SACKMANN & ULRIC 482 14WC 04912 MAROTTA, GINA WILL COUNTY SHERIFF'S OFF 01/13/13 KROL BONGIORNO & GIVEN LTD HINSHAW & CULBERTSON LLP 483 14WC 05551 FELLOWS, DAVID E ASPLUNDH TREE EXPERT CO 11/12/13 PARENTE & NOREM PC KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 484 14WC 06054 BLIESZE, INGRID K W.W. GRAINGER & ZURICH 01/20/14 KENNETH B GORE, LTD GAROFALO SCHREIBER STORM 485 14WC 06212 FLORES, ESTELLE ILLINOIS TOOL WORKS 01/14/14 SILVERMAN, CLIFFORD A HENNESSY & ROACH PC 486 14WC 06892 DOWNING, CHERYL AUTOZONE 06/20/13 MARSZALEK AND MARSZALEK QUERRY & HARROW LTD 487 14WC 07012 VALDEZ, MARISSA JOHA 07/01/13 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 488 14WC 07167 TREJO, ARTURO ELITE PAVING LTD 03/25/13 BART DURHAM WIEDNER & MCAULIFFE LTD 489 14WC 07328 DIAZ, MARISOL MICHAELS DISTRIBUTION CEN 07/26/12 STROM, NEAL B WOLFE & JACOBSON, LTD 490 14WC 07514 BRIDWELL, CHARLES USF HOLLAND 02/23/14 RIDGE & DOWNES HENNESSY & ROACH PC 491 14WC 07910 ARCHBOLD, CARLOS A R R DONNELLEY 01/16/14 WARREN W MARK RUSIN & MACIOROWSKI LTD 492 14WC 08032 JONES, DUSTIN P INDICOM ELECTRIC 11/08/13 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 493 14WC 08270 ANGEL, GUDELIA WILTON BRANDS INC 01/20/14 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 494 14WC 08325 ENGLISH, JOHN OSWEGO COMMUNITY 01/09/14 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 495 14WC 08333 SANGSTER, ANDRE NASCAR CAR WASH 03/03/14 WHITESIDE & GOLDBERG LTD 496 14WC 08403 KRAKOWSKI, GARY S FOUR SEASONS HEATING 02/26/14 PARENTE & NOREM PC BRADY CONNOLLY & MASUDA PC 497 14WC 08714 CUEVAS, ANELICA LABOR TEMPS 01/05/14 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 14WC008715 -C 498 14WC 08752 SZEWCZYK, ROSEMARIE IKEA 11/19/13 HORWITZ HORWITZ & ASSOC 499 14WC 08769 EVANS, JEFFREY S TEXAS STAR EXPRESS 02/05/14 KATZ FRIEDMAN EAGLE ET AL CHILTON YAMBERT PORTER LLP 500 14WC 08961 BELMER, LISA STAFFING NETWORK 02/25/14 SKLARE LAW GROUP SLAVIN & SLAVIN 501 14WC 09199 MILLS, JEFFREY CENTRAL GROCERS INC 11/11/13 BLOCK, KLUKAS & MANZELLA P ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 502 14WC 09352 ANDERSON, RITA GRAND PRARIE TRANSIT 01/15/14 JASINSKI, GEORGE J GALLIANI DOELL & COZZI LTD 503 14WC 09419 TAMAYO, APOLONIO SUPERIOR HEALTH LINES 03/03/14 KATZ FRIEDMAN EAGLE ET AL 504 14WC 09558 D'APICE, RANDOLPH SOUTHERN WINES & SPIRITS 02/26/13 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 14WC009559 -C 505 14WC 09596 FAULKNER-PRIDE, CLORINDA SILVER CROSS HOSPITAL 02/04/14 VRDOLYAK LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 506 14WC 09666 BOGDAN, STEPHEN GENERAL ELECTRIC 06/06/13 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 507 14WC 09786 RICHAUD, LEROY WALMART 06/26/12 COLLISON LAW OFFICES 508 14WC 09838 PEEKEN, STEVEN R HIGHWAY TRANSPORT CHEMICA 02/21/14 YURGINE, JOSEPH COZZI & GOGGIN-WARD 509 14WC 09892 BLANFORD, SHERLY L PET SUPPLIES PLUS 10/22/13 BRUGGEMAN HURST & ASSOC LAW OFFICES JOSEPH MARCINIAK 510 14WC 09941 WILBER, DANIEL JR MIV INC 11/08/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 511 14WC 09995 NARANJO, EDDIE PRAIRIE MATERIAL 03/12/14 RIDGE & DOWNES GAROFALO SCHREIBER STORM 512 14WC 10163 BARGER, JOHN MICHAEL PETCO DISTRIBUTION 02/26/14 LEITER LAW OFFICES ADELSON TESTAN & BRUNDO 513 14WC 10421 GUERRERO, MARGARITA, INDV SUPER RIO GRANDE FRESH MA 03/15/14 LEITER LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 514 14WC 10599 JOHNSON, BERNARD PACE SUBURBAN BUS SERVICE 02/14/14 FABRICIUS & LINDIG POWER & CRONIN LTD 515 14WC 10628 ZAMUDIO, JOSE ACE IRON & METALS, INC 02/23/12 JONATHAN SCHLACK GANAN & SHAPIRO 516 14WC 10825 ANDERSON, DJ RACHETTI'S PIZZA 05/03/13 CORTINA & MUELLER 517 14WC 10987 KREJCA, JEFF BORGWARNER INC 02/13/14 MATTHEW T. GUBBINS PC KEEFE CAMPBELL & ASSOC LLC 518 14WC 11129 GRESHAM, LOLITA READER LINK 03/13/01 KENNETH B GORE, LTD INMAN & FITZGIBBONS 519 14WC 11258 STRICKLAND, KIRK D VILLAGE OF NEW LENOX 12/30/10 ROSS TYRRELL SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 520 14WC 11270 ALVARDO, MARIO AMERICAN INKS & COATING 08/19/13 LANNON LANNON & BARR LTD LAW OFFICES OF EDWARD J. KOZ 521 14WC 11322 THOMPSON, HEATHER UPS 02/13/14 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 522 14WC 11481 MAYFIELD, DEANDRE DEPENDABLE STAFFING GROUP 03/22/04 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 523 14WC 11543 SIMS, SIR ERIC FIRST TRANSIT 02/12/14 SPIROS LAW PC BRADY CONNOLLY & MASUDA PC 524 14WC 11784 ARIAN, SHAHBAZ WALMART SUPER CENTER 02/20/14 525 14WC 11837 SMITH, GALE L ILLINOIS STATE POLICE @ 10/25/12 DWORKIN AND MACIARIELLO 526 14WC 11983 HERNANDEZ, JOSE VIZIO 02/14/12 KATZ FRIEDMAN EAGLE ET AL LEAHY EISENBERG & FRAENKEL 14WC016241 -C SELECT REMEDY STAFFING 527 14WC 12228 ADAMS, CHRISTINA RR DONNELLEY 03/07/14 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 528 14WC 12357 ROSAS, VERONICA HOUSING AUTHORITY OF JOLI 12/09/13 RIDGE & DOWNES 529 14WC 12627 GARLAND, JOHN VAN LINER INSURANCE 06/15/13 WOODRUFF & JOHNSON HENNESSY & ROACH PC 530 14WC 12823 WEICHMANN, THOMAS B AT MECHANICAL LLC 02/14/14 ANGELINI & ORI LLC THOMAS & ASSOCIATES 531 14WC 13095 HARRIS, STANLEY NATIONAL TRADE SPECIALIST 03/25/13 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 532 14WC 13111 PARKER, NICOLE M SILLIKER INC 03/27/14 ANESI OZMON RODIN NOVAK KO 533 14WC 13166 DAVIS, WILLIAM HOLLAND LP 10/06/13 ROBIN LAW OFFICE GAROFALO SCHREIBER STORM 534 14WC 13190 CONTRERAS, LUZ SENNCO SOLUTIONS INC 02/04/14 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 535 14WC 13342 FERNANDEZ, ESTEBAN ADVANCE MOBILITY & 09/17/13 GOLDBERG WEISMAN & CAIRO L 536 14WC 13544 COOLEY, NICOLE SILVER CROSS HOSPITAL 09/18/13 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 537 14WC 13627 JARAMILLO, RORBERTO ELITE STAFFING 02/01/14 JAMES ELLIS GUMBINER & ASS MARC CAIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 538 14WC 13693 CAMACHO, SALVADOR REINHART FOOD SERVICE 02/26/14 SCHREINER MALLOY & ETZLER HENNESSY & ROACH PC 539 14WC 13881 JENNINGS, DWAYNE ILLINOIS STATE POLICE 04/03/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 15WC004300 -C ST OF IL DEPT OF 540 14WC 13975 BATES, DANIELLE ST OF IL DEPT OF STATEVIL 01/07/14 PETER C KOPOULOS 541 14WC 14500 VANWERT, DONNA WILL COUNTY FOREST PRESER 03/04/13 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 542 14WC 14739 STANFORD, LARRY H. CALUMET LIFT TRUCK SERVIC 11/27/13 FABRIZIO, HANSON & PEYLA 543 14WC 15352 NATOUR, MAITHAM D & N TRANSPORTATION 02/20/14 SEIDMAN MARGULIS & FAIRMAN 544 14WC 15427 DAVIS, JOHN FEDEX FREIGHT 12/31/13 ROBERT M WARSASKI SCOPELITIS GARVIN LIGHT 545 14WC 15445 REID, CHRISTOPHER COMMSCOPE 03/19/14 STROM, NEAL B POULOS & DIBENEDETTO LAW 546 14WC 15604 AYALA, FERNANDO FRANCO ASHLEY FURNITURE 02/12/14 THOMAS J STIBERTH LAW OFFI WOLFE & JACOBSON, LTD 547 14WC 15785 GOLAT, JOHN AT&T 03/17/14 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 548 14WC 16864 ALCALA, FERNANDO KEHE DISTRIBUTORS LLC 12/27/12 GOLDBERG WEISMAN & CAIRO L NOBLE & ASSOCIATES PC 549 14WC 17835 WERNER, ROBERT J ROBERT BOSCH TOOL CORP 11/09/11 RAYMOND M SIMARD, PC ROSARIO CIBELLA 550 14WC 17967 MANNING, GERMAINE STATESVILLE CORRECTIONAL @ 05/19/14 SHELDON I MINKOW & ASSOCIA ASSISTANT ATTORNEY GENERAL 551 14WC 18312 MARTINEZ, ARNULFO PURPLE ONION INC 05/03/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 552 14WC 18455 RAMIREZ, ARTURO BALMORAL RACING CLUB 04/15/14 THOMAS W DUDA 553 14WC 18609 CUEVAS, NATALIA QUANTUM FOODS 04/03/13 O'CONNOR & NAKOS COZZI & GOGGIN-WARD 554 14WC 18699 PRATI, KAREN COUNTY OF WILL 06/15/11 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 555 14WC 19381 GROSSKLAUS, JERALD PARSEC INC 05/23/14 DAVID W MARTAY MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 556 14WC 19570 KALLENBACH, ROSE JEWEL-OSCO 05/01/14 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 557 14WC 19665 GARCIA SR, ELEAZAR LOCKPORT STEEL FABRICATOR 05/05/13 LAW OFFICE OF THOMAS P NAU RIPES NELSON BAGGOT KALOBRAT 14WC042849 -C 558 14WC 19801 WILKEY, MATT PACE BUS 03/10/14 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 559 14WC 19803 SIAMIS, KARL CHICAGO BAKING COMPANY 04/24/14 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 560 14WC 19826 BERRY, TYAN LUTHERAN CHILD & 05/06/14 SANDMAN LEVY & PETRICH 561 14WC 19946 BLASKEY, ANGELA ADVENTIST BOLINGBROOK HOS 04/04/14 THE ROMAKER LAW FIRM STONE & JOHNSON CHARTERED 562 14WC 19961 PETRIC, TONY MIDNIGHT FLYER & CO 08/05/13 LULAY LAW OFFICES STONE & JOHNSON CHARTERED 563 14WC 20078 ALVARADO, MARIA ELENA STAFFMARK AND SONY MUSIC 11/21/11 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 564 14WC 20355 PARKER, NICOLE M SILLIKER, ICN. 07/11/13 ANESI OZMON RODIN NOVAK KO 565 14WC 20825 AGUIRRE, GONZALO ASG STAFFING INC 06/12/14 OSVALDO RODRIGUEZ PC POWER & CRONIN LTD 566 14WC 21072 RATKOVICH, PAULETTE ITW MOTION 03/22/14 LULAY LAW OFFICES HENNESSY & ROACH PC 567 14WC 21205 DOMINGUEZ, PEDRO ST OF ILL DEPT OF CORRECT @ 11/04/13 JOEL BELL COLIN KICKLIGHTER 568 14WC 21480 MC CANN, DENNIS WOODMARK LLC 12/03/13 PORRO NIERMANN & PETERSEN THOMAS & ASSOCIATES 569 14WC 21702 RADEMACHER, MELISSA ALDI 02/28/14 CORTINA & MUELLER BRADY CONNOLLY & MASUDA PC 570 14WC 21733 VEGA, JOHN NATIONAL POWER RODDING CO 04/11/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 571 14WC 21758 ZINN, SANDRA FRANKFORT TERRACE 01/26/14 CHRISTINE F DAVID BRADY CONNOLLY & MASUDA PC 14WC021759 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 572 14WC 22021 MC DONALD, PATRICIA JOLIET STAFFING 05/23/14 BRISKMAN BRISKMAN GREENBER WOLF LAW LTD 573 14WC 22383 CARDENAS, SANDRA FIRST MIDWEST BANK 03/11/14 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 14WC041721 -C 574 14WC 22436 HAMILTON, RODNEY L DHR INC STAFFING SOLUTION 06/04/14 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 575 14WC 22581 MCCANNA, MIKE PACE-HERITAGE 06/04/14 PARAG P. BHOSALE POWER & CRONIN LTD 576 14WC 22738 ANDE, DARLEEN K STATE OF IL @ 03/11/14 GOLDBERG WEISMAN & CAIRO L 577 14WC 22852 MARSHALL-ALBRIGHT, FELICI DUPAGE WILL FAMILY 05/26/14 LAW OFFICES MICHAEL HELLMA RUSIN MACIOROWSKI & FRIEDMAN 578 14WC 23193 MORATAYA, WILLIAM ST OF IL DEPT OF STATEVIL 01/18/14 LUIS A ACEVES & ASSOC ASSISTANT ATTORNEY GENERAL 579 14WC 23496 DAVIS, DONN INTEGRITY TRADE SERVICES 06/16/14 DAVID W MARTAY 580 14WC 23553 DONALD, JEAN STATE OF ILLINOIS @ 03/05/14 KUMLIN & FROMM ASSISTANT ATTORNEY GENERAL 581 14WC 23598 MANDAT, RHONDA ISLAND CITY REHAB CENTER 12/20/13 MARSZALEK AND MARSZALEK LAW OFFICES FRANCESCA LARSEN 582 14WC 23613 JACKSON, HERBERT L LINEAGE LOGISTICS 06/13/13 DEPAOLO ZADEIKIS GORE WOLFE & JACOBSON, LTD 583 14WC 24140 TOWNSEND, JAMES E JB HUNT TRANSPORT INC 12/14/13 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 584 14WC 24319 BLOCK, MELISSA MEIJER 06/24/13 BURNES, EDWARD M KOPKA, PINKUS & DOLIN, PC 585 14WC 24463 JACKSON, GERALD BRENNAN EQUPMENT & MFG. C 06/11/14 FRIEDMAN & SOLMOR LTD NYHAN BAMBRICK KINZIE & LOWR 586 14WC 24789 O'DONNELL, MARIA WALMART 03/24/14 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 587 14WC 24921 HUBBERT, DAVID QSC CONTRACTING LLC 06/27/14 LAW OFFICE OF SCOTT B SHAP 588 14WC 25034 BAREFIELD, CLARENCE DHR INC STAFFING SOLUTION 05/07/14 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 589 14WC 25186 MIKOS, STEPHEN VILLAGE OF ROMEOVILLE 04/02/14 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 590 14WC 25254 DIAZ, MARIA ULTA BEAUTY 03/13/14 SALK, STEVEN B & ASSOC LTD HINSHAW & CULBERTSON 14WC041150 -C 591 14WC 25288 DAMRA, MUSTAFA DIAKON LOGISTICS 04/15/12 TOPPER & WEISS LTD MCANANY VANCLEVE & PHILLIPS 592 14WC 25573 FLEMING, TABITHA BMO HARRIS BANK 03/24/14 LAW OFFICE PHILIP BLOMBERG HOLECEK & ASSOCIATES 593 14WC 25853 MARTINEZ, ROCIO FEDERAL SIGNAL CORPORATIO 08/19/11 BOUDREAU NISIVACO LLC BRADY CONNOLLY & MASUDA PC 594 14WC 25892 TUCKER, MICHAEL ST OF IL DEPT OF 06/04/14 BLOCK, KLUKAS & MANZELLA P 595 14WC 26002 NEVAREZ, ORALIA AARON THOMAS CO INC 04/04/14 RATHBUN CSEVENYAK & KOZOL LAW OFFICES JOSEPH MARCINIAK 596 14WC 26132 THORSON, MICHELE OSWEGO CUSD 308 01/20/12 GAROFALO SCHREIBER STORM 597 14WC 26187 CERDA, REBECA INNOTRAC 05/27/14 BART DURHAM LAW OFFICES JOSEPH MARCINIAK 598 14WC 26341 MOELLER, MCHAEL CENTRAL GROCERS, INC 01/06/12 HEALY SCANLON LAW FIRM ROSARIO CIBELLA 599 14WC 26398 ASHFORD, LESLIE SR TERMINIX 11/23/13 RAYMOND M SIMARD, PC RODDY LAW LTD 600 14WC 26420 PETERSON, SHARON SILVER CROSS HOSPITAL 04/23/14 WHITESIDE & GOLDBERG LTD MACIOROWSKI SACKMANN & ULRIC 601 14WC 26478 RUSSELL, KAREN SCHNEIDER LOGISTICS INC 05/13/14 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 602 14WC 26675 MUNIZ, HERIBERTO ACESO HR INC 07/18/14 JAMES ELLIS GUMBINER & ASS RUSIN & MACIOROWSKI LTD 15WC006278 -C ACESCO HR INC 603 14WC 26892 ROCHA-MORALES, HITCHEL NAVISTAR 12/17/13 STEVEN J TENZER, LTD NYHAN BAMBRICK KINZIE & LOWR 14WC026893 -C 604 14WC 27394 HOPE, CAMERON DHR STAFFING SOLUTIONS 07/01/14 LAW OFFICE OF PETER CULOTT 605 14WC 27454 VILLAGRANA, RAQUEL NAVISTAR INC 04/04/14 NILSON STOOKAL GLEASON CAP NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 606 14WC 28352 ROBINSON, EDDIE KENTUCKY FRIED CHICKEN 04/11/14 SCHREINER MALLOY & ETZLER 607 14WC 28409 KNELLER, PATRICK J EMERFAB, INC. 05/20/13 RUBIN LAW GROUP LAW OFFICES OF EDWARD J. KOZ 14WC028410 -C ENERFAB, INC. 608 14WC 28541 SCHOLL, KATHLEEN WALMART #3790 01/01/13 BIZZIERI LAW OFFICES WIEDNER & MCAULIFFE LTD 609 14WC 29042 LEWIS, UNIQEK SHELBY SCHOLARS DAYCARE 1 06/21/14 LAW OFFICE OF SCOTT B SHAP 14WC029043 -C 610 14WC 29157 QUINONEZ, CORINA MENARD'S 12/01/11 MCNAMARA PHELAN MCSTEEN LL RODDY LAW LTD 611 14WC 29204 NACHEV, IVAN KZ TRANSPORT 05/29/14 BAUM RUFFOLO & MARZAL LTD MCANANY VANCLEVE & PHILLIPS 612 14WC 29317 WILLIAMS, HOWARD ANDERSON MERCHANDISERS 07/03/14 CHARLES LEVY & ASSOC LTD 613 14WC 29970 RAMOS, JESUS LORENZO ELITE STAFFING 07/25/14 MC HARGUE, JAMES P LAW OFF 614 14WC 30287 SERRANO, JUAN M EWING TRUCKING INC 07/21/14 CULLEN HASKINS NICHOLSON SALVATO & O'TOOLE 615 14WC 30449 FORSYTHE, CONNIE ATLANTIC PLANT SERVICES I 02/28/14 COYNE REINKE LAW NYHAN BAMBRICK KINZIE & LOWR 616 14WC 30507 KNAPP, RONALD COCA-COLA 07/16/13 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 617 14WC 30568 HANKERSON, SANDRA WALMART SUPERCENTER 05/26/14 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 618 14WC 30582 VALDEZ, CELIA EL AUTHENTICO BURRITO W 06/28/14 MC HARGUE, JAMES P LAW OFF PAUL F PETERS 619 14WC 30683 GARCIA, SARA CEVA LOGISTICS 04/11/14 LAW OFFICES MICHAEL HELLMA RUSIN & MACIOROWSKI LTD 620 14WC 30741 GARCIA, RICARDO LOGOPLASTE 03/22/14 LAW OFFICES TIMOTHY LAMPIN LAW OFFICES JOSEPH MARCINIAK 621 14WC 31235 O'CONNOR, DOROTHY STARBUCKS 01/22/14 VASILATOS & COTTER LLC BRADY CONNOLLY & MASUDA PC 622 14WC 31466 GARCIA, SARA CEVA LOGISTICS 08/19/14 LAW OFFICES MICHAEL HELLMA RUSIN & MACIOROWSKI LTD 623 14WC 31586 VANBYSSUM, SCOTT USF HOLLAND 01/21/14 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 624 14WC 31597 SINANOSKI, ISA TVI LOGISTICS AND 07/28/14 BART DURHAM 625 14WC 31786 GRAVES, SOPHIA N CORNERSTONE SERVICES INC 03/17/14 FABRIZIO, HANSON & PEYLA 626 14WC 31885 REYNA, LORETTA SOUTHWEST AIRLINES 08/15/13 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 627 14WC 32139 FURLAN, JERRI AMERICAN SURGICAL PROFESS 07/11/14 LAW OFFICE OF THOMAS P NAU RUSIN & MACIOROWSKI LTD 628 14WC 32173 CERDA, SLAVADOR PEACOCK 06/11/14 MC HARGUE, JAMES P LAW OFF LAW OFFICES JOSEPH MARCINIAK 629 14WC 32198 ALLEN, DARRELL ELITE STAFFING INC 08/28/14 LAW OFFICE OF JAMES H MILL 630 14WC 32208 MOORE, LORENZO REINHART 09/07/14 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 16WC000890 -C US FOODS 631 14WC 32310 THOMPSON, CYNTHIA VISITING ANGELS 07/16/14 BLOCK, KLUKAS & MANZELLA P 632 14WC 32330 BERRY, DONRASOUL ILLINOIS TOOL WORKS 06/17/14 DONAHUE, PAUL T LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 633 14WC 32481 JONES, JENNIFER ULTA 07/28/14 FITZ & TALLON RUSIN & MACIOROWSKI LTD 634 14WC 32525 HOSEY, KIMBERLY WAL-MART STORES, INC. 08/06/13 MATTHEW T. GUBBINS PC QUINTAIROS PRIETO WOOD & BOY 15WC015756 -C WALMART STORES INC 635 14WC 32528 ROMAN, SANDY WALMART 01/15/14 JAMES ELLIS GUMBINER & ASS 636 14WC 32581 JEVTIC, SASA YRC, INC 09/08/14 RIDGE & DOWNES HENNESSY & ROACH PC 15WC035360 -C 637 14WC 32680 HOCKING, ANTHONY D FEDEX FREIGHT 03/11/14 PARENTE & NOREM PC QUINTAIROS PRIETO WOOD & BOY 638 14WC 33022 PEREDETTO, ERICA (WIDOW) ILLINOIS TRUCK & EQUIPMEN 07/29/14 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 639 14WC 33091 GUZMAN, G MARIA FILTRATION GROUP INC 10/01/13 KROCKEY CERNUGEL COWGILL E BRADY CONNOLLY & MASUDA PC 640 14WC 33178 KENNEDY, JERRY RANDY METRO STAFF INC 08/22/14 THOMAS R LICHTEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 641 14WC 33267 PRINOS, MICHAEL KENDALL CTY FOREST PRESER 06/30/12 PORRO NIERMANN & PETERSEN INMAN & FITZGIBBONS 642 14WC 33331 ROSALES, CHRISTIAN ELITE STAFFING 05/18/14 EPSTEIN, JACK R LAW OFFICE MARC CAIRO 643 14WC 33399 FOLMER, FRED ENTERTAINMENT PARTNERS 09/06/14 BRILL & FISHEL RUSIN & MACIOROWSKI LTD 644 14WC 33404 ARAYAN, SHAHBAZ WALMART 02/14/14 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 645 14WC 33648 PURSELL-BARON, ZORA JOLIET TOWNSHIP HS DIST 2 09/11/14 RUBENS AND KRESS INMAN & FITZGIBBONS 646 14WC 34010 LANDA, ARTURO PARAMOUNT STAFFING 08/07/14 BARRY E BLUMENFELD KEEFE CAMPBELL & ASSOC LLC 647 14WC 34124 KING, JONATHAN ORKIN 07/14/14 MCCARTHY ROWDEN & BAKER BRADY CONNOLLY & MASUDA PC 648 14WC 34175 BLAS, JOHNNY ASHLEY FURNITURE 06/16/14 CUDA LAW OFFICES WOLFE & JACOBSON, LTD 14WC034176 -C 14WC034177 -C 649 14WC 34338 RANGEL, FRANCISCO DREW'S LAWN & SNOW SERVIC 08/28/14 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 650 14WC 35149 KULAK, JAN FIRST WEST EXPRESS 09/30/14 CHEPOV & SCOTT LLC 651 14WC 35450 ARZU, BLADIMIR 1ST CLASS STAFFING 09/05/14 DWORKIN AND MACIARIELLO GRANT & FANNING 652 14WC 35532 DAIL, JOSHUA A SCHNEIDER LOGISTICS 01/09/13 653 14WC 35617 LOPEZ, ANTONIO HANCOOK 09/11/14 654 14WC 35833 SAUCEDO, ALMA MIDWEST AIR TECHNOLOGY 09/30/14 KATZ FRIEDMAN EAGLE ET AL SCOPELITIS GARVIN LIGHT 655 14WC 35920 FRANKLIN, DEMETRIUS CULVER'S 08/27/14 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 656 14WC 36044 SILVA, ELSA G6 HOSPITALITY/MOTEL 6 JO 08/24/14 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 657 14WC 36311 BECKER, JERRY RICHARDS & WEYER CONSTRUC 01/11/14 DWORKIN AND MACIARIELLO 658 14WC 36368 ARROYO, LUIS DANIEL M POWER 10/08/14 STROM, NEAL B RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 659 14WC 36506 ALEXANDER, KARLA TOTAL STAFFING 10/23/14 MARC J SHUMAN & ASSOCIATES COZZI & GOGGIN-WARD 660 14WC 36628 WIENIEWSKI, CHRISTOPHER ESTES EXPRESS LINES 09/26/14 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 661 14WC 37023 SALAZAR, JESSE ULTRA FOODS 09/04/14 BRIAN T MORROW, LAW OFFICE 662 14WC 37399 GARCIA, ERNESTO REHRIG PACIFIC LOGISTICS 10/13/14 STROM, NEAL B HOLECEK & ASSOCIATES 663 14WC 37418 KRAMER, JACOB HENDRON CONSTRUCTION 10/05/14 STEVEN A CRIFASE, LTD 664 14WC 37565 HUBBARD, TERESA PRESENCE ST JOSEPH HOSPIT 07/09/14 WHITESIDE & GOLDBERG LTD KEEFE CAMPBELL & ASSOC LLC 665 14WC 37682 ROBINSON, CHARLES JOLIET JOB CORPS 12/29/13 GOLDBERG WEISMAN & CAIRO L 666 14WC 37961 ARIAS, AMANDO CITGO PETROLEUM 10/15/14 LAW OFFICES OF SHARON CORS SPIEGEL & CAHILL, PC 667 14WC 37997 DUCHENE, ROBERT CITY OF JOLIET 09/16/14 GOLDBERG WEISMAN & CAIRO L CITY OF JOLIET 668 14WC 38074 PARISI, LINDA STATEVILLE PRISON 01/08/14 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 669 14WC 38136 GAKWANDI, ISSA VYNERA TRANSPORATION INC. 03/03/14 HORWITZ HORWITZ & ASSOC SMITH AMUNDSEN LLC 670 14WC 38221 NOWOSIELSKI, JANUSZ ROCK TENN COMPANY 02/15/13 CORBOY & DEMETRIO PC GAROFALO SCHREIBER STORM 15WC013191 -C 671 14WC 38228 LANAHAN, MIKE MINOOKA SCHOOL DISTRICT 2 02/21/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 672 14WC 38485 KIMAK, JENNIFER JOLIET TOWNSHIP HIGH SCHO 10/22/14 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 673 14WC 38631 TUCKER, JOYCE PRESENCE PROVENA ST JOSEP 07/29/14 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 674 14WC 38700 RAMIREZ, ARMANDO POWER EQUIPMENT DIRECT IN 05/15/14 SALK, STEVEN B & ASSOC LTD KNELL & O'CONNOR 675 14WC 38841 ZHOU, JIN CHENG ENLAI 59 CHINESE RESTUARA W 05/30/14 ZHAO & ASSOCIATES 676 14WC 38917 PFISTER, WILLIAM C WESTWAY COACH 08/22/14 FABRIZIO, HANSON & PEYLA GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 677 14WC 38962 SALATO, MARVIN JOLIET JUNIOR COLLEGE 11/14/11 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 678 14WC 38968 PESAVENTO, DAVID KOMATSU FORKLIFT USA 10/22/14 KREITER, BYCK & ASSOC LLP 679 14WC 39005 LOPEZ, MARIO E NRG 09/02/14 LAW OFFICE OF THOMAS P NAU WIEDNER & MCAULIFFE LTD 680 14WC 39137 LEE, FREDDIE A JR WEATHER TECH 06/09/14 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 681 14WC 39288 OCEQUEDA, JOSE KEHE DISTRIBUTORS 11/13/14 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 682 14WC 39343 GORDON, JOSH FIVE STAR ELITE 10/10/14 WOODRUFF & JOHNSON 683 14WC 39464 LULLO, KIM D JB HUNT TRANSPORTATION 10/30/14 CRONIN & PETERS RUSIN & MACIOROWSKI LTD 684 14WC 39712 COFFMAN, JAMES HANSON MATERIAL SERVICE 10/20/14 BRISKMAN BRISKMAN GREENBER RODDY LAW LTD 685 14WC 39943 BROWN, ANTHONY T AIM NATIONALEASE 11/18/14 DEPAOLO ZADEIKIS GORE 686 14WC 40086 JENNINGS, ERIC PITT OHIO 12/02/13 KROL BONGIORNO & GIVEN LTD INMAN & FITZGIBBONS 687 14WC 40445 ABBOTT, ROBIN A SODEXO 05/30/14 LAW OFFICE PHILIP BLOMBERG 688 14WC 40617 KOIALOVITCH, DAN K&S AUTOMATIC SPRINKLERS 06/27/14 PORRO NIERMANN & PETERSEN 689 14WC 40649 SALERNO, ROBERT J JR FIVE STAR TENNIS CENTER 10/02/14 COHN LAMBERT RYAN & SCHNEI LAW OFFICES JOSEPH MARCINIAK 690 14WC 40777 BUDRICK, MARITA LEE 1ST CHOICE TEMPORARY 09/08/14 FITZ & TALLON HENNESSY & ROACH PC 691 14WC 41042 ALVAREZ, MA LOURDES SURE STAFF 11/28/14 MC HARGUE, JAMES P LAW OFF KEEFE CAMPBELL & ASSOC LLC 692 14WC 41121 SMYTH, KIMBERLY A CITY OF JOLIET 09/29/14 PARENTE & NOREM PC CITY OF JOLIET 693 14WC 41642 BIRCHFIELD, CHRISTINE A THE AUTO CLUB GROUP 06/02/14 COLLISON & O'CONNOR HOLECEK & ASSOCIATES 694 14WC 41686 HERRERA, GUILLERMO KELLY SERVICES INC 11/26/14 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 695 14WC 41895 ROSAS, MARTA C DIVERSIFIELD MAINTENANCE 10/27/14 AIOSSA LAW FIRM HOLECEK & ASSOCIATES 696 14WC 41974 PERILLO, MELISSA R COUNTY OF WILL 09/20/14 FABRIZIO, HANSON & PEYLA HINSHAW & CULBERTSON 697 14WC 42115 DONAVON, DEAN P SONYDADC 11/24/14 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL & ASSOC LLC 698 14WC 42119 NADELA, PEDRO PRESENCE PHYSICAL THERAPY 07/10/13 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 699 14WC 42229 O'NEAL, JACQUELINE ANDREW STAFFING 09/27/14 BRISKMAN BRISKMAN GREENBER SLAVIN & SLAVIN 700 14WC 42432 MACIAS, JOSE A METRO STAFF INC 10/31/14 ANKIN LAW OFFICE HENNESSY & ROACH PC 701 14WC 42987 LOZADA, CINTHIA RICOH 11/22/14 GOLDSTEIN AIOSSA & GOOD CHILTON YAMBERT PORTER LLP 702 14WC 43010 ARMOR, JULIE SILVER CROSS HOSPITAL 06/28/13 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 703 14WC 43211 MATTHEWS, RYAN PREMIER EMPLOYEE SOLUTION 12/05/14 LAW OFFICE EDWARD LICHTENS 704 14WC 43448 RIOS, JOEL PRIME CUT LAWN CARE 11/07/14 LULAY LAW OFFICES RODDY LAW LTD 705 14WC 43608 GOC, PETER PIONEER MECHANICAL 10/08/14 HORWITZ HORWITZ & ASSOC LAW OFFICES OF EDWARD J. KOZ 706 14WC 43703 RODRIGUEZ, EDWARD JOLIET PUBLIC LIBRARY 12/14/13 BLOCK, KLUKAS & MANZELLA P RIPES NELSON BAGGOT KALOBRAT 707 15WC 00065 MAHONEY, SUSAN MICHAELS 09/20/14 BLOCK, KLUKAS & MANZELLA P 708 15WC 00291 CARRANCO, MAURICIO READER LINK 11/19/14 PARENTE & NOREM PC INMAN & FITZGIBBONS 709 15WC 00355 AQUIRRE, CARLOS A KEHI FOODS 12/01/14 STEWART C ORZOFF POULOS & DIBENEDETTO LAW 710 15WC 00434 FLECK, ALISON ATHLETICO 08/31/13 WOODRUFF & JOHNSON 15WC019030 -C 711 15WC 00637 MONROY, NANCY METRO STAFF 07/29/12 LULAY LAW OFFICES FRANCIS J DISCIPIO LAW OFFIC 712 15WC 00925 WAKEFIELD, PATRICK SLI TRANSPORT INC 11/28/14 RIDGE & DOWNES ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 713 15WC 00959 ARRIAGA, LAURA OLIVE GARDEN 12/13/14 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 714 15WC 00973 GONZALEZ, LUZ M ACCURATE PERSONNEL 11/23/14 O'CONNOR & NAKOS MC ANDREWS & NORGLE LLC 715 15WC 01047 ABARCA, HUGO ROAD SAFE TRAFFIC SYSTEMS 10/27/14 ANGELINI & ORI LLC 716 15WC 01172 GIBSON, ERIC ST OF IL C/O STATEVILLE @ 07/08/13 PETER C KOPOULOS ILLINOIS ATTORNEY GENERAL 717 15WC 01310 19B LINDBERG, ANNE STATE OF ILLINOIS @ W 12/20/14 ELFENBAUM EVERS & AMARILIO ASSISTANT ATTORNEY GENERAL 718 15WC 01448 DAVIS, ALPHONSO PROLOGISTIX 12/11/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 719 15WC 01481 BENNETT, WILLIAM ASG STAFFING 09/05/14 SOSTRIN AND SOSTRIN PC FRANCIS J DISCIPIO LAW OFFIC 720 15WC 01498 ZERIAL, PETER DLR ENTERPRISES INC/ 11/12/14 HUGHES SOCOL PIERS RESNICK ROBERT L. SMITH 721 15WC 01570 DE YOUND, JEREMIAH B STATEVILLE C.C. @ 10/12/13 DEPAOLO ZADEIKIS GORE ILLINOIS ATTORNEY GENERAL 722 15WC 01975 NODINE, SCOTT STATEVILLE C.C. 12/21/14 HETHERINGTON KARPEL BOBBER ASSISTANT ATTORNEY GENERAL 723 15WC 02051 GREEN, CHARLES JOLIET GRADE SCHOOL DIST 09/15/14 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 15WC002052 -C 16WC002270 -C 724 15WC 02182 HARRIS, DONALD M CENTRAL LIFT 12/22/14 THOMAS T BOUNDAS LITCHFIELD CAVO 725 15WC 02192 FISCAL, ANTONIO RED ROOF INN 01/18/15 LAW OFFICES MICHAEL HELLMA COZZI & GOGGIN-WARD 726 15WC 02234 DANZELL, NICOLE GRAND PRAIRIE TRANSIT 01/15/15 KP LAW LLC 727 15WC 02255 ALEXANDER, REGINALD D DOLLAR TREE 01/11/15 728 15WC 02574 CHAIDEZ, JOSE RADIAC ABRASIVES 09/13/14 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 729 15WC 02592 HAMMOND, NANCY TROY CCSD #30 11/24/14 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 730 15WC 02615 BABER, NELLIE DATA SEVICE SOLUTIONS 09/10/13 WILLIAMS & SWEE LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 731 15WC 02731 GOODWIN, ADAM ANDROMEDA TECHNOLOGY SOLU 05/27/13 RATHBUN CSEVENYAK & KOZOL HOLECEK & ASSOCIATES 732 15WC 02866 PARADA, HEIDI SCHNEIDER LOGISTICS 12/17/14 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 733 15WC 03023 OROZCO, AURELIO WINGFOOT COMMERCIAL TIRE 11/20/14 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 734 15WC 03103 GOINS, MARQUITA J. ELITE STAFFING INC. 01/23/15 ANDREW P DOMAN CASSIDAY SCHADE LLP 16WC015898 -C 735 15WC 03276 RAGUSA, PHIL IL DEPT OF TRANSPORTATION 07/25/14 TOSCAS, JOHN Z LAW OFFICE ASSISTANT ATTORNEY GENERAL 736 15WC 03310 GYIMAH, SONYA STATE OF IL DOC STATEVILL @ 12/10/14 BLOCK, KLUKAS & MANZELLA P ILLINOIS ATTORNEY GENERAL 737 15WC 03369 BROWN, STEPHEN M. CENTRELLA GROCERS, INC. 08/11/14 GOLDBERG WEISMAN & CAIRO L 738 15WC 03691 RYAN, RICHARD COUNTY OF WILL, SHEFIFF'S 03/11/08 BLOCK, KLUKAS & MANZELLA P 15WC003692 -C 739 15WC 03726 ULRICH, RAY STATESVILLE CORRECTIONAL 08/11/14 LEONARD LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 740 15WC 03735 ALEXANDER, GROVER HR METRICS INC DHR 07/01/14 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 741 15WC 03853 RODRIGUEZ, GERARDO ZAMUDI ALIPIO METAL FABRICATION 11/05/14 742 15WC 03932 BOUKAL, RICHARD DIAGEO NORTH AMERICA 01/10/15 BART DURHAM COZZI & GOGGIN-WARD 743 15WC 04035 HUGHES-LUDVIGSEN, ELAINE MORNING STAR MINISTRIES D 10/22/14 DWYER AND COOGAN BRADY CONNOLLY & MASUDA PC 744 15WC 04277 HOPPER, ANNA THE WIRELESS STORE 08/22/14 SPIROS LAW PC 745 15WC 04307 TAMAYO, ARMANDO SULLIVAN ROOFING, INC 10/29/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 746 15WC 04358 ANDERSON, DAKOTA UNITED STATES COLD STORAG 01/29/15 RUBIN LAW GROUP 747 15WC 04430 WILLIAMS, DERRICK FAMILY DOLLAR 01/14/15 VRDOLYAK LAW GROUP LLC 748 15WC 04442 COLLINS, TAWAII M ST. JAMES WELLNESS 02/01/15 ANKIN LAW OFFICE ALLEN & NEWMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 749 15WC 04601 MILLER, ANTHONY R MEADE ELECTRIC 12/30/14 SCHWEICKERT & GANASSIN SPIEGEL & CAHILL, PC 750 15WC 04637 HERNANDEZ, JESSICA WALMART 01/22/15 LAW OFFICES MICHAEL HELLMA WIEDNER & MCAULIFFE LTD 15WC004638 -C 15WC004639 -C 15WC020455 -C 751 15WC 04801 GASKIN, SANDRA VALLEY VIEW SCHOOL DIST 3 10/02/14 ANKIN LAW OFFICE KNELL & O'CONNOR 752 15WC 04818 KIMBLE, ANNELIESE ST VINCENT DEPAUL SOCIETY 09/08/14 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS, INC 753 15WC 05021 LESTER, HEATHER EXEL LOGISTICS 12/29/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 754 15WC 05221 BRAMEL, MARK PREMIER EMPLOYEE SOLUTION 01/15/15 EPSTEIN, JACK R LAW OFFICE 755 15WC 05371 WHITCOMB, DEMITRIUS JB HUNT 03/08/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 756 15WC 05529 DIAZ, LAURA INNOTRAC 09/03/14 BART DURHAM LAW OFFICES JOSEPH MARCINIAK 757 15WC 05569 HILL, MICHAEL CENTRELLA FOODS 03/26/12 HORWITZ HORWITZ & ASSOC 758 15WC 05756 PERSSON, NICHOLAUS E TERRY'S FORD OF PEOTONE 10/16/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 759 15WC 05916 MARQUEZ, OFELIA KORY MANAGEMENT 09/10/14 AIOSSA LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 760 15WC 05973 BOSTIC, ERIC A KNIGHT SECURITY ALARMS IN 01/10/15 RUBIN MACHADO ROSENBLUM LAW OFFICES JOSEPH MARCINIAK 761 15WC 06104 ROBERTS, SUSAN JEWEL FOOD STORE 04/23/13 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 762 15WC 06136 BECKER, JENNIFER SILVER CROSS HOSPITAL 01/23/15 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 763 15WC 06206 HERRERA, NANCY READERLINK 01/14/15 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 764 15WC 06262 DORNER, SANDRA MENARD, INC 09/23/14 VRDOLYAK LAW GROUP LLC RODDY LAW LTD 15WC006263 -C 765 15WC 06493 REYES, JOSE ANTONIO AMADO ENTRPRISES, LTD. 11/28/14 LUKE C. ANTONSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 766 15WC 06541 RUZZANO, CHRISTINA DOLLAR TREE 09/27/14 MEYERS & FLOWERS 767 15WC 06604 EDGEWORTH, SUSAN PLAINFIELD SCHOOL DIST #2 01/05/15 LAW OFFICE OF TRENT & BUTC KEEFE CAMPBELL & ASSOC LLC 768 15WC 06635 ADAMS, ANDREW AREA ERECTORS 08/02/12 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 769 15WC 06825 ARNOLD, SAM F JR US COLD STORAGE 01/25/15 MCNAMARA PHELAN MCSTEEN LL BRADY CONNOLLY & MASUDA PC 770 15WC 06946 QUINN, JOSEPH STATE OF ILLINOIS - IDOT @ 01/27/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 771 15WC 07266 RODRIGUEZ, ANDRES JOLIET SCHOOL DIST 86 10/25/13 DAVID W MARTAY 772 15WC 07561 FERGUSON, STACEY MASSAGE ENVY 06/22/14 MARC J SHUMAN & ASSOCIATES WOLFE & JACOBSON, LTD 773 15WC 07676 ARELLANO, ART CITY OF JOLIET POLICE DEP 02/02/15 MCNAMARA PHELAN MCSTEEN LL CITY OF JOLIET 774 15WC 07723 NOVELLI, DEBORAH L THERAPY CARE LTD 05/29/14 VRDOLYAK LAW GROUP LLC 775 15WC 07742 PRIEST, SIMONE INNOTRAC CORP 02/23/15 