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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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 08WC 43288 DAMON, BARRY STATEOF ILLINOIS @ 08/04/08 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 16WC025506 -C IL DEPT OF CORRECTIONS 16WC025507 -C ILLINOIS DEPT OF CORRECTIO 16WC025508 -C 16 08WC 48821 DARSIPUDI, VIJAI ILLINOIS DEPARTMENT 09/06/08 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 10WC026435 -C IL DEPT OF CORRECTIONS 10WC032100 -C 12WC029763 -C 17 09WC 03939 KASSENOFF, CATHY ATI PHYSICAL THERAPY 08/25/08 SOSTRIN AND SOSTRIN PC LAW OFFICES OF EDWARD J. KOZ 18 09WC 15598 LONG, ROBERT STATE OF ILLINOIS @ 04/30/06 GOLDSTEIN FISHMAN BENDER E ASSISTANT ATTORNEY GENERAL 19 09WC 24532 SCHMIDT, LINDA STATE OF IL DJJ IYC JOLET @ 05/13/09 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 20 09WC 30158 MITCHELL, SHIRLEY ADDUS HEALTHCARE 05/12/09 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 11WC044977 -C 21 09WC 39271 MCLELLAND, ERIC P IL DEPT OF CORRECTIONS- @ 08/09/09 MCNAMARA PHELAN MCSTEEN, L ASSISTANT ATTORNEY GENERAL 22 09WC 42449 CARR, XAVIER HOME CHOICE 07/27/09 BLOCK, KLUKAS & MANZELLA P GILDEA, COGHLAN & REGAN LTD. 23 10WC 00658 HOWARD, CAROL J FAMILY CHRISTIAN STORES 10/08/09 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ 24 10WC 03328 SILVA, KATHERINE PARTY CITY 06/09/09 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 12WC035221 -C 25 10WC 06898 VERONESI, SHARON LEE MONREAL D/B/A AMERICA W 06/10/09 BLOCK, KLUKAS & MANZELLA P 26 10WC 08234 KERR, HAMPTON ILLINOIS DEPT OF CORRECTI @ 02/06/10 O'CONNOR & NAKOS ASSISTANT ATTORNEY GENERAL 13WC024823 -C IL DEPT OF CORRECTIONS 27 10WC 11186 MCGAUGHY, SARAH SALEM VILLAGE NURSING HOM 02/07/10 BLOCK, KLUKAS & MANZELLA P THOMAS & PORTELA 28 10WC 11536 SCHWARZ, DALE STATE OF ILLINOIS 01/01/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 29 10WC 12596 WILDA, CARL STATE OF ILLINOIS DEPT @ 03/10/10 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 10WC 14150 REEVES, JODY SARAH MINI-MART W 01/07/10 HORWITZ HORWITZ & ASSOC 31 10WC 26624 JABLONSKI, GWEN LHK PARTNERS 02/19/10 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 10WC042401 -C 32 10WC 27067 NILES, LEE FAMILY DOLLAR 05/11/10 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 33 10WC 34651 COOPER, MEGAN STATE OF ILLINOIS @ 08/19/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 34 10WC 36396 GARVEY, TERRANCE ST OF IL DJJ IYC JOLIET @ 03/30/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 35 10WC 40448 WALKER, ROBERT GROUP O SUPPLY CHAIN/CATE 09/30/10 BLOCK, KLUKAS & MANZELLA P KNELL LAW LLC 36 10WC 42018 AGUILAR, EVERADO CASTRO'S LANDSCAPING W 09/29/10 KATZ FRIEDMAN EAGLE ET AL 37 10WC 43042 KAPP, WILLIAM WILL COUNTY SHERIFF'S DEP 07/29/00 SAUNDERS CONDON & KENNY HINSHAW & CULBERTSON 38 10WC 44020 GADBOIS, CINDY JEWEL-OSCO 04/08/10 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 39 10WC 44607 SZORC, KRZYSTOF ILLINOIS DEPARTMENT @ 08/12/10 R. MARK MARITOTE PC ASSISTANT ATTORNEY GENERAL 40 10WC 46973 NUNEZ, JESUS R & S DRYWALL CORP 11/09/10 HEALY LAW FIRM RUSIN & MACIOROWSKI LTD 41 11WC 06549 SPRINGER, ALISA STATE OF ILLINOIS @ 01/18/11 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 42 11WC 17171 TORRES, PHILIP WILL COUNTY HEALTH DPT 10/08/08 TONY L BRASEL HINSHAW & CULBERTSON 43 11WC 22989 GRAY, DOUGLAS BMS ENTERPRISES 11/02/09 COHN LAMBERT RYAN & SCHNEI CASSANO & ASSOCIATES 44 11WC 26379 WATSON, RAY ORANGE CRUSH LLC 10/26/10 HORWITZ HORWITZ & ASSOC NICHOLAS M. BIGONESS 11WC026380 -C

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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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 58 12WC 14835 SCHWARZ, DALE ST OF IL, DEPT OF CORRECT @ 05/07/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 59 12WC 21596 BRONKE, BRIAN RR DONNELLY 05/14/12 PORRO NIERMANN LAW GROUP HENNESSY & ROACH 12WC021597 -C 13WC024555 -C 60 12WC 23223 VERTIZ, GUSTAVO GAYTAN SIGNS W 06/20/12 CULLEN HASKINS NICHOLSON 61 12WC 23443 CHURCHILL, CHRISTINE ADAMS & ASSOCIATES 05/17/11 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 13WC030720 -C 13WC030721 -C 14WC012145 -C 16WC027616 -C 62 12WC 23630 SHORE, CAROL SILVER CROSS HOSPITAL 10/17/11 LAW OFFICES MICHAEL HELLMA RUSIN & MACIOROWSKI LTD 63 12WC 27085 LOPEZ-RANGEL, ALEXCI SDLR ENTERTAINMENT INC D/ W 12/10/11 GALLIANI DOELL & COZZI LTD RATHBUN CSEVENYAK & KOZOL 64 12WC 27374 DINTERMAN, EVAN CEDAR ELECTRIC @ W 06/06/12 SAUNDERS CONDON & KENNY LEITER LAW OFFICES 65 12WC 28183 19B MUFICH, MARK ILLINOIS DEPARTMENT @ 11/16/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 66 12WC 28823 SCISSOM, CAROLYN UNITED CEREBRAL PALSY OF 09/19/11 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 67 12WC 31557 STOKES JR, SAMUEL L JOLIET HOUSING AUTHORITY 02/23/12 BRIAN T MORROW, LAW OFFICE THOMAS & ASSOCIATES 68 12WC 32772 GORDON, LAWRENCE ILLINOIS DEPARTMENT OF @ 04/28/12 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 13WC020953 -C ST OF IL DEPT OF CORRECTIO 69 12WC 34936 LARMON, DANIEL M METROPOLITAN TRUCKING 08/11/11 ROMANUCCI & BLANDIN STONE & JOHNSON CHARTERED 70 12WC 39146 WAHLMAN, JAMES DIRECTSAT USA LLC 12/12/11 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC 71 12WC 42872 REYNOLDS, SAMUEL S F.E. MORAN 04/08/08 CORTI ALEKSY & CASTANEDA

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 72 12WC 44174 LOFTIS, JOY L COUNTY OF WILL 09/12/12 FABRIZIO, HANSON PEYLA ET 73 12WC 44416 OLSON, DARRELL COAL CITY MUNICIPAL CORP 10/06/12 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 15WC003263 -C 74 13WC 03113 SIZEMORE, LESLIE PANERA BREAD 09/24/12 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 75 13WC 04712 HOUSTON, BENJAMIN IL DEPT OF CORRECTIONS 10/02/12 STEVEN J SEIDMAN LAW OFFIC ASSISTANT ATTORNEY GENERAL 14WC023839 -C IDOC STATESVILLE PRISON 76 13WC 10089 ZAMUDIO, NORA HARRAHS CASINO 07/13/12 BRISKMAN BRISKMAN GREENBER NOBLE & ASSOC 16WC005216 -C 77 13WC 12180 QUINONES, JOSE A.S.G. STAFFING INC 04/03/13 RATHBUN CSEVENYAK & KOZOL LAW OFFICE HUGO ORTIZ 78 13WC 15790 PARRA, MARIA UNISTAFF, INC 12/04/12 COLLISON LAW OFFICES WIEDNER & MCAULIFFE LTD 79 13WC 16350 DU CHARME, WILLIAM ST OF ILL DEPT OF CORRECT @ 02/13/13 RATHBUN, CSERUVENYAK & KRO ASSISTANT ATTORNEY GENERAL 80 13WC 16405 JORGENSEN, JAKE R ST OF IL STATEVILLE PRISO @ 03/30/13 KENNETH B GORE, LTD ASSISTANT ATTORNEY GENERAL 81 13WC 18851 BARRERA, ELVIRA UNIQUE MAILING SERVICE IN 05/12/11 GOLDSTEIN BENDER & ROMANOF LAW OFFICES OF EDWARD J. KOZ 13WC018852 -C 82 13WC 18989 LUTZ, PAUL M ST OF IL DEPT OF CORRECTI @ 08/30/12 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 83 13WC 19788 HARTKORN, CRAIG AMEX NOOTER, LLC 05/11/13 SCHWEICKERT & GANASSIN KNELL LAW LLC 84 13WC 23420 PRAWDZIK, GREG HOMER TOWNSHIP FIRE 03/29/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 14WC029423 -C 85 13WC 23687 NALLEY, MICHAEL D COUNTY OF WILL 06/26/12 CIARDELLI CUMMINGS CAMPAGN KNELL & O'CONNOR

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 86 13WC 25891 ROBB, MARY PACE 04/26/13 LAW OFFICE DAVID W CLARK POWER & CRONIN LTD 87 13WC 27459 SUMNER, JEFFREY CASSENS TRANSPORT COMPANY 11/10/11 ANGELINI & ORI LLC KNAPP, OHL & GREEN 13WC031452 -C 15WC025707 -C 88 13WC 30661 MC GEE, DAVID STATEVILLE CORRECTIONAL C 09/11/12 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 89 13WC 35156 DRWAL, JOSEPH ADMIN STEWART SPREADING INC # 09/09/13 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 13WC037925 -C 90 13WC 36456 MANOS, JOHN P ATLANTIC PLANT SERVICES 06/04/13 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 91 13WC 37547 ZIEGLER, BETTE ILLINOIS TOLL 10/06/13 ANGELINI & ORI LLC GANAN & SHAPIRO 92 13WC 38443 WEATHERSBY, BRIAN ST OF IL C/O STATEVILLE @ 07/17/13 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 93 13WC 39100 ROXBERG, BRYAN BARTON CARROLS 11/01/13 MCNAMARA PHELAN MCSTEEN LL 94 13WC 40018 MILLER, WANZA AMERICAN INN LODGE & SUIT 11/02/13 MARSZALEK AND MARSZALEK PERRY GENTILE 95 13WC 40968 JORDAN, JOEY M STATEVILLE CORRECTION CEN @ 04/17/13 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 13WC041517 -C 14WC027527 -C 16WC010389 -C 96 13WC 42499 FERGUSON, THOMAS GENERAL MACHINE AND TOOL 07/02/12 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 97 14WC 00498 DICOSOLA, THOMAS TRADESMAN INTERNATIONAL 12/09/13 SALVATO & O'TOOLE 98 14WC 01897 WALSH, MICHELLE SILVE CROSS HOSPITAL 11/06/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 99 14WC 02590 WILLIAMS, RHONDA ST OF IL DOC PAROLE DEPT @ 12/11/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 100 14WC 02658 LEE, WHITNEY ILLINOIS DEPT OF CORRECTI 01/17/14 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 14WC027215 -C STATEVILLE CORRECTIONAL 101 14WC 04430 MC FARLAND, RANDALL L STATE OF ILLINOIS DOC @ 12/25/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 102 14WC 07012 VALDEZ, MARISSA JOHA 07/01/13 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 103 14WC 08270 ANGEL, GUDELIA WILTON BRANDS INC 01/20/14 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 104 14WC 09596 FAULKNER-PRIDE, CLORINDA SILVER CROSS HOSPITAL 02/04/14 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 105 14WC 10825 ANDERSON, DJ RACHETTI'S PIZZA 05/03/13 CORTINA & MUELLER 106 14WC 11837 SMITH, GALE L ILLINOIS STATE POLICE @ 10/25/12 DWORKIN AND MACIARIELLO 107 14WC 12823 WEICHMANN, THOMAS B AT MECHANICAL LLC 02/14/14 ANGELINI & ORI LLC THOMAS & ASSOCIATES 108 14WC 13544 COOLEY, NICOLE SILVER CROSS HOSPITAL 09/18/13 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 109 14WC 13881 JENNINGS, DWAYNE ILLINOIS STATE POLICE 04/03/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 15WC004300 -C ST OF IL DEPT OF 110 14WC 14500 VANWERT, DONNA WILL COUNTY FOREST PRESER 03/04/13 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 16WC006318 -C 111 14WC 14739 STANFORD, LARRY H. CALUMET LIFT TRUCK SERVIC 11/27/13 FABRIZIO, HANSON & PEYLA WOLFE & JACOBSON, LTD 112 14WC 15352 NATOUR, MAITHAM D & N TRANSPORTATION 02/20/14 SEIDMAN MARGULIS & FAIRMAN 113 14WC 17967 MANNING, GERMAINE STATESVILLE CORRECTIONAL @ 05/19/14 SHELDON I MINKOW & ASSOCIA ASSISTANT ATTORNEY GENERAL 114 14WC 18312 MARTINEZ, ARNULFO PURPLE ONION INC 05/03/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 115 14WC 19989 GARCIA, DANIEL NIEVES BRODER BROTHERS 11/21/13 CHRISTINE F DAVID HOLECEK & ASSOCIATES 116 14WC 20078 ALVARADO, MARIA ELENA STAFFMARK AND SONY MUSIC 11/21/11 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 117 14WC 20825 AGUIRRE, GONZALO ASG STAFFING INC 06/12/14 OSVALDO RODRIGUEZ PC FRANCIS J DISCIPIO LAW OFFIC 118 14WC 21367 19B CORTEZ, ROGELIO AJ OSTER 11/19/13 RATHBUN CSEVENYAK & KOZOL HEYL ROYSTER VOELKER & ALLEN 119 14WC 21714 SANTORO, THOMAS ENERGY SERVICES AIR 01/01/14 VRDOLYAK LAW GROUP LLC EVANS & DIXON

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 120 14WC 22738 ANDE, DARLEEN K STATE OF IL @ 03/11/14 GOLDBERG WEISMAN & CAIRO L 121 14WC 23553 DONALD, JEAN STATE OF ILLINOIS @ 03/05/14 KUMLIN & FROMM ASSISTANT ATTORNEY GENERAL 122 14WC 23598 MANDAT, RHONDA ISLAND CITY REHAB CENTER 12/20/13 MARSZALEK AND MARSZALEK LAW OFFICES FRANCESCA LARSEN 15WC005423 -C APERION CARE WILMINGTON 123 14WC 24140 TOWNSEND, JAMES E JB HUNT TRANSPORT INC 12/14/13 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 124 14WC 24789 O'DONNELL, MARIA WALMART 03/24/14 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 125 14WC 24921 HUBBERT, DAVID QSC CONTRACTING LLC 06/27/14 LAW OFFICE OF SCOTT B SHAP 126 14WC 26132 THORSON, MICHELE OSWEGO CUSD 308 01/20/12 PETER F FERRACUTI & ASSOCI GAROFALO SCHREIBER STORM GRA 127 14WC 29042 LEWIS, UNIQEK SHELBY SCHOLARS DAYCARE 1 06/21/14 LAW OFFICE OF SCOTT B SHAP 14WC029043 -C 128 14WC 29157 QUINONEZ, CORINA MENARD'S 12/01/11 MCNAMARA PHELAN MCSTEEN LL EVANS & DIXON 129 14WC 30287 SERRANO, JUAN M EWING TRUCKING INC 07/21/14 CULLEN HASKINS NICHOLSON SALVATO & O'TOOLE 130 14WC 30741 GARCIA, RICARDO LOGOPLASTE 03/22/14 LAW OFFICES TIMOTHY LAMPIN LAW OFFICES JOSEPH MARCINIAK 131 14WC 31597 SINANOSKI, ISA TVI LOGISTICS AND W 07/28/14 BART DURHAM 132 14WC 32173 CERDA, SLAVADOR PEACOCK 06/11/14 MC HARGUE & JONES LAW OFFICES JOSEPH MARCINIAK 133 14WC 32208 MOORE, LORENZO REINHART 09/07/14 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 16WC000890 -C US FOODS 134 14WC 32330 BERRY, DONRASOUL ILLINOIS TOOL WORKS 06/17/14 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 135 14WC 33331 ROSALES, CHRISTIAN ELITE STAFFING 05/18/14 EPSTEIN, JACK R LAW OFFICE MARC CAIRO 136 14WC 35149 KULAK, JAN FIRST WEST EXPRESS 09/30/14 CHEPOV & SCOTT LLC

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 137 14WC 38074 PARISI, LINDA STATEVILLE PRISON 01/08/14 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 138 14WC 38917 PFISTER, WILLIAM C WESTWAY COACH 08/22/14 FABRIZIO, HANSON & PEYLA GALLIANI DOELL & COZZI LTD 139 14WC 39005 LOPEZ, MARIO E NRG 09/02/14 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 140 14WC 40649 SALERNO, ROBERT J JR FIVE STAR TENNIS CENTER 10/02/14 COHN LAMBERT RYAN & SCHNEI LAW OFFICES JOSEPH MARCINIAK 141 14WC 42119 NADELA, PEDRO PRESENCE PHYSICAL THERAPY 07/10/13 NYHAN BAMBRICK KINZIE & LOWR 142 14WC 43575 MARTIN, RHONDA VALLEY VIEW SCHOOL 10/31/14 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 143 15WC 01172 GIBSON, ERIC ST OF IL C/O STATEVILLE @ 07/08/13 PETER C KOPOULOS ILLINOIS ATTORNEY GENERAL 144 15WC 01474 CUNDIFF, ROBERT PREMIERE ON BOARD 11/26/14 LEONARD LAW GROUP LLC 145 15WC 02051 GREEN, CHARLES JOLIET GRADE SCHOOL DIST 09/15/14 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 15WC002052 -C 16WC002270 -C 146 15WC 02234 DANZELL, NICOLE GRAND PRAIRIE TRANSIT 01/15/15 TAMVAKIS, GEORGE L 147 15WC 04442 COLLINS, TAWAII M ST. JAMES WELLNESS 02/01/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 148 15WC 04801 GASKIN, SANDRA VALLEY VIEW SCHOOL DIST 3 10/02/14 ANKIN LAW OFFICE KNELL & O'CONNOR 18WC002072 -C 149 15WC 05221 BRAMEL, MARK PREMIER EMPLOYEE SOLUTION 01/15/15 EPSTEIN, JACK R LAW OFFICE 150 15WC 05529 DIAZ, LAURA INNOTRAC 09/03/14 LAW OFFICES MICHAEL HELLMA LAW OFFICES JOSEPH MARCINIAK 151 15WC 05756 PERSSON, NICHOLAUS E TERRY'S FORD OF PEOTONE 10/16/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 152 15WC 06262 DORNER, SANDRA MENARD, INC 09/23/14 VRDOLYAK LAW GROUP LLC EVANS & DIXON 15WC006263 -C 153 15WC 06825 ARNOLD, SAM F JR US COLD STORAGE 01/25/15 MCNAMARA PHELAN MCSTEEN LL BRADY CONNOLLY & MASUDA PC

