ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 06WC 25950 SCOTT-REA, DEBRA A OAK FOREST HOSPITAL OF 03/17/04 CULLEN, HASKINS, NICHOLSON STATES ATTORNEY OF COOK COUN 2 08WC 08253 WILLIAMS, GREGORY IL DEPT OF TRANSPORTATION @ 10/11/07 EMPLOYEE LEGAL SERVICES LT ASSISTANT ATTORNEY GENERAL 3 08WC 10413 PACK, NOMOYA ST OF IL-DEPT OFHEALTH SE @ 01/23/07 CRONIN & PETERS ASSISTANT ATTORNEY GENERAL 08WC010414 -C 4 09WC 08659 KING, SHAULONDA FORD MOTOR COMPANY 09/02/08 SHELDON I MINKOW & ASSOCIA WIEDNER & MCAULIFFE LTD 5 09WC 16093 VELASCO, JAIME DUTCH FARMS 01/16/09 BOUDREAU NISIVACO LLC KRAKER FANNING & OLSEN 09WC023908 -C 6 09WC 49614 MEYER, DANIEL MCDANIEL FIRE SYSTEMS, IN 04/16/09 HEALY LAW FIRM HOLECEK & ASSOCIATES 7 10WC 31652 HIGGINS, KENNY CHICAGO RUSH ARENA FOOTBA 04/16/10 WOLFE LAW PC ADELSON TESTAN BRUNDO 8 10WC 42332 WACHOWSKI, LESZEK AXLETECH 08/12/09 MINKOW DOMIN RUSIN & MACIOROWSKI LTD 9 10WC 45905 OJEDIRAN, TEMITOPE ANDREW MUSTEIN 11/25/10 SKOLNICK & ROSENTHAL 10 10WC 46707 19B TURNER, REGINA DEPARTMENT OF TRANSPORTAT 09/20/10 JAMES M RIDGE LAW OFFICE CITY OF CHICAGO 11 10WC 49165 TAPIA, GRACIELA F CARL BUDDIG & CO 10/19/10 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 10WC049166 -C 13WC024388 -C 14WC003073 -C 12 11WC 12216 LENART, RICHARD CITY OF CHICAGO 07/28/10 O'CONNOR & NAKOS 13WC042165 -C 13 11WC 25051 LANDERO, MIGUEL A GABBY'S BAGELS, IN 05/30/11 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 14 11WC 32599 BELLAMY, KEVIN CARRY TRANSIT 08/15/11 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 13WC 00589 URENA, JOSE WE CLEAN, INC 12/07/12 HEALY LAW FIRM THOMAS & PORTELA 16 13WC 06521 RODRIGUEZ, BENJAMIN GENERAL MACHINERY & MANUF 12/03/12 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 13WC024469 -C 17 13WC 16801 QUINTANA, JOSE S CITY OF CHICAGO 05/03/13 ANKIN LAW OFFICE CITY OF CHICAGO 14WC015944 -C 16WC024341 -C 18 13WC 18384 AVILA, BERNARDINE ST OF IL DEPT OF @ 05/24/13 LUSAK AND COBB JILL OTTE 19 13WC 20877 MCCARTHY, PAUL CITY OF CHICAGO 05/12/13 CUDA LAW OFFICES CITY OF CHICAGO 14WC000057 -C 20 13WC 24167 ARANDA,MARIA DE LOS ANGEL SHORE CLEANERS W 06/17/13 JAMES ELLIS GUMBINER & ASS 21 13WC 30298 19B DI CRISTOFANO, BRIAN INGERSOLL RAND COMPANY 06/02/11 HEALY LAW FIRM HEYL ROYSTER VOELKER & ALLEN 22 13WC 30584 HUDSON, JAMES E U.S. "1" INDUSTRIES INC W 01/06/12 STUART H GALESBURG 23 13WC 32695 GARCIA, CHRISTINE ALDI 05/07/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 24 14WC 07516 MONTES, JUAN PANEK PRECISION 01/06/14 MARSZALEK AND MARSZALEK GAROFALO SCHREIBER STORM GRA 25 14WC 08097 19B JENNINGS, DAVID CITY OF CHICAGO 08/14/13 FOHRMAN, DONALD W & ASSOCS CITY OF CHICAGO 14WC015210 -C 14WC034008 -C 26 14WC 08947 PEDREYRA, DANIEL S ILLINOIS STATE POLICE @ 03/12/13 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 27 14WC 17448 WENKUS, JAMES COOK COUNTY PUBLIC GUARDI 03/21/14 RICHARD E ALEKSY STATES ATTORNEY OF COOK COUN 18WC014389 -C 28 14WC 18080 GARCIA, VILMA ASPIRE OF ILLINOIS 11/21/12 CHRISTINE F DAVID BRADY CONNOLLY & MASUDA PC 29 14WC 24883 GONZALEZ, SANTIAGO COURTWAY RESTAURANT 01/22/14 EPSTEIN, JACK R LAW OFFICE 30 14WC 27501 19B BRACY, CASSANDRA CTA 08/09/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 14WC 31378 DELGADO, ZACARIAS MARIO'S CONCRETE, INC W 09/08/14 CULLEN HASKINS NICHOLSON CHARLES AARON SILVERMAN 32 14WC 32388 ORTEGA, GILBERTO AP MACHINE INC 08/26/14 NILSON STOOKAL GLEASON CAP 33 14WC 33778 PANCZAK, ANTHONY G CITY OF CHICAGO DEPT OF 07/09/14 O'CONNOR & NAKOS CITY OF CHICAGO 34 14WC 35476 STROCCHIA, TERESA UPS FREIGHT 09/25/14 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 19WC004145 -C UNITED PARCEL SERVICES FRE 35 14WC 39125 RAMIREZ, JESSE LABORATORY CORPORATION 11/11/14 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 36 14WC 40779 KELLY, JOHN NORTHEASTERN ILLINOIS @ 01/20/14 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 37 15WC 01749 19B TERRELL, VERNICE PACE SUBURBAN BUS 01/05/15 SKLARE LAW GROUP POWER & CRONIN LTD 38 15WC 01994 DIAZ, EVELYN CHICAGO PUBLIC SCHOOLS 10/07/14 BOGUSZ & BOGUSZ LTD CHGO BOARD OF EDUCATION 39 15WC 02061 LUSA, TAMARA ORLAND SCHOOL DISTRICT 13 01/26/12 INMAN & FITZGIBBONS 40 15WC 03718 BUCZKOWSKI, DON D. JR COOK COUNTY SHERIFF'S OFF 01/09/15 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 41 15WC 04979 RUEDA, RAMIRO BANNER PERSONNEL 01/23/15 ANGELINI & ORI LLC 42 15WC 05343 BRINNER, JERMAINE COOK COUNTY SHERIFF'S DEP 12/22/14 SEIDMAN MARGULIS & FAIRMAN 17WC005146 -C 17WC037903 -C 43 15WC 05970 SWIATEK, DAVID CITY OF CHICAGO 01/26/15 RUBENS AND KRESS CITY OF CHICAGO 44 15WC 06045 SIMMONS, CAROLYN CTA 02/20/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 17WC017170 -C 45 15WC 06610 ZHANG, SHENGLI K&S FOODS INC 04/22/14 KELLY & KING LAW OFFICES JOSEPH MARCINIAK 46 15WC 06971 GUZMAN, FRANCISCO ABM JANITORIAL MIDWEST 05/28/14 DEPAOLO ZADEIKIS GORE GOLDBERG SEGALLA LLC 47 15WC 08059 SARGENT, MIKE IL DEPT OF HUMAN SERVICES 01/05/15 GOLDSTEIN AIOSSA & GOOD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 48 15WC 08817 HALPER, CHRISTOPHER VISION TRANSPORTATION 02/13/15 SMOLER LAW OFFICE, PC EVANS & DIXON 49 15WC 11909 PALOMINO, JORGE CTA 03/18/15 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 50 15WC 16796 HAUT, BRIAN TRANSERVICELOGISTICS INC 02/04/15 BOUDREAU NISIVACO LLC LITCHFIELD CAVO 51 15WC 16875 VILLAVICENCIO, MARCELA GLEN OAKS NURSING REHAB 12/31/14 MARTIN L GLINK LAW OFFICE LAW OFFICES FRANCESCA LARSEN 52 15WC 17549 TAYLOR, ELLA L MONDELEZ INTERNATIONAL 05/03/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 53 15WC 25270 MAZZUCA, WADE DENTON LOGISTICS 07/06/15 DIXON LAW FIRM JAMES M KELLY 54 15WC 28166 ALCAZAR, HECTOR PANGEA VENTURES LLC 08/12/15 EPSTEIN, JACK R LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 55 15WC 28469 ZIRZOW, REBECCA FORD MOTOR COMPANY 06/10/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 15WC028470 -C 56 15WC 29186 FERRER, RAY ATKORE INTERNATIONAL 03/24/15 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 16WC013267 -C 57 15WC 34944 WARREN, MICHAEL GURSHEIMER GLASS INC 09/11/15 HEALY SCANLON LAW FIRM RUSIN & MACIOROWSKI LTD 58 15WC 35149 WILLIAMS, ELANA DAKKOTA INTEGRATED SYSTEM 09/10/15 SEIDMAN MARGULIS & FAIRMAN RIPES NELSON BAGGOT KALOBRAT 59 15WC 36178 PONCE DE LEON, MIGUEL A CHICAGO TRANSIT AUTHORITY 07/28/15 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 16WC008478 -C 60 15WC 39019 CASTRO, JOSE NEOVIA LOGISTICS SERVICES 11/11/15 ANGELINI & ORI LLC KRAKER FANNING & OLSEN 61 16WC 02531 UPSHAW, STEPHANIE CHICAGO PUBLIC SCHOOLS 05/15/15 ERIC M GLASSON & ASSOCIATE CHGO BOARD OF EDUCATION 62 16WC 02593 19B DAVIS, JENIKA CHICAGO ATHLETIC 11/28/15 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 63 16WC 05812 19B GAWENDA, PAUL IDOT @ 09/03/14 VASILATOS & COTTER LLC ASSISTANT ATTORNEY GENERAL 64 16WC 06128 JOHNSON, VANESSA LOYOLA UNIVERSITY MEDICAL 12/15/15 SHELDON I MINKOW & ASSOCIA LORENZ & BERGIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 65 16WC 07710 MORGAN, NICOLE CRUSH ENTERPRISES W 02/17/16 SHELDON I MINKOW & ASSOCIA LAW OFFICES JOSEPH MARCINIAK 66 16WC 08029 WILLIAMS, SANDRA FIRST SERVICE RESIDENTIAL 09/03/15 HUGHES SOCOL PIERS RESNICK KELLEY KRONENBERG 16WC008030 -C 67 16WC 08809 BRELAND, LORENZO ARENA FOOTBALL ONE LLC 04/11/14 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 68 16WC 09293 DANIELEK, DOUG MARQUARDT OF BARRINGTON 12/07/15 LULAY LAW OFFICES BRADY CONNOLLY & MASUDA PC 17WC035105 -C 69 16WC 09393 IRBY, GREGORY A-1 ROOFING COMPANY 03/12/16 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 70 16WC 09846 WOJCIECHOWSKI, ADAM CITY OF HARVEY 02/21/16 HORWITZ HORWITZ & ASSOC ANCEL GLINK PC 17WC007175 -C 71 16WC 10691 VILLASALDO, JOSE SCOTT BYRON & CO, INC 09/18/15 JOHN S. ELIASIK RIPES NELSON BAGGOT KALOBRAT 72 16WC 10912 SANTOYO, MARICELA AS WIDO OMEGA DEMOLITION CORPORAT # 04/05/16 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 73 16WC 11655 RAMOS, GLADYS STATE OF ILLINOIS @ 10/14/15 PETER D CORTI LAW GROUP ASSISTANT ATTORNEY GENL 74 16WC 13588 ZHMUD, MYKHAILO STREAM LOGISTICS, INC. 04/21/16 CHEPOV & SCOTT LLC SCOPELITIS GARVIN LIGHT 75 16WC 16387 MCCARTHY, JOHN SIMPLEX GRINNELL, L.P. 10/29/15 HEALY SCANLON LAW FIRM RUSIN & MACIOROWSKI LTD 76 16WC 17039 BARRY, JOHN CITY OF CHICAGO 05/23/16 HETHERINGTON KARPEL BOBBER CITY OF CHICAGO 77 16WC 17088 LEWIS, DIANA NORTHEASTERN IL. UNIVERSI 03/03/14 SEIDMAN MARGULIS & FAIRMAN C. FLETCHER 78 16WC 17456 JONES, LEVON CTA 05/28/16 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 79 16WC 17535 BROWN, CAROLYN PACE 04/28/16 SCHACTER, JEROME & ASSOC L POWER & CRONIN LTD 80 16WC 17571 HERRON, MICHAEL CITY OF CHICAGO DEPARTMEN 04/18/16 CHARLES LEVY & ASSOC LTD 81 16WC 18462 DEANY, JOHN PRECISION PLUMBING & HEAT 03/03/16 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 82 16WC 18803 AGUILAR, EFRAIN CITY OF CHICAGO 03/14/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 83 16WC 18833 GREEN, CONSTANCE CHICAGO TRANSIT AUTHORITY 05/28/16 URSULA BABICZ & ASSOC CHICAGO TRANSIT AUTHORITY 84 16WC 18945 PADILLA, STEVE GEORGE AND SONS HVAC 05/04/16 ELFENBAUM EVERS ZIELINSKA ANCEL GLINK DIAMOND BUSH & E 85 16WC 19193 BAFIN, GRZEFORZ PIT STOP TRUCK TRAILER SE 06/10/16 DWORKIN AND MACIARIELLO LAW OFFICE OF PAUL O WATKISS 86 16WC 19681 SANCHEZ, RICARDO ROBINETTE DEMOLITION INC 08/14/15 LAW OFFICE OF KEVIN O'BRIE KEEFE CAMPBELL & ASSOC LLC 87 16WC 19780 ANTON, FRANK CITY OF CHICAGO 05/25/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 17WC000935 -C 88 16WC 20174 BALOG, HENRY UNIVERSITY OF ILLINOIS 06/06/16 COSTA IVONE LLC HEYL ROYSTER VOELKER & ALLEN 89 16WC 20915 BELICI, ELENA GREEK AMERICAN REHABILITA 05/13/16 SPIEGEL & DEMARS ACCIDENT FUND HOLDINGS 90 16WC 26192 ROGERS, DARON ROUNDY'S MARIANO'S 08/07/16 FOHRMAN, DONALD W & ASSOCS BRYCE DOWNEY & LENKOV LLC 91 16WC 26770 CHAVEZ, CENOVIO EBBEN MASONRY INC 07/19/16 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS 92 16WC 27007 SMITH, BRENDA L. SKADDEN,ARPS, SLATE, MEAG 08/30/15 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 93 16WC 27141 PASINDO, JOSE DREXEL TERRACE PROPERTY M 08/30/16 COSTA IVONE LLC ANCEL GLINK DIAMOND BUSH & E 94 16WC 27867 COLONNA, MICHAEL STATE OF IL.