ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 05WC 24626 MARTINIS, MICHELLE CHICAGO TRANSIT AUTHORITY 02/19/04 KROL BONGIORNO & GIVEN LTD CHICAGO TRANSIT AUTHORITY 05WC024627 -C 2 06WC 16406 BERGNER, NICHOLAS WALSH CONSTRUCTION 07/14/01 DAVID W MARTAY HINSHAW & CULBERTSON 3 06WC 21799 LOVING, SHELTON L UNITED AIRLINES 11/04/05 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 06WC021800 -C 06WC021815 -C 07WC002653 -C 4 07WC 10002 ZEUG, KEVIN WJN ENTERPRISES 12/01/06 RICHARD O. GREENFIELD HEYL ROYSTER VOELKER & ALLEN 09WC022780 -C 5 07WC 34620 STUDNICKA, HEIDI UPS 06/23/07 PRESBREY & ASSOC INC NYHAN BAMBRICK KINZIE & LOWR 07WC049585 -C 07WC049634 -C 6 07WC 38963 19B WICKER, STEVE USF HOLLAND 06/15/07 EMPLOYEE LEGAL SERVICES LT HENNESSY & ROACH PC 7 07WC 43787 SZUBA, MICHAEL J SR CHICAGO TRANSIT AUTHORITY 11/12/06 CORTI ALEKSY & CASTANEDA CHICAGO TRANSIT AUTHORITY 10WC021590 -C 8 07WC 44153 LOPEZ, ALEJANDRO WORLD SUPER SERVICES, INC 06/26/06 GOLDSTEIN FISHMAN BENDER E 07WC044154 -C 9 07WC 46642 TORRES, MARIA G FERRARA PAN CANDY 09/22/05 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS 12WC036906 -C 10 08WC 01074 STROUD, DENISE CHICAGO HILTON LLC C/O IL 06/21/07 LEWIS DAVIDSON & HETHERING NOBLE & ASSOCIATES PC 10WC011551 -C 11 08WC 07663 OLVERA, ROSEMARY PINNACLE HEALTHCARE OF BE 10/10/07 EPSTEIN, JACK R LAW OFFICE WEINBERG LAW GROUP LTD 12 08WC 08253 WILLIAMS, GREGORY IL DEPT OF TRANSPORTATION @ 10/11/07 EMPLOYEE LEGAL SERVICES LT ASSISTANT ATTORNEY GENERAL 13 08WC 09780 TAYLOR, SHAVONNA GLENDA THOMAS INDIVIDUALL @ W 02/01/08 CHARLES LEVY & ASSOC LTD 14 08WC 10108 STALNAKER, JUDY N CITY OF CHGO OFF OF EMERG 01/31/08 VITELL & SPITZ LTD CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 08WC 16819 CELIS, JOSE ALPHA BAKING CO 11/16/07 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 16 08WC 20119 SWALLOW, DANIEL INTERSTATE BRANDS CORPORA 03/22/08 RICHARD O. GREENFIELD ADELSON TESTAN & BRUNDO 11WC025961 -C 12WC044391 -C HOSTESS BRANDS 17 08WC 43772 FAVIA, ROY M MEDINAH MOVERS, INC W 05/02/08 DECARLO LAW GROUP 18 08WC 54029 KRZEPINA, MAREK EUROPE TRUCK LINES, INC W 10/17/08 STEVEN J SEIDMAN LAW OFFIC URSULA BABICZ & ASSOC 19 09WC 00213 HOMINICK, WILLIAM YOUTH CAMPUS 04/01/08 JOHN E LUSAK STELLATO & SCHWARTZ 10WC044269 -C 20 09WC 03711 DELISHA, SPEARS JET TRANSPORTATION W 10/08/07 21 09WC 05802 FOY, SCOTT M NEMETH GLASS INC 02/18/08 COLLISON & O'CONNOR LTD THOMAS & PORTELA 22 09WC 13238 GARRETT, JAMES P STATE OF ILLINOIS @ 09/14/08 TOPPER & WEISS LTD ASSISTANT ATTORNEY GENERAL 23 09WC 16138 MOORE, ERIC CITY OF CHICAGO 04/06/09 FOHRMAN, DONALD W & ASSOCS 24 09WC 18124 19B WILLIAMS, GWENDOLYN UNIVERSITY OF ILLINOIS @ 11/13/08 STEVEN H MEVORAH & ASSOCIA NYHAN BAMBRICK KINZIE & LOWR 25 09WC 22055 19B NEELY, SELONGE THE SPORTS AUTHORITY INC 05/05/09 LEWIS DAVIDSON & HETHERING RODDY LAW LTD 26 09WC 39107 WALCZAK, SEBASTIAN GULF COAST MASONRY LLC 07/06/09 BELCHER LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 27 09WC 44730 STREL, HENDRIK ILLINOS DEPT OF TRANSPORT @ 02/05/08 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 28 10WC 02365 ROMO, FERNANDO, ESTATE AD ASPEN FOODS INC 07/08/09 JOHN J CASTANEDA INMAN & FITZGIBBONS 29 10WC 18946 LANGON, KENYA P STATE OF ILLINOIS @ 03/25/10 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 11WC029206 -C SHAPIRO CENTER 30 10WC 19236 ROOT, RICHARD W ILLINOIS DEPARTMENT OF @ 11/18/08 JOHN J CASTANEDA ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 10WC 19761 19B ARIAS, MARIA DUNKIN DONUTS 10/26/09 LANNON LANNON & BARR LTD LAW OFFICES JOSEPH MARCINIAK 32 10WC 24451 SIKORSKI, PIOTR ACCU-CUT DIAMOND TOOL COI 04/08/10 BELLAS & WACHOWSKI RUSIN MACIOROWSKI & FRIEDMAN 14WC007693 -C 33 10WC 27032 SANCHEZ RAYAS, FELIX BRETFORD MANUFACTURING, I 11/20/09 MC HARGUE, JAMES P LAW OFF GAROFALO SCHREIBER STORM 15WC003408 -C 34 10WC 31454 19B DEVON, ROY ST OF IL DEPT OF TRANSPOR @ 06/10/09 NEMEROFF LAW OFFICES, LTD JEANNINE SIMS 35 10WC 31652 HIGGINS, KENNY CHICAGO RUSH ARENA FOOTBA 04/16/10 WOLFE LAW PC ADELSON TESTAN & BRUNDO 36 10WC 31898 GOMEZ, YOLANDA N/K/A WAL-MART STORES INC 03/13/10 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 37 10WC 32519 MC MAHON, NOEL SKYLINE PLASTERING 07/06/10 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 38 10WC 37272 HARPER, CLIFFORD CALIFORNIA PIZZA KITCHEN 04/01/10 WILLIAM L STEARNS GRANT & FANNING 39 10WC 37538 OLIVARES, GONZALO ASG STAFFING & CAPITOL 09/16/10 EPSTEIN, JACK R LAW OFFICE ROCK FUSCO & CONNELLY 40 10WC 39945 MERCADO, CARLOS MANUEL MICHAEL'S MARKET INC W 09/06/10 SHAPIRO VASILATOS & COTTER 41 10WC 42663 YOUNG, LARRY MIDWEST ENVIRONMENTAL SER W 10/03/08 SALVATO & O'TOOLE WIEDNER & MCAULIFFE LTD 10WC042664 -C 42 10WC 45670 PINEDA, SUSAN COOK COUNTY JUVENILE 07/06/10 LANNON LANNON & BARR LTD STATES ATTORNEY OF COOK COUN 10WC045671 -C 12WC012789 -C 15WC028144 -C 43 10WC 46520 BOUUKLIEY, STEFAN TAXI MEDALLION MANAGEMENT 10/15/10 JAMES ELLIS GUMBINER & ASS STONE & JOHNSON CHARTERED 44 10WC 47933 PIETRZAK, SHARON LOYOLA UNIVERSITY MEDICAL 09/23/10 COVEN LAW GROUP BRAUN LORENZ & BERGIN PC 11WC007992 -C 45 10WC 48742 BRECKINRIDGE, KIMBERLY CHEM RX CHICAGO LLC 12/06/10 COHN LAMBERT RYAN & SCHNEI LAW OFFICES JOSEPH MARCINIAK 46 10WC 49091 FREEMAN, ALEXIUS L NURTURING DEVELOPMENTAL 03/13/09 KENNETH B GORE, LTD BRAUN LORENZ & BERGIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 47 10WC 49400 19B MCLAUGHLIN, DELORES COUNTY OF COOK 12/17/08 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 48 10WC 49571 JUAREZ, STEPHANIE JEWEL 06/24/10 BRISKMAN BRISKMAN GREENBER RODDY LAW LTD 12WC030085 -C 13WC010090 -C SUPER VALU 49 11WC 00194 PRYOR, MELVIN OPPORTUNITY FRANCHISING I 12/16/10 DWORKIN AND MACIARIELLO MEACHUM & STARCK 50 11WC 12687 MARTINEZ, ENRIQUE NH & J INC C/O NOE HARNAN 03/23/11 LEWIS & DAVIDSON, LTD GANAN & SHAPIRO 51 11WC 17040 SOLORZANO, ANTONIO CESARS 02/07/11 JAMES ELLIS GUMBINER & ASS THOMAS ROSENBURG ESQ.LTD. 52 11WC 17302 GUEST, ANN DORIS UNIVERSITY OF ILLINOIS 04/24/11 LEONARD LAW GROUP LLC HEYL ROYSTER VOELKER & ALLEN 53 11WC 20050 MANCILLA, SAUL EDWARD DON & COMPANY 05/17/11 SALVATO & O'TOOLE NYHAN BAMBRICK KINZIE & LOWR 14WC006098 -C 54 11WC 20169 PADZUNAS, LEO STATE OF IL @ 09/09/09 STROM, NEAL B MATTHEW LICAVOLI 11WC048552 -C ST OF IL DEPT OF 55 11WC 21715 MARQUEZ, MARIA NORTH ELSTON SEAFOOD PART 03/01/10 HUGHES SOCOL PIERS RESNICK HOLECEK & ASSOCIATES 11WC021716 -C 56 11WC 30724 CHODOROWSKI, RAYMOND ATLAS VAN LINES 03/11/11 BRUSTIN & LUNDBLAD LTD MCANANY VANCLEVE & PHILLIPS 11WC030726 -C 13WC002381 -C 13WC002852 -C JOSEPH NOSEK 13WC004460 -C JO JO PALMER 57 11WC 32058 MARSHALL, AKILAH T CHICAGO STATE UNIVERSITY @ 04/04/11 PERRY M LAKS LAW OFFICE DANIEL SULLIVAN 58 11WC 32080 JONES, JOHN T JR A2B TRANSPORT 07/04/11 STEVEN J SEIDMAN LAW OFFIC 59 11WC 32599 BELLAMY, KEVIN CARRY TRANSIT 08/15/11 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK 60 11WC 33334 MC GUIRE, PATRICK J JOYCE BROTHER'S INC. 02/04/11 HANNIGAN & BOTHA, LTD THOMAS & ASSOCIATES 11WC033335 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 61 11WC 34853 KUNSTMAN, JOHN V P MECHANICAL 03/09/11 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 62 11WC 35265 PITONYAK, GREG SMURFIT STONE 10/19/09 MINKOW DOMIN GAROFALO SCHREIBER STORM 11WC035266 -C 63 11WC 35648 LABAUEX, CARLEEN SOUTHWEST AIRLINE 04/02/11 STEVEN J SEIDMAN LAW OFFIC HENNESSY & ROACH PC 11WC035649 -C 11WC035651 -C 12WC040337 -C 12WC041993 -C 13WC032076 -C 15WC019560 -C 15WC019561 -C 64 11WC 36324 RAMIREZ, DAVID CHICAGO TRANSIT AUTHORITY 09/07/11 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 65 11WC 36352 ADAMS, MAURICE CITY OF CHICAGO 03/28/11 HEALY LAW FIRM HENNESSY & ROACH PC 66 11WC 37267 ROMAC, TODD CHICAGO TRANSIT AUTHORITY 08/10/11 HUGHES SOCOL PIERS RESNICK CHICAGO TRANSIT AUTHORITY 67 11WC 37505 MAYES, MARJORIE GLENSHIRE NURSING 09/26/11 KP LAW LLC GALLIANNI DOELL & COZZI LTD 12WC019756 -C 68 11WC 41471 DUFFY, PHILLIP NEW LENOX ELECTRIC INC 10/12/11 HEALY LAW FIRM HOLECEK & ASSOCIATES 69 11WC 42689 19B GOOCH, CALVIN CHICAGO PUBLIC SCHOOLS 10/27/11 FOHRMAN, DONALD W & ASSOCS LEAHY EISENBERG & FRAENKEL 70 11WC 46619 POWELL, MARY LOU STATE OF ILLINOIS @ 12/15/08 PETER D CORTI LAW GROUP ASST ATTY GENERAL 71 11WC 47072 ARROYO, ANNEL COUNTY OF COOK 10/11/11 LAW OFFICE ANTHONY IVONE STATES ATTORNEY OF COOK COUN 72 11WC 47094 HACHLER, TRACY NORDSTROM, INC 03/09/10 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 73 11WC 47186 HOUSTON, DARWIN CHICAGO PUBLIC SCHOOLS 11/03/11 GOLDSTEIN BENDER & ROMANOF LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 74 11WC 48360 KIM, SORA PREMIER SALON 11/22/11 ELFENBAUM EVERS & AMARILIO LAW OFFICES JOSEPH MARCINIAK 11WC048361 -C 75 11WC 48483 MOORE, CHERRIE STANDARD PARKING 08/07/07 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 15WC006293 -C 76 12WC 09953 SULLIVAN, JAMES SCHAAF GLASS & MIRROR 10/04/11 ANESI OZMON RODIN NOVAK KO STONE & JOHNSON CHARTERED 16WC021939 -C 77 12WC 11618 PRINCE, TONEY D FAMILY DOLLAR 12/11/11 78 12WC 11974 LOPEZ, FELIPE DUNIGAN CONSTRUCTION 11/18/11 KENNETH B GORE LTD WIEDNER & MCAULIFFE LTD 12WC011975 -C 13WC018665 -C 79 12WC 12574 VIVEROS, PABLO ELITE STAFFING 02/21/12 MARC CAIRO 80 12WC 16368 MCDONALD, WILLIAM M A STEEL ERECTORS, INC 05/04/12 J MANIATIS GRANT & FANNING 81 12WC 18210 JOHNSON, STELLA PACE SUBURBAN BUS SERVICE 05/04/12 BURNETT & CARON, LTD MARK F SLAVIN 82 12WC 19559 QTAISH, INEZ BRONZEVILLE PARK NURSING 05/13/12 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 83 12WC 20203 ORTIZ, JULIO C THE HOME DEPOT U.S.A INC 03/19/12 KOSIN LAW OFFICE LTD MC ANDREWS & NORGLE LLC 84 12WC 20519 COSEY, SHARYON A CHICAGO PUBLIC SCHOOLS 03/17/00 LAW DEPARTMENT 85 12WC 20621 PETERSON, JODI AMERICAN AIRLINES 04/15/12 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 86 12WC 20804 AMMONS-LEWIS, DELORES METROPOLITAN WATER RECLAM 05/14/12 NOBLE & ASSOCIATES PC 87 12WC 21799 WOODS, STEPHANIE CITY OF CHICAGO 06/04/12 COVEN LAW GROUP 88 12WC 21937 TWUM, KWASI ROSEMOND AGYEMAN 06/24/12 BRUCE RAFALSON LTD 89 12WC 22084 CUTRO, JOE KNICKERBOCKER ROOFING & P 04/10/12 JOHN J CASTANEDA GRANT & FANNING 90 12WC 22474 MADRID, JOSE CHECKMATE REALTY DEVELOPM 06/07/12 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 91 12WC 22648 PEOPLES, BENJAMIN CITY OF HARVEY 07/21/11 VRDOLYAK LAW GROUP LLC SMITH AMUNDSEN LLC 92 12WC 24430 MACHNIK, CZESLAW DJR INC 10/01/11 GALLIANNI DOELL & COZZI LT GILDEA & COGHLAN 93 12WC 26732 NAPIOR, KATHELEEN CITY OF CHICAGO POLICE DE 09/03/10 MEYERS & FLOWERS CITY OF CHICAGO 94 12WC 29360 FABRE-AUSTIN, JOANIE AMERICAN AIRLINES 05/07/12 RUBENS AND KRESS GAROFALO SCHREIBER STORM 95 12WC 29765 LAMMERS, JANET UNITED AIRLINES INC. 01/21/12 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 13WC014323 -C 13WC014324 -C 14WC001125 -C 14WC021144 -C 15WC022524 -C 96 12WC 30412 TANK, STEPHANIE M NOODLES & COMPANY 11/14/11 STEFFEN KELLY & STEFFEN HOLECEK & ASSOCIATES 97 12WC 31331 CARRERO, EDWIN CITY OF CHICAGO 09/04/12 PETER D CORTI LAW GROUP CITY OF CHICAGO 12WC035558 -C 98 12WC 31512 WEBSTER, FLINT FEDERAL EXPRESS 07/24/12 ANESI OZMON RODIN NOVAK KO HANSON LAW OFFICE 14WC001116 -C FED EX 99 12WC 31887 PAWLUCZUK, GRAZYNA KUROWSKI SAUSAGE SHOP 02/16/12 GALLIANNI DOELL & COZZI LT THOMAS & PORTELA 100 12WC 31973 HERNANDEZ, OCTAVIO PACTIV 08/24/12 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 101 12WC 32229 19B CALCAGNO, JOHN CITY OF CHICAGO 09/12/12 CUDA LAW OFFICES CITY OF CHICAGO 102 12WC 32356 MENDOZA, FRANCISCO WE'RE CLEANING, INC 08/28/12 103 12WC 32527 SANCHEZ, STEVEN J CHICAGO PARK DISTRICT 07/09/12 CRONIN PETERS & COOK PC CHICAGO PARK DIST LAW DEPT 104 12WC 32532 MEEHAN, MICHAEL SIEMENS INFRASTRUCTURE 05/30/12 ANESI OZMON RODIN NOVAK KO KOPKA, PINKUS & DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 105 12WC 32738 GOMEZ, MARINA UNIFIRST CORPORATION 10/18/11 LEWIS & DAVIDSON, LTD BRADY CONNOLLY & MASUDA PC 106 12WC 33567 HARDY, SHIRLEY CTA 09/19/12 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 13WC008935 -C 14WC011176 -C CHICAGO TRANSIT AUTHORITY 107 12WC 33761 OCAMPO, SALVADOR HOLLAND MANUFACTURING CO 08/22/12 KURASCH & KLEIN, LTD NYHAN BAMBRICK KINZIE & LOWR 108 12WC 34622 GUTIERREZ, AMALIA CINTAS 05/22/12 BUDIN LAW OFFICES POWER & CRONIN LTD 15WC039000 -C 109 12WC 37156 MONTGOMERY, MARK CITY OF C0ICAGO 04/04/12 DEER & STONE PC CITY OF CHICAGO 110 12WC 37632 ESTRADA, JOSEPH USF HOLLAND/YRC WORLDWIDE 08/07/12 PETER D CORTI LAW GROUP HENNESSY & ROACH PC 111 12WC 41969 ADE, ABDIRASHID CHOICE TAXI ASSOCIATION 12/11/10 HUNER LAW OFFICES LLC SHIRLEY WARFIELD 112 12WC 41974 KOONCE, GWENDOLYN CHICAGO BOARD OF EDUCATIO 11/14/12 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 113 12WC 42222 CLANCY, ANTHONY CHICAGO PUBLIC SCHOOLS 10/31/11 JOHN E LUSAK LEAHY EISENBERG & FRAENKEL 114 12WC 42416 DOUGLAS, DEBRA OAK PARK HEALTH CARE CENT 10/06/12 KURASCH & KLEIN, LTD QUINN JOHNSTON HENDERSON ETA 115 12WC 42721 BJORKLUND, EDWARD CHICAGO TRANSIT AUTHORITY 07/11/11 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 15WC027096 -C CTA 116 12WC 43225 BRYANT, BRUCE MERCY HOSPITAL & MEDICAL 10/30/12 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 117 12WC 43579 PUGH, PAMELA COOK COUNTY 12/06/12 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 118 12WC 43798 PETERS, FRED MULTI GROUP LOGISTICS 11/19/12 KATZ FRIEDMAN EAGLE ET AL MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 119 12WC 43825 BILANIUC, MONA ABM JANITORIAL 02/29/12 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 120 12WC 43845 CASTILLO, ELISA TOWN OF CICERO 02/25/12 KATZ FRIEDMAN EAGLE ET AL DEL GALDO LAW GROUP LLP 12WC043846 -C 121 12WC 44351 WITHERS, CHARLES C C WITHERS PLUMBING LLC 09/28/12 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 122 13WC 01135 WALIA, POONAM TJ MAXX 04/09/10 MILLON & PESKIN LTD 13WC007062 -C 13WC008320 -C 123 13WC 09101 HODGES, JENNIFER SCHOOL DISTRICT #95 02/11/13 KATZ FRIEDMAN EAGLE ET AL ANCEL GLINK DIAMOND BUSH & E 13WC009102 -C 124 13WC 09159 FEITHEN, ROSS HERTZ EQUIPMENT RENTAL 11/03/12 HANNIGAN & BOTHA, LTD NOBLE & ASSOCIATES PC 125 13WC 09262 BANASIAK, JAMES PALMER PRINTING 08/17/11 DAVID W MARTAY GANAN & SHAPIRO 126 13WC 09742 KASKA, GRZEGORZ VETERANS DISTRIBUTION OF 11/08/12 BELCHER LAW OFFICE BRADY CONNOLLY & MASUDA PC 127 13WC 09786 GARCIA, MIQUEL PEPE'S MEXICAN RESTAURANT 07/31/12 SVENSON LAW OFFICES RUSIN MACIOROWSKI & FRIEDMAN 128 13WC 10061 SALEM, MIKE A KISWANI TRUCKING INC 01/15/13 STELZMAN, RUTH KNELL & O'CONNOR 129 13WC 10416 MADRIGAL, SHARON P STATE OF IL DEPT OF HS @ 03/07/13 VITELL & SPITZ LTD JEANNINE SIMS 130 13WC 11992 PATRICK, THOMAS VSN SHIPPING, INC. W 03/09/13 GALANTI LAW OFFICES 131 13WC 13555 LAZO, JOSEPH VILLAGE OF NILES PD 03/15/13 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 132 13WC 16773 SALCEDO, DEMETRIUS SMJ TOWING 04/18/13 BUDIN LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 133 13WC 18010 HOFER, FRANK PTO SERVICES 04/22/13 THE FITZ LAW GROUP CHILTON YAMBERT PORTER LLP 134 13WC 18948 NEAL, VALERIE CITY OF CHICAGO 03/20/13 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 15WC011081 -C 135 13WC 19115 CANO, PABLO MATRO STAFF INC 05/20/13 MC HARGUE, JAMES P LAW OFF 136 13WC 19186 PIERSZA, ROBERT STATE OF ILLINOIS - D.H.S @ 06/13/10 STROM, NEAL B JEANNINE SIMS 137 13WC 19288 PRIAS, RUBEN FEDEX GROUNG 05/21/13 THE FITZ LAW GROUP SCOPELITIS GARVIN LIGHT 138 13WC 19677 PETKEWICZ, JASON GARDA CASH LOGISTICS 05/15/13 BURNETT & CARON, LTD KEEFE CAMPBELL & ASSOC LLC 139 13WC 19832 CUZCO, ANA R LABRIOLA 06/07/10 JONATHAN SCHLACK 140 13WC 19886 ROJAS, JAIRO TOTAL STAFFING 04/24/13 JAMES ELLIS GUMBINER & ASS 141 13WC 20205 JONES, ARIEL CHICAGO TRANSIT AUTHORITY 03/09/13 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 142 13WC 20233 RILEY, LORI M M.D. COOK COUNTY HEALTH AND 04/23/13 JOHN J CASTANEDA STATES ATTORNEY OF COOK COUN 143 13WC 20259 VALLADARES, CHRISANTOS HIGHLAND BAKING CO 04/13/13 RIPES NELSON BAGGOT KALOBRAT 144 13WC 21097 OLAGBENRO, RASAQ VALEX CAB CORP 12/06/12 LEADERS LAW CENTER LLC 145 13WC 21139 VELASCO, MARTIN NU WAY INDUSTRIES 05/14/12 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 146 13WC 21273 DANIEL, SHLEMON WOLIN-LEVIN 02/20/13 LEO ALT LAW OFFICES JOSEPH MARCINIAK 147 13WC 26401 19B MARTINEZ, MARTHA LUTHERAN HOME 01/06/11 RUBENS AND KRESS BRADY CONNOLLY & MASUDA PC 148 13WC 26550 KARPINSKI, ANDRZEJ EURO MASONRY CORP 08/01/13 THADDUES GAUZA RUSIN & MACIOROWSKI LTD 149 13WC 27544 SUMMERS, NORA STATE OF IL DEPT OF HUMAN 06/28/13 JOHN E LUSAK ASSISTANT ATTORNEY GENERAL 150 13WC 27914 CHERKO, JIM A FINKL & SONS 08/24/10 BOWMAN & CORDAY GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 151 13WC 28503 EURKAITIS, MICHAEL STATE OF IL-IDOT @ 10/03/11 MEYERS & FLOWERS LLC ASSISTANT ATTORNEY GENERAL 152 13WC 29521 PAKULA, ANGKANA PANDUIT CORPORATION 04/09/13 MINKOW DOMIN GAROFALO SCHREIBER STORM 153 13WC 29569 THORNHILL, JOHN CITY OF CHICAGO FLEET 08/06/12 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 154 13WC 29602 BARRETT, RICKY SCHECK MECHANICAL CORPORA 07/31/13 GARDNER KOCH WEISBERG & WR GAROFALO SCHREIBER STORM 155 13WC 29633 ANDRINO, JACQUELINE PREFERRED MEAL SYSTEMS, I 08/08/13 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 156 13WC 29840 LOPEZ, JOSE ALONSO PALENQUE W 08/18/13 MC HARGUE, JAMES P LAW OFF MC HARGUE, JAMES P LAW OFFIC 157 13WC 29979 HERNANDEZ, MARIA PRIMARY STAFFING INC 08/24/13 158 13WC 30107 NORWELL, MARY LOU COOK COUNTY 02/15/11 HEALY LAW FIRM STATES ATTORNEY OF COOK COUN 159 13WC 30197 MORENO, ROSA KELLOGG COMPANY D/B/A 08/26/13 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 13WC039545 -C 160 13WC 30369 GARCIA, LEOBARDO COUNTRYSIDE INDUSTRIES 08/29/13 JONATHAN SCHLACK RUSIN MACIOROWSKI & FRIEDMAN 161 13WC 30384 KURTZ, ROBERT PARK DISTRICT OF OAK PARK 01/08/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 162 13WC 30434 ANDINO, ROSALY COSTCO 05/07/12 COSTA IVONE LLC GANAN & SHAPIRO 163 13WC 30731 BEDOY, JESUS LINTRAC SERVICE INC 01/27/13 MARC J SHUMAN & ASSOCIATES RUSIN MACIOROWSKI & FRIEDMAN 164 13WC 30857 TAPPER, JAMIE CHICAGO BOARD OF EDUCATIO 03/01/13 JAMES W GREEN, JR LAW DEPARTMENT 13WC030858 -C 15WC022540 -C 165 13WC 31234 MORALES, EDDIE VILLAGE OF BELLWOOD 08/08/13 FIGLIOLI, DAVID ROCK FUSCO & CONNELLY 15WC023030 -C 166 13WC 31265 BENITEZ-VIVERO, FREDI EUG CORPORATE ARTWORKS 09/17/13 HUGHES SOCOL PIERS RESNICK LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 167 13WC 31495 GARCIA, JOSE METRAFLEX CO 08/19/13 VRDOLYAK LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 168 13WC 31538 PEDROZA, JOSEPH CHICAGO PARK DISTRICT 02/08/13 BRAUN LORENZ & BERGIN PC CHICAGO PARK DIST LAW DEPT 14WC024664 -C 169 13WC 31971 THOMPSON, JASPER DHL 07/29/13 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 13WC031974 -C 14WC025032 -C 170 13WC 32065 DAVIS, RONALD D J & J NEWELL CONCRETE 08/14/13 THE FITZ LAW GROUP QUINTAIROS PRIETO WOOD & BOY 171 13WC 32183 MARTIN, SHIRLEY CIT OF CHICAGO 05/06/13 BUDIN LAW OFFICES LAW DEPARTMENT 172 13WC 32827 RAMIREZ, EUGENIO JARILLO CUMMINS 08/16/13 PETER D CORTI LAW GROUP HENNESSY & ROACH PC 173 13WC 32908 PALMA, JOSE A WOODLAWN COMMUNITY DEVELO 03/03/13 LAW OFFICE OF JAMES H MILL RUSIN MACIOROWSKI & FRIEDMAN 174 13WC 37074 ARAM, AVILEEN ROSS STORES, INC. 10/25/13 LAW OFFICE STEVEN J SEIDMA NYHAN BAMBRICK KINZIE & LOWR 175 13WC 37575 RITTHALER, MICHAEL NOLAND SALES CORP 03/22/05 HANNIGAN & BOTHA, LTD GRANT & FANNING 176 13WC 37595 ENNIS, JUNIOR DB SCHENKER 11/09/13 COVEN LAW GROUP LAW