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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 29 11WC 10130 RAMIREZ, JOAQUIN COLORS FOR PLASTICS INC 02/17/11 FRIEDMAN & SOLMOR LTD LAW OFFICES JOSEPH MARCINIAK 30 11WC 14831 RODRIGUEZ, XAVIER METROPOLITAN WATER 02/03/11 STEVEN J SEIDMAN LAW OFFIC HEYL ROYSTER VOELKER & ALLEN 31 11WC 22349 ESTANISLAO, ELEANOR HMS HOST 05/20/11 ELFENBAUM EVERS & AMARILIO ROBERT L. SMITH 32 11WC 24850 REYES, JUAN CAMPHOUSE COUNTRY LANDSCA 05/27/11 BRIAN T MORROW, LAW OFFICE STONE & JOHNSON CHARTERED 33 11WC 26156 ARNOLD, SHERROD FEDEX GROUND 06/17/11 JAMES ELLIS GUMBINER & ASS SCOPELITIS GARVIN LIGHT 13WC038856 -C 34 11WC 29362 HOLMON, LASHAWN CTA 07/30/11 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 13WC032476 -C 14WC032940 -C CHICAGO TRANSIT AUTHORITY 35 11WC 35650 MITCHELL, JERMAINE OMEGA AIRPORT SHUTTLE W 08/30/11 STEVEN J SEIDMAN LAW OFFIC STEPHANIE KEVIL 36 11WC 42088 HERNANDEZ, MARIA CHICAGO PUBLIC SCHOOLS 10/13/11 SALK, STEVEN B & ASSOC LTD LAW DEPARTMENT 12WC008951 -C 12WC008952 -C 37 11WC 43380 WEST, RENEA COMPASSIONATE HOME CARE I 10/10/11 POMPER & GOODMAN STONE & JOHNSON CHARTERED 38 11WC 43492 VIDEIRA, MICHAEL CHICAGO FIRE SOCCER CLUB 04/29/11 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 13WC024180 -C 13WC024181 -C 14WC000244 -C 39 11WC 43713 ZELLER, VERNON SEARS HOLDING CORP 05/23/11 JOHN E LUSAK GAROFALO SCHREIBER STORM 40 11WC 44019 TOLLINCHI, JOSE GEORGIA NUT COMPANY 04/20/11 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 41 11WC 44330 HAMPTON, AUDREY CHICAGO PUBLIC SCHOOLS 09/13/11 DEAN J CARAS & ASSOCIATES LEAHY EISENBERG & FRAENKEL 42 11WC 47393 SOLANO, YOLANDA GATE COURMET 12/11/11 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 11WC047394 -C 11WC047395 -C 11WC047839 -C 43 12WC 02357 RALPH, JASON CURRIERS HUDO SERVICE LLC 01/06/12 JOHN S. ELIASIK RUSIN MACIOROWSKI & FRIEDMAN 44 12WC 03586 RICHARDSON, REUBEN W SR ILL DEPT OF TRANSPORTATIO @ 01/13/12 LEWIS & DAVIDSON, LTD MATTHEW LICAVOLI 45 12WC 15185 WMEN, JEAN CHICAGO PUBLIC SCHOOL SYS 04/12/12 ANKIN LAW OFFICE LAW DEPARTMENT 46 12WC 15411 19B KUSH, FRANK CHICAGO HEIGHTS FIRE DEPT 04/17/12 COVEN LAW GROUP DEL GALDO LAW GROUP LLP 47 12WC 15577 SANCHEZ, LUIS MJ TRACK WORKS INC 04/14/12 PETER F FERRACUTI & ASSOCI KNELL & O'CONNOR 48 12WC 16306 ALLEN, WENDELL JOEYS MOVERS AND TRUCKING 04/26/12 KARCHMAR & STONE POWER & CRONIN LTD 49 12WC 16410 HOOTEN, WILLIAM F SPRAY INSULATIONS INC/ 01/10/12 DEBRA M BYRNES WIEDNER & MCAULIFFE LTD 50 12WC 16494 DACA, JANUSZ SPIE TOOL CO 05/01/11 MINKOW DOMIN LAW OFFICES JOSEPH MARCINIAK 51 12WC 17107 OWUNWANDU, IKE ELITE CAB CORP 03/23/12 DONALD W FOHRMAN & ASSOC 52 12WC 23820 GALLEGOS, FERNANDO BUCKLEY MANAGEMENT 06/22/12 PARENTE & NOREM PC QUINTAIROS PRIETO WOOD & BOY 12WC023821 -C DAYJA INCORPORATED 53 12WC 25336 YLONEN, DIRK FEDERAL EXPRESS CORP 06/13/12 RIDGE & DOWNES HANSON LAW OFFICE 13WC039077 -C 54 12WC 25337 VIDALES, LOUIS LOWE'S 06/24/12 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 55 12WC 26407 BAPTISTE, JAMES FORD MOTOR COMPANY 02/16/74 STEWART C ORZOFF POWER & CRONIN LTD 56 12WC 27434 VILLASENOR, CAROLINA CHICAGO PARK DISTRICT 07/22/10 CHARLES A FANUCCHI CHICAGO PARK DIST LAW DEPT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 57 12WC 27455 TRES, ALAN J WEST RIDGE NEWS AGENCY IN 05/15/03 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 58 12WC 28524 BALLARD, KEVIN FORD MOTOR CO 05/17/11 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 12WC028525 -C 14WC017178 -C 15WC039275 -C 15WC039276 -C 59 12WC 29208 FINCEL, LOUISE UNITED AIRLINES INC. 05/08/12 JAMES M RIDGE LAW OFFICE WIEDNER & MCAULIFFE LTD 60 12WC 30072 RAMIREZ, BERTA RIVERDALE PLATING & 02/06/12 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 61 12WC 30666 GRANDE, MANUEL P DE STA CO MANUFACTURING 05/29/12 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 14WC012679 -C DE-STA-CO MANUFACTRING 62 12WC 32356 MENDOZA, FRANCISCO WE'RE CLEANING, INC 08/28/12 STEPHEN G PINTO LTD BRADY CONNOLLY & MASUDA PC 63 12WC 34254 SPITZER, MELANIE CLUB 162 N/K/A 04/01/11 GORDON & CENTRACCHIO LLC 64 12WC 38165 DIAZ, ANTONIO SKYLINE FURNITURE MFG INC 05/10/12 CULLEN HASKINS NICHOLSON 65 12WC 38541 SILVA, ROBERT FEDEX 07/13/12 JOSEPH G HAFFNER LAW OFFIC HANSON LAW OFFICE 66 12WC 40220 NAVA, GABRIEL D&N CONST/CASTLEROCK W 07/18/12 CULLEN HASKINS NICHOLSON 67 12WC 40259 GONZALEZ, JAIME TOTAL TAXI REPAIR & BODY 06/24/12 LAW OFFICES PETER LEKAS 68 12WC 40882 JORDAN, SHANNON COMCAST 09/30/12 DAVID W MARTAY SPIEGEL & CAHILL, PC 12WC040883 -C 69 13WC 05928 ESPINOZA, ANGELICA CLEAN ADVANTAGE JANITORIA 02/14/13 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 70 13WC 07346 HARRIS, NATESHA ABM JANITORIAL 08/30/12 SALVATO & O'TOOLE GOLDBERG SEGALLA LLC 71 13WC 10115 LOPEZ, CARLITOS RAILWORKS TRACK SERVICES 03/10/13 THE SHINDLER LAW FIRM STONE & JOHNSON CHARTERED 72 13WC 12133 HUDSON, GEORGE W Z FORCE TRANSPORTATION 04/02/13 ORENSTEIN & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 73 13WC 14672 GONZALEZ, MARLENE ASSEMBLERS, INC 02/08/13 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 74 13WC 15421 ADAMS, DAN M STATE OF ILLINOIS DEPT OF 01/26/13 TAMVAKIS, GEORGE L C. FLETCHER 75 13WC 15579 BLIVEN, HOWARD STATE OF ILLINOIS @ 02/26/13 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 76 13WC 15855 SHEPARD, PATRICIA JEWEL FOODS 04/13/13 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 77 13WC 16241 MALDONADO, RAUL UNISTAFF 03/26/13 BERG & BERG 78 13WC 16757 ARANDA, ANTONIO HILTON WORLDWIDE INC C/O 02/15/13 LEWIS & DAVIDSON, LTD NOBLE & ASSOCIATES PC 79 13WC 16825 FRYE, LAMONT CHICAGO PUBLIC SCHOOL ROJ 05/13/13 LAW OFFICE OF SCOTT B SHAP LAW DEPARTMENT 80 13WC 17161 GALLAGHER, JAMES M BLOCK & SONS 05/07/13 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 13WC017162 -C 13WC017163 -C 81 13WC 17438 HALVORSEN, SHAWNA K AMERICAN AUTO GUARDIAN, I 01/24/13 RIFFNER BARBER ROWDEN & SC LAW OFFICES JOSEPH MARCINIAK 82 13WC 23909 HANNAH, TANASHA PRINCIPAL MANUFACTURING 05/01/11 MEYERS & FLOWERS LAW OFFICES JOSEPH MARCINIAK 15WC005006 -C 83 13WC 24791 ULRICH, JOHN E JR PALOS COMMUNITY HOSPITAL 08/26/10 HORWITZ HORWITZ & ASSOC LORENZ & BERGIN PC 84 13WC 25116 OMOSEBI, OLATUNDE DISPATCH TAXI CO 01/28/12 SEIDMAN MARGULIS & FAIRMAN 85 13WC 25141 JONES, LATANYA UNIVERSITY OF CHICAGO 11/08/11 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 86 13WC 26225 BURKARD, NICHOLAS O CHICAGO PARK DISTRICT 06/11/13 GOLDBERG WEISMAN & CAIRO L CHICAGO PARK DIST LAW DEPT 87 13WC 26476 TORRES, REYES B GOLD STANDARD BAKING, INC 06/24/13 CULLEN HASKINS NICHOLSON GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 88 13WC 27056 MOBLEY, JEANETTE MERCY HOSPITAL 06/19/13 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 13WC035536 -C 89 13WC 27355 KALCINA, MARIO ABT ELECTRONICS 08/28/12 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 13WC027356 -C 90 13WC 27518 QUIROS, JESSE AUTOZONE 06/21/13 JOHNSON, MICHAEL D & ASSOC QUERRY & HARROW LTD 91 13WC 27554 RICHARDSON, KARENA UNIVERSITY OF CHICAGO HOS 06/29/13 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 92 13WC 27609 GOMEZ, GILBERTO VIRTO AND SON TRUCKING 10/15/12 CULLEN HASKINS NICHOLSON SMITH AMUNDSEN LLC 93 13WC 27932 RICHARD, MARY CTA 07/30/13 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 94 13WC 28562 BARRAGAN, JOSE MERCHANDISE MART 03/30/11 HEALY LAW FIRM HENNESSY & ROACH PC 95 13WC 30197 MORENO, ROSA KELLOGG COMPANY D/B/A 08/26/13 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 13WC039545 -C 96 13WC 32032 JOHNSON, JAMES G&K SERVICES 06/25/13 PORRO NIERMANN LAW GROUP WOLFE & JACOBSON, LTD 97 13WC 34521 GUTIERREZ, MICHAEL CAPITOL CARTON 09/21/13 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 98 13WC 35392 HERNANDEZ, ZULEIMA V SEGERDAHL GROUP 10/07/13 CULLEN HASKINS NICHOLSON 99 13WC 36673 HAMPTON, KIMBERLY ARIA POST ACUTE CARE 07/19/12 BLEAKNEY & TROIANI NYHAN BAMBRICK KINZIE & LOWR 14WC032349 -C 15WC022214 -C 100 13WC 36829 WASHINGTON, RHONDA CTA 10/19/13 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 101 13WC 36992 DONES, HECTOR KOLE CONSTRUCTION 10/01/13 CUDA LAW OFFICES 102 13WC 37086 BRABOY, ALISHA BOULEVARD CARE CENTER 07/12/11 DWORKIN AND MACIARIELLO 103 13WC 37186 MITILINAKES, VIRGINIA SUPER 8 MOTEL 10/01/13 ANKIN LAW OFFICE DARR LAW GROUP, LLC 104 13WC 38468 VASQUEZ, EDGAR MEDISTAR 11/04/13 RITTENBERG & BUFFEN ORENSTEIN & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 105 13WC 38657 MIMS, BRENDA ENVISION UNLIMITED 10/27/13 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 106 13WC 38968 RICCI, ANTHONY ECKLER STONE, INC 08/28/13 MEYERS & FLOWERS GRANT & FANNING 107 13WC 40199 KROLL, MICHAEL AT & T 10/22/13 RUBIN LAW GROUP HENNESSY & ROACH PC 108 14WC 00924 ROBINSON, CHARLES CTA 01/07/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 