-IDOT @ 02/23/15 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENL 95 16WC 27969 SZENIAWSKI, THERESE A MARIANO'S STORE #8517 08/28/16 O'CONNOR & NAKOS POWER & CRONIN LTD 96 16WC 28520 WRONA, JOZEFA CHAGALL, INC D/B/A W 12/09/13 HORWITZ HORWITZ & ASSOC 97 16WC 28644 HUBBARD, ASHLEY ALEXIAN BROTHERS REHAB HO 04/09/16 ASHER, RAYMOND L LTD POWER & CRONIN LTD 98 16WC 28726 MEDINA, ELIZABETH CHICAGO PUBLIC SCHOOLS 04/23/15 MEYERS & FLOWERS CHGO BOARD OF EDUCATION 99 16WC 28826 MARTINI, STEVEN J STATE OF IL/IDOT-ELK GROV @ 08/28/16 WHITESIDE & GOLDBERG LTD COLIN KICKLIGHTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 100 16WC 28863 THOMAS, BENNIE DPI DEDICATED LOGISTICS 08/19/16 STROM, NEAL B HOLECEK & ASSOCIATES 101 16WC 28916 BUCHANAN, FREDERIC G CITY OF CHICAGO DEPT STS 03/26/16 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 102 16WC 29657 MEDINA, ROBERT PEOPLES GAS 09/07/16 CUDA LAW OFFICES GAROFALO SCHREIBER STORM GRA 103 16WC 29714 VARELA, MARGARET URBAN PARTNERSHIP BANK 09/19/16 MICHAEL P MCCREADY & ASSOC LAW OFFICES OF EDWARD J. KOZ 104 16WC 29834 BROWN, KEVIN CONTINENTAL AIR TRANSPORT 09/24/16 MARC J SHUMAN & ASSOCIATES GALLIANI DOELL & COZZI LTD 105 16WC 29947 ZAJA, ROBERT A CHICAGO RIDGE FIRE DEPART 09/24/16 SEROWKA LAW RUSIN & MACIOROWSKI LTD 106 16WC 30219 ROSS, HERMAN CITY OF CHICAGO 09/15/16 KATZ FRIEDMAN EAGLE ET AL 107 16WC 34837 PALADIN, LUKE COOK COUNTY SHERIFF'S DEP 09/20/16 LAW OFFICES MICHAEL HELLMA INMAN & FITZGIBBONS 108 16WC 36994 BODUCH, WALTER TUTHILL PUMP CORP 10/04/16 RIDGE & DOWNES GAROFALO SCHREIBER STORM GRA 109 16WC 37012 SINGLETARY, KEVIN COOK COUNTY SHERIFFS DEPT 07/18/16 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 110 16WC 37415 CADENA, JOSE EZ TRUCKING 11/14/16 WOODRUFF & JOHNSON QUINTAIROS PRIETO WOOD & BOY 111 16WC 37463 KELLY, LISA HOME BOUND HEALTHCARE 07/15/16 LUSAK AND COBB RIPES NELSON BAGGOT KALOBRAT 112 16WC 37484 RAMOS, ROBERT J CITY OF CHICAGO FACILITIE 11/21/16 CIARDELLI CUMMINGS CAMPAGN CITY OF CHICAGO 113 16WC 37595 MALDONADO, NOHE JAIMES MEHRAB ZABIHA MEAT 11/28/16 MC HARGUE & JONES 114 16WC 37884 KHAN, HAMID RESIDENTIAL SPECIALISTS 01/20/16 FOHRMAN, DONALD W & ASSOCS 115 16WC 38048 ALEXANDER, TRACY LUDEMAN DEVELOPMENTALCENT @ 07/10/16 COPELAND FINN & FIERI LTD C. FLETCHER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 116 16WC 38066 MAXIE, RASHONDA CHICAGO TRANSIT AUTHORITY 12/06/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 117 16WC 38084 SOTO, GERMAN CARRILLO METRO STAFF INC 10/15/16 COSTA IVONE LLC FRANCIS J DISCIPIO LAW OFFIC 17WC005980 -C 118 16WC 38337 PITTMAN, AMOS CTA 08/29/16 LEONARD LAW GROUP LLC 119 16WC 39072 MILLER, MELODY FEDERAL EXPRESS 12/02/16 COVEN LAW GROUP ASHER, RAYMOND L LTD 120 16WC 39425 COTTRELL, WILLIAM J VILLAGE OF NILES - FIRE D 09/27/16 FIGLIOLI, DAVID NYHAN BAMBRICK KINZIE & LOWR 121 17WC 00124 LUELLEN-LEWIS, WONDA COOK DUPAGE TRANSPORATION 12/18/16 SIGMOND, STEVEN HENNESSY & ROACH PC 122 17WC 05887 REEVES, ANTHONY L STATE OF ILLINOIS @ 02/10/17 ACEVES & PEREZ PC ASSISTANT ATTORNEY GENERAL 123 17WC 06719 GUILLERMO, JAVIER WOODFIELD NISSAN 01/25/17 DANIEL E MURPHY ROSARIO CIBELLA 124 17WC 06922 TERRELL, KATARA YRC WORLDWIDE 03/01/17 STROM, NEAL B HENNESSY & ROACH PC 125 17WC 07345 LAZALDE, CRISTEN ALEXIAN BROTHERS MEDICAL 04/09/16 SCOTT BARBER HENNESSY & ROACH PC 19WC005927 -C 126 17WC 07595 RODRIGUEZ, RAYMUNDO THERMAL CARE INC 04/01/14 MARTIN V KUGIA WIEDNER & MCAULIFFE LTD 17WC007596 -C 127 17WC 07600 LANDA, SONIA VVV STAFFING SOLUTIONS, I 03/14/14 DAVID HERNANDEZ 128 17WC 07799 THOMPSON, MICHAEL S UNITED PARCEL SERVICE 02/02/17 LEONARD LAW GROUP LLC ASA LAW GROUP 129 17WC 07829 GAYTON, GEORGE SERVICE SANITATION 10/08/16 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 130 17WC 08051 GUTSTADT, KEN RICOH USA 02/15/17 BRUSTIN & LUNDBLAD LTD CHILTON YAMBERT PORTER LLP 131 17WC 08292 ARRIAGA, MARIA G HAMPTON INN-HILTON 02/01/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 132 17WC 08452 VEGA, JUAN HOME PRODUCTS 02/17/17 ARGIONIS & ASSOCIATES LLC 133 17WC 08548 JAIMES, LORENZO WALGREENS 01/20/17 EPSTEIN, JACK R LAW OFFICE GILDEA, COGHLAN & REGAN LTD. 17WC013934 -C 134 17WC 08591 RICHARDSON, KIMBERLY ILLINOIS CENTRAL SCHOOL B 01/07/17 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 135 17WC 08660 KIRKWOOD, LATONIA ELITE STAFFING 03/10/17 DWORKIN AND MACIARIELLO 136 17WC 08714 O'CONNOR, TANYA EASTER SEAL 11/19/15 AMBROSE BUTZEN LAW GROUP NOBLE & ASSOC 137 17WC 08879 WATKINS, GARDNER CITY OF CHICAGO 07/26/16 TAXMAN POLLOCK CITY OF CHICAGO 138 17WC 08916 CHRISTOU, STEFANIA M ALEXIAN BROTHERS MEDICAL 07/29/16 FIGLIOLI, DAVID POWER & CRONIN LTD 17WC033678 -C 139 17WC 08957 BANUELOS, ROSA M WEBER-STEPHEN PRODUCTS LL 02/27/15 HANNIGAN & BOTHA, LTD LAW OFFICES JOSEPH MARCINIAK 140 17WC 08990 BALTSEREN, TSOGTBAYAR IGAL CAB CO 02/22/17 LAW OFFICE RYAN ROSENTHAL 141 17WC 09120 19B MORALES, NOLBERTA FILTRAN, LLC 03/07/17 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 142 17WC 09216 WYNER, ERIC L SR MAD DASH, INC 11/02/16 RICHARD E ALEKSY HOLECEK & ASSOCIATES 143 17WC 09255 ORTIZ, ARGELIA ALTERNATIVE STAFFING 08/19/16 SALVATO & O'TOOLE SLAVIN & SLAVIN 144 17WC 09313 WARE, BRENT FORD MOTOR COMPANY 01/17/17 LAW OFFICE OF SCOTT B SHAP 145 17WC 09453 WOJCIECHOWSKI, GREGORY A BARTLETT FIRE PROTECTION 12/18/15 THOMAS W DUDA POWER & CRONIN LTD 18WC015602 -C 146 17WC 09645 BURNETTE, VICTORIA MARRIOTT RESIDENCE INN 01/16/17 ASHER, RAYMOND L LTD GANAN & SHAPIRO 18WC006644 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 147 17WC 09835 SOLANKA, DAVID KEHE DISTRUBUTION, INC 12/09/15 HANNA VANDER PLOEG LLC POULOS & DIBENEDETTO LAW 148 17WC 13290 CARTER, WARREN FORD MOTOR COMPANY 04/08/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 18WC012758 -C 149 17WC 16892 OWENS, DAVID WHOLE FOODS MARKET 11/16/16 HORWITZ HORWITZ & ASSOC GILDEA, COGHLAN & REGAN LTD. 150 17WC 16919 CHRONOS, JOHN UNITED AIRLINES 03/12/16 STELZMAN, RUTH WIEDNER & MCAULIFFE LTD 17WC016920 -C 151 17WC 17106 MURANSKY, JOHN COUNTRY CLUB HLS SCHL DIS 01/05/15 CAPRON & AVGERINOS PC BRYCE DOWNEY & LENKOV LLC 152 17WC 17221 LUJAN, NAZARIA MCDONALDS 01/23/17 LEONARD LAW GROUP LLC ASA LAW GROUP 153 17WC 17517 GEBREAB, FIREWEINI WESTLAKE COMMUNITY HOSPIT 01/04/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 17WC019054 -C 154 17WC 17652 STIMAC, PAUL CITY OF CHICAGO 2FM 05/03/17 STEWART C ORZOFF HENNESSY & ROACH PC 17WC017653 -C 155 17WC 17690 ABRAMS, DONYEA CHICAGO SIGNATURE SERVICE 06/02/17 WARREN W MARK LEAHY EISENBERG & FRAENKEL 156 17WC 17710 MENDZA, JOSEPH CITY OF CHICAGO 06/09/17 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 157 17WC 17920 TAYLOR, ROSE ALLTOWN BUS CO 02/15/17 JAMES ELLIS GUMBINER & ASS RUSIN & MACIOROWSKI LTD 158 17WC 17961 DELGADO, ENGRACIA EL MILAGRO 02/27/17 LEO ALT WIEDNER & MCAULIFFE LTD 17WC018329 -C 159 17WC 18140 HUGHES, GWENDOLYN CITY OF CHICAGO - DEPT OF 06/15/16 NEWLAND & NEWLAND CITY OF CHICAGO 160 17WC 18152 MCMILLAN, RANDY RELIABLE EXPRESS TRANSPOR 07/26/16 MCANANY VANCLEVE & PHILLIPS 161 17WC 18405 COLLINS, WILLIAM METROPOLITAN WATER RECLAM 09/21/15 O'CONNOR & NAKOS 162 17WC 18558 LAMPHIER, DANIEL F SR BULLEY & ANDREWS LLC 09/11/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 163 17WC 18932 MOORE, STEPHANIE G CHICAGO BOARD OF EDUCATIO 05/17/17 KARP & ELLIS LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 164 17WC 19178 TORRES, GRISELDA ELITE STAFFING INC 06/14/17 THE ROMAKER LAW FIRM 165 17WC 25288 PINEDA, ALLAN TOWN OF CICERO 07/24/17 LUSAK AND COBB DEL GALDO LAW GROUP LLP 166 17WC 25900 PICHARDO, MARIA ACCURATE PERSONNEL LLC 04/03/17 JOHN T GONNELLA 167 17WC 26022 BUCIO, ROBERTO LATINO MEAT & PRODUCE INC 08/18/17 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 168 17WC 26337 ALBANO, MARC CHICAGO FIRE DEPT 07/21/17 WILLIAM S. WOJCIK LTD CITY OF CHICAGO 169 17WC 26454 BATES, ANTHONY RON'S STAFFING SERVICES 08/10/17 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 170 17WC 26559 BURGESS, BRITTANNI CHICAGO TRANSIT AUTHORITY 09/01/17 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 171 17WC 26619 HERNANDEZ, VINCENT IL DEPT OF TRANSPORTATION 09/04/17 DWORKIN AND MACIARIELLO 172 17WC 26962 BOYD, VICTORIA A CHICAGO TRANSIT AUTHORITY 09/13/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 173 17WC 27106 SANTOW, ELIZABETH UNITED AIRLINES 09/28/16 KATZ FRIEDMAN EAGLE ET AL 174 17WC 27165 GARRETT, AKITA CTA 09/05/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 175 17WC 27658 GIBBS, KIRKLAND DELTA AIRLINES 05/22/17 LEONARD LAW GROUP LLC GAIDO & FINTZEN 176 17WC 27737 CLARK, JUANITA TOUCHPOINT SVCS 08/28/17 STEPHEN G PINTO LTD GANAN & SHAPIRO 177 17WC 27760 ANDRE LOVE CITY OF CHICAGO, DEPT OF 08/07/17 BUDIN LAW OFFICES 178 17WC 27820 METOXEN, JOSEPH STATE OF ILLINOIS DEPT OF @ 08/29/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 179 17WC 27875 CUMMINGS, TIMOTHY UNIVERSITY OF CHICAGO 09/16/17 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 180 17WC 27898 TURCIOS, MARVIN CITYWIDE DISPOSAL 09/14/15 DEPAOLO & ZADEIKIS LITCHFIELD CAVO 181 17WC 28217 LEAGOGO, FRANCISCO XYLEM INC 09/12/17 BAUM RUFFOLO & MARZAL LTD POULOS & DIBENEDETTO LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 182 17WC 28245 SCHLOSSER, GRISELDA DISTRICT 218 08/28/17 EPSTEIN, JACK R LAW OFFICE ODELSON & STERK 183 17WC 28481 19B KALOUDIS, CHRIS COOK COUNTY SHERIFF'S OFF 08/28/17 CORNFIELD & FELDMAN STATES ATTORNEY OF COOK COUN 184 17WC 28516 HARDIMAN, LOLITA CHICAGO BOARD OF EDUCATIO 07/26/17 HUGHES SOCOL PIERS RESNICK LAW DEPARTMENT 185 17WC 28649 CERVANTES, JUAN J A&A MIDWEST REBUILDERS 09/19/17 ANKIN LAW OFFICE GANAN & SHAPIRO 186 17WC 28726 ZIEGELMAN, CHERYL UNITED AIRLINES 11/04/14 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 187 17WC 28957 HULL, STEPHEN P VILLAGE OF WHEELING 09/24/17 FIGLIOLI, DAVID KLEIN THORPE & JENKINS LTD 188 17WC 35578 INGRAM, RANDALL MEDIEVAL TIMES 11/01/17 DWORKIN AND MACIARIELLO GRANT & FANNING 189 17WC 35713 JONES, ROBERTA FIRST TRANSIT 11/08/17 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 19WC006672 -C 190 17WC 35772 CARABELLO, FELIPE CITY OF CHICAGO 09/29/17 VLANTIS LAW LLC CITY OF CHICAGO 191 17WC 36068 TORRES-TORRES, JOSE OGDEN INTERNATIONAL SCHOO 12/01/17 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 192 17WC 36615 VANCE, JERRY COOK DUPAGE TRANSPORTATIO 11/05/17 MARC J SHUMAN & ASSOCIATES 193 17WC 36617 TAYLOR, TRALANDA CHICAGO PUBLIC SCHOOLS 09/26/17 MARC J SHUMAN & ASSOCIATES LAW DEPARTMENT 194 17WC 36655 PRZYBYLINSKI, HILARY SYSCO FOOD SERVICE 09/29/17 CULLEN HASKINS NICHOLSON 195 17WC 36885 MUNIZ, DAVID STEAK 48 11/14/17 MC HARGUE & JONES KEEFE CAMPBELL & ASSOC LLC 196 17WC 36971 STEMMONS, TIMOTHY TRU TEAM 11/20/17 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 197 17WC 37234 CHRZAN, JACEK DONSON MACHINE 12/04/17 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 18WC008979 -C 198 17WC 37416 HALL, MARK TAYLOR ELECTRIC COMPANY 11/09/17 TAXMAN POLLOCK 199 17WC 37680 ARCHIE, ANDREA J CITY OF CHICAGO DEPT OF W 12/05/17 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 200 17WC 37724 SHAW, BILLY R SPECIALIZED STAFFING SOLU 11/27/17 ANKIN LAW OFFICE SLAVIN & SLAVIN 201 17WC 38103 GRAY, CARLETTE SMG MCCORMICK PLACE 09/25/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 202 18WC 00019 STEED, KATRINE RELIANCE 12/11/17 JOSEPH F. VITU THOMAS & PORTELA 203 18WC 00192 MARION, KESHA COOK COUNTY SHERIFF'S OFF 11/01/17 PARENTE & NOREM PC STATES ATTORNEY OF COOK COUN 204 18WC 00211 CUAJICALCO, SILVIA DURABLE PACKAGING INC 11/29/16 STEIN & CHERNY LTD WIEDNER & MCAULIFFE LTD 19WC012457 -C 20WC002177 -C 205 18WC 00337 OLIVA, LILIA GATE GOURMET 08/26/17 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 19WC011261 -C 19WC032228 -C 206 18WC 04959 DEROUIN, CECILIA UNITED PARCEL SERVICE 07/03/17 CULLEN HASKINS NICHOLSON ASA LAW GROUP 207 18WC 05491 RILEY, PATRICK J IL DEPT OF TRANPORTATION @ 02/13/18 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 208 18WC 06655 ZARCO, MAGDALENA THE RESERVES NETWORK, INC 01/12/18 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 209 18WC 06696 NANCE, LISA MALLORY COOK COUNTY DEPT OF PUBLI 11/29/17 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 210 18WC 06735 KOLTZ, BETTINA DAYMON WORLDWIDE INC 12/03/15 RIPES NELSON BAGGOT KALOBRAT 211 18WC 06756 ALTENBERN, KELLEY UNITED AIRLINES 02/11/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 212 18WC 06876 SANDOVAL, GONZALO SEPULVEDA BROTHERS 02/16/18 SCOTT B SHAPIRO 213 18WC 06950 VALDEZ, BELINDA ARCELORMITTAL 11/04/17 ELFENBAUM EVERS ZIELINSKA SPIEGEL & CAHILL, PC 214 18WC 07110 COCONATE, FRANK ALL MASONRY CONSTRUCT CO 02/23/18 TAMVAKIS, GEORGE L WIEDNER & MCAULIFFE LTD 215 18WC 07150 ROMERO, RICARDO ROMERO STEEL COMPANY INC 04/15/15 FRANCIS J DISCIPIO LAW OFF INMAN & FITZGIBBONS 216 18WC 07177 FARMER, TRACY ARCTIC EXPRESS 01/08/18 PORRO NIERMANN LAW GROUP JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 217 18WC 07282 COLBY, JAHNA VERIZON WIRELESS 01/18/18 R. MARK MARITOTE PC ASA LAW GROUP 218 18WC 07371 GATES, JERRY CDT 03/04/18 219 18WC 07450 SAVAGE, KARASTIN FRITO-LAY INC 01/31/18 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 220 18WC 07839 COLEMAN, CYNTHIA STANDARD PARKING CORPORAT 11/26/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 221 18WC 07889 MALONE, JIMYA CHICAGO TRANSIT AUTHORITY 02/20/18 CAPRON & AVGERINOS PC CHICAGO TRANSIT AUTHORITY 222 18WC 07926 BRULLOTHS, VALERIE SEJA SCHOOL DISTRICT 802 02/22/18 DAVID W MARTAY 223 18WC 08042 OCAMPO, MARIA C UNITED MAINTENANCE CO INC 02/21/18 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 224 18WC 08097 ADAMS, ANTONE CTA 03/12/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 225 18WC 08412 KHAN, MOHAMMAD N CITY OF CHICAGO 05/18/17 FIGLIOLI, DAVID 226 18WC 08440 FIRTH, RACHEL CITY OF CHICAGO - OEMC 02/04/18 CORBOY & DEMETRIO PC 227 18WC 08570 CANNON, VICTORIA DEE SWIGART INC 01/29/18 RIDGE & DOWNES JOSEPH MARCINIAK 19WC008419 -C 228 18WC 08616 OWENS, RAYMOND CHICAGO TRANSIT AUTHORITY 11/07/17 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY 229 18WC 08649 GARCIA, MARIA ELITE STAFFING, INC 03/07/16 COSTA IVONE LLC 230 18WC 08811 AYALA, TASHIA L STATE OF IL - DCFS 02/02/18 VITELL & SPITZ LTD DANIELLE CURTISS 231 18WC 09203 SOTO, EVELYN L COUNTRYSIDE DONUTS INC 03/16/18 ANKIN LAW OFFICE 232 18WC 09330 HAMILTON, MARY JEWEL FOODS 02/03/18 MARSZALEK AND MARSZALEK 233 18WC 09566 SANCHEZ, LUIS JOSHUAS CONSTRUCTION INC 03/22/18 234 18WC 09703 ALI, GIRARDEAU T VILLAGE GREEN MGMT CO 08/08/17 SCHAFFNER RABINOWITZ FEINA ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 235 18WC 16705 STEELE, COREY DOLLAR TREE 05/28/18 STEWART C ORZOFF 236 18WC 16775 WARJAS, BART COOK COUNTY SHERIFF 05/22/18 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 237 18WC 16857 MUNOZ, ISIDRO ACCURATE PERFORATING 05/01/18 EPSTEIN, JACK R LAW OFFICE LITCHFIELD CAVO 238 18WC 16904 JOHNSON, RENWICK CHICAGO TRANSIT AUTHORITY 05/31/18 ROGER D RUDICH LTD CHICAGO TRANSIT AUTHORITY 239 18WC 16988 PADILLA, JUAN BINNY'S BEVERAGE DEPOT 10/05/17 MENDOZA LAW PC MEACHUM & STARCK 240 18WC 17005 SIMS, LINDA L PACE 11/20/17 CHRISTIAN & MANNO 241 18WC 17076 NAVA, SANDRA SWISSOTEL CHICAGO 05/06/18 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 242 18WC 17158 IBRAHAM, DAVID TRIVEDI HOSPITALITY LLC 01/27/18 ACEVES & PEREZ PC KOPKA, PINKUS DOLIN, PC 243 18WC 17242 CARDENAS, APOLINAR ELITE STAFFING 06/21/17 RUEDA, IVAN A 244 18WC 17286 TRIVETTE, MARY LEVY RESTAURANTS 04/27/18 CULLEN HASKINS NICHOLSON 245 18WC 17329 ROBINSON, JONICE PARAMOUNT OF OAK PARK 03/30/18 MARK N LEE 246 18WC 17366 REDDITT, LATRINA C ACTS AVIATION SECURITY 05/07/18 WARREN W MARK 247 18WC 17530 HERNANDEZ, ADRIAN MAGNUM TRANSPORT 04/09/18 BRILL & FISHEL GANAN & SHAPIRO 248 18WC 17619 GONZALEZ, LUIS MULTIPACK SOLUTION 02/05/18 249 18WC 17878 BAYLOR, YVETTE LITTLE COMPANY OF MARY 01/10/18 KARCHMAR & STONE 250 18WC 18014 OLMOS, JOSE LUIS ABM 02/05/18 SALVATO O'TOOLE FROYLAN 251 18WC 18032 DIAZ DE LEON, RAFAEL J THE TOOTSIE ROLL COMPANY 05/19/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 252 18WC 18094 DUNSING, JOHN JEWEL OSCO 07/27/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 253 18WC 18117 LARSEN, GREGORY NORTHERN ILLINOIS TERRAZZ 08/03/17 GREGORIO & MARCO EVANS & DIXON 18WC018118 -C 254 18WC 18136 AKINYEMI, PIPELAYO GRACE COOK COUNTY HEALTH & 04/18/18 THE ROMAKER LAW FIRM STATES ATTORNEY OF COOK COUN 255 18WC 18192 RENTER, ELIZABETH, ESTATE LYFT 06/08/18 DWORKIN AND MACIARIELLO 256 18WC 18211 JOHNSON, LAKEISHA E AON 08/23/17 TRUGLIO, FRED A & ASSOC BRADY CONNOLLY & MASUDA PC 257 18WC 18264 HENDERSON, DAIDREA ST FRANCIS HOSPITAL OF 04/11/18 NYHAN BAMBRICK KINZIE & LOWR 258 18WC 18352 BOTHA, DEREK PIZZO & ASSOCIATES, LTD 02/17/17 TURNER & SACKETT LLC KOPKA, PINKUS DOLIN, PC 18WC018373 -C 259 18WC 18441 KELLUM, LATOYA CTA 05/11/18 ACEVES & PEREZ PC ACEVES & PEREZ PC 260 18WC 18537 TOMASELLO, ANTONINO FIFTY 50 MANAGEMENT GROUP 10/20/16 ROSS TYRRELL HOLECEK & ASSOCIATES 261 18WC 18560 CORTEZ-SANCHEZ, JUAN CARL CREEKSIDE TOTAL MAINTENAN 02/21/18 GANAN & SHAPIRO 262 18WC 18707 MENDEZ RAMOS,ARCADIA FRAN F&O CHICAGO LLC 04/07/18 STEVEN B SALK & ASSOC LTD KRAKER FANNING & OLSEN 263 18WC 18753 HOLTZ, MARK JOHN MAIER CO, INC 11/03/17 GOLDBERG WEISMAN & CAIRO L GILDEA, COGHLAN & REGAN LTD. 264 18WC 18825 SANDOVAL, SILVINO BL DOWNEY COMPANY LLC 03/28/18 MC HARGUE & JONES SLAVIN & SLAVIN 265 18WC 18844 RODRIGUEZ, HARRIETT STATE OF ILLINOIS @ 04/05/17 LEONARD LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 266 18WC 18924 OZOG, KRZYSZTOF BEE QUALITY, INC 07/16/15 ALEKSY BELCHER 267 18WC 18970 HARRIS, TINA Y CONVENTION CONNECTION 06/11/18 VITELL & SPITZ LTD 268 18WC 18989 CAMPBELL, TIMOTHY ARAMARK 07/07/15 TIMOTHY CAMPBELL 269 18WC 19098 CALDERON, MERCEDES OSI GROUP, LLC 05/21/18 GORDON & CENTRACCHIO LLC ASA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 270 18WC 19237 ROBINSON, LAVELLE CARL BUDDY & CO 05/30/18 ANKIN LAW OFFICE KNELL O'CONNOR DANIELWICZ 271 18WC 19250 PUNJWANI, NARGIS WALGREENS 04/03/18 RYAN ROSENTHAL GILDEA, COGHLAN & REGAN LTD. 272 18WC 19355 CREAMEANO, STEVE ACT WORLDWIDE/ATLAS VAN L 06/05/18 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC 273 18WC 19518 SALAZAR, VANESSA UNIVERSITY OF ILLINOIS 05/18/18 DEPAOLO & ZADEIKIS HEYL ROYSTER VOELKER & ALLEN 274 18WC 19556 IRWIN, SCOTT ARCELOR MITTAL RIVERDALE 10/23/17 CULLEN HASKINS NICHOLSON SPIEGEL & CAHILL, PC 275 18WC 26285 ROBINSON, CRYSTAL FAMILY DOLLAR 07/31/18 MC HARGUE & JONES LEAHY EISENBERG & FRAENKEL 276 18WC 26409 VAZQUEZ, ROSAURA PANERA LLC 04/21/18 ALBRECHT LAW OFFICES GORDON & CENTRACCHIO LLC 277 18WC 26429 DE ALBA, JOSUE TEMPUS AUTO SPA 04/11/14 JOHN S. ELIASIK 278 18WC 26444 JOHNSON, CIARA HARTGROVE HOSPITAL 09/21/15 ROSS TYRRELL 279 18WC 26561 SILVA, MARIA PARK TOWER CONDOMINIUM 08/24/18 DWORKIN AND MACIARIELLO FRIEDRICH LAW LLC 18WC029006 -C DRAPER & KRAMER 19WC011223 -C 280 18WC 26584 DIXON, ROBERT PENSKE LOGISTICS 07/06/18 KEVIN O'BRIEN HENNESSY & ROACH PC 281 18WC 26606 KISSANE, WILLIAM T AMALGAMATED SERVICES, INC 08/30/18 MORICI FIGLIOLI & ASSOC 282 18WC 26667 MCKEEVER, ANITA R IDCFS 07/24/18 JAMES ELLIS GUMBINER & ASS DANIELLE CURTISS 283 18WC 26699 WELLS, CHRISTOPHER FORD MOTOR COMPANY 05/31/18 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 284 18WC 26868 ELLISON, ESTHER STATE OF IL DEPT OF CHILD @ 02/21/18 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 18WC026869 -C 285 18WC 26951 BELL, ERNEST V III UIC PHYSICAL PLANT 08/30/18 VITELL & SPITZ LTD NYHAN BAMBRICK