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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 BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 09WC 06551 SPANOS, PETER B BINNY'S BEVERAGE DEPOT 01/28/09 CULLEN, HASKINS, NICHOLSON HOLECEK & ASSOCIATES 16 09WC 06884 MEYER, LORRIN MILLENIUM CONCRETE 07/08/08 HEALY LAW FIRM THOMAS & PORTELA 10WC026152 -C 10WC032821 -C 17 09WC 09141 19B OJEDA, FRANK CITY OF CHICAGO 01/06/09 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 18 09WC 10723 NOWOTARSKI, DAN COOK COUNTY SHERIFF'S POL 02/12/09 STEVEN J TENZER, LTD STATES ATTORNEY OF COOK COUN 19 09WC 12245 SILVA, ADELAIDA COUNTY OF COOK 07/07/08 CULLEN, HASKINS, NICHOLSON STATES ATTORNEY OF COOK COUN 09WC012246 -C 20 09WC 15530 DIXON, JOHN JEREMIAH SWEENEY'S INC 09/28/07 WOODRUFF & JOHNSON LAW OFF RUSIN MACIOROWSKI & FRIEDMAN 21 09WC 15812 MONDELLI, RIC FREEMAN DECORATING INC 03/13/09 PETER D CORTI LAW GROUP MC ANDREWS & NORGLE LLC 22 09WC 20892 SPAGNOLA, PAUL IDOT @ 05/05/09 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 09WC022833 -C 23 09WC 34737 HOWARD-BELL, KIMBERLY S IL DEPT OF TRANSPORTATION @ 01/10/09 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 24 09WC 36209 HICKS, JOHN COOK COUNTY SHERIFF'S OFF 03/21/09 JAMES M RIDGE LAW OFFICE STATES ATTORNEY OF COOK COUN 15WC008006 -C 25 09WC 42589 ALVAREZ, YOLANDA UNIVERSITY OF ILLINOIS @ 01/05/09 FINE, MARK S LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 26 09WC 43684 MARTINEZ, MARGARITA CITY OF CHICAGO/ANIMAL CO 06/08/09 ANGELA NARDI-QUIGLEY CITY OF CHICAGO 27 10WC 03080 SERRANO, RIGOBERTO ROAD CO TRANSPORTATION 01/13/10 RIBBECK LAW JAMES M KELLY 10WC003679 -C ROADCO TRANSPORTATION 28 10WC 12883 LANDEROS, LAURA MENARDS 12/01/09 COSTA IVONE LLC CHILTON YAMBERT PORTER LLP 10WC034310 -C 29 10WC 20816 JULIAN, YOLANDA MARTHA TELLEZ & JERI-LOU W 05/05/10 EPSTEIN, JACK R LAW OFFICE STELLATO & SCHWARTZ 30 10WC 24577 LANIER, JOE J-DEE'S CONVENIENCE @ 05/14/10 DEUTSCHMAN, JEFFREY S ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 10WC 36488 19B JUCKINS, DONALD E HEARTLAND AUTOMOTIVE 08/03/10 BRIAN T MORROW, LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 32 10WC 40697 BALLESTEROS, MARIA RUSH ONTARIO, LLC 08/29/10 SALVATO & O'TOOLE CHILTON YAMBERT PORTER LLP 33 10WC 41734 19B THORPE, WILLIAM PREFERRED MEAL SYSTEMS 07/27/10 STEVEN J SEIDMAN LAW OFFIC POWER & CRONIN LTD 34 10WC 46662 O'DONNELL, ERIN FOX RIVER GROVE 10/15/08 RICHARD O. GREENFIELD RUSIN MACIOROWSKI & FRIEDMAN 11WC007593 -C 35 11WC 07675 POSADAS, CHRISTIAN RIGHT SIZE FACILITIES 12/10/10 STEVEN J SEIDMAN LAW OFFIC 36 11WC 16494 19B KIRBY, WILLIAM CITY OF CHICAGO DEPT 05/11/10 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 12WC038560 -C 12WC038561 -C 14WC029406 -C 37 11WC 16870 BARNEY, SANDRA CTA 04/06/11 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 38 11WC 17255 THIGPEN, BRENDA STATE OF ILLINOIS @ 05/28/09 BAUM RUFFOLO & MARZAL LTD NICHOLE S. MCNAIR 11WC017256 -C 39 11WC 18653 MARTINEZ, PERFECTO ENGLEWOOD EDEN GREENS 03/25/11 POMPER & GOODMAN RUSIN MACIOROWSKI & FRIEDMAN 40 11WC 21853 JOHNSON, CHRISTINE ILLINOIS DEPT OF HUMAN SE @ 03/17/10 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 41 11WC 22531 DEANE, KEVIN CHICAGO PUBLIC SCHOOLS 08/23/10 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 42 11WC 24990 MONTES, HERIBERTO RUSH UNIVERSITY MEDICAL C 02/22/11 GAINES & GAINES KEEFE CAMPBELL & ASSOC LLC 13WC019893 -C 15WC020821 -C 15WC020822 -C 15WC020823 -C 15WC020824 -C 43 11WC 31328 FELDMAN, JASON AVANTAIR 11/09/10 COVEN LAW GROUP HENNESSY & ROACH PC 44 11WC 31401 MARRERO, MARIA OMNI HOTELS 04/07/11 LAW OFFICE EDWARD LICHTENS GALLIANNI DOELL & COZZI LTD 45 11WC 32424 CURB, KEVIN CTA 09/12/09 STROM, NEAL B CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 11WC 32949 HEPP, JEFFREY E HULCHER SERVICES INC 02/11/11 ANESI OZMON RODIN NOVAK KO THOMAS & PORTELA 47 11WC 34856 19B SPELLMAN-EPPS, SONDRA R CITY OF CHICAGO DEPT 09/02/11 RUBIN LAW GROUP HENNESSY & ROACH PC 48 11WC 34926 RODRIGUEZ LOPEZ, LUIS C MG CONSTRUCTION W 11/10/10 JAMES ELLIS GUMBINER & ASS THE KARMEL LAW FIRM 49 11WC 36904 MANZO, ERNESTO CONTINENTAL SALES 05/10/10 MC HARGUE, JAMES P LAW OFF NYHAN BAMBRICK KINZIE & LOWR 11WC038145 -C 50 11WC 38110 JONES, SHEREE LEXINGTON HEALTH CARE OF 09/06/11 LEWIS & DAVIDSON, LTD WIEDNER & MCAULIFFE LTD 51 11WC 40682 LAWSON, DARRYL AT&T UVERSE 04/21/11 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 11WC040683 -C 52 11WC 41089 MCGREEHIN, JACK RD SERVICES INC 07/11/11 EVAN A HUGHES LAW OFFICE BRADY CONNOLLY & MASUDA PC 53 11WC 41127 MUNIZ, CARLOS CITY OF CHICAGO 07/30/11 RUBIN LAW GROUP CITY OF CHICAGO 54 11WC 41285 MORA, SILVIA FERRERA PAN CANDY 09/29/11 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 13WC018290 -C FERRARA PAN CANDY CO 55 11WC 42222 SBEIH, SABREEN RED IVY RESTAURANT 07/29/11 BOTTO GILBERT GANAN & SHAPIRO 56 11WC 42295 HUERTA, ESPERANZA AVIS BUDGET GROUP 07/05/11 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 11WC042296 -C 57 11WC 42298 WINTERS, SABUARIE WESTCHESTER HEALTH & REHA 07/31/11 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 58 11WC 42790 ESTRADA, ADOLPH ALLIED TUBE & CONDUIT 04/27/11 SANDMAN LEVY & PETRICH KNELL & O'CONNOR 59 11WC 44064 19B ILOANUSI, JULIET JACKSON PARK HOSPITAL 07/21/11 KATZ FRIEDMAN EAGLE ET AL ODELSON & STERK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 60 11WC 44710 DINUZZO, FABIO RR DONNELLEY & SONS COMPA 04/30/09 RICHARD E ALEKSY BRADY CONNOLLY & MASUDA PC 61 12WC 00820 JOHNSON-ANDERSON, RHONDA COOK COUNTY 12/31/11 HUGHES SOCOL PIERS RESNICK 12WC000822 -C 62 12WC 06725 19B ANYAGAFU, GEOFFREY CHICAGO CARRIAGE CAB 10/07/10 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 63 12WC 07516 DOSS, JACQUELINE GIRL SCOUTS OF GREATER CH 01/17/12 COYNE REINKE LAW THOMAS & PORTELA 64 12WC 12187 ROSADO, IVAN COMCAST CABLE COMMUNICATI 12/10/11 LEONARDO MORALES LAW OFFIC ASHER, RAYMOND L LTD 65 12WC 14535 RUSSO, JOSEPH IL BELL TELEPHONE CO (AT& 02/25/12 ANGELINI & ORI LLC HENNESSY & ROACH PC 13WC006489 -C ILLINOIS BELL TELEPHONE CO 66 12WC 14919 MCCAMBRY, CORLISS UNIVERSITY OF IL 08/25/10 DOUGLAS RALLO PC HEYL ROYSTER VOELKER & ALLEN 67 12WC 15110 DOMINGUEZ, ANTONIO KOCH FOODS 03/25/12 ACEVES & PEREZ PC INMAN & FITZGIBBONS 68 12WC 15245 CENGIJA, CATHY IN'L CARRIER ENTERPRISES 03/19/12 DAVID W MARTAY SCOPELITIS GARVIN LIGHT 69 12WC 15953 JENSEN, JENNIFER L UPS 09/27/11 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 70 12WC 23241 ALT, JEFFREY G CHICAGO PARK DISTRICT 03/25/09 KROL BONGIORNO & GIVEN LTD CHICAGO PARK DIST LAW DEPT 71 12WC 23528 HUDSON, MATTHEW JEWEL-OSCO 12/30/11 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 72 12WC 25748 COYNE, PATRICK VILLAGE OF OAK PARK 06/28/12 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 73 12WC 25849 SANTIAGO, MIGUEL A CITY OF CHICAGO 06/25/06 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 74 12WC 25878 SALDIVAR, MARTHA ALPHA BAKING CO 12/05/11 TAMVAKIS, GEORGE L MACIOROWSKI SACKMANN & ULRIC 75 12WC 25900 19B MALDONADO, NITZIE DOLLAR TREE STORES INC 09/21/10 GOLDBERG WEISMAN & CAIRO L ROBERT J COZZI 11WC028533 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 76 12WC 26151 CEDILLO, FRANCISCO ESTES EXPRESS LINES INC 07/17/12 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 77 12WC 26931 SANTOS, NOEL EMPIRE HARD CHROME INC 06/06/12 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 12WC028208 -C 78 12WC 27355 HOGE, DANIEL M WALSH CONSTRUCTION 02/29/12 CRONIN & PETERS HINSHAW & CULBERTSON 79 12WC 28307 COBB, VISITA JOHN STROGER HOSPITAL- 02/26/10 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 15WC027493 -C 80 12WC 30084 19B MONTGOMERY, SHARON ST JOSEPH HOSPITAL 06/28/12 JOEL BELL KEEFE CAMPBELL & ASSOC LLC 81 12WC 31161 SHERRY, MICHAEL VILLAGE OF NILES 11/23/10 BOWMAN & CORDAY NYHAN BAMBRICK KINZIE & LOWR 12WC031162 -C 15WC013477 -C 82 12WC 31458 VELASQUEZ, ANTHONY WALLACE PAVING 07/28/12 BARRY STEWART SILVER RUSIN MACIOROWSKI & FRIEDMAN 83 12WC 32841 BROWN, VICTORIA STATE OF ILLINOIS DEP OF @ 08/22/12 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 84 12WC 33002 HEARD, GEORGE CHICAGO TRANSIT AUTHORITY 09/19/12 LEONARD S BECKER CHICAGO TRANSIT AUTHORITY 85 12WC 33140 19B O'CONNELL, MICHAEL KOPPERS INC 04/15/12 ROBERT DARGIS BRAUN LORENZ & BERGIN PC 86 12WC 36032 DELGADO, MARIA HYATT REGENCY CHICAGO 09/03/12 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 87 12WC 36217 MONTGOMERY, DEBORAH STATE OF ILLINOIS DHS @ 10/06/12 DAVID W MARTAY JORDAN FRANK 88 12WC 36860 GIVHAN, DORIS BELLWOOD SCHOOL DIST 88 09/18/12 WOODRUFF & JOHNSON ANCEL GLINK DIAMOND BUSH & E 89 12WC 37698 REYES, LUCIA FEDEX GROUND 09/20/12 EPSTEIN, JACK R LAW OFFICE SCOPELITIS GARVIN LIGHT 90 12WC 38145 SMITH, KEVIN VESUVIUS 06/13/12 MARC J SHUMAN & ASSOCIATES RUSIN MACIOROWSKI & FRIEDMAN 12WC038146 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 91 12WC 38669 BARHAM, HIRMS GLENBROOK SOUTH HIGH SCHO 08/10/12 WEISS & WEISS LAW OFFICES WIEDNER & MCAULIFFE LTD 92 12WC 38907 RODRIGUEZ, ANDRE FORD MOTORS 09/13/12 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 13WC005217 -C 13WC008834 -C 93 12WC 40081 HARVEY, JOHN RICHARD COMAIR 09/14/10 JAMES M RIDGE LAW OFFICE INMAN & FITZGIBBONS 94 12WC 40937 HINTON, ANGJELL V STATE OF IL/DHS @ 11/19/12 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 95 12WC 41099 THOMAS, CATHERINE JANE ARGO COMMUNITY 12/17/10 CULLEN HASKINS NICHOLSON RUSIN MACIOROWSKI & FRIEDMAN 12WC041100 -C 15WC014941 -C 15WC014942 -C 96 12WC 41108 GAMBOA, GILBERTO AGUSTIN NUNEZ @ W 10/28/12 KENNETH B GORE, LTD ASSISTANT ATTORNEY GENERAL 97 13WC 12220 PIZZIRULLI, FRANK IDOT @ 03/28/13 RICHARD O. GREENFIELD ASSISTANT ATTORNEY GENERAL 98 13WC 13047 DEUERLING, MIKE HARD PARTS WAREHOUSE 03/12/13 BALTAZAR MENDOZA RUSIN MACIOROWSKI & FRIEDMAN 99 13WC 13331 BANSLEY, ROBERT COOK COUNTY SHERIFF'S DEP 02/04/13 BAUM RUFFOLO & MARZAL LTD STATES ATTORNEY OF COOK COUN 100 13WC 13363 BECK, THELMA ROSELAND COMMUNITY HOSPIT 11/30/12 MARSZALEK AND MARSZALEK SCOPELITIS GARVIN LIGHT 101 13WC 13617 MAYER, CRISTIE A COUNTY OF COOK 11/08/11 BUIKEMA HISKES DILLNER ET STATES ATTORNEY OF COOK COUN 102 13WC 13815 GARCIA, DAVID GRECO AND SONS 03/12/13 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 13WC014347 -C CRECO & SONS 15WC033056 -C 103 13WC 14447 HAMPTON, VINCENT LARAMAR GROUP LLC 03/15/13 KUMLIN & FROMM HENNESSY & ROACH PC 104 13WC 14493 GOMEZ, ANTONIO F RAMCEL ENGINEERING 01/04/13 KARCHMAR & STONE GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 