ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 63060 MURRAY, PATRICIA WIDOW AN MOTOROLA # 11/15/99 ELFENBAUM EVERS & AMARILIO BRADY CONNOLLY & MASUDA PC 2 01WC 04146 FELL, BERNARD T STATE OF IL/DEPT OF TRANS @ 12/13/00 DECKER LINN & CAMPE ASSISTANT ATTORNEY GENERAL 03WC016153 -C ST OF IL IL DEPT OF TRANSP 04WC033448 -C 3 02WC 20690 RUTECKI, JOHN EDWARD SCOTSMAN ICE SYSTEMS 03/18/98 STEVEN J SEIDMAN LAW OFFIC COZZI & GOGGIN-WARD 4 02WC 26043 CRAWFORD, CYNTHIA WINCHESTER HOUSE 05/03/02 MICHAEL J HELFAND, LLC WOLFE & JACOBSON, LTD 5 02WC 33832 19B ROMEO, JEFF MJ ELECTRIC AND/OR 05/02/02 COLLISON & O'CONNOR LTD GAROFALO SCHREIBER STORM GRA 08WC043619 -C BECKER ELECTRIC 6 07WC 14933 MARTINEZ ATKIN, SUE STATE OF ILLINOIS ANN KIL 03/12/07 CAMERON CLARK ASSISTANT ATTORNEY GENERAL 7 07WC 21090 19B BAHENA, MARIA T WILLIAMS ELECTRONIC GAME 03/02/07 DWORKIN AND MACIARIELLO NOBLE & ASSOC 8 07WC 40157 ANDREWS, DAVID PEPPER PATH HOMES W 04/23/07 POLANSKY & CICHON CHTD 9 07WC 46850 19B LEWANDOWSKI, AMBER ALDI FOODS 07/15/07 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 10 08WC 27768 SALYER-ROBERTS, TAMMY AUTO ZONE 04/14/08 STEVEN J SEIDMAN LAW OFFIC GILDEA & COGHLAN 11WC037755 -C 11 08WC 32702 HUCKER, KURT GPW BUILDERS 01/18/08 RICHARD D HANNIGAN, LTD BRADY CONNOLLY & MASUDA PC 12 09WC 05102 GUZMAN, ALICIA WILLIAMS ELECTRONIC 10/10/08 O'CONNOR & NAKOS NOBLE & ASSOC 09WC005103 -C 09WC024600 -C WMS GAMING INC 12WC032181 -C 13 09WC 27706 STARK, SHELLY DELL ASAP SOFTWARE 05/15/08 MARKS INJURY LAW HENNESSY & ROACH PC 14 11WC 00239 DALESSANDRO, MICHAEL F TH RYAN CARTAGE 10/05/10 BOUDREAU NISIVACO LLC HINSHAW & CULBERTSON 15 11WC 01134 DIAZ, JUAN MANUEL CHARLESTON BUILDING SERV W 11/08/10 KATZ FRIEDMAN EAGLE ET AL 16 11WC 04174 WOOD, RICHARD M MICHAEL PEMBROOK; INDIVID 08/09/10 LINN, CAMPE & RIZZO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 11WC 05392 CONTA, ASHLEY BATH & BODY WORKS 12/29/10 COHN & COHN BRYCE DOWNEY & LENKOV LLC 18 11WC 09284 RIOS, DAVID KILDEER COUNTRYSIDE 05/21/10 LEE A CAMPBELL LAW OFFICE WIEDNER & MCAULIFFE LTD 19 11WC 10729 VALENTIN, ISMAEL CHANON ARTURO FUENTUES W 08/11/09 CULLEN HASKINS NICHOLSON 20 11WC 19583 SHULTIS, KAREN YMCA EARLY HEAD START 04/19/11 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 21 11WC 30055 POSADAS, PAULA LB ANDERSEN 07/21/11 MARKHAM M JEEP & ASSOCIATE WIEDNER & MCAULIFFE LTD 22 11WC 31703 KEENAN, RENEE LONG GROVE FIRE 11/23/10 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 23 11WC 32054 LENOX, SHAWN P INTEGRYS ENERGY GROUP 04/04/11 PERONA, PETERLIN, ANDREONI GAROFALO SCHREIBER STORM GRA 24 12WC 08199 REICHEL, AMY N STATE OF ILLINOIS @ 02/14/12 DWORKIN AND MACIARIELLO MATTHEW LICAVOLI 25 12WC 09038 DOYLE, JANICE NORTHWESTERN LAKE FOREST 05/29/09 GALLIANI DOELL & COZZI LTD NYHAN BAMBRICK KINZIE & LOWR 12WC009039 -C 26 12WC 21222 FLAMMINI, DONNA R VISTA MEDICAL CENTER EAST 08/27/10 MARK B PEAVEY, PC WIEDNER & MCAULIFFE LTD 12WC021223 -C 13WC018985 -C 13WC029756 -C 14WC004510 -C 14WC028449 -C 15WC014515 -C 27 12WC 34064 CIANGI, SALLY STATE OF ILLINOIS @ 02/16/10 KATZ FRIEDMAN EAGLE ET AL JORDAN FRANK 12WC034065 -C 28 12WC 35024 RAMIREZ, RENE ARCHITERRA INC DBA 08/13/12 JONATHAN SCHLACK LEAHY EISENBERG & FRAENKEL 29 12WC 35125 CRUMP, WILLIAM ABBOTT LABORATORIES 03/13/12 DAVID W MARTAY HENNESSY & ROACH PC 12WC035126 -C 30 12WC 41543 ARTAC, JEFF NORTH SHORE GAS CO 10/04/12 ELFENBAUM EVERS ZIELINSKA GAROFALO SCHREIBER STORM GRA 31 12WC 43944 GALLUP, JAMISON AT&T 09/27/12 MARKHAM M JEEP & ASSOCIATE INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 32 13WC 04243 LENOX, SHAWN INTEGRYS ENERGY GROUP 08/07/12 PERONA, PETERLIN, ANDREONI GAROFALO SCHREIBER STORM GRA 33 13WC 05970 KOCH, JAMES P VILLAGE OF VERNON HILLS 08/29/12 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 13WC005972 -C 14WC005707 -C 14WC005714 -C 15WC007039 -C 15WC007234 -C 15WC038477 -C 34 13WC 07788 SPENCER, ARLETHA R LAKE BLUFF HOME CARE SOLU 07/12/12 ALAN A BLUM, PC SPIEGEL & CAHILL, PC 35 13WC 08489 SAAVEDRA, PETRA BG STAFFING 02/07/13 THE ROMAKER LAW FIRM QUINTAIROS PRIETO WOOD & BOY 16WC007954 -C VISUAL PAK CORPORATION 17WC000147 -C AEROTEK 36 13WC 08735 HOPF, MICHAEL FEDEX EXPRESS 07/06/12 EPSTEIN, JACK R LAW OFFICE HANSON LAW OFFICE 13WC008741 -C 37 13WC 12028 HELGESEN, KYLE CITY OF ZION POLICE DEPT 09/11/12 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 14WC011363 -C 38 13WC 13353 LAZAR, LLENE CHASE BANK 01/03/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 39 13WC 13842 IRBY, SHARMAN ADA MCKINLEY 07/05/12 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 40 13WC 15370 SOMOZA, HELEN M COMMUNITY ACTION 05/17/12 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 41 13WC 15891 MENDOZA, RAUL LAKE COUNTY FOREST 11/29/12 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 42 13WC 20475 PHELPS, MYRON ANN KILEY 05/28/13 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 14WC027387 -C 43 13WC 26537 DOTSON, JEWELL BATH AND BODY WORKS 01/02/13 COHN & COHN GALLIANI DOELL & COZZI LTD 44 13WC 27373 RANGEL, LORENA MVP STAFFING INC 07/09/13 CULLEN HASKINS NICHOLSON KRAKER FANNING & OLSEN 45 13WC 29617 FLORES, XAVIER ELITE RENOVATION SYSTEMS W 08/27/13 CULLEN HASKINS NICHOLSON GRIMES, G DOUGLAS 46 13WC 29620 GARCIA, MARIA E MAID BRIGADE W 03/07/13 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 47 13WC 39188 SILVA-MORALES, GABRIEL LEIDERS PRAIRIE VIEW GARD 05/15/13 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 48 14WC 00222 GREEN, LETORIA M ST OF IL DHS 10/08/13 GALLAGHER, DONALD V ASSISTANT ATTORNEY GENERAL 49 14WC 01982 MONTEMAYOR, SYLVIA A VONCO PRODUCTS, LLC 03/12/12 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 50 14WC 06564 MAIER, ANNE-MARIE MILLBURN DISTRICT 24 12/10/10 WOLFE LAW PC WIEDNER & MCAULIFFE LTD 14WC014359 -C 16WC008319 -C 51 14WC 07070 BRCIK, MICHAEL G VASO JOVIC DBA ALEXANDRA 09/29/13 CRONIN & PETERS LAW OFFICES DEBORAH SCHAEFER 16WC031313 -C 52 14WC 07568 PARDA, GRAZYNA WOLLYS CLEANING SERVICES 01/24/14 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 53 14WC 07633 HENRIKSEN, HENRY FEDERAL EXPRESS 11/23/12 LINN, CAMPE & RIZZO LTD HANSON LAW OFFICE 15WC038921 -C FED EX 54 14WC 12236 PEREZ-WHEELER, BELINDA LAKE COUNTY HEALTH DEPT 11/01/13 CHARLES LEVY & ASSOC LTD SMITH AMUNDSEN LLC 55 14WC 18114 CUARENTA, ALFONSO INTERNATIONAL PRECISION C 05/19/14 STROM, NEAL B LAW OFFICES JOSEPH MARCINIAK 56 14WC 18407 RATAJCZYK, MICHAEL LAKELAND AUTOBODY INC 12/26/12 ROSS TYRRELL LAW OFFICES JOSEPH MARCINIAK 57 14WC 19542 GALLEGO, PEDRO VOLKSWAGEN CREDIT INC 01/11/13 ROMANEK & ROMANEK GAROFALO SCHREIBER STORM GRA 58 14WC 21258 LOCKWOOD, CHARLES NFI INDUSTRIES 05/12/14 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 14WC035277 -C 59 14WC 21429 CARRENO, MARIA BEL RESOURCES, INC. 11/14/13 FERRIS THOMPSON & ZWEIG 60 14WC 23428 WONNELL, NORMAN LEE THOMAS HAMILTON ROOFING 12/02/13 LAW OFFICES TIMOTHY LAMPIN 61 14WC 24336 SJODIN, DONNA JONES LANG LASALLE 03/14/14 MARSZALEK AND MARSZALEK LAW OFFICES JOSEPH MARCINIAK 62 14WC 24442 ALVAREZ, ISMAEL SEB SERVICES OF NEWYORK, 06/30/14 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 63 14WC 25037 ESCOBAR, JOSE DORMA AUTOMATIC 07/17/14 AIOSSA LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 64 14WC 25901 MUN, JOHN WM MEYERS & SON 05/19/14 TOPPER & WEISS LTD HOLECEK & ASSOCIATES 65 14WC 26083 PARHAM, VICTORIA ILLINOIS CENTRAL SCHOOL B 05/12/14 SHELDON I MINKOW & ASSOCIA MACIOROWSKI SACKMANN & ULRIC 14WC026085 -C 66 14WC 26565 MELCHOR, AUGUSTIN PATRICK SCALZO INDIVIDU & 05/29/14 LINN, CAMPE & RIZZO LTD 67 14WC 27131 VASQUEZ, JAIME MANEVAL CONSTRUCTION COMP 08/04/14 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 68 14WC 27565 AYALA, ANDRES JB BRICKWORKS INC 11/04/13 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 69 14WC 30610 NUNEZ, NORMA A-S MEDICAL SOLUTIONS 12/12/12 THE ROMAKER LAW FIRM LAW OFFICES OF EDWARD J. KOZ 70 14WC 32782 BENES, FRANK STATE OF ILLINOIS @ 05/05/14 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 71 14WC 33350 VERLEY, MICHELLE KINDERCARE LEARNING CENTE 11/11/13 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 72 14WC 36112 POMOZY, ATTILA USA OVERSEAS WIRELESS CAB 06/12/14 NEWLAND & NEWLAND GANAN & SHAPIRO 73 14WC 41250 YOUSIF, ANDY ARAMARK 10/23/14 ACEVES & PEREZ PC INMAN & FITZGIBBONS 74 14WC 42797 RYBARCZYK, GREGORY JR THE COCA COLA COMPANY INC 11/13/14 GRAHAM J. JEEP BRADY CONNOLLY & MASUDA PC 75 14WC 43641 VUONG, MILAGRO STAFFING DIMENSIONS 04/09/12 FERRIS THOMPSON & ZWEIG LAW OFFICES FRANCESCA LARSEN 14WC043642 -C 14WC043643 -C 76 15WC 00786 ZUNIGA, ADOLFO A DIVINCI PAINTERS INC 12/23/14 GOLDSTEIN AIOSSA & GOOD 77 15WC 05575 GUZMAN, YOLANDA NEMERA 01/16/15 JONATHAN SCHLACK HENNESSY & ROACH PC 78 15WC 06336 MARTINEZ, ITZEL XCEL STAFFING SOLUTIONS 10/03/14 LINN, CAMPE & RIZZO LTD KOREY RICHARDSON LLC 79 15WC 06465 BLAIR, REGINA K. SIX FLAGS GREAT AMERICA 08/07/13 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 80 15WC 06774 QUEZADA, MARTIN ZION SOLUTIONS LLC 02/04/15 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 81 15WC 07478 LANG, JOHN WASTE MANAGEMENT 01/05/15 GOLDBERG WEISMAN & CAIRO L 82 15WC 08334 CAMARGO, CASIMIRO LENO'S CERAMIC & TILE MAR W 02/19/15 MC HARGUE & JONES 83 15WC 12023 MC CORKHILL, SHAWN E PRAXAIR 10/21/14 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 84 15WC 12089 GARCIA, EMPERATRIZ ECHO INC 04/16/13 FERRIS THOMPSON & ZWEIG 85 15WC 12435 VELASCO, JAVIER SELECT REMEDY 08/22/14 JOHN S. ELIASIK LEAHY EISENBERG & FRAENKEL 86 15WC 12540 SCHWAB, MICHAEL HAYES MACHANICAL 03/09/15 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM GRA 87 15WC 13401 PEREZ, BERTHA ABBVIE 10/20/13 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 18WC018384 -C 88 15WC 15453 SALEK, KRZYSTOF VAL'S CONSTRUCTION INC 12/16/14 GROSZEK LAW FIRM RUSIN & MACIOROWSKI LTD 89 15WC 18096 KATRALIS, IRENE CITY OF WAUKEGAN 02/03/15 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 90 15WC 18200 MILLER, STACY E/ WFF FACILITY SERVICES 05/14/13 ANTHONY J MAY 91 15WC 18965 BOOTHE-ANDERSON, MARIE L. ENERGY SOLUTIONS, INC. 02/19/13 LINN, CAMPE & RIZZO LTD THOMAS & PORTELA 92 15WC 19869 JEFFREY, BURKE LAKE COUNTY ILLINOIS 12/08/12 BAUM RUFFOLO & MARZAL LTD 93 15WC 19975 JONES, GREDEL KILEY DEVELOPMENTAL CENTE 03/27/15 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 94 15WC 20362 WINKLER, GIANENA WALGREENS 01/20/14 HEALY SCANLON LAW FIRM GILDEA & COGHLAN 95 15WC 20957 ANDERSON, MARTHA BEL RESOURCE INC. 05/19/15 BAUM RUFFOLO & MARZAL LTD 96 15WC 21341 OTAHAL, JILL WAUKEGAN PUBLIC SCHOOL DI 07/16/13 LAW OFFICE OF SCOTT B SHAP BRADY CONNOLLY & MASUDA PC 97 15WC 22983 NEWBERRY, ANTHONY ROYER ASPHALT PAVING 06/11/15 CRONAUER, CHARLES E GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 98 15WC 23024 DEAND, MARIA LIBERTYVILLE MANOR 05/25/15 JEROME FOREMAN & ASSOCIATE 99 15WC 23992 MCDUFFIE, SHAWN ABBOTT LABORATORIES 02/02/15 NEWLAND & NEWLAND HENNESSY & ROACH PC 18WC031750 -C 100 15WC 25774 WATSCHKE, DIANNA CONSOLIDATED PATHOLOGY 07/07/15 MARKHAM M JEEP & ASSOCIATE RIPES NELSON BAGGOT KALOBRAT 101 15WC 26172 REISCH, JOANN ABBVIE 06/07/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 15WC026173 -C 102 15WC 26946 GEZZER, ROBERT J COBBLESTONE OVENS INC 12/22/14 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 103 15WC 28786 STARZEC, DARIUSZ TED'S TUCKPOINTING 08/14/15 CULLEN HASKINS NICHOLSON 104 15WC 28870 ESCOBAR, CRUZANN ACCURATE PERSONNEL SERVIC 07/18/15 105 15WC 29048 GREEN, ROBERT BRIAN PARK DISTRIC OF 03/08/13 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 106 15WC 29502 WHITE, RODNEY ALERIS INTERNATIONAL 08/01/15 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 107 15WC 29874 CASTILLO, ROSIBEL MEDLINE INDUSTRIES, INC 06/15/15 JOHN S. ELIASIK GAROFALO SCHREIBER STORM GRA 15WC029875 -C 108 15WC 31600 DAVIS, MARY EMCO CHEMICAL DISTRIBUTOR 09/24/15 ANKIN LAW OFFICE 109 15WC 33094 GUTIERREZ, GERARDO PERSONNEL STAFFING GROUP 08/14/15 110 15WC 33475 ACEVEDO, LUIS FRESENIUS MEDICAL CARE 08/20/15 FRANK A CELANI HENNESSY & ROACH PC 111 15WC 33632 HANSEN, TONI A JEWEL, INC./ 05/19/15 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 112 15WC 33710 OWEN, TIFFANY SELECT STAFFING 06/23/15 MARKHAM M JEEP & ASSOCIATE LEAHY EISENBERG & FRAENKEL 113 15WC 34659 BROWN, BONNIE J OAK GROVE SCHOOL DISTRICT 07/27/14 COLLISON LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 114 15WC 35386 VAZQUEZ, ORLANDO L CHALET LANDSCAPING 10/01/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 115 15WC 37277 HARRIS-WRIGHT, MARVA MVP 