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 15WC 06946 QUINN, JOSEPH STATE OF ILLINOIS - IDOT @ 01/27/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 155 15WC 07561 FERGUSON, STACEY MASSAGE ENVY 06/22/14 MARC J SHUMAN & ASSOCIATES WOLFE & JACOBSON, LTD 156 15WC 08231 SALGADO, MARTIN LABOR TEMPS 03/03/15 JONATHAN SCHLACK INMAN & FITZGIBBONS 157 15WC 08361 BROWN, DARLENE IL DOC - STATEVILLE @ 01/22/13 BLOCK, KLUKAS & MANZELLA P ILLINOIS ATTORNEY GENERAL 158 15WC 10260 STOVALL, STEPHEN CITY OF JOLIET DEPT. 02/24/15 RIDGE & DOWNES ROSARIO CIBELLA 16WC012084 -C 159 15WC 10446 ABERNATHY, CAROLYN-WIDOW STATEVILLE CORRECTIONAL C 03/05/15 HORWITZ HORWITZ & ASSOC MALLORY ZIMET 17WC007304 -C 160 15WC 10506 HOUSE, CALLIE JB HUNT 02/09/15 DWORKIN AND MACIARIELLO GRANT & FANNING 161 15WC 11671 CLARK, PAMELA FIRST MIDWEST BANK 02/13/15 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 162 15WC 12103 KIRINCICH, JANINA GRUNDY COUNTY SPECIAL ED 01/08/10 RATHBUN CSEVENYAK & KOZOL 163 15WC 13009 MOFFETT, CASSANDRA VALLEYVIEW SCHOOL 12/02/14 JAMES J. GAY KNELL O'CONNOR DANIELWICZ 164 15WC 13097 REDD, GREGORY STATE OF ILLINOIS @ 03/19/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 165 15WC 13304 BARTLETT, AMY STATE OF ILLINOIS 03/07/14 GOLDBERG WEISMAN & CAIRO L ILLINOIS ATTORNEY GENERAL 166 15WC 13634 OLBERA, DANIEL KEYWEST METAL 04/10/15 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 167 15WC 13813 ALLEN, DEBRA MORNING STAR MISSION 08/21/14 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 168 15WC 15320 MICHON, MICHAEL O'HARE TOWING SERVICE 03/10/15 MEYERS & FLOWERS RIPES NELSON BAGGOT KALOBRAT 169 15WC 15509 CROSIER, THOMAS A & R CARE CARE D/B/A 03/19/15 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 170 15WC 15644 ALAMOS, RAMON KENT PRECISION FOODS GROU 04/24/15 LUIS A ACEVES & ASSOC MICHAEL BEST & FRIEDRICH LLC 171 15WC 16087 RAMIREZ, MARIO THERMAL KINETICS CORP 06/16/14 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 172 15WC 16286 RAMIREZ, MARIO THERMAL KINETICS CORP 02/05/15 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 173 15WC 18659 DUNMARS, SHAFIAH ST OF IL DOC STATEVILLE @ 05/11/15 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 174 15WC 19002 PRAWDZIK, GREGORY HOMER TWNSHP FIRE DISTRIC 11/07/14 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 175 15WC 20001 DOHERTY, WILLIAM IDOT 02/26/15 EVAN A HUGHES LAW OFFICE ILLINOIS ATTORNEY GENERAL 176 15WC 21659 TAYLOR, GARY PARSEC INC 12/25/14 BUDIN LAW OFFICES RUSIN & MACIOROWSKI LTD 177 15WC 22123 KEANE, MICHAEL HOME DEPOT 01/19/14 KINNALLY FLAHERTY KRENTZ & MC ANDREWS & NORGLE LLC 178 15WC 22452 HANEY, REBECCA HELP AT HOME INC. 06/25/14 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 179 15WC 23501 SANCHEZ, JOSE MENDOZA LAKEWOOD CARPENTRY SERVIC 06/25/15 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 180 15WC 26086 VAUGHN, MICHAEL MIDWAY INDUSTRIAL 07/02/15 LITCHFIELD CAVO 181 15WC 26264 FAVIA, FRANK JEWEL OSCO 03/08/15 WOODRUFF & JOHNSON 182 15WC 26352 GOMEZ, BENJAMIN WEST LIBERTY FOODS 06/12/15 CHEPOV & SCOTT LLC HEYL ROYSTER VOELKER & ALLEN 183 15WC 26511 LEE, ANTOINE STAFF FORCE 07/28/15 VRDOLYAK LAW GROUP LLC SLAVIN & SLAVIN 184 15WC 26871 MELQUIADES, GIOVANNI D&D MANUFACTURING, INC. 11/19/14 DEPAOLO ZADEIKIS GORE 185 15WC 27907 RIVERA, JUAN DAVIS STAFFING 08/11/15 VASILATOS & COTTER LLC KEEFE CAMPBELL & ASSOC LLC 186 15WC 28440 BEY, PATRICIA JOLIET PUBLIC SCHOOLS 06/10/15 ANKIN LAW OFFICE ROSARIO CIBELLA 187 15WC 28962 RUSS, MARY RML SPECIALTY HOSPITAL 02/16/13 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 15WC028963 -C 188 15WC 29084 HERNANDEZ, JOSEFINA DISTRICT 202 08/04/15 BART DURHAM INMAN & FITZGIBBONS 189 15WC 29488 STACY, BRENDA AUTOBAHN COUNTRY CLUB 07/02/09 HORWITZ HORWITZ & ASSOC CAPUANI, FRANK S

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 190 15WC 31654 NYSTROM , JODI L LINCOLN WAY SPECIAL EDUCA 09/11/15 FIGLIOLI, DAVID INMAN & FITZGIBBONS 191 15WC 32696 SAYAGO, MARGARITA ELITE STAFFING 09/14/15 DWORKIN AND MACIARIELLO 192 15WC 32735 GARCIA, RUBEN RASNER ENTERPRISES, INC 05/07/15 RUEDA, IVAN A 193 15WC 34517 DROWER, DOLORES PLAINFIELD SCHOOL 01/23/15 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 194 15WC 34792 DENT, MICHAEL A XPO LOGISTICS 06/24/14 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 195 15WC 34893 PAYNE, JANET PRESENCE HEALTH CARE SYST 03/04/14 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 196 15WC 35216 THIESSE, ANDREW STATE OF ILLINOIS @ 08/06/14 BAUM RUFFOLO & MARZAL LTD ASSISTANT ATTORNEY GENERAL 197 15WC 35591 FLYNN, MARK STATE OF IL, DEPT OF @ 07/24/13 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTY GENERAL 198 15WC 35605 URQUIZA, ALMA ADVENTIST BOLINGBROOK 02/11/15 JONATHAN SCHLACK STONE & JOHNSON CHARTERED 15WC035606 -C 199 15WC 36043 NESE, RICHARD PERFORMANCE FOOD GROUP, I 10/20/15 CAPRON & AVGERINOS PC INMAN & FITZGIBBONS 200 15WC 36773 KESKE, BONNIE PLAINFIELD SCHOOL DIST 20 01/16/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 201 15WC 36990 MORROW, REGINALD BANNER PERSONNEL SERVICE 11/01/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 202 15WC 37955 OLAGUEZ, MIGUEL A CENTRAL GROCERS INC 12/24/13 KELLY & KING ROSARIO CIBELLA 203 15WC 39106 GUTIERREZ, ANTONIO QUANTUM CROSSINGS 10/29/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 204 15WC 39478 PUTRICH, MICHAEL WILL COUNTY SHERIFF DEPT 10/29/15 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 205 15WC 39637 MURRAY, KEITH JOLIET PARK DISTRIC 11/20/15 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA 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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 206 15WC 41586 WARSAW, RICHARD W SOLVAY USA 12/11/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 207 15WC 42593 EGGLESTON, CIERA D&U UNITED CORP 10/26/15 PORRO NIERMANN LAW GROUP KURT E. VRAGEL JR PC 15WC042595 -C SDVD/SKIRDOVIDA CORP 208 16WC 00330 LARSON, DONALD CATERPILLAR INC 11/17/15 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 209 16WC 00790 LACKEY, KRISTOPHER OSWEGO FIRE DISTRICT 3 06/13/15 GOLDBERG WEISMAN & CAIRO L 210 16WC 00921 VILLAGOMEZ, LILIA HICKORY FARMS DIST CTRAND 09/25/15 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 211 16WC 03775 MARINO, DON JOLIET PUBLIC SCHOOL 01/04/16 WHITESIDE & GOLDBERG LTD ROSARIO CIBELLA 212 16WC 04320 KOTALIK, DARLINE JEWEL-OSCO 12/23/15 MCNAMARA PHELAN MCSTEEN LL 213 16WC 04809 PARKER, RICKIE ASPLUNDH TREE EXPERT CO 01/20/16 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 214 16WC 05008 AMEGASHIE, THEORDORE K LODERS CROKLAAN USA LLC 02/05/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 215 16WC 05009 AMEGASHIE, THEODORE K LODERS CROKLAAN USA LLC 04/10/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 216 16WC 05657 GALL, BRADLEY EDON CONSTRUCTION 11/25/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 217 16WC 06059 GIVENS, ESELINA "DOLLY" ILLINOIS DEPT OF CORRECTI @ 01/19/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 218 16WC 07020 HORN, JAMES I H SERVICES INC 02/12/16 LAW OFFICES TIMOTHY HENDER WIEDNER & MCAULIFFE LTD 16WC007021 -C 219 16WC 07040 CARVER, JAMES DISCOUNT TIRE 02/03/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 19WC002295 -C 220 16WC 07453 DELGADO, JOSE GAYTAN SIGNS 03/06/13 LAW OFFICE HUGO ORTIZ 221 16WC 08327 MASCOTE, NICAULY AXCESS STAFFING 10/29/15 JAUREGUI & ASSOCIATES HENNESSY & ROACH PC 222 16WC 08447 CUELLAR, JOSE ELITE LOGISTIC SERVICES 11/02/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 223 16WC 08732 SCOLES, JASON RIGGS DISTIER 01/22/16 ROBIN LAW OFFICE 224 16WC 08771 NUNEZ, CHERYL JOLIET HIGH SCHOOL 01/19/16 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 225 16WC 08778 STRICKLIN, ALYSSA NETCYCLER INC. 01/17/16 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 226 16WC 08867 BLAKNEY, RALPH J B HUNT TRANSPORT INC 11/16/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING 227 16WC 08957 NEWELL, DEBBRA FARRAGUT ELEMENTRY SCHOOL 09/10/15 STROM, NEAL B HENNESSY & ROACH PC 228 16WC 09167 HICKS, CHARLES JOLIET SCHOOL 03/01/16 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 229 16WC 09774 LOPEZ, MINERVA AMERISOURCE BERGIN 10/20/15 PORRO NIERMANN LAW GROUP SPIEGEL & CAHILL, PC 16WC011985 -C 16WC036226 -C 230 16WC 10578 MC CABE, MARK W CITY OF JOLIET 03/10/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 231 16WC 10617 MCCOLLUM, MATTHEW SYBARIS CLUB 06/10/15 KARCHMAR & STONE HOLECEK & ASSOCIATES 232 16WC 10909 MURPHY, ROBERT MARIANOS' 03/25/15 GOLDBERG WEISMAN & CAIRO L 233 16WC 10928 JACKSON, TERESA JEWEL-OSCO 11/30/15 SAUNDERS CONDON & KENNY 234 16WC 11199 BANKS, SAMITRA SILVER CROSS HOSPITAL 03/09/16 STEWART C ORZOFF RUSIN & MACIOROWSKI LTD 235 16WC 12219 WIRTH, NORRINE XPO LOGISTICS, INC 08/25/15 KARCHMAR & STONE KEEFE CAMPBELL & ASSOC LLC 16WC035504 -C 236 16WC 12655 DODSON, ROBERT A JR BECTON DICKINSON & COMPAN 09/11/15 TURNER & SACKETT LLC GAROFALO SCHREIBER STORM GRA 237 16WC 13986 GUTIERREZ, MICHAEL GUARDIAN ANGEL COMMUNITY 12/04/15 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 238 16WC 15641 FRANCO, ARELI RUBI IL SEC OF STATE DRIVER SE @ 04/09/16 PARENTE & NOREM PC MALLORY ZIMET 239 16WC 15903 GABOR, WILLIAM BCE NEXXIA CORPORATION 03/21/16 STROM, NEAL B LAWRENCE COZZI - LAW OFFICE

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 240 16WC 16333 RODRIGUEZ, ORLANDO CLEAN HARBOR'S ENVIRONMEN 04/28/16 MC HARGUE & JONES EVANS & DIXON 241 16WC 16760 MC LAURIN, CHARLES ELITE STAFFING BOLINGBROO 01/26/16 EPSTEIN, JACK R LAW OFFICE 242 16WC 16795 TROYNER-SANDERS, RHONDA JOLIET STAFFING/TRADER JO 04/11/16 BLOCK, KLUKAS & MANZELLA P LITCHFIELD CAVO 243 16WC 16906 ARELLANO, ART CITY OF JOLIET 03/23/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 244 16WC 17183 WERRY, JOHN FAIRBANKS SCALES, INC. 01/14/15 STRONG LAW OFFICE WOLFE & JACOBSON, LTD 245 16WC 18115 RILEY, JERRY FAMILY LOGISTIC INC 04/28/16 FINE, MARK S LAW OFFICES 246 16WC 18887 SCHUSTER, MICHAEL TURNER INDUSTRIES GRP, LL 12/10/13 BLOCK, KLUKAS & MANZELLA P SPIEGEL & CAHILL, PC 247 16WC 19108 CHANEY, BILL USF HOLLAND 06/09/16 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 248 16WC 19442 MATLOCK, CARLOS D CITY OF JOLIET POLICE DEP 03/01/16 PARENTE & NOREM PC KNELL & O'CONNOR 249 16WC 20609 MC CASLAND, MICHAEL SEARS HOLDING COMPANY 06/07/16 SPIROS LAW PC BRADY CONNOLLY & MASUDA PC 250 16WC 20674 SOSA, DOMINIQUE COVIDIAN AND METRONIC 06/15/16 LAW OFFICES ROBERT WARSASK POWER & CRONIN LTD 251 16WC 20808 SANDERS, KATHLEEN PROGRESSIVE PETROLEUM 02/15/16 252 16WC 21942 19B TESTERMAN, LITTLE JOHN ALLTECH DECORATING 07/08/16 RUBENS AND KRESS GANAN & SHAPIRO 253 16WC 22210 FRASSIONE, DAWN DAVITA 03/16/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 254 16WC 22498 MULARSKI, JAMES G & W ELECTRIC 06/29/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 255 16WC 22500 TYRELL, KATHY JOLIET TOWNSHIP HIGH SCHO 02/16/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 256 16WC 22813 GRIFFIN, SHANTINA ONE HOPE UNITED 04/25/16 MARC J SHUMAN & ASSOCIATES 257 16WC 23305 GONZALEZ, MARTHA TRIUNE LOGISTICS LLC 07/21/16 ANKIN LAW OFFICE LITCHFIELD CAVO

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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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 16WC 27682 MCWILLIAMS, SUSAN PALLADIUM ENERGY GROUP/ 07/23/15 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 277 16WC 27798 BADALI, JEAN KOHL'S 06/30/16 RUBIN LAW GROUP HENNESSY & ROACH PC 278 16WC 27922 ZEPEDA, MANUEL RAILWAY & INDUSTRIAL SRVC 09/22/14 CHEPOV & SCOTT LLC 16WC039410 -C 279 16WC 28047 REYES, ESMERALDA, ESTATE ORTNER CONSTRUCTION INC # 08/07/16 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 280 16WC 28170 ARMSTRONG, DEBRA OSWEGO SCHOOL DISTRICT 01/21/15 BURNETT & CARON, LTD ROSARIO CIBELLA 281 16WC 28358 HEINZ, AMANDA DUNKIN' DONUTS 09/14/16 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 282 16WC 28453 SMART, MARQUE M CENTRAL GROCERS, INC 03/25/15 ANKIN LAW OFFICE ROSARIO CIBELLA 283 16WC 30131 HORVAT, COURTNEY SILVER CROSS HOSPITAL 09/15/15 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 16WC030132 -C 284 16WC 30143 CARDENAS, ROBERT SURESTAFF 09/13/16 MC HARGUE & JONES SURE-STAFF 285 16WC 31014 PETEK, GUILLERMINA HELP AT HOME 01/06/16 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 18WC037934 -C 286 16WC 31338 19B MANCARI, LINDA J SPECIAL TOUCH CLEANING CO 09/19/16 PARENTE & NOREM PC ACCIDENT FUND HOLDINGS 287 16WC 32076 HERNANDEZ, THELMA FIS 09/20/16 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 288 16WC 32113 HULME, ROBIN MEIJER 06/01/15 WOODRUFF & JOHNSON KNELL & O'CONNOR 289 16WC 32803 ROJAS, RAFAEL RADIAC ABRASIVES, INC 01/15/16 CHEPOV & SCOTT LLC 290 16WC 33138 KITTLING, LASANDRA HELP AT HOME 05/04/16 FRIEND LEVINSON & BERGAL HENNESSY & ROACH PC 17WC009446 -C 291 16WC 33376 AVEZZANO, LORI GOLD STANDARD ENTERPRISES 02/18/16 CIARDELLI CUMMINGS CAMPAGN COZZI & GOGGIN-WARD 292 16WC 33454 CHANCELOR, MICHAEL C LABOR TEMPS 10/13/16 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 293 16WC 33697 SMITH, MICHAEL J (BROTHER AGL RESOURCES/NICOR GAS C 10/11/16 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 294 16WC 34298 COLFFELT, PETER A RED TOP SERVICES, INC 07/11/16 PARENTE & NOREM PC GANAN & SHAPIRO 295 16WC 35292 OBSCURA, MARIA PLAINFIELD SCHOOL DIST 20 10/14/16 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 296 16WC 35336 HORTON, EDNA ALLEGIANCE STAFFING 10/04/16 CULLEN HASKINS NICHOLSON 297 16WC 35544 MCCLEAN, KEVIN BCU ELECTRIC 10/27/16 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 298 16WC 35701 HOLZAEPFEL, ERIC H TYCO INTEGRATED SECURITY 11/10/16 SPIROS LAW PC RUSIN & MACIOROWSKI LTD 299 16WC 35949 GRACIDA, MAURICIO DUTCH AMERICAN FOODS 06/30/16 MC HARGUE & JONES HENNESSY & ROACH PC 18WC030841 -C 300 16WC 35998 TRAVIS, JEANIE WILTON INDUSTRIES 11/07/16 DAVID W MARTAY WOLFE & JACOBSON, LTD 301 16WC 36704 VENZOR, LAZARO ARGUELLO CORPORATION 08/08/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 302 16WC 36750 COMPTON, DUANE SHIPPERS WAREHOUSE 11/19/16 SOSTRIN AND SOSTRIN PC WOLF & LAUDICINA LTD 303 16WC 37707 JOHNSON, ESPERANZA THE ARC OF IROQUOIS COUNT 10/19/16 SPIROS LAW PC KEEFE CAMPBELL & ASSOC LLC 304 16WC 37793 OGDEN, ROBERT WERNER ENTERPRISE 08/26/16 PETER F FERRACUTI & ASSOCI SMITH AMUNDSEN LLC 305 16WC 38385 HARMS, ALAN CASSENS TRANSPORT COMPANY 11/14/16 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 306 16WC 38670 TATE, VICTORIA PARAMOUNT STAFFING 12/05/16 DISPARTI LAW GROUP PA SCOPELITIS GARVIN LIGHT 16WC039084 -C 307 16WC 39088 MCFEDRIES, ROBERT A LOCKPORT TOWNSHIP HIGH SC 12/07/16 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 308 16WC 39437 FIGUEROA, SUJEY PREMIER EMPLOYEE SOLUTION 10/24/16 GOLDSTEIN BENDER & ROMANOF GRANT & FANNING 309 17WC 00309 GUERRERO, BARBARA WILL COUNTY CLERK OFFICE 12/23/16 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 310 17WC 00754 CARRASQUILLO, ISMAEL KUUSAKOSKI 01/04/17 MC HARGUE & JONES HOLECEK & ASSOCIATES

