ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 99WC 66470 NEISWANGER, DONALD W W GRAINGER, INC 03/24/98 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER & HART 2 02WC 52424 VON LEHE, JOHN II NAPERVILLE TOWNSHIP 03/15/01 RICHARD P BOGUSZ, LTD MACIOROWSKI SACKMANN & ULRIC 3 06WC 33472 LOEHMAN, RHONDA TRU GREEN 05/01/06 SALVATO & O'TOOLE GRANT & FANNING 06WC042978 -C 4 06WC 43558 ROBERTS, JOHN LASER CONSTRUCTION INC 09/18/06 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 5 07WC 03351 KWAS, BRIAN ELITE MFG TECHNOLOGIES, I 11/10/06 RIFFNER BARBER ROWDEN & SC COZZI & GOGGIN-WARD 6 07WC 27007 SHABATURA, BILL RW DUNTEMAN 10/31/06 ARNOLD & KADJAN GRANT & FANNING 7 07WC 50888 POTTER, TIMOTHY RELIANCE GEAR CORPORATION 06/14/07 RIFFNER BARBER ROWDEN & SC GAROFALO SCHREIBER STORM 07WC050889 -C 8 08WC 00385 19B BLOOM, NEIL F BEST BUY 11/09/07 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 9 08WC 03798 HALLIN, PETER R JIM'S TOWING 10/22/07 ROMANUCCI & BLANDIN THOMAS & PORTELA 10 08WC 04869 KEATHLEY, PATRICIA DOUMAK, INC 08/26/07 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 11 08WC 13928 MEDINA, RAFAEL MINUTE MAN 10/17/07 CULLEN, HASKINS, NICHOLSON LAW OFFICES JOSEPH MARCINIAK 12 08WC 43422 MENDOZA, EDILBERTO CCMC CONSTRUCTION LLC W 06/09/08 JAMES ELLIS GUMBINER & ASS 13 08WC 45682 DELGADILLO, CENDY COOPERS HAWK BURR RIDGE, 07/28/08 SAUNDERS CONDON & KENNY 14 09WC 03082 JUKNUIS, BRIAN PATTEN INDUSTRIES 11/04/08 CAPRON & AVGERINOS PC GRANT & FANNING 15 09WC 05689 KOCEV, ILIJA TRIVISTA PLASTICS 08/07/08 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 16 09WC 12014 DUAMROH, SOLOMON SPRAYING SYSTEMS CO 04/16/08 WOODRUFF & JOHNSON DONALD J. MORAN 17 09WC 15894 SVOBODA, ROBERT TRANS-LINK INC W 03/05/09 CULLEN, HASKINS, NICHOLSON CHRISTOPHER BUCHCAR LAW OFF 18 09WC 39119 ZAGORSKI, DEBORAH FIRST TRANSIT 12/11/07 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 19 10WC 06602 COOK, LAURA A UNITED SURGICAL PARTNERS 09/04/09 FIGLIOLI, DAVID HOLECEK & ASSOCIATES 20 10WC 08549 SABLIK, ARTHUR CAC CORPORATION 10/01/09 MEYERS & FLOWERS ACCIDENT FUND HOLDINGS 21 10WC 23473 ORZECHOWSKI, JAY WHEATON PARK DISTRICT 11/25/09 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 22 10WC 24193 GERK, MICHAEL D MORSE ELECTRIC 05/14/10 NEWLAND & NEWLAND CACCHILLO LAW GROUP LLC 10WC024194 -C 10WC029475 -C 23 10WC 35515 JAKOBSONS, VICTOR LISLE WOODRIDGE FIRE DEPT 05/26/10 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 11WC045442 -C 24 10WC 36349 SALEK, KYLE CITY OF ELMHURST 04/07/10 THOMAS W DUDA POWER & CRONIN LTD 25 11WC 00649 ESCALERA SOSA, ROCIO MVP VALUABLE PERSONNEL 07/23/10 COVEN LAW GROUP KOREY LAW LLC 26 11WC 01669 MOULTON, AMANDA VITAS HEALTHCARE 10/02/10 STRONG LAW OFFICE HENNESSY & ROACH PC 12WC039338 -C 27 11WC 14568 KANIA, WALDEMAR PEPBOYS AUTO 03/31/11 CHEPOV & SCOTT LLC CHILTON YAMBERT PORTER LLP 28 11WC 15322 GLASGOW, TAMMY NICOR GAS 09/02/10 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 29 11WC 19660 TEELING, GEORGE MICHAEL CITY OF ELMHURST 12/12/09 THOMAS J STIBERTH LAW OFFI POWER & CRONIN LTD 30 11WC 27086 MATA, MARIA T ELMHURST MEMORIAL HOSPITA 12/22/10 LEONARD LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 31 11WC 35187 MOLENDA, LISA CORNER BAKERY CAFE 09/18/08 SOSTRIN AND SOSTRIN PC GRANT & FANNING 32 11WC 37638 19B WALKER, DEWAYNE ILLINOIS MEDI CAR INC 08/25/11 KARCHMAR & STONE POWER & CRONIN LTD 33 11WC 39589 MCGANN, DENNIS M INTERBAY TECHNOLOGIES 03/29/11 FABRIZIO, HANSON & PEYLA LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 34 11WC 39618 CASAS, CANDELARIA RON'S STAFFING SERVICES 09/26/11 CULLEN HASKINS NICHOLSON KOREY LAW LLC 35 11WC 44287 THIELEN, JASON C PANDUIT 09/22/11 JASINSKI, GEORGE J HEYL ROYSTER VOELKER & ALLEN 12WC032133 -C 36 11WC 45039 VASQUEZ, SALVADOR APPLIANCE DISTRIBUTION 06/18/11 JAMES ELLIS GUMBINER & ASS STONE & JOHNSON CHARTERED 37 11WC 46787 SOTELO, EZEQUIEL PREFERRED MEAL SYSTEMS IN 11/17/11 MINKOW DOMIN POWER & CRONIN LTD 12WC012571 -C 12WC012572 -C 12WC012573 -C 38 12WC 02884 BURSE, JERRY DARIEN SCHOOL DISTRICT 61 11/07/11 DIXON LAW FIRM BRADY CONNOLLY & MASUDA PC 39 12WC 05498 OSORIO, ALENJANDRO EXPEDITORS INTERNATIONAL 12/02/11 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 40 12WC 06358 BERMUDEZ, ROBERTO A RB ENTERPRISES 11/04/11 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 41 12WC 07942 SNITKO, AANNA MEADOWBROOK MANOR 01/17/12 COMPTON LAW GROUP ASSISTANT ATTORNEY GENERAL 42 12WC 09344 OKOYE, ANTHONY A BUTTERFIELD HALTH CARE IN 09/10/11 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 43 12WC 10541 JEFFREY, THERESE GLENDALE HTS POLICE DEPT 01/19/12 BLOCK, KLUKAS & MANZELLA P STORINO RAMELLO & DURKIN 44 12WC 10571 KISS, THOMAS G GENERAL ELECTRIC 12/01/11 WILLIAMS, ROBERT B LAW OFF MACIOROWSKI, SACKMANN & 45 12WC 13737 MARTIN, ROBERT CENTRAL TURF AND 10/25/11 MINKOW DOMIN THOMAS & PORTELA 46 12WC 14461 BERGHOFF-YUSCZAK, BETTY M ELMHURST MEMORIAL HOSPITA 04/11/12 RUBIN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 12WC015973 -C 47 12WC 14815 AGUILAR, CHERYL ECP INC 03/04/11 CHRISTIAN & MANNO COZZI & GOGGIN-WARD 48 12WC 15539 PIERCE, DOUGALS W JEWEL SUPER VALUE 04/02/12 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 49 12WC 16045 MENA, ZEFERINA SPRAYING SYSTEMS 03/22/12 THE ROMAKER LAW FIRM DONALD J. MORAN 50 12WC 16529 ORTEGA, EFRAIN KEMCO TRUCKING, INC 05/01/12 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 51 12WC 16894 MARJANOVIC, VLADIMIR INTER INC 12/10/09 WOLF & TENNANT 52 12WC 18674 JOHNSON, KRISTINE SCHOOL DISTRICT 200 02/17/12 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 53 12WC 19214 MIZLO, JACK ARJOHUNTLEIGH INC 06/09/09 MARKHAM M JEEP & ASSOCIATE 54 12WC 19517 DE LOA, GLORIA SUBURBAN MAILING SERVICES 01/15/12 THE ROMAKER LAW FIRM RUSIN MACIOROWSKI & FRIEDMAN 13WC014376 -C 55 12WC 22693 REITER, RICHARD ONEOK N SYSTEM LLC 05/01/12 FOTOPOULOS, JOHN S HENNESSY & ROACH PC 56 12WC 23227 ARITA, ALEX CORNERSTONE EXTERIORS 05/28/12 CULLEN HASKINS NICHOLSON ANKIN LAW OFFICE 57 12WC 25617 KUBORN, COREY FRITO LAY 05/28/12 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 58 12WC 26074 TENNEY, JEFFREY D HERTZ CORPORATION D/B/A 09/15/11 BUDIN LAW OFFICES NOBLE & ASSOCIATES PC 59 12WC 28311 LAGIOIA, PAUL A MEDEFIL INC 12/13/10 VITELL & SPITZ LTD ACCIDENT FUND HOLDINGS 60 12WC 32156 DIVITO, JOSH ALAN HEATING AIR CONDITIO 11/22/11 JOHN E LUSAK 61 12WC 35112 MERRITT, STEPHEN ANTHONY & DENIES DORMAN W 12/12/11 WOLFE LAW PC C. FLETCHER 62 12WC 37571 NAYONIS, MICHAEL WOODWARD, INC. 02/24/10 BLACK & JONES HINSHAW & CULBERTSON 16WC009575 -C 63 12WC 37847 REYNA, JOSEPH NICOR GAS 09/16/10 PORRO NIERMANN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 64 12WC 39254 DUNN, WILLIE NEIL RESSIN RACING STABLE W 05/23/12 DWORKIN AND MACIARIELLO 65 12WC 40541 LAGIOIA, PAUL A MEDEFIL INC 10/31/12 VITELL & SPITZ LTD 66 12WC 42476 FERNANDEZ, MAYTE WORKFORCE, LLC 08/13/12 EPSTEIN, JACK R LAW OFFICE GRANT & FANNING 67 12WC 43668 CANTU, MARTHA NESTLE D/B/A 08/15/12 BRIAN T MORROW, LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 68 13WC 01331 IVETIC, JAMES SR BENSENVILLE FIRE PROTECTI 03/06/08 THOMAS W DUDA RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 69 13WC 03946 GUEVARA, JENNIFER KJF EGG HOLIOINGS LLC 10/05/12 CULLEN HASKINS NICHOLSON 70 13WC 06199 DENOYELLES, CHRISTINA BURGESS SQUARE HEALTH CEN 05/31/12 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 71 13WC 07095 HAMAD, RAMSEY CONNIE'S PIZZA INC 02/05/13 GOLDBERG WEISMAN & CAIRO L 72 13WC 11847 SHERROD, PAUL E LISLE-WOODRIDGE FIRE 12/21/12 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 13WC011848 -C 13WC011849 -C 73 13WC 13154 CORTEZ, JUAN TAFF ON SITE INC 03/07/13 SANDMAN LEVY & PETRICH RUSIN & MACIOROWSKI LTD 74 13WC 14363 BAHENA, DANIEL NICKELSON INDUSTRIAL SERV 03/21/13 STEVEN J SEIDMAN LAW OFFIC INMAN & FITZGIBBONS 75 13WC 14606 19B ARNDT, EARL J AMERICAN MESSAGING 02/06/12 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 76 13WC 14949 RICHARDSON, JOHN ARAMARK UNIFORM & CAREER 04/12/13 RUBIN LAW GROUP INMAN & FITZGIBBONS 15WC003387 -C 77 13WC 16636 YOUNGBERG, ROBYN (WIDOW) WEST CHICAGO FIRE PROTECT # 03/14/13 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 78 13WC 16662 BURLINGAME, GLEN ROOF OPITIONS 11/15/12 BRAD J. BALKE, PC BRADY CONNOLLY & MASUDA PC 79 13WC 19282 VELAZQUEZ, GABRIEL PEREZ LANDSCAPING 05/28/13 LUIS A ACEVES & ASSOC MICHELOTTI & ASSOC LTD 80 13WC 19489 WAYTULA, JOSEPH MONDELEZ GLOBAL 08/16/12 STROM, NEAL B WIEDNER & MCAULIFFE LTD 81 13WC 20925 AUDEH, EMAD REDBIRD CARRIERS, INC W 08/20/12 LEO ALT REBMAN LINHARE & BEACHEM 82 13WC 21396 RATAY, FRANK A TO Z BODY & FENDER INC 04/19/13 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 83 13WC 21474 PETERSEN, ISABEL G4S TECHNOLOGY LLC 09/19/12 HART & DAVID LLP BRYCE DOWNEY & LENKOV LLC 84 13WC 23847 PATEL, BABUBHAI GRIND LABS SERVICES 07/10/13 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 85 13WC 24158 SHELTON, BONNIE SIMPLY HAIR 01/06/13 KARNO, MARK L & ASSOC GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 86 13WC 25034 DOLE, CYNTHIA NAPERVILLE SCHOOL 04/19/12 LAW OFFICE STEVEN J SEIDMA MACIOROWSKI SACKMANN & ULRIC 87 13WC 25047 THOMAS, LAMOND CLEAR STAFF, INC. 03/28/13 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 88 13WC 25529 UNRUH, CATHERINE CENTRAL DUPAGE HOSPITAL 09/04/12 TRUEMPER HOLLINGSWORTH ET GAROFALO SCHREIBER STORM 89 13WC 26099 REYES, LISA MARIANJOY REHABILITATION 04/12/13 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 90 13WC 26438 RAMIREZ, JUAN M CONTINENTAL WEB PRESS 05/09/13 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 91 13WC 28267 19B GARCIA, APOLONIO EDDIE'S LANDSCAPING MAINT 07/26/13 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 92 13WC 28778 MALLAVARSPU, SANJAY FED EX TRADE NETWORKS GRO 09/24/10 ANESI OZMON RODIN NOVAK KO LAW OFFICES JOSEPH MARCINIAK 93 13WC 29958 PLETSCH, JAMES SOUTHERN WINE & SPIRITS O 12/27/12 CRONIN PETERS & COOK, PC MACIOROWSKI SACKMANN & ULRIC 13WC029959 -C 16WC008875 -C 94 13WC 30533 VIRZI, ANNA M LIFETIME FITNESS 08/28/12 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 95 13WC 31167 RICHARDSON, REGINALD J U.S FOOD SERVICES 09/17/13 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 96 13WC 33538 SAVAGEAU, JONATHAN M ITASCA POLICE DEPARTMENT 09/07/13 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 14WC019975 -C 97 13WC 40173 DIAZ, ANNA DUPAGE COUNTY SHERIFF 11/08/13 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 16WC016803 -C 16WC020163 -C 16WC020164 -C 98 13WC 41817 SCUMACI, MATTHEW ANDERSON PEST SOLUTIONS 07/11/13 JOHN E LUSAK NYHAN BAMBRICK KINZIE & LOWR 99 14WC 00399 TORRES, DIANA B HUBBELL INC 12/27/13 PARAG P. BHOSALE COZZI & GOGGIN-WARD 100 14WC 01025 DAVIS-WILLIAMS, KIMBERLY PELLAR WINDOWS & DOORS 01/06/14 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM 101 14WC 02362 ARNETT, ADAM SCHRAMM CONSTRUCTION 07/08/13 LAW OFFICE OF SCOTT B SHAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 102 14WC 02375 FELTON, BRIAN W THE SCOTTISH PLUMBER 09/19/13 COMPTON LAW GROUP 103 14WC 03188 BERTUCCI, BRUNO PUGI HYUNDAI 01/10/14 STROM, NEAL B GANAN & SHAPIRO 104 14WC 03621 POHL, BILL PTO SERVICES 08/05/13 DWORKIN & MACIARIELLO 14WC023196 -C 105 14WC 04861 DE BIAS, ANTHONY JB HUNT TRANSPORT INC 12/06/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 106 14WC 05414 INSERRA, JOANNA GIANT STEPS 11/15/13 MARTIN L GLINK LAW OFFICE HOLECEK & ASSOCIATES 107 14WC 06108 IBEKIE, ANTHONY ST PATRICKS RESIDENCE 02/01/14 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 108 14WC 06320 MC NEELY, ANNETTE FOREST PRESERVE 01/06/14 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 109 14WC 07593 BASTIEN, HOWARD PRONTO FOOD SERVICE W 02/22/14 R. MARK MARITOTE PC BELLAS & WACHOWSKI 110 14WC 08015 SAENZ, EDUARDO 1ST CLASS STAFFING 02/05/14 THOMAS J STIBERTH LAW OFFI RODDY LAW LTD 111 14WC 08295 GLASGOW, TAMMY NICOR GAS COMPANY 05/01/12 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 112 14WC 08975 AYALA, PEDRO AMERICA'S BEST INC 09/06/13 ACEVES & PEREZ PC LAW OFFICES JOSEPH MARCINIAK 14WC025831 -C 15WC018232 -C 113 14WC 09044 COBBINS, SYLVIA ELMHURST HOSPITAL 02/15/14 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 114 14WC 11227 LYDON, DARYL LARLIN HOME CARE SERVICES 03/07/14 CONWAY LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 115 14WC 12098 SMITH, RONALD DUPAGE COUNTY SHERIFF'S D 06/24/13 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 14WC012099 -C 14WC012100 -C 116 14WC 13122 DELGADILLO, HERMELINDA IONBOND, LLC 01/04/14 SALK, STEVEN B & ASSOC LTD THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 117 14WC 13631 GARCIA, RAUL MEXICALI HARD CHROME CORP 04/01/13 JAMES ELLIS GUMBINER & ASS 118 14WC 13736 PEREZ, LUIS VILLAGE OF OAK BROOK 03/13/14 FRANCIS J DISCIPIO LAW OFF POWER & CRONIN LTD 16WC024113 -C 119 14WC 13979 STEVENS, TINA ALDI INC C/O 02/09/12 BRIAN J MC MANUS & ASSOC, BRADY CONNOLLY & MASUDA PC 120 14WC 14188 POOL, VIRGINIA INHANCE TECHNOLOGIES 02/07/14 TURNER & SACKETT LLC NYHAN BAMBRICK KINZIE & LOWR 121 14WC 14408 ARGUELLO, JOSE METROSTAFF INC 04/14/14 GOLDBERG WEISMAN & CAIRO L FRANCIS J DISCIPIO LAW OFFIC 122 14WC 14611 DAMICO, SUSAN M JEWEL/NEW ALBERTSON'S INC 01/08/14 COLLISON LAW OFFICES 123 14WC 14760 VAN WITZENBURG, WILLIAM A 6 D'S ALUMINUM CO. 04/23/14 TAMVAKIS, GEORGE L WIEDNER & MCAULIFFE LTD 124 14WC 14848 HIRST, ROBERT OGDEN LINCOLN 10/30/13 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 125 14WC 15317 SCHOBER, BARBARA M ELMHURST MEMORIAL HOSPITA 11/09/12 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 126 14WC 16077 SANDOVAL, IRMA ELITE STAFFING/FLEXIBLE 03/26/14 HART & DAVID LLP MARC CAIRO 127 14WC 17213 BARKER, JOSEPH MIDWESTERN UNIVERSITY 04/21/14 JOHN E LUSAK LAW OFFICES JOSEPH MARCINIAK 128 14WC 18280 TAPIA, JOSE UNITED LAWN & SEAL COATIN W 05/06/14 CULLEN HASKINS NICHOLSON 129 14WC 18710 MUNOZ, CRISTINO WILDFIRE 09/13/13 ANKIN LAW OFFICE NOBLE & ASSOCIATES PC 130 14WC 18815 ORTEGA, SERGIO SEARS, ROEBUCK AND CO. 02/02/14 DIXON LAW FIRM GAROFALO SCHREIBER STORM 131 14WC 19668 PANTOJA, ALMA R NORTHSTAR METAL PRODUCTS, 08/29/13 GORDON & CENTRACCHIO LLC KEEFE CAMPBELL & ASSOC LLC 14WC019669 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 132 14WC 20676 BANDUCCI, DE-ANN THE MEN'S WAREHOUSE 01/23/14 BUDIN LAW OFFICES HENNESSY & ROACH PC 15WC000312 -C 133 14WC 20968 HARVEY, SANDRA FEDEX 04/19/14 NEWLAND & NEWLAND KOPKA, PINKUS DOLIN, PC 14WC020969 -C 134 14WC 21987 RUSEVIC, ALICE EDWARD HEALTH & FITNESS C 07/19/12 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 135 14WC 22556 AGUIRRE, SANTURINO ENERGY SMART 05/30/14 PORRO NIERMANN LAW GROUP GANAN & SHAPIRO 136 14WC 22667 HAYS, MIA CAPUTO'S NEW FARM PRODUCE 04/27/14 FRANCIS J DISCIPIO LAW OFF HENNESSY & ROACH PC 15WC022937 -C FRESH MARKET 137 14WC 22919 STEINEKE, ED AVALANCHE PUB/ 06/13/13 R. MARK MARITOTE PC WOLF LAW LTD 138 14WC 22978 ALVARADO, ANA MARIA FOREST VIEW REHAB & 11/16/13 BOWMAN & CORDAY MICHAEL D JACOBS 139 14WC 23253 WOODALL, BRIAN MB TRANSPORTATION 05/20/14 CULLEN HASKINS NICHOLSON 140 14WC 23922 GROSS, RACHAEL CERMAK FOODS 06/06/14 WHITESIDE & GOLDBERG LTD KOPKA, PINKUS DOLIN, PC 141 14WC 24025 SPENCER, MAURICE HCR MANOR CARE 06/26/14 VRDOLYAK LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 142 14WC 24253 SCHNAYER, LEROY AT&T 06/12/14 GOLDBERG WEISMAN & CAIRO L 143 14WC 24742 ZUBEK, HELENA EDWARD HOSPITAL 04/03/14 DEPAOLO ZADEIKIS GORE POWER & CRONIN LTD 14WC024743 -C ARAMARK MANAGEMENT SERVICE 144 14WC 24981 POULIOT, JEFFERY BRONSON & BRATTON 03/13/13 JACOBSON & SCHIEFELBEIN GAROFALO SCHREIBER STORM 145 14WC 25801 GRADY, DONALD R BRACING SYSTEMS 04/25/14 CRONIN & PETERS WOLFE & JACOBSON, LTD 146 14WC 28710 WESTLUND, JAMES FLOLO CORP 05/19/14 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 147 14WC 28826 SANCHEZ, JACOBO KRHR DISTRIBUTORS, INC. 05/15/14 LEWIS & DAVIDSON, LTD 148 14WC 28988 MARIN, ALFREDO QUALITY BAGS INC 07/18/14 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD 14WC028989 -C 149 14WC 32221 THOMAS, LAMOND CLEAR STAFF INC 10/08/13 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 150 14WC 33645 PESOVIC, DALIBORKA UNITED PARCEL SERVICE 02/28/14 PORRO NIERMANN LAW GROUP ASA LAW GROUP 15WC017622 -C UPS 16WC023689 -C 151 14WC 34152 SANDOVAL, IRMA ELITE STAFFING 03/26/14 HART & DAVID LLP MARC CAIRO 152 14WC 34165 BROWN, ELIZABETH MARKLUND CHILDREN'S HOME 07/04/14 JOHN C SERKLAND KEEFE CAMPBELL & ASSOC LLC 153 14WC 34283 MEDRANO, SALOMON ADDISON FRESH MARKET INC 08/20/14 THE ROMAKER LAW FIRM GANAN & SHAPIRO 154 14WC 34494 FERRERIA, JORGE JOHN BURNS CONSTRUCTION 09/24/14 BRUSTIN & LUNDBLAD LTD ACCIDENT FUND HOLDINGS 155 14WC 34614 KNIGHT, ROBERT A WHEATON POLICE DEPT. 02/04/14 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 156 14WC 35699 JACKSON, CURTIS EDWARD HOSPITAL 08/08/14 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 157 14WC 36025 HERNANDEZ, LUZ COSTCO 04/11/14 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 158 14WC 36344 MARTIN, JAMES P NOLAND SALES CORP 06/02/14 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 159 14WC 37379 MARTINEZ, MARCO A ELITE STAFFING 07/01/14 CULLEN HASKINS NICHOLSON MARC CAIRO 160 14WC 37780 SERRANO, DANIEL PROFESSIONAL TREE REMOVAL W 07/22/14 THOMAS J STIBERTH LAW OFFI ASSISTANT ATTORNEY GENERAL 161 14WC 37841 STUBBS, JOSEPH R OPUS DESIGN BUILD 06/25/13 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 162 14WC 38758 CALDERON, RAMIRO CCA MIDWEST 10/02/14 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 163 14WC 39350 GUZMAN, LUIS BUILDERS CONCRET SERVICE 10/17/14 KALOGERAKOS & ASSOC 164 14WC 40441 SERRITELLA, ANNETTE MACY'S EAST 10/03/10 LAW OFFICE PHILIP BLOMBERG ROBERT L. SMITH 14WC040442 -C 14WC040443 -C 14WC040444 -C 165 14WC 40776 RHODE, NICK RADIO SHACK 09/23/14 GRAZIAN & VOLPE PC 166 14WC 41454 CUEVAS-ROGEL, RUFINA ADDUS HOME CARE 10/17/14 TAMVAKIS, GEORGE L HENNESSY & ROACH PC 167 14WC 41499 LEWIS, JOHN J JR DAN LOGISTICS INC 03/21/13 ANTHONY C RACCUGLIA & ASSO 168 14WC 41528 GUZMAN, LUIS BUILDERS CONCRETE SERVICE 10/17/14 KALOGERAKOS & ASSOC 169 14WC 41910 ASCENCIO, MANUEL SERVICE DRYWALL COMPANY 11/17/14 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 170 14WC 42145 PEREZ, VICTOR M F.R.Y. INSTALLATIONS CORP 03/17/14 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 171 14WC 42310 AYALA, MANUELA ELITE STAFFING INC 11/01/14 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 172 14WC 42323 JONES, SHIRLEY A BRIDGEWAY OF BENSENVILLE 10/30/14 FRIEDMAN & SOLMOR LTD INMAN & FITZGIBBONS 173 14WC 43046 GIRALDO, MARIA EATON CORPORATION 12/03/14 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 15WC006062 -C 174 14WC 43173 TARNOWSKA-KRAHEL, BEATA AMBULATORY SURGICENTER 01/10/12 SYREGELAS, NICHOLAS C HOLECEK & ASSOCIATES 175 14WC 43442 KOMMENICH, MARY THE ILLINOIS STATE TOLL 11/13/14 ANKIN LAW OFFICE GANAN & SHAPIRO 176 14WC 43734 VELAZQUEZ, HUGO E UNION STAFFING 11/21/14 GOLDSTEIN BENDER & ROMANOF LITCHFIELD CAVO 16WC034277 -C UNISTAFF, INC 177 15WC 00132 MARU, DANIEL NAVIGATION INC 11/05/14 KATZ FRIEDMAN EAGLE ET AL 178 15WC 00289 MELEHAN, DANIEL