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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 ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 08WC 05039 GOLLAY, JACQUELINE ST OF IL DEPARTMENT OF @ 01/11/08 CULLEN, HASKINS, NICHOLSON ASSISTANT ATTORNEY GENERAL 14 08WC 56775 JOEL, MONTEMAYOR LAKE BARRINGTON SHORES,IN 09/08/06 COLLISON LAW OFFICES ACCIDENT FUND HOLDINGS 15 09WC 06127 JONES, KIMBERLY STATE OF ILLINOIS @ 11/24/06 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 11WC038535 -C 16 09WC 27706 STARK, SHELLY DELL ASAP SOFTWARE 05/15/08 MARKS & ASSOCIATES HENNESSY & ROACH PC 17 09WC 28235 KANE, JOAN ALDI 06/15/09 LEE A CAMPBELL LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 15WC001145 -C 18 09WC 37263 PATTERSON, ROSS PRATE INSTALLATIONS 07/27/09 TARADASH LAW OFFICE ROSARIO CIBELLA 19 09WC 44918 HAMPTON STOKES, NINA ILLINOIS DEPT OF EMPLOYME 03/05/09 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 20 10WC 01584 CLEMENT, RANDY DISH NETWORK 08/04/09 FOHRMAN, DONALD W & ASSOCS 21 10WC 08144 LIPSKY, LARRY ABL GROUP 02/15/10 BURNES & LIBMAN GANAN & SHAPIRO 22 10WC 13266 HEGLAND, THOMAS G FED EX CORP 01/06/10 SHEA LAW GROUP HANSON LAW OFFICE 23 10WC 17064 SUSSMAN, RICHARD L AIM GRAPHIC MACHINERYLTD 06/18/09 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 24 10WC 19034 LARA, MARINA CAPITAL RETAIL SERVICES, 03/05/10 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 25 10WC 19508 POULSEN, TIMOTHY A CITY OF ZION 08/27/08 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 26 10WC 31743 COLES, LESLIE L LAKE COUNTY 12/10/09 TAMVAKIS, GEORGE L SMITH AMUNDSEN LLC 12WC028815 -C 13WC011834 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 27 10WC 35557 ORTIZ, OCTAVIO CITY OF HIGHLAND PARK 05/01/08 BAUM RUFFOLO & MARZAL LTD POWER & CRONIN LTD 10WC035558 -C 11WC028676 -C 11WC034477 -C 28 10WC 38048 VELAZQUEZ, JOSE MATILDE N C & M RECYCLING INC 07/16/10 KATZ FRIEDMAN EAGLE ET AL STONE & JOHNSON CHARTERED 10WC038049 -C 29 10WC 42123 RADASCH, SCOTT R ACACIA ANIMAL CLINIC 04/02/10 LEE A CAMPBELL LAW OFFICE ADELSON TESTAN & BRUNDO 30 10WC 44233 THOMPSON, CHRISTINE WAUKEGAN SCHOOL 12/15/07 SHELDON I MINKOW & ASSOCIA BRADY CONNOLLY & MASUDA PC 31 11WC 01266 KRAUSE, JOSEPH STATE OF ILLINOIS @ 12/09/10 ARNOLD & KADJAN ASSISTANT ATTORNEY GENERAL 11WC004992 -C 32 11WC 01842 BARAJAS, HUGO ANGEL GOMEZ 11/30/10 GRAZIAN & VOLPE PC 33 11WC 04165 ILLANA, MARILU WMS GAMING 11/12/10 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 34 11WC 09838 NETHERTON, TODD CITY OF LAKE FOREST 02/02/10 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 11WC009839 -C 11WC009840 -C 11WC009841 -C 35 11WC 15011 HERNANDEZ, MANUEL BG STAFFING 12/01/11 THE ROMAKER LAW FIRM ACCIDENT FUND HOLDINGS 36 11WC 16265 KRAHL, LANCE D M & R ELECTRONICS 08/18/10 THOMAS W DUDA KEEFE CAMPBELL & ASSOC LLC 37 11WC 26017 PHILLIPS, STEVEN J COUNTY OF LAKE 03/11/11 LINN, CAMPE & RIZZO LTD BERNARD WYSOCKI & ASSOCIATES 38 11WC 26486 19B BARTOLAI, DOMENIC ROTO LINCOLN MERCURY, INC 11/24/09 LINN, CAMPE & RIZZO LTD RUSIN MACIOROWSKI & FRIEDMAN 39 11WC 28538 ARNOLD, ALFRED JR MEDLINE 06/06/11 BAUM RUFFOLO & MARZAL LTD GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 40 11WC 30895 INSELBERGER, TIFFANY MERCER HR SERVICES 01/09/09 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 41 11WC 32238 REA, REGULO RUPRECHT COMPANY 08/02/11 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 12WC015363 -C 42 11WC 34278 PINEL, WILLIAM BLOOMINGTON PRAIRIE THUND 11/05/10 WOLFE LAW PC RUSIN MACIOROWSKI & FRIEDMAN 43 11WC 42314 RODRIGUEZ, HECTOR CARMEL CATHOLIC HIGH SCHO 08/03/11 BOTTO GILBERT GEHRIS SMITH AMUNDSEN LLC 44 11WC 43000 ROMERO, JOSE CSC ALUMINUM & GLASS INC 09/12/11 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 45 11WC 44249 FLORES, ANA MOST VALUABLE PERSONNEL 10/06/11 LAW OFFICE HUGO ORTIZ KOREY COTTER HEATHER RICHARD 46 11WC 44601 LAGUNAS, OMAR PERFORMANCE FLOORS, CORP 08/29/11 GALLIANNI DOELL & COZZI LT 47 11WC 45931 LOVINO, DARLENE MENARDS 09/15/10 ROMANEK & ROMANEK 48 11WC 49182 MARES, ISIDRA DOMENY TOOL & STAMPING 10/15/10 LINN, CAMPE & RIZZO LTD LAW OFFICES OF EDWARD J. KOZ 49 12WC 02007 DICKSON, YOLANDA SAM'S CLUB 01/04/12 ANESI OZMON RODIN NOVAK KO QUINTAIROS PRIETO WOOD & BOY 50 12WC 02525 PINA, SILVIA DOUBLE TREE 09/14/11 MARSZALEK AND MARSZALEK COZZI & GOGGIN-WARD 12WC002526 -C 13WC021552 -C 13WC021553 -C 51 12WC 06958 19B POOLE, RICKEY WAUKEGAN SCH DIST 60 02/03/12 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 52 12WC 07669 AVILES, MANUEL BAXTER 10/07/11 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 53 12WC 08431 MATTHEWS, BOB MARTIN PETERSEN CO 03/02/10 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 12WC008432 -C 16WC024862 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 54 12WC 12809 SHEPARD, REGINA D ABBOTT LABORATORIES, INC 02/29/12 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 55 12WC 13559 CIPPOLA, WILLIAM PEER BEARING 02/08/12 COLLISON LAW OFFICES WOLFE & JACOBSON, LTD 12WC023050 -C 56 12WC 15773 MARQUIS, CLARKE BEAULIEU GROUP 12/06/11 KINNALLY FLAHERTY KRENTZ & GRANT & FANNING 57 12WC 20006 KLING, RICHARD JR MEYER MATERIAL CO 10/28/11 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 58 12WC 20656 WEINBERG, RONALD NATURE PLUS 04/12/12 BARRY E BLUMENFELD NYHAN BAMBRICK KINZIE & LOWR 12WC020657 -C 59 12WC 22143 ORTIZ, CATALINA PARKER HANNIFIN CORP 04/24/12 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 13WC029622 -C 60 12WC 22626 TABAREZ, JOSE LUIS METROPOLITAN ASSOCIATES L 05/21/12 ACEVES & PEREZ PC LITCHFIELD CAVO 61 12WC 24174 RODAS, LUCIA WHITEHALL OF DEERFIELD 01/08/12 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 62 12WC 27487 ORTIZ, MANUEL ARCHITERRA @ W 03/30/12 SOSTRIN AND SOSTRIN PC MATTHEW LICAVOLI 63 12WC 28413 MITCHELL, ROY WAUCONDA CAR WASH 07/17/12 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 64 12WC 29780 GARCIA, GUSTAVO A/K/A CORRECT ROOFING & 06/19/12 COHN & COHN RUSIN & MACIOROWSKI LTD 65 12WC 32488 MALONEY, JAMES INTERBANK MORTGAGE COMPAN 01/12/12 WILLIAM L STEARNS HOLECEK & ASSOCIATES 66 12WC 32988 NAVARRO, RAMON A F WOODS INC 11/14/11 ROSARIO CIBELLA 67 12WC 34411 ISSA, BARBARA TRAYCEE HOME SERVICES 09/15/12 WOODRUFF & JOHNSON RODDY LAW LTD 68 12WC 34444 BOCCIA, CARMELA WALGREENS INC 04/20/12 KISS & ASSOCIATES LTD GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 69 12WC 36301 MOLINA, MARIA PRAIRIE PACKAGING 02/01/12 EPSTEIN, JACK R LAW OFFICE SPIEGEL & CAHILL, PC 70 12WC 36956 LARANCUENT, NELLY GOODWILL INDUSTRIES OF SE 12/12/11 POSTERLI, OSCAR ACCIDENT FUND HOLDINGS 14WC040211 -C 71 12WC 39145 COLLINS, CARY (AS EXECUTO BELL ENTERTAINMENT # 01/19/99 MARSZALEK AND MARSZALEK 72 12WC 40734 RICO, MARIA PRESTIGE MAINTENANCE USA 10/04/12 POSTERLI, OSCAR 73 12WC 41562 STEWART, MARY KAY & ASSOC 05/03/12 DWORKIN AND MACIARIELLO CASSANO & ASSOCIATES 74 12WC 44023 GUERRERO, LESLY CARDINAL HEALTH 08/15/12 ALAN A BLUM, PC HENNESSY & ROACH PC 75 13WC 00016 BURTON, KASEY D VISITING ANGELS 11/06/12 JOHN M BORCIA LAW OFFICE WOLFE & JACOBSON, LTD 76 13WC 00183 WERENSKI, RYAN WARREN TOWNSHIP 07/13/11 RIFFNER BARBER ROWDEN & SC HOLECEK & ASSOCIATES 77 13WC 00554 CARRASCO, FELIX ROCK TENN CP LLC 06/21/12 BOTTO GILBERT GAROFALO SCHREIBER STORM 78 13WC 02962 GIBBS, JENNIFER CLEARBROOK 07/17/12 CORNFIELD & FELDMAN THOMAS & ASSOCIATES 79 13WC 04711 19B OCHOA, GABRIEL LIQUID CONTROLS 08/01/12 STEVEN J SEIDMAN LAW OFFIC COZZI & GOGGIN-WARD 80 13WC 06065 ROLDAN, ALBERTO UNISTAFF INC 01/18/13 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 81 13WC 07837 MARTINEZ, JOSEPH SIEMEN'S BUILDING TECH 08/27/12 JAMES ELLIS GUMBINER & ASS KOPKA, PINKUS DOLIN, PC 82 13WC 08372 PANKIEWICZ, BRIAN J WAUKEGAN SCHOOL DISTRICT 08/23/12 ANTHONY J MAY BRADY CONNOLLY & MASUDA PC 83 13WC 10066 GIBSON, MICHAEL ECHELON CORPORATION 06/06/08 NEWLAND & NEWLAND WIEDNER & MCAULIFFE LTD 84 13WC 11058 MACHUCA, MARTHA HAAPENEN BROTHERS 02/27/13 MC HARGUE, JAMES P LAW OFF RUSIN & MACIOROWSKI LTD 85 13WC 14316 CONRAD, KELLY ROSALIND FRANKLINUNIVERSI 07/30/12 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 86 13WC 14361 NAJARRO, CARLOS MOST VALUABLE PERSONNEL 04/18/13 LUIS A ACEVES & ASSOC KOREY COTTER HEATHER RICHARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 87 13WC 14664 WASHINGTON, ANGELA M MARKETING STAFF D/B/A 11/03/12 FERRIS THOMPSON & ZWEIG STONE & JOHNSON CHARTERED 88 13WC 14930 BENDING, BRIT CHICAGO BEARS HR DEPARTME 06/18/12 GOLDBERG WEISMAN & CAIRO L MC ANDREWS & NORGLE LLC 89 13WC 15153 SLOVAK, TIMOTHY ILLINOIS MASONRY 01/19/12 NEWLAND & NEWLAND STONE & JOHNSON CHARTERED 11WC017164 -C 90 13WC 15887 BANOS, ALONSO ADS WAST HOLDINGS, INC./ 02/07/13 LINN, CAMPE & RIZZO LTD HINSHAW & CULBERTSON 91 13WC 17123 BAHENA, ISABEL WMS GAMING 03/12/13 RUSIN & MACIOROWSKI LTD 15WC013945 -C WMS INDUSTRIES 92 13WC 17168 MASLOWSKI, DANIEL TRADER JOE'S 05/05/12 DWORKIN & MACIARIELLO 93 13WC 17706 CLARK, SHAWN MIDWEST GENERATION LLC 02/21/13 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 94 13WC 19401 LABIANCO, FELICIA IDOT @ 03/25/13 DAVID W MARTAY MATTHEW LICAVOLI 95 13WC 19487 RODRIGUEZ, NICOLE ADVOCATE CONDELL MEDICAL 01/08/13 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM 96 13WC 19602 THOMAS, KATHLEEN MARIO TRICOCI HAIR SALONS 12/13/12 BOWMAN & CORDAY COZZI & GOGGIN-WARD 97 13WC 20159 DEAN, KELLY THE MENTA GROUP DBA 05/14/12 STEVEN J SEIDMAN LAW OFFIC HOLECEK & ASSOCIATES 13WC020160 -C 14WC002675 -C 14WC011696 -C 98 13WC 20195 BATEMAN, ANN DOMINICK'S 04/05/13 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 99 13WC 20584 CASHMORE, JIMMY D INTERNATIONAL DECORATORS, 10/13/12 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 100 13WC 22561 CORONADO, SANDRA P MERIDIAN HOME HEALTH 12/06/12 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 101 13WC 23258 MELGAR, ALVARO E CDW CORPORATION 05/31/13 BUDIN LAW OFFICES HENNESSY & ROACH PC 102 13WC 23981 MEJIA, MARCOS FABRICATION TECHNOLOGIES 06/06/13 FERRIS