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 311 17WC 00850 KELLY, CHRIS AREA ERECTORS 01/06/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 312 17WC 00885 BRACKETT, SCOTT JOLIET STAFFING 10/23/16 PORRO NIERMANN LAW GROUP BRADY CONNOLLY & MASUDA PC 17WC000895 -C 313 17WC 01143 HOFBAUER, VALERIE ILL DEPT OF CORRRECTIONS @ 12/06/16 COPELAND FINN & FIERI LTD MALLORY ZIMET 314 17WC 01189 LATHAN, PAUL HOME DEPOT 12/24/16 ASHER, RAYMOND L LTD ADELSON TESTAN BRUNDO 315 17WC 01366 THE ESTATEPF CLARENCE WOR QC COMMUNICATIONS 11/16/16 DWORKIN AND MACIARIELLO 316 17WC 01725 LEMIEUX, RICHARD PROFESSIONAL TRANSPORTATI 12/12/16 ROMANUCCI & BLANDIN QUINTAIROS PRIETO WOOD & BOY 317 17WC 01746 RILEY, JEREMY LIBERTY COLD STORAGE 01/05/17 MARC J SHUMAN & ASSOCIATES 318 17WC 01849 DIAZ, CECILIA HICKORY FARM 08/31/16 LEONARDO MORALES HOLECEK & ASSOCIATES 319 17WC 01986 MCCORMACK, EDWARD HOMER TOWNSHIP FORE PROTE 04/26/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 18WC019475 -C HOME TOWNSHIP 320 17WC 02200 LAMBERT, DANIELLE J.B. HUNT TRANSPORT SVCES 07/09/16 ANESI OZMON RODIN NOVAK KO KRAKER FANNING & OLSEN 17WC004222 -C JB HUNT TRANSPORT SVCS, IN 321 17WC 02386 CONDON, ADAM S JAY MORRIS TRUCKING 12/02/16 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 322 17WC 02603 VEGA, MARIA DEL ROSARIO READERLINK DISTRIBUTION 12/12/16 LAW OFFICES MICHAEL HELLMA INMAN & FITZGIBBONS 323 17WC 02897 SMITH, BRANDT CATERPILLAR 02/01/14 SHANNON LAW GROUP GANAN & SHAPIRO 19WC023624 -C 324 17WC 03337 SALZER, JOHN A CHICAGO AEROSOL, LLC 09/13/16 ANESI OZMON RODIN NOVAK KO RIPES NELSON BAGGOT KALOBRAT 325 17WC 03381 MANNING, GERMAINE STATESVILLE CORRECTIONAL 12/19/16 SHELDON I MINKOW & ASSOCIA MALLORY ZIMET 326 17WC 04130 MANNING, MICHELE JOLIET TOWNSHIP HS DIST 2 11/07/16 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 327 17WC 04373 CUEVAS, ANGELICA ELITE STAFFING 01/13/17 COSTA IVONE LLC

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 328 17WC 04614 THOMPSON, MARK FEDEX GROUND 12/17/15 MARKER & ASSOCIATES KOPKA, PINKUS DOLIN, PC 329 17WC 04647 HERNANDEZ, JOSE ANGEL PEACOCK ENGINEERING CO/ 01/30/17 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 330 17WC 04685 GUZIK, MARY BETH SILVER CROSS HOSPITAL 06/01/12 ROSS TYRRELL RUSIN & MACIOROWSKI LTD 331 17WC 04733 PULIDO, JOSE MORFIN CONSTRUCTION 06/20/16 BLOCK, KLUKAS & MANZELLA P HEYL ROYSTER VOELKER & ALLEN 332 17WC 04786 KRESS, ALANNA STAFFING NETWORK 10/21/16 DAVID W MARTAY 333 17WC 05243 GLOWINKE, SCOTT VILLAGE OF UNIVERSITY PAR 11/18/16 O'CONNOR & NAKOS ODELSON & STERK 334 17WC 05638 MALTROTTO, ROGER GALLAGHER ASPHALT CO 06/28/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 335 17WC 05899 YOUNG, DAVID AT&T 11/30/16 GOLDBERG WEISMAN & CAIRO L 336 17WC 05941 RAINE, THADDEUS XPO LOGISTICS 02/12/17 CORNFIELD & FELDMAN RUSIN & MACIOROWSKI LTD 17WC022703 -C 337 17WC 06520 CERWIN, STEVEN TRAVEL PILOT CENTER 08/24/16 LEITER LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 338 17WC 06557 BACOT, ANDRIA ILLINOIS DEPT O CORRECTIO @ 02/27/17 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 339 17WC 06811 HARTISON, DAVID B METRO STAFFING INCORPORAT 08/08/16 340 17WC 06921 GARCIA, PABLO MONROY AMERICAN BUILT SYSTEMS, I 12/16/16 LEO M. BLEIMAN & ASSOC 341 17WC 06963 KING, LANUNDRA WILL COUNTY HEALTH DEPART 09/01/16 HINSHAW & CULBERTSON 342 17WC 07301 NOLAN, WENDEE VALLET VIEW SCHOOL DIST 3 01/24/17 KURASCH & KLEIN, LTD KNELL & O'CONNOR 343 17WC 07324 LOEZZA, BIBIANO SEARS LOGISTICS 02/13/17 MARKER & ASSOCIATES BRADY CONNOLLY & MASUDA PC 344 17WC 07412 O'HARA, PATRICK CITY OF JOLIET FIRE DEPT 02/09/17 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 345 17WC 07472 SHELBY, ERIC HOME DEPOT RDC 5851 05/17/16 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 346 17WC 07517 MCDERMOTT, TROY NRJM INC 11/19/16 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 347 17WC 08040 ROMERO GONZALES, MARIO ELITE STAFFING 12/06/16 PORRO NIERMANN LAW GROUP 348 17WC 08189 SMALLEY, DONALD SIMOS LOGISTICS 01/12/17 MARKER & ASSOCIATES BRADY, CONNOLLY & MASUDA, PC 349 17WC 08346 NEAL, LISA AMAZON FULLFILLMENT CTR 03/01/17 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 350 17WC 08403 RODRIGUEZ, GUADALUPE LOBOZ AND ASSOCIATES INC 12/01/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO 351 17WC 08504 GONZALES, JOSE REYES ELITE STAFFING INC 03/02/17 CULLEN HASKINS NICHOLSON 352 17WC 08626 MARTEY, JOSEPHINE PRESENCE ST JOSEPH MED CT 08/01/16 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 17WC008627 -C 353 17WC 09262 MCADAMS, KELLY VINCA SOLUTIONS/HOME DEPO 09/20/16 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 354 17WC 09420 MORALES, PERLA ELITE STAFFING 02/24/17 CULLEN HASKINS NICHOLSON 355 17WC 09538 CARROLL, LENORE ALLERGY & ASTHMA ASSOCIAT 03/04/17 RIDGE & DOWNES GILDEA & COGHLAN 356 17WC 09565 STUKEL, JEREMY FRANKFORT FIRE DEPT 08/27/16 BLOCK, KLUKAS & MANZELLA P 357 17WC 10202 CATZIN, LUIS AMERISOURCE BERGEN 12/14/16 AIOSSA LAW FIRM SPIEGEL & CAHILL, PC 358 17WC 10327 FIELDS, BRENDA WALMART 09/18/16 WHITESIDE & GOLDBERG LTD QUINTAIROS PRIETO WOOD & BOY 359 17WC 10859 HIR, DANIEL VISION INTEGRATED GRAPHIC 10/13/16 SLAVIN & SLAVIN 360 17WC 10961 DE ANGELIS, LORRAINE ILLINOIS CENTRAL SCHOOL B 02/27/17 RATHBUN CSEVENYAK & KOZOL GILDEA & COGHLAN 361 17WC 11277 RACKER, LESTER GRAND PRAIRIE TRANSIT- 04/04/17 ANKIN LAW OFFICE 362 17WC 11325 HERATH, RONALD ECOLAB 03/25/17 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC 363 17WC 11387 HERATH, RONALD ECOLAB 06/06/16 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 364 17WC 11420 MULARSKI, JAMES G & W ELECTRIC 03/20/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 365 17WC 11504 SOSA, ELVIA ELITE STAFFING 02/02/17 366 17WC 11525 HAJKOWICZ, ERIK M VILLAGE OF UNIVERSITY PAR W 09/04/16 THOMAS W DUDA MONTANA & WELCH 367 17WC 11538 WILLIAMS-LASH, CRYSTAL AMAZON 02/19/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 368 17WC 11561 JOHNSON, ALICIA PRIME COMMUNICATIONS 1, I 09/23/16 RITTENBERG & BUFFEN WIEDNER & MCAULIFFE LTD 369 17WC 11870 CAMPOS, FRANCISCO D CITY OF JOLIET 04/23/14 KROCKEY CERNUGEL COWGILL E 370 17WC 12021 JOHNSON, GEORGIA WORK NOW STAFFING 04/18/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 371 17WC 12157 GONZALEZ, MARCOS A MINUTE MEN STAFFING 01/17/17 HERRERA LAW CENTER POWER & CRONIN LTD 372 17WC 12714 LOPEZ, ALFREDO TUFFY AUTO SERVICE CENTER 09/22/16 MENDOZA LAW PC RUSIN & MACIOROWSKI LTD 373 17WC 12737 HEYWARD, SHEILA EDWARDS HOSPITAL & HEALTH 04/24/17 THE ROMAKER LAW FIRM KEEFE CAMPBELL & ASSOC LLC 374 17WC 12973 TRIANA, SECILIO RAILWAY & INDUSTRIAL SERV 01/16/17 BRIAN T MORROW, LAW OFFICE 375 17WC 13426 SANCHEZ, THELMA ELITE STAFFING, INC 04/21/17 LEONARD LAW GROUP LLC 376 17WC 13489 WAGNER,LUKE RIVER HEIGHTS 09/26/16 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 377 17WC 13761 BAUER, LINDA WALMART STORE #3400 12/09/16 PORRO NIERMANN LAW GROUP GANAN & SHAPIRO 378 17WC 14287 MEDINA, ANGEL SENOR TEQUILA W 01/13/17 CHEPOV & SCOTT LLC 17WC014288 -C 379 17WC 14344 GULLI, DANIEL I MANHATTAN FIRE PROTECTION 02/24/16 THOMAS W DUDA POWER & CRONIN LTD 380 17WC 14369 GAFFIELD, RICHARD JR CYBER BROADCASTING 04/12/17 SPIROS LAW PC GILDEA & COGHLAN 381 17WC 14716 OLSON, NATHAN D CONSTRUCTION INC 02/08/17 STANCZAK LAW OFFICES COZZI & GOGGIN-WARD

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 382 17WC 15043 SHERER, REVANN ECOLAB 08/09/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 383 17WC 15296 GREEN, ANDRE MEDTRONIC 12/17/16 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 384 17WC 15335 ROGERS, JASON VILLAGE OF PLAINFIELD 04/05/17 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 385 17WC 15534 SMITH, SAVANNAH TROY COMM CONSOL SD 30-C 10/27/16 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 386 17WC 15554 EDWARDS, ERIC ARBON STEEL & SERVICES CO 05/11/17 BRISKMAN BRISKMAN GREENBER GILDEA & COGHLAN 387 17WC 15568 SMITH, MELISSA AMAZON 01/13/17 MARTIN L GLINK LAW OFFICE WIEDNER & MCAULIFFE LTD 388 17WC 15615 BLACKBURN, KENDRICK FRESH THYME DISTRIBUTION 05/03/17 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 389 17WC 16052 MCCABE, MARK W CITY OF JOLIET 07/07/14 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 390 17WC 16186 GONZALEZ, ZUJEY ALPHABRODER 05/23/17 LAW OFFICE OF SCOTT B SHAP HOLECEK & ASSOCIATES 391 17WC 16232 MALINEK, CINDY GRAND PRAIRIE TRANSIT LOC 04/03/17 BRUGGEMAN HURST & ASSOC GALLIANI DOELL & COZZI LTD 392 17WC 17045 GONZALEZ, MARIA E PEACOCK ENGINEERING 01/29/15 MCNAMARA PHELAN MCSTEEN LL HOLECEK & ASSOCIATES 393 17WC 17095 COOPER, ANTHONY S&S ACTIVEWEAR 04/04/17 394 17WC 17195 BROWN,B ILLY WASTE MANAGEMENT 02/24/17 RIDGE & DOWNES HENNESSY & ROACH PC 395 17WC 17428 MORGAN, LEIF NATIONAL DCP 04/06/17 LEONARD LAW GROUP LLC ARNETT LAW GROUP 396 17WC 17574 FILUS, TIM WILL COUNTY SHERIFF'S OFF 05/27/17 DAVID SZCZECIN & ASSOC 397 17WC 17594 PHILLIP, VINCENT STATE OF ILLINOIS @ 04/11/16 ROSENFELD HAFRON SHAPIRO F ASSISTANT ATTORNEY GENERAL 398 17WC 17649 VENTRELLA, CRISTINA V AMAZON 04/22/17 DANIEL PERIASWAMY 399 17WC 17711 JUAREZ, NICHOLAS STATEVILLE CORRECTIONAL C @ 08/02/16 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 400 17WC 17776 NELSON, MAURICE HOME DEPOT 06/05/17 FRANK A CELANI MC ANDREWS & NORGLE LLC 401 17WC 17831 GLYNN, BILL TYCO INTEGRATED SECURITY 09/30/15 EFTEKHARI LAW OFFICES RUSIN & MACIOROWSKI LTD 402 17WC 18071 OWENS, SUSAN SILVER CROSS HOSPITAL 05/17/17 WOLFE LAW PC RUSIN & MACIOROWSKI LTD 403 17WC 18091 QUINN, JOSEPH STATE OF ILLLINOIS @ 05/09/17 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 404 17WC 18170 MARTINEZ, BERTHA CARRANZA RAYMOND MANAGEMENT COMPAN 01/05/17 STEWART C ORZOFF ACCIDENT FUND HOLDINGS 405 17WC 18372 PANZICA, DOMINICK LINCOLN WAY HIGH SCHOOL 05/09/17 STEVEN J MALMAN & ASSOCIAT 406 17WC 18738 TASCONE, CARL LINCOLN WAY CENTRAL 05/26/16 RUSIN & MACIOROWSKI LTD 407 17WC 18815 SOSA, GIOVANNI AMAZING FULFILLMENT CENTE 04/05/17 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 17WC018816 -C AMAZON FULFILLMENT CENTER 408 17WC 18974 RUZENCEVS, ANDRIS BIG BEAR CARPENTRY 06/08/17 CRONIN & PETERS COZZI & GOGGIN-WARD 409 17WC 19057 HINTON, DWIGHT PRAIRIE CREEK LOGISTICS 10/26/16 HORWITZ HORWITZ & ASSOC CAPUANI, FRANK S 410 17WC 19425 19B EBERLE, JULIE M WALMART STORES, INC 04/18/17 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 411 17WC 19446 POKORNIK, DAVID LOWES HOME CENTERS, INC 05/04/17 PORRO NIERMANN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 412 17WC 19573 JACKSON-BERG, KATHY TRITON MANUFACTURING 04/07/17 DEPAOLO ZADEIKIS GORE BRADY, CONNOLLY & MASUDA, PC 413 17WC 19694 BIEL, ROBERT METROPOLITAN WATER 06/17/17 LAW OFFICE OF SCOTT B SHAP NOBLE & ASSOC 414 17WC 20660 MILONE, PETER JR ILLINOIS DEPARTMENT OF 01/03/17 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 415 17WC 20972 CECI, DOUGLAS CONVEYER SPECIALTIES, INC 04/13/17 PARENTE & NOREM PC HOLECEK & ASSOCIATES 17WC020973 -C 416 17WC 21176 ROMERO, MARIA ELITE STAFFING INC 07/14/17 TAMVAKIS, GEORGE L