109 14WC 01364 HACKMAN, ABRAM LEE JR COOK COUNTY 12/25/13 SPENCER LAW OFFICES STATES ATTORNEY OF COOK COUN 110 14WC 02379 GONZALEZ, NANCY CHICAGO BOARD OF EDUCATIO 11/21/13 SAUNDERS CONDON & KENNY LAW DEPARTMENT 111 14WC 02414 HORDE, CECILIA CHICAGO BOARD OF EDUCATIO 03/17/00 JOHN E LUSAK 112 14WC 02905 PLEDGER, SHEILA ADDUS HEALTH CARE 01/10/14 CORNFIELD & FELDMAN HENNESSY & ROACH PC 113 14WC 02920 DUNIGAN, KEITH COCA-COLA REFRESHMENTS 04/30/12 KEDZIE LAW OFFICE PC BRADY CONNOLLY & MASUDA PC 114 14WC 03872 MANNELLY, PATRICK CHICAGO BEARS FOOTBALL CL 11/20/11 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 14WC037542 -C 14WC037543 -C 14WC037544 -C 115 14WC 03980 MATUSIAK, SAMANTHA VISCOFAN USA 10/12/12 RIDGE & DOWNES LAW OFFICES OF EDWARD J. KOZ 116 14WC 04210 FRANKLIN, SHARON CHICAGO TRANSIT AUTHORITY 11/06/13 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 117 14WC 04257 FLOWERS, LEONARD MOST VALUABLE PERSONNEL I 01/21/14 THE ROMAKER LAW FIRM KOREY RICHARDSON LLC 118 14WC 04405 MARTINEZ, JUAN CARLOS EL VENENO DE NAYARIT 05/06/13 VRDOLYAK LAW GROUP LLC 119 14WC 04451 ARREGUIN, ALEJANDRO SAEILO MANUFACTURING 01/21/14 LAW OFFICE OF OSVALDO RODR LAW OFFICES JOSEPH MARCINIAK 120 14WC 04518 VEGA, DULCE EVANSTON NURSING & 01/08/14 CHRISTINE F DAVID KEEFE CAMPBELL & ASSOC LLC 121 14WC 05147 FEDRO, JAMI T TOYS R US 11/16/13 KENNETH B GORE, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 122 14WC 05166 LOPEZ, MARICELA PEXCO 01/12/14 JONATHAN SCHLACK 123 14WC 05224 KLAPKOWSKI, ALFRED FUTURE MARK PAPER CO 01/15/13 GOLDFEIN LAW OFFICE PC 124 14WC 05339 BARNES, LILLIE CTA 01/27/14 POLANSKY & CICHON CHTD CHICAGO TRANSIT AUTHORITY 125 14WC 05908 MITCHELL, JAMALL JEWEL OSCO 01/10/14 DWORKIN AND MACIARIELLO RODDY LAW LTD 126 14WC 06733 BEDOY, BERTHA LETS PLAY CHILD CARE 01/10/14 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 127 14WC 07388 SCHROEDER, SHAWN MCAULEY BLDG MAINTENANCE, 10/24/12 STEINBERG BURTKER & GROSSM RUSIN & MACIOROWSKI LTD 128 14WC 08492 EARTHELY DAVIS, DENISE CTA 02/28/14 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 129 14WC 08578 PAYNE, MARVIN BALTON CORPORATION 02/20/14 BRISKMAN BRISKMAN GREENBER LAW OFFICES JOSEPH MARCINIAK 130 14WC 10686 GABRIEL, ELSA CAM-CO JANITORIAL 10/30/13 JOHN S. ELIASIK RODDY LAW LTD 131 14WC 11928 19B HERNANDEZ, JESUS HIGHLAND BAKING INC 02/28/14 ACEVES & PEREZ PC RIPES NELSON BAGGOT KALOBRAT 132 14WC 12402 CEJA, RODOLFO MEYER STEEL DRUM INC 03/12/14 EPSTEIN, JACK R LAW OFFICE 133 14WC 12900 FIGUEROA, SUJEY ELITE STAFFING 04/07/14 MC HARGUE, JAMES P LAW OFF GOLDBERG SEGALLA LLC 134 14WC 13712 DETLAFF, CHADWICK J CAST & CREW ENTERTAINMENT 03/25/14 RUBIN LAW GROUP GRANT & FANNING 135 14WC 14495 LONDONO, FERNANDO LUIS GROOT INDUSTRIES INCORPOR 04/01/12 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 136 14WC 14853 STOCKSTILL, STEVEN SR TOWN OF CICERO 03/18/14 ELFENBAUM EVERS & AMARILIO DEL GALDO LAW GROUP LLP 137 14WC 14927 ADKINS, STEPHEN ECOLAB 10/21/13 FRANCIS J DISCIPIO LAW OFF KEEFE CAMPBELL & ASSOC LLC 138 14WC 15118 LOVE, JAMELIA MIDWEST CONTAINER W 02/14/14 LAW OFFICES JOSEPH MARCINIAK 139 14WC 15197 RODRIGUEZ, MONICA GE JET AIRLINE 12/07/13 HANNIGAN & BOTHA, LTD EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 140 14WC 15416 SOLANO, MOISES MULTI TEMPS SERVICES INC 07/09/13 GOLDSTEIN BENDER & ROMANOF THOMAS & PORTELA 141 14WC 15432 GARCES, SIMON THE PROFESSIONAL 06/05/13 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 142 14WC 15440 HOWZE, JOHN A&A MIDWEST 01/09/14 SIGMOND, STEVEN RODDY LAW LTD 143 14WC 16112 ARZATE, RUBEN Z GEORGE MANAGEMENT CORP 03/27/14 ILLINOIS INJURY LAWYERS GEORGE PONTIKES & ASSOC 144 14WC 16219 NEEDHAM, DANIEL J FORTISTAR METHANE GROUP 03/27/14 RIDGE & DOWNES HENNESSY & ROACH PC 145 14WC 16439 ARNOLD, ROBERT AMMERAAL BELTECH 08/17/13 SEIDMAN MARGULIS & FAIRMAN 146 14WC 16697 RAMOS, JUAN PABLO SORTO D & Z CONSTRUCTION LLC 01/19/14 SALVATO & O'TOOLE 147 14WC 16917 GREEN-JERNIGEN, MELANIE ST OF IL DEPT OF @ 01/30/14 MEYERS & FLOWERS C. FLETCHER 148 14WC 16951 POCIASK, CHRISTINE CVS PHARMACY INC 11/09/13 ACEVES & PEREZ PC HINSHAW & CULBERTSON 149 14WC 17046 DZIEDZIC, BARBARA CARL BUDDIG & CO 02/12/13 BELCHER LAW OFFICE KNELL & O'CONNOR 150 14WC 17418 MORENO, HUGO COLONIAL BRICK CO INC 03/12/14 JOHN S. ELIASIK ACCIDENT FUND HOLDINGS 151 14WC 18959 19B CHACKO, ALVIN CHICAGO TRANSIT AUTHORITY 12/17/13 BOWMAN & CORDAY CHICAGO TRANSIT AUTHORITY 152 14WC 19607 WASHINGTON, BRENDA CHICAGO TRANSIT AUTHORITY 05/27/14 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 153 14WC 20860 JAMISON, ANTHONY CHICAGO PUBLIC SCHOOLS 09/22/11 CAMERON CLARK LAW DEPARTMENT 154 14WC 21795 ALVAREZ, MARISOL DURABLE PACKAGING 08/15/13 SOSTRIN AND SOSTRIN PC 155 14WC 24547 JOSEPH, LEE A ELITE STAFFING INC 06/07/14 MARSZALEK AND MARSZALEK MARC CAIRO 156 14WC 24692 REYES, MARIO NTB 10/13/13 SALVATO & O'TOOLE BRADY CONNOLLY & MASUDA PC 157 14WC 24722 EASON, CYNTHIA RICHLEE VANS, INC. 03/12/14 BRISKMAN BRISKMAN GREENBER GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 158 14WC 25379 SCHNURR, RONALD L MOTOR WERKS OF BARRINGTON 01/09/14 JOHN E LUSAK GANAN & SHAPIRO 159 14WC 25499 RUIZ, ALEJANDRO AMERICAN BUILDING 12/26/13 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR 160 14WC 25862 RAMEY, DANA ARAMARK 07/25/14 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 161 14WC 25886 DOMAS, PHILLIP R DOMAS MECHANICAL CONTRACT 04/04/13 NEWLAND & NEWLAND NYHAN BAMBRICK KINZIE & LOWR 162 14WC 25957 FOWLER, TIANA CHICAGO PARK DISTRICT 07/22/14 STEVEN J MALMAN & ASSOCIAT CHICAGO PARK DIST LAW DEPT 163 14WC 26331 ANDERSON, JEAN ACH FOOD COMPANIES 01/15/13 BARRETT & SRAMEK 164 14WC 26366 SCOTT, PAMELA A ST JAMES CATHOLIC CHURCH 01/10/12 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 165 14WC 26394 JORDAN, SHERMAN L GOODNESS GREENESS INC 07/04/14 NEWLAND & NEWLAND RUSIN & MACIOROWSKI LTD 166 14WC 27017 RILEY, ERICA CHICAGO TRANSIT AUTHORITY 08/01/14 ANKIN LAW OFFICE 15WC018987 -C CTA 167 14WC 27105 DASHUK, YEVGENITY THE COCA-COLA COMPANY 12/11/13 RUBIN LAW GROUP BRADY CONNOLLY & MASUDA PC 168 14WC 27163 MERCED, PAUL LITTLE CAESARS 02/27/12 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 169 14WC 27254 MARTINEZ, ELIZABETH SCA 08/01/14 MEACHUM & STARCK 170 14WC 27841 CALVILLO, MARCO A NAM PHONG ORIENTAL FOOD 07/10/14 ILLINOIS INJURY LAWYERS 171 14WC 28072 NEMEH, JIFARA (JEFF) AROW ROAD CONSTRUCTION 10/16/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 14WC028073 -C ARROW ROAD CONSTRUCTION 172 14WC 30277 TORNINCASA, LEE CHICAGO TRANSIT AUTHORITY 08/03/13 HORWITZ HORWITZ & ASSOC 173 14WC 30517 PEAKE, ROBYN CTA 06/09/14 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 174 14WC 30590 KUFFEL, JOSEPH TOTAL SITE SOLUTIONS INC 05/12/14 175 14WC 31050 GASIENICA, STANISLAW JJ MILLWORK DESIGNS 09/05/14

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 14WC 34451 RZEPECKA-WITEK, BEATA GLENBROOK HOSPITAL 11/23/10 KURASCH & KLEIN, LTD 177 14WC 35484 ALLEN, TRACY V IIT 07/30/14 COHN LAMBERT RYAN & SCHNEI WILLIAM P. JONES 178 14WC 36472 METZNER, MARK AMERICAN COMMUNITY MANAGE 08/05/14 BOUDREAU NISIVACO LLC ACCIDENT FUND HOLDINGS 179 14WC 36544 HOWARD, TESHA FORD MOTOR CO 09/23/14 SIGMOND, STEVEN POWER & CRONIN LTD 180 14WC 36745 VILLEGAS, SERGIO NORWOOD PARK/CHICAGO 10/10/14 JAMES ELLIS GUMBINER & ASS CHICAGO PARK DIST LAW DEPT 181 14WC 36880 SMILEY, JOE D JR CHICAGO PUBLIC SCHOOLS 05/06/14 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 182 14WC 36927 MARTINEZ, REYNA ANDREWS STAFF FORCE 08/07/14 ANKIN LAW OFFICE SLAVIN & SLAVIN 14WC040452 -C 14WC040453 -C 183 14WC 37259 BROWN, ARLENE ST OF IL DEPT LUDEMAN CEN 04/30/14 CULLEN HASKINS NICHOLSON C. FLETCHER 184 14WC 37435 AVILEZ, SEFERINO VPC PIZZA MANAGEMENT 08/26/13 MARTIN L GLINK LAW OFFICE INMAN & FITZGIBBONS 185 14WC 37467 BROOKS, SHIFFONE ALDI 06/01/14 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 186 14WC 37575 19B BRYANT, SUSAN ANN & ROBERT H LURIECHILD 07/28/12 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 187 14WC 37592 VOJINOVIC, NIKOLA MMJ TRANSPORTATION 10/23/14 O'CONNOR & NAKOS 188 14WC 37616 OLADIPO, OLALEKAN TRIBECA TWO CAB CORP 3335 09/04/14 COHN LAMBERT RYAN & SCHNEI 189 14WC 37902 TORRES, MARTHA PROSPECT AIRPORT SERVICES 05/28/14 SOSTRIN AND SOSTRIN PC RUSIN & MACIOROWSKI LTD 190 14WC 38491 OROZCO, MARIA ELENA LABOR SOLUTIONS/STAFF RIG 11/01/14 CULLEN HASKINS NICHOLSON CULLEN HASKINS NICHOLSON 191 14WC 38688 MONDEN, BARBARA PRAIRIE HILLS ELEMENTARY 10/02/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 192 14WC 38834 PRICE, TIMOTHY L D DHL WORLDWIDE EXPRESS 10/09/14 CULLEN HASKINS NICHOLSON 193 14WC 39148 ABUSHARIFEH, KHALED PARS RIDE INC 01/02/13 FINE, MARK S LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 14WC 39263 CHAVARRO, JOSE RENAISSANCE CHICAGO 10/10/12 DEPAOLO ZADEIKIS