THOMPSON & ZWEIG 103 13WC 24439 WILLIAMS, JERMAINE MEDLINE 09/01/11 MEYERS & FLOWERS LLC 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 ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 104 13WC 25274 CHEVRETTE, BRUCE WILSON RAILING & METAL 12/15/10 PATRICIA HARDIMAN LAW OFFI ROBERT L. SMITH 105 13WC 25381 DAVIS, RICHARD NORTH POINTE RESOURCES 02/27/13 LANGENDORF, ROBERT A BRADY CONNOLLY & MASUDA PC 106 13WC 26284 MERAZ, CARLOS MVP STAFFING, INC 07/26/13 SOSTRIN AND SOSTRIN PC GRANT & FANNING 107 13WC 27001 BAIR, COURTNEY L JEWEL INC 01/10/13 LINN, CAMPE & RIZZO LTD 108 13WC 28590 CHAVEZ, MIQUEL A WASTE MANAGEMENT RECYCLE 07/08/13 EPSTEIN, JACK R LAW OFFICE 109 13WC 29091 WYCHE, QUIMESHA CARDINAL 06/04/13 DWORKIN & MACIARIELLO 110 13WC 29149 CAMPUZANO, HUGO COMPLETE CLEANING COMPANY 02/28/13 CULLEN HASKINS NICHOLSON LEAHY EISENBERG & FRAENKEL 111 13WC 29937 MELENDEZ, CARMEN M ST OF IL DPET OF HUMAN SE @ 08/18/13 GALLAGHER, DONALD V ASSISTANT ATTORNEY GENERAL 112 13WC 31247 AGUIRRE, DONALD J VITRAN 03/20/13 LEAHY, JAMES P GAROFALO SCHREIBER STORM 13WC031248 -C 113 13WC 31972 BRAN, CARLOS CARLOS BRAN REMODELING 10/09/12 LINN, CAMPE & RIZZO LTD 114 13WC 31976 GONZALEZ, LYDIA VAPOR BUS ENTERNATIONAL 02/23/13 ROSS J HELFAND GAROFALO SCHREIBER STORM 115 13WC 31997 KOSTIC, LESIA ADVOCATE CONDELL MEDICAL 01/17/12 GRAHAN J. JEEP GAROFALO SCHREIBER STORM 116 13WC 34924 NORTON, KATHERYN T VISTA EAST 09/13/13 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 117 13WC 35724 QUEZEADS, JOSE STONECASTERS, LLC 11/09/12 BOTTO GILBERT GEHRIS RODDY LAW LTD 118 13WC 35802 LOTHER, ALAN W CITY OF ZION 04/26/13 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 16WC002459 -C 16WC002460 -C 16WC002461 -C 16WC002462 -C 119 13WC 35807 PEDERSEN, CRAIG C JEWEL/NEW ALBERTSON'S, IN 06/28/13 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 120 13WC 35812 KRIKAU, GEORGE F III AT&T 01/17/13 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 13WC 36586 FUNEZ, KARLA FLEXIBLE STAFFING 07/01/13 JEROME FOREMAN & ASSOCIATE ALLEN KOPET & ASSOCIATES 122 13WC 36615 GIEBLEWICZ, BARBARA WALMART 01/06/13 CHRISTIAN & MANNO QUINTAIROS PRIETO WOOD & BOY 123 13WC 37937 MILLER, TOM INTERNATIONAL SERVICES IN 06/17/12 WOODRUFF & JOHNSON COZZI & GOGGIN-WARD 124 13WC 38557 CASTRO, ANTHONY PAUL MEDLINE INDUSTRIES/ 10/29/13 DOUGLAS RALLO PC GAROFALO SCHREIBER STORM 125 13WC 39285 CHAVEZ, JESUS LABOR SOLUTIONS 09/20/13 LINN, CAMPE & RIZZO LTD NEWLAND & NEWLAND 126 13WC 39520 PIERRE, RENETRICE ST OF IL DEPT OF ANN KILE 11/08/13 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 127 13WC 39541 HETLAND, JOSHUA HULSE JUVENILE DEPT OF 12/10/12 HANNIGAN & BOTHA, LTD WOLFE & JACOBSON, LTD 128 13WC 39595 HAMIL, JANET L AMERICAN GREETINGS 03/15/13 LINN, CAMPE & RIZZO LTD 129 13WC 40740 ERGISH, HEATHER LINCOLNSHIRE MARRIOTT RES 12/04/11 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 130 13WC 41048 ODUNUGA, ABDULWAHAB ANN KILEY DEVELOPMENTAL 10/26/13 STROM, NEAL B ILLINOIS ATTORNEY GENERAL 131 13WC 41696 MONTGOMERY, JIM WALMART DISTRIBUTION CENT 05/29/13 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 132 13WC 41977 19B O'CONNOR, TIMOTHY J VILLAGE OF HAWTHORN WOODS 02/15/13 RICHARD E ALEKSY RUSIN & MACIOROWSKI LTD 133 13WC 42484 HANDLEY, JUSTIN AEROTEK INC 08/22/13 GRAHAN J. JEEP SPIEGEL & CAHILL, PC 134 14WC 00252 KROPP, CLARENCE E KILDEER POLICE DEPT 12/07/13 RUBIN MACHADO ROSENBLUM RUSIN & MACIOROWSKI LTD 135 14WC 01145 MALDONADO, JUAN C ATLAS RESTORATION LLC 11/26/13 SOSTRIN AND SOSTRIN PC 136 14WC 01274 GALVAN, MANUEL AVERUS USA INC 10/22/13 BAUM RUFFOLO & MARZAL LTD CHILTON YAMBERT PORTER LLP 15WC013632 -C CORPSOL, INC. 15WC013633 -C 137 14WC 01278 GALLARDO, EUNICE LABOR POWER INC 11/27/13 FERRIS THOMPSON & ZWEIG MARC CAIRO 138 14WC 02248 TRUE, JERYL M UNITED AIRLINES INC. 12/20/13 VITELL & SPITZ LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 139 14WC 02521 RAGLAND, CAROLYN VW CREDIT, INC. 11/06/13 ROBERT EDENS GAROFALO SCHREIBER STORM 140 14WC 03357 FLACK, MIGUEL NATIONAL GYPSUM 01/14/14 ANKIN LAW OFFICE SPIEGEL & CAHILL, PC 141 14WC 03883 CARON, CRAIG ST OF IL DEPT TRANSPORTAT 01/25/14 GRAHAN J. JEEP ASSISTANT ATTORNEY GENERAL 142 14WC 04889 YOUNG, TONJUA LAKESIDE TRANSPORTATION 11/07/13 SEIDMAN MARGULIS & FAIRMAN GALLIANNI DOELL & COZZI LTD 143 14WC 05149 ZERMENO-SALGADO, MARIA J QUALITY LABOR SERVICES, L 01/02/14 KENNETH B GORE, LTD 144 14WC 05725 LANGE, JAMES A VILLAGE OF GURNEE 06/02/13 LINN, CAMPE & RIZZO LTD 145 14WC 06486 TEAGUE, SHEILA DENNY'S RESTAURANT 02/16/14 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 146 14WC 07338 PADGETT, DENNIS ABBVIE 08/01/11 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 147 14WC 08046 HANKINS, NELDRA HELP AT HOME INC 02/25/14 SKLARE LAW GROUP COZZI & GOGGIN-WARD 148 14WC 08968 REYES, AUGUSTO AUTONATION TOYOTA LIBERTY 03/04/14 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 149 14WC 09339 SKOFF, PAMELA KELLY MITCHELL GROUP * 03/07/14 KATZ FRIEDMAN EAGLE ET AL RUSIN MACIOROWSKI & FRIEDMAN 150 14WC 09425 HERRERA, MARIBEL CLUCKER'S CHARCOAL CHICKE 02/23/14 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES JOSEPH MARCINIAK 151 14WC 09899 MEVERDEN, RONALD J STATE OF IL-IDOT -WC @ 02/18/14 LINN, CAMPE & RIZZO LTD ASSISTANT ATTORNEY GENERAL 152 14WC 10000 FLETCHER WILSON, WANIKEE ANN KILEY DEVELOPMENTAL C 02/18/14 BAUM RUFFOLO & MARZAL LTD ILLINOIS ATTORNEY GENERAL 153 14WC 10514 WILLEMS, TIMOTHY J JELLY BELLY CANDY COMPANY 02/13/12 NEWLAND & NEWLAND LAW OFFICE OF LAWRENCE COZZI 154 14WC 10520 MESNARD, JOSEPH AUTOZONE, INC 01/29/14 GRAHAN J. JEEP GILDEA & COGHLAN 155 14WC 11907 MEJIA, CARMEN LABOR SOLUTIONS 12/12/13 CULLEN HASKINS NICHOLSON 156 14WC 11965 ROBLES, JUAN R MENARDS 08/30/12 MARK B PEAVEY, PC CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 14WC 12616 PATE, KENNETH II EMCO CHEMICAL DIST 03/28/14 DUDLEY & LAKE LLC THOMAS & PORTELA 158 14WC 13326 MACH, JAMES 84 LUMBER 12/14/13 MAINARD LAW OFFICE GRANT & FANNING 159 14WC 13920 FORREST, JOHN ALDI INC 05/20/13 LYNN D BARNETT 160 14WC 14244 IRIZARRY, JOSE GEORGE CARDENAS LANDSCAPI 08/20/13 CULLEN HASKINS NICHOLSON 161 14WC 14485 MARAVILLE, MARIA COLEMAN CABLE, INC 03/07/14 SALK, STEVEN B & ASSOC LTD GRANT & FANNING 162 14WC 14543 HIGGINS, MICHAEL GRAYSLAKE FIRE PROTECTION 09/17/13 LEWIS & DAVIDSON, LTD RUSIN & MACIOROWSKI LTD 14WC014544 -C 15WC011890 -C 163 14WC 14610 STURLINI, JOHN VILLAGE OF MUNDELEIN 02/25/14 DE FRIES LAW OFFICES PC BRYCE DOWNEY & LENKOV LLC 164 14WC 15259 ORTIZ, ANTONIO MILLARD CHICAGO WINDOW 03/18/14 LAW OFFICES OF ANSELMO DUR HOLECEK & ASSOCIATES 165 14WC 16061 SANTOS, ELVA M INTERNATIONAL PRECISION 04/03/14 DEPAOLO ZADEIKIS GORE ALBERT R. PINO LAW OFFICE 166 14WC 16120 LITZ, BROOKS T CITY OF ZION 12/05/13 THOMAS W DUDA DAVENPORT & WHITE 16WC002936 -C 167 14WC 16468 WOODRUFF, JEFFREY LTD COMMODITIES 03/04/14 WOODRUFF & JOHNSON LAW OFFICES JOSEPH MARCINIAK 168 14WC 17171 VENTURA, VERONICA CIRCUIT COURT CLERK 02/18/14 GRAHAN J. JEEP WOLFE & JACOBSON, LTD 169 14WC 17293 RIVERA, JANIE DARLENE LAKE COUNTY SHERIFF DEPT 04/18/14 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 170 14WC 17395 HUSTON, DARRELL W MOTOROLA MOBILITY INC 02/25/14 DOUGLAS RALLO PC BRADY CONNOLLY & MASUDA PC 171 14WC 17877 CALDWELL, MINERVA JP MORGAN CHASE 03/06/14 THOMAS J POPOVICH NYHAN BAMBRICK KINZIE & LOWR 172 14WC 19579 WILK, JEFFREY VILLAGE OF BUFFALO GROVE 01/01/14 RIDGE & DOWNES POWER & CRONIN LTD 15WC014347 -C 173 14WC 19747 DURAN, ENRIQUE WASTE MANAGEMENT 05/21/14 DEPAOLO ZADEIKIS GORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 174 14WC 20163 SULLIVAN, JOANNE E AT & T INC 02/24/14 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 175 14WC 20917 NAVARRETE, MARIA THE POPCORN FACTORY 04/01/14 CULLEN HASKINS NICHOLSON LAW OFFICES FRANCESCA LARSEN 176 14WC 21427 TLATENCHI, CLAUDIA MIDTOWN ATHLETIC 05/27/14 FERRIS THOMPSON & ZWEIG 177 14WC 21706 FLYNN, FRANK ALL AMERICAN WASHER WERKS 05/17/14 CAPRON & AVGERINOS PC KEEFE CAMPBELL & ASSOC LLC 178 14WC 22094 HAGEN, JOHN MENARD, INC 11/16/13 DUDLEY & LAKE LLC CHILTON YAMBERT PORTER LLP 179 14WC 22754 NASH, VALIZA NORTH CHICAGO POLICE DEPT 06/01/14 COLLISON LAW OFFICES INMAN & FITZGIBBONS 180 14WC 23305 CASTRO, JAVIER ARTHUR WEILER INC 06/17/14 SOSTRIN AND SOSTRIN PC WOLFE & JACOBSON, LTD 181 14WC 23565 NASH, KURT SR CITY OF NORTH CHICAGO 03/07/14 COLLISON LAW OFFICES 182 14WC 24054 ROGEL, DELIPE NAVA BLUE STONE CONSTRUCTION 05/10/14 PARENTE & NOREM PC HENNESSY & ROACH PC 183 14WC 24167 BLOOM, MICHAEL J GREATER ROUND LAKE FIRE 08/26/13 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 184 14WC 24266 HUBKA, MICHAEL BRICKMAN GROUP 06/26/14 HEALY SCANLON LAW FIRM RUSIN & MACIOROWSKI LTD 185 14WC 24298 THOMAS, CINDY L GIFT OF HOPE, INC. 02/14/14 LINN, CAMPE & RIZZO LTD LAW OFFICES JOSEPH MARCINIAK 14WC043115 -C 186 14WC 24606 MICHAEL, PATRICK P CITY OF NORTH CHICAGO 11/19/12 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 187 14WC 24807 GONZALEZ, MARCO TULIO T T C LANDSCAPING 09/15/12 CULLEN HASKINS NICHOLSON 188 14WC 25283 SURUY, LUIS QUALITY LABOR SERVICES LL W 06/11/14 JAMES ELLIS GUMBINER & ASS 189 14WC 25551 HOGAN, DAN WALSH CONSTRUCTION 05/06/14 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 190 14WC 26289 GIBSON, TINA AMCOR 09/17/13 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 191 14WC 27223 NIAMBA, ERIC J M E MARKETING INC 10/25/13 BAUM RUFFOLO & MARZAL LTD COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 192 14WC 27425 ZOBEL, VINCE IL BELL TELEPHONE CO./AT& 12/21/12 HENNESSY & ROACH PC 193 14WC 27480 CERRILLO, LORENA ECHO INC 06/05/14 ILLINOIS INJURY LAWYERS WIEDNER & MCAULIFFE LTD 194 14WC 27846 SMITH, FATHALIA DOVENMUEHLE MORTAGE, INC. 08/01/14 PARENTE & NOREM PC 195 14WC 28137 CLAUSON, ELIZABETH QPS EMPLOYMENT GROUP & JS 11/21/13 POSTERLI, OSCAR WOLFE & JACOBSON, LTD 196 14WC 28157 SPAETH, TIFFANY NORTH POINTE RESOURCES 05/25/11 DUDLEY & LAKE LLC 197 14WC 28363 PODLESH, ADAM CHICAGO BEARS