ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 50145 19B MUNOZ, MANUEL JR. CITY OF CHICAGO 09/19/03 ROMANEK & ROMANEK CITY OF CHICAGO 10WC035027 -C 2 07WC 29638 CORDOVA, AARON H&M INTERNATIONAL 12/14/06 PORRO NIERMANN LAW GROUP SPIEGEL & CAHILL, PC 12WC010589 -C H & M INTERNATIONAL 12WC010675 -C 3 07WC 51983 TORRES, LORETTA FORD MOTOR COMPANY 11/29/04 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 4 07WC 52175 BLAKE, ANGELA CHICAGO TRANSIT AUTHORITY 11/10/07 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 5 08WC 04764 19B EKBERG, ARTHUR C JR TOWN & COUNTRY DISTRIBUTI 06/05/07 NEWLAND NEWLAND & NEWLAND NYHAN BAMBRICK KINZIE & LOWR 6 08WC 12126 VALDEZ, ELEUTERIO ADVANCED MOVING & STORAGE W 01/25/08 DEPAOLO ZADEIKIS GORE ANGELINI & ANGELINI 7 08WC 24432 GASSION, DENNIS CITY OF CHICAGO 03/25/08 KARCHMAR & STONE CITY OF CHICAGO 10WC004483 -C 13WC008709 -C 13WC008710 -C 13WC008711 -C 14WC019771 -C 16WC014136 -C 8 08WC 38875 LEE, JAE S KEELER CAB CO 08/23/08 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 9 08WC 54544 MACHROLI, MARK MR BULTS, INC 11/22/08 BOUDREAU NISIVACO LLC KNELL & O'CONNOR 10 09WC 02411 CARDINALE, SUSAN F/K/A UNITED AIRLINES INC. 01/10/09 STROM & ASSOCIATES WIEDNER & MCAULIFFE LTD 11 09WC 43091 HILL, GREGORY SERTONA CENTER INC 09/25/09 SALK, STEVEN B & ASSOC LTD SCOPELITIS GARVIN LIGHT 12 09WC 46738 MONTES, MINERVA CHICAGO TRANSIT AUTHORITY 06/24/09 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 13 09WC 48905 HARDY, BENEE CHICAGO PARK DISTRICT 10/01/09 ANKIN LAW OFFICE CHICAGO PARK DIST LAW DEPT 14 09WC 52833 BROWN, KENNETHE LOYOLA UNIVERSITY 10/28/09 LORENZ & BERGIN PC 10WC005132 -C RUSH UNIVERSITY MEDICAL CT 10WC005133 -C 15 10WC 04387 MALKOWSKI, DAVE COUNTY OF COOK 01/17/10 FOOT MIELKE CHAVEZ O'NEIL INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 10WC 14676 CASTANEDA, ANNABELLE CTA 08/10/09 COLLISON LAW OFFICES CHICAGO TRANSIT AUTHORITY 17 10WC 29048 WANDA, MICHELLE PALOS COMM HOSP 06/14/10 BAUM RUFFOLO & MARZAL LTD LORENZ & BERGIN PC 18 10WC 29587 MARTINEZ, GUILLERMO SHERIDAN SAND & GRAVEL IN 07/20/10 BERG & BERG LEAHY EISENBERG & FRAENKEL 19 10WC 30533 SCHRIMSHER, RAYMOND CARMAX, INC 10/06/06 ANESI OZMON RODIN NOVAK KO GILDEA & COGHLAN 20 10WC 32229 PORYS, MARK CHICAGO TRANSIT AUTHORITY 02/03/10 JAMES M RIDGE LAW OFFICE CHICAGO TRANSIT AUTHORITY 17WC011756 -C 21 10WC 36740 FINLEY, RENNEA MY BEAUTY SUPPLY STORE W 08/27/10 SHELDON I MINKOW & ASSOCIA GORDON & CENTRACCHIO LLC 22 11WC 09271 HEWITT, SHIREE CITY OF CHICAGO 02/22/11 COVEN LAW GROUP 12WC024264 -C 16WC022069 -C 18WC036946 -C 23 11WC 11681 COLLAZO, JOEY C GRANITE EMPORIUM 12/20/10 GOLDBERG WEISMAN & CAIRO L 24 11WC 27851 DAVIS, PATRICIA CTA 05/09/11 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 11WC027852 -C 25 11WC 29146 SCOTT-THOMPSON, GAIL IL DEPT OF HUMAN SRVS @ 01/28/11 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 26 11WC 40519 CASARRUBIAS, ALFONSO LEE LUMBER & 09/14/11 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 27 11WC 42110 BLACK, SHAOWDELL CTA 10/09/11 LAW OFFICE OF BOGUSZ & BOG CHICAGO TRANSIT AUTHORITY 28 11WC 46096 O'REILLY, THOMAS CITY OF CHICAGO 11/07/11 KARCHMAR & STONE CITY OF CHICAGO 29 12WC 01616 EVANS, DENNIS SOUTHWEST AIRLINES 08/15/11 LAW OFFICES PETER LEKAS HENNESSY & ROACH PC 13WC026807 -C 13WC026808 -C 14WC039937 -C 18WC015362 -C 30 12WC 05060 COOPER, CLYDE JR CHICAGO TRANSIT AUTHORITY 07/28/08 COLLISON & O'CONNOR LTD 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 KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 12WC 06211 FOGARTY, ELISA DAVIDS BRIDAL 11/08/11 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 32 12WC 07591 HARDIN, LISA D CITY OF CHICAGO 12/16/11 WILLIAM MARTAY CITY OF CHICAGO 15WC017012 -C 33 12WC 08168 PEELO, JILL SHERWIN MANOR NURSING CEN 09/07/11 CZAPLA LAW BRADY CONNOLLY & MASUDA PC 34 12WC 17905 CONNOLLY, THOMAS VILLAGE OF SCHAUMBURG 12/01/11 CULLEN HASKINS NICHOLSON MACIOROWSKI, SACKMANN & ULRI 35 12WC 19195 BENAVIDES, MARBESKA PLUM SERVICES W 05/09/12 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTY GENERAL 36 12WC 24247 GUTIERREZ, HUMBERTO CITY OF CHICAGO 06/18/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 16WC019788 -C 37 12WC 26159 HEREDIA, GUILLERMINA DEPARTMENT OF HUMAN SERVI 06/28/12 BERG & BERG C. FLETCHER 38 12WC 26503 RICHARDSON, ANTHONY ELECTROMOTIVE 11/17/10 STEVEN J SEIDMAN LAW OFFIC GOLDBERG SEGALLA LLC 39 12WC 31079 RAMIREZ. LEONOR ROCK BOTTOM 04/24/12 CULLEN HASKINS NICHOLSON 40 12WC 35857 QUIROZ, MARIA C DELTA PETROLEUM CO 03/05/12 ANGELINI & ORI LLC HOLECEK & ASSOCIATES 41 12WC 41096 DEUTCH, MYRON ST OF IL SECRETARY OF STA @ 11/13/12 CULLEN HASKINS NICHOLSON JORDAN FRANK 42 12WC 43072 KRAWIEC, LEONARD CITY OF CHICAGO 11/23/10 GRAZIAN & VOLPE PC CITY OF CHICAGO 43 12WC 43860 VALDEZ, ANGELICA MC DONALDS RESTAURANT 05/05/12 MINKOW DOMIN GANAN & SHAPIRO 44 13WC 00853 19B PEREZ, JOSEPH CITY OF CHICAGO 12/26/12 RUBIN LAW GROUP HENNESSY & ROACH PC 45 13WC 03429 KRZYMINSKI, MARY LOYOLA UIVERISTY HEALTH S 05/08/12 JOHN J CASTANEDA LORENZ & BERGIN PC 13WC025020 -C 46 13WC 04449 DOUGLAS, JOYCE CLERK OF CIRCUIT COURT 02/15/10 CAPRON & AVGERINOS PC STATES ATTORNEY OF COOK COUN 47 13WC 04530 SMITH, LEON GOVERNORS STATE UNIVERSIT 09/28/12

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 48 13WC 05472 AVELAR, JESUS E THE REGENT GROUP INC 01/29/13 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 49 13WC 06711 CABRERA, LINDA M MACNEAL HOSPITAL 11/23/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 50 13WC 09430 AITZEMKOUR, MUSTAPHA SUN TAXI ASSOCIATION, INC 03/10/13 SALK, STEVEN B & ASSOC LTD LAW OFFICES OF JAY REESE PC 51 13WC 16418 MERCADO, BEATRIZ CATHOLIC CHARITIES OF THE 04/24/13 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 13WC027190 -C THE CATHOLIC CHARITIES 52 13WC 17389 DUFFY, JULIE COOK COUNTY SHERIFF'S POL 05/16/13 BAUM RUFFOLO & MARZAL LTD STATES ATTORNEY OF COOK COUN 53 13WC 18305 CASTILLO, MILAGROS CITY OF CHICAGO DEPT OF 02/26/13 CUDA LAW OFFICES CITY OF CHICAGO 13WC018510 -C 17WC022932 -C 54 13WC 25553 SEGURA, SILVANA JCG INDUSTRIES, INC 07/17/13 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 55 13WC 26889 CORRAL, SERGIO LEHIGH DIRECT 07/18/12 MAURICE E DUSKY PC MACIOROWSKI SACKMANN & ULRIC 56 13WC 27187 GUYTON, CARL CITY OF CHICAGO 08/14/13 CUDA LAW OFFICES CITY OF CHICAGO 16WC033602 -C 57 13WC 27527 CAIN, BRIAN K ABF FREIGHT SYSTEMS 11/14/12 RITTENBERG & BUFFEN KEEFE CAMPBELL & ASSOC LLC 14WC042940 -C 14WC042941 -C 58 13WC 28841 CRAIG, TRICIA MONDELEZ INTERNATIONAL 08/20/13 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 59 13WC 29927 ABRAHAM, ANNAMMA KINDRED HOSPITAL CHICAGO 07/12/12 DWORKIN AND MACIARIELLO ARNETT LAW GROUP 60 13WC 38221 MARIN, LORENA SOLUTION MAINTENANCE W 05/07/13 ENCINAS & ORNELAS MALLORY ZIMET 61 13WC 38332 MONTOYA, GLORIA X-CEL TECHNOLOGIES, INC 09/18/13 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 13WC040643 -C 62 13WC 38695 DOTSON, SCH-NEA LAVON TRI-STATE NURSING HOME 09/03/13 CULLEN HASKINS NICHOLSON 63 13WC 39398 SOK, BOPHA ELITE NAILS & SPA, INC. W 01/07/12 THOMAS J STIBERTH LAW OFFI HELT LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 64 13WC 39717 RIGGIO, ANTHONY COOK COUNTY 10/31/13 SALVATO & O'TOOLE STATES ATTORNEY OF COOK COUN 65 14WC 02129 DALTON, ROBERT DAVIS STAFFING 12/18/13 LEE VASILATOS KEEFE CAMPBELL & ASSOC LLC 66 14WC 03307 SMITH, THEODORE TECHNOTRIX, INC 08/08/13 RICHARD O. GREENFIELD LEWIS BRISBOIS BISGAARD 67 14WC 03956 HOPE, EVERLYN T CHICAGO TRANSIT AUTHORITY 01/24/14 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 68 14WC 05571 COOK, SCOTT CITY OF CHICAGO 01/14/14 HEALY LAW FIRM SCOPELITIS GARVIN LIGHT 201 12WC029305 -C 69 14WC 05964 BROWN, HELEN MERCY HOSPITAL 04/04/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 14WC005965 -C 70 14WC 06933 STRZALKA, PAWEL CSM FASTENER PRODUCT CO 02/13/14 DAVID W MARTAY LAW OFFICES JOSEPH MARCINIAK 71 14WC 16873 CHRIST, JONATHON W PACE SUBURBAN 04/18/14 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 72 14WC 17427 RIVERA, ANASTACIO RAYS TOWING & RECOVERY SE 01/25/14 BRISKMAN BRISKMAN GREENBER 73 14WC 24917 MURPHY, MARY M CINTAS 08/14/13 BAUM RUFFOLO & MARZAL LTD POWER & CRONIN LTD 74 14WC 26243 CAMPBELL, GUNNAR C THE SALVATION ARMY 06/16/14 CRONIN & PETERS NYHAN BAMBRICK KINZIE & LOWR 75 14WC 26994 DIAZ, MARGARITA DART CONTAINER CORP 07/07/14 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 15WC006287 -C SOLO CUP CO 76 14WC 29031 BOSS, JAMES AMERICAN RECYCLING& DISPO 10/16/13 BOUDREAU NISIVACO LLC RUSIN & MACIOROWSKI LTD 77 14WC 30273 WILLIAMS, CAROLINE CIRCUIT COURT OF COOK COU 04/08/14 MICHAEL A. HIGGINS STATES ATTORNEY OF COOK COUN 78 14WC 35639 WARDLAW, EDWIN (SURVIVING COOK DUPAGE TRANSPORT CO 10/13/14 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 79 14WC 36042 PORTER, PERRIN US AIRWAYS GROUP INC 03/25/14 STEWART C ORZOFF GAROFALO SCHREIBER STORM GRA 80 14WC 36719 YOUNG, CINDY CHICAGO COMMONS 05/29/14 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 81 14WC 36931 SANTIAGO, IDA N GOURMET GORILLA 10/09/14 ANESI OZMON RODIN NOVAK KO JOSEPH MARCINIAK 82 14WC 37250 HERNANDEZ, ALVANO LOU MALATI'S/THE 04/04/14 ANKIN LAW OFFICE MEACHUM & STARCK 83 14WC 37620 AYYASH, DOROTHY KISWANI NATIONAL @#W 06/25/13 STROM, NEAL B KNELL & O'CONNOR 15WC009464 -C 15WC009465 -C 15WC009466 -C 15WC009467 -C 84 14WC 38077 TORRES, VICTOR RICHELIEU FOODS INC 08/21/14 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 85 14WC 38138 FUNK, RICHARD BATTAGLIA DISTRIBUTING CO 09/08/14 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 86 14WC 38300 JAMEEL, KHAWAJA CAPRICORN CAB 11/02/14 ELFENBAUM EVERS & AMARILIO 87 14WC 38588 KORENIC, JOHN DE PAUL UNIVERSITY 10/30/14 TAMVAKIS, GEORGE L HOLECEK & ASSOCIATES 88 14WC 39636 BARRERA, ALEJANDRO MIDWAY BUILDING GROUP INC 10/20/14 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 89 14WC 39888 LOPEZ, OSCAR SYED HUSSAINI 08/13/14 EPSTEIN, JACK R LAW OFFICE 90 14WC 41387 19B DI LEONARDI, JOSEPH G CITY OF CHICAGO 11/16/10 RUBIN LAW GROUP CITY OF CHICAGO 201 14WC041388 -C 91 14WC 43414 ABOITES, JUAN CARLOS MIDLAND PAPER 10/23/14 PARENTE & NOREM PC HOLECEK & ASSOCIATES 92 15WC 02474 REYES, RICARDO LAKESIDE METALS 01/12/15 HOWARD S. KAVENOW LLC HOLECEK & ASSOCIATES 93 15WC 03443 AVILA, JOSHEPHYS ELLY'S PANCAKE HOUSE 11/09/14 ANKIN LAW OFFICE 94 15WC 03788 SILVA, LUIS ILLINOIS DEPT OF TRANS 01/16/15 SHELDON I MINKOW & ASSOCIA 95 15WC 04060 DELRE, LINDA L ADVOCATE CHRIST HOSPITAL 04/27/14 KROCKEY CERNUGEL COWGILL E GAROFALO SCHREIBER STORM GRA 15WC005696 -C 15WC023162 -C 96 15WC 04524 RODRIGUEZ, ERICKA PHOENIX RISING 09/02/14 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 