105 13WC 14529 OSUNWOKE, BEDE BLUE DIAMOND TAXI 03/31/11 JOEL BELL 106 13WC 14713 HUFFINE, JENNIFER STEIN MART 03/04/13 MARSZALEK AND MARSZALEK GILDEA & COGHLAN 13WC014714 -C 107 13WC 21466 KHAN, JAMSHED HOSPITALITY STAFFING INC 10/29/12 NICHOLIS J STEIN WIEDNER & MCAULIFFE LTD 108 13WC 22105 HAWKINS, DANETT UNIVERSITY OF ILLINOIS 03/30/12 ANKIN LAW OFFICE 109 13WC 22294 SAMUEL-HOGKINS, TINA CHICAGO TRANSIT AUTHORITY 06/12/13 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 110 13WC 22396 LEWANDOWSKI, KRZYSZTOF ILLINOIS DEPT OF @ 12/19/12 ROMANUCCI & BLANDIN COLIN KICKLIGHTER 111 13WC 22636 COZZI, ANTHONY CITY OF CHICAGO 03/27/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 112 13WC 22663 GREGORY, KOTWICA CHICAGO MESSENGER SERVICE 07/09/13 PRETZEL & STOUFFER 113 13WC 22754 LOPEZ, ANGEL L NATION PIZZA PRODUCTS LLC 05/21/13 TAMVAKIS, GEORGE L MEACHUM & STARCK 114 13WC 22815 KASPER, MICHAEL L AL MANAGEMENT 05/13/13 RUBIN LAW GROUP RUSIN MACIOROWSKI & FRIEDMAN 115 13WC 23086 FLOYD, GAVIN CHICAGO WHITE SOX 04/27/13 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 13WC023087 -C 13WC023088 -C 13WC023089 -C 116 13WC 23360 COZART, ZGIZELLE A NORTHWEST HOME CARE 07/05/13 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 117 13WC 23526 MESCH, TIMOTHY UPS FREIGHT 07/02/13 RIDGE & DOWNES ASA LAW GROUP 118 13WC 23532 WILLIAMS, NICOLE N CHICAGO TRANSIT AUTHORITY 07/04/13 WARREN W MARK 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 BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 119 13WC 23695 HOGUE, JAJUANNA SOI DEPT OF HUMAN SERVICE 07/15/13 LAW OFFICE OF SCOTT B SHAP ASSISTANT ATTORNEY GENERAL 120 13WC 23738 BOLDEN, MARION OAK PARK SCHOOL DISTRICT 07/01/13 VASILATOS & COTTER LLC ANCEL GLINK DIAMOND BUSH & E 15WC030997 -C 121 13WC 23794 SPEECHLEY, JOHN REXNORD CORPORATION 05/06/13 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS 122 13WC 23879 HERNANDEZ-ESPINOZA, ANTON MANAGEMENT RESOURCE ASSOC 08/29/12 MINKOW DOMIN BRADY CONNOLLY & MASUDA PC 123 13WC 24339 VARESSIS, FOTIOS Z ALPHA BAKING COMPANY 07/18/13 COVEN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 124 13WC 24479 MARTINEZ, LISETTE APL LOGISTICS 03/15/12 KOFOED, RUSSEL M KEEFE CAMPBELL & ASSOC LLC 125 13WC 24833 19B ALMANZA, ANTONIO BIG TIMBER LANDSCAPING, C 07/22/13 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 126 13WC 24951 VELAZQUEZ, LUZ ALLEN BROTHERS 11/10/12 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 13WC028633 -C 127 13WC 25063 MIRVIC, SABIHA NORTHWESTERN MEMORIAL HOS 11/17/11 KENNETH B GORE, LTD BRAUN LORENZ & BERGIN PC 13WC025064 -C 14WC000496 -C 128 13WC 25467 PATLAN, JOSE PICK-N-PULL 05/08/13 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 129 13WC 25559 REICHEL, MATTHEW BERGOFF CATERING & 08/07/10 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 130 13WC 25584 NETTLES, ESMERALDA ABBA HOME 12/19/11 COVEN LAW GROUP POWER & CRONIN LTD 131 13WC 25762 SARICH, MICHELLE CHICAGO PUBLIC SCHOOLS 06/08/12 LEWIS & DAVIDSON, LTD 13WC025763 -C 132 13WC 26343 MEZA, SAMUEL MEYER STEEL DRUM INC @ W 08/09/13 JOHN E LUSAK 133 13WC 26627 SMITH, SYLVIA CHICAGO TRANSIT AUTHORITY 08/09/13 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 134 13WC 26720 GALLARZO, GENARO ED MINIAT INC 07/22/13 ANGELINI & ORI LLC POWER & CRONIN LTD 135 13WC 28510 DAVIS, PAMELA YVETTE MAXIM STAFFING SOLUTIONS 10/08/10 COLLISON & O'CONNOR LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 136 13WC 33690 SIMPSON, JOHN AF SERVICES INC 09/07/13 137 13WC 33774 REED, CYNTHIA M EVANSTON TOWNSHIP HIGH SC 10/05/13 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 138 13WC 33816 AYALA, MARIA SUPERIOR PROPERTY SYSTEMS 09/04/13 BRILL & FISHEL 139 13WC 33973 DEVERS-RUCKER, DAVITTA COOK COUNTY DEPT OF 09/24/13 COHN LAMBERT RYAN & SCHNEI STATES ATTORNEY OF COOK COUN 140 13WC 33988 MC NEAL, JOSEPH DOLTON POLICE DEPARTMENT 10/11/12 LOCASCIO, MARK A LTD HENNESSY & ROACH PC 141 13WC 34047 HOLLAND, DOUGLAS T HOLLAND DESIGN GROUP INC 06/21/10 RICHARD E ALEKSY NYHAN BAMBRICK KINZIE & LOWR 142 13WC 34194 THURMAN, RAMONA ART & SCIENCE SALES 06/13/13 DAVID W MARTAY LAW OFFICES JOSEPH MARCINIAK 143 13WC 34383 PANIAGUA, VICTOR CHICAGO TRANSIT AUTHORITY 02/18/13 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 144 13WC 34458 STRAWDER, CHARLES COMCAST 02/19/13 TAMVAKIS, GEORGE L ASHER, RAYMOND L LTD 145 13WC 34566 SANCHEZ, RAMON, JR CHICAGO METAL SUPPLY AND 09/10/13 SUTTER & ORI LLC LAW OFFICES JOSEPH MARCINIAK 146 13WC 34587 YOUNG, MICHELLE ST OF IL DEPT OF HS 10/09/13 VITELL & SPITZ LTD COLIN KICKLIGHTER 147 13WC 34670 PACE, THOMAS M SBARRO 08/29/13 GOLDSTEIN BENDER & ROMANOF MEACHUM & STARCK 148 13WC 34735 FOFANA, LINDA NORTHSHORE UNIVERSITY 05/06/13 CULLEN HASKINS NICHOLSON 149 13WC 35007 BECKER, SCOTT VILLAGE OF ROSEMONT 10/12/13 ANGELINI & ORI LLC STORINO RAMELLO & DURKIN 150 13WC 35103 ALVARADO, MARIA ELISA HOTEL INDIGO 08/31/13 SALK, STEVEN B & ASSOC LTD 151 13WC 35122 KART, ALEKSANDR NATION PIZZA 08/07/13 DWORKIN AND MACIARIELLO MEACHUM & STARCK 152 13WC 35193 ODIBO, GRACE CITY OF CHICAGO 04/27/13 RICHARD J ZABORSKY CITY OF CHICAGO 153 13WC 35363 ABED, MOHAMMED FRITO LAY - PEPSI CO 07/03/13 SANDMAN LEVY & PETRICH GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 13WC 36279 LIGON, CASANDRA CARA PROTECTION SERVICES 10/22/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 155 13WC 36298 DEVER, CHARLES COOK COUNTY HIGHWAY DEPAR 07/25/12 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 13WC036299 -C 156 13WC 36644 SORAGHAN, MATTHEW SWISSOTEL 07/21/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 157 13WC 36851 CHAKOS-KALOYANIDES, CHRIS TARGET 08/01/13 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC 158 14WC 00675 BAEZA, ROMAN COPENHAVER CONSTRUCTION I 06/25/13 ACEVES & PEREZ PC CHILTON YAMBERT PORTER LLP 159 14WC 00936 MERINO, GUILLERMINA STAFFING NETWORK CORPORAT 11/12/13 JONATHAN SCHLACK SLAVIN & SLAVIN 14WC017701 -C 160 14WC 01094 CONTRERAS, ANIBAL M CHICAGO PUBLIC SCHOOLS 12/18/13 THE ROMAKER LAW FIRM LAW DEPARTMENT 161 14WC 01213 KEELING, JASON FOREST PARK POLICE DEPART 07/28/13 LAW OFFICES GERALD DOLL RUSIN & MACIOROWSKI LTD 162 14WC 01271 SCHOLL, GREGORY SCHAUMBURG PALATINE DIST 10/15/13 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 163 14WC 01880 HOGG, RICHARD NAVISTAR 11/11/13 BART DURHAM NYHAN BAMBRICK KINZIE & LOWR 164 14WC 01904 BARBARAWI, SAMEER YELLOW CAB 11/28/13 DWORKIN AND MACIARIELLO LAW OFFICES OF DEBORAH SCHAE 165 14WC 01917 HARRIS, PERRY EARL M JORGENSEN 12/16/13 CUDA LAW OFFICES POULOS & DIBENEDETTO LAW 166 14WC 02012 GOODE, TINECA FORD MOTOR COMPANY 09/21/11 MINKOW DOMIN POWER & CRONIN LTD 167 14WC 02730 MARTIN, GEORGE MEYER STEEL & DRUM 01/15/14 LAW OFFICES TIMOTHY HENDER 168 14WC 02761 ZARAGOZA, SANDRA ALTERNATIVE STAFFING/ELEG 10/03/13 GALLAGHER LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 169 14WC 02885 BUCASAS, THOMAS TESTA PRODUCT INC 05/02/13 ANESI OZMON RODIN NOVAK KO RODDY LAW LTD 170 14WC 02916 GOODMAN, CLAUDINE UNITED AIRLINES INC. 12/06/12 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 15WC035988 -C 171 14WC 02929 TROCHE, CONITZIN ALDI 12/04/13 WEISS ORTIZ PC BRADY CONNOLLY & MASUDA PC 172 14WC 02962 TRIMBLE, BYRON PRIME INC 05/25/13 MCANANY VANCLEVE & PHILLIPS 173 14WC 03022 GREEN, LAWRENCE J FORD MOTOR COMPANY 01/11/14 NEWMAN, BOYER & STATHAM POWER & CRONIN LTD 174 14WC 03037 LARA, JUAN WESTIN HOTEL 11/12/13 VASILATOS & COTTER LLC HENNESSY & ROACH PC 14WC040200 -C 175 14WC 03108 RUSSELL, STANLEY NORTHWESTERN MEMORIAL HOS 01/05/14 SEIDMAN MARGULIS & FAIRMAN BRAUN LORENZ & BERGIN PC 15WC033545 -C 176 14WC 03519 RIOS, MARY SEALED AIR CORPORATED 05/19/11 ROSS TYRRELL MEACHUM & STARCK 177 14WC 03617 TRUJILLO-SUAREZ, NEREO MIDWEST CANVAS CORP 12/10/13 EPSTEIN, JACK R LAW OFFICE KNELL & O'CONNOR 178 14WC 03736 PHILLIPS, DAVID COMCAST CORP 01/08/14 RITTENBERG & BUFFEN POWER & CRONIN LTD 179 14WC 03800 ACOSTA, CARMEN RUSH UNIVERSITY MEDICAL C 11/03/13 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC 180 14WC 03915 LAWSON, KEVIN BUILDERS CHICAGO CORP 10/23/13 NICHOLIS J STEIN 181 14WC 04174 ANDERSON, PAULA COOK COUNTY SHERIFF DEPT 01/16/14 THE FITZ LAW GROUP STATES ATTORNEY OF COOK COUN 182 14WC 04997 ORTIZ, JOAQUINA WORKFORCE LLC 09/04/13 CHRISTINE F DAVID KOREY RICHARDSON LLC 183 14WC 07302 FLORES, MARIA G CHICAGO PUBLIC SCHOOLS 01/31/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 184 14WC 12333 PADILLA, ARLYNNE UNIVERSITY OF CHICAGO HOS 03/15/14 185 14WC 12866 RADOJCIC, ZORICA HELLENIC FOUNDATION 02/10/14 LAW OFFICE ANTHONY IVONE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 14WC 12974 KING, ANDRE CAST & CREW ENTERTAINMENT 10/14/13 DINIZULU LAW GROUP LTD GRANT & FANNING 187 14WC 13033 DUNBAR, GWENDOLYN CHICAGO BOARD OF EDUCATIO 01/14/14 VRDOLYAK LAW GROUP LLC LAW DEPARTMENT 188 14WC 13194 GATLA, LAXMAN CITY OF CHICAGO 02/19/14 DAVID W MARTAY CITY OF CHICAGO 189 14WC 13212 EATON-JACKOWSKI, BRYTTANE PROCTOR & GAMBLE 05/15/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 190 14WC 13239 KHAN, PERVEZ PMK LIMOUSINE SERVICE INC 02/17/14 ILLINOIS INJURY LAWYERS 191 14WC 13588 VIVERETTE, CURRY BRILLIANT TRUCKING 04/14/14 POLANSKY & CICHON CHTD 192 14WC 13615 FITZGIBBON, CANDICE A PEACE MEMORIAL VILLAGE 02/10/14 CULLEN HASKINS NICHOLSON CULLEN HASKINS NICHOLSON 193 14WC 13719 ALCARAZ, JUAN TOP SPEED CONSTRUCTION 06/24/13 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC 194 14WC 13739 DOMINGUEZ, ISRAEL VILLAGE OF BRIDGEVIEW 04/07/14 EPSTEIN, JACK R LAW OFFICE 195 14WC 13778 MOHN, JASON H S&B BUILDERS 03/20/14 VITELL & SPITZ LTD KEEFE CAMPBELL & ASSOC LLC 196 14WC 13906 ROLLINS, LAKESHA BERKSHIRE NURSING HOME 06/18/12 BRUSTIN & LUNDBLAD, LTD 197 14WC 13954 BROWN, ERNESTYNE RICH CENTRAL HIGH SCHOOL 03/13/14 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 198 14WC 14332 DOBBINS, JOSEPH EXTENSIS INC 04/10/14 DWORKIN AND MACIARIELLO THOMAS & PORTELA 199 14WC 14372 CARTHANS, ANGELO HOME DEPOT 04/29/11 CUTLER & HULL 200 14WC 14711 WILLIAMS, ZENOBIA METROPOLITAN WATER RECLAM 01/09/14 STEWART C ORZOFF 201 14WC 14939 GEE, RANDY U.S. FOODS 01/07/14 BOGUSZ & BOGUSZ LTD BRADY CONNOLLY & MASUDA PC 202 14WC 15246 TOOKS, JOHN ASH STREET COOPERATIVE 09/17/13 SALVATO & O'TOOLE LAW OFFICES JOSEPH MARCINIAK 203 14WC 15385 FLAYNIK, GISELE E UNITED AIRLINES INC. 11/23/13 RICHARD O. GREENFIELD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 14WC 15544 HAMLET, MONTE CHICAGO TRANSIT AUTHORIY 04/10/14 LAW OFFICES OF 205 14WC 15577 WAUKOWSKI, DOROTA SPRINGFIELD SERVICE CORP 02/17/14 