09/04/13 LEONARD LAW GROUP LLC KOREY RICHARDSON LLC 116 15WC 37429 BLAZE, SHEILA ABBVIE INC 08/27/14 OSVALDO RODRIGUEZ PC 117 15WC 37532 CARMONA, ERNESTO GUSTAVO GUARDA LANDSCAPING W 09/14/15 FERRIS THOMPSON & ZWEIG 118 15WC 37772 CASTRO, EVER QUALITY LABOR SERVICES 09/24/15 COSTA IVONE LLC KOREY RICHARDSON LLC 119 15WC 38917 FOHLMEISTER, MICHELLE K NATIONAL HOME HEALTH 04/14/14 LINN, CAMPE & RIZZO LTD KEEFE CAMPBELL & ASSOC LLC 120 15WC 38920 FOHLMEISTER, MICHELLE K GLEN HEALTH & HOME MGMT 08/26/15 LINN, CAMPE & RIZZO LTD LAW OFFICES FRANCESCA LARSEN 121 15WC 39698 THREAT, ERIC J ALLENDALE ASSOC 06/15/15 LINN, CAMPE & RIZZO LTD 122 15WC 39716 VALESCO, RAFAEL GLENBROOK GROUP INC 10/17/15 EPSTEIN, JACK R LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 123 15WC 41274 MCCLENDON, DORIS ALICE'S DISCOVERY CENTER/ 01/29/15 ROSS TYRRELL LAW OFFICES JOSEPH MARCINIAK 124 15WC 41489 LUCIO, SANDRA LAKE CTY CLERK OF CIRCUIT 06/24/15 STELZMAN, RUTH CULLEN HASKINS NICHOLSON 15WC041490 -C 125 15WC 41598 MORRIS, CHARLES R YASKAWA AMERICA 10/23/15 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC 126 16WC 00904 PALENCIA, SOFIA ADVANCED CLEANING SYSTEMS 12/14/15 COSTA IVONE LLC WOLFE & JACOBSON, LTD 127 16WC 00950 SCHNELLE, THOMAS ANTHONY BUICK GMC 11/18/14 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 128 16WC 01255 PITTS, ROBERT A ABBVIE 11/16/15 DOUGLAS RALLO PC HENNESSY & ROACH PC 129 16WC 01543 PEREZ, JOSE MCDONALD'S 04/01/15 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 130 16WC 02215 SWANSON, MICHAEL J. CITY OF HIGHLAND PARK 01/11/16 DOUGLAS RALLO PC POWER & CRONIN LTD 131 16WC 03283 SMITH, ANDRE LAKESIDE TRANSPORTATION 11/10/15 VASILATOS & COTTER LLC GALLIANI DOELL & COZZI LTD 17WC003208 -C 132 16WC 03463 CARINGELLO, TERESA LAKE BLUFF PARK DIST 07/11/15 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 133 16WC 04513 KELLER, KURT BANE NELSON INC 10/11/14 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 134 16WC 05175 RAMIREZ, WILBUR I PHOENIX LOCAL MOVERS 07/13/15 DEPAOLO ZADEIKIS GORE LAW OFFICES JOSEPH MARCINIAK 135 16WC 05607 MEDINA, ALEJANDRA BURGER KING 01/14/16 HART & DAVID LLP 136 16WC 05940 STRONG, ARTHUR B CITY OF NORTH CHICAGO 10/25/15 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 137 16WC 06003 BABCOCK, FRANK CLARENCE DAVIDS & CO. 08/12/14 STEVEN M SELAN BRYCE DOWNEY & LENKOV LLC 16WC006004 -C 138 16WC 07261 GUZMAN, YOLANDA NEMERA 10/16/15 JONATHAN SCHLACK HENNESSY & ROACH PC 139 16WC 07262 GUZMAN, YOLANDA NEMERA 07/01/14 JONATHAN SCHLACK HENNESSY & ROACH PC 140 16WC 08480 VICE, MARK II LAKE COUNTY SHERIFF'S 01/13/16 HANNIGAN & BOTHA, LTD WOLFE & JACOBSON, LTD 141 16WC 09416 SNUFFER, DAN DOERING LANDSCAPE COMPANY 02/02/16 DEPAOLO & ZADEIKIS EVANS & DIXON 17WC001417 -C 142 16WC 09863 BOMBACINO, PATRICIA WAL-MART 03/19/16 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 143 16WC 09905 WILSON, DUANE A-MOBILE, INC. 10/29/14 LAW OFFICE OF SCOTT B SHAP 144 16WC 10036 WOODS, TAMARA ENOVA FINANCIAL 11/03/15 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 145 16WC 10047 LOPEZ, ALFREDO THE XCEL GROUP 03/09/16 HART & DAVID LLP GILDEA & COGHLAN 146 16WC 10133 PERNICE, DEBORAH J PRO SOURCE WHOLESALE FLOO 01/30/15 GORDON & CENTRACCHIO LLC COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 147 16WC 10174 EVANS, JASON M BW CONSTRUCTION & HOME 08/11/15 LAW OFFICE PHILIP BLOMBERG RUSIN & MACIOROWSKI LTD 148 16WC 10819 SONETZ, LOUIS GREAT LAKES ELECTRICAL 01/26/15 ALEKSY BELCHER LAW OFFICES JOSEPH MARCINIAK 16WC010820 -C 17WC031995 -C 17WC034520 -C ALDRIDGE ELECTRIC, INC 149 16WC 12248 RATLIFF, JEREMIAH CHICAGO BEARS FOOTBALL 09/14/14 WOLFE LAW PC MC ANDREWS & NORGLE LLC 16WC012249 -C 16WC012250 -C 16WC012251 -C 150 16WC 12272 PALOMINO, HILDA LABOR SOLUTION 03/13/15 CHEPOV & SCOTT LLC 151 16WC 12756 TAYLOR, DENISE GRAHAM-C STORES COMPANY 02/22/16 RANDALL A. WOLFF & ASSOC CAPUANI, FRANK S 152 16WC 12762 CRAMER, RYAN GRAYSLAKE FIRE 10/06/15 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 16WC024497 -C 16WC024498 -C 16WC024499 -C 17WC025112 -C 153 16WC 13931 DRAKE, BRETT T MACGYVER DEVELOPMENT, INC 11/21/14 ANKIN LAW OFFICE STANCZAK LAW OFFICES 154 16WC 14572 LIPARI, SUSAN STATE OF ILLINOIS @ 06/03/15 FRANCIS J DISCIPIO LAW OFF ILLINOIS ATTORNEY GENERAL 19WC001815 -C 155 16WC 14607 HAYES, WILBERT MEGABUS 02/21/16 BIZZIERI LAW OFFICES POULOS & DIBENEDETTO LAW 156 16WC 15291 RIOS, MARIA G ARAMARK 11/16/15 MC HARGUE & JONES INMAN & FITZGIBBONS 157 16WC 15541 KELLEY, LISA BED, BATH & BEYOND 01/22/16 VOGG, MARK J LAW OFFICE KOPKA, PINKUS DOLIN, PC 158 16WC 16770 DONNENWIRTH, MICHAEL LAKE COUNTY CORONER 05/19/14 EVAN A HUGHES LAW OFFICE SMITH AMUNDSEN LLC 159 16WC 16998 FLAX, CINDY THE BON TON STORES, INC 04/26/16 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 16WC016469 -C 160 16WC 18550 SANFORD, BARBARA NORTHERN ILLINOIS UNIVERS @ 07/12/15 FRANKS, GERKIN & MCKENNA P ILLINOIS 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 DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 161 16WC 18761 LUCAS, MICHAEL R. ABBOTT LABORATORIES 12/07/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 162 16WC 18844 ARMENDARIZ, ARMANDO ROUNDY'S ILLINOIS LLC 04/24/16 BERG & BERG BRYCE DOWNEY & LENKOV LLC 163 16WC 19063 ADAMS, REBECCA JEWEL, INC 03/20/16 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 164 16WC 19239 HANZELIN, KENNETH FEDEX GROUND EXPRESS 04/26/16 BURNETT & CARON, LTD KOPKA, PINKUS DOLIN, PC 165 16WC 19484 TREVINO, EDWARD DMS INC. 12/17/15 FRANCIS J DISCIPIO LAW OFF GANAN & SHAPIRO 166 16WC 20522 RAVEN, JEFFREY A SUPER MIX 10/26/15 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 16WC024565 -C 16WC036931 -C 167 16WC 20645 GONZALEZ-SANCHEZ, SILVIA MOST VALUABLE PERSONNEL 10/28/15 AIOSSA LAW FIRM KOREY RICHARDSON LLC 168 16WC 20996 GARCIA, CONSUELO ARAMARK @ 04/26/16 POSTERLI, OSCAR STANCZAK LAW OFFICES 169 16WC 21276 RAMIREZ, JOSE MENARDS 05/18/16 TAMVAKIS, GEORGE L CHILTON YAMBERT PORTER LLP 170 16WC 21777 LINVILLE, SUSAN M JEWEL FOOD STORE 10/16/15 GOLDBERG WEISMAN & CAIRO L 171 16WC 22110 PAULUS, MICHAEL VILLAGE OF LAKE ZURICH 04/23/16 VOGG, MARK J LAW OFFICE 172 16WC 22299 TABAKA, MARIA CM PACKAGING, INC.C/O NAT 07/30/13 DWORKIN AND MACIARIELLO 173 16WC 22715 DAVIS, GWEN SENIOR HELPERS 07/03/16 CHRISTINE F DAVID GANAN & SHAPIRO 174 16WC 22962 BIZIOR, JAROSLAW CRYSTAL MANAGEMENT & 06/18/16 ALEKSY BELCHER WIEDNER & MCAULIFFE LTD 175 16WC 23295 RODRIGUEZ, JOSEFINA GURNEE PARK DISTRICT 08/08/15 COSTA IVONE LLC HENNESSY & ROACH PC 176 16WC 23602 RHOTON, LEE ANN ACCRETIVE SOLUTIONS CORP. 04/15/16 BRILL & FISHEL LAW OFFICES JOSEPH MARCINIAK 177 16WC 23978 GATICA, ROSALINDA EXMOOR COUNTRY CLUB 02/12/16 FERRIS THOMPSON & ZWEIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 178 16WC 24181 SABASTIANO, VICTOR ROUGHNECK CONCRETE DRILLI 06/30/16 O'CONNOR LAW GROUP LLC 179 16WC 24320 MONREAL, SERGIO EBBEN MASONRY 07/27/16 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 16WC035276 -C 180 16WC 24931 SELEGA, KAROL (KARL) PAULY MOTORS, INC 05/10/16 MARKHAM M JEEP & ASSOCIATE WOLFE & JACOBSON, LTD 181 16WC 25004 LEMONS, LANA LAKE COUNTY SHERIFF'S DEP 12/02/15 DUDLEY & LAKE LLC WOLFE & JACOBSON, LTD 182 16WC 27176 PALMER, RAYMOND GDI SERVICES 06/27/16 VRDOLYAK LAW GROUP LLC COZZI & GOGGIN-WARD 183 16WC 27528 KOLB, LEE ALLAN LABRAK, INDIVIDUALL 09/01/16 LAW OFFICE OF SCOTT B SHAP 184 16WC 28435 WALKER, ANTOINETTE THE TERRACE 09/07/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 185 16WC 28548 ISAMAR GUIFARRO, VANESS PERSONNEL STAFFING GROUP 08/30/16 CULLEN HASKINS NICHOLSON 186 16WC 29079 BALENTINE, COREY CDW 05/05/16 COSTA IVONE LLC HENNESSY & ROACH PC 187 16WC 29194 KLINE, M. SCOTT COPENHAVER CONSTRUCTION I 08/17/16 CAPRON & AVGERINOS PC LAW OFFICES OF EDWARD J. KOZ 188 16WC 29340 BROWN, DEBRA BASS PRO SHOP 06/17/16 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 189 16WC 29898 FLEMING, JOANN STATE OF ILLINOIS @ 04/06/16 CORNFIELD & FELDMAN ILLINOIS ATTORNEY GENERAL 190 16WC 30456 ROLLENE, KEITH LAKE VILLA FIRE PROT DIST 01/17/16 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 191 16WC 31296 MENDOZA, MARIA IPCC 07/08/14 POSTERLI, OSCAR 192 16WC 31519 19B O'NEIL, JUSTIN JGS MARINE LLC DBA MASTER 02/11/16 GRAHAM J. JEEP WOLF LAW LTD 193 16WC 32903 BAKER, CAROL LAKE COUNTY HEALTH DEPT 09/12/15 JOHN M BORCIA LAW OFFICE WOLFE & JACOBSON, LTD 194 16WC 33066 HOLAN, JODI NATURANECTAR, LLC 09/22/15 BERNAT & BERNAT PC HOLECEK & ASSOCIATES 195 16WC 33637 YONIN, KRISTO G HEALTH SOURCE OF NORTHSHO 10/24/16 BARGANSKA LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 196 16WC 33839 WILSON, RICKY COLEMAN CABLE CO/SOUTHWIR 02/15/16 COHN & COHN GANAN & SHAPIRO 197 16WC 34524 DONATI, ANTHONY R JEWEL FOOD STORES 03/31/16 RICHARD O. GREENFIELD EVANS & DIXON 17WC019017 -C 198 16WC 35334 MILLER, JUANITA GOODWILL STORES 10/27/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 199 16WC 36268 CHUNG HONG KIM, RICHARD LAKE CITY CLEANERS 08/05/16 WOLFE LAW PC LAW OFFICES JOSEPH MARCINIAK 200 16WC 36699 JOHNSON, DAVID COMMONWEALTH EDISON 02/29/16 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 201 16WC 36762 NERHEIM, JAY STEFFEN WAUKEGAN TIRE & SUPPLY 10/19/16 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 16WC036763 -C 202 16WC 37205 GONZALEZ, ANTONIO THERMASEAL/LAKESIDE INSUL 07/25/16 HANNIGAN & BOTHA, LTD EVANS & DIXON 203 16WC 38058 KWIECIEN, SANDRA CF INDUSTRIES HOLDINGS IN 07/25/16 CORBOY & DEMETRIO PC NYHAN BAMBRICK KINZIE & LOWR 204 16WC 38620 SOLIS, MARTHA MCDONALD'S 03/01/15 CULLEN HASKINS NICHOLSON 205 16WC 38748 HERNANDEZ, LORENZO ROLLING LANDSCAPES INC 07/02/16 LAW OFFICES MICHAEL HELLMA JOSEPH MARCINIAK 206 16WC 38955 CONTRERAS, JOSE DAVEY TREE EXPERT COMPANY 10/20/16 DAVID W MARTAY 207 16WC 39153 19B ROBERTS, GARY CITY OF ZION 07/22/15 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 208 17WC 00110 CHACON, DAVID NOSCO 08/15/16 ROSENBERG EISENBERG ASSOC GAROFALO SCHREIBER STORM GRA 209 17WC 00216 NYGARD, KARL J HOLOGIC, INC 11/16/16 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 17WC031801 -C 210 17WC 00493 KUKREJA, SHAMA SPECTRUM RETIREMENT COMMU 11/30/16 SEIDMAN MARGULIS & FAIRMAN THOMAS & PORTELA 211 17WC 00923 RAIFORD, ADRIAN D WOODY'S 3 IN 1, INC. 06/02/16 HANNIGAN & BOTHA, LTD QUINTAIROS PRIETO WOOD & BOY 212 17WC 02237 PAGONIS, MARIA FRESENIUS KIDNEY CARE 10/18/16 NEWLAND & NEWLAND HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 213 17WC 03258 TAYLOR, ROSANNE SAIA 06/16/16 MARKS INJURY LAW POULOS & DIBENEDETTO LAW 214 17WC 03420 LEWINSKI, MARIUSZ ILLINOIS DEPARTMENT @ 12/27/16 ALEKSY BELCHER ILLINOIS ATTORNEY GENERAL 215 17WC 03589 NEWMAN, KURT VILLAGE OF GRAYSLAKE POLI 10/23/16 SANDMAN LEVY & PETRICH POWER & CRONIN LTD 17WC003590 -C 17WC032894 -C GRAYSLAKE POLICE DEPT 216 17WC 03667 PARTIPILO, DANIELA GRAYSLAKE COMMUNITY 09/29/16 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 217 17WC 03832 STOYKOV, STEFAN HUNT MILITARY COMMUNITIES 05/22/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 218 17WC 04542 CRUZ, YANIEL GARDEN FRESH GENERAL INC 06/13/16 HOLECEK & ASSOCIATES 219 17WC 04620 SMITH, CHLOE J FRANCHISE MANAGEMENT INVE 01/16/17 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 220 17WC 04702 MARTINEZ, SERGIO PERSONNEL STAFFING GROUP 04/30/16 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 221 17WC 05477 VOLLMER, ROBERT MERIT INSTALLATIONS, INC 11/08/16 BAUM RUFFOLO & MARZAL LTD GAROFALO SCHREIBER STORM GRA 222 17WC 06162 BANUELOS, ELIZABETH NB MANAGEMENT LTD 01/20/17 CHEPOV & SCOTT LLC GANAN & SHAPIRO 223 17WC 06794 CHACON, DAVID NOSCO 02/24/17 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM GRA 224 17WC 07242 BROWNING, MICHAEL LAKE COUNTY PRESS INC 07/01/15 225 17WC 07662 RAMIREZ, MARIA TRANSITIONAL CARE OF LAKE 04/13/16 SPENCER LAW OFFICES ACCIDENT FUND HOLDINGS 226 17WC 07698 RAUSCH, DANIEL R MARIANO'S 09/08/16 HANNIGAN & BOTHA, LTD 227 17WC 08202 MISICKA, LAWRENCE PETER BAKER & SON CO 09/28/16 CAPRON & AVGERINOS PC KLAUKE LAW GROUP LLC 228 17WC 08872 GARCIA, BELEN TERMAX CORPORATION 06/27/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 229 17WC 09102 BUBLITZ, DAVID LINCARE 01/17/17 LUSAK AND COBB HOLECEK & ASSOCIATES 230 17WC 09140 LAND, DOYLE ALLIED UNIVERSAL SECURITY 09/17/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 231 17WC 09268 HERNANDEZ, NORA ELITE STAFFING 04/13/16 DOUGLAS RALLO PC 232 17WC 09386 VOLODKA, NIKOLAS FOREST BUILDERS, INC 05/20/08 SEIDMAN MARGULIS & FAIRMAN THOMAS & PORTELA 233 17WC 09402 LOPEZ, WILFREDO ENSEMBLE OF CARE, INC 01/15/16 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM GRA 234 17WC 09419 BATZEL, MICHAEL AIR-RITE HEATING AND COOL 03/03/17 GALLAGHER, DONALD V CACCHILLO LAW GROUP LLC 235 17WC 10024 MARTIN, BRIAN ILLINOIS STATE TOLL @ 03/12/17 ANKIN LAW OFFICE GANAN & SHAPIRO 236 17WC 10428 SMITH, BRIAN PAPA JOHN'S 03/20/17 AIOSSA LAW FIRM RUSIN & MACIOROWSKI LTD 237 17WC 11813 LORII, SHERRI JACOBS COMPANY 11/01/16 BARRY A KETTER HEYL ROYSTER VOELKER ALLEN 17WC012225 -C 238 17WC 12404 SILBER, CARL X POLYURETHANE ENGINEERING 05/27/15 ROSS TYRRELL HOLECEK & ASSOCIATES 239 17WC 12471 WYSE, PATRICIA WALMART INC STORE 1404 01/30/17 HANNIGAN & BOTHA, LTD QUINTAIROS PRIETO WOOD & BOY 240 17WC 12893 CAMACHO BONILLA, DELIN E MVP STAFFING/MOST VALUABL 11/11/16 SOSTRIN AND SOSTRIN PC KOREY RICHARDSON LLC 241 17WC 13662 FAUST, TERRI PEDIATRIC THERAPY SERVICE 09/12/16 BUDIN LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 242 17WC 13806 CABRALES, ISRAEL J ADVACNED DISPOSAL SERVICE 04/24/17 LINN, CAMPE & RIZZO LTD INMAN & FITZGIBBONS 243 17WC 14644 DIGIACINTO, ANDREA VILLAGE OF LIBERTYVILLE 02/22/17 DUDLEY & LAKE LLC RUSIN & MACIOROWSKI LTD 244 17WC 14685 MUNOZ DEL HOYO, DAVID LITTLE LADY FOODS 11/23/16 BAUM RUFFOLO & MARZAL LTD SPIEGEL & CAHILL, PC 245 17WC 14705 PERILLO, JUSTIN CHICAGO BEARS FOOTBALL CL 12/07/16 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 246 17WC 14850 GARCIA, CONSUELO ARAMARK 03/14/17 AIOSSA LAW FIRM WIEDNER & MCAULIFFE LTD 247 17WC 15333 CAZARES, ADRIANA ECHO INCORPORATED 10/16/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 248 17WC 16066 THREATT, ERIC J ALLENDALE ASSOCIATION 03/15/17 LINN, CAMPE & RIZZO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 249 17WC 16470 FRANZ, LAURA CRAWFORD & COMPANY 05/04/17 BERNARD WYSOCKI & ASSOCIAT 250 17WC 17236 GOMEZ, CESAR RICK'S AUTO CARE 12/16/16 COSTA IVONE LLC HOLECEK & ASSOCIATES 251 17WC 18144 CARRANZA, RAMIRO NUWAVE, LLC 03/15/17 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 252 17WC 18388 MELZER, KELLY SEDOL 05/03/17 BOWMAN & CORDAY NYHAN BAMBRICK KINZIE & LOWR 253 17WC 18642 19B SIMUNDIC, EDWARD J, JR CYGNET CONTROLS, INC 08/29/16 KOSIN LAW OFFICE LTD RIPES NELSON BAGGOT KALOBRAT 254 17WC 18836 SUTTER, MICHELLE DURHAM SCHOOL SERVICES/ 05/12/17 POSTERLI, OSCAR BRADY CONNOLLY & MASUDA PC 255 17WC 18900 GONZALEZ, MARIA G LTD COMMODOTIES, LLC 04/04/16 TAMVAKIS, GEORGE L JOSEPH MARCINIAK 256 17WC 19037 PEETE, JOHN M CITY OF WAUKEGAN 07/14/16 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 257 17WC 19353 NOVOTNY, EDWARD AEROTEK 05/18/17 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 258 17WC 19553 KITCHEL, ANNE BAXTER HEALTHCARE CORPORA 05/24/07 MC HARGUE & JONES HENNESSY & ROACH PC 259 17WC 19606 GRILLO, SOPHIA MACY'S 03/16/17 SEIDMAN MARGULIS & FAIRMAN BRYCE DOWNEY & LENKOV LLC 260 17WC 19873 GOETZ, WALTER BAUERS CATERING 03/25/17 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 261 17WC 20512 HARRIS, CHARLES SIX FLAGS GREAT AMERICA, 06/08/17 GORDON & CENTRACCHIO LLC BRADY CONNOLLY & MASUDA PC 262 17WC 20557 GOMEZ, VICENTE UNIVERSITY OF SAINT MARY 06/22/17 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 263 17WC 20786 REYNOLDS, KENNETH AMERICAN AUTO EXPO 08/30/16 264 17WC 20843 CUEVAS, MARIA L HORIZONS WINDOW FASHIONS 06/21/17 LINN, CAMPE & RIZZO LTD EVANS & DIXON 265 17WC 20907 EUCOLONO, MATTHEW PACE 06/09/17 ANTHONY J MAY 266 17WC 21258 DELATORRE, ROBERTO TBS CONSTRUCTION, INC 06/19/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 267 17WC 21818 WASHINGTON, QUINIA KILEY DEVELOPMENTAL CENTE 12/22/15 JEFFREY FRIEDMAN ASSISTANT ATTORNEY GENERAL 268 17WC 22079 WEINHANDL, ROGER MEDLINE INDUSTRIES 07/17/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 269 17WC 22197 JOHNSON, JOSEPH AMETEK POWVAR 07/26/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 270 17WC 22289 ALBAVERA, EMILIA LINCOLNSHIRE MARRIOT RESO 06/23/17 STEIN & CHERNY LTD RUSIN & MACIOROWSKI LTD 271 17WC 23428 DIAZ, CHRISTINA THE ANIMAL HOSPITAL OF GU 04/18/17 LAW OFFICE NANCY HIRSCH LL COZZI & GOGGIN-WARD 272 17WC 23994 BOJKO, RAFAL TOP LINE CONSTRUCTION; W 07/28/17 ALEKSY BELCHER 273 17WC 24526 ZEFFERY, DAVID T WEBSTER DENTAL CARE OF 05/10/17 FIGLIOLI, DAVID 274 17WC 24574 TEMPLEMAN, DUANE S VACATION VILLAGE 08/10/17 HANNIGAN & BOTHA, LTD QUINTAIROS PRIETO WOOD & BOY 275 17WC 24687 DUNCAN, DERRICK PAULY MOTORS INC 06/01/17 MARKS INJURY LAW 276 17WC 24897 OCAMPO, LUCIA ANDREW STAFFING 08/17/17 MC HARGUE & JONES SLAVIN & SLAVIN 277 17WC 24970 JOSEFSON, CYNTHIA A NEW ALBERTSON'S INC D/B/A 04/10/17 LINN, CAMPE & RIZZO LTD 278 17WC 24977 OLIVA, HENRY MCNELLY SERVICES, INC 06/13/16 SALGADO, DAVID L 17WC024794 -C 279 17WC 25197 HERNANDEZ, YURIDIA ELITE STAFFING 08/16/17 AIOSSA LAW FIRM 280 17WC 25506 SUMONJA, CLINT W ROUND LAKE SCHOOL DIST 11 05/01/17 GORDON & CENTRACCHIO LLC 17WC025507 -C 18WC010438 -C 18WC010535 -C 18WC010536 -C 281 17WC 25940 RUIZ, EDUARDO DIRECT METALS CO LLC 08/03/17 CHEPOV & SCOTT LLC RIPES NELSON BAGGOT KALOBRAT 282 17WC 26269 SANCHEZ, LAZARO ECHO INCORPORATED 07/06/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 283 17WC 26424 SERZYNSKI, PAUL S LAKE COUNTY DIVISION OF 11/24/16 HANNIGAN & BOTHA, LTD WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 17WC 26646 CALDERON, MARIA COSTCO 08/27/17 BAUM RUFFOLO & MARZAL LTD GANAN & SHAPIRO 285 17WC 27387 CRUZ, DION DE LA ANN M KILEY CENTER 07/25/17 POSTERLI, OSCAR KRISTIN LEASIA 286 17WC 27580 RODRIGUEZ, FERNANDO QUALITY CATRING 03/06/17 ANGELINI & ORI LLC 287 17WC 27778 RUSCH, JULIA ADVOCATE CONDELL MED CENT 03/18/17 CORBOY & DEMETRIO PC NYHAN BAMBRICK KINZIE & LOWR 288 17WC 28017 GOMEZ, YADIRA SEDGEBROOK 02/07/17 TAMVAKIS, GEORGE L HENNESSY & ROACH PC 289 17WC 28090 SALGADO, JAVIER LABOR SOLUTIONS 08/03/17 MARKS INJURY LAW MC ANDREWS & NORGLE LLC 290 17WC 28150 HUBBARD, BRUCE LAZER SPOT INC 09/07/17 LAW OFFICE JEFFREY FRIEDMA WOLFE & JACOBSON, LTD 291 17WC 28421 REBOLLEDO, RICARDO SUPER FRESH MARKET & 03/30/17 DEPAOLO ZADEIKIS GORE 292 17WC 28486 EFRALEW-WEBER, HELENE ILLINOIS BONE AND JOINT 09/08/16 BARRY STEWART SILVER LAW OFFICES OF EDWARD J. KOZ 293 17WC 28615 POTERACKI, SARAH GREAT AMERICA LLC 06/30/14 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 294 17WC 28708 HARTSTEIN, JUDY SCHOOL DISTRICT 96 08/29/17 NEWLAND & NEWLAND GOLDBERG SEGALLA LLC 295 17WC 28794 PARISI, MARY KAY LAURETTA'S ITALIAN BAKESH 02/12/16 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 296 17WC 28859 COIRIER, RICHARD WAUCONDA SD 118 05/25/17 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 297 17WC 29445 TRIMBORN, GABRIELLA VETERINARY SPECIALTY CTR, 04/10/15 ANESI OZMON RODIN NOVAK KO JOSEPH MARCINIAK 298 17WC 29609 NHEM, SAREK LAKE COUNTY COURTHOUSE 11/11/16 SMITH AMUNDSEN LLC 299 17WC 29753 DESTRY, LYNN MARIANOS 06/02/17 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 300 17WC 29943 BALLINGTON, JOSHUA HARRIS DAVIS REBAR 09/27/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 301 17WC 30066 VALLE, AARON COCA-COLA 07/31/17 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 302 17WC 30421 HARRISON, TAMMARA VILLAGE OF VICTORY LAKES 02/15/17 ROBERT EDENS ARNETT LAW GROUP 303 17WC 30452 VENSKI, AMY THE HOME DEPOT 10/02/17 HANNIGAN & BOTHA, LTD ADELSON TESTAN BRUNDO 304 17WC 30848 BECERRA, ANDRE R STONE DEVELOPMENT GROUP, W 09/19/17 GAROFALO SCHREIBER STORM GRA 305 17WC 30917 KHALATOVA, KARINA CITICARE TRANSPORTATION/ 12/09/16 JAMES ELLIS GUMBINER & ASS GANAN & SHAPIRO 306 17WC 31020 KOTLIAR, ALEXANDER VCI CALL CENTER/VOLKSWAGE 09/22/17 EFTEKHARI LAW OFFICES LLC GAROFALO SCHREIBER STORM GRA 307 17WC 31237 RICHMOND, LISA MARIANO'S FRESH MARKET 08/02/17 EFTEKHARI LAW OFFICES BRYCE DOWNEY & LENKOV LLC 308 17WC 31295 TREJO, MANUEL SCHWAN ELECTRIC 06/28/17 NILSON STOOKAL GLEASON CAP WIEDNER & MCAULIFFE LTD 309 17WC 31567 DIEBEL, ANN BLUEMERCURY, INC 09/08/17 TARADASH LAW OFFICE ROBERT L. SMITH 310 17WC 31648 MARTINEZ, BENITO R PAUL'S LANDSCAPING 07/24/15 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM GRA 311 17WC 31671 BRESNAHAN, KATHLEEN PEAPOD 09/25/17 HORWITZ HORWITZ & ASSOC LITCHFIELD CAVO 312 17WC 31942 GUTIERREZ, ABEL JR. NORTH SHORE GAS CO/INTEGR 07/07/17 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM GRA 313 17WC 32913 OJEDA, YAZMIN QUALITY LABOR SERVICES LE 10/16/17 HANNIGAN & BOTHA, LTD INMAN & FITZGIBBONS 314 17WC 32966 JACOB, JUVENAL TESLA SUPERCHARGER 10/17/17 GRANT & FANNING 315 17WC 33030 JAHN, ANDREW P NEW ALBERTSON'S DBA JEWEL 10/07/17 LINN, CAMPE & RIZZO LTD EVANS & DIXON 316 17WC 33793 ROGERS, RITA SUPERIOR GROUP CONTRACTIN 08/24/17 KEVIN P. JUSTEN PC HENNESSY & ROACH PC 317 17WC 33846 HOWARD, RUSSELL PAPPAS COMPANY 10/10/17 KUMLIN & FROMM 318 17WC 33906 ROGERS, TERRANCE E ELITE STAFFING INC 09/06/17 ANKIN LAW OFFICE 319 17WC 34055 TIMMONS, KISHEYA RANSTAD MANUFACTURING LOG 05/08/17 AIOSSA LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 17WC 34755 PIETURA, TERESA LAKE PARK CTR 10/22/17 CHEPOV & SCOTT LLC BRADY CONNOLLY & MASUDA PC 321 17WC 34897 CHAMBERS, BRIAN GHC MECHANICAL INC 07/18/17 GREGORIO & MARCO RUSIN & MACIOROWSKI LTD 322 17WC 35073 FLORES, YOLANDA XCEL STAFFING SOLUTIONS L 10/31/17 SALK, STEVEN B & ASSOC LTD GILDEA & COGHLAN 323 17WC 35276 ANZALONE, JOHN VCNA PRAIRIE MATERIAL 10/24/17 DOUGLAS RALLO PC GAROFALO SCHREIBER STORM GRA 324 17WC 35677 MARTINEZ, RIGOBERTO DE YOUNG TRUCKING & EXCAV 11/09/17 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 325 17WC 35733 HANZELIN, KENNETH FEDEX GROUND EXPRESS 11/08/17 BURNETT & CARON, LTD KOPKA, PINKUS DOLIN, PC 326 17WC 36092 ESPINOSA, SANTOS ALERIS 04/20/17 WEISS ORTIZ PC BRADY CONNOLLY & MASUDA PC 327 17WC 36128 GUTIERREZ, EDUARDO SUPERIOR SHEET METAL & HE 09/21/17 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 328 17WC 36436 RUBIO, JUAN A DREAMSCAPES HARDSCAPES & 10/13/17 FERRIS THOMPSON & ZWEIG BRADY CONNOLLY & MASUDA PC 329 17WC 36509 HOLLEMAN, NORA BAXTER HEALTH CARE 05/26/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 330 17WC 36911 VIERA-GUTIERREZ, MARIA WORLD CLEANING SERVICES 11/13/17 AIOSSA LAW FIRM 331 17WC 36936 CARBAJA, RODNEY CITY OF HIGHLAND PARK 10/19/17 LINN, CAMPE & RIZZO LTD POWER & CRONIN LTD 332 17WC 36961 PAPANDREOU, GEORGE WAUKEGAN SCHOOL DISTRICT 11/10/17 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 333 17WC 37006 SIPE, ALICIA SILVERADO SENIOR LIVING 10/30/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 334 17WC 37378 MACEDO, ESTEBAN QUALITY LABOR SERVICES 12/06/17 ANKIN LAW OFFICE INMAN & FITZGIBBONS 335 17WC 37417 PRESBERRY, KINNIE AMAZON 12/07/17 TAXMAN POLLOCK WIEDNER & MCAULIFFE LTD 336 17WC 37542 MCNEIL, WILLIAM COMCAST 12/11/17 HANNIGAN & BOTHA, LTD 337 17WC 37609 CRUZ, GUADALUPE ERJ DINING, LLC DBA CHILI 01/16/17 DOUGLAS RALLO PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 338 17WC 37648 RODRIGUEZ, JOSE ANGEL PROCTOR GAMBLE 11/17/14 MC HARGUE & JONES 339 17WC 37893 BEHAN, ROBERT WAUKEGAN ROOFING 11/01/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 340 17WC 37939 ROBINSON, EDWARD IL TOLLWAY 12/18/17 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 341 17WC 37962 BERGMAN, ROBERT 3M COMPANY DBA MEGUIAR'S 10/18/16 DOUGLAS RALLO PC KEEFE CAMPBELL BIERY & ASSOC 342 17WC 38073 ESCOBAR, JESUS DAN PLAUTZ CLEANING SERVI 02/28/17 JONATHAN SCHLACK WOLFE & JACOBSON, LTD 343 18WC 00216 JUAREZ, MARIA SURE STAFF INC 07/17/17 PARENTE & NOREM PC LOUIS MUNDY 344 18WC 00826 BEAN, CHRISTOPHER ZF SERVICES 04/07/17 LEONARD LAW GROUP LLC 345 18WC 00994 DAVIS, JORDAN R WAUKEGAN PUBLIC SCHOOL 60 11/21/17 GALLAGHER, DONALD V BRADY CONNOLLY & MASUDA PC 346 18WC 01206 CATALANO, NICHOLAS ZF SERVICES LLC 10/09/17 BOGUSZ & BOGUSZ LTD HOLECEK & ASSOCIATES 347 18WC 01279 REYES, EDGAR CAMO JUGGERNAUT LLC 10/26/17 348 18WC 01459 MARTINEZ-ZARAGOZA, JUAN CITY DRYWALL 01/06/18 RAYMOND M SIMARD, PC GILDEA, COGHLAN & REGAN LTD. 349 18WC 01921 EWING, ROBERT MECHANICAL INC 10/27/17 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS DOLIN, PC 350 18WC 02089 TOLEDO, ELIDETH MCDONALD'S 05/17/17 POSTERLI, OSCAR 351 18WC 02325 CARRENO, MARIA ESMERALDA MCESSY INVESTMENT CO DBA 05/10/16 FERRIS THOMPSON & ZWEIG 352 18WC 02854 GRINZAFI, LAURIE MENARDS 10/04/17 JOSEPH J LOSS PC CHILTON YAMBERT PORTER LLP 353 18WC 02998 HALVERSON, DAVID BUFFALO GROVE 01/05/18 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 354 18WC 03276 GUZMAN, MAGDALENA AEROTEK 10/16/17 RUEDA, IVAN A