FOOTBALL CL 04/10/13 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 15WC007751 -C 198 14WC 28380 NOURIGAT, ROBERT AEREX PEST CONTROL 03/07/14 QUINTAIROS PRIETO WOOD & BOY 199 14WC 28500 KARBEL, JON NU-WAY TRANSPORTATION SER 09/25/13 MARKER & ASSOCIATES COZZI & GOGGIN-WARD 200 14WC 28993 NOBLE, LENARD ROHRS AND SON 05/17/13 MAINARD LAW OFFICE 201 14WC 29474 SPLITT, RANDYLL VILLAGE OF LIBERTYVILLE 04/04/14 FRANKS, GERKIN & MCKENNA P POWER & CRONIN LTD 202 14WC 30155 19B OLZEWKSI, KEN CITY OF HIGHLAND PARK 07/31/14 OWENS & LAUGHLIN LLC POWER & CRONIN LTD 203 14WC 30199 REIS, DAWN VILLAGE OF ROUND LAKE BEA 03/15/14 GOLDBERG WEISMAN & CAIRO L ROBERT L. SMITH 12WC024697 -C 12WC024698 -C 14WC030198 -C 204 14WC 30389 ALLARD, TIMOTHY SODEXO 09/19/13 AMY STREGE WIEDNER & MCAULIFFE LTD 205 14WC 30765 KLERMAN, JOHN T WENDY'S RESTAURANT 03/18/13 SOSTRIN AND SOSTRIN PC BRYCE DOWNEY & LENKOV LLC 206 14WC 31711 WALTZE, JOHN TOWNSHIP HIGH SCHOOL 09/06/14 LAW OFFICES OF MARK SCHAFF NYHAN BAMBRICK KINZIE & LOWR 207 14WC 31944 SMITH, TYRONE ARAMARK 07/27/14 VASILATOS & COTTER LLC 208 14WC 32068 ANDERSON, GWENDOLYN PACE SUBURBAN BUS 07/10/14 AIOSSA LAW FIRM POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 209 14WC 32521 AVILA, EVELYN J MCDONALDS 08/24/14 SOSTRIN AND SOSTRIN PC 210 14WC 32980 RIVERA, OMAR OLIVE GARDEN 11/22/13 WOODRUFF & JOHNSON COZZI & GOGGIN-WARD 211 14WC 33087 HADLEY, JENNIFER JEWEL OSCO STORE 3405 04/30/14 DUDLEY & LAKE LLC QUINTAIROS PRIETO WOOD & BOY 212 14WC 33350 VERLEY, MICHELLE KINDERCARE LEARNING CENTE 11/11/13 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 213 14WC 34145 HUERTA, MARIA L WEALSHIRE 09/18/14 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC 214 14WC 34398 BRENNER, DIANA JEWEL FOOD STORES 07/27/14 PETER C KOPOULOS BRADY CONNOLLY & MASUDA PC 215 14WC 34578 RAYNIAK, JEANNE ADVOCATE/GOOD SHEPHERD HO 08/26/12 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 216 14WC 34861 VALDERAS, DEBORAH FAIRFIELD INN MARRIOTT 06/09/14 STROM, NEAL B BRYCE DOWNEY & LENKOV LLC 217 14WC 35145 HERWERTH, DEBBIE L SEARS INC 03/27/14 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 16WC033851 -C 218 14WC 35655 VALDIVIA, MARIA MATTHEWS PROFESSIONAL 10/03/14 ANKIN LAW OFFICE THOMAS & PORTELA 219 14WC 36184 GOMEZ, EVERARDO PUGSLEY & LAHAIE LTD 09/19/14 GRAHAM J. JEEP RIPES NELSON BAGGOT KALOBRAT 220 14WC 36941 LAMBETA, GARRET VILLAGE OF ROUND LAKE HTS 05/16/14 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 221 14WC 37108 BERTAUD, DAVID T GURNEE POLICE DEPT 08/06/14 TAMVAKIS, GEORGE L ANCEL GLINK DIAMOND BUSH & E 222 14WC 37267 GREAR, KANDIS A WALGREENS 07/06/14 HANNIGAN & BOTHA, LTD GILDEA & COGHLAN 223 14WC 37612 GUZMAN, RAUL SALUSTIO ORTIZ W 09/04/14 DAVID J. BAWCUM TAMVAKIS, GEORGE L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 224 14WC 37625 ROCK, CHERLE WOODLAND INTERMEDIATE SCH 09/08/14 LOUIS A PLZAK & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 225 14WC 37676 MC LEAN, WILLIAM JASON INC. 07/31/14 HANNIGAN & BOTHA, LTD COZZI & GOGGIN-WARD 15WC023815 -C METALEX 226 14WC 38162 DAVIS, VALERIE TARGET CORPORATION 03/10/14 LEO ALT NYHAN BAMBRICK KINZIE & LOWR 227 14WC 38496 BUSTAMANTE, EVERARDO LOGAN GRAPHIC PRODUCTS 08/12/14 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 228 14WC 38552 19B MAYER, GREGORY SLEEPYS LLC 01/22/14 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 229 14WC 38585 MORGRET, CHRISTOPHER VILLAGE OF WILMETTE 09/04/14 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 230 14WC 38711 LATTIMORE, WILLA NICSASA 10/20/14 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 231 14WC 38971 ORTEGA, ALEX WISCON CORP 01/22/12 MC HARGUE, JAMES P LAW OFF LAW OFFICES JOSEPH MARCINIAK 14WC038972 -C 232 14WC 39320 PETERSON, PAT MARY ANN GALDINO-GOMEZ 11/11/13 WOODRUFF & JOHNSON ACCIDENT FUND HOLDINGS 233 14WC 39554 KENNEDY, ANGELA WAUCONDA CAR WASH & DETAI 01/10/13 RIFFNER BARBER ROWDEN & SC GANAN & SHAPIRO 234 14WC 41907 MILUTINOVIC, NIKOLA ROAD SAFE TRAFFIC SYSTEMS 10/23/14 ANGELINI & ORI LLC RUSIN & MACIOROWSKI LTD 14WC041908 -C 235 14WC 42543 RIVERA, MARTHA MEDLINE INDUSTRIES 07/02/13 FERRIS THOMPSON & ZWEIG GAROFALO SCHREIBER STORM 236 14WC 42802 RAUSA, IRENE PEAPOD 07/10/14 HORWITZ HORWITZ & ASSOC LITCHFIELD CAVO 237 14WC 42968 TORIBIO, MARIA M ZURICH 11/20/14 LINN, CAMPE & RIZZO LTD MC ANDREWS & NORGLE LLC 15WC038946 -C UNISTAFF INC 238 14WC 42993 JUAREZ, FIDEL FELIX & G TREE SERVICE IN 11/25/14 GOLDSTEIN AIOSSA & GOOD 239 14WC 43695 MCDOW, MICHAEL THELEN SAND & GRAVEL INC 12/04/14 DIAMOND & LESUEUR PC QUINTAIROS PRIETO WOOD & BOY 240 15WC 00308 GOLEMBECK, AMY WIDOW OF ZION SOLUTIONS 08/21/14 ANESI OZMON RODIN NOVAK KO QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 241 15WC 00402 GARCIA, ARACELI MOST VALUABLE PERSONNEL 11/02/14 GOLDSTEIN BENDER & ROMANOF KOREY RICHARDSON LLC 242 15WC 00643 CAMPUZANO, GILBERTO DIAMOND MARKETING SOLUTIO 08/22/13 VRDOLYAK LAW GROUP LLC NEWLAND & NEWLAND 243 15WC 00829 MANDELL, BOBBE EQUINOX HOLDINGS INC 06/17/14 SOSTRIN AND SOSTRIN PC EDWARD JANUSZKIEWICZ 244 15WC 01455 THORKILSEN, JOHN ANN KILEY CENTER 05/13/13 ANTHONY ESPOSITO ASSISTANT ATTORNEY GENERAL 245 15WC 01640 COSEY, ROLAND P ABBVIE INC 05/01/14 COLLISON LAW OFFICES WIEDNER & MCAULIFFE LTD 246 15WC 02358 MEDINA, ANDEY LABOR SOLUTION 11/22/14 ANTHONY ESPOSITO NEWLAND & NEWLAND 15WC012212 -C 15WC014344 -C IPCC 247 15WC 02967 BOWDEN, WILLIAM P NELSON FIRE PROTECTION CO 11/25/14 GREG TUITE & ASSOC HOLECEK & ASSOCIATES 248 15WC 03327 LEACH, BRITTANY PURE HEALTH SOLUTION, INC 06/27/14 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 249 15WC 03354 MENDEZ, LORENA RJB PROPERTIES 11/10/14 FERRIS THOMPSON & ZWEIG 250 15WC 03794 COLON, ANGEL MARIANO'S/ROUNDY'S 11/25/14 NEWLAND & NEWLAND BRYCE DOWNEY & LENKOV LLC 251 15WC 04107 CRUZ, ARTURO IMAGE ONE INC 02/19/14 DEPAOLO ZADEIKIS GORE HENNESSY & ROACH PC 252 15WC 04482 MANGINI, ROBERTA PHILLY G'S, LTD 12/31/14 NEWLAND & NEWLAND RUSIN & MACIOROWSKI LTD 253 15WC 04594 ROEWART, MICHAEL MANEVEL CONSTRUCTION CO. 10/20/14 ANESI OZMON RODIN NOVAK KO 254 15WC 04645 ROWLAND, PATRICK TWO MEN AND A TRUCK 03/10/14 ROSS TYRRELL 255 15WC 04901 MACIAS, JUAN PCI CHICAGO INTERIOR 12/10/14 CRONIN & PETERS HENNESSY & ROACH PC 256 15WC 05384 REICH, DANIEL R ZION FIRE DEPT 06/30/14 FIGLIOLI, DAVID 257 15WC 05475 CAHUE, JOSE J. WAUKEGAN PUBLIC SCHOOL #6 11/19/13 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 258 15WC 05575 GUZMAN, YOLANDA NEMERA 01/16/15 JONATHAN SCHLACK HENNESSY & ROACH PC 259 15WC 05592 FERGUSON, CHRISTOPHER M CITY OF WAUKEGAN 01/24/15 THOMAS W DUDA BERNARD WYSOCKI & ASSOCIATES 15WC032255 -C 260 15WC 05647 RAHIM, MIR PARK DISTRICT OF 06/17/14 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 15WC005648 -C 261 15WC 06337 RUEDA, FELIPE V&J LANDSCAPING 05/08/14 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 262 15WC 06382 ACOSTA, EDUAL ACACIA SPICE CO 11/13/12 LINN, CAMPE & RIZZO LTD 263 15WC 06776 RAMOS, LUIS HIGHLAND PARK MOTORCARS I 12/23/13 HORWITZ HORWITZ & ASSOC 264 15WC 07033 LEVI, TODD A EMCO CHEMICAL DISTRIBUTOR 12/03/14 LINN, CAMPE & RIZZO LTD 265 15WC 07045 LEVI, TODD A EMCO CHEMICAL 12/06/14 LINN, CAMPE & RIZZO LTD 266 15WC 07213 BANCE, JAIME AMGEN INC 09/19/14 STEPHAN L. HOFFMAN WIEDNER & MCAULIFFE LTD 267 15WC 07421 NAVARETTE, ANTONIA GOODWILL INDUSTRIES 05/28/14 JAY SHETH ACCIDENT FUND HOLDINGS 268 15WC 07726 OVTCHEVA, ROZAI OAKVIEW FARM & KENNEL INC 02/12/15 MEYERS & FLOWERS LAW OFFICES JOSEPH MARCINIAK 269 15WC 08416 MACHUCA, MARTHA HAAPENEN BROTHERS 02/17/15 MC HARGUE, JAMES P LAW OFF ROSARIO CIBELLA 270 15WC 09244 SMITH, PAUL D BAXTER HEALTHCARE 11/07/14 KURASCH & KLEIN, LTD MACIOROWSKI SACKMANN & ULRIC 15WC009245 -C 271 15WC 09372 HERNANDEZ, CONSUELO ACCURATE PERSONNEL SERVIC 01/22/14 JOHN S. ELIASIK GRANT & FANNING 15WC009373 -C 272 15WC 09798 KRUSE, HEATHER OUTBACK STEAKHOUSE 02/28/14 NEWLAND & NEWLAND HOLECEK & ASSOCIATES 273 15WC 09916 DIAZ, JULIO C WASTE MANAGEMENT 02/19/15 AIOSSA LAW FIRM DWORKIN AND MACIARIELLO 274 15WC 09944 SILVA-MORALES, GABRIEL LEIDER'S PRAIRIE VIEW GAR 03/21/15 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 343 15WC 29524 DOPP, RICHARD HOME DEPOT USA, INC. 08/05/14 GRAHAM J. JEEP ADELSON TESTAN & BRUNDO 344 15WC 29661 MAGDA,MARIAN CALIFORNIA CLOSETS 08/25/15 DAVID W MARTAY HENNESSY & ROACH PC 345 15WC 29775 RAMIREZ, ROSA V MEDLINE INDUSTRIES 07/23/07 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 15WC029776 -C 346 15WC 29870 GALVAN, IVETH AUTO ZONE 08/07/15 JOHN S. ELIASIK GILDEA & COGHLAN 347 15WC 30943 MONTIEL, HECTOR MANCILLA CONTRACTOR'S INC 08/03/15 SOSTRIN AND SOSTRIN PC LAW OFFICES JOSEPH MARCINIAK 348 15WC 30983 LOPEZ, DANIEL SPRINGS WINDOW FASHIONS L 05/20/15 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 16WC002584 -C 349 15WC 31093 SALAMANCA, ELEUTERIO JELLY BELLY CANDY CO 08/13/15 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 350 15WC 31921 FABORITO, BOB D JR FONTIJNE GROTNES, INC 02/02/15 GALLAGHER, DONALD V HOLECEK & ASSOCIATES 351 15WC 32225 VAZQUEZ, RUBEN WEISS DEVELOPMENT CORP. 01/06/14 ANESI OZMON RODIN NOVAK KO 352 15WC 32388 WOJTULEWICZ, GRZEGORZ MASTERSHIP CONSTRUCTION C 08/27/15 ROSS TYRRELL 353 15WC 32484 THOMAS, SANDRA SECURITY FINANCE 07/27/15 SANDMAN LEVY & PETRICH LAW OFFICES JOSEPH MARCINIAK 354 15WC 32789 WHITE, KEVIN CHICAGO BEARS FOOTBALL CL 06/15/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 355 15WC 32919 XOCHIHUA, MARIO RAINBOW CLEANING SYSTEM I 09/22/15 JONATHAN SCHLACK 356 15WC 32962 ILLGES, DANIEL E ADVOCATE CONDELL MEDICAL 11/08/14 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 357 15WC 33034 GORSKI, THOMAS CAMPING WORLD 04/30/15 KARCHMAR & STONE QUINTAIROS PRIETO WOOD & BOY 16WC003365 -C 358 15WC 33106 COTTLES, FRANK FIFTH THIRD BANK 07/14/15 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 15WC033107 -C 359 15WC 33475 ACEVEDO, LUIS FRESENIUS MEDICAL CARE 08/20/15 FRANK A CELANI HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 