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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 FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 10WC 42816 ROMERO, CARLOS NEP ELECTRONICS INC 09/11/10 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 10WC046371 -C 11WC006647 -C 11WC038091 -C 16 10WC 47308 BILLMAN, BRUCE ST OF IL FIRE MARSHAL @ 08/30/10 THOMAS W DUDA ASSISTANT ATTORNEY GENERAL 12WC017217 -C 17 11WC 09665 ROBERTS, JOANN BRIGHTSTAR CARE 01/19/11 HORWITZ HORWITZ & ASSOC STONE & JOHNSON CHARTERED 18 11WC 09789 PHILLIPS, CYNTHIA ST OF IL TOLLWAY 02/11/11 SHELDON I MINKOW & ASSOCIA NYHAN BAMBRICK KINZIE & LOWR 12WC008822 -C ILLINOIS TOLLWAY 16WC001762 -C 19 11WC 12476 CRUZ, MARIBEL ELITE STAFFING INC 03/09/11 SALK, STEVEN B & ASSOC LTD MARC CAIRO 20 11WC 18215 DARLING, LAUREN STATE OF ILLINOIS @ 08/03/10 ANESI OZMON RODIN NOVAK KO 21 11WC 23263 VILLANUEVA, LILIA VILLANU NESTLE 08/17/09 ROMANEK & ROMANEK KEEFE CAMPBELL & ASSOC LLC 11WC023264 -C 11WC023265 -C 22 11WC 36432 ANNORENO, JOSEPH STATE OF ILLINOIS @ 01/14/11 DEPAOLO & ZADEIKIS GANAN & SHAPIRO 13WC036796 -C ST OF IL 23 11WC 40885 19B SERNA, RAMONA FEDEX 10/05/11 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS DOLIN, PC 24 11WC 45460 CYWINSKI, NICHOLAS APPLIANCE DISTRIBUTION IN 11/14/11 KARCHMAR & STONE STONE & JOHNSON CHARTERED 25 12WC 02199 NESS, ROBERT VAN CONSOLIDATED GARAGE DOOR 09/27/11 JOSEPH G HAFFNER LAW OFFIC INMAN & FITZGIBBONS 26 12WC 05498 OSORIO, ALENJANDRO EXPEDITORS INTERNATIONAL 12/02/11 SALK FLORES & BRODERICK HOLECEK & ASSOCIATES 19WC000950 -C 27 12WC 05967 SWAGLER, SHAWN VILLAGE OF OAK BROOK 04/23/09 ANESI OZMON RODIN NOVAK KO BRYCE DOWNEY & LENKOV LLC 12WC005968 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 12WC 06910 ROMERO, MIGUEL 1ST CUT LANDSCAPING INC W 08/30/11 OSVALDO RODRIGUEZ PC JILL OTTE 29 12WC 08622 HENRIKSEN, DAVID HONDA ON GRAND 01/12/12 DECARLO LAW GROUP WOLFE & JACOBSON, LTD 12WC008623 -C 30 12WC 08713 ZUNIGA, ERNESTO DUKANE PRECAST 12/04/11 KINNALLY FLAHERTY KRENTZ & ACCIDENT FUND HOLDINGS 31 12WC 19659 CIOLINO, RICHARD T LOVEJOY 04/29/11 DAVID W MARTAY HOLECEK & ASSOCIATES 32 12WC 30680 ALDANA, CESAR IPC INTERNATIONAL PACKING 07/19/12 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ 33 12WC 32097 ESPINOZA, PABLO SOTO SCRAP METAL 07/05/12 SALK, STEVEN B & ASSOC LTD GUSTAVO SANTANA 34 12WC 39916 RAMSAK, LAWRENCE GROOT INDUSTRIES-SOUTH 12/16/11 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 14WC002321 -C 35 13WC 04082 BENITEZ, ROSALBA UNITED STATIONERS 06/14/12 LAW OFFICE OF SCOTT B SHAP GAROFALO SCHREIBER STORM GRA 36 13WC 06021 BROWN, LEON NTA PRECISION AXLE CORP 01/08/13 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 37 13WC 07709 19B HERRERA, ENRIQUE LAGASSE 01/31/13 LAW OFFICES PETER LEKAS GAROFALO SCHREIBER STORM GRA 38 13WC 14870 RIVAS, CONCEPCION CENTRAL BLACK TOP 10/15/12 NICHOLAS D. LAPONTE STONE & JOHNSON CHARTERED 39 13WC 16978 DEXHEIMER, LORI LOYOLA UNIVERSITY 08/17/12 CULLEN HASKINS NICHOLSON LORENZ & BERGIN PC 40 13WC 