VRDOLYAK LAW GROUP LLC 206 14WC 15593 O'MALLEY, JAMES P SWISSPORT F/K/A SERVISAIR 03/04/14 RICHARD E ALEKSY KNELL & O'CONNOR 207 14WC 15745 LYLES, LASEAN IRON MOUNTAIN 04/15/14 MEYERS & FLOWERS 208 14WC 15842 BASS, ANDRE SUDBURY EXPRESS 11/12/12 MARSZALEK AND MARSZALEK 209 14WC 20297 MORGAN, TRAVIS D CITY OF CHICAGO 06/11/14 MARSZALEK AND MARSZALEK CITY OF CHICAGO 210 14WC 21727 GORDON, MITCHELL NAPLETONS RIVER OAKS HOND 06/04/14 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 15WC038404 -C RIVER OAKS HONDA 211 14WC 22403 GIBSON, TIFFANY CHICAGO TRANSIT AUTHORITY 10/02/13 BRISKMAN BRISKMAN GREENBER CHICAGO TRANSIT AUTHORITY 212 14WC 22918 HODGE, KEITH SHERIFF OF COOK COUNTY 03/26/14 TAMVAKIS, GEORGE L STATES ATTORNEY OF COOK COUN 213 14WC 22956 ABARCA, NATIVIDAD PREFERRED MEAL SYSTEMS IN 06/09/14 BARRY E BLUMENFELD POWER & CRONIN LTD 214 14WC 23255 BRIGHAM, DEBORAH CITY OF CHICAGO 09/12/11 CULLEN HASKINS NICHOLSON 215 14WC 23550 TURNER, TEASSA DELTA-T GROUP 06/23/14 DEPAOLO ZADEIKIS GORE 216 14WC 23562 WILSON, MICHAEL ACC INC. 05/14/14 COLLISON & O'CONNOR LTD WIEDNER & MCAULIFFE LTD 217 14WC 23615 WILSON, DIANNE FIRST STUDENT BUS COMPANY 07/03/14 DEPAOLO ZADEIKIS GORE BRADY CONNOLLY & MASUDA PC 218 14WC 23667 SANDSTROM, CARL D J.B. HUNT TRANSPORT, INC 05/12/14 LAW OFFICE EDWARD RUEDA RUSIN MACIOROWSKI & FRIEDMAN 219 14WC 23687 LUCKIES, DANITA CTA 07/04/14 LEONARD LAW GROUP LLC 220 14WC 23973 OUAHRANI, MUSTAPHA YELLOW CAB 05/30/14 DWORKIN AND MACIARIELLO 221 14WC 24220 VALLES, JUAN L LOWE'S HOME IMPROVEMENT 01/28/13 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 222 14WC 24269 MATA, CARLOS SIMON BROTHERS BAKERY INC 08/16/13 LAW OFFICE OF KEVIN O'BRIE LAW OFFICES JOSEPH MARCINIAK 223 14WC 24346 SHAW, DARLENE CHICAGO PUBLIC SCHOOLS 01/22/14 VRDOLYAK LAW GROUP LLC 224 14WC 24376 EVANS, ASHLEE STAFF MANAGEMENT 06/27/14 ANKIN LAW OFFICE RODDY LAW LTD 225 14WC 24465 HINES, NIKA CTA 06/30/14 SAUNDERS CONDON & KENNY 226 14WC 24497 SANCHEZ, JOSE UNITED CONTAINER CORP 05/05/14 BOWMAN & CORDAY BRYCE DOWNEY & LENKOV LLC 227 14WC 25015 RAMIREZ, JOSE LUIS FRESH MARKET 07/06/13 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 228 14WC 25060 SOLIS, JULIO GENTNER FABRICATION INC 05/27/14 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 229 14WC 25259 BYBEE, MARK MARTIN JOHN COMPANY INC 06/14/14 GRAHAN J. JEEP WOLF LAW LTD 230 14WC 25518 ZLOGAR, JOHN RICHARD MODEL 07/14/14 LANNON LANNON & BARR LTD STELLATO & SCHWARTZ 231 14WC 25606 WILSON, NOAH IL DEPT OF TRANSPORATION 01/05/14 COVEN LAW GROUP COLIN KICKLIGHTER 232 14WC 25620 DELEON, ROSA CHRIST MEDICAL CENTER 06/04/14 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 233 14WC 25843 HERNANDEZ, MAGDALENA SWEDISH COVENANT HOSPITAL 05/01/14 STROM, NEAL B MACIOROWSKI SACKMANN & ULRIC 234 14WC 25849 RAMIREZ, JOSE LUIS FRESCO LLC NORTH AVENUE 06/24/14 STROM, NEAL B 235 14WC 25885 CAJALEON, FELITA METHODIST HOSPITAL 05/03/14 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 236 14WC 26311 FARIAS-INSCO, REBECCA JEWEL FOOD STORES, LLC 07/12/14 FOOTE MIELKE CHAVEZ & O'NE 237 14WC 26373 RAGSDALE, SHELETHA UNITED CONTINENTIAL 09/21/13 KATZ FRIEDMAN EAGLE ET AL 238 14WC 26487 SMITH, WILLIAM MENARDS INC 04/04/14 PETER D CORTI LAW GROUP 14WC026488 -C 239 14WC 30525 COUTINO, OCTAVIO NATIONAL CYCLE INC 05/08/14 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 240 14WC 30659 LEWIS, JEROME CHICAGO STREETS & SAN. DE 07/25/14 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 241 14WC 33137 HALL, TIFFANY GOURMET GORILLA 09/05/14 STEVEN J MALMAN & ASSOCIAT 242 14WC 33896 KRUZAN, JOSEPH III FORD MOTOR CO 08/07/14 LAW OFFICE EDWARD LICHTENS POWER & CRONIN LTD 243 14WC 34724 LATHAN, TOMORA A ST OF IL DEPT OF HS @ 09/11/14 VITELL & SPITZ LTD COLIN KICKLIGHTER 244 14WC 34743 MC DANIEL, EZEKIEL ELITE STAFFING 10/01/14 ANKIN LAW OFFICE MARC CAIRO 245 14WC 34798 TILTON, SANDRA M FORD MOTOR COMPANY 10/18/12 PERRY M LAKS LAW OFFICE WIEDNER & MCAULIFFE LTD 15WC015711 -C 246 14WC 34824 VARGAS, DANIEL CHICAGO PUBLIC SCHOOLS 06/19/14 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 247 14WC 34953 GREGORY, JERMAINE MIDWEST TRAILER 09/12/14 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 248 14WC 35135 TREJO, ISIDRO PACTIV CORPORATION 09/17/14 CHRISTIAN & MANNO 249 14WC 35174 MARTIN, SHIRLEY CITY OF CHICAGO 09/04/14 BUDIN LAW OFFICES LAW DEPARTMENT 250 14WC 35227 FIGUEROA, YARIPZA DIAZ DOMINOS PIZZA 08/03/14 MINKOW DOMIN HENNESSY & ROACH PC 251 14WC 35253 BAIRD, JOHNNY ABSOLUTE TURN, INC 07/18/14 MEYERS & FLOWERS GANAN & SHAPIRO 252 14WC 35352 REED, VICKI MATTESON SCHOOL DISTRICT 09/24/14 CHARLES MANNING RUSIN & MACIOROWSKI LTD 253 14WC 35837 MORENO, MARIO CHICAGO INTERMODAL TRANSP 01/31/14 KATZ FRIEDMAN EAGLE ET AL KARCHMAR & STONE 254 14WC 35900 THORNTON, PERRY CTA 10/18/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 255 14WC 35941 GARCIA, NATALIA ADVOCATE GOOD SHEPARD HOS 05/23/13 POLANSKY & CICHON CHTD CHICAGO PARK DIST LAW DEPT 256 14WC 35955 TRUFASU, FLOREA UNITED AIRLINES INC. 07/03/14 BUDIN LAW OFFICES 257 14WC 36314 IHASZ, SEAN PRIMERA IRON WORKS CORP 10/01/14 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 258 14WC 36636 TRIPLETT, MARVIN FORD MOTOR CO 09/28/14 DWORKIN AND MACIARIELLO 259 14WC 36783 PRUITT, M CRYSTAL CHICAGO TRANSIT AUTHORITY 07/27/14 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 260 14WC 37523 MITCHELL, BOBBY HOW TOO FOUNDATION 08/07/14 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 261 14WC 40416 CUMMINGS, DANIEL FUTURE ENVIROMENTAL INC 09/16/14 HEALY SCANLON LAW FIRM MACIOROWSKI SACKMANN & ULRIC 262 14WC 41390 SCOTT, THEARTHUR W CTA 10/22/14 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 263 15WC 00486 TURINCIO, MIRNA M WHITE LODGING SERVICES CO 11/01/14 COLLISON & O'CONNOR WILSON ELSER 264 15WC 00558 BARNHART, PAUL AT&T 07/06/14 MICHAEL P MCCREADY & ASSOC HENNESSY & ROACH PC 265 15WC 00601 BRANNIGAN, DANIEL COOK COUNTY 08/16/11 BIZZIERI LAW OFFICES STATES ATTORNEY OF COOK COUN 266 15WC 01007 SANFILIPPO, TERESA NESTLE A/K/A NESTLE USA I 02/13/12 MICHAEL S HEDRICK KEEFE CAMPBELL & ASSOC LLC 267 15WC 01038 WILLIAMS, WILLIAM G DELTA AIR LINES INC 06/29/14 FIGLIOLI, DAVID ROBERT L. SMITH 268 15WC 01064 LITTLEJOHN, DEANTATE CHICAGO AUTO BODY & TOWIN 10/14/14 SHELDON I MINKOW & ASSOCIA 269 15WC 01206 PUGH, TONY CHICAGO TRANSIT AUTHORITY 12/25/14 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 270 15WC 01226 GARANTZIOTIS, PANAGIOTIS FLASH CAB COMPANY 12/16/14 WEISS & WEISS LAW OFFICES CHICAGO TRANSIT AUTHORITY 271 15WC 01287 RICHARD LOPEZ, KIMBERLY UNIV OF CHGO MEDICAL CENT 03/13/13 RITTENBERG & BUFFEN WIEDNER & MCAULIFFE LTD 272 15WC 01494 MINOR, YARA RANGEL ROOFING 12/12/14 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 273 15WC 01581 CARDENAS, RICARDO GRAPHICS PACKAGING 11/26/14 LAW OFFICES OF JOSEPH YOUN 274 15WC 01674 BIVENS, SHERRILYN CHGO BOARD OF ED 03/30/12 HETHERINGTON KARPEL BOBBER LEAHY EISENBERG & FRAENKEL 275 15WC 01695 ANNERINO, ANTHONY CHICAGO STREETS & SAN DEP 01/07/15 SALVATO & O'TOOLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 15WC 01699 WILLIAMS, LORRAINE CHICAGO PUBLIC SCHOOLS 09/19/14 MICHAEL P MCCREADY & ASSOC 277 15WC 01819 ANDERSON, EDWARD GLEN'S AUTO 05/26/12 DEPAOLO ZADEIKIS GORE 278 15WC 02082 MARQUEZ, ANA STERLING CONDO ASSOCIATIO 02/04/14 LEONARD LAW GROUP LLC 279 15WC 02288 MORA, HIPOLITO B&R INSURANCE PARTNERS 05/27/13 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 280 15WC 02398 SANDOVAL, ALICIA BARRINGTON CUSD 220 10/31/14 THOMAS J STIBERTH LAW OFFI WIEDNER & MCAULIFFE LTD 15WC035790 -C 281 15WC 02407 DRAKE, TRENECIA GLENWOOD HEALTHCARE & REH 01/14/15 STROM, NEAL B 282 15WC 02439 ROSA, ANGELO TWIN EXCAVATING & TRUCKIN 01/08/15 RUBIN LAW GROUP HENNESSY & ROACH PC 283 15WC 02599 GONZALEZ, LIZBETH FOCAL POINT CORP 01/08/15 PARENTE & NOREM PC 284 15WC 02916 ROMO, JOSE A DPI LOGISTICS 01/15/15 SALVATO & O'TOOLE GILDEA & COGHLAN 285 15WC 02921 LYNN, EDWARD ALL SEASONS POOLS 05/20/14 GARDINER KOCH & WEISBERG RODDY LAW LTD 286 15WC 03026 JONES, KELVIN AVON PRODUCTS INC 10/14/14 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 15WC021582 -C 287 15WC 03031 LARSON, MICHELLE RIVERS CASINO D/B/A MIDWE 01/05/15 ANKIN LAW OFFICE HENNESSY & ROACH PC 288 15WC 03084 ZUROWSKI, TADEUSZ MIDWEST FENCE CORP 10/13/14 HETHERINGTON KARPEL BOBBER THOMAS & PORTELA 289 15WC 03105 BOYER, RAQUEL M. PLS CHICAGO PERSONNEL, IN 01/23/15 SANTILLI LAW GROUP KNELL & O'CONNOR 290 15WC 03277 SALAZAR, JOSHUA ANCHOR ABRASIVES 01/12/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 291 15WC 03294 BROCK, JASON R UNITED AIRLINES INC. 01/21/14 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 15WC039704 -C 292 15WC 04778 EARNEST, KAREN S UPS 01/28/15 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 310 15WC 11911 ALMODOVAR, ANGEL AIRGAS 03/03/15 LEONARD LAW GROUP LLC MC ANDREWS & NORGLE LLC 311 15WC 11990 BANKS, CHERYL CITY OF CHICAGO 06/13/14 LEE, MARK N LAW OFFICE CITY OF CHICAGO 15WC004396 -C 312 15WC 12057 SANDMAN, RUSSELL DUPAGE PAPER STOCK INC 12/12/14 CAPRON & AVGERINOS PC RODDY LAW LTD 313 15WC 12296 FRANK, LARISSA ILLINOIS COURT REPORTING @ 10/01/14 BAUM RUFFOLO & MARZAL LTD COLIN KICKLIGHTER 314 15WC 12318 GONZALEZ, ANA FERRARA PAN CANDY 08/05/14 VASILATOS & COTTER LLC HOLECEK & ASSOCIATES 315 15WC 12337 MERAZ-RAMIREZ, JOSE E METRO STAFF INC 05/22/14 LUCAS & APOSTOLOPOULOS 316 15WC 12592 PETRO, BRADLEY S CITY OF CHICAGO 03/12/15 O'CONNOR & NAKOS CITY OF CHICAGO 317 15WC 12997 PENCE, MARY ARPAC, LLC 06/16/13 THOMAS R LICHTEN HOLECEK & ASSOCIATES 318 15WC 13121 GOLDSTONE, BETH EMPIRE TODAY 10/17/13 BLEAKNEY & TROIANI BRADY CONNOLLY & MASUDA PC 15WC013122 -C 319 15WC 13136 BLANCHARD, LARRY TOOTSIE ROLL 04/13/15 FRIEDMAN & SOLMOR LTD NYHAN BAMBRICK KINZIE & LOWR 320 15WC 13272 GARCIA, OSCAR SODEXO, INC. 02/19/15 PARENTE & NOREM PC 321 15WC 13305 DEEL, PAUL USF HOLLAND, INC. 02/21/15 GOLDBERG WEISMAN & CAIRO L 322 15WC 13322 CABRAL, MARTHA UNITED WI INSURANCE CO 01/30/15 DEPAOLO ZADEIKIS GORE ACCIDENT FUND HOLDINGS 323 15WC 13347 LYONS, TED HIGH SCHOOL DISTRICT 214 01/13/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 324 15WC 13523 HEARD, JACKIE A COMPASSIONATE HOME CARE I 04/09/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 325 15WC 13538 RAHMAN, TAHER CHRISTOPHER HOUSE 10/23/14 DWORKIN AND MACIARIELLO 326 15WC 13676 BOLTON, SIDNEY FED EX GROUND 08/11/14 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 15WC037684 -C 327 15WC 13694 LANE, KIMBERLY A MEGABUS 04/13/15 MINKOW DOMIN POULOS & DIBENEDETTO