OFFICES OF EDWARD J. KOZ 177 13WC 38021 JOHNSON, JAMES G & K SERVICES 06/25/13 PORRO NIERMANN & PETERSEN 178 13WC 38505 MOORE, LASHUNDA THORNTON FRACTIONAL 10/22/13 MINKOW DOMIN BRADY CONNOLLY & MASUDA PC 179 13WC 38767 HANNA, JOSEPH ALPHA BAKING CO 09/03/13 KARCHMAR & STONE MACIOROWSKI SACKMANN & ULRIC 180 13WC 38941 MCNULTY-HERRERA, KELLY JOSEPH REHABILITATION CEN 09/06/13 MARC S. MAYER & ASSOCIATE INMAN & FITZGIBBONS 181 13WC 39128 LAMA, CINDY (WIFE) JB HUNT TRANSPORT SERVICE # 06/01/13 RUSIN & MACIOROWSKI LTD 14WC002622 -C 182 13WC 39215 NASER, EVA EXECUTIVE MAILING 07/12/13 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 183 13WC 39333 CHAPMAN, COLIN WINTRUST FINANCIAL CORP 06/22/13 COLLISON & O'CONNOR HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 184 13WC 39446 WOHL, RAYMOND F CHICAGO BOARD OF EDUCATIO 10/29/13 ELFENBAUM EVERS & AMARILIO LEAHY EISENBERG & FRAENKEL 185 13WC 39755 WALTON, BRIAN L JEWEL OSCO 10/19/13 LEONARD LAW GROUP LLC RODDY LAW LTD 186 13WC 39768 ARMSTRONG, PRISCILLA GROVE OF LA GRANGE PARK 07/22/13 CHRISTIAN & MANNO BRADY CONNOLLY & MASUDA PC 187 13WC 39844 ROBLES, EDWARDO TREDROC TIRE SERVICES 06/11/12 LEWIS & DAVIDSON, LTD 188 13WC 39880 ALEXANDER, BARBARA BRONZEVILLE PARK SKILLED 06/12/13 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 15WC019998 -C 189 13WC 40340 RENTAS, YANAIRA ALDI STORES 11/08/11 SAUNDERS CONDON & KENNY MACIOROWSKI SACKMANN & ULRIC 13WC040341 -C 13WC040342 -C 190 13WC 40487 COLLINS, ROGER MODERN MIDWAYS W 06/25/13 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 191 13WC 40603 BRAGG, GENEVA CTA 12/01/13 DONALD W FOHRMAN & ASOCIAT CHICAGO TRANSIT AUTHORITY 192 13WC 40925 TEJANI, INAYATALI YELLOW TAXI 11/08/13 LAW OFFICE RYAN ROSENTHAL 193 13WC 41331 CONEY-MILLER, DIANE M EVERGREEN HEALTHCARE CENT 12/04/13 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 194 13WC 41430 ZAINO, KRISTINA A DUNKIN DONUTS 11/24/13 GOLDSTEIN BENDER & ROMANOF MEACHUM & STARCK 195 13WC 41560 ABDALLAH, NADIQ ADDUS HEALTHCARE 11/18/13 JOHN S. ELIASIK HENNESSY & ROACH PC 196 13WC 41844 FORD, VELMA HAYMARKET CENTER 06/13/13 NILSON STOOKAL GLEASON CAP STELLATO & SCHWARTZ 197 13WC 41907 SAULSBERRY, JOANN KATES DETECTIVE & SECURIT 09/19/13 MARSZALEK AND MARSZALEK ROBERT L. SMITH 14WC031774 -C 198 14WC 02595 MORALES, EDUARDO VILLAGE OF BELLWOOD 12/30/13 FIGLIOLI, DAVID ROCK FUSCO & CONNELLY 199 14WC 04695 FIORE-MEJTA, TERESA DLH SOLUTIONS, INC. 08/19/13 LANZILLOTTI GRIBBEN & MARC GAROFALO SCHREIBER STORM 200 14WC 05368 LA PUMA, PHILIP ST OF IL DEPT OF 09/23/13 DECARLO LAW GROUP JEANNINE SIMS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 201 14WC 05562 KNOWLES, JUANITA BROWN HAYMARKET CENTER D/B/A 02/13/14 MINKOW DOMIN STELLATO & SCHWARTZ 202 14WC 05576 O'NEAL, RYAN RESERVES NETWORK 01/15/14 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 203 14WC 06014 MARTINEZ, ADALBERTO CITY WID PRODUCE DISTRIBU 02/11/14 BAUM RUFFOLO & MARZAL LTD LITCHFIELD CAVO 204 14WC 06310 MITCHELL, LINDA TOWNSHIP HIGH SCHOOL 01/23/13 EVAN A HUGHES LAW OFFICE WIEDNER & MCAULIFFE LTD 14WC006311 -C 205 14WC 06344 VIOLA, MICHAEL MIDWEST AIR PRO 06/11/13 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 206 14WC 06753 O'DONNELL, PATRICK COLDWELL PLUMBING 12/18/13 LULAY LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 207 14WC 07026 LAGUNAS, MARCELINO JIMMY JOHNS/C BUCCINI LLC 02/09/14 LAW OFFICE OF SCOTT B SHAP RUSIN MACIOROWSKI & FRIEDMAN 208 14WC 07402 SHELTON, MICHAEL CHICAGO PUBLIC SCHOOLS 02/12/14 WITTENBERG DOUGHERTY MAGLI LAW DEPARTMENT 209 14WC 07637 RAHMAN, SYED YELLOW CAB CO 12/20/13 LAW OFFICE RYAN ROSENTHAL 210 14WC 07716 TARAWNEH, MOHAMMED CHICAGO CARRIAGE CAB 12/26/13 POLANSKY & CICHON CHTD LAW OFFICES OF DEBORAH SCHAE 211 14WC 08362 GOERING, ALAN W CICERO SCHOOL DISTRICT 99 02/21/14 THE FITZ LAW GROUP INMAN & FITZGIBBONS 212 14WC 08398 JAIME, JAVIER ALTERNATIVE STAFFING 10/10/13 MACIOROWSKI SACKMANN & ULRIC 213 14WC 08421 WILLIAMS, LORRAINE UNITED AIRLINES INC. 03/06/11 ROMANUCCI & BLANDIN WIEDNER & MCAULIFFE LTD 14WC008422 -C 14WC008423 -C 214 14WC 08560 LAZO, JOAQUIN CITY OF CHICAGO 07/15/13 WILLIAM MARTAY CITY OF CHICAGO 14WC008561 -C 215 14WC 08802 FIELDS, JAMES ADVOCATE CHRIST MEDICAL C 01/10/14 POLANSKY & CICHON CHTD 216 14WC 09435 HALL, SUSAN D SERTOMA CENTRE INC 03/17/14 FRIEDMAN & SOLMOR LTD RIPES NELSON BAGGOT KALOBRAT 217 14WC 09493 RAMIREZ, JORGE L A PROFESSIONAL HEATING & 03/03/14 TOPPER & WEISS LTD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 218 14WC 10206 19B MAYS, ANNETTE CHICAGO TRANSIT AUTHORITY 03/06/14 BRIAN J MC MANUS & ASSOC, CHICAGO TRANSIT AUTHORITY 219 14WC 11473 BORICICH, BRANKO FORD MOTOR COMPANY 03/10/14 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 220 14WC 11801 ROJAS, ELMER (WIDOWER) LITTLE LADY FOODS INC # 04/03/11 KLEINMUNTZ LAW OFFICE 221 14WC 14533 HERNANDEZ, OSCAR SOLDY MANUFACTURING INC 01/14/14 BUDIN LAW OFFICES 222 14WC 16101 OCHOA, JESUS EVERGREEN REAL ESTATE SER 03/26/14 RUSIN MACIOROWSKI & FRIEDMAN 14WC038277 -C 223 14WC 16688 GILLESPIE, MARC FORD MOTOR CO 02/17/14 DAVENPORT & WHITE 224 14WC 16937 JERDING-KORAN, KAREN M FRANKFORT TERRACE 06/01/13 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 225 14WC 17330 LARA, SILVESTRE OSI INDUSTRIES LLC 12/05/13 HORWITZ HORWITZ & ASSOC MEACHUM & STARCK 226 14WC 17579 GREEN, DAVID P CTA-CHICAGO TRANSIT AUTHO 05/19/14 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 227 14WC 17605 PELLICORE, RAY JANGHO CURTAIN WALL 02/16/14 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 14WC017606 -C 228 14WC 17664 MOHAMED, ABDULKADIR YELLOW CAB 04/23/14 JAMES ELLIS GUMBINER & ASS 229 14WC 17777 HARRIS, JIMMY R GOLDEN GRAIN 03/31/12 DEPAOLO ZADEIKIS GORE INMAN & FITZGIBBONS 230 14WC 18107 AMADOR, LAURA CHICAGO PUBLIC SCHOOLS 03/19/14 BERG & BERG LAW DEPARTMENT 231 14WC 18290 VARGAS, SERGIO VETERANS DISTRIBUTION 04/01/14 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 232 14WC 18326 LOGWOOD, LADONNA CHICAGO TRANSIT AUTHORITY 05/26/14 KUMLIN & FROMM 233 14WC 18327 KRZYSZTOF, WARZECHA QUANTUM FOODS 08/02/12 CHRISTOPHER BUCHCAR, LTD MEACHUM & STARCK 234 14WC 18384 REED, TONY ARAMARK 01/24/14 CHRISTIAN & MANNO STONE & JOHNSON CHARTERED 235 14WC 18625 COLLETTI, CHRISTOPHER J VILLAGE OF NILES 02/05/14 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 14WC 18642 RAVINDRAN, RETHIMOL PRESENCE ST FRANCIS 01/05/14 STEVEN A CRIFASE, LTD NYHAN BAMBRICK KINZIE & LOWR 237 14WC 18705 HEARN, ALBERT KINDRED HEALTHCARE 05/13/14 SHELDON I MINKOW & ASSOCIA ARNETT LAW GROUP 238 14WC 18726 FARAH, ABDISAYID CARRIAGE CAB 02/09/14 LAW OFFICE RYAN ROSENTHAL 239 14WC 18954 COOPER, LINDA CDT 05/02/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 240 14WC 19145 BEANE, JEROME E ILLINOIS DEPT OF TRANSPOR @ 05/19/14 FIGLIOLI, DAVID JEANNINE SIMS 241 14WC 19554 WARD, NEDRA NORTHWESTERN UNIVERSITY 05/28/13 LARRY FLEISCHER & ASSOCIAT GAROFALO SCHREIBER STORM 242 14WC 19651 GONZALEZ, ISRAEL MULTI-TEMPS, INC. 06/04/14 BAUM RUFFOLO & MARZAL LTD THOMAS & PORTELA 243 14WC 20187 MORENO, BENJAMIN CITY OF CHICAGO 05/27/14 COVEN LAW GROUP CITY OF CHICAGO 244 14WC 20475 COLE, LINDA PRAIRIE MANOR NURSING & 04/14/14 VASILATOS & COTTER LLC ALLEN KOPET & ASSOCIATES 245 14WC 20510 PATSIOURAS, ILIAS GREEK VILLAGE RESTAURANT 04/11/14 ROBIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 246 14WC 20546 ALLEN CASTRO, JOSE VANEE FOODS COMPANY 04/26/13 SHELDON I MINKOW & ASSOCIA QUINTAIROS PRIETO WOOD & BOY 247 14WC 20572 PALMERIN, MARISOL UNITED AIRLINES INC. 05/27/14 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 248 14WC 20675 NAVARRO, ISABEL ESSENTRA 04/07/14 BUDIN LAW OFFICES WOLFE & JACOBSON, LTD 249 14WC 20687 SUAREZ, JOSE NEW LEAF LANDSCAPING 06/03/14 DEPAOLO ZADEIKIS GORE 250 14WC 20946 WONG, OSCAR CHICAGO TRANSIT AUTHORITY 06/10/14 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 251 14WC 20973 LEGUIZAMO, MARIO ALTERNATIVE STAFFING 04/21/14 JAMES ELLIS GUMBINER & ASS MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 252 14WC 21321 KARAS, PERICLES KOEHLER ELECTRICAL COMPAN 02/11/13 VLANTIS LAW LLC WIEDNER & MCAULIFFE LTD 253 14WC 21346 SMITH, DIANNE LURIE CHILDREN'S HOSPITAL 03/01/14 FOHRMAN, DONALD W & ASSOCS KEEFE CAMPBELL & ASSOC LLC 15WC020262 -C 254 14WC 21539 ALVAREZ, YOLANDA ELI WHITNEY SCHOOL 04/25/13 LANNON LANNON & BARR LTD LAW DEPARTMENT 255 14WC 21631 FERNANDEZ, AGUSTIN BELL FUELS 06/04/14 LEONARD LAW GROUP LLC THOMAS & PORTELA 256 14WC 21815 GONZALEZ, JUAN RAPID PALLETS 05/20/14 ILLINOIS INJURY LAWYERS THOMAS & ASSOCIATES 257 14WC 21850 GALLEGOS, ALMA G4S SECURED SOLUTIONS 06/12/14 WHITESIDE & GOLDBERG LTD 258 14WC 22371 RODRIGUEZ, MANUEL CITY OF CHICAGO 07/05/11 RUSSO & RUSSO LTD 259 14WC 24079 JONES, SHARIEF A CHICAGO TRANSIT AUTHORITY 07/08/14 BRISKMAN BRISKMAN GREENBER CHICAGO TRANSIT AUTHORITY 260 14WC 27199 DEL TORO, ANDRES PROVINCETOWN 07/22/14 CRONIN & PETERS 261 14WC 27266 STUBITSCH, WILLIAM VILLAGE OF LANSING 04/22/14 NEWMAN, BOYER & STATHAM INMAN & FITZGIBBONS 262 14WC 27784 SANTOS, VICTOR UNITED AIRLINES INC. 05/01/14 SAUNDERS CONDON & KENNY 263 14WC 27861 CRUZ, CARLOS JR CHICAGO TRANSIT AUTHORITY 08/17/14 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 264 14WC 28053 STOPKA, ZOFIA W ABM JANITORIAL SERVICES 07/07/14 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 265 14WC 28425 KEKERE, SIDI CHICAGO ELITE CAB CORP. 08/09/14 LAW OFFICES TIMOTHY HENDER 266 14WC 28517 MULLER, JOHN CENTRAL BUILDING & 08/01/14 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 267 14WC 28570 HUERTA, JESSICA ELI'S CHEESECAKE COMPANY 01/22/00 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 14WC041945 -C ELY'S CHEESECAKE FACTORY 268 14WC 29020 OVERSTREET, DWAYNE FORD MOTOR CO 08/11/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 269 14WC 29056 SCHULTZ-PANOS, CHRISTINA CITY OF BLUE ISLAND 02/19/14 BUDIN LAW OFFICES DEL GALDO LAW GROUP LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 270 14WC 29074 WHITE, IRVING JR GARDA CASH LOGISTICS 08/14/14 GOLDBERG WEISMAN & CAIRO L 271 14WC 29155 SURMACZ, MAREK A PLUS 06/16/14 CHEPOV & SCOTT LLC GANAN & SHAPIRO 272 14WC 29227 CZUWARA, ADELINE A NORWEGIAN LUTHERAN 08/08/12 GALLAGHER, DONALD V KEEFE CAMPBELL & ASSOC LLC 15WC004115 -C 273 14WC 29250 BELL, EVETTE THE VILLA AT SOUTH HOLLAN 07/25/14 NILSON STOOKAL GLEASON CAP RIPES NELSON BAGGOT KALOBRAT 274 14WC 29441 DUNN, AUGUSTA COUNTRY CLUB HILLS 02/17/14 FOHRMAN, DONALD W & ASSOCS GANAN & SHAPIRO 275 14WC 29514 WHITMER, KEVIN WALSH CONSTRUCTION 08/23/14 RUBIN LAW GROUP HINSHAW & CULBERTSON 276 14WC 29564 LOPEZ, GERARDO JERNBERG INDUSTRIES 07/15/14 LAW OFFICES TIMOTHY HENDER HOLECEK & ASSOCIATES 14WC029565 -C 277 14WC 29779 NOLAN, MARK R & J CARTAGE 04/15/14 FREDERICK & HAGLE RODDY LAW LTD 278 14WC 29874 CROSBY, ROBERT UNIFLYTE-CADORATH 08/27/14 RIDGE & DOWNES 279 14WC 29892 TOWNSEND, ROBIN (WIDOW) KROPP FORGE, A DIVISION O # 02/28/14 PETER D CORTI LAW GROUP HOLECEK & ASSOCIATES 280 14WC 30142 COZZO, TERRY G NCCR METALS INC 09/07/12 ELFENBAUM EVERS & AMARILIO RUSIN MACIOROWSKI & FRIEDMAN 281 14WC 30150 SCIOS, MICHAEL HILL MECHANICAL 05/01/13 DIXON LAW FIRM BRADY CONNOLLY & MASUDA PC 282 14WC 30331 JOHNSON, VERNICE TOWER AUTOMOTIVE 03/10/14 LEVIN RIBACK LAW GROUP KEEFE CAMPBELL & ASSOC LLC 283 14WC 30365 EVANS, SAMUEL CHICAGO TRANSIT AUTHORITY 08/09/12 WOODRUFF & JOHNSON CHICAGO TRANSIT AUTHORITY 284 14WC 30466 CHAMNIK, JOHN III ILLINOIS CONSTRUCTORS 08/26/14 GOLDBERG WEISMAN & CAIRO L SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 285 14WC 30489 CORTEZ, CANDELARIA CARL BUDDING & COMPANY 08/15/14 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 286 14WC 30579 VARGAS, MARIA DEL ROCIO TOTAL MAINTENANCE CLEANIN 04/24/14 MC HARGUE, JAMES P LAW OFF STONE & JOHNSON CHARTERED 14WC030580 -C 287 14WC 30635 WACHOWSKI, JASON FORD MOTOR CO. 04/05/13 KOSIN LAW OFFICE LTD POWER & CRONIN LTD 288 14WC 30802 BENJAMIN, CAVELLE MAACO 08/20/14 SPINAK & BABCOCK 289 14WC 30864 JOHNSON, TIFFANY GATE GOURMET 09/04/14 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 290 14WC 30871 JARAMILLO, JOHN LAKWSHORE BEVERAGE 03/20/14 ARGIONIS & ASSOCIATES LLC ASHER, RAYMOND L LTD 291 14WC 30885 HERNANDEZ, JOSE ANTONIO LAKEWOOD CARPENTRY SERVIC 01/28/14 HUGHES SOCOL PIERS RESNICK GANAN & SHAPIRO 292 14WC 31042 RUFUS, BEVERLY YMCA OF METROPOLITAN CHIC 05/09/14 WITTENBERG DOUGHERTY MAGLI LAW OFFICES FRANCESCA LARSEN 293 14WC 31319 MERIDA, DELIA PHILIPS F/K/A ALKCO LIGHT 04/29/13 GOLDBERG WEISMAN & CAIRO L POULOS & DIBENEDETTO LAW 294 14WC 31349 CONTRERAS, MANUEL S KOLE CONSTRUCTION 08/28/14 LAW OFFICES MICHAEL HELLMA 295 14WC 31414 COLLINS, VERDUS MIDWAY NEUROLOGICAL & REH 01/20/14 WITTENBERG DOUGHERTY MAGLI 296 14WC 31491 ROWN, LILA CENTRAL STEEL & WIRE CO 08/14/14 JOHN C SERKLAND GAROFALO SCHREIBER STORM 297 14WC 31510 LAWSON, DARRELL CHICAGO STREETS & SAN DEP 09/10/14 O'CONNOR & NAKOS CITY OF CHICAGO 298 14WC 31548 TOLLIVER, TONY BURGER KING 08/21/14 VASILATOS & COTTER LLC 299 14WC 31670 TRIPP, BRANDON E ELECTRO MOTIVE DIESEL 07/30/13 WILLIAMS, ROBERT B LAW OFF NYHAN BAMBRICK KINZIE & LOWR 300 14WC 35664 HERNANDEZ, ROQUE E CTA 04/25/13 GRAZIAN & VOLPE PC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 14WC 36029 PORTILLO, OSCAR WILLIAMS STOKER & HEATING 08/21/14 KROL BONGIORNO & GIVEN LTD 302 14WC 38145 AGUIRRE, MARISELA FELXIBLE STAFFING 08/29/14 CHRISTIAN & MANNO ALLEN KOPET & ASSOCIATES 15WC011311 -C AEROTEK 303 14WC 38204 GODINEZ, FRANCISCO I&I HOUSE BUILDERS 10/16/14 GOLDSTEIN BENDER & ROMANOF 304 14WC 38439 REYES, DIEGO ZACATACOS 08/17/14 MC HARGUE, JAMES P LAW OFF 305 14WC 38851 ONI, ANDREW BLUE RIBBON 10/15/14 LAW OFFICE RYAN ROSENTHAL 306 14WC 39214 COLLAZO, RICARDO LINCOLN PROVISION INC 09/12/14 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD 307 14WC 39282 EASTER, CHARLES K CITY OF CHICAGO 09/30/14 GALLAGHER, DONALD V LAW DEPARTMENT 308 14WC 39307 REDMOND, MARDISA CHICAGO PUBLIC SCHOOLS 11/05/14 JOEL BELL 309 14WC 39375 HUDDLESTON, PERVIS EVERGREEN REAL ESTATE SER 11/04/14 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 310 14WC 39504 MCINTYRE, JOSEPH UNLIMITED MASONRY & 10/29/14 CORBOY & DEMETRIO PC GANAN & SHAPIRO 311 14WC 39545 BARRAZA, ENRIQUE RESTAURANT DEPOT 08/08/14 O'CONNOR & NAKOS HOLECEK & ASSOCIATES 312 14WC 39881 CROSSETT-HILL, JOY CHICAGO PUBLIC SCHOOLS 04/22/14 THE ROMAKER LAW FIRM LAW DEPARTMENT 313 14WC 39902 GIANNESCHI, PATRICK D ENTERTAINMENT PARTNERS 11/17/14 BRILL & FISHEL RUSIN & MACIOROWSKI LTD 314 14WC 40079 KOHL, ROBERT RIDE-N-GRIND INC 01/10/12 CORNFIELD & FELDMAN GANAN & SHAPIRO 14WC040080 -C 16WC010251 -C 315 14WC 40093 SAITTA, ANTHONY V NAVISTAR 11/06/14 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 316 14WC 40151 DIAZ, SERGIO CITY OF CHICAGO 10/06/14 FREDRICK B BARDER, LTD CITY OF CHICAGO 317 14WC 40220 CROSBY, FREDDY JR COOK COUNTY SHERIFF'S OFF 09/28/13 VELAZQUEZ LAW GROUP STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 318 14WC 40629 ESCARZAGA, LAURA CALIHAN CATERING INC 11/22/14 ROMANUCCI & BLANDIN GANAN & SHAPIRO 319 14WC 40645 LAUTURE, ALINE UNITED AIRLINES INC. 11/19/14 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 320 14WC 40769 LUCKETT, LYNN BRIGHTVIEW HEALTHCARE & 02/07/14 RONALDSON & KUCHLER 321 14WC 40838 FORSON, CLEMENTINE SPECTRUM NURSES INC W 02/18/14 C DEAN MATSAS MARC J SHUMAN & ASSOCIATES, 322 14WC 40883 MC BRIDE, LA SHONDA MARYVILLE ACADEMY 07/08/14 RICHARD O. GREENFIELD 323 14WC 41071 JACKSON, LARRY CHICAGO TRANSIT AUTHORITY 10/28/14 STEVEN J MALMAN & ASSOCIAT 324 14WC 41185 JAAFARI, ABDELOUAHAB SUN TAXI ASSOCIATION 11/26/14 KARNO, MARK L & ASSOC LAW OFFICES OF DEBORAH SCHAE 325 14WC 41224 SALMERON, FRANCISCO UNITRAC RAILROAD MATERIAL 05/09/14 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK 326 14WC 41278 VILLAOBOS, MAURCIO R.M. LUCAS 03/31/14 BARRY E BLUMENFELD GANAN & SHAPIRO 327 14WC 41302 POBLANO, JONATHAN TOTAL FACILITY MAINTENANC 11/07/14 DWORKIN AND MACIARIELLO 328 14WC 41363 WILKINS, VICKI CITY OF CHICAGO 10/01/14 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 329 14WC 41539 CRAWFORD, MURVIN MEYERS COPAL INC 05/11/14 DWORKIN AND MACIARIELLO 330 14WC 41561 LEW, SHEILA GOTTLIEB HOSPITAL 05/05/13 R. MARK MARITOTE PC 331 14WC 41601 GUMERINDO, YVERIO WORKFORCE, LLC 10/14/14 JOHN C SERKLAND GRANT & FANNING 332 14WC 41623 SAUCEDA, GAUDALUPE FOOD FOR THOUGHT 08/20/14 333 14WC 41769 WILSON, LEWIS CDOT 12/04/14 STEWART C ORZOFF CITY OF CHICAGO 334 14WC 41810 ACKER, AARON METRO WATER RECLAMATION 05/09/13 CUTLER & HULL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 335 14WC 41851 19B GAETO, SANDRA R GMRI INC 11/25/14 PETER D CORTI LAW GROUP MEACHUM & STARCK 336 14WC 42074 CAMERON, SELENA ADDUS HEALTHCARE INC 10/14/14 THOMAS LAW HENNESSY & ROACH PC 16WC011404 -C 337 14WC 42308 GONZALEZ, JUAN D OLE MEXICAN FOODS 11/19/14 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 338 14WC 42390 PACHECO, MARTINA MOST VALUABLE PERSONNEL 11/28/14 VRDOLYAK LAW GROUP LLC KOREY RICHARDSON LLC 339 14WC 42426 MOORE, NYKEYA GOLDSTON CHICAGO PUBLIC SCHOOLS 11/24/14 ANKIN LAW OFFICE 340 14WC 42452 KONOPZ, JANUSA HUDSON RCI 09/16/14 CHEPOV & SCOTT LLC HEYL ROYSTER VOELKER & ALLEN 341 14WC 42524 WORDLAW, STEVIE POPEYE'S 12/12/14 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 342 14WC 42795 MISCA, ANKA MBB ENTERPRISES OF CHICAG 06/03/14 NILSON STOOKAL GLEASON CAP 343 15WC 04240 EPSTEIN, CHRISTOPHER FMS FINANCIAL 09/22/14 VASILATOS & COTTER LLC 344 15WC 04356 CARRERO, WILLIAM V CITY OF CHICAGO DEPT OF 12/09/14 PETER D CORTI LAW GROUP CITY OF CHICAGO 345 15WC 04490 DELEON, SERGIO SUMMIT REAL 11/03/14 BOUDREAU NISIVACO LLC GAROFALO SCHREIBER STORM 346 15WC 04517 ANWAR, SYED CHICAGO SERVICE 02/07/15 STEPHEN G PINTO LTD 347 15WC 04541 SUN, YIN YAN CHI TUNG RESTAURANT CORP 06/10/14 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK 348 15WC 04886 GONZALEZ, ESTEBAN SEALED AIR CORP 12/18/14 STYKA & STYKA MEACHUM & STARCK 349 15WC 04905 HERRERA, JASON COOK COUNTY JUVENILE 01/30/15 GOLDBERG WEISMAN & CAIRO L 350 15WC 04924 OLIVA, LILIA GATE GOURMET 09/26/14 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 351 15WC 04998 CALZADA, HENRY JERNBERG INDUSTRIES 01/27/15 DEPAOLO ZADEIKIS GORE MEACHUM & STARCK 352 15WC 05020 LUELLEN, PATRICIA JP MORGAN CHASE 09/01/14 DWORKIN AND MACIARIELLO GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 353 15WC 05043 GRADY, KENDRIC FORD 08/02/13 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 354 15WC 05065 GUZMAN, JESUS SHERIDAN PLUMBING & SEWER 01/30/15 KURASCH & KLEIN, LTD 355 15WC 05132 WHARTON, QUINN HUBBARD STREET DANCE CHIC 11/19/13 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 356 15WC 05134 EMIG, GABRIELLE PERENNIAL VIRANT 08/15/14 LAW OFFICE OF SCOTT B SHAP 357 15WC 05153 REYES, EMILIO DART CONTAINER CORPORATIO 03/15/14 COVEN LAW GROUP GAROFALO SCHREIBER STORM 358 15WC 05198 RENTERIA, JOSE JLO METAL PRODUCTS, INC. 02/11/15 LAW OFFICE HUGO ORTIZ 359 15WC 05328 NGUYEN, HIEU SEGERDAHL CORP 12/28/14 COPLAN & CRANE, LTD 360 15WC 05376 BREWSTER, CATHERINE COOK COUNTY SHERIFF'S 05/29/14 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 361 15WC 05467 MATZ, GREGG JOHN DELUXE CORPORATION 04/29/14 THE FITZ LAW GROUP HENNESSY & ROACH PC 362 15WC 05531 WILLIAMS, ANDRE SUPREME LOBSTER 01/08/15 RUBENS AND KRESS 363 15WC 05771 BINION, GALE A KNOCK AT MIDNIGHT 02/04/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 364 15WC 05866 AMAYA, LILIANA ARAMARK 02/16/15 GRAZIAN & VOLPE PC INMAN & FITZGIBBONS 365 15WC 05988 JACINTO, ANGELA PARAMOUNT STAFFING OF CHI 01/29/15 