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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 BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 11WC 10130 RAMIREZ, JOAQUIN COLORS FOR PLASTICS INC 02/17/11 FRIEDMAN & SOLMOR LTD LAW OFFICES JOSEPH MARCINIAK 15 11WC 22349 ESTANISLAO, ELEANOR HMS HOST 05/20/11 ELFENBAUM EVERS & AMARILIO ROBERT L. SMITH 16WC025410 -C 16 11WC 24850 REYES, JUAN CAMPHOUSE COUNTRY LANDSCA 05/27/11 BRIAN T MORROW, LAW OFFICE STONE & JOHNSON CHARTERED 17 11WC 25990 CHAO, MARIA UNIVERSITY OF CHICAGO 04/12/11 LAW OFFICE ILONKA ULRICH NYHAN BAMBRICK KINZIE & LOWR 18 11WC 26156 ARNOLD, SHERROD FEDEX GROUND 06/17/11 JAMES ELLIS GUMBINER & ASS KOPKA, PINKUS DOLIN, PC 13WC038856 -C 19 11WC 29362 HOLMON, LASHAWN CTA 07/30/11 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 13WC032476 -C 14WC032940 -C CHICAGO TRANSIT AUTHORITY 20 11WC 35650 MITCHELL, JERMAINE OMEGA AIRPORT SHUTTLE W 08/30/11 STEVEN J SEIDMAN LAW OFFIC STEPHANIE KEVIL 21 11WC 43492 VIDEIRA, MICHAEL CHICAGO FIRE SOCCER CLUB 04/29/11 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 13WC024180 -C 13WC024181 -C 14WC000244 -C 22 11WC 43713 ZELLER, VERNON SEARS HOLDING CORP 05/23/11 JOHN E LUSAK GAROFALO SCHREIBER STORM 23 11WC 44019 TOLLINCHI, JOSE GEORGIA NUT COMPANY 04/20/11 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 24 11WC 44330 HAMPTON, AUDREY CHICAGO PUBLIC SCHOOLS 09/13/11 DEAN J CARAS & ASSOCIATES LEAHY EISENBERG & FRAENKEL 25 11WC 47393 SOLANO, YOLANDA GATE COURMET 12/11/11 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 11WC047394 -C 11WC047395 -C 11WC047839 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 26 12WC 02357 RALPH, JASON CURRIERS HUDO SERVICE LLC 01/06/12 JOHN S. ELIASIK RUSIN & MACIOROWSKI LTD 27 12WC 03586 19B LOCKHART, MARGARET ILL DEPT OF TRANSPORTATIO @ 01/13/12 LEWIS & DAVIDSON, LTD ASSISTANT ATTORNEY GENERAL 28 12WC 09953 SULLIVAN, JAMES SCHAAF GLASS & MIRROR 10/02/11 TAXMAN POLLOCK STONE & JOHNSON CHARTERED 29 12WC 16306 ALLEN, WENDELL JOEYS MOVERS AND TRUCKING 04/26/12 KARCHMAR & STONE POWER & CRONIN LTD 30 12WC 16410 HOOTEN, WILLIAM F SPRAY INSULATIONS INC/ 01/10/12 DEBRA M BYRNES WIEDNER & MCAULIFFE LTD 31 12WC 16494 DACA, JANUSZ SPIE TOOL CO 05/01/11 MINKOW DOMIN LAW OFFICES JOSEPH MARCINIAK 32 12WC 23820 GALLEGOS, FERNANDO BUCKLEY MANAGEMENT 06/22/12 PARENTE & NOREM PC QUINTAIROS PRIETO WOOD & BOY 12WC023821 -C DAYJA INCORPORATED 33 12WC 26407 BAPTISTE, JAMES FORD MOTOR COMPANY 02/16/74 STEWART C ORZOFF POWER & CRONIN LTD 34 12WC 27455 TRES, ALAN J WEST RIDGE NEWS AGENCY IN 05/15/03 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 35 12WC 28524 BALLARD, KEVIN FORD MOTOR CO 05/17/11 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 12WC028525 -C 14WC017178 -C 15WC039275 -C 15WC039276 -C 36 12WC 29208 FINCEL, LOUISE UNITED AIRLINES INC. 05/08/12 JAMES M RIDGE LAW OFFICE WIEDNER & MCAULIFFE LTD 37 12WC 30666 GRANDE, MANUEL P DE STA CO MANUFACTURING 05/29/12 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 14WC012679 -C DE-STA-CO MANUFACTRING 38 12WC 34254 SPITZER, MELANIE CLUB 162 N/K/A 04/01/11 GORDON & CENTRACCHIO LLC 39 12WC 38165 DIAZ, ANTONIO SKYLINE FURNITURE MFG INC 05/10/12 CULLEN HASKINS NICHOLSON 40 13WC 05928 ESPINOZA, ANGELICA CLEAN ADVANTAGE JANITORIA 02/14/13 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 41 13WC 07346 HARRIS, NATESHA ABM JANITORIAL 08/30/12 SALVATO & O'TOOLE GOLDBERG SEGALLA LLC 42 13WC 14672 GONZALEZ, MARLENE ASSEMBLERS, INC 02/08/13 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 13WC020446 -C STAFF RIGHT LLC 43 13WC 15421 ADAMS, DAN M STATE OF ILLINOIS DEPT OF 01/26/13 TAMVAKIS, GEORGE L C. FLETCHER 44 13WC 15579 BLIVEN, HOWARD STATE OF ILLINOIS @ 02/26/13 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 45 13WC 15855 SHEPARD, PATRICIA JEWEL FOODS 04/13/13 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 46 13WC 16757 ARANDA, ANTONIO HILTON WORLDWIDE INC C/O 02/15/13 LEWIS & DAVIDSON, LTD NOBLE & ASSOCIATES PC 47 13WC 16825 FRYE, LAMONT CHICAGO PUBLIC SCHOOL ROJ 05/13/13 LAW OFFICE OF SCOTT B SHAP LAW DEPARTMENT 48 13WC 17161 GALLAGHER, JAMES M BLOCK & SONS 05/07/13 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 13WC017162 -C 13WC017163 -C 49 13WC 23909 HANNAH, TANASHA PRINCIPAL MANUFACTURING 05/01/11 MEYERS & FLOWERS JOSEPH MARCINIAK 15WC005006 -C 50 13WC 24791 ULRICH, JOHN E JR PALOS COMMUNITY HOSPITAL 08/26/10 HORWITZ HORWITZ & ASSOC LORENZ & BERGIN PC 51 13WC 25116 OMOSEBI, OLATUNDE DISPATCH TAXI CO 01/28/12 SEIDMAN MARGULIS & FAIRMAN 52 13WC 26225 BURKARD, NICHOLAS O CHICAGO PARK DISTRICT 06/11/13 GOLDBERG WEISMAN & CAIRO L CHICAGO PARK DIST LAW DEPT 53 13WC 27518 QUIROS, JESSE AUTOZONE 06/21/13 JOHNSON, MICHAEL D & ASSOC QUERRY & HARROW LTD 54 13WC 27554 RICHARDSON, KARENA UNIVERSITY OF CHICAGO HOS 06/29/13 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 55 13WC 27609 GOMEZ, GILBERTO VIRTO AND SON TRUCKING 10/15/12 CULLEN HASKINS NICHOLSON SMITH AMUNDSEN LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 56 13WC 27932 RICHARD, MARY CTA 07/30/13 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 57 13WC 30197 MORENO, ROSA KELLOGG COMPANY D/B/A 08/26/13 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 13WC039545 -C 58 13WC 31234 MORALES, EDDIE VILLAGE OF BELLWOOD 08/08/13 FIGLIOLI, DAVID ROCK FUSCO & CONNELLY 15WC023030 -C 59 13WC 36673 HAMPTON, KIMBERLY ARIA POST ACUTE CARE 07/19/12 BLEAKNEY & TROIANI MCCABE KIRSHNER PC 14WC032349 -C 15WC022214 -C 60 13WC 36829 WASHINGTON, RHONDA CTA 10/19/13 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 61 13WC 37086 BRABOY, ALISHA BOULEVARD CARE CENTER 07/12/11 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 62 13WC 37186 MITILINAKES, VIRGINIA SUPER 8 MOTEL 10/01/13 ANKIN LAW OFFICE DARR LAW GROUP, LLC 63 14WC 00924 ROBINSON, CHARLES CTA 01/07/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 64 14WC 00935 MORGAN, CHARWANA M CLERK OF THE CIRCUIT CT C 06/29/11 WILLIAMS, ROBERT B LAW OFF STATES ATTORNEY OF COOK COUN 14WC025866 -C 15WC019219 -C 65 14WC 02012 GOODE, TINECA FORD MOTOR COMPANY 09/21/11 MINKOW DOMIN POWER & CRONIN LTD 66 14WC 02379 GONZALEZ, NANCY CHICAGO BOARD OF EDUCATIO 11/21/13 SAUNDERS CONDON & KENNY LAW DEPARTMENT 67 14WC 02414 HORDE, CECILIA CHICAGO BOARD OF EDUCATIO 03/17/00 JOHN E LUSAK 68 14WC 02595 MORALES, EDUARDO VILLAGE OF BELLWOOD 12/30/13 FIGLIOLI, DAVID ROCK FUSCO & CONNELLY 69 14WC 02905 PLEDGER, SHEILA ADDUS HEALTH CARE 01/10/14 CORNFIELD & FELDMAN HENNESSY & ROACH PC 70 14WC 02920 DUNIGAN, KEITH COCA-COLA REFRESHMENTS 04/30/12 KEDZIE LAW OFFICE PC BRADY CONNOLLY & MASUDA PC 71 14WC 03980 MATUSIAK, SAMANTHA VISCOFAN USA 10/12/12 RIDGE & DOWNES LAW OFFICES OF EDWARD J. KOZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 72 14WC 04210 FRANKLIN, SHARON CHICAGO TRANSIT AUTHORITY 11/06/13 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 73 14WC 04405 MARTINEZ, JUAN CARLOS EL VENENO DE NAYARIT 05/06/13 VRDOLYAK LAW GROUP LLC 74 14WC 04451 ARREGUIN, ALEJANDRO SAEILO MANUFACTURING 01/21/14 LAW OFFICE OF OSVALDO RODR JOSEPH MARCINIAK 75 14WC 05147 FEDRO, JAMI T TOYS R US 11/16/13 KENNETH B GORE, LTD 76 14WC 05224 KLAPKOWSKI, ALFRED FUTURE MARK PAPER CO 01/15/13 AMBROSE BUTZEN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 77 14WC 05339 BARNES, LILLIE CTA 01/27/14 POLANSKY & CICHON CHTD CHICAGO TRANSIT AUTHORITY 78 14WC 05908 MITCHELL, JAMALL JEWEL OSCO 01/10/14 DWORKIN AND MACIARIELLO RODDY LAW LTD 79 14WC 06310 MITCHELL, LINDA TOWNSHIP HIGH SCHOOL 01/23/13 EVAN A HUGHES LAW OFFICE WIEDNER & MCAULIFFE LTD 14WC006311 -C 80 14WC 06733 BEDOY, BERTHA LETS PLAY CHILD CARE 01/10/14 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 81 14WC 07388 SCHROEDER, SHAWN MCAULEY BLDG MAINTENANCE, 10/24/12 STEINBERG BURTKER & GROSSM RUSIN & MACIOROWSKI LTD 82 14WC 08492 EARTHELY DAVIS, DENISE CTA 02/28/14 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 83 14WC 10686 GABRIEL, ELSA CAM-CO JANITORIAL 10/30/13 JOHN S. ELIASIK RODDY LAW LTD 84 14WC 11928 19B HERNANDEZ, JESUS HIGHLAND BAKING INC 02/28/14 ACEVES & PEREZ PC RIPES NELSON BAGGOT KALOBRAT 85 14WC 12402 CEJA, RODOLFO MEYER STEEL DRUM INC W 03/12/14 EPSTEIN, JACK R LAW OFFICE 86 14WC 12900 FIGUEROA, SUJEY ELITE STAFFING 04/07/14 GOLDBERG SEGALLA LLC 87 14WC 13712 DETLAFF, CHADWICK J CAST & CREW ENTERTAINMENT 03/25/14 RUBIN LAW GROUP GRANT & FANNING 88 14WC 13805 GARCIA, MAUEL ACCURATE DISPERTIONS 02/11/14 STYKA & STYKA ROBERT L. SMITH 89 14WC 13895 GAS, ROSELYN UNIVERSITY OF CHICAGO MED 02/26/14 DANIEL SZCZECIN & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 90 14WC 14927 ADKINS, STEPHEN ECOLAB 10/21/13 FRANCIS J DISCIPIO LAW OFF KEEFE CAMPBELL & ASSOC LLC 91 14WC 15416 SOLANO, MOISES MULTI TEMPS SERVICES INC 07/09/13 GOLDSTEIN BENDER & ROMANOF THOMAS & PORTELA 92 14WC 15440 HOWZE, JOHN A&A MIDWEST 01/09/14 SIGMOND, STEVEN RODDY LAW LTD 93 14WC 16112 ARZATE, RUBEN Z GEORGE MANAGEMENT CORP 03/27/14 ILLINOIS INJURY LAWYERS GEORGE PONTIKES & ASSOC 94 14WC 16219 NEEDHAM, DANIEL J FORTISTAR METHANE GROUP 03/27/14 RIDGE & DOWNES HENNESSY & ROACH PC 95 14WC 16439 ARNOLD, ROBERT AMMERAAL BELTECH 08/17/13 SEIDMAN MARGULIS & FAIRMAN 96 14WC 16697 RAMOS, JUAN PABLO SORTO D & Z CONSTRUCTION LLC 01/19/14 SALVATO & O'TOOLE 97 14WC 16917 GREEN-JERNIGEN, MELANIE ST OF IL DEPT OF @ 01/30/14 MEYERS & FLOWERS C. FLETCHER 98 14WC 16951 POCIASK, CHRISTINE CVS PHARMACY INC 11/09/13 ACEVES & PEREZ PC HINSHAW & CULBERTSON 99 14WC 17418 MORENO, HUGO COLONIAL BRICK CO INC 03/12/14 JOHN S. ELIASIK ACCIDENT FUND HOLDINGS 100 14WC 18959 19B CHACKO, ALVIN CHICAGO TRANSIT AUTHORITY 12/17/13 BOWMAN & CORDAY CHICAGO TRANSIT AUTHORITY 101 14WC 19607 WASHINGTON, BRENDA CHICAGO TRANSIT AUTHORITY 05/27/14 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 102 14WC 20860 JAMISON, ANTHONY CHICAGO PUBLIC SCHOOLS 09/22/11 CAMERON CLARK LAW DEPARTMENT 103 14WC 20980 BALEGH, HAMDY FRANK FOOD MART 01/29/14 JAMES W GREEN, JR 104 14WC 24692 REYES, MARIO NTB 10/13/13 SALVATO & O'TOOLE BRADY CONNOLLY & MASUDA PC 105 14WC 25379 SCHNURR, RONALD L MOTOR WERKS OF BARRINGTON 01/09/14 JOHN E LUSAK GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 106 14WC 25499 RUIZ, ALEJANDRO AMERICAN BUILDING 12/26/13 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR 107 14WC 27017 RILEY, ERICA CHICAGO TRANSIT AUTHORITY 08/01/14 ANKIN LAW OFFICE 15WC018987 -C CTA 16WC027513 -C 108 14WC 27105 DASHUK, YEVGENITY THE COCA-COLA COMPANY 12/11/13 RUBIN LAW GROUP BRADY CONNOLLY & MASUDA PC 109 14WC 30517 PEAKE, ROBYN CTA 06/09/14 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 110 14WC 35257 PREVENDAR, DAN UNITED AIRLINES INC. 10/03/14 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 111 14WC 36472 METZNER, MARK AMERICAN COMMUNITY MANAGE 08/05/14 BOUDREAU NISIVACO LLC ACCIDENT FUND HOLDINGS 112 14WC 36745 VILLEGAS, SERGIO NORWOOD PARK/CHICAGO 10/10/14 JAMES ELLIS GUMBINER & ASS CHICAGO PARK DIST LAW DEPT 113 14WC 36880 SMILEY, JOE D JR CHICAGO PUBLIC SCHOOLS 05/06/14 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 114 14WC 37435 AVILEZ, SEFERINO VPC PIZZA MANAGEMENT 08/26/13 MARTIN L GLINK LAW OFFICE INMAN & FITZGIBBONS 115 14WC 37467 BROOKS, SHIFFONE ALDI 06/01/14 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 116 14WC 37575 19B BRYANT, SUSAN ANN & ROBERT H LURIECHILD 07/28/12 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 117 14WC 37616 OLADIPO, OLALEKAN TRIBECA TWO CAB CORP 3335 09/04/14 COHN LAMBERT RYAN & SCHNEI 118 14WC 37795 HILL, DEBBIE PARTY CITY 08/10/13 EFTEKHARI LAW OFFICES HOLECEK & ASSOCIATES 14WC037796 -C 119 14WC 37902 TORRES, MARTHA PROSPECT AIRPORT SERVICES 05/28/14 SOSTRIN AND SOSTRIN PC RUSIN & MACIOROWSKI LTD 120 14WC 38491 OROZCO, MARIA ELENA LABOR SOLUTIONS/STAFF RIG 11/01/14 CULLEN HASKINS NICHOLSON NEWLAND & NEWLAND 121 14WC 38688 MONDEN, BARBARA PRAIRIE HILLS ELEMENTARY 10/02/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 122 14WC 38834 PRICE, TIMOTHY L D DHL WORLDWIDE EXPRESS 10/09/14 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 123 14WC 39148 ABUSHARIFEH, KHALED PARS RIDE INC 01/02/13 FINE, MARK S LAW OFFICES 124 14WC 39439 TAPIA, MARIA LUZ ELITE STAFFING 09/19/14 AIOSSA LAW FIRM 125 14WC 39773 CASTANON, YOLANDA CELLULAR FIELD 09/25/14 EFTEKHARI LAW OFFICES 126 14WC 40488 HARTMAN, JEFF FORD MOTOR CO 05/13/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 15WC020865 -C 127 15WC 01658 SALDIVAR, ROGELIO PACKERS SANITATION SERVIC 12/14/14 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 128 15WC 01863 PARCHETA, PATTY STARBUCKS COFFEE COMPANY 06/03/14 LAW OFFICES DANIEL E MURPH BRADY CONNOLLY & MASUDA PC 129 15WC 02039 CAMPBELL, GAIL ELDC 05/08/14 STROM, NEAL B ASSISTANT ATTORNEY GENERAL 15WC031773 -C STATE OF ILLINOIS - 130 15WC 02206 WILSON, RODNEY PREMIER TRANSPORTATION 01/07/15 STEVEN J MALMAN & ASSOCIAT KEEFE CAMPBELL & ASSOC LLC 131 15WC 02354 IGOE, ELIZABETH CHICAGO PUBLIC SCHOOLS 09/13/13 KARCHMAR & STONE LAW DEPARTMENT 132 15WC 02423 SMITH, ISABEL AVERITT 01/15/15 GRAVLIN, MICHAEL J LLC WIEDNER & MCAULIFFE LTD 133 15WC 03484 MARTIN, CORNELLA ARAMARK 01/08/15 POMPER & GOODMAN 15WC011365 -C 134 15WC 03509 BAKER, LAFORCE PACE BUS 12/05/14 TRAPP & GELLER SLAVIN & SLAVIN 135 15WC 03896 DAVIS, JAMICA N COOK CTY FACILITIES MGMT 11/14/13 GOLDSTEIN BENDER & ROMANOF STATES ATTORNEY OF COOK COUN 136 15WC 04105 REYNA, JOSEPH M JR PARKER CROMWELL 11/21/14 DEPAOLO ZADEIKIS GORE 137 15WC 04144 CHAMBLISS, WILLIE J CTA 01/04/15 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 16WC005611 -C 138 15WC 04306 BENITEZ, VICTOR MILLWOOD, INC 11/13/14 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 16WC004924 -C 17WC015036 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 139 15WC 04584 DIONIDO, LEONARDO A PACE WEST DIVISION 08/18/14 MICHAEL HELLMAN PACE - LEGAL DEPT 140 15WC 04609 GIL, CARLOS CHICAGO TRANSIT AUTHORITY 01/12/15 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 141 15WC 04627 SAYANI, MOHAMMED N GLOBE TAXI 02/24/14 SEIDMAN MARGULIS & FAIRMAN 142 15WC 04635 HAMPE, ELIZABETH STEPAN COMPANY 12/12/14 DEPAOLO ZADEIKIS GORE KLAUKE LAW GROUP LLC 16WC006324 -C 16WC006325 -C 143 15WC 04673 STEVENS, JACQUELINE NEW WORLD VAN LINES 12/15/14 STEWART C ORZOFF GAROFALO SCHREIBER STORM 144 15WC 04907 LATRONICA, RENEE G CHICAGO PUBLIC SCHOOLS 06/10/14 GOLDBERG WEISMAN & CAIRO L 145 15WC 04926 VESELY, BRYAN J RICCI/WELCH INC 01/28/15 FIGLIOLI, DAVID CHILTON YAMBERT PORTER LLP 146 15WC 04948 LEWIS, JEZAIL CHICAGO PUBLIC SCHOOLS 01/14/15 BAUM RUFFOLO & MARZAL LTD 147 15WC 04952 KILGALLON, KATHERINE OAKTON COMMUNIT COLLEGE 11/14/14 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 148 15WC 04968 WAGNER, ROBERT GLOBAL EXPERIENCE 02/03/15 VRDOLYAK LAW GROUP LLC GILDEA & COGHLAN 149 15WC 04994 PARRY, JANET NORTH SUBURBAN 08/26/14 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 15WC004995 -C 15WC027247 -C 150 15WC 05046 BOENS, KEVIN COOK COUNTY 02/13/15 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 151 15WC 05594 JONES, EVANNA BEST CARE SERVICES 02/03/15 FRANCIS J DISCIPIO LAW OFF GALLIANI DOELL & COZZI LTD 152 15WC 10740 19B DUNNING, TUESDAY VILLAGE DISCOUNT OUTLET 09/27/14 SLAVIN & SLAVIN NYHAN BAMBRICK KINZIE & LOWR 153 15WC 12804 DYMEK, JAMES M UNIVERSAL PROTECTION SERV 02/01/15 NEWMAN, BOYER & STATHAM KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 15WC 12838 ARCE, LUIS CTA 01/15/15 WHITING LAW GROUP CHICAGO TRANSIT AUTHORITY 155 15WC 12875 DEMMA, GRAZIELLA PROSPECT HIGH SCHOOL 09/22/14 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 16WC017879 -C TOWNSHIP HIGH SCHOOL DISTR 156 15WC 13142 GRODECKI, NANCY L ADVOCATE SOUTH SUBURBAN H 12/10/14 MARC STOOKAL NYHAN BAMBRICK KINZIE & LOWR 157 15WC 13274 ORLANZZANI, JORGE ERA INDUSTRIES, INC. 03/20/15 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 158 15WC 13898 CHAUDHRY, GHAYOR CHECKER CAB 04/05/15 LAW OFFICE RYAN ROSENTHAL 159 15WC 14213 ERDMAN, DEAN FEDEX FREIGHT EAST 10/17/14 BARRY STEWART SILVER QUINTAIROS PRIETO WOOD & BOY 160 15WC 14293 KNIGHT, JANELLE NORTHWESTERN MEMORIAL HOS 12/01/14 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM 161 15WC 14306 THOMPSON, CHRISTINE WAUKEGAN SCHOOL DISTRICT 02/28/15 SHELDON I MINKOW & ASSOCIA BRADY CONNOLLY & MASUDA PC 162 15WC 14600 BOSCO, RONALD UNITED AIRLINES INC. 01/10/15 LAW OFFICE PHILIP BLOMBERG WIEDNER & MCAULIFFE LTD 163 15WC 14617 ROBERTSON, CONSTANCE COOK DU PAGE TRANSPORTATI 02/16/15 SKLARE LAW GROUP HENNESSY & ROACH PC 16WC020702 -C 164 15WC 14727 DELGADO, CUTBERTO FOOD 4 LESS 12/12/14 SALVATO & O'TOOLE STONE & JOHNSON CHARTERED 165 15WC 15013 JOHNSON, MARY E ADA MCKINLEY COMMUNITY SV 03/01/13 PARENTE & NOREM PC ACCIDENT FUND HOLDINGS 166 15WC 15139 DANIELS, DAVID MIDTOWN CARPET 08/01/14 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 167 15WC 15227 SALCEDO, ROCHELLE TRADER JOE'S 06/07/13 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM 168 15WC 15588 COHN, CRISTAL L GIORDANO'S 05/03/15

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 169 15WC 15733 SHEAMON, NINOS COCA-COLA BOTTLING CO 02/20/15 JOHN C SERKLAND BRADY CONNOLLY & MASUDA PC 15WC038706 -C 170 15WC 15969 SANCHEZ, MARIO GRECO & SONS 04/06/15 LUIS A ACEVES & ASSOC WIEDNER & MCAULIFFE LTD 16WC005981 -C 171 15WC 15982 DERMINER, PAUL CHICAGO TRIBUNE 01/15/15 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 172 15WC 16082 JONES, LATARA CHICAGO TRANIST AUTHORITY 05/10/15 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 173 15WC 16463 TRZECIAK, CRISTY L FORD MOTOR CO 04/07/15 LEWIS & DAVIDSON, LTD POWER & CRONIN LTD 174 15WC 21856 CHERN, KAREN S. UPRIGHT LAW 06/08/15 VITELL & SPITZ LTD NYHAN BAMBRICK KINZIE & LOWR 175 15WC 23130 GARFIELD, GREGORY ALBERTSONS 07/02/15 KALOGERAKOS & ASSOC QUINTAIROS PRIETO WOOD & BOY 176 15WC 23269 RUIZ, ISMAEL ALFREDO LINARES DBA 02/26/15 JOHN S. ELIASIK GANAN & SHAPIRO 177 15WC 23309 NEVAREZ, ELIDIA MACNEAL HOSPITAL 09/03/14 SMOLER LAW OFFICE, PC HENNESSY & ROACH PC 178 15WC 23357 SMAGACZ, STEPHEN AT&T 06/03/15 DAVID W MARTAY 179 15WC 23561 GARCIA, NOE REZA NATIONAL PROCESSING CO 07/27/15 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 16WC039435 -C 180 15WC 23647 VARGAS, ARTURO FORD MOTOR CO 08/24/14 LAW OFFICE EDWARD LICHTENS WIEDNER & MCAULIFFE LTD 16WC016010 -C 181 15WC 23679 RAFIDI, YASMIN SYMPHONY OF CRESTWOOD NUR 07/01/15 ANESI OZMON RODIN NOVAK KO MCCABE KIRSHNER PC 182 15WC 24245 CASTILLO, MICAELA ANTHROPOLOGIE 07/01/15 TURCYCHUTE LLC 183 15WC 24267 LOPEZ, CEASAR PEPSICO 06/23/15 BAUM RUFFOLO & MARZAL LTD BRYCE DOWNEY & LENKOV LLC 184 15WC 24787 MEREGILLANO, VIRGINIA STATE OF IL-CHICAGO READ @ 06/17/15 HART & DAVID LLP ASSISTANT ATTORNEY GENERAL 185 15WC 24881 CAMPOS, OSCAR ESPINOZA MARIANO'S 06/18/15 LAW OFFICE EDWARD RUEDA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 15WC 25506 DAVIDSON, TAMARA UNITED AIRLINES 12/11/14 HEALY SCANLON LAW FIRM 187 15WC 25823 MC CARTHY, DAWN NAPLETON RIVER OAKS MOTOR 01/27/15 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 188 15WC 25839 BRAZZIL, PARIS MENARDS 02/07/15 BRISKMAN BRISKMAN GREENBER 189 15WC 26357 TYLER, ANNTANETTA CTA 07/31/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 190 15WC 26377 SUAREZ, MIGUEL EDGAR A WEBER & CO 07/13/15 COHN & COHN HENNESSY & ROACH PC 191 15WC 26646 BAY, CASSANDRA FX FREIGHT EXCHANGE OF AM 11/29/11 HENNESSEY LAW FIRM 192 15WC 26895 VALADAZ, JOSE A RINGWOOD COMPANY, INC 06/30/15 JOHN S. ELIASIK GAROFALO SCHREIBER STORM 193 15WC 30987 ALEMAN, JOSEPH ARAMARK CORP 09/20/15 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 194 15WC 32976 BLANCO, SYLVIA C FORD MOTOR CO. 09/13/15 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 195 15WC 33018 19B HARRIS, CODY UNITED PARCEL SERVICE 10/02/15 CIARDELLI CUMMINGS CAMPAGN NYHAN BAMBRICK KINZIE & LOWR 196 15WC 33063 DRINSKI, JEFFREY TOTAL REHAB 01/07/15 WOLFE LAW PC 197 15WC 33539 WHITEHEAD, CHARLES CE NIEHOFF & COMPANY 08/13/15 WITTENBERG DOUGHERTY MAGLI 198 15WC 33593 GALE, CORDRE FORD MOTOR COMPANY 07/17/15 LEE, MARK N LAW OFFICE POWER & CRONIN LTD 199 15WC 33671 MENDEZ, ANDY ALPIMEX, INC 02/17/15 VOGG, MARK J LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 200 15WC 33706 VAYDA, BRADLEY E PRIME SCAFFOLDING, INC. 10/06/15 THE FITZ LAW GROUP 201 15WC 33884 JAMERO, JOSE BERMAN AUTO GROUP 10/08/15 STROM, NEAL B RODDY LAW LTD 202 15WC 34041 FERGUSON, CHANY PACKERS SANITATION 10/18/15 PARENTE & NOREM PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 203 15WC 34124 HARRIS, JULIE 2-IN-1 CONTRACTORS, INC 07/15/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 204 15WC 34230 SWEENEY, SUSAN SOUTHWEST AIRLINES 10/04/15 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 15WC034231 -C 205 15WC 34314 TORRE, ELEAZAR DE LA A & A DRYWALL & TAPING 02/09/15 RAYMOND M SIMARD, PC RODDY LAW LTD 15WC034315 -C 206 15WC 34363 SCANNELL, STEPHEN J CHICAGO METROPOLITAN 09/09/13 TAMVAKIS, GEORGE L 207 15WC 34513 WILSON-STEWART, TARRA INGALLS MEMORIAL HOSPITAL 01/13/15 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 208 15WC 34540 SAMUELS, TINA M SCR MEDICAL TRANSPORATION 10/19/15 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 209 15WC 34633 HENDERSON, DANETTE UNITED AIRLINES INC. 10/09/15 ANGELINI & ORI LLC 210 15WC 34662 FULLER, KERI KRAFT HEINZ 11/14/13 RUBIN LAW GROUP GAROFALO SCHREIBER STORM 15WC034663 -C 211 15WC 34805 MICHALSKI, MICHAEL FREEMAN EVENT PLANNER 07/15/15 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 212 15WC 34904 CROCKETT, EVELYN CHICAGO PARK DISTRICT 05/01/13 POLANSKY & CICHON CHTD CHICAGO PARK DIST LAW DEPT 213 15WC 34985 HOFFMAN, BETH SPANCIL DEVELOPMENT D/B/A 02/08/15 ASHER, RAYMOND L LTD HENNESSY & ROACH PC 214 15WC 35367 GREEN, ANTHONY SWISSPORT 10/18/15 WHITERS, ALFRED T GAROFALO SCHREIBER STORM 215 15WC 35393 JONES, WENDELL E VCNA PRAIRIE MATERIAL SER 06/04/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 216 15WC 35458 PONNAMBALAM, JAYANTHA COMCAST 09/23/15 COVEN LAW GROUP POWER & CRONIN LTD 217 15WC 35663 COONS, LEE RONALD WEBER-STEPHEN 04/30/15 COLLISON LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 218 15WC 35775 TREIBER, STACI VILLAGE OF WHEELING 10/07/15 SCOTT BARBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 219 15WC 35910 HERNANDEZ, MARIA REYNA ALTERNATIVE STAFFING INC. 12/02/13 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 220 15WC 35923 STOLL, THOMAS GEICO INSURANCE 01/23/14 STEVEN M SELAN BRYCE DOWNEY & LENKOV LLC 15WC041959 -C 221 15WC 36039 WATKINS, RAYMOND CASSENS TRANSPORT 09/15/15 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 222 15WC 36106 RODRIGUEZ, SAMUEL GERBER TECHNOLOGY 04/20/15 GOLDBERG WEISMAN & CAIRO L 223 15WC 36127 ROLLINS, CHRISTOPHER P XSPORT FITNESS/CAPITAL FI 01/21/13 PARENTE & NOREM PC GANAN & SHAPIRO 224 15WC 36175 CROWEROFT, MICHAEL A W SMITH CARTAGE COMPANY 10/18/15 LEONARD LAW GROUP LLC 225 15WC 36262 JENNINGS, CAMILLE GARFIELD COUNSELING CENTE 10/06/15 LAW OFFICES ROBERT WARSASK NOBLE & ASSOCIATES PC 226 15WC 36366 CAGLE, GREGORY ROSEMONT EXPOSITION SERVI 10/12/15 DWORKIN AND MACIARIELLO 227 15WC 36476 SHERWOOD, KEVIN ORTIZ BUILDERS, INC 09/23/15 RUBIN LAW GROUP HOLECEK & ASSOCIATES 15WC036477 -C 228 15WC 36530 CHANI, FEDIE M RASIER, LLC D/B/A UBER 11/15/15 229 15WC 36573 STAFFORD, CHRISTINA ALDI 08/08/15 LEO ALT 230 15WC 36623 MOORE, TEENA SOUTHWEST AIRLINES 12/29/14 SKLARE LAW GROUP HENNESSY & ROACH PC 231 15WC 36685 PAYNE, VONDA CIRCUIR COURT OF 08/02/14 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 232 15WC 36719 LABRA, FRANCISCO R&M TRUCKING 10/07/15 ROMANEK & ROMANEK NYHAN BAMBRICK KINZIE & LOWR 233 15WC 36759 DZHOOLL, ANDRII PUMA LOGISTICS, INC. 11/26/12 NEMEROFF LAW OFFICES 234 15WC 36860 FIELDS, LINDA L STATE OF IL DEPT OF @ 11/07/15 FRIEDMAN & SOLMOR LTD ASSISTANT ATTORNEY GENERAL 235 15WC 36943 MUHAMMED, ARIF BLUE CODE CHICAGO W 09/28/15 BAUM RUFFOLO & MARZAL LTD 236 15WC 36971 CLARK, TENEA ARAMARK CORPORATION 03/14/15 SANDMAN LEVY & PETRICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 07/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF