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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 09WC 00596 MENDEZ, DOLORES CHICAGO BOARD OF EDUCATIO 12/16/08 MINKOW DOMIN LAW DEPARTMENT 18 09WC 03692 BARBER, SERRA JOHN J MADDEN MENTAL HEAL @ 06/20/08 CULLEN, HASKINS, NICHOLSON ASSISTANT ATTORNEY GENERAL 09WC040970 -C 09WC046171 -C 19 09WC 31381 PAPADOPOULOS, NICK VICK'S EXPRESS, INC 09/15/07 DAVID W MARTAY STONE & JOHNSON CHARTERED 20 09WC 41131 MENDOZA, RICARDO CTA 09/12/09 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 21 09WC 46364 MANTILLA, ELIZA SALON ALLURE W 01/01/08 JAMES ELLIS GUMBINER & ASS MATTHEW J KELLER 22 10WC 25879 HAEPP, DONALD E III CITY OF CHICAGO 05/04/10 HEALY LAW FIRM STEPHANIE LIPMAN 11WC017266 -C 14WC024735 -C 15WC001963 -C 23 10WC 29743 JOHNSON, VIVIAN JOHN H STROGER JR HOSPITA 05/18/10 STEVEN J SEIDMAN LAW OFFIC STATES ATTORNEY OF COOK COUN 24 10WC 31579 STEVENS, FLETCHER K GREAT LAKES ICE CREAM LLC W 08/09/10 STEWART C ORZOFF 25 10WC 31719 PITCHFORD, DARWINTA CITY OF CHICAGO 07/24/10 CULLEN HASKINS NICHOLSON 26 10WC 36070 WROBEL, MARK ARKANSAS BEST FREIGHT 11/14/08 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 27 10WC 40045 19B BARHOUMEH, KEN CITY OF CHICAGO 10/10/10 HEALY SCANLON LAW FIRM HENNESSY & ROACH PC 12WC005993 -C 13WC001783 -C 28 10WC 43121 MURRAY, CHERYL CTA 09/21/10 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 29 10WC 45114 CLARK, MEL FIRST STUDENT 09/02/10 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 11WC017406 -C 30 11WC 00850 KUNZ, WILLIAM C CHICAGO TRANSIT AUTHORITY 12/28/10 STEWART C ORZOFF CHICAGO TRANSIT AUTHORITY 31 11WC 01836 DAVIDSON, CHARLES CITY OF CHICAGO DEPT OF 05/11/10 LAW OFFICE OF SCOTT B SHAP CITY OF CHICAGO 32 11WC 04804 LAZAR, MIKE YELLOW CAB 10/04/10 KENNETH B GORE, LTD STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 11WC 09058 TASKER, ELRAY C CHICAGO PUBLIC SCHOOLS 02/17/11 SOSTRIN AND SOSTRIN PC LEAHY EISENBERG & FRAENKEL 34 11WC 21833 CASTILLO, GLORIA PACTIV CORPORATION 01/11/11 SALK, STEVEN B & ASSOC LTD SPIEGEL & CAHILL, PC 35 11WC 23379 SARDELLA, MONA MACY'S INC 05/14/11 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 36 11WC 29799 O'NEILL, DANIEL CASE FOUNDATION COMPANY 09/02/08 CULLEN HASKINS NICHOLSON THOMAS & PORTELA 37 11WC 29842 CHANEY, BILLY F, SR STATE OF IL 07/19/11 MARSZALEK AND MARSZALEK COLIN KICKLIGHTER 11WC029843 -C 38 11WC 34064 19B POWROZEK, DAVID SOMMERS AND FAHRENBACH, I 08/15/11 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 39 11WC 34461 MOORE, CHRISTOPHER SELECT REMEDY STAFFING 08/24/11 MARTAY LAW OFFICE LEAHY EISENBERG & FRAENKEL 40 11WC 36335 ARNOLD, LARON LORETTO HOSPITAL 08/15/11 NEMEROFF LAW OFFICES LTD GAROFALO SCHREIBER STORM 41 11WC 37945 GRACIA, AMPARO PROGRESSIVE INVESTMENTS L 08/01/11 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 42 11WC 40508 GARCIA, REBECCA COOK COUNTY SHERRIFF'S DE 10/09/11 RICHARD E ALEKSY STATES ATTORNEY OF COOK COUN 43 11WC 41716 CRUZ, MARCELA WEBER GRILL RESTAURANT LL 10/08/11 ANKIN LAW OFFICE GRANT & FANNING 44 11WC 46741 HOOP, ANTHONY J ILLINOIS STATE POLICE @ 12/05/11 JAMES M RIDGE LAW OFFICE ASST ATTY GENERAL 45 11WC 47572 VACCARELLO, JOE CITY OF CHICAGO DEPT OF T @ 11/25/11 BERG & BERG HENNESSY & ROACH PC 46 12WC 04999 OREND, MICHAEL IL BELL TELEPHONE CO/AT & 11/14/11 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 47 12WC 05675 RODDY, ROBERT D MEADE ELECTRIC COMPANY 09/07/11 GOLDBERG WEISMAN & CAIRO L RUSIN MACIOROWSKI & FRIEDMAN 15WC009532 -C 48 12WC 06895 BACZYNSKI, MATEUSZ T & J WOODWORKING, INC W 11/18/11 CUSHING LAW OFFICES ASSISTANT ATTORNEY GENERAL 49 12WC 07044 CLAY, LISA ARCHDIOCESE OF CHICAGO 05/26/11 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 12WC 11205 WILLIAMS, THAIS CHICAGO TRANSIT AUTHORITY 03/11/12 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 51 12WC 13569 LAZARO, MAGDALENA ROSCOE COMPANY 04/09/12 TOPPER & WEISS LTD POWER & CRONIN LTD 14WC039169 -C 52 12WC 15673 ARCE, ADRIAN T CITY OF CHICAGO 05/25/10 KENNETH B GORE, LTD CITY OF CHICAGO 12WC015674 -C 14WC018914 -C 53 12WC 15815 GOMEZ, HERMILO WALMART STORES INC D/B/A 11/21/11 LAW OFFICE PHILIP BLOMBERG GANAN & SHAPIRO 14WC007775 -C WAL-MART STORES, INC 54 12WC 16812 CHAMBERLIN, DEBORAH A COMMUNITY CONSOLIDATED 02/13/12 FOTOPOULOS, JOHN S RUSIN MACIOROWSKI & FRIEDMAN 13WC018487 -C 55 12WC 18721 HAYES, CALVIN SOUTHWEST AIRLINES 10/17/08 NEWLAND & NEWLAND HENNESSY & ROACH PC 56 12WC 22150 BRAVO, SANDRA NORDSTROM 12/08/11 JONATHAN SCHLACK ROBERT L. SMITH 12WC031952 -C 57 12WC 27570 DIVIRGILIO, BETH ILLINOIS STATE POLICE @ 07/15/12 JAMES M RIDGE LAW OFFICE 58 12WC 28597 SANDOVAL, EDIBERTA SAN JOSE IMPORTS INC 07/27/12 GOLDSTEIN BENDER & ROMANOF LAW OFFICES KRISTEN M KOZLOW 59 12WC 28698 BOSWELL, VICKI K COOK COUNTY SHERIFF'S DEP 08/09/12 GRECO, MICHAEL J STATES ATTORNEY OF COOK COUN 60 12WC 28857 MALARET, CARMEN AMERICAN EAGLE AIRLINES 07/17/12 GAROFALO SCHREIBER STORM 61 12WC 29310 MONTENEGRO, SOCORRO TAAP CORPORATION 10/27/11 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 62 12WC 30906 QUIZHPI, MANUEL CHIPOTLE MEXICAN GRILL IN 09/29/11 KARNO, MARK L & ASSOC HENNESSY & ROACH PC 63 12WC 31556 19B GHEZZI, DAVID SPECTRUM CONTRACTING CORP 07/21/12 COVEN LAW GROUP HOLECEK & ASSOCIATES 64 12WC 31782 PEREZ, JUAN C ALTERNATIVE STAFFING 08/21/12 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 12WC041331 -C LABOR TEMPS SOUTH INC 65 12WC 32167 HOFSTETTER, MARY 7 ELEVEN 09/01/08 MARSZALEK AND MARSZALEK MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 66 12WC 32774 LIPSKI, JACK MIDLAND METAL PRODUCTS 03/29/12 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 67 12WC 33997 ROMERO, ELIZABETH CTA 05/08/12 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 68 12WC 34124 CONWAY, JUDY STATE OF ILLINOIS DHS @ 09/13/12 BLOCK KLUKAS & MANZELLA PC ASST ATTY GENERAL 14WC035504 -C 16WC014630 -C 69 12WC 38523 BRINNER, GERALD ILLINOIS DEPARTMENT OF @ 09/14/12 DEAN J CARAS & ASSOCIATES JORDAN FRANK 70 12WC 38767 BRITO, LUIS NEW SBL, INC 10/02/12 DEUTSCHMAN, JEFFREY S 71 12WC 39702 SHILWA, GRACIELA LUTHERAN GEN HOSPITAL 09/18/12 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 15WC031057 -C 72 12WC 40633 VAZQUEZ, LUIS RESTORE MASONRY LLC 07/10/12 THE ROMAKER LAW FIRM THOMAS & PORTELA 73 12WC 41277 PEREZ, DANILO ALPINE DEMOLITION SERVICE 10/06/12 HORWITZ HORWITZ & ASSOC GRANT & FANNING 74 12WC 41323 ROY, KATHERINE CHICAGO BOARD OF EDUCATIO 09/26/12 DAVID W MARTAY LAW DEPARTMENT 75 12WC 42330 DOUGLAS, JEFFREY CITY OF CHICAGO 12/06/12 FRIEDMAN & SOLMOR LTD CITY OF CHICAGO 76 13WC 03432 HEITZ, JOSEPH P SUNSET FOOD MART INC 07/03/12 BOWMAN & CORDAY KEEFE CAMPBELL & ASSOC LLC 13WC017963 -C 14WC004920 -C 77 13WC 04446 BONILLA, ORLANDO CROTHALL LAUNDRY SERVICES 08/08/12 HETHERINGTON KARPEL BOBBER GANAN & SHAPIRO 78 13WC 04521 GUEST, PHILIP LOYOLA UNIVERSITY CHICAGO 10/18/10 VASILATOS & COTTER LLC LORENZ & BERGIN PC 79 13WC 04818 GURGONE, NOREEN CITY OF CHICAGO 10/19/12 MAURICE E DUSKY PC CITY OF CHICAGO 13WC023721 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 13WC 04882 JUSTOWSKI, RENATA MARIANO'S/RANDY'S SUPERMA 12/22/11 THOMAS A MORRISSEY CLAYBORNE SABO & WAGNER 81 13WC 05054 CENTENO, RAY VALLI PRODUCE 02/02/11 ROMANEK & ROMANEK GANAN & SHAPIRO 13WC005055 -C 82 13WC 06311 WRIGHT, JUNE I ST OF IL DEPT OF HS @ 01/21/13 WITTENBERG DOUGHERTY MAGLI ASSISTANT ATTORNEY GENERAL 83 13WC 06662 LAGUNAS, MARIA JAMES MONROE 04/30/12 SALVATO & O'TOOLE 84 13WC 07283 BUTLER, JEANNE CHICAGO TRANSIT AUTHORITY 02/15/13 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 85 13WC 14865 CHIOVINO, GINA HYATT REGENCY O'HARE 01/24/13 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 86 13WC 16800 VILCEANU, MARIOARA SEARCH DEVELOPMENT CENTER 03/01/13 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 87 13WC 17393 YORK, CYNTHIA UNITED AIRLINES INC. 05/16/13 ANGELINI & ORI LLC BRYCE DOWNEY & LENKOV LLC 88 13WC 17627 WILSON, ERIC FRESENIUS MEDICAL CARE 02/04/13 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 89 13WC 17815 KASPER, LYNN VILLAGE OF WORTH 05/06/13 JASINSKI, GEORGE J RUSIN & MACIOROWSKI LTD 15WC004040 -C 90 13WC 18033 WHITT, CASEY SERVISAIR 04/01/13 SCHWEICKERT & GANASSIN KNELL & O'CONNOR 91 13WC 18820 MENDEZ, MAYRA ELI'S CHEESECAKE COMPANY 01/07/12 LUIS A ACEVES & ASSOC HOLECEK & ASSOCIATES 92 13WC 19183 JOHNSON, JAMES VILLAGE OF HOFFMAN ESTATE 05/31/13 RIFFNER BARBER ROWDEN & SC RODDY LAW LTD 93 13WC 19754 BANKS, CAROLYN E IL DEPT OF HEALTHCARE & @ 02/14/13 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 13WC036789 -C ST OF IL, IL DEPT OF 94 13WC 23509 HICKS, GRY A CITY OF EVANSTON 03/16/13 THOMAS W DUDA WIEDNER & MCAULIFFE LTD 95 13WC 23600 OLIPHANT, VICTORIA R EVANSTON NURSING & REHAB 06/01/12 WARREN W MARK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 96 13WC 25243 FLEMING, CORA UNITED AIR LINES INC 06/05/13 STEVEN J SEIDMAN LAW OFFIC WIEDNER & MCAULIFFE LTD 97 13WC 26059 BAEZ, EVANGELISTA JR EDGEWATER BEACH APARTMENT 06/05/13 BAUM RUFFOLO & MARZAL LTD LAW OFFICES OF EDWARD J. KOZ 13WC026060 -C 98 13WC 26117 APPLEBY, MARK W EXPRESSJET AIRLINES, INC 02/18/13 BUDIN LAW OFFICES SPIEGEL & CAHILL, PC 99 13WC 27006 SMITH, MARY SCULLY JONES 07/10/13 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 100 13WC 30052 SWON, STEPHEN A BURKE BEVERAGE INC 02/04/13 LANZILLOTTI GRIBBEN & MARC HEYL ROYSTER VOELKER & ALLEN 101 13WC 30104 KORDA, ROBERT JL ROLL OFF SERVICE INC 08/31/13 ANGELINI & ORI LLC RODDY LAW LTD 102 13WC 30323 ASUO, BOBONTEWURA CHICAGO CARRIAGE 08/29/13 KENNETH B GORE, LTD 103 13WC 36392 PERRY, ERIC FORD MOTOR COMPANY 08/31/13 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 13WC036393 -C 13WC041626 -C 104 13WC 36424 CRUZ, AUGUSTINE GEORGIS CATERING 10/30/13 STEVEN J SEIDMAN LAW OFFIC LAW OFFICES JOSEPH MARCINIAK 14WC000309 -C 105 13WC 38491 KOLENDOWICZ, ELKE AMERICAN AIRLINES 09/26/13 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 106 13WC 39331 PINEDA, FRANCISCO CUZCO CONSTRUCTION CO 09/05/13 JOHN J CASTANEDA 107 13WC 39438 CORBOY, ANDREA MARIANO'S (ROUNDY'S) 08/05/12 KARCHMAR & STONE CLAYBORNE SABO & WAGNER 108 13WC 39453 DUNBAR, LARRY D WE CLEAN MAINTENANCE & 08/16/13 VITELL & SPITZ LTD GANAN & SHAPIRO 109 13WC 39650 ENGLISH, SALVATORE 20TH CENTURY FOX TELEVISI 10/15/13 LAW OFFICE OF ROBERT J. IR 110 13WC 42502 HASELTINE, STANLEY CITY OF CHICAGO 12/06/13 JOHN F GREGORIO & ASSOC HENNESSY & ROACH PC 111 14WC 00383 PEREZ, FERNEY FOOD 4 LESS 11/26/13 KENT M LUCACCIONI LTD 112 14WC 00932 WASHINGTON, FLORA CHICAGO TRANSIT AUTHORITY 01/02/14 MC HARGUE, JAMES P LAW OFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 113 14WC 01556 O'REILLY, MICHAEL MONDELEZ INTERNATIONAL 12/05/13 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 114 14WC 01836 EBERHARDT, MICHAEL FORD MOTOR COMPANY 11/07/13 NEWMAN, BOYER & STATHAM WIEDNER & MCAULIFFE LTD 115 14WC 02143 KOUTNIK, PHILLIP W BROADWIND ENERGY INC DBA 10/20/13 BUDIN LAW OFFICES MEACHUM & STARCK 116 14WC 02524 PRESNY, KEVIN PETRA STONE & TILE 11/18/13 CUDA LAW OFFICES GANAN & SHAPIRO 14WC002525 -C 14WC002526 -C 14WC002527 -C 14WC002528 -C 117 14WC 03075 HOGAN, JUSTIN T FOUR SEASONS HEATING 07/20/12 PARENTE & NOREM PC ROSARIO CIBELLA 118 14WC 03149 HUNTER, DOROTHY CHICAGO PUBLIC SCHOOLS 01/21/14 STEPHEN G PINTO LTD LAW DEPARTMENT 119 14WC 03721 MONTGOMERY, MARK J CITY OF CHICAGO 04/04/12 KATZ FRIEDMAN EAGLE ET AL CITY OF CHICAGO 120 14WC 04125 PRICE, SHANTA EMPLOYER ALTERNATIVE STAF 12/20/13 THE ROMAKER LAW FIRM MACIOROWSKI SACKMANN & ULRIC 121 14WC 04170 MONTGOMERY, JEROME CHICAGO TRANSIT AUTHORITY 01/30/14 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 122 14WC 04291 HERNANDEZ, CHERRY CHICAGO PUBLIC SCHOOLS 01/08/14 WITTENBERG DOUGHERTY MAGLI LAW DEPARTMENT 15WC025136 -C 15WC025137 -C 123 14WC 04658 CHAMBERS, AUDREY MONDELEZ INTERNATIONAL 01/13/14 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 14WC007967 -C 124 14WC 04719 ANDERSON, DWAYNE D RICHOH BUSINESS SOLUTIONS 07/20/12 MEACHUM & STARCK 125 14WC 04903 LOPEZ, HARRY KONE, INC 01/21/14 GREGORIO & MARCO GAROFALO SCHREIBER STORM 126 14WC 04967 BRONOWICZ, KRZYSZTOF RESTORE RESTORATION INC 02/18/11 MINKOW DOMIN LAW OFFICES JOSEPH MARCINIAK 127 14WC 05183 PEEPLES, KIMBERLY CHICAGO TRANSIT AURTHORIT 01/12/14 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 128 14WC 06075 REYNOLDS, CARL COUNTRYWIDE PAYROLL 01/07/14 BASHFORD LAW GROUP PC ANCEL GLINK DIAMOND BUSH & E 129 14WC 06917 MAIRENA, REYNA PROSPECT AIRPORT SERVICES 02/19/14 PAUL D POWELL THOMAS & PORTELA 14WC010911 -C 130 14WC 10506 GARCIA, AGUSTINA UNITED MAINTENANCE 02/02/14 CULLEN HASKINS NICHOLSON 131 14WC 14282 ERWIN, KATHLEEN HICKORY WEST MOTEL 03/30/14 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 132 14WC 14329 FOX, KIM L JCG INDUSTRIES D/B/A 02/24/14 FRIEND LEVINSON & BERGAL INMAN & FITZGIBBONS 133 14WC 14830 BECERRIL, YISELA AVENUE HOTEL 03/21/14 SALVATO & O'TOOLE RUSIN & MACIOROWSKI LTD 134 14WC 15128 HUFFINE, MARK FORD MOTOR COMPANY 10/28/13 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 135 14WC 15584 KOZAK, KARLA J SOUTHWEST AIRLINES 03/15/14 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 136 14WC 16024 MARCINIAK, KRZYSZTOF STATE OF ILLINOIS DEPT OF @ 03/17/14 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 137 14WC 16307 RAMIREZ, SAUL CHICAGO MATRESS COMPANY I 03/11/14 MINKOW DOMIN GANAN & SHAPIRO 138 14WC 17051 CROWDER, LORETTA CHICAGO PUBLIC SCHOOLS 02/13/14 WITTENBERG DOUGHERTY MAGLI LAW DEPARTMENT 139 14WC 17093 DELGADO, LINDA CITY OF CHICAGO DEPT OF 04/04/13 CUDA LAW OFFICES CITY OF CHICAGO 140 14WC 17241 MARTINEZ, ALEXIS GL SUPER SERVICE INC C/O 02/24/14 HETHERINGTON KARPEL BOBBER 141 14WC 18249 ORSIC, DAVID T COOK COUNTY SHERIFF 05/15/14 PARENTE & NOREM PC STATES ATTORNEY OF COOK COUN 142 14WC 22630 MALLON, JULIE VIRBAC ANIMAL HEALTH 06/19/14 BAUM RUFFOLO & MARZAL LTD LAW OFFICES JOSEPH MARCINIAK 143 14WC 24151 TROCHIN, JOANNE T COOK COUNTY DEPT OF 03/13/14 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 144 14WC 24234 MADRY, MICHAEL SODEXO INC 05/19/14 STELZMAN, RUTH INMAN & FITZGIBBONS 145 14WC 24309 SHULMAN, SARA ACCHAA SPA W 02/07/14 GIAMANCO & OOINK LAW OFFIC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 146 14WC 24738 FAULKNER, WILLIAM L SECURITAS 06/18/14 JAMES J BURKE LAW OFFICE WIEDNER & MCAULIFFE LTD 147 14WC 24871 MOYA, ROBERT VERIFONE MEDIA LLC 02/01/14 THE ROMAKER LAW FIRM LAW OFFICES JOSEPH MARCINIAK 148 14WC 25173 BARRIOS, MARTHA RICHELIEU FOOD 04/18/14 STEVEN A CRIFASE, LTD HOLECEK & ASSOCIATES 15WC013046 -C 149 14WC 25266 BOYAJIAN, MATT J JW DAVIDSON HEATING W 06/02/14 SEIDMAN MARGULIS & FAIRMAN 150 14WC 25348 JACKSON, DELANEY PACE TRANSPORTATION 06/22/14 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 151 14WC 25610 MADERA, DOMINIC HALLETT & SONS EXPERT MOV 08/06/13 BOWMAN & CORDAY HENNESSY & ROACH PC 15WC025396 -C 152 14WC 26082 CARTER, AQUANITA CITY OF CHICAGO DEPT OF 07/18/14 SHELDON I MINKOW & ASSOCIA 14WC027877 -C 14WC034170 -C 153 14WC 26248 HOIUM, SHARLET NEIMAN MARCUS 04/04/13 THOMAS R LICHTEN MEACHUM & STARCK 154 14WC 26265 SCHELL, RICK LEHIGH HANSON 06/02/14 DWORKIN AND MACIARIELLO RODDY LAW LTD 155 14WC 26387 JONES, REGINALD CTA 07/22/14 156 14WC 26410 REESE, WILLIE MARINA CARTAGE INC 07/29/14 157 14WC 26469 HILL, JOYCE CTA 07/10/14 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 158 14WC 26935 CANDERS, LAWRENCE CTA 07/31/14 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 159 14WC 27091 OMEROVIC, ZEHRA CHICAGO PUBLIC SCHOOLS 01/27/14 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 160 14WC 27584 19B PALMER, TIFFANY M ULTIMATE STAFFING 08/07/14 ANKIN LAW OFFICE ROSARIO CIBELLA 161 14WC 27757 HARDNICK, CYNTHIA ULTRA FOODS 12/02/13 SMOLER LAW OFFICE, PC ROSARIO CIBELLA 162 14WC 27774 SANCHEZ, GASTON THERM FLO INC 01/09/14 TAMVAKIS, GEORGE L THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 163 14WC 27869 HUGHES, LATONYA FORD MOTOR COMPANY 12/05/13 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 164 14WC 28370 SCHENFELD, PAUL J CITY OF CHICAGO-OEMC 07/02/14 ANESI OZMON RODIN NOVAK KO CITY OF CHICAGO 165 14WC 28393 DEL BOSQUE, HECTOR JOE LAWRENCE ENTERPRISES 07/28/14 SEIDMAN MARGULIS & FAIRMAN 166 14WC 28618 SINK, STEPHEN MARTIN MECHANICAL 08/09/14 CUDA LAW OFFICES BRADY CONNOLLY & MASUDA PC 167 14WC 29008 JONES, KATRELL SET ENTERPRISES INC 07/21/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 15WC007196 -C 15WC007197 -C 15WC007198 -C 168 14WC 29128 BOATENG, KWAME YELLOW CAB 06/16/14 LAW OFFICE RYAN ROSENTHAL 169 14WC 29540 CAMPBELL, MARY COOK COUNTY SHERIFF @ 04/25/14 MICHAEL P MCCREADY & ASSOC STATES ATTORNEY OF COOK COUN 170 14WC 29655 STARTEK, MONICA MERCY HOSPITAL 06/20/14 ANKIN LAW OFFICE 171 14WC 30120 ESTRADA, VICTORIA JEWEL OSCO 05/17/14 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 172 14WC 33945 HUFF, ANDRE CTA 06/11/14 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 173 14WC 34274 PHARR, CATHERINE JACKSON PARK HOSPITAL 09/01/14 SEIDMAN MARGULIS & FAIRMAN ODELSON & STERK 174 14WC 35636 UPSHAW, NASEAN SODREL HOLDING CO DBA 10/11/12 CIARDELLI CUMMINGS CAMPAGN RODDY LAW LTD 175 14WC 35852 CAVAZOS, MANUEL FROZEN FOOD EXPRESS 01/27/13 ELFENBAUM EVERS & AMARILIO THOMAS & ASSOCIATES 176 14WC 35943 RAMIREZ, LUCIA STAFF RIGHT LLC 09/17/14 EPSTEIN, JACK R LAW OFFICE MC ANDREWS & NORGLE LLC 16WC010716 -C 177 14WC 35970 GOSEIN, SOOKDEO IL BELL TELEPHONE CO 09/09/13 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 17WC013075 -C 178 14WC 36343 TELO, ASHMOAEL ARAMARK 02/05/14 SEIDMAN MARGULIS & FAIRMAN STONE & JOHNSON CHARTERED 179 14WC 36559 MORGAN, REBECCA GREATER HOLY TEMPLE OF 10/16/14 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 180 14WC 37121 WILLIAMSON, LAKENYA CTA 10/24/14 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 181 14WC 37235 VELAZQUEZ, ESMERALDA UNISTAFF INC 05/12/14 BALTAZAR MENDOZA 182 14WC 37354 TERRY, ROSS A-1 COUNTRY FIREWOOD 09/20/14 VRDOLYAK LAW GROUP LLC MARK G BERGAL LAW OFFICE 183 14WC 37409 WHITE, MARY NORNAT MANAGEMENT SERVICE 05/27/14 FRIEND LEVINSON & BERGAL 184 14WC 37460 RUEDA, EDITH MVP STAFFING 07/16/14 DWORKIN AND MACIARIELLO KOREY RICHARDSON LLC 185 14WC 37624 WINSTON, DAVID VILLAGE OF OAK LAWN 04/26/14 BARRETT & SRAMEK KEEFE CAMPBELL & ASSOC LLC 186 14WC 37652 HATLEY, ANTONIO DESIGN PACKAGE COMPANY 10/24/14 SHELDON I MINKOW & ASSOCIA 187 14WC 38056 ARRIETA, MARISOL FARMINGTON FOODS 10/22/14 THE ROMAKER LAW FIRM EDWARD JANUSZKIEWICZ 188 14WC 38961 MORRIS, JEFF CPC LOGISTICS INC 10/06/14 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 189 14WC 39067 WALKER, CYNTHIA COOK COUNTY 10/03/14 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 190 14WC 39574 MC LAURIN, ZARAK CITY OF CHICAGO 08/21/14 DWORKIN AND MACIARIELLO CITY OF CHICAGO 191 14WC 39873 MITCHELL, CHANIKA J CHICAGO PUBLIC SCHOOL 09/10/14 SALVATO & O'TOOLE LAW DEPARTMENT 192 14WC 42068 DAVIS, CHARLOTTE FORD MOTOR CO 08/22/14 FOHRMAN, DONALD W & ASSOCS 193 15WC 01612 BURNS, TYRONE CITY OF CHICAGO 07/24/14 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 194 15WC 01626 MAZUREK, MICHAEL G ROLLINS INC 10/07/14 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC 195 15WC 01973 SOMUAH, KWAME CHICAGO TRANSIT AUTORITY 12/28/14 LAW OFFICES OF HERBERT ABR CHICAGO TRANSIT AUTHORITY 196 15WC 02103 KELLER, NORMAN LEE TALENT PARTNERS 08/19/14 LAW OFFICE DAVID W CLARK HENNESSY & ROACH PC 197 15WC 02591 FUKSA, ARNOST WAUKESHA TOOL & STAMPING 10/25/14 WHITESIDE & GOLDBERG LTD HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 198 15WC 02939 WALKER, ERICA T COOK DUPAGE TRANSPORT CO 01/06/15 WARREN W MARK 199 15WC 03245 BENDA, CLAUDIA PALOS COMMUNITY HOSPITAL 02/29/12 MAGNUSON, LAWRENCE K, PC POWER & CRONIN LTD 200 15WC 03399 BARKER, WILLIAM J ATLAS VAN LINES, INC. 06/13/14 MARKER & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 201 15WC 03584 BOND, THOMAS W FH PASCHEN 11/18/14 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 