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 366 15WC 06020 NICHOLS, REMELL JERNBERG INDUSTRIES 10/01/13 SEIDMAN MARGULIS & FAIRMAN 367 15WC 06045 SIMMONS, CAROLYN CTA 02/20/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 368 15WC 06178 ALVAREZ, ALVARO A&G FOODS INC 02/02/15 DEPAOLO ZADEIKIS GORE INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 369 15WC 06256 ROSA-RODRIGUEZ, JUAN J UNITED MAINTENANCE CO 01/15/15 DEPAOLO ZADEIKIS GORE 370 15WC 06324 PEREZ, MARTHA WHITE LODGING SERVICES CO 07/28/13 EPSTEIN, JACK R LAW OFFICE 15WC006325 -C 371 15WC 06356 HUNTER, CHARLES J II FORD MOTOR COMPANY 09/03/13 MARSZALEK AND MARSZALEK POWER & CRONIN LTD 372 15WC 06373 MCMANUS, RANDI J CHICAGO PUBLIC SCHOOLS 01/12/15 GOLDBERG WEISMAN & CAIRO L 373 15WC 06436 BRAXTON, TOMMY KOCH FOODS 02/06/15 POLANSKY & CICHON CHTD 374 15WC 06466 MCKINLEY, DEMETRIUS FOOD FOR LESS 01/10/15 DWORKIN AND MACIARIELLO STONE & JOHNSON CHARTERED 375 15WC 06518 NEAL, TYRONE FIRST TRANSIT INC 02/05/15 ANKIN LAW OFFICE 376 15WC 06579 PSZENYCZNY, DAVID CHICAGO WOLVES 01/28/12 FLOYD LAW FIRM ARCHER LASSA & MCHUGH 377 15WC 06619 CASTELLANOS, RICHARD WHOLE FOODS 01/27/15 VASILATOS & COTTER LLC 378 15WC 06634 NUNEZ, JOSE FEDEX FREIGHT 06/18/14 379 15WC 06657 JINDRICH CHLUD, HENRY WE TRANSPORT INC 02/16/15 CHEPOV & SCOTT LLC ALLEN KOPET & ASSOCIATES 380 15WC 06751 RIVERS, CAREY CITY OF CHICAGO-DEPT OF W 02/17/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 381 15WC 06884 GUTIERREZ, JOHN JEWISH VOCATIONAL SERVICE 11/10/14 MARK G BERGAL LAW OFFICE 382 15WC 07003 NELSON, DWAYNE ESTES EXPRESS LINES TRUCK 01/30/15 THE FITZ LAW GROUP 383 15WC 07065 LOPEZ, MIGUEL A EMCO METALWORKS CO 12/08/14 GOLDSTEIN AIOSSA & GOOD ROBERT L. SMITH 15WC008748 -C 384 15WC 07098 PARRA, SANTOS EZ CLEANERS 02/09/15 385 15WC 07123 WILLIS, MICHAEL J AT & T 02/04/15 CULLEN HASKINS NICHOLSON 386 15WC 07191 BERRIMAN, DOROTHY SCHAUMBURG SCHOOL DISTRIC 10/07/13 SEIDMAN MARGULIS & FAIRMAN ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 387 15WC 07230 FISCHER, STEVE A CHICAGO TRANSIT AUTHORITY 11/14/14 CRONIN & PETERS CHICAGO TRANSIT AUTHORITY 388 15WC 07559 NEGRETE, BENEDICTO LT IRON WORKS 04/07/12 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 389 15WC 07635 BRITO, JACINTO ATG REPAIR INC 10/31/14 JOHN S. ELIASIK 390 15WC 07650 RUIZ, JUAN DC FORM RECYCLE INC. 02/12/15 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 391 15WC 07686 DAVIS, TANYA S HCR MANOR CARE 06/20/14 MARKER & ASSOCIATES BRYCE DOWNEY & LENKOV LLC 392 15WC 07861 ALONSO, MARTINA EAGLE PRODUCTS, INC 02/28/15 COSTA IVONE LLC KOPKA, PINKUS & DOLIN, PC 393 15WC 07995 GIOVENCO, JOHN AMERICAN AIRLINES 12/08/14 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 394 15WC 08019 ULUOCHA, SMART DISPATCH TAXI AFFILIATION 02/01/14 KARCHMAR & STONE 395 15WC 08039 AGUILAR, EMMANUEL WELLE TREE CARE W 05/30/12 HEALY SCANLON LAW FIRM 396 15WC 08110 SZPAK, STANISLAW K. KRAK DISTRIBUTING, INC. 03/06/15 LEWUN & KAIS LTD LAW OFFICES JOSEPH MARCINIAK 397 15WC 08392 O'NEAL, JOHNNIE GE ZENITH CONTROLS 08/20/14 WILLIAM S. WOJCIK LTD MACIOROWSKI SACKMANN & ULRIC 15WC028162 -C 398 15WC 08577 KRUCK, WENDY UNITED AIRLINES 11/20/14 KATZ FRIEDMAN EAGLE ET AL 16WC013258 -C 399 15WC 08654 LINDO, BETTY GREAT LAKES RESOURCES 02/03/15 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 400 15WC 08677 ROSENDO, SIXTO SAI CAFE INC 10/07/13 LAW OFFICE OF JAMES H MILL KOPKA, PINKUS & DOLIN, PC 401 15WC 08865 SALINAS, ERNESTINA ABM JANITORIAL SERVICES I 01/23/15 LAW OFFICE OF SCOTT B SHAP 402 15WC 08915 WOODS, BABETTE SALVATION ARMY 03/05/14 IRA M KLEINMUNTZ & ASSOC 403 15WC 08957 VEGA, GUILLERMO JR FED EX FREIGHT CORPORATIO 11/18/14 ANGELINI & ORI LLC QUINTAIROS PRIETO WOOD & BOY 404 15WC 09253 SHELBY, LEIMOMI FORD MOTOR COMPANY 11/23/14 KUMLIN & FROMM WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 405 15WC 09466 AYYASH, HAMADA KISWANI TRUCKING INC # 06/25/13 BELCHER LAW OFFICE 406 15WC 17137 PEREZ, MARIA G PRINCIPAL MANUFACTURING C 03/11/15 FREDRICK B BARDER, LTD RUSIN & MACIOROWSKI LTD 407 15WC 17153 PERRY, VALERIE ABM 03/09/15 DAVID M SPADA 408 15WC 17223 GORHAM, KATHLEEN CPS 03/05/15 RUBIN MACHADO ROSENBLUM 409 15WC 17322 MALKI, ABDEL HALLS RENTAL SERVICE 04/19/15 LAW OFFICES ROBERT WARSASK COZZI & GOGGIN-WARD 410 15WC 17479 GARAY, LUIS BEST PRICE MOVING & STORA 11/01/13 BAUM RUFFOLO & MARZAL LTD GRANT & FANNING 411 15WC 17496 STRICKLAND, PASTELL REGENCY REHAB CENTER 04/10/15 DEPAOLO ZADEIKIS GORE BRADY CONNOLLY & MASUDA PC 412 15WC 17530 HERNANDEZ, HUMBERTO MVP 04/30/15 JOHN S. ELIASIK KOREY RICHARDSON LLC 413 15WC 17635 TADLA, DAVID L UPS 04/29/15 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 414 15WC 17964 ADAMCZYK, STANISLAW FOUR SEASONS HEATING AND 05/29/15 BELCHER LAW OFFICE BRADY CONNOLLY & MASUDA PC 415 15WC 17984 PAOLISSO, JOHN MORAN ELECTRIC 04/11/14 HORWITZ HORWITZ & ASSOC 416 15WC 18013 BOWENS, LETITIA FAMILY DOLLAR INC 05/16/15 ANKIN LAW OFFICE 417 15WC 18082 PORTILLO, DILICIA STAFF RITE 04/03/15 EPSTEIN, JACK R LAW OFFICE KLAUKE LAW GROUP LLC 418 15WC 18144 RAMOS, ROSEMARY SEDGWICK CMS 05/23/13 STROM, NEAL B ARNETT LAW GROUP 419 15WC 18161 RACHOU, AMIRA ARAMARK 05/14/15 ACEVES & PEREZ PC STONE & JOHNSON CHARTERED 420 15WC 18192 TOTI, MASSIMILIANO ALBANY STEEL & BRASS CORP 09/15/14 WARMOUTH LAW PC CASSANO & ASSOCIATES 421 15WC 18228 HART, JANELL FORD 01/25/15 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 422 15WC 18573 FRANKLIN, ERIC METROPOLITAN WATER 05/21/15 WILLIAM B MEYERS, LTD HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 423 15WC 18867 NOEL, REMSON TEMPLE STEEL CO 03/03/15 THE ROMAKER LAW FIRM RODDY LAW LTD 424 15WC 18925 BUTLER, MARY GEOMETRY GLOBAL C/O CORP 03/31/14 BRIAN J MC MANUS & ASSOC, RUSIN & MACIOROWSKI LTD 425 15WC 18973 HARRIS, JERALDYNE CTA 12/05/13 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 426 15WC 19101 MENDEZ, MARIO ACCURATE PARTITIONS CORP 04/15/15 EPSTEIN, JACK R LAW OFFICE 427 15WC 19135 FORMAN, EDWARD S. IL BONE & JOINT INSTITUTE 01/10/13 RITTENBERG & BUFFEN HOLECEK & ASSOCIATES 428 15WC 19310 VELASQUEZ, JOHN J.B. HUNT 04/28/15 GRANT & FANNING 429 15WC 19393 HERNANDEZ, JORGE ROCKTENN-CARDBOARD 03/09/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 430 15WC 19420 BOULIL, MOSTAFA CITY TAXI, INC. 03/28/15 MC HARGUE, JAMES P LAW OFF 431 15WC 19495 RAFIDI, GHASSAN F DR PEPPER SNAPPLE GROUP 05/06/15 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 16WC012968 -C DR. PEPPER SNAPPLE GROUP 432 15WC 19595 OLES, ROBERT B PACE AIR FREIGHT 04/10/15 GOLDSTEIN BENDER & ROMANOF GANAN & SHAPIRO 433 15WC 19652 JOHNSON, EUNICE M MARIANO'S FRESH MARKET 11/14/14 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 434 15WC 19933 FARUZZI, JERRY VILLAGE OF ALSIP 01/16/15 HEALY SCANLON LAW FIRM RUSIN & MACIOROWSKI LTD 435 15WC 19957 GABEL, JOSEPH DR PEPPER SNAPPLE GROUP 12/31/14 DAVID W MARTAY GAROFALO SCHREIBER STORM 436 15WC 19991 HERNANDEZ, JUAN A. AMERICAN SIGNATURE 01/15/15 CHRISTINE F DAVID BRYCE DOWNEY & LENKOV LLC 437 15WC 20011 SANCHEZ, ROINEL EUROPEAN SERVICE AT HOME 05/29/15 MC HARGUE, JAMES P LAW OFF INMAN & FITZGIBBONS 438 15WC 20091 WALLACE, LINDA T IL DEPT OF JUVENILE JUSTI @ 04/05/15 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 439 15WC 20115 COATES, PATRICIA CTA 06/02/15 KP LAW LLC CHICAGO TRANSIT AUTHORITY 440 15WC 20167 MARENCHE, JAMES JOHN JMADDEN MENTAL HEALT @ 03/30/15 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 441 15WC 20254 BUCKNER, JAMES R. UPS STORE #2850 05/08/15 ANKIN LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 442 15WC 27655 LARA, BRANDON STAFF RIGHT INC 07/15/15 KATZ FRIEDMAN EAGLE ET AL 443 15WC 27826 BOULOS, SANDY AIMAN & SANDY TRUCKING, I 08/04/15 MATT MURPHY CONSULTING 444 15WC 27909 LAWSON, CHERYL SCHOOL OF ROCK 08/11/15 VASILATOS & COTTER LLC WOLFE & JACOBSON, LTD 445 15WC 27941 DOMINQUEZ, LETICIA CASA CENTRAL 07/31/14 GOLDSTEIN BENDER & ROMANOF MEACHUM & STARCK 446 15WC 28047 JACKSON, CARLY UNITED AIRLINES 08/13/15 KREITER, BYCK & ASSOC LLP 447 15WC 28103 JONES, JEFFREY ILLINOIS BELL TELEPHONE C 04/28/15 BRIAN J MC MANUS & ASSOC, HENNESSY & ROACH PC 448 15WC 28119 GUERRERO, JAIME BRIDGESTONE RETAIL 08/05/15 THE ROMAKER LAW FIRM 449 15WC 28285 RUIZ, IRMA LITTLE LAOY FOODS, INC. 05/07/15 FERRIS THOMPSON & ZWEIG 450 15WC 28314 WACHNIAK, PHILLIP UNITED AIRLINES - 07/13/15 GOLDBERG WEISMAN & CAIRO L 451 15WC 28370 FRANCESCHI, WILLIAM AUTO ZONE 08/03/15 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 452 15WC 28403 DIOSDADO, ERNESTO IVAN OUTBACK STEAK HOUSE 08/09/15 JOHN S. ELIASIK 453 15WC 28418 GALLIVAN, VINCENT ILLINOIS STATE TOLL @ 07/06/15 PETER D CORTI LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 454 15WC 28452 WATSON, RUSHER ARIES CHARTER CO 08/17/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 455 15WC 28530 SEXTON, TIMOTHY SPECIALTY CONSTRUCTION LL 07/09/15 DUDLEY & LAKE LLC 456 15WC 28661 NARDI, DEAN CITY OF CHICAGO 10/16/13 GORDON & CENTRACCHIO LLC 457 15WC 28680 DUNBAR, DARRYL GERALEX JANITORIAL SERVIC 08/28/15 FOHRMAN, DONALD W & ASSOCS ANCEL GLINK DIAMOND BUSH & E 458 15WC 28696 ARMBRUSTER, JAMES R. MENARD, INC. 12/09/13