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 776 15WC 07749 FIGUEROA, FRANKLIN SOUTHERN WINE & SPIRITS O 02/23/15 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 777 15WC 07810 PONZI, DANIEL ROMEOVILLE POLICE DEPT 06/04/14 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 778 15WC 07914 COYLE, JOHN JC INDUSTRIES 12/02/14 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 779 15WC 08007 KNIGHT, TRACY UNITED CEREBRAL PALSY 01/22/15 RIDGE & DOWNES 780 15WC 08072 MIKAITIS, WILLIAM M.D. ADVOCATE MEDICAL GROUP 02/09/15 JOHNSON, MICHAEL D & ASSOC NYHAN BAMBRICK KINZIE & LOWR 781 15WC 08231 SALGADO, MARTIN LABOR TEMPS 03/03/15 JONATHAN SCHLACK INMAN & FITZGIBBONS 782 15WC 08361 BROWN, DARLENE IL DOC - STATEVILLE @ 01/22/13 BLOCK, KLUKAS & MANZELLA P ILLINOIS ATTORNEY GENERAL 783 15WC 08450 EDWARDS, LOISE NRG ENERGY 10/16/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 784 15WC 08572 BUNTING, DANIEL UNIVERSAL STEEL AMERICA 06/10/14 VITELL & SPITZ LTD LAW OFFICES JOSEPH MARCINIAK 785 15WC 08689 STEELE, SHELLEY KEITH HOUGH 02/07/15 ROMANEK & ROMANEK KNELL & O'CONNOR 786 15WC 08735 JONES, FREDERICK ARYZTA GREAT KITCHEN 11/23/14 GOLDBERG WEISMAN & CAIRO L SLAVIN & SLAVIN 787 15WC 08851 BROWN, CLAYTON GOVERNOR'S STATE UNIVERSI 02/03/15 BAUM RUFFOLO & MARZAL LTD MALLORY ZIMET 788 15WC 08905 BROOKS, HATTIE HQC 03/11/14 PORRO NIERMANN & PETERSEN ROSARIO CIBELLA 789 15WC 08962 WALDROP, BRENT SURGE STAFFING 02/24/15 DWORKIN AND MACIARIELLO 790 15WC 09012 KITCHEN, TERRA STATE OF IL / IDOC 07/25/13 BLOCK, KLUKAS & MANZELLA P MALLORY ZIMET 791 15WC 09092 VILLAFRANCO, ENRIQUE WILL COUNTY HEALTH DEPT 09/24/13 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 15WC009093 -C 792 15WC 09458 ROBINSON, ANTHONY RUAN 11/26/14 THE MACK LAW GROUP PC JAMES M KELLY 793 15WC 09646 VENEGAS, ARMANDINA THE WENDY'S COMPANY 01/06/15 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 794 15WC 09663 MAYREN, NOHEMI ELITE STAFFING 01/20/15 VRDOLYAK LAW GROUP LLC 795 15WC 09684 SMITH, JERMAINE LABOR TEMPS 10/26/14 DWORKIN AND MACIARIELLO ROBERT L. SMITH 796 15WC 09822 KASPER, FRANK APOLLO COLORS, INC 01/15/15 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 797 15WC 10034 STEWART, ANTHONY AQUILEX HYDRO CHEM 03/19/15 ARGIONIS & ASSOCIATES LLC THOMAS & ASSOCIATES 798 15WC 10059 MITCHELL, TODD A US SECURITY ASSOCIATES 01/12/15 BAUM RUFFOLO & MARZAL LTD 799 15WC 10202 NUNEZ, ELIZAI ELITE STAFFING 01/12/15 BAUM RUFFOLO & MARZAL LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 800 15WC 10224 KLINGER, JODI ARAMARK 11/20/14 LOUIS A PLZAK & ASSOCIATES 801 15WC 10260 STOVALL, STEPHEN CITY OF JOLIET DEPT. 02/24/15 RIDGE & DOWNES ROSARIO CIBELLA 16WC012084 -C 802 15WC 10357 UNGER, MATTHEW VILLAGE OF OSWEGO 09/04/14 FOOTE MIELKE CHAVEZ & O'NE RUSIN & MACIOROWSKI LTD 16WC015869 -C 803 15WC 10446 ABERNATHY, MELVIN STATEVILLE CORRECTIONAL C 03/05/15 HORWITZ HORWITZ & ASSOC MALLORY ZIMET 804 15WC 10506 HOUSE, CALLIE JB HUNT 02/09/15 DWORKIN AND MACIARIELLO GRANT & FANNING 805 15WC 10732 KEIGHER, MATT JOLIET FIRE DEPARTMENT 09/02/14 HORWITZ HORWITZ & ASSOC CITY OF JOLIET 806 15WC 10745 MCGREW, ERICA WEATHERTECH 01/26/15 PARENTE & NOREM PC HOLECEK & ASSOCIATES 807 15WC 10768 ULMER, LISA MILANO BAKERY INC 10/01/14 BRISKMAN BRISKMAN GREENBER 808 15WC 10919 TORRES, ELFONSA ELITE STAFFING BOLINGBROO 10/07/14 EPSTEIN, JACK R LAW OFFICE 809 15WC 10935 MIKENIS, DIANE M MC DONALD'S CORP 03/01/15 FREDRICK B BARDER, LTD NYHAN BAMBRICK KINZIE & LOWR 810 15WC 11032 WALSH, STEPHEN J AUSTIN TYLER CONST. CO 10/18/14 KROCKEY CERNUGEL COWGILL E 811 15WC 11070 WILKOSZ, ERIC ABCO ELECTRIC 01/12/15 O'CONNOR & NAKOS THOMAS & ASSOCIATES 812 15WC 11268 GIENKO, BRIAN CRASH CHAMPIONS 03/24/15 SKLARE LAW GROUP BRYCE DOWNEY & LENKOV LLC 813 15WC 11440 GUTOWSKI, ERIC ECOLAB 01/13/15 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 814 15WC 11671 CLARK, PAMELA FIRST MIDWEST BANK 02/13/15 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 815 15WC 11805 ULRICH, RAYMOND STATESVILLE CORRECTIONAL @ 03/09/15 LEONARD LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 816 15WC 11850 VILLEGAS, ARMANDO SUPERMERCADOS EL GUERO 04/06/15 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 817 15WC 11873 RIVERA, ANA (WIDOW) AMERISOURCEBERGEN DRUG CO # 03/23/15 KARCHMAR & STONE SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 818 15WC 12103 KIRINCICH, JANINA GRUNDY COUNTY SPECIAL ED 01/08/10 819 15WC 12192 RODRIGUEZ, MARCO ANTONIO NIKO'S PIZZERIA & GRILL W 03/27/15 820 15WC 12277 PETERSON, SUZANNE JEWEL 05/30/14 MARKER & ASSOCIATES 15WC012278 -C 821 15WC 12356 TROTTER, ERIC WILL COUNTY SHERIFF-ADULT 02/01/15 GOLDBERG WEISMAN & CAIRO L 822 15WC 12442 GONZALEZ, GLORIA S&S ACTIVEWEAR 08/01/13 JOHN S. ELIASIK 823 15WC 12707 PATEL, CHIRAYUSH RADIO SHACK CORP 07/23/14 ENCINAS & ORNELAS HENNESSY & ROACH PC 824 15WC 12733 RUIZ, ZENON CENTRAL GROCERS 05/21/14 JONATHAN SCHLACK ROSARIO CIBELLA 825 15WC 12879 MAGEE, NORANNE STATER ENTERPRISES 12/22/14 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 826 15WC 13009 MOFFETT, CASSANDRA VALLEYVIEW SCHOOL 12/02/14 LUIS A ACEVES & ASSOC KNELL & O'CONNOR 827 15WC 13097 REDD, GREGORY STATE OF ILLINOIS @ 03/19/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 828 15WC 13190 GONZALEZ, ARTURO CENTRAL GROCERS CO-OP, IN 12/11/14 OSVALDO RODRIGUEZ PC 829 15WC 13304 BARTLETT, AMY STATE OF ILLINOIS 03/07/14 GOLDBERG WEISMAN & CAIRO L ILLINOIS ATTORNEY GENERAL 830 15WC 13332 MACHULIS, TAMMY MKM OIL INC 03/06/15 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 831 15WC 13380 CRUZ, ALEJANDRO S & S ACTIVE WEAR 04/03/15 CHEPOV & SCOTT LLC INMAN & FITZGIBBONS 832 15WC 13588 MORGAN, CHRISTOPHER S SOLVAY 04/05/15 DANIEL PERIASWAMY 833 15WC 13634 OLBERA, DANIEL KEYWEST METAL 04/10/15 CAPRON & AVGERINOS PC 834 15WC 13709 MALDONADO, MARIA C SONY ENTERTAINMENT 02/26/15 HERRERA LAW CENTER KEEFE CAMPBELL & ASSOC LLC 835 15WC 13754 BLANKENSHIP, HOWARD MOST VALUABLE PERSONNEL 04/17/15 BRIAN T MORROW, LAW OFFICE KOREY RICHARDSON LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 836 15WC 13813 ALLEN, DEBRA MORNING STAR MISSION 08/21/14 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 837 15WC 13840 ANDERS, DONALD ENVIRONMENTAL DISPOSAL 06/09/14 CIARDELLI CUMMINGS CAMPAGN GANAN & SHAPIRO 838 15WC 13904 MEYER, ROBIN SERVICEMAX, INC 02/13/15 CAPRON & AVGERINOS PC 839 15WC 13927 CHANDLER, DOREEN CATERPILAR 09/27/13 HEALY SCANLON LAW FIRM CATERPILLAR, INC. 840 15WC 14055 PANEGA, JODY MR. BUILT INC. 03/05/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 841 15WC 14136 OCEQUEDA, JOSE KEHE DISTRIBUTORS 04/23/15 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 842 15WC 14341 WALSH, KAREN PROVENA ST JOSEPH 11/16/12 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 843 15WC 14422 GARNER, DEMETRIUS WASTE MANAGEMENT 04/20/15 RIDGE & DOWNES 844 15WC 14776 CROWTHER, LEITH JOLIET FIRE DEPT 03/02/15 RATHBUN CSEVENYAK & KOZOL ANCEL GLINK DIAMOND BUSH & E 845 15WC 14893 VASQUEZ, GLORIA WINGATE 09/04/14 PARENTE & NOREM PC GANAN & SHAPIRO 846 15WC 15212 AMOS, JAZERLE NRG ENERGY INC 03/05/15 HORWITZ HORWITZ & ASSOC 847 15WC 15320 MICHON, MICHAEL O'HARE TOWING SERVICE 03/10/15 MEYERS & FLOWERS 848 15WC 15509 CROSIER, THOMAS A & R CARE CARE D/B/A 03/19/15 BLOCK, KLUKAS & MANZELLA P 849 15WC 15575 HARPER, ALETHA WEXFORD HEALTH 09/14/14 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 850 15WC 15644 ALAMOS, RAMON KENT PRECISION FOODS GROU 04/24/15 LUIS A ACEVES & ASSOC MICHAEL BEST & FRIEDRICH LLC 851 15WC 15785 BERGE, ROBERT E STATEVILLE CORRECTIONAL C 06/01/13 RICHARD E ALEKSY COLIN KICKLIGHTER 852 15WC 15930 SANSONE, ANTHONY UPCYCLE PRODUCTS INC. 03/05/15 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 853 15WC 16074 ROBERTS, ALLEN IL DEPARTMENT OF CORRECTI @ 05/04/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 854 15WC 16087 RAMIREZ, MARIO THERMAL KINETICS CORP 06/16/14 PORRO NIERMANN & PETERSEN LAW OFFICES JOSEPH MARCINIAK 855 15WC 16165 SALAZAR, JESSE ULTRA FOODS 03/16/15 BRIAN T MORROW, LAW OFFICE 856 15WC 16211 CLAY, CURTIS SOLVAY 12/29/14 DANIEL PERIASWAMY BRADY CONNOLLY & MASUDA PC 857 15WC 16249 DANIELS, SHAVONNA HR METRICS INC 05/11/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 858 15WC 16286 RAMIREZ, MARIO THERMAL KINETICS CORP 02/05/15 PORRO NIERMANN & PETERSEN LAW OFFICES JOSEPH MARCINIAK 859 15WC 16451 CANO, PABLO CENTRAL GROCERS 04/28/15 GOLDBERG WEISMAN & CAIRO L 860 15WC 16519 DUARTE, JOSE CLEAR STAFF, INC. 04/14/15 JONATHAN SCHLACK ACCIDENT FUND HOLDINGS, INC 16WC004960 -C 861 15WC 16531 QUIROZ, ELEAZAR AARON THOMAS CO 03/05/15 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 862 15WC 16653 MASTEJ, FRANK WEG ELECTRIC 05/15/15 JOHN E LUSAK LAW OFFICES FRANCESCA LARSEN 863 15WC 16764 MASCOTE, VIRIDIANA ALCANT PETCO 04/28/15 GOLDSTEIN BENDER & ROMANOF ADELSON TESTAN & BRUNDO 864 15WC 16870 GUILLORY, NATHANIEL JR EXEL 05/20/15 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 865 15WC 17145 CECI, JAMES MD MILLER TRUCKING 03/24/15 HORWITZ HORWITZ & ASSOC JAMES M KELLY 866 15WC 17365 RUSSELL, SHANEKEA BP STAFFING 05/13/15 KUMLIN & FROMM RUSIN & MACIOROWSKI LTD 867 15WC 17573 MCCLELLAN, MARK ILLINOIS DOC PAROLE @ 12/09/14 BLOCK, KLUKAS & MANZELLA P MALLORY ZIMET 868 15WC 17623 CROY, DAVID FBI BUILDINGS INC 02/24/15 GOLDBERG WEISMAN & CAIRO L 869 15WC 17797 ALVERIO, MALTA PAYLESS SHOESOURCE 05/07/15 MARKER & ASSOCIATES 870 15WC 17903 PESAVENTO, STEVEN BY PESA PEPSICO, INC # 06/01/13 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 871 15WC 17920 LANGE, ARTHUR G JR ABF FREIGHT SYSTEM, INC 05/21/15 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 872 15WC 17986 ALLEN, LYNDON DOLLAR TREE WAREHOUSE 04/24/15 HORWITZ HORWITZ & ASSOC 873 15WC 18395 JONES, CEDRIC COWORX STAFFING SERVICE 05/14/15 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 874 15WC 18502 POPLAWSKI, SHIRLEY MOSAIC SALES & MARKETING 03/31/15 LAW OFFICE OF JAMES H MILL GAROFALO SCHREIBER STORM 875 15WC 18621 HOLLYFIELD, JOHN SHIPPERS WAREHOUSE 05/22/15 ANGELINI & ORI LLC WOLF LAW LTD 876 15WC 18631 PONTAREILLI, THOMAS ILLINOIS DEPT OF CORRECTI @ 01/15/15 O'CONNOR & NAKOS JEANNINE SIMS 877 15WC 18652 MITCHELL, SHIRLEY FIRSTGROUP AMERICA INC 05/19/15 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 878 15WC 18659 DUNMARS, SHAFIAH ST OF IL DOC STATEVILLE @ 05/11/15 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 879 15WC 18798 SARICH, JACALYN S010075'S 03/25/15 ELFENBAUM EVERS & AMARILIO 15WC026056 -C MARIANO'S (SHOREWOOD) 880 15WC 19056 BERRY, DENNIS JACOBSON/X-PO 05/13/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 881 15WC 19237 NASH, MAURICE GTZ TRUCKING INC 04/16/15 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 882 15WC 19278 PRICE, DANNY T. CITY OF CREST HILL 06/26/12 SANDMAN LEVY & PETRICH SLAVIN & SLAVIN 883 15WC 19500 SPOONER, WALTER R SR STORM SERVICES CORP 02/18/15 VRDOLYAK LAW GROUP LLC 884 15WC 19582 STEELE, JIMMIE GLS TRANSPORTATION 01/26/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING 885 15WC 19688 SANGABRIEL, CESAR TOTAL STAFFING SOLUTION 03/13/15 AIOSSA LAW FIRM 886 15WC 20001 DOHERTY, WILLIAM IDOT 02/26/15 EVAN A HUGHES LAW OFFICE ILLINOIS ATTORNEY GENERAL 887 15WC 20158 GUZMAN, APOLINAR RAILWAY & INDUSTRIAL SERV 01/26/15 KARCHMAR & STONE 888 15WC 20226 BRICK, DANIEL CITY OF JOLIET 06/07/12 RIDGE & DOWNES ROSARIO CIBELLA 889 15WC 20285 KOHL, MICHAEL RPM RACKE PIPING & MECHAN 05/11/15 FITZ & TALLON LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 890 15WC 20373 ROMAN, HERMES MAGID GLOVE AND SAFETY 01/15/15 MC HARGUE, JAMES P LAW OFF WOLF LAW LTD 891 15WC 20776 KEAGLE, KEITH STAFFMARK/ HOME DEPOT 06/01/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 892 15WC 20796 GARCIA, ALICIA ELITE STAFFING 10/24/14 JOHN J CASTANEDA 893 15WC 20955 BALLADARES, SIMON DOMANI CONSTRUCTION 06/05/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 894 15WC 21010 GUTIERREZ, SALVADOR ELITE STAFFING INC 05/12/14 CULLEN HASKINS NICHOLSON 895 15WC 21100 OCHOA, VICTOR RAILWAY & INDUSTRIAL 03/01/14 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD 896 15WC 21149 DELUNA, NORMA A. JOLIET PUBLIC SCHOOLS DIS 05/26/15 BRISKMAN BRISKMAN GREENBER GAROFALO SCHREIBER STORM 897 15WC 21220 BULTEMA, MICHELLE JEWEL OSCO 05/14/15 ASHER, RAYMOND L LTD BRADY CONNOLLY & MASUDA PC 898 15WC 21279 WALKER JR, JEROME FEDERAL EXPRESS 01/27/15 DEER & STONE PC SCOPELITIS GARVIN LIGHT 899 15WC 21404 ZAMORA, JACKUELYN SUNNY HILL NURSING HOME 06/20/15 CULLEN HASKINS NICHOLSON HINSHAW & CULBERTSON 900 15WC 21535 CARTER, PAUL IL DEPT OF TRANSPORTATION 02/20/15 ARGIONIS & ASSOCIATES LLC MALLORY ZIMET 901 15WC 21565 GUTIERREZ, ROB OZBURN-HESSEY LOGISTICS 04/25/15 WOODRUFF & JOHNSON SPIEGEL & CAHILL, PC 902 15WC 21648 ZEPEDA, CARLOS ALG WORLD WIDE LOGISTICS 06/03/15 WITTER LAW OFFICE 903 15WC 21659 TAYLOR, GARY PARSEC INC 12/25/14 BUDIN LAW OFFICES MACIOROWSKI SACKMANN & ULRIC 904 15WC 21750 YANEZ, LOURDES T AXCESS STAFFING SVCS LLC 03/31/15 FIGLIOLI, DAVID 905 15WC 21824 NODINE, SCOTT STATEVILLE CORRECTIONAL C @ 01/19/14 HETHERINGTON KARPEL BOBBER MALLORY ZIMET 906 15WC 22038 RAPCAN, TIMOTHY TOYAL AMERICA INC 04/04/13 RATHBUN CSEVENYAK & KOZOL THOMAS & ASSOCIATES 907 15WC 22123 KEANE, MICHAEL HOME DEPOT 01/19/14 KINNALLY FLAHERTY KRENTZ &