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 355 18WC 03334 GATES, MARK R LONG GROVE 01/12/18 WAGGONER LAW FIRM PC RUSIN & MACIOROWSKI LTD 356 18WC 04448 BURRELL, ELEANOR GLENLAKE TERRACE 02/02/18 HANNIGAN & BOTHA, LTD FRANCESCA LARSEN 18WC021251 -C 357 18WC 04757 SERANO, JOSE KONA GRILL 08/10/17 JONATHAN SCHLACK 358 18WC 04874 GALARZA, EVA CARDINAL HEALTH 09/20/17 JASON HAUCK HENNESSY & ROACH PC 359 18WC 04895 ANDERSON, TIMOTHY S WOODLAND ELEMENTARY SCHOO 09/01/15 VITELL & SPITZ LTD 360 18WC 05026 MAZUR, JOHN GROOT INDUSTRIES 12/07/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 361 18WC 05140 OSEGUERA, MARGARITA THE POPCORN FACTORY 09/19/17 JONATHAN SCHLACK LAWRENCE COZZI - LAW OFFICES 362 18WC 05542 REID, TIFFANY SIX FLAGS GREAT AMERICA 10/16/16 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 18WC005543 -C 363 18WC 05947 FERET, KRYSTYNA BERNADETTE SERVICE, INC. 07/29/17 CULLEN HASKINS NICHOLSON 364 18WC 05994 BURTON, ANDRE IVAYLO LYUBENOV INDIVIDUA 11/03/17 SOSTRIN AND SOSTRIN PC JAMES HYUN 18WC019551 -C 365 18WC 06227 ISMAIL, JINAN ARBORIA OF LONG GROVE 01/02/18 RANDALL A. WOLFF & ASSOC WIEDNER & MCAULIFFE LTD 366 18WC 06279 RODRIGUEZ, ELYT BEACH PARK SCHOOL DIST 3 12/14/16 FERRIS THOMPSON & ZWEIG WIEDNER & MCAULIFFE LTD 367 18WC 06280 CANALES, DINA TEMPS NOW 12/20/17 COSTA IVONE LLC HENNESSY & ROACH PC 368 18WC 06452 JORGENSON, JAMIE XPO LOGISTICS 01/17/18 COYNE REINKE LAW RUSIN & MACIOROWSKI LTD 369 18WC 06618 JAHN, ANDREW P NEW ALBERTSONS, INC 09/30/17 LINN, CAMPE & RIZZO LTD EVANS & DIXON 370 18WC 06861 LOVELACE, BRENDA ZELLER PLASTIK, INC 12/14/17 GOLDBERG WEISMAN & CAIRO L 371 18WC 07263 AMBROSIUS, MICHELE CANCER TREATMENT CENTERS 11/06/17 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 18WC 08274 JARRELL, PEGGY FULL MOON FAMILY RESTURAN 02/15/18 MC HARGUE & JONES HENNESSY & ROACH PC 373 18WC 08432 ROCHA, JESUS TRINITY INTERNATIONAL 02/06/18 KATZ FRIEDMAN EAGLE ET AL 374 18WC 08735 AMPOSTA, MARISSA BARK UNIVERSITY 01/22/18 MARKS INJURY LAW 375 18WC 08809 MOORE, RICHARD C PCI ENERGY SVCS 02/15/18 ANESI OZMON RODIN NOVAK KO CHILTON YAMBERT PORTER LLP 376 18WC 08933 BLACK, MICHAEL DURHAM SCHOOL SERVICES 03/21/16 DUDLEY & LAKE LLC BRADY CONNOLLY & MASUDA PC 377 18WC 09190 LARA, MARIA E LITTLE LADY FOODS INC 11/03/17 CULLEN HASKINS NICHOLSON SPIEGEL & CAHILL, PC 378 18WC 09609 BLANKS, LATIYA ANN KILEY DEVELOPMENTAL C 02/05/18 DWORKIN AND MACIARIELLO KRISTIN LEASIA 379 18WC 09633 LEONARD, MARGO STATE OF ILLINOIS @ 01/05/18 CORNFIELD & FELDMAN KRISTIN LEASIA 380 18WC 09739 OCHOA, MARTHA ROUND LAKE SCHOOL DIST 11 01/07/17 HANNIGAN & BOTHA, LTD 381 18WC 09899 ROSALES, ISIDRO A TOP TEC 02/22/18 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 382 18WC 10059 RICKABAUGH, VERNON JR. ADVANCE DISPOSAL 04/21/15 JAMES P. TUTAJ 383 18WC 10215 MEDINA, RIGOBERTO GONZALE CPI DAYLIGHTING, INC. 12/07/17 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 384 18WC 10370 TOLEDO, TEOFILO AVERUS 03/14/18 STANCZAK LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 385 18WC 10640 CARION, ELOIS A CEANNATE CORP 11/15/17 JAMES ELLIS GUMBINER & ASS 386 18WC 11019 BRAUNECKER, BEN CHICAGO BEARS FOOTBALL CL 12/29/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 19WC003047 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 387 18WC 11061 MANUEL, MICHAELA PRESBYTERIAN HOMES 09/16/17 BURNETT & CARON, LTD 388 18WC 11297 RODRIGUEZ, RIGOBERTO JM IRRIGATION 05/05/17 LINN, CAMPE & RIZZO LTD HEYL ROYSTER VOELKER & ALLEN 18WC011358 -C 389 18WC 11323 MAJ, MISAKO C CITY OF LAKE FOREST PD 02/26/18 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 390 18WC 11327 RAMIREZ, JOEL ROOF OPTIONS, LLC 07/12/17 LINN, CAMPE & RIZZO LTD 391 18WC 11333 BEAKE, AMY J VILLAGE OF GURNEE 04/22/17 LINN, CAMPE & RIZZO LTD 392 18WC 11474 GEBHARDT, DEBRA SURGICAL CARE AFFILIATES, 12/09/15 DUDLEY & LAKE LLC JOSEPH MARCINIAK 393 18WC 11545 BARRIOS, LOURDES PORTILLO'S HOT DOGS 02/10/18 TAMVAKIS, GEORGE L HOLECEK & ASSOCIATES 394 18WC 11698 GOLLAZ, SALVADOR RON'S STAFFING SERVICES 04/11/18 SANDMAN LEVY & PETRICH KOREY RICHARDSON LLC 395 18WC 11748 LAGRECA, SUSAN JEWEL, INC./NEW ALBERTSON 02/02/18 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 396 18WC 12125 CALVERT, KIKKI ABBVIE 02/13/18 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 397 18WC 12196 WEST, DEAN PARAMOUTN STAFFING, INC 01/18/18 JASON HAUCK SCOPELITIS GARVIN LIGHT 398 18WC 12288 LEGARRETA, ELIA HN PRECISION 01/25/18 HERRERA LAW CENTER HOLECEK & ASSOCIATES 399 18WC 12464 FRANKLIN, DELOC CHENY FURNITURE- NEW, RES 04/14/18 DWORKIN AND MACIARIELLO 400 18WC 12593 SCHROTH, LINDA STATE OF IL OFFICE OF THE @ 03/20/18 PORRO NIERMANN LAW GROUP KRISTIN LEASIA 401 18WC 12675 SEDIK, STEPHANIE HIGHLAND PARK PUBLIC LIBR 08/29/16 JOSEPH MARCINIAK 18WC019007 -C 402 18WC 12840 PULEO, CHRISTINA CARMEL CATHOLIC HIGH SCHO 01/24/18 JOSHUA KARMEL HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 403 18WC 12978 YARBROUGH, TONJIA SOI - ANN KILEY @ 02/26/18 CORNFIELD & FELDMAN KRISTIN LEASIA 404 18WC 13049 RODRIGUEZ, LIZETTE TACO BELL 10/14/17 STEIN & CHERNY LTD HENNESSY & ROACH PC 18WC014263 -C 405 18WC 13194 QUINTANA, MARIANO TWIN ORCHARD COUNTRY CLUB 12/23/16 RUEDA, IVAN A NOBLE & ASSOC 406 18WC 13364 LANIER, SYLVIA BURLINGTON INC 11/21/17 STEINBERG, POLACEK & GOODM CHILTON YAMBERT PORTER LLP 407 18WC 13427 ROBERTS, TYLER ELITE MOTORS 11/16/17 CULLEN HASKINS NICHOLSON 408 18WC 14347 WELLS, LARRY COUNTY OF LAKE, BUILDING 04/13/16 MARKHAM M JEEP & ASSOCIATE WOLFE & JACOBSON, LTD 409 18WC 14394 IMHOFF, CLAYTON ARAMARK 04/20/18 BAUM RUFFOLO & MARZAL LTD 410 18WC 14567 TAMALUNAS, PATRICIA FOSTER'S TRAINING CENTER 03/04/18 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 411 18WC 14616 RODRIGUEZ, OMAR ONWENTSIA CLUB 01/13/17 LINN, CAMPE & RIZZO LTD NOBLE & ASSOC 412 18WC 14721 GUERRA, JOSE SERNA & SONS CONSTRUCTION 04/16/18 CULLEN HASKINS NICHOLSON 413 18WC 14840 BRISENO, JOSUE DEER PATH INN 04/07/18 414 18WC 15055 ALMAZAN, MARIA G FLEX LTD 04/06/18 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 415 18WC 15090 HERRING, EBONY ACCORD HOSPICE 05/03/18 GRAHAM J. JEEP 416 18WC 15188 CERVANTES, JAVIER MBA BUILDING SUPPLY 07/24/17 ANGELINI & ORI LLC 417 18WC 15263 SALGADO, ALEX ALLSTAFF 03/17/18 JAMES URTIS 418 18WC 15356 MARTINEZ, MARIA ALEJANDRA NEMERA 05/05/18 CULLEN HASKINS NICHOLSON 419 18WC 15596 SCHEFFER, JOSPEH IDOT @ 11/02/17 ROBERT EDENS KRISTIN LEASIA 420 18WC 15816 RODRIGUEZ, SANDRA IRHYTHM TECHNOLOGIES 08/07/17 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 421 18WC 16101 WATSCHKE, DIANNA CONSOLIDATED PATHOLOGY 04/25/18 MARKHAM M JEEP & ASSOCIATE RIPES NELSON BAGGOT KALOBRAT 422 18WC 16395 MORGAN, KASEY COUNTY OF LAKE 05/24/18 LINN, CAMPE & RIZZO LTD 423 18WC 16685 PETERSON, CAROLINE MCDONALD'S RESTAURANTS OF 04/23/18 MARKS INJURY LAW 424 18WC 16804 MUJICA, SALVADOR CARTER-HOFFMAN 10/30/17 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 19WC002227 -C 425 18WC 16863 VILCHIS, LEONEL TOBI ENGINEERING 05/15/18 BARRY STEWART SILVER HANSON LAW OFFICE 426 18WC 17141 RIVERA, MIGUEL A LARSEN MARINE SVCS, INC 10/30/17 ANTHONY J MAY 427 18WC 17431 BRYAN, PHILIP C NORTHWESTERN MEDICINE 12/31/15 HANNIGAN & BOTHA, LTD 428 18WC 17511 RODRIGUEZ, IRMA COMPASS GROUP NORTH AMERI 05/01/18 POSTERLI, OSCAR GANAN & SHAPIRO 429 18WC 17568 ANZALONE, JOHN OLD DOMINION FREIGHT, INC 05/18/18 DOUGLAS RALLO PC EVANS & DIXON 430 18WC 17613 MANGAN, SUE SEARS 09/29/17 ROSENBERG EISENBERG ASSOC GAROFALO SCHREIBER STORM GRA 431 18WC 17940 LILLARD, TIANNA ANN KILEY DEVELOPMENTAL C 06/09/18 DWORKIN AND MACIARIELLO KRISTIN LEASIA 432 18WC 18024 GONZALES, LUZ MARIA SHIRE PHARMACEUTICALS LLC 08/01/17 DEPAOLO & ZADEIKIS BRYCE DOWNEY & LENKOV LLC 433 18WC 18297 CASEY, KIMBERLY SMALLEY STEEL RING COMPAN 05/22/18 HANNIGAN & BOTHA, LTD ACCIDENT FUND HOLDINGS 434 18WC 18303 RIVERA, LUIS CITY OF NORTH CHICAGO 02/27/18 MARKHAM M JEEP & ASSOCIATE HENNESSY & ROACH PC 435 18WC 18456 PEREZ, ARACELI PEAPOD, LLC 03/24/18 STEVEN B SALK & ASSOC LTD LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 436 18WC 18678 BERAN, NICOLAS PANEL PROS INC 05/17/18 KROL BONGIORNO & GIVEN LTD 437 18WC 19087 MANN, DAVID W JELLY BELLY CANDY INC 12/01/15 LINN, CAMPE & RIZZO LTD LAWRENCE COZZI - LAW OFFICE 18WC019094 -C 18WC019095 -C 18WC019195 -C 438 18WC 19217 GUTIERREZ, ABEL JR NORTH SHORE GAS CO/INTEGR 05/14/18 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM GRA 439 18WC 19321 LADUKE, DAVID CORAL CHEMICAL COMPANY 01/24/18 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 440 18WC 19620 HERNANDEZ, WALTER WASTE CONNECTIONS, INC 09/19/17 TAMVAKIS, GEORGE L BRADY CONNOLLY & MASUDA PC 441 18WC 19758 BRADLEY, VICTORIA GAP, INC. 02/12/18 JOHN M BORCIA LAW OFFICE 442 18WC 19861 PERALTA, ALBERTO CDW 05/26/18 COSTA IVONE LLC HENNESSY & ROACH PC 443 18WC 20190 DELGADO, LETICIA DIAMOND FULFILLMENT SOLUT 06/06/18 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 444 18WC 20345 RODRIGUEZ, LIZETTE TACO BELL 07/05/18 STEIN & CHERNY LTD HENNESSY & ROACH PC 445 18WC 20489 NEY, COLLEEN WAUKEGAN PUBLIC SCHOOL DI 03/07/18 DAVID J. BAWCUM BRADY CONNOLLY & MASUDA PC 446 18WC 20561 ROBELLO, CYNTHIA WALGREENS 02/23/18 COSTA IVONE LLC 447 18WC 20718 BAKER, TERRY E HYDRA FORCE 05/02/18 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 448 18WC 20896 WERENSKI, JOHN WARREN TOWNSHIP 03/30/17 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 18WC020897 -C 449 18WC 20969 KRAMER, SHELBY J BANNER DAY CAMP, INC 06/28/18 ANESI OZMON RODIN NOVAK KO CAPUANI, FRANK S 450 18WC 21253 GREIFF, DESIREE MENARDS 02/11/17 HANNIGAN & BOTHA, LTD 451 18WC 21352 VERGARA, ROGELIO GERACI PAINTING & DECORAT 05/18/18 JOHN J CASTANEDA RUSIN & MACIOROWSKI LTD 452 18WC 21401 DURAN, MARGARITA PANERA BREAD 06/14/18 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 453 18WC 21420 POPPE, RICHARD AUTONATION TOYOTA LIBERTY 06/20/18 MARKS INJURY LAW NYHAN BAMBRICK KINZIE & LOWR 454 18WC 21714 MORTENSEN, WILLIAM C NORTH AMERICAN COMPANY 01/23/17 FRANKS & RECKENBERG 455 18WC 22030 BENIGNO, VITO JEWEL INC 06/13/18 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 456 18WC 22071 KLEBERT, DONALD F SUPERIOR SPRINKLER SYSTEM 01/19/18 ANKIN LAW OFFICE 457 18WC 22199 PORTILLO, KEVIN SBARRO 03/24/18 KATZ FRIEDMAN EAGLE ET AL GILDEA, COGHLAN & REGAN LTD. 458 18WC 22293 WILSON, SCOTT WASTE CONNECTIONS, INC 04/23/18 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 459 18WC 22367 KOZIOL, JUSTYNA JEWISH COUNCIL FOR YOUTH 05/21/18 DWORKIN AND MACIARIELLO 460 18WC 22437 SOTO, CATHLEEN GAVIN SCHOOL DISTRICT #37 05/23/18 TARADASH LAW OFFICE 461 18WC 22484 GOMEZ, MARIA-DELMY BAXTER HEALTHCARE CORP 03/13/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 462 18WC 22606 ALCANTARA CASAS, JAVIER E PRECISION RESOURCE INC 07/24/18 HUGHES SOCOL PIERS RESNICK HOLECEK & ASSOCIATES 463 18WC 22624 ADAMS, JOSEPH LAMP AUTOMOTIVE, INC 05/29/18 CARAS LAW GROUP HEYL ROYSTER VOELKER ALLEN 464 18WC 22642 MACHOMETA, JAMES P ZELLER PLASTIK 07/30/17 BUDIN LAW OFFICES 465 18WC 22775 PACHECO-ARIAS, LETICIA BEKOR INC. DBA GRAYLAKE 04/11/18 THE ROMAKER LAW FIRM MCANANY VANCLEVE & PHILLIPS 466 18WC 22802 WASHINGTON, LAURA SPRING MEADOWS LIBERTYVIL 05/02/18 LINN, CAMPE & RIZZO LTD JOSEPH MARCINIAK 467 18WC 23078 JANSEN, STACEY RANDSTAD 06/26/18 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 468 18WC 23211 ARCE, VALENTE THE DELI SOURCE INC 05/21/18 ESR LAW GROUP 469 18WC 23292 SCHULEWITZ, EDMUND HARBOR FREIGHT TOOLS 12/21/17 HORWITZ HORWITZ & ASSOC ADELSON TESTAN BRUNDO 470 18WC 23338 JACKSON, MARY GOODWILL 07/27/18 DWORKIN AND MACIARIELLO 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 DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 471 18WC 23381 HERNANDEZ, JOSEPH TWO MEN AND A TRUCK 03/13/18 DUDLEY & LAKE LLC ROSARIO CIBELLA 472 18WC 23548 CARMONA, JOSE WAUKEGAN STEEL 11/29/16 HERRERA LAW CENTER POWER & CRONIN LTD 473 18WC 23605 NORRIS, HAYDEN METRO PARAMEDIC SERVICES 05/24/18 SCOTT BARBER POWER & CRONIN LTD 474 18WC 23837 RODRIGUEZ, IRMA SPRING MEADOWS LIBERTYVIL 03/20/17 DUDLEY & LAKE LLC JOSEPH MARCINIAK 19WC017430 -C 475 18WC 24768 MABINS, JEANETTE EXPRESS SERVICE 07/10/18 BRISKMAN BRISKMAN GREENBER MC ANDREWS & NORGLE LLC 476 18WC 24792 WONG, JOSE ALEJANDRO GREENS BY WHITE, INC 06/14/18 CULLEN HASKINS NICHOLSON 477 18WC 25022 KINNEY, DARRYL PAPA JOHN'S PIZZA 07/06/18 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 478 18WC 25217 MARTINEZ, RICHARD POS REMARKETING GROUP 08/02/18 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 479 18WC 25295 GALVEZ, GUSTAVO LUCKY 2 LOGISTICS, LLC 11/01/17 LINN, CAMPE & RIZZO LTD ANCEL GLINK PC 480 18WC 25313 HALBERT, SHARON DOVENMUEHLE MORTGAGE 08/02/18 FRIEND LEVINSON & BERGAL HOLECEK & ASSOCIATES 481 18WC 25354 ALEXANDER, ALFARAE PEOPLE READY 08/14/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 482 18WC 25379 LANCASTER, KEVIN L HIRE LEVEL 05/14/18 LINN, CAMPE & RIZZO LTD SLAVIN & SLAVIN 483 18WC 25665 SANCHEZ, JUAN C RUPRECHT CO 02/15/17 DWORKIN AND MACIARIELLO 484 18WC 25720 KERSTEN, CHRIS CUSTOM LAND SERVICES, INC 01/10/18 MARC PEKAY 485 18WC 25898 CADIEUX, JOSHUA M&M STEEL RECTORS, LLC 10/28/16 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM GRA 486 18WC 25904 CORONA, JESSICA ADVOCATE CONDELL MEDICAL 07/24/17 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 487 18WC 26122 HANSEN, JAMES COLLEGE OF LAKE COUNTY 02/13/18 MARKHAM M JEEP & ASSOCIATE GAROFALO SCHREIBER STORM GRA 488 18WC 26300 ZANCA, JOHN COPENHAVER CONSTRUCTION 08/20/18 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 489 18WC 27040 ISLAS, ROBERTO ORTEGA RAINBOW CLEANER SYSTEM 07/13/18 MANUAL CARDENAS & ASSOC 490 18WC 27093 BASILE, JESSE JC BUILDERS OF ILLINOIS, 05/16/18 MARKHAM M JEEP & ASSOCIATE BRADY CONNOLLY & MASUDA PC 491 18WC 27198 HARWOOD, LINDA FREMONT SCHOOL DISTRICT 7 08/28/18 HANNIGAN & BOTHA, LTD 492 18WC 27452 BUCIO, JESUS KRUGEL COBBLES, INC 09/19/16 ACEVES & PEREZ PC 493 18WC 27653 FINCH, ADANA R PEAPOD, LLC 12/11/17 JASON HAUCK LITCHFIELD CAVO 494 18WC 28149 RIVERA, LEONARDO USA TRUCK, INC 05/10/18 KEVIN O'BRIEN 495 18WC 28208 BERG, KURT ILLINOIS TOLLWAY 06/25/18 HANNIGAN & BOTHA, LTD 496 18WC 28365 LINNA, KURT ADVANCED PIPE REPAIR 08/10/18 STANCZAK LAW OFFICES WIEDNER & MCAULIFFE LTD 497 18WC 28467 ALMENDARES, YOGUIN INSTAFF 09/10/18 SALVATO O'TOOLE FROYLAN 498 18WC 28649 NAVARRETE, ABEL SHEET METAL SUPPLY 09/14/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 499 18WC 28891 COLEMAN, DEDRA ANN KILEY CENTER/ST OF IL @ 08/13/18 BRISKMAN BRISKMAN GREENBER KRISTIN LEASIA 500 18WC 29513 PALOMO, DAVID BRENT GRIFFIN (INDIV.) 