202 15WC 03696 PIZARRO, JOSE ENTERPRISE 11/22/14 DAVID W MARTAY KNELL & O'CONNOR 203 15WC 03856 BENAVIDES, JOSE L CITY OF CHICAGO 12/31/14 PARENTE & NOREM PC 204 15WC 03880 BARRY, THOMAS J MISERICORDIA HOME 10/12/14 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 205 15WC 03974 POSADA, ENRIQUE CLEAR STAFF INC 01/08/15 PORRO NIERMANN LAW GROUP 206 15WC 04072 JEZIORSKI, JILL CALUMET CITY POLICE DEPT 04/23/14 KROL BONGIORNO & GIVEN LTD RANDOLPH GREUNE LAW OFFICE 207 15WC 04431 JACKSON, DINA LUDEMAN DEVELOPMENTAL @ 11/02/14 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 208 15WC 04949 VENHUIZEN, ALAN EAGLE EXPRESS LINES INC 12/23/14 WHITESIDE & GOLDBERG LTD HINSHAW & CULBERTSON 209 15WC 04959 PEREZ, GLORIA MARIANO'S 12/10/14 HORWITZ HORWITZ & ASSOC 210 15WC 05187 EDWARDS, BARBARA RICH TOWNSHIP HIGH SCHOOL 01/20/15 RAYMOND P GARZA LAW OFFICE INMAN & FITZGIBBONS 16WC013008 -C 211 15WC 05427 CRUZ, MARISOL CTA 09/22/14 CHEPOV & SCOTT LLC 212 15WC 05452 MARINO, VALERIE THE SPINE CENTER 02/11/14 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 213 15WC 05474 VELLEGA, VINCE CITY OF CHICAGO 11/28/14 BAUM RUFFOLO & MARZAL LTD CITY OF CHICAGO 214 15WC 05482 CUSTARDO, CONSTANCE ILLINOIS DEPARTMENT OF 02/02/15 CIARDELLI CUMMINGS CAMPAGN ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 215 15WC 06050 THOMAS, SHARON COOK COUNTY SHERIFF'S DEP 02/04/15 BRILL & FISHEL STATES ATTORNEY OF COOK COUN 216 15WC 06058 JONES, NYKESHA CTA 01/21/15 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 15WC006059 -C 217 15WC 10736 LOPEZ, RODRIGO SIEGAL STEEL 02/20/15 THE FITZ LAW GROUP 218 15WC 11331 HULL, KATHE UNITED AIRLINES 06/25/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 219 15WC 12721 ZIELINSKI, PATRICIA CITY OF CHICAGO BOARD 10/15/14 GOLDFEIN LAW OFFICE PC KROL BONGIORNO & GIVEN LTD 220 15WC 13295 GARZA, RAYMUNDO CHICAGO TRANSIT AUTHORITY 03/27/15 KROL BONGIORNO & GIVEN LTD CHICAGO TRANSIT AUTHORITY 221 15WC 13656 COSTNER, ELI SCREW MACHINE ENGINEERING 05/17/13 ANGELINI & ORI LLC 222 15WC 13689 HERMAN, ROBERT SYSCO FOODS SERVICES 04/09/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 223 15WC 13766 HOOTEN, ALICE SOLOMON SCHOOL 11/13/14 LEE, MARK N LAW OFFICE 224 15WC 13944 NUNEZ-WESCOTT, THERESA JEWEL 03/03/15 STANCZAK LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 225 15WC 14307 TREJO, ENEDINO SIGNODE INDUSTRIAL GROUP 08/22/14 SALVATO & O'TOOLE HENNESSY & ROACH PC 226 15WC 14428 LITTLE,ERIC MOST VALUABLE PERSONNEL 04/22/15 MARC J SHUMAN & ASSOCIATES GRANT & FANNING 227 15WC 14439 ROMZA, ROBERT KOPPERS 04/20/15 ANGELINI & ORI LLC 228 15WC 14588 CHAPPEL, MELINDA INDIVIDUAL ADVOCARY GROUP 04/09/15 HUGHES SOCOL PIERS RESNICK GALLIANI DOELL & COZZI LTD 229 15WC 15094 MONRREAL, PABLO ESMARK STEEL GROUP 04/21/15 ELFENBAUM EVERS & AMARILIO MEACHUM & STARCK 230 15WC 15190 RIVERA, LORETO ELITE STAFFING 10/10/14 ACEVES & PEREZ PC 231 15WC 15209 QURAISHI, YOUSUF CANTEEN VENDING SERVICES 09/11/13 CRONIN & PETERS GANAN & SHAPIRO 232 15WC 15474 PENA-RIOS, GUADALUPE ALLIED TOOL AND CONDUIT C 02/11/15 COLLISON LAW OFFICES KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 233 15WC 15495 HOWSE, HAZEL FRESENIUS MEDICAL CARE 02/27/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 234 15WC 15507 PEEZ, JUAN F ST JOSEPH CHURCH 01/09/14 BOWMAN & CORDAY MC ANDREWS & NORGLE LLC 235 15WC 15767 FITZGERALD, JOHN VILLAGE OF HOFFMAN ESTATE 04/16/15 RIFFNER BARBER ROWDEN & SC RODDY LAW LTD 236 15WC 15864 THOMSON, KIRK C U S A HOIST 04/22/15 GOLDBERG WEISMAN & CAIRO L LITCHFIELD CAVO 237 15WC 15917 SIERROS, STEVEN TOTAL AIRPORT SERVICES 05/04/15 DWORKIN AND MACIARIELLO THOMAS & PORTELA 238 15WC 15997 ROTTO, DOMINIC CHICAGO TRANSIT AUTHORITY 01/20/15 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 239 15WC 16253 VASQUEZ, RAYMUNDO STRACK & VAN TIL/ULTRA FO 11/20/14 ANKIN LAW OFFICE ROSARIO CIBELLA 240 15WC 16266 BEAM, THOMAS G US AIRWAYS 05/07/14 NEWLAND & NEWLAND 241 15WC 16448 BLACK, JANICE PRAIRIE STATE COLLEGE 02/23/15 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 15WC016449 -C 15WC016450 -C 242 15WC 16505 HURD, CASSANDRA Y CTA 04/27/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 243 15WC 16573 PAVALON, MICHAEL ADVANCE AUTO PARTS 04/24/15 244 15WC 16674 FLORES, ROSA F JEWEL-OSCO 10/01/14 SMOLER LAW OFFICE, PC 245 15WC 16763 JOHNSON, JEREMY ARAMARK 05/13/15 LAW OFFICE OF SCOTT B SHAP INMAN & FITZGIBBONS 246 15WC 16770 MARBENA, ANTWAN TREVINO CARPET AND TILE C 01/14/15 MARK G BERGAL LAW OFFICE MEACHUM & STARCK 247 15WC 16811 STEELE, KIM E IL DEPT OF TRANSPORTATION 04/15/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 16WC032095 -C IDOT HWY DIV 248 15WC 16832 VEGA, FABIAN A ADVOCATE ILLINOIS MASONIC 12/21/14 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 249 15WC 16847 SEGURA, RAFAEL ARCHER WIRE INTERNATIONAL 05/04/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 250 15WC 16909 KLINGER, DAVID VILLAGE OF MATTESON 04/09/14 HETHERINGTON KARPEL BOBBER INMAN & FITZGIBBONS 251 15WC 17037 CABRERA, JOSE CITY OF CHICAGO 07/04/14 BOGUSZ & BOGUSZ LTD CITY OF CHICAGO 15WC017038 -C 252 15WC 18069 MC GRAW, RODNEY VETERANS DISTRIBUTION CHI 05/12/15 GOLDBERG WEISMAN & CAIRO L 253 15WC 18142 GRAY, CHAUNDELL CITY OF CHICAGO - SANITAT 06/30/14 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 15WC018143 -C 254 15WC 18911 KINSEY, VICTORIA (ADMIN. CITY OF CHICAGO # 10/29/14 CUDA LAW OFFICES HENNESSY & ROACH PC 255 15WC 18968 OJEDA, IGNACIO VOVANTIN LABOR NETWORK 05/11/15 ANKIN LAW OFFICE ROBERT L. SMITH 256 15WC 22051 MENEWEATHER, ELIZABETH CHICAGO PUBLIC SCHOOLS 04/21/15 SEIDMAN MARGULIS & FAIRMAN 257 15WC 22684 MCNAMERA, DAVID W. CITY OF CHICAGO 05/16/15 DISPARTI LAW GROUP PA CITY OF CHICAGO 258 15WC 23039 FIGUEROA, RUTH CITY OF CHICAGO/COMMITTEE 05/06/14 THE FITZ LAW GROUP CITY OF CHICAGO 259 15WC 23259 SHAHNAWAZ, ELAHI UNITED AIRLINES INC. 06/15/15 COPLAN & CRANE, LTD 260 15WC 23270 UNZUETA, FLORENTINA ARAMARK MGMT SYSTEMS 06/28/15 MC HARGUE, JAMES P LAW OFF STONE & JOHNSON CHARTERED 261 15WC 23320 HARRISON, MICHELLE COACH USA MEGABUS 07/23/15 RUBIN LAW GROUP POULOS & DIBENEDETTO LAW 16WC012584 -C 262 15WC 23482 NUNEZ, JOSE G PAGE LANDSCAPING INC 07/08/15 RIDGE & DOWNES 263 15WC 23563 CORIA, ADRIANA E GABBY'S BAGEL 03/19/15 EFTEKHARI LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 264 15WC 23705 MCFADDEN, CINDY M CHICAGO BOARD OF ED 04/28/14 WILLIAM MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 15WC 24040 ALMA, JOSE CHICAGO BREWPUBS, INC. D/ 07/22/15 MILLON & PESKIN LTD INMAN & FITZGIBBONS 266 15WC 24127 FLUCAS, DOROTHY KATES DETECTIVE & SECURIT @ W 09/14/13 CHASE & WERNER LTD 15WC024128 -C 16WC036505 -C 267 15WC 24179 JENNISON, FRANK ELECTRICAL DESIGN SYSTEMS 07/16/14 MAURICE E DUSKY PC 268 15WC 24273 NIEMER, RONALD K. CATHOLIC BISHOP OF CHICAG 01/20/15 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 269 15WC 24343 GOWDER, LARRY O&K AMERICAN CORP 08/08/15 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 270 15WC 24392 WHITE, RONALD LABOR READY 08/17/15 LAW OFFICE EDWARD LICHTENS GANAN & SHAPIRO 271 15WC 24397 PIETRAROSSO, JOHN C. SR. MAIN TOWNSHIP HIGH SCHOOL 05/05/14 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 272 15WC 24435 GIERMALA, MATTHEW ORLAND FIRE PROTECTION DI 12/20/14 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 273 15WC 24625 MALTESE, ROSE GLENBROOK HS DIST 22 AQUA 04/08/15 MICHAEL NICHOLSON WIEDNER & MCAULIFFE LTD 274 15WC 24859 RODRIGUEZ, JOSE ANTHONY MITCHELL DBA 07/06/15 FRIEDMAN & SOLMOR LTD RUSIN & MACIOROWSKI LTD 275 15WC 24955 FOGARTY, TIMOTHY SCHNIDT CARTAGE 06/05/15 LULAY LAW OFFICES GANAN & SHAPIRO 276 15WC 25270 MAZZUCA, WADE DENTON LOGISTICS 07/06/15 DIXON LAW FIRM JAMES M KELLY 277 15WC 25571 STEVENSON, ANGELA VANGUARD HEALTH SERVICES 05/27/15 MARC J SHUMAN & ASSOCIATES HENNESSY & ROACH PC 278 15WC 25888 JENNINGS, JERRY K-FIVE CONSTRUCTION CORP. 07/21/15 KURASCH & KLEIN, LTD GAROFALO SCHREIBER STORM 279 15WC 26160 ANTHONY GOODEN CTA 07/24/15 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 280 15WC 26596 GALE, CONSTANCE UNITED AIRLINES INC. 06/24/15 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 281 15WC 26636 SMITH, BENNY WALMART, INC. 06/26/15 HUGHES SOCOL PIERS RESNICK 282 15WC 26749 GRILL, MARTIN RIVER FOREST POLICE DEPAR 06/04/14 MEYERS & FLOWERS POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 15WC 26840 MARTINEZ, JOHN NICOR GAS COMPANY 07/08/15 RAYMOND M SIMARD, PC MACIOROWSKI SACKMANN & ULRIC 284 15WC 26865 RODRIQUEZ, RICHARD THE CHICAGO CLUB 01/29/15 285 15WC 26916 DIAZ, NICOLE CHICAGO TRANSIT AUTHORITY 02/07/14 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 286 15WC 27073 JOHNSON, CANDICE A CHGO DEPT OF TRANSPORTATI 02/04/15 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 287 15WC 27074 TELLEZ, MARK CITY OF CHGO AVIATION 05/07/15 KROL BONGIORNO & GIVEN LTD LEAHY EISENBERG & FRAENKEL 288 15WC 27286 GORDON, ALFRED AXLE TECH INTERNATIONAL 08/04/15 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 15WC027291 -C 289 15WC 27741 CUADRO, DANIEL L BUDDY'S PARKING 06/08/15 LAW OFFICES TIMOTHY HENDER ACCIDENT FUND HOLDINGS 290 15WC 27838 LARA, FRANK F.E. MORAN FIRE PROTECTIO 04/05/14 BOUDREAU NISIVACO LLC WIEDNER & MCAULIFFE LTD 291 15WC 27998 RAMIREZ, DANNY KERRY, INC 08/26/15 RITTENBERG & BUFFEN STONE & JOHNSON CHARTERED 16WC008091 -C 292 15WC 28401 MALIK, KHALID YELLOW CAB AFFILIATION, I 05/01/15 CHASE & WERNER LTD 293 15WC 30897 ESTEBAN, MICHAEL CITY OF CHICAGO 06/23/15 COVEN LAW GROUP 294 15WC 31113 ALLEN, SHATIA ELITE STAFFING 09/11/15 SKLARE LAW GROUP 295 15WC 33933 ORTIZ, THANIA CALIFORNIA GARDENS NURSIN 07/01/15 BUDIN LAW OFFICES MCCABE KIRSHNER PC 296 15WC 34814 COLE, TENISHA INPAX 10/08/15 DWORKIN AND MACIARIELLO LAW OFFICE OF JAMES H MILLER 297 15WC 35670 SMITH, CHARLES AAA RENTAL 06/15/15 KREITER, BYCK & ASSOC LLP 298 15WC 36044 FAHY, DANIEL SOLUTIONS CONSTRUCTION 08/29/14 BELCHER LAW OFFICE 299 15WC 36630 CSECH, PAUL