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 908 15WC 22201 JUSKAITE, AGNE AGUIRRE GOVERNORS STATE UNIVERSIT 06/16/15 GOLDBERG WEISMAN & CAIRO L MALLORY ZIMET 909 15WC 22393 CRONIN, MICHAEL R STAFF MARK 02/14/15 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 910 15WC 22437 JIMENEZ, RICARDO ELITE STAFFING INC 06/08/15 CHEPOV & SCOTT LLC CASSIDAY SCHADE LLP 911 15WC 22452 HANEY, REBECCA HELP AT HOME INC. 06/25/14 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 912 15WC 22465 BUFZKIEWICZ, DENNIS OZINGA 05/20/15 STYKA & STYKA GAROFALO SCHREIBER STORM 913 15WC 22537 LANCE, GARRY P. SELECTREMEDY/ REAL TIME 03/05/15 LEWIS & DAVIDSON, LTD LEAHY EISENBERG & FRAENKEL 914 15WC 22907 ESCARENO, LUCERO RON'S STAFFING SERVICES, 06/24/15 BART DURHAM GAROFALO SCHREIBER STORM 915 15WC 23026 RIVERA, ALEJANDRO INDUSTRIAL STEAM CLEANING 06/30/15 OSVALDO RODRIGUEZ PC WIEDNER & MCAULIFFE LTD 916 15WC 23043 KITTLE, TANYA SILVER CROSS HOSPITAL 06/05/15 SKLARE LAW GROUP MACIOROWSKI SACKMANN & ULRIC 917 15WC 23079 HAGGER, VALESHA HOLLYWOOD CASINO 06/07/15 PORRO NIERMANN & PETERSEN ORENSTEIN & ASSOCIATES 16WC005356 -C 918 15WC 23090 YANEZ, TRACY ECOLAB 06/28/15 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC 919 15WC 23174 LAMIE, ANGELA CIRCLE K 06/26/15 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 920 15WC 23393 DEVRIES, KELLEY SILVER CROSS HOSPITAL 12/15/14 FITZ & TALLON LTD MACIOROWSKI SACKMANN & ULRIC 921 15WC 23476 TEIBER, JAMES CITY OF JOLIET 09/25/14 WHITESIDE & GOLDBERG LTD CITY OF JOLIET 922 15WC 23501 SANCHEZ, JOSE MENDOZA LAKEWOOD CARPENTRY SERVIC 06/25/15 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 923 15WC 23666 SKUJA, BRIAN AT&T 04/01/13 GOLDBERG WEISMAN & CAIRO L 924 15WC 23748 SHELLSTROM, DANIEL AR SUPPLY 11/07/14 LAW OFFICE ILONKA ULRICH ROSARIO CIBELLA 925 15WC 23941 VELASQUEZ, LAURA IL DEPT OF HUMAN SERVICES @ 11/21/14 GORDON LAW OFFICES LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 926 15WC 24469 RYAN, ROSE CHILI'S GRILL AND BAR 02/27/15 LAW OFFICE PHILIP BLOMBERG WILSON ELSER 927 15WC 24507 WILLIAMS, JOE CORICO INC 04/23/15 CULLEN HASKINS NICHOLSON 928 15WC 24597 WILLIAMS, ELLIOTT MACNEIL AUTOMOTIVE PRODUC 01/15/15 JASINSKI, GEORGE J HOLECEK & ASSOCIATES 929 15WC 24630 OLSZEWSKI, SUSAN PACE 11/16/13 COHN & COHN POWER & CRONIN LTD 930 15WC 24809 CORTEZ, ARACELI DOLLAR TREE STORES INC 06/17/15 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC 931 15WC 24869 CORRALES, JAVIER BARTEL BLDG MAINTENANCE W 06/10/15 CHEPOV & SCOTT LLC MCNAMARA PHELAN MCSTEEN LLC 932 15WC 24906 VILLANUEVA, ROSA HR METRICS INC/TRADER JOE 05/30/15 BLOCK, KLUKAS & MANZELLA P QUINTAIROS PRIETO WOOD & BOY 933 15WC 24993 ROCHA, ISELA SANDVIK-EXEL 07/16/15 STROM, NEAL B HENNESSY & ROACH PC 934 15WC 25060 BUTLER, TYWANA THE INN AT WILLOW FALLS 05/12/15 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 935 15WC 25111 LOMBARDO, PAUL SEELER INDUSTRIES INC 12/29/14 HORWITZ HORWITZ & ASSOC 936 15WC 25486 WILLIAMS, GENE PINNACLE STAFFING 07/11/15 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 937 15WC 25566 MONTEMAYOR, DANIEL ADVANCE AUTO PARTS 10/15/14 STEVEN A CRIFASE, LTD WIEDNER & MCAULIFFE LTD 938 15WC 25756 HOWEN, ROBERT NORTHERN ILLINOIS STEEL S 02/17/15 SCHWEICKERT & GANASSIN POULOS & DIBENEDETTO LAW 939 15WC 25904 PARRILLA, TRISTAN ADECCO STAFFING 06/05/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 940 15WC 25935 BRUNO, ELIZABETH SYNAGRO TECHNOLOGIES INC 04/15/15 HEALY SCANLON LAW FIRM GRANT & FANNING 941 15WC 26035 IBARRA, VICTOR DENOVO CONSTRUCTION 05/29/15 O'CONNOR & NAKOS HENNESSY & ROACH PC 942 15WC 26119 CLARK, NORM GENERAL MOTORS 09/01/14 LAW OFFICES OF NYHAN BAMBRICK KINZIE & LOWR 943 15WC 26147 RANDLE, BRENDA WALMART 04/19/15 BOWMAN & CORDAY QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 944 15WC 26264 FAVIA, FRANK JEWEL OSCO 03/08/15 WOODRUFF & JOHNSON 945 15WC 26352 GOMEZ, BENJAMIN WEST LIBERTY FOODS 06/12/15 CHEPOV & SCOTT LLC 946 15WC 26511 LEE, ANTOINE STAFF FORCE 07/28/15 VRDOLYAK LAW GROUP LLC SLAVIN & SLAVIN 947 15WC 26539 HOLLEY, JASON MIG'S TRUCKING INC 06/09/15 DWORKIN AND MACIARIELLO 948 15WC 26871 MELQUIADES, GIOVANNI D&D MANUFACTURING, INC. 11/19/14 DEPAOLO ZADEIKIS GORE 949 15WC 26974 MITCHELL, MICHAEL UPS 09/17/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 950 15WC 26994 JURKOWSKI, PAUL ECOLAB INC 03/19/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 951 15WC 27023 PUTNAM, JAMES CITY OF LOCKPORT 05/24/14 JACOBSON & SCHIEFELBEIN 952 15WC 27064 CASAS, CANDELARIA METRO STAFF INC 04/21/14 JOHN J CASTANEDA HENNESSY & ROACH PC 953 15WC 27119 SOLIS, ELVIA ITW DELTAR 06/25/15 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 954 15WC 27188 NAVARRO, IGNACIO WORK NOW STAFFING 06/04/15 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 955 15WC 27448 TRIEMSTRA, JORDAN C PEOPLE LINK/DUTCH AMERICA 08/06/15 LEONARD LAW GROUP LLC WOLF LAW LTD 956 15WC 27497 TINDLE, RICHARD ECOLAB 07/25/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 957 15WC 27657 CHAVEZ, JOSE ILL DEPT OF CORRECTIONS @ 07/10/15 KATZ FRIEDMAN EAGLE ET AL MALLORY ZIMET 958 15WC 27710 GREER, RICHARD SOUTHERN WINE & SPIRITS 08/19/14 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 959 15WC 27907 RIVERA, JUAN DAVIS STAFFING 08/11/15 VASILATOS & COTTER LLC 960 15WC 27930 ELLIOTT, TODD ALDI 06/19/15 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 961 15WC 28125 GARCIA, PHILIP S COSTCO WHOLESALE 04/20/15 LAW OFFICES MICHAEL HELLMA GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 962 15WC 28324 NEUBAUER, KARI D. ROSEBUD FARM INC 01/07/15 STROM, NEAL B MC ANDREWS & NORGLE LLC 963 15WC 28440 BEY, PATRICIA JOLIET PUBLIC SCHOOLS 06/10/15 ANKIN LAW OFFICE ROSARIO CIBELLA 964 15WC 28765 ANDRADE, ARACELI PRIDE METAL PRODUCTS N/K/ 06/15/14 CORBOY & DEMETRIO PC 965 15WC 28962 RUSS, MARY RML SPECIALTY HOSPITAL 02/16/13 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 15WC028963 -C 966 15WC 29084 HERNANDEZ, JOSEFINA DISTRICT 202 08/04/15 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 967 15WC 29140 GARCIA, HECTOR RYDER 09/03/15 JAMES ELLIS GUMBINER & ASS HEYL ROYSTER VOELKER & ALLEN 968 15WC 29488 STACY, BRENDA AUTOBAHN COUNTRY CLUB 07/02/09 HORWITZ HORWITZ & ASSOC LAW OFFICES OF 969 15WC 29497 STAPP, MICHAEL CITY OF JOLIET 11/08/13 HORWITZ HORWITZ & ASSOC CITY OF JOLIET 970 15WC 29587 RINEHART, JOHN ITW DELTAR FUEL SYSTEMS 08/31/15 WHITESIDE & GOLDBERG LTD 971 15WC 29631 PETERS, RON PARSEC INDUSTRIES INC 04/04/15 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 972 15WC 29723 MORENO-TREVINO, MELINDA ILLINOIS CENTRAL SCHOOL B 07/06/15 RIDGE & DOWNES GILDEA & COGHLAN 973 15WC 30119 SEGURA, ALFONSO COUNTRY CHARM RESTAURANT 08/24/15 CULLEN HASKINS NICHOLSON WOLF LAW LTD 974 15WC 30382 PLATTA, TINA DOLLAR GENERAL 03/10/15 WHITESIDE & GOLDBERG LTD LEAHY EISENBERG & FRAENKEL 975 15WC 30393 GOMEZ, DAVID STEPAN CO 07/23/14 RIDGE & DOWNES KLAUKE LAW GROUP LLC 15WC030394 -C 976 15WC 30812 BAILEY, QUINCY ADECCO USA INC 07/14/15 ANKIN LAW OFFICE HENNESSY & ROACH PC 977 15WC 30837 SNODGRASS, MARYSUSAN JOLIET PUBLIC SCHOOL DIST 06/01/15 FABRIZIO, HANSON & PEYLA 978 15WC 30878 GORDEN, KIMBERLY ELITE STAFFING INC 09/07/15 BERNAT & BERNAT PC 979 15WC 30910 NAVARRO, FRANCISCO KIMCO SERVICES 07/17/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 980 15WC 30953 HOLZMAN, DEAN K & M TIRE 09/23/15 GOLDSTEIN AIOSSA & GOOD 981 15WC 31021 WHITE, GENEVA HR METRICS, INC. 08/29/15 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 982 15WC 31040 FERGUSON, BERNARD ELITE STAFFING INC 08/20/15 ANKIN LAW OFFICE MARC CAIRO 983 15WC 31048 VELAZQUEZ, MARTIN STAFFING NETWORK LLC 08/23/15 COSTA IVONE LLC SLAVIN & SLAVIN 15WC031049 -C 984 15WC 31147 TRUE, SUEZAN COMCAST 03/05/15 LULAY LAW OFFICES POWER & CRONIN LTD 15WC031148 -C 985 15WC 31216 LOPEZ-FLORES, JAIME MVP TEMP SERVICES 04/01/15 BLOCK, KLUKAS & MANZELLA P KOREY RICHARDSON LLC 986 15WC 31592 LOCK, BETTY FED EX 11/24/14 CUDA LAW OFFICES SCOPELITIS GARVIN LIGHT 987 15WC 31654 NYSTROM , JODI L LINCOLN WAY SPECIAL EDUCA 09/11/15 FIGLIOLI, DAVID 988 15WC 31694 FINN, MARTY GC INSTALLERS LLC 11/13/13 HEALY SCANLON LAW FIRM QUINTAIROS PRIETO WOOD & BOY 15WC031695 -C 989 15WC 31723 TRIPLETT, SHANEICE STAFFING NETWORK 09/19/15 SHELDON I MINKOW & ASSOCIA SLAVIN & SLAVIN 990 15WC 31841 TYLER, DARLENE HOLLYWOOD CASINO 08/11/15 SOSTRIN AND SOSTRIN PC ORENSTEIN & ASSOCIATES 991 15WC 31869 PIERCE, LENNELL SR APOLLO COLORS 07/16/15 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 992 15WC 31885 MERCADO, MARIA E ELITE STAFFING 08/30/15 KATZ FRIEDMAN EAGLE ET AL 993 15WC 31941 WARE, HASSAN TOTAL LOGISTICS 07/11/15 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 994 15WC 31990 DAUGHERTY, MICHAEL K-5 CONSTRUCTION 07/31/15 MCNAMARA PHELAN MCSTEEN LL GAROFALO SCHREIBER STORM 995 15WC 32199 SWAIN, RUTH PEACOCK 04/20/15 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 15WC032200 -C 996 15WC 32238 VELA, STEVEN FEDEX FREIGHT EAST 06/02/15 KROL BONGIORNO & GIVEN LTD QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 997 15WC 32342 ALBERY, MATTHEW CASSENS TRANSPORT COMPANY 08/03/15 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 998 15WC 32452 FRONEK, MOLLY TOYS-R-US 08/31/15 PARENTE & NOREM PC KEEFE CAMPBELL & ASSOC LLC 999 15WC 32503 MANRIQUE, AYDE BERGSTROM 08/16/15 COSTA IVONE LLC WOLFE & JACOBSON, LTD 1000 15WC 32610 MACKOVITCH, TOM CENTRAL GROCERS INC. 09/18/15 LEONARD LAW GROUP LLC ROSARIO CIBELLA 1001 15WC 32663 KOZIOL, KEVIN BEST BUY INC 10/26/13 STYKA & STYKA 1002 15WC 32696 SAYAGO, MARGARITA ELITE STAFFING 09/14/15 DWORKIN AND MACIARIELLO 1003 15WC 32735 GARCIA, RUBEN RASNER ENTERPRISES, INC 05/07/15 RUEDA, IVAN A 1004 15WC 32854 RUSSELL, JOHN TOYAL AMERICA, INC. 06/18/15 ROBERT DARGIS 1005 15WC 32873 PAVLICK, JOHN CALUMET SCREW MACHINE PRO 10/14/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 1006 15WC 32884 ALFARO, RAUL M JR CENTRAL GROCERS INC 09/14/15 GOLDBERG WEISMAN & CAIRO L ROSARIO CIBELLA 1007 15WC 32995 BECKMAN, GAIL A GDI 10/01/15 TOSCAS, JOHN Z LAW OFFICE 1008 15WC 33077 CORTEZ, STEVEN D ESMARK STEEL 07/15/15 SOSTRIN AND SOSTRIN PC COZZI & GOGGIN-WARD 1009 15WC 33300 GUTIERREZ, MARY LOU ABM FACILITY SERVICES 09/01/15 GORDON & CENTRACCHIO LLC 1010 15WC 33434 JURASITS, JASON 101 LODERS CROKLAAN INC 05/13/15 PETER D CORTI LAW GROUP ROSARIO CIBELLA 1011 15WC 33448 MUELLER, ROLLIN CATERPILLAR INC 09/21/15 RIDGE & DOWNES CATERPILLAR, INC. 1012 15WC 33677 VEGA, DIONICIO CARTA CONCRETE 10/02/15 1013 15WC 33831 WEZNER, JANET VERICLAIM 09/02/15 DWORKIN AND MACIARIELLO ARNETT LAW GROUP 16WC004546 -C 1014 15WC 34017 KOCHINSKY, VERONICA M LINCOLN-WAY SCHOOL 03/13/14 LAW OFFICE OF THOMAS P NAU

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1015 15WC 34093 ARON, JEFFREY STATE OF ILLINOIS POLICE @ 06/23/15 BLOCK, KLUKAS & MANZELLA P JILL OTTE 1016 15WC 34141 AGUIRRE, TINA HOME HELPERS 09/30/15 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 1017 15WC 34274 LE FEBVRE, WILLIAM USF HOLLAND 10/21/15 PARENTE & NOREM PC 1018 15WC 34401 JOHNSON, FANNIE MAC NEIL AUTOMOTIVE PRODU 08/12/15 ANKIN LAW OFFICE 1019 15WC 34434 MARIN, VERONICA PACTIV 11/07/13 MCNAMARA PHELAN MCSTEEN LL SPIEGEL & CAHILL, PC 1020 15WC 34517 DROWER, DOLORES PLAINFIELD SCHOOL 01/23/15 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 1021 15WC 34703 NODINE, NICOLE THINGS REMEMBERED INC C/O 10/19/15 HETHERINGTON KARPEL BOBBER COZZI & GOGGIN-WARD 1022 15WC 34744 HILL, MELISSA Y SUNNYHILL NURSING HOME 07/25/15 CULLEN HASKINS NICHOLSON HINSHAW & CULBERTSON 1023 15WC 34792 DENT, MICHAEL A XPO LOGISTICS 06/24/14 LAW OFFICE OF THOMAS P NAU KEEFE CAMPBELL & ASSOC LLC 1024 15WC 34810 TAYLOR, JEFFREY CLEARSTAFF INC 08/19/15 DWORKIN AND MACIARIELLO 1025 15WC 34828 EADY, ANDREA DHR STAFFING SOLUTIONS 10/02/15 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 1026 15WC 34842 ETIENNE, BONNIE MENARDS 04/30/15 RATHBUN CSEVENYAK & KOZOL CHILTON YAMBERT PORTER LLP 1027 15WC 34893 PAYNE, JANET PRESENCE HEALTH CARE SYST 03/04/14 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 1028 15WC 35123 ZEBELL, PATRICIA DIAGEO NORTH AMERICA INC 09/09/15 BART DURHAM COZZI & GOGGIN-WARD 1029 15WC 35216 THIESSE, ANDREW STATE OF ILLINOIS @ 08/06/14 BAUM RUFFOLO & MARZAL LTD ASSISTANT ATTORNEY GENERAL 1030 15WC 35341 JEFFERSON, WILLIAM ACCURATE PERSONNEL 09/02/15 MC HARGUE, JAMES P LAW OFF MC ANDREWS & NORGLE LLC 1031 15WC 35591 FLYNN, MARK STATE OF IL, DEPT OF @ 07/24/13 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTY GENERAL 1032 15WC 35605 URQUIZA, ALMA ADVENTIST BOLINGBROOK 02/11/15 JONATHAN SCHLACK STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1033 15WC 35674 DAVID, SUESETTE DHR METRIC 09/12/15 BARRY A KETTER QUINTAIROS PRIETO WOOD & BOY 1034 15WC 35694 SMITH, BLAIR III CENTRAL GROCERS INC. 07/22/15 ANKIN LAW OFFICE ROSARIO CIBELLA 15WC037847 -C 1035 15WC 35890 HUDETZ, NICHOLAS BAISH EXCAVATING, INC. 09/10/15 MILLON & PESKIN LTD CHILTON YAMBERT PORTER LLP 1036 15WC 35907 SPENCER, RYAN FILM QUEST GROUP, INC. 04/09/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 1037 15WC 35928 WARD, CAROL SALEM VILLAGE NURSING HOM 11/24/14 KIPNIS & KAHN KEEFE CAMPBELL & ASSOC LLC 1038 15WC 35934 NOLDEN, LAVELL GTECH 12/17/14 DANIEL PERIASWAMY 1039 15WC 36043 NESE, RICHARD PERFORMANCE FOOD GROUP, I 10/20/15 STELLATO & SCHWARTZ 1040 15WC 36204 VARGAS, MIGUEL PRES-ON 10/05/15 BERG & BERG 1041 15WC 36419 LAIN, ZINA BRE/EVERBRIGHT M6 LLC; 10/17/15 BELCHER LAW OFFICE WOLFE & JACOBSON, LTD 1042 15WC 36485 GULYBAN, CYNTHIA L KOHL'S DEPARTMENT STORE # 12/03/14 O'CONNOR & NAKOS HENNESSY & ROACH PC 1043 15WC 36598 MUNOZ, RENE COUNTY OF WILL 11/04/15 KROCKEY CERNUGEL COWGILL E HINSHAW & CULBERTSON 1044 15WC 36773 KESKE, BONNIE PLAINFIELD SCHOOL DIST 20 01/16/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 1045 15WC 36787 REKART, PHIL CENTRAL GROCERS INC. 10/09/13 GOLDBERG WEISMAN & CAIRO L ROSARIO CIBELLA 1046 15WC 36867 HERNANDEZ, RICARDO USF HOLLAND, INC. 03/20/14 MEYERS & FLOWERS HENNESSY & ROACH PC 1047 15WC 36990 MORROW, REGINALD BANNER PERSONNEL SERVICE 11/01/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 1048 15WC 37186 BURNETT, DERRICK CARDINAL LOGISTICS 08/07/14 ASHER, RAYMOND L LTD SPIEGEL & CAHILL, PC 1049 15WC 37288 MYERS, ROBERT CROWN EQUIPMENT CORPORATI 04/23/14 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 1050 15WC 37296 HILL, RICHARD III HENRY ALES AUTOMOTIVE 08/12/15 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1051 15WC 37312 PERRY, MICHAEL W. L A SITES, INC 09/25/15 ROSS TYRRELL QUINTAIROS PRIETO WOOD & BOY 1052 15WC 37323 BALOG, PATRICIA KNOWLEDGE UNI/KINDER CARE 05/01/14 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 1053 15WC 37371 SIMS, CURTIS INNOTRAC 11/03/15 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 1054 15WC 37542 CATCHINGS, EMOGENE SUNNY HILL NURSING HOME 06/12/15 DWORKIN AND MACIARIELLO 1055 15WC 37730 SHAW, RYAN CITY OF JOLIET 07/19/15 LULAY LAW OFFICES CITY OF JOLIET 1056 15WC 37906 GONZALEZ, RAUL A CENTRAL GROCERS 10/19/15 ENCINAS & ORNELAS ROSARIO CIBELLA 1057 15WC 37955 OLAGUEZ, MIGUEL A CENTRAL GROCERS INC 12/24/13 KELLY & KING ROSARIO CIBELLA 1058 15WC 38135 PINEDA, SERGIO CLEARSTAFF INC INNOTRAC C 09/23/15 ACEVES & PEREZ PC 1059 15WC 38252 COCKERHAM, KERRY AMEX NOOTER, LLC 06/01/15 RIDGE & DOWNES HENNESSY & ROACH PC 1060 15WC 38313 QUINTANA, JAIME ELITE STAFFING 11/11/15 BART DURHAM GAROFALO SCHREIBER STORM 1061 15WC 38334 LIKAR, DALE LOCKPORT POLICE DEPARTMEN 02/09/14 KAVANAGH GRUMLEY & GORBOLD RUSIN & MACIOROWSKI LTD 1062 15WC 38411 DUTTON, CHRISTOPHER PEPSICO INC 10/03/14 BLOCK, KLUKAS & MANZELLA P ROBERT L. SMITH 1063 15WC 38588 MARTINEZ, LUIS ART CRYSTAL LTD 05/12/15 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 1064 15WC 38754 HERNANDEZ, ROBERTINA RON'S STAFFING SVCS 11/19/15 STROM, NEAL B KOREY RICHARDSON LLC 1065 15WC 38896 MITCHELL-FRANKLIN, MICHEL TRINITY SVCS INC 08/30/13 WHITESIDE & GOLDBERG LTD 1066 15WC 38956 MILLER, DOLORES MOTHER OF BBC FASTENERS INC # 10/29/15 BLOCK, KLUKAS & MANZELLA P 1067 15WC 39018 CAVANAUGH, FRANK STEPAN COMPANY 10/08/15 ANGELINI & ORI LLC KLAUKE LAW GROUP LLC 1068 15WC 39071 MORALES, EVERARDO STAFF FORCE INC. 06/22/15 ENCINAS & ORNELAS SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1069 15WC 39084 DIXON, MARQUAL TRINITY SERVICES INC 11/16/15 STEVEN H MEVORAH & ASSOCIA 1070 15WC 39106 GUTIERREZ, ANTONIO QUANTUM CROSSINGS 10/29/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 1071 15WC 39415 IZQUIERDO, DAVID LOCKPORT FIRE PROTECTION 11/16/15 HETHERINGTON KARPEL BOBBER 1072 15WC 39478 PUTRICH, MICHAEL WILL COUNTY SHERIFF DEPT 10/29/15 DWORKIN AND MACIARIELLO 1073 15WC 39514 KOZLOWSKI, BRUCE MIDWEST TRANSIT EQUIPMENT 04/14/15 LANNON LANNON & BARR LTD 1074 15WC 39637 MURRAY, KEITH JOLIET PARK DISTRIC 11/20/15 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 1075 15WC 39767 GANDARA, MARTIN AIRSTREAM PRESSURE WASHIN 10/08/15 NEWLAND & NEWLAND 1076 15WC 40984 CAMARILLO, FELIPE ANGELES DECORATORS 12/11/15 SOSTRIN AND SOSTRIN PC GILDEA & COGHLAN 1077 15WC 41124 MALDONADO, ANGEL ATLAS/SKYLINE STAFFING IN 11/16/15 JAMES ELLIS GUMBINER & ASS JAMES ELLIS GUMBINER & ASSOC 1078 15WC 41262 CALDERON, JOSE MANUEL WOODMARK, LLC 08/17/15 MC HARGUE, JAMES P LAW OFF