KINZIE & LOWR 286 18WC 27014 GNIADECKI, PHILLIP UNITED AIRLINES 09/14/16 FRANCIS J DISCIPIO LAW OFF WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 287 18WC 27142 SANCHEZ, JOSE VOESTALPINE PRECISION 05/04/17 JOHN S. ELIASIK JOSEPH MARCINIAK 288 18WC 27156 MIRANDA JR, PEDRO COOK COUNTY SHERIFF'S OFF 08/31/18 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 289 18WC 27279 HERNANDEZ, EMILY MEJIA WORKFORCE MVP 09/05/18 ENCINAS & ORNELAS 290 18WC 27353 FERN, RICHARD METAL-MATIC INC 05/01/17 STROM & ASSOC 291 18WC 27427 AMES-DEAL, DARLENE UNIVERSITY OF CHICAGO MED 01/10/18 FISHER & LAMONICA 292 18WC 27449 GALLEGOS, SERGIO TROY DESIGN & MANUFACTURI 08/16/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 293 18WC 27491 GUZMAN, EDUARDO TDH MECHANICAL, INC. 03/13/17 GRAUER & KRIEGEL LLC QUINN JOHNSTON HENDERSON ETA 294 18WC 27509 VALDEZ-BANUELOS, JOSE MAN MARIO CORNEJO 03/24/17 MENDOZA LAW PC 295 18WC 27594 CONTRERAS, GLORIA HYATT PLACE CHICAGO O'HAR 06/18/18 CULLEN HASKINS NICHOLSON 296 18WC 27638 CARSON, RONALD DOOR & WINDOW SUPER STORE W 08/02/17 COSTA IVONE LLC 297 18WC 27811 DREXEL, ROBERT G.E.S. 08/30/18 SEIDMAN MARGULIS & FAIRMAN GILDEA, COGHLAN & REGAN LTD. 298 18WC 28104 RIOS, SUSANA URBAN OASIS 07/17/18 CULLEN HASKINS NICHOLSON EDWARD J. KOZEL 299 18WC 28150 PADILLA, JONATHAN MICHAEL P KEEFE, D/B/A W 09/12/18 GRAZIAN & VOLPE PC 300 18WC 28215 JESION, TERESA NORTHSHORE UNIV. HEALTH 04/12/18 LEONARD LAW GROUP LLC 301 18WC 28276 ROMAN, CARMEN KIRKLAND AND ELLIS 03/09/18 LUSAK AND COBB 302 18WC 28373 WERNER, SUSAN AMITA ST ALEXUIS MEDICAL 12/17/17 KINNALLY FLAHERTY KRENTZ 303 18WC 28477 TAYLOR, RAY A ELITE STAFFING, INC 09/11/18 COHN LAMBERT RYAN & SCHNEI 304 18WC 28675 WILCOX, TONI ALLSTATE INSURANCE 05/01/18 KARCHMAR & STONE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 305 18WC 28710 THOMPSON, DEANNA CHICAGO TRANSIT AUTHORITY 09/12/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 306 18WC 28745 IBARRA, XOCHILT CASA CHAPALAS GRILL 01/15/18 HERRERA LAW CENTER HENNESSY & ROACH PC 307 18WC 28792 LEWANDOWSKI, ROBERT BAYPORT TRAILER REPAIR, I 05/31/18 BERNAT & BERNAT PC MEACHUM & STARCK 308 18WC 28813 AVILES, JOSE LUIS PRIDE STAFFING 08/28/18 309 18WC 28912 CERVANTES, ENRIQUETA SAVOR AT MCCORMICK PLACE 11/07/17 ELFENBAUM EVERS ZIELINSKA RUSIN & MACIOROWSKI LTD 18WC028913 -C 310 18WC 28978 SANCHEZ, MARIA A ADVOCATE CHRIST MEDICAL C 08/24/17 MORICI FIGLIOLI & ASSOC NYHAN BAMBRICK KINZIE & LOWR 19WC032076 -C 311 18WC 29075 CHAVEZ, JIOVANNY LOPEZ AK FOOD EVOLUTION 09/16/18 DWORKIN AND MACIARIELLO 312 18WC 29106 ZAKERY, ALI ACE HOTEL 09/15/18 BAUM RUFFOLO & MARZAL LTD BRYCE DOWNEY & LENKOV LLC 313 18WC 29230 FRASIER, GERALD UNIVERSITY OF IL HOSPITAL 07/31/17 BRUSTIN & LUNDBLAD LTD POWER & CRONIN LTD 314 18WC 29327 LEWIS, JOSHUA THE HOME DEPOT 08/27/18 DWORKIN AND MACIARIELLO ADELSON TESTAN BRUNDO 315 18WC 29361 DICKEY, ALFRED GRIER ABRASIVE CO, INC 08/22/18 SAUNDERS CONDON & KENNY GANAN & SHAPIRO 316 18WC 29652 LANDERS, MICHAEL CITY OF CHICAGO 09/26/18 LEONARD LAW GROUP LLC CITY OF CHICAGO 19WC020765 -C 317 18WC 29741 QUIROZ, IVAN SAWING & SHEARING SERVICE 09/17/18 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 318 18WC 29766 CASE, MICHAEL STATE OF ILLINOIS DEPT LO @ 09/14/18 LAW OFFICE OF LAURA A CHIL ASSISTANT ATTORNEY GENERAL 19WC005303 -C 19WC014465 -C 319 18WC 29803 PROVANCAL, TONY IL BELL TELEPHONE CO C/O 07/17/18 HETHERINGTON KARPEL BOBBER 320 18WC 29824 LORENZ, BRIDGET DOLLAR TREE 09/05/18 DAVID W MARTAY LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 321 18WC 29841 CARIDI, ANTHONY TRILLIUM CONSTRUCTION 03/21/17 SEIDMAN MARGULIS & FAIRMAN SPIEGEL & CAHILL, PC 322 18WC 35664 KOCH, ROGER JOHN JR INSTALLATIONS, IN 10/30/18 GOLDBERG WEISMAN & CAIRO L 18WC035666 -C 323 18WC 35694 DZWONKIEWICZ, MARK AERO CARE TRANSPORT SYSTE 09/01/18 TARADASH LAW OFFICE 324 18WC 35745 RAGGS, CHRISTOPHER SCHNEIDER NATIONAL 11/19/18 JAMES ELLIS GUMBINER & ASS ASA LAW GROUP 325 18WC 35766 LAMAS ACOSTA, MARIA C CBQ LLC 11/29/18 HERRERA LAW CENTER KNELL O'CONNOR DANIELWICZ 326 18WC 35788 IVANOV, VICTOR I LIEBERMAN MANAGEMENT SERV 11/27/18 LEO ALT 327 18WC 35826 GOMEZ, JESSICA WOODBRIDGE NURSING PAVILI 08/02/18 COSTA IVONE LLC POWER & CRONIN LTD 328 18WC 35889 CARRANZA RUIZ, FERNANDO PANDA EXPRESS 11/23/18 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 19WC019878 -C 329 18WC 35907 MCMASTER, RAYMOND CITY OF CHICAGO 10/23/18 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 330 18WC 35977 TAHA, KACEM SUN TAXI ASSOC 12/01/18 ACEVES & PEREZ PC 331 18WC 36101 CANCECO, FAVIAN RAMEN TAKEYA 11/17/18 DWORKIN AND MACIARIELLO PAUL O WATKISS 332 18WC 36357 BAILEY, GERARD CITY OF CHICAGO 12/06/18 RITTENBERG BUFFEN CHGO BOARD OF EDUCATION 333 18WC 36525 BROWN-HOOD, SYLVIA LOYOLA UNIVERSITY OF CHIC 02/07/18 SCOTT BARBER LORENZ & BERGIN PC 334 18WC 36573 KEEFE, MICHAEL CATHOLIC BISHOP OF CHICAG 06/10/17 JONATHAN SCHLACK 335 18WC 36605 JOHNSON, JUANITA AVIS BUDGET RENTAL CARS 11/16/18 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 336 18WC 36716 COALSON, GEORGE A HAWTHORN SUITES BY WYNDHA 05/14/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 337 18WC 36735 MONTOYA, ELENA APERION CARE PLUM GROVE 10/15/18 BOTTO GILBERT SLAVIN & SLAVIN 338 18WC 36765 HERRON, KALEIGH QUATRO FPO SOLUTIONS, LLC 06/29/18 BLEAKNEY & TROIANI JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 339 18WC 36805 ESPITIA, CYNTHIA CHICAGO PUBLIC SCHOOLS 10/03/18 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION 340 18WC 36939 LEWIS, JEROME CITY OF CHICAGO 11/28/18 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 341 18WC 37156 KARAS, DAMIAN VISION TEAM CONSTRUCTION, 01/18/17 RATHBUN CSEVENYAK & KOZOL 342 18WC 37222 SUMMERS, TINA TRI-STATE NURSING AND 10/05/17 MC HARGUE & JONES 343 18WC 37245 GUZMAN, ANDY U.S. FOODS 12/20/17 MARTIN V KUGIA 344 18WC 37380 CASIMIRO, ERNESTINA COMPASS GROUP USA, INC. 11/16/18 STEVEN B SALK & ASSOC LTD GANAN & SHAPIRO 345 18WC 37426 DUGAN, JACQUELYN APPLE INC 01/04/18 KEVIN O'BRIEN HENNESSY & ROACH PC 346 18WC 37650 LESLIE, REGINA ALLYU SPA 08/09/18 NO ATTORNEY 347 18WC 37750 STAMPS, MARSHA CHICAGO PUBLIC SCHOOLS 12/14/18 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 348 18WC 37778 LITTLE, RUDY J COOK COUNTY SHERIFF DEPT 12/11/18 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 349 18WC 37827 FORT, LATARSHA SP+/ SP PLUS CORPORATION 12/16/18 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM GRA 350 18WC 37850 BECKMAN, JOHN DOREEN'S FROZEN GOURMET P 10/10/18 NEWMAN, BOYER & STATHAM 351 18WC 37867 GARCIA-CORONA, ALFONSO PROSPECT HEIGHTS HOTEL 03/29/17 SALVATO O'TOOLE FROYLAN 352 18WC 37905 LANDOWSKI, ANNA ABM INDUSTRIES, INC 08/29/18 ALEKSY BELCHER GOLDBERG SEGALLA LLC 353 18WC 37926 WALKER, RANDY COMCAST 01/02/18 WHITESIDE & GOLDBERG LTD POWER & CRONIN LTD 354 18WC 38020 THOMAS, ANGELA EXTREME REACH INC 08/06/18 VANDERGINST LAW PC WIEDNER & MCAULIFFE LTD 355 18WC 38267 CONLEY, JUSTIN CITY OF EVANSTON 11/24/18 HUGHES SOCOL PIERS RESNICK 356 18WC 38373 ANDERSON, KEVIN MACLEAN-FOGG 12/11/17 MAURICE E DUSKY PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 357 18WC 38388 WILLIAMS, WILLIE B CITY OF CHICAGO 05/21/18 ANKIN LAW OFFICE 358 18WC 38405 IOZZO, RICHARD WINSTON BRANDS 11/01/17 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 359 19WC 00015 JOHNSON, AMBER HEALTH ADVOCATES 07/14/18 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 360 19WC 00055 MARTINEZ GARCIA, JAIME AN RON'S STAFFING SERVICE 10/18/18 CULLEN HASKINS NICHOLSON 361 19WC 00145 MILTON, DISHA UNIDINE/COMPASS USA 12/29/18 DWORKIN AND MACIARIELLO GOLDBERG SEGALLA LLC 362 19WC 00204 ROLLAND, WILLIAM P SUPERIOR NUT & CANDY CO 12/08/17 SOSTRIN AND SOSTRIN PC CAPUANI, FRANK S 363 19WC 05266 WHITE, DELANDA CITY OF CHICAGO DEPT OF 01/11/19 WOODRUFF JOHNSON 364 19WC 06416 SALAZAR, PABLO EL MILAGRO 11/19/18 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 365 19WC 06441 HERRERA, LEN DPM MANAGEMENT INC D/B/A 06/11/18 COVEN LAW GROUP 366 19WC 06552 MORALES, JOSE UNIVERSAL SCRAP METALS, I 08/07/18 ROBERT WARSASKI KEEFE CAMPBELL BIERY & ASSOC 367 19WC 06646 LIGGINS, SHARON SURE STAFF 03/01/19 DWORKIN AND MACIARIELLO LOUIS MUNDY 368 19WC 06674 LI-STONE, YING JUAN AMERICAN AIRLINES 03/01/19 GAROFALO SCHREIBER STORM GRA 369 19WC 06736 NOLAN, CALEB CITY OF CHICAGO/CHICAGO P 01/17/17 FRIEND LEVINSON & BERGAL CITY OF CHICAGO 370 19WC 06765 ORTIZ, CHRISTIAN JOHN LAWSON & CO, LLC 06/16/18 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 371 19WC 06779 ADRIANZEN, LUZMILA B CHICAGO BOARD OF EDUCATIO 09/10/18 SOSTRIN AND SOSTRIN PC CHGO BOARD OF EDUCATION 372 19WC 06853 SEREIKA, GEORGE AT&T 02/07/19 NILSON STOOKAL GLEASON CAP HENNESSY & ROACH PC 373 19WC 06965 BURNS, ARDENA MATTESON AREA PUBLIC LIBR 01/04/18 JOSEPH MARCINIAK 374 19WC 06988 ZAMORA, VINCENT AT&T SERVICES, INC 12/07/18 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 375 19WC 07009 TORRES, JOSE A ILLINOIS DEPT OF TRANSPOR 02/21/19 ANSELMO DURAN DANIELLE CURTISS 376 19WC 07087 LASHLEY, DAKARAI CHICAGO TRANSIT AUTHORITY 02/09/19 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 377 19WC 07105 JOHNSON, PATRICK L BLOOM HIGH SCHOOL DISTRCT 09/25/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 378 19WC 07153 ALI, ABDIAZIZ SITARA INC 12/16/18 FISHER & LAMONICA 379 19WC 07207 PITTARD, DEANDRE MIKEN CARTAGE 03/16/18 SEIDMAN MARGULIS & FAIRMAN SCOPELITIS GARVIN LIGHT 380 19WC 07226 PATTERSON, CHERYL E CHICAGO BOARD OF EDUCATIO 02/01/19 THOMAS R LICHTEN CHGO BOARD OF EDUCATION 381 19WC 07323 AYALA, JUAN C ENGER-VAVRA, INC 02/15/19 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 382 19WC 07419 SPENO, CODY PEPPER CONSTRUCTION GROUP 10/18/17 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 19WC007420 -C 383 19WC 07442 NIEVES, ENRIQUE COOK COUNTY SHERIFF DEPT 02/26/19 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 384 19WC 07480 SABANOVIC, ENISA UNIVERSITY