360 15WC 33577 CRENSHAW, RONALD M COLEMAN CABLE INC 10/01/15 DAVID J. BAWCUM GANAN & SHAPIRO 361 15WC 33583 SCHMIDT, MICHAEL ROUND LAKE POLICE DEPT 01/09/15 MARSZALEK AND MARSZALEK 362 15WC 34013 DRWILA, MARK VCNA PRAIRIE 07/22/15 JAMES P. TUTAJ GAROFALO SCHREIBER STORM 363 15WC 34118 KUMER, MARK PACE SUBURBAN BUS 02/23/15 GOLDBERG WEISMAN & CAIRO L SLAVIN & SLAVIN 364 15WC 34414 HIDALGO, MAYELI XCEL STAFFING 09/17/15 AIOSSA LAW FIRM KOREY RICHARDSON LLC 365 15WC 34807 STEVENSON, NATHANIEL OLD NAVY 10/08/15 DWORKIN AND MACIARIELLO 366 15WC 34939 GARLOCK, DEAN WALMART 03/01/15 TAMVAKIS, GEORGE L GANAN & SHAPIRO 367 15WC 35235 DE TOMASI, MARK PROARC, INC. 10/02/15 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 368 15WC 35386 VAZQUEZ, ORLANDO L CHALET LANDSCAPING 10/01/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 369 15WC 35395 MILLER, THOMAS GOLAN'S MOVING STORAGE 09/16/15 LEONARD LAW GROUP LLC ROBERT L. SMITH 15WC035396 -C 370 15WC 35696 RAMOS DE GAONO, MIDGALIA CHICAGO MARRIOTT 10/13/15 ACEVES & PEREZ PC 371 15WC 35876 LAKES, DIEQUAWA ADA S MCKINLEY 10/22/15 AIOSSA LAW FIRM 372 15WC 36391 KRZEMINSKI, JAMES JR. HAVOLINE EXPRESS 10/14/15 LEO M. BLEIMAN & ASSOC RUSIN & MACIOROWSKI LTD 373 15WC 36767 SCHUBERT, JON CONCRETE STRUCTURES OF 09/21/15 HORWITZ HORWITZ & ASSOC LITCHFIELD CAVO 374 15WC 36826 ROBINSON, BRYANT ENVIROMENTAL HAZARD CONTR 08/19/15 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 375 15WC 36998 DAVIS, MARY EMCO CHEMICAL DISTRIBUTOR 10/28/15 ANKIN LAW OFFICE 376 15WC 37129 COLLIER, YOLANDA WAUKEGAN HOUSING AUTHORIT 11/01/14 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 377 15WC 37200 POLEP, KEVIN L AT & T INC 10/15/15 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 378 15WC 37351 ALVAREZ, FRANCISCO WEST ROCK CORRUGATED BOX 06/24/14 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 379 15WC 37540 HILL, CHRISTINE M VEIN CLINICS OF AMERICA 01/24/13 NEWLAND & NEWLAND 380 15WC 37651 WILLIAMS, JESSICA L CANCER TREATMENT CTRS AME 08/07/14 THOMAS W DUDA GAROFALO SCHREIBER STORM 15WC037652 -C 381 15WC 37678 JIMENEZ, ADALBERTO TERMAX CORP 04/18/15 BRILL & FISHEL 382 15WC 38093 RAMOS, BERNALDA BIG BOWL 09/25/15 LAW OFFICES YEVGENIY VAYSM NOBLE & ASSOCIATES PC 383 15WC 38145 MURPHY, MARQUITA WAUCONDA SCHOOL DIST #118 07/24/15 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 384 15WC 38370 BERNER, TRESA SPECIAL EDUCATION DISTRIC 01/12/15 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 385 15WC 38915 SMEJKAL, DAVID OSMAN CONSTRUCTION 06/15/15 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 386 15WC 39048 REYES, ALBERTO TERMAX CORPORATION 02/01/15 JAMES ELLIS GUMBINER & ASS 387 15WC 39057 MORADEL RUIZ, SANTOS I IMANOK FARM 06/24/15 MC HARGUE, JAMES P LAW OFF PAUL A COGHLAN & ASSOC 15WC039058 -C 388 15WC 39183 PEREDO, FELIPE ECHO INCORPORATED 06/12/15 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 389 15WC 39357 PENNY, DONALD J ACCURATE PERSONNEL SVCS 11/14/15 FERRIS THOMPSON & ZWEIG MC ANDREWS & NORGLE LLC 390 15WC 39424 MORENO, ALEXANDER ANTIOCH POLICE DEPT 05/15/15 GOLDBERG WEISMAN & CAIRO L 391 15WC 39683 GONZALEZ, HECTOR CHILI'S A K A ERJ DINING 12/06/15 DWORKIN AND MACIARIELLO NOBLE & ASSOCIATES PC 392 15WC 40973 HUIZAR, ROCKY MASTEC NORTH AMERICA INC 12/17/15 SALK, STEVEN B & ASSOC LTD 393 15WC 41000 ACOSTA, JUAN ROGEL XCEL STAFFING SOLUTION, L 10/26/15 JONATHAN SCHLACK KOREY RICHARDSON LLC 394 15WC 41116 AGUILAR, GUSTAVO CIC ROOFING 05/14/15 JONATHAN SCHLACK CAPUANI & SCHNEIDER 395 15WC 41549 ZARATE, ANTONIA MVP STAFFING 11/04/15 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 396 15WC 41598 MORRIS, CHARLES R YASKAWA AMERICA 10/23/15 KARNO, MARK L & ASSOC HENNESSY & ROACH PC 397 15WC 41678 ADKINS, JAIME L MUNDELEIN CONSOL SD #120 10/01/14 SEIDMAN MARGULIS & FAIRMAN 398 15WC 41812 HILL, SANDRIA STATE OF ILLINOIS @ 10/27/15 DOUGLAS RALLO PC ILLINOIS ATTORNEY GENERAL 399 15WC 41866 ESPINOZA, ROSALIO LAKE COUNTY FOREST PRESER 10/28/15 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 400 15WC 41956 KIM, HANCHUL YOUNG CONCRETE ENTERPRISE 07/21/15 WILLIAMS, ROBERT B LAW OFF WIEDNER & MCAULIFFE LTD 401 15WC 42005 GIRON, DORA D&W FINE PACK 12/05/15 BAUM RUFFOLO & MARZAL LTD GRANT & FANNING 16WC012205 -C 402 15WC 42267 LENCZUK, KATHIE MARIANO'S 06/05/15 CHEPOV & SCOTT LLC BRYCE DOWNEY & LENKOV LLC 403 15WC 42568 WANGALL, JEFFREY DOLLAR GENERAL 12/08/15 LEAHY EISENBERG & FRAENKEL 404 15WC 42636 ROACH, MICHAEL J R&L CARRIERS LLC 11/18/15 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 405 15WC 42665 SOTO, JULIO CATERED BY DESIGN 11/18/15 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 406 16WC 00087 CAHUE, JOSE WAUKEGAN SCHOOL DIST 60 09/29/15 ANTHONY ESPOSITO 407 16WC 00587 TAYLOR, BRIAN WASTE MANAGEMENT 12/04/15 MARKHAM M JEEP & ASSOCIATE GAROFALO SCHREIBER STORM 408 16WC 00865 SOTELO, LAUREN GLENKIRK 12/03/15 HANNIGAN & BOTHA, LTD 409 16WC 00937 GRANT, BETTY GOODWILL 12/11/15 AIOSSA LAW FIRM ACCIDENT FUND HOLDINGS 410 16WC 01227 KERRILL, JOSEPH JACK-SON AUTO SALES 01/04/16 STANCZAK LAW OFFICES RODDY LAW LTD 411 16WC 01335 PIPES, NITYSHAUWA ARAMARK 11/18/13 MC HARGUE, JAMES P LAW OFF STONE & JOHNSON CHARTERED 16WC001336 -C 412 16WC 01392 SHIN, DONGHOON H-MART 12/21/15 CORBOY & DEMETRIO PC WIEDNER & MCAULIFFE LTD 413 16WC 01489 CORONA, GLORIA ILLINOIS SECRETARY OF STA @ 11/21/15 DECARLO LAW GROUP ILLINOIS ATTORNEY GENERAL

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 450 16WC 06521 JOHNSON, SHANA POTRAIT INNOVATIONS 11/18/15 MARTIN L GLINK LAW OFFICE COZZI & GOGGIN-WARD 451 16WC 06789 REPIZO, FRANCISCO MBA BUILDING SUPPLIES 12/12/15 MACKEY & KRAMER PC 452 16WC 07116 BETANCOURT, ERIBERTO CARDINAL HEALTH 02/25/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 453 16WC 07262 GUZMAN, YOLANDA NEMERA 07/01/14 JONATHAN SCHLACK HENNESSY & ROACH PC 454 16WC 07574 GOMEZ, KIMBERLY THE MAIDS OF LAKE COUNTY 05/24/13 COHN & COHN BRADY CONNOLLY & MASUDA PC 455 16WC 07608 ROSALES, MARIA A. ECHO INCORPORATED 01/20/16 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 456 16WC 07646 NUNEZ REYES, EDGAR PERSONNEL STAFFING GROUP, 02/25/16 MC HARGUE, JAMES P LAW OFF KOREY RICHARDSON LLC 457 16WC 07725 SOSNOWSKI, DAN STANLEY STEEMER 09/09/15 DUDLEY & LAKE LLC BRYCE DOWNEY & LENKOV LLC 458 16WC 07781 DAVIS, TASHA GOODWILL INDUSTRIES OF 02/18/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 459 16WC 07808 CARNEY, JAMES F LINCOLNSHIRE RIVERWOODS F 05/21/13 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 460 16WC 07978 MATA, NORMA PATRICIA ANDREWS STAFFING, INC 02/17/16 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 461 16WC 08036 NICKENS, MANROS LABOR SOLUTIONS LLC 01/20/16 GRAHAM J. JEEP 462 16WC 08170 ZAVALA, LETICIA STEINHAFELS 11/30/15 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 463 16WC 08248 GOMEZ, MOISES THE CARE OF TREES/A DAVEY 11/06/15 LINN, CAMPE & RIZZO LTD 464 16WC 08337 BUTLER, NAKEYA ANN KILEY DEVELOPMENTAL C 05/21/14 DWORKIN AND MACIARIELLO ILLINOIS ATTORNEY GENERAL 465 16WC 08605 HARA, JAMES JEWEL FOOD STORES, INC 01/24/13 QUINTAIROS PRIETO WOOD & BOY 466 16WC 08810 MANERI, STEVEN CHICAGO BEERS FOOTBALL CL 04/24/13 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 467 16WC 08846 FLORES, ENRIQUE ROBERTO LABOR SOLUTIONS, INC. 07/06/15 HART & DAVID LLP

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 521 16WC 16714 PRYOR, CECLIA ARAMARK 03/28/16 MC HARGUE, JAMES P LAW OFF STONE & JOHNSON CHARTERED 522 16WC 16902 CADENA, MARIA G HELP AT HOME 05/12/16 AIOSSA LAW FIRM POWER & CRONIN LTD 523 16WC 17027 LINDOM, STEVE VILLAGE OF ANTIOCH 10/01/15 ROSS TYRRELL 524 16WC 17319 NESTEROWICZ, MICHAEL MERCY HOUSING MGMT GROUP 03/09/16 LEWIS & DAVIDSON, LTD 525 16WC 17614 LENZI, STEVEN CITY OF WAUKEGAN FIRE DEP 04/19/16 HANNIGAN & BOTHA, LTD BERNARD WYSOCKI & ASSOCIATES 526 16WC 17717 MENDEZ, ROSALBA CAPITAL SENIOE LIVING COR 05/17/16 AIOSSA LAW FIRM 527 16WC 17933 PLETTAU, JAY OSMAN CONSTRUCTION CORPOR 04/05/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 528 16WC 18153 SCOTT, VINCENT NEW BERN TRANSPORT CORPOR 04/08/14 LEWIS & DAVIDSON, LTD BRYCE DOWNEY & LENKOV LLC 16WC018154 -C 529 16WC 18308 BRYLKOWSKA, ANETA PARAGON SYSTEMS INC 01/12/16 URSULA BABICZ & ASSOC HENNESSY & ROACH PC 530 16WC 18528 ANTUNEZ, JAIME WOODLAND FOODS 05/17/16 DISPARTI LAW GROUP PA 531 16WC 18615 SCHROEDER, GERALD RILEY CONSTRUCTION CO, IN 06/23/15 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 532 16WC 18746 PRESTINARIO, DEANNA NORTH SHORE SD 112 04/20/16 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 533 16WC 18846 GREGORIO, EVELINDA TRANSITIONAL CARE LAKE CN 02/15/16 DRAKE & COLLOPY PC 534 16WC 19012 LUNDSTROM, TERESA SEDOL 11/16/15 KROL BONGIORNO & GIVEN LTD POWER & CRONIN LTD 535 16WC 19058 O'BRIEN, BARBARA J EGGERING ENTERPRISES LLC 12/07/15 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 536 16WC 19075 TINAJERO, GERARDO HINES BUILDING SUPPLY 01/11/16 JEROME FOREMAN & ASSOCIATE WOLFE & JACOBSON, LTD 537 16WC 19104 RIVERA, NORMA HORIZON WINDOW FASHIONS 03/13/16 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 538 16WC 19157 PISTILLI, LEONARD VERITAS DOCUMENT SOLUTION 05/04/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 539 16WC 19175 WILLAIMS, DENNIS CHICAGO TRANSIT AUTHORITY 08/17/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 540 16WC 19241 LYNN, RONALD KILDEER COUNTRYSIDE DIST 02/05/16 MARKHAM M JEEP & ASSOCIATE NYHAN BAMBRICK KINZIE & LOWR 541 16WC 19249 TORRES, VICTORIA BRITO MGA INNOVATION, INC 04/01/16 ANTHONY ESPOSITO MARC CAIRO 542 16WC 19302 AMBROCIO, YNEZ C. SALAS ELITE STAFFING 04/14/16 ANTHONY ESPOSITO 543 16WC 19533 PICCHIETTI, VITTORIO PARK DISTRICT OF HIGHLAND 04/26/16 DOUGLAS RALLO PC 544 16WC 19557 FALLUCCA, TIMOTHY E LYN-DEN, INC 06/14/16 ROBERT EDENS WIEDNER & MCAULIFFE LTD 16WC038120 -C 545 16WC 19607 MARTIN, MATTHEW VILLAGE OF LIBERTYVLL FIR 10/29/15 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 546 16WC 19756 HERNANDEZ, ALFONSO