D2K TRAFFIC EQUIPMENT & D 12/20/14 DONALD M. PHELAN NYHAN BAMBRICK KINZIE & LOWR 179 15WC 00394 CLAMPITT, CORTNEY F/K/A ALDI 11/01/14 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 180 15WC 00676 VAZQUEZ, DIEGO ADDANTE'S CATERING & PIZZ 10/03/14 MUELHAUSEN & STEFANI PATRICOSKI, MARK G 181 15WC 01655 HALSTEAD, ALVA LORUSSO CEMENT CONTRACTOR 11/11/14 HORWITZ HORWITZ & ASSOC BORGELT POWELL 182 15WC 01918 KNITTER, DEBORAH HCR MANORCARE 07/17/14 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 15WC001919 -C 183 15WC 01944 ROBLES, ROBERTO OLYMPIA MOVING & STORAGE W 12/05/14 MC HARGUE & JONES 184 15WC 02540 AGUINIR-BOWIE, MARGARETTE EDWARD HOSPITAL/LINDEN OA 07/05/14 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 185 15WC 02635 WHITE, ALBERT PEOPLES RESOURCE CENTER 07/21/14 HUGHES SOCOL PIERS RESNICK NYHAN BAMBRICK KINZIE & LOWR 186 15WC 02898 MARTINEZ, CLAUDIA FOREST ENVELOPE CO 11/05/14 RATHBUN CSEVENYAK & KOZOL 187 15WC 02930 SARRIS, DINOS NATIONAL EXPRESS CORP 03/12/13 BRADY CONNOLLY & MASUDA PC 188 15WC 03025 CANDIA, JOSE SUPREME LOBSTER & SEAFOOD 01/14/15 LUIS A ACEVES & ASSOC ROSARIO CIBELLA 189 15WC 03457 BIEDA, JOHN US FOOD SERVICES 06/11/14 FOHRMAN, DONALD W & ASSOCS BRADY CONNOLLY & MASUDA PC 15WC003458 -C 16WC020059 -C 190 15WC 03589 HILL, ROGER DOWNERS GROVE SOUTH H.S. 04/14/14 WHITESIDE & GOLDBERG LTD CARTER LAW OFFICE 191 15WC 03764 DELEON, KATRINA EMBASSY SUITES CHICAGO 11/17/14 ROSS TYRRELL NOBLE & ASSOCIATES PC 192 15WC 03808 GHAI, VED BANK OF AMERICA 02/19/14 LAW OFFICE PHILIP BLOMBERG WOLFE & JACOBSON, LTD 193 15WC 04055 MURPHY, JAMES LITTLE MAX INC 01/08/15 WOODRUFF & JOHNSON ALLEN KOPET & ASSOCIATES 194 15WC 04200 JACKSON, PATRICE A COMED 12/16/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 195 15WC 04451 ALVARADO, MARIA ILLINOIS CENTRAL 10/30/12 BURNETT AND CARON MACIOROWSKI SACKMANN & ULRIC 196 15WC 04540 GAMBOA, MARIA PARKER HANNIFIN CORPORATI 01/07/14 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 197 15WC 04666 FULWILEY, EBONY MARIE UNITED PARCEL SERVICE 01/07/15 CULLEN HASKINS NICHOLSON 198 15WC 04890 GALVAN, ERASTO UNIVERSAL TAXI DISPATCH I W 01/09/15 MICHAEL HELLMAN 199 15WC 04966 DRISH, KRISTINE FIRST CENTENNIAL MORTGAGE 02/06/15 VRDOLYAK LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 200 15WC 05017 MARTINEZ, MODESTA ARAMARK UNIFORM 01/26/15 JAMES ELLIS GUMBINER & ASS STONE & JOHNSON CHARTERED 15WC003619 -C 201 15WC 05125 FRENECAK, BILL CARCARE COLLISSION 01/28/14 SAUNDERS CONDON & KENNY RUSIN & MACIOROWSKI LTD 202 15WC 05217 FORTINO, ROBERT VILLAGE OF WOODRIDGE 01/03/15 EAMES LAW GROUP LTD POWER & CRONIN LTD 17WC030959 -C 203 15WC 06375 RIZZI, ANGELO C PRO SERVICES INC 12/30/14 GOLDBERG WEISMAN & CAIRO L 204 15WC 06642 ISIDRO REZA, JOSE NEW ROYAL DISTRIBUTERS 02/09/15 COSTA IVONE LLC LAW OFFICES JOSEPH MARCINIAK 205 15WC 06951 SCHULTZ, ERIN DUPAGE COUNTY 02/12/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 206 15WC 07028 NAVA, MARIA ELITE STAFFING 02/20/15 JONATHAN SCHLACK 207 15WC 07241 PATTELLI, GINA J WHOLE FOODS MARKET INC 03/08/13 MICHAEL FRADIN GILDEA & COGHLAN 208 15WC 07424 JOHNSON, ANDERS MAAC MACHINERY CO 02/02/15 CAMERON CLARK HOLECEK & ASSOCIATES 209 15WC 07859 ADAMS, ROBERT F II ADVANTAGE VALET PARKING I 02/04/15 DOUGLAS RALLO PC 210 15WC 07877 MESQUITA, WILLIAM MCMASTER-CARR 09/23/14 RIFFNER BARBER ROWDEN & SC NYHAN BAMBRICK KINZIE & LOWR 16WC029541 -C 211 15WC 08207 HARRISON, GENE GRADY SPEEDWAY TRANSPORT 02/25/15 WOODRUFF & JOHNSON LEWUN & KAIS LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 15WC 08703 SALGADO, ROCIO E&C CUSTOM PLASTICS INC 01/15/15 FRIEND LEVINSON & BERGAL LAW OFFICES JOSEPH MARCINIAK 213 15WC 09002 HAMMOND, MICHAEL CASSENS TRANSPORT 02/24/14 PORRO NIERMANN LAW GROUP KNAPP, OHL & GREEN 14WC014402 -C 214 15WC 09612 SASSEN, JUSTIN D GIVAUDAN FLAVORS 08/22/14 BUDIN LAW OFFICES SLAVIN & SLAVIN 215 15WC 09706 SCHERRER, RAYMOND W JR EMPLOYMENT MANAGEMENT SER 10/07/14 VRDOLYAK LAW GROUP LLC 216 15WC 09738 GUERRERO, GIOVANNI ALBLE ENGINEERING SERVICE 02/06/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING 217 15WC 11276 MUTZ, CATHERINE EDWARDS HOSPITAL 01/04/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 218 15WC 11895 HAGOPIAN, CHERYL JETRO HOLDINGS, LLC 03/19/15 SKLARE LAW GROUP HOLECEK & ASSOCIATES 219 15WC 12351 HUFNAL, STEPHANIE PROCURE PROTON THERAPY CE 12/11/12 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 15WC012352 -C 15WC013099 -C 15WC042344 -C NORTHWESTERN MEDICINE CHIC 220 15WC 12566 RIEBEL, FRED TURNER INDUSTRIAL MAINTEN 12/23/14 ROMANUCCI & BLANDIN SPIEGEL & CAHILL, PC 221 15WC 13098 GOMEZ, JOSE CORNELIUS INC 03/31/15 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 222 15WC 13139 HUTTON, HAROLD BATESVILLE CASKET CO 03/15/15 KINNALLY FLAHERTY KRENTZ & BRADY CONNOLLY & MASUDA PC 223 15WC 13430 CLARK, KEVIN J. ELLIS CORPORATION 01/16/15 BUDIN LAW OFFICES GRANT & FANNING 224 15WC 13777 GLOVER, SCOTT ITASCA FIRE PROTECTION DI 11/25/14 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 225 15WC 13863 FILISHIO, MICHAEL VILLAGE OF ADDISON 08/19/14 R. MARK MARITOTE PC BRYCE DOWNEY & LENKOV LLC 226 15WC 14407 BERNDT, ROBERT KEENAN TRANSIT COMPANY 03/23/15 PORRO NIERMANN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 16WC006712 -C 16WC020206 -C PHOENIX LOGISTICS INC 16WC020211 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 227 15WC 14500 BROWN, JOSEPH THE HOLLAND DESIGN GROUP 08/28/14 CULLEN HASKINS NICHOLSON 228 15WC 14932 WANG, JHON TRYSON METAL STAMPING 12/22/14 RUBENS AND KRESS GRANT & FANNING 15WC030671 -C 229 15WC 14937 MARTINEZ, MARCO A ELITE STAFFING INC 02/02/15 CULLEN HASKINS NICHOLSON MARC CAIRO 230 15WC 15425 FONSECA, MARIA SPRAYING SYSTEMS CO 08/15/13 TAMVAKIS, GEORGE L DONALD J. MORAN 231 15WC 15676 KUHTER, STEPHANIE FED EX # 04/20/15 LAW OFFICE PHILIP BLOMBERG KOPKA, PINKUS DOLIN, PC 232 15WC 15805 LODESTRO, VINCENT CAPUTO'S FRESH MARKET 11/13/14 STEVEN M SELAN GANAN & SHAPIRO 233 15WC 15875 HUITZ, AMALIA DEMAR 05/12/14 BUDIN LAW OFFICES HOLECEK & ASSOCIATES 15WC015876 -C 234 15WC 16179 RICCARDO, MARGARET THE BONTON 03/11/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 235 15WC 16267 MCCORKELL, KYLE MANSFIELD OIL CO. 08/12/14 CAPRON & AVGERINOS PC CAPUANI, FRANK S 236 15WC 16379 LAKE, LYLE CITY OF WHEATON 03/13/15 THOMAS W DUDA BRADY CONNOLLY & MASUDA PC 237 15WC 16522 CARPENTER, BRANDON MCDONALD'S 05/09/15 VRDOLYAK LAW GROUP LLC 238 15WC 16563 GARCIA, J VICENTE SANCHEZ APPIAN STONE WERKS INC 04/20/15 R. MARK MARITOTE PC GANAN & SHAPIRO 239 15WC 16581 POSH, MAX E TRADER JOE'S 10/11/13 CRONIN & PETERS GAROFALO SCHREIBER STORM 240 15WC 16624 MARTINEZ, CECILIA MID-WEST DIRECT MAILERS, 03/03/15 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 241 15WC 17069 CABRERA, ERIC A POWER SOLUTIONS INTL 04/22/15 GOLDSTEIN BENDER & ROMANOF 242 15WC 17282 JAIMES, GLORIA ALDEN STATES 11/13/14 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL BIERY & ASSOC 243 15WC 17364 MYSLINSKI, DAVID PIR TANO CONSTRUCTION CO. 05/23/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 244 15WC 17994 RYAN, PATRICK JR. TSA PROCESSING 04/16/15 THE FITZ LAW GROUP HOLECEK & ASSOCIATES 245 15WC 18028 SCHABINGER, PETER COMMVAULT 05/22/15 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 15WC018029 -C 246 15WC 18691 COGGINS, DENNIS CHICAGO MARRIOTT NAPERVIL 09/18/14 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 15WC018692 -C 247 15WC 18828 NOBLE, CHARLES EA SWEEN CO 05/08/15 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 16WC004261 -C 248 15WC 19198 GARCIA, MARIA E TARGET PLASTICS 01/30/15 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM 249 15WC 19300 SHERIDAN, SEAN AMERICAN LITHO 06/04/15 RUBIN LAW GROUP 250 15WC 19593 FERNANDEZ, ELVA CROSSROADS HOSPITALITY MG 10/03/14 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 251 15WC 19938 WHEELER, GREY ACCURATE TEMPORARY SERVIC 03/26/15 MEYERS & FLOWERS GRANT & FANNING 252 15WC 20471 MOORE, KAREN COMFORT KEEPERS 09/27/14 STROM, NEAL B 253 15WC 20744 SYDOR, JASON TOP HAT LOGISTICS 03/29/13 STEWART C ORZOFF SMITH AMUNDSEN LLC 254 15WC 21079 LOPEZ, DIANA PROTECTO SEAL 02/18/15 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 255 15WC 21183 DOMALIK, PIOTR CORONET CONSTRUCTION INC 06/17/14 LEO ALT RUSIN & MACIOROWSKI LTD 256 15WC 21385 MARTINEZ, FRANSISCO SURE STAFF INC 05/11/15 JOHN S. ELIASIK LOUIS MUNDY 257 15WC 21762 DOWD, STEVE J ARGONNE NATL LABORATORY 05/11/15 O'CONNOR & NAKOS KEEFE CAMPBELL & ASSOC LLC 258 15WC 22013 SITTIG, MICHELE CHANG DENTAL 03/24/14 KINNALLY FLAHERTY KRENTZ & RUSIN & MACIOROWSKI LTD 259 15WC 22203 HARRIS, AUTUMN NICOR GAS COMPANY 06/10/15 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 260 15WC 22431 BARRERA, JUAN CARLOS E&M ALVAREZ MOVING COMPAN 04/25/15 CHEPOV & SCOTT LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 261 15WC 22475 PROCICH, ALEXANDER J. THOMAS INTERIOR SYSTEMS 06/05/15 MARKER & ASSOCIATES CASSANO & ASSOCIATES 262 15WC 22745 LOCKERT, STEVEN PLOTE CONSTRUCTION 02/14/14 RIDGE & DOWNES GAROFALO SCHREIBER STORM 263 15WC 22773 AMADOR, MARIA ARAMARK 04/17/15 DAVID W MARTAY INMAN & FITZGIBBONS 264 15WC 22860 TLAHUEXTL, JORGE TGI FRIDAYS 06/02/15 GERALD BAUER JR INMAN & FITZGIBBONS 265 15WC 23188 ALDAY, JUAN PACKEY WEBB FORD 12/02/14 LAW OFFICES ROBERT WARSASK WIEDNER & MCAULIFFE LTD 266 15WC 23213 THOMAS, JOSEPH W RND EXHIBITS INTERNATIONA 11/30/12 TAMVAKIS, GEORGE L BRADY CONNOLLY & MASUDA PC 15WC023214 -C 267 15WC 23248 BUENO, ROSALINDA M&R HVAC 08/06/12 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 268 15WC 23288 TATE, LAKEESHA D BIRGHTSTAR CARE 07/16/15 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD 15WC023729 -C WYNSCAPE NURSING/REHAB CTR 269 15WC 23578 ZIELEZINSKI, STEPHEN IL STATE TOLL HWY AUTHORI 04/27/15 STROW LAW LLC GANAN & SHAPIRO 270 15WC 23683 GARNICA, JUAN THE JEL SERT COMPANY 07/08/15 SALVATO & O'TOOLE 271 15WC 24007 ETTSWOLD, EDWIN J. SWEDISH CAR PARTS, INC. W 04/07/15 WESSELS & PAUTSCH 272 15WC 24043 BURRELL, KERRY DUPAGE HABITAT FOR HUMANI 06/03/15 LAURA A CHILDS 273 15WC 24053 VARGAS, LEODEGARIO AMERICAN GARDENS 07/27/14 ALEKSY BELCHER CAPUANI, FRANK S 274 15WC 24165 CAVANAUGH, AURORA M & H MACHINING, LLC 07/14/15 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 275 15WC 24413 BACIGALUPO, ROBERT COMMUNITY SCHOOL DISTRICT 07/09/15 ALEKSY BELCHER ANCEL GLINK DIAMOND BUSH & E 17WC024484 -C 276 15WC 24491 CLAYTON, L.C. KRAFT FOODS 07/12/15 SMOLER LAW OFFICE, PC WIEDNER & MCAULIFFE LTD 16WC020657 -C MONDELEZ 277 15WC 24678 FLORES, EPIFANIA JEL SERT COMPANY 04/15/15 SALVATO & O'TOOLE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 278 15WC 24811 TURNER, PATRICK SAIA MOTORFREIGHT 07/15/15 RATHBUN CSEVENYAK & KOZOL CHILTON YAMBERT PORTER LLP 279 15WC 24934 SILVA, MARICELA TEAM CONCEPT PRINTING 01/26/15 LAW OFFICE OF LAURA A CHIL LAW OFFICES JOSEPH MARCINIAK 280 15WC 25009 VENCES, HOMERO COLONIAL BAG 09/19/15 R. MARK MARITOTE PC GAROFALO SCHREIBER STORM 281 15WC 25014 IGLESIAS, FRANCISCO IMPACT LABOR LLC 06/30/15 ROSS TYRRELL 282 15WC 25065 BUMBAR, SHANE CLEARY BUILDING 10/07/14 DAVID W MARTAY STONE & JOHNSON CHARTERED 283 15WC 25349 WILLIAMS, CANNIE L SPRAYING SYSTEMS CO 05/02/14 LAW OFFICE PHILIP BLOMBERG DONALD J. MORAN 284 15WC 25474 TORTORELLA, MICHAEL JOSEP PAN-O-GOLD BAKING CO. 01/06/15 SAL INDOMENCIO & ASSOC POWER & CRONIN LTD 285 15WC 25791 KORBOS, THEODORE CLAIM JUMPERS ACQUISITION 07/18/15 KOSIN LAW OFFICE LTD RUSIN & MACIOROWSKI LTD 286 15WC 25860 VERA, ANGELICA C. TEXAS ROADHOUSE MGT. CORP 06/03/15 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 18WC001016 -C 287 15WC 26110 HIGDON, ROBERT BBU, INC 05/09/15 STEFFEN KELLY & STEFFEN 288 15WC 26876 ROGERS, VICTORIA ELITE CARE MANAGEMENT 06/13/13 SEIDMAN MARGULIS & FAIRMAN 289 15WC 26996 ROMERO, OMAR CONCRETE CONSTRUCTION CO 07/29/15 BAUM RUFFOLO & MARZAL LTD COZZI & GOGGIN-WARD 290 15WC 27293 FLORES, DANIEL JEL SERT CO 07/18/14 SALVATO & O'TOOLE 291 15WC 27612 MAY, LAURA J QUEST DIAGNOSTIC 02/10/14 LAURA WALKER HENNESSY & ROACH PC 292 15WC 28033 PLENCNER, JOSEPH LISLE-WOODRIDGE FIRE 06/23/15 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 293 15WC 28254 GALLINA, BARRY IMTT-ILLINOIS 08/20/15 SALK, STEVEN B & ASSOC LTD GRANT & FANNING 294 15WC 28322 SMITH-MYLES, KATHERINE HCR MANOR CARE 04/02/15 ANGELINI & ORI LLC BRYCE DOWNEY & LENKOV LLC 295 15WC 28354 BARLOW, JAMES OXBOW MIDWEST CALCINING 08/05/15 BIZZIERI LAW OFFICES GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 296 15WC 28420 LINCOLN, KATHERINE STS PETER AND PAUL PARISH 11/03/13 EDWARD P GRAHM LAW OFFICE STONE & JOHNSON CHARTERED 297 15WC 28774 HANDA, NEENA BANK OF AMERICA 01/03/15 MARKER & ASSOCIATES WOLF LAW LTD 298 15WC 28867 HERMOSILLO, MARIA MVP TEMPS 07/31/15 THE ROMAKER LAW FIRM KOREY RICHARDSON LLC 299 15WC 29152 GROSS, CATHERINE MONDELEZ 07/29/15 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 300 15WC 29416 ROMERO, EVELIO COLONIAL BAG CORP 07/07/15 FAJARDO LAW GROUP GAROFALO SCHREIBER STORM 301 15WC 29662 PEREZ, MIGUEL C. ED HOY'S STAINED GLASS 09/09/15 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 16WC025495 -C CREATIVE CRAFTSMEN CO. INC 17WC032575 -C 17WC032576 -C CREATIVE CRAFTSMEN CO INC 302 15WC 29860 PELAEZ, ALEJANDRO MULTITECH INDUSTRIES INC 07/25/15 JOHN S. ELIASIK GILDEA & COGHLAN 303 15WC 30002 GRANRATH, THOMAS G. WILLIAMS BROTHERS CONSTRU 11/11/14 LUCAS & APOSTOLOPOULOS KNELL LAW LLC 304 15WC 30160 STAMPS, LOUIS CENTRAL TRANSPORT 09/09/15 PETER D CORTI LAW GROUP HINSHAW & CULBERTSON 305 15WC 30864 ROBERTO, FRANK ILLINOIS TOLLWAY 02/03/14 POLANSKY & CICHON CHTD GANAN & SHAPIRO 306 15WC 31136 SAUCEDO, ROSALINA SPRAYING SYSTEMS CO. 07/23/15 OSVALDO RODRIGUEZ PC DONALD J. MORAN 307 15WC 31381 SOTELO, MARIA INDIANA LAKE HOTEL 07/16/15 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 308 15WC 31605 ORTIZ, SILVIA KRONOS FOODS, INC 08/03/15 MICHELOTTI & ASSOC NYHAN BAMBRICK KINZIE & LOWR 309 15WC 31635 MEDRANO, MANUEL DREYER TRANSPORTATION W 10/01/14 SYREGELAS, NICHOLAS C 310 15WC 31649 POLAND, JOHN PATTEN INDUSTRIES 01/02/15 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 311 15WC 32258 LARSON, SHANNA BUFFALO WILD WINGS 08/15/15 WOODRUFF & JOHNSON MC ANDREWS & NORGLE LLC 312 15WC 32362 MARTINEZ, KARLA CARLSON BUILDING MAINTENA 09/07/15 SALK, STEVEN B & ASSOC LTD COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 313 15WC 32637 KOLLING, STACY M EDWARDS HOSPITAL 11/13/14 DEBT & INJURY LAW CENTER KEEFE CAMPBELL & ASSOC LLC 314 15WC 33118 MORENO, CARMEN KKSP PRECISION MACHINING 10/06/15 POWELL & PISMAN GRANT & FANNING 315 15WC 33457 LA COUR, ANTHONY CARLISLE STAFFING LTD 06/05/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 316 15WC 33751 PICHARDO, BENJAMIN LISLE/NAPEVILLE HILTON 01/17/13 RATHBUN CSEVENYAK & KOZOL COZZI & GOGGIN-WARD 317 15WC 33901 BRECKLER, VICTOR WESTWAY COACH 11/26/14 KARNO, MARK L & ASSOC STONE & JOHNSON CHARTERED 318 15WC 33976 RODRIGUEZ, MARISELA MURPHY MACHINE PRODUCTS I 11/27/12 CHEPOV & SCOTT LLC 319 15WC 34007 AVILA-ORTIZ, MARIA E ARAMARK 08/27/14 PETER D CORTI LAW GROUP WIEDNER & MCAULIFFE LTD 320 15WC 34038 VEGA, MARIA E KESTER, INC. 11/25/14 CIARDELLI CUMMINGS CAMPAGN 321 15WC 34377 CHRISTIAN, SEAN A V STUMPFL 06/19/15 STROM, NEAL B 322 15WC 34502 SNOWDEN-GASCA, APRIL SUNRISE OF WILLOWBROOK 08/30/15 ROSS TYRRELL HENNESSY & ROACH PC 16WC006907 -C 323 15WC 34956 GARCIA RAMOS, FRANCISCO JUST IN TIME STAFFING, LL 08/27/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 324 15WC 35186 TLEIB, RIMA CHRIST PANOS FOODS 10/27/14 FOHRMAN, DONALD W & ASSOCS 325 15WC 35255 FROHLING, FELICISIMA ALDEN ESTATES OF NAPERVIL 07/08/15 BRIAN J MC MANUS & ASSOC, KEEFE CAMPBELL & ASSOC LLC 326 15WC 35327 CIULLO, MICHAEL NORTH CENTRAL COLLEGE 06/05/15 ROMANEK & ROMANEK 327 15WC 35454 PERRY, LAURA WALMART 08/19/15 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 328 15WC 35576 RAMOVIC, JASMIN SAIA MOTOR FREIGHT LINE, 12/09/14 STEPHEN G PINTO LTD POULOS & DIBENEDETTO LAW 329 15WC 35635 LEJA, LOTTIE ANTHELIO HEALTHCARE SOL 11/15/12 KINNALLY FLAHERTY KRENTZ & HENNESSY & ROACH PC 330 15WC 35682 VANDERMOLEN, ERIC ALL STEEL IROM WORKS, INC 08/30/15 SEIDMAN MARGULIS & FAIRMAN HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 331 15WC 36145 RIO, JEFFREY VARIO MECHANICAL, LLC 01/07/15 KROL BONGIORNO & GIVEN LTD ROSARIO CIBELLA 332 15WC 36182 ELLMAN, STEVEN IL STATE TOLL HWY AUTHORI @ 10/05/15 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 333 15WC 36675 VAZQUEZ, VICTOR INNOCOR FOAM TECHNOLOGIES 08/21/15 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 334 15WC 36819 HEATHER, THOMAS GENERAL MILLS 06/30/14 BRYCE DOWNEY & LENKOV LLC 335 15WC 36949 MILLER, THERESA BLACKHAWK RESTAURANT GROU 10/27/15 MARC J SHUMAN & ASSOCIATES RUSIN & MACIOROWSKI LTD 15WC036951 -C 336 15WC 37444 ABU-SHALBAK, MUSTAFA FRITO LAY 02/19/14 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 337 15WC 37826 TLASECA, TEODORA UNITED BUILDING MAINTENAN 04/29/15 SALVATO & O'TOOLE COZZI & GOGGIN-WARD 338 15WC 38405 OLAGE, ERENDIDA MACK'S GOLDEN PHEASANT 08/24/15 MC HARGUE & JONES GANAN & SHAPIRO 339 15WC 38605 MENDOZA, JAMES S AMERICAN COMFORT ONE HOUR 05/28/15 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 340 15WC 38817 JORDAN, MICHELLE ADVENTIST HOSP HINSDALE 09/29/15 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD 341 15WC 38848 LYLE, KRISTI COCA-COLA 11/19/15 ASHER, RAYMOND L LTD NYHAN BAMBRICK KINZIE & LOWR 342 15WC 39678 CISNEROS, JESUS QUESTMARK 03/06/14 PORRO NIERMANN LAW GROUP RIPES NELSON BAGGOT KALOBRAT 343 15WC 39755 PEDERSEN, ROBERT RICK'S TRUCKING SERVICE I 11/20/15 SANDMAN LEVY & PETRICH GANAN & SHAPIRO 344 15WC 39807 DEPIANO, JOE DONALD CHARLES BUILDERS, 11/21/15 ALBERT R. PINO LAW OFFICE GILDEA & COGHLAN 345 15WC 39852 JONES, PAUL SR. IRON MOUNTAIN 07/15/15 DWORKIN AND MACIARIELLO 346 15WC 39869 WARD, MAOLA PORTFOLIO OAK BROOK, LLC 11/24/15 MARK SCHAFFNER HENNESSY & ROACH PC 347 15WC 41126 VAZQUEZ, VICTOR INNOCOR FOAM TECHNOLOGIES 08/21/15 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 348 15WC 41261 MENDOZA, ROSMERY HANDI-FOIL 10/16/15 MC HARGUE, JAMES P LAW OFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 349 15WC 41562 TINOCO, FRANCISCO MARIANI LANDSCAPE NURSERY 05/13/14 CULLEN HASKINS NICHOLSON 350 15WC 41973 WESTOVER, JONATHAN PUSH LOGISTICS INC W 10/17/15 RITTENBERG & BUFFEN 351 15WC 42467 HERNANDEZ, IRMA LEXINGTON HEALTH CARE 08/15/15 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 352 15WC 42627 CUCHETTO, CANDACE ELMHURST HOSPITAL 11/26/15 LAW OFFICE OF KEVIN O'BRIE LOSS & PAVONE 353 15WC 48942 PERRICONE, FRANKIE LUXURY BATH SYSTEMS 07/13/15 MEYERS & FLOWERS 354 16WC 00387 CALDERON, CESAR A RAMECO INTL 10/22/15 LAW OFFICES LEONARDO MORAL 355 16WC 01013 ALFARO, GIOVANNY SEBERT LANDSCAPING INC 06/22/15 ANGELINI & ORI LLC WOLFE & JACOBSON, LTD 356 16WC 01204 HARTTUNG, CHRISTOPH BUZZFIRE INC 12/18/15 VRDOLYAK LAW GROUP LLC GILDEA & COGHLAN 357 16WC 01334 SCALES, SAM ILLINOIS DEPARTMENT OF @ 01/05/16 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 358 16WC 01372 TASEV, BOJAN ELITE VALET 12/08/15 DWORKIN AND MACIARIELLO 359 16WC 01597 BEAMON, RONALD WHEATON