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 417 17WC 21231 KIDD, ASHLEY MENARDS 09/07/16 RATHBUN CSEVENYAK & KOZOL EVANS & DIXON 418 17WC 21295 ELDER, DENNIS NRG ENERGY SERVICES 01/03/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 17WC023867 -C 419 17WC 21513 NESS, RANDY ACTION PLUMBING COMPANY, 07/11/17 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 420 17WC 21607 LUNA, JOSE ALFREDO BERMUD MIM INSTALLATIONS, INC. 06/28/17 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 421 17WC 21662 OCHOA, MARTHA KEHE DISTRIBUTORS, INC 04/02/17 WHITESIDE & GOLDBERG LTD POULOS & DIBENEDETTO LAW 422 17WC 21809 JOHNSON, ANN JEWEL FOOD 06/06/14 MATTHEW T. GUBBINS PC EVANS & DIXON 423 17WC 21841 BELL, DAVID WEATHERTECH 07/14/17 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 424 17WC 21896 DOYLE, KEVIN P PRESENCE HEALTH 02/06/16 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 425 17WC 22715 PETERS, GEORGE LANGER TRANSPORT 06/19/17 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 426 17WC 23006 JOHNSON, KIMBERLY J STATE OF ILLINOIS DEPT OF @ 03/13/17 DWYER AND COOGAN ASSISTANT ATTORNEY GENERAL 427 17WC 23073 BEY, PATRICIA A JOLIET PUBLIC SCHOOLS 07/21/17 ANKIN LAW OFFICE ROSARIO CIBELLA 428 17WC 23101 LEVITT, LARRY VILLAGE OF STEGER 06/28/17 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 18WC021354 -C 19WC006783 -C 429 17WC 23130 PIEDRA, JOSE LUIS M&S DELIVERY SERVICE, INC 07/05/17 KAT0Z FRIEDMAN EAGLE ET AL 430 17WC 23364 MEYER, JASON T. BUMP & GRIND AUTO BODY, I 02/15/17 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA 431 17WC 23440 LEAL, EMANUAL METRO STAFF, INC 06/02/17 MILLON & PESKIN LTD SLAVIN & SLAVIN 432 17WC 23683 MCKENZIE, KAREN AMAZON 06/20/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 433 17WC 23726 MARTIN, DARRELL STATE OF IL DEPT OF CORRE 08/01/17 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 434 17WC 23865 CARROLL, TANESHA STATE OF IL 08/01/17 HORWITZ HORWITZ & ASSOC 435 17WC 23928 PUSATERI, JOSEPH OZINGA 03/27/17 MICHAEL A. HIGGINS GAROFALO SCHREIBER STORM GRA 436 17WC 24414 SEMANISION, TROY DIAGEO 06/08/17 LEONARD LAW GROUP LLC COZZI & GOGGIN-WARD 437 17WC 24439 LOPEZ, GABRIEL MICHELIN NORTH AMERICA, I 08/16/17 438 17WC 24581 COFFLEY, BRANDON S JHOC, INC D/B/A 08/07/17 ANKIN LAW OFFICE MARTIN, PATRICK W 439 17WC 24608 LUNA, HERBERTO XPEDIENT MANAGEMENT GROUP 07/19/17 MENDOZA LAW PC WIEDNER & MCAULIFFE LTD 440 17WC 24621 GUINN, ROBERT DAYTON FREIGHT LINES INC 08/02/17 SANDMAN LEVY & PETRICH GANAN & SHAPIRO 441 17WC 24755 BOSSE, PATRICK LEWIS TREE SERVICE 07/11/17 PETER C KOPOULOS GOLDBERG SEGALLA LLC 442 17WC 24816 MARTINEZ, GENARO FEDEX SUPPLY CHAIN INC 07/11/17 CHRISTIAN & MANNO SPIEGEL & CAHILL, PC 443 17WC 25051 HAMILTON, QUINCY MULTI PLASTICS, INC 01/23/17 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 444 17WC 25217 TRAVIS, LYSANDER CENTER FOR DISABILITY SER 03/21/17 COSTA IVONE LLC 445 17WC 25232 AALFORD, ADONIS WEATHERTECH 08/16/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 446 17WC 25416 JOHNSON, TAMIKA M AMAZON 12/10/16 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 447 17WC 25708 ALONSO, NEYVA GREAT AMERICAN BAGEL, INC 04/26/17 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 448 17WC 25829 19B BRASHER, MARK APL LOGSTICS 08/26/17 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC 449 17WC 26344 STEFFEN, NICHOLE SUONGFARR INC 08/24/17 HORWITZ HORWITZ & ASSOC BORGELT POWELL

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 450 17WC 26498 CRAMER, JEFFREY BLUELINX 03/31/16 VASILATOS & COTTER LLC 451 17WC 26533 PACH, KATHLYNE (BY AND TH BALTIC LINES II, INC #W 08/14/17 LUSAK AND COBB 17WC027450 -C SEPULVEDA, JEANETTE FOR M 452 17WC 26880 RATHBUN, WILLIAM JB HUNT CO TOYS R US DIST 03/22/16 RUBENS AND KRESS 453 17WC 27033 MORALES, GILMA BAY STATE MILLING 07/14/16 MANUAL CARDENAS & ASSOC 454 17WC 27115 LAS, DOROTA ALDI, INC 09/22/15 TIMOTHY E. TAKASH BRADY CONNOLLY & MASUDA PC 455 17WC 27247 CARTER, TERESA R SPEEDWAY, LLC 10/11/14 MICHAEL HELLMAN NYHAN BAMBRICK KINZIE & LOWR 456 17WC 27418 DARDEN, ROBERT STATEVILLE CORRECTIONAL C 07/19/17 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 457 17WC 27574 FLYNN, SEAN AUCTION ACCESS 09/22/16 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 458 17WC 27598 BOOKER, SAMIKI T PEOPLE READY 08/16/17 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 459 17WC 27888 MOTON, JOHNNY BARTON STAFFING 07/21/17 MARC J SHUMAN & ASSOCIATES SLAVIN & SLAVIN 460 17WC 27974 ORTIZ, MARITZA OUR LADY OF ANGELS 08/20/17 POWER & CRONIN LTD 461 17WC 28082 TROUTMAN, FREDRICK C AIR QUALITY INC 01/13/16 SANDMAN LEVY & PETRICH 462 17WC 28207 HIGHLAND, JOSEPH BLACK HORSE CARRIERS 03/17/17 GOLDBERG WEISMAN & CAIRO L 463 17WC 28225 MENCHACA, ROQUE STATE OF IL DEPT OF CORRE @ 10/17/16 LARRY FLEISCHER & ASSOCIAT 464 17WC 28238 PETTIGREW, JERMANE C PRIORITY STAFFING, LTD 08/28/17 ANKIN LAW OFFICE THOMAS & PORTELA 465 17WC 28267 TSIAMAS, ANTHONY WINDY CITY WIRE 09/12/17 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 466 17WC 28296 HOLMES, ANTHONY STAFFING SERVICE INC. DBA 08/11/17 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 467 17WC 28612 SNAPP, LAURA JT CARE 07/20/17 WILLIAM B MEYERS, LTD PAUL O WATKISS

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 468 17WC 28656 FINGER, TONYA SILVER CROSS HOSPITAL 12/22/16 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 469 17WC 28689 KORZENIEWSKI, TY ENBRIDGE ENERGY 08/26/11 PONNE LAW GROUP 470 17WC 28974 BARLOW, KELLY J SILVER CROSS HOSPITAL 06/19/17 COLLINS BARGIONE RUSIN & MACIOROWSKI LTD 471 17WC 29148 MOORE, AMBER ECOLAB, INC 04/05/17 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 472 17WC 29248 BELTRAN, ARMANDO TRI PAR DRYWALL INC 07/06/17 MARC J SHUMAN & ASSOCIATES EVANS & DIXON 473 17WC 29416 SMITH, SABLE LITTLE KICKERS 10/03/17 MC HARGUE & JONES JOSEPH MARCINIAK 474 17WC 29613 SALINAS, OLIVIA ELITE STAFFING INC 09/11/17 LAW OFFICES MICHAEL HELLMA 475 17WC 29623 VIEYRA, LORENZO MVP WORKFORCE LLC LOANING 10/03/17 SALK, STEVEN B & ASSOC LTD KOREY RICHARDSON LLC 476 17WC 29792 GARCIA-HERNANDEZ, MARICEL SOUTHLAND SOLUTIONS/ 08/30/17 BLOCK, KLUKAS & MANZELLA P 477 17WC 30156 BOND, SANITA PRESENCE ST JOSEPH 09/16/17 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 478 17WC 30282 CLARK, DEBORAH MENARDS 08/06/17 DAVID W MARTAY GANAN & SHAPIRO 479 17WC 30462 RIEVES, ADAM G UNITED GLOBAL SERVICES, I 10/01/17 WEISS & WEISS LAW OFFICES GRANT & FANNING 480 17WC 30500 LOPEZ, MINERVA AMERISOURCE BERGEN 10/05/17 PORRO NIERMANN LAW GROUP 481 17WC 30612 CALLAGHAN, SANDRA PRESENCE ST JOSEPH HOSPIT 03/04/17 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 482 17WC 30771 DEUEL-MEISER, ADRIENNE VALLEY VIEW SCHOOL DISTRI 08/02/17 BURNETT & CARON, LTD 483 17WC 30811 ALEXANDER, MARGUERITTA AMAZON.COM INC 01/20/17 LAW OFFICE PHILIP BLOMBERG 484 17WC 31329 RANDLE, MELVIN JB HUNT 2950 09/13/17 JAMES ELLIS GUMBINER & ASS GRANT & FANNING 485 17WC 31368 BREWER, BROOKE H WILL COUNTY SHERIFF'S OFF # 10/14/17 COVEN LAW GROUP HINSHAW & CULBERTSON

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 486 17WC 31465 FISCHER, MASON ECOLAB 10/04/17 DWORKIN AND MACIARIELLO 487 17WC 31703 CRAIG, DEBORAH SOUTHERN COMPANY GAS 09/06/17 LAW OFFICES MICHAEL HELLMA RUSIN & MACIOROWSKI LTD 488 17WC 31739 WILLIAMS,LARRY(THE ESTATE METRO STAFFING 10/09/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 489 17WC 31776 CRAWFORD, MARY ANN TROY SCHOOL DISTRICT 30-C 09/07/16 RUSIN & MACIOROWSKI LTD 490 17WC 31857 GROSSI, SUSAN MICHAELS 01/16/17 HORWITZ HORWITZ & ASSOC 491 17WC 31970 WEINSTOCK, KARL HR METRICS, INC 10/19/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 492 17WC 32056 VILLEGAS, STEVEN SNIDER-BLAKE PERSONNEL 08/30/17 EPSTEIN, JACK R LAW OFFICE LAWRENCE COZZI - LAW OFFICES 493 17WC 32256 WILLIAMS, DENISE DHL 10/12/17 LEITER LAW OFFICES 494 17WC 32371 TAYLOR, LISA SOUTHERN WILL COUNTY 09/25/17 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 495 17WC 32494 SEXTON, EUGENE UNITED STATES COLD STORAG 06/20/17 CORTINA & MUELLER BRADY CONNOLLY & MASUDA PC 496 17WC 32580 SALLESE, AMIE JOLIET PUBLIC SCHOOLS DIS 09/07/17 RIDGE & DOWNES ROSARIO CIBELLA 497 17WC 32678 WEIS, DWAYNE CITY OF JOLIET 08/20/16 MCNAMARA PHELAN MCSTEEN LL KAVANAGH GRUMLEY & GORBOLD 498 17WC 33116 GUTIERREZ, CATHLEEN CLIFT AMAZON 08/24/17 FRANCIS J DISCIPIO LAW OFF WIEDNER & MCAULIFFE LTD 499 17WC 33525 GIZA, DIANE M ARAMARK 04/03/17 GALLIANI DOELL & COZZI LTD WIEDNER & MCAULIFFE LTD 500 17WC 33577 STANFORD, MARK MICHAELS CARTAGE 10/30/17 ANGELINI & ORI LLC GANAN & SHAPIRO 501 17WC 33727 TILLMAN, KELVIN AMAZON 10/22/17 STROM, NEAL B WIEDNER & MCAULIFFE LTD 17WC035351 -C 502 17WC 34326 PENALOZA REYES, HECTOR M EXCEL BUILDING SERVICES, 10/25/17 COSTA IVONE LLC COZZI & GOGGIN-WARD 503 17WC 34402 AGUILERA, SANDRO AUDREY TRANSPORT INC 12/28/15 BLOCK, KLUKAS & MANZELLA P LEAHY EISENBERG & FRAENKEL

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 504 17WC 34478 MOORE, MARTIN K ELITE STAFFING INC 10/16/17 ANKIN LAW OFFICE 505 17WC 34550 SODARO, ROSA HARRAH'S CASINO-JOLIET 07/27/17 BAUM RUFFOLO & MARZAL LTD NOBLE & ASSOC 506 17WC 34743 HICKEY, PATRICK MVP PLUMBING CORP 07/11/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 507 17WC 34853 ARNOLD, DANIEL STAFFMARK 07/25/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 508 17WC 35078 HARRIS, DANGANETTA STATE OF IL DOC STATEVILL @ 10/11/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 509 17WC 35135 MCALLISTER, PAULA JOLIET TOWNSHIP HIGH SCHO 03/29/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 510 17WC 35136 BOENZI, PATRICK DELLWOOD TIRE & AUTO REPA 01/05/15 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 511 17WC 35235 KIRKLIN, JANICE SCHNEIDER LOGISTICS 11/20/17 DWORKIN AND MACIARIELLO ASA LAW GROUP 512 17WC 35347 HENNIN, JEFFREY REPUBLIC SVCS, INC 01/21/16 RIDGE & DOWNES GILDEA, COGHLAN & REGAN LTD. 513 17WC 35391 FRANKLIN, ERWIN AMAZON 11/17/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 514 17WC 35451 HOLMES, DENNIS ULTA DISTRIBUTION 08/23/17 BLOCK, KLUKAS & MANZELLA P ARNETT LAW GROUP 515 17WC 35512 HENNIN, JEFFREY REPUBLIC SERVICES, INC 10/23/17 RIDGE & DOWNES 516 17WC 35669 EZELL, KIMMAR JOLIET JUNIOR COLLEGE @ 11/13/17 BRISKMAN BRISKMAN GREENBER SCOPELITIS GARVIN LIGHT 517 17WC 35767 LAYCOAX, KERRY CRETE MONEE COMMUNITY 09/25/17 WOODRUFF & JOHNSON 518 17WC 36067 PEAIRS, JANICE AMAZON 11/29/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 519 17WC 36085 NIEZGODA, ROBERTA STARBUCKS 07/31/17 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 520 17WC 36178 BEY, BELINDA AMAZON 07/25/17 STROM, NEAL B WIEDNER & MCAULIFFE LTD 521 17WC 36320 EDWARDS, ANNETTE VALLEY VIEW SD 08/18/17 MC HARGUE & JONES KNELL O'CONNOR DANIELWICZ

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 522 17WC 36341 SMITH, JAZELLE TOYS R US 10/24/17 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 523 17WC 36624 HANSEN, BRIDGET TRINITY SERVICES 05/02/17 SEIDMAN MARGULIS & FAIRMAN 524 17WC 36842 GALL, NICHOLAS KENS BEVERAGE 01/19/17 CUDA LAW OFFICES GRANT & FANNING 17WC036843 -C 17WC036844 -C 525 17WC 36845 GALL, CHRISTOPHER WINDY CITY WIRE 10/15/17 CUDA LAW OFFICES HOLECEK & ASSOCIATES 526 17WC 36886 RUFFINO, JAMES CITY OF JOLIET FIRE DEPAR 09/04/17 SAM CUBA LAW OFFICE KNELL & O'CONNOR 527 17WC 37072 EBERT, LAURA AMAZON 10/08/17 LEE, MARK N LAW OFFICE WIEDNER & MCAULIFFE LTD 528 17WC 37326 HERNANDEZ, EDGAR PARSEC, INC. 10/21/17 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 529 17WC 37657 DOLAN, SUSAN ERDMAN COMPANY 08/14/17 FOOTE MIELKE CHAVEZ O'NEIL JOSEPH MARCINIAK 530 17WC 37699 PRZYBYLSKI, RON AMAZON DISTRIBUTION CENTE 09/11/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 531 17WC 37844 MONRROY, GUADALUPE PENA FIRST LODGING MANAGEMENT 08/08/17 SALK, STEVEN B & ASSOC LTD ACCIDENT FUND HOLDINGS 532 17WC 37918 PENN, MARIETTA CHICAGO AUTISM AUTHORITY 12/06/17 HEALY SCANLON LAW FIRM ANCEL GLINK DIAMOND BUSH & E 533 17WC 37950 LADEWIG, MAX SCURTO CEMENT CONSTRUCTIO 10/20/17 MARKS INJURY LAW CAPUANI, FRANK S 534 17WC 38046 VELA, ANTONIO WILTON BRANDS/CUPCAKE HOL 11/07/17 FREDRICK B BARDER, LTD WOLFE & JACOBSON, LTD 535 18WC 00051 VERCELOTE, MATT AC & R SPECIALISTS 03/15/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 536 18WC 00074 JAY, JOSEPH BOLINGBROOK FIRE DEPT 11/30/17 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 20WC001821 -C 537 18WC 00095 BANAS, VINCENT ELMHURST CEMETERY, D/B/A 12/01/17 MEYERS & FLOWERS HOLECEK & ASSOCIATES 538 18WC 00190 RICHARDS, LUCKY A AMAZON.COM INC 03/11/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 539 18WC 00594 WILLIAMS, KENNETH HILL BROTHERS TRANSPORTAT 11/29/17 ASHER, RAYMOND L LTD GANAN & SHAPIRO 540 18WC 00632 MARTINEZ, JUAN RAMIREZ TRIUNE LOGISTICS LLC 09/12/17 ANKIN LAW OFFICE LITCHFIELD CAVO 541 18WC 00879 CINGLE, MARTIN JOLIET STAFFING 12/24/17 RATHBUN CSEVENYAK & KOZOL 542 18WC 00901 TAYLOR, ANTHONY STATE OF ILLINOIS/ @ 10/04/16 DEER & STONE PC ASSISTANT ATTORNEY GENERAL 543 18WC 00956 VENDETTI, ERIC PARMESANS RESTAURANT 11/03/15 BERG & BERG 544 18WC 01453 MICHACA, JAIME DHL 12/07/16 MENDOZA LAW PC 545 18WC 01498 HAYNES, EDWARD BEST PRACTICE STAFFING, I 10/05/17 CHARLES LEVY & ASSOC LTD 546 18WC 01557 ANTHONY, TERRENCE METRO STAFF, INC 11/29/17 KISS & ASSOCIATES FRANCIS J DISCIPIO LAW OFFIC 547 18WC 01769 ROHDENBURG, KURT FEDERAL SIGNAL CORPORATIO 01/08/18 BRILL & FISHEL 548 18WC 01781 FOREMAN, ROBERT ABF FREIGHT SYSTEMS, INC 01/08/18 PARENTE & NOREM PC KEEFE CAMPBELL & ASSOC LLC 549 18WC 01903 BARRON, JERRY W APOLLO COLORS, INC 11/22/17 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICES 550 18WC 02272 RILEY, NANCY BIG LOTS STORES 11/03/16 PARENTE & NOREM PC LITCHFIELD CAVO 551 18WC 02388 GILL, AMY MY EYE DOCTOR 12/30/17 WOODRUFF & JOHNSON GRANT & FANNING 552 18WC 02506 GAWLIK, MICHAEL HR METRICS 07/17/17 MICHAEL A. HIGGINS 553 18WC 02535 SCHWAN, KAREN RESCARE HOMECARE 12/15/17 MARC J SHUMAN & ASSOCIATES SPIEGEL & CAHILL, PC 554 18WC 02539 DIEHL, ALEJANDRA ELITE STAFFING AGENCY 01/09/18 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM GRA 555 18WC 02709 POE, GABRIELLE TRINITY SERVICES 11/01/17 LAURA A CHILDS GALLIANI DOELL & COZZI LTD 556 18WC 02769 KOHUT, DAVID AMAZON @ 10/28/17 MC HARGUE & JONES