97 15WC 04528 PIERIK, PEARL M PALOS COMMUNITY HOSPITAL 07/30/14 PARENTE & NOREM PC LORENZ & BERGIN PC 98 15WC 05426 SANCHEZ, FRANCISCO CTA 01/28/14 CHEPOV & SCOTT LLC CHICAGO TRANSIT AUTHORITY 99 15WC 05984 VILLARREAL, RAMON PACKERS SANITATION SERVIC 02/26/14 MACKEY & KRAMER PC HEYL ROYSTER VOELKER ALLEN 100 15WC 11559 KIRKWOOD, THEODUS CHICAGO TRANSIT AUTHORITY 02/18/15 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 101 15WC 13418 JONES, PATRICIA CPS 09/29/14 LAW OFFICES TIMOTHY HENDER BRADY CONNOLLY & MASUDA PC 102 15WC 14472 WILLIAMS, MARGARET A 800 N MICHIGAN CONDOMINIU 01/12/15 ANKIN LAW OFFICE INMAN & FITZGIBBONS 103 15WC 14691 LOPEZ, ANTHONY FEDEX GROUND PACKAGE SYST 09/22/14 GRAZIAN & VOLPE PC KOPKA, PINKUS DOLIN, PC 104 15WC 14914 VAZQUEZ, MARILU HMSHOST CORP 01/10/15 SALK, STEVEN B & ASSOC LTD 105 15WC 15523 VERNON, LINDA UNIVERSITY OF ILLINOIS 01/13/15 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 106 15WC 15884 TOLBERT, LASHEKA FORD MOTOR CO 06/16/13 MEYERS & FLOWERS POWER & CRONIN LTD 107 15WC 16462 TRZECIAK, CRISTY L FORD MOTOR CO 05/06/14 LEWIS & DAVIDSON, LTD POWER & CRONIN LTD 15WC016463 -C 108 15WC 17015 VINSON, BARBARA THOMAS KELLY HIGH SCHOOL 05/05/15 VASILATOS & COTTER LLC 109 15WC 17350 JOHNSON, DAVID L. FORD MOTOR COMPANY 04/24/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 17WC032530 -C 17WC037550 -C 110 15WC 17513 DICARLO, ANTONIO FINAL TOUCH PAINTING W 02/16/15 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 111 15WC 17579 KLEIN, EDWARD UNITED CONVEYOR SUPPLY CO 10/21/14 SALK, STEVEN B & ASSOC LTD HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 112 15WC 23178 TSOGOO, OYUNTSETSEG KINZIE HOTEL LLC 08/21/14 PARAD LAW OFFICES PC HENNESSY & ROACH PC 113 15WC 23497 ASAMOAH, DORIS UNIV OF CHGO MEDICAL CTR 11/21/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 15WC029722 -C UNIVERSITY OF CHICAGO 114 15WC 23606 FINNEGAN, NORINE WORLD WIDE TRANSPORTATION # 09/17/14 JOHN F GREGORIO & ASSOC BUSH MOTTO CREEN KOURY 115 15WC 23653 AMBRIZ, RAMIRO AMITY PACKING CO 04/03/15 VITELL & SPITZ LTD HOLECEK & ASSOCIATES 116 15WC 25258 MONTGOMERY, AKIRA FORD MOTOR COMPANY 06/05/15 SNECKENBERG, WILLIAM J ASS POWER & CRONIN LTD 117 15WC 25876 BRUCE, DERRICK JMC STEEL GROUP/ATLAS TUB 03/17/14 LAW OFFICE OF SCOTT B SHAP GAROFALO SCHREIBER STORM GRA 17WC019698 -C 118 15WC 26198 DZIALO, EDWARD CITY OF CHICAGO 05/08/15 BRILL & FISHEL CITY OF CHICAGO 119 15WC 27077 BREWER, MARGARET R LUCKY #5409 DBA IHOP 08/17/15 THOMAS W DUDA LAW OFFICES JOSEPH MARCINIAK 120 15WC 27797 PEEL, CONRAD KELSO BURNETT 08/06/15 GRAZIAN & VOLPE PC CACCHILLO LAW GROUP LLC 121 15WC 28415 HURTADO, ANA KARINA PLUM CREEK SUPPORTIVE LIV 05/29/15 122 15WC 35185 HARRIS, MICHELLE CTA 10/22/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 123 15WC 36316 CESARONE, DIANE UIC COLLEGE OF NURSING 10/08/15 RUBIN LAW GROUP POWER & CRONIN LTD 124 15WC 37245 HATTER, JEFFERY D JR CONTRACTORS ACCESS EQUIPM 11/10/15 VASILATOS & COTTER LLC 125 15WC 37266 RUFFIN, LAWRENCE LBP MANUFACTURING 10/22/15 BRISKMAN BRISKMAN GREENBER HOLECEK & ASSOCIATES 126 15WC 37309 TERRELL, MERRILL WESTROCK COMPANY 11/11/15 BIZZIERI LAW OFFICES GAROFALO SCHREIBER STORM GRA 127 15WC 37661 LEON, BETHZABE LABOR NETWORK, LOANING EM 10/17/15 THE ROMAKER LAW FIRM ROBERT L. SMITH 128 15WC 38165 PETERBURS, JOSEPH T NAVISTAR INC 11/09/15 CZAPLA LAW NYHAN BAMBRICK KINZIE & LOWR 129 15WC 38528 ASPEN, ROBERT VILLAGE OF MATTESON 07/15/15 DUDLEY & LAKE LLC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 130 15WC 39025 FLETCHER, SANDRA VITAS HEALTHCARE 12/16/13 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 131 15WC 39578 ADKINS, ERICK AT&T 07/29/15 LEO ALT HENNESSY & ROACH PC 132 16WC 02574 SOTELO, ARACELI ARROW PNEUMATICS 09/29/15 COSTA IVONE LLC HENNESSY & ROACH PC 133 16WC 03032 CAPSAY, SUSAN G PROTECT-A-BED 09/27/15 HOLECEK & ASSOCIATES 134 16WC 04111 CROCKETT, MICAH MEADE ELECTRIC CO INC 09/04/14 GRAVLIN, MICHAEL J LLC RUSIN & MACIOROWSKI LTD 16WC004170 -C 16WC004360 -C 135 16WC 04661 CONEAL, ANTHONY TYSON BRUSS CO. 12/24/15 ROSENFELD HAFRON SHAPIRO F GANAN & SHAPIRO 136 16WC 04754 SORIANO, MARGARITA PAMCO 06/16/15 HART & DAVID LLP 137 16WC 04920 BAHENA, JUAN SALGADO EL POPOCATEPETL INDUSTRIE 12/11/15 EPSTEIN, JACK R LAW OFFICE ACCIDENT FUND HOLDINGS 138 16WC 05044 HOLLIS, SAMUEL CTA 02/09/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 139 16WC 05517 NICHOLAS, WILLIAM VILLAGE OF SKOKIE 09/14/15 CRONIN & PETERS VILLAGE OF SKOKIE 140 16WC 06196 PADULA, ANTHONY J CITY OF PARK RIDGE 12/30/15 FOOTE MIELKE CHAVEZ & O'NE MACIOROWSKI SACKMANN & ULRIC 16WC006197 -C 141 16WC 06381 SMITH, THERESA LOYOLA GOTTLIEB MEMORIAL 02/20/16 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 142 16WC 06677 ISLEY, MELISSA STATE OF IL STATE POLICE @ 12/02/15 STRONG LAW OFFICE C. FLETCHER 143 16WC 06735 O'CONNOR, JAMES BREAKTHRU BEVERAGE 02/11/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 144 16WC 07110 BARCENAS, LUIS PERFORMANCE FOOD GROUP 02/16/16 SALVATO O'TOOLE FROYLAN BRYCE DOWNEY & LENKOV LLC 145 16WC 13454 WALKUSKI, MIROSLAW A&K KATZ MANAGEMENT, INC 11/22/15 KARCHMAR & STONE HENNESSY & ROACH PC 146 16WC 14884 MARCHIORI, MICHAEL CITY OF CHICAGO 04/25/16 HEALY SCANLON LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 147 16WC 15351 GOMEZ, CARMELLA UNIVERSITY OF ILLINOIS 05/16/14 VASILATOS & COTTER LLC HEYL ROYSTER VOELKER & ALLEN 148 16WC 15496 PRIETO, JAIME PEPSI AMERICA'S 04/22/16 STROM, NEAL B BRYCE DOWNEY & LENKOV LLC 149 16WC 15660 JENTSCH, KURT W. WALSH CONSTRUCTION 10/26/15 O'CONNOR & NAKOS HINSHAW & CULBERTSON 150 16WC 15997 BRONGIEL, DAVID STATE OF IL TREASURER'S O 04/13/16 SAUNDERS CONDON & KENNY C. FLETCHER 151 16WC 16094 SALGADO, TERESA BUILDING SVS OF AMERICA L 04/13/16 DANIEL PERIASWAMY GAROFALO SCHREIBER STORM GRA 152 16WC 16196 HOSKINS, KENNETH CTA 04/07/16 JOEL STEPHEN CHICAGO TRANSIT AUTHORITY 153 16WC 16246 PERRY, TONJA FEDEX 02/03/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 154 16WC 16375 FIAMMETTA, TONY CHICAGO BEARS FOOTBALL CL 08/22/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 16WC016376 -C 155 16WC 16548 ROMERO, ZAHIRA FEDERAL RESERVE 01/29/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 156 16WC 16574 MILLER, JAMES 233 CONDOMINIUM, ASSOCIAT 05/05/16 HUGHES SOCOL PIERS RESNICK WIEDNER & MCAULIFFE LTD 157 16WC 16689 GALLO, CAROLYN J. MEIJER 11/25/15 MORGENSEN LAW LLC KNELL & O'CONNOR 158 16WC 16861 BURKE, AUSTIN FORD MOTOR COMPANY 05/10/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 159 16WC 16963 JOHNSON, GRETA J CITY OF CHICAGO DEPT OF P 02/17/16 ANKIN LAW OFFICE CITY OF CHICAGO 160 16WC 17045 CRUZ, ROBERTO ARACELY'S BAKERY 03/10/16 DISPARTI LAW GROUP PA 161 16WC 17259 MAGDALENO, RAUL CHALET LANDSCAPING CO 06/01/13 ANKIN LAW OFFICE HENNESSY & ROACH PC 16WC017264 -C 162 16WC 17412 ORDETX, ROSA FIARMONT PROPERTY MGMT 03/21/16 FRANCIS J DISCIPIO LAW OFF WIEDNER & MCAULIFFE LTD 17WC029882 -C PINNACLE 163 16WC 17476 MOLINA, JORGE J B HUNT TRANSPORT INC 04/10/16 ROSS TYRRELL MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 164 16WC 17588 ZAVALA, MARIA MVP WORKFORCE 06/01/16 GOLDSTEIN BENDER & ROMANOF KRAKER FANNING & OLSEN 165 16WC 17764 RAMIREZ, JOSE MILLWOOD INC 04/20/16 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 18WC014008 -C 166 16WC 21893 19B BANKS, KEVIN W O'HARE ENGINEERING, INC 06/29/16 GREGORIO & MARCO ANCEL GLINK DIAMOND BUSH & E 167 16WC 24969 BOENS, JANICE FIRST STUDENT, INC 05/04/16 PAUL J CRONIN 168 16WC 25457 HODGES, MELVINA WOODBRIDGE NURSING 07/11/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 169 16WC 25482 CRUZ, ANTHONY CTA & SEDWICK 02/18/14 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 170 16WC 25527 PULGARIN, ANA LBP MANUFACTURING 04/08/15 MC HARGUE & JONES 171 16WC 25706 PENA, ALBERTO ED MINIAT LLC 07/08/16 FRANK A CELANI POWER & CRONIN LTD 172 16WC 25870 SCOTT-BROWDER, NAKIA CTA 07/26/16 URSULA BABICZ & ASSOC CHICAGO TRANSIT AUTHORITY 173 16WC 26098 THOMAS, KIRK CITY OF CHICAGO 03/09/16 LEO M. BLEIMAN & ASSOC CITY OF CHICAGO 174 16WC 26530 CAHUE, MARIA DEL CARMEN GOLD STANDARD BAKING 11/25/15 ENCINAS & ORNELAS 175 16WC 26569 MONDRAGON, LLUVICELA CAREMARK GROUP, LLC 10/08/15 OSVALDO RODRIGUEZ PC GAROFALO SCHREIBER STORM GRA 176 16WC 26839 MOTA, LUIS PERFORMANCE CONTRACTING I 07/20/16 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 177 16WC 26892 THOMAS, RETHA CITY OF CHICAGO 09/15/15 STROM, NEAL B 178 16WC 27302 NICHOLS, OTIS COOK COUNTY DEPT CORRECTI 09/03/16 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 179 16WC 27693 HURLEY, JOSEPH CHICAGO TRANSIT AUTHORITY 06/29/16 ALEKSY BELCHER CHICAGO TRANSIT AUTHORITY 180 16WC 27766 HAYES, NANCY UNIVERSITY OF CHICAGO HOS 12/23/15 STROM, NEAL B HENNESSY & ROACH PC 181 16WC 27825 CASTILLO, MARIA SHIFTGIG BULLPEN 07/26/16 TAMVAKIS, GEORGE L RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 182 16WC 27908 ORTIZ, GABRIEL ELITE STAFFING INC 09/03/16 SALK, STEVEN B & ASSOC LTD 183 16WC 33962 OUBOUHANE, HSSAINE LYON TAXI, LLC 10/28/16 FISHER & LAMONICA DEBORAH SCHAEFER 184 16WC 34133 COTTON, CHERAL CITY OF CHICAGO, DEPARTME 10/26/16 DWORKIN AND MACIARIELLO 185 16WC 34307 RUSSELL, MELISSA D VILLAGE OF SKOKIE 07/06/16 FIGLIOLI, DAVID VILLAGE OF SKOKIE 186 16WC 34364 TUMPANE, THOMAS CITY OF CHICAGO 04/18/16 TIMOTHY E. TAKASH HENNESSY & ROACH PC 187 16WC 34674 PEEPLES, KIMBERLY CHICAGO TRANSIT AUTHORITY 11/11/16 SALK, STEVEN B & ASSOC LTD CHICAGO TRANSIT AUTHORITY 188 16WC 34696 JOHNSON, ROBERT HMD TRUCKING 02/08/15 MARSZALEK AND MARSZALEK MCANANY VANCLEVE & PHILLIPS 189 16WC 34825 COOKS, TRACY CHICAGO PUBLIC SCHOOLS 03/03/16 RADZIN, BRUCE & ASSOC CHGO BOARD OF EDUCATION 190 16WC 34906 O'HEHIR, SEAN CITY OF CHICAGO 11/20/14 HEALY SCANLON LAW FIRM 191 16WC 34985 HOWARD, WINSOME LUTHERAN HOME 07/28/16 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 192 16WC 35017 SALINAS, WILLIAM MENASHA 04/08/15 EPSTEIN, JACK R LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 193 16WC 35120 DIAZ, JOSE PLASTICS COLOR CORP 05/18/16 COSTA IVONE LLC GAROFALO SCHREIBER STORM GRA 194 16WC 35149 RIVERA, FELIX GE TRANSPORTATION SYSTEMS 05/18/16 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 195 16WC 35180 GODIN, GINA ELIZABETH LUDEMAN CENTER @ 04/28/16 SPIROS LAW PC ASSISTANT ATTY GENERAL 196 16WC 35219 ROGERS, DYLAN T WE MASSAGE 06/19/16 LEONARD LAW GROUP LLC 197 16WC 35346 AGULIAR, LIDIA CHICAGO BOARD OF EDUCATIO 11/12/16 BERG & BERG CHGO BOARD OF EDUCATION 198 16WC 35347 AGUILAR, LIDIA CHICAGO BOARD OF EDUCATIO 03/21/16 BERG & BERG CHGO BOARD OF EDUCATION 199 16WC 35462 BOOTH, SHERITA CHICAGO TRANSIT AUTHORITY 10/27/16 