GORE 195 14WC 40488 HARTMAN, JEFF FORD MOTOR CO 05/13/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 15WC020865 -C 196 14WC 42312 YOUNG, CRYSTAL CTA 12/09/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 197 15WC 01341 REESE, VINCENT TRICARE INC 12/31/14 198 15WC 01658 SALDIVAR, ROGELIO PACKERS SANITATION SERVIC 12/14/14 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 199 15WC 01863 PARCHETA, PATTY STARBUCKS COFFEE COMPANY 06/03/14 MURPHY & MURPHY BRADY CONNOLLY & MASUDA PC 200 15WC 01876 JARZABEK, LUDWINA JOE'S CLEANING SERVICES C 01/24/14 CUSHING LAW OFFICES 201 15WC 02039 CAMPBELL, GAIL ELDC 05/08/14 STROM, NEAL B ASSISTANT ATTORNEY GENERAL 15WC031773 -C STATE OF ILLINOIS - 202 15WC 02206 WILSON, RODNEY PREMIER TRANSPORTATION 01/07/15 STEVEN J MALMAN & ASSOCIAT KEEFE CAMPBELL & ASSOC LLC 203 15WC 02230 SOTELO, FELIPE LAMPIGNANO & SONS 10/28/14 LEO M. BLEIMAN & ASSOC GANAN & SHAPIRO 204 15WC 02263 SANCHES, VICTOR M EL MILAGRO INC. 01/05/15 ANKIN LAW OFFICE LAW OFFICES FRANCESCA LARSEN 205 15WC 02354 IGOE, ELIZABETH CHICAGO PUBLIC SCHOOLS 09/13/13 KARCHMAR & STONE LAW DEPARTMENT 206 15WC 02423 SMITH, ISABEL AVERITT 01/15/15 GRAVLIN, MICHAEL J LLC 207 15WC 02495 FEBUS, BETHZAIDA MARIANO'S 12/06/14 LAW OFFICES LEONARDO MORAL CLAYBORNE SABO & WAGNER 208 15WC 02927 CARUSO, ANTHONY BILL KAY FORD 01/21/15 LAW OFFICE ANTHONY IVONE 209 15WC 03161 CAZARES, MARIA C DUNKIN DONUTS 10/30/14 JONATHAN SCHLACK LAW OFFICES JOSEPH MARCINIAK 15WC013738 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 210 15WC 03198 BANKS-SMITH, MARGARET COUNTRYSIDE HEALTH CARE I 01/11/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 211 15WC 03484 MARTIN, CORNELLA ARAMARK 01/08/15 POMPER & GOODMAN 15WC011365 -C 212 15WC 03509 BAKER, LAFORCE PACE BUS 12/05/14 TRAPP & GELLER 213 15WC 03752 PINEDA, FABIOLA MARSHALLS 11/11/14 MC HARGUE, JAMES P LAW OFF BRADY CONNOLLY & MASUDA PC 15WC013959 -C 214 15WC 03896 DAVIS, JAMICA N COOK CTY FACILITIES MGMT 11/14/13 GOLDSTEIN BENDER & ROMANOF STATES ATTORNEY OF COOK COUN 215 15WC 04105 REYNA, JOSEPH M JR PARKER CROMWELL 11/21/14 DEPAOLO ZADEIKIS GORE 216 15WC 04144 CHAMBLISS, WILLIE J CTA 01/04/15 VITELL & SPITZ LTD 16WC005611 -C 217 15WC 04306 BENITEZ, VICTOR MILLWOOD, INC 11/13/14 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 16WC004924 -C 218 15WC 04584 DIONIDO, LEONARDO A PACE WEST DIVISION 08/18/14 LAW OFFICES TIMOTHY HENDER PACE - LEGAL DEPT 219 15WC 04609 GIL, CARLOS CHICAGO TRANSIT AUTHORITY 01/12/15 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 220 15WC 04627 SAYANI, MOHAMMED N GLOBE TAXI 02/24/14 SEIDMAN MARGULIS & FAIRMAN 221 15WC 04635 HAMPE, ELIZABETH STEPAN COMPANY 12/12/14 DEPAOLO ZADEIKIS GORE KLAUKE LAW GROUP LLC 16WC006324 -C 16WC006325 -C 222 15WC 04673 STEVENS, JACQUELINE NEW WORLD VAN LINES 12/15/14 STEWART C ORZOFF GAROFALO SCHREIBER STORM 223 15WC 04907 LATRONICA, RENEE G CHICAGO PUBLIC SCHOOLS 06/10/14 GOLDBERG WEISMAN & CAIRO L 224 15WC 04926 VESELY, BRYAN J RICCI/WELCH INC 01/28/15 FIGLIOLI, DAVID CHILTON YAMBERT PORTER LLP 225 15WC 04948 LEWIS, JEZAIL CHICAGO PUBLIC SCHOOLS 01/14/15 BAUM RUFFOLO & MARZAL LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 226 15WC 04952 KILGALLON, KATHERINE OAKTON COMMUNIT COLLEGE 11/14/14 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 227 15WC 04968 WAGNER, ROBERT GLOBAL EXPERIENCE 02/03/15 VRDOLYAK LAW GROUP LLC GILDEA & COGHLAN 228 15WC 04994 PARRY, JANET NORTH SUBURBAN 08/26/14 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 15WC027247 -C 229 15WC 05046 BOENS, KEVIN COOK COUNTY 02/13/15 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 230 15WC 05098 MULICAN, ROBERT FROZEN FOOD EXPRESS 08/19/13 MICHAEL P MCCREADY & ASSOC THOMAS & PORTELA 231 15WC 06349 DAVILA, ERNESTO S & D MASONRY, INC. 10/31/14 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 232 15WC 06830 BROOKS, BEATRICE NOBLE FOOD GROUP 02/03/15 LAW OFFICE PAUL FINE 233 15WC 10740 19B DUNNING, TUESDAY VILLAGE DISCOUNT OUTLET 09/27/14 SLAVIN & SLAVIN NYHAN BAMBRICK KINZIE & LOWR 234 15WC 11573 19B WILLIAMS, JAMES L ACE COFFEE BAR INC 02/02/15 GRAUER & KRIEGEL LLC ACCIDENT FUND HOLDINGS, INC 235 15WC 12804 DYMEK, JAMES M UNIVERSAL PROTECTION SERV 02/01/15 NEWMAN, BOYER & STATHAM KEEFE CAMPBELL & ASSOC LLC 236 15WC 12838 ARCE, LUIS CTA 01/15/15 WHITING LAW GROUP CHICAGO TRANSIT AUTHORITY 237 15WC 12875 DEMMA, GRAZIELLA PROSPECT HIGH SCHOOL 09/22/14 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 16WC017879 -C TOWNSHIP HIGH SCHOOL DISTR 238 15WC 13142 GRODECKI, NANCY L ADVOCATE SOUTH SUBURBAN H 12/10/14 MARC STOOKAL NYHAN BAMBRICK KINZIE & LOWR 239 15WC 13274 ORLANZZANI, JORGE ERA INDUSTRIES, INC. 03/20/15 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 240 15WC 13310 LEVON, DARELLE CHICAGO TRANSIT AUTHORITY 04/06/15 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 241 15WC 13460 TABB, BILLIE GOODWILL INDUSTRIES 04/06/15 STROM, NEAL B ACCIDENT FUND HOLDINGS 242 15WC 13682 BUTLER, WILLIAM REFLECTION WINDOW CO LLC 11/10/14 CHRISTIAN & MANNO RODDY LAW LTD 243 15WC 13898 CHAUDHRY, GHAYOR CHECKER CAB 04/05/15 LAW OFFICE RYAN ROSENTHAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 244 15WC 14181 GASCA, MUCIO BARRINGTON LAKES APARTMEN 04/07/15 MILLON & PESKIN LTD GANAN & SHAPIRO 245 15WC 14213 ERDMAN, DEAN FEDEX FREIGHT EAST 10/17/14 THE FITZ LAW GROUP QUINTAIROS PRIETO WOOD & BOY 246 15WC 14293 KNIGHT, JANELLE NORTHWESTERN MEMORIAL HOS 12/01/14 KP LAW LLC GAROFALO SCHREIBER STORM 247 15WC 14306 THOMPSON, CHRISTINE WAUKEGAN SCHOOL DISTRICT 02/28/15 SHELDON I MINKOW & ASSOCIA BRADY CONNOLLY & MASUDA PC 248 15WC 14350 COCHRAN, SABRINA R UNIVERSITY OF ILLINOIS 03/24/15 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 249 15WC 14600 BOSCO, RONALD UNITED AIRLINES INC. 01/10/15 LAW OFFICE PHILIP BLOMBERG WIEDNER & MCAULIFFE LTD 250 15WC 14617 ROBERTSON, CONSTANCE COOK DU PAGE TRANSPORTATI 02/16/15 SKLARE LAW GROUP HENNESSY & ROACH PC 16WC020702 -C 251 15WC 14727 DELGADO, CUTBERTO FOOD 4 LESS 12/12/14 SALVATO & O'TOOLE STONE & JOHNSON CHARTERED 252 15WC 14754 PORTER, SHERRIANN SCR TRANSPORTATION 04/06/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 253 15WC 14968 PERSON, DEBORAH CTA 12/16/13 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 254 15WC 15013 JOHNSON, MARY E ADA MCKINLEY COMMUNITY SV 03/01/13 PARENTE & NOREM PC 255 15WC 15139 DANIELS, DAVID MIDTOWN CARPET 08/01/14 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 256 15WC 15227 SALCEDO, ROCHELLE TRADER JOE'S 06/07/13 NEWLAND & NEWLAND MC ANDREWS & NORGLE LLC 257 15WC 15274 DORADO, ROGELIO BG STAFFING 04/27/15 RANDALL A. WOLFF & ASSOC 258 15WC 15288 MENDOZA, MARIO WAL-MART STORES INC SAM'S 02/17/15 PARENTE & NOREM PC GANAN & SHAPIRO 259 15WC 15562 CURRY-DAVIS, CARLENE ALDI INC 05/08/13 STROM, NEAL B BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 260 15WC 15588 COHN, CRISTAL L GIORDANO'S 05/03/15 261 15WC 15733 SHEAMON, NINOS COCA-COLA BOTTLING CO 02/20/15 JOHN C SERKLAND BRADY CONNOLLY & MASUDA PC 15WC038706 -C 262 15WC 15969 SANCHEZ, MARIO GRECO & SONS 04/06/15 LUIS A ACEVES & ASSOC WIEDNER & MCAULIFFE LTD 16WC005981 -C 263 15WC 15982 DERMINER, PAUL CHICAGO TRIBUNE 01/15/15 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 264 15WC 16025 RIQUELME, JUAN P.F. CHANG'S 08/18/14 SHEA LAW GROUP 265 15WC 16082 JONES, LATARA CHICAGO TRANIST AUTHORITY 05/10/15 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 266 15WC 16378 HERNANDEZ, BERNARDINA ELITE STAFFING 02/11/15 DEPAOLO ZADEIKIS GORE 267 15WC 16463 TRZECIAK, CRISTY L FORD MOTOR CO 04/07/15 LEWIS & DAVIDSON, LTD POWER & CRONIN LTD 268 15WC 21767 MENDOZA, ALMA SURESTAFF INC 06/05/15 JONATHAN SCHLACK KEEFE CAMPBELL & ASSOC LLC 269 15WC 21856 CHERN, KAREN S. UPRIGHT LAW 06/08/15 VITELL & SPITZ LTD NYHAN BAMBRICK KINZIE & LOWR 270 15WC 23130 GARFIELD, GREGORY ALBERTSONS 07/02/15 KALOGERAKOS & ASSOC QUINTAIROS PRIETO WOOD & BOY 271 15WC 23269 RUIZ, ISMAEL ALFREDO LINARES DBA 02/26/15 JOHN S. ELIASIK GANAN & SHAPIRO 272 15WC 23309 NEVAREZ, ELIDIA MACNEAL HOSPITAL 09/03/14 SMOLER LAW OFFICE, PC HENNESSY & ROACH PC 273 15WC 23357 SMAGACZ, STEPHEN AT&T 06/03/15 DAVID W MARTAY 274 15WC 23404 WOJTKIELEWICZ, KAZIMIERZ MASONRY PROFESSIONAL BUIL 07/22/15 ROMANUCCI & BLANDIN MEACHUM & STARCK 275 15WC 23561 GARCIA, NOE REZA NATIONAL PROCESSING CO 07/27/15 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 16WC039435 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 15WC 23605 PHILLIPS, WILLIE MULLINS FOOD 07/24/15 JOHN F GREGORIO & ASSOC WIEDNER & MCAULIFFE LTD 277 15WC 23647 VARGAS, ARTURO FORD MOTOR CO 08/24/14 LAW OFFICE EDWARD LICHTENS WIEDNER & MCAULIFFE LTD 16WC016010 -C 278 15WC 23679 RAFIDI, YASMIN SYMPHONY OF CRESTWOOD NUR 07/01/15 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 279 15WC 23971 MENDEZ, JAVIER JOHNSTON & JENNINGS INC 