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 557 18WC 02831 FLORES, ERIC WEATHERTECH/MACNEILL 05/01/15 BRIAN T MORROW, LAW OFFICE 558 18WC 02837 ALLISON, JAMES CITY OF JOLIET 09/13/17 MCNAMARA PHELAN MCSTEEN LL ANCEL GLINK DIAMOND BUSH & E 559 18WC 03194 MAYO, MARIA ARYZTA 10/07/17 LUSAK AND COBB HENNESSY & ROACH PC 560 18WC 03765 ALPIZAR, ANA JOLIET STAFFING 11/14/17 CURTIS S BURKE LAW OFFICE HENNESSY & ROACH PC 19WC005195 -C 561 18WC 04329 BETTS, TIFFANY PACE SUBURBAN BUS 01/24/18 RIDGE & DOWNES 562 18WC 04406 GOMEZ, FELIPE TURANO BAKING COMPANY 08/23/17 MARKER & CRANNELL 563 18WC 04661 DETTLOFF, CHRISTOPHER WSI MICHELIN TIRE 11/23/15 SCOTT B SHAPIRO 564 18WC 04805 LOPEZ, DAGOBERTO UNITEK 01/27/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICES 565 18WC 05130 ONGENAE, PHILLIP MEDTRONIC 01/06/17 SCHIFF GORMAN LLC POWER & CRONIN LTD 566 18WC 05170 ROGERS, JASON VILLAGE OF PLAINFIELD POL 01/29/18 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 567 18WC 05214 TAYLOR, DARRYL MENARDS 03/13/17 BRIAN T MORROW, LAW OFFICE 568 18WC 05444 STONE SANDERS, TAYANECKA WORLD CLASS DISTRIBUTION 02/13/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 569 18WC 05457 WALLACE, DONALD F VOGELMANN & COMPANY 08/01/17 QUINTAIROS PRIETO WOOD & BOY 570 18WC 05510 TERRY, JEREMY STATEVILLE CORRECTIONAL C 12/09/17 ARGIONIS & ASSOCIATES LLC ASSISTANT ATTORNEY GENERAL 571 18WC 05654 FEARS, ANTHONY VICTORY CENTRE OF JOLIET 12/11/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 572 18WC 05911 BECKER, CHRISTOPER PARTNERS TRANSPORTATION 01/28/18 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 573 18WC 05991 DEROSA, BARB FIRST ADVANTAGE 01/09/18 GORDON & CENTRACCHIO LLC EDWARD J. KOZEL 574 18WC 06009 GATES, RODNEY SCHNEIDER NATIONAL 02/04/18 SPIROS LAW PC POWER & CRONIN LTD

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 575 18WC 06095 MUNDO, JEANETTE GREEN CORE USA 02/02/18 TAXMAN POLLOCK HOLECEK & ASSOCIATES 576 18WC 06110 BELL-REED, LAKISHIA AMAZON FULFILLMENT CENTER 12/12/17 SPRAGUE & SPRAGUE BRADY CONNOLLY & MASUDA PC 577 18WC 06297 HORGAN, SUSAN VILLAGE OF BOLINGBROOK, 06/06/15 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 578 18WC 06386 JANDURA, RYAN CHANNAHON FIRE PROTECTION 04/03/17 RATHBUN CSEVENYAK & KOZOL POWER & CRONIN LTD 18WC006437 -C 19WC008821 -C 579 18WC 06412 FERNANDEZ, MA DELREFUGIO METRO STAFF INC 05/23/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 580 18WC 06500 VILLAREAL, LOUIS RICH PRODUCTS CORPORATION 11/03/17 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 581 18WC 07123 CANALES, KIMBERLY SODEXO, INC. 03/15/17 BRISKMAN BRISKMAN GREENBER INMAN & FITZGIBBONS 18WC007124 -C 582 18WC 07167 HESTER, SABRINA WAL-MART 02/03/18 BLOCK, KLUKAS & MANZELLA P QUINTAIROS PRIETO WOOD & BOY 583 18WC 07212 MCCOY, YURI PROLOGISTIC 01/12/18 PARENTE & NOREM PC 584 18WC 07246 MCNEILL, GREGORY A WILL COUNTY SHERIFF DEPT 02/22/18 ANKIN LAW OFFICE HINSHAW & CULBERTSON 19WC019234 -C 585 18WC 07350 MILLER III, ROBERT DHL 02/16/18 DWORKIN AND MACIARIELLO 586 18WC 07382 MASON, ASHLEE PRESENCE MCAULEY MANOR 11/25/17 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 587 18WC 07439 TAYLOR, ANGELA AMAZON 02/08/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 588 18WC 07619 SHAWMEKER, JAMI AMAZON 03/17/17 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD 589 18WC 07702 BRANDON, MATTHEW UNITED STATES COLD STORAG 01/18/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 590 18WC 07954 DEVRIES, KATRINA UNITED STATES COLD STORAG 01/12/18 DWORKIN AND MACIARIELLO 591 18WC 08044 ELLISON, BRANDI AMAZON.COM, INC. 11/03/17 STEARNEY, RONALD A LAW OFF WIEDNER & MCAULIFFE LTD

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 592 18WC 08091 ROSALES, TEODORO JOHNS MANVILLE 01/19/18 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 593 18WC 08214 AMBRIZ, ELVA BOLINGBROOK PARK DISTRICT 01/30/17 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 594 18WC 08320 LOPEZ-CORTEZ, FIDELA SUMMIT STAFFING 02/26/18 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 595 18WC 08526 ASHLINE, ANNETTE APERION CARE 08/17/17 BARMAN BOHLEN & SCOTT SLAVIN & SLAVIN 596 18WC 08586 ENGLISH, KIRK COMPASS GROUP USA INC 08/11/17 GOLDBERG WEISMAN & CAIRO L GOLDBERG SEGALLA LLC 597 18WC 08650 FLORES, AYME MARTINEZ TRIUNE LOGISTICS 02/09/18 COSTA IVONE LLC LITCHFIELD CAVO 598 18WC 08667 FISHER, ANDRE F STAFFMARK 01/06/18 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 599 18WC 08893 PEREZ, JUAN HOMER MANAGEMENT, LLC 09/28/17 CAPRON & AVGERINOS PC GAIDO & FINTZEN 600 18WC 09046 MCKENZIE, TERENCE FEDEX 01/17/18 DWORKIN AND MACIARIELLO 601 18WC 09239 JOHNSON, WILLIAM CRETE MONEE 03/06/18 DWORKIN AND MACIARIELLO 602 18WC 09290 CARLSON, JEFFREY BOUCHARD MASONRY 08/01/16 GOLDBERG WEISMAN & CAIRO L ANCEL GLINK DIAMOND BUSH & E 603 18WC 09411 FOWLKES, LONDELL MORAN TRANSPORTATION CORP 03/15/18 GRAUER & KRIEGEL LLC FRIEDRICH LAW LLC 19WC026659 -C 604 18WC 09615 GIVENS, DERRELL DOTS FOODS 01/23/18 SANDMAN LEVY & PETRICH HEYL ROYSTER VOELKER & ALLEN 605 18WC 09674 EDNANSKY, MARIE CURIE MOTORS 01/03/18 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 606 18WC 09824 O'SULLIVAN, MARY JO WEXFORD HEALTH SOURCES, I 09/15/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 18WC010265 -C 607 18WC 10009 HILLIARD, ROZETTE SCHNEIDER LOGISTICS 03/18/18 BRISKMAN BRISKMAN GREENBER ASA LAW GROUP 608 18WC 10051 HARVEY, RENARDO JB HUNT 01/24/18 CHRISTIAN & MANNO 609 18WC 10173 GREENLY, ROBERT MARIANO'S 01/22/18 MARC J SHUMAN & ASSOCIATES BRYCE DOWNEY & LENKOV LLC

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 610 18WC 10202 WIMMER, DAVID A JB HUNT TRANSPROTATION 03/10/18 PORRO NIERMANN LAW GROUP MICHAEL JASPER 611 18WC 10290 NUTILE, JOYCS ADVANTAGE SOLUTIONS 01/27/18 STROM, NEAL B KELLEY KRONENBERG 612 18WC 10384 BOSHARDY, ALLEN J JR. SAM'S 24 HOUR TOWING INC. 03/15/18 WEISS & WEISS LAW OFFICES 613 18WC 10542 MARQUEZ-MORENOS, MARTIN M JOSCO CONSTRUCITON INC 03/14/18 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 614 18WC 10757 BRAMMER, JENNIFER STATEVILLE PRISON @ 04/04/18 KREITER, BYCK & ASSOC LLP ASSISTANT ATTORNEY GENERAL 615 18WC 11001 VASQUEZ, ANTHONY WELSCH READY MIX, INC 07/11/17 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 616 18WC 11036 PONTARELLI, THOMAS ILLINOIS DEPT OF CORRECTI 10/26/17 O'CONNOR & NAKOS ASSISTANT ATTY GENL 617 18WC 11098 ORTEGA, MIRNA TOYS R US 03/23/18 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL BIERY & ASSOC 618 18WC 11246 HARRIS, REGINALD PREMIER TRANSPORTATION 10/13/16 RATHBUN CSEVENYAK & KOZOL MARTIN, PAT0RICK W 619 18WC 11454 WINSTON, JANIYAH AMAZON 01/17/18 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 620 18WC 11492 CONYERS, DIONNE WEST LIBERTY FOODS 09/19/17 DWORKIN AND MACIARIELLO 621 18WC 11591 SENFFNER, TRACY SILVER CROSS HOSPTIAL 11/02/17 WOODRUFF JOHNSON RUSIN & MACIOROWSKI LTD 622 18WC 11778 JONES, DOUGLAS BEST BUY WAREHOUSE 04/03/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 623 18WC 12108 GAVIN, VICTORIA S&S ACTIVEWEAR 03/02/18 VRDOLYAK LAW GROUP LLC EDWARD J. KOZEL 624 18WC 12131 KAPLAN, CHARISSA L SILVER CROSS HOSPITAL 02/20/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 18WC012132 -C 625 18WC 12430 MIRKOWICZ, ABIGNIEW MENDARDS 03/29/18 VASILAT0OS & COTTER LLC CHILTON YAMBERT PORTER LLP 626 18WC 12625 BAKER, IDA FRIENDS OVER50 SENIOR CAR 06/20/17 627 18WC 12800 ARTIS, ERIC METRO STAFFING 04/24/18 DWORKIN AND MACIARIELLO

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 628 18WC 12817 BUCK, RYAN WERNER ENTERPRISES INC 01/01/18 MICHAEL C. GOODE SMITH AMUNDSEN LLC 629 18WC 12842 BRADFORD, NATHAN BOLLER CONSTRUCTION CO 04/20/18 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 630 18WC 13110 SHAVERS, CHANELL INDIVIDUAL ADVOCACY GROUP 04/13/18 DWORKIN AND MACIARIELLO 631 18WC 13187 CHAPARRO, NORMA (IRIS) PLAINFIELD SD 202 08/17/17 KARCHMAR & STONE INMAN & FITZGIBBONS 632 18WC 13368 HURD, PAULA R STAFFMARK 04/12/18 ANESI OZMON RODIN NOVAK KO KOPKA, PINKUS DOLIN, PC 633 18WC 13402 RENNER, BRANDY WALMART SUPERCENTER 06/16/16 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 634 18WC 13442 JACOBSON, ANDREW EAGLE EXPRESS LINES 01/13/18 DEPAOLO & ZADEIKIS HINSHAW & CULBERTSON 635 18WC 13460 ACEVEDO, EMILIO THE SCOULER CO 02/13/18 SEIDMAN MARGULIS & FAIRMAN CAPUANI, FRANK S 636 18WC 13559 ANGEL, AGNES FRESENIUS MEDICAL CARE 02/28/18 LEITER LAW OFFICES HENNESSY & ROACH PC 637 18WC 13618 WIEGAND, COLTON SPECIALIZED LIFTRUCK SERV 06/01/17 HORWITZ HORWITZ & ASSOC 18WC013619 -C 18WC015748 -C 638 18WC 13666 FERGUSON, CHERYL WILL COUNTY CIRCUIT COURT 03/28/18 KROL BONGIORNO & GIVEN LTD HINSHAW & CULBERTSON 639 18WC 13783 LEROY, BRANDON COAL CITY FIRE PROTECTION 04/22/18 BLOCK, KLUKAS & MANZELLA P 640 18WC 13845 MENEGON, SUE PRESENCE HEALTH 01/24/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 641 18WC 13877 TAYLOR, KRISTY INTEGRITY 02/08/18 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 642 18WC 13895 DIAZ, KRISTAL PRECISION PIPELINE INC 04/09/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 643 18WC 13992 HOPKINS, CHERYL FLEXIBLE STAFFING 08/23/17 DAVID W MARTAY 644 18WC 14128 VANEGAS, FERNANDO(NEXT OF MIRMEG CARTAGE INC 05/04/18 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 645 18WC 14259 DUDLEY, DEONDRE TRINITY SERVICES 03/31/18 MC HARGUE & JONES GALLIANI DOELL & COZZI LTD

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 646 18WC 14264 GUGLIELMO, CAROLINA JAMKIL ENTERPRISES INC 07/17/17 MICHAEL HELLMAN 647 18WC 14269 VILLAGOMEZ, GUADALUPE PINE RIDGE LAWN & LANDSCA 09/29/17 CULLEN HASKINS NICHOLSON 648 18WC 14448 GALLINA, DONALD WINGS R US INC 03/11/18 SANDMAN LEVY & PETRICH 649 18WC 14606 COKLEY, BILLY GREENCORE USA 05/07/18 SCOTT B SHAPIRO 650 18WC 14646 WILLIAMS, MEGHEN BROOKS, TARULIS & TIBBLE, 04/16/18 PORRO NIERMANN LAW GROUP 651 18WC 14791 BELL-WHITLEY, JOVETTE AMAZON 09/25/17 DWORKIN AND MACIARIELLO 652 18WC 14859 RAMIREZ, BEATRIZ ANGUIANO SUPERIOR HEALTH LINEN 03/20/18 DEPAOLO & ZADEIKIS LAWRENCE COZZI - LAW OFFICE 653 18WC 14917 RUIZ, GUADALUPE JOLIET STAFFING 04/17/18 JONATHAN SCHLACK HENNESSY & ROACH PC 654 18WC 14991 ZAMORA, CARLOS PRATER INDUSTRIES 01/24/18 HORWITZ HORWITZ & ASSOC 655 18WC 15281 CAIN, JONATHAN TIMBERLINE GENERAL CONTRA 04/23/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 656 18WC 15368 ORTIZ, YESENIA VALLEY VIEW SCHOOL DIST 3 03/22/18 KROL BONGIORNO & GIVEN LTD POWER & CRONIN LTD 657 18WC 15745 CAPPS, JAN AMERICAN PRESIDENT LIENS, 11/17/17 KOSIN LAW OFFICE LTD KRAKER FANNING & OLSEN 658 18WC 16002 WEIDEMANN, THOMAS AURELIO'S PIZZA OF LOCKPO 05/09/18 HORWITZ HORWITZ & ASSOC 659 18WC 16089 WINEINGER, BRADLEY STATE OF ILL DOC STATEVIL @ 04/29/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENL 660 18WC 16174 AMBROSIO, FELIPE WAREHOUSE SVCS, INC 09/28/16 SAUNDERS CONDON & KENNY 661 18WC 16256 ATEN, LESTER JOLIET JUNIOR COLLEGE 02/07/18 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 662 18WC 16346 CUSACK, BRANDON M VILLAGE OF BOLINGBROOK 02/22/18 MORICI FIGLIOLI & ASSOC 663 18WC 16404 GARDNER, TYRON AMAZON 04/10/18 DWORKIN AND MACIARIELLO

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 664 18WC 16451 BELLINO, JOSEPH A BUTLER CORING 07/10/17 NILSON STOOKAL GLEASON CAP GANAN & SHAPIRO 665 18WC 16494 TRIMMER, GARY ABETTER POUR LLC 05/08/18 ROBERT WARSASKI JOSEPH MARCINIAK 666 18WC 16544 KELLER, CHERIE A AMAZON.COM.DEDC LLC 02/28/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 667 18WC 16576 KENTON, ROGER AQUA AMERICA INC 10/30/17 BARMAN BOHLEN & SCOTT SUGAR FELSENTHAL GRAIS HELSI 668 18WC 16651 BARAJAS, GILBERT CYBERDYNE MASONRY CORP 05/29/18 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 18WC016652 -C 669 18WC 16919 RICHARDS-HUNT, CYNTHIA AMAZON 04/26/18 COSTA IVONE LLC KEEFE CAMPBELL BIERY & ASSOC 670 18WC 16955 GLANVILLE, NICHOLAS HOME DEPOT 05/22/18 WOODRUFF & JOHNSON ADELSON TESTAN BRUNDO 671 18WC 17119 JABUREK, DEREK J STATE OF IL (STATEVILLE) 05/26/18 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 672 18WC 17215 WASHINGTON, DEANDRE MONDI PACKAGING 05/31/18 KREITER, BYCK & ASSOC LLP GAROFALO SCHREIBER STORM GRA 673 18WC 17350 REYES, ROBERTO ARGONNE NATIONAL LABORATO 09/21/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL BIERY & ASSOC 674 18WC 17391 SAENZ, IRMA SALEM VILLAGE NURSING & R 02/27/18 JONATHAN SCHLACK POWER & CRONIN LTD 675 18WC 17458 ALEXANDER, REGINALD THE RESERVES NETWORK 05/02/18 JAMES ELLIS GUMBINER & ASS WIEDNER & MCAULIFFE LTD 676 18WC 17484 SCHWANTES, MARK RJ PRICE AND ASSOCIATES 08/04/16 E JAMES RAYMOND HEYL ROYSTER VOELKER & ALLEN 677 18WC 17545 BEADLESTON, MAUREEN PLAINFIELD CONSOLIDATED S 03/02/17 BLOCK, KLUKAS & MANZELLA P 678 18WC 17723 HALL, STEPHEN DR PEPPER SNAPPLE GROUP 12/28/17 RATHBUN CSEVENYAK & KOZOL GAROFALO SCHREIBER STORM GRA 679 18WC 17725 BISHOP, MARK RUAN TRANSPORT CORP 03/16/17 BLOCK, KLUKAS & MANZELLA P JAMES M KELLY 680 18WC 17790 TRIPLETT, NALENA ELITE STAFFING INC 05/15/18 BRISKMAN BRISKMAN GREENBER GAROFALO SCHREIBER STORM GRA 681 18WC 17827 THOMPSON, VIVIAN AMAZON 06/04/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 682 18WC 17844 CORREA, JAIME UPLAND CONCRETE INC 10/02/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 683 18WC 17953 CROWDER, MICHAEL DSC LOGISTICS 04/18/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 684 18WC 18080 BARNES, LAURA M SILVER CROSS HOSPITAL 01/25/16 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 685 18WC 18284 SEALS, MARVIN F WEST LIBERTY FOODS 06/07/18 MARKER & CRANNELL HEYL ROYSTER VOELKER & ALLEN 686 18WC 18944 MOORE, CHARLOTTE AMAZON 05/21/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 687 18WC 19049 ALGOZINE, EDWARD III R&R SEWER WATER EXAVATION 06/14/18 TRAPP & GELLER BRADY CONNOLLY & MASUDA PC 688 18WC 19099 KAMRY, AMINA EL WEATHER TECH 12/12/17 SALVATO O'TOOLE FROYLAN BRADY CONNOLLY & MASUDA PC 689 18WC 19210 FREVERT, RICHARD AMAZON 04/14/18 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 690 18WC 19292 MARTIN, IRENE ESHUN ALPHABRODER 05/09/18 WOODRUFF JOHNSON HOLECEK & ASSOCIATES 691 18WC 19351 MARTINEZ, MARIO J.T. THORPE & SON, INC 06/13/18 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 692 18WC 19397 TAYLOR, KRISTY INTEGRITY STAFFING AMAZON 02/09/18 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 693 18WC 19508 JACKSON JR, RAYMOND JOLIET TREATMENT CENTER @ 02/15/18 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 694 18WC 19540 ANDRADE, SALVADOR WEST LIBERTYVILLE FOOD 04/02/18 JONATHAN SCHLACK HEYL ROYSTER VOELKER & ALLEN 695 18WC 19669 KULKA, BRIAN BLUE FROST HEATING & COOL 12/14/17 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC 696 18WC 19710 OCAMPO, MINERVA MACY'S 02/20/18 EPSTEIN, JACK R LAW OFFICE GAIDO & FINTZEN 697 18WC 20173 NELSON, SONJA ARYZTA LLC 06/18/18 STEVEN B SALK & ASSOC LTD HENNESSY & ROACH PC 698 18WC 20212 HOOKER, DEIRDRE AMAZON.COM.DEDC, LLC 12/15/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 699 18WC 20233 PUGH, DOROTHY ELITE STAFFING 06/06/18 JAMES ELLIS GUMBINER & ASS