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 200 16WC 35590 MCLENDON, KEITH COOK COUNTY 11/13/16 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 201 16WC 35654 NAVAREZ, JESUS JJ2 LLC W 10/23/16 DWORKIN AND MACIARIELLO 202 16WC 35886 WINDSOR, RODRICK ARENA FOOTBALL ONE, LLC 08/13/16 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 203 16WC 36337 HARDING, KHADIJAH PARK VILLA NURSING HOME 11/20/16 COSTA IVONE LLC FRANCESCA LARSEN 204 16WC 36357 ZOLLNER, BRIAN CITY OF CHICAGO FIRE DEPT 02/26/16 WILLIAM S. WOJCIK LTD CITY OF CHICAGO 205 16WC 36425 MULLIN, CHISTOPHER SKOKIE COUNTRY CLUB 07/27/16 CULLEN HASKINS NICHOLSON 206 16WC 36598 BARRERA, MICHAEL COOK COUNTY SHERIFF DEPT 10/29/16 KARCHMAR & STONE INMAN & FITZGIBBONS 207 16WC 36708 RILEY, SYLVESTER INSULATED PANELS COMPANY 05/28/16 VITELL & SPITZ LTD RUSIN & MACIOROWSKI LTD 208 16WC 36780 LEBRON, REBECCA EXPRESS EMPLOYMENT 10/10/16 BERG & BERG HOLECEK & ASSOCIATES 209 16WC 37116 BUSH, MITCHELL CITY OF CHICAGO 10/24/16 DANIEL PERIASWAMY CITY OF CHICAGO 210 16WC 37192 CARMER, JENNIFER R.S. OWENS & COMPANY 03/02/15 BRISKMAN BRISKMAN GREENBER LAW OFFICES JOSEPH MARCINIAK 211 16WC 37201 MORALES, ROSA AMERICAN COLLEGE OF HEALT 10/31/16 LAW OFFICE OF SCOTT B SHAP 212 16WC 37223 FORTSON, MACHARIA ILLINOIS STATE POLICE @ 11/07/16 SEIDMAN MARGULIS & FAIRMAN MATTHEW J KELLER 213 16WC 37287 ESPARZA, GERALDO RAHCO RUBBER INC 11/14/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 214 16WC 37310 SZOT, BARBARA FRESH EXPRESS, INC. 11/22/16 ALEKSY BELCHER NYHAN BAMBRICK KINZIE & LOWR 215 16WC 37345 BENITEZ, EMILIO IMVM INC W 08/26/16 FRITZHALL & PAWLOWSKI 216 16WC 37430 LOPEZ, MIGUEL ELITE STAFFING 12/07/16 MARC CAIRO 217 16WC 37510 RICO-RODRIGUEZ, JOEL COUNTRYSIDE 04/14/16 INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 218 17WC 00330 GUERRA, JUAN ANDRES MQ SEWER & WATER 09/01/15 DEPAOLO & ZADEIKIS LAW OFFICES OF EDWARD J. KOZ 219 17WC 02452 CAMARA, LUIS TANDEM PES/KERNEL SEASONS 10/11/16 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 17WC023502 -C KERNEL SEASON'S LLC 220 17WC 03860 ABOITES, JUAN MIDLAND PAPER COMPANY 01/17/17 PARENTE & NOREM PC HOLECEK & ASSOCIATES 221 17WC 04317 GRAY, NOVIS FORD MOTOR COMPANY 01/17/17 HETHERINGTON KARPEL BOBBER POWER & CRONIN LTD 17WC016286 -C 222 17WC 04762 DUNNE, JAMES EXCELLENT MED ASSOC, P.C. 01/30/17 CORBOY & DEMETRIO PC STEVEN O HAMILL LTD 223 17WC 04809 QUEEN-THOMAS, BEVERLY BOARD OF ED CHICAGO 01/04/16 BEVERLY QUEEN-THOMAS 224 17WC 05017 MOYA, MARIA UNISTAFF, INC. 10/04/16 RAYMOND M SIMARD, PC MC ANDREWS & NORGLE LLC 225 17WC 05143 STEWART, DEVIN ROAD KNIGHTS 02/14/17 226 17WC 05164 MOJICA, MARTIN HARRIS STEEL CO 01/05/17 OSVALDO RODRIGUEZ PC NYHAN BAMBRICK KINZIE & LOWR 227 17WC 05207 BRANTLEY, SANDRA KOHL'S 01/17/17 CARAS LAW GROUP HENNESSY & ROACH PC 228 17WC 05226 THOMPSON, NATHANIEL FORD MOTOR COMPANY 04/21/15 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 17WC014471 -C 229 17WC 05338 FALBO, JOHN COOK COUNTY SHERIFF 02/09/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 230 17WC 05469 SPAN, THERMON L CTA CHICAGO TRANSIT AUTHO 02/14/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 231 17WC 05782 WILSON, MICHAEL COOK COUNTY DEPTARTMENT O 11/27/16 POMPER & GOODMAN STATES ATTORNEY OF COOK COUN 232 17WC 05806 WALKER, DAVID IL DEPT OF TRANSPORTATION 09/08/16 CORBOY & DEMETRIO PC ASSISTANT ATTY GENERAL 233 17WC 05826 ELLIS, WANDA CTA 02/16/17 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 234 17WC 06222 SMALLS, TASHEA CITY OF CHICAGO, DEPARTME 07/27/16 BRISKMAN BRISKMAN GREENBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 235 17WC 06480 PATEL, PRAVASIBHAI LSG SKY CHEFS 10/16/16 LEONARD LAW GROUP LLC MEACHUM & STARCK 236 17WC 06563 BERNAL, JOSE VULCAN MATERIALS 06/02/15 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 237 17WC 06596 REID, TIMOTHY P SUPER ELECTRIC CONSTRUCTI 02/08/17 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 238 17WC 06855 PADGHAM, THOMAS R ABLE ENGINEERING SERVICES 10/05/16 FIGLIOLI, DAVID HENNESSY & ROACH PC 239 17WC 06981 BARRETT, BARBARA CITY OF CHICAGO 02/27/17 THE ROMAKER LAW FIRM CITY OF CHICAGO 240 17WC 07163 MARCUM, CAL JEWEL OSCO 02/26/17 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 241 17WC 07627 MOKY, HEATHER UNIVERSITY OF IL 10/05/16 LEE, MARK N LAW OFFICE POWER & CRONIN LTD 242 17WC 10343 BROWN, VICTORIA MXD GROUP 03/06/17 MC HARGUE & JONES GRANT & FANNING 243 17WC 11819 SHARNELL-DOBBS, EBONY FORD MOTOR COMPANY 01/26/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 244 17WC 14439 MORUA, SOLEDAD ELITE STAFFING 02/07/16 245 17WC 14561 MUHAMMAD, ANTOINE CITY OF CHICAGO 03/22/17 KREITER, BYCK & ASSOC LLP 246 17WC 14901 PORTWOOD, ANGELA PROVIDENCE HEALTH CARE & 03/18/17 HORWITZ HORWITZ & ASSOC FRANCESCA LARSEN 247 17WC 15137 LIFSCHULTZ, BONNIE COOK COUNTY SHERIFF 04/22/17 THE ROMAKER LAW FIRM STATES ATTORNEY OF COOK COUN 248 17WC 15216 BARATTA-COOPER, LAUREN FOREST PARK DISTRICT #91 04/28/17 CULLEN HASKINS NICHOLSON 249 17WC 15231 LOGAN, ERNEST CITY OF CHICAGO DEPT OF W 01/23/17 SOSTRIN AND SOSTRIN PC CITY OF CHICAGO 250 17WC 15614 MCCLINTON, CORRINA T PACE/COOK DUPAGE 04/28/17 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 18WC012218 -C NATIONAL EXPRESS TRANSIT C 251 17WC 15666 GALVEZ-DALEY, IAN UNITED PARCEL SERVICE 03/22/17 BUDIN LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 252 17WC 15962 LOVE, ROY CITY OF CHICAGO 04/13/17 DAVID W MARTAY CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 253 17WC 16043 ROBLES MEDINA, NELSON DYNAMIC MANUFACTURING INC 02/23/17 LAW OFFICES OF GORDON LEVI JOSEPH MARCINIAK 254 17WC 16082 ALPISAR, ISAC HMM PALLETS, INC 05/11/17 JAUREGUI & ASSOCIATES 255 17WC 16108 TRYGUBA, OLEKSANDR MAGIC CONSTRUCTION DBA 05/13/17 BERNSTEIN, PHILIP L MEACHUM & STARCK 256 17WC 16178 ZIVADINOVIC, BRANKA ABM INDUSTRIES 03/13/17 SANDMAN LEVY & PETRICH GOLDBERG SEGALLA LLC 257 17WC 16200 JOHNSON, DARRIN NOLAND SALES CORP 01/06/16 EFTEKHARI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 258 17WC 16308 GARCIA, JOSE L IMPERIAL ZINC, CORP 06/24/14 BUDIN LAW OFFICES 259 17WC 16340 HOLLINS, JAKE LIFE CHANGE CONVERSATION 05/26/17 MARC J SHUMAN & ASSOCIATES GILDEA, COGHLAN & REGAN LTD. 260 17WC 16547 KRAWCZYK, ELIZA GENERAL ELECTRIC 12/18/15 HEALY SCANLON LAW FIRM MACIOROWSKI SACKMANN & ULRIC 261 17WC 16594 ADARANIJO, OYEYEMI (SURVI LYFT, INC. # 04/26/17 LAW OFFICE NICHOLAS H. MIH ANCEL GLINK DIAMOND BUSH & E 262 17WC 16905 TORRES, ESTER MOLON MOTOR & COIL CORP 03/13/17 JONATHAN SCHLACK LAW OFFICES OF EDWARD J. KOZ 263 17WC 16917 LANDRY, SYREETA COMPASS GROUP 04/12/17 DAVID W MARTAY GOLDBERG SEGALLA LLC 264 17WC 16947 KAMHOLZ, NANCI ILLINOIS DEPT OF @ 03/17/17 BAUM RUFFOLO & MARZAL LTD STATE OF ILLINOIS 265 17WC 16986 STALLONE, ANDREA COOK COUNTY 05/05/17 DENNIS HESSER STATES ATTORNEY OF COOK COUN 266 17WC 17019 SANCHEZ-VILLA, VICTOR ARM CITY FOOD 06/02/17 MC HARGUE & JONES CAPUANI, FRANK S 267 17WC 17050 SCHILD, KATHRYN L CAMELOT EDUCATION 12/12/16 CULLEN HASKINS NICHOLSON 268 17WC 17174 WILLIAMS, ORLINDA N LUDEMANS DEVELOPMENTAL CE 05/16/14 JAMES ELLIS GUMBINER & ASS ASSISTANT ATTORNEY GENERAL 269 17WC 17238 BOYKIN, BRENNEN PREFERRED MEAL SYSTEMS 05/03/17 COSTA IVONE LLC 270 17WC 17266 DANKHA, WARDIE ASSYRIAN NATIONAL COUNCIL 03/30/17 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 271 17WC 17321 YOUNG, TIMOTHY D4 LLC 04/13/17 TAXMAN POLLOCK LAW OFFICES JOSEPH MARCINIAK 272 17WC 20319 WIMSATT, DARREN FORD MOTOR COMPANY 12/03/14 POWER & CRONIN LTD 273 17WC 22660 FOSTER, SAMUEL D CITY OF DES PLAINES 07/03/17 THOMAS W DUDA POWER & CRONIN LTD 274 17WC 23538 REYES, AMARIS SEARCH, INC 04/27/17 ACEVES & PEREZ PC POWER & CRONIN LTD 275 17WC 24040 JONES, SAUNTS FORD MOTOR COMPANY 08/01/00 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 276 17WC 24143 REGAN, BRIDGET PANDA EXPRESS 01/28/17 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 277 17WC 24147 ALLEN, TARRON CITY OF CHICAGO DEPT OF 08/16/17 FRIEDMAN & SOLMOR LTD 18WC007931 -C 278 17WC 24303 DE OCA, ANASTACIO MONTEZ HARMONY HEALTH PLAN 05/10/17 CUDA LAW OFFICES JOSEPH MARCINIAK 17WC024304 -C 279 17WC 24347 PRIETO, JAIME PEPSI AMERICA'S 07/25/17 STROM, NEAL B 280 17WC 24446 PAYTON, SHIRL FORD MOTOR COMPANY 08/10/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 281 17WC 24483 JOHNSON JR, WALTER AIM NATIONAL LEASE 03/15/17 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 282 17WC 24625 MACIEJEWSKI, CHRISTOPHER RICH TOWNSHIP SCHOOL DIST 08/08/17 JOHN J CASTANEDA RIPES NELSON BAGGOT KALOBRAT 283 17WC 24684 COMBS, JOHN TOYS R US 04/05/17 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC 284 17WC 24734 JOHNSON, DEONDRE ROLLED METAL PRODUCTS 08/09/17 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 285 17WC 24863 RAMIREZ, JOSE LUIS BL DOWNEY CO LLC 07/18/17 RIDGE & DOWNES 286 17WC 24985 ROGERS, BRUCE COSTCO 09/01/14 RATHBUN CSEVENYAK & KOZOL GANAN & SHAPIRO 17WC029737 -C 17WC030836 -C 287 17WC 25065 OCAMPO, EVA DOUBLE TREE HOTEL 08/09/17 ENCINAS & ORNELAS 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 KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 288 17WC 25176 O'CAMPO, ALBERTO SKOKIE COUNTRY CLUB 08/24/17 DOUGLAS RALLO PC 289 17WC 25209 CONTRERAS, GUILLERMINA HEALTHCARE LAUDRY SYSTEMS 03/23/17 ANGELA NARDI-QUIGLEY GANAN & SHAPIRO 17WC029587 -C 290 17WC 25227 SCHEID, TERRI SUBURBAN ASOC IN OPHTHALM 01/04/12 SCOTT BARBER JOSEPH MARCINIAK 291 17WC 25314 WATTS, JAMES GARDA WORLD 08/15/17 VASILATOS & COTTER LLC KEEFE CAMPBELL & ASSOC LLC 292 17WC 25337 MATTHEWS, JUNIUS PACE 08/18/17 KROL BONGIORNO & GIVEN LTD HEYL ROYSTER VOELKER ALLEN 293 17WC 25358 MARTINEZ, FRANCISCO HARRIS STEEL COMPANY 04/06/17 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 294 17WC 25386 PHILLIPS, JOSEPH MIDWAY DODGE 08/03/17 GRAZIAN & VOLPE PC 295 17WC 25448 JONE, LINDA L VEHI-SHIP LLC @ 08/05/17 ANKIN LAW OFFICE 296 17WC 25654 PICKETT, ZALIKA CHIAGO PARK DISTRICT 01/05/17 GOLDSTEIN AIOSSA & GOOD CHICAGO PARK DIST LAW DEPT 297 17WC 25670 STILES, DAVID COKER SERVICE INC 07/24/17 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 298 17WC 25716 MEZA CABRERA, JUAN MANUEL ATOTONILCO TORTILLERIA 08/22/17 LAW OFFICES OF EDWARD J. KOZ 299 17WC 25818 REGALADO DE MERCADO, MARI REYNOLDS CONSUMER PRODUCT 06/22/17 RUEDA, IVAN A KLAUKE LAW GROUP LLC 300 17WC 25843 BENITEZ, BRENDA COOK COUNTY 08/04/16 301 17WC 25897 EDWARDS, KENNETH CITY OF CHICAGO DEPT OF 08/09/17 ANKIN LAW OFFICE 302 17WC 25915 CHAHID, OTHMANE CHICAGO MEDALLION MGMT CO 08/14/15 LANGENDORF, ROBERT A 303 17WC 25995 SNYDER, MATTHEW NEW CITY WINDOW CLEANING W 08/21/17 GRAVLIN, MICHAEL J LLC HERMAN J MARINO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 