17094 ANGULO, DANIEL SERVICE DRYWALL & DECORAT 04/15/13 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 41 13WC 19364 HAZUCKA, RAY BRIDGEVIEW BANK MORTGAGE 12/17/12 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 42 13WC 30109 JOHNSON, GEORGE FOREST PRESERVE DIST OF 06/28/12 MINKOW DOMIN CHILTON YAMBERT PORTER LLP 43 13WC 31772 SZYMCZYK, DARIUSZ QUALITY TEMPERM INC 07/08/13 CHEPOV & SCOTT LLC LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 44 13WC 32802 LOPEZ, RIGOBERTO I SPINNAKER COATING LLC 08/28/13 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 45 13WC 33894 BROWN, FRANKIE VAXCEL INTERNATIONAL CO L 08/01/13 CHRISTINE F DAVID HOLECEK & ASSOCIATES 16WC027070 -C 46 13WC 35441 GIBIEN, MICHAEL IL TOLLWAY AUTHORITY @ 09/04/13 ANGELINI & ORI LLC NYHAN BAMBRICK KINZIE & LOWR 47 13WC 39496 MCCARTHY, MICHELE JEWEL 05/23/13 WOODRUFF & JOHNSON QUINTAIROS PRIETO WOOD & BOY 48 13WC 40330 SCHEIRICH, CHRISTOPHER US FOODS 08/13/13 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 15WC006729 -C 16WC028410 -C 17WC016169 -C 49 13WC 40585 WOODFORK, NAKIA COMCAST CABLE INC 09/11/13 TAXMAN POLLOCK 50 13WC 41662 ALVARADO, PABLO NORTHSTAR METAL PRODUCTS 10/25/13 RIFFNER BARBER ROWDEN & SC BORGELT POWELL 51 14WC 00615 RAMIREZ, BEATRIZ STAFF FORCE INC. 01/27/12 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM GRA 52 14WC 01900 MAGIERA, SCOTT PRAIRIE MATERIAL SALES IN 11/16/13 HORWITZ HORWITZ & ASSOC SCHOUEST BAMDAS SOSHEA 53 14WC 03264 RUCKDESCHEL, JEROME UPS 10/15/13 CORBOY & DEMETRIO PC NYHAN BAMBRICK KINZIE & LOWR 54 14WC 04226 HESTER, RENAY ADVOCATE HEALTH CARE 01/29/14 BARRY STEWART SILVER NYHAN BAMBRICK KINZIE & LOWR 55 14WC 06585 OLAN, DELILAH SAM'S CLUB 01/16/13 RIDGE & DOWNES 56 14WC 07115 SCHADE, KURT FEDEX 02/12/14 KROL BONGIORNO & GIVEN LTD HANSON LAW OFFICE 57 14WC 07240 WIGGINS, EZEKIEL METRO STAFF, INC (LENDING 10/02/13 O'CONNOR & NAKOS FRANCIS J DISCIPIO LAW OFFIC 14WC022281 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 58 14WC 07587 SCHULTZ, LAURA HOBBY LOBBY 01/24/14 MILLON & PESKIN LTD QUINTAIROS PRIETO WOOD & BOY 59 14WC 07685 ROBLEDO, YOLANDA SPRAYING SYSTEMS CO 02/26/14 LAW OFFICE OF OSVALDO RODR DONALD J. MORAN 16WC036690 -C 60 14WC 10194 HERRERA-CARRERA, JOSE E ITASCA COUNTRY CLUB 03/11/14 COLLISON LAW OFFICES GANAN & SHAPIRO 61 14WC 11676 CARRANZA, JOSE MANUEL STAFFING NETWORKS LLC 03/26/14 OSVALDO RODRIGUEZ PC SLAVIN & SLAVIN 14WC040940 -C 62 14WC 12127 BOHON, MEGAN WALGREENS 01/28/14 PORRO NIERMANN LAW GROUP GILDEA & COGHLAN 63 14WC 12999 ESTRADA, LOURDES VILLAGE OF CAROL STREAM 03/03/14 MURPHY & MURPHY BRYCE DOWNEY & LENKOV LLC 16WC010566 -C 64 14WC 14402 HAMMOND, MICHAEL A CASSENS TRANSPORT COMPANY 01/23/14 PORRO NIERMANN LAW GROUP KNAPP, OHL & GREEN 15WC009002 -C 65 14WC 15904 VILLALOBOS, ABI HANDI-FOIL CORPORATION 04/25/14 VRDOLYAK LAW GROUP LLC 66 14WC 19242 MCNAMARA, SUSAN ADVOCATE HEALTH & HOSP CO 10/31/13 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 67 14WC 21560 LOPEZ, RODOLFO WINFIELD TOWNSHIP 08/02/13 