04/04/18 LINN, CAMPE & RIZZO LTD 501 18WC 29793 MOSLEY, JEFFREY DORMAKABA 02/21/18 CAPRON & AVGERINOS PC LAWRENCE COZZI - LAW OFFICE 502 18WC 29819 ZEPEDA, MARIA E TERMAX CORPORATION 08/03/18 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 503 18WC 30047 ESTRADA, RAYMOND III TWIN ORCHARD COUNTRY CLUB 05/07/18 LINN, CAMPE & RIZZO LTD NOBLE & ASSOC 504 18WC 30142 CARTER, DARRELL DR PEPPER SNAPPLE GROUP, 09/07/18 JAMES J. GAY GAROFALO SCHREIBER STORM GRA 505 18WC 30256 RENGIFO, CLAUDIA LUCIA EMERIC FACILITY SRVS 08/27/18 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL BIERY & ASSOC 506 18WC 30403 MECZENSKI, WLADYSLAW TYLER STAFFING SRVS, INC 08/21/18 HETHERINGTON KARPEL BOBBER INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 507 18WC 30552 ARIZMENDI, NOEMI ANDREWS STAFFING 09/06/18 DAVID J. BAWCUM SLAVIN & SLAVIN 508 18WC 30656 GILLE, JONATHON ATLAS RESTORATION 08/01/18 GOLDBERG WEISMAN & CAIRO L 509 18WC 30717 BRUNO, ROBERTO JAMES MARTIN ASSOCIATES I 05/23/18 COSTA IVONE LLC HENNESSY & ROACH, PC 510 18WC 30748 HARTWELL, JOSEPH FED EX 07/27/18 RUBENS KRESS MULHOLLAND QUINTAIROS PRIETO WOOD & BOY 18WC030749 -C 511 18WC 30956 LOZA, FRANCISCO CEDAR ROOFING COMPANY, LL 05/01/18 TOPPER & WEISS LTD 512 18WC 31133 RAMALES, ROSALB F LABOR SOLUTIONS, LLC 08/11/16 GREGORY MARTUCCI 513 18WC 31158 TORRES, JESUS LANDSCAPE CONCEPTS MANAGE 02/04/18 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 514 18WC 31369 MARSH, MARY PRECISION RESOURCE 09/22/18 MARTIN V KUGIA HOLECEK & ASSOCIATES 515 18WC 31432 MCINTOSH, DEBRA WAUKEGAN PUBLIC SCHOOLS 09/28/18 AIOSSA LAW FIRM BRADY CONNOLLY & MASUDA PC 516 18WC 31529 JONES, TIMOTHY SPECIAL EDUCATION DISTRIC 11/01/17 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 517 18WC 31688 HERNANDEZ, NORMA ITW CONSTRUCTION PRODUCTS 06/21/18 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 518 18WC 31754 CENDEJAS, CLAUDIA ILLINOIS TOOLS WORK INC 08/10/18 COSTA IVONE LLC HENNESSY & ROACH PC 519 18WC 32039 TORRES, ROSA COMPX SECURITY PRODUCTS, 06/20/18 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 520 18WC 32389 DUBOSE, SONIA INDEPENDANCE CENTER 06/13/18 LINN, CAMPE & RIZZO LTD 521 18WC 32492 SCOTT, RENEE M DANZIE GREAT LAKES RESOURCES, IN 09/30/18 THE ROMAKER LAW FIRM 522 18WC 32516 MEJIA, MICHAEL GENESIS TECH 09/20/18 ANGELINI & ORI LLC 523 18WC 32847 SAVALA, DAVID WAUCONDA SCHOOL DIST #118 10/12/18 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 524 18WC 32992 MARTINEZ, JUANA HIGHLAND BAKING CO. 10/12/18 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 525 18WC 33122 SANCHEZ, ZORAYA PYRAMID DEERFIELD MNGMNT, 08/27/17 MC HARGUE & JONES GILDEA, COGHLAN & REGAN LTD. 526 18WC 33152 COOK, ETHEL AMAZON 07/06/18 BRISKMAN BRISKMAN GREENBER 527 18WC 33345 ALVAREZ, MARIA G GERE MARIE CORPORATION 02/12/18 HANNIGAN & BOTHA, LTD BORGELT POWELL 528 18WC 33359 CORTINA, JUAN WALMART 07/18/18 COSTA IVONE LLC QUINTAIROS PRIETO WOOD & BOY 529 18WC 33545 ALAMILLA, ASAEL MBA BUILDING SUPPLIES INC 05/02/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 530 18WC 33608 GRINDE, BRYAN IRELAND HEATING & 12/20/16 JOSEPH MARCINIAK 531 18WC 33670 BENITEZ, REFUGIO ROSBOROUGH PARTNERS INC 08/28/18 FERRIS THOMPSON & ZWEIG ACCIDENT FUND HOLDINGS 532 18WC 33748 GARCIA, ARMANDO ASBACH & VANSELOW, INC 03/21/18 JOHN S. ELIASIK 533 18WC 33763 AVNI, ZOAR FIELDS AUTO GROUP 01/16/18 CAPRON & AVGERINOS PC GAIDO & FINTZEN 534 18WC 33799 RIVARD, JOHN A VILLAGE OF VERNON HILLS 07/06/18 CULLEN HASKINS NICHOLSON EVANS & DIXON 535 18WC 33905 HERNANDEZ, JAIME COMCAST CORPORATION 10/23/18 JOSEPH J LOSS PC SPIEGEL & CAHILL, PC 536 18WC 33952 GARCIA, JUANA TEMPORARY EMPLOYMENT & 08/27/18 KARCHMAR & STONE HENNESSY & ROACH PC 537 18WC 34003 ESCOGIDO, CECILIA MAID BRIGADE 09/24/18 SCOTT B SHAPIRO RUSIN & MACIOROWSKI LTD 18WC034002 -C 538 18WC 34066 TURNER, ALFRED STATE OF ILLINOIS @ 10/29/18 ANKIN LAW OFFICE KRISTIN LEASIA 539 18WC 34163 KIDD, ROY A Z&L MACHINING, INC 09/26/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 540 18WC 34272 REYNA, JUAN TOWNSHIP HIGH SCHOOL 02/20/18 GRAVLIN, MICHAEL J LLC 541 18WC 34299 LOPEZ, GABRIEL ANDREW STAFFING, INC 02/13/17 JONATHAN SCHLACK SLAVIN & SLAVIN 542 18WC 34339 GARCIA, ELIZABETH ADVOCATE CONDELL MEDICAL 06/11/18 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 543 18WC 34553 HEREDIA, IGNACIO PEPPER CONSTRUCTION GROUP 06/14/18 RUBIN LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 544 18WC 34715 KOPYSTYNSKY, NATASHA ALLENDALE ASSOCIATION 06/16/18 BOTTO GILBERT WOLF LAW LTD 545 18WC 34799 ARTZ, RICHARD HP INC 08/10/18 MARKHAM M JEEP & ASSOCIATE MC ANDREWS & NORGLE LLC 546 18WC 34915 MORA, ANDRES DC TRICORE, INC. 09/01/18 FERRIS THOMPSON & ZWEIG 547 18WC 35039 QUINONES, JUAN A STERICYCLE INC. 10/23/18 VITELL & SPITZ LTD HENNESSY & ROACH PC 548 18WC 35052 SMALLS, BETH AMERIGAS PROPANE 04/02/18 TAMVAKIS, GEORGE L HENNESSY & ROACH PC 549 18WC 35183 HOSELTON, MARK ILLINOIS BELL TELEPHONE 11/12/18 ROBERT WARSASKI INMAN & FITZGIBBONS 550 18WC 35247 BROWN, LAQUITA ALLENDALE ASSOCIATION 06/11/18 MC HARGUE & JONES WOLF LAW LTD 551 18WC 35318 EASTMAN, FABIAN MAESTRO FOOD CO. 09/25/18 JAMES ELLIS GUMBINER & ASS 552 18WC 35751 WRIGHT, DWAYNE FISH LAKE BEACH CAMPING R 07/31/18 HANNIGAN & BOTHA, LTD RIPES NELSON BAGGOT KALOBRAT 553 18WC 35833 HERNANDEZ, ANA LONG GROVE CONFECTIONARY 11/29/18 COSTA IVONE LLC CAPUANI, FRANK S 554 18WC 35900 THOMAS, MELISSA MARIANO'S 04/23/18 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 555 18WC 35963 SCHULLER, DONALD R US AUTO FORCE 07/02/18 GOLDBERG WEISMAN & CAIRO L 556 18WC 36114 CARRIER, JEFFREY VILLAGE OF MUNDELEIN 11/23/15 POWER & CRONIN LTD 557 18WC 36191 HERCULES DE TORREZ, ROSA SIGMA SERVICES CORPORATIO 05/31/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 558 18WC 36207 AVNER, ALAN MENARD, INC 09/10/18 GRAUER & KRIEGEL LLC CHILTON YAMBERT PORTER LLP 559 18WC 36373 LEMES, NIJAZ QUALITY CUSTOM INSTALL IN 11/14/18 SANDMAN LEVY & PETRICH ANCEL GLINK PC 560 18WC 36378 GARCIA HERNANDEZ, JUANA CARDINAL HEALTH 07/26/18 JOHN S. ELIASIK HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 561 18WC 36575 SARTIPI, CYRUS PA TRANSPORT, INC 07/31/16 LINN, CAMPE & RIZZO LTD 562 18WC 36669 FRANK, CATHERINE J VILLAGE OF LAKE ZURICH 02/14/18 GALLAGHER, DONALD V RUSIN & MACIOROWSKI LTD 563 18WC 36758 WHITESCARVER, DAVID VILLAGE OF LIBERTYVILLE 09/05/18 ROBERT EDENS 564 18WC 36879 YUQUILIMA, EDWIN AFCO PRODUCTS INC 03/13/18 NEWLAND & NEWLAND HENNESSY & ROACH PC 565 18WC 37014 AMBARNIKOVA, INESSA LABOR SOLUTIONS, LLC 08/23/17 MC ANDREWS & NORGLE LLC 566 18WC 37022 PELESKA, DORIS WALMART 09/03/18 HANNIGAN & BOTHA, LTD QUINTAIROS PRIETO WOOD & BOY 567 18WC 37145 COURTRIGHT, ROBERT SHIRE 03/29/18 SEIDMAN MARGULIS & FAIRMAN BRYCE DOWNEY & LENKOV LLC 568 18WC 37479 BEAKE, AMY J VILLAGE OF GURNEE 08/08/18 LINN, CAMPE & RIZZO LTD 569 18WC 37539 MCGRATH, JAMES HIL MECHANICAL GROUP 03/08/18 BRADY CONNOLLY & MASUDA PC 570 18WC 37558 WARCHOLEK, GREGORY D MEADE ELECTRIC CO, INC 09/18/18 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 571 18WC 37565 NAVARRETE, MONICA COSTCO WHOLESALE 12/26/16 GANAN & SHAPIRO 572 18WC 37656 TOSI, MARCO CITY OF HIGHWOOD POLICE D 02/19/17 DUDLEY & LAKE LLC 573 18WC 37675 MANUEL, MICHAELA PRESBYTERIAN HOMES 04/01/18 BURNETT & CARON, LTD 574 18WC 37748 BIESCHKE, ANDREW TRUGREEN 09/26/18 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 575 18WC 37832 SWEARINGEN, JOE PETE'S HVAC, INC. 12/04/18 HANNIGAN & BOTHA, LTD JOSEPH MARCINIAK 576 18WC 37952 MORTENSEN, JEFFREY A MATTHEWS PROFESSIONAL EMP 09/19/18 LINN, CAMPE & RIZZO LTD 577 18WC 38148 RULLMANN, YVONNE BLACKHAWK RESTAURANT GROU 03/07/18 DUDLEY & LAKE LLC LAWRENCE COZZI - LAW OFFICE 578 18WC 38247 EVANS, BETTY LA SALLE NETWORK 12/05/18 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 579 18WC 38311 BROOKS, CASSANDRA SOI ANN KINLEY DEVELOPM C @ 09/10/18 CORNFIELD & FELDMAN KRISTIN LEASIA 580 19WC 00107 KENT-LAROUSSA, DEBRA LINCOLNSHIRE-PRAIRIEVIEW 11/27/18 GALLIANI DOELL & COZZI LTD WIEDNER & MCAULIFFE LTD 581 19WC 00155 CAMPBELL, PATRICE L LAKE COUNTY SUBSTANCE ABU 09/02/15 TAMVAKIS, GEORGE L WOLFE & JACOBSON, LTD 582 19WC 00200 MORRIS, MEREDITH LAKESIDE TRANSPORTATION C 11/27/18 SKLARE LAW GROUP 583 19WC 00227 BUCHANAN, CHARLES A AEROTEK, INC 12/12/18 ANKIN LAW OFFICE 584 19WC 00258 REVIS, TIM PFANSTIEHL INC 10/25/18 SCOTT B SHAPIRO WOLFE & JACOBSON, LTD 585 19WC 00330 OLKER, LUKE DR PEPPER SNAPPLE GROUP 12/01/18 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 586 19WC 00371 CASTRO, NORMA UNISTAFF, INC 10/12/18 COSTA IVONE LLC 587 19WC 00411 SIEDLECKI, BRIAN SEA FOOD MERCHANT 10/04/18 BARRY STEWART SILVER JOSEPH MARCINIAK 588 19WC 00572 NOVOA, MATILDE HYDRAFORCE INC 11/16/18 COHN LAMBERT RYAN & SCHNEI HOLECEK & ASSOCIATES 589 19WC 00595 O'BRIEN, RICHARD S HOME DEPOT INC 08/24/18 LINN, CAMPE & RIZZO LTD 590 19WC 00614 CUSTODIO, JOSE LUIS EXECUTIVE BUILDING MAINTE 09/23/17 TAMVAKIS, GEORGE L 591 19WC 00971 MESHKO, MIKEL COSTCO WHOLESALE 12/04/18 NEMEROFF LAW OFFICES GANAN & SHAPIRO 592 19WC 01045 GARCIA, ANDRES FLEXTRONICS INTL. 12/13/18 COSTA IVONE LLC 593 19WC 01093 BYLAND, HEIDI TRANSITIONAL CARE 08/20/18 ROBERT EDENS INMAN & FITZGIBBONS 19WC024408 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 594 19WC 01221 HESS, JEFFREY T SR. HERITAGE-CRYSTAL CLEAN, I 09/04/18 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 595 19WC 01272 SMOCK, BRIAN UPS 09/06/18 LEONARD LAW GROUP LLC ASA LAW GROUP 19WC001273 -C 596 19WC 01300 JONES, JULIANNE JOURNEY CARE 05/22/18 VRDOLYAK LAW GROUP LLC 597 19WC 01433 ANDREWS, RAMONA CNC LOGISTICS 12/18/18 BAUM RUFFOLO & MARZAL LTD GANAN & SHAPIRO 598 19WC 01523 WILLIAMS, BENNIE AMAZON 12/13/18 VRDOLYAK LAW GROUP LLC 599 19WC 01612 MERIAK, RICHARD MEDLINE 05/14/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 600 19WC 01653 MERRILL, PATRICIA GLEN HEALTH & HOME MGMT D 10/29/18 JOHN M BORCIA LAW OFFICE 601 19WC 01930 ACOSTA-ALVAREZ, MARGARITO MIDWAY STAFFING, INC./ 12/02/18 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 602 19WC 01957 MC CRAY, CARLA ILLINOIS DEPARTMENT @ 12/19/18 CORNFIELD & FELDMAN KRISTIN LEASIA 603 19WC 02079 WESTPHAL, STEVEN HIGHLAND PARK SCHOOL DIST 09/03/18 JOSHUA KARMEL NYHAN BAMBRICK KINZIE & LOWR 604 19WC 02230 AYON, GUILLERMINA ISS FACILITY SERVICES 10/31/18 SALVATO O'TOOLE FROYLAN 605 19WC 02272 HILKOVITCH, NICOLE JEWEL OSCO 01/09/18 NEWLAND & NEWLAND 19WC004423 -C 606 19WC 02611 LEYVA, LUIS BARGE TERMINAL TRUCKING I 09/18/18 STROW LAW LLC 607 19WC 02661 TENORIO, GONZALO XPO LOGISTICS, INC 12/03/18 DUDLEY & LAKE LLC RUSIN & MACIOROWSKI LTD 608 19WC 02752 RODRIGUEZ, MARIA NEW CROWN HOLDINGS AKA 06/04/18 JONATHAN SCHLACK HOLECEK & ASSOCIATES 19WC002753 -C 609 19WC 02790 ESPARZA, ULYSSES Z&L MACHINING, INC 01/11/19 WOODRUFF JOHNSON ROSARIO CIBELLA 610 19WC 02932 SANCHEZ, RICARDO WAUCONDA COMMUNITY 12/03/18 STEWART C ORZOFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 611 19WC 02983 ROMERO, JANETTE KELLY SERVICES USA, LLC 06/04/18 TARADASH LAW OFFICE BRADY CONNOLLY & MASUDA PC 612 19WC 03321 BREWINGTON, DON WOODLAND SCHOOL DISTRICT 12/10/18 AIOSSA LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 613 19WC 03498 VELASQUEZ, JENNIFER MC DONALD'S/JEFF MCKENZIE 01/21/19 DUDLEY & LAKE LLC 614 19WC 03668 SWAN, REGINA WAUKEGAN HOUSING AUTHORIT 07/11/18 STEVEN J MALMAN & ASSOCIAT GILDEA, COGHLAN & REGAN LTD. 615 19WC 03757 ESPANA, JUAN US REFRIGERATION SALES 01/22/19 THE ROMAKER LAW FIRM KEEFE CAMPBELL BIERY & ASSOC 616 19WC 03798 VELASQUEZ, PATRICIA WWIL PERSONNEL LLC D/B/A 12/12/18 MARKHAM M JEEP & ASSOCIATE ASA LAW GROUP 617 19WC 03816 PROWSE, LAURA DOOR DASH INC C/O NATIONA 12/30/18 MICHAEL C. GOODE 618 19WC 03869 MARTINEZ, ROLANDO DEMAR LOGISTICS INC. 01/08/19 JONATHAN SCHLACK GOLDBERG SEGALLA LLC 619 19WC 03975 VAZQUEZ, JORGE A.L. HANSON MANUFACTURING 05/03/18 SEIDMAN MARGULIS & FAIRMAN 19WC004551 -C 620 19WC 04237 PERALTA, ALBERTO CDW 01/29/19 COSTA IVONE LLC HENNESSY & ROACH PC 621 19WC 04389 FILIPPINI, BRADFORD RELIABLE HOME CARE PROVID 03/03/18 GAIDO & FINTZEN 622 19WC 04426 LEWANDOWSKI, SHARON MOUNT ST JOSEPH 01/18/16 DAVID J. BAWCUM 623 19WC 04664 MOZO, RAUL MEDLINE INDUSTRIES INC. 01/03/19 COSTA IVONE LLC GAROFALO SCHREIBER STORM GRA 624 19WC 04902 RUIZ, SARA LITTLE LADY FOODS 09/13/18 JONATHAN SCHLACK SPIEGEL & CAHILL, PC 625 19WC 04972 PENA, NORMA HOLIDAY INN GURNEE 01/13/19 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 626 19WC 05038 MENA-SANCHEZ, KARLA MC DONALD'S 02/07/19 STEWART C ORZOFF 627 19WC 05065 WRIGHT, JOHNATHON MASTER TRUCK & TRAILER LL 01/16/19 MARKHAM M JEEP & ASSOCIATE 628 19WC 05119 ROSS-CORBETT, MARK S VILLAGE OF BEACH PARK 02/28/18 LINN, CAMPE & RIZZO LTD DEL GALDO LAW GROUP LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 629 19WC 05124 WELLS, CHRISTOPHER S ABBOTT LABS, INC. 08/15/16 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 630 19WC 05130 ALMODOVAR, GLADIS ALL STAFFING 06/02/18 LINN, CAMPE & RIZZO LTD 631 19WC 05141 WASHINGTON, MICHAEL ZION BENTON H.S DISTRICT 04/13/18 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 632 19WC 05145 KOCH, BRENT DREAM BIG DEVELOPMENT, IN 01/15/17 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 633 19WC 05148 COURLAS, PETE CB RICHARD ELLIS, INC. 08/18/12 LUCAS & APOSTOLOPOULOS BRADY CONNOLLY & MASUDA PC 634 19WC 05187 RAMIREZ, BRIAN UNITED GROUP, INC 12/02/18 ARGIONIS & ASSOCIATES LLC JOSEPH MARCINIAK 635 19WC 05319 LUDWIG, ALAN VANTAGE SPECIALTY CHEMICA 04/13/18 MARKHAM M JEEP & ASSOCIATE HENNESSY & ROACH PC 636 19WC 05442 KELLY, PATRICK AMERICAN GASES CORPORATIO 01/02/19 TARADASH LAW OFFICE 637 19WC 05700 WOODSON, ABBY THE LAMBS FARM, INC 01/28/17 TARADASH LAW OFFICE LAWRENCE COZZI - LAW OFFICE 638 19WC 05766 FAJARDO, FELIPE MARIANI COMMERCIAL LANDSC 08/16/18 DUDLEY & LAKE LLC KRAKER FANNING & OLSEN 639 19WC 05969 PEET, CHRISTY BAYSIDE TERRACE 02/01/19 STEVEN A CRIFASE, LTD 640 19WC 06019 MASON, BRENT LAKE COUNTY PUBLIC WORKS 11/30/18 HANNIGAN & BOTHA, LTD WOLFE & JACOBSON, LTD 641 19WC 06136 PEREZ, ROSA M QUALITY CATERING FOR KIDS 01/25/19 COSTA IVONE LLC RIPES NELSON BAGGOT KALOBRAT 642 19WC 06176 WALKER, KOREY ACCESS QUALITY CONVEYROS 06/05/18 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 643 19WC 06210 MEYERS, JAKE CHICAGO BOILER 02/19/19 SCOTT B SHAPIRO INMAN & FITZGIBBONS 644 19WC 06233 CRISTIANO, FRANK ROUTE 41 BUDGET AUTO 02/19/19 MC HARGUE & JONES ANCEL GLINK PC 645 19WC 06283 CALDWELL, CRAIG S LOWE'S HOME SERVICES LLC 11/19/18 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 646 19WC 06415 RICKABAUGH, VERNON ADVANCED DISPOSAL 10/25/18 DUDLEY & LAKE LLC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 647 19WC 06621 MINEHART, MARY M ABBVIE, INC 02/06/19 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 648 19WC 06642 DAVIS, SACARI SAIA 02/14/19 DWORKIN AND MACIARIELLO POULOS & DIBENEDETTO LAW 649 19WC 06714 FIGUEROA, JESUS ADA S MCKINLEY COMMUNITY 11/26/18 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 650 19WC 06758 RITCHIE, SAM VILLAGE OF LAKE ZURICH 10/04/18 DONALD FOHRMAN & ASSOC 651 19WC 06861 CARCAMO, JOSE RICARDO GRAND STAFFING 02/11/19 DUDLEY & LAKE LLC PRETZEL & STOUFFER, CHRTD 652 19WC 06912 ZUNIGA, RAMON THE XCEL GROUP 07/13/18 FERRIS THOMPSON & ZWEIG SLAVIN & SLAVIN 653 19WC 06963 RUBO, GORDON ABT 12/15/18 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 654 19WC 07066 COMETA, RAYMOND ADVOCATE HEALTHCARE 02/06/19 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 655 19WC 07181 SANTELLANO, NANCY THE XCEL GROUP 11/28/18 COSTA IVONE LLC HENNESSY & ROACH PC 656 19WC 07275 SPOONER, JOHN LAKE COUNTY PUBLIC WORKS 03/07/18 MARKHAM M JEEP & ASSOCIATE SMITH AMUNDSEN LLC 657 19WC 07648 DABKEY, ALLEN ACE HARDWARE 11/25/18 HANNIGAN & BOTHA, LTD 658 19WC 07685 GOOD, RICHARD W MURPHY'S AMBULANCE 01/24/19 LINN, CAMPE & RIZZO LTD 659 19WC 07901 NOLTON, PAULINE PAVILION OF WAUKEGAN 02/20/19 STEVEN J MALMAN & ASSOCIAT KNELL O'CONNOR DANIELWICZ 660 19WC 07942 SHIBA, HERZEL AW ZENGELER CLEANERS, INC 02/26/19 CULLEN HASKINS NICHOLSON 661 19WC 08075 CIPRIAN, JOSE LUIS MAX ROOFING CORP. 03/05/19 JONATHAN SCHLACK LAWRENCE COZZI - LAW OFFICE 662 19WC 08105 SCHEBEL, PAUL M LINCOLNSHIRE RIVERWOODS 01/09/19 THOMAS W DUDA 663 19WC 08129 MCLANE, PATRICIA SYSMEX AMERICA INC 05/09/17 MARKHAM M JEEP & ASSOCIATE WIEDNER & MCAULIFFE LTD 664 19WC 08298 SIMS, SIMMIE LIFTEX 03/05/19 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 665 19WC 08371 PINEDA, JOSE ECHO INCORPORATION 06/21/18 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 666 19WC 08415 WILLIAMS, DEWAYNE ADVOCATE CONDELL HOSPITAL 01/30/19 WEISS & WEISS LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 667 19WC 08432 HERTEL, ALFRED S JOSEPH MCMAHON DAIRY SRVC 02/02/19 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 668 19WC 08507 BALTAZAR, FIDEL DRYWALLERS OF DUPAGE INC 01/09/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 669 19WC 08510 STUBBERFIELD, LOGIE AMAZON DELIVERY STATION D 03/08/19 DWORKIN AND MACIARIELLO 670 19WC 08564 RODRIGUEZ, MARIA SOLEDAD AFCO PRODUCTS 02/26/19 JONATHAN SCHLACK HENNESSY & ROACH PC 671 19WC 08597 LOPEZ, REYNALDA WHITE CASTLE SYSTEM, INC. 04/19/17 AIOSSA LAW FIRM 672 19WC 08612 STONE, STEVEN M AIM SPECIALTY HEALTH 02/18/19 LEONARD LAW GROUP LLC KRAKER FANNING & OLSEN 673 19WC 08663 RIGWOOD, DAVID EMSAR/ERLA/CSA 07/23/18 DUDLEY & LAKE LLC GAROFALO SCHREIBER STORM GRA 674 19WC 08730 AMEDIN, LEENDA SPECTRUM RETIREMNT COMM O 02/27/19 HUGHES SOCOL PIERS RESNICK BRYCE DOWNEY & LENKOV LLC 675 19WC 08822 REED, SHIRLEY AMAZON 08/27/18 MARKS INJURY LAW 676 19WC 08862 LANCASTER, KEVIN L ARAMARK INC 01/25/19 LINN, CAMPE & RIZZO LTD 677 19WC 09018 FERMAINT, DAISY LAKE COUNTY CLERK 09/14/18 STELZMAN, RUTH 678 19WC 09134 MC CARTHY, TIMOTHY P THE HOME DEPOT 10/21/18 GARDI & HAUGHT ADELSON TESTAN BRUNDO 679 19WC 09542 ROSALES, DIANA LINCOLNSHIRE-PRAIRIE VIEW 09/21/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 680 19WC 09743 THOMAS, SHELLY L D&J BISTRO 11/06/18 BRISKMAN BRISKMAN GREENBER 681 19WC 09970 JANCZEWSKA, JANINA NEMERA BUFFALO GROVE, LLC 05/16/17 JAMES MACCHITELLI JOSEPH MARCINIAK 682 19WC 10021 AUSTIN, JOYCE LEARN CHARTER NETWORK 11/27/18 GREGORIO & MARCO BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 683 19WC 10043 BAKER, TERRI UPS 02/11/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 684 19WC 10256 EVANS, ASHLEY KILEY DEVELOPMENTAL CENTE 02/06/18 STANCZAK LAW OFFICES KRISTIN LEASIA 685 19WC 10276 BURRELL, ELEANOR ELEVATER CARE 03/21/19 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 686 19WC 10382 DEAN, LAKEISHA TERRACE NURSING HOME 12/24/18 DUDLEY & LAKE LLC SLAVIN & SLAVIN 687 19WC 10495 KERN, DONALD SHERWIN WILLIAMS 11/26/18 MARKS INJURY LAW 688 19WC 10596 MUNOZ, TERESA ADA S MCKINLEY COMM. SERV 03/15/19 HECTOR ESPITIA ACCIDENT FUND HOLDINGS 689 19WC 10659 TATE, TAMARA LAKE SIDE TRANSPORTATION 02/26/18 ANGELINI & ORI LLC 690 19WC 10799 GAHAGAN, JAMES J WAUKEGAN PUBLIC SCHOOL DI 02/25/18 ANTHONY J MAY BRADY CONNOLLY & MASUDA PC 691 19WC 10910 RODRIGUEZ, BENITA SURE STAFF 11/26/18 JAMES ELLIS GUMBINER & ASS LOUIS MUNDY 692 19WC 10964 BLANKS, LATIYA ANN KILEY DEVELOPMENTAL C 02/15/19 DWORKIN AND MACIARIELLO KRISTIN LEASIA 693 19WC 11086 GASTON, DEANDRA QUALITY LABOR SERVICES L 04/10/19 DWORKIN AND MACIARIELLO KOREY RICHARDSON LLC 694 19WC 11106 SLOCUM, AARON ALTORFER CAT 08/02/18 HANNIGAN & BOTHA, LTD 695 19WC 11193 BENNETT, RICHARD XPO LOGISTICS 06/26/18 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 696 19WC 11283 STEJSKAL, RUSSELL L CITY OF HIGHLAND PARK 03/18/19 THOMAS W DUDA 697 19WC 11423 SOTO, FRANK T.H. RYAN CARTAGE COMPANY 11/15/18 TAXMAN POLLOCK WOLFE & JACOBSON, LTD 698 19WC 11457 CRUZ, ANTONIO BG STAFFING D/B/A INSTAFF 02/25/19 MC HARGUE & JONES SLAVIN & SLAVIN 699 19WC 11498 WARREN, SANDRA MANPOWER 03/25/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 700 19WC 11532 CAIN, AARON JR. CITY OF ZION 12/12/18 STEVEN J MALMAN & ASSOCIAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 701 19WC 11562 RUBIO, ANA L ANDREWS STAFF FORCE 06/14/18 CULLEN HASKINS NICHOLSON 702 19WC 11630 SALGADO, THERESA SLOVAK-AMERICAN 03/20/19 LAWRENCE COZZI - LAW OFFICE 703 19WC 11699 SALISBURY, SANDRA JEWEL FOOD/ALBERTSON'S 09/05/18 DAVID W MARTAY QUINTAIROS PRIETO WOOD & BOY 704 19WC 11722 MC DUFFY, REGGIE CLOWNING AROUND ENTERTAIN 04/06/19 ANKIN LAW OFFICE 705 19WC 11796 ANDREWS, HEATHER GRAYSLAKE POLICE DEPARTME 02/27/19 DUDLEY & LAKE LLC 706 19WC 11844 LANUM, TIMOTHY SHERWIN WILLIAMS 06/28/18 TAMVAKIS, GEORGE L 707 19WC 11930 RODRIGUEZ, MARIA LABOR SOLUTIONS, LLC 04/06/19 SEIDMAN MARGULIS & FAIRMAN 708 19WC 12077 APPLEWHITE, WALTERINE QUEST MANAGEMENT 04/15/19 SEIDMAN MARGULIS & FAIRMAN 709 19WC 12122 ADAMS, GARY MEDLINE INDUSTRIES INC 02/21/19 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 710 19WC 12324 OROZCO, LESTER LAKE ZURICH SCHOOL DIST. 04/12/19 MARKS INJURY LAW 711 19WC 12432 HEMPHILL, PRINSES LAZY DOG RESTAURANT 03/07/19 BAUM RUFFOLO & MARZAL LTD LAWRENCE COZZI - LAW OFFICE 712 19WC 12506 BRTEK, DAWN M DURHAM SCHOOL SERVICES 01/26/19 ANESI OZMON RODIN NOVAK KO 713 19WC 12542 TERRY, RAHSAAN ALLSTAFF, INC 04/23/19 ANKIN LAW OFFICE 714 19WC 12666 CAMPOSAGRADO, ANDREA CONDELL HOSPITAL 01/08/19 BARRY STEWART SILVER NYHAN BAMBRICK KINZIE & LOWR 715 19WC 12739 ESCOBAR, SANDRA WW DISPLAYS INC 01/04/17 CULLEN HASKINS NICHOLSON GILDEA, COGHLAN & REGAN LTD. 716 19WC 12740 CARLOS, JESUS FER- ACOSTA'S LANDSCAPING 10/01/16 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 717 19WC 13117 BROWN, MARILYN R NORTHPOINTE RESOURCES, IN 01/11/19 LINN, CAMPE & RIZZO LTD 718 19WC 13161 PLATE, SUSAN R BURLINGTON COAT FACTORY 04/06/18 LINN, CAMPE & RIZZO LTD KOPKA, PINKUS DOLIN, PC 19WC013162 -C 19WC013163 -C 719 19WC 13276 LOSBY, MARTIN PINNACLE OPERATING 11/23/18 SHELDON I MINKOW & ASSOCIA QUINTAIROS PRIETO WOOD & BOY 720 19WC 13332 MATTHEWS, MELODY GRAHAM C STORES CO 06/28/17 ANKIN LAW OFFICE CAPUANI, FRANK S 721 19WC 13363 THOMAS, SANDRA MY-ORECK-STORES 02/19/19 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 722 19WC 13487 HOLIDAY, ALBERT 1800 FLOWERS 04/08/19 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 723 19WC 13543 NAPOLES, ANA ORGANICLIFE 03/11/19 JONATHAN SCHLACK JOSEPH MARCINIAK 724 19WC 13581 GONZALEZ MARTINEZ, MARIA PEAPOD 02/06/19 COSTA IVONE LLC LITCHFIELD CAVO 19WC007140 -C 725 19WC 13854 BURKHAULTER, MARIO FIRST STUDENT 05/03/19 SMOLER LAW OFFICE, PC 726 19WC 13954 CREAMER, BRENDA ADVOCATE CONDELL MEDICAL 02/03/19 AIOSSA LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 727 19WC 14118 HOFFMAN, DEREK SHARP AUTO BODY, INC 09/21/18 BRIAN M LAUGHLIN PC FRIEDRICH LAW LLC 728 19WC 14264 SEAMON, ABDUL MC LANE 05/07/19 WOODRUFF JOHNSON KEEFE CAMPBELL BIERY & ASSOC 729 19WC 14423 ROSING, AARON FIBERTEX NONWOVENS, LLC 04/23/19 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 730 19WC 14438 AGUILERA, ELIZABETH SIX FLAGS GREAT AMERICA 11/27/18 LINN, CAMPE & RIZZO LTD 731 19WC 14565 RUDDICK, THOMAS A TWO MEN & A TRUCK/ 01/02/19 LINN, CAMPE & RIZZO LTD ROSARIO CIBELLA 732 19WC 14576 HEMRIKSEN, HENRY FED EX 02/08/19 LINN, CAMPE & RIZZO LTD HANSON LAW OFFICE 733 19WC 14585 HAYWOOD, CHERRY COLLINS CONSULTING INC 11/07/18 KREITER, BYCK & ASSOC LLP GILDEA, COGHLAN & REGAN LTD.