304 17WC 26021 GONZALES, JOANN TARGET CO 07/21/17 GOLDSTEIN AIOSSA & GOOD NYHAN BAMBRICK KINZIE & LOWR 305 17WC 26048 TORRES, ANTONIA CHICAGO PUBLIC SCHOOLS 07/18/17 MC HARGUE & JONES CHGO BOARD OF EDUCATION 18WC024998 -C 306 17WC 26172 LIEDER, KEVIN M VILLAGE OF SKOKIE-FIRE DE 09/02/17 FIGLIOLI, DAVID VILLAGE OF SKOKIE 307 17WC 26223 ANGELINO, JACQUELINE MIDWAY STAFFING 06/21/17 COSTA IVONE LLC RIPES NELSON BAGGOT KALOBRAT 308 17WC 26250 BELL, KENNETH CITY FOODS 07/07/17 MARTIN L GLINK LAW OFFICE CAPUANI, FRANK S 309 17WC 26388 MENDOZA, BERNARDO DELGADO JANDY CONSTRUCTION LLC DB 08/16/17 ANKIN LAW OFFICE 310 17WC 26452 OLMEDO, MARIA HOME CHEF 07/10/17 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 311 17WC 26539 MCPHERSON, HARRIETTE CITY OF CHICAGO 03/28/17 KREITER, BYCK & ASSOC LLP 312 17WC 26558 ROMAN, MARIA T UG2 08/22/17 LAW OFFICE OF SCOTT B SHAP HOLECEK & ASSOCIATES 313 17WC 26595 WILLIAMS, ALBERT CITY OF CHICAGO 07/12/17 DWORKIN AND MACIARIELLO 314 17WC 26665 MCGRATH, CATHERINE Y ADVOCATE HEALTH CARE 06/12/17 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 315 17WC 26977 TALOS, JOY R CHICAGO PUBLIC SCHOOLS 02/28/17 NILSON STOOKAL GLEASON CAP LAW DEPARTMENT 316 17WC 31030 AMELIO, PETER R CITY OF CHICAGO 07/26/16 COVEN LAW GROUP 317 17WC 33243 JENKINS, LESLIE TERRACE PAPER COMPANY 06/06/17 GOLDSTEIN AIOSSA & GOOD FRANCESCA LARSEN 17WC033244 -C 318 17WC 33290 JAMES, TEVIN TWO MEN AND A TRUCK 10/21/17 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 319 17WC 33303 MARTINEZ, RODRIGO RICHELIEU 05/18/17 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 320 17WC 33337 MANDUJANO, JESUS CENTRAL STEEL & WIRE CO 09/13/17 ANKIN LAW OFFICE 321 17WC 33414 CARPIO, ADAN METRO STAFF INC LOANING E 10/07/17 SALK, STEVEN B & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 322 17WC 33554 MASSURA, JEANETTE IL INSTITUTE OF TECHNOLOG 05/10/17 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 323 17WC 33623 PEREZ, JUAN MOORE LANDSCAPING, INC 10/18/17 DWORKIN AND MACIARIELLO EDWARD J. KOZEL 324 17WC 33684 RIVERA, CARMEN CAPITOL WHOLESALE MEATS 06/18/17 HOLECEK & ASSOCIATES 325 17WC 33840 KIRKLEY, JANE UNIVERSITY OF CHICAGO MED 11/19/14 MCNAMARA PHELAN MCSTEEN LL 326 17WC 33872 VIDAL, JOSE CITY AUTO PARTS AND GLASS 03/15/17 HENNESSY & ROACH PC 327 17WC 33926 RICHMOND, EMERA ACCEPTANCE INSURANCE 10/28/17 MC HARGUE & JONES 328 17WC 33957 BUTLER, HAROLD VILLAGE OF GLENCOE 10/26/17 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 329 17WC 34068 JOHNSON, ONEAL MINIAT AND SOUTH 08/17/17 GOLDSTEIN AIOSSA & GOOD POWER & CRONIN LTD 17WC034069 -C 330 17WC 34115 DAW, LUKE INGALLS MEMORIAL HOSPITAL 04/04/17 SCHREINER MALLOY & ETZLER NYHAN BAMBRICK KINZIE & LOWR 331 17WC 34158 DELGADO, LUIS WORLDWIDE FLIGHT SERVICES 11/11/17 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 332 17WC 34233 ARIAS, LUIS M. BANGERS AND LACE 07/28/17 BAUM RUFFOLO & MARZAL LTD 333 17WC 34252 HERNANDEZ, ELSIE CHRISTOPHER HOUSE 09/29/16 VRDOLYAK LAW GROUP LLC 334 17WC 34306 CASTILLO, MARIS MICKEY'S LINEN 06/30/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 335 17WC 34325 PARRA, RUBEN AMERICAN HOTEL REGISTER C 10/24/17 COSTA IVONE LLC KRAKER FANNING & OLSEN 336 17WC 34327 LOURDES DUENAS, MARIA MASA UNO 08/25/17 COSTA IVONE LLC JOSEPH MARCINIAK 337 17WC 34368 BALOGH, TIBERIU WATERTON RESIDENTIAL/ 09/19/17 SALVATO & O'TOOLE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 338 17WC 34436 COLON, JOSE A FEDERAL EXPRESS 09/13/17 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 339 17WC 34739 LOPEZ, ALEXANDRA SEASONS HOSPICE & 10/10/17 KOSIN LAW OFFICE LTD NOBLE & ASSOC 17WC034740 -C 340 17WC 34971 HOLGUIN, JESUS CTA 11/16/17 ROSENBERG EISENBERG ASSOC CHICAGO TRANSIT AUTHORITY 341 17WC 35021 HANSEN, ROY CHICAGOLAND TRUCK PARTS 08/03/16 VRDOLYAK LAW GROUP LLC GILDEA, COGHLAN & REGAN LTD. 342 17WC 35037 FRANCIA, ROXANA US MESSENGER 10/02/15 ROGER D RUDICH LTD 343 17WC 35098 ORTIZ, JESSICA PETERSON ROOFING 10/27/17 THE ROMAKER LAW FIRM RIPES NELSON BAGGOT KALOBRAT 344 17WC 35375 MEYERS, WILLIAM CHICAGO TRANSIT AUTHORITY 01/25/17 HEALY SCANLON LAW FIRM CHICAGO TRANSIT AUTHORITY 345 17WC 35504 MCCARTHY, JOHN H CITY OF CHICAGO 11/15/17 KUMLIN & FROMM CITY OF CHICAGO 346 17WC 35529 STEPHENS, LAKISHA CHICAGO READ MENTAL 03/02/17 DISPARTI LAW GROUP PA ILLINOIS ATTORNEY GENERAL 347 17WC 35646 GUERRO, LETICIA CITY OF CHICAGO DEPT OF 05/01/17 CUDA LAW OFFICES LEAHY EISENBERG & FRAENKEL 17WC035647 -C CIT OF CHICAGO DEPT OF 17WC035648 -C 18WC003655 -C 348 17WC 35665 CORTES, KAREN CTA 11/16/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 349 17WC 35766 PETKOV, MARK MEDIEVEL TIMES 11/13/16 WOODRUFF & JOHNSON GRANT & FANNING 350 17WC 35879 COLEMAN, LAMONT ADVOCATE CHRIST MEDICAL C 11/30/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 351 17WC 36017 SIPP, SHANNAH ALTERNATIVE STAFFING 11/17/17 JOHN S. ELIASIK SLAVIN & SLAVIN 352 17WC 36188 SKOPEK, KYLE STREAMWOOD POLICE DEPT 11/18/17 ANESI OZMON RODIN NOVAK KO 353 17WC 36282 PHAD, JAMES R EMSER TILE 06/20/16 BRILL & FISHEL WIEDNER & MCAULIFFE LTD 354 18WC 04205 MOWERY, THOMAS LASTING IMPRESSIONS 01/19/18 ROBERT WARSASKI RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 355 18WC 04285 HEIST, DIAMOND PANERA BREAD CO 02/02/18 DWORKIN AND MACIARIELLO GILDEA, COGHLAN & REGAN LTD. 356 18WC 04328 NUNEZ, GRACIELA DLH HOLDINGS CORP 01/19/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 357 18WC 04421 RANSOM, CONYERS FEDEXP SHIP CENTER 03/08/17 GOLDBERG WEISMAN & CAIRO L 358 18WC 04483 CRAWFORD, SHELDON CITY OF MARKHAM POLICE DE 12/24/17 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 359 18WC 04506 LLOYD, LISA COMPASS SELF STORAGE 01/07/18 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 360 18WC 04554 OLMETTI, TIMOTHY M TONY DS PAINTING, LLC 01/23/18 SALVATO & O'TOOLE HENNESSY & ROACH PC 361 18WC 04580 BUCHANIEC, AUGUSTA TJX MAX MARSHALLS 12/17/17 GAINES & GAINES 362 18WC 04604 RUIDIAS, AGUSTINA SURESTAFF 07/31/17 EPSTEIN, JACK R LAW OFFICE LOUIS MUNDY 363 18WC 04632 BARROIS, MARTHA RICHELIEU FOODS 12/14/17 ROBERT WARSASKI HOLECEK & ASSOCIATES 364 18WC 04672 STINSON, DELTON AMTRAK DIESEL SHOP 01/19/16 CIFELLI SCREMENTI & DORE 365 18WC 04748 WILLIAMS, ROSEMARY CARLTON AT THE LAKE INC 02/06/17 COHN LAMBERT RYAN & SCHNEI BRADY CONNOLLY & MASUDA PC 366 18WC 04774 BELTZ, MARIA J DOLLAR TREE STORES INC 08/22/17 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 367 18WC 04941 AGUILAR, SALVADOR EL MILAGRO, INC 12/03/17 OSVALDO RODRIGUEZ PC WIEDNER & MCAULIFFE LTD 368 18WC 05031 WILLIAMS, KEYANNA NORTHWESTERN MEMORIAL HOS 01/16/18 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 369 18WC 05079 SEPULVEDA, JESUS EUROPEAN BEER IMPORTERS 02/15/18 SMOLER LAW OFFICE, PC HOLECEK & ASSOCIATES 370 18WC 05109 MATTHEWS, JAMES PRO MASTER TRUCK REPAIR, 12/01/17 URBAN & BURT LTD 371 18WC 05156 ESKERA, DONALD C JR COMCAST CORP 06/01/15 ANKIN LAW OFFICE POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 18WC 05308 RENEAU, LUTRELL CITY OF CHICAGO 10/24/17 ARGIONIS & ASSOCIATES LLC 373 18WC 05440 ALIASI, FEDERICO NAVISTAR INT CORP 09/28/17 LOCASCIO, MARK A LTD NYHAN BAMBRICK KINZIE & LOWR 18WC005441 -C 18WC037756 -C 374 18WC 05459 VENEGAS, GERARDO AMAZING EDIBLES 02/19/18 375 18WC 05479 VELEZ, MARIA A UNITED AIRLINES 02/05/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 376 18WC 05652 HARRIS, SULAINE EVANSTON TOWNSHIP HIGH SC 02/14/18 ANKIN LAW OFFICE 377 18WC 05728 HOLAN, THOMAS AMERICAN TOWER 09/05/17 LEONARD LAW GROUP LLC 378 18WC 05952 ORDAZ, MARIA CHICAGO PUBLIC SCHOOLS/ 10/24/17 OSVALDO RODRIGUEZ PC BRADY CONNOLLY & MASUDA PC 379 18WC 06016 MORENO, RICHARD JR YRC FREIGHT 04/21/16 DWYER & COOGAN HENNESSY & ROACH PC 380 18WC 06073 HARDY, DARNELL UNITED AIRLINES 02/05/18 KATZ FRIEDMAN EAGLE ET AL 381 18WC 06143 CAMPOS, ANA DART CONTAINER 11/06/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 382 18WC 06166 SWEARINGEN, CURTIS PEPPER CONSTRUCTION 02/07/18 COVEN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 383 18WC 06185 TATE, STEPHEN CITY OF CHICAGOO 01/12/18 DEPAOLO & ZADEIKIS 384 18WC 06214 CRUZ, PABLO CHICAGO TRANSIT AUTHORITY 02/13/18 O'CONNOR & NAKOS CHICAGO TRANSIT AUTHORITY 385 18WC 06494 WOLFORD, CURTIS J ORKIN PEST COMPANY 12/15/17 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 386 18WC 06651 MUSIAL, DIANE AMERICAN AIRLINES 01/26/18 SAUNDERS CONDON & KENNY 387 18WC 06715 MAITHYA, JANET N CHICAGO CHILDERNS CENTER 10/15/17 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 388 18WC 06844 FALAT, PAWEL BEM CNC 02/22/18 KATZ FRIEDMAN EAGLE ET AL 389 18WC 06874 WALLACE, VIVIAN A HELP AT HOME 12/26/17 ASA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 390 18WC 06972 MAHAN, REBECCA A CLOSER BOND DOG TRAININ 01/09/18 STEWART C ORZOFF 391 18WC 07146 BEBAR, RYAN COOK COUNTY SHERIFF'S DEP 04/13/17 SHEA LAW GROUP STATES ATTORNEY OF COOK COUN 392 18WC 07194 CANGAS, ADRIAN A PAVEMENT SYSTEMS, INC 10/25/17 FIGLIOLI, DAVID ANCEL GLINK DIAMOND BUSH & E 393 18WC 07233 SMITH, ARIEL PARKVIEW REHAB CENTER 02/15/18 LEONARD LAW GROUP LLC ROBERT L. SMITH 394 18WC 07369 HAMMOND, KYLE VILLAGE OF SKOKIE 05/19/17 ANGELINI & ORI LLC VILLAGE OF SKOKIE 18WC007370 -C 395 18WC 11571 HAZLEY, ASHLEY FORD MOTOR COMPANY 01/26/18 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 396 18WC 14316 GUAMAN, LUIS WALSH CONSTRUCTION 08/03/17 MILLON & PESKIN LTD HINSHAW & CULBERTSON 397 18WC 14398 CAMACHO, BELMA LITTLE GOAT DINER 03/06/18 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 398 18WC 14455 KAPLAN, CRAIG DILLON TRANSPORT 01/24/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 399 18WC 14520 BURTIN, WALTER RUAN TRANSPORTATION 01/19/18 POLANSKY & CICHON CHTD JAMES M KELLY 400 18WC 14562 SHELTON, JAMES UNITED AIRLINES 02/23/18 STEARNEY, RONALD A LAW OFF NYHAN BAMBRICK KINZIE & LOWR 401 18WC 14578 NENADIC, NIKOLA GOLANS MOVING & STORAGE 04/02/18 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 402 18WC 14701 LLAMAS, JOSE C JUNO LIGHTING 08/28/17 NILSON STOOKAL GLEASON CAP SLAVIN & SLAVIN 403 18WC 14722 HUBERT, OZELLE FORD MOTOR COMPANY 01/22/18 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 18WC014723 -C 404 18WC 14743 MCKITTRICK, COLLEEN CHICAGO PUBLIC SCHOOLS 11/03/16 KROL BONGIORNO & GIVEN LTD CHGO BOARD OF EDUCATION 405 18WC 14782 REED-GLENN, YOLANDA UNIVERSITY OF CHICAGO MED 04/20/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 406 18WC 14849 RAYA, YESENIA DUNBAR ARMORED 01/09/18 WOODRUFF & JOHNSON JOSEPH MARCINIAK 407 18WC 14895 SMOAK, ANDREW UNIQUE FREIGHT CARRIERS 04/18/18 GESMER & REYNOLDS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 408 18WC 14961 TZIC, JUAN SCIOTO, LLC 