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 15WC014255 -C 68 14WC 22455 PASKEVICZ, CHAD VILLAGE OF CAROL STREAM A 06/09/14 LAW OFFICES DANIEL E MURPH BRYCE DOWNEY & LENKOV LLC 69 14WC 23772 SCHUTZ, LINDA ADDISON SCHOOL DIST #4 06/03/14 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 70 14WC 23965 IGNATAVICIUS, RAMUNAS AMOT, INC W 06/10/14 DWORKIN AND MACIARIELLO 71 14WC 27517 KHODAN, YURIY OREST EXPRESS INC 06/20/14 MINKOW DOMIN LAW OFFICES ALEXANDER JAROWY 72 14WC 28520 WILLIAMS, BENJAMIN NTA PRECISION AXLE CORP 07/09/14 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 73 14WC 28795 19B LANGFORD, DEANDREA DOUMAK, INC. 08/13/14 LAW OFFICE EDWARD LICHTENS HOLECEK & ASSOCIATES 74 14WC 30806 CHIZEWSKI, ARACELI LABOR TEMPS 07/22/14 BLOCK, KLUKAS & MANZELLA P ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 75 14WC 32961 CYPLIK, WENDY G COOP ASSN FOR SPECIAL ED 01/21/14 RUBIN LAW GROUP ANCEL GLINK PC 76 14WC 33035 NIEVES, MARIO FIRST PRESBYTERIAN CHURCH 09/03/14 WARREN W MARK WIEDNER & MCAULIFFE LTD 77 14WC 33831 HANSEN, DAVID FP MAILING SOLUTIONS 07/02/14 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 78 14WC 37529 19B MICHALAK, ADAM A MIRROR IMAGE 02/17/14 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 79 14WC 38618 SCHWARTZ, JEROME CENTRAL STATES TRUCKING 04/28/14 LARRY FLEISCHER & ASSOCIAT GANAN & SHAPIRO 80 14WC 40516 PETERS, ROSALINA STATE OF ILLINOIS @ 01/07/14 J SCOTT MARSIK C. FLETCHER 81 14WC 41910 ASCENCIO, MANUEL SERVICE DRYWALL COMPANY 11/17/14 JAMES URTIS KEEFE CAMPBELL & ASSOC LLC 82 14WC 42306 SHERMACK, PETER ROY STROM EXCAVATING & 10/24/14 LEONARD LAW GROUP LLC KLAUKE LAW GROUP LLC 83 15WC 00389 RODRIGUEZ, MARIA MAGDALEN LABOR SOLUTIONS LLC 11/18/14 JONATHAN SCHLACK MC ANDREWS & NORGLE LLC 15WC011445 -C 84 15WC 00766 SOLIS, FRANCISCO EN ENGINEERING LLC 12/14/14 LUSAK AND COBB GILDEA & COGHLAN 85 15WC 01514 KNOPF, CHRISTOPHER MAC'S LAWN CARE 06/22/14 MINKOW DOMIN 86 15WC 03579 LOGAN, LORI TAKE CARE HEALTH SYSTEMS 12/01/14 KARCHMAR & STONE GRANT & FANNING 87 15WC 05013 GARCIA, LAZARA KRONOS FOOD CORP 01/19/15 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 88 15WC 05639 PETERS, GARY YONNI BG INC 02/21/14 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 89 15WC 06056 JOHNSON, ROSEANN QUEST MANAGEMENT 01/20/15 SHELDON I MINKOW & ASSOCIA LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 90 15WC 06641 KALASMIKI, JAMES UPS 01/17/13 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 15WC017195 -C 19WC008609 -C 91 15WC 07144 HAMMOND, MICHAEL CASSENS TRANSPORT 01/23/14 PORRO NIERMANN LAW GROUP KNAPP, OHL & GREEN 92 15WC 07609 HAYDON, JEFFREY S THE TILE SHOP 07/03/13 ANESI OZMON RODIN NOVAK KO COZZI & GOGGIN-WARD 93 15WC 08160 MARTINEZ, JAVIER US LIFT 04/19/14 MEYERS & FLOWERS LAW OFFICES JOSEPH MARCINIAK 94 15WC 09081 WRIGHT, FRAN ESTATE OF FIRST STUDENT 12/17/14 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 95 15WC 09311 KOSNIK, EDMUND KAEHLER LUGGAGE 11/13/13 BARRY STEWART SILVER LAW OFFICES JOSEPH MARCINIAK 15WC009312 -C 15WC009313 -C 96 15WC 09438 LECHUGA, JORGE OCTAVIO GREIF INC 02/23/15 HOLECEK & ASSOCIATES 97 15WC 10450 CANTU, AGAPITA GRAHAM PACKAGING COMPANY 01/12/15 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 98 15WC 11368 MARISCAL, FIDEL LIVE PAINTING CORP 10/21/14 JOHN J CASTANEDA INMAN & FITZGIBBONS 99 15WC 12554 FUENTES, HECTOR ALPHA BLDG MAINTENANCE 04/03/15 LAW OFFICES OF ANSELMO DUR EDWARD T GRANEY, ESQ 100 15WC 13729 MENA, ZEFERINA SPRAYING SYSTEMS INC 04/16/15 THE ROMAKER LAW FIRM DONALD J. MORAN 101 15WC 14245 GRZYMALA, JANUSZ BULLS EYE EXPEDITION INC 03/18/15 LUSAK AND COBB KURT E. VRAGEL JR PC 102 15WC 16400 JAHNKE, TRISHA COMMUNITY UNIT SCHOOL DIS 02/13/15 CAPRON & AVGERINOS PC BRADY CONNOLLY & MASUDA PC 103 15WC 16504 BROWN, TERRENCE S BEDFORD MOTOR SERVICE INC 10/14/14 FIGLIOLI, DAVID WOLFE & JACOBSON, LTD 104 15WC 16643 LOPEZ, LOEL RR DONNELLEY 03/24/15 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 105 15WC 17639 FEDECHKO, MIKE US FOODS 04/14/15 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 106 15WC 18035 EDDY, ROBERT STELLCO PROPERTIES, LLC 04/11/15 HANNIGAN & BOTHA, LTD EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 107 15WC 18690 COGGINS, DENNIS CHICAGO MARRIOTT NAPERVIL 09/18/13 KARCHMAR & STONE 108 15WC 19584 CARDENAS, LEONEL ASG STAFFING INC 12/29/14 HORWITZ HORWITZ & ASSOC FRANCIS J DISCIPIO LAW OFFIC 15WC023663 -C A.S.G. STAFFING, INC 109 15WC 20125 BAUTISTA, MARIBEL MCDONALD'S 04/14/15 CHRISTINE F DAVID NYHAN BAMBRICK KINZIE & LOWR 110 15WC 24038 GASCA, EDUARDO COMMERCIAL FLOOR COVERING 07/28/15 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 111 15WC 25469 DANIEL, JOAN ADVOCATE HEALTH CARE 06/02/15 THOMAS R LICHTEN NYHAN BAMBRICK KINZIE & LOWR 16WC017462 -C 112 15WC 26641 DILAURO, RUTH FENTON HIGH SCHOOL DIST 1 01/21/14 FRANCIS J DISCIPIO LAW OFF ANCEL GLINK DIAMOND BUSH 113 15WC 26908 ARREDONDO, JUAN HERTZ EQUIPMENT RENTAL 02/10/14 PORRO NIERMANN LAW GROUP GAIDO & FINTZEN 114 15WC 28023 ROMERO, ALVARO TRI AIR TRANSPORTATION 06/11/15 FRIEDMAN & SOLMOR LTD WOLFE & JACOBSON, LTD 115 15WC 28287 MICHELON, KIMBERLON TGI FRIDAY'S RESTAURANT 03/14/15 CORBOY & DEMETRIO PC INMAN & FITZGIBBONS 116 15WC 30417 VILLALOBOS, MARIA PORTFOLIO OAK BROOK LLC 10/26/14 STROM, NEAL B 117 15WC 31379 DE LA CRUZ, JESUS OSI 06/23/15 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 118 15WC 31408 OLSON, CATHERINE A ACOSTA SALES & MARKETING 08/17/15 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM GRA 18WC031157 -C 119 15WC 31728 GARDUNO, MARGARITA MICKEY'S LINEN 09/04/15 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 18WC013255 -C 120 15WC 31729 GARDUNO, MARGARITA MICKEY'S LINEN 08/24/10 EPSTEIN, JACK R LAW OFFICE EVANS & DIXON 16WC036746 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 15WC 31772 WRIGHT, SHAMIKA HCR MANOR CARE 05/25/15 DAVID W MARTAY 122 15WC 33110 RODRIGUEZ, TOMAS WINCUP 08/10/15 THOMAS J STIBERTH LAW OFFI HOLECEK & ASSOCIATES 123 15WC 34815 MACIAS, MARCO UPS 08/10/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 124 15WC 34921 