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 734 19WC 14655 LOPEZ, ELENA QPS, WEIMAN PRODUCTS, INC 03/21/17 CULLEN HASKINS NICHOLSON 735 19WC 14657 CONTRERAS, RAFAEL SCHMECHTIG LANDSCAPING 11/23/18 CULLEN HASKINS NICHOLSON ANCEL GLINK PC 736 19WC 14849 GONZALEZ, JAVIER ECHO, INC. 04/03/17 LINN, CAMPE & RIZZO LTD SLAVIN & SLAVIN 737 19WC 14853 VIEYRA, JORGE WAUKEGAN STEEL, LLC 01/24/18 LINN, CAMPE & RIZZO LTD POWER & CRONIN LTD 738 19WC 14856 CABALLERO, FRANCISCO ROCCO FIORE & SONS LANDSC 06/28/16 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 739 19WC 14941 TIGGLE, DORA THE GROVE AT THE LAKE 05/01/19 MARKHAM M JEEP & ASSOCIATE BRADY CONNOLLY & MASUDA PC 740 19WC 14960 MENDOZA, ANGEL FRANKCRUM 10/12/15 FERRIS THOMPSON & ZWEIG NYHAN BAMBRICK KINZIE & LOWR 741 19WC 15006 HERMOSILLO, JAVIER NUMOTION 02/05/19 ROGER D RUDICH LTD 742 19WC 15067 LOPEZ, ELENA ZION ELEMENTARY SCHOOL DI 03/08/18 CULLEN HASKINS NICHOLSON 743 19WC 15138 BATTLEY, AARON GREAT AMERICA LLC 08/20/18 ADLER & ADLER 744 19WC 15229 FLORES, ARACELI BRAESIDE HOLDINGS 09/12/18 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 745 19WC 15231 MARTINEZ, NOLVIA PENA ALLSTAFF-GURNEE 02/26/19 CULLEN HASKINS NICHOLSON 746 19WC 15380 PITTS, WILLIE GOOD WILL INDUSTRIES 03/18/19 LEONARD LAW GROUP LLC 747 19WC 15478 BURNS, TIMOTHY JR. KLASS ELECTRIC CO, INC. 07/15/18 O'CONNOR & NAKOS 748 19WC 15531 HOGAN, PATRICK R RICHARD W. MANEVAL CONSTR 11/09/15 LINN, CAMPE & RIZZO LTD GANAN & SHAPIRO 749 19WC 15556 READ, PHILLIP IRVIN GFXI INTERNATIONAL 03/29/19 TAMVAKIS, GEORGE L 750 19WC 15682 NIXON, MICHAEL GPM MANUFACTURING 02/08/19 ROMANUCCI & BLANDIN NYHAN BAMBRICK KINZIE & LOWR 751 19WC 15722 RIVERA, FELIX IRELAND HEATING & 12/18/18 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 752 19WC 15784 LARSEN, AMBER LAKE COUNTY SHERIFF'S OFF 12/21/17 HANNIGAN & BOTHA, LTD SMITH AMUNDSEN LLC 753 19WC 15790 ARTEAGA, EDGAR E S&D DEVELOPMENT 04/25/19 LINN, CAMPE & RIZZO LTD 754 19WC 15849 LEGORETTA, ROSALIO CUSTOM INSTALATIONS INC 10/12/18 LARRY FLEISCHER & ASSOCIAT BRADY CONNOLLY & MASUDA PC 755 19WC 15915 CHACON, NOLVIA ELENA TACO'S INC. 04/18/19 KATZ FRIEDMAN EAGLE ET AL 756 19WC 16109 THOMPSON, DARLA SPECTRUM RETIREMENT 12/07/17 BRYCE DOWNEY & LENKOV LLC 757 19WC 16156 SALAZAR, JUAN ALLSTAFF 03/30/19 COSTA IVONE LLC 758 19WC 16249 WILLMA, HEATHER STATE OF ILLINOIS, DEPT O 05/23/18 BRISKMAN BRISKMAN GREENBER KRISTIN LEASIA 759 19WC 16406 TAYLOR, MONA LISA FRANCIS HOUSE 05/21/19 SEIDMAN MARGULIS & FAIRMAN 760 19WC 16465 HANSON, NADINE EBS HEALTHCARE 01/08/19 TRAPP & GELLER 761 19WC 16488 STEVLIC, VESNA MARIANO'S BUFFALO GROVE 05/24/19 GWC INJURY LAWYERS LLC 762 19WC 16538 LINSTROM, MARIA E EVEREST SOLUTIONS, INC, A 02/05/19 LEO ALT HOLECEK & ASSOCIATES 763 19WC 16727 TRUJILLO, JUAN PARAMOUNT STAFFING 10/12/18 CULLEN HASKINS NICHOLSON 764 19WC 16895 SALAZAR, FLORENCIA HORIZON WINDOW FASHIONS 03/07/19 COSTA IVONE LLC 765 19WC 16950 ANDREWS, MICHAEL CAREY ELECTRIC CONTRACTIN 02/21/19 GWC INJURY LAWYERS LLC HENNESSY & ROACH PC 766 19WC 16984 LEIVA, MAURO ALCANTAR DIRECT FITNESS SOLUTIONS, 02/06/19 HERRERA LAW CENTER HOLECEK & ASSOCIATES 767 19WC 17166 LOPEZ, LAURA ALLSTAFF-GURNEE 05/25/19 JOHN S. ELIASIK 768 19WC 17195 DELGADO, CAROLINA HANDIFOIL 11/06/18 DAVID J. BAWCUM 769 19WC 17330 VELASQUEZ, FAUSTINO MARIO AGUILAR LANDSCAPING 11/23/18 SEIDMAN MARGULIS & FAIRMAN KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 770 19WC 17402 PROCHNOW, GREG ILLINOIS TOLLWAY AUTHORIT 02/01/19 DUDLEY & LAKE LLC ASSISTANT ATTORNEY GENERAL 771 19WC 17527 HOLMAN, JAMES DECKER TRUCK LINES 06/02/19 DOUGLAS RALLO PC WIEDNER & MCAULIFFE LTD 772 19WC 17550 CIOLINO, RICHARD CENTRAL MACHINES, INC 09/27/18 NEWLAND & NEWLAND 773 19WC 17677 HERNANDEZ, JOSE L COUNTY OF LAKE 12/16/16 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 774 19WC 17680 MARTINEZ, FRANCISCO KELLER TRUCKING CO INC 01/30/19 POSTERLI, OSCAR GANAN & SHAPIRO 775 19WC 17706 LERNER, MARK AMAZON 03/12/19 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 776 19WC 17731 HARVEY, JASON MANUSOS GENERAL CONTRACTI 05/17/19 HORWITZ HORWITZ & ASSOC 777 19WC 17783 BROWN, DEBRA BASS PRO SHOP 08/17/16 CULLEN HASKINS NICHOLSON 778 19WC 17817 FRAHM, STANLEY LAKE COUNTY FOREST PRESER 06/20/17 RIDGE & DOWNES HENNESSY & ROACH PC 779 19WC 18049 MORENO, ANTONIO CUEVAS EV CONSTRUCTION & ROOFING 07/10/17 BRADY CONNOLLY & MASUDA PC 780 19WC 18107 AMADOR, FREDY EXCEL BUILDING SERVICE, L 01/19/18 CULLEN HASKINS NICHOLSON 781 19WC 18127 NASH, DASHAY EXPRESS EMPLOYMENT 12/01/18 JAMES ELLIS GUMBINER & ASS MC ANDREWS & NORGLE LLC 782 19WC 18188 HERNANDEZ, GUILLERMINA QUALITY LABOR SERVICES 03/28/19 KATZ FRIEDMAN EAGLE ET AL KOREY RICHARDSON LLC 783 19WC 18283 DARLAK, ARTUR HOME IMPROVEMENT EXPERTS, 06/13/19 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 784 19WC 18376 HERNANDEZ, MARIA BRIGHTSTAR 06/17/19 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 785 19WC 18446 GUERRERO, FRANCISCO RANSTAD 07/05/18 HANNIGAN & BOTHA, LTD 786 19WC 18534 RODRIGUEZ, DEMETRIO XCEL STAFFING 04/15/19 MC HARGUE & JONES SLAVIN & SLAVIN 787 19WC 18673 RIGGS, KIMBERLY HEELS AND HARHARTS CONTRA 10/17/18 GWC INJURY LAWYERS LLC EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 788 19WC 18712 DE TENORIO, OLIVIA LARA HORIZON WINDOW FASHIONS 03/04/19 COSTA IVONE LLC 789 19WC 18808 AMBROSE, TRACEY ARDEN SHORE CHILD & FAMIL 09/26/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 790 19WC 18898 HENDRICKSON, NICOLE VISTA MEDICAL CENTER EAST 05/01/18 TARADASH LAW OFFICE 791 19WC 18922 GUTIERREZ, KELLY HOMEWOOD SUITES BY HILTON 04/22/19 COHN & COHN HOLECEK & ASSOCIATES 792 19WC 18972 HERNANDEZ, ANGEL BUFFALO WILD WINGS 05/30/19 ANSELMO DURAN 793 19WC 19017 ADKINS, DENNIS B ALGONQUIN TOWNSHIP HWY DE 05/07/19 LINN, CAMPE & RIZZO LTD 794 19WC 19031 GARCIA, JOSE M DUNAWAY BROTHERS 06/18/19 STROM & ASSOC BRADY CONNOLLY & MASUDA PC 795 19WC 19074 CHRISTIE, DONALD ANN KILEY DEVELOPMENTAL C @ 05/19/19 JEROME FOREMAN & ASSOCIATE KRISTIN LEASIA 796 19WC 19398 GRANDA, JAVIER MILLER PAINTING & DECORAT 01/11/17 LINN, CAMPE & RIZZO LTD 797 19WC 19417 GONZALEZ, ROSALILIA N MEDLINE INDUSTRIES, INC 06/07/19 LINN, CAMPE & RIZZO LTD 798 19WC 19441 GOODALE, LINNA I SHIRE PHARMACEUTICALS 02/25/19 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 799 19WC 19658 FARFAN, ERICKA C LIFETIME FITNESS ATHLETIC 05/26/19 DOUGLAS RALLO PC 800 19WC 19813 GUNDERSEN, GERALD L PENSKE TRUCK LEASING, INC 05/31/19 LINN, CAMPE & RIZZO LTD 801 19WC 19961 BRYAN, PHILIP C NORTHWESTERN MEDICINE 10/27/16 HANNIGAN & BOTHA, LTD 802 19WC 20075 ARDON, CANDIDA ALL STAFF 06/09/19 MC HARGUE & JONES SLAVIN & SLAVIN 803 19WC 20145 GIEBELHAUSEN, BRADLEY S ALL BRIGHT ELECTRIC 10/08/18 FRANKS & RECHENBERG 804 19WC 20179 STEADMAN, BRIAN R.A. MANCINI INC 07/05/17 TARADASH LAW OFFICE 805 19WC 20483 HOLLOWAY, GWENDOLYN RANDSTAD GENERAL PARTNER 04/17/19 THE ROMAKER LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 806 19WC 20526 GEARY, THOMAS R NEW ALBERTSON'S, INC/ 06/21/18 FRIEDMAN & SOLMOR LTD 807 19WC 20560 AMBRIZ, LETICIA DUNKIN DONUTS 02/18/19 SOSTRIN AND SOSTRIN PC LAWRENCE COZZI - LAW OFFICE 808 19WC 20645 RYBA, SARAH HAMRA CHICAGO, LLC 06/16/19 BRIAN M LAUGHLIN PC 809 19WC 20711 CEJA, EDITH FLEX LTD 06/05/19 JOSEPH J LOSS PC 810 19WC 20923 ACOSTA, MARIA REA THE EXCEL GROUP 06/11/19 JAMES ELLIS GUMBINER & ASS SLAVIN & SLAVIN 811 19WC 20943 BRYA, TIMOTHY CBRE, INC 07/08/19 GWC INJURY LAWYERS LLC 812 19WC 21131 FOX, PHILLIP W WFF FACILITY SERVICES 09/28/18 LINN, CAMPE & RIZZO LTD 813 19WC 21260 FIGUEROA-MALAVE, REINALDO MUELLER LANDSCAPING 08/07/17 KATZ FRIEDMAN EAGLE ET AL JOSEPH MARCINIAK 17WC027609 -C 17WC027610 -C 19WC021259 -C 814 19WC 21387 MYERS, KIMBERLY TERRACE NURSING HOME 06/22/19 DWORKIN AND MACIARIELLO PAUL O WATKISS 815 19WC 21483 PERRY, MARIA JEWEL-OSCO 3475 11/10/18 ELFENBAUM EVERS AMARILIO Z 816 19WC 21525 DAVIS, BRYAN F IMPROVEMENTS & RENOVATION 01/18/19 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 817 19WC 21612 ORTIZ, ORLANDO COMPOX TIMBERLINE 07/02/19 CULLEN HASKINS NICHOLSON 818 19WC 21876 GORDON, SCOTT TWO MEN AND A TRUCK 06/07/19 DUDLEY & LAKE LLC ROSARIO CIBELLA 819 19WC 21931 RIOS PEREZ, EDGARDO ETA HAND2MIND 02/27/19 AIOSSA LAW FIRM 820 19WC 22117 WEDGE, JOHN D VILLAGE OF LAKE VILLA 06/07/19 COVEN LAW GROUP POWER & CRONIN LTD 821 19WC 22216 GUTIERREZ, GUADALUPE BROWN PAPER GOODS CO 05/15/18 AIOSSA LAW FIRM 822 19WC 22445 RUIZ, GERARDO CLASIC LANDSCAPE 06/21/19 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 823 19WC 22545 ROJO, FELICIANO TUFF-TITE, INC 07/07/18 MARKHAM M JEEP & ASSOCIATE 824 19WC 22611 UMPIERRE, MELISSA AMAZON DELIVERY STATION D 02/28/19 BRILL & FISHEL 825 19WC 22658 BRAVO, GRICELDA D&W FINE PACK 07/09/18 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 826 19WC 22796 HODGE, JIMMY SAIA 01/29/19 LEONARD LAW GROUP LLC POULOS & DIBENEDETTO LAW 827 19WC 22850 ACOSTA, ANGEL METALEX, LLC 12/10/18 TARADASH LAW OFFICE 828 19WC 22879 JOHNSON, MICHAEL REED CONSTRUCTION 07/25/19 HORWITZ HORWITZ & ASSOC 829 19WC 22912 GARCIA, RAQUEL THE BRICTON GROUP, INC. 07/21/19 COSTA IVONE LLC 830 19WC 22979 KILGALLON, TIMOTHY M BUTERA FINER FOODS 11/28/18 LINN, CAMPE & RIZZO LTD CHILTON YAMBERT PORTER LLP 831 19WC 22982 SAAM, DANIELLE M JEWEL FOOD STORES, INC 07/03/19 LINN, CAMPE & RIZZO LTD 832 19WC 23139 SATTERTHWAITE, DAVID ANDERSON LOCK 07/05/19 NEWLAND & NEWLAND 833 19WC 23190 HARRISON, ROBERT HT STRENGER PLUMBING 07/10/19 STEVEN J MALMAN & ASSOCIAT 834 19WC 23227 ALBA, FRANCISCO CITY OF WAUKEGAN 09/08/17 NYHAN BAMBRICK KINZIE & LOWR 835 19WC 23283 SCHULTZ, MARY BRICKFORD SENIOR LIVING 07/11/19 HANNIGAN & BOTHA, LTD LAWRENCE COZZI - LAW OFFICE 836 19WC 23310 POPRAWSKI, KARI AMCOR FLEXIBLES 07/18/18 SCOTT B SHAPIRO HOLECEK & ASSOCIATES 837 19WC 23386 SIMONIS, LAUREN HCR MANORCARE 07/27/19 VLANTIS LAW LLC BRYCE DOWNEY & LENKOV LLC 838 19WC 23453 SOLIS, FLOR INSTAFF 02/26/19 KATZ FRIEDMAN EAGLE ET AL 839 19WC 23538 ALEJANDRO GARCIA MEJIA, M LINO'S RISTORANTE & PIZZE 03/30/19 HANNIGAN & BOTHA, LTD JOSEPH MARCINIAK 840 19WC 23562 SCHWAMB, JORDAN RADIUS MACHINE AND TOOL I 06/14/19 MARKHAM M JEEP & ASSOCIATE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 841 19WC 23888 ROARK, MARY GREAT LAKES SERVICES LLC 01/01/19 MARKS INJURY LAW 842 19WC 23979 BARRANCO, MICHAEL LAFORCE, INC 04/19/19 HETHERINGTON KARPEL & BOBB 843 19WC 24071 RUSHING, LATAVIA AMAZON.COM, INC 07/09/19 MARKHAM M JEEP & ASSOCIATE 844 19WC 24133 CAMBRONI, LUIS THE SHANTY RESTAURANT 07/25/18 POSTERLI, OSCAR MCANANY VANCLEVE & PHILLIPS 845 19WC 24137 MANN, DAVID W JELLY BELLY CANDY, INC. 05/09/19 LINN, CAMPE & RIZZO LTD 846 19WC 24142 MERRILL, PATRICIA GLEN HOME & HEALTH MANAGE 04/18/19 LINN, CAMPE & RIZZO LTD 847 19WC 24189 GARCIA, PETRA THE XCEL GROUP-GOOD FOODS 06/05/18 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 848 19WC 24262 NAVARRETE, MARIA TRINIDAD ACRES ENTERPRISE 02/19/19 LITCHFIELD CAVO 849 19WC 24332 PAIGE, BYRON MACLEAN FOGG 08/09/19 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 850 19WC 24405 NAVARRETE, BLANCA FAST SANDWICH, LLC DBA 04/09/19 LARRY FLEISCHER & ASSOCIAT 851 19WC 24445 GOMEZ, MARTIN RUPRECHT CO 05/07/19 DUDLEY & LAKE LLC 852 19WC 24585 CRUZ, JUAN APEX LANDSCAPING INC 02/21/19 DEPAOLO & ZADEIKIS 853 19WC 24647 GRESKE, JENNIFER QUILL CORPORATION, INC 06/21/19 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 854 19WC 24728 RYBA, RICK JEWEL FOOD STORES 06/27/18 EVANS & DIXON 855 19WC 24881 MAYORGA, ROBERTO LABOR SOLUTIONS LLC 06/27/19 AIOSSA LAW FIRM 856 19WC 25014 MCGUIRE, LAURA SIEMENS INDUSTRY INC 02/07/19 CZAPLA LAW HOLECEK & ASSOCIATES 857 19WC 25066 MARTIN, JOYCE ADDUS HEALTHCARE 08/02/19 ANGELINI & ORI LLC HENNESSY & ROACH PC 858 19WC 25107 CHACON, MANUEL SODEXO INC 08/02/19 COSTA IVONE LLC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 859 19WC 25214 GARCIA CONTRERAS, BULMARO NORTHMOOR COUNTRY CLUB 06/09/19 ANKIN LAW OFFICE JOSEPH MARCINIAK 860 19WC 25295 BIEHN, DIAN (INDIVDUL AND AB SPECIALTY SILICONES LL # 05/03/19 TAXMAN POLLOCK GAROFALO SCHREIBER STORM GRA 861 19WC 25320 SANTANA, JESSICA M STATE OF ILLINOIS @ 07/13/19 CORNFIELD & FELDMAN KRISTIN LEASIA 862 19WC 25362 RAMIREZ, GUADALUPE ECHO 05/27/19 GERALD CONNOR 863 19WC 25382 LINDSEY, KARL PEAPOD GROCERY 08/21/19 SCOTT B SHAPIRO LITCHFIELD CAVO 864 19WC 25438 DE LA CRUZ, GERARDO HYDRAFORCE INC 01/14/19 FERRIS THOMPSON & ZWEIG 865 19WC 25518 PIONTEK, THADDEUS EXMOOR COUNTRY CLUB 08/02/19 GWC INJURY LAWYERS LLC 866 19WC 25559 AMBROSE, BRANDON E CITY OF WAUKEGAN 