05/07/18 COSTA IVONE LLC 409 18WC 14989 MARRERO, JOSEPH M CICERO SCHOOL DISTRICT 99 03/12/18 DEPAOLO & ZADEIKIS DEL GALDO LAW GROUP LLP 410 18WC 15035 SCHALLER, LEONARD ISS SOLUTIONS 02/08/18 COSTA IVONE LLC 411 18WC 15124 MCKENZIE, MICHAEL COIN WRAP INC 05/09/18 DWORKIN AND MACIARIELLO 412 18WC 15170 SUMMERS, DANIEL FISHER PRINTING INC 05/11/18 ANKIN LAW OFFICE 413 18WC 15187 CANDIA, JOSE R PEORIA PACKING 05/11/18 DEPAOLO & ZADEIKIS WOLFE & JACOBSON, LTD 414 18WC 15278 PRYOR, ULYSSES INTERSTATE REALTY MGMT CO 04/27/18 DWORKIN AND MACIARIELLO GRANT & FANNING 415 18WC 15318 CURRY, FRED SERVICE SANITATION 04/17/18 KARCHMAR & STONE KEEFE CAMPBELL BIERY & ASSOC 416 18WC 15363 BANDAS, ALEXANDRU SHERIFF'S OFFICE OF COOK 05/13/18 PETER LEKAS STATES ATTORNEY OF COOK COUN 417 18WC 15380 LEHMAN, NANCY CATALINA MARKETING CORPOR 06/26/17 COVEN LAW GROUP EDWARD J. KOZEL 418 18WC 15425 BENSON, ALICE BURGER KING/TRI CITY FOOD 04/17/18 TIMOTHY HENDERSON NYHAN BAMBRICK KINZIE & LOWR 419 18WC 15447 GREEN, REGINALD NUCO2 05/05/18 420 18WC 15494 BUCHANAN, CASANDRA CTA 05/15/18 VASILATOS & COTTER LLC CHICAGO TRANSIT AUTHORITY 421 18WC 15511 WASHINGTON, ANTHONY DOOR DISTRIBUTORS, INC. 03/23/18 LEONARD LAW GROUP LLC 422 18WC 15534 ALMANZA, JULIA SALVATION ARMY 02/24/18 LEO ALT EVANS & DIXON 423 18WC 15628 ZUNIGA, EVERARDO CALUMET CARTON CO 04/23/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 18WC020666 -C 424 18WC 15648 HOGUE, DENISE ALDI 08/14/17 VRDOLYAK LAW GROUP LLC 425 18WC 15673 STRELOW, MATTHEW PALOS HEALTH 05/16/18 ELFENBAUM EVERS & AMARILIO POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 426 18WC 15704 VOLPI, ROBIN STATE OF ILLINOIS/LUDEMAN @ 11/19/15 COPELAND FINN & FIERI LTD ASSISTANT ATTY GENERAL 427 18WC 15803 PUENTES, VICTOR TAQUERIA LA ROSITA, INC 04/11/18 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 428 18WC 15828 LEE, JOHNNY FAMILY DOLLAR 05/17/18 COVEN LAW GROUP BRYCE DOWNEY & LENKOV LLC 429 18WC 15960 CRIVILARE, ANGELO LMAK INC 05/03/18 MARSZALEK AND MARSZALEK 430 18WC 15987 LEWANDOWSKI, LUCIA OSI INDUSTRIES 01/13/18 MICHAEL A. HIGGINS ASA LAW GROUP 431 18WC 16125 COLLINS-SLATER, CARLA CHASE 05/04/18 LANNON LANNON & BARR LTD INMAN & FITZGIBBONS 432 18WC 16145 MARTINEZ, ARMANDO KOCH FOODS 09/16/17 CRONIN & PETERS BRYCE DOWNEY & LENKOV LLC 433 18WC 16186 BLAHO, HELENA MACNEAL HOSPITAL 02/15/18 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 434 18WC 16333 JEFFERSON, LAMAR TITAN PERSONNEL STAFFING 12/19/17 DEPAOLO & ZADEIKIS 435 18WC 16354 PEREZ, PATRICIA EMBASSY SUITES HOTEL 02/10/18 JONATHAN SCHLACK HENNESSY & ROACH PC 436 18WC 16476 CRUZ, RAMON GREYHOUND LINES, INC 03/24/18 MORICI FIGLIOLI & ASSOC WIEDNER & MCAULIFFE LTD 437 18WC 16502 ROJAS, ERASTO URBAN ALTERNATIVES 11/13/17 O'CONNOR & NAKOS 438 18WC 16542 BROWN, WALTER TRUSORT 05/21/18 BRISKMAN BRISKMAN GREENBER JOSEPH MARCINIAK 439 18WC 16594 ROWE, BRANDON SEARS CARPET AND UPHOLSTE 03/05/18 DWORKIN AND MACIARIELLO 440 18WC 16638 DIXON, JASMIN ILLINOIS STATE POLICE @ 05/23/18 COLLISON LAW OFFICES ASSISTANT ATTY GENL 441 18WC 16744 CRUZ, ASTRID FAMILY DOLLAR 05/15/18 MC HARGUE & JONES BRYCE DOWNEY & LENKOV LLC 442 18WC 16759 VALACH, GENARO SRU ELECTRIC 12/10/16 JACKOWIAK LAW OFFICES GRANT & FANNING 443 18WC 16773 MCGUIRE, ANTHONY CITY OF CHICAGO 08/19/16 BURNES & LIBMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 444 18WC 16791 ORTIZ-MACIAS, JORGE ACCURATE PERFORATING 05/25/18 KATZ FRIEDMAN EAGLE ET AL LITCHFIELD CAVO 445 18WC 16839 STREET, DURWON ARAMARK UNIFORM SERVICES 05/29/18 CUDA LAW OFFICES 446 18WC 16855 RODRIGUEZ, EBE W DIAMOND GROUP CORP. 09/17/17 EPSTEIN, JACK R LAW OFFICE 447 18WC 16900 WOLF, MIA CLERK OF COOK COUNTY 04/09/18 CELSO FUENTES JR STATES ATTORNEY OF COOK COUN 448 18WC 16986 JAVIER, EMMA S&N MANUFACTURING 05/21/18 GOLDSTEIN AIOSSA & GOOD 449 18WC 17030 SHAKELFORD, NICHOLAS T FEDEX FREIGHT 04/25/18 HASSAKIS & HASSAKIS PC GANAN & SHAPIRO 450 18WC 17074 NAVA, SANDRA SWISSOTEL CHICAGO 06/12/17 COVEN LAW GROUP 451 18WC 17108 KELLAMS, ROBERT MICHAEL WASTE MANAGEMENT 03/15/18 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 452 18WC 17127 VILLASENOR, MARINA AFFY TAPPLE 01/04/18 INJURY LAWYERS OF IL GILDEA & COGHLAN 453 18WC 17284 HAN, JOHN K AMTRAK 03/30/18 DAVID W MARTAY 454 18WC 17309 MASTERS, KIMBERLY EXPRESSJET 12/17/17 BROWN & BROWN SPIEGEL & CAHILL, PC 455 18WC 17364 RIOS-DIAZ, IMELDA LETICIA METRO STAFF INC 04/28/18 WARREN W MARK 456 18WC 17388 LANDGREN, DAVID COOK COUNTY, IL 06/06/18 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN 457 18WC 24474 VARELA, VINCENT EXPRESS EMPLYMNT PROFESSI 07/20/18 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 458 18WC 24592 WILLIAMS, ANTHONY E CTA 04/06/18 JAMES ELLIS GUMBINER & ASS CHICAGO TRANSIT AUTHORITY 459 18WC 24633 RENTERIA, IRENE SOUTHEAST PERSONNEL LEASN 04/26/17 ANDREW HAMILTON QUINTAIROS PRIETO WOOD & BOY 460 18WC 24657 RICHARDSON, MARVIN DENNY GUESTS' 07/25/18 ASHER, RAYMOND L LTD NYHAN BAMBRICK KINZIE & LOWR 461 18WC 24750 EDWARDS, HOWARD DHL GLOBAL FORWARDING 08/14/18 LEONARD LAW GROUP LLC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 462 18WC 24789 ARNIERI, DARLENE AMERICAN AIRLINES 07/06/18 SALVATO O'TOOLE FROYLAN 463 18WC 24813 BONAREK, BRIAN COOK COUNTY SHERIFF'S OFF @ 10/03/16 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 464 18WC 24841 RODRIGUEZ, JOSE TAUBENSEE STEEL & WIRE CO 07/18/18 FRIEND LEVINSON & BERGAL EDWARD J. KOZEL 465 18WC 24887 MYERS, DONALD CHICAGO TRANSIT AUTHORITY 06/11/18 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 466 18WC 24951 RODDY, BERT K AND B TRANSPORTATION, I 07/26/18 ANSELMO DURAN EVANS & DIXON, LLC 467 18WC 25037 SOLANO, SIXTO ATLAS ROOFING 07/09/18 EDWIN REYES LAW FIRM 468 18WC 25061 POMAGUIZA, JOSE FELIPE ARIZAGA CONSTRUCTION INC. 07/31/18 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM GRA 469 18WC 25119 MARTINEZ, CHRISTOPHER JR HUNT MOVERS, INC 07/25/18 DWORKIN AND MACIARIELLO 470 18WC 25138 SIVELS, DORA MORTON GROVE LIVING & 06/15/18 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 471 18WC 25255 CHIRILLO, TOMMY CITY OF CHICAGO- DEPT OF 08/03/18 WITTENBERG DOUGHERTY MAGLI 472 18WC 25307 JAIME, ADIEL NICOR GAS/SOUTHERN SERVIC 07/18/18 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 473 18WC 25332 MOLINA, CHRISTOPHER BLUE ISLAND PUBLIC WORKS 04/13/18 DEPAOLO & ZADEIKIS ODELSON & STERK 474 18WC 25351 JOHNSON, MARK PACTIV, LLC 08/09/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 475 18WC 25401 WOODS, JAMIE M ARAMARK 08/11/18 GORDON & CENTRACCHIO LLC 476 18WC 25504 GARDNER, DARRELL NICOR GAS 07/25/18 NEWLAND & NEWLAND MACIOROWSKI SACKMANN & ULRIC 477 18WC 25546 STERN, DARREN LANDAUER 01/01/16 MENDOZA LAW PC GILDEA, COGHLAN & REGAN LTD. 478 18WC 25568 ALVAREZ, PEDRO MIDWEST ARBOR CORP 10/23/17 SOSTRIN AND SOSTRIN PC GANAN & SHAPIRO 479 18WC 25594 DE BENEDETTI, IDA ANN UNITED CONTINENTAL HOLDIN 06/24/18 BRIAN J MC MANUS & ASSOC,

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 480 18WC 25613 AMPONSAH, AKOSUA NORTHWESTERN MEM HOSPITAL 04/24/18 COVEN LAW GROUP 481 18WC 25651 SIERRA, MARCOS BECHSTEIN CONSTRUCTION 08/13/18 JEFFREY FRIEDMAN 482 18WC 25676 ARREGUIN, MARIA CLEAR STAFF 08/15/18 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 483 18WC 25711 DEL VALLE, MARILYN VILLAGE OF SKOKIE 06/14/18 KOSIN LAW OFFICE LTD VILLAGE OF SKOKIE 484 18WC 25744 BHAGAT, DIPENDRA BLUE RIBBON TAXI ASSOC, I 03/01/18 BRUSTIN & LUNDBLAD LTD 485 18WC 25787 CHUNGATA, JULIO POLO MASONRY BUILDERS AND 08/06/18 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM GRA 486 18WC 25840 DIAZ, MARIA CASA CENTRAL 07/16/18 ANGELINI & ORI LLC 487 18WC 25858 TILLIS, THEOPHILUS UNIVERSITY OF CHICAGO 08/25/18 GRAZIAN & VOLPE PC 488 18WC 25917 RICHARDSON, DAVID US REFRIGERATION SALES & 06/19/17 DAVID W MARTAY 489 18WC 25942 MOORE, DAVID INSTUFORM TECHNOLOGIES 11/17/17 COSTA IVONE LLC HENNESSY & ROACH PC 490 18WC 25981 O'NEILL, SCOTT VILLAGE OF OAK LAWN 05/01/18 MINKOW DOMIN KEEFE CAMPBELL BIERY & ASSOC 491 18WC 26048 MC CREA, KEISHA R CTA 08/18/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 492 18WC 26065 YOUNG, LEROY CITY OF CHICAGO 07/25/18 ANKIN LAW OFFICE CITY OF CHICAGO 493 18WC 26165 VEGA, MILAGROS ROUNDY'S SUPERMARKETS INC 08/15/18 ANKIN LAW OFFICE 494 18WC 26220 WILLIAMS, JERRY LAKESHORE RECYCLING SYSTM 07/05/18 GOLDBERG WEISMAN & CAIRO L 495 18WC 26291 SLARZYNSKI, JAMES C CHICAGO BOARD OF ELECTION 03/20/18 BARRY A KETTER STATES ATTORNEY OF COOK COUN 496 18WC 26342 FLORES, ORFILDA ARYZTA LLC 04/16/18 GREGORIO & MARCO HENNESSY & ROACH PC 497 18WC 26382 EWERS, BRIAN CHICAGO HEIGHTS POLICE DE 08/19/18 DWORKIN AND MACIARIELLO PETERSON JOHNSON & MURRAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 498 18WC 26419 ROSARIO, JOHNNY S TYSON FOODS INC 07/24/18 ANKIN LAW OFFICE 499 18WC 26435 BATES, RICHARD GIBRALTAR CHEMICAL WORKS 08/23/17 DEPAOLO & ZADEIKIS 500 18WC 26479 BROWN II, LAMARK ARENA FOOTBALL ONE LLC 05/20/17 GORDON LAW OFFICES LTD 501 18WC 26516 JORDAN, NADINE MACY'S RELAIL HOLDINGS IN 08/08/18 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 502 18WC 26571 MCKITTRICK, MICHAEL MANACARI'S CHRYSLER JEEP 09/02/15 DWORKIN AND MACIARIELLO NOBLE & ASSOC 503 18WC 26613 MARTINEZ, AGUSTIN SCALETTA MOLONEY ARMORING 03/06/18 OSVALDO RODRIGUEZ PC BRYCE DOWNEY & LENKOV LLC 504 18WC 26657 PICKETT, ANTHONY CENTERS FOR NEW HORIZONS 08/20/18 COSTA IVONE LLC POWER & CRONIN LTD 505 18WC 26678 LONG, BRENT A DEARBORN MID-WEST COMPANY 07/01/18 TUITE LAW JOSEPH MARCINIAK 506 18WC 26707 BREJ, KATHLEEN NEWS AMERICA MARKETING 11/07/16 MC HARGUE & JONES 507 18WC 26752 BOLDEN, DARRELL TEAM STRATEGIC INC 08/20/18 SCHRAMM LAW GROUP 508 18WC 26781 CARDOSO, FELIX ELITE LABOR SERVICES/ 08/14/18 BAUM RUFFOLO & MARZAL LTD 509 18WC 26958 RZESZUTKO, JOANNE FAIRPLAY FOODS 07/04/18 GOLDBERG WEISMAN & CAIRO L 510 18WC 31978 FELICIANO, JUSTIN R CTA 08/24/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 511 18WC 32137 FRAZIER, ANTOINETTE RIVEREDGE HOSPITAL 08/08/18 GERALD CONNOR MC ANDREWS & NORGLE LLC 512 18WC 33849 FLORES, ADLAI GEODIS LOGISTICS 02/12/18 LEONARD LAW GROUP LLC MEACHUM & STARCK 513 18WC 33885 ALDRIDGE, LATASHA LYFT 11/07/18 DWORKIN AND MACIARIELLO ANCEL GLINK PC 514 18WC 33902 CASTLEBERRY, SHAKEETAH AMERICASH LOANS, LLC 11/01/18 STEVEN J. MORTON & ASSOC JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 515 18WC 33959 BROWN, JACQUELINE COOK COUNTY SHERIFF'S 06/08/18 COVEN LAW GROUP STATES ATTORNEY OF COOK COUN 516 18WC 33983 SOTO, FELIPE PACTIV, LLC 06/01/18 CUDA LAW OFFICES 18WC033984 -C 517 18WC 33997 HOLM, RICHARD HUMAN CAPITAL STAFFING 11/24/15 DEUTSCHMAN, JEFFREY S KRAKER FANNING & OLSEN 518 18WC 34026 FLOWERS, YOLANDA COOK COUNTY