TYLER, WILLIAM BIMBO BAKERIES USA 10/19/15 RATHBUN CSEVENYAK & KOZOL KRALOVEC & MARQUARD 17WC030493 -C 125 15WC 35371 ROSA, ENRIQUE UNITED STATIONERS, INC A/ 03/05/15 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 126 15WC 35433 KASHEIMER, DANIEL ALCA, INC 09/04/13 TARADASH LAW OFFICE 127 15WC 38591 MELENDEZ, CECILIA ELITE STAFFING 09/28/15 PORRO NIERMANN LAW GROUP BRADY CONNOLLY & MASUDA PC 128 15WC 38895 SIMPKINS, ANYTHONY J DEPAGE HOUSING AUTHORITY 05/05/15 EAMES LAW GROUP LTD 129 15WC 39819 FRANCO, MARIA OWENS & MINOR 08/11/15 PORRO NIERMANN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 130 15WC 39950 MULAOSMANOVIC, ALIJA WINCUP 11/03/15 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES 131 15WC 42004 PADILLA, JUAN MIGUEL PERE ABC CONSTRUCTION SPECIALI 01/31/15 EPSTEIN, JACK R LAW OFFICE SMITH AMUNDSEN LLC 132 16WC 00073 GUTIERREZ, ROSALIO MEDINAH COUNTRY CLUB 09/24/15 NILSON STOOKAL GLEASON CAP RIPES NELSON BAGGOT KALOBRAT 133 16WC 03187 AVVISATI, NICOLE STARBUCKS CORP 03/13/15 MAURICE E DUSKY PC QUINTAIROS PRIETO WOOD & BOY 134 16WC 04299 PARTEKEL,RONALD J FLOWSERVE CORP USA 11/12/15 GRAZIAN & VOLPE PC HOLECEK & ASSOCIATES 135 16WC 04659 GARCIA, CARLOS EMPLOYCO USA/EMPLOYCO LL, 02/09/14 DREW J FERRACUTI 136 16WC 05928 19B EGAS, JOHN AMR FURNITURE REPAIR 01/26/16 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 137 16WC 06102 PALMER, DERRICK NOW FOODS 01/19/16 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 138 16WC 06765 GHOLIZADEHMASTANABAD, MOH GF AUTO REPAIR W 12/31/15 EFTEKHARI LAW OFFICES ARNETT LAW GROUP 139 16WC 07668 BASSITT, WILLIAM HACH CO 02/18/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 16WC020652 -C 140 16WC 09161 MIZERA, KRYSTIAN RETROFIT REBATES, INC. 09/30/15 MORICI FIGLIOLI & ASSOC COZZI & GOGGIN-WARD 141 16WC 09936 MIRANDA, ELIZABETH ALDI, INC 11/04/15 ANGELINI & ORI LLC NYHAN BAMBRICK KINZIE & LOWR 142 16WC 10215 WOLICK, FREDERICK JEWEL FOODS 07/01/15 GOLDBERG WEISMAN & CAIRO L EVANS & DIXON, LLC 143 16WC 10264 OCON, VICTOR DIAZ IMAGEFIRST UNIFORM 01/25/16 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 144 16WC 11248 SILVESTRE, ERIC MANNA FREIGHT SYSTEMS 12/24/15 GOLDSTEIN BENDER & ROMANOF GILDEA & COGHLAN 145 16WC 11865 TORRES, MIGUEL WGM CONCRETE CONSTRUCTION W 09/09/15 TURCYCHUTE LLC JOSEPH MARCINIAK 146 16WC 11959 GREGORY, EDWARD C MINUTE MEN OF ILLINOIS IN 04/02/16 GILDEA & COGHLAN 147 16WC 12994 LARIDE, CARMELINA M NXSTAGE KIDNEY CARE 12/28/15 DAVID W MARTAY 148 16WC 13863 GLOSNIAK, MINERVA ADDISON SCHOOL DISTRICT 4 03/03/16 ACEVES & PEREZ PC ROSARIO CIBELLA 149 16WC 14505 CAIN, MICHELE MIDDLE WEST PET FOODS INC 02/16/16 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 150 16WC 15803 HOLLENDER, JOSEPH SODEXO 01/14/16 WOODRUFF & JOHNSON INMAN & FITZGIBBONS 17WC011413 -C 17WC011414 -C 151 16WC 17909 VALENCIA, IMELDA ABM 05/11/15 SALVATO & O'TOOLE BRADY CONNOLLY & MASUDA PC 152 16WC 18339 ROBERTS, GEORGE NEW ALBERTSON'S INC C/O 04/24/16 CZAPLA LAW BRADY CONNOLLY & MASUDA PC 153 16WC 18675 AMESQUITA, SYLVIA ELITE