LAW 328 15WC 13725 MIGASI, MARLENE PALATINE SD #15 02/19/14 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 329 15WC 13734 KAY, CORY METRO SOUTH MEDICAL CTR 09/08/14 O'CONNOR & NAKOS 330 15WC 13755 HOOTEN, ALICE SOLOMON SCHOOL 01/21/15 LEE, MARK N LAW OFFICE 331 15WC 13915 EVANGELISTA, ANTHONY J UNITED AIRLINES INC 01/10/15 LEWIS & DAVIDSON, LTD 332 15WC 13928 CRUMP, CAROLYN CITY OF CHICAGO 02/18/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 333 15WC 14024 DUAH, LESLIE GOLD COAST TAXI ASSN LLC 04/08/15 DWORKIN AND MACIARIELLO 334 15WC 14127 O'CONNER, JOSEPH FRANKLIN PARK POLICE DEPT 02/19/15 NILSON STOOKAL GLEASON CAP INMAN & FITZGIBBONS 335 15WC 14210 HEIN, JENNIFER ADVOCATE CHILDREN'S HOSPI 08/03/14 BOUDREAU NISIVACO LLC NYHAN BAMBRICK KINZIE & LOWR 15WC014211 -C 336 15WC 14348 19B LIBERTY, TERRELL CHICAGO TRIBUNE 03/12/15 HUGHES SOCOL PIERS RESNICK NYHAN BAMBRICK KINZIE & LOWR 337 15WC 14384 RIVERA, JORGE CHICAGO SCAFFOLDING, INC 03/20/15 STEVEN J MALMAN & ASSOCIAT THOMAS & ASSOCIATES 338 15WC 14478 GARDNER, TRACIE ADVOCATE AT HOME 03/13/14 COVEN LAW GROUP GAROFALO SCHREIBER STORM 339 15WC 14529 MENKOVIC, RAHIMA WAL-MART 03/25/15 TAMVAKIS, GEORGE L WIEDNER & MCAULIFFE LTD 340 15WC 14578 JUMMATI, JULIANNA L UNITED AIRLINES 02/13/15 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 341 15WC 14613 ANDERSON, ALONZO CITY OF CHICAGO 01/22/15 JOEL BELL CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 342 15WC 14670 LENTZ, CHARLES ARLINGTON CEMETARY 01/14/15 PORRO NIERMANN & PETERSEN LAW OFFICES JOSEPH MARCINIAK 343 15WC 14894 SOLIS, RUBEN MIETUS RESTORATION INC 04/18/15 ENCINAS & ORNELAS RUSIN & MACIOROWSKI LTD 15WC015580 -C 344 15WC 15057 SALGADO, SAMUEL INTEL GROUP INC 03/13/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 345 15WC 15089 SANDOVAL, SAMUEL AEROTEK 04/22/15 ANKIN LAW OFFICE LITCHFIELD CAVO 346 15WC 15158 VILLEGAS, JESUS PIZZA HUT 05/01/15 HUGHES SOCOL PIERS RESNICK 347 15WC 19352 HEREDIA, JOHN CITY OF CHICAGO 05/27/15 RUBIN LAW GROUP CITY OF CHICAGO 348 15WC 20999 ALEXANDER, DAVID III UPS 06/15/15 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 349 15WC 21163 TURCZYN, MARIUSZ JK MANUFACTURING CO. C/O 04/10/14 HETHERINGTON KARPEL BOBBER WOLFE & JACOBSON, LTD 350 15WC 21537 MITCHELL, DERRICK CITY OF CHICAGO-TRAFFIC 06/30/15 MC HARGUE, JAMES P LAW OFF CITY OF CHICAGO 351 15WC 21552 GUTIERREZ-ROGUE, YOLANDA STATE OF ILLINOIS @ 08/19/13 BRUSTIN & LUNDBLAD LTD COLIN KICKLIGHTER 352 15WC 21696 RAMIREZ, JUANA WIREMASTERS, INC. D/B/A 07/06/15 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 353 15WC 21764 PATTERSON, LARRY EDSAL MANUFACTURING 06/16/14 THE MACK LAW GROUP PC SLAVIN & SLAVIN 354 15WC 21781 DICKERSON, CLARK B LINE TRUCKING 06/03/15 ANKIN LAW OFFICE INMAN & FITZGIBBONS 355 15WC 21797 LEWIS, SHARON Y. CHICAGO PUBLIC SCHOOLS 04/16/15 LAW OFFICE OF JAMES H MILL 356 15WC 21845 THOMAS, CAROL CENTERS FOR NEW HORIZONS 12/05/13 CAPRON & AVGERINOS PC ROSARIO CIBELLA 357 15WC 21877 TORRES, CISCO COSTCO WHOLESALE 01/04/15 CANDIANO LAW OFFICE GANAN & SHAPIRO 358 15WC 22716 TONCHEVA, GERGANA COMPASS GROUP/TOUCHPOINT 03/11/15 PETER D CORTI LAW GROUP BRADY CONNOLLY & MASUDA PC 359 15WC 22785 TOLEDO, LUIS MY THAI RESTAURANT 09/25/13 LAW OFFICES OF

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 375 15WC 24871 GUZMAN, GERARDO FLEXIBLE STAFFING 06/10/15 PARENTE & NOREM PC 376 15WC 24902 BIELESCH, ALEXANDER R MARYVILLE ACADEMY 06/23/15 WILLIAMS, ROBERT B LAW OFF 15WC024903 -C 377 15WC 24967 HADDAD, SAEED BP AMOCO 12/12/13 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 378 15WC 24986 CRAFT, THERESA VANEE FOODS 06/04/15 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 379 15WC 25059 SANDERS, THERESA WALMART 03/28/15 VRDOLYAK LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 380 15WC 25226 SOTELO, ANA PRESTIGE MAINTENANCE 02/28/15 LUIS A ACEVES & ASSOC MEACHUM & STARCK 381 15WC 25268 PEREZ, NANCY AUGUSTINA UNIVERSITY OF IL AT CHICA 05/26/14 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 382 15WC 25352 TABLATE, DOMINGO LOEWS HOTELS 05/19/15 CAPRON & AVGERINOS PC MEACHUM & STARCK 383 15WC 25368 COLEMAN, MARGO ST BERNARD HOSPITAL 05/25/15 MC HARGUE, JAMES P LAW OFF GALLIANI DOELL & COZZI LTD 384 15WC 25417 LACEY, JAMES ROOSEVELT UNIVERSITY 06/17/15 RUBIN LAW GROUP HOLECEK & ASSOCIATES 385 15WC 25431 BLACKMAN, TINA PALOS COMMUNITY HOSPITAL 04/27/15 BAUM RUFFOLO & MARZAL LTD POWER & CRONIN LTD 15WC033211 -C 386 15WC 25600 GASTON, MAURICE L. SOPRAFFINA MARKETCAFFE 05/16/14 ANKIN LAW OFFICE ROSARIO CIBELLA 387 15WC 25661 MC FADDEN, LANE RICK'S TRUCKING INC 07/09/15 LULAY LAW OFFICES GANAN & SHAPIRO 388 15WC 25703 SMOLA, HALINA HOLY FAMILY VILLA 04/17/15 CUSHING LAW OFFICES WIEDNER & MCAULIFFE LTD 389 15WC 25720 COLLIER, MARQUITA CTA 07/21/15 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 390 15WC 26050 OLIVO, JOSE HECTOR SOLARES SCRAP METAL 06/09/15 JONATHAN SCHLACK 15WC026051 -C 391 15WC 26069 MC KENZIE, TONY HOME DEPOT 06/28/15 WILLIAMS, ROBERT B LAW OFF ADELSON TESTAN & BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 392 15WC 26087 GALKINE, NATALIA CHICAGO MERCY HOSPITAL 06/05/15 DWORKIN AND MACIARIELLO 393 15WC 26181 GIBSON, JACQUELINE RAVENSWOOD CHILDCARE CENT 03/13/15 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 394 15WC 26252 MC LEAN, SCOTT CITY OF CHICAGO 07/17/15 HEALY SCANLON LAW FIRM 395 15WC 26336 MASON, HENRY TRANSLOGIX 07/30/15 SKLARE LAW GROUP MEACHUM & STARCK 396 15WC 26353 MONARREZ, MARIA D LAKE REGION MEDICAL 09/03/14 ROSS TYRRELL LAW OFFICES JOSEPH MARCINIAK 397 15WC 26473 CHRUSZCZ, WIESLAW MARKGRAF'S HEATING 06/13/15 CHRISTOPHER BUCHCAR, LTD 398 15WC 31559 MILES, TODD CTA 10/01/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 399 15WC 31588 COLEMAN, THAYDRA FORD MOTOR COMPANY 09/24/15 ELFENBAUM EVERS & AMARILIO WIEDNER & MCAULIFFE LTD 400 15WC 32173 COTNER, GERALD CTA 05/14/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 401 15WC 32291 SCHMIDT, MICHAEL CHICAGO PARK DISTRICT 08/25/15 ALAN A BLUM, PC CHICAGO PARK DIST LAW DEPT 402 15WC 32396 ROMERO, IRENE BEE LINE 05/01/15 JAMES ELLIS GUMBINER & ASS 403 15WC 32456 KRASNIQI, BESNIK MARIANOS/ROUNDYS 04/15/15 THOMAS A MORRISSEY INMAN & FITZGIBBONS 404 15WC 32468 HOLMES, FREDERICK POSTIVE CONNECTIONS, INC. 08/24/15 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 405 15WC 32512 PURCELL, STEVE OSI GROUP 08/12/15 COSTA IVONE LLC HENNESSY & ROACH PC 406 15WC 32524 RUFF, STEVEN CITY OF CHICAGO 08/28/15 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 407 15WC 32646 ZIERK, JASON M N.P.L. CONSTRUCTION COMPA 06/23/15 FIGLIOLI, DAVID 408 15WC 32688 DAMPIER, NECOTA CHICAGO TRANSIT AUTHORITY 09/09/15 WOODRUFF & JOHNSON CHICAGO TRANSIT AUTHORITY 409 15WC 32699 SHEALLY, ELIZABETH PETE'S FRESH MARKET 09/15/15 HEFLER LAW KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 410 15WC 32718 CUMMINGS, BRANDON QUALITY MACHINE TOOL 08/18/14 STROW LAW LLC WIEDNER & MCAULIFFE LTD 411 15WC 32731 AMADOR, SANDRA BERENICE PRONTO STAFFING SERVICES, 02/09/15 THE FITZ LAW GROUP GRANT & FANNING 412 15WC 32914 MORTON, ALEX RICH CENTRAL HIGH SCHOOL 08/04/15 BRISKMAN BRISKMAN GREENBER INMAN & FITZGIBBONS 413 15WC 32956 TAPIA, ANGELICA DIVERSE FACILITY SOLUTION 09/05/15 MC HARGUE, JAMES P LAW OFF KLAUKE LAW GROUP LLC 414 15WC 32999 PURIFOY, CALVIN REXAM BEVERAGE CAN COMPAN 07/01/15 ELFENBAUM EVERS & AMARILIO SPIEGEL & CAHILL, PC 415 15WC 33015 MARTINEZ, MARIA HEARTLAND FOOD LLC 01/08/14 LAW OFFICE OF SCOTT B SHAP LAW OFFICES OF EDWARD J. KOZ 416 15WC 33048 CHILLEMI, JOSEPH NATIONAL DCP, LLC 05/12/15 BRIAN J MC MANUS & ASSOC, ARNETT LAW GROUP 417 15WC 33072 CASTILLA, ANIBAL CHICAGO PUBLIC SCHOOLS 06/17/13 ANKIN LAW OFFICE 418 15WC 33086 VARGAS, MARIO CHICAGO TRANSIT AUTHORITY 12/04/14 TOPPER & WEISS LTD CHICAGO TRANSIT AUTHORITY 419 15WC 33322 GINZKEY, LAURA UNITED AIRLINES, INC 05/30/15 BRIAN J MC MANUS & ASSOC, 420 15WC 33588 PALMAR-OSTRIA, FERNANDO MIDWEST REM 01/22/15 KALOGERAKOS & ASSOC HENNESSY & ROACH PC 421 15WC 33669 TATE, KEITH JR COOK COUNTY DEPT OF CORRE 10/14/15 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 422 15WC 33688 HARDMON, LATASIA CHICAGO TRANSIT AUTHORITY 10/14/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 423 15WC 33745 MOORE, TOM CITY OF CHICAGO 08/27/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 424 15WC 33813 FURMAN, JAMES K. CROWN CORK & SEAL, COMPAN 09/14/15 WILLIAM S. WOJCIK LTD BRADY CONNOLLY & MASUDA PC 425 15WC 33873 ARROYO, MARGARITA HILTON WORLDWIDE INC 08/02/15 DEPAOLO ZADEIKIS GORE NOBLE & ASSOCIATES PC 426 15WC 34037 FERNANDEZ, PATRICIA PROSPECT AIRPORT SERVICES 09/01/15 CIARDELLI CUMMINGS CAMPAGN 427 15WC 34058 WALKER, LATRICIA HOLLIS COBB & ASSOC. 04/01/14 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 428 15WC 34121 SECHREST, JOHN A WALSH CONSTRUCTION CO 09/14/15 FIGLIOLI, DAVID 429 15WC 34140 TATEM, MOULOUD HMS HOST 07/21/15 THE MACK LAW GROUP PC ROBERT L. SMITH 430 15WC 34204 MEDINA, DAISY MT SINAI HOSPITAL 09/08/15 BERG & BERG NYHAN BAMBRICK KINZIE & LOWR 431 15WC 34468 DANEK, DAVID B WAY CORPORATION 06/10/15 RICHARD E ALEKSY HOLECEK & ASSOCIATES 432 15WC 34530 KEANE, KEVIN CITY OF CHICAGO 09/26/15 WOODRUFF & JOHNSON CITY OF CHICAGO 433 15WC 34572 GECZO, ATTILA TIBOR VCA OPERATIING INC 04/30/15 DWYER AND COOGAN SLAVIN & SLAVIN 434 15WC 34629 URLAKIS, GEDIMINAS DIRECT TRUCKING 08/24/15 RATHBUN CSEVENYAK & KOZOL JAMES M KELLY 435 15WC 34656 GEORGE, VERONICA PLYMOUTH PL SENIOR LIVING 06/17/15 SEIDMAN MARGULIS & FAIRMAN 436 15WC 34739 HEWIYOU, MARINA ARLINGTON HEIGHTS SCHOOL 05/21/15 SANDMAN LEVY & PETRICH 437 15WC 34831 ROLDAN-PEREZ, LUISA IL DEPT OF FINANCIAL & @ 09/29/15 OSVALDO RODRIGUEZ PC ASSISTANT ATTORNEY GENERAL 438 15WC 34896 ADWAY, TYLER N SAM'S CLUB 08/26/15 SMOLER LAW OFFICE, PC QUINTAIROS PRIETO WOOD & BOY 439 15WC 35071 BERNHARDT, HEIDI D CITY OF EVANSTON 03/18/14 KOSIN LAW OFFICE LTD 440 15WC 35134 EARL, CHERRY M PROJECT HOPE ELC 08/20/15 441 15WC 35191 THOMPSON, DESHAWN FORD MOTOR COMPANY 07/31/15 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 442 15WC 35236 ESPOSITO, ROBERT LABRIOLA BAKING COMPANY 07/07/15 GOLDBERG WEISMAN & CAIRO L CAPUANI & SCHNEIDER 443 15WC 35274 SHERLOCK, PHILLIP R CITY OF CHICAGO, DEPT OF 10/01/15 WHITESIDE & GOLDBERG LTD CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 444 15WC 35335 IBARRA, JULIO FORD MOTOR CO 08/30/14 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 445 15WC 35355 FALLS-BUTTS, KIM REPUBLIC AIRWAYS 11/19/11 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 15WC035357 -C 446 15WC 35387 RAMIREZ, ROSA CMA/FLODYE/HYDRADYNE 10/15/15 CULLEN HASKINS NICHOLSON CAPUANI & SCHNEIDER 447 15WC 35675 PIENKOWSKI, KELLY PETERSO ILLINOIS TOLLWAY 10/14/15 BARRY A KETTER GANAN & SHAPIRO 448 15WC 35693 ADKINS, YVONNE MANORCARE HEALTH SERVICES 10/30/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 449 15WC 35729 BYTNAR, CRISTY N BOTTOMS UP INC 09/19/15 TOSCAS, JOHN Z LAW OFFICE 450 15WC 35819 BADILLO, ADRIANA EMPLOYER SOLUTIONS STAFFI 09/10/15 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 451 15WC 35908 LEDESMA, FERNANDO PETE FRESH MARKET 06/12/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 15WC035909 -C 452 15WC 35921 TAMAYO, ANGEL TRIMARK MARLINN 08/20/15 CHEPOV & SCOTT LLC 453 15WC 36621 WASIK, ROBIN AS ADMIN. OF DR PEPPER/SNAPPLE GROUP # 11/14/14 STUART H GALESBURG 454 15WC 41966 PADILLA, ALICIA LBP MANUFACTURING 10/02/15 RUBIN MACHADO ROSENBLUM 455 16WC 00190 JOHNSON, IRVIN CITY OF CHICAGO 12/30/15 GOLDBERG WEISMAN & CAIRO L 456 16WC 00437 ZADEGAN, MASSOUD KHAMIS BRETT ANTHONY FOODS 07/14/15 ROBBINS SALOMON & PATT 457 16WC 00472 SERRANO, MICHAEL HURTADO TRANSPORT 12/06/15 ASHER, RAYMOND L LTD 458 16WC 00552 SAUNDERS, KIMBERLY LOYOLA UNIVERSITY 08/16/15 STELZMAN, RUTH 459 16WC 00582 MENDOZA-FAVELA, HILARIO JACOBSON MASONRY 12/06/15 RATHBUN CSEVENYAK & KOZOL THOMAS & PORTELA 460 16WC 00619 LADHANI, AYAZ PACE SUBURBAN BUS 11/21/15 COHN LAMBERT RYAN & SCHNEI SLAVIN & SLAVIN 461 16WC 00622 MARCINEK, ANDRZEJ ACME INDUSTRIES INC 03/13/15 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 462 16WC 00715 CULLISON, JAMES WHEELING TRANSPORTATION, 01/04/16 DWORKIN AND MACIARIELLO 463 16WC 00788 ESCOBAR, BRENDA ALDEN MGMT SVCS 02/09/15 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 464 16WC 00808 NELSON, MARK FEDEX 07/20/15 LANCASTER, DEBORAH 465 16WC 00861 WARD, EDWIN A ADVOCATE HEALTH & HOSPITA 11/30/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 466 16WC 00871 MAGSBY, TERESA UNIVERSAL PROTECTION SERV 12/30/15 DAVID W MARTAY SPIEGEL & CAHILL, PC 467 16WC 00891 MITCHELL, MARY CHICAGO PUBLIC SCHOOLS 10/02/14 LEONARD LAW GROUP LLC 468 16WC 00914 GRAJALES-ARCE, MARIA PLEASANT HOUSE BAKERY LLC 12/15/15 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 469 16WC 01030 WALSH, TERRELL CHICAGO PUBLIC SCHOOLS 01/04/16 ANKIN LAW OFFICE 470 16WC 01072 GASCON, ALONA LILIAN HARRIS W 10/21/15 WOODRUFF & JOHNSON 471 16WC 01129 MORRIS, CHRISTOPHER L ROHRMAN MIDWEST 07/03/15 MADSEN SUGDEN & GOTTEMOLLE 472 16WC 01181 SOTELO, HECTOR SORINI RING 08/12/15 DISPARTI LAW GROUP PA WIEDNER & MCAULIFFE LTD 473 16WC 01216 CAMPBELL, JOHN CTA 01/10/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 474 16WC 01301 STEELE, BIANCA FORD MOTOR CO 01/08/15 KREITER, BYCK & ASSOC LLP HOLECEK & ASSOCIATES 475 16WC 01321 CAPETILLO, JAIME ROUNDY'S SUPERMARKETS, IN 04/14/15 THE KARMEL LAW FIRM BRYCE DOWNEY & LENKOV LLC 476 16WC 01344 SUGGS, LORRAINE CHICAGO PUBLIC SCHOOLS 03/05/15 FOHRMAN, DONALD W & ASSOCS 477 16WC 01382 HILL, GREGORY JB HUNT 05/26/15 DWORKIN AND MACIARIELLO 478 16WC 01410 MARTINEZ, ANTONIO TEK CAST 10/12/15 ENCINAS & ORNELAS NYHAN BAMBRICK KINZIE & LOWR 479 16WC 01512 ROBLES, ZORAIDA REGAL GOURMET SNACKS 09/14/15 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 480 16WC 01566 O'DONNELL, BRIAN GERBER COLLISION (SCHAUMB 01/05/15 MEYERS & FLOWERS 481 16WC 01604 HOLMES, NATHANIEL COMCAST CORPORATION 04/25/15 DAVID W MARTAY POWER & CRONIN LTD 482 16WC 01624 CORONA, JUAN DHL 03/21/15 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 483 16WC 01649 JENKINS, SONIA MEDSPEED, LLC 01/11/16 LAW OFFICES TIMOTHY HENDER ACCIDENT FUND HOLDINGS 484 16WC 01679 HILL, DEWANDA JOHN H STROGER HOSPITAL 10/17/15 ROGER D RUDICH LTD STATES ATTORNEY OF COOK COUN 485 16WC 01715 JACKSON, CAROL RANSTAD STAFFING 12/23/15 VRDOLYAK LAW GROUP LLC SLAVIN & SLAVIN 486 16WC 01733 SMITH, DELILAH SCR 10/31/15 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 487 16WC 01792 GADOMSKI, THOMAS A CITY OF ROLLING MEADOWS 12/13/15 CRONIN & PETERS POWER & CRONIN LTD 488 16WC 01823 BUCK, WILLIAM W GOEBEL FORMING INC, LLC 12/04/15 BRENNAN, THOMAS E LTD ACCIDENT FUND HOLDINGS 489 16WC 01892 STEVENSON, CLAYTON EVERGREEN PARK DEVELOPER 08/24/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 490 16WC 01954 MILLER, JAMES UNITED AIRLINES 08/01/14 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 491 16WC 02023 HILL, LOUISE CHICAGO PUBLIC SCHOOLS 01/13/16 LEONARD LAW GROUP LLC 492 16WC 02062 MORRISON, DONALD CTA 10/08/15 COVEN LAW GROUP 493 16WC 02164 IONITA, CAMELIA LOYOLA UNIVERSITY MEDICAL 01/21/15 MC HARGUE, JAMES P LAW OFF BRAUN LORENZ & BERGIN PC 494 16WC 02291 FLANNERY, TIMOTHY ELECTRO MOTIVE DIESEL 08/25/15 RATHBUN CSEVENYAK & KOZOL GOLDBERG SEGALLA LLC 495 16WC 02347 CORREA, TERESA THE RESURRECTION PROJECT 01/14/15 RUBIN MACHADO ROSENBLUM ANCEL GLINK DIAMOND BUSH & E 496 16WC 02371 PRESTON, THERESA CLOTHES MENTOR 10/19/15 MEYERS & FLOWERS LAW OFFICES JOSEPH MARCINIAK 497 16WC 02395 MILKA, BRIANNA SHEFFIELDS BEER GARDIEN 01/01/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 498 16WC 02465 AGHAJAN, ROBERT GONNELLA FROZEN PRODUCTS 10/27/15 LAW OFFICE OF SCOTT B SHAP RUSIN & MACIOROWSKI LTD 499 16WC 02517 ALVAREZ, TANIA FAIRMONT CARE CENTER 10/15/15 SEIDMAN MARGULIS & FAIRMAN 500 16WC 02575 COLE, SELINA SAF-T-GARD INTERNATIONAL 12/30/15 COSTA IVONE LLC LAW OFFICES OF EDWARD J. KOZ 501 16WC 02596 MCNABB, KATINA ST OF IL DEPT OF READ 01/13/16 ANKIN LAW OFFICE COLIN KICKLIGHTER 16WC011529 -C CHICAGO-READ MENTAL HEALTH 502 16WC 02629 GARIBAY-GIL, SERGIO SCATCHELL BEEF & PIZZA 05/16/14 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 503 16WC 02652 HULUM, VANILLA FIRST STUDENT INC 01/14/16 COHN LAMBERT RYAN & SCHNEI BRADY CONNOLLY & MASUDA PC 504 16WC 02734 BASFORD, TONYA IL CENTRAL SCHOOL BUS 01/20/16 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 505 16WC 02770 ARNSWALD, JON STEINER ELECTRIC 06/12/15 WEISZ, ELLEN SIDNEY NOBLE & ASSOCIATES PC 506 16WC 02874 ANDRADE, MARTIN ELITE STAFFING INC CORP O 01/14/16 KATZ FRIEDMAN EAGLE ET AL 507 16WC 02916 STREETS, ANTHONY SCR MEDICAL TRANSPORT 01/21/16 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 508 16WC 02986 CAZADERO, EDILIA ABHIRUCHI SNACKS 01/04/16 GOLDSTEIN BENDER & ROMANOF NEWLAND & NEWLAND 509 16WC 03051 SANDFORD, CHRISTINE ANN & ROBERT H. LURIE 12/19/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 510 16WC 03111 ESCOBIDO, ALEX CITY OF CHICAGO 02/25/15 LAW OFFICE JEFFREY FRIEDMA CITY OF CHICAGO 511 16WC 03134 HERNANDEZ, EVELIA MIDWEST CANVAS CORP 07/20/15 CLARK CASTREJO LAW FIRM 512 16WC 03205 MARCINIAK, GEORGE COOK COUNTY SHERIFF DEPT 07/05/15 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 513 16WC 03236 GIANNONE, CYNTHIA L PRETTY PAWS BY CINDY 10/20/15 CANDIANO LAW OFFICE 514 16WC 03259 BOSWORTH, CLIFFORD CORE CENTRIC SOLUTIONS 10/20/15 STEVEN H MEVORAH & ASSOCIA HENNESSY & ROACH PC 515 16WC 03353 KACHATRIAN, MANO CITY OF CHICAGO 01/06/16 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 516 16WC 03383 SANDOVAL, SALOMON FRANC GONZALEZ 12/28/15 SALVATO & O'TOOLE 517 16WC 03411 DRAKE, DONNA NORTHWEST MEMORIAL HOSPIT 11/05/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 518 16WC 03538 AGUAIZA, MIGUEL A ALONDRA MOVERS INC. 08/04/15 HERRERA LAW CENTER GANAN & SHAPIRO 519 16WC 03586 ABOAGYE, GEORGINA UNITED AIRLINES 01/14/15 ANGELINI & ORI LLC 520 16WC 03608 WILKERSON, ANGELA CHICAGO TRANSIT AUTHORITY 01/11/16 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 521 16WC 03772 REIMER, ROBERT COOK COUNTY SHERIFF 01/15/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 522 16WC 03808 SCHAEFER, KELLI ADVOCATE CHRIST HOSPITAL 01/09/16 BARRY A KETTER 523 16WC 03830 AMARO, LAURA CHGO PUBLIC SCHOOLS 01/13/16 CORBOY & DEMETRIO PC 524 16WC 03856 DONIS, FRANK E COOK COUNTY SHERIFF'S DEP 01/30/16 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 525 16WC 07125 SUAREZ, KARYN PARK RIDGE POLICE DEPT 02/14/16 COYNE REINKE LAW MACIOROWSKI SACKMANN & ULRIC 526 16WC 08194 WALKER, TIFFANY LE CORDON BLEU COLLEGE 11/11/15 STEVEN A CRIFASE, LTD NYHAN BAMBRICK KINZIE & LOWR 527 16WC 10695 THOMAS, TAMEKA OFFICE LUV 01/15/16 BRISKMAN BRISKMAN GREENBER 528 16WC 10747 PERRY, CHARLOTTE ARIES SHUTTEL 08/05/15 LARRY FLEISCHER & ASSOCIAT 529 16WC 10833 PINEDA, ORFELINA HANDI FOIL 02/04/16 CUDA LAW OFFICES HOLECEK & ASSOCIATES 530 16WC 10916 HUSIC, MEHMED DHL 02/22/16 KARNO, MARK L & ASSOC HENNESSY & ROACH PC 531 16WC 10973 INGRAM, ROSALIND M. GCA 03/23/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 532 16WC 11010 SLOWINSKI, FRANK T CENTRAL STEEL & WIRE COMP 04/04/16 LAW OFFICE OF JAMES H MILL 533 16WC 11111 CUNAT, LEONARD ADVOCATE CHRIST HOSPITAL 04/21/15 JASINSKI, GEORGE J NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 534 16WC 11152 ANDREWS, SOPHIE UNITED AIRLINES 03/12/16 CULLEN HASKINS NICHOLSON 535 16WC 11171 FAILANO, ADELAIDA COMFORT KEEPERS 02/02/16 MEYERS & FLOWERS 536 16WC 11237 THOMPSON, ROY UNITED AIRLINES INC. 03/17/16 STEVEN M SELAN WIEDNER & MCAULIFFE LTD 537 16WC 11269 HILL, JAMES T BEVEL GRANITE @ W 03/30/16 ANESI OZMON RODIN NOVAK KO 538 16WC 11280 GORDON, GWENDOLYN UNIVERSITY OF ILLINOIS CH 01/26/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 539 16WC 11484 LACEY, MICHELLE CITY OF CHICAGO DEPARTMEN 03/09/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 540 16WC 11654 GONZALEZ, ALBERTO ANCHOR STAFFING 04/01/16 THE FITZ LAW GROUP THOMAS & PORTELA 541 16WC 11671 MENDEZ, ANDY REXAM BEVERAGE CAN COMPAN 11/06/15 RIDGE & DOWNES SPIEGEL & CAHILL, PC 542 16WC 11704 HAYES, ERIAH CHGO. WOLVES & ST. LOUIS 02/18/16 GORDON LAW OFFICES LTD 543 16WC 11803 ORR, DANIEL UNITED PARCEL SERVICE 07/29/15 LAW OFFICE OF SCOTT B SHAP ASA LAW GROUP 544 16WC 11832 MAIZE, ROBERT DELUXE CORP 02/08/16 STELZMAN, RUTH HENNESSY & ROACH PC 545 16WC 11864 BALCAZAR, JOSE AMIGOS FOODS 03/16/16 TURCYCHUTE LLC GANAN & SHAPIRO 546 16WC 11892 WRIGHT, DEBRA PAUL SIMON CHICAGO JOB CO 02/13/16 STEPHAN L. HOFFMAN KEEFE CAMPBELL & ASSOC LLC 547 16WC 11943 BELL, CAMELIA COCA COLA REFRESHMENTS 07/01/14 FISHER & LAMONICA 548 16WC 11968 ANDREWS, MARK E BWAY CORPORATION 01/20/16 FRIEDMAN & SOLMOR LTD HOLECEK & ASSOCIATES 549 16WC 12015 HERNANDEZ, MIGUEL UNITED SERVICE COMPANY 02/24/16 RUEDA, IVAN A WIEDNER & MCAULIFFE LTD 550 16WC 12103 MELENDEZ, EVA L HOME DEPOT 11/27/15 ROSS TYRRELL ADELSON TESTAN & BRUNDO 551 16WC 12174 ALDANA, CHRISTOPHER LABOR NETWORK INC 04/06/16 SALK, STEVEN B & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 552 16WC 12211 MCLEAN, BRANDON REYES HOLDINGS 