05/29/15 ANKIN LAW OFFICE HENNESSY & ROACH PC 280 15WC 24042 GARCIA, MARTHA WESTIN HOTEL 06/26/15 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 281 15WC 24062 LENA, KENNETH R WESTERN SPRINGS POLICE DE 07/24/15 RIDGE & DOWNES 282 15WC 24132 RODRIGUEZ, OFELIA TOOL STEEL SERVICE, INC. 06/19/14 GRAZIAN & VOLPE PC LAW OFFICES JOSEPH MARCINIAK 283 15WC 24245 CASTILLO, MICAELA ANTHROPOLOGIE 07/01/15 TURCYCHUTE LLC 284 15WC 24267 LOPEZ, CEASAR PEPSICO 06/23/15 BAUM RUFFOLO & MARZAL LTD BRYCE DOWNEY & LENKOV LLC 285 15WC 24497 SEAWOOD, SHAWN CAMPAGNA-TURANO BAKERY, I 09/10/13 FRIEDMAN, MICHAEL T & ASSO KEEFE CAMPBELL & ASSOC LLC 286 15WC 24787 MEREGILLANO, VIRGINIA STATE OF IL-CHICAGO READ @ 06/17/15 HART & DAVID LLP ASSISTANT ATTORNEY GENERAL 287 15WC 24858 SANDOVAL, JUAN C UNITED AIRLINES INC. 06/19/15 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 288 15WC 24881 CAMPOS, OSCAR ESPINOZA MARIANO'S 06/18/15 LAW OFFICE EDWARD RUEDA 289 15WC 25506 DAVIDSON, TAMARA UNITED AIRLINES 12/11/14 HEALY SCANLON LAW FIRM 290 15WC 25676 ROMAKER, ROGER SOUTHWEST AIRLINES 08/06/14 HELLER HOLMES & ASSOC 291 15WC 25823 MC CARTHY, DAWN NAPLETON RIVER OAKS MOTOR 01/27/15 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 292 15WC 25839 BRAZZIL, PARIS MENARDS 02/07/15 BRISKMAN BRISKMAN GREENBER 293 15WC 26128 LUKASIK, DANIEL MORAINE VALLEY COMMUNITY @ 12/25/13 GAINES & GAINES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 294 15WC 26283 BATES, GEORGINE CHICAGO PARK DISTRICT 07/30/15 BRISKMAN BRISKMAN GREENBER CHICAGO PARK DIST LAW DEPT 295 15WC 26339 BARJAMI, JIMMY ACCOR LODGING NORTH AMERI 06/26/15 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 296 15WC 26357 TYLER, ANNTANETTA CTA 07/31/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 297 15WC 26377 SUAREZ, MIGUEL EDGAR A WEBER & CO 07/13/15 ANKIN LAW OFFICE 298 15WC 26646 BAY, CASSANDRA FX FREIGHT EXCHANGE OF AM 11/29/11 HENNESSEY LAW FIRM 299 15WC 26895 VALADAZ, JOSE A RINGWOOD COMPANY, INC 06/30/15 JOHN S. ELIASIK GAROFALO SCHREIBER STORM 300 15WC 28021 MUSCARELLO, DAVID ACTION CAULKING & SEALANT 11/14/14 DAVID J. BAWCUM THOMAS & PORTELA 301 15WC 30987 ALEMAN, JOSEPH ARAMARK CORP 09/20/15 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 302 15WC 32976 BLANCO, SYLVIA C FORD MOTOR CO. 09/13/15 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 303 15WC 33063 DRINSKI, JEFFREY TOTAL REHAB 01/07/15 WOLFE LAW PC 304 15WC 33539 WHITEHEAD, CHARLES CE NIEHOFF & COMPANY 08/13/15 WITTENBERG DOUGHERTY MAGLI 305 15WC 33593 GALE, CORDRE FORD MOTOR COMPANY 07/17/15 LEE, MARK N LAW OFFICE POWER & CRONIN LTD 306 15WC 33671 MENDEZ, ANDY ALPIMEX, INC 02/17/15 VOGG, MARK J LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 307 15WC 33706 VAYDA, BRADLEY E PRIME SCAFFOLDING, INC. 10/06/15 THE FITZ LAW GROUP 308 15WC 33879 TURNER, MICHAEL UNITED AIRLINES 10/07/15 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 309 15WC 33884 JAMERO, JOSE BERMAN AUTO GROUP 10/08/15 STROM, NEAL B RODDY LAW LTD 310 15WC 34041 FERGUSON, CHANY PACKERS SANITATION 10/18/15 PARENTE & NOREM PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 311 15WC 34124 HARRIS, JULIE 2-IN-1 CONTRACTORS, INC 07/15/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 312 15WC 34230 SWEENEY, SUSAN SOUTHWEST AIRLINES 10/04/15 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 15WC034231 -C 313 15WC 34314 TORRE, ELEAZAR DE LA A & A DRYWALL & TAPING 02/09/15 RAYMOND M SIMARD, PC 15WC034315 -C 314 15WC 34363 SCANNELL, STEPHEN J CHICAGO METROPOLITAN 09/09/13 TAMVAKIS, GEORGE L 315 15WC 34513 WILSON-STEWART, TARRA INGALLS MEMORIAL HOSPITAL 01/13/15 DAVID W MARTAY 316 15WC 34540 SAMUELS, TINA M SCR MEDICAL TRANSPORATION 10/19/15 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 317 15WC 34633 HENDERSON, DANETTE UNITED AIRLINES INC. 10/09/15 ANGELINI & ORI LLC 318 15WC 34662 FULLER, KERI KRAFT HEINZ 11/14/13 RUBIN LAW GROUP GAROFALO SCHREIBER STORM 15WC034663 -C 319 15WC 34686 HUNTER, RONALD SAVERS THRIFT STORE 09/14/15 DWORKIN AND MACIARIELLO RODDY LAW LTD 320 15WC 34700 GUZMAN, GRABIELA FORD MOTOR COMPANY 04/14/15 LAW OFFICES KRISTEN M KOZL WIEDNER & MCAULIFFE LTD 15WC034701 -C 321 15WC 34805 MICHALSKI, MICHAEL FREEMAN EVENT PLANNER 07/15/15 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 322 15WC 34904 CROCKETT, EVELYN CHICAGO PARK DISTRICT 05/01/13 POLANSKY & CICHON CHTD CHICAGO PARK DIST LAW DEPT 323 15WC 34985 HOFFMAN, BETH SPANCIL DEVELOPMENT D/B/A 02/08/15 ASHER, RAYMOND L LTD HENNESSY & ROACH PC 324 15WC 35102 LLG, JULIE A JEWEL OSCO 01/28/14 STUART H GALESBURG QUINTAIROS PRIETO WOOD & BOY 325 15WC 35143 GUZMAN, MAURITO PACKERS SANITATION 10/02/15 LANNON LANNON & BARR LTD GANAN & SHAPIRO 326 15WC 35367 GREEN, ANTHONY SWISSPORT 10/18/15 WHITERS, ALFRED T GAROFALO SCHREIBER STORM 327 15WC 35393 JONES, WENDELL E VCNA PRAIRIE MATERIAL SER 06/04/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 328 15WC 35458 PONNAMBALAM, JAYANTHA COMCAST 09/23/15 COVEN LAW GROUP POWER & CRONIN LTD 329 15WC 35611 SORAPARU, WARREN A FEDERAL EXPRESS CORP 10/30/13 LAW OFFICE DAVID W CLARK HANSON LAW OFFICE 330 15WC 35640 MONTERO, ALBERTO CD PLUMBING SERVICE CO 10/19/15 FISHER & LAMONICA LAW OFFICES JOSEPH MARCINIAK 331 15WC 35663 COONS, LEE RONALD WEBER-STEPHEN 04/30/15 COLLISON LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 332 15WC 35775 TREIBER, STACI VILLAGE OF WHEELING 10/07/15 SCOTT BARBER 333 15WC 35869 BLACKLIDGE, GRANT YELLOW ROADWAY CORP 03/10/15 JOHN E LUSAK HENNESSY & ROACH PC 334 15WC 35910 HERNANDEZ, MARIA REYNA ALTERNATIVE STAFFING INC. 12/02/13 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 335 15WC 35923 STOLL, THOMAS GEICO INSURANCE 01/23/14 STEVEN M SELAN BRYCE DOWNEY & LENKOV LLC 15WC041959 -C 336 15WC 35992 CRUZ, DORA P RED ROBIN GOURMET BURGERS 10/12/15 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 337 15WC 36007 BURRELL, JESSE AT & T 10/13/15 DAVID W MARTAY 338 15WC 36039 WATKINS, RAYMOND CASSENS TRANSPORT 09/15/15 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 339 15WC 36106 RODRIGUEZ, SAMUEL GERBER TECHNOLOGY 04/20/15 GOLDBERG WEISMAN & CAIRO L 340 15WC 36127 ROLLINS, CHRISTOPHER P XSPORT FITNESS/CAPITAL FI 01/21/13 PARENTE & NOREM PC GANAN & SHAPIRO 341 15WC 36175 CROWEROFT, MICHAEL A W SMITH CARTAGE COMPANY 10/18/15 LEONARD LAW GROUP LLC 342 15WC 36262 JENNINGS, CAMILLE GARFIELD COUNSELING CENTE 10/06/15 LAW OFFICES ROBERT WARSASK NOBLE & ASSOCIATES PC 343 15WC 36366 CAGLE, GREGORY ROSEMONT EXPOSITION SERVI 10/12/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 344 15WC 36438 LITTLE, JERMON FORD MOTOR CO 06/17/15 KREITER, BYCK & ASSOC LLP 345 15WC 36476 SHERWOOD, KEVIN ORTIZ BUILDERS, INC 09/23/15 RUBIN LAW GROUP HOLECEK & ASSOCIATES 15WC036477 -C 346 15WC 36490 MEDINA, KENNETH JR CHICAGO PUBLIC SCHOOL 09/02/15 SALVATO & O'TOOLE 347 15WC 36530 CHANI, FEDIE M RASIER, LLC D/B/A UBER 11/15/15 348 15WC 36541 BARTUS, WALLY UPS FREIGHT 05/01/15 LEONARD LAW GROUP LLC ASA LAW GROUP 349 15WC 36573 STAFFORD, CHRISTINA ALDI 08/08/15 LEO ALT 350 15WC 36623 MOORE, TEENA SOUTHWEST AIRLINES 12/29/14 SKLARE LAW GROUP HENNESSY & ROACH PC 351 15WC 36685 PAYNE, VONDA CIRCUIR COURT OF 08/02/14 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 352 15WC 36719 LABRA, FRANCISCO R&M TRUCKING 10/07/15 ROMANEK & ROMANEK NYHAN BAMBRICK KINZIE & LOWR 353 15WC 36759 DZHOOLL, ANDRII PUMA LOGISTICS, INC. 11/26/12 NEMEROFF LAW OFFICES 354 15WC 36836 MONTES, OSCAR EQUIPMENT DEPOT 10/15/14 CAPRON & AVGERINOS PC MEACHUM & STARCK 355 15WC 36860 FIELDS, LINDA L STATE OF IL DEPT OF @ 11/07/15 FRIEDMAN & SOLMOR LTD ASSISTANT ATTORNEY GENERAL 356 15WC 36894 HERCOG, JOSEPH TOWNSHIP HIGH SCHOOL DIST 06/30/15 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 357 15WC 36943 MUHAMMED, ARIF BLUE CODE CHICAGO W 09/28/15 BAUM RUFFOLO & MARZAL LTD 358 15WC 36971 CLARK, TENEA ARAMARK CORPORATION 03/14/15 SANDMAN LEVY & PETRICH 359 15WC 37004 NEDELUT, FLORIN DISPATCH AFFILIATION LLC 11/07/15 ANKIN LAW OFFICE 360 15WC 37118 AVILES, LANDA OEVY RESTAURANTS 10/09/15 GOLDSTEIN AIOSSA & GOOD 361 15WC 37261 CRUZ, JOSE JR JEWEL 10/06/15 SOSTRIN AND SOSTRIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 362 15WC 37301 PORTER, DONNA JEWEL FOOD STORES, INC 02/01/15 LOUIS A PLZAK & ASSOCIATES 363 15WC 37335 ABDELMUHDI, REENA BRIGHTSTAR CARE 09/28/15 CORBOY & DEMETRIO PC RUSIN & MACIOROWSKI LTD 364 15WC 37357 BUSCEMI, DEBRA ST. COLETTA'S OF ILLINOIS 07/13/15 KROL BONGIORNO & GIVEN LTD ACCIDENT FUND HOLDINGS 365 15WC 37653 ADAMS, JOANN PEPSICO 11/09/15 ROMANUCCI & BLANDIN INMAN & FITZGIBBONS 16WC028646 -C 16WC036369 -C 366 15WC 37759 HERRERA, SILVESTRE P&K AUTO SALES INC W 02/25/15 COLLISON LAW OFFICES ATSAVES, LOUIS G LTD 367 15WC 37827 GONZALEZ, LILIAN SURESTAFF, INC. C/O LOUIS 11/18/15 HETHERINGTON KARPEL BOBBER KEEFE CAMPBELL & ASSOC LLC 368 15WC 37863 