STAFFING, LLC 05/13/16 KARNO, MARK L & ASSOC 154 16WC 19480 TAPANES, PEDRO COMMUNITY SCHOOL DIST 200 03/10/16 SEIDMAN MARGULIS & FAIRMAN 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 FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 155 16WC 19649 GAHAGAN, JAMES EVEREST EXCAVATING, INC 06/14/16 GRAZIAN & VOLPE PC WIEDNER & MCAULIFFE LTD 156 16WC 20514 DIAZ-OCON, VICTOR IMAGEFIRST UNIFORM RENTAL 06/07/16 SEIDMAN MARGULIS & FAIRMAN 157 16WC 20659 SANCHEZ, DWAYNE MR DAVID'S FLOORING INT'L 05/04/16 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 158 16WC 20692 PRY, TAMARA LOUISE COMMUNITY CONSOLIDATED SC 04/27/16 THE LANSU LAW FIRM ANCEL GLINK DIAMOND BUSH & E 159 16WC 21158 VIDANA, LEONARDO STAFFING NETWORK 11/21/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 160 16WC 21528 ESPINAL, BIANCA BARCO STAMPING COMPANY 06/15/16 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 161 16WC 21636 RAPINCHUCK, KAREN N/B/M LARLIN HEALTH CARE INC 12/14/13 LARRY M AMONI 162 16WC 23149 FAROOQUI, MASIH U FEDERAL EXPRESS CORPORATI 10/21/15 FRED J BEER LAW OFFICES WIEDNER & MCAULIFFE LTD 163 16WC 23403 WRIGHT, FRANK HINSDALE CENTRAL/DIST. 86 11/21/14 BLOCK, KLUKAS & MANZELLA P ANCEL GLINK DIAMOND BUSH & E 20WC007931 -C 164 16WC 25959 HERNANDEZ NEVAREZ, FERNAN LABOR NETWORK 07/25/16 THOMAS J STIBERTH LAW OFFI 165 16WC 26829 TORRES, RICKY VINCENT JONNY'S TOWING & RECOVERY 08/22/16 PORRO NIERMANN LAW GROUP EVANS & DIXON 166 16WC 27235 BUCIO, CARLOS JOSEPH RESPONDI D/B/A RES W 08/25/15 PORRO NIERMANN LAW GROUP 167 16WC 27296 COOK, JOHN ACCURATE PERSONNEL LLC 07/21/16 TRENT LAW FIRM PC EVANS & DIXON 168 16WC 27354 MAGNONE-SANTOS, PATRICIA CARLSON WAGONLIT TRAVEL I 09/15/15 LEWIS & DAVIDSON, LTD WIEDNER & MCAULIFFE LTD 169 16WC 27391 LEON, RICARDO ZERA CONSTRUCTION 11/13/15 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 170 16WC 27606 BOEHM, PATRICK ELMHURST PARK DISTRICT 04/11/15 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 171 16WC 27607 BOEHM, PATRICK ELMHURST PARK DISTRICT 03/14/16 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 172 16WC 27847 MIKA, BRUNO MEDCO TOOL OF CHICAGO/ESS 08/31/16 SCHRAMM LAW GROUP HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 173 16WC 29038 MONTALVO, ALEJANDRO LABOR SOLUTIONS, LLC # 09/26/13 ROSS TYRRELL EVANS & DIXON 174 16WC 29039 DURAN, MANUEL-ADMIN OF ES LABOR SOLUTIONS LLC # 09/26/13 ROSS TYRRELL EVANS & DIXON 175 16WC 29040 ADAME, FRANCISCO-ESTATE A LABOR SOLUTIONS LLC # 09/26/13 ROSS TYRRELL EVANS & DIXON 176 16WC 29612 HILL, CHERRY GRAPHIC PACKAGING INT'L 08/06/16 DWORKIN AND MACIARIELLO DOHERTY & PROGAR LLC 17WC035874 -C 177 16WC 30435 RIVERA, MARIA ELITE STAFFING 09/15/16 178 16WC 32190 HERNANDEZ, ALVARO K+C DESIGN MANUFACTURING 09/26/16 CHRISTIAN & MANNO LAW OFFICES JOSEPH MARCINIAK 179 16WC 32728 VARGAS, JESUS ATLAS EMPLOYMENT SERVICES 02/02/16 LAW OFFICES ROBERT WARSASK ROBERT L. SMITH 180 16WC 33503 LARSEN, ROBERT VILLAGE OF BENSENVILLE 07/09/15 MARSZALEK AND MARSZALEK POWER & CRONIN LTD 181 16WC 33714 WILLIAMS, TASHARRA