OF CHGO MEDICA 10/31/18 MILLON & PESKIN LTD POWER & CRONIN LTD 385 19WC 07542 MCCORMACK, EDWARD HOMER TOWNSHIP FIRE 05/19/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 386 19WC 07571 BASSETT, YVONNE ABM INDUSTRY GROUPS, LLC 09/06/18 ANKIN LAW OFFICE 387 19WC 07652 DINKINS, KELLY OAK FOREST HEALTH CENTER 01/23/19 HANNIGAN & BOTHA, LTD STATES ATTORNEY OF COOK COUN 388 19WC 07719 BROWN III, MORRIS CHICAGO TRANSIT AUTHORITY 12/14/18 ROGER D RUDICH LTD CHICAGO TRANSIT AUTHORITY 389 19WC 07747 BARBER, GENNARD SOUTHWEST AIRLINES 11/23/18 KARCHMAR & STONE 390 19WC 07766 FANUCCHI, CORY CITY OF CHICAGO- CDOT 10/23/18 PARENTE & NOREM PC CITY OF CHICAGO 391 19WC 07785 JACOBSEN, KARL COOK COUNTY SHERIFF DEPT 08/15/18 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 392 19WC 07802 BRIDGES, BRUCE YRC FREIGHT 11/17/18 THOMAS R LICHTEN HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 393 19WC 07879 POULOS, JOHN METROPOLITAN WATER RECLAM 01/31/19 GOLDBERG WEISMAN & CAIRO L 394 19WC 07919 SEIBERT, SEAN DOMINATION, LLC DBA UFC G 10/29/18 O'CONNOR & NAKOS 395 19WC 07927 LOPEZ, EMANUEL US FOODS 02/22/19 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 396 19WC 07954 MALINOWSKI, ROSEMARIE JEWEL-OSCO 02/14/18 ELFENBAUM EVERS ZIELINSKA 397 19WC 07972 BROWDY, BECKY L CHICAGOLAND METHODIST SEN 11/29/18 ANKIN LAW OFFICE 398 19WC 08001 HOWARD, DURRELL JEWEL 02/18/19 HUGHES SOCOL PIERS RESNICK 399 19WC 08060 BARNES, FREDRICK ELITE STAFFING 03/11/19 POLANSKY & CICHON CHTD 400 19WC 08096 VITALE, JOHN AMERICAN AIRLINES 01/30/19 MICHAEL HELLMAN ROSARIO CIBELLA 401 19WC 08180 LINER, LAMONT JEWEL OSCO 02/07/19 MC HARGUE & JONES QUINTAIROS PRIETO WOOD & BOY 402 19WC 08210 YOUNG, CHRISTOPHER WRIGLEY FIELD ENTERPRISES 08/17/17 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO 403 19WC 08233 GONZALEZ, JUAN MANUEL CENTRAL TRANSPORT 02/06/19 CULLEN HASKINS NICHOLSON HINSHAW & CULBERTSON 404 19WC 08251 ARROYO, LIDIA MULTI PACK SOLUTIONS 11/12/18 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 405 19WC 08287 MCCLENDON, SHENIKA LAWNDALE CHRISTIAN HLTH C 01/23/19 TIMOTHY HENDERSON ACCIDENT FUND HOLDINGS 406 19WC 08307 ADAMCZYK, JOLANTA COOK COUNTY CLERK'S OFFIC 11/03/18 ACEVES & PEREZ PC STATES ATTORNEY OF COOK COUN 407 19WC 08368 GREEN, DEMETRIUS CHICAGO TRANSIT AUTHORITY 03/13/19 CHICAGO TRANSIT AUTHORITY 408 19WC 08424 SLOAN, DEARSENIO UBER 01/15/18 SHELDON I MINKOW & ASSOCIA WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 409 19WC 08497 SCOTT, JUJUAN WEST SIDE TRANSPORT 02/25/19 MALLOY ETZLER & LAWHEAD PC HOLECEK & ASSOCIATES 410 19WC 08528 POSADO, CARLOS MOBILE MANAGEMENT CO INC 02/12/19 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 19WC008529 -C 19WC008530 -C 411 19WC 08601 RODRIGUEZ, RICARDO MILLER'S PUB 02/02/19 412 19WC 08715 JONES, KEVIN C SOUTHWEST AIRLINES 05/15/18 COHN LAMBERT RYAN & SCHNEI 413 19WC 08751 VARGAS, HECTOR FRESH MARKET PLACE 09/07/18 JOHN S. ELIASIK LEAHY EISENBERG & FRAENKEL 414 19WC 08763 SCOTT, WINFRED UNIVERSITY OF CHICAGO 12/12/18 DAVID W MARTAY POWER & CRONIN LTD 415 19WC 08836 HARO, BRIAN HELGET GAS PRODUCTS ILLIN 01/28/19 PORRO NIERMANN LAW GROUP 416 19WC 08922 HENDRICKS, DERRICK DPI 01/10/19 RUBENS KRESS MULHOLLAND HOLECEK & ASSOCIATES 417 19WC 08953 LAWS, JASON GE TRANSPORTATION 02/05/19 ANGELINI & ORI LLC RUSIN & MACIOROWSKI LTD 418 19WC 09015 FUENTES, JAMES STEPHN G PINTO, LTD, D/B/ 07/13/17 STEVEN B SALK & ASSOC LTD JOSEPH MARCINIAK 419 19WC 09141 GOOLSBY, JULIAN CITY OF CHICAGO 08/01/18 MARK SCHAFFNER CITY OF CHICAGO 420 19WC 09165 ARELLANES, NORMA CHICAGO TRANSIT AUTHORITY 02/22/19 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 421 19WC 09187 PATRICK, HENRY SLS JET CAB CORP 03/22/19 DWORKIN AND MACIARIELLO 422 19WC 09211 PRATHER-WYATT, LISA AMAZON.COM 07/25/18 GOLDSTEIN AIOSSA & GOOD 423 19WC 09251 KRAVCHUK, VITALIY RDY CONSTRUCTION INC 03/14/19 CHEPOV & SCOTT LLC LAWRENCE COZZI - LAW OFFICE 424 19WC 09287 NICHOLSON-MICKENS, SYLVIA AMERICAN SCHOOL BUS 01/25/19 EPSTEIN, JACK R LAW OFFICE GALLIANI DOELL & COZZI LTD 19WC009288 -C 425 19WC 09339 WALTON, TRACY TRINITY HEALTH CORP 02/18/19 SKLARE LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 426 19WC 09356 DVORAK, MICHAEL KING HVAC SYSTEMS LLC 02/01/19 GRAZIAN & VOLPE PC 427 19WC 09405 ESCOBAR, WILMER CHICAGO TIRE 03/21/19 MC HARGUE & JONES 428 19WC 09438 TORVELL, STEVON E&R TOWING 03/12/19 FAJARDO LAW GROUP 429 19WC 09478 CONWAY, THOMAS J A-1 CONTRACTORS INC 11/01/14 CULLEN HASKINS NICHOLSON 430 19WC 09579 MUNOZ, DONAVAN BULLEY & ANDREWS CONCRETE 12/04/16 BRUSTIN & LUNDBLAD LTD WIEDNER & MCAULIFFE LTD 431 19WC 09606 JOHNSON, ASTRIEN UNIVERSAL METRO ASIAN SER 09/25/18 URBAN & BURT LTD INMAN & FITZGIBBONS 432 19WC 09653 MACKEY-MATTISON, FELICIA UNITED AIRLINES 04/05/16 RUBENS KRESS MULHOLLAND WIEDNER & MCAULIFFE LTD 433 19WC 09699 MATA, GERARDO FORD MOTOR COMPANY 09/25/18 TAXMAN POLLOCK WIEDNER & MCAULIFFE LTD 434 19WC 09722 SANCHEZ, MAURICIO BUTCHER & THE BURGER 12/13/17 PARENTE & NOREM PC JOSEPH MARCINIAK 435 19WC 09757 EDGAR, SAMETIO J PAPERSOURCE 03/07/19 WARREN W MARK KRAKER FANNING & OLSEN 436 19WC 09880 MACK, LYNDA JEWEL-OSCO 03/27/19 COVEN LAW GROUP 437 19WC 09981 ORTIZ, AMPARO ROSAS ELITE STAFFING 02/20/19 COSTA IVONE LLC 438 19WC 15950 MUNIZ, CARLOS CITY OF CHICAGO, DEPARTME 04/01/19 WILLIAM H MARTAY 439 19WC 16015 SIMS, WILLIE FLYING FOODS GROUP LLC 04/12/19 TARADASH LAW OFFICE 440 19WC 16068 HELTON, GALE YRC FREIGHT 05/29/19 GWC INJURY LAWYERS LLC 441 19WC 16101 EDMONDSON MARTINEZ, CARME UNDERWRITERS LABORATORIES 05/22/19 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 442 19WC 16131 GASKI, JODI LUTHERAN GENERAL HOSPITAL 09/11/18 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM GRA 19WC016134 -C 443 19WC 16171 BELL, PATRICIA HUDSON GROUP D/B/A HUDSON 03/19/19 COHN LAMBERT RYAN & SCHNEI HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 444 19WC 16194 JOHNSON, SAKIRA T APERION CARE MIDLOTHIAN 05/04/19 STEVEN J MALMAN & ASSOCIAT WOLF & LAUDICINA LTD 445 19WC 16235 LAKHDAR, NADIA WESTIN HOTEL 06/05/16 ELFENBAUM EVERS ZIELINSKA WIEDNER & MCAULIFFE LTD 19WC016236 -C 446 19WC 16292 KUNCE, KRISTINA COOK COUNTY JUVENILE TEMP 05/05/19 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 447 19WC 16404 GILCHRIST, STEVEN ALPHA BAKING CO. 05/13/19 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 19WC016405 -C 448 19WC 16435 JACKSON, ZAINAB M ARES CAB CORPORATION 05/20/19 WEISS & WEISS LAW OFFICES 449 19WC 16466 ANDERSON, ELIZER CITY OF CHICAGO 02/07/19 KEDZIE LAW OFFICE PC 450 19WC 16585 ESPINOZA, CHRISTINA AMAZON 02/26/19 MC HARGUE & JONES 451 19WC 16629 SIMMONS, GLYNIS WINPAK PORTION PACKAGING 04/15/19 ELFENBAUM EVERS ZIELINSKA 452 19WC 16652 NICHOLS, MARY KAY OAK LAWN COMMUNITY HIGH S 03/14/19 RIDGE & DOWNES ANCEL GLINK PC 453 19WC 16690 MILLER, LLOYD SURGICAL CARE AFFILIATES 06/11/18 DEPAOLO & ZADEIKIS JOSEPH MARCINIAK 454 19WC 16797 ORTIZ-MARTINEZ, ROSARIO K9 UNIVERISTY OF CHICAGO 11/16/18 LEONARD S. BECKER EDWARD J. KOZEL 455 19WC 16824 SMITH, EBONY THRESHOLDS 02/13/19 DE SALVO, SCOTT D LAW OFFI 456 19WC 16846 KENNEDY, ASHLEY PARK LAWN SERVICES 05/31/19 STYKA & STYKA 457 19WC 16894 NIETO, MATILDE ELITE STAFFING INC 12/20/18 COSTA IVONE LLC 458 19WC 16919 GONZALEZ, BLAZE COOK COUNTY 05/24/19 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 459 19WC 16939 BRISCO, KENNETH CITY OF CHICAGO 06/04/19 KUMLIN & FROMM CITY OF CHICAGO 460 19WC 16956 ZAKRZEWSKI, HENRY BLUE SKY ARCHITECTURAL ME 05/11/19 GREGORIO & MARCO KEEFE CAMPBELL BIERY & ASSOC 461 19WC 16977 COFFEE, TONY DIRECT SAT USA, LLC 06/05/19 ANKIN LAW OFFICE MEACHUM BOYLE TRAUFMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 462 19WC 17001 VIANE, TIMOTHY SCHAUMBURG LINCOLN 06/04/19 KROL BONGIORNO & GIVEN LTD 463 19WC 17057 HOWARDS, QIAWA GOLD STANDARD BAKING, INC 06/05/19 ANKIN LAW OFFICE 464 19WC 17164 GREEN, ESSIE JLM FINANCIAL HEALTHCARE 05/11/19 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 465 19WC 17187 CARR, RODNEY UNITED AIRLINES 06/09/19 COVEN LAW GROUP 466 19WC 17300 PERRY, ROBERT WOODLAWN FUNERAL HOME 05/08/19 DWORKIN AND MACIARIELLO 467 19WC 17375 SINKEVICIUS, TERRA CHICAGO PUBLIC SCHOOLS 03/03/17 CHGO BOARD OF EDUCATION 468 19WC 17530 DAVIS, ROBERT L COCA COLA BOTTLING 11/30/18 GALLAGHER, DONALD V HENNESSY & ROACH PC 469 19WC 17549 TANZILLO, MIKE THOMAS ENGINEERING 05/17/17 NEWLAND & NEWLAND KEEFE CAMPBELL BIERY & ASSOC 470 19WC 17594 STEIN, CHARLES UNITED AIRLINES, INC. 01/21/19 SAUNDERS CONDON & KENNY 471 19WC 17643 LOUIS-JEAN, MONTEL FORD MOTOR COMPANY 06/07/19 DONALD FOHRMAN & ASSOC 472 19WC 17665 PENDLETON, MARCUS STATE OF ILLINOIS @ 04/16/19 HERRERA LAW CENTER DANIELLE CURTISS 473 19WC 17744 HUNT, LINDA SOS SECURITY LLC 03/07/19 GOLDSTEIN AIOSSA & GOOD 474 19WC 17769 STRONG, MARVIN UNITED PROTECTION AGENCY, 06/06/19 DAVID W MARTAY HINSHAW & CULBERTSON 475 19WC 17811 MARROQUIN, TERESA ILLINOIS TOOL WORKS INC 02/27/18 ROBERT WARSASKI HENNESSY & ROACH PC 476 19WC 17861 ANGELOPOULOS, CHRIS HCR MANOR CARE 04/01/19 BAUM RUFFOLO & MARZAL LTD 477 19WC 17880 CARTER, JAMES UNITED AIRLINES 09/25/18 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 478 19WC 17921 CUPSA, FLORINA MEN'S WEARHOUSE 12/18/18 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 479 19WC 17941 ZARAGOZA, DAISY MIDWAY STAFFING 04/26/19 HERRERA LAW CENTER BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 480 19WC 18064 SCOTT, TAQUEDA PACE 04/09/19 SCOTT B SHAPIRO 481 19WC 18148 CRUTCHER, RODNEY CACO PALLET COMPANY 11/28/18 DWORKIN AND MACIARIELLO 482 19WC 18211 LAYNE, RHONDA CTA 06/08/19 BRISKMAN BRISKMAN GREENBER CHICAGO TRANSIT AUTHORITY 483 19WC 18229 LUPERCIO, CARLOS ALLIED DIE CASTING CO 02/28/19 THOMAS LAW WIEDNER & MCAULIFFE LTD 484 19WC 18249 MENDOZA, ALFONSO FEYROUS PASTRIES 05/09/19 CULLEN HASKINS NICHOLSON LUSAK AND COBB 485 19WC 18288 PERALTA, ARMANDO ARTISTS FRAME SERVICE, IN 10/12/18 KOSIN LAW OFFICE LTD 486 19WC 18309 KAPSALIS, ELIAS