illinois workers' compensation commission page 1 c a … · 03/21/09 james m ridge law office...

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 07WC 26029 MC HUGH, MATTHEW J METROPOLITAN WATER 03/07/07 SHELDON I MINKOW & ASSOCIA NOBLE & ASSOC 12WC009828 -C 2 07WC 44978 STORINO, JACK M CITY OF CHICAGO-BUREAU OF 09/26/05 FIGLIOLI, DAVID HENNESSY & ROACH PC 07WC044979 -C 10WC042225 -C 3 07WC 47669 MATZIS, MARIA HART SCHAFFNER & MARX 02/01/04 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 4 08WC 14993 SHOEMAKER, VANESSA ST OF IL - DEPT OF HUMAN @ 04/17/06 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 08WC014994 -C 08WC014995 -C 08WC014996 -C 5 08WC 20568 STEPHENS, CLIFFORD CITY OF CHGO BUREAU OF EL 03/28/08 O'CONNOR & NAKOS 6 08WC 35851 LOSOYO, JESUS AKA MAY ST CAFE W 08/07/08 NOWICKI, RONALD J 7 08WC 46252 LAMER, HOLLY ITW-SIGNODE CORP 10/10/08 BOUDREAU NISIVACO LLC HENNESSY & ROACH PC 09WC028388 -C ITW SIGNODE 8 09WC 10723 NOWOTARSKI, DAN COOK COUNTY SHERIFF'S POL 02/12/09 STEVEN J TENZER, LTD INMAN & FITZGIBBONS 9 09WC 34737 HOWARD-BELL, KIMBERLY S IL DEPT OF TRANSPORTATION @ 01/10/09 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 10 09WC 36209 HICKS, JOHN COOK COUNTY SHERIFF'S OFF 03/21/09 JAMES M RIDGE LAW OFFICE INMAN & FITZGIBBONS 15WC008006 -C 11 09WC 42589 ALVAREZ, YOLANDA UNIVERSITY OF ILLINOIS @ 01/05/09 FINE, MARK S LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 12 09WC 43684 MARTINEZ, MARGARITA CITY OF CHICAGO/ANIMAL CO 06/08/09 ANGELA NARDI-QUIGLEY CITY OF CHICAGO 13 10WC 36488 19B JUCKINS, DONALD E HEARTLAND AUTOMOTIVE 08/03/10 BRIAN T MORROW, LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 14 10WC 46662 O'DONNELL, ERIN FOX RIVER GROVE 10/15/08 RICHARD O. GREENFIELD RUSIN MACIOROWSKI & FRIEDMAN 11WC007593 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 11WC 12484 HONG, KYUNG RAN THE KOREAN AMERICAN 02/08/11 DRAKE & COLLOPY PC BRADY CONNOLLY & MASUDA PC 16 11WC 16494 19B KIRBY, WILLIAM CITY OF CHICAGO DEPT 05/11/10 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 12WC038560 -C 12WC038561 -C 14WC029406 -C 17 11WC 16870 BARNEY, SANDRA CTA 04/06/11 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 18 11WC 17255 THIGPEN, BRENDA STATE OF ILLINOIS @ 05/28/09 BAUM RUFFOLO & MARZAL LTD NICHOLE S. MCNAIR 11WC017256 -C 12WC020224 -C ST OF IL DEPT OF CORRECTIO 19 11WC 21853 JOHNSON, CHRISTINE ILLINOIS DEPT OF HUMAN SE @ 03/17/10 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 20 11WC 22880 19B MCHUGH, RUTH CITY OF CHICAGO 06/01/11 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 21 11WC 24990 MONTES, HERIBERTO RUSH UNIVERSITY MEDICAL C 02/22/11 GAINES & GAINES KEEFE CAMPBELL & ASSOC LLC 13WC019893 -C 15WC020821 -C 15WC020822 -C 15WC020823 -C 15WC020824 -C 22 11WC 32949 HEPP, JEFFREY E HULCHER SERVICES INC 02/11/11 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 23 11WC 38110 JONES, SHEREE LEXINGTON HEALTH CARE OF 09/06/11 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 24 11WC 38604 TOLOO-SHAMS, JAMILEH NORTHSHORE UNIVERSITY 06/15/11 EFTEKHARI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 15WC032205 -C 25 12WC 00820 JOHNSON-ANDERSON, RHONDA COOK COUNTY 12/31/11 HUGHES SOCOL PIERS RESNICK 12WC000822 -C 26 12WC 02512 SILVA, LESTER GRANITE DEZIGNS OF ILLINO @ W 07/28/11 STEVEN J SEIDMAN LAW OFFIC ARTHUR WELLMAN 12WC002513 -C 27 12WC 25849 SANTIAGO, MIGUEL A CITY OF CHICAGO 06/25/06 CULLEN HASKINS NICHOLSON CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 12WC 26151 CEDILLO, FRANCISCO ESTES EXPRESS LINES INC 07/17/12 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 29 12WC 26931 SANTOS, NOEL EMPIRE HARD CHROME INC 06/06/12 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 12WC028208 -C 30 12WC 27355 HOGE, DANIEL M WALSH CONSTRUCTION 02/29/12 CRONIN & PETERS HINSHAW & CULBERTSON 31 12WC 32841 BROWN, VICTORIA STATE OF ILLINOIS DEP OF @ 08/22/12 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 32 12WC 33002 HEARD, GEORGE CHICAGO TRANSIT AUTHORITY 09/19/12 LEONARD S BECKER CHICAGO TRANSIT AUTHORITY 33 12WC 35000 GLASER, NICK C ILLINOIS DEPT OF 09/26/12 JOHN S. ELIASIK ASSISTANT ATTORNEY GENERAL 34 12WC 37698 REYES, LUCIA FEDEX GROUND 09/20/12 EPSTEIN, JACK R LAW OFFICE KOPKA, PINKUS DOLIN, PC 35 12WC 38145 SMITH, KEVIN VESUVIUS 06/13/12 MARC J SHUMAN & ASSOCIATES RUSIN MACIOROWSKI & FRIEDMAN 12WC038146 -C 36 12WC 38669 BARHAM, HIRMS GLENBROOK SOUTH HIGH SCHO 08/10/12 EFTEKHARI LAW OFFICES WIEDNER & MCAULIFFE LTD 37 12WC 38907 RODRIGUEZ, ANDRE FORD MOTORS 09/13/12 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 13WC005217 -C 13WC008834 -C 38 12WC 40937 HINTON, ANGJELL V STATE OF IL/DHS @ 11/19/12 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 39 13WC 09062 MARTINEZ, SIMON ILLINOIS DEPT OF TRANS @ 12/31/12 DEPAOLO & ZADEIKIS MATTHEW LICAVOLI 40 13WC 13331 BANSLEY, ROBERT COOK COUNTY SHERIFF'S DEP 02/04/13 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 41 13WC 13363 BECK, THELMA ROSELAND COMMUNITY HOSPIT 11/30/12 MARSZALEK AND MARSZALEK SCOPELITIS GARVIN LIGHT 42 13WC 13617 MAYER, CRISTIE A COUNTY OF COOK 11/08/11 BUIKEMA HISKES DILLNER ET INMAN & FITZGIBBONS 43 13WC 13731 BREESE, LEONARD V ORLAND FIRE PROTECTION DI 03/20/13 THOMAS W DUDA INMAN & FITZGIBBONS 44 13WC 22294 SAMUEL-HOGKINS, TINA CHICAGO TRANSIT AUTHORITY 06/12/13 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 45 13WC 22636 COZZI, ANTHONY CITY OF CHICAGO 03/27/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 46 13WC 23794 SPEECHLEY, JOHN REXNORD CORPORATION 05/06/13 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS 47 13WC 25559 REICHEL, MATTHEW BERGOFF CATERING & 08/07/10 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 16WC001165 -C BERGHOFF CATERING & RESTAU 48 13WC 25762 SARICH, MICHELLE CHICAGO PUBLIC SCHOOLS 06/08/12 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 13WC025763 -C 49 13WC 26627 SMITH, SYLVIA CHICAGO TRANSIT AUTHORITY 08/09/13 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 50 13WC 33973 DEVERS-RUCKER, DAVITTA COOK COUNTY DEPT OF 09/24/13 COHN LAMBERT RYAN & SCHNEI STATES ATTORNEY OF COOK COUN 51 13WC 34383 PANIAGUA, VICTOR CHICAGO TRANSIT AUTHORITY 02/18/13 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 52 13WC 34735 FOFANA, LINDA NORTHSHORE UNIVERSITY 05/06/13 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 53 13WC 35193 ODIBO, GRACE CITY OF CHICAGO 04/27/13 RICHARD J ZABORSKY CITY OF CHICAGO 54 14WC 02916 GOODMAN, CLAUDINE UNITED AIRLINES INC. 12/06/12 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 15WC035988 -C 55 14WC 03108 RUSSELL, STANLEY NORTHWESTERN MEMORIAL HOS 01/05/14 SEIDMAN MARGULIS & FAIRMAN LORENZ & BERGIN PC 15WC033545 -C 56 14WC 03617 TRUJILLO-SUAREZ, NEREO MIDWEST CANVAS CORP 12/10/13 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 57 14WC 03800 ACOSTA, CARMEN RUSH UNIVERSITY MEDICAL C 11/03/13 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC 58 14WC 04174 ANDERSON, PAULA COOK COUNTY SHERIFF DEPT 01/16/14 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 59 14WC 04997 ORTIZ, JOAQUINA WORKFORCE LLC 09/04/13 CHRISTINE F DAVID KOREY RICHARDSON LLC 60 14WC 05937 LLOYD, FREDRIKA ELIZABETH LUDEMAN CENTER @ 01/07/14 MICHAEL HELLMAN JILL OTTE 61 14WC 07302 FLORES, MARIA G CHICAGO PUBLIC SCHOOLS 01/31/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 62 14WC 08143 SCHMIDT, GREGORY VILLAGE OF NILES 01/13/14 TURCYCHUTE LLC NYHAN BAMBRICK KINZIE & LOWR 63 14WC 09317 COLLINS, BARRY CTA 03/10/14 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 16WC005816 -C 64 14WC 12974 KING, ANDRE CAST & CREW ENTERTAINMENT 10/14/13 GORDON & CENTRACCHIO LLC GRANT & FANNING 65 14WC 22512 DELGADO, ALECMAR CHICAGO TRANSIT AUTHORITY 06/26/14 ELFENBAUM EVERS ZIELINSKA CHICAGO TRANSIT AUTHORITY 66 14WC 22518 MENDOZA, ELOY IMPACT STAFFING 05/07/14 SHELDON I MINKOW & ASSOCIA THOMAS & PORTELA 67 14WC 23255 BRIGHAM, DEBORAH CITY OF CHICAGO 09/12/11 CULLEN HASKINS NICHOLSON 68 14WC 23667 SANDSTROM, CARL D J.B. HUNT TRANSPORT, INC 05/12/14 LAW OFFICE EDWARD RUEDA RUSIN MACIOROWSKI & FRIEDMAN 69 14WC 23687 LUCKIES, DANITA CTA 07/04/14 LEONARD LAW GROUP LLC 70 14WC 24220 VALLES, JUAN L LOWE'S HOME IMPROVEMENT 01/28/13 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 71 14WC 24269 MATA, CARLOS SIMON BROTHERS BAKERY INC 08/16/13 LAW OFFICE OF KEVIN O'BRIE LAW OFFICES JOSEPH MARCINIAK 72 14WC 24346 SHAW, DARLENE CHICAGO PUBLIC SCHOOLS 01/22/14 VRDOLYAK LAW GROUP LLC CHGO BOARD OF EDUCATION 73 14WC 25843 HERNANDEZ, MAGDALENA SWEDISH COVENANT HOSPITAL 05/01/14 STROM, NEAL B RUSIN & MACIOROWSKI LTD 74 14WC 25885 CAJALEON, FELITA METHODIST HOSPITAL 05/03/14 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 75 14WC 26487 SMITH, WILLIAM MENARDS INC 04/04/14 DEPAOLO & ZADEIKIS CHILTON YAMBERT PORTER LLP 14WC026488 -C 76 14WC 32157 SIMS, ANITA STEWART BUSINESS CENTER 04/16/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 77 14WC 35333 VERDI, SUSAN AMERICAN AIRLINES 04/02/14 CULLEN HASKINS NICHOLSON ROSARIO CIBELLA 78 14WC 35837 MORENO, MARIO CHICAGO INTERMODAL TRANSP 01/31/14 KATZ FRIEDMAN EAGLE ET AL KARCHMAR & STONE 79 14WC 36314 IHASZ, SEAN PRIMERA IRON WORKS CORP 10/01/14 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 14WC 36783 PRUITT, M CRYSTAL CHICAGO TRANSIT AUTHORITY 07/27/14 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 81 15WC 02288 MORA, HIPOLITO B&R INSURANCE PARTNERS 05/27/13 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 82 15WC 04816 MEICHANG, CHEN, WIDOW OF ZHIU YI MEI INDIVIDUALLY #W 10/31/14 ROMANUCCI & BLANDIN 83 15WC 07750 WHITE, ANTHONY J CITY OF CHICAGO - 02/23/15 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 84 15WC 08709 MASNICA, ROMAN CROSS TOWN CARPENTRY, INC @ 12/31/14 CULLEN HASKINS NICHOLSON 85 15WC 10209 REGAN, PATRICIA C LOYOLA UNIVERSITY MEDICAL 02/25/14 VITELL & SPITZ LTD 86 15WC 10525 O'CONNOR, JERRY AT&T 11/01/13 FOHRMAN, DONALD W & ASSOCS HENNESSY & ROACH PC 87 15WC 11207 GORRELL, VANCE GRIFFITH TRUCKING 01/21/14 HELLER HOLMES & ASSOC NYHAN BAMBRICK KINZIE & LOWR 88 15WC 11424 WATERS, GAIL C. BIGANE PAVING COMPANY 08/04/14 BRILL & FISHEL LAW OFFICES OF EDWARD J. KOZ 89 15WC 11889 JAGE, ROGER WESTERN SPRINGS POLICE DE 03/27/15 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 90 15WC 12296 FRANK, LARISSA ILLINOIS COURT REPORTING @ 10/01/14 BAUM RUFFOLO & MARZAL LTD COLIN KICKLIGHTER 91 15WC 12997 PENCE, MARY ARPAC, LLC 06/07/13 THOMAS R LICHTEN HOLECEK & ASSOCIATES 92 15WC 13928 CRUMP, CAROLYN CITY OF CHICAGO 02/18/15 SHANNON LAW GROUP CITY OF CHICAGO 93 15WC 14613 ANDERSON, ALONZO CITY OF CHICAGO 01/22/15 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 94 15WC 14670 LENTZ, CHARLES ARLINGTON CEMETARY 01/14/15 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 95 15WC 14942 THOMAS, CATHERINE JANE ARGO COMMUNITY 12/21/12 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 12WC041099 -C 12WC041100 -C 15WC014941 -C 96 15WC 19352 HEREDIA, JOHN CITY OF CHICAGO 05/27/15 RUBIN LAW GROUP CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 97 15WC 21552 GUTIERREZ-ROGUE, YOLANDA STATE OF ILLINOIS @ 08/19/13 BRUSTIN & LUNDBLAD LTD COLIN KICKLIGHTER 98 15WC 22716 TONCHEVA, GERGANA COMPASS GROUP/TOUCHPOINT 03/11/15 DEPAOLO & ZADEIKIS BRADY CONNOLLY & MASUDA PC 99 15WC 23322 ESPOSITO, JOSEPH C CITY OF CHICAGO WATER DEP 06/03/15 SALVATO & O'TOOLE CITY OF CHICAGO 100 15WC 26050 OLIVO, JOSE HECTOR SOLARES SCRAP METAL 06/09/15 EPSTEIN, JACK R LAW OFFICE 15WC026051 -C 101 15WC 26181 GIBSON, JACQUELINE RAVENSWOOD CHILDCARE CENT 03/13/15 KARCHMAR & STONE LAW OFFICES JOSEPH MARCINIAK 102 15WC 26252 MC LEAN, SCOTT CITY OF CHICAGO 07/17/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 103 15WC 29671 CLAVELLE-ROSS, BRENDA PALMER HOUSE HILTON HOTEL 09/02/15 ELFENBAUM EVERS ZIELINSKA NOBLE & ASSOC 104 15WC 30414 LEWIS, DAVID J B HULNT TRANSPORTATION 02/06/15 CAPRON & AVGERINOS PC GRANT & FANNING 105 15WC 32699 SHEALLY, ELIZABETH PETE'S FRESH MARKET 09/15/15 HEFLER LAW KEEFE CAMPBELL & ASSOC LLC 106 15WC 33015 MARTINEZ, MARIA HEARTLAND FOOD LLC 01/08/14 JAMES ELLIS GUMBINER & ASS LAW OFFICES OF EDWARD J. KOZ 107 15WC 33588 PALMAR-OSTRIA, FERNANDO MIDWEST REM 01/22/15 INJURY LAWYERS OF IL HENNESSY & ROACH PC 108 15WC 33745 MOORE, TOM CITY OF CHICAGO 08/27/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 109 15WC 33813 FURMAN, JAMES K. CROWN CORK & SEAL, COMPAN 09/14/15 WILLIAM S. WOJCIK LTD BRADY CONNOLLY & MASUDA PC 110 15WC 34468 DANEK, DAVID B WAY CORPORATION 06/10/15 RICHARD E ALEKSY HENNESSY & ROACH PC 18WC009645 -C 111 15WC 35236 ESPOSITO, ROBERT LABRIOLA BAKING COMPANY 07/07/15 GOLDBERG WEISMAN & CAIRO L CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 112 15WC 35335 IBARRA, JULIO FORD MOTOR CO 08/30/14 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 113 15WC 36180 19B SULLIVAN, JENNIFER UNITED AIRLINES 05/09/15 NILSON STOOKAL GLEASON CAP WIEDNER & MCAULIFFE LTD 18WC037240 -C 114 15WC 36875 HOOTEN, ALICE CHICAGO PUBLIC SCHOOLS 11/13/14 STROM & ASSOC CHGO BOARD OF EDUCATION 15WC036876 -C 115 15WC 38404 GORDON, MITCHELL RIVER OAKS HONDA 06/04/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 116 15WC 41646 TABLATE, DOMINGO LOEWS HOTELS 05/28/15 CAPRON & AVGERINOS PC MEACHUM & STARCK 117 16WC 00026 WASHINGTON, PENNEY WILLIAMS CHRISTIAN DAYCAR 10/26/15 CULLEN HASKINS NICHOLSON 118 16WC 01216 CAMPBELL, JOHN CTA 01/10/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 119 16WC 01823 BUCK, WILLIAM W GOEBEL FORMING INC, LLC 12/04/15 BRENNAN, THOMAS E LTD ACCIDENT FUND HOLDINGS 120 16WC 02062 MORRISON, DONALD CTA 10/08/15 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 121 16WC 02347 CORREA, TERESA THE RESURRECTION PROJECT 01/14/15 RUBIN MACHADO ROSENBLUM ANCEL GLINK DIAMOND BUSH & E 122 16WC 02652 HULUM, VANILLA FIRST STUDENT INC 01/14/16 COHN LAMBERT RYAN & SCHNEI WIEDNER & MCAULIFFE LTD 123 16WC 02986 CAZADERO, EDILIA ABHIRUCHI SNACKS 01/04/16 GOLDSTEIN BENDER & ROMANOF NEWLAND & NEWLAND 124 16WC 03205 MARCINIAK, GEORGE COOK COUNTY SHERIFF DEPT 07/05/15 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 125 16WC 03383 SANDOVAL, SALOMON FRANC GONZALEZ 12/28/15 SALVATO & O'TOOLE 126 16WC 03808 SCHAEFER, KELLI ADVOCATE CHRIST HOSPITAL 01/09/16 BARRY A KETTER NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 127 16WC 03856 DONIS, FRANK E COOK COUNTY SHERIFF'S DEP 01/30/16 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 128 16WC 04786 GOLUSZKA, RAYMOND J PARAMEDIC SERVICES OF 08/30/15 JOHN J CASTANEDA HENNESSY & ROACH PC 16WC004787 -C 129 16WC 05297 HENDERSON, CRYSTAL IDOT @ 12/24/15 DEPAOLO & ZADEIKIS ASSISTANT ATTORNEY GENERAL 130 16WC 09149 ROBERTS, MICHAEL ILLINOIS TOLLWAY AUTHORIT 04/17/14 CUDA LAW OFFICES GANAN & SHAPIRO 131 16WC 10581 WATKINS, JOHN REPUBLIC SERVICES 02/01/15 PORRO NIERMANN LAW GROUP GILDEA & COGHLAN 132 16WC 11171 FAILANO, ADELAIDA COMFORT KEEPERS 02/02/16 MEYERS & FLOWERS GANAN & SHAPIRO 133 16WC 11269 HILL, JAMES T BEVEL GRANITE @ W 03/30/16 ANESI OZMON RODIN NOVAK KO 134 16WC 12597 PERALTA, JONATHAN AFFINITY GLOBAL 04/09/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 135 16WC 12738 FRIEL, GEORGE PARK FOREST-CHICAGO HEIGH 02/11/16 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 16WC012739 -C 136 16WC 13259 ROY, BARBARA CHICAGO BOARD OF EDUCATIO 03/23/16 HORWITZ HORWITZ & ASSOC CHGO BOARD OF EDUCATION 16WC027615 -C 18WC022551 -C 137 16WC 13366 MURPHY-WILLIAMS CTA 03/18/16 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 138 16WC 13505 CLARK, MICHAEL HALLSTAR COMPANY 03/02/16 LEO ALT RUSIN & MACIOROWSKI LTD 139 16WC 13615 PACHECO, MICHAEL YRC FREIGHT 01/22/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 19WC000183 -C 19WC000184 -C 140 16WC 13638 BRANTL, KATHRYN W.R. GRACE 12/11/15 JASINSKI, GEORGE J SPIEGEL & CAHILL, PC 141 16WC 13858 ANAYA, RICARDO ELITE CABLE COMMUNICATION 03/21/16 HART & DAVID LLP BRADY CONNOLLY & MASUDA PC 142 16WC 19175 WILLAIMS, DENNIS CHICAGO TRANSIT AUTHORITY 08/17/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 143 16WC 20633 BABAJ, AVNI ABLE ENGINEERING 03/11/16 SALVATO & O'TOOLE MICHAEL JASPER 144 16WC 20868 KONDILIS, JAMES COOK COUNTY SHERIFF'S DEP 02/26/14 STROM, NEAL B STATES ATTORNEY OF COOK COUN 145 16WC 21051 MILLER, DEBRA BELLWOOD S.D. #88 05/16/16 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK DIAMOND BUSH & E 146 16WC 21114 HARRIS, TIMOTHY L FORD MOTOR STAMPING PLANT 05/30/14 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 147 16WC 21925 MARTINEZ, PAOLA AMERICAN GASKET & RUBBER 08/27/15 JONATHAN SCHLACK HOLECEK & ASSOCIATES 148 16WC 22076 SALINAS, CARMEN TCF BANK 04/05/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 149 16WC 22694 SHERIDAN, KEVIN M CHICAGO PARK DISTRICT 07/30/13 ANESI OZMON RODIN NOVAK KO CHICAGO PARK DIST LAW DEPT 16WC022695 -C 16WC022696 -C 16WC022697 -C 150 16WC 22788 MAJERCZAK, DOMINIK JB HUNT TRANSPORT 06/16/16 CUSHING LAW OFFICES KRAKER FANNING & OLSEN 17WC024388 -C 151 16WC 23507 HOMLES, ANDREA FIRST STUDENT TRANSPORTAT 07/12/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 152 16WC 23512 TWEEDY, RALPH METRO LIFT TRUCK 07/14/16 BERG & BERG 153 16WC 23568 GONZALEZ, NANCY PANERA BREAD 07/13/16 SAUNDERS CONDON & KENNY GILDEA & COGHLAN 154 16WC 23922 BLACKWELL, TIFFANY CHICAGO TRANSIT AUTHORITY 06/21/16 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 155 16WC 24160 WILLIAMS, ANNETTE FORD MOTOR COMPANY 08/07/16 BERG & BERG RUSIN & MACIOROWSKI LTD 156 16WC 24284 CARMONA, ERNESTO TEMPS NOW 06/14/16 FERRIS THOMPSON & ZWEIG GRANT & FANNING 157 16WC 31117 GERON, EMMANUEL PREMIER FURNITURE OUTLET 08/29/14 MEYERS & FLOWERS HOLECEK & ASSOCIATES 158 16WC 31158 CALDERON, EDGAR COMMUNITY FIRST MED CTR 09/11/16 BRAD J. BALKE, PC 159 16WC 31821 WALLER, UNICE IL DEPT OF REHAB SERVICES @ 04/12/16 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 160 16WC 31893 ADETOLA, JIDE YELLOW CAB CHICAGO 05/25/15 COSTA IVONE LLC 161 16WC 32012 MOSS-CALLION, PATRICIA MCDONALDS 10/05/16 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 162 16WC 32140 WILLIAMS, JOE STAFFMARK 09/14/16 DISPARTI LAW GROUP PA KEEFE CAMPBELL & ASSOC LLC 163 16WC 32256 HARRIS JR., CURTIS VILLAGE OF COUNTRY CLUB H 10/08/16 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 164 16WC 32622 HERNANDEZ, PABLO CHILLI'S - OHARE INTL AIR 12/14/15 MARSZALEK AND MARSZALEK GAIDO & FINTZEN 165 16WC 32704 MONSON, DARYL CITY OF CHICAGO DEPT OF W 05/31/16 CRONIN & PETERS CITY OF CHICAGO 166 16WC 32783 BELLO, CESAR HALLS RENTAL SERVICE 09/26/16 KARCHMAR & STONE RIPES NELSON BAGGOT KALOBRAT 167 16WC 32963 PRICE, CARLTON CTA 10/17/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 168 16WC 33063 BERRIOS, MARYBEL CHICAGO TRANSIT AUTHORITY 10/18/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 169 16WC 33212 ROJAS, JOSE DEPT OF STREETS & SANITAT 06/02/16 OSVALDO RODRIGUEZ PC 170 16WC 33477 BUTTS, ANDRE YRC WORLDWIDE 08/26/16 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 171 16WC 33552 DEAN, YOLANDA MONDELEZ INTERNATIONAL 04/09/16 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 172 16WC 33705 HORTA, GABRIEL MIDWEST WRECKING 07/19/16 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 173 16WC 33978 GASCA, NORMA CITY OF CHICAGO/ DEPT OF 04/04/16 ANKIN LAW OFFICE CITY OF CHICAGO 174 16WC 35086 GALLICHIO, JANET (WIDOW) COOK COUNTY SHERIFF'S OFF # 09/27/16 O'CONNOR & NAKOS STATES ATTORNEY OF COOK COUN 175 16WC 36043 LYONS, ROBERT MARTIN PETERSON COMPANY I 11/01/16 FRANCIS J DISCIPIO LAW OFF HENNESSY & ROACH PC 176 16WC 38276 VILLASANA, MIGUELE FIRST RESPONSE EMS 01/25/16 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 177 17WC 00468 PILLAI, RAKHY MARCO ROMA PIZZERIA 11/25/16 HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 178 17WC 00771 TORRES, ARMANDO ENVOY/AMERICAN EAGLE 12/20/16 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 179 17WC 00830 OBASI, LONGINUS DISPATCH TAXI CAB 12/02/16 LAW OFFICE OF SCOTT B SHAP 180 17WC 00857 KABELIS, JOE JUDLAU 09/15/16 KURASCH & KLEIN, LTD THOMAS & PORTELA 181 17WC 00985 LEON, ERNESTO LKQ CORPORATION 02/09/16 LAW OFFICES LEONARDO MORAL INMAN & FITZGIBBONS 17WC000986 -C 17WC000987 -C 182 17WC 01180 KELLY, BRUCE NORTH SHORE TRANSIT 12/19/16 BRISKMAN BRISKMAN GREENBER GALLIANI DOELL & COZZI LTD 183 17WC 01262 HANPTON, DEBRA A MONDELEZ INTERNATIONAL 12/28/16 BARRY STEWART SILVER WIEDNER & MCAULIFFE LTD 184 17WC 01272 BAINES, JAMES THE CITY OF CHICAGO 03/17/16 RITTENBERG & BUFFEN CITY OF CHICAGO 185 17WC 01471 GASIK, ROSE M STATE OF IL/DEPT OF HUMAN @ 12/20/16 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 186 17WC 01636 SMITH, ANTHONY CITY OF CHICAGO 01/12/17 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 187 17WC 01641 HARVEY, WARREN E COOK COUNTY 09/01/16 DEPAOLO ZADEIKIS GORE STATES ATTORNEY OF COOK COUN 188 17WC 01749 RADOSTA, VITO SUPER LOW FOODS AKA GAMBI 11/18/15 FIORENTINO LAW OFFICES 189 17WC 01851 MARKS, LARRY J TRINITY SVCS, INC 08/18/16 FIGLIOLI, DAVID GALLIANI DOELL & COZZI LTD 190 17WC 02319 CINA, ANTHONY TRINITY LANDSCAPE OF NORT 02/05/65 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 191 17WC 02448 BAUMAN, CYNTHIA COOK COUNTY 10/19/15 KATZ FRIEDMAN EAGLE ET AL STATES ATTORNEY OF COOK COUN 192 17WC 02469 SCOTT, CHARLES L THE CATHOLIC BISHOP OF CH 06/22/15 ANKIN LAW OFFICE 193 17WC 02489 GRESHAM, KEVIN LAPHAM-HICKEY STEEL 07/07/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 194 17WC 02885 MORRIS, BOB D CONSTRUCTION INC 07/29/16 HORWITZ HORWITZ & ASSOC MEACHUM & STARCK 195 17WC 02942 RUIZ-MARTINEZ, ISIDRO PETE'S FRESH MARKET 12/21/16 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 196 17WC 03042 ELMI, ABDULKADIR KARABOOM CAB CO INC 01/12/17 FISHER & LAMONICA 197 17WC 03185 FLYNN, TERESE SPIRIT AIRLINES 04/04/14 HEALY SCANLON LAW FIRM KELLEY KRONENBERG 198 17WC 03211 PERIC, MILAN CITY OF CHICAGO-DEPT OF 01/09/17 SALVATO & O'TOOLE 199 17WC 03244 GRUSZCZYNSKA, IZABELA HAPPY MAIDS, INC. 01/13/17 URSULA BABICZ & ASSOC 200 17WC 03380 FLORES, ANGEL A TEAM AUTOMOTIVE SERVICES, 11/03/16 COSTA IVONE LLC 201 17WC 03693 MEJIA, LUIS A CHICAGO BEVERAGE SYSTEMS 12/21/16 GOLDSTEIN BENDER & ROMANOF MC CABE & HOGAN 18WC022146 -C 202 17WC 03980 KYSER, LARRY BERRY PLASTICS 01/29/17 JAMES J BURKE LAW OFFICE 203 17WC 04117 KRIETER, SHERYL AMERICAN AIRLINES 01/18/17 STRONG LAW OFFICE GAROFALO SCHREIBER STORM GRA 204 17WC 06949 KING, KAWON UNITED PARCEL SERVICE 12/12/16 DWORKIN AND MACIARIELLO ASA LAW GROUP 205 17WC 10389 MURRAY, WILLIE K JR. MANHEIM REMARKETING, INC. 11/10/16 GANAN & SHAPIRO 18WC015223 -C 206 17WC 10696 DELIC, SEVAL THE WESTIN CHICAGO RIVER 02/08/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 207 17WC 10730 O'BRIEN, MICHAEL COOK COUNTY 03/30/17 RATHBUN CSEVENYAK & KOZOL INMAN & FITZGIBBONS 17WC010745 -C 208 17WC 10775 FRYMIRE, MATTHEW J CARMAX AUTO SUPERSTORES, 12/08/16 GRAUER & KRIEGEL LLC ASA LAW GROUP 17WC010776 -C 209 17WC 10905 BAKER, JACK SCR TRASPORTATION 01/12/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 210 17WC 11119 SASS, CHRISTOPHER SERENITY LED, INC 12/23/16 LAWRENCE M MACK NYHAN BAMBRICK KINZIE & LOWR 211 17WC 11219 CARLSON, KEITH C CFC INTERNATIONAL 01/31/17 GERALD W KOREY NYHAN BAMBRICK KINZIE & LOWR 212 17WC 11435 SALAS, JUAN C FLEXIBLE STAFFING SVCS, I 11/28/16 GOLDSTEIN BENDER & ROMANOF ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 213 17WC 11505 LAWS, DENISE SYMPHONY OF CRESTWOOD 01/07/17 EDWIN REYES LEGAL GROUP NYHAN BAMBRICK KINZIE & LOWR 214 17WC 11632 SMITH, QUENTIN KTY TRANSPORT 04/11/17 215 17WC 11646 DRESHER, LINDA UNITED AIRLINES 08/29/16 CULLEN HASKINS NICHOLSON 216 17WC 11647 BACESCU, RAZVAN LINCOLNSHIRE SERVICE CORP 02/23/17 GARDI & HAUGHT 217 17WC 11830 HARGONS, CYNTHIA A COOK COUNTY FACILITY MANA 02/06/17 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 218 17WC 11912 FLORES, DIANE GRAND PRAIRIE TRANSIT 11/01/16 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 219 17WC 11931 MARTINEZ, EDUARDO STATE OF ILLINOIS, ILLINO @ 03/31/17 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 220 17WC 11968 KEELER, WILLIE THE SALVATION ARMY 03/20/17 CHARLES LEVY & ASSOC LTD 221 17WC 12028 JONES, JACQUELINE ZEIGLER CHEVROLET 02/18/17 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 222 17WC 12094 WHITE, ROSE MARIE CHICAGO TRANSIT AUTHORITY 03/16/17 RICHARD O. GREENFIELD CHICAGO TRANSIT AUTHORITY 18WC003335 -C 223 17WC 12339 OCHOA, JUAN MANUEL J.P. PHILLIPS, INC 07/25/16 JUAN M OCHOA GAROFALO SCHREIBER STORM GRA 224 17WC 12571 BUOL, MARSHA CENTRAL DUPAGE PHYSICIAN 06/20/16 FIORENTINO LAW OFFICES 225 17WC 12649 GERTKEN-LOMANTO,JODY TARGET CORPORATION 01/30/17 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 226 17WC 12968 MCCLAY, SIDNEY AT&T 04/14/17 WEISS & WEISS LAW OFFICES HENNESSY & ROACH PC 227 17WC 13050 JASANY, MOKDAM HELEN CAB COMPANY 01/27/17 DEPAOLO ZADEIKIS GORE DEBORAH SCHAEFER 228 17WC 13093 NEGRON, CANDIDA POOL TRANS INC 03/22/17 DANIEL PERIASWAMY 229 17WC 13167 ORTIZ, LEISARDO OLYMPIC STORE FIXTURES IN 07/15/16 BERG & BERG RUSIN & MACIOROWSKI LTD 230 17WC 13252 SANALITRO, GUY GOTTLIEB HOSPITAL 03/07/17 BAUM RUFFOLO & MARZAL LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 231 17WC 13303 NAVA, JAVIER ILLINOIS INSTITUTE OF 12/14/16 BUDIN LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 232 17WC 13394 JAKOVICH, JOE ARCORP STRUCTURES LLC 04/17/17 ANKIN LAW OFFICE 233 17WC 13420 BLAZIER, MELISSA(WIDOW OF PTO SERVICES #W 04/09/13 ANGELINI & ORI LLC 234 17WC 13472 HAUER, CHRIS ROTO MAZDA 03/23/15 235 17WC 13515 BENFORD, ANGELA ILLINOIS DEPT OF CORRECTI @ 05/03/17 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 236 17WC 13601 BALL, ROSALYN ADVOCATE HEALTH 03/06/17 SHELDON I MINKOW & ASSOCIA GAROFALO SCHREIBER STORM GRA 237 17WC 13635 WHITLOCK, LATOYA ASSOCIATED BANK 03/07/17 SEIDMAN MARGULIS & FAIRMAN 238 17WC 13782 JACKSON, LAVAR NEWLY WEDS FOOD 04/26/17 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM GRA 239 17WC 20241 WILSON, LATRICIA CHICAGO TRANSIT AUTHORITY 03/15/17 CHICAGO TRANSIT AUTHORITY 240 17WC 20379 JONES, LAKEYSIA FLEXAN CORPORATION 12/04/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 241 17WC 20431 MODHERA, SANJAY COOK COUNTY HOSPITAL 09/19/16 PORRO NIERMANN LAW GROUP STATES ATTORNEY OF COOK COUN 242 17WC 20458 BELLO, JUAN CARLOS STAFFING SERVICES CORP 07/06/17 AIOSSA LAW FIRM 243 17WC 20525 TAIMOUR, MAHAMMAD ZHANET CAB CORP 06/28/17 HUNER LAW OFFICES LLC 244 17WC 20706 AGUILAR, HUMBERTO JR TOOTSIE ROLL DWC 06/22/17 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 245 17WC 20877 RAMOS, ADRIANA FEDERAL RESERVE BANK OF C 02/24/17 STROM, NEAL B RUSIN & MACIOROWSKI LTD 246 17WC 20984 SHELTON, KIZZIE M CITY OF CHICAGO 11/20/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 247 17WC 21103 LATIKER, BRIANNA ANDY FRIAN SECURITY SERVI 06/19/17 BART DURHAM GANAN & SHAPIRO 248 17WC 21237 HOLT, VENUS (PRENTISS) JEWEL FOOD STORES, INC 04/07/17 DESTEFANO, ROBERT A & ASSO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 249 17WC 21257 JONES, VICTOR FORD MOTOR CO 04/11/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 250 17WC 21323 STEVENSON, GREGORY CITY OF CHICAGO-WATER DEP 07/11/17 ANGELINI & ORI LLC CITY OF CHICAGO 251 17WC 21461 PARIS, JOANNA NORTHROP GRUMMAN SYSTEMS 02/20/17 GRAUER & KRIEGEL LLC RUSIN & MACIOROWSKI LTD 252 17WC 21845 O'CONNOR, WILLIAM SOUTHWEST AIRLINES 07/03/17 KARCHMAR & STONE 253 17WC 21903 BLANCO, JESSICA VILLAGE OF ARLINGTON HEIG 08/09/16 SANDMAN LEVY & PETRICH RUSIN & MACIOROWSKI LTD 254 17WC 22171 MORA, LUIS HASAK COLD STORAGE 07/21/17 COSTA IVONE LLC 255 17WC 22251 DELK, EDDIE CHICAGO TRANSIT AUTHORITY 07/06/17 LAW OFFICE OF SCOTT B SHAP 256 17WC 22456 HALPER III, EDWARD J PARKWAY ELEVATORS 04/10/17 RUBIN LAW GROUP ACCIDENT FUND HOLDINGS 257 17WC 22475 LEON, MARIA TERESA SMG SAVOR/MCCORMICK PLACE 06/05/17 RUBIN LAW GROUP 258 17WC 22530 IVY, JOHNATHAN ELITE STAFFING 06/25/17 DWORKIN AND MACIARIELLO 259 17WC 22552 NEUMANN-MELONE, JEANETTE CHICAGO PUBLIC SCHOOLS 03/08/17 JASON HAUCK CHGO BOARD OF EDUCATION 260 17WC 22591 SPILLER, MYRON WEISS MEMORIAL HOSPITAL 07/14/17 CUDA LAW OFFICES HENNESSY & ROACH PC 261 17WC 22649 ROBLES, HUMBERTO CITY OF CHICAGO 07/27/17 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 262 17WC 22735 WASHINGTON, TAL AM BUS CO INC 02/15/17 263 17WC 23041 LAYTON, BRIAN WEST WIND EXPRESS 06/22/17 LEONARD LAW GROUP LLC 264 17WC 23112 SANTIAGO, JAVIS LABOR NATION, LLC 07/16/17 LAW OFFICES PETER LEKAS RIPES NELSON BAGGOT KALOBRAT 265 17WC 23331 GETHERS, RHONDA COOK COUNTY 07/21/17 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 266 17WC 23997 NUZZOLO, PAUL ORACLE 05/28/17 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 267 17WC 25184 HERRERA, ARIEL MENARDS 06/01/17 ABELS & ANNES, PC CHILTON YAMBERT PORTER LLP 268 17WC 27431 COE, PATRICK R CTA CHCIAGO TRANSIT AUTHO 09/08/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 269 17WC 28631 WALKER, KURT XPO LOGISTICS FREIGHT INC 08/18/17 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 270 17WC 29303 BOREN, RYAN VILLAGE OF STEGER POLICE 07/18/17 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 271 17WC 29324 BALBINO, AGUSTIN WORLD'S FINEST CHOCOLATE 03/15/16 HERRERA LAW CENTER KRAKER FANNING & OLSEN 17WC029325 -C 272 17WC 29476 ANNES, SCOTT SUPERVISED A SOLUTIONS MANAGEMENT CORP 09/29/17 TAMVAKIS, GEORGE L 273 17WC 29498 MILAN, LILIANA EMBASSY SUITES BY HILTON 09/27/17 PATRICIA HARDIMAN LAW OFFI NOBLE & ASSOC 274 17WC 29563 JUAREZ, JOSE ILLINOIS STATE POLICE @ 06/20/17 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 275 17WC 29653 SILVA, JORGE MIGUEL CHICAGO HEIGHTS STEEL 01/24/17 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 17WC029654 -C 276 17WC 29759 FOUTS, ROXANNE M BLOCK & SONS, INC 02/27/17 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 277 17WC 29825 PETERSON, KIMBERLY ADVOCATE HEALTH CARE 11/08/16 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 18WC011032 -C 278 17WC 29941 HARRIS, LONZETTA CTA 10/05/17 LAW OFFICES TIMOTHY HENDER CHICAGO TRANSIT AUTHORITY 279 17WC 29966 DEAR, EURETHIA BRIDGESTREET GLOBAL 08/17/17 DEPAOLO & ZADEIKIS 280 17WC 29984 SNOW, ANDRE MADDAN MENTAL HEALTH CENT W 09/21/17 ANGELINI & ORI LLC ASSISTANT ATTORNEY GENERAL 281 17WC 30184 HERRERA, VALERIE EAST BALT COMMISARY INC 04/15/17 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 282 17WC 30414 GONZALEZ, JORGE MIDWEST REM ENTERPRISES 09/15/17 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 283 17WC 30458 VELCICH, JADE DAVIS STAFFING INC 10/09/17 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 17WC 30497 ROMO, MARIA CURTISS-WRIGHT 03/07/17 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 285 17WC 30610 GLOWACZ, KAMIL LAS TRANSPORT, LLC C/O 10/11/17 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 286 17WC 30673 BRUCE, MARKEESA T RONS STAFFING SERVICEINC 08/21/17 DEPAOLO ZADEIKIS GORE KOREY RICHARDSON LLC 287 17WC 31104 CLAYTON, TRACEY STATE OF IL-DEPT OF HUMAN 02/12/17 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 288 17WC 31178 LALLY, THOMAS CITY OF CHICAGO WATER 09/05/17 MANDELL, GREGG CITY OF CHICAGO 289 17WC 31390 AGUILERA, HECTOR OLIVER CONSTRUCTION SERVI 10/18/17 GOLDBERG WEISMAN & CAIRO L ANCEL GLINK DIAMOND BUSH & E 290 17WC 31701 WINSTON, MARCUS OZINGA 01/06/17 EDWIN REYES LEGAL GROUP GAROFALO SCHREIBER STORM GRA 18WC009677 -C 18WC031747 -C 19WC004227 -C 19WC005818 -C 291 17WC 32111 SANCHEZ, MARIA MI COSTENITA, LLC 08/22/17 RUEDA, IVAN A HOLECEK & ASSOCIATES 292 17WC 32179 GAITER, HERSHEL KOCH FOODS, INC 10/20/17 ANGELINI & ORI LLC 293 17WC 32188 NANCE, JOHN E CHICAGO PUBLIC SCHOOLS 10/06/17 ANKIN LAW OFFICE LAW DEPARTMENT 294 17WC 32357 HANLEY, COLLEEN EVANSTON FIRE DEPT 11/21/15 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 295 17WC 32385 SCOTT, TRACEY TWO MEN AND A TRUCK 10/21/17 296 17WC 32522 KLAGES, ROBERT VEE PAK LLC 10/24/17 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 297 17WC 32595 WHYMS, ROBERT LAKE LINE DELIVERIES 11/03/14 STROM, NEAL B 298 17WC 32606 MORGAN, SCOT EAGLE EXPRESS LINES INC 09/19/17 JOHN J CASTANEDA HINSHAW & CULBERTSON 299 17WC 32782 DIXON, BRIAN CITY OF CHICAGO 10/03/17 DWORKIN AND MACIARIELLO 300 17WC 32798 GARCIA, ALEX FOOD EVALUATION 10/26/17

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 17WC 32889 INNISS, GEORGE CITY OF CHICAGO 10/06/17 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 302 17WC 33001 HARRIS, KURT J GATEWAY FOUNDATION 07/04/17 GALLAGHER, DONALD V RUSIN & MACIOROWSKI LTD 303 18WC 00592 FLANAGAN, MIKE AIR DESIGN SYSTEMS INC 12/01/17 GOLDBERG WEISMAN & CAIRO L HANSON LAW OFFICE 304 18WC 00687 VIERA, LORENA EDDIE V'S 06/10/17 ENCINAS & ORNELAS 305 18WC 00778 WEBSTER, HENRY HERTZ CAR SALES 01/02/18 GORDON & CENTRACCHIO LLC BRYCE DOWNEY & LENKOV LLC 306 18WC 00845 ROBINSON, JACQUELINE MASSAGE ENVY 10/29/17 COSTA IVONE LLC JOSEPH MARCINIAK 307 18WC 00949 COLLINS, ANTON D COOK COUNTY DEPT OF CORRE 12/10/17 CHAPMAN & CUTLER STATES ATTORNEY OF COOK COUN 308 18WC 00973 BRAVO, GREGORIO CELESTE EXPRESS TRANSPORT 11/30/17 309 18WC 00998 MORALES, SERGIO ENGINEERED GLASS PRODUCTS 04/29/17 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 310 18WC 01015 RUBIO, ARACELI SHREE ARMITAGE INC. DBA 12/21/17 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 311 18WC 01037 HAMEED, MARYLIN J.C. PENNY CORPORATION IN 10/14/17 SPENCER LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 312 18WC 01087 MCCAFFREY, JOHN STATE OF IL/ @ 02/02/17 LANNON LANNON & BARR LTD ASSISTANT ATTORNEY GENERAL 313 18WC 01186 GRACZYK JR, KEN CHICAGO TRANSIT AUTHORITY 03/06/17 TRUGLIO, FRED A & ASSOC CHICAGO TRANSIT AUTHORITY 314 18WC 01502 ESTRADA, DIANA MICHAEL LEWIS COMPANY 12/29/17 EPSTEIN, JACK R LAW OFFICE 315 18WC 01676 KELLER, KEISHA FOOD 4 LESS 02/03/17 EDWIN REYES LEGAL GROUP 316 18WC 01741 CZERNIAK, BRYAN KS ENERGY SERVICES, LLC 09/01/15 GOLDBERG WEISMAN & CAIRO L STONE & JOHNSON CHARTERED 317 18WC 01768 ELBERT, JULIAN UNITED AIRLINES 11/01/17 BRILL & FISHEL 318 18WC 01816 MORRISON, PARRISH UBER 01/11/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 319 18WC 01867 BRITTON, CARL ADAIR ENTERPRISES 03/28/17 MILLON & PESKIN LTD 320 18WC 01934 BAK, ALEKSANDRA BELMONT VILLAGE SENIOR LI 02/06/16 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 321 18WC 02032 MITRIUS, CAROLYN NATION PIZZA & FOODS 06/27/16 MILLON & PESKIN LTD MEACHUM & STARCK 322 18WC 02033 VOIGTS, WILLIAM WORLD FUEL SERVICES CORP 10/10/16 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 323 18WC 02098 LLOYD, SCOTT J BARNEY'S NEW YORK 11/20/17 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 324 18WC 02300 KINSEY, SHARDAI SOUTHWEST AIRLINES 01/05/18 COVEN LAW GROUP HENNESSY & ROACH PC 325 18WC 02441 HENRY, MIKITA Y CITY OF CHICAGO/DEPT OF 11/16/17 RITTENBERG & BUFFEN 326 18WC 02460 CASTRO, JESUS FAMILY DOLLAR 01/14/18 COSTA IVONE LLC LEAHY EISENBERG & FRAENKEL 327 18WC 02521 TIPIANI, JAVIER COOK COUNTY SHERIFF'S DEP 11/30/17 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 328 18WC 02557 DRAKE, BEVERLY D FIRST TRANSIT, INC 01/18/18 FRIEDMAN & SOLMOR LTD 329 18WC 02622 CZARNECKI, CATHERINE AMERICAN AIRLINES 12/15/17 DUDLEY & LAKE LLC GAROFALO SCHREIBER STORM GRA 330 18WC 02796 JURGENSON, RORY ELITE MEDICAL TRANSPORT 12/27/17 VASILATOS & COTTER LLC MEACHUM & STARCK 331 18WC 02947 GARNER, ZYLA SHERWIN-WILLIAMS 06/06/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 332 18WC 02987 GONZALEZ, ANTONIO FLOOD BROTHERS 01/19/18 KARLIN FLEISHER & FALKENBE HENNESSY & ROACH PC 333 18WC 03142 PIEKOS, ZDZISLAW JR MENARD, INC 01/22/18 ALEKSY BELCHER CHILTON YAMBERT PORTER LLP 334 18WC 03225 READ, CALVIN SCR MEDICAL TRANSPORTATIO 01/23/18 COSTA IVONE LLC QUINTAIROS PRIETO WOOD & BOY 335 18WC 03387 SNIEGOWSKI, JAMES CVS PHARMACY 01/29/17 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 336 18WC 03416 ALONZO, GREGORY CITY OF CHICAGO 11/05/17 DEPAOLO & ZADEIKIS CITY OF CHICAGO 337 18WC 03449 LYONS, CRYSTAL FORMAN MILLS 11/28/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 18WC003450 -C 338 18WC 03480 HALL, TERRENCE UBER 01/25/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 339 18WC 03605 MARTINEZ-ROSAS, MARIA ARYZTA LLC 01/19/18 RAYMOND M SIMARD, PC HENNESSY & ROACH PC 340 18WC 03724 RUSSELL, CHANA UNIVERSITY OF CHICAGO 01/24/18 DE SALVO, SCOTT D LAW OFFI HENNESSY & ROACH PC 341 18WC 05148 JONES, LOTTIE M ROSS DRESS FOR LESS 01/25/18 GALLAGHER, DONALD V NYHAN BAMBRICK KINZIE & LOWR 342 18WC 06538 MITCHELL, WILLIE CHICAGO TRANSIT AUTHORITY 11/08/17 ELFENBAUM EVERS ZIELINSKA CHICAGO TRANSIT AUTHORITY 343 18WC 07911 MCKINNEY, MICHAEL CITY OF CHICAGO 02/01/18 CANDIANO LAW OFFICE CITY OF CHICAGO 344 18WC 07927 BOYCHUK, DANIELLE LITTLE CO OF MARY HOSPITA 04/03/15 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 18WC026621 -C LITLE COMPANY OF MARY HOSP 345 18WC 09112 FARMS, JOHNNIE ARENA FOOTBALL ONE, LLC 03/22/17 GORDON & CENTRACCHIO LLC 346 18WC 10373 BROWN, CORDALE F CHICAGO TRANSIT AUTHORITY 03/07/18 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 347 18WC 10420 GOMEZ, JOSEPH ADJUSTABLE FORMS 03/05/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 348 18WC 10442 CALO, KRISTIN UNITED AIRLINES 12/15/16 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 349 18WC 10580 MYLES, IMIA ILLINOIS DEPARTMENT 01/21/18 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 350 18WC 10895 GLANZ, DOUGLAS D VILLAGE OF ARLINGTON HTS 03/06/18 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 351 18WC 10960 CABAN, JULIAN GEORGIA NUT COMPANY 03/15/18 COSTA IVONE LLC CAPUANI, FRANK S 352 18WC 10977 ORTIZ, ALMA DHALIWAL LABORATORIES NRT 03/28/18 HERRERA LAW CENTER 353 18WC 11015 FREY, SHAWN