COLLEGE 12/09/15 ANKIN LAW OFFICE INMAN & FITZGIBBONS 360 16WC 01876 KING, KENA DELTA T GROUP 12/30/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 361 16WC 01997 JUSTINIANO, LUZ DOUMAK INC 05/18/15 DEPAOLO ZADEIKIS GORE 16WC001998 -C 16WC012140 -C 16WC013466 -C 362 16WC 03196 MILENKOV, NIKOLA SCOPE ENERGY RESOURCES, I 02/18/15 NILSON STOOKAL GLEASON CAP 363 16WC 03238 AHMAD, ABDUL KAREEM IDOT @ 01/06/16 SLAVIN & SLAVIN ASSISTANT ATTORNEY GENERAL 16WC031669 -C ILLINOIS DEPARTMENT OF 17WC019539 -C 364 16WC 03378 GLOWINSKI, JENNY MENARDS 01/20/16 MARC J SHUMAN & ASSOCIATES 365 16WC 03492 FARMANFARMAEE, MAMAK NORDSTROM 11/15/15 FRANCIS J DISCIPIO LAW OFF WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 366 16WC 04121 SALGADO, ROCIO CHICK-FIL-A 12/23/15 LAW OFFICE ROBERTO ACEVEDO SPIEGEL & CAHILL, PC 367 16WC 04227 ESKRIDGE, ALISA EDWARD HOSPITAL 05/13/15 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 368 16WC 04509 LANGNICKEL, ROLAND PERFORMERS CARPET & TILE 01/19/16 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 369 16WC 04769 STEIL, JAMES CD TRUCK & TRAILER CDM 05/07/15 CULLEN HASKINS NICHOLSON 370 16WC 04877 WARWICK, JAMES COMMUNITY UNIT SCHOOL DIS 09/29/15 PETER D CORTI LAW GROUP ANCEL GLINK DIAMOND BUSH & E 371 16WC 04957 CROCI, JEFF AT&T 02/20/13 JONATHAN SCHLACK 372 16WC 05073 KRAUS, HELEN VALID USA 01/17/16 LEONARD LAW GROUP LLC GRANT & FANNING 373 16WC 05129 LOPEZ, SALVADOR USA BOUQUET CO 06/08/15 VITELL & SPITZ LTD 374 16WC 05340 BAUDER, JENNIFER IMAGE FIRST 10/15/15 R. MARK MARITOTE PC WIEDNER & MCAULIFFE LTD 375 16WC 05387 GILBERT, CYNTHIA SILVERADO NAPERVILLE 01/21/16 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 376 16WC 06036 ZWOLSKI, RICHIE OLD DOMINION FREIGHT LINE 02/11/16 CHEPOV & SCOTT LLC RODDY LAW LTD 377 16WC 06393 PADILLA, MARICELA MCDONALD'S OF WHEATLAND 05/15/15 MARKER & ASSOCIATES BRYCE DOWNEY & LENKOV LLC 378 16WC 06695 JIMENEZ, JOSE A COLLEGE OF DUPAGE 502 11/23/15 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 16WC006694 -C 379 16WC 06733 MARTINEZ, ROGELIO NORTHSTAR METAL PRODUCTS 10/29/15 LEONARD LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 380 16WC 07060 FENSKE, MARLIN JONNYS TOWING & RECOVERY 01/18/16 PORRO NIERMANN LAW GROUP RODDY LAW LTD 381 16WC 07189 BRUMMEL, TODD PIVOTAL HOME SOLUTIONS 12/02/15 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 382 16WC 07385 ANDRADE, ARACELI BUFFALO WILD WINGS 07/31/15 PORRO NIERMANN LAW GROUP MC ANDREWS & NORGLE LLC 383 16WC 07546 TREXLER, STEVE R W DUNTEMAN CO 11/14/14 THE BRADLEY LAW FIRM STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 384 16WC 07621 MCMILLAN, CHARLES DOUGLAS SERV PRO 02/05/16 THOMAS W DUDA HENNESSY & ROACH PC 385 16WC 08002 STARKS, EDITH PCTEL 08/15/14 PATRICIA HARDIMAN LAW OFFI 386 16WC 08097 DANILO ARIAS, ELDIN A/K/A MORELOS CONSTRUCTION 03/13/13 NEMEROFF LAW OFFICES 387 16WC 08148 UGALDE, MIRNA CURTISS ONE HOUR DRY CLEA 03/01/16 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 388 16WC 08195 BANASZAK, RICHARD L IL TOLLWAY 12/28/15 GANAN & SHAPIRO 389 16WC 08343 MEDINA, ANGEL SERVICEMASTER 03/16/15 LAW OFFICES LEONARDO MORAL 390 16WC 08350 VALDEZ, ROSA HYATT REGENCY 03/02/16 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 391 16WC 08464 FOX, DEAN MONTEREY FLOOR COVERING I 01/20/14 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 392 16WC 08600 DEBOK, DAVID STATE OF IL, @ 12/19/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 393 16WC 08822 DAVIS, ORA TOTAL NURSES NETWORK, LLC 03/07/16 ANKIN LAW OFFICE THOMAS & PORTELA 394 16WC 08978 HUICOCHEA, INES DOUBLETREE HILTON 02/28/16 LAW OFFICE HUGO ORTIZ HENNESSY & ROACH PC 395 16WC 09133 BARBER, PATRICK US FOODS 06/22/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 16WC022326 -C 396 16WC 09991 SCHILF, CANDY M ADVOCATE HEALTHCARE - AMG 04/10/14 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 397 16WC 10137 GILLON, JASMINE A-1 LIMOUSINE 10/17/15 LAW OFFICE OF SCOTT B SHAP 398 16WC 10191 FLORES, VICTORIA TOTAL STAFFING 03/03/16 MC HARGUE & JONES SLAVIN & SLAVIN 399 16WC 10410 OSMAN, YASIR INDEMAND INTERPRETING 09/02/15 DEPAOLO ZADEIKIS GORE 400 16WC 10922 RAMIREZ, LEOPOLDO JUST IN TIME STAFFING INC 02/23/16 DISPARTI LAW GROUP PA 401 16WC 10988 LARA, JUVENCIO BARRICADE LITES INC 04/05/16 ENCINAS & ORNELAS THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 402 16WC 11357 FLICEK, ESTHER SASED 11/02/15 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 403 16WC 11401 TAX, MATT VILLAGE OF CAROL STREAM 12/11/14 MURPHY & MURPHY RUSIN & MACIOROWSKI LTD 404 16WC 11472 DENENO, MILENA LE MERIDIAN 03/11/16 BAUM RUFFOLO & MARZAL LTD COZZI & GOGGIN-WARD 405 16WC 12134 BROWN, TINA WHITE LODGING SERVICES CO 11/11/15 LEWIS & DAVIDSON, LTD WILSON ELSER 406 16WC 12150 HAMMAD, BILAL A & Z TRANSPORT COMPANY 03/31/16 SANDMAN LEVY & PETRICH CIARDELLI CUMMINGS CAMPAGNA 407 16WC 12218 ITURDE, FAVIOLA TRYSON METAL 01/21/16 ANKIN LAW OFFICE GRANT & FANNING 408 16WC 12374 RODRIGUEZ, JAVIER KRONOS FOODS CORP 09/25/14 CHRISTINE F DAVID NYHAN BAMBRICK KINZIE & LOWR 409 16WC 12796 OLVERA, MARIANO W.A. MANAGEMENT, INC. 07/27/15 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 16WC035020 -C 410 16WC 13006 MAROTTA, DARLENE NEW ALBERTSON'S INC D/B/A 05/14/15 DEUTSCHMAN, JEFFREY S BRADY CONNOLLY & MASUDA PC 411 16WC 13112 TEMPLE, CALVIN SPICETEC FLAVORS & SEASON 01/15/15 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 412 16WC 13147 TRUDNOS, STEVEN BUCKY'S MOBIL 04/21/16 DWORKIN AND MACIARIELLO RODDY LAW LTD 413 16WC 13166 ROLDAN, EMILIO IRON MOUNTAIN 01/20/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 414 16WC 13605 GRZYBEK, JAMES GENERAL MILLS, INC. 02/26/16 KATZ FRIEDMAN EAGLE ET AL 415 16WC 13687 MARINO, SAM S JR CAPITAL SECURITY & 03/10/16 FRANKS & RECKENBERG 416 16WC 13743 MALIK-DUMAPIAS, CHRISTOPH CABINETS & GRANITE DIRECT 12/23/15 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES JOSEPH MARCINIAK 417 16WC 13863 GLOSNIAK, MINERVA ADDISON SCHOOL DISTRICT 4 03/03/16 ACEVES & PEREZ PC 418 16WC 13878 HOOD, DEMETRIA NURSES ON CALL 11/15/14 MC HARGUE & JONES UCHE O NWAKUDU 419 16WC 13991 SURLAK, BRYAN CIRCLE 8 LOGISTICS 08/24/15 DANIEL PERIASWAMY RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 420 16WC 14290 MOODY, SHARON BEHAVIORAL STAFFING 03/10/16 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 421 16WC 14506 DEIDA, SIGRFREDO AVERITT EXPRESS 11/13/15 HORWITZ HORWITZ & ASSOC 422 16WC 14705 DARRIN, TRINA ODEUM, INC. 02/29/16 GOTTREICH & GRACE WIEDNER & MCAULIFFE LTD 423 16WC 14805 BALLARD, JESSE STAFFMARK 02/03/15 LAW OFFICE OF TRENT & BUTC KEEFE CAMPBELL & ASSOC LLC 17WC004170 -C SCHMOLZ + BICKENBACH 424 16WC 14878 LOPEZ, GREGORIA JOYS CLEANING SERVICES 02/19/16 AIOSSA LAW FIRM HOLECEK & ASSOCIATES 425 16WC 14948 LOPEZ, DIANA PROTECTOSEAL COMPANY 02/18/15 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 426 16WC 15215 MELCHOR, JOSE A THE COUNTERTOP FACTORY 04/15/16 MINKOW DOMIN ACCIDENT FUND HOLDINGS 427 16WC 15216 LINEN, CURTIS MARTEN TRANSPORTATION 04/25/16 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 428 16WC 15611 SYLVE, MARY AIMBRIDGE HOSPITALITY 08/24/14 ODELSON & STERK GRANT & FANNING 429 16WC 15621 TORRALBO, JUAN SOURCE 1 BUILDING MAINTEN 03/20/16 WHITESIDE & GOLDBERG LTD 430 16WC 15622 TORRALBO, JUAN SOURCE 1 BUILDING MAINTEN 01/10/15 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 431 16WC 15782 BELTRAN, JOSE ABM INDUSTRIAL 12/03/15 CURTIS S BURKE LAW OFFICE BRADY CONNOLLY & MASUDA PC 432 16WC 16244 YARBROUGH, NIDIEA SPEEDWAY 11/23/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 433 16WC 16258 FORNEK, NEAL DAIMLER TRUCKS NORTH AMER 02/11/16 SMOLER LAW OFFICE, PC KNELL & O'CONNOR 434 16WC 16410 JEFFERSON, LAWRENCE EDWARD ELMHURST HEALTH 01/27/16 FOHRMAN, DONALD W & ASSOCS KEEFE CAMPBELL & ASSOC LLC 435 16WC 16451 ALAMO, NORMA CARDINAL COLOR GROUP 04/27/16 CUSHING LAW OFFICES 436 16WC 16604 BUDURIS, MARK CASSENS TRANSPORT 05/16/16 LAW OFFICES ROBERT WARSASK KNAPP, OHL & GREEN 437 16WC 16942 JONES, WENDY HOME MEDICAL EXPRESS 04/25/16 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 438 16WC 17272 DAVIDSON, MARGARET MANOR CARE OF WESTMONT IL 04/27/16 HORWITZ HORWITZ & ASSOC 439 16WC 17442 FLORES, CLARA CRESTLINE HOTELS & RESORT 09/13/15 PETER D CORTI LAW GROUP 440 16WC 17600 JAKUBOWSKI, DANIEL PATTEN INDUSTRIES INC 09/14/15 GORDON & CENTRACCHIO LLC GAROFALO SCHREIBER STORM 441 16WC 17861 SOLIS, GEMA ADDUS HEALTHCARE 01/21/16 MC HARGUE & JONES HENNESSY & ROACH PC 442 16WC 17913 BORZYM, JOZEF MARIO'S TRUCKING SERVICES 04/14/16 CUSHING LAW OFFICES WIEDNER & MCAULIFFE LTD 443 16WC 18284 WEHNER, LAWRENCE NAPERVILLE TOWNSHIP 10/26/15 BRADY CONNOLLY & MASUDA PC 444 16WC 18312 WU, NIU Z GEN HOE RESTAURANT 05/20/16 VRDOLYAK LAW GROUP LLC KOPKA, PINKUS DOLIN, PC 445 16WC 18394 GREANEY, DAVID FED EX 05/06/16 PARENTE & NOREM PC 446 16WC 18632 GUTIERREZ, JOSE LUIS DUNAWAY BROTHERS 02/04/16 LAW OFFICE OF SCOTT B SHAP SMITH AMUNDSEN LLC 447 16WC 18723 SEIDEL, JEFFREY SAINT-GOBAIN ABRASIVES, I 05/09/16 FIGLIOLI, DAVID SPIEGEL & CAHILL, PC 448 16WC 18841 GARCES, MARGARITO ECS ROOFING & SIDING 05/19/16 RODDY LAW LTD 449 16WC 18949 WALSH, WENDY COMFORT KEEPERS HOME HEAL 06/13/16 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES 450 16WC 19027 SALAZAR, LISA BROOKDALE GLEN ELLYN 10/06/15 WOODRUFF & JOHNSON ROSARIO CIBELLA 451 16WC 19106 CHRISTOPHER CHERRY LAKESIDE GLASS & MIRROR I 04/02/16 LINN, CAMPE & RIZZO LTD 452 16WC 19142 IVERS, EILEEN DUPAGE MEDICAL GROUP LTD 03/22/16 LAW OFFICE MICHAEL M WOJIT 453 16WC 19262 HARRIS, MICHAEL VAL-MATIC VALVE & MFG COR 12/23/15 HORWITZ HORWITZ & ASSOC 454 16WC 19593 ROSA, JOSE HEWLETT PACKARD 05/12/16 GOLDBERG WEISMAN & CAIRO L 455 16WC 19968 HERNANDEZ, JULIO CHEM-IMPEX INTERNATIONAL, 06/21/16 HEALY SCANLON LAW FIRM HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 456 16WC 20036 VODA, ELLEN NAPERVILLE DISTRICT 203 08/06/09 KINNALLY FLAHERTY KRENTZ & MACIOROWSKI SACKMANN & ULRIC 457 16WC 20652 BASSITT, WILLIAM HACH CO 02/18/16 STROM, NEAL B 16WC007668 -C 458 16WC 20755 CARRILLO, FERNANDO PAINTERS USA 04/27/16 PORRO NIERMANN LAW GROUP ACCIDENT FUND HOLDINGS 459 16WC 21098 GLASOW, WILLIAM P ROCKFORD CONSTRUCTION CO 09/23/15 CHARLES A FANUCCHI GAROFALO SCHREIBER STORM 460 16WC 21148 TANDO, YANIRA ALDI INC 05/26/15 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 461 16WC 21372 SOKOL, KRZYSZTOF CONTEMPORARY CABINETS W 11/30/15 TURCYCHUTE LLC MICHALSKI & GUBERNAT 462 16WC 22597 TAPIA, ANGELICA LUTHERAN CHILD & FAMILY S 06/02/16 BUDIN LAW OFFICES INMAN & FITZGIBBONS 463 16WC 23005 SMITH, YVONNE PEPPERIDGE FARM INC. 06/17/16 CRONIN & PETERS KEEFE CAMPBELL & ASSOC LLC 464 16WC 23085 GAMBOA, NOE M MOVEMENT MORTGAGE 11/10/15 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 465 16WC 23310 HUGHES, BILLY A MIRROR IMAGE GLASS & 05/24/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 466 16WC 23851 VAN OVERMEIREN, ABEL EUCLID BEVERAGE 05/20/15 PORRO NIERMANN LAW GROUP ROBERT L. SMITH 467 16WC 24070 PALOMARES-BELLO, JESUS BARRON P. CONSTRUCTION, I 06/20/16 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 468 16WC 24110 WASHINGTON, TED DIV CORP 07/10/16 VRDOLYAK LAW GROUP LLC 469 16WC 24406 BACI, ZIMBILE NAPERVILLE SCHOOL DIST. 2 03/08/16 LAW OFFICE PETER DELONGIS MACIOROWSKI SACKMANN & ULRIC 470 16WC 24599 CRIS II, LARRY G CHICAGO CUT CONCRETE CUTT 05/19/16 HORWITZ HORWITZ & ASSOC ANCEL GLINK DIAMOND BUSH & E 471 16WC 24648 GUZZO, JOE INTERNATIONAL EXCAVATING 06/28/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 472 16WC 24777 BINDER, KATHYRN SOARING EAGLE ACADEMY 05/27/16 BARRY E BLUMENFELD HOLECEK & ASSOCIATES 473 16WC 24824 MEYERS, SCOTT GLENBARD TOWNSHIP HIGH SC 05/26/16 KATZ FRIEDMAN EAGLE ET AL ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 474 16WC 25404 GOLEC, DANIEL J GRAPHIC PACKAGING INTL 10/01/15 GALLAGHER, DONALD V DOHERTY & PROGAR LLC 475 16WC 25491 VARGAS, ROBERTO THE CARE OF TREES 05/02/15 MICHAEL P MCCREADY & ASSOC 476 16WC 25509 SNIPES, SHERRY COMCAST 03/30/16 POMPER & GOODMAN SPIEGEL & CAHILL, PC 477 16WC 25723 RAMSEY, HEATHER THE RICHARD LYNN COMPANY 02/07/15 ASHER, RAYMOND L LTD BRADY CONNOLLY & MASUDA PC 17WC025810 -C 478 16WC 25872 CLARK, LATISHA(MOTHER) THE PORTILLO RESTAURANT G 06/30/16 URSULA BABICZ & ASSOC GRANT & FANNING 479 16WC 26067 JOHNSON, CATHY BEST BUY SERVICES 03/22/16 COSTA IVONE LLC 480 16WC 26621 RUSH, MARK RIGHT AT HOME 03/01/15 JONATHAN SCHLACK 481 16WC 26936 SOUNDE, TIMOTHY INTERSTATE POWER SYSTEMS 11/18/15 CAPRON & AVGERINOS PC 482 16WC 27101 FERRER, RAUL SR AMERICAN ROOFING & REPAIR 08/04/16 JOSHUA KARMEL KEEFE CAMPBELL & ASSOC LLC 483 16WC 27236 BUCIO, CARLOS RESPONDI ENTERPRISES 08/25/15 PORRO NIERMANN LAW GROUP 484 16WC 27419 REIDY, JOSEPH SNYDER INDUSTRIES 08/18/16 BRISKMAN BRISKMAN GREENBER QUINTAIROS PRIETO WOOD & BOY 485 16WC 27519 KALECIAK, KURT VILLAGE OF OAK BROOK 11/30/15 FRANCIS J DISCIPIO LAW OFF 486 16WC 27621 MCREADY, JOHN FORE TRANSPORTATION 04/11/16 WOODRUFF JOHNSON WOLF LAW LTD 487 16WC 27687 GARCIA, MANUELA PRESTIGE MAINTENANCE USA 08/03/16 WARREN W MARK COZZI & GOGGIN-WARD 488 16WC 27726 GARCIA, ESTEBAN OLIVE GARDEN 08/03/16 AIOSSA LAW FIRM WIEDNER & MCAULIFFE LTD 489 16WC 27744 SAYFIDDINOV, DILSHOD TWO DOLPHINS CORP 08/22/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 490 16WC 27930 CZTERNASTEK, ALEKSANDER PRO QUA, INC 09/01/16 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES JOSEPH MARCINIAK 491 16WC 27945 REYES, JOSE FIC AMERICA CORPORATION 05/02/16 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 492 16WC 27994 AYALA-ARZOLA, ALFREDO SPROVIERI'S CUSTOM COUNTE 08/30/16 JAMES M GERAGHTY RODDY LAW LTD 493 16WC 28172 NOONAN, MICHAEL K GCA SERVICES GROUP, INC 12/30/15 LAW OFFICE PHILIP BLOMBERG ASA LAW GROUP 494 16WC 28263 KOEPKE, GLENN COSMO FILMS INCORPORATED 05/13/15 MADSEN SUGDEN & GOTTEMOLLE 495 16WC 28409 CANTU, AGAPITA GRAHAM PACKAGING COMPANY 03/01/16 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 496 16WC 28721 BAUTISTA, LORENA ALDI 04/13/16 ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC 497 16WC 28772 HOLDMAN, FREDERICK BLACK HORSE CARRIERS 09/01/16 DWORKIN AND MACIARIELLO 498 16WC 28878 MILLER, MITCHELL G2K LOGISTICS, LLC 03/12/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 499 16WC 28913 THODE, DANIEL ESSENDANT 08/23/16 LAW OFFICES MICHAEL HELLMA 500 16WC 29062 CHRISM, DELREATHAR COMCAST 03/31/15 501 16WC 29339 DIAZ DECASTILLO, MARIA MA FUDDRUCKERS- LUBY'S 06/05/16 AIOSSA LAW FIRM LAWRENCE COZZI - LAW OFFICE 502 16WC 29482 GREEN, SHANNETTE IMAGEFIRST HEALTHCARE LAU 09/16/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 503 16WC 29546 LOPEZ, EDDY GLEN ELLYN STORAGE CORP 03/15/16 MEYERS & FLOWERS HENNESSY & ROACH PC 504 16WC 29687 WYSE, ROBERT LAKESHORE RECYCLING SYSTE 06/08/16 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 505 16WC 29884 SHILKA, RUSSELL UNITED RENTALS INC 08/05/16 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 506 16WC 29899 MARTINEZ, MICHAEL MASS MOVEMENT 09/30/16 ROMANUCCI & BLANDIN LAW OFFICES JOSEPH MARCINIAK 507 16WC 29951 ZARAGOZA, JUAN G&V CONSTRUCTION CO 06/08/16 KATZ FRIEDMAN EAGLE ET AL ACCIDENT FUND HOLDINGS 508 16WC 30015 DEL RIO, VERONICA RR DONNELLEY AND SONS CO 08/23/16 WARREN W MARK BRADY CONNOLLY & MASUDA PC 509 16WC 30114 VILLEGAS, BRIAN SEALMASTER 07/05/16 THERMAN LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 510 16WC 30193 MARTIN, RONNIE ILLINOIS DEPT OF HUMAN SR 08/30/16 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 511 16WC 30206 DIMONTE, ANTHONY JOHN ILLINOIS STATE TOLLWAY 08/26/16 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 512 16WC 30251 OPALINSKI, DANA L CITY OF WHEATON POLICE 09/13/16 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 513 16WC 30602 SALGADO, CRISTINA MCDONALD'S CORPORATION 09/16/16 ANKIN LAW OFFICE 514 16WC 30688 ADAME, LUIS A JUST IN TIME STAFFING, LL 09/23/16 JOHN C SERKLAND INMAN & FITZGIBBONS 515 16WC 30869 NAVARRO, MARIA R ACCUTECH MACHINING, INC 09/14/16 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 516 16WC 30942 BLAZE, JOSEPH WINDOW WORKS 08/16/16 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 517 16WC 31070 CARUSO, PHILLIP RUAN LOGICS CORP 05/15/15 SCHREINER MALLOY & ETZLER JAMES M KELLY 518 16WC 31249 PORKSCH, JOSEPH ABS & TAYLOR 08/19/15 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 519 16WC 31465 TYLKA, MAGDALENA ARGONNE NATIONAL LABORATO 09/29/16 MC HARGUE & JONES KEEFE CAMPBELL & ASSOC LLC 520 16WC 31536 MURILLO, ALEXANDER G ESSENDANT 08/09/16 GALLAGHER, DONALD V HOLECEK & ASSOCIATES 17WC025310 -C 18WC002774 -C 521 16WC 31554 JUAREZ, JOSE US FOODS CHICAGO 08/16/16 OSVALDO RODRIGUEZ PC 522 16WC 31592 CARTER, ANDREW DESIGNED STAIRS, INC 02/17/16 MATHYS & SCHNEID KEEFE CAMPBELL & ASSOC LLC 523 16WC 31849 MROCH, EUGENE W JR GENERAL GROWTH PROPERTIES 12/29/15 THE FITZ LAW GROUP RIPES NELSON BAGGOT KALOBRAT 524 16WC 31905 ESSER, GREG FIRST STUDENT BUS CO 05/26/16 MUELHAUSEN & STEFANI WIEDNER & MCAULIFFE LTD 525 16WC 31952 SANCHEZ, SAMUEL DEGRAF CONCRETE CONSTR IN 06/07/16 BERNAT & BERNAT PC ACCIDENT FUND HOLDINGS 526 16WC 32375 GARCIA, MARIA FIRST TRANSIT, INC 09/28/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 527 16WC 32519 BARNES, ARMANI MELROSE TRANSPORT SYSTEMS 05/27/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 528 16WC 33048 LOZANO, ROGER A DOYLE SIGNS, INC 10/29/15 SCHRAMM LAW GROUP GAROFALO SCHREIBER STORM 529 16WC 33080 TORREZ, RALPH USF HOLLAND TRUCKING 08/12/16 LAW OFFICE OF LAURA A CHIL HENNESSY & ROACH PC 530 16WC 33269 MALONEY, RON TERRANCE ELECTRIC 01/07/14 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 531 16WC 33447 LOPEZ, ROSA EXTENDED STAY AMERICA HOT 10/18/16 LAW OFFICES LEONARDO MORAL WOLFE & JACOBSON, LTD 532 16WC 33531 ROSZEL, THOMAS FLOYD'S STEEL ERECTORS 05/02/16 ANGELINI & ORI LLC 533 16WC 33579 LOPEZ, SILVIA VICTOR ENVELOPE MFG CO IN 10/10/16 SALK, STEVEN B & ASSOC LTD BRYCE DOWNEY & LENKOV LLC 534 16WC 34029 GALVAN, ADAN TLC PLUMBING INC 06/07/16 JOHN E LUSAK RUSIN & MACIOROWSKI LTD 535 16WC 34068 MARTINEZ, PEDRO DIAZ BLACK CREEK CANYON, INC 01/14/15 HODES GREENSTEIN & LITWIN GILDEA & COGHLAN 536 16WC 34284 RAMIREZ, ISMAEL NERIA NEXGEN ENTERPRISES 04/05/16 COSTA IVONE LLC BRYCE DOWNEY & LENKOV LLC 537 16WC 34346 ANDROS, NIVIA MARIANO'S 04/20/16 CAPRON & AVGERINOS PC BRYCE DOWNEY & LENKOV LLC 538 16WC 34362 SALEH, AMER R2R INTERMODAL INC 12/03/13 BRUSTIN & LUNDBLAD LTD KELLY BRACEY LAW 539 16WC 34666 MARTINEZ, LUIS JETSON MAILERS 10/17/16 WOODRUFF & JOHNSON 540 16WC 34971 HILL, MATTHEW J MAPEI CORPORATION 10/28/16 SAUNDERS CONDON & KENNY KEEFE CAMPBELL & ASSOC LLC 541 16WC 34993 GUZMAN, ALFONSO KRONOS FOODS CORPORATION 07/03/16 VRDOLYAK LAW GROUP LLC GRANT & FANNING 542 16WC 35053 SUSTEK, DIANE ILLINOIS STATE TOLL HWY A 08/10/16 KOSIN LAW OFFICE LTD NYHAN BAMBRICK KINZIE & LOWR 543 16WC 35082 19B BALFOUR, ELKANAH PERFORMANCE FOODSERVICE 06/18/16 CAPRON & AVGERINOS PC BRYCE DOWNEY & LENKOV LLC 544 16WC 35606 GARRY, SUSAN 2 TOOTS TRAIN WHISTLE GRI 04/12/16 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 545 16WC 35620 JOS, DAREK APC SCHNEIDER ELECTRIC 05/27/16 MICHAEL P MCCREADY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 546 16WC 35672 MYERS, REGINA A MOTHER & JIMMY JOHN'S 11/08/16 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 547 16WC 35678 HUGHES, MEISSA MEDIX STAFFING 11/01/16 WOODRUFF & JOHNSON HENNESSY & ROACH PC 548 16WC 36094 ANDERSON, JAMES UPS 11/02/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 549 16WC 36184 HUERTA, MARIO WHOLE FOODS MARKET 11/12/16 COSTA IVONE LLC 550 16WC 36384 HILLIARD, DAVID AT&T 07/28/16 SAUNDERS CONDON & KENNY HENNESSY & ROACH PC 551 16WC 36688 WOZNIAK, STEVE ELMHURST AUTO CARE INC 02/03/15 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 552 16WC 36693 LANGE, DILITTA LIBERTY MUTUAL 10/28/16 BRADY CONNOLLY & MASUDA PC 553 16WC 36723 JOHNSON, CAROL MACY'S 11/17/12 JASINSKI, GEORGE J BRYCE DOWNEY & LENKOV LLC 554 16WC 36772 DEL VESCOVO, DOMENIC ILLINOIS TOLLWAY 09/28/16 BARRY A KETTER GANAN & SHAPIRO 555 16WC 37041 TOMS, PETER M NORTHWESTERN FLAVORS, LLC 10/06/15 TURNER & SACKETT LLC GAROFALO SCHREIBER STORM 556 16WC 37159 CARRERA, ROLANDO A S&S INTERNATIONAL 10/27/16 JAMES J. GAY SCOPELITIS GARVIN LIGHT 557 16WC 37305 DE LA TORRE, ROBERTO CHAMPION PACKAGING & DIST 08/21/15 BRISKMAN BRISKMAN GREENBER RUSIN & MACIOROWSKI LTD 558 16WC 37464 MARTINEZ-MEDINA, CRECENIA GAVURE INK @ 11/15/16 WEISS ORTIZ PC 559 16WC 37528 BALTERREZ, SYLVIA ROW, INC 03/09/16 LUCAS & APOSTOLOPOULOS JOSEPH MARCINIAK 560 16WC 37734 FAORO, MICHELLE SUPERIOR AMBULANCE 08/03/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 561 16WC 37768 KOCORAS, FRIEDA MACY'S FURNITURE GALLERY 11/26/16 ROMANEK & ROMANEK BRYCE DOWNEY & LENKOV LLC 562 16WC 37845 SANDOVAL, ELENA OLIVE GARDEN 08/29/16 MC HARGUE & JONES 563 16WC 37918 FRANCESCO DE, MICHAEL GREC & SONS 06/02/16 VASILATOS & COTTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 564 16WC 38124 D'ORONZO, VINCE D&P CONSTRUCTION CO INC 08/27/16 LOCASCIO, MARK A LTD ACCIDENT FUND HOLDINGS 565 16WC 38204 EZQUIVEL, ADOLFO GENESIS CONSTRUCTION 12/06/16 WHITESIDE & GOLDBERG LTD 566 16WC 38312 WASKO, AMY ADVOCATE GOOD 08/08/16 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 567 16WC 38797 BORGE, NICOLE A WHOLE FOODS MARKET 04/03/16 HART & DAVID LLP BRYCE DOWNEY & LENKOV LLC 568 16WC 38912 BUENO, CARMELA SMX LLC 08/30/16 ANKIN LAW OFFICE 569 16WC 39089 VAZQUEZ, MARYANN MACY'S 06/11/16 JOHN E LUSAK ROBERT L. SMITH 570 16WC 39178 MATONIAK, EDWARD JOE KOS REMODELING 05/11/16 NILSON STOOKAL GLEASON CAP GAROFALO SCHREIBER STORM 571 16WC 39299 CASTRO LOPEZ, JOSE SPRUCE LANDSCAPING 08/01/16 COSTA IVONE LLC 572 16WC 39308 RAO, DAISY D WYNDEMERE D/B/A WESTBRIDG 01/03/15 BUDIN LAW OFFICES HENNESSY & ROACH PC 573 17WC 00036 MORA, ELVIRA PLASTECH, INC 08/10/16 DEPAOLO ZADEIKIS GORE 574 17WC 00134 GALINSKY, JAMES MONROE TRANSPORTATION SER 06/28/16 MARK SCHAFFNER RUSIN & MACIOROWSKI LTD 17WC000135 -C 575 17WC 00338 SANCHEZ, CARLOS GRAVURE INK 05/28/15 WEISS ORTIZ PC 576 17WC 00368 SARABIA, VIRGINIA RELIABLE CLEANING W 08/20/16 FOOTE MIELKE CHAVEZ & O'NE 577 17WC 00498 RENTERIA, ERNESTINA PERSONALIZATION MALL.COM 11/09/15 JASINSKI, GEORGE J 578 17WC 00610 ADAMS, CARRIE SAMS CLUB 12/14/15 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 17WC002525 -C SAM'S CLUB 579 17WC 00637 VOGT, MICHAEL KH RANOVATIONS INC 12/09/16 GOLDBERG WEISMAN & CAIRO L 580 17WC 00846 RODRIGUEZ, FABIOLA COSTCO WHOLESALE 07/23/15 LEONARD LAW GROUP LLC GANAN & SHAPIRO 581 17WC 00882 LARA, ERICA HYATT REGENCY 12/12/16 BART DURHAM BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 582 17WC 01063 FAVELA, NORA PERSONAL CREATIONS/ 04/26/16 OSVALDO RODRIGUEZ PC JOSEPH MARCINIAK 583 17WC 01083 KRYNSKI, GERHAND MADDEN COMMUNICATIONS 03/09/14 MINKOW DOMIN 584 17WC 01336 HAYES, JUANITA ARGONNE NATIONAL LABORATO 11/30/16 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL & ASSOC LLC 585 17WC 01422 LINDQUIST, ASHLEY EDWARD ELMHURST HOSPITAL 12/06/16 MICHAEL NICHOLSON MACIOROWSKI SACKMANN & ULRIC 17WC023704 -C 586 17WC 01484 MUNOZ, JOSE ARAMARK 10/04/16 SALVATO & O'TOOLE 587 17WC 01660 SCRANTON, WILLIAM F STANDARD MARKET 08/31/16 GARDI & HAUGHT RUSIN & MACIOROWSKI LTD 588 17WC 01748 DECARLO, DIANE (ADMIN EST METRO STAFF, INC 02/19/16 MARC J SHUMAN & ASSOCIATES FRANCIS J DISCIPIO LAW OFFIC 589 17WC 01914 NELSON, JUDITH HR IMAGING 03/18/16 LAW OFFICE OF SCOTT B SHAP LAW OFFICES JOSEPH MARCINIAK 590 17WC 02340 TOLEDO, DIOSELINA EMBASSY SUITES 09/10/16 STROM, NEAL B GRANT & FANNING 591 17WC 02577 PARRIS, RICK MONROE TRANSPORTATION 11/29/16 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 592 17WC 02609 DE LA CRUZ, GREGORIO K D STEEL SERVICE 01/09/17 COSTA IVONE LLC GAROFALO SCHREIBER STORM 593 17WC 02686 ELDERS, MARCIA NTERSTATE HOTELS & RESORT 10/15/16 LAW OFFICES ANDRIUS SPOKAS BRYCE DOWNEY & LENKOV LLC 594 17WC 02771 BLOOMHUFF, TROY RIGGS DISTLER COMPANY 09/06/16 DONOVAN ROBERTSON 595 17WC 02843 ORTIZ, WILLIAM DUKANE PRECAST 11/11/16 BURNES & LIBMAN GAROFALO SCHREIBER STORM 596 17WC 02887 WILTSE, RICHARD BATH PLANET OF CHICAGO IN 01/26/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 597 17WC 03335 COLLURA, TODD R REX ELECTRIC AND TECHNOLO 08/01/16 RUBIN LAW GROUP HOLECEK & ASSOCIATES 598 17WC 03377 CONTRERAS, HERMILA THE MOREY CORPORATION 10/27/16 AIOSSA LAW FIRM LAW OFFICES JOSEPH MARCINIAK 599 17WC 03592 CHASHTARI, AREZOO PLATED, INC 12/01/16 EFTEKHARI LAW OFFICES GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 600 17WC 03613 ORTIZ, KATYA CEMAK FRESH MARKET 05/15/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 601 17WC 03704 FAORO, MICHELLE SUPERIOR AMBULANCE 08/11/15 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 602 17WC 03781 PADILLA, ESTEBAN TRANSPARENT CONTAINER CO 12/15/16 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 603 17WC 03799 PIERCE, GREGORY RICOH USA INC 12/27/16 CHILTON YAMBERT PORTER LLP 604 17WC 04016 WALTERS, MARION K WOODRIDGE SCHOOL DISTRICT 01/12/17 PATRICOSKI, MARK G ANCEL GLINK DIAMOND BUSH & E 18WC003079 -C 605 17WC 04052 CASTREGJON, MARCOS GKN WALTERSCHEID INC 01/31/17 DESTEFANO, ROBERT A & ASSO RIPES NELSON BAGGOT KALOBRAT 17WC008373 -C 17WC028819 -C 18WC004376 -C 606 17WC 04588 SIMS, RENEE ADVOCATE HEALTHCARE 12/11/16 TOPPER & WEISS LTD NYHAN BAMBRICK KINZIE & LOWR 607 17WC 04609 ORTIZ, KATYA CERMAK PRODUCE 05/15/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 608 17WC 04670 SCHNEIDER, GEORGE PORTFOLIO HOTELS & RESORT 12/21/16 STORTO FINN & ROSINSKI 609 17WC 04773 BERNATOWICZ, JOSEPH QUALITY LIFT TRUCK SERVIC 08/24/16 VASILATOS & COTTER LLC KEEFE CAMPBELL & ASSOC LLC 610 17WC 04812 SOLIS, LUZ METRO STAFF 01/06/17 EFTEKHARI LAW OFFICES FRANCIS J DISCIPIO LAW OFFIC 611 17WC 04943 LANDEROS, JESUS PRESTIGE MAINTENANCE USA, 02/06/17 SALVATO & O'TOOLE LAWRENCE COZZI - LAW OFFICES 612 17WC 05121 HILTZ, STEPHAN B&H SYSTEMS 06/10/16 HORWITZ HORWITZ & ASSOC 613 17WC 05300 PEREZ, RICARDO OPTIMAS 06/12/16 STYKA & STYKA GRANT & FANNING 614 17WC 05313 FRENCH, LARRY KA STEEL CHEMICAL COMPANY 01/13/17 GOLDBERG WEISMAN & CAIRO L 615 17WC 05403 SCHIRO, SCOTT C RADIO SYSTEMS INC. 02/13/15 JOHNSON, MICHAEL D & ASSOC 616 17WC 05700 LARA, JUVENCIO BARRICADE LITES, INC 09/21/16 ENCINAS & ORNELAS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 617 17WC 05828 MACZKO, KEVIN J WEST CHICAGO FIRE PROTECT 10/29/15 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 618 17WC 05829 MACZKO, KEVIN J WEST CHICAGO FIRE PROTECT 12/04/16 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 619 17WC 05900 HUG, TOM DIAMOND CARPET SERVICES 11/03/16 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 620 17WC 05940 BINGHAM, BRIAN FUNDERBURK ROOFING 10/31/16 VRDOLYAK LAW GROUP LLC LAW OFFICES OF EDWARD J. KOZ 621 17WC 06033 MOHN, CORY GORDON FOOD SERVICE 01/27/17 LAW OFFICES MICHAEL HELLMA GANAN & SHAPIRO 622 17WC 06316 CALKINS, CUYLER AEROTEK 02/15/17 FOHRMAN, DONALD W & ASSOCS SPIEGEL & CAHILL, PC 623 17WC 06440 GRABENSTETTER, ANTHONY ROTATING EQUIPMENT SPECIA 12/29/15 SLAVIN & SLAVIN RODDY LAW LTD 624 17WC 06679 JOSEPH, HAROLD ILLINOIS TOLLWAY @ 12/21/16 MARKER & ASSOCIATES GANAN & SHAPIRO 625 17WC 06751 BAILEY, RHONDA FCA US LLC 11/16/16 CHILTON YAMBERT PORTER LLP 626 17WC 06767 RAGANO, VINCENZO US FOODS 02/17/17 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 627 17WC 06813 FAIRCHILD, ASHLEY TOUCHPOINT COMPASS GROUP 11/15/16 BRISKMAN BRISKMAN GREENBER GOLDBERG SEGALLA LLC 628 17WC 06904 FALCONIO, JOHN NAPERVILLE SCHOOL DISTRIC 11/23/15 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 629 17WC 07026 MCCLAFFERTY, SEAN STATE OF ILLINOIS TOLLWAY 01/07/17 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 630 17WC 07149 VEGA, MARIA HYATT HOTEL 08/25/16 JOHN E LUSAK 631 17WC 07236 GAJEWSKIK, RICHARD S JR CONSOLIDATED ELECRICAL DI 05/24/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 632 17WC 07353 FREDE, LAWRENCE USF HOLLAND INC 11/28/16 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 633 17WC 07502 DEWAR, KELSEY CUSB SD 200 01/18/17 SEIDMAN MARGULIS & FAIRMAN 634 17WC 07767 SREY, LEA TABOR HILLS HEALTHCARE 12/17/15 KARNO, MARK L & ASSOC LAW OFFICES FRANCESCA LARSEN 17WC007768 -C 635 17WC 08046 LOWERY, LISA SPRINT 05/13/16 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 636 17WC 08094 DERENZO, CARRIE SOARING EAGLE ACADEMY 09/17/16 CUDA LAW OFFICES POWER & CRONIN LTD 637 17WC 08226 ALEXANDER, WILLLIAM B ELMHURST COLLEGE 08/10/16 CUDA LAW OFFICES ACCIDENT FUND HOLDINGS 638 17WC 08883 TSONIS, DIMITRA OXFORD BANK AND TRUST COM 09/25/14 GOLDBERG WEISMAN & CAIRO L LAW OFFICES OF EDWARD J. KOZ 639 17WC 09117 ALNATOUR, MAHMOUD DIRECT MARKETING GROUP, C 02/24/17 MICHAEL J MORRISROE 640 17WC 09182 TRINKO, ROBERT AT&T (2) 11/11/16 WOLFE LAW PC INMAN & FITZGIBBONS 641 17WC 09241 LOMELI, AMALIA ELITE STAFFING 12/29/16 JAMES J. GAY NYHAN BAMBRICK KINZIE & LOWR 642 17WC 09318 CVETKOVIC, IVANA EVA INVESTMENTS INC. DBA 07/02/14 SYREGELAS, NICHOLAS C GANAN & SHAPIRO 643 17WC 09444 RAMIREZ, JESUS JEL SERT COMPANY 02/13/17 EFTEKHARI LAW OFFICES POWER & CRONIN LTD 644 17WC 09657 ZAHROUNI-KHAMISSI, MOHSEN PLATED, INC 09/13/16 PORRO NIERMANN LAW GROUP GRANT & FANNING 17WC009658 -C 17WC010779 -C 17WC010780 -C 645 17WC 09787 WILLIS, KERBY EDWARD DON AND COMPANY 04/04/14 KEVIN L WILLIS 646 17WC 09875 BURKE, NICOLE M DOMINO'S D/B/A PROGRESSIV 06/23/15 JOHN E LUSAK RUSIN & MACIOROWSKI LTD 647 17WC 10023 HERNANDEZ-DIAZ, CARLOS MJK CONSTRUCTION INC 10/25/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 648 17WC 10157 CALVIN, ROBERT UNITED EXPRESS SYSTEMS 03/29/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 649 17WC 10379 HEWAK, CAITLIN ELMHURST SCHOOL DISTRICT 01/20/16 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 650 17WC 10666 MYERS, JEFFREY M. AT&T 03/09/17 SALVATO & O'TOOLE 651 17WC 10878 WILLIAMS, ASHLEY EDWARD HOSPITAL 12/05/16 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 652 17WC 10948 MONTANO, LIZETH EDUCARE OF WEST DUPAGE 03/14/17 MC HARGUE & JONES JOSEPH MARCINIAK 17WC010947 -C 653 17WC 11071 SLOMIC, ELVIS NORTHWESTERN MEDICINE 12/02/16 LAW OFFICE PHILIP BLOMBERG 654 17WC 11349 VARGAS, VICTORIA FORMAN MILLS INC 03/27/17 HETHERINGTON KARPEL BOBBER QUINTAIROS PRIETO WOOD & BOY 655 17WC 11392 VAZQUEZ, VICTOR INNOCOR 08/21/15 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 656 17WC 11553 TYSON, JAMES E JR. UNITED PARCEL SERVICES 07/23/16 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 657 17WC 11588 ESSENMACHER, BRANDON INTEGRAL FLOORING SYSTEMS 03/01/17 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 658 17WC 11762 PENDERGRASS, HAROLD EQUIPMENT DEPOT 04/07/17 HEALY SCANLON LAW FIRM GRANT & FANNING 659 17WC 11861 MEISTER, JOSEPH JR ILLINOIS DEPT OF CORRECTI @ 04/17/17 HUGHES SOCOL PIERS RESNICK ASSISTANT ATTORNEY GENERAL 660 17WC 11983 PEREZ, JAIME ARCHON CONSTRUCTION CO 08/22/16 JONATHAN SCHLACK LAW OFFICES OF EDWARD J. KOZ 661 17WC 12063 WILSON, DANIEL C CITY OF WOOD DALE-POLICE 08/29/16 FIGLIOLI, DAVID 662 17WC 12247 NICOLAI, COLLEEN CORECENTRIC SOLUTIONS USA 04/13/17 FRANCIS J DISCIPIO LAW OFF 663 17WC 12342 VAUGHAN, TIA DUPAGE COUNTY SHERIFF 01/29/17 KREITER, BYCK & ASSOC LLP WIEDNER & MCAULIFFE LTD 664 17WC 12451 RODAS, LESTER GABRIEL LIN ELITE STAFFING INC LOANIN 04/10/17 SALK, STEVEN B & ASSOC LTD 665 17WC 12543 GARCIA, FRANKIE A. SCHULMAN, INC 04/07/17 MC HARGUE & JONES 666 17WC 12549 FORT, BELINDA LEXINGTON HEALTH CARE 03/28/17 MC HARGUE & JONES BRYCE DOWNEY & LENKOV LLC 667 17WC 12584 ROY, ALLEN MID CITY TRUCK BODY 10/04/16 WOODRUFF & JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 668 17WC 12618 ROSZCZEWSKI, ALEXANDER OSG USA INC 03/22/17 KARCHMAR & STONE INMAN & FITZGIBBONS 669 17WC 12706 LACY, JAYSON POWER SOLUTIONS INTL 01/20/17 HORWITZ HORWITZ & ASSOC 670 17WC 13056 CARRILLO, FERNANDO PAINTERS USA 04/27/16 TRAPP & GELLER 671 17WC 13074 GRON, MARLENE KEHE DISTRIBUTORS 11/30/16 KARCHMAR & STONE NOBLE & ASSOCIATES PC 672 17WC 13287 GOMEZ, LORENA FIC AMERICA CORPORATION 04/17/17 COSTA IVONE LLC INMAN & FITZGIBBONS 673 17WC 13383 CARTER, JOYCE A UCP SEGUIN OF GREATER CHI 03/25/17 ANKIN LAW OFFICE 674 17WC 13461 GARCIA, ORLANDO COLONIAL BAG CORPORATION 04/28/17 R. MARK MARITOTE PC GANAN & SHAPIRO 675 17WC 13553 ALEJANDRES, FERNANDO A.M. STAFFING GROUP 04/22/17 EVAN A HUGHES LAW OFFICE RUSIN & MACIOROWSKI LTD 676 17WC 13576 AVILEZ, MARIO ALLIED WATERPROOFING 09/06/16 KROL BONGIORNO & GIVEN LTD HOLECEK & ASSOCIATES 677 17WC 13595 CARLSEN, DALE GENERAL MILLS 09/15/16 KINNALLY FLAHERTY KRENTZ & BRYCE DOWNEY & LENKOV LLC 678 17WC 13660 JANKO, JANET SUBURBAN HOME CARE 09/02/16 JAY S. SHETH LLC HEYL ROYSTER VOELKER & ALLEN 679 17WC 13872 RODRIGUEZ, RAUL FRITO-LAY INC 03/01/17 JONATHAN SCHLACK GILDEA & COGHLAN 680 17WC 13878 FREEMAN, REGINA MG ROHAN, INC. DBA 01/01/17 MARC J SHUMAN & ASSOCIATES THOMAS & PORTELA 681 17WC 13909 BROWN-WILSON, ELIZABETH FH PASCHEN, SN NIELSEN & 08/06/16 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 682 17WC 14252 GONZALEZ, MARTA G PERSONALIZATIONMALL.COM, 05/01/16 GOLDSTEIN BENDER & ROMANOF 683 17WC 14367 GREINER, CRAIG SIMS RECYCLING SOLUTIONS 06/11/15 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 684 17WC 14454 PEREA, LISA SCHOOL FOR SPECIAL EDUC D @ 02/08/17 BAUM RUFFOLO & MARZAL LTD ANCEL GLINK DIAMOND BUSH & E 685 17WC 14464 FURTAK, FRANK DOWNERS GROVE SANITARY DI 11/10/15 ROSS TYRRELL 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 ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 686 17WC 14620 MAKA, ANDREW PARAMEDIC SERVICES OF IL 08/15/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 687 17WC 14638 CLEARY, PATRICK WALGREENS 03/18/17 SEIDMAN MARGULIS & FAIRMAN 688 17WC 14724 PATEL, DAHIBEN VALID USA 10/24/16 DWORKIN AND MACIARIELLO GRANT & FANNING 689 17WC 14758 SARKIC, ALMIR MIDWEST MOTOR EXPRESS, IN 05/10/17 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 690 17WC 14826 KMIEC, BRIAN ICON RESOURCES 04/25/16 PORRO NIERMANN LAW GROUP 691 17WC 14864 HINES, KATHRYN RESIDENTIAL HOME HEALTH 04/04/17 BOGUSZ & BOGUSZ LTD HOLECEK & ASSOCIATES 692 17WC 14906 STRONG, DZINTRA BP PRODUCTS NORTH AMERICA 05/12/15 PARENTE & NOREM PC ROSARIO CIBELLA 693 17WC 15173 LYNCH, THOMAS VILLAGE OF ADDISON 02/20/15 THOMAS M. PARIS RUSIN & MACIOROWSKI LTD 694 17WC 15311 JOHNSON, MICHAEL LAKESIDE RACK INSTALLERS, 05/15/17 O'CONNOR & NAKOS RIPES NELSON BAGGOT KALOBRAT 695 17WC 15379 RODRIGUEZ, JOSE C MONDELEZ INTERNATIONAL 09/20/15 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 696 17WC 15528 BRANDKAMP, STEVE NICOR GAS 09/08/14 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 697 17WC 15582 LOPEZ, NOE I RUBY CLEANERS OUTLET 05/13/17 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 698 17WC 15608 FLORES, MARISELA METRO STAFF, INC 08/22/16 ANESI OZMON RODIN NOVAK KO FRANCIS J DISCIPIO LAW OFFIC 699 17WC 15617 VELAZQUEZ, MARIA ROSALBA ELITE STAFFING 05/24/17 THE ROMAKER LAW FIRM 700 17WC 15703 CUNNINGHAM, LEAHMON L FAB EXPRESS 05/02/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 701 17WC 15767 GORDON, JERMAINE PEPPERRIDGE FARM 05/05/17 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 702 17WC 15772 CASTELLANOS, ELADIO S&S INTERNATIONAL INC 04/03/17 FREDRICK B BARDER, LTD 703 17WC 15777 STEWART, SHALONDA ST PATRICK'S RESIDENCE NU 03/21/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 704 17WC 15897 HERNANDEZ, NECTOR FEDEX FREIGHT 05/05/17 KROL BONGIORNO & GIVEN LTD QUINTAIROS PRIETO WOOD & BOY 705 17WC 15965 NORMAN, JACOB EZ TOYZ INC 05/02/17 LAW OFFICES JOSEPH MARCINIAK 706 17WC 16024 LOCKHART, ADRIENNE COMCAST CABLE 05/16/17 DAVID SZCZECIN & ASSOC SPIEGEL & CAHILL, PC 707 17WC 16169 SCHEIRICH, CHRISTOPHER US FOODS 04/02/17 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 708 17WC 16192 MASA, MARK SUNDANCE CONCRETE 01/04/17 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 709 17WC 16243 RAMIREZ, AGUSTIN CRATE & BARREL 02/21/17 BART DURHAM MACIOROWSKI SACKMANN & ULRIC 710 17WC 16537 SUTHERLAND, WILLIAM L. FRITO LAY 02/08/17 ERIC H CHECK, LAW OFFICES GILDEA & COGHLAN 711 17WC 16691 RAYNER, KENNETH CAMEO MOLD 01/22/16 ROBERT EDENS GANAN & SHAPIRO 712 17WC 16770 DERECZENIK, MAREK THE MILLARD GROUP 05/26/17 CHEPOV & SCOTT LLC RODDY LAW LTD 713 17WC 16876 NAVARRO, MARIA DOUBLE TREE OAK BROOK 05/05/17 CHRISTIAN & MANNO GRANT & FANNING 714 17WC 16894 SCHOOP, FRANK AMERICAN LITHO 04/15/17 ROGER D RUDICH LTD WIEDNER & MCAULIFFE LTD 715 17WC 17077 PALOMERA, TERESA ELITE STAFFING INC 06/01/17 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM 716 17WC 17114 SLOBODECKI, AMANDA M COMMUNITY HIGH SCHOOL DIS 01/12/17 ANKIN LAW OFFICE 717 17WC 17152 JIMENEZ, JAIME A.J. OSTER 06/14/16 COLLISON LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 718 17WC 17153 ORTEGA, GERARDO INNOCOR FOAM TECHNOLOGIES 06/03/17 COLLISON LAW OFFICES 719 17WC 17189 WOLF, KURT J JR. PRECISION PLUMBING 12/12/16 HANNIGAN & BOTHA, LTD 720 17WC 17324 BAE, MATHEW ULTRA FOODS INC 01/04/15 LAW OFFICE TIMOTHY DEFFET ROSARIO CIBELLA 721 17WC 17421 LOPEZ, LUCIA MAYA MAGIC NAILS 04/10/17 HERRERA LAW CENTER HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 722 17WC 17505 KALICKI, JACEK Z IL DEPT OF TRANSPORTATION 04/12/17 MICHAEL HELLMAN ASSISTANT ATTORNEY GENERAL 723 17WC 17616 TABB, HOWARD PESONALIZATIONMAIL.COM 05/02/17 RUBENS AND KRESS KOPKA, PINKUS DOLIN, PC 724 17WC 17641 NEMEC, BRETT EDDIE MERLOTS 02/20/17 DWORKIN AND MACIARIELLO 725 17WC 17704 KEATING, PAUL M COOK COUNTY FOREST PRESER 04/10/17 FIGLIOLI, DAVID FOREST PRESERVE DIST COOK CO 726 17WC 17728 TARSITANO, JOI BC INTERNATIONAL INC 05/23/17 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 727 17WC 17827 DOBEY, MARY ANN COMMUNITY CONSOLIDATED 04/03/17 WOODRUFF & JOHNSON 728 17WC 17860 CICCONE, JOHN DOHERTY GIANNINI REITZ 05/10/17 GOLDBERG WEISMAN & CAIRO L KNELL & O'CONNOR 729 17WC 17866 COSBY, JANA SCHOOL DIST 181 05/23/17 THOMAS A MORRISSEY 730 17WC 18056 JEZIORO, JUDITH NORTHWESTERN MEDICINE 02/27/17 DAVID W MARTAY POWER & CRONIN LTD 731 17WC 18109 PIERCE, YVETTE SHERIFF OF COOK COUNTY 10/06/16 COLLINS BARGIONE 732 17WC 18173 BARNETT, DONNA J YMCA OF METRO CHICAGO 05/10/17 JOHN J CASTANEDA LAW OFFICES FRANCESCA LARSEN 733 17WC 18270 SANDOVAL, MARISOL OL-USA LLC 04/18/17 PORRO NIERMANN LAW GROUP CASSANO & ASSOCIATES 734 17WC 18413 RABULINSKI, DANIEL WILKINS BUICK 04/13/17 BRIAN T MORROW, LAW OFFICE GAROFALO SCHREIBER STORM 735 17WC 18477 BUDNER, MICHAEL VAL-MATIC VALVE& MANUFACT 06/17/13 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 736 17WC 18494 KOTZEV, JIVKO GT TRANS INC 12/15/14 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 737 17WC 18587 LARA, ELADIO BAEZA TRUCKING INC 11/03/16 LEAHY, JAMES P GAROFALO SCHREIBER STORM 738 17WC 18687 ALINKEVICIENE, ASTA EDWARD HOSPITAL 06/15/17 ARGIONIS & ASSOCIATES LLC POWER & CRONIN LTD 739 17WC 18720 AMBROSIO, JANE HOME GOOD/TJX 10/07/16 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 740 17WC 18890 KURT, JENNIFER METLIFE 01/29/14 MEYERS & FLOWERS CHILTON YAMBERT PORTER LLP 741 17WC 19000 MOORE, JETANTE ILLINOIS STATE TOLLWAY 12/29/16 TRUGLIO, FRED A & ASSOC NYHAN BAMBRICK KINZIE & LOWR 742 17WC 19015 GARCIA, JOSE A ROSBOROGH PARTNERS INC. 06/08/17 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 743 17WC 19052 HERNANDEZ, JOSE TRINIDAD BUTLER NATIONAL GOLF CLUB 10/20/16 CULLEN HASKINS NICHOLSON 744 17WC 19314 KRACH, KARIA J EDWARD AMBULANCE SERVICE 12/03/16 MATTHEW T. GUBBINS PC RUSIN & MACIOROWSKI LTD 745 17WC 19345 PERFECT, BRIAN D IL STATE TOLL HWY AUTHORI 10/20/16 LANZILLOTTI GRIBBEN & MARC NYHAN BAMBRICK KINZIE & LOWR 746 17WC 19576 ANDERSON, ROBERT WENTWORTH TIRE SERVICE, I 05/17/17 LOUIS A PLZAK & ASSOCIATES 747 17WC 19732 CURNUTTE, RICKY PEPPERIDGE FARM INC 04/14/17 LEONARD LAW GROUP LLC CHILTON YAMBERT PORTER LLP 748 17WC 19871 GUERRA, OLGA PORTILLOS 04/14/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 17WC019872 -C 749 17WC 19929 SMITH, RICHARD BILL KAY NISSAN 10/18/16 CAPRON & AVGERINOS PC ROSARIO CIBELLA 750 17WC 20175 MORA, PEDRO BEST VALUE AUTO BODY 11/09/16 TAXMAN POLLOCK 751 17WC 20335 DIAZ, JESUS J. CHICAGO WHITE METAL CASTI 01/18/17 ANKIN LAW OFFICE 752 17WC 20559 REILLY, CORI IFS NORTH AMERICA 05/16/17 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 753 17WC 20634 MARTINEZ, JENNIFER CGC MANAGEMENT LLC 12/06/16 ANKIN LAW OFFICE GRANT & FANNING 754 17WC 20689 JAVONILLO, MARCELO SPRAYING SYSTEMS CO. 06/15/17 KIPNIS & KAHN DONALD J. MORAN 755 17WC 20790 THOMPSON, MICHAEL MR. DAVID'S FLOORING 12/12/16 SPIROS LAW PC 756 17WC 20826 THOMPSON, MICHAEL MR DAVIDS FLOORING 03/27/17 SPIROS LAW PC 757 17WC 20869 SWIERBINSKI, MARK JEWEL FOOD STORE 06/01/17 LAW OFFICES MICHAEL HELLMA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 758 17WC 20933 RODRIGUEZ, RAYMUNDO FOUR LAKES CONDO 07/24/14 DAVID W MARTAY GILDEA & COGHLAN 759 17WC 21014 WINCKLER, ANDREW J CITY OF NAPERVILLE 04/21/17 THOMAS W DUDA CITY OF NAPERVILLE 760 17WC 21020 AH-YO, MERNALEE ADDUS HOME CARE- DOWNERS 12/06/16 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 761 17WC 21073 MARTINEZ, JESUS SAL'S PIZZA 06/03/17 GIACOBBE, THOMAS M LAW OFFICES JOSEPH MARCINIAK 762 17WC 21136 LAND, CHANCE OLSSON ROOFING CO 06/06/17 KINNALLY FLAHERTY KRENTZ & INMAN & FITZGIBBONS 763 17WC 21174 BRANNEN, DEBORAH THE PRIVATE BANK 07/18/15 BOWMAN & CORDAY HENNESSY & ROACH PC 764 17WC 21309 FRUSOLONE, MARY CAROL STREAM PARK DISTRIC 05/20/17 LAW OFFICES DANIEL E MURPH HENNESSY & ROACH PC 765 17WC 21448 MOSER, RICHARD CHICAGO TRANSIT AURTHORIT 03/17/17 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 766 17WC 21518 COCONATO, RICHARD CONCRETE & MARBLE POLISHI 04/27/17 DE FRIES LAW OFFICES PC GILDEA & COGHLAN 767 17WC 21790 CHAVEZ, LOURDES COSTCO 04/01/17 SALVATO & O'TOOLE GANAN & SHAPIRO 768 17WC 21889 PEREZ, GRACIELA CONWED PLASTICS, LLC 10/12/16 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 769 17WC 21911 VALLE, ANGEL DANCO CONVERTING 07/25/17 COSTA IVONE LLC 770 17WC 21965 FINLAY, WILLIAM C ACCURATE TEMPORARY SERVIC 07/20/17 MC ANDREWS & NORGLE LLC 771 17WC 22069 KIRK, MELVIN ALL 1 STAFFING 07/17/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 772 17WC 22089 SELTIN, CATHERINE T NAVISTAR INTERNATIONAL 03/15/17 VITELL & SPITZ LTD NYHAN BAMBRICK KINZIE & LOWR 773 17WC 22179 PULIDO, ANTONIO MOFFAT WIRE & DISPLAY, IN 06/28/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 774 17WC 22246 VALASEK, TIMOTHY J NEW ERA PAINTING 07/26/17 LAW OFFICE OF SCOTT B SHAP RUSIN & MACIOROWSKI LTD 775 17WC 22284 MONTAGNER, MIGUEL AMLI RESIDENTIAL 04/26/17 STEVEN J MALMAN & ASSOCIAT RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 776 17WC 22291 SMITH, CARISSA VILLAGE OF DOWNERS GROVE 05/12/17 CULLEN HASKINS NICHOLSON VILLAGE OF DOWNERS GROVE 777 17WC 22407 FLORES, SERGIO CASEY ELECTRIC SALES, INC 12/05/16 RUEDA, IVAN A NYHAN BAMBRICK KINZIE & LOWR 778 17WC 22497 CHAFEN, LULA U.S. RENAL CARE 07/14/17 LAW OFFICES MICHAEL HELLMA LAW OFFICES OF EDWARD J. KOZ 779 17WC 22608 DEL RIO, JULIETA GCA SERVICES GROUP, INC 04/17/17 THE ROMAKER LAW FIRM GOLDBERG SEGALLA LLC 780 17WC 22729 HURST, JOHN WOOD DALE FIRE PROTECTION 07/24/17 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 781 17WC 22804 MASTNEY, CAROL PEPPERIDGE FARM, INC 03/10/17 MARKER & ASSOCIATES CHILTON YAMBERT PORTER LLP 782 17WC 22857 AVILA, VERONICA TEMP'S PDQ, INC 05/30/17 SALVATO & O'TOOLE POWER & CRONIN LTD 783 17WC 22869 HORVATH, JIMMY MEDTRONIC, INC 05/10/17 CULLEN HASKINS NICHOLSON 784 17WC 22936 SNYDER, JAMES TEAM INC. 07/14/17 JOHNSON, MICHAEL D & ASSOC HENNESSY & ROACH PC 785 17WC 23019 COSSYLEON, JOSE ASG STAFFING 07/07/17 VRDOLYAK LAW GROUP LLC 786 17WC 23260 GARCIA, VICTORIA E FIRST HOSPITALITY GRP INC 06/08/17 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 787 17WC 23526 TINAJERO, ANTONIO ADECCO STAFFING 05/12/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH, PC 788 17WC 23543 LUCCHESI, CATHERINE EUROPEAN WAX CENTER 03/18/17 FRANCIS J DISCIPIO LAW OFF 789 17WC 23630 JAMES, WILLIAMS C&C BUILDING SOLUTIONS 06/28/17 STEWART C ORZOFF 790 17WC 23832 ELSMAN, BRIAN W UBER TECHNOLOGIES 07/29/17 CULLEN HASKINS NICHOLSON 791 17WC 23855 ESCAMILLA, JAIME FED EX FRIEGHT 04/17/14 ROMANUCCI & BLANDIN QUINTAIROS PRIETO WOOD & BOY 792 17WC 24023 LOPEZ, HUMBERTO J&K CABINETRY, INC 03/05/16 RUSIN & MACIOROWSKI LTD 793 17WC 24132 LUNA, RICK STAIR ONE INC 08/12/17 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 794 17WC 24171 MORALES, DOUGLAS ELITE STAFFING 08/05/17 JAMES J. GAY BRADY CONNOLLY & MASUDA PC 795 17WC 24246 HIGUERA, JUAN DR PEPPER SNAPPLE GROUP 06/14/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 796 17WC 24390 LAFEVER, MICHAEL STATE LINE CORP 08/17/17 O'CONNOR & NAKOS 797 17WC 24431 SALGADO, PRISCILLA WINDSOR PARK 04/14/17 COSTA IVONE LLC ASHER, RAYMOND L LTD 798 17WC 24563 STEWART, PAUL MARIANO'S 08/09/17 RATHBUN CSEVENYAK & KOZOL 799 17WC 24632 TURNER, SARIE A VILLAGE OF OAK BROOK 06/12/16 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 800 17WC 24639 RIVERA, CARLOS CONNELLY ELECTRIC 07/07/17 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 801 17WC 24885 ADAMS, BRYANNA COURIER DISTRIBUTION SYST 08/12/17 DAVID W MARTAY QUINTAIROS PRIETO WOOD & BOY 802 17WC 24912 DECESARE, DOMENIC UNITED PARCEL SERVICE INC 07/17/17 MC HARGUE & JONES LAWRENCE COZZI - LAW OFFICE 803 17WC 25002 SCOTT, CHRYSTAL DRIVE TIME 04/01/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 804 17WC 25046 KLABISH, SHERI JOANN EVERGREEN ALLIANCE GOLF 08/12/17 SALVATO & O'TOOLE HENNESSY & ROACH PC 805 17WC 25304 MARTINEZ, LEONARDO S&S INTERNATIONAL 08/19/17 PETER D CORTI LAW GROUP WIEDNER & MCAULIFFE LTD 806 17WC 25583 KETCHERSIDE, VICTORIA JAN EAGLE MERCHANDISING SOLUT 12/06/16 BUTLER & KEMPER BRADY CONNOLLY & MASUDA PC 807 17WC 25650 DONOHUE, JAMES AUTONATION - MERCEDEZ-BEN 08/10/17 GRAVLIN, MICHAEL J LLC NYHAN BAMBRICK KINZIE & LOWR 808 17WC 25672 THOMAS, DAVID LEWIS PROCESS SYSTEMS 12/11/15 JOHN E LUSAK LAW OFFICES JOSEPH MARCINIAK 809 17WC 25834 SCOTT, MONETTA LEXINGTON MERIT 07/18/17 SEIDMAN MARGULIS & FAIRMAN 810 17WC 25920 WILLARD, RYAN LAUREL BMW OF WESTMONT 06/24/17 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 811 17WC 25939 COOPER, BRIAN VILLAGE OF CAROL STREAM/C 09/01/16 LAW OFFICES DANIEL E MURPH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 812 17WC 25963 BABU, ALEYAMMA ELMHURST MEMORIAL HOSPITA 07/02/17 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 813 17WC 26003 BARTON, MICHAEL VILLAGE OF VILLA PARK 07/25/17 CUDA LAW OFFICES 814 17WC 26060 LOPEZ-JIMENEZ, ALAN HOME RUN INN 08/21/17 CHEPOV & SCOTT LLC 815 17WC 26076 MCDUFFEE, KELLY WILDSIDE JEEP CUSTOMS 07/24/17 MEYERS & FLOWERS COZZI & GOGGIN-WARD 816 17WC 26292 DATTOLO, OTTAVIO NOLTES AUTO REPAIR 07/27/17 DAVID W MARTAY JOSEPH MARCINIAK 817 17WC 26334 ESTRADA, LOURDES VILLAGE OF CAROL STREAM/C 06/23/17 LAW OFFICES DANIEL E MURPH 818 17WC 26392 ALASCAGUA, PAULA CREATIVE RESOURCE PERSONN 08/01/17 ANKIN LAW OFFICE ROBERT L. SMITH 819 17WC 26496 VOSE, TIMOTHY SUTFIN MECHANICAL, INC 06/16/16 GOLDBERG WEISMAN & CAIRO L 820 17WC 26601 BROWN, TEWAN NICOR GAS 08/12/17 SHELDON I MINKOW & ASSOCIA 821 17WC 26936 RUSSELL, WADE PATRICK DEALER GROUP D/B/ 08/31/17 GRAZIAN & VOLPE PC 822 17WC 27066 REYES, JOSE FIC AMERICA CORP 04/29/17 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 823 17WC 27142 WILLIAMS, AUDREY PARKER HANNIFIN CORPORATI 08/24/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 824 17WC 27213 LEWIS, MIKE BRONSON & BRATTON, INC 04/28/17 SCHWEICKERT & GANASSIN 825 17WC 27301 CAMPOS, JESSICA ELITE STAFFING 08/01/17 TEWS THEISEN & THEISEN 826 17WC 27336 WITKUS, ANGELA C CITY OF WARRENVILLE 01/28/17 THOMAS W DUDA 827 17WC 27350 VERDUGO, KARLA FLEXICORP, INC. 04/11/17 HERRERA LAW CENTER ROBERT L. SMITH 828 17WC 27364 REYNOLDS, DANIEL KALLEMEYN COLLISION CENTE 08/29/17 COPELAND FINN & FIERI LTD 829 17WC 27468 MUNOZ, JOSE CLIPPER INDUSTRIES 04/27/17 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 830 17WC 27505 RICE, JIMMY NATIONWIDE RAIL SERVICES 05/01/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 831 17WC 27622 SKOWRON, DANUTA BAKERS SQUARE/AMERICAN BL 03/22/17 LAW OFFICE OF JAMES H MILL BRYCE DOWNEY & LENKOV LLC 832 17WC 27654 HARRIS-WILLIAMS, LIONEL WISMETTAC ASIAN FOODS 07/25/17 LEONARD LAW GROUP LLC KOPKA, PINKUS DOLIN, PC 833 17WC 27712 JASINOWSKI, DARRYL GENESIS CONSTRUCTION INC 06/16/17 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 834 17WC 27789 WILSON, JAMES ACE HARDWARE 07/03/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 835 17WC 27867 LIGHTFOOT, CARL SOUTHERN COMPANY GAS D/B/ 09/12/17 CORBOY & DEMETRIO PC MACIOROWSKI SACKMANN & ULRIC 836 17WC 27895 MENDEZ, CARLOS PARKER HANNAFIN 08/23/17 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 837 17WC 27900 KENZLE, JOSH DMS MOVING & STORAGE DBA 09/15/17 RITTENBERG & BUFFEN GANAN & SHAPIRO 838 17WC 27930 CAMARGO, FRANCISCO GOMEZ BALANCED ENVIRONMENTS INC 07/12/17 CHEPOV & SCOTT LLC LAW OFFICES OF EDWARD J. KOZ 839 17WC 28035 FLORES, ELVIA BENIHANA 07/27/17 GOLDSTEIN BENDER & ROMANOF 840 17WC 28121 BONILLA, MARIA HANDI FOIL CORPORATION 02/05/17 DWORKIN AND MACIARIELLO 841 17WC 28140 STEENBERGEN, CHRISTINE RUSSO & RUSSO LTD 04/18/17 ZOTTI, ROBERT J LAW OFFICE BRADY CONNOLLY & MASUDA PC 842 17WC 28155 SANTIAGO, BRANDON M VILLAGE OF VILLA PARK 10/29/14 GOLDBERG WEISMAN & CAIRO L 843 17WC 28284 HILL, VERNON PROTILLOS 08/24/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 844 17WC 28299 WILLIAMS, SCOTT ROLLPRINT PACKAGING 01/05/15 JOHN J CASTANEDA KEEFE CAMPBELL & ASSOC LLC 845 17WC 28417 WILLIAMS, NANCY SPECIALTY ROLLED METALS, 12/09/15 COHN & COHN GAROFALO SCHREIBER STORM 846 17WC 28474 ROSCH, HEATHER TARGET 08/14/17 LAW OFFICE OF SCOTT B SHAP 847 17WC 28536 MONTEZ, MICHAEL NRJM INC, DBA DOMINO'S PI 09/08/17 MARC J SHUMAN & ASSOCIATES CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 848 17WC 28572 DE LA CRUZ, ANA I ARCHITECTURAL BUILDERS 09/12/17 RUEDA, IVAN A HOLECEK & ASSOCIATES 849 17WC 28628 BROWN, MATTHEW DECK MEDIC/L&L BROTHERS S 09/05/17 PORRO NIERMANN LAW GROUP 850 17WC 28699 HAUSER, LORI ALL SAINTS CATHOLIC ACADE 01/10/17 RATHBUN CSEVENYAK & KOZOL 851 17WC 28729 CRUZ, IRENE CLEAR STAFFING 10/08/16 EDWIN REYES LEGAL GROUP 852 17WC 28779 MARCINIAK, DANIEL VILLAGE OF LOMBARD 09/07/17 MARQUARDT KALLAS & BELMONT 853 17WC 28824 SANTOYO, PEDRO F&J RODRIGUEZ LANDSCAPING 09/09/17 AIOSSA LAW FIRM JAMES M GERAGHTY 854 17WC 28997 AVILES, NORMA ADVANCED URETHAN TECHNOLO 11/04/16 LAW OFFICES OF ANSELMO DUR 855 17WC 29158 MUNOZ SANCHEZ, SALVADOR OPUS DEVELOPMENT CORP 08/30/17 GAROFALO SCHREIBER STORM 856 17WC 29212 ERDMANN, BONNIE SUNRISE SENIOR LIVING 07/27/17 GOGGIN & ASSOCIATES 857 17WC 29288 KOZERA, KATARZYNA OLSON RUG, CO 05/31/17 DAVID W MARTAY JOSEPH MARCINIAK 858 17WC 29338 YARBROUGH, NIDIEA SPEEDWAY 09/08/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 859 17WC 29354 KARAYEVA, GYULNARA WINCUP @ 12/08/14 FEDOR KOZLOV & ASSOC HOLECEK & ASSOCIATES 860 17WC 29433 IVANOVSKA, KARAVILKA WALMART 04/29/17 WHITESIDE & GOLDBERG LTD GANAN & SHAPIRO 861 17WC 29491 PETERS, JAMES THE PORTILLO'S RESTAURANT 10/01/15 STEPHAN L. HOFFMAN 862 17WC 29494 PETERS, JAMES THE PORTILLO'S RESTAURANT 09/02/15 STEPHAN L. HOFFMAN 863 17WC 29526 NUNO, ABIGAIL EMERITUS 10/31/14 EPSTEIN, JACK R LAW OFFICE ROSARIO CIBELLA 17WC029527 -C BROOKDALE BURR RIDGE 18WC008483 -C 864 17WC 29548 VIOLA, THOMAS ACURA INC 08/29/17 GOLDBERG WEISMAN & CAIRO L LAW OFFICES OF EDWARD J. KOZ 865 17WC 29632 LOPEZ, MIGUEL DIAZ THE DRAKE HOTEL 09/17/17 COSTA IVONE LLC COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 866 17WC 29780 GALVEZ, OSCAR ANVERI CONSTRUCTION CORP 09/28/17 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 867 17WC 29929 GARCIA, ARACELLI BRIGHTON GARDENS OF WHEAT 07/04/17 TURNER & SACKETT LLC HENNESSY & ROACH PC 17WC029932 -C 17WC036781 -C 868 17WC 29953 ROBLES, CYNTHIA ILLINOIS DEPARTMENT OF @ 02/10/17 WILLIAM B MEYERS, LTD ASSISTANT ATTORNEY GENERAL 869 17WC 29980 MCALPINE, MONIQUE BRENTFORD 10/04/17 ANGELINI & ORI LLC 870 17WC 30412 THOMAS, WARDIA NESTLE HOLDINGS INC 01/01/16 POLANSKY & CICHON CHTD NYHAN BAMBRICK KINZIE & LOWR 17WC030413 -C 871 17WC 30537 BOLAND, MERCEDITA XANITOS 08/11/17 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD 872 17WC 30543 ACEVEDO, CECILIA GF MANAGEMENT, INC. 03/10/17 ARIANO HARDY NYULI JOHHSON 873 17WC 30581 MARTINEZ, JOSE A TEMPCO ELECTRIC HEATER CO 08/09/16 RUEDA, IVAN A INMAN & FITZGIBBONS 874 17WC 30613 MITCHELL JR, KEITH AEROTEK 11/03/16 HORWITZ HORWITZ & ASSOC 875 17WC 30627 JOERNDT, WILLIAM CECCHIN PLUMBING & HEATIN 11/25/14 MARC J SHUMAN & ASSOCIATES 876 17WC 30668 SCHROM, JOSEPH WOODRIDGE SCHOOL DISTRICT 08/17/17 CAPRON & AVGERINOS PC ANCEL GLINK DIAMOND BUSH & E 877 17WC 30708 CHRISTENSEN, SCOTT RELIABLE BASEMENT SERVICE 09/15/17 878 17WC 30823 CLAY, LEANDRA HCR MANORCARE HEALTH SVCS 09/19/17 HETHERINGTON KARPEL BOBBER BRYCE DOWNEY & LENKOV LLC 879 17WC 30874 LINDQUIST, LISA P.F. CHANGS 09/24/17 JOHN E LUSAK POWER & CRONIN LTD 880 17WC 30972 AHNERT, KIM PON NORTH AMERICA, INC 10/18/17 CAPRON & AVGERINOS PC GRANT & FANNING 881 17WC 31009 CIOMBOR, JEROME ENTERPRISE HOLDINGS 04/18/17 DWORKIN AND MACIARIELLO 882 17WC 31052 STALEY, MALLORY THEISINGE JUST EAT IT, INC 10/29/14 PULLANO LAW GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 883 17WC 31101 AGUILAR, JUAN SWD, INC 09/21/17 ANGELA NARDI-QUIGLEY 884 17WC 31111 ADKINS, THOMAS M PACKEY WEBB FORD 01/06/16 FIGLIOLI, DAVID 885 17WC 31223 PETERSON, VICTORIA PETCO 09/24/17 DWORKIN AND MACIARIELLO 886 17WC 31306 GUZMAN, RICARDO PACKAGING DESIGN CORP 09/14/17 CULLEN HASKINS NICHOLSON 887 17WC 31315 MEDINA, DANIEL FEDEX FREIGHT 10/28/15 VRDOLYAK LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 888 17WC 31404 HODUR, KENNETH W METROPOLITAN STEEL 12/01/15 RUBIN LAW GROUP GAROFALO SCHREIBER STORM 889 17WC 31502 GARCIA, RAYMUNDO H2 OPS HOLDING INC 10/15/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 890 17WC 31548 VAZQUEZ, JESSICA TRIUNE LOGISTICS DBA 09/13/17 VRDOLYAK LAW GROUP LLC LITCHFIELD CAVO 891 17WC 31627 KASPRZYK, KRZYSZTOF STALEX, INC 02/13/17 THERMAN LAW OFFICES 892 17WC 31725 BANKS, SHONNETTE EMBASSY SUITE CHICAGO DBA 10/09/16 ANKIN LAW OFFICE GRANT & FANNING 893 17WC 31911 LIGNOWSKI, RONALD DIXON/DVCC INC 09/11/17 ROSENBERG EISENBERG ASSOC CLAYBORNE SABO & WAGNER 894 17WC 31943 DAVILA CONTRERAS, ANGELIN M.A. BUILDING SERVICES, I 10/06/17 COSTA IVONE LLC 895 17WC 32024 MARTINEZ, MARIA WYNDEMERE LIFE CARE SERVI 08/02/17 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 17WC032025 -C 896 17WC 32041 TOVAR, JOSE MANUEL ALMARA DELL RHEA'S CHICKEN BASKE 10/20/17 SALK, STEVEN B & ASSOC LTD KOPKA, PINKUS DOLIN, PC 897 17WC 32065 BUSCHMAN, RALPH HOME DEPOT #1905 10/10/17 PORRO NIERMANN LAW GROUP ADELSON TESTAN BRUNDO 898 17WC 32109 MARTINEZ, JOSE DE JESUS D ERA VALDIVIA 06/14/17 RUEDA, IVAN A GAROFALO SCHREIBER STORM 899 17WC 32277 TOVAR, PEDRO GREEK ISLANDS RESTAURANT 08/10/17 SCHWEICKERT & GANASSIN 900 17WC 32378 HILL, VERNON PORTILLOS 08/24/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 901 17WC 32564 DUENES, IRMA ADDUS HOME CARE INC. 10/17/17 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 902 17WC 32588 MASUDI, MOBASHIRA RAY GRAHAM ASSOCIATES 11/11/16 RITTENBERG & BUFFEN COZZI & GOGGIN-WARD 17WC032589 -C 17WC032590 -C 903 17WC 32597 MARTINEZ, MATIAS F.R.Y INSTALLATIONS CORP 01/25/16 CUSHING LAW OFFICES 904 17WC 32614 DE'AQUINO, ISMAEL SPARKS COMPLETE CAR CARE 10/28/17 LEONARD LAW GROUP LLC NOBLE & ASSOCIATES PC 905 17WC 32652 CRUZ, ERIC COCA COLA REFRESHMENTS US 09/23/17 GAINES & GAINES 906 17WC 32730 MAGGIO, LINDA MARIANOS 10/15/17 ANGELINI & ORI LLC BRYCE DOWNEY & LENKOV LLC 907 17WC 32773 LAYER, WAYNE COOK COUNTY SHERIFF'S OFF 06/14/17 DRISCOLL LAW OFFICES PC STATES ATTORNEY OF COOK COUN 908 17WC 32888 GOMEZ, CARLOS LABOR TEMPS II, LLC 09/28/17 KARCHMAR & STONE ROBERT L. SMITH 909 17WC 32904 GARCIA, ROSA MARKETING CARD TECHNOLOGY 07/10/17 JONATHAN SCHLACK GANAN & SHAPIRO 910 17WC 32938 ALVARADO, MARGARITA M, SU MICHAEL & MAREK CITOVSKY # 10/09/17 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 911 17WC 32968 HERNANDEZ, DARWIN CHAVEZ & SONS, INC 05/15/17 E JAMES RAYMOND RUSIN & MACIOROWSKI LTD 912 17WC 33017 ROJAS, VANESSA J MONTESSORI CHILDREN'S ACA 08/18/17 FIGLIOLI, DAVID 913 17WC 33097 ORTA, OSCAR OX BOX 08/08/17 COSTA IVONE LLC 914 17WC 33153 SULLIVAN, JOHN AUTO ZONE 06/01/17 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 915 17WC 33182 NEWELL, BARBARA SPRING MEADOWS NAPERVILLE 09/27/17 MARKER & ASSOCIATES LAW OFFICES JOSEPH MARCINIAK 916 17WC 33208 CIFUENTES, DAVID MISTICA FOODS/SPECIALIZED 10/25/17 JAY S. SHETH LLC SLAVIN & SLAVIN 917 17WC 33350 BYRNE, MICHAEL MARCO & ASSOCIATES LLC 09/06/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 918 17WC 33378 SCHUPINKA, CHRISTOPHER SUZIE FUN FOODS LLC 07/02/17 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 919 17WC 33436 GUZMAN, RICARDO SOTO COMMUNITY CONSOLIDATED 10/26/17 COSTA IVONE LLC 920 17WC 33471 DUBOVI, LYNDA AMETEK, INC 10/14/17 FOOTE MIELKE CHAVEZ & O'NE BRADY CONNOLLY & MASUDA PC 921 17WC 33626 HOCKSTEIN, GREGG E US FOODS 10/24/17 JOHNSON, MICHAEL D & ASSOC BRADY CONNOLLY & MASUDA PC 922 17WC 33746 VIRAVEC, BARBARA MCMASTER-CARR SUPPLY COMP 09/18/17 TARADASH LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 923 17WC 33855 GILL, KATHLEEN INDIAN PRAIRIE SD 204 05/08/17 RONALDSON & KUCHLER