ACCIDENT FUND HOLDINGS 1079 15WC 41335 KASPER, TIMOTHY APOLLO COLORS 12/03/15 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 1080 15WC 41362 GERAT, RON BCU ELECTRIC 10/24/15 HORWITZ HORWITZ & ASSOC LAW OFFICES OF EDWARD J. KOZ 1081 15WC 41366 AVALOS, JUAN EXEL 05/18/15 ALVARO COOK LTD HENNESSY & ROACH PC 1082 15WC 41446 LOPEZ, ROSA S & S ACTIVEWEAR 09/09/15 FIGLIOLI, DAVID 1083 15WC 41483 MAIDEN, JACKIE A HOME DEPOT 03/10/15 WEISS & WEISS LAW OFFICES MC ANDREWS & NORGLE LLC 1084 15WC 41519 LYNN, MAXINE WALMART 05/10/15 RATHBUN CSEVENYAK & KOZOL 1085 15WC 41579 CASTILLO, J. CARMEN PRY-BAR INC. 05/14/15 HORWITZ HORWITZ & ASSOC RIPES NELSON BAGGOT KALOBRAT 1086 15WC 41586 WARSAW, RICHARD W SOLVAY USA 12/11/15 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1087 15WC 41600 GRIFFIN, TERRELL KEN HEIMLICH D/B/A 10/21/15 LEWIS & DAVIDSON, LTD GAROFALO SCHREIBER STORM 1088 15WC 41716 BANKS, JAMES ULTRA FOODS 08/29/15 HORWITZ HORWITZ & ASSOC 1089 15WC 41782 KOPIJ, DONNA HOLLYWOOD CASINO 08/25/15 VASILATOS & COTTER LLC ORENSTEIN & ASSOCIATES 1090 15WC 41859 BURKE, RYAN R AMS MECHANICAL 12/07/15 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA 1091 15WC 41903 MOFFETT, JACQUELINE D INDIVIDUAL ADVOCACY GROUP 12/11/15 DAVID W MARTAY 1092 15WC 41979 ALFARO, BRANDON CENTRAL GROCERS 11/15/15 GOLDBERG WEISMAN & CAIRO L ROSARIO CIBELLA 1093 15WC 42132 ANDERSON, SHAWN FLEXIBLE STAFFING SERVICE 01/10/14 HORWITZ HORWITZ & ASSOC 1094 15WC 42158 JUAREZ, JOSE AARON THOMAS CO. INC. 01/31/15 KARCHMAR & STONE LAW OFFICES JOSEPH MARCINIAK 1095 15WC 42449 GARCIA, MARTHA AUTUMN LEAVES OF OSWEGO 11/27/15 ANESI OZMON RODIN NOVAK KO 1096 15WC 42593 EGGLESTON, CIERA D&U UNITED CORP 10/26/15 PORRO NIERMANN & PETERSEN KURT E. VRAGEL JR PC 15WC042595 -C SDVD/SKIRDOVIDA CORP 1097 15WC 42637 MUNOZ, DANIEL G&M TRANSMISSION 09/14/15 HORWITZ HORWITZ & ASSOC QUINN JOHNSTON HENDERSON ETA 1098 15WC 42699 GOLF, JASON KNIGHT SECURITY ALARMS IN 12/22/15 KARLIN FLEISHER & FALKENBE 1099 16WC 00030 PIERCE, KELLY LOCKPORT TOWNSHIP HS DIST 05/18/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 1100 16WC 00103 RUIZ, ADILENE CLEAR STAFF 12/28/15 SALVATO & O'TOOLE 1101 16WC 00175 PRIDE, LEMIUAL BEAT WAY LOGISTICS 12/03/15 RUBENS AND KRESS MCANANY VANCLEVE & PHILLIPS 1102 16WC 00252 HUNTER, ULYSSES OLD DOMINION FREIGHT LINE 12/05/15 DWORKIN AND MACIARIELLO RODDY LAW LTD 1103 16WC 00330 LARSON, DONALD CATERPILLAR INC 11/17/15 HORWITZ HORWITZ & ASSOC CATERPILLAR, INC. 1104 16WC 00337 PARRISH, MARGIE TRINITY SVCS 09/06/15 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 65 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1105 16WC 00366 SANCHEZ, ISIDORO KEHE DISTRIBUTORS INC 11/25/15 STEWART C ORZOFF 1106 16WC 00452 D'ANNA, THOMAS STEGER POLICE DEPARTMENT 05/07/15 COVEN LAW GROUP 1107 16WC 00534 TISDALE, JAMES STAFFMARK 11/02/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 1108 16WC 00790 LACKEY, KRISTOPHER OSWEGO FIRE DISTRICT 3 06/13/15 GOLDBERG WEISMAN & CAIRO L 1109 16WC 00802 ARMSTRONG, JEFFREY PACTIV LLC 01/05/16 SKLARE LAW GROUP SPIEGEL & CAHILL, PC 1110 16WC 00921 VILLAGOMEZ, LILIA HICKORY FARMS DISTRIBUTIO 09/25/15 EPSTEIN, JACK R LAW OFFICE 1111 16WC 00968 CAHUE, GUADALUPE CENTRAL GROCERS, INC. 12/13/15 ENCINAS & ORNELAS ROSARIO CIBELLA 1112 16WC 00982 CANTU, HOMERO P.T. FERRO CONSTRUCTION C 04/10/15 BOTTO GILBERT COZZI & GOGGIN-WARD 1113 16WC 01093 FERNANDEZ, KATHY SILVER CROSS HOSPITAL 04/28/15 SOSTRIN AND SOSTRIN PC MACIOROWSKI SACKMANN & ULRIC 1114 16WC 01250 SPURLOCK, JOSEPH UNITED STATES COLD STORAG 11/16/15 COYNE REINKE LAW BRADY CONNOLLY & MASUDA PC 1115 16WC 01333 SORTINO, JOSEPH AT&T 12/04/15 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 1116 16WC 01428 BURL, JELESSA SPRING CREEK NURSING & RE 01/04/16 LEITER LAW OFFICES 1117 16WC 01629 CAMMACK, ALLEN RS CORCORAN CO 06/17/15 STEPHEN G PINTO LTD 1118 16WC 01663 BONILLA, OMAYRA SYNNEX CORPORATION 01/12/15 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 1119 16WC 01670 HUTCHINS, RODNEY D UNIVERSITY OF ST FRANCIS 10/21/14 KATZ FRIEDMAN EAGLE ET AL 1120 16WC 01688 RIVERA, JEFFREY CENTRAL GROCERS INC. 03/20/15 SKLARE LAW GROUP ROSARIO CIBELLA 1121 16WC 01753 JAMES, RICKEY UNITED STATES 09/08/15 LAW OFFICE OF PETER CULOTT BRADY CONNOLLY & MASUDA PC 1122 16WC 01949 HOLDING, DUSTIN WEDD HYUNDAI LLC 10/20/15 SCHWEICKERT & GANASSIN GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 66 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1123 16WC 02119 SMITH, WILLIAM D CASSENS TRANSPORT COMPANY 12/17/15 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 1124 16WC 02303 MUIR, ELBAR PLAINFIELD SCHOOL DIST #2 08/17/15 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 1125 16WC 02352 ZAGRZEBSKI, ALLISON PLAINFIELD SCHOOL DISTRIC 08/25/15 RUBIN MACHADO ROSENBLUM KEEFE CAMPBELL & ASSOC LLC 1126 16WC 02389 MAHONEY, NORMA JOLIET STAFFIG 12/01/15 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 1127 16WC 02449 CANTU, HOMERO PT FERRO CONSTRUCTION 05/27/15 BOTTO GILBERT COZZI & GOGGIN-WARD 1128 16WC 02545 GALLEGOS, JUAN CAFE ROMEOVILLE 01/03/16 VRDOLYAK LAW GROUP LLC 1129 16WC 02724 DEMAIO, MICHELLE MACY'S 10/24/15 STROM, NEAL B ROBERT L. SMITH 1130 16WC 02756 GARCIA, ALEX COSTCO 12/09/15 DAVID W MARTAY GANAN & SHAPIRO 1131 16WC 02879 RIBORDY, JAMES F JR CABERY FERTILIZER 07/15/15 PETER F FERRACUTI & ASSOCI DOWD & DOWD LTD 1132 16WC 02968 ANDERSON, JOHN CORNERSTONE SVCS 07/21/15 RATHBUN CSEVENYAK & KOZOL 1133 16WC 03003 REZA, ROGELIA S&S ACTIVEWEAR 11/17/15 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 1134 16WC 03088 BUFORD, GREGORY J WILL COUNTY-SHERIFF'S DEP 10/29/15 ROBERT ZELEK LAW OFFICES HINSHAW & CULBERTSON 1135 16WC 03130 HARDAWAY, CRYSTAL ELITE STAFFING 11/23/15 RUBENS AND KRESS 1136 16WC 03169 HENLE, DANA HOME DEPOT RDC 5851 01/21/14 HORWITZ HORWITZ & ASSOC ADELSON TESTAN & BRUNDO 16WC003170 -C 1137 16WC 03183 VAZQUEZ, MARIA Y MACNEIL AUTO PRODUCTS LTD 12/07/15 GOLDSTEIN BENDER & ROMANOF 1138 16WC 03287 SHAW, JOYCE SUNHILL NURSING HOME 12/27/15 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 1139 16WC 03302 MELANT, EDWARD VOLVO TRUCKS NORTH AMERIC 10/30/15 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 1140 16WC 03371 GALVEZ, MARIE E BUTTERFIELD HEALTH CARE I 05/21/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 67 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1141 16WC 03409 HERNANDEZ, TARA KELLY SERVICES 11/20/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 1142 16WC 03523 WEIS, JALAYNE PLAINFIELD SCHOOL DIST 20 03/10/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 1143 16WC 03558 ASCENCIO, EFRAIN GROUNDSKEEPER LANDSCAPE C 01/27/16 STROM, NEAL B RODDY LAW LTD 1144 16WC 03569 EASLEY, JOHN SWAP.COM 12/17/15 JOHN F GREGORIO & ASSOC LAW OFFICES JOSEPH MARCINIAK 1145 16WC 03606 CHAVEZ, HERIBERTO RAILWAY INDUSTRIAL SERVIC 06/10/14 ELFENBAUM EVERS & AMARILIO 1146 16WC 03752 PARAMO, EMMA EMPL0YBRIDGE HOLDINGS CO 10/08/15 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 1147 16WC 03775 MARINO, DON JOLIET PUBLIC SCHOOL 01/04/16 WHITESIDE & GOLDBERG LTD 1148 16WC 03970 EIGENBAUER, JENNIFER STAFFING NETWORK 05/31/15 MC HARGUE, JAMES P LAW OFF SLAVIN & SLAVIN 1149 16WC 04053 STRAUGHTER, DONNA AEROCARE MEDICAL 02/05/14 BLOCK, KLUKAS & MANZELLA P THOMAS & ASSOCIATES 1150 16WC 04076 RANDICH, TODD LOCKPORT TWP FIRE DISTRIC 09/19/15 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 1151 16WC 04115 SULLIVAN, JOHN CAMPBELL ELECTRIC 12/02/15 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 1152 16WC 04142 ARUNDEL, JEANINE HOMER CCSD 33C 01/05/15 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 1153 16WC 04182 ROSE, ROBERT C FLEET PRIDE 08/14/15 CULLEN HASKINS NICHOLSON 1154 16WC 04206 CZARNECKI, THOMAS VILLAGE OF MOKENA POLICE 12/30/15 ELFENBAUM EVERS & AMARILIO SLAVIN & SLAVIN 1155 16WC 04228 OLSON, DANIEL OSWEGO TOWNSHIP 01/28/16 WOODRUFF & JOHNSON 1156 16WC 04270 RODRIGUEZ, RODRIGO MAGID 01/08/16 CUSHING LAW OFFICES 1157 16WC 04320 KOTALIK, DARLINE JEWEL-OSCO 12/23/15 MCNAMARA PHELAN MCSTEEN LL 1158 16WC 04350 WINNS, KIMBERLY TRINITY SERVICES 02/04/15 BRIAN T MORROW, LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1159 16WC 04387 JOHNSON, OCTAVIA INTEGRITY STAFFING AMAZON 02/01/16 MEYERS & FLOWERS SLAVIN & SLAVIN 1160 16WC 04452 PETRO, ALAN CITY OF JOLIET FIRE DEPT 06/12/15 RATHBUN CSEVENYAK & KOZOL KAVANAGH GRUMLEY & GORBOLD 1161 16WC 04534 MERCK, SEAN ORLAND FIRE PROTECTION 01/20/16 CULLEN HASKINS NICHOLSON 1162 16WC 04564 GREEN, NATHAN YRC 09/23/15 PARENTE & NOREM PC HENNESSY & ROACH PC 1163 16WC 04744 HOLMAN, JOHNNY R SURGE STAFFING LLC 01/03/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 1164 16WC 04809 PARKER, RICKIE ASPLUNDH TREE EXPERT CO 01/20/16 COSTA IVONE LLC KNELL & O'CONNOR 1165 16WC 04907 REYNOSO, OSWALDO PRIORITY STAFFING 02/10/16 SKLARE LAW GROUP HENNESSY & ROACH PC 1166 16WC 04971 REEDER, WILLIAM LABOR READY 01/29/16 MARC J SHUMAN & ASSOCIATES 1167 16WC 05008 AMEGASHIE, THEORDORE K LODERS CROKLAAN USA LLC 02/05/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 1168 16WC 05009 AMEGASHIE, THEODORE K LODERS CROKLAAN USA LLC 04/10/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 1169 16WC 05038 LATIKER, ANGELA D HR METRICS, INC. 01/26/16 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 1170 16WC 05080 PEREZ, ANTONIO LABOR TEMPS 07/16/14 LAW OFFICES LEONARDO MORAL FRANCIS J DISCIPIO LAW OFFIC 1171 16WC 05227 SUTTON, EDWARD L PHILLIPS CHEVROLET 01/26/16 THOMAS R LICHTEN 1172 16WC 05255 ARENZ, MARCEL J B HUNT TRANSPORT SERVIC 02/09/16 COPLAN & CRANE, LTD 1173 16WC 05394 BROWN, PATRAIL G. JOLIET STAFFING, LLC. 01/25/16 ANKIN LAW OFFICE 1174 16WC 05419 VEGA, ENRIQUE ABACUS STAFFING 02/04/16 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 1175 16WC 05526 CORTEZ, YOLANDA CHIC-FIL-A AT BOLINGBROOK 07/16/15 THE ROMAKER LAW FIRM LITCHFIELD CAVO 1176 16WC 05603 BUSTAMANTE, GERARDO JR CENTRAL GROCERS INC 02/10/16 ANKIN LAW OFFICE ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1177 16WC 05626 ANDRADE, ARACELLI LYONN LLC D/B/A PRIDE MET 05/15/14 STEVEN A CRIFASE, LTD 1178 16WC 05657 GALL, BRADLEY EDON CONSTRUCTION 11/25/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 1179 16WC 05772 DAVID, MARK ROMAN CATOLIC DIOCESE 08/25/15 CAPRON & AVGERINOS PC 1180 16WC 05836 WISNIEWSKI, DAVE CENTRAL AMERICAN GROUP 12/31/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 1181 16WC 05908 FLOYD, PAMELA ARAMARK 08/31/15 BLOCK, KLUKAS & MANZELLA P 1182 16WC 05973 JEFFERSON, MAURICE MANPOWER, INC. 01/27/16 DANIEL J ADLER LAW OFFICE CASSIDAY SCHADE LLP 1183 16WC 06059 GIVENS, ESELINA "DOLLY" ILLINOIS DEPT OF CORRECTI @ 01/19/16 HORWITZ HORWITZ & ASSOC 1184 16WC 06064 MUNDO, JANICE PERFUMANI HOLDINGS INC 02/11/16 RUBIN MACHADO ROSENBLUM 1185 16WC 06145 MATA, MIGUEL SONY CORPORATION OF AMERI 11/05/15 MCNAMARA PHELAN MCSTEEN LL CHILTON YAMBERT PORTER LLP 1186 16WC 06235 TAYLOR, DELVON ELITE STAFFING 02/23/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 1187 16WC 06283 GUZMAN, AMILCAR DURADO COMEX CONSTRUCTION 12/08/15 LAW OFFICE OF JAMES URTIS 1188 16WC 06423 TERRENCE, MATTHEW A CRETE TOWNSHIP ROAD DISTR 08/19/14 LAW OFFICE OF THOMAS P NAU 1189 16WC 06513 ALMARAZ, FEDERICO KEHE DISTRIBUTORS 11/13/15 LAW OFFICES OF ANSELMO DUR NOBLE & ASSOCIATES PC 1190 16WC 06748 REEVES, SALLY PRESENCE VILLA ST. 08/15/15 FOHRMAN, DONALD W & ASSOCS 1191 16WC 06872 VILLAFUERTE, AMIEE HOLLYWOOD CASINO 08/29/15 MCNAMARA PHELAN MCSTEEN LL ORENSTEIN & ASSOCIATES 1192 16WC 06953 LAMBERT, WILLIAM LOCKPORT TOWNSHIP FIRE 02/11/16 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 1193 16WC 07020 HORN, JAMES I H SERVICES INC 02/12/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 16WC007021 -C 1194 16WC 07028 ALLEN, ANNETTE M. PUBLICIS TOUCHPOINT 10/21/15 THOMAS W DUDA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1195 16WC 07040 CARVER, JAMES DISCOUNT TIRE 02/03/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 1196 16WC 07113 NICHOLSON, ROBERT AMER PRIDE SECURITY SVCS 02/26/16 DWORKIN AND MACIARIELLO 1197 16WC 07197 ROLON, JOSEFA GDI FACILITY SRVCS 02/18/16 RATHBUN CSEVENYAK & KOZOL COZZI & GOGGIN-WARD 1198 16WC 07217 CRUZ, ARMANDO TRILLIUM STAFFING 12/30/15 STEVEN H MEVORAH & ASSOCIA 1199 16WC 07241 FINNEY, PATRICIA JOLIET TOWNSHIP HS 204 09/23/15 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 1200 16WC 07271 WEARY, DWAYNE II PARSEC INC 02/19/16 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 1201 16WC 07301 CASILLAS, ROSA AARON THOMAS COMPANY, INC 11/03/15 BART DURHAM LAW OFFICES JOSEPH MARCINIAK 16WC007302 -C 1202 16WC 07310 CARPENTER, JESSICA BOLINGBROOK PARK DISTRICT 09/11/15 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 1203 16WC 07346 ROTHERT, JAMES ASI CONSTRUCTORS INC 10/18/15 ARIANO HARDY NYULI JOHHSON HOLECEK & ASSOCIATES 1204 16WC 07437 MARQUEZ, MARIA INNOTRAC 03/30/15 BART DURHAM LAW OFFICES JOSEPH MARCINIAK 16WC007438 -C 1205 16WC 07453 DELGADO, JOSE GAYTAN SIGNS 03/06/13 LAW OFFICE HUGO ORTIZ 1206 16WC 07661 TINOCO, MARIA SIGN SERVICES, INC. 06/01/15 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 1207 16WC 07683 GEREDINE, KEVIN FEDEX 04/23/15 SCOPELITIS GARVIN LIGHT 1208 16WC 07728 RASPANTI, MICHAEL NORM SCHILLING ENTERPRISE 02/18/16 DONAHUE, PAUL T LAW OFFICE 1209 16WC 07775 BOOTH, FARRIN PEOPLE 4 U INC 01/06/16 VRDOLYAK LAW GROUP LLC 1210 16WC 07783 GOMEZ, GABRIEL NEXUS EMPLOYMENT 02/25/16 ANKIN LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 1211 16WC 07843 GRIFFIN, LASHAWN INTEGRITY STAFFING / AMAZ 02/13/16 BRISKMAN BRISKMAN GREENBER SLAVIN & SLAVIN 1212 16WC 07904 GRAY, KEN VILLAGE OF MANHATTAN 11/01/15 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 71 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1213 16WC 07966 MCPHERSON, DANIELLE FEDERAL EXPRESS CORPORATI 02/16/16 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 1214 16WC 08054 RAMIREZ, JESUS GIL MINUTE MEN STAFFING 01/26/16 FOOTE MIELKE CHAVEZ & O'NE 1215 16WC 08136 REZA, ROGELIA S&S ACTIVEWEAR 02/03/16 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 1216 16WC 08182 JOHNSON, ALICE ITW DELTAR 03/09/16 DWORKIN AND MACIARIELLO 1217 16WC 08327 MASCOTE, NICAULY AXCESS STAFFING 10/29/15 JAUREGUI & ASSOCIATES 1218 16WC 08447 CUELLAR, JOSE ELITE LOGISTIC SERVICES 11/02/15 SALGADO, DAVID L 1219 16WC 08519 BLATTI, DOUGLAS M JR STARKS STEEL CO 11/03/15 LAW OFFICES MICHAEL HELLMA HENNESSY & ROACH PC 1220 16WC 08680 JONES, KEVIN OZINGA BROTHERS INCORPORA 03/02/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 1221 16WC 08732 SCOLES, JASON RIGGS DISTIER 01/22/16 ROBIN LAW OFFICE 1222 16WC 08771 NUNEZ, CHERYL JOLIET HIGH SCHOOL 01/19/16 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 1223 16WC 08778 STRICKLIN, ALYSSA NETCYCLER INC. 01/17/16 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 1224 16WC 08867 BLAKNEY, RALPH J B HUNT TRANSPORT INC 11/16/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING 1225 16WC 08886 OKUBADEJO, KEHINDE LOCKPORT TOWNSHIP HIGH SC 02/03/16 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 1226 16WC 08957 NEWELL, DEBBRA FARRAGUT ELEMENTRY SCHOOL 09/10/15 STROM, NEAL B 1227 16WC 08994 TUCKER, ANTONIO VILLAGE OF BOLINGBROOK 01/04/16 RATHBUN CSEVENYAK & KOZOL 1228 16WC 09021 PEAL, JASON SPARKS