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 459 15WC 28804 PYZIK, WILLIAM BP STAFFING 07/17/15 POLANSKY & CICHON CHTD RUSIN & MACIOROWSKI LTD 460 15WC 28918 DITCHIE, MICHAEL LYONS TOWNSHIP HIGH SCHOO 02/01/15 RIDGE & DOWNES 461 15WC 29100 THOMPSON, ALVIN NORDSTROM 07/23/14 ANKIN LAW OFFICE ROBERT L. SMITH 15WC034404 -C 462 15WC 29184 BUSTAMANTE, VICTORIA KOCH FOODS 05/11/15 BAUM RUFFOLO & MARZAL LTD MACIOROWSKI SACKMANN & ULRIC 463 15WC 29217 LUNDBERG, PAMELA UL LLC 02/22/13 NEWLAND & NEWLAND NYHAN BAMBRICK KINZIE & LOWR 464 15WC 29311 EBLER, NATALIE K DARDEN RESTAURANTS INC 04/24/15 MONDRY & MONDRY WIEDNER & MCAULIFFE LTD 465 15WC 29361 THOMPSON, SHANTASIA FED EX 08/07/15 MICHAEL P MCCREADY & ASSOC 466 15WC 29414 ROBERTS, PATRICIA FORD MOTOR COMPANY 03/19/13 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 467 15WC 29546 WIGGINS, JERMAINE ED MINIAT INC 07/14/15 COSTA IVONE LLC POWER & CRONIN LTD 468 15WC 29583 VENEMA, KATRIN UNITED AIRLINES 07/17/14 KATZ FRIEDMAN EAGLE ET AL 469 15WC 29686 RAMIREZ, JULIAN EL MILAGRO TORTILLA 08/13/15 THE KARMEL LAW FIRM LAW OFFICE OF SCOTT B SHAPIR 470 15WC 29986 DE-LUCA, DONALD MARIANO'S 10/01/14 MANDELL, GREGG BRYCE DOWNEY & LENKOV LLC 471 15WC 30004 BEHRENS, J. MARIA COSTCO WHOLESALE 12/01/14 GOLDSTEIN BENDER & ROMANOF GANAN & SHAPIRO 472 15WC 30198 MAROTTA, ANTHONY UNITED AIRLINES INC. 03/06/15 LAW OFFICE OF ROBERT J. IR 473 15WC 30209 WESOLOSKI, BENJAMIN EXPRESS JET AIRLINES, INC 07/25/15 MARKHAM M JEEP & ASSOCIATE 474 15WC 30246 DAVIS, JACQUELINE Y REHABILITATION INSTITUTE 05/27/15 WARREN W MARK KEEFE CAMPBELL & ASSOC LLC 475 15WC 30383 HAHN, PHIL COOK COUNTY SHERIFF 06/10/15 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 476 15WC 30407 IRBY, ERICA KELLOGGS, INC. 05/17/15 HUGHES SOCOL PIERS RESNICK KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 477 15WC 30428 LITTLE, JOHNNIE KEYBOARD DEVELOPMENT ENT. 10/28/14 FRIEDMAN & SOLMOR LTD 478 15WC 30545 SEABOLT, THOMAS CHICAGO TRANSIT AUTHORITY 09/14/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 479 15WC 31028 YEARGAIN, MECHELLE EXPRESS EMPLOYMENT 09/15/15 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 480 15WC 31183 MCINTOSH, RICKY JERNBERG INDUSTRIES 09/01/15 CHRISTINE F DAVID 481 15WC 38660 RISPENS, DIRK BAHR CONSTRUCTION INC (BC 09/17/13 R. MARK MARITOTE PC 482 15WC 38858 CONTRERAS, LORENA CPS 11/02/15 STROM, NEAL B 483 15WC 38879 ORTIZ, JOSE MANUEL BARKAAT FOODS MKT 07/13/15 LAW OFFICES OF ANSELMO DUR 484 15WC 39102 KEEFE, LUKE J LJ KEEFE CO 09/09/15 CRONIN & PETERS HOLECEK & ASSOCIATES 485 15WC 39135 ANGELILLI, ANTHONY CHICAGO BOARD OF EDUCATIO 12/01/15 GORDON & CENTRACCHIO LLC 486 15WC 39152 DIAZ, RICARDO MENARDS 03/25/15 COSTA IVONE LLC 487 15WC 39184 AMBRIZ, JOSE A HEARTHSIDE FOOD SOLUTIONS 05/19/15 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 488 15WC 39277 JOHNSON, LONNIE WAL-MART 11/09/15 GOLDSTEIN BENDER & ROMANOF 489 15WC 39379 LUBINSKI, BOGDAN JAKUB KOSIK/HK WOODWORK L W 10/17/14 LAW OFFICE TIMOTHY DEFFET 490 15WC 39419 MELENDEZ, ELBA M DOLLAR GENERAL 12/06/15 RUEDA, IVAN A LEAHY EISENBERG & FRAENKEL 491 15WC 39473 SIMMONS, CHEMAINE D CHICAGO TRANSIT AUTHORITY 11/24/15 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 492 15WC 39618 MOHAMMED, MOHAMEDRASHED CHICAGO ELITE CAB CORP., 11/07/15 HETHERINGTON KARPEL BOBBER 493 15WC 39705 WASHINGTON, RUBY FORD MOTOR COMPANY 09/02/14 KATZ FRIEDMAN EAGLE ET AL 494 15WC 39756 GADDIS, SHAKITA DESIGN PAC 10/09/15 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 495 15WC 39865 MARTINEZ, DAVID RON'S STAFFING SERVICES, 11/09/15 ACEVES & PEREZ PC GAROFALO SCHREIBER STORM 496 15WC 39900 LEVY, ROBERT F ARCELOR MITTAL STEEL 05/11/15 LAW OFFICES MARK LOFTUS SPIEGEL & CAHILL, PC 497 15WC 40977 OLAMIDE, JOSEPH JOEY'S MOVERS & TRUCKING W 09/18/15 ELFENBAUM EVERS & AMARILIO 498 15WC 41012 ROCHA, ARNULFO MIDWEST TRUCK AND AUTO PA 09/29/15 ANKIN LAW OFFICE 499 15WC 41029 ROBLES, MANUEL OWENS & MINOR 10/28/15 ELFENBAUM EVERS & AMARILIO KEEFE CAMPBELL & ASSOC LLC 500 15WC 41063 RHOADES, ANNE CASTLE VENTURES INC. D/B/ 08/15/14 CLARK JUSTEN ZUCCHI HOLECEK & ASSOCIATES 501 15WC 41145 BASIAK, ELZBIETA MONTROSE FOOD MART & DELI 11/14/15 CHRISTOPHER BUCHCAR, LTD 502 15WC 41171 SIPPLE, STEVEN CLOVERLEAF FARMS 09/03/15 VASILATOS & COTTER LLC BRYCE DOWNEY & LENKOV LLC 503 15WC 41210 SANTANA, ALFONSO CITY OF CHICAGO 09/03/15 RICHARD O. GREENFIELD 15WC041211 -C 504 15WC 41235 SHELTON, CHRISTOPHER WINKLER'S TREE SERVICE 12/04/15 LEO ALT RODDY LAW LTD 505 15WC 41303 RICE, MICHAEL AMERICAN AIRLINES 02/12/14 BOUDREAU NISIVACO LLC 506 15WC 41479 MEZA, ALEJANDRO WILDBERRY PANCAKES & CAFE 11/04/15 THE ROMAKER LAW FIRM NOBLE & ASSOCIATES PC 15WC041616 -C 507 15WC 41552 O'DONNELL, MICHAEL DOUBLE TREE BY HILTON CHI 11/16/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 508 15WC 41621 THOMAS, PATRICK CHICAGO TRANSIT AUTHORITY 12/14/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 509 15WC 41714 NORIEGA, DANIEL O'MALLEY CONSTRUCTION COM 11/07/15 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 16WC003072 -C 510 15WC 41863 KOKITKO, MANA NORTHWESTERN UNIV 02/22/13 ROSS J HELFAND 511 15WC 41895 MAZAR, JAMES JLL 03/27/15

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 512 15WC 41933 CARTER, BRANDON MONTERREY SECURITY 11/21/15 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 513 15WC 41976 HERNANDEZ-RUZA, OSCAR J INTERGRATED AIRLINE SERVI 11/23/15 MANUAL CARDENAS & ASSOC 514 15WC 41982 RODRIGUEZ, LAZARO TEMPEL STEEL CO 11/13/15 FIGLIOLI, DAVID RODDY LAW LTD 515 15WC 41992 HURLEY, KAREN UNITED AIRLINES INC. 02/05/14 KATZ FRIEDMAN EAGLE ET AL 516 15WC 42024 RAMIREZ, DAVID CHGO STREETS & SAN DEPT 12/01/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 517 15WC 42079 GUILLEN, YADIRA VAN METER MAILING INC 12/17/15 ENCINAS & ORNELAS LAW OFFICES JOSEPH MARCINIAK 518 15WC 42162 BUCKLER, CHRISTOPHER HAYES MECHANICAL 10/26/15 RUBIN LAW GROUP GAROFALO SCHREIBER STORM 519 15WC 42300 TELLEZ, JOSE J NARDULLI CONCRETE INC 07/02/15 SOSTRIN AND SOSTRIN PC WIEDNER & MCAULIFFE LTD 520 15WC 42380 ZATORSKI, PRZEMYSLAW ELSTON TWELVE LLC 6328 TX 08/02/15 CHEPOV & SCOTT LLC 521 15WC 42450 DIXON, TARA GLENWOOD HEALTHCARE & REH 11/28/15 WOODRUFF & JOHNSON GALLIANI DOELL & COZZI LTD 522 15WC 42492 TUINSTRA, KEITH GERRESHEIMER GLASS INC 04/21/15 BELCHER LAW OFFICE RUSIN & MACIOROWSKI LTD 523 15WC 42525 FERRO, VINCE COOK COUNTY DEPARTMENT 11/10/15 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 524 15WC 42532 SANTILLANEZ, ANSELMO ACCURATE PERSONNEL, LLC. 07/28/15 DEPAOLO ZADEIKIS GORE RODDY LAW LTD 525 15WC 42613 PEEBLES, CECIL TRIALCO, INC 09/01/15 VASILATOS & COTTER LLC 526 15WC 42672 GARCIA, ANA PETE'S FRESH MARKET 07/26/15 RUEDA, IVAN A 527 15WC 42705 WALLACE, DARRON EAST LAKE MANAGEMENT 11/03/15 HORWITZ HORWITZ & ASSOC 528 16WC 00019 FLORES, ALEXANDRO ATLAS EMPLOYMENT 12/08/15 WHITING LAW GROUP ROBERT L. SMITH 529 16WC 00037 ORDAZ, JEAN CARLO EL RANCHITO RESTAURANT 12/26/15 STROM, NEAL B

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 530 16WC 05463 HAYES, ERIAH CHICAGO WOLVES 09/30/15 FLOYD LAW FIRM 531 16WC 05590 LEYVA-MACIAS, TERESA CAPITOL WHOLESALE MEATS I 09/10/15 CUDA LAW OFFICES 532 16WC 05606 SORIANO, MARGARITA PAMCO 06/16/15 HART & DAVID LLP 533 16WC 05715 LAFFEE, RAYMOND GIBSON ELECTRIC & 01/21/16 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 534 16WC 05780 DAVIS, ERNEST B RTS PACKAGING 01/20/16 MONDRY & MONDRY GAROFALO SCHREIBER STORM 535 16WC 05891 VARILLA, ARTHUR M NILES PUBLIC LIBRARY 01/13/16 LEO M. BLEIMAN & ASSOC 536 16WC 05932 MCINERNEY, ANNETTE H MACY'S 01/11/16 HETHERINGTON KARPEL BOBBER ROBERT L. SMITH 537 16WC 05979 BENDER, ERIC CALZONE & MACARONI CO. 01/21/16 GORDON & CENTRACCHIO LLC LAW OFFICES JOSEPH MARCINIAK 538 16WC 05999 HENSLEY, NICOLE CARGO PACIFIC LOGISTICS 12/16/15 LAW OFFICE PHILIP BLOMBERG 539 16WC 06042 SOTO, JESUS AMERICAN BOXBOARD 06/02/15 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 540 16WC 06079 MITCHELL, RAYMOND JR MARKPOL DISTRIBUTORS, INC 10/16/15 HEALY SCANLON LAW FIRM LAW OFFICES JOSEPH MARCINIAK 541 16WC 06122 AVILA, SERGIO GRAPHIC PACKAGING 02/11/16 LAW OFFICE OF SCOTT B SHAP DOHERTY & PROGAR LLC 542 16WC 06834 ENGLEHART, STEVEN J. CITY OF CHICAGO 01/20/16 PARENTE & NOREM PC 543 16WC 06867 RODRIGUEZ, ANICETO CONTRACTORS ACCESS EQUIPM 09/03/15 CORBOY & DEMETRIO PC ACCIDENT FUND HOLDINGS 544 16WC 07011 SULLIVAN, DANIELLE ALLSTATE 06/10/15 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 545 16WC 07205 CABRERA, ELIZABETH LENZIP MANUFACTORING 12/18/15 SPENCER LAW OFFICES RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 546 16WC 07295 RZEZNIKOWSKI, MICHAL JOE RIZZA ENTERPRISES INC 09/21/15 BOWMAN & CORDAY GANAN & SHAPIRO 547 16WC 07318 MURRAY, JANET LITTLE COMPANY OF MARY 10/19/15 JEROME FOREMAN & ASSOCIATE 16WC008190 -C 548 16WC 07473 WILLIAMS, HOWARD ARAMARK 02/15/16 MICHAEL P MCCREADY & ASSOC WIEDNER & MCAULIFFE LTD 549 16WC 07489 SULLIVAN, MICHAEL J PARENTI & RAFFAELLI, LTD 12/23/15 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 550 16WC 07512 SANCHEZ, NORMA VISITING ANGELS 03/04/15 DEAN J CARAS & ASSOCIATES NOBLE & ASSOCIATES PC 551 16WC 07594 SPADARO, THOMAS R SENTINEL TECHNOLOGIES 02/15/16 MARTIN V KUGIA HENNESSY & ROACH PC 552 16WC 07667 MORENO, BASILIA ACE ANODIZING & IMPREGNAT 01/30/16 BOUDREAU NISIVACO LLC RODDY LAW LTD 553 16WC 07707 WATSON, JOEY FORD MOTOR COMPANY 02/17/16 FOHRMAN, DONALD W & ASSOCS 554 16WC 07758 GUZMAN, DENNY MENDEZ B&G TRUCK & AUTO REPAIR 01/21/16 COLLISON & O'CONNOR 555 16WC 07776 RAINES, JEANNE F COOK COUNTY SHERIFF'S OFF 12/08/15 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 556 16WC 07827 PANTLE, ROBBIN A LA CARTE ENTERTAINMENT 02/20/16 THERMAN LAW OFFICES HENNESSY & ROACH PC 557 16WC 07967 MIMS, CARNAILE PILOT AIR FREIGHT CORPORA 01/26/16 ANKIN LAW OFFICE 558 16WC 07994 SESTOVIC, RADE SCHNEIDER NATIONAL 10/26/15 OWENS & LAUGHLIN LLC HENNESSY & ROACH PC 559 16WC 08026 WLAZLO, ALEXANDER SR UNITED AIRLINES INC. 06/25/15 DOUGLAS RALLO PC 560 16WC 08076 CARRILLO, YEYMI ASSEMBLY UNLTD PACKAGING 12/07/15 FAJARDO LAW GROUP 561 16WC 08265 LLOYD, GEORGE CTA 11/06/15 TIMOTHY E. TAKASH CHICAGO TRANSIT AUTHORITY 562 16WC 08295 JENKINS, DORIAN R GATE GOURMET INC 01/13/16 MARKER & ASSOCIATES 563 16WC 08306 DONDLE, BONITA CHICAGO HEIGHTS 03/08/16 POLANSKY & CICHON CHTD INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 564 16WC 08329 DESALVO, MARK SCHAUMBURG SCHOOL DISTRIC 01/05/16 MARKS & ASSOCIATES ACCIDENT FUND HOLDINGS 565 16WC 08482 SANCHEZ, MIGUEL GARCIA FERRARA PAN CANDY INC. 05/16/14 CUDA LAW OFFICES HOLECEK & ASSOCIATES 566 16WC 08662 GORDON, MARCUS PROGRESSIVE LOGISTICS SER 03/14/16 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 567 16WC 08691 NICHOLS, LAVALL CENTRAL GROCERS INC 10/26/15 ANKIN LAW OFFICE ROSARIO CIBELLA 568 16WC 08804 DOUD, DANIEL ADE INC. 02/14/16 SALVATO & O'TOOLE GAROFALO SCHREIBER STORM 569 16WC 08827 GOERINGER, JULIANE K CATHERINES INC. 01/06/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 570 16WC 08852 WALSH, RICHARD J ECO LAB 09/21/15 ROBERT BURROWS KEEFE CAMPBELL & ASSOC LLC 571 16WC 08868 SCHUSTERIC, DAVID NORTHSHORE UNIVERSITY 07/16/15 HORWITZ HORWITZ & ASSOC 572 16WC 08929 ECHOLS, MARGUERITE J WORKING AMERICA 03/02/16 ANKIN LAW OFFICE 573 16WC 09035 PEART, NELLY F CHARMING SHOPPES D/B/A 05/05/15 BUDIN LAW OFFICES BRADY CONNOLLY & MASUDA PC 574 16WC 09098 LIPKIS, DAVID AMERICAN FAMILY INSURANCE 06/20/14 CAPRON & AVGERINOS PC HEYL ROYSTER VOELKER & ALLEN 575 16WC 09115 KRUPA, ZENON M & M CB INC 02/22/16 ROSENBERG & ROSENBERG PC GANAN & SHAPIRO 576 16WC 09139 MARQUEZ, XAVIER LOCKE TRANSPORTATION INC 03/11/16 BARRY STEWART SILVER 577 16WC 09175 SEDEK, ZBIGNIEW GLOBAL CONSTRUCTION 07/24/15 SCOPELITIS GARVIN LIGHT 578 16WC 09213 SORENSEN, JERALYN MARSH USA 04/30/12 RATHBUN CSEVENYAK & KOZOL 579 16WC 09230 HOLLY, ZAKIA INFINITY HEALTHCARE MANAG 03/18/16 DWORKIN AND MACIARIELLO 580 16WC 09250 MONTGOMERY, CLYDE V ABF FREIGHT SYSTEM 03/14/16 LEONARD LAW GROUP LLC 581 16WC 09289 TURNER, KATINA TARGET CORPORATION 12/30/15 HORWITZ LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 582 16WC 09373 HARRINGTON-REESE, LEE CHICAGO PUBLIC SCHOOLS 05/01/14 COLLISON & O'CONNOR 583 16WC 09459 BARRY, KATHLEEN HEALTH CARE SRVC CORP 03/03/16 LOUIS A PLZAK & ASSOCIATES LAW OFFICES STEPHEN CARTER 584 16WC 09510 DELGADO, LAURA NAVISTAR 10/15/13 KATZ FRIEDMAN EAGLE ET AL 585 16WC 09539 BAKER, WILLIAM G COOK COUNTY OF IL 07/06/15 RICHARD O. GREENFIELD 586 16WC 09649 MILLS, BRADLEY JAMES CHICAGO BLACKHAWKS 10/30/13 FLOYD LAW FIRM 587 16WC 09673 SERRANO, ANGELINA SWISSPORT INTERNATIONAL L 10/14/15 STEVEN J. MORTON & ASSOC GAROFALO SCHREIBER STORM 588 16WC 09718 DE BARTOLO, CARMEN STATE OF IL @ 01/15/16 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENL 589 16WC 09838 BORKO, GALINA Y GOTTLIEB HOME HEALTH & HO 05/26/15 RUBIN LAW GROUP 590 16WC 09908 NORWOOD, JOSPEH CHICAGO TRANSIT AUTHORITY 03/18/16 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 591 16WC 09949 GARCIA, HUGO R GATEWAY CONSTRUCTION COMP 12/15/15 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 592 16WC 09998 MURPHY, KASSANDRA MARSOL ENTERPRISES, INC 10/01/15 KARLIN FLEISHER & FALKENBE 593 16WC 10075 MURPHY, PORCHA COOK DUPAGE TRANSPORTATIO 03/11/16 SKLARE LAW GROUP 594 16WC 10214 BERNDT, LEROY J AMERICAN WILBERT VAULT CO 05/08/15 GOLDBERG WEISMAN & CAIRO L 595 16WC 14807 WILLSON, MICHAEL DAYTON FREIGHT LINES INC 03/22/16 MILLON & PESKIN LTD RUSIN & MACIOROWSKI LTD 596 16WC 16949 VEGA, ENGRACIA EDSAL MANUFACTORING 04/07/16 MC HARGUE, JAMES P LAW OFF SLAVIN & SLAVIN 597 16WC 17044 ANGUIANO, RAYLUIS CENTRAL TRANSPORT 05/14/16 HORWITZ HORWITZ & ASSOC 598 16WC 17106 CRUZ, MARIA ERNESTINE GIS HEALTHCARE PLUS CORP 03/31/16 OSVALDO RODRIGUEZ PC 599 16WC 17136 GIANARIS, IOANNA NEW ALBERTSONS INC, DBA 11/15/15 LAW OFFICES OF MARK SCHAFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 600 16WC 17166 ECHOLES, RITA PRAIRIE GREEN DIXIE CROSS 05/24/16 DWORKIN AND MACIARIELLO 601 16WC 17258 GUTIERREZ, RICARDO DEVON MARKET 05/10/16 MANUAL CARDENAS & ASSOC 602 16WC 17299 NYTKO, ADAM CHICAGO DRYER COMPANY 04/20/16 LEO M. BLEIMAN & ASSOC NYHAN BAMBRICK KINZIE & LOWR 16WC017300 -C 603 16WC 17408 BUCK, JOANNE US PIPELINE 10/17/15 LEE, MARK N LAW OFFICE MEACHUM & STARCK 604 16WC 17425 PAEZ, OSCAR AT YOUR SERVICE INC 06/06/13 ROSS J HELFAND GAROFALO SCHREIBER STORM 605 16WC 17453 ABBOTT, MARK SIEVERT ELECTRIC SERVICE 11/24/15 HORWITZ HORWITZ & ASSOC 606 16WC 17504 LANE, JANET HOTEL PALOMAR 05/02/16 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 16WC019184 -C 607 16WC 17595 GOMEZ, PABLO ENVOY AIR 01/30/14 RONALDSON & KUCHLER 608 16WC 17646 MORRIS, ADRIEN REHABILITATION INSTITUTE 03/27/16 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 609 16WC 17735 MCCLENDON, EARNEST JASON HOWARD D/B/A W 04/05/16 ASHER, RAYMOND L LTD 16WC028645 -C LABOR READY 610 16WC 17763 VALDOVINOS, JAVIER SMREKAR ENTERPRISES 05/17/16 GORDON & CENTRACCHIO LLC RODDY LAW LTD 611 16WC 17782 CARRANO, PAUL PAW'S CHICAGO 05/18/16 BRISKMAN BRISKMAN GREENBER HOLECEK & ASSOCIATES 612 16WC 17862 THOELE, GERALD RENAISSANCE MANAGEMENT, I 04/12/16 GALLIANI DOELL & COZZI LTD QUINTAIROS PRIETO WOOD & BOY 613 16WC 17879 DEMMA, GRAZIELLA TOWNSHIP HIGH SCHOOL DIST 03/02/16 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 614 16WC 17954 SAUCEDO, ALFANSO SUPER RIO GRANDE FRESH MA 04/17/16 PARENTE & NOREM PC GILDEA & COGHLAN 615 16WC 17970 VALLE, CONCEPCION BOMARK CLEANING SERVICES 11/19/15 PETER D CORTI LAW GROUP HOLECEK & ASSOCIATES 616 16WC 18052 ADAN, MACARIA N COOK COUNTY DEPARTMENT OF 05/09/16 SOSTRIN AND SOSTRIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 617 16WC 18163 GONZALEZ, FERNANDO SUPERIOR STAFFING (LOANIN 05/10/16 O'CONNOR & NAKOS SLAVIN & SLAVIN 618 16WC 18190 SMITH, KAWANIA THOREK MEMORIAL HOSPITAL 06/01/16 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 619 16WC 18228 MCILWEE, DAVE HOME SERVICES DIRECT LLC 02/25/14 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 620 16WC 18316 BUCHANAN, ANDREW XPO LOGISTICS DBA CON-WAY 03/10/16 KROL BONGIORNO & GIVEN LTD 621 16WC 18380 WHITCLOCK, MCKINLEY CHICAGO TRANSIT AUTHORITY 06/01/16 GOLDSTEIN AIOSSA & GOOD CHICAGO TRANSIT AUTHORITY 622 16WC 18400 FLORES, BRANDEN JEWEL FOODS 05/31/16 SEIDMAN MARGULIS & FAIRMAN 16WC018451 -C 623 16WC 18420 BLACKWELL, ANGELIQUE LEARN CHARTER SCHOOL 06/02/16 DAVID W MARTAY 624 16WC 18458 HAYES, ALLISON BELMONT VILLAGE L.P. 03/22/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 625 16WC 18494 MORETA, CARLOS ELITE STAFFING 03/31/16 HART & DAVID LLP 626 16WC 18598 RODGERS, LESTER JR COOK COUNTY SHERIFF 04/17/16 FOTOPOULOS, JOHN S STATES ATTORNEY OF COOK COUN 627 16WC 18636 SHAW, ANDREA EASTERSEAL THERAPEUTIC SC 05/05/15 RUBENS AND KRESS 628 16WC 18694 GARCIA, EDGAR JOONG BOO MARKET 05/16/16 LAW OFFICES ROBERT WARSASK 629 16WC 18714 MILLER, JEREMIAH HOME DEPOT U.S.A, INC DBA 03/16/16 CLARK CASTREJO LAW FIRM ADELSON TESTAN & BRUNDO 630 16WC 18799 KATULKA, JOHN FOREST SECURITY 10/13/15 HUGHES SOCOL PIERS RESNICK 631 16WC 18803 AGUILAR, EFRAIN CITY OF CHICAGO 03/14/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 632 16WC 18820 GUTIERREZ, JUAN TAQUERIA AGUASCALIENTES 02/15/15 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 633 16WC 18876 OCAMPO, DANTE FAVIO REYES HAYES PROPERTIES 03/24/16 MC HARGUE, JAMES P LAW OFF 634 16WC 18917 PLAMITZER, BARTLOMIEJ TOP QUALITY HARDWOOD 05/26/16 STROM, NEAL B

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 725 16WC 28706 CARODINE, JEFFREY PEPSI CO 08/26/16 FRIEND LEVINSON & BERGAL GILDEA & COGHLAN 726 16WC 28722 MC NAIR, ERIC CHICAGO SCAFFOLDING, INC 09/07/16 FRIEDMAN & SOLMOR LTD 727 16WC 28743 IBARRA, LIDIA CLEAN HEART, INC 04/07/16 MC HARGUE, JAMES P LAW OFF ROBERT L. SMITH 728 16WC 28784 ANDERSON, NATHAN CTA 09/10/16 HERRERA LAW CENTER 729 16WC 28820 REESE, SPENCER S INGALLS MEMORIAL HOSPITAL 08/25/16 WILLIAMS, ROBERT B LAW OFF 730 16WC 28860 FAJARDO, ORBELIN A/K/A OR MUD BOY'S CONSTRUCTION IN 08/16/16 LEWIS & DAVIDSON, LTD 731 16WC 28867 ADAMS, SHEILA CITY OF CHICAGO 08/15/16 WILLIAM MARTAY CITY OF CHICAGO 732 16WC 28889 GARCIA-HERNANDEZ, LUIS AN RAZKO ENTERPRISE, INC 08/17/16 EPSTEIN, JACK R LAW OFFICE 733 16WC 28906 CASTANEDA, BERTHA CHICAGO PUBLIC SCHOOLS 08/30/16 LAW OFFICE HUGO ORTIZ 734 16WC 28939 ARELLANO, SAUL JERNBERG INDUSTRIES 08/17/15 DEPAOLO ZADEIKIS GORE MEACHUM & STARCK 735 16WC 28956 GONZALEZ, CECILIA DESLAURIERS, INC OF 04/26/16 COSTA IVONE LLC CHILTON YAMBERT PORTER LLP 736 16WC 28977 VALENTINO, JESSICA STARBUCKS 09/09/16 MICHAEL P MCCREADY & ASSOC 737 16WC 29042 CARDONE, JUDITH COOK COUNTY, CLERK OF THE 04/22/16 ROSS TYRRELL STATES ATTORNEY OF COOK COUN 738 16WC 29081 PERALTA, OBDULIA ARTISTS FRAME SERVICE INC 05/27/16 SALGADO, DAVID L 739 16WC 29114 BRAVO-MERCADO, FRANCISCO ELITE STAFFING 08/12/16 CHEPOV & SCOTT LLC 740 16WC 29168 LISIKIEWICZ, EDWARD A PACE SUBURBAN BUS SERVICE 07/15/16 RAYMOND P GARZA LAW OFFICE 741 16WC 29216 SEILER, JILLIAN UNIVERSITY OF ILL. AT CHI 06/16/16 CORNFIELD & FELDMAN POWER & CRONIN LTD 742 16WC 29270 LINSTROT, JANE (WIDOW) TRINITY HEATING AND COOLI # 08/14/15 LAW OFFICES MARK LOFTUS LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 743 16WC 29307 JONES, OLLIE B FILTRAN LLC 09/03/16 ANKIN LAW OFFICE 744 16WC 29320 KELLEY, ORLANDO R SUNRISE SOUTHWESTLLC 09/06/16 ANKIN LAW OFFICE 745 16WC 29390 CRAMPTON, ERIC WINDY CITY DISTRIBUTING, 05/20/16 MILLON & PESKIN LTD MC CABE & HOGAN 746 16WC 29412 PAUL, BLANCA LUZ WAL MART-NILES 09/09/15 THE FITZ LAW GROUP QUINTAIROS PRIETO WOOD & BOY 747 16WC 29455 PADILLA, ARTURO UNITED AIRLINES 09/20/16 THE ROMAKER LAW FIRM 748 16WC 29560 CUEVAS, MERCEDES LAND O'FROST INC 09/09/16 SALK, STEVEN B & ASSOC LTD 749 16WC 29576 TILLMAN, SHARON IMS 06/20/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 750 16WC 29602 BRICE, SEAN CHICAGO PUBLIC SCHOOLS 08/29/16 WILLIAM B MEYERS, LTD 751 16WC 29652 MELNYK, DIANA SIGNATURE ROOM AT THE 95T 08/17/16 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 752 16WC 29671 DEBNAR-CRAM, CAROLINE A PERMASTEELISA NORTH