CASTRO, JOHNNY CHICAGO TRANSIT AUTHORITY 11/23/15 ARGIONIS & ASSOCIATES LLC CHICAGO TRANSIT AUTHORITY 369 15WC 37899 CARTER, MICHAEL COOK CTY JUVENILE DETENTI 09/16/15 CUDA LAW OFFICES 370 15WC 37919 THORNLEY, MICHAEL G. VILLAGE OF RIVER FOREST 07/12/15 FOOTE MIELKE CHAVEZ & O'NE POWER & CRONIN LTD 371 15WC 37983 BIBBS, LATONYA CHGO STREETS & SAN DEPT 08/19/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 372 15WC 38037 STEURER, MICHAEL NORTHBROOK PUBLIC LIBRARY 05/22/14 DAPRATO, DENNIS 373 15WC 38053 AGUILAR, LUIS DYNAMIC MFG INC 10/16/15 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 15WC038118 -C 374 15WC 38153 SCHMITZ, THOMAS M BREMEN HIGH SCHOOL DIST 2 06/02/15 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 375 15WC 38169 ALEXANDER, VERONICA CITY OF CHGO - SANITATION 10/29/15 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 376 15WC 38177 WILSON, JOHN UPS 12/10/14 LEONARD LAW GROUP LLC 377 15WC 38356 ARMAN, KATHLEEN J UNITED AIRLINES 10/23/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 378 15WC 38486 HERNANDEZ, PERLA WHITE LODGING HILTON GARD 10/19/15 COPLAN & CRANE, LTD WILSON ELSER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 379 15WC 38800 PEREZ, OLIVIERO ACME INDUSTRIES INC 04/29/15 NEWLAND & NEWLAND HOLECEK & ASSOCIATES 380 15WC 38822 VEGA, JOSE G RONS STAFFING SVC - WESTE 11/24/15 EPSTEIN, JACK R LAW OFFICE KOREY RICHARDSON LLC 381 15WC 38841 ANZALDUA, ANASTASCIO BIG TOP AUTO PARTS INC 10/23/15 COHN & COHN 382 15WC 38904 HUDSON, ERIC JR SCRUB INC 11/26/15 LAW OFFICE OF SCOTT B SHAP BRADY CONNOLLY & MASUDA PC 383 15WC 38996 SMITH, ABDULLAH COOK DUPAGE TRANSPORTION 11/24/15 BRISKMAN BRISKMAN GREENBER 384 15WC 39205 WRIGHT, THOMAS UNIVERSITY OF CHICAGO 12/03/15 LAW OFFICES OF MARK SCHAFF NYHAN BAMBRICK KINZIE & LOWR 385 15WC 39605 DABEK, JOLANTA CARDINAL BUILDING 10/22/15 RICHARD E ALEKSY 386 15WC 39613 FALLON, GINA M FEDERAL EXPRESS 05/26/15 ADLER & ADLER 387 15WC 41287 TALLERICO, JAMIE ILLINOIS STATE TOLL HIGHW @ 04/18/13 KOSIN LAW OFFICE LTD NYHAN BAMBRICK KINZIE & LOWR 388 15WC 42559 GINEZ, MARIA A. TRIBUNE DIRECT MARKETING 09/06/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 16WC022379 -C 16WC022380 -C 389 16WC 00441 BRICENO, ANTONIO CHRIS THOMAS COMPANY 11/04/15 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 390 16WC 00914 GRAJALES-ARCE, MARIA PLEASANT HOUSE BAKERY LLC 12/15/15 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 391 16WC 02178 CIRKIC, SABEHETA LUTHERAN GENERAL HOSPITAL 09/19/15 KP LAW LLC NYHAN BAMBRICK KINZIE & LOWR 16WC002179 -C 392 16WC 03182 MCFARLAND, MICHELLE BARNES & NOBLE 11/19/15 RONALDSON & KUCHLER 393 16WC 03386 GOMEZ, FERMIN SHIELD HEALTHCARE 07/07/15 ACEVES & PEREZ PC COZZI & GOGGIN-WARD 394 16WC 03422 BELMONTES, MARCO RPM GARAGE DOOR & GATESER 11/18/15 395 16WC 03520 SCHWARZ, BARBARA SPEED COOP 10/24/14 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 396 16WC 03975 MEDIGOVICH, JOHN ELECTRO-MOTIVE DIESEL 09/18/15 STYKA & STYKA GOLDBERG SEGALLA LLC 397 16WC 04018 MORTENSEN, CAROL ADVOCATE CHRIST MEDICAL C 02/01/16 KOSIN LAW OFFICE LTD GAROFALO SCHREIBER STORM 17WC020923 -C 398 16WC 04056 REYES, RAFAELA ACCURATE PERSONNEL SERVIC 10/13/15 TARADASH LAW OFFICE MC ANDREWS & NORGLE LLC 399 16WC 04165 HEINTZMAN, PETER CTA 01/28/16 LAW OFFICES PETER LEKAS CHICAGO TRANSIT AUTHORITY 400 16WC 04218 MOORE, LUSETTE PACE BUS 11/29/15 VASILATOS & COTTER LLC 401 16WC 04265 CEMERIKIC, YENSY MASTEC 04/22/15 DWORKIN AND MACIARIELLO 402 16WC 04311 SANDERS, PATRICIA CRAWFOR BOARD OF EDUCATION CITY O 01/04/16 RITTENBERG & BUFFEN 403 16WC 04380 BROWN, GABRIEL A NELSON INSULATION CO 12/22/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 404 16WC 04523 DAVIS, LAVELLA FIRST TRANSIT 01/28/16 VRDOLYAK LAW GROUP LLC 405 16WC 04554 SAN JUAN, LORENZO PETES FRESH MARKET 07/02/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 406 16WC 04671 ZHURBA, LEONIA GATE GOURMET 08/15/15 MEYER & BLUMENSHINE LAW OF 407 16WC 04690 BOTICH, LINDA GIORDANO'S 01/29/15 O'CONNOR & NAKOS INMAN & FITZGIBBONS 408 16WC 04745 WILLIAMS, ANDRE O FEDEX 09/08/15 ANKIN LAW OFFICE HANSON LAW OFFICE 409 16WC 04773 RODRIGUEZ, JACQUELINE CTA 02/13/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 410 16WC 04831 KENOK, PRAWIT DART CONTAINER CORP 08/07/15 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 411 16WC 04857 LIPSKI, BOGDAN UNIFIED TOOL DIE & 01/08/15 NEMEROFF LAW OFFICES 412 16WC 04929 DODARO, JOHN NATIONAL CONVENTION SERVI 02/05/16 JOHN E LUSAK LAW OFFICES OF EDWARD J. KOZ 413 16WC 04952 SANTIAGO, ALEXIS ANDREWS STAFFING 02/05/16 LAW OFFICE EDWARD RUEDA HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 414 16WC 04984 NOTHHELFER, JOHN M PEPSI CO 12/02/15 ANESI OZMON RODIN NOVAK KO GILDEA & COGHLAN 415 16WC 04995 HERNANDEZ, MARIA L TARGET CORPORATION 12/01/14 ROSS TYRRELL 416 16WC 05001 DAVIS, LAVELLA FIRST TRANSIT 01/06/16 VRDOLYAK LAW GROUP LLC 417 16WC 05032 FURGUELE, KENNETH MIDWEST MACHINE 08/17/15 ANKIN LAW OFFICE 418 16WC 05075 ESTRADA, BLANCA FEDEX GROUND HUB 11/27/15 OSVALDO RODRIGUEZ PC SCOPELITIS GARVIN LIGHT 419 16WC 05117 MORENO, DEBRA J FORD MOTOR CO 02/04/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 420 16WC 05159 SHELTON, JULIETTE UNITED AIRLINES INC. 10/19/15 BRIAN J MC MANUS & ASSOC, 16WC005160 -C 421 16WC 05190 CARPENTER, BEATRICE FEDEX CORPORATE SERVICES 02/01/16 ANKIN LAW OFFICE 422 16WC 05231 SIGNORELLI, MICHAEL JOHN H STROGER HOSPITAL 02/09/16 BOUDREAU NISIVACO LLC STATES ATTORNEY OF COOK COUN 423 16WC 05398 MARTINEZ-MALAGON, JUAN LU TEXAS DE BRAZIL 01/05/16 ANKIN LAW OFFICE MEACHUM & STARCK 424 16WC 05541 RAMIREZ, ALFONSO COOK COUNTY SHERIFFS DEPT 02/06/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 425 16WC 05617 TOLBWT, VELITA FORD MOTOR CO 02/25/15 FOHRMAN, DONALD W & ASSOCS 426 16WC 05916 ORTEGA, SUZETTE SCHOENBERG, FINKEL, NEWMA 11/20/15 CAPRON & AVGERINOS PC HOLECEK & ASSOCIATES 427 16WC 06219 MUNOZ, LUCIANO BELMONT RESTAURANT 12/14/15 GALLIANI DOELL & COZZI LTD WIEDNER & MCAULIFFE LTD 16WC006220 -C 428 16WC 06272 GODINEZ, GERARDO CORTEZ ACCURATE CONSTRUCT 01/05/16 RUSIN & MACIOROWSKI LTD 429 16WC 06310 NIETO, CARLOS HAPP INN 01/25/16 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 430 16WC 06345 SEGOVIANO, JENNIFER VILLAGE OF SCHAUMBURG 09/17/15 DAVID W MARTAY MACIOROWSKI SACKMANN & ULRIC 431 16WC 06395 MASON, LENDA SEIU HEALTHCARE 06/30/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 432 16WC 06488 LONZO, BETTYE PACIFIC THEATRES 02/12/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 433 16WC 06509 ROMERO, ARTURO FMC SVCS LLC 01/22/16 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 434 16WC 06583 DESIMONE, MICHAEL J G E S INC 10/05/15 LINN, CAMPE & RIZZO LTD GILDEA & COGHLAN 435 16WC 06727 DIAZ, YOLANDA LUCKY GAMES INC 08/05/13 SANDMAN LEVY & PETRICH LAW OFFICES OF EDWARD J. KOZ 436 16WC 06774 STAYKOV, NICK CECO CONCRETE CONSTRUCTIO 12/04/15 MUELHAUSEN & STEFANI RUSIN & MACIOROWSKI LTD 437 16WC 06819 JACKSON, LEA QUINTILES 08/11/14 LAW OFFICE OF SCOTT B SHAP 438 16WC 06916 PALCZYNSKI, DANIEL DARPET DOOR AND TRIM 01/27/16 NEWLAND & NEWLAND 439 16WC 06957 MCLORY, MARY-DEL JEWEL-OSCO #3107 11/24/15 FIGLIOLI, DAVID BRADY CONNOLLY & MASUDA PC 440 16WC 06963 CARCILLO, DAN CHICAGO BLACKHAWKS HOCKEY 03/08/13 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 441 16WC 07903 ANIMASHAUN, KENYETTA SOUTH LOOP LIVING & RHAB 02/27/16 HETHERINGTON KARPEL BOBBER BRADY CONNOLLY & MASUDA PC 442 16WC 10509 19B MENEZ, MARTHA CRESTLINE HOTELS 01/08/16 FRIEDMAN & SOLMOR LTD HENNESSY & ROACH PC 16WC017616 -C 443 16WC 10989 JIMENO, RICARDO KUSTOM SEATING UNLIMITED 08/18/14 COSTA IVONE LLC 444 16WC 11666 BRENNAN, CHRIS CITY OF HARVEY 06/30/14 ROMANEK & ROMANEK SMITH AMUNDSEN LLC 445 16WC 12558 BOOTH, BLANCHE HOLY CROSS HOSPITAL 02/15/16 COHN LAMBERT RYAN & SCHNEI NYHAN BAMBRICK KINZIE & LOWR 446 16WC 13653 DE LEON, RODOLFO MARCIAL NEVAREZ/IWBF 04/02/16 JAMES ELLIS GUMBINER & ASS 447 16WC 13895 MOORE, LETISHIA MACY'S 03/03/14 WEINSTEIN & KURTZMAN ROBERT L. SMITH 448 16WC 13981 QUAM, SONYA HMS HOST 11/25/15 ELFENBAUM EVERS & AMARILIO ROBERT L. SMITH 449 16WC 14060 MATTHEW, JACOB PROSPECT AIRPORT SERVICES 03/10/16 STEVEN A CRIFASE, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 450 16WC 14129 CERVANTES, MARGARITA STAFF RIGHT INC. 04/25/16 SALVATO & O'TOOLE 451 16WC 14155 LUNDEEN, THOMAS USF HOLLAND 04/14/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 452 16WC 14173 CASTILLO-CASTILLO, BENITO AES CLEAN TECHNOLOGY INC 04/07/16 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 453 16WC 14251 MC GILL, MONETA CPS 02/23/16 COVEN LAW GROUP 454 16WC 14335 PEREZ, JOSE LUIS DRYWALL TAPING SERVICE 01/15/16 SOSTRIN AND SOSTRIN PC 455 16WC 14515 YOUNG, WILLIE CHICAGOBEARS FOOTBALL 12/21/14 WOLFE LAW PC MC ANDREWS & NORGLE LLC 16WC034808 -C 16WC034809 -C 456 16WC 