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 700 18WC 20321 RODRIGUEZ, DESTANY PROLOGISTIX 06/21/18 JOHN S. ELIASIK SPIEGEL & CAHILL, PC 701 18WC 20441 PALACIOS, ROBERT SUBURBAN MACHINE & TOOL 11/13/17 BERG & BERG JOSEPH MARCINIAK 702 18WC 20507 ROBERTS, JOSHUA W ELITE STAFFING 07/02/18 MORICI FIGLIOLI & ASSOC HEYL ROYSTER VOELKER & ALLEN 703 18WC 20624 MASTERSON, KEVIN ELITE STAFFING, INC 05/17/18 RUBIN LAW GROUP 704 18WC 20684 POLK, ISAIAH JOLIET STAFFING LLC- 06/19/18 LEONARD LAW GROUP LLC 705 18WC 20733 WHITE, ANDRE LINEAGE LOGISTICS 05/11/18 GERALD CONNOR WOLFE & JACOBSON, LTD 706 18WC 20795 ROBLES, ANTHONY IN HOUSE DELIVERY SYSTEMS 07/06/18 707 18WC 20855 SMITH, LORNA AMAZONFULLFILLMENT CTR MD 06/03/18 WIEDNER & MCAULIFFE LTD 18WC030453 -C 19WC000024 -C 708 18WC 20913 BURKLOW, LISA AMAZON DISTRIBUTION CENTE 01/14/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 709 18WC 20994 WILLIS, DARREN INDIVIDUAL ADVOCACY GROUP 12/13/17 BOWMAN & CORDAY GALLIANI DOELL & COZZI LTD 710 18WC 21019 HAYNES, ANGENIQUE AMAZON.COM DEDC LLC 07/10/18 STEVEN B SALK & ASSOC LTD WIEDNER & MCAULIFFE LTD 711 18WC 21080 VESELY, MICHAEL TUFFY OF ROMEOVILLE 04/03/18 JEROME LINDSAY SALMI LL BRADY, CONNOLLY & MASUDA, PC 712 18WC 21139 DERBY, DANIEL H GARY GALASSI STONE & STEE 06/02/18 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 713 18WC 21275 COPELAND, MARSHONE GREENCORE 05/01/18 CHASE & WERNER LTD HOLECEK & ASSOCIATES 714 18WC 21356 JORDAN, FRED ACMS GROUP 06/14/18 NEWLAND & NEWLAND 715 18WC 21400 PADOVANI, YAHAIRA TACO BELL 06/01/18 CULLEN HASKINS NICHOLSON 716 18WC 21851 GREER, ROXANNE ALL TEAM STAFFING 12/02/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 717 18WC 21938 ZATAR, JEHAD ARBY'S TINLEY PARK 07/06/18 FRANK A CELANI

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 718 18WC 21977 LENARD, LLEWELLYN B AIRINTERMODAL INC 01/07/18 VITELL & SPITZ LTD 719 18WC 22083 HUFFSTUTLER, ZACHARY SIMOS INSOURCING SOLUTION 06/25/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 720 18WC 22099 BENNETT, DEBRA COUNTY OF WILL 07/03/18 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 721 18WC 22168 WESTBROOK, PERRY GREENCORE USA 06/29/18 LIPKIN & HIGGINS LAW OFFIC 722 18WC 22260 DOTTS, SUZANNE LINCOLNWAY DISTRICT 210 02/26/18 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 723 18WC 22339 ROBINSON, CHRISTINE AMAZON 12/03/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 724 18WC 22443 SOWARDS, TRISTAN GLOBAL EXPERIENCE 05/18/18 BLOCK, KLUKAS & MANZELLA P GILDEA, COGHLAN & REGAN LTD. 725 18WC 22460 SANDERS, CLIFFORD US GREEN CORP 07/12/18 VITELL & SPITZ LTD 726 18WC 22491 VAZQUEZ GONZALES, JOSE D KEHE DISTRUBUTORS, LLC 05/22/18 LEITER LAW OFFICES NOBLE & ASSOC 727 18WC 22590 AGUILAR, GUILLERMINA WAL-MART 10/23/17 SALVATO O'TOOLE FROYLAN QUINTAIROS PRIETO WOOD & BOY 728 18WC 22685 NEVAREZ, IRMA KEHE DISTRIBUTION 03/09/18 OSVALDO RODRIGUEZ PC POULOS & DIBENEDETTO LAW 729 18WC 22821 GREER, ADAM AMAZON.COM, LLC 11/17/17 RITTENBERG BUFFEN WIEDNER & MCAULIFFE LTD 730 18WC 22889 WASNEY, GUY EMR EXPRESS, INC 06/27/18 DAVID W MARTAY KRAKER FANNING & OLSEN 731 18WC 22962 LACOVETTI, CHRISTOPHER CALIBER PACKAGING & EQUIP 07/27/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 732 18WC 23017 PATRICK, KEVIN STATESVILLE CORRECTIONAL @ 07/20/18 WOODRUFF JOHNSON ASSISTANT ATTY GENL 733 18WC 23177 WATKINS, LESLIE JC TRANS CO. W 07/08/18 JAMES ELLIS GUMBINER & ASS 734 18WC 23204 OHARA, ROBERT WASTE MANAGEMENT 07/13/18 HORWITZ HORWITZ & ASSOC 735 18WC 23311 CHRISTENSEN, MATTHEW CITY OF JOLIET 11/22/17 HETHERINGTON KARPEL BOBBER KNELL O'CONNOR DANIELWICZ

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 736 18WC 23334 HICKS, TIONNA ITW DELTAR 04/02/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 737 18WC 23369 VOGELSANGER, WILLIAM LODERS CROKLAAN 04/27/18 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 738 18WC 23440 CHAMBERS, LEANDRA SONOCO PROTECTVE SOLUTION 06/13/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 739 18WC 23470 MENDOZA, SAMSON G WASTE MANAGEMENT 05/26/18 ANESI OZMON RODIN NOVAK KO THOMAS J STIBERTH LAW OFFICE 740 18WC 23549 TAYLOR, JEROME SCHNIEDER LOGISTICS 05/04/18 HERRERA LAW CENTER ASA LAW GROUP 741 18WC 23636 ARMSTRONG, ELIZABETH L JOLIET PUBLIC SCHOOLS 10/06/16 RIDGE & DOWNES ROSARIO CIBELLA 742 18WC 23821 TERRY, SHANTA DOLLAR TREE DISTRIBUTION 07/06/18 DEPAOLO & ZADEIKIS LEAHY EISENBERG & FRAENKEL 743 18WC 23899 GEORGE, JACKIE O'REILLY AUTOMOTIVE STORE 07/24/18 HERRERA LAW CENTER HENNESSY & ROACH PC 744 18WC 24028 ANZELMO, DONALD ALLEGIANCE STAFFING 05/14/18 ROSS TYRRELL POWER & CRONIN LTD 745 18WC 24155 RODRIGUEZ, ROSA MCDONALD'S 07/09/18 ASHER, RAYMOND L LTD 746 18WC 24524 TAYLOR, TENISHA JOHNSTONE SUPPLY 06/05/18 RATHBUN CSEVENYAK & KOZOL 747 18WC 24697 LINDER, KIMBERLY MENARDS 07/07/18 STROM & ASSOC 748 18WC 24824 HACKWELL, RODNEY AUEN TRUCKING 08/28/16 CAPRON & AVGERINOS PC HINSHAW & CULBERTSON 749 18WC 24833 AVILA, OCTAVIO KUUSAKOSKI RECYCLING 05/11/18 ANGELINI & ORI LLC 750 18WC 24899 JACKSON, COURTNEY ACCURATE PERSONNEL SERVIC 08/07/18 DWORKIN AND MACIARIELLO JOHN T GONNELLA 751 18WC 24931 YEAGER, MICHELLE ROUTE 66 FOOD N FUEL 07/31/18 RATHBUN CSEVENYAK & KOZOL 752 18WC 24996 JACKSON, BRIAN MARSDEN CO 03/09/18 MC HARGUE & JONES LEAHY EISENBERG & FRAENKEL 753 18WC 25010 MCDANIEL, TINA ADAMS & ASSOC 07/10/18 DAVID W MARTAY WIEDNER & MCAULIFFE LTD

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 754 18WC 25137 QUINN, JOSEPH STATE OF ILLINOIS @ 08/01/18 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTY GENL 755 18WC 25206 STRUM, DOROTHY AMAZON 05/05/18 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 756 18WC 25230 NIEHOFF, KATHLEEN WALMART 07/14/18 JAMES ELLIS GUMBINER & ASS GANAN & SHAPIRO 757 18WC 25366 GILLESPIE, KANDICE MEDSPEED 08/17/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 758 18WC 25405 MCGUIRE, MATTHEW JOLIET JUNIOR COLLEGE 09/03/15 BLOCK, KLUKAS & MANZELLA P 759 18WC 25497 GUIRAND, EDELYNE AMAZON 05/11/18 WIEDNER & MCAULIFFE LTD 760 18WC 25540 NORTON, QUENTIN BOB'S DISCOUNT FURNITURE 03/06/18 LEITER LAW OFFICES HENNESSY & ROACH PC 761 18WC 25577 BONNES, MELISSA TISCHLER'S MARKET 06/18/18 BAUM RUFFOLO & MARZAL LTD GILDEA, COGHLAN & REGAN LTD. 762 18WC 25605 BRASKI, BRENT JOLIET JUNIOR COLLEGE 08/07/18 KROL BONGIORNO & GIVEN LTD 763 18WC 25695 PUHRMANN, DAWN HOMEWOOD SCHOOL DIST 153 04/16/18 BLOCK, KLUKAS & MANZELLA P GOLDBERG SEGALLA LLC 764 18WC 25717 SHERWIN, STEPHEN MC MAHON TRANSPORT GROUP, 11/07/16 KRISIK, DENNIS J LTD 765 18WC 25758 CHAVEZ, NICOLAS AMSYSCO, INC 04/27/18 JONATHAN SCHLACK EDWARD J. KOZEL 766 18WC 25889 SPANGLER, PAMELA MEIJER, INC 07/18/18 KARCHMAR & STONE 767 18WC 25970 REYES, AUGUSTIN HOME LANDSCAPE MATERIALS, 07/05/18 RICHARD O. GREENFIELD WOLFE & JACOBSON, LTD 768 18WC 26218 MOELLER, ART FOREST PRESERVE DISTRICT 08/21/18 HEALY SCANLON LAW FIRM HENNESSY & ROACH PC 769 18WC 26338 ORTEGA, TERESA S & S ACTIVEWEAR LLC 03/09/18 JAUREGUI & ASSOCIATES EDWARD J. KOZEL 770 18WC 26426 LEONARD, MICHAEL NFI INTERACTIVE LOGISTICS 08/24/18 ANKIN LAW OFFICE QUINN JOHNSTON HENDERSON ETA 771 18WC 26591 HOWARD, ROY JOLIET STAFFING, LLC 07/30/18 RUSIN & MACIOROWSKI LTD

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 772 18WC 26653 OCAMPO, MARIA ROSARIO PERSONALIZTIONMALL.COM LL 05/02/18 STEVEN B SALK & ASSOC LTD KOPKA, PINKUS DOLIN, PC 773 18WC 26701 SELLERS, GREGORY RJW TRANSPORTATION 09/05/18 DWORKIN AND MACIARIELLO 774 18WC 26770 AGUIRRE, JAZMIN A/K/A RONS STAFFING SERVICES 08/02/18 GOLDSTEIN BENDER & ROMANOF KOREY RICHARDSON LLC 775 18WC 26848 MULKA, CHRIS UPS # 08/28/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 776 18WC 26878 VANHOOK, ALLESAUNDRA AMAZON 06/25/18 STROM & ASSOC KEEFE CAMPBELL BIERY & ASSOC 777 18WC 26953 MILLER, WALTER W WEST LIBERTY FOODS 08/25/18 VITELL & SPITZ LTD HEYL ROYSTER VOELKER & ALLEN 778 18WC 27001 BARRERA, ERIC ARYZTA 08/25/18 COSTA IVONE LLC HENNESSY & ROACH PC 779 18WC 27233 ERVIN, CHARLES WEST LIBERTY FOODS, LLC 09/10/18 STEVEN B SALK & ASSOC LTD HEYL ROYSTER VOELKER & ALLEN 780 18WC 27312 LOPEZ, HERMINDA ILLINOIS INDUSTRIAL TOOL, 08/16/18 LUSAK AND COBB RUSIN & MACIOROWSKI LTD 781 18WC 27339 MISHKA, RICHARD M WILLIE BROTHERS CO 08/16/18 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 782 18WC 27406 STEWART, ANTIONE TH RYAN CARTAGE CO 09/10/18 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 783 18WC 27571 NELSON, DUSTIN THORNE ELECTRIC CO, INC 08/14/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 784 18WC 27775 BISHOP, MARY CARSON PIRIE SCOTT 08/17/18 CULLEN HASKINS NICHOLSON LAWRENCE COZZI - LAW OFFICE 785 18WC 28180 CAZARES-MAGANA, MARGARITA XTREME CLEANERS INC 08/23/18 KATZ FRIEDMAN EAGLE ET AL JOSEPH MARCINIAK 786 18WC 28243 WAFFORD, TINA CHILDREN & FAMILY SERVICE 03/15/17 HERRERA LAW CENTER ASSISTANT ATTY GENL 787 18WC 28331 GLON, TRACI ASG STAFFING 10/30/17 WOODRUFF JOHNSON FRANCIS J DISCIPIO LAW OFFIC 788 18WC 28587 GILES, RANDY WILMAC ENTERPRISES LLC 02/02/17 DAVID M DUREE