ARAMARK 01/15/14 GOLDBERG WEISMAN & CAIRO L 300 15WC 37009 TORRES, MARIA DELTRA PETROLEUM 12/13/14 LAW OFFICE HUGO ORTIZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 15WC 37168 STERLING, DERRICK GOLD STANDARD BAKING INC. 08/10/15 ANKIN LAW OFFICE 302 15WC 37281 RIVERA, ZORAIDA CHICAGO PUBLIC SCHOOLS 10/06/15 STEVEN J TENZER, LTD 303 15WC 37308 SIKANICH, STEVEN CITY OF CHICAGO 11/16/15 PETER D CORTI LAW GROUP CITY OF CHICAGO 304 15WC 37626 TAYLOR, STEPHEN ZABOR CAB CORP 10/19/15 FISHER & LAMONICA 305 15WC 37659 LEMUZ, ISRAEL MCCORMICK PL FACILITY SVC 11/05/15 SALVATO & O'TOOLE 306 15WC 37869 RUDISEL, KENNETH ENVOY AIRLINES 07/21/15 NILSON STOOKAL GLEASON CAP 307 15WC 38136 HARRIS, MARQUITA AMERICAN AIRLINES INC 11/10/15 BRIAN J MC MANUS & ASSOC, GAROFALO SCHREIBER STORM 308 15WC 38359 BROWN, RAYMAR CTA 11/30/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 309 15WC 38444 MARTYNIUK, AARON ADVANCED TELECOMMUNICATIO 01/08/15 JACKOWIAK LAW OFFICES LAW OFFICES OF EDWARD J. KOZ 310 15WC 38779 IBARRA, ANGELICA FRESENIUS KABI USA 09/28/14 STEVEN A CRIFASE, LTD 311 15WC 38805 VALLAS, MICHAEL C PALOS FIRE PROTECTION DIS 10/26/15 THOMAS W DUDA 312 15WC 38847 ORTEGA, ALONZO PACE SUBURBAN BUS CO 11/16/15 DEUTSCHMAN, JEFFREY S SLAVIN & SLAVIN 313 15WC 38968 DOTSON, CHANEL CITY OF CHICAGO 11/23/15 STEPHEN G PINTO LTD CITY OF CHICAGO 314 15WC 39091 ROBINSON, BRITTNEY UNIV OF CHGO HOSPITAL 10/31/15 WITTENBERG DOUGHERTY MAGLI WIEDNER & MCAULIFFE LTD 315 15WC 39129 MCELROY, GAIL CPS 11/12/15 COVEN LAW GROUP 316 15WC 39173 HORTON, PATRICIA ABBEY'S PAVING 07/30/15 HANNIGAN & BOTHA, LTD BRYCE DOWNEY & LENKOV LLC 317 15WC 39247 RIPKA, MICHAEL WIGDAHL ELECTRIC 08/06/13 BRAD J. BALKE, PC GILDEA & COGHLAN 318 15WC 39372 RUACHO, GILBERTO SENIOR OPERATIONS INC 05/01/14 HECTOR ESPITIA BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 319 15WC 39395 CURTIS, JOHN SWISSPORT USA INC 10/11/15 HEALY SCANLON LAW FIRM KNELL & O'CONNOR 320 15WC 39433 QUEZADA, MARIA L MTY SAN MIGUEL DIST LLC 12/01/15 MC HARGUE, JAMES P LAW OFF LAW OFFICES JOSEPH MARCINIAK 321 15WC 39576 LIEU, KATHERINE WINBERIE'S 06/07/15 MEYERS & FLOWERS COZZI & GOGGIN-WARD 322 15WC 39808 YOUNG, RONALD JERNBERG INDUSTRIES INC 09/08/15 CHRISTINE F DAVID MEACHUM & STARCK 323 15WC 39906 HUERTA, JESSICA ELI'S CHEESECAKE CO 12/02/15 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 324 15WC 39946 SCHMITZ, WILLIAM R CONCRETE STRATEGIES LLC 08/26/15 PETER D CORTI LAW GROUP 325 15WC 39986 CALVERT, PAULINE PACE BUS 11/05/15 VRDOLYAK LAW GROUP LLC SLAVIN & SLAVIN 326 15WC 40974 KIOTIS, NICK GA PAVING LLC 10/08/15 TURCYCHUTE LLC LAW OFFICES OF EDWARD J. KOZ 327 15WC 41023 HATHAWAY, LAUREN E BELVEDERE CHATEAU 11/21/15 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 328 15WC 41081 MORRIS, KENNETH FIRST TRANSIT 11/10/15 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 329 15WC 41349 BAEZ, PAULA CITY FOODS INC 11/30/15 FOTOPOULOS, JOHN S 330 15WC 41402 SPRUELL, GWENDOLYN CTA 12/10/15 O'TOOLE LAW FIRM LLC CHICAGO TRANSIT AUTHORITY 331 15WC 41440 MARIA, VALENCIA IHOP 11/01/13 EFTEKHARI LAW OFFICES 332 15WC 41795 CARBAJAL, ROLANDO THE DAWSON 09/25/15 333 15WC 41826 PARKER, CHRIS LIFTING GEAR HIRE CORP 04/18/15 TOPPER & WEISS LTD LAW OFFICES JOSEPH MARCINIAK 334 15WC 41853 ARAGON, HILDA ST ANTHONY HOSPITAL 10/01/15 SEIDMAN MARGULIS & FAIRMAN KLAUKE LAW GROUP LLC 335 16WC 02507 SKIBBIE, DANIEL COCA COLA BOTTLERS 01/17/15 PAUL F PETERS BRADY CONNOLLY & MASUDA PC 16WC002508 -C 336 16WC 03846 LOPEZ, ROBERT AT&T CONSTRUCTION& ENGINE 01/06/16 VRDOLYAK LAW GROUP LLC SALVATO & O'TOOLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 337 16WC 04370 HALE, LUTHER D COOK COUNTY SHERIFFS DEPT 11/07/15 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 338 16WC 04632 TORRES, JUAN NATIONS ROOF OF ILLINOIS 12/05/15 DISPARTI LAW GROUP PA STONE & JOHNSON CHARTERED 339 16WC 05034 JOHNSON, ANTHONY JETRO HOLDINGS, LLC 01/28/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 340 16WC 05099 SAHAL, ABDIRIAK J&I CAB CORP 02/04/16 HETHERINGTON KARPEL BOBBER 341 16WC 05161 NAUGHTON, HUGH CITY OF CHICAGO 06/20/13 HEALY SCANLON LAW FIRM 342 16WC 05253 BASSUENER, MATT ARENA FOOTBALL ONE LLC 05/08/15 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 343 16WC 05400 HENDERSON, BARBARA MAXIMUS, INC. 01/20/16 COVEN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 16WC005401 -C 16WC005402 -C 344 16WC 05734 GRACE, EDDIE FORD MOTOR CO 01/24/16 TAMVAKIS, GEORGE L POWER & CRONIN LTD 345 16WC 05770 ABETE, PHILLIP M BANNER WHOLESALE GROCERS 09/22/15 RUBIN LAW GROUP GANAN & SHAPIRO 346 16WC 05856 KSIAZEK, MATTHEW ROYAL ENVELOPE CORPORATIO 01/16/16 CUDA LAW OFFICES 347 16WC 05922 GUERRA, VICTOR LAMINATION ESPECIALTIES 10/15/14 ANGELINI & ORI LLC ROSARIO CIBELLA 348 16WC 05974 RODRIGUEZ, SALUSTIA UNITED TEMPS, INC 09/18/15 DEPAOLO ZADEIKIS GORE BRADY CONNOLLY & MASUDA PC 16WC005975 -C 349 16WC 06014 DISMUKE, SHEFFEL CTA 02/11/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 350 16WC 06109 DIXON, NICOLE POTBELLY SANDWICH WORKS L 12/30/15 O'CONNOR LAW GROUP LLC MEACHUM & STARCK 351 16WC 06135 DONEGAN, MICHAEL CITY OF CHICAGO DEPT OF W 01/29/16 DAN COLLINS LAW FIRM CITY OF CHICAGO 352 16WC 06274 MCCOY, JOHN DRY SYSTEMS TECH LLC 11/30/15 HILL MCCLAIN LAW 353 16WC 06328 PATINO, ESTEBAN ABM ONSITE SERVICES 11/16/15 LAW OFFICE OF SCOTT B SHAP GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 16WC 06349 GRAY, TERIA CTA 02/11/16 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 355 16WC 06439 BLANCAS, MARIO GENE & JUDES DBA DUCK'S @ 11/29/15 LAW OFFICE OF JAMES H MILL ASSISTANT ATTORNEY GENERAL 356 16WC 06446 PETERS, ALBERT CHICAGO PUBLIC SCHOOLS 02/05/16 RUBENS AND KRESS 16WC024678 -C 357 16WC 06639 JOHNSON, TASHANA CTA 02/04/16 MICHAEL A. HIGGINS CHICAGO TRANSIT AUTHORITY 358 16WC 06652 OJEDA, JUAN TRILLIUM DRIVER SOLUTIONS 02/10/16 KREITER, BYCK & ASSOC LLP SPIEGEL & CAHILL, PC 359 16WC 06703 COPE, JANET GULLIVERS PIZZA & PUB @ W 02/01/16 ARGIONIS & ASSOCIATES LLC 360 16WC 06785 RAMIREZ, EDMUNDO TRINITY HEALTH 11/19/14 RUBENS AND KRESS 361 16WC 06825 PHILLIPS, RONALD JEWEL FOODS 04/08/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 362 16WC 06899 SHAFIQ, WAQAR FLASH CAB CO 07/12/15 LAW OFFICES YEVGENIY VAYSM 363 16WC 06918 WYDERSKI, NOREEN WALGREENS 02/26/16 COVEN LAW GROUP GILDEA & COGHLAN 364 16WC 06971 KEVANISHVILI, GURAMI MASONRY, INC. POLBRO 02/01/16 HETHERINGTON KARPEL BOBBER GANAN & SHAPIRO 365 16WC 07188 TAYLOR, OMETTA HOLIDAY INN 09/21/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 16WC030938 -C 366 16WC 07218 RIVERA, SAUL OPEL ENGINEERING CO. 09/10/15 STEVEN H MEVORAH & ASSOCIA RODDY LAW LTD 367 16WC 07504 DAVIS, FERN R RIVERSIDE TRANSPORT, INC 06/17/15 COZZI & GOGGIN-WARD 368 16WC 07563 COBERLY, LUPE CHICAGO TRANSIT AUTHORITY 02/16/16 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 369 16WC 07610 SAUCEDO, MICHAEL COOK COUNTY SHERIFF'S OFF 02/21/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 370 16WC 07658 GORDON, KELLY UNITED AIRLINES INC. 10/13/15 CULLEN HASKINS NICHOLSON 371 16WC 07751 COOK, CECILIA AMERICAN AIRLINES 10/16/15 SAUNDERS CONDON & KENNY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 16WC 07770 ADAMS, ANNE-MARIE GOJET AIRLINES 01/03/16 HEALY SCANLON LAW FIRM 373 16WC 07866 KEITH, NICK ALLIED WATERPROOFING INC 06/01/15 PORRO NIERMANN LAW GROUP 374 16WC 08011 WILLIAMS, BYRON CONNIE'S PIZZA 03/03/16 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 375 16WC 09888 HARRISON, DEMOND COMCAST 09/07/15 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 376 16WC 10200 RAMIREZ, RODOLFO CITY OF CHICAGO 06/05/15 COYNE REINKE LAW CITY OF CHICAGO 377 16WC 14259 DENT, EUGENE LTI SERVICES, LLC 04/28/16 ANKIN LAW OFFICE ROBERT L. SMITH 16WC015861 -C LABOR TEMPS INC LTI 378 16WC 15652 MURRAY, MATTHEW VILLAGE OF LAGRANGE 03/08/16 HEALY SCANLON LAW FIRM 379 16WC 15691 GLASCOW, JACLYN FORD MOTOR COMPANY 02/20/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 380 16WC 15713 MADKINS, GENE E. CHICAGO REED MENTAL HEALT @ 05/01/16 FRIEDMAN & SOLMOR LTD ASSISTANT ATTORNEY GENERAL 381 16WC 15725 FOSTON, HAROLD FORD MOTOR COMPANY 04/13/16 PERRY M LAKS LAW OFFICE 382 16WC 15751 LACEY, SHELITA D. CHICAGO TRANSIT AUTHORITY 03/01/16 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 383 16WC 15757 DEDORE, LINDA CITY OF CHICAGO, 06/16/15 ROSS TYRRELL CITY OF CHICAGO 384 16WC 15784 METCALF, LILLIE SELECT REHABILITATION, IN 05/16/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 385 16WC 15839 NEELEY, ROOSEVELT AUTO PLUS 04/08/16 HORWITZ HORWITZ & ASSOC CHILTON YAMBERT PORTER LLP 386 16WC 15853 DIAZ, JOSE CHICAGO SWEET CONNECTION 01/13/16 DISPARTI LAW GROUP PA 387 16WC 15863 BRITTON, TYRONE CITY OF HARVEY-WATER DEPT 05/05/16 ANESI OZMON RODIN NOVAK KO 388 16WC 15887 LOZANO, MARIO WENER PRINTING & ENGRAVIN 03/09/16 MORRISON & MIX 389 16WC 15987 VILLAMIL, MARITZA MACNEAL OCCUPATIONAL HEAL 12/04/15 KARCHMAR & STONE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 390 16WC 16020 HINTON, LLOYD ST OF IL-DEPTOF TRANSPORT @ 04/18/16 LANNON LANNON & BARR LTD MATTHEW J KELLER 391 16WC 16036 BAKALOV, ELENA SPIS AIR SECURITY CORPORA 05/13/16 DWORKIN AND MACIARIELLO MEACHUM & STARCK 392 16WC 16152 SYLVESTER, GREG GONNELLA BAKING CO 03/01/16 BRIAN J MC MANUS & ASSOC, RUSIN & MACIOROWSKI LTD 393 16WC 16265 SCHULTZ, CAROL INTERACTIVE HEALTH 04/08/16 DAVID J. BAWCUM LAW OFFICES OF EDWARD J. KOZ 394 16WC 16320 KAMINSKI, MARK CITY OF CHICAGO- DEPARTME 07/02/15 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK 395 16WC 16369 CAREY, KA'DEEM CHICAGO BEARS 11/22/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 396 16WC 16384 HARVEY-SINCLAIR, DIANA ALLIED BARTON SECURITY 04/06/16 DEPAOLO ZADEIKIS GORE GAROFALO SCHREIBER STORM 397 16WC 16423 JUAREZ, NOE LARCKER RECYCLING SERVICE 04/04/16 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 17WC001951 -C 398 16WC 16526 RICKMAN, MARGARET DOOR TO DOOR ORGANICS 05/11/16 MURPHY & MURPHY HOLECEK & ASSOCIATES 399 16WC 16607 KOCIK, WLADYSLAW K ENTERPRISES INC. 03/07/16 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 400 16WC 16614 JIMENEZ, EDUARDO METRO STAFF 05/05/16 LAW OFFICES LEONARDO MORAL 401 16WC 16680 SPENCER, GEORGE COOK COUNTY JUVENILE 05/05/16 KUMLIN & FROMM STATES ATTORNEY OF COOK COUN 402 16WC 16719 ANDERSON, JAMES CHICAGO PUBLIC SCHOOLS/JU 03/09/16 PETER D CORTI LAW GROUP 403 16WC 16762 RAMIREZ, RAYMOND CHICAGO TRANSIT AUTHORITY 12/15/15 ELFENBAUM EVERS & AMARILIO 404 16WC 16814 CAMPOS, JOSE QA HRS, INC 05/23/16 WHITESIDE & GOLDBERG LTD SLAVIN & SLAVIN 405 16WC 16908 YAP, HARLEY TRU VUE, INC 09/28/15 LEO ALT BRADY CONNOLLY & MASUDA PC 406 16WC 16952 SEPE, ANTHONY UNITED AIRLINES INC. 05/16/16 FRIEND LEVINSON & BERGAL WIEDNER & MCAULIFFE LTD 407 16WC 16979 NAZARETH REYES, ALI ATHENA GREEK RESTAURANT 03/01/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 408 16WC 17119 OWENS, SHELTANYA CHICAGO PUBLIC SCHOOLS 01/15/16 VRDOLYAK LAW GROUP LLC 409 16WC 17154 HERNANDEZ, HUMBERTO MCCORMICK & SCHMICK'S SEA 06/28/13 BERG & BERG 410 16WC 17238 VEGA, ROBERTO COREY STEEL CO 12/18/15 LAW OFFICE OF JAMES URTIS MEACHUM & STARCK 411 16WC 17313 BAKER, EDWARD M CITY OF CHICAGO 04/04/16 FREDRICK B BARDER, LTD CITY OF CHICAGO 412 16WC 17321 EWING, AGATHA, WIDOW OF BISCO INC # 04/25/16 PAUL W GRAUER & ASSOC HENNESSY & ROACH PC 413 16WC 17377 DOHERTY, WILLIAM CITY OF CHICAGO 05/19/16 GRAVLIN, MICHAEL J LLC LEAHY EISENBERG & FRAENKEL 414 16WC 17422 AVILA-CABRALES, JUVENAL SIGLER'S AUTO CENTER 05/19/16 COLLISON LAW OFFICES ROSARIO CIBELLA 415 16WC 17440 STAMPLEY, SHENIKA SUPERIOR AMBULANCE 05/19/16 DWORKIN AND MACIARIELLO 416 16WC 17465 EVRAN, GARO UNITED AIRLINES INC. 07/06/15 SMOLER LAW OFFICE, PC 417 16WC 17497 WHITFIELD, JUDY CITY OF CHICAGO 05/18/16 DWORKIN AND MACIARIELLO 418 16WC 17578 WICKEY, JAMES M. CHICAGO TRANSIT AUTHORITY 12/11/15 CRONIN & PETERS CHICAGO TRANSIT AUTHORITY 419 16WC 17639 FENTON, DENISE AXCAN GRILL 04/20/16 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 420 16WC 17718 TORRES, JAIRO DTM MASONARY INC 12/31/15 FERRIS THOMPSON & ZWEIG GILDEA & COGHLAN 421 16WC 17773 MARTINEZ, SAHARA THAI IMPORTS 05/31/16 JOHN S. ELIASIK LAW OFFICES JOSEPH MARCINIAK 422 16WC 17872 GOMEZ, MARIA T. MARIA T. GOMEZ 06/30/15 THE ROMAKER LAW FIRM GRANT & FANNING 16WC017873 -C 1ST CLASS STAFFING 16WC017874 -C 423 16WC 17897 MOORER, ROSE MARY ST MARY OF NAZARETH HOSPI 02/01/15 STEPHAN L. HOFFMAN KEEFE CAMPBELL & ASSOC LLC 424 16WC 17919 DEMARIA, SUZANNE WILDFIRE SCHAUMBURG LLC 08/08/15 SCHIFF GORMAN LLC NOBLE & ASSOCIATES PC 425 16WC 17943 COLLAZO, WILLIAM C. R. ENGLAND 05/27/15 BOTTO GILBERT GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 426 16WC 17984 WILSON, KEYATTE ADVOCATE CHRIST HOSPITAL 05/07/16 MICHAEL P MCCREADY & ASSOC 427 16WC 18033 WAGNER, LINDA K. SAM'S CLUB-MATTESON 07/15/15 STROM, NEAL B QUINTAIROS PRIETO WOOD & BOY 428 16WC 18068 MEDRANO, JOSE TM TIRE CO., INC. 02/01/16 SALK, STEVEN B & ASSOC LTD 429 16WC 18157 PROTSMAN, ROBERT J LANSING POLICE DEPARTMENT 04/18/16 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 430 16WC 18252 JAEGER, THOMAS ARAMARK SERVICES, INC 05/05/16 CZAPLA LAW WIEDNER & MCAULIFFE LTD 431 16WC 18301 ZUNO, MARIA C ALM DISTRIBUTORS, LLC DBA 11/13/13 LEWIS & DAVIDSON, LTD QUINTAIROS PRIETO WOOD & BOY 432 16WC 18453 LAWRENCE, PHILLIP U.S. GLU-LAM INC 02/17/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 433 16WC 21821 NEWMAN, ANTHONY JEWEL FOODS 02/11/16 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 434 16WC 23169 TOMINELLO, JOHN CITY OF CHICAGO DEPARTMEN 05/23/14 RUBIN LAW GROUP CITY OF CHICAGO 435 16WC 23471 CONKLIN, SCOTT A CITY OF CHICAGO-OEMC 06/30/16 ANESI OZMON RODIN NOVAK KO CITY OF CHICAGO 436 16WC 24117 ARDEN, DANIEL JORDAN MOZER & ASSOC. LTD 08/16/13 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 437 16WC 24783 CIBRIAN, DANIEL COOK COUNTY SHERIFF'S OFF 07/02/16 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 438 16WC 25456 SAVAGE, TOI CONTINUUM PEDIATRIC NURSI 07/28/16 DWORKIN AND MACIARIELLO 439 16WC 25898 BOYD, CHRISTOPHER CHICAGO TRANSIT AUTHORITY 07/11/16 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 440 16WC 26022 JIN, YUN SUN THE ART INSTITUTE OF CHIC 11/02/14 GORDON & CENTRACCHIO LLC THOMAS & PORTELA 441 16WC 26066 SHAW, ALFREDA CATHOLIC CHARITIES 06/01/16 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 442 16WC 26202 LETTEN, JAMES C. CHICAGO TRANSIT AUTHORITY 11/11/15 LAW OFFICE PHILIP BLOMBERG CHICAGO TRANSIT AUTHORITY 443 16WC 26287 ALVAREZ MARTINEZ, SANTIAG ELITE STAFFING, INC 04/14/16 THE ROMAKER LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 444 16WC 26333 ALLEN, TASHA GAP 04/23/16 445 16WC 26479 POTEMPA, RICHARD A. CITY OF CHICAGO 12/14/15 WILLIAM MARTAY CITY OF CHICAGO 446 16WC 26585 GEE, DEWITT PROVIDENCE HOSPITAL 02/05/15 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 447 16WC 26615 MALECKI, GARY WASTE MANAGEMENT 07/16/16 PARENTE & NOREM PC HENNESSY & ROACH PC 16WC030823 -C 448 16WC 26709 MARTIN, STEVE COMED 08/24/16 COSTA IVONE LLC CHILTON YAMBERT PORTER LLP 449 16WC 26781 SMITH, JASON WW GRAINGER INC 11/26/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 16WC026868 -C W W GRAINGER, INC 450 16WC 26819 JIMOH, RAUFU F MIKE TAXI CORP. 08/21/16 WEISS & WEISS LAW OFFICES 451 16WC 26922 GUERRERO, EVA MERCY HOSPITAL 06/09/16 LAW OFFICE HOWARD ABRAMS 452 16WC 26950 SCHABER, MATTHEW A. M&S IMPORTS, LTD 08/09/16 ANKIN LAW OFFICE 453 16WC 26993 SANTILLIAN, JOSUE TAYLOR FARMS 08/19/15 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 454 16WC 27097 CONNER, JERMAINE JIMMY JOHN'S 08/23/16 MC HARGUE, JAMES P LAW OFF 455 16WC 27124 BOYKIN, MARK STATE OF ILLINOIS DEPT OF @ 08/25/16 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENL 456 16WC 27133 VILLANUEVA, AURELIO CAESARSTONE USA INC 05/13/15 ANKIN LAW OFFICE WOLFE & JACOBSON, LTD 457 16WC 27219 FOREMAN, WILLIE DABECCA NATURAL FOODS 06/07/16 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 458 16WC 27265 MARSHALL, MICHAEL PACE SUBURBAN BUS 10/14/14 BEKKERMAN LAW OFFICE SLAVIN & SLAVIN 459 16WC 27287 CURTI, FRANCESCO MERIT CONCRETE 08/25/16 CUDA LAW OFFICES RUSIN & MACIOROWSKI LTD 460 16WC 27315 DIAZ, JUAN CARLOS SALVATION ARMY FAMILY STO 08/09/16 EPSTEIN, JACK R LAW OFFICE 461 16WC 27502 KOKOSKA, JULIE MARKHAM ANIMAL CLINIC, LT 05/06/16 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 462 16WC 27716 OLIDGE, DEBRA G HEALTHCARE SERVICES GROUP 08/10/16 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD 463 16WC 27747 BANVILLE, CHRISTA HCR MANOR CARE 04/22/15 DWORKIN AND MACIARIELLO 464 16WC 27780 HERNANDEZ, MICHAEL CHARLES E LARON & SONS IN 05/19/16 LAW OFFICES OF RYAN SCOTT COZZI & GOGGIN-WARD 465 16WC 27894 REEVES, DEBORAH FORD MOTOR COMPANY 07/14/16 DWORKIN AND MACIARIELLO 466 16WC 27982 ADAMS, JAMES SWISSPORT USA INC 08/08/16 ANKIN LAW OFFICE 467 16WC 28067 ALVAREZ, ERICK HAUSNER HARD CHROME, INC 11/25/15 DAVID W MARTAY HOLECEK & ASSOCIATES 468 16WC 28105 ARNOLD, TONIA MARSHALLS 05/02/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 469 16WC 28187 DARAYYAD, BASSAM YELLOW CAB CO 08/30/16 LEO ALT 470 16WC 28231 GALINDO, ANA HUMAN SERVICES DEPARTMENT @ 07/21/16 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 471 16WC 28287 JOHNSON SR, EDDIE LITTLE COMPANY OF 07/28/16 ROSS TYRRELL WIEDNER & MCAULIFFE LTD 472 16WC 28326 HERGENREDER, MATTHEW P DAVIS DANCORP 08/10/16 FIGLIOLI, DAVID 473 16WC 28359 JOHNSON, LATRIA NORTHSHORE HOSPITAL 08/19/16 DWORKIN AND MACIARIELLO 474 16WC 28373 CHATMON, SHERRIE L AMERICAN AIRLINE 07/27/16 MARKER & ASSOCIATES GAROFALO SCHREIBER STORM 475 16WC 28422 COLLINS, BRANDON AREANA FOOTBALL ONE LLC 06/18/16 GORDON & CENTRACCHIO LLC HOLECEK & ASSOCIATES 476 16WC 28452 CLARK, MARCUS TITAN PERSONNEL INC 08/25/16 ANKIN LAW OFFICE 477 16WC 28507 ABUNDEZ, FRANCISCO ANEES UPHOLTERY, INC 08/01/16 SALK, STEVEN B & ASSOC LTD 478 16WC 28512 GRACZYK, KENNETH CHICAGO PARK DISTRICT 11/28/14 O'CONNOR & NAKOS CHICAGO PARK DIST LAW DEPT 479 16WC 28673 CANNONE, PATRICK CHCIAGO WOLVES 11/18/15 FLOYD LAW FIRM HENNESSY & ROACH, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 480 16WC 28751 GUTIERREZ, JOAQUIN BIO INDUSTRIES INC 04/04/16 BRIAN J MC MANUS & ASSOC, BRADY CONNOLLY & MASUDA PC 481 16WC 28793 FLORES, TOMAS GDI SERIVES 08/31/16 CHEPOV & SCOTT LLC MEACHUM & STARCK 482 16WC 28930 HILL, DEWANDA JOHN H STROGER HOSPITAL 08/20/16 ROGER D RUDICH LTD STATES ATTORNEY OF COOK COUN 483 16WC 32325 KOPYTKO, ADAM SAFEWAY SOLUTIONS, INC 09/24/16 HETHERINGTON KARPEL BOBBER 484 16WC 34215 MORALES, ALBERTO ST GERARD MAJELLA RECTORY 08/04/16 LAW OFFICE OF SCOTT B SHAP MC ANDREWS & NORGLE LLC 485 16WC 34672 REYES, ARTURO TM TIRE CO INC 10/07/16 JAUREGUI & ASSOCIATES 17WC000409 -C 486 16WC 35212 GARCIA, VICTOR ORTEGA PLUMB TUCKPOINTING AND MA 11/08/16 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD 487 16WC 35230 HARRIS, GEANNINE G ILLINOIS ACTION FOR CHILD 10/06/16 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 488 16WC 35253 MACK, DONNA THE UNIVERSITY OF 08/19/16 CULLEN HASKINS NICHOLSON 489 16WC 35302 ADAMS, JESSIE J.B.A. GENERAL CONTRACTOR 09/12/16 DISPARTI LAW GROUP PA 490 16WC 35413 GIBSON, RENELDA FORD MOTOR 05/13/14 WOLFE LAW PC 16WC035414 -C 491 16WC 35499 CASTAGNA, MARIO NTH DEGREE 11/04/16 PARENTE & NOREM PC MEACHUM & STARCK 492 16WC 35602 RODRIGUEZ, ALICIA STAFFING NETWORK 01/13/14 SLAVIN & SLAVIN 493 16WC 35669 FLYNN, THOMAS F EMPLOYCO USA 11/01/16 STROM, NEAL B RUSIN & MACIOROWSKI LTD 494 16WC 35714 PISANI, ROSA GE TRANSPORTATION SYSTEMS 06/15/15 DAPRATO, DENNIS MACIOROWSKI SACKMANN & ULRIC 495 16WC 35723 MULLOWNEY, GENE R ENTERTAINMENT PARTNERS 10/13/16 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 496 16WC 35738 ANNAMANTHODO, O'NEIL COMCAST 10/28/16 SEIDMAN MARGULIS & FAIRMAN 497 16WC 35754 COMPTON, JOSEPH EMERSON 11/01/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 498 16WC 35780 HANNAH, DEMEL PAPERSOURCE 11/13/16 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 499 16WC 35810 MOTA, MIGUEL SERVICE MASTER 07/31/15 THERMAN LAW OFFICES 500 16WC 35906 JACOB, THRESIAMMA NESSET PAVILION 04/09/16 STEVEN A CRIFASE, LTD 501 16WC 35961 CARTER, YOLANDA CITY OF CHICAGO 10/24/16 LAW OFFICES ROBERT WARSASK CITY OF CHICAGO 502 16WC 35993 TURNER, MICHAEL ST OF IL DEPT OF UNIVERSI 11/15/16 DAVID W MARTAY 503 16WC 36000 MOORE, TARA ANIMAL CARE CENTER 06/05/16 CULLEN HASKINS NICHOLSON 504 16WC 36019 SALDIVAR, MARTHA ALPHA BAKING CO. 08/04/16 TAMVAKIS, GEORGE L MACIOROWSKI SACKMANN & ULRIC 505 16WC 36075 MISIEWICZ, JOHN COCA-COLA REFRESHMENTS 03/18/16 GAINES & GAINES 506 16WC 36092 CUEVAS, ANTONIO VAZQUEZ BRICK & CEMENT, 11/09/16 WARREN W MARK 507 16WC 36108 MONREAL, LUIS PEOPLES GAS 10/20/16 ELFENBAUM EVERS & AMARILIO MC CABE & HOGAN 508 16WC 36129 LLOYD, JIMMIE IL DEPT OF CORRECTIONS @ 11/16/16 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 509 16WC 36167 JONES, LARRY CHICAGO TRANSIT AUTHORITY 11/10/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 510 16WC 36188 MCDUFF, KEITH CITY OF CHICAGO WATER DEP 03/18/15 FOHRMAN, DONALD W & ASSOCS CITY OF CHICAGO 511 16WC 36349 RINGENBERG, THOMAS ADVANCED ORTHOTICS & 06/01/16 FRANK A CELANI MC ANDREWS & NORGLE LLC 512 16WC 36412 THOMAS, ERIC COOK COUNTY SHERIFF'S 07/31/16 RICHARD E ALEKSY STATES ATTORNEY OF COOK COUN 513 16WC 36438 GIANAN, JUNE ALDI 12/31/15 LAW OFFICE OF SCOTT B SHAP MACIOROWSKI SACKMANN & ULRIC 514 16WC 36480 LOPEZ, MARIA ALLSTATE INS. CO. 11/02/16 ROSENBERG EISENBERG ASSOC HENNESSY & ROACH PC 515 16WC 36518 MERRIWEATHER, LINDA SOI DEPT OF JUVENILE JUST @ 03/27/15 CORNFIELD & FELDMAN MATTHEW J KELLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 516 16WC 36528 SCOTT, MARVIN AMERICAN EAGLE STEEL 10/29/16 BRISKMAN BRISKMAN GREENBER 517 16WC 36555 CORDERO, FABIOLA PARAMOUNT STAFFING 10/28/16 HART & DAVID LLP 518 16WC 36726 VALLADARES, HERNAN HUACHO PAINTING 08/01/16 JOHN C SERKLAND ANCEL GLINK DIAMOND BUSH & E 519 16WC 36754 LOPEZ, MARK WORLD CARRIER 01/27/16 BOUDREAU NISIVACO LLC SPIEGEL & CAHILL, PC 520 16WC 36797 EDWARDS, DENNIS MRL MACHINERY MOVERS 11/18/16 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 521 16WC 36818 SANCHEZ, REYNALDA PRIMARY STAFFING 04/08/16 JOHN J CASTANEDA QUINTAIROS PRIETO WOOD & BOY 522 16WC 36871 HAYWARD, MICHAEL ULTRA FOODS 09/26/16 LAW OFFICE JOSHUA KARMEL 523 16WC 36910 MORRIS, TINA WILSON ELEMENTARY SD 170 04/13/16 RATHBUN CSEVENYAK & KOZOL INMAN & FITZGIBBONS 524 16WC 37102 MILLER, TIARA CHICAGO PUBLIC SCHOOLS 04/18/16 GRAVLIN, MICHAEL J LLC 525 16WC 37138 RECINOS, EVELIN MAKRAY MANUFACTURING 09/21/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO 526 16WC 37178 GUAJARDO, CRUZ EITEL HEINEMANN MECHANICA 07/05/16 HEALY SCANLON LAW FIRM ACCIDENT FUND HOLDINGS 527 16WC 37260 MILLER, EUGENE R JR FBM GYPSUM SUPPLY 10/21/16 LAW OFFICE OF JAMES URTIS 528 16WC 37298 EDGEWORTH, CARRIE CHICAGO TRANSIT AUTHORITY 10/28/16 ELFENBAUM EVERS & AMARILIO 529 16WC 37337 GARCIA, RODOLFO IDEAM BOX CO 01/14/16 COVEN LAW GROUP 530 16WC 37353 SARMIENTO, ALBA HARTGROVE HOSPITAL 11/27/16 LEONARD LAW GROUP LLC MC ANDREWS & NORGLE LLC 531 16WC 37401 SOSA, ANASTACIO AT&T 11/25/16 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 532 16WC 37444 KHAN, MAHTAB ALI BAVAKA ENTERPRISES, INC 10/30/16 LAW OFFICE RYAN ROSENTHAL 533 16WC 37487 QUEEN-THOMAS, BEVERLY BOARD OF EDUCATION 02/16/12

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 534 16WC 37535 WOZNIAK, BARTOSX AIRLINE TOWING 11/30/16 LEONARD LAW GROUP LLC 535 16WC 37554 BROGSDALE, GENIEN SOUTHWEST AIRLINES 06/16/16 SKLARE LAW GROUP 536 16WC 37578 THOMPSON, ROBERT AL'S AUTO BODY EXPERTS 06/20/16 LAW OFFICES MICHAEL HELLMA 537 16WC 37660 STEWART, STEVEN AFFORDABLE TUCK PAINTING 11/29/16 ANKIN LAW OFFICE 538 16WC 37678 WILLIAMS, ALEXANDRA DURHAM BUS COMPANY 12/01/16 DWORKIN AND MACIARIELLO ROBERT L. SMITH 539 16WC 37698 ANDERSON, SHEILA SMITH CROSSING/SMITH SENI 12/17/14 BRIAN T MORROW, LAW OFFICE 540 16WC 37766 DERAVANESIAN, ANISEH MARIANO'S/ROUNDY'S SUPERM 11/19/16 DRAKE & COLLOPY PC BRYCE DOWNEY & LENKOV LLC 541 16WC 37875 FLORES, CELIA VITA FOOD 10/08/16 AIOSSA LAW FIRM 542 16WC 37892 STERMER, JANET MARIANO'S FRESH MARKET 12/07/16 LAW OFFICE JOSHUA KARMEL 543 16WC 37953 ZDANOWICZ, KAROL WHY NOT CONSTRUCTION CO 03/28/16 VITELL & SPITZ LTD HOLECEK & ASSOCIATES 544 16WC 37978 VILLA, MARIA POWER STOP 03/05/16 GRAVLIN, MICHAEL J LLC 545 16WC 37996 OVERLAND, EDWIN VILLAGE OF OAK PARK 10/20/15 THOMAS W DUDA 16WC037997 -C 546 16WC 38015 ENGLISH, DANIELLE CHICAGO BOARD OF EDUCATIO 12/01/16 COSTA IVONE LLC 547 16WC 38038 LUBSHINA, STEPHANIE ALEXIAN BROTHERS MEDICAL 01/27/16 NEWLAND & NEWLAND POWER & CRONIN LTD 548 16WC 38122 LOCHIRCO, NICOLE ASHLEY KEITH HOOGLAND 12/02/16 549 16WC 38168 LUCANIA, JOSEPH SERVICE CORPORATION INTL 04/20/15 LAW OFFICES MICHAEL C BRAN 550 16WC 38213 GONZALES, DAN IHC CONSTRUCTION 09/13/16 VRDOLYAK LAW GROUP LLC 551 16WC 38329 LEWIS, LESLIE ARIES SHUTTLE CHICAGO, LL 08/16/16 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 552 16WC 38347 MCGOWAN, ROBERT VILLAGE OF HOFFMAN ESTATE 09/09/16 SCOTT BARBER RODDY LAW LTD 553 16WC 38391 BERRY, TAMMIE CHICAGO TRANSITY AUTHORIT 12/17/16 HUGHES SOCOL PIERS RESNICK CHICAGO TRANSIT AUTHORITY 554 16WC 38417 PINEDA, MAYNOR CARL BUDDING & CO 09/28/16 ANESI OZMON RODIN NOVAK KO KNELL & O'CONNOR 555 16WC 38443 GOMEZ, SHIRBEE UNITED AIRLINES 01/24/16 HEALY SCANLON LAW FIRM 556 16WC 38546 HENRY, KYLE MARYVILLE ACADEMY 06/09/16 FOOTE MIELKE CHAVEZ & O'NE SMITH AMUNDSEN LLC 557 16WC 38566 LONG, MARTIN ASSOCIATES IN SLEEP 01/11/16 JASINSKI, GEORGE J LAW OFFICES JOSEPH MARCINIAK 558 16WC 38607 GONZALEZ, HUMBERTO STAMPEDE MEAT INC 12/01/16 COSTA IVONE LLC 559 16WC 38640 GREEN, AURTHER L TOOTSIE ROLL INDUSTRIES, 08/31/16 BRUGGEMAN HURST & ASSOC 560 16WC 38714 STEWART, MICHAEL CITY OF CHICAGO 07/31/16 WILLIAM S. WOJCIK LTD CITY OF CHICAGO 561 16WC 38791 DOMINGUEZ, DESSIRE COOK COUNTY HEALTH AND 07/08/15 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 562 16WC 38808 MARTINEZ, JOSHUA LOYOLA UNIVERSITY 12/06/16 COVEN LAW GROUP 563 17WC 01265 RICH, DAVID J GRANITE CONSTRUCTION 06/03/16 LAW OFFICES OF EDWARD J. KOZ 564 17WC 02561 SMITH, BRAD WASTE MANAGEMENT 11/07/16 GOLDBERG WEISMAN & CAIRO L 565 17WC 02927 TANNER, QUINTIN CHICAGO TRANSITY AUTHORIT 11/28/14 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 566 17WC 03226 GRAZA, MANFREDO CITY OF CHICAGO 10/26/16 FOHRMAN, DONALD W & ASSOCS 567 17WC 03889 VILLANUEVA, CARMELO B-WAY CORP 02/02/17 MC HARGUE, JAMES P LAW OFF BRADY CONNOLLY & MASUDA PC 568 17WC 04328 SANDERS, BRIANNA ALL STAR MANAGMENT INC 01/22/17 BRILL & FISHEL 569 17WC 04514 FLORES, CELINA SMITH MAINTENANCE 11/10/14 WHITESIDE & GOLDBERG LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 570 17WC 04783 TUCHARSKI, EDYTA (WIDOW) CITY OF CHICAGO DEPT OF # 02/13/17 GOLDBERG WEISMAN & CAIRO L 571 17WC 05137 HEJNAL, LEE PEPSI AMERICAS 07/11/16 SAUNDERS CONDON & KENNY 572 17WC 05217 GALMORE, TYRONE METROSTAFF INCORPORATED 11/05/16 ANKIN LAW OFFICE 573 17WC 05236 VARGAS, MELODY NORTHWESTERN MOMORIAL HOS 07/14/16 LAW OFFICE OF KEVIN O'BRIE HENNESSY & ROACH PC 574 17WC 05279 NICHOLS, CONSTANCE PNC BANK 02/13/17 COVEN LAW GROUP 575 17WC 05304 TESTA, SUSANA ATLAS EMPLOYMENT SERVICES 12/19/16 GOLDSTEIN BENDER & ROMANOF 576 17WC 05317 ACOSTA, NORBERTO AEROTEK 02/02/17 COSTA IVONE LLC HEYL ROYSTER VOELKER & ALLEN 577 17WC 05328 SHIROMA, DARREN UNITED AIRLINES INC. 04/01/16 578 17WC 05354 VASQUEZ, MARIA NORTHWESTERN MEMORIAL HOS 09/19/16 LEWIS & DAVIDSON, LTD 579 17WC 05399 BOONE, MARK LEE LUMBER & BUILDING MAT 11/19/16 ANKIN LAW OFFICE GANAN & SHAPIRO 580 17WC 05418 KOWALSKI, MARIUSZ LOOP PAPER RECYCLING INC 01/23/16 DWORKIN AND MACIARIELLO 581 17WC 05521 HARRIS, ELLA AFFILIATED DIALYSIS 08/10/16 DAVID W MARTAY 582 17WC 05540 JOHNSON, TYRONE JERNBERG INDUSTRIES INC 12/16/16 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 583 17WC 05546 ESCOBEDO, NORBERTO EBRO FOODS, INC. 02/01/17 COSTA IVONE LLC 584 17WC 05562 FROST, JACK FIRELINE SPRINKLER CORP 01/17/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 585 17WC 05647 ANNORENO, CONSTANCE VODAFONE US INC 07/21/15 JOHN E LUSAK THOMAS & PORTELA 586 17WC 05650 POREMBA, JAMIE K TRIVIEW PROPERTY 12/28/16 COHN LAMBERT RYAN & SCHNEI HOLECEK & ASSOCIATES 587 17WC 05737 OTUKOYA, OLALEYE UNIVERSAL TAXI DISPATCH A W 02/03/17 COHN & COHN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 588 17WC 05770 MITCHELL, GERALD NATIONAL CONVENTION SVCS 02/08/17 WOLFE LAW PC 589 17WC 05796 JACKSON, MARK CITY OF CHICAGO 01/31/17 RICHARD O. GREENFIELD 590 17WC 05817 HERNANDEZ, PEDRO AMERICAN AIRLINES INC 01/29/17 CULLEN HASKINS NICHOLSON 591 17WC 05842 VANGEL, NED D FRANCHISE MANAGEMENT, INC 11/19/16 EFTEKHARI LAW OFFICES MEACHUM & STARCK 592 17WC 05881 ARDZIEJEWSKI, WOJCIECH EURO MARBLE SUPPLY, LTD 12/23/15 LEONARD S. BECKER 593 17WC 05929 RUNDLE, THOMAS PATRICK CADILLAC 12/01/16 CAPRON & AVGERINOS PC 594 17WC 05958 PROVALL, MARILYN Y LSG SKY CHEFS USA INC 07/16/16 ANKIN LAW OFFICE MEACHUM & STARCK 595 17WC 05986 RAMIREZ, JORGE PAUL'S HEATING & COOLING 02/11/17 TOPPER & WEISS LTD ANCEL GLINK DIAMOND BUSH & E 596 17WC 06010 RATTUNDE, JACQUE JEWEL-OSCO 10/18/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 17WC006011 -C 597 17WC 06107 MCCALLION, MARTIN HUGH HENRY CONSTRUCTION 12/16/16 RIDGE & DOWNES QUINTAIROS PRIETO WOOD & BOY 598 17WC 06128 WILLIS, DEJON O AT&T 05/03/15 CORNFIELD & FELDMAN HENNESSY & ROACH PC 599 17WC 06152 MILLS, DESHAWN COOK COUNTY JUVENILE 02/04/17 RUBENS AND KRESS STATES ATTORNEY OF COOK COUN 600 17WC 06181 SIMPSON, WILLIAM PACIFIC RAIL SERVICES 11/01/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 601 17WC 06206 ERVES, ALVIN D C.R. ENGLAND TRANSPORTATI 08/13/16 DINIZULU LAW GROUP HENNESSY & ROACH PC 602 17WC 06221 HALL, CHRIS CONCRETE STRUCTURES 01/24/17 BRISKMAN BRISKMAN GREENBER KEEFE CAMPBELL & ASSOC LLC 603 17WC 06255 KOLBABA, BEVERLY AMERICAN AIRLINES 11/16/15 SAUNDERS CONDON & KENNY 604 17WC 06290 JOHNSON, KIMBERLY V&V SUPREMO 02/21/17 MARC J SHUMAN & ASSOCIATES 605 17WC 06323 TOLEDO, JOHN ECO BRIGHT LINEN 01/27/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 606 17WC 06344 FAVELA, ROGUE SALGADO INNOVA FLAVORS 01/06/17 AIOSSA LAW FIRM KEEFE CAMPBELL & ASSOC LLC 607 17WC 06418 WALSH, RENATA INTERSTATE REALTY MANAGEM 02/24/16 CRONIN & PETERS 608 17WC 06444 MAHRAN, MOHAMMED WEST SUBURBAN MED CTR 12/16/16 CORNFIELD & FELDMAN HENNESSY & ROACH PC 609 17WC 06471 AUFIERO, JOHN US FOODS INC 02/06/17 CZAPLA LAW 610 17WC 06501 OAKS, JAMES CAPSTONE LOGISTICS 01/22/17 LEONARD LAW GROUP LLC 611 17WC 06550 MASCIO, ANTHONY MIDWAY DODGE, INC 02/14/17 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 612 17WC 06581 ESPINOZA, JUAN COMPASS GROUP 12/20/16 RUEDA, IVAN A 613 17WC 06625 TORRES, WILLIAM HALLS RENTAL SERVICE 05/20/16 LAW OFFICES ROBERT WARSASK 614 17WC 06728 ROSS, CHRISTIAN PEPSICO 12/20/16 KUMLIN & FROMM ROBERT L. SMITH 615 17WC 06734 DOLAN, ED AT&T 01/23/17 SEIDMAN MARGULIS & FAIRMAN 616 17WC 06753 HEDGER, JEFFREY CHICAGO HEIGHTS CONSTRUCT 12/23/14 BOUDREAU NISIVACO LLC BRADY CONNOLLY & MASUDA PC 617 17WC 06800 MCCONNELL, ZINA CHICAGO TRANSIT AUTHORITY 03/02/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 618 17WC 06821 JACKSON, CHRISTOPHER FLEXAN CORPORATION 03/02/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 619 17WC 06883 KUFFEL, DENNIS K LAKE VENTRUE LLC AND LIBE 01/07/17 RITTENBERG & BUFFEN MEACHUM & STARCK 620 17WC 06910 VALDEZ, ADOLFO DOUMAK, INC. 12/08/16 COSTA IVONE LLC HOLECEK & ASSOCIATES 621 17WC 06929 GROSS, GREGORY FORD MOTOR COMPANY 02/17/17 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 622 17WC 07002 MARINO-ZALDIVAR, RAFAEL LSAS LLC 06/10/16 CUSHING LAW OFFICES MEACHUM & STARCK 623 17WC 07036 THOMAS, DONITA CHICAGO TRANSIT AUTHORITY 02/21/17 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 624 17WC 07058 CORDOVA, ALBERTO CHICAGO BOARD OF EDUCATIO 03/06/17 LEO ALT LAW DEPARTMENT 625 17WC 07148 MERCADO, FRANCISCO 87 P LLC 01/10/17 JOHN E LUSAK WOLF LAW LTD 626 17WC 07195 WOLFE, ANNA DENTAL WORKS/ ONE & DCP 09/27/16 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES OF EDWARD J. KOZ 627 17WC 07226 MORENO, SERGIO G&K TRUCKING OF CHICAGO I 02/16/17 MENDOZA LAW PC 628 17WC 07244 TANON, JOSE STANDARD PROVISION CO 02/17/17 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 629 17WC 07292 MILLER, KINA CTA 03/08/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 630 17WC 07313 BEHAROVIC, SHABAN HARVARD MAINTENANCE INC 02/17/17 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 631 17WC 07356 SPENCER, DASHONDA NORTHWESTERN MEMORIAL HOS 02/25/17 BRISKMAN BRISKMAN GREENBER 632 17WC 07373 CRAWFORD, JUSTIN PEPSI 06/09/16 LEONARD LAW GROUP LLC ROBERT L. SMITH 633 17WC 07474 REYNOLDS-FORD, RHONDA BWAY CORPORATION 05/04/16 KURASCH & KLEIN, LTD HOLECEK & ASSOCIATES 634 17WC 07535 MACIEJEWSKI, BEN C NORMAN MECHANICAL INC. 02/24/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 635 17WC 07573 IRBY, AVERY SYSCO CORPORATION 02/16/17 SALK, STEVEN B & ASSOC LTD 636 17WC 07628 SCOTT, RICHARD MARIANOS-HARWOOD HEIGHTS 11/07/16 MARKER & ASSOCIATES 637 17WC 07759 ROJO, MARIA STEVO'S GRILL 05/30/16 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 638 17WC 07818 FOSTER, DANIEL PROFICIENT TRANSPORT, INC 07/11/16 KARLIN FLEISHER & FALKENBE 639 17WC 07842 ST JAMES, ELLEN BON TON DBA CARSON 12/24/16 SKLARE LAW GROUP BRADY CONNOLLY & MASUDA PC 640 17WC 07947 WALLS, NICOLE WIN PAK PORTION 03/05/17 THE ROMAKER LAW FIRM 641 17WC 08041 HUNTER, CIARA WALDORFF ASTORIA 12/06/16 STEVEN J MALMAN & ASSOCIAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 642 17WC 08072 ESPITIA-PEREZ, CLAUDIA LABOR NETWORK PERSONNEL S 02/23/17 SALK, STEVEN B & ASSOC LTD ROBERT L. SMITH 643 17WC 08096 QUIROZ, BERTHA COMPASS GROUP 03/13/17 MC HARGUE, JAMES P LAW OFF BRADY CONNOLLY & MASUDA PC 644 17WC 08308 VALDEZ, ANGELA COOK DUPAGE TRANSPORTATIO 05/19/15 GOLDBERG WEISMAN & CAIRO L 645 17WC 08378 SANTIAGO, RENE LABOR TEMPS 01/20/17 COSTA IVONE LLC ROBERT L. SMITH 646 17WC 08398 LOWE, TIMOTHY RJS CONSTRUCTION 12/20/16 MANDELL, GREGG 647 17WC 08461 FELICIANO, ANTONIO THE WINEBOW GROUP 01/17/17 DEPAOLO ZADEIKIS GORE 648 17WC 08510 FULLER, ATAVIA SEDGWICK CMS 08/22/16 STROM, NEAL B ARNETT LAW GROUP 649 17WC 08534 PEREZ, HUMBERTO LUNA WARREN BARR LIVING & REHA 02/17/17 HERRERA LAW CENTER 650 17WC 08571 CHAVEZ, JOSE RITZ-CARLTON 10/27/16 LAW OFFICE HOWARD ABRAMS 651 17WC 08603 RIVERS, ERICA ALLTOWN BUS CO 12/02/16 MARC J SHUMAN & ASSOCIATES 652 17WC 08679 BONILLA, WILFREDO CHICAGO PUBLIC SCHOOLS 05/22/14 LAW OFFICES PETER LEKAS 653 17WC 08741 018 SANTANA, ALFONSO FOUR SEASONS HEATING & 12/10/16 RICHARD O. GREENFIELD QUINTAIROS PRIETO WOOD & BOY 018 17WC008740 -C 654 17WC 08772 KOBELA, ANTHONY COOK COUNTY SHERIFF 02/11/17 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 655 17WC 10376 RUIZ, MARIA ED MINIATE LLC 12/16/15 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 656 17WC 11625 HAMMOND, RYAN CHICAGO HIGHLANDS CLUB, L 07/26/16 LARSON & GREENBERG INMAN & FITZGIBBONS 657 17WC 12475 COLBY, JAHNA VERIZON WIRELESS * 06/20/16 R. MARK MARITOTE PC ASA LAW GROUP 658 17WC 13636 WALLACE, JAMES BURLINGTON COAT FACTORY 03/17/17 SEIDMAN MARGULIS & FAIRMAN 659 17WC 13969 STALLONE, ANDREA COOK COUNTY 02/03/17 DENNIS HESSER STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 660 17WC 13986 HESTER, DEBRA CITY OF CHICAGO 04/20/16 KATZ FRIEDMAN EAGLE ET AL 661 17WC 15225 ROBLES, ZARELIA ROSEBUD, RESTURANTS INC 03/15/17 CHEPOV & SCOTT LLC 662 17WC 15243 ZIZUMBO, GLORIA ALOFT CHICAGO O'HARE HOTE 03/23/17 COSTA IVONE LLC 663 17WC 15274 LEMUS, JAMIE FORD MOTOR WORKS 12/15/16 SNECKENBERG, WILLIAM J ASS 664 17WC 15300 SMITH, STEVEN UNIVERSITY OF ILLINOIS AT 05/03/17 RUBENS AND KRESS 665 17WC 15323 GREENE, VINCENT NICOR 05/09/17 KREITER, BYCK & ASSOC LLP MACIOROWSKI SACKMANN & ULRIC 666 17WC 15331 WOMACK, DONALD CARQUEST AUTOMOTIVE 05/12/17 ANGELINI & ORI LLC 667 17WC 15346 JACKSON, MARLENE HELP AT HOME 03/24/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 668 17WC 15371 PIGOUNAKIS, NIKOLAS ABRA AUTO BODY & GLASS 04/06/17 GORDON & CENTRACCHIO LLC 669 17WC 15500 VERPLANK, CHRISTOPHER UNITED AIRLINES INC 03/25/17 RIDGE & DOWNES 670 17WC 15579 LE KHANH VO, PHUONG MAXIM NAILS LTD 04/29/17 SOSTRIN AND SOSTRIN PC 671 17WC 15604 WANDA, ANDREW J MTS TITAN ELECTRIC, LLC 05/21/15 GORDON & CENTRACCHIO LLC BRADY CONNOLLY & MASUDA PC 672 17WC 15658 AKINUSUYI, BOLATITO JACKSON PARK HOSPITAL 09/17/16 ELFENBAUM EVERS & AMARILIO ODELSON & STERK 673 17WC 15676 HERNANDEZ, CHRISTOPHER THE HOME CITY ICE CO. 05/20/17 ANKIN LAW OFFICE 674 17WC 15699 MCCORMICK, KEITH CPS 01/31/17 LEO ALT 675 17WC 15723 WINTERS, BARUCH A ROBERT HALF 05/17/17 ACEVES & PEREZ PC 676 17WC 15745 DUSCHEN, LOREN CASSENS TRANSPORT COMPANY 11/01/16 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 677 17WC 15783 KELLY, SEAN COOK COUNTY RISK MANAGEME 05/10/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 678 17WC 15806 SAFFOLD, KAYLA METROSTAFF, INC. 05/15/17 ANKIN LAW OFFICE 679 17WC 15823 ALBERTO, SAMUEL A COOK COUNTY DEPT OFCORREC 05/16/17 MATTHIAS D. GILL STATES ATTORNEY OF COOK COUN 680 17WC 15879 BANKSTON, CLYDE ATKORE INTL 01/06/17 VASILATOS & COTTER LLC 681 17WC 15896 DELGADO, ARTURO INTERNATIONAL PAPER 04/25/17 ACEVES & PEREZ PC GOLDBERG SEGALLA LLC 682 17WC 15923 MACKAY, STEPHEN HUEN ELECTRIC CO. 10/31/15 NEWLAND & NEWLAND 683 17WC 15958 SANDERS, INGRID EASTERSEALS METROPOLITAN 01/17/17 DAVID W MARTAY 684 17WC 16011 CAMPOS, LORENZO THUNDER TOOL 04/10/17 LAW OFFICE PHILIP BLOMBERG 685 17WC 16069 HOWEN, PAUL MERIT CONTRACTORS, LLC 04/21/16 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 686 17WC 16086 SOLANO, NOEMI PERALTA DO & CO CHICAGO CATERINC, 04/28/17 HERRERA LAW CENTER INMAN & FITZGIBBONS 687 17WC 16101 BELTRAN, JOEL LAKE BOOK MANUFACTURING I 05/16/17 SALVATO & O'TOOLE SUGAR FELSENTHAL GRAIS HAMME 688 17WC 16128 WILLIAMS, TONI LCV STAFFING 05/09/17 DWORKIN AND MACIARIELLO 689 17WC 16167 GREEN, TERRY CITY OF CHICAGO 04/18/17 GOLDBERG WEISMAN & CAIRO L 690 17WC 16170 JONES, CRYSTAL CTA 11/10/16 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 691 17WC 16189 VASQUEZ, ROBERT USF HOLLAND, INC 05/12/17 DWORKIN AND MACIARIELLO 692 17WC 16222 ROBINSON, ORLANDO CTA 05/09/17 SAUNDERS CONDON & KENNY 693 17WC 16279 SMILEY, CARL H MONTERREY SECURITY CONSUL 04/09/16 ERIC M GLASSON & ASSOCIATE 694 17WC 16302 MCDANIEL, NICOLE ARCELORMITTAL 04/17/17 ELFENBAUM EVERS & AMARILIO SPIEGEL & CAHILL, PC 695 17WC 16387 JOHNSON, NICHOLAS UNITED CONVEYOR CORP 11/30/15 PORRO NIERMANN LAW GROUP HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 696 17WC 16439 PETERSON, JAMES CHICAGO PUBLIC SCHOOLS 05/25/17 EDWIN REYES LEGAL GROUP LAW DEPARTMENT 697 17WC 16504 OGG, DAVID HOLLAND 05/04/17 GOLDBERG WEISMAN & CAIRO L 698 17WC 16533 HARROLD, KEVIN BEYOND TRANSPORTATION 01/25/17 RUBENS AND KRESS ROBERT L. SMITH 699 17WC 16569 SCHREAN, TIA METROPOLITAN WATER RECLAI 01/17/17 GAINES & GAINES NOBLE & ASSOCIATES PC 700 17WC 16589 LEWIS, TIFFANY S UNIV OF ILLINOIS HOSPITAL 05/24/17 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 701 17WC 16604 HANSAWALA, PANKAJ N BETHANY METHODIST COMMUNI 09/09/16 GARDI & HAUGHT SCOPELITIS GARVIN LIGHT 702 17WC 16647 LEE, STEVEN L COOK COUNTY 04/03/15 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 17WC016648 -C 703 17WC 16668 CROWE, RON DART CONTAINER 09/28/16 DE SALVO, SCOTT D LAW OFFI GAROFALO SCHREIBER STORM 704 17WC 16686 PEREZ, RAFAEL KINSALE CONTRACTING GROUP 08/26/16 O'CONNOR & NAKOS 705 17WC 16712 SIMMONS, MATTHEW VILLAGE OF RICHTON PARK 01/19/17 COSTA IVONE LLC 706 17WC 16854 HERNANDEZ, JOSE ELITE STAFFING INC, 05/06/17 KATZ FRIEDMAN EAGLE ET AL 707 17WC 16925 GIJON, SALVADOR THE HOME DEPOT 05/10/17 ENCINAS & ORNELAS MC ANDREWS & NORGLE LLC 708 17WC 16973 BRASSELL, SCHEWEDIA B CHICAGO PUBLIC SCHOOLS 05/01/17 