COMPLETE CAR CARE 02/13/16 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 1229 16WC 09135 STEINBRENNER, DEAN DEDICATED LEASING 05/03/15 ELFENBAUM EVERS & AMARILIO 1230 16WC 09169 CASTRO, VICTOR MARITIME DELIVERY SERVICE 01/07/16 DWORKIN AND MACIARIELLO MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 72 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1231 16WC 09244 RAMIREZ, RICARDO SEATING CONCEPTS, INC 11/16/15 CHEPOV & SCOTT LLC RIPES NELSON BAGGOT KALOBRAT 1232 16WC 09390 TENINTY, JOHN ORLAND FIRE 02/12/16 CULLEN HASKINS NICHOLSON 1233 16WC 09503 MIXON, TORRENCE J.B. HUNT TRANSPORT 03/21/16 GRAVLIN, MICHAEL J LLC GRANT & FANNING 1234 16WC 09774 LOPEZ, MINERVA AMERISOURCE BERGIN 10/20/15 PORRO NIERMANN & PETERSEN 1235 16WC 09821 RIVERA, MACEDONIO GREEN EARTH PLASTIC RECYC 03/21/16 CHEPOV & SCOTT LLC COZZI & GOGGIN-WARD 16WC013796 -C 1236 16WC 09923 MANTHEY, HEATHER PRESENCE HEALTH 01/26/15 BLOCK, KLUKAS & MANZELLA P 1237 16WC 10018 VALADEZ, EULALIO RAILWORKS TRACK SERVICES, 03/28/16 ACEVES & PEREZ PC HEYL ROYSTER VOELKER & ALLEN 1238 16WC 10048 GARCIA, CARLOS EXEL 01/21/16 HART & DAVID LLP HENNESSY & ROACH PC 1239 16WC 10062 MALDONADO, GABRIEL PEPSI CO 03/23/16 GREGORIO & MARCO ROBERT L. SMITH 1240 16WC 10084 FERRER-MARTINEZ, INOCENCI CAP BARBELL INC 03/28/16 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 1241 16WC 10132 STRAGAND, LORRINE EXECUTO ADVANTAGE SOLUTIONS 03/09/16 WOODRUFF & JOHNSON WOLFE & JACOBSON, LTD 1242 16WC 10176 SALGADO, ERIC USF HOLLAND 10/06/15 LAW OFFICES ROBERT WARSASK 1243 16WC 10222 TALLEY, STEVE LINEAGE LOGISTICS HOLDING 12/26/14 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 1244 16WC 10229 NELSON, LINDA INTEGRITY STAFFING, INC 01/13/16 KARCHMAR & STONE 1245 16WC 10240 RODRIGUEZ, MARGARITA PLAINFIELD SCHOOL DISTRIC 01/28/16 JOHN S. ELIASIK KEEFE CAMPBELL & ASSOC LLC 1246 16WC 10299 COTTON, RAVIANCE INTEGRITY STAFFING SOLUTI 01/01/16 DWORKIN AND MACIARIELLO 1247 16WC 10578 MC CABE, MARK W CITY OF JOLIET 03/10/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 1248 16WC 10592 SHERROD, RAYMOND FIRST STAFF SERVICES 03/15/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 73 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1249 16WC 10617 MCCOLLUM, MATTHEW SYBARIS CLUB 06/10/15 JOHN E LUSAK HOLECEK & ASSOCIATES 1250 16WC 10680 LABOY, JOSE MACY'S LOGISTICS & 12/04/15 NEWMAN, BOYER & STATHAM ROBERT L. SMITH 1251 16WC 10719 STAMM, JEFFERY R ATOMATIC MECHANICAL 01/18/13 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 1252 16WC 10771 MATLOCK, CARLOS CITY OF JOLIET 10/21/14 HORWITZ HORWITZ & ASSOC 1253 16WC 10804 SMITH, AMBER COUNTY OF WILL SUNNYHILL 02/27/16 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 1254 16WC 10832 BLAS, JOHNNY ASHLEY FURNITURE 03/22/16 CUDA LAW OFFICES 1255 16WC 10880 BURGHOLZER, BRIAN AOG AVIATION SPARES 03/17/16 PORRO NIERMANN & PETERSEN ROSARIO CIBELLA 1256 16WC 10892 SANDOVAL-DURAN, ELENA RON'S STAFFING SERVICES, 02/16/16 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM 1257 16WC 10909 MURPHY, ROBERT MARIANOS' 03/25/15 GOLDBERG WEISMAN & CAIRO L 1258 16WC 10928 JACKSON, TERESA JEWEL-OSCO 11/30/15 SAUNDERS CONDON & KENNY 1259 16WC 10974 MUNDA, STEVE CENTRAL GROCERS 12/21/15 SEIDMAN MARGULIS & FAIRMAN 1260 16WC 11026 SANOWSKIS, ROBERT WALMART 11/17/15 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 1261 16WC 11181 CERVANTES, MOISES NEDROW DECORATING INC. 11/18/15 LEONARD LAW GROUP LLC WOLFE & JACOBSON, LTD 1262 16WC 11199 BANKS, SAMITRA SILVER CROSS HOSPITAL 03/09/16 STEWART C ORZOFF MACIOROWSKI SACKMANN & ULRIC 1263 16WC 11347 UDOWITZ, DYLAN ALRO STEEL 02/08/16 DWORKIN AND MACIARIELLO 1264 16WC 11547 GARDNER, KEVIN THE SYBER GROUP 03/07/16 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 1265 16WC 11639 ROBERTS, DEANDRE PROLOGISTIX/AMERISOURCE 04/01/16 BLOCK, KLUKAS & MANZELLA P 1266 16WC 11917 PETKOV, ALEC UPS 08/19/14 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 74 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1267 16WC 11990 FLORES, ENRIQUE EMMERS CORP 09/09/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 1268 16WC 11994 GOWDY, DAVID L FISHER/FEDERATED AUTO PAR 08/18/14 SCOTT M BELT & ASSOC 1269 16WC 12137 JOHNSTON, SUMMER PARATECH INC 06/03/14 RUBIN LAW GROUP HOLECEK & ASSOCIATES 1270 16WC 12179 GUTIERREZ, JAIME PETCO 02/01/16 COVEN LAW GROUP 1271 16WC 12219 WIRTH, NORRINE XPO LOGISTICS, INC 08/25/15 KARCHMAR & STONE KEEFE CAMPBELL & ASSOC LLC 1272 16WC 12269 ARRANGA, JAMIE F/N/A SOSA UNIVERSAL LAMINATING LTD 03/08/16 CHEPOV & SCOTT LLC ROSARIO CIBELLA 1273 16WC 12356 DAUGHERTY, MATTHEW ORKIN PEST CONTROL 12/23/15 LEITER LAW OFFICES BRADY CONNOLLY & MASUDA PC 1274 16WC 12399 PALMA, LORENA PROLOGISTIX 01/27/16 CHEPOV & SCOTT LLC NYHAN BAMBRICK KINZIE & LOWR 1275 16WC 12427 FOX, LINDA LINCOLN WAY AREA 04/16/14 NILSON STOOKAL GLEASON CAP 1276 16WC 12630 UNTIVERO, ARNEL EMERALD RESTAURANT SERVIC 03/01/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1277 16WC 12655 DODSON, ROBERT A JR BECTON DICKINSON & COMPAN 09/11/15 TURNER & SACKETT LLC 1278 16WC 12700 SPANN, LOUGWIN DEDICATED LOGISTICS INC 04/07/16 SKLARE LAW GROUP 1279 16WC 12710 SANDOVAL, MANUEL JOHANSEN & ANDERSEN INCOR 01/14/15 GOLDBERG WEISMAN & CAIRO L 1280 16WC 12775 COX, ERNEST GRAINGER DISTRIBUTION CEN 04/15/16 WOODRUFF & JOHNSON HENNESSY & ROACH PC 1281 16WC 12983 KUKUK, KYLE UPS 02/25/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 1282 16WC 13016 GOODWIN, ARDOLA FRESENIUS MEDICAL CARE 11/11/15 LASSEN, BRIAN D LAW OFFICE HENNESSY & ROACH PC 1283 16WC 13055 COOPER, DAWN DICK'S SPORTING GOODS 01/13/16 VASILATOS & COTTER LLC 1284 16WC 13100 GOETSCH, JOHN R. ALTA EQUIPMENT 10/30/14 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1285 16WC 13557 CHANDLER, JOHN III PRIMA EXPRESS INC 12/09/15 STRONG LAW OFFICE ROSARIO CIBELLA 1286 16WC 13573 WRONA, SUSAN WALMART, INC. 06/28/13 BLOCK, KLUKAS & MANZELLA P 1287 16WC 13665 HARRIS, ANTHONY MAC NEIL AUTOMOTIVE 10/28/15 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 1288 16WC 13775 HERNANDEZ, JUAN ALTERNATIVE STAFFING 12/17/14 LEONARD LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 1289 16WC 13802 HARPER, DARRYL W. PINNACLE STAFFING INC 03/01/16 ANKIN LAW OFFICE 1290 16WC 13986 GUTIERREZ, MICHAEL GUARDIAN ANGEL COMMUNITY 12/04/15 BLOCK, KLUKAS & MANZELLA P 1291 16WC 14043 SUYKO, BRIAN J SCHWAN'S CONSUMER BRANDS 03/29/16 MARKER & ASSOCIATES GAROFALO SCHREIBER STORM 1292 16WC 14092 ALKSNIS, JOSEPH WEATHER TECH 04/12/16 PARENTE & NOREM PC 1293 16WC 14256 VALDEZ, CRISTIAN CENTRAL GROCERS, INC 04/28/16 ANKIN LAW OFFICE ROSARIO CIBELLA 1294 16WC 14293 BASSO, ROBERT D CENTRAL GROCERS INC 03/20/16 TOSCAS, JOHN Z LAW OFFICE ROSARIO CIBELLA 1295 16WC 14347 CHACON, LUNDY INNOTRAC CORP 04/25/16 FOOTE MIELKE CHAVEZ & O'NE 1296 16WC 14545 BRADLEY, DONNELL DOLLAR TREE 04/22/16 KROL BONGIORNO & GIVEN LTD 1297 16WC 14567 LEJA, ADAM WEST LIBERTY FOODS 02/29/16 NILSON STOOKAL GLEASON CAP HEYL ROYSTER VOELKER & ALLEN 1298 16WC 14601 TRIPLETT, JEFFERSON AMERIPLATE 02/23/16 CANDIANO LAW OFFICE THOMAS & ASSOCIATES 1299 16WC 14713 WILHOYT, ELAINE IROQUOIS MEMORIAL HOSPITA 05/15/15 FREDERICK & HAGLE 1300 16WC 14738 ALVAREZ, ANTONIO CRASH CHAMPION 10/05/15 LEONARD LAW GROUP LLC 1301 16WC 14836 KOLODZIEI, KIMBERLY L. SILVER CROSS HOSPITAL 10/10/15 DREW J FERRACUTI 1302 16WC 14921 PEREZ, ERICK O. K&R LANDSCAPING, INC. 04/01/15 SALK, STEVEN B & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 76 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1303 16WC 15073 COOPER, ROBERT JR TURBINE PROS LLC 04/14/16 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 1304 16WC 15192 HOPKINS, AARON M ILLINOIS TOOL WORKS INC 12/21/15 ANKIN LAW OFFICE 1305 16WC 15243 MARQUEZ, GLORIA ANDREWS STAFFING 04/30/16 LAW OFFICES LEONARDO MORAL 1306 16WC 15355 RILEY, JERRY FAMILY LOGISTICS 04/28/16 WILLIAM MARTAY 1307 16WC 15413 MC CASLIN, CONNOR ADECCO 02/03/16 SAM CUBA LAW OFFICE HENNESSY & ROACH PC 1308 16WC 15495 JEMENEZ, MARIA L MONDI ROMEOVILLE INC 02/06/16 OSVALDO RODRIGUEZ PC 1309 16WC 15554 WADHAWAN, PANKAJ FIRST GROUP AMERICA 04/27/16 STEPHAN L. HOFFMAN WIEDNER & MCAULIFFE LTD 1310 16WC 15641 FRANCO, ARELI RUBI IL SEC OF STATE DRIVER SE @ 04/09/16 PARENTE & NOREM PC MALLORY ZIMET 1311 16WC 15661 GOOSINOW, CARL VERIHA TRUCKING INC 05/02/16 LIPKIN & HIGGINS LAW OFFIC HEYL ROYSTER VOELKER & ALLEN 1312 16WC 15662 GOOSINOW, CARL VERIHA TRUCKING INC 02/18/16 LIPKIN & HIGGINS LAW OFFIC HEYL ROYSTER VOELKER & ALLEN 1313 16WC 15741 MORAN, HUMBERTO O'DONOGHUE ENTERPRIES LLC 03/19/16 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 1314 16WC 15783 BAREFIELD, TIARRA T. LAZER SPOT, INC. 02/14/16 ANKIN LAW OFFICE WOLF LAW LTD 1315 16WC 15805 MARTINEZ, MARIA PEACOCK ENGINEERING CO 03/19/16 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 1316 16WC 15903 GABOR, WILLIAM ECE NEXXIA CORPORATION 03/21/16 STROM, NEAL B 1317 16WC 15965 DECESARE, MICHAEL JEWEL 09/11/15 RATHBUN CSEVENYAK & KOZOL 1318 16WC 16012 WENNBERG, ERIC BMWC CONSTRUCTORS 05/12/16 RUBIN LAW GROUP BRADY CONNOLLY & MASUDA PC 1319 16WC 16082 FIEDLER, STEVE ALEXANDER LUMBER CO. 04/18/16 LEE, MARK N LAW OFFICE 1320 16WC 16130 VALENTINE, MICHAEL J. SR ECOLAB, INC. 12/30/14 WOLTER BEEMAN AND LYNCH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 77 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1321 16WC 16156 PERRI, JOHN III CITY OF JOLIET 03/23/16 FABRIZIO, HANSON & PEYLA KAVANAGH GRUMLEY & GORBOLD 1322 16WC 16173 ADAMS, SAMUEL E III COMMONWEALTH EDISON CO 05/10/16 BRILL & FISHEL RUSIN & MACIOROWSKI LTD 1323 16WC 16251 WALSKI, CALA TACO BELL 05/16/16 DWORKIN AND MACIARIELLO 1324 16WC 16285 GIARDINA, EVAN J JB HUNT TRANSPORT INC 02/02/16 KAVANAGH GRUMLEY & GORBOLD 1325 16WC 16327 SOCHA, CASSANDRA CITY OF JOLIET 11/28/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 1326 16WC 16333 RODRIGUEZ, ORLANDO CLEAN HARBOR'S ENVIRONMEN 04/28/16 MC HARGUE, JAMES P LAW OFF 1327 16WC 16430 RAMBO, MARY COMMUNITY CARE SYSTEM INC 11/25/15 DWORKIN AND MACIARIELLO LIVINGSTONE MUELLER ET AL 1328 16WC 16455 MONREAL, KENNETH VILLAGE OF FRANKFORT 01/25/16 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 1329 16WC 16478 ST CLAIR, TIMOTHY CROWN LIFT TRUCKS 02/28/14 HENNESSY & ROACH PC 1330 16WC 16547 FAUGHT, CORI VALLEY VIEW SCHOOL 09/01/15 HORWITZ HORWITZ & ASSOC 1331 16WC 16666 RAFIQUE, JAMSHED NETWORK STAFFING 03/05/16 DAVID W MARTAY 1332 16WC 16760 MC LAURIN, CHARLES ELITE STAFFING BOLINGBROO 01/26/16 EPSTEIN, JACK R LAW OFFICE 1333 16WC 16795 TROYNER-SANDERS, RHONDA JOLIET STAFFING/TRADER JO 04/11/16 BLOCK, KLUKAS & MANZELLA P LITCHFIELD CAVO 1334 16WC 16806 HAYNES, CHERYL S FRESENIUS MEDICAL CARE 12/14/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 1335 16WC 16813 WOKURKA, DENNIS NW HOMER FIRE DEPARTMENT 04/15/16 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 1336 16WC 16858 QUIROZ, NORMA DIAGEO NORTH AMERICA 11/04/15 COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1337 16WC 16886 JACKSON, JAMES N. SLEEPY'S LLC 04/17/16 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 1338 16WC 16967 REICK, JEFFREY CREST HILL POLICE DEPARTM 01/14/14 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 16WC016968 -C 1339 16WC 16997 NUNEZ, ESTEBAN LOCKPORT METAL RECYCLING, 04/01/16 HART & DAVID LLP 1340 16WC 17017 MAURER, JEFFREY(ESTATE OF OPTERA CORPORATION D/B/A # 12/13/15 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 1341 16WC 17093 KOZLOWSKI, MICHAEL SR. HILL BROTHERS 01/26/15 THE MACK LAW GROUP PC EVANS & DIXON, LLC 1342 16WC 17183 WERRY, JOHN FAIRBANKS SCALES, INC. 01/14/15 LAW OFFICE OF CHRIS DOSCOT WOLFE & JACOBSON, LTD 1343 16WC 17235 SPERRY, BRANDON LAWNWORKS OF JOLIET 05/06/16 BRASSFIELD KRUEGER & RAMLO CHILTON YAMBERT PORTER LLP 16WC017236 -C 1344 16WC 17273 SCHLUETER, KATHY WEATHERTECH 10/14/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 1345 16WC 17303 BLAIR, MICHAEL DOMINO'S PIZZA 04/27/16 MARC J SHUMAN & ASSOCIATES CHILTON YAMBERT PORTER LLP 1346 16WC 17410 FOX, ADAM PIZZA HUT 05/15/16 MCNAMARA PHELAN MCSTEEN LL 1347 16WC 17435 NEWTSON, JONATHAN RECYCLED RUBBER PRODUCTS 06/01/16 DWORKIN AND MACIARIELLO 1348 16WC 17517 REAVES, NICOLE ALDI 12/20/15 BLOCK, KLUKAS & MANZELLA P 1349 16WC 17627 STAPLETON, STEVEN ALLIANCE STAFFING INC. 05/20/16 WOODRUFF & JOHNSON 1350 16WC 17645 BARTZ, CHRISTINE VALLEY VIEW SCHOOL DIST. 11/08/14 LAW OFFICES MICHAEL HELLMA 1351 16WC 17748 AGUIRRE, LUIS CENTRAL GROCERS 07/26/15 WHITESIDE & GOLDBERG LTD 1352 16WC 17816 ELDER, DELL F. H.R. METRICS, INC. 05/26/16 KROCKEY CERNUGEL COWGILL E SPONSLER BISHOP 1353 16WC 17825 FOUCHA, JOSEPH AECOM 04/01/16 LEITER LAW OFFICES HENNESSY & ROACH 1354 16WC 17906 KORZENIOWSKA, MALGORZATA MEIJER 02/29/16 BART DURHAM KOPKA, PINKUS & DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 79 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1355 16WC 17932 RODRIGUEZ, RALPH USF HOLLAND INC/YRC WORLD 03/01/16 GOLDBERG WEISMAN & CAIRO L 1356 16WC 18059 HERRERA, VICTOR HUGO AREN PACTIV LLC 05/27/16 ANKIN LAW OFFICE 1357 16WC 18072 ERWIN, JOHN BLACK HORSE CARRIERS INC 01/05/15 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 1358 16WC 18115 RILEY, JERRY FAMILY LOGISTIC INC 04/28/16 FINE, MARK S LAW OFFICES 1359 16WC 18233 MCGREGORY, FABIAN JB HUNT 06/03/16 LAW OFFICE JEFFREY FRIEDMA 1360 16WC 18265 TOMLINSON, DONNA L ADAMS & ASSOC JOLIET JOB 05/11/16 BRILL & FISHEL WIEDNER & MCAULIFFE LTD 1361 16WC 18276 RAMIREZ, LILIA A/K/A SAND EXCEL BUILDING SERVICES 06/01/16 SALK, STEVEN B & ASSOC LTD COZZI & GOGGIN-WARD 1362 16WC 18320 THORNTON, LANCE TOTAL LOGISTICS CONTROL L 05/04/16 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 1363 16WC 18342 PERALTA, RAMON NUEVA AZTECA BAKERY INC 09/26/15 NYHAN BAMBRICK KINZIE & LOWR 16WC019911 -C 1364 16WC 18354 MIDDLETON, SOMMER SILVER CROSS HOSPITAL 06/20/13 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 1365 16WC 18446 HOBART, DENNIS DAYTON FREIGHT 05/10/16 GALLAGHER LAW PC 1366 16WC 18452 BOYLAN, DAVID JACK COOPER TRANSPORT 07/17/14 RUBIN MACHADO ROSENBLUM 1367 16WC 18519 SMITH, ROBERT L JOLIET FIRE DEPARTMENT 07/15/15 THE ROMAKER LAW FIRM ROSARIO CIBELLA 1368 16WC 18554 ODER, ALAN SWIFT TRANSPORTATION 01/30/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 1369 16WC 18657 GARIBAY, MIGUEL ESMARK STEEL MIDWEST GRP 04/12/16 CUSHING LAW OFFICES COZZI & GOGGIN-WARD 1370 16WC 18672 BAGLEY, RAY TRILLIUM STAFFING 05/18/16 KATZ FRIEDMAN EAGLE ET AL 1371 16WC 18736 CLARKE, TASKER JOLIET STAFFING, LLC AS A 12/10/15 PETER D CORTI LAW GROUP 1372 16WC 18867 JAKIELSKI, CARYN UNIVERSITY OF ST FRANCIS 02/11/16 STYKA & STYKA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 80 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1373 16WC 18887 SCHUSTER, MICHAEL TURNER INDUSTRIES GRP, LL 12/10/13 BLOCK, KLUKAS & MANZELLA P SPIEGEL & CAHILL, PC 1374 16WC 19108 CHANEY, BILL USF HOLLAND 06/09/16 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 1375 16WC 19265 QUIROGA, MONICA ELITE STAFFING 06/04/16 HETHERINGTON KARPEL BOBBER 1376 16WC 19332 PEREZ, JESUS DEPENDABLE STAFFING GROUP 01/16/16 D&O LAW GROUP 1377 16WC 19363 ANDERSON, DANIELLE PENBROCK ENTERPRISES, INC 03/17/16 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 1378 16WC 19442 MATLOCK, CARLOS D CITY OF JOLIET POLICE