AMERI 08/12/16 SOSTRIN AND SOSTRIN PC 753 16WC 29699 CALVO, JOSE MIDWAY 06/16/16 JONATHAN SCHLACK ORENSTEIN & ASSOCIATES 754 16WC 29754 CIOCHON, DON DHL 06/08/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 755 16WC 29821 SOLIS, LUIS TOWN OF CICERO 08/23/16 HEALY SCANLON LAW FIRM DEL GALDO LAW GROUP LLP 756 16WC 29849 WHITE, VINCENT BRIAR PLACE NURSING CENTE 08/02/16 FINE, MARK S LAW OFFICES 757 16WC 29863 MUNOZ, JESUS ALCO SPRING INDUSTRIES, I 09/01/15 CULLEN HASKINS NICHOLSON GILDEA & COGHLAN 758 16WC 29882 CHUNG, YET MARIANO'S 08/28/16 GOLDBERG WEISMAN & CAIRO L 759 16WC 29942 ZADNICHEK, JEREMIAH J NATION WIDE RAIL SERVICE 08/06/16 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 760 16WC 29971 FORRESTER, LORENZO G TOTAL AIRPORT SERVICES, L 09/08/16 ANKIN LAW OFFICE THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 761 16WC 30003 SMOTHERS, ANTONIO ABM INDUSTRIES INC 09/15/16 STEVEN J TENZER, LTD 762 16WC 30043 LEDET, LEWIS TGI FRIDAYS 06/23/16 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 763 16WC 30065 REYES, PETER AVIS/BUDGET GROUP 07/20/16 GORDON & CENTRACCHIO LLC STELLATO & SCHWARTZ 764 16WC 30081 KRASZEWSKI, BEATA, WIDOW ELECTRICAL INNOVATIONS CO 05/05/16 O'CONNOR & NAKOS 765 16WC 30101 WISE, JUANITA UPS 07/22/16 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 766 16WC 30146 ABDIN, SAMMY M CARMAX AUTO SUPERSTORES, 07/01/16 GERALD BAUER JR 767 16WC 30215 ARGUETA, MARCO PETE'S PIZZA 09/24/16 MC HARGUE, JAMES P LAW OFF ROSARIO CIBELLA 768 16WC 30266 MUSA, MAHER M ACCURATE PERSONNEL, LLC 09/19/16 ANKIN LAW OFFICE 769 16WC 30280 PARKS, LATRICE THE HABITAT COMPANY, LLC 05/29/15 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 770 16WC 30301 LANGSTON, VANESSA CTA 09/26/16 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 771 16WC 30365 GATSON, BRENT FORD MOTOR CO 09/01/16 CANDIANO LAW OFFICE 772 16WC 30404 DVORAK, KATHLEEN ADJUSTABLE FORMS, INC 08/24/16 HORWITZ HORWITZ & ASSOC 773 16WC 35961 CARTER, YOLANDA CITY OF CHICAGO * 10/24/16 LAW OFFICES ROBERT WARSASK CITY OF CHICAGO 774 16WC 36986 MESIN, KENNETH COCA COLA REFRESHMENTS US * 11/14/14 BRADY CONNOLLY & MASUDA PC 775 16WC 37115 WRIGHT, ELLA UNIVERSITY OF ILLINOIS * 09/24/16 FOHRMAN, DONALD W & ASSOCS 776 16WC 37143 ALVAREZ, GERARDO EURO MARBLE SUPPLY LTD * 09/21/16 CHEPOV & SCOTT LLC 777 16WC 37191 PEATRY, DERRICK LAKESIDE METALS * 09/21/16 BRISKMAN BRISKMAN GREENBER 778 16WC 37200 LAWRENCE, VIRGINIA COOK DUPAGE TRANSPORTATIO * 10/26/16 LAW OFFICE OF SCOTT B SHAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 779 16WC 37221 JORDAN, ALFRED JR COOK COUNTY DEPARTMENT * 12/03/16 SKLARE LAW GROUP 780 16WC 37283 AGYEPONG, DUKE JOHN CRANE * 11/07/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 781 16WC 37309 SALDIVAR, JESSICA WHITE FENCE FARM * 04/12/16 GRAZIAN & VOLPE PC STONE & JOHNSON CHARTERED 782 16WC 37343 PREACELY, TERENCE UNITED PARCEL SERVICES IN * 08/16/16 ANKIN LAW OFFICE 783 16WC 37385 THOMAS, GREGORY 3 J'S CONTRACTING/JOHN HO * 10/07/16 LAW OFFICES TIMOTHY HENDER 784 16WC 37409 COTTON, KENNETH NORDSTROM, INC * 07/14/14 SANDMAN LEVY & PETRICH ROBERT L. SMITH 785 16WC 37427 DEAN, CALVIN JAKACKI BAG & BARREL * 11/14/16 DWORKIN AND MACIARIELLO 786 16WC 37454 SALTO, GRISELDA MERRY MAIDS * 08/26/15 HERRERA LAW CENTER 787 16WC 37479 SUGGS, VERLIE UNITED AIRLINES, INC * 11/27/16 BRIAN J MC MANUS & ASSOC, 788 16WC 37492 QUEEN-THOMAS, BEVERLY BOARD OF EDUCATION * 05/15/15 789 16WC 37521 RODRIGUES, LUCAS WHOLE FOODS MARKET, INC * 10/10/16 MEYERS & FLOWERS 790 16WC 37564 HOLFORD, GEORGE FACTORY MOTOR PARTS * 10/07/16 VRDOLYAK LAW GROUP LLC 791 16WC 37586 ORTIZ, LUIS COOK COUNTY ANIMAL CONTRO * 11/16/16 CULLEN HASKINS NICHOLSON 792 16WC 37633 REDZIC, HUSO SENIOR FLEXONICS * 08/19/16 LEAHY, JAMES P 793 16WC 37651 CHAVARRIA, MARILYEDI SURE STAFF * 11/22/16 MANUAL CARDENAS & ASSOC CACCHILLO LAW GROUP LLC 794 16WC 37668 CAMARA, TIFFANY M CHICAGO PUBLIC SCHOOLS * 09/08/16 ANKIN LAW OFFICE 795 16WC 37684 DAUTOVIC, ENISA ADVOCATE LUTHERAN GENERAL * 11/18/16 COVEN LAW GROUP 796 16WC 37729 IWANKIW, MARCOS CARNOW CONIBEAR AND ASSOC * 06/03/16 HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 797 16WC 37753 VINCEJ, JOSEPH GATE GOURMET * 12/02/16 DWORKIN AND MACIARIELLO 798 16WC 37814 PERKINS, ANTIONE M CHICAGO TRANSIT AUTHORITY * 12/06/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 799 16WC 37848 BAUER, PATRICIA AVNET ELECTRONICS * 10/24/16 ROGER D RUDICH LTD 800 16WC 37857 WILLIAMS, ROBERT JEWEL OSCO * 11/04/16 MILLON & PESKIN LTD 801 16WC 37881 LEE III, JAMES M COOK COUNTY SHERIFFS OFFI * 10/07/16 CURTIS S BURKE LAW OFFICE 802 16WC 37896 EDWARDS III, JAMES UNITED AIRLINES, INC * 12/14/15 WIEDNER & MCAULIFFE LTD 803 16WC 37917 BROWN, EWARE ED MINIATE, LLC * 11/29/16 VASILATOS & COTTER LLC 804 16WC 37961 JURASZEK, BOGUSLAW UPS * 06/18/15 ASA LAW GROUP 805 16WC 38004 PONCE, RUFINO RIVERA D A W G S DOOR & WINDOW G * 11/28/16 ENCINAS & ORNELAS 806 16WC 38020 SLAUGHTER, ADOLPHUSE STAFFING NETWORK * 10/29/16 DWORKIN AND MACIARIELLO 807 16WC 38043 KONOPKA, WOJCIECH DOUMAK INC. * 12/07/16 CHEPOV & SCOTT LLC 808 16WC 38052 YOUNG, THEROH SHERWIN-WILLIAMS * 12/21/15 POLANSKY & CICHON CHTD 809 16WC 38060 SAUCEDO, MICHAEL COOK COUNTY SHERIFF'S DEP * 10/22/16 VRDOLYAK LAW GROUP LLC 810 16WC 38211 MAY, DANIEL F CITY OF CHICAGO DEPT STRE * 07/11/15 DEPAOLO ZADEIKIS GORE 811 16WC 38224 CLARK, LISA COUNTRY CLUB HILLS TECH & * 11/21/16 RATHBUN CSEVENYAK & KOZOL 812 16WC 38273 HERMANSTEIN, BRENDA SWISSPORT CARGO SERVICES * 08/24/16 KROL BONGIORNO & GIVEN LTD 813 16WC 38291 ALONSO, JESUS ADVANCE GRINDING * 02/13/15 DWORKIN AND MACIARIELLO 814 16WC 38325 PATTISON, WILLIAM CHICAGO PARK DISTRICT * 12/29/15 RUBIN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 815 16WC 38337 PITTMAN, AMOS CTA * 08/29/16 LEONARD LAW GROUP LLC 816 16WC 38365 PAULS, MARIA BERKLEY SCHOOL DIST. 87 * 03/03/16 MICHAEL A. HIGGINS 817 16WC 38406 MORALES, CRESENCIO CONTOUR LANDSCAPING, INC * 11/17/16 KUMLIN & FROMM 818 16WC 38449 INNISS, GEORGE CITY OF CHICAGO * 07/25/16 POLANSKY & CICHON CHTD 819 16WC 38453 FORTIER, JOHN CITY OF CHICAGO DEPT OF * 12/30/15 ANKIN LAW OFFICE 820 16WC 38483 ARDISANA, RICHARD R R.R DONNELLEY & SONS COMP * 09/28/16 PAUL W GRAUER & ASSOC 821 16WC 38515 TAYLOR, MELVIN PRODRIVERS * 08/25/16 ROSS TYRRELL 822 16WC 38576 BOYD, LANAIR CHICAGO TRANSIT AUTHORITY * 12/02/16 ANKIN LAW OFFICE 823 16WC 38614 HIDALGO, EDITH CHICAGO BOARD OF EDUCATIO * 01/15/16 WILLIAM MARTAY 824 16WC 38665 COLON, PORSHA ARAMARK/ GLOBETROTTERS * 11/28/16 THE FITZ LAW GROUP 825 16WC 38688 PERNA, KEITH AMERICAN COURIER SERVICE * 11/22/16 PETER D CORTI LAW GROUP 826 16WC 38704 OTANO, SAMUEL CHICAGO TRANSITY AUTHORIT * 12/06/16 CULLEN HASKINS NICHOLSON 827 16WC 38741 LEIMEISTER, DAVID P CABELA'S INC * 11/10/15 BRADY CONNOLLY & MASUDA PC 828 16WC 38769 HOOVER, KIRA CTA * 12/08/16 KREITER, BYCK & ASSOC LLP 829 16WC 38822 RANGEL, LILIANA FRESENIUS KABL GLOBAL * 11/18/16 DWORKIN AND MACIARIELLO 830 16WC 38832 GRACA, MATTHEW T CITY OF CHICAGO DEPARTMEN * 08/12/15 MEACHUM & STARCK 831 16WC 38871 JONES, EDWARD SENIOR OPERATIONS/ * 01/11/14 BRADY CONNOLLY & MASUDA PC 832 16WC 38905 JAIMES, MARCIA GOLD EAGLE CO * 10/17/16 STEPHEN G PINTO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 833 16WC 38925 CORONA, JESUS RON'S STAFFING SERVICES I * 12/19/16 ANKIN LAW OFFICE 834 16WC 38930 TETTLETON, KATHY CLERK OF THE CIRCUIT COUR * 08/26/16 GALLIANI DOELL & COZZI LTD 835 16WC 38967 LANE, SHEILA D IRVINE KICKERT SCHOOL BUS LINES * 08/16/16 MC HARGUE, JAMES P LAW OFF 836 16WC 39005 LEE, SEAN WTER RECLAMATION * 11/30/16 COPLAN & CRANE, LTD 837 16WC 39069 RICHMOND, BRENDA CTA * 11/25/16 LAW OFFICES PETER LEKAS 838 16WC 39116 HODGMAN, JUSTIN CHICAGO WOLVES * 12/11/15 FLOYD LAW FIRM 839 16WC 39176 VERNER, HERMAN III LURIE CHILDREN'S HOSPITAL * 12/29/13 840 16WC 39181 GOMEZ, RICARDO PEP BOYS * 11/18/16 SANDMAN LEVY & PETRICH 841 16WC 39205 TUCKER, LATASHA DIVERSE FACILITY SOLUTION * 12/20/16 GORDON & CENTRACCHIO LLC 842 16WC 39276 TEVERBAUGH, ERIC JB HUNT * 04/20/16 ARGIONIS & ASSOCIATES LLC 843 16WC 39300 MONTES, CRESCENCIANO ELITE STAFFING, INC * 08/17/16 COSTA IVONE LLC 844 16WC 39316 GILL, MARSHA RENAISSANCE SOCIAL SERVIC * 12/02/16 POMPER & GOODMAN 845 16WC 39392 HAMMONDS, DAN MCCORMACK BARON MANAGEMEN * 12/21/16 DWORKIN AND MACIARIELLO 846 16WC 39418 TABIRTA, SEGIU GT EXPRESS INC * 12/14/16 PATRICOSKI, MARK G 847 16WC 39465 GARCIA, DAVID USIC LOCATING SERVICES, L * 08/18/16 GOLDBERG WEISMAN & CAIRO L 848 17WC 00003 CALHUN, AARON JEWISH COMMUNITY CENTER * 12/27/16 BRISKMAN BRISKMAN GREENBER 849 17WC 00028 MORROW, LANCE UNITED AIRLINES * 10/03/16 KATZ FRIEDMAN EAGLE ET AL 850 17WC 00061 OZANIC, DANIEL RENISSANCE MANAGEMENT * 05/24/16 KELLEY, KRONENBERG ETAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M SIMPSON, DEBORAH 096 ARBITRATION CALL FOR CHICAGO 99096 ON 02/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 851 17WC 00098 SPENCE, BRANDON ALL STEEL IRON WORK, INC. * 11/30/16 WHITESIDE & GOLDBERG LTD 852 17WC 00112 BLAS, SABINO PINSTRIPES * 09/03/16 NEWLAND & NEWLAND 853 17WC 00145 VARGAS, JESUS TOWN OF CICERO * 12/09/16 DAVID SZCZECIN & ASSOC 854 17WC 00181 NOLAN, DANIEL COOK COUNTY JUVENILE * 01/14/16 EDWIN REYES LEGAL GROUP 855 17WC 00247 ROMERO, MIGALLY SURE STAFF * 04/20/16 LAW OFFICE OF JAMES URTIS 856 17WC 00252 TRINIDAD, LINDA ALOFT HOTEL * 09/24/16 VASILATOS & COTTER LLC 857 17WC 00281 PERKINS, LENELL METRO STAFFING * 12/21/16 MC HARGUE, JAMES P LAW OFF 858 17WC 00307 BROWN, BARBARA TUTHILL PUMP GROUP * 11/02/16 DWORKIN AND MACIARIELLO 859 17WC 00359 JIMENEZ, WILLIAM CHICAGO TRANSIT AUTHORITY * 12/20/16 PARENTE & NOREM PC 860 17WC 00504 O'CONNOR, DEIRDRE SWEDISH COVENANT HOSPITAL * 11/03/16 SEIDMAN MARGULIS & FAIRMAN