14585 MERRIWEATHER, KWAN K D S EXPRESS, INC 04/29/16 BRISKMAN BRISKMAN GREENBER KURT E. VRAGEL JR PC 457 16WC 14667 MEDINA, ELIZER JR. METROPOLITAN WATER 04/29/16 HUGHES SOCOL PIERS RESNICK 458 16WC 14737 DODGE, DONALD YRC FREIGHT 04/01/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 459 16WC 14867 MELONE, MICHAEL AT&T ILLINOIS 02/08/16 MARKHAM M JEEP & ASSOCIATE 460 16WC 14944 BRISENO, MARIA TYSON FOODS 12/16/15 MC HARGUE, JAMES P LAW OFF KEEFE CAMPBELL & ASSOC LLC 461 16WC 15191 HILL, DEREK CITY BEVERAGE ILLIONIS LL 02/26/16 ACCIDENT FUND HOLDINGS 462 16WC 15307 SLAYTON, STANLEY TOWNE PARK, LLC AND BROAD 04/21/16 RITTENBERG & BUFFEN 463 16WC 15311 ALSTON, MICHAEL C/O ARENA FOOTBALL ONE LLC 03/24/15 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 464 16WC 15377 LLOYD, BONNIE CHICAGO TRANSIT AUTHORITY 02/19/16 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 465 16WC 15529 BENTON, COURTNEY TROY DESIGN 04/11/16 STEVEN A CRIFASE, LTD 466 16WC 15593 CARLTON, MARVIN BEEMSTERBOER SLAG & BALLA 10/16/15 SCHREINER MALLOY & ETZLER 467 16WC 15790 CASTRO, HECTOR NIAGARA LASALLE CORPORATI 12/29/14 ROMANUCCI & BLANDIN MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 468 16WC 15830 NASCIMENTO, EDVALDO MAACO COLLISION & REPAIR 12/07/15 NEWLAND & NEWLAND RUSIN & MACIOROWSKI LTD 469 16WC 15851 ANDRIOLA, MATTHEW D YRC INC C/O C T CORPORATI 06/11/14 HETHERINGTON KARPEL BOBBER 470 16WC 16008 MONTERO, JOSE LUIS DICICCO CONCRETE PRODUCTS 10/04/13 CORBOY & DEMETRIO PC 471 16WC 16016 CLARKE, RONALD E FORD MOTOR COMPANY 04/06/16 WITTENBERG DOUGHERTY MAGLI POWER & CRONIN LTD 472 16WC 16223 KOUSKI, GERALDINE KOHL'S 04/07/16 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 473 16WC 16309 CARBAJAL, ALBERTO MINUTE MEN 04/05/16 ENCINAS & ORNELAS GILDEA & COGHLAN 474 16WC 16382 JONES, DOUGLAS UNITED PARCEL SERVICE 04/07/16 COYNE REINKE LAW ASA LAW GROUP 475 16WC 16456 BROEKER, TERESA SCHOOL DISTRICT NO 64 10/09/15 TAMVAKIS, GEORGE L 476 16WC 16472 MERCADO, OLIVIA TOUCHPOINT SUPPORT SVCS, 02/02/16 LAW OFFICES OF ANSELMO DUR 477 16WC 16649 SCOTT, ANTHONY FLEXAN CORP 04/28/16 KALOGERAKOS & ASSOC 478 16WC 16809 BELAUZARAN, MARTHA EXECUTIVE MAILING 08/14/15 SALVATO & O'TOOLE 479 16WC 16874 WASHINGTON, ANGELA COOK COUNTY HOSPITAL 02/29/16 DWORKIN AND MACIARIELLO 480 16WC 16973 PEREZ, JACQUELINE PETE'S FRESH MARKET 05/20/16 BRISKMAN BRISKMAN GREENBER 481 16WC 17225 DENISON, JEFFREY NTW, LLC D/B/A NTB NATION 04/21/15 SAM CUBA LAW OFFICE BRADY CONNOLLY & MASUDA PC 16WC017226 -C 482 16WC 17269 EVANS, EARL UNIVERSITY OF CHICAGO DEP 03/28/16 GRAZIAN & VOLPE PC NYHAN BAMBRICK KINZIE & LOWR 483 16WC 17307 BOHNEN, ANDREW LUFTHANSA CARGO 07/22/13 RUBENS AND KRESS WILLIAM P. JONES 484 16WC 20969 MONTGOMERY, JOANNE UNIVERSITY OF CHICAGO 04/14/14 ROBERT BURROWS NYHAN BAMBRICK KINZIE & LOWR 485 16WC 21457 MILLER, NICHOLAS BEST TECHNOLOGY SYSTEMS 06/28/16 LEITER LAW OFFICES HENNESSY & ROACH PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 663 17WC 05265 VOSS, WILLIAM WALMART 02/15/17 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 664 17WC 05276 CONTRERAS, GENARO DC TRICORE, INC 08/08/16 COVEN LAW GROUP HENNESSY & ROACH PC 665 17WC 05325 CHANG, BRENDA NALCO CHEMICAL CO 04/05/16 GOLDSTEIN BENDER & ROMANOF 666 17WC 05352 GALLARDO, GABRIEL SOUTHWEST AIRLINES 02/03/15 KARCHMAR & STONE 667 17WC 05373 BRUNO, HUMBERTO OUTBACK STEAKHOUSE 03/03/15 DEPAOLO ZADEIKIS GORE BRYCE DOWNEY & LENKOV LLC 668 17WC 05396 MERCIER, DIONTE L NATIONAL DCP LLC DBA 01/27/17 ANKIN LAW OFFICE ARNETT LAW GROUP 669 17WC 05416 THOMPSON, JOHNNIE EVANGELICAL LUTHERAN CHUR 10/21/16 LEONARD LAW GROUP LLC GANAN & SHAPIRO 670 17WC 05451 ODISHO, LEIEH NEW ALBERTSON'S, INC 02/10/17 KALOGERAKOS & ASSOC 671 17WC 05518 LIPSCOMB, RASHAD CARRY TRANSIT 02/13/17 DAVID W MARTAY 672 17WC 05538 CALDERON, JUAN MERCURY PLASTICS 08/03/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 673 17WC 05620 ILUMINADA, ROMAN COOK COUNTY C/O 08/20/14 RAYMOND P GARZA LAW OFFICE STATES ATTORNEY OF COOK COUN 674 17WC 05644 GUERRERO, JOSE FEDEX OHARE 12/15/16 MC HARGUE, JAMES P LAW OFF 675 17WC 05693 HOLMES, ROOSEVELT YMCA 01/13/17 LEONARD LAW GROUP LLC 676 17WC 05764 LOPEZ, NANCY DIVERSE FACILITY SOLUTION 10/17/16 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 677 17WC 05794 ROZSIVAL,M MICHAL CHICAGO BLACKHAWKS HOCKEY 05/07/15 GORDON LAW OFFICES LTD 678 17WC 05815 SCHULTZ, RICHARD CORNELIUS INC 02/21/17 COVEN LAW GROUP 679 17WC 05835 UPDEGRAFF, WENDY PAPA JOHN'S 12/30/16 WOODRUFF & JOHNSON 680 17WC 05871 WARD, DEBRA BERKLEY NURSING AND REHAB 02/17/17 STEPHEN G PINTO LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 681 17WC 05956 SEYPTOLOOL, MEHDI TAXI TOWN INC 01/29/17 ANKIN LAW OFFICE 682 17WC 06000 JORDAN, ANGLITA TARGET 06/03/16 COVEN LAW GROUP 683 17WC 06036 PURSLEY, ROBERT SERVICE MECHANICAL INDUST 11/03/16 LAW OFFICES MICHAEL HELLMA 684 17WC 06104 FARA, JASON M TERMINAL SUPPLY COMPANY 02/14/17 DE FRIES LAW OFFICES PC 685 17WC 06149 MITCHELL, JAMIAM FORD MOTOR COMPANY 01/15/17 DISPARTI LAW GROUP PA 686 17WC 06168 GIL, ANANDA ABINGTON OF GLENVIEW 01/09/17 SCOTT BARBER BRADY CONNOLLY & MASUDA PC 687 17WC 06179 KIMBROUGH, REGINA LYFT 02/20/17 DWORKIN AND MACIARIELLO 688 17WC 06197 ALVAREZ, VINICIO A UPS 01/04/17 RONALDSON & KUCHLER ASA LAW GROUP 689 17WC 06251 CABRERA, ANTHONY MIDWAY BLDG SVS 02/04/17 SKLARE LAW GROUP 690 17WC 06287 EVANS, ROBERT RELATED MIDWEST MGMT 01/20/17 DISPARTI LAW GROUP PA 691 17WC 06320 GLYAZER, ALECKSNDR COUNCIL FOR JEWISH ELDERL 02/03/17 SANDMAN LEVY & PETRICH 692 17WC 06341 REYES, ALEJANDRA PRONTO STAFFING SERVICE 11/28/16 ROSS TYRRELL POWER & CRONIN LTD 693 17WC 06358 PENNYMON, LATAVIA NORTHWESTERN MEDICAL CENT 09/22/16 SHELDON I MINKOW & ASSOCIA 694 17WC 06409 HERNANDEZ, HUMBERTO CTA 02/15/17 RUBENS AND KRESS CHICAGO TRANSIT AUTHORITY 695 17WC 06415 STEPUSIN, PAUL CHICAGO TRANSIT AUTHORITY 11/02/16 KARLIN FLEISHER & FALKENBE CHICAGO TRANSIT AUTHORITY 696 17WC 06441 LANE, JOHN FEDEX EXPRESS 07/21/16 PARENTE & NOREM PC 697 17WC 06467 MABIN, MARCIA GRAND PRAIRIE SERVICES 02/03/17 CULLEN HASKINS NICHOLSON 698 17WC 06496 FORREST, FREDICK AT&T 01/27/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 699 17WC 06579 CASTRO, RUBEN NEWLY WEDS FOODS 10/01/16 RUEDA, IVAN A 700 17WC 06617 NELSON, DWIGHT AMERICAN AIRLINES/AMR 10/10/16 KROL BONGIORNO & GIVEN LTD 701 17WC 06635 JORDAN, IRMA UCAN 02/18/17 DAVID W MARTAY INMAN & FITZGIBBONS 702 17WC 06643 PIETRANEK, PETER APM MANAGEMENT 02/15/17 MC HARGUE, JAMES P LAW OFF KEEFE CAMPBELL & ASSOC LLC 703 17WC 06749 BLOCKER, PAMELA MICHAEL FOODS, INC DBA 12/07/16 HETHERINGTON KARPEL BOBBER MEACHUM & STARCK 704 17WC 06795 ROBERTSON, KIMBERLY GLENVIEW TERRACE NURSING 01/26/17 LEONARD LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 705 17WC 06818 SIDDIQUI, FHAKHAREY MACY'S 09/28/16 DWORKIN AND MACIARIELLO 706 17WC 06866 BELL, ERIC FOREST PARK POLICE DEPT 10/15/16 WHITESIDE & GOLDBERG LTD 707 17WC 09734 LUNDGSGAARD, JEANNE AMERICAN AIRLINES 07/25/16 SAUNDERS CONDON & KENNY 708 17WC 10628 GALLARDO, JOSE UNITED PARCEL SERVICE 05/05/15 DWYER AND COOGAN ASA LAW GROUP 709 17WC 11428 CARAWAY, MEGAN AMERICAN AIRLINES 12/12/16 SAUNDERS CONDON & KENNY 710 17WC 13432 PEOPLES, LAWANDA PERFECT CLEANING SERVICE 07/12/16 MEYERS & FLOWERS 711 17WC 13517 BUSH, LATIVA FAMILY DOLLAR 03/27/17 DAVID W MARTAY 712 17WC 13538 PEDROZA, ONDINA A GDI OMNI INC-LOANING EMPL 04/20/17 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 713 17WC 13568 RODRIGUEZ, KARINA MARQUEZ BRYN MAWR RESTAURANT CORP 08/06/16 KARCHMAR & STONE 714 17WC 13604 MARTINEZ, MARTHA UIC HOSPITAL 04/29/15 CURTIS S BURKE LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 715 17WC 13654 CASEREZ, FLORENTINO ACCURATE PERFORATING 05/01/17 EPSTEIN, JACK R LAW OFFICE LITCHFIELD CAVO 716 17WC 13692 CARMICHAEL, CARRIE CLEAR CAPTIONS 05/02/17 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 717 17WC 13707 JUAREZ, FRANCISCO C. DYNAMIC MANUFACTURING INC 02/01/17 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 718 17WC 13729 GAYTON, CESAR JLDC CONSTRUCTION INC 02/27/17 COSTA IVONE LLC 719 17WC 13745 XHELI, SILVANA HELP AT HOME, LLC 05/05/17 LAW OFFICE OF JAMES URTIS 720 17WC 13784 HEJNAL, LEE PEPSI CO 03/15/17 SAUNDERS CONDON & KENNY 721 17WC 13833 BUTLER, GREGORY VETERANS DISTRIBUTION-HIL 05/03/17 ANGELINI & ORI LLC INMAN & FITZGIBBONS 722 17WC 13891 LOFTIS, STEVE CORTLAND'S GARAGE 01/17/17 COSTA IVONE LLC POWER & CRONIN LTD 723 17WC 13899 JAZO, GAYLE PRIMUS ORTHOPEDICS, S.C. 06/30/16 SPENCER LAW OFFICES 724 17WC 13917 ARNOLD, TONIA MARSHALLS 04/19/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 725 17WC 13935 SOTO, OCTAVIANO UNO RESTAURANTS, LLC 12/14/16 STELZMAN, RUTH GILDEA & COGHLAN 726 17WC 14007 PINA, MARIA WORK FORCE, LLC 08/22/14 ROSS TYRRELL 727 17WC 14015 HOLLIDAY, REGINA ADVOCATE HEALTHCARE 