07/26/19 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 867 19WC 25727 THORSEN, MARK GREGORY HYUNDAI 08/08/19 868 19WC 25774 BOS, BRYAN MCDONALDS 08/22/19 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 869 19WC 25928 MANDZIARA, BRIAN MARTIN PETERSON COMPANY 07/30/19 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 870 19WC 26001 MOORE, VICKEY WALMART 06/04/19 LEONARD LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 871 19WC 26060 KIERNA, MICHELLE MUNDELEIN HIGH SCHOOL DIS 05/01/19 MARKS INJURY LAW NYHAN BAMBRICK KINZIE & LOWR 19WC026228 -C 872 19WC 26240 FLORES, OMAR WOODLAND FOODS LTD 05/30/18 LINN, CAMPE & RIZZO LTD 873 19WC 26243 SALAZAR, JOSE A D.W.A. TRANS INC 08/02/19 LINN, CAMPE & RIZZO LTD 874 19WC 26327 BALDWIN, EVA WAUKEGAN SCHOOL DISTR 60 07/29/19 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 875 19WC 26353 WILLIAMS, VERONICA ELEVATE CARE WAUKEGAN 07/25/19 COSTA IVONE LLC 876 19WC 26457 ARZATE, JUAN CARLOS ESPINOSA HARDWOOD FLOORS 08/12/19 CULLEN HASKINS NICHOLSON RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 877 19WC 26529 KENNEBECK, KEVIN PERFORMANCE SEALCOATING 05/21/19 CARAS LAW GROUP 878 19WC 26723 SEEFELDT, MADISON R THE NORTH SUBURBAN YMCA 08/01/19 ANKIN LAW OFFICE ANCEL GLINK PC 879 19WC 26811 TIMUS, DORINA JEWEL FOOD STORES 08/19/19 JEROME FOREMAN & ASSOCIATE 880 19WC 26915 TAUBER, RACHEL SIX FLAGS GREAT AMERICA 06/23/19 SEIDMAN MARGULIS & FAIRMAN 881 19WC 26961 KAMENSKY, DAVID UPS 09/03/19 LEONARD LAW GROUP LLC ASA LAW GROUP 882 19WC 27058 WESTERWAL, ERIC KS ENERGY SERVICES 11/30/18 GAROFALO SCHREIBER STORM GRA 883 19WC 27106 LEE, NISHIA SOI - ANN KILEY DC * 07/25/19 CORNFIELD & FELDMAN KRISTIN LEASIA 884 19WC 27226 PERRIN, ATONYA NORTHSHORE HOSPITAL * 08/14/19 DWORKIN AND MACIARIELLO 885 19WC 27263 URBINA, JOSE M QUALITY LABOR SERVICES * 06/17/19 MC HARGUE & JONES KOREY RICHARDSON LLC 886 19WC 27327 BACA, RENE SCOTT BYRON & CO, INC * 06/17/19 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 887 19WC 27330 MADRIGAL, JESUS KRUGEL COBBLES, INC * 05/02/19 LINN, CAMPE & RIZZO LTD 888 19WC 27333 BENTZ, ROBERT M COUNTY OF LAKE-HEALTH DEP * 02/26/19 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 889 19WC 27336 MORGAN, DEE ANN COUNTY OF LAKE * 02/26/19 LINN, CAMPE & RIZZO LTD 890 19WC 27339 MC GHEE, PATRICIA FLEX, LTD * 09/09/19 AIOSSA LAW FIRM HOLECEK & ASSOCIATES 891 19WC 27362 ACUNA, XAVIER CLESEN WHOLESALE 03/20/19 CULLEN HASKINS NICHOLSON 892 19WC 27363 ACUNA, XAVIER CLESEN WHOLESALE * 07/26/19 CULLEN HASKINS NICHOLSON 893 19WC 27416 CARTAGENA, MARIO TEMPS NOW EMPLOYMENT & * 08/15/19 BAUM RUFFOLO & MARZAL LTD 894 19WC 27569 REYES, SINDY PAOLA MARTIN LABOR SOLUTIONS * 09/12/19 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 895 19WC 27609 KLOCEK, SEBASTIAN BANK OF MONTREAL * 07/17/18 WIEDNER & MCAULIFFE LTD 896 19WC 27670 ALVAREZ, JOSE PPC FLEXIBLE PACKAGING * 09/11/19 ANSELMO DURAN 897 19WC 27794 THOMAS, SHAWN UPS * 07/08/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 898 19WC 27834 WILSON, BRITTANY AMAZON DELIVERY STATION - * 09/18/19 DWORKIN AND MACIARIELLO 899 19WC 27869 MILLER, DAVID GURNEE PARK DISTRICT * 09/02/19 SEIDMAN MARGULIS & FAIRMAN 900 19WC 27897 KIRK, BOBBY BARRINGTON ORTHOPEDIC * 04/21/19 DAVID W MARTAY 901 19WC 28011 VERGARA, JAIME PAUL ROUSSEAU LANDSCAPING * 09/04/19 STROM & ASSOC 902 19WC 28019 SLADE, ADAM CITY OF WAUKEGAN * 04/18/19 NYHAN BAMBRICK KINZIE & LOWR 903 19WC 28164 BRUNOTRISTAN, VANESSA WENDY'S * 05/04/19 WHITESIDE & GOLDBERG LTD 904 19WC 28230 TRETO, MIGUEL LABOR SOLUTIONS, LLC * 05/07/19 MC ANDREWS & NORGLE LLC 905 19WC 28349 ALESSANDRINO, GIUSEPPE GROCERYWORKS.COM * 06/12/18 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC 906 19WC 28394 LARA CERVANTES, MARTHA MIDWAY STAFFING * 09/12/19 HERRERA LAW CENTER 907 19WC 28457 ROMERO, FRANCISCO ALERIS ROLLED PRODUCTS LL * 06/08/19 NEMEROFF LAW OFFICES BRADY CONNOLLY & MASUDA PC 908 19WC 28504 WALKER, SANDRA KOHL'S * 12/17/18 ROBERT WARSASKI HENNESSY & ROACH PC 909 19WC 28571 JACKSON, DAE'JAH WALMART * 09/21/19 JAMES ELLIS GUMBINER & ASS QUINTAIROS PRIETO WOOD & BOY 910 19WC 28690 QUESNELL, CATHY BED BATH & BEYOND * 09/05/18 HENNESSY & ROACH PC 911 19WC 28717 DOTTS, CHARITY JYVE CORP 06/15/19 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 912 19WC 28758 MARTHA, EDGAR LIFTED LIQUIDS * 09/12/19 HORWITZ HORWITZ & ASSOC KNELL O'CONNOR DANIELWICZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 913 19WC 28772 ROSAS, ROSA DUNKIN DONUTS * 08/17/19 DAVID J. BAWCUM 914 19WC 28843 SOBOLEVSKYI, VOLODYMYR ADVANCE TRANSPORT, INC * 09/06/19 LINN, CAMPE & RIZZO LTD SMITH AMUNDSEN LLC 915 19WC 28889 RODRIGUEZ, EVA JST * 08/16/19 DOUGLAS RALLO PC BORGELT POWELL 916 19WC 28907 RIVERA, JESSALYN PLEXUS * 08/01/19 ARGIONIS & ASSOCIATES LLC ACCIDENT FUND HOLDINGS 917 19WC 29078 DUFFY, MARIA CARMENCITA NORTH SHORE UNIVERSITY HE * 10/16/18 SEIDMAN MARGULIS & FAIRMAN 918 19WC 29089 SLAWSON, HECTOR CLUCKER'S CHARCOAL CHICKE * 08/29/19 ACEVES & PEREZ PC 919 19WC 29234 TESCHKY, ROSALIA JEWEL OSCO * 09/08/19 TRAPP & GELLER 920 19WC 29258 CERVANTES, ERICA FLEXIBLE STAFFING * 12/31/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 921 19WC 29311 WEST, DEAN TEMPSNOW EMPLOYMENT & * 09/23/19 MARKS INJURY LAW HENNESSY & ROACH PC 922 19WC 29319 ROSENDO, CELERINA COMPASS GROUP * 07/22/19 LINN, CAMPE & RIZZO LTD 923 19WC 29323 MCKNIGHT, STACY O STATE OF ILLINOIS @ * 07/04/19 LINN, CAMPE & RIZZO LTD 924 19WC 29361 KIRKENDALL, ANDREW SOLIDER DELIVERY * 07/13/19 NEWLAND & NEWLAND 925 19WC 29434 NOVOA, MATILDE HYDRAFORCE, INC * 05/23/17 COHN LAMBERT RYAN & SCHNEI 926 19WC 29475 MANGANIELLO, BARBARA NORTHWESTERN LAKE * 01/15/19 JOSEPH G HAFFNER LAW OFFIC 927 19WC 29730 VERENSKI, STEVEN W MANCUSO MOTORSPORTS * 03/27/19 LINN, CAMPE & RIZZO LTD 928 19WC 30002 MINON, VIOLETA NORTHSHORE UNIVERSITY HEA * 10/29/16 HEALY SCANLON LAW FIRM 929 19WC 30091 LASS, ROBERT WATERS EDGE HOA * 02/18/19 TARADASH LAW OFFICE 930 19WC 30140 SMITH, PATRICK GALLAGHER CORPORATION * 09/11/19 MARKS INJURY LAW GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 931 19WC 30397 MINTERN, CATHERINE WALMART, INC * 05/10/19 MARKHAM M JEEP & ASSOCIATE WIEDNER & MCAULIFFE LTD 932 19WC 30447 PEAK, VINCENT STAFFING NETWORK * 06/17/19 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 933 19WC 30591 DURAN, LEONOR MEDLINE * 09/24/19 MC HARGUE & JONES KNELL O'CONNOR DANIELWICZ 934 19WC 30636 SAENZ, ENRIQUE OLD ELM CLUB * 09/11/19 FERRIS THOMPSON & ZWEIG 935 19WC 30722 KNIGHT, JACQUELINE TOP LINE TRANSPORTATION C * 09/03/19 STEVEN J MALMAN & ASSOCIAT 936 19WC 30860 COHEN, SCOTT DASH GROUP LLC * 08/17/19 HORWITZ HORWITZ & ASSOC 937 19WC 30979 FLORES, ELOISA INNSTAFF * 06/22/18 SEIDMAN MARGULIS & FAIRMAN 938 19WC 30992 KONOPINSKI, CARYN A NORTHWESTERN MEDICINE- * 11/20/18 HANNIGAN & BOTHA, LTD 939 19WC 31019 MEIER, HEATHER ALLENDALE ASSOCIATION * 02/24/19 ANESI OZMON RODIN NOVAK KO 940 19WC 31060 RODRIGUEZ, RAUL GARBER FOX LAKE TOYOTA * 09/13/19 LINN, CAMPE & RIZZO LTD 941 19WC 31079 MARTINEZ, STEVE NED STEVENS GUTTER CLEANI * 10/16/19 GWC INJURY LAWYERS LLC ACCIDENT FUND HOLDINGS 942 19WC 31189 REDFORD, CARYN WOODLAND INTERMEDIATE * 04/03/19 DAVID J. BAWCUM 943 19WC 31239 PENALOZA, JUAN AVANTARA LONG GROVE * 05/04/19 DWORKIN AND MACIARIELLO 944 19WC 31283 BAXTER, KIP LIBERTYVILLE SCHOOL DISTR * 02/17/17 STYKA & STYKA 945 19WC 31290 BECKER, MICHAEL HIGHLAND PARK ELECTRIC * 07/16/18 MC HARGUE & JONES HENNESSY & ROACH PC 946 19WC 31336 SMIGEL, LESLIE A HIGHLAND PARK HOUSING * 04/30/19 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 947 19WC 31388 CORTES, MARIA THE POPCORN FACTORY/ * 09/26/19 LINN, CAMPE & RIZZO LTD 948 19WC 31437 GERDES, LAUREN THE BARKING LOT * 07/26/19 MAURICE E DUSKY PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 949 19WC 31475 CHARLIER, ROLAND J JR. COLBORNE FOODBIOTICS * 10/31/16 FERRIS THOMPSON & ZWEIG 950 19WC 31499 RIVERA, REBECCA FRANCISCAN SISTERS OF CHI * 03/21/19 COHN & COHN 951 19WC 31529 WHITE, DAMIEN POMP'S TIRE * 11/08/18 KROL BONGIORNO & GIVEN LTD 952 19WC 31618 RATLIFF, JEROME CLIMATE EXPRESS, INC * 08/20/19 STEVEN J MALMAN & ASSOCIAT HENNESSY & ROACH PC 953 19WC 31667 ZING, STEPHANIE CENTRAL STEEL & * 11/28/18 HERRERA LAW CENTER 954 19WC 31778 OLKER, JESSICA HOME DEPOT * 10/17/19 GWC INJURY LAWYERS LLC 955 19WC 31828 DOLAN, DIANE V ST GILBERTS SCHOOL * 09/12/19 LINN, CAMPE & RIZZO LTD 956 19WC 31920 CONNER, JAMES COLBERT PACKAGING * 06/24/19 JAMES ELLIS GUMBINER & ASS KEEFE CAMPBELL BIERY & ASSOC 957 19WC 31977 BAHENA, MARIA ECHO * 08/19/19 MC HARGUE & JONES 958 19WC 32013 VEGA, ALFREDO RUPRECHT COMPANY * 01/18/19 LAW OFFICES OF ADRIAN CHER 959 19WC 32103 KUSH, ERIC CHICAGO BEARS FOOTBALL CL * 05/23/17 GORDON LAW OFFICES LTD BRYCE DOWNEY & LENKOV LLC 960 19WC 32153 GUILFOYLE, CRAIG WORLD WIDE FITTING CORPOR * 11/27/18 STEPHAN L. HOFFMAN 961 19WC 32349 MORENO, JOSE TECZA LANDSCAPE GROUP * 10/29/19 WOODRUFF JOHNSON 962 19WC 32485 CARROLL, JAMES M ASTRON DENTAL CORPORATION * 03/18/19 HANNIGAN & BOTHA, LTD JOSEPH MARCINIAK 963 19WC 32530 ORTIZ, DANIEL RAMIREZ, JOSE * 08/28/19 SEIDMAN MARGULIS & FAIRMAN 964 19WC 32635 CONNER, JAMES COLBERT PACKAGING * 08/21/19 JAMES ELLIS GUMBINER & ASS KEEFE CAMPBELL BIERY & ASSOC 965 19WC 32735 DE SENO, IVEE W W GRAINGER * 10/24/19 KUMLIN & FROMM 966 19WC 32777 WENCE, JOSE ALERIS INTERNATIONAL * 04/27/18 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 967 19WC 32833 SHANKS, MARITEZ UBER * 11/06/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 968 19WC 32891 MAZUR, ANTHONY DA DEVELOPMENT, LLC * 07/24/19 GANAN & SHAPIRO 969 19WC 32910 GUERRERO, EDUARDO LASER PRECISION, LLC * 05/20/19 HANNIGAN & BOTHA, LTD 970 19WC 32929 GUZMAN, FERNANDO WAUCONDA SCHOOL DISTRICT * 10/24/19 STEWART C ORZOFF 971 19WC 32955 PEREZ, ITZEL (MINOR) PANERA BREAD * 10/13/19 AIOSSA LAW FIRM 972 19WC 32986 FORYOH, JONATHAN WHITE CAP AGENCY * 10/05/19 LAW OFFICES OF ADRIAN CHER 973 19WC 33099 LINDELOF, WADE SCOTT ONE PRICE AUTO SALES/ * 08/08/18 LINN, CAMPE & RIZZO LTD 974 19WC 33123 KRASOWSKA, ALICJA MEDICAL MURRAY * 11/07/19 CHEPOV & SCOTT LLC 975 19WC 33260 SANO, MARTIN SURE STAFF * 10/03/19 STEVEN J MALMAN & ASSOCIAT LOUIS MUNDY 976 19WC 33300 WEBER, MEGAN LEARN CHARTER SCHOOL * 08/07/18 HANNIGAN & BOTHA, LTD 977 19WC 33317 GAVIN, SUSAN SCHOOL DISTRICT 102 * 04/16/19 SANDMAN LEVY & PETRICH 978 19WC 33446 MALONE BULGIN, ANTHESA TE SIX FLAGS GREAT AMERICA * 10/02/19 TAMVAKIS, GEORGE L 979 19WC 33466 MUZIK, GERALD T MUZIC MECHANICAL * 10/03/18 DOUGLAS RALLO PC NYHAN BAMBRICK KINZIE & LOWR 980 19WC 33475 SELLERS, CURTIS L CITY OF NORTH CHICAGO * 04/20/19 LINN, CAMPE & RIZZO LTD 981 19WC 33481 BUHRMESTER, DAVID W LAKE FOREST COUNTRY DAY S * 10/25/18 LINN, CAMPE & RIZZO LTD 982 19WC 33498 URBANIK, JOEL AT&T * 10/17/19 LINN, CAMPE & RIZZO LTD 983 19WC 33526 KUREK, KEVIN VILLAGE OF ROUND LAKE BEA * 05/11/18 LINN, CAMPE & RIZZO LTD 984 19WC 33549 SUGRUE, CHRISTOPHERP COUNTY OF LAKE * 05/15/18 LINN, CAMPE & RIZZO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 985 19WC 33775 PEREZ, TOMAS HUNT COMPANIES * 07/05/19 MARKS INJURY LAW 986 19WC 33893 SOTELO, ANGEL PEAPOD, INC. * 10/23/19 ACEVES & PEREZ PC LITCHFIELD CAVO 987 19WC 33916 NAVARRETE, IDELFONSO DAVID'S BISTRO * 04/09/19 GALLAGHER, DONALD V 988 19WC 33949 RICO-RODRIGUEZ, MARIA ALL STAFF * 10/31/19 AIOSSA LAW FIRM 989 19WC 34007 RAMIREZ, SANTIAGO STAFFING NETWORK * 03/13/18 MARKS INJURY LAW 990 19WC 34046 WISNIEWSKI, ROBERT ADAMS AUTO BODY, LLC * 08/24/19 DUDLEY & LAKE LLC ROSARIO CIBELLA 991 19WC 34069 MORALES, JUAN P RUSS'S DRY WALL INC * 05/02/19 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 992 19WC 34128 MACIAS BECERRA, CARLOS NORTHERN INSULATION * 09/30/19 HERRERA LAW CENTER 993 19WC 34162 PEREZ, SANTOS TEMPSNOW * 11/01/19 AIOSSA LAW FIRM 994 19WC 34203 ORTIZ, WILLIAM MEDLINE * 11/13/19 AIOSSA LAW FIRM 995 19WC 34225 READY, TERRY FEDEX FREIGHT, INC * 03/19/18 QUINTAIROS PRIETO WOOD & BOY 996 19WC 34274 RANGEL, ERIK ABBEY PAVING CO, INC * 10/08/19 COLLISON LAW OFFICES 997 19WC 34337 PEREZ, SANTOS TEMPS NOW STAFFING * 09/24/19 MC HARGUE & JONES 998 19WC 34362 LAGOS, FRANCIS BROWN PAPER GOODS CO. * 10/30/19 ANKIN LAW OFFICE 999 19WC 34494 KIRK, THOMAS L NORTHWESTERN LAKE FOREST * 10/19/19 BRILL & FISHEL 1000 19WC 34520 REIMERS, CHAD MERIT CONTRACTORS LLC * 11/29/16 NO ATTORNEY 1001 19WC 34619 DE ANDA, MARIA PEAPOD * 12/23/18 ZANCK COEN WRIGHT & SALADI LITCHFIELD CAVO 1002 19WC 34679 GARCIA, OMAR ATR INTERNATIONAL * 11/27/19 LEONARD LAW GROUP LLC

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