DEP 03/01/16 PARENTE & NOREM PC KNELL & O'CONNOR 1379 16WC 19506 MURPHY, PATRICK HOLLAND, LLP 06/12/15 DAVID W MARTAY GAROFALO SCHREIBER STORM 1380 16WC 19550 MEEHAN, MARY THERESE INTERIM HLTHCARE SVCES JO 11/10/14 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 1381 16WC 19719 FADDEN, MICHAEL PETCO ANIMAL SUPPLY DSC 06/08/15 CORTINA & MUELLER ADELSON TESTAN & BRUNDO 1382 16WC 19876 CHAMA, FILIMON ELITE STAFFING 06/07/16 COSTA IVONE LLC 1383 16WC 19895 CABRAL, JORGE VENTURA HURSTHOUSE LANDSCAPE ARCH 05/03/16 CHEPOV & SCOTT LLC BRYCE DOWNEY & LENKOV LLC 1384 16WC 19955 TOWNS, JOHN REYES HOLDING LLC 03/08/16 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 1385 16WC 19972 KEELER, DANIEL J OLD PLANK TRAIL COMMUNITY 10/03/14 RUBIN LAW GROUP 1386 16WC 19991 FEARENCE, DARNELL WEATHER TECH 02/26/16 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 1387 16WC 20052 MOORE, MELVER THE RESERVES NETWORK 05/27/16 DAVID W MARTAY 1388 16WC 20110 ZOBEL, MICHAEL GORDON FOOD SERVICE, INC 02/29/16 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 1389 16WC 20184 TORRES, JAMIE LOCKPORT STEEL FABRICATOR 01/05/16 RATHBUN CSEVENYAK & KOZOL 1390 16WC 20297 SOLTYS, JOSEPH BMW CONSTRUCTORS 04/15/13 SCHREINER MALLOY & ETZLER ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 81 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1391 16WC 20333 OVANDO, MAXIMILIANO SNIDER-BLAKE PERSONNEL SR 06/15/16 LAW OFFICE OF SCOTT B SHAP 1392 16WC 20411 WALOGORSKI, WILLIAM MIDWEST WAREHOUSE & DIST 08/28/15 BLOCK, KLUKAS & MANZELLA P 1393 16WC 20415 DIAZ BARRAGAN, EDWARD STAR CON INTERNATIONAL IN 03/03/16 BRIAN CONNERANWEIG 1394 16WC 20448 HUERTA, MARIA SEATING CONCEPTS INC 06/21/16 STROM, NEAL B BRYCE DOWNEY & LENKOV LLC 1395 16WC 20530 HIGGS, ALICIA L CENTRAL GROCERS, INC 06/20/16 NILSON STOOKAL GLEASON CAP ROSARIO CIBELLA 1396 16WC 20609 MC CASLAND, MICHAEL SEARS HOLDING COMPANY 06/07/16 SPIROS LAW PC 1397 16WC 20674 SOSA, DOMINIQUE COVIDIAN AND METRONIC 06/15/16 LAW OFFICES ROBERT WARSASK POWER & CRONIN LTD 1398 16WC 20808 SANDERS, KATHLEEN PROGRESSIVE PETROLEUM 02/15/16 DAVID W MARTAY 1399 16WC 20894 DEL KASTILLO, YANDEL FERRARA CANDY CO 05/04/16 MARKER & ASSOCIATES 1400 16WC 21020 CHACON, JAVIER MONDI ROMEOVILLE 03/07/16 HERRERA LAW CENTER 1401 16WC 21058 JARRETT, GREGORY AQUA RESOLUTION LLC 06/17/16 STEVEN J MALMAN & ASSOCIAT 1402 16WC 21080 MICHELETTO, JANET ADVANCED MOBILITY # 07/05/16 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 1403 16WC 21136 FIALKO, JUSTIN WILL COUNTY 02/11/16 WOODRUFF & JOHNSON HINSHAW & CULBERTSON 1404 16WC 21167 LANGSTON, ANGELO PEACOCK ENGINEERING COMPA 05/02/16 COHN LAMBERT RYAN & SCHNEI 1405 16WC 21214 LANGAN, DANIEL BREAKTHRU BEVERAGE ILLINO 06/23/16 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 1406 16WC 21233 PENA, JUAN C ROMERO MOTOR MAT CAR WASH 06/17/16 ENCINAS & ORNELAS 1407 16WC 21258 COUTCHER, DAVID WILL COUNTY SHERIFF'S OFF 01/26/16 KROL BONGIORNO & GIVEN LTD 1408 16WC 21423 KARCZ, DONALD JOLIET POLICE DEPARTMENT 04/26/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 82 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1409 16WC 21576 NINK, JAMES ILL BELL TELEPHONE CO, C/ 01/30/15 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 1410 16WC 21646 WRIGHT, ALLEN RON'S STAFFING 06/29/16 MCNAMARA PHELAN MCSTEEN LL GAROFALO SCHREIBER STORM 1411 16WC 21738 CALVERT, KIMBERLY BONNIE MCBETH EARLY 10/31/13 RONALDSON & KUCHLER KEEFE CAMPBELL & ASSOC LLC 16WC021739 -C 1412 16WC 21757 WILLIAMS, CALVIN STATE OF IL DOC PAROLE DE 12/27/15 BLOCK, KLUKAS & MANZELLA P STEPHANIE KEVIL 1413 16WC 21783 STEG, THOMAS A D CONSTRUCTION 09/15/15 COZZI & GOGGIN-WARD 1414 16WC 21858 ROBLES, JEANNENE JOLIET TERRACE 06/30/16 WOODRUFF & JOHNSON 1415 16WC 21884 DICKS, KAYLUM J.B. HUNT TRANSPORT 02/23/15 DEAN J CARAS & ASSOCIATES GRANT & FANNING 1416 16WC 21914 BOSGRAAF, KRISTINA JEWEL FOOD STORES 11/21/15 HORWITZ HORWITZ & ASSOC 1417 16WC 22043 WEDER, MICHAEL WILL COUNTY SHERIFF DEPT. 03/27/15 THOMAS J STIBERTH LAW OFFI HINSHAW & CULBERTSON 1418 16WC 22073 JOHNSON, STEPHEN SCHWAB PAPER PRODUCTS CO 07/06/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 1419 16WC 22082 TOSCANO, ROSALINDA ULTIMATE STAFFING 07/13/16 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 1420 16WC 22210 FRASSIONE, DAWN DAVITA 03/16/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1421 16WC 22289 MAITLAND, SETH SWIFT TRANSPORTATION 04/15/16 LEITER LAW OFFICES WIEDNER & MCAULIFFE LTD 1422 16WC 22328 PASSAFIUME, JOHN ECO LAB 05/16/16 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 1423 16WC 22402 KOZNARSKI, KENNETH R. DARCY MOTORS 11/10/15 JASINSKI, GEORGE J 1424 16WC 22411 BALSLEY, AMY CITY OF JOLIET * 05/26/16 COVEN LAW GROUP ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 83 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1425 16WC 22500 TYRELL, KATHY JOLIET TOWNSHIP HIGH SCHO 02/16/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 1426 16WC 22529 SAILIEZ, MARK PARSEC INC. 08/11/14 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 16WC022530 -C 1427 16WC 22542 FOREMAN, ROBERT ABF FREIGHT SYSTEMS, INC 07/12/16 PARENTE & NOREM PC 1428 16WC 22561 CASTELLI, MASHALE MACY'S 04/29/16 RATHBUN CSEVENYAK & KOZOL ROBERT L. SMITH 1429 16WC 22711 HERNANDEZ, ROSA METRO STAFF INC 07/12/16 CHEPOV & SCOTT LLC 1430 16WC 22740 MORTON, NINA PROVIDENCE LIFE SERVICES- 06/27/16 LAW OFFICE OF SCOTT B SHAP 1431 16WC 22744 KNOTTS, CLARISSA MAUL PAVING, INC 07/17/15 DREW J FERRACUTI 1432 16WC 22802 FLENTGE, JERRY FREEWAY FORD STERLING TRU 06/30/16 BLOCK, KLUKAS & MANZELLA P 1433 16WC 22813 GRIFFIN, SHANTINA ONE HOPE UNITED 04/25/16 MARC J SHUMAN & ASSOCIATES 1434 16WC 22842 DASBACH, DAVID APOLLO COLORS 10/14/15 RATHBUN CSEVENYAK & KOZOL 1435 16WC 23037 ORTIZ, GILBERTO APEK INC. 04/04/16 HERRERA LAW CENTER HENNESSY & ROACH PC 1436 16WC 23217 MCCRAY, MYRA INSYNC WEEKLY 10/25/15 LAW OFFICE RICHARD BINGHAM 1437 16WC 23255 MORALES, AWILDA NEOVIA'S LOGISTICS SERVIC 03/23/16 DWORKIN AND MACIARIELLO 1438 16WC 23265 AMMONS, THEODORE DIY GROUP, INC 07/20/16 DEPAOLO ZADEIKIS GORE 1439 16WC 23305 GONZALEZ, MARTHA TRIUNE LOGISTICS LLC 07/21/16 ANKIN LAW OFFICE LITCHFIELD CAVO 1440 16WC 23377 EMERICK, RICHARD TRANSPORT ONE 01/20/16 CAPRON & AVGERINOS PC HOLECEK & ASSOCIATES 1441 16WC 23403 WRIGHT, FRANK HINSDALE CENTRAL/DIST. 86 11/21/14 BLOCK, KLUKAS & MANZELLA P 1442 16WC 23428 SAVERINO, PATRICK STORM TREE SERVICES, INC. 03/04/16 HETHERINGTON KARPEL BOBBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 84 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1443 16WC 23443 JONES, DEBORAH INGALLS MEMORIAL HOSPITAL 07/24/16 BLOCK, KLUKAS & MANZELLA P 1444 16WC 23495 ARNOLD, CECILIA ARYZTA 12/19/15 DAVID W MARTAY 1445 16WC 23542 HANDWORK, DAWN PLAINFIELD CONSOLIDATED 09/14/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 1446 16WC 23700 CHENEY, SHANNON FIRST STAFF SERVICES 07/08/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 1447 16WC 23760 LLOYD, MARY ST COLETTA'S OF ILLINOIS 04/24/16 JASINSKI, GEORGE J 1448 16WC 23855 WARRINER, DONALD THE RESERVES NETWORK 06/10/16 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 1449 16WC 23929 CISNEROS, DAVID ABC SUPPLY 03/02/16 FOOTE MIELKE CHAVEZ & O'NE 1450 16WC 24058 BULL, CHRISTINE M. STAFFING SOLUTIONS 07/26/16 ANKIN LAW OFFICE 1451 16WC 24184 DAVILA, JOSE M DBM SERVICES, INC 07/14/16 SOSTRIN AND SOSTRIN PC RODDY LAW LTD 1452 16WC 24214 MORALES, STEVEN SOLVAY USA INC. 02/22/16 SPENCER LAW OFFICES 1453 16WC 24319 AUSTIN, MITCHEL FIRESTONE COMPLETE AUTO C 08/06/16 DWORKIN AND MACIARIELLO KNELL LAW LLC 1454 16WC 24464 LOZADA, ALEX JAM TRUCKING, CO. 08/02/16 ARGIONIS & ASSOCIATES LLC 1455 16WC 24511 MARTIN, RODNEY NATIONWIDE RAIL SERVICE 08/05/16 MICHAEL P MCCREADY & ASSOC NYHAN BAMBRICK KINZIE & LOWR 1456 16WC 24593 HAISH, DENNIS WASTE MANAGEMENT, INC 09/24/13 HORWITZ HORWITZ & ASSOC 1457 16WC 24617 DOYLE, WILLIAM DYWIDAG SYSTEMS INTL USA 07/15/16 O'CONNOR & NAKOS 1458 16WC 24646 HOUSTON, ROBERT MUSTANG FIRE PROTECTION 08/06/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 1459 16WC 24653 ORATE, LIONARDO SEVILLE STAFFING LLC 07/23/16 CHEPOV & SCOTT LLC 1460 16WC 24717 DALY, MICHAEL HUDSON BOILER 06/21/16 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1461 16WC 24723 FOWLER, DANIEL SULLIVAN ROOFING 01/23/16 ALEKSY BELCHER LAW OFFICES OF EDWARD J. KOZ 1462 16WC 24750 LEHNERT, THERESA MINOOKA COMMUNITY HIGH SC 09/17/15 LAW OFFICE OF SCOTT B SHAP 1463 16WC 24775 MEZA, ELIZABETH NAVISTAR 07/25/16 WOODRUFF & JOHNSON 1464 16WC 24853 CRUZ, ANA C TLZ ENTERPRISES D/B/A 05/19/16 THE ROMAKER LAW FIRM 1465 16WC 24890 KURECKI, RONALD B & D SOUTH CREEK ENTERPR 01/01/16 DWORKIN AND MACIARIELLO 1466 16WC 24908 PRICE, JOHN ERH ENTERPRISES INC 09/14/15 SPIROS LAW PC 1467 16WC 24974 SIMMS, TERRENCE METRO STAFFING, INCORPORA 08/08/16 WEISS & WEISS LAW OFFICES 1468 16WC 25056 GUIDO, TIMOTHY PROFESSIONAL MEDICAL WARE 07/20/16 GOLDBERG WEISMAN & CAIRO L 1469 16WC 25085 ANDERSON, LAQUAN HOME DEPOT 10/18/15 LEONARD LAW GROUP LLC 1470 16WC 25174 WOLFINBARGER, PHILLIP CR TRANSPORT 12/01/14 BLOCK, KLUKAS & MANZELLA P 1471 16WC 25195 CURTIS, JEANETTE MEIJER 02/21/16 BRISKMAN BRISKMAN GREENBER KOPKA, PINKUS & DOLIN, PC 1472 16WC 25261 ARMOR, JULIE SILVER CROSS HOSPITAL 06/28/13 LEE, MARK N LAW OFFICE 1473 16WC 25274 HARSY, DON AARON ILLINOIS STATE POLICE @ 05/20/16 HARRIS & JONES MALLORY ZIMET 1474 16WC 25302 MCNEAL, JOSE GDI INTEGRATED 07/21/16 GOLDSTEIN BENDER & ROMANOF 1475 16WC 25311 PERRITANO, ANTHONY SMITH CROSSING SENIOR LIV 06/29/16 HORWITZ HORWITZ & ASSOC 1476 16WC 25401 MASON, MAURICE JOLIET STAFFING, LLC 05/22/16 STROM, NEAL B 1477 16WC 25452 THORTON, LANCE DEDICATED LOGISTICS 05/04/16 WOODRUFF & JOHNSON 1478 16WC 25510 BAY, CHRISTOPHER CITY OF JOLIET 05/15/15 HETHERINGTON KARPEL BOBBER KAVANAGH GRUMLEY & GORBOLD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 86 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1479 16WC 25522 GARLAND, ZACH JR CARTAGE 05/11/16 CAPRON & AVGERINOS PC 1480 16WC 25534 MORATAYA, WILLIAM STATEVILLE CORRECTIONAL @ 07/09/16 VRDOLYAK LAW GROUP LLC MALLORY ZIMET 1481 16WC 25566 SCHOENBECK, CANDACE HOMER SCHOOL DISTRICT 33C 06/03/15 ASHER, RAYMOND L LTD INMAN & FITZGIBBONS 1482 16WC 25597 SUMMITT, DONNA DOLLAR TREE 04/05/16 VASILATOS & COTTER LLC 1483 16WC 25625 HALE, ANNAMARIE INTERACTIVE HEALTH SOLUTI 08/08/16 STEVEN J MALMAN & ASSOCIAT LAW OFFICES OF EDWARD J. KOZ 1484 16WC 25653 GOMEZ, JULIAN TURANO BAKING CO. 04/09/16 BART DURHAM 1485 16WC 25833 NEZWORSKI, GAIL HERITAGE WOODS OF PLAINFI 07/11/15 1486 16WC 25865 TSAMBIKOU, DIMITRIOS ILLINOIS STATE POLICE 05/02/16 RIDGE & DOWNES 1487 16WC 25923 WESS, CHRISTOPHER IVY LEAGUE/KIDS FIT/ 08/11/16 BLOCK, KLUKAS & MANZELLA P 1488 16WC 25988 NEISES, ROBERT CASSENS TRANSPORT CO 02/18/16 BLOCK, KLUKAS & MANZELLA P KNAPP, OHL & GREEN 1489 16WC 26026 MENDOZA, BRIAN WEST ROCK 08/05/16 SEIDMAN MARGULIS & FAIRMAN 1490 16WC 26128 SALAJ, DARIUSZ J NATIONAL DPC LLC 08/09/16 LEWUN & KAIS LTD ARNETT LAW GROUP 1491 16WC 26296 SPECHT, JAMES SONOCCO BEECHER 03/23/16 RUBENS AND KRESS HENNESSY & ROACH PC 1492 16WC 26402 ORANGE, MICHAEL FED EX FREIGHT 06/29/16 WOODRUFF & JOHNSON 1493 16WC 26443 GARCIA, AGUSTINA UNISTAFF 06/28/16 PORRO NIERMANN & PETERSEN MC ANDREWS & NORGLE LLC 1494 16WC 26514 FLYNN, DENNIS CENTRAL CROCERS INC 07/30/16 ANKIN LAW OFFICE ROSARIO CIBELLA 1495 16WC 26526 WILLIAMS, CANTIERRA CORNERSTONE SERVICES 08/17/16 FOHRMAN, DONALD W & ASSOCS 1496 16WC 26587 TORRES, WENDY FOR TEE MEDICAL INC 04/28/15 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 87 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1497 16WC 26614 DRUML, CYNTHIA MINOOKA SCHOOL DISTRICT 2 05/05/16 RIDGE & DOWNES 1498 16WC 26649 CORTINA, ELVIA BOB'S DISCOUNT FURNITURE * 07/26/16 SALK, STEVEN B & ASSOC LTD 1499 16WC 26712 LOPEZ, RENE NINO'S LANDSCAPING INC 08/19/16 COSTA IVONE LLC QUINTAIROS PRIETO WOOD & BOY 1500 16WC 26750 CARTER, MARK AT&T 07/27/16 RATHBUN CSEVENYAK & KOZOL 1501 16WC 26830 BRADSHAW, JESSICA PETCO 08/16/16 BLOCK, KLUKAS & MANZELLA P MCANANY VANCLEVE & PHILLIPS 1502 16WC 26860 RANOLA, FRANK TRANSPORT ONE 05/27/16 ASHER, RAYMOND L LTD COZZI & GOGGIN-WARD 1503 16WC 26869 BELL, STEPHANIE AMERICAN HOUSE 07/23/16 HORWITZ HORWITZ & ASSOC 1504 16WC 26872 KOSZCZYMSKI, COLTON WHITES CUSTOME CONCRETE, 05/23/16 SAUNDERS CONDON & KENNY BRYCE DOWNEY & LENKOV LLC 1505 16WC 26946 WASHINGTON, LINDA A. READERLINK LLC * 08/01/16 ANKIN LAW OFFICE 1506 16WC 26969 HAYNES, VONQUIE AMAZON FULFILLMENT SERVIC * 04/24/16 PETER C KOPOULOS WIEDNER & MCAULIFFE LTD 1507 16WC 27025 BUKALA, ROBERT CITY OF JOLIET * 08/18/16 DAVID W MARTAY ROSARIO CIBELLA 1508 16WC 27045 QUEZADA, ISAIAS D&D MANUFACTORING * 07/29/16 CHRISTIAN & MANNO HOLECEK & ASSOCIATES 1509 16WC 27072 ROBINSON, BERTHA CONERSTONE SERVICES 08/17/16 FOHRMAN, DONALD W & ASSOCS 1510 16WC 27110 DI PIETRANTONIO, JOANNE ROBERT HALF 05/02/16 WOODRUFF & JOHNSON 1511 16WC 27113 AWALT, JEFF ILLINOIS CENTRAL SCHOOL B 04/25/16 WOODRUFF & JOHNSON MACIOROWSKI SACKMANN & ULRIC 1512 16WC 27142 MARTINEZ, SILVERIO TRIUNE LOGISTICS 06/21/16 COSTA IVONE LLC LITCHFIELD CAVO 1513 16WC 27144 PATINO, JUAN O'REILLY AUTO PARTS 08/26/16 COSTA IVONE LLC 1514 16WC 27158 STUART, DAVID SHOREWOOD LIQUIDATORS INC 01/26/16 RATHBUN CSEVENYAK & KOZOL LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 88 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1515 16WC 27163 ROLANDO, JOHN FLINT HILLS RESOURCES 06/03/16 RATHBUN CSEVENYAK & KOZOL MC ANDREWS & NORGLE LLC 1516 16WC 27164 MCATEE, GREG JB HUNT 12/10/15 RATHBUN CSEVENYAK & KOZOL 1517 16WC 27179 BORGES, ISMAEL ILLINOIS DEPARTMENT OF @ 07/08/16 BRUCE RAFALSON LTD ASSISTANT ATTORNEY GENERAL 1518 16WC 27180 JENKINS, LASHAN FLEXIBLE STAFFING SRVCS, 06/21/16 BRUCE RAFALSON LTD ROSARIO CIBELLA 1519 16WC 27210 RICHARDSON, SUSANNE MOKENA COMMUNITY 06/07/16 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 1520 16WC 27225 GUZMAN, ANGEL CRATE SERVICES, INC. * 08/12/16 BRISKMAN BRISKMAN GREENBER 1521 16WC 27293 IRONS, TRACIE ELITE STAFFING 06/16/16 DWORKIN AND MACIARIELLO 1522 16WC 27297 BROWN, NATE AMAZON WAREHOUSE 06/15/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1523 16WC 27336 MOTA, GABRIELLA STATE OF IL DOC STATEVILL @ 07/20/16 BLOCK, KLUKAS & MANZELLA P MALLORY ZIMET 1524 16WC 27404 BRAYTON, MARK TTX COMPANY C/O CT CORPOR * 06/02/16 HETHERINGTON KARPEL BOBBER SAFANDA LAW FIRM 1525 16WC 27463 POTTORFF, WYGONDA GAIL TRANSPORT ONE INC 03/14/16 ASHER, RAYMOND L LTD COZZI & GOGGIN-WARD 1526 16WC 27486 HURD, JOHN D PACRAIL 06/12/16 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 1527 16WC 27503 MORALES, ANA EXCEL BUILDING SERVICES, 05/25/16 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 1528 16WC 27508 HARRIS, JANET EASTER SEALS JOLIET REGIO 08/03/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 1529 16WC 27531 PRESLEY, LEAH NATIONAL INVENTORY AUDITI 04/26/15 FINE, MARK S LAW OFFICES HOLECEK & ASSOCIATES 1530 16WC 27533 BALSAMO, JUDY KINDERCARE EDUCATION, LLC 05/19/14 LAW OFFICE PHILIP BLOMBERG 1531 16WC 27534 BALSAMO, JUDY KINDERCARE EDUCATION, LLC 06/11/15 LAW OFFICE PHILIP BLOMBERG 1532 16WC 27565 PUPPILO, NANCY ALDI-OSWEGO 12/01/14 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 89 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1533 16WC 27566 PUPPILO, NANCY ALDI-OSWEGO 04/10/16 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 1534 16WC 27616 CHURCHILL, CHRISTINE ADAMS & ASSOCIATES * 12/08/15 HORWITZ HORWITZ & ASSOC 1535 16WC 27665 FISHER, RICHARD WILKENS FOOD SERVICES 08/30/16 STRONG LAW OFFICE 1536 16WC 27682 MCWILLIAMS, SUSAN PALLADIUM ENERGY GROUP/ 07/23/15 PORRO NIERMANN & PETERSEN 1537 16WC 27729 AGUIRRE, ANDRE UNITED PARCEL SERVICE * 08/16/16 LASSEN, BRIAN D LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 1538 16WC 27798 BADALI, JEAN KOHL'S * 06/30/16 RUBIN LAW GROUP HENNESSY & ROACH PC 1539 16WC 27922 ZEPEDA, MANUEL RAILWAY & INDUSTRIAL SRVC * 09/22/14 CHEPOV & SCOTT LLC INMAN & FITZGIBBONS 1540 16WC 27981 OZGA, JOHN F SAM'S FLOORING & SUPPLY * 12/23/14 CULLEN HASKINS NICHOLSON 1541 16WC 28047 REYES, ESMERALDA, ESTATE ORTNER CONSTRUCTION INC # * 08/07/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 1542 16WC 28068 KHANHOUNGHEUNG, KORAKANH TRITON MANUFACTURING * 09/18/15 DAVID W MARTAY 1543 16WC 28163 BROWN, MAURICE JB HUNT TRANSPORT INC * 04/29/16 PETER D CORTI LAW GROUP GRANT & FANNING 1544 16WC 28170 ARMSTRONG, DEBRA OSWEGO SCHOOL DISTRICT * 01/21/15 BURNETT & CARON, LTD 1545 16WC 28297 MANU, JANET MTIL, INC D/B/A * 07/19/16 BART DURHAM 1546 16WC 28358 HEINZ, AMANDA DUNKIN' DONUTS * 09/14/16 DWORKIN AND MACIARIELLO 1547 16WC 28453 SMART, MARQUE M CENTRAL GROCERS, INC * 03/25/15 ANKIN LAW OFFICE ROSARIO CIBELLA 1548 16WC 28481 HARRIS, GERALD CR ENGLAND, INC * 06/16/16 LEVIN RIBACK LAW GROUP 1549 16WC 28522 GRANDERSON, LATOYA CLARENDALE OF MOKENA * 09/13/16 JOHN S. ELIASIK HENNESSY & ROACH PC 1550 16WC 28549 TIDWELL, RYAN SHOREWOOD LIQUIDATORS, IN * 09/07/16 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 90 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1551 16WC 28580 VARGAS, BIANCA M FIRST MIDWEST BANK * 08/11/14 KROCKEY CERNUGEL COWGILL E 1552 16WC 28647 KUBORN, COREY FRITO LAY * 09/12/16 SKLARE LAW GROUP GILDEA & COGHLAN 1553 16WC 28750 CHAVEZ, JESUS TNT LAWNCARE SERVICES * 06/28/16 WOLFE LAW PC WIEDNER & MCAULIFFE LTD 1554 16WC 28891 REBOLLEDO, MARIA S&S ACTIVEWEAR, LLC * 08/22/16 HETHERINGTON KARPEL BOBBER KLAUKE LAW GROUP LLC 1555 16WC 28922 KERR, NICHOLAS AT&T * 02/26/14 RANDOLPH GREUNE LAW OFFICE 1556 16WC 28943 ABUOBEID, HALA ILLINOIS MENTOR, INC * 08/08/16 HETHERINGTON KARPEL BOBBER CHILTON YAMBERT PORTER LLP 1557 16WC 28952 HILLINGSWORTH, DENNIS M DARVIN FURNITURE * 05/27/16 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 1558 16WC 29013 CORNEJO, FELIPE PRIORITY STAFFING * 05/26/16 COHN LAMBERT RYAN & SCHNEI 1559 16WC 29085 VELARDE, FRANCISCO COWORX STAFFING * 08/08/16 BLOCK, KLUKAS & MANZELLA P 1560 16WC 29121 RIVAS, BLANCA GOYA FOOD, INC * 08/17/16 EPSTEIN, JACK R LAW OFFICE 1561 16WC 29132 ROSE, DAVID RON'S STAFFING/ITL * 08/10/16 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 1562 16WC 29240 ZAMUDIO, ERASMO MISTWOOD GOLF CLUB * 05/30/15 DONAHUE, PAUL T LAW OFFICE 1563 16WC 29287 KUNZ, KATHARINE FOX RIVER FOOT & ANKLE * 01/05/15 FOOTE MIELKE CHAVEZ & O'NE NYHAN BAMBRICK KINZIE & LOWR 1564 16WC 29323 ALBERTO, GONZALO DYNAMIC 3PL * 08/23/00 COSTA IVONE LLC 1565 16WC 29331 AGBEMAPLE, CYRIL ECOLAB * 09/21/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 1566 16WC 29466 NUETZMANN, ROBERT AMERICAN DREAM * 08/11/16 BURNES & LIBMAN COZZI & GOGGIN-WARD 1567 16WC 29480 MAGALLON, JAIRSINO CORE CONCRETE CONSTRUCTIO * 07/05/16 CUSHING LAW OFFICES 1568 16WC 29493 HERNANDEZ, MARIA G KFC * 09/14/16 WILLIAM MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 91 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1569 16WC 29523 PARKER, MILTON THE ROOM PLACE * 03/16/16 WOLFE LAW PC 1570 16WC 29763 BARWEGEN, DOUGLAS KANKAKEE COUNTY SHERIFF'S * 06/12/16 SPIROS LAW PC 1571 16WC 29810 ADDIS, CARMEN F DEPT OF AGRICULTURE/ @ * 07/14/16 HASSAKIS & HASSAKIS 1572 16WC 29936 ROCHELLE, TERI WALMART * 04/18/16 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 1573 16WC 30011 JACOBSON, AMY SALEM COMMUNICATIONS CORP * 06/16/16 LAW OFFICE OF JAMES H MILL 1574 16WC 30131 HORVAT, COURTNEY SILVER CROSS HOSPITAL * 09/15/15 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 1575 16WC 30143 CARDENAS, ROBERT SURESTAFF * 09/13/16 LAW OFFICES OF ANSELMO DUR CACCHILLO LAW GROUP LLC 1576 16WC 30179 CORDERO, CHRISTIAN TREADSTONE TIRE RECYCLING * 09/21/16 DAVID SZCZECIN & ASSOC 1577 16WC 30350 TENN, JAKE UNITED PARCEL SERVICE * 09/19/16 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 1578 16WC 30462 SANDERS, CHRISTOPHER NORTHWEST FENCING * 06/10/16 THERMAN LAW OFFICES INMAN & FITZGIBBONS 1579 16WC 30588 OSTROWSKI, CHRISTOPHER GENERAL CONVERTING INC * 04/26/16 STEVEN J MALMAN & ASSOCIAT 1580 16WC 30665 RIVERA, ANGEL S & S ACTIVEWEAR * 09/11/16 ROGER D RUDICH LTD BRYCE DOWNEY & LENKOV LLC 1581 16WC 30682 MIKOS, STEPHEN VILLAGE OF ROMEOVILLE * 08/31/16 BLOCK, KLUKAS & MANZELLA P 1582 16WC 30787 WILLIAMS, ANDRE MACNEIL AUTOMOTIVE PRODUC * 04/14/16 PORRO NIERMANN & PETERSEN 1583 16WC 30818 JOHNSON, WILLIAM C VERY LUCKY, INC * 08/05/16 HOLLINGSWORTH, DEWEY G 1584 16WC 30831 MISTER, WILLIAM B SR HELLERMANN TYTON, INC * 08/19/16 NILSON STOOKAL GLEASON CAP CHILTON YAMBERT PORTER LLP 1585 16WC 30889 BOCHNAK, JOHN ABF FREIGHT SYSTEMS, INC * 09/09/16 RIDGE & DOWNES 1586 16WC 30992 WINFREY, RUDOLPH L WW GRAINGER, INC * 07/22/16 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 92 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1587 16WC 31014 PETEK, GINA GUILLERMINA HELP AT HOME * 01/06/16 SEIDMAN MARGULIS & FAIRMAN 1588 16WC 31030 TAULBEE, PATRICIA OSWEGO DISTRICT 308 * 09/26/16 DWORKIN AND MACIARIELLO 1589 16WC 31077 BRANDT, JEFF WILMINGTON SD 209 U * 09/06/16 BLOCK, KLUKAS & MANZELLA P 1590 16WC 31121 ELLINGWOOD, COLLIN RADIAC ABRASIVES, INC * 09/19/16 WOODRUFF & JOHNSON 1591 16WC 31136 CHAVEZ, DENNY GEODIS * 08/24/16 SALK, STEVEN B & ASSOC LTD SPIEGEL & CAHILL, PC 1592 16WC 31340 COLLINS, MICHAEL HOMER TOWNSHIP FIRE * 04/16/15 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 1593 16WC 31353 KRUSZELNICKI, JAMES PEOTONE COMM UNIT SD #207 * 04/18/16 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 1594 16WC 31413 RENTERIA, DEMETRIUS ROAD RUNNER TRANSPORT SVC * 08/26/16 GORDON & CENTRACCHIO LLC WIEDNER & MCAULIFFE LTD 1595 16WC 31634 KRAMER, JOSEPH DEEFIELD CONSTRUCTION * 07/11/16 CAPRON & AVGERINOS PC 1596 16WC 31707 GRAHAM, THOMAS MC HUGH ENTERPRISES * 06/29/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 1597 16WC 31770 SOPKO, GREG ECO LAB * 09/12/16 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 1598 16WC 31844 ECHOLS, TERRELL PACIFIC RAIL SERVICES * 09/21/16 HERRERA LAW CENTER GAROFALO SCHREIBER STORM 1599 16WC 31871 ALVARADO DE GARCIA, LETIC OHL * 12/07/15 LIPKIN & HIGGINS LAW OFFIC SPIEGEL & CAHILL, PC 1600 16WC 31896 BELCZAK, STEVEN ROCKLEDGE FURNITURE, LLC * 09/06/16 CULLEN HASKINS NICHOLSON 1601 16WC 31915 GRANICZNY, JANET JEWEL * 05/13/16 DANIEL PERIASWAMY 1602 16WC 31949 DEGUZMAN, JASON R XPO LOGISTICS * 10/04/16 WILLIAMS, ROBERT B LAW OFF 1603 16WC 32019 PUCEL, THOMAS ECOLAB * 09/16/16 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 1604 16WC 32076 HERNANDEZ, THELMA FIS * 09/20/16 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 93 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1605 16WC 32113 HULME, ROBIN MEIJER * 06/01/15 WOODRUFF & JOHNSON KNELL & O'CONNOR 1606 16WC 32169 DELSASSO, JASON ARBOR MILLS * 10/14/16 DWORKIN AND MACIARIELLO 1607 16WC 32345 CRABTREE, ERIC CUSTOM CULINARY * 09/30/16 MARKER & ASSOCIATES 1608 16WC 32388 PFIEFFER, MATTHEW EMBERS TAP HOUSE * 09/10/16 VASILATOS & COTTER LLC WOLF LAW LTD 1609 16WC 32529 PIERCE, SUSAN VALLEY VIEW SD * 08/04/16 KROL BONGIORNO & GIVEN LTD 1610 16WC 32547 GREENE, DEMETRIUS RON STAFFING * 10/20/16 DWORKIN AND MACIARIELLO 1611 16WC 32696 WEISSEG, ROBERT A YRC WORLDWIDE * 08/01/16 PARENTE & NOREM PC 1612 16WC 32803 ROJAS, RAFAEL RADIAC ABRASIVES, INC * 01/15/16 CHEPOV & SCOTT LLC 1613 16WC 32860 NEWMAN, CHERYL PETCO DISTRIBUTION CENTER * 08/10/16 RATHBUN CSEVENYAK & KOZOL 1614 16WC 32907 DAVIS, STEVEN IOI GROP LODERS CROKLAAN * 10/02/16 RATHBUN CSEVENYAK & KOZOL 1615 16WC 33079 BRADLEY, KEVIN ILLINOIS DEPT OF CORRECTI @ * 07/31/16 STEVEN H MEVORAH & ASSOCIA 1616 16WC 33138 KITTLING, LASANDRA HELP AT HOME * 05/04/16 FRIEND LEVINSON & BERGAL 1617 16WC 33164 RUIZ, JULIO GOOD TO GROW LANDSCAING * 09/01/16 MC HARGUE, JAMES P LAW OFF 1618 16WC 33198 KARPUS, BRIAN COTTAGE SHEET METAL * 04/15/15 CULLEN HASKINS NICHOLSON 1619 16WC 33242 FRAZIER, ROGER D WALMART * 08/19/16 AMBROSE BUTZEN LAW GROUP 1620 16WC 33297 CHESSARE, JASON CHARTER FITNESS OF MOKENA * 06/15/15 LEITER LAW OFFICES 1621 16WC 33321 WUCKA, PAUL NAVISTAR * 05/03/16 NILSON STOOKAL GLEASON CAP 1622 16WC 33346 WILKINS, CLINTON COUNTY OF WILL * 10/05/16 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 94 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1623 16WC 33376 AVEZZANO, LORI GOLD STANDARD ENTERPRISES * 02/18/16 CIARDELLI CUMMINGS CAMPAGN COZZI & GOGGIN-WARD 1624 16WC 33436 COX, PATRICK JB HUNT * 10/20/16 KATZ FRIEDMAN EAGLE ET AL 1625 16WC 33454 CHANCELOR, MICHAEL C ACCESS STAFFING * 10/13/16 DAVID W MARTAY 1626 16WC 33487 STROENING, RICHARD CHAPINS BANQUETS * 10/16/16 DWORKIN AND MACIARIELLO 1627 16WC 33522 COWLEY, AMANDA WILL COUNTY SHERIFF'S OFF * 04/04/16 DAVID SZCZECIN & ASSOC 1628 16WC 33562 GOODSON, SHEILA PARAMOUNT STAFFING * 09/13/16 PERRY M LAKS LAW OFFICE 1629 16WC 33577 MIRANDA, MARIA WORK NOW STAFFING * 10/26/16 JAMES ELLIS GUMBINER & ASS 1630 16WC 33592 BENAVIDEZ, FRANKLIN DIRECT TRUCKING * 10/04/16 AIOSSA LAW FIRM 1631 16WC 33697 SMITH, MICHAEL J (BROTHER AGL RESOURCES/NICOR GAS C * 10/11/16 GOLDBERG WEISMAN & CAIRO L 1632 16WC 33751 NACEY, JOE LODERS CROKLAAN * 02/25/16 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 1633 16WC 33792 CORDOVA, JESSICA COSTCO WHOLESALE * 05/03/16 LEONARD LAW GROUP LLC GANAN & SHAPIRO 1634 16WC 33917 CRISTOFORI, JOHN ILLINOIS STATE TOLL HWY A @ * 08/09/16 RUBIN LAW GROUP 1635 16WC 33953 NAGLE, JOHN P AT&T * 08/30/16 BRILL & FISHEL 1636 16WC 33980 SWACKER, ROBERT ALLIANCE GLAZING TECHNOLO * 08/30/16 O'CONNOR & NAKOS GRANT & FANNING 1637 16WC 34026 HURTADO, VICTOR CENTRAL GROCERS, INC * 09/04/16 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 1638 16WC 34076 RIOS, JOANNE GENERAL PART DISTRIBUTION * 10/11/16 KOSIN LAW OFFICE LTD 1639 16WC 34108 SNEDEKER, ROBERT ENERFAB, INC * 11/10/16 MICHAEL P MCCREADY & ASSOC LAW OFFICES OF EDWARD J. KOZ 1640 16WC 34137 BRANCH, KYREENA ANDREWS STAFFING * 10/26/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 95 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1641 16WC 34170 HAUSNER, MARTIN GENERAL CONVERTING, INC * 08/15/16 DWORKIN AND MACIARIELLO 1642 16WC 34190 GUTIERREZ, RACHEL HONEYWELL * 09/29/16 DWORKIN AND MACIARIELLO 1643 16WC 34268 PIPER, JOHN OSHKOSH SPECIALTY VECHILE * 11/11/13 BRISKMAN BRISKMAN GREENBER 1644 16WC 34298 COLFFELT, PETER A RED TOP SERVICES, INC * 07/11/16 KOSIN LAW OFFICE LTD 1645 16WC 34330 MARTINEZ, VICENTE GERBER COLLISON & GLASS * 05/07/15 NAVA LAW 1646 16WC 34374 HOWE, BRENDA PLAINFIELD SCHOOL DISTRIC * 09/01/16 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 1647 16WC 34388 HARRIS, LORENZO LYON, LLC * 07/23/16 DWORKIN AND MACIARIELLO 1648 16WC 34454 WALKER, ANTOINETTE CORNERSTONE SERVICES * 10/24/16 RATHBUN CSEVENYAK & KOZOL 1649 16WC 34459 JONES, EUGENE RYDER * 09/21/16 FINE, MARK S LAW OFFICES 1650 16WC 34557 RUIZ, CASANDRA WEATHERTECH/MACNEIL AUTOM * 08/25/16 SALVATO & O'TOOLE 1651 16WC 34622 LEDESMA, JOSE NEOVIA LOGISTICS * 04/11/16 GORDON & CENTRACCHIO LLC 1652 16WC 34706 OPOURO, STANLEY AEROTEK * 11/04/16 LAW OFFICE HOWARD ABRAMS 1653 16WC 34715 COLE, ROBERT BADGER DAYLIGHTING * 11/03/16 GOLDBERG WEISMAN & CAIRO L 1654 16WC 34745 PRATL, JIM BEECHER PUBLIC WORKS * 07/21/15 GREGORIO & MARCO 1655 16WC 34772 BADARACO, VICENTE METRO STAFFING * 11/10/16 COSTA IVONE LLC 1656 16WC 34960 COLANT, JENNIFER R PETSMART, INC * 11/09/16 KOSIN LAW OFFICE LTD 1657 16WC 35014 GUBELMAN, DON COAL CITY USD #1 * 09/06/16 BOWMAN & CORDAY 1658 16WC 35028 LITTLEJOHN, CHARLENE JEWEL OSCO * 08/10/16 DRISCOLL LAW OFFICES PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 96 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1659 16WC 35061 KEEN, CHARLES AEROTEK * 10/21/16 HORWITZ HORWITZ & ASSOC 1660 16WC 35128 CARBONE, SHELLY PUBLIC SAFETY SERVICES, I * 02/19/16 BLOCK, KLUKAS & MANZELLA P 1661 16WC 35201 MANZO, LORENZO JIMENEZ & SONS LANDSCAPIN * 10/03/16 JONATHAN SCHLACK 1662 16WC 35251 EDWARDS, DEMARCUS CAPTIVEAIRE SYSTEMS * 11/04/16 MICHAEL P MCCREADY & ASSOC 1663 16WC 35292 OBSCURA, MARIA PLAINFIELD SCHOOL DIST 20 * 10/14/16 BART DURHAM 1664 16WC 35336 HORTON, EDNA ALLEGIANCE STAFFING * 10/04/16 CULLEN HASKINS NICHOLSON 1665 16WC 35393 ROSAS, MIGUEL TAP HOUSE GRILL * 11/04/16 LEITER LAW OFFICES 1666 16WC 35415 WHITSON, AARON FAJITAS MEXICAN RESTAURAN * 06/02/16 WOLFE LAW PC 1667 16WC 35468 PRICE, STEPHANIE PETRO WILMINGTON * 07/30/16 STRONG LAW OFFICE 1668 16WC 35544 MCCLEAN, KEVIN IBEU LOCAL 176 * 10/27/16 DWORKIN AND MACIARIELLO 1669 16WC 35684 SMEDLEY, AARON L PREMIER TRANSPORTATION * 10/16/16 ANKIN LAW OFFICE 1670 16WC 35701 HOLZAEPFEL, ERIC H TYCO INTEGRATED SECURITY * 11/10/16 SPIROS LAW PC 1671 16WC 35782 MUNIZ-RAMOS, ALEXANDRO NFI INDUSTRIES * 11/18/16 DWORKIN AND MACIARIELLO 1672 16WC 35806 PFIZENMAIER, MARK APL LIMITED * 03/15/15 GRANT & FANNING 1673 16WC 35855 THOMPSON, JUDY SUNNYHILL NURSING HOME OF * 05/27/16 RONALD A BOBBITT 1674 16WC 35885 IZZI, AGNES USA HOIST * 10/17/16 GORDON LAW OFFICES LTD 1675 16WC 35949 GRACIDA, MAURICIO DUTCH AMERICAN FOODS * 06/30/16 MC HARGUE, JAMES P LAW OFF 1676 16WC 35959 GARCIA, RIGOBERTO STEPAN COMPANY * 03/16/15 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 97 C A S E H E A R I N G S Y S T E M FALCIONI, ROBERT 009 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1677 16WC 35974 VAUGHAN, GERI LODERS CROKLAAN * 10/16/14 BLOCK, KLUKAS & MANZELLA P 1678 16WC 35998 TRAVIS, JEANIE WILTON INDUSTRIES * 11/07/16 DAVID W MARTAY 1679 16WC 36029 IMERI, KADIME SENIOR STAR MGMT CO A FOR * 01/10/15 BRIAN J MC MANUS & ASSOC, 1680 16WC 36057 EMMANUEL, KEVIN JOLIET STAFFING * 11/21/16 DWORKIN AND MACIARIELLO 1681 16WC 36087 CONTRERAS, ROGELIO HUDSON BOILER & TANK CO * 10/01/15 HERRERA LAW CENTER 1682 16WC 36152 CARROLL, SHAWN CITY OF JOLIET * 10/19/16 THE ROMAKER LAW FIRM 1683 16WC 36175 BROWN, SHERMAN DOLLAR TREE STORES INC * 11/14/16 ANKIN LAW OFFICE 1684 16WC 36258 KLEIN, JAMES H USF HOLLAND * 05/22/15 DAVID W OLIVERO 1685 16WC 36281 WANDA, DENNIS A ALLISON'S HYDRAULIC * 07/10/14 GORDON & CENTRACCHIO LLC 1686 16WC 36285 VINCE, MARK A CHICAGO SUBURBAN EXPRESS * 11/02/16 JOHN J CASTANEDA 1687 16WC 36319 THOMPSON, TOMMY ILLINOIS TOOL WORKS * 08/01/13 RATHBUN CSEVENYAK & KOZOL 1688 16WC 36331 HENRY, RICKY LUTHERAN CHILD & FAMILY S * 11/15/16 WHITESIDE & GOLDBERG LTD 1689 16WC 36376 KELSEY, MIESHA AMAZON DISTRIBUTION CENTE * 11/08/16 HORWITZ HORWITZ & ASSOC 1690 16WC 36487 FITCH, GLORIA ST PATRICK RESIDENCE * 10/24/16 BLOCK, KLUKAS & MANZELLA P 1691 16WC 36509 ALVAREZ, ANGELA ATWORK PERSONNEL SERVICES * 08/20/16 STRONG LAW OFFICE 1692 16WC 36560 GARCIA, STEPHANIE ELITE STAFFING * 08/17/16 DWORKIN AND MACIARIELLO