BRADY CONNOLLY & MASUDA PC 924 17WC 33899 DENAULT, PAUL L ARROW RD CONSTRUCTION 11/08/17 SANDMAN LEVY & PETRICH NYHAN BAMBRICK KINZIE & LOWR 925 17WC 33973 RUIZ, WILBERTH CRATE & BARREL 05/22/17 KINNALLY FLAHERTY KRENTZ & MACIOROWSKI SACKMANN & ULRIC 926 17WC 34050 RUSSELL, KENDRA, MOTHER O COMCAST # 09/29/16 LAW OFFICE PATRICK JENNETT SPIEGEL & CAHILL, PC 927 17WC 34338 BROOKS, MYSOLINE DIAMOND EXPEDITED 11/09/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 928 17WC 34499 HALLIDAY, WILLIAM OWENS & MINOR 11/16/17 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL & ASSOC LLC 929 17WC 34656 GUZMAN, MARIA ITW BUILDEX 11/14/16 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 930 17WC 34770 WARD, VIOLA EDWARD HOSPITAL 08/18/17 WITTENBERG DOUGHERTY MAGLI 931 17WC 34791 CARTER, RICKEY L CHICK-FIL-A INC 11/09/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 932 17WC 34821 LOPEZ, JOSE GARCIA ALU-BRA FOUNDRY INC 10/20/17 HERRERA LAW CENTER KNELL & O'CONNOR 933 17WC 34854 OROZCO, JUAN INNOCOR 11/14/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 934 17WC 34883 CHARRIER, ROSS IMPAX SHIPPINGSOLUTIONS 08/25/17 EDWIN REYES LEGAL GROUP 935 17WC 34964 LAHEY, JOSEPH P FAIR OAKS FORD LINCOLN 10/06/17 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 17WC034965 -C 936 17WC 34977 JALLOH, ALUSAINE WHEATON CARE CENTER 10/28/17 SCOTT BARBER BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 937 17WC 35082 MARTIN, BOBBY IH SERVICES INC 10/28/17 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 938 17WC 35180 LEWIS, FINEESHA ELMHURST HOSPITAL 11/16/17 KREITER, BYCK & ASSOC LLP KEEFE CAMPBELL & ASSOC LLC 939 17WC 35233 JOHNSON, STEVEN SCS LOGISTICS 11/21/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 940 17WC 35260 MARTINEZ, ALFONSO U.S. FOODS CHICAGO 10/23/17 OSVALDO RODRIGUEZ PC BRADY CONNOLLY & MASUDA PC 17WC010600 -C US FOODS CHICAGO 941 17WC 35300 BERNDT, ROBERT AMERISAFE CONSULTING & SA 03/23/15 PORRO NIERMANN LAW GROUP JOSEPH MARCINIAK 942 17WC 35332 SHEPHERD, FREDERICK FED EX 08/02/17 STEVEN H MEVORAH & ASSOCIA KOPKA, PINKUS DOLIN, PC 943 17WC 35341 ALFARO, ADAN XCELL INTERNATIONAL CORP 07/22/17 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 944 17WC 35350 KING, RAQUEL RESCARE 08/29/17 STROM, NEAL B SPIEGEL & CAHILL, PC 945 17WC 35414 PUEBLA, ARACELI M & M RENTAL CENTER, INC 11/02/17 AIOSSA LAW FIRM LAWRENCE COZZI - LAW OFFICES 946 17WC 35470 MURILLO, LEONOR GCA SERVICES GROUP 09/13/17 LAW OFFICE PHILIP BLOMBERG 947 17WC 35505 COMELLA, MICHAEL SPEEDWAY LLC 11/03/16 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 948 17WC 35520 O'DONNELL, JAMES L CONNELLY ELECTRIC 07/07/17 COLLISON LAW OFFICES BRADY CONNOLLY & MASUDA PC 949 17WC 35535 DOYLE, CARMEN NEW ALBERTSON'S/ 10/03/17 JOHN E LUSAK BRADY CONNOLLY & MASUDA PC 950 17WC 35571 FRINDT, KRAIG HARRY CARAY'S ITALIAN STE 11/23/17 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 951 17WC 35622 CARROLA, LEONEL AJ ANTUNES & CO 02/02/17 KATZ FRIEDMAN EAGLE ET AL 952 17WC 35662 SALMAN, MAIS ADVENTIST GLENOAKS HOSPIT 11/25/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 953 17WC 35718 OCOTITLA TELLEZ, RAYMUNDO PRO ACTIVE REMODELING CO 06/27/17 C DEAN MATSAS 954 17WC 35809 GACEK, BRUNO AT&T 09/06/17 FOOTE MIELKE CHAVEZ & O'NE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 955 17WC 35872 HART, ROSA SPECIALIZE STAFFING SOLUT 11/28/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 956 17WC 36035 TWADELL, KEVIN CEF INDUSTRIES 09/26/17 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 957 17WC 36069 BUENROSTRO, ALONZO LAKEWOOD PAVING COMPANY 09/21/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 958 17WC 36155 ZENTENO, ROBERTO SERVICEMASTER RESTORATION 04/18/17 LAW OFFICES OF ANSELMO DUR 959 17WC 36215 AYALA, CECILIA E FCA MOPAR 10/31/17 GALLAGHER, DONALD V CHILTON YAMBERT PORTER LLP 960 17WC 36257 KNAPPE, DEANNA KIDDIE ACADEMY OF NAPERVI 07/05/17 CARROLL LAW OFFICES 961 17WC 36303 HILLIARD, JOHN OMEGA FLEET SERVICES 11/16/17 SAUNDERS CONDON & KENNY 962 17WC 36325 CONTRERAS, JOEL WESTERN SPECIALTY 09/06/17 MC HARGUE & JONES HOLECEK & ASSOCIATES 963 17WC 36340 GUTIERREZ, ALFREDO LOMBARD HOSPITALITY LLC 06/03/17 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 964 17WC 36388 MARKER, JEFF ABBOTT LABEL 09/06/17 MARKER & ASSOCIATES EDWARD J. KOZEL 965 17WC 36550 BUENO, OLGA C NESTLE 12/14/16 BARRY STEWART SILVER NYHAN BAMBRICK KINZIE & LOWR 966 17WC 36601 MYLES, NICOLE SULLIVAN'S STEAKHOUSE/DEL 10/16/17 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 967 17WC 36651 REYNA, JESSIE DIAMOND CARPET SERVICE 05/24/17 SANDMAN LEVY & PETRICH 968 17WC 36725 ZUNIGA, GERARDO UNIVERSAL MASONRY 11/29/17 ANCEL GLINK DIAMOND BUSH & 969 17WC 36767 SKOWRONSKI, JEFFREY R STAN'S ROOFING AND SIDING 11/29/17 GOLDBERG WEISMAN & CAIRO L 970 17WC 36856 POWELL, AERIAL ASG STAFFING INC 11/30/17 ANKIN LAW OFFICE 971 17WC 36944 REASNEY, RENEE BETTR CARE INC 10/16/17 MARKER & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 972 17WC 36965 MARTINEZ, MARIA MIDWAY JANITOR SERVICE 10/11/16 COYNE REINKE LAW KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 973 17WC 37117 SMITH, RENICK UPS FREIGHT 11/28/17 RIDGE & DOWNES ASA LAW GROUP 974 17WC 37213 GARCIA, HUGO NORAMCO 07/11/17 CARONE LAW OFFICES 975 17WC 37287 KAPUSCIK, BARBARA COMMUNITY PT THERAPIST 01/15/17 ANGELINI & ORI LLC HEYL ROYSTER VOELKER & ALLEN 17WC037288 -C 976 17WC 37302 CARSON, DOUGLAS DEMAR LOGISTICS, INC 06/06/17 LEWIS & DAVIDSON, LTD KOPKA, PINKUS DOLIN, PC 977 17WC 37327 FIGUEROA, ERNESTO S KINGS EXPRESS 09/22/17 WARREN W MARK 978 17WC 37345 SANCHEZ, BLANCA 1ST CLASS STAFFING LLC 04/04/17 THERMAN LAW OFFICES GRANT & FANNING 979 17WC 37464 CALLAHAN, PATRICK SERENITY LAWN CARE 11/14/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 980 17WC 37488 VAZQUEZ, MARCUS SR STATE OF ILLINOIS, ILLINO @ 07/28/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 981 17WC 37513 CAMACHO-SOLIS, JORGE OVERTIME BACON BAR 11/10/17 KATZ FRIEDMAN EAGLE ET AL 982 17WC 37625 FIGUEROA, MICHAEL CASSIDY TIRE & SERVICE 10/01/17 KARCHMAR & STONE 983 17WC 37666 OTTO, IRINA IL TOLLWAY AUTHORITY @ 11/28/17 WOODRUFF & JOHNSON GANAN & SHAPIRO 984 17WC 37902 GEHRING, GREGG NABISCO INC/KRAFT/MONDELE 11/30/17 STROM, NEAL B 985 17WC 37943 AMBRIZ, LETICIA NESTLE 10/16/15 FRANCIS J DISCIPIO LAW OFF NYHAN BAMBRICK KINZIE & LOWR 986 18WC 00117 LINDSEY, LESLEY IMI CORNELIUS 08/06/17 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 987 18WC 00186 WILLIAMS, FAITH LEXINGTON HEALTH CARE 09/24/16 DAVID W MARTAY 988 18WC 00233 GRIMALDO, GABRIEL UNISTAFF INC 12/05/17 ANKIN LAW OFFICE GANAN & SHAPIRO 989 18WC 00254 NYSTORM, RON BRIDGEWAY SENIOR LIVING 10/02/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 990 18WC 00350 ANDRADE, JOAQUIN CONTINENTAL CARBONIC 10/01/17 JOHN S. ELIASIK SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 991 18WC 00451 SENIOR, ANDREW INPAX SHIPPING SOLUTIONS 12/24/17 GOLDBERG WEISMAN & CAIRO L 992 18WC 00478 KEATING, CAROL A FIRST TRANSIT, INC 11/29/17 BRILL & FISHEL 993 18WC 00506 REUM, ROBERT VALLEY FASTENER GROUP 04/01/15 NEWLAND & NEWLAND KEEFE CAMPBELL & ASSOC LLC 994 18WC 00566 SCHWEITZER, DAVID W G&K SERVICES, INC 12/04/17 TUITE LAW POWER & CRONIN LTD 995 18WC 00609 TILLMAN, RICO D.T. CHICAGOLAND EXPRESS, 01/02/18 THE ROMAKER LAW FIRM HINSHAW & CULBERTSON 996 18WC 00822 WARFIELD, MARTIN B UPS 12/18/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 18WC000823 -C 997 18WC 00862 BRENT, DELIA SOUTHERN GAS COMPANY 07/06/17 COYNE REINKE LAW MACIOROWSKI SACKMANN & ULRIC 998 18WC 00969 BONNEVILLE, GEOFFREY COLLIERS INTL 09/19/17 HEALY SCANLON LAW FIRM LAWRENCE COZZI - LAW OFFICES 999 18WC 00997 CENTENO, IVAN MAUSER USA LLC 01/06/18 JAMES J. GAY 1000 18WC 01022 WOODS, DARNELL US FOODS 12/08/17 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 1001 18WC 01027 STEWART, JOHN CRANA SERVICES, LLC 07/13/17 MC HARGUE & JONES JOSEPH MARCINIAK 1002 18WC 01047 MOOI, SHARYN WALGREENS 09/02/16 MARKER & ASSOCIATES GILDEA & COGHLAN 1003 18WC 01161 PORRECA, JOHN WASTE MANAGEMENT INC 11/06/17 LAW OFFICE DAVID W CLARK 1004 18WC 01187 MORGAN, JACQUELINE RAY GRAHAM ASSOCIATION 03/22/17 TRUGLIO, FRED A & ASSOC LAWRENCE COZZI - LAW OFFICES 1005 18WC 01281 BARBER, LAWRENCE A SR IL TOLL HIGHWAY AUTHORITY 05/31/17 BARRY A KETTER GANAN & SHAPIRO 1006 18WC 01302 ANDERSON, EUREKA WAL-MART STORES INC 12/09/17 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 1007 18WC 01329 ARROYO, OSCAR VICTOR ENVELOPE CO., INC. 01/05/18 ELFENBAUM EVERS & AMARILIO 1008 18WC 01369 JACKSON, MARILYN AMERICAN TAXI 01/03/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1009 18WC 01395 STEPHAN, RONALD CENTRAL DUPAGE HOSPITAL 01/06/18 WHITESIDE & GOLDBERG LTD 1010 18WC 01427 LAZCANO, SILVESTRE MORGAN OHARE INC 04/08/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 1011 18WC 01447 BOONE, JESSICA SEASONS HOSPICE NAPERVILL 12/31/16 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 1012 18WC 01456 ALVA-MONTOYA, JOSE MULTI TEMPS SERVICES, INC 07/10/17 RUEDA, IVAN A ROBERT L. SMITH 1013 18WC 01481 SUBASIC, JASMINA CHICAGO AUTISM BEHAVIOR S 09/25/17 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM 1014 18WC 01513 SKARZYNSKI, STEVEN D A-L EQUIPMENT 11/20/17 GALLAGHER, DONALD V BRYCE DOWNEY & LENKOV LLC 1015 18WC 01661 NIZIOLEK, CATHERINE DARDEN RESTAURANTS INC 08/04/17 ANKIN LAW OFFICE 1016 18WC 01821 PAWLAK, PAMELA CHEESECAKE FACTORY 01/10/18 DWORKIN AND MACIARIELLO 1017 18WC 01919 LAIRD, AUDRETTE MARIANO'S 03/07/17 HORWITZ HORWITZ & ASSOC 1018 18WC 01952 UMANO, NICHOLAS CRESTLINE HOTELS & RESORT 12/03/17 PETER D CORTI LAW GROUP 1019 18WC 01979 HIGGINS, WILEEN M THE SASALLE NETWORK 10/03/17 ANKIN LAW OFFICE 1020 18WC 02064 ORTEGA, CHRIS INCREDIBLE BUILDERS, INC 05/03/17 HORWITZ HORWITZ & ASSOC 1021 18WC 02117 SANDOVAL, SALVADOR HYDRA-STOP 10/19/17 MARC J SHUMAN & ASSOCIATES 1022 18WC 02136 ZIDEL, JON TEK SYSTEMS 01/04/18 SLAVIN & SLAVIN WIEDNER & MCAULIFFE LTD 18WC002132 -C 1023 18WC 02198 LANGE, LAURA ALLIANCE DATA SYSTEMS 02/06/17 PAUL MARZANO JOSEPH MARCINIAK 1024 18WC 02218 MADISON, COLIN ARENA FOOTBALL ONE, LLC 08/04/17 GORDON & CENTRACCHIO LLC 1025 18WC 02250 SANCHEZ, LUIS METALS & SERVICES INC 03/06/17 KARCHMAR & STONE RIPES NELSON BAGGOT KALOBRAT 1026 18WC 02293 COMSTOCK, ROBERT FEDEX GROUND PACKAGE SYST 11/01/17 GRAUER & KRIEGEL LLC KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1027 18WC 02433 GITCHEL, KEVIN KS ENERGY 11/08/17 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 1028 18WC 02493 PASILLAS, ISRAEL CITY OF NAPERVILLE 08/15/17 DRISCOLL LAW OFFICES PC CITY OF NAPERVILLE 1029 18WC 02514 RICE, MICHAEL BMWC CONSTRUCTORS 10/03/17 NESSLER, FREDERIC LAW OFFI BRADY CONNOLLY & MASUDA PC 1030 18WC 02604 MADIA, MOHAMMED UNITED EXPRESS SYSTEMS 08/24/17 HART & DAVID LLP SCOPELITIS GARVIN LIGHT 1031 18WC 02645 LEONARD, GARRETT PERSONALIZATIONMALL.COM 12/18/17 RATHBUN CSEVENYAK & KOZOL 1032 18WC 02714 JULIAN, NIKTORIA RAY GRAHAM ASSOCIATION 09/28/17 GRAZIAN & VOLPE PC 1033 18WC 02782 BASHIR, ABDIRAZAK BENEFIT TRUCKING INC 07/30/16 ANKIN LAW OFFICE GRANT & FANNING 1034 18WC 02786 AVILA, JAVIER NCAB GROUP USA INC 08/15/15 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 1035 18WC 02861 CIESLER, KAREN JEWEL-OSCO 04/13/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1036 18WC 02922 RITZ, DANIEL J ADVENTIST HINSDALE HOSPIT 10/12/16 KROL BONGIORNO & GIVEN LTD RODDY LAW LTD 1037 18WC 02982 WILHITE, TIM ASSOCIATION OF CHRISTIAN 10/11/17 ROMANEK & ROMANEK BRYCE DOWNEY & LENKOV LLC 1038 18WC 03039 SARALLO, ANDREW VILLAGE OF OAKBROOK TERRA 01/02/17 KATZ FRIEDMAN EAGLE ET AL 1039 18WC 03052 PULLEN, JAMES HESTER PAINTING & DECORAT 08/03/17 HANNIGAN & BOTHA, LTD 1040 18WC 03061 BRZEZON, ZDZISLAWA PARKER HANNIFIN CORPORATI 01/10/18 SOSTRIN AND SOSTRIN PC RUSIN & MACIOROWSKI LTD 1041 18WC 03177 LEON, LUIS M CERMAK FRESH MARKET 10/27/17 SALVATO & O'TOOLE 1042 18WC 03222 RAMOS, FRANCISCO CHATEAU NURSING AND REHAB @ 01/01/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 1043 18WC 03359 JAQUEZ, ALICIA A.J. ANTUNES & CO 09/05/17 ROMANUCCI & BLANDIN WIEDNER & MCAULIFFE LTD 1044 18WC 03413 MARTINEZ, CARLOS TODD TRANSIT, INC 06/20/17 MC HARGUE & JONES GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1045 18WC 03536 DONAHUE, DANNIE L HOPEWELL TRANSPORTATION 01/08/18 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 1046 18WC 03684 HUNT, VALERIE ESTES EXPRESS LINES (INC) 06/20/17 FRED J BEER LAW OFFICES 1047 18WC 03845 BOYLE, THERESA RAY GRAHAM ASSOCIATION 07/22/16 COHN LAMBERT RYAN & SCHNEI LAWRENCE COZZI - LAW OFFICES 1048 18WC 04070 CISNEROS, OCTAVIO NORTHSTAR METAL PRODUCTS, 06/29/16 HERRERA LAW CENTER JOSEPH MARCINIAK 1049 18WC 04166 BONAREK, KELLY GOODWILL 10/18/15 MC HARGUE & JONES 1050 18WC 04201 KING, KYLE SEMBLEX 02/09/15 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 1051 18WC 04210 RAMIREZ, LEOPOLDO HOODZ OF DOWNTOWN CHICAGO 01/11/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 1052 18WC 04302 ALVARADO, JOCELYNY THE FINISHING COMPANY 01/30/18 COSTA IVONE LLC 1053 18WC 04321 MICHAUD, DIANE ELM BROOK HEALTHCARE & RE 01/08/18 NILSON STOOKAL GLEASON CAP 1054 18WC 04353 STRASS, ROBERT GIANT STEPS ILLINOIS 10/10/17 GRAUER & KRIEGEL LLC 1055 18WC 04473 AMOS, EARLINE SPRAYING SYSTEMS CO 07/25/16 HORWITZ HORWITZ & ASSOC DONALD J. MORAN 1056 18WC 04622 BUDNER, MICHAEL VAL-MATIC VALVE & MANUFAC 02/08/18 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 1057 18WC 04712 SELVAS, IGNACIO CONTRACT FLOORING SVS 01/15/18 AIOSSA LAW FIRM WIEDNER & MCAULIFFE LTD 1058 18WC 04758 ROMO, BALTAZAR HORIZON CARPENTRY INC 02/12/18 JONATHAN SCHLACK 1059 18WC 04782 JACKSON, RAYSHON ELHURST MEMORIAL HOSPITAL 02/06/18 MARK SCHAFFNER LOSS & PAVONE 1060 18WC 04792 BIENER, DAVID SEARS HOLDING COMPANY 06/21/17 DRISCOLL LAW OFFICES PC 1061 18WC 04904 CARLOS, RIGOBERTO KS ENERGY SERVICES INC 10/28/17 HORWITZ HORWITZ & ASSOC STONE & JOHNSON CHARTERED 1062 18WC 04957 ESTRADA, ALFEDO ARANO NIKRO INDUSTRIES INC 04/18/17 ANGELA NARDI-QUIGLEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1063 18WC 05046 PRICE, FRED STADTLER HEATING & COOLIN 02/03/18 PETER F FERRACUTI & ASSOCI BRADY CONNOLLY & MASUDA PC 1064 18WC 05118 HERRERA, NOE ABM INDUSTRIES, INC 02/02/18 ANESI OZMON RODIN NOVAK KO 1065 18WC 05177 SMITH, VICTORIA SPEEDWAY 02/06/18 JAMES ELLIS GUMBINER & ASS KEEFE CAMPBELL & ASSOC LLC 1066 18WC 05250 MUENCH, BRIAN UNITED PARCEL SERVICE 07/11/17 ARNOLD & KADJAN 1067 18WC 05301 LEANDRY, RUBEN PARAMOUNT STAFFING 02/07/18 JOHN S. ELIASIK 1068 18WC 05532 HALBERG, MARY HOME DEPOT 12/14/15 LOREN S GOLDEN 1069 18WC 05560 DOYLE, KRISTINA GRAPHIC PACKAGNG INTERNAT 11/01/17 DWORKIN AND MACIARIELLO DOHERTY & PROGAR LLC 1070 18WC 05564 TOLEDO, ADRIAN GIORDANO'S 12/31/17 ACEVES & PEREZ PC 1071 18WC 05589 ORTIZ CRUZ, MARIA ASG STAFFING, INC 01/31/18 AIOSSA LAW FIRM FRANCIS J DISCIPIO LAW OFFIC 1072 18WC 05649 KRAUS, ANNE M SCHOOL ASSOC FOR SPECIAL 01/22/18 ANKIN LAW OFFICE 1073 18WC 05679 REA, GABRIELA CRATE & BARRELL 11/22/17 SALVATO & O'TOOLE 1074 18WC 05832 TORRES, THOMAS BLACK HORSE CARRIERS 05/08/17 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 1075 18WC 05943 CHHOM, PISETH DREISILKER ELECTRIC MOTOR 06/30/17 PAUL A COGHLAN & ASSOC 1076 18WC 05980 PARENTE, TINA PINE CONE COTTAGE TEA AND 12/21/17 CUDA LAW OFFICES LAWRENCE COZZI - LAW OFFICES 1077 18WC 06026 KIMBLE, ALEX CAR MAX 07/18/17 MARKER & CRANNELL ASA LAW GROUP 1078 18WC 06053 GLATCZAK, CARYN PILOT FLYING J 02/21/18 ASHER, RAYMOND L LTD 1079 18WC 06093 GUTIERREZ, JUAN CARLOS ATLAS EMPLOYMENT 10/01/17 SKLARE LAW GROUP 1080 18WC 06135 HERNANDEZ, ALEX CO LINES INC 02/16/18 FOHRMAN, DONALD W & ASSOCS MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1081 18WC 06152 ANONUEVO, ASHLEY TOP GOLF 01/14/18 WOODRUFF & JOHNSON 1082 18WC 06175 DOMINGUEZ, GRACIELA CONTR THE COUNTY OF DUPAGE 01/04/18 LULAY LAW OFFICES 1083 18WC 06254 RIGGS, PAUL FIRST STUDENT 03/23/15 MEYERS & FLOWERS 1084 18WC 06275 ESCOBAR, LEO OAK TRACE 01/20/18 MC HARGUE & JONES 1085 18WC 06430 HEIKES, EMILY CITY OF NAPERVILLE 03/30/17 DRISCOLL LAW OFFICES PC CITY OF NAPERVILLE 1086 18WC 06493 MURILLO, CARLOS JC WOOD 11/21/17 GOLDSTEIN BENDER & ROMANOF 1087 18WC 06510 RAMIREZ, ARTURO CCA MIDWEST, INC 12/15/17 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 1088 18WC 06530 CAPER, EDWARD J ABRA AUTO BODY & GLASS 01/16/15 CULLEN HASKINS NICHOLSON RODDY LAW LTD 1089 18WC 06631 POTTS, NANCY ALDI, INC 09/10/17 RIPES NELSON BAGGOT KALOBR 1090 18WC 06649 MIJATOVIC, LJUBICA TARGET 11/23/17 FIGLIOLI, DAVID 1091 18WC 06694 SANCHEZ, MARIA L TJ BUILDING AND MAINTENAN 11/08/17 PETER D CORTI LAW GROUP JOSEPH MARCINIAK 1092 18WC 06766 DAY, DANA PLANET FITNESS 01/21/18 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 1093 18WC 06817 SHEPPARD, DESIREE M CENTRAL DUPAGE HOSPITAL 01/10/18 PHILIP BLOMBERG 1094 18WC 06926 GARCIA, ERIN (GUARDIAN) JIFFY LUBE 10/26/17 PARENTE & NOREM PC 1095 18WC 06978 PULEO, JOSEPH W EUCLID BEVERAGE, LTD. 01/09/18 TURNER & SACKETT LLC ROBERT L. SMITH 1096 18WC 07054 PAGSISIHAN, ANDREI MENARD, INC 03/02/18 GOLDSTEIN AIOSSA & GOOD 1097 18WC 07139 ANDERSON-MCDONALD, DELISA DUNKIN DONUTS 02/06/18 DWORKIN AND MACIARIELLO 1098 18WC 07161 LEAM, SAMNANG T-SYSTEMS INC 01/29/18 KROCKEY CERNUGEL COWGILL E HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1099 18WC 07184 TRIGGS, SAMANTHA FAMILY HOME HEALTH SERVIC 02/07/18 KOSIN LAW OFFICE LTD 1100 18WC 07250 HOOD, SUZANNE CCSD 89 GLEN ELLYN 11/27/17 SEIDMAN MARGULIS & FAIRMAN 1101 18WC 07277 JOHNSON, NINA M PLATED 08/05/16 NILSON STOOKAL GLEASON CAP 1102 18WC 07290 ROHALEY, JACQUELINE FEDEX CORPORATION 01/19/18 COMPTON LAW GROUP KOPKA, PINKUS DOLIN, PC 1103 18WC 07348 JACKSON, DARRIN CHICAGO METROPOLITAN 09/16/16 DWORKIN AND MACIARIELLO 1104 18WC 07431 DI CARLO, SALVATORE O'HARE AUTOMOTIVE INC. 07/25/17 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 1105 18WC 07498 EAGAN, LAURA SERTOMA CENTRE 02/23/18 CUSHING LAW OFFICES 1106 18WC 07578 BEYER, RONALD CTL GLOBAL 02/23/18 JAMES ELLIS GUMBINER & ASS LAWRENCE COZZI - LAW OFFICES 1107 18WC 07602 CONTRERAS, ANTONIO FIVE STAR CONCRETE/ 12/16/17 SCOTT B SHAPIRO CLAYBORNE SABO & WAGNER 1108 18WC 07688 ARMSTRONG, TIFFANY BEACON HILL 09/24/17 DWORKIN AND MACIARIELLO 1109 18WC 07697 ROSARIO, ROBERT EAGLE EXPRESS 01/12/18 BLUMENSHINE LAW GROUP 1110 18WC 07735 HARDY, JENNIFER DUPAGE MEDICAL GROUP 01/24/18 EAMES LAW GROUP LTD LAWRENCE COZZI - LAW OFFICE 1111 18WC 07885 PEREZ, SISTO EDWARD HOSPITAL & HEALTH 12/22/17 PETER D CORTI LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 1112 18WC 07981 HARDESTY, LINDA MEIJER #0198 03/01/16 KEVIN O'BRIEN KOPKA, PINKUS DOLIN, PC 1113 18WC 08025 NEMEC, JERRY U SPECIALTY CONSTRUCTION 10/31/16 DEPAOLO & ZADEIKIS 1114 18WC 08039 MONTGOMERY, RODERIQ PEPPERIDGE FARM 03/02/18 LEONARD LAW GROUP LLC CHILTON YAMBERT PORTER LLP 1115 18WC 08112 STEWARD, HARLEE POWER SOLUTIONS 02/13/18 ANKIN LAW OFFICE 1116 18WC 08186 ZENTENO, ROSENDA ESTEFANI ALL AMERICAN NUT & CANDY 03/06/18 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 65 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1117 18WC 08343 BARRIGAN, JUAN