AMC ENTERTAINMENT, INC 06/02/16 GOLDSTEIN AIOSSA & GOOD HINSHAW & CULBERTSON 182 16WC 34355 PEREZ, MARIA ADELA ELITE STAFFING 03/27/16 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 183 16WC 35112 TYREE, ELENA RML SPECIALTY HOSPITAL 10/18/16 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 184 16WC 36036 ALAIMO-KRUSE, AMY A EDWARD-ELMHURST HEALTH CA 10/11/16 O'CONNOR & NAKOS KEEFE CAMPBELL & ASSOC LLC 185 16WC 36168 REYES, JOSE G WINGREN LANDSCAPE INC 06/28/16 ANKIN LAW OFFICE 186 16WC 36338 QUINTEROS, MARIA EATON CORP 11/05/13 COSTA IVONE LLC RIPES NELSON BAGGOT KALOBRAT 187 16WC 36563 GONZALES, MARICELA NORTHWEST HOME CARE, INC 10/03/16 EAMES LAW GROUP LTD ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 16WC 37414 SHICK, LAWRENCE M LEMONT SCHOOL DISTRICT #1 04/29/16 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 189 16WC 37999 KUPCZYK, RAY ADDISON TRAIL HIGH SCHOOL 12/02/16 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 18WC023992 -C 190 16WC 38000 KUPCZYK, RAY ADDISON TRAIL HIGH SCHOOL 01/14/16 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 17WC027137 -C 17WC027138 -C 191 16WC 38307 LAUGHLIN, BRYAN IL DEPT OF TRANSPORTATION @ 11/17/16 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 192 16WC 39013 KLECKA, JEFFREY C ST OF IL DEPT OF 08/28/16 MARKS INJURY LAW ASSISTANT ATTORNEY GENERAL 193 17WC 00159 LECHOCKI, CHRISTOPHER F AT&T 06/15/16 SALVATO & O'TOOLE HENNESSY & ROACH PC 194 17WC 00199 BOUIE, MARC D CHIPOLTE MEXICAN GRILL 12/14/16 WARREN W MARK 195 17WC 00421 ESPINO, OCTAVIO AIRE SERV OF NORTHWEST SU 01/11/16 LEONARD LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 196 17WC 01035 GOLUBOV, LJUPKA CENTRAL DUPAGE HOSPITAL 06/25/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 197 17WC 01220 FEDERICI, CHARLES R FENTON HIGH SCHOOL 07/18/15 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 198 17WC 01445 FLINK, MICHAEL AMERICAN HOLIDAY LIGHTS 11/29/16 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 199 17WC 01483 GROSS, MELISSA PROVIDENCE LIFE SVCS 11/18/16 ANGELINI & ORI LLC FRANCESCA LARSEN 200 17WC 01744 RILEY, TONYA CARSON'S 12/06/16 MARC J SHUMAN & ASSOCIATES BRADY CONNOLLY & MASUDA PC 17WC009960 -C 201 17WC 01778 MYERS, GREGORY T CITY OF AURORA 01/03/17 THOMAS W DUDA NYHAN BAMBRICK KINZIE & LOWR 202 17WC 01945 NEANKEU, JEAN BLAIS FIC AMERICA CORP 08/08/16 R. MARK MARITOTE PC 203 17WC 02504 SMITH, BEVERLY NEIMAN MARCUS 02/05/16 NICHOLAS ROBERT RECCHIA 204 17WC 02562 ESTATE OF SHIVA INAMPUDI COGNIZANT TECHNOLOGIES IN # 12/02/16 BRIAN J MC MANUS & ASSOC,

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 205 17WC 02787 SHERWIN, KIM LTF CLUB OPERATIONS COMPN 08/09/16 CORBOY & DEMETRIO PC 206 17WC 04566 SWAIN, RANDALL MACIANOS 05/04/16 207 17WC 04583 19B LULOH, LYNN FED EX 11/30/16 KROL BONGIORNO & GIVEN LTD HANSON LAW OFFICE 208 17WC 04938 GURROLA, GERARDO STERNE CONSTRUCTION GROUP 10/21/16 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 209 17WC 05109 HARRIS, BARBARA J GENERAL MILLS, LLC 01/09/17 