10/05/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 728 17WC 14034 ODEYELE, SAMUEL SAMODE 49, INC 04/07/17 LAW OFFICE RYAN ROSENTHAL 729 17WC 14052 HOOD, WILLIAM REVOLUTION BREWING 07/11/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 730 17WC 14105 ROBINSON, LILLIE PARK FOREST-CHICAGO HEIGH 02/23/17 RIDGE & DOWNES 731 17WC 14173 RECENDIZ, JAIME CURTO-LIGONIER FOUNDRIES 05/25/15 LAW OFFICE ILONKA ULRICH 732 17WC 14190 VIRADIA, MITESH ABC HEATING AND COOLING 03/29/17 CIARDELLI CUMMINGS CAMPAGN COZZI & GOGGIN-WARD 733 17WC 14223 SPENCER, SADE HAYMARKET CENTER 04/26/17 DWORKIN AND MACIARIELLO 734 17WC 14267 ELLIS, CASSANDRA LABOR SOLUTIONS 05/08/17 STEPHEN G PINTO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 735 17WC 14286 ARELLANO, FRIDA SALVATION ARMY 12/12/16 ANGELINI & ORI LLC RODDY LAW LTD 736 17WC 14299 CLEMONS, BRANDY CAPSTONE LOGISTICS 05/06/17 STROM, NEAL B HENNESSY & ROACH PC 737 17WC 14320 DEVITO, RONALD STATE OF IL GROUNDS DEPAR 07/25/16 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR 738 17WC 14340 CALZONZI, RAFAEL UPS 05/05/17 LEONARD LAW GROUP LLC ASA LAW GROUP 739 17WC 14424 HERNANDEZ, JULIO BLESSED MANUFACTURING 03/16/17 VRDOLYAK LAW GROUP LLC COZZI & GOGGIN-WARD 740 17WC 14451 FLINT, PATRICIA UNITED AIRLINES, INC./CT 06/05/16 BRIAN J MC MANUS & ASSOC, 741 17WC 14462 NUCCIO, LORETTA WALGREENS 02/26/17 RIDGE & DOWNES 742 17WC 14484 REYES, MARIA MARTINEZ MACNEAL HOSPITAL 03/13/17 COSTA IVONE LLC HENNESSY & ROACH PC 743 17WC 14497 GALVAN, PATRICIA RESERVES NETWORK 02/13/17 STEVEN M SELAN LAW OFFICES JOSEPH MARCINIAK 744 17WC 14575 PORTER, LATISHA FORD MOTOR COMPANY 03/24/17 STROM, NEAL B WIEDNER & MCAULIFFE LTD 745 17WC 14601 AGUILAR, JOSE DE JESUS EL POPOCATEPETL INDUSTRIE 12/20/15 CUSHING LAW OFFICES ACCIDENT FUND HOLDINGS 746 17WC 14669 AGUILAR, SILVIA CHICAGO MIDWAY INT'L AIRP 04/27/17 LAW OFFICE EDWARD RUEDA 747 17WC 14721 GUYTON, AARON WALGREENS 05/17/17 DWORKIN AND MACIARIELLO 748 17WC 14771 MOLINA GARCIA, TELESFORO CLINGAN STEEL, INC 02/16/17 COSTA IVONE LLC 749 17WC 14798 DUBAKA, EDWARD COOK COUNTY RISK MANAGEME 05/03/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 750 17WC 14840 PIPKINS, JAMES W ARYZTA 01/18/17 VITELL & SPITZ LTD 751 17WC 14910 HARRISON, DEAN WESTERN SPRINGS POLICE DE 05/15/15 PARENTE & NOREM PC 752 17WC 14929 URBANI, BARBARA ROSELAND COMMUNITY HOSP 04/28/17 ANGELINI & ORI LLC SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 753 17WC 14951 CAPUTO, JAMES V SENG TEAMING CO 03/13/17 NILSON STOOKAL GLEASON CAP GANAN & SHAPIRO 754 17WC 14991 DEPKON, JAMES CITY OF PARK RIDGE 03/14/17 HEALY SCANLON LAW FIRM 755 17WC 15062 ROBLES, JOSE STERLING SLEEP PRODUCTS 02/14/17 MILLON & PESKIN LTD HENNESSY & ROACH PC 756 17WC 15096 FOX, JOSEPH AVERUS 05/16/17 POLANSKY & CICHON CHTD 757 17WC 15125 AMAYA, LILIANA CAFE BON APPETIT 09/18/16 GRAZIAN & VOLPE PC 758 17WC 15146 RICHARDSON, DOMINIQUE C PORTILLO'S 03/01/17 DEPAOLO ZADEIKIS GORE 759 17WC 15166 KIM, BENJAMIN BESTWAY RENTAL INC 03/24/17 FISHER & LAMONICA 760 17WC 15210 OSIKA, DAVID BOURBON TILE & MARBLE, IN 04/04/17 GREGORIO & MARCO GAROFALO SCHREIBER STORM 761 17WC 15223 LONGORIA, ALFREDO CHICAGO PUBLIC LIBRARY 03/30/17 DAVID W MARTAY 762 17WC 15241 MCKINNEY, VIVIAN MILLENNIUM GARDENS, INC. 04/21/17 ABELS & ANNES, PC HEYL ROYSTER VOELKER & ALLEN 763 17WC 15320 YOUNUS, FAWZI AMERICAN AIRLINES 05/19/17 HUGHES SOCOL PIERS RESNICK 764 17WC 15344 SHEPARD, LAKEISHA WHEATLAND TUBE 04/03/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 765 17WC 15365 AKINKUNMI, AKINTUNDE MATT METROSTAFF, INC. 03/05/17 ANKIN LAW OFFICE 766 17WC 15494 PATTERSON, CORA BRIGHTSTAR HEALTH CARE IN 01/16/17 ANDERSON & THOMAS 767 17WC 15537 JOHNSON, JUANITA MCCORMACK BARON MGMT, INC 04/18/17 HETHERINGTON KARPEL BOBBER 768 17WC 15558 ALSHWAYYAT, WALID AMERICAN TAXI DISPATCH IN 05/18/16 BRUSTIN & LUNDBLAD LTD BAUM RUFFOLO & MARZAL LTD 769 17WC 15573 BANUELOS, MARIA MICKEY'S LINEN 05/18/17 DWORKIN AND MACIARIELLO 770 17WC 15597 GARMENDIA, ERIK PRIMERA CONSTRUCTIONS AND 04/06/17 LAW OFFICES PETER LEKAS ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 771 17WC 15631 WILLIAMS, JAMES BURLINGTON COAT FACTORY 05/04/17 LAW OFFICES TIMOTHY HENDER 772 17WC 15656 MOLINA, BENNY SHERATON CHICAGO NORTHBRO 12/19/16 DEPAOLO ZADEIKIS GORE HENNESSY & ROACH PC 773 17WC 15673 REARDON, JOAN INGALLS MEMORIAL HOSPITAL 04/19/17 CUDA LAW OFFICES 774 17WC 15697 JACKSON, KENYATE JEWEL OSCO DISTRIBUTION C 05/03/17 COSTA IVONE LLC 775 17WC 15743 CAREY, MARK AT&T 01/17/17 GOLDBERG WEISMAN & CAIRO L 776 17WC 15761 NUNES, DAVID H WILLOW BEND ELEMENTARY SD 04/09/16 RICHARD E ALEKSY INMAN & FITZGIBBONS 777 17WC 15780 PARACKAL, JOSEKUTTY CHICAGO TRANSIT AUTHORITY 04/27/16 DRAKE & COLLOPY PC 778 17WC 15787 LOVELL, BRYNN MARIE TRAVELERS 01/29/16 COLLISON LAW OFFICES RUSIN & MACIOROWSKI LTD 779 17WC 15804 RAMIREZ, VINCENTE R.K. HOLDINGS DBA RUSTIC 09/13/16 ANKIN LAW OFFICE GANAN & SHAPIRO 780 17WC 15819 OCAMPO, ALMA HIGH MAINTENANCE SERVICES W 05/16/17 CHEPOV & SCOTT LLC 781 17WC 15877 GOMEZ-VARGAS, JAIME NORTHWEST COMMUNITY HEALT 03/18/17 RUEDA, IVAN A HEYL ROYSTER VOELKER & ALLEN 782 17WC 15917 WILLIS, PERRY CTA 05/20/17 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 783 17WC 15956 GUERRERO, ALICIA F MCDONALD'S 11/22/16 CULLEN HASKINS NICHOLSON 784 17WC 15972 HUTCHINSON, DERRICK WILMETTE SD # 39 04/24/17 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 785 17WC 15995 PIECHOWSKI, GRZEGORZ GOL-POL 04/14/17 BOWMAN & CORDAY MEACHUM & STARCK 786 17WC 16034 LUNDINE, FLORENCE UNITED AIRLINES 09/18/15 RICHARD O. GREENFIELD WIEDNER & MCAULIFFE LTD 787 17WC 16050 YOUNG, MELVIN JR FORD MOTOR COMPANY 01/10/17 SALVATO & O'TOOLE 788 17WC 16084 MEJIA, VIRGINIA CHRISTY WEBBER LANDSCAPES 01/09/17 HERRERA LAW CENTER LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 789 17WC 16123 PARKER, LAMAR CVR & ASSOCIATES 05/03/17 DWORKIN AND MACIARIELLO 790 17WC 16187 STILLWELL, TAYSHA FED EX 05/24/17 DWORKIN AND MACIARIELLO 791 17WC 16206 SIMON, LEELAMMA DR PEPPER SNAPPLE GROUP, 02/28/17 CARONE LAW OFFICES 792 17WC 16277 KIDD, DWANE OLD VETERAN CONSTRUCTION 03/20/17 ERIC M GLASSON & ASSOCIATE 793 17WC 16296 SALGADO, RENE UNITED AIRLINES 04/28/17 STEVEN M SELAN 794 17WC 16314 FLORES, ELISEO UNITED PARCEL SERVICE 02/25/17 LAW OFFICES BRIAN LASSEN ASA LAW GROUP 795 17WC 16418 CALLAHAN, CHRISTINE A WALGREENS 05/01/17 VRDOLYAK LAW GROUP LLC 796 17WC 16437 SKINDINGSRUDE, SCOTT A VILLAGE OF MT PROSPECT 10/02/16 THOMAS W DUDA 797 17WC 16502 POWELL, DANIEL STAGES MUSIC HALL, INC 05/18/17 GOLDBERG WEISMAN & CAIRO L 798 17WC 16529 GETZLOFF, ROBERT CARDINAL LOGISTICS 05/04/17 LANNON LANNON & BARR LTD 799 17WC 16567 PEREZ, ARTURO EMPLOYER SOLUTION STAFFIN 04/28/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 800 17WC 16586 DAVIS, RICARDO S R & L CARRIERS AND SHARED 05/26/17 ANKIN LAW OFFICE 801 17WC 16601 GILLIAM, SHERMAN KGS GOVERNMENT SOLUTIONS 03/15/17 JONATHAN SCHLACK LAW OFFICES OF EDWARD J. KOZ 802 17WC 16645 MARTINEZ, ROSEMARIE G FEDERAL EXPRESS CORPORATI 11/21/16 ANKIN LAW OFFICE 803 17WC 16666 CROWE, RON DART CONTAINER 06/18/16 JOHN C SERKLAND GAROFALO SCHREIBER STORM 804 17WC 16683 ESTRADA, DANIEL CSR ROOFING CONTRACTORS 05/31/17 MC HARGUE, JAMES P LAW OFF 805 17WC 16710 ORTIZ, ANTONIO CORNEL FORGE CO 05/23/16 COSTA IVONE LLC 806 17WC 16733 BIALAS, MAREK PANEK PRECISION PRODUCTS 05/19/17 CHRISTOPHER BUCHCAR, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 807 17WC 16753 COX, SANDRA PRAIRIE GREEN DIXIE CROSS 10/29/16 SALK, STEVEN B & ASSOC LTD 808 17WC 16850 GALVIN, JOHN J F.H. PASCHEN 05/15/17 CRONIN & PETERS BRADY CONNOLLY & MASUDA PC 809 17WC 16879 VELAZQUEZ, JESUS AZTECA FOOD INC 01/05/17 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 810 17WC 16923 SALGADO, JOSE VILLAGE GREEN AT ARLINGTO 04/11/17 ENCINAS & ORNELAS 811 17WC 16960 BRINGLE, JANE RICHARD HENRY LEE ELEMENT 03/02/17 DEPAOLO ZADEIKIS GORE 812 17WC 17157 RAILEY, TIFFANY (MOTHER O R&L CARRIERS # 05/31/17 DINIZULU LAW GROUP SLAVIN & SLAVIN 813 17WC 18984 MILLER, DAMIAN MARKETBUZZ PROMOTIONS 06/15/17 BRISKMAN BRISKMAN GREENBER 814 17WC 19055 GORZ, BRIAN HUDSON BOILER 01/03/17 HORWITZ HORWITZ & ASSOC 815 17WC 19421 GAINER, TRACIE, WIDOW OF FORTIFIED SYSTEMS, INC # 09/14/16 JAY S. SHETH LLC 816 17WC 23023 PERKINS, PATRICK LEGENDS HOSPITALITY * 07/11/17 EDWIN REYES LEGAL GROUP 817 17WC 23045 TURNER, RHONDA COUNTRY CLUB HILLS SD 160 * 03/02/17 GAINES & GAINES COZZI & GOGGIN-WARD 818 17WC 23085 PHILLIPS, KAMARII SWISSPORT USA, INC * 08/01/17 COSTA IVONE LLC 819 17WC 23119 DAVIS, DIANA CHILDCARE CAREERS, LLC * 04/18/17 JOHN E LUSAK 820 17WC 23144 GILLMAN, MARGARET M CITY OF CHICAGO POLICE DE * 04/12/17 BRILL & FISHEL 821 17WC 23169 CASTILLO, JUAN LABOR SOLUTIONS LLC * 06/27/17 CHEPOV & SCOTT LLC 822 17WC 23217 APATO, DAVE HOME DEPOT * 03/30/17 BARRETT & SRAMEK 823 17WC 23242 