COOK COUNTY SHERIFF'S POL 04/01/18 BOTTO GILBERT STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 18WC 11051 WALLACE, STEVEN UPS 11/24/15 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 355 18WC 11120 SHEHADEH ALI, SHEHADEH VYSHIA GLOBAL TRANSPORT, 03/23/18 STANCZAK LAW OFFICES 356 18WC 11186 GOMEZ, ROMAN RANA MEAL SOLUTIONS 09/30/17 ROBERTO ACEVEDO RIPES NELSON BAGGOT KALOBRAT 357 18WC 11434 OJOFEITIMI, KAREN STATE OF ILLINOIS- @ 10/26/17 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 358 18WC 11589 REYNOLDS, MARIKA LITTLE COMPANY OF MARY HO 02/06/18 COSTA IVONE LLC 359 18WC 11645 VILLEGAS, IRMA PAYLESS SHOE SOURCE 02/23/18 ANSELMO DURAN HINSHAW & CULBERTSON 360 18WC 11683 BROWN-WALKER, NICOLE CTA 04/12/17 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 361 18WC 11702 MARTINEZ, JOSE LUIS ALEX DELI 04/17/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 362 18WC 11728 TOVAR, LUIS M KEY TOWER LLC 03/28/18 LEONARD LAW GROUP LLC KRAKER FANNING & OLSEN 363 18WC 11758 HAMILTON, PAMELA ILLINOIS SCHOOL BUS, INC. 04/11/18 DANIEL PERIASWAMY GALLIANI DOELL & COZZI LTD 364 18WC 11789 CONNOR, PERRY AUTO WAREHOUSING COMPANY 02/12/18 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL BIERY & ASSOC 18WC034337 -C AWC WAREHOUSE 365 18WC 11807 HILL, ROBERT V RYDER LOGISTICS 02/06/18 RANDOLPH GREUNE LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 366 18WC 11841 ROGERS, STEVEN ARCHDIOCESE OF CHICAGO 01/29/17 MILLON & PESKIN LTD MC ANDREWS & NORGLE LLC 18WC025535 -C 367 18WC 11879 BURCHARD, ROBERT POWER CONSTRUCTION COMPAN 09/15/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 368 18WC 11915 HOLLINGSWORTH, HENRY V ARAMARK, INC 03/25/18 INMAN & FITZGIBBONS 369 18WC 11959 ERVIN, JERRY CITY OF CHICAGO 04/16/18 FOHRMAN, DONALD W & ASSOCS 370 18WC 12011 MC COLLOUGH, SAMUEL AEROTEK STAFFING AGENCY 04/03/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 371 18WC 12261 SHERDEN, TAMIEKA COMPASS GROUP USA INC 06/01/17 COSTA IVONE LLC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 18WC 12294 KELLY, DARA JACKSON PARK HOSPITAL MED 02/13/18 SCOTT B SHAPIRO ODELSON & STERK 373 18WC 12308 WILLIAMS, DENISE CTA 03/05/18 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 374 18WC 12524 GARCIA, MERCEDES BRIDGFORD FOODS 12/15/17 GOLDSTEIN BENDER & ROMANOF 375 18WC 12551 FUTARSKI, STOIL ZVONKO TIJANIC/FEDEX 03/16/18 DEPAOLO & ZADEIKIS 376 18WC 12632 ISSAKA, MARIAM COOK COUNTY HEALTH & HOSP 11/02/17 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 377 18WC 12671 RHOADES, TODD CHICAGO THEATRE GROUP INC 09/11/16 LANNON LANNON & BARR LTD 378 18WC 12832 GONZALEZ, SERGIO V.V.V. DIAMOND SVS, INC 03/26/18 JOSEPH J LOSS PC 379 18WC 12856 POWELL, CHARMAINE ISM SECURITY 09/27/16 MENDOZA LAW PC WIEDNER & MCAULIFFE LTD 380 18WC 13009 SHARMA, SATINDER MARR CHICAGO PIZZA DBA 02/13/18 STROM, NEAL B HENNESSY & ROACH PC 381 18WC 13024 THOMPSON, DAVID CITY OF CHICAGO 03/01/18 ALEKSY BELCHER 382 18WC 13041 WEBSTER, KELVIN THE NATIONAL CASH REGISTE 04/01/18 ANKIN LAW OFFICE SPIEGEL & CAHILL, PC 383 18WC 13060 SMITH, CHARLES RICHARD JR AC MEDTRAN INC 04/14/18 TIMOTHY HENDERSON RUSIN & MACIOROWSKI LTD 384 18WC 13139 NELLS, DAN CAREY ELECTRIC CONTRACTIN 12/07/17 HORWITZ HORWITZ & ASSOC 385 18WC 13160 BRACEY, REDDI SOUTH SHORE HOSPITAL 02/14/18 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 386 18WC 13183 GIL, TANIA MIDWAY STAFFING 04/10/18 MC HARGUE & JONES RIPES NELSON BAGGOT KALOBRAT 387 18WC 13239 PEREZ, IRMA HOSPITALITY STAFFING SOLU 04/28/18 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 388 18WC 13300 GIBBONS, LAUREN UPS 03/26/18 SPIROS LAW PC ASA LAW GROUP 19WC019095 -C 389 18WC 13411 BIGGINS, MILTON BIGGINS RIDEL INC BRG SPORTS LLC 04/13/18 RONALDSON & KUCHLER KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 390 18WC 13426 STEPHAN, RICHARD VOLKSWAGON OR ORLAND PARK 07/30/15 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 391 18WC 13437 SCARELLI, PACHINA BROOKDALE LAKE VIEW 04/30/18 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 18WC013438 -C 392 18WC 13487 MALONGA, ANICET GATE GOURMET INC 03/12/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 393 18WC 13496 JOHNSON, MARCELLA LBP MFG LLC 09/26/17 ANKIN LAW OFFICE 394 18WC 13552 FENNESSY, FRANCES FIRST STUDENT, INC. 02/08/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 395 18WC 13779 GRIFFIN, YEVONNE KENTUCKY FRIED CHICKEN 09/23/17 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 396 18WC 13830 ARITZMENDY, BENJAMIN UNITED REMANUFACTURING 03/07/18 CULLEN HASKINS NICHOLSON 397 18WC 13872 RODRIGUEZ, LUCIO OLD DOMINION FREIGHT LINE 02/04/18 DWORKIN AND MACIARIELLO 398 18WC 15916 AINA, DERRIANA (NEXT OF K FLEX TRANSPORT INC # 05/16/18 399 18WC 16000 COLONE, JOHNNY RENAISSANCE MGT CO LLC 02/09/18 SCHAFFNER RABINOWITZ FEINA HENNESSY & ROACH PC 400 18WC 17628 LEAL, ROLANDO NATION PIZZA PRODUCTS LP 12/21/17 HERRERA LAW CENTER MEACHUM & STARCK 401 18WC 18549 HURLEY, KEVIN CBRE TECHNICAL SERVICES, 03/17/18 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 402 18WC 18943 GORDON, TRACEY CTA 05/31/18 COSTA IVONE LLC COSTA IVONE LLC 403 18WC 19247 MURGA, DANIEL WOW BAO/LETTUCE ENTERTAIN 04/27/18 RYAN ROSENTHAL 404 18WC 20207 BARJEBO, MUNEH HYATT PLACE-CHARLOTTE/CIT 04/28/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 18WC020208 -C 405 18WC 20232 QUIGLEY, ERIC I FEDERAL EXPRESS 04/03/18 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC 18WC021883 -C 406 18WC 20274 KISLIAK, OLGA ONE HOME HEALTH 06/27/18 ROSENBERG EISENBERG ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 18WC 20385 OTTO, CHARLES F IDOT @ 06/16/18 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 408 18WC 20439 NEELEY, SAMANTHA ANN ANIMAL WELFARE LEAGUE 05/14/18 BRADY CONNOLLY & MASUDA PC 409 18WC 20458 SANCHEZ, ARMANDO BUONA BEEF 06/15/18 JAMES ELLIS GUMBINER & ASS 410 18WC 20478 RUSSELL, ERIC RGIS, LLC 01/24/18 GORDON & CENTRACCHIO LLC RUSIN & MACIOROWSKI LTD 411 18WC 20514 SINHA, ANSHUMAN SYNCHRONY FINANCIAL W 08/09/17 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 412 18WC 20564 HACKEL, JOSEPH A AMERICLEAN 06/21/18 COSTA IVONE LLC 413 18WC 20714 POIRIER, DAVID R SMG SAVOR 06/10/17 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 18WC020715 -C 18WC032969 -C 414 18WC 20780 AVILA, JESUS VILLAGE OF BURNHAM 05/18/18 RAYMOND P GARZA LAW OFFICE RUSIN & MACIOROWSKI LTD 415 18WC 20874 MEDRANO, VICTOR LIBERTY STAFFING INC. 07/14/16 THEODORE L STACY 416 18WC 20997 ALBRECHT, LARRY UNITED AIRLINES INC 06/27/18 BOWMAN & CORDAY 417 18WC 21149 BOURRET, ALYSON CHICAGO PARK DISTRICT 07/12/17 SANDMAN LEVY & PETRICH CHICAGO PARK DIST LAW DEPT 418 18WC 21270 SMITH, TYHELIA NANDO'S PERI-PERI 05/31/18 COSTA IVONE LLC 419 18WC 21287 NOGUEDA, SALOMON VANTEC HITACHI TRANSPORT 02/07/18 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 420 18WC 21339 HERNANDEZ, THERESA NATIONAL ASIAN PACIFIC CT 06/27/18 MC HARGUE & JONES MEACHUM & STARCK 421 18WC 21357 BARA, GARY BARA ELECTRIC INC 06/27/17 NEWLAND & NEWLAND BRADY CONNOLLY & MASUDA PC 422 18WC 21436 GARD, BRENDA ABF FREIGHT SYSTEMS, INC 07/05/18 PARENTE & NOREM PC KEEFE CAMPBELL BIERY & ASSOC 423 18WC 21539 ABUNDIZ, IRENE MANORCARE HEALTH SERVICES 02/06/18 COMPTON LAW GROUP 424 18WC 21564 SHELBY, KENNETH BYRNE & JONES 07/02/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 18WC 21599 SERRANO, JUANA THE GARLANDS OF BARRINGTO 03/30/18 HERRERA LAW CENTER FRANCESCA LARSEN 426 18WC 21652 DAVIS, GEORGE M ITS CONGLOBAL 07/12/18 VITELL & SPITZ LTD 427 18WC 21677 LEWIS, DONALD SECRETARY OF STATE @ 07/11/18 SMOLER LAW OFFICE, PC ASSISTANT ATTORNEY GENERAL 428 18WC 21698 BRYANT, JUANICA HELP AT HOME, LLC 06/07/18 CHRISTINE F DAVID 429 18WC 21789 MCCLURE, VE-ESTER CTA 11/22/17 DONALD FOHRMAN & ASSOC 430 18WC 21866 OLIVER, TERRENCE L REPUBLIC SVCS 06/18/18 BUDIN LAW OFFICES GILDEA, COGHLAN & REGAN LTD. 431 18WC 21947 AUSTWICK, LAURA AMERICAN AIRLINES 06/20/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 432 18WC 21954 VELAZQUEZ, RODOLFO MARSCO GLASS PRODUTS LLC 05/07/18 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 433 18WC 21972 YORK, ROBERT CHICAGO TRANSIT AUTHORITY 07/21/18 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 434 18WC 22029 BOOE, STEPHEN THYSSEN KRUPP ELEVATOR CO 11/22/17 MARK N LEE 435 18WC 22073 GONZALEZ, MARIA UNIVERSITY OF ILLINOIS - 05/16/18 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 436 18WC 22096 SODERLUND, JAMES D S MECHANICAL INC 01/17/18 O'CONNOR & NAKOS WOLFE & JACOBSON, LTD 437 18WC 22135 CALDWELL, CANDUS TARGET 05/01/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 438 18WC 22155 VAZQUEZ, JUAN INDUSTRA SHARP, INC. 05/01/18 BOUDREAU NISIVACO LLC LAWRENCE COZZI - LAW OFFICE 439 18WC 22180 JANKOWSKI, RICHARD NEWS AMERICA MARKETING - 03/07/18 HORWITZ HORWITZ & ASSOC 440 18WC 22196 DUBOIS, MIKEL UNITED CONTINENTAL HOLDIN 11/29/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 441 18WC 22283 MARTINEZ, J GUADALUPE NOT JUST GRASS, INC 07/09/18 STANCZAK LAW OFFICES MEACHUM & STARCK 442 18WC 22344 SEGURA, CELIA MVP WORKFORCE LLC 06/18/18 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 18WC 22365 KING, PATRICK CITY OF CHICAGO 07/09/18 RICHARD O. GREENFIELD 444 18WC 22407 GALLEGOS, ALEXIS TUFF SHED 10/24/17 STEVEN J MALMAN & ASSOCIAT 445 18WC 22446 NELSON, JESSICA MANDEL, LIPTON, 08/08/17 THOMAS M. PARIS 446 18WC 22475 HENRY, SONIA RJB PROPERTIES, INC 07/24/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 447 18WC 22479 REDDING, BESSIE CITY OF CHICAGO 06/27/18 KROL BONGIORNO & GIVEN LTD 448 18WC 22497 DURAN, GALDINA ELI'S CHEESECAKE CO 04/18/18 MC HARGUE & JONES MEACHUM & STARCK 449 18WC 22505 HOLMES, WENDELL FORD MOTOR COMPANY 01/09/18 DONALD FOHRMAN & ASSOC WIEDNER & MCAULIFFE LTD 450 18WC 22520 ABOYTES, JULIAN MARINE SERVICES CORPORATI 12/02/16 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 451 18WC 22608 BORIS, RAZIEH ARHAUS FURNITURE 06/16/18 STROM & ASSOC KRAKER FANNING & OLSEN 452 18WC 22638 BROWN, JEREMIAH T THE RITZ CARLTON - CHICAG 03/05/18 GALLAGHER, DONALD V HENNESSY & ROACH PC 453 18WC 22763 KRZYZANOWSKI, TIM GENERAL ELECTRIC HEALTH C 06/06/18 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 454 18WC 22830 KNIGHT-COLLINS, VALERIE A IL DEPT OF HUMAN SERVICES @ 06/11/18 455 18WC 22891 DIAZ-RAMIREZ, JESUS ABM FACILITY SVCS 07/06/18 DAVID W MARTAY 456 18WC 22952 YEPEZ, DAVID G SODEXO INC 01/18/18 PETER LEKAS WIEDNER & MCAULIFFE LTD 457 18WC 22974 BARRERA, JESSE TSA PROCESSING 07/06/18 CULLEN HASKINS NICHOLSON 458 18WC 23011 DIAZ, MARIA HOTEL STAFFING SOLUTION 04/07/18 ESR LAW GROUP 459 18WC 23032 COOK, CECILIA AMERICAN AIRLINES 06/08/18 SAUNDERS CONDON & KENNY ROSARIO CIBELLA 460 18WC 23116 SHUTT, JANE D UNITED CONTINENTAL HLDING 06/20/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 18WC 23170 MANUEL, STEPHANIE BRIA OF FOREST EDGE HEALT 07/04/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 462 18WC 23187 ANDERSON, JEROME ISAAC THE HOME DEPOT 07/24/18 SCHWEICKERT & GANASSIN ADELSON TESTAN BRUNDO 463 18WC 23306 ARIAS, JOSE G VEGETABLE JUICES, INC 06/04/18 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 464 18WC 23406 HAVILAND, ALMA ARDAGH GLASS, INC 08/06/15 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 18WC023407 -C 18WC023408 -C 465 18WC 23437 DONALDSON, SHEILA SOLO CUP OPERATING CORP. 02/05/18 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 466 18WC 23458 REED, ADRIAN ABM INDUSTRY GROUP LLC 06/29/18 KATZ FRIEDMAN EAGLE ET AL GOLDBERG SEGALLA LLC 467 18WC 23522 JAMES, ALISA M CITY OF CHICAGO 07/26/18 ANKIN LAW OFFICE CITY OF CHICAGO 468 18WC 23630 VARGAS, LILIA MIDDAY MEALS, INC 06/29/18 GOLDSTEIN BENDER & ROMANOF JOSEPH MARCINIAK 469 18WC 23654 BERDINE, FRANKLIN L PATTEN CATERPILLAR INDUST 06/20/18 O'CONNOR & NAKOS HENNESSY & ROACH PC 470 18WC 23840 REYES, MANUEL GEORGIS CATERING, INC 07/06/18 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 471 18WC 23858 ALEMAN, ADRIAN PEDRO SSP AMERICA 08/20/17 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 18WC023859 -C 472 18WC 25801 REGO, BRIAN N CHICAGO HEIGHTS STEEL 07/21/18 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 473 18WC 26121 HERNANDEZ, BALBINA A&R JANITORIAL SERVICE IN 06/06/18 HERRERA LAW CENTER EVANS & DIXON 474 18WC 26261 KNACK, PAUL STATE OF IL DEPT OF @ 04/28/18 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 475 18WC 26856 MARCHESE, NICHOLAS CITY OF CHICAGO 01/16/18 LEONARD LAW GROUP LLC 476 18WC 27490 STEPPIE, KAYLA BUONA BEEF 09/04/18 GAINES & GAINES WIEDNER & MCAULIFFE LTD 477 18WC 27507 TUREK, PETER