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 210 17WC 05309 KINNEY, JAMES IL DEPT OF TRANSPORTATION 12/18/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 211 17WC 05431 CALDERA, ELIAS JR MEYERCORD REVENUE INC 09/19/16 LEAHY, JAMES P WIEDNER & MCAULIFFE LTD 212 17WC 05446 CAZARES, ELIAS WINDWARD ROOFING COMPANY 02/13/17 EPSTEIN, JACK R LAW OFFICE WOLF LAW LTD 19WC024037 -C 213 17WC 05846 WAGNER, DANIEL UPS 10/13/15 BRAD J. BALKE, PC 214 17WC 06069 MEISTER, JOSEPH JR ILLINOIS DEPARTMENT OF @ 02/22/17 HUGHES SOCOL PIERS RESNICK ASSISTANT ATTORNEY GENERAL 17WC011861 -C 215 17WC 06163 GONZALEZ, VICTOR EICHROM TECHNOLOGIES INC 10/06/16 CHEPOV & SCOTT LLC RIPES NELSON BAGGOT KALOBRAT 216 17WC 06538 SUNDIN, ROBERT SAFE HAVEN SECURITY 01/09/17 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES OF EDWARD J. KOZ 217 17WC 06582 SALGADO, ARTURO GENERAL PLATING CO 01/13/17 LAW OFFICE OF SCOTT B SHAP ANCEL GLINK PC 218 17WC 06789 GUYTON, BOBBIE ANN COUMMUNITY NURSING REHAB 01/09/17 ANKIN LAW OFFICE 219 17WC 07014 HULLETT, ANN JEWEL FOOD STORES 09/30/15 ROSS TYRRELL 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 FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 220 17WC 07196 ZAMBRANO, NANCY DOWNERS GROVE SD 58 06/01/16 SEIDMAN MARGULIS & FAIRMAN 221 17WC 07344 BILADEAU, GAIL E FIRST STUDENT 01/27/17 MD JOHNSON PC WIEDNER & MCAULIFFE LTD 18WC003965 -C 18WC004157 -C 222 17WC 08149 VARGAS, MARIA LUISA ELITE STAFFING INC 01/12/17 THE ROMAKER LAW FIRM 223 17WC 08172 DIMAS, ANGELO EXCEL MECHANICAL SERVICES 02/06/17 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 224 17WC 08369 KACZMARCZYK, ZBIGNIEW ABRASIVE-FORM, LLC. 01/22/16 BELLAS & WACHOWSKI 17WC008370 -C 225 17WC 08541 KIMBROUGH, MICHAEL ALLIED WATERPROOFING INC 01/24/16 LAW OFFICE DAVID W CLARK 226 17WC 09182 TRINKO, ROBERT AT&T (2) 11/11/16 WOLFE LAW PC INMAN & FITZGIBBONS 227 17WC 09221 FLORES, GILDARDO INFINITI OF NAPERVILLE 07/07/16 TIMOTHY LAMPINEN WOLF LAW LTD 228 17WC 09537 GIOVANELLI, FRANCO ITASCA FIRE DEPT 07/06/16 THOMAS W DUDA POWER & CRONIN LTD 229 17WC 09824 RUCCI-BLAZEK, MARIA R BLUE HARBOR RESORT 08/23/16 ANESI OZMON RODIN NOVAK KO 230 17WC 10167 SANCHEZ, MARIA M OSI GROUP, LLC 10/25/16 GRAUER & KRIEGEL LLC INMAN & FITZGIBBONS 17WC035568 -C 231 17WC 10248 KONIECZNY, KAREN ADDISON SCHOOL DIST #4 10/26/16 R. MARK MARITOTE PC QUINN JOHNSTON HENDERSON ETA 232 17WC 10600 MARTINEZ, ALFONSO US FOODS CHICAGO 10/24/16 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 17WC035260 -C U.S. FOODS CHICAGO 18WC035435 -C 233 17WC 10784 ANDERSON, DOROTHY E THE BON TON STORES, INC 02/22/17 LAW OFFICES BRIAN LASSEN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M FRIEDMAN, STEPHEN 081 ARBITRATION CALL FOR WHEATON 51003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 234 17WC 10888 CARIDI, ANTHONY TRILLIUM CONSTRUCTION 03/21/17 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 235 17WC 10947 MONTANO, LIZETH EDUCARE OF WEST DUPAGE 09/16/16 SHELDON I MINKOW & ASSOCIA JOSEPH MARCINIAK 17WC010948 -C 236 17WC 11669