03/18/16 SAUNDERS CONDON & KENNY NYHAN BAMBRICK KINZIE & LOWR 553 16WC 12245 MC GEE, DARRELL ADECCO STAFFING 03/23/16 DAVID W MARTAY HENNESSY & ROACH PC 554 16WC 12275 SOLARES, JUAN LARIAT LOGISTICS/CRUZ REY 03/11/16 STANCZAK LAW OFFICES 555 16WC 12326 MAROVICH, CHARLES ARAMARK SERVICES 01/19/16 BOUDREAU NISIVACO LLC 556 16WC 12367 CAMERA, MIGUEL CHEM-PLATE INDUSTRIES 01/08/16 GOLDSTEIN AIOSSA & GOOD 557 16WC 12375 FARIAS, JAVIER U-PULL-IT INC DBA LKQ PIC 03/17/16 THE ROMAKER LAW FIRM BRYCE DOWNEY & LENKOV LLC 558 16WC 12400 MARTINEZ, MIRNA UNIQUE STAFFING 08/24/15 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 559 16WC 12439 ZWEIBAN, ZACHARY A PORTILLO'S HOTDOGS, LLC 04/11/16 COVEN LAW GROUP GRANT & FANNING 560 16WC 12500 KEATON, TRICIA RICE CHILD AND FAMILY CEN 02/21/16 LEE, MARK N LAW OFFICE 561 16WC 12572 VEGA, ENRIQUE UNITED PARCEL SERVICE 01/11/16 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 562 16WC 12597 PERALTA, JONATHAN AFFINITY GLOBAL 04/09/15 ACEVES & PEREZ PC 563 16WC 12635 ZARATE, MANUEL ALTERNATIVE STAFFING 03/08/16 KARNO, MARK L & ASSOC MACIOROWSKI SACKMANN & ULRIC 564 16WC 12643 PEREZ, JULIO ELITE STAFFING 04/06/16 HART & DAVID LLP 565 16WC 12704 SKILLOM, SHAVONNE FAMILY DOLLAR STORE 02/22/16 KREITER, BYCK & ASSOC LLP WIEDNER & MCAULIFFE LTD 566 16WC 12727 FEAZELL, SHARIKA THE HOME DEPOT 01/25/14 JOHN E LUSAK ADELSON TESTAN & BRUNDO 567 16WC 12738 FRIEL, GEORGE PARK FOREST-CHICAGO HEIGH 02/11/16 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 568 16WC 12793 OVERTON, LORETHA FEDEX 04/06/16 WILLIAM B MEYERS, LTD BRADY CONNOLLY & MASUDA PC 569 16WC 12809 SIKORSKI, ZOE CHICAGO PUBLIC SCHOOLS 09/11/15 RUBENS AND KRESS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 570 16WC 12855 ZUBIA, DANIEL LABOR QUALITY SERVICE 04/14/16 MC HARGUE, JAMES P LAW OFF 571 16WC 13047 JONES, LISA HELP AT HOME 10/05/15 LAW OFFICES TIMOTHY HENDER 572 16WC 13056 TORRES, FRANK COSTCO 04/06/16 LAW OFFICE HOWARD ABRAMS GANAN & SHAPIRO 573 16WC 13067 JANUARY, HELEN HELP AT HOME INC 04/05/16 GOLDBERG WEISMAN & CAIRO L 574 16WC 13090 CASIANO, LUIS MARIANO'S FRESH MARKET 03/20/16 THE KARMEL LAW FIRM 575 16WC 13116 TALAMANTES, ALFRED BIMBO 10/04/15 DAVID W MARTAY 576 16WC 13131 GOODWIN, SUSAN CHRIST MEDICAL CENTER 04/19/16 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 577 16WC 13172 GANJI, ANDREW UPTOWN MOTORS, INC. 11/28/15 KALOGERAKOS & ASSOC NOBLE & ASSOCIATES PC 578 16WC 13182 BUTLER-DANIELS, DONITA FORD MOTOR COMPANY 07/28/15 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 579 16WC 13259 ROY, BARBARA CHICAGO BOARD OF EDUCATIO 03/23/16 HORWITZ HORWITZ & ASSOC 580 16WC 13287 PEREZ, JOSE BEST PRICE MOVING & STORA 03/22/16 JOHN S. ELIASIK BRADY CONNOLLY & MASUDA PC 581 16WC 13366 MURPHY-WILLIAMS CTA 03/18/16 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 582 16WC 13472 GOINES, CHRISTOPHER HOME DEPOT USA, INC. 04/14/16 ANKIN LAW OFFICE ADELSON TESTAN & BRUNDO 583 16WC 13490 EUBANKS, ELAINE TJ MAXX 04/22/16 DWORKIN AND MACIARIELLO 584 16WC 13505 CLARK, MICHAEL HALLSTAR COMPANY 03/02/16 LEO ALT 585 16WC 13593 MAHARAJ, MARLENE JEWEL-OSCO 06/26/15 GOLDBERG WEISMAN & CAIRO L 586 16WC 13615 PACHECO, MICHAEL YRC FREIGHT 01/22/16 HORWITZ HORWITZ & ASSOC 587 16WC 13638 BRANTL, KATHRYN W.R. GRACE 12/11/15 JASINSKI, GEORGE J

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 588 16WC 13787 NAVARRETE, MIGUEL ALDI 11/04/14 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 589 16WC 13858 ANAYA, RICARDO ELITE CABLE COMMUNICATION 03/21/16 HART & DAVID LLP BRADY CONNOLLY & MASUDA PC 590 16WC 13899 HARMON, CLIFFORD COOK COUNTY SHERIFF 05/01/16 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 591 16WC 14057 RODGRIGUEZ, ROBERTO CLASSIC PARTY RENTALS 04/03/16 SYREGELAS, NICHOLAS C 592 16WC 14127 MANOLIS, PHIL KINFORK 04/09/16 SLAVIN & SLAVIN BRADY CONNOLLY & MASUDA PC 593 16WC 14153 CORNELL-MORGAN, KRISTY CHICAGO TRANSIT AUTHORITY 04/08/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 594 16WC 18628 EVITTS, DENNIS SR GOLDEN STATE FOODS 04/01/16 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 595 16WC 19917 BURNLEY, LATEEF SCHNEIDER NATIONAL 06/21/16 BIZZIERI LAW OFFICES HENNESSY & ROACH PC 596 16WC 20628 CALACE, LAWRENCE P JR CITY OF CHGO-DEPT OFWATER 05/31/16 SALVATO & O'TOOLE CITY OF CHICAGO 597 16WC 20965 AGUINAGA, JOHN CTA 06/30/16 LAW OFFICES OF ANSELMO DUR CHICAGO TRANSIT AUTHORITY 598 16WC 20981 HOWARD, SONIA ADVOCATE SOUTH 01/22/16 VITELL & SPITZ LTD GAROFALO SCHREIBER STORM 599 16WC 21051 MILLER, DEBRA BELLWOOD S.D. #88 05/16/16 SEIDMAN MARGULIS & FAIRMAN 600 16WC 21088 JADZAK, STEVEN IL DEPT OF TRANSPORTATION @ 05/02/16 TOSCAS, JOHN Z LAW OFFICE COLIN KICKLIGHTER 601 16WC 21114 HARRIS, TIMOTHY L FORD MOTOR STAMPING PLANT 05/30/14 O'CONNOR & NAKOS 602 16WC 21166 DAVILA, RICHARD MAVREK DEVELOPMENT INC 05/10/16 VRDOLYAK LAW GROUP LLC 603 16WC 21173 ROSARIO, DAVID SERVICE MASTER RESTORATIO 06/23/16 COHN LAMBERT RYAN & SCHNEI RUSIN & MACIOROWSKI LTD 604 16WC 21199 SIMMONS, SHERMAN W PRO FREIGHT EXPRESS 09/17/15 CULLEN HASKINS NICHOLSON KNELL & O'CONNOR 605 16WC 21238 GARCIA, JOSE Q.A. HUMAN RESOURCES SRVC 06/06/16 CHEPOV & SCOTT LLC SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 606 16WC 21305 DAUKSZEWICZ, JERZY TRANSPORT TECH LLC 05/19/16 KALOGERAKOS & ASSOC HINSHAW & CULBERTSON 607 16WC 21377 HARRIS, MARCUS IRON MOUNTAIN 03/30/16 GOLDBERG WEISMAN & CAIRO L 608 16WC 21405 ALADIN, AMYN ASSOCIATED LABOR CORP OF 07/05/16 WOODRUFF & JOHNSON SLAVIN & SLAVIN 609 16WC 21489 VAZQUEZ, VICTORIA CHICAGO TRANSIT AUTHORITY 06/10/16 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 610 16WC 21578 GARCIA, JUAN HOME PRODUCTS INTERNATION 07/08/16 JONATHAN SCHLACK COZZI & GOGGIN-WARD 611 16WC 21616 KOZIK, ANTHONY PEOPLE'S LEASE 07/02/15 ROMANEK & ROMANEK WOLF LAW LTD 612 16WC 21688 MEHDI, SYED DANUVIO CAB CO 02/27/16 FISHER & LAMONICA 613 16WC 21816 SCHMITT, CHRISTOPHER BURKE & BAUER CONCRETE LL 07/13/16 ARGIONIS & ASSOCIATES LLC 614 16WC 21855 KEENE, TRUMAN JR. MECHANICAL AND INDUSTRIAL 07/10/15 ANKIN LAW OFFICE KNELL & O'CONNOR 615 16WC 21869 AYALA, MIGUEL VILLAGE OF OLYMPIA FIELDS 01/05/16 REISING LAW FIRM LLC BRYCE DOWNEY & LENKOV LLC 616 16WC 21912 RHODA, ROBERT UPS FREIGHT 10/15/15 BOUDREAU NISIVACO LLC ASA LAW GROUP 617 16WC 21925 MARTINEZ, PAOLA AMERICAN GASKET & RUBBER 08/27/15 JONATHAN SCHLACK 618 16WC 21997 LUNA, DAVID AMERICAN CONCRETE RESTORA 05/20/16 LEAHY, JAMES P THOMAS & PORTELA 619 16WC 22051 WHITTLESEY, DONALD MCCORMICK PLACE 06/18/16 ELFENBAUM EVERS & AMARILIO 620 16WC 22055 GREEN, ARNETTE ADVOCATE MEDICAL GROUP-BE 10/20/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 621 16WC 22076 SALINAS, CARMEN TCF BANK 04/05/16 DWORKIN AND MACIARIELLO 622 16WC 22155 IMPARATO, MARLO GES 05/26/16 RUBENS AND KRESS GILDEA & COGHLAN 623 16WC 22191 MEDRANO GUILLEN, JESUS RON'S STAFFING SERVICES I 06/16/16 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 624 16WC 22286 PADILLA, JOSE BASIC ENTERPRISE INC. 07/05/16 GRAZIAN & VOLPE PC 625 16WC 22325 CAKORA, CHARLENE NICOR GAS/ AGL RESOURCE C 04/05/16 CRONIN & PETERS MACIOROWSKI SACKMANN & ULRIC 626 16WC 22424 BUSBY, MONTREAL T YRC WORLDWIDE INC 07/18/16 ANKIN LAW OFFICE 627 16WC 22468 GONGOLA, DANIEL GCA SERVICES GROUP, INC. 04/30/16 LAW OFFICES ROBERT WARSASK POWER & CRONIN LTD 628 16WC 22477 GIESEN, JUSTIN VAN COOK COUNTY SHERIFF'S DEP 06/17/16 STELZMAN, RUTH STATES ATTORNEY OF COOK COUN 629 16WC 22501 VEGA, NOE REPUBLIC SERVICES DBA ALL 07/01/16 ANKIN LAW OFFICE GILDEA & COGHLAN 630 16WC 22573 CHAVEZ, JOSE G AEROTEK 06/21/16 HART & DAVID LLP 631 16WC 22600 KAEHLER, ANGELA WHEELING POLICE DEPARTMEN 07/13/16 ANGELINI & ORI LLC KLEIN THORPE & JENKINS LTD 632 16WC 22619 STEWART, VINCENT UNITED PARCEL SERVICE, IN 06/06/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 633 16WC 22653 MORENO, VICTOR H COMCAST 06/21/16 RAYMOND M SIMARD, PC SPIEGEL & CAHILL, PC 634 16WC 22674 WALKER, DARYYL ARYZTA LLC 05/18/16 HUGHES SOCOL PIERS RESNICK HENNESSY & ROACH PC 635 16WC 22694 SHERIDAN, KEVIN M CHICAGO PARK DISTRICT 07/30/13 ANESI OZMON RODIN NOVAK KO CHICAGO PARK DIST LAW DEPT 16WC022695 -C 16WC022696 -C 16WC022697 -C 636 16WC 22725 ARMSTEAD, CLEVELAND CENTRAL BEVERAGE COMPANY 11/15/14 DWORKIN AND MACIARIELLO 637 16WC 22788 MAJERCZAK, DOMINIK JB HUNT TRANSPORT 06/16/16 CUSHING LAW OFFICES 638 16WC 22815 RANDLE, REBECCA JACKSON PARK HOSPITAL 05/05/16 MARC J SHUMAN & ASSOCIATES ODELSON & STERK 639 16WC 22908 GLANZ, DOUGLAS D VILLAGE OF ARLINGTON HTS- 03/03/16 FIGLIOLI, DAVID MACIOROWSKI SACKMANN & ULRIC 640 16WC 22937 NICASIO, MICHAEL AMERICAN AIRLINES 06/14/16 WOODRUFF & JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 641 16WC 22985 DONOSO, LUIS OAK PARK RIVER FOREST HS 09/23/15 STEVEN A CRIFASE, LTD NYHAN BAMBRICK KINZIE & LOWR 642 16WC 22993 GIANNOTTI, MARCIA UNITED AIRLINES INC. 07/04/16 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 643 16WC 23039 VANTREASE, MICHAEL FORD MOTOR COMPANY 02/22/16 FOHRMAN, DONALD W & ASSOCS 644 16WC 23072 BROWN, SHAKONDALA STATE OF ILLINOIS E. LUDE @ 07/06/15 CORNFIELD & FELDMAN COLIN KICKLIGHTER 645 16WC 23115 WILEY, GINGER ENOVA INTERNATIONA INC 05/02/16 DEPAOLO ZADEIKIS GORE 646 16WC 23123 GOMEZ, JOSE ALLTOWN BUS SERVICES, INC 03/03/16 MC HARGUE, JAMES P LAW OFF 647 16WC 23156 MARROQUIN, OSCAR UNITED AIRLINES INC. 07/06/16 STEVEN M SELAN 648 16WC 23170 O'CONNOR, JAMES PEOPLE'S GAS LIGHT & COKE 10/11/13 GAROFALO SCHREIBER STORM 649 16WC 23215 JACKSON, RENEE JOHN H STROGER HOSPITAL 10/15/14 BRISKMAN BRISKMAN GREENBER STATES ATTORNEY OF COOK COUN 650 16WC 23314 MCCLUSKEY, SHANE CMS CORPORATION 03/25/16 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 651 16WC 23336 HATCHER, ANTHONY L. VILLAGE OF SCHILLER PARK 07/30/13 KEEFE CAMPBELL & ASSOC LLC 652 16WC 23374 STRONG, PATRICK D VILLAGE OF SKOKIE FIRE DE 07/20/16 CRONIN & PETERS 653 16WC 23418 ORTIZ, MARCOS ACE ANODIZING 05/26/16 RUBIN MACHADO ROSENBLUM BRADY CONNOLLY & MASUDA PC 654 16WC 23507 HOMLES, ANDREA FIRST STUDENT TRANSPORTAT 07/12/16 DWORKIN AND MACIARIELLO 655 16WC 23568 GONZALEZ, NANCY PANERA BREAD 07/13/16 SAUNDERS CONDON & KENNY 656 16WC 23612 WINSTON, ANTON FINKLE STEEL 05/13/16 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 657 16WC 23620 BROWN, JIMMY HOME DEPOT 07/13/16 JOEL BELL ADELSON TESTAN & BRUNDO 658 16WC 23651 WILLIAMS, ROGER D THE HABITAT COMPANY LLC 05/04/16 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 659 16WC 23690 LYONS, JEFF FOUR SEASONS COACH LEASIN 07/27/16 WOLFE LAW PC 660 16WC 23714 COLON II, ERNESTO CITY OF CHICAGO DEPT