DLR GROUP 12/07/16 BOWMAN & CORDAY HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 478 18WC 30076 SZESZYCKI, ANDREW CITY OF HICKORY HILLS 10/06/15 JAMES A PAYONK JR RUSIN & MACIOROWSKI LTD 479 18WC 30329 WILLIAMS, MICHAEL SET ENTERPRISES INC 10/01/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 480 18WC 30374 DIMITROV, BOJIDAR R STAFF MANAGEMENT SOLUTION 01/25/18 GALLAGHER, DONALD V 481 18WC 30405 LOMELI, ROSA MICHAEL FOODS/NATIONAL 01/31/18 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 482 18WC 30427 CELEDONIO, EDELMIRA M SINAI HEALTH SYSTEM 08/22/17 BUDIN LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 483 18WC 30466 CORONA, FRANK COOK COUNTY DIVISION 08/R 09/25/18 COVEN LAW GROUP STATES ATTORNEY OF COOK COUN 484 18WC 30496 WHITE SHANNA MRV CONSTRUCTION 08/26/18 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 485 18WC 30550 GARCIA, LUIS HICKEY ELECTRICAL CONTRAC 08/20/18 HERRERA LAW CENTER GANAN & SHAPIRO 18WC030551 -C 486 18WC 30602 SULLIVAN, ANNE UNITED CONTINENTAL HOLDIN 05/25/18 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 487 18WC 30735 BELL, CASSANDRA COOK COUNTY JUVENILE DETE 08/31/18 MARSZALEK AND MARSZALEK STATES ATTORNEY OF COOK COUN 488 18WC 30785 GAMBLE, RANDY A UNITED FAST FOOD BEVERAGE 07/11/18 STEVEN J MALMAN & ASSOCIAT HOLECEK & ASSOCIATES 489 18WC 30809 WALKER MONTEZ TENET CONCEPTS 09/24/18 ANGELINI & ORI LLC 490 18WC 30833 LEWIS, IRENIA WILLIAMS CHRISTIAN DAYCAR 04/30/18 ANKIN LAW OFFICE JOSEPH MARCINIAK 491 18WC 30868 GREEN, CARMELITA DAY'S ADULT DAY CARE 02/28/17 DWORKIN AND MACIARIELLO 492 18WC 30912 HARRIS, LASHONDA A RUSH UNIVERSITY MEDICAL C 09/19/18 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL BIERY & ASSOC 493 18WC 30929 CONTRERAS, MARIA B UNIVERSITY OF IL AT CHICA 04/01/16 JOHN J CASTANEDA HEYL ROYSTER VOELKER & ALLEN 494 18WC 30987 SIMONSON, PAUL THE VILLAGE OF GLENVIEW 01/04/18 PAPPAS & BELL NYHAN BAMBRICK KINZIE & LOWR 495 18WC 31063 ALEXANDER, ROLANDA COOK COUNTY 09/25/18 LANNON LANNON & BARR LTD STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 496 18WC 31094 SAUCEDO, RUMALDO DOUGLAS PRESS, INC 08/23/18 BAUM RUFFOLO & MARZAL LTD EVANS & DIXON 497 18WC 31128 BROWN, KEVIN ARCELOR MITTAL INDIANA HA 02/12/18 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 498 18WC 31153 CHEN, TAI HUA UNITED AIRLINES INC. 05/28/18 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 499 18WC 31174 FRANCO, ANDREW TWENTIETH CENTRY FOX FILM 10/09/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 500 18WC 31629 COULTER, PARRIS NATIONAL PASTEURIZED EGG 10/11/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 501 18WC 31868 BURNSIDE, GINA UNITED CONTINENTAL HOLDIN 05/28/18 KATZ FRIEDMAN EAGLE ET AL 502 18WC 31972 MEDEL, BRISA ELITE STAFFING 09/29/18 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM GRA 503 18WC 31994 OLSEN, SUSAN UNITED AIRLINES INC. 09/09/18 RIDGE & DOWNES 504 18WC 32027 RIVKIN, CHRISTINE CITY OF CHICAGO DEPT OF 09/27/18 ANKIN LAW OFFICE 505 18WC 32058 CLARK, LESHA UNITED AIRLINES 12/21/17 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 506 18WC 32060 BOOKER, WILNEKA GREAT LAKES CARING 09/01/18 DAVID W MARTAY KEEFE CAMPBELL BIERY & ASSOC 507 18WC 32076 ESCOBEDO, MONICA COOK COUNTY SHERIFF DEPT 08/19/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 508 18WC 32092 VAZQUEZ, BEATRIZ CONCORDIA PLACE 09/11/18 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 509 18WC 32128 THOMSON-TAYLOR, PATRICIA SEGUIN SERVICES 10/10/18 STEVEN J MALMAN & ASSOCIAT 510 18WC 32206 REVUELTA, JORGE L GARCIA GIBSON'S RESTAURANT HOLDI 10/15/18 POMPER & GOODMAN SAUNDERS CONDON & KENNY 511 18WC 32286 WOJCIK, WILLIAM PACKAGING CORPORATION 07/27/18 DEPAOLO & ZADEIKIS GANAN & SHAPIRO 512 18WC 32309 DONDA, TOMASZ MOTION PR - THE MOTION AG 07/17/18 ROMANUCCI & BLANDIN HOLECEK & ASSOCIATES 513 18WC 32427 PEREZ, CHRISTINE UNITED AIRLINES 08/26/18 RUBENS KRESS MULHOLLAND WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 18WC 32484 JOHNSON, WILLIE MONDELEZ INTERNATIONAL 07/30/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 515 18WC 32508 GURROLA, TAMI FEDEX 09/20/18 GREGORIO & MARCO KOPKA, PINKUS DOLIN, PC 516 18WC 32539 LEWEY, JOANNA HAPPY MAIDS 09/10/18 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 517 18WC 32638 STIMAC, PAUL CITY OF CHICAGO DEPT OF 2 09/26/18 STEWART C ORZOFF HENNESSY & ROACH PC 518 18WC 32772 RILEY, LONZO II VILLAGE OF DOLTON 10/04/16 CORNFIELD & FELDMAN RUSIN & MACIOROWSKI LTD 519 18WC 32798 HEALY, WILLIAM J NORTH PALOS SCHOOK DIST 1 08/15/17 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 520 18WC 32820 JACOBSON, ANDREW EAGLE EXPRESS LINES 01/13/18 DEPAOLO & ZADEIKIS HINSHAW & CULBERTSON 521 18WC 32837 PEARSON, PHILLIP N CITY OF CHICAGO 10/07/18 ANKIN LAW OFFICE CITY OF CHICAGO 522 18WC 33017 ARROYO, ERIC FIRESTONE 06/20/18 CARONE LAW OFFICES 523 18WC 33094 GUBRICKY, REGINA ECHO JOINT AGREEMENT 10/15/18 SAUNDERS CONDON & KENNY 524 18WC 33119 DIAZ, RUBEN GRAPHIC PCKGNG INTERNATIO 05/21/18 THE ROMAKER LAW FIRM DOHERTY & PROGAR LLC 525 18WC 33137 GUZMAN, TOMAS THE HABITAT COMPANY 09/07/18 SALVATO O'TOOLE FROYLAN JOSEPH MARCINIAK 526 18WC 33265 ANDERSON, ANDREW PRIME ELECTRIC 10/18/18 LUSAK AND COBB HOLECEK & ASSOCIATES 527 18WC 33316 MCCREEDY, STEVEN COOK COUNTY SHERIFF DEP O 06/14/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 528 18WC 33332 POLK, CONSTANCE JEWEL OSCO 05/25/18 MC HARGUE & JONES 529 18WC 33354 DEFRANCESCO, GIUSEPPE ENVOY AIR 10/16/18 SIGMOND, STEVEN GAROFALO SCHREIBER STORM GRA 19WC025880 -C 530 18WC 33380 GOLDEN, TEMEKA CTA 09/28/18 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 531 18WC 33466 FORESTA, MARY FORD MOTOR CO 09/20/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 532 18WC 33493 GARCIA, HUGO FRANK A EDMUND & CO, INC 10/05/18 KARCHMAR & STONE RIPES NELSON BAGGOT KALOBRAT 533 18WC 33518 JORDAN, KENNY SONOMA UNDERGROUND 08/28/18 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 534 18WC 33532 STURGES, DONALD E LILY TRANSPORTATION CORP 10/19/18 VITELL & SPITZ LTD HEYL ROYSTER VOELKER ALLEN 535 18WC 33553 PABELLO, MAURO HENEGHAN WRECKINGEXCAVATN 10/26/18 DEPAOLO & ZADEIKIS 536 18WC 33605 PICO, ANGEL KROPP FORGE 10/29/18 JAMES ELLIS GUMBINER & ASS 537 18WC 33720 MARTIN, RICHARD E NORTHBROOK FIRE DEPARTMEN 11/12/15 BARRY A KETTER RUSIN & MACIOROWSKI LTD 538 18WC 35918 RATTUNDE, MICHAEL NESTLE 07/23/17 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 539 18WC 36835 ARANDA, ALFREDO TICOS AUTO REPAIR, INC 03/01/18 BUDIN LAW OFFICES INMAN & FITZGIBBONS 540 19WC 01279 MCCARY, NELLY (BENEFICIAR TOM C. EXPRESS # 11/07/18 LEONARD LAW GROUP LLC 541 19WC 01382 ALFARO, JOSE MASA UNO 11/28/18 SHEA LAW GROUP 542 19WC 01764 FAVARATO, THEODORA UNITED CONTINENTL HOLDING 03/28/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 543 19WC 01895 LEON, LUIS BEYOND EVENTS CATERING 12/29/18 SMOLER LAW OFFICE, PC WIEDNER & MCAULIFFE LTD 544 19WC 01919 DYSON, CYNTHIA SOS SECURITY OF ILLINOIS, 01/19/19 THE ROMAKER LAW FIRM JOSEPH MARCINIAK 545 19WC 01947 MOORE, PHENNIES A CHICAGO PUBLIC SCHOOLS 06/07/18 DEPAOLO & ZADEIKIS CHGO BOARD OF EDUCATION 546 19WC 01983 ROSS, TIFFANY SCHNEIDER NATIONAL, INC 01/16/19 JAMES J BURKE LAW OFFICE ASA LAW GROUP 547 19WC 02038 MACHUCA, LETICIA CONTAINER SPECIALTIES INC 11/26/18 EPSTEIN, JACK R LAW OFFICE JOSEPH MARCINIAK 548 19WC 02150 MARTINEZ, ROSALIO HOOSIER CRANE SERVICE CO 11/23/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 549 19WC 02361 WILLIAMS, RICHARD SP PLUS 12/27/18 JOHN S. ELIASIK GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 550 19WC 02387 AJAYI, TEMITAYO O AMERICAN AIRLINES, INC. 01/12/19 DEPAOLO & ZADEIKIS GAROFALO SCHREIBER STORM GRA 551 19WC 02417 VILLALPANO, GABRIEL ALLIANCE CONCRETE SAWING 05/10/18 KROL BONGIORNO & GIVEN LTD EDWARD J. KOZEL 552 19WC 02434 CALDWELL, MARYGRACE FARO CARGO HANDLING SOLUT 12/19/18 LEONARD LAW GROUP LLC 553 19WC 02453 GIANNOLA, DANIEL AFFINITY GROUP FOOD MARKE 10/16/18 HANNIGAN & BOTHA, LTD KEEFE CAMPBELL BIERY & ASSOC 554 19WC 02457 NICKELS, MARY COOK COUNTY SHERIFFS 11/06/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 555 19WC 02487 MYSZKA, JOZEF VEHICLE LIFTS & 12/26/18 FISHER & LAMONICA BRYCE DOWNEY & LENKOV LLC 556 19WC 02527 BENAVENTE, DAVID S & J CONSTRUCTION CO, IN 09/05/18 RUBIN LAW GROUP JOSEPH MARCINIAK 557 19WC 02553 BUTNARIU, PETRU PAGODA ELECTRIC & CONSTRU 11/30/18 BERG & BERG EDWARD J. KOZEL 558 19WC 02669 SOSA, MARIA COSTCO WHOLESALE 09/19/18 ROBERT WARSASKI GANAN & SHAPIRO 559 19WC 02709 MORENO, OSCAR DE ANDA TRIUNE LOGISTICS 01/23/19 BAUM RUFFOLO & MARZAL LTD LITCHFIELD CAVO 560 19WC 02726 HERNANDEZ, CHAVELO NORTHSIDE TOYOTA 01/08/19 CAPRON & AVGERINOS PC 561 19WC 02747 DUARTE, LUIS TOWN OF CICERO POLICE DEP 09/13/18 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 562 19WC 02827 CISZEWSKI, DAVID J ZONE MECHANICAL 03/09/18 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 563 19WC 02902 FLORES, MARCOS ABILITY PLASTICS & 07/28/18 DEPAOLO & ZADEIKIS JOSEPH MARCINIAK 564 19WC 02926 BRENNAN, THOMAS UNIVERSITY OF CHICAGO 11/17/18 DAVID W MARTAY 565 19WC 02945 SYKES, KIMBERLY TAYLOR CHICAGO TRANSIT AUTHORITY 01/28/19 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 566 19WC 03017 ALBRECHT, ANDREW VILLAGE OF BERKELEY 01/25/19 FOOTE MIELKE CHAVEZ O'NEIL 567 19WC 03037 ATKINSON, SHERICE CUDDLE CARE CHILD CARE CE 12/14/18 VRDOLYAK LAW GROUP LLC JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 568 19WC 03054 MATHEY, SUSAN SHERWIN WILLIAMS 01/19/19 DEPAOLO & ZADEIKIS 569 19WC 03057 HERNANDEZ SORIANO, MARISE HOST INTERNATIONAL, INC 11/09/18 ALEKSY BELCHER NYHAN BAMBRICK KINZIE & LOWR 570 19WC 03108 JOHNSON, BRANDON ATLAS EMPLOYMENT SERVICES 11/03/18 ROGER D RUDICH LTD 571 19WC 03229 LYNCE, JEANINE UNITED CONTINENTAL HOLDIN 04/16/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 572 19WC 03295 DREWS, SARAH UNIVERSITY OF ILLINOIS SY 12/24/18 ROBERT J. IRSUTO HEYL ROYSTER VOELKER & ALLEN 573 19WC 03330 MOORE, JEFFREY SIPI METALS 01/30/19 HORWITZ HORWITZ & ASSOC 574 19WC 03374 MARTINEZ, ARACELI ZACATACOS II INC 11/26/18 OSVALDO RODRIGUEZ PC 575 19WC 03467 TOMEZ, RUBEN E VALET PARKING AUTHORITY 12/15/18 MANUAL CARDENAS & ASSOC 576 19WC 03523 BODY, KIRBIE FERRARA CONFECTIONS, LLC 01/24/19 GOLDSTEIN AIOSSA & GOOD 577 19WC 03586 CASTRO, CLAUDIA WORLD CLEANING SERVICES 09/14/18 HUGO ORTIZ WOLFE & JACOBSON, LTD 578 19WC 03653 KOCIOLEK, JOHN EQUIPSOLUTIONS LLC W 10/30/17 GOLDBERG WEISMAN & CAIRO L EDWARD J. KOZEL 579 19WC 03674 COUNCIL, NNEKA STATE OF ILLINOIS @ 08/21/18 STEVEN J MALMAN & ASSOCIAT ASSISTANT ATTORNEY GENERAL 580 19WC 03692 FRANOS, ANDRZEJ BELMONT SAUSAGE CO. 09/06/18 TAXMAN POLLOCK WIEDNER & MCAULIFFE LTD 581 19WC 03711 DANIEL, KENNETH NORTHWESTERN MEMORIAL HOS 01/07/19 WHITESIDE & GOLDBERG LTD 582 19WC 03762 WILSON, JEANNEEN STATE OF ILLINOIS @ 01/08/19 STEVEN B SALK & ASSOC LTD ASSISTANT ATTORNEY GENERAL 583 19WC 03776 PETERSEN, SCOTT OAK LAWN POLICE DEPARTMEN 01/08/19 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL BIERY & ASSOC 584 19WC 03839 ODISHO, SEZAR SEARS 02/01/19 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 585 19WC 03842 MAJOR, MELISSA UNITED CONTINENTL HOLDING 12/15/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 586 19WC 03864 BOWMAN, RHONDA CHICAGO TRANSIT AUTHORITY 01/21/19 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 587 19WC 03894 HERNANDEZ, NELLY GUADARRA ABBOTT RUBBER CO, INC 03/14/17 HERRERA LAW CENTER NOBLE & ASSOC 588 19WC 03913 JEFFERSON, ATERA CTA 01/25/19 HUGHES SOCOL PIERS RESNICK CHICAGO TRANSIT AUTHORITY 589 19WC 03960 SHKIRDAN, TETIANA FLETCHER JONES MNGMNT GRO 01/28/19 WHITESIDE & GOLDBERG LTD 590 19WC 04015 ALVAREZ, JOSE M MONDELEZ INTERNATIONAL 09/01/18 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 591 19WC 04125 DI FRONZO, VITO A LAMP CONCRETE CONTRACTO 11/17/18 SCHRAMM LAW GROUP KRAKER FANNING & OLSEN 592 19WC 04177 PILARSKI, RONALD SUPERVALU, INC. 02/15/17 VLANTIS LAW LLC LEAHY EISENBERG & FRAENKEL 593 19WC 04191 MANDZIARA, THOMAS J AMERICAN AIRLINES, INC 10/08/18 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 19WC008108 -C 19WC022943 -C 594 19WC 04207 MC CONICO, MICHAEL BATTAGLIA FOODS 05/22/18 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 595 19WC 04249 OMBALINO, TERESITA P PETERSON PARK HEALTH CARE 09/28/17 STEVEN B SALK & ASSOC LTD BRADY CONNOLLY & MASUDA PC 596 19WC 04279 MALDONADO, YURIDIANA HOGSALT 12/22/18 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 597 19WC 04298 GORIAL, ELISHWA OXFORD HOTELS & RESORTS L 02/03/19 NEMEROFF LAW OFFICES NOBLE & ASSOC 598 19WC 04356 SMITH, NURUDEEN AUTOZONE 01/17/19 HORWITZ HORWITZ & ASSOC GILDEA, COGHLAN & REGAN LTD. 599 19WC 04394 BONNETTS, WILLIAM THE CITY OF CHICAGO 01/07/19 BRIAN J MC MANUS & ASSOC, 600 19WC 04413 ROMANENKO, TERESA SCRUB, INC 12/19/18 SEIDMAN MARGULIS & FAIRMAN PETERSON JOHNSON & MURRAY 601 19WC 04448 MARTINEZ, FLAVIO GREEN EARTH FACILITY SERV 05/21/18 ENCINAS & ORNELAS HENNESSY & ROACH PC 602 19WC 04473 JIMENEZ, ARMANDO ELITE STAFFING INC 11/29/18 ROBERT WARSASKI 603 19WC 04497 WILLIAMS, JEREMY PECO PALLET INC 02/07/19 ANGELINI & ORI LLC KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 604 19WC 04520 COLEMAN, JENNIFER CITY OF CHICAGO 01/16/19 ARGIONIS & ASSOCIATES LLC 605 19WC 04550 TAYLOR, KEITH WATER RECLAIMATION DISTRI 02/11/19 SEIDMAN MARGULIS & FAIRMAN NOBLE & ASSOC 606 19WC 11473 CRUSE, ALBERT CPS/SIMEON HIGH SCHOOL 11/27/18 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION 607 19WC 11489 ANDRADE, JOSE TOP LINE DRYWALL INC 03/07/19 EPSTEIN, JACK R LAW OFFICE PATRICK BROOKS 608 19WC 11513 CASSEUS, RACHEL EUROPEAN SERVICE AT HOME 06/15/18 MANDELL, GREGG 609 19WC 11568 PAYAN GUTIERREZ, JOSE I HIGHLAND BAKING CO 11/25/18 ANKIN LAW OFFICE 610 19WC 11588 LOPEZ, PATRICIA VALDIVIA AKERS PACKAGING SERVICES 01/31/19 HERRERA LAW CENTER HOLECEK & ASSOCIATES 611 19WC 11621 CACCIATORE, EUGENE MELROSE PARK POLICE DEPT 03/10/19 TAMVAKIS, GEORGE L DEL GALDO LAW GROUP LLP 612 19WC 11631 MEARS, WILLIAM KURTZ AMBULANCE 07/03/18 DWORKIN AND MACIARIELLO KELLEY KRONENBERG 19WC011632 -C 613 19WC 11656 ASHFORD, NIKITA SHUGGA SHACK 03/15/19 SEIDMAN MARGULIS & FAIRMAN 614 19WC 11681 SANCHEZ, ELVIS HARRISON'S POULTRY FARM I 07/21/18 DAVID SZCZECIN & ASSOC NYHAN BAMBRICK KINZIE & LOWR 615 19WC 11702 HUGHES, BILLIE ENTERTARINMENT PARTNERS 08/22/18 ROBERT WARSASKI RUSIN & MACIOROWSKI LTD 616 19WC 11753 MC DANIEL, MICHAEL PAPER STREET REALTY 12/19/18 MARTIN L GLINK LAW OFFICE GANAN & SHAPIRO 617 19WC 11843 PEREZ, NICK BERGLUND CONSTRUCTION 10/19/18 TAMVAKIS, GEORGE L BRYCE DOWNEY & LENKOV LLC 618 19WC 11924 URIOSTEGUI, FRANCELIA EL MESON, INC. 06/15/17 BRIAN J MC MANUS & ASSOC, 619 19WC 11991 GUILLEN, CARLOS FORD MOTOR COMPANY 03/02/17 DONALD FOHRMAN & ASSOC 620 19WC 12020 DIAZ, ELICIA DLH SOLUTIONS INC 10/09/18 LEONARD LAW GROUP LLC 621 19WC 12119 MADSEN, JEANNEA NORRIDGE GARDENS LLC 04/11/19 ANKIN LAW OFFICE WOLF & LAUDICINA LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 622 19WC 12144 FLORES, ELEANA MAPLE & ASH LLC 12/27/18 CHEPOV & SCOTT LLC 623 19WC 12196 DRISCOLL, JOHN INTERNATIONAL DECORATORS 05/08/18 ROMANEK & ROMANEK GAROFALO SCHREIBER STORM GRA 624 19WC 12226 RHYNE, PATRICK BLUE SKY ARCHITECURAL MET 02/27/19 O'CONNOR & NAKOS 625 19WC 12274 WOLNIAK, CHARLES J PENN SERVICES, LLC 02/16/18 RUBIN LAW GROUP EVANS & DIXON, LLC 626 19WC 12322 GJERASI, STAVRO ROYAL MANAGEMENT CORP 02/01/19 CIARDELLI CUMMINGS CAMPAGN 627 19WC 12363 WALKER, KENNETH FED EX 04/16/19 MANDELL, GREGG 628 19WC 12408 JACKSON, MARTEZ SCR MEDICAL TRANSPORT 03/14/19 SKLARE LAW GROUP LEAHY EISENBERG & FRAENKEL 629 19WC 12433 KING-BELL, SABRYNA-JOI CHICAGO TRANSIT AUTHORITY 04/13/19 O'CONNOR & NAKOS CHICAGO TRANSIT AUTHORITY 630 19WC 12443 VAN LANCKER, ELLEN SHERATON CHICAGO O'HARE 04/07/19 SCOTT B SHAPIRO 631 19WC 12466 KALISZ, PETER XYLEM INC 07/02/18 CUSHING LAW OFFICES POULOS & DIBENEDETTO LAW 632 19WC 12484 CALDERON, ESTEBAN PJ TRANS INC 04/22/19 HUGHES SOCOL PIERS RESNICK MCANANY VANCLEVE & PHILLIPS 633 19WC 12504 MEAD, AMY 7-ELEVEN STORES 03/24/19 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 634 19WC 12536 SZCZYGLEWSKI, CHRIS THOREK MEMORIAL HOSPITAL 03/21/19 SOSTRIN AND SOSTRIN PC MEACHUM & STARCK 635 19WC 12561 SANCHEZ, ISABEL BARRERA AEROTEK 03/12/19 RUSSO & RUSSO LTD HENNESSY & ROACH PC 636 19WC 12580 HERNANDEZ, JOSE CF INSTALLATIONS, INC 11/30/18 EPSTEIN, JACK R LAW OFFICE WOLFE & JACOBSON, LTD 637 19WC 12602 KERBER, JEFFREY P JR. ILLINOIS BELL TELEPHONE 03/28/19 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 638 19WC 12628 COCROFT, TANIKA WELL NOW URGENT CARE 04/10/19 DAVID W MARTAY MEACHUM BOYLE TRAUFMAN 639 19WC 12650 KNEDLIK, THOMAS R ALL/TECH DECORATING 04/11/19 ELFENBAUM EVERS & AMARILIO KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 640 19WC 12667 CARBAJAL, SANTIAGO EVANS FOOD GROUP LTD 04/23/18 WITTER LAW OFFICE HOLECEK & ASSOCIATES 641 19WC 12707 FLY, YVETTE DOLLAR TREE STORES, INC. 04/13/19 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 642 19WC 12728 BURGERSS, KATHRYN LOWES 05/07/18 ROGER D RUDICH LTD KEEFE CAMPBELL BIERY & ASSOC 643 19WC 12786 BRITTMAN, JULIUS CITY OF CHICAGO 04/14/19 STONE & MAYA PC CITY OF CHICAGO 644 19WC 12819 ZUNIGA, HECTOR UNITED AIRLINES 07/09/18 THE ROMAKER LAW FIRM 645 19WC 12870 SMITH, BEVERLY ADDUS HOME CARE 11/06/18 CHARLES LEVY & ASSOC LTD HENNESSY & ROACH PC 646 19WC 12890 SULLIVAN, ANDREA TARGET 04/14/19 MC HARGUE & JONES KEEFE CAMPBELL BIERY & ASSOC 647 19WC 12916 WALTERS, BARBARA M&M RENOVATION 05/19/18 HORWITZ HORWITZ & ASSOC MEACHUM & STARCK 648 19WC 12940 TURNER, ANGELO LABOR SOLUTIONS, LLC 04/23/19 STEVEN J MALMAN & ASSOCIAT MC ANDREWS & NORGLE LLC 649 19WC 12960 OSBORNE, ANDRE TOTAL STAFFING/OSI 06/13/18 KNELL O'CONNOR DANIELWICZ 650 19WC 12974 THAMCHAROENTIP, PHENCHAN UNITED AIRLINES 03/26/19 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 651 19WC 12998 VELEZ, NEFTALY CENVEO INC 04/03/19 ENCINAS & ORNELAS NOBLE & ASSOC 652 19WC 13016 UMANZOR, ANDRES MILBURN LLC C/O JOE R. MI 04/17/19 HETHERINGTON KARPEL & BOBB GAROFALO SCHREIBER STORM GRA 653 19WC 13051 RAGSDALE, RODNEY UNITED AIRLINES, INC. 02/25/18 KARCHMAR & STONE 654 19WC 13227 FEHIL, TIMOTHY CONGLOBAL INDUSTRIES, LLC 04/27/19 GWC INJURY LAWYERS LLC BRYCE DOWNEY & LENKOV LLC 655 19WC 13289 SANCHEZ, DOMINGO DIAMOND REMODELING LLC 04/23/19 LEONARDO MORALES 656 19WC 13316 ELLERSON, MONICA CHICAGO PUBLIC SCHOOLS 03/27/19 GORDON & CENTRACCHIO LLC CHGO BOARD OF EDUCATION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 657 19WC 13335 FLOWERS, ROCKY SUMMORE 12/20/18 RUBENS KRESS MULHOLLAND KEEFE CAMPBELL BIERY & ASSOC 658 19WC 13385 ROSAS, HECTOR LCV STAFFING, LLC 04/09/19 RATHBUN CSEVENYAK & KOZOL LITCHFIELD CAVO 19WC016008 -C 659 19WC 13430 NOESEN, GARY K AMERICAN AIRLINES 01/22/19 BARRY A KETTER 660 19WC 13492 MADISON, TERESA L UNITED AIRLINES INC. 03/12/19 KURASCH & KLEIN, LTD 661 19WC 13526 LEE, EARNEST III SYSCO CHICAGO, INC. 05/07/19 GOLDSTEIN AIOSSA & GOOD QUINTAIROS PRIETO WOOD & BOY 662 19WC 13541 GERENA, MARIBEL JEWEL/OSCO 02/20/19 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 663 19WC 13570 SHELBY, MAURICE D REAL ALLOY RECYCLING, INC 01/04/19 ANKIN LAW OFFICE 664 19WC 13585 SANCHEZ, ENRIQUE VENT PRODUCTS COMPANY 04/24/19 COSTA IVONE LLC 665 19WC 13636 QUINONES, CARLOS SNELLING STAFFING LLC 05/07/19 GWC INJURY LAWYERS LLC GOLDBERG SEGALLA LLC 666 19WC 13703 JUBIN, ZACHERI S GOODBERLET HOME SERVICES 04/12/19 PETER F FERRACUTI & ASSOCI 667 19WC 13727 GODINEZ, MICHELLE LADSE 12/04/18 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 668 19WC 13771 HODGES, LATICIA DUNKIN DONUTS 05/08/19 GRAVLIN, MICHAEL J LLC RUSIN & MACIOROWSKI LTD 669 19WC 13773 COOKS, INDIA CITY OF CHICAGO 04/23/19 GORDON & CENTRACCHIO LLC 670 19WC 13795 ZEPEDA, MIREYA WINSTON BRANDS 03/15/19 STANCZAK LAW OFFICES 671 19WC 13824 MALDONADO, GEORGE FED EX GROUND 03/30/19 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS DOLIN, PC 672 19WC 13844 JACKSON, JOANN COOK COUNTY HOSPITAL 05/01/19 LUSAK AND COBB STATES ATTORNEY OF COOK COUN 673 19WC 13886 MONTGOMERY, LATESHA DOLLAR TREE, INC D/B/A 03/19/19 SIMS, ZACHARY K PC NYHAN BAMBRICK KINZIE & LOWR 674 19WC 13905 CABADA, NIDIA SOUTHWEST AIRLINES CO 07/26/18 SOSTRIN AND SOSTRIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 675 19WC 13938 CONTRERAS, GONZALO COOK CNTY SCHOOL BUS INC 05/03/19 AIOSSA LAW FIRM 676 19WC 13995 PASTRANA, ELISA LOYOLA UNIVERSITY MEDICAL 04/17/19 RONALDSON & KUCHLER 677 19WC 14034 NUNEZ, IRIANA WEBER-STEPHEN PRODUCTS, L 05/08/19 HANNIGAN & BOTHA, LTD JOSEPH MARCINIAK 678 19WC 14057 ROMAN, RENE METRO AIR SERVICES 03/27/19 LEONARD LAW GROUP LLC 679 19WC 14120 KING, DAVID SYSCO CHICAGO INC 04/03/17 GWC INJURY LAWYERS LLC 680 19WC 14239 RIOS, MARY D SEALED AIR CORPORATION 08/04/18 DAVID W MARTAY 681 19WC 14257 PARKS, CHARLESTON AMERICAN AIRLINES 05/07/19 MICHAEL HELLMAN GAROFALO SCHREIBER STORM GRA 682 19WC 14277 WASHINGTON, JUJUAN U-HAUL CO. OF ILLINOIS 03/15/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 683 19WC 14303 KU, IRENE UNITED CONTINENTAL HOLDIN 04/22/19 KATZ FRIEDMAN EAGLE ET AL 684 19WC 14397 ANCHACHES, GEORGE US AUTO FORCE 03/11/19 CULLEN HASKINS NICHOLSON 685 19WC 14451 KAMZIC, PAUL CONTEMPORARY CONCRETE CRE 03/30/18 JASINSKI, GEORGE J RUSIN & MACIOROWSKI LTD 686 19WC 14467 RODRIGUEZ, LYNN MENZIE'S AVIATION 05/13/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 687 19WC 14492 ANAYA, CELIA ADVOCATE LUTHERAN GENERAL 04/07/19 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 688 19WC 17816 CASH, TIMOTHY AREAS USA ORD LLC 06/10/19 ELFENBAUM EVERS ZIELINSKA 689 19WC 18231 ACEVEDO, SALVADOR CERAMI CONSTRUCTION CO, L 07/05/18 WIEDNER & MCAULIFFE LTD 690 19WC 19116 DIAZ, SOCORRO ADVOCATE CHRIST MEDICAL C 04/01/19 MORICI FIGLIOLI & ASSOC NYHAN BAMBRICK KINZIE & LOWR 691 19WC 19319 CABRERA, HECTOR MARUICHI LEAVITT PIPE 06/03/19 ELFENBAUM EVERS ZIELINSKA BORGELT POWELL 692 19WC 20925 MARTINEZ, VICENTE A&A MAINTENANCE 07/09/19 GOLDSTEIN BENDER & ROMANOF MEACHUM BOYLE TRAUFMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 693 19WC 20946 MCCOY, MARGO UNITED AIRLINES, INC. 05/23/19 GREGORIO & MARCO 694 19WC 21004 ABARCA, BIANCA TARGET 07/15/19 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 695 19WC 21026 HUICOCHEA, INES DOUBLE TREE BY HILTON 06/15/19 LEONARDO MORALES 696 19WC 21075 HOUSER, YVETTE COOK COUNTY SHERIFF'S DEP 02/06/19 JONATHAN SCHLACK STATES ATTORNEY OF COOK COUN 697 19WC 21101 HERNANDEZ, REGINA ILLINOIS TOOL WORKERS, IN 05/13/19 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 698 19WC 21129 GONZALEZ, OCTAVIO HENRY DELIVERS 12/27/18 BENNETT LAW OFFICES 699 19WC 21209 ANDERSON, ROBERT FLEX-N-GATE CHICAGO, LLC 07/12/19 ANKIN LAW OFFICE 700 19WC 21226 VANTREASE, GLENN AMERICAN AIRLINES 01/30/19 RUBENS KRESS MULHOLLAND 701 19WC 21308 WHITE, CLARENCE SVI THEMED CONSTRUCTION 06/17/19 SANDMAN LEVY & PETRICH 702 19WC 21341 MENDEZ, ALBERTO CROSS PERSONNEL 05/12/19 NEWLAND & NEWLAND RUSIN & MACIOROWSKI LTD 703 19WC 21364 SANDOVAL, CESAR CONGRESS PLAZA HOTEL 07/15/19 EPSTEIN, JACK R LAW OFFICE ACCIDENT FUND HOLDINGS 704 19WC 21383 POLLION, DOMINIQUE LEVY RESTAURANTS/LEVY IL 07/21/19 ANKIN LAW OFFICE GANAN & SHAPIRO 705 19WC 21407 PELAYO, JESUS RAINCOAT ROOFING SYSTEMS 06/15/19 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 706 19WC 21427 FAYNE, ASHANTI R ALL MASONRY CONSTRUCTION 03/06/19 GOLDSTEIN BENDER & ROMANOF HEYL ROYSTER VOELKER ALLEN 707 19WC 21450 ARRINGTON, RAYMOND ECODIRECT CLEANERS 03/25/19 JOHN S. ELIASIK RUSIN & MACIOROWSKI LTD 708 19WC 21458 YOUNG, AVIANCE LANDMARK OF RICHTON PARK 04/16/19 DAVID W MARTAY 709 19WC 21479 RIVERA, CARINA VICTORY CENTRE OF GALEWOO 07/04/19 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 710 19WC 21585 PESAVENTO, DAVID KOMATSU FORKLIFT USA INC. 05/22/19 KREITER, BYCK & ASSOC LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 19WC 21599 BOBLEWSKI, NICHOLAS A CITY OF CHICAGO DEPT OF 05/20/19 RUBIN LAW GROUP 712 19WC 21633 GARCIA, MAGDA DEBBIES CUSTOMIZED STAFFI 06/28/19 HERRERA LAW CENTER RIPES NELSON BAGGOT KALOBRAT 713 19WC 21693 PARKER, ROSE IL DEPT OF HUMAN SERVICES @ 07/23/19 CELSO FUENTES JR ASSISTANT ATTORNEY GENERAL 714 19WC 21722 SILLER, DEANTE UNITED PARCEL SERVICE 06/04/19 ROGER D RUDICH LTD 715 19WC 21753 PAUL, BLANCA WALMART 06/20/19 KATZ FRIEDMAN EAGLE ET AL QUINTAIROS PRIETO WOOD & BOY 716 19WC 21799 BLISS, KATHLEEN JJ LYNN HOLDING, INC. 04/29/19 PHILIP BLOMBERG 717 19WC 21820 PEREZ, GONZALO UPS 07/14/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 718 19WC 21888 STROH, ROBERT CHICAGO TRANSIT AUTHORITY 04/16/19 LANNON LANNON & BARR LTD CHICAGO TRANSIT AUTHORITY 19WC021889 -C 719 19WC 21916 RHODES II, CARLOS G AT&T 07/11/19 GWC INJURY LAWYERS LLC 720 19WC 21957 VILLAROEL, OSCAR HOTEL STAFFING SOLUTIONS 06/02/19 COSTA IVONE LLC RIPES NELSON BAGGOT KALOBRAT 721 19WC 21985 KHURANA, PRAVEEN SCHNIEDER NATIONAL INC. 06/26/19 ASA LAW GROUP 722 19WC 21997 SHAHID, RAFFAT UBER 06/04/19 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 723 19WC 22018 HASHI, HAMZE JKC TAXI CORP 07/17/19 FISHER & LAMONICA 724 19WC 22055 GEHRIG, DIANA NICOR GAS 12/12/18 GWC INJURY LAWYERS LLC ASA LAW GROUP 725 19WC 22080 ROSADO, MYRALISA ILLINOIS BONE &JOINT INST 06/13/19 KARCHMAR & STONE 726 19WC 22107 OSTLER, KELLY HEALTHPRO HERITAGE, LLC 09/26/18 ANKIN LAW OFFICE 727 19WC 22138 SOTO, CECILIA MIDWAY STAFFING 05/15/19 JAUREGUI & ASSOCIATES 728 19WC 22173 HODGES, LEE ABM 07/29/19 GERALD CONNOR GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 19WC 22224 DESAI, CHINMAY CVS HEALTH 04/12/19 STEVEN J MALMAN & ASSOCIAT NYHAN BAMBRICK KINZIE & LOWR 730 19WC 22241 WILSON, LANCE AAM METAL FORMING/CHICAGO 07/17/19 DWORKIN AND MACIARIELLO EVANS & DIXON 731 19WC 22259 EYER, GHISLAINE UNITED CONTINENTAL HOLDIN 02/05/19 BRIAN J MC MANUS & ASSOC, 732 19WC 22298 AGUILAR, MAURILIO TOOTSIE ROLL INDUSTRIES L 06/17/19 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 733 19WC 22315 HENDERSON, JULIE UNITED AIRLINES 06/06/19 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 734 19WC 22342 HORWICK, BRIAN CITY OF CHICAGO 12/01/18 SALVATO O'TOOLE FROYLAN LEAHY EISENBERG & FRAENKEL 735 19WC 22380 GLEASON, DENNIS G4S SECURE SOLUTIONS (USA 04/17/19 BRYCE DOWNEY & LENKOV LLC 736 19WC 22402 REGNIER, LINDA UNITED AIRLINES INC. 07/20/19 SAUNDERS CONDON & KENNY 737 19WC 22419 SMITH, DWAYNE METROPOLITAN WATER 06/25/19 SEIDMAN MARGULIS & FAIRMAN 738 19WC 22440 JEFFERS, MARK CHICAGO HEIGHTS GLASS, IN 11/14/18 O'CONNOR & NAKOS BRYCE DOWNEY & LENKOV LLC 739 19WC 22456 ERVING-AGBIDION, SENNOBIA CHICAGO TRANSIT AUTHORITY 04/19/19 COSTA IVONE LLC 740 19WC 22579 FALFAN, JOVANI MALAGA INC 07/05/19 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 741 19WC 22608 ALEXANDER, WILLIAM SCR MEDICAL TRANSPORTATIO 07/17/19 RUBENS KRESS MULHOLLAND LEAHY EISENBERG & FRAENKEL 742 19WC 22632 BORGHI, DENNIS CITY OF CHICAGO DEPT OF 06/26/19 RUBIN LAW GROUP CITY OF CHICAGO 743 19WC 22666 CARRILLO, BEATRIZ MERCADO CERMAK PRODUCE 07/10/19 HERRERA LAW CENTER 744 19WC 22696 BURTON, RUTH CHICAGO TRANSIT AUTHORITY 07/30/19 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 745 19WC 22724 HENKENDREIS, DIETER CLUNE CONSTRUCTION 06/06/19 KROL BONGIORNO & GIVEN LTD 746 19WC 22788 LACEY, JAMAL CHICAGO TRANSIT AUTHORITY 11/22/17 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 747 19WC 22805 GONZALEZ, MARIA CITY OF CHICAGO, DEPARTME 07/09/19 BRISKMAN BRISKMAN GREENBER ODELSON & STERK 748 19WC 22821 DIAZ, CARLOS EIESLAND WOODWORK COMPANY 07/15/19 749 19WC 22877 ROBINSON, JOHN CONTRACT INSTALLATIONS 07/19/19 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 750 19WC 22900 ROMAN, ALEJANDRO FONTANINI ITALIAN MEATS 07/31/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 751 19WC 22949 JOHNSON, ANN MARIE GLEN GROVE EQUESTRIAN CEN 03/12/19 SANDMAN LEVY & PETRICH HINSHAW & CULBERTSON 752 19WC 23001 NEGRON, ROBERTO ABRASIVE TECHNOLOGY INC 06/10/19 GRAUER & KRIEGEL LLC 753 19WC 23059 HUBBARD, MARK CITY OF CHICAGO 09/06/16 ANKIN LAW OFFICE CITY OF CHICAGO 754 19WC 23080 JONES, JOE MERX GLOBAL 08/02/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 755 19WC 23097 FELTHOUSE, STEVEN BULKMATIC 05/31/19 LUSAK AND COBB INMAN & FITZGIBBONS 756 19WC 23131 BARTUCH, ANTHONY TRINITY HIGH SCHOOL 08/01/18 MD JOHNSON PC 757 19WC 23184 SCOTT, ERIC HOME DEPOT 03/26/19 MC HARGUE & JONES ADELSON TESTAN BRUNDO 758 19WC 23199 ROGERS, WILLIAM DOT TRANSPORTATION 04/08/19 COVEN LAW GROUP HEYL ROYSTER VOELKER & ALLEN 759 19WC 23221 ALBERT, JANE UOP LLC 05/01/19 CZAPLA LAW EVANS & DIXON, LLC 760 19WC 23279 BARAONA, MILCAH THE VILLAGE OF NILES 02/01/17 CHASE & WERNER LTD NYHAN BAMBRICK KINZIE & LOWR 19WC023280 -C 761 19WC 23300 GARCIA, DAVID GCP APPLIED TECHNOLGOY 07/09/19 MC HARGUE & JONES SPIEGEL & CAHILL, PC 762 19WC 23330 MOOTRY, MICHELLE MAXIM HEALTHCARE 07/01/19 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 763 19WC 23356 LOPEZ, LAURA LYONS SCHOOL DISTRICT 103 04/17/19 RUBIN LAW GROUP INMAN & FITZGIBBONS 764 19WC 23388 DIAZ, DONIA SEARS HOLDING CORP 08/08/19 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 765 19WC 23406 BILLINGS, THOMAS JR ABRA AUTO BODY AND GLASS 04/04/19 RICHARD J ZABORSKY 766 19WC 23469 SMOLIK, MICHAEL CITY OF CHICAGO 05/31/19 STEVEN A CRIFASE, LTD CITY OF CHICAGO 767 19WC 23487 KOWALEWSKI, MICHAEL GREENWOOD CARE,INC 08/06/19 RUBIN LAW GROUP PAUL O WATKISS 768 19WC 23518 MENDIOLA, ANGUS LAKESIDE METALS, INC 11/26/18 COSTA IVONE LLC HOLECEK & ASSOCIATES 769 19WC 23537 BERGMAN, SUE JOHN H STROGER HOSPITAL 07/28/19 THOMAS A MORRISSEY STATES ATTORNEY OF COOK COUN 770 19WC 23553 OLIVARES, HILARIO SLOAN VALVE 09/15/18 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 771 19WC 23607 LEVIN, HILDA WALGREENS 02/25/19 MILLON & PESKIN LTD GILDEA, COGHLAN & REGAN LTD. 772 19WC 23634 TOMA, YOUSEF N XYLEM, INC. 11/19/18 C DEAN MATSAS KEEFE CAMPBELL BIERY & ASSOC 773 19WC 23648 TOWNS, ELIJAH E LAKE SHORE BEVERAGE 07/02/19 CULLEN HASKINS NICHOLSON 774 19WC 23668 MARTIN, VERONICA CHICAGO-JEWISH COMMUNITY 06/17/19 COVEN LAW GROUP JOSEPH MARCINIAK 775 19WC 23684 WILLIAMS, GERTIE CAROLE ROBERTSON CENTER 08/09/19 MC HARGUE & JONES 776 19WC 23719 GRIGGS, ARIE LAZ PARKING 08/01/19 WARREN W MARK MEACHUM BOYLE TRAUFMAN 777 19WC 23780 PRICE, NEAL CAD CONTRACT GLAZING INC 03/25/19 GWC INJURY LAWYERS LLC 778 19WC 23802 VAZQUEZ, RAQUEL KELLOGGS/KEEBLES CO 07/24/19 STEIN & CHERNY LTD KEEFE CAMPBELL BIERY & ASSOC 779 19WC 23919 D'ATTOMO, JOHN D AT&T 10/23/18 DOUGLAS RALLO PC 780 19WC 23972 WILSON, PAMELA NORTHSIDE HOUSING SUPPORT 07/11/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 781 19WC 23994 DAVIDSON, BRANDON ROCKFORD ICE HOGS 03/15/19 GORDON LAW OFFICES LTD 782 19WC 24011 ROSEMON, ULAINE FRESENIUS KIDNEY 03/08/18 DAVID W MARTAY HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 783 19WC 24034 PAIVA, JOSE LUIS M & M BOX PARTITIONS CO 08/05/19 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 784 19WC 24079 BRADLEY, STEVEN ELISABETH LUDEMAN CENTER @ 07/16/19 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 785 19WC 24111 DZIEDZIC, TOMASZ MULTY VISION EXTERIORS, I 07/03/19 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 786 19WC 24155 ROLLINSON, JEFF PROGRAM PRODUCTIONS, INC. 07/05/19 HEALY SCANLON LAW FIRM HENNESSY & ROACH PC 787 19WC 24186 HARPER, ROSE UNITED AIRLINES 06/22/19 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 788 19WC 24206 HERNANDEZ, JULIE DLH SOLUTIONS 07/16/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 789 19WC 24238 DIXON, BARBARA INTEGRITY TRADE SERVICES 07/31/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 790 19WC 24268 SAMPSON, KATARA D CHICAGO TRANSIT AUTHORITY 04/07/19 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 791 19WC 24290 MALONEY, CHRIS NRJM INC 01/12/19 DEPAOLO & ZADEIKIS CHILTON YAMBERT PORTER LLP 792 19WC 24306 WALLER, JOHNNIE FORD MOTOR CO 08/12/19 VASILATOS & COTTER LLC 793 19WC 24326 HERNANDEZ CRUZ, CRISTOBAL PRO-TROOP, LLC 07/10/19 HERRERA LAW CENTER 794 19WC 24392 BAUER, RANDY ZIPPRICH CONTRACTORS 07/25/19 COSTA IVONE LLC BRYCE DOWNEY & LENKOV LLC 795 19WC 24468 VILLA, ISIDRO J&A SHEET METAL 08/15/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 796 19WC 24489 BEDNARZ, CHARLES CITY OF EVANSTON 03/31/19 DONALD FOHRMAN & ASSOC 797 19WC 24522 VILCHEZ, MILAGROS E PRIDE STAFF 01/07/19 HERRERA LAW CENTER 798 19WC 24548 RAHIM, MASUMA THE GODDARD SCHOOL OF SKO 07/25/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 799 19WC 24576 PARKER, PHILLIP DPI DEDICATED LOGISTICS 06/08/19 STROM & ASSOC 800 19WC 25331 ALICEA, MELITZA RHM STAFFIGN SOLUTIONS 08/13/19 MC HARGUE & JONES KNELL O'CONNOR DANIELWICZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 801 19WC 30496 LOPEZ, MARIO HARVARD MAINTENANCE 09/09/19 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 802 19WC 30513 ROMERO-JUAREZ, ULISES HYATT REGENCY 08/30/19 ELFENBAUM EVERS ZIELINSKA 803 19WC 30560 ROCHE-TOBIN, HANNAH PIT BOSS RIB HOUSE 12/07/17 DWYER & COOGAN STONE & JOHNSON CHARTERED 804 19WC 30603 LIPSEY, CORREY HIRE QUEST, LLC 09/18/19 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 805 19WC 30624 RAPP, LAWRENCE WATCO TRANSLOADING, INC 06/25/19 CULLEN HASKINS NICHOLSON 806 19WC 30665 TUSEK, JOSEPH BETHANY HOMES & METHODIST 09/23/19 RATHBUN CSEVENYAK & KOZOL SCOPELITIS GARVIN LIGHT 807 19WC 30695 PHILLIPS, DANIEL STATE OF ILLINOIS @ 10/17/19 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 808 19WC 30724 BARNES, DEMOND TMRS ENTERPRISES, INC. 09/23/19 VRDOLYAK LAW GROUP LLC 809 19WC 30754 ZEBRAUSKAS, MARIA CITY OF CHICAGO DEPT OF 09/23/19 O'CONNOR & NAKOS 810 19WC 30766 BASANO, ROBERT KAPPA PRODUCTS 04/08/19 ACEVES & PEREZ PC HENNESSY & ROACH PC 811 19WC 30782 THURMOND, MICHAEL THULE 08/08/19 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 812 19WC 30803 WALKER, RICHARD L ALPHA BAKING 10/18/19 COVEN LAW GROUP 813 19WC 30832 VOLCK, RICHARD V DIVERSEY TRUCK CENTER 05/21/19 FRANKS & RECHENBERG 814 19WC 30859 SKOWRONSKI, RONNIE W MID CITY PLUMBING 01/04/19 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 815 19WC 30882 BREWER, SEANTE LATRICE CHICAGO TRANSIT AUTHORITY 04/25/17 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 816 19WC 30910 JOHNSON, TERRELL PSSI 08/23/19 CUTLER & HULL 817 19WC 30936 PRENDERGAST, MICHAEL COOK COUNTY GOVERNMENT LE 05/25/17 ROSS TYRRELL STATES ATTORNEY OF COOK COUN 818 19WC 30971 NIELSEN, CHARLES E AT&T 03/07/19 BRILL & FISHEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 819 19WC 30985 ESPARZA, MARIA LARA HIGHLAND BAKING 06/04/19 FRANCIS J DISCIPIO LAW OFF 820 19WC 31000 LAWRENCE, ANGELA CITY OF CHICAGO 07/11/19 CULLEN HASKINS NICHOLSON 821 19WC 31018 NAVARRO, ISIDRO MARINE TECHNOLOGY SOLUTIO 08/30/19 SALVATO O'TOOLE FROYLAN 822 19WC 31053 BULLOCKS, ANDRE PACIFIC MANAGEMENT INC 10/10/18 RAYMOND M SIMARD, PC 823 19WC 31086 WRIGHT, ASHLEE MENZIES AVIATION ORD 10/16/19 DWORKIN AND MACIARIELLO 824 19WC 31157 BOLDON, JOHNNY SCALETTA MOLONEY ARMORING 09/24/19 SANDMAN LEVY & PETRICH BRYCE DOWNEY & LENKOV LLC 825 19WC 31172 ISAAC, NABEEL 7 ELEVEN 09/12/19 INJURY LAWYERS OF IL BORGELT POWELL 826 19WC 31224 VILLEGAS, REBECA ACE ANODIZNG & IMPREGNATN 10/02/19 ARNOLD & KADJAN EVANS & DIXON 827 19WC 31253 SANCHEZ, RAYMUNDO WINDY CITY METALS, INC 04/15/19 THE ROMAKER LAW FIRM GRIFFIN, LORETTA M LAW OFFIC 828 19WC 31297 KAISER, CARMEN AMERICAN AIRLINES 09/16/19 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM GRA 829 19WC 31333 ESQUIVEL GONZALEZ, ANDRES FELIPE CRUZ D/B/A CRUZ 08/27/19 STEVEN B SALK & ASSOC LTD 830 19WC 31351 FOX, CAROL LITTLE COMPANY OF 07/01/19 FITZPATRICK & FITZPATRICK 831 19WC 31414 MARTINEZ QUILES, JORGE JAX STAFFING SERVICES 07/17/19 LUSAK AND COBB LAWRENCE COZZI - LAW OFFICE 832 19WC 31434 CAVAZOS, SYLVIA UNITED AIRLINES 09/25/19 GERALD CONNOR 833 19WC 31521 LUNKINS, ELAINE CITY OF CHICAGO 10/28/19 LEONARD LAW GROUP LLC 834 19WC 31538 MARTIN, VALARIE PARK VIEW REHAB CENTER, L 07/11/18 RAYMOND M SIMARD, PC GAIDO & FINTZEN 835 19WC 31560 FERGUSON, JASON RON'S STAFFING 04/22/19 FITZPATRICK & FITZPATRICK KOREY RICHARDSON LLC 836 19WC 31589 CERDAS, PRISCILLA NEW ALBERTSON'S INC C/O 05/03/19 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 837 19WC 31626 MORA, JUAN BWAY CORPORATION 04/23/19 HENNESSY & ROACH PC 838 19WC 31653 FULMER, CANDYCE P ROVIDENCE LIFE SERVICES 11/03/16 VRDOLYAK LAW GROUP LLC 839 19WC 31684 RODRIGUEZ, ROBERTO COOK COUNTY BOARD UP 10/02/19 EPSTEIN, JACK R LAW OFFICE 840 19WC 31744 HUBBARD, SAMMANTHA MARKET SOURCE 07/29/19 SPIROS LAW PC 841 19WC 31771 MARTINEZ, DANIEL LA RABIDA CHILDREN'S HOSP 09/24/19 BAUM RUFFOLO & MARZAL LTD ANCEL GLINK PC 842 19WC 31801 VALENZUELA, SANTIAGO CITY OF CHICAGO 05/03/19 ARGIONIS & ASSOCIATES LLC 843 19WC 31884 ROYSTER, DENNIS STATE OF ILLINOIS/IDOT @ 10/13/19 LANNON LANNON & BARR LTD ASSISTANT ATTORNEY GENERAL 844 19WC 31927 LOPEZ, MARILYN AVIS BUDGET CAR RENTAL, L 07/13/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 845 19WC 31959 CARLISLE, JAMES FORD MOTOR CO 08/08/19 GWC INJURY LAWYERS LLC WIEDNER & MCAULIFFE LTD 846 19WC 31985 CONTRERAS, NORMA XCEL GROUP 10/07/19 JONATHAN SCHLACK HENNESSY & ROACH PC 847 19WC 31997 HILL, ANTHONY AUTO ZONE 10/16/19 DAVID W MARTAY 848 19WC 32032 HURTADO, VICTOR MAIN EVENT HOFFMAN ESTATE 08/08/19 AIOSSA LAW FIRM MCANANY VANCLEVE & PHILLIPS 849 19WC 32058 PAGAN, CARMEN ALL TOWN BUS SERVICE INC 02/01/18 DEPAOLO & ZADEIKIS 850 19WC 32100 GONZALEZ, MIGUEL CHICAGO WHITE SOX BASEBAL 04/17/18 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 851 19WC 32121 ORTIZ, REYNALDO UPS 10/03/19 LEONARD LAW GROUP LLC ASA LAW GROUP 852 19WC 32142 MOZDZIERZ, MAREK K GREENRIDGE FARM INC 10/19/19 RAYMOND M SIMARD, PC 853 19WC 32156 THEODORE, SHELYNDA YRC 10/24/19 FRIEDMAN & SOLMOR LTD 854 19WC 32177 HOWE, RHONDA UNITED AIRLINES INC. 01/29/19 HEALY SCANLON LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 855 19WC 32195 CLARK, ROMONIA HOME DEPOT 06/06/19 MICHAEL A. HIGGINS 856 19WC 32218 GOLAS, DAMIAN ACCORO CARTON 10/10/18 MICHAEL A. HIGGINS NYHAN BAMBRICK KINZIE & LOWR 857 19WC 32249 OSINSKI, STEPHANIE HOLIDAY INN MART PLAZA 08/10/19 DAVID W MARTAY 858 19WC 32269 SZTERLUS, MARIUSZ QUALITY CONTROL CORP, LLC 06/07/19 THERMAN LAW OFFICES 859 19WC 32292 CARTWRIGHT, GYPSY NORTHWESTERN MEDICINE 10/31/19 KUMLIN & FROMM 860 19WC 32309 METOVIC, SABAHETE CHIARAVALLE MONTESSORI 01/17/19 VITELL & SPITZ LTD 861 19WC 32332 ROBERT, CIRILO METRO STAFF INC 04/26/19 LUSAK AND COBB 862 19WC 32354 VILLALOBOS, LEONARDO ORLANDO GRECO & SON IMPOR 11/01/19 MC HARGUE & JONES 863 19WC 32375 MOSINSKI, JOHN SWISSPORT USA INC 10/31/19 DWORKIN AND MACIARIELLO 864 19WC 32406 SKELTON, CASEY MADISON SQUARE GARDEN 08/15/18 BRISKMAN BRISKMAN GREENBER 865 19WC 32424 HAWKINS, LYNETTE M THE CAMELOT SCHOOLS LLC 10/22/19 GRAUER & KRIEGEL LLC JOSEPH MARCINIAK 866 19WC 32452 ANDERSON, JAZMINE CHIK-FIL-A 06/13/19 BAUM RUFFOLO & MARZAL LTD LITCHFIELD CAVO 867 19WC 32493 GUZMAN, XAVIER UPS 11/05/19 LEONARD LAW GROUP LLC ASA LAW GROUP 868 19WC 32511 BERMUDEZ, MELINDA VICTORIA SECRET'S STORES, 11/02/19 STEVEN B SALK & ASSOC LTD GOLDBERG SEGALLA LLC 869 19WC 32531 CHILDRESS, JAMES EXTREME REACH 07/23/19 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 870 19WC 32548 PLEASANT, SHERISE CITY OF CHICAGO, 10/16/19 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 871 19WC 32566 VELASCO, BLANCA MAYWOOD SCHOOL DISTRICT 8 10/17/19 STEVEN J TENZER, LTD 872 19WC 32599 GIBBONS, JERROLD ABF FREIGHT SYSTEMS 10/10/19 KROL BONGIORNO & GIVEN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 873 19WC 32616 PALIGA, BRIAN ORLAND FIRE PROTECTION DI 10/02/19 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 874 19WC 32637 GROSSMANN, ROBERT CROSSTOWN ELECTRIC 07/03/19 STROM & ASSOC 875 19WC 32682 HORTON, EARNEST PROVISO EAST HIGH SCHOOL 04/23/19 MICHAEL A. HIGGINS 876 19WC 32701 WOODARD, WARREN ARAMARK 02/26/19 MICHAEL A. HIGGINS 877 19WC 32724 PARCHMAN, NEKIA PARK FOREST-CHICAGO HEIGH 11/05/19 RIDGE & DOWNES 878 19WC 32744 PEREZ, RICARDO INLAND DIE CASTING 06/25/19 GOLDSTEIN BENDER & ROMANOF 879 19WC 32783 SCHMITZ, MICHAEL UNITED PARCEL SERVICE 08/14/19 WITTENBERG DOUGHERTY MAGLI NYHAN BAMBRICK KINZIE & LOWR 880 19WC 32803 CAZARES, JOSE UPS 10/15/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 881 19WC 32826 VIRZI, SALVATORE BERWYN POLICE DEPARTMENT 01/16/19 MICHAEL A. HIGGINS CUDA LAW OFFICES 882 19WC 32851 QUIROZ, GERARDO JOHN J CAHILL, INC C/O 07/19/19 MATT MURPHY CONSULTING WIEDNER & MCAULIFFE LTD 883 19WC 32873 RUCH, MARIGO AMERICAN AIRLINES 07/14/18 SAUNDERS CONDON & KENNY 884 19WC 32896 BRUNI, LAURA A ANN & ROBERT H LURIE CHIL 01/01/19 RUBIN LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 885 19WC 32928 ADAMS, JUBRIL YELLOW CAB 11/07/19 STEWART C ORZOFF 886 19WC 32947 HAMPTON, DERRICK TTX COMPANY 10/20/19 TURCYCHUTE LLC 887 19WC 33023 GILMER, LIONEL CHICAGO TRANSIT AUTHORITY 11/03/19 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 888 19WC 33044 FIELDS, ANGELA PUBLIC STORAGE 11/07/19 DWORKIN AND MACIARIELLO EVANS & DIXON 889 19WC 33073 POLK, DANIEL W CHICAGO TRANSIT AUTHORITY 09/16/18 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 890 19WC 33116 AGUILERA, MARIA DIVERSE FACILTIY SOLUTION 09/16/19 INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 891 19WC 33180 CASTELLANOS, JOSHUA AMERICAN AIRLINES GROUP 10/31/19 INJURY LAWYERS OF IL 892 19WC 33213 BAUTISTA, JORGE AT&T 10/31/19 COSTA IVONE LLC 893 19WC 33235 MERIDA, CARMEN LETICIA ELITESTAFFING 08/18/19 RUEDA, IVAN A 894 19WC 33802 LATKA, JOSEPH CROWN, CORK & SEAL COMPAN 09/21/19 CULLEN HASKINS NICHOLSON 895 20WC 01503 PORTER, DONTE JEWEL 12/22/19 LANNON LANNON & BARR LTD 896 20WC 01693 AYERS, CLARENCE SOUTH HOLLAND POLICE DEPT * 03/19/17 KROL BONGIORNO & GIVEN LTD 897 20WC 01710 TRTANJ, RUZA HYDE PARK PROPERTY MANAGE * 05/08/19 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 898 20WC 01730 MIKULA, WLODZIMIERZ BUTTON TRANS INC * 04/04/19 MINKOW DOMIN 899 20WC 01748 GANAL, STEPHANIE CECIL SPORT EQUIPMENT LTD * 10/18/19 MAURICE E DUSKY PC 900 20WC 01767 BARRERA, LILIANA SSP AMERICA MDW. LLC * 01/08/20 SOSTRIN AND SOSTRIN PC 901 20WC 01784 MACLIN, ALICIA ADDUS HOMECARE * 11/19/19 GOLDSTEIN AIOSSA & GOOD 902 20WC 01806 CASTILLO, JUAN RICARDO LAKESIDE MANAGEMENT * 12/13/19 DEPAOLO & ZADEIKIS 903 20WC 01826 CORA, FRANKY JEWEL FOODS * 01/13/20 SEIDMAN MARGULIS & FAIRMAN 904 20WC 01831 INZERILLO, MASSIMILIANO BONUS ELECTRIC COMPANY, L * 08/07/19 KEEFE CAMPBELL BIERY & ASSOC 905 20WC 01848 GIRON, PAMELA DOLLAR TREE * 01/02/20 COVEN LAW GROUP GAIDO & FINTZEN 906 20WC 01861 ORTIZ, CHRISTIAN AYALA ASTRO INSTALLATION * 12/05/19 EPSTEIN, JACK R LAW OFFICE 907 20WC 01881 WALTON, DERRICK CHEESECAKE FACTORY * 07/28/19 ROBERT WARSASKI 908 20WC 01896 ALI, MOHAMMED FLASH CAB/ 5 STAR FLASH I * 01/11/20 CHEPOV & SCOTT LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 909 20WC 01930 REYNOLD, ANTHONY APERION CARE MIDLOTHIAN * 01/20/20 DWORKIN AND MACIARIELLO WOLF & LAUDICINA LTD 910 20WC 01960 SUMMERS, SHARLENE YRC FREIGHT * 01/08/20 STEVEN J MALMAN & ASSOCIAT 911 20WC 02011 RAMOS, SACHA PEOPLES GAS * 11/15/19 LEONARD LAW GROUP LLC 912 20WC 02085 TATE, ROBIN CHICAGO TRANSIT AUTHORITY * 11/27/19 LIPKIN & APTER CHICAGO TRANSIT AUTHORITY 913 20WC 02109 GREEN, KAREN UROPARTNERS * 07/08/19 GWC INJURY LAWYERS LLC HOLECEK & ASSOCIATES 914 20WC 02148 HILL, SARAH N DELTA AIRLINES * 01/02/20 KATZ FRIEDMAN EISENSTEIN 915 20WC 02172 WILKES, YVONNE CHICAGO PUBLIC SCHOOLS * 01/06/20 SALVATO O'TOOLE FROYLAN 916 20WC 02189 RAMOS, PEDRO NELSEN STEEL COMPANY * 01/09/20 JAMES ELLIS GUMBINER & ASS 917 20WC 02234 MORRIS, CHANELL AC HOTEL BY MARRIOTT * 12/18/19 WITTENBERG DOUGHERTY MAGLI 918 20WC 02258 GRIFFIN, LOIS CHICAGO TRANSIT AUTHORITY * 01/03/20 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 919 20WC 02292 RIGONI, JEFFREY SOUTHWEST AIRLINES * 12/19/19 O'CONNOR & NAKOS 920 20WC 02344 MUNOZ, RAFAEL ZIECO CARRIERS * 01/04/20 EPSTEIN, JACK R LAW OFFICE 921 20WC 02363 DANIELS, MARVIN ALLEGRO HOTEL * 12/12/19 ROGER D RUDICH LTD 922 20WC 02394 DRYE, MICHAEL PEPSICO * 01/24/20 DAVID W MARTAY GAIDO & FINTZEN 923 20WC 02416 HENRY, DERRICK AT&T * 01/22/20 THE ROMAKER LAW FIRM 924 20WC 02460 FARMER, QUITTMAN FLOWERS FOR DREAMS * 10/18/19 LEONARD LAW GROUP LLC GRIFFIN, LORETTA M LAW OFFIC 925 20WC 02468 WARE, JANICE RELIABLE HOME HEALTH CARE * 01/20/20 COSTA IVONE LLC 926 20WC 02488 HARDY, MICHAEL RJB PROPERTIES * 08/09/19 HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 927 20WC 02506 GARCIA, JOSEPH BLACKBOX NETWORK SERVICES * 01/02/20 SALVATO O'TOOLE FROYLAN 928 20WC 02525 NELSON, LATICIA CHICAGO TRANSIT AUTHORITY * 11/26/19 KATZ FRIEDMAN EISENSTEIN CHICAGO TRANSIT AUTHORITY 929 20WC 02546 BIRMINGHAM, MARY CITY OF CHICAGO * 04/01/19 HEALY SCANLON LAW FIRM 930 20WC 02569 PALLADINO, FRANK ACORN STAIRLIFTS, INC * 01/20/20 CRAIG L MANCHIK & ASSOC. 931 20WC 02586 BERNAL, CRISTINA WHOLESOME PRODUCTS * 12/17/19 JAUREGUI & ASSOCIATES 932 20WC 02607 DESIMONE, FRANK SCHILLER PARK POLICE DEPT * 12/12/19 WHITESIDE & GOLDBERG LTD 933 20WC 02628 MONTOYA, NOEMI LSG SKY CHEFS * 01/05/20 ELFENBAUM EVERS ZIELINSKA 934 20WC 02652 GIBSON, JOSEPH CITY OF PALOS HILLS * 03/15/19 NYHAN BAMBRICK KINZIE & LOWR 935 20WC 02681 LOYA, SALVADOR GREIF, INC * 11/05/19 ELFENBAUM EVERS ZIELINSKA 936 20WC 02706 ROCHON, JOHN PATRICK ILLINOIS INSTITUTE * 12/23/19 SAUNDERS CONDON & KENNY 937 20WC 02719 TAPIAS-MENESES, DIDIER M PATEL BROTHERS * 10/14/19 SCOTT B SHAPIRO 938 20WC 02739 ZUNIGA, ENRIQUE HERLIHY MID-CONTINENT * 11/05/19 EVAN A HUGHES LAW OFFICE 939 20WC 02776 MORENO-SOLJACICH, LAURA COLLIERS INTERNATIONAL * 08/27/18 GORDON & CENTRACCHIO LLC 940 20WC 02805 LITTLE, STEPHON CTA * 01/09/20 MC HARGUE & JONES CHICAGO TRANSIT AUTHORITY 941 20WC 02827 CARLSON, CHRISTOPHER KAR RACK CORP D/B/A * 05/15/19 KOSIN LAW OFFICE LTD 942 20WC 02852 CAMPOVERDE, JULIETA LURIE CHILDRENS HOSPITAL * 10/25/19 JOHN S. ELIASIK 943 20WC 02873 BRADY, JOSEPH ILLINOIS CENTRAL SCHOOL B * 12/12/19 HERRERA LAW CENTER 944 20WC 02894 RODRIGUEZ, NELSON RON'S STAFFING SERVICES * 10/29/19 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 945 20WC 02921 BROWN, SALINA L VERSITI BLOOD CNTR OF ILL * 10/24/19 GALLAGHER, DONALD V 946 20WC 02946 AHMED, IQBAL RUKHSHI CAB CORP * 01/18/20 CELSO FUENTES JR 947 20WC 02965 WILKINS, KENNETH A SCR MEDICAL TRANSPORTATIO * 08/03/19 VITELL & SPITZ LTD 948 20WC 02992 TOSADO, EDWIN CRUZ A & ZEE AUTO REPAIR, INC. * 07/22/19 O'CONNOR & NAKOS 949 20WC 03010 AFANEH, WLLA HELP AT HOME * 01/18/20 DEPAOLO & ZADEIKIS 950 20WC 03023 NOVAK, MARTIN A REED SMITH, LLP * 11/21/18 BOWMAN & CORDAY 951 20WC 03054 TAUL, JUSTON ENVOY * 09/21/19 DWORKIN AND MACIARIELLO 952 20WC 03086 GASCA, ARNULFO ACCURATE PERSONNEL LLC * 01/01/19 DAVID W MARTAY 953 20WC 03102 JARRETT, BRANDON CHICAGO TRANSIT AUTHORITY * 01/25/20 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 954 20WC 03131 STADEKER, SPRINNG S CHICAGO TRANSIT AUTHORITY * 01/20/20 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 955 20WC 03163 TODD-BLAKEMORE, ERIKA CLASSIC CARE * 01/20/20 SOSTRIN AND SOSTRIN PC 956 20WC 03241 QUINTERO, RAUL IMM, INC * 08/28/19 INMAN & FITZGIBBONS 957 20WC 03272 PATINO, EFRAIN NORTH SHORE CONGREGATN IS * 06/27/18 JOSEPH MARCINIAK 958 20WC 03289 COLEMAN, DANNY ELITE STAFFING, INC. * 12/07/19 DWORKIN AND MACIARIELLO 959 20WC 03312 EDAKKUNNATHU, GEORGE CIRCUIT ENGINEERING, LLC * 11/27/18 LEONARD LAW GROUP LLC 960 20WC 03336 EARL, ROBERT POSTMA AUTOMOTIVE, INC * 05/08/18 GAINES & GAINES 961 20WC 03357 ROBINSON, CHANIQUA ENVISION UNLIMITED * 02/02/19 MICHAEL A. HIGGINS 962 20WC 03401 HALLEY, HELEN MAYFIELD MANOR CARE CENTE * 08/17/19 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 963 20WC 03429 REDD, CHARLES MIDWAY STAFFING * 01/20/20 DEPAOLO & ZADEIKIS 964 20WC 03452 RIVERA, ALEXANDRA HEALTHY SUBSTANCE * 12/13/19 JOHN S. ELIASIK 965 20WC 03471 RUFFIN, ZEMARIA PROSPECT AIRPORT SERVICES * 01/08/20 SALVATO O'TOOLE FROYLAN 966 20WC 03487 HALVERSON, BRENT MCLANE COMPANY, INC A/K/A * 02/01/20 GRAUER & KRIEGEL LLC 967 20WC 03519 BUCZ, CHRISTOPHER ROCKFON NORTH AMERICA * 01/22/20 DWORKIN AND MACIARIELLO 968 20WC 03553 VASQUEZ, NELSON MARIANOS FRESH MARKET * 06/28/18 GOLDSTEIN BENDER & ROMANOF 969 20WC 03573 BOYD, ADREANNA ST OF IL(IDHS) ELISABETH @ * 06/19/17 ANKIN LAW OFFICE 970 20WC 03595 KELLY, KEVIN VILLAGE OF MIDLOTHIAN * 01/23/20 THOMAS W DUDA 971 20WC 03619 RODRIGUEZ, DAVID COLLETTI'S ITALIAN RESTAU * 12/21/19 SEIDMAN MARGULIS & FAIRMAN 972 20WC 03627 SOLIS, JAVIER PEREZ HERA CONSTRUCTION * 12/18/19 MC HARGUE & JONES 973 20WC 03665 MONTES DE OCA, GABRIELA SHIPBOB * 12/30/19 CULLEN HASKINS NICHOLSON 974 20WC 03690 JOHNSON, KAREN K RNH BREWER, INC * 12/24/19 ROMANUCCI & BLANDIN 975 20WC 03713 RIOS, MIGUEL ANGEL ALLIED WASTE SRVS OF N AM * 01/15/20 THE ROMAKER LAW FIRM 976 20WC 03741 WOODLAND, LATINYA M UNITED PARCEL SERVICE * 07/18/18 GALLAGHER, DONALD V 977 20WC 03759 ROLLINS, EARNEST BOLTHOUSE FARMS, INC * 11/18/19 SANDMAN LEVY & PETRICH 978 20WC 03778 GILMER, MICHAEL KEURIG DR. PEPPER * 02/10/20 COVEN LAW GROUP 979 20WC 03795 THOMAS, DAVID PEP BOY AUTO PARTS * 01/24/20 SCOTT B SHAPIRO 980 20WC 03820 BAKER, SHARON BLACKSTONE AUTOGRAPH HOTE * 07/03/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 03/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 981 20WC 03847 BLISSIT, MICHAEL ESSENTIAL CONTRACTORS LLC * 01/24/20 ASHER, RAYMOND L LTD 982 20WC 03881 LINARES, BLANCA FONTANINI ITALIAN MEATS * 12/03/19 JONATHAN SCHLACK 983 20WC 03921 YOUNG, DANESHA S NATIONAL EXPRESS TRANSIT * 01/20/20 KOSIN LAW OFFICE LTD 984 20WC 03947 GALINDEZ, HECTOR MONRO MUFFLER BRAKE, INC * 01/06/20 BERG & BERG 985 20WC 03965 GUZMAN, MARTIN PINA VANEE FOOD CANDY * 02/07/20 HERRERA LAW CENTER 986 20WC 03992 ERVIN, MICHAEL SINA LOGISTICS LLC * 01/20/20 DWORKIN AND MACIARIELLO 987 20WC 04024 NASH, KIVANA MOUNT SINAI HOSPITAL * 01/16/20 GOLDSTEIN BENDER & ROMANOF 988 20WC 04041 GARCIA, TRINIDAD FOUR PROVINCE MASONRY, IN * 01/07/20 GWC INJURY LAWYERS LLC 989 20WC 04061 HUGHES, VONEIA M SCR TRANSPORTATION * 02/02/20 FRIEDMAN & SOLMOR LTD 990 20WC 04078 GOOSBY, PEDRO POWER STOP * 02/13/20 GERALD CONNOR

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