RECORDER OF D 10/25/18 KURASCH & KLEIN, LTD STATES ATTORNEY OF COOK COUN 519 18WC 34107 SMITH, SHANTAL BLACK KNIGHT SECURITY 10/26/18 SANDMAN LEVY & PETRICH FRIEDRICH LAW LLC 520 18WC 34153 MEDRANO, SANDRA GERALEX INC 09/07/18 CELSO FUENTES JR KEEFE CAMPBELL BIERY & ASSOC 521 18WC 34206 SMITH, LINDA CHICAGO TRANSIT AUTHORITY 11/01/18 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 522 18WC 34235 WILLIAMS, VALERIE P CIRCLE K 10/28/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 523 18WC 34278 MORENO, MARIANO PAN-OCEANIC ENGINEERING C 11/06/18 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 524 18WC 34301 JAKEWAY, JAMES SOUTHWEST AIRLINES 08/17/18 STEVEN J MALMAN & ASSOCIAT 525 18WC 34349 BERBERENA, ALEXI LAWNDALE TRUCKING 11/14/18 DWORKIN AND MACIARIELLO MEACHUM & STARCK 526 18WC 34408 IORIO, FABIAN DI ECOLAB INC. DBA NALCO CO 06/07/18 GRAUER & KRIEGEL LLC KEEFE CAMPBELL BIERY & ASSOC 18WC034409 -C 527 18WC 34424 ORDONEZ, LESLY EMERICK FACILITY SERVICES 09/24/18 STEVEN B SALK & ASSOC LTD 528 18WC 34447 CARRILLO, RUPERTO JIM & PETE'S CATERING 10/01/18 COSTA IVONE LLC 529 18WC 34473 SABILLON, AISSA SOLANO DE CARRIER 05/09/18 MANUAL CARDENAS & ASSOC 530 18WC 34513 ROLLINS, DAVID MEADE ELECTRIC 11/18/18 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 531 18WC 34551 KIERAS, ROBERT ATT D/B/A IL BELL TELEPHO 09/26/18 DEPAOLO & ZADEIKIS INMAN & FITZGIBBONS 532 18WC 34589 VAZQUEZ, MANUEL BOLANOS CONSTRUCTION, INC W 04/20/18 CHEPOV & SCOTT LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 533 18WC 34619 BRANCH, TYESHA PALMER HOUSE 11/15/18 DWORKIN AND MACIARIELLO 534 18WC 34673 RHODES, JEREMY BLUE ISLAND POLICE DEPT 08/05/18 KROL BONGIORNO & GIVEN LTD ODELSON & STERK 535 18WC 34699 ALVAREZ, YOLANDA CHICAGO PUBLIC SCHOOLS-MA 04/24/18 OSVALDO RODRIGUEZ PC 536 18WC 34731 ARTEAGA, ARCELIA ALSCO/CHICAGO 09/14/18 GORDON & CENTRACCHIO LLC ADELSON TESTAN BRUNDO 537 18WC 34767 MORALES, FRANCISCO SONOCO PRODUCTS CO. 10/12/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 538 18WC 34851 KULAK, DARIUSZ NEW AGE BUILDER SERVICES 10/18/18 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 18WC034852 -C 539 18WC 34879 GUERRA, LUIS DGD DEMOLITION COMPANY 11/14/18 JONATHAN SCHLACK GAROFALO SCHREIBER STORM GRA 540 18WC 34885 MENDEZ, HILDA UIC MEDICAL CENTER 10/10/18 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 541 18WC 34920 REVES-OCHOA, LORENZO ANTO SCULPTED LANSCAPE, INC. 07/30/18 REIFMAN LAW GILDEA, COGHLAN & REGAN LTD. 542 18WC 34957 MARTINEZ, JORGE TOUCHPOITN SUPPORT SRVCS, 03/14/16 COSTA IVONE LLC 543 18WC 34999 HUTCHINSON, OMARA CITY OF CHICAGO 11/02/18 KARCHMAR & STONE 544 18WC 35015 JASTROWSKI, JAMES DAYTON FREIGHT 09/19/18 LUSAK AND COBB GANAN & SHAPIRO 19WC016148 -C 545 18WC 35034 GARRISON, CHARMICA CTA 09/16/18 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 546 18WC 35062 BAILEY, DEANDRE CTA 11/03/18 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 547 18WC 35094 GONZALEZ, HUGO WASTE MANAGEMENT 09/10/18 BUDIN LAW OFFICES GAROFALO SCHREIBER STORM GRA 19WC016253 -C 548 18WC 35122 BALDERAS DE JESUS, JACOB LABOR SOLUTIONS, LLC 10/19/18 COHN LAMBERT RYAN & SCHNEI 549 18WC 35143 FUNCHESS, MARQUES L PEP BOYS AUTO PARTS & SER 11/02/18 TIMOTHY HENDERSON DOHERTY & PROGAR LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 550 18WC 35203 SUMMERS, MINNIE ARBY'S 05/15/18 STANCZAK LAW OFFICES GANAN & SHAPIRO 551 18WC 35235 AMRTENSEN, SCOTT UPS FRANKLIN PARK 11/27/18 DWORKIN AND MACIARIELLO 552 18WC 35262 LOWITZKI, DAVE ALL MASONRY CONSTRUCTION 03/03/16 HEALY SCANLON LAW FIRM GAROFALO SCHREIBER STORM GRA 553 18WC 35293 IGNACIO, MYRNA UNITED CONTINENTAL HOLDIN 09/16/18 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 554 18WC 35315 CIPPARD-WALLS, ROBIN MARYKNOLL FATHERS AND BRO 10/05/18 EDWIN REYES LAW FIRM HENNESSY & ROACH PC 555 18WC 35332 BLUNT, KEITH UNIFIED CML 02/22/18 BERG & BERG 556 18WC 35386 SOMERS, GORDON BAKES STEEL ERECTORS, INC 08/23/18 O'CONNOR & NAKOS 557 18WC 35423 WATSON, LARRY WINSTON BRAND 11/26/18 ANGELINI & ORI LLC 558 18WC 35454 CAMPOS, TASHLA PANDA EXPRESS 10/09/18 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 18WC035455 -C 559 18WC 35476 DAVIS, FLORA ILLINOIS CENTRAL SCHOOL B 11/15/18 DWORKIN AND MACIARIELLO 560 18WC 35542 MAZIQUE, KAREN CHICAGO PUBLIC SCHOOLS 11/27/18 MARC J SHUMAN & ASSOCIATES CHGO BOARD OF EDUCATION 561 18WC 35608 JAKUBOWSKI, MICHAEL CHICAGO POLICE DEPARTMENT 07/31/18 BART DURHAM 562 18WC 35715 COVINGTON-CULLUM, ERNESTI MACY'S RETAIL HOLDINGS, I 10/08/18 GARDNER LAW LLC RITTENBERG BUFFEN 563 18WC 35736 AVERY, LYNETTA CENTRAL STEEL & WIRE CO. 10/20/18 DAVID W MARTAY 564 18WC 35756 O'CONNELL, MICHAEL UPS 11/28/18 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 565 18WC 35775 PARKER, SHERRY KICKERT SCHOOL BUS LINE I 11/16/18 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 566 18WC 35813 VILLEGAS, MAGDALENO ACCURATE PERSONNEL, LLC 10/29/18 BAUM RUFFOLO & MARZAL LTD JOHN T GONNELLA 567 18WC 35844 HOWARD, PAUL LAKESHORE BEVERAGES-BUDWE 11/06/18 SEIDMAN MARGULIS & FAIRMAN ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 568 18WC 35874 THOMAS, EDNA UCP SEGUIN OF GREATER CHI 09/22/17 ANKIN LAW OFFICE 569 18WC 35896 CERVANTES, LUIS CERMAK PRODUCE 06/01/18 CULLEN HASKINS NICHOLSON 570 18WC 35916 RIVAS, JAMIE STAIR ONE 05/26/18 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 571 18WC 35944 STEINER, DEBBIE CHICAGO PUBLIC SCHOOL 10/02/18 SANDMAN LEVY & PETRICH CHGO BOARD OF EDUCATION 572 18WC 35964 WIESEN, FRANK AMERICAN AIRLINES-CHICAGO 07/25/18 GOLDBERG WEISMAN & CAIRO L 573 18WC 35985 NASH, WANDA LOYOLA UNIVERISTY OF CHIC 06/04/18 ANKIN LAW OFFICE LORENZ & BERGIN PC 574 18WC 36011 NEAL, TARANEKIA GEORGIA NUT CO 11/27/18 SCOTT B SHAPIRO 575 18WC 36071 FREEMAN, RALPH NORTHFIELD BLOCK CO. 10/25/18 LEITER LAW OFFICES MEACHUM & STARCK 576 18WC 36171 RODRIGUEZ, JOSE C/O EL MILAGRO, INC 07/13/18 GORDON LAW OFFICES LTD 577 18WC 38400 GUEST, EARNESTINE UPS 12/05/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 18WC034259 -C 18WC037747 -C 578 19WC 01775 LI, RUI YING/HUANG, SAM NEW CHINA HUT 2 INC. 01/23/16 ROBINS & ASSOC LTD 579 19WC 02418 VILLALPANDO, GABRIEL ALLIANCE CONCRETE SAWING 05/12/18 KROL BONGIORNO & GIVEN LTD 580 19WC 02435 MENDEZ, JESSE UIC CAMPUS 09/27/18 HERRERA LAW CENTER HEYL ROYSTER VOELKER & ALLEN 581 19WC 02458 WILLIAM, MERCY SYMPHONY OF CREST WOOD 12/11/18 MC HARGUE & JONES MCCABE KIRSHNER PC 582 19WC 03876 HANDY, TYRONE CHICAGO TRANSIT AUTHORITY 12/01/18 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 583 19WC 04126 CORTES, EDWIN ALEXIS MIDWAY BUILDING SERVICES 10/31/18 EPSTEIN, JACK R LAW OFFICE 584 19WC 04160 URIOSTEGUI, FRANCELIA EL MESON RESTAURANT 09/25/17 BRIAN J MC MANUS & ASSOC, 585 19WC 04178 ALEXANDER, VANESSA WALMART 01/18/19 JAMES ELLIS GUMBINER & ASS QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 586 19WC 04192 SALINAS, EDUARDO RON'S STAFFING SERVICES, 01/14/19 CULLEN HASKINS NICHOLSON KOREY RICHARDSON LLC 587 19WC 04209 DOMINGUEZ, MARITZA G4S SECURE SOLUTIONS 11/17/18 DAVID W MARTAY BRYCE DOWNEY & LENKOV LLC 588 19WC 04228 LUMPKIN, SOPHIA JACKSON PARK HOSPITAL 01/23/19 EDWIN REYES LAW FIRM 589 19WC 04250 RODRIGUEZ, IMELDA ED MINIAT INC 09/24/18 STEVEN B SALK & ASSOC LTD POWER & CRONIN LTD 590 19WC 04264 MILES, ROSE A COOK DUPAGE TRANSPORTATIO 11/05/18 VITELL & SPITZ LTD 591 19WC 04281 FERRICI, JOSEPH UPS 01/29/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 592 19WC 04322 BELL, TIERRA B2B STAFFING 01/09/19 DWORKIN AND MACIARIELLO 593 19WC 04358 RUIZ, CYNTHIA NORTHSHORE UNIV HEALTH SY 01/27/19 HORWITZ HORWITZ & ASSOC 594 19WC 04373 HAYES, JACQUELINE CHICAGO TRANSIT AUTHORITY 02/05/19 CHICAGO TRANSIT AUTHORITY 595 19WC 04395 YEHIA, ABDELSALAM UNITED CONTINENTAL HOLDIN 01/30/19 BRIAN J MC MANUS & ASSOC, 596 19WC 04418 MURRY-SEALE, CAROLYN MARSHALLS 01/04/19 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 597 19WC 04431 ZEITZ, BRIAN GREAT LAKES PLUMBING 06/13/18 CULLEN HASKINS NICHOLSON 598 19WC 04449 NUNEZ, MICHELLE CITY OF CHICAGO-OEMC 02/03/19 ENCINAS & ORNELAS 599 19WC 04498 BASCOMB, KENNETH BLOOMERS CHOCOLATE 02/05/19 ANGELINI & ORI LLC WOLFE & JACOBSON, LTD 600 19WC 04524 BRUNSLIK, GEORGE BEDFORD PARK FIRE DEPT 03/06/18 RIDGE & DOWNES 601 19WC 04552 CRUZ, OSVALDO HUBBARD BROADCASTING 11/30/18 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 602 19WC 04561 VISOSO, VICTOR MICKEYS LINEN 06/08/18 CUDA LAW OFFICES 603 19WC 04577 ZWARYCZ, THOMAS J CITY OF CHICAGO DEPT OF W 01/24/19 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 604 19WC 04598 MARIN, THOMAS AT&T 02/06/19 TOSCAS, JOHN Z LAW OFFICE 605 19WC 04615 CAMPBELL, BRIAN SYLVESTER CONSTRUCTION SR 01/28/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 606 19WC 04635 HARVEY, LYMAN SDS LAST MILE, INC 01/15/19 MENDOZA LAW PC NYHAN BAMBRICK KINZIE & LOWR 607 19WC 04655 JIMENEZ-ESCOBAR, LUZ THE ELI'S CHEESECAKE COMP 01/25/19 GREGORIO & MARCO MEACHUM & STARCK 608 19WC 04679 OLGUIN, JORGE GOLDEN COUNTRY ORIENTAL F 01/16/19 KREITER, BYCK & ASSOC LLP 609 19WC 04709 MONDRAGON, JESSE J & B MECHANICAL 10/10/18 GERALD CONNOR 610 19WC 04726 WEAVER, RICHARD PEPSI CO 02/27/18 LEONARD LAW GROUP LLC GAIDO & FINTZEN 611 19WC 04759 RAINES, ERIC KINDER MORGAN 02/12/19 BRISKMAN BRISKMAN GREENBER 612 19WC 04808 SHOFIDIYA, HENRY CHICAGO CARRIAGE CAB CO 12/08/18 DWORKIN AND MACIARIELLO 613 19WC 04858 RIVERA, CUTBERTO CARBIT PAINT CO LLC 11/17/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 19WC004859 -C 19WC004860 -C 614 19WC 04903 MURILLO, JOEL MCDONALDS, EVERGREEN PARK 12/01/18 DEPAOLO & ZADEIKIS QUINTAIROS PRIETO WOOD & BOY 615 19WC 04916 GALLAGHER, CASEY CITY OF OAK FOREST PD 01/23/19 KROL BONGIORNO & GIVEN LTD 616 19WC 04930 MORALES, MARIE UNITED AIRLINES 02/15/19 COVEN LAW GROUP 617 19WC 04962 MORGAN, SHEREE TONY'S FRESH MARKET 12/18/18 DWORKIN AND MACIARIELLO 618 19WC 04992 RENTERIA, JASON CHICAGO TRANSIT AUTHORITY 12/26/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 619 19WC 05026 DE LEEUW, MICHAEL MAJOR LEAGUE SOCCER 09/30/17 WOLFE LAW PC MC ANDREWS & NORGLE LLC 620 19WC 05051 PAVON, LUIS CDN LOGISTICS 11/29/18 MARC J SHUMAN & ASSOCIATES 621 19WC 05083 JACKSON, LAKENDRA PRUDENTIAL SECURITY 11/14/18 DEPAOLO & ZADEIKIS MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 622 19WC 05139 NELSON, TRACY COOK COUNTY SHERIFFS DEPA 10/24/18 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 623 19WC 05215 REYNOLDS, GREGG CHICAGO PUBLIC SCHOOLS 01/07/19 MARKHAM M JEEP & ASSOCIATE CHGO BOARD OF EDUCATION 624 19WC 05325 REVELES, ARMANDO ESTARPITA COMSTRUCTION 06/01/18 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 625 19WC 05374 GARCIA, SAN JUAN FIRST STUDENT 12/03/18 