OF 05/12/16 GOLDBERG WEISMAN & CAIRO L 661 16WC 23803 BLAYLOCK, MIKE LOTUS ELECTRICAL 07/18/16 R. MARK MARITOTE PC HOLECEK & ASSOCIATES 662 16WC 23880 SWAFFORD, DANESSA HEMMINGWAY'S BISTRO 07/18/16 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 663 16WC 23922 BLACKWELL, TIFFANY CHICAGO TRANSIT AUTHORITY 06/21/16 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 664 16WC 23942 GREEN, BRANDON ARENA FOOTBALL ONE LLC 03/10/16 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 665 16WC 23957 MARTINEZ, SAMELIA CHIPOTLE MEXICAN GRILL 07/13/16 STROM, NEAL B 666 16WC 23982 CONTRERAS, JUAN HOUSE OF DOORS 07/13/16 DOUGLAS RALLO PC 667 16WC 24025 SCHMESKI, JENNIFER LEXINGTON HEALTH CENTER O 07/26/16 FOTOPOULOS, JOHN S 668 16WC 24049 SAILSBERY, REBECCA SAUK VILLAGE 05/25/16 FOHRMAN, DONALD W & ASSOCS 669 16WC 24123 SOTO, LOUIS STAFFING NETWORKHOLDING L 06/13/16 ANKIN LAW OFFICE SLAVIN & SLAVIN 670 16WC 24141 MEANS, ANGELA LIFESCAN 08/01/16 DWORKIN AND MACIARIELLO NOBLE & ASSOCIATES PC 671 16WC 24160 WILLIAMS, ANNETTE FORD MOTOR COMPANY 08/07/16 672 16WC 24192 BEALS, JAKESHIA CHICAGO TRANSIT AUTHORITY 07/18/16 BRIAN J MC MANUS & ASSOC, CHICAGO TRANSIT AUTHORITY 673 16WC 24284 CARMONA, ERNESTO TEMPS NOW 06/14/16 MC HARGUE, JAMES P LAW OFF 674 16WC 24325 AUGUSTE, GERARD D. THE UNIVERSITY OF CHICAGO 12/23/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 675 16WC 24371 COTTONGIM, DAVID SPECIALTY CONSTRUCTIONLLC 07/06/16 GOLDBERG WEISMAN & CAIRO L 676 16WC 24509 SCHRADER, MICHAEL ARCELO MITTAL STEEL 07/31/16 MICHAEL P MCCREADY & ASSOC SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 677 16WC 24560 MITCHELL, PATRICIA PETSMART 08/09/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 678 16WC 29499 MCKENZIE, AARON ADVANCED SECURITY SOLUTIO 09/02/16 DAVID W MARTAY 679 16WC 29513 TUBBS, KEISHA DAVID STAFFING INC 09/04/16 POLANSKY & CICHON CHTD 680 16WC 30095 PATTERSON, COREY UNITED PARCEL SERVICE 09/02/16 LEONARD LAW GROUP LLC 681 16WC 30945 ROSS, MONICA PITT OHIO(CHICAGO TERMINA 12/04/15 RIDGE & DOWNES GANAN & SHAPIRO 682 16WC 30989 EDWARDS, ANTONIO JACKSON PARK MEDICAL ASSO 09/01/16 ANKIN LAW OFFICE ODELSON & STERK 683 16WC 31074 FERNANDEZ, LINNEA GUNSAULUS SCHOLASTIC ACAD 08/29/16 LEE, MARK N LAW OFFICE 684 16WC 31117 GERON, EMMANUEL PREMIER FURNITURE OUTLET 08/29/14 MEYERS & FLOWERS HOLECEK & ASSOCIATES 685 16WC 31143 DURAN, JONATHAN CLEARBROOK 10/02/16 MC HARGUE, JAMES P LAW OFF 686 16WC 31167 DEVEREUX, LENA ALDEN TOWER MANOR 09/28/16 LAW OFFICES ROBERT WARSASK 687 16WC 31193 PEARSON, ALAN W STATE OF IL-ILLINOIS @ 05/06/16 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 688 16WC 31215 HUTCHINGS, LOMAN T.H. RYAN CARTAGE CO 10/03/16 KARCHMAR & STONE WOLFE & JACOBSON, LTD 689 16WC 31234 VIGIL, EDGAR MINUTE MEN STAFFING 10/04/16 DAVID W MARTAY 690 16WC 31252 AGUIRRE, JOEY ATLAS EMPLOYMENT SVCS, IN 09/20/16 DWORKIN AND MACIARIELLO 691 16WC 31292 MARTINEZ, ANTHONY J UNIV OF IL AT CHICAGO @ 10/20/15 THOMAS R LICHTEN 692 16WC 31339 AKINS, ANDREA FEDEX 09/28/16 BRISKMAN BRISKMAN GREENBER 693 16WC 31366 LOPEZ, RAFAELA WOODBRIDGE NURSING PAVILL 09/08/16 ENCINAS & ORNELAS POWER & CRONIN LTD 694 16WC 31387 BRITT, JENNIFER CHICAGO TRANSIT AUTHORITY 10/09/16 STROM, NEAL B CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 695 16WC 31406 CRUZ, JOSE DE JESUS ED MINIAT, INC 09/28/16 LAW OFFICES OF ANSELMO DUR POWER & CRONIN LTD 696 16WC 31475 CATCHINGS, JUANITA IT'SUGAR LLC 06/30/16 JOHN E LUSAK KEEFE CAMPBELL & ASSOC LLC 697 16WC 31525 RISS, JOHN SOUTHWEST AIRLINES 12/12/15 MICHAEL P MCCREADY & ASSOC HENNESSY & ROACH PC 698 16WC 31527 RIVERA, RONALD ILLINOIS TOLL @ 12/30/14 SANDMAN LEVY & PETRICH GANAN & SHAPIRO 699 16WC 31553 ROBINSON, AUSTIN SOUTHWEST AIRLINES 08/28/16 ELFENBAUM EVERS & AMARILIO 700 16WC 31608 MOHAMMED, AKHEEL M & N EXPRESS INC 09/03/16 HUNER LAW OFFICES LLC 701 16WC 31643 SINGH, INDERJIT HARRY CAB CO 09/23/16 FISHER & LAMONICA 702 16WC 31664 REYES, EMILIO FOOD & PAPER 09/28/15 JONATHAN SCHLACK LAW OFFICES OF EDWARD J. KOZ 703 16WC 31683 PATINO CAMARGO, IRENE TENDER CARE SYSTEMS INC 08/23/16 LAW OFFICE OF SCOTT B SHAP 704 16WC 31763 CASEY, CRAIG IMPERIAL SURVEILLANCE INC 02/08/16 GOLDBERG WEISMAN & CAIRO L 705 16WC 31815 GONZALEZ, JESUS ASG STAFFING 10/12/16 MC HARGUE, JAMES P LAW OFF FRANCIS J DISCIPIO LAW OFFIC 706 16WC 31821 WALLER, UNICE IL DEPT OF REHAB SERVICES @ 04/12/16 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 707 16WC 31879 ZAYED, MAHMOUD GENUINE PARTS CO 10/11/16 GOLDSTEIN AIOSSA & GOOD 708 16WC 31893 ADETOLA, JIDE YELLOW CAB CHICAGO 05/25/15 COSTA IVONE LLC 709 16WC 31907 HERNANDEZ, NORMA ENVOY AIR 04/24/16 BRISKMAN BRISKMAN GREENBER 710 16WC 31974 GONZALEZ, JESUS PETE'S FRESH MARKET 09/11/16 THE ROMAKER LAW FIRM 711 16WC 32012 MOSS-CALLION, PATRICIA MCDONALDS 10/05/16 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 712 16WC 32106 RAMIREZ, ALVARO NADEAU'S ICE SCULPTURES, 08/03/16 ANKIN LAW OFFICE 713 16WC 32137 CAPLE, MARIO CHICAGO PUBLIC SCHOOLS 03/24/16 ROMANUCCI & BLANDIN 16WC032520 -C 714 16WC 32140 WILLIAMS, JOE STAFFMARK 09/14/16 DISPARTI LAW GROUP PA KEEFE CAMPBELL & ASSOC LLC 715 16WC 32155 MADRIGAL, RAFAEL DPI DEDICATED LOGISTICS I 09/13/16 LEWIS & DAVIDSON, LTD GILDEA & COGHLAN 716 16WC 32174 DEMARCO, FRANK ENTERPRISE RENTAL CAR 07/27/16 SIMS, ZACHARY K PC INMAN & FITZGIBBONS 717 16WC 32229 DAVIS, KYERRA ARDEN COURT IN ELK GROVE 09/29/16 BRISKMAN BRISKMAN GREENBER 718 16WC 32266 TAYLOR, JAMES JEWEL FOODS 09/29/16 DWORKIN AND MACIARIELLO 719 16WC 32302 FLEMING, TONETTE VPC PIZZA HOLDINGS, LLC/ 07/26/16 GORDON & CENTRACCHIO LLC MEACHUM & STARCK 720 16WC 32322 DORSEY, CAROLE CLERK OF THE CIRCUIT COUR 10/04/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 721 16WC 32357 HARPER, JENORA ELISABETHLUDEMAN CENTER 10/01/16 DE SALVO, SCOTT D LAW OFFI 722 16WC 32383 SEALS, STACEY UPS 08/26/16 LEONARD LAW GROUP LLC ASA LAW GROUP 723 16WC 32429 MARTINEZ, ELVIA KIK CUSTOM PRODUCTS 02/09/16 RICHARD E ALEKSY POWER & CRONIN LTD 16WC032430 -C 724 16WC 32447 MORALES, JOSE WOLCOTT REAL PROPERTY 08/12/16 SEIDMAN MARGULIS & FAIRMAN COZZI & GOGGIN-WARD 725 16WC 32480 BELL, KURT D PIZZA BAKERY, INC 09/23/16 FREDERICK & HAGLE 726 16WC 32528 BROSCH, MARK MONDELEZ INTL 08/18/16 KROL BONGIORNO & GIVEN LTD 727 16WC 32558 BAKOWSKI, MAREK FEDERAL MOGUL 09/28/16 WILLIAM B MEYERS, LTD HOLECEK & ASSOCIATES 728 16WC 32622 HERNANDEZ, PABLO CHILLI'S - OHARE INTL AIR 12/14/15 CULLEN HASKINS NICHOLSON 729 16WC 32683 BALLINGER, JOHN HOME DEPOT USA, INC 09/13/16 LAW OFFICE OF KEVIN O'BRIE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 730 16WC 32704 MONSON, DARYL CITY OF CHICAGO DEPT OF W 05/31/16 CRONIN & PETERS 731 16WC 32715 MORRIS, ADRIEN REHABILITATION INSTITUTE 08/28/16 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 732 16WC 32736 DRINKARD, MONIQUE CITY OF CHICAGO 10/11/16 RITTENBERG & BUFFEN 733 16WC 32780 NUEVE, ENRIQUE UNITED AIRLINES INC. 08/15/16 ANGELINI & ORI LLC 734 16WC 32783 BELLO, CESAR HALLS RENTAL SERVICE 09/26/16 KARCHMAR & STONE RIPES NELSON BAGGOT KALOBRAT 735 16WC 32802 CARABAJO, ALEXANDRA DANA HOTEL, LLC 07/01/16 CHEPOV & SCOTT LLC 736 16WC 32842 RAMIREZ, JORGE A KOCH FOODS 03/24/15 DEPAOLO ZADEIKIS GORE MACIOROWSKI SACKMANN & ULRIC 737 16WC 32946 BRIMLOW, ROBERT UNITED AIRLINES INC. 07/18/15 BONALDI CLINTON & DAVIS LT 738 16WC 32963 PRICE, CARLTON CTA 10/17/16 FOHRMAN, DONALD W & ASSOCS 739 16WC 32988 SANCHEZ, ANTONIO GOLD STANDARD BAKERY 06/04/16 HERRERA LAW CENTER 740 16WC 33012 DURAN, LUIS ARKMAN LOGISTICS 06/09/15 CULLEN HASKINS NICHOLSON 741 16WC 33037 KNIGHT, JACQULINE HELP AT HOME 08/03/16 FINE, MARK S LAW OFFICES 742 16WC 33063 BERRIOS, MARYBEL CHICAGO TRANSIT AUTHORITY 10/18/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 743 16WC 33098 MEEKS, BERNARD CITY OF CHICAGO 10/19/15 GOLDBERG WEISMAN & CAIRO L 744 16WC 33131 SOOLEY, BRIAN EAGLE EXPRESS LINES, INC 02/01/15 DWORKIN AND MACIARIELLO 745 16WC 33171 LICHI, SILVIU AMERICAN AIRLINES, INC 10/13/16 PETER D CORTI LAW GROUP 746 16WC 33187 JACKSON, GEORGE L THE SYNERGY CO, INC 03/18/16 ANKIN LAW OFFICE 747 16WC 33212 ROJAS, JOSE DEPT OF STREETS & SANITAT 06/02/16 OSVALDO RODRIGUEZ PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 748 16WC 33245 SALDANA, FRANCISCO BARCELONA TAPA Y VINO LLC 12/03/15 ENCINAS & ORNELAS 749 16WC 33277 PANOZZO, JAMES DSI SECURITY SERVICES 09/11/16 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 750 16WC 33325 ZAVALA, BRIAN J MAPLEHURST BAKERIES 09/09/16 GOLDSTEIN BENDER & ROMANOF 751 16WC 33371 BARLOW, THOMAS K THE CHICAGO TRANSIT AUTHO 06/01/16 WARREN W MARK CHICAGO TRANSIT AUTHORITY 752 16WC 33416 MINOR, DARRYL B&B PROPERTY MGMT 09/17/16 LAW OFFICES TIMOTHY HENDER BRADY CONNOLLY & MASUDA PC 753 16WC 33450 PETTIGREW, ANTHONY TH RYAN CARTAGE CO 06/03/16 FRIEDMAN & SOLMOR LTD 754 16WC 33477 BUTTS, ANDRE YRC WORLDWIDE 08/26/16 LEONARD LAW GROUP LLC 755 16WC 33519 MURPHY, TRIDONNA L 7 ELEVEN 10/27/16 VITELL & SPITZ LTD KEEFE CAMPBELL & ASSOC LLC 756 16WC 33544 EMMERT, JANET SPECIALTY CONSTRUCTION 11/01/14 GREGORIO & MARCO 757 16WC 33552 DEAN, YOLANDA MONDELEZ INTERNATIONAL 06/29/16 ANESI OZMON RODIN NOVAK KO 758 16WC 33581 VILLASENOR, NORMA TRITON COLLEGE 02/25/16 CARL H EBERT & ASSOC 759 16WC 33612 CALDWELL, ALETA EAGLE EXPRESS 09/25/16 KREITER, BYCK & ASSOC LLP HINSHAW & CULBERTSON 760 16WC 33642 RAMIREZ, EPIFANIA BIO STAR FILMS, LLC 10/17/16 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 761 16WC 33681 JONES, STANLEY S&D MASONRY 10/19/16 JAMES J BURKE LAW OFFICE WIEDNER & MCAULIFFE LTD 762 16WC 33705 HORTA, GABRIEL MIDWEST WRECKING 07/19/16 HORWITZ HORWITZ & ASSOC RODDY LAW LTD 763 16WC 33728 WHEATLEY, DELLAINA AEP INDUSTRIES INC 10/28/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 764 16WC 33791 MEADOWS, REVA J UNITED AIRLINES INC. 07/07/16 BUDIN LAW OFFICES 765 16WC 33892 GIRARD, JOSEPH RIGGS DISTLER & CO 05/19/16 RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 766 16WC 33938 PETGRAVE, LORNA LUDEMAN DEVELOPMENTAL CTR @ 06/15/16 COPELAND FINN & FIERI LTD COLIN KICKLIGHTER 767 16WC 33978 GASCA, NORMA CITY OF CHICAGO/ DEPT OF 04/04/16 O'CONNOR & NAKOS 768 16WC 34009 ECHOLS, SHEENA RML SPECIALTY HOSPITAL 08/27/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 769 16WC 34086 AGUIANGA, JOHN F CHICAGO TRANSIT AUTHORITY 10/31/16 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 770 16WC 35086 GALLICHIO, JANET (WIDOW) COOK COUNTY SHERIFF'S OFF # 09/27/16 O'CONNOR & NAKOS STATES ATTORNEY OF COOK COUN 771 16WC 36803 WEBB, GARY L CTA * 11/18/16 SALVATO & O'TOOLE CHICAGO TRANSIT AUTHORITY 772 17WC 00420 MEIER, CARY UNITED AIRLINES * 12/18/16 LEONARD LAW GROUP LLC 773 17WC 00442 WILLIAMS, ROGER D THE HABITAT CO., LLC * 12/02/16 ANKIN LAW OFFICE 774 17WC 00468 PILLAI, RAKHY MARCO ROMA PIZZERIA * 11/25/16 HOLECEK & ASSOCIATES 775 17WC 00675 NARANJO, ISMAEL CITY OF CHICAGO * 12/20/16 WILLIAM MARTAY CITY OF CHICAGO 776 17WC 00775 COCHRAN,LATASHA P ADVOCATE CHRIST MEDICAL C * 10/05/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 777 17WC 00805 TAZBAZIAN, NADER AUTO BARN FIAT * 12/12/16 DWORKIN AND MACIARIELLO 778 17WC 00830 OBASI, LONGINUS DISPATCH TAXI CAB * 12/02/16 LAW OFFICE OF SCOTT B SHAP 779 17WC 00849 NICHOLS, PERCY L UPS * 10/26/16 LEONARD LAW GROUP LLC 780 17WC 00876 THOMAS, MAIASIA SOUTHVIEW MANOR INC * 11/04/16 BURNES, EDWARD M 781 17WC 00924 KADER, SYED HASNAT SADDAT INC. * 12/31/16 FISHER & LAMONICA 782 17WC 00944 STATON, BEATRICE UNITED QUICK TRANSPORTATI * 06/16/16 DAVID W MARTAY 783 17WC 00985 LEON, ERNESTO LKQ CORPORATION * 02/09/16 LAW OFFICES LEONARDO MORAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 784 17WC 01013 BALTAZAR, JAMES E ACCESS INFORMATION MANAGE * 12/13/16 CUSHING LAW OFFICES GRANT & FANNING 785 17WC 01026 VILLA, MARIA UIC MEDICAL CENTER * 12/08/16 ELFENBAUM EVERS & AMARILIO 786 17WC 01051 TALLERICO, JAMIE ILLINOIS STATE HIGHWAY @ * 01/09/17 KOSIN LAW OFFICE LTD NYHAN BAMBRICK KINZIE & LOWR 787 17WC 01080 BRYLA, JANICE GDI * 01/01/00 HORWITZ HORWITZ & ASSOC 788 17WC 01106 LEVINE, DONALD ACRES ENTERPRISES, INC * 02/01/15 ACCIDENT FUND HOLDINGS 789 17WC 01129 BAKER, LAWRENCE CTA * 12/17/16 RUBIN MACHADO ROSENBLUM CHICAGO TRANSIT AUTHORITY 790 17WC 01180 KELLY, BRUCE NORTH SHORE TRANSIT * 12/19/16 BRISKMAN BRISKMAN GREENBER 791 17WC 01245 IBARRA CARVAJAL, ALICIA SODEXO * 08/03/16 HERRERA LAW CENTER 792 17WC 01272 BAINES, JAMES THE CITY OF CHICAGO * 03/17/16 RITTENBERG & BUFFEN 793 17WC 01287 THOMAS, BEVERLY QUEEN CHICAGO BOARD OF EDUCATIO * 05/01/15 794 17WC 01301 SMITH, STEVEN ELITE STAFFING * 12/16/16 CAPRON & AVGERINOS PC 795 17WC 01320 CRUMPTON, FLOYD EDWARD, J UNIVERSITY OF ILLINOIS/CH * 12/01/16 ANKIN LAW OFFICE 796 17WC 01341 MIRANDA, JUAN HABITAT COMPANY * 12/09/16 CUDA LAW OFFICES 797 17WC 01358 MARTINEZ, JOSE B OLYMPIA FOODS- BORROWING * 11/18/16 SALK, STEVEN B & ASSOC LTD 798 17WC 01385 WILLIAMS, RAALAKHANN STANLEY STEAMER * 09/09/16 DWORKIN AND MACIARIELLO 799 17WC 01423 HULLINGER, HARRY VANEK INC * 01/08/16 WOLF LAW LTD 800 17WC 01441 CHOCZYNSKI, JAN CHARLES E LARSON & SONS I * 12/22/16 HETHERINGTON KARPEL BOBBER COZZI & GOGGIN-WARD 801 17WC 01471 GASIK, ROSE M STATE OF IL/DEPT OF HUMAN @ * 12/20/16 GOLDSTEIN BENDER & ROMANOF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 802 17WC 01491 CRUZ, JAMES M CHICAGO PUBLIC SCHOOLS * 12/14/16 STEVEN J MALMAN & ASSOCIAT 803 17WC 01503 SWANSON, TYRA FORD MOTOR CO * 09/14/15 FOHRMAN, DONALD W & ASSOCS 804 17WC 01525 VASQUEZ, MICHAEL COMPASS MINERALS AMERICA * 03/28/16 HOWARD S. KAVENOW LLC KEEFE CAMPBELL & ASSOC LLC 805 17WC 01604 MEYER, EDWARD P JEWEL FOOD STORES * 01/03/17 KROL BONGIORNO & GIVEN LTD QUINTAIROS PRIETO WOOD & BOY 806 17WC 01624 ELSTNER, NANCY UNITED PARCEL SERVICES * 06/13/16 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 807 17WC 01641 HARVEY, WARREN E COOK COUNTY * 09/01/16 DEPAOLO ZADEIKIS GORE 808 17WC 01709 NEAL, JOHN FAMILY HEALTH NETWORK * 01/09/17 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 809 17WC 01749 RADOSTA, VITO SUPER LOW FOODS AKA GAMBI * 11/18/15 FIORENTINO LAW OFFICES 810 17WC 01764 SKRZYPCZYNSKI, THODEUS PANEL PROS, INC. * 04/29/16 BRADY CONNOLLY & MASUDA PC 811 17WC 01788 JONES, MICHAEL SOUTHWEST AIRLINES * 07/10/14 ELFENBAUM EVERS & AMARILIO 812 17WC 01851 MARKS, LARRY J TRINITY SVCS, INC * 08/18/16 FIGLIOLI, DAVID 813 17WC 01881 KEARNS, JOHN E CHICAGO TRANSIT AUTHORITY * 01/12/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 814 17WC 01953 WILLIAMS, DENNIS CHICAGO TRANSIT AUTHORITY * 01/12/17 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 815 17WC 01976 VITALE, ANTHONY CANON SOLUTIONS AMERICA, * 07/08/15 BRADY CONNOLLY & MASUDA PC 816 17WC 02000 SCHNUR, KATHLEEN SUBURBAN SURGICAL COMAPAN * 01/16/17 KROL BONGIORNO & GIVEN LTD WOLFE & JACOBSON, LTD 817 17WC 02015 PINA, FRANCISCO R&B POWDER COATING, INC * 12/20/16 CULLEN HASKINS NICHOLSON 818 17WC 02041 MARTINEZ, JOSEPHINE CBOE * 09/16/16 LEO ALT 819 17WC 02093 GRIFFIN, TAMARA FORD MOTOR CO * 11/22/15 FOHRMAN, DONALD W & ASSOCS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 820 17WC 02133 OSORIO, MARISOL THE ARTS CLUB OF CHICAGO * 05/17/16 EDWIN REYES LEGAL GROUP 821 17WC 02156 PAYTON, DANIEL S AT&T * 09/29/15 BOWMAN & CORDAY 822 17WC 02232 KING, TIMOTHY COOK COUNTY GOVERNMENT * 11/30/16 LEONARD LAW GROUP LLC 823 17WC 02255 BENSON, JERRY CTA * 12/05/16 DWORKIN AND MACIARIELLO 824 17WC 02319 CINA, ANTHONY TRINITY LANDSCAPE OF NORT * 02/05/65 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 825 17WC 02335 GREEN, MILTON FORCE ONE ENTERPRISES, LL * 09/06/16 ROSS TYRRELL 826 17WC 02395 HUNT, OZEAR J ENTERPRISE HOLDINGS * 10/21/16 STEVEN J MALMAN & ASSOCIAT KNELL & O'CONNOR 827 17WC 02407 PINA, GUSTAVO C HARBOR MANUFACTURING, INC * 11/07/16 ANKIN LAW OFFICE 828 17WC 02426 MC CLAIN, MICHAEL CHICAGO BOARD OF EDUCATIO * 12/18/16 LEO ALT 829 17WC 02445 CHAMBERS, JESSIE SUNRISE TRANSPORTATION * 01/20/17 SKLARE LAW GROUP 830 17WC 02448 BAUMAN, CYNTHIA COOK COUNTY * 10/19/15 KATZ FRIEDMAN EAGLE ET AL 831 17WC 02469 SCOTT, CHARLES L THE CATHOLIC BISHOP OF CH * 06/22/15 ANKIN LAW OFFICE 832 17WC 02489 GRESHAM, KEVIN LAPHAM-HICKEY STEEL * 07/07/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 833 17WC 02507 HUNTER, GABRIELLE CHICAGO PUBLIC SCHOOLS * 12/05/16 ROSENFELD HAFRON SHAPIRO F 834 17WC 02553 POSADAS, JUANA SPECIALIZED STAFFING SOLU * 08/11/16 JAUREGUI & ASSOCIATES 835 17WC 02591 DIAZ, REMBERTO COLUMBIA GLASS, INC * 06/05/14 BAUM RUFFOLO & MARZAL LTD 836 17WC 02647 HUNT, JACLYN SCHAUMBURG SCHOOL DISTRIC * 11/29/16 MC HARGUE, JAMES P LAW OFF 837 17WC 02671 MCLAIN, KIM COMMUNITY CONSOLIDATED SD * 10/23/14 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 838 17WC 02725 ZUBERBIER, GLENN FARM CITY TRANSPORT INC * 10/17/16 LEWIS & DAVIDSON, LTD CAPUANI & SCHNEIDER 839 17WC 02759 TEPOVICH, HEATH IL DEP OF NATURAL RESOURC @ * 11/05/15 FRANKS, GERKIN & MCKENNA P 840 17WC 02783 MILLER, KEYATA WHOLE FOODS MARKET * 04/26/16 RONALDSON & KUCHLER 841 17WC 02816 JOHNSTON, JAMES P MATERIAL SCIENCES CORP * 12/21/16 TUITE LAW 842 17WC 02833 GILLENWATER, JOHN NORTHWESTERN MEDICINE/CDH * 11/25/15 MILLON & PESKIN LTD 843 17WC 02862 AGUILAR, ELIZABETH THE ALLERTON HOTEL * 01/11/17 ELFENBAUM EVERS & AMARILIO 844 17WC 02885 MORRIS, BOB D CONSTRUCTION INC * 07/29/16 HORWITZ HORWITZ & ASSOC 845 17WC 02920 RIDGELL-ROBINSON, CAMELLI THE EMPLOYER ADVANTAGE, L * 01/09/17 ANKIN LAW OFFICE 846 17WC 02942 RUIZ-MARTINEZ, ISIDRO PETE'S FRESH MARKET * 12/21/16 SALK, STEVEN B & ASSOC LTD 847 17WC 02985 ANSELL, DALE ARDMORE ASSOC, LTD * 01/03/17 STROM, NEAL B 848 17WC 03010 TYLER, TERENCE CHICAGO TRANSIT AUTHORITY * 01/16/17 VRDOLYAK LAW GROUP LLC 849 17WC 03042 ELMI, ABDULKADIR KARABOOM CAB CO INC * 01/12/17 FISHER & LAMONICA 850 17WC 03088 BOYZO-RAMIREZ, ANGELICA MIDWEST MOLDING * 08/23/16 LULAY LAW OFFICES 851 17WC 03128 FRENANDEZ, LUIS E CHICAGO PUBLIC SCHOOLS * 01/18/17 SALK, STEVEN B & ASSOC LTD 852 17WC 03185 FLYNN, TERESE SPIRIT AIRLINES * 04/04/14 HEALY SCANLON LAW FIRM 853 17WC 03211 PERIC, MILAN CITY OF CHICAGO-DEPT OF * 01/09/17 SALVATO & O'TOOLE 854 17WC 03221 CROWDER, JEFFREY DPI DEDICATED LOGISTICS * 12/18/16 DEPAOLO ZADEIKIS GORE 855 17WC 03244 GRUSZCZYNSKA, IZABELA HAPPY MAIDS, INC. * 01/13/17 URSULA BABICZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 856 17WC 03290 WILSON-ROBINSON, TAMARA NESTLE * 01/18/17 STYKA & STYKA 857 17WC 03320 BUCHNER, CHRISTINE ADVOCATE GOOD SHEPHERD HO * 04/15/16 MEYERS & FLOWERS 858 17WC 03342 TITO, JOHN STATE OF IL DEPT OF TRANS * 01/23/17 SALVATO & O'TOOLE 859 17WC 03361 SANCHEZ, JOSE VALENCIAS TEXAS DE BRAZIL CORPORATI * 12/22/16 PATRICIA HARDIMAN LAW OFFI 860 17WC 03380 FLORES, ANGEL A TEAM AUTOMOTIVE SERVICES, * 11/03/16 COSTA IVONE LLC 861 17WC 03415 BURITA, HAROLD MARIANO'S FRESH MARKET * 11/14/16 THE KARMEL LAW FIRM 862 17WC 03442 ABDI, MOHAMED CHECKER TAXI ASSOC CO., * 01/21/17 HETHERINGTON KARPEL BOBBER 863 17WC 03462 BOCK, MATTHEW DHL EXPRESS * 01/19/17 LEONARD LAW GROUP LLC 864 17WC 03494 HERNANDEZ, AURELIANO ATLAS EMPLOYMENT * 01/17/17 LAW OFFICES LEONARDO MORAL 865 17WC 03546 AVILA, JOEL ACE PLATING COMPANY * 05/26/16 RODDY LAW LTD 866 17WC 03572 KOVACS, EDITH AMERICAN AIRLINES * 11/18/16 SAUNDERS CONDON & KENNY 867 17WC 03598 VICTORIA JR., GUILLERMO ELECTRIC MOTOR CORP * 04/08/16 HETHERINGTON KARPEL BOBBER 868 17WC 03622 LAINO, JOSEPH BOARD OF EDUCATION DIST 8 * 05/06/16 WILLIAM MARTAY 869 17WC 03663 MAGALLANES, VALENTE SUPREME LOBSTER & SEAFOOD * 12/28/16 SALK, STEVEN B & ASSOC LTD 870 17WC 03693 MEJIA, LUIS A CHICAGO BEVERAGE SYSTEMS * 12/21/16 GOLDSTEIN BENDER & ROMANOF 871 17WC 03718 SITTON, JOSH CHICAGO BEARS FOOTBALL CL * 09/19/16 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 872 17WC 03730 MASON, HAROLD NOVOLEX-GENERAL PACKAGING * 09/29/15 MEYERS & FLOWERS 873 17WC 03752 KRUEGER, DAVE UPS * 08/23/16 ASA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M BLACK, MILTON 010 ARBITRATION CALL FOR CHICAGO 99010 ON 03/13/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 874 17WC 03777 ALTAMIRANO, JOSE M PATEL BROTHERS * 01/12/17 CHEPOV & SCOTT LLC 875 17WC 03806 JONES, MATTIE CHICAGO TRANSIT AUTHORITY * 12/05/16 ANKIN LAW OFFICE 876 17WC 03836 VALDEZ, RICHARD COOK COUNTY * 11/29/16 HEALY SCANLON LAW FIRM 877 17WC 03860 ABOITES, JUAN MIDLAND PAPER COMPANY * 01/17/17 PARENTE & NOREM PC 878 17WC 03881 CARRILLO, JOSE CRESCENT CLEANING * 05/23/16 NYHAN BAMBRICK KINZIE & LOWR 879 17WC 03896 BLAIR, CYNTHIA KOCH FOODS * 01/05/17 DWORKIN AND MACIARIELLO 880 17WC 03932 WAYTECK, WILLIAM DOYLE SIGNS * 07/05/16 LEONARD LAW GROUP LLC 881 17WC 03980 KYSER, LARRY BERRY PLASTICS * 01/29/17 JAMES J BURKE LAW OFFICE 882 17WC 04018 AIOSSA, CAREY AIOSSA LAW FIRM * 09/14/15 883 17WC 04040 ROYAL, EDDIE CHICAGO BEARS FOOTBALL * 08/01/16 WOLFE LAW PC 884 17WC 04072 ABBOTT, TERESA C UNITED AIRLINES * 11/13/16 CULLEN HASKINS NICHOLSON 885 17WC 04117 KRIETER, SHERYL AMERICAN AIRLINES * 01/18/17 STRONG LAW OFFICE 886 17WC 04207 BRYNIARSKI, KAZIMIERZ BREAKTHRU BEVERAGE ILLINO * 03/10/16 ALEKSY BELCHER 887 17WC 04237 JEAN-BRICE, MRIDU BAXALTA, INC * 02/10/16 BRYCE DOWNEY & LENKOV LLC