SILVERADO SENIOR LIVING 03/01/16 LEWIS & DAVIDSON, LTD 547 16WC 19907 BRYANT, KELLY LAKE COUNTY HEALTH DEPT 06/17/16 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 548 16WC 20200 BOWDEN, WILLIAM P. NELSON FIRE PROTECTION CO 05/23/16 TUITE LAW HOLECEK & ASSOCIATES 549 16WC 20264 HINES, WANOKA BUFFALO WILD WINGS 04/21/16 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 550 16WC 20350 TURNER, LAVETTE WALMART SUPERCENTER 03/26/16 BRISKMAN BRISKMAN GREENBER QUINTAIROS PRIETO WOOD & BOY 551 16WC 20539 SEIVERT, DEBRA CVS HEALTH 09/15/15 RIDGE & DOWNES HINSHAW & CULBERTSON 552 16WC 20736 MENA, SEFERINO TURF RESTORTION INC 05/04/16 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 553 16WC 20769 WALKER, CHRISTINE L VISUAL PAK EXPRESS 06/20/16 DOUGLAS RALLO PC HINSHAW & CULBERTSON 554 16WC 20848 TALAVERA, PEDRO ELITE STAFFING 06/20/16 POSTERLI, OSCAR 555 16WC 21002 LEWIS, JAMES L EMCO CHEMICAL DISTRIBUTOR 06/15/16 ANKIN LAW OFFICE THOMAS & PORTELA 556 16WC 21027 MORALES, MARIA COMPASS ONE LLC 03/23/16 CUSHING LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 557 16WC 21076 CRUZ, JUAN QUALITY LABOR SERVICES 06/20/16 DWORKIN AND MACIARIELLO 558 16WC 21130 RUNDE, MARILYN COLLEGE OF LAKE COUNTY 02/07/13 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM 559 16WC 21253 CASTRO, JESSICA L NORTHWESTERN MEDICINE LAK 12/06/14 THOMAS W DUDA 560 16WC 21301 FOUT, JAMES B CUSTOM NARDI SYSTEMS INC 10/17/15 LINN, CAMPE & RIZZO LTD KEEFE CAMPBELL & ASSOC LLC 561 16WC 21486 ESTELA, INOCENCIA JEWEL OSCO 05/12/16 JONATHAN SCHLACK 562 16WC 21559 PAOLI, MICHAEL FOREIGN & DOMESTIC AUTO B 05/02/16 COHN & COHN HEYL ROYSTER VOELKER & ALLEN 563 16WC 21941 WEIS, MARIANNE MARIANO'S 05/27/16 SMOLER LAW OFFICE, PC 564 16WC 21979 PAUL, RICK LABOR READY MIDWEST INC 06/24/16 NILSON STOOKAL GLEASON CAP GANAN & SHAPIRO 565 16WC 22163 TEISTER, JOHN SIX FLAGS GREAT AMERICA 07/06/16 DUDLEY & LAKE LLC 566 16WC 22197 EHLERT, SUZANNE JIMMY'S CHARHOUSE 06/23/16 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 567 16WC 22432 LOCKE, GILBERT L WALMART 05/09/15 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 568 16WC 22742 KHAN, NASIR SMALLEY 04/04/16 COSTA IVONE LLC ACCIDENT FUND HOLDINGS 569 16WC 22992 COOK, HENRY COMCAST - WAUKEGAN 03/28/16 STROM, NEAL B SPIEGEL & CAHILL, PC 570 16WC 23158 AQUINO, DEBRA MCDONALD'S 04/07/16 DISPARTI LAW GROUP PA BRYCE DOWNEY & LENKOV LLC 571 16WC 23219 HILL, DEON ACCURATE PERSONNEL SERVIC 07/18/16 GRAHAM J. JEEP MC ANDREWS & NORGLE LLC 572 16WC 23293 GARIBAY, MIGUEL THE MULCH CENTER LLC 12/10/15 FERRIS THOMPSON & ZWEIG 573 16WC 23414 HERNANDEZ-JIMENEZ, CARLOS RANDSTAD, INC. 05/06/16 LINN, CAMPE & RIZZO LTD SLAVIN & SLAVIN 574 16WC 23461 WELCH, TIMMY LABOR SOLUTIONS 07/18/16 TAMVAKIS, GEORGE L MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 575 16WC 23514 MARTINEZ-SANCHEZ, FELIX EMBASSY SUITES 03/23/16 LARRY FLEISCHER & ASSOCIAT HENNESSY & ROACH PC 576 16WC 23570 MINOGUE, JAMES O BERGER EXCAVATING CONTRAC 07/01/16 COHN & COHN BRYCE DOWNEY & LENKOV LLC 577 16WC 23955 NAVARRETE, YOLANDA ELITE STAFFING 07/21/16 MC HARGUE, JAMES P LAW OFF 578 16WC 24033 PEREZ, TOMAS MOST BLESSED TRINITY 12/01/15 MARKS & ASSOCIATES 579 16WC 24108 BROCKS, JAMES VILLAGE OF VERNON HILLS 12/20/15 FOOTE MIELKE CHAVEZ & O'NE POWER & CRONIN LTD 580 16WC 24189 ZIELINSKI, JOANN ADVOCATE CONDELL MEDICAL 02/17/16 PETER D CORTI LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 581 16WC 24240 MALDONADO, HORTENSIA ECHO INCORPORATED @ 02/11/16 LAW OFFICE OF SCOTT B SHAP 582 16WC 24351 GUTIERREZ, ALFREDO CEDAR ROOFING CO. LLC 07/18/16 CUSHING LAW OFFICES 583 16WC 24485 MADDEN, SEAN VILLAGE OF GRAYSLAKE 06/10/16 ZANCK COEN WRIGHT & SALADI RUSIN & MACIOROWSKI LTD 584 16WC 24515 CARROLL, MATT LAKE COUNTY CORRECTIONS 07/22/16 DWORKIN AND MACIARIELLO 585 16WC 24534 TESSEMA, DANIEL IL DEPT OF HEALTHCARE & @ 09/14/14 ABELSKI & ASSOCIATES LTD ILLINOIS ATTORNEY GENERAL 586 16WC 24719 BAILEY, JAMES NICHOLS CRANE RENTAL 06/08/16 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 587 16WC 24806 CARLSON, JACK A. ARAMARK 07/26/16 MAY & BUEGE 588 16WC 24870 SCHNEIDER, COLETTE ADVOCATE CONDELL MEDICAL 04/08/15 NYHAN BAMBRICK KINZIE & LOWR 589 16WC 24948 FLOWERS, JONTELLE S COMMUNITY ACTION PARTNERS 08/03/16 TOPPER & WEISS LTD 590 16WC 25025 KENDERA, MARY AGNES LAKE FOREST COLLEGE 07/11/16 BRILL & FISHEL HOLECEK & ASSOCIATES 591 16WC 25120 STEININGER, MARK E NORTERN AIR SYSTEMS 08/15/15 MAY & BUEGE LAW OFFICES JOSEPH MARCINIAK 592 16WC 25140 MALCOLM, CHARLES F JOSEPH A ALTMANN DRYWALL 07/29/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 593 16WC 25188 SCHWAB, CAROL WAUKEGAN PUBLIC SCHOOL 08/18/15 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 594 16WC 25253 MERAZ, CARLOS MOST VALUABLE 07/26/13 SOSTRIN AND SOSTRIN PC GRANT & FANNING 595 16WC 25323 ANDERSEN, NICOLE INLAND RESIDENTIAL REAL E 03/16/16 CAPRON & AVGERINOS PC POWER & CRONIN LTD 596 16WC 25639 CYCHOSZ, MICHELLE BELLWOOD INDUSTRIAL, INC 10/09/15 COSTA IVONE LLC 597 16WC 25671 RODRIGUEZ, XIOMARA ELITE STAFFING INC. 06/01/16 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 598 16WC 25761 ALLEN, DENNIS M BRAKE ALIGN PARTS & 07/14/15 GERHARDT & HASKINS NYHAN BAMBRICK KINZIE & LOWR 599 16WC 26111 BROWN, TERRYANN SIX FLAGS INC 07/26/16 GRAHAM J. JEEP BRADY CONNOLLY & MASUDA PC 600 16WC 26326 FLORES, MELESIO GRAND STAFFING AGENCY LLC 07/15/16 CULLEN HASKINS NICHOLSON PRETZEL & STOUFFER, CHRTD 601 16WC 26480 GARCIA, MARIA GUADALUPE GRAND STAFFING AGENCY, LL 08/02/16 CULLEN HASKINS NICHOLSON 602 16WC 26586 HUBER, DANIEL N CB RICHARD ELLIS INC 06/08/16 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 603 16WC 26752 KYRIAKOPOULOS, CATHERINE JEWEL-OSCO 07/01/16 OWENS & LAUGHLIN LLC QUINTAIROS PRIETO WOOD & BOY 604 16WC 26834 HERNANDEZ-ROMERO, MARCO AIJJ ENTERPRISES INC DBA 08/12/16 GRAHAM J. JEEP HENNESSY & ROACH PC 605 16WC 26938 LYNN, MICHAEL HOME DEPOT 07/02/16 KP LAW LLC 606 16WC 26949 PISSIOS, DEMETRIOS V. JEWEL FOOD STORES INC 07/31/16 ANKIN LAW OFFICE 607 16WC 27050 CARTER, ADAM ILLINOIS TOLLWAY @ 08/15/16 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 608 16WC 27178 CARRILLO, ANTONIO ELITE STAFFING, INC 04/14/16 SOSTRIN AND SOSTRIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 609 16WC 27260 BLANCA, ANA ITW 04/25/16 LAW OFFICE ROBERTO ACEVEDO HENNESSY & ROACH PC 610 16WC 27394 VENTURA, MARTHA CHANNER CORP. 01/11/16 MARKS & ASSOCIATES COZZI & GOGGIN-WARD 16WC036320 -C 611 16WC 27455 TISINAI, DAVID CITY OF LAKE FOREST 07/01/16 MARKS & ASSOCIATES POWER & CRONIN LTD 612 16WC 27506 RANDELL, MICHAEL LAKE COUNTY DEPT OF JUVEN 08/16/16 ANKIN LAW OFFICE WOLFE & JACOBSON, LTD 613 16WC 27724 ALVAREZ, JORGE TA CHEN INTERNATIONAL INC 08/15/16 DOUGLAS RALLO PC 614 16WC 27773 BURDEEN, LINDA KINDERCARE 07/25/16 STEPHEN G PINTO LTD HENNESSY & ROACH PC 615 16WC 27912 CITRON, KAREN SUNSET FOOD MART, INC 02/26/15 RAPAPORT, STEVEN I 16WC027913 -C 616 16WC 27934 CRUZ, JENNIFER M BANNER PERSONNEL SERBVICE 07/17/16 FIGLIOLI, DAVID BRADY CONNOLLY & MASUDA PC 617 16WC 27980 MARNELL, JOHN CHARLES NATURESCAPE 08/04/16 CULLEN HASKINS NICHOLSON 618 16WC 28127 CARRILLO, IRENE ELITE LABOR SERVICES, LTD 06/30/16 DUDLEY & LAKE LLC 619 16WC 28278 BENSON, TINA ANN KILEY DEVELOPMENT CEN @ 08/04/16 VASILATOS & COTTER LLC ILLINOIS ATTORNEY GENERAL 620 16WC 28335 BAEZ, IRMAL LAKE COUNTY HEATH DEPT 06/20/16 COSTA IVONE LLC SMITH AMUNDSEN LLC 621 16WC 28384 MORA, FACUNDO ECHO INC 10/05/15 FERRIS THOMPSON & ZWEIG 622 16WC 28426 MUNOZ-DOMINGUEZ, TOMAS XCEL STAFFING SOLUTIONS, 08/22/16 SALK, STEVEN B & ASSOC LTD GILDEA & COGHLAN 623 16WC 28443 ESCOBAR, JOSE SIGMA SERVICES CORP 06/20/16 SOSTRIN AND SOSTRIN PC 624 16WC 28464 BRONSON, CLYDE W COUNTY OF LAKE 07/31/16 LINN, CAMPE & RIZZO LTD 625 16WC 28467 HASSAN, ROBERT A LOWE'S 08/05/16 LINN, CAMPE & RIZZO LTD KEEFE CAMPBELL & ASSOC LLC 626 16WC 28523 AMBROCIO, ANA MARIA MVP 08/03/16 JOHN S. ELIASIK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 627 16WC 28539 FALSTAD, CHAD LIBERTYVILLE AUTO PLAZA 12/08/15 HANNIGAN & BOTHA, LTD ROSARIO CIBELLA 628 16WC 28588 WILSON, MARK C VILLAGE OF GURNEE 06/13/16 LINN, CAMPE & RIZZO LTD 629 16WC 28638 LAGUNES, SILVIA TERMAX CORPORATION 02/01/15 BOTTO GILBERT HOLECEK & ASSOCIATES 630 16WC 28710 BENITEZ, JOSEFA INTERSTATE HOTELS & RESOR 05/27/15 SEIDMAN MARGULIS & FAIRMAN SPIEGEL & CAHILL, PC 631 16WC 28769 BYERLY, ROBERT MAGIC WRENCH INC 01/19/16 GRAHAM J. JEEP LAW OFFICES JOSEPH MARCINIAK 632 16WC 28802 PETERS, CURT W MCLANE GOOD SERVICES INC 06/27/16 LINN, CAMPE & RIZZO LTD KEEFE CAMPBELL & ASSOC LLC 633 16WC 28851 POWELL, AARON CONCRETE STRUCTURES 09/15/16 HORWITZ HORWITZ & ASSOC LITCHFIELD CAVO 634 16WC 29063 FROHLING, LARRY AKORN INC 04/07/16 THERMAN LAW OFFICES HOLECEK & ASSOCIATES 635 16WC 29332 HEALY, KEVIN FASTENAL 05/23/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 636 16WC 29342 FRIEL, JOHN GURTZ ELECTRIC CO. 03/22/16 RICHARD O. GREENFIELD 637 16WC 29543 ZONNO, GAETANO TRINE CONSTRUCTION 09/30/15 MEYERS & FLOWERS 638 16WC 29654 IROCKY, JOSEPH MINI EARTH GREENHOUSE 07/02/15 ELFENBAUM EVERS & AMARILIO 639 16WC 29811 GENTRY, EDWARD ILLINOIS CARBIDE TOOL CO 08/15/16 RIDGE & DOWNES MCANANY VANCLEVE & PHILLIPS 640 16WC 29939 NIERMANN-HAAK, MARY LAKE PARK CENTER PARTNERS 08/24/16 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 641 16WC 30087 OYASOR, DAVIESON I WAUKEGAN PUBLIC SCHOOL 08/07/16 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 642 16WC 30098 MORENO-VALDEZ, PEDRO R JEWEL OSCO 08/08/16 LEE A CAMPBELL LAW OFFICE 643 16WC 30374 FRIAS, MIGUEL E APEX LANDSCAPING, INC 09/14/16 AIOSSA LAW FIRM 644 16WC 30453 SANCHA, SALVADOR ACCURATE PERSONNEL 08/19/16 LINN, CAMPE & RIZZO LTD MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 645 16WC 30465 CIMINO, DIANE JEWEL OSCO 09/16/16 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 646 16WC 30599 ALMAZAN, LUCIA ELITE STAFFING INC 07/13/16 MARKS & ASSOCIATES 647 16WC 30760 WRIGHT, NICOLE LAKE COUNTY CRISIS CTR 