MARK N LEE WIEDNER & MCAULIFFE LTD 626 19WC 05396 NAVA, ALEJANDRO WICHITA PACKING CO 01/16/19 HUGO ORTIZ 627 19WC 05418 HOPKINS, REGINALD CTA 02/20/19 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 628 19WC 05471 ALEXANDER, TINA REYNOLDS CONSUMER PRODUCT 02/13/19 DWORKIN AND MACIARIELLO KLAUKE LAW GROUP LLC 629 19WC 05488 HARRIS, SARA GATEWAY FOUNDATION 02/04/19 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 630 19WC 05512 NARDUCCI, MICHAEL COMMONWEALTH EDISON COMPA 07/19/18 GOLDBERG WEISMAN & CAIRO L CHILTON YAMBERT PORTER LLP 631 19WC 05545 BOWMAN, BRENDA HOME DEPOT 12/19/18 ANKIN LAW OFFICE ADELSON TESTAN BRUNDO 632 19WC 05576 SUCHAN, BRIAN YRC, INC 11/25/18 PARENTE & NOREM PC HENNESSY & ROACH PC 633 19WC 05597 TRAVIS, DARRION LAND O'FROST, INC 02/11/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 634 19WC 05707 NACHMAN, ALAN LOWES 01/10/19 MANDELL, GREGG 635 19WC 05735 CISON, STANISLAW HOIST LIFT TRUCK 12/24/18 TRAPP & GELLER HENNESSY & ROACH PC 636 19WC 05771 BEENES, DOUGLAS WASTE MANAGEMENT 12/20/18 JASINSKI, GEORGE J 637 19WC 05817 WOOD, GREGORY L WALMART 02/20/19 CULLEN HASKINS NICHOLSON QUINTAIROS PRIETO WOOD & BOY 638 19WC 05838 GAVARRETE, HERBERT SUDLER & CO 01/09/19 STANCZAK LAW OFFICES HENNESSY & ROACH PC 639 19WC 05868 SPEED, MONJERO YRC FREIGHT 01/22/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 640 19WC 05879 SILVA, ANDREA DNL HELATH CARE SRVS, INC 02/18/19 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 641 19WC 05898 MERCADO, JUANITA S&C ELECTRIC COMPANY 11/05/18 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 642 19WC 05923 RAMOS, ROGER ATLAS EMPLOYMENT 10/25/18 SALVATO O'TOOLE FROYLAN 643 19WC 05947 VILCHEZ-GARCIA, EVELIO PANGEA REAL ESTATE 02/14/19 COSTA IVONE LLC 644 19WC 05964 BERNS, WILHELMINE SHAMROCK MOTEL 01/28/19 VITELL & SPITZ LTD WIEDNER & MCAULIFFE LTD 645 19WC 06029 PALACIOS, TRISTAN JOE & ROSS, LLC 02/13/19 KOSIN LAW OFFICE LTD 646 19WC 06097 MCNICHOLAS, MARGARET PRESENCE MEDICAL GROUP 11/16/18 MICHAEL G. MILLER 647 19WC 06143 MCCOY, MARKETA ASPIRE CHICAGO 01/24/19 BAUM RUFFOLO & MARZAL LTD ACCIDENT FUND HOLDINGS 648 19WC 06169 WILLIAMS-LASH, CRYSTAL INTEGRITY STAFFING SOLUTI 11/22/17 PORRO NIERMANN LAW GROUP 649 19WC 06179 WILMOTH, JENNIFER VILLAGE OF BEDFORD PARK 10/24/18 FRANCIS J DISCIPIO LAW OFF 650 19WC 06220 OLIVER, CIERA WALMART SUPERCENTER 02/26/19 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 651 19WC 06247 CRAIG, RICHARD L OLSEN WOODWORK 10/02/18 CIARDELLI CUMMINGS CAMPAGN 652 19WC 06272 YANEZ, LAZARO KERRY INGREDIENTS 02/15/19 BOTTO GILBERT STONE & JOHNSON CHARTERED 653 19WC 06296 LUPO, GREGORY INTERSTATE ELECTRONICS CO 05/10/18 HOLECEK & ASSOCIATES 654 19WC 06317 KMIEC, TIMOTHY AMERICAN AIRLINES 02/20/19 COSTA IVONE LLC 655 19WC 06327 GREEN, MITCHELL K PEOPLES GAS 09/21/17 LEONARD LAW GROUP LLC MC CABE & HOGAN 656 19WC 06348 BOARDIEN, JOANN CITY OF CHICAGO 02/19/19 CULLEN HASKINS NICHOLSON 657 19WC 06432 LEDUC, CHERYL SUPERIOR AMBULANCE 09/21/18 BURNETT & CARON, LTD POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 658 19WC 06480 MYLES, YOLANDA COOK COUNTY OF ILLINOIS 02/13/19 VASILATOS & COTTER LLC STATES ATTORNEY OF COOK COUN 659 19WC 06567 PRANCZKE, DENNIS AT&T, INC 12/10/18 MARKHAM M JEEP & ASSOCIATE 660 19WC 06656 ELLIS, DORENE UNITED CONTINENTAL 09/10/18 KATZ FRIEDMAN EAGLE ET AL 661 19WC 06696 SHUDY, DEBORAH L DEBORAH L SHUDY 01/22/19 GREGORY MARTUCCI GILDEA, COGHLAN & REGAN LTD. 662 19WC 06735 MONTOYA, MA RAQUEL THE CALMARK GROUP 07/31/18 JONATHAN SCHLACK 663 19WC 06787 WELLS, FELICIA CITY OF CHICAGO 10/26/18 VRDOLYAK LAW GROUP LLC 664 19WC 06902 GEORGIADES, CHRISTOPHER T SIGNATURE TRANSPORTATION 02/09/19 CRONIN PETERS & COOK EVANS & DIXON 665 19WC 06941 KYPRIANIDIS, MARIO UNITED AIRLINES 03/14/17 RANDALL A. WOLFF & ASSOC 666 19WC 06972 DANCY, JOHNNY VILLAGE OF MATTESON 02/25/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 667 19WC 06997 BURKE, PEGGY CHICAGO PUBLIC SCHOOLS 02/21/19 MARK SCHAFFNER CHGO BOARD OF EDUCATION 668 19WC 07018 MANTILLA-FAJARDO, JUAN DI ELEGANT PACKAGING 07/18/18 MC HARGUE & JONES 669 19WC 07045 RADKE, WILLIAM (BILL) RESDSTONE RESIDENTIAL, IN 01/29/19 GOLDBERG WEISMAN & CAIRO L KRAKER FANNING & OLSEN 670 19WC 07075 HAYNES, VENISE SOUTH SUBURBAN COLLEGE 10/18/16 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 671 19WC 07095 LOPEZ, MANUEL CASTRO AMITY PACKING CO INC 06/12/18 JONATHAN SCHLACK 672 19WC 13679 TOMLIN, TRAFFAIRE UNITED AIRLINES INC. 04/11/19 WILLIAM H MARTAY 673 19WC 13705 CEJA, MARIA E MIDWAY STAFFING 04/11/19 COSTA IVONE LLC 674 19WC 13728 URBAN, BRIAN EMPLOYCO USA, INC 01/30/19 ROMANUCCI & BLANDIN PETERSON JOHNSON & MURRAY 675 19WC 13751 DEBB, MICHELE AMERICA AIRLINES 12/07/17 RUBENS KRESS MULHOLLAND GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 676 19WC 13772 BRADLEY, DESMOND SDI SECURITY 04/29/19 GRAVLIN, MICHAEL J LLC 677 19WC 13774 WILLIAMS, PAMELA CHICAGO TRANSIT AUTHORITY 03/27/19 GORDON & CENTRACCHIO LLC CHICAGO TRANSIT AUTHORITY 678 19WC 13826 LOPEZ, GAUDENCIO RON'S TEMPORARY HELP 03/28/18 KATZ FRIEDMAN EAGLE ET AL 679 19WC 13850 CARRENO, ERIJIDO EN-CHRO PLATING LTD PTRSH 01/16/19 RUEDA, IVAN A 680 19WC 13887 COLEMAN, ZANTREA M UNITED PARCEL SERVICE 04/25/19 GALLAGHER, DONALD V NYHAN BAMBRICK KINZIE & LOWR 681 19WC 13906 CARDENAS, ROSALVA CALUMET CARTON CO 09/25/18 VITELL & SPITZ LTD GILDEA, COGHLAN & REGAN LTD. 682 19WC 13946 RUDE, JUSTIN J THE KROGER CO. D/B/A MARI 04/19/19 ORENSTEIN & ASSOCIATES 683 19WC 13997 SCALISE, VINCENT CITY OF CHICAGO- DEPARTME 08/10/18 ROMANUCCI & BLANDIN CITY OF CHICAGO 684 19WC 14021 GLINSKI, KEITH INSTALLATION SPECIALISTS, 10/29/18 JAMES URTIS WIEDNER & MCAULIFFE LTD 685 19WC 14035 BROWNING, SUSAN CHRISTINE MAIANI LANDSCAPE 07/19/18 HANNIGAN & BOTHA, LTD 686 19WC 14059 OWENS, ERIC ALPHA BAKING 04/26/19 COVEN LAW GROUP 687 19WC 14080 VARGAS, BELINDA CTA 03/14/19 SCOTT B SHAPIRO CHICAGO TRANSIT AUTHORITY 688 19WC 14121 PARKER, TYWRELL WALTON ST KITCHEN & GRILL 05/12/19 SKLARE LAW GROUP 689 19WC 14148 SOLIMAN, HEBA UNITED AIRLINES INC. 06/07/15 NO ATTORNEY WIEDNER & MCAULIFFE LTD 690 19WC 14183 WILKINS, DANIKA CHICAGO TRANSIT AUTHORITY 05/13/19 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 691 19WC 14241 LONG, DAVID CHICAGO HEIGHTS POLICE DE 05/13/19 COVEN LAW GROUP DEL GALDO LAW GROUP LLP 692 19WC 14258 TINOCO, RICARDO LEOPARDO COMPANIES, INC 10/11/18 MICHAEL HELLMAN WIEDNER & MCAULIFFE LTD 693 19WC 14279 PERSON, MAURICE CARA CHICAGO 11/02/18 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 694 19WC 14304 DENNEY, MICHAEL NAVISTAR 09/14/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 695 19WC 14398 BIANCHI-SHEEHAN, WENDY UNITED AIRLINES 03/30/19 CULLEN HASKINS NICHOLSON 696 19WC 14452 CERRENTANO, JAMES UNITED PARCEL SERVICE 05/15/19 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 697 19WC 14468 WILLIAMSON, TYRONE NEXUS EMPLOYMENT SOLUTION 05/14/19 DWORKIN AND MACIARIELLO 698 19WC 14512 HAWKINS, KHADIJAH SCR MEDICAL TRANSPORTATIO 05/02/19 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 699 19WC 14528 ROYAL, JO AUNT MARTHA'S 05/10/19 CHEPOV & SCOTT LLC 700 19WC 14545 PETRI, LEE ANN KIRKLAND'S STORES, INC 12/07/18 STONE & MAYA PC 701 19WC 14599 TAYLOR, SHELLY VILLAGE DISCOUNT OUTLET I 09/14/18 ROBERT WARSASKI 702 19WC 14621 ESPINOSA, MAYRA FOOD FOR THOUGHT 04/06/19 RUBIN LAW GROUP LEWIS BRISBOIS BISGAARD 703 19WC 14663 KRANZUSCH, MATTHEW CHICAGO TRANSIT AUTHORITY 04/26/19 RUBENS KRESS MULHOLLAND CHICAGO TRANSIT AUTHORITY 704 19WC 14704 SOTO, DANNIE MEYER STEEL DRUM, INC 02/09/19 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 705 19WC 14723 HICKS, WILLIAM DOLLAR TREE 03/16/19 VITELL & SPITZ LTD 706 19WC 14730 CRUSE, OLIVIA CTA 03/06/19 SHELDON I MINKOW & ASSOCIA 707 19WC 14775 CURRY, ANDRE FIRST CLASS WORKFORCE SOL 05/17/19 TIMOTHY HENDERSON KEEFE CAMPBELL BIERY & ASSOC 708 19WC 14798 BOTICH, LINDA GIORDANO'S 04/27/19 HORWITZ HORWITZ & ASSOC 709 19WC 14866 COLEMAN, MICHELLE SMITH VILLAGE 07/03/18 VASILATOS & COTTER LLC HEYL ROYSTER VOELKER ALLEN 710 19WC 14886 FRANCO, ARACELI TSD ASSEMBLY SERVICES, IN 04/19/19 ENCINAS & ORNELAS 711 19WC 14904 SANTOS, ELSY LEON ROCKWELL'S NEIGHBORHOOD G 11/05/18 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 712 19WC 14987 SMITH, FREDRICK HD SUPPLY FACILITIES 05/03/19 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 713 19WC 15008 FISHER, JENNIFER JESSE WHITE LEARNING ACAD 10/03/18 HORWITZ HORWITZ & ASSOC 714 19WC 15029 HARRIS, RAY COMCAST 05/15/19 VASILATOS & COTTER LLC HENNESSY & ROACH PC 715 19WC 15046 GRAVES, FITZGERALD SOUTHWEST AIRLINES 07/20/18 COHN LAMBERT RYAN & SCHNEI 716 19WC 15081 PETER, NANCY JOURNEYCARE, INC 06/14/18 BOGUSZ & BOGUSZ LTD ACCIDENT FUND HOLDINGS 717 19WC 15166 SEIDEL, ROBERT COOK COUNTY HIGHWAY DEPT 09/27/18 NILSON STOOKAL GLEASON CAP STATES ATTORNEY OF COOK COUN 718 19WC 15206 YANGAS, DENA M CH ROBINSON 10/02/18 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 719 19WC 15238 HAYS, BRAD REX ELECTRIC 03/31/19 KROL BONGIORNO & GIVEN LTD KRAKER FANNING & OLSEN 720 19WC 15264 THOMAS, DONNA INGALLS MEMORIAL HOSPITAL 12/20/18 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 721 19WC 15299 KUNTARAS, STANLEY A MEADE ELECTRIC 03/28/19 RONALDSON & KUCHLER RUSIN & MACIOROWSKI LTD 722 19WC 15317 KERNS, MARY A NORTH SHORE SENIOR SERVIC 05/13/19 ANKIN LAW OFFICE 723 19WC 15333 OWENS, EVELYN CITY OF CHICAGO 02/27/19 MARC J SHUMAN & ASSOCIATES 724 19WC 15352 PEREZ, DANIEL VELASQUEZ COMPLETE AUTO C 04/27/19 LEONARD LAW GROUP LLC ROSARIO CIBELLA 725 19WC 15420 GOMEZ, IRIS DOMAK, INC 03/26/18 ARGIONIS & ASSOCIATES LLC 726 19WC 15436 MINNIFIELD, MICHELLE THE MINTE 05/14/19 DWORKIN AND MACIARIELLO 727 19WC 15454 ANDRADE, LORENA KOCH FOODS 03/23/19 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 728 19WC 15477 BLACKMON, TYNETTA LORETTO HOSPITAL 04/19/19 O'CONNOR & NAKOS 729 19WC 15502 BURFORD, JAMES CITY OF CHICAGO, DEPT OF 05/06/19 DONALD FOHRMAN & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 730 19WC 15522 HERNANDEZ, LUIS APEX SOLUTIONS LLC 05/11/19 AIOSSA LAW FIRM 731 19WC 15561 CAMPBELL, ROBERT CITY OF CHICAGO 05/09/19 COHN & COHN CITY OF CHICAGO 732 19WC 15582 BILLUPS-JACKSON, BABETTE CHILDCARE CAREERS, LLC 01/29/19 ANKIN LAW OFFICE 733 19WC 15604 FORSLING, GUSTAV CHICAGO BLACKHAWKS HOCKEY 01/20/18 GORDON LAW OFFICES LTD 734 19WC 15621 RICCIARDI, DANTE ROYAL POWER SOLUTIONS 03/11/19 CUDA LAW OFFICES EDWARD J. KOZEL 735 19WC 15661 WELCH, CAITLEN SCHOOL DISTRICT 54 04/15/19 KINNALLY FLAHERTY KRENTZ 736 19WC 15699 HALL JR, LAWRENCE COOK COUNTY 05/08/19 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 737 19WC 15726 VERA, EDGAR TOWN OF CICERO 03/08/19 ANGELA