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 789 18WC 28665 FRICANO, CHRISTOPHER SR FRASER CONSTRUCTION 07/30/18 MARK N LEE WIEDNER & MCAULIFFE LTD 790 18WC 28715 HAMILTON, CHAZ PREMIER STAFF SERVICE 09/19/18 MC HARGUE & JONES ASA LAW GROUP 18WC033587 -C SCHNEIDER NATIONAL, INC 791 18WC 29067 GROSS, ZIPPORAH GRAINGER WAREHOUSE 06/11/18 COVEN LAW GROUP ASA LAW GROUP 792 18WC 29227 KENNEDY, MICHAEL IDOT - (MOVABLE BRIDGES D 09/25/18 STROM & ASSOC ASSISTANT ATTORNEY GENERAL 793 18WC 29352 SIMPSON, DEREK STATEVILLE ILLINOIS DEPT @ 07/18/18 MARKER & CRANNELL ASSISTANT ATTY GENL 794 18WC 29448 KURTZ, THOMAS TRI-STAR CABINET & TOP CO 09/25/15 RATHBUN CSEVENYAK & KOZOL 795 18WC 29488 MORALES, REBECA MAGID GLOVE & SAFETY 07/10/18 ANSELMO DURAN WIEDNER & MCAULIFFE LTD 796 18WC 29608 CASILLAS, WENDY MCDONALDS 09/22/18 ANKIN LAW OFFICE 797 18WC 29828 CICERO, THOMAS HD TRUCK EQUIPMENT 09/07/18 KROL BONGIORNO & GIVEN LTD 798 18WC 29856 KRUPINSKI, ROBERT AT&T 08/24/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 799 18WC 30004 STEGENGA, MICHAEL C VILLAGE OF UNIVERSITY PAR 03/14/18 THOMAS W DUDA 800 18WC 30094 SCOTT, JOSEPH FUNCHES TRUCKING 09/21/18 CHARLES LEVY & ASSOC LTD LORENZ & BERGIN PC 801 18WC 30136 LOERA, JOSE CLEAR STAFF INC 10/02/18 LEONARD LAW GROUP LLC ACCIDENT FUND HOLDINGS 802 18WC 30187 JOHNSON, APRIL METRO STAFF 09/27/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 803 18WC 30209 LANG, GABRIELLE AMAZON 06/08/18 DANIEL PERIASWAMY 804 18WC 30270 KRUPINSKI, ROBERT AT&T 08/24/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 805 18WC 30366 WILSON, FRANCISCA SCHNEIDER LOGISTICS 05/25/18 MORICI FIGLIOLI & ASSOC ASA LAW GROUP 806 18WC 30382 WILLIAMS, VIVIAN L AMAZON 05/07/18 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 807 18WC 30524 MOFFETT, CASSANDRA VALLEY VIEW CMNTY UNIT SC 07/10/18 JAMES J. GAY KNELL O'CONNOR DANIELWICZ 808 18WC 30542 WIEKERT, SHANE MEADE ELECTRIC CO 08/20/18 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 809 18WC 30594 LILLEY, VALERIE STATE OF ILLINOIS DOC, 09/11/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 810 18WC 30737 LEWIS-PHILLIPS, SPARKLE AUTUMN LEAVES 03/19/18 FRANKLIN, VALARIE P & ASSO WOLF & LAUDICINA LTD 811 18WC 30903 PATINO MEDINA, JUAN F WESTERN DUPAGE LANDSCAPIN 07/24/18 THE ROMAKER LAW FIRM HEYL ROYSTER VOELKER & ALLEN 812 18WC 31013 RASHEED, ZAHRA FURGAAN ACADEMY 12/20/17 GANAN & SHAPIRO 813 18WC 31030 MCCARTHY, TIMOTHY NCP CORP 06/28/18 WOODRUFF JOHNSON SPIEGEL & CAHILL, PC 814 18WC 31258 SULLIVAN, SAMANTHA WILMINGTON POLICE DEPARTM 08/04/16 MCNAMARA PHELAN MCSTEEN LL 815 18WC 31458 PANNARALLA, JACQUELINE MENARD'S 06/03/18 BLOCK, KLUKAS & MANZELLA P 816 18WC 31499 BENNETT, JUNETTE STATE OF IL 08/09/18 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 817 18WC 31542 CAMARDO, PASQUALE OPTIMUM STAFFING, INC 03/15/18 TUITE LAW RUSIN & MACIOROWSKI LTD 818 18WC 31655 WILLIAMS, TAMMY HR METRICS, INC/TRADER JO 07/03/18 BLOCK, KLUKAS & MANZELLA P 819 18WC 31663 PANNARALLA, GEOFF STATE OF ILLINOIS 05/29/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENL 820 18WC 31852 MOTON, JOHNNY SCHNEIDER LOGISTICS, INC 03/02/18 SCHWEICKERT & GANASSIN ASA LAW GROUP 821 18WC 32038 PARRA-LOPEZ, ROBERTO KOVA, LLC 09/27/18 KARCHMAR & STONE KNELL O'CONNOR DANIELWICZ 822 18WC 32253 BALES, NELLANN CHICAGO AEROSOL 07/07/18 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL BIERY & ASSOC 823 18WC 32300 BATCHELOR, CLIFF HAYES MECHANICAL 06/14/18 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM GRA 824 18WC 32457 GALVEZ, ANTONIO DIAGEO 06/02/18 BART DURHAM LAWRENCE COZZI - LAW OFFICE

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 825 18WC 32483 LEON, VICTOR ST DENNIS CHURCH 01/24/18 DWORKIN AND MACIARIELLO STONE & JOHNSON CHARTERED 826 18WC 32609 CLERK, NORVEEA GRAND PRARIE TRANSIT CO 09/24/18 RIDGE & DOWNES 827 18WC 32695 EBERHART, ANTHONY CITY OF JOLIET 01/23/17 MCNAMARA PHELAN MCSTEEN LL KAVANAGH GRUMLEY & GORBOLD 828 18WC 32734 RODRIGUEZ, ALEXANDER LOVITT BLIND & DRAPERY 09/10/18 BLOCK, KLUKAS & MANZELLA P JOSEPH MARCINIAK 829 18WC 32833 HILL, CHERYL HOME DEPOT 09/23/18 WOODRUFF JOHNSON ADELSON TESTAN BRUNDO 830 18WC 32952 LANDEROS, ELIAS NORTH COAST HOLDING 06/23/17 SEIDMAN MARGULIS & FAIRMAN 831 18WC 33000 VARSEK, JOYCE DELTA AIRLINES 07/03/17 FRANCIS J DISCIPIO LAW OFF GAIDO & FINTZEN 832 18WC 33146 WALKER, MELVIN LAVELLE DHL SUPPLY CHAIN 10/04/18 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 833 18WC 33391 WYDRA, JENNIFER L FANNIE MAY FINE CHOCOLATE 12/11/17 VITELL & SPITZ LTD LAWRENCE COZZI - LAW OFFICE 834 18WC 33428 SZABPSKI, CHRISTINE AMAZON 07/22/18 GAINES & GAINES KEEFE CAMPBELL BIERY & ASSOC 835 18WC 33568 KEENE, RICHARD DYNAMIC UTILITY SOLUTIONS 07/19/18 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 836 18WC 33625 RIDDLEY, LATANYA AMAZON 10/17/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 837 18WC 33648 VELASQUEZ, JUANITA ELITE STAFFING 08/19/17 EPSTEIN, JACK R LAW OFFICE 838 18WC 33663 WISNIEWSKI, PEGGY PRESENCE ST JOSEPH MEDICA 09/10/18 BLOCK, KLUKAS & MANZELLA P 839 18WC 33865 ZURALES, LISA SILVER CROSS HOSPITAL 03/24/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 840 18WC 33878 JOHNSON, TYLER CLEARSTAFF 10/27/18 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 841 18WC 33939 CLEMONS, GIRARD AMAZON 09/12/18 ROGER D RUDICH LTD WIEDNER & MCAULIFFE LTD 842 18WC 34015 STIRRATT, WILLIAM RECRUIT HOLDINGS CO LTD D 02/05/18 SCHWEICKERT & GANASSIN KEEFE CAMPBELL BIERY & ASSOC

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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 843 18WC 34057 TONDA, DOLORES PRACHITO TRUCKING, INC 10/08/18 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 844 18WC 34119 FERREIRA, ANA V JIMENEZ GREENCORE USA INC 10/05/18 ANKIN LAW OFFICE 845 18WC 34214 SKAGGS, RANDALL G MFR MANUFACTURING 09/20/18 BLOCK, KLUKAS & MANZELLA P JOSEPH MARCINIAK 846 18WC 34232 GENTRY, VERONICA IH SERVICES INC. 10/31/18 COSTA IVONE LLC JOSEPH MARCINIAK 847 18WC 34345 KERRIGAN, ELLEN JOLIET SCHOOL DIST 86 10/17/18 CURTIS S BURKE LAW OFFICE BRYCE DOWNEY & LENKOV LLC 848 18WC 34443 GARCIA, JULIO CRATE SERVICES 10/29/18 EPSTEIN, JACK R LAW OFFICE WOLF & LAUDICINA LTD 849 18WC 34463 TOMAS, LORETTA REDEMPTION TRANSPORTATION 04/17/17 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC 850 18WC 34566 CALMES, GERMAINE STATE OF ILLINOIS DOC @ 11/14/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 851 18WC 34578 GILBERT, MARILYN ALDI 08/23/18 WOODRUFF JOHNSON 852 18WC 34671 COMISE, SONIA ITW DELTAR IPAC/ILLINOIS 05/20/16 BUIKEMA HISKES DILLNER ET NYHAN BAMBRICK KINZIE & LOWR 853 18WC 34823 RIOS, NICOLAS RELIABLE LANDSCAPING 09/25/18 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 854 18WC 34895 RUIZ, ALBERTO O'REILLY AUTO PARTS 07/21/18 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 855 18WC 34965 GREEN, CATRINA PROLOGISTIX 08/26/18 MC HARGUE & JONES QUINTAIROS PRIETO WOOD & BOY 856 18WC 34987 VOITIK, RICHARD JOLIET PARKDISTRICT 12/13/17 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 857 18WC 35006 ENRIGHT, PATRICK COMFORT FIRST HEATING AND 11/21/18 O'CONNOR & NAKOS 858 18WC 35027 DHULSTER, CYNTHIA AMAZON 03/13/17 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 859 18WC 35119 ALEXIS, AMARI FEDEX GROUND PACKAGE SYST 10/02/18 COHN LAMBERT RYAN & SCHNEI KOPKA, PINKUS DOLIN, PC 860 18WC 35216 SCHENK, DEBBIE LOCKPORT POLICE DEPARTMEN 11/14/18 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD

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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 NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 986 19WC 07170 DAY, MARVIN K BALANCE STAFFING 02/26/19 MC HARGUE & JONES KOREY RICHARDSON LLC 987 19WC 07217 SHULMAN, PAUL CITY OF JOLIET- POLICE 03/03/19 COVEN LAW GROUP ROSARIO CIBELLA 988 19WC 07403 MUNOZ, MARICELA ELITE STAFFING 12/19/16 JONATHAN SCHLACK 989 19WC 07531 SRICKLAND, DEOPIUS ELITE STAFFING INC 03/04/19 DWORKIN AND MACIARIELLO 990 19WC 07584 DIAZ, SACRAMENTO GRAND PRAIRIE TRANSIT LOC 02/12/19 PARENTE & NOREM PC 991 19WC 07655 SMITH, WILLIAM INTERMOUNTAIN STAFFING 01/29/19 COSTA IVONE LLC KRAKER FANNING & OLSEN 992 19WC 07684 KELLY, KEVIN JAMES STATE OF ILLINOIS-DEPT OF @ 02/13/19 NO ATTORNEY ASSISTANT ATTORNEY GENERAL 993 19WC 07789 HEMPHILL, YUSEF GREIF 02/08/19 COSTA IVONE LLC 994 19WC 07870 MCCASKILL, TANITIA CROWN SERVICES, INC 02/12/19 GORDON & CENTRACCHIO LLC EVANS & DIXON 995 19WC 07940 VILLALOBOS, ALFREDO JH BOTTS, LLC 08/24/18 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 996 19WC 08038 SEABRON, RONALD HOME ENERGY CONTROL 02/13/19 BLOCK, KLUKAS & MANZELLA P 997 19WC 08139 BOONE, CHRISTINE LITTLE PEOPLES PRESCHOOL 02/19/19 PATRICIA HARDIMAN LAW OFFI ANCEL GLINK PC 998 19WC 08179 DEVENING, PAULA JULIAN ELECTRIC 02/22/19 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 999 19WC 08209 SHIPLA, DEBORAH ILLINOIS CENTRAL 02/11/19 PARENTE & NOREM PC GILDEA, COGHLAN & REGAN LTD. 1000 19WC 08224 MARTINEZ, JUAN APACHE INDUSTRIAL SERVICE 03/07/19 KREITER, BYCK & ASSOC LLP WIEDNER & MCAULIFFE LTD 1001 19WC 08378 SHERRY, MARK ILLINOIS BELL TELEPHONE, 03/07/19 HETHERINGTON KARPEL & BOBB EVANS & DIXON 1002 19WC 08454 DREYFUSS, DEBORAH INDIVIDUAL ADVOCACY GROUP 10/21/16 GESMER & REYNOLDS PC 1003 19WC 08477 DRAPER, RACHEL WATSEKA REHABILITATION & 02/20/19 COLLISON LAW OFFICES STEPHEN P. KELLY

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1022 19WC 10361 BAGLEY, ANTHONY WILL COUNTY 10/30/17 HINSHAW & CULBERTSON 1023 19WC 10648 LOCKETT, EVA AMAZON MDW2 01/11/19 JAMES ELLIS GUMBINER & ASS 1024 19WC 10743 ROCHKES, MELISSA SOUTHERN WILL COUNTY COOP 01/18/19 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 1025 19WC 10877 COCKERHAM, CINDY DOT FOODS 10/10/18 JASINSKI, GEORGE J HEYL ROYSTER VOELKER & ALLEN 1026 19WC 10885 KOZAR, CURTIS ROMAR CABINETS & TOPS CO 10/16/18 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 1027 19WC 10934 BROLIN, JOY SODEXO, INC 02/01/19 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 1028 19WC 10983 WEBB, PAUL SOUTH HOLLAND PAPER CO DB 01/18/19 HETHERINGTON KARPEL & BOBB CAPUANI, FRANK S 1029 19WC 11012 RAMOS, ROSARIO AXCESS STAFFING SERVICES 04/05/19 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 1030 19WC 11075 TYLER, KIERRA CORNERSTONE SERVICES INC 02/11/19 DINIZULU LAW GROUP 1031 19WC 11208 FIELDS, JOSEPH AMAZON 03/12/19 MARSZALEK AND MARSZALEK 1032 19WC 11270 GUTIERREZ, PEDRO COURIER EXPRESS ONE 03/25/19 WIEDNER & MCAULIFFE LTD 1033 19WC 11304 LLOYD, DEON STATE OF ILLINOIS @ 06/11/18 COSTA IVONE LLC ASSISTANT ATTORNEY GENERAL 1034 19WC 11539 OCHOVSKY, VINCENT V RYDER SYSTEMS, INC. 03/05/19 ANESI OZMON RODIN NOVAK KO HEYL ROYSTER VOELKER & ALLEN 1035 19WC 11591 RANGEL, ARTURO TJ BAUMGARTNER CORP 01/11/19 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 1036 19WC 11649 WISCHNACK, ELMER JOHN IDOC ELGIN TREATMENT CENT @ 01/31/19 WOODRUFF JOHNSON ASSISTANT ATTY GENL 1037 19WC 11691 SWIEBOCKI, BRIAN S DOLLAR TREE DISTRIBUTION, 11/08/18 DWYER & COOGAN EVANS & DIXON, LLC 1038 19WC 11760 OCHOA, ROBERTO APL LOGISTICS 03/13/19 TURCYCHUTE LLC KEEFE CAMPBELL BIERY & ASSOC 1039 19WC 11806 ROBLES, JESSICA STATESVILLE @ 12/05/18 LEITER LAW OFFICES ASSISTANT ATTY GENL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1040 19WC 11851 MICHEL, LESLIE ACCURATE PERSONNEL LLC 04/09/19 DWORKIN AND MACIARIELLO JOHN T GONNELLA 1041 19WC 12201 MARKANICH, THOMAS K&M TIRE 03/04/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 1042 19WC 12430 CALDERON, DANIEL MORALES SALDANA C. REMODELING, LL 03/14/19 EPSTEIN, JACK R LAW OFFICE 1043 19WC 12474 YEATES, MARCUS ELITE STAFFING INC 04/23/19 DWORKIN AND MACIARIELLO 1044 19WC 12518 TORRES, JUAN MANUEL AARON THOMAS COMPANY 04/05/19 SEIDMAN MARGULIS & FAIRMAN JOSEPH MARCINIAK 19WC012958 -C 1045 19WC 12534 WILKINS, CLINTON COUNTY OF WILL/ADULT DETE 04/02/19 BLOCK, KLUKAS & MANZELLA P 1046 19WC 12567 HILL, DWAYNE ALRO STEEL CORPORATION 03/21/19 GALLAGHER LAW PC 1047 19WC 12582 LEURA, JOSE KNEAD DOUGH BAKING COMPAN 11/01/17 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 1048 19WC 12607 BRIDGEFORTH, GINA W.W. GRAINGER, INC. 04/10/19 ROMANUCCI & BLANDIN 1049 19WC 12624 MALINOWSKI, CHRISTOPHER CAIT'S CONSIGNMENTS & 02/07/19 DAVID W MARTAY GANAN & SHAPIRO 1050 19WC 12640 HAWKINS, JAMIE VILLAGE OF BEECHER 07/05/18 DONALD FOHRMAN & ASSOC 1051 19WC 12668 PENA, JESUS FIESTA MARKET 03/03/19 CANDIANO LAW OFFICE 1052 19WC 12744 HERNANDEZ, ARACELI KELLY SERVICES INC 04/12/18 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 1053 19WC 12824 HOLLIS, LATRICE AMAZON.COM.DEDC LLC 04/26/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 1054 19WC 12891 MCKENZIE, TERENCE FEDEX 03/27/19 DWORKIN AND MACIARIELLO 1055 19WC 12983 ALLEN, KEVIN C FLEXIBLE STAFFING SERVICE 03/21/19 GALLAGHER, DONALD V ROSARIO CIBELLA 1056 19WC 13056 SANTOYO, ANA GLORIA GREAT AMERICAN BAGEL INC. 03/11/19 JONATHAN SCHLACK 1057 19WC 13098 HOFHERR, MICHAEL SUPERWASH, INC 02/07/19 SPIROS LAW PC RUSIN & MACIOROWSKI LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1076 19WC 14728 GALL, NICHOLAS FEDEX GROUND 05/13/19 CUDA LAW OFFICES 1077 19WC 15028 MCNAIR, SACHA AMAZON, INC. 05/14/19 SAUNDERS CONDON & KENNY WIEDNER & MCAULIFFE LTD 1078 19WC 15092 SZCZUR, KRYSTYNA VALLEY VIEW SCHOOL DIST 3 03/28/19 WHITESIDE & GOLDBERG LTD 1079 19WC 15151 DOUGLAS, YETTIVE DIALYSIS CARE CTR MANAGEM 05/09/19 DWORKIN AND MACIARIELLO EDWARD J. KOZEL 1080 19WC 15174 GLUCHMAN, PATRICK IL DEPT OF CORRECTIONS @ 05/14/19 GWC INJURY LAWYERS LLC ASSISTANT ATTORNEY GENERAL 1081 19WC 15245 PYLE, TALIA NEXUS EMPLOYMENT 04/14/19 TRAPP & GELLER 1082 19WC 15408 BOATMAN, ESSIE SCHNEIDER LOGISTICS 11/30/18 SPIROS LAW PC ASA LAW GROUP 1083 19WC 15491 KLOMES, MARK UNLIMITIED MASONRY 04/10/19 CULLEN HASKINS NICHOLSON 1084 19WC 15623 COLVARD, SIERRA LAIDLAW TRANSIT, INC/ 05/13/19 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 19WC016248 -C 1085 19WC 15645 DAVIS, KEVIN GEA FARM TECHNOLOGY 01/16/19 BLOCK, KLUKAS & MANZELLA P 1086 19WC 15683 FIXTER, CYNTHIA BEECHER VETERINARY CLINIC 01/16/19 MCNAMARA PHELAN MCSTEEN LL 1087 19WC 15718 MUELLER, TRACEY SATO AMERICA C/O 09/05/17 HETHERINGTON KARPEL & BOBB INMAN & FITZGIBBONS 1088 19WC 15895 PARDO, PAUL J IS L TRUCKING, INC 05/21/19 RONALDSON & KUCHLER 1089 19WC 15945 HARRINGTON, BRIAN ELITE STAFFING 05/17/19 GOLDSTEIN AIOSSA & GOOD 1090 19WC 16031 KILGORE, BARRY JB HUNT TRANSPORT SVCS IN 05/29/19 DWORKIN AND MACIARIELLO 1091 19WC 16139 MORENO, DAVID VA TRANSPORT, INC 02/18/19 RUSSO & RUSSO LTD GILDEA, COGHLAN & REGAN LTD. 1092 19WC 16176 BAY, CHRISTOPHER CITY OF JOLIET 04/15/19 HETHERINGTON KARPEL & BOBB KNELL O'CONNOR DANIELWICZ 1093 19WC 16288 PAZ, MONICA COUNTRYSIDE LODGING, INC 02/16/19 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1094 19WC 16408 PARTRIDGE, JAMES CAPSTONE LOGISTICS 05/24/19 TIMOTHY HENDERSON 1095 19WC 16521 CANO, OLGA WEATHERTECH 02/13/19 MICHAEL HELLMAN 1096 19WC 16574 BORGRA, SANDRA FRESH THYME FARMER'S MARK 03/08/19 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL BIERY & ASSOC 1097 19WC 16646 CHAMBLEE, STEPHEN AMAZON DISTRIBUTION CENTE 05/21/19 HORWITZ HORWITZ & ASSOC 1098 19WC 16695 BRAWTHEN, KIMBERLY PARSEC 05/02/19 PARENTE & NOREM PC RUSIN & MACIOROWSKI LTD 1099 19WC 16724 MATHERLY, PENNY AMAZON FULFILLMENT CENTER 05/15/19 DAVID W MARTAY 1100 19WC 16784 JIMENEZ, STEPHANIE TONYS FINER FOODS 06/01/19 DWORKIN AND MACIARIELLO 1101 19WC 16851 BRADFORD, PRINCE C METRO STAFF INC. 06/01/19 SLAVIN & SLAVIN 1102 19WC 17097 DELAPIEDRA, PAOLA AMAZON 04/15/19 SEROWKA LAW WIEDNER & MCAULIFFE LTD 1103 19WC 17170 GUERRERO, MIGUEL CAPSTONE LOGISTICS, LLC 04/15/19 ANKIN LAW OFFICE 1104 19WC 17299 JORDAN, JEANETTE STAFFMARK 05/29/19 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 1105 19WC 17464 ALLRED, KELLY SEPTRAN, INC 05/15/19 HORWITZ HORWITZ & ASSOC 1106 19WC 17562 FISHBECK, BELINDA LOVER'S LANE 01/04/19 BERG & BERG 1107 19WC 17584 KOS, VINCENT GEODIS 05/20/19 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 1108 19WC 17669 HUMPHRIES, LEROY STELA EXPRESS INC 04/10/19 JAMES ELLIS GUMBINER & ASS KRAKER FANNING & OLSEN 1109 19WC 17743 RUEFF, ANDREW L TAYLOR CHRYSLER DODGE INC 04/09/18 MAURICE E DUSKY PC MCANANY VANCLEVE & PHILLIPS 1110 19WC 17828 WAGILA, MARK THE DAVEY TREE EXPERT COM 05/07/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 1111 19WC 17900 JUREK, JACK ARAMARK 06/08/17 SARKISIAN & FLEMING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 65 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1112 19WC 18028 MAYER, PAUL J MOTION & CONTROL ENTERPRI 04/01/16 HORWITZ HORWITZ & ASSOC 1113 19WC 18142 TRAVIS, LYSANDER EASTER SEALS 06/12/19 DWORKIN AND MACIARIELLO 1114 19WC 18221 BROWN, DANIEL AMAZON, INC 05/07/19 MINKOW DOMIN WIEDNER & MCAULIFFE LTD 1115 19WC 18365 RODRIGUEZ, MARGARITA MAYA ALDI 02/18/19 FOOTE MIELKE CHAVEZ O'NEIL 1116 19WC 18470 CARTER, DARRYL SILVER CROSS HOSPITAL 01/11/19 NILSON STOOKAL GLEASON CAP RUSIN & MACIOROWSKI LTD 1117 19WC 18542 ROSS, COREY SURGE STAFFING LLC 05/21/19 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 1118 19WC 18623 BAILEY, KATIE COMMUNITY CARE SYSTEMS IN 11/06/18 RATHBUN CSEVENYAK & KOZOL 1119 19WC 18737 SIMMONS, KEITH WORK NOW LLC 06/14/19 STEVEN J MALMAN & ASSOCIAT HENNESSY & ROACH PC 1120 19WC 18779 GALBAVY, ANDREA AURELIO'S PIZZA 05/02/19 RATHBUN CSEVENYAK & KOZOL GILDEA, COGHLAN & REGAN LTD. 1121 19WC 18810 ALVARADO, ISMAEL MILLER METALS 02/22/18 ACEVES & PEREZ PC GRIFFIN, LORETTA M LAW OFFIC 1122 19WC 18866 BEJDA, MIMI ROMEOVILLE POLICE DEPARTM 03/17/17 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 1123 19WC 18887 FLORES, VICTOR AMERICAN DECK BUILDERS, I 06/21/19 HART & DAVID LLP 1124 19WC 19057 GALLEGOS, SOTERO FLEXIBLE STAFFING SERVICE 06/13/19 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 1125 19WC 19073 LEE, CAROL SILVER CROSS HOSPITAL 05/10/19 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 1126 19WC 19096 SHEEHY, JAMES ROLAND MACHINERY 01/23/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 1127 19WC 19118 THOMASON, DAN USF HOLLAND 01/16/19 SAUNDERS CONDON & KENNY 1128 19WC 19166 SOKOLOWSKI, WALTER BELMAR INTEGRATED LOGISTI 06/05/19 LEONARD LAW GROUP LLC 1129 19WC 19222 NEVAREZ, IRMA KEHE DISTRIBUTION 07/01/19 OSVALDO RODRIGUEZ PC POULOS & DIBENEDETTO LAW