05/11/16 KARNO, MARK L & ASSOC RUSIN & MACIOROWSKI LTD 648 16WC 30975 MELENDEZ, FABIAN MACLEAN-FOGG 01/27/16 SANDMAN LEVY & PETRICH INMAN & FITZGIBBONS 649 16WC 31017 HOLBY, FRANCES JEWEL FOOD SERVICES INC 08/01/16 TARADASH LAW OFFICE 650 16WC 31071 WELSCH, SUZANNE CP COMPANIES, INC 02/01/15 MILLON & PESKIN LTD 651 16WC 31144 BONO, CHRISTOPHER TERRAIN GROUP INC W 06/17/16 CUDA LAW OFFICES 652 16WC 31192 SALAZAR, GERARDO JEWEL FOOD STORES INC 10/07/15 GOLDBERG WEISMAN & CAIRO L 653 16WC 31351 ORTIZ-GOMEZ, MARIE S MCDONALD'S 05/02/15 BERNARD WYSOCKI & ASSOCIAT 654 16WC 31371 BLUE, SHERROLD LABOR SOLUTION, LLC 10/07/16 ANKIN LAW OFFICE 655 16WC 31543 GUZMAN, AURORA H THE PILLOW FACTORY 05/02/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 656 16WC 31561 ORTIZ, JACQUELINE METROPOLITAN ASSOCIATES, 09/27/16 AIOSSA LAW FIRM 657 16WC 31677 VINIKOOR, CHERYL NORTHSHORE UNIVERSITY 07/26/16 ROBIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 658 16WC 31859 GAUZE, BRADY ACCURATE PERSONNEL 09/26/16 AIOSSA LAW FIRM RODDY LAW LTD 659 16WC 31904 MARTINEZ, RAMIRO MCDONALD'S LAKE FOREST 08/25/16 STROM, NEAL B 660 16WC 31946 SANCHEZ, LORENA PRESBYTERIAN HOMES INC/ 07/13/16 FERRIS THOMPSON & ZWEIG 661 16WC 32057 ROSE, TIFFANY RANDSTAD 10/03/16 DAVID W MARTAY 662 16WC 32134 ANDRADE, DELGADINA ANDREWS STAFFING 10/04/16 MC HARGUE, JAMES P LAW OFF SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 663 16WC 32241 RUIZ, YESICA ARAMARK SCHOOLD, LLC C/O 09/20/16 HETHERINGTON KARPEL BOBBER 664 16WC 32572 HERNANDEZ, LUCIA TEMPS NOW 09/30/16 AIOSSA LAW FIRM 665 16WC 32685 MACDONALD, KIMBERLY MT ST JOSEPH 03/01/16 POLANSKY & CICHON CHTD 666 16WC 32804 ESCOBAR, ROCIO SEDGEBROOK 08/23/16 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 667 16WC 32834 HUENING, JOAN M PETCO 09/17/16 RUBIN LAW GROUP 668 16WC 32982 CRUZ, OLIVIA DE LA CLARIDGE HEALTHCARE CENTE 09/13/16 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 669 16WC 33479 ALVAREZ, ANDREA GRAND STAFFING AGENCY 10/03/16 MC HARGUE, JAMES P LAW OFF WIEDNER & MCAULIFFE LTD 670 16WC 33618 SCHAPALS, MICHAEL LAKE BLUFF PARK DISTRICT 07/26/16 DUDLEY & LAKE LLC HENNESSY & ROACH PC 671 16WC 33639 BJORNSON, CAROL ADVOCATE CONDELL MEDICAL 07/11/16 NEWLAND & NEWLAND 672 16WC 33684 HERCOG, JENNIFER TJ MAXX 08/20/16 GOLDSTEIN BENDER & ROMANOF 673 16WC 33866 ASHLEY, KIM PRECISION PIPELINE 09/08/16 MICHAEL P MCCREADY & ASSOC WIEDNER & MCAULIFFE LTD 674 16WC 34053 VELIZ, MANUELA TRANSITIONAL CARE OF 03/05/16 SPENCER LAW OFFICES 675 16WC 34168 LOPEZ-AGUILERA, ROGELIO WAUKEGAN STEEL, LLC 09/14/16 SALK, STEVEN B & ASSOC LTD 676 16WC 34504 COLLINS, MARIAN STATE OF ILLINOIS - ANN K @ 06/29/16 BAUM RUFFOLO & MARZAL LTD ILLINOIS ATTORNEY GENERAL 677 16WC 34531 LIZCANO, PEDRO SCOTT BYRON & CO 12/22/15 STANCZAK LAW OFFICES 678 16WC 34580 CAVANAUGH, LISA SCHOOL OF ST MARY 10/12/16 GORDON & CENTRACCHIO LLC 679 16WC 34717 SOBON, DENNIS COST OF WISCONSIN 10/21/16 GOLDBERG WEISMAN & CAIRO L STONE & JOHNSON CHARTERED 680 16WC 34786 RODRIGUEZ, ROGELIO JACKSON LANDSCAPINT INC 09/29/16 CHEPOV & SCOTT LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 681 16WC 34806 DOTEN, PATRICIA A RAVINIA FESTIVAL ASSOCIAT 08/07/14 SHELDON I MINKOW & ASSOCIA CAPUANI & SCHNEIDER 682 16WC 34869 HENRY, SHARON NORTHWESTERN LAKE FOREST 09/18/16 FISHER & LAMONICA 683 16WC 34918 VAZQUEZ, ANTONIO CORNFIELDS INC. (BORROWIN 10/27/16 HANNIGAN & BOTHA, LTD 684 16WC 35077 HERRERA, RAFAEL HOLIDAY INN EXPRESS CHICA 05/05/16 EFTEKHARI LAW OFFICES SPIEGEL & CAHILL, PC 685 16WC 35369 CASTRO, JOSE WEST ROCK 12/08/15 LINN, CAMPE & RIZZO LTD 686 16WC 35375 BROWN, LARRY D JR ZELLER PLASTIKS 09/11/16 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 687 16WC 35378 REYNA, JULIO GIANT MAINTENANCE REST IN 07/26/16 LINN, CAMPE & RIZZO LTD 688 16WC 35399 CARBAJAL, RODNEY CITY OF HIGHLAND PARK 08/07/15 LINN, CAMPE & RIZZO LTD POWER & CRONIN LTD 689 16WC 35458 ISSAC, BENNY HANSEN MANUCTURING CO, IN 11/05/15 GRAHAM J. JEEP 690 16WC 35526 SWEATMAN, RICHARD LORIG CONSTRUCTION CO 04/20/16 HANNIGAN & BOTHA, LTD 691 16WC 35585 BARRY, MICHAEL E NORTH CHICAGO COMMUNITY 01/01/16 LINN, CAMPE & RIZZO LTD INMAN & FITZGIBBONS 692 16WC 35601 GARCIA, MARTHA THE BON-TON STORES INC 07/20/16 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 693 16WC 35726 ESCOBAR, ROSA WAUCONDA HEALTH CARE & RE 01/03/16 SOSTRIN AND SOSTRIN PC LAW OFFICES FRANCESCA LARSEN 694 16WC 35787 MOLIDOR, SANDRA J VILLAGE OF ROUND LAKE BEA 06/16/16 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 695 16WC 35788 MOLIDOR, SANDRA J VILLAGE OF ROUND LAKE BEA 06/17/16 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 696 16WC 36007 RODRIGUEZ, MIGUEL COMCAST 08/10/16 HANNIGAN & BOTHA, LTD POWER & CRONIN LTD 697 16WC 36049 CARRERA, JHOVANI TORCOLESE LANDSCAPING INC 09/22/16 NEWLAND & NEWLAND 698 16WC 36120 CERVANTES, MARTHA ELITE STAFFING 10/05/16 FERRIS THOMPSON & ZWEIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 699 16WC 36249 GUTHRIE, SUSAN WAUCONDA SCHOOL DISTRICT 08/25/16 DUDLEY & LAKE LLC 700 16WC 36315 SOLIS, FRANCISCO GREEN WORLD RECYCLING, LL 11/15/16 MARKHAM M JEEP & ASSOCIATE 701 16WC 36329 ANDRADE, JUAN MAJESTIC AUTO GLASS 11/23/16 WHITESIDE & GOLDBERG LTD 702 16WC 36413 HERNANDEZ, FELIPA ANDREWS STAFFING 11/13/16 JONATHAN SCHLACK SLAVIN & SLAVIN 703 16WC 36525 CRUMP, WANDA STATE OF IL DEPT OF HUMAN @ 02/05/15 BRISKMAN BRISKMAN GREENBER ILLINOIS ATTORNEY GENERAL 704 16WC 36550 RUBAN, IVONA COURTYARD BY MARRIOT 08/08/16 FINE, MARK S LAW OFFICES POWER & CRONIN LTD 705 16WC 36595 ELLIOTT, HEATHER HEARTLAND BANK AND TRUST 02/04/16 PETER D CORTI LAW GROUP COZZI & GOGGIN-WARD 706 16WC 36656 AVILA, MARIA NORTHWEST COMMUNITY HEALT 10/26/16 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 707 16WC 36975 GUTH, ROGER BIMBO BAKERIES USA 08/23/16 KELLY & KING 708 16WC 37046 LOWE, SHEREESA ENTERPRISE 11/23/16 SKLARE LAW GROUP KNELL & O'CONNOR 709 16WC 37241 WESLEY, CHARLES L INTL PRECISION COMPONENTS 11/10/16 DEPAOLO ZADEIKIS GORE 710 16WC 37274 FORD, SAVONTE ELITE STAFFING 12/01/16 AIOSSA LAW FIRM 711 16WC 37320 MELENDEZ, CARMEN STATE OF IL & ANN KILEY C @ 10/21/16 BAUM RUFFOLO & MARZAL LTD ILLINOIS ATTORNEY GENERAL 712 16WC 37335 LAKINS, MICHAEL W VILLAGE OF GRAYSLAKE 09/16/16 THOMAS W DUDA 713 16WC 37510 RICO-RODRIGUEZ, JOEL COUNTRYSIDE 04/14/16 BOTTO GILBERT 714 16WC 37570 VARGAS, RAFAEL MEDLINE INDUSTRIES 05/07/16 DAVID J. BAWCUM GAROFALO SCHREIBER STORM 715 16WC 37573 MARTINEZ, ISMAEL RELIEF ENTERPRISE INC 05/18/16 DAVID J. BAWCUM RIPES NELSON BAGGOT KALOBRAT 716 16WC 37575 MARTINEZ, ISMAEL RELIEF ENTEPRISE INC 04/22/16 DAVID J. BAWCUM CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 717 16WC 37727 CURLES, DEAN SIX FLAGS GREAT AMERICA 10/22/15 HANNIGAN & BOTHA, LTD 718 16WC 37844 KLEIN, ELLEN WW GRAINGER INC 08/13/14 KARCHMAR & STONE HENNESSY & ROACH PC 719 16WC 37951 KOZDRONKIEWICZ, RYSZARD KOVACS DECORATING & REMOD 12/10/14 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 720 16WC 38046 RIVERA, LUISA PERSONAL STAFFING GROUP 06/09/16 CHEPOV & SCOTT LLC 721 16WC 38074 CAVAZOS, MANUEL MC ELLY SERVICES INC 11/17/16 ANKIN LAW OFFICE 722 16WC 38319 EAGAN, DAVID TURNER CONSTRUCTION 10/24/16 SLAVIN & SLAVIN GAROFALO SCHREIBER STORM 16WC038320 -C 723 16WC 38332 VERMILLION, JOSEPH C. ILLIONIS TOLLWAY 11/11/16 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 724 16WC 38433 LIMA, HUGO E JR SHOE ACRES GOLF COURSE 11/19/16 TAMVAKIS, GEORGE L ACCIDENT FUND HOLDINGS 725 16WC 38495 BOSTON, PATRICK WARREN F THOMAS 11/08/16 MARKHAM M JEEP & ASSOCIATE STONE & JOHNSON CHARTERED 726 16WC 38581 MILLER, STEVEN J LITTLE TOMMY'S PLUMBING S 12/07/16 SIGMOND, STEVEN LAW OFFICES JOSEPH MARCINIAK 727 16WC 38678 VAZQUEZ, RUBEN WEISS DEVELOPMENT CORP 01/15/14 ANESI OZMON RODIN NOVAK KO 728 16WC 38703 REA, JOSE ALUMA SYSTEMS CONCRETE 09/17/16 FERRIS THOMPSON & ZWEIG 729 16WC 38795 SMIT, CATHY JEWEL OSCO 10/15/15 LAW OFFICE JOSHUA KARMEL 730 16WC 38997 SCATENA, THOMAS PEA POD 01/15/16 TARADASH LAW OFFICE LITCHFIELD CAVO 731 16WC 39076 LISS, VALERIE A VILLAGE OF ROUND LAKE 09/02/16 STROM, NEAL B RUSIN & MACIOROWSKI LTD 732 16WC 39155 KANKA, VICKIE S WORKING WORLD INC 09/13/16 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 733 16WC 39379 WOOD, DAWN QUORUM HEALTHCARE 11/03/16 TAMVAKIS, GEORGE L POWER & CRONIN LTD 734 16WC 39468 CHRISTMAS, PHILLIP NORTH SHORE WATER 05/25/16 GALLAGHER LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 735 17WC 00005 FLORES, ANA XCEL PERSONNEL 11/20/16 CHEPOV & SCOTT LLC GILDEA & COGHLAN 736 17WC 00214 INGOGLIA, MARIO VILLAGE OF ROUND LAKE BEA 08/24/16 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 737 17WC 00217 RICO, MARGARITA ARAMARK 12/04/16 LINN, CAMPE & RIZZO LTD 738 17WC 00257 MISIC, PAUL ABBOTT LABORATORIES 08/03/16 VASILATOS & COTTER LLC WIEDNER & MCAULIFFE LTD 739 17WC 00312 CLAY-TERRELL, KEITH RAYMOND CHEVROLET 12/21/16 DWORKIN AND MACIARIELLO 740 17WC 00384 ALONSO, ORALLA ANDREWS STAFFING 12/19/16 EPSTEIN, JACK R LAW OFFICE SLAVIN & SLAVIN 741 17WC 00416 GRANAT MELISSA ACCEL ENTERTAINMENT 02/11/16 CULLEN HASKINS NICHOLSON 742 17WC 00632 TOTTEN, KENNETH CITY OF ZION, POLICE DEPA 05/29/16 MARKHAM M JEEP & ASSOCIATE 743 17WC 00657 SCOTT, FRYDRECCO AEROTEK 09/02/16 CAPRON & AVGERINOS PC HEYL ROYSTER VOELKER & ALLEN 744 17WC 00776 COLGAN, VIOLETA TARGET CORPORATION 11/06/15 ANKIN LAW OFFICE 745 17WC 00893 RIVERA, CARLOS ACCURATE PERSONNEL SVCS 12/21/16 GREGORY W. SCRONCE 746 17WC 00903 SYNOWIEC, CONRAD DECISIONONE CORPORATION 11/11/15 DOUGLAS RALLO PC HOLECEK & ASSOCIATES 747 17WC 00920 DESARDEN, JOSE WESTROCK 12/05/16 HANNIGAN & BOTHA, LTD 748 17WC 00942 NEJMAN, SHARON M CRAIG BERGMANN 10/07/16 CULLEN HASKINS NICHOLSON 749 17WC 01039 FIGUEROA, LYNORE LAKE COUNTY 12/01/16 DAVID J. BAWCUM WOLFE & JACOBSON, LTD 750 17WC 01091 HERNANDEZ, SUSAN TRI CITY FOODS 09/29/16 CHEPOV & SCOTT LLC 751 17WC 01195 SANCHEZ, JUAN MENARDS HOME IMPROVEMENT, 03/19/14 BERNAT & BERNAT PC 752 17WC 01345 DELEJEWSKI, STANLEY MONDELEZ GLOBAL LLC 10/23/15 ASHER, RAYMOND L LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 753 17WC 01454 CAIN, ROLAND FED EX FREIGHT * 04/12/16 CAPRON & AVGERINOS PC QUINTAIROS PRIETO WOOD & BOY 754 17WC 01579 BATU-TIAKU, MUTEBA J SPRING MEADOWS 12/26/16 DUDLEY & LAKE LLC 755 17WC 01730 ROBERTS, SCOTT F WESTROCK 12/02/16 LINN, CAMPE & RIZZO LTD SPIEGEL & CAHILL, PC 756 17WC 01784 SWANSON, SANDRA IL BONE & JOINT INSTITUTE 04/02/15 STEVEN J TENZER, LTD LAW OFFICES OF EDWARD J. KOZ 757 17WC 01947 GERJOL, GREGORY A COPE PLASTICS 01/11/16 ROBERT EDENS 758 17WC 02020 RECENDEZ DE CHAVEZ, MA C. HUGHES ENTERPRISES 12/31/16 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 759 17WC 02135 PIFKE, WILLIAM STRITAR CONSTRUCTION DBA 04/11/15 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 760 17WC 02146 KLEICH, JASON C GM SIGN, INC 07/26/16 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 761 17WC 02237 PAGONIS, MARIA FRESENIUS KIDNEY CARE 10/18/16 NEWLAND & NEWLAND HENNESSY & ROACH PC 762 17WC 02292 ACKERLY, JOSEPH S SERVPRO 09/21/16 FRANKS & RECKENBERG RUSIN & MACIOROWSKI LTD 763 17WC 02517 NAJERA, CLEMENCIA ECHO INC 09/16/16 CHEPOV & SCOTT LLC 764 17WC 02578 LOPEZ, MICHAEL KONRAD CONSTRUCTION 12/06/16 HORWITZ HORWITZ & ASSOC 765 17WC 02618 DAWUD, LATEEFAH APTAR 10/03/16 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 766 17WC 02871 BOOKER, JW NELLESSEN'S EXPRESS, INC 01/16/17 JASON HAUCK 767 17WC 02910 DYKAS, LAURIE BRIGHT HORIZONS FAMILY 02/23/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 768 17WC 02919 FLORES, ALAN M EXPRESS EMPLOYMENT 01/17/17 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 769 17WC 02956 LONG, DONALD POLY-CLIP SYSTEM CORP 10/21/16 HANNIGAN & BOTHA, LTD LAW OFFICES OF EDWARD J. KOZ 770 17WC 03151 DANE, PRESTON BURNETT-DANE FUNERAL HOME 06/30/14 JOHN M BORCIA LAW OFFICE HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 771 17WC 03276 FINZEL, HENRIETTA HOME INSTEAD SENIOR CARE 01/16/17 DUDLEY & LAKE LLC 772 17WC 03383 CONTRERAS, JUAN C HIDDEN ARROW, INC. 08/05/16 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 773 17WC 03405 AMATO, RICHARD INTERNATIONAL AUTOS 09/02/16 WOODRUFF & JOHNSON WOLFE & JACOBSON, LTD 774 17WC 03440 FELDE, ROBERT ADVANCED RECOVERY 01/14/15 TAMVAKIS, GEORGE L ANCEL GLINK DIAMOND BUSH & E 775 17WC 03488 LEMKE, SARA B F/K/A THE GATEWAY FOUNDATION 12/09/16 LANNON LANNON & BARR LTD COZZI & GOGGIN-WARD 776 17WC 03505 RYAN, ROBERT E PRINT-O-TAPE INC 12/28/16 LINN, CAMPE & RIZZO LTD 777 17WC 03515 SANCHEZ, ROBERTO WOODY'S TREE SERVICE INC 01/07/17 AIOSSA LAW FIRM 778 17WC 03590 NEWMAN, KURT VILLAGE OF GRAYSLAKE POLI 11/04/16 RUBIN MACHADO ROSENBLUM 779 17WC 03633 SIEFERT, ROBERT NIELSEN ENTERPRISES, INC. 05/26/16 JASON HAUCK 780 17WC 03667 PARTIPILO, DANIELA GRAYSLAKE COMMUNITY 09/29/16 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 781 17WC 03670 WYKOWSKI, JOHN INGRAM ENTERPRISES, INC 01/16/17 HANNIGAN & BOTHA, LTD KEEFE CAMPBELL & ASSOC LLC 782 17WC 03731 EICKSTAEDT, TIMOTHY LAYNE CHRISTENSEN COMPANY 10/18/16 MEYERS & FLOWERS 783 17WC 03801 SEIDLER, STANLEY D CAPITAL SECURITY AND 01/11/17 ANKIN LAW OFFICE GRANT & FANNING 784 17WC 03864 CAPPELLO, ARON KOBAC 09/20/16 TAMVAKIS, GEORGE L CHILTON YAMBERT PORTER LLP 785 17WC 03907 OSBORN, ROBERT DHL EXPRESS 01/17/17 NEWLAND & NEWLAND HENNESSY & ROACH PC 786 17WC 03957 PEOPLES, ADRIAN L CITY OF LAKE FOREST 12/25/16 LINN, CAMPE & RIZZO LTD 787 17WC 04077 CHAVEZ, ANTIOCO EMBERS 11/04/16 SOSTRIN AND SOSTRIN PC 788 17WC 04315 WALLACE, JIM ST ANNE'S CHURCH 12/29/16 SOSTRIN AND SOSTRIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 789 17WC 04530 JONES, JUDITH RENTOKIL NORTH AMERICA 06/20/16 JAMES P. TUTAJ INMAN & FITZGIBBONS 790 17WC 04621 CLOUSE, LAURA SPECIAL EDUCATION DISTRIC 12/12/16 JAMES P. TUTAJ 791 17WC 04704 YILDIZ, CEMAL ALERIS INTERNATIONAL 01/12/17 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 792 17WC 04718 GRATZ, MICHAEL A IL DEPT OF TRANSPORTATION @ 12/13/16 LINN, CAMPE & RIZZO LTD MALLORY ZIMET 793 17WC 04770 POPE, ELNITA ROSS STORES INC 01/29/17 ANKIN LAW OFFICE 794 17WC 04870 FRYE, KEVIN STAPLES 05/27/16 BOGUSZ & BOGUSZ LTD HENNESSY & ROACH PC 795 17WC 05125 EVANS, BRIAN JONES LANG LASALLE DEVELO 02/06/15 GOLDBERG WEISMAN & CAIRO L SMITH AMUNDSEN LLC 796 17WC 05224 LINDSEY, SARAH STATE OF IL/ANN KILEY @ 07/08/16 BRISKMAN BRISKMAN GREENBER ILLINOIS ATTORNEY GENERAL 797 17WC 05289 JONES, NORMA AURORA PAC, LLC D/B/A 10/15/16 RUSSO & RUSSO LTD 798 17WC 05643 PANDULEV, HRISTO PARK DISTRICT OF HIGHLAND 02/12/17 DEUTSCHMAN, JEFFREY S HENNESSY & ROACH PC 799 17WC 05701 VIEYRA, JORGE WAUKEGAN STEEL 12/20/16 ENCINAS & ORNELAS 800 17WC 05840 LOPEZ, LUCERO PFIZER 05/26/16 FERRIS THOMPSON & ZWEIG 801 17WC 05996 RIORDAN, JULIANNE JEWEL OSCO 01/10/17 ELFENBAUM EVERS & AMARILIO 802 17WC 06134 SCOTT, MARVIN STATE OF IL ANN KILEY DEV @ 01/19/17 CORNFIELD & FELDMAN ILLINOIS ATTORNEY GENERAL 803 17WC 06166 LOPATINA, NATALIA G4S SECTURITY SOLUTIONS 02/20/17 SANDMAN LEVY & PETRICH 804 17WC 06313 HERRERA, ANA Y SURESTAFFING INC LOANING 02/06/17 SALK, STEVEN B & ASSOC LTD SURE-STAFF 805 17WC 06369 WRIGHT, JAMES MASTER TRUCK & TRAILER LL 03/13/15 JASON HAUCK RUSIN & MACIOROWSKI LTD 806 17WC 06380 OGDEN, JOANNE NORTHWESTERN LAKE FOREST 05/12/15 MARKS & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 807 17WC 06503 KILPATRICK, TAMIKA SILERADO SENIOR HIGHLAND 02/01/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 808 17WC 06553 KUSINA, MARCIN STONE MASONS OF USA INC 12/28/16 GOLDBERG WEISMAN & CAIRO L 809 17WC 06614 PARRA, MIGUEL ROSBOROUGH PARTNERS INC 11/04/16 JAMES ELLIS GUMBINER & ASS 810 17WC 06742 BURNS, DANIEL IMPERIAL WOODWORKING 01/13/17 PARENTE & NOREM PC 811 17WC 06846 DEMAS, LOUIS MIDWAY MOVING & STORAGE I 02/20/17 LAW OFFICES PAPPAS & BELL RUSIN & MACIOROWSKI LTD 812 17WC 06879 WOLFF, ROBERT CITY OF LAKE FOREST 04/22/16 RUBIN LAW GROUP 813 17WC 06941 VILLARREAL, JOSE RUPRECHT COMPANY 10/29/15 HANNIGAN & BOTHA, LTD COZZI & GOGGIN-WARD 814 17WC 07101 MCMAHON, JAMES MEDLINE INDUSTRIES 10/25/16 ROBBINS & ROBBINS LTD GAROFALO SCHREIBER STORM 815 17WC 07114 MADL, ROBERT THE FRESH MARKET, INC 11/05/16 DUDLEY & LAKE LLC SMITH AMUNDSEN LLC 816 17WC 07351 MOORE, THOMAS LAKE COUNTY FOREST PRESER 02/08/16 HANNIGAN & BOTHA, LTD 817 17WC 07387 ZUPEC, PATRICIA ILL DEPT OF HUMAN SERVICE @ 12/30/16 DUDLEY & LAKE LLC ILLINOIS ATTORNEY GENERAL 818 17WC 07560 UPCHURCH, RONALD TKG ENVIRONMENTAL 06/18/16 DWORKIN AND MACIARIELLO 819 17WC 07590 POLISZCZUK, CHARLES TOVAR SNOW PROFESSIONALS 02/08/17 MEYERS & FLOWERS 820 17WC 07676 VLADIVIAS, NORMA XCEL STAFFING SOLUTIONS 01/18/17 FERRIS THOMPSON & ZWEIG POWER & CRONIN LTD 821 17WC 07855 HILL-MAYERS, CHERIE GOOD WILL 10/18/15 AIOSSA LAW FIRM ACCIDENT FUND HOLDINGS 822 17WC 07998 VELAZQUEZ, NAZARIO MVP (BORROWING) 01/11/17 SOSTRIN AND SOSTRIN PC KOREY RICHARDSON LLC 823 17WC 08033 AGUAYO, HUGO METROPOLITAN STEEL 03/02/17 O'CONNOR & NAKOS 824 17WC 08107 GUZMAN, JUAN PABLO ALBIZU RUBENS SPRAY INSULATION I 02/10/17 EDWIN REYES LEGAL GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 825 17WC 08182 SIMMONS, RENITA L COMMUNITY HS DIST 117 01/04/17 LINN, CAMPE & RIZZO LTD GANAN & SHAPIRO 826 17WC 08287 LUKASZEK-SIERZ, SHERRY WALMART 02/03/15 DAVID M SPADA QUINTAIROS PRIETO WOOD & BOY 827 17WC 08374 LIDDY, MARY MARRIOT LINCOLNSHIRE LLC 05/05/16 COSTA IVONE LLC 828 17WC 08437 FISHER, JOSPEH M THE DELI SOURCE, INC 11/08/16 LINN, CAMPE & RIZZO LTD RODDY LAW LTD 829 17WC 08465 ZIRES, JOSE SIX FLAGS GREAT AMERICA 10/14/16 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 830 17WC 08533 MATA, OSCAR FLEXICORPS INC. 03/13/17 HERRERA LAW CENTER 831 17WC 08624 GHOLSTON, MALINDA STATE OF ILLINOIS/ @ 08/10/16 DUDLEY & LAKE LLC MALLORY ZIMET 832 17WC 08672 HESS, JAMES W FIRST INSURANCE FUNDING C 11/10/15 LAW OFFICES JOHN HEDRICH LAW OFFICES OF EDWARD J. KOZ 833 17WC 08724 BRESEMANN, DAVID ABBVIE, INC 02/07/17 DUDLEY & LAKE LLC 834 17WC 08802 REYES, BERNARDINO HN PERCISION & TRAVELERS 04/08/14 DEPAOLO ZADEIKIS GORE 835 17WC 08954 RODRIGUEZ, MARIA JEWEL OSCO 01/22/17 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 836 17WC 08962 SALAS, MARTA E WAUCONDA CARE 01/13/16 HANNIGAN & BOTHA, LTD 837 17WC 08994 BECERRA, LUIS Q.D. CARTAGE CO 10/13/16 ROSENFELD HAFRON SHAPIRO F HINSHAW & CULBERTSON 838 17WC 09072 SOSA, NICO TRANE AIR CONDITIONING 03/07/17 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 839 17WC 09108 ZECHMAN, JAMES ADVANCED MEDICINE INTEGRA 02/07/17 POLANSKY & CICHON CHTD LAW OFFICES OF EDWARD J. KOZ 840 17WC 09156 FRIAR, FELICIA ABBVIE 05/09/16 TAMVAKIS, GEORGE L 841 17WC 09198 MONTGOMERY, TAMEKA LASALLE GROUP 03/14/17 AIOSSA LAW FIRM 842 17WC 09290 GRAHOVAC, CLAUDIA X ELITE LABOR SERVICES FABT 03/13/17 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 843 17WC 09323 GARCIA, SILVIA ELITE STAFFING 08/24/16 DUDLEY & LAKE LLC 844 17WC 09396 GONZALEZ, YOLANDA PLEXUS 12/29/16 LIPKIN & HIGGINS LAW OFFIC ACCIDENT FUND HOLDINGS 845 17WC 09421 GRANDISON, NATHANIEL WALSH CONSTRUCTION 04/16/15 CULLEN HASKINS NICHOLSON HINSHAW & CULBERTSON 846 17WC 09456 BIALY, LESZEK FISHER CONTAINER CORP. 03/23/17 MICHALSKI & GUBERNAT WOLFE & JACOBSON, LTD 847 17WC 09562 MAKI, JAMES MILLER TREE SVC 11/06/16 JOHN M BORCIA LAW OFFICE 848 17WC 09592 JASSO, ESPERANZA HALYARD HEALTH INC 09/15/16 CULLEN HASKINS NICHOLSON 849 17WC 09653 BRANSKY, ROBERT JR KRAEMER NORTH AMERICA, LL 06/02/16 LINN, CAMPE & RIZZO LTD 850 17WC 09747 LAVRISA, CAROLE PETCO 02/12/17 HANNIGAN & BOTHA, LTD ADELSON TESTAN & BRUNDO 851 17WC 09750 BROWN, DEBRA MIDWAY MOVING & STORAGE 02/06/17 HEALY SCANLON LAW FIRM 852 17WC 09804 MILLER, BRIAN E CB RICHARD ELLIS, INC 01/05/17 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 853 17WC 10129 MCINTYRE, ROBERT WALMART 12/19/16 ROSS TYRRELL QUINTAIROS PRIETO WOOD & BOY 854 17WC 10190 TIMMONS, ALVIN PARAMOUNT STAFFING 03/16/17 DOUGLAS RALLO PC 855 17WC 10438 MONTGOMERY, TAMEKA AUTUMN LEAVES OF GURNEE 03/14/17 MARKS & ASSOCIATES 856 