VICTORS EXTERIOR CONSTRUC 02/17/18 DWORKIN AND MACIARIELLO 1118 18WC 08418 KORDOPITOULAS, DEAN STS DELIVERY INC 03/07/18 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 1119 18WC 08549 WYWROT, ELZBIETA ELMHURST MEMORIAL HOSPITA 02/15/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 1120 18WC 08605 BANKS, ARCHIE APC TRUCKING, INC 01/19/18 STROM, NEAL B WIEDNER & MCAULIFFE LTD 1121 18WC 08659 CUNNEEN, ROSE MARIE PROPERTY SPECIALISTS INC 01/30/18 MEYERS & FLOWERS 1122 18WC 08674 LECHUGA, CELIA SCRUBCO INCORPORATED 01/17/17 JOHN J CASTANEDA 1123 18WC 08767 DELGADO, FELIPE THE WESTIN NORTHWEST 02/16/18 GAINES & GAINES 1124 18WC 08833 GUTIERREZ, FRANK LKQ AUTO PARTS 12/28/17 CULLEN HASKINS NICHOLSON 1125 18WC 08864 LAMB, KIMBERLY ELMHURST SCHOOL DIST 205 05/19/17 BOWMAN & CORDAY 1126 18WC 08881 SIMPSON, RANDALL DONAN 10/26/16 ALLEN, WILLIAM LAW OFFICES WIEDNER & MCAULIFFE LTD 1127 18WC 08951 ZEISS, PETER TRANSPARENT CONTAINER CO, 03/01/16 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 1128 18WC 08959 UNRUH, CATHERINE CADENCE HEALTH/ 03/25/15 ROBERT BROUCH 1129 18WC 08991 LEONARD, THOMAS NEUCO INC 11/06/17 VRDOLYAK LAW GROUP LLC CAPUANI, FRANK S 1130 18WC 09013 OROZCO, MARIA L JULIAN ELCTRIC SERVICE IN 03/08/18 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 1131 18WC 09029 NAREL, JOYCE CVS PHARMACY 12/05/17 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 1132 18WC 09133 SALAS JR, PEDRO FED EX 10/03/17 SLAVIN & SLAVIN 1133 18WC 09147 SMITH, JAMES AIRGAS DRY ICE STORE 09/26/17 KATZ FRIEDMAN EAGLE ET AL MC ANDREWS & NORGLE LLC 1134 18WC 09223 JIRONIMO, JUANA EGG HARBOR CAFE 03/02/18 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 66 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1135 18WC 09246 VANDERHOOF, TROY SIEMENS PRODUCT LIFESTYLE 08/24/15 VOGG, MARK J LAW OFFICE HOLECEK & ASSOCIAT0ES 1136 18WC 09301 PARKER, LYNDALE INPAX SHIPPING SOLUTIONS 09/02/17 KATZ FRIEDMAN EAGLE ET AL WOLF LAW LTD 1137 18WC 09334 GOMEZ-GOMEZ, JUAN SYR-TECH PERFORATING COMP 03/13/18 SALK, STEVEN B & ASSOC LTD 1138 18WC 09352 RAMIREZ, AGUSTIN JR. CRATE & BARREL 06/27/17 BART DURHAM 1139 18WC 09437 FAVELA, TERESA THE XCEL STAFFING SOLUTIO 12/05/17 PORRO NIERMANN LAW GROUP SLAVIN & SLAVIN 1140 18WC 09496 LLANES, PEDRO COMPLETE BUILDING MAINTEN 12/07/17 BAUM RUFFOLO & MARZAL LTD EDWARD J. KOZEL 1141 18WC 09530 FENTRESS, RAY JB HUNT 02/14/18 KREITER, BYCK & ASSOC LLP 1142 18WC 09576 KWIDZINSKI, EVELYN VERICLAIM, INC. 06/06/17 GALLIANI DOELL & COZZI LTD KELLEY KRONENBERG 1143 18WC 09628 VICHIO, MARIA C GLEN ELLYN SCHOOL DISTRIC 09/22/16 CORNFIELD & FELDMAN 1144 18WC 09698 PRINCE, DAVID YRC WORLDWIDE 02/17/18 THOMAS A MORRISSEY HENNESSY & ROACH PC 1145 18WC 09816 SPERRY, BRANDON ESTATE OF AAA AMERICAN CLEANOUTS, I 06/08/17 SCHWEICKERT & GANASSIN 1146 18WC 09873 ROBINSON, STARLA MAXIM HOME HEALTH 08/17/17 JACKOWIAK LAW OFFICES RUSIN & MACIOROWSKI LTD 1147 18WC 09906 GASCA, BEATRIZ INDIAN LAKE RESORT 02/08/18 COSTA IVONE LLC LAWRENCE COZZI - LAW OFFICE 1148 18WC 09923 THOMAS, TERESSA THE GEO GROUP INC. 12/28/17 ANKIN LAW OFFICE 1149 18WC 09933 HARRIS, SHONDELL WILDFIRE 03/23/18 DWORKIN AND MACIARIELLO NOBLE & ASSOCIATES PC 1150 18WC 09966 LIPPINCOTT, PAUL NALCO COMPANY, LLC 08/24/17 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 1151 18WC 09994 CANNON, TYRONE KIMCO FACILITY SERVICES L 12/30/17 HOLECEK & ASSOCIATES 1152 18WC 10049 VALENTINO, ENRIQUE MIKE DITKA'S 11/16/17 STROM, NEAL B

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 67 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1153 18WC 10057 KLADIS, HELEN TJX COMPANIES INC/TJ MAX 08/24/17 PETER A. PAPOUTSIS 1154 18WC 10172 RIOS, CRISTINO PARTS TOWN 11/20/17 MARC J SHUMAN & ASSOCIATES 1155 18WC 10192 BURGOS, SUSIE MEADOWBROOK MANOR 03/03/18 GALLAGHER, DONALD V 1156 18WC 10234 BARRAZA, FRANCISCO LUNA PARAMOUNT STAFFING, INC. 09/14/16 THOMAS J STIBERTH LAW OFFI 1157 18WC 10330 HINKE, RUDOLF HOME DEPOT 06/09/17 STEVEN J MALMAN & ASSOCIAT MC ANDREWS & NORGLE LLC 1158 18WC 10351 KURCZABA, MARK SYN-TECH LTD 10/31/17 FREDRICK B BARDER, LTD 1159 18WC 10382 ORNELAS, NICOLAS TUSCANY OF OAKBROOK, INC. 01/07/18 ROSS TYRRELL 1160 18WC 10412 HENDERSON, MICHAEL DOYLE SIGNS INC 10/04/17 KINNALLY FLAHERTY KRENTZ & 1161 18WC 10485 ORMOND, THOMAS A EUCLID BEVERAGE, LTD 02/20/18 COLLISON LAW OFFICES ROBERT L. SMITH 1162 18WC 10537 VELAZQUEZ, BENITO SPI STAFFING 03/14/18 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 1163 18WC 10569 LINGLE, TIMOTHY M MEADE ELECTRIC CO, INC 03/20/18 DE FRIES LAW OFFICES PC RUSIN & MACIOROWSKI LTD 1164 18WC 10619 ROBERTSON, PGA PGA SUPERSTORE 03/11/18 FRANCIS J DISCIPIO LAW OFF INMAN & FITZGIBBONS 1165 18WC 10706 PETKEWICZ, KAREN TUTOR TIME 05/02/17 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 1166 18WC 10750 ORSI, PAUL LAKE TECH AUTOMOTIVE INC 03/07/18 NILSON STOOKAL GLEASON CAP LAWRENCE COZZI - LAW OFFICES 1167 18WC 10802 MITCHELL, CYNTHIA PORTILLO'S 01/20/18 COSTA IVONE LLC HOLECEK & ASSOCIATES 1168 18WC 10825 SANTOR, JENNIFER THE PICTURE PEOPLE 11/26/16 MEYERS & FLOWERS 1169 18WC 10894 WRIGHT, ANTHONY ELNHURST SCHOOL DISTRICT 02/01/18 ADAM ZAYED WIEDNER & MCAULIFFE LTD 1170 18WC 11035 LOGAN, EVA ARDEN COURTS OF GLEN ELLY 03/01/18 BRIAN J MC MANUS & ASSOC,

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1171 18WC 11049 LOPEZ, ROSA PCTEL 06/22/17 DANIEL PERIASWAMY 1172 18WC 11217 GONZALEZ, HERLINDA EXCELLENCE CLEANING INC 01/02/18 SANDMAN LEVY & PETRICH 1173 18WC 11447 OCHOA, OMAR INDUSTRIAL KINETICS 11/27/17 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 1174 18WC 11518 MAURO, TYLOR TRIPLE D&C ENTERPRISE INC 03/31/18 ANGELINI & ORI LLC 1175 18WC 11551 SHORT, TAMLA CHATEAU NURSING AND REHAB 10/13/17 MC HARGUE & JONES 1176 18WC 11599 VANPATTEN, JEFF UPS 06/02/17 LEONARD LAW GROUP LLC ASA LAW GROUP 1177 18WC 11613 BROWN, ROBERT CENTRAL DUPAGE HOSPITAL 10/01/17 DWORKIN AND MACIARIELLO 1178 18WC 11657 RODRIGUEZ, ALICIA SUPERIOR GROUP 06/01/17 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 1179 18WC 11884 RODRIGUEZ, AMAURY ELMHURST TOYOTA 09/01/17 KAT0Z FRIEDMAN EAGLE ET AL 1180 18WC 11953 NUNEZ, CINDY A MINOR THRO PORTILLO'S 02/28/18 SANDMAN LEVY & PETRICH HOLECEK & ASSOCIATES 1181 18WC 11987 GUSMAN, ZACK EUCLID BEVERAGE 01/23/18 PORRO NIERMANN LAW GROUP ROBERT L. SMITH 1182 18WC 11992 RICE, MICHAEL A PACK RAT MOVING & STORAGE 06/12/17 PORRO NIERMANN LAW GROUP 1183 18WC 12025 RENTNER, JENNIFER ADVOCATE 02/12/18 DWORKIN AND MACIARIELLO 1184 18WC 12087 REGOJA, LJUBOMIR CENTRAL DUPAGE HOSPITAL 01/12/18 BAUM RUFFOLO & MARZAL LTD 1185 18WC 12129 ROMAN, TIMOTHY J WINFIELD FIRE PROTECTION 03/21/16 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 1186 18WC 12204 AGUILAR, JOSE TECH USA 04/11/18 GOLDSTEIN BENDER & ROMANOF 1187 18WC 12406 MENDOZA, ISIDRO WIEGEL TOOL WORK INC 06/01/15 HANNA VANDER PLOEG LLC 1188 18WC 12455 RANGEL, CARLOS NICASIO GRAND EXTERIORS 06/21/16 MINKOW DOMIN SMITH AMUNDSEN LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1189 18WC 12548 HURSTIK, SUSAN EXELON 10/26/17 SLAVIN & SLAVIN HENNESSY & ROACH PC 1190 18WC 12562 SOTO, FLAVIO OFFICE DEPOT, INC 03/21/18 DEPAOLO & ZADEIKIS NYHAN BAMBRICK KINZIE & LOWR 1191 18WC 12693 GUZMAN, JOSE TOP-LINE FURNITURE 04/03/18 MOSES BRISENO QUINTAIROS PRIETO WOOD & BOY 1192 18WC 12792 BARTYZEL, ROBERT J CASTLE CHEVROLET 05/22/17 THOMAS W DUDA 1193 18WC 12830 SIERRA, ADAM NTA PRECISION AXLE 01/02/18 TRAPP & GELLER 1194 18WC 13044 CID, VALERIA ELITE STAFFING 11/22/17 CULLEN HASKINS NICHOLSON 1195 18WC 13062 TOLLIVER, DEWAYNE ASG STAFFING INC 04/11/18 COSTA IVONE LLC FRANCIS J DISCIPIO LAW OFFIC 1196 18WC 13150 TORRES, JOELLE NICOR 01/24/18 SAUNDERS CONDON & KENNY 1197 18WC 13233 BRACEMONTES, LUIS WHOLESALE INTERIORS 07/07/16 CHEPOV & SCOTT LLC 1198 18WC 13359 MAZZONI, JOHN BROOK ELECTRICAL SUPPLY 04/13/18 GALLAGHER LAW PC WIEDNER & MCAULIFFE LTD 1199 18WC 13380 FISKE, HOLLY GIANT STEPS IL 02/22/18 GRAUER & KRIEGEL LLC ROSARIO CIBELLA 18WC013379 -C 1200 18WC 13506 RAMIREZ, MARTHA PORTILLO'S HOT DOGS LLC 01/19/18 GALLIANI DOELL & COZZI LTD 1201 18WC 13529 MERRITT, VICTOR B CARSON'S 11/25/17 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 1202 18WC 13550 DELEONE, DAVID METRO STAFF 09/28/16 FRANCIS J DISCIPIO LAW OFFIC 1203 18WC 13573 PAGAN, ASUKA EDWARD HOSPITAL 04/19/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 1204 18WC 13615 MILLER, RONALD A FIC AMERICA CORP 04/25/18 VITELL & SPITZ LTD INMAN & FITZGIBBONS 1205 18WC 13704 MARTIN, BOBBY MCDONALD'S 04/12/18 DWORKIN AND MACIARIELLO 1206 18WC 13818 ALONSO, AGRIPINA PPC FLEXIBLE PACKAGING LL 04/06/18 GRAUER & KRIEGEL LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1207 18WC 13855 WETHERSPOON, JAMES MIKA LOGISTICS INC 03/08/18 SCOTT B SHAPIRO SCOPELITIS GARVIN LIGHT 1208 18WC 14002 ALMAGUER, JOSE MARS INC 05/01/18 VASILATOS & COTTER LLC GAROFALO SCHREIBER STORM 1209 18WC 14025 JOHNSON, JACQUELINE UPS 01/17/18 LEONARD LAW GROUP LLC ASA LAW GROUP 1210 18WC 14064 HORICE, FELICHA MEADOWBROOK MANOR 03/10/16 COPLAN & CRANE, LTD 1211 18WC 14123 CANTU, ALFONSO UNITED TIRE & WHEELS 05/02/18 DWORKIN AND MACIARIELLO 1212 18WC 14149 RODRIGUEZ, JUAN CLYDE'S DONUTS 10/17/17 AIOSSA LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 1213 18WC 14183 HERNANDEZ, MARIA DEL PILA KAPSTONE CONTAINER 10/06/17 HERRERA LAW CENTER 1214 18WC 14254 HEPPNER, ROBERT ARAMARK 04/16/18 POLANSKY & CICHON CHTD 1215 18WC 14267 CANTU, MARTHA NESTLE 03/21/18 US LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 1216 18WC 14278 MEDIA, TERRY VICTORIA'S SECRET 01/11/17 CUDA LAW OFFICES BRYCE DOWNEY & LENKOV LLC 1217 18WC 14303 ANGULO, HERMINIA LIBERTY STAFFING INC 04/03/18 HUGO ORTIZ 1218 18WC 14359 PATEL, SHILPA DR. K. BOEHM 04/20/17 TARADASH LAW OFFICE HOLECEK & ASSOCIATES 1219 18WC 14376 YOUSEF, BASSAM UOP LLC D/B/A 11/30/17 KOSIN LAW OFFICE LTD RODDY LAW LTD 1220 18WC 14384 LITTRELL, MIKE WASHING SYSTEMS INC 12/16/17 MARK LOFTUS 1221 18WC 14429 SCHMITZ, RICHARD ALL TRUCK TRANSPORTATION 04/26/18 KREITER, BYCK & ASSOC LLP CHILTON YAMBERT PORTER LLP 1222 18WC 14467 APARICIO, ROCKWELL MIDWEST GOODS INC. DBA 03/08/18 THE ROMAKER LAW FIRM 1223 18WC 14503 MACON, BRANDON US FOODS 06/04/17 MC DERMOTT & MC DERMOTT, L 1224 18WC 14551 PETRING, BRIAN DOWNERS GROVE SOUTH HS 04/18/18 GREGORIO & MARCO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 71 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1225 18WC 14597 OQUENDO, RUTH WAL-MART 07/26/17 FRANCIS J DISCIPIO LAW OFF QUINTAIROS PRIETO WOOD & BOY 1226 18WC 14613 HENLEY, JOHNNY STATE OF ILLINOIS C/O DEP @ 02/27/18 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 1227 18WC 14705 REYES, GERARDO G GERARDO G REYES 04/27/18 RUEDA, IVAN A 1228 18WC 14751 RAMIREZ, ANA MELIDA TOTAL INTERACTIVE SOLUTIO 05/08/18 SALK, STEVEN B & ASSOC LTD 1229 18WC 14773 BALLADARES, LILIA SALGADO ELITE STAFFING INC. 05/03/18 HERRERA LAW CENTER 1230 18WC 14785 SHAW, TONYA STAPLES 04/26/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 1231 18WC 14871 MORALES, PATRICIA BANVAN TREE MANAGEMENT 01/30/18 GOLDSTEIN BENDER & ROMANOF 1232 18WC 14937 NAGY, MICHAEL A EDWARD-ELMHURST HEALTH 11/30/15 SCOTT BARBER KEEFE CAMPBELL BIERY & ASSOC 1233 18WC 14962 SIEG, MARY PEPPERIDGE FARM 04/26/18 COSTA IVONE LLC CHILTON YAMBERT PORTER LLP 1234 18WC 15121 HARRIS, GUSHON WALMART 08/02/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 1235 18WC 15204 PIZZITOLA, TINA SCHOOL DISTRICT U-46 04/30/18 WOODRUFF & JOHNSON 1236 18WC 15445 MODELSKI, TERESA O'REILLY AUTO PARTS 04/26/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 1237 18WC 15460 MEADE, KEVIN CITY OF WOOD DALE 04/17/18 RIDGE & DOWNES 1238 18WC 15478 MONDRAGON, NADIA ASSOCIATED LABOR CORP 05/02/18 JOHN S. ELIASIK POWER & CRONIN LTD 1239 18WC 15492 ALFARO, SANDRO BENITEZ ELECTRIC 01/29/18 HANNIGAN & BOTHA, LTD 1240 18WC 15652 WILLIAMS, LUKE AREA ERECTORS 12/13/17 LEONARDO MORALES WIEDNER & MCAULIFFE LTD 1241 18WC 15699 DEROSA, LOU DARIEN PARK DISTRICT 01/01/17 NATHANIEL D. LAWRENCE 1242 18WC 15794 TREJO, ROSALINDA MOLDTRONICS INC 05/07/18 JONATHAN SCHLACK MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 72 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1243 18WC 15824 JOHNSON, JEFF D BURKE AUTO GRUOP INC 02/02/17 PAUL F PETERS DENNIS J NOBEL & ASSOC 1244 18WC 15877 CARLSON, DEREK M ILLINOIS STATE TOLLWAY @ 12/13/17 RUBIN LAW GROUP GANAN & SHAPIRO 1245 18WC 15953 AVERY, ZACH MICRO ELECTRONICS INC 03/20/18 PATRICOSKI, MARK G 1246 18WC 15965 O'CONNOR, DOUGLAS STATE OF ILLINOIS @ 11/03/17 STEVEN L. VENIT ASSISTANT ATTORNEY GENERAL 1247 18WC 15978 DUFFY, JASON CITY OF NAPERVILLE 11/24/17 DRISCOLL LAW OFFICES PC CITY OF NAPERVILLE 1248 18WC 16062 CHAVEZ, SANDRO C-3 CARPENTRY INC. 04/30/18 SALK, STEVEN B & ASSOC LTD 1249 18WC 16124 MANIOUDAKIS, EMANUEL SCHAMBERGER BROTHERS, INC 05/15/18 HORWITZ HORWITZ & ASSOC 1250 18WC 16147 RAMIREZ, MARIA G TOWNE PLANTE SUITES 12/13/17 WHITESIDE & GOLDBERG LTD 1251 18WC 16163 SERRANO, ANA I EMBASSY SUITES BY HILTON 05/22/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 1252 18WC 16182 MORALES, SILVIA UNISTAFF INC 05/25/18 ANKIN LAW OFFICE LITCHFIELD CAVO 1253 18WC 16195 CLARK, JOSEPH XPRESS GLOBAL SYSTEMS 05/10/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 1254 18WC 16237 FASH, DANIEL ACCUPERF, INC. 07/15/17 BURNETT & CARON, LTD HOLECEK & ASSOCIATES 1255 18WC 16250 GARCIA, JESUS THE PLASTICS GROUP INC 03/16/18 MARK SCHAFFNER 1256 18WC 16308 MARIN, ALEJANDRO VIKING SUPPLY NET 03/02/18 SKLARE LAW GROUP HENNESSY & ROACH PC 1257 18WC 16408 QUINN, DEWITT ELITE STAFFING 05/25/18 DWORKIN AND MACIARIELLO 1258 18WC 16501 ROBERTSON, DIANE GLEN OAKS HOSPITAL 01/31/16 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 1259 18WC 16564 ARTEAGA, JOSE JUAN ACE ROOFING SERVICES INC 08/19/16 JOHN J CASTANEDA 1260 18WC 16617 OLAN, DELILAH SAM'S CLUB 04/26/17 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 73 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1261 18WC 16692 BALSAMELLO, NATASHA O'REILLY AUTO PARTS 11/14/17 MEYERS & FLOWERS BRYCE DOWNEY & LENKOV LLC 1262 18WC 16865 VOSHALL, ROBERT E USF HOLLAND 05/01/17 HART & DAVID LLP 1263 18WC 16895 DOMPIER, STEVEN J ABS GRAPHICS INC 05/10/18 TUITE LAW HOLECEK & ASSOCIATES 1264 18WC 16947 GARCIA, RUBI ADVANCE THERMAL CORP 10/11/17 JAUREGUI & ASSOCIATES WIEDNER & MCAULIFFE LTD 1265 18WC 16977 LYCKBERG, MARK AT&T 05/01/18 NILSON STOOKAL GLEASON CAP 1266 18WC 17033 CASTELLANOS, ELADIO S & S INTERNATIONAL, INC. 01/26/18 CARONE LAW OFFICES 1267 18WC 17057 ZORNOW, SCOTT L AMERICAN LITHO 04/02/18 LOUIS A PLZAK & ASSOCIATES 1268 18WC 17085 SERRANO, ANA EMBASSY SUITES 11/12/17 STANCZAK LAW OFFICES 1269 18WC 17095 REYNOLDS, CARL STAFFING MANAGEMENT * 01/17/18 GAROFALO SCHREIBER STORM 1270 18WC 17133 ESPINAL, ANGELINA JELSERT 01/15/18 LULAY LAW OFFICES 1271 18WC 17217 TORRES, OSCAR POWER SOLUTIONS INTERNATI 05/21/18 DWORKIN AND MACIARIELLO 1272 18WC 17269 MURPHY, CHRISTOPHER JUNK MASTER INC 06/02/18 ANKIN LAW OFFICE 1273 18WC 17334 HOLLIS, PAULA FIRST STUDENT 12/19/17 RATHBUN CSEVENYAK & KOZOL 1274 18WC 17442 VILLANUEVA, ISRAEL DENK & ROCHE BUILDERS 01/17/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1275 18WC 17526 BAKER, KELLY JEWEL OSCO 03/22/18 GOLDBERG WEISMAN & CAIRO L 1276 18WC 17599 JOHNSON, ANDRE ELITE STAFFING 05/30/18 MC HARGUE & JONES 1277 18WC 17622 CABRERA, MARIA THE PAMPERED CHEF 09/05/17 CHEPOV & SCOTT LLC WOLF LAW LTD 1278 18WC 17704 TISDALE, ROBERT CITY CARBONIC GAS 03/12/18 RIDGE & DOWNES QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 74 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1279 18WC 17846 FRIDLUND, PAUL EQUIPMENT DEPOTOF ILLINOI 04/27/18 HETHERINGTON KARPEL BOBBER 1280 18WC 17877 FOSTER, JEANETTE I MONDELEZ INTL 02/28/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 1281 18WC 17898 GARCIA, ALONDRA CORTINA TOOLS & MOLDING 05/18/18 DEPAOLO & ZADEIKIS 1282 18WC 17925 TYSSE, PATRICIA COOPER'S HAWK WINERY & 02/16/18 BERG & BERG GRANT & FANNING 1283 18WC 17968 DANTZLER, ZENA BROOKDALE SENIOR LIVING 04/09/18 ROUSKEY & BALDACCI ROSARIO CIBELLA 1284 18WC 17981 WERSCHKUL, MICHAEL WERSCHKUL & SON MASONRY 05/08/18 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 1285 18WC 17996 OJEDA, JUAN A NAPA AUTO PARTS 03/21/18 HECTOR ESPITIA KEEFE CAMPBELL BIERY & ASSOC 1286 18WC 18116 OLIVER, SHARON NAPERVILLE SCHOOL DISTRIC 08/17/16 MICHAEL NICHOLSON MACIOROWSKI SACKMANN & ULRIC 1287 18WC 18159 BARNETT, BRANDI CEDARHURST ASST LIVING 04/20/18 CHARLES LEVY & ASSOC LTD INMAN & FITZGIBBONS 1288 18WC 18181 PATEL, MARK KEANS BAKERY 05/01/18 CUDA LAW OFFICES GILDEA, COGHLAN & REGAN LTD. 1289 18WC 18249 MARX, MARGARET AIM HOME CARE 09/23/17 PETER D CORTI LAW GROUP 1290 18WC 18438 PUENTE, MARCO ABLE SERVICES 05/03/18 COLLISON LAW OFFICES HENNESSY & ROACH PC 1291 18WC 18582 WALKER, TRENTA R COMPASS GROUP 05/10/18 FRIEDMAN & SOLMOR LTD 1292 18WC 18633 HUBLY, JACQUELINE LEE GROVE DENTAL ASSOCIATES 06/20/18 BAUM RUFFOLO & MARZAL LTD 1293 18WC 18697 SCHRETTER, RICHARD SIMPLEX GRINNELL 02/13/18 E JAMES RAYMOND 1294 18WC 18737 GARCIA, GUSTAVO ARAMARK 05/01/17 GOLDSTEIN BENDER & ROMANOF STONE & JOHNSON CHARTERED 17WC014256 -C 17WC014257 -C 18WC008216 -C 1295 18WC 18781 WOLGAST, JANICE KAY CENTRAL DUPAGE HOSPITAL 02/23/18 PETER D CORTI LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1296 18WC 18803 ZAVALA, CARMEN FIRST HOSPITALITY GROUP, 11/23/17 ANGELINI & ORI LLC LAWRENCE COZZI - LAW OFFICE 1297 18WC 18908 MARTINEZ-RUIZ, ABEL CJ INSULATION 06/07/18 PORRO NIERMANN LAW GROUP 1298 18WC 18937 DICKMAN, ROBERT LKQ FOSTER AUTO PARTS WES 06/19/18 COSTA IVONE LLC BRYCE DOWNEY & LENKOV LLC 1299 18WC 18958 HUNT, KEVIN HOME RUN INN FROZEN FOODS 06/15/18 COSTA IVONE LLC POWER & CRONIN LTD 1300 18WC 19012 HOLMAN, RICHARD NEED IT NOW 06/13/18 BRISKMAN BRISKMAN GREENBER 1301 18WC 19043 MARROQUIN, DAVID CHEMIFLEX 04/13/18 R. MARK MARITOTE PC 1302 18WC 19103 HERNANDEZ, ELDER LABOR PERSONNEL, LLC 06/08/18 NILSON STOOKAL GLEASON CAP POWER & CRONIN LTD 1303 18WC 19111 SAPIEN, ARIANA IMAGE FIRST 05/31/18 SEIDMAN MARGULIS & FAIRMAN 1304 18WC 19136 BALZANO, MICHAEL JEWEL-OSCO 01/26/18 MICHAEL FRADIN 1305 18WC 19192 NGO, THAI MCKESSON CORP 04/16/18 GIACOBBE, THOMAS M FEIRICH MAGER GREEN & RYAN 1306 18WC 19288 DICKSON, SARAH JEWEL OSCO 05/18/18 WOODRUFF JOHNSON 1307 18WC 19338 RUTKOWSKI, ROBERT DOWNERS GROVE IMPORT, LTD 11/24/17 SCHWEICKERT & GANASSIN 1308 18WC 19448 ZAWISLAK, AGNIESZKA L ART LOGISTICS INC 06/18/18 LEWUN & KAIS LTD LEAHY EISENBERG & FRAENKEL 1309 18WC 19457 DOYLE, MICHAEL LABOR ONE 06/11/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 1310 18WC 19506 JONES, CLARENCE E SHEEHY MAIL CONTRACTORS, 06/08/16 COHN LAMBERT RYAN & SCHNEI WIEDNER & MCAULIFFE LTD 1311 18WC 19592 ROBLES, CYNTHIA IL DEPT OF JUVENILE JUSTI 06/12/18 WILLIAM B MEYERS, LTD 1312 18WC 19686 XAVIER, ERICA BRIA OF WESTMONT 06/06/18 DWORKIN AND MACIARIELLO 1313 18WC 19715 HARPER, CRYSTAL COSTCO 07/18/15 STELZMAN, RUTH GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 76 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1314 18WC 19865 GLAVAN, ARMANDO DIMENSIONAL STONE INC 10/27/17 ROSS TYRRELL 1315 18WC 19904 MELTON, RONALD PERISHABLE