NARDI-QUIGLEY DEL GALDO LAW GROUP LLP 738 19WC 15746 RUBIO, KORYNNA UNITED CONTINENTAL HOLDIN 10/01/18 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 739 19WC 15764 ESTRADA, GABRIEL THE FIFTY/50 RESTAURANT G 05/11/19 BUDIN LAW OFFICES 740 19WC 15777 LOVEALL, KELLY YRC WORLDWIDE 05/11/19 KROL BONGIORNO & GIVEN LTD 741 19WC 15826 HEIM, GERALD A ILLINOIS SCHOOL BUS CO IN 04/30/19 VITELL & SPITZ LTD STONE & JOHNSON CHARTERED 742 19WC 15851 ARMENTA, ROMAN CRUZ A/K/A ACCURATE PERSONNEL SERVIC 09/13/18 STANCZAK LAW OFFICES JOHN T GONNELLA 743 19WC 15907 OLIVAREZ, FIDELMAR AMERICAN HERITAGE FIREPLA 04/11/19 EFTEKHARI LAW OFFICES 744 19WC 15938 MARSHALL, LIONEL FIRST CHOICE LANDSCAPING 05/20/19 ANGELINI & ORI LLC 745 19WC 15976 BALDWIN, SHRONDA COOK COUNTY JUVENILE 10/24/18 MUELHAUSEN & STEFANI STATES ATTORNEY OF COOK COUN 746 19WC 16038 KRAUSE, GENE VILLAGE OF NILES 04/25/19 TAMVAKIS, GEORGE L NYHAN BAMBRICK KINZIE & LOWR 747 19WC 16076 MURGUIA, BACILIO WM OF ILLINOIS- NORTH #53 01/26/19 JOSEPH J LOSS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 748 19WC 16123 ARIAS, LUIS PARLOR PIZZA BAR 06/03/16 MENDOZA LAW PC 749 19WC 16137 PORTER, WANDA GREAT LAKES COCA COLA 05/25/19 DONALD FOHRMAN & ASSOC 750 19WC 16155 FELICIANO, RAMON EKLIND TOOL COMPANY 03/07/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 751 19WC 16178 MARTIN, KEVIN COOK COUNTY SHERIFF POLIC 03/11/19 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 752 19WC 16201 GUTIERREZ, MARIA YOLANDA MILLARD GROUP 03/26/18 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM GRA 753 19WC 16226 GONOUDE, AMBROSE CITY OF CHICAGO 04/05/19 HEALY SCANLON LAW FIRM CITY OF CHICAGO 754 19WC 16242 RODRIGUEZ, RUBEN AMERICAN AIRLINES 01/28/19 JAMES W GREEN, JR 755 19WC 16251 ESPINOZA, SILVIA CITY OF CHICAGO 05/06/19 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 756 19WC 16279 MENDOZA, JESSICA LOWE'S 05/08/19 MANDELL, GREGG KEEFE CAMPBELL BIERY & ASSOC 757 19WC 16312 DEAN, TERRY STATE OF ILLINOIS C/O IDO @ 09/04/18 PETER C KOPOULOS ASSISTANT ATTY GENL 758 19WC 16362 DAVIS, MICHAEL ROAD RUNNER 05/29/19 DWORKIN AND MACIARIELLO 759 19WC 16388 GUTIERREZ, CARLOS UNITED PARCEL SRV. 05/30/19 GWC INJURY LAWYERS LLC LAWRENCE COZZI - LAW OFFICE 760 19WC 16412 MALAN, ROBERT DART CONTAINER 05/09/19 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM GRA 761 19WC 16425 FIZER, ERNEST M PALMER HOUSE HILTON CHICA 06/19/18 GALLAGHER, DONALD V 762 19WC 16443 ANDERSON, ANDREWNETTA NATIONAL EXPRESS/CDT 04/08/19 SCOTT B SHAPIRO 763 19WC 16506 SIMMONS, CHRISTINE ADVOCATE SOUTH SUBURBAN H 05/19/19 STROM & ASSOC GAROFALO SCHREIBER STORM GRA 764 19WC 16539 LEON, JESUS WINFAR FOODS 03/14/19 JAUREGUI & ASSOCIATES 765 19WC 16594 CLARK, LAURA CVS PHARMACY 06/04/18 MICHAEL D WALSH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 766 19WC 16635 WALLACE, LINDA T IL DEPT OF JUVENILE JUSTI 02/07/19 ANKIN LAW OFFICE 767 19WC 16658 WALLACE, MARCUS HEARTLAND ALLIANCE 09/01/18 ANGELINI & ORI LLC 768 19WC 16698 RODRIGUEZ, MONICA DABDOUB CLEANING SERVICES 02/27/19 JONATHAN SCHLACK HOLECEK & ASSOCIATES 769 19WC 23305 ESPINOSA, RICARDO CITY OF CHICAGO-DEPT OF * 06/14/19 ANKIN LAW OFFICE CITY OF CHICAGO 770 19WC 23331 KOWALKOWSKI, KRYSTYNA HARVARD MAINTENACE * 01/29/19 GWC INJURY LAWYERS LLC HENNESSY & ROACH PC 771 19WC 23358 LEWIS, DWAYNE RESTAURANT DEPOT * 08/08/19 ANGELINI & ORI LLC 772 19WC 23389 HALEY, CORVETTE TYTAN EXPRESS, INC AND * 03/05/19 ROBERT WARSASKI 773 19WC 23407 BILLINGS, THOMAS JR ABRA AUTO BODY AND GLASS * 04/10/19 RICHARD J ZABORSKY 774 19WC 23425 LARA, OMAR E FREEDMAN SEATING * 07/22/19 TIMOTHY HENDERSON 775 19WC 23446 GARCIA, FRANCISCO ITS CONGLOBAL * 07/10/19 ROMANUCCI & BLANDIN 776 19WC 23471 MCELROY, KIM KIRBY SCHOOL DISTRICT #14 * 06/10/19 ANESI OZMON RODIN NOVAK KO 777 19WC 23488 COLLAZO, ROBERTO AJAX TOOLS * 08/06/19 LIPKIN & APTER 778 19WC 23495 BURNS, TIFFANY CTA 02/12/19 VRDOLYAK LAW GROUP LLC 779 19WC 23541 HOZEY, ROY L CHICAGO PARK DISTRICT * 05/23/19 TIMOTHY DEFFET CHICAGO PARK DIST LAW DEPT 780 19WC 23559 PACETTI, JAMES COOK COUNTY SHERIFF * 11/26/18 JACOBSON & SCHIEFELBEIN 781 19WC 23608 LEVIN, HILDA WALGREENS * 07/13/19 MILLON & PESKIN LTD 782 19WC 23649 MOSBY, ROBERT DRY GROCERY-JEWEL OSCO * 08/05/19 TAMVAKIS, GEORGE L 783 19WC 23671 LAWRENCE, KARI FEDEX GROUND * 03/15/19 BRISKMAN BRISKMAN GREENBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 784 19WC 23673 CUMMINGS, MICHAEL UPS 07/15/19 LEONARD LAW GROUP LLC ASA LAW GROUP 785 19WC 23720 HORNBAKER, VICTORIA MARIANO'S FRESH MARKET * 08/04/19 CURTIS S BURKE LAW OFFICE 786 19WC 23783 KALRA-CHOPRA, TAMANNA UNITED CONTINENTAL HOLDIN * 02/24/19 KATZ FRIEDMAN EAGLE ET AL 787 19WC 23805 BARTON, JAMES TIP TOP BUILDERS INC * 03/12/17 STROM & ASSOC 788 19WC 23871 BALL, DEANTE C STAFFING NETWORK HOLDINGS * 08/09/19 ANKIN LAW OFFICE 789 19WC 23925 ANGLE, HOLLY AMERICAN AIRLINES * 03/31/18 RUBENS KRESS MULHOLLAND 790 19WC 23974 BOWLING, JERMAINE NATIONAL RAILWAY EQUIPMEN * 07/15/19 DWORKIN AND MACIARIELLO 791 19WC 23995 BOOKER, TERRENCE GREENCORPS CHICAGO * 08/09/19 VASILATOS & COTTER LLC 792 19WC 24012 MOORE, CHARLES WOZNIAK INDUSTRIES, INC * 09/12/17 KRAKER FANNING & OLSEN 793 19WC 24035 BAHENA, JUAN CARLOS BEAR STEWART CORPORATION * 04/01/19 EPSTEIN, JACK R LAW OFFICE 794 19WC 24113 NEAL, JASON AT&T * 08/06/19 GWC INJURY LAWYERS LLC 795 19WC 24156 JOSEPH, MICHAEL MAYWOOD FIRE DEPARTMENT * 10/23/17 TAXMAN POLLOCK 796 19WC 24187 HARPER, ROSE UNITED AIRLINES * 07/12/19 CULLEN HASKINS NICHOLSON 797 19WC 24207 GIERUT, RICHARD YRC FREIGHT * 08/08/18 LEONARD LAW GROUP LLC 798 19WC 24239 JONES, WILLIE EAST LAKE MANAGEMENT * 08/09/19 DWORKIN AND MACIARIELLO 799 19WC 24271 GOMEZ, GUADALUPE INN OF CHICAGO * 07/28/19 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 800 19WC 24307 WILLIAMS-BALL, REBEKAH COOK DUPAGE TRANSPORTATIO * 07/24/18 VASILATOS & COTTER LLC 801 19WC 24329 LADD, OTIS J ALPHA BAKING CO * 07/11/19 TOPPER & WEISS LTD MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 802 19WC 24372 HOLMES, ROBERT PIVOTAL STAFFING SRVS, LL * 07/29/19 ANKIN LAW OFFICE 803 19WC 24393 FLORES, CESAR LIBERTY STAFFING * 07/24/19 COSTA IVONE LLC 804 19WC 24423 LUK, KIN CHUNG ERIC UNITED CONTINENTL HOLDING * 07/02/19 KATZ FRIEDMAN EAGLE ET AL 805 19WC 24469 WENTZ, LAWRENCE ATLAS TUBE * 07/26/19 SCOTT B SHAPIRO 806 19WC 24490 BEDNARZ, CHARLES CITY OF EVANSTON * 09/30/17 DONALD FOHRMAN & ASSOC 807 19WC 24495 REED, BERNICE BELLWOOD SCHOOL DISTRICT * 02/23/18 COHN LAMBERT RYAN & SCHNEI 808 19WC 24524 LINDAHL, KENNETH A UNITED AIRLINES INC. * 08/13/18 PHILIP BLOMBERG 809 19WC 24550 BROOKINS, CAROLYN UPS * 07/23/19 DWORKIN AND MACIARIELLO 810 19WC 24577 GONZALEZ, ARMANDO JR. AMERICAN AIRLINES * 06/28/19 STROM & ASSOC 811 19WC 24603 BARANOWSKI, JERZY NU-WAY INDUSTRIES, INC * 08/12/19 CHEPOV & SCOTT LLC 812 19WC 24620 THOMAS, JAMES UNITED AIRLINES * 01/31/18 BOWMAN & CORDAY 813 19WC 24638 BURNS, DARRYL METRO STAFF, INC * 07/31/19 JAMES H MILLER JR 814 19WC 24707 ALVIZO, MATILDE MCDONALD'S RESTAURANTS OF * 03/19/19 RICHARD O. GREENFIELD 815 19WC 24743 WALKER, LIONELL CHICAGO PARK DISTRICT * 08/16/19 ANKIN LAW OFFICE 816 19WC 24781 PACHECO, ELISA UNITED CONTINENL HOLDINGS * 05/15/19 KATZ FRIEDMAN EAGLE ET AL 817 19WC 24827 TAYLOR, GREG BELCON/REGIS * 05/29/18 NO ATTORNEY 818 19WC 24842 HOLMAN, NINISIO UPS * 06/21/19 LEONARD LAW GROUP LLC 819 19WC 24862 MARTINEZ, RAQUEL BEARSE MANUFACTURING CO * 07/18/18 CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 820 19WC 24923 JOHNSON, DARRYL ENTERTAINMENT PARTNERS * 11/05/18 ROBERT WARSASKI 821 19WC 24946 LUDWIG, PAUL ABF FREIGHT SYSTEMS, INC. * 01/29/19 GWC INJURY LAWYERS LLC 822 19WC 24966 TRYLOVICH, MARK CITY OF CHICAGO * 07/09/19 HEALY SCANLON LAW FIRM 823 19WC 24989 SCHILDGREN, RICHARD IMS BUHRKE-OLSON * 08/15/19 KROL BONGIORNO & GIVEN LTD 824 19WC 25011 KAMPINEN, DIANNE LEVY RESTAURANTS * 08/04/19 MORICI FIGLIOLI & ASSOC 825 19WC 25035 LEE, DEOK SOO CHICAGO FOOD CORP * 06/28/19 FISHER & LAMONICA 826 19WC 25060 KELLEHER, JOHN CITY OF CHICAGO * 10/28/16 HORWITZ HORWITZ & ASSOC 827 19WC 25108 FISHER, BARBARA ENVOY * 07/06/19 RUBENS KRESS MULHOLLAND 828 19WC 25135 SANDERS, TAKITA UPS * 07/30/19 DWORKIN AND MACIARIELLO 829 19WC 25161 CINTRON, HECTOR JEWEL OSCO WAREHOUSE * 06/21/19 STEVEN J MALMAN & ASSOCIAT 830 19WC 25184 HAWKINS, DONNA FRESENUIS MEDICAL CARE * 06/22/19 FRIEDMAN & SOLMOR LTD 831 19WC 25201 GONAZLEZ, ASHLEY UPS * 07/08/19 LEONARD LAW GROUP LLC 832 19WC 25219 SAMPLE, SHAMAYA SCRUB, INC * 08/12/19 DAVID W MARTAY 833 19WC 25248 TENORIO, ELICIA ARYZTA, LLC * 02/19/19 LEONARDO MORALES HENNESSY & ROACH PC 834 19WC 25289 VELDMAN, STEVEN MANNHEIM AUTO AUCTIONS * 11/27/18 DWYER & COOGAN 835 19WC 25324 BOROWSKI, DOMINIK FEDEX FREIGHT * 08/09/18 ANGELINI & ORI LLC 836 19WC 25344 RAGGS, ANITA ST FRANCIS HOSPITAL * 07/27/19 LAW OFFICES OF ADRIAN CHER 837 19WC 25371 JACKSON, ROGER ARENA FOOTBALL ONE LLC * 07/22/17 GORDON LAW OFFICES LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 838 19WC 25394 HUMPHRIES, MARCUS L STATE TRACTOR TRUCKING, I * 04/10/19 MARK & BURKHEAD 839 19WC 25482 PERKINS, DONTE JB HUNT TRANSPORT, INC * 07/16/19 CUTLER & SILVERGLADE 840 19WC 25508 DAVIS, ARTHUR FORD MOTOR COMPANY * 04/10/19 KATZ FRIEDMAN EAGLE ET AL 841 19WC 25608 LOPEZ, ANGEL AMERICAN VINTAGE HOME * 07/12/19 DOUGLAS RALLO PC 842 19WC 25633 VAZQUEZ, LUIS PARAGON SYSTEMS INC * 08/17/19 DWORKIN AND MACIARIELLO 843 19WC 25656 HERRERA, HILDA TOTAL STAFFING SOLUTIONS/ * 04/25/19 BAUM RUFFOLO & MARZAL LTD 844 19WC 25680 HERRERA, ELOISA CHICAGO MEAT AUTHORITY * 01/19/18 HEALY SCANLON LAW FIRM 845 19WC 25692 CHAVEZ, JOHN MORRAINE VALLEY * 06/30/19 DONALD FOHRMAN & ASSOC 846 19WC 25710 HARTJE, MARY SUNRISE SENIOR LIVING * 04/21/19 SCOTT BARBER 847 19WC 25736 ZELM, LAURA ENVOY AIR, O'HARE AIRPORT * 07/25/19 CULLEN HASKINS NICHOLSON 848 19WC 25752 MCCOY, JACQUELINE MARRIOTT INTERNATIONAL IN * 08/17/19 RITTENBERG BUFFEN 849 19WC 25778 TEAGUE, MARANDA MERCY HOSPITAL * 08/19/19 ANGELINI & ORI LLC 850 19WC 25798 LOPEZ, MIGUEL LS CONTRACTING GROUP, INC * 07/26/19 HETHERINGTON KARPEL & BOBB 851 19WC 25814 SALAZAR CARRILLO, DANIEL THE BEST TOUCH * 07/29/19 KROL BONGIORNO & GIVEN LTD 852 19WC 25837 PAYTON, AMBER SURE STAFF * 08/02/19 LAW OFFICES OF ADRIAN CHER 853 19WC 25901 MCGUIRE, JOSEPH VILLAGE OF LAGRANGE * 04/24/19 WHITESIDE & GOLDBERG LTD 854 19WC 25917 LLANOS, MARCO SCOOBEEZ * 09/02/19 DWORKIN AND MACIARIELLO 855 19WC 25950 HARRIS, PERRIONE DELAWARE CAR RENTAL INC. * 04/16/19 COVEN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 10/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 856 19WC 25972 POLK, MARGARET CHICAGO COMMONS * 08/02/19 MC HARGUE & JONES