HYATT 11/17/18 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 487 19WC 18324 JONES, LEVITA M STATE OF ILLINIOS - ELISA @ 05/29/19 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 488 19WC 18340 THOMAS, PRISCILLA HMS HOST CORP, ET AL 06/17/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 489 19WC 18406 PARR-CROSS, DIONNE CHICAGO PUBLIC SCHOOLS 06/19/19 KUMLIN & FROMM CHGO BOARD OF EDUCATION 490 19WC 18422 BAUTISTA, PEDRO NEWLY WEDS FOODS- CHICAGO 04/02/19 LUSAK AND COBB WOLFE & JACOBSON, LTD 491 19WC 18440 SANDOVAL, JEANETTE PROFICIENT TRANSPORT 01/25/19 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 492 19WC 18558 AHMED, ANNA ACUMEN MEDICAL STAFFING C 06/17/19 DWORKIN AND MACIARIELLO GAIDO & FINTZEN 493 19WC 18585 MILLER, KEYATA WHOLE FOODS MARKET 02/17/19 RONALDSON & KUCHLER 494 19WC 18639 STOKES, VINCENT STATE OF IL 04/08/19 SHANNON LAW GROUP DANIELLE CURTISS 495 19WC 18734 JUAREZ AREVALO, JOSE IVAN MIDLOTHIAN HOSPITALITY, I 06/19/19 CHEPOV & SCOTT LLC 496 19WC 18848 COLLINS, BEVERLY KINDRED HOSPITAL CHICAGO 02/03/19 PARENTE & NOREM PC ARNETT LAW GROUP 497 19WC 18876 JONES, JANICE ARAMARK 01/20/19 COHN LAMBERT RYAN & SCHNEI INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 498 19WC 18985 ALONZO, LISA DOLLAR TREE 12/01/18 COSTA IVONE LLC 499 19WC 19005 TOMASZEWSKI, JACLYN M ZOOTCUTS FAMILY HAIR CNTR 05/04/19 ANKIN LAW OFFICE GRIFFIN, LORETTA M LAW OFFIC 500 19WC 19053 ALDANA, JUAN PABLO WORKFORCE, LLC 04/18/19 JOHN J CASTANEDA KOREY RICHARDSON LLC 501 19WC 19123 CRUZ, WILLIAM AMERICAN AIRLINES 01/21/19 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM GRA 502 19WC 19144 HOPE, DARRYL VILLAGE OF DOLTON POLICE 04/23/18 ROSS TYRRELL RUSIN & MACIOROWSKI LTD 503 19WC 19179 VILLARRUEL, JOSE DE JESUS EXPERT DEMOLITION, INC 03/23/18 KROL BONGIORNO & GIVEN LTD GAROFALO SCHREIBER STORM GRA 504 19WC 19214 CARTER, SONYA FIRST STUDENT MANAGEMENT 03/08/19 NILSON STOOKAL GLEASON CAP 505 19WC 19236 DOSS, FELISHA MID CITY PLAZA OWNER, LLC 11/28/18 ANKIN LAW OFFICE 506 19WC 19289 SMITH, JOE M COURIER DISTRIBUTION SYST 03/10/19 GOLDSTEIN BENDER & ROMANOF FRANCESCA LARSEN 507 19WC 19315 CHILDS, JAMES TOTAL CONTROL SPORTS 04/25/19 DAVID W MARTAY 508 19WC 19329 AYALA, FIDEL LB STEEL, LLC 01/16/19 RAYMOND M SIMARD, PC HOLECEK & ASSOCIATES 509 19WC 19346 SMITH, LATOYA AIM SPECIALTY HEALTH 06/25/19 ANKIN LAW OFFICE KRAKER FANNING & OLSEN 510 19WC 19362 RIVERA, EDUARDO UNITED AIRLINES INC. 06/10/19 SEIDMAN MARGULIS & FAIRMAN 511 19WC 19387 GIOVENCO, JOSEPH VILLAGE OF SCHAUMBURG 10/09/15 GRAUER & KRIEGEL LLC RUSIN & MACIOROWSKI LTD 512 19WC 19409 RODRIGUEZ, FRANCINE M AMERICAN MOLDING TECHNOLO 04/22/19 GALLAGHER, DONALD V LAWRENCE COZZI - LAW OFFICE 513 19WC 20949 ATTAWAY, DAVID BLOOM TOWNSHIP HIGH SCHOO 10/31/18 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 514 19WC 25647 GRUBBS FLUCKES, LAWANA THE W HOTEL 08/18/19 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD 19WC025648 -C 515 19WC 25702 MALOCHLEB, LUCJA GREEN MAINTENANCE SERVICE 05/19/19 COVEN LAW GROUP MEACHUM BOYLE TRAUFMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 516 19WC 25722 IRIZARRY, EUGENIO WINDWARD ROOFING 08/07/19 BERG & BERG 517 19WC 25770 CYGAN, JAMES FREEDMAN SEATING COMPANY 08/15/19 COLLISON LAW OFFICES 518 19WC 25789 ANDRAISIYAN, GRIGOUR TARGET CORPORTATION 02/24/19 HUGHES SOCOL PIERS RESNICK NYHAN BAMBRICK KINZIE & LOWR 519 19WC 25849 MENZIES, TIONNA CATHOLIC CHARITIES 08/20/19 CHARLES LEVY & ASSOC LTD 520 19WC 25912 EVANS, SOPHIA D METROPOLITAN WATER RECLAM 06/13/18 ROSS TYRRELL 521 19WC 25940 COLLINS, TERRI UNIVERSITY OF CHICAGO MED 07/28/19 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 522 19WC 25964 MILLS, DESHAWN COOK COUNTY JUVENILE DETE 04/20/19 RUBENS KRESS MULHOLLAND STATES ATTORNEY OF COOK COUN 523 19WC 26046 LARA JR, ROGELLO WASTE MANAGEMENT 09/03/19 DAVID W CLARK 524 19WC 26117 AL-ZEEBAREE, LENA WALMART 07/19/19 ACEVES & PEREZ PC 525 19WC 26140 STEWART, TARITA METROPOLITAN WATER RECLM 06/18/19 HEALY SCANLON LAW FIRM NOBLE & ASSOC 19WC027761 -C 526 19WC 26216 MANGAOIL, MANUEL SHIRE PHARMACEUTICALS 02/21/19 COVEN LAW GROUP 527 19WC 26276 SOTELO, ANGEL IMAGE SYSTEM & 06/24/19 ROBERT WARSASKI NYHAN BAMBRICK KINZIE & LOWR 528 19WC 26294 JACKSON, SHERILL Y PRAIRIE HILL JUNIOR HIGH 11/19/18 WARREN W MARK 529 19WC 26314 POLASKI, GEORGE KEURIG/DR. PEPPER 11/15/18 STONE & MAYA PC GAROFALO SCHREIBER STORM GRA 530 19WC 26333 NELSON, ANTOINE CHICAGO TRANSIT AUTHORITY 05/23/19 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 531 19WC 26346 VAZQUEZ, ROSALBA NORTH HARLEM CK CLEANERS 03/14/19 CHEPOV & SCOTT LLC JOSEPH MARCINIAK 532 19WC 26391 HAWK, CLAIRE MERCURY CRUISE LINES 10/08/18 TIMOTHY DEFFET 533 19WC 26404 PATEL, BHARATKUMAR O M NAMAH INC 12/02/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 534 19WC 26443 PALIFERRO, FRANCO MAYWOOD MELROSE PARK BROA 05/16/19 ROMANUCCI & BLANDIN INMAN & FITZGIBBONS 535 19WC 26469 SANCHEZ, ROBERT COOK COUNTY SHERIFF'S DEP 07/21/19 NILSON STOOKAL GLEASON CAP STATES ATTORNEY OF COOK COUN 536 19WC 26498 CABREJO, ALEJANDRO XTREME ROOFING 08/22/18 EPSTEIN, JACK R LAW OFFICE 537 19WC 26542 SILVA, RODOLFO ADM MILLING CO. 08/19/19 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 538 19WC 26565 RADOSAVLJEVIC, MILEVA PARK RIDGE-NILES SCHL DIS 02/13/19 INJURY LAWYERS OF IL 539 19WC 26581 MCCOY, PARIS L COOK CNTY DEPT OF CORRECT 07/29/19 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 540 19WC 26629 MCCALL, TERESA AMERICAN AIRLINES 06/02/19 BAUM RUFFOLO & MARZAL LTD GAROFALO SCHREIBER STORM GRA 541 19WC 26660 MANSKI, GINA VILLAGE OF NORTHBROOK 07/25/19 SANDMAN LEVY & PETRICH 542 19WC 26675 LEWIS, JOSEPH DIRECTSAT USA 08/16/19 BRISKMAN BRISKMAN GREENBER 543 19WC 26700 JOHNSON, IVORY DAY'S ADULT DAY CARE 09/11/19 GERALD CONNOR 544 19WC 26717 CHEEKS, JONATHAN C NEWLY WED FOODS 07/29/19 TIMOTHY HENDERSON WOLFE & JACOBSON, LTD 545 19WC 26742 VOLTZ, SHAKNIQUA FEDEX GROUND 09/04/19 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 546 19WC 26778 ROMERO, JUAN CITY OF CHICAGO 05/29/19 KROL BONGIORNO & GIVEN LTD 547 19WC 26823 WYMAN, JOHN ENGLEWOOD CONSTRUCTION 08/08/19 R. MARK MARITOTE PC 548 19WC 26886 DUGAR-MCCOWAN, TIA FOREVER 21 RETAIL, INC 08/31/19 ACEVES & PEREZ PC KEEFE CAMPBELL BIERY & ASSOC 549 19WC 26907 CROSS, JANESSA LUDEMAN DEVELOPMENTAL CEN 09/11/19 DWORKIN AND MACIARIELLO DANIELLE CURTISS 550 19WC 26935 MORALES, JOSE LUIS MARK 1 RESTORATION COMPAN 08/23/19 GORDON LAW OFFICES LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 551 19WC 26941 MARQUEZ, LUIS COOK COUNTY SHERIFF 07/30/19 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 552 19WC 26959 TRTANJ, RUZA HYDE PARK PROPERTY MGMT 09/11/19 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 20WC001708 -C 20WC001710 -C 553 19WC 27026 BURKS, CRYSTAL WALGREENS, CO 08/05/19 ANKIN LAW OFFICE GILDEA, COGHLAN & REGAN LTD. 554 19WC 27093 STEWART, MONICA CHICAGO PUBLIC SCHOOLS 09/06/19 RUBENS KRESS MULHOLLAND CHGO BOARD OF EDUCATION 555 19WC 27123 AVERY, JIMMY SCR MEDICAL TRANSPORTATIO 09/06/19 SCHACTER, JEROME & ASSOC L LEAHY EISENBERG & FRAENKEL 556 19WC 27228 NASH, MARQUITTA PINE CREST HEALTH CARE 08/27/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 557 19WC 27265 MACLIN, ROBBIE UCHICAGO MEDICINE 06/10/19 MC HARGUE & JONES NOBLE & ASSOC 558 19WC 27288 RIVERA, GEORGE ILLINOIS DEPT OF TRANSPOR @ 05/28/19 DEPAOLO & ZADEIKIS ASSISTANT ATTY GENERAL 559 19WC 27315 JOHNSON, YOLANDA THE MINTE 06/05/19 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 560 19WC 27400 AREST, MARIUSZ LUCKY LUK CONSTRUCTION IN 03/25/19 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 561 19WC 27423 ANGELL, STEPHEN CTA 09/18/19 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 562 19WC 27454 CAPELLANI, PASQUALE CITY OF CHICG DEP OF AVIA 08/26/19 SEIDMAN MARGULIS & FAIRMAN 563 19WC 27472 WILLIAMS, JOHN T BRIGHTVIEW LANDSCAPE 08/01/19 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 564 19WC 27503 JONES, SHERLA RESOURCE MFG 09/16/19 DWORKIN AND MACIARIELLO 565 19WC 27559 FRASHER, KEVIN USF HOLLAND 11/30/18 LEONARD LAW GROUP LLC 566 19WC 27579 VILLAREJO, LILIA FRESENIUS MEDICAL CARE 07/22/19 HUGHES SOCOL PIERS RESNICK HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 19WC 27604 THOMAS, EVONNIA SCHOOL DIST 144 PRAIRIE H 08/21/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 568 19WC 27631 SALINAS, LUIS MENASHA PACKAGING 09/10/19 JONATHAN SCHLACK HEYL ROYSTER VOELKER & ALLEN 19WC027632 -C 569 19WC 27640 BEY, SAHURA DR PEPPER SNAPPLE GROUP 07/08/19 DAVID W MARTAY GAROFALO SCHREIBER STORM GRA 570 19WC 27662 MELENDEZ, ANA UNITED AIRLINES 07/01/19 ANGELINI & ORI LLC 571 19WC 27703 SHIELDS, RICHARD WADE TOOL AND SUPPLY CO 04/22/19 LAW OFFICES OF ADRIAN CHER 572 19WC 27719 SIMS, JAMES ALLPOINTS SECURITY AND 09/10/19 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 573 19WC 27746 RAMOS, BRITTANY CRAB PARTNERS LLC/TRULUCK 10/01/18 DEPAOLO & ZADEIKIS KRAKER FANNING & OLSEN 574 19WC 27763 MENDES, JORGE UNITED AIRLINES 06/23/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 575 19WC 27772 DIXON, DENNIS CARDINAL LOGISTICS 09/25/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 576 19WC 27792 SHELTON, MARGARET FORD MOTOR COMPANY 08/15/19 DONALD FOHRMAN & ASSOC 577 19WC 27813 MILOVANOVIC, BOZANKA ABM INDUSTRIES INC 04/29/19 MINKOW DOMIN GOLDBERG SEGALLA LLC 578 19WC 27841 POZZIE, STEPHANIE JEWEL-OSCO 06/05/18 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 579 19WC 27858 SCOTT, KEREN AMAZON 09/12/19 TAXMAN POLLOCK 580 19WC 27878 MORALES, CARLOS MALIBU EAST CONDO ASSOCIA 09/11/19 SALVATO O'TOOLE FROYLAN 581 19WC 27902 ABREGO, NICOLAS MUELLERMIST SERVICE CORP 08/27/19 STEVEN B SALK & ASSOC LTD EVANS & DIXON 582 19WC 27920 HAPANIONEK, ANGUS MILLER'S ALE HOUSE 09/17/19 STELZMAN, RUTH MEACHUM BOYLE TRAUFMAN 583 19WC 27955 GOODMAN, BETTY CITY OF CHICAGO 08/30/19 TAMVAKIS, GEORGE L CITY OF CHICAGO 584 19WC 27983 ADMANI, SHEZA