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1166 19WC 21606 SOSA, MARTIN ACE IRON & METALS INC. 07/17/19 GOLDSTEIN AIOSSA & GOOD GAROFALO SCHREIBER STORM GRA 1167 19WC 21738 SCHIFFER, LUKE INTEGRITY STAFFING/ 01/03/18 BLOCK, KLUKAS & MANZELLA P 1168 19WC 21801 SORIA, MARIBEL XPO LOGISTICS/JACOBSON 06/20/19 RUEDA, IVAN A RUSIN & MACIOROWSKI LTD 1169 19WC 21969 BLOODWORTH, ROBERT APL LOGISTIC, LTD. 04/23/19 RUBIN LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 1170 19WC 22001 SALINAS, ARTURO PLAINFIELD SCHOOL DIST #2 05/16/19 MORICI FIGLIOLI & ASSOC 1171 19WC 22021 FORBES, JUSTIN WALMART 06/09/19 FOOTE MIELKE CHAVEZ O'NEIL QUINTAIROS PRIETO WOOD & BOY 1172 19WC 22044 ANDERSON, IDELLA HEARTHSIDE 06/17/19 WOODRUFF JOHNSON HOLECEK & ASSOCIATES 1173 19WC 22066 LOZANO, ERIK ELITE STAFFING 07/23/19 POLANSKY & CICHON CHTD 1174 19WC 22102 STARK, DANIEL JB HUNT TRANSPORT SERVICE 07/25/19 ANKIN LAW OFFICE 1175 19WC 22197 STANTON, JOHN UNITED FACILITIES 04/29/19 BLOCK, KLUKAS & MANZELLA P LAWRENCE COZZI - LAW OFFICE 1176 19WC 22279 MOSS, CHARLES DOLLAR TREE 07/07/19 ANGELINI & ORI LLC LEAHY EISENBERG & FRAENKEL 1177 19WC 22368 NUNEZ, ALEXANDER CRESCO LABS 07/25/19 1178 19WC 22384 WILLIAMS, MICHAEL A SUPERIOR HEALTH LINENS 01/15/19 VITELL & SPITZ LTD 1179 19WC 22405 PELCASTRE, JOSE ESMARK STEEL 07/02/19 ASHER, RAYMOND L LTD 1180 19WC 22473 STRUCK, LARRY ECOLAB INC 04/02/19 SCHWEICKERT & GANASSIN KEEFE CAMPBELL BIERY & ASSOC 1181 19WC 22496 MARION, NEIL MARIANO'S 02/27/19 BURNETT & CARON, LTD 1182 19WC 22573 STEPANEK, THOMAS VILLAGE OF BOLINGBROOK 05/25/19 HORWITZ HORWITZ & ASSOC 1183 19WC 22876 SCHMIDT, DORENE AMAZON 03/03/19 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1184 19WC 22907 MEJIA, MIGUEL HR METRICS, INC. 07/03/19 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 1185 19WC 22926 ORNELAS, ARTURO GREENSCAPE SERVICES 05/23/19 PARENTE & NOREM PC RUSIN & MACIOROWSKI LTD 1186 19WC 23028 VAZQUEZ, GUILLERMINA ARYZTA, LLC 07/11/19 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 1187 19WC 23214 AUSTIN, TYRONE VALLEY VIEW SCHOOL DISTRI 12/07/18 GERALD CONNOR KNELL O'CONNOR DANIELWICZ 1188 19WC 23241 CORREA, JUAN PIAZZA AND MANNERINO MASO 07/24/19 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 1189 19WC 23250 DABDOUB, ABRAHAM NED STEVENS GUTTER CLEANI 07/20/19 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 1190 19WC 23347 ALBRECHT, RANDAL USF HOLLAND 08/01/19 CAPRON & AVGERINOS PC 1191 19WC 23509 WARREN, LATOYIA SALEM VILLAGE 08/07/19 VASILATOS & COTTER LLC 1192 19WC 23663 LYONS, LATORA ELITE LOGISTICS, LOANING 08/06/19 WOODRUFF JOHNSON GAROFALO SCHREIBER STORM GRA 1193 19WC 23710 CRUZ, ANA CSS INDUSTRIES, LLC 06/24/19 BLOCK, KLUKAS & MANZELLA P WOLFE & JACOBSON, LTD 1194 19WC 23713 TALBERT, LORI COUNTY OF WILL 06/04/19 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 1195 19WC 23769 MEARDAY, CORETTA ALG WORLDWIDE LOGISTICS 06/27/19 HORWITZ HORWITZ & ASSOC 1196 19WC 23800 CHENEY, SHANNON MALONE WORKFORCE SOLUTION 07/24/19 HORWITZ HORWITZ & ASSOC 1197 19WC 23828 CAMARGO, CECILIA IL DEP OF CORRECTIONS @ 07/11/19 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENERAL 1198 19WC 23900 ROBINSON, PAUL RICOH 09/12/18 LEITER LAW OFFICES CHILTON YAMBERT PORTER LLP 1199 19WC 23934 REYNOSA, MARIA H.B. FULLER COMPANY 03/15/18 THOMAS R LICHTEN NYHAN BAMBRICK KINZIE & LOWR 1200 19WC 23976 ATHANS, RAMONA AMAZON 05/06/19 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1201 19WC 24058 POSTEL SCULLEY, ANN T THE INN AT WILLOW FALLS 07/19/19 DANIEL J ADLER LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1202 19WC 24099 PARKER, JASHAUNTI STAFFMARK 08/08/19 WOODRUFF JOHNSON KEEFE CAMPBELL BIERY & ASSOC 1203 19WC 24112 RODRIGUEZ, DAISY EXPRESS EMPLYMNT PROFESSI 04/11/19 GRAVLIN, MICHAEL J LLC MC ANDREWS & NORGLE LLC 1204 19WC 24190 TAYLOR, DIONDRA SUPERIOR HEALTH LINENS 03/16/19 CULLEN HASKINS NICHOLSON 1205 19WC 24255 YANEZ, BELEN WENDY'S/ALL STAR MANAGEME 11/07/18 BAUM RUFFOLO & MARZAL LTD JOSEPH MARCINIAK 1206 19WC 24336 RODRIGUEZ, TOMAS K-BROTHERS FENCE CO, INC 06/27/19 OSVALDO RODRIGUEZ PC KEEFE CAMPBELL BIERY & ASSOC 1207 19WC 24370 SENIOR, CAROLYN ILLINOIS TOOL WORKS 06/11/19 BRILL & FISHEL NYHAN BAMBRICK KINZIE & LOWR 1208 19WC 24436 HERNANDEZ, CAROLINA G & W ELECTRIC 06/21/19 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 1209 19WC 24592 LOVE, NICOLE HEARTHSIDE FOOD SOLUTIONS 06/20/19 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 1210 19WC 24652 NUNEZ, JAIME JULIAN ELECTRIC 02/13/19 RATHBUN CSEVENYAK & KOZOL 1211 19WC 24702 BOE, STEVEN CITY OF JOLIET POLICE DEP 05/18/19 RATHBUN CSEVENYAK & KOZOL KNELL O'CONNOR DANIELWICZ 1212 19WC 24724 SMITH, BRIZHANA AMAZON MDW7 07/24/19 DWORKIN AND MACIARIELLO 1213 19WC 24877 BENSON, KATRINA AMITA HEALTH ST.JOSEPH ME 05/21/19 PORRO NIERMANN LAW GROUP 1214 19WC 24905 PHILLIPS, CATHERINE A CAESARS ENTERTAINMENT COR 05/09/19 KAVANAGH GRUMLEY & GORBOLD NOBLE & ASSOC 1215 19WC 25000 WELLS, MARK LITHOTYPE COMPANY INC 01/04/19 LAWRENCE COZZI - LAW OFFICE 1216 19WC 25021 CONTRERAS, ARTURO CLEARWATER PAPER CORPORAT 07/10/19 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1217 19WC 25053 HOPSON, TARSHIE PROLOGISTIX 07/31/19 ANKIN LAW OFFICE 1218 19WC 25067 BROWN, VERONICA GRAND PRAIRIE TRANSIT 09/25/18 ANGELINI & ORI LLC 1219 19WC 25109 MACK, ARINESHA THE PARC AT JOLIET 07/17/19 ROGER D RUDICH LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 72 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1238 19WC 26624 WALLOCK, MARKEYON YRC INC./YRC FREIGHT 08/21/19 ANKIN LAW OFFICE 1239 19WC 26683 BANEGAS RAMIREZ, ARMANDIN KORY MANAGEMENT, INC 08/06/19 HERRERA LAW CENTER ROSARIO CIBELLA 1240 19WC 26713 SHOEMAKER, KURT SEELER INDUSTRIES INC 04/11/19 HORWITZ HORWITZ & ASSOC CHILTON YAMBERT PORTER LLP 1241 19WC 26765 CARPENTER, LANCE DIAGEO, INC. 06/21/19 EAMES LAW GROUP LTD COZZI & ZAPF LAW OFFICE 1242 19WC 26861 DIEZ-MARCOS, CARLOS MENARD'S 05/05/17 MILLON & PESKIN LTD 1243 19WC 26953 WEATHERSPOON, WHITNEY STATE OF ILLINOIS @ 08/29/19 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENL 1244 19WC 26981 WILLIAMS, JASMINE COWORX STAFFING SERVICES 09/09/19 GERALD CONNOR BRADY CONNOLLY & MASUDA PC 1245 19WC 27018 JOHNSON, MICHAEL B J IS L TRUCLING, LLC 08/18/19 DEPAOLO & ZADEIKIS 1246 19WC 27054 LONDON, ROXANNE AT&T 06/06/19 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 1247 19WC 27174 CLAAR, LYDIA SPEEDWAY LLC 05/26/19 SCHWEICKERT GANASSIN KEEFE CAMPBELL BIERY & ASSOC 1248 19WC 27276 REYES, ELIZABETH AS CUSTD MCDONALD'S 09/07/19 ANGELINI & ORI LLC 1249 19WC 27293 HERNANDEZ, THELMA FIS 09/20/16 PORRO NIERMANN LAW GROUP GOLDBERG SEGALLA LLC 1250 19WC 27311 BISPING, DONALD STATE OF ILLINOIS DOT @ 04/10/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1251 19WC 27370 ELLIOTT, TODD ALDI 05/21/19 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 1252 19WC 27444 NUNNALLY, KEITH COOK COUNTY OF ILLINOIS 04/01/19 GOLDSTEIN AIOSSA & GOOD STATES ATTORNEY OF COOK COUN 1253 19WC 27509 LINARES, CHRISTOPHER ILLINOIS STATE POLICE @ 08/16/19 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 1254 19WC 27601 JOHNSON, ELLIOTT SNIDER-BLAKE PERSONNEL 09/16/19 DWORKIN AND MACIARIELLO KRAKER FANNING & OLSEN 1255 19WC 27624 CASH, RACHEL LEE WALMART, INC. DBA WALMART 09/07/19 FIORENTINO LAW OFFICES QUINTAIROS PRIETO WOOD & BOY

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 84 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 07/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1454 20WC 00704 CHRISTENSEN, JONATHAN R MANHATTAN FIRE PROTECTION 11/13/19 CRONIN PETERS & COOK 1455 20WC 00729 HOLLARS, BRIAN WESTROCK 11/14/19 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 1456 20WC 00782 MONTES, LOUIS ILLINOIS DEPARTMENT 01/03/20 COSTA IVONE LLC 1457 20WC 00907 CLARKE, DOREEN THE COTTAGES OF NEW LENOX 11/23/19 STEVEN J MALMAN & ASSOCIAT HENNESSY & ROACH PC 1458 20WC 01129 WILLIFORD, LINDA GREENCORE USA 05/04/17 CHASE & WERNER LTD 1459 20WC 01231 NELSON, ERICA L AMAZON MDW7 11/19/19 VASILATOS & COTTER LLC 1460 20WC 01246 ST HILAIRE, MORRISON SHERWIN-WILLIAMS PAINT ST 03/25/19 MARC J SHUMAN & ASSOCIATES 1461 20WC 01308 WILSON, DAVID NEXUS EXPLOYMENT SOLUTION 12/26/19 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 1462 20WC 01355 LEWIS, CHRISTINA APRIA HEATHCARE 12/31/19 POLANSKY & CICHON CHTD 1463 20WC 01415 TURNBAUGH, BON WOLF'S SEALCOATING INC 08/01/19 DWORKIN AND MACIARIELLO 1464 20WC 01446 RODRIGUEZ, ANGEL SURESTAFF, INC 12/14/19 BRILL & FISHEL LOUIS MUNDY 1465 20WC 01483 MARQUEZ, FILIBERTO DUTCH AMERICAN FOODS INC 03/07/19 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 1466 20WC 01522 ODEN, DOMINQUE JOLIET STAFFING 01/06/20 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 1467 20WC 01550 BLAND, YVONNE STATE OF IL DHS LUDEMAN C @ 09/28/19 BLOCK, KLUKAS & MANZELLA P 1468 20WC 01608 WINKLE, WILLIAM WADSWORTH GOLF CONSTRUCTI 12/02/19 PETER F FERRACUTI & ASSOCI WOLFE & JACOBSON, LTD 1469 20WC 01675 LIPUMA, JOSEPH ENERGY SAVERS, INC. 12/03/19 DUDLEY & LAKE LLC JOSEPH MARCINIAK 1470 20WC 01691 REED, DANIELLE S USF HOLLAND 12/17/19 COVEN LAW GROUP 1471 20WC 01746 ANDERS, JOHN VANGUARD INSTALLATIONS IN 01/09/20 STEVEN J TENZER, LTD HEYL ROYSTER VOELKER & ALLEN

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