MALCOLM, ROBERT ILLCO, INC. * 08/01/17 STELZMAN, RUTH 824 17WC 23268 CABRERA, SILVANO TOTAL FACILITY MAINTENANC * 04/15/15 LAW OFFICE HUGO ORTIZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 825 17WC 23296 HERNANDEZ, GUADALUPE ED MINIAT, LLC * 07/11/17 BERNAT & BERNAT PC 826 17WC 23314 LIS, WLODZIMIE MJ CELCO, INC * 03/17/17 HOLECEK & ASSOCIATES 827 17WC 23346 NASH, DARRICK V VILLAGE OF SKOKIE * 06/02/17 ANGELINI & ORI LLC VILLAGE OF SKOKIE 828 17WC 23392 DUNA, DEBORAH UNIVERSITY OF IL OF CHICA * 06/30/17 THERMAN LAW OFFICES 829 17WC 23418 SCHAEFFER, SEAN NEXUS EMPLOYMENT * 06/18/17 DWORKIN AND MACIARIELLO 830 17WC 23436 LITTLE, PATRICIA STEINER SECURITY SERVICES * 05/13/17 MARC J SHUMAN & ASSOCIATES 831 17WC 23468 MARTINEZ, GUADALUPE CAMPBELLS SOUP/ * 07/27/17 COLLISON LAW OFFICES 832 17WC 23527 WILLIAMS, CRYSTAL VALLI PRODUCE * 08/12/15 DWORKIN AND MACIARIELLO 833 17WC 23576 TURNER-MICKEY, SYDNEY FORD MOTOR COMPANY * 12/12/16 ROSS TYRRELL 834 17WC 23642 MISTICA, ALVAN BETHANY METHODIST CORP * 07/29/17 ANKIN LAW OFFICE 835 17WC 23660 SANTIAGO, JOSE NEALEY'S FOOD * 02/08/17 COVEN LAW GROUP 836 17WC 23679 VARGAS, ANDRES BOSSARD NORTH AMERICA * 01/04/17 COSTA IVONE LLC 837 17WC 23694 LEWIS, MARY PARK LAWN * 07/11/17 CURTIS S BURKE LAW OFFICE 838 17WC 23715 SMITH, JONATHAN A STANLEY STEEMER * 08/11/17 KARNO, MARK L & ASSOC 839 17WC 23732 NELSON, NICOLE COUNTY OF COOK * 10/01/14 ASHER, RAYMOND L LTD 840 17WC 23745 BISCAN, JEFFREY ADVANCED TECHNOLOGY SVCS * 03/07/17 BAUM RUFFOLO & MARZAL LTD 841 17WC 23767 LAGRANDBERY, SIRQUINN CARDINAL LOGISTICS * 08/10/17 BRISKMAN BRISKMAN GREENBER 842 17WC 23809 AMEEN, MOHAMMED REX 2 INC. * 07/31/17 FISHER & LAMONICA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 843 17WC 23822 DAVIS, ROSLYN ARAMARK NUTRITION SUPPORT * 01/01/17 LEONARD LAW GROUP LLC 844 17WC 23841 JACKSON, JON E. DARDEN/OLIVE GARDEN USA * 01/28/17 WIEDNER & MCAULIFFE LTD 845 17WC 23877 MORELOS, RODOLFO AREA DISPOSAL INC D/B/A * 09/19/16 THE ROMAKER LAW FIRM 846 17WC 23884 RAMOS, MICHAEL BETHSHAN ASSOCIATION * 08/08/17 RUBIN MACHADO ROSENBLUM 847 17WC 23889 STARLING, CYNTHIA JACKSON PARK HOSPITAL * 03/17/17 MAURICE E DUSKY PC ODELSON & STERK 848 17WC 23903 LOPEZ, EFRAIN R TEK PANEL INC * 02/17/17 CHEPOV & SCOTT LLC 849 17WC 23923 AYALA, FELICITAS ARYZTA * 03/30/17 LAW OFFICES LEONARDO MORAL 850 17WC 23972 HALEY, TITANNA CENTRAL STEEL AND WIRE CO * 07/14/17 THOMAS D BOUSLOG 851 17WC 23984 NOCULA, JOSEPHINE CHICAGO PUBLIC SCHOOLS, M * 05/26/17 COHN LAMBERT RYAN & SCHNEI 852 17WC 24017 WHITEHEAD, MARILYN UNITED AIRLINES, INC * 04/26/16 BRIAN J MC MANUS & ASSOC, 853 17WC 24031 SUAREZ, SALVADOR MAC PROPERTY MANAGEMENT L * 08/29/16 COSTA IVONE LLC 854 17WC 24067 BORDERS, BARBARA CENTRIC GROUP LLC * 07/20/17 COYNE REINKE LAW 855 17WC 24129 MANOS-VICKERS, MATTHEW MARR CHICAGO PIZZA, INC * 10/25/14 LAW OFFICES OF HELEN BLOCH 856 17WC 24152 ROMERO, GLORIA ST ANTHONY HOSPITAL * 03/29/17 RUEDA, IVAN A 857 17WC 24245 WASHINGTON, LAVONZELL COMCAST * 06/14/17 DWORKIN AND MACIARIELLO 858 17WC 24270 SELAK, MEVZETA KIMCO SERVICES * 03/08/17 COVEN LAW GROUP 859 17WC 24344 JONES, JIMMY BREMEN HS #228 * 07/20/17 SEIDMAN MARGULIS & FAIRMAN 860 17WC 24357 JEDRZEJCZYK, ANTHONY USF HOLLAND INC * 06/22/17 HANNIGAN & BOTHA, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 861 17WC 24407 GONZALEZ-URIBE, MARIA LEGENDARY BAKING * 12/22/15 DEPAOLO ZADEIKIS GORE 862 17WC 24425 SMITH, LARRY TRINITY SERVICES * 07/10/17 CHARLES LEVY & ASSOC LTD 863 17WC 24453 CERDA, LUIS M DYNAMIC MANUFACTURING, IN * 04/21/17 CHEPOV & SCOTT LLC 864 17WC 24470 NUNEZ, GRISELDA TRIUNE LOGISTICS * 08/04/17 HERRERA LAW CENTER 865 17WC 24518 RUFFINS, MOQUT C/O ARENA FOOTBAL ONE LLC * 04/01/16 GORDON LAW OFFICES LTD 866 17WC 24539 COLTON, JUDD NOLAND SALES CORP * 09/19/16 STONE & JOHNSON CHARTERED 867 17WC 24573 SHINES, DORIS L CRESTLINE HOTELS & RESORT * 03/21/17 LAW OFFICES ROBERT WARSASK 868 17WC 24589 HALL, RONALD WARD CONTRACTING * 08/26/16 CULLEN HASKINS NICHOLSON 869 17WC 24607 EVANS, CLEOTHIS ALPHA BAKING CO. * 02/25/17 CORNFIELD & FELDMAN 870 17WC 24641 LOMES, MARCIA LAURA CONSTRUCTION REX, LLC * 07/03/17 AIOSSA LAW FIRM 871 17WC 24673 WAYTECK, WILLIAM WHITE WAY SIGN & MAINTENA * 08/12/14 LEONARD LAW GROUP LLC 872 17WC 24698 TAYLOR, BRYANT GOODWILL INDUSTRIES OF SE * 08/09/17 AIOSSA LAW FIRM 873 17WC 24731 DEVINE, SEAN TRIBCO CONSTRUCTION SVCES * 10/27/16 ANESI OZMON RODIN NOVAK KO 874 17WC 24749 HERNANDEZ, BENJAMIN FORD MOTOR COMPANY * 10/27/16 FOHRMAN, DONALD W & ASSOCS 875 17WC 24777 AMOATIN, FELIX SCOOBEEZ INC * 07/28/17 TAXMAN POLLOCK 876 17WC 24786 BOCARDO, LINDA CENTRAL STEEL & WIRE * 05/12/17 DAVID W MARTAY 877 17WC 24812 DIAL, CHRISTOPHER PORRECA FREIGHT * 07/05/17 RANDALL A. WOLFF & ASSOC 878 17WC 24839 TERAN, GUMERCINDO THE CUTTING EDGE * 09/06/16 RUEDA, IVAN A

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 879 17WC 24871 HARRINGTON, ANTWAN FEDERAL EXPRESS CORP * 07/18/17 RITTENBERG & BUFFEN 880 17WC 24882 LEE, JESSE JR. CITY OF CHICAGO HEIGHTS * 06/06/17 MAINARD LAW OFFICE PETERSON JOHNSON & MURRAY 881 17WC 24922 JOHNSON, GEORGE WJR ILLINOIS TOOL WORKS INC * 07/25/17 ANKIN LAW OFFICE 882 17WC 24940 JACKSON, KEFING AUTOZONE * 08/22/17 MC HARGUE, JAMES P LAW OFF 883 17WC 24957 KOSIOR, STANLEY LAKESIDE LITHOGRAPHY LLC * 03/16/15 MINKOW DOMIN 884 17WC 24997 HOFF, TIM DELTA AIRLINES, INC * 05/02/16 RIDGE & DOWNES 885 17WC 25021 PUMFERY, CHRISTOPHER RUSH TRUCK CENTERS * 09/29/16 DEPAOLO ZADEIKIS GORE 886 17WC 25047 SANCHEZ, MARTIN RESIDENCE INN MARRIOTT * 08/14/17 SALVATO & O'TOOLE 887 17WC 25055 ALFARO, MARIA LINCOLN PARK ZOOLOGICAL * 05/16/17 FRIEDMAN & SOLMOR LTD 888 17WC 25078 BURRIS, LEAH SAMS CLUB * 08/17/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 889 17WC 25121 O'NEILL, BRIAN UIC HEALTH SERVICES * 08/09/17 GOLDBERG WEISMAN & CAIRO L 890 17WC 25152 RODRIGUEZ, JOSEPH THE PEOPLE GAS & LIGHT & * 03/01/16 MC CABE & HOGAN 891 17WC 25214 OLMOS, HECTOR COLONIAL BRICK CO * 06/05/17 COSTA IVONE LLC 892 17WC 25239 MORGAN, LATASHA MV TRANSPORTATION * 08/10/17 DWORKIN AND MACIARIELLO 893 17WC 25264 DOSCHER, APRIL M MASSAGE ENVY * 02/14/17 GARDI & HAUGHT 894 17WC 25305 WHITE, DENNIS CITY OF CHICAGO * 06/21/17 HEALY SCANLON LAW FIRM 895 17WC 25321 TORRES, JOHN CHICAGO TRANSIT AUTHORITY * 08/22/17 STROM, NEAL B 896 17WC 25342 GARCIA, MARIA CARL BUDDIG & CO. * 06/10/17 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 897 17WC 25366 REBAPIS-NEHRING, AMANDA SPEEDEE DELIVERY SERVICE * 08/17/17 MUELHAUSEN & STEFANI 898 17WC 25401 CHILLIS, TREMAYNE AIRGAS USA LLC * 07/25/17 899 17WC 25424 BOVAN, DEBORAH GERALEX/RD REAL ESTATE * 07/03/17 SALVATO & O'TOOLE 900 17WC 25435 MATELSKI, KRZYSZTOF HODGKINS TRUCK CENTER * 08/09/17 ANKIN LAW OFFICE 901 17WC 25457 RAMIREZ, PATRICIA CHICAGO MEAT AUTHORITY * 03/28/17 COSTA IVONE LLC 902 17WC 25478 MILLER, JORDAN ARENA FOOTBALL ONE, LLC * 05/13/17 GORDON & CENTRACCHIO LLC 903 17WC 25584 MCCASTLE, ARTIS BLACK HORSE CARRIERS * 02/20/17 NYHAN BAMBRICK KINZIE & LOWR 904 17WC 25649 MITCHELL, MAUREEN LEXINGTON HOSPICE * 05/24/17 COHN LAMBERT RYAN & SCHNEI 905 17WC 25661 TORRES, ANGEL AVLON INDUSTRIES INC * 08/07/17 BRILL & FISHEL 906 17WC 25684 SHILNEY, JAMES CITY OF CHICAGO * 11/22/16 JOSEPH J SPINGOLA, LTD 907 17WC 25705 WELLS, SHERRIE FOOD 4 LESS * 07/03/17 CULLEN HASKINS NICHOLSON 908 17WC 25730 DIEGO, DANIEL COLUMBUS VEGETABLE OILS * 08/08/17 GORDON LAW OFFICES LTD 909 17WC 25797 JOHNSON, ERIKKA SYMPHONY JACKSON SQUARE, * 08/27/17 RITTENBERG & BUFFEN MCCABE KIRSHNER PC 910 17WC 25805 GARCIA, ISAAC GROOT INDUSTRIES * 10/08/15 LANCASTER, DEBORAH 911 17WC 25832 SIMPSON, ROCHELLE CHICAGO PUBLIC SCHOOLS * 06/13/16 HODES GREENSTEIN & LITWIN 912 17WC 25849 VARGAS, ALVARO MENDOZA GUTIERREZ CONSTRU * 08/11/17 SALK, STEVEN B & ASSOC LTD 913 17WC 25882 KIM, JASON UNITED AIRLINES-CHICAGO O * 07/25/16 GOLDBERG WEISMAN & CAIRO L 914 17WC 25904 ROVER, CHUBBY CITY OF CHICAGO * 08/29/17 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 10/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 915 17WC 25927 WEST, ANTHONY WALMART * 08/26/17 COSTA IVONE LLC 916 17WC 25962 HERNANDEZ, MONICO COOK COUNTY SHERIFF'S DEP * 08/24/17 CULLEN HASKINS NICHOLSON 917 17WC 26006 UPTON, JOSEPH CHICAGO TRANSIT AUTHORITY * 12/15/16 WOODRUFF & JOHNSON 918 17WC 26028 GRAY, SYLVESTER UNITED PARCEL SERVICE * 07/24/17 ROGER D RUDICH LTD 919 17WC 26039 ATWOOD, EUGENE SECURITAS SECURITY USA IN * 11/04/14 SALVATO & O'TOOLE 920 17WC 26070 ORTEGA, GLORIA LUTHERAN CHILD & FAMILY * 03/08/17 RUEDA, IVAN A 921 17WC 26096 HOLMES, DWAYNE ACCURATE * 06/27/17 JAMES ELLIS GUMBINER & ASS 922 17WC 26142 BUFORD, EMANUEL DELTA AIRLINES * 05/28/17 HORWITZ HORWITZ & ASSOC 923 17WC 26163 MUNOZ, MARIA E STAFF RIGHT LLC * 07/20/17 RUEDA, IVAN A 924 17WC 26182 ZEMAN, ZACHARY DANNY'S CONSTRUCTION CO * 04/21/17 O'CONNOR & NAKOS