ANKIN LAW OFFICE LAW DEPARTMENT 709 17WC 16998 MEZA, IGNACIO HOLBROOK MANUFACTURING IN 03/15/15 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 710 17WC 17066 HERNANDEZ, JUAN BARRY ROOFING 08/22/16 HART & DAVID LLP 711 17WC 17089 STORINO, TERRI A PALATINE COMMUNITY 03/10/17 LOUIS A PLZAK & ASSOCIATES 712 17WC 17125 CHOI, JINA LOYOLA HOSPITAL 03/11/17 HUGHES SOCOL PIERS RESNICK 713 17WC 17146 WILLIAMS, ANGELA JJ MADDEN MENTAL HEALTH C 10/28/16 EDWIN REYES LEGAL GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 714 17WC 17169 HARMON, BOBBY FORD MOTOR COMPANY 06/06/17 FOHRMAN, DONALD W & ASSOCS 715 17WC 17193 HARRIS, LESLIE CITY OF CHICAGO 04/04/17 HORWITZ HORWITZ & ASSOC 716 17WC 17215 BATES, MICHAEL CITY COLLEGES OF CHICAGO 03/13/17 VRDOLYAK LAW GROUP LLC 717 17WC 17232 CUNNINGHAM, JOSEPH VILLAGE OF RIVER GROVE 05/01/17 COSTA IVONE LLC 718 17WC 17250 FLORES, CECILIA SOUTH EAST PERSONNEL LEAS 05/19/17 SALK, STEVEN B & ASSOC LTD SPONSLER BISHOP 719 17WC 17289 RAMIREZ, FACUNDO AMITY PACKAGING CO INC 03/17/17 RUEDA, IVAN A 720 17WC 17315 SHELTON, TINA NORTHWESTER MEMORIAL HOSP 06/06/17 DWORKIN AND MACIARIELLO 721 17WC 17336 HARRALL, ANNA JEWEL FOOD STORES 05/23/17 GOLDBERG WEISMAN & CAIRO L 722 17WC 17349 GIPSON, RICHARD DPI DEDICATED LOGISTICS, 02/08/15 HETHERINGTON KARPEL BOBBER 723 17WC 17393 CALVILLO, JAYSON FORD MOTOR CO. 06/09/15 CULLEN HASKINS NICHOLSON 724 17WC 17439 CHOY, ROBERT CITY OF CHICAGO 05/11/15 ARGIONIS & ASSOCIATES LLC 725 17WC 17526 MORA, ROBERT FAIRMONT CARE CENTER 04/07/17 SEIDMAN MARGULIS & FAIRMAN 726 17WC 17639 HOYER, IRENE UNITED ROAD TOWING 02/19/17 DWORKIN AND MACIARIELLO 727 17WC 17720 SMOLEN, ANDREW COOK COUNTY SHERIFF'S DEP 03/30/17 STROM, NEAL B STATES ATTORNEY OF COOK COUN 728 17WC 17753 BROWN, BENNIE UNITED AIRLINES 12/07/16 KATZ FRIEDMAN EAGLE ET AL 729 17WC 17784 BROOKS, ROBERT CASSENS TRANSPORT CO. 11/15/16 CULLEN HASKINS NICHOLSON KNAPP, OHL & GREEN 730 17WC 17803 FREEMAN, JOE E RIVERDALE PARK DISTRICT 03/01/17 MICHAEL HOARD 731 17WC 17838 YI, SANG COOK COUNTY RISK MANAGEME 05/27/17 WHITESIDE & GOLDBERG LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 732 17WC 17872 WEBSTER, ANEESHA BOOK COUNTY TEMPORARY JUV 11/02/16 RICH RICH COOKSEY PC STATES ATTORNEY OF COOK COUN 733 17WC 17903 DAVIS, JONATHEN CITY OF CHICAGO STREETS & 05/18/17 WILLIAM B MEYERS, LTD 734 17WC 17940 NESLON, HENRYETTA WEISS MEMORIAL HOSPITAL 06/06/17 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 735 17WC 18010 DAWKINS-DIXON, SHOWANDA LUTHERAN SOCIAL SVS OF IL 08/01/15 JAMES J BURKE LAW OFFICE 736 17WC 18047 CELEPIA, FATLUM GROUP FOX MGMT 04/24/17 WILLIAMS, ROBERT B LAW OFF GANAN & SHAPIRO 737 17WC 18065 WILLIS, CORNELL D FORD MOTOR COMPANY 05/12/17 FRIEDMAN & SOLMOR LTD 738 17WC 22150 RAMOS, MARIA SPECIALTY PRINT COMMUNICA * 05/18/17 MC HARGUE, JAMES P LAW OFF LAW OFFICES OF EDWARD J. KOZ 739 17WC 23573 LAWS, ROBERT CITY OF CHICAGO * 07/19/17 HEALY SCANLON LAW FIRM 740 17WC 24888 HOWARD, TOMMY DENTAL WORKS * 08/22/17 LEONARD LAW GROUP LLC LAW OFFICES OF EDWARD J. KOZ 741 17WC 24905 FLAHERTY, PATRICK COOK COUNTY GOVERNMENT * 01/03/16 VRDOLYAK LAW GROUP LLC 742 17WC 24925 PRATL, RICHARD THOMAS INTERIOR SYSTEMS I * 11/01/15 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 743 17WC 24944 WALKER, MISTY CTA * 08/19/17 DWORKIN AND MACIARIELLO 744 17WC 24961 BERNAL, OMAR P & K CLEANING SERVICES C * 08/01/17 CHEPOV & SCOTT LLC MEACHUM & STARCK 745 17WC 25004 COTTON, DENISE CITY OF CHICAGO * 08/16/17 KATZ FRIEDMAN EAGLE ET AL 746 17WC 25030 SELLERS, RICHARD AMERICAN DREAM HOME * 08/22/17 COVEN LAW GROUP 747 17WC 25060 BERNABE, EMILIO PRECISION STEEL WAREHOUSE * 08/10/17 ANKIN LAW OFFICE 748 17WC 25081 AJAYI, KEHINDE STANDARD PARKING * 08/05/17 DWORKIN AND MACIARIELLO 749 17WC 25124 MCGRATH, ALAN UL LLC * 09/22/16 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 750 17WC 25159 ALEXANDER, FREDERICK ILINOIS BONE & JOINT INST * 01/30/14 HOLECEK & ASSOCIATES 751 17WC 25168 FELICIANO, ANTONIO THE WINEBOW GROUP * 04/28/17 DEPAOLO ZADEIKIS GORE 752 17WC 25201 JACKSON, CONANIAH SPECIAL EDUCATION SERVICE * 07/21/17 ANKIN LAW OFFICE 753 17WC 25219 DIXON, MARSHAWN WASTE MANAGEMENT INC. * 08/23/17 LEONARD LAW GROUP LLC 754 17WC 25243 GARCIA, HERMEREGILDA SEALCRAFT INTERNATIONAL * 07/11/17 DWORKIN AND MACIARIELLO 755 17WC 25267 SPILLMAN, BARRY R PALNEL'S PLUS, INC * 03/09/17 FIGLIOLI, DAVID 756 17WC 25276 LLANES, SIMON PREFERRED ELECTRICAL * 08/14/17 HETHERINGTON KARPEL BOBBER 757 17WC 25308 ACOSTA, LILIAN RON'S STAFFING SVC * 04/06/17 SALVATO & O'TOOLE 758 17WC 25345 LOPEZ, ALFRED MATERIAL SCIENCES CORPORA * 12/02/16 GRANT & FANNING 759 17WC 25372 GARZA, JOSEPH CITY OF CHICAGO-DEPT OF W * 06/27/17 ARGIONIS & ASSOCIATES LLC 760 17WC 25404 SKINNER, CLAYTON D REDMON'S TOWING INC * 07/29/17 NILSON STOOKAL GLEASON CAP 761 17WC 25427 WEBB, DANIYAH CARLTON AT THE LAKE * 07/05/16 MC HARGUE, JAMES P LAW OFF 762 17WC 25441 EVANS, LEVYNAS COOK DUPAGE TRANS CO INC * 06/05/17 ANKIN LAW OFFICE 763 17WC 25463 PRICE, FLOYD UBER * 08/23/17 DWORKIN AND MACIARIELLO 764 17WC 25485 SCOTT, CAMERON J CVS/CORAM * 01/23/17 765 17WC 25594 RODRIGUEZ, HECTOR TROY TROY CORPORATION * 08/11/17 MONDRY & MONDRY 766 17WC 25622 ROBINSON, PAMELA D COVENANT VILLAGE OF NORTH * 12/23/16 SIGMOND, STEVEN 767 17WC 25688 SIMEK, JERRY UPS * 06/20/17 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 768 17WC 25709 MARQUEZ, JOSE LUIS PANERA BREAD * 07/12/17 CULLEN HASKINS NICHOLSON 769 17WC 25748 CROSSLEY, DWAYNE ROADRUNNER TRANSPORTATION * 08/19/17 DAVID W MARTAY 770 17WC 25811 HERNANDEZ, MERCEDES ELITE STAFFING * 07/10/17 PARENTE & NOREM PC 771 17WC 25836 PEREZ, LUIS TILC INDUSTRIES INC * 12/05/16 WOLFE & JACOBSON, LTD 772 17WC 25852 HONN, SUSAN SOSS EASTER SEALS OF METRO CHI * 05/08/17 EDWIN REYES LEGAL GROUP 773 17WC 25887 GUTIERREZ, ENRIQUE NATIONAL CONTAINER GROUP * 02/02/17 VANO LAW GROUP 774 17WC 25907 LEAKS, TIMOTHY UNITED PARCEL SERVICE * 08/29/17 KUMLIN & FROMM 775 17WC 25931 BOOKER, JADE HUDSON NEW GROUP * 04/05/17 DWORKIN AND MACIARIELLO 776 17WC 25969 TEUBEL, BRIAN D UNITED AIRLINES * 06/08/17 NILSON STOOKAL GLEASON CAP 777 17WC 26010 LOPEZ, GILBERTO PERMA-SEAL BASEMENT SYSTE * 06/12/17 JAY S. SHETH LLC GANAN & SHAPIRO 778 17WC 26043 OCHOA, CLEMENCIA DISP PACK CORPORATION * 05/15/17 JOHN J CASTANEDA 779 17WC 26077 LESTER, KEVIN IHC CONSTRUCTION, LLC * 08/14/17 MEYERS & FLOWERS 780 17WC 26100 SHORT, TALVIN CARSON PIRIE SCOTT * 05/05/17 JAMES ELLIS GUMBINER & ASS 781 17WC 26147 OBANA JR, ANIANO BRYN MAWR CARE * 07/12/17 WARREN W MARK 782 17WC 26167 PETERSON, ERIC FREEDMAN SEATING COMPANY * 08/18/17 ANKIN LAW OFFICE 783 17WC 26185 HODSON, KAROL CLOUD5 COMMUNICATIONS * 06/02/17 KATZ FRIEDMAN EAGLE ET AL 784 17WC 26218 SANTANA, RODOLFO MEATS BY LINZ * 05/24/17 COSTA IVONE LLC 785 17WC 26245 TRAVIS, JAMEL BP STAFFING * 08/09/17 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 786 17WC 26259 CARDENAS, SERGIO ROOFING SOLUTIONS LLC * 04/22/17 HERRERA LAW CENTER 787 17WC 26278 GUZMAN, PABLO WORLDS FINEST CHOCOLATE * 07/24/17 DWORKIN AND MACIARIELLO 788 17WC 26309 NIX, BARBARA FIRST STUDENT, INC * 08/25/17 MARC J SHUMAN & ASSOCIATES 789 17WC 26326 ROBLES, AGUSTIN ARYSTA, LLC * 11/28/16 TAMVAKIS, GEORGE L 790 17WC 26357 MEDGYESI, JACOB DAHME MECHANICAL INDUSTRI * 09/08/16 ANKIN LAW OFFICE 791 17WC 26399 GREENE, MARCUS MAGNA PROPERTIES INC * 03/08/17 ACCIDENT FUND HOLDINGS 792 17WC 26489 DREYER, WILLIAM MORAN TRANSPORTATION * 08/01/17 TARADASH LAW OFFICE 793 17WC 26534 BURKE, JOEL GALLO EQUIPMENT * 02/24/17 CAPRON & AVGERINOS PC 794 17WC 26550 WILLIAMS, SARAH CTA * 09/07/17 FOHRMAN, DONALD W & ASSOCS 795 17WC 26566 VALENCIA, PUGA SONIA LABOR NATION, LLC * 08/13/17 THE ROMAKER LAW FIRM 796 17WC 26589 VILLASENOR, GONZALO FILTRAN LLC * 05/01/17 CHEPOV & SCOTT LLC 797 17WC 26605 LEACH, LADARIEN GREAT LAKES COCA COLA * 08/07/17 DWORKIN AND MACIARIELLO 798 17WC 26658 SUAREZ, OSWALDO SOHO HOUSE LLC * 04/10/17 TAXMAN POLLOCK 799 17WC 26675 THOMAS, SHAMARR SC MEDICAL TRANSPORT * 03/21/17 VRDOLYAK LAW GROUP LLC 800 17WC 26683 PRETO, JOHN COOK COUNTY SHERIFF'S DEP * 12/22/16 CUDA LAW OFFICES 801 17WC 26731 CROSS, OCTAVIA FIRST TRANSIT * 09/07/17 FRIEDMAN & SOLMOR LTD 802 17WC 26752 BARKER, JEANNE E KOHLS STORE #180 * 08/01/17 MICHAEL D WALSH PC 803 17WC 26793 SANCHEZ, CUAUHTEMOC CATHOLIC CEMETERIES * 03/24/17 ACEVES & PEREZ PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 10/23/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 804 17WC 26832 CONNER, PATRICK C DARDEN/ OLIVE GARDEN USA * 10/17/16 WIEDNER & MCAULIFFE LTD 805 17WC 26847 WILEY, SYLVIA INGALLS MEMORIAL HOSPITAL * 07/30/17 STROM, NEAL B 806 17WC 26863 VOSBURG, SHARON LEXINGTON HEALTH CARE CTR * 03/29/16 VRDOLYAK LAW GROUP LLC 807 17WC 26884 CASTELLANOS, LUCIA B-B MAINTENANCE INC * 06/15/17 808 17WC 26937 VALENCIA, GERONCIO V3 COMPANIES, LTD * 08/01/17 GRAZIAN & VOLPE PC 809 17WC 26955 ONTIVEROS, JULIAN RCM INDUSTRIES INC * 01/17/17 WIEDNER & MCAULIFFE LTD 810 17WC 26971 MALVEHY, ADRES EXPRESS EMPLOYMENT PROF * 09/07/17 MC HARGUE, JAMES P LAW OFF 811 17WC 27086 ARITA, EDMUND BERRY GLOBAL, INC * 07/12/17 CANDIANO LAW OFFICE 812 17WC 27118 BAROS, JERAD PAN OCEANIC ENGINEERING C * 01/05/17 FRANKS, GERKIN & MCKENNA P 813 17WC 27132 REYES, DANIEL MORRISON HEALTHCARE * 06/12/17 LEONARD LAW GROUP LLC 814 17WC 27158 CANON, GINA HOME DEPOT- OAK LAWN * 07/26/17 DAVID W MARTAY 815 17WC 27173 LOES, NOMEL CHICAGO SEVEN * 08/08/17 LAW OFFICE RYAN ROSENTHAL 816 17WC 27211 SOTO, NORBERT BROAD-OCEAN MOTOR, LLC * 03/02/16 WIEDNER & MCAULIFFE LTD 817 17WC 27259 TURNER, LEE IW&G * 08/01/17 HORWITZ HORWITZ & ASSOC 818 17WC 27278 MENDEZ, RENE MAUSER USA LLC * 08/24/17 DEPAOLO ZADEIKIS GORE 819 17WC 27294 LINDBOHM, PETTERI CHICAGO WOLVES * 02/22/17 GORDON LAW OFFICES LTD 820 17WC 27319 FIGUEROA, JOSE LUIS SPECIALTY PRINT COMMUNICA * 08/20/17 COSTA IVONE LLC 821 17WC 27333 DIAZ, RUBEN PEPSICO * 08/23/17 STROM, NEAL B

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