SALES INC 01/26/18 CAPRON & AVGERINOS PC 1316 18WC 19929 SMETANIN, VOLODYMYR GLOBAL CARGO LINES 12/06/17 GREGORY MARTUCCI RODDY LAW LTD 1317 18WC 19971 SMITH, ANDREW CLARION CONSTRUCTION 04/04/17 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 16WC019010 -C 1318 18WC 20032 REYES, FREDY FPM HEAT TREATING 04/06/18 GONZALEZ LAW GROUP HOLECEK & ASSOCIATES 1319 18WC 20054 SMITH, ARTHUR FLAVORCHEM 06/21/18 COSTA IVONE LLC 1320 18WC 20087 VEGA, JAIME CACIQUE, INC 06/27/18 THE ROMAKER LAW FIRM GRANT & FANNING 1321 18WC 20154 MENDEZ, CRYSTAL DUPAGE COUNTY 03/05/18 KATZ FRIEDMAN EAGLE ET AL ROCK FUSCO & CONNELLY 1322 18WC 20196 MCINNIS, WILLEY LEVANTINA USA 07/02/18 COSTA IVONE LLC 1323 18WC 20210 SHORTER, STEVEN T NTA PRECISION AXLE CORPOR 06/30/18 ANKIN LAW OFFICE 1324 18WC 20296 NEGLEY, KATHERINE A CITY OF NAPERVILLE 09/18/17 FOOTE MIELKE CHAVEZ O'NEIL CITY OF NAPERVILLE 1325 18WC 20363 MAYON, CLINTISTINE T TMI HOSPITALITY 04/22/18 ELMAN LAW GROUP LLC 1326 18WC 20377 HERT, BOBBY IL DEPT OF TRANSPORTATION 06/25/18 MARKER & CRANNELL 1327 18WC 20459 ROBLES, JOSE A MSG SERVICES 06/14/18 COSTA IVONE LLC GAROFALO SCHREIBER STORM 1328 18WC 20473 ALVAREZ, JUAN C VERTIV 06/05/18 LEO ALT 1329 18WC 20529 ZEPEDA, MIGUEL MIDWEST GROUNDCOVERS LLC 06/28/18 RUBENS KRESS MULHOLLAND 1330 18WC 20556 YASAK, CHRISTOPHER AMERICAN LITHO 07/01/17 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 1331 18WC 20590 SMITH, FRANK SAIA MOTOR FREIGHT 04/24/18 SOSTRIN AND SOSTRIN PC TUCKER ROBIN & MERKER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 77 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1332 18WC 20626 FIGNERS, JOSEPH E III GERBER COLLISION & GLASS 07/05/18 BRILL & FISHEL HOLECEK & ASSOCIATES 1333 18WC 20667 LOPEZ, MARIA PRIMARY STAFFING 06/01/18 KATZ FRIEDMAN EAGLE ET AL 1334 18WC 20728 JOHNSON, PETRA TRANS AID SERVICES 06/22/18 BRISKMAN BRISKMAN GREENBER 1335 18WC 20806 BRUCCHERT, AARON PUGI VOLKSWAGON 05/11/18 CAPRON & AVGERINOS PC 1336 18WC 20819 ESCUTIA, PEDRO CLARENCE DAVIDS & CO 02/14/18 MC HARGUE & JONES INMAN & FITZGIBBONS 1337 18WC 20932 HENDERSON, MARCO PARAMOUNT STAFFING 06/19/18 BAUM RUFFOLO & MARZAL LTD 1338 18WC 21040 OLIVO, TERESA AMITA HEALTH 01/24/18 HERRERA LAW CENTER RODDY LAW LTD 1339 18WC 21125 RAIMONDI, MICHAEL CRATE AND BARREL 03/16/18 MC HARGUE & JONES MACIOROWSKI SACKMANN & ULRIC 1340 18WC 21148 MARTINEZ VALEZ, MARIA SPECIALIZED STAFFING SOLU 05/10/18 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 1341 18WC 21155 TEMESVARI, GABRIEL WILDFIRE HARLEY DAVIDSON 02/17/17 CARAS LAW GROUP 1342 18WC 21176 SPATHIS, SPENCER PARAMEDIC SVCES OF ILLNOI 03/05/18 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 1343 18WC 21245 DIMECH, BRIAN CROSSROADS SERVICES INC 05/14/18 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 1344 18WC 21271 SERRANO MENDEZ, ELIVORIO ALM GROUP 05/17/18 COSTA IVONE LLC LAWRENCE COZZI - LAW OFFICE 1345 18WC 21290 JUAREZ, PATRICIA 1ST CLASS STAFFING 05/31/18 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS 1346 18WC 21364 HUGHES, STEPHEN M V SEND TEAMING CO 07/09/18 SOSTRIN AND SOSTRIN PC 1347 18WC 21406 RODRIGUEZ, MARIA DAVID'S BRIDAL 05/04/18 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 1348 18WC 21473 PEREZ, HILDA HANDI-FOIL CORP 11/29/17 PORRO NIERMANN LAW GROUP 1349 18WC 21592 GOEZ, ERIKA BRIDGEWAY SENIOR LIVING * 04/17/18 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1350 18WC 21654 LOPEZ JR, ROBERT ROCK BOTTOM RESTAURANTS I * 06/28/18 ANKIN LAW OFFICE 1351 18WC 21700 RADEMACHER, VERNON CITY OF WARRENVILLE * 01/10/18 CAPRON & AVGERINOS PC 1352 18WC 21711 CADENA, STEPHEN ARAMARK * 07/02/18 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 1353 18WC 21732 KALLOUCH, SAMIA LOUIS VUITTON-BENEFIT COS * 05/01/17 STEVEN J MALMAN & ASSOCIAT 1354 18WC 21777 BOEZIO, MAUREEN JEWEL FOOD STORE * 02/24/18 KROL BONGIORNO & GIVEN LTD 1355 18WC 21799 BRITT, CIREASE MULTI-TEMPS INC * 07/11/18 WOODRUFF JOHNSON GAIDO & FINTZEN 1356 18WC 21815 STEELE, LASHONDA FIC AMERICA CORP * 06/26/18 RITTENBERG BUFFEN INMAN & FITZGIBBONS 1357 18WC 21939 FIGUEROA, REYNALDO FIRST STUDENT INC * 03/22/17 PHILIP BLOMBERG 1358 18WC 21949 BURRAGE, JESSE HOTLINE FREIGHT * 07/12/18 LEONARD LAW GROUP LLC WOLFE & JACOBSON, LTD 1359 18WC 21967 YOUSEF, SELMA NESTLE USA INC * 12/01/17 TOPPER & WEISS LTD NYHAN BAMBRICK KINZIE & LOWR 1360 18WC 21971 ZWADLO, MICHAEL KITCHEN & BATH AUTHORITY * 10/09/13 FRANCIS J DISCIPIO LAW OFF RUSIN & MACIOROWSKI LTD 1361 18WC 22004 SNAL, RONALD MDI TRANSPORTATION SYSTEM * 07/04/18 DWORKIN AND MACIARIELLO 1362 18WC 22019 DUENES, JUDY A TRAVANSE LIVING * 07/04/18 TIMOTHY DEFFET WOLFE & JACOBSON, LTD 1363 18WC 22086 LASKY, ROCHELLE ULTA BEAUTY * 05/22/18 GOLDSTEIN AIOSSA & GOOD 1364 18WC 22118 LEMUS, JUAN PRO-LINE PACKAGING INC * 02/16/18 KROL BONGIORNO & GIVEN LTD 1365 18WC 22142 PEARSON, DEAN M PHOENIX VETERANS PRINT * 07/09/18 SCOTT B SHAPIRO 1366 18WC 22159 GARRETT, VALEYO AVALON HOSPICE DBA * 07/12/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 1367 18WC 22198 SANTIAGO, MARIO AT&T * 07/03/18 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 79 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1368 18WC 22286 HENDRICKSON-KUFAHL, LISA UPS * 09/06/17 LEONARD LAW GROUP LLC 1369 18WC 22301 PEREZ, ERNESTO VILLAGE OF VILLA PARK * 05/14/18 ROBERT H HANAFORD 1370 18WC 22338 GONZALEZ, JOSE G ADDISON PACKAGING, INC. * 06/20/18 LULAY LAW OFFICES 1371 18WC 22370 HILL, KENNETH US FOODS * 07/06/18 DWORKIN AND MACIARIELLO 1372 18WC 22394 CANNON, ROBERT EDWARD HOSPITAL 05/23/18 MARKER & CRANNELL POWER & CRONIN LTD 1373 18WC 22412 FRENCH, JOSHUA BLACKHAWK CORRUGATED * 04/20/17 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 1374 18WC 22426 MYRICK, TAMEKA ALC PALLIATIVE & HOSPICE * 07/03/18 DAVID W MARTAY 1375 18WC 22476 FREY, JOSEPH CARAVAN FACILITIES MNGMNT * 06/21/18 THE ROMAKER LAW FIRM 1376 18WC 22539 KELLY, APRIL M ROUND ONE ENTERTAINMENT, * 07/13/18 GALLAGHER, DONALD V BORGELT POWELL 1377 18WC 22555 MCGUIRE, TIMOTHY K AT&T * 06/15/18 GOLDBERG WEISMAN & CAIRO L 1378 18WC 22588 DIAZ, MARIA HARVARD MAINTENANCE, INC * 03/02/18 SALVATO O'TOOLE FROYLAN 1379 18WC 22620 SOBUS, JERZY GO TO LOGISTICS * 05/14/18 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 1380 18WC 22664 CAPECE, GUISEPPE FOREST PRESERVE DIST * 04/16/16 PETER D CORTI LAW GROUP BRYCE DOWNEY & LENKOV LLC 1381 18WC 22693 HINCKLEY, LARRY MARIANOS * 04/18/18 DWORKIN AND MACIARIELLO 1382 18WC 22733 BARRERA, JOSE SILVER CAR WASH * 07/09/18 HERRERA LAW CENTER 1383 18WC 22793 PROTAS, VIVIAN NORTHWESTERN MEMORIAL HLT * 04/26/18 FOOTE MIELKE CHAVEZ O'NEIL 1384 18WC 22826 GONZALEZ, IVAN DOCTOR ROOTER PLUMBING * 07/17/18 GOLDSTEIN BENDER & ROMANOF 1385 18WC 22884 WIKTOR, ZOFIA CLEAN TIME INC * 07/20/18 CHEPOV & SCOTT LLC GILDEA, COGHLAN & REGAN LTD.

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 81 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1404 18WC 23848 RODRIGUEZ, GUSTAVO THE PATE COMPANY * 06/05/18 RUEDA, IVAN A 1405 18WC 23891 HABICH, JEFF BUILTECH SERVICES * 05/29/18 LEONARD LAW GROUP LLC 1406 18WC 23919 MCLAUGHLIN, EARL COMED 04/26/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 1407 18WC 23936 BRANCATO, ANA HOME DEPOT * 06/09/18 JOSEPH J LOSS PC ADELSON TESTAN BRUNDO 1408 18WC 23992 KUPCZYK, RAY ADDISON TRAIL HIGH SCHOOL * 08/03/18 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 1409 18WC 24040 QUEZADA, OSCAR DIVERSIFIED LABELING * 06/14/18 HUGHES SOCOL PIERS RESNICK 1410 18WC 24095 BUTLER, DONNA OLIN CORPORATION * 12/05/16 COHN LAMBERT RYAN & SCHNEI 1411 18WC 24133 RESENDIZ, BALTAZAR ABM * 02/03/16 ESR LAW GROUP 1412 18WC 24267 MCREYNOLDS, ANDREW MIDWEST UNDERGROUND TECH * 07/21/18 WOODRUFF JOHNSON 1413 18WC 24391 NUNEZ, WALDMAR INDUSTRIAL KINETICS * 07/12/18 FOOTE MIELKE CHAVEZ O'NEIL WIEDNER & MCAULIFFE LTD 1414 18WC 24482 SPIVEY, TRACY GEA FARM TECHNOLOGIES INC * 06/28/18 KATZ FRIEDMAN EAGLE ET AL 1415 18WC 24554 CALLEJAS, LUCAS RICE PRECISION MACHINING, 06/18/18 MARKHAM M JEEP & ASSOCIATE HENNESSY & ROACH PC 1416 18WC 24612 ORTIZ, ANDRES COMCAST * 12/11/17 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 1417 18WC 24623 CORDOBA, JOSE ANTONIO MR. DAVID'S FLOORING * 03/22/16 JONATHAN SCHLACK 1418 18WC 24646 CRUZ, ROBERTO HONEY JAM CAFE * 05/20/17 CRONIN & PETERS 1419 18WC 24776 AVELAR, LIDIA THE FINISHING COMPANY * 05/10/18 HERRERA LAW CENTER 1420 18WC 24790 TAPIA, VIDAL CROWN METAL MANUFACTURING * 01/24/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 1421 18WC 24853 ARIAS, MIGUEL ANGEL ACCURATE PERSONNEL LLC * 08/07/18 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 82 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1422 18WC 24881 SAUCEDO, JUVENAL SURE STAFF * 07/26/18 HERRERA LAW CENTER LOUIS MUNDY 1423 18WC 24928 HANSON, MICHAEL J BERNARDONI ELECTRIC, INC * 05/05/17 JOSEPH MARCINIAK 1424 18WC 24938 NIESMAN, WILLIAM VILLAGE OF NAPERVILLE * 08/06/18 TAXMAN POLLOCK CITY OF NAPERVILLE 1425 18WC 24955 BATEMAN, AARON MIDWEST SEALCOAT, INC * 08/04/17 TURNER & SACKETT LLC 1426 18WC 24986 GEHRING, GREGG NABISCO INC/KRAFT * 07/24/18 STROM & ASSOC 1427 18WC 25080 POLK, WALTER COPPER CONSTRUCTION CO * 07/31/18 LEO ALT RODDY LAW LTD 1428 18WC 25127 GUERRERO, ENRIQUE SEAL TIGHT EXTERIORS * 07/31/18 HORWITZ HORWITZ & ASSOC 1429 18WC 25219 MCKINNEY, RICHARD JR US FOODS * 07/31/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 1430 18WC 25224 DOMAS, PHILLIP R DOMAS MECHANICAL CONTRACT * 05/04/18 JOSEPH MARCINIAK 1431 18WC 25238 GONZALEZ, BENJAMIN HEALTHPARK HOSPITALITY * 02/01/18 GRAZIAN & VOLPE PC RUSIN & MACIOROWSKI LTD 1432 18WC 25322 SMITH, YOLANDA GREENCORE USA * 06/04/18 WHITESIDE & GOLDBERG LTD 1433 18WC 25362 NIZIO, JANUSZ ZO CONSTRUCTION CORP * 08/02/18 CHEPOV & SCOTT LLC 1434 18WC 25426 BARNES, JOSEPH L VAL-MATIC VALVE AND * 07/31/18 CIARDELLI CUMMINGS CAMPAGN 1435 18WC 25449 PETERS, JEFFREY NU MILL, INC * 08/01/18 HORWITZ HORWITZ & ASSOC 1436 18WC 25490 CASTANEDA, RICHARD SQUEAKY CLEAN * 06/01/18 STEVEN J TENZER, LTD 1437 18WC 25551 GOMEZ, MANUEL SAINT-GOBAIN ABRASIVES IN * 03/12/18 PHILIP BLOMBERG 1438 18WC 25581 OLMOS, FERNANDO HINSDALE NURSERIES * 09/07/17 JOHN S. ELIASIK 1439 18WC 25601 VAN LOON, CURT ADVOCATE GOOD SAMARITAN H * 06/18/18 GREGORIO & MARCO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 83 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1440 18WC 25641 RADJENOVICH, JOHN K-FIVE CONSTRUCTION CORP. * 08/21/18 LEONARD LAW GROUP LLC 1441 18WC 25687 KOSHABE, RASHALL KIDSNIPS * 07/18/18 COYNE REINKE LAW 1442 18WC 25747 FAJARDO, SAUL SYSCO * 05/07/18 BAUM RUFFOLO & MARZAL LTD 1443 18WC 25760 ROBINSON, ERRIE LEXINGTON HEALTHCARE * 08/21/18 FRIEDMAN & SOLMOR LTD 1444 18WC 25771 DEEM, TINA EXPRESS EMPLOYMENT PROFES * 08/26/17 SCHWEICKERT & GANASSIN MC ANDREWS & NORGLE LLC 1445 18WC 25823 STOKES, BRANDON THE RESERVES NETWORK * 08/14/18 MC HARGUE & JONES 1446 18WC 25852 OROZCO, JORGE DECO LABELS & TAGS * 07/09/18 ARGIONIS & ASSOCIATES LLC 1447 18WC 25897 CASTIGLIA, JOANNA MEATHEADS BURGERS AND FRI * 08/03/18 SCHRAMM LAW GROUP 1448 18WC 25934 BENES, ADELIA ADVOCATE GOOD SAMARITAN H * 05/03/18 ASHER, RAYMOND L LTD 1449 18WC 25937 THOMAS, ANDRE AT&T * 06/29/18 ASHER, RAYMOND L LTD 1450 18WC 25950 CHRISTAN, JACKSON AMAZON.COM * 06/14/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 1451 18WC 25985 ADAMS, MARSHAL LABOR TEMPS * 08/02/18 MARK SCHAFFNER 1452 18WC 26147 CAPASSO, FRANK AGILITY LOGISTICS CORP * 04/17/18 LOUIS A PLZAK & ASSOCIATES 1453 18WC 26192 GOMEZ, FIDEL JUST IN TIME STAFFING LLC * 08/07/18 AIOSSA LAW FIRM 1454 18WC 26247 CARSON, MONTINIQUE MILHOUSE ENGINEERING * 08/14/18 MARKER & CRANNELL 1455 18WC 26256 BARTOLI, LAURA UNLIMITED FIRE RESTORATIO * 07/29/16 OSVALDO RODRIGUEZ PC GAROFALO SCHREIBER STORM 1456 18WC 26267 BARNETT, JEREMY A MAPEI CORP * 08/20/18 ANKIN LAW OFFICE 1457 18WC 26272 MCKNIGHT, JAVARIUS J US FOODS INC * 04/09/18 GARDI & HAUGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 84 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1458 18WC 26293 GRIST, MICHAEL AUTOMOTIVE PARTS GROUP * 06/13/18 DRISCOLL LAW OFFICES PC 1459 18WC 26320 GRANT, HAROLD US FOOD SERVICE * 08/20/18 FRIEND LEVINSON & BERGAL 1460 18WC 26385 QUARLES, JOSE HOEKSTRA HEATING & AC CO. * 08/24/18 DWORKIN AND MACIARIELLO RODDY LAW LTD 1461 18WC 26452 FEDORENKO, STEVEN GLOBAL TILING, INC * 08/29/18 GOLDBERG WEISMAN & CAIRO L 1462 18WC 26514 MENDEZ, NOE DURAN BALL HORTICULURAL COMPANY * 04/24/18 GERALD DOLL 1463 18WC 26643 FERNANDEZ, DAGOBERTO AEROTEK, INC * 08/03/18 SALGADO, DAVID L 1464 18WC 26660 GOMEZ, FEDEL JUST IN TIME STAFFING LLC * 08/07/18 CHEPOV & SCOTT LLC LEAHY EISENBERG & FRAENKEL 1465 18WC 26674 TERRAZAS, LORENZO AEROTEK * 07/17/18 BOWMAN & CORDAY 1466 18WC 26751 ROBINSON, TRAMAINE THE HYATT LODGE AT * 11/10/17 BLAKE HORWITZ LAW FIRM 1467 18WC 26775 KUNERT, SUSAN A MAXIM HEALTHCARE SERVICES * 04/11/18 MORICI FIGLIOLI & ASSOC 1468 18WC 26792 COSTNER, ELI SCREW MACHINE ENGINEERING * 01/15/18 ANGELINI & ORI LLC 1469 18WC 26910 POLANSKY, JESSE JOINT COMMISSION * 05/12/16 NO ATTORNEY 1470 18WC 26994 MOBLEY, STEPHON D RACK'M UP EQUIPMENT DIST * 06/20/18 GALLAGHER, DONALD V 1471 18WC 27035 COLLINS, WINCE ALDI * 08/23/18 DWORKIN AND MACIARIELLO 1472 18WC 27109 SENOYUIT, TAMMY AUTOZONE * 06/06/18 MARKER & CRANNELL 1473 18WC 27135 COCKAYNE, JUSTIN INDUSTRIAL GAS ENGINEERIN * 06/26/17 O'CONNOR & NAKOS 1474 18WC 27187 MENESE, EMANUEL TOM DONAHUE TRUCKING INC * 08/30/18 ANKIN LAW OFFICE 1475 18WC 27213 CUMBO, LINDA MIKE'S MEAT, DBA CASEY'S * 01/25/16 ARNETT LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1476 18WC 27259 PALMERIN, CESAR 6D'S ALUMINUM CO. * 04/25/18 STROM & ASSOC 1477 18WC 27302 RICHARDS, SHERRY WILLIAM F MURPHY ELMENTRY * 05/22/18 HORWITZ HORWITZ & ASSOC 1478 18WC 27313 KOGUT, MARIAN Z-B CONSTRUCTION GROUP, I * 07/26/18 CORBOY & DEMETRIO PC 1479 18WC 27361 RAMIREZ, ORLANDO OFFICE DEPOT * 08/28/18 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 1480 18WC 27383 RAMIREZ, CONSUELO VINAYAKA HOSPITALITY, INC * 05/22/18 EPSTEIN, JACK R LAW OFFICE 1481 18WC 27392 PARATO, DOMENICO NATIONAL CORPORATE HOUSIN * 06/13/18 STELZMAN, RUTH 1482 18WC 27416 MEYER, VALERIE EDWARD-ELMHURST HEALTHCAR * 10/19/17 MACIOROWSKI SACKMANN & ULRIC 1483 18WC 27469 SHAW, ARLINDA MCDONALDS NAPERVILLE 4 (1 * 04/15/18 SCOTT B SHAPIRO 1484 18WC 27561 ROBLES, ARNALDO OFFICE DEPOT * 09/05/18 PETER D CORTI LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 1485 18WC 27618 TROYKE, JOANN UPS * 01/20/17 LEONARD LAW GROUP LLC 1486 18WC 27637 MOUSHEH, SHABEH NESTLE * 06/01/17 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 1487 18WC 27742 GARCIA, RAFAEL BLANKENSHIP MOVERS * 09/07/18 GORDON & CENTRACCHIO LLC 1488 18WC 27762 SANTIAGO, LUIS GREENCORE GROUP * 09/05/18 CHEPOV & SCOTT LLC 1489 18WC 27788 MCKNIGHT, JARMAR US FOODS * 07/23/18 LEONARD LAW GROUP LLC 1490 18WC 28105 ORTIZ, RAUL CANTEEN VENDING SERVICE * 01/13/18 TAMVAKIS, GEORGE L 1491 18WC 28135 BIALAS, STEFAN O'HARE AUTOBODY LTD * 09/18/18 DWORKIN AND MACIARIELLO 1492 18WC 28175 SANAULLAH, SHEENA APTUDE INC * 06/27/17 MARKER & CRANNELL 1493 18WC 28241 JERNSTAD, MARK E ANDERSON WINDOWS & DOORS * 01/16/17 CAMERON CLARK BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 86 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1494 18WC 28255 FORNELLI, JOSEPH NAPERVILLE SCHOOL DISTRIC * 02/01/16 MEYERS & FLOWERS 1495 18WC 28290 BACI, MERTIA RESIDENCE INN BY MARRIOTT * 10/06/17 STEVEN H MEVORAH & ASSOCIA 1496 18WC 28338 SANDIFER, IRA JMBD INC. * 07/25/18 ANKIN LAW OFFICE 1497 18WC 28388 MOORE, STEPHANIE HAND AND STONE SPA * 08/28/18 DWORKIN AND MACIARIELLO 1498 18WC 28452 DORADO, MA ESTELLA DIAL TOOL INDUSTRIES, INC * 09/25/17 RODDY LAW LTD 1499 18WC 28478 SHAH, CHIRAG SPEEDWAY LLC * 04/28/18 COLLISON LAW OFFICES KEEFE CAMPBELL BIERY & ASSOC 1500 18WC 28527 FERNANDEZ, GUSTAVO S&S INTERNATIONAL INC. * 07/12/18 ELFENBAUM EVERS & AMARILIO 1501 18WC 28633 ZEDNICK, MARK COURTNEY'S SAFETY LANE, I * 09/17/18 MARKER & CRANNELL 1502 18WC 28852 REUTER, DANIEL PACKEY WEBB FORD * 08/17/18 CAPRON & AVGERINOS PC 1503 18WC 28953 WIORA, MICHELLE WOODSPRING SUITES * 03/29/17 1504 18WC 28993 LAIRD, AUDRETTE MARIANO'S * 10/01/17 HORWITZ HORWITZ & ASSOC 1505 18WC 29082 BATTAGLIA, ROBIN ADVANTAGE SOLUTION * 09/18/18 FRANCIS J DISCIPIO LAW OFF 1506 18WC 29154 SOSA, VICTOR BUTTERFIELD COUNTRY CLUB * 08/25/18 RUEDA, IVAN A 1507 18WC 29236 ZAHROUNI-KHAMISSI, MOHSEN DINE IN FRESH/PLATED INC * 08/16/16 PORRO NIERMANN LAW GROUP 1508 18WC 29296 VELEZ, FERNANDO THOSE PAINTING GUYS, INC. * 08/13/18 FOOTE MIELKE CHAVEZ O'NEIL 1509 18WC 29342 LEON, RAUL MORTON'S THE STEAKHOUSE * 07/15/18 PORRO NIERMANN LAW GROUP 1510 18WC 29375 SALDANA, ADALBERTO DAWSON'S TREE SERVICE, IN * 06/14/18 FRIEND LEVINSON & BERGAL 1511 18WC 29450 ROBINSON, ARBENDER MONDELEZ INTERNATIONAL * 09/08/18 ELFENBAUM EVERS & AMARILIO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 87 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1512 18WC 29468 ROMERO, HERIBERTO ANDRADE I2I DESIGN * 08/02/18 MICHAEL HELLMAN 1513 18WC 29527 DANZI, MARY CHRISTINE ELDER BRIDGE * 03/22/18 NILSON STOOKAL GLEASON CAP 1514 18WC 29531 GUTIERREZ, CARLOS INTERNATIONAL EXPEDITORS * 09/14/18 NILSON STOOKAL GLEASON CAP 1515 18WC 29581 HERNANDEZ, DAVID LORIG * 09/13/18 PARENTE & NOREM PC 1516 18WC 29744 BARROWS, ANTONETTE M EDWARD-ELMHURST HEALTHCAR * 01/20/18 MACIOROWSKI SACKMANN & ULRIC 1517 18WC 29786 HORN, ANTIONETTE MARRIOTT COURTYARD, INC * 09/08/17 KARCHMAR & STONE 1518 18WC 29808 COLEMAN, KOUBARIS SAIA LTL FREIGHT * 05/24/18 VRDOLYAK LAW GROUP LLC 1519 18WC 29835 BUSTAMANTE, LUCIA G FRANCISCAN COMMUNITIES IN * 01/01/18 ANKIN LAW OFFICE 1520 18WC 29897 ORTIZ, VICTOR LEANOS NORTH COAST HOLDING, INC * 05/25/17 WIEDNER & MCAULIFFE LTD 1521 18WC 29926 PILZ, RONALD ESENDANT * 02/13/18 ALLEN, WILLIAM LAW OFFICES 1522 18WC 30130 ORR, EARL BUILDING SERVICE AMERICA * 07/28/18 SEIDMAN MARGULIS & FAIRMAN 1523 18WC 30146 GOMEZ, ROBERT ABRA AUTO BODY * 11/20/17 SOSTRIN AND SOSTRIN PC 1524 18WC 30188 BELL, BEULAH BELMONT VILLAGE * 06/14/18 DWORKIN AND MACIARIELLO 1525 18WC 30207 SALAS, YADIRA OUTBACK STEAK HOUSE * 09/13/18 JOSEPH J LOSS PC 1526 18WC 30246 HARRIS, EDDIE L LABOR SOLUTIONS * 09/26/18 DEPAOLO & ZADEIKIS 1527 18WC 30292 PEREZ, CARLA SENIR MIDWEST DIRECT * 08/21/17 RUSIN & MACIOROWSKI LTD 1528 18WC 30321 PONCE, LINDA N A.S.G. STAFFING, INC * 10/01/18 ANKIN LAW OFFICE 1529 18WC 30343 PINTOR, MIREYA COMPLETE CLEANING COMPANY * 09/08/18 STEVEN B SALK & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 88 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR WHEATON 51002 ON 11/14/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1530 18WC 30351 FAJARDO, ERIC SERV-U-SUCCESS * 09/12/18 THERMAN LAW OFFICES 1531 18WC 30395 RAMIREZ, VERONICA DOLLAR TREE, INC * 07/05/18 DEPAOLO & ZADEIKIS 1532 18WC 30412 GAYTEN, JOSE FERNANDO ROCHA D/B/A * 08/20/18 LUSAK AND COBB 1533 18WC 30426 BUCHANAN, MELVIN JR. AT&T * 09/27/18 STROM & ASSOC 1534 18WC 30470 GORDON, LAMONJANA THE GROVE OF ELMHURST * 10/06/18 WARREN W MARK 1535 18WC 30492 COLEY KELLY ERICK PRO-LINE DOOR SYSTEMS INC * 09/11/18 NO ATTORNEY RUSIN & MACIOROWSKI LTD