17WC 10447 FRUSTI, MARK A ASBACH & VANSELOW INC 01/25/17 FOOTE MIELKE CHAVEZ & O'NE 857 17WC 10462 SABAJ, MITCH VICTOR FORD 08/04/16 KEVIN P. JUSTEN PC 858 17WC 10613 BARTH, GEORGE ABLE ENGINEERING 10/01/15 LEO ALT GRANT & FANNING 859 17WC 10796 CIPRIANO, SEBASTIAN CAPTAIN PORKY'S 01/22/17 DUDLEY & LAKE LLC GANAN & SHAPIRO 860 17WC 10924 RENNO, KENNETH DHL 01/24/17 NEWLAND & NEWLAND HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 861 17WC 10989 GESCHKE, LAWRENCE DEGRAF CONCRETE CONSTRUCT 10/07/16 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 862 17WC 11138 GOMEZ, MARIA BAXTER HEALTH CARE 04/04/17 STEWART C ORZOFF 863 17WC 11149 KANIA, TERESA M UNITED AIRLINES 09/19/16 LINN, CAMPE & RIZZO LTD 864 17WC 11153 MORALES, VICTOR I SIGMA SERVICES, INC. 11/01/16 LINN, CAMPE & RIZZO LTD 865 17WC 11260 BRENNER, BRAD BANNER PLUMBING SUPPLY 12/29/14 KATZ FRIEDMAN EAGLE ET AL 866 17WC 11317 LABUDA, JOHN MEINEKE CAR CARE CENTER 03/11/17 GRAHAM J. JEEP 867 17WC 11373 KILPATRICK, TAMIKA SILVERADO SENIOR HIGHLAND 03/30/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 868 17WC 11450 PARADA, MARIO WASTE MANAGEMENT 11/05/15 DEPAOLO ZADEIKIS GORE 869 17WC 11469 ENCISSO, GABRIELA THORNGATE COUNTRY CLUB/ * 08/19/16 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 870 17WC 11609 GUARDIA, ANA LETICIA XCEL STAFFING SOLUTIONS L 03/16/17 JOHN E LUSAK POWER & CRONIN LTD 871 17WC 11674 WREZEL, KRISTINA LAKE FOREST HEALTH & FITN * 01/19/17 ROSENBERG EISENBERG ASSOC 872 17WC 11745 LEBBOS, GHADA TJ MAX OF IL * 08/11/16 ZANCK COEN WRIGHT & SALADI 873 17WC 11786 COHEN, MARSHA LINCOLNSHIRE PV SD 103 * 10/19/16 SEIDMAN MARGULIS & FAIRMAN 874 17WC 11928 MC CLAIN, CRAIG PERSONNEL STAFFING GROUP, * 04/12/17 ANKIN LAW OFFICE 875 17WC 12027 GOMEZ, JOSE ROUND LAKE PALLETS INC * 12/16/16 THE ROMAKER LAW FIRM OWENS & LAUGHLIN LLC 876 17WC 12071 GUERRERO, ROBERT CONCRETE STRUCTURES OF TH * 10/28/16 ANESI OZMON RODIN NOVAK KO 877 17WC 12114 ESPARZA, MARGARITO FLEXIBLE STAFFING SERVICE * 03/08/17 COSTA IVONE LLC ROSARIO CIBELLA 878 17WC 12272 KASHUL, PETER TARGET CORPORATION * 05/26/16 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 879 17WC 12319 LUGUE, LAWRENCE V AT&T MOBILITY SERVICES, L * 04/03/17 ROBBINS & ROBBINS LTD 880 17WC 12431 FRIES, CHRISTOPHER FLORENCE HART * 05/01/14 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 881 17WC 12476 COHEN, HEATHER AON HEWITT * 09/12/16 JASON HAUCK 882 17WC 12552 MARTINEZ, HOMERO MR. BOLTS, INC * 03/13/17 DUDLEY & LAKE LLC 883 17WC 12670 LOPEZ-ORTIZ, MIGUEL 5 STAR CONCRETE CONTRACTI * 07/25/16 NEWLAND & NEWLAND MCANANY VANCLEVE & PHILLIPS 884 17WC 12818 GUERRERO, JUAN A GRAND STAFFING AGENCY, LL * 03/21/17 LINN, CAMPE & RIZZO LTD 885 17WC 12867 BRIGGS, ROBERT M. ITW PASLODE * 09/27/16 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 886 17WC 13024 HAYES, DANIEL M DORMA USA INC * 02/27/17 GOLDBERG WEISMAN & CAIRO L 887 17WC 13153 GESKY, ARTHUR NORTH SHORE DIST 112 * 03/24/17 STANCZAK LAW OFFICES 888 17WC 13331 POSADAS, ALFONSO LB ANDERSEN - LIGHT FARMS * 01/19/16 JASON HAUCK 889 17WC 13400 SCHMIDT, ROBERT C ARAMARK SERVICES INC * 01/20/17 ANKIN LAW OFFICE 890 17WC 13406 OLSEN, LAURA JEWEL-OSCO * 05/29/16 RIDGE & DOWNES 891 17WC 13629 RAMIREZ, JOSE AKA SYNAX, INC * 06/16/16 GRAVLIN, MICHAEL J LLC 892 17WC 13705 SEGOVIA, LESLIE VANESSA WALMART * 03/23/17 SALK, STEVEN B & ASSOC LTD QUINTAIROS PRIETO WOOD & BOY 893 17WC 13807 LINDEN, VICTORENE A AMERICAN BLUE RIBBON * 08/22/16 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 894 17WC 13810 EDWARDS, LEROY FEDEX * 03/17/17 LINN, CAMPE & RIZZO LTD 895 17WC 13862 PARSONS, DORETTA BAXTER * 03/27/17 DUDLEY & LAKE LLC HENNESSY & ROACH PC 896 17WC 13904 AYALA, JOSE REFUGIO WOODLAWNS LANDSCAPING CO * 04/22/17 JAMES ELLIS GUMBINER & ASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 897 17WC 14064 MOSS, MORGAN SUNRISE SENIOR LIVING * 02/05/16 BARRY STEWART SILVER 898 17WC 14216 REDDING, JOSEPHINE ARAMARK * 01/05/17 DAVID J. BAWCUM 899 17WC 14242 ZARINANA, ANGELICA TEMPSNOW EMPLOYMENT AND * 05/20/16 JASON HAUCK GRANT & FANNING 900 17WC 14360 DELEON, ANAHI LIBERTYVILLE CHEVROLET, I * 01/15/15 JASON HAUCK 901 17WC 14541 RAND, LARY STRATOSPHERE QUALITY LLC * 07/07/16 PETER D CORTI LAW GROUP 902 17WC 14651 SANTIAGO, YESENIA BROOKDALE SENIOR LIVING * 03/09/17 COSTA IVONE LLC 903 17WC 14678 BEINLICH, MICHAEL W. GB SPRINKLER SYSTEMS, INC * 11/09/16 LINN, CAMPE & RIZZO LTD 904 17WC 14747 DOTY, MATTHEW MCDONALD'S * 04/27/17 KEVIN P. JUSTEN PC 905 17WC 14835 CARDENAS, ALFONSO XCEL STAFFING * 04/19/17 MARKS & ASSOCIATES GILDEA & COGHLAN 906 17WC 14896 TORRES, OSCAR S AEROTEK INC * 03/23/17 LEE A CAMPBELL LAW OFFICE 907 17WC 15076 HARRIS, JAMALL TRUGREEN * 05/15/17 AIOSSA LAW FIRM 908 17WC 15252 BARDI, JAN-PIERRE CITY OF LAKE FOREST * 06/18/14 THOMAS W DUDA 909 17WC 15361 REYES-CORTES, GONZALO SMITH MAINTENANCE CO. * 12/07/16 ANKIN LAW OFFICE 910 17WC 15406 PERAL, HELADIO MACLEAN-FOGG COMPANY * 04/01/17 MC HARGUE, JAMES P LAW OFF 911 17WC 15457 BACH, JOHN R COUNTRYSIDE FIRE * 02/03/16 DUDLEY & LAKE LLC 912 17WC 15603 RADULOVIC, MIRKA AMCOR FLEXIBLES * 03/12/17 DUDLEY & LAKE LLC 913 17WC 15847 DAVID, LAUREN NORTH SHORE * 08/03/16 SEIDMAN MARGULIS & FAIRMAN GOLDBERG SEGALLA LLC 914 17WC 15887 WILLIAMS, VERNETTA NORTHSHORE UNIVERSITY * 03/07/17 ANESI OZMON RODIN NOVAK KO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 915 17WC 15910 JUSTUS, ELSIE J RICHARD AND HELAINE MEYER * 04/23/16 ROBERT EDENS 916 17WC 15968 DEMARS, JANIS NEIL ENTERPRISES * 04/17/17 WOLFE LAW PC 917 17WC 16064 MARTINEZ, HORTENCIA PRESTIGE MAINTENANCE USA * 04/04/17 LINN, CAMPE & RIZZO LTD 918 17WC 16067 JOHNSON, NUYIN D. AEROTEK * 12/22/16 LINN, CAMPE & RIZZO LTD 919 17WC 16190 MAJEWSKI, DAWN ZELLER PLASTIK, INC * 05/18/17 DWORKIN AND MACIARIELLO 920 17WC 16333 SCIAME, PETER BIMBO BAKERIES USA * 03/14/17 RICHARD O. GREENFIELD 921 17WC 16478 DE CICCO, CORINNE STARBUCKS #281 * 01/21/17 KINNALLY FLAHERTY KRENTZ & 922 17WC 16741 VALDEZ, JORGE LOPEZ EDDIE LOPEZ DESIGN, LLC * 05/22/17 EDWIN REYES LEGAL GROUP 923 17WC 16957 LI, GUANGDA HONG KONG CHINESE RESTAUR * 06/10/15 JOHN S. ELIASIK 924 17WC 17057 WOJCIECHOWSKI, JEFFERY OLIVE GARDEN * 09/17/16 DWORKIN AND MACIARIELLO 925 17WC 17240 CARMONA, REYES MEZA ACCURATE PERSONNEL * 06/01/17 COSTA IVONE LLC 926 17WC 17298 BUNK, STEVEN JEWEL FOOD STORES, INC * 01/24/17 FISHER & LAMONICA 927 17WC 17363 WENTZEL, KEVIN PENNY'S REPAIR SVC * 04/20/16 SEIDMAN MARGULIS & FAIRMAN 928 17WC 17377 YARBROUGH, JANE STARBUCKS COFFEE CO * 03/14/17 DUDLEY & LAKE LLC 929 17WC 17407 JENKINS, JOSEPH COUNTY OF LAKE * 01/26/17 LINN, CAMPE & RIZZO LTD SMITH AMUNDSEN LLC 930 17WC 17516 TYLER, JOEZANA HOME WATCH CARE GIVER * 04/17/17 HORWITZ HORWITZ & ASSOC 931 17WC 17532 LIMON, CAROLINA TEMPSNOW EMPLOYMENT & * 05/24/17 HERRERA LAW CENTER 932 17WC 17625 MISEK, JOHN ILLINOIS TOLLWAY * 08/26/14 HANNIGAN & BOTHA, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 933 17WC 17678 EICHELBERGER, CYNTHIA KELSO BURNETT COMPANY * 09/18/15 MARKHAM M JEEP & ASSOCIATE 934 17WC 17734 JOHNSON, CHARLES ELITE STAFFING I NC * 05/25/17 COHN & COHN 935 17WC 17892 D'ASCANIO, MARK L FEATHER TREE STUDIOS LLC * 06/06/16 LINN, CAMPE & RIZZO LTD 936 17WC 17928 NICIKOWSKI, SHANE SAIA LTL FREIGHT * 07/05/16 CAPRON & AVGERINOS PC 937 17WC 17981 JONES, JUDITH RENTOKIL NORTH AMERICA * 06/19/14 JAMES P. TUTAJ 938 17WC 18045 DEMPSEY, ROBERT ROBERT SCHWAKE STONE CO * 06/09/17 LANCASTER, DEBORAH 939 17WC 18115 KOWALCZYK, CHRISTINA AMERICA ENTERPRISE BANK * 03/31/17 SEIDMAN MARGULIS & FAIRMAN 940 17WC 18135 PALOMINO, RENZO UPS * 08/05/16 LEONARD LAW GROUP LLC 941 17WC 18260 SHEPERD, JONATHON VILLAGE OF ROUND LAKE PAR * 01/06/17 LINN, CAMPE & RIZZO LTD 942 17WC 18324 CAMACHO, JAZMIN MCDONALD'S * 02/07/17 CULLEN HASKINS NICHOLSON 943 17WC 18423 SCHINLER, MARGARET ADVOCATE CONDELL MEDICAL * 12/13/16 COSTA IVONE LLC 944 17WC 18524 STYX, EDWARD A NORTH SHORE GAS * 04/10/15 GOLDBERG WEISMAN & CAIRO L 945 17WC 18589 OCAMPO, MARIA GUCKENHEIMER * 03/17/17 LAW OFFICES MICHAEL HELLMA 946 17WC 18648 CRUZ, EDITH DUNKIN DONUTS * 10/08/15 RUEDA, IVAN A 947 17WC 18678 SCHNEIDER, JASON PETER BAKER & SON CO * 06/15/17 KARCHMAR & STONE 948 17WC 18763 DOERING, BARBARA FRANCISCAN COMMUNITIES, I * 03/20/17 JOHN M BORCIA LAW OFFICE 949 17WC 18877 STEVENS, JOHN B IPCC * 06/17/17 FERRIS THOMPSON & ZWEIG 950 17WC 18954 VALEK, JAMES ESTES EXPRESS LINES * 04/02/17 ASHER, RAYMOND L LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WAUKEGAN 50002 ON 08/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 951 17WC 19002 BALINSKI, BRIAN LINCOLNSHIRE POLICE DEPAR * 05/30/17 KROL BONGIORNO & GIVEN LTD 952 17WC 19038 NAVA, MARIA J COUNTY OF LAKE * 10/05/16 LINN, CAMPE & RIZZO LTD 953 17WC 19174 MACIARIELLO, AL VILLAGE OF RIVERWOODS POL * 05/22/17 DWORKIN AND MACIARIELLO 954 17WC 19296 MARTINEZ, ANGEL NEW AGE CRYO * 06/01/16 DUDLEY & LAKE LLC 955 17WC 19483 SINGER, SHARON WOODLAND ELEMENTARY WEST * 01/12/17 NYHAN BAMBRICK KINZIE & LOWR 956 17WC 19515 OLCHNOWICZ, WOJCIECH AST CONSTRUCTION, INC * 06/28/17 ORTEGA & ASSOCIATES, LLC 957 17WC 19583 HAUPT, THOMAS COM ED * 10/12/16 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 958 17WC 19608 ROBERTSON, GEWONE BRIGHTSTAR CARE * 12/20/16 SEIDMAN MARGULIS & FAIRMAN 959 17WC 19730 GRAHAM, TRACY WARREN BARR LINCOLNSHIRE * 06/03/17 LEONARD LAW GROUP LLC 960 17WC 19755 TAYLOR, GEORGE GOODWILL * 06/07/17 AIOSSA LAW FIRM 961 17WC 19888 WIDMAR, GEORGE GRAFSOLVE * 10/13/14 BURNES & LIBMAN 962 17WC 19913 SOTELO, ANGEL PEAPOD * 03/15/17 ACEVES & PEREZ PC 963 17WC 19944 EDELSCHICK, DANIEL F INTERNATIONAL SERVICES IN * 11/12/14 HASSAKIS & HASSAKIS PC 964 17WC 20066 WESSEL, ANNE WAUKEGAN SCHOOOL DIST 60 * 01/19/16 PETER D CORTI LAW GROUP 965 17WC 20110 SCHMALZ, RONALD UPS * 11/29/16 LEONARD LAW GROUP LLC 966 17WC 20235 SHIVERS, JOYCE GLENLAKE TERRACE * 01/08/15 STEVEN J TENZER, LTD 967 17WC 20342 KEYFAUVER, JAMES IRVING ELLEFSEN & SONS * 06/07/17 POLANSKY & CICHON CHTD