ELITE AMBULANCE 05/30/19 ANGELINI & ORI LLC MEACHUM BOYLE TRAUFMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 585 19WC 28009 KANIA, NICHOLAS PALOS HEIGHTS FIRE PROTEC 06/05/18 RIDGE & DOWNES 586 19WC 28041 FARINA, PHILIP J LAW OFFICE OF PHILLIP J F 09/12/19 MARSZALEK AND MARSZALEK GILDEA, COGHLAN & REGAN LTD. 587 19WC 28098 PADILLA, ROSA ABM INDUSTRIES 09/19/19 GERALD CONNOR ASA LAW GROUP 588 19WC 28131 BANKS-FLUKER, DEBORAH THE HABITAT GROUP 03/04/19 DWORKIN AND MACIARIELLO 589 19WC 28171 SHUAYYAT, MUSAB YELLOW CAB AFFIATION/MOHA 09/09/19 BRUSTIN & LUNDBLAD LTD 590 19WC 28212 NELSON, ARGERINA BROOKDALE SENIOR LIVING 09/07/19 MC HARGUE & JONES ROSARIO CIBELLA 591 19WC 28234 CISZEK, RICHARD C AT&T 06/13/19 BRILL & FISHEL HENNESSY & ROACH PC 592 19WC 28312 KORGIS, ALBER DELTA HOTELS BY MARRIOTT 08/24/19 INJURY LAWYERS OF IL 593 19WC 28402 COLLINS, LUCAS CHICAGO BOARD OF EDUCATIO 03/05/19 LEO ALT CHGO BOARD OF EDUCATION 594 19WC 28459 POSEY (GIBSON), SHAQUISHA CHICAGO SHAKESPEARE THEAT 09/17/19 SOSTRIN AND SOSTRIN PC EDWARD J. KOZEL 595 19WC 28532 LOPEZ, HILARIA SPECIALTY PRINT COMMUNICA 09/10/19 JAMES URTIS 596 19WC 28543 SWAIN, LUGRAIN NEW PROCESS STEEL ALSIP 04/01/19 GERALD CONNOR JOSEPH MARCINIAK 597 19WC 28566 BEDNARZ, WIESLAWA PALOS HEALTH HOSPITAL 08/02/18 NILSON STOOKAL GLEASON CAP POWER & CRONIN LTD 598 19WC 28612 HERRIG, ARNULFA SAM'S CLUB 07/08/19 GRAVLIN, MICHAEL J LLC QUINTAIROS PRIETO WOOD & BOY 599 19WC 28640 GREEN, MIA FINAL MILE DELIVERY & 09/23/19 ANKIN LAW OFFICE 600 19WC 28738 HUYNH, TU CE NIEHOFF & CO 09/23/19 JAMES URTIS 601 19WC 28765 CORNEJO, EDGAR DRIVE CONSTRUCTION INC 08/09/19 HETHERINGTON KARPEL & BOBB BRADY CONNOLLY & MASUDA PC 602 19WC 32867 19B KOMIVES, JILL VILLAGE OF CRESTWOOD 03/07/19 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 19WC 35226 MATHIS, TASHONA GLENCRESTB NURSING & 10/13/19 LEONARD LAW GROUP LLC 604 19WC 35244 RINGO, CHARITA METROPOLITAN FAMILY SERVI 05/08/19 NANCY HIRSCH LLC RUSIN & MACIOROWSKI LTD 605 19WC 35279 HADI, IBRAHEEM AGI 12/02/19 INJURY LAWYERS OF IL NYHAN BAMBRICK KINZIE & LOWR 606 19WC 35303 THEUS, JEANETTA CHICAGO TRANSIT AUTHORITY 12/03/19 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 607 19WC 35368 COMPTON, JOHN KERRY INGREDIENTS 10/01/19 DWORKIN AND MACIARIELLO 608 19WC 35423 KING-ROBINSON, TRINA ALDI, INC 12/20/18 LUSAK AND COBB 609 19WC 35492 RODRIGUEZ, RAMIRO ERIE LASALLE AUTO BODY 09/05/19 TAMVAKIS, GEORGE L LEAHY EISENBERG & FRAENKEL 610 19WC 35512 KELLY, MICHAEL A COOK COUNTY SHERIFF 09/19/19 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 611 19WC 35545 CHAVEZ, ADRIANA THE MALNATI ORGANIZATION 11/01/19 JAUREGUI & ASSOCIATES MEACHUM BOYLE TRAUFMAN 612 19WC 35627 MOORE, BELINCIA IL DEPT OF HUMAN SERVC CH @ 11/06/19 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 613 19WC 35650 DIGIOIA, NICK VILLAGE OF SCHAUMBURG 11/16/19 SEROWKA LAW RUSIN & MACIOROWSKI LTD 614 19WC 35673 ARTEAGA, KARINA KLGR, LLC 09/14/19 KARCHMAR & STONE THOMAS & ASSOCIATES 615 19WC 35707 EATON, JAMES C GEORGIA NUT COMPANY 03/11/19 KROL BONGIORNO & GIVEN LTD 616 19WC 35748 WORMLEY, PAMELA ADDUS HOMECARE 08/01/19 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 617 19WC 35792 REYNOSO, JAVIER RAYMUNDO MUNOZ 10/08/19 RUEDA, IVAN A 618 19WC 35843 MORALES, JESSICA ECOLAB 08/28/19 GERALD CONNOR KEEFE CAMPBELL BIERY & ASSOC 619 19WC 35870 WEATHERINGTON, ZACHARY R NAPLETON RIVER OAKS, 11/01/19 MARK T HICKEY & ASSOCIATES 620 19WC 35889 RODRIGUEZ-ESCOTO, IVETT CRESCENT FOODS 11/07/19 ROBERT WARSASKI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 621 19WC 35956 MONTECINOS, MARIA LABOR NETWORK 11/25/19 STANCZAK LAW OFFICES 622 19WC 36002 BRANICK, LISSETTE NW SUBURBAN SPECIAL 08/22/19 DOUGLAS RALLO PC NYHAN BAMBRICK KINZIE & LOWR 623 19WC 36027 BOCK, ZKKERY R&M TRUCKING CO 11/27/19 KOSIN LAW OFFICE LTD 624 19WC 36073 PIO, ANTHONY WALTZ BROTHERS 09/11/19 BOGUSZ & BOGUSZ LTD 625 19WC 36088 RESNICK, EDWARD IL DEPT OF TRANSPORTATION @ 01/24/19 RIDGE & DOWNES ASSISTANT ATTY GENERAL 626 19WC 36161 MATHEWS-LATHAN, GERALDINE CTA 11/25/19 ANSELMO DURAN CHICAGO TRANSIT AUTHORITY 627 19WC 36193 MC DANIEL, JACQUELINE FIRST STUDENT, INC 11/12/19 DEPAOLO & ZADEIKIS 628 19WC 36217 LOVE, PAULETTE SERTOMA CENTER, ICN 12/10/19 CHEPOV & SCOTT LLC 629 19WC 36329 RAMIREZ, ANGEL NEWLY WED FOODS 11/27/19 BAUM RUFFOLO & MARZAL LTD WOLFE & JACOBSON, LTD 630 19WC 36365 HERNANDEZ, RAYMUNDO TRIUNE LOGISTICS, LLC 11/20/19 KARCHMAR & STONE LITCHFIELD CAVO 631 19WC 36503 MONTI, JAMES MARIANO'S FOODS 11/04/19 ROGER D RUDICH LTD 632 19WC 36520 GRAVES, VANGELENE J THE AUSTIN OASIS, LLC 10/07/19 ANKIN LAW OFFICE HENNESSY & ROACH PC 633 19WC 36581 BANKS, DANIEL HOSTESS 12/14/19 ANGELINI & ORI LLC INMAN & FITZGIBBONS 634 19WC 36610 STUBBLEFIELD, BETH ABC PROPERTY MANAGERS 05/09/18 MARTIN L GLINK LAW OFFICE 635 19WC 36638 LIGA, GIACOMO ALPHA BAKING COMPANY INC 04/07/18 ROSS TYRRELL 636 19WC 36676 GANJI, ESHAN EATALY 12/07/19 BAUM RUFFOLO & MARZAL LTD MEACHUM BOYLE TRAUFMAN 637 19WC 36696 HRAB, TETIANA PROSPECT AIRPORT SERVICES 06/19/19 FEDOR KOZLOV & ASSOC 638 19WC 36717 TREJO, MIGUEL LEXINGTON STEEL CORPORATI 12/18/17 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 639 19WC 36743 HARDIN, EBONY SLEEPING BEAR MANAGEMENT 10/21/19 FERRENTINO DORIS & ASSOC KOPKA, PINKUS DOLIN, PC 640 19WC 36765 GRIFFIN, HAROLD OSI GROUP LLC 12/12/19 DWORKIN AND MACIARIELLO 641 19WC 36810 ZELEK, JOSEPH B UPS SUPPLY CHAIN SOLUTION 08/09/19 ANKIN LAW OFFICE ASA LAW GROUP 642 19WC 36838 MEADOWS, TYLICIA CITY OF CHICAGO 12/14/19 DONALD FOHRMAN & ASSOC 643 19WC 36865 GUTIERREZ, HUMBERTO CITY OF CHICAGO 03/27/19 CULLEN HASKINS NICHOLSON 644 19WC 36939 GORSKI, JEFFREY W COMCAST 12/11/19 RIDGE & DOWNES POWER & CRONIN LTD 645 19WC 37026 ALLEN, BRANDY CTA 12/18/19 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 646 19WC 37200 OLIVAREZ, RODOLFO FERRELLGAS 04/03/17 COSTA IVONE LLC 647 19WC 37218 OCAMPO, ESTEBAN LOW COST MOVERS, INC 11/16/19 GALLAGHER, DONALD V GAROFALO SCHREIBER STORM GRA 648 19WC 37242 MOORE, WENDY RUSH UNIVERSITY MEDICAL C 12/08/19 DWORKIN AND MACIARIELLO 649 19WC 37261 GREENE, RONALD T AMERICAN AIRLINES, INC 12/20/19 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 650 19WC 37307 SMITH, PHILLIP L INNOVATED STAFFING 12/13/19 JAMES H MILLER JR HENNESSY & ROACH PC 651 19WC 37334 CALDERON-MARTINEZ, DAMAYA SURE STAFF 11/15/19 CHEPOV & SCOTT LLC LOUIS MUNDY 652 19WC 37354 JORDAN, RODNEY UNIVERSITY OF CHICAGO MED 10/23/19 JAMES ELLIS GUMBINER & ASS KNELL O'CONNOR DANIELWICZ 653 19WC 37402 ABUDAYYEH, ZIAD CHICAGO TRANSIT AUTHORITY 11/25/19 CAPRON & AVGERINOS PC CHICAGO TRANSIT AUTHORITY 654 19WC 37501 ROSALES, ANGELICA ST ANTHONY HOSPITAL 12/17/19 CORBOY & DEMETRIO PC KLAUKE LAW GROUP LLC 655 19WC 37586 LATOS, RYAN FIRST CHOICE LOGISTICS 09/11/19 BURNETT & CARON, LTD 656 20WC 00012 SWIATKOWSKI, HARRY AT&T 11/11/19 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 657 20WC 00024 CHAPPELLE, VICTOR STATE OF IL - 09/10/19 MARC J SHUMAN & ASSOCIATES ASSISTANT ATTY GENERAL 658 20WC 00080 KUBIAK, WALTER CITY OF CHICAGO 08/28/19 SEIDMAN MARGULIS & FAIRMAN 659 20WC 00140 NEUBERG, RACHAEL AMAZON IN MONEE 10/17/18 GAINES & GAINES 660 20WC 00178 LIDDELL, RHONDA HELP AT HOME 12/23/19 JOHN S. ELIASIK 661 20WC 01101 SOLIS, LUIS YH FOODS, INC 12/24/19 MC HARGUE & JONES LAWRENCE COZZI - LAW OFFICE 662 20WC 06415 EUBANKS, TIANA LARC 02/28/20 DWORKIN AND MACIARIELLO GAIDO & FINTZEN 663 20WC 06458 GUZMAN, MADELA HYATT 01/12/19 LIPKIN & APTER 664 20WC 06485 SMITH, DANNY MERCY HOUSING 05/21/19 KREITER, BYCK & ASSOC LLP 665 20WC 06529 RAMIREZ, NORA ST. ALPHONSUS PARISH 02/18/20 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 666 20WC 06555 SMITH, JANICE AMERICAN AIRLINES 01/08/20 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM GRA 667 20WC 06592 GONZALEZ, MARIA GOLDEN CORRAL RESTAURANT 02/07/20 DWYER & COOGAN JOSEPH MARCINIAK 668 20WC 06617 NOWOSAD, EDYTA SWICHCRAFT 10/29/19 KURASCH & KLEIN, LTD 669 20WC 06642 RIVERS, MONCHENEA RJB PROPERTIES, INC. 12/16/19 JEFFREY LAW OFFICE LLC HENNESSY & ROACH PC 670 20WC 06675 MARTINEZ, ALBERT CHICAGO TRANSIT AUTHORITY 02/24/20 MILLON & PESKIN LTD CHICAGO TRANSIT AUTHORITY 671 20WC 06723 GRAY, STEVEN OSI GROUP, LLC 02/16/20 CULLEN HASKINS NICHOLSON 672 20WC 06770 SHUHAYEB, NAJIM ARAMARK 04/12/17 POLANSKY & CICHON CHTD 673 20WC 06793 GUERRA, JOSE KEHOE DESIGN 12/07/19 COSTA IVONE LLC 674 20WC 06812 BURNSIDE, ANDREW CHICAGO TRANSIT AUTHORITY 02/07/20 BRISKMAN BRISKMAN GREENBER CHICAGO TRANSIT AUTHORITY

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 693 20WC 07386 BARAJAS, IRMA COOK COUNTY JAIL 03/12/20 GWC INJURY LAWYERS LLC STATES ATTORNEY OF COOK COUN 694 20WC 07428 ARPI, JORGE A CJT REMODELING 06/13/19 EPSTEIN, JACK R LAW OFFICE 695 20WC 07449 PITTMAN-JOHNSON, BEVERLY THE GROVE OF BERWYN 02/20/20 DISPARTI LAW GROUP PA 696 20WC 07519 REAVES, MICHAEL Z FORCE TRANSPORTATION, I 03/05/20 ANKIN LAW OFFICE GANAN & SHAPIRO 697 20WC 07540 BAUER, RAY ATLAS ASSET MGMT REALTY 02/10/20 CIARDELLI CUMMINGS CAMPAGN JOSEPH MARCINIAK 698 20WC 07569 DAMICO, COSMO SWIFT TRANSPORATION CO 03/09/20 GERALD CONNOR WIEDNER & MCAULIFFE LTD 699 20WC 07573 ORTIZ, NICOLAS MEYER STEEL DRUM INC 10/25/19 CULLEN HASKINS NICHOLSON 700 20WC 07609 ROBERTS, ALLEN Z SR. STATE OF ILL DOC PAROLE D @ 08/13/19 BLOCK, KLUKAS & MANZELLA P 701 20WC 07639 FULLILOVE, JAMES CHICAGO TRANSIT AUTHORITY 02/29/20 WHITESIDE & GOLDBERG LTD 702 20WC 07687 TAYLOR, DORIAN CHICAGO MARRIOTT DOWNTOWN 05/02/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 703 20WC 07723 WELLS, FLOYD MAURICE WEBER GRILL 03/12/20 ENCINAS & ORNELAS GANAN & SHAPIRO 704 20WC 07752 ESPARZA, RAMON EAGLE SYSTEM 11/12/19 MC HARGUE & JONES 705 20WC 07768 ANDERSON, DEMARKUS DABECCA NATURAL FOODS, IN 03/15/20 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 706 20WC 07777 SEGREST, MILAGROS COOK COUNTY HEALTH DEPART @ 02/05/20 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 707 20WC 07798 ADAMS, DARRYL KERRY GROUP 02/14/20 DONALD FOHRMAN & ASSOC STONE & JOHNSON CHARTERED 708 20WC 07818 YEARWOOD, TIMOTHY OZINGA READY MIX CONCRETE 11/27/19 GWC INJURY LAWYERS LLC GAROFALO SCHREIBER STORM GRA 709 20WC 07891 MANOS, GREGORY CHICAGO STATE UNIVERSITY/ 02/11/20 KARCHMAR & STONE 710 20WC 07920 SYKES, EBONY A AMERICAN AIRLINES 07/19/18 COVEN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 20WC 07979 NICHOLL, KENNETH CHURCHILL DOWNS, INC D/B/ 09/02/19 BLOCK, KLUKAS & MANZELLA P 712 20WC 08050 AITKEN, THOMAS K.S ENERGY SVCS 12/20/19 GREGORIO & MARCO 713 20WC 08076 ADAMS, LAWANDA HILTON CHICAGO 02/28/20 ANGELINI & ORI LLC KOPKA, PINKUS DOLIN, PC 714 20WC 08088 KEENON, LAKISHA THORNTON TOWNSHIP HS 10/31/17 JEFFREY LAW OFFICE LLC 715 20WC 08141 AVILA, ALFONSO JP PHILLIPS INC 09/13/19 GWC INJURY LAWYERS LLC KEEFE CAMPBELL BIERY & ASSOC 716 20WC 08246 HENDERSON, JAMES ASSOCIATED ELECTRIC COOP 06/14/19 BURNETT & CARON, LTD ACCIDENT FUND HOLDINGS 717 20WC 08305 GUDMUNDSSON, MARIANNE GLENBROOK SCHOOL DIST. #2 12/07/17 CURTIS S BURKE LAW OFFICE WIEDNER & MCAULIFFE LTD 718 20WC 08371 SANDERS-RICHIE, DONNA MATTESON SCHOOL DISTRICT 10/30/19 GALLAGHER, DONALD V 719 20WC 08450 TARRANT JR, WILLIAM J USA HOIST 01/09/20 RUBIN LAW GROUP WOLF & LAUDICINA LTD 720 20WC 08476 WISE, KIRBY 1-800-GOT JUNK 02/10/20 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 721 20WC 08500 ADAMS, DARRYL KERRY GROUP 02/14/20 DONALD FOHRMAN & ASSOC STONE & JOHNSON CHARTERED 722 20WC 08518 MCGILL, KAREN DSV SOLUTIONS, LLC 11/15/19 EAMES LAW GROUP LTD 723 20WC 08546 SOLIS, RENE FREEDMAN SEATING COMPANY 02/26/20 EPSTEIN, JACK R LAW OFFICE 724 20WC 08566 YOUNG, NICOLE NORTH PALOS SD NO 117 09/19/19 ROMANEK & ROMANEK 725 20WC 08587 PENA, MARIO POWER FORCES LLC 02/03/20 RITTENBERG BUFFEN WIEDNER & MCAULIFFE LTD 726 20WC 08631 MANSOU8R, MUHAMMAD AMERICAN AIRLINES 02/22/20 ELFENBAUM EVERS ZIELINSKA GAROFALO SCHREIBER STORM GRA 727 20WC 08662 JACKSON, BYRON SYSCO CORPORATION 12/06/19 WILLIAM H MARTAY 728 20WC 08697 BURKE, DONALD INTEGRATED SPECIALTY 04/16/19 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 20WC 12429 TOUCH, KIMSAN MARTIN BOWER * 03/01/20 WOODRUFF JOHNSON 730 20WC 12453 CRUZ, FRANCISCO MINUTE MEN STAFFING SERVI * 05/05/20 EPSTEIN, JACK R LAW OFFICE 731 20WC 12479 SANCHEZ, NEREIDA THE HABITAT COMPANY * 05/28/20 COSTA IVONE LLC 732 20WC 12502 LAVEN, STEPHEN COOK COUNTY SHERIFF'S DEP * 05/28/20 ARGIONIS & ASSOCIATES LLC 733 20WC 12525 GUZMAN, ERWING SWISSPORT USA, INC * 01/15/20 RITTENBERG BUFFEN 734 20WC 12543 MANUEL SANCHEZ, VICTOR MEYER STEEL DRUM * 05/11/20 LEONARD LAW GROUP LLC 735 20WC 12558 TAFFE, CRAIG TAFFE CAPITAL, LLC * 05/05/20 RUBENS KRESS MULHOLLAND 736 20WC 12575 BELK, ASHLEY CHICAGO TRANSIT AUTHORITY * 05/31/20 GOLDSTEIN AIOSSA & GOOD 737 20WC 12604 MINER, ALFRED COOK COUNTY JUV. TEMP * 04/01/20 WHITESIDE & GOLDBERG LTD 738 20WC 12636 FARFAN, SONIA COMMONWEALTH MEDICAL PHYS * 05/05/20 PARENTE & NOREM PC GRIFFIN, LORETTA M LAW OFFIC 739 20WC 12652 CROSS, MARCUS UPS FREIGHT * 05/29/20 ANKIN LAW OFFICE COZZI & ZAPF LAW OFFICE 740 20WC 12679 MARTIN, MARIA WEST ROCK * 05/15/20 MC HARGUE & JONES 741 20WC 12711 NUNN, TERISA FEDERAL EXPRESS * 05/11/20 GORDON LAW OFFICES LTD 742 20WC 12738 ROWE, BRIGITTE CTA * 05/09/20 SAUNDERS CONDON & KENNY 743 20WC 12761 WOJTKIEWICZ, DANIELLE ABLE SERVICES * 05/08/20 STEVEN J MALMAN & ASSOCIAT 744 20WC 12791 BARHOUMEH, KEN CITY OF CHICAGO DEPT OF * 02/13/20 CUDA LAW OFFICES 745 20WC 12810 SARALLO, RICHARD WORLDWIDE FLIGHT SERVICES * 09/26/19 KATZ FRIEDMAN EISENSTEIN 746 20WC 12838 TERRY, HOWARD METROPOLITAN WATER RECLAM * 02/12/20 DISPARTI LAW GROUP PA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 747 20WC 12877 OWEN, OTHEL S AARP FOUNDATION * 02/16/19 GORDON & CENTRACCHIO LLC 748 20WC 12899 LARRY, RANDY WING STOP * 09/20/19 SEIDMAN MARGULIS & FAIRMAN 749 20WC 12923 WILLIAMS, SANDRA CYNTHIA NADIG * 10/16/17 HEALY SCANLON LAW FIRM 750 20WC 12953 ALJARADAT, RASMI MONAMMAD MUSA, IND AND D/ W* 03/30/20 JOSEPH YOUNES 751 20WC 12979 ZAVALETA, ETELBERTO JR ADELMAN'S TRUCK & EQUIPME * 04/18/20 KURASCH & KLEIN, LTD WIEDNER & MCAULIFFE LTD 752 20WC 13019 CERVANTES, MARIA ELENA VOYANT BEAUTY-CHICAGO FOM * 04/09/20 CULLEN HASKINS NICHOLSON 753 20WC 13094 NAVARRO, JOSHUA COMCAST * 02/02/20 SPIROS LAW PC POWER & CRONIN LTD 754 20WC 13167 REYES, TRACEY COOK COUNTY SHERIFF'S DEP * 03/29/20 KROL BONGIORNO & GIVEN LTD 755 20WC 13209 KENT, JAIME ADVOCATE HEALTH CENTER * 07/10/19 SALVATO O'TOOLE FROYLAN 756 20WC 13230 ARBOLEDA, GLADYS M FRIENDSHIP VILLAGE * 06/09/19 THERMAN LAW OFFICES 757 20WC 13253 HAWKINS, BRANDON L VILLAGE OF MAYWOOD POLICE * 05/02/20 MORICI FIGLIOLI & ASSOC INMAN & FITZGIBBONS 758 20WC 13268 WILLIAMS, KURT WINPAK PORTION PACKAGING * 03/11/20 KOSIN LAW OFFICE LTD 759 20WC 13287 GUANO ZURITA, AMPARITO MA ATLAS EMPLOYMENT SERVICES * 06/07/20 EPSTEIN, JACK R LAW OFFICE 760 20WC 13316 BROWN, DAVARIE CTA * 05/18/20 ANSELMO DURAN 761 20WC 13381 YUEN, DANIEL EXTREME REACH, INC. * 11/20/19 WIEDNER & MCAULIFFE LTD 762 20WC 13402 FUENTES-GARCIA, JUAN G THE CHICAGO DOOR PEOPLE * 02/13/20 DEPAOLO & ZADEIKIS 763 20WC 13441 RANGEL, YESSIKA ANTHONY MARANO CO, INC * 02/24/20 COSTA IVONE LLC 764 20WC 13462 MOSTYN, RYAN LIFELINE AMBULANCE * 10/18/19 MICHAEL HELLMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 765 20WC 13517 TEPPEL, STEPHEN ULBRICH STAINLESS STELLS * 02/24/20 SCHWEICKERT GANASSIN 766 20WC 13603 SMITH, MARIAN ALC MEDICAL TRANSPORTATIO * 05/11/20 POLANSKY & CICHON CHTD 767 20WC 13637 BARNES, LATOYLA L UPS * 08/05/19 GOLDSTEIN BENDER & ROMANOF 768 20WC 13662 BEARD, AZALIA CHICAGO TRANSIT AUTHORITY * 05/29/20 DONALD FOHRMAN & ASSOC 769 20WC 13698 DANEK, STEPHANIE THE HOFFMAN ESTATES PARK * 09/07/19 ACEVES & PEREZ PC 770 20WC 13716 BOTCHWAY, ERIC UNIVERSITY OF CHICAGO HOS * 02/23/20 DAVID W MARTAY 771 20WC 13753 FLORES, JORGE AAA COOPER TRANSPORTATION * 06/09/20 DWORKIN AND MACIARIELLO 772 20WC 13785 WILLIAMS, TOMMY L FORD MOTOR COMPANY * 09/30/19 WIEDNER & MCAULIFFE LTD 773 20WC 13804 SMITH, ANGELA SYMPHONY SOUTH SHORE, LLC * 04/10/20 CORBOY & DEMETRIO PC 774 20WC 13829 JONES, RYAN ASPLUNDH TREE EXPERT COMP * 04/15/20 NEIL KAUFMAN 775 20WC 13862 HAWLEY, BEVERLY ILLINOIS DEPT OF TRANSPOR * 05/23/18 PORRO NIERMANN LAW GROUP 776 20WC 13947 DONOVAN, TIMOTHY E CITY OF CHICAGO * 04/12/20 CAPRON & AVGERINOS PC 777 20WC 13971 HILLSTAD, DAN DURANTE FUNERAL GROUP, IN * 06/02/20 KARNO, MARK L & ASSOC 778 20WC 13999 JONES, DEVIN C HOME DEPOT * 06/11/20 STEVEN J MALMAN & ASSOCIAT MC ANDREWS & NORGLE LLC 779 20WC 14006 MOLETTE, CYNTHIA CALIFORNIA GARDENS NURSIN * 04/06/20 JOHN S. ELIASIK 780 20WC 14028 ZUBAIR, MOHAMMED MASTERS MEDALLION MNGEMNT * 02/16/20 RYAN ROSENTHAL 781 20WC 14048 LAMAH, TORIANNA COMMERCIAL FORGED PRODUCT * 04/30/20 WOODRUFF JOHNSON 782 20WC 14069 MOSLEY, EDWARD CITY OF CHICAGO * 08/19/19 BIZZIERI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 783 20WC 14086 NOLAN, MICHAEL VILLAGE OF ARLINGTON HEIG * 07/30/19 RUSIN & MACIOROWSKI LTD 784 20WC 14115 JONES, MICHAEL MEDEXPRESS URGENT CARE IL * 04/14/20 HETHERINGTON KARPEL & BOBB 785 20WC 14135 FIGUEROA, MARIAN BIG COIN LAUNDRY DBA * 03/09/20 DISPARTI LAW GROUP PA 786 20WC 14211 GODLEN, TRACEY ENVOY AIR * 07/27/19 GREGORIO & MARCO 787 20WC 14237 RAMIREZ, MARCOS E NPL CONSTRUCTION CO * 02/08/19 HORWITZ HORWITZ & ASSOC 788 20WC 14256 YOUNG, MATTHEW NATIONAL DCP LLC C/O * 06/12/20 BRIAN J MC MANUS & ASSOC, 789 20WC 14267 RUIZ, FERNANDO CARRANZA PANDA EXPRESS * 06/12/20 EPSTEIN, JACK R LAW OFFICE 790 20WC 14297 SVADBA, JUDITH UNITED AIRLINES * 09/27/19 GWC INJURY LAWYERS LLC 791 20WC 14363 WARREN, SUSAN JEWISH FEDERATION OF * 01/07/19 DE FRIES LAW OFFICES PC JOSEPH MARCINIAK 792 20WC 14391 CLAY, FELICIA ADVOCATE CHRIST MEDICAL C * 04/15/20 ANKIN LAW OFFICE 793 20WC 14485 HARRIS, TERRELL CITY OF CHICAGO * 03/26/20 PARENTE & NOREM PC 794 20WC 14512 ZARAGOZA, MIGUEL JR OSI INDUSTRIES, LLC * 06/07/20 ACEVES & PEREZ PC 795 20WC 14546 MAGUIRE, CHRISTINE M VILLAGE OF OAK LAWN * 05/31/20 THOMAS W DUDA 796 20WC 14575 WEBB, RONNIE FORD MOTOR COMPANY * 05/28/20 PARENTE & NOREM PC 797 20WC 14594 AGUILAR, SANDRA ADVOCATE HEALTHCARE * 03/27/20 KROL BONGIORNO & GIVEN LTD 798 20WC 14624 CARTER, JASON PEOPLES GAS/ WEC ENERGY G * 10/08/19 ELFENBAUM EVERS ZIELINSKA 799 20WC 14652 GIBSON, TWANISHA BIZIOS FRESH MARKET * 06/09/20 DWORKIN AND MACIARIELLO 800 20WC 14673 RUIZ, JOSE IHOP * 03/25/19 RUEDA, IVAN A

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 801 20WC 14734 NICKLES, KELVIN HOLY CROSS HOSPITAL * 12/09/19 SKLARE LAW GROUP 802 20WC 14757 COLVIN, CHESTER HYDRO, INC * 03/07/20 COVEN LAW GROUP 803 20WC 14794 BARRERA-NEVAREZ, ROSA E CHICAGO PUBLIC SCHOOL/ * 03/10/20 OSVALDO RODRIGUEZ PC 804 20WC 14809 OBNEY, DANIEL UPS * 05/09/20 LEONARD LAW GROUP LLC 805 20WC 14825 WATKINS, ELVIN CHICAGO TRANSIT AUTHORITY * 04/10/20 GRAVLIN, MICHAEL J LLC 806 20WC 14839 BOYCE, MYZIL SHURE INC * 02/25/19 STEWART C ORZOFF 807 20WC 14854 DAPPERT, PAUL MENARDS * 06/23/20 DAVID W MARTAY 808 20WC 14884 KANE, DEBRA SYNERGY HOMECARE * 06/22/20 JONATHAN SCHLACK 809 20WC 14906 CARTER, KENNETH PEPSI CO * 02/11/20 SMOLER LAW OFFICE, PC 810 20WC 14924 ALEMAN-RUIZ, MISAEL REM INC * 05/29/20 CHEPOV & SCOTT LLC 811 20WC 14938 COLE, NIA D FEDEX GROUND PKG SYSTEM I * 06/09/20 GOLDSTEIN BENDER & ROMANOF 812 20WC 14974 WILLIAMS, JANIYAH JEWEL-OSCO * 05/30/20 HORWITZ HORWITZ & ASSOC 813 20WC 14985 ORTIZ, ANTHONY SCREW MACHINE ENGINEERING * 06/04/20 COHN LAMBERT RYAN & SCHNEI 814 20WC 15006 ZAVALA, RAYMOND ABF FREIGHT * 05/22/20 LEONARD LAW GROUP LLC 815 20WC 15027 HOLLIS, JASMINE D FORD MOTOR COMPANY * 06/25/20 HERRERA LAW CENTER 816 20WC 15113 WRIGHT, JAY FEDEX FREIGHT, INC * 03/14/20 JASINSKI, GEORGE J 817 20WC 15202 DOMINGUEZ, DANTE ENVOY AIR * 04/21/20 RIDGE & DOWNES 818 20WC